Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 49 CROSSBOW LANE 4/30/2018 (4)
/ 49 CROSSBOW LANE 2-10,/10--6.B-0210-0000.0 I I I l s I Commonwealth of Massachusetts Official Use O Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 a �� (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Oq l a 3�L( v a City or Town oh NORTH ANDOVER To the Inspector of Wires: 1 By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) q 9 C Vacsb0to �Q j Qwner or Tenant R i e..ha rd a h d e7a n Ryi nq ha ra Telephone No. Owner's Address 99 C rps bo to p7 l Y UIQ J Is this permit in conjunction with a building permit? Yes ❑ No L_! (Check Appropriate Box) Purpose of Building 'Q(,�7�Q,C`f1 Q Utility Authorization No. ,I�7 `07�0 Existing Service oR 00 Amps / Volts Overhead ❑ Undgrd 125 No of Meters New Service CaD'p Amps / Volts Overhead❑ Undgrd CA No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrics Work: p ro�sbow N° p- r APP lotion o*the ollo::u.^table nPa>be:vait ed b tl:e IPPS ^toi o Ff ares. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA r No.of Luminaire Outlets No.of Hot Tubs Generators KVA ,., DI Above In- o.o Emergency Lighting i�0.of Liiiuiniair2S �s`+� i+g t-0� rnd. rnd. BattB Units A No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices rr No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.o Ater KW o.o al o Data Wiring: �. Heaters Signs Ballasts No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications uiv : -�– No.of Devices or E uiva�ent 4 OTHER: Q' • 1 Attach additional detail if desired,or as required by the Inspector of Wires. — Estimated Value of Electrical Work: a (When required by municipal policy.) Work to Start: Ins ections to be requestedin S p accordance with MEC Rule 10,and upon completion. INSURANCE C VE GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cover!Se is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [ OND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the info on this application is tru and complete. FIRM NAME: 17 r SS O LIC.NO.: Licensee: NIC ra Signatu a LIC.NO.: c9 0)616- r+ ° (If applicable,,,enter"exempt"in the license number line.) Bus.Tel.No.. 55 W60 � Address: `1 n+ FC M a h 2 Alt.Tel.No.: *Per M.G.L c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)El owner11 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ I r 'nY� �Q Q ol �-/-Jj 61, 141- d Tfie commo�2wea&oft�assm,��.a eta *.� QfficeOffAveyfigaflows . Hoston,.tom 02111 wppw.masY.go-P1dAz QrcS ex, 'Compex aflonWmaneeMUM: p pReant Noma#.On Name ^SE LA� Asi-Q hY�, (Busn&ssrgnivduWI � SP , . d : ' s09 s2(CKS TONE. SQ��c • 5ut-� `�01 Ca.�'/�"���t , A►�J�7Jy� r�� Oc�10 Pk�.o�.e�: l '8�-7�(�- t-?�7 � . , . axe an aza Tayex?CheekthoappropAntehov TYEaofproject(reg,mred): /0 4. [(z am a general c ontractor and l S. ❑Naw cOnstmo-U011 f 1. S ana a employerwitTa�._ have nodtbe mb-contractors employees(�andlox�ax��.e�T fisted on.the at'rac�.ed sheete� `�. ��ema�leluzg � 2. 1 am a salepropxzetox Orpaztn.er- sip and`havena•eznployees These sub contractoxs�:ava 8. DaznoIition fo zna in any capacity. workers"comp.insurance. �, �(�-p�di%g adc�ion. workba x Y g . S. �1V'e axe aco oration audits , comp." ance ' 0. Flecfxzcalre airs ox ac;[-Bons PTO wOr�exS C �� M . � � � , o�:zcershave exarczsedthezx xe " ed. a ixs or adc�itzons xz �t o.�exam tionporme 11. (1'lumbin x pa 3.E] Z am.a homeowster doing allwork g p e-F o workers comp. c.152,§Z(4},a . welzaveno 1 ,Q aofxela 's mys �' .em to eeso workers" LtW i irLst�ranc�rec�ziied.�i p Y � 13�OtTiex � oomp.insuxancexequired. e rapp2mutthatcheoksboxOfmustalso Itonitbeseetionbelowshowingtheirwbrkers'eom�ensatioApolicy%nfozmafion. S i o Ewl ners aha sabm%ttbis a idaYitindticatingihey 'te doing ailworl andfhenhire oufside conixacfors muss submit anevl of dagi indica ig such, xContraotors that O&ORM bF=statfached oz addEonal shoftsTiomingtbename o£the suh-cauftactors andtftokworkere comp.poJicyinfumagon. imem rd &fAtais .rovidingwo-FAUS'comVensationftu megforraymgfoye-es" ve-lowtfie,Valacyffr2tlj6hBIM �fo�mti�io�. LnsoxarzceCorn anyS�Iarae; Lomat - �o1{cy �q CC<oSsIaQw 1.AN�' C%tyfState/Zxp: C� 5 . lob BiteAdclxesq: ttaeh a copy o #ate�Yoxkez s'cam ensatioxtTo cy declaxatzoxt Mage(showbrg t)k€policy mmmbex and o�*atzon date. `allure to secnx covaxage as required undereetzon 251 oG ,0.152 can lead io tb a impositioxz o£cxitninalenaltzes ox"a Faze up to$1,500.00 an&f One:-year xm.Prison entY as well as ci�lpenaltzes intbe�oxxa o�a STOP�rVOR�OR�7�and afina z . "olatoz: Be advxs ed that a co o£t�statementmay be foxwaxdedto Via Ofco-ox• of �0 250AQ a.dayao�ne$f�.ev1. pS'' $ hvestig atzon s of t7ie DSS.fox u3suxame coverage vexiffcation. tlo Iie�eby cep ` uricfe die Zaira axtti�er�aXties o�per t'giatge ireformationprovided above is Awe and eo.�xee�. Date: IWO O czaZ�cs�ap tly, Do nd wz'iie in 616 area,to be-Owfefe�by clip o�town o�eia� City or Town'. �exznit/�,iceztse� Doing A iatherity(circle ort��: x.�aaxc�o J�fea7tlt 2.Sullclzxt She aztmend 3.CitylTowA Clerk 4. leetrzcal nspeetox 5.�°XrzoabSug�ns�ecfo F.Other Information and Insiructions - Massachsefts General saws chapter 152 xequires alI employers toprovide woxlzexs'compensafioxt fox them empZo ees. , Puxsnaxittothisstafafe,ane�� Tnyeeisdefrrredas",.,evexypexsoxti theserviceofauotherundexany confractvoco expreSS ox•imOA oral oxwxiffe.&I er lo�ye dei7ned as"an dividual,paxinexsbip,association,coxpoxatioxt ox other al,Got! ox anytwo ox:M . ofthe�oxegoing engaged inanoint enterprise,and includingthe legalxepxesenfatives of a•deceasede�n�lod8e receiver onttusfee o�aa�indzvzdual, aztnexsbip assocxafzoit or Other legal entity,employing empXoyees. owevex,.oxxftSihe owner of a riwe7Iing�xousehavingnatmaxetlzantbzce apartments anctvrhoxeszdes�texei�z, the occupabt ofthe dwe11189house of another who employs persons to do maintenance,consfntction oxrepair wo*ort sucli dwelling houge ox oxtthe grounds orbdding appuxionmtt oreto shallnotbecause of such employmentbe deemedtobe an employe." IV,fGL chapter 152,§25C(6)also states that"every state or to�aL]zc-cazsing agency S7�aI�wx'-bhoX�the�srxazzce ox renewal of a Reense or permit to Operate ate a huskess or to construct huildhags fu the commonwealth foxaxay appIfeaut who leas xtot pxoduced•acceptahZe evidence of coxnpliaxtce with,the xns-Urance coverage xe�uzxed;-1 .A.dditionally,McxL,chapfex 152,§25C(7)Sfafe"q,Waitherthe eommonwealfb nor any ofits poollve ax Subdivisions sha11 entexintoanycontxactfor theperfoxmanceofpublicWorkuntil acceptableevidenceofcompRancewMtheins rano xecluiremenfs of this chapter Nva bGen pxesexfedto.theeopfxactingauthority. >' Applzcarty�s 'leash fi11 out the workers'componsa&n.affidavit completely,by checliling flie boxes that a 1 to our SifaaVon,and,if iiecessaxy,supply mb-oonfracfox(s)namo(s),addresses)an:dphono numbex(s)along with their cerUcafe(s)of insurance; Li &dnability Companies(LLC)oxLimifedLiabffltypartrterships(fU)• fithn;o emPXoyees othextban the members Oxpaztnexs,are notxegakedto emyworkem,compensadon.fiST anGLan CorLL doeshave exst�pZoyees,aPolicy b xeq*ed. Be advisedthatlhis of davitmay be,sabmittedto theDepatbment of TnrSustrzaZ .A e,cidenfs fox confirmation of insurance coverage. Also be sure to sign,and date the aMdavi. IRB affidavit should bexetumed-tothe ciiyoxtownthattheapplicationfox theperm?forlicsnsex,beiugngaokted,xi.otfbeDe at ne�tof .bxdusfrial A.coldents. Shouldyou have any�estions regarding the jaw orz�you axe xecfuixec to abfain a yTozkexs' compensafoatoJscy,1,zeasecall tbeDepartment attligmzmbexlistedbelow. SelfinsuxericompanxesshouTdenfexffieir selt~insuxance license number ort the appropriate City or or Tom officials 'ZeasebesuxethatfbeazdavztiscompXeteandpxinfedlegibly. T$eDapaztmenfl�aspxovzdedaspaceattlzebofconx ofthe alf1davitf'oxyoutoM outin.the,eventthe Office oflnvestigavonshas to contactyotxxegaragthe appRoant. l'leasebesuxefoz"thin1,bepemiit/11censextumbexwhir hwillbeused asareference,number, In addition,art appSzcant thatr�ust submitmultiplo permit/Rcense applicagons in any given.year,need only submit one,afg4vitindicating current PORGY infoxrnaizon(u necessary)and under f ob,Site Address"the applicant shouldwxite"all Iocatioxzs itt (city ox town)"Acopyo the affidavitfhathasbeenofficiallysfakVedoxmarkedbythocityoxtownxraybeprovidedfothe applxeantasTtbofthatavalidaffldavPHSonfle'f`oxIta epermifsorHCOxtses. A- ewaffidavitmisthaMCLabuteach year.Where a home owner or citizen is obtaining a license ox permit not related to any business or commercial venture (Lo.adog Reense oxpernlittobum leaves etc)saxdpexson isNpTxecpaireilto cornpletetbYs affidavit. . The Office of Investigations would like to thank you k advance fox your coopexatioxt and should you have any gtrest'tons, Please doxtothu4tafeto give us a call. . The I7epaxtment'S address,telephone aitd fa�numbex� . ,icpaxie't,t dIRCTuWal AcoMonta TO, 0 9A 4016 Q.-1-8 _ Revised 5-26-05 I A I C ter ivwv nmivlrommr- ELECTRICIANS BOARD NAME: DANIEL J MCGRATH ELECT IZICAL.TUNLIM1.I'ED j0URj'4EVPr:IZSG . �2906 M D.;�NIELJ MCGRATH 114 I30YL.STON ST 1 MALDEN.AfA 9214q-7931 i EXPIRES: 0913012014 LIC. G PE T I E EXPIRE ELC.0199933-E ,10/01/2013 09/30/2014 IM!! x. c COMMONWEALTH OF MASSACHUSETTS STATE OF MAINE BOARD OF t* a DEPT OF PROFESSIONAL&FINANCIAL REGULATION ELECTRICIANS ELECTRICIANS'EXAMINING BOARD ISSUES THE FOLLOWING LICENSE AS A w r ' LICENSE#MS60020703 REGISTERED MASTER ELECTRICIAN 5 DANIEL MCGRATH UNITED SOLAR ASSOCIATES LLC MASTER ELECTRICIAN DANIEL J MCGRATH Z 114 BOYLSTON ST ISSUED Aug 26„2013 EXPIRES Aug 31,2015 MALDEN MA 02148-1931 20616 A o 1 16 . 91292 - $ COMMONWEALTH OF MASSACHUSETTS BOARD OF a S `�• ” ELECTRICIANS ISSUES THE FOLLOWING LICENSE m Th,;card agcnox;edges mat the recipient has sti,xessh,;,y compsoted a AS A REG JOURNEYMAN ELECTRICIAN 317.nour Ocr ip fjonal Safety and Health Tratn.ng Course in z Construction Safety and Health DANIEL J MCGRATH W w Daniel McGrath 114 BOYLSTON ST W a Keith M.Prendergast 312812011 MAIDEN MA 02148-7931 1Courstrend date) 1146 B 01/31/16 97293. ITranernar�-pr�t�np�l Soal`(I of Buil iilla Iit:"rtrl:rtir{rt..irril i � t.tr:<i.tr l�t ConstrrctizrSupcr•:rrtr c: r '714 ! YI((k( /rll I lli('trl • Ono-3rd'T I`�rT ly Cr, Ill Y1. Office of Consumer Affairs&Business Regulation `—'"'HOME IMPROVEMENT CONTRACTOR L:~•°nse: CS 104876 ,r•-. '`��, - tf egistration: 168524 Type: Expiration: 3!7/2015 Individual DANIEL MCGRATH t' ��_., 114 BOYLSTON ST DANIEL MCGRATH MALDEN, MA 02148 DANIEL MCGRATH 114 BOYLS T ON ST ExpiraUcn. 9115M14 MALDEN,MA 02148 to48ia Undersecretary T� z�Date........... TOWN OF NORTH ANDOVER PERMIT FOR WIRING CH This certifies that ... ........ ...!.. ......................... ..... . .....!��.... . ............................. has permission to perform .... .......-7..!., ).......L..LJ.............................. wiring in the building of....... 'at ..........0.......... o S6-0.14................ North Andover,Mas Fee...'. . Lic.No. ECTRICAL INSPECTOR Check# Commonwealth of Ma achusetts Official Use Only Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: -4-12 2 11 1— _ City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Numbelr� i) 4ff ro55 ho W OCQ YL2 Owner or Tenant Q j'c IA.YC� and 53fr) SA1 11G Ct 1Yl Telephone N . q�5 Z��o�. Owner's Address 'II C YO SS b Lo a tV , Is this permit in conjunction with a building permit? Yes 2 No ❑ (Check Appropriate Box) Purpose of Building 60 ICU 141611(t l-1.011 Utility Authorization No. Existing Service Amps 1210Volts Overhead ff Undgrd❑ No.of Meters I New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: '4q Crossb o W OLC(u N c( V Ths tla�l�t�n o� a2y (Sold ahels. •+, Zoo `r0W JA/O ft%, Completion of the followingtable ma be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Sus (Paddle)Fans o Total P ( Tr Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- ❑ o.o Units Emergency Lighting rnd. rnd. Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones of HCl No.of Switches No.of Gas Burners No. InDetection and Initiatin Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers S ace/Area Heating KW Local❑ Municipal E] Other p g Connection No.of Dryers Heating Appliances KW Security Systems: y No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring. y g No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 14 04-20 (When required by municipal policy.) Work to Start: 3 0'�j O �L Inspe tcons to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless j the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such covera e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE []BOND ❑ OTHER.❑ (S :) I certify,under the pains and penalties of perjury,that the inf oration this applicad is tru -and complete. FIRM NAME: U ( ASSoC.t� -) 9 -4 C_ LIC.NO.: LicenI see: De n Mc. U 1 1'0 On Signature GL LIC.NO.: 0610 " 'n the license number line) Bus.Tel.No.: �s 6 (If applicable,enter `• empt e ) Address: (f UVS+o n Sk. Gi fid¢h� d 2�� g Alt.Tel.No.: *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's a ent. Owner/Agent PERMIT FEE: $ Z� Signature Telephone No. VO L-�l co I � pu�2G'��'r� oat,_, N 1 c Vr ncvv nmmrornnc ELECTRICIANS BOARD STATE OF CONNECTICUT NAME: DAN �J MCG i � { ELECTRICALUNL'I1VI2TEDJOURNEYPERSON `ftQ �`' My'4 DANIEL J MCGRATH 114 BOTISTON ST + �' �r?r .•.: MALbEi�;MA'3214$-793: 4}* EXPIRES: 09 Lic.7 REG N , IV EXPIRES I ELC.0199933= taU„10/01/201340 's 09/30/2014 j LSIGNED — I a COMMONWEALTH OF MASSACHUSETTS ' STATE OF MAINE r BOARD OF DEPT OF PROFESSIONAL&FINANCIAL REGULATION E LE CTR I C I ANS ' ELECTRICIANS'EXAMINING BOARD ' ISSUES THE FOLLOWING LICENSE ASA i { LICENSE#MS60020703 REG.1STERE0 MASTER E:LECTRI C I-AN`. j DANIEL MCGRATH UNITED SOLAR ASSOCIATES LLC MASTER ELECTRICIAN DANIEL J MCGRATH aZ 114 BOYLSTON ST 3 ISSUED Aug 26,2013 EXPIRES Aug 31,2015 MALDEN MA 02148-7931 I 20616 :A 07/31./16. 91292*.: K . a COMMONWEALTH OF MASSACHUSETTS BOARD OF 11-WO52 27 ELECTR I C I ANS ; ISSUES .THE FOLLOWING LICENSE f q „yoomgeteda This cmd adto�dD AS``A REG JOURNEYMAN, ELECTR I Cl AN "`' 0 n*pemmin DANIEL J MCGRATH 12 I W r aydel McGrath 114 BOY I:STIDN ST \'-- Y 30 � �$f2o11 ;� Keith 1M'. ' 'MALDEN MA 02148-1931 . _______.--end dNe3 1146Z,'El '07/3-1"/-16,'1-. 97293. crru• -a ►i ICaxae `� '4}:1.• •thu,�1t�- !'<yr:irtmttt..i I'u:.+rc�,t•.•r - - Bs�ttr'd of Building” Kr�2ul:1601t.and St;tnd.trdc Construction Supervisor License • One-and Two-Family Dweih6gs �LN- Office of Consumer Affairs&Business Regulation License: CS 104876 — IMPROVEMENTCONTRACTOR jrME gistration: 168524 TYpepirationDANIEL MCGRATH : 3812015 Individual«� . I 114 BOYLSTON ST J DANIEL MCGRATH MALDEN, MA 02148 b. I DANIEL MCGRATH 114 BOYLSTON ST Expiration: 9!151x14 MALDEN,MA 02148 Undersecretary C•gym r_.i.mor' Tm 104876 / Print For 4ZINThe Commonwealth of Massachusetts Department of Industrial Accidents X Office of Investigations ' 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Anulicant'Information Please Print Legibly Name (Business/Organization/Individual): United Solar Associates,LLC Address:P.Q. Box 498 City/State/Zip:Malden, MA 02148 Phone #:855-786-1776 Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with 5 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. E] New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ 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 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other 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. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Travelers Policy#or Self-ins.Lic.#:7PJUB-5B50763-8-14 Expiration Date:07/23/2015 Job Site Address'49 Crossbowlane City/State/Zip:N Andover, MA 01845 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under 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 oft or insurance coverage verification. I do hereby ce u der t e pain d e es ofperjuty that the information provided above is true and correct. Si nature: J Date: _07_/22/2014 Phone#:855-786-1776 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 4 1 21 Drydock Avenue, 2"d floor V ii next step Hving n. Boston, MA 02210-2384 home energy solutions 866-867-8729 j NextStepLiving.com i i i July 19,2014 . 1 Town of North Andover Building Department 1600 Osgood Street North Andover,MA 01845 i RE:Erin Bringham Residence Solar Panel Installation 49 Crossbow lane North Andover,MA 01845 1 Structural Assessment of Roof Framing NSL Project No: SP46917 Dear Sirs, Next Step Living, Inc.has performed a limited structural evaluation of the roof framing at the above referenced site to determine if the roof has adequate capacity to support proposed solar PV panels.This analysis has been based on field measurements,framing information and configurations observed at the proposed site. The existing residence is located at 49 Crossbow Lane,North Andover,MA 01845. Structural Data and Code Information Our analysis was performed in accordance with the requirements of the MA Residential Building Code 780 CMR—Eighth Edition.The main roof of this residence is framed with conventional roof rafters with some collar ties in a gable configuration.The existing roof structure is in good condition and currently has one layer of asphalt shingles as roof covering. The pertinent data is listed below: i Main Roof . f Rafters:1%"x 7 Y"(#2 Spruce Pine Fir,Hem Fir,D.Fir larch Assumed) Rafter Spacing:16"on center Roof Slope: 30 Degrees Horizontal Projected Length of Rafter: 14 feet Ceiling Joists:Present Collar Ties: Present every third rafter Roof Sheathing: Plywood sheathing Roof Covering: Asphalt shingles Condition of Framing: Good Ground Snow Load,Pg.:50 PSF from Table R301.2(5) Importance Factor,is 1.0 Exposure Factor,Ce: 1.0(Partially Exposed) s i I I Erin Bringham Residence Solar Panel Installation 49 Crossbow Lane North Andover, MA 01845 Page 2 i Thermal Factor Ct: 1.0 Existing condition(Warm Roof) 1.1 With panels(Cold Roof) Design Snow loads: 35 PSF(Existing—Unobstructed Warm Roof 25.68 PSF(New Condition—Slippery Surface on Cold Roof} Basic Wind Speed: 100 MPH from Table R301.2(4) Importance Factor: 1.0 ' Exposure: C Analysis Results General The!proposed solar panels impose a total weight of approximately 3 pounds per square foot(PSF)on the roof surface.The International Residential Building Code allows up to two(2)roof coverings on a residential dwelling.Each roofing layer of asphalt shingles imposes a dead load of 2.5 to 3.0(PSF)on the roof. Because the existing roof has only one layer of shingles,the code allows a second layer to be added without analysis.The weight of the second layer of shingles is approximately the same as the solar panels which will be installed instead of the second layer of shingles. Solar panels are considered a slippery surface and are mounted a small distance above the existing roof. Therefore,one would be cautious in considering a thermal factor,Ct,of 1.1,treating the panel surface as a,cold roof,rather than a warm roof.After considering the roof slope factor,Cs,from figure 7-2,ASCE 7-10,the snow load is reduced by 27%for the main roof compared with the snow loading on the existing shingled roof,which is not considered a slippery surface.The reduction in snow load due to this consideration is about 9.32 PSF for the main roof,which offsets the weight of the solar panels. Gravity Loading: AltFiough the addition of solar panels results in a net reduction in the overall loading,the existing rafters are overstressed.As such,we recommend that a 2 x 6 collar tie be added at every set of rafters which do notcurrently have one.The additional collar ties should be at least six(6)feet long, and match the 1 elevation of existing collar ties as close as possible.The collar ties should be cut flush to the roof sheathing,and shall be fastened to each existing rafter with a minimum of 5--16d nails OR S Ledger Lock screws as manufactured by Fasten Master. The panels will be installed using Unirac Solar Mount rails with L-brackets in a landscape configuration with a rail toward the top and bottom of each panel edge.The L-brackets will be fastened directly to the roof rafters with 5/16"diameter lag screws.The fastener layout shall start near each corner and for landscape orientation shall have a maximum spacing of 36"on center parallel to the roof slope and 48" on center perpendicular to the slope(e.g.,every third rafter),except the maximum spacing shall be 32" `. on center perpendicular to the slope(e.g.,every other rafter)in the areas of the array which lay in Zones j 2&3. '. - i 1 • i I Erin Bringham Residence Solar Panel Installation 49 Crossbow Lane North Andover,MA 01845 Page 3 Each 5/16"diameter lag screw shall have a minimum of 2.5"thread penetration into the existing rafter. It is also important that the L-bracket attachment locations be staggered whenever possible between adjacent rails so that no single rafter supports more load than under the existing conditions i Wind Loadina: Provided the leveling feet attachments to the roof are made in a typical staggered pattern,the overall wind loading imposed on the structure will not be impacted to any great extent.The net wind loads Imposed on the roof framing will be less than the current loading with an attachment spacing described above. i Conclusions: Our evaluation of the proposed solar-electric installation has established that the framing is NOT adequate