HomeMy WebLinkAboutBuilding Permit #551-15 - 29 NADINE LANE 12/15/2014 i
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit N0: I Date Received
r
Date Issued: I
IMO ANT: Applicant must complete all items on this page
v
LQ:CATION' �1./
Print.
PRPE
ORTY
OWN.-
Fnnt 100 Year OIdStructure yes •no
!MAP NO: PARCEL ZONING DISTRICT, Historic District, yes rn.o
Machine Shop Village, yes no
TYPE OF IMPROVEMENT. PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
0 Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
3 (..Septic 01Nell' ❑ Floodplain . E Wetlands ❑ Watershed _District;
[3:Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
�T-If PCAM Ua��
Identification Please Type or Print Clearly)
OWNER: Name: P.G«Q\( p la )nun Phone:
Address: 0( MAS Jr, �C.
CQNTRACTb.13 'Marie:' - { - . __ n Phone:
- ;
Add ress.� 11 C �
Su ervlsor's Construction.License _ p. 't te:__ t 2-4 _1,` 1
p ( _ Exp. Da
Home Improvemen -'Lidense: _AJ�C _. . '_ 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.
F-5-0- �l1aj � E• a�SIt52'�b
Total Project Cost: $ aq 3a-S-OrD FEE: $
Check N �� 1. Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fun
Slg re—TIE? ent/Ow a ' , iR� S�gature of contractor. _
Plans Submitted Plans Waived Certified Plot Plan ❑ Stamped Plans ❑
Plans Submitted ❑ PlansIVaived ❑.: .,_Certified Plot Plan ❑ Stamped Plans F1
OP;:SEWERAGEDISP.OSAL"
Public Sewer ❑ Tanning/Massage/Body Art ❑.. . Swimming Pools ❑
Well ❑ Tobacco.Sales ❑
Food Packagin .S 11
Private(septic ta*, etc._ _ O g/ al
es
❑ Permaiieiit Dimpster-on Site
__:----—-----
=THE.FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
..-,DATE REJECTED DATE-.APPROVED
PLANNING &DEVELOPMENT ❑ ❑
COMMENTS
CONSERVATION Reviewed on
Signature
COMMENTS
HEALTH Reviewed on
Signature .
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature& Date Driveway Permit
DPW'Todv.* Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMf, NT Tertip Dumpster on site . yes -.no
Located at„124Mairr.Str'eet
, . ,..
f
Fire Department"ig 4ture/date
GOMM.ENTS
-Dimer--ion
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area; sq. ft.;
.-ELECTRICAL: Movement of Meter location, roast-or service drop requires approval of
Electrical Inspector Yes No
DANGER.Z®NE LITERATURE: Yes No
MGL-Chapter 166.Section 21A"..F and G min.$100=$1000:fine
NOTES and DATA— (For department use
El Notified for pickup - Date
t
Doe.Building Permit Revised 2010
Building Department
The fol��-3wing is"a list of-the'required•:forms to be filled outfor:the appropriate.permit to`.be obtained.
Roofing, Siding, Interior Rehabilitation Permits
❑ Ruilding Permit Application
❑ Workers Comp Affidavit
o Photo Copy Of H.I.C. AndlGr C.S.L- _Licenses j
❑ Copy of Contract
o Floor Plan Or Proposed Interior Work
o Engineering Affidavits for Engineered products
NOTE: All dumpster..permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
o Building Permit Application
❑ Certified Surveyed Plot Plan
o Workers Comp Affidavit
o Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Mass check Energy Compliance Report (If Applicable)
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family)
❑ Building Permit Application
o 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)
o Copy of Contract
❑ Mass check Energy Compliance Report
o Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to Issuance of Bldg Permit
—
In all cases if a variance or special permit was required the Town Clerks office must stamp tli6 decision from the Board of Appeals
that the apo•?al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be subwted with the building application
Doc: Doc.Bui?ding Permit Revised 2012
Location t-
No. Date
l)AI
. - TOWN OF NORTH ANDOVER
. ;_ Certificate of Occupancy $,
Building/Frame Permit Fee P
C .' Foundation Permit Fee $
Other Permit Fee $
Fai7 h
TOTAL $
Check#
28356
Building Inspector
Town o "R" AndoveT
\a
No.
h ver, Mass, zi tv- AL
COCK Nl WICK �•
�q
�RgTED nPP�.�S
ArO
S
BOARD OF HEALTH
Food/Kitchen
PERT T LD Septic System
THIS CERTIFIES THAT ....
X0111160Y........�.�a�.CI>�,................................................ BUILDING INSPECTOR
has permission to erect buildings on .. N ,(, ,, ,r............................... Foundation
.......................... ..... ........... .
— Rough
to be occupied as ..�..� �p........ .11 SQ1Q. ........�1. y
............ ..... . ... ..�. . .............. Chimney
provided that the person accepting this permit shall in every respect conform to the terms of thea lication 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 MON HS ELECTRICAL INSPECTOR
UNLESS CONST.R. UC RTS Rough
Service
...... ...........................................
Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Buildinz Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
MMID
A CERTIFICATE OF LIABILITY INSURANCE DATE 10/31/2014 2014 /YYYY►
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 ac Nr o Ext): AIC No):
DENVER,CO 80202-5534 E-MAIL
Attn:Denver.certrequest@marsh.cwm,Fax:212.948.4381 ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC#
462738-STND-GAWUE-14-15 INSURER A:Evanston Insurance Company 35378
INSURED INSURER B:Zurich American Insurance Company 16535
Vivint Solar,Inc:
Vvint Solar Developer LLC INSURER Zurich Insurance Company suRER c: P Y 40142 ,
3301 North Thanksgiving Way INSURER D:
Suite 500
Lehi,UT 84043 INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: SEA-00236800408 REVISION NUMBER:1
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.
