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Building Permit #748-2016 - 29 BLUE RIDGE ROAD 12/21/2015
�isLy Permit NO: ��4�I 1 Date Issued: 12, 2l BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received IMPORTANT: Applicant must complete all items on this LOCATION �j-q b 1)% Gu DQ -E KD Print PROPERTY OWNER Je -U-M\/ R N k LE Print MAP NO:%5" PARCEL:6#2 ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial V Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic E Well ❑ Floodplain ❑ Wetlands ❑ Watershed District ❑ Water/Sewer 1NSTfl1-�- 33 SOI_ -AK PAN61,9 off/ EUSTINt RPE SY ST f M S IZt; pE 11. b 55 1 -Irk Identification Please Type or Print Clearly) OWNER: Name: IE-LEM11 FINKLE Phone: 9V. Address: CONTRACTOR Name: D-APhone: X551% i'`1-7{� r� HC- t �.� i �4 Address: y5J 4MAf\J"i ST #J -F1- M -N -DEN MSF 0J2 14S Supervisor's Construction License: 104,3 -IG Exp. Date: 09'/351 �9016, Home Improvement License: I �,�jakI Exp. Date: 0 3/0-1/,,2()1-J ARCHITECT/ENGINEER Phone: Address: Reg. No FEE SCHEDULE. BOLDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ 60 304 FEE: $ � 24`b -b Check No.: ?, 203 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have accesso the gu anty f nd Signature of Agent/Owner Signature of contractor/ Permit No#: BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION PROPERTY OWNE MAP PARCEL: Print NORTH .a O 6 ti 9 Print 100 Year Structure yes no ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic r E] well ❑Flood Iain q Wetlands' ,�a Watershed District g 1Naterl_Sewer j DESCRIPTIUN Ut- YYUKtx I U ISC rtmrur<ivir-u. Identification - Please Type or Print Clearly OWNER: Name: A A_I-�. �... r1U U 1 lu Contractor Name: Phone: Email: Address: Phone: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: 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: $, FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 0 Location ��' �^�' ;Z, S Pd. No—�4� — Z 6N 5 Date Check # TOWN OF NORTH ANDOVER Certificate of Occupancy $+ Building/Frame Permit Fee $ Foundation Permit Fee $�. Other Permit Fee $ TOTAL $ ` Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ 1' Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tauning/Massage/Body Ari ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private (septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS Reviewed On Signature CONSERVATION Reviewed on_ Signature COMMENTS HEALTH COMMENTS Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature Date Driveway Permit ]DPW Town Engineer: Signature: Located 384 Osgood D, '� gam' Street xf F<IREDEPARTMENT,T,�empDumpster on.is�#e°,�,yes,t�c 1�t } t;i � V? cated at 12`,4_— ``� tf Y"'y-r' FieDepartment�*gna"ittre/date '....>.�.c `` .' ��''.`' •� �� I 1..�+... � �- 1 - .. . - w i ' ��. }" ' e`ix t "`t. ' 4 x- sfi`.s rr•t't`�/ -'r.. rt" .r�� .. ,ten, ,....._.. """_.h: COMMENTS, t t i. 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 ®ANGER ZONE LITERATURE; yes MGL Chapter 166 Section 21A —F and G min.$100-$100o fine 0 Doc.Building Permit Revised 2014 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits TOTE: 4. Building Permit Application 4. Workers Comp Affidavit 4, 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 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/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 New Construction (Single and Two Family) Building Permit Application 4. Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Copy of Contract 2012 IECC Energy code Engineering Affidavits for Engineered products TOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Building Permit Revised 2014 1: id �I J Q "' LL O ccZ O m 0)m L u Y O O LL E ate+ v a N V) rr w Z S c . 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Andover, PLA 01845 r 4,nr, ;;:^-�_. (978) 502-8443 National Grid tusI (Retail lnstaliffiOnt Sale Agreement - Subject to Stabs Reguiahon) Fm: -'k; finkle.jeremy8gmail.com R.^tc Cod:. Residential Regular Rl P:! •1 al :.;odul. 32 1 Thr-rm•il 17 of P mel;, P�' tcaG;,:,• 1 ThcYrr l roc -1' ;, esu'..*cturcY & R:odcE4',) Sunpower 335x, Black i.a•:� Lonstro.t,an � /,•t.3'ti Em.,,: Dmumcnt D.•itter, ] f,, Account" 16296-23008 PV SVtcm S+re OV. DCI 10.72 Estimated PV Product in 14,842 k.ih it rt -Fr Ir.. -r '.'a<uto SREC P.r porton,�» Permits lndudrd (L t o; t,.v 7t.rs 1 or 2 x 3olarBdge FT/DC aptimisess sopbar.:al): 0 Yrti 3 No 1 0 Yes D No Lith, r Cir, ,�on�`nts / l gauge; ant DAT/Locus Cell 10yr Reporting porting :1 Check box tf Ad& rdunr r . tt chc-J 2J r „a not cl Jduel.,_; a Utd-iy C ompany poster out, o (d'rcall not" as checked, you will not have power durim an out s,e i The Preliminary System & Total Price shown are based upon estimates, Whenou s this right expires (Section 11111. installer win provide a Final System 0 y Agreement you have a RW ro Cancel. When that Design. Sea Final System Design Process Section 2 (initials) Financed.- Tot.,l Pr., . _ y . _ _ $ � Cash: Total Peace t �:_ : �:- �..� : ,_,. _.,. . $ 58,186 � D0" p3v r-ar°nt (Opt-W.,:i) $ , ZlS'mc az C ::h Tat-.: Lam Amount$ Co„( .1 SAC Lo,n Adv.tncc : to is -:tai fir Ill $ 02 $ D Ye^; ZI NO anc_:udt Si::ta Tax Cmd-i (Est Amt.) $ • SAC Loan must be paid within 0 days �Reduc�-d lnt^rc-t Rate Ir -n (R.'tr $ Conf a R:L fl,aty, t;'_ 7tfra Year- r,L i whit", P,:yn, ® Pfinc'p'1 Fx ;r ;c rc S+lc•c Ta-% L Payment Schedule $8,728 initaarl Dcpo-,at (15 '.paid wah thss tantract $29,093 2 ' ` Payment (50-1, for � poctal order •:•quipmrnt ❑months • $14,547 3'' Paymcnt (25.'1. before Start D,,tv upon in%o:ce $5,818 4" Payment (btlnnc�) upon P, o, rt CompIttion or © ",!s Tax amount, included an Total Price ar, aue to existing conditions a municipal authority will not issue a permit or the utility provider will not permit interconnection, and the corrective measures needed will cost more than $1,600, upon notification of same by Installer, Customer shall have ten (10) calendar days In which to cancel this Agreement by notifying Installer. Within seven (7) days of such cancellation, Installer shall rejur all rids paid by Customer, save for fees paid to the municipality and for engineering studies, upon which this Agreement shall be void. aJ T (initialei Massachusetts Home Improvement Contractor Registration Number' 165151, expires April 29, 2016 �..,. lllar bo114C1 u113 051ccrucnt rr it naw peen signed oy a party thereto at a place other than an address of the seller, which may be his main office or branch thereof, provided you notify the seller in writing at his main office or branch, by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day fol g the sfgni # of this agreement. See the attached Notice of Cancellation form for an explanation of this right. // i was informed of my Right to Cancel and provided wiith two Notices of Cancellation ( (initials & date) NOTICE TO BUYER: t 1. Do not sign this Agreement if any of the spaces Intended for the agreed terms to the extent of en available information are left blank. 