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Building Permit #962-15 - 134 BERKELEY ROAD 5/26/2015
Ly TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO• le Date Received Date Issued: 71 41pt RTANT:Applicant must complete all items on this pMe LOCATION. .134 Berkeley Road Print. PROPERTY OWNER Wayne Gendron Print 100 Year-Old-Structure 7yesMAP NO: PARCEL-:ZONING DISTRICT: Historic District es no Machine Shop Villagees TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building Q One family ❑Addition ❑Two or more family 0 Industrial lel Alteration No. of units: D Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: D Demolition ❑Other 0 Septic D Well ❑Floodplain ❑Wetlands 0 Watershed District 0 Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Installation of 5.40 kw(18 panels)rooftop solar array Installation of collar ties Identification Please Type or Print Clearly) OWNER: Name: Wayne Gendron Phone. 978-314-lo34 Address: 134 Berkeley Road i CONTRACTOR Name: Romain Strecker Phone: . 781-462-'8702,, Address: 10 Churchill Place,Lynn MA 01902 Supervisor's Construction License: _096385 Exp. Date: 10/16/2016 • Home Improvement License: 169698 Exp. Date: 7/27/2015 ARCHITECT/ENGINEER Dean Spooner Phone: Address: 21 Drydock Avenue,Boston MA Reg. No. 50405 I FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. ��— Total Project Cost: $ $39,688 FEE: $__ � Check No.: � 7� Receipt No.: r � . NOTE: Persons contracting with unregistered contractors do not have access to th guara4yful Signature of AgentlOwner G% ���- Signature of contractor r~ ... .. r-1 _ _. _ _. r_1 __ _. r-i Location 3VriL - No. Date M0117M TOWN OF NORTH ANDOVER O 4 A A Certificate of Occupancy $ s„CMU5 t� Building/Frame Permit Fee $ ` Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2 48 4 9 Building Inspector i Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPEOF SEWERAGEDISPOSAL 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 DATE REJECTED. - DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS .CONSERVATION Reviewed on Signature COMMENTS A, HEALT-N Reviewed on Signature COMMENTS z Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitteyd yes Planning Board Decision: Comments i Conservation Decision: Comments Water & Sewer Connection/signature Date Driveway Permit DPW Toiv;a Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENt -Temp Dumpster on site yes.. no e Located-at 124 Mair Street Fire Department signature/date COMMENTS 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.$10041000 fine NOTES and DATA—(For department use LI Notified for pickup - Date € i i Doc.Building Permit R-evised.2010 1 Building Department The fol.swing Wa list of the required forms to be filled out for the appropriate permit to be obtained. Roofivg, Siding, Interior Rehabilitation Permits ❑ Building Permit Application u Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract o Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses u Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application o Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (if Applicable) o Copy of Contract ❑ Mass check Energy Compliance Report o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all csses if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apu•-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submJted with the building application Doc: Doc.Building Permit Revised 2012 NORTH Town 1 E F.- Andover No. oh1. ti ver, Mass, 5 a �acncnic«■«.�c.. A�RATE0 s u _ - BOARD OF HEALTH Food/Kitchen PERMIT T Septic System THIS CERTIFIES THAT r_ BUILDING INSPECTOR 6 Foundation has permission to erect .......................... buildings oA.:3.q....... gr.. .... ...................... Rough to be occupied as ..........51�....r g........�5.. ►G�. ...or.............................................................. 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 11- , PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR `t UNLESS CONSTRUCTION A Rough Service ....................... ........ .. ................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. i Next Step Living, Inc. CT HIC.0629266•MA OCABR#162111•RI Contractor Reg.#37185 HOME IMPROVEMENT Date of Contract: 03/24/2015 :: next step living,. home energy solutions 21 Drydock Avenue,2nd Floor,Boston,Massachusetts 02210 Customer(s)Name(s): Wayne Gendron Telephone:866-667-8729•www.nextstepliving.com Customer(s)Street Address: 134 Berkeley Rd City: North Andover State: MA ZIP: 01845-5254 Customer(s)Home Phone#:' Customer(s)Mobile Phone#: Permits)Required: Building&Electrical City/County IssuingPermit(s): North Andover Customer(s)jointly and severally agrees to purchase the products and/or services of Next Step Living,Inc.("Contractor")in accordance with the terms and conditions described on the front and reverse of this Home Improvement Agreement("Agreement')and the attached specification sbeet(s).Customer(s) hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. ESTIMATED STARTING DATE: Wednesday,July 15,2015 ESTIMATED COMPLETION DATE: Wednesday,July 22,2015 TOTAL SOLAR SYSTEM PRICE: $39,687.17 PAYMENT METHOD: select option(s) ESTIMATED STATE REBATES: $0.00 H Cash ®Credit Card SOLAR PURCHASE PRICE: $39,687.17 Check Financing ROOFING PURCHASE PRICE: $0.00 TOTAL PROJECT PURCHASE PRICE: $39,687.17 See Payment Certificate for payment schedule In certain circumstances,Customer(s)may agree to assign to Contractor the right to receive and retain the rebate(s)associated with ownership and use of the product(s)in consideration of a reduction to the Total Price equal to the amount of the rebate. By signing below,Customer(s)hereby irrevocably assigns to Contractor the right to receive and retain such rebate.Owner agrees to provide all required support to receive the rebate. Amount $0.00 (Customer's Initials) I'm fine receiving autodialed and/or pre-recorded calls or text messages from or on behalf of Next Step Living to tell me about new products,sales or other events I may be interested in,and you can use any of the telephone numbers I have provided above. I understand my approval to receive these calls is not required for me to make a purchase. (Signature) Customer(s)agrees and understands that this Agreement constitutes the entire understanding between the parties,and that there are no verbal understandings changing any of the terms of this Agreement.Customer(s)acknowledges that Customer(s)(1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two accompanying Notices of Cancellation,on the date first written above and(2)was orally informed of Customer's right to cancel this Agreement.DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. NEXT STEP LIVING, INC. 03/24/2015 By: Todd Massicotte � Print Name Lic.#(CT only) Signature Date CUSTOMER(S) 03/24/2015 Wayne Gendron Print Name 'Signature Date Print Name :Signature Date YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION,SEE THE ACCOMPANYING NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. ©BLLP2013.NSL.CTMARI LG-300-M18-IVD2927-DC1500-IRO-CCO-RN-TN-Green Sky Q ADDITIONAL TERMS AND CONDITIONS (Connecticut Customers Only)The owner(s)of the home improvement contractor is or has been a shareholder,member,partner,or owner of the following corporations, limited liability companies, partnerships, sole proprietorships or other legal entities that have been a home improvement contractor during the previous five years:None. (Massachusetts Customers Only)In Massachusetts,all contractors and subcontractors must be registered by the administrator of the Board of Building Regulations and Standards and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Office of Consumer Affairs and Business Regulation,Ten Park Plaza,Suite 5170,Boston,Massachusetts 02116 Telephone: (617)973-8700. Any deposit required under this Agreement to be paid in advance of the commencement of work shall not exceed the greater of one-third of the total contract price or the actual cost of any materials or equipment of a special order or custom made nature, which must be ordered in advance of the commencement of work,in order to assure that the project will proceed on schedule.No final payment shall be demanded until the contract is completed to the satisfaction of the parties. In Massachusetts,the contractor is responsible for applying for and obtaining any and all necessary permitting.Homeowners who secure their own permits will be excluded from the guaranty fund provisions of Massachusetts law. Delay/Unknown Conditions:Contractor's failure to perform any term of this Agreement due to conditions beyond its control such as,but not limited to acts of God,material shortages, Customer's inability to qualify for or obtain financing, delays by local government authorities in issuing or otherwise approving