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Building Permit #1030-2016 - 15 PETERSON ROAD 3/31/2016
i t%ORTPy PUILDING.PERMIT , .:. TOWN OF'N AND®VER APPLICATION-FOR PLANEXAMINATION I' PerrnitiNo#: Received;F.. ro Date Issued: EVIEPORTANT: Applicant must complete,all items on this page TAR0 `qi.t. ;� . K0 LM�:, ±�� r �, P� *, , yF l � �a�,. a 55 TYPE OF IMPROVEMENT PROPOSED USE Residential Non- ResidentialAJA ❑ New Building One family ❑Addition Two or more family 0 Industrial U' Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg i3-Others: ❑`Demolition ` ❑ Other S'CU 0. U " ®`Sepfic .'® UVe I I'I©od+IainMEWetlands ' IMM.Matered isr DESCRIPTION OF WORK TO BE PERFORMED: tins tom\x so k o.,r e t ec-t-r i C_ pa SLS nn t-D r O o f 6t 1n o me *o b-e i n ter cove n e c Ecol Th e, : h 0 M e S 'e.I< c fir(c aA- s s tt m 4 l c -n -e- k s o, 10 4-S 5 I-V\) Y tiification- .Please Type or Print Clearly, OWNER: Name: V-\^)0 k. CV-"\ Phone: -7 loo - 7Ob2 Address: 5 P n Sx ..11.x. ty .,3 •sf p .4�Y r. •� o-,tom . C©ntract©r Name. x ;, r' .� Phone.. r. 2Rl 01tis2.3fst3 Email. 11 50111 _ aSOyI 3 �1° � r - � w ,, S`uperu sor's Construe-ion License: �a ,c. Exp.F Date: x. 3C�` r - ((fir- •L. ARCHITECT/ENGINEER Iib f-1 Ord O E • D-c ve r.C- Phone:, ' lnS' 2, _X.57S_L to -Address: W Reg. No. 521 CoD FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00YF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. , Total Project Cost: $ 2.0 , ooc) FEE: $ 31Z : 00 Check!No:: ZooReceipt No.: � ly �TO7CE Persons contracts ith un egistered contractorkdo nothave'access t eguar tyfund 4 S , _ ` ,ig u : . j __— - - Building Department The following is a list,of the required forms to be filled out for the appropriate permit to be obtained. Rooming, Siding, Interior Rehabilitation Permits ❑ Building Permit Application o Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o Floor Plan' Or Proposed Interior Work 9 ❑ Engineering Affidavits for Engineered products DOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks a Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products 10TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) o Building 'Permit Application o Certified; Proposed Plot Plan o 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 ❑ Engineering Affidavits for Engineered products IOTE: All dumpster)permits require sign off from Fire Department prior to issuance of Bldg. Permit I 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 I Doc:Building Permit Rel vised 2014 I t I 1 � ' I 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. ❑ Pennanent 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 Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes PI atoning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit H DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp ©umpster on site yes n© Loeated at 124 Main S reet 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.$100-$1000 fine I. NOTES and DATA— (Fordepartrnent use) i i i N ® Notified ford pickup Call Email -Datey _ Time Contact Name Doc.Building Permit Revised 20'1;,4 r a Location I' No. !�—2 Date 1 t • - TOWN OF NORTH ANDOVER I' Certificate of Occupancy $ Building/Frame Permit Fec $ � "` Foundation Permit Fee $ _ Other Permit Fee $ TOTAL $ ''jam 22 Check# 1 I ;� �` 4Building Inspector NORTIy . Town of ver,: Mass LAKNcoc"IcmeWIC �t_�1' i U BOARD OF HEALTH. - LD Food/Kitchen Septic System PER . �� BUILDING INSPECTOR THIS CERTIFIES THAT .....M.iT ...... .... ........................1 , ". ............ d sy Foun anon i „ .... ' ... ....... .. has permission to erect... .... buildings on.: • .... Roughlmn y Ch e to be occupied as ... '.... .;.: ••• provided that the person accepting this per it 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 LBy-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids-this Permit. Final ELECTRICAC;IN_$P�ECTOR PERMIT EXPIRES IN 6 MONTHS s UNLESS CONSTRUCTION STARTS Rough Service x .............. ............ .. ............................... 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. DocuSign Envelope ID:C231DB95-B81E-4F5F-BCB6-A64AABD89237 • �`1_ 11''1 SolarCity I PPA , Customer Name and Address _,Installation Location Date Kwok Chan \ is)Peterson Rd,yi' 3/28/2016 15 Peterson Road \1—North'Andover,MA 01845 North Andover,MA 0184'5 f Here are the'key terms of your Power Purchase Agreement . 13 • yrs 7O 20 0 System installation cost Electricity ratekWh Agreement Tgjm 7 Initial here Initial here— —G t-- — — ---- Ji \ DSt j M -The SolarCity Promise •We guarantee that if you sell your Home,the,b'uyer will qualify to assume your Agreement. ......................................................................... Initial h e�� •We warrant all of our roofing work. •We restore your roof at the end of th e Agreeme ` Lah .Wewarrant,Insure,maintain and repair the,System. .....:..................:1.........................-......................................_...._..........................................................._..-...................._.....L.....lnit � •We fix or pay for any damage we may cause to your,property. •We provide 24/7 web-enabled monitoring at no additional cost •The rate you pay us w/ill never increase by more than 2.90%per year. - •The pricing in this Agreement.is valid for 30 days after 3/21/2016. Your_SolarCity Powe aseAgreement Details Your Choices at-the End of the Initial Options-for System Purchase: Amount due at:contract signingTerm: 1 E .At certain times,as specified in $0' • SolarCity will remove the S stem at no the Agreement,you may Y Y g ,Y Y Est.amount due at installation cost to you. purchase the System. $0 •You can upgrade to a new System�with .,-' .These options apply during the 20 –� `– _-- - - the latest solar technology under a new year term of our Agreement and Est.amount due at building inspection . contract. not beyond that term. $0 Est.first year production •You may"purchase the System from SolarCity for its fair market value as 10,088 kWh specified in the Agreement. YOU `ay�enew this Agreement for up to 1 �teen-(10)years in two(2)five(5)year Increments. 3055 Clearview Way,San Ma eo, CA,9.4402/( 888.765.2489 solarcity.com 1680243 Power Purchase Agreement,versio�bruary,15,2016 _ SAPC/SEFA Compliant // I'� �\ Contractors License MA H"IC 16 572/E36MRr, \\�J/ ❑ ❑ Document generated on 8/21%2016 r Copyright 2008-2015 SolarCity Corpo=ation,All Rights Reserved / DocuSign Envelope ID:C231DB95-B81E-4F5F-BCB6-A64AABD89237 23. NOTICE OF RIGHT TO CANCEL. ` I have read this Power Purchase Agreement and the Exhibits in I ` their entirety and I acknowledge that I have received a `, YOU MAY CANCEL THIS CONTRACT AT ANY TIME PRIOR f �t \ complete copy of'this Power Purchase,Agree\rit. TO MIDNIGHT OF THE THIRD�USINESS DAYIIAFTER THE N Ri DATE YOU SIGN•THIS CONTRACT. 1:THE �- ATTACHED NOTICE-OF CANCELLATION FORM FOR AN Customer's Name:Kwok Chan EXPLANATION OF THIS RIGHT. \ �..� Do��sgneaey: \ 24. ADDITIONAL RIGHTS TO CANCEL.i+ Signature: K' _ IN ADDITION TO ANY RIGHTS YOU MAY-HAVE TO CANCEL \ THIS PPA UNDER SECTION-23,YOU MAY ALSO CANCEL Date. 3/28/2016 THIS PPA ATWO COST AT ANY TIME PRIOR TO COMMENCEMENT OF CONSTRUCTION ON YOUR HOME. . 25: Pncine� Customer's Name:_ The pricing"in this PPA is Ivalid for 30 days after 3/21/2016. If you don't sign this PPA.and return it to us on or prior to 30 days after 3/21/2016,'SolarCity reserves the right,to Signature: �\ reject this PPA unless you agree to our then curreni pricing. - ,\ Date: a Power Purchase Agreement /r .Solarcity apprb% fed Signature: lndOn Rive, CEO` Date: ~` 3/21/2016 i �.. Power Purchase Agreement, t version 9.1.1 February 15,2016 1 j @1 o 1680.243 Version#54.9-TBD �, ` `�! • - :PIL soiarCit Y March 15, 2016 LARDO_E. �N oE VEA RE: CERTIFICATION LETTER Q � ,STRUCTURAL �' Project/Job #0183546. 4 No 52160 Project Address: Chan Residence 15 Peterson RoadSS�oNai,�No North Andover, MA 01845 Digitally signed by Abe De Vera AH] North Andover Date:2016.03.15 13:56:39-07'00' SC Office Wilmington - Design Criteria: -Applicable Codes= MA Res.Code, 8th Edition,ASCE 7-10,and 2012 NDS Risk Category = II' =Wind Speed = 100 mph, Exposure Category.0 µ-Ground;Snow.Load =50 psf. - MP1: Roof DL 11 psf, Roof LL/SL=35 psf(Non-PV Areas),Roof LL/SL 20.5 psf(PV Areas) - MP2: Roof DL= 11 psf,Roof LL/SL = 35 psf(Non-PV Areas), Roof LL/SL=20.5 psf(PV Areas) - MP3: Roof DL= 14 psf,Roof;LL/SL= 35 psf(Non-PV Areas), Roof LL/SL= 20.5.psf(PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss=0.33365 <0.4g and Seismic-Design Category.(SDC) = C•<D To Whom It May Concern A jobsite survey of the existing framing system of the address indicated above was performed by a site.surve'y team from SolarCity: Structural evaluation was based on site observations and the design criteria listed above. Based'on this evaluation, I certify that the existing structure directly supporting the PV systerii`is adequate to withstand all loading indicated in the design criteria above based on the requirements of the applicable existing building and/or new building provisions adopted/referenced above: Additionally,I certify that the PV module assembly including all standoffs supporting it have been reviewed to be in accordance with the manufacturer's specifications and to meet and/or exceed all requirements set forth by the referenced codes for loading. • ` The PV assembly hardware specifications are contained in the plans/docs submitted for approval. �incerelyf ' Abe De Vela,'P.E. Orofesseonal Engineer Main: 868,765.2480,x 526 email: ade4a@solareity cam 305$ClearvieN+Way San Mateo.CA 94402 r(650)638-1028 (886)SQL-CITY v(650)638-102.4 r.,olarcity.com Version#54.9-TSD _`�+" PIL t iAsolarcit t HARDWARE DESIGN AND STRUCTURAL ANALYSIS RESULTS SUMMARY TABLES Landscape Hardware-Landscape Modules'Standoff Specifications Hardware X-X Spacing X-X Cantilever Y-Y Spacing Y-Y Cantilever Configuration Uplift DCR MP1 64"-.. 24";- 39" NA" Staggered 35.6% MP2 64" . 20 ,`. 39" NA Staggered 35.6% MP3 64" 24" 39" NA- . Staggered 35.6%, :J Portrait Hardware-Portrait Modules'Standoff Specifications) S >' Hardware X-X Spacing X-X Cantilever_ Y-Y Spacing Y-Y Cantilever Configuration Uplift DCR MP1 48"' 20": 65" NW Staggered 44.4% MP2 48" 20"" 65" NA Staggered44.40/o- IMP3 48" 20" 65"" NA' `Staggered 44.4% Structure Mounting Plane Framing Qualification Results' Type Spacing Pitch Member Evaluation Results MPI Stick Frame @ 16 in.O.C. 35° Member Impact Check OK MP2 Stick Frame @ 16 in.O.C. 350 Member Impact Check OK MP3:, Finished Attic @ 16 in.O.C. 35' Member Impact Check OK Refer to the submitted drawings.for details of information collected during a site survey. All member analysis and/or evaluation is based on framing information gathered on site.'The existing gravity and lateral load carrying members were evaluated in accordance with the IBC and the IEBC. tv J 3055 Clearvle%:Way San Mateo,CA 94402 1(650)638 -1028 (688)SOL-CITY r(650)638-1029 solarclty.corn STRUCTURE ANALYSIS- LOADING SUMMARY AND MEMBEWCHECK-'MP1 r Member Properties Summary 4 PI Horizontal Member Spans Rafter Pro erties Overhang 1.24 ft Actual W 1.50" Roof System Pro erties San 1 15.84 ft Actual D 9.25" Number of Spans(w/o Overhang) 1 San 2 Nominal Yes Roofing Material Comp Roof San 3 A 13.88 in.