ILTRR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM/DDS MM/DDS LIMITS
A GENERAL LIABILITY 14PKGWE00274 11/01/2014 11/01/2015 EACH OCCURRENCE $ 1,000,000
PXi5,0t00
MERCIAL GENERAL LIABILITY DAMAGE TO RENTED 50 000
PREMISES Ea occurrence $
CLAIMS-MADE M OCCUR MED EXP(Any one person) $ 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
POLICYFX] PRO LOC $
B AUTOMOBILE LIABILITY BAP509601500 11101/2014 11/01/2015 COMBINED SINGLE LIMIT Ea accident 1,000,000
X ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED
AUTOS AUTOS BODILY INJURY(Per accident) $
X HIRED AUTOS
NON-OWNED PeOr PERT ntDAMAGE $
X AUTOS
A UMBRELLA LWB X OCCUR 14EFXWE00088 1110112014 11/01/2015 EACH OCCURRENCE $ 5,000,000
X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000
DED RETENTION$ $
C WORKERS COMPENSATION WC509601300 11/01/2014 11101/2015X WCSTATU- OTH-
AND EMPLOYERS'LIABILITY TOR S1
B ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
WC509601400 11/0112014 11/01/2015 E.L.EACH ACCIDENT $ 1'000,000
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
If yes,describe under 1,000,000
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
A Errors&Omissions& 14PKGWE00274 11/0112014 11/01/2015 LIMIT 1,000,000
Contractors Pollution DEDUCTIBLE 5,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required)
The Certificate Halder and others as defined in the written agreement are included as additional insured where required by written contract with respect to General Liability.This insurance is primary and non-
contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract Waiver of subrogation is applicable where required by written
contract with respect to General Liability and Workers Compensation.
CERTIFICATE HOLDER CANCELLATION
Town of Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
36 Bartlett Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Andover,MA 01810 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
of Marsh USA Inc.
Kathleen M.Parsloe .��sS,lCu�x7lt. fQtalw�
@ 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
is
E p
4931 North 300 We,Provo,UT 84604 Employer Identification No.: 80-0756438
YIVint. sol
A Phone:(877)404-4129 Fax:(801)765-5758 Massachusetts HIC License No.: 170848
dE-Mail: support@vivintsolar.com �O
www.vivintsolar.com AR No.:
RESIDENTIAL POWER PURCHASE AGREEMENT
This RESIDENTIAL POWER PURCHASE AGREEMENT(this"Agreement')is entered into by and between VIVINT SOLAR DEVELOPER,LLC,a
Delaware limited liability company("We','We',"Our")and the undersigned Customer(s)("You", `Your"),as of the Transaction Date set forth below.
Full Name(Firs ter) Full Name(Far:r..w.�,q
Customer(s): Property Owren: Yes NoRAI Property Owner:OYes_13 No
Telephone No.: E-Mail: fC gill,
/IN
Id
Property Street Address: Z- AIAOO G
J-YrAAddress: City,County,State,Zip: Al. 4&ndrvott N1,4 at 9Y5-
A.
. DESIGN AND INSTALLATION. We will design,install,seryice and maintain a sophotovoltaic system on Yotu Property,which will include al!
solar panels,inverters,meters,and other components(collectively,the"System' as further described m the Customer Packet and the Work Order that We
will provide to You hereafter. All material portions of the System will st installled by Our employed technicians and electricians,and not subcontractors.
With
You
t coopenation,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 certtfreations and Qermits. In order to design a S stem that meets Your needs,You agree that We may obtain Your
elecVreal usage history from Your elecmc utility(the .Uulily)and You shall provide Us with copies of Your Utility bills as We may reasonably request.
Other than the activation fee described in Section LB,We will)design and install the System at no cost to You.
B. ACTIVATION. You agree to pay Us a one-time activation fee in the amount of$ We w 11 interconnect the System with the Utility,and
cause the System to generate energy measured in kilowatt hours("kWh" (the"Energy . nstallation of the System generally takes one day and is
anticipated to begin and be substantially complete 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 andmaintain 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.vivintsolar.com/insurance.-
2.TERM,PRICE,PAYMENTS,A, IN . CI )ISCLOSURI'sS
A. ENERGY PRICE. For all Energy produced by the System,You s pad Us, I. per kWh((he"Energy Mee"),plus aappplicable taxes.
The Energy Price shall increase each year by two and nine-tenths Ppeere t(2.9/0. uo au nnhaic of the S output,measured in ilowatt hours,
will be provided to You in the Customer Packet. THIS AGREEMA IS FOR SA :\L'RGY'BY U' U AND NOT FOR THE SALE OF
A SOLAR ENERGY DEVICE.
B. TERM. This Agreement shall be effective as of the Transaction Date and continue until the twe eth(20')an i ersary of the In-Service Date(the
"Term). The"A-Service Date"shall be the first day after all of the following have been achieved: i)the Sys as been installed and is capable of
generating Energy,(ii)all permits necessary to operate the System have been obtained,(iii)the System h rconnected with the Utility,and(iv)all
inspections and certificates required under applicable law or by the Utility have been completed or received.
C. PAYMENTS. Beginning with the first month following the In-Service Date and throughout the Term,We will send You an invoice reflecting the
charges for Energy produced by the System in the previous month. You shall make monthly payments to Us by automaticpa ymens deduction from Your
designated checlung account or credit card. It is Your responsibility to ensure that there are adequate funds or adequate Crefit limit. There is no financin
charge associated with this Agreement. For alba is more than ten(10)da s past due,We may impose a late charge equal to Twen -Five Dollars($25�
and interest at an annual rate of ten percent(1 %plus applicable taxes. If You continue to fail to make any payment within ten(l0days after We give
You written notice,then We may exetctse all remedies avaz able to Us pursuant to Section 13Cb1.