2. You are entitled to a copy of this Agreement at the time you sign It. 3. You may at any time pay off the full unpaid balance due under this agreemellft, and In so -et ng you may receive a partial rebate of the finance and insurance charges. This agreement, signed as a sealed Instrument, can only be changed by a writing sigped by both Parties. Bluesei Solar, Inc. Dealer 100 Date: Custoniff- J 7/12/15 , r f r -J 4 —=---:rte s81) 2S t413 s°'ar• Inc WOW Cuftm*Vs Pork tt Via, srt�tian oa1w The terms of this s(ra,i �,�,� suss 4200 suft 12 agreement are contained on more than one paw, iFax- (spat esa-gaol -_...v, Y1I4Aurt1.MA01401 3arAWct><.itAD25e:3. _.. .._ - This Agreement is by and between Customer and BlueSel Home Solar, Inc., for the purchase and installation of the System described herein. The terms, rights, obligations, and warranties of each party are governed by this Agreement. 1) Definitions a) "Agreement Date" — The latter of (i) the date on which Customer and Installer sign this Agreement; and (ii) the date on which Customer is provided a fully signed copy of the Agreement. b) "Balance of System" — The items, equipment, and materials needed to install the System not specifically described in the System section on the first page of this Agreement. c) "Business Day" — Any day of the week other than Sunday. The following holidays are not Business Days: New Year's Day, Martin Luther King, Jr.'s Birthday, President's Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans' Day, Thanksgiving Day, and Christmas Day. d) "Change Order" — Any amendment to this Agreement and/or changes to the System, reduced to writing and signed by both parties. e) "Commissioning" — In the case of a photovoltaic solar energy system, connection of the System to the electric utility grid. f) "Contract Date" — The first Business Day after the later of (i) the expiration of the Right to Cancel; and, (ii) the System Lock -In Date. g) "Customer" — The person(s) named in the Customer section on the first page of this Agreement that has contracted with Installer for the installation of the System as defined herein. h) "Effective Date" — The first Business Day after the expiration of Customer's Right to Cancel. i) "Final System Design" — A plan based upon Customer's needs and Site specific criteria prepared after the Solar Site Assessment that, upon System Lock -In, will become the System to be installed at the Site. j) "Final System Price" — The cost of the System as shown on the Final System Design. k) "Installer" — BlueSel Home Solar, Inc. with a principal office at 600 West Cummings Park, Suite 4200, Woburn, MA 01801, which address shall be used for all written notices. 1) "Mailing Address" — The address to which any notice, invoice, or other written communication provided to Customer should be sent. m) "Permits" — Namely, the building permit, electrical permit, and/or plumbing permit issued by the local permit issuing authority. Other permits (e.g., conservation commission, planning board, historic commission, etc.), are not usual, and are not included in this definition, but may be required. n) "Preliminary System Design" — The solar energy system and/or other equipment, system(s), and improvements, described in the Preliminary System Design section on the first page of this Agreement, and the Balance of System items as defined herein. o) "Project Completion" — Installation of the System and final approved inspection of the System as required by Permit issuing authorities, typically within four to five weeks after Project Start Date. p) "Project Start Date" — The date on which Installer begins to install the System. q) "Right to Cancel" — The option of Customer to cancel this Agreement, for any reason, until midnight of the third business day after the Agreement Date, as described in the Notices and Signatures section on the first page of this Agreement, and as described in the Notices of Cancellation form delivered to Customer with this Agreement. Residential Solar Energy System Installation Agreement The terms of this agreement are contained on more than one page. r) "Sales Representative" — The person with whom Customer primarily dealt prior to the signing of this Agreement and who acted on behalf of installer. s) "Site" — The address, identified in the Customer section on the first page of this Agreement, at which Installer shall install the System. t) "Solar Site Assessment" — A review of the Site that may include, but is not limited to, measurements of the location where the System will be installed, a review of the existing surface and structure intended to support the System, a shading analysis, and a review of the Site's existing electrical and/or plumbing systems. u) "System" — The solar energy system and/or other equipment, system(s), and improvements as shown on the Final System Design and that will be installed at the Site. v) "System Lock -In" — The date and time upon which the Final System Design is deemed accepted by Customer. w) "Total Price" — The cost of the System as shown on the first page of this Agreement. 2) Final System Design Process a) Within fifteen (15) Business Days of the Effective Date, Installer shall: i) Conduct a Solar Site Assessment, if one has not already been conducted. Customer will provide access to the Site at a mutually acceptable time in order to conduct the Solar Site Assessment. ii) Based upon the information obtained during the Solar Site Assessment, confirm the Preliminary System, and if necessary for technical, structural, dimensional and/or other reasons, alter the Preliminary System. iii) Prepare and deliver to Customer the Final System Design, which shall include at least: (1) The quantity, manufacturer, and model of the PV Modules or Thermal Panels; (2) The quantity, manufacturer, and model of the PV Inverter, if applicable; (3) Description of other components and equipment not included in the Balance of System; (4) The Final System Price; and, (5) The projected PV Production of the System in the first year after installation of the System, if applicable. b) If elected on the first page of this Agreement, Final System Design may be delivered by email, of which Customer shall acknowledge receipt. c) If email delivery is not so elected, Final System Design may be in person, by regular mail, or by another means agreed upon by the parties. Customer shall acknowledge receipt of the delivery of the Final System Design. d) If either, i) the Final System Price is more than the Total Price; or, ii) the projected PV Production of the Final System Design is less than 95% of the PV Production of the Preliminary System as shown on the first page of this Agreement, then System Lock -In shall occur at 11:59 p.m. on the fifth (5`h) Business Day after delivery of the Final System Design to Customer. e) If Final System Design differs from PreHminary System Design in either of the manners described in Section 2)d) above, Customer may cancel this Agreement in a writing mailed to Installer, postmarked prior to System Lock -In. To insure such cancellation is properly received, it is also suggested that Customer inform Installer of such cancellation by telephone or email prior to System Lock -In. Page 2 of 4 f) If Final System Design does not differ from the Preliminary System in either of the manners described in Section 2)d) above, then System Lock -In shall occur upon delivery of Final System Design to Customer (which will, in all cases, be after the expiration of the Right to Cancel). g) Unless Customer cancels this Agreement prior to System Lock -In as described herein, if any terms, price, and/or items included in the Final System Design differ from those on the first page of this Agreement, those terms, price, and/or items in the Final System Design shall govern. h) If Customer cancels this Agreement pursuant to Section 2)e) above, the obligations, rights, and duties of each party are canceled and this Agreement shall be of no further effect. i) Upon System Lock -In, this Agreement, including the Final System Design shall become binding upon each party, and may be amended only by a Change Order. 