^2 Re-Roof No San 4 SX 21.39 in.^3 Plywood Sheathing Yes San 5 I 98.93.in.^4 Board Sheathing None Total Rake Span 20.85 ft TL Def rw Limit 120 Vaulted Ceiling No PV 1 Start 1.58 ft Wood Species SPF Ceiling Finish 1/2"Gypsum Board PV 1 End 14.92 ft Wood Grade #2 Rafter Sloe 350 PV 2 Start Fb 875 psi Rafter Spacing 16"O.C. PV 2 End F. 135 psi Top Lat Bracing Full PV 3 Start E 1400000 psi. . Bot Lat Bracing At-Supports PV 3 End E,„i„ 510000 psi Member Loading Summary Roof Pitch 9/12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 11.0 psf x 1.22 13.4 psf 13.4 psf PV Dead Load PV-DL 3.0 psf x 1.22 3:7 psf Roof Live Load RLL. 20.0 psf x 0.78 15.5 psf Live/Snow Load LL/SL 1,2 50.0 psf x 0.7 1 x 0.41 35.0 psf 20.5 psf. Total Load(Governing LC TL 1 48.4 psf 1 37.6 psf Notes: 1. ps=Cs*pf; Cs-roof,Cs-pv per ASCE 7[Figure 7-2) 2. pf=0.7(Ce)(Ct)(IS)p9; Ce=0.9,Ct=1.1, I5=1.0 Member.Design Summa (per NDS Governing Load Comb CD CL'(+) CL = CIF Cr. D+ S 1.15 1.00 0.27 1 1.1 1.15 Member Anal sis Results Summary .<:,; Governin Analysis I Pre-PV Demand I Post-PV Demand NetImOact 'I Result'" Gravity Loading Check 1 1125 psi 1 870 psi 0.77 Pass i I J. T [CALCULATION F �ES N WIND�LOADS_- P1 .rr.:•• Mounting Plane Information Roofing Material - Comp Roof PV System Type _ SolarCity SleekMount'"' Spanning Vents ' - No - - - Standoff Attachment Hardware Comp Mount Type C Roof Slope = 350 Rafter Spacing 16"O.C. Framing Type Direction. f Y-Y Rafters Purlin Spadn_g _X-X'Purlins Only_ NA F4.• Tile Roofs'Only NA Tile Reveal _ Tile Attachment System Tile Roofs Only NA s Standing Seam/Trap S acin t SM Seam Only NA Wind Design Criteria . Wind Design Code 1 - ASCE 7-10 Wind.Design.Method _ Partially%Fully Enclosed Method Basic Wind Speed VY _ _ . _. _• 100 mph i Fig. 26.5-1A Exposure Category C- _Section 26.7 Roof Style, �, Gable Roof Fig.30.4-2A/B/C- A/B Mean Roof Height h 25 ft' .r Section-26.2 T Wind Pressure Calculation Coefficients Wind Pressure Exposure 7 KZ _-_ _ -0.95 - -•Table 30.3-1 Topographic Factor _ Krt� 1.00-� Section 26.8 Wind Directionality Factor Kd 0.85 Section 26.6-1 Im ortance Factor I NA Velocity Pressure - qh ;qih= 0.00256(Kz)'(Krt)(Kd)N^2) _._ Equation 30.3-1 20.6 psf Wind Pressure - Ext. Pressure Coefficient U G u -0.95 Fig.30.4-2A/B/C-5A/B Ext. Pressure Coefficient Down GC DOW„ 0.88• - Fig.30.4-2A/B/C-5A/B Design Wind Pressure F p p =qh(G ) Equation 30.4-1 ; Wind Pressure U ° -19.6 psf Wind Pressure Down Efdowni 18.0 psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 64" 39" Max Allowable Cantilever _Landscape. 24" NA_ Standoff Configuration Landscape Staggered Max Standoff Tributary Area Trib 17 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at.Standoff T-actual _-178-Ibs Uplift Capacity of Standoff T-allow 500 lbs Standoff Demand Ca p a c i t y DCR 35.6% X-Direction Y-Direction Max Allowable Standoff SpaCjng Portrait 48" 65" Max Allowable Cantilever - _Portrait 20" _ NA Standoff Configuration Portrait Staggered Max.Stan_d_off Tributary Area _ __ Trib- _ 22 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind.Uplift at Standoff_, T=actual_ -222 lbs Upliftap Cacity of Standoff ' T-allow 500 lbs Standoff Demand/Capacity DCR 44.4% STRUCTURE ANALYSIS- LOADING SUMMARY AND MEMBEWCHECK--IMP2 - Member Properties•Summary MP!, ii Horizontal Member Spans c .: Rafter Pro erties Overhang 1.24 ft Actual W 1.50" Roof System Properties San 1 15.89 ft Actual.D 9.25 Number of Spans(w/o Overhang) 1 San 2 Nominal ..Yes Roofing Material Comp Roof San 3 A 13.88 in.^2 Re-Roof No Span 4 S. 21.39 in.^3 PI ood Sheathing Yes San 5 I 98.93 in.^4 Board Sheathing None Total Rake Span 20.91$ TL Defi'n Limit 120 Vaulted Ceiling No PV 1 Start 2.00 ft Wood Species SPF Ceiling Finish 1/2"Gypsum Board PV 1 End 15.33 ft Wood Grade #2 Rafter Sloe 350 PV 2 Start Fb 875 psi Rafter Spacing 16"O.C. PV 2 End F„ 135 psi Top Lat Bracing Full PV 3 Start E 1400000 psi Bot Lat Bracing At Supports PV 3 End Emin 510000 psi Member Loading mary Roof Pitch 9/12 Initial "Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 11.0 psf x 1.22 13.4 psf 13.4 psf PV Dead Load PV-DL 3.0 psf x 1.22 -_ 3:7 Oq Roof Live Load RLL 20.0 psf x 0.78 15.5 psf Live/Snow Load LL/SL 11,2 50.0 psf x 0.7 1 x 0.41 35.0 psf 20.5 psf Total Load(Governing LC I TL 1 48.4 psf 1 37.6 psf Notes: 1. ps=Cs*pf, Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf=0.7(Ce)(Ct)00 p9; Ce=0.9,Ct=1.1,I5=1.0 Member Design:Summa (per NDS Governing Load Comb CD ': CL + CL - CIF . `Cr D+S 1.15 1.00 1 0.27 1 1.1 1.15 MemberAnal sis Results Summa v..:: Governin Anal sis Pre-PV Demand Post-PV.Demand : Net Ini 0act'.°:` '"Result' Gravity Loading Check '1133 psi 874 psi 0:77 Pass r [CALCULATION OF DESIG IND LOADS�MP2: -: �• Mounting Plane Information Roofing Material - _ Comp Roof PV Systern Type SolarCity SleekMounUm Spanning Vents t 1 '' No Standoff Attachment Hardware Comp Mount Type C Roof Slope_ i 350 -• _ Rafter Spacing _ _ _ 16"O.C. _ Framing Type Direction -^ Y-Y Rafters Pu_rlin Spacing _X-X Purlins Only NA TIe.Reveal. <<, -a , Tile Roofs Only _ NA Tile Attachment SystemTile RoofsOnly NA Standing Seam ra Spacing SM•Seam_On NA X ' i - • 'I Wind Design Criteria Wind Design Code k ' r ASCE 7-10 Wind Design.Method Partially/Fully Enclosed Method Basic Wind Speed _V ,. .„. . 100 mph -Fig. 26.5=1A Exposure Category C Section 26:7 Roof Style �"- - _ '` - GableiRoof Fig.30.4-2A/B/C-5A/B Mean Roof Height h 25 ft Section 26.2. . I t .r Wind Pressure Calculation Coefficients - -� Wind Pressure Exposure -i Kz 0.95 Table 30.3-1 ' Topographic Factor Krt�_ 1.00_ Section 26.8 Wind Directionality Factor Kd 0.85 Section 26.6-1 Importance Factor I NA Velocity Pressure qh qh 0.00256(Kz)(Kzt)(Kd)(V^2) 20.6 Psf Equation 30.3-1 Wind Pressure Ext. Pressure Coefficient U G ,, •.a -0.95 Fig.30.4-2A/B/C-5A/B Ext. Pressure Coefficient Down GC ooW� 0.88 r Flg.30.4=2A/B/C-SA/B Design Wind Pressure ' I '"',• ~ ' ' p=qh(G ) Equation 30.4-1 Wind Pressure U „ -19.6 psf Wind Pressure Down 18.0 psf ALLOWABLE STANDOFF SPACINGS X Direction Y-Direction Max Allowable Standoff Sp_acing Landscape 64" 39" � Max Allowable Cantilever Landscape_ 24" NA Standoff Configuration Landscape Staggered Max Standoff Tributary_Area Trib - 17 sf_ PV Assembly Dead Load W-PV 3.0 psf Net Wind_,Uplift_at Standoff_ T_actual, -178_lbs Uplift Capacity of Standoff T-allow 500 lbs Standoff Demand Ca acDCR 35.6% • X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 65" Max Allowable CantileverPortrait 20" NA. - Standoff Configuration Portrait Staggered Max Standoff Tributary Area Trib 22 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff T-actual -222 lbs Uplift Capacity of Standoff T-allow 500 lbs Standoff Demand/Capacity DCR 44.4% STRUCTURE ANALYSIS- LOADING SUM MARY1 'AND.-MEMBER-CHECK-= MP3' f �'�'•� �- ` Member-Properties Summary MP3 Horizontal-Member Spans Rafter Pro erties Overhang 1.24 ft Actual W Roof System Pro erties San 1 15.08 ft Actual:D, 9.25" Number of'5 ans(w/o Overhang) 1 San 2 Nominal Yes Roofing Material Comp Roof San 3 A 13.88 in.^2 Re-Roof No San 4 S. 21.39 in.^3 P ood Sheathing Yes San 5 I 98.93 in.^4 Board Sheathing None Total Rake Span 19.92 ft TL Defl'n Limit 120 Vaulted Ceiling Yes PV 1 Start 4.50 ft, Wood Species SPF Ceiling Finish 1/2 Gypsum Board PV 1 End 15.08 ft Wood Grade. #2 Rafter Sloe 350 PV 2 Start Fb 875psi Rafter Spacing 16"O.C. PV 2 End F„ 135 psi Top Lat Bracing Full PV 3 Start E 1400000 psi Bot Lat Bracing full PV 3 End Emi„ 510000-psi Member Loading Summary Roof Pitch 9 12 Initial Pitch Adjust Non-PV Areas PV'Areas Roof Dead Load DL 14.0 psf x 1.22 17.1 psf 17.1 psf PV Dead'Load' PV-DL 3.0 psf x 1.22 3.7 psf Roof Live Load RLL 20.0 psf ,x 0.78 15.5sf_ Live/Snow Load LL SL12 50.0 psf x 0.7 1 x 0.41,, 35.0 psf 20.5 psf Total Load(Governing LC I TL 1 1 52.1 psf 41.3 sf Notes: 1. ps Cs*pf,Cs-roof,Cs-pv per ASCE 7(Figure 772] 2. pf=0.7(Ce)(Ct)(Is)p,,; Ce=0.91 Cr=1.11 I5=1.0 Member Design:Surnma (per NDS -"GoVerning Load Comb CD CL(+) CL - CF Cr D+ S 1.15 1.00 1.00 1 1.1 1.15 Member Anal sis Results Summary I '...Governin Analysis Pre-PV Demand ` ".. Post=PV Demand k :Net Impact :Result`,:.;. Gravity Loading Check 1096 psi 880 psi 0.80 Pass ALCULATION OF IGN�WIND:LOADS ;MP3 . :-� < ., •- ,, ?t� . ; ,' , Mounting Plane Information - - Roofing Material Comp Roof PV System Type SolarCity SleekMountT" Spanning Vents - `' 4 No Standoff Attachment Hardware Comp Mount Type C Roof Slope - _ _.35'. Rafter Spacing 16"O.C. Framiri Type'/ Direction '"' 1 Y-Y Rafters - Purlin-Spacing' X-X Purlins Only_, NA Tile Reveal 'f. Nile Roofs Only.,. f t NA Tile Attachment System ,Tile Roofs Only_ NA -- - Standin Seam/frap Spacinq SM Seam On - ' NA" •"�t Wind Design Criteria r Wind Design Code ( ASCE 7-10 + Wind.Design Method Partially/Fully Enclosed Method Basic Wind.Speed -- V , 100 mph - - Fig. 26.5-1A Exposure Category __ • C' Section 26.7 Roof Style -— * - , - "`- Gable ROOF -+ Fig:30.4-2A/B/C-5A/B Mean Roof Height h 25-ft "Section::26.2_- Wind-Pressure Calculation Coefficients Wind Pressure Exposure j KZ - - -0.95 - - Table 30.3-1 Topographic Factor Krt 1.00 Secti6n•26.8 Wind Directionality Factor Ka0.85 Section 26.6-1 Importance Factor I� NA Velocity Pressure qh• ' qh= 0.00256-(Kz)(Kzt)(Kd)(V^2) _ 'Equation 80.3-1 20.6 psf _ s Wind Pressure Ext. Pressure Coefficient U G u ; -0.95 Fig.30.4-2A/B/C-SA/B Ext. Pressure Coefficient Down GCy mo„,, 0.88 - Fib.30.472A/B/C-5A/B Design Wind'Pressure p - p'= qn(G ) Equation 30.4-1 Wind Pressure U „ ' -19.6 Psf Wind Pressure Down 18.0 Psf ALLOWABLE STANDOFF.SPACINGS , X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 64" 39" Max Allowable Cantilever Landscape - 24" N_A Standoff Confi uration Landscape Staggered Max.Standoff Tributary_Area Trib 17 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at.Standoff T-actual --17816s Uplift Capacity of Standoff T-allow 500 lbs Standoff Demand Ca ac' DCR 35.6% X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 65" Max Allowable Cantilever__ Portrait 20" NA Standoff Con fi uration Portrait Staggered Max Standoff Tributary Area Trib 22 sf _ _- PV Assembly Dead Load W-PV 3.0 psf Net.Wind Uplift_at_Standoff l T-actua -222 lbs Uplift Capacity of Standoff T-allow 500 lbs Standoff Demand Ca ac' DCR 44.4% it TI1e Cnmrnotrlvea/!h ofJilassacltust?tts Department oflndustrialAce"enrs Office&f1nYesdga&ns,: - I Congress Street,Suite 100 Asmn,MA 02114-2017 wWtvmassgau/ilia Workers'Compensation InsuraoceAipiidavit.'BaildaWCon.tractors/Electricians/Plumbers AgRftsant laftragion Please Print Lei I NaMO(]3usincss/Orgaolzatiartlindividuaf): SoWCity Corp. Address: 3055 Clearview Way cit lStatclZ.i : San Mateo CA. 94402 Phone#1: 888-765-2489 Are you-on emptuyer?Check the appropriate box: _ Type of project(required): 1.