D. RENEWAL. At the end of the Terni.You may elect to(i)continue with this:1greement on a vear•ro-year hasis:iii)ether 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"ParcAase Option"):or(tv)cancel this
Agreement and have the System removed at no cost ro You. You will need to notify Us in writing conecntinq Your election sixty,(60)days prior to the end
of the Term. II'You elect the purchase Option, the "Purchase Option Prier" will he the then-current fair market value of the System based on an
incEependeau.tppeuser's valuation of simtlarty sirctl phumvoltare systems in Your eographtc rebiun. 'rhe appraiser's valuation will t'e provider!to You in
mvritng and veli be binding. If We receive Yuur payment of thr Vurchase Option rice,coat of the appraisal,applicable taws,and afl other amounts then
owing and unpaid hereund`cr,\4`e wilt transfer uwnershtp of thr System w Yuu at the end of the Term on au"As Is,VVhcre Is"basis. [C Yuu elect to have the
Svstem removed,We will remove the Svucm Rom Your Proppecrty wilhih ninety(90)da salter the end of die term. IF YUU DO NUT NU I IF1'US UP
POUR ELEC'fIOV "fU CANCEL i#Y SE\DING A 1VRfPTEN \O"I'IC'E TO �ti, 1'IIEN T1I1S ACRES\9EIYT WILL AUT04IATICAI_LY
RENEW ON A YEAR-T0.YEAR BASIS UNTIL YOU NOTITY US IN\VRITIN(,OF 1' I R ELEC"f10N TO CANCEL A'I'LEAS'h SIXTY(61p
DAYS PRIOR TO THE END OF THE RENEWAL TERM.
E. CREDIT CHECK. In connection with the execution of this Agreement and at any time during the Term,You hereby authorize Us to(i)obtain Your
credit rating and report from credit reporting agencies;(ii)to report Your payment performance under this Agreement to credit reporting agencies;and
(iii)disclose this and other information 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.LIMITEDWARRANTY
A. LIMITED INSTALLATION WARRANTY. We provide a workmanship warranty that the System shall he Irce,'runt material defects in design and
workman3hip tinder normal operating conditions for the Term. We further warTant that all rootlop penetrations We install shall be waucitigght as of the date of
installation. We do not provide any warranty to You with respect to any component of the System. An%manufacturer's warrmty is in ad5ition to.not to liar
of,this limited installation warranty. This warranty does not cover problem, resuhitfrom exposure in harmful materials and chcmicala, lire, tlood,
earthquake,or other acts of god,vandalism,alteration of system by anyone not amhorized my Us.or any other cause beyond Our control.
B. MANUFACTURERS'WARRANTIES. The System's solar modules carry it minimmn manutaclurcr's warranty of twenty(20)years is follows:
�a during the first ten(10) ears of use,the modules'electrical output will not degrade by more than ten percent(I0° from the frothe orlLmally rated output;and
b�during the first twenty 20)years of use,the modules'electrical output will not degrade by marc than twenty by 120'%;,)Iron the originally rated
output. The System's inverters carry a minimum manufacturer's warranty often(10)years against(leli;ct;or conhponent breakdowns. During&'term,We
will enforce these warranties to the fullest 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 STATUTORY, 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 WOES WHICH EXTEND BEYOND THE
DESCRIPTION OF THE FACE HEREOF.
4.REMOVAL OF THE SYSTEM
You shall not any Altcohs las defined in Section 9 epi to the.System. II'You want to make repairs or improvements to Your Property that require
the tempora 'remov. of the Syrutistem or that could interfere with its perl'ormarice or operation,You must give Us at least thirty(30)days'prior written notice
(a" honer- eyues ct Sleul[laien"), You agree that any repair sir improvement to Your Property shalrnot materially alter Your root where the System is
ns ailed. its corn cation for Uur removal,storage.andreinstalliliun of the S'stem,You agree to pay to U,a fee e((ual to Pour Hundred and Ningt,y-Nine
Do rs($499 ore We remove the System, You shall he required t)pay the Shutdown payment(as delined in Section 1 i)if the tivstem is not rcrnsi:filed
within �rt (10)days of removal. In the event of an emergency affecting the System. You shall contact Us unmi(t(� \1
ly. It' e are unable to timely
respond.Y,it stay(at Your own expense)contract with a licensed and qualified solar installer to remove the Systenm as necessary to make repairs required by
the emergency. Ynu shall be responsible for any damage to the System that results liom actions taken by Your contractor.
5.ARBITRATION OF DISPUTES
Most customer concerns can be resolved quickly and amicably by calling Our customer service department t (877) 404-4129. f Our
customer service department is unable to resolve Your concern,You and We agree to resolve any Disprte(as del rd helow)through riding
arbitration or small claims court instead of courts of general jurisdiction. BY SIGNING BELOW,YOU ACKN ' ; ' AGREE
THAT O YOU ARE HEREBY WAIVING THE RICHT TO A TRIAL BY JURY;AND(II)YOU MAY BRING CLAIMS AGAINST US
ONLY tri YOUR INDIVIDUAL CAPACITY,AND NOT AS A PLAINTIFF OR CLASS MEMBER IN ANY PURPORTED CLASS OR
REPRES TATIVE PROCEEDING. You and We agree to arbitrate all disputes,claims a ;controversies arising out of or relating to
� j.
OF OUR AFFILIATES, DIRECTORS. EMPLOYEES, AGENTS;
OR CONTRACTORS FOR ANY SPECIAL, EXEMPLARY, �' E`I lai �i.itl P tiff f
INDIRECT INCIDENTAL, CONSEQUENTIAL OR PUNITIVE
DAMA(iF:S�(WHETHER OR NOT THE CLAIM THEREFORE IS
BASED ON'CONTRACT,TORT,DUTY IMPOSED BY LAW OR
OTHERWISE),IN CONNECTION WITII.ARISING OUT OF.OR
IN ANY WAY RELATED TO THE TRANSACTIONS
CONTEMPLATED BY THIS AGREEMENT OR ANY ACT OR
OMISSION OR EVENT OCCURRING IN CONNECTION
THEREWITH. YOU HEREBY WAIVE,RELEASE.AND AGREE
„r
NOT TO SUE UPON ANY SUCH CLAIM FOR ANY SUCH ,• ;,tik}+��i4cr �.;, '. ,, ,
DAMAGES, WHETHE�R�QR NOT AC'C'RUkD AND WIIETI;JFR 24 \011(\
OR NOT KNOWN .0 WSPECTED 40 EXIST IN YOUR
FAVOR. 'YOU FURTHER AGREE THAT NO CLAIM,
i LAWSUIT, OR ANY
OTHER LEGAL OR ARBITRATION
• :,,
PROCEEDING IN CONNECTION �t!i,1, v•
WI H,ARISING 011'1'OF OR �
r
IN ANY WAY RELATED TO THIS FNT MAY BF,AGREEMENT
E 1
BROUGHT, COMMENCED OR FILED MORE THAN ONE (1)
YEAR AFTER THE INCIDENT GIVING RISE TO SUCH CLAIM.
