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Building Permit # 7/6/2015
` %40RTH q. O` iy4eD I g�•ro BUILDING PERMIT ��Lyt o� TOWN OF NORTH AOV APPLICATION FOR PLAN EXAMINATION - 0 Permit NO. Date Received ^� 9SSACFiU`��4�y Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION A 14 b C-K -A'1 PO NO P-0 Print PROPERTY OWNER BG G C00\/W-() Print MAP NO: PARCEL ZONING DISTRICT: Historic District yes no Machine Shop Village yes (no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ne family Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other El Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District Water/Sewer "'t f t yu LJ 4-a c-olrra m' vC,t t l - .0- %,tr u- Identification Please Type or Print Clearly) OWNER: Name: �TIEi/FI hoy g-u Phone: q'7� Address: 001\.! ) 1� i�10 � CONTRACTOR Name: � ! Phone. Address: Pie-ac cert.+ 'gt. JI^i- Supervisor's Construction License:CS' fp art Exp. Date: () //5 /j( Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: `Zs Receipt No.: NOTE: Persons con ractin ith unregistered contractors do not have access to the g ranty fund Signature of Agent/Owner Signature of contra or ®Rl'ly AL 'JA"IAT It r, M 1=01ft -r All& N UVCF U VV 11 Ut d •` 024— ?Alp h Z n o x..46 Ve)�, SSS, , SOC"ICNCWICