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Building Permit #687-13 - 86 FULLER ROAD 4/19/2013
BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: L- 0 Date Received Date Issued: IMPORTANT: Applicant must complete all items on this LOCATION 86 Fuller Road Print PROPERTY OWNER Gregory Williamson Print MAP NO: �� PARCEL: ZONING DISTRICT: Historic District yesCno Machine Shop Village ves TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building © One family ❑ Addition ❑ Two or more family ❑ Industrial 3 Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District ❑ Water/Sewer Installation of an 8.575 kw (35 panels) rooftop solar array Identification Please Type or Print Clearly) OWNER: Name: Gregory Williamson Phone: 617-212-8323 Address: 86 Fuller Road CONTRACTOR Name: Romain Strecker Address: 10 Churchill Place, Lynn MA 01902 Supervisor's Construction License: 096385 Home Improvement License: 169698 Phone: 781-462-8702 Exp. Date: 10/8/2014 Exp. Date: 7/27/2013 ARCHITECT/ENGINEER James A. Marx, Jr, P.E. Phone: Address: 10 High Mountain Road, Ringwood NJ 07456 Reg. No. 36365 FEE SCHEDULE. BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ 30,838 FEE: $ Check No.: I -t) D'�— ReceiptNo.: NOTE: Persons contracting with unregistered contractors do not have access tot uaranty fund Si nature of Agent/Owner ¢&*,,-§ignature of contractor Location ' ��/�. 12 ` No. b U 1,3 Date '� 3 Check #/ JD 26304 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art F]. . Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private (septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMM CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Siqnature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments t Water & Sewer Connection/Signature & Date Driveway Permit DPW Tow ]Engineer: Signature: LocateG 6M US ood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Mair Street Fire Department signature/date COMMENTS xR. Dimension Number of Stories: Total land area, sq. ft.: Total square feet of floor area, based on Exterior dimensions. ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A -F and G min.$100-$1000 fine N®TLS and UATA — (t -or department use ® Notified for pickup - Date Doc.Building Permit Revised 2010 r Building Department The folawing is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits o Building Permit Application o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o 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 • Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (if Applicable) o 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) o Building Permit Application o Certified Proposed Plot Plan a 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 cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the app: al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm;4ted with the building application Doc: Doc.Bui?ding Permit Revised 2012 April 15, 2013 To: Building Department From: James A. Marx, Jr. P.E. Re: Engineer Statement for Williamson Residence, St. 86 Fuller Rd, North Andover MA for Solar Roof Installation I have verified the adequacy and structural integrity of the existing roof rafters for mounting of solai panels and their installation will satisfy the structural roof framing design -loading requirements of the Massachusetts building code — 780 CMR Residential Code 8th Ed. For the installation of the solar mounting, the mounting rails will be anchored to the rafters with Quick Mount on the center of the rafters and will be securely fastened to the rafters with lag screws. The design is based on the added weight of the collectors, wind speed of 100 mph, exposure B and ground snow load of 50 psf. The Photovoltaic system and the mounting assemblies will comply with the applicable sections of the Residential Code and loading requirements of roof -mounted collectors. Thereby, I endorse the solar panel installation and certify this design to be structurally adequate. Sincerely, James A. Marx, Jr. P.E. Professional Engineer MA Professional Engineer 36365 10 High Mountain Road Ringwood, NJ .07456 cc: Sungevity *deems, Maura From: Alison Andrews [alison@bostonsolar.us] Sent: Wednesday, June 05, 2013 8:39 AM To: Deems, Maura Subject: 86 Fuller Road solar installation Attachments: Williamson, Gregory_270032_Plan_Set_03.pdf Attached is the new drawings for the solar installation at 86 Fuller Road. The changes are as follow: the panels increased from 35 to 37, the amount of arrays changed from 3 on three different roofs to 2 arrays on one roof and one of the invertors changed from Power -One 5000 to Power -One 6000. Please let me know if you need any other information. Alison Andrews- Office Manager THE 10 Churchill Place Lynn MA 01902 errOffice: 617 858 1645 Cell: 781 462 8702 C o M P a to v Fax: 781 780 7813 alison@BostonSolar.us Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more information please refer to: http:/Iwww.sec.state.ma.us/ore/r)reidx.htm. 