3) Installer Obligations and Responsibilities a) Within fourteen days of System Lock -In, Installer will file applications for the Permits, Grid Interconnect Application, and other paperwork related to the installation of the System, and it shall be the obligation of Installer to obtain these. b) Installer shall provide and install all equipment, components, and materials included in the System, as well as the Balance of System, in a professional manner according to standard industry practices. c) Project Start Date shall be within thirty (30) days of receipt of all permits, grid interconnect authorization, verification of receipt of deposited funds, but not before the signing of this Agreement and transmittal to Customer a copy of this Agreement signed by all parties. d) Project Completion is typically within five (5) weeks after Project Start Date. e) Delays beyond the control of Installer such as, but not limited to, inclement weather, shipping delays, delivery delays, structural analysis and/or improvements, and lack of access to the Site, may affect time periods identified, and such delays shall not be grounds for breach of this Agreement by Installer. f) Installer shall, upon request of Customer, provide evidence of insurance for general liability and workmen's compensation. 4) Customer Rights, Obligations, and Responsibilities a) The fee(s) for all permits are the responsibility of Customer and shall be billed to Customer by Installer separately. If "Permits Included" is checked in the affirmative on the first page of this Agreement, the cost for a building permit, electrical permit, and plumbing permit is included. Other permit fees remain the responsibility of Customer. b) If required by municipal permit issuing authorities, a structural analysis of the Site may be conducted by a professional engineer. The cost of the structural analysis and required improvements are the responsibility of Customer. c) In the case of a Cash purchase, as may be indicated on the first page of this Agreement, Customer shall comply with the Payment Schedule. d) Customer shall cooperate in a timely manner with all requests of Installer to complete and/or sign any documents related to the installation of the System, including, but not limited to, permit applications, Grid Interconnect Application, and documents requested by financing entity, as applicable. e) In the event that Customer is financing the installation of the System and the Final System Price should change in accordance with the terms of this Agreement, Customer agrees to perform all steps required of the financing entity needed to perfect the financing of the System. Residential Solar Energy System Installation Agreement The terms of this agreement are contained on more than one page. f) Should Customer secure any construction -related permits, or deal with unregistered contractors, Customer shall be excluded from access to the Guarantee Fund under MGL 142A. g) Customer understands and agrees that Installer may include Customer's name, Site Address, a description of the System, costs, energy savings, and other information relating to the System in reports, studies, testimonials, Web sites, and marketing materials. 5) Installer Representations a) Installer Federal Employer ID Number: 47-2714223 b) Installer Massachusetts Home Improvement Contractor Registration Number: 166151, expires April 29, 2016 c) Installer Massachusetts Construction Supervisor License Number: 5813, expires January 3, 2016 d) Unless noted otherwise, this Agreement shall not create a lien or other security interest in the Site. e) The System will: i) Comply with all manufacturers' requirements, ii) Be installed according to manufacturers' recom- mendations, iii) Meet all applicable requirements of the applicable current state building code, and the National Building Code 2008. iv) Comply with your electric utility company's interconnection agreement v) Utilize photovoltaic modules certified by a nationally recognized testing laboratory as meeting the requirements of UL 1703 all, as applicable. 6) Customer Representations a) Customer is authorized to contract with Installer to install the System. b) Customer warrants that the statement concerning whether the Site is the Principal Residence or not the Principal Residence of Customer is true and accurate. Installer may rely upon this statement in determining whether to collect sales tax on the System. Customer is responsible for any sales tax owed. c) Customer shall make the Site available to Installer at mutually acceptable times for the purpose of installing the System, and for any purpose related to the installation. 7) Information About Home Improvement Contractors a) All home improvement contractors and subcontractors shall be registered and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Office of Consumer Affairs and Business Regulation Ten Park Plaza, Suite 5170 Boston, MA 02116 Phone: (617) 973-8700 b) If you want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law, contact: Director of Home Improvement Contractor Registration Bureau of Building Regulations and Standards One Ashburton Place, Room 1301 Boston, MA 02108 Phone: (617) 727-3200 c) For assistance with informal mediation of disputes or to register formal complaints against a business, call: Consumer Complaint Section Office of the Attorney General (617) 727-8400 Page 3 of 4 8) Arbitration a) Installer and Customer hereby mutuaNY agree in advance that in the event that Installer concerninghas a dispute submit such dispute o aprivate contract. the contractor may b the Office of arbitration service which has been approved and Customer Consumer Affairs and Business Regtrtno shell be required to submtttf-s'rio arbltrIsion as provid in MGL c. 142A, Customer.' G - fig' r 7/1— 5 Installer ate. �._ NOTICE: The sign sof rhe parties above apply only to the agreement of the partA to alternate dispute resolution initiated by Installer Customer may initiate alternative dispute resolution even where this section Is not signed separately by the parties. 9) Disclaimers a) Although installer has endeavored to provide Customer with accurate projections and estimates and has based all estimates and projections of PV Production, electric ulillty company rates, the value of solar renewable energy credits, and other financial items are not guaranteed or assured. Customer is encouraged to conduct its own research on these matters. b) Financial incentives for solar energy systems change frequently. Customer's qualification for and receipt Of Incentives depend upon numerous factors, including, but not limited to Customer's approval for the program, availability of funding, and Customer's tax situation, All financial incentives discussed or presented in other documents by Installer are presented as estimates for general information and are not intended as tax or tbnanciai advice. Installer strongly recommends that you consult your financial and tax advisors to deterrnine the applicability of these incentives to your project and individual situation. 