YOU ACKNOWLF,DGF. THAT WE ARE RELYING ON THIS '
SECTION 17 AS A CONDITION AND MATERIAL
INDUCEMENT TO ENTER INTO THIS.AGREEMENT.
t rq.'(1'il 1 r"'If ! L..,, Itl` .t stl �! '71 I {`.
,.':t! !I'll- ,) ,r.,
r, , :,, .n :,•.ir„t .t!_.••, ^u�� IL.0 `, atr 2Y.YKE1l;K1:'L+:IV ANU 4T-OUT NOTICE. THIS
ait !! ,,hi 'iit"n, ,u„I'-- n.. :,�.,. ,i:,li :, q,,r, f '`P SED ON
oz t•
•!, . !. h, .Lr. I ,
r _ . . i.�, I,.ni. ;E,,,,,, INFORMATION IN YOUR CREDIT REPORT INDICATING
«{,I i s, , ,, ., ._ I' .!,r,, THAT YOU MEET CERTAIN CRITERIA. THIS OFFER IS NOT
;I , ; ,:, 1"'M' GUARANTEED IF YOU DO NOT MEET OUR CRITERIA. IF
u!!uI r,1.,,•ml,,, .,t".ur!i"I{•I,'s•"Or ,!,c,a YOU DO NOT WANT TO RECEIVE PRESCREENED OFFERS
J.11 ki1tU(. 1 It t\. '.a! .; ,i.. •n t it+,c .!i t •n, ,d i,• OF CREDIT FROM US AND OTHER COMPANIES,CALL THE
f1.•u, :ru• 41.,4,1:, .,, ,n, ,Ius, .u,r,: I, ,,u:, ?z,i, CONSUMFR REPORTING AGENCIES TOLL-FREE, (888) 567-
1-,n na,n I,h !, N-11 11 l,r..ur a:,, „!n;.,l,', 11"t ',rr 4, 8688;OR WRITE: EXPERIAN OPT OUT,P.O.BOX 919 ALLEN,
Irts;x! I" it,If 1, „l+ 4..,!„_ N t tl \,,!+I I I r l it', TX 75013; TRANSUNION NAME REMOVAL OPTION, P.O. �
t!t 11. i\ k It 1\t I i ,!.`•I('�' ?
(d I I'I1'PI I I i :1 BOX 505 WOODLYN, PA 19094; EQUIFAX OPTIONS, P.O.
20.AMEND!41ENTS AND WAIVERS. This Apluement may only he amended or BOX 740123 ATLANTA,GA 30374-0123.
I
(i)any aspect of the relationship between You and Us,whether based in contract,tort,statute or any other legal theory:(ii)this Agreement or
any other agreement concerning the subject matter hereof.. (iii) any breach, default, or termination of this Agreement; and (iv)the
interpretation.validity,or enforceability of this Agreement.including the determination ofthe scope or applicability of this Section 5(each,a
"Dispute"). Prior to commencing arbitration,a arty must first sena a written"Notice o1'Dispute' via certified mail to the other party. The
Notice of Dispute must describe the nature and basis for the Dispute and the reliel'sought. It You and We are unable to resolve the Dispute
within thirtv (30) days, then either party may commence arbitration. The arbitration shall be administered by JAMS pursuant to its
Streamlined Arbitration Rules and Procedures(availuhle at: http:/hvww.anisiidr.coni/rules-streamlined-arbitration,the"JAMS Rules")and
under the rules set forth in this Agreement. The arbitrator shall be bound by the terns of this Agreement. No matter the circumstances,the
arbitrator shall not award punitive,special.exemplary, indirect, or consequential damages to either party. If You initiate arbitration. You
shall be responsible to pay$250. All attomeyys' fees, travel expenses.and other costs of the arbitration shall be home. by You and Us in
accordance with the JAMS Rules and a liable law. The arbitration shall be conducted at a mutually a reeable location near Your Property.
ppp �
Judgment on an arbitration award may be entered in any court of competent jurisdiction. Nothing m this Section 5 shall preclude You or We
from seeking provisional remedies in aid ofarbitration from a court of competentlurisdiction.
NOTICE:BY INITIALING 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 MAY 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"ARBITRATION OF DISPUTE " ROVISION
TO NEUTRAL ARBITRATION. i„mal.':
UWE AGREE TO ARBITRATION AND WAIVE THE RIGHT TO A JURY TRIAL.
6.NOTICE TO CUSTOMERS
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 Order. 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 Agreement,that We have signed the Agreement,and that You have read and received a legible copy of
every document that We have signed during 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: I MIDNIGHT OF THE THIRD
�HE NOTICE OF CANCBUSINESS DAY A E LATION R THE E OW OR AN EXSACTION P ANOR A'CION OF THS RIGHT.THE START OF INSTALL ON OF THE SYSTEM. SEE
VIVINT SOLAR DEVEL PEIL LLC CUSTOMER(S):
By: - — By: —
Printed Name: 6 f G. .— Printed Name: av
Title: By:
Printed Name:
Transaction Date: ZIr` (�
FOR INFORMATION ABOUT CONTRACTOR REGISTRATION REQUIREMENTS, CONTACT THE MASSACHUSETTS
OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATION:TEN PARK PLAZA,SUITE 5170,BOSTON,MA 02116,
(617)973-8700 OR 888-283-3757.
s<-------------------------------------------------- -----------•--------------------------------------
NOTICE OF CANCELLATION
Transaction Date: AR No.:
YOU MAY CANCEL THIS TRANSACTION,WITHOUT ANY PENALTY OR OBLIGATION,WITHIN THREE(3)BUSINESS
DAYS OF THE ABOVE DATE, OR (IF LATER) UNTIL T11E START OF INSTALLATION OF Tily-,5 STEM. IF YOU
CANCEL,ANY PROPERTY TRADED IN,ANY PAYMH:\T1 t Bti'\'O i t1NllE R TFI>-Ct)\TR. T OR SALE,AND ANY
NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN TEN (10) 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'10
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 AVAILABLE TO THE SELLER AND THE SELLER DOES NOT PICK THEM UP
WITHIN TWENTY(20)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 VIVINT SOLAR 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
START OF INSTALLATION OF THE SYSTEM. I HEREBY CANCEL THIS TRANSACTION:
Date: Customer's Signature: _
i
Ili i i
ADDITIONAL TERMS AND CONDITIONS
Itl lit It ,{ 11Ir r\. ,.tr a tut,+,.ir
make loo Icppresennations or w'm'ramiesexcept as capr��sly set loath m tTil-,' I succes,ors and hciu to t!ansici this Agreement pursuant to the terms and conditions of
8. OUR SERk'1CF.S. (al MCerin . We will install perfomumec meter(etjpt needed Section I��b.
to measure the[ncrgy pnxTuced Ir}'the Systun. We will collect perfnntiance data IY-U* I'1 OF DEFAULT n,p•rdr I•
remotely or use Onr personnel to collect the data. We will provide this data to You mean the occurrence of any o u
uptn Your reasonable request. You agree to allow Our personnel reasonable access lir under this Agreement within II
}our Property to collect such data. Af Our discretion,We may lest the aceuracy of the within ten(lb)days after We;
r Hunts: t.,•,r - , :• - n t - r -n, 1. a f.
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e.'k. II
l,n i I i t t ,.I. _., ., n ,! ..1.,i,. II` ,'i, li ir❑
I t \I SHUTDOWNS.•(a)Safety Shutdown In addition o Our right to shut
s.eu t cater that are attrth.neU allocated,
r related to the System,the En v. M down the System for maintenance a mW a•:hut dew
y er6_ y s o t System it•We reasonably
environmental aaributs thereof (collectively. the "Spstem Inlereats'); (ill •ray believe drat Property conditiuna or activities of persons on the Property,which arc not
permits,interconnection,net metering agreements,and other documen[s required[by under Our control,whether or not under Your control,may intertere with the safe
the Utility:and(iii)any document necesmty to verity Our ownership interest in the ,petition of the System(a,"S,al Shutdown"). Duringg the pendency of a Safety
System and System Interests. (t)Dul•to Notif'. You shall pn.rmptly notify Us if(i) Shutdown.You will pay ,s the Shutdown Payment. (b)Pru c Vacauxl. In the
Y ou notice any person or thing inter ening wt -the operation of the 5v-stem;(ii)Your event that You vacate Your propertylir any period of time ac a Hsu i o an even[[tial
Prp+ctiv has aiity.erd'uiauce-or-pc ruulswtatinus.ar_cnuwmbwarr:.diat.tnay.nrevent„ )suntAEQtrxAfajcuprUWAWt Akfi A luno'ill.=uaue.topaylls.forallthe
proper System permitting.:or(iia)You rake any emergency action with respect to the Enerav produced by the System. (e)Interconnection Deactivation. If interconnection
. I' I'II , u.., .I nt,. Ut . i..,,.t, h d .1 Ill !Is, ,. ft lldPant♦
L, ,. .d t ':u tl,. I•.. tl .tl L h�a, .6 t..l •L,
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f'•,I .a.1 .,.I , n.. . :.'In .I t Ir. R.' ,,tit,.r. ,'i0. , 1,IY fu, 16c t. ,.J •e-,U. .,qd b 4 t 'i I', ,
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1L SYSTEbt FOR ANY I'E:R{OD OR AN' Y COST SAV INGS. We are not a utility 16.FORCE MAJEURE. If You or We are unable to perform any-of the obligations
or pnhlic sen•ice company and do not assume any obligations of a utility or public tinder this.Agreement because of a Force Majeure Event,such affected party will be
service company to sir4>plyl Your energy requirements. We arc not suhiect to rate excused from whatever performance is affected by the Force Majeure Event,provided
review'by govemmcntaauthorities. During the Term.You understand thin You may that the suspension of such obligations is of no 'cater scope and of no longer duration
require more electricity, than the System may genes te. 11'You need any such than is required by the Force Ma eurc Event. "Force Majeure Event'shall mean any
additional energy,then You shall be solely responahic to obtain such energy from the event,condition or circumstancebeyond the control ofthe affected riartv which.by the
Utility at Your cost I
It. M% tit�1111't II .1,If vi .. .'I tt, _
P. Ini ar.v IL Irl,
. .. - ,I I .'J .. .1 til,• I :,,I . I ' ',l. .,t.In,.1n: n�,1•t ,.r
„ . .I 17.1 INIII\fItrytit I I\lilt II1 5.n,
' II. tt a, i-at t
NOTWITHSTANDING ANY BREACH OF THIS AGREEMENT,
ANY FAILURE OF THE SYSTEM,OR ANY NEGLIGENT ACT
idi.tified, Ourpproperiv. THAT CAUSED ANY INJURY OR LOSS (WHETHER
12. ASSIGNMF.\! 8 TRANSFER, (a) .Assignment. We may assign, sell,or PROPERTY DAMAGE. PERSONAL INJURY OR DEATH) TO
transfer(in whole or in part)[]its AgicemenL titre— sicm,,x the System Interests ANYONE, WE AND YOU AGREE THAT, UNLFSS SUCH
without Your consent and without notice. If such assignee agrees in wrong Id assume
Our rights under this:Agreement,We will have no further liability or obligation under INJURY OR LOSS WAS CAUSED BY A PARTY'S GROSS
this Agreement upon Ihe_effectivrness ol'such assignment. Ili!Transfer of Pro�ertv. NEGLIGENCE, FRAUD, OR WILLFUL INJURY, SIJCII
You Shall provide Us veldt thirty(30)day;prior written notice o a pfroposiuJ tic PARTY'S LIABILITY ARISING
OUT OF OR RELATING TO
simple Sade of Your Property. This written
notice
shall indole the name of the
proposed purchaser or trmsrerec("Properry Tmusferee")and,the proposed otdr til TI IIS AGREEMENT SHALL IN NO EVENT EXCEED THE
sale otransier. You will also provide any additional information regarding Property DEFAULT PAYMENT. YOU AND WE AGREE THAT THIS
Trnsicree that We reasonably request. You will request that Property Transferee AMOUNT 1S A FAIR RFPRESFNTATION OF THE DAMAGES