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CM -CD I � v O Z CD 00 0 70 CD a CD 0. Z m cn O cn n y iii C cav z v z m O m X -v m z O On < o •a O s --I 0 A O C DO S y T 3 Vf O Z n m N = < CL 0 ..a CD 0 mT O 00 S CD Q'n j m O Z prs, S 3 cn V1- rD 'a = n L < m O N rt CD TI rt = -; m in CD O CD N , F N =.CD C CD 2 O a. 03 @ • 5• = C @ 0 a to 0- ,o W =r 0 ' F <D O CD -q� �• 0 u3 : < CCD O y -� CQ to CD .Q � rt O � rt S rt _ Q •1 U, CD < = o Qo _ U, E Q _ y CD O E_ C CL M -0 co < �CD rN 3 W 0 CD 0 OR ca r O p.F O .••t C CD =r C . CD N CD O -Ow n C CD 0 o CL , V) B O o rD CD V7 - rD rD 'Y z O W C f�D T m z T 3 D) A O C DO S y H H T 3 Vf O Z n m A O DQ S m m a > 0 T 7 mT O 00 S C W r 0 j n S 3 3 rD W O = =r T O C 7 O_ d O = C ai m O � V1- rD 'a = n L < m T O O Q \ m O W D O m r S M bs �` April 15, 2013 To: Building Department From: James A. Marx, Jr. P.E. Re: Engineer Statement for Williamson Residence, St. 86 Fuller Rd, North Andover MA for Solar Roof Installation I have verified the adequacy and structural integrity of the existing roof rafters for mounting of solar panels and their installation will satisfy the structural roof framing design -loading requirements of the Massachusetts building code — 780 CMR Residential Code 8th Ed. For the installation of the solar mounting, the mounting rails will be anchored to the rafters with Quick Mount on the center of the rafters and will be securely fastened to the rafters with lag screws. The design is based on the added weight of the collectors, wind speed of 100 mph, exposure B and ground snow load of 50 psf. The Photovoltaic system and the mounting assemblies will comply with the applicable sections of the Residential Code and loading requirements of roof -mounted collectors. Thereby, I endorse the solar panel installation and certify this design to be structurally adequate. Sincerely, James A. Marx, Jr. P.E. Professional Engineer MA Professional Engineer 36365 10 High Mountain Road Ringwood, NJ 07456 cc: Sungevity OF iNASSq yG tr z2 3A'O. JR a U t4o,36365 ®'a� �FGIs ^E�� ,,., 5 SOLAR ELECTRIC SYSTEM WILLIAMSON RESIDENCE NORTH ANDOVER, MA STRUCTURAL DESIGN CALCULATIONS FOR SOLAR ROOF SYSTEM JAMES A. MARX, JR. P.E. q� O� MASS,� ti 10 High Mountain Road JAM�R' N Ringwood, NJ 07456 Own ,Oj ,,.3055 O °'Po �FGls'TE� SSI A�- � n James A. Marx, Jr. Professional Engineer MA Professional Engineer License 36365 0 r.� 7 - )OC f P/17c)= i -o"" �• s 4S= •_syr' U,.�. 2- � U t, TMO x.986 G �'U C7 st�v a.t3 Sd Fs Monday, April 15, 2013, 04:12 PM PAGE NO. 1 **************************************************** * * * STAAD.Pro V8i SELECTseriesl * Version 20.07.06.23 * Proprietary Program of * Bentley Systems, Inc. * Date= APR 15, 2013 * Time= 16:10:19 * * * USER ID: BPSA 1. STAAD PLANE WILLIAMSON ROOF RAFTERS WITH SOLAR PANELS INPUT FILE: RafterFrameWillamson.STD 2. START JOB INFORMATION 3. ENGINEER DATE 15 -APR -13 4. END JOB INFORMATION 5. 6. * ANALYSIS FILE RAFTERFRAMWILLIAMSON.STD 7. * HOUSE ROOF B. * 9. * DESIGN BY J. MARX, P.E. 10. * ASCENT CONSULTING 11. 12. * STAAD LOAD ANALYSIS - ROOF RAFTERS WITH SOLAR PANELS 13. 14. * PROJECT: HOUSE RESIDENCE 15. 16. * DESIGN CODE: 780 CMR 8TH 17. 18. 19. INPUT WIDTH 79 20. * 21. UNIT FEET POUND 22. JOINT COORDINATES 23., 1 0 0 0, 2 3.56 2.31 0; 3 7.7 5 0; 4 12.16 7.9 0; 5 11.67 7.58 0 24. 6 13.7 8.89 0 25. MEMBER INCIDENCES 26. 1 1 2; 2 2 3; 3 3 4; 4 4 5; 5 5 6 27. * 28. DEFINE MATERIAL START 29. ISOTROPIC DFLR_SS_2X8 30. E 2.736E+008 31. POISSON 0.15 32. DENSITY 25 33. ALPHA 5.5E-006 34. END DEFINE MATERIAL 35. 36. UNIT INCHES KIP 37. MEMBER PROPERTY AITC 38. 1 TO 5 TABLE ST DFLR- SS-2X8 39. * 40. CONSTANTS C:\Documents and Settings\marxj\My Documents1A11RafterFrameWillamson.anl Page 1 of 7 7 Monday, April I5, 2013, 04:11 PM WILLIAMSON ROOF RAFTERS WITH SOLAR PANELS -- PAGE NO. 2 41. * 42. MATERIAL DFLR_SS_2X8 ALL 43. * 44. SUPPORTS 45. 1 PINNED 46. 6 FIXED BUT FX MZ 47.************************************************************ 48. 49. UNIT FEET POUND 50. LOAD 1 DEAD 51. MEMBER LOAD 52. 1 TO 5 UNI GY -8 53. JOINT LOAD 54. 3 FY -30 55. 4 FY -30 56. 57.************************************************************ 58. 