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10 LEVAL RD - BUILDING INSPECTION (4) (4 Z cr< s s� The Commonwealth of Massachusetts Board of Building Regulations and Standards CITY OF \ Massachusetts State Building Code,780 CMR SALEM O Revised Mar 2011 Building Permit Application To Construct,Repair,Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: Date Applied: r( LBuilding Official(Print Name) Signature DateSECTION 1:SITE INFORMATION f l,t ro�rtyprlsf; , ^� 1.2 Assessors Map&Parcel Numbers L la Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use _Lot Area(sq ft) Frontage(ft) LS Building Setbacks(R) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public O Private❑ Zone: _ Outside Flood Zone? Check if yes[] Municipal❑ On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP[ 21 °Beta°tt5OKem Salem MA 01979 Name(Print) City,State,ZIP 10 leval rd 9785678763 Rogsnrse55@yahoo.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New ConstructiWiffi,Existing Building❑ Owner-Occupied ❑ I Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Specify: Brief a rip�tion of Proposed W6rkZ: SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Labor andMaterials Official Use Only 1.Building a 1 1. Building Permit Fee:$ Indicate how fee is determined: ❑Standard City/Town Application Fee 2.Electrical $ S ' ❑Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees:$ heck No. Check Amount: Cash Amount:_ 6.Total Project Cost: $ f ❑Paid in Full 13 Outstanding Balance Due: SECTIONS: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) C.. License NumberExptlmlt�ico{o N i ,l et S U - List CSL Type(see below) No.and$Ire t ' ' Type Description Unrestricted(Buildings to cu.ft. R Ct y rown,state,ZIgPk+L t `C M Restricted I&2 Family Dwelling in - Masonry RC Roofing Covering WS Window and Siding 1 t '/'1(t� fw SF Solid Fuel Burning Appliances �CC (��A0 41q{\�11r 1 I Insulation Tele hone Email address D Demolition - - 5.2 Registered Home lmproyeL7ment Contractor(HIC) 76 � SSHIC Registration Number Expiration Date HIC Company Na r;.HIC tshant Nam (it ,u ,,t iVl ku.1Q gY?W V No.and Street( , . t t,.a a,t ' 13Q� 'r v fSAU64Email address City/Town, State,:ZIP - Tele hone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? ".. Yes .........i El" No...........,❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN - OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT _ — 1,as Owner of the subject property,hereby authorize I h V) iC �Qa f to act on my behalf,in all matters relative to work authorized by this-building permit application. Rita bokem - 11/3/16 Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. ���eo c Ndo )�Pr>1rL Fruit O er s or Authorized Agent' Name(Electronic Signal=) _ ate NOTES: U. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www�massgov/oca.Information on the Construction Supervisor License can be found at miff.mass:eov/dus. 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.), (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count _ Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed _ Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" 2— I01b NOV -:8 .P '3 1 b e- � The Commonwealth of Massachusetts k ! Board of Building Regulations and Standards CITY OF Massachusetts State Building Code,780 CMR SALEM Revised Mar 20l l Building Permit Application To Construct,Repair,Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: Date Applied: Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1. Propert Ad rests: \ 1.2 Assessors Map&Parcel Numbers 1.1 a Is this an accepted street.7 yes no_ _ Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dime ions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Buildini.Setbacks(ft) / Front Yard Side Yards Rear Yard Required _ Provided Required.\ /Provided Required - Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? Check if yes❑ Municipal❑ On site disposal system ❑ SECTION 2:jPROPERTY OWNERSHIP' 21 �lenisfF=Abefua Salem MA 01979 Name(Print) / City,State,ZIP 10 leval rd , 9785678763 Rogsnrse55@yahoo.com No.and Street Telephone \ Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Constructioirffl Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑ -- -'--- J -- -- -- - -_.