(21 l am a employer with 5,000 4-0 I am a general contractor and I emplayees(full andler parttime):" have hired the sub-contractors b• New constmction 2.0 I at i a Pole proprietor or partner- listed on the attached sheet- 7. ❑Remodeling ship and have no employees These sub-contractors have N,.❑De'molition employees nd have workers.' working forme in any capacity. PAY o workars'nom P,Insuance comp..isutoce t 9• dBlding addition S: We tine a corporation and its 10.0 Electrical repairs or additions 3.[, 1 am:a ham,cowner`doing all-work officers have exercised their 11.0-Plumbing repairs or additions. trnrself: [Aso workers'comp. s`sgiutof aice-urption par MGI. I2-E]Rooframus insurance requited)t c. 152,§1(4),and we have no I3 ✓ other Solar/PV employees.[No workers comp.insurance require fl *Any applicant that ctieckt box fl t mist also tut out ihtsettiaa below showing their workers'compcnmtion poticy information. t flomcownen who submit this affidavit indicating lacy an doing alt nark and then hire outside eontraetws must submit new affidavit indiwingsaeh. :Contmators that check this box must attached on additional sheat showing the ntxme of the sub-cantractom and state whether or not those entities have cmploycos, if the sub-contracmrs have employees,they atust pravido their washers'comp policy number. I airs an employer that is prorWaig workers'compensation.insurance for my employees. Below is tlae policy crit job site krormation. i Insurance company blame: Zurich American Insurance Company Polity#or SOF-ins.Lice#: WC0182015-00 _1 Expiration Dater 9/1/2016 Jab Site Address: L S Pn-cy-St zn K-n a-"71 Cttyl,%te!Lip. N Q Y-t-h PL—ndty-ler Attach a copy of the workers'campensatlon policy docluration page(showing the policy number and expiration date): . Failure to secure coverage as required under Suction 25A of MGI,c:152 can lead to the imposition of criminal Penalties of i fine up to S1,500.00 andtor one-year imprisonment,as well as civil penalties In the tbrm of a STOP WORK ORDER and a fine of up to 3250.00-a day against the violater. Be advised that a copy of this statement uray_be fortuarded to the Office of investigations of the DIA for insurance coverage verification. - f da hereby eeri y godef the pains and penalties of perjury chat the information provided above is tnre raid eerrect- �' critPa e 3 30 hQtte fi: Official use on1y. .Do not v.-he in fists area,so be cvmpleted by city or town of ddL. City or Town: Permit/L€cense'N Issuing Authority(circle one).-- 1. ne)r1.Board of Wealth 2,Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person- Phone 4: ® DATE(MM1DD ACO CERTIFICATE OF LIABILITY INSURANCE 0 811 7120 1 5 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. CERTIFICATE DOES NOT AFFiRMATiVELY OR.NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLI .. 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,tha 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 eridorsemen s. PRODUCER CONTACT MARSH RISK&INSURANCE SERVICES PHONE 346 CALIFORNIA STREET,SUITE 1300 (A •No.Ems.... ..._.._ .__ i[91�N4};...._.:_:. ._......_.. _. CALIFORNIA LICENSE NO.10437153 E-MAn , SAN FRANCISCO,CA 94104; :APp..RE4&;. ..... .... ........ Alts:Shannon Scatt415-743.8334 INSUIU31(S)AFFORDING COVERA4E.: ... . _. NAIC d 9M1 -GAWUE-15.16_. _.. ._._ _. _ .....-.-- - -,... INSURER A:ZOO AMStICan Insuiance C"WW v 16535 - INSURED tNSUPER B:NIA :- ` NIA SotarCiry Corporation _.. ... .. .. . ... ._. (.. .. . 3055C3055 Clegnitwr Way R{SURERC:NIA NIA leo,CA94402 _.._ _...._.._.._,._.:_._ ......_.._....... - San INSURER o•:American Zurich htstuaaoe Company ...10142• .. .. _ - - - ..... _.... .T ..__..... .... h INSURER F: COVERAGES ;CERTIFICATE NUMBER: SEA-W27138 REVISION NUMBER:4 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;Vt1HICH 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 SY PAID CLAIMS. ' t ggi�F Poiac4 i zP_?' _.. TYPE OF INSURANCE i 1 LICY NUMBER f 6A(rilii;€5 b Rl tlfl :LIMITS 4Q0 A X COMMERCIAL GENERAL LIABILITY GLOO182016M 0910112615 i091a12016 EACH OCCURRENCE S 3. CLAIMS MADE; X !OCCUR ; r PREkIM56 LE4 99PP.1!,P"A._�$y~_ 3,000,000 - -- X SIR:5250,000 taEo EXP An ono person) $ . . {5,000 1...__...__..._...__....__._.._._.. I — 3'� RSONAL&ADV INJURY :$ __ I X i POLICY' SPER- :GE GGEGATE AN NERALAR $ ...._. .'._0. 0 GEN'LAGOREGA7ELtMlTA•rPPLIE ... .. .. ... . ... .. t.., ?JEC i....:LOCj ? I PRODUCTS-COMPIOP AGG .S 6,000,000 THER $ A 'AUTOMOBILE LIABILITY BAILITY . 182017.00 10910112015 :091012016 i� •s 5000,000 . .. _actx�ntj IN M17 . ,..._ _ ..._..__. X ;ANY AUTO _ r I r BODILY INJURY(Per person) S x''ALL:OWNED X SCHEDULED I AUTOS BODILY INJURY(Per acatleriq+S F...a , AUTOS I (..... i. ,........ .. _ Fx•'HIREDAUTOS x•`AUTOS D ) �,{Per PER D7IMIA�'E_.. COMPICOLLDED:EACH E $5.000 } ..,UMBRELLA� OCCAM EXCESS UAB ----I ' �AGGF2f=GACTE HENCE..... . b _.. .. DED I IRETEMNS S D WORKERS COMPENSATION , 0182014.00(AOS) ;0910112015 09101!2016 X PER O H• I AND EMPLOYERS'LIASILITY (_.:i STARITE F,R.•.•_(_. _... ......__._ A Yrkl WM182015-W(MA) .09/012015. 109101IM16 IELEACHAGCIpENT Is 1,000000 ANY PROPRIETORIPARTNERIEXECUTIVE OFFICEWMEMBEREXCLUOED? rI QNIA! r F - t.• '. (Mandatory In NH) I �C DEDUCTIBLE:$5110,000 I E.L DISEASE•EA EN{PLOYE 5 . H ye8.descrbe �... ... DESCR PTION OF OPERATIONS below EL DISEASE•POLICY LIMIT•5 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Addlkn4l Remarks Schedule,may be attached Irrnare apace la rat(uned)' Evidence of Murarlce: CERTIFICATE HOLDER CANCELLATION Solarcay Corporation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE.CANCELLED BEFORE 3055 0eaMew Way THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 1N San Mateo,CA 99402 ACCORDANCE WITH THE POLICY PROVI510NS. AUTHORIZED REPRESENTATIVE of Marsh Risk&Insurance Services Charles Marmolejo 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD F Office of Consumer Affairs and Business Regulation i. 10 Park Plaza - Suite 5170' Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 168572 Type: Supplement Card Expiration: 3/812017 SOLAR CITY CORPORATION DAN FONZI 24 ST MARTIN STREET BLD`'2UNIT 11 ---- MARLBOROUGH,'MA01752 Update Address and;return card.Mark reason1or change. Address Li ] Renewal Employment (-] Lost Card li.. 1f.4ce of Consumer Affairs&Business Regulation License or registration valid.for individul use only aME IMPROVEMENT CONTRACTOR before the expiration,date. If found return to: L Office of Consu►ner Affairs:and Business Regulation Regisfration: 168572 Type lO Park Plaza-Suite 5170 ,u. Expiration: 3/8/2017 Supplement Care! Boston,MA 02116 SOLAR CITY`CORPORATION DAN FONZI 305ECL'EARVIEWWAY •;c. „ �; :- - — v SAN MAT,EO;CA.94402 Undersecretary Not valid without signature *ftW&*CPU$*1S,- Of P"ft S . eta sr'f t3ai�ii.�1��ul�tir nstd° ; t=1 - �`ts�9�t�'u�'ta Lislaea;CS-10:1887 DANIEL D FONZ[ 1S KE3LEY RD .� WH30NGTON NSA Ul 7 T �i `� C�snxss 09713!2016 c ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A . AMPERE- 1. THIS SYSTEM IS GRID-INTERTIED VIA A AC ALTERNATING CURRENT UL—LISTED POWER CONDITIONING INVERTER. BLDG. BUILDING . 2. THIS SYSTEM HAS NO BATTERIES, NO UPS.. C.ONC -CONCRETE 3. A NATIONALLY—RECOGNIZED TESTING DC DIRECT CURRENT LABORATORY 'SHALL LIST ALL EQUIPMENT IN = EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3. (E) EXISTING 4. ` WHERE ALL .TERMINALS OF THE DISCONNECTING EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED IN THE OPEN POSITION, FSB FIRE, SET—BACK A SIGN WILL BE PROVIDED WARNING OF THE GALV GALVANIZED HAZARDS PER ART. 690.17. GEC GROUNDING ELECTRODE CONDUCTOR 5. EACH UNGROUNDED CONDUCTOR OF THE GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY HDG HOT,DIPPED GALVANIZED -PHASE AND SYSTEM PER ART. 210.5. ._ - CURRENT 6. CIRCUITS OVER 250V TO GROUND SHALL Imp CURRENT AT MAX POWER COMPLY WITH ART.' 250.97, 250.92(B). Isc . SHORT CIRCUIT CURRENT - 7. DC CONDUCTORS EITHER DO'NOT ENTER kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE.DC LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). MIN MINIMUM 8. ALL WIRES SHALL- BE PROVIDED WITH STRAIN (N) NEW RELIEF :AT -ALL-ENTRY,INTO BOXES AS REQUIRED BY NEUT NEUTRAL UL LISTING. NTS NOT TO SCALE 9. MODULE FRAMES:SHALL BE GROUNDED AT THE OC ON CENTER UL—LISTED LOCATION PROVIDED BY THE PL PROPERTY LINE MANUFACTURER USING 'L LISTED GROUNDING POI POINT OF INTERCONNECTION HARDWARE. PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE SCH SCHEDULE BONDED WITH' EQUIPMENT GROUND CONDUCTORS. S STAINLESS STEEL STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V VOLT Vmp VOLTAGE AT MAX POWER VICINITY MAP INDEX Uoc VOLTAGE-AT OPEN CIRCUIT W WATT 3R NEMA 3R, RAINTIGHT t' PV1 COVER SHEET PV2 SITE PLAN PV3 STRUCTURAL VIEWS . PV4 THREE LINE DIAGRAM Cutsheets Attached LICENSE GENERAL NOTES GEN #168572 1. ALL WORK SHALL COMPLY WITH THE 2009 IBC ELEC 1136 MR AND 2009 IRC. . - 2. ALL ELECTRICAL WORK SHALL COMPLY WITH = THE 2008'NATIONAL ELECTRIC CODE. ` MODULE GROUNDING METHOD: ZEP SOLAR AHJ: North Andover REV BY DATE; COMMENTS REV A MLadd I 15Mar201 Upsiied the system at the HO's request. REV B ImLaddl29Mar201 Changed the inverter,'to RGM: UTILITY: National Grid USA (Massachusetts Electric) r CONFIDENTIAL—.THE INFORMATION HEREIN JOB NUMBER I R PREMISE OWNER:. . ^ 'DESCRIPTION: DESIGN CONTAINED.L—. NOT.BE USED FOR THE _ .. `�v-0183546 OO KWOK CHAN Kwok Chan RESIDENCE Michele Ladd ,BENEFIT OF ANYONE EXCEPT SDLARCITY INC., MOUNTINGSYSIEM: ,."516b1NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Com Mount T e C 15 PETERSON ROAD 10.455 KW PV ARRAY ►� . PART TO OTHERS OUTSIDE THE RECIPIENT'S p ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES: NORTH ANDOVER MA 01845 24`St Martin ods Buddmg.2 Umt 11 THE SALE AND USE OF THE RESPECTIVE (41) TRINA SOLAR # TSM-255PDO5.18 1. PAGE NAME SHEET: REV DALE . Marlborough MA.I)1752< SOLARCITY EQUIPMENT.:WITHOUT THE WRITTEN INVERTER L (650)638=1028 f (650)638 1029' PERMISSION OF SOLARCITY INC. PV; `�. 888 SOL CITY(765-2489) ipwsolarcit can SQLAREDGE SE1'000OA—USOOOSNR2 COVER. .SHEET b 3/29%2016 . r•, FITCH:35 ARRAY PITCH--35 " - MP1 AZIMUTH: 136 ARRAY AZIMUTH:.136 MATERIAL:C&np Shingle, STORY::2 Stories . PITCH: 35 ARRAY PITC H.:35 MP2 AZIMUTH:316 ARRAY AZIMUTH:316 MAompShIngTRY 2S. f or ies PITCH: 3535 - : - MP3 " AZIMUTH:-136 ARRAY AZIMUTH: 136 -MATERIAL: Comp Shingle STORY: 2 Stories 0 (E)DRIVEWAY L tn C. M .. LEGEND (T( Zt/6 .- Q (E)."UTILITY METER & WARNING LABEL �m INVERTER W/ INTEGRATED DC DISCO & WARNING LABELS a �a H + s4�y © DC DISCONNECT & WARNING LABELS Pit(h zT� Y2 A9p�vEA£' GNa: © AC DISCONNECT & WARNING LABELS 9/ mid 38TRUCTURAL a1. N- 52160 e . DC JUNCTION/COMBINER BOX & LABELS ' SSIGNAL Eat O DISTRIBUTION PANEL & LABELS Front Of House Digitally signed by Abe De Vera Date:2016.03.29 13:01:47 Lc LOAD CENTER & WARNING LABELS Oi `D i -07'00' Inv © O O DEDICATED PV SYSTEM METER AC STAMPED AND SIGNcD 0 STANDOFF LOCATIONS - - - .