at,rec in writing with lm that propery hall enter i will assume Your obligations under THAT YOU OR WE EXPECT TO INCUR IN THE CASE OF ANY
[I`iis A reement. Pro env'franslcr.•e shall enter into xn:h aottvemcm on or before the
date Ygour Propertv'is nsold. Alternatively,if We dctemtine tTiat Property Transferee is INJURY OR LOSS HEREUNDER
not adequately creditworthy to assume Yow obi•auons under this:.greement,or NO CLAIM SHALL BE MADE BY YOU AGAINST lJS OR ANY
I'r,perty'Trnrs[cree rehires to assume Your nb iirons under this Agreement. We
The Commonwealth of Massachusetts
Department of IndustrialAccidents
3.; is ice of Investigations
�- —' 1 Congress Street,Suite 100
f Boston,IVA 02114-2017
www'mass.gov/vial
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): Vit/Ifl$ Solar Developer, LLC
Address:3301 North Thanksgiving Way,Suite 500
City/State/.Zip:Lehi, UT 84043 Phone#:801-377-9111
Are you an employer?Check the appropriate box: ')Type of project(required):
1.El I am a employer with 10 4. ❑ I am a general contractor and I
employees(full and/or pert-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 g. ❑ Demolition
working for me in any capacity. employees and have workers'
[No workers' comp. insurance comp. insurance.
$ 9. Building addition
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs
insurance required.]t c. 152,§1(4),and we have no 13.0 Other Solar 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.
I am an 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:_ _WVP Ln - City/State/Zip: i
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under life pains and penalties of perjury that the information provided above is true 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/'Tower Clerk 4. Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
IA
Office of Consumer Affairs ind Business Regulation
�. 10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Dome Improvement Contractor Registration
Registration: 170848
Type: Supplement Card
VIVINT SOLAR DEVELOPER LLC. Expiration: 1/5/2016
JAMES SHERMAN
4931 NORTH 300 WEST
PROVO, UT 84604
Update Address and return card.Mark reason for change.
SCA 1 0 20M-05/11 Address F� Renewal Employment F-] Lost Card
�t Massachusetts-Department of Public Safety
Board of Building Regulations and Standards
Construction SuperN isor
License: CS-W254
.FAMES R SHEFJON
0
6 Fox Hollow Drive
SAUGUS MA 01)06 t.
w`' Expiration
08/28/2016
Commissioner
.F
r `
M011 it..,' P 3301 North Thanksgiving Way,Suite 500
cit / :
Structural Group Lehi,UT 84043
P: (801)234-7050
Scott E. Wyssling, PE
Head of Structural Engineering scott.wyssling@vivintsolar.com
December 10, 2014
Mr. Dan Rock, Project Manager
Vivint Solar
24 Normac Road
Woburn MA 01801
Re: Structural Engineering Services
Dhawan Residence
29 Nadine Lane, North Andover MA
S-4079537
5.865 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 VisitNerification 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 2 x 8
dimensional lumber at 16" on center with 2 x 4 collar ties every 48". The attic space is unfinished and
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. 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
33 and 34 degree roof slopes on the dwelling areas. Ground snow load is 50 PSF for Exposure
"B", Zone 2 per(ASCE/SE17-10).
2. Total area subject to wind uplift is calculated for the Interior, Edge and Corner Zones of the
dwelling.
r' Page 2of2
B. Loading Criteria
• 10 PSF= Dead Load roofing/framing 50 PSF=Live Load(,ground 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. 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, deteriorated,
structurally compromised or deflect non-uniformly, our office should be notified before proceeding
with the installation.
2. Maximum allowable pullout per lag screw is 235 lbs/inch of penetration as identified in the
National Design Standards (NDS) of timber construction specifications for Hem-Fir (North
Lumber) assumed. Based on our evaluation, the pullout value, utilizing a penetration depth of 2
1/2", is less than what is 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
1/2" with a minimum size of 5/16" lag screw per attachment point for panel anchor mounts should
be adequate with a sufficient factor of safety.
3. Considering the roof slopes, the size, spacing, condition of roof, the panel supports shall be
placed at and attached to no greater than every fourth 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 four (4) rafter spaces or 64"o/c,
whichever is less.
4. Panel supports connections shall be staggered to distribute load to adjacent rafters.
Based on the above evaluation, it is the opinion of this office that with appropriate panel anchors being
utilized the roof system will adequately support the additional loading imposed by the solar panels. This
evaluation is based on information supplied to us at the time of this report and current industry standards and
practices.
Should you have any questions regarding the above or if you require further information do not hesitate to
contact me.
Ve truly yours, tN OFS�y�yG
C1V1
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MA License N .500
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Inverter Make/Model Enphase M215-60-2LL-S2x-ZC 0 Conduit and Conductor Schedule
MODULE DETAIL Max DC Volt Rating 45 Volts Tag I Descnptlon wire Gauge #of Conductors Conduit Type Conduit Size
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2.)IF GENERATION METER REQUIRED,DOES THIS METER Max Power-Point Voltage(Vmp) 30.5 Volts t O
WITH ECO HARDWARE SOCKET MEET THE REQUIREMENTS? C L)
OpenCircuit Voltage(Voc) 37.7 Volts �j
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YES NO X NA Short-Circuit Current(Isc) 8.92 Amps > Z Q
3.)SIZE PHOTOVOLTAIC POWER SOURCE(DC)CONDUCTORS Max Series Fuse(OCPD) 15 Amps C
BASED ON MAX CURRENT ON NEC 690.53 SIGN OR OCPD Nominal Maximum Power at STC(Pmax) 255 Watts J
MICROINVERTER CONNECTION _ RATING AT DISCONNECT. Maximum System Voltage 1000(IECy600(UL) Q F
TO ENGAGE TRUNK CABLE 4.)SIZE INVERTER OUTPUT(AC)CONDUCTORS ACCORDING Voc Temperature Coefficient -0.32 %/°C
V TO INVERTER OCPD AMPERE RATING(See Guide Section 9).