10) Warranty Terms and Conditions a) installer shall repair and replace components of the System during the ten (10) years following the Project Completion in the event of: i) Defective workmanship, H) System breakdown except for the components of a data acquisition system, in) Degradation in electrical output of a solar photovoltaic panel of more than the manufacturer's rated maximum degradation during the installer's warranty period. b) The warranty covers the System, Including PV modules and inverters, and provides for no -cost repair or replacement of the System or system components, including any associated labor, except for damage to the System caused by ads of God and misuse or abuse of System components. Normal labor charges will appy after the 10 -year Warranty period. . 11) Termination a) upon System Lock -In, Customer may only temrkpate this Agreement for substantial breach of a material section of this Agreement. I) in order to effect termination under this Section 10)b). Customer must notify Installer in wrilhig of its intent to terminate, and dearly identity the substantial breach of a material section of this Agreement. 11) upon receipt of Customer's Rw tatx^ acknowledge receipt of the not t►on and !�Je !e^ (to) Business Days to cure the bread" Ito in the event that installer dots not cure IrmWir slid cease as work on the irls#atlatux of " rr " provide Customer WIM aft ONWal Perste for Items WT119sed and specgl ordered torr lire System, and shall settle is account wh Custc'tw far any out-of-fuocket expenses Ind on Camer~s behalf. 12) Mlsce9arteous a) The captions of the sections of then Agreement ace convenience and shall not be construed as substantive language of the Agreement. b) The laws of the Convnonweafth of Massachusetts shaft apply In Interpreting and enforcing this Agreement- c) greemet-c) Should any section or sections Of the Agreement be deemed unlawful or unenforceable, the remaining secriOrts shall remain In hull force. Your BlueSel HOW Solar, Inc. Sales Representative is' Name: Dave Judelson Phone: 781.799.4743 Emas: djudelsorabluesel.Com DO NOT SIGN THIS AGREEMENT IF ANY SPACES ARE BLANK - THE REMAINDER OF THIS PAGE IS INTENTIONALLY IMANL Residential Soto Ensrlty System k►sUllatim Agreement Page 4 of 4 The term of this atr orient are contained on more than one pow. [You are being provided with two copies of this form, one for you to use, if you choose to cancel, and one to keep.] NOTICE OF CANCELLATION Customer(s): Jeremy Finkle 6 Tanya Gould Site Address: 29 slue Ridge Rd., N. Andover, MA 01845 Date of Transaction: 7/12/15 You may cancel this transaction, without any penalty or obligation, within three business days from the above date. If you cancel, any property traded in, any payments made by you under the agreement, and any negotiable instrument executed by you will be returned within ten business days following receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel, you must make available to the seller at your residence, in substantially as good condition as when received, any goods delivered to you under this agreement; or you may if you wish, comply with the instructions of the seller regarding the return shipment of the goods at the seller's expense and risk. If you do make the goods available to the seller and the seller does not pick them up within twenty days of the date of your notice of cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the seller, or if you agree to return the goods to the seller and fail to do so, then you remain liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other written notice, or send a telegram to: BlueSel Home Solar, Inc., 600 West Cummings Park, Suite 4200, Woburn, MA 01801, not later than midnight on: July 15th, 2015. I hereby cancel this transaction. Date: Customer's Signature [You are being provided with two copies of this form, one for you to use, if you choose to cancel, and one to keep.] NOTICE OF CANCELLATION Customer(s): Jeremy Finkle & Tanya Gould Site Address: 29 slue Ridge Rd., N. Andover, MA 01845 Date of Transaction: 7/12/15 You may cancel this transaction, without any penalty or obligation, within three business days from the above date. If you cancel, any property traded in, any payments made by you under the agreement, and any negotiable instrument executed by you will be returned within ten business days following receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel, you must make available to the seller at your residence, in substantially as good condition as when received, any goods delivered to you under this agreement; or you may if you wish, comply with the instructions of the seller regarding the return shipment of the goods at the seller's expense and risk. If you do make the goods available to the seller and the seller does not pick them up within twenty days of the date of your notice of cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the seller, or if you agree to return the goods to the seller and fail to do so, then you remain liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other written notice, or send a telegram to: BlueSel Home Solar, Inc., 600 West Cummings Park, Suite 4200, Woburn, MA 01801, not later than midnight on: July 15th, 2015. I hereby cancel this transaction. Date: Customer's Signature This Change Order modifies the Residential Solar Energy System Installation Lonrra" pcs Curtis Customer: Jeremy Tinkle & Tanya Gould Installer: BlueSel Home Solar, Inc. Site- 29 Slue Ridge Rd., N. Andover, MA 01945 Contract Dated: 7/12/15 Change Order #: This is Change Order Number 1 to the original Agreement. Modification(s) to In the event that the terms of this Change Order conflict with the terms of the original Terms of Contract: Agreement or of any Change Order previously signed by the parties, the terms of this Change Order shall control. All other terms of the Agreement and of previous Change Orders shall remain in full force. Adjustment(s) to Final System Price: BlueSel Home Solar, Inc. This Change order is to adjust the System from: 32 x 335w SunPower Panels (10.72kw DC) to 33 x 335w Sunflower Panels (11.055kw DC) (lust below the Net Metering Cap) Change in cost: From $58,186 to $59,904 Dom; Customer: Date: 7/16/15 �a11 S Io Owe seer, Ina.t7 dert s.beelfen Drh+e t11v IM twtms of this Changet der, plus the ordinal AVww t and any m-01 12 prwious Ch4a Order(s), are con *" on more than oma �a1 ea3itsat aw,r►. � t� �� oto PA1i1 �i o"'com ar00a.►«o..4Wu GhNy! Order: Pate 14 BLUESEL HOME SOLAR :,r This Change order rrwfiffes the Residential Solar Energy System Installation Contract between: Customer: J*realy alinklo i Tanya could ljueW Home Solar, Inc. 29 Blue Ridge Rd-, N. And"Or, YA 01845 Contract Ditad: 7/12/15 prase Order M. This is Change order Number ?,,,to the original Agreement. ModMIcatlon(s)to in the event that the terms of this Change Order conflict with the terms of the original Terms of Contract: Agreement or of any Change Order previously signed by the parties, the terms of this Change _ .. . _ .. _ _ _..