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Building Permit #192-2016 - 102 MEADOWOOD ROAD 8/13/2015
VkoRry O�tt�eD ra�ti �1 (� BUILDING PERMIT TOWN OF NORTH ANDOVER ° APPLICATION FOR PLAN EXAMINATION - b Permit NO: - Date Received DAATEDEr'�`�y i ��SSacHus�t Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION 102 Meadowood Rd _ Phi1i ka#tiY Theruva PROPERTY:OWNER p w Print MAP NO PARCEL: ZONING DISTRICT Histone Distnct yes no' p s iUlachine Shop V�Ilage.eyes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑ New Building 91 One family ❑Addition ❑Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other E Septic fl Well ❑Floodplain ❑Vl/etlantls D U1)atershed District 0 Water/Sewer _ Installation of 14 roof-mounted solar PV panels ' �+ Identification Please Type or Print Clearly) OWNER: Name: Philip Theruvakattil Phone:978-884-8773 Address: 102 Meadowood Rd, North Andover, MA 01845 CONTRACTOR Name SotarFlair Energy Inc Phone `` 508 293-4293 .> ' - Address: 190 PleasantSt,Ashland MA 01721 Supervisor's Construction License 106731 Exp Date 8lgils rr r Home:lmprovemenf License 175579 Exp Date ARCHITECT/ENGINEER Phone: Address: Reg. No. t FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. 22761 D- 1 J. , Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner .Sgnafure of icontractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS r; Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Wafter& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street DEPARNTTem'Dum step on s ' ' �' 1 ` flit tetl at 1624 Mam StreetF% Fire'De artmesignature/date ��:, b � w. � �` r t: Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA-- (For department use) ❑ Notified for pickup Call Email Date Time Contact Name Doe.Building Permit Revised 2014 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits Building Permit Application Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks 4. Building Permit Application 4 Certified Surveyed Plot Plan 4. Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Mass check Energy Compliance Report (If Applicable) Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) Building Permit Application Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Copy of Contract 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 Location �� 'P el'o kv No. 1�" a Date i' • - TOWN OF NORTH ANDOVER • D 7 , • � Certificate of Occupancy $ Building/Frame Permit Fee $c2 73•�V „ Foundation Permit Fee $ Other Permit Fee $ TETOTAL $ a Check# 3 1 i 29202 ; uil&ng Inspector -7 z DRAWING NOTES: SITE DETAILS: - - 1 1. PV ARRAY CONTAINS(14)SUNPOWER 327 WATT PV MODULES. 1. SERVICE VOLTAGE:240 VAC SINGLE PHASE SO a rfl a i r j 2. PV ARRAY UTILIZES(1)SOLECTRIA PVI 520OTL INVERTER WITH RAPID 2. RACKING&ROOF ATTACHMENT:UNIRAC SOLARMOUNT RAILS,ECO-FASTEN SHUTDOWN. L-FEET FLASHED WITH ECOFASTEN GREEN FASTEN FLASHING. CLEAN ENERGY SOLUTIONS N E, I 3. INSTALLERS SHALL VERIFY LOCATION OF RAFTERS PRIOR TO INSTALLATION 3. MAX RAIL SPAN=4'(PORTRAIT) -� OF L-FEET AND RAILS. 4. RAFTERS(HOUSE,GARAGE): 190 Pleasant 5t. I 4.1 2"x10"(NOMINAL)16"ON CENTER,19'-3"=MAX RAFTER SPAN Ashland, MA O 172 1 q - 4.2 2"x10"(NOMINAL)16"ON CENTER,21'-10"=MAX RAFTER SPAN 3-4293 -�` 5. ROOF COMPOSITION:ASPHALT SHINGLES OVER PLYWOOD DECKING Phone: 508-2Fax: 508-299934003 n 6. GROUNDING:WEEB 6.7 GROUND LUGS AND WEEB 9.5 GROUND CLIPS 7. DISTANCE FROM ARRAY TO INTERCONNECTION POINT=155' www.5olarflalr.6om 8. ROOF HEIGHT(HOUSE,GARAGE)=25',15' 9. GROUND SNOW LOAD=40 PSF - 10. DESIGN WIND SPEED=100 MPH Philip Theruvakattil 11. ARRAY CHARACTERISTICS(HOUSE,GARAGE): 11.1 ARRAY WEIGHT(+5%)=526 LB,214 LB 11.2 ARRAY SURFACE AREA=183 SO.FT.,73 SQ.FT. PROfECTNAM£: 11.3 ARRAY DEAD LOAD=2.87 PSF,2.93 PSF THERUVAKATTIL 11.4 NUMBER OF ATTACHMENT POINTS=24,12 PROJECT LOCATION.- 11.5 WEIGHT PER ATTACHMENT=21.9 LB,17.8 LB _ 11.6 MINIMUM SETBACK FROM ROOF EDGE=7Y2",7Y2" 102 MEADOWOOD RD. e_ N. ANDOVER, MA 0 1545 v' SYSTEM SIZE(MODULE QTI'): . � 4.58 kW(14) MODULE MANGE&MODEL SUNPOWER E20/327 INVERTER MANUF&MODEL(QTY) - ' SOLECTRIA PVI 520OTL(1) r INV DIRECT MONITORING cv SOLRENVIEW r REV GRADE AUTO REPORTING SOLRENVIEW AC VOLTAGE AC CURRENT GARAGE ARRAY 240 VAC 21 .7A m" ARRAi'AZlMUTH ARRAYTlLT HOUSEARRAY - I GO, 37° 11 ,-m �� RSRW B "N ; i MAIN DISTRIBUTION PANEL .•" j LOCATED IN BASEMENTa J - t UTILITY METER AND EXTERNAL UTILITY DISCONNECT „ x I .:_.-• �.- - rnu oRnwws,s uor roR cav�rrRucno"uvm issueo roR ro�iRUCTO"BT wR eRxRGT iNC. DRAWING NUAIBER: PV -1 .0 DRAWING TITLE: °J SITE OVERVIEW DRAWNBY: APPROVED BF.- J. Y:J. AB5111RE J. A55111RE W SHEET SIZE: SCALE: 1 D NTS DATE., REV.- ¢� ' °' 07/01/15 1 C.- I 07/01/15 Pf!R SET 1MA solarflair CLEAN ENERGY SOLUTIONS 190 Pleasant 5t. Ashland, MA 01 72 1 Phone: 508-293-4293 Fax: 508-293-4003 WWW.5olarflair.com HOUSE A R RAY GARAGE A R RAY Philip Theruvakattil 24'_7' 12,_1" PROJECT NAME: T-32"REF 13'-112"3 '-32'REF 4'-0"REF 6'-112' 10" REF TH E RU VAKATT I L 71 2x10 RAFTERS(NOMINAL), SUNPOWER 327 WATT UNIRAC SOLARMOUNT FLASHED ECO 2x10 RAFTERS(NOMINAL), 1 PROJECT LOCATIOA'. 2 16"ON CENTER PV MODULE RAIL FASTEN L-FOOT 16"ON CENTER 72 102 MEADOWOOD RD. N. ANDOVER, MA 01845 ! �I SYSTEM SIZE(MOD ULEQ 7)'): jl 4.58 kW(1 4) !I MODULE MAA'UF.