to support the addition of the solar panels to the existing roof as indicated on the Solar PV plans'without strengthening the structure as previously discussed herein.Once the roof framing is reinforced,it will be adequate to support the solar panels.We have only reviewed the adequacy of the connection to the existing rafters and the capacity of the existing rafters to support the vertical and lateral loads from the solar electric system.We do not take responsibility for any other portion of the solar panel array support system,the existing roof framing construction,or the integrity of the structure as a whole. Do not hesitate to contact my office at 866-867-8729 should you have any questions or if you require any additional information. fi 1 Respectfully, Next Step Living,Inc. "A,1 �t14 Pi TE a ► J r H Dean A. po e ,P.E. MA Prof. Eng. License#50405 i i 4� 011i- r. ti CL) Ri 0 rr Av ELECTRICAL DESIGN PV MODULE RATINGS Q STC INVERTER RATINGS 690.53 PHOTOVOLTAIC POWER SOURCE SERVICE PANEL RATINGS ARRAY DETAILS_ _ - - - _ - - - SIGN ON INVERTER - - - -MEP BRAND: - - MPPT1 MODULE MANUFACTURER: LG _ INVERTER MODE :Sunny Boy BUS AMP RATING(A):200 MODULES PER STRING:12 -MODULE MODEL#:LG300N1C-G3 7000TWS-12-240V OPERATING CURRENT(A):18.92 SERVICE VOLTAGE(V):240 NUMBER OF STRINGS: 1 OPEN-CIRCUIT VOLTAGE(Voc): 39.5 MAX DC VOLT RATING(V):600 OPERATING VOLTAGE(V): 384.0 MAIN AMP RATING(A):200 MPPT2 OPERATING VOLTAGE(Vmp): 32.0 AC NOMINAL POWER(W):7000 MAX SYSTEM VOLTAGE(V):558.9 BREAKER RATING(A):40 MODULES PER STRING:12 OPERATING CURRENT(Imp): 9.46 NOMINAL AC VOLTAGE(V):240 MAX CIRCUIT CURRENT(A):20.2 NUMBER OF STRINGS: 1 SHORT-CIRCUITCURRENT(Isc):10.05 MAX AC CURRENT(A):29.2 MAXIMUM POWER(W):300 MAX OCPD RATING(A):40 ELECTRIC SHOCK HAZARD RED IS POSITIVE Voc TEMP COEFF(mV or%/°C)=-0.31°/d'C THE DC CONDUCTORS OF THIS BLACK IS NEGATIVE lsc=0.030/o/°C I PHOTOVOLTAIC SYSTEM ARE UNGROUNDED AND MAY BE ENERGIZED ***THIS SYSTEM REQUIRES 24 TIGO ENERGY MAXIMIZERS-(MM-ES50).MANAGEMENT uTamO UNIT(MMU). GATEWAY AND VERIS E51 METER ENERGY METER *** #10 THWN-2 Wlre #B THWN-2 a _ #6 THNN-2 Ground Through to 200A j— I 1"EMT INDOORS Breaker { INVERTER OUTSIDE C MEP 1 I FSTFUN OF MODULES IN Sunny Boy 7000TL-US-22- DIScA 240V LGATE120 60A 240VRIES: 12 REVENUE GRADE (NOT FUSED)METER OF MODULES IN Z3OC+ f— SolaDeck-Pass N RIES:12 1�° nc ' GNL�AC LGabudocINTERFAC '�ocG L------------- — -tH--- — ------- INTEGRATE11111 D __ —DC I Through DISCONNECT — I #6 THWN-2 GROUNDING #6 THWN-2 Ground I ELECTRODE #10 PV Rated Cable Through to ) I #6 Bare Copper Breaker I W0408ML11 1"PVC OUTDOOR I 25-S 5 VAR FSt 125A L2 L1 t SUBPANEL POWER BOX FOR I DC CONTACTOR ———I ON ROOF Licensed Electrician Assumes All - ,; Drawing: JI-NSL-07/'11/2014 � ��s � Next Ste Livin Inc. Responsibility For Determining p g Customer Name: ERIN BRINGHAM Onsite Conditions and Executing UL ' a Di Line ne agrm In Accordance with ! Address: 49 CROSSBOW LANE Installation INORTH ANDOVER, MA 01845 NEC n Codes Ac Solar Installation Phone: (978)975-2132 ARRAY DESIGN / SITE DIAGRAM HEIGHT OF HOUSE PANEL ORIENTATION (TRUE) ROOF PITCH (DEGREES) 268" 2210 30' - - - - - CROSSBOW LANE - - - - 0 z mom N AC DISCONNECT W U) T- fUjU) C14 2wi LGATE 120 .. O LU UTILITY METER E O> a)aC co U D .-. Z rn Z OD O 451" � � 0 � ***PVC PIPE TO BE MOVED*** 1C) Q Z a 16" 16" E C -.--- CU CU PLACE INVERTER O a) O 0 INSIDE BASEMENT TO Z THE LEFT OF THE MEP WITH CUSTOMERS SOLARMOUNT Landscape1 . APPROVAL E-39.05"—> Total's _ Total#of Panels: 24 r , '*"ARRAY LAYOUT IS NOT TO Total#of Splice Bars: 10 SCALE'** Total#of Bonding Jumpers: 10 Y �' Total#of L-Feet: 76 EcoFasten Solar Flashings will be Total#End Clamps: 36 p used on every roof penetration Total#of Mid-Clamps: 36 Customer Signature: Date: . c I i OWNER'S AUTHORIZATION FORM for Permit Application(s) The sole purpose of this authorization form is to provide Next Step Living with the necessary permission from the Owner to file Permit Application(s)for such project work as agreed upon between the Owner and the Owner's Authorized Company and its designated subcontractors. Owner's Name: Richard Brinaham Solar Project Address: 49 C,0SSbow,,,n. Nort, AndoyFF! MA ni m-5 Signature: Owner's Authorized Company: Next Step Living Inc. Company's Address: 21 Dry Dock Avenue South Boston,MA 02210 Affiliation: Contractor Applicable License: HIC#162111 State: MA ,I i I I' i Le Life's Good I Mono [N IN �i LG Electronics,Inc.(Korea Exchange:06657.KS)is one of the globally leading companies and technology innovator for electronics,information Boom and communication products.The LG Electronics currently employs more than 91,000 people worldwide in 117 companies. In fiscal year 2011, 48.97 billion USD of revenue was achieved. LG is one of the world's largest manufacturers of mobile phones,flat screen TVs,air conditioners, washing machines and refrigerators.As a future- oriented company,LG enables others to use technology consisting of renewable energies. LG's high quality solar products are being manufactured in LG's leading production facility in South Korea. ce us C E KM 564573 BS EN 61215 Photwohaic Modules ` i^t c LG's High Efficient Cell Technology P7��1 Convenient Installation to!"! Driven by LG's own N-type technology, LG's high- '"J LG modules are carefully designed to benefit efficiency modules will provide customers with `y,� installers by allowing quick and easy installations c017-hnnlow high economic benefits. throughout the carrying,grounding,and connecting stages of modules. LLw� N16.skg Light and Robust 100%£L Test Completed N0 With a weight of just 16.8 kg, LG modules are -`{ All LG modules pass Electroluminescence proven to demonstrate outstanding durability inspection.Th s EL Inspection detects cracks and Lirynt Yieighd _ against external pressure up to 5400 P& other imperfections unseen by the naked eye. Reliable Warranties Positive Power Tolerance LG stands by its products with the strength of a LG provides rigorous quality testing to solar global corporation and sterling warranty policies. modules to assure customers of the stated power Lin...r Wain hry ' LG offers a 10 year product limited warranty and a outputs of all modules,with a positive nominal 25 year limited linear output warranty. tolerance starting at 0%. I I LUM0001VIC G_> Q Mechanical Properties 0 Electrical Properties(STC*) Cells 6 x 10 300 W Cell vendor LG MPP voltage(Vmpp) 32.0 Cell type Monocrystalline MPP current(Impp) 9.42 Cell dimensions 156 x 156 mm2/6 x 6 int Open circuitvoltage(Voc) 39.5 #of busbar 3 Dimenlsions(L x W x H) 1640 x 1000 x 35 mm Short circuit current(Isc) 10.0 64.57 x 39.37 x 1.38 in Module efficiency(%) 18.3 Static'snow load 5400 Pa/113 psf Operating temperature(°C) .-40-90. Static wind load 2400 Pa/50 psf Maximum system voltage(V) 600(UL),1000(IEC) Weight 16.8 t 0.5 kg/36.96 t 1.1 Ib Maximum series fuse rating(A) 15 Connector type MC4 connector IP 67 Power tolerance(%) 0-+3 Junction box IP 67 with 3 bypass diodes ' "STC(Standard Test Condition):Irradiance 1000 W/m2,module temperature 25°C,AM 1.5 Length'of cables 2 x 1000 mm/2 x 39.37 in The nameplate power output is measured and determined by LG Electronics at its sole and absolute discretion. Frame I Anodized aluminum Certifications and Warranty Q Electrical Properties(NOCT*) Certifications IEC 61215,IEC 61730-1/-2,UL 1703, 300 W ISO 9001,IEC 61701(ln progress), Maximum power(Pmpp) 220 DLG-Fokus Test"Ammonia Resistance'; MPP voltage(Vmpp) 29.3 ro (In progress)) MPP current(Impp) 751 Product warranty 10 years Open circuit voltage(Voc) 36.5 OutputentTolerance 3 3%j nty of Pmax (measurement ToLinear warranty* Short circuit current(Isc) 8.08 1)1st yeari 97%,2)After 2nd year 0.7%annual degradation,3)80.2%for 25 years Efficiency reduction <4 5 (from 1000 W/m2 to 200 W/m1) QTemperature Coefficients NOCT(Nominal Operating Cell Temperature):Irradiance 800 W/m2,ambient temperature 20 wind speed 1 m/s NOCT 45±2°C 1010Ao 10/0.40 Pmpp ! -0.42%/K Voc -0.31%/K 0 Dimensions (mm/in) Isc i 0.03%/K Q Characteristic Curves Q 70 1000w 5.5'4.01%M.w) IODO{3937 20/1.10 22/0.87 w.in ba..14..) (66..f"'-ud.l Long side frame Short side frame 9 960137.00 4.0.76 Wewj 6 Soo W o-heb.(4aa) (11411- ,, m r11n9 6ob9 10/0.71 U c 7 40/1.09 iz 6 600 W ,tunnies,b. 2-04.3 5 Drovna;n9 nae.n2ea1 0 f,) q 400 W e•ma.o(2.i.w) 3 Mwntiny h*I*.Is..) 2 200 , 5.5/422 1 1°00139,37 1 N table l.n9M d O 5 10 15 20 25 30 35 40 Voltage(V) v` g R1.5/QO6 140 E¢ 00.4X a120 ,., c y 4.0/0.16 Isc 100 ° d Voc D.I.a9 e0 Pmax 944/3717 j 00/0.31{0.31 60 40 00.11 2 20 N h o iu 0 30!1.30 -40 -25 0 25 50 75 90 Temperature(°C) "The distance between the center of the mounting/grounding holes North America Solar Business Team Products Good is a r are sated t to change LG Corp.notice. a LG Electronics U.S.A.Inc "LG life's Good"is a regisirated trademark of LG Cy� 1000 Sylvan Ave,Englewood Cliffs, All other trademarks are the property of their respective owners. •� Co 07632 Copyright©2013 LG Electronics.All rights reserved. Life's Good Contact:Ig.solar@-Ige.com { I www.lgsolarusa.com 03/01/2013 SUNNY BOY 6000-IL-US / 700aTi L-US / 800001 --US / • 900OTL-US 10O0aT L-US 1100aTE.-US 6 t I • - I - � w NOW AVAILABLE FAR 240 V Innovative Economical Reliable Convenient • First transformerless SMA inverter • Maximum efficiency of 98.7% •OpticoolTM active temperature • Integrated DC disconnect to be certified in accordance with •Class-leading CEC efficiency of 98.5% management •SMA Power Balancer for three- UL 1741 • Superior MPP tracking with phase grid connection • First inverter with arc-fault circuit inter- 0ptiTraCT1 rupter listed according to UL 1699B •Transformerless,with H5 topology i TL- 7000TL-US 8000TL-US SUNNY BOY 6000 US / / / 9000TL-US / 10000TL-US / 11000TL-US Transformerless design, maximum energy production The Sunny Boy TL-US series is UL listed for North America and features SMA's innovative H5 topology,resulting in superior efficiencies of more than 98 percent and unmatched solar power production. The transformerless design reduces weight, increases the speed of payback and provides optimum value for any residential or decentralized commercial PV system.The Sunny Boy TL-US series for North America is the ideal choice in transformerless technology. Technical data Sunny Boy 6000TL-US Sunny Boy 6000TL-US Sunny Boy 7000TL•US Sunny Boy 7000TL US 208 V 240 V 208 V 240 V Input(DC) Max.recommended PV power(@ module STC) 7500 W 7500 W 8750 W 8750 W .lax.DC power(@ cos W-1) 6300 W 6200 W 7300 W 7300 W Maxi,input voltage 600 V 600 V 600 V 600 V MPP voltage range/rated input voltage 300V-480V/345V 345V-480V/379V 300V-480V/345V 345V-480V/379V Min.iinput voltage/initial input voltage 300 V/360 V 345 V/360 V 300 V/360 V 345 V/360 V Max,input current 20.9 A 18.1 A 24.4 A 21.1 A Max,input current per string 20.9 A 18.1 A 24.4 A 21,1 A Number of independent MPP inputs 1 1 1 1 Strings per MPP input @ Combiner Box 6 6 6 6 Output(AC) Rated power/max.apparent AC power 6000 W/6000 VA 6000 W/6000 VA 7000 W/7000 VA 7000 W/7000 VA Nominal AC voltage/nominal AC voltage range 208 V/183 V-229 V 240 V/211 V-264V 208 V/183 V-229 V 240 V/211 V-264 V AC power frequency/range 60 Hz/59.3 Hz...60.5 Hz 60 Hz/59.3 Hz...60.5 Hz Max.output current 28.8 A 25 A 33.7 A 29.2 A Power factor at rated power 1 1 1 1 Feed-in phases/connection phases 1/2 1/2 1/2 1/2 Efficiency CEC efficiency/max.efficiency 98%/98.6% 98.5%/98.7% 98%/98.6% 98.5%/98.7% t Protective devices DC reverse polarity protection 0 • • • AC short-circuit current capability 0 0 0 Galvanic isolation - - - - AII-pole•sensifive residuokurrent monitoring unit • • • 0 Arc-fault circuit interrupter(according to UL 1699B) • • • 0 Protection class I I I I Overvoltage category, IV IV IV IV General data Dimensions(W/H/D) 470/615/240 mm(18.4/24.1/9.5 inch) 470/615/240 mm(18.4/24.1/9.5 inch) Dimensions of DC Disconnect(W/H/D) 187/297/190 mm(7.28/11.7/7.5 inch) 187/297/190 mm(7.28/11.7/7.5 inch) Weight 35 kg/78 Ib 35 kg/78 Ib 35 kg/78 Ib 35 kg/78 Ib Weight of DC Disconnect 3.5 kg/8 Ib 3.5 kg/8 Ib 3.5 kg/8 Ib 3.5 kg/8 Ib Operating temperature range -40°C...+60°C/-40°F-+140 IF -40°C...+60°C/-40°F-+140 IF Noiselemission(typical) 46 dB(A) 46 dB(A) 46 dB(A) 46 dB(A) ) Self-consumption(night) 0.15W 0.15 W 0.15W 0.15W Topology Transformerless H5 Transformedess H5 Transformedess H5 Transformerless H5 Cooling concept OptiCool OptiCool OptiCool OptiCool Degree of protection NEMA 3R NEMA 3R NEMA 3R NEMA 3R Degree of protection of connection area NEMA 3R NEMA 3R NEMA 3R NEMA 3R Max.permissible value for relative humidity 100% 100% 100% 100% (non-condensing) Features DC connection Screw terminal Screw terminal Screw terminal Screw terminal AC connection Screw terminal Screw terminal Screw terminal Screw terminal Display Text line Text line Text line Text line Interface:RS485/Bluetooth 0/0 0/0 0/0 0/0 Warranty:10/15/20 years 0/0/0 0/0/0 9/0/0 0/0/0 Certificates and approvals(more available on request) U11741,UL1998,IEEE1547,FCC Part 15(Class A&B),CAN/CSA C22.2 107.1-1,UL 16998 I Type designation SB 6000TLUS-12 SB 7000TWS-12 I Sunny Boy 8000TL-US Sunny Boy 8000TL-US Sunny Boy 9000TL-US Sunny Boy 9000TL-US ' 208 V 240 V 208 V 240 V I 10000 W 10000 W 11250W 11250W 8400 W 8300 W 9400 W 9300 W 600 V 600 V 600 V 600 V 300 V-A80 V/345 V 345V-480V/379V 300 V-A80 V/345 V 345V-480V/379V 300 V/360 V 345 V/360 V 300 V/360 V 345 V/360 V 27.9 A 24.1 A 31.4 A 27.1 A i 27.9 A 24.1 A 31.4 A 27.1 A 1 1 1 1 6 6 6 6 8000 W/8000 VA 9000 W/9000 VA 208V/183V-229V 240V/211V-264V 208V/183V-229V 240V/211V-264V 60 Hz/59.3 Hz...60.5 Hz 60 Hz/59.3 Hz...60.5 Hz 60 Hz/59.3 Hz...60.5 Hz 60 Hz/59.3 Hz...60.5 Hz 38.5A 33.4A 43.3A 37.5A 1 1 1/2 1/2 98%/98.6%0 98%/98.6% 98%/98.6% 98%/98.7% IV IV ? 470/615/240mm(18.4/24.1/9.5inch) 470/615/240mm(18.4/24.1/9.5inch) 187/297/190 mm(7.28/11.7/7.5 inch) 187/297/190 mm(7.28/11.7/7,5 inch) 35 kg/7816 35 kg/7816 3.5 kg/8 Ib 3.5 kg/8 Ib -40°C...+60°C/-40°F...+140°F 40°C...+60°C/40°F...+140°F 46 dB(A) 46 dB(A) 0.15W 0.15 W Transformerless H5 Transformerless H5 OptiCooO tiCool l P NEMA 3R NEMA 3R NEMA 3R NEMA 311 100% 100% x Screw terminal Screw terminal Screw terminal Screw terminal Text line Text line 0/0 0/0 0/0/0 0/0/0 UL1741,UL1998,IEEE1547,FCC Part 15(Class A&B),CAN/CSA C22.2 107.1-1,UL 16998 r r SB 8000TLUS-12 SB 9000TLUS•12 i Technical data Sunny Boy 10000TL-US Sunny Boy 10000TL-US Sunny Boy 11000TL-US s 208 V 240 V 240 V I Input(DC) Max.recommended PV power module STC) 12500 W 12500 W 13750 W Max.DC power(@ cos(p-1) 10500W 10350 W 11500 W Max.input voltage 600 V 600 V 600 V MPPlvoltage range/rated input voltage 300 V-480 V/345 V 345 V-480 V/379 V 345 V-480 V/379 V Min.input voltage/initial input voltage 300 V/360 V 345 V/360 V 345 V/360 V Max.input current 35A 30.2 A 33.3 A Max.input current per string 35A 30.2 A 33.3 A Number of independent MPP inputs 1 1 1 Strings per MPP input @ Combiner Box 6 6 6 S Output(Ac) g Rated power/max.apparent AC power 10000 W/10000 VA 11000 W/11000 VA 3 Nominal AC voltage/nominal AC voltage range 208 V/183 V-229 V 240 V/211 V-264 V 240 V/211 V-264 V AC power frequency/range 60 Hz/59.3 Hz...60.5 Hz 60 Hz/59.3 Hz...60.5 Hz 60 Hz/59.3 Hz...60.5 Hz Max.output current 48.1 A 41.7 A 45.8 A Power factor at rated power 1 1 Feed-in phases/connection phases 1/2 1/2 Efficiency -y CEC'efficiency/max.efficiency 97.5%/98.6% 98%/98.7% 98%/98.7% Protective devices 8 DC reverse polarity protection • • AC short-circuit current capability • • Galvanic isolation - - F AII-poleaensitive residual-current monitoring unit • • Arc-fault circuit interrupter(according to UL 16998) • • 3 Protection class I I Overvoltage category IV IV - General data Dimensions(W/H/D) 470/615/240 mm(18.4/24.1/9.5 inch) - Dimensions of DC Disconnect(W/H/D) 187/297/190 mm(7.28/11.7/7.5 inch) - Weight 35 kg/78 Ib Weight of DC Disconnect 3.5 kg/8 Ib _ Operating temperature range -40 1C...+60°C/-40°F...+140°F 3 Noise emission(typical) 46 dB(A) 46 dB(A) o Self-consumption(night) 0.15 W 0.15W Topology Tronsformerless H5 Transformerless H5 Cooling concept Opticool Opticool Degree of protection NEMA 3R NEMA 3R Degree of protection of connection area NEMA 3R NEMA 3R r ; Max.permissible value for relative humidify 100% 100% � E (noncondensing) ° Features DC connection Screw terminal Screw terminal o AC connection Screw terminal Screw terminal Display Text line Text line Interface:RS485/Bluetooth 0/0 0/0 a Warranty:10/15/20 years •/O/O •/O/O Certificates and approvals(more available on request) U11741,UL1998,IEEEI547,FCC Part 15(Class A&B),CAN/CSA C22.2 107.1.1,UL 16998 Q NOTE:US inverters ship with gray lids c Type designation SB 10000TLUS 12 SB 1 1000TLUS-12 F iu Efficiency curve SUNNY BOY 11000TL-US Accessories 91 a 98 f • Sunny Boy Combiner Box j, Bluetooth Piggy-Back o 96- - -- -' - - - - - SBCBTL6-10 BTPBINV-NR 12 r with External Antenna g 94 _ __ _ _ BTPBEUANT-NR 92 _.. 9zs tF 485USMNR85 J�� u -_ g 96.5- 88 6.5 ; � l Vol SMA Power Bolonwr Set EE 90 --- - - ° t PBL-SBUS10•NR _m ae 9 / u, " 88 Eta IV„ 345 Vl a EtaIV«-379 Vl �' 345 4e0 - 86 - _. _._:,... Eta lVry`480 V1-i. ; V,...IV] 5 9 c 0.0 0.2 0.4 0.6 0.8 1.0 'O Output power/Rated power •Standard feature O Optional feature -Not available 10 Data at nominal conditions z z 6i Toll Free+1 888 4 SMA USA www.SMA-America.com SMA America, LLC QuikFoot— Product Guide Installation Instructions r �>�� �'�� � .l.-•� .`�' -~:T ���.-�. �'-- ,� ; .�• � tom'- �`���Y. �' d'moi y y 1-..+.-^2_j/ -01 / a,'�, G• .9,y=+� �A?. �`--•,[p-- `•-'� �; gam/, ',�f✓ sem! y,.- #2 .0 p 1 2 3 1. Locate the rafters and snap horizontal and vertical lines to mark the installation position for each QuikFoot. 2. Install base as shown using appropriate fasteners.* r 3. Insert the flashing so the top part is under the next row of shingles and pushed far enough up slope to prevent water infiltration through vertical joint in shingles. 'N ,. ►7 4. Install bare EPDM washer on stud,pushing it down until it is flush with the top of I the flashing. ' .}_, a 5. Apply compression bracket to stud.Install bonded washer with rubber side down, ti and tighten stainless nut to 50 inch-pounds. Consult an engineer or go to www.ecofastensolar.com for engineering data. *EcoFasten recommends XHD fasteners by OMG. 4 5 { r 877-859-3947 Committed to the Support of Renewable Energy 0 EcoFasten Solar®All content protected under copyright.All rights reserved.02/282013 2.1 P QuikFoot— Product Guide Installation Instruction's * Use for vertical adjustment when leading edge of flashing hits nails in upper shingle courses k _ _ . Slide flashing up under shingles until leading edge engages 2. Remove flashing and cut"V" notch at marks where nail shafts engaged nails.Measure remaining distance to adjust upslope. leading edge of flashing the distance desired in Step 1. Notch depth not to exceed 2" length by 1/2"width. Nails beneath shingle Placement of"V"notch r 4-1 F. `1 9 �,y`y MM �•..�w 5 3. Reinstall flashing with notched area upslope. 4. Position notched leading edge underneath nail heads as shown. Nails beneath shingle = - Nails beneath shingle ;" ,w ,�„ k: •ems,... zY'+•L�,'�''` � {.. �` - ,z'4`, r x r r `` �,' 877-859-3947 Committed to the Support of Renewable Energy ©Ecol asten Solar®Ail content protected under copyright.All rights reserved.02128/2013 2.2 A u,pr tI{ x'� > �3 i I� er, w s a s� e r " ata err "t? e � 4 � u k , TMI n 7� �y» . Y a µ x i a Sr r fC! a 5 � " lz `_, mw <.. / _ � �� ,t. .e �, % � ¢ y{ ,� A ATE��+ .°��3. M; S«moi ^� a� .� "a ''� �� ��' ,�x �� � Advo.. '- .-- N �� ��r � � j( t 1 � e yy( 4 �-: � ��� rop � fid" � }:Lp .-_,� �.. e _._ _.v __ ,may.. .�. ., ... a r��� �k� m" - � u } NORTI, TOWN OF NORTH ANDOVER p PERMIT FOR WIRING vt This certifies that ...^ ..'..... ........................ has permission to perform .....r ................................................................... wiring in the building of.... .�`........ .M.(.�...4.�'.""....................... at... .9....... .. ......S.... O.t-r�..........� ` .... ,North Andover,Mass. �!� � Fee.... . ..... Lic. si(?( ................. .. .. .. ELECTRICAL I.N..SPECTOR �+ Check # 7372 Commonwea&of Mamacl dh Official Use Only cc��rr�� cc77 Permit No. `73 Za loom �Uepartment ol.}ire Services Occupancy and Fee Checkek__ 7 BOARD OF FIRE.PREVENTION REGULATIONS [Rev. 1/07] leaveblank) 'APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) L C r..,,1( Owner or Tenant t11� /fin ���. Telephone No. Owner's Address / Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service JQ� Amps _Volts Overhead ❑ Undgrd a No.of Meters / New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity ,a Location and Nature of Proposed Electrical Work: L t Completion o the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets C No.of Hot Tubs Generators KVA No,of LuminairesSwimming Pool Above ❑ in ❑ o.o Emergency Lighting rnd. rnd. Battery Units T No.of Receptacle Outlets S No.of Oil Burners. FIRE ALARMS No.of Zones No,of Switches No.,of Gas Burners o.or Detection an Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers / Heat Pump i Number I Tons KW o.of Self-Contained Totals: ""'" """""""""""""""""""""""" Detection/Alertin2 Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances Kms, Security ystems:* i No.of Devices or Equivalent Heaters No.of Water— KW No.of No.of Data Wiring: Signs Ballasts {` No,of Devices or Equivalent `i No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Elec 'cal Work: (When required by municipal policy.) Work to Start: 00' Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cover a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE POND ❑ OTHER ❑ (Specify:) I certify; under the pains and penalties of perjury,that the informs ' on this applic In is true and complete. FIRM NAME: LIC.NO.: Licensee: --.I � /�u � Signature C hi LIC.NO.: (If applicable,enter "exempt"in the4icense number line.) us.Tel.No.: Address: Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic,No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. 