inspections,permitting,or other required authorizations do not constitute abandonment and are not included in calculating time frames for performance by Contractor.Contractor and Customer(s)have determined that a definite completion date is not of the essence to this Agreement. Late Cancellation/Late Payment/Default:If Customer(s)attempts to cancel this Agreement after midnight of the third business day after the date of this Agreement,and Contractor accepts such cancellation,all work will be stopped as promptly as is reasonably possible and Customer(s)agrees to pay Contractor a cancellation fee equal to 15%of this Agreement's purchase price to offset Contractor's incurred labor, administrative,and material costs.Customer(s)agrees to pay a late fee of 1.5%per month on all amounts due and owing from Customer(s)to Contractor accruing from the date due and running to the date the payment is made.If Customer(s)is in default of this Agreement,Contractor shall be entitled to seek recovery of Contractor's attorney's fees and any other costs or expenses of repossession or collection from a court of law. Contractor's Right to Cancel: In the event that Contractor determines that this Agreement cannot be performed as intended by the parties due,for example,to incorrect pricing,unforeseen structural defects,or pre-existing conditions to Customer's property,Contractor may cancel this Agreement within Forty-Five(45)days of its execution,notify Customer(s)of such cancellation in writing,and return all money paid by Customer(s). No Set-Offs or Retentions:Upon completion of Contractor's work under this Agreement,Customer(s)shall pay all amounts due under this Agreement without any right of set-off or retention.Completion is defined as the job being materially completed,functional as intended,and a final inspection, permit or occupancy certificate, as the case may be, having been obtained. If after paying all amounts due, Customer(s) alleges that Contractor's work is defective,Contractor,without waiving any of its rights,shall inspect the work and perform any remedial work to the extent Customer(s)is entitled to under this Agreement or Contractor's warranty at no cost to Customer(s). Customer's Representations: Customer(s) represents that(a) Customer(s) owns the premises where the work is being performed, (b)the property is free of preexisting hazards,(c)Customer(s)maintains casualty insurance on the property covering the work performed,(d)if the existing electrical service at the property does not meet the standards of the utility company or electrical code, Customer(s) will make the necessary changes at Customer's expense unless Contractor has agreed to make these changes in writing. Contractor's Rights:Contractor accepts no responsibility for any damage resulting from pre-existing structural or other defects in Customer's property and Contractor is not responsible for remedying structural defects in Customer's property.Contractor shall not be responsible for(a) any damages arising in whole or in part from any causes beyond Contractor's control;(b)any incidental or consequential damages,including but without limitation, lost profits or reduction in value of.Customer's property arising from Contractor's delay in performing under this Agreement or due to Contractor's breach of this Agreement; and (c) unintentional damage to Customer's personal property, it being understood that Customer(s)is responsible for protection and/or moving of such items prior to commencement of work.Customer(s)agrees to indemnify and hold Contractor and its employees, agents, and subcontractors harmless from any claims as to the identification, detection, abatement,encapsulation,or removal of mold,asbestos,lead-based products,or other hazardous substances inside or outside of the property at which work is performed.Any surplus materials remain the property of Contractor.Any manufacturers'warranties offered by the manufacturer of the products purchased shall be provided to Customer(s).No warranty will be effective while a balance due remains on this Agreement. LG-300-Ml8-IVD2927-DC1500-IRO-CCO-RN-TN-Green Sky i Rebates:Unless Customer(s)has assigned its rights to Contractor,Customer(s)shall be entitled to receive and to claim any and all rebates and any other benefits associated with ownership and use of the product(s). Customer(s) shall have the sole responsibility of making any application for any such benefits. Contractor shall have no obligation and assumes no responsibility to apply for or collect any benefits on Customer's behalf nor has Contractor made any representation or warranty to Customer(s)with respect to Customer's eligibility to receive,or the value of, any such benefits,including any net metering credits or solar renewable energy certificates. In all cases, Customer(s)agrees to consult with the relevant governmental officials and Customer's professional tax preparer when evaluating Customer's eligibility for and the financial and tax consequences of receiving benefits.The Attachment includes a summary and estimate of the benefits that may be applicable to the product(s), plus the estimated net cost to Customer(s) after application of such financial incentives; contingent in each case upon Customer(s)receiving or being eligible to receive such benefits. Security Interest: Customer(s) agrees and understands that in the event that Customer(s)does not pay Contractor any of the money owed when it is due, Contractor may have a claim against Customer(s)that may be enforced against Customer's property in accordance with the applicable lien laws. Customer(s) also understands that if Customer(s) finances the work with Contractor or a third party, Customer's separately provided financing documents may include a security interest. Customer(s) understands that Customer(s) should read those documents closely. Miscellaneous:No waiver of any breach of this Agreement shall be construed as a waiver of any prior,concurrent,or subsequent breach hereof.The section headings contained in this Agreement are inserted for convenience only and shall not affect in any way the meaning or interpretation of this Agreement.In construing this Agreement,the gender and number of words used may be changed to meet the context. This Agreement shall be governed by and construed in accordance with the laws of the state in which it is performed,except as may be preempted by federal law.If a provision of this Agreement is held to be invalid or unenforceable,this Agreement shall continue in full force and effect and shall be construed as if the invalid or unenforceable provision was omitted.Customer(s)agrees that Contractor can assign any of Contractor's rights under this Agreement without Customer's consent and that the person to whom Contractor assigns this Agreement shall be entitled to all of Contractor's rights under this Agreement.The Purchase Price listed on the front of this Agreement includes all applicable sales tax and all governmental fees required for Contractor to perform this Agreement.To the extent any goods or material are not specifically listed in this Agreement but are necessary to complete the work,Contractor will select goods and materials of commercial grade(i.e.,of the grade,type,or condition,ordinarily or customarily used for such work),such selection being at the sole discretion of Contractor.Contractor may engage independent subcontractors to perform work under this Agreement. Five-Year Warranty:Contractor warrants its workmanship under this Agreement for a period of five(5)years.In the event of a valid claim, Contractor will repair or replace,at its option,and at its sole expense and at no cost to Customer(s),any defects in workmanship provided by Contractor or its subcontractors.Effective immediately upon Customer(s)making of the final payment under this Agreement,Contractor assigns to Customer(s),to the extent assignable,any and all manufacturer warranties covering the equipment and shall deliver copies of such warranties after its receipt of such final payment.No warranty will be effective while a balance due remains on this Agreement. Documents Incorporated by Reference: Specification Sheet(s),Notice of Cancellation CLASS ACTION WAIVER:Customer(s)agrees that Customer(s)will assert a dispute,claim,or controversy(hereafter referred to as a"Claim")arising under or relating to this Agreement only on behalf of Customer's own self and that Customer(s)will not assert a Claim on behalf of,or as a member of,a class or group in either an arbitration proceeding,a private attorney general action,or in any other forum or action,if a court determines that this specific paragraph is not fully enforceable,the court's determination shall be subject to appeal.This paragraph does not apply to any lawsuit or administrative proceeding filed against Contractor by a state or federal government agency even when such agency is seeking relief on behalf of a class of Customers. LG-300-M18-ND292TDC1500-IRO-CCO-RN-TN-Green Sky Next Step Living, Inc. CT HIC.0629266•MA OCABR#162111•RI Contractor Reg.