__. • It -L__ .__rw. -it 4,6r A.► .rn.r.t• ^d of previous Change Orders shall rements. Date: t rya Oder, plug the orWnai Apeement and any Wde ft are contakwd on more than ort* pap. 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C7Jw2Vla wQZX:wX: , C4zz 0¢ L,wu��� ° W L7 w W J Z -+ N Q H Fl ZZ z a J J w Z CD z N o F- W n- W U 0 �- J 0 Y M X W ❑ J a > ❑ Z ❑ LLI Q LL� cu ZZ ❑ W W 30 ❑ J +(n Z Q M U Q Q w J J¢ z W C Z � W LD W I- W W 5 W _ W w U U Z Lr) A Q❑ �w o) J F- H �Z J J� Q U Q I- F-A ❑ z LLI Z 0- � -4 ❑ „ ^I- ^ Z N Q M ! u U CD U W o e I Z W r J OD D XJ ZN W " W Q _ u M o a J Qy Z W G m Z C3 3 M3 0o ul) a Z W OW Z I 1 W W .� W F �oLL- Y Z H 1 -1 f) m ~ Z A L-4 Z I-- 3 a 0 a N N N a N N N N N N N N M M M M M M M M M M D O q� 6 E .i Power Warranty 100% 95% 90% 85% 80% 75% 0 5 10 15 20 25 Ye - Co .... ti-I earsconventional Panel •linear warranty More guaranteed power: 95% for first 5 years, -0.4%/yr. to year 25. 7 REFERENCES: 1 All comparisons are SPR -X21-345 vs, a representative conventional panel: 250W, approx. 1.6 m2, 15.3% efficiency. 2 Typically 8-10% more energy per watt, BEW/DNV Engineering "SunPower Yield Report;'Jan 2013. 3 SunPower 0.25%/yr degradation vs. 1.0%/yr conv. panel. Campeau, Z. et al. "SunPower Module Degradation Rate;' SunPower white paper, Feb 2013; Jordan, Dirk "SunPower Test Report;' NREL, Q1-2015. 4 "SunPower Module 40 -Year Useful Life" SunPower white paper, May 2015. Useful life is 99 out of 100 panels operating at more than 70%of rated power. 5 Highest of over 3,200 silicon solar panels, Photon Module Survey, Feb 2014. 6 1% more energy than E -Series panels, 8% more energy than the average of the top 10 panel companies tested in 2012 (151 panels, 102 companies), Photon International, Feb 2013. 7 Compared with the top 15 manufacturers. SunPower Warranty Review, May 2015. 8 Some restrictions and exclusions may apply. See warranty for details. 9 X -Series same as E -Series, 5 of top 8 panel manufacturers tested in 2013 report, 3 additional panels in 2014. Ferrara, C., et al. "Fraunhofer PV Durability Initiative for Solar Modules: Part 2". Photovoltaics International, 2014. 10 Compared with the non -stress -tested control panel. X -Series same as E -Series, tested in Atlas 25+ Durability test report, Feb 2013. 11 Standard Test Conditions (1000 W/m2 irradiance, AM 1.5, 25' Q NREL calibration Standard: SOMS current, LACCS FF and Voltage. 12 Based on average of measured power values during production. 13 Type 2 fire rating per UL1703:2013, Class C fire rating per UL1703:2002. 14 See sales person for details. See http://www.sunpower.com/facts for more reference information. For more details, see extended datasheet wwwsunpowencom/datasheets. Product Warranty 0 5 10 15 20 25 Years Combined Power and Product defect 25 year coverage that includes panel replacement costs. 8 Standard tests13 0 . SPR-X21-335-BLK SPR -X21-345 Nominal Power (Pnom)11 335 W 345 W Power Tolerance +5/-0% +5/-0% Avg, Panel Efficiency12 21.0% 21.5% Rated Voltage (Vm ) 57.3 V 57.3 V Rated Current (Im ) 5.85 A 6.02 A Open -Circuit Voltage (Voc) 67.9 V 68.2 V Short -Circuit Current (Isc) 6.23 A 6.39 A Max. System Voltage 600 V UL & 1000 V IEC Maximum Series Fuse 15A Power Temp Coef. 22 mm [0.9 in] SHORT SIDE -0.30% / °C Voltage Temp Coef. -167.4 mV / °C Current Temp Coef. 3.5 mA / °C REFERENCES: 1 All comparisons are SPR -X21-345 vs, a representative conventional panel: 250W, approx. 1.6 m2, 15.3% efficiency. 2 Typically 8-10% more energy per watt, BEW/DNV Engineering "SunPower Yield Report;'Jan 2013. 3 SunPower 0.25%/yr degradation vs. 1.0%/yr conv. panel. Campeau, Z. et al. "SunPower Module Degradation Rate;' SunPower white paper, Feb 2013; Jordan, Dirk "SunPower Test Report;' NREL, Q1-2015. 4 "SunPower Module 40 -Year Useful Life" SunPower white paper, May 2015. Useful life is 99 out of 100 panels operating at more than 70%of rated power. 5 Highest of over 3,200 silicon solar panels, Photon Module Survey, Feb 2014. 6 1% more energy than E -Series panels, 8% more energy than the average of the top 10 panel companies tested in 2012 (151 panels, 102 companies), Photon International, Feb 2013. 7 Compared with the top 15 manufacturers. SunPower Warranty Review, May 2015. 8 Some restrictions and exclusions may apply. See warranty for details. 9 X -Series same as E -Series, 5 of top 8 panel manufacturers tested in 2013 report, 3 additional panels in 2014. Ferrara, C., et al. "Fraunhofer PV Durability Initiative for Solar Modules: Part 2". Photovoltaics International, 2014. 10 Compared with the non -stress -tested control panel. X -Series same as E -Series, tested in Atlas 25+ Durability test report, Feb 2013. 11 Standard Test Conditions (1000 W/m2 irradiance, AM 1.5, 25' Q NREL calibration Standard: SOMS current, LACCS FF and Voltage. 12 Based on average of measured power values during production. 13 Type 2 fire rating per UL1703:2013, Class C fire rating per UL1703:2002. 14 See sales person for details. See http://www.sunpower.com/facts for more reference information. For more details, see extended datasheet wwwsunpowencom/datasheets. Product Warranty 0 5 10 15 20 25 Years Combined Power and Product defect 25 year coverage that includes panel replacement costs. 8 Standard tests13 Tests And • UL1703(Type2 Fire Rating), IEC 61215, IEC 61730 Quality Certs ISO 9001:2008, ISO 14001:2004 EHS Compliance ROHS, OHSAS 18001:2007, lead free, REACH SVHC-155, PV Cycle Sustainability Cradle to Cradle (eligible for LEED oints)14 Ammonia test IEC 62716 Desert test 10.1109/PVSC.2013.6744437 Salt Spray test IEC 61701 (maximum severity) PID test Potential -Induced Degradation free: 1000V9 Available listings UL, CEC, TUV, MCS, FSEC ® Temperature ondition And Mechanical Data - 40°F to +185°F (- 40°C to +857 Impact resistance 1 inch (25mm) diameter hail at 52 mph (23 m/s) Appearance Class A+ Solar Cells 96 Monocrystalline Maxeon Gen III Tempered Glass High transmission tempered Anti -Reflective Junction Box IP -65, MC4 Compatible Weight 41 lbs (18.6 kg) Max load G5 Frame: Wind: 62 psf, 3000 Pa, 305 kg/m2 front & back Snow: 125 psf, 6000 Pa, 611 kg/m2 front G3 Frame: Wind: 50 psf, 2400 Pa, 244 kg/m2 front & back Snow: 112 psf, 5400 Pa, 550 kg/M2 front Frame Class 1 black anodized (highest AAMA rating) 15581 �- [61.3 1 1046 mm [41.2 in] �nT� G5 frames have no mounting holes. Please read the safety and installation guide. Document # 504828 Rev E /LTR_US G5 FRAME PROFILE InvlslMountTM Compatible 46 mm E- [1.8 in] E 30 m [1.2 in] G3 FRAME PROFILE Not InvlslM000uu)�In't Compatible E ^c Em i 32 mm [1.3 in] LONG SIDE 22 mm [0.9 in] SHORT SIDE G5 frames have no mounting holes. Please read the safety and installation guide. Document # 504828 Rev E /LTR_US solar=*sSingle Phase Inverters for North America SE3000A-US / SE380OA-US / SE5000A-US / SE6000A-US / SE760OA-US / SE1000OA-US / SE1140OA-US Maximum DC Power(STC) SE3000A-US I SE380OA-US I SE5000A-US SE6000A-US SE76GOA-US SE10000A-US SE1140OA-US Yes OUTPUT 3/4" minimum / 1-2 strings/ Max. Input Volta.�................................................................................ 500 ..............................................................Vd Vdc.... .Mn DC Input Voltage ............................ Nominal AC Power Output 3000 3800 5000 6000 7600 9980 @ 208V 11400 VA ............................................................ 20� v..l...... .............. ................. ........I...... ................ 10000 �a 240... . ............................ 18 ......1.......23.......1..3P.A.P. 5400 @ 208V Max..... aInput ShortCircuit Current ..................................... 10800 @ 208V 45 ....................................................................... Max. AC Power Output 3300 4150 6000 8350 12000 VA ............................................................ ............................................... 5450 @240.. ............................................. Maximum Inverter Efficiency ................ 10950,@240................................ ...... 98:3...... AC Output Voltage Min: Nom: Max.)') .......98...............98................. CEC Weighted Efficiency ..........98.2...........98:3........... 97.5 9897.5 97.5 @ 208.. 97.5 97 @ 208.. 97.5 %. ............................................................................98.R°.240.. 183 - 208 - 229 Vac .......................................... ................ ................................................................ . 0.. ,97- ,.e.24............................... ............................................... Nighttime Power Consumption AC Output Voltage Min: Nom: Max!') _<4 W ✓ V ✓ Supported Communication Interfaces .................................... 211-240-264 Vac RS485: RS232, Ethernet, ZigBee (optional)................................................. ................ ............................................... Optionalla) ....................................... AC Frequency ;Nom: Max. .............. ................. .... ................................................................ ... 59.3 - 60 - 60.5 (with HI country setting 57: 60: 60.5) Functionality enabled when SolarEdge rapid shutdown kit Hz Max. Continuous Output Current...........12.5......1......16 I I A..... ......I...?1.p.240V...I...... 25.......1 ................1...4.. (al 24......1.........5........... GFDI Threshold1 A ................................................................................................................................................................................ Utility Monitoring, Islanding Protection, Country Configurable Thresholds Yes Yes INPUT Maximum DC Power(STC) 4050 1 5100 1 6750 1 8100 1 10250 1..... 13500.....1 15350..........W 3/4" minimum / 8-3 AWG ............ Transformer less, Ungrounded ............. ........................................................................................................................... Yes 3/4" minimum / 1-2 strings/ Max. Input Volta.�................................................................................ 500 ..............................................................Vd Vdc.... .Mn DC Input Voltage ............................ 325 @ 208V / 350 @ 240........... Vdc.... Max. Input Current 9.5.......1......13......1..15:5.@.240....1...... T75.x 315 x 2 60.... 20� v..l...... 34.5..........Adc.... 51.2/23.7/24.7 .................... ....................... ............... .88.4/40.1W ...................... 18 ......1.......23.......1..3P.A.P. Max..... aInput ShortCircuit Current ..................................... 45 ....................................................................... Adc Reverse -Polarity Protection Yes Ground -Fault Isolation Detection ............................... 600ko Sensitivity .............. ............................................... Maximum Inverter Efficiency 97.7 98:3...... ......98 ...... .......98...............98................. CEC Weighted Efficiency ..........98.2...........98:3........... 97.5 9897.5 97.5 @ 208.. 97.5 97 @ 208.. 97.5 %. ............................................................................98.R°.240.. .. .................. ................ . 0.. ,97- ,.e.24............................... Nighttime Power Consumption < 2.5 _<4 W ADDITIONAL FEATURES Supported Communication Interfaces .................................... RS485: RS232, Ethernet, ZigBee (optional)................................................. Revenue Grade Data, ANSI C12.1 ................................................................................................................................................................................ Optionalla) Rapid Shutdown — NEC 2014 690.12 Functionality enabled when SolarEdge rapid shutdown kit is installed)') STANDARD COMPLIANCE Safety UL1741, UL3699B, UL1998, CSA 22.2 Grid Connection Standards.......... IEEE1547...................................................... ......... ....................................................................................... .... Emissions I FCC part15 class B INSTALLATION SPECIFICATIONS AC output conduit size / AWG ran a �. 3/4" minimum / 16-6 AWG ................................................. ............................ 3/4" minimum / 8-3 AWG ............ DC input conduit size / # of strings / 3/4" minimum / 1-2 strings / 16-6 AWG 3/4" minimum / 1-2 strings/ , AWG,rang?................................................................................................................. ............. 14.-6AWG............. 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 / JI.XWP)................................................................I T75.x 315 x 2 60.... ightwith Switch ......afety ....................... 51.2/23.7/24.7 .................... ....................... .88.4/40.1W ...................... Natural convection Cooling Natural Convection and internal fan (user ............................................................................................................... replaceable). . ..... Noise..<.25 ....................................................................................................... ....................... Min: Max. Operating Temperature -13 to +140 / 25 to +60 (-40 to +60 version available(s)) . Rangp....................................................................................................................... I...... Protection Rating ............ NEMA 3R ............................................ ......................... other regional settings please contact SolarEdge support. A higher current source may be used; the inverter will limit its input current to the values stated. )a)Revenue grade inverter P/N: SExxxxA-U5000NNR2 (for 760OW inverter:5E7600A-US002NNR2). I°) Rapid shutdown kit P/N: SE1000-RSD-51. (S) -40 version P/N: SExxxxA-US000NNU4 (for 760OW inverter:SE7600A-US002NNU4). Fans (user replaceable) ......................................... ,<.50 dBA ............................ .F / .C... I 0PUNIRAC A MTT GROUP CM~ SolarMount-I TM Roof Mount Technical Datasheet Pub 100701 -ltd V1.0 July 2010 SolarMount-I Module Connection Hardware Sliderand Mid Clamp..........................................................................................................1 Sliderand End Clamp......................................................................................................... 2 SolarMount-I Series Accessory Mount................................................................................ 