- D p CONDUIT RUN ON EXTERIOR FOR STRUCTURAL ONLY --- CONDUIT RUN ON INTERIOR - -- - - - -- - -- - - - -- - - _ — GATE/FENCE - - - - - - -- - - - _- _ _0- __ HEAT PRODUCING VENTS ARE RED INTERIOR EQUIPMENT IS DASHED L_'J SITE PLAN Scale: 1/8" = 1' A 0 11 8' - 16' J B-0183546 00 PREMISE OVML- DESCRIPTION: DESIGN: CONFIDENTIAL THE INFORMATION HEREIN JOB NUMBER 'IQ � CONTAINED SHALL NOT BE USED FOR THE KWOK CHAN Kwok Chan RESIDENCE Michele Ladd �. ,;SolarCity.BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: " NOR SHALL IT BE DISCLOSED IN WHOLE OR-IN Comp.Mount Type C " 15 PETERSON ROAD 10.455 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES NORTH ANDOVER MA 01845 .ORGANIZATION, EXCEPT IN CONNECTION WITH 24 24 St Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (41) TRINA SOLAR # TSM-255PDO5,18 SHEE7; REV: DATE: Marlborough,MA 01752 SOQRCITY EQUIPMENT. MTHOUT THE WRITTEN IN'RIER PAGE NAME L (650)638-1028 F: (650)638-1029 PERMISSION OF SOLARCITY INC. P V 2 b 3/29/2016 (888)-SOL-CITY(765-2489) wwsolarcity.com SOLAREDGE _ SE10000A-USOOOSNR2 SITE PLAN 11 Y pE;VERA •8 gT,RiJ OAL 4 v '.A No:52160 S1 °F /Sr�A�a��`��` S1 `ss/¢NALN`: Digitally signed by Abe De Vera ` Date:2016.03.29 13:02:26 -07'00' 15-10" 15-11" 1'-3 (E) LBW 1'-3 (E) LBW A SIDE VIEW OF MP1 NTS SIDE VIEW OF MP2 NTS MPI X-SPACING X-CANTILEVER Y-SPACING Y.CANTILEVER NOTES MP2 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER -_ NOTES — 'LANDSCAPE " 64" 24" STAGGERED LANDSCAPE 64" 24 STAGGERED PORTRAIT 48" 20" PORTRAIT 48" 20" RAFTER 2X10 @ 16"OC ROOF AZI 136 PITCH 35 STORIES: 2 RAFTER 2X10 @ 16°OC ROOF AZI 316 PITCH 35 STORIES:2 ARRAY AZI 136 PITCH 35 ARRAY AZI 316 PITCH 35 C.I. 2x8 @16"OC Comp Shingle C.J. 2x8 @16"OC Comp Shingle PV MODULE 5/16" BOLT WITH INSTALLATION ORDER FENDER WASHERS LOCATE RAFTER, MARK HOLE ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT. ZEP. ARRAY SKIRT (6) HOLE. (4) (2) SEAL PILOT HOLE WITH S1 POLYURETHANE SEALANT. ZEP.COMP MOUNT C ZEP FLASHING C (3) (3) INSERT FLASHING. (E) COMP. SHINGLE PLACE MOUNT. (E) ROOF DECKING U (2) U _ _ INSTALL LAG BOLT WITH 5/16": DIA, STAINLESS (5) C5)1 SEALING WASHER. 15'— STEEL LAG'BOLT LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH 1'-3 (E) LBW WITH-SEALING WASHER �6) BOLT & WASHERS. (2-1/2" EMBED,, MIN) . c C SIDE VIEW OF MP3 NTS ('E) RAFTER STANDOFF MP3 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES S1 Scale: 1 1/2" = 1' LANDSCAPE 64° 24" STAGGERED - PORTRAIT 48" 20" RAFTER 2X10 @ 16"OC ROOF AZI 136 PITCH 35 STORIES:2 ARRAY AZI 136 PITCH. 35 C.J. 2x8 @16"OC Com Shingle CONFlDENTIAL- THE INFORMATION HEREIN JOB NUMBER: PREMISE OWNER DESCRIPTION: DESIGN: J B-0183546 00 K: ��, CONTAINED SHALL NOT BE USED.FOR THE WOK CHAN Kwok Chan RESIDENCE Michele Ladd NEORESHALL,ITNBENDISCL�o IN Rc�N Ma'"""'"� "� 15 PETERSON. ROAD '`��SoIarC�t PART TO OTHERS OUTSIDE THE'RECIPIENTS Comp Mount Type C 10.455 KW PV ARRAY ►r . ORGANIZATION, EXCEPT�IN'-CONNECTION',WITH. MODULES'.:. NORTH ANDOVER, MA 01$45 THE;SALE AND USE OF.THE RESPECTIVE 41 24 SOLAR #-TSM-255PD05.18 24 SL Martin Drive,Building 2,Unit 11 . .SOLARCITY EQUIPMENT,WITHOUT THE.WRITTEN INVERTER: - PAGE NAME SHEET: REV. DATE Marlborough,MA GO11752:. PERMISSION oFsDIJ1RCIrr_1Nc.._. SOLAREDGE SE1000OA—USOOOSNR2 - 1 STRUCTURAL VIEWS 3/29/201 (eaej-so��aTissBzaesj �� m `PV 3 b 6 `GROUND'SPECS MAIN'.PANELSPECS GENERAL NOTES MODULE SPECS LICENSE Panel:Number: - 1 0". `Inv ti DC'Un'rounded R T M-255PD05.18 -BOND (N) '48.GEC.:TO WO (N).•GROUND.. - . G3030M6 2 0. 9 INV'1 =(1)SOLAREDGE ##SE1000OA=USOOOSNR LABEL: A -(41)TRINA SOLA # S GEN #168572 ODS'AT PANEL WITH'IRREVERSIBLE CRIMP-Meter Number:14200801` Tie-1n Supply Side Connection +,Inverter;•10C OW, 240V;�97c574 w/Unifed Disco andZB,RGM,AFCI PV Module; 255W, 232.2W PTC, 40MM', Black Frame, H4, ZEP, 1000V ELEC 1136 MR Undergro6'_ ervice:Entrance.. w INV:2 x - Voc: 38.1• Vpma . 30.5 _ INV 3 :;,. - Isc,AND:Imp ARE-SHOWN IN-.THE DC STRINGS'1DENTIFIER. -AIN-:SERVICE.:PANEL" SolarCit E .200A M v - Y SE 200A 2P MAIN CIRCUIT BREAKER (E) WIRING BRYANT Inverter 1' Coad Center 5 A 20OA/2P 7 6 SOLAREDGE oc MP 2&3: 1x13 _ SE10000A-USOOOSNR2 B 60A/2P .. a zaov r- ------ ------------ --�----- - Z EGc 3---_ -------- -- - {, A I - - DC+ , I3 N DG i 4 oG MP`1: 1x14 �--+ { 2 4 (E) LOADS _ EGC1 --- DC+ DC+ MP : 1X1 Dc- r - - --- ------------- -GE IN - DG . - ---- ---ECC -- - -- J'' C _ EGC_ --- - �' ------- �- r- -- - -- - ------- --------- N. ...'_ (1)Conduit Kit: 3/4" EMT - TO 120/240V SINGLE PHASE' UTILITY SERVICE Voc* = MAX VOC AT MIN TEMP POI (2)Gro qd Rod (1)BRYANT BR24L70RP A (1)So� Sy#4 STRING JUNCTION BOX DC Sr8 x 8, per v Load Center, 70A 120/240V, NEMA 3R AC TRMGS, UNFUSED, GROUNDED -(2)ILSCO 4 IPC 40- 6 -(1)CUTLER-HAMMER g B 0 PV (41)SOLAREDGE 300-2NA4AZS Insulation Piercing Connector; Main 4/0-4, Tap 6-14 Breaker, 60A/2P, 2 aces PowerBox ptimizer, 300W, H4, DC to DC, ZEP S . SUPPLY SIDE CONNECTION. DISCONNECTING MEANS SHALL BE.SUITABLE . (1)AWG y6, Solid Bare Copper AS SERVICE EQUIPMENT AND SHALL BE RATED PER NEC. nd -(1)Ground Rod; 5/8' x 8', Copper (N) ARRAY GROUND PER 690.47(D). NOTE: PER EXCEPTION NO. 2, .ADDITIONAL' -- -- ---------- - -- - - -- ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCATION OF (E ELECTRODE 1 AWG�6, THWN-2, Black � 1- AWG#6, THWN-2, Bladc (1)AWG/8, THWN-2, Black Voc* =500 VDC Isc =30 ADC (2)AWG#10, PV Wire,60OV, Block Voc* =500 VDC`IsC=15--ADC - - OLCL(1)AWG X16, THWN-2, Red ©IsF (1)AWG$6, THWN-2, Red O (1)AWG8, THWN 2, Red Vmp =350 VDC Imp=20.14 ADC LTJ (1)AWG#6, Solid Bare Copper EGC Vmp =350 VDC Imp=9.35 ADC I (7)AWG6, THWN-2, White NEUTRAL VmP =240 VAC Imp=42 AAC I�� (1)AWG#10, THWN-2, White NEUTRAL Vmp =240 VAC IMP=42 AAC, (1 AWG#10, TIiHN/THWN-2,.Green. EGC. . . . . . . . . . . . . . . . . . .. . . . .. . . . . O LJ THWN-2, Green EGC GEC- 1)Conduit Kit; 3 4•.EMT (1)AWG 10, THWN-2, Black Voc* =500 VDC Isc =15 ADC (2}AWG O10, PV Wire, 600V, Black Voc* =500 VDC Isc =15 ADC -(1)AWG#6..Sglid Bare-Copper_.GEC' -(1)C0ndult•Kit;.3/4'.EMT. . . . . . . . . . . . . . . . (1)AWG�. . . . . . . . . . . . . . . ./ P . . . . ./. .. . . . . . ...'.. .'.: l O (1 AWG/1Q, THWN-2, Red Vmp =350 VDC Imp=9.35 ADC O (1)AWG#6, Solid Bare Copper EGC Vmp =350 VDC Imp=10.07 ADC (1)AWG X10, THHN/THWN-2._Green EGC . .. .. . . . . . . . . . .. .. . . . . .. . . . ... . . . . . . . . . . . .. (2 AWG#10, PV Wire,60OV, Block Voc* =500 VDC Isc =15 ADC Y O (1)AWG#6, Solid Bare Copper EGC Vmp =350 VDC Imp=10.07 ADC .. . . ... . . .. . . . . . . . . .. . . .... . . .. . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . PREMISE OWNER: DESCRIPTION: DES( CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBElt JB-0183546 00- CONTAINED CONTAINED SHALL NOT BE USED FOR THE KWOK CHAN Kwok Chan RESIDENCE Michele Ladd �. , BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING-SrsTEM: .j05olarCity Am NOR SHALL IT BE DISCLOSED IN,WHOLE OR IN Comp Mount Type C 15 PETERSON ROAD 10.455 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES: NORTH ANDOVER MA 01845 ORGANIZATION,.EXCEPT IN CONNECTION WITH 24 St Martin Drive,Building 2,Unit 11 • THE SALE AND USE OF THE RESPECTIVE (41) TRINA SOLAR # TSM-255PDO5.18PACE NAME SHEET: REV DATE MwijDorough.MA 01752 �QLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER T- (650)638-1028 F: (650)638-1029 : PERMISSION OF SOLARCITY.INC. PV 4 b 3/29/2016 (888)-SOL-CITY(765-2489) www.solarcity.com SOLAREDGE SE,.10000A-us000SNR2 THREE LINE DIAGRAM. Label WARNING:PHOTOVOLTa C POWER SOURCE Location: "• "• Location: ,_ :• _ WARNING ;_ :•_ WARNING Code:NEC 690.31.G.3 ELECTRIC SHOCK HAZARD ELECTRIC SHOCK HAZARD DO NOT TOUCH TERMINALSNEC 1 THE DC CONDUCTORS OF THISNEC 1 Label • • TERMINALS ON BOTH LINE AND PHOTOVOLTAIC SYSTEM ARE • BE USED WHEN PHOTOVOLTAIC DC LOAD SIDES MAY BE ENERGIZED UNGROUNDED AND INVERTERIS DISCONNECT Per Code: IN THE OPEN POSITION MAY BE ENERGIZED UNGROUNDED O , . NEC .•1 Label • • PHOTOVOLTAIC POINT OF INTERCONNECTION MAXIR�UM POVIER , Per ••- POINT CURRENT(li1�p)_A WARNING: ELECTRIC SHOCK • MAXIMUM POV\IER_ Code: HAZARD. DO NOT TOUCH 1 690.54 POINT VOLTAGE(Vmp)-VNEC 690.53TERMINALS.TERMINALS ON BOTH THE LINE AND LOAD SIDE MAXIMUM SYSTEM v MAY BE ENERGIZED IN THE OPEN VOLTAGE(Voc) SHORT-CIRCUIT POSITION. FOR SERVICE CURRENT(Isc)_A DE-ENERGIZE BOTH SOURCE AND MAIN BREAKER. PV POWER SOURCE MAXIMUM AC A OPERATING CURRENT MAXIMUM AC Label Location:Per OPERATING\/OLTAGE V WARNING ..- ELECTRIC SHOCK HAZARD IF A GROUND FAULT IS INDICATED 690.5(C) NORMALLY GROUNDEDLabel L• _ • UNGROUNDDEDOAND ENERGIZED CAUTION DUAL POWER SOURCE Per ••- SECOND SOURCE IS --3.64.B.4 PHOTOVOLTAIC SYSTEM • Label • • Per WARNING ELECTRICAL SHOCK HAZARD ••e: Label Location: DO NOT TOUCH TERMINALSNEC 690.17(4) CAUTION ' • TERMINALS ON BOTH LINE AND Per ••- LOAD SIDES MAY BE ENERGIZED PHOTOVOLTAIC SYSTEM IN THE OPEN POSITION CIRCUIT IS BACKFEDNEC 690.64.13.4 DC VOLTAGE IS ALWAYS PRESENT WHEN SOLAR MODULES ARE EXPOSED TO SUNLIGHT Label • - WARNING '• Code:Per INVERTER OUTPUT Label • • CONNECTION 690.64.13.7 PHOTOVOLTAIC AC DO NOT RELOCATEDisconnect DISCONNECT Per C••- THISODEVCERRENTConduit NEC 691Combiner :• Distribution Panel Disconnect (IC): Int - • Conduit Label • • MAXIMUM AC A ' Load Center OPERATING CURRENT Per Code : (M): Utility Meter MAXIMUM AC - OPERATING VOLTAGE V 1 54 Point of • - • 3055 Clearview Way �� .r San Mateo,CA 94402 LabelSet T:(650)638-1028 F:(650)638-1029 (765-2489)www.solarcity.com r a e .. , � - � - ,. fir, •„ S .' .i , ' $61afClty F,I. ®p$olar Next-Level PV Mounting Technology ItsOlaf�lty I ®pSolar Nezt-Level PV'Mounting Technology Components ` . Zep System �'y 'for composition shingle roofs - - d - i k lio p-roof 4 _ Leveling Foot Ground Up llntertoek Q�ysgeatWN Part No.850-1172 ETL listed to U L 467 4 t - ZcP Compatible PV Module �• - - � .. Zep ernwe'• . ... -' - ROW .. :, t' - ntiays,an Comp Mount Part No.850-1382 Listed to UL 2582 Mounting Block Listed to UL 2703 4 r 1 GpWPgT/ -1 — �`� °�� Description PV mounting solution for composition shingle roofs *- , Fp0 Works with all Zep Compatible Modules %1-M Auto bonding UL-listed hardware creates structural and,electrical bond • Zep System has a UL.1703 Class"A"Fire.Rating when installed using modules from any manufacturer cehifted,as:"Type 1"or"Type 2" Interlock Ground Zep V2 DC Wire Clip U� LISTED Specifications Part No.850-1388 Part No.850-1511 Part No.850-1448 Listed to UL 2703 Listed to UL 467 and UL 2703 Listed to UL 1565 • Designed for pitched roofs , • Installs in portrait and landscape orientations • Zep System supports module wind uplift and snow loa_d pressures to 50 p per UL 17.03 ---- -- _ - - -- - Wind tunnel report to ASCE 7-05 and 7 10 standards • Zep System grounding-products are UL-listed to UL 2703 and UL 467 • Zep System bonding products are UL listed to UL 2703 • Engineered for spansup to 72°and cantilevers up to 24 • Zep wire management.products listed to UL•1565_for wire positioning devices Attachment method UL listed to UL 2582 for Wind Driven Rain Array Skirt,Grip, End Caps Part Nos.850-0113,850-1421, 850-1460,850-1467 zepsolar:com zepsolar.com Listed to UL 1565 This document does not create any express warranty by Zep Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for This document does not create any express warranty by Zep Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for each product The end-user documentation shipped with Zep Solars products constitutes the sole specifications referred to in the product warranty.The customer is solely - each product The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely responsible for verifying the suitability of ZepSolars products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. - responsible for verifying the suitability of ZepSolar's products for each use.Specifications are subjectto change without notice.Patents and Apps:zspats.com. , Document#800-1890-001 Rev A Date last exported: November,13,2015.2:23 PM Document#800.1894001 Rev A .Date last exported: November 13,2015 2:23 PM ap solar=ee SO ar solarEdge Power Optimizer Module Add-On for North America P300 /..P350 / P400 SolarEdge Power Optimizer Module Add-On For North America r P3DD P35D Paoo -(for 60-cell PV.