#37185 SPECIFICATION 03/24/2015 Date of Contract: next step'Living. home energy solutions - 21 Drydock Avenue,2nd Floor,Boston,Massachusetts 02210 Customer(s)Name(s): Wayne Gendron Telephone:866-867-8729•www.neKtstepliving.com Customer(s)Street Address: 134 Berkeley Rd City: North Andover State: MA ZIP: 01845-5254 Customer(s)Home Phone#: Customer(s)Mobile Phone#: Permit(s)Required: Building&Electrical City/County Issuing Permit(s): North Andover The Customer(s)listed above hereby jointly and severally agrees to purchase the goods and/or services listed below,in accordance with the prices and terms described on this Specification Sheet and the front and the reverse of the accompanying HOME IMPROVEMENT AGREEMENT,of which this Specification Sheet is a part. Description of the Solar Project and Description of the Significant Materials to Be Used:(1)delivery of solar equipment,(2)complete installation to manufacturer's specifications,(3)installation of inverter,conduit runs,and racking system as needed,and(4)cleanup after installation. Scope of Solar Panel Brand:LG Panel type:LG-30ON1C-G3 Panel Watts(DC STC)-300 Monitoring system with 5 year service(owners responsibility after 5 years) The solar array will consist of 18 panels for a total system size of 5400(DC STC) Description of the Hoofing Project and Description of the Significant Materials to Be Used:except for areas highlighted in red,which are excluded,(1) delivery of roofing materials,(2)removal of existing roofing material(up to 2 layers)and inspection of roof deck after existing roofing material is removed, (3)recycling of existing asphalt shingles,(4)cutting in ridge venting as needed,(5)six feet of ice and water shield at the eaves and three feet along the rakes and in the valleys,(6)synthetic underlayment covering all other areas,(7)complete installation to manufacturer's specifications,and(8)cleanup after Scope of Roof work Scope of Work: No roof work being performed by Next Step Living Color: Roofing Brand:Owens Corning Roofing type: 30 year architectural Scope of Work:NSL shall perform all work and provide all materials described on the Work Scope attached to this agreement and will be responsible for any and all materials,and appurtenant items as may be required and necessary to perform all work described on the Work Scope and any performance reasonably inferable from it,including clean-up associated with NSL's work. It is agreed and understood by and between the parties that this Specification Sheet,along with the HOME IMPROVEMENT AGREEMENT, constitutes the entire understanding between the parties,and there are no verbal understandings changing any of the terms.This Specification Sheet may not be changed or its terms modified or varied in any way unless such changes are in writing and signed by both Customer(s)and Contractor. Customer(s)hereby acknowledges that Customer(s)has read this Specification Sheet. NEXT STEP LIVING, INC. 03/24/2015 By: Todd Massicotte l Print Name Lic.#(CT only) Signature Date CUSTOMER(S) ��� 03/24/2015 Print Name Signature Date Print Name Signature Date ©BLLP2013.NSL.CTMARI LG-300-M18-IVD2927-DC1500-IRO-CCO-RN-TN-Green Sky i Next Step Living, Inc. CT HIC.0629266•MA OCABR#162111•RI Contractor Reg.#37185 NOTICEOF • ,(D:: next step Living, home energy solutions 21 Drydock Avenue,2nd Floor,Boston,Massachusetts 02210 Telephone:866-867-8729•www.neKtstepliving.com The following Notice of Cancellation applies to all states. NOTICE OF CANCELLATION i NOTICE OF CANCELLATION - Date of Transaction: 03/24/2015 ;Date of Transaction: You may CANCEL this transaction,without any Penalty or Obligation,within!You may CANCEL this transaction,without any Penalty or Obligation,within THREE BUSINESS DAYS from the above date.If you cancel,any property ITHREE BUSINESS DAYS from the above date.If you cancel,any property traded in,any payments made by you under the Contract or Sale,and any 'traded in,any payments made by you under the Contract or Sale,and any negotiable instrument executed by you will be returned within TEN negotiable instrument executed by you will be returned within TEN BUSINESS DAYS following receipt by the Seller of your cancellation notice, BUSINESS DAYS following receipt by the Seller of your cancellation notice, and any security interest arising out of the transaction will be canceled.If land any security interest arising out of the transaction will be canceled.If you cancel,you must make available to the Seller at your residence,in ,you cancel,you must make available to the Seller at your residence,in substantially as good condition as when received,any goods delivered tosubstantially as good condition as when received,any goods delivered to you under this Contract or Sale;or you may,if you wish,comply with the iyou under this Contract or Sale;or you may,if you wish,comply with the instructions of the Seller regarding the return shipment of the goods at the instructions of the Seller regarding the return shipment of the goods at the Seller's expense and risk.If you do make the goods available to the Seller Seller's expense and risk.If you do make the goods available to the Seller and the Seller does not pick them up within 20 days of the date of your land the Seller does not pick them up within 20 days of the date of your Notice of Cancellation,you may retain or dispose of the goods without any !Notice of Cancellation,you may retain or dispose of the goods without any further obligation.If you fail to make the goods available to the Seller,or if Ifurther obligation.If you fail to make the goods available to the Seller,or if you agree to return the goods to the Seller and fail to do so,then you 1you agree to return the goods to the Seller and fail to do so,then your remain liable for performance of all obligations under the Contract.To 1 remain liable for performance of all obligations under the Contract.To cancel this transaction,mail or deliver a signed and dated copy of this cancel this transaction,mail or deliver a signed and dated copy of this cancellation notice or any other written notice,or send a telegram,to Next I cancellation notice or any other written notice,or send a telegram,to Next Step Living,Inc.,at 21 Drydock Avenue,2nd Floor,Boston,Massachusetts 'Step Living,Inc.,at 21 Drydock Avenue,2nd Floor,Boston,Massachusetts 02210, 03/27/2015 102210, NOT LATER THAN MIDNIGHT OF (Date) INOT LATER THAN MIDNIGHT OF (Date) I HEREBY CANCEL THIS TRANSACTION. I I HEREBY CANCEL THIS TRANSACTION. Consumer's Signature Date Consumer's Signature Date ------------------------------------------------------------------- In addition to the above notice, the following Notice of Cancellation ------------------ applies to Rhode Island customers. _ _ _ _ _________ NOTICE OF CANCELLATION r NOTICE OF CANCELLATION Date of Transaction: Date of Transaction: You may cancel this transaction,without any penalty or obligation,within iYou may cancel this transaction,without any penalty or obligation,within three(3)business days from the above date.If you cancel,your cancellation three(3)business days from the above date.If you cancel,your cancellation notice must state that you do not wish to be bound by the agreement and !notice must state that you do not wish to be bound by the agreement and mailed by registered or certified mail not later than midnight three(3)days Imailed by registered or certified mail not later than midnight three(3)days following the buyer's signing the agreement,excluding Sunday and any 'following the buyer's signing the agreement,excluding Sunday and any holiday on which regular mail deliveries are not made.All cancellations !holiday on which regular mail deliveries are not made.All cancellations must be mailed to:Next Step Living,Inc.,at 21 Drydock Avenue,2nd Floor, Imust be mailed to:Next Step Living,Inc.,at 21 Drydock Avenue,2nd Floor, Boston,Massachusetts 02210. 'Boston,Massachusetts 02210. 