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Home My WebLink AboutBuilding Permit #965-15 - 815 JOHNSON STREET 5/26/2015BUILDING PERMIT t< TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION CIU6 --.1 Permit No#: I - 11) Date Received 44! 1 k !� must complete all items on this p�ge -617 t,nnt,l t t DISTR Historic -;1 is -6 Sho Villag,& Machin p TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential Vone family El New Building D Addition El Two or more family El Industrial U/Alteration No. of units: o Commercial El Repair, replacement 0 Assessory Bldg 0 Others: El Demolition 0 Other 11 Watershed District Septic 0 Well El Floodpilain El Wetlands 0 Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: .p1)5,j]QIJ 2a Sblor rq�(!.a Cc� q((,)2-hL-JJ+-0 roo�-- I tAORT 0 16 C) 4 no nn Identification - Please Type or Print Clearly I Phone-(,/n�>) A�S,- C& OWNER: Name: 'CL\(Q I -- ARCH ITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE. BULDINGPERMIT.- $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ FEE: $ -Z-Vi 24 - Check No.: 2 -7"5 lhlq� Receipt No.:_ NOTE: Persons contracting with unregistered contractors do not have access to the guaranty�Tl WMARZINAPYINNEEMbine mm- vLec,-) 971 VY'AA Plans Submitted V Plans Waived [1, Certified Plot Plan El Stamped Plans F1 TYPE'OF SEWERAGE DISPOSAL Public Sewer El Tanning/Massage/Body Art Sw"-nm'ng Pools El Well Tobacco Sales Food Packaging/Sales El Private (septic tank, etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature COMMENTS CONSERVATION Reviewed on Siqnature 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 Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes -no- Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No, MGL Chapter 166 Section 21 A —F and G min.$100-$1000 fine NOTES and DATA — (For department use) Q Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 Plans Submitted V Plans Waived 0 Certified Plot Plan El Stamped Plans El TYPE'OF SEWERAGE DISPOSAL Public Sewer Tanning/1\4assage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales D Private (septic tank, etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS Reviewed On Signature__ __ Reviewed on Signature Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: -Zoning Decision/receipt submitted yes .- -1 ','Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Con nection/signatu re & Date Driveway Permit DPW Town Engineer: Signature: Located, 384 Osgood Street IFIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signatureld-ate COMMENTS Building Department 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 L3 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 NC:)TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks u Building Permit Application u Certified Surveyed Plot Plan Lj Workers Comp Affidavit • Photo Copy of H.I.C. And C.S.L. Licenses • Copy Of Contract Lj 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 NC>TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) Ei Building Permit Application Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit ci 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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit 1rx all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals tlxat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording nx -ust be submitted with the building application Doe: Building Pcrmit Reviscd 2014 Location C/ No. Date IJ5- —;-740 Check #77531ov 2 '*% Lp TOWN OF NORTH ANDOVER Certificate of Occupancy Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Building