2 SolarMount-I Beam Connection Hardware 1- Flange Foot..................................................................................................................... 3 2- Flange Foot..................................................................................................................... 3 BeamSplice..................................................................................................................... 4 SolarMount-I Beam SolarMount-I Beams................................................................................................ 5 SolarMount-1 Module Connection Hardware SolarMount-I Series Slider with Mid Clamp Part No. 02027C, 02028C, 02029C, 02030C o� Y l 10-X Dimensions specified in inches unless noted • Slider and Mid Clamp Material: One of the following mill finished extruded aluminum alloys: 6005-T5, 6105-T5, 6061-T6 Ultimate tensile: 38ksi, Yield: 35 ksi • Slider weight: 0.026 lbs (12g), Mid Clamp Weight: 0.050 lbs (23g) • Allowable and design loads are valid when components are assembled with SolarMount-I Beams according to authorized UNIRAC documents • Sliders are compatible with SolarMount-I Beams • Assemble with one'/4-20 ASTM F593 bolt and one '/4-20 ASTM F594 serrated flange nut • Use anti -seize and tighten to 10 ft -lbs of torque • Resistance factors and safety factors are determined according to part 1 section 9 of the 2005 Aluminum Design Manual Applied Load Direction Average Ultimate lbs (N) Allowable Load lbs (N) Safety Factor, FS Design Load lbs (N) Resistance Factor, 0 Sliding, Xt 1194 (5311) 490 (2180) 2.44 741 (3296) 0.620 Tension, Y+ 1503 (6686) 677(3011), 2.22 1024 (4555) 0.682 Transverse, Zt 1 2080 (9252) 1915 (4070)1 2.27 11383 (6152)1 0.665 SolarMount-I Module Connection Hardware SolarMount-I Slider with End Clamp Part No. 02001C through 02006C, 02009C, 02010C Y A WX :2UNIRAC A Mn GROW COtTAW • Slider and End Clamp Material: One of the following mill finished extruded aluminum alloys: 6005-T5, 6105-T5, 6061-T6 Ultimate tensile: 38 ksi, Yield: 35 ksi • Slider weight: 0.026 lbs (12g), end clamp weight varies based on height: 0.058 lbs (26g) • Allowable and design loads are valid when components are assembled with SolarMount-I 1.0 or 2.5 Beams according to authorized UNIRAC documents • Sliders are compatible with SolarMount-I Beams • Assemble with one %-20 ASTM F593 bolt and one %4a 20 ASTM F594 serrated flange nut • Use anti -seize and tighten to 10 ft -lbs of torque • Resistance factors and safety factors are determined according to part 1 section 9 of the 2005 Aluminum Design Manual • Modules must be installed at least 1.5° from either end of a beam Applied Load Direction Average Ultimate lbs (N) Allowable Load lbs (N) Safety Factor, FS Design Loads lbs (N) Resistance Factor, 0 Sliding, Xf 283 (1259) 104 (463) 2.72 157 (698) 0.555 Tension, Y+ 332 (1477) 88 (391) 3.77 133 (592) 0.401 Transverse, Zt 1 1367 (6081) 533 (2371)1 2.56 1806 (3585)1 0.590 Dimensions specified in inches unless noted SolarMount-I Accessory Mount Part No. 08010M ?A Y i1 ..►X Dimensions specified in inches unless noted Slider Material: One of the following mill finished extruded aluminum alloys: 6005 -T5,6105 -T5, 6061-T6 Ultimate tensile: 38 ksi, Yield: 35 ksi Slider weight: 0.026 lbs (12g) Allowable and design loads are valid when components are assembled with SolarMount-I 1.0 or 2.5 Beams according to authorized UNIRAC documents SolarMount-I Series Accessory Mounts are compatible with SolarMount-I Beams Use two Accessory Mounts per accessory Assemble each pair of clamps with the following stainless steel hardware: two Y..-20 set screws, two /-20 heavy hex jam nuts, and two 1-20 F594 serrated flange nuts Use anti -seize and tighten to 5-10 ft -lbs of torque Resistance factors and safety factors are determined according calculations and UNIRAC testing Maximum distance of Maximum weight of accessory center of gravity accessory from beam center lbs (kg) in (mm) 7 (178) 32 (14.5) SolarMount-I Beam Connection Hardware CA SolarMount-I 1- Flange Foot Part No. 041.144! ►X t' 1 �-Q?31tri1�Y�r ! t - Zi41 Dimensions specified in inches unless noted ::OUNIRAC� A lilt, GROUP CO~ • 1 -Flange Foot Material: One of the following mill finished extruded aluminum alloys: 6005-T5, 6105-T5, 6061-T6 Ultimate tensile: 38 ksi, Yield: 35 ksi • 1 -Flange Foot weight: 0.101 lbs (46 g) • Allowable and design loads are valid when components are assembled with SolarMount-I 1.0 or 2.5 Beams according to authorized UNIRAC documents • 1 -Flange feet are compatible with SolarMount-I Beams • Resistance factors and safety factors are determined according to part 1 section 9 of the 2005 Aluminum Design Manual • Design and allowable loads are for the beam to foot connection • Be sure to check load limits for roof attachments and standoffs Applied Load Direction Average Ultimate lbs (N) Allowable Load lbs (N) Safety Factor, FS Design Load lbs (N) Resistance Factor, m Tension, Y+ SolarMount-1 1.0 Beam 1388 (5952) 591 (2629) 2.26 894 (3977) 0.668 SolarMount-12.5 Beam 1514 (6735) 648 (2882) 2.34 1 980 (4359) 0.647 Compression, Y- SolarMount-I 1.0 Beam 2931 (13038) 1288 (5729) 2.28 1948 (8665) 0.664 SolarMount-I 2.5 Beam 2750 (12233) 1223 (5440) 2.25 1849 (8225) 0.672 Transverse, X-, downhill 635 (2825) 313 (1392) 2.03 473 (2104) 0.745 Transverse, X+, uphill 42(187), 20(89). 2.15 30(133). 0.705 Sliding„ Z± (see Beam Splice) SolarMount-I 2 - Flange Foot Part No. 04002M, 04003M ►X rnaam.as�oar , I , Dimensions specified in inches unless noted • 2 -Flange Foot Material: One of the following mill finished extruded aluminum alloys: 6005-T5, 6105-T5, 6061-T6 Ultimate tensile: 38 ksi, Yield: 35 ksi • 2 -Flange Foot weight: 0.103 lbs (47 g) • Allowable and design loads are valid when components are assembled with SolarMount-I 1.0 or 2.5 Beams according to authorized UNI RAC documents • 2 -Flange Feet are compatible with SolarMount-I Beams • Resistance factors and safety factors are determined according to part 1 section 9 of the 2005 Aluminum Design Manual • Design and allowable loads are for the beam to foot connection • Be sure to check load limits for roof attachments and standoffs Applied Load Direction Average Ultimate lbs (N) Allowable Load lbs (N) Safety Factor, FS Design Load lbs (N) Resistance Factor, 0 Tension, Y+ SolarMount-I 1.0 Beam 1931 (8950) 864 (3843) 2.23 1 1307 (5814) 0.667 SolarMount-I 2.5 Beam 2478 (11023) 1111 (4942) 2.23 1 1681 (7477) 0.678 Compression, Y- SolarMount-I 1.0 Beam 3788 (16850) 1706 (7589) 2.22 2581 (11481) 0.681 SolarMount-12.5 Beam 3694 (16432) 1562 (6948) 2.36 2363 (10511) 0.640 Transverse, X-, downhill 635 (2825) 313 (1392) 2.03 473 (2104) 0.745 Transverse, X+, uphill 42 (187) 20 (89) 2.15 30 (133) 0.705 Sliding, Z# (see Beam Splice) SolarMount-1 Beam Connection Hardware SolarMount-1 Beam Splice Part No. 03020M, 03021M 9 -Flange or 2 -Flange Foot CO t, .ss i dare '- • 61•X Dimensions specked in inches unless noted ::aUN I RAC A Hl" &RCUP [U:.YANY • Beam Splice Material: Aluminum 5052-1-132 Ultimate tensile: 31 ksi, Yield: 23 ksi • Beam Splice weight: 0.053 lbs (24 g) • Allowable and design loads are valid when components are assembled according to authorized UNIRAC documents • Beam Splices are compatible with SolarMount-I Beams when used with 1 -Flange or 2 -Flange feet • Resistance factors and safety factors are determined according to part 1 section 9 of the 2005 Aluminum Design Manual Applied Load Average Allowable Safety Design Resistance Direction Ultimate Load Factor, Load Factor, lbs (N) lbs (N) FS lbs (N) 0 Sliding,:k 1428 (6352) 620 (2758) 2.30 938 (4172) 0.657 t ::eUNIRAC A MT1 GROUP COMFA Y SolarMount-I Beam MATERIAL: One of the following extruded aluminum alloys: 6005-T5, 6105-T5, or 6061-T6, Mill Finish Properties Units Beam Height (in) 1.094 2.500 Approximate Weight (per linear ft) plf 0.356 0.548 Total Cross Sectional Area int 0.3037 0.4665 Section Modulus (X -Axis) in 0.1101 0.3687 Section Modulus (Y -Axis) in 10.0390 0.0422 Moment of Inertia (X -Axis) in" 0.0602 0.4609 Moment of Inertia (Y -Axis) in" 0.0195 0.0211 Radius of Gyration (X -Axis) in 0.4453 0.9940 Radius of Gyration (Y -Axis) in 0.25361 0.2127 _ 1.494 0.547 — I.000 SolarMount 1.0 Beam Height = 1.094" Part No. 10144M Y One 00.281 hole is 1.188" A. from each end of the beam DC Power .. Systems (800) 967.6917 www.dopower-systems,aar» f LOIN 2500 I r � 0.547 . 