1 HEREBY CANCEL THIS TRANSACTION. I I HEREBY CANCEL THIS TRANSACTION. Consumer's Signature -___-_-_-_-_- Date __-____ 'Consumer's Signature Date _______- The above-signed individuals acknowledge receipt of the above Notices of Cancellation,with all blank lines filled in,and further acknowledge that they were orally informed of their right to cancel this transaction. Wayne Gendron Print Karn& 03/24/2015 Print Name Signaturre`�bo7lo�o Date Signature Date LG-300-M18-102927-DC1500-IRO-CCO-RN-TN-Green Sky 6 OWNER'S AUTHORIZATION FORM For Permit Application(s) The sole purpose of this form is to provide Next Step Living with the Necessary permission from the Owner to file Permit Application(s)for such Project work as agreed upon between the Owner and the Owner's Authorized Company and its designated subcontractors. Wayne & Robin Gendron Owner's Name: Solar Project Address: 134 Berkeley Rd. North Andover, Ma 01845 Signatures�2�Z77 Owner's Authorized Company: Next Step Living Inc. Company's Address: 21 Dry Dock Avenue South Boston, MA 02210 Affiliation: Contractor Applicable License: HIC#162111 State: MA Wayne Gendron Residence Solar Panel Installation 134 Berkeley Road North Andover,MA 01845 Page 2 Thermal Factor Ct: 1.0 Existing condition(Warm Roof) 1.1 With panels(Cold Roof} Design Snow Loads: 35 PSF(Existing—Unobstructed Warm Roof) 25.68 PSF(New Condition—Slippery Surface on Cold Roof) Basic 1Nind Speed: 100 MPH from Table 8301.2(4) Importance Factor: 1.0 Exposure: B Analysis Results General The proposed solar panels impose a total weight of approximately 3 pounds per square foot(PSF)on the roof surface.The International Residential Building Code allows up to two(2)roof coverings on a residential dwelling.Each roofing layer of asphalt shingles imposes a dead load of 2.5 to 1.0(PSF)on the roof.Because the existing roof has only one layer of shingles,the code allows a second layer to be added j without analysis.The weight of the second layer of shingles is approximately the same as the solar panels which will be installed instead of the second layer of shingles. Solar panels are considered a slippery surface and are mounted a small distance above the existing roof. Therefore,one would be cautious in considering a thermal factor,Ct,of 1.1,treating the panel surface as a cold roof,rather than a warm roof.After considering the roof slope factor,Cs,from figure 7-2,ASCE 7-10,the snow load is reduced by 27%for the main roof compared with the snow loading on the existing shingled roof,which is not considered a slippery surface.The reduction in snow load due to this consideration is about 9.32 PSF for the main roof,which essentially offsets the weight of the solar panels. Grayly Loading: Although the addition of solarpanels results in a net reduction in the overall loading,the existing rafters are overstressed.As such,we recommend that a 2 x 6 collar tie be added at every set of rafters.The collar ties should be at least eight(8)feet long,cut flush to the roof sheathing,and shall be fastened to each existing rafter with a minimum of 5—16d nails OR 5 Ledger Lock screws as manufactured by Fasten Master. The panels will be installed using Unirac Solar Mount rails with L-brackets in a portrait configuration with a rail toward the top and bottom of each panel edge.The L-brackets will be fastened directly to the roof rafters with 5/16"diameter lag screws.The fastener layout shall start near each cornerand for portrait orientation shall have a maximum spacing of 54"on center parallel to the roof slope and 32"on center perpendicular to the slope(e.g.,every other rafter).Each 5/16"diameter lag screw shall have a minimum of 2.5"thread penetration into the existing rafter. i i i ,y 21 Drydock Avenue, 2"" floor i� next step Living TM Boston, MA 02210-2384 home energy solutions 866-867-8729 NextStepLiving.com May 11, 2015 Town of North Andover Building Department 1600 Osgood Street Building 20,Suite 2035 North Andover,MA 01845 RE:Wayne Gendron Residence Solar Panel Installation 134 Berkeley Road North Andover,MA 01845 Structural Assessment of Roof Framing NSL Project No: SP169537 Dear Sirs, Next Step Living, Inc.has performed a limited structural evaluation of the roof framing at the above referenced site to determine if the roof has adequate capacity to support proposed solar PV panels.This analysis has been based on field measurements,framing information and configurations observed at the proposed site. The existing residence is located at 134 Berkeley Road,North Andover,MA 01845. Structural Data and Code Information Our analysis was,performed in accordance with the requirements of the MA Residential Building Code 780 CMR—Eighth Edition.The main roof of this residence is framed with conventional roof rafters with collar ties in a gable configuration.The existing roof structure is in good condition and currently has one layer of asphalt shingles as roof covering. The pertinent data is listed below: Main Roof Rafters:134"x 7 V(#2 Spruce Pine Fir,Clem Fir,D.Fir Larch Assumed) Rafter Spacing:16"on center Roof Slope: 30 Degrees Horizontal Projected Length of Rafter:14.67 feet Ceiling Joists:Present Collar Ties: Present every other rafter Roof Sheathing:Plywood sheathing Roof Covering: Asphalt shingles Condition of Framing: Good Ground Snow Load,Pg:50 PSF from Table R301.2(5) Importance Factor,l: 1.0 Exposure Factor,Ce: 1.0(Partially Exposed) i Wayne Gendron Residence Solar Panel Installation 134 Berkeley Road North Andover,MA 01845 Page 2 Thermal Factor Ct: 1.0 Existing condition(Warm Roof) 1.1 With panels(Cold Roof) Design Snow Loads: 35 PSF(Existing—Unobstructed Warm Roof) 25.68 PSF(New Condition—Slippery Surface on Cold Roof) Basic Wind Speed: 100 MPH from Table R301.2(4) Importance Factor: 1.0 Exposure: B Analysis Results General The proposed solar panels impose a total weight of approximately 3 pounds per square foot(PSF)on the roof surface.The International Residential Building Code allows up to two(2)roof coverings on a residential dwelling.Each roofing layer of asphalt shingles imposes a dead load of 2.5 to 3.0(PSF)on the roof.Because the existing roof has only one layer of shingles,the code allows a second layer to be added without analysis.The weight of the second layer of shingles is approximately the same as the solar panels which will be installed instead of the second layer of shingles. Solar panels are considered a slippery surface and are mounted a small distance above the existing roof. Therefore,one would be cautious in considering a thermal factor,Ct,of 1.1,treating the panel surface as a cold roof,rather than a warm roof.After considering the roof slope factor,Cs,from figure 7-2,ASCE 7-10,the snow load is reduced by 27%for the main roof compared with the snow loading on the 1 existing shingled roof,which is not considered a slippery surface.The reduction in snow load due to this consideration is about 9.32 PSF for the main roof,which essentially offsets the weight of the solar panels. Gravity Loading: Although the addition of solar.panels results in a net reduction in the overall loading,the existing rafters are overstressed.As such,we recommend that a 2 x 6 collar tie be added at every set of rafters.The collar ties should be at least eight(8)feet long,cut flush to the roof sheathing,and shall be fastened to each existing rafter with a minimum of 5—16d nails OR 5 Ledger Lock screws as manufactured by Fasten Master. The panels will be installed using Unirac Solar Mount rails with L-brackets in a portrait configuration with a rail toward the top and bottom of each panel edge.The L-brackets will be fastened directly to the roof rafters with 5/16"diameter lag screws.The fastener layout shall start near each corner and for portrait orientation shall have a maximum spacing of 54"on center parallel.to the roof slope and 32"on center perpendicular to the slope(e.g.,every other rafter).Each 5/16"diameter lag screw shall have a minimum of 2.5"thread penetration into the existing rafter. l i i Wayne Gendron Residence Solar Panel Installation 134 Berkeley Road North Andover,MA 01845 Page 3 It is also important that the L-bracket attachment locations be staggered between adjacent rails so that no single rafter supports more load than under the existing conditions Wind Loading: Provided the leveling feet attachments to the roof are made in a typical staggered pattern,the overall wind loading imposed on the structure will not be impacted to any great extent.The net wind loads imposed on the roof framing will be less than the current loading with an attachment spacing described above. Conclusions: Our evaluation of the proposed solar-electric installation has established that the framing;is NOT adequate to support the addition of the solar panels to the existing roof as indicated on the Solar PV plans without strengthening the structure as previously discussed herein.Once the roof framing is reinforced,it will be adequate to support the solar panels.We have only reviewed the adequacy of the connection to the existing rafters and the capacity of the existing rafters to support the vertical and lateral loads from the solar electric system.We do not take responsibility for any other portion of the solar panel array support system,the existing roof framing construction,or the integrity of the structure i as a whole. I Do not hesitate to contact my office at 866-867-8729 