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64 MARLBOROUGH RD - BUILDING INSPECTION �1 The Commonwealth of Massachusetts Board of Building Regulations and Standards 7R,,ised2011 Massachusetts State Building Code, 780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official U Only Building Permit Number: I Date Ap ied: D° /a Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION Ln I.I Pro5,V rid ( 1.2 Assessors Map&Parcel Numbers f� 1.Is 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(B) 1.5 Building Setbacks(D) 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 D Zone: _ Outside Flood Zone?Check if yes0 Municipal❑ On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner of Record: Roger Leger Salem, MA. 01970 Name(Print) City,State,ZIP ermC�comcast.n ~ 64 Marlborough Rd. 978-744-6232 Le 9 � rn No.end Street Telephone Email Address y. �. SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) t 2 New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alterntion(s) ❑ Addl{ion Demolition ❑ 1 Accessory Bldg.❑ Number of Units_ Other [3 Specify: cn . D n ` Brief Description of Proposed Work'-: t V\ CK , n W S IM SECTION 4: ESTIN ATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials) Official Use Only 1.Building $ l 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees:$ 6.Total Project Cost: Check No._Check Amount: Cash Amount:_ $ ( (i ❑Paid in Full ❑Outstanding Balance Due: i I ,t = SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) r� JGmk,:Z, SY p ywL&Y ) License Number Expiration DateP Name of CSL Holder � �V\, _, ^ List CSL Type(see below) U N Street W\ Type Description �, xA , , �t �k OM LP U Unrestricted(Buildings u to 35,000 cu.fit.)ANC R Restricted 1&2 FamilyDwelling city(Cown,State,ZIP M Masonry RC Roofing Coveting WS Window and Siding _ ,,.. SF Solid Fuel Burning Appliances 7�13CS�uJ M�SUek�UkU I n+S0``CArC- 1 Insulation -Tel e hone Email address D I Demolition 5.2 Registered Home Improvement Contractor(HIC) V\ V 1 r tfi HIC CoM gy1N�m�o rIC Regisnt Name HIC Registration Number Expiration Date No.an [reel I, Email address City/Town,State,ZIP Telephone -� SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.1 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..........❑ 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 J kym t SD\CItr to act on my behalf,in all matters relative to work authorized by this building permit application. 12/31/14 Print Owner's Name(Electronic Signal=) 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. � ,c �.�, �� Li H Print Owner's or Authorized Agent' a(Ele nic Signature) Date NOTES: I. 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/oca Information on the Construction Supervisor License can be found at www.mass. ovldns 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' L A CERTIFICATE OF LIABILITY INSURANCE DAT 112614D YYYY) 10131I2014 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 MARSH USA INC. NAME: 122517TH STREET,SUITE 1300 PHONE FAX No DENVER,CO 80202-5534 E-MAIL Attn:Denver.cerin:quest@marsh.mm,Fax:212.948.4381 ADDRESS: INSURERS AFFORDING COVERAGE NAIC p 462738-STND-GAWUE-14-15 INSURER A:Evanston Insurance Company 35378 INSUREDVivint Solar,Inc: INSURER B:Zurich American Insurance Company 16535 Mvint Solar Developer LLC INSURER c:American Zurich Insurance Company 40142 3301 North Thanksgiving Way INSURER D: Suite 500 Lehi,UT 84043 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-002368030-08 REVISION NUMBER:0 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, INTSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP R POLICYNUMBER MMID MMID LIMITS A GENERAL LIABILITY 14PKGWE00274 1110112014 1110112015 EACH OCCURRENCE $ 1,000,000 -RE X COMMERCIAL GENERAL LIABILITY A N 50,000 PREMISES -r IT- $ CLAIMS-MADE MOCCUR MED EXP(My one person) It 5,000 X $5,000 Ded.BI&PD PERSONAL B ADV INJURY s 1,000,000 GENERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG E 2,000,000 POLICY FX PRO-JrCTLOC - $ B AUTOMOBILE LIABILITY BAP%9601500 11/0112014 11/01/2015 COMBINED SINGLE LIMIT 1,000,000 Ea acaidenl Ix ANY AUTO BODILY INJURY(Per person)ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS X NON-OWNED PROPERTVDAMAGE $ AUTOS Per acdtlem 8 A UMBRELLA LIAB X OCCUR 14EFXWE00088 11/0112014 11/01/2015 EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DIED I I RETENTION$ $ C WORKERS COMPENSATION WC509601300 1110112014 1110112015 X I WCSTATU- OT H- UM AND EMPLOYERS'LIABILITY B ANY PROPRIETORIPARTNEWEXECUTIVE YIN IN WD509601400 1110112014 11/012015 E.L.EACH ACCIDENT E 1,000,000 OFRCER/MEMBER EXCLUDED? ® NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below. E.L.DISEASE-POLICY LIMIT $ A Engrs&Omissions& 14PKGWE00274 111012014 111012015 LIMIT 1,000000 Contractors Pollution DEDUCTIBLE 5,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 1D1,AtldlUorul ReMfts Schedule,N more apace in required) The Certificate Holder and others as defined in the written agreement ale included as additional insured where required by written contract with respect to General Liability.This insurance is primary and non- contributory over any edsbng insurance and limited to liability arising out of he operations of the named insured and where required by written contract.Waiver of subregabon is applicable where required by written contract with respect to General Liability and Workers Compensation. CERTIFICATE HOLDER CANCELLATION Cityof 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. AUTHORIZED REPRESENTATIVE! of Marsh USA Inc. Kathleen M.Parsloe !Q[olsw, ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs tind Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 170848 Type: Supplement Card VIVINT SOLAR DEVELOPER LLC. Expiration: 1/5/2016 JAMES SHERMAN 4931 NORTH 300 WEST PROVO, LIT 84604 Update Address and return card.Mark reason for change. sCn 1 0 20M-05/11 Address Renewal ❑ Employment ❑ Lost Card t�f Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supen'isur License: CS-W254 JAWS R S1LERMxl1V 6 Fox Hollow Drive R� SAUGUS MA 019M I IF, Expiration 08 28 2016 Commissioner , r c f The Commonwealth o wealth of Massachusetts Department of IndustrialAccidents Office of Investigations 1 Congress Street,Suite 100 � � Boston, 02114-2017 �l wwtv.mamass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant information Please Print Legibly Name (Business/Organization/Individual): Vivint Solar Developer, LLC Address:3301 North Thanksgiving Way,Suite 500 City/State/Zip: Lehi, UT 84043 Phone#:801-377-9111 Are you an employer?Check the appropriate box: Type of project(required): LE I am a employer with 10 4. ❑ I am a general contractor and I employees(full and/or part-time)." have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp, insurance.[ 9. ❑ Building addition required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and have no Solar Installation employees. [No workers, 13.0 Other comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees..Below is the policy and job site information. Insurance Company Name:Zurich American Insurance Company Policy#or Self-ins. Lic.#:WC 509601y yy ulO r3I0^0 Expiration Date:111/1/2/0115 (/ Job Site Address: �S! , I rio( t'1 h City/State/Zip: " t MA 6 Ob Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Sienature: Date' IS Phone#: 801-2296459 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/Lieeose# 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#: 4911 North III West.Provo,UT W04 Em player ldemi icationa No.: 80-075 643J8 u Phone:(877) 1129 Fn (80I765-5758 M:,sachuxluHIC License No.: 1708 VIVini SDlarE-Mail:supponQvivihselsrcam Lf0gOyZ www.vivimstaar. m AR No.: A RESIDENTIAL.POWER PURCHASE AGREEMENT This RESIDENTIAL POWER PURCHASE AGRELMENT(this"A,emmM')is entered into bK and between VIVINT SOLAR DEVELOPER,LLC,a Delaware limited liability company("We',"Us","Our')and she undersigned Customer(.)("You", your'),se of the Transaction Date set lbmr below. Full Name(1vs,art Lou) /) Full Name•a (Flmr.err.rao Q/ e. ` er Cust"mer(s): eosin."..,••:ore Dna C %� u.*.•;o r.,awo �NI Telephone No.: - E-M it: QQ,r Pik(u/ CO/K�.AS •he Property Street Address: _ _ -( — Address: City,County,State,zip: 1.SERVIf.ES A. DESIGN AND INSTALLATION. We will design,install,service and maintain a who photovoltaic system on Your Propem which will include all Is,panels,inverters,meters,and other componrn[s(collectively,the"Sycmzti')),as further described m the Customer Packet and the Work Order that We cods provider"You hereafter. Al material portions of the System will be installed by Our employed technicians and decMcims,,md not subenetmdnn. Wrth Your coopermion,We will(i)desgn,msmll and connect Ne System m material compliance wiN all applicable laws;(u)complete all requred inspections;aria(iii)obtain all required ecrttf a[mns and pemlits. In order b design a System that meets Your needs,You agree that We may obtain Your elecmwl usage history from"real electric untidy(the"Uti/W")end You shall vrovtde Us with copies of Yaur Uuliry bills as We may reasorubty request. Orlter dtett the activation fee described in Seefon I.B We will design and instill die Syste cost m Yuu: B. ACTIVATION. You.fire"to pay Us a me-time activation fee in the amour[of S We will intercnnnem Ne System wiN the Utility,and cause the System.to generate mer�rrmasured in kilowatt homy(tWh"))(Ne"Erie vsm la[ion of the System generelly takes one day and rs anticipated to begne and be suhstmttally complete between two(2)and siz(6)weeks hem r. C. OWNERSHIP OF SYSTEM.We shall own the System az Our sole personal Oroperty'You will have no property intcrest iv the System. D. OPERATIONS AND MAINTENANCE. We wilt operete arid-maintaivNc System(i)a[Our.sdlecosi and exprnse;(ii)iri good condition;end(iii)in matttial compliance with all applicable laws and lnrmiu and the Uality's rryuiremrnts. _ _... _ E. INSURANCE We carry eommeicial general liability wswame,workers'corryeensanon inswence,end pmperry msurmce on the Sysiem�' For more information concemmg Our msumnre,and m obmin a eopy of Our cMtficen of inaomnce,please viaiC www.vrvm'rsolacwWinamnrtee. 2.'FEHM,PRICE.PAN NIEN'FS,AND FINANCIAL DISCLOSURES A. ENERGY PRICE. For all Energy produced by the System,You shall paa•lls S0. per kWh(the"Energy Pike'),plus.applicable taxes. The Energy Price shallimmin a each year byy two and nine-tenths pe cent(2.9/o). A g l estimate of the 5ys�em output,measured m kilowatt hours ,dl be P'`nlAEd to Yo nth,Raome Pckel THIS 4CREEM T IS FOR THE SALE OF ENERGY BY US TO YOU AND NOT FOR THE SALE Of A SI II AR ENERGY DEVICE. ICE B. FERN1 Till AI,r ement deall be epectine lootIh Imn,acii Dae uad e n i 1 111,tweelivh( (1 l nni nary, 1 tl I I S r D t (Ili, Term I The f S rOr -h ll be the Iurdv all all ot in,toll in,l hall. chi I if)the Sa nht:hninstalled and'- ppaahl nl' generating Lmrgy.((l all permn'n sryt upert th S 't mha M1 Abe. It it the S,a nh 'I+e unte e;+mued enh theLlllly 1.J( )ail Pi > rid utI a resplio,d unai,,ep,ii bi law rb, tic Utility have be,.. ripetA cod. C. PAYMENTS. li 1 ntogg ill thelint month fr llu I tg d' III S ni c U to and th uughnw the Term W ill send Y an n r II ct the• I rg l t Fn rgy pail�u eJ by Ili J) tern in theprevious rm+mM1 You hell mak' uxual y pavm tit I U. by automaticpaym ni deft [ n sr sm Four k.t':hul'h kmg yunt or s.r did cu J -It is Your re p rsibillt t nun fl ut lbcs arc J yuatc f nJ.- r- I qt m 'r J t I ran Dt rc i'n f ncin)! chart,msocmtde li this A ..emnt Ioallpaym 1:more lhnr'I itlllms p'Idtu Nk taympve a let hart yell l nryl Dollar,0,-,) J t n t..I tit ti noel mt.. .I tt p r rat 11 1 pill, ppli ehl tan 11 Y u imam I ill"u make 'y p In thin t (10)day,tit We tine Y w'nu wrw dmn We tie ,ek,all nnedi I,milhe is U,put,.;tit h i ItL. 1) Rt NF YY M Auh J I eta Isrm Y'; Ieue UI e u .. Ih thl \ tit ni)n t Y a I ) a b 1 1 t E Afire.mint 'itha Us and cancel t -.Abyr� !Ienl PII)purchase the N stem qr the net f theTerm n� n I Ili \tr s ni theI ho Of r ) ) f )c. I Ibis Ayr ram it have Ili Surelentedltin l. blh YU Yu will need it)ruffle Us I rl t n 111 r wi . sa l6n)dy p tth end I th I r t If Vint Ir. t Ili I I ,"Opt um the I c/ Op/ / II be th o r m r i+ A I d Ili Sy I tr-J t vt 'tlpnl.nt ppr Iml I ' IiI rls " Ipht ' Ira vim 'lYurbb ,1rIphn rc•m ❑ app ': r '1 iu llbp dlt 1 n w u'taW IIb b' lie, It W r Y u'PI IlhlV 1 O,u en l'' I F the asp :ai pl li. hl I ." J all th m, I,Ihvo e rig.nJl+p ill rlt 0. Flit .I rshp IIheY _i 11" lobe I Id Tnl ran A'1 WI r I' h i'. DIY u 1 u hae<Ihe S"I&I1 rent J W e.01 n o II e S MI,horn l......Pro `dun aimly 110)J s air,, I rid ni l rm I I YIRI DO NO I D.%iANO I Y US OF YOUR EIEC'1'ION IU CANCEL IIY SENDING A WRITIYY NOTICE IU (1S IIIE} THIS AGRECNkNf \111.L AUTf)Yl\YIC4LLY RENEW ON A YEAR-I'O-YEAR BASIS UNTIL Y'OU N(YI'IFY'11S IN WRITING OF Y Ul!R t:LECIIIIN IU C:\NCE,L A I LEAS 1 SIX FY(601 DAN S PRIOR'I'D 111 E END OP THE RENEWAL I F11 L You hereby authorize Us m(i)obtain Your E. CREDIT CHECK. In amnatiun coif],tic,,e tion ol,ll is Agreement and at any lime during the Term, credit rating and repnM1 from credit reporting aggencies;fit)to report lbw'payment performance under this Agreement to credit milmomg agencies;and (iii)disclose this and other information to Our alfshatm and actual or prospective lenders,fimm�ng parties,investors,insurers,and acgmrers. WE MAY HAVE PRESCREENED YOFT.CREDIT. PRESCREENING OF CREDIT DOES NOT IMPACT YOUR CREDIT SCORE. YOU CAN CHOOSE TO STOP RECEIVING"PRESCREENED"OFFERS OF CREDIT FROM US NOTICE(SECTIONND OTHER 0MPANIES 29)BELOW FOR MORE INFORMATIONY CALLING TOLL-FREE (ABOUT 567-8688. SEE PRESCREEN &OPT-OUT UT RESCREENED OFFERS. 7.LIMITED WARRANTY A.I LIMITED INS FALLATION WARRANTY. We rovide a workmanship warrant that the System shall be Bee from material defects in design and workmanship meter normal operating conditions for the Term. We further warrant that al rooftop pd'etrelions We install shalt be woman fill as ofthe date of: installation.We do not provide any warranty to You with respect to any component of the Syystem. Any manutacloon's warranty is m addition to,not m lieu of,this limited installation warranty. ,This warranty does notcover problems resulting trom exposure to homtful mususu ds and Jtemials,fire,flood, a u y tzr rz niher ae Ia,d' n tr r .authorized by Us,m any other cause beyond_Our control. B YL\NIL C\CI I11iF ItS N\ItH\N 1I/N I1 } :I - r ul I:carry a minimum tmnufac[unn s warmnty of overfly:(20)years as follows: u dump the(it,,un 11 n1 ry dose,the t Ile. Our u l Ip l vtil co ricipade by more than ten iMcam (10a/)tiomthe on teal(( rated out ur,and (( goon yc on m most Olt Juan the lint uvciit}'(yb :...? of use.the.nail, rcr', i imtpnl will not degrade in more than twenty Imam(20%)h th g y Olt m1. 'Ithc Sy>mm's n+nncrx,an))'11 miniuuun m:mufacmmr',evaminty of ten(10)years against defmts or component brcakJowre. During the Term,We wile ISC Ibex IFIt OF Vthe RAN N'. pu CEP C. DOR ANN P:R OF WV RSON. W EIIIEPT rXPEF-S TOKEN IN THIS SECTION 3,. A MAKE Till:NO IERCH \4b\RRAN1-Y OR YOU SS ANY O'fl'1P I'B SEOf \I III:'LQU NIEN]iSS, IMPLLA ON SLESION tP A TU : MAKIlAN'I'ABIL F ITE SYSTI S FOR ANY PURPOSE Of II II: LIVFRN F INSTALL:\OR A DESIGN, OPI:IRITION. (1R MERVICE t)RE OF 'THE SYSTEM. THE [A.01:CWHIC OR DELIV FRY OF ENERGY.DISC OR ANY UTHI'.R AS[_TFV\7OR SERVICE OR OF ANY FILARRA DER, ALL- IT WHICH WE HEREBY EXII ENISOR DI UR PR . OUR IO ['HE P(sR ANY BREACH OF ANY AG RI WARRANTY IFN IS LIMITED TO REPAIRING TIII'. :ARU h1 LY YOUR PROP PR( TO l'HE IS A CO REQUIRED UNDER FIAL A(.RE;EMEN'I'. 1'OlJ AL'K N(1\\'LIiUCiE TFIA i'N9'AIRS IRYLYING ON l'l1IS SE("PION�C e, A CONDITION ION AND MATERIAL INDUCEMENT TO EN'I'FR INTO THIS AGREEMENT. 'rDrRE ARE NO WARIRANTIF WIIICH 11X'1'END BEYOND TIIE DESCRIPTION OF THE FACE HEREOF. A.REMOVAL OF THE SYSTEM You shall not make any Altttations(as defined in Sec[i n 9 c to Ne System. If You went to make repairs or ionyrovedrenn[o Your Property that requivenoc ral (e the tempnmry removal of the Syystem or that c"uldmttt arc con tlaperFumtmce ur operation;Yuu must g ve Us at least thirty lJO)days'prior the Sy notice"CuammervRequnled,SfrYW"Wn'). Yw agree tbet an repair"r Improvement ro Your Property shall trot materially altar Your roof where the System i installed. Aa cornppeennsehon for Our removal,store a and icinstallahon of We gyysslem,You agree to y to Us a fee equal to Fora Nmdred and Ninety-Nine IMBmf((5499))before We remove the System. You shall be required to pay the Shuuiown Payment as defined m S n IS tithe System is not reinstalled wiNin tfiirty(JB)days of removal. In the even[of m emergwcy affecgng the System,You shed concoct Us tram lam y. If We ere unable to timely Ilia emcigency�Yoa shall be responsible)for any damage to Nes Systemgthait Tres b fromsaalinn�takrn bytYoui corm�tonfcessary m make repairs required by 5.ARBITRATION OF DISPUTES Most customer concerns can be resolved quickly and amicably by rolling Our customer .,nice Aepannsenl m (N77)JIIJ-4129. II'Our customer service department is unable to resolve Your concern,You and We ogre,w resole<an} Uispule Las Alined heluwl )ill h it but arbitretion or small claims wort instead"f coons of generalurisdicrion. BY'SIGNING BELOW.YUU ACKNO\V LEDGE AN AURF,E TFIAT Sq YOU ARE HEREBY WAIVING THE RIGHT T�ATRIAL TI OR CLASS L AS QU YOU A7A1' BRING CLAIMS AG LAST'US ONLY N YOUR INDIVIDUAL CAPACITY,AND NOT AS ar PLAINTIFF OR CLASS MEMBER v ANY 1>Un, lot o D CLASS OR o REPRESENTATIVE PROCEEDING. You and We agree to arbitrate all disputes,claims act contrtn'ersics arising our ul'or relating to i .\., � , 1 J 1� , ♦I Pit 11 i i. I, I IIAII 1 VIrl 11 ,A AI"11 I21N ' ;' 1 � 1 I p' 61 l i, F i1 SI,1611I Ijl A , .0 11,rwa nl xlxl(ai r1anY D,npuiv nl, ,i, �rc ne. ,10{II 1lLL„ N Irn Y9.19(I v( RI I-A (\il OI'1-01 1 W 111 1_ 1,11v I I 1 I I, . I.. I n i' . i I, �. I I•I<li1iF\I 11 roll 1,1-�I'\.11 r oq } I"I,p,L,, THAT YO(I M[LF(V RI AIN CRITERIA FHIS•OIKR IS NOT 1` ' -•1 ,, (CUARANIEED IF YOU DO NOT MEET OUR CRITERIA. IF YOU DO NOT WAN F 16 RECEIVE PRESCREENED OFFERS I C I. OF('RFDI'F FROM US AND OMER COMPANIES.CALL THE CONSUMER RFPORTINO M,ENCIES TOLL.FRF,F., (888) 567. .. !,,.i _ ..1 8688;ORWRIIE: EXPERLAN OPT OUF,P.O.BOX 919 ALLEN, I 'I ti v $11 TX 7501 a. 1RAN.SUNION NAME; REMOVAL OPTION. EO, Aw,A rn 4'-PI BOX 507 WOODLYN. PA 19094; F.ppUIFAX OPTIONS. P.O. !u. ,u1 vInuvI"v",onl a` -. BOX 740127 ATLANTA,GA 3(1374-0123. 1 it tea'uspcel of the rcl Owalhip hetween YOU and Us,whether based in contract,Ian,sunalc or an other le say that Ugrecment can 'rr the suh,'cct matter hereof, (ii:l any hrenCh, default or trmiinatinn flthuoA�eemengAand�(iv)tds NmRrpretalion,validity,ore nlilraabdily of this Agrrcemen;,incluJine the drterminatmll 011he scope Or applicability pthis Section S(each,a oiiPure'). Prior m Commencing nrl)itruhun,n oprty In1151 GpI dlmd a N'rlllc'n'iVUnrr OI DISIJWP i V r CCrUhed lita:l rin. other an Notice of Dispute must describe the nature and basis lilt the UI ute and the relief wughl. II You and We are unable to resolve tppphr Dyyy The Uwlthm ine(f 130l days, ehcn either pan)) may cOn, il" at ratio,,. The rhivaunn shall M: administered by LAMS pursuant Iu ns n e r the r,s demon Itolcs and Procedures lenrriluh/u nc happ:/Avww.amsaJccom/rules-,all Lac administered .the"JAMS pu Rules I)and under for rules.act Ibnlr m dlis Agreement Tlm arhit r shall he hnanJ'hy the Icons of this Agreement. No matter the circumstances,the arbitrator shall not award pomtoc,special,cscnlplury, in J irm.or consequential damage, m rather shall he responsible to pay 57511. All at c', lees,mo•cl cspenses.and other costs of the:vbivation shall be b,mc by rbi and Us in b piny. II'You urrt,4 arbitration,You orJanaa w'idl the JAATS Rnlcs It appl le.l law. The arbitration shall be conducted at U muru:dl)'agmcahlc location near Your Property. from see l on an arbitration award may be emend in xnv coon ul'cumppetenl jurisdiction. Nothing in this Section 5 shall preclude 1'Ou or We Uum seeking Provisional rmalics in aid far bnr,tion Gnnl a Court ofnlmpemm junsdR4lon.NOTICE:B}'INITIALING I\"ff1E tiPACF;pFLON'1'OIl ARE A(:NEN:ING TO H:\\'F::\N1'DISPUTE ARISING UUT OF"flit: M1I:\ITERS INCLUDED IN'I'l1E'•,\RBI'IRA77UN OF DISPUTES"PROVISION DF;CIUED R1'NEU'IRAI-ARBI'fRAT1ON AS 1'ROVIUI:D Rl' APPLICABLE L:UY ,\NU 1'UU .\KE GI\'INf. Up :\.V'1' RICIITS YOU :111GH'I" POSSESS '1'U LAVE "IHE UISI'll'1'E 1.1'I'I(L\'rF;U hN A C'(IUK'1'OI2 JLIR1' TKI:\L. I{1' IN'I'1'I:\LING LV THE SP,\C'E NELO\V }'OU ARE GIVING UP Vl1UR JUUICIA I. NICH'I'S "1'0 DISC(/VF R\' AiVD AI'1'liA 1... IF 1'OL' REFUSF; 'I'O S1113NI1"I"rU.\KRITR.\')ION AFTER :1CNF:F:ING TO THIS YItOVIS1U:N. 1'OU M1L\1' BE CO,q PEI,LF;D TO ARBITIL\'1'h:. 1'Ul/R AC NEEDIEMI' TO THIS A KRI7 R:Al"IU\'PNO\`ISIUN'IS V(/1..1 hV'I':\N1C YOU IIAVIC 1(F.,\11:\ND L':V UERS"G\ND'I'l1E FONEGOINC.,\NU e1GREE TO SUIiNl1"1'11151'UTFLV ARISI\'(:OUT OF TIIF. M11:1"1'"I'ERS INCLIIDF:D L\'TILE^;A I2p1'I'RA'fION OF DISPIiTN.S"PROVISION TO I\'EDTRAL ARRITN,\I'Ifl:\'. I/WE AGREE TO ARBITRATION AND WIU\'E TIIE RICII'f'r0:\JURY TRIAI.o \„.: ""na me:h ii 6.NOTICE T(1 CUS'I'OYIFRS I OF the CUSUOV1"S TO NE INCUNI'OIL\TEU 1\"f0"1'll1C CON I'RAC'T lit Ihia Agrcrmmat(n)the Add itiuonal Toms and ('1 th,Lions,liiil the C"uunmcr Pocket and li,)the Wurk ONCr. These Aocumcllts are expressly inanpmnrad into this Aerernu'nt:uW apply nl the relationship bell,,',Yon::nJ Us. B. LI'IS NOT LEGAL.FOR US 7'O E:N'I'ER YOUR PR MI UNLAWFULLY OR COMMIT ANY BREACH OF THE PEACE TO RE ) 'E GOODS I:NS'r:\LLED UNDER THISACREEMEN'T. C. DO NO'F SIGN TII IS AGREENIENT BEFORE YOU HAVE READ ALL OF ITS PAGES. You acknowledge that You have read ;mil y docu d a lehan "'ly ul'1 11 Ameemem,that We hale signed do Agreement,and that You have read and received a legible copy of 'eery do NOT than We have s:enrd Burin the„ginimiun, U. DU NOT SIC]"I'iDS ACREE:41t;V'I' Ip THIS AGREE\LENT CONTAINS ANY BLANK SPACES. You are entitletl to a h cnngdetely Piped to copy of this,Agreement.signed be bath}'na;and Us,before any work may be atert)e)d I; TRU)BUSIV'ESS UA1'AF'TF,IN TI EAI RANSACPION)�j'[Ipg(j1�j THE START OF NSTALLAIT ON)OF THE YSHE THIRD THE NOTICF OF C,\,VC'F:LL.ITION pELUW FOR AN f:X1'i„\N'A ON OFTNIS RIGNT. VIVINT SOLAR DEVELOP By: CUSTOMER(S): Printed Name: Printed Name: O �' Title: S A — Printed Name: _ M A R le L E1 E R FOR INFORMATION ABOUT CONTRACTOR REGISTRATronsaactioTION REnn Daw NT /CONTACT T OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATION:TEN PARK PIMA MASSIFF SACHUgE•TTS (617)973-8700 OR 888-283-3757. PLAZA,SUITE 5170,BOSTON,MA 02116, NOTICE OF CANCELLATION Transaction Data 1OIY31A1'(.ANCEI_THIS TR\N:SA("1'10\;\VITH(I(17 A\y1 FIN kul. AR No: DNS OF '['HE AROVE DATE, OR I IF E\TP,R OI2 Qyl.IC AI'IUN.WFI D INTIDICE(3)RUSINESS CANCEL.ANYBLE IhNS'I :R'1\' I N,AUEU IN.ANV 1'.nl'M1/ENIT.S,\LADE Bl'1'011 L'NOF DF:lt"IIIEICOONTR:\C"1 0Svsi6f.� IF 1(S AI.E,ANI)ANV NECIII'L\BL.1? I:V S'IRlibI E:Y'F ENECUrED Hj YOU WILT. BE RETURNED WI'I'IILN TEN (1111 BIi51NEN3 DAYS ARISING OG OFCF.II'T Rl' TILL SELLER OF POUR CANCHLI.Ar1ON' NOTICE, 4;N'U A:VI' SECURITY IN"I'I';RF.S'P THE SEE DUI'OI"OU "fKAt\'SAC'r10\ 11'll.l.BE CANCELLED. IF y0(i CAVC'ka,.1'AN \IUS'I'MAKE ITY INTEREST EST TDELAHE SF RED ro YOU 12ESIUF.NCE.I,N'SUBSIAN'rIAL1.Y'AS GOOD CONDITION AS WREN RF.CF. E At ANY GOODS IN'SFR CTI TO I TH DN'DER TIIIS CONI"RACI' OR SALE, OR YOU M1LU'. IF 1S W'N R CUhi I'LY NY G THE LN'S'rRI1 C'TI TO OINSO F'I'I It:SI?LEER KEGAI2DING'I'l1E RF:TIiRN SIIIPMEN''f OF TIIE NOU5n'1'771 ESELLER'SILD THE \NU KISK. IF'}'(Ili DO M1IAKF'I'l1E f.000S:\l',\IL,\RI,E TO"1'l1E SELLEK:1 ND l'lIF SELLEK U(IES NO"1' EXPE1 LIP \\'1'1'IIIN T\\'F.N'I'1'120)U:\1:S UF'"1'l1E D:1"1'Ii OF YOUR NOTICE OF CA N('t:L.LA'f1O'N, Y(IU AI:\1' ItEI AILS'OR UISI'OSF, iOF'PDC GOO US 11'1'1'IiOU'r,W l"FUK"1'H ISR Up1.IGA7lON. IP YOIY F:AIL.TU M1IAKt:THE GOODS:\\':\ILABLE TO TIIE t 1.Eli,UR IF YOU AGRF;E TO KETUN.\' 'I'lIE(IOfIDS TO THt:SELLI!K :AND ISAII.TO DO SO.THEN 1'OU REMAIN' at AIH.E ICI IK 1'1Y,R t Sl N'L'E UF'ALL OI{I_IG:\TIONS 11VDF,K THE CON'fH:\CT. 'rU('A:\'('F I, "TNIS'IRAN SACTION, :ALA IL OR R-1 N1)A:\ SIGNED \N'U Ih\"fED COI'1' OF'I'II IS C':\:VC'ELL,\TION ..\O'1lCt: (IR ANT UTIIEN 1V'RITTFIN 9N'O'IICE.OR Ol N'U ) '111)1 CKA,\I.TO YIA'INT SUL:�'Z DE\'ELUI'Ii R,I.LC.:\'f JY]I .\'JINI 1\',I'ItU\'O,LIT N.I(i11J PRIOR TO T4R}�(IrINS1',A LI'A I'IONIOI I'I"tILS15"1 P:61.11 HF;R EB)'IC'ANCEI.71115 TR:\NSACTIUN\:\SA("rION U.\TF..OR NO THE Date: Customer's Signature: L. a rp rt.l)' r r It !\V\I\Irl lvl \I11 tn.n.:.r.. irnd:. •. L I r r a i M1I : r ^ ei r . • . r. � \ lnuLr. .I. I I \y mq oi lit \ It1 . \I:I l/ II..I I 1 1 nli Ili t n I n.111N I I tlll lfl I ntlp I 11. 1 I, . � r. . I fib•n- . i 1 I111111\1111�\III II1f II lI1 �\,�� 1 1A 11 a vIlit +IV It IIIv V1 II IIIII I It `v J AU `vI> un I:II 111AI. All-vim tf II I I I l 11't 11 v. 'd Av r A '•11 Itt ') I A11r v Id{'1Av I ' 1vII U uL Vtlul Irll ltll A f1\.r� II 111 - ",1 I'AL 11 -� 1111UI1 AIEIvIA:r ) dl\ \r'KI I \I \II\l l I\ \n h\ tr:r• r r 1 v ul A`.If UL :At.Rll I'II AC 11y v vy rtV I`' vhV III'1el vIvI v{Inn IA IIII I)AAIAIIIv I 1 I' 1' IlAI Alu III+ \V IAIF I II IA2121h lllttA�I It AP1 1 A❑ It1 tIIr.AI PIIAIII t ♦r ♦ t I \I4 \II\II W \I\!II I I i 1 v :! mu n Y O solar 3301 North Thanksgiving Way,Suite 500 Structural Group Lehi,UT84043 P: (801)234-7050 Scott E. Wyssling, PE Head of Structural Engineering scott.wyssling@vivintsoler.com January 2, 2015 Mr. Dan Rock, Project Manager Vivint Solar 24 Normac Road Woburn MA 01801 Re: Structural Engineering Services Leger Residence 64 Marlborough Road, Salem MA S-4096842 4.59 kW System 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 Vivint Solar representative identifying specific site information including size and spacing of rafters 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. 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 2 x 8 dimensional lumber at 16" on center with 1 x 10 collar ties every 48". The attic space is unfinished and photos indicate that there was free access to visually inspect the size and condition of the roof rafters. All wood material utilized for the roof system is assumed to be Spruce-Pine-Fir #2 or better with standard construction components. Our review of the photos of the exterior roof does not indicate any signs of settlement or misalignment caused by overstressed underlying members. Stability Evaluation: A. Wind Uplift Loading , 1. Refer to attached Ecolibrium Solar calculations sheet for ASCE/SE17-10 Minimum Design Loads for Buildings and other Structures, wind speed of 100 mph based on Exposure Category "B" and 23 degree roof slopes on the dwelling areas. Ground snow load is 40 PSF for Exposure"B",Zone 2 per(ASCE/SE17-10). 2. Total area subject to wind uplift is calculated for the Interior, Edge and Corner Zones of the dwelling. dieint. solar i i I Page 2 of 2 B. Loading Criteria • 10 PSF= Dead Load roofing/framing 40 PSF=Live Load(ground snow load) • 5 PSF= Dead Load solar panels/mounting hardware Total Dead Load=15 PSF The above values are within acceptable limits of recognized industry standards for similar structures. Analysis performed of the existing roof structure utilizing the above loading criteria indicates that the existing rafters 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 (ecolibriumsolar.com). If during solar panel installation, the roof framing members appear unstable, deteriorated, structurally compromised or deflect non-uniformly, our office should be notified before proceeding with the installation. 2. Maximum allowable pullout per lag screw is 235 Ibs/inch of penetration as identified in the National Design Standards (NDS) of timber construction specifications for Hem-Fir (North Lumber) assumed. Based on our evaluation, the pullout value, utilizing a penetration depth of 2 1/2", is less than what is allowable per connection and therefore is adequate. Based on the variable factors for the existing roof framing and installation tolerances, using a thread depth of 2 1/2" with a minimum size of 5/16" lag screw per attachment point for panel anchor mounts should be adequate with a sufficient factor of safety. 3. Considering the roof slopes, the size, spacing, condition of roof, the panel supports shall be placed at and attached to no greater than every fourth roof rafter as panels are installed perpendicular across rafters and no greater than the panel length when installed parallel to the rafters (portrait). No panel supports spacing shall be greater than four(4) rafter spaces or 64"o/c, whichever is less. 4. Panel supports connections shall be staggered to distribute load to adjacent rafters. Based on the above evaluation, it is the opinion of this office that with appropriate panel anchors being utilized the roof system will adequately support the additional loading imposed by the solar panels. This evaluation is based on information supplied to us at the time of this report and current industry standards and practices. Should you have any questions regarding the above or if you require further information do not hesitate to contact me. Ve truly yours, OF r IE C2,� V H CIVI Scott E. Wyssl' PE ° 50 MA License N . 50 9CFFSSIOIST NAIP� eivint. solar I I I N U II V INTERCONNECTION POINT, I m LOCKABLE DISCONNECT SWITCH, ��mw ANSI METER LOCATION, (n mo m 8 UTILITY METER LOCATION 2<i JUNCTION BOX ATTACHED TO —- I ARRAY USING ECO HARDWARE TO L (n O KEEP JUNCTION BO%OFF ROOF a) ZF_1 J j PV SYSTEM SIZE: I 4.59 kW DC (U I 0 (J� � N •o 85'OF I'PVC CONDUR FROM JUNCTION BOX TO ELEC PANEL I I I I om _ 2 > O 2 K � W . I I w w z m � W Z (18)Tnna Solar TSM-255 PA05.18 MODULES WITH A JW o Enohase M215 0-2LL-S2x-ZC MICRO-INVERTER SHEET MOUNTED ON THE BACK OF EACH MODULE I NAME: W Z 64 Marlborough Rd , Salem MA 01970 SHEET — —_ --_ ___ ___ -- - ----J NUMBER: PV SYSTEM SITE PLAN 4 SCALE: 3/32"= 1'-0" d 1 i A.l 0J 80 yi0 .-M ?0 a0 um oz m0 5: m .0 h 00 Op c0 c m7 a 0 0 m 4 N b 0 0 00 Op C(1 Cn TC Npti N T ElD � r � m = w � z m °= m 0 o. A 9 O O 0 TI m r D Z c 2 D i INSTALLER:VIVINT SOLAR ;m ��^ INS TALLER NUMBER:1.8774044129 War Leger Residence m M ROOF m m any, a[y, {/1,�} {/''� 64 Marlborough Rd PV 2.0 MA LICENSE:MAHIC 1]0848 �/ �/ a Y `✓ Salem MA 01970 p PLAN DRAWNBY:RBR AR4096842 Last Modified:12/512014 UTILITY ACCOUNT NUMBER:38217-80002 CLAMP MOUNTING SEALING v -= PV3.0 DETAIL WASHER c: a�a LOWER SUPPORT 'o a ILzEz PV MODULES, TYP. MOUNT ` ` �gyo OF COMP SHINGLE ROOF, FLASHING a PARALLEL TO ROOF PLANE / 2 1/2" MIN J 5 5116"0 x 4 1/2"MINIMUM S L-- PV ARRAY TYP. ELEVATION STEEL LAG SCREWS NOT TO SCALE TORQUE=1312 ft-Ibs �^-\ CLAMP ATTACHMENT l(f) NOT TO SCALE �e a CLAMP+ ATTACHMENT CANTELEVER L/4 OR LESS c:3 COUPLING -- L=PERMITTED CLAMP ECO SPACING SEE CODE COMPLIANT COMPATIBLE LETTER FOR MAX ALLOWABLE MODULE CLAMP SPACING. _ $ mom PERMITTED COUPLINGCLAMP+ CLAMP 5 m a e ATTACHMENT SP AC N G CLAMP ATTAC z w x COUPLING PHOTOVOLTAIC MODULE E m z w .. p N J m w W Z 3 a SHEET NAME: L-PORTRAIT F q7 CLAMP SPACING Z Q Z F O ECO LU L=LANDSCAPE MODULEIBLE PV SYSTEM MOUNTING DETAIL SHEET : CLAMP SPACING NUMBER MODULES IN PORTRAIT/LANDSCAPE NOT TO SCALE M NOT TO SCALE a Inverter Ralings(Guide Section 4) O Conduit and Conductor Schedule Iapprer Make/MWeI Enpnece M2150­2LL52x-ZC us mernpom ox.Gauge sot Condi Canduuiyw Collis¢, MODULE DETAIL Mar DC Vol Ra, 45 Voila EnPndaeerpaax.xah.MYN] Is. -I WA-Fm Nr Mar-IACV00°L 215 Walls fiAWG 1 NrA-Frw Am WA-Fmglr O NOmineIAC VOIIaOa 240 V.I. a'n Lwpr C'°und IEGGGEG) A\ O Trine Solar TSW255 PA05 A 8 Max Ac Current a Amps In. a we 0'-r VL) R SOLAR MODULE Max OCPD Rating 20 Amps G aAwG wC Mi. � Max NYmper of Pally irW it 17 y nalri SA. a PJC 0-1. A\ rewNa Gwnd aA. I wC m e'-1. -0 m�NOTES FOR INVERTER CIRCURS(Guide Election 8 and 9): a c W Om 1.)IF UTILITY REQUIRES A VISIBLE-BREAK SWITCH,DOES THIS PV Module Ratings@ STC(Guitle Section 5) ANA�o Empress M21560-2LLS2x-ZC SWITCH MEET THE REQUIREMENTS? W a E 2 MICRO-INVERTER AT YES NO XNA Model MakalModel Trina$olar TSW255 PA05A a d~ EACH MODULE,ATTACHED Max Power-Point current(imp) Sae Amps _Z 2)IF GENERATION METER REQUIRED,DOES THIS METER Max Power-Point Vollage(Vmp) 30.5 VaILs L m0 WITH ECO HARDWARE SOCKET MEET THE REQUIREMENTS? O mQrcWrVoha e $m p 9 Noc) 37] AMP 0 YES NO XNA BhodL Amp ircuil Current(Jac) 8.92 s 0) < 3.)SIZE PHOTOVOLTAIC POWER SOURCE(OC)CONDUCTORS Max Series Fuse(OCPD) 15 Amps W BASED ON MAX CURRENT ON NEC 690,53 SIGN OR OOPO Nominal Maximum Powerat STC(Pmax) 1 255 Walls J MICROINVERTER CONNECTION RATING AT DISCONNECT. Maximum System Voltage nMIXECVe00(UL) j TO ENGAGE TRU N K CABLE 4.)SIZE INVERTER OUTPUT(Act CONDUCTORS ACCORDING V.Temperature Ceeiscient -0.32 %PC TO INVERTER OCPO AMPERE RATING(Be.Guide Section 9), V 5.)TOTALOF 2 INVERTER OCPD(s).ONE FOR EACH NOTES FOR ARRAY CIRCUIT WIRING IGulde Section a and 8 and Appendix DI, ---- PV CIRCUIT.DOES TOTAL SUPPLY BREAKERS COMPLY WITH 120%BUSBAR EXCEPTION IN 1 f Lowest expected ambient temperature based on ASHRAE minimum mean extreme NEC 69064(B)(2)(a)? XYES NO dry bulb temperature for ASHRAE location most similar to installation location: -19-C �V INS BARE CU GROUND (GROUNDING ARRAY) Signs(See Guide Section 7) 2,)Highest continuous ambient temperature based on ASHRAE highest month 2%dry bulb • .. temperature for ASHRAE location most similar to Installation location: 39°C Sign for inverter OCPD and AC Disconnect 3.)2005 ASHRAE fundamentals 2%design temperatures do not exceed 47-C in the United States(Palm Springs,CA is 44.1°C).For less than 9 currenturrNng conduclore v, Solar PV System AC Point of Connection oof-mmunted sunlit conduit at least o5-above roof and using me outdoor design AO 0WPut Current 16.200000 Am pc in of 47-C or less(all of United States). Nomeet AC Voltage 240 W a.)12 AWG,90-C conductors am generally acceptable for modules with Isc of 7.68 Amps •\� v or less when protected by a 12-Amp or smaller fuse. ry THIS PANEL FED BY MULTIPLE SOURCES b.)10 AWG,90-C conductors are generally acceptable for modules with Isc of 9.6 Amps 'o (UTILITY MD SOIAR) or less when prof.dedD a15-Am or smeller fuse. �0 NOTE:NEUTRAL CONDUCTOR(S)OMITTED FOR CLARITY a ALL INVERTER OUTPUT CIRCUITS WILL HAVE A NEUTRAL CONDUCTOR �G ce xir PV CIRCUIT 1: 9 MODULES/PARALLEL ENVOY BOX 'rpa m 5 a. It, Y TEJ.O > M E mMURRAv POINT OF DELIVERY �' of y COMBINER AND INTERCONNECTION z m \yO�OEL 125N240V SIEMENS < a� \G GLWO04NR 6ON240V 1- -- P in O���yO� EQUIVALENT UNFUSED NEMA3 3 3PV CIRCUIT 2: 9 MODULES/PARALLEL � 5 SREC/ANSI LNF222ROR SHEET O\in F METER EQUIVALENT NAME: q\$ EXISTING sp 290 240V/20OA LL qa LOAD-CENTER J Q i5A � J` • • • J` f \ th- SHEET IT__ ____ ____ ______ _ NUMBER' ___ _______ JUNCTION BOX \\ MILBANK VISIBLE/LOCKABLE 1 p WITH IRREVERSIBLE 2 \\\ 3 EQUIVALENT 3 'KNIFIE A/C 3 DISCONNECT NEC 2014 CDmpliadl GROUND SPLICE E 1.0 E 1.0 U5934-XL-BLG E 1.0 E 1.0 LU Cn O X D ; 0 n o m m U) N y 0 0 0 b L Z N (/ z x 1 x z > O m p m Z N A I ' k- A z o Co mI �o mA zC Ce C T N mm �y 00 Cz mm N, y0 f NZ N— CC ZC 03 C A N zN 2m INSTALLER:VIVINTSOLAR J� I Leger Residence 3 m DESIGN M m INSTALLER NUMBER:1 871404.4129 ��"��,f 1� ` PV 4.0 m LOGIC m MA LICENSE:MAHIC 170848 v u� wf l Sale., A 0190a DRAWN BY:RBR AR 4098842 Last MatliBetl:12J52014 UTILITY ACCOUNT NUMBER:38217-80002 Vivint Solar - PV Solar Rooftop System Permit Submittal 1. Project Information Project Name: Roger Leger Project Address: 64 Marlborough Rd,Salem MA A.System Description: The array consists of a 4.59 kW DC roof-mounted Photovoltaic power system operating in parallel with the utility grid.There are(18) 255-watt modules and(18)215-watt micro-inverters,mounted on the back of each PV module.The array includes(2) PV circuit(s).The array is mounted to the roof using the engineered racking solution from Ecofibrium Solar. B.Site Design Temperature: (From Boston Logan INT'L ARPT weather station) Average low temperature: -21.1 °C (-5.98°F) Average high temperature: 38.4°C (101.12°F) C. Minimum Design Loads: Ground Snow Load: 40 psf (State Board BR&S) Design Wind Speed: 100 mph (State Board BR&S) 2. Structural Review of PV Array Mounting System: A.System Description: 1.Roof type: EcoX Comp.Shingle 2.Method