- (for 72-cell PV (for 56-cell PV .`- _ - +modules)e '.modules).-' INPUT. P300 / P350 / P400 :Rated Input DC Powedu 300.....................•.350 • • j400W Absolute Maximum In ut Volta a(Voc a[lowert tem erdture 48 60 80 Vdc ...........................P.........g......................P........ ................................................................................... . MPPTOperadng Range 8-48 8-60 8-80 Vdc . Maximum Short Circuit Current(Isc) 10 Adc ........................................................... ....................................... ............. ` Maximum DC Inpot Current 12.5 Adc Maximum Efficiency .......99:5 ....... ti Weighted Efficiency 98.8 % Oveivoltage Category 11 (OUTPUT DURING OPERATION(POWER QPTIMIZER CONNECTED TO OPERATING INVERTER):-- - Maximum Output Current 15 v Ad ............................................................................................................ ............ ............. Maximum Output Voltage 60 N • OUTPUT DURING STANDBY(POWER-OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF,) Safety Output Voltage per Power Optimizer 1 - Vdc 'STANDARD COMPLIANCEIWO - - '� EMC - FC6Part15 Oass B IEC61000-6-2 IEC61000-6 3 ..... ,Safety.,..•,,.,.....,, ......... ......IEC62109.1(class 11 saferyl,UL3741.......... RoHS Yes - INSTALLATION SPECIFICATIONS'., -.' Maximum Allowed System Voltage 1000 Vdc Dimensions(W x L x H) 141x212x40.5/S.SSx8.34x1.59 mm/in .: ................................................................................................................................................................. ............. Weight lindudin�cablesl.............................................................................. 950/2.1 .g'/1b.... . .................................................. . Input Connector ...........................MC4/Amphenol/Tym :Output Wire Type/ConneRor Double Insulated;Amphenol - Output Wire Length ..................................................095/3:�........L.....:...............1.2/_39 m/h ... ............. ............ .Operating Temperature Range.....................................................................40-+85/-40-+185 Protection Rating IP65/NEMA4 RelativeHumidity.................................................................................I...............100 % . . . ��wim sreo�rame�me�m.um�nem�o w.sx oow iaeanccaiw.ee. � � � . . , PV SYSTEM DESIGN USING A SOLAREDGE THREE PHASE " HREE PHASE- SINGLE PHASE - INVERTER _ _ .'.208V` 480V PV power optimization at the module-)eve( Minimum String Length(PowerOpdmizers) 8 10 18 Up to 25%more energy . Maximum String length(Power Optimizers) 25 25 50 Maximum Power per String 5250 6000 12750 W Superior efficiency(99.5%) ..............!ow...Pe..S.trin....................................................:..................::...................................... ....:........................ .Parallel Strings of Different Lengths or Orientations Yes - Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading """""...... Flexible system design for maximum space utilization Fast installation with a single bolt - Next generation maintenance with module-level monitoring Module-level voltage shutdown for installer and firefighter safety CE } - - USA - GERMANY ITALY ITALY - FRANCE -t JAPAN -'CHINA - ISRAEL - AUSTRALIA - "'WWW.SOIBfedge,u5.'� . THE Tl mamount MODULE TSM-PD05.18 --- Mono Multi Solutions DIMENSIONS OF PV MODULE ELECTRICAL DATA @ STC unit:mm :Peak Power wafts-Pwx(Wp) - - 245 -- _ - 250 - 255 - - 260 941 Tkina Power Output Tolerance-P-(%) 0- 3 THE Maximum Power Voltage-V-(V) 29.9 30:3 30.5' � `oxcnox c ,Maximum Power Current-IMw(A) 8.20 8.27 3837 8.50 ""^+r's"Tr J .Open Circuit Voltage-Vac(V) 37.8 38.0 38.1 38.2 aos E Short Circuit Current-1.(A) 8.75 8.79 8.88 9.00 urn=..ou MODULE �Module Efficiency nm(Cell_ 15 LL _15.3 , J V 15.9 STC:Irradiance 1000 W/m',Cell Temperature 25°C.Airr Mass AMI.S according to EN 60904.3904.3. Typical efficiency reduction of 4.5%at 200 w/mr according to EN 60904-1. I � e bo ' - ELECTRICAL DATA(6 NOCT - 60 C E L■ 'Maximum Power-P-(Wp) 182 186 190 193 , LMaximum Power Voltage-V-(V) 27.6 28.0 28.1 28.3 MULTICRYSTALLINE MODULE 6-0g4a000D4\-- 0se Maximum Power Current-L Pv(A) 6.59 6.65 6.74 6.84 1._. A A f Open Circuit Voltage(V)-Vac(V) 35.1 35.2 35.3 35.4 WITH TRINAMOUNT FRAME - I�� 1 'Short Circuit Current(A)_Isc(A) 7.07 7.0 7.17 7.27 NOCT:Irradionce at 800 w/m'.Ambient Temperature 20°C,wind Speed 1 m/s. PD05.18 ate tao 245-260W Back View POWER OUTPUT RANGE MECHANICAL DATA W� 'Solar cells Multicrystalline 156 x 156 mm(6 inches) Fast and Simple to install through drop in mounting solution Cell orientation 60 cells 16 x to) d 1 Module dimensions 1650 x 992 x 40 mm(64.95 x 39.05 x 1.57 inches) 0 weight 21.3 kg(47.0 last MAXIMUM EFFICIENCY _ Glass .. ,3.2mm(0.13inches).HighTransmission,ARCootedTempered Glass • - A-A Backsheet White Good aesthetics for resldential applications Frame Black Anodized Aluminium Alloy with TrinamounfGroove ®, J-Box IP 65 or IP 67 rated /�Q� I-V CURVES OF PV MODULE(245W) � 0--+317o --+3�O W,� • -Cables Photovoltaic Technology cable 4.0 mm'(0.006 inches'), 10.°1 - _ 1200 mm(47.2 inches) POWER OUTPUT GUARANTEE 9m Fire Rating Type 2 �m 800w/m' Highly reliable due to stringent quality control <_6m wow/m _ • Over 30 in-house tests(UV,TC,HF,and many more) S.- As a leading global manufacturer • In-house testing goes well beyond certification requirementsu 4.1-400w/rn° TEMPERATURE RATINGS MAXIMUM RATINGS of next generation photovoltaic 3°° - 200w/m' NominalOperating Cell Operational Temperature -40-+g5°C products,we believe close - 2m - - - - Temperature(NOCT) -44°C(±2°C) cooperation with our partners - 1.° - I Maximum System 1000V DC(IEC) 000 Temperature Coefficient of Prw -0.41%/°C i Voltage 1000V DC(UL) is critical to success. With local o.m lom 20.- 30- 4n- presence around the globe,Trina is ,. - Voltoge(v) Temperature Coefficient of Voc -0.32%/°C Max Seri1.es Fuse Rating 15A able to provide exceptional service r-- Temperature Coefficient of Isc 0.05%/°C to each customer in each market Certified to withstand challenging environmental ® - ---- ------ and supplement our innovative, conditions reliable products with the backing �r • 2400 Pa wind load of Trina as a strong,bankable • 5400 Pa snow load WARRANTY partner. We are committed - 10 year Produci Workmanship Warranty to building strategic,mutually 25 year Linear Power warranty- _ --- beneficial collaboration with - - - - installers,developers,distributors (Please refer to product wonantyfor details) <+ and other partners as the backbone of our shared success in --_--- -- ---- --- - - - _-- - - - CERTIFICATION driving Smart Energy Together. LINEAR PERFORMANCE WARRANTY PACKAGING CONFIGURATION a 10 Year Product Warranty•25 Year linear Power Warranty Al SA"x Modules per box:26 pieces w Trina Solar Limitedf www.trinasolar.com -- .rwil ® I pTt I Modules per 40'container:728 pieces 100% - 3 Abtlttiogaf � atrrrrr- Yq/oe froln ��.I cormarunNE o.90% Trllra$Otar s)/neOj warraflh, CAUTION:READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT. pa'�4>ie C 2014 Trina Solar Limited.All rights reserved.Specifications Included in this dafasheet are subject to J 4 rir; Trinasolar 080% Trinasolar change without notice. Smart Energy Togetherrears s 1g 1s 20 2s Smart Energy Together MR9n�o -■Trina standard _ --■Indust•ystandard t . i� _ solar=9sSingle Phase Inverters for North America solar • • SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ SE760OA-US/SE1000OA-US/SE1140OA-US SE3000A-1.11S SE380OA-US I SES000A-US SE6000A-US SE760OA-US I SE10000A-US I SE11400A-US OUTPUT 9980 @ 208V SolarEdge Single Phase Inverters Nominal AC Power Output 3000 3800 5000 6000 7600 990@208V 11400 VA 5400 @ 208V 10800 @ 208V For North America Max.AC Power Output 3300 4150 6000 6350 12000 VA ... ....Baso @zaoY..... ....... ......... . ..io9so @zaov,.. .. ......... .. ... . .. ......... ... AC Output Voltage Mln:Nom.Max.l'I 183-208-229 Vac SE3000A-US/SE380OA-US/SE.5000A-US/SE6000A-US/ ..Outp.... ......Min.-Nom.-Max."'. .... ................ ................................................ ............................................................... AC Output Voltage V .1 11 .1 V .11 V SE760OA-US/SE1000OA-US/SE1140OA-US 211:.240-.264 va. .............. .. .......................... ..... .... ..... .... . ......... .................... ............................. ...... . .. .. AC Frequency Min.-Nom:Max.t'I 59.3-60-60.5(with HI country setting 57-60.60:51 Hz Max.Continuous Output Current 12.5 16 24 @ 208V 25 32 I 4i @ 24UV I 47.5 A ........................................... ................I..................21.@ 240y.............. . ........ -�- GFDI Threshold 1 A Utility Monitoring,Islanding Protection,Country Configurable Thresholds Yes _ Yes INPUT ...... Maximum DC Power[STC) 4050 5100 6750 . 8100 10250 13500 15350 W �,4. t �' Transformer-less,Ungrounded Yes l� .............. .. ................................................ .......................... 5 Max.Input Voltage 500 Vdc ......... v W e ani m Nom.DC Input Volta a 325 @ 208V/350 @ 240V Vdc r - .... g.................. 16.5 @ 208V 33 @ 208V A�'w�ief2e h�� Max.Input Currentlal 9.5 13 18 23 34.5 Adc .... ...... .. ... . ....... ..... ........ ................ ...............I..15,5.a(1?40y..1................ ..................30,5 @.240V.. ............................. i Max.Input Short Circuit Current ............... 45, Ad �$ i Reverse-Polarit Protection ............................................... .......Yes......................................................... ......... Y........................ .. .. ..... .... Ground-Fault Isolation Oe[ection 600k.Sensitivity ,.,,,,,.... ........................................... ................ ............................................... Maximum Inverter Efficiency.......... .....97:7......1.....98.2.......9 ..98:3......1.....98.3.... 98........ 98 98 % ... 97.5 @ 208V 97 @ 208V CEC Weighted Efficiency 97.5 98 97.5 97 5 97 5 98.(lp,240Y.................. ... 