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Home My WebLink AboutBuilding Permit #1090-15 - 29 MASSACHUSETTS AVENUE 6/23/2015 i ' M✓�` NORTF BUILDING PERMIT oF�tLE'0 TOWN OF NORTH ANDOVER 3? h� O APPLICATION FOR PLAN EXAMINATION S Date Received y"� �WKP"�e Permit No#: o "�TEo ��5 SSACHU`�� Date Issued: IM ORTANT:Applicant must complete all items on this page LOCATION t ? PROPERTY OWNER I _ m_ Print z 100 Year Structure yes no 'MAP nc� _ PARCEL--��..-_ ZONING DISTRICT �_ Historic Distract ye no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential S-Kew Building ne family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0 Septic_ 11 Wellr O-Floodplain, El Wetlands E Watershed 'District) n Water/Sewer - - - ESCRIPTI N OF WORKT B PERF RM D:0? ! S cn �Ll Y g lvflaU6 Identification- Please Type or Print Clearly OWNER: Name: ?Xa t,A Phone: 9 "305' 4231 Address: Contractor. Name: .. TWPh6ne::. _ -- 11Ct� ' � : &M Address:_. _ /► � { _ . (� I,, � Supervisor's Construction License: 10-- -Exp.`1 Exp. Date: -- -- 1 (` Home m rovement License _-_ � _� '� 1_- Exp. Date: !.• J - __ ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$1,25.00 PER S.F. Total Project Cost: $ 1 Ln FEE: $ ��o/✓U�(,Jl Check No.: :� ` (0 Receipt No.: a9 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fun Signature of Ag.eht/6wner��T I Signature of contractor _ -I i Building Department i The following is a list of the required forms to be filled out for the appropriate permit to be obtained. i Roofing, Siding, Interior Rehabilitation Permits i ❑ 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/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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ 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 g 9 9 NOTE: 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 j Doc:Building Permit Revised 2014 i Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ F SEWERAGE DISPOSAL wer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ptic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ i COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Siqnature COMMENTS ,'Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes t Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Bumpster on,site yes po Located;at 124,Main Street Fire Department signatureld:ate COM -- Dimension i Number of Stories: Total square feet of floor area, based on Exterior dimensions. I Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector p Yes No DANGER ZONE LITERATURE: Yes No j MGL Chapter 166 Section 21A—F and G min.$10o-$1000 fine NOTES and DATA— (For department use) I ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 Locational No. Dat J • - TOWN OF NORTH ANDOVER ., � Certificate of Occupancy $� Building/Frame Permit Fee "" s Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 3� ca 28962 Building Inspector NORTH own of s EAndover O Z o Lh ver, Mass, 3 �` COC MIC HI MCM A°RATEo ►P�'�'Ly s 11 BOARD OF HEALTH Food/Kitchen � 'A LD Septic System w I` THIS CERTIFIES THAT IT ...!.....-`............... BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on ....Q�. ,....... ... .......................... f - l .n ............................. Rough to be occupied as .... � :t..... !! ......S� ......Q�!1....r �. FieInspection, .. :"'� Chimney provided that the person accepting this permit shall in every respect conform terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR i VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR a UNLESS CONSTRUCTM VARTS Rough Service V CJ ............................... ................................................ 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. solar 3301 North Thanksgiving Way, Suite 500 Structural Group Lehi, UT 84043 P: (801)234-7050 Scott E. Wyssling, PE Head of Structural Engineering scott.wyssling@vivintsolar.com June 17, 2015 Mr. Dan Rock, Project Manager Vivint Solar 24 Normac Road Woburn MA 01801 Re: Structural Engineering Services Fernandez Residence 29 Massachusetts Ave, North Andover MA S-4234856 3.64 kW System Dear Mr. Rock: Pursuant to your request, we have reviewed the following information regarding solar panel installation on the roof of the above referenced home: 1. Site Visit/Verification Form prepared by a Vivint Solar representative identifying specific site information including size and spacing of rafters for the existing roof structure. 2. Design drawings of the proposed system including a site plan, roof plan and connection details for the solar panels. This information was prepared by the Design Group and will be utilized for approval and construction of the proposed system. 3. Photovoltaic Rooftop Solar System Permit Submittal identifying design parameters for the solar system. 4. Photographs of the interior and exterior of the roof system identifying existing structural members and their conditions. Based on the above information we have evaluated the structural capacity of the existing roof system to support the additional loads imposed by the solar panels and have the following comments related to our review and evaluation: Description of Residence: The existing residence is typical wood framing construction with the roof system consisting of 2x6 dimensional lumber at 22" on center. Based on the span of the existing rafters, a knee wall or purlin shall be installed prior to installation of the solar panels. The interior knee wall or purlin shall be placed within 12" of an interior wall below the attic space. The attic space is unfinished and the photos indicate that there was free access to visually inspect the size and condition of the roof rafters. All wood material utilized for the roof system is assumed to be Spruce- Pine-Fir #2 or better with standard construction components. The existing roofing material consists of composite asphalt shingles. Our review of the photos of the exterior roof does not indicate any signs of settlement or misalignment caused by overstressed underlying members. Stability Evaluation: A. Wind Uplift Loading 1. Refer to attached Ecolibrium Solar calculations sheet for ASCE/SEI 7-10 Minimum Design Loads for Buildings and other Structures, wind speed of 100 mph based on Exposure Category "B" and 40 degree roof slopes on the dwelling areas. Ground snow load is 50 PSF for Exposure "B", Zone 2 per (ASCE/SEI 7-10). dodo neo solar fagp2of2 2. Total area subject to wind uplift is calculated for the Interior, Edge and Corner Zones of the dwelling. B. Loading Criteria 10 PSF= Dead Load roofing/framing 50 PSF= Live Load (around snow load) 5 PSF= Dead Load solar panels/mounting hardware Total Dead Load=15 PSF The above values are within acceptable limits of recognized industry standards for similar structures and in accordance with the 2009 International Residential Code. Analysis performed of the existing roof structure utilizing the above loading criteria indicates that the existing rafters will support the additional panel loading without damage, if installed correctly. C. Roof Structure Capacity 1. The photographs provided of the attic space and roof rafters show that the framing is in good condition with no visible signs of damage caused by prior overstressing. D. Solar Panel Anchorage 1. The solar panels shall be mounted in accordance with the most recent "Ecolibrium Solar Installation Manual', which can be found on the Ecolibrium Solar website (ecolibriumsolar.com). If during solar panel installation, the roof framing members appear unstable or deflect non- uniformly, our office should be notified before proceeding with the installation. 2. The solar panels are 1 '/z"thick and mounted 4 '/z"off the roof for a total height off the existing roof of 6". At no time will the panels be mounted higher that 6"above the existing plane of the roof. 3. Maximum allowable pullout per lag screw is 205 lbs/inch of penetration as identified in the National Design Standards (NDS) of timber construction specifications for Spruce-Pine-Fir assumed. Based on our evaluation, the pullout value, utilizing a penetration depth of 2 1/2", is less than the maximum allowable per connection and therefore is adequate. Based on the variable factors for the existing roof framing and installation tolerances, using a thread depth of 2 '/2"with a minimum size of 5/16" lag screw per attachment point for panel anchor mounts will be adequate with a sufficient factor of safety. 