1 am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ : /} /) f.I ��� .� Y �� .N° 2 3 4. 7 Date.... ►!.....//)/OC� � ` NOR711 °f<�``°:•'"° TOWN OF NORTH ANDOVER o PERMIT FOR WIRING ��SsHcHuSE�h This certifies that ........Lr.o......O...N.P r .............................................. has permission to perform ....... .0 wiring in the building of........ W// 5.................................................... at..... .....C1?JZ..i6d J....�..........:......... .North Andover, S. -' Lic.Nok /7 5 P �, Fee..�J`............. ............. ............... . ............... ... ................... ELECTRICALIN9 ECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer THECOMMONg"THOFAIA MOMSE7MS Office Use only i e DLPARTAZEWOFPIUBUCSAF= Permit No. a BOARD OFFREEPREVEN77ONREGUA770NNS27(M]Z-W Occupancy&Fees Checked APPLICATTONFORPE �IT TOPERFORMELECIT�ICAL WORK � ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 I (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date /S c�-0 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. PARCEL Location(Street&Number) Owner or Tenant Owner's Address i Is this permit in conjunctionxith a building permit: Yes a No (Check Appropriate Box) Purpose of BuildingtS y Utility Authorization No. _ Existing Service �_ Amps.--�//D Volts Overhead Underground No.of Meters / New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work -�-'i i Tom`. i/ ,�y�i� �a�� e-"P4.17"g-- No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KV No.of Lighting Fixtures Swimming Pool Above Below Generators K A ground and o.of Receptacle Outlets No.of Oil Bumers No.of Emergency Lighting Battery Units Xi i o.of Switch Outlets No.of Gas Burners No.of Ranges No.of Au Cond. T 1 FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat T910 Total No.of Detection and P ons KW Initiating Devices No.of Dishwashers Space Area H:ati/n KW No,of Sounding D No.of Self Conta' d DetectiordSo ding Devices _ No.of Dryers Heating D fices KW Local Municipal Other Cormcctions No.of W t Heaters KW No-X No.of Signs Bailasis No. dro Massage Tubs No.of Motors Total HP OTHER- YES NO Ibacesul nwdmWprodofsm=tothe0ffim YES / NO Y3uuhawdvdzdYES,*weiodcafetimt Fcfwmagebydladrlgthe ap qui, �---� >NSURANCE.[:IBG a MHM a ?--Sly') EtmakdVa1wdE1aticdWodc$ WaktDSW Inspa mDatRegtlWd Ra# E.J/me- lAti Final Gtffu= e-4 Z,L SignedtlnckrTrPmabm ofpajtny. FffZMNAME '7J Oft Lloa�see �i!'rC� �/l�l-�/G[. Stgcnhae r � Ltaa�eNO � ' 3fZ 3 &)y </Vo `}f Gz't/fCS�'ii��,� X11,4 AItTeLNa OWINWSINSURANCEWAIVER;Iamawuethattbel�oewdmriattmethr,mm eo7xWcrilsmbstttialmpvalartasmgmedbyNbmd,B&Gam1Lays andthatrT*m wmtlnspmntTp}cabatwai%tslhi mgmi anat (Please check one) Owner Agent Telephone No. PERMIT FEE$ �, �iignature ot Uwner or Agent FF.a3irT No. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER MASS. V, PAGE 1 MAP'7;OLto LOT NO. ,2 O�O 2 RECORD OF OWNERSHIP DATE BOOK ;PAGE **ZONE I SUB DIV. LOT NO. �I I LOCATION q.� �AG / /1�IC PURPOSE OF BUILDING OWNERS NAME 'I`?A%� Cy Ql}�S(...I�WC _ j/ NO. OF STORIES a,J SIZE X� OWNER'S ADDRESSA./] BASEMENT OR SLAB ARCHITECT'S NAME T' 4—'K x lil x?ol SIZE OF FLOOR TIMBERS IST Z X,^ IND 3RD BUILDERS NAME ��\ ^ /� -� ' ^, �/^/�}f�� --SPAN 3 4 Y✓ DISTANCE TO NEAREST BUILDING �•All�l �/1a� DIMENSIONS OF SILLS DISTANCEDISTANCE FROM STREET `-w,-4 " POSTS 4x(v ate`'-• --- l�1/ rVl✓"( X13 DISTANCE FROM LOT LINES - SIDES L=�r1_ REAR ���) GIRDERS lopv 1� �L 11 AREA OF LOT , ^� FRONTAGE ' HEIGHT OF FOUNDATION THICKNESS �O V IS BUILDING NEW SIZE OF FOOTING L 2" x r IS BUILDING ADDITION c MATERIAL OF CHIMNEY = IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND 1 - C^�Lar-,), WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Yr` IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY C' IS BUILDING CONNECTED TO TOWN SEWER a / IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION SEE BOTH SIDES LAND COST EBT. BLDG. COST Z&:>, PAGE i FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM ELECTRIC METEP6 MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR -DATE FILED 61GNATURE F OWNER AUTAORIZED%ED AGENT ILDING INSPKCTOR FIE E OWNER TEL.k PERMIT GRANTED CONTR.TEL. 6i� Um . 74�- 19 9 .7 CONTR.LIC.# 042_I4l H.I.C.# 38 (e7°l BUILDING RECORD i OCCUPANCY 12 SINGLE FAMILY 1, STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ 3 1 2 I3 CONCRETE L'K. PINE _ BRICK OR STONE HARDW D __ _ PIERS PLASTER _ _ DRY WALL _ UNFIN. 3 BASEMENT 11 AREA FULL FIN. B'M'T' AREA _ '/. 1/1'/. FIN. ATTIC AREA _ NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH I ASPHALT SIDING HARDW'D ASBESTOS SIDING COMMCN _ VERT. SIDING ASPH. TILE STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 3 FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLEHIP BATH 3 FIX. _ GAMBREL MANSARD TOILET RM. 12 FI FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SVfK - - SLATE NO PLU * ING _ TAR & GRAVEL STALL OWER _ ROLL ROOFING MO RN FIXTURES _ TI FLOOR T E DADO oor I$ FRAMING 11 HEATING WOOD JOI PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. COLS >< STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS t OIL - B'M'T 1 2nd _ ELECTRIC lit 13rd I NO HEATING f . FORM U '- IAT RELEASE FORM a INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdictiol have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. I ****************Applicant fills out this section***************** APPLICANT: by (y� Phone LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) Street �� St. Number ************************ Official Use Only************************ RE DATIONS OF TOWN AGENTS: '�- Date Approved R-7— C onservation Administ ator Date Rejected Comments s (� Date Approved Town Planner Date Rejected Comments Date Approved Food In ector-Health Date Rejected Date Approved tS 7 7r nspector-Health 1 Date Refected Comments ___YLs� n r .4-L s' �� b i vt c v-r a C r ►. -� -Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector _ Date MAOI R Tjy IDANM Of _ over Z LAK dover, Mass., 19 9A_COC N ICMEWICK L�/'1• 0"' 4S q'�T E D S U BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..................................... .�E-I............... 4.y. ' .. ................................................ Foundation has permission to erect...... A ?E. E. ?r" .. buildings on ....�"..51......... ...... Rough to be occupied as -r provided that the person accepting this permit shall in every respect confor to the terms of the application on file in Final 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 PERMIT EXPIRES IN 6 MONTHSFinal UNLESS CONSTRUCTION ST y ELECTRICAL INSPECTOR Rough .............................�............. ..... LDING................................... Service BUIINSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR --- Display -in- a Conspicuous Place on the Premises — Do Not- Remove - Rough P Y P Final t No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. M I • 'r J I _ i • i i , . i t if5l �� ROOM ► sonRds i 4 n3! m t I THIS SURVEY IS BASED ON r I SURVEY MARKERS OP OTHERS, ' t 301 ,. 7 I N .V-.r•../. I L. .�C�...-�..._�•vim""-� s..—i�T. --f...Y_: .�rj.���', + l.oc4Jron l✓a!!: i N fiNl.?Q ✓.�'�.... ... .... Sco10 1 in. = 40 fl ntAt 9 Re/crtnct 114A A. 414; AWe• Thrs is a tvpr sufmy ono not on instrrnrenJ i ` .svrrb JMterefore Ws ph/ o/of is br mor"ge r •� , avrpases a�/y. AAr STarC SURµ`►'/NU SCPPjCf' WC, �.r- ' Lbbcrl Sr., Beverly,Moss 41 •t.••^ r Cl r herrtj, ;ei►ify th,pl the 44vshng shtAwn on f li,if 15rpn +vOs lP.:dlyd an lhe^ grdund as sfuwn tM..rean end Thal rl Crriforms b the &wWnp and �4 6r1•16V ordrnonces ofll�e7nrtz.:.G.'�./�.fl��faY • � ,�•'' t��j 1►hE.rr �r�clrulit'4. G aL 4rR•l is ro rn spedol e,E,od holerd cone. LINES'S ` SHRUBS, FENCES & TRE f-f'G•::;:� � .�'A y, • , , 1 mss. - ' hma COMMO OF MASSACHUSETTS � JII'A MIENT OF INDUSTRIAL ACCIDF.NI'S 600 WASHINGTON STREET -aures,: :,amooei; BOSTON, MASSACHUSR"I'TS 02111 ��T^ss�one• WORKERS' COMPENSATION INSURANCE AFFIDAVIT 1 CARL UM {� KOf-.A► b (10M�J�a3 (I icenseer permittee) with a principal place of business/residence at: -401 Ne s) r- 3f?> (City/statelzip) do hereby certify, under the pains and penalties of perjury,that: J 1 am an employer providing the following workers' compensation coverage for my employees working on this iob. insurance Company Policy Number ] 1 am a sole pro'pneror and have no one working for me- I am a sole propnetor(£eneral contracto or homeowner (circle one) and have hired rhe contractors listed below who have the following workers' compensation insurance policies: �nr��m��-� �I �,'�►ori — CB �l� H-5'9(o(oSl� _ Name of Contractor Insurance Company/Policy Number Name or Contractor Insurance Company/Policy Number ' ctor Insurance Companv/Policy Number Name of Contra [] I am a homeowner performing all the work myself. wwhile homeowners who employ persons to do maintenance,cons trusion or repair work on a NOTE: Please be aware that p Y arc not dwelling of not more than three units in which the homeowner also resides or on the grounds appurtenant thereto geoffallY e Workers' Compensation Aa(GL G 152,sea. 1(5)),application by a homeowner for a liewn considered to be employers under the P n p P� or permit may evidence the legal status of an employer under the Workers' Compensation Act. I ' I understand that a copy of this statement will be forwarded to the Department of Industrial Accidents' Office of Insurance for coverage cntication and that failure to secure coverage as reouired under Section 25A of MGL 152 can lead to the imposition of criminal penalties consisone of a fine of up to$1 500.00 andlor imprisonment of up w one year ana civu penalties in the form of a stop Work Order and a fine of 5100.00 a day against me. Signed this -7� day of • 19 Owl, Licensee/Permirree Licensor/Permiaor I Ti.ell Ir f t• x� . 4 , y .r U AWES SOrrROs ,�Mal6W4 { I �� 'k' s MIS SUIt�t�1r is UAS ED ON . , URVEY MARKERSOF OTHERS. . 1 442WUG`E SURVEr PLAN Reference• j-94,*A. AV, P rW+r•rft is OF topr and M, 07 inatrMent fj 'fvn Ws pbt PAW fS #w y 0,4vpe �. •' BAY STAB SIIRI�Y/NU SF�'?i+ 'fC, ro&vl r•,,r �.l I Ierffty malfy fhat Me-Aw" Shown on M.I$ 014In JW jiCVVtr-d--Orf'4/W rKlWW 05 ObWn J� pAorfo) and?MOI it voy.form *lAlo v4nf end ::r ;. � ri•tda+g 0rdrr�r es 3!'i?+wx.:�71�.Nzf��rf�V �� Nl►�n AStrt�d. .�� +5� is tfE� ;i►i1!C�vrtmt�,�e7�riard-'ZcnB. JUL— 9-97 WED 10:14 FAX N0, 6173930601 P. 02 r.. OE4ARjitE11Z Of Ptltllt SAFETI 8�Sf}PEiyI50R 1105E X1111■■CC18t�lI 9irtEdtt - yY1�J NTmoj ExPtr I �BrYafl4t 4812if14) 10118 D tE1tlr't ,•«• tai�ttv if IIESEI tlI40lEt0�, 81 O19i4 , I i ;� i 1997 i ' r Nt� fE 11�PtC MINT C �iTACTR52tISTRATION rd of u dInO ke§ul*tlo>hi§ and �.Stahiards _mine �s��l�r.tori. PlAce P601h: 150f E08tori, Massachusetts• o2, 108 k+6 b tPROVEMENT CONTR CT+�R , l.s'tFation 113864 Explratlon 07/19/99 - T e µ PPIVA t CoRPotRATION. KNEELAND CONSTRUCTION CORP . JOHN b . KENNY 407 R MYSTIC AVE *UB MEDFORD MA 02155 E I J 1 r1ORTH Ott«.° ," , 0 Town Of North Andover o� "� oA Plan t 1� F Y Building Department Review 508-688-9545SACN �SAcH �SUS�� 146 (Main St. Town Hall Annex APPLICANT: _ �'�-' y " DATE: Zoning District : Use Code : _ Title of Plans and Documents: Request : Please be advised that after review of your building permit and or zoning review has been DENIED for the following reasons: Zoning Use not allowed in District Not in conformance with Phased Development Violation of Height Limitations Si n exceeds requirements Violation bf Setback Front Side Rear Insufficient Lot Area Insufficient Parking Violation Contiguous Building Area Insufficient Open Space Insufficient Lot Frontage . l Sign requires permits prior to Building Permit Form U not complete by other departments Not in conformance with Growth By-Law _ Use requires permits prior to Building Permit Other Other Remedy for the above is checked below. Dimensional Sign Variance Special Permit for Watershed Review Special Permit for Site Plan Review Special Permit for sign Complete Form U sign-offs Copy of Recorded Variance Information indicating Non-conforming slatus Copyof Recorded Special Permit .'Variance for Sin Other Plan RevieW The plans and documentation submitted have the following inadequacies : 1.Information Is not provided,2.Requires additional information,3.Information requires more clarification, 4. Info ation is incorrect. 5.All of the above. Foundation Plan _ _ Plumbing Plans Subsurface investigation _ Certified Plot Plan with proposed structure Construction Plans 127 Affidavit Mechanical Plans and or details _ _ `_'_ Plans Stamped by proper discipline Electrical Plans and or details _ _ Framing Plan Fire Sprinkler and Alarm Plan Roofing Footing Plan Plans to scale Utilities Site Plan Water Supply Sewage Disposal Waste Disposal Other _ ADA and or AAB requirements Other Administration The documentation submitted has the following inadequacies : 1.Information Is not provided,2.Requires additional information,3.Information requires more clarification, 4. Information is incorrect. 5.All of the above. # I Water Fee d` State Builders License Sewer Fee Workman's Compensation Building Permit Fee Homeowners Improvement Registration 77 T Building Permit Application Homeowners Exemption Form Other Other The above review and attached explanation of such is based on the plans and information submitted. No definitive review and I or advice,by the Building Department,shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL.Any inaccuracies, misleading information,or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled"Plan Review Narrative"shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file.You mustXe a new b ilding permit application form and or request f plan review to recei appro 71 Build] l5e0' m nt Official Signature InWmatidn Received Denied j _?/L°X c`1J L1 If Faxed Deniaent n ry � If your r s ante please call th above number and we will be able to guide toward meeting the necessary requirements. Please understand that many of the reason for denial are related to the code requirements that must be met to ensure public safety.Requirements for detailed plans are necessary to ensure that there is enough information through plans I and specifications to show that code requirements will be met. Date. . NORT" TOWN OF NORTH ANDOVER � t r PERMIT FOR PLUMBING ,SSACMUSE� This certifies that . . .0.4-1. . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . .�!'./L. �. ?.�!G. ` . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . at . . . . . . . . . . . .. North Andover, Mass. 3 � Fee. 3�. . . . .Lic. No.!" . ! . . . . .L . . . .. . . . . . PLUMBING INSPECTOR Check # I r ► 5263 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) �V NORTH ANDOVER MASSACHUSETTS // ,_, � Date Building Location ! y� 64OSS ze� At", Permit# Owner ///` `!�/V f i�' �f'Y GGG, /� Amount New Renovation Replacement Plans Submitted Yes No 13 FIXTURES F z 01 a W A W a��vlavr 1s>C�IDCR 3R[I HDM 5M H-" 6'III HBM 7M M" SIH HDC]ii (Print or type) Check one: Certificate Installing Company Name DX/7 X T Corp. Address d2(f q Partner. usmess a ep one Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 0— Other type of indemnity ❑ Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent El I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Mashutts State Plumb* Cod hapte 142 of the General Laws. ��� BY Signa of re of i ense um er �Type SGof Plumbing License Title ?� City/Town r7cense Numner Master �Joumeyman ❑ APPROVED(OFFICE USE ONLY u I I Location 1 (200SSkU W , N No. (0 6 1 Date 6 NORT#1 TOWN OF NORTH ANDOVER � P + ; , Certificate of Occupancy $ Building/Frame Permit Fee $ sACHUs Foundation Permit Fee $ Other Permit Fee $ _ TOTAL $ O1! S Check # 606y 15616 Building Inspector w � Yrs TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING �y BUILDING PERMIT NUMBER. DATE ISSUED: © � SIGNATURE: Building Commiss'oner/I for of Buildings Date Z SECTION 1-SITE INFORMATION IO 1.1 Property Address: 1.2 Assessors Map and Parcel Number: � Map Number Parcel Number ice! ll ,r! /lam 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide red Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private ❑ Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System D SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record Name Print) Address for Service: Signature Telephone 2.2 Owner of ecord: Name Print Address for Service: O rn Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Cpnstruction Supervisor: Not Applicable 0 Licensed Construction Supervisor: O License Number Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name Registration Number r Address r Expiration Date ^z G) Signature Telephone SECTION 4-WORKERS COMPENSATION(RG.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: /4110 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building X41b (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X(b) 4 Mechanical HVAC — C:;2—� 5 Fire Protection 6 Total 1+2+3+4+5 oOU Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, ,as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, �i w as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print N Si atti e of Owner/ en Date NO. OF STORIES SIZE BASEMENT OR SLAB PD SIZE OF FLOOR TIMBERS 1 2 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHRVINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE * NORTH Town of North Andover °.+qu Building Department A 27 Charles Stree t North Andover MA. 01.845 D. Robert Nicetta S"est Building Commissioner (978) 688-9545 .',(978) 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print DATE J08 LOCATION Number Street Address Map/lot "HOMEOWNER 4c, w Name Home Phone Work Phone PRESENT MAILING ADDRESS City Town State Tp Code The current exemption for"homeowners"was extended to include awner-oocupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does. not possess a license, provided that the owner acts as supervisor. (Stade Bung Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned "homeowner'assumes responsibility for compliance with the State Building Code and other Applicable codes, bye-laws, rules and regulations. The undersigned "homeowner"certifies that he/she understands the Town of No.Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements_ HOMEOWNER'S SIGNATURE �G APPROVAL OF BUILDING OFFICIAL I North Andover Building Department I Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: Location of Facility) Signatu of ermit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector NOK rfy Town . of And 0 No. 4 & I LA O dower, Mass., 6 COC MICMEWICK ADRATED S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.. .�...`+ .r. .......... ..A rN� C417=0 ............................................. Foundation INS SS IQ O Irl, L N •has permission to erect.............. buildings on ... ................................. .................................................. Rough �.A�.to be occupied as.................. ............... rO6.�.................................................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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. I / 1 O ��go 4 � PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST S ELECTRICAL INSPECTOR C Rough 14 A........... ...( 11.1.111.6071.1 . .. ... Service BUILDING INSPECTOR Final Occupancy Permit Required t0 Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. a• `Tae Commonweadiddof Massachrasetts be l)eutraHent of Ttrtlristrsa�Aceu�ebw'S fflee 9flavesfiggidens 600 WashinVon;street Bostght M.4 02111 wwvnsass gav/dia r rs'Coffipeasation Insurance Affidavit -Bai9dgrs/Contractors/Electriegans/Pla„M�ser§ iUtilacaat Inforniati©ll Please Print I.erlbll E(Sussnessti]tganicaboattnd�cndaal) ¢�t .Sv`*d•� t t G3 ir! % dd1e�S e r to S try 1 S rc.� :1�% P31Gn8## :J. J C you ttit emf k ,r§Chia the 11 p pnste l9ox I I air a emloye with .. 4.. ]1 am a general contractor and l �Pe of project(required}: I4*,VQ and/or`part 6.,): bane hired the sub oon4ractars b. ,[]New construction am a sole pmpnetcu_or partner-` listed on the attached sheet ' �•:[ Remodeling' C slop and ltave no enrplogees These sub-coiitlactors.liave 8.. Detiiolition working fra teem a ;capacity: workers'cotrip.insurance. 9. (�wilding addition �to`a�vorkers':comp u3sivance 5, (]We:area corporation and its :, required} officers have exercised ttteu Ia Electrical repairs or additions (�1 um a hoineovvner dozrig all work right of exemption per MGL 1 J.[)Pluinbing repairs or additions myself a workers'egmp a 152,§1(4);and we;have no. 12 ]Roof repairs insitancerequusd} mpioyees.