97 ............. Nighttime Power Consumption <2.5 ADDITIONAL FEATURES ------------------ Supported Communication Interfaces RS485,RS232,Ethernet,ZigBee(optional) . ......................................... .................... Revenue Grade Data,ANSI C12.1 Optionallal ........................................... ..................................................................................................I.......... ... ... ............ Rapid Shutdown-NEC 2014 690.12 Functionality enabled when SolarEdge rapid shutdown kit is installed' 'STANDARD COMPLIANCE -- Safety ....,,,.UL1741,UL1699B,UL1998,CSA 22.2 ....... .................................. ................................ .....................................I................ ........... Grid Connection Standards IEEE1547 ........................................... ..................................................................................................................................... Emissions FCC part15 class B - - - J i INSTALLATION SPECIFICATIONS _ .., AC out ut conduit size/AWG ran a 3/4"minimum/16-6 AWG 3/4"minimum/8-3 AWG P............................g.... .......................... ... ............ ........... i DC input conduit size/N of strings/ 3/4"minimum/1-2 strings/ 3/4"minimum/1-2 strings/16-6 AWG ...... .. ... ....14-6AWG_,_......._..... ,, .AWG rang?............................. ......................................................................... .... Dimensions with Safety Switch 30.5 x 12.5 x 7.2/775 x 315 x 184 30.5 x 12.5 x 10.5/ in/ ................................ . 775 x 315 x 260 mm.... Weigh[with Safety Switch............. ..........51,2/23:?..........I...................54;7./.24.7.. ............................88:4/,40.1..............Ib/. ... Natural convection Cooling Natural Convection and internal Fans(user replaceable) fan(user The best choice for SolarEdge enabled systems ........................................... ................................................................... .reble).. placea ................................................ SolarEdge s Noise <25 <50 dBA Integrated arc fault protection(Type 1 for NEC 2011690.11 compliance Min:Max.Operating Temperature Isl 'F/'C g p ( Yp P ......................... ...............................13to+140/..25to+60(-40 to+60versio......able..).......................................... � .Rang?.......... Superior efficiency(98'0) Protection Rating NEMA 3R Small,lightweight and easy to install on provided bracket "'For other regional settings please contact solarEdge support. to A higher current source may be used;the inverter will limit its input current to the values stated. Built-in module-level monitoringW Revenue grade Inverter P/N:SErxxxA-USOOONNR2(for 760DW invent-SE7600A-US002NNR2). to Rapid shutdown kit P/N:SE100D-RSD-S1. Internet connection through Ethernet or Wireless w-40 version P/N:SEiooxv*US000NNU4(for 7600W lmenerSE7600A-USDD2NNU4). Outdoor and indoor installation Fixed voltage inverter,DC/AC conversion only PP Pre-assembled Safety Switch for faster installation 'a Optional-revenue grade data,ANSI C32.1 suns°° RoHS USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-ISRAEL www.solaredge.us Staple aidels IIII IIII IIIA VIII VIII VIII VIII VIII VIII IIIIII TOWN OF NORTH ANDOVER 'f APPLICATION FOR PLAN EXAMINATl Permit NO: (/ Date Received i 1 Date Issued: HI k I 41PRORTANT: A licant must complete all items on this page LQCATI,ON' YS[ n _ - --- - _ - - �int PROPERTY OWNERGSi10uJ C Print 1.O.O,Year Old Structure yes - no:. MAP t ;: PARG_EL; Z®NI,N,G'DISTRICT: Histone Distncf: ye_s no, Machine Shop Village, yeas; no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building KOne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial /I<Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septrc; ❑1Nell� . Floodplaini 0 1Netland's, ❑ 1/UMters.hed�Distri`ct' o Water/S;ewe. DESCRIPTION OF WORK TO BE PERFORMED: e-- Identification Identification Please Type or Print Clearly) OWNER: Name: r Snba) e Phone: 643 Address: PPekQ6rn o w. NA oRqS'-__ i CONTRACTOR: Wine,: LON ., I?fione 3 Add're.ss.: 21 - SLA6 a— 5A- I�o-a- AJOVel, N -- D i S_upervis'or'$ Construction Lieens_e:. _ Q���� Exp Date: 1 b ,'jj Home,Irnp_rovement,License,: ( U`f slti�l Exp. Date:--7)1 q 1/`y ARCHITECT/ENGINEER Phone: ' Address: Reg. No. I FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ JG FEE: $ Check No.: ,i� Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of'A' ent/Owner �, Sl,gnature,of�contracfor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ 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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ 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) ❑ 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) J ❑ Building pp 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 ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products I NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit I 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 app:al period is over.'The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm'Ated with the building application Doc: Doc.Buil,jing Permit Revised 2012 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/MassageBody.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 HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes- .. lanning es . Tanning Board Decision: Comments j Conservation Decision: Comments j Water & Sewer Connection/Signature& Date Driveway Permit DPW Tow; ]Engineer: Signature: Located 384 Osgood Street FIRE`DEPARTMENT - Temp Dumpster on site yes - no { Located at x.124 Mair Street Fire Departr"nent signature/date COMMENTS i Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. ' I Total land area, sq. ft.: ELECTRICAL: Movement olf Meter location, mast or service drop requires approval of Electrical Inspector Yes Ido DANGER ZONE LITERATURE: Yes filo MGL Chapter 166 Section 21A-F and G min.$10041000 fine NOTES and DATA— For department use ® 'Notified for pickup - Date i Doc.Building Permit Revised 2010 Location /(, No. / �r Date . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ yS? �.:. . Check { �# Building Inspector t%O R T#1 oven of � t : ,� Andover O <1. N®. = - _ t �0 h ver, Mass, 14.2bfq - "64 �A COCHICMEWICK`"� - flv S u BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT W BUILDING INSPECTOR .............. . ......................... ....... �� . ......................................... . ...... .. .. Foundation has permission to erect .......................... buildings on ...1.6........x.. f.!...114 ... ................. ` Rough to be occupied as ..... ACV p ......... ..... .. . .....a..................................................................... 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 CONSTRUCTI ST S Rough Service ...............1. ........ ...... ................................... 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. 'Town of North-Andover Nnk7 Building Department o m 21 CharlesStreet ~ J° Nortli Andover, Massachusetts 01845V. y I e (978) 688-9545 Fax (978) 688-9542 r tD II "1 �SS,yGHUSE� DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit 4 the debris resulting from the work sliall be disposed .of in a properly licensed solid waste disposal facility as defined by MG-.L cl 1, sl 50a. The debris will be disposed of in /at: Facility location Signature.g of Applicant Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. Acc B� CERTIFICATE OF LIABILITY INSURANCE DATE(MM,DD`YYYY) 1011712013 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 conditlons 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 CONT CT NAME: _ Eas+ern Insurance Group LLC - Main PHONED E 508 651 7700 iarc No1:781-586 8244 ___ 233 West Central Street E-MAIL Natick MA 01760 ADDREsssI c rk er 'nsur nce.com INSURERS AFFORDING COVERAGE I MAIC K _ INSURER A: e C I INSURED 31969 INSURER B: Industry David Castricone Roofing& Siding Inc INSURER C:Weglern World Insurance CD Castricone Roofing Inc 1 USURER D: 231 Rear Sutton Street, Unit 3A u_ North Andover MA 0184S INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 1701011967 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 REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE P„1AY 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 I TYPE OF INSURANCE ADDLISUBR POLICY EFF POLICY EXP LTP, ! INSR WVO POLICY NUMBER MWDOIYYYV) (MMIOD'Yyyyl I LIMITS C C_.VERALLIABILITY NPP1350515 116/2013 /6/2014 EACH OCCURRENCE 151,000,000 DAMAGE TO RENT X !C0!.IN.tERCI.AL GENERAL LIABILITY PREMISES ur enr ce $50.000 -- CLAIMS IOADE u i)CCUR MED EXP(Any ona person) $1,000 PERSONAL Y•ADV INJURY Si,000,000 �� I GENERAL AGGREGATE 52,000.000 GEi�I'L AGGREGATE UMIT APPLIES PER PRODUCTS CAMP%t W.4GG 52,000,000 iX POLICY _i PRO. I LOC ._.—._—_.� A AUTOMOBILE LIABILITY BCNGcv /1/2013 (1;2014 ;Ea atGide rv• 1,000,0°0 Ti, BODILY INJURY iPer person) �6 ALL 0'iv D X SCHEDULED ! _ .AUTOS I 'UTO$ I BODILY INJURY iPer am.klenry HIRED.>UT(l$ X MON-OWNED PROPERTY DAMAGE I —--- Pelaxen0 $ ---- 5 — ----'— UMBRcLLALIAB OCCUR I EACH OCCURRENCE £ f Excess LIAB CLAIA4S MADE AGGREGATE S i DED GETEI.ITIOr.!$ $ g I4'lCRKE RS COMPENSATION JC003989?23 2312013 9i231201d WC YT.70 0TH A,vD SMIDLOYERS'LIABILITY Y(N ! ANY PROPRIEiOR•PARTNERExECUTIvE❑ OFFICERS-i=re BER EXCLUDED? N r A ! E.L.EACH ACCIDENT $100,000 (tdandaiory sc,in NH) I E L.DISEASE EA EMPLOYEE 5100,000 _ ' !II':6 i.OESCIibE UIL)bf DESC.PiPTI)r'JOFOPERA.TIDI'ISbeIOW i E.L.DISEASE-PtOLICY LIMB 5500.000 DESCRIPTION OF OPERATIONS;LOCATIONS;VEHICLES (Attach ACORD 101.Additlonal Remarks Schedule,Ii more space is required) CERTIFICATE HOLDER CANCELLATION Castricone Roofing & Siding SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Unit 3A THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 231 R Sutton Street North Andover, MA 01845 AUTHORIZED REPRESENTATIVE a ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010;05) The ACORD name and logo are registered marks of ACORD Massachusetts -Department of Public Safety Board of Buil - ding Regulations and Standards Construction Super icor Speciuly, License: CSSL-099358 IIs DAVID T CAS TRS LONE 31 COURT STREET ` % NORTH ANDOVtR 1ViA 4 01. 5 �!.�.•� � • " j1 Expiration Commissioner 12/16/2015 SCA 1 0 20M•05/11 rJlnoiirr,to�ttr..ea�r/o�C l`:i ru�u:icC/ Office of Consumer Affairs&Busi6ess Reguulation R— OME IMPROVEMENT CONTRACTOR registration: 104569 Type: 'Expiration: 7/14/2014 Private Corporatic 1 DAVI CASTRICONE ROOFING,SIDING& David Castricone 231 R SUTTON ST SUITE 3A NORTH ANDOVER, MA 01845 Undersecretary The Commonwealth of Massachusetts Department of lndustrialAccWhts Office of Investigations 600 Washington Street Boston,MA. 02111 UT www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): _b AV ►D k,T2I(link I\Mlr I M 6 ,k S f D 1 NG INC Address: oZ 3 &u TTh t-� (u e-i UP i T 3 A City/State/Zip:Mo, ANDovrr MA 61M- Phone k 9 7 8 1A3 -3 �-)-y Are you an employer?Check the appropriate,box: Type of project(required): 1.Dd I am a employer with_ 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet.# ? FJ Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. El Building addition [No workers' comp.insurance 5. El We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers' comp. c. 152,§1(4),and we have no 12'f�rRoof repairs insurance required.]t employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. T Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. Iam an employer that is providing workers'compensation insurancefor my employees. Below is thepolicy andjob site information. Insurance Company Name:. 06HH[-kr-L Policy#or Self-ins.Lie..#: W C d d 3 9 q7 Expiration Date: _!�JdA Job Site Address: I lD TcAto on V-nQ.� City/State/Zip: No ° A 6103 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby cero under thepains andpenalties ofperjury that the information provided above is true and correct. Signature: " J C Date: Phone#: q7& W 3�ao Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - - Contact Person: Phone#: DAVID CASTRICONE C:STRICONE ROOFING&SIDING INC. ROOFING,SIRING&REMODELING REPLACEMENT WINDOWS HOME.IMPROVEMENT CONTRACTOR'REGISTRATION NUMBER 104569 a 3 0 0@ SUTTON STREET, ,NO:ANDOVER,MA 01845 In North Andover 978-683-3420 /rt'Boxford 978-887-6147 In HaverhJ!/978-374-7314 Uwe the owner(s)of the premises mentioned below,hereby contract with and authorize you as connector,to f imisb all necessary materials,labor and workmanship,to install,construct and place the improvements according to the following specifications,terms and conditions,on premises below escfibcd: n G Owner's Name.....l...bC44. d� II G.Id `!C' /:......................................:. lephone#....(Pl .L.. ...... ................. Job Address.../4.....vl e t C'. 5�?..1:�: .....� .1...........................Ci � A ty.. ..ttr.. .. jAg .jle/......................State............ Specifications: ............................................................................................. I$`trip existing shinglesr 1 -Apply rew drip edge to all edges. it11%/ o $ " ........................................................................................................... ........................................................................................................ vApply _feet ice and water shield membrane to bottom edges of house. 3 feet ice and water shield membrane in valleys and bottom edges of any unheated areas of house. rn Apply felt paper underlay t t if to 1 ridge vent to Q D���, s :s nr . .... / :....Y..............................:... tom—yea.Reroof usin , ac cc- shingles with a ear warrant . .............. .....j......................................i .......................... ........................................... -Counterllash chimney. v1 "w vent pipe flashing. �Yegal disposal of all debrs.... ...... .............................................................,1 ........ ................................ ......................................................................................................... Area(s)to be worked on: � n 0it ..................................... ............: Roof board re .............................................................................................................:.............. lacement if necessary P @LQ /sheet`Gr��/foot. ..................................................................................>t...I..................................... ......................y— Two Year Workmanship Warranty(Not Transferable M'anufacturer's Warrantyas s e 'ted b tnanufac ur Th (Tactor a�yyes to erform the work d L. the materials s ecified above for the SU of$.t. t �f.� , Pa yable�'.ces.0 Payable.....:=.................on........=................... alance payable on completion of job Owner or Owners are not responsible for Property Damage or Liability while job is in operation. Contractor is not,responsible for any damage to the interior of property,including pre-existing conditions(i.e.water stains,crumbling plaster,exposed nails)or conditions resulting from application of materials specified above (i.e.objects coming loose from walls,crumbling plaster,exposed nails,.dust inauic or other living spaces).Items in attic may need to be covered by w<.mcowner.All materials are property of contractor. Any dumpster placed by contractor is for his use only.Upon completion of above work;all undersigned agree to execute and deliver to contractor,their joint note in accordance with his(their)above obligation as requested by contractor. Upon refusal to do so,contractor may it its option declare the entire contract price or so much as then remains unpaid,immediately due and payable. It is agreed that,if permitted by law,contractor shall a:paid by the owner(s)all reasonable costs,attorney fees and expenses,in addition to the amount due and unpaid,that shall.be incurred in enforcing the terms and eondii ions of the contract and/or any lien in connection herewith.It is further agreed that this contract may be assigned by contractor,and also that Ute obligations hereof shal!bind and apply to their heirs,successors or estates of the parties.The undersigned wanant(s)that he is(they are) the owners(s)of the above mentioned premises aril,that legal title thereto stands of record in his(their)names(s).There are no representations,guaranties or warranties,except such as may be herein incorpoic;ed;if any,nor any agreements collateral hereto,nor is the contract dependent upon or subject to any conditions not herein stated.Any subsequent agreement in refere;;e hereto shall be binding only if in writing and signed by all parties. All Home Improvement Contractors sha').`be registered and any inquiries about a contractor or subcontractor relating to a registration should be directed to:Directori Home Ligxovement Contractor Registration, One Ashburton Place, Room 1301,.Boston,MA 02108 Tel:617-727-8598 Any and all necessary cbnstr action-relat„d permits shall be obtained by the Contractor. Any Owner who secures his own construction- related permit or deals with unregistered contractors is excluded from the Guaranty Fund provisions of MGL c. 142A. Approximate starting date of work................................................ Completion date......................................................... Receipt of a copy of this contact is hereby acknowledged,and it is further acknowledged by the undersigned that the foregoing provisions have been read and the contents thereof understood and that no representation or agreement not herein contained shall be binding upon the parties and that all of the agreements and understandings of said parties are contained herein. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Owner has three business days to cancel this contract and incur no penalty (see notice of cancellation). i IN WITNESS WHEREOF,the parties have hereunto signed their names this ... i/ ..day of j�//..............20./..... Accepted: n /1/� ! ....... Signed 1 / ..4Y:.........lJ,��f?�....... Owner Signed.........................:................................................... Owner David Castricone,President Staple 9.1de.IS IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 1m -i BUILDING PERMIT NoRTN 11 OF,�t�eo TOWN OF NORTH ANDOVER,� " �- '6 ° APPLICATION FOR PLAN EXAMINATION h T Z, OR teCni<hewKw V` Permit No#: / Date Received 1s�SSArED�5���5 ACHY Date Issued: .17—q- I ORTANT: Applicant must complete all items on this page aCA`tT ON OO X EP�Rp E►4TOW�NE}R { �W`I' I zP.1rsi ff� �©0 Yea rSmi u a lyes [�^gip PARCE ;_� �Z NINADIST1Fil� CTJ Historic©istct ayes fr O _��Mache�Sfiop Vl-age ,yes r nom_� TYPE OF IMPROVEMENT PROPOSED USE ResideiTfial Non- Residential ❑ New Building One family ❑Addition 0 Two or more family 0 Industrial ❑8Kration No. of units: 0 Commercial epair, replacement 0 Assessory Bldg 0 Others: 0 Demolition 0 Other OI�Septic ®VVe I J -food lain �®Weflamd ©)Wa er``steed D'istr ct In Water/S e L- - � DESCR��� BEP RFORME tr� Idotntificatlion- Please Type or Print Clearly OWNER: Name: Aniz C=blk Phone0v _164 Address: roc,ontr ctorNamer _ TZK� — [Email� - � ----r= - - -� s:Supervi�sorr�C©ns_ __t�._u.�tion�License.>`__�� � __kExp?:, ©atet ©J �Homei'I,,�mpr,�ovemenfl�L�i.,.c�ense - - _ ��Ezp. Date�L -` ARCHITECT/ENGINEER Phone: < Address: Reg. No. < +; FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. - Total Project Cost: $ 1� fki FEE: $ � - Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to gar ty and F'wv`, s. y�� .3T'r v ,�,+4v"7,xy9r r �.{ .+� �', Signature ofAgent/,Owner A , ti:�4 ` - _igriaturof4contractor, ,�, � .a i 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 10TE: 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 ❑ 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 IOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit i New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of HiI.C. And C.S.L. .Licenses ❑ Workers Comp Affidavit 4 ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract R ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products IOTE: 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 R vised 2014 R I Plans Submitted ❑ Plans Waived El Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL �I Public Sewer S wimmin Pools❑ P 1 Tanning/Massage/Body,Art. ❑ g ❑ Well ❑ f.. -.. Tobacco Sales El Food Packaging/Sales ❑ Private(septic tank,etc. ❑ permanent Dumpster on Site ❑ 5• THE FOLLOWING SECTIONSfOR OFFICE.USEfONLY• INTERDEPARTMENTAL.SIGN:OFr - U FOFtIVi,;,' PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS I CONSERVATION Reviewed on Signature I COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments 'Uater& Sewer Connection/Signature& Date Driveway Permit -DPW.Town Engineer: Signature: Located , 384 Osgood Street TRE DEPARTMENT Temp ®umpster.on site yes s= _ aux no Located at 1►24 Main Street '� r ���,.f,��r� " ' x • � � � �, •.Fire Department�i.gnature/dates �� � ��^ �' ,,'x�� _ .. �. ���" , � � T �= � x R' • ,f Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.:`', ELECTRICAL: Movernent of Meter location, mast or service drop requires appoyal 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 a Doc.Building Permit Revised 2014 I Location ' ('t�—,77,; 4 •No. Date TOWN OF NORTH ANDOVER . Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee ` $ Other Permit Fee $ TOTAL $ Check# a t "� Building Inspector I% i i` i �t '�1 IfI I� Ih .{ i4 �' �. i4, 6 r� p I � � 4 1 4 '.�� NORT11 Town of 2 t _ .. 6 ndover O No. -, - b Co h ver, Mass, RA t4k_ VN2Co(to coc MICMlWK�t • �,9 p�R�rEo 01Pa��S S U BOARD OF HEALTH Food/Kitchen PER T LD Septic System THIS CERTIFIES THAT ........ .. .4� ... ,.,. BUILDING INSPECTOR ......... . ......... . .... ................ ......................... ...� .....FrAcn!s(A A.1Foundation has permission to erect .......................... buil 'ngs on .......... .................. Rough to be occupied as ........... ....... ... � ...w� ........................... 