4. Considering the roof slopes, the size, spacing, condition of roof, the panel supports shall be placed at and attached to no greater than every other roof rafter as panels are installed perpendicular across rafters and no greater than the panel length when installed parallel to the rafters (portrait). No panel supports spacing shall be greater than two (2) rafter spaces or 44" o/c, whichever is less. 5. Panel supports connections shall be staggered to distribute load to adjacent rafters. Based on the above evaluation, with appropriate panel anchors being utilized and the addition of a knee wall or purlin, the roof system will adequately support the additional loading imposed by the solar panels. This evaluation is in conformance with the 2009 International Residential Code, current industry standards and practice, and based on information supplied to us at the time of this report. Should you have any questions regarding the above or if you require further information do not hesitate to contact me. Ve truly yours, cN OFScG Y t �+ Scott E. Wyssli PE CNI C' MA License No. 505 0.50 9�F FGIST6P� FSSIONAA. 4931 North 300 West,Provo.UT 84604 Employer Identification No.: 80-0756433 vivi nt ®I �rn+E-Mail suppoPhone:(877)404-4129 Far:(801)765-5758 Massachusetts HIC License No.: 170848 rt;q;vivintsolar.corn L( � www.vivinisolar.com Aft No.: I t RESIDENTIAL POWER PURCHASE AGREEMENT This RESIDENTIAL POWER PURCHASE AGREEMENT(this"Agreement')is entered into by and between VIVIN'r SOLAR DEVELOPER, LLC,a Delaware limited liability company("We","Us","Our')and the undersigned Custonter(s)("You","Your"),as of the Transaction Date set forth below. Full Name ares,.Aar Lu,o 0p, LA iCerh CkV\ Full Name Fro Customer(s): Proper(,On,rer. ❑}e. ❑.4n L" P�nprrn Ouvrrr- 1 ❑�Vn Q9141 F;Mail: �L �i(17,9 Telephone,No.: J ^Jo� Property Street Address: Z75 C T7 v Address: City,County,State,Zip: rpe_T N' N I7UdC �— N, 'A DESIGN AND INti I'Ai.LATION. We%till design install.sen ice and maintain a solar photovolutic sy.tem on Your Property,which will include all solar panels,inverters,meters.and other components(collectively,-the"System ),'as further described in the C'ustumer Packet and tale Work Order thatWe wilt provide to You hereafter. All material portions of the System will be installed by Our employed technicians and electricians,and not subcontractors. —With Your cooperation, We will (i)design, install and connect the System in material compliance %with all applicable laws; (ii)complete all required inspections;and(iii)obtain all required certifications and permits. In order to design a System that meets Your needs.You agree that We may obtain Your electrical usage history from Your electric utility(the"Utility')and You shall provide Us with copies of Your Utility bills as We may reasonably request. Other than the activation fee described in Section I.B.We will design and Install the SyWri`at no cost to You.t B. ACTIVATION. You agree to pay Us a one-time activation fee in the amount nt y 191- Wewillinterconnect the System with the Utility,and cause the System to generate energy,measured in kilowatt hours ("kWh")(the Energy—`). Installation of the System generally takes one day and is anticipated to begin and be substantially cottipletc between two(2)and six(6)weeks hereafter. C. OWNERSHIP OF SYSTEM. We shall own the System as Our sole personal property. You will have no property interest in the System. D. OPERATIONS AND MAINTENANCE. We will operate and maintain the System(i)at Our sole cost and expense:(ii)in good condition;and(iii)in material compliance with all applicable laws and permits and the Utility's requirements. E. INSURANCE. We carry commercial general liability insurance,workers'compensation insurance,and property insurance on the System. For more information concerning Our insurance,and to obtain a copy of Our certificate of insurance,please visit: www.vivmtsolaccont/insurance. 2.TERM,PRICE,PAYMENTS,AND FI NANCIAL.DISCLOSU RES A. ENERGY PRICE. For all Energy produced by the Systcm,You shall phv Us 5f1, • per kWh(the"Energy Price"),plus applicable taxes. The Energy Price shall increase each year h two and nine-tenths percent(29 ill-'A gn�fatt i estimate of the Svstent output,measured in kilowatt hours, will be provided to You in the Customer Packet. THIS AGREEMI.;NT iS FOR HE SALE OF ENERGY 13Y US TO YOU AND NOT FOR THE SALE OF AR A SOLENERGY DEVICE. B. TERM. This Agreement shall be effective as of the Transaction Date and continue until the twentieth(20"i)anniversary of the In-Service Date(the "Tern!'). The"/n-Service Date"shall be the first day after all of the following have been achieved: (i)the System has been installed and is capable of generating Energy,(ii)all permits necessary to operate the System have been obtained,(iii)the System has been interconnected with the Utility.and(iv)all inspections and certificates required under applicable law of by the Utility have been completed or received. C. PAYMENTS. Beginning with the first month lbilowing the In-Service Date and throughout the Tenn.We will send You an invoice reflecting the charges fir Energy produced by the System in the previous month. You shall make monthly payments to Us by automatic payment deduction from Your designated chcckmn account or credit card. It is Your responsibility fo ensure that there are adequate funds or adequate credit iimit. There is no financing charge associated with this Agreement. For all payments more than ten(10)days past due.We may impose a late charge equal to Twenty-Five Dollars(S25) and interest at an annual rate- ten percent(I %).plus applicable taxes. 11 1 oil continue to fail'to make any paymentft within ten(10)days aer We give You written notice,then We may exercise all remedies available to Us pursuant to Section 13(h). D. RENEWAL. At the end of the Term,You may elect to(i)continue with this Agreement on a year-to-year basis:(ii)enter into a new Agreement with Us and cancel this Agreement:(iii)purchase the System at the end of the Term and cancel this Agreement(the"Purchase Option"):or(ty)cancel this Agreement and have the System removed at no cost to You, You will need to notify Us in writing concerning Your election sixty(60)days prior to the end of the Term. If You elect the Purchase Option, the"Purchase Option.Price" will be the then-current Pair market value o1 rile System based on an independent ag4raiser's valuation of similarly sired photovoltaic systems n Your geographic region. The appraiser's valuation will be provided to You in writing and%%•dl be binding. If We receive Your payment of file Purchase Option Price,costs of the appraisal,applicable taxes,and all other amounts then owing and unpaid hereunder.We will transfer ownership of the System to You at the end of the Term nn an"As Is.Where is"basis. If You elect to have the S%stem removed.We will remove the System from Your Property within ninety, (90)days after the end of the Term. IF YOU DO NOT NOTIFY US OF OUR ELECTION TO CANCEL 91' SENDING A NVRITTF,N NOTICE TO US, THEN THIS AGREEMENT WILL. AUTOMATICALLY RENEW ON A YEAR-i'O-YEAR BASIS UNTIL YOU NOTIFY IIS IN WRITING OF YOUR ELECTION TO CANCEL AT LEAST SIXTY(60) DAYS PRIOR TO THE END OF THE RENEWAL TERM. F. CREDIT CHECK. In connection with the execution of this Agreement and at any time duripg the Term.You hereby authorize Us to(i)obtain YOU% credit rating and report from credit reporting agencies:(ii)to report Your payment performance tinder this.Agreement io credit reporting agencies:and (iii)disclose this and other in(brination to Our affiliates and actual or prospective lenders,financing parties,investors..insurers,and acquirers. WE MAY HAVE PRESCREENED YOUR CREDIT. PRESCREENING OF CREDIT DOES NOT IMPACT YOUR CREDIT SCORE. YOU CAN CHOOSE TO STOP RECEIVING"PRESCREENED"OFFERS OF CREDIT FROM US AND OTHER COMPANIES BY CALLING TOLL-FREE (888) 567-8688. SEE PRESCREEN & OPT-OUT NOTICE(SECTION 29)BELOW FOR MORE INFORMATION ABOUT PRESCREENED OFFERS. 3.LIMITED WARRANTY A. LIMITED INSTAL.LATiON WARRANTY. We provide a workmanship warranty that the System shall be free from material detects in deli*n and workmanship under normal operating conditions for the Tenn. We further warrant that all rooftop penetrations We install shall be watertight as of the ate of installation. We do not provide any warranty to You with respect to any component of the System. Any manuf'acturer's warranty is in addition to,not in lieu of this limited installation warranty. This warranty does not cover problems resultant;from exposure to hannl'ul materials and chemicals, Fire, flood, earthquake,or other acts of god,vandalism,alteration ol'system by anyone not authorized by Us,or any other cause beyond Our control. B. MANUFACTURERS' WARRANTIES. The System's solar modules carry it minimum manulitcitirer's warranty of t%vcmy(20)years as follows: (a)during the first ten(10)years of use,the modules'electrical output will not degrade by more than ten percent(I fly„)from the orizinall•rated output.;and (b)during dtc first twenty(20)years of use,the modules'electrical output twill not degrade by more than twenty percent(20%)from tic originally rated ounit. 