&MODEL RAPID SHUTDOWN I' I ROOF MOUNTED !' I SUNPOWER E20/327 COMBINER IN ATTIC j I OX PASS-THRU B I I I I ROOF MOUNTED I I i INVERTER MANUF&MODEL(QTY) PASS-THRU BOX - SOLECTRIA PVI 520OTL(1) •i I INV DIRECT MONITORING I I '' I I I I i 10'-0° SOLRENVIEW I Illi I REV G REPORTING RADE AUTO REP RTG N I I I SOLRENVIEW II I l I i I I CHIMNEYI I II I I� � AC VOLTAGE AC CURRENT 240 VAC 21 .7A ARRAYAZIMUTH ARRAYTILT 1 60` 37' 20'_3" oec *ws u..v s n=sore RorPRmosa.r�-wRPUF�,r uc I 1 u9e oT M=oxt�ER Po,R orneR Pzdecis oR PqR CJWr[�OH d I, I I .I n s Rwh.'I snuff xo*B[[�n Sra eo asar,u uoe�,roNaPm.uGuef�RGn�. I I I I 21-11 ! 71'1 j 11' EF �I �•I ':I I I'. I II I 412"REF 2 _ II rmsII I' r�r issueo roR i' SI cieuc r�inou eT-uwzFwR euercT,iuc II I ' DRAWING NUMBER: III PV DRAWING TITLE: PLAN VIEW 0 21" 5'-0" DRAWN BY: APPROVED BY. I J. A85HIRE J. A55HIRE SCALE SHEETSIZE: SCALE: D SHOWN DATE: REV: 07/01/15 1 1 07/01/15 PERMIT SST 1M,1 iWITIAL MSM IREVI DATE I DESCRIPTION P'D. Kolarflair CLEAN ENERGY SOLUTIONS 190 Pleasant St. Ashland, MAO 1721 HOUSE ARRAY GARAGE ARRAY Phone: 508-293-4293 Fax: 508-293-4003 www.5olarflair.com Philip Theruvakattil 2x10 RAFTERS(NOMINAL), 2x,0 RAFTERS(NOMINAL), 16"ON CENTER 16"ON CENTER PROJECTNAME. THERUVAKATTIL t Z PROJECT LOCATION: l l i j 1'-T" 102 MEADOWOOD RD. N. ANDOVER, MA 0 1845 RAPID SHUTDOWN-11�—] ! li l COMBINER IN ATTIC ROOF MOUNTED ! I S]'STh.'Af SIZE(MODULE QTY): PASS-THRu Box 4.58 kW(I 4) u ROOF MOUNTED PASSITHRU BOX l j '' I li !� MODIILEMANUF,&MODEL a ,t2' 2 SUNPOWER E20/327 jINVERTER MANUF&MODEL(QTY) 50LECTRIA PV1 520OTL(1) 6,_y=" I i� i �i I•, i �, I I � i i I i I 6�_g�" /NV DIRECT MO.NfPOR/NG 501-RENVIEW I I I I it i I I !I REV GRADE AUTO REPORTING 5OLRENVIEW III j I i I III AC VOLTAGE AC CURR£AT �i •! 1 .I II 240 VAC 21 .7A 10•_2•• it ARRAYAZIMUTH ARRAY TILT • 10'_2" rs I GOO 37' n,s°o°°M[NT y 12' ! j 1 j ! °omF�aRsswrnr,oae�°c°NeTk ns kigc oTn[k Pvatt'150k�o cornnl[o N°� I, i ' i 'i .' I• I I I •. I! "°w:wY uCTn-"`NGu[[ks kun 5`�° I; ii I; I II iI I I i I I 15-421-1 ill Ii I I. j s.1-z I I •I I I,� jl II i , li i Ili I! it I I li I I li i i .I I Ij .i II !I II, i it II I' I I II !! II .i ij II Ij I � II I I r115—CW'°•usTRLCP0.N BY soWV f° DRAWING NUMBER. PV -1 .2 0 2'E" 5'-0" L I DRAWING TITLE: RAILS t L-FEET LAYOUT SCALE ORAWNBY.• APPROVED BY. J. A135NIKE J. AB5111RE SHEET SIZE: SCALE: D SHOWN DRAWING NOTES: DATE: REV: 1. PV ARRAY UTILIZES(36)ECO-FASTEN L-FEET AND 103'OF UNIRAC RAIL. 07/0 1/15 1 1.1 (6)132"RAILS 1.2 (4)208"RAILS 2. L-FEET ARE LAGGED DIRECTLY INTO 2"x10"RAFTERS USING MINIMUM 4"x 5/16"0 LAG SCREWS. 3' L-FEET UTILIZE GREEN-FASTEN FLASHING FROM ECOFASTEN SOLAR. 4. L-FOOT LOCATION MAY BE SHIFTED N-S BY+/-2"TO ENSURE PROPER INSTALLATION OF GREEN-FASTEN FLASHING. 5. VERIFY LOCATION OF RAFTERS PRIOR TO INSTALLATION OF L-FEET AND RAILS. I 07roUIS PERMTI SET JIAA INITIAL ISSUE REV DATE DESCRIPTION APPD. solarflair CLEAN ENERGY SOLUTIONS 190 Pleasant 5t. Ashland, MA 01 72 1 Phone: 508-293-4293 Fax: 508-293-4003 WWW.5olarflair,com HOUSE ARRAY GARAGE ARRAY Philip Theruvakattil PROJECT NAME: THERUVAKATTIL 2x10 RAFTERS(NOMINAL), 2x10 RAFTERS(NOMINAL), 16"ON CENTER 16"ON CENTER PROJECT LDCA77ON: 102 MEADOWOOD RD. N. ANDOVER, MA 0 1 845 I + I SYSTEM SIZE(MODULE Q77"): 5'HR I I 4.58 kW(14) RAPID SHUTDOWN f❑ MODULE MANUF.&MODEL COMBINER IN ATTIC I STRING CONTINUES THROUGH ATTIC ROOF MOUNTED STRING CONTINUES TO HOUSE ARRAY PASS THRU BOXZ PASS-THRU BOX SU NPOWER E20/327 ROOF MOUNTED FROM GARAGE ARRAY I — — — — — INVERTER MANUF&MODEL(QTY) PASS-THRU BOX I -90=TRIA PVI 520OTL(1) LW DIRECT MOWORING 5OLRENVIEW EV GRADE AUTO REPORTING 50LRENVIEW AC VOLTAGE ACCURRENT O I 240 VAC 21 .7A 7'HR T HR I ARRAYA71MUTHARRAYTILT 60, 7o I I _ JJ ee 1,1-sZN"y,,,11t ORwR,rv�1 rot° T uiuoe�.r�ou�or .oRPs��a��orv�N° I �u�eero�icn�rweo a9 Isourc.wzenewr,�ucm° I I I I I I I I I I I I I I I I I I I I I I I I I I I I Nn=oRAwrva,srvoN oy�rvzNR OR I ( DRAW/NG NUMBER„ L I PV 1 .3 DRAWING TITLE.- ARRAY ITLE:ARRAY WIRING DRAWNRY: APPROVED RK: 0 2'6" 5'-0" I I I J. AB5111RE J. A55111RE SHELF SIZE. SCALE: SCALE D NTS DATE. REV: 07/01/15 1 l 07ro1/15 PERMIr Ser .IMA INITIAL ISSUE REV DATE DFSCRIPTIO;V P'D. ' 1�c solarflair GLEAN ENERGY SOLUTIONS 150 Pleasant St. Ashland, MAO 1721 Phone: 508-293-4293 Fax: 508-293-4003 (D www.solarflair.com 1.1 HOUSE Philip Theruvakattil ARRAY COLOR LEGEND PROJECT NAME: MODBLUE DC- CONDUCTORSLES AREAWN AREIDRAWN IN BLACK THERUVAKATTIL DC+ CONDUCTORS ARE DRAWN IN GRAY GROUNDING CONDUCTORS ARE DRAWN IN GREEN PROJECT LOCATION: GARAGE L1 CONDUCTORS ARE DRAWN IN BLACK ARRAY L2 CONDUCTORS ARE DRAWN IN RED 102 MEADOWOOD RD. NEUTRAL CONDUCTORS ARE DRAWN IN GRAY N. ANDOVER, MA 01 845 CONDUCTOR #1: (6) #10 USE-2 & (2) #6 BARE SYSTEM SIZE(MODULE QTY): GROUND IN FREE AIR FOR MODULE FROM EXISTING 4.58 kW(1 4) INTERCONNECTIONS © UTILITY SERVICE MODULE MANUF.&MODEL SUNPOWER E20/327 INVERTER MANUF&MODEL(QTY) 0 0 10 SOLECTRIA PVI 5200TL(i) CONDUCTOR #21 CONDUCTOR #3, LW DIRECT MONITORING (4) #10 THWN-2 AND (2) #10 THWN-2 AND CONDUCTOR #7: SOLRENVIEW (1) #6 THWN-2 CONTINUOUS (1) #6 THWN-2 CONTINUOUS (4) #8 THWN-2 AND GROUND IN MIN. 3/4' EMT GROUND IN MIN. 1/2' EMT (1) #10 THWN-2 EQUIPMENT REV GRADE AUTO REPORTING (5' OR LESS) (30' OR LESS) GROUND IN MIN. 3/4' EMT EQUIPMENT ❑UTSIDE SOLRENVIEW _1P — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — EQUIPMENT IN HOUSE ATTIC EQUIPMENT IN BASEMENT AC VOLTAGE ACCURRenT � 240 VAC 21 .7A 9E ARRA1"AZ1hfUTN ARRAYTILT - - - - - - - - - - - - - - - - — J IGO° 37° rf PR°eP.Rtt or°°,pRriA'R a"eR::T,iNc. CONDUCTOR #4: CONDUCTOR #5: �>~'�ee®::neo�ek-roR erncR PRp�eers oR roR euMeeerio"o (4) #10 THWN-2 AND (3) #8 THWN-2 AND SOCD mis reo�ecr eT omSRs�s sre�rnToRa�>°e".oisrwe°no"i" <1) #10 THWN-2 EQUIPMENT w�rr m. o=crsrwe"rn eRo"s °eo as (2) #6 THWN-2 CONTINUOUS EQUIPMENT: GROUND IN MIN, 3/4' EMT GROUND IN MIN, 3/4' EMT CONDUCTOR #6: 11 (14) SUNPOWER E20/327 SOLAR PV MODULES (60' OR LESS) (5' OR LESS) (3) #8 THWN-2 AND (1) #10 THWN-2 EQUIPMENT 11 STRING OF (7) SUNPOWER PV MODULES GROUND IN MIN, 3/4' EMT n n 2: ROOF MOUNTED PASS-THRU BOX O (30' OR LESS) 30A 3: RAPID SHUTDOWN COMBINER 4 KYZ PULSE , 4: SOLECTRIA PVI 520OTL GRID-TIED NOTE; OWNER REQUESTS - 41:LfCATI OUTPUT INVERTER, 240 VAC, SINGLE-PHASE, THE INVERTER T❑ BE © WITH MIDNITE SOLAR SPD600 AND SPD300 INSTALLED IN THE Ew © lzo vac 5, 100A LIGHTNING REVENEGADE MTER AND METER ARRESTORSUNFINISHED AREA, 20' FROM © CONDUCTOR #8: THE MAIN PANEL (3) #8 THWN-2 AND SOCKET, WITH KYZ PULSE OUTPUT r❑ ROUTER (1) #10 THWN-2 EQUIPMENT 61 MONITORING EQUIPMENT SOLRENVIEW CABLE GROUND IN MIN. 3/) EMT REVENUE GRADE AUTOMATED REPORTING c3o' OR LESS) AND INVERTER DIRECT MONITORING 71 PASS-THRU BOX 81 EXTERNAL UTILITY AC DISCONNECT, 2-POLE, 240 VAC, 30A, NEMA 3R, NON-FUSED, ADJACENT TO THE UTILITY METER INVERTER SPECIFICATIONS, 91 EXISTING 200A MAIN SERVICE PANEL WITH MODULE SPEC[FICATIONS� SUBARRAY 1.1 STRING SPECIFICATIONS MAX AC OUTPUT POWER, 5200W Pnp� 327W Pmp: 2,289W 200A MAIN SERVICE DISCONNECT, WITH 30A DRAWING NUMBER, wRe Vnp: 54.7 Vdc Vnp: 382.9 Vdc MAX AC OUTPUT CURRENT: AC, Voo 64.9 Vdc MAX Vocr 505.2 Vdc OPERATING VOLTAGE: 240 VAC, SINGLE PHASE BACKFED BREAKER INSTALLED AT THE PV -1 .4 MAX Voc @ -19Cr 64.9 Vdc x 1.18 = 76.58 Vdc Imp, 5.98A BOTTOM OF THE BUS BAR Imp, 5.98A Iso 6.46A 10: EXISTING UTILITY METER DRAWING TITLE. Iso 6.46A Isc X 1,25: 8.08A X 1.25 = 10.09A SINGLE LINE DIAGRAM Isc X 1.25 8.08A X 1.25 = 10.09A Isc X 1.56: 10.08A X 1.56 = 15.72A Isc X 1. i 10.08A X 1,56 = 15,72A DRAWN BY: APPROVED BY. J. A551-IIRE J. A55111RE SHEET SIZE: SCALE. D NTS DATE: REV: 07/01/15 1 1 07101/15 PERMIT SET IMA INITIAL ISSUE REVI DATE I DESCRIPTION IAPPD, f7solarflair CLEAN ENERGY SOLUTIONS 190 Pleasant 5t. Ashland, MA 01 72 1 Phone: 508-293-4293 Fax: 508-293-4003 10 WWW.501arflair.com 1.1 HOUSE Philip Themvakattil. ARRAY COLOR LEGEND PROJECT NAME MODULES ARE DRAWN IN BLUE THERUVAKATTIL DC- CONDUCTORS ARE DRAWN IN BLACK DC- CONDUCTORS ARE DRAWN IN GRAY rxoJecrLocATiON: GROUNDING CONDUCTORS ARE DRAWN IN GREEN 1_1 CONDUCTORS ARE DRAWN IN ARRAYS L2 CONDUCTORS ARE DRAWN IN RED BLACK 102 MEADOWOOD RD. NEUTRAL CONDUCTORS ARE DRAWN IN GRAY N. ANDOVER, MA 01845 CONDUCTOR #1, SYSTEM SIZE(MODULE QTY): (6) #10 USE-2 & (2) #6 BARE GROUND IN FREE AIR FOR MODULE FROM EXISTING 4.58 kW(1 4) INTERCONNECTIONS 8O UTILITY SERVICE MODULE MANUF.&MODEL SUNPOWER E20/327 2OH—T Q 10 INVERTER MANUF&MODEL(QTY) 50LECTRIA PVI 520OTL(1) CONDUCTOR #2, CONDUCTOR #3, INV DIRECT MONITORING (4) #10 -2 CO AND #6 H -2 CO AND CONDUCTOR A 5OLRENVIEW (l) #6 THWN-2 CONTINUOUS C7> #6 THWN-2 CONTINUOUS (4) #8 THWN-2 AND GROUND IN MIN, 3/4' EMT GROUND IN MIN, 1/2' EMT (1) #10 THWN-2 EQUIPMENT (5' OR LESS) (30' OR LESS) GROUND IN MIN. 3/4' EMT EQUIPMENT OUTSIDE REV GRADE AUTO REPORTING — — — — — — — — — — — — — — - - - - - - - - - - - - - - - - - - - - - OLRENVIEW EQUIPMENT IN HOUSE ATTIC EQUIPMENT IN BASEMENT AC VOLTAGE AC CURRENT O O 240 VAC 21 .7A EXISTING GROUNDING — — — — — ELECTRODE CONDUCTOR AND ARRA1'.1zrn/urx ARRAY TILT — — — — — — — — — — SYSTEM GROUND 1600 37* CONDUCTOR #4, CONDUCTOR #51 m,so Pzn s1—— 1 OP sor 1e enex (4) #10 THWN-2 AND (3) #8 THWN-2 AND OS 09 *s use sr _ xmeR r°R rnneR Pr,O.,eras OR,oRgMPenoN o• (2) #6 THWN-2 CONTINUOUS (1) #10 THWN-2 EQUIPMENT EQUIPMENT, lrns rvcv=cie°v°Thneesss,x,cnr nRsuoeu' Ore„ ns GROUND IN MIN. 3/4' EMT GROUND IN MIN, 3/4' EMT CONDUCTOR #6, (60' OR LESS) (5' OR LESS) (3) #8 THWN-2 AND 1: (14) SUNPOWER E20/327 SOLAR PV MODULES (1) #10 THWN-2EQUIPMENT 11 STRING OF (7) SUNPOWER PV MODULES GROUND IN MIN. 3/4' EMT y 21 ROOF MOUNTED PASS-THRU BOX (30' OR LESS) ® A 30A !� ^ 3: RAPID SHUTDOWN COMBINER KYZ PULSE ^ ^-. 4; SOLECTRIA PVI 520OTL GRID-TIED NOTE, OWNER REQUESTS - //LN OUTPUT INVERTER, 240 VAC, SINGLE-PHASE, THE INVERTER TO BE WITH MIDNITE SOLAR SPD600 AND SPD300 INSTALLED IN THE + SOLRENVIEW D 120 VAC LIGHTNING ARRESTORS UNFINISHED AREA, 20' FROM + m 5� 100A REVENUE GRADE METER AND METER THE MAIN PANEL CONDUCTOR #8, TO ROUTER (3) #8 THWN-2 AND SOCKET, WITH KYZ PULSE OUTPUT (1) #10 THWN-2 EQUIPMENT 6; MONITORING EQUIPMENT, SOLRENVIEW CAT5 CABLE GROUND IN MIN, 3/4' EMT REVENUE GRADE AUTOMATED REPORTING (30' OR LESS) AND INVERTER DIRECT MONITORING 7, PASS-THRU BOX (1) #6 THWN-2 GROUNDING 8, EXTERNAL UTILITY AC DISCONNECT, 2-POLE, ELECTRODE CONDUCTOR 240 VAC, 30A, NEMA 3R, NON-FUSED, ADJACENT TO THE UTILITY METER MODULE SPECIFICATIONS, SUBARRAY 1.1 STRING SPECIFICATIONS, INVERTER SPECIFICATIONS, 91 EXISTING 200A MAIN SERVICE PANEL WITH Pmp, 327W Pro 2 289W MAX AC OUTPUT POWER, 520OW f°190°�NG15Nnou ,N° POR w 200A MAIN SERVICE DISCONNECT, WITH 30A wR° I=°`° Vmp, 54.7 Vdc Vmp, 382,9 Vdc MAX AC OUTPUT CURRENT, 213A Voc, 64.9 vac MAX Voc, 505.2 Vdc OPERATING VOLTAGE, 240 VAC, SINGLE PHASE BACKFED BREAKER INSTALLED AT THE DRAW/NG NUMBER:eY� MAX Voc @ -19C1 64.9 vac X 1.18 = 76.58 vac Imp, 5,98A BOTTOM OF THE BUS BAR PV -1 .5 Imp, 5.98A Isc, 6,46A 101 EXISTING UTILITY METER Isc, 6,46A Isc X 1.25, 8.08A X 1.25 = 10.09A DRAWING TITLE: Isc X 1.25, 8.08A X 1.25 = 10.09A Isc X 1.56, 10.08A X 1.56 = 15.72A THREE LINE DIAGRAM Isc X 1.56, 10,08A X 1.56 = 15.72A DRAWN BY: APPROVED BY. J. A55HIRE J. AB5HIRE SHEET SIZE: SCALE: D NTS DATE: REV. 07/01/15 1 1 07/01/15 PERMIT SET JMA iNR]AL- RFV DATE I DESCRIPTION PP'D. r -1 NORT#1 - ve" 'o o No. a 0 r� zy 5 �h ver, Mass, �4t o LAN. 1. COC NICMlWKK � 7d A�ggTEO PP�,t'�5 S U BOARD OF HEALTH Food/Kitchen T T L,.D Septic System THIS CERTIFIES THAT .....PERq (� ( e 2�� ri BUILDING INSPECTOR ....'......1�............ .. ....... ........ ...... ................................ . . Foundation has permission to erect . b 'Idings on 'v� 0. Q.Waa�l�. ......................... ...........:.......... . ...... ........ . Rough to be occupied as ...�... ....... ....... !�lR .. .... �..... .. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL"INSPECTOR UNLESS CONSTRUCTIQN STARTS Rough �............//'.� ::4.a.� ............... Service Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. 0 t t 7 Proposal for Solar Electric System Philip Theruvakattil 102 Meadowood Rd. W,; North Andover,MA 01845 978-884-8773 rfl r theruvakattil@yahoo.com so�d CLEAN ENERGY SOLUTIONS Dear Philip, It was a pleasure to meet with you and discuss the solar energy potential for your home. As you will see in this proposal, solar electric technologies are available to reduce your electricity bill, generate clean power for your home and make you more energy independent. i have prepared pricing for a 4.578 kW system consisting of 14 solar panels. Here are a few highlights of the system: Usage Supplied by Solar System 86% First year electricity bill savings: $1,421 First year SREC revenue: $1,692 Electric Bill Savings over 25 year life of the system: $55,900 SREC Revenue over 10 years: $13,978 Rebates and Tax Credits: $7,828 Increase In Home Value: $28,400 Payback Not Including Increase in Home Value 4 Years r•j ititit �... ..a tb ae t Size of Solar Electric System: 4.578 kW DC at STC Mounting Method: Flush Mount on Roof Mounting System: Unirac: Solar Mount: Flush Number of Solar Electric Panels: 14 Manufacturer and Model Number of Solar Panels: SunPower SPR-327NE-WHT-D Inverter Manufacturer: Solectda PVI-520OTL Direction of Solar Panels(Azimuth): 160 Degrees Tilt of.Solar Panels: 37 Degrees Annual Solar Access: 95% tSUllr 5/4/2015 ' lair Page 1 of 19 Site Specific Adders Some projects require site specific adders,when the condition of the project site does not meet Town building codes,a site specific adder may be mandatory. If any of the adders listed below are included in your proposal,they will be highlighted and you will see"Included"to the left of the adder. Included Structural Engineers Analysis-SolarFlair wants to ensure the safety of the added weight on your roof,and a stamped Structural letter is typiIN r uired.Add$500 - Line Side Tap-A line side tap creates a circuit for your solar system from the main electrical cable entering your home.Add$500 - Electrical Panel Upgrade-If you're anticipating additional electric load in the future,SolarFlair can install a larger main service panel with more empty spots for$0.16 per watt or$732.48 - Electrical Sub Panel-Sub Panels are a great way to create a few extra slots in your panel, SolarFlair can install a Sub Panel for$0.08 per watt or$366.24 - Steep Roof/Tall Roof-This adder is mandatory on any homes where the eave extended above 24 feet or the roofs pitch is greater than 42 degrees.The Steep Roof/Tall Roof adder is$0.40 per watt or$1831.2 - Reinforcing of Rafters-If your project requires structural reinforcements,SolarFlair has an in house carpenter to perform these duties.This adder is$0.20 per watt or$915.6 - Slate Roof-If you have a slate roof, no problem, our teams are trained to perform installations on these types of roofs.This adder is$0.60 per watt or$2746.8 - Deck.House-Additional man hours are needed for homes that have Deck house construction. The adder is$0.07 per watt or$320.46 included Multiple Roof Arrays-This adder is required for any projects that have two separate arrays, ift.additLoRl gQ,5Lis$0..Q8,per watt ary$36G 24 - Interior Conduit Run-If your main electrical panel is at the opposite end of your home as the solar array,this adder may need to be incorporated for the additional cost of longer wires& conduit.The Interior Conduit Run is$0.12 oer watt or$549.36 - Meter Upgrade-If your exisitng exterior electrical meter box is out of date or needs replacing, this adder is required for an additional$0.08 per watt or$366.24 - Ballasted Flat Roof-In some cases when working with flat rubber roofs, a ballasted system is necessary.This type of installation requires extra equipment and material,the additional cost is$0.20 per watt or$915.6 5/4/2015 gsolarflair Page 3 of 19 I Monthly Savings $300.00 97.50% $250.00 97.00% i $200.00 96.50%l $150:00 96.00% $100.00 95.50%t $50.00 t 95.00%1 l $0.00 it� 94.50%' pJanFe r:.r �, iu a Sept cY Nov Dec I ($50.00) 94.00%1 i,Post Solar Monthly Cost($) 'Pre-Solar Monthly Cost($) -Solar Access *A negative value on the graph above indicates your solar system will produce more energy than consumed that month. 5!4!2015 polar air Page 5 of 19 Environmentai Impact Carbon Dioxide Saved per year 7963 Carbon Dioxide Saved over 25 Years 199068 Barrels of Oil Saved per year 8 Barrels of Oil Saved over 25 years 211 Tanks of Gas Saved Small Car over 25 years 804 System Pricing Price of Solar Installation $22,761 Comprehensive System Training for Homeowner Included $0 10 Year Full System Warranty included $0 Upfront Cost to Homeowner $22,761 Taxes Paid/Recovered in year one: State Income Tax Credit 3 $1,000 Federal Income Tax Credit 5 $6,828 Cost to Homeowner After Tax Credits $14,932 5!4!2015 o,larfiiair Page 7 of 19 Financing Options When taking on a home improvement project like solar, sometimes it's best to use your good credit,to make money from the bank or lending institution.SolarFlair Energy has a unique partnership with Sungage Financial for that very reason,they understand that homeowners want solar, but don't necessarily have the resources in their back pockets to do so.Sungage Financial provides a loan product that will allow you to purchase that solar system and leave you cash flow positive every month after your loan payment.This unique program allows the homeowner a same as cash option for the tax credits,if you don't pay down all the tax credits within 12 months,than the remaining amount just gets rolled into the overall loan amount. Sungage also offers three different options when dealing with your SRECs,including an upfront buyout option which will lower your loan amount If you're interested in teaming more about this great financing option, please let your SolarFlair Sales Representative know,and we will get you started on producing your own clean energy! 5/4/2015 sotar =-- r Paae 9 of 19 Optional web-based monitoring systems are available,you can easily view the live and historical energy output of your solar system. High speed intemet access, preferably a hardline connection(DSL, Cable or ROS)must be available within the home. Monitoring websites show current and . � . historical energy production and emissions savings for your solar system. - - - - it can also submit SREC information �r.µP ArtnkeM.ww4Yf�.27.RVAt automatically to reporting agencies and _ brokers, for an additional cost. Contact your sales representative to interact with the live displays_ t Solar Energy Analysis �►. ,Rye.-'" �_ '" � .;i__...--- "3,q c 9IMnoi4 tat '�„ .� Solar Access The image shown above is an example sunpath photo taken from the site of the solar panels on the south facing roof. Arc lines represent the path of the sun throughout the year. The top arc line represents the path of the sun at the end of December when the sun is at its lowest point in the sky. The lowest arc line in the photo represents the path of the sun at the end of June when the sun is at its highest point in the sky. The vertical lines in the photo represent each solar hour of the day. Yellow areas indicate the time when the solar panels will be unshaded and green represents times when the solar panels will be shaded. This example grid shows 91% annual solar access. We have measured 95%annual solar resource factor available at your home. 514/2015 Page 11 of 19 What are some of the other benefits of a solar electric system? 1. You can protect your household from rising electric rates! By producing your own power from the sun,you are not at the mercy of your utility company. 2. You can join the clean energy revolution! By installing a solar system you will be doing your part to combat global warming and reduce our country's dependency on foreign oil and gas. You will also be significantly reducing your personal contribution to global warming by lowering your carbon dioxide emissions. Your solar system will also reduce your contribution of nitrogen oxide emissions, a major contributor to smog,air induced respiratory problems and acid rain. 3. tong life and low maintenance! The solar electric panels include a 25 year performance warrant and require only occasional rinsing. SolarFlair includes a 10 year full system warranty at no extra charge. 25 Year Financial Analysis Year Year Year Year Year Year Year Year 0 1 2 3 4 5 6 7 kWh Production 0 5938 5914 5890 5867 5843 5820 5797 Energy Bill $0 $1,421 $1,471 $1,524 $1,579 $1,635 $1,694 $1,755 Savings SREC Auction $0 0.'283 0.285 0.271 0.257 0.244 0.232 0.221 Floor Price SREC Revenue $0 $1,692 $1,686 $1,596 $1,508 $1,426 $1.350 $1,281 IM enewa e- Energy Tax $1,000 $0 $0 $0 $0 $0 $0 $0 Credit e ax Credit 30°!0 $6,828 $0 $0 $0 $0 $0 $0 $e Total Annual o a a - ota ($14,932) $3,113 $3,157 $3,121 $3,087 $3,061 $3,044 $3,036 Cumulative Cash Flow ($14,932) ($11,820) ($8,663) {$5,542} ($2;435). $606 $3,650 -$6,686 Year Year Year Year Year ' Year _ Year Year 8 9 10 11 12 13 - 14 :_- 1s kWh Production 5774 5761 5728 5705 5682 5659 5636 5614 Energy Bill $1,818 $1,883 $1,950 $2,020 $2,093 $2,168 $2,245 $2.326 Savinq§ SREC Auction Floor Price 0.210 0.199 0.189 $0 $0 $0 $0 $0 SREC Revenue $1,212 $1,144 $1,083 $0 $0 $0 $0 $0 Total Annual $3,030 $3,027 $3,033 $2,020 $593 $2,168 $2,245 $2,326 Cash Flow Cumulative Cash $9,716 $12,743 $15,776 $17,799 $18,389 $20,556 $22,802 $25,127 Flow 5/4/2015 soiarf wr Page 13 of 19 Terms & Conditions of Sale General Provisions We took forward to a successful project and professional business relationship.Any alteration or deviation from the above specifications,including but not limited to any such alteration or deviation involving additional material and/or labor costs,will be executed only upon a written order for same, signed by Owner and Contractor,and if there is any charge for such alteration or deviation,the additional charge will be added to the contract price of this contract. If payment is not made when due, Contractor may suspend work on the job until such time as all payments due have been made.A failure to make payment for a period in excess of 15 days from the due date of the payment shall be deemed a material breach of this contract.Please.note that grid-tied solar photovoltaic systems do not provide back-up power in the event of a utility outage. In addition,the following general provisions apply • All work shall be completed in a workman-like manner and in compliance with All building codes and the conditions and requirements of solar installers of the Massachusetts Clean Energy Center(CEC)and the Massachusetts Commonwealth solar It Rebate Program. • To the extent required by law all work shall be performed by individuals duly licensed and authorized by law to perform said work • If Owner elects to purchase a data monitoring system,the Owner is required to provide an Internet connection(standard RJ45 Ethernet jack)dedicated to the data monitoring system. This internet access must be via broadband cable, DSL,or fiber-optic(FiOS) • Unless it has been included as an adder,the project cost does not include the cost for stamped structural drawings,letters or structural modifications to the building if required by the municipality. • All change orders shall be in writing and signed both by Owner and Contractor, and shall be incorporated in,and become a part of the contract. • At no additional cost to the customer, SolarFlair Energy shall maintain the following insurance: • Commercial general liability insurance in a limit of not less than$1,000,000 per occurrence,$1,000,000 per occurrence for personal injury,and$2,000,000 general aggregate. • Minimal additional$1,000,000 umbrella for excess liability coverage • Commercial automobile liability with a combined single limit of$1,000,000. • Workers'Compensation coverage as required by Chapter 152 of the Massachusetts General Laws with Employers'Liability limits of$500,000 each accident, $500,000 disease-each employee and$500,000 disease-policy limit. 5/4/2015 solarfi lif Page 15 of 19 System Size Ratings &Performance There are three methods commonly used to rate PV system size: STC, PTC and CEC.The Standard Test Condition rating("STC"also called"DC"or"nameplate')assumes a standard set of optimal operating conditions.The STC rating is most often used by manufacturers to classify the power output of PV modules.The PV-USA Test Condition("PTC')and California Energy Commission("GEC")ratings were designed to approximate system performance in the more realistic operating conditions. The Energy production for the first year is based on PVWatts Version 1 and is the sum of each array's production.To calculate the systems energy production for any future year,the expected degradation in the system is included (See"PV' Degradation",in table above). Tax Credits&Deductions Income tax rate assumed:33.00% (Federal:28.00%-State:6.00%) To calculate the.estimated cash flow in this proposal,our analysis used these tax rates.We should stress that we cannot provide tax or investment guidance.You should consult your tax preparer or investment advisor for these services.This analysis calculates the cash flows based only on the assumotions entered into the proposal. The analysis assumes Federal Income Tax is not applied to any rebates. Therefore,the basis for the Federal ITC is the installation cost less 100%of any and all rebates. Residential In calculating the cash flow for an individual,our analysis assumes that the homeowner can deduct the interest from financing the system.This will be true if the financing is secured by the real estate, such as with a second mortgage, home equity loan, or home equity line of credit. (Net) Energy Bill Savings For an individual,electric bills are not usually deductible against income taxes. For a business, electric bills are usually deductible against income taxes. If an income tax rate is defined,the cash flow displays a"Net"Energy Bill Savings line item which is the Energy Bill Savings less the loss in tax deduction due to the PV system's lowering of the electric bill. Cost inflation for the utility rate and degradation of the system performance are also taken into account. 5/4/2015 ''solar lair Page 17 of 19 t Environmental Analysis CO2 gas emissions avoided per passenger via various travel methods: f -Travel Methotl r=mmissions%Mile Small Car .59 pounds Medium Car 1.10 pounds . SUV/4 Wheel Drive 1.57 pounds Airplane(Boeing 747) 0.97 pounds Air travel average USA capacity Tree offset calculation is based on a tree planted in the humid tropics absorbing on average 50 pounds (22 kg)of carbon dioxide annually over 40 years-each tree will absorb 1 ton of CO2. over its lifetime; but as trees grow,they compete for resources and some may die or be destroyed-not all will achieve their full carbon sequestration potential_This calculator assumes that 5 trees should be planted to ensure that at least one lives to 40 years or that their combined sequestration equals 1 ton. General waste based on the USA average carbon dioxide emission equivalent of 1,010 pounds per person per year. Source:American Forests;http://www.amedGanforests.org/assumptions-and-sources/ Electric Utility Rates &Assumptions UtiUty p !National Grade Rate Code I R-1 I Annual Inflation 4.0%(assumed] _ Utility Electric Rate Inflation: Historical References National Averages: In 2009,the average retail electricity price for all customers across the United States rose to 9.83 cents per kWh,a small increase over 2008.Over the two year period though,from 2007 to 2009,the average retail price rose 7.7%. In 2009,residential retail prices nationally increased from 11.26 cents per kWh in 2008 to 11.51 cents per kWh. See the following Department of Energy source for more detail on the regional and state inflation patterns Source: hftp:/twww.eia.doe.gov/cneaf/electdcfty/esr/esr—sum.html 5/4/2015 l'solarflav Page 19 of 19 f EAH Structural Consulting 35 Kendall Court Bedford,NtA 01730 PHONE 1.978.406.6921 EAH Cct4suL"rma Elaine@EAHStructural.com July 4, 2015 To: SolarFlair Energy,Inc. 190 Pleasant Street Ashland,MA 01721 Subject: Structural Certification for Installation of Solar Panels Theruvakattil Residence 102 Meadowood Road North Andover,MA.01845 To Whom It May Concern, A design check for the subject residence was done on the existing roofing and framing systems for the installation of solar panels over the roof. From a field inspection of the property,the existing roof support structures were observed by the client's auditors as follows: The roof structure of(MP1)consists of composition shingle on roof plywood that is supported by nominal 2x10 rafters @ 16"o.c.,paired with nominal 2x6 ceiling joists @ 16"o.c..The rafters have a max projected horizontal span of 15'-6",with a slope of 37 degrees.The rafters are connected at the ridge to a continuous 2x12 ridge board and are supported at the eave by a load bearing wall. There are 2x6 collar ties @ 32"o.c.for structural stability. The roof structure of(MP2)consists of composition shingle on roof plywood that is supported by nominal 2x10 rafters @ 16"o.c., paired with nominal 2x10 ceiling joists @ 16"o.c..There are 2x6 collar ties at every rafter which frame out an enclosed attic.The rafters are supported mid-span by veritcal struts which work with collar ties and ceiling joists to provide a truss system to support the rafters above.The rafters have a max projected horizontal span of 8'-0",with a slope of 37 degrees.The rafters are connected at the ridge to a continuous 2x10 ridge board and are supported at the eave by a load bearing wall. The existing roof framing system of(MP1)is judged to be adequate to withstand the loading imposed by the installation of the solar panels. No reinforcement is necessary. The existing roof framing system of(MP2)is judged to be adequate to withstand the loading imposed by the installation of the solar panels. No reinforcement is necessary. The spacing of the solar standoffs should be kept at 48"o.c.with a staggered pattern to ensure proper distribution of loads. I further certify that all applicable loads required by the codes and design criteria listed below were applied to the Unirac Solarmount solar rail system and analyzed.Furthermore,the installation crews have been thoroughly trained to install the solar panels based on the specific roof installation instructions developed by Unirac Solarmount for the racking system and Ecofasten for the roof connections. Finally, I accept the certifications indicated by the solar panel manufacturer for the ability of the panels to withstand high wind and snow loads. Design Criteria: • Applicable Codes=Massachusetts Residential Code,8th Edition,ASCE 7-05,and 2005 NDS • Roof Dead Load=9 psf(MPI) -- 13 psf(MP2) • Roof Live Load=20 psf • Wind Speed=100 mph, Exposure C • Ground Snow Load=50 psf - Roof Snow Load=35 psf Theruvakattil Residence, North Andover 1 EAH StructuralConsulting 35 Kendall Court Bedford,ASIA 01730 PHONE 1.978.406.8921 EAM CoNsuLyit4a Elaine@EAHStructural.com Please contact me with any further questions or concerns regarding this project. i Sincerely, ! .01OFay� ELAINE u� 1 o HUANG `�+ CMI Elaine Huang,P.E. No.49029 Project Engineer NAL ENS' Theruvakattil Residence, North Andover 2 TOWN OF NORTH ANDOVER AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c. 142 A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units...or to structures which are adjacent to such residence or building" be done by registered contractors, with certain exception, along with other requirements. Type of Work: 600if_ PV Est. CostI ZZ/4G Address of Work I0Z McAI)O 00to GZV Owner Name: 7011-ifl "rl-{moVAj�--q-1T/ 1 L_ Date of Permit Application: 6311:L I hereby certify that: Registration is not required for the following reason(s): For office Use Only Work excluded by law Permit No. Job under $1,000 Date Building not owner-occupied Owner pulling own permit Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FIND UNER MGL c. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: �. 8 t'131 Sou4 FtA(IL Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: Date Owner Name The Commonwealth of Massachusetts Department of IndustrialAecidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 Q www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHOR TY. AiMicant Information Please Print Leeibiv Name(Business/Organization/Individual): SolarFlair Energy, Inc. Address: 190 Pleasant St. City/State/Zip: Ashland,MA 01721 Phone#: 508-400-6805 Are you an employer?Check the appropriate box: Type of project(required): I.®I am a employer with 40 employees(full and/or part-time).* 7. ❑New construction 2. am a sole proprietor or partnership and have no employees working for me in ❑I l 8. E]Remodeling any capacity.[No workers'comp.insurance required.] 1[]I am a homeowner doingall work myself t 9. El Demolition y [No workers'comp.insurance required.] 4.[:]1 am a homeowner and will be hiring contractors to conduct all work on my property. I will 10❑Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.[:]Electrical repairs or additions proprietors with no employees. 12.E]Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance. 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.®Other Solar PV Install 152,§1(4),and we have no employees.[No workers'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 a new affidavit indicating such. tContractors 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: United States Fire Insurance Company Policy#or Self-ins.Lie.#: 4087259901 Expiration Date: 3/11/2016 Job Site Address:_ 107 MCADc0000T) Tlb�, City/State/Zip: A AWV6R, MIA 4)10 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 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 Siznature: `' Date: Phone#: 508-400-6805 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#: ACoORV CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYY`() 5/28/2015 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 NAME: The Driscoll Agency, Inc. PHONE FAX 93 Longwater Circle Arc No Ext: - - AIC,No: P.O. Box 9120 aDDRESS: ibd@driscollagency.com Norwell MA 02061 PRODUCER CUSTOMER ID#:6 9 0 3 INSURER(S)AFFORDING COVERAGE NAIC# SolINSURED INSURERA:Employers Mutual CasualtyCompany 190 Pleasant Energy, Inc. INSURERB:United States Fire Ins. Co. 1.90 Pleasant Street Ashland MA 01721 INSURERC: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:67528704 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 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR TYPE POLICY NUMBER 1MMIDDIYYYY1 IMMIDDIYYYY) LIMITS A GENERAL LIABILITY Y Y 5DO857015 3/11/2015 3/11/2016 EACH OCCURRENCE $1,000,000 X DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $200,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER, PRODUCTS-COMP/OP AGG $2,000,000 POLICY X PRO-_1 JECT LOC Emp. Ben. $1,000,000 B AUTOMOBILE LIABILITY Y Y 1337364072 3/11/2015 3/11/2016 COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO (Ea accident) BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE HIREDAUTOS (Per accident) $ NON-OWNEDAUTOS Comp. Ded. $$11000 Coll. Ded. $$11000 A X UMBRELLA UAB HOCCUR Y Y 5JO857016 3/11/2015 3/11/2016 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DEDUCTIBLE $ X RETENTION $10,000 $ B WORKERS COMPENSATION Y 4087259901 3/11/2015 3/11/2016 X I WCSTATUOT - B AND EMPLOYERS'LIABILITY T LI T- ER H ANY PROPRIETOR/PARTNERIEXECUTIVE YIN 3A State of MA 3/11/2015 3/11/2016 OFFICER/MEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $500,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 A Leased/Rented Equip SC0857015 3/11/2015 3/11/2016 Per Item 25,000 from Others Aggregate 50,000 $2,500 ded. DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of North Andover North Andover Town Hall 120 Main Street AUTHORIZED REPRESENTATIVE North Andover MA 01845 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation J ` 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 175579 Type: Corporation Expiration: 5/21/2017 Trt1 266013 SOLAR FLAIR ENERGY, INC. JEFFREY CONSTANTINE 190 PLEASANT ST ASHLAND, MA 01721 Update Address and return card.Mark reason for change. SCA 1 {} 20M-05111 ❑ Address Ej Renewal ❑ Employment ❑ Lost Card Office of Consumer Affairs&Business Regulation License or registration valid for individul use only sDOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: - - _ SRegistration: 175579 Type: Office of Consumer Affairs and Business Regulation WExpiration- .1251/2017 Corporation10 Park Plaza-Suite 5170 k, r - Boston,MA 02116 SOLAR FLAIR ENERGY,,INC. JEFFREY CONSTANTINE. 190 PLEASANT ST g� �� i ASHLAND,MA 01721 26- Undersecretary L401tv lid w out signature NNU 0- 4S CS406731 jEFFREY CMI TS7 238 IY"SIZE E71 Wavland MIA 01778 0810912016 C". Unrestricted-Buildings of any use group which contain less than.315-000 cubic-feet(991m)of enclosid space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit %vm-j.Mass.Gov/DP5