--- Demolition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Specify: Brief d riptt'ton of Prt SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Labor`]and Materials Official Use Only 1.Building $ 1 D� 1. Building Permit Fee:$ Indicate how fee is determined: ❑Standard City/Town Application Fee Z.Electrical $ ❑Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire Su ression $ Total All Fees:$ S,Gt I-o Check No._Check Amount: Cash Amount:_ 6.Total Project Cost: $ '[ 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) License Number E$ptration ate' JNa' eJyder List CSL Type(see below) No no I Type Description ���/t 1 1 `�-� �- j U Unrestricted(Buildings u to 35.000 cu.ft. City Town State,ZIP ' t `-� R- Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering WS Window and SidipA 1r rrr}}} n nn SF Solid Fuel Burning Appliances Insulation _Telephone Email address D Demolition 5.2 Registered Home Im{p-roz(ement Contractor(HIC)r .'}(t HIC Company N 1C rstrant Nam 'n HIC Registration Number Expirations Date- m r No.and Street Email address City/Town,State,:ZIP Tele hone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes ......... Er' No............LEI SECTION jai OWNER AUTHORIZATION TO BE COMPLETED WHEN _ OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT yAV1,as Owner of the subject property,hereby authorize .. I - i ok to act on my behalf,in all matters relative_to gor u rued by this building permit application. Denis Nwetbefua ///►/�) 11/3/16 Print Owner's Name(Electronic Signatu Date SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in in this lQap(�ppllii�cllaatttiion is true and accurate to the best of my knowledge and understanding. Print O�er�Authorized Agent'e(Electronic Signature) Date NOTES: t. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at - www:mass.gov/oca Information on the Construction Supervisor License can be found at mT8 .mass gov/dos 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.). (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system _ Number of decks/porches Type of cooling system Enclosed Open. 3. "Total Project Square Footage"may be substituted for"Total Project Cost" AC40R o® CERTIFICATE OF LIABILITY INSURANCE 01""�'""'°°"YY ' 272016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NONE: MARSH USA.INC. 122517fH STREET,SUITE 1300 PHONE N FAICC No DENVER,CO 80202-5534 E-MAIL Attn:Denver.CerlRequest@marsh.com Fax:212-9484381 ADDRESS: INSURERS AFFORDING COVERAGE HAD# INSURER A:Axis Specially Europe INSURED Mvint Solar,Inc: INSURER B:Zurich American Insurance Company 16535 Vivint Solar Developer LLC INSURER C:American Zurich Insurance Company 40142 Mvint Solar Provider LLC INSURER D:NIA N/A 3301 North Thanksgiving Way,Suite 500 Lehi,UT 84043 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-002920007-12 REVISION NUMBER:O THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICYEFF POUCYEXP LTR TYPE OF INSURANCE POLICYNUMBER MMIO MWO LIMITS A X COMMERCIALGENEML LABILITY 3776500116EN 011292016 01292017 EACH OCCURRENCE $ 25,000,000 CLAIMS-MADE FT]OCCUR PREMISES Ea occurrence $ 1,000,000 MED EXP(Any one person) $ 10,000 PERSONAL S ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLI ES PER: GENERAL AGGREGATE $ 25,000,000 X POLICY JECT LOG PRODUCTS-GOMPIOP AGO $ 25,000,000 OTHER $ B AUTOMOBILE LIABILITY BAP509601501 11/012015 11/01/2016 COMBINED SINGLE LIMIT S 1,000,000 Ea accident) Ix ANY AUTO BODILY INJURY(Per person) $ AAU OS ED SSCHHEEDULE' BODILY INJURY(Per acaden0 $ AUTOS HIRED AUTOS X NON-OWNED PROPERTY DAMAGE S AUTOS Per amcent Comp/Coll Ded $ 1,000 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE - $ DED RETENTION $ C WORKERS COMPENSATION WC609601301 11/01/2015 111012016 X IPER OTH- ANDEMPLOYERS'LIIBILITY YIN STATUTE OR ANY PROPRIETOR/PARTNEWEXECUTIVE AZ,CA,CT,HI,MD,NJ,NY,NV,NM, E.L.EACH ACCIDENT $ 1,000,000OFFICERMIEMBER EXCLUDED? NIA (Mandatory in NH) OR,PA,UT E.L.DISEASE-EA EMPLOYEE $ 1,000,000 B it DESCRIPTION under WC509601401(MA) 11/01/2015 11/012016 ELDISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be atMched R more apace is required) The Certificate Holder and others as defined in the written agreement are included as additional insured where required by written contract with respect to General Liability.This insurance is primary and non- .conobutory over any existing insurance end limited to liability arising out of the operations of the named insured and where required by written contract.Waiver of subrogation is applicable where required by written contract with respect to General Liability and Workers Compensation, CERTIFICATE HOLDER CANCELLATION City of Salem SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 93 Washington Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Salem,MA 01970 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOWED REPRESENTATIVE of Marsh USA Inc. Kathleen M.Parsloe .