should you have any questions or if you require any additional information. I Respectfully, Next Step Living, Inc. i • �� .60100 ' Dean MA Prof.Eng.License#50405 i i I i i R ELECTRICAL DESIGN o � PV MODULE RATINGS QD STC SOURCE COMBINER RATINGS INVERTER RATINGS lT a o Temperatures INVERTER MODEL:Enphase MicroinverterZ N MODULE MANUFACTURER: LG Average High:28-C MAX OCPD RATING(A):20 MODEL:M250-60-2LL-S22 4 C0 - MODULE MODEL#:LG30ON1C-A3 Record Low:-29•COCPD AMPERAGE RATING(A):20 MAX DC VOLT RATING(V):48 a> o OPEN-CIRCUIT VOLTAGE(Voc): 39.80 MAX POWER @ 40'C(W):250 > �,C14OCPD VOLTAGE RATING(V):240 NOMINAL AC VOLTAGE 240 W tp al Ln OPERATING VOLTAGE(Vmp): 32.0 M' NOMINAL AC CURRENT(A):1.OA , �j a) U-) OPERATING CURRENT(Imp): 9.40 2x#10 THWN-2 Wire BLACK MAX BRANCH AC CURRENT(A):9A/9A • 1 -1 ' SHORT-CIRCUIT CURRENT(Isc):9.98 2 x#10 THWN-2 Wire RED MAX BRANCH OCPD CURRENT(A):20A Z m o MAXIMUM POWER(W):300 P Voc TEMP COEFF(mV or%/*C)=-0.29%/PC 2 x#10 THWN-2 WHITE 1"EMT INDOORS oA Z M Q Isc=0.04%/pC 1 x#6 THWN-2 EGC 2 `t`� N a`► •• � 7 WIRES --------------- ...............i CO) E d > p 3 — L ••••• PV LOAD > U) 'C -Op LU i LU V Q Q First End-Fed Branch of 9-M215 Inverters 20A To1N of 0 panel,mnnwflW In AC LWOONIC- elrcull brNleh LTi]II,Ntc. WSOONIC- LGSOONIC- A] MA, outputf ft cu 1 Ili A] AS p.PA nn.f I 1' . . - . 7 J-box !i1 A Q EnPhaw Enpluw Enphvw EnDh.w ; •-0 2LL4-0 .................................................. 2LL ... co Second End-Fed Branch of 9-M215 Inverters -> W.f.p. l.—M AC J }� LG300M C- clrcult brantlt LOSOONtC• LOSOONIC- LO]OON1C- • M..ImumouTu—p1.uffent AS A] /�1 O,BA-TpepP.nN V/ EnphOw Erob.w EnPh.0 EnpNw 720 V! 2LL ................................................... 2LL -._._._._._._._...--_- ILL ...................... ILL ......_._..._..._.. , - L (U O O O NOTE:A GEC(grounding electrode conductor)is INSIDE X C required only for M215-60-2LL.It is not required FUSED AC O for M215-60-2LL-IG ENVOY COMMUNICATIONS DISCONNECT z GATEWAY 60A 240V 25AMPS U LI N i— ETHERNE CONNECTION TO BROADBAND ROUTER 120 VAC POWER CABLE OUTSIDE AC 1ooA) ) Symbol Conventions: 1 x#6 THHN-Wire BLACK DISCOiNNECT _r 2-Pole Licensed Electrician Assumes All Responsibility For 1 x#6 THHN-Wire RED 30A?240V —� Circuit Breaker Determining Onsite Conditions and Executing 1 x#6 THHN-Wine WHITE MSP Installation In Accordance with NEC 2014 Codes 1 x#6 THWN-2 EGCI © .�.s Fuse 1"EMT INDOORS #�f Q, P/P Visible Break CONDUIT SIZING SERVICE PANEL RATINGS n/e Knife Switch AC DISCONNECT RATINGS .................................... �e 1"PVC OUTDOOR MEP BRAND:I-T-E DISCONNECT AMP RATING(A):30 1"EMT INDOOR BUS AMP RATING(A):200 DISCONNECT VOLT RATING(V):240 SERVICE VOLTAGE(V):240 r• ................... Equipment NEMA 3R MAIN AMP RATING(A):200 Grounding BREAKER RATING(A):NA Conductor — Drawn by:H-Menkarl ' ARRAY DESIGN / SITE DIAGRAM HEIGHT OF HOUSE PANEL ORIENTATION (TRUE) ROOF PITCH (DEGREES) 240" 215' 30° DRIVEWAY o r N 2 O N y Z 0 — Microinverter System W � aTi CO) ns LoL9 WL U) 0O z E a m UTILITY METER z d iii AC DISCONNECT S c > m LGATE 120 > v, -00 0 ***PROPOSED CONDUIT RUN; W 'O c t ELECTRICIAN WILL FIELD VERIFY*** 131 W 0 0 0 a *'FINISHED ATTIC*** C E CU 0 14" C: 12" ci' •� Q 2_7733; o„ - Quick Mount PV T J z-I7 :asy v Q CD N Portrait Total's .c N O Total#of Panels: 18 W41- 7 clar 00 Total#of Splice Bars: 2 �_ • Total#of Bonding Jumpers:2 v x O Total#End Clamps: 12 N 0 1414) Total#of Mid -Clamps: 30 ZZ IF 246" PLACE PV LOAD CENTER OUTSIDE TO THE LEFT OF THE X39.05"� 'j o UTILITY METER, THE CUSTOMER IS RESPONSIBLE FOR o ***ARRAY LAYOUT ISNOT TO MOVING OBSTRUCTIONS 1' FROM PVLC LOCATION; 6 SCALE*** PLACE ENVOY MONITORING EQUIPMENT TO THE LEFT OF Quick Mount PV Solar Flashings THE MAIN ELECTRICAL PANEL will be used on every roof penetration Customer Signature: Date: TYPICAL ATTACHMENT DETAILS THIS EDGE TOWARDS ROOF RIDGE /—RACKING COMPONENTS ----- liI1.1 ; NOT INCLUDED 5 5 k'Hki 171.043',,5052, 7 +y4 50 g u } 2QUCK,CLASSIC, 911 CAST AL,MH 8 - o I � 3PLIIG,SE4JhIG.�463 M`s ETi41,�18.8 SS I Z-�.4 J I W^ a IINASH:R,FFNDEF,$io'TX 1.114`0), I&,A JS I 1 T �. ��---A.SD .• i (withdrawal) capacities (lbs) in typical lumber: Lag (Bolt Specifications Specify Gravity 5116'shaft per.3"thread depth 5116"shaft per 11"thread depth Douglas Fir;Larch .50 798 266 Douglas Fir,South .46 705 235 Engelmann Spruce,Lodgepole Pine(h,ISR 1€.501 f&higher) :46 705 235 Henn, Fir .43 636 212 Herm,Fir(Norl'h) .46 705 235 Southern Pine .55 921 307 Spruce, Pine_Fir .42 615 205 Spruce, Pine,Fir(E:of 2 million ps and highs-grades of hASR and MEL) .50 798 266 '*"SEE ENGINEERING Next Step Living Inc. Quick Mount PV REPORT FOR ATTACHMENT next step tivii1 . Module and Roof QMSE-LAG:QMPV E-MOUNT SPACING"' home energy sotutions Attachment Detail WITH LAG BOLT { ELECTRICAL DESIGN � O L PV MODULE RATINGS STC SOURCE COMBINER RATINGS INVERTER RATINGS -0O0 Temperatures INVERTER MODEL:Enphase Mlcroinverter N y Z MODULE MANUFACTURER: LG Average High:28°C MAX OCPD RATING(A):20 MODEL:M250-60-2LL-S22 4 (5 . MODULE MODEL#:LG30ONIC-A3 Record Low:-29'C OCPD AMPERAGE RATING(A):20 MAX DC VOLT RATING(v):48 Q y W "- OPEN-CIRCUIT VOLTAGE(Voc): 39.80 OCPD VOLTAGE RATING(V):240 MAX POWER @ 40"C(W):250 W >,N LO CO OPERATING VOLTAGE(Vmp): 32.0 NOMINAL AC VOLTAGE(v):zoo a> NOMINAL AC CURRENT(A):1.OA , N to OPERATING CURRENT(Imp): 9.40J � 'Zi- 2 t x#10 THWN-2 Wire BLACK MAX BRANCH AC CURRENT(A):9AJ9A SHORT-CIRCUIT CURRENT(Isc):8.982 x#10 THWN-2 Wire RED MAX BRANCH OCPD CURRENT(A):20A Z E m o MAXIMUM POWER(VV):300 2 x#10 THWN-2 WHITEIts -t Voc TEMP COEFF(mV or%/'C)=-0.29%/'C � Z Cl) 1 x#6 THWN-2 EGC �� ISC=0.04%/'C 20A + " = Z 1"EMT INDOORS d H ` jWIRES .........................................................i c — 1= vl N N p N >O _ -•-•' PV LOAD •k $A 'O •tJ 0 V Q Q First End-Fed Branch of 9-M215 Inverters 2 Tote)e19 penia wnnecleJ In AC —� L[+]OON1C- clrall brarON LG]DON1C- L(i]09mC- L(i]ODN1C• �' A] Metlmum output lault culmnt A] N A] o.sa rm+par panel - i J-box b1 A O : En2phaee Erobore .............Enphre EnZ Mu : _ _ _ __ _ "/ t ........... ................. 2LL CIO 2LL '2LL 2LL Second End-Fed Branch of 9-M215 Inverters >_ oteia+dmuhhDnch mAc J LDUDDN+C- GlcYM blenM LOSDON+C- lA]OON+C- LU]ODNtC• }, • a] McMlmum oubG bolt eurrent- A] rD a] A] • ' /�� 0.9A rm+par penal Q W EnpM+e ErpMw _ Enqu+e EnpMsa LGate n' C C __________________ : 120 V/ /�� ZLL •---•-•-•--------•-------•-•----------------------- 2LL -....................- -ILL --•---•---•----------- •]LL -- J ♦V I-1 i _ NOTE:A GEC(grounding electrode conductor)isINSIDE M X O O required only for M215-60-2LL.It is not required FUSED AC 0 for M215-60-2LL-IG ENVOY COMMUNICATIONS DISCONNECT z GATEWAY 60A 240V 25AMPS N U L+ ETHERNE CONNECTION TO BROADBAND ROUTER 120 VAC POWER CABLE - Symbol Conventions OUTSIDE AC 100A) ) `� 1 x#6 THHN-Wire BLACK DISCONNECT } 2-Pole Licensed Electrician Assumes All Responsibility For 1 x#6 THHN-Wire RED 30A':240V —�— Circuit Breaker CIL Determining Onsite Conditions and Executing 1 x#6 THHN-Wire WHITE Ms ; Installation In Accordance with NEC 2014 Codes 1 x#6 THWN-2 EGC O a`r or1_0 Fuse 1"EMT INDOORS a wIREs 4111IM& CU ✓D Visible Break o ✓D Knife Switch AC DISCONNECT RATINGS CONDUIT SIZING SERVICE PANEL RATINGS is t ✓D 1"PVC OUTDOOR MEP BRAND:I-T-E DISCONNECT AMP RATING(A):30 1"EMT INDOOR BUS AMP RATING(A):200 DISCONNECT VOLT RATING(V):240 SERVICE VOLTAGE(V):240 .it ------------------- Equipment NEMA 3R MAIN AMP RATING(A):200 Grounding BREAKER RATING(A):NA Conductor Drawn by:H-Menkari ARRAY DESIGN / SITE DIAGRAM HEIGHT OF HOUSE PANEL ORIENTATION (TRUE) ROOF PITCH(DEGREES) 240" 215° 30° DRIVEWAY o L N -, C C O N ai Z Microinverter System T�N �1 W @ y �n M �O ZE m O M = z 0�0 UTILITY METER d in F AC DISCONNECT N o d > m LGATE 120 > 1n •`v _° o -PROPOSED CONDUIT RUN; W 3 'O c t ***FINISHED ATTIC"** ELECTRICIAN WILL FIELD VERIFY- W V Q Q d C ca 0 CM 14" 12" •� •ca Q �- 811 Quick Mount PV N Portrait Total's C 0 o Total#of Panels: 18 }' J i {�.4�, Total#of Splice Bars: 2 Cn N to • Total#of Bonding Jumpers: 2 X C O .,1474,. Total#End Clamps: 12 N U) (`ay Total#of Mid-Clamps: 30 z .4 246" P. C�">t PLACE PV LOAD CENTER OUTSIDE TO THE LEFT OF THE UTILITY METER, THE CUSTOMER IS RESPONSIBLE FOR . C) CI ***ARRAY LAYOUT IS NOT TO MOVING OBSTRUCTIONS 1' FROM PVLC LOCATION; SCALE*** PLACE ENVOY MONITORING EQUIPMENT TO THE LEFT OF Quick Mount PV Solar Flashings THE MAIN ELECTRICAL PANEL will be used on every roof penetration Customer Signature: Date: TYPICAL ATTACHMENT DETAILS THIS EDGE TOWARDS ROOF RIDGE --RACKING COMPONENTS liEt�I a NOT INCLUDES 5 p ,n,,�pp L d p�+ f, 1�+ 1 a A + - L 401 OCC,CLASSIC,A;��I I CAR AL,MIL I 'k 11NASHR,UNDEF,3-ifie ID X 1.114'011 R SS I 3.00 j4 4.53 9.00 `4 .i pull-out i i.cities (Iis) in typical lumber Lag Solt Specifications Specift Gravity 5/16'shat.per 3"thread depth 5f16"shaft per 1"thread depth Douglas Fir;Larch .50 790 266 Douglas Fir,South :46 705 235 Engelmann Spruce,Lodgepole Pine(MSR 1650 f&higher) .46 705 235 Hem,Fir _43 636 212 Hem,Fir(North) .46 705 235 Southern Pine .55 921 307 Spruce, Pine,Fir .42 615 205 Spruoe, Pine,Fir(E of 2 milli ri,psi and highe-grades of MS'FZ and MEL) .50 798 266 Quick Mount PV REPORT FOR AACHITTENT NEERING Next Step Living Inc. e next step UvingTM Module and Roof QMSE-LAG:QMPV E-MOUNT SPACING- home energy solutions Attachment Detail WITH LAG BOLT http://www.readyshare.coni/Us ers/cbateman@rstcenterpri ses-com/Upl o... N®w Available! S-olaDeck New SolaDeck UL STD1741 Combiner /Enclosure FLASHED PV ROOF-MOUNT COMBINEVENCLOSURE Basic Features Stamped Seamless Construction .- . 18 Gauge Galvanized Steel ti Powder Coated Surfaces Flashes Into the Roof Deck Low Profile- 2.625" Deep 3 Roof Deck Knockouts .5", .75", 1" 5 Centering Dimples for entry/exit of SolaDeck Model 078341 fittings or conduit 2 Position Ground Lug Installed Mounting Hardware Included Roofing Industry Approved Call for W®rmation 1 (866)-367-7782 or simply request more info at sales(@,commdeck.com WWW. COMMDECK. COM SolaDeck ULSO Type 3R Enclosures All the basic features listed above, ideal for pass through wiring. Transition to house wire is simple, clean and contained in the flashed enclosure. UL50 Type 3R Models: r Model 0783- (3" Fixed Din Rail) Model 0786- (6" Slotted Din Rail) 1 of 4 11/18/2009 1:39 PM http://www.readyshare.com/Users/cbateman@rstcenterprises-conv Upl o... SolaDeck UL STD 1741 Combiner/ Enclosure Systems Maximum Rating -600VDC, 120AMPS Frequency DC Models 0783-41 and 0786-41 are ETL listed and -:�-.. labeled to the UL STD 1741 for Photovoltaic Combiner M Enclosures. r Model 0783-41 Model 0786-41 3"Fixed Din Rail 6"Slotted Din Rail fastened using Norlock System fastened using Steel Studs "Fuse holders,terminal blocks and power blocks are sold separately.Fuse holders and terminal blocks added in the field must be UL listed or recognized and meet 600 VDC 30 AMP 110C for fuse holders,600V 50 AMP 90C for rail mounted terminal blocks and 600 V 175 AMP 90C for power distribution blocks.Use copper wire conductors. SolaDeck Model 0786 ETL Listed UL50 Type 3R Rain tight enclosure for outdoor use Shown: ER 6 Terminal Blocks Transition outdoor wire to THWN wire lot* ER 6 Terminal Blocks used for positive ERa rus and negative Tumi^al tvk T6mnWOW PWW 1 P;r'#A rr`J I SolaDeck Model 078341 ETL listed UL STD 1741 Combiner/Enclosure Shown: with 4 strings with UL Recognized Fuse Holders for PV Positive Power Block for PV Negative Fuses combined with Positive Bus Bar 2 of 4 ]1/]8/2009 1.39 PM http://www.readyshare.com/Users/cbateman@rstcenterprises-com/Upl o... N414PV negative combined with Power Block I�dPO�?B i Power ftd P201440 €unHdder4 f. � Pare 1452 SolaDeck Model 0786-41 ETL listed UL STD 1741 Combiner/Enclosure WOODOWkT 1' CaT6591 Shown: with 4 strings with UL Recognized Fuse Holders for PV Positive ER 10 Terminal Blocks for PV Negative Eit10 s""Es Fuses combined with Positive Bus Bar PUM s451 i us>a6akle? ER 10 Terminal Blocks combined using Negative Bus Bar Fgtt 1152 130 " SolaDeck Accessory farts Now AvaHalWe 4 String kit for SolaDeck Model 0783.41 (Part#07831q Includes: 1' 4-Midget Fuse Holders Rail Mount(Part#1452) 1 -Power Block(Part#1440) a • °' Rs 1 -Bus Bar for Fuse Holders(Part#0784BB) �l 4 String kit for SolaDeck Model 0786-41 (Part#07861) Includes: 4-Midget Fuse Holders Rail Mount(Part#1452) 4-ER 10 Rail Mount Terminal Blocks(Part# 1451) 1 -Bus Bar for Fuse Holders(Part#0784BB 1 -Bus Bar for ER 10 Terminal Blocks(Part#0785BB) 1 -ER 10 End Plate Cover(Part#1453) 3 of 4. 11/18/20091:39 PM http://www.readyshare.com/Users/cbateman@rstcenterprises-com/[Jplo... Midget Fuse Holders Rail Mount (Part#1452) + Rated to 600V 30 AMPS, • l; � Wire#8-18AWG • V *Use Part#078466 Bus to combine PV Positive Fuses • Power Block (Part#1440) Non Fused ° Rated to 600V/175 Amps, Main(1)2/0- 14,Tap(4)4-14 Combines up to 4 Strings PV negative Rail Mount Terminal Blocks it ER 10 Rail Mount Terminal Block(Part#1451) ..F:;. 10 Rated to 600V 65 Amps,Wire#16-6 AWG, 10mm wide *Use Part#0785BB Bus to combine strings ER 6 Rail Mount Terminal Block(Part#1450) Rated to 600V 50 Amps,Wire#26-8 AWG, 8mm wide *Use for positive&negative pass through to transition to house wire Bus Bars-Include CA4-SP lug and install Screw Bus Bar(Part#0784BB) PV Positive Bus-Combine up to 4 midget fuse holders Bus Bar(Part#0785BB) PV Negative Bus-Combine up to 4 ER10 terminal blocks RSTC Enterprises, Inc• 2219 Heimstead Road•Eau Claire, WI 54703 Phone: 715-830-9997•Fax: 715-830-9976 4 of 11/18/2009 1.39 PM Classic Composition Mount I AMSC THIS EDGE TOWARDS ` RACKING COMPONENTS 2.50 ROOF RIDGE NI RACKING COMPONENTS I 1 I L I J 6 5 7 1200. 3 : 1.50 72 3.00 1ITEM UL DESCRIPTION QTY. . 6.00 1 FLASHING,12"X 12"X.050",'5052,MILL 1 12.00 2 QBLOCK,CLASSIC,A360.1 CAST AL,MILL 1 3 HANGER BOLT,PLAIN CENTER,5/16"x 6",18-8 SS 1 t' i 4 WASHER,SEALING, 5/16"ID X 3/4"OD,EPDM BONDED SS 1 5 NUT,HEX,5/16-I8,UNC-28,18-8 SS 2 td 6 WASHER,FLAT,19/64"ID x 7/8"OD x I/&' EPDM 1 1.30 7 WASHER,FENDER,5/16"IDX 1"OD,18-BSS 1 8 WASHER,SPLIT-LOCK,5/16"ID,18-8 SS 1 (wick Mount W 3.00 TRLE: AMSC: CLASSIC COMPOSITION MOUNT AVAILABLE IN MILL,CLEAR ANODIZED, AND BRONZE ANODIZED FINISHES. UNLESS OTHERWISE SPECIFIED: J SIZE'' DRAWN BY: RAD REV DIMENSIONS ARE IN INCHES L TOLERANCES: DATE: 7/23/2013 6 __ -_. FRACTIONAL!I/8 i rrorunArr Axorn•mmuL TWO PLACE DECIMAL 5.18 f TIENFOR-11ON COMAINEDMTNISOIA GCTHESOU:PP.OPERTY OFOUICK MOUM PV.ANY R�RODUCTONNPARI OR AS DO NOT SCALE DRAWING AW OtFw H=TNE MENPE MIONOFOVICRMOUNI MPR OMM THREE PLACE DECIMAL 2.125 (SCALE:1:4 WEIGHT:1.24 SHEET I OF I 5 4 3 2 I .• pull-out(withdrawal)capacities(Ibs)in typical lumber: Lag Bolt Specifications Specific Gravity 5/16"shaft per 3"thread depth 5116"shaft per 1"thread depth Douglas Fir,Larch .50 798 266 Douglas Fir,South .46 705 235 Engelmann Spruce,Lodgepole Pine(MSR 1650 f&higher) .46 705 235 Hem,Fir .43 636 212 Hem,Fir(North) .46 705 235 Southern Pine .55 921 307 Spruce,Pine,Fir .42 615 205 Spruce,Pine,Fir(E of 2 million psi and higher grades of MSR and MEL) .50 798 266 Sources:American Wood Council,NDS 2005,Table 11.2 A,11.3.2 A Notes: 1)Thread must be embedded in a rafter or other structural roof member. 2)See NDSTable 11.5.1 C for required edge distances. quick Mount P\,/(D RESPECT THE ROOF BI 7.2.3-7 Apr-2014,Rev 6 Classic Composition Mounting Instructions Installation Tools Required:tape measure,roofing bar,chalk line,stud finder,caulking gun,sealant compatible with roofing materials, drill with 7/32"long-style bit,drill or impact gun with 1/2"deep socket. WARNING:0 cls Locate,choose,and mark centers of rafters to be Carefully liftcomposition roof shingle with roofing Insert flashing between 1st and 2nd course.Slide mounted. Select the courses of shingles where bar,just above placement of mount.Remove nails up so top edge of flashing is at least 3/4"higher mounts will be placed. as required.See"Proper Flashing Placement"on than the drip edge of the 3rd course and lower next page. flashing edge is above the drip edge of 1 st course. Mark centerfor drilling. l 4 Using drill with 7/32"bit,drill pilot hole into roof Clean off any sawdust,and fill hole with sealant Slide flashing into position. Prepare hanger bolt and rafter,taking care to drill square to the roof. compatible with roofing materials. with hex nut and sealing washer.Insert into hole Do not use mount as a drill guide.Drill should be and drive hanger bolt until QBlock stops rotating 'long style bit'aka'aircraft extension bit'to drill a easily.Do NOT over torque. 3"deep hole into rafter. You •w ready forof • 11,. it f. '._may Y.: *_ • choice. Follow ll directions of the t , moduleck manufacturer as well as the All roofing manufacturers' written instructions must 4 -1 • by • ' modifying . roof LL • -ase consu It the roof specsandinstructionsprior to touchingthe roof. Insert EPDM rubber washer over hanger bolt into Using the rack kit hardware, secure the racking block. (L-foot) to the mount using torque specs from racking manufacturer.If racking manufacturer does BI 7.2.3-7 not specify torque setting,tighten to 13 ft.-lbs. Apr-2014,Rev 6 Reference and Tips Proper Flashing Placement • 1 11J1 j i fix.c+� l�i!,�rs:kitrt]t.�G� Additional tips and information for installing mounts: ■ See Classic Composition Mount install and Quick Tips videos on nail removal,bolt prep,and more at: www.quickmountpv.com/support/videos.htmi ■ It is not necessary or advisable to use nails or other fasteners to secure the perimeter of the flashing. ■ The Classic Composition Mount is made to work with standard and high-definition composition/ asphalt and wood shingle roofs with 5"to 5-5/8"courses.If the exposed surface of the course exceeds this measurement you may need to use our Classic Shake Mount instead. ■ Depending on the season and climate,size and location of seal tabs,and quality of the shingles, the seal tabs that adhere the shingle courses together may not effectively seal the shingles to the flashings.If this is the case,simply add several quarter-sized dabs of manufacturer accepted sealant or asphalt roofing cement,meeting ASTM D 4586 Type II,between the flashing and the shingle above. ■ Mounts should not be installed in areas of the roof susceptible to ice damming.Water ponding under the shingles can reach the bolt penetration. ■ Take care not to damage the roofing material while working on the roof.Removing stone granules and deforming the shingles in any way can shorten the lifespan of the roofing.The value of the solar array is directly affected by the condition of the roof it is attached to. BI 7.2.3-7 Apr-2014,Rev 6 quick Mount PV'z RESPECT THE ROOF 925-478-8269 • www.quickmountpv.com • info@quickmountpv.com 2700 Mitchell Dr.,Bldg 2 • Walnut Creek,CA 94598 O 2013 by Quick Mount PV.All rights reserved. SUNROWER F20/327 SOLAR PANEL 20% EFFICIENCY SunPower E20 panels are the highest E 0 efficiency panels on the market today, SERIES providing more power in the some amount of space MAXIMUM SYSTEM OUTPUT Comprehensive inverter compatibility ensures that customers can pair the highest- efficiency panels with the highest-efficiency inverters, maximizing system output REDUCED INSTALLATION COST More power per panel means fewer panels per install. This saves both time and money. RELIABLE AND ROBUST DESIGN SunPower's unique Maxeon'cell THE WORLD'S STANDARD FOR SOLARTM technology and advanced module T�1 SunPower E20 Solar Panels provide today's highest efficiency and design ensure industry-leading reliability performance. Powered by SunPower Maxeon'cell technology, the E20 series provides panel conversion efficiencies of up to 20.1%. The E20'5 low voltage temperature coefficient, anti-reflective glass and exceptional low-light performance attributes provide outstanding energy delivery per peak power watt. SUNPOWER'S HIGH EFFICIENCY ADVANTAGE 20% 15% 10% _ 5% THIN FILM CONVENTIONAL EET1:)0 E � MAXEONTM CELL SERIES SERIES SERIES TECHNOLOGY sunpowercorp.com Patented oll back-contact solar cell, providing the industry's highest efficiency and reliability Is" " S U N POWE R E20/327 SOLAR PANEL MODEL: SPR-327NE-WHT-D ELECTRICAL DATA I ( IN CURVE ) n4easumd at smndard Test canon an:lsrq inaa ane of 1 ooaw7m=,AM 1 s,ane. m7.s°c -_- -___ _ _ - f ; 1 7 1000 W/ms at 50°C. - I Peak Power(+5/-3%) Pmax 327 W I 6 i Cell Efficiency n 22.5% I I E Panel Efficiency q 20.1% ( g 4 BOO W/612 - Rated Voltage Vmpp 54.7 V r3 Rated Current - - Impp - - 5.98 A i U 2 5DO Winn' Open Circuit Voltage Voc 64.9 V i 1 200w/W Short Circuit Current Isc 6.46 A _ I I 0 Maximum System Voltage UL 600 V I { 0 10 20 30 40 50 60 70 11 1 Voltage M Temperature Coefficients - - `Power(P) -0.38%/K Current/voltage characteristics with dependence on irradiance and module temperature. j Voltage(Voc) -176.6mV/K 1. _ Current(Isc) 3.5mA/K --- — - - -- — ( TESTED OPERATING CONDITIONS NOCT - - - — 450 C+/-20 C r - -. ---. - - I Series Fuse Rating 20 A Temperature -400 F to+1850 F(-400 C to+BY C) Grounding - Positive grounding not re wired I Max load 113 psf 550 kg/m2(5400 Pa),front(e.g.snow) 1 g g 9 w/specified mounting configurations 50 psf 245 kg/m2(2400 Pa)front and back MECHANICAL DATA i (e.g.wind) Solar Cells — 96 SunPower MaxeonTM cells Front Glass High-transmission tempered glass with 1 L Impact Resistance Hail_(25 mm)at 51 mph(23 m/s) ` F anti-reflective(ARI coating _ _ T Junction Box IP-65 rated with 3 bypassdiodes I f WARRANTIES-AND CERTIFICATIONS Dimensions_32 x 155 x 128 mm Output Cables 1000 mm cables/Multi-Contact(MCA)connectors 1 j Warranties 25-year limited power warranty Frame Anodized aluminum alloy type 6063(black) 10-year limited product warranty Weight 41.0 lbs(18.6 kg) Certifications Tested to UL 1703.Class C Fire Rating 1 DIMENSIONS 2X 11.01.431 --- -- MM (A)-MOUNTING HOLES IS)-GROUNDING HOLES —2X 577[22.70] .SII 180[7.071 L__ (IN) 12X016.6[•261 1 O 04.2 1.171 30[1.181 --��— _ , 22[12.691 4X230.8[9.091 L- -r B08TH o 1 END ~ L) 1559161.39' 4611.8]] --I (A) Ij' �- 915136.021 . �- --1200147.241 ----- 121.47, —{ -__.......___._—.-1535160.451 Please read safety and installation instructions before using this product, visit sunpowercorp.com for more details. 2011 SunPower Corporation.SUNPOWER,the SunPower Logo,and THE WORLD'S STANDARD FOR SOLAR,and MAXEON are m demarks or registered trademarks sun Powe rco rp,co m of SunPower Corporation in the US and other countries as well.All Rights Reserved.Specifications included in this datosheet are sublact to change without notice Document 4001 65484 Rev'B/LTR EN CS 11 316 L� Life's Good P-1 N WIM elo 3DD •o '�4 _ i ,� LG Electronics,Inc.(Korea Exchange:06657.KS) --.. is one of the globally leading companies and technology innovator for electronics,information and communication products.LG Electronics ME®® ® currently employs more than 91.000 people worldwide in 117 companies.In fiscal year 2011 a IMMMM ®� turnover of 48,97 billion USD has been achieved. LG is one of the world's largest manufacturers of Bo®® mobile phones,flat screen Ns,air conditioners, us washing machines and refrigerators.As a future- , oriented company,LG relies on the technology o ® , of renewable energies and is expanding it.The entire range of high quality solar products are MEN� being manufactured in LG's leading production site Korea. ovEU C@US C C No® +x l PV CYCLE LG's High Efficient Cell Technology Reliable Warranties ® _ Driven by LG's own N-Type technology,LG's high- ,,, LG stands by its products with the strength of a efficiency modules will provide customers with high unea,wa,m global corporation and sterling warranty policies. c"'1T—h—In9Y economic benefits. Together with a 10 year product warranty a 25 year linear performance warranty is offered. 100%ELTest Completed Positive PowerTolerance All LG modules are tested at various stages of they LG provides rigorous quality testing to solar modules !�] production by Electroluminescence inspection.The ° to assure customers of the stated power outputs EL T.0 EL inspection detects cracks unseen b the naked p y of all modules,with a positive nominal tolerance eye. '°'VefT.1-- starting at 0%. ,bsk9 Light and Robust p p Convenient Installation With a weight ofjust 16.8 kg,LG modules are L LG modules are carefully designed to help installers proven to demonstrate outstanding durability benefit from quick and easy installations throughout Light&Rob us, against external pressure up to 5400 Pa. carrying,grounding,and connecting stages of Innalla�i°n modules. Mechanical Properties Electrical Properties(STCI) Cells 6x10 (300WI 295W 29OW 285W ............. Cell vendor, LIS Maximum power Pmax(W) 3700 295 290 285 Cell type Morrocrystalline .............. ...........-- --.......... ............ .......... ................. ----i......................-.............. MPPvoltageVmpp(V) F32.6, 31.8 31.8 31.6 Celldimensions 156 x 156 mm .................. ......................I........................................ I................-........... MPP current lmpp(A) (9.40 9.28 9.15 9.03 Cell busbars 3 ......................... F.ront cover* High transmission tempered glass Open circuit voltageVoc(V) 39.8 39.7 39.6 39.5 .............. ...........- Dimensions(L x W x H) -mensions(LxWxH) 1640 x 1000 x 35((mm) Short circuit current Isc(A) (9-9-8, 9.85 9.70 9.59 Static ia tic load 54 0 0 Pa(snow) Module efficiency 18.3;' 18.0 17.7 17.4 Pa(wind) 01 p.e.r.Ia.tiIn.g..t e,m p..e.r..a.t Iu.r.e1. ........I.....40-+90r 0 +90 ........ ..................- ............................ Weight6.8 0.5 kg .. .. Maximum system voltage(V) IT,RE ..... ......... ............. Connector type MC4,IP 67 ........................... Maximumseries fuse rating(A) 170� Junction box 115 67 with 3 bypass diodes .... ............................. ................. ............ .............- .................. Length e.n.9-t-h 1.o.f..c.a.b I I.e.s 2..x.1.1000-.....r.n-m-.......... ........... Power tolerance(%) Frame Anodized a ium i In u m 2 STC(standard Test Conditions):Imudiance I X0VV?rn2,module temperature 25 T,AM 1.5 Application Class:A(according to IEC 61730),Safety Class:11 The nameplate power output is measured and determined by UG Electronics at its sole and absolute discretion. 13 Certifications and Warranty Certifications IEC 61215,IEC 61730-1/-2,IEC 61701 Electrical Properties(NOC-P) 150 9001,15014001,.0+H,S.,A..S 1 8-0+0.1UL .............. 1703 295 W 290W 285 W .......... .................. I.............