Inspector wm� I 0 ,z 4mo o A 1 i �Aa r L ui m U. 0 a 0 -C _0 0 0 LL E a) >. LO CL 0) V) 0 z z c .2 0 L.L to :3 0 CC E U L.L 0 u z D bD D 0 LL 0 u CA z U Cf- u uj to = 0 CC a) il cu Ln cc 0 CA z CA bo =$ 0 CC LL z ui uj a LU LL I :3 M 6 z w — V) —QJ 0 0 E Ln a a 0 m 0 > 0 CO E CD 0 0 0 Z E CL CO 0 0 0 Cl) E 0 7@ 0 CD L - lo CaL m U) CL W r Cl) > M r- w %- 0 LLI 0 0 uv) >w m 0 0 cl) CD w 0-0 > tm a. mco 0 a U) x z U) .0 0 LLJ E C; 0 0 z 7S CL (n ch Cl) r- 0 w cn 0 Cl) 0 ui 0) > r- LLI —1 0 a " 1-- -0 a- Z Z CL = CL (D CL a) ts U) 0 cc 0 4- (1) 0) '0 tm 0 r c IT m :5 (1) — 0 CL 4)- 'S 0 -1�- U) G).2 m CD U) w m a-- 4-. :E UJ -0— 0 0 4- cn 0 CL U) CL 0 z w = = U) LU E 0 -o 0 0 0) 0 -0 U) U) m 0 r- am yz o " 0 0 1-- 4.1 CL 0 L) > L . 0 CL 0 co 0 00- L- CL 0 CL -J 0 z CL U) C DocuSign Envelope ID: C1 11 l3A67-5F684CE8-898l3-D290A1AE1 13135 ls�lk "QjzM, -a- - - T%/ jr):?,,So1arG Poweir Purchase Agreement Arnendmient Congratulations! Your system design is complete and you are on your way to clean, more affordable energy. Based on the information in your System design, there are some amendments we need to make to your Power Purchase Agreement (the "PPA"). The amendments are as follows: We estimate that your System's first year annual production will be 8,422 kWh and we estimate that your average first year monthly payments will be $101.34. Over the next 20 years we estimate that your System will produce 160,666 kWh. We also confirm that your electricity rate will be $0.1444 per kWh, (i.e. electricity rate $0.1444 and tax rate $0.0000). Your electricity rate, exclusive of taxes, will never increase more than 2.90% per year. Your Details Exactly as it appears on your utility bill Customer Name & Address Customer Name Service Address Michael Magliaro 815 Johnson St 815 Johnson St North Andover, MA 01845 North Andover, MA 01845 By signing below, you are agreeing to amend your PPA and you are agreeing to all of the new terms above. If you have any questions or concerns please contact your Sales Representative. gne y; - - el Magliaro SolarCity SOLARCITY APPROVED "AMORWO 5/11/2015 �, Q 40F": JUT) 9 A A A 11; A (r Signature Date Signature: - LYNDON RIVV. CEO Customer's Name: (PPA) Power Purchase Agreement i�t!- "W-Salarft Signature Date Date: 5/6/2015 3055 CLEARVIEW WAY, SAN MATEO, CA 94,402 888.SOL.CITY 1 888.765.2489 1 SOLARCITY.COM MA HIC 168572/EL-1136MR 0 751542 10 r� R1 ligi N. tool ca r t., I ty. April 30, 2015 Project/Job # 0181912 RE: Project: To Whom It May Concern, CERTIFICATION LETTER Magliaro Residence 815 Johnson St North Andover, MA 01845 Version #44.0 TEMPORARY PERMIT MASSACHUSETTS 2015 -004 -PE A jobsite survey of the existing framing system was performed by a site survey team from SolarCity. Structural review was based on site observations and the design criteria listed below: Design Criteria: - Applicable Codes = MA Res. Code, 8th Edition, ASCE 7-05, and 2005 NDS - Risk Category = II - Wind Speed = 100 mph, Exposure Category C - Ground Snow Load = 50 psf - MPI: Roof DL = 11 psf, Roof LL/SL = 38.5 psf (Non -PV Areas), Roof LL/SL = 28 psf (PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.33365 < 0.4g and Seismic Design Category (SDQ = C < D On the above referenced project, the components of the structural roof framing impacted by the installation of the PV assembly have been reviewed. After this review it has been determined that the existing structure is adequate to withstand the applicable roof dead load, PV assembly load, and live/snow loads indicated in the design criteria