'lie System's inverters carry a ntininuuti manufacturer's warranty of ten(I O)years against defects or component l)reikdowns. During the Term.We will enforrce these warranties to the Iullest extent possible. C. DISCLAIMER OF WARRANTY. EXCEPT AS SET FORTH IN THIS SECTION 3. WE MAKE NO OTHER WARRANTY TO YOU OR ANY OTHER PERSON, WHETHER EXPRESS, IMPLIED OR S"I:ATUTORY, AS TO THE MERCHANTABILITY OR FiTNESS FOR ANY PURPOSE OF THE EQUIPMENT, INSTALLATION. DESIGN, OPERATION, OR MAINTENANCE OF THE SYSTEM, THE PRODUCTION OR DELIVERY OF ENERGY, OR ANY OTHER ASSOCIATED SERVICE'- OR MATTER HEREUNDER, ALL OF WHICH WE HEREBY EXPRESSLY DISCLAIM. OUR LIABILITY FOR ANY BREACH OF ANY WARRANTY iS LIMITED TO REPAIRING THE SYSTEM OR YOUR PROPERTY TO THE EXTENT REQUIRED UNDER THIS AGREEMENT. YOU ACKNOWLEDGE THAT WE ARE RELYING ON THIS SECTION 3.C. AS A CONDITION AND MATERIAL INDUCEMENT TO ENTER INTO THIS AGREEMENT. THERE ARE NO WARRANTIES WHICH EXTEND 13EYOND THE DESCRIPTiON OF THE FACE HEREOF. 4.RF,MOVAL OF THE SYSTEN,1 You shall not stake any Alterations(as defined in Section 9 c)to the System_ If You%cant to make repairs or improvements to Your Property that require the temporary removal of the Svstent or that could inter ere"illi its periorniance or operation,You must give Us at least thirty(30)days'prior written notice (a"Customer-Requested Shutdown"). )'on agree that any repair or improvement to Your Property sbalrnot materially alter Your root where the System is installed. As compensation for Our removal,storage.and reinstallation of the System.You agree to pay to Us a fee equ:d to Four Hundred and Ninety-Nine Doll:u's(5499)before We remove the Sy'stein You shall be required to pay the Shutdown Payment(as defined in Section 15)if the System is not reinstalled within thirty(30)days of removal_ In the event of an emergency affecur-the System, You shall contact Us i nmeTately. It'We are unable to timely respond,You may(at Your own expense)contract with it licensed and qualified solar installer to renime the System as necessary to make repairs required by the emergency. You shall be responsible fiir any damage to the System that results from actions taken by Your contractor. 5.ARBITRATION OF DISPUTES Most customer concerns can be resolved quickly and amicably by calling Our customer service department at (377) 404-4129. II'Our customer service department is unable to resolve Your concern,You and We agree to resolve any Dispute(as defined below)through binding arbitration or small claims court instead of comas of general jurisdiction. BY SIGNING BELOW,YOU ACKNOWLEDGE AND.AGREE TI IAT(1)YOU ARE HEREI3Y WAIVING THE RIGHT TO A TRIAL BY AJRY;AND(II)YOU MAY 13RING CLAIMS AGAINST US ONLY IN YOUR INDIVIDUAL.CAPACITY,AND NOT AS A PLAINTIFF OR CLASS MEMBER IN ANY PURPORTED CLASS OR REPRESENTATIVE PROCEEDING. You and We ilzree to arbitrate all disputes, claims and controversies arising Out of or relating to 1 --NNE R ki I I I I If ,, Dlitll iORI, fMPIOYIiI. XI�N I I I? V I )R'•, I fl? N yq I%I I-\F\fpI 11t} 21. 1•.1,FIR I k(,141 0.Nit. I IN IN011"I('f. ilkj DlNi XL If. I\,NF of I I\1 k)R Pt ,I I F,, "I' 1) It K ()R Nt11 I fit I 1•A1 t I I I R I I(IR L I li\Y (I\ 1\I R I I(W 1 1 if I'i i fit),,,I i B) I 1,\b (ift o I I it i( '1 0.1 lNNf I it f\ I I if RIYV A 1 OF.OII 22. IilM)t1,( r if)' \1 1) 1'Y HIS 'I?I I \N I M M I UR ,t o- J OVIN"loN Olt I V I, PRI\( IN k)\\t If 0, "If' Rf 11 fit RF(i4 11\!'..III I I NORILF 2_�,ON I IINIV, 1_�%\ li ln� li.m'i j— Il'tho It) Si PON A\Y SL If ( I \111 I()R rol rcd hz:;;he mu, k( 'v`,Ift-I III R OR \( i \,_0,R(:I D AM) kk Iff"HILIZ hcPi.ocr,I l-, to )1Z ',4)F KNOWN OR St SPVC HA) FO I f\I,, 24. MM(E. 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"Tis -(-Zadi a 'j,"Imcm lonllJt (-ndi Ill originai lir agents, comrwors. and Our �iicce��ors and 11�qlg "Covered Pr rvon") Itvin vin, and all third Party claims, zidioll3, -8- K KI IC 'Y)Lll •65 auilw—, t "wir'll'! c I cxfwns,:s onchiding,reii,,owihic mornc\,,' ice,j;1d cXXV11ses). 1, jd�and 1,kow"III pl'Al mcdi.,,mdi%tclo:....... A rwd,i, lqihililics. C113111CS, 105'C�. obht-atlorr,. i ws ( rial"oqd alls'�Iudio(11,-,to,rw-rdw,, jjc tf,ji will �h Iijill. . elpand, and lioi,of am Kin(por naturk,it-,C1,11nection with 11"t per—:1,1111 c,,m-idd ill ari�irig out ol,or im n\ o,*,rI,t,'Jalm, I",I ar....lg in;in\ I-clalvd(,I(l)Your breach of thus Agrec'uncrit,or(ii)}'our ;tit If f.,.i, Or %k ill fill 111i-;C0I1LlljCt: J)r`()I j4jeIj ilia[ 29.PRES 0 Our CR FEN ASD \0 UICE. THIS efronlication oblig.itwus under this IS shall not apply if' FFIP R 1) ON diQ harm or damog�: that i-, the basis foi such_third party Claim INFORMATION IN YOL R CREDIT RFPOR I INDICA FING occurred MMC 011C(IfOUr eMpI01wCe,or:wents Was at VOUr Propert), THAT)"Of MEFT CFRTHIN CRITFRIA. Tifl", OH:FR IS NOT and'11,11 hill"ordarnalac t,,j,;so(el-, cjusL�d bvthe acliNe ncgltZevcZ; OL'ARANTEH) If YOU DO NO-f ML-Fl OL R CRATI-RLA. IF of twill tit fr1i1C001ILlCt oruch empt(;yee or agent. I - ' Y01_, DO NOl WANT TO RE(FM-, PRESCRI'LN!"D OFFERS 19.SURROG VVION. 'yk)lj agree t,) release all Cowred Pv;wns Of:CREDO r FROM I;S AND 01-ilf R (ONIP 1\IFS',( ALL TI It CIES from any clamis ot'jiliv rarlics suing, through Vour authority in CONSL. Ri PORTIN6 \(.it, N' Fol 1-FREE. 18,i81 567- Your nalilcsuch .is Your corrfp;lnv' and You turee to MXS;OR WRI Ff-• I XPLRIAN OPT Ol.T.1)O BOX 910 At Ij-.N, det�mda 1111_�t am such Claim. YOL MiRFE: TO NbTfj--y TX 7,5013; TRANNS1. MON \,\\it RFMOV._.�I_ OPTION. P.O. R fV�(.vAxt F COMP lNY OF THIS RFLFASF BOX 'S(115 WOODL)N, PA 19094, EQUIFAX OP-FIONS, P.O. 20. k I F 1)N I I-A I k N 1)44.4I FIR S. Uu s \jrcm,ot Ina) 1)be nwn4cd nr BOX-'40123 A FLAN7 N,0 N 30374-0123. it (i)any aspect of the relationship between You and Us,whether based in contract,tort.statute or any other legal theory; a this Agreement or f any other agreement concerning the subject matter hereof; (iii) any breach default, or termination of this Agreement; and (iv)the interpretation,validity,or enforceability ofthis Agreement,mcludinu the determination of the scope or applicability o(`this Section 5(each,a "Dispute-). Prior to commencing arbitration,a party must fust sena a written"Notice of Dispute"via certified mail to the other party. The Notice of Dispute must describe the nature and basis for the Dispute and the relief sought. If You and We are unable to resolve the Dispute chin thirty (30) days, then either party may commence arbitration. The arbitration shall be administered by JAMS pursuant to its Streamlined Arbitration Rules and Procedures(availuble tit: htt ;Ilwww.Iainsadr.com/rules-streamlined-arbitration,the"JAMS Xuiec")and under the rules set forth in this Agreement. The arbitrator shall be bound by the terms of this Agreement. No matter the circumstances,the arbitrator shall not award punitive,sppecial,exemplary, indirect,or consequential damages co either party. If'You initiate arbitration,You shall be responsible to pay$250. All attorneyys' fees, travel expenses,and other costs or the arbitration shall be borne by You and Us in accordance with the,TAMS Rules and a)plicable law. The arbitration shall be conducted at a mutually agreeable location near Your Property. Judgment on an arbitration award may�e entered t an court of competent jurisdiction. Nothing in this Section 5 shall preclude You or We from seeking provisional remedies in aid of arbitration tom a court of competenijurisdiction. NOTICE:BVINITIALING IN THE SPACE BELOW YOU ARE AGREEING TO HAVE ANY DISPUTE ARISING OUT OF THE MATTERS INCLUDED IN THE"ARBITRATION OF DISPUTES"PROVISION DECIDED BY NEUTRAL ARBITRATION AS PROVIDED BY APPLICABLE LAW AND YOU ARE GIVING UP ANY RIGHTS YOU MIGHT POSSESS TO HAVE THE DISPUTE LITIGATED IN A COURT OR JURY TRIAL. BY INITIALING IN THE SPACE BELOW YOU ARE GIVING UP YOUR JUDICIAL RIGHTS TO DISCOVERY AND APPEAL. IF YOU REFUSE TO SUBMIT TO ARBITRATION AFTER AGREEING TO THIS PROVISION, YOU MAI' BE COMPELLED TO ARBITRATE. YOUR AGREEMENT TO THIS ARBITRATION PROVISION IS VOLUNTARY. YOU HAVE READ AND UNDERSTAND THE FOREGOING AND AGREE TO SUBMIT DISPUTES ARISING OUT OF THE MATTERS INCLUDED IN THE"ARBITRAT'ION`OF DISPUTES"PROVISION TO NEUTRAL ARBITRATION. UWE AGREE TO ARBITRATION AND WAIVE THE RIGHT TO A JURY TRIAL: cj �ts tni is 6.NOTICE TO CUSTOMERS �j�•1L—I+ A. LIST OF DOCUMENTS TO BE INCORPORATED INTO THE CONTRACT: (i)this Agreement.