- I...........--........... Product warranty 10 years Maximum power Pmax(W) C2 27 215 212 208 ................. ............ ................................... mppvoltagevmpp(v) C2795� 29.1 29.0 28.9 Output warranty ofPmax 25 years linear warranty' ............ .......-- ..............I..., ........... (Measurement tolers-±3%) MPP currentlmpp(A) 7.5-0 7.40 730 710 'I st year.98%,2nd-25th year:-0,7%/a,25th year.81,2% Open circuit voltage Voc(V) 6.-9 36.8 36.7 36.6 I............I - I ........................- I..................... Short circuit current Isc(A) 805;' 7.94 7.82 7.73 Temperature Coefficients Efficiency reduction 3,5 TT. NOCT 45.0±2°C (from 1000W/m2to20i)W/m2) -.............................. ............... Pmpp -0A1%/K NOCT(Nominal operating Cell Temperature):Insurance 800 Win'.ambient temperature 20 T. ...................... ............... ............. Voc -0.29%/K wind speed I mIs io to Isc 0.04%/K M O m i000w Q Dimensions(mm) ry Characteristic Cues I 5.5-4.0 x view) text 2R 22 'i 80ow Sim offsh6Dort de L-gside fiume Short side frame 4,Drain 1111, 9 4 o.""vie Distance between mounting holes 18 7 4 Drain holesy Lz 6 60OW Junction box I 04.3 Junction box 5 12x Grounding holes 4 40ow I 08o(z view) 8Tm-.uaonq holes 53 1000 R1.5 Lq o 5 io 15 2D 25 so 35 413 voltage(v) Cable length - Detail X 14G 4.D ,o -------------------------- 6 Isc DetailY loo 08.0 8o -------- 15 P ma---- 944 co x 6o ----------- Itell z 40 20 -------------------------------------------------- o 35 40 -25 o 25 so 75 go Temperature The distance is between the center of the mounting/grounding wholes. LG Electronic Deutschland GmbH EU Solar Business Group All specifications oltlis data sheet comply with DIN EN 50380. Berliner Strage 93 Subject to change without route. a10 sy MAI 6a 40880 Ratingen,Germany Status:11/2013 Email solar@lge.de Document:DS-NIC-A3-EN-201311 Life's Good .1,comiuk/solair Copyright 0 2013 LG Electronics.All rights reserved. Enphase Microinverters Enphase@M250 3 15 The Enphase Energy Microinverter System improves energy harvest, increases reliability, and dramatically simplifies design, installation, and management of solar power systems. The Enphase System includes the microinverter,the Envoy Communications Gateway,"and Enlighten® Enphase's monitoring and analysis software. PRODUCTIVE SMART Optimised for higher-power modules Quick and simple design, installation, Maximises energy production and management -Minimises impact of shading,dust,and debris -24/7 monitoring and analysis RELIABLE SAFE -4th-generation product -Extra low-voltage DC reduces fire risk -More than one million hours of testing -No single point of system failure -System availability greater than 99.8% -Easy installation with Engage Cable enphase® E E N E R G Y Enphase®M250 Microinverter//DATA INPUT DATA(DC) M250-60-230-S22 Recommended input power(STC) 210-310 W Maximum input DC voltage 48V Peak power tracking voltage 27 V-39 V Operating range 16 V-48 V Min/Max start voltage 22 V/48 V Max DC short circuit current 15A Max input current 10A OUTPUT DATA(AC) Peak output power 258 W Rated output power 250 W Rated output current 1.09 A Nominal voltage 230 V Nominal frequency 50.0 Hz Power factor >0.95 Maximum units per 20 A branch circuit 14(Ph+N),42(3Ph+N) Maximum units per cable section 14(Ph+N),24(3Ph+N) EFFICIENCY EN 50530(EU)efficiency 95.7% Static MPPT efficiency(weighted,reference EN50530) 99.6% Dynamic MPPT efficiency(fast irradiation changes, 99.3% reference EN50530) Night time power consumption 0.055 W MECHANICAL DATA External operating temperature range(ambient) -40°C to+65°C Internal operating temperature range -40°C to+85°C Enclosure environmental rating Outdoor-IP67 Connector type MC4 Dimensions(WxHxD) 179 mm x 217 mm x 28 mm(with bracket) Weight 1.66 kg Cooling Natural convection-No fans FEATURES Compatibility Compatible with 60-cell PV modules. Communication Power line Monitoring Enlighten Manager and MyEnlighten monitoring options Transformer design High frequency transformers,galvanically isolated Compliance AS4777,C10/11,CEI-0-21,EN50438,EN62109-1,EN62109-2, ERDF-NOI-RES_13E_V5,G59/2,G83/2, VDE-0126-1-1 +A1,VDE AR-N 4105 To learn more about Enphase microinverter technology, r � enphase` visit enphase.com/au. L E N E R G Y 0 2014 Enphase Energy.All rights reserved.All trademarks or brands in this document are registered by their respective owner. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations I Congress Street,Suite 100 y' Boston,MA 02114-2017 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electfiicians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): The Boston Solar Company Address: 10 Churchill Place City/State/Zip:Lynn, MA 01902 Phone#:617-858-1645 you an employer?C Are y heck the appropriate box: Type of project(required): LN I am a employer with 20 4. E] 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 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp,insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152,§1(4),and we have no 13.0 Other solar 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. =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 subcontractors,have employees,they must provide their workers'comp.policy number. lam an employer that isproviding workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:HDI-Gerling America Insurance Company Policy#or Self-ins. Lic. #:EWGCC000153815 Expiration Date:1/14/2016 Job Site Address: 134 Berkeley Road City/State/Zip: North Andover,MA 01845 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 f, ains and penalties of perjury that the information provided above is true and correct: ! Signature: �- Date: 5/21/2015 Phone#: 6178581645 Official use only. Do not write in this area,to be completed by city or townofficial. i City or Town: Permit/License# I 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#: i Xr`r cHIROOMITUlr/,C Cr(r:jaclmw& Office of Consumer Affairs&Business Regulation License or registration valid for individul use only .YlOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: registration: 169698 Type: Office of Consumer Affairs and Business Regulation xpiration: 7/2712015 LLC 10 Park Plaza-Suite 5170 Boston,NIA 02116 THE BOSTON SOLAR COMPANY LLC ROMAIN STRECKER 10 CHURCHILL PLACE LYNN,MA 01902 Undersecretary T�Not valid without signature f�f Massachusetts -Department of Public Safety �f Board of Building Regulations and Standards Otmtruction Supvr%kor - - License:CS4119MS ROMAIN D STREIs�R'' IO CHURCHILL I'LA`. -- LYNN MA 0190f Expiration � Commissioner 10/08/2016 j Client#:103109 BOSSO IDDtYYYY) TE(MM DA ACOW. CERTIFICATE OF LIABILITY INSURANCE ATE 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(les)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 NAOp^E:c Peggy J.Merati People's United Ins.Agency CT PHONE g60 524.7624 AIC No),844 702.8075 AIG No Ext One Goodwin Square ADDRess, peggy.merati@peopies.com Hartford,CT 06103 INSURER(S)AFFORDING COVERAGE NAIC# 860 524-7600 INSURERA:HDI-Gerling America Insurance C 41343 INSURED INSURER B:Merchants Mutual Insurance Co 23329 The Boston Solar Company,LLC INSURERC: 55 Sixth Road,Suite 1 INSURER D- Woburn,MA 01801 INSURERE! INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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. LTR TYPE OF INSURANCE IIN R yy 0 POLICY NUMBER MMIDDY EFF MMIDD EXP LIMITS A GENERAL LIABILITY EGGCC000153814 1010312014 0110112016 EACH OCCURRENCE $1.0001000 X COMMERCIAL GENERAL LIABILITY PREMISES ERENTED rrnce $100 000 CLAIMS-MADE F—R OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG x2,000,000 POLICY X PRaCT El LOC $ A AUTOMOBILE LIABILITY EAGCC000153814 0/0312014 01/01/201 E°BMIN SINGLE LIMIT 110001000 A X ANY AUTO EAGCC000153914 0/0312014 0110112016 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON OWNED PROPERTY DAMAGE $ X HIREDAUTOS X AUTOS Peraccident $ B X UMBRELLA LIARX OCCUR CUP0001367 0/0312014 01/01/201 EACH OCCURRENCE $5,000,000 EXCESS UAB CLAIMS-MADE AGGREGATE $5,000,000 DED I X RETENTION$10,000 $ A WORKERS COMPENSATION EWGCC000153815 01111412015 0111412016 X IIQRYLIMWC STAT IT OTH- AND EMPLOYERS'LIABILITY OFFICREW RIETOREMBER PEXCLUDERIEXECUTNE I NIA E.L.EACH ACCIDENT $1,000,000 (Myandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 be under DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) RE:Permit Work Certificate Holder is included as Additional Insured per the terms,conditions and exclusions of the referenced general liability and umbrella policies,if required by written contract or agreement. CERTIFICATE HOLDER CANCELLATION Town of North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1600 Osgood Street ACCORDANCE WITH THE POLICY PROVISIONS. North Andover,MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S565647/M565467 SMGCT