above. I certify that the structural roof framing and the new attachments that directly support the gravity loading and wind uplift loading from PV modules have been reviewed and determined to meet or exceed structural strength requirements of the MA Res. Code, 8th Edition. Please contact me with any questions or concerns regarding this project. Sincerely, Paymon Eskandanian, P.E. Professional Engineer T: 714.274.7823 email: peskandanian@solarcity.com Digitally Signed by Paymon Eskandanian 2015.04.30 18:43:27 -07'00' 3055 Clearview Way San Mateo, CA 94402 T (650) 638-1028 (888) SOL -CITY F (650) 638-1029 solarcity.com A2 NAA M ��a' �4f W" 0", _�,,SolarCalty. PRQIFC-T TNFnRMATTnN P. TARI F nF C.nNTlPNTQ .01 04.30.2015 It Version #44.0 Project Name: Magliaro Residence AHJ: North Andover Job Number: 0181912 ..Building Code: MA Res. Code, 8th Edition customer Name., Magliaro, Michael Based On: IRC 2009 / IBC 2009 Address: 815 Johnson St ASCE Code: ASCE 7-05 City/State: North Andover, MA Risk Category: ii Zip Code 01845 Upgrades Req'd? No -Latitude Longitude: 42.659S94. -71.096465 Stamp Req'dj Yes SCOffice: Wilmington PV Designer. David Lopez Calculations:, Corvell Sparks EOR: Paymon Eskandanian, P.E. Certification Letter I Project Information, Table Of Contents, & Vicinity Map 2 Structure Analysis (Loading Summary and Member Check) 3 Hardware Design (PV System Assembly) 4 Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.33365 < 0.4g and Seismic Design Category (SDQ = C < D 815 Johnson St, North Andover, MA 01845 Latitude: 42.659594, Longitude: -71.096465, Exposure Category: C NM %:zw '=%rCoty. 'C�'e VJ 0 1 a I PV System Structural Design Software OROJE CT INFORMATION & TABLE OF CONTENTS 04.30.2015 Version #44.0 Project Name: Magliaro Residence AHJ: North Andover Job Number: 0181912 Building (fode:_ MA Res. Code, 8th Edition _Customer Name: Maglia i ro, Michael Based On: IRC 2009 / IBC 2009 Address: 815 Johnson St Akcff'Cod— ASCE 7-05 City/State: North Andover, MA Risk Category: II Zip Code 01845 Upgrades Req'd? No Latitude] Longitude: 42.1659594 -71.096465 Sf0frip R4'cr? Yes SC Office Wilming'ton PV Designer: David Lopez Calculations:, Corvell Sparks EOR:, Paymon Eskandanian, P.E. Certification Letter 1 Project Information, Table Of Contents, & Vicinity Map 2 Structure Analysis (Loading Summary and Member Check) 3 Hardware Design (PV System Assembly) 4 Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.33365 < 0.4g and Seismic Design Category (SDQ = C < D 815 Johnson St, North Andover, MA 01845 Latitude: 42.659594, Longitude: -71.096465, Exposure Category: C STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK - MP1 Notes: 1. ps = Cs*pf; Cs -roof, Cs -pv per ASCE 7 [Figure 7-2] 2. pf = 0.7 (Q (Ct) (IJ pg; C�=0.9, Ct=1.1, Is=1.0 Member Design Summa (per NDS) Governing Load Comb CD CL (+) I CL (-) I CF Cr D+S 1.15 1.00 1 0.37 1 , 1.1 1.15 Member Properties Summary Su mary Maximum MP1 Roof Pitch Horizontal Member Spans Overhang 0.82 ft Rafter P pertles Actual W 1.501, Roof System Prope lies Span 1 12.26 ft Actual D 9.25" iTumber of Spans (w/o Overhang) 1 Span 2 Nominal Yes Roofino Material Comp Roof Span 3 A 13.88 in A 2 Re -Roof No Span 4 S. 21.39 in A 3 Pi od Sheathing Yes Span 5 IN 98.93 in A 4 Board Sheathing None Total Span 13.08 ft TL Defl'n Limit 120 Vaulted Ceiling No PV 1 Start 0.92 ft Wood Species SPF Ceiling Finish 1/2" Gypsum Board PV 1 End 12.83 ft Wood Grade #2 Rafter Slope 300 PV 2 Start Fb 875 psi Rafter Spacing 16" O.C. PV 2 End I F, 135 psi Top Lat Bracing Full PV 3 Start E 1400000 psi Bot Lat Bracing At Supports PV 3 End Emin 510000 psi Notes: 1. ps = Cs*pf; Cs -roof, Cs -pv per ASCE 7 [Figure 7-2] 2. pf = 0.7 (Q (Ct) (IJ pg; C�=0.9, Ct=1.1, Is=1.0 Member Design Summa (per NDS) Governing Load Comb CD CL (+) I CL (-) I CF Cr D+S 1.15 1.00 1 0.37 1 , 1.1 1.15 Member Loading Su mary Maximum Max Demand @ Location Roof Pitch 7/12 Initial Pitch Adjust Non-pv Areas PV Areas Roof Dead Load DL 11.0 psf x 1. 15 12.7 psf 12.7 psf PV Dead Load PV -DL 3.0 psf x 1.15 3.5 psf Roof Live Load RLL 20.0 psf x 0.85 17.0 psf ILive/Snow Load LL/SL 1,2 50.0 psf x 0.77 1 x 0. 38.5 psf 28.0 psf JTotal Load (Governing LQ I TL I N_ S1.2 Psf 1 44.2 Psf Notes: 1. ps = Cs*pf; Cs -roof, Cs -pv per ASCE 7 [Figure 7-2] 2. pf = 0.7 (Q (Ct) (IJ pg; C�=0.9, Ct=1.1, Is=1.0 Member Design Summa (per NDS) Governing Load Comb CD CL (+) I CL (-) I CF Cr D+S 1.15 1.00 1 0.37 1 , 1.1 1.15 Member nalysis Results Summary Maximum Max Demand @ Location DCR �_hear Stress -Capacitv 36 psi 0.8 ft. 155 psi 0.23 Bending Stress 612 psi 7.0 ft. 1273 psi 0.48 (Governs) Bending Stress -17 psi 0.8 ft. -474 psi 0.04 [Total Load Deflection 0.28 in. I U599 7.0 ft, _ 1.42 in. I L/120 0.20 Im LOAD ITEMIZATION - Mpi PV System Load PV Module Weight (psf) 2.5 psf Hardware Assembly Weight (psf) 0. . 5 psf PV System Weight (psf) 3.0 psf Roof Dead Load Non -PV Areas Material Load Roof Category Description L. MP1 Table 4-1 Existing Roofing Material At Comp Roof 2 Layers 5.0 psf Re -Roof No Underlayment R, Roofing Paper 0.5 psf Plywood Sheathing R2 Yes 1. 5 psf Board Sheathing Lr None Equation 4-2 Rafter Size and Spacing Lr 2x 10 @ .1.6 in. O.C. 2.9 psf Vaulted Ceiling Table 7-3 No Miscellaneous Miscellaneous Items 1. 1 psf ITotall Roof Dead Load 11 Psr (M1111) 11.0 Psf Reduced Roof ILL Non -PV Areas Value ASCE 7-05 Roof Live Load, L. 20.0 psf Table 4-1 Member Tributary Area At < 200 sf — ASCE Eq: 7.4-1 S6% Roof Slope 7/12 Tributary Area Reduction R, I Section 4.9 -Sloped Roof Reduction R2 0.85 Section 4.9 Reduced Roof Live Load Lr L, = L, (R,) (R2) Equation 4-2 Reduced Roof Live Load Lr 17 psf (MPI) 17.0 psf Reduced Ground/Roof Live/Snow Loads Code Ground Snow Load pg . ..... . .... 50.0 psf ASCE Table 7-1 Snow Load Reductions Allowed? Ps -roof Yes ASCE Eq: 7.4-1 77% Effective Roof Slope — ASCE Eq: 7.4-1 S6% 300 Horiz. Distance from Eve to Ridge Snow Importance Factor 1, 1.0 Table 1.5-2 Snow Exposure Factor Ce Fully Exposed Table 7-2 0.9 Snow Thermal Factor Ct Unheated structures Table 7-3 1.2 Minimum Flat Roof Snow Load (w/ Rain -on -Snow Surcharge) Pf-min 38.5 psf 7.3.4 & 7. 10 iFlat Roof Snow Load Pf pf 0.7 (Cj (Qj �I) pg; pf �: pf-min Eq: 7.3-1 38.5 psf 77% ASCE DeA F Snow Load Over S rrou Load Over Surface Condition of Surrounding Roof CS -roof All Other Surfaces 1 1.0 Figure 7-2 Design Roof Snow Load Over Surrounding Roof Ps -roof ll)�-roof = (C. -.f) Pf — ASCE Eq: 7.4-1 77% 38.5 psf ASCE Design Sloped Roof Sn Load Over Modules Surface Condition of PV Modules CS _PV Unobstruct�_d Slippery Surfaces 0.7 Figure 7-2 Design Snow Load Over PV Modules Ps-pv ps-P, = (CS -PV) Pf — ASCE Eq: 7.4-1 S6% 28.1 psf LOAD UEMIZATION - MP1 PV System Load PV Module Weight (pso 2.5 psf Har dware Assembly Weight (psf) 0.5 psf PV Systern Weight (psf) 3.0 psf Roof Dead Load Non -PV Areas Material Load Roof Category Description L. MPI Table 4-1 Existing Roofing Material At Comp Roof 2 Layers 5.0 psf Re -Roof No bhderlayment R, Roofing Paper 0. 5 psf Plywood Sheathing R2 Yes 1. 5 psf Board Sheathing Lr None Equation 4-2 Rafter Size and Spacing Lr 2x 10 @ 1.6 in. O.C. 2.9 psf Vaulted Ceiling Table 7-3 No Miscellaneous Miscellaneous Items 1. 1 psf iTotal Roof Dead Load 11 Psf (Mpl) 11.0 Psf Reduced Roof LL Non -PV Areas Value ASCE 7-05 Roof Live Load L. 20.0 psf Table 4-1 Member Tributary Area At < 200 sf 28.1 psf Roof Slope 7/12 Tributary Area Reduction R, 1 Section 4.9 Sloped Roof Reduction R2 0.85 Section 4.9 Reduced Roof Live Load Lr Lr = L, (RI) (R2� Equation 4-2 [Reduced Roof Live Load Lr 17 psf (MPI) 17.0 psf Reduced Ground/Roof Live/Snow Loads Code Ground Snow Load P9 50.0 psf ASCE Table 7-1 �now Load Reductions Allowed? Ps -roof Yes ASCE Eq: 7.4-1 77% Effective Roof Slope 28.1 psf 300 Horiz. Distance from- Eve to Ridge 15.2 ft Snow Importance Factor 1, 1.0 �able 1.5-2 Snow Exposure Factor Cl� Fully Exposed Table 7-2 0.9 Snow Thermal Factor ct Unheated structures Table 7-3 1.2 Minimum Flat Roof Snow Load (w/ Rain -on -Snow Surcharge) Pf-min 38.5 psf 7.3.4 & 7. 10 [Flat Roof Snow Load Pf pf 0.7 (C,..) (Ct) (I) pg; pf �: pf-min Eq: 7.3-1 38.5 psf 77% ASCE Design Sloped Roof Snow Load Over Surrounding Roof - Modu es Surface Condition of Surrounding Roof CS -Mof All Other Surfaces 1.0 Figure 7-2 Design Roof Snow Load Over Surrounding Roof Ps -roof Ps -roof -� (Cs-rcof) Pf ASCE Eq: 7.4-1 77% 38.5 psf ASCE Design SlQped Roof Sn w Load Over - Modu es Surface Condition of PV Modules CS _PV Unobstructed Slip)ery Surfaces 0.7 Figure 7-2 Design Snow Load Over PV Modules PS -PV PS -PV `4 (Cs-pv) Pf ASCE Eq: 7.4-1 56% 28.1 psf CALCULATION OF DESIGN WIND LOADS - MP1 Mounting Plane Information Roofing Material K,_ Comp Roof Table 6-3 PV System Type KA SolarCity SleekMountTM Section 6.5.7 Spanning Vents V No Fig. 6-1 Standoff (Attachment Hardware) 1 Comp Mount Ty" Section 6.5.6.3 Roof Slope qh 300 Fig. 6-11B/C/D-14A/131 Rafter Spacing h 16" O.C. I Section 6.2 Framing Type / Direction Y -Y Rafters T -allow Purlin Spacing X -X Purlins Only NA DCR Tile Reveal Tile Roofs Only NA tile Attachment System Tile Roofs Only NA IStanding Seam/Trap Spacing SM Seam Only NA Wind Design Criteria Wind Design Code K,_ ASCE 7-05 Table 6-3 Wind Design Method KA Partially/Fully Enclosed Method Section 6.5.7 Basic Wind Speed V 100 mr)h Fig. 6-1 Exposure Category 1 C Section 6.5.6.3 Roof Style qh Gable Roof Fig. 6-11B/C/D-14A/131 IMean Roof Height h 25 ft I Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure K,_ 0.95 Table 6-3 Topographic Factor KA 1.00 Section 6.5.7 Wind Directionality Factor Kd 0.85 Table 6-4 Importance Factor 1 .............. .............. 1.0 Table 6_1 - Velocity Pressure qh qh = 0.00256 (Kz) (Kzt) (Kd) (VA2) (1) Equation 6-15 1 1 1 20.6 psf _j Wind Dmaciarm Ext. Pressure Coefficient (Up) GCp (up) -0.95 Fig. 6-11B/C/D-14A/B Ext Pressure Coefficient (Down) G(:� (Do.n) 0.88 Fig. 6-11B/C/D-14A/B Design Wind Pressure p p = qh (GCp) Equation 6-22 I Wind Pressure Up P(uv,) -19.6 psf lWind Pressure Down P(down) 1 18.0 pslf ALLOWABLE STAN D -OFF SPACINGS - ----- I X-Direction Y -Direction Max Allowable Standoff Spacing Landscape 64" 39' Max Allowable Cantilever Landscape, 2 14A Standoff Configuration Landscape Staggered Max Standoff Tributary Area Trib 17 sf PV Assembly Dead Load W -PV 3.0 psf Net Wind Uplift at Standoff T -actual -312lbs Uplift Capacity of Standoff T -allow 500 lbs Standoff Demand/Capacity DCR 62.9% I — X -Direction Y -Direction Max Allowable Standoff Spacing . Portrait 48" 6_5" Max Allowab ie Cantilever Portrait . . . ...... 16-1 NA Standoff Configuration Portrait Staggered Max Standoff Tributary Area Trib 22 sf PV Assembly Dead Load W -PV 3. 0 psf Net Wind Uplift at Standoff T -actual -390 lbs Uplift Capacity of Standoff T -allow 500 lbs IStandoff Demand/Capacity DCR 77.9% :iu N_ The Common weafth of Massachusetts ype of project (required): Department of IndustrialAccidents 4. [] I am a general contractor and 1 Office of Investigations cmployees (full and/or part-time).* 2. E] I am a sole proprietor or partner- I Congress Street, Smile 100 7. 0 Remodeling Boston, MA 02114-2017 wwwass.govIdia Workers' Compensation Insurance Affidavit* Builders/Contractors/Electricians[Plumbers Applicant Information Please Print Legibly Name (Business/Organizationlindividual): SOLARCITY CORP Address: 3055 CLEARVIEW WAY .nn City/State/zip: am", - r_%J, %.,r% zmtV4 — rnone ff : - - - Are you an employer? Check the appropriate box: ype of project (required): 1. N I am a employer with 5000 4. [] I am a general contractor and 1 6. [] New construction cmployees (full and/or part-time).* 2. E] I am a sole proprietor or partner- have hired the sub -contractors listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub -contractors have 8. F1 Demolition working for me in any capacity. employees and have workers' 9. E] Building addition [No workers' comp. insurance comp. insuranceJ 5. E] We are a corporation and its I O.El Electrical repairs or additions required.] 3. n I am a homeowner doing all work officers have exercised their I LEI Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.E] Roof repairs insurance required.] t c. 152, § 1 (4), and we have no 13. X Other SOLAR / PV 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. I Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractots 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 (he sub -contractors have employees, they must provide their workers' comp. policy number, I am an employer that isproviding workers' compensation hisurancefor My employees. Below is lite policy andjob sile Information. Insurance Company Name: LIBERTY MUTUAL INSURANCE COMPANY Policy # or Self -ins. Lic. fl: WA7-66D-066265-024 Expiration Date: 09/0112015 ___ Job Site Address:— �/ s- <YjihsL—n—j�.--City/State/Zip:_U()_ah_a)&V�P-r 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 cerl�& tinder th e patios andpenallies ofperjnr . ormadon provided above is true and correct y that the hif Phone #: Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License 0 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#: ACOORO CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNyin, 081&1014 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 CLAJMS, THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT MARSH RISK & INSURANCE SERVICES _NAME,� . . .......... --------- PHONE 345 CALIFORNIA STREET, SUITE 1300 (A/C. N h U0 CALIFORNIA LICENSE NO. 0437153 E-MAIL . ..... SAN FRANCISCO, CA 94104 .. . . . ............. . .......... _ . . . ... .......... t1!!qU.R_EM1R f:f9RP1NqqQy!LRAGE N IC 0 ........... .... _&_ _ __ ......... . ...... . ......... .!�=' 998301-STND-GAWUE-14-15 INSURER A: Liberty Mutual Fire Insurance Company 16586 ............... . . .................. ...... . ... .... ............. ____ ........ .. . . ................ . .. . ............ INSURED ..... ......... INSURER 8: Liberty Insurance Corporation 42404 Ph (650) 963-5100 . ..... __ . .......... .. . . . ......... INSURER C : NIA ....... . . . .. NA SolarCily Corporation . . . . . .............. . . ...... .............. D * . ... .... 3055 Clearview Way San Mateo, CA 94402 _LI�SURER ...... . . . . ... . . ................ . .... ...... ..... . IN,!