{ ,.hr. 4446 . ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD ti ��- anan�aztvec��� �C->r2acr�w.teCti Office of Consumer Affairs!nd Business Regulation 10 Park Plaza-Suite 5170' Boston, Massachusetts 02116 Home improvement:Contractor Registration, Repletn389n; 170848 3 Type: Supplement CenJ r "9 Expiration: 7/6I2018 VIVINT SOLAR DEVELOPER LLC. ,,«ty '{ 0 KYLE GREENE — 3301 N THANkSGIVING WAY SUI'�, 5 t LEHI, UT84043 A `, �+fyr -- ',..:. ,0pdnoaAddnote and'return urd:lldart teaean for cMmpe. eu� a 3aaaenr } .Apdr"cta Q.Renewal. Empleymeet ❑ Last Cand a .. t�ss h se - {fie rtrnent of P ri Safe ►a d of tt itdinat Regulations and Standards :.icense. GS-108068 \41 KYLE GREENS - • '- 44 MAIN STREET` I t vt�j North Reading MW 0 The Commonwealth of Massachusetts i jV Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02 114-2 01 7 www.massgov/dia JVorkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbem TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly. Name(Business/Organimtiordindividua0:Vivint Solar Developer LLC Address:1800 W Ashton Blvd City/State/Zip:Lehi, UT 84043 Phone M 855-877-2974 Are you an employer?Check The appropriate box: Type of project(required): I. r�lam a employer with 254 employees(full andlor pan-time).' 7. ❑New construction 2. 1 am a sole pmprietorar partnership and have oo employees working ferment❑ 8. ❑Remodeling any capacity.INo workers'comp.insurance required.) 9. ❑Demolition 30 1 era a homeowner doing all work myself[No workers'corrry.insurance required.]1 10❑Building addition 4.❑[am a homeowner and will he hiring Wuttactors to conduct all work on my property. twill ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with an employees. 12.❑Plumbing repairs or additions 5.❑lam a general contractor and l have hind the subcontractors listed on the attached sheet. ]3❑Roofrepaif5 These subconaactors have ernpiayees and have workrs e 'comp.insurance.t 6.❑we are a corporation and its ofccrs have exercised their right of exemption per MGL c. 14.❑Other 152,§I(4),and we have no employees.[No workers'comp.insurance required.] .Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy infomulion. t li mowners who submit this amdavit indicating they we doing all work and then hire outside contractors most submit a new affidavit indicating such. ;Contractors that check this box most aumlrcd an additional sheet showing the name of the subcontractors and state whether or net those entities have • employees. If the sub-contractors have employees,they must provide(heir workers'comp-policy comber, lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name:Marsh USA Inc Policy#or Self-ins.Lie.#:WC509601302 Expiration Date:11/01/220,(1`�7 Job Site Address: �� l Q\vim-30 City/State/Zip: c11/2`�t" M q Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may he forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under th , and penalties of perjury that the information provided above Is true and correct Snaturo: ' Date:_ l 11 V I Phone#� 865 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# _ Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: e0�j RESIDENTIAL SOLAR POWER PURCHASE AGREEMENT �+ �r �11 1l�.Solar� Customer Name and Contact Information: Transaction Date p�v/�� ���yp Name(s) Denis Nwetbefua Service No.2016-10-15 Installation Location Address 10 Leval Rd Approximate Start and 10 Leval Rd Salem MA 01970 Completion Date Salem Home Phone 6176425835 2017-04-13 MA 01970 Cell Phone 6176425835 E-Mail takudenis@hotmail.com Our Promises + We will design,install, maintain,repair, + We will not place a lien on Your Property. monitor,and insure the System at no additional cost to You. + You are free to cancel this