[No:workers' ;. r ' ;ry GOmp'msllrance req Other e } •13.E k, { sJ. hy arcanEttt checks box of miistatso fill ovt rite section below showing their:workeis'compeasehon polacy intomtaaon { idiome wito.submzt this a£fidavat md�eatciS�?they are dq�og all woik and then hire asaside cgnttactois must submit a new af&da�it ideating such . t ontradtmsitliatc iwx sftac ed,tin. .itiond sheet sho, i4 the name:_oi the subconaac sand thele worker co h mforneauon, a thatP '�+b' 'copet+ssdioR insrrrarice for myemptopees Selor✓rs dhe podacy s rad}o&sate 'utfnrraat3or: E lnstirance 'Name , �oirigan3r': ICY:#or Self urs:Zic !€ Expiration Date: '� Job Site t�ddress CitylStater'Zip_ tt�clt a copy of the workers'sompensatSoa poUky declaration page(Showing the policy tiittnber and espiratiou da#e pailure to ssreavnrage requsred ander Witton 25A of MGL c:1 S2 can lead to the amposition of criaiu;ai penalties of a r 416411, Ale? andfor ona year impQisormcieat,as well as civilpetialties the dorm of iter WORK ORDER and a fine xi£lp to$25Qb0 a dayagauist,the v�tolator Be advised that a copy of this statement aiaX Iie forwarded to-tho Office of Investigations of the DiA for,F:nsutaace,po�rerage:vertfication Ion ideieby eet6tfl+rtiader thepa:ns arlit,penadties of*o dhat the iisybrnYalzwt provided above is rated t oa�ezt Sc>rziatiite C / �_"" 2"" Date- 4: ate i c (JEeral.Yese onty I?tr not wrete in t1? s area to be compacted by city or town ojieial Y -City or;Fo n Permit(License# _ S$1k111 .1°YRL�0A �CirC}e_4IIe� - 1 33oxril of I ealth 2 iiltlnag 13eparrment 3.Cttyf rown Clerk 4 Electrical luspeoor,S.Plumbiiig.litspectar 6.Oiher � t I Oostsat Person: Phone#: � - I • } - . li � .,�:i:1 ... .�. ..1 "I .I . " . � � %, , .. .. .-, I .. .1.11 � . � . .. I.. . . .. .I .. . . I I I , , , ,..% . ". . . . �a . , I . . . . . . . . . . ..., 6 . a .. . . . .. _. . . ., - . -: -. . . .. . - - . - t.. .. Oct , 09 1I2360 PA.,. . . . { 1. �: 1 _ ' — 1� r•♦ • . . . ,r. .t'1 I . . % i tt.. ♦[_ eti . V—, Dtta.rrtr 1. I .�f Pph€it . t*r1 4 , 841arl W,8iiiltlln;: Re,alirtiun.an(I Nt:Isxl:►rch . License: S ` 2 t Restricted to; ,00 MICHAEL T DEMILLE. 5..BRISTOL ST% ..�. I SALEM; MA 01870 .. t4 k.. - .. , :;' ,, p:,.: 1. , ; 11 �i�- "�"""`� EXziratmn: 7t?W011' . (' ,t it�r:i..m r F 8801 . I..., .' .. , . ,,.,, . . ;,,a. , . IL - ..-a , ,l .. &.. .. ~:J ti ] .. . .,! J .. .Y S Yr % 7 G :�'.! Tr ; h �. 4 d , Z . w r f a �:. M 4 .. F r ',. % `r ._. !. r _ . . _ 1. e ! , ` t > F w I - �, k 1i � .F 1 A hL. L I .LY b � }q P.fie. 41 .Tq Io - t tL. 11 ,� r.',,Lr *. yam., 4. s > I jti 4 q n h 4 _ r J x < + .}. a NORTH 41�T O ;. 4 L over ONM . O No. A K E i dover, Mass.hp COCMICME WICK y�. 5 ORATED AP�� � `S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT......... ... I.�iI .................... � �... ................. .................... ....................... Foundation has permission to erect........................ .......... buildings on �q......C.0. .� .�....................... Rough to be occupied as .ZZ............................. ., W. ��� Chimney provided that the person accepting this perm' shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU N ST TS Rough .... .... ............................................ - ................................ Service BUI R • Final Occupancy Permit Required to Occupy Building GAS INSPECTOR - - Rough - - - - - Display in a Conspicuous Place on the Premises — Do Not Remove Fina, No Lathing or Dry wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. L ,STORE COPY - INSTALLATION SERVICES CUSTOMER`CONTRACT=.MWORK-WINDOWS.' s • LOWE'S-OF DANVERS,MA.;STORE# 1:09 STORE`PHONE:(978)646-9099 153 ANDOVER-STREET SALESPERSON: DAVID MCCARTHY. DANVERS,: MA;,01923 SALESPERSON ID: 135953 ;, r Document Print Date10/0.1/2009. f This is only a Quote for the merchandise and services printed below. This becomes an agreement upon payment.and --an endorsement by a Lowe's register-validation. Upon such"-payment and endorsement,the entire agreement, including' the specifically completed pages of this document,the Terms and Conditions included with this document and any other... addenda or attachments hereto,shall be referred to herein as this"Contract." PLEASE READ THIS ENTIRE DOCUMENT.INCLUDING THE"TERMS AND CONDITIONS." BEFORE SIGNING. Lowe's Registration or Contractor License Number/Lowe's Contractor Name Lowe's Home Centers, Inc.'s MA HIC NO.: 148688 Lowe's Home Centers,Inc."s FEIN: 56-0748358 Customer Name `Home Phone S RICK BRINGHAM 978-975-2132 O Customer Address Other Phone 49 CROSSBOW LANE L City State/Province Zip/Postal Code D NORTH ANDOVER MA 01845 Installation Address -r 49 CROSSBOW LANE Installation City Installation State/Province Installation Zip/Postal O Code NORTH ANDOVER MA 01845 MERCHANDISE AND INSTALLATION SUMMARY MERCHANDISE SUMMARY 312148 : 31 3/4" X 49 3/4" : SOS : SOS TS 20 REPLACEMENT WND-EAST TC : 31 3/4" X 49 3/4"/ONE WIDE/DOUBLE HUNGS/3/4"**''THIS PRICE RE- ' FLECTS A 10%OFF PROMOTION ON SOS THERMASTAR WINDOWS WITH LOW-E OR SUNDEFENSE(TM) GLAZING - 10-1-09 TO,10-5-09***. :'PELLA VINYL DIVISION -QTY 1 312148 - 31 3/4" X 37 1/2" SOS .- SOS TS 20 REPLACEMENT.WND-EAST TC : 31 3/4"X 37 1/2VONE WIDE/DOUBLE HUNGS/3/4 ***THIS PRICE RE- FLECTS A 10%OFF PROMOTION ON SOS THERMASTAR WINDOWS WITH LOW-EOR SUNDEFENSE(TM) GLAZING:- 10-1-0970 1.0-5-09**'. P.ELLA.' VINYL DIVISION -QTY 1 Store 1094 Project No. 271765981for RICK.BRINGHAM Pagel of8 . STORE COPY'' 312148.: 31 3/4" X 411/2': SOS :SOS TS 20 REPLACEMENT WND-EAST TC :3.1 3/4"X;41 1/2"/ONE WIQE/DOUBLE H_ONGS/3/4"**"THIS PRICE RE -'FLECTS,A 10%o OFF PROMOTION ON SQS"THERMASTAR 1NINDOWS WITH LOW-E°OR SUNDEFENSOTM)GLAZING ;10-1:=09 TO 10115-09*** PELLA- , VINYL DIVISION -QTl(2 312148 :31 3/4 X 591/2" ::SOS: SOS TS 20 REPLACEMENT WND-EAST TC .31:3/4" X'591/70. E>:WIDE/DOUBLE RUNGS%3/4"***THIS PRICE RE- FLECTS A..100kOFF PROMOTION ON SOS THERMASTAR WINDOWS WfM LOW-E OR SUNDEFENSE(TM)GLAZING , 10-1-09 TO 10 5-09*** : PELLA VINYL DIVISION QTY 7 312148 : 31 3/4" X 3711/2",:: SOS:SOS TS 20 REPLACEMENT WND=EAST TC 31/2" WEDULE"HS/3/4THI , X OS PRICE RE-_ FLECTS A 10%7OFF-PROMOTION-.ON-SOS THERMASTAR WINDOWS WITH Low--E-.OR SUNDEFENSE(TM)GLAZING -`10-1--09 TO:10-5;-09***. PELLA, VINYL DIVISION -QTY 1 .. 312148 : 31 3f4`X 41 1/2" : SOS : SOS TS 20 REPLACEMENT`WND-EAST TC : 31 3/4"X 41 1/2"/ONEWIDE/DOUBLE HUNGS/3/4" *-THIS PRICE`RE-. FLECTS A"10%OFF PROMOTION ON SOS THERMASTAR WINDOWS sWITH LOW-EOR SUNDEFENSE(TM)GLAZING - 10-,1-09 TO 10-5-09***:.: PELLA VINYL DIVISION -QTY 1 312148 : 31 3/4" X 591/2" : SOS : SOS TS 20 REPLACEMENT WND-EAST TC :31 3/4"X 591/2"/ONE WIDE/DOUBLE RUNGS/3/4" *"*THIS PRICE RE- FLECTS A 10%OFF PROMOTION ON SOS THERMASTAR WINDOWS WITH LOW-E OR SUNDEFENSE(TM)GLAZING - 10-1.09 TO 10-5-09***. : PELLA VINYL DIVISION -QTY-10 Materials Price $6493.4 INSTALLATION DESCRIPTION Room MULTIPLE Different Size Windows in Area : 1 Total Linear Feet of New Custom Trim 0 Total Windows on Second Story or above : 0 Storm Windows : Installer Remove&Dispose Number of.Storm Windows Removed:22 Total Number of Window AC.Units : None Window Capping No Replace Window Stop/Sill/.Brick Mould : No Existing Damage : No Description of Existing Damage to repair : None Customer Understands Scope of the Project :;Yes Permit Required : No Additional Miles Traveled over 20 : 0 Bring up to Code Description : None Local Disposal Fee : Yes Describe Other Work Needed : None Comments : MEASURE FOR 24 THERMASTAR WINDOWS Labor Charges $2688.0 Detail Deduction -$ 35.0 Additional Specifications: Notation: Lowe's will not make structural modifications, paint or stain or rernove/reinstall security system equipment: Customer is responsible to advise if:prop- erty is governed by Historic District Regulations. Store 1094 Project.No 271765981 for RICK BRINGHAM Page 2 of 8 ��STO RE,%COPY d-ditiona Peci icafions T .. nvironmental ProtectioAgency EPA has requested instal ation customers,t abased.0 ant ward may exist in dwellings built prior to 1978. See pamphlet EPA 747-K 99-001"for:details - TOTAL CHARGES OF ALL MERCHANDISE AND SERVICES where applicable labor is taxa6le,ctiecKlocal tax restrictions. F77 su B-TOTAL - -. $V146.4 *SAL ES TAX., $ 0.0 ' ELIVERY $ 0.0 ORDER TOTAL $9146.4 :BALANCE DUE Work is to commence upon reasonable availablity of Contractor which is anticipated to be T�� [fill in date]. Estimated completion date is ��� [fill in date]: NOTICE TO CUSTOMER All items listed in this contract and specification sheets)"are to be installed under conditions-agreed upon ate,of purchase and at the price aappeanng on this contract form. This assumes sound existing substructures,superstructure and points of attachments. Extra labor or material incident to inst allation ne- ,cessitated by defective.substructures, superstructure, points of.attachment, or the moving of fixtures or appliances to be billed at extra cost to c ustomer. IF THE CONTRACT TOTAL IS$1,000.00 OR.LESS Customer must pay in full. COMPLETE THIS SECTION ONLY WHEN THE CONTRACT TOTAL EXCEEDS$1,000.00: !Customer to Pay in Full; OR [J Customer to use the following payment schedule: (1) Deposit$ to be paid upon signing contract. Deposit should be 1/3 the total contract price; and (2) Payment of$ to be paid anytime after this Contract is signed and before commencement of installation, I/We authorize Lo-we's to do one of the following (check appropriate box below) (J Charge my/our credit card for the amount of the payment indicated above anytime after the date this Contract is;signed;or (] Deposit my/our check for the amount of the payment indicated above anytime after the date this Contract is signed-, and (3) Final payment of$100.00 to be paid upon completion of the installation and both parties'satisfaction. Page 3 of 8 Store 1094 Project No. 271765981-for RICK BRINGHAM STORE COPY 'DO NOT SI.GN:THIS CONTRACT IrTHERE ARE ANY BLANKSPACES AND.UNTIL YOU HAVE READ THE TERMS AND CONDITIONS CONTAINED IN THIS CONTRACT AND WHICH FOLLOW.THE SIGNATURE-PAGE(s):BY SIGNING'.BELOW,=YOU ARE ACKNOWLEDGING THAT YOU'HAVE READ, - Y l' UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS SET FORTH IN_THIS CONTRACT YOU ARE ENTITLED TO A'COPY OF THIS CON- TRACT AT.THE TIME OF SIGNATURE NOTICE REGARDING ARBITRATION AGREEMENT FOR CLAIMS COVERED BY'M.G.L. c 142A , . .. -= -LOWE'S AND OWNER-HEREBY MUTUALLY AGREE IN ADVANCE THAT-IN THE-EVENTLOWE'S HAS A DISPUTE CONCERNING THIS CONTRACT, THAT LOWE'S MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SECRETARY OF THE EXECUTIVE OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATIONS.AND,`fHE OWNER SHALL BE REQUIRED TO.SUBMIT TO SUCHAR- BIT ATION AS PROVIDED IN'M.G.L.c.1 42A. ' By; t Date: ` o -.v Lowe s ome Centers. Inc. By Date: fO r�o9 wner $ �✓i�� Date: D Sause THE SIGNATURES OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE RESOLUTION INI- TIATED BY LOWE'S PURSUANT TO M.G.L. c 142A THE OWNER MAY BE PERMITTED TO INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THE SECTION ABOVE IS NOT SEPERATELY SIGNED BY THE PARTIES WITNESS OUR HAND(S) AND SEALS) BELOW THIS5T DAY OF e,r- t Zaz�R Lowe's Home Centers, Inc. By: I (Seal) Print Name: t (Seal) Address wner city State/Province: Zip/Postal Code Print Name (Seal) Store 1094 Project No. 271.765981 for;RICK BR[NGHAM Page 4 of 6 STORE COPY SPO use Pnnt Name Customer acknowledges receipt of a true copy was completely filled in prior to Customer's execution hereof:You the cu$tomer`may canceI this transaction --- at any time prior-to midnight on=the third business day after the date of this transaction:See the attached Notice-&Right to Cancelfor:an-explanation of this right. r Store 1094 Project No. 271765981 for RICK BRINGHAM Page 5 of 8 STORE COPY TERMS-:.AND.. COMDITIONS 2: e= LOW E'S" DEFINED.Within this Contract(as defined on page 1),the term"Lowe's"shall refer to Lowe's Hone Centers.Inc,a North Carolina corporation"°r 2.GENERAL`DESCRIP710N.By this Contract;Customer and Lowe's agree that(1)Customer shall purchas -and Lowe's shallsell the'goods.and/or materials-(the"Goods"); '(2).Lowe's shall procure.on Customer's behalf,and Customer shall pay for,the services to install the Goods(the.Installation Services) in or-on the premises identified on the face of this Contract (the Premises)for the Order Total stated on the face of this Contract(the"Price")and according to the provisions of the Contract documents.:The Contract documents`shall,consist'of(1,)the face of this Contract;titledInstalled Sales Contract," (2)these Terms and Conditions,and 3 an p P attached sketches,materials lists,floor plans,and/ors ecrficati©n sheets and other addenda or attachments hereto.The Contract documents do not-Include any correspondence,advertisements;estimates or other documents that are not attached. 3.INSTALLATION SERVICES.Customer authorizes.Lowe's on Customer's behalf to(a)arrange for the lnsta=llation.Services to be performed by an independent contractor(the"Installer")(licensed when leg- ally required),(b)issue a work order to. Installer to perform the histailation Services, (c)have the Installer s s work inspected;should Lowe's in'its'discretion choose to do so,(it being agreed that Lowe's has no obiligation to-do so),and(d)pay the Installer after completion of the work and after receipt of a certificate,scompleted(the and dated by Customer,that the work has,been satisfactorily "Certificate of 'Completion"). Customer understands that Lowe's.will rely upon the Certificate.of Completion in paying the Ir-istaller.for the Installation Services:;CUSTOMER AGREES:THAT THE-INSTALLER WILL PER- FORM THE INSTALLATION SERVICES ACTING AS AN INDEPENDENT-CONTRACTOR FOR CUSTOMER=AND NOT UNDER THE SUPERVISION OR CONTROL OF LOWE'S.Customer agrees that the Installation Services do not include architectural/engineering services or structual changes.to the Premises or any other services beyond the ordinary and routine installation of the Goods as specifically . --provided in the Contract.Customer is responsible,at Customer's cost,for providing any necessary architecturaUens not specifically gineering services or structual changes to the Premises or any other service identified in this Contract. 4.GOODS.Lowe's will arrange for delivery of the Goods to the Premises.Any surplus materials upon completi-"on of the Installation Services shall be the property of Customer. 5. PRICE.The Price covers the Goods,Installation Services,and applicable taxes.The Price assumes sound existing substructures,superstructure and points of attachments.The Price shall be increased by the cost and reasonable profit to Lowe's of having to provide additional Goods and/or Installation Services as-a result of defective substructures,superstructures,or points of attachments or the existence of any other Undisclosed Condition(as defined in section 9.of these Terms and Conditions). In the event of an MUndisclosed Condition or the foregoing, Customer will execute a change order or a new replace- ment contract upon Lowe's request. 6.PAYMENT. If the Price is$1,000.00 or less,payment of the Price by Customer to Lowe's is due in full upon.-Rexecution of this Contract. If the Price is over$1,000.00,Customer may choose to pay in full upon execution of this contract,but Lowe's may not require Customer to do so. If the Price is over$1,000.00 and Customer does not pay in full at the time of sale;Customer agrees to pay Lowe's according to the payment schedule set forth in this Contract.Customer agrees to.pay a deposit upon execution of this Contrac=equal to one-third of the Price.Customer agrees to make a payment for the balance of the Price less the final payment at least one.day after the date this Contract is executed and prior to the commencemer—it of the Installation Services. Customer agrees to make the final payment upon completion of the Installation Services and Customer's satisfaction.Payment for a new replacement contract is payable accordirmg to these Terms and Conditions. Payment for any change order is due at the time of that change order. .7. LICENSES,PERMITS,SAFETY RULES,BUILDING CODES,ZONING ORDINANCES,AND OTHER LA%.wVS.The Installer shall be solely responsible to Customer for obtaining any and all licenses which are legally required to perform the Installation Services.The Installer shall also be solely responsible to Custor—ner for.the Installation Services being performed in compliance with all applicable safety rules and all existing buidling codes,zoning ordinances and other laws.Lowe's shall be responsible to Customer for obtaining building permits which are legally required to perform the Installation Services where Lowe's is legally required to obtain such permits.Where Installer is required to obtain.such permits then Installer will be responsible to Customer for obtaining such permits.Customers who secure their own building. permits will be precluded from claiming against certain state guaranty funds relating to home improvements. r Neither.the:lnstaller nor Lowe's shall be responsible for any pre-existing violations of safety rules, building codes;zoning ordinances or other laws and shall.not berequired to address or correct same.If prior—to the completion of work a change occurs to any applicable safety rule, building code, zoning or- dinance or other law which requires additional Goods and/or Installation Services to perform this Contract,Cu—tomer agrees to pay Lowe's the cost and reasonable profit for such additional Goods and Installa- tion Services and to execute a resulting change order or new replacement contract as requested by Lowe's.Ngo additional work will be performed under this Contract due to any change to any applicable safety rule,building code,zoning ordinance or other law that occurs after the completion of work. 8.CUSTOMER'S WARRANTY AGAINST VIOLATIONS OF EASEMENTS,COVENANTS,AND THIRD PARWY RIGHTS.Customer warrants that performance of Installation Services will not violate any exist- ing real property easements,covenants,homeowner's association rules or rights of third parties holding an interest in the real property being improved. 9. UNDISCLOSED CONDITIONS IN PREMISES. If Installer discovers:any defect,weakness or dangerous co-ndition including,but in no way limited to;mold,mildew, rot,asbestos or infestation("Undisclosed Condition") in the Premises'structure,substructure,super-structure or points of attachment, Customer must r—emedy the Undisclosed Condition at Customer's sole cost and expense and to Lowe's sole satis- faction. If Customer refuses to permit inspection of the Premises as set forth below, Lowe's may terminate or rescind this Contract without remedy or recourse by,or further obligation to,Customer,except as er an Undisclosed Condition exists, Lowe's may in its sole discretion obtain the services of an inspector to inspect the Premises at expressly provided below. If Customer and Lowe's disagree as to wheth Lowe's sole cost and expense,and if Lowe's chooses to do so,such inspector's report shall be final and con—elusive as to whether an Undisclosed Condition exists. In the event of any Undisclosed Condition that Customer does not remedy to Lowe's sole satisfaction,or any failure by Customer to perform any other ombligation of Customer under this Contract,then at Lowe's option (1)Lowe's may rescind this Con- tract and return the Price to Customer without further cost or obligation by either Customer or Lowe's if Lovrre's notifies Customer of its election to rescind.this Contract prior to the earlier of delivery of the Goods and the Installer beginning performance of the Installation Services,or(2) Lowe's may terminate thiss Contract without remedy or recourse by, or further obligation to Customer, except as expressly provided below if Lowe's notifies Customer of its election to terminate this Contract after the earlier of delivery of the Goods and the installer beginning performance of the Installation Services. In the event that Lowe's terminates the Contract as provided in this Section,then Customer may return the Goods(other than C3oods that have been"custom-made")in their original,unopened condition,to Lowe's for a refund or credit.Any such return must be made within 30 days after Lowe's terminates this Contract.Customer will b-.•e charged a 15%restocking fee on any such returns.Goods not in their original, unopened condi- tion,and custom-made goods, may not be returned."Custom-made"goods include goods that have been uniquely altered,color-matched,shaped,sized,cut or otherwize designed or fitted to accomodate the requirements of a particular space or environment.Examples of custom-made goods include,but are not limited to,cabinets,countertops,floor and wall coverings,and window treatments.If Lowe's terminates this Contract as provided herein,.Lowe's shall have no obligation to refund any portion of the Price(except a_s expressly provided herein)and shall have no obligation to restore the Premises to their original condition. 10.CUSTOMER'S RESPONSIBILITIES:Customer agrees to pay Lowe's according to these Terms and Conditions. Customer agrees to facilitate the location of utility lines.Customer is responsible for identi- fying property lines.Customer agrees to ensure that work area are free of vermin and pre-existing physical c=r environmental hazards,and buildinglzoning code violations.Customer agrees to provide the In-. staller with access to work areas during working hours and to provide access to sanitary facilities or to pater the rental costs for such facilities. Customer agrees to ensure that any security system at the Premises will not interfere with performance of the Installation Services.Customer agrees to provide power to,as applicable,climate control in,the work areas.Customer agrees not to allow unattended minors at the Premises while the Installer is present.Customer agrees to control and keep pets away from work are..