and type of weatherproofing roof penetrations: Flashing B.Mounting System Information: 1.Mounting system is an engineered product designed to mount PV modules 2.For manufactured mounting systems,following information applies: a.Mounting System Manufacturer: Ecollbrlum Solar b.Product Name: Ecorall c.Total Weight of PV Modules and mounting hardware: 846 Ibs d.Total number of attachment points: 69 e.Weight per attachment point: 12.26 Ibs E.Maximum spacing between attachment points: *See attached engineering talcs g.Total surface area of PV array: 316.98 square feet h.Array pounds per square foot: 2.66 Ibs/square foot i.Distributed weight of PV array on roof sections: -Roof section 1: (18)modules,(69)attachments 12.26 pounds vivint. solar :; oil 3. Electrical Components: A. Module (UL 1703 Listed) Qty Trina TSiM 255-PA05.18 18 modules Module Specs Pmax-nominal maximum power at STC - 255 watts Vmp-rated voltage at maximum power - 30.5 volts Voc-rated open-circuit voltage - 37.7 volts Imp-rated current at maximum power - 8.36 amps Ise-rate short circuit current - 8.92 amps B. Inverter (UL 1741 listed) Qty Enphase M215-60-2IJ..S22 18 inverters Inverter Specs 1. Input Data (DC in) Recommended input power(DC) - 260 watts Max.input DC Voltage - 45 volts Peak power tracking voltage - 22V-36V Min./Max. start voltage - 22V/45V Max.DC short circuit current - 15 amps Max.input current - 10.5 amps 2. Output Data (AC Out) Max.output power - 215 watts Nominal output current - 0.9 amps Nominal voltage - 240 volts Max.units per PV circuit - 17 micro-inverters Max.OCPD rating - 20 amp circuit breaker C.System Configuration Number of PV circuits 2 - PV circuit 1 - 9 modules/inverters (15)amp breaker PV circuit 2 - 9 modules/inverters (15)amp breaker 2011 NEC Article 705.60(B) vivint. solar D. Electrical Calculations 1.PV Circuit current PV circuit nominal current 8.1 amps Continuous current adjustment factor 125% 2011 NEC Article 705.60(B) PV circuit continuous current rating 10.125 amps 2.Overcurrent protection device rating PV circuit continuous current rating 10.125 amps Next standard size fuse/breaker to protect conductors 15 amp breaker Use 15 amo AC rated fuse or breaker 3.Conductor conditions of use adjustment(conductor ampacity derate) a.Temperature adder Average high temperature 38.4°C (101.12°F) Conduit is installed 1"above the roof surface Add 22°C to ambient 2011 NEC Article 705.60(B) Adjusted maximum ambient temperature 60.4°C (140.72°F) b.PV Circuit current adjustment for new ambient temperature Derate factor for 60.4°C (140J2°F) 71% 2011 NEC Ardde 705.6003) Adjusted PV circuit continuous current 14.2 amps c.PV Circuit current adjustment for conduit fill Number of current-carrying conductors 6 conductors Conduit fill derate factor 80% 2011 NEC Arude 705.60(B) Final Adjusted PV circuit continuous current 11.4 amps Total derated ampacity for PV circuit 11.4 amps Conductors (tag2 on Mine)must be rated for a minimum of 11.4 amps THWN-2(90°C) #16AWG conductor is rated for 18 amps (Use#16AWG or larger) 2011 NEC Article 705.60(B) 4.Voltage drop(keep below 3%total) - 21=ns, 1.Voltage drop across longest PV circuit micro-inverters (from modules to j-box) 2.Voltage drop across AC conductors(from j-box to point of interconnection) 1.Mirco-inverter voltage drop: 0.24% The largest number of micro-inverters in a row in the entire array is 9 inCircuit 1.According to manufacturer's specifications this equals a voltage drop of 0.24%. 2.AC conductor voltage drop: =I x R x D (-240 x 100 to convert to percent) _ (Nominal current of largest circuit)x(Resistance of#16AWG copper)x(Total wire run) _ (Circuit 1 nominal current is 8.1 amps)x(0.0050862)x(170) -(240 volts)x(100) 2.91% Total system voltage drop: 3.15% vivint. sciar � i. EcolibriumSolar Customer Info Name: Email: Phone: Project Info Identifier: 19490 Street Address Line 1: 64 Marlborough Rd Street Address Line 2: City: Salem State: MA Zip: 01970 Country: United States System Info Module Manufacturer: Trina Solar Module Model: TSM-255 R405.18 Module Quantity: 18 Array Size (DC watts):4.59 Mounting System Manufacturer: Ecolibrium Solar Mounting System Product: EcoX Inverter Manufacturer: Enphase Energy Inverter Model: M215 Project Design Variables Module Weight: 44.8lbs Module Length: 65.5 in Module Width: 39.625 in Basic Wind Speed: 106.0 mph Ground Snow Load: 50.0 psf Seismic: 0.0 Exposure Category: B Importance Factor: II 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 EcoX Design Load - Downward:493 Ibf EcoX Design Load - Upward: 568 Ibf EcoX Design Load -Downslope: 353 Ibf EcoX Design Load-Lateral: 233 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 7-05): 1 Roof Shape: Gable Edge and Corner Dimension: 3.0 ft Roof Type: Composition Shingle Stagger Attachments: No Average Roof Height: 25.0 ft Include Snow Guards: No Least Horizontal Dimension: 25.0 ft Roof Slope: 25.0 deg Truss Spacing: 16.0 in Snow Load Calculations Description Interior Edge Corner Unit Flat Roof Snow Load 42.0 42.0 42.0 psf Slope Factor 0.82 0.82 0.82 Roof Snow Load 34.4 34.4 34.4 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 1.0 1.0 1.0 Design Wind Pressure Uplift -19.4 -31.9 -47.9 psf Design Wind Pressure Downforce 16.0 16.0 16.0 psf ASD Load Combinations Description Interior Edge Corner Unit Dead Load 2.5 2.5 2.5 psf Snow Load 34.4 34.4 34.4 psf Downslope: Load Combination 3 14.2 14.2 14.2 psf Down: Load Combination 3 30.5 30.5 30.5 psf Down: Load Combination 5 18.3 18.3 18.3 psf Down: Load Combination 6a 35.5 35.5 35.5 psf Up: Load Combination 7 -18.0 -30.5 -46.5 psf Down Max 35.5 35.5 35.5 psf Spacing Results(Landscape) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 50.5 50.5 44.3 in Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 48.0 48.0 32.0 in Max Cantilever from Attachment to Perimeter of PV Array 16.8 16.8 14.8 in Spacing Results(Portrait) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 30.6 30.6 26.8 in Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 16.0 16.0 16.0 in Max Cantilever from Attachment to Perimeter of PV Array 10.2 10.2 8.9 in EcolibriumSolar Layout Skirt o Coupling O Clamp Warning: PV Modules may need to be shifted with respect to roof trusses to comply with 0 Bonding Jumper maximum allowable overhang. rig j II :ci„ I: JI �_i 1 EcolibriumSolar Distributed Weight (All Planes) In Conformance with Solar ABC's Expedited Permit Process for PV System (EPP) Weight of Modules: 806 Ibs Weight of Mounting System: 138 Ibs Total System Weight: 944 Ibs Total Array Area: 324 ft2 Distributed Weight: 2.91 psf Number of Attachments: 69 Weight per Attachment Point: 14 Ibs Bill Of Materials Part Name Quantity ECO-001_101 EcoX Clamp Assembly 69 ECO-001_102 EcoX Coupling Assembly 24 ECO-001_105B EcoX Landscape Skirt Kit 0 ECO-001 105A EcoX Portrait Skirt Kit 5 ECO-001_103 EcoX Composition Attachment Kit 69 ECO-001 116 EcoX Flat-Tile Flashing 0 ECO-001_117 EcoX S-Tile Flashing 0 ECO-001_118 EcoX W-Tile Flashing 0 ECO-001_363 EcoX Lower Support-Tile 0 ECO-001_109 EcoX Electrical Assembly 1 ECO-001_106 EcoX Bonding Jumper Assembly 2 ECO-001_104 EcoX Inverter Bracket Assembly 18 ECO-001 338 EcoX Connector Bracket 18 i , i The Commonwealth of Massachusetts t�SPEC tONfV�C ' Board of Building Regulations and Standards SALEM Massachusetts State Building Code, 780 CMR ''nnttq evra�d jirIA@70 Building Permit Application To Construct,Repair,Renovate Or Demolinn One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: Date Appl' d: 40.4 Building Official(Print Name) Signalure Date SECTION 1:SITE INFORMATION �, 1.1 Prop Address: 1.2 Assessors Map&Parcel Numbers ( � �iWtt�kif µlie 2n. Ll a Is this an accepted street?yes no Map Number Parcel Number ` 13 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building 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? Municipal❑ On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of� Reco�rd:cba1�S 17C14I�. Name(Pnnt) { City,State,ZIP IZ Quo` Ian• No.and Street Telephone` Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) .. New Construction❑ Existing Building Owner-Occupied Sri,Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑ Demolition.,. 1 ❑ Accessory Bldg.❑ 1 Number of Units Other ❑ Specify: Brief Description of Proposed Work : f SECTION 4:ESTIMATED CONSTRUCTION COSTS Item ' Estimated Costs: Official Use Only Labor and Materials 1.Building - $ O 7 7 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ . . . 4.Mechanical'(HVAC) $ List: 5.Mechanical (Fire Suppression) $ Total All Fees:$ _ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ 7 3 7 ❑Paid in Full ❑Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES f p� ' S.1 Construction)Su ervisor License e)pb7f License Number Expiration Date Name of Name older . i I y List CSL Type(see below) V t Dn No.and Street.,.__ _ _ Type a Description U Unrestricted(Buildings up to 35,000 cu.ft. R Restricted 1&2 Family Dwelling r.— -City/Poivn—State,ZIP _ - —___ _ . M Masonry RC Rooting Covering L. _._.—., _ _ ...__. ._._ _ WS -Window and Siding SF Solid Fuel Burning Appliances - - . . _."�/56 1 Insulation Telephone - Email address - D Demolition 5.2 egrsteredHo elmprove entContractor,(H/IC) h:s..l-d-Gl. iiyVLGz ' T�IzL/�F HIC Registration Number E7xpGation Date HIC Comp Name r�i HIC tegikrant Name aG81`�3T Noi d Street �1 Email address t /Town State ZIP Telephone t ' : 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. C 1 Signed Affidavit Attached? Yes ..........O No...........O - ✓ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN -1, 1,4 + " ''. '- ' -,'=° + l i.' I OWNER'S'.AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize .. to.act onmy'behalf,in all matters relative to work,authorized by this building permit application. i Print Owner's Name(Electronic Signature) Date ,.SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION i • By, 'n .m namebelow,I hereby attest under the pains and penalties of perjury that all of the information co ed n is application is true and accurate to the best of my knowledge and understanding. Prin r uthorized Agent's Name(Electronic Signature) - Date NOTES: I... An Owner who obtains a building.permit to do his/her own work,or an owner who hires an unregistered contractor .. . . (tiot.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 www.mass.pov/dris .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'offireplaces 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" POWER-1 OP ID:EL A Q� DAM(MMIDOTIYYY) CERTIFICATE OF LIABILITY INSURANCE 09/11/2014 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 r BELOWi',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 tenns,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 endorsements. PRODUCER - CONTACT Lacher g-ASSOCIateS Ins Agency _ PHONE FAX Lacher Insurance Group Alc No Ee.215-723-4378 AIc Ne: 215.723-8604 632 E Broad St P O Box 64398 E-MAIL Souderton,PA 18964 ADDRESS: Chad Lacher MSURERIS AFFORDING COVERAGE NAIC# 1. MSUREIR A;Harleysville Preferred Ins.Co 36696 MsmEp- Power Home,Remodeling Group, INSURER B:Harleysville WorcesterInsCID 26182 LLC - INSURER C:Nationwide Mutual Ins Company23787 ` .I2501 Seaport Drive,Suite B110 ` Chester,PA19013 - INSURER D:Pennsylvania Manufacturers 12262 INSURERE: INSURER F: COVERAGES CERTIFICATElNUMBER: REVISION NUMBER: ;-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 " I. 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 SUB POLICY EFF POLICY EXP LTR "TYPEOFINSURANCE POLICY NUMBER (MMIDD Mriffi YYY LIMITS A X COMMERCIAL GENERAL LIABILITY ..�, EACH OCCURRENCE $ 1,000,00 1J,1�CINMS-MADE �OCCUR- _ MPA00000089793N 10101/2014 10/0112015 PREMISES Ea mournmes $ 1,000,00 NED EXP(my one person) $ 15,00 PERSONALBADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER '! 1 J `"t� GENERAL AGGREGATE $ 2,000,00 POLICY jER0. LOC PRODUCTS-COMPIOP AGO S 2,000,00 OTHER: - $ AUTOMOBILE LIABILITY - { ". E 1,000,00 ,. , , ( (Ea LIMIT Ea acdtlent srt B JZANY­AIUTC-, BA 00000089796N 10/01 on)/2014 10/01/2015 BODILY INJURY(Per pers E ALL OWNED SCHEDULED f AUTOS AUTOS BODILY INJURY(Per Smelled) E NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Per al $ UMBRELLA UAB X OCCURC= II .[}i"It EACH OCCURRENCE $ 10,000,00 '$.1p, 0 X iEXCESSLIAB �eyC ;CLAIMS-MADE CMB00000089794N ,r,+71tl 10/01/2014 10101/2015 AGGREGATE $ 10,000,00 DED RETENTION$ } $ WORKERS COMPENSATION IPER t „T _ { X STATUTE ER _ H AND EMPLOYERS'LIABILITY D ANY RROPRIETORIPARTT,IERIEXECUTIVE YIN 2014006620967, rLI. 1010112014 1010112015 E.L.EACH ACCIDENT $ 1,000,00 OFFICERIMEMBER EXCLUDED? a NIA IMandmory In NH) I bl''•I. E.L.DISEASE-EA EMPLOYEE $ 1,000,00 It yes,describe under DESCRIPTION OF OPERATIONS be. 'IT• ;°,Ql' E.L.DISEASE-POLICY LIMIT $ 1,000,00 B Mass Auto',ir :'1e..i ,iiirl l'Id BA 00000018227R .,0,Croy 1010112014 1010112016 Auto Liab 1,000,00 A9H B NYAutolisp+d tG't';;r}i5 BA 00000074849R ! 10/01/2014 10/01/2016 T .OESCRIPTON OF OPERATNONSILOCATONSIVEHICLES(ACORD 101,Additional RemarksSchedolq maybe attached it mom space is required) i CERTIFICATEHOLDER - CANCELLATION - f ,�tr L L A+!'r > I A WVE 'Cy i} h'. . I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFSALEM ORE �.. ri U '.rV 1I 1 rc t 1F x el :` ,JI I t, Wll.n :.,al THE EXPIRATION DATE THEREOF,- NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. E -Salem C - AUTHORIZED REPRESENTATNE`Y / 3r'd Floor" /A y. 120 Washington yS[_ ' f- ' � Salem,MAD1970 rt ©1988-2014 ACORD CORPORATION. All rights reserved. loq, ..ACORD15 j2014101)a r em/. The ACORD name and logo are registered marks of ACORD about:blank NAtIONAt N'fADOUAOtigs o V� '�i. onw 41 1'k*io aria ii wwm �+ � 75at SS.rGarl l7niG chatc,ati 14oU „ 3S•315i6 '::• -- P't?Wi� t a � "r .Nowatru t3y,i'014 $$$ REMODEL CUSTOM REMODELING AND IMPROVEMENT AGREEMENT' S ruYe la)'a+terirwnanaro O.stalptw.,d[th.aowM' PMed Number:31.31546 chaytgpro syn s..r Thornat gWm t ii-mo f4Ad ahem.MA.oltno _s WTi}maarcatnlm++?eM �y fU{wAr, IdNaa Mb"hatahy)ovtdy AW bewra#y agrees to purcanan the goods andtatAwvkM of Po>wet Hans RemodaYry.,SMW arKt tn€waraas t`Comtector`)maocordance wdh dla Pdces�nd tome deap30ad in ddx ti payadoarnlant aro Oro Ploa+ca �rtatrone,whcl atanmpo[sadasPatof hePaeamemtosnecuvskr Mszeoma tis! araraseasU s�,.goPas�aMnornma�ga}agraeatoaeymamato[tnagaomaraservtmsPu�Asaapade�a�adtt+,Tag� +� ' '.•vP afm+r dWR(alYneY'swNiwdrar PutdxaA• a tr,#� a w, st+' 44 1S(a&(S�a9tP _ �,c 10.T31�X Pre tnstau0cm a�p,��e.-Ty-�^��1o�a Ootes d. oolkni batarwa s0.m.Ts " EsUrnatad Prop Start6ro 7 weeks.,' - %r iteantt�Can tenon: Eattmated Pro)aa_Compsoilw l to 3 days -. dtty+yrasrl4 btner ayrxtnrano.w¢s eN.ewrrmnwa atwwtAS aea...cz. $ya8a9 roAtry paasean tlodskdlrttteeacda hazard aesPpwA kmmam pemuWnaCeatfSak Geri a)(iutda to RananreW Rgtg`„$ R ncdNty robe pe[tonnsd}ftaai suw(sp Pmpatty,.alHre _ �t}rh+a,livy a)rafdwd dda Pamohtet on Nq date otC*s+y.!eamanU tad;xe;f%anmaoceneant $ngl,- v. 4. x#' ',� '�, -�,« u." - a�r' a �)ha anCrP aAtnamant era underalaMntgaaMeendle•partlaa,ardgQaAgr�aeot ��. atsyeamaa tag nt dRNartGAdoa�b:or agreemepke.atOmt w�laprnwael Nd amendlhent,mod�CataR,otv t,nt ahn tPtih �• icf.�lr�dladOfl�.tl+emw ha mates above and 2)vas orally gtardled ottdamer tnts�.aah ,.. teP.xdld�t� radea to rrtMng antl etptatl tryaotrlParries. 8uyot{s)ber . ,ttfyrdw�dfAnq aremhrodaoomDbtW,apnad,and deaa copy ofuin Agrae+hen4its�++datgtbab+o C2oYoa •' � ik$.'' re9e ale tdandsEut$Bymr(a)la?adces na'a� ltwiNiAMad the tbinsaTidrafitb[ka" `. - . a pp.Q,t#-laRYs+a/sda}P!>oa14a+ ttg ti+rltlktenda fita?ga �'. .� z t" �%.�,_ •,�Tr� YLT � •X `Aw J "1 0f 1 1/7/2015 6:16 AM i.7 r W r ' NATIONAL HEADQUARTERS u Cheryl and Thomas Begin 2501 Seaport Drive,Chester,PA 19013,�, :; "jP�WER 31-31546 _- i November 13,2014 888-REM0DEL - - AMA HIC#168616 PRODUCT SPECIFICATIONS Buyer(s)'Information and Description of the Property: i Project Number: 31-31546 November 13,2014 Cheryl Begin_. � ! Oat•urA9r ..l Thomas Begin (978)2105681 (Cheryl's Cell) g I cbegin@eagletribune.com 12 Gallows Hill Rd (978)741-0818(Home) E-Mail address 1 Salem,MA,01970 ' (978)979.8799(Thomas's Cell) tombegin@comcatnet County:Essex - -i. _ E-Mail AddMW2 Township: Buyer(s)listed above hereby jointly and severally agrees to purchase the goods and/or services listed on the accompanying specification sheets, in accordance with the prices and terms described in the Custom Remodeling and Improvement and the Product Specifications (collectively,this"Agreement"). Pre Installation Inspection Date:Your pre installation inspection is tentatively scheduled for Sat 11/29 between 3:00p and 4:00p. :Windows -SL 2700 Inclusions:.Includes metal reinforced meeting rails and nighttime safety locks on double hung windows only;welded:cocners,:foam injected frames; Sashlite technology, Heatshield, Duraglass,exterior custom capping, installation, clean up and haul away of all job related debris. . ;It is agreed and understood by and between the parties that the Product Specifications,along with the Custom Remodeling and .1" 11 J;ifs Improvement Agreement;constitutes the entire understanding between the parties, and replace any and all prior negotiations, - -;:creipresentations,,or agreements,either written onoral: The,Product Specifications may not be changed,modified,or varied in any way unless - Gr ail,ac`esuch changes are in writing.and signed by both Buyer(s)and Contractor. Buyer(s)hereby acknowledge that Buyer(s)has read the Product Specifications. I have read and received each page of this 2 page agreement. " ;?,,,1,,;:,,Power Home Remodeling Group Buyer(s) Buyer(s) /11/13/14 "'-+ ,t /11/13/14 /11/13/14 " Signature of Quality Assurance Manager ; Signature Signature t it', /I iF Joseph McCormick ;m , e,. r Cheryl Begin Thomas Begin YOU;THE, UYER(S),'MAY CANCEL THIS TRANSACTION AT ANYTIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY t" 1% "AFTER+THE,DATE.OF:THIS TRANSACTION:SEETHE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. . .. .. (i° 'jlJ �ve 1mblEde,r 1 3 fI2, 0+ 14 21:07' gi j aI9jt+I r, �; r * v „3 sNaj1 IIII IIII IIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII _ ail' Page 1 of 2 NATIONAL HEADOLIARTERS Cheryl and Thomas Begin 2501 Seaport Drive,Chester,PA 19013,e, ;,,,:.:4 QWER 31-31546 n - November 13,2014 888-REM0DEL MA HIC#168616 Project Specifications Windows: i man cave 3 27.0"x20.0" WINDOWS: Models SL / , Styles Basement Hopper Types None Configs None OPTIONS: Color Cocoa/WhRe: Grid Pattern:,None Removal Wood i Additional Details None i f Windows: . Main house 6 28.0"x45.0" - WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None t7 . OPTIONS: Color Cocoa/White: Grid Pattern: None I Removal Wood i Additional Details None I 4 G - , ._.. 4. I S' e is. F �111 ET!,#No+6 fnber11~3 201421:07 IIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ,`' � ,^ . Page-iof.2 +. The,Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.Qov.dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name(Business/Organizatiti`on/Individual')::� -kL m1 '- Address: 'Z i . r'p pbtvr (J ,J U/ 9 )I V City/State/Zip: HCz�7 CL/Z �H tj D i; Phone#: Are you an employer?Check the Appropriate box* Type of project(required):- - 1. Jkfam employer with IS' 4. ❑ 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2: E I'am a sole proprietor or partner- listed on the attached sheet.1 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. Workers' comp.insurance. 9. ❑ Building addition (No worker's comp.insurance 5. ElWe are a corporation and its 10. ❑ Electrical repairs or additions 11. ❑ Plumbing repairs or additions required.) officers have exercised their 12. ❑ Roof rep irs 3. 0 1 am homeowner doing all work right of exemption per MGL 13. NoOther 'l - 'Myself.(No workers'comp. c.152,§1(4),and we have no Insurance required.)t employees.[No worker's Comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: - THomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attach an additional sheet showing the name of the sub-contractors and their workers'comp policy information I am an employer that is providing workers'compensation insurance for my employees.Below is the policy and job site information. J Insurance Company Name: '"IAK.LtMlptt,Ct�i'ZZtiR. Policy#or Self-ins.Lie.#: LV i N Di) bt ZD%ll Expiration Date: V— I ZV l 5 _ Job Site Address: M GAt,l r>>541 L(, 1?:4. City/State/Zip: �A(,eM 01 v"p Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). .,. _. Failure to secure coverage asrequired dnder.Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that acopy of this statement may be forwarded to the Office of Investigations of the DIA for insuranqcera v rifica[ion. - - - I dahere n er the pains nd penalties of perjury that the information provided above is true and correct. Signature: Date: Phone# Official use only.Do not write in this area,to be completed by official. Permit/License# Issuing Authority(circle one): - ..'<:'. tY Board of health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other contact.Person: Phone#: a" r _ rt �lze 1(�omuirtrnzwep�Glt a�VOUiJJc�Ctac�QaCLd ' ffice of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR Registration -j68616 Type Expiration 3/18/2015;;� Supplement ` .. .- POWER HOME REMODELING GROUP LLC. MARK MO IN 2501 SEAPORT DRIVE-'STE - CHESTER,PA 19013 Undersecretary tRgq)r Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen'isor License: CS-057645 MARK EMORDIh}I 18 NEWELL DR i to ;,, a NATTLEBOROMA�T� r� � k . - J„G,,, ,� • „ "`'` Expiration - Commissioner - 0 9/1 812 01 5 I L eNFR%C. VINYL DOUBLE HUNG WINDOW VINYL FRAME � DOUBLE GLAZED FOAM FILL GRIDS LOW E/ARGON National Fenestration NFRCCP 000e! . -o Ratingtouncil® � o ! 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