Agreement any time prior to Our commencement of + We warranty all of Our work,and that Our installation work at Your Property. roof penetrations will be watertight,for the initial 20 year term. + The Energy Price includes a$5 monthly discount for paying by automatic debit + Your Energy Price will not increase by more from Your bank account. than 2.9%per year. + You will not be responsible for any + After five years,if You need to make property tax assessed on the System. Property repairs,We will remove and reinstall the System if You pay Our + We will fix or pay for any damage We may estimated costs. cause to Your Property or belongings. Your Commitment • Pay for the Energy produced by the System. • Maintain a broadband internet connection. • Keep Your roof in good condition throughout • Continue service with Your Utility for any the.Term. energy used above and beyond the System's Respond to Our sales and support teams production. when scheduling and completing paperwork. At the End of Your Initial Term • You can renew the Agreement • You can request that We remove the System for a subsequent term;. at no additional cost. • You can purchase the System;or If You Move • We guarantee You can transfer the • You can relocate the System to Your Agreement to the new owner,regardless of new home;or credit rating; After the sixth anniversary,You can purchase ' You can prepay the Agreement; the System. Vivint Solar Developer, LLC(EIN: 80-0756438)is a licensed contractor in each state in which we operate,for information about our contractor licenses please visit www.vivintsolar.com/licenses. WE MAY HAVE PRESCREENED YOUR CREDIT. PRESCREENING OF CREDIT DOES NOT IMPACT YOUR CREDIT SCORE. YOU CAN CHOOSE TO STOP RECEIVING PRESCREENED"OFFER S OF CREDIT FROM US AND OTHER COMPANIES BY CALLING TOLL-FREE 888.567.8688. SEE PRESCREEN &OPT-OUT NOTICE BELOW FOR MORE INFORMATION ABOUT PRESCREENED OFFERS. The Notice of Cancellation may be sent to this address: support@vivintsolar.com I vivintsolar.com 1800 W Ashton Blvd., Lehi, UT 84043 Phone 877.404.4129 1 Fax 801.765.5758 Copyright @ 2016 Vivint Solar Developer,LLC All Rights Reserved PPA(8/2016,v3.2.2)1 Page 1 SIGNATURE PAGE AND NOTICE TO CUSTOMERS A. INCORPORATED DOCUMENTS. These documents G. You have the right to require Us to have a are incorporated into this Agreement and apply to the performance and payment bond. relationship between You and Us: (1) Residential Solar H. CUSTOMER'S RIGHT TO CANCEL. YOU MAY Power Purchase Agreement, (2) Exhibit A: Notice of CANCEL THIS CONTRACT AT ANY TIME BEFORE THE Cancellation, (3) Exhibit B: State Notices and LATER OF: (1) MIDNIGHT OF THE THIRD (3RD) Disclosures, (4) Exhibit C: Certificates of Insurance, BUSINESS DAY AFTER THE TRANSACTION DATE, OR and (5) Customer Packet. (11) THE START OF INSTALLATION OF THE SYSTEM OR B. WE HAVE NOT GUARANTEED, PROMISED OR ANY OTHER WORK WE PERFORM ON YOUR OTHERWISE REPRESENTED ANY REDUCTION IN PROPERTY. IF YOU WISH TO CANCEL THIS CONTRACT, ELECTRICITY COSTS IN RELATION TO THE SYSTEM YOU MUST EITHER: (1) SEND A SIGNED AND DATED THAT WILL BE INSTALLED ON YOUR PROPERTY. WRITTEN NOTICE OF CANCELLATION BY MAIL,E-MAIL, C. IT IS NOT LEGAL FOR USTO ENTER YOUR PREMISES OR FAX; OR (2) PERSONALLY DELIVER A SIGNED AND UNLAWFULLY OR COMMIT ANY BREACH OF THE DATED WRITTEN NOTICE OF CANCELLATION TO: PEACE TO REMOVE GOODS INSTALLED UNDER THIS VIVINT SOLAR DEVELOPER, LLC, 1800 W ASHTON AGREEMENT. BLVD, LEHI, UT 84043, ATTN: PROCESSING D. DO NOT SIGN THIS AGREEMENT BEFORE YOU DEPARTMENT. IF YOU CANCEL THIS CONTRACT HAVE READ ALL OF ITS PAGES. You acknowledge that WITHIN SUCH PERIOD, YOU ARE ENTITLED TO A FULL You have read and received a legible copy of this REFUND OF YOUR MONEY. REFUNDS MUST BE MADE Agreement, that We have signed the Agreement, and WITHIN 10 DAYS OF OUR RECEIPT OF THE that You have read and received a legible copy of every CANCELLATION NOTICE. SEE THE ATTACHED NOTICE document that We have signed during the OF CANCELLATION FOR AN EXPLANATION OF THIS negotiation. RIGHT. DO NOT SIGN BELOW UNLESS WE HAVE GIVEN E. YOU RISK THE LOSS OF ANY PAYMENTS MADE TO YOU THE"NOTICE OF CANCELLATION". A SALES REPRESENTATIVE. I. Unless You are provided with a longer period in F. DO NOT SIGN THIS AGREEMENT IF THIS Exhibit A,You may not terminate this Agreement after AGREEMENT CONTAINS ANY BLANK SPACES. You are three(3)business days of the Transaction Date. If You entitled to a completely filled in copy of this seek to cancel thereafter, then You will forfeit any Agreement, signed by both You and Us, before any amounts previously paid and You may owe Us the work may be started. Default Payment. VIVINT SOLAR DEVELOPER, LLC CUSTOMER(S): Signature: Signature: Printed Nome: Serge Didenko Printed Nome: Denis Nwetbefua Salesperson No.: Date: 2016-10-15 Date: 2016-10-15 Signature: Printed Name: Date: 2016-10-15 Copyright© 2016 Vivint Solar Developer, LLC. All Rights Reserved. PPA(812016,v3.2.2)I Page 18 �� u�o��. solar 1800 W Ashton Blvd. Structural Group Lehi, LIT 84043 Jon P. Ward,SE,PE Clint C. Karren, PE Structural Engineering Manager Structural Engineering Manager ion.wardC vivintsolar.com clintkarren@vivintsolar.com November 05, 2016 Mr. Dan Rock, Project Manager Vivint Solar 1800 W Ashton Blvd. Lehi, UT 84043 Re: Structural Engineering Services Nwetbefua Residence 10 Leval Rd, Salem, MA S-5296015; MA-01 Dear Mr. Rock: Pursuant to your request,we have reviewed the following information regarding solar panel installation on the roof of the above referenced home: 1. Site Visit/Verification Form prepared by a representative from our office under my supervision identifying specific site information including size and spacing of members for the existing roof structure. 2. Design drawings of the proposed system including a site plan, roof plan and connection details for the solar panels. This information was prepared by the Design Group and will be utilized for approval and construction of the proposed system. 3. Photovoltaic Rooftop Solar System Permit Submittal identifying design parameters for the solar system. 4. Photographs of the interior and exterior of the roof system identifying existing structural members and their conditions. 5. Previous structural evaluation for the existing solar system completed by Vivint Solar on October, 22 2015. Based on the above information we have evaluated the structural capacity of the existing roof system to support the additional loads imposed by the solar panels and have the following comments related to our review and evaluation: Description of Residence: The existing residence is typical wood framing construction with the roof system consisting of the following: • Prefabricated truss with all chords constructed of 2x4 dimensional lumber at 24" on center and a single layer of roofing. The attic space is unfinished and photos indicate that there was free access to visually inspect the size and condition of the roof members. All wood material utilized for the roof system is assumed to be Spruce-Pine-Fir #2 or better with standard construction components. The existing roofing material consists of composite shingle. Stability Evaluation: A. Wind Uplift Loading 1. Calculations for uplift are based on ASCE/SEI 7-10 Minimum Design Loads for Buildings and other Structures, a wind speed of 100 mph based on Exposure Category Band 21 degree roof slopes on the dwelling areas. Ground snow load is 40 PSF for Exposure B, Zone 2 per(ASCE/SEI 7-16). 2. Total area subject to wind uplift is calculated for the Interior, Edge and Corner Zones of the dwelling. Page f of bibint. solar B. Loading Criteria 8 PSF= Dead Load (roofing/framing) 40 PSF=Ground Snow Load 3 PSF= Dead Load (solar panels/mountino hardware) Total Dead Load= 11 PSF The above values are within acceptable limits of recognized industry standards for similar structures and in accordance with the 2009 International Residential Code with Massachusetts Amendments. Analysis performed on the existing roof structure utilizing the above loading criteria indicates that the existing members will support the additional panel loading without damage, if installed correctly. C. Roof Structure Capacity 1. The photographs provided of the attic space and roof rafters show that the framing is in good condition with no visible signs of damage caused by prior overstressing. D. Solar Panel Anchorage 1. The solar panels shall be mounted in accordance with the most recent "Ecolibrium Solar Installation Manual", which can be found on the Ecolibrium Solar website (www.ecolibriumsolar.com). If during solar panel installation, the roof framing members appear unstable or deflect non-uniformly, our office should be notified before proceeding with the installation. 