5.)TOTAL OF 2 INVERTER OCPD(s).ONE FOR EACH NOTES FOR ARRAY CIRCUIT WIRING(Guide Section 6 and 8 and Appendix D):
PV CIRCUIT.DOES TOTAL SUPPLY BREAKERS COMPLY 1.
WITH 120%BUSBAR EXCEPTION IN 1.)Lowest expected ambient temperature based on ASHRAE minimum mean extreme -"
i NEC 690.64(8)(2)(a)? X YES NO dry bulb temperature for ASHRAE location most similar to installation location: -19°C !
#6 BARE CU GROUND
=- .. (GROUNDING ARRAY) 1 Signs(See Guide Section 7) 2.)Highest continuous ambient temperature based on ASHRAE highest month 2%dry bulb
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temperature for ASHRAE location most similar to installation location: 39°C j
Sign for inverter OCPD and AC Disconnect: 3.)2005 ASHRAE fundamentals 2%design temperatures do not exceed 47°C in the U+
United States(Palm Springs,CA is 44.1°C).For less than 9 current-carrying conductors
Solar PV System AC Point of Connection in roof-mounted sunlit conduit at least 0.5"above roof and using the outdoor design
AC Output Current 20.700000 Amps temperature of 47°C or less(all of United States). �-O-7
Nominal AC Voltage 240 Volts a.)12 AWG,90°C conductors are generally acceptable for modules with Isc of 7.68 Amps r.
or less when protected by a 12-Amp or smaller fuse. N
THIS PANEL FED BY MULTIPLE SOURCES
b.)10 AWG,90°C conductors are generally acceptable for modules with Isc of 9.6 Amps
(UTILITY AND SOLAR) or less when protected by a 15-Amp or smaller fuse. O=A
NOTE:NEUTRAL CONDUCTOR(S)OMITTED FOR CLARITY
ALL INVERTER OUTPUT CIRCUITS WILL HAVE A NEUTRAL CONDUCTOR 50
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Vivint Solar - PV Solar Rooftop System Permit Submittal
1. Project Information
Project Name: Rajeev Dhawan
Project Address: 29 Nadine Ln, North Andover MA
A.System Description:
The array consists of a 5.865 kW DC roof-mounted Photovoltaic power system operating in parallel with the utility grid.There are(23)
255-watt modules and(23)215-watt micro-inverters,mounted on the back of each PV module.The array includes(2)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 (A 1.74°F)
Average high temperature: 37.6°C (99.68°F)
C. Minimum Design Loads:
Ground Snow Load: 50 psf (State Board BR&S)
Design Wind Speed: 100 mph (State Board BR&S)
2. Structural Review of PV Array Mounting System:
A.System Description:
1.Roof type: EcoX 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: Ecorail
c.Total Weight of PV Modules and mounting hardware: 1081 lbs
d.Total number of attachment points: 57
e.Weight per attachment point: 18.96 lbs
£Maximum spacing between attachment points: * See attached engineering talcs
g.Total surface area of PV array: 405.03 square feet
h.Array pounds per square foot: 2.66 lbs/Square foot
i.Distributed weight of PV array on roof sections:
-Roof section 1: (16)modules,(39)attachments 19.28 pounds
-Roof section 2: (7)modules,(18)attachments 18.27 pounds per square foot
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3. Electrical Components:
A. Module (UL 1703 Listed) Qty
Trina TSM 255-PA05.18 23 modules
Module Specs
Pmax-nominal maximum power at STC - 255 watts
Vmp-rated voltage at maximum power - 30.5 volts
Voc-rated open-circuit voltage - 37.7 volts
Imp-rated current at maximum power - 8.36 amps
Isc-rate short circuit current - 8.92 amps
B. Inverter (UL 1741 listed) Qty
Enphase M215-60-2LI=S22 23 inverters
Inverte _r 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 2
PV circuit 1 - 12 modules/inverters (15)amp breaker
PV circuit 2 - 11 modules/inverters (15)amp breaker
2011 NEC Article 705.60(6)
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D. Electrical Calculations
1.PV Circuit current
PV circuit nominal current 10.8 amps
Continuous current adjustment factor 125% 2011 NEC Article 705.60(B)
PV circuit continuous current rating 13.5 amps
2.Overcurrent protection device rating
PV circuit continuous current rating 13.5 amps
Next standard size fuse/breaker to protect conductors 15 amp breaker
Use 15 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)
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 19 amps
c.PV Circuit current adjustment for conduit fill
Number of current-carrying conductors 6 conductors
Conduit fill derate factor 80% 2011 NEC Article 705.60(B)
Final Adjusted PV circuit continuous current 15.2 amps
Total derated ampacity for PV circuit 15.2 amps
Conductors(tag2 on Z-line)must be rated for a minimum of 15.2 amps
THWN-2(90°C) #14AWG conductor is rated for 25 amps (Use#14AWG or larger) 2011 NEC Article 705.60(B)
4.Voltage drop(keep below 3%total)
2 arts:
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.iiN irco-inverter voltage drop: 0.58%
The largest number of micro-inverters in a row in the entire array is 11 inCircuit 2.According to
manufacturer's specifications this equals a voltage drop of 0.58%.
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#14AWG copper)x(Total wire run)
_ (Circuit 1 nominal current is 10.8 amps)x(0.0031962)x(200 _(240 volts)x(100) 2.87%
Total system voltage drop: 3.45%
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EcolibriumSolar
Customer Info
Name:
Email:
Phone:
Project Info
Identifier: 17884
Street Address Line 1: 29 Nadine Ln
Street Address Line 2:
City: North Andover
State: MA
Zip: 01845
Country: United States
System Info
Module Manufacturer: Trina Solar
Module Model:TSM-255 PA05.18
Module Quantity: 23
Array Size (DC watts): 5.865
Mounting System Manufacturer: Ecolibrium Solar
Mounting System Product: EcoX
Inverter Manufacturer: Enphase Energy
Inverter Model: M215
Project Design Variables
Module Weight: 44.8 lbs
Module Length: 65.5 in
Module Width: 39.625 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:493 Ibf
EcoX Design Load - Upward: 568 Ibf
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EcoX Design Load -Downslope: 353 Ibf
EcoX Design Load -Lateral: 233 Ibf
Module Design Moment—Upward: 3655 in-lb
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
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EcolibriumSolar
Plane Calculations (ASCE 7-05): 2
Roof Shape: Gable Edge and Corner Dimension: 3.0 ft
Roof Type: Composition Shingle Stagger Attachments: Yes
Average Roof Height: 25.0 ft Include Snow Guards: No
Least Horizontal Dimension: 27.0 ft
Roof Slope: 33.0 deg
Truss Spacing: 16.0 in
Snow Load Calculations
Description Interior Edge Corner Unit
Flat Roof Snow Load 42.0 42.0 42.0 psf
Slope Factor 0.68 0.68 0.68
Roof Snow Load 28.6 28.6 28.6 psf
Wind Pressure Calculations
Description Interior Edge Corner Unit
Net Design Wind Pressure Uplift -17.1 -20.1 -20.1 psf
Net Design Wind Pressure Downforce 16.0 16.0 16.0 psf
Adjustment Factor for Height and Exposure Category 1.0 1.0 1.0
Design Wind Pressure Uplift -17.1 -20.1 -20.1 psf
Design Wind Pressure Downforce 16.0 16.0 16.0 psf
ASD Load Combinations
Description Interior Edge Corner Unit
Dead Load 2.5 2.5 2.5 psf
Snow Load 28.6 28.6 28.6 psf
Downslope: Load Combination 3 14.4 14.4 14.4 psf
Down:Load Combination 3 22.2 22.2 22.2 psf
Down:Load Combination 5 18.1 18.1 18.1 psf
Down:Load Combination 6a 29.2 29.2 29.2 psf
Up: Load Combination 7 -15.8 -18.8 -18.8 psf
Down Max 29.2 29.2 29.2 psf
Spacing Results(Landscape)
Description Interior Edge Corner Unit
Max Allowable Spacing Between Attachments 60.4 60.4 60.4 in
Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 48.0 48.0 48.0 in
Max Cantilever from Attachment to Perimeter of PV Array 20.1 20.1 20.1 in
Spacing Results(Portrait)
Description Interior Edge Corner Unit
Max Allowable Spacing Between Attachments 37.2 37.2 37.2 in
Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 32.0 32.0 32.0 in
Max Cantilever from Attachment to Perimeter of PV Array 12.4 12.4 12.4 in
EcolibriumSolar
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'lane Calculations (ASCE 7-05): 1
Roof Shape: Gable Edge and Corner Dimension: 3.0 ft
Roof Type: Composition Shingle Stagger Attachments:Yes
Average Roof Height: 35.0 ft Include Snow Guards: No
Least Horizontal Dimension: 27.0 ft
Roof Slope: 34.0 deg
Truss Spacing: 16.0 in
Snow Load Calculations
Description Interior Edge Corner Unit
Flat Roof Snow Load 42.0 42.0 42.0 psf
Slope Factor 0.66 0.66 0.66
Roof Snow Load 27.7 27.7 27.7 psf
Wind Pressure Calculations
Description Interior Edge Corner Unit
Net Design Wind Pressure Uplift -17.1 -20.1 -20.1 psf
Net Design Wind Pressure Downforce 16.0 16.0 16.0 psf
Adjustment Factor for Height and Exposure Category 1.05 1.05 1.05
Design Wind Pressure Uplift -18.0 -21.1 -21.1 psf
Design Wind Pressure Downforce 16.8 16.8 16.8 psf
ASD Load Combinations
Description Interior Edge Corner Unit
Dead Load 2.5 2.5 2.5 psf
Snow Load 27.7 27.7 27.7 psf
Downslope: Load Combination 3 14.2 14.2 14.2 psf
Down:Load Combination 3 21.1 21.1 21.1 psf
Down:Load Combination 5 18.9 18.9 18.9 psf
Down:Load Combination 6a 28.9 28.9 28.9 psf
Up: Load Combination 7 -16.7 -19.9 -19.9 psf
Down Max 28.9 28.9 28.9 psf
Spacing Results(Landscape)
Description Interior Edge Corner Unit
Max Allowable Spacing Between Attachments 60.6 60.6 60.6 in
Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 48.0 48.0 48.0 in
Max Cantilever from Attachment to Perimeter of PV Array 20.2 20.2 20.2 in
Spacing Results(Portrait)
Description Interior Edge Corner Unit
Max Allowable Spacing Between Attachments 37.4 37.4 37.4 in
Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 32.0 32.0 32.0 in
Max Cantilever from Attachment to Perimeter of PV Array 12.5 12.5 12.5 in
EcolibriumSolar
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EcolibriumSolar
-Distributed Weight (All Planes)
In Conformance with Solar ABC's Expedited Permit Process for PV System (EPP)
Weight of Modules: 1030 lbs
Weight of Mounting System: 114 lbs
Total System Weight: 1144 lbs
Total Array Area: 415 ft2
Distributed Weight: 2.76 psf
Number of Attachments: 57
Weight per Attachment Point: 20 lbs
Bill Of Materials
Part Name Quantity
ECO-001_101 EcoX Clamp Assembly 57
ECO-001_102 EcoX Coupling Assembly 29
ECO-001_105B EcoX Landscape Skirt Kit 4
ECO-001_105A EcoX Portrait Skirt Kit 3
ECO-001_103 EcoX Composition Attachment Kit 57
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 2
ECO-001_106 EcoX Bonding Jumper Assembly 6
ECO-001_104 EcoX Inverter Bracket Assembly 23
ECO-001j38
EcoX Connector Bracket 23
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