-as.Customer agrees to keep posted permits on display at all times.Customer agrees that if Cus- tomer or anyone Customer controls interferes with or delays performace of the Installation Services,Customs r may be subject to transportation/storeage charges or other resulting charges.Customer agrees not to assign or transfer this Contract. Customer agrees that any claim.against Lowe's or the Installer under phis Contract should be made to Lowe's within thirty(30)calendardays of the date Customer first becomes aware of a problem. (Lowe's will attempt resolution of any:claim(s)within sixty(60)calendar days o-1 receiving Customer's notice.)CUSTOMER ASSUMES THE RISK AND THE FULL LIABILITY OF PHYSICALLY ASSISTING WITH DELIVERY OF THE GOODS OR WITH PERFOMANCE OF THE-INSTALLP-%TION SERVICES. Store 1094 Project No. 271765981 for RICK BRINGHAM Page 6 of 8 STORE COPY ` :. 11. MANUFACTURER WARRA NTY:FOR GOODS/LOWE'S:WARRANTY,FOR INSTALLATION SERVICES/LIMITATIONS OF-LIABILITY.Customer is entitled,to any warranty provided by a manufacturer of Ahe Goods-sold under this Contract.The Installer will provide Customer with.any manufacturer consumer.warranty.information accompanying the:Goods,:and Customer may.also obtain suchinformationby contacting Lowe's.Lowe's does not warrant the Goods AND EXPRESSLY DISCLAIMS ALL WARRANTIES,EXPRESS OR IMPLIED,TO THE FULLEST EXTENT PERMITTED BY LAW. , Lowes does warrant that the lnstalltion Services will be performed by the installer in-a good and workmanlike manner. Lowes warranty for Installation.services shall extend for a period.of one.year from the earlier of(1)the date the Certificate of.Completion is signed by Customer or(2)the date that Lowe's determines that the:Installabon Services have been completed,or for-such greater period as may be re- quired by applicable lav✓governing consumer warranties for workmanship(the Warranty Period").LOWE'S WARRANTY THAT THE INSTALLATION-SERVICES WILL BE PERFORMED BY THE INSTALLER IN A GOOD AND..WORKMANLIKE MANNER DOES NOT COVER,AND LOWE'S WILL NOT BE RESPONSIBLE FOR,ANY DEFECT IN SUCH INSTALLATION SERVICESbUETO (1) ANY DEFECT, :WEAKNESS OR DANGEROUS CONDITION,INCLUDING BUT NOT LIMITED TO,MOLD,ROT,ASBESTOS OR INFESTATION IN THE PREMISES'STRUCTURE,.SUBSTRUCTURE;SUPERSTRUCTURE OR POINTS OF ATTACHMENT,OR OTHER PRE-EXISTING PHYSICAL OR ENVIRONMENTAL HAZARD,OR(2)ABUSE;MISUSE,NEGLECT OR IMPROPER'CLEANING.LOWE'S WARRANTY FOR IN- - STALLATION SERVICES SHALL BE IN LIEU OF ANY OTHER WARRANTY TO THE FULLEST EXTENT PERMITTED BY LAW. r` Customer acknowledges and agrees that Customer shall be limited to.seeking recourse or remedy to exclusively from Lowe's or the Installer(as applicable)'and that no affiliate bf Lowe's shall have any liability under this Contract. Customer must give Lowe's written notice within the Warranty-Period-of any warranty:claim-relating Installation Services. Customer agrees that its sole and exclusive remedy against Lowe's for a warranty claim is reinstallation in a good an workmamanner,anner ,including the repair or replacement of any Goods if and to the extent resonably necessary to correct the defective Installation Ser- vices. CUSTOMER SHALL HAVE NO OTHER REMEDY FOR A WARRANTY CLAIM, INCLUDING WITHOUT LIMITATION REMEDY FOR LOSS OR DAMAGE CAUSED BY NORMAL WEAR AND TEAR, LOSS OR DAMAGE WHICH,'HAS NOT BEEN REASONABLY MITIGATED',OR LOSS OR DAMAGE CAUSED BY ACTS OF GOD. IN NO EVENT SHALL LOWE'S BE LIABLE FOR INDIRECT, PUNITIVE, CONSEQUENTIAL OR INC)DENTAL DAMAGES(SUCH AS,WITHOUT LIMITATION, LOST PROFITS,'LOST SALES AND INJURIES TO PERSONS OR PROPERTY), EVEN WHERE LOWE'S HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.WHERE, DUE TO OPERATION OF LAW,-SUCH DAMAGES CANNOT BE EXCLUDED, THEY ARE EXPRESSLY LIMITED IN AMOUNT TO THE'. PURCHASE PRICE. In connection with any warranty claim,Customer agrees,at no cost to Lowe's or the Installer,to prepare the Premises and the reinstallation area in.the manner.described in Section 10 of these Terms and Conditions. 12. DISPUTE RESOLUTION FOR CLAIMS COVERED BY M.G.L. c.142A. Most questions or complaints are resolved informally. If Customer has a question or complaint, Customer agrees to contact the Lowe's salesperson whose name appears on this Contract and the manager of the Lowe's store where Customer entered into this-Contract. If Customer has a complaint which cannot be resolved informally, The Home Impovement Contractor Law(M.G.L.c.142A)may provide Customer with the right to request arbitration through a private arbitration program approved by the Director of the Office of Consumer Af- fairs and Business Regulation, as an alternative to court action. The same right is not afforded to Lowe's unless the"Notice Regarding Arbitration Agreement for Claims Covered by M.G.L.c.142A"above is signed and.dated by Lowe's and.the owner.If allowed by statute or applicable law,the arbitrator may award statutory damages and/or reasonable attorneys'fees and expenses.If Customer fails to pay Lowe's in accordance with this Contract, Lowe's shall be entitled to recover its reasonable attorney's fees as provided by N.C.Gen. Stat.Section 6-21.2 or other applicable law.To the fullest extentpermitted by law, Lowe's and Customer agree that no class action arbitration of any type may be ordered by a Court or arbitrator(s)under this Contract and,in addition,that there shall be no joinder of parties,except for joinder of parties to the transaction covered by this Contract.If a court or arbitrator determines the waiver of the right to class action arbitration or the prohibition of joinder of parties(other than parties to the transac- tion covered by this Contract)to be unenforceable,then the party bringing such action will be required to bring such action in a court of law. 13.ARBITRATION AGREEMENT AND WAIVER OF JURY TRIAL FOR CLAIMS NOT COVERED BY M.G.L.c.142A.All claims by Customer or Lowe's concerning this Contract which cannot be resolved in- formally,and which are not covered by M.G.L.c.142A.or subject to the jurisdiction of a small claims court,shall be resolved by binding arbitration conducted by a single arbitrator under the current applicable. rules;.procedures.and protocols of.the American Arbitration Association(as amended). If theAispute falls within the jurisdiction of a small claims court the claimant may,at its option,choose to arbitrate or file a small claims action. Any appeal of a judgment from a small claims court.shall be resolved by arbitration as provided herein. Claims to be resolved by binding arbitration include, but are not limited to(1) all claims directly or indirectly related to the signing of this arbitration agreement;the validity or scope of this aFbitration agreement,or any attempt to set aside this arbitration.agreement,(2)all federal or state law claims relating directly or indirectly:to.this Contract(including this arbitration agreement),the information Customer gave Lowe's before entering into this.Contract and/or any past agreement or agreements between Customer and.Lowe's;(3)all counterclaims;cross-claims and third=party claims,(4)all common law claims of any kind including common law claims based upon contract,tort,fraud,or other intention- al torts, (5) all claims based upon a violation of any state or federal constitution; statute or regulation, (6)all claims asserted by Lowe's against Customer, including claims for money damages to collect any sum:Lowe's claims Customer owes Lowe's,(7)all claims asserted by Customer individually against Lowe's and/or any of Lowe's employees,agents,directors,officers,shareholders,managers,members;par - ent company or affiliated entities(herein collectively referred to as"related third parties")or the Installer,including claims for money damages and/or equitable or injunctive relief,(8)all claims asserted on Cus tomer's behalf by another.person,(9)all claims asserted by Customer as a private attorney general against Lowe's,related third parties and/or the Installer,(10)all claims.arising from or relating directly or in- directly to the disclosure by Lowe's, related third parties or the Installer of any non-public personal information about-Customer,and/or(11)all other claims arising under or related to this Contract whether or not set forth above. Binding arbitration means that Customer,waives:(1)any right to a jury trial; (2)any right to bring a lawsuit In-a-court(other than a small claims court as described above); and(3)any right to seek relief in any other forum or from any other agency.Any claim not decided by a small claims court will be decided by an arbitrator selected by the American Arbitration Association.Lowe's and Customer agree that bindin arbitration provides a simple, cost efficient method to resolve disputes quickly.'Lowe's and Customer therefore agree that no class action arbitration of any type may be ordered by a Court or arbitrator(s�under this Contract and,in addition,that there shall be no joinder of parties,except for joinder of parties to the transaction covered by this Contract.If a court or arbitrator de- termines the waiver of the right to class action arbitration or the prohibition of joinder of parties(other than parties to the transaction covered by this Contract) to be unenforceable then this entire arbitration agreement shall be rendered null and void,and the party bringing such action will be required to bring such action in a court of law. By agreeing to binding arbitration Customer and Lowe's waive any right to bring or participate in a Class Action lawsuit regarding any claim. How Arbitration Works: Lowe's may demand arbitration by sending written notice to Customer at the address listed in this Contract.Customer may demand arbitration by sending written notice to Lowe's at the following address: Mail code 2ELG,P.O. Box 1000,Mooresville,NC 28115.The arbitration shall be held in the city or county where the Premises are located or in such other convenient location as the Customer and Lowe's may mu- tually agree. Lowe's shall pay the filing,administrative;hearing and arbitrator's fees associated with the arbitration.Customer shall not be required to reimburse Lowe's for these expenses even if Lowe's wins the arbitra- tion.Unless the arbitrator's award specifically-provides otherwise,Lowe's and Customer will each be responsible for.its own attorneys'fees and other expenses,such as witness and expertwitness fees.At the timely request of Customer or Lowe's,the arbitrator will provide a written explanation of the award so long as such requirement is consisent with the rules,procedures and protocols of the American Arbitration Association then in effect. The arbitrator's award may be filed with and enforced by any court having jurisdiction. If allowed by statute or applicable law,the arbitrator may award statutory damages and/or resonable attorneys'fees and expenses.If Customer fails to`pay Lowe's in accordance with this Contract,Lowe's shall ` be entitled to recover its reasonable attorneys'fees as provided by N.C.Gen.Stat.Section 6-21.2 or other applicable law. The parties agree that this arbitration agreement is made in connection with a transaction involving interstate commerce and shall be governed by the Federal Arbitration Act,but if for any.reason the Federal Arbitration Act does not apply,then this arbitration agreement shall be goverened by the laws of the State of North Carolina. 14.GOVERNING LAW AND SEVERABILITY.This Contract shall be.interpreted under and governed by the laws of the State of North Carolina except that.the Arbitration Agreement and Waiver of Jury Trial in Page 7 of 8 Store 1094 Project No. 271765981 for RICK BRINGHAM '' S TOS f Contract is contra town law to which-it.is subject,such.u nlawful provision shall be ineffective- 13 above'is overned by the.Federal Arbitration Act,9 U.S.0 :Sections m%..If any provision o.the ry y _ subject,; .paragraph 9 in in full force and effect,except that,as-:stated,in paragraph<13,if the waiver..of class action arbitration,or theprohibition of consolidation or joinder, is without invalidating the other provisions,which shall remain P determined unenforceable,then the entire arbitration_agreement in paragraph 13 will.be rendered nuli and void:,- . _ D INANCED TRANSACTIONS. if Customer uses a credit card or obtains financingto.pay some-or all of the Price,then Customer acknowledges that the-terms of his or her cardholder. 15. CREDIT-.CAR,/F agreement or financing documents may change the total amount of money Customer must pay to-the credit,card provider or lender,including any interest charges and.fees:Customer acknowledges that his or her cardholder-:agreement or financing documents may have other terms and conditions to which Customer will be subject.Customer also acknowledges that Lowes is not a-party to any-such cardholder or fin- ancing agreement. half belongs:to Lowe's Lowe's will`re uire.the installer;'on behalf 6f itself.and_any,of-the Installers-subcontractors,ma- 1 e.WAIVER OF`LIENS.Because'responsibility for paying the Installer on Customer's be . q men or suppliers,as a condition precedent to payment by Lowe's on Customer's behalf,to fully and unconditionally relinquish;waive'and release any and--all mechanic's liens,materialman's<lien and other tenal PP es which the�lnstaller or its subcontractors,materialmen.or suppliers might'have or acquire.m the future,by operation of law or-otherwise,as a result`of this Contract. liens in the Premis VOIDABLE DELAY OR FAILURE IN PERFORMANCE EXCUSED.Any;delay or failure by Lowe's or the Installer in performing-this Contract because of stike,fire,.flood,epidemic,acts of terrorism, 17:UNA acts of God, inability to'obtain Goods in a timely or commercially feasible-manner,or any other.causes-beyond the reasonable control of Lowe's or the.Installer shall be excused and shall riot"be breaches of this Contract. 18.,�ENTIRE AGREEMENT/CHANGES IN WRITING.Customer and.Lowe's agree that this Contract accurately states the entire agreement between Customer and Lowes concerning the Goods.and Installa reto, both oral and written,and all oral agreements andun . derstandings entered into at the same time as this tion Services and replaces and supersedes all prior agreements and understandings relating the contract.Any additions or changes to this Contract,or any waiver of rights under this Contract,must be in writing signed by Customer and Lowe's. 19.CAPTIONS.Titles.or captions of sections contained in this Contract havd been inserted only as a matter of convenience and in no way define,limit,`edend,describe or otherwise affect the scope or mean- ing of this Contract or the intent of any provisions hereof. 20.ADDITIONAL INFORMATION.All contractors and subcontractors must be registered by the Administator of the Board of Building Regulations and Standards.Inquiries about a contractor or subcontractor relating to a registration should be directed to the Administrator of the Board at One Ashburton Place,Room 1301;Boston,MA 02108,(617)727-8598. 21.QUESTIONS OR CONCERNS.Customer should speak with the.Lowe's salesperson whose name appears on this Contract and the manager of the Lowe's store where Customer entered this Contract re- garding routine matters such as scheduling,any requested changes to Customer's order,or any concerns Customer may have about this Contract,the Goods or the Installation Services,at the address and/or phone number noted on the front page of this Contract. Store 1094 Project No. 271765981 for RICK BRiNGHAM Page 8 of 8 ARRAY DESIGN / SITE DIAGRAM HEIGHT OF HOUSE PANEL ORIENTATION (TRUE) ROOF PITCH (DEGREES) 268" 221° 30' CROSSBOW LANE = z LO Zg ,C'S Q 0 AC DISCONNECT Z Co LGATE120 W O � UTILITY METER 0 iv ti rn Z rno Z iii E D 451" � � 0 � ***PVC PIPE TO BE MOVED*** U Q z tl 16" 16" E 2" CU co 'may+1_(11)' ,('i) �, Cn - I (n to 'i-17) PLACE INVERTER o N O (n INSIDE BASEMENT TO z THE LEFT OF THE MEP WITH CUSTOMERS SOLARMOUNT Landscape _ APPROVAL Total's <-39.05"-j> Total#of Panels: 24 ***ARRAY LAYOUT IS NOT TO Total#of Splice Bars: 10 ' SCALE*** Total#of Bonding Jumpers: 10 � Total#of L-Feet: 76 EcoFasten Solar Flashings will be Total# End Clamps: 36 p Total#of Mid-Clamps: 36 used on every roof penetration Customer Signature: Date: i I i OWNER'S AUTHORIZATION FORM for Permit Application(s) The sole purpose of this authorization form is to provide Next Step Living with the necessary permission from the Owner to file Permit Application(s)for such project work as agreed upon between the Owner and the Owner's Authorized Company and its designated subcontractors. Owner's Name: Richard Bringham Solar Project Address: 49 G,ossbow,,-n . Nor,,, AnOL)vP,. MA Q1 845 Signature: Owner's Authorized Company: Next Step Living Inc. Company's Address: 21 Dry Dock Avenue South Boston,MA 02210 Affiliation: Contractor Applicable License: HIC#162111 State: MA I i ELECTRICAL DESIGN PV MODULE RATINGS 0 STC INVERTER RATINGS 690.53 PHOTOVOLTAIC POWER SOURCE SERVICE PANEL RATINGS ARRAY DETAILS SIGN ON INVERTER MEP BRAND: MPPT1 MODULE MANUFACTURER: LG INVERTER MOD�: Sunny Boy BUS AMP RATING(A):200 MODULES PER STRING: 12 MODULE MODELM LG300N1C-G3 7000TWS-12-240V OPERATING CURRENT(A):18.92 SERVICE VOLTAGE(V):240 NUMBER OF STRINGS: 1 OPEN-CIRCUIT VOLTAGE(Voc): 39.5 MAX DC VOLT RATING(V):600 OPERATING VOLTAGE(V): 384.0 MAIN AMP RATING(A):200 MPPT2 OPERATING VOLTAGE(Vmp): 32.0 AC NOMINAL POWER(W):7000 MAX SYSTEM VOLTAGE(V):558.9 BREAKER RATING(A):40 MODULES PER STRING: 12 OPERATING CURRENT(Imp): 9.46 NOMINAL AC VOLTAGE(V):240 MAX CIRCUIT CURRENT(A):20.2 NUMBER OF STRINGS: 1 SHORT-CIRCUIT CURRENT(Isc):10.05 MAX AC CURRENT(A):29.2 MAXIMUM POWER(W):300 MAX OCPD RATING(A):40 ELECTRIC SHOCK HAZARD RED IS POSITIVE Voc TEMP COEFF(mV or°/d°C)=-0.31 °/d°C THE DC CONDUCTORS OF THIS BLACK IS NEGATIVE Isc=0.030/61°C PHOTOVOLTAIC SYSTEM ARE UNGROUNDED AND MAY BE ENERGIZED ***THIS SYSTEM REQUIRES 24 TIGO ENERGY MAXIMIZERS-(MM-ES50).MANAG EM ENT UTILITY O UNIT(MMU). GATEWAY AND VERIS E51 METER ENERGY METER *** #10 THWN-2 Wire #6 THWN-2 __ #6 THWN-2 Ground Through to 200A • I 1"EMT INDOORS Breaker INVERTER OUTSIDE AC MEP ESTFIJNG OF MODULES IN Sunny Boy 7000TL-US-22- DISCONNECTLGATE120 60A 240V ERIES: 12 REVENUE RRADE (NOT FUSED)OF MODULES IN ZDC+ LIW- ON ERIES:12 + 0 0 1 ° Lz L' GN rn II AC L2 LGate I V� oc4 INTERFACE N 12D LOAD I I V DC G INTEGRATED I SolaDeck-Pass DC ——— ——— ——— Through DISCONNECT — I #6 THWN-2 GROUNDING #6 THWN-2 Ground I ELECTRODE #10 PV Rated Cable Through to , ) #6 Bare Copper Breaker I W0408ML11 1"PVC OUTDOOR I 25-S 5 VVI$F I 125A L2 L1 SUBPANEL POWER BOX FOR 1 DC CONTACTOR ON ROOF Licensed Electrician Assumes All - — Drawin - JI-NSL-07/11/2014 Responsibility For Determining Next Step Living Inc. Customer Name: ERIN BRI NGHAM Onsite Cion I oAc Accordance Executing �fj � ilext • "� One Line Diagram Address: 49 CROSSBOW LANE Installation In Accordance with ,� NEC 2014 CodesSolar Installation NORTH ANDOVER, MA 01845 Phone: (978) 975-2132 rye �r 41 Qj cu r. ri Cl t. fu Qi V) L. • CL t i i 21 Drydock Avenue, 2n° floor next step Living , Boston, MA 02210-2384 home energy solutions 866-867-8729 NextStepLiving.com July 19,2014 Town of North Andover Building Department 1600 Osgood Street North Andover,MA 01845 RE:Erin Bringham Residence Solar Panel Installation 49 Crossbow Lane North Andover,MA 01845 Structural Assessment of Roof Framing ' NSL Project No: SP46917 Dear Sirs, Next Step Living, Inc.has performed a limited structural evaluation of the roof framing at the above referenced site to determine if the roof has adequate capacity to support proposed solar PV panels.This analysis has been based on field measurements,framing information and configurations observed at the proposed site. The existing residence is located at 49 Crossbow Lane,North Andover, MA 01845. Structural Data and Code information Our analysis was performed in accordance with the requirements of the MA Residential Building Code 780 CMR—Eighth Edition.The main roof of this residence is framed with conventional roof rafters with some collar ties in a gable configuration.The existing roof structure is in good condition and currently has one layer of asphalt shingles as roof covering. The pertinent data is listed below: I Main Roof Rafters:1 W x 7 Ye(#2 Spruce Pine Fir,Hem Fir,D.Fir Larch Assumed) Rafter Spacing:1r on center. Roof Slope: 30 Degrees Horizontal Projected Length of Rafter: 14 feet Ceiling Joists:Present Collar Ties: Present every third rafter Roof Sheathing: Plywood sheathing Roof Covering: Asphalt shingles Condition of Framing. Good Ground Snow Load,Pg.:50 PSF from Table R301.2(5) Importance Factor,l: 1.0 Exposure Factor,Ce: 1.0(Partially Exposed) r-The Commonwealth of Massachusetts -Print Fon— Department of Industrial Accidents Office of Investigations I Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): United Solar Associates, LLC Address:P.0 Box 498 City/State/Zip:Malden, MA 02148 Phone #:855-786-1776 Are you an employer? Check the appropriate box: Type of project(required): 1.❑✓ I am a employer with 5 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity. employees and have workers' y p �'• 9. El Building addition [No workers' comp. insurance comp. insurance.$ 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.E] 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 employees. [No workers' 13.0 Other 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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Travelers Policy#or Self-ins.Lic.#:7PJUB-5B50763-8-14 Expiration Date:07/23/2015 Job Site Address:49 Crossbowlane City/State/Zip:N Andover, MA 01845 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under 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 DI r insurance coverage verification. I do hereby certi nd jr the ains an nen#1644 er'u that the in ormation provided above is true and correct. Si nature: — -- -- -----_-_'k Date: 7/22/2014 Phone#:855-786-177 Oficial 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#: i i Erin Bringham Residence Solar Panel Installation 49 Crossbow Lane North Andover,MA 01845 j Page 2 Thermal Factor Ct: 1.0 Existing condition(Warm Roof) 1.1 With panels(Cold Roof) Design Snow Loads: 35 PSF(Existing—Unobstructed Warm Roof) 25.68 PSF(New Condition—Slippery Surface on Cold Roof) Basic Wind Speed: 100 MPH from Table R301.2(4) Importance Factor: 1.0 Exposure: C Analysis Results ; j General 1 The proposed solar panels impose a total weight of approximately 3 pounds per square foot(PSF)on the I roof surface.The International Residential Building Code allows up to two(2)roof coverings on a residential dwelling. Each roofing layer of asphalt shingles imposes a dead load of 2.5 to 3.0(PSF)on the roof. Because the existing roof has only one layer of shingles,the code allows a second layer to be added without analysis.The weight of the second layer of shingles is approximately the same as the solar panels which will be installed instead of the second layer of shingles. Solar panels are considered a slippery surface and are mounted a small distance above the existing roof. Therefore,one would be cautious in considering a thermal factor,Ct,of 1.1,treating the panel surface as a cold roof,rather than a warm roof.After considering the roof slope factor,Cs,from figure 7-2,ASCE 7-10,the snow load is reduced by 27%for the main roof compared with the snow loading on the existing shingled roof,which is not considered a slippery surface.The reduction in snow load due to this consideration is about 9.32 PSF for the main roof,which offsets the weight of the solar panels. Gravity Loading• Although the addition of solar panels results in a net reduction in the overall loading,the existing rafters are overstressed.As such,we recommend that a 2 x 6 collar tie be added at every set of rafters which do not currently have one.The additional collar ties should be at least six(6)feet long, and match the elevation of existing collar ties as close as possible.The collar ties should be cut flush to the roof sheathing,and shall be fastened to each existing rafter with a minimum of 5—16d nails OR 5 Ledger Lock screws as manufactured by Fasten Master. The panels will be installed using Unirac Solar Mount rails with L-brackets in a landscape configuration with a rail toward the top and bottom of each panel edge.The L-brackets will be fastened directly to the roof rafters with 5/16"diameter lag screws.The fastener layout shall start near each corner and for landscape orientation shall have a maximum spacing of 36"on center parallel to the roof slope and 48" on center perpendicular to the slope(e.g.,every third rafter),except the maximum spacing shall be 32" on center perpendicular to the slope(e.g.,every other rafter)in the areas of the array which lay in Zones 2&3. f i I I Erin Bringham Residence Solar Panel Installation 49 Crossbow Lane North Andover,MA 01845 j Page 3 Each 5/16"diameter lag screw shall have a minimum of 2.5"thread penetration into the existing rafter. It is also important that the L-bracket attachment locations be staggered whenever possible between i adjacent rails so that no single rafter supports more load than under the existing conditions I { Wind Loading: I 3 Provided the leveling feet attachments to the roof are made in a typical staggered pattern,the overall wind loading imposed on the structure will not be impacted to any great extent.The net wind loads imposed on the roof framing will be less than the current loading with an attachment spacing described above. Conclusions: '. Our evaluation of the proposed solar-electric installation has established that the framing is NOT adequate to support the addition of the solar panels to the existing roof as indicated on the Solar PV plans without strengthening the structure as previously discussed herein.Once the roof framing is reinforced,it will be adequate to support the solar panels.We have only reviewed the adequacy of the connection to the existing rafters and the capacity of the existing rafters to support the vertical and lateral loads from the solar electric system.We do not take responsibility for any other portion of the i solar panel array support system,the existing roof framing construction,or the integrity of the structure as a whole. Do not hesitate to contact my office at 866-867-8729 should you have any questions or if you require any additional information. j I j Respectfully, Next Step Living,Inc. I I �► Dean A. o e ,P.E. j MA Prof.Eng. License#50405 I i i i i i A l c V!r 1Vcvv nmmrornRc r ELECTRICIANS BOARD STAIT OF CONNECTICUT F NAME: DAN# ;9NM 'GfH ELECTRICAL UNI:IM1TEDTOURN7EYPERSON j' 12906 M" DAigIEl,j MCGRATH t 114 BOVI.STON ST �' r -4. EXPIRES: LIC.7 FIEG NO,. IVE.,, .ai EXPI ELC.0199933- 1 oai0/01/2413�,,j'' 09/30/2014 '�sr�wrr ! � SIGNEDV4: ..—•.--+-- .�._.__— _-��,.1 --__ . --- -- - ____.�� v — o COMMONWEALTH OF MASSACHUSETTS 101',19*12:2-Q]9 10111,F11114101:406 * STATE OF MAINE ? BOARD OF DEPT OF PROFESSIONAL&FINANCIAL REGULATION ELECTRICIANS ELECTRICIANS'EXAMINING BOARD LICENSE CENSE AS A 'ISSUES THE FOLLOWINGW LICENSE#MSf 0020703 REG f STERE D MASTER ELECTRICIAN-.. IOC e IC z DANIEL MCGRATH UNITED SOLAR ASSOCIATES LLC , .W H MASTER ELECTRICIAN DANIEL J MCGRATH Z :W 14 BOYLSTON ST 1 ISSUED Aug 26,2013 EXPIRES Aug 31,2015 MALDEN MA 02148-7931 20616 A 0 1 16. 2 2 7/3 / 97 9 V COMMONWEALTH OF MASSACHUSETTS 61 ill M • • OR*]• • � +�+=""" 11-652;5 27 BOARD OF 0 ELECTRICIANS , ISSUES THE FOLLOWING LICENSE t complMada AS'A. REG JOURNEYMAN 1:LECTR i C I AN ¢ Tis`ard so-� :,ailscaumin noes ooeup.�ar�.i < Cone. DANIEL J MCGRATH W Daniel Myth 114 Boy ISTON ST - tW ^'e_... Keith M.Prendergast 3/2'$/2011 � MALDEN MA 02148-7931 �vW 11467-';B 07/3]/.16:,;,. 97293. {Treu+arnams-pn�atYPs) - . - ' �: 'lEa.• �;ltu,rtrc-�!'�}►artn>;c;rt ,f f'u:.iir�d�• --- � - -84.11,41 of of Building Re,--tilation, and S tundard;• Construction SU e 3 e�fc`irCuri��arrrrKrrl111'/C I(u3 ttr�rri;rl�s rvisor Lic - ne- P ens- Office of Consumer Affairs&Business Regulation ; O and Two-1=arrriiy Dwefliiegs - License: — ME IMPROVEMENT CONTRACTOR CS 104876 egistration: 168524 Type: DANIEL,MCGRATHpiration: 3/7/2015 Individual 114 BOYLSTON ST • DANIEL MCGRATH MALDEN, MA 02148 i DANIEL MCGRATH ' 114 BOYLSTON ST Expiration: 9/15/2Q14 MALDEN,MA 02148 Tr=: 104876 Undersecretary r+Fmn .i..nrr Le Life's Good 0 I �. " LG Electronics,Inc. xchan Exchange:e:06657.KS)is � 9 one of the globally leading companies and U g Y 9 pa technology innovator for electronics,information and communication products.The LG Electronics ('312 currently employs more than 91,000 people worldwide in 117 companies. In fiscal year 2011, ' 48.97 billion USD of revenue was achieved. LG is one of the world's largest manufacturers of mobile phones,flat screen TVs,air conditioners, washing machines and refrigerators.As a future- oriented company,LG enables others to use technology consisting of renewable energies. LG's high quality solar products are being manufactured in LG's leading production facility in South Korea. a"Rly "Muer Clew E O KM 564573 BS EN 61215 Photovoltaic Modules l LG's High Efficient Cell Technology O O Convenient Installation Driven by LG's own N-type technology, LG's high- LG modules are carefully designed to benefit efficiency modules will provide customers with installers by allowing quick and easy installations CA Terh—l.qy high econ6mic benefits. throughout the carrying,grounding,and connecting stages of modules. "� 16.8kg Light and Robust 100% EL Test Completed p With a weight of just 16.8 kg,LG modules are `, All LG modules pass Electroluminescence �,ght w.Thr proven to demonstrate outstanding durability a' inspection.This EL inspection detects cracks and against extbrnal pressure up to 5400 Pa. Ei r•a other imperfections unseen by the naked eye. Reliable Warranties Positive Power Tolerance LG stands by its products with the strength of a LG provides rigorous quality testing to solar global corporation and sterling warranty policies. modules to assure customers of the stated power Linae.w_.raMy LG offers a 10 year product limited warranty and a outputs of all modules,with a positive nominal 25 year limited linear output warranty. " `s"' tolerance starting at 0%. I HAIJ lJ r 0 Lc W/ooNIKc_ (1, -13� Q Mechanical Properties Electrical Properties(STC") Cells 6 x 10 300 W Cell vendor LG MPP voltage(Vmpp) 32.0 Cell type Monocrystalline MPP current(Impp) 9.42 Cell dimensions 156 x 156 mm'/6 x 6 int #of bulbar i 3 Open circuit voltage(Voc) 39.5 Dimensions(L x W x H) 1640 x 1000 x 35 mm Short circuit current(Isc) 10.0 64.57 x 39.37 x 1.38 in Module efficiency(%) 18.3 ,Static snow load 5400 Pa/113 psf Operating temperature(°C) -40_+90 Static wind load 2400 Pa/50 psf Maximum system voltage(V) 600(UL),1000(IEC) Weight 16.8±0.5 kg/36.96±1.1 Ib Maximum series fuse rating(A) 15 Connector type MC4 connector IP 67 Power tolerance(%) 0-+3 Junction box IP 67 with 3 bypass diodes `STC(Standard Test Condition):Irrad,ance 1000 W/m',module temperature 25•C,AM 1.5 Length of cables 2 x 1000 mm/2 X 39.37 In The nameplate power output is measured and determined by LG Electronics at its sole and absolute discretion. Frame Anodized aluminum Q Certifications and Warranty Q Electrical Properties(NOCT") Certifications IEC 61215,IEC 61730-1/-2,UL 1703, 300 W ISO 9001,IEC 61701(11.1 progress), Maximum power(Pmpp) 220 a DLG-Fokus Test"Ammonia Resistance'; MPP voltage(Vm pp) 29.3 (in progress) MPP current(Impp) 7.51 Product warranty 10 years Open circuit voltage(Voc) 36.5 Output warranty of Pmax ' (measurement Tolerance±3%) Linear warranty* Short circuit current(Isc) 8.08 1)1st year 97%,2)After 2nd year:0.7%annual degradation,3)80.2%for 25 years Efficiency reduction o i (from 1000 W/mr to 200 W/mr) <4.5 /° QTemperature Coefficients NOCT(Nominal Operating Cell Temperature):Irradiance 800 W/m2,ambient temperature 20`C, wind speed 1 m/s NOCT 45±2°C Pmpp -0.42%/K 10/0.40 10/0.40 Dimensions(mm/in) Voc -0.31%/K Isc 0.03%/K Q Characteristic Curves 10 1000 W 5.5'4.0%Mewl 1000/39.3'! 2B/1.10 32/0.87 Q 9 0'.k,hwe.(44y ts'-f.hon.re•) Long side frame Shad side frame 960/3280 4,0'25 n a 800 W Or.ln 6ole.(4..) (Di,i.nc.betwe.n mounffn9 hol.,) U 18/0.71 7 46/1.69 ° 6 600 W .lon,tbn box 5 12-01.3 Grounding 6olr,(12x) (-) 0) q 400 W 6.08.0(z New) T 3 Mevnene hof..ro..) I 2 200 W I+ `22 1 1000739.37 ,p SS/0.2//00.2\ Cebls d 0 5 10 15 20I.nyMi 25 30 35 40 Voltage(V) _ T 9 ."v r F F n+s/o.o6 140 - s i oe iiil x £ 120 E 3 s 4.0/0.16 a Isc € i m J• 100 < N� Voc 80 PmaX c - T stein 94413717 I 088/0-31 60 l / 40 I 1 S at.n z 20 N 0 38/1.38 -40 -25 0 25 50 75 90 Temperature(•C) "The distance between the center of the mounting/grounding holes I ©� North America Solar Business Team Products Good"is a r are subject to change without notice. a LG Electronics U.S.A.Inc "LG Life's Good"is a registrated trademark of LG Corp, L� 1000 Sylvan Ave,Englewood Cliffs, All other trademarks are the property of their respective owners. • NJ 07632 f Contact:Ig.solar@lge.com Copyright©2013 LG Electronics.All rights reserved. Life s Good www.lgsolarusa.com 03/01/2013 I SUNNY BOY 600OTL-US / 70007L-US / 8004• L-US / • 900OTL-US / '1000oTL-US / 1 00011-US V, fi • - � f f f �M„± d ✓ 3 � ry fW n A' Yt r - N0W AVAILADLA FOR WV w• B x 51 Innovative Economical Reliable Convenient • First transformerless SMA inverter • Maximum efficiency of 98.7% •OptiCoolTm active temperature • Integrated DC disconnect to be certified in accordance with •Classleading CEC efficiency of 98.5% management. • SMA Power Balancer for three- UL 1741 • Superior MPP tracking with phase grid connection • First inverter with arc-fault circuit inter- OptiTrad'^ rupter listed according to UL 16998 •Transformerless,with H5 topology SUNNY BOY 6000TL-US / 7000TL-US / 8000TL-US / 9000TL-US / 10000TL-US / 11000TL-US Transformerless design, maximum energy production The Sunny Boy TL-US series is UL listed for North America and features SMA's innovative H5 topology, resulting in superior efficiencies of more than 98 percent and unmatched solar power production. The transformerless design reduces weight, increases'the speed of payback and provides optimum value for any residential or decentralized commercial PV system.The Sunny Boy TL-US series for North America is the ideal choice in transformerless technology. Sunny Boy 8000TL-US Sunny Boy 8000n-US Sunny Boy 9000TL-US Sunny Boy 9000TL-US 208 V 240 V 208 V 240 V 10000 W y 10000 W 11250W 11250W 8400 W 8300 W 9400 W 9300 W 600 V 600 V 600 V 600 V 300V-480V/345V 345V-480V/379V 300V-480V/345V 345V-480V/379V 300 V/360 V 345 V/360 V 300 V/360 V 345 V/360 V 27.9 A 24.1 A 31.4 A 27.1 A 27.9_A 24.1 A 31.4 A 27.1 A 1 1 1 1 6 6 6 6 8000 W/8000 VA 9000 W/9000 VA 208 V/183 V-.229 V 240 V/211 V-264 V 208 V/183 V-229 V 240 V/211 V-264 V 60 Hz/59.3 Hz...60.5 Hz 60 Hz/59.3 Hz...60.5 Hz 60 Hz/59.3 Hz...60.5 Hz 60 Hz/59.3 Hz...60.5 Hz 38.5 A 33.4 A 43.3 A 37.5 A 1 1 1/2 1/2 98%/98.6%v 98%/98.6% 98%/98.6% 98%/98.7% 1 I IV IV 470/615/240mm(18.4/24.1/9.5inch) 470/615/240 mm(18.4/24.1/9.5inch) 187/297/190 mm(7.28/11.7/7.5 inch) 187/297/190 mm(7.28/11.7/7.5 inch) 35 kg/7816 35 kg/78 lb 3.5 kg/8lb 3.5 kg/8lb -40°C...+60*C/40°F...+140*F -40*C...+60°C/-40*F...+140*F 46 dB(A) 46 dB(A) 0.15W 0.15W Transformedess H5 Transformedess H5 OptiCool OptiCool NEMA 3R NEMA 3R NEMA 3R NEMA 3R 100% 100% Screw terminal Screw terminal Screw terminal Screw terminal i Text line Text line 0/0 0/0 9/0/0 0/0/0 U11741,UL1998,IEEE1547,FCC Part 15(Class A&B),CAN/CSA C22.2 107.1-1,UL 1699B r : r r SB 8000TLUS-12 SB 9000TLUS-12 Technical data Sunny Boy 6000TL-US Sunny Boy 6000TL-US Sunny Boy 7000TL-US Sunny Boy 7000TL-US 208 V 240 V 208 V 240 V Input(DC) Max.recommended PV power(C module STC) 7500 W 7500 W 8750 W 8750 W Max.DC power(@ cos W-.1) 6300 W 6200 W 7300 W 7300 W Max.input voltage 600 V 600 V 600 V 600 V MPP voltage range/rated input voltage 300V-480V/345V 345V-480V/379V 300V-480V/345V 345V-480V/379V Min.input voltage/initial input voltage 300 V/360 V 345 V/360 V 300 V/360 V 345 V/360 V Max,input current 20.9 A 18.1 A 24.4 A 21.1 A Max,input current per string 20.9 A 18.1 A 24.4 A 21.1 A Number of independent MPP inputs 1 1 1 1 Strings per MPP input @ Combiner Box 6 6 6 6 Output(AC) Rated power/max.apparent AC power 6000 W/6000 VA 6000 W/6000 VA 7000 W/7000 VA 7000 W/7000 VA Nominal AC voltage/nominal AC voltage range 208 V/183 V-229 V 240 V/211 V-264 V 208 V/183 V-229 V 240 V/211 V-264V AC power frequency/range 60 Hz/59.3 Hz...60.5 Hz 60 Hz/59.3 Hz...60.5 Hz Max.output current 28.8 A 25 A 33.7 A 29.2 A Power factor at rated power r 1 1 1 1 Feed-in phases/connection phases 1/2 1/2 1/2 1/2 Efficiency CEC efficiency/max.efficiency 98%/98.6% 98.5%/98.7% 98%/98.6% 98.5%/98.7% Protective devices DC reverse polarity protection ♦ • ♦ • AC short-circuit current capability • • • • Galvanic isolation - - - - All-pole-sensitive residualcurrent monitoring unit • ♦ • - Arc-fault circuit interrupter(according to UL 16998) • • • • Protection class I I I I Overvoltage category IV IV IV IV General data Dimensions(W/H/D) 470/615/240 mm(18.4/24.1/9.5 inch) 470/615/240 mm(18.4/24.1/9.5 inch) Dimensions of DC Disconnect(W/H/D) 187/297/190 mm(7.28/11.7/7.5 inch) 187/297/190 mm(7.28/11.7/7.5 inch) Weight 35 kg/7816 35 kg/78 Ib 35 kg/78 Ib 35 kg/78 Ib Weight of DC Disconnect 3.5 k9/816 3.5 kg/8 Ib 3.5 kg/8 Ib 3.5 kg/8 Ib Operating temperature range 40°C...+60°C/-40°F...+140°F -40°C...+60°C/-40°F...+140°F Noise emission(typical) 46 dB(A) 46 dB(A) 46 dB(A) 46 dB(A) Self-consumption(night) 0.15W 0.15W 0.15W 0.15W Topology Transformerless H5 Tronsformedess H5 Transformedess H5 Transformerless H5 ticool O ticool O ticool O ticool O Cooling concept p p P P Degree of protection NEMA 31? NEMA 3R NEMA 3R NEMA 311 Degree of protection of connection area NEMA 3R NEMA 3R NEMA 3R NEMA 3R Max.permissible value for relative humidity 100% 100% 100% 100% (non-condensing) Features DC connection Screw terminal Screw terminal Screw terminal Screw terminal AC connection Screw terminal Screw terminal Screw terminal Screw terminal Display Text line Text line Text line Text line Interface:RS485/Bluetooth' 0/0 0/0 0/0 0/0 Warranty:10/15/20 years 0/0/0 0/0/0 •/O/O •/O/O Certificates and approvals(more available on request) UL1741,UL1998,IEEE 1547,FCC Part 15(Class A&B),CAN/CSA C22.2 107.1.1,UL 16998 1 Type designation SB 6000TLUS-12 SB 7000TLUS-12 Technical data Sunny Boy 10000TL-US Sunny Boy 10000TL US Sunny Boy 11000TIL-US 208 V 240 V 240 V Input(DC) Max.recommended PV power module STC) 12500 W 12500 W 13750 W Max.DC power((d cos N-1) 10500W 10350 W 11500 W Max.input voltage 600 V 600 V 600 V MPP voltage range/rated input voltage 300 V-480 V/345 V 345 V-480 V/379 V 345 V-480 V/379 V Min.input voltage/initial input voltage 300 V/360 V 345 V/360 V 345 V/360 V Max,input current 35A 30.2 A 33.3 A Max.input current per string? 35A 30,2 A 33.3 A Number of independent_MPP inputs 1 1 1 Strings per MPP input @ Combiner Box 6 6 6 g Output(AC) Rated power/Max.apparent AC power 10000 W/10000 VA 11000W/11000 VA S Nominal AC voltage/nominal AC voltage range 208 V/183 V-229 V 240 V/211 V-264 V 240 V/211 V-264V AC power frequency/range 60 Hz/59.3 Hz.,.60.5 Hz 60 Hz/59.3 Hz...60.5 Hz 60 Hz/59.3 Hz...60.5 Hz Max.output current 48.1 A 41.7 A 45.8 A = Power factor at rated power 1 1 Feed-in phases/connection phases 1/2 1/2 Efficiency sa CEC efficiency/Max.efficiency 97.5%/98.6% 98%/98.7% 98%/98.7% e S Protective devices r DC reverse polarity protection • • r AC shorkircuit current capability • • Galvanic isolation -Al.pole-sensitive residual-current monitoring unit • • Arc-fault circuit interrupter(according to UL 16996) • • 3 Protection class I I Overvoltage category IV IV - General data Dimensions(W/H/D) 470/615/240 mm 118.4/24.1/9.5 inch) s Dimensions of DC Disconnect(W/H/D) 187/297/190 mm(7.28/11.7/7.5 inch) - Weight 35 kg/78 Ib Weight of DC Disconnect 3.5 kg/B Ib Operating temperature range 40°C,..+60°C -40°F...+140°F / 46 dB(A) � Noise emission(typical) 46 dB(A) Self-consumption(night) 0.15 W 0.15 W Topology I Transformerless H5 Tronsformerless H5 - Cooling concept OptiCool Opticool Degree of protection NEMA 3R NEMA 3R - Degree of protection of connection area NEMA 3R NEMA 31Z Max.permissible value for relative humidity 100% 100% E (noncondensing) Features DC connection Screw terminal Screw terminal _o AC connection Screw terminal Screw terminal Display Text line Text line Interface:RS485/Bluetooth 0/0 O/O s Warranty:10/15/20 years •/O/O •/O/0 Certificates and approvals(more available on request) UL1741,UL1998,IEEE1547,FCC Part 15(Class A&B),CAN/CSA C22.2 107.1.1,UL 16998 f NOTE:US inverters ship with gray lids Type designation SB 10000TLUS-12 SB 1 1000TLUS-12 Efficiency curve SUNNY BOY 1 1000TL-US Accessories a E Sunny Boy Combiner Box Bluetooth P'ggy-Bock F 96 SBCBTL6.10 STPBINV-NR '^ x with External Antenna $ 94 L BTP&MANT-NR ._...___- -�...._.�..,,,..,.- - m m 92 ;� 9e.5 v Interfoce RS 485 r,� SMA Power Balancer Set ,. ig 90 _._.:._.,.. __.w- 97.5 r ' 485USP6NR * PBL-SBUS•10-NR N 88 --- Eta IV.,-345 Vi_ � 96.5 8 ���jjj//! a Eta IV,-379 V( m 345 480 j 86 _ -- Eta(VN-480 VI y6 0.0 0.2 0.4 0.6 0.8 1.0 Y Y $' •Standard feature O Optional feature -Not available m Output power/Rated power 'z Data at nominal conditions z Toll Free+1 888 4 SMA USA www.SMA-America.com SMA America, LLC QuikFoot— Product Guide Installation Instructions -? -70 Nal Y Z 3 1. Locate the rafters and snap horizontal and vertical lines to mark the installation position for each QuikFoot. t " 2. Install base as shown using appropriate fasteners.* 3. Insert the flashing so the top part is under the next row of shingles and pushed e► � R �,: far enough up slope to prevent water infiltration through vertical joint in shingles. a 4. Install bare EPDM washer on stud,pushing it down until it is flush with the top of ` ' � the flashing. S. Apply compression bracket to stud.Install bonded washer with rubber side down, and tighten stainless nut to 50 inch-pounds. Consult an engineer or go to www.ecofastensolar.com for engineering data. *EcoFasten recommends XHD fasteners by OMG. € 4 5 l 877-859-3947 Committed to the Support of Renewable Energy 0 EcoFasten Solar,All content protected under copyright All rights reserved.02/28/2013 2.1 QuikFoot— Product Guide Installation Instructions a Use for vertical adjustment when leading edge of flashing hits nails in upper shingle courses . Slide flashing up under shingles until leading edge engages 2. Remove flashing and cut"V" notch at marks where nail shafts engaged _ nails.Measure remaining distance to adjust upslope.- -- — -- leading edge of flashing the distance desired in Step 1.Notch depth not to exceed 2" length by 1/2"width. Nails beneath shingle �.Y. a Placement of"V"notch 011,111 e 9 ! 3. Reinstall flashing with notched area upslope. 4. Position notched leading edge underneath nail heads as shown. Nails beneath shingle Nails beneath shingle Py i yJ 877-859-3947 Committed to the Support of Renewable Energy 0 EcoFasten Solar®All content protected under copyright All rights reserved.02/28/2013 2.2 � X10 R Tj1.! Town o : _ Andover No. . h soh ver, Mass, 23 L U BOARD OF HEALTH PERMIT T LD Food/Kitchen r Septic System THIS CERTIFIES THAT ............. l,. t!1 -,E, .............Z,{4len .......... �L.�... .... BUILDING INSPECTOR � + has permission to erect .......................... buildings on ....1:.1....... .,,,,..,,,,...,,...,,,,... Foundation to be occupied as ... A.1,-.nS ........... .�.. .� ......... .� . ..... '!�L Rough u h Chimney provided that the person accepting this permit shall in every respect conform to the t sof the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final �� 2 • PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCT I ST S 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. From: 781-438-3305 To: 19786889542 Page: 4/4 Date: 7/22/2014 2:57:43 PM .11'1i ACORRRJ►® CERTIFICATE OF LIABILITY INSURANCEF7/22/2014 DATE(MM/DD/YYYY) /� `)ITHIS.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 House Account NAME: LoPriore Insurance Agency PH°NE (781)438-1375 FAX A/C.NO);(7 81)438-6790 426 Main Street Suite 2 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC 9 Stoneham MA 02180 INSURERA:Selective Insurance Co. of 39926 INSURED INSURER B:Safet Insurance 39454 UNITED SOLAR ASSOCIATES LLC INSURER C: '114 BOYLSTON STREET INSURER D: INSURER E: MALDEN MA 02148-7931 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1342304068 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE_ ADDL 5UBR POLICY EFF POLICY EXP LIMITS INSR WVD POUCYNUMBER MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY CURRENCE $ 1,000,000 EACH OC X COMMERCIAL GENERAL LIABILITY I PREMISES Ea occurrence $ 100,000 A CLAIMS-MADE O}7R 1959118 1/10/2013 11/10/2014 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 3,000,000 X I POLICY 7 PRCOT LOC $ AUTOMOBILE LIABILITY EOMBIINeDISINGLELIMIT $ 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED 6216142 12/15/201312/15/2014 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident $ X UMBRELLA LIAB P OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTIONS IS 1959118 1/10/2013 11/10/2014 $ WORKERS COMPENSATIONWC STATU- 07H- AND EMPLOYERS'LIABILITY Y/N O MISi E ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Evidence of coverage. CERTIFICATE HOLDER CANCELLATION i (978)688-9542 ! SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. Building Department 1600 Osgood Street AUTHORIZED REPRESENTATIVE North Andover, MA 01845 Jane Donovan/JANE — �... ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025ontnns).ni Thu Af'nRn name anri Innn aro raniciururi mar4c of A('nRn This fax was sent with GFI FAXmaker fax server. For more information,visit: http://www.gfi.com Rightfax, Cl-2 7/23/2014 6: 12 : 26 AM PAGE 2/002 Fax Server DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCEn7/2q/9Q 14 T. `l'IFICATE 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 and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: LOPRIORE INS AGENCY INC PHONE FAX 426 MAIN STREET SUITE 2 (A/C,No,Ext): (A/C,No): E-MAIL STONEHAM,MA 02180 ADDRESS: 75MTK INSURER(S)AFFORDING COVERAGE NAIC a INSURED INSURER A: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA UNITED SOLAR ASSOCIATES LLC INSURER B: INSURER C: INSURER D: 114 BOYLSTON STREET INSURER E: MALDEN,MA 02148 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MM\DD\YYYY) (MIADD\YYYY) LIMITS GENERAL LIABILITY =-ACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE E]OCCUR. PREMISES(Ea occurrence) I ED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: ENERAL AGGREGATE $ 0 POLICY ]PROJECT E]LOC PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) UMBRELLA LIABF1 OCCUR EACH OCCURRENCE $ EXCESS LIAB. CLAIMS-MADE AGGREGATE $ DEDUCTIBLE' $ RETENTION $ $ A WORKER'S COMPENSATION AND X WC STATUTORY OTHER EMPLOYER'S LIABILITY Y/N UB-58507638-14 07/23/2014 07/23/2015 LIMITS ANY PROPERITOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes, Ie under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. --------------- CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER-BUILDING DEPARTMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 1600 OSGOOD STREET BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT/,) VE f .:..:... .. ` NORTH ANDOVER,MA 01845 ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. All rights reserved. s10 R TF/ Town of EAndover O - 4" No. 165 * - b y ;4�;_Qtsoh ver, Mass, COCL.K* 410 "I C"t W@CK yA• S U BOARD OF HEALTH Food/Kitchen PER T LD Septic System • THIS CERTIFIES THAT ................. ... .. ....... ...k6ow4a, ........ ......... BUILDING INSPECTOR Foundation has permission to erect ........ ................. buildings on ....i.q.......C.A.01;4... ..0.".....X&MOO.. Rough to be occupied as T Chimney ..........�...... ...................... .......... -0 ............................................... provided that the person accepting his permit shall in every respect!oi-Z to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIONfoR Rough Service .................... ... ................................................ -BUILDING INSPECTOR Final 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. i Massachusetts -'Department of Public Safety Board of Building Regulations and Standards Construction Supervisor I &2 Family License: CSFA-047769 �+ tiV.l WARREN WRIGIA SR 6 KEOUGH ST FRANKLIN MA 1203$ tf c--' /ems i n� ., J,,G,,, Expiration . Commissioner 09/15/2015 't t��e�aiwn2a�uued�fi o�C>lOLcuJ Office of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR Type. egistration: 158752 Individual 1 xpiration: 2/2812016 i 4! I WARREN WRIGHT WARREN^WRIGHT` g 6 KE O UGH S , • undersecretary 1 FRANKLIN, M A 2035 U 0 .j From:FIRST CHOICE AGENY 95088759388 0410912014 18:48 #437 P.001/001 I Ae4ORa CERTIFICATE OF LIABILITY INSURANCE D0.TPil�D/YYYYI 4 THS CERTIFICATE iS ISSUED AS A MATER OF I FORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER 3f6S t CEit'MCA3E DOES NOT AFFIMA7WELY OR NEGATPJMY PX00,813WO OR ALTER 7TqE C019RAGE AFFORDED BY THE POLICES f BELOiN. THLS CWFjCATE OF INSURANCE DOES NOT CONSMTE A CONTRACT BETWEEN THE LSSMG IN WWgSb AUTHORIZED REPRESENTATNE OR PRODUCM AND 7HE CEFMFICATE HOLDER. OPORTANT; w R the ewe balder Is an ADDTIIONAL INSURED,the paiic w),,lust he srldorsad. If STATION IS VYAIItED,subject to the terms and camg5ofs afthe pocky,c tam PDTcciies may mere an endarsemet A statement OnUde certificate dam notcaafer righ13 to file rsW=ft ham"in fto of such�nfw. PROWCER HARM A-Costa Iasumanae Agency, Inc PHMM {5081 875-3488 10-11*(508) 875-9388 2 E'z n lin Commons �a-c stains.Dom Framingham, NA 41702 AFZORDBAiCDu>3rA8E NAtc tris MA:Nauti.lus InsurARce COMaRM INSURED owime.Travelers Ynsnrancs Cc=anvI EXTERIOR CONSTRUCTION SLsECIALI INwmc:Alm 34qtual Insurance C an 30 CHURCH ST INMRERD: Ute, NX 01569 llcsllRsts: { • iN5tER8tP. COVERAGES CERTTF=TENUMBER: REVISION NUMBEP-, THIS IS TO CERTIFY THAT THE POLICIES OF{NSLIRANGE USUD BELOW HAVE BEEN ISWEDTO TfIE lt@SLRW NAMED ABOVE FORTHE POLICY PERIOD {{+fQtCATED NOTVWHSTANDM ANY REQUIRENIETIT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT'WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY P'ERTA N.THE ff4&A JCE AkFFMMED BY THE POLICIES DESCFNED HEREIN IS SUBJECT TO ALL THE TERMS, EXLLIS;ANDCONDITiONS OFSUai f'OUCUx Ll I=SHDM NRY HAVE BEEN faMtEM SY PPbI CIAlla - TYPeoPlxsnRAxcta iR°°rpm wun PaL€tar raI>est Pouc€r a� POIIGY a� >!i!<ss A GMERAL IaBUM NN328883 3128/14 3128115 tm=OCCuRREiwc 51,000.000 nkvAc�i'O RENTED - c�v€�cuLt�LUE�ttwsa:rtY [ � $ 50,000 CLA954DIDE Fl OCCUR N£DEv(Argo€€ palm) €5 50,000 PERSML$ADVINSWEY $ 1,000,000 1 I C: LAEsGREGATE s 2,000,000 c;EN*LAGC,9EQ4'ML89rAPPLfE5iEft l € PRODUM-Cos-MPA©a IS 1 000 000 i PoLIcY M �I= ' s AUTOMO9tlfLMIXIM IBA9$174818 617/131 6/7114 M� wa€r s ANYAUM 50OLYI xsRM-P&MOM S 100.000 ALLOVII+ED3CIit3)ULSS BagHYRLIURY( erPatridenp 3 300,000- AUTOS AUrOS - PROPERTYDMWGE S 100,000 wREDAV7OS _AUMS = i U&MREILALUR OCCUR EACH OCCURRENCE i OCC@SUAS 101MI&s-r neADE1 { AGctREOME Is DEC, RErS+1T€ON R VVC 3 C 'YDS COMPENSATIONVWC10060118172013 4/10/14 4/7-0/15 XJTwmwlnKrml OTIi AND 13MOYERS'LIABIUIYYtH PA(YPRQPRIET}R/PAfiat2$?/�7�,S17NE JNI, � � � E.LE/iCliACdLEM' �5 500,440. OF�cRlR f7cCttna�T Ei Dls> sE_EA soY €3 500,000 tumor In Km n dse>tie+� EL.DiSEASE-PO€JCYLENtr s 500 000 ��.RtPr[DFEIF�RA3il;A1Sh+�w f i OE=N,M0HOF0PSiAT€ORSfL0rJi=M,VEHCLgS ifdtaehAC'0€m141,Ad mutReaaei� .6mwasgecei9m4u i CERTIFICATE HOLDtOt CANCELLAMON SHOULD ANY OF TH_ABOVE OESCR18ED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE ThEREOF, NOTICE rlBLL 8E DELIVERED IN 508-779-0294 ACCORDANCEWITH THE POUCYPROVISIONS- WHOM ZT MAF CONCE 01 AUTHORtUD REPRESENlATIVE DEBRA DALLA COSTA g 3988-4410 ACORD CORPOMMON. All righls reserved. ACORD 25(243 ) The ACORD name ami logo are reg-Lsfsrsd numim of ACORD phone: FDIC E Ia€l: I Pflh The Commonwealth of Massachusetts Farm. :. :: Department of Industrial Accidents office of investigations I Co Boston,ngress Street,Suite 10 MA 02114-2017 W4*u to an 1 Workers' C©mpensation Insurance Affidavit: �uilderslContractors/E1 PI ase p riot Le bl Applicant Infflru�adon United Solar Associates,LLC Name (Business/Orkmiaationiindividual): _ Address P•0 Box 498 Ci#y/State/Zip: Maiden, MA 02148 phone#:$55-786-1776 Are you an employer?Check the appropriate box: Type of project(required)- 4.4. Q 1 am a general contractor and 1 6. Q New construction 1. 1 am a employer with have hired the sub-contractors employees(full and/or part-time).* listed on the attached sheet. 7. Q Remodeling 2.Q I am a sole proprietor or partner- Thee sub-contractors have g. Q Demolition ship and have,no employees employees and have Workers' addition working for the in any capacity. 9' ❑Building comp.insurance-' [No workers' comp.insurance 5- Q We are a corporation and its 1U.©Electrical repairs or additions required.] officers have exercised their 11.0 Plumbing repairs or additions 3,❑ I am a homeowner doing all work right of exemption per MGL I2.❑Roof repairs myself. [No workers comp. c. 151, §1(4),and we have no 13,[�Other eYl�k� � insurance required.] employees.(No workers' COMP.insurance required.] Any applicant that checks box#] must also fill out the section below sho,Ving their workers'compensation policy intbrn�ation. t Homeowners who submit this affidavit indicating cti a d y are doing show ing work the nam of the and then hire tsid sub-contractors and stanntmr te whether or-tnrs must submit a new�thoseavit ientities l ha ech lCoitbraetars that check Ehis box must attar policy number. must provide their workers'comp.p c3' employees. 1f the sub-contractors have entployces,they p rkeps I compensation insurance for my employees. J;elow is tilepolicy and job site I am an employer that is providing run information. Insurance Company Name:Travelers iration Date:07/23/2015 Policy#or Self-ins.Lic.#:7PJUB-5650763-8-14 Exp Join Site Address: �r�5 Q _ City/State/Zipge :_ d expiration date). Attach a copy of the workers' compensation policy declaration pa52 can ad to the imposition of criminal owing the poUcy number npenaltie of a Failure to secure coverage as required under Section 25A of MGL e. of a STOP fine tip to$1,500.00 and/or one-year imprisonment,as well as civil Q f�is statement mlties in the ay be forwarded oth the of a fine of op to$250.00 a day against the violator. Be advised that a copy Investigations of the DIA for insurance coverage verification. d correct. laereb' der tlae ¢c a d en s a er u that thein ormatton paeor° ided above is tru I do certf I�riatllre: y / t Q Phone#: r55` �" i �' Official use only. Do raot write in this area,to he completed by city or town official permit/License# City or Town: Issuing Authority(circle one): 1.Board of Health 2.Buildinb Department 3_City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Phone#: Conta ct Person: - I CT HIC.0629266•MA OCABR#162111•RI Contractor Reg.#37185 exp Step Living, Inc. HOME IMPROVEMENTAGREEMENT 5/30/14 •• next ate livings, Date of Contract: ■+ home energy solutions 21 Drydock Avenue,2nd Floor Boston,Massachusetts 02210 Customer(s)Name(s): Richard Bringham and Erin Brir Telephone;866-867-8729•www.nexlstepliving.com Customer(s)Street Address:49 Crossbow Ln City: North Andover State: MA zip: 01845-3037 Customer(s)Home Phone#: 2 Customer(s)Mobile Phone#: 978-397-6961 Permit(s)Required: Building&Electrical City/County Issuing Permit(s): North Andover Customer(s)jointly and severally agrees to purchase the products and/or services of Neat Step Living,Inc.("Contractor")in accordance with the terns and conditions described on the front and reverse of this Home Improvement Agreement("Agreement')and the attached specification sheet(s).Customer(s) hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. ESTIMATED STARTING DATE: Monday,July 14,2014 ESTIMATED COMPLETION DATE: Monday,July 21,2014 TOTAL SOLAR SYSTEM PRICE: $48,164.22 PAYMENT METHOD: select option(s) ESTIMATED STATE REBATES: $1,250.00 RCashCredit Card SOLAR PURCHASE PRICE: $46,914.22 Check BFinancing ROOFING PURCHASE PRICE: $8,085.40 TOTAL PROJECT PURCHASE PRICE: $54,999.62 PERMIT: NSL or its subcontractor will obtain any necessary permits as the agent. see Payment Certificate for payment schedule In certain circumstances,Customer(s)may agree to assign to Contractor the right to receive and retain the rebate(s)associated with ownership and use of the product(s)in consideration of a reduction to the Total Price equal to the amount of the rebate. By signing below,Customers)hereby irrevocably assigns to Contractor the right to receive and retain such rebate.Owner agrees to provide all required support to receiv the ebate. Amount $1,250.00 (Customer's Initials) I'm fine receiving autodialed and/or pre-recorded calls or teat messages from or on behalf of Neat Step Living to tell me about new products,sales or other events I may be interested in,and you can use any of the telephone numbers I have provided above. I understand my approval to receive these calls is not required for me to make a purchase. (Signature) Customer(s)agrees and understands that this Agreement constitutes the entire understanding between the parties,and that there are no verbal understandings changing any of the terms of this Agreement.Customer(s)acknowledges that Customer(s)(1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two accompanying Notices of Cancellation,on the date first written above and(2)was orally informed of Customer's right to cancel this Agreement.DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. NEXT STEP LIVING, INC. / By: Brendan McDowell J� 5/30/14 Print Name Li c.#7770nly) Signature Date CUSTOMER(S) Richard Bringham 5/30/14 Print_Name Sign pate Erin Bringham ;Print Name Signature Date YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ACCOMPANYING NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. ©BLLP2013.NSL.CTMARI LG3300-M24-IVDO-DC4908-IR-1250-CCO-RY-TN-Green Sky 4 ADDITIONAL TERMS AND CONDITIONS (Connecticut Customers Only)The owner(s)of the home improvement contractor is or has been a shareholder,member,partner,or owner of the following corporations,limited liability companies, partnerships,sole proprietorships or other legal entities that have been a home improvement contractor during the previous five years:None. (Massachusetts Customers Only)In Massachusetts,all contractors and subcontractors must be registered by the administrator of the Board of Building Regulations and Standards and any inquiries about a contractor or subcontractor relating to a registration should be directed to:Office of Consumer Affairs and Business Regulation,Ten Park Plaza,Suite 5170,Boston,Massachusetts 02116 Telephone:(617) 973-5700.Any deposit required under this Agreement to be paid in advance of the commencement of work shall not exceed the greater of one-third of the total contract price or the actual cost of any materials or equipment of a special order or custom made nature,which must be ordered in advance of the commencement of work,in order to assure that the project will proceed on schedule.No final payment shall be demanded until the contract is completed to the satisfaction of the parties.In Massachusetts,the contractor is responsible for applying for and obtaining any and all necessary permitting. Homeowners who secure their own permits will be excluded from the guaranty fund provisions of Massachusetts law. Delay/Unknown Conditions:Contractor's failure to perform any term of this Agreement due to conditions beyond its control such as,but not limited to acts of God,material shortages,Customer's inability to qualify for or obtain financing,delays by local government authorities in issuing or otherwise approving inspections,permitting,or other required authorizations do not constitute abandonment and are not included in calculating time frames for performance by Contractor.Contractor and Customer(s)have determined that a definite completion date is not of the essence to this Agreement. Late Cancellation/Late Paytnent/Default:If Customer(s)attempts to cancel this Agreement after midnight of the third business day after the date of this Agreement,and Contractor accepts such cancellation,all work will be stopped as promptly as is reasonably possible and Customer(s)agrees to pay Contractor a cancellation fee equal to 15%of this Agreement's purchase price to offset Contractor's incurred labor,administrative,and material costs.Customer(s)agrees to pay a late fee of 1.5%per month on all amounts due and owing from Customer(s)to Contractor accruing from the date due and running to the date the payment is made.If Customer(s)is in default of this Agreement,Contractor shall be entitled to seek recovery of Contractors attorney's fees and any other costs or expenses of repossession or collection from a court of law. Contractor's Right to Cancel:In the event that Contractor determines that this Agreement cannot be performed as intended by the parties due,for example,to incorrect pricing,unforeseen structural defects,or pre-existing conditions to Customer's property,Contractor may cancel this Agreement within Forty-Five(45)days of its execution,notify Customer(s)of such cancellation in%Titi%,and return all money paid by Customer(s). No Set-Offs or Retentions:Upon completion of Contractor's work under this Agreement,Customer(s)shall pay all amounts due under this Agreement without any right of set-off or retention.Completion is defined as the job being materially completed,functional as intended,and a final inspection,permit or occupancy certificate,as the case may be,having been obtained.If after paying all amounts due, Customer(s)alleges that Contractor's work is defective,Contractor,without waiving any of its rights,shall inspect the work and perform any remedial work to the extent Customer(s)is entitled to under this Agreement or Contractor's warranty at no cost to Customer(s). Customer's Representations:Customer(s)represents that(a)Customers)owns the premises where the work is being performed,(b)the property is free of preexisting hazards,(c)Customer(s)maintains casualty insurance on the property covering the work performed,(d)if the existing electrical service at the property does not meet the standards of the utility company or electrical code,Customer(s)will make the necessary changes at Customer's expense unless Contractor has agreed to make these changes in writing. Contractor's Rights:Contractor accepts no responsibility for any damage resulting from pre-existing structural or other defects in Customer's property and Contractor is not responsible for remedying structural defects in Customer's property.Contractor shall not be responsible for(a)any damages arising in whole or in part from any causes beyond Contractor's control;(b)any incidental or consequential damages,including but without limitation,lost profits or reduction in value of Customer's property arising from Contractor's delay in performing under this Agreement or due to Contractor's breach of this Agreement;and(c)unintentional damage to Customer's personal property,it being understood that Customer(s)is responsible for protection and/or moving of such items prior to commencement of work.Customer(s)agrees to indemnify and hold Contractor and its employees,agents,and subcontractors harmless from any claims as to the identification, detection abatement,encapsulation,or removal of mold,asbestos,lead-based products,or other hazardous substances inside or outside of the property at which work is performed.Any surplus materials remain the property of Contractor.Any manufacturers'warranties offered by the manufacturer of the products purchased shall be provided to Customer(s).No warranty will be effective while a balance due remains on this Agreement. Rebates:Unless Customer(s)has assigned its rights to Contractor,Customer(s)shall be entitled to receive and to claim any and all rebates and any other benefits associated with ownership and use of the product(s).Customer(s)shall have the sole responsibility of making any application for any such benefits.Contractor shall have no obligation and assumes no responsibility to apply for or collect any benefits on Customer's behalf nor has Contractor made any representation or warranty to Customer(s)with respect to Customer's eligibility to receive,or the value of,any such benefits,including any net metering credits or solar renewable energy certificates. In all cases,Customer(s)agrees to consult with the relevant governmental officials and Customer's professional tax preparer when evaluating Customers eligibility for and the financial and tax consequences of receiving benefits.The Attachment includes a summary and estimate of the benefits that may be applicable to the product(s),plus the estimated net cost to Customer(s)after application of such financial incentives;contingent in each case upon Customer(s)receiving or being eligible to receive such benefits Security Interest:Customer(s)agrees and understands that in the event that Customer(sl does not pay Contractor any of the money owed when it is due,Contractor may have a claim against Customers) that may be enforced against Customer's property in accordance with the applicable lien laws, Customer(s)also understands that if Customer(s)finances the work with Contractor or a third party, Customers separately provided financing documents may include a security interest.Customer(s)understands that Customer(s)should read those documents closely. Miscellaneous:No waiver of any breach of this Agreement shall be construed as a waiver of any prior,concurrent,or subsequent breach hereof.The sectionheadings contained in this Agreement are inserted for convenience only and shall not affect in any way the meaning or interpretation of this Agreement In construing this Agreement,the gender and number of words used may be changed to meet the context.This Agreement shall be governed by and construed in accordance with the laws of the state in which it is performed,except as may be preempted by federal law.If a provision of this Agreement is held to be invalid or unenforceable,this Agreement shall continue in full force and effect and shall be construed as if the invalid or unenforceable provision was omitted.Customer(s)agrees that Contractor can assign any of Contractor's rights under this Agreement without Customer's consent and that the person to whom Contractor assigns this Agreement shall be entitled to all of Contractor's rights under this Agreement The Purchase Price listed on the front of this Agreement includes all applicable sales tax and all governmental fees required for Contractor to perform this Agreement.To the extent any goods or material are not specifically listed in this Agreement but are necessary to complete the work,Contractor will select goods and materials of commercial grade(i.e.,of the grade,type,or condition,ordinarily or customarily used for such work),such selection being at the sole discretion of Contractor.Contractor may engage independent subcontractors to perform work under this Agreement. Five-Year Warranty:Contractor warrants its workmanship under this Agreement for a period of five(5)years.In the event of a valid claim,Contractor will repair or replace,at its option,and at its sole expense and at no cost to Customer(s),any defects in workmanship provided by Contractor or its subcontractors.Effective immediately upon Customer(s)making of the final payment under this Agreement, Contractor assigns to Customer(s),to the extent assignable,any and all manufacturer warranties covering the equipment and shall deliver copies of such warranties after its receipt of such final payment.No warranty will be effective while a balance due remains on this Agreement. Documents Incorporated by Reference:Specification Sheet(s),Notice of Cancellation CLASS ACTION WAIVER:Customer(s)agrees that Customer(s)will assert a dispute,claim,or controversy(hereafter referred to as a"Claim')arising under or relating to this Agreement only on behalf of Customer's own self and that Customer(s)will not assert a Claim on behalf of,or as a member of,a class or group in either an arbitration proceeding,a private attorney general action,or in any other forum or action.If a court determines that this specific paragraph is not fully enforceable,the court's determination shall be subject to appeal.This paragraph does not apply to any lawsuit or administrative proceeding filed against Contractor by a state or federal government agency even when such agency is seeking relief on behalf of a class of Customers. LG3300-M24-IVDO-DC4908-I R-1 250-CCO-RY-TN-Green Sky "t Next Step Living, Inc. CT HIC.0629266•MA CCABR#162111•Rl Contractor Reg.#37185 NOTICEOF • next step Living,. home energy solutions 21 Drydock Avenue,2nd Floor;Boston,Massachusetts 02210 Telephone:866467-8729•www.nextstepliving.com The following Notice of Cancellation applies to all states. NOTICE OF CANCELLATION NOTICE OF CANCELLATION _ t Date of Transaction:! 513(111 dDate of Transaction: 5/30/14 You may CANCEL this transaction,without any Penalty or Obligation,within iYou may CANCEL this transaction,without any Penalty or Obligation,within THREE BUSINESS DAYS from the above date.If you cancel,any property THREE BUSINESS DAYS from the above date.If you cancel,any property traded in,any payments made by you under the Contract or Sale,and any !traded in,any payments made by you under the Contract or Sale,and any negotiable instrument executed by you will be returned within TEN I negotiable instrument executed by you will be returned within TEN BUSINESS DAYS following receipt by the Seller of your cancellation notice, 'BUSINESS DAYS following receipt by the Seller of your cancellation notice, and any security interest arising out of the transaction will be canceled.If and any security interest arising out of the transaction will be canceled.If you cancel,you must make available to the Seller at your residence,in 1you cancel,you must make available to the Seller at your residence,in substantially as good condition as when received,any goods delivered to isubstantially 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 ,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 linstructions 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 iSeller's expense and risk.If you do make the goods available to the Seller and the Seller does not pick them up within 20 days of the date of your ,and the Seller does not pick them up within 20 days of the date of your Notice of Cancellation,you may retain or dispose of the goods without any Notice of Cancellation,you may retain or dispose of the goods without an Y Y p g Y further obligation.If you fail to make the goods available to the Seller,or if 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 tyou agree to return the goods to the Seller and fail to do so,then your remain liable for performance of all obligations under the Contract.To Tremain liable for performance of all obligations under the Contract.To cancel this transaction,mail or deliver a signed and dated copy of this 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 Next #cancellation notice or any other written notice,or send a telegram,to Next Step Living,Inc.,at 21 Drydock Avenue,2nd Floor,Boston,Massachusetts IStep Living,,Inc.,at 21 Drydock Avenue 2nd Floor Boston Massachusetts ry , 02210, 1 6/2/14 02210, 6/2/14 NOT CATER THAN MIDNIGHT OF' Date NOT LATER THAN MIDNIGHT OF (Date) (Date) I HEREBY CANCEL THIS TRANSACTION. 11 HEREBY CANCEL THIS TRANSACTION. !I Consumer's Signature_ _ -_______ Date _____- ConsumDate er's Signature___ _ ______ ________ In addition to the above notice, the following Notice of Cancellation __ _ _ _ �pplies to Rhode Island custom_ers.---------------------- ----------------------- NOTICE OF CANCELLATION NOTICE OF CANCELLATION Date of Transaction: i Date of Transaction: You may cancel this transaction,without any penalty or obligation,within !You may cancel this transaction,without any penalty or obligation,within three(3)business days from the above date.If you cancel,your cancellation Ithree(3)business days from the above date.If you cancel,your cancellation notice must state that you do not wish to be bound by the agreement and notice must state that you do not wish to be bound by the agreement and mailed by registered or certified mail not later than midnight three(3)daysmailed by registered or certified mail not later than midnight three(3)days ifollowing following the buyer's signing the agreement,excluding Sunday and any the buyer's signing the agreement,excluding Sunday and any holiday on which regular mail deliveries are not made.All cancellations 1holiday on which regular mail deliveries are not made.All cancellations must be mailed to:Next Step Living,Inc.,at 21 Drydock Avenue,2nd Floor, 'must be mailed to:Next Step Living,Inc.,at 21 Drydock Avenue,2nd Floor, Boston,Massachusetts 02210. Boston,Massachusetts 02210. I HEREBY CANCEL THIS TRANSACTION. I HEREBY CANCEL THIS TRANSACTION. t Consumer's Signature Date ,Consumer's Signature Date The above-signed individuals acknowledge receipt of the above Notices of Cancellation with all blank lines filled i and further acknowledge � � P � g that they were orally infonned of their right to cancel this transaction. Richard Brien ham Erin Bringham [Print N 5/30/14 `Print e 5/30/14 _Signature Date ;Signature Date LG3300-M24-IVDO-DC4908-I R-1 250-CCO-RY-TN-Green Sky , .r .. 'Next Step Living, Inc. CT HIC.0629266•MA OCABR#162111•RI Contractor Reg.#37185 SPECIFICATION Date of Contract: 5/30/14 s„i next step living . home energy solutions 21 Drydock Avenue,2nd Floor,Boston,Massachusetts 02210 Customer(s)Name(s): Richard Bringham and Erin Bringham Telephone:886-867-8729•www.nexlstepliving.com Customers)Sheet Address: 49 Crossbow Ln city: North Andover State: MA zip: 01845-3037 Customers)Home Phone#: 978-975-2132 Customer(s)Mobile Phone#: 978-397-6961 Permit(s)Required: Building&Electrical City/County Issuing Permit(s): North Andover The Customer(s)listed above hereby jointly and severally agrees to purchase the goods and/or services listed below,in accordance with the prices and terms described on this Specification Sheet and the front and the reverse of the accompanying HOME IMPROVEMENT AGREEMENT,of which this Specification Sheet is a part. Description of the Solar Project and Description of the Significant Materials to Be Used:(1)delivery of solar equipment,(2)complete installation to manufacturer's specifications,(3)installation of inverter,conduit runs,and racking system as needed,and(4)cleanup after installation. Scopeof Solar Panel Brand:LG Panel type:LG300N1C-G3 Panel Watts(DC STC)-300 Monitoring system with 5 year service(owners responsibility atter 5 years) The solar array will consist of 24 panels for a total system size of 7200(DC STC) Description of the Roofing Project and Description of the Significant Materials to Be Used: except t6r areas highlighted in red,which are excluded,(1) delivery of roofing materials,(2)removal of existing roofing material(up to 2 layers)and inspection of roof deck atter existing roofing material is reproved, (3)recycling of existing asphalt shingles,(4)cutting in ridge venting as needed,(5)six feet of ice and water shield at the eaves and three feet along the rakes and in the valleys,(6)synthetic underlayinent covering all other areas,(7)complete installation to manufacturer's specifications,and(8)cleanup after Scope . Scope of Work: See roofing work scope Color: Brownwood Roofmg Brand:Owens Coming Roofing type: 30 year architectural Scope of Work:NSL shall perform all work and provide all materials described on the Work Scope attached to this agreement and will be responsible for any and all materials,and appurtenant items as may be required and necessary to perform all work described on the Work Scope and any performance reasonably inferable from it,including clean-up associated with NSL's work. It is agreed and understood by and between the parties that this Specification Sheet,along with the HOME IMPROVEMENT AGREEMENT, constitutes the entire understanding between the parties,and there are no verbal understandings changing any of the terms.This Specification Sheet may not be changed or its terms modified or varied in any way unless such changes are in writing and signed by both Customer(s)and Contractor. Customer(s)hereby acknowledges that Customer(s)has read this Specification Sheet. NEXT STEP LIVING, INC. pis By Brendan McDowell 5/30/14 Print Name Lic.#(Cr only) Signature Date CUSTOMER(S) Richard Bringham 5/30/14 Print Name Sig a Date Erin Bringham 5/30/14 Print Name §Mnature Date ©BLLP2013.NSL.CTMARI LG3300-M24-IVDO-DC4908-I R-1 250-CCO-RY-TN-Green Sky . The Comonvearth ofMassachusetts ~ Depa�t�nent of:�xtcl�cst�rc�l.Accic�ents • . Office of Investigations 640 WaslZ eon Street Boston,.MA 02111 vmmass go-PIM Wgrkex$'Compewat onInsurance,Afidavit:Buftdexs/Conttractor$)FIectriciaml�Xunn.Per0 Applicant Worbaafion Please�'rin�ile.�ibXy NaTne(Basiness/Orgauizationll'nai%vzdu City'/State/Zi.p: r146W444W Are poet im emplIoyer?Check the appropriate b Type of project(regmred): 1.[ T am a employer with — 4.4 Tam a general contractor and' 5. New c6nstraction employees(full and/oxparttime)* have nodthe sub-contractors 2.[� T am a sole proprietor orpattnex listed on the attached sheet:T I. �Remodeling BMP and`haveno•employees These sub-contractors have 8. ❑Demolition. worlang forme in any capacity. woxScers'comp.insurance. 9• ❑Building addition [No workers'comp.insurance 5• ❑We area corporagon and its 10.[I Electrical repairs or additions required.] ofxcers have exercised.their right of exemption per MGL 11.. (Plumbing repairs or additions 3.[l I am a homeowner doing allwork g p p c•152,§1(4),andwehaveno 12 repairs myself.[No workers'comp. insurancerequired.]� employees.[N'oworkexs' 13.E]Other comp.insurance required.] A-ny applicantthat cheeks boxg mnstalso fill outtho section beIowshowingtfieirworkers'compensation.policy information. Homeowners who submitthis affidavitindicatijthey fife doing allworRand then hire outside contractors must submit anew affidavit indicating such• tContractors that oheokthis boxmust attached an additional sheetshowingthe name ofthe suh:contractors andtheirworkers'comp.policyinfomlation, .t•rE ar2gtnproyeNthatispr0V1dingworkers,compe��sadoninsuranceformyemployees Berot�i�tiepolicyartdjo�isiPe information. Roirance CompanyNalno% Policy#or Selz ins'.Lic.#: Expiration Date: �A ,,/ lob Site Address- �9 -�L�SS � �'� ICityJStatelZip:/t/ Attach a cope a the woxhers'coxnpensatioaa policy declaration page(showing.the policy numbers and expiration date). Failure to secures covexage as requiredunder Section 25A ofMGL o.152 can lead to the imposition of eximinalpenaltzes of a fne up to$1,500.00 and(or one-year imprisonment,as well as civilpenalties in the tomo ofa STOP WORTS ORDER and a i7ne of up to$250.00 a clay against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations ofthe DTA.for iissurance,coverage vexifcation. I Ido hereby cerci de�ilieliains ancipenaffl o eijary tf'ialMe informadon,provid'edabove is trate and eo reet, Si ature• d� Date: 7" 3d ° Phone#: �e 17 3 3sv, official rose orgy. Do not vrite in this area,to be eonVieted by City or town of ela7. i City or Town: Fermi-Mcense 0 Issuing Authority(circle 01110'- 1. zte):Z.Board ofRealth?.Building Department I Glyffowaa Clerk 4.Electrical Inspector 5.Numbing Inspector 6.Other - - - 1nformation and Instructions Massachrisetts General Laws chapter 152 requires aff employers to provide workers'compensafion for them employees. Pursuapt to this statute,an employee is defined as 11..every'person iii the service of another under any coriiract of hire; express orhaplied,oral or Wxittezr." An ewfoyq�js defined as"an.individual,partnership,association,corporation or other legal entity,or any two oxxaoro. Of the foregoing engaged la a joint enterprise,and includiugthe,legal representatives ofa'deceased emplQyex,.or Elie xecelver ortnisfeeofanindividual,partnership,associationorotherlegalentity, employingempXoyeas. �oWeverthe owner of a dwelling househavingnotmore thm three apartments audwho xesides therein,orthe ocaupantofthe dwelling house of another who employs persons to do maintenance,construction ox repair work on suclx dwelling house ox onihe gxouuds orbuilding appurtenant thereto shallnot because of such employment be deemed to bean employer'." MGL chapter 152,§25C(6)also states that"every state or fecal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct baff&gs int the commonwealth for any applicant who has not produced.acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chaptex 152,§25C(7)states,Weither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of coMpliance with the insurance .rcgairemenfs oftWs chapterha-ve beenpresented to the coatracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your sitaaflon an 1,if necessary,supply sub-confracfor(s)name(s),addresses)andphonenumber(s)along With their eerfrf'xeate(s)of insurance. LimitedUabilityCompanies(LLC)orLimifedUabilityPartnerships(LLP)withno employees otharthanihe members or partners,are notrequired to carry workers'compensafioniasurance, If an oxLLl?doeshave employees,apolicyisxegafred. De advhodthatihis afddavitmaybe submitted to the Department of htdustrial Accidents fox confirmation of insurance coverage. Also be sure to sign and date the af=fidavit jhe afxrdavit should be retumedto the city or town that the application foxthepemrit or license is being requeAoq,not the Debartm.ent of Industrial Accidents. Shouldyou have any questions regarding the law or if you are xequired to obfairz a workers' comp Ons ationPORGY,Please call the Departmentatthe mraber.Itedhelow. Self-nsuredcompanies should enter their self insurance license number on the appropriate line. City or Town Ofxzcials Pleasebesuxethattheafddavitiscomplete andpxiatedlegibly. The,Department has provided a space at the boftom ofthe of ldavitfoxyouta fill Out lathe,event the 0fdce of Xnvestigationshas to contactyouxegardingthe applicant Please be-sure to fill lathe pelra t/license number WhichwM be used as a reference number. Th addition,as applicant thatmust submitmultiple permit/license applications is any givenyear,need only submit one afUdavitindicating current PORGY information(if necessary)and under lob Site Address"the applicant should wxite"all locations in (city or fowtt)".A copy of•the affidavit that has been ofixcialty st6aped or marred by the city or town may be,provided to the applicant asproof that a valid affidavit-is on axle;ox fixture p exmits or licenses, Anew of xxdavit must be tilted out each Year-'Where ahome owner or citizen is obtaining a license oxbennitnotrelated to anybusiness or commercial ventuxe, (i.e.a dog license or permit to burn leaves eta)said person is NOT required to complete this affidavit. The Office ofInvestigations would litre to thank you in advance fox your cooperation and should you have any Ivesiions, Please do not he4dte to give us a call. The Department's address,telephone anal faynumber: ThD CQ011W.-Galth OrMusacAmoit"q Depaxbeiat QfTndwWal Accideuta M'Rce dfAVesffga-Uoxt, 6.0Q WashVl �"xecl �p,�QJax Q.�Z TOL-9 617.72,' ,4.-00 epi=406 4r 1-87A l _ Revised 5-26-OS FOR f NORTh O�te° e•�O F A TOWN OF NORTH ANDOVER "°•,•°^�''`tg 9SgACHUSE� BUILDING DEPARTMENT 1600 OSGOOD ST BUILDING 20 SUITE 2-36 NORTH ANDOVER MA 01845 978-688-9545 978-688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print DATE JOB LOCATION ` Number Street Address Map/Lot HOMEOWNERG2G - Name 116me Phone Work Phone PRESENT MAILING ADDRESS S i City/Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1.) DEFINITION OF HOMEOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is or is intended to be,one or two family dwelling,attached or detached structures attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other Applicable codes,by-laws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. , HOMEWOWNER'S SIGNATURE ` APROVAL OF BUILDING OFFICIAL I NORTEy Town of _ Andover O No. C% o. over, Mass., S O GOLAKE GMIC EW ICK 004 ED FP�`,`�� BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT............ .t,.r�....................... .. !.................................................................. . Foundation . 3 has permission to erect........ ....�....\................... buildings on ....... . . 4�..IrA f j....4.0 ................... Rough to be occupied as .... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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 5C/6 -- PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU Am Rough ................... .... ..................................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required W Ow4py Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det.