59. LOAD 2 SNOW LOAD 60. MEMBER LOAD 61. 1 UNI GY -20 62. 5 UNI GY -50 63. JOINT LOAD 64. 3 FY -163 65. 3 FY -319 66. 67.************************************************************ 68. 69. * WIND LOAD IS LESS THAN SNOW 70. * 71. LOAD COMB 3 DL + SNOW 72. 1 1.0 2 1.0 73. PERFORM ANALYSIS P R O B L E M S T A T I S T I C S ----------------------------------- NUMBER OF JOINTS/MEMBER+ELEMENTS/SUPPORTS = 6/ 5/ 2 SOLVER USED IS THE OUT -OF -CORE BASIC SOLVER ORIGINAL/FINAL BAND -WIDTH= 1/ 1/ 6 DOF TOTAL PRIMARY LOAD CASES = 2, TOTAL DEGREES OF FREEDOM = 15 SIZE OF STIFFNESS MATRIX = 1 DOUBLE KILO -WORDS REQRD'/AVAIL. DISI{ SPACE = 12.0/ 187682.3 MB 74. PRINT SUPPORT REACTION C:1Documents and Settingslmarxj\Xy Documents`A11RafterFrameWillamson.anl Page 2 of 7 WILLIAMSON ROOF RAFTERS WITH SOLAR PANELS (Y1 Monday, April 15, 2013, 04:11 PM -- PAGE NO. 3 SUPPORT REACTIONS -UNIT POUN FEET STRUCTURE TYPE = ----------------- PLANE JOINT LOAD FORCE -X FORCE -Y FORCE -Z MOM -X MOM -Y MOM Z 1 1 0.00 83.07 0.00 0.00 0.00 0.00 2 0.00 293.89 0.00 0.00 0.00 0.00 3 0.00 376.96 0.00 0.00 0.00 0.00 6 1 0.00 116.95 0.00 0.00 0.00 0.00 2 0.00 393.78 0.00 0.00 0.00 0.00 3 0.00 510.73 0.00 0.00 0.00 0.00 ************** END OF LATEST ANALYSIS RESULT ************** 75. LOAD LIST 3 76. * 77. PARAMETER 1 78. CODE AITC 79. BEAM 1 ALL 80. CSF 1.2 ALL 81. CDT 1.15 ALL 82. CHECK CODE MEMS 3 C:1Documents and Setti.ngslmarxj\Xy Documents\Al\RafterFrameWillamson.anl Page 3 of 7 Monday, April 15, 2013, 04:11 PM WILLIAMSON ROOF RAFTERS WITH SOLAR PANELS -- PAGE NO. .4 STAAD.PrO CODE CHECKING - (AITC) ALL UNITS ARE - POUN FEET (UNLESS OTHERWISE NOTED) MEMBER TABLE RESULT/ CRITICAL COND/ RATIO/ LOADING/ FX MY MZ LOCATION 3 ST DFLR_SS_2X8 PASS CL.5.9.1 5-21 0.986 3 159.92 T 0.00 -2117.40 0.0000 i---------------------------------------------------------------- I I LEZ = 63.839 LEY = 63.839 LUZ = 63.839 LUY = 63.839 INCHES - - I I I I CD = 1.150 CMB = 1.000 CMT = 1.000 CMC = 1.000 CMP = 1.000 I I CMV = 1.000 CME = 1.000 CFB = 1.000 CFT = 1.000 CFC = 1.000 I CFU = 1.000 CR = 1.000 CTT = 1.000 CC = 1.000 CF = 1.200 f CT = 1.000 CH = 1.000 CB = 1.000 CI = 1.000 CV = 0.000 I CLY = 1.000 CLZ = 0.973 CP = 0.213 c = 0.800 E' = 1900000.122 PSI I I I I ACTUAL STRESSES (POUND INCH) I I fc = 0.000 ft = 14.698 I I f_cby 0.000 f_cbz = 1933.700 I fv = 0.000 I ALLOWABLE STRESSES: (POUND INCH) I FC = 0.000 FT = 1150.000 I FCBY = 0.000 FCBZ = 0.000 I FCEY = 0.000 FCEZ = 0.000 I FBE = 0.000 I FTB = 2001.000 F**TB = 1946.719 I FV = 0.000 SLENDERNESS = 0.000 I I--------------------------------------------------------------------------I 83. PRINT MEMBER FORCES ALL C:IDocaments and Setti.ngslmarxj\My DocumentslAl\RafterFrameWillamson.anl Page 4 of 7 b , Monday, April 15, 2013, 04:11 PM WILLIAMSON ROOF RAFTERS WITH SOLAR PANELS -- PAGE NO. 5 MEMBER END FORCES STRUCTURE TYPE = PLANE ----------------- ALL UNITS ARE -- POUN FEET (LOCAL ) MBMBER LOAD JT AXIAL SHEAR -Y SHEAR -Z TORSION MOM -Y MOM -Z 1 3 1 205.19 316.22 0.00 0.00 0.00 0.00 2 -140.51 -216.54 0.00 0.00 0.00 1130.48 2 3 2 140.64 216.46 0.00 0.00 0.00 -1130.48 3 -119.12 -183.34 0.00 0.00 0.00 2117.40 3 3 3 -159.92 -245.94 0.00 0.00 0.00 -2117.40 4 183.12 281.62 0.00 0.00 0.00 714.10 4 3 4 200.08 -306.37 0.00 0.00 0.00 714.10 5 -202.64 310.29 0.00 0.00 0.00 -894.55 5 3 5 -200.95 -311.39 0.00 0.00 0.00 -894.55 6 276.93 429.13 0.00 0.00 0.00 0.00 ************** END OF LATEST ANALYSIS RESULT ************** B4. 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O�ow oQW O=F-C7F- 'o~za I' Uow ¢¢gym �o rcz0 2¢zo fOZN SU=�V5 ¢wLL W�� m=oo O Arno W O¢ U LLO� W 00 U) p0 w0 Uwa-w z U) >- U Jor- Z m 0 LIM U Z;� z W Z U� Z W d Z g� Q m p h Z� Wo _�� g I W gz O JZ gW 0 ZOm V)WLL Zw Y2Q U n N. 1 Ln U �Qw mw U OLU a a¢ �a o0 aW g� O jZW �g F-¢ � LLmLU 2 m F -W —i — wF- w�=w Z V�0 €fig wLL W Oa w� W �9 Um z U 0 0 2 Uo 3� z� UN w n 5o a=F � ~ a UH a cA e aQ aFz¢L o WSW¢ 0008 O gOL) OZ W a Q J O F- ¢ m U &-XI 16arrrnzontoeatli ofCl�ivac useltt Office of Consumer Affairs & Business Regulation WeME RO IMPVEMENT CONTRACTOR gistration: 169698 Type: piration: 7/2772013 Corporation THE BOSTON SOLAR COMPANY INC. ROMAIN STRECKER 10 CHURCHILL PLACE LYNN, MA 01902 Undersecretary Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supers icor License: CS -096385 "\*,-% I it /JjL ROMAIN D STRE ' Z. 10 CHURCHILL FLA s LYNN MA 0190E eti Expiration Corrxnissioner 10/08/2014 y License or registration valid for individui use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, MA 02116 ---C— Not valid without signature The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): The Boston Solar Company Address: 10 Churchill Place City/State/Zip: Lynn MA 01902 Phone #: 617 858 1645 Are you an employer? Check the appropriate box: 1. Z I am a employer with 2 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. t ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ 1 am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12. ❑ Roof repairs 13.