2. The solar panels are 1 Yz'thick and mounted 4 11Y off the roof for a total height off the existing roof of 6". At no time will the panels be mounted higher than 6"above the existing plane of the roof. 3. Maximum allowable pullout per lag screw is 205 Ibs/inch of penetration as identified in the National Design Specifications (NDS) of timber construction specifications for Spruce-Pine-Fir assumed. Based on our evaluation, the pullout value, utilizing a penetration depth of 2 1/2", is less than the maximum allowable per connection and therefore is adequate. 4. Considering the roof slopes, the size, spacing, condition of the roof, the panel supports shall be placed at and attached no greater than every other roof member as panels are installed perpendicular across members and no greater than the panel length when installed parallel to the members (portrait). No panel supports spacing shall be greater than two (2) spaces or 48" o/c, whichever is less. 5. Panel support connections shall be staggered to distribute load to adjacent members. Based on the above evaluation, with appropriate panel anchors being utilized the roof system will adequately support the additional loading imposed by the solar panels. This evaluation is in conformance with the 2009 International Residential Code with Massachusetts Amendments, current industry standards and practice, and the information supplied to us at the time of this report. Should you have any questions regarding the above or if you require further information do not hesitate to contact me. 1 <A4 OF A Regards, Jon P. Ward, SE, PE N P ` AR MA License No. 52584 NO sz sS'ONAL Page 2of2 vivint. solar EcolibriumSolar Customer Info Name: Email: Phone: Project Info Identifier: 5296015 Street Address Line 1: Street Address Line 2: City: State: Zip: Country: System Info Module Manufacturer: JA Solar Module Model: JAP6-60-270/4BB Module Quantity: 10 Array Size(DC wafts): 2700.0 Mounting System Manufacturer: Ecolibrium Solar Mounting System Product: EcoX Inverter Manufacturer: SolarEdge Technologies Inverter Model: v.SE3800-US (240V) Project Design Variables Module Weight: 40.124084lbs Module Length: 64.960665 in Module Width: 39.0157691 in Basic Wind Speed: 100.0 mph Ground Snow Load: 40.0 psf Seismic: 1.5 Exposure Category: B Importance Factor: I Exposure on Roof: Partially Exposed Topographic Factor: 1.0 Wind Directionality Factor: 0.85 Thermal Factor for Snow Load: 1.2 Lag Bolt Design Load- Upward:820 Ibf Lag Bolt Design Load- Lateral: 288 Ibf Module Design Moment—Upward: 3655 in-lb Module Design Moment—Downward: 3655 in-lb Effective Wind Area: 20 ft2 Min Nominal Framing Depth: 2.5 in Min Top Chord Specific Gravity: 0.42 EcolibriumSolar Plane Calculations (ASCE 7-10): North Roof Roof Shape: Edge and Corner Dimension: 5.4527695203540546 ft Attachment Type: Stagger Attachments: Yes Average Roof Height: 32.0 ft Include Snow Guards: No Least Horizontal Dimension: 54.5276952035405 ft Include North Row Extensions: No Roof Slope: 21.0 deg Truss Spacing: 24.0 in Snow Load Calculations Description Interior Edge Corner Unit Flat Roof Snow Load 26.9 26.9 26.9 psf Slope Factor 0.9 0.9 0.9 Roof Snow Load 24.2 24.2 24.2 psf Wind Pressure Calculations Description Interior Edge Corner Unit Net Design Wind Pressure Uplift -19.4 -31.9 -47.9 psf Net Design Wind Pressure Downforce 11.4 11.4 11.4 psf Adjustment Factor for Height and Exposure Category 1.05 1.05 1.05 Design Wind Pressure Uplift -20.4 -33.5 -50.3 psf Design Wind Pressure Downforce 16.0 16.0 16.0 psf ASD Load Combinations Description Interior Edge Corner Unit Dead Load 2.3 2.3 2.3 psf Snow Load 24.2 24.2 24.2 psf Downslope: Load Combination 3 8.9 8.9 8.9 psf Down: Load Combination 3 23.2 23.2 23.2 psf Down: Load Combination 5 11.7 11.7 11.7. psf Down: Load Combination 6a 25.1 25.1 25.1 psf Up: Load Combination 7 -10.9 -18.8 -28.9 psf Down Max 25.1 25.1 25.1 psf Spacing Results(Landscape) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 65.5 65.5 61.1 in Max Spacing Between Attachments With Rafter/Truss Spacing of 24.0 