(ii)the Additional Terms and Conditions,(iii)the Customer Packet,and(iv)the Work Orden. These documents are expressly incorporated into this Agreement and apply to the relationship between You and Us. B. IT IS NOT LEGAL FOR US TO ENTER YOUR PREMISES UNLAWFULLY OR COMMIT ANY BREACH OF THE PEACE TO REMOVE GOODS INSTALLED UNDER THIS AGREEMENT. C. DO NOT SIGN THIS AGREEMENT BEFORE YOU HAVE READ ALL OF ITS PAGES. You acknowledge that You have read and received a legible copy of this A>reement,that We Have signed the Agreement,and that You have read and received a legible copy of every document that We have signed guring the negotiation. D. DO NOT SIGN THIS AGREEMENT IF THIS AGREEMENT CONTAINS ANY BLANK SPACES. You are entitled to a completely filled in copy of this Agreement,signed by both You and Us,before any work may be started. E. YOU MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO THE LATER OF: (1)MIDNIGHT OF THE THIRD (3RD)BUSINESS DAY AFTER THE TRANSACTION DATE,OR(11 THE START INS I AL1,A770N OF THE SY SEE THE NOTICE OF CANCELLATION BELOW FOR AN F:XPIzANA7�ION OFT] VIVINT SOLAR DEVELOPER, C C� CUSTOMER(S) __ , By. By xj Printed Name: (-t V eT Printed Name: —��^«1� ►241 Title: c�/ e5 ®1•` By: Printed Name: Transaction Date: Q 3 FOR INFORMATION ABOUT CONTRACTOR REGISTRATION REQUIREMENTS, CONTACT VHE MASSACHUSETTS OFFICE,OF CONSUMER AFFAIRS AND BUSINESS REGULATION: 'LEN PARK PLAZA,SUITE 5170, BOSTON, MA 02116, (617)973-8700 OR 888-283-3757. ---------------------------------------------------- -------------------------- NOTICE OF CANCELLATLO\' �. Transaction Date: AR No.: YOU MAY CANCEL THIS TRANSACTION, WITHOUT ANY PENALTY OR OBLIGATION,WITHIN THREE(3) BUSINESS DAPS OF THE ABOVE DATE, OR (IF LATER) UNTIL THE START OF INSTALLATION OF THE SYSTEM. IF YOU CANCEL,ANY PROPERTY TRADED IN,ANYPAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE,AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS 1, FOLLOWING RF,CEIPT By THE SF•,LLER OF YOUR CANCELLATION NOTICE, AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED. IF YOU CANCEL,YOU MUST MAKE AVAILABLETO THE SELLER AT YOUR RESIDENCE, IN SUBSTANTIALLY .AS GOOD CONDITION AS WHEN RECEIVED,ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT• OR SALE, OR YOU MAY, IF YOU WISH, COMPLY WITH THE INSTRUCTIONS OF THE SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE SELLER'S EXPENSE AND RISK. IF YOU DO MAKE THE GOODS AVAILABLETO THE SELLER AND THE SELLER DOES NOT PICK THEM UP WITHIN TWENTY(20)DAYS OF THF, DATE OF YOUR NOTICE OF CANCELLATION,YOU ALAI' 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 VIVINT SOLAI2 DEVELOPER,LLC,AT 4931 N 300 W,PROVO,UT 84604 PRIOR TO THE LATER OF: (I) MIDNIGHT OF THE THIRD(3 ') BUSINESS DAY AFTER THE TRANSACTION DATE,OR(11) THE STARTOF INSTALLATION OF THE SYSTEM. 1 HEREBY CANCEL THIS TRANSACTION: Date: Customer's Signature: ADDI VION Vi TI'R NIS 0 1)1)CQ L1111 I! RHIIII I NI lt(l()\,� \ND litiW1411"Illf" l o Il -I. ,ITT !I 7. "It It'll V 11); le, "0111 T,r ,i 0,I) I Put weat' lit"p, • I ot., I,, -�, it I I�11. �l, l�11 "1 tl�l :lit. 11., lit .,,di� 1L. I11, 111111 A,il X'\ mo, It,o_} 'm I, X M111, u 1 1, �lr',till'Ll'i"' �i`�' l' " -". iTi,t Ile oll-l' q. 1,%1.1. � I, - - It IV d;I like !III ' "' i k W_t 1,4 1",!, ji tri-III, 11 k'I I Mjq;�; At,li Ill ),tall plrt row mcdol nnrtrii),ri.1,11' I1.1 I Ill Ul I %!Ie it, it . 1, 1 S a I ' alit I X 1 .I hil Ja ' ill,a, 1 ic,q I o,�it o,, the 1,,i .'t' 'k rv,IIJL.' P.,I to 1,2•-,nCj to klll,:Ll it;'-ILE:" l'i( N' la[IYou I��CS Lit 01,10 lbil \21Ce"I'T li'Ittlin Clil "d 'I""Koknv lul t Ill`L LIE I III" I Q'I'e't "'i'l I,, „burp ci-Otin"I"'allitilit h. I I�it I da,,I j-let, ""ll :.lot, ..Julc :o, -Ii-t ,I'll dxiI'AiLOur j,w,et,11),V InL,\T,,t tile A I v \1 ill !ILII I' YI.0It i1w toctcr , 11�I"Lut'ltl in jv,i;,rE,E ,it o6i.-Iii,in it),- In,"vIl E-l' IIIIL 11)It Lie. "A W it, I I illvr li,c Lj,I. I,,It- I -11!' "I" it'at u"In' I libla!l fjl�nlcto.At I',I. Ou; Tholy t'M EIQ L .,I�j Ll_,ur c tdl it 1 repair jilli ice, titre lit A, It ,ir corre I.ed ITICLor,iala r',It\ and Such is �.oj "'I o "it eh 11 the 111CLOr Il 111,41erJ111,h I�Inl Nilloil,IticludillL 11'�'I,iaerl "1 11, it;re I,lit"I& I I �oli-upl�, iI,,f on orl,ni,broadbold 1pl,,11,j it I (InFICCIL'al'. NVZ or ot N our wamin-, ,I pti, I he" oln"I 1 1'y q1t P1q,,riN it"I' Mail !lit N 00 ill,Shu darn Pav,11CM tj,rQd,1,IH70 rl'ok_VdinlU q 'T i"fe 11,led I:I,111,11131,e L'I other'I wr"I Item, I" We oli� (-ior jli�uran".'Wc rata' lepail lind a (1151kiiii"T t, -1 � r.,,''lie 'Ol't"Ittl 1:veor'I OoNocd b,. Ij.x_ownt and donand't ,,I 1,'v;Ile Lk-EL 111, LIE 1�,Jln`c 11 1,; ,.,,,.d�wrki%, ti)LInnolaiv this \ will rE it,lfli,e LIE,New('wjlcrl� but dvol ji.lcs,(,I NPtch Oc 0-111 ., I ,ott(ji iI,j, I ta,<,,,tan i,danwt�d III lestio%,-Li b5*it�J'uah�,�!"lm Ill ca ,icj,d l.� dirlewd J,tl Oill 0' 111 [;1 lie (tor oW at t Par ,pliort lit ivilair Ind rcstor" 01. �N,tcln Lit E;vod �tmlm, ml� Ill r- I I . '[]',I Idol,I;Elio In It PlIIPQ_tl I I Y,jjr 6fQvtjlq),either ack In, '0,11clot as V'roillIeL �ill, vwt k;n! onditaoill: I. (it I milimati:ihi� %�Tevfzi,'Tit on(� I Cie 1, `E ou Ittir no cn,�III 3PIE'rit"ok 1,111 IQPkirl f i"'t zli'Ault -tivil, "Its k.V01 eliza ie a C IT till A, E,bl_lo ,.,nNc, I,, Ill 11, Cp;,,I iqgj, -,,,and Ir I,)v�.lj ,c-nit Ahcr rcAvdv aI ."I%ltvil�fili�l Your Di'Colincelion ltj,CjlIjj �Qavt`i� .11"r)elmdl. % A I elfer D"faulf" h,lil ad'oloOL I"Itaarl"n'I[I'L'jooll till -cir I 3e,,"piallInt'll ),l,.ffix! the lit he j-.to et trom di�L �sjl III—it h�Aql,�lnvill L11�Illl - jo so ini'ler dppilcilble la,Jr ElICI:v 11i:mcivrellce 01 JI;1 It,it, ny III ILE, 11lihile 11,P-111-101 lm� .111`71141lued _11tul lot rc,;joaltial millcrial obhll,twlu�oni.J."r trill 'Lu'reellivin;�nd tile cileQ1 if ,;,It lailur, 1,it,,[�Urcd I,Ile eu, it ill-I s ,I nulh jolit,1c.of(it)k)Ill' 9. Not It III'I I P ZI!- tall 1 \1 till Ivin".`�,-u Shall co,um thin[b 11-t N da,,,".- p-ap,. ,I'll .ndl III I"t 061ing.1 ",-5inning�,aot 11 in I,t OLF ()lit"Chl,As 111Il liaturc ill.,[ the P,,p,(j, ",,onh or,d-y-line b)M-Olind-10-10110i, tia; 1.1thly ilIm il;lh'0111LIETuou,accc�,.it,4 lUnCIIi,,TlnI;, (III Itcnictfics ior DClaull. It -1 SQ1tur 0, ,u I,n YI,L Inolt IIIIIN F,._k�-rcclinlnt and I, j,.,E 6-'rour MIIIIIIE' A till 41e dj�jnl pull md,kanllard cl,0L.,11 obtICL at You'* MA) 11)"n't"'I t -proi, in, 'thla'Clo,:d,:I, hk-o till.it per,1 of Vroperl I,: old r(o)'Noe pi G,_ o lit I., nan,tain br-IIJbitid mit 1'let �'eli'llrilal IOA [[its Ac [if 111'U;)IILI J11t)II-Ilk th, To shall You ill r�,ano -nlom lioo A till,\lrrc"Onexil. ,,,a LIE,Ijjltld,,,�P.,,t,col. jet ��,tQm MfIritti,s, �,Th ull d I, I podil', Coolp,91CRI.01"Ne-1;,71cm(Coilc iti,ely 111 fliol,-I,)right ill LIJ aniAg',;;,a e i:all,f I Ellat'dkil collo r,ill lar I I I I pa Ir all 11 11.%;Erratity rtlalln,_' E:xccri lot t\)thi,a0put al co'l, Fcalmc III, ;)'mr,it%it,laai(I,ellio, 'N'ten, fiom'N,or Propeili pul,,ijnl to'iecooll I i- .."I t,I in,d'111a)-c',to N tir PrlylmN You mil be re-pt,tsillie f(IT Ill)JJ01-Ice to the"y"ILIEL that I%cati,ed at " It' Otir .. Iting f;(in the of tile`1N,jnj r Eiir our 1�1 DLE1011 all, )IIIIr aULs1. lniiili�"'. or I on ac�t, it this \I-cf.flIel,IiI terjDt;ijjed tor tit\rvi-n. nhzr man!`arc ml to 1�,- ill'Ile 11,, You - -- ' I Dclauk AiM'I'IP, You halt I,I urim all ureeI, ,It ir -r Prk""i I,,not trool,hc� ' Ii fini Lit ill,SNslcrn is I'll JEIQ0 of c3neliat"'ll. oi a IMler Your ro t,j,,L1 lakc 011'Ct ica""nable 1 1 'itry thateojIi Sh,II EQ i�jj ,o,ont -qllll Ill UkillJl�I"-)Pff -d Qoll(litioll all repair -111 'Ca' in t�ar"U.the in' d Pill went I he"Wfallif At-i-lil %ilcd, ohjeo to I :dmm ,_"c jp,m6,iii Dait Yo I hall kiau inm "I'It file rCf,, "L I net the to," oil all Av""'.0'N'tcoi,iif You,P-1-1, rcl pill,lq,pl,able ml, Y,tt at"mc it all,- P�,:,ov vittli an Dlfnilt P;t,,n,,nL-ill be'0(19 Pct 11311 11111311,111, Dill inti twill I"Ill, !!,)tile I'AnCrI t It a, that Ill, Pa-mit lairly iCllcd,tile tile S`11111.and illTif A VIEV-1 In PE_ePC, - .,10 operal. ad 'e,Ind I(c�tha,i,% kl'C,t ill n_,Ssa,y is a f3iT 17QV)rc�ctlytioli ill Ile danlCig mi"a"i I Ill, V,qo lailov 10 Obtain jjj,s. in a uniil%m3raler iiiner Dclatift, lent,`Lk orml,fk7 o'111'r'llip ,I the n1a; IQ df ,,"i,,rint-two If dli, Aer"In"n 0 nu ,A pay all in err Atter Y.Int rav it,t i dill D, 141t Pal-0 al'W oll ,I :,It I,,. Alan 'n'tilkniial or opemilt'll-a',the S,qem nlcludtjlu any S,,,teml I(,yot, ,,,art I,Wheriz I,-bn,ss 14.jji\N rfo\. lit)T�n 'I'lu"a im.vIle) INQ nw.al(,III sole'111'etlon, It 11,01. k T, j"17-jo 111'.lit;;ejv.VeC j),j,.'j,jjon&1ji_rV oI gmieral cNel, or"ili, "IN(511 the rucr,�y,proditc-A III, 01C N1, tinc 'm(,., I'd pli,pQrly I.a. IcUli'a to Out ownerillip or willonate till,A.,% "Iltice It Nit)Itpon tile I`CCUIECne�'Of 'le"ret DCI�kill `Li`dltl�otnell(Lil)) the 4z�."U. w) 11 N I,,. ill,,UIIIIN, j ini,fic%cinfoli)tal "!""I" \-.17CCIlinelit. )IITVr that,imd,r th,T ,E,:uolsIaoIn\,hl,:h Ill an, to 11), "Iter its immathnforE,Y;'n liall Pay Oil,qj�dard pails and div,ajl�!(ennimation oftlli� I wu 12.or 3�I,i,I othet'11:uCe III rct'tim to ill, the-;yu,m is L-irwer-rcd it)You under 2,.Ile I or fil Ll;ai%%,P-l'it"[11%�Ice. re all roollop u 01 ire,fi,wit Uk,- It We or this \Lr,cjn,n� lie, the D.11c. then NE �hall be Nspoillke 1-1 WiToole file 'm and re'lo ill II,,Q ao jttrjjlir :Illhilit) ill )OU m4nibu^wl ,f-,I,111,11 111,- to,Illcooll. ,I PI,)r),jL3. __ CILTI i,,, j�mlinit,. till, \p-rcc,nicri: tike 1.rail rte Ihl. C11,111,I)lul�aaot it,thc that xv Ow un,Wr S,;ctov, (ho'l-arillcit UNn,011, tit I-Saimn,,ow"bN Cut-,IrT'vf To.Ltm, oI IT Amain,"Er ill 1 Up"'t j You hall :1,11,and rflun)it)zET, �wr,61,Qnf it-other Ono I.Nonj�-,,CC III, luldo"). It,addit'inq I,,I).r I"hi to shul d'v till,1!( 10-Obdoo dn lQMdU-1.rLb-IrCl,In"nit"I" cr 15'SN"'"I St I V I I S- I a) S 1`I\S I c�eauahh I Itik'Clke, or re tell to it.,S),mo, tile hnergN.LIT dov,I) he lor alaintuilmiecdo"I tile "'I. till-tim Ch not that I,a0rillitIc - b,�JiCee Lh�,j'PIjEt)e'j"Con(liji"n,or aclivitt j tenonstoil Ific'ProlictV.Whi, shcm,! til Nyi,reilu Interems -01 �otlarl)j. nj,L% 1%1111 UIV h,'IIC ;, :,:ill other docamcn!:I re'Plife,11 b.\ Ullticr O"T cotill 1 „lather'let ,r IIIA Lild"I `1 11 - div pnd,nv,i W I,S-Icli, rivi Inewrol, in r`K� tistutilI......I,tile (a S1,11(d W I Doting the,pinna, (1,Ej an, j,Q,jn,,t 11 Ie 11 OUT(I'll-171111"t illll�la ,, Valcimi. lit the St Itill,1,tile�hta,l,mn il�)Propl, I)Ijl�tTi ,Itjfv. You hill piomplk notirl 01 11(t) .,I,,Tt it all C'ein that onciw,t�. a, -r wir "Ill ic 'rimir Propcil,tor an� if,to,I -The opCmitoi lic Your e\cna that You,af I,J, , , , t,fit A die i'1111'CC A �E,In tiling interf`crin�-ilii of". 14"agalue I.I,,i, Pr,,I,CE' Ila, Iolro,c,or permit 104nloil, ,I oIuA+F.,n" ctt,ai ,i:h reIilicci to the HlCm�ol"do-djb.",[III (cl i"I'l......I-cmion D)acil'al'on It�n.l :.nIIQ,1wn ,Ll -TI)r I riot It I (,I,Q Majoinc Prop.� It-,110nottilig:or(Lit')'Ttai take MIN cm,,rgcis wy A 1,iflitV ta�CWIIIS dct:1nILJ "Ill till'! 't' ,�tco. I,or miltirc I,)promplly otitilv Lit at'ittell nul0cr"shall he a CuFntmrr jt,ci,t, r lij,Q�io,,d bl It'Cla(Ij I,,oil, alilial(11 lnaltlll ,h thni tt "ecilon I., ,)o. 'r to 1"ce I) f1 lh I;ulcr -,,K R T) I 1,01,ILEl,QCj ,,Of III'FJcnjcjt\ fnnoing Aidi�hc It L.illile to PrIldlICI CICLIF1011 ot 11�1`tilr I'll,nicill. 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NDI IOSSIll o -T, INJI Rill OR It- M)( C \IV LI \Di 1" N't it R y 0�4�11 �J. it,- Y x --n 15 29 Massachusetts. Ave, North Andover MA 01845 0 � o Fn j-N L N� U>Z N war w` o PV SYSTEM SIZE: I Q 3.64 kW DC I LL I I I V INTERCONNECTION POINT, LOCKABLE DISCONNECT SWITCH, I ANSI METER LOCATION, &UTILITY METER LOCATION 45'OF 1"PVC CONDUIT I FROM JUNCTION BOX TO ELEC PANEL I Pry 0 N Q� JUNCTION BOX ATTACHED TO I v ARRAY USING ECO HARDWARE TO KEEP JUNCTION BOX OFF ROOF I I J I I O N a Y N O � n N O V I I0W Et � Ma z 1 I (14)Trina Solar TSM-260 PD05.08 MODULES WITH A z w Q Enphase M215-60-2LL-S2x-ZC MICRO-INVERTER w w z m I MOUNTED ON THE BACK OF EACH MODULE U Z Z 0 SHEET NAME: Q •- I I � J I I SHEET NUMBER: I ' PV SYSTEM SITE PLAN o SCALE: 3/32"= 1'-0" d 0 K v W x Z O r m /0 r 3 m Z G) m Z 0 0 0 0 O 3(n oSCD ;T n ro0 w J A� go 00 CC r C Cn cn < r Cn m � w Cn N m II � J 6 N O O A� T 8 F m— 0 �m m Z A lk I I�, K m 3 m INSTALLER NUMBER::8787.404.4129 R ry� G Fernandez Residence P\/ 2.0 C rn ROOF irn. m \�/I I'V/1 i nl Sol 1 or Massachusetts Ave V �� MA LICENSE:MAHIC 170648 v u u L]LJ L.t 11 C3 Sola��9 1 North Andover,MA 01845 PLAN DRAWN BY:AN AR 4234856 1 Last Modified:5/26/2015 UTILITY ACCOUNT NUMBER:28710-16047 MOUNTING CLAMP SEALING cu PV3.0 DETAIL WASHER -0 (n j N LOWER Q�a SUPPORT " m ® U>Z Iii w a f- 1WwQz 3<D PV MODULES, TYP. MOUNT ''''' ``'`'"' �NZ0 OF COMP SHINGLE ROOF, FLASHING (u a PARALLEL TO ROOF PLANE 2 1/2" MIN N LL 5/16"0 x 4 1/2" PV ARRAY TYP. ELEVATION MINSTEEL LAG SCREWMUM S NOT TO SCALE TORQUE= 1312 ft-lbs 0 CLAMP ATTACHMENT NOT TO SCALE � N s arm CLAMP+ d ATTACHMENT CANTELEVER L/4 OR LESS or--n � COUPLING L=PERMITTED CLAMP ECO SPACING SEE CODE COMPLIANT COMPATIBLE LETTER FOR MAX ALLOWABLE MODULE CLAMP SPACING. C N Q W PERMITTED COUPLING CLAMP+ CLAMP 5 cq � N o r Q ATTACHMENT SPACING CLAMP z m COUPLING PHOTOVOLTAIC MODULE z < a LJ .. Lu J J� Z m AJ J V Z F U) J Q SHEET NAME: L=PORTRAIT HHU) CLAMP SPACING ? Q U71 ECO o F0 COMPA L=LANDSCAPE MODULEIBLE PV SYSTEM MOUNTING DETAIL SHEET NUMBER: CLAMP SPACING MODULES IN PORTRAIT/LANDSCAPE NOT TO SCALE M NOT TO SCALE Inverter Ratings(Guide Section 4) Inverter Make/Model Enphase M21560-2LL-S2x-ZC O Conduit and Conductor Schedule MODULE DETAIL Max DC Volt Rating 45 Volts Tag Descnpron Wire Gauge of conductors Conduit Type Conduit size Max Power®40°C 215 Watts 1 Enphase engage ca1ble-THwN-2 /2 AWG 4 Cord WA-Free Air Nominal AC Voltage 240 Volts 1 Bare Copper Gru (EGC/GEC) 6 A 1 NIA-Free Air WA-Free Air Trina Solar TSM-260 PD05.08 Max AC current 0.9 Amps z THwN z toAwG 3 PVC o•-1•' d SOLAR MODULE Max OCPD Rating 20 Amps Max Number of Panels/Cirw2 THWN-2-Grouts aAWG 1 PVCit 17 v op 3 THWN-2 10AWG 3 PVC 0'-1" °F Q N NOTES FOR INVERTER CIRCUITS(Guide Section 8 and 9): 3 THWN-2-Ground B AWG 1 WC 0'-1' W"N-,Q w -62 m 1.)IF UTILITY REQUIRES A VISIBLE-BREAK SWITCH,DOES THIS LL. Enphase M215-60-2LL-S2x-ZC SWITCH MEET THE REQUIREMENTS? PV Module Ratings @ STC(Guide Section 5) t„ Model Make/Model Trina Solar TSM-260 PD05.08 R Z MICRO-INVERTER AT YES NO X NA N w o z Max Power-Point Current(Imp) 8.50 Amps EACH MODULE,ATTACHED <:D 2.)IF GENERATION METER REQUIRED,DOES THIS METER Max Power-Point Voltage(Vmp) 30.6 Volts 2 t O WITH ECO HARDWARE SOCKET MEET THE REQUIREMENTS? M r Open-Circuit Voltage(Voc) 38.2 Volts N 0, YES NO X NA Short-Circuit Current(Ise) 9.00 Amps I✓ Z Q 3.)SIZE PHOTOVOLTAIC POWER SOURCE(DC)CONDUCTORS Max Series Fuse(OCPD) 15 Amps BASED ON MAX CURRENT ON NEC 690.53 SIGN OR OCPD Nominal Maximum Power at STC(Pmax) 260 Watts C: MICROINVERTER CONNECTION RATING AT DISCONNECT. Maximum System Voltage 1000(IEC)/600(UL) L_ j TO ENGAGE TRUNK CABLE 4.)SIZE INVERTER OUTPUT(AC)CONDUCTORS ACCORDING Voc Temperature Coefficient -0.32 TO INVERTER OCPD AMPERE RATING(See Guide Section 9). 1..L V 5.)TOTAL OF 1 INVERTER OCPD(s).ONE FOR EACH NOTES FOR ARRAY CIRCUIT WIRING(Guide Section 6 and 8 and Appendix DI: PV CIRCUIT.DOES TOTAL SUPPLY BREAKERS COMPLY WITH 120%BUSBAR EXCEPTION IN 1.)Lowest expected ambient temperature based on ASHRAE minimum mean extreme #6 BARE CU GROUND NEC 690.64(B)(2)(a)? X YES NO dry bulb temperature for ASHRAE location most similar to installation location: -19°C ■{ )I• ' s w (GROUNDING ARRAY) 1 Signs Guide Section 7 �-� _(_ OR ) See_ _ -__ � g ( ) 2.)Highest continuous ambient temperature based on ASHRAE highest month 2%dry bulb temperature for ASHRAE location most similar to installation location: 39°C Sign for inverter OCPD and AC Disconnect: 3.)2005 ASHRAE fundamentals 2%design temperatures do not exceed 47°C in the United States(Palm Springs,CA is 44.1°C).For less than 9 current-carrying conductors f0 Solar PV System AC Point of Connection in roof-mounted sunlit conduit at lead 0.5"above roof and using the outdoor design AC Output Current 12.600000 Amps temperature of 47°C or less(all of United States). {� Nominal AC Voltage 2401 Volts a.)12 AWG,90°C conductors are generally acceptable for modules with Isc of 7.68 Amps or less when protected by a 12-Amp or smaller fuse. N THIS PANEL FED BY MULTIPLE SOURCES (UTILITY AND SOLAR) b.)10 AWG,90°C conductors are generally acceptable for modules with Isc of 9.6 Amps N or less when protected by a 15-Amp or smaller fuse. OCA, al - NOTE:NEUTRAL CONDUCTOR(S)OMITTED FOR CLARITY ALL INVERTER OUTPUT CIRCUITS WILL HAVE A NEUTRAL CONDUCTOR H EN PHASE J m INVERTERS a v � o m ENVOY BOX S e0 v to of U Q H W = Z M Q WP POINT OF DELIVERY > Z w a AND INTERCONNECTION W wz m \y 0p SIEMENS SIEMENS ¢ a L' \OGOG MURRAY MILBANK 30A/240V 30A/240V Hr �Z� COMBINER 100A OR UNFUSED NEMA3 FUSED NEMA3 z z p O\ EQUIVALENT LNF222R OR GF222R OR PV CIRCUIT 1: 14 MODULES/PARALLEL O�\�/T��L PANEL 125A/240V U5934-XL-BLG EQUIVALENT EQUIVALENT EXISTING SHEET J,\ LW004NR O ENTRANCE NAME: OR EQUIVALENT CONDUCTORS 14 • • • O2 O1 \'Q 15A RATED:100A LU < \ Z ZT� 51 =i --- --- - \ 2oA cj E 1.0 Q �' • • • �/' .1' \ 20A SUPPLY-SIDE A =i SOLAR TAP SHEET NEC 705.12(A) NUMBER: \ SREC/ANSIVISIBLE/LOCKABLJE1. I 240V/100A JUNCTION BOX 2 \\ 3 METER 3 'KNIFE'A/C PANEL OWITH IRREVERSIBLE DISCONNECT TO EXISTING �NEC 2014 Compliant GROUND SPLICE E 1.0 \ E 1.0 E 10 0 E 1.0 LOAD-CENTER LU wW O C) cn n Om C/) D M � z� M n Z= n 0 0 Z x0 D Cn = o m MG)r- m0 m �o OD Z Z -n o to W o� Z OC (A 2 ,F Z- J C � A 0 0 O N cm r n m NO Z og 00 vo cc C-) r O� M A 0m �o CD< om i o0 w--j cS ZD S� O c A Cl) Z Z cn INSTALLER VIVINT SOLAR Fernandez Residence cS D= oaR� Solas m m DESIGN m m INSTALLER NUMBER:1.877.404.4129 29 Massachusetts Ave PV 4.0 �i LOGIC MA LICENSE:MAHIC 170848 ® North Andover,MA 01845 DRAWN BY:AN I AR 4234856 Last Modified:5/26/2015 UTILITY ACCOUNT NUMBER:28710-16047 Vivint Solar - PV Solar Rooftop System Permit Submittal 1. Project Information Project Name: Paola Fernandez Project Address: 29 Massachusetts Ave,North Andover MA A.System Description: The array consists of a 3.64 kW DC roof-mounted Photovoltaic power system operating in parallel with the utility grid.There are(14) - 260-watt modules and(14)215-watt micro-inverters,mounted on the back of each PV module.The array includes(1) PV circuit(s).The array is mounted to the roof using the engineered racking solution from Ecolibrium Solar. B.Site Design Temperature: (From Lawrence MUNI weather station) Average low temperature: -24.3 °C, (-11.74°F) Average high temperature: 37.6°C (99.68°F) C. Minimum Design Loads: Ground Snow Load: 50State sf Board BR&S P ( ) Design Wind Speed: 100 mph (State Board BR&S ) 2. Structural Review of PV Array Mounting System: A.System Description: 1.Roof type: Comp. Shingle 2.Method and type of weatherproofing roof penetrations: Flashing B. Mounting System Information: 1.Mounting system is an engineered product designed to mount PV modules 2.For manufactured mounting systems,following information applies: a.Mounting System Manufacturer: Ecolibrium Solar b.Product Name: # c.Total Weight of PV Modules,MicroInverters,and Racking: 621.6 lbs d.Total number of attachment points: 24 e.Weight per attachment point: 25.9 lbs f.Maximum spacing between attachment points: * See attached engineering talcs g.Total surface area of PV array: 246.54 square feet h.Array pounds per square foot: 2.52 lbs square foot i.Distributed weight of PV array on roof sections: -Roof section 1: (14)modules,(24)attachments 23.91 pounds/attachment 3. Electrical Components: A. Module (UL 1703 Listed) Qty Trina TSM 260-PD05.08 14 modules Module Specs Pmax-nominal maximum power at STC - 260 watts Vmp-rated voltage at maximum power - 30.6 volts Voc-rated open-circuit voltage - 38.2 volts Imp-rated current at maximum power - 8.5 amps Isc-rate short circuit current - 9 amps B. Inverter (UL 1741 listed) Qty Enphase M215-60-2LL-S22 14 inverters Inverter Specs 1. Input Data (DC in) Recommended input power(DC) 260 watts Max.input DC Voltage - 45 volts Peak power tracking voltage 22V-36V Min./Max. start voltage - 22V/45V Max.DC short circuit current - 15 amps Max.input current - 10.5 amps 2. Output Data (AC Out) Max.output power - 215 watts Nominal output current - 0.9 amps Nominal voltage - 240 volts Max. units per PV circuit - 17 micro-inverters Max.OCPD rating - 20 amp circuit breaker C.System Configuration Number of PV circuits 1 PV circuit 1 - 14 modules/inverters (20) amp breaker 2011 NEC Article 705.60(6) vans. sofar D. Electrical Calculations 1.PV Circuit current PV circuit nominal current 12.6 amps Continuous current adjustment factor 125% 2011 NEC Article 705.60(B) PV circuit continuous current rating 15.75 amps 2.Overcurrent protection device rating PV circuit continuous current rating 15.75 amps Next standard size fuse/breaker to protect conductors 20 amp breaker Use 20 amp AC rated fuse or breaker 3.Conductor conditions of use adjustment(conductor ampacity derate) a.Temperature adder Average high temperature 37.6°C (99.68°F) Conduit is installed 1"above the roof surface Add 22°C to ambient 2011 NEC Article 705.60(B) Adjusted maximum ambient temperature 59.6°C (139.28°F) i b.PV Circuit current adjustment for new ambient temperature Derate factor for 59.6°C (139.28°F) 71% 2011 NEC Article 705.60(B) Adjusted PV circuit continuous current 22.1 amps c.PV Circuit current adjustment for conduit fill Number of current-carrying conductors 3 conductors Conduit fill derate factor 100% 2011 NEC Article 705.60(B) Final Adjusted PV circuit continuous current 22.1 amps Total derated ampacity for PV circuit 22.1 amps Conductors(tag2 on 1-line)must be rated for a minimum of 22.1 amps TI-1WN-2 (90°C) #12AWG conductor is rated for 30 amps (Use#12AWG or larger) 2011 NEC Article 705.60(B) 4.Voltage drop(keep below 3%total) 2 parts: 1.Voltage drop across longest PV circuit micro-inverters(from modules to j-box) 2.Voltage drop across AC conductors (from j-box to point of interconnection) 1.Mirco-inverter voltage drop: 0.55% The largest number of micro-im•erters in a row in the entire array is 14 inCircuit 1.According to manufacturer's specifications this equals a voltage drop of 0.55%. 2.AC conductor voltage drop: = I x R x D (=240 x 100 to convert to percent) _ (Nominal current of largest circuit) x(Resistance of#12AWG copper)x(Total wire run) _ (Circuit 1 nominal current is 12.6 amps)x(0.0020152) x(90� - (240 volts)x(100) 0.94% Total system voltage drop: 1.49% vat. solar EcolibriumSolar Customer Info Name: 4234856 Email: Phone: Project Info Identifier: 35554 Street Address Line 1: 29 Massachusetts Ave Street Address Line 2: City: North Andover State: MA j Zip: 01845 Country: United States System Info Module Manufacturer: Trina Solar Module Model: Trina TSM 260-PA05.18 Module Quantity: 14 Array Size (DC watts): 3640.0 Mounting System Manufacturer: Ecolibrium Solar Mounting System Product: EcoX Inverter Manufacturer: Enphase Energy Inverter Model: M215 Project Design Variables Module Weight: 47.0 lbs Module Length: 64.7 in Module Width: 38.8 in Basic Wind Speed: 100.0 mph Ground Snow Load: 50.0 psf Seismic: 0.0 Exposure Category: B Importance Factor: II Exposure on Roof: Partially Exposed Topographic Factor: 1.0 Wind Directionality Factor: 0.85 Thermal Factor for Snow Load: 1.2 Lag Bolt Design Load- Upward: 820 Ibf Lag Bolt Design Load- Lateral: 288 Ibf EcoX Design Load - Downward: 722 Ibf EcoX Design Load - Upward: 765 Ibf EcoX Design Load - Downslope: 297 Ibf EcoX Design Load - Lateral: 233 Ibf Module Design Moment—Upward: 3655 in-Ib Module Design Moment—Downward: 3655 in-Ib Effective Wind Area: 20 ft2 Min Nominal Framing Depth: 2.5 in Min Top Chord Specific Gravity: 0.42 EcolibriumSolar Plane Calculations (ASCE 7-10): Roof 1 Roof Shape: Gable Edge and Corner Dimension: 3.275 ft Roof Type: Composition Shingle Stagger Attachments: No Average Roof Height: 25.0 ft Include Snow Guards: No Least Horizontal Dimension: 32.75 ft Roof Slope: 40.0 deg Truss Spacing: 22.0 in Snow Load Calculations Description Interior Edge Corner Unit Flat Roof Snow Load 42.0 42.0 42.0 psf Slope Factor 0.55 0.55 0.55 Roof Snow Load 23.1 23.1 23.1 psf Wind Pressure Calculations Description Interior Edge Corner Unit Net Design Wind Pressure Uplift -20.7 -24.3 -24.3 psf Net Design Wind Pressure Downforce 19.4 19.4 19.4 psf Adjustment Factor for Height and Exposure Category 1.0 1.0 1.0 Design Wind Pressure Uplift -20.7 -24.3 -24.3 psf Design Wind Pressure Downforce 19.4 19.4 19.4 psf ASD Load Combinations Description Interior Edge Corner Unit Dead Load 2.7 2.7 2.7 psf Snow Load 23.1 23.1 23.1 psf Downslope: Load Combination 3 13.1 13.1 13.1 psf Down: Load Combination 3 15.6 15.6 15.6 psf Down: Load Combination 5 13.7 13.7 13.7 psf Down: Load Combination 6a 21.0 21.0 21.0 psf Up: Load Combination 7 -11.2 -13.3 -13.3 psf Down Max 21.0 21.0 21.0 psf Spacing Results(Landscape) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 72.0 72.0 72.0 in Max Spacing Between Attachments With Rafter/Truss Spacing of 22.0 in 66.0 66.0 66.0 in Max Cantilever from Attachment to Perimeter of PV Array 24.0 24.0 24.0 in Spacing Results(Portrait) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 48.8 48.8 48.8 in Max Spacing Between Attachments With Rafter/Truss Spacing of 22.0 in 44.0 44.0 44.0 in Max Cantilever from Attachment to Perimeter of PV Array 16.3 16.3 16.3 in EcolibriumSolar Layout i y Skirt o Coupling Note: If the total width of a continuous array exceeds 35 ft, break array to allow for thermal expansion and contraction. See Installation Guide for details. O Clamp Warning: PV Modules may need to be shifted with respect to roof trusses to comply with Q Bonding Jumper maximum allowable overhang. EcolibriumSolar Roof Weights In Conformance with Solar ABC's Expedited Permit Process Module Quantity: 14 Weight of Modules: 658 lbs Weight of Mounting System: 48 lbs Total Plane Weight: 706 lbs Total Plane Array Area: 244 ft2 Distributed Weight: 2.89 psf Number of Attachments: 24 Weight per Attachment Point: 29 lbs EcolibriumSolar Bill Of Materials Part Name Quantity ECO-001_101 EcoX Clamp Assembly 24 ECO-001_102 EcoX Coupling Assembly 22 ECO-001_105B EcoX Landscape Skirt Kit 0 ECO-001-105A EcoX Portrait Skirt Kit 5 ECO-001_103 EcoX Composition Attachment Kit 24 ECO-001_116 EcoX Flat-Tile Flashing 0 ECO-001_117 EcoX S-Tile Flashing 0 ECO-001_118 EcoX W-Tile Flashing 0 ECO-001_363 EcoX Lower Support-Tile 0 ECO-001_109 EcoX Electrical Assembly (optional) 1 ECO-001_106 EcoX Bonding Jumper Assembly 2 ECO-001_104 EcoX Inverter Bracket Assembly 14 ECO-001338 EcoX Connector Bracket 14 ECO_001-359 EcoX Lower Support Low Slope 0 The Commomweradth oi`'Massachusetts n Department of In daastriad Accidents Office of Investigations � y- I Congress.Street,Suite 100 Boston,NIA 02114-2017 www aatass.gov1 dia Workers'Compensation Insurance Affidavit. Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly Name (Business/Organization/Individual): Vivint Solar Developer, LLC Address:3301 North Thanksgiving Way,Suite 500 City/St�te;7_.ip:Lehi, UT 8403 Phone#:301=377-9111 Are you an employer? Check the appropriate box- LEI ox. Type®f protect(required): L EI i am a employer with 10 4. [,I I air:a general contractor and I employees(full and/or part-time).'` have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. employees and have workers' com insurance.t g E]Building addition [No workers' comp. insurance 1?• required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 1 i.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t C. 152, §1(4),and we have no 13.®Other Solar Installation employees. [No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. 1 ram dire employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Zurich American Insurance Company Policy#or Self-ins. Lic.#:WC 509601300 Expiration Date: 11/1/2015 Job Site Address: iRAK:City/State/Zip: Adofff, Attach a copy of the workers' compensation policy declaration page(showing the pollicy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. J do hereby certify ander the pain's and penalties of periury that the information provided above is tease and correct. Signature: Date: Phone#: 801-2296459 Official use only. Ido 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#: A� CERTIFICATE OF LIABILITY INSURANCE DATE/2015 /YYYY) 01105/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH USA INC. NAME: 122517TH STREET,SUITE 1300 PHONE FAX AIC No Ext): A/C No DENVER,CO 80202-5534 E-MAILOR Attn:Denver.CertRequest@marsh.com Fax:212-948-4381 INSURERS AFFORDING COVERAGE NAIC# INSURERA:Evanston Insurance Company 35378 INSURED INSURER B:Zurich American Insurance Company 16535 Vivint Solar Developer LLC 3301 North Thanksgiving Way INSURER c:American Zurich Insurance Company 40142 Suite 500 Lehi,UT 84043 INSURER D; INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-002524287-01 REVISION NUMBER:2 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 ADDL SUBR EXP LTR TYPE OF INSURANCE I D POLICY NUMBER MM/DDY EFF IMMIDD I LIMITS A GENERAL LIABILITY 14PKGWE00274 11/01/2014 11/01/2015 EACH OCCURRENCE $ 1,000,000 X PREMISES Ea TO RENTED $ COMMERCIAL GENERAL LIABILITY 50,000 CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5,000 X $5,000 Ded.BI&PD PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ .2,000,000 POLICY X PRO- LOC $ B AUTOMOBILE LIABILITY BAP509601500 11/01/2014 11/01/2015 COMBEaaccINident ED SINGLE LIMIT 1,000,000 $ X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) XHIRED AUTOS IX NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident A UMBRELLA LIAB X OCCUR 14EFXWE00088 11/01/2014 11101/2015 EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION$ Is C WORKERS COMPENSATION WC509601300(CA,HI,MD,NJ,NY,OR,UT) 11/01/2014 11/0112015X WC STAT%- OTH- AND EMPLOYERS'LIABILITY T Y L B ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WC509601400(MA) 11/01/2014 11101/2015 1,000,000 OFFICER/MEMBER EXCLUDED? 7 N/A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 A Errors&Omissions& 14PKGWE00274 11/01/2014 11101/2015 LIMIT 1,000,000 Contractors Pollution a/:- DEDUCTIBLE 5,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION Town of North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1600 Osgood St. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building 20 Suite 2035 ACCORDANCE WITH THE POLICY PROVISIONS. North Andover,MA 01845 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Kathleen M.Parsloey(�,n�Jh. JQt¢/sG @ 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2019/05 The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs nd Business Regulation 10 Park Plaza - Suite 5 170 Boston, Massachusetts 02116 Home Improvement Contract®r Registrati®n Registration: 170848 Type. . Supplement Card VIVINT SOLAR DEVELOPER LLC. Expiration: 1/512016 JAMES SHERMAN 4931 NORTH 300 WEST PROVO, UT 84604 Update Address and return card.Mark reason for change. SCA 1 0 20M-W1 I Address Renewal Employment 17 Lost Card Massachusetts-oepartment of Public Safety Board of Bading Regulations and standards Construction SupLrNisor II License. CS-W254 J&MZ-S R 6 Fox Hollow Drife SAUGUS1,14A 01#05 Expiration Commissioner 0812812016 F OO TH 1 BUILDING PERMIT 3r e�oo TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: VL - Date Received iAArsD/.�v,� Date Issued: gcNusst IMPORTANT: Ap2licant must complete all items on this page LOCATION asSAve- ',,PrintPROPERTY OWNER Pao c� eY/1 no{az X. Print MAP NO: C),—PARCELt/ ZONING DISTRICT:-.- Historic District _ Yes. no Machine Shop'Vlllage yes ` o TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building ❑ One family ❑Addition ❑ Two or more family. Ei industrial ❑Alteration No. of units: ❑ Commercial Repair, replacement `Assessory Bldg ❑ Others: ❑ DemolitionE Other ❑ Septic ❑ Well ❑ Floodplain ❑Wetlands ❑ Watershed District ' ❑ Water/Sewer Y 13/or✓n -i Cellulose- ;-n wa Is Identification Please Type or Print Clearly) OWNER: Name: �O�c, z�ern� lez Phone: 47S30S y,PFy Address: CONTRACTOR Name: Phone: C{7 - _ Address: �� R. �osl�r s!• eco b�y M� Y O t 6 c� Supervisor's Construction License. Exp. Date: © `C4�133 G-�g-ILS Home Improvement License: Exp. Date: N/!g y l -/A 16 ARCHITECT/ENGINEER Phone: Address: Reg. No. �. FEE SCHEDULE:BULD/NG PERM/T.$12.00 PER$1000.00 OF THE TOTAL EST/MATED COST B ED ON$125.00 PER S.F. Total Project Cost: $ ?2 jq. o o10' FEE: $ Check No.: Receipt No.: NOTE: Pers s on r cling with unregistered contractors do not have accesGo the guaranty fund J _ I Signature of Agent/Own - Signature of contract0 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION f Permit N0: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Print_ PROPERTY OWNER Print 1 OV eat Old structure yes rio, MAFM, PARCEL- _. -_ZONFNG'DI$TRIGT _ Historic District, yes no _ r. - 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 D Septic ❑Well' 11Floodplain U],Wetlarid"s ❑ Watershed Districts , _❑Water/Sewed._ - DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR"'Name: Phone: Address: Supervisor's Construction'Licen e: __ 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 Slgnature.ofA. ent/OwnerP _ Sia�;�att!rP, offcontractor . J _ . Plans Submitted Lj Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ I 0.! Building Department :-- The fol swing 9`a=list of-the`required.forms to be filled out for.the appropriate.permit to be obtained. i RoofiragSiding, Interior Rehabilitation Permits o Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/OrC.S.L Licenses o Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products II' 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 o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ 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 o Mass check Energy Compliance Report o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cans.if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apw,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.+.ted with the building application Doc: Doc.Building permit Revised 2012 . Plans Submitted ❑ ::Plans=4Naived ❑ Certified Plot Plan ❑ Stamped Plans ❑ T I'PE O'F:SEW MGE_DiSPOSAL"' Public Sewer ❑ Tanning/MassageBodyArt ❑... .Swimming Pools ❑ Well ❑ Tobacco.Sales ❑ -Food Packaging/Sales ❑ Private:(septic tank,etc:_ ❑. = Petmanent Dampster on Site -THE:FOLLOWING SECTIONS FOR-OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM ._:- DAl"E REJECTED DATE:APPROVED �I PLANNING DEVELOPMENT` Fl- COMMENTS COMMENTS I CONSERVATION Reviewed on - Signature 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 Water & Sewer Connection/Signature& Date Driveway Permit 4W Tow-A! Engineer: Signature: _ Located 384 Osgood Street FIRE DEPARTME"N`I`.,-"Temp Dumpster on site ..yes_:... no Located at124;Mairi`.Street Fire'DdpAftme►it signature/date ";; A { , s:,� ,;..y G_,w;,- • n :��s . r , V:� aw .- .-Dimensio 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 req uirres approval of Electrical Inspector Yes No DANGERZONE LITERATURE: -Yes No MGL-Chapter 166.Section 21A--F and G min.$100=$1000.fine NOTES and DATA—(For department use ;I El Notified for pickup - Date F Doc.Building Permit Revised 2010 i Location No. l Date t" i o = TOWN OF NORTH ANDOVER Certificate of Occupancy $ h Building/Frame Permit Fee Foundation Permit Fee $ • Other Permit Fee $ TOTAL P r Check#��' 27427 Building Inspector µORTH Town of 2 ? E : � ndover No. �` T - _ q ( a ��K, A HIc h ver, Mass, COC Ml WI[« 1' ,Q \� �•Q �R�reo ►"P�,��(5 S u BOARD OF HEALTH Food/Kitchen PERMIT. T LD Septic System THIS CERTIFIES THAT ;P4r..O.I.A.-ow....... ...................... BUILDING INSPECTOR p g 001 Foundation has permission to erect .......................... buildings .. .. ..... . . ........ ..:...................... Rough to be occupied as ...........` 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 CONSTRUCT RTS Rough Service ............. . .......... ..............w............................ 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. Fite C'ommonwealt/t of Massachusetts Department of Industrial Accidents Office of investigations I Congress Street.Suite 100 Boston,MA 02114-2017 k4l,49�). tvww mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Annlicant Information lease P ' t L ibl ]vatYle(Business t)rganiiation Indisicual): A&M General Contracting, Inc. Address:119 R Poster Street BLDG. 14 Ci IState/Zi Peabody,MA 01960 _ Phone#:978-741-7777 Are you an employer?Check the appropriate box: Type of project(required): I.O 1 am a employer with�,_55„ 4• Q 1 am a general contractor and 1 ,6: Q New construction employees(full an&o part-time),' have hired the sub-contractors © I am a sole proprietor or partner- listed on the attached sheet. 7. Q Remodeling ship and have no employees These sub-contractors have S. ®Demolition working for me in any capacity. employees and have workers' 9. Q Building addition [No workers' romp.insurance comp,insurance: 5• Q We are a corporation and its t0.❑Electrical repairs or additions 3.Q required.]I am a homeowner doing al work officers have exercised their 1 I.Q Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.Q Roof repairs insurance required.]+ c. 152.§1(4).and we have no 13.0 Other--- employees.[No workers' comp.insurance required.] '717n applicant that checks hot$21 must als,t fill out the sccuon hclem shouing their%.orkers•cornpcnmunn poltc�anfumlauon +Homcouners Nhu submit thin atlidavit trtdi,:atartg►h..ars dooms all A-*k and then hire-luislde conrractktts must.uhmtt a rW%affidavit indicating such :Contractors that check this hay must anacl>`d an additional duct,Mn.tng the name of the suh-contractots and.tale%hethcr or not those endues have emploNiecs. If the wh-contractors have emploNces.the%must pro,*tde their workers'comp polhA number lam an emplover ilia!is providing warners'compensation insurance form)'empkrees• Below It the policy and joh site information. Insurance Company Name:TGA Cross Insurance Inc. Policv F;or Self-ins,Lic. =:AMWC345622 Expiration Date: 1%4areh 20 2015 Job Site Address: MSS lie City•State`Zip: Nft'M cr_ ,44a 0 fggg- 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 MGI.c. 152 can lead to the imposition of criminal penalties of a tine up to S1,500.U0 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. 1 do hereby cenifj u (eWke pai altle perjury that the information provided above is true and correct. Dat e: i nae -7 —7 Phone ° 1 �O / 7 ( 7 7 / Official use on/v. Do not write in this area,to he completed by city or low"official. City or Town: Permit/License# Issuing Authority(circle one): 1.Boars)of Health 2.Building department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Restricted To: CSSL-RF-Roofing +assacnuset s_�eaa"emt of z;,o le Sater 1 CSSL-IC-Insulation Contractor SOW('of Ru"Girt 4e uia:1on CSSL-WS-Windows and Siding 9 s ana�FaaaarsYs r n.ts+uti>n ��ii�crt re,r+.I�i�o.iit� CSSL-AM-Demolition I _cense MSL-OM33 MICHAEL P FITZGERAW 10 Overlook Trall.#1018:-, Peabody MA 01980 Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: www.IVJass.Gov/DPS J •.1Z'" 06/19/2014 ll 'Llt'Aa�i/rs 2/ZOffice oY onsumer usiness Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 141124 Type: Supplement Card A+M GENERAL CONTRACTING INC. Expiration: 1/12/2016 MICHAEL FITZGERALD 5 SOUTH RIDGE CIRCLE LYNN, MA 01904 -- Update Address and return card.Mark reason for change. SCA 1 G 20M-o5,,s I ] Address C Renewal ❑ Employment Lost Card ,. 'iXr I of Consumer Affairs&Business Regulation License or registration id for vidul use ME IMPROVEMENT CONTRACTOR before the expiration date.t If found ireturn to: nly egistration: 141124 Office of Consumer Affairs and Business Regulation Ex iraGon: Type. ]0 Park Plaza-Suite 5170 A 1/12/2016 Supplement Card A+M GENERAL CONTRACTING INC. Boston,MA 02116 MICHAEL FITZGERALD 5 SOUTH RIDGE CIRCLE LYNN,MA 01904 Undersecretary Not vali -� lure A&MGE-11 OP ID: MI, �._.� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDEOR.1 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($), 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 endomement(s). PRODUCER 781-914-1000 CONTACT TGA Cross Insurance,Inc. 401 Edgewater Place,Suite 220 PHONE - - Wakefield,MA 01880N4 ---- _ to,.No): E-MAIL -John -- Scanlon ADDRESS: _ INSURER(S)AFFORDING COVERAGE NAIC# INSURED A&M General Contracting,Inc. INSURER A:Peerless Insurance Co Norman Dube INSURER B;Guard Insurance Group 119R Foster St.Bldg 14 INSURER C Peabody,MA 01980 INSURER D, INSURER E: 1 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. INSR! AD LI UBS TR TYPE OF INSURANCE IINSRIWV !ID. POLICY NUMBER POLICY EFF POLICY EXP GENERAL LIABILITY MM DD1YYYy I M lDD1YYYY LIMITS L— �._EAA H_OOCCC�URRENCE �$ 1,000,00 A I X {COMMERCIAL GENERAL LIABILITY i I �CBP$9474$$ ; 03/20/14 f 03/20/15 UAMAGE Ta RENTF�--- $ 100,000 _ CLAIMS-MADE ��OCCUR I PREMISES(Ea occurrence) I I ! MED EXP(Any one person) $ 5'000 ` PERSONAL&ADV INJURY $ 1,000,000 � GENERAL AGGREGATE I$ 2 Q00 GEN'L AGGREGATE LIMIT APPLIES PER - — ' ,000 POLICY PRO- LOC ' k ; PRODUCTS_-COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY t I I i $ I f COMBINED SINGLE LIMIT A �,ANY AUTO } BA$9476$$ i J4 accident) Is _ 11000,000 ALL OWNED �� SCHEDULED ( 03/20/14 03/20/15 I BODILY INJURY(Per person) I S AUTOS 1 n !�AUTOS (BODILY INJURY(Per acradent) $ X HIREDAU70S �X t AUTOS�EO PeOP DAMAGE -- i I II �( i$ X UMBRELLA LIAR X OCCUR I l S A iI EXCESS LIAB !—' EACH OCCURRENCE $ 1,000,000 1 CLAIMS-MADE f CU894788$ - --�_� 03/20/14 03120/15 AGGREGATE $ 1,000,00 I DED X RETENTION$ 10000 WORKERS COMPENSATION I + $ AND EMPLOYERS'tJABILITY X I TORY LAMLT 1 ER B i ANY PROPRIETORfPARTNER/EXECUTIVE Y��f N iAMWC345822 03/20/14 03/20/15 OFFICER/MEMBER EXCLUDED? L N J N f A I I E.L EACH ACCIDENT !$ 500 000 (Mandatory in NH) i , If es,describe under E.L.DISEASE-EA EMPLOYEd$ 500,000 DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT+$ 500,000 DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION TOWNANI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 120 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. North Andover, MA 01845 AUTHORIZED REPRESENTATIVE ACORD 26(2010/05) The ACORD name and logo are registered marks 2of ACORp ACORD CORPORATION. All rights reserved, 4867 DATE 13-Mar-14 Tient PAOLA FERNANDEZ 978-305-4884 address 29 MASS AVE city'r town AbtANDOVER MA 01845 contractor A& M Ii-WEATHERSTRIPPING/CAULKING QUANTITY TOTAL AUDITOR NOTES Door Kits Q-Lon or Equiv. 2 91.00 Door Sweeps(Regular) 0.00 Door Sweeps(Automatic) 2 46.00 Reglaze Windows An.lnch 0.00 Wlndow.Weathstr Schlegel per side 0.00 Tenmat Recessed Can Cover 0.00 Attic air sealing per man/hr 3 225.00 basement and living space air sealing 2 150.00 � N SUBTOTALS 512.00 2A.INFILTRATION/INSULATION AUDITOR NOTES Domestic pipe Hot Water Tank 1st 6' 1 15.78 Sill Insulation R-19 CF 0.00 Sill Two Part Foam wl Fiberglass Batt 110 242.00 Drape Perimeter R-5 Anch.Sq.ft. 0.00 Perimeter 2"T-max or equivalent foam board sq.ft. 0,00 Drape DOOR R-5 or T-max or equivalent on door. 0.00 Tape Joints(Aluma Grip only)per hr. 0.00 Duct Insulation&Tape sq.ft.R-5 0.00 Rigid Foam Board Anch. 1'per board 0.00 Hydronic pipe insulation to 1"R-5 0.00 Hydronic pipe ins.1.25"-1,5"R-5 0.00 Steampipe Ins.tol.25"Iron pipe R-5 0.00 Steampipe Ins.1.5"-2"Iron pipe R-5 0.00 Steempipe Ins.3"iron pipe R-5 0.00 Air Conditioner Meeting Rail 0.00 Air Conditioner Cover 0,00 Air Conditioner Cover Special Order 0.00 SUBTOTALS 267.78 2113INSULATION AUDITOR NOTES Open Unrestricted R 49 0.00 Open Unrestricted R 38 0.00 Open Unrestricted R 30 356 487.72 246 MAIN 110'PORCH 110'FLAT Open Unrestricted R 20 0.00 Open Unrestricted R 10 0.00 Restrict FUSloped R 30 0.00 Restricted FL/Sloped R 20 504 715.68 Restrict FUSloped R 10 '0.00 R-19 FGB open rafters/wallsllmeewalls 0.00 R-11 FGB open rafters/walls/kneewalis 0.00 Attic Stairs(stalrwell&common wall) 0.00 Cover Pull Down Stairs Thermadome 0.00 Site built pull down stairs 2"foam box 0.00 A&M General Contracting Inc. 119 R. Foster St. Peabody, Ma. 01960 1(978)532-8052 Fax (978)532-1033 Jan. 1, 2014 To whom it may concern, Neil Moore has authorization from 1/01/2014 until 12/31.2014 to pull permits for this company using my licenses. Any questions, feel free to call our office at number listed above. Sincerely, Michael Fitzgerald Signed this Y - day of .r; ,2014 Nota expire date 04/01/2020 North Andover Board of Assessors Public Access Page 1 of 1 ,aONT1{ North Andover Bard of Assessors . D�i.D r1�'y1 cHUSet Property Record Card Click Seal To Return Parcel ID :210/002.0-0010-0000.0 FY:2014 Community:North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlarge Search for Parcels '' *� Search for Sales Summary Residence Detached Structure 1 Condo 29 MASSACHUSETTSAVENUE Commercial Location: 29 MASSACHUSETTS AVENUE Owner Name: NEW YORK COMMUNITY BANK C/O PAOLA FERNANDEZ Owner Address: 29 MASSACHUSETTS AVENUE City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood:5-5 Land Area: 0.10 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 1536 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 276,100 276,100 Building Value: 135,800 135,800 Land Value: 1.40,300 140,300 Market Land Value: 140,300 Chapter Land Value: LATEST SALE Sale Price: 206,365 Sale Date: 09/19/2011 Arms Length Sale Code:L-NO-REPOCESSN Grantor: FI CRST ALL MOR T CALL T Cert Doc: Book: 12620 Page: 0130 http://csc-ma.us/PROPAPP/display.do?linkld=2431491&town=NandoverPubAcc 4/8/2014