® Other solar installation *Any applicant that checks box # 1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Liberty Mutual Insurance Policy # or Self -ins. Lic. #: WC2-31 S-384393-013 Expiration Date: 1/14/14 Job Site Address: 86 Fuller Road City/State/Zip: North Andover, MA 01845 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under 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 $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. 4/17/2013 Phone #: 617 858 1645 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: 03/27/2013 04:46 17815955820 AMBROEE INSURANCE PAGE 03/03 DATEMIMODAYW$ ACR' CERTIFICATE OF LIABILITY INSURANCE 13127/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS HO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIMCA7E DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE or rNSURANCE DOES NOT CONSTITI-F E A CONTRACT BETWEEN THE tSSUFMG INSLIRER(8� AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANIT; IF the cudfleata holAer is an ADDITIONAL INSURED, the pa[WRes) must bo elmft ad. If SUBROGATION IS WAIVED, aub)eet to the berms Rind eondltrons of the pol ley, Cattalo poll6as rney require En endDrtemenk A statement un this eertI t ne does not eordw riplits to the eeYUHeate holder In lieu D♦ such endorsomantrsl. AmbrQoe Insurance Agency, Inc. 56 Central Ave. Lynn, M 01901 f✓IdSIJ=Inb LCrMMM I t.M4Rhnc I We . I rUS Is IU L:tH I Iry I HA I 1 NE PULICIES DF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD IND GkTr NO—WITHS—ANDING ANY PCOUIRWENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT To uwi-i THIS CERT,=rCATE MAY BE ISSUED OR NAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJ_CT TO ALL THE TERUS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BFFN RFnI I(`_Rn IVY RAII'1 rI ■nuc PARRILM TwPE OF INSJItANCE INSURERA; C010n IN3JRE6 Boston Solar C'o . , Ino. 10 Churchill 21. Lynn, MA6 01902 INSVRER 0; Safety III -SURER C;Nat anal inion Fira Of P;,ttsburgh INMURER D: Liberty Mutual 14SURER E : 14SURER F : I rUS Is IU L:tH I Iry I HA I 1 NE PULICIES DF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD IND GkTr NO—WITHS—ANDING ANY PCOUIRWENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT To uwi-i THIS CERT,=rCATE MAY BE ISSUED OR NAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJ_CT TO ALL THE TERUS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BFFN RFnI I(`_Rn IVY RAII'1 rI ■nuc PARRILM TwPE OF INSJItANCE =L POLICY NJMBER mWILD A%'A%'Ew. LIMITS IGENER/tL LIABLriY EACH UCCURREr,,CE S 1,000,000 X COMAIERCWL GENERA. LIABILITY REMIseS EB OIXYrrgrlCB 100400 ME3 WfAry me PersT) L -5,()00 OL�IAIS NAGE OtCLR A r CL4046208 .2/14/132/14/14 PERMIIALBADVINJUR" S 1,000,000 GENERAL AGOREGATE ! 2,000,000 CCN'L AGGR[GaTE LIMIT APPLIES P_fk: PRODUCTS • COMPlpP Ae 3 2,000,000 POLIGY X LOC I 3 ALITOM061LE LL\BILfTY IEe ao Iden 1 Ooo coo A?IYAUSO I BOOILY IN.MZY (Per pa n) : AA $ ALL ObVPIED AUTOSULEr7 I 1#ON-05VyNED Y 6�i� � �2 1123/1.3;1/2.3114. o0wi-y INJURY (P. =ide.-1- S JS HIRED X mart dgn S S I UMPOLLA LIAR I`i OCCUR EACH OCGLRRENCE t Sr 000 000' C X EKCBS LrAB CLAIMS•MADE EBD -057910167 2/13/132/13/14 A =50{0 000 . PD RETEM15K S. s %'10RQcW COMPENSATIONvv IANDEIPPLOYEfRS'LlAeury SZP.TI} CTJf I x D rrN Aur Prtapk� o7ai+Jl;nrET+E3mGU'Ne oaeLWEp4 ❑y "r' G.L. FhC�iACCIDENT 3 11 OOd 1,000 E.L.DIRWE- EAEMPLOYECS 1 aoa oaa (NNNO ryInI)WFICEMOMER (Ilnndrreo.y In u41 WC2,31S-384393-013 1/14/131/14/14 rr^ dmeaunyar E.L. DISEASE -POLICY LIMIT ; I. Q 00 t 000 OES :RIPT'ON 07 OPCgA-rICN8 bePaw A Installation Floater Fr -L4045208 2/14/1 2/14/1 $25,000 Solar Panel IrAgL tal lation Town of North Andover Attn.: Building Dapt. Tamn Hall North Andover, MA 0184S UCO R D 25 (Zai 0105) SHOUL7 ANY OF THE ABOVE DESCRIBED SOLICIES BE CANGELLED 9EFORE THE ExPIPA'rON OATS THEREOF, NOTICE WALL BE DELIVERES IN ACCORDANCE WITH THE POLICY PROVISIONS. ALrrHOR1;T0 Oil The ACORD carne end 1090 are mgla%rad marks of 0 P� U4-1 �-� ACAIRD CdRPdRAT.GN, All rights reserved. Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private (septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMENTS CONSERVATION COMMENTS HEALTH COMMENTS LE DATE REJECTED DATE APPROVED ❑ ❑ 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 Located at 384 Osgood Street 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 MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine NOTES and DATA — (For department use) pickup - Doc.Building Permit Revised 2012 ki I Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ 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 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 Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 V. DocuSign Envelope ID: D102AF3E-FC21-4BC2-8115-AECEB22D844D 4u SUf1GEVITY' LEASE AGREEMENT FOR PHOTOVOLTAIC SOLAR ENERGY EQUIPMENT Sungevity Development, LLC Name and Address of Property Owner: Address for Installation 66 Franklin Street, Suite 310 Gregory Williamson (if different from Address of Property Oakland, CA 94607 86 Fuller Rd North Andover Owner): MA 01845 Lease Signed by Property Owner Email Address and/or Facsimile Number on: 3/12/2013 for Notices (optional) gwilliamson78@gmail.com 1. Introduction. This is the Lease Agreement for Photovoltaic Solar Energy Equipment (the "Agreement") between Sungevity Development, LLC ("Sungevity") and the property owner(s) listed above (collectively "you") for the lease of the photovoltaic solar energy equipment that is more fully described below (the "System'). Sungevity or its successor in interest under this Agreement (pursuant to Section 10) is referred to herein as the "Lessor," "us" or "we". By signing this Agreement, you agree to lease from us (and we agree to lease to you) the System on the terms and conditions contained in this Agreement. Our obligations under this Agreement include the installation of the System at the address listed above (the "Pro a ") and your obligations include making the payments described in Section 5. Please ask your Sungevity solar consultant if you have any questions regarding these or any other terms of this Agreement. Also, please note that this Agreement contains disclosures required by the Federal Consumer Leasing Act and, as applicable, other federal and state law. 2. Lease Term. We will lease the System to you for the Lease Term. The "Initial Lease Term" is the period beginning on the Interconnection Date and ending on the date that is 20 consecutive years (240 consecutive calendar months) from the date on which you are required to make your first Monthly Payment as required by Section 5(b) below. For example, if your first Monthly Payment is due on January.15, then the Initial Lease Term would end 20 consecutive years from January 15. You may extend the Lease Term in accordance with Section 12 of this Agreement. The period of each extension is referred to as a "Renewal Lease Term". The "Lease Term" is the period beginning on the Interconnection date (defined below) and ending at the expiration of the later of (a) the Initial Lease Term or (b) any Renewal Lease Term(s) to which you have agreed, and cannot exceed 25 years. 3. Description of the Photovoltaic Solar Energy Equipment. The System is made up of the following components which are estimated to produce 9782 kilowatt-hours/year ("kWh/year") in the first year, and an average of 8906 kWh/year over the term of your lease. Based on this annual production.and the amount listed in Section 5.d, the estimated price per kWh during the Initial Lease Term is $0.18 (please note that you are leasing the System rather than buying energy). (Components (Quantity Motech Americas IM6063 245-A10B45 135 1PowerOne PVI-3.0-0UTDS-US (240 V) 11 Power -One PV1,5000-01-1TD-US (240 V) 11 4. Performance Guarantee and Limited Warranty and Solar Operation and Maintenance Guide. We have provided to you the "Performance Guarantee and Limited Warranty Agreement" (the "Limited Warranty-") and "Solar Operation and Maintenance Guide" (the "Guide"). Please be sure to read these carefully as these documents are referenced in this Agreement and include some of your obligations with respect to the System. Lease Agreements PhdowdtaicSder Energy Equipment v30 Pape 1 d 15 —4 DocuSign Envelope ID: D102AF3E-FC21-4BC2-8115-AECEB22D844D SUf1GEVITY' Lease Payments; Amounts. (a) Amount Due at (b) Monthly Payments (taxes not included): (c) Other (d) Total Lease Signing: Nthe Interconnection Date (defined as the date that the System is Charges: of fully operational and inter connected to the electrical grid) is not art of the Payments: between the 1St and the 15th day of the month, your first Monthly Mon Payment of $130.09 is due on the 1St day of the calendar month hl y (The amount you ( a oun $0.00 following the Interconnection Date and subsequent Monthly Payments) will have paid by Payments are due on the 1St day of each calendar month the end of the Initial thereafter; or, if the Interconnection Date is between the 16th day None. Lease Term of this and the last day of the month, then your first Monthly Payment of Agreement) $130.09 is due on the 15th day of the calendar month following $31,221.60 the Interconnection Date and subsequent Monthly Payments are (total of Monthly due on the 15th day of each calendar month thereafter. Payments, and any This first Monthly Payment covers the first full calendar month of other amounts the Lease Term; it is followed by: specified in this 11 Monthly Payments of $130.09 each, followed by Section 5; does 12 Monthly Payments of $130.09 each, followed by not include any 12 Monthly Payments of $130.09 each, followed by additional 12 Monthly Payments of $130.09 each, followed by installation cost 12 Monthly Payments of $130.09 each, followed by or taxes) 12 Monthly Payments of $130.09 each, followed by 12 Monthly Payments of $130.09 each, followed by 12 Monthly Payments of $130.09 each, followed by 12 Monthly Payments of $130.09 each, followed by 12 Monthly Payments of $130.09 each, followed by 12 Monthly Payments of $130.09 each, followed by 12 Monthly Payments of $130.09 each, followed by 12 Monthly Payments of $130.09 each, followed by 12 Monthly Payments of $130.09 each, followed by 12 Monthly Payments of $130.09 each, followed by 12 Monthly Payments of $130.09 each, followed by 12 Monthly Payments of $130.09 each, followed by 12 Monthly Payments of $130.09 each, followed by 12 Monthly Payments of $130.09 each, followed by 12 Monthly Payments of $130.09 each. The total amount of Monthly Payments for the Initial Lease Term will be $31,221.60, The Monthly Payment schedule above incorporates an annual increase at a rate of 0% applied to each full year of the Initial Lease Term (he "Annual Increase Rate"). (e) Purchase Option At End of Lease Term: K you are not in default under this Agreement, you will have an option to purchase the System at the end of the Lease Term for its fair market value. (f) Other Important Terms: See Section 2 above for additional information on the Lease Term and also see below for additional information on termination, purchase options, renewal options, maintenance responsibilities, warranties, late and default charges, required insurance and prohibition on assignment without our consent. Lease Agreement for PhdadtaicSdar Energy Equipment vao Pape 2d 15 DocuSign Envelope ID: D102AF3E-FC21-4BC2-8115-AECEB22D844D SUf1GEVITY' 6. Obligations. a. Payments. You agree to make the payments described in this Agreement. b. Notification. You agree to let us know in writing (i) within 24 hours of discovering that the System is not working properly and (ii) immediately upon discovery (a) of an emergency condition relating to the System, (b) that the System appears to have been damaged, or (c) that any portion of the System has been stolen. Proper and System Maintenance. You agree: I. to maintain the Property so that the System will receive the same amount of sunlight as it did when it was installed (which includes things like trimming trees and other plants and not making any modifications to the Property that might shade the System), H. to clean the System as described in the Limited Warranty and the Guide, iii. not to do anything (or allow any condition or circumstance to occur or exist) which might cause the System not to properly function, and iv. not to remove the markings and identification tags on the System. Use of System. You agree that the System will be used primarily for personal, family or household purposes (except that it will not be used to heat a swimming pool). No Alterations. You agree that you will not, without our prior written consent, make any improvement or modification to the System or take any other action that might void the Limited Warranty. You agree that improvements or modifications made to the System will become part of the System and our property. Access for Installation: Repair: Inspection. You agree to give us and our affiliates, including Sungevity, Inc. (whose applicable contractor's license number is listed on Exhibit 2), and our respective agents, employees and contractors reasonable access to the Property and the System and cooperate with us so that we can: A. install, construct, inspect, operate, own, repair, access, remove and replace the System B. make any additions to the System or install complementary technologies on or about the location of the System, C. enforce our rights under this Agreement and with respect to the System, D. install, use and maintain electric lines and inverters and meters, necessary to interconnect the System to your electric system at the Property and/or to the utility's electric distribution system or E. take other action reasonably necessary in connection with the construction, installation, operation, maintenance, removal or repair of the System insofar as those activities are contractually assigned to the parties identified above. This right of access and your agreement to cooperate will end at the earlier of (A) ninety (90) days from the date this Agreement terminates or expires and (B) the date on which we complete the removal of the System (if applicable). To the extent we reasonably can, we will attempt to notify you prior to accessing the System. You will take any actions needed to preserve our right to access the Property and the System granted above and you will not permit interference (directly or indirectly) with those rights. If requested by us, you agree to sign an easement that sets forth in writing Sungevity's right to access the Property for the purposes described above, and will reasonably cooperate with our obtaining such an easement, including providing relevant information we may request. We may file this easement in the public records. L ease Agreement for Ph dwd tai c Sd ar Energy Eau i om on t v3. o Pape 3 of 15 DocuSign Envelope ID: D102AF3E-FC21-4BC2-8115-AECEB22D844D �►SUf1GEVITY' Exhibit 2 Location -Specific Terms & Conditions Massachusetts A. Contractor License Number and Notices. Even though you are leasing the System, Massachusetts' law may consider this Agreement to be a home improvement contract. Therefore, we are including the provisions and notices contained in this section, which you acknowledge by your signature below. 1. All home improvement contractors and subcontractors shall be registered by the Director of the Massachusetts Home Improvement Contractor Registration program, and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director Home Improvement Contractor Registration One Ashburton Place, Room 1303 Boston, MA 02108 (617) 727-8598 2. The Massachusetts contractor license number for Sungevity, Inc. is 168430, and its Federal Taxpayer ID Number is 01-0904328. 3. The Federal Taxpayer ID Number for Sungevity Development, LLC is 80-0570323. 4. Installation of the System will be performed by a licensed contractor or subcontractor that we select who will be identified to you in writing by name, address and registration number prior to the commencement of installation. S. The name and address of any salesperson who solicited this Agreement is/are: Mark Boggs of 66 Franklin Street, Suite 310 Oakland, California 94607 6. It is the obligation of Sungevity and/or its contractor or subcontractor to obtain all necessary permits for installation of the system. Homeowners who secure their own permits are ineligible for the guaranty program available to consumers suffering losses from home installation contracts under state law. 7. We estimate that construction and installation of the System will begin on or about October 12, 2013 and be . substantially complete on or about October 22, 2013 8. You may cancel this Agreement if it has been signed by a party thereto at a place other than the address of the seller [Sungevity], which may be his main office or branch thereof, provided you notify the seller in writing at his main office or branch by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement. See the attached notice of cancellation form for an explanation of this right [Exhibit 11. 9. The time period during which the Property Owner may cancel the base shall not commence until a copy of the Agreement has been delivered to the Property Owner. Delivery of a copy of the Agreement may be via electronic means (e.g. emailed or downloaded). 10. THE LANGUAGE IN SECTION 20 OF THE SUNGEVITY LEASE REQUIRING ALL DISPUTES TO BE RESOLVED THROUGH A BINDING ARBITRATION WITH JAMS IS NOT BINDING IN MASSACHUSETTS THE CONTRACTOR [SUNGEVITY] AND THE HOMEOWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT THE Lease Agreemenikr PhdavdtalcSdar Energy Equipment 0.0 Page 13d 15 DocuSign Envelope ID: D102AF3E-FC21-4BC2-8115-AECEB22D844D CONTRACTOR HAS A DISPUTE CONCERNING THIS CONTRACT, THE CONTRACTOR MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE DIRECTOR OF THE EXECUTIVE OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATIONS AND THE CONSUMER SHALL BE REQUIRED TO SUBMIT TO SUCH ARBITRATION AS PROVIDED IN M. G. L c. 142A. SUNGEVITY DEVELOPMENT, LLC SUNGEVITY DEV"o MENT, LLC By: Title: Authorize77-7 Date: Customer's Name: Gregory A Williamson D4F6AC1Z0068948A... cuSigned by: Signature: tiealr a It�i22i.�uti+�.sn, Date: 3/12/2013 NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution Initiated by the contractor. The homeowner may initiate altemative dispute resolution even where this section is not signed separately by the parties. B. Tax Credits; Rebates Sungevity will claim certain incentives and tax benefits available with respect to the System, including (a) depreciation deductions, investment tax credits and any cash grant in lieu of investment tax credits and (b) any renewable energy credits, utility rebates (including performance based incentives) and any other environmental attributes associated with the electricity output from the System (all the above collectively the "Tax Benefits'). You agree to cooperate with us so we may apply for or claim any such incentives and benefits, including our subsequently assigning title to such renewable energy credits to the applicable utility if required. Cooperation may include your filing or consent to filing applications with the federal, state or local government or a local utility and assigning these benefits to us. You agree not to claim any tax benefit, grant or other incentive that the owner of a solar system might be able to claim. You also agree not to hinder our ability to claim any of these tax benefits, grants or other incentives. C. Environmental Incentives Recapture Period The first twenty(20) years after the Installation Date. Lease Agreem ant ra PhdwdtaicSdar Eneryv Equipment v30 Paye 14of 15 DocuSign Envelope ID: D102AF3E-FC21-4BC2-8115-AECE822D844D 000, ci Ila SUf1GEVITY' 6016 Entire Agreement; Amendment; Waiver .This Agreement contains the entire agreement and understanding between the parties to this Agreement relating to the lease of the System and supersedes any prior or contemporaneous agreement, either written or verbal. Any changes or amendments to, or waivers of, any provisions of this Agreement will only be effective if they are in writing and signed by both you and us. Our failure at any time to require strict performance by you or any of the provisions of this Agreement will not waive or diminish our right thereafter to demand strict compliance by you of that provision or of any other provision of this Agreement. If any provision of this Agreement is determined to be unenforceable, the remaining provisions shall be enforced in accordance with their terms or shall be interpreted so as to make them enforceable. In the following notice, you, the lessee, are referred to as the "buyer" and we, the Lessor, are referred to as the "seller": Notice of Right to Cancel . YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANYTIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEETHEATTACHED NOTICE OF_CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. This notice (a) must be given in writing to Sungevity at our address listed at the beginning of this Agreement and (b) unless otherwise specified by State law, must be actually received by us within the time specified in the preceding sentence. IF THE SYSTEM IS INSTALLED IN A STATE THAT REQUIRES A STATUTORY FORM OF NOTICE OF CANCELLATION, IT IS ATTACHED AS EXHIBIT Additional Rights to Cancel. In addition to any rights you have to cancel this Agreement listed in the Notice of Right to Cancel (above) or in Section 18(b), you may also cancel this Agreement under the following circumstances upon payment of the following amounts: After home visit, prior to design: $500 After design, prior to permit: $2,500 After permit, prior to installation: $2,500 plus permitting costs If we determine that we cannot install per the conditions stipulated in Section 7, or you are within the three day right of rescission as noted in the Notice of Right to Cancel above, there will be no cancellation charge. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES (OTHER THAN SIGNATURE BLOCKS) I have read this Agreement and the Exhibits in their entirety and I acknowledge that I have received a complete copy of this Agreement. SUNGEVITYPgELWMENT, LLC By: Title: AuthorizedT Date: A? I I Properly Owner's �Va,. %: Gregory Williamson , , Y' Signature: ��^�'�"� 4F6AC140066948A... Date: 3/12/2013 Lease Aoreemenlfor PhdwdtaieSdar Energy Equipment v3,0 Page 15d 15