�UREWE. ..... . . ............ _: . . . . . . . .. . ................. .. ........ — — -------- MED EXP (Any one person) . ......... 1 ............. . - - ---------- --- I INSURER F: CnVFRAr.FS CFRTIFICATE NUMBER- SEA -002440269-02 REVISION NUMBER: 4 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REOUIREMENT, 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 CLAJMS, R .... . . . . . ....... ........... . - ----- ------- - - ----------- -_ ... . . ..... OD Ue INSA] ' POLICY EFF POL CY EXP TYPE OF INSURANCE 2n POLICY NUMBER YY) LIMITS LTR! R Ln (MMIDONWY) MMIDDIYY A GENERAL LIABILITY of Marsh Risk & Insurance Services T82-661-066265-014 09/0112014 EACH OCCURRENCE. 1,000.000 x �09101/2015 -b-A—MAGIf TO —RENTiff- 10,6000, GENERAL LIABILITY .......... . . - -COMMERCIAL CLAIMS -MADE �X] OCCUR MED EXP (Any one person) . ......... 1 ............. . - - ---------- --- 1,000,000 GENERAL AGGREGATE $ Z000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUC S-COMPIOPAGG ...... . ... $ 2,000.000 L.L.... - - ---- . .. ....... - ____ ___1 P X-1 POLICY jERCO- LOG Deductible S 25,000 A �T AUTOMOBILE LIABILITY AS2-66"66265-044 0910112014 0910112015 COMBINED SINGLE LIMIT fftawl�no . . . . . . ................... 1,000,000 . . ......... . X ANY AUTO BODILY INJURY (Per person) ............. $ .................. ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accAdent) . ... ....... s X NON-OVMED ROPERTY DAMAGE $ HIRED AUTOS AUTOS _Jaerqqc1!d"Q, ........... . ...... ... . .. . .. ........ Phys. Damar COMP/COLL DED: $ $1,000/$1,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ I—DEDT EXCESS UAB AGG . ........ . ..... . . . ........... ............. RETENTION$ B WORKERS COMPENSATION WA7-660-066265-024 09101/2014 '1090/2015 X 1 WC 8 TU- I IOTH- I - LT.0.RY1IM1TS_I__..A 8 AND MPLOYERS'LIABILITY E YIN WC7-661-066265-034 (WQ 09/0112014 :0910112015 CR 1,000,000 ANY PROPRIETORIPARTNERIEME OFFICERIMEMBER EXCLUDED? N/A I E1 EACH ACCIDENT ___ . ........... . ... ..... $ ... . ....... B (Mandatory In NH) 'WC DEDUCTIBLE: $350,009 E.L. DISEASE - CA EMP $ 11,000,0w If yes. describe under ....... ------ ......... . ... . .. 1,000,0w DESCRIPTION OF OPERATIONS below E L, DISEASE - POLICY I I DESCRIPTtON OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Evidence of Insurance. CERTIFICATE HOLDER CANCELLATION SolarCity Corporation 3055 Clearview Way SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN San Mateo, CA 94402 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk & Insurance Services Chades Marmolejo 0 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 16 AC"RO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYiy) 08/29=4 F 11%� EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITSSHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ 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)i 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 NAME: MARSH RISK & INSURANCE SERVICES PHONE . . . . ......... . . . ... . ....... FAX 345 CALIFORNIA STREET, SUITE 1300 CALIFORNIA LICENSE NO. (A37153 E-MAIL SAN FRANCISCO, CA 94104 13AWA60b —RENTEG-' INSUR �,JAFIL R QRDI COVFRAG NAIC 4 _!E A P.- - .......... 098301-STND-GAWUE-14-15 INSURER A: Liberty Mutual Fire Insurance Company 16586 INSURED INSURERS: Liberty Insurance Corporation 42404 Ph (650) 963-5100 ------ -, NIA -, NIA Sdarcity, Corporation tNSURERC: CLAIMS -MADE X OCCUR 3055 Clearview wa . y jhL9UFLERD* San Mateo, CA 94402 . ..... . A!j8_URERE_* ... . . ........ ... -1 INSURER F: rnVFRAr1F.q CIFIRTIFICATIF NUMBER- SEA -00244026M2 REVISION NUMBER* 4 THIS.IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NTH RESPECT TO MICH 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. LIMITSSHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SUBR POLICYEFF POUCYEXP A�fl_ TYPEOFINSURANCE INS LICY NUMBER (MMID riYYYi IMMIDWYYYY� UMITS L" R VirVO PO A GENERAL UARIUTY Charles Marmolel o T82 -66`1 -066265 -OA 09K)112014 09101/2015 EACH OCCURRENCE $ 1,000,000 13AWA60b —RENTEG-' I 0 0,000 COMMERCIAL GENERAL LIABILITY PREIv1I4ESJEaL-cuTn@=L_..! ---------------- . . CLAIMS -MADE X OCCUR _!�EDELF�(Anyonopomoj)_... ffRSONAL 9 ADV INJURY -1 $ _.- _ .... . ......... ..' GENERAL AGGREGATE $ 2,000,000 PRODUI - COMPIOP AGG . . ......... $ 2,000,000 ...... . ... .. --- — --- GENT AGGREGATE LIMIT APPLIES PER: 1- x . ] POLICY 1 7X JERCoj n LOG Deductible 25,000 A AUTOMOBILE LIABILff Y AS2.661-066265-.044 0910112014 0910112015 M. GLE LIMIT 1,000,000 X ANY AUTO BODILY INJURY (Per person) BODILY INJURY (Per accident) ALL OWNED SCHEDULED $ AUTOS AUTOS lx)� "FWO—PERTY . ... . .. ... . Y NON -OWNED Ix OAWA��E HIRED AUTOS - AUTOS . ............... X Phys. Damage COMPICOLL DED: $1,0001$11000 UMBRELLA UAB OCCUR EACH OCCURRENCE . . . . ...... . . .. $ EXCESS IJAB CLAIMS -MADE AGGREGATE s DED ETENTION$ s B WORKER$ COMPF11SATION WA7-666-066265-024 0910112014 0910112015 X I WC STATU- I OTH- B AND EMPLOYERS'LIASILITY YIN Wr,7.66"66265-034 (WI) 09=2014 0910112015 ER . ..... ................ . ....... .. . ...... . 1,000,000 B ANY PROPRIETORIPARTNEKXECUTIVE OFFICERIMEMBER EXCLUDE N Mandatory In NH) NIA1 'WC DEDUCTIBLE: $350,000! ACCIDENT E.L. DISEASE - EA EIVIPLQYEr . . .. ........... $ if yes. describe under . ...... 1,0w,000 DESCRIPTION OF OPERATIONS below E I. DISEASE - POLICY LIMI�T $ DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES (AttaotiACORD 101, Additional Remarks Schodule, if mom space Is requlmd� Evilienoe of Insurance. CERTIFICATE 14OLDER rAN('Fl I AT111IN SolarCity Corporation 3055 Clearview Way San Mateo, CA .94402 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THERE . OF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE of Marsh Risk &Insurance Services Charles Marmolel o 0 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD k Office of Consumer Affair§ and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 168572 Type: Supplement Card SOLAR CITY CORPORATION Expiration: 3/8/2017 CRAIG ELLS 3055 CLEARVIEW WAY SAN MATEO, CA 94402 L*4 A - J) (14 M . I t� I , , q, . 411 ( "Plifil, Update Address and return card. Mark reason for change. . - Address Renewal ' Employment Lost Card 0frice of Consumer A irs & Business Regulafion License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration: 168572 Type: 10 Park Plaza - Suite 5170 Expiration: 3/812017 Supplement Card Boston, MA 02116 SOLAR CITY CORPORATION CRAIG ELLS 24 ST MARTIN STREET BLO 2UNI UALBOROUGH, MA 01752 UndersecretaU Boaril of Owwooki �# 0s#_. CS -107663 CRAIG ELLS 206 BAKER STREE'I* Keene NI -11 03431 Not val without signature 0812912017 9 67-j 9 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration SOLAR CITY CORPORATION ASTRID BLANCO 3055 CLEARVIFW WAY SAN MATEO, CA 94402 SCA 1 0 20M-05tl I Y' - vill "10 W14Y41111 rMlllfr�;1�114'('.;rl"" =Pffice of Consumer Affairs & Business Regulation ,I OME IMPROVEMENT CONTRACTOR Registration: 168572 Type: ��. I .."r Expiration, 3/8/2017 Supplement Card SOLAR CITY CORPORATION ASTRID BLANCO 24 ST MARTIN STREET BLD 2UNI TAAALBOROLIGH, MA 01752 Undersecretary Reqistration. 168572 Type. 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