in 48.0 48.0 48.0 in Max Cantilever from Attachment to Perimeter of PV Array 21.8 21.8 20.4 in Spacing Results(Portrait) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 50.8 50.8 47.4 in Max Spacing Between Attachments With Rafter/Truss Spacing of 24.0 in 48.0 48.0 24.0 in Max Cantilever from Attachment to Perimeter of PV Array 16.9 16.9 15.8 in EcolibriumSolar Layout Skirt e Coupling End Coupling Note: If the total width of a continuous array exceeds 35 ft, break 0 Clamp array to allow for thermal expansion and contraction. See 0 End Clamp Installation Guide for details. ® North Row Extension Warning: PV Modules may need to be shifted with respect to roof ® Row-to-Row Bonding Clip/Bonding Jumper trusses to comply with maximum allowable overhang. EcolibriumSolar Roof Weights In Conformance with Solar ABC's Expedited Permit Process Module Quantity: 10 Weight of Modules: 401 Ibs Weight of Mounting System: 48 Ibs Total Plane Weight: 449lbs Total Plane Array Area: 176 ft2 Distributed Weight: 2.55 psf Number of Attachments: 24 Weight per Attachment Point: 19 Ibs Roof Design Variables Design Load-Downward: 918 Ibf Design Load-Upward: 720 Ibf Design Load -Downslope: 460 Ibf Design Load-Lateral: 252 Ibf -�- . EcolibriumSolar Bill Of Materials Part Name Quantity ES10260 EcoX Row-to-Row Bonding Clip 1 ES10121 EcoX Coupling Assembly 8 ES10146 EcoX End Coupling 4 ES10103 EcoX Clamp Assembly 16 ES10136 EcoX End Clamp Assembly 8 ES10144 EcoX Junction Box Bracket 1 (Optional) ES10132 EcoX Power Accessory Bracket 10 ES10333 PV Cable Clip 50 ES10334 4 PV Cable Clip 20 ES10195 EcoX Base, Comp Shingle 24 ES10197 EcoX Flashing, Comp Shingle 24 s Np PLUMBING NTIS) NDDF NTIE) - - - - - ------------------------------------------------------- o SOFTELLITE N ISH p d'O PV SYSTEM SIZE: cHIMNEr #'i o u g 2.700 kW DC I Ofm" y, DD NODDLE= I I = WITH �sm m I'll eeP noo.F1..R .oNTHE BACK y EACH MODULE. ® MODULES 17 OF N R I' CCOXOU ID UNCTION BO%N_LECIWPL[ PµEL I o I 6LOCIUBL.GEGGNNEPo WUCH& H I %V UTL METER LWPION!TIE INTO EPP ❑ i O I *; BNTGNE STOKE I I C UEXO MN BOX OFF ROOF i0 KEEP JUNCTION 00%OFFH i Root Type:Comp Shingle I I •' Ro of.HSecti�os 1 I � I a 8 a ° Go _ EXISTING SOLAR I SHEET N NAME: w5 Na SHEET NUMBER: 10 Leval Rd, Salem MA 01970 IPV SYSTEM SITE PLAN SCALE:3/16"=1'-0" a ft�M�+ATTCHMT COUPLING CLAMPASSEMBLY (INCLUDES GLIDER) LEAF SPRING B GLIDER ¢ a4� m TALN MODULE CLAMP+ATTACHMENT ,� a E .� PERMITTED COUPLING CLAMP SPACING 5 STRUT NUT RAFTER ECOX BASE SEALING WASHER RAFTER FLASHING COMP SHINGLES I I i I L=PORTRAIT 1 i - ' CLAMP SPACING j I .MODULE iv z - O N 5/16N4 1/2" SS LAG SCREW IL=LANDSCAPE CLAMP SPACING TORQUE=13t2 FT-LBS L `MODULES IN PORTRAIT/LANDSPACE •' z ° 30 NOT�0w ` MOUNT DETAIL - ECOX a 2 WITH METAL FLASHING PV 3.0 NOTTO a u: 3 a z MOUNTING s s w3.a DETAIL CANTILEVER L/3ORLESS L=MAX 64" ' i PV MODULES,TYP.MOUNT � COUPLING CLAMP - OF COMP SHINGLE ROOF, / SHEET PARALLEL TO ROOF PLANE MODULE NgME; Z J RAFTER O p PV ARRAY TYP. ELEVATION SHEET NOT TO SCP E /� NUMBER: ( ° )PV SYSTEM MOUNTING DETAIL N %�3.° NOTTO-E o_ c5 t em Photovoltai Conduit Conductor Schedule(ALL CONDUCTORS MUST BE COPPER 5 t 2 DC System Sl:e 27M Tag# Description Wine Gauge Nof Conductors/Color Conduit Type Conduit5ize m AC System Slue 3800 S PV Wire 10 AWG 2(V+,V-) N/A-Free Air Ni Air o Total Module Count 30 1Bare Copper Ground(EGC/GEC) 6AWG IBARE N/A-Free Air N/A-Free Air m 2THWN-2 10 AWG 2(IV+,1V-)B/R PVC 1" t 2 2THWN-2-Ground BAWG IIGRN) PVC 1" s < m _ 3THWN-2 10 AWG 3(1L1,I1.2,1N)B/R/W PVC 1" 'a c 3THWN-2-Ground BAWG 1(GRN) - PVC 1" isIf o #�+ Cost,on Inverter information: 4THWN-2 6AWG 3(ILI,11.2,1N)B/R/W LFNC 1" Type ,..s000A us 4THWN-2-Ground 8AWG 1(GRN) LFNC 1" o � L Eaisdn8..data mmreas mn: O TypelKM260P-60 -me:29 N VISIBLE DIFEOCKA NPaIE KNIFE VISIBLE LOCKABLE DISCONNECT as KNIFDISCONNECT NEC AMEN FUSED DISCONNECT NEMA3pR SOuareD EQUIVALENT D222NRB oa2aov DEFUSED NEMA3 an vE vE 1i oc Salar Edse 0 •mi SE38WA US H w YC nlarms to ANSI C12.1-2000 Poi at of latercannecti Do,Supply Side > SQUARE D 0222NRB I05.IIIAI,Conforms to NEC 2014 > 2 Lo 240V/6M FUSED NEMIJ w w N OR EQUIVAEM WITH T5• U p CTFRMINATOId G G ¢ N IM• NA SHEET Ex so ng 2401 NAME: Service Panel,Si nale Phase,vnth 200A Main m 2 BOB Disconnect C S MODULES TRING 1:10 PV 1 2 10 \ 4 SHEET t NUMBER: 10PV MODULES PFR INv£RTER=22W WAT15 STC VIA BLEALOCKCBLE'KNI FE'AK MINIMUM GEC 512E 4 ey DLSCONNECrINSIGHTOFTAP AWGCOPPEB W • e ^ Fl DC safety switch Conductor Calculations Rated for max operating condition of inverter PV Module Rating @ STf -Wire OI ) temperature calculations ez NEC 690.35 rompliant gauge calculated from NEC code 330.15 B 16 with ambient Module Make/Model IAP6-6O270/488 from NEC 31D.15 2 "opens all ungrounded conductors I Ila4iii re Max Power-Point Current(Imp) 8.65 Amps For"On Roof'conductors we use the 90-C column ampacity,t1.5"-3.5"off-the-roof temperature m 0 timizer Max Power-Point Voltage(Vmp) 31.23 Volts adjustment from 310.15(B)(3)(c),and raceway FlIl adjustments from 310.15(B)(16). P Solar Edgeatts u p Open-Circuit Voltage(Voc) 38A8 Volts For"Off goof'conductors we use the 75•C column ampacity,tor s,w 90e column ampacity with DC Input Power 348 Watts the relevant Lem rature and racewa fill adjustments,whichever is less. a o u 'o Short-CircuiKurrent(Ise) I>e Y lu i + N Q DC Max Input Voltage 48 Volts I I 9.26 Amps The rating of the conductor after adjustments MUST be greater than,or equal to,the continuous DC Max Input Current 12.5 Amps Max Series Fuse(OCPO) 15 Amps F Nom.Maximum Power at STC(Pmax) 2]0. Watts tlury upratetl output current DC Max Output Curren[ 15 AmpsCalculation Example-Wire Rating(90'C)x Ambient Temperzture Adjustment xConduit Fill car Max String pacing 5250 Watts Maximum System Voltage DC 1000V(UL) Adjustment>=Continuous Duty Output Current Inverter Make/Model SE380DA-US Voc Temperature Coefficient -0.33 %/C (On Roof,Tag 2):10 gauge wire rated for 40 A, AOAx O.76 x 1(2 Conductors=30.4 A>=18.]5 CEf Efficiency =2QVolM A AC Operating Voltage PV Module Rating @ STC (Off Roof,Tag 3):10 gauge wire rated for 35 A, 35 A>=19.]9 A Continuous Max Output Curren[ Module Make/Model JKM260P-60Df Maximum lnpu[Curren[ Max Power-Point Current(Imp) 8.3J AmpsOShcrtfircut Current Max Power-Point Voltage(Vri 311 VoltsMax Out ut Fault Current Open-Circuit Voltage(Voc) 38.1 Volts Short-Circuit Current(Ise) 8,98 Amps Max Series Fuse Puma SEC 15 Amps is Optimizer Solar Edge P300 Nom.Maximum Power at SEC(Pmax) 260 Watts ca ca DC Input Power 300 Watts Maximum System Voltage 1000V DC(IEC) OC Max input Voltage 48 Volts Voc Temperature Coefficient -0.31 %/C DC Max l nput Current 12.5 Amps DC Max Output Current 15 Amps Max String Rating 5250 Watts AC Ou[pu[Current According to NEC 690.8(B)f 1) 35.83 Amps Nominal AC Voltage 240 Volts Inverter Make/Model SE6000A-05 THISPANELISFED BY MULTIPLE SOURCES(UTILIT)iAND SOLAR) OCPD Calculations CEC Efficiency 9].5 % .. ROOFTOP CONDUCTOR AM PACITIES DESIGNED IN COMPLIANCE AC Operating VoltageOut 240 Volts WITH NEC 690.8,TABLES 310.15(6)(2)(d),310.SSB 3 a, Continuous Max Output Curren[ 25 Amps 0I11I Breakers sized according to continuous duty output current PV circuit nominal current based off 310.15(B)(3)(c),310.15(B)(16),CHAPTER 9 TABLE 4,5,&9. Inverter continuous output current%(1.25(NEC code 210.19(A)(1)(a)), o ¢ m DC Maximum Input Curren[ 18 Ampz LOCATION SPECIFIC TEMPERATURE OBTAINED FROM ASHRAE 2013 Short Circuit Current 2].5 Amps DATATABLES. Inverter l:SE3800 A-US-U Max Output=15.83 A 1.25(NEC code 210.19(A)(1)(a)) z m m Max Output Fault Current 2].5 A/20ms =19]9A<20A DCPD > E ASHRAE 2013- ( ) z W Highest Monthly 2%DB Design Temp:32.5 Celsius system output current w/continuous duty=19.79<20A(System OCPO) w Lowest Min.Mean Extreme OB:-23.9 Celsius Q a = e l. Other Notes % z_ r •ALL INTERIOR RACEWAYS CARRYING DC CURRENT SHALL BE METALLIC SHEET •All ampacity calculations are made Incompliance with NEC 220.5(B) NAME: w w o so 2 6 SHEET NUMBER: N Yl i ra • 1 S. Essex Registry of Deeds Book/Page Description Locus Date Partv1 Party 1 Role Reverse Party Type PIBk PI.Po Town Consideration 03/30/2012 BOKEM, RITA Grantee DENIS M E 31214 / 077 10 LEVAL RD, REF 340000 DEED SALEM 10563/229 03/30/2012 DENIS, MICHAEL EX Grantor BOKEM R 31214 / 077 10 LEVAL RD, REF 340000 DEED SALEM 10563/229 03/30/2012 DENIS, RICHARD Grantor BOKEM R 31214 / 077 10 LEVAL RD, REF 340000 DEED SALEM 10563/229 0 3/3 012 01 2 DENIS, RICHARD EST Grantor BOKEM R 31214 / 077 10 LEVAL RD, REF 340000 DEED SALEM 10563/229 11/8/2016 2:53 PM Page 1 of 1