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 CONST TIO Rough vice .. ... . ... ....... . BUILDINGINC......TOR.. Final 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. HOME I] PLEASE READ THIS r Sold,Furnished and Installed by: THD At-Home Services,Inc. Branch Name:New England Date:JJ d/b/a The Home Repot At-Home Services 4 r MA 015 5 Branch Number:31 908 Boston Turnpike,Unit 1,Shrewsbury, Toll Free 877-903-3768. Federal ID#75-2698460;ME Lic#C 02439:.RI Cont.lie#16427 Cr Uc#HIC.0565522;MA Home Improvement Co clot Reg.0126893 Installation Address: City State Zip Purchaser(s): Work Phone: Home Phare• Cell Phone: � G [ _ [ I Q �r Home Address: State Z+P (If different from Installation Address) Not updates):E-mail Address(to receive project communications and Home. ❑I DO NOT wish to receive any marketing emails from The Home Depot _ Proiect o buy, MWInformation: Undersigned("Ctntomer"),the owners,�otfurnishe pr ham,deliver andlocated at the anwge for the installation('Installation)of THD At-Home Services,Inc.('"rhe Home Depot")agrees all materials described on the below and on the referenced Spacn:Sheet(s),all of which?are incorporated into this Contract by this reference,along with any applicable State Supplement and Payment Summa attached hereto and any Change Orders(collectively, "Contract"): x S Sh (fs # Project Amount Job#: 0.9a, Rm.M, lids:. �s y Roofing Siding Windows Insulation /� 0! $ ��'��� i►i,( ❑Gutters/Covers try Doors ❑ = J Roofing,-Siding Windows Insulation $ OGutters/Covers QEniryDoors❑ Roofing Siding Windows Insulation $ QGuttels/covers❑Entry Doors 0. J _ Rooting Siding Windows El Insalation $ ❑Gutters/Covers[]Entry Doors ❑ Afirdmum2-4%Ikpoatort�t Amamtdue upon mcutionofthis contract. Total Contract Amount $ I� Q'lCA Maine Purdmmrsma•rratd more than one-third oftheCrinractAmount I Ol7li Customer agrees,that immediatelye u the work for each Product,Customer.will execute-a Completiou Certificate (one for each Product as defined by an mdevrdua( ti )and an hahince due cable„ actl Customer tulder.,ihis i Contract ngees to be jointly and severat) ob�i�gatEd 1 he run` p ' �` ., ; .. - . The Home,Depot reserves the rigtitlo issue a Change Order innte "Con at or'any individual,Product(s)included herein•at its discretion,Ife Home Depot or its authorized service pr vt Wdetermines that rt 2 arinot perform its obligations due to a structural problem with the home environmental;hazards such as mold;asbestos or Iead paint other.safety concerns,pncmgaxrors or:because work required to complete the job was not included in the Contract-_ bt�Summan The Payment Summary included a5 part ofthis Contract, a'"ets forth the total C�trr+timoumzan >ayments required for the deposits and final payments by Product(as applicable). ` NOTICWTO CUSTOMER 4 You are entrt"e'to a complete y't lled-in copy of the Contract at the time you sigh. Do not sigh a Completion Certificate(note: there is one Completion Certificate for each listed Product as defined by individual Spec Sheets)before work on that.Product is complete. In the event of termination of this Contract home r to pay The Home Depot the costs of materials,labor,expenses and services provided by The Home Depot.or Authorized Service Provider through the date of termination,plus any other amounts set forth in this Agreement or allowed under up licable law. THE HOME DEPOT MAY WITHHOLD AMOUNTS OWED TO THE HOME DEPOT FROM-THI: i)E�MIT PAYMENT OR_OTHrR PAYMENTS MADE, WITHOUTT LIMITING THE HOME DEPOT'S OTHER l-DIF.S,FOR RECOVERY OF SUCH AMOUNT& Acre tan a and 's Agreement is the entire tf8Acn Authorization: Customer agr�•It% unthxstands that tht gree t between,Customer and't'hc oma lkpot with regard to the Products and Installation services and supersedes all prior discussionsfnnd agrrcments,either oral or written,relating to said Products and lostallatiuit.This Agreement cannot tie assigned or amended except by a writing signed by Customer and The Home Depot.Customer acknowledges and agrees that Customer has read,underst nds£voluntarily a.ccl,ts rite terms of and has receiv y of this A grecinent. Acce v Submitted by: ' onsultar s Signature .Dat Customer'sSignature Date . SulcsC g _ Telephone No. Customer's Signature Datex�k sales Consultant License No. CANCELLATION: CUSTOMER MAY-CANCEL 7111St• (asap icaAlel AGREEMENT WITHOUT PENALTY OR OBI.IGAT+IUN BY DELIVERING WRITTEN NOTICE TO THE NUME- DEPOT BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING THIS AGREEMENI.. THE STATE SUPPLEMENT ATTACHED HFRETO CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBFD BY LAW1N CUSTOMER:S STATE. STATED ON TIIR REVERSE SIDE AND NOTICE;ADDITIONAL TERMS AND CONDITIONS Mitt ARE PART OF 09-03.15 whn•-Branch VO4 'Yellow-Customer THIS COIN ry RACE' Vie ComnaonwealtA of Hassachusetts ' Depariment of fndus-trijl.4cciden- 0e of,Investigations I Congress Street,Suite 100 � Boston,M4 2#1 www.mass.;ov/dia Workers' Cocapensation las-axance Affidavit: Build ers;Contract ors/Electricians/Pfumbers licant 1<nf�o>rmation Please Print Le "blv j y Caine (Businessiorgulization/7azduail_, �: � Address: n � P60 l , !'r�-t' 5 Y� Phone#: city/State/Zip: :,��� - ��r Axe you an employer? Check the a ropriate hos: Type of project(required): 4. 1 am a general contractor and I 1.❑ I am a employer with 4. New construction employees(full.and/or part-time).* have hired the sub-contractors 7, Remodeling 2.❑ I am a sole proprietor or partner listed on the attached sheet ❑ These'sub-contractors have S. Demolition ship and have no employees employees and have workers' worr!dnng for me in any capacity. 9. ❑Building addition comp.insuance.t [\Jo workers' comp. instn'ance 10,[]Electrical repairs or additions 5. [] 37U'a.are a corporation and its I` 3.!J lam a3 omeo �uner doing all wcr?: officers have exercised their 1 L.E]Plumbing repairs or additions I m self. to workers' comp. n of exemption per�iliL 17_,�Itoo airs ` I c. 152, J 1(4);and we have no insurance req�lired] , 13. tier i =ployaes. [No workers' comp. insurance required.] _,zy poi__anc;hat checlr this 3 Hast indicating nal oat she se=do el�Work and howing then a¢e urtside ojntrac=o must submit a actr 3ffidav+it'ndiceting arch r Eiomeowners who submrtthis affidavit indacatmg they g 'Contractors that shack this box must attached as additional sheet showing tie name of'he mb-cor¢ractors and 3tatc whether or act those:ntities have - i -- employees. if the sub-convactois3ave employees,they mast provide workers'-comp.policy anm6er: I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andlob site, information. Insurance Company Name: ; 115 Expiration Date: Policy#or Self-ins.Lie.#: Job Site Address: CitylSt3telZip:l 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 e. 152 can lead to the imposition of criminal penalties of a I One up to$1,504.00 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 du her y c t pai d p al es of p th the information provided above is true and correct. Date: Si e: Phone Ik U official use only. Do not write in this area,to be completed by city or town offidaL Permit/License# City or Town: �. Issuing Authority(circle one): wn Clerk 4. Electrical Inspector. 5-Plumbing Inspector 1.Board of 13ealth 2.Building Department 3.City/To 6.Other Phone Contact Person: #: •j `l ACO® DATE(MM/DDIYYYY) llli� CERTIFICATE OF LIABILITY INSURANCE F02/24/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE.DOES NOT.AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS.CERTIFICATE OF .INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED; subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH USA,INC. NAME: TWO ALLIANCE CENTER PHONE ac Noll: 3560 LENOX ROAD,SUITE 2400 E-MAIL Rss: ATLANTA,GA 30326 INSURERS AFFORDING COVERAGE NAIC S 100492-HomeD-GAW-16.17 INSURER A:Steadfast Insurance Company 26387 INSURED THE HOME DEPOT,INC. INSURER B:ZUdCh American Insurance Co 16535 HOME DEPOT U.S.A.,INC. INSURER C:New Hampshire Ins Co 23841 2455 PACES FERRY ROAD,NW BUILDING G20 INSURER D:Illinois National Insurance Company 23817 ATLANTA,GA 30339 INSURER E: INSURER F: - COVERAGES CERTIFICATE NUMBER: ATL-003741310-08 REVISION NUMBER:o THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED.BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLS BR - POLICY EFF POLICY-EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DDIYYYY MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GL04887714.06 03/01/2016 03101/2017 EACH OCCURRENCE $ 9,000,000 AGE CLAIMS-MADE a OCCUR PREM SES Ea occu D nce S 1,000,000 LIMITS OF POLICY XS MED EXP(Any one person) $ EXCLUDED OF SIR:$1M PER OCC PERSONAL&ADV INJURY $ 9,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 9,000,000 X POLICY E T LOC PRODUCTS-CAMP/OPAGG $ 9,000,000 OTHER: I $ B AUTOMOBILE LIABILITY BAP 2938863-13 03/0112016 03/01/2017 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED SELF INSURED AUTO PHY DMG AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIREDAUTOS AUTOS Per 'de t $ S UMBRELLA LIASOCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTIONS $ C WORKERS COMPENSATION WC015519215(AOS) 03/01/2016 03/01/2017 X I PER C AND EMPLOYERS'LIABILITY - YIN STATUTE ER ANY PROPRIETORIPARTNER/EXECUTNE WC015519217 AK,KY,NH,NJ, 03101/2016 03/01/2017 E.L.EACH ACCIDENT $ 1,000,000 D OFFICER/MEMBER OCCLUDED? a N I A (Mandatory In NH) WC015519216(FL) 03/01/2016 03/01/2017 E.L.DISEASE-EA EMPLOYE $ 1,000,000 if Dyes,describe under DContinued on Additional Pa 1,000,000 DESCRIPTION OF OPERATIONS below 9e E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE:HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 16000SGOODST. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN NORTH ANDOVER,MA 01845 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. ManashiMukherjee 1VLoUusm +2� >hax�e.+ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25.(2014101) The ACORD name and logo are registered marks of ACORD j.. f Office of Consumer Affairs and Business Regulation I 'FI f 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improve Q,ontractor Registration -- Registration: 126893 Type: Supplement Card ! .,� i Expiration: 8/3/2018 THD AT HOME SERVICES, INC. RICHARD FALLONE 2455 PACES FERRY ROAD, HSCA1= i ATLANTA, GA 30339 Update Address and return card.Mark reason for change. sca i : zone-oen, Address 17 Renewal j Employment CI Lost Card �`iv, �(%41YL�97,ryiLC/12CLGfi7 Q�✓GCELJJCGCI�LGSE�Y ffice of Consumer Affairs&Business Regulation License or registration valid for individual use only IR Office IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration, Og Type: 10 Park Plaza-Suite 5170 - —Expi fit 82( a _,-Suppiement.Card.._ .._ Boston;blr0?116 �.. THD AT HOME SEPh'k.—Cli THE HOME DEPOT�ATi} i1ERVICES RICHARD FALLONE�. 2455 PACES FERRY RAS A GiSC ATLANTA,GA 30339 Undersecretary ovalidh tsi ature MaS S a�CusettS Department of Board of Building Regulations and Standard I License, CS-081726 - F Construction Super-visor STEVEN A SZATHMARY -91 ■ YL R OA WKSB RY SN �` A 01,876, Y xp, jra,.Jo : Comrnsioe 0611012019 . . Scanned by CamScanner Code End pu3 apo Code Start � ��S Opoo