1.000 — SolarMount 2.5 Beam Height = 2.500" Part No. 11192M Y Two 00.281 holes are 1.188" A W X from each end of the beam • 6-X Dimensions specified in inches unless noted K'\ The Commonwealth of Massachusetts Department of Industrial Accidents a d 1 Congress Street, Suite 100 �< Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. ADnlicant Information Please Print Leeibly Name (Business/Organization/Individual): United Solar Associates, LLC Address: 452 Pleasant Street, Second Floor City/State/Zip: Malden, MA 02148 Are you an employer? Check the appropriate box: Phone #: 855-786-1776 1.Q I am a employer with 5 employees (full and/or part-time).* 2.❑ I am a sole proprietor or partnership and have no employees working for me in any capacity. [No workers' comp. insurance required.] 3.M I am a homeowner doing all work myself. [No workers' comp, insurance required.] t 4. ❑ I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers' compensation insurance or are sole proprietors with no employees. 5.❑ I am a general contractor and I have hired the sub -contractors listed on the attached sheet. These sub -contractors have employees and have workers' comp. insurance.: 6. F� We are a corporation and its officers have exercised their right of exemption per MGL c. 152, §1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 7. ❑ New construction 8. ❑ Remodeling 9. ❑ Demolition 10 ❑ Building addition 11.❑ Electrical repairs or additions 12. F1 Plumbing repairs or additions 13.E:] Roof repairs 14. ❑✓ Other Solar Install *Any applicant that checks box #I must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: TRAVELERS Policy # or Self -ins. Lic. #: 7PJUB-5B50763-8-15 Expiration Date: 7/23/2016 Job Site Address: 29 Blue Ridge Rd City/State/Zip: N.Andover, MA 01845 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. A copy s statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. A I do hereby certify under thk pai4s andJpenaltigi if pOurf That the information provided above is true and correct. Apll /a 1/11_ r,atP. u / oY / in 1S Phone #: 855-786-1776 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 #: ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) TYPE OF INSURANCE 12/8/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Asset One Insurance PHFAK No Ext): 714-625-8204 (AIC, No): 714-625-8290 ADDRESS: ara@solarinsure.com 575 Anton Blvd., 3rd FL INSURER(S) AFFORDING COVERAGE NAIC # MED EXP (Any one person) $ 10,000 INSURER A : Westchester Surplus Lines Insurance Company 10172 Costa Mesa CA 92626 INSURED INSURER B: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERK 25674 INSURER C : American Zurich Insurance Company 16535 United Solar Associates, LLC INSURER D: 452 Pleasant Street, Second Floor INSURER E: INSURER F: Malden MA 02148 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER IMM/DD/YYYY) (MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR // 9�// 5' lte 6�fLtll�ll G27527966001 11/10/2015 11/10/2016 EACH OCCURRENCE $ 1,000,000 1: IV NtNI PREMISES (Ea occurrence) $ 50,000 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO a LOC JECT OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ (Per accident) $ A X UMBRELLA LIAB EXCESS LIAB �( OCCUR CLAIMS -MADE G27527966001 11/10/2015 11/10/2016 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? a (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I p` 7PJUB-5B50763-8-15 7/23/2015 7/23/2016 X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Property ER07771654 5/26/2015 5/26/2016 $522,302.00 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of North Andover Attn: Building Department AUTHORIZED REPRESENTATIVE 1600 Osgood St., Building 20, Suite 2035 North Andover MA 01845 // 9�// 5' lte 6�fLtll�ll @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD b eta 4s NOR Si f p9ALdw I e tats M N seee.u.a�a�.r•aitw - 1,4assacilus#ts - Departriwnt of Public SafctY Board of Building Regulations and Standards t.•n•trucri*,n Super%t%.Pr 1 a.: frns)h Liceftse: COSFA-10476 DANIIBLJMCGRA'M,--- n ; 114 sovi oLN S[ " >; MALDEN MA 0'148 S54. I&IJW Expirat en CommiWoner 06116/2016 ELECTRICAL UNLIMITED JOURNEYPERSON DANIEL J MCGRATH 114 BOYLSTON ST MALDEN, MA 02148-7931 LIC. REG Nd. EFFECTIVE MIAO LC.01"9.i3-E2 10/01/2014 09/30/2015 a, , GNED.r STATE OF CONNECTICUT pCl'.IR1-�;1..�I OF t�1��i 1)tk I'XUJf:('7Yil\ � i• DANIEL) MCGRATH 114 BOYLSTON ST NIALDEN, NIA 02148-7931 c ELECTRICIANS ' ISSUES REJOFOLLOWING ELECTRICIAN Ag A EGURNEYMAN `DANIEL J MCGRATH 114 BOYLSTON ST MALDEN MA 07148-7931 . i A67 07/3111 RIM =7=-A� 7irw�7�: � AMsirrrtwe-ear«*el Mee Of Consumer Aloin & Business "vistioa ME IMPROVEMENT CONTRACTOR istration: 168524 Type: ration: 3/7/2017 Individual DANIEL MCGRATH DANIEL MCGRATH 114 BOYLSTON ST MALDEN, MA 02148 Undersecretary STATE OF MAINE IR r.UCTWWW mmm" Baum LICENSE S 111186002M DANIEL MCGRATH MASTER ELECTRICIAN ---Fir, ; RSG h0 � tiLE t xa�F,c ISSUED Aug 218, 2013 EXPCRES M9 31, 2015 ELC.UZ01835-E1 08131/2015 04/3012016 6 Plans Submitted ❑ z Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ well ❑ Private (septic tank, etc. ❑ f Tanning/Massage/Body Art ❑ Swimming Pools ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS Reviewed On Signature. CONSERVATION Reviewed on _____._ Signature COMMENTS HEALTH COMMENTS Reviewed o Sianature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes b Planning Board Decision: �h. Comments Conservation Decision: Comments a Water & Sewer Connection/Signature Date Driveway Permit DPW Town Engineer: Signature: TOWN APPLICATION FOR PLAN EXAMINATION -_ Permit No#: Date Received ��ssgcHus` Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNE Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ Addition ❑ One family ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑' 1Nell T ❑ `F41©`od < lama ®rWetlantls4 �0� - - 4Waterst:ed D istr,�ct _ T I ❑ IVY, lSewer p DESCRIPTION OF WORK i O tst 1rtM1-UM1V1tU: Identification - Please Type or Print Clearly OWNER: Name: Phone: AAA - Contractor Name: Finaii- Address: Supervisor's Construction License: Home Improvement License: ARCHITECT/ENGINEER Phone: Exp. Date: Exp. Date: Phone: Address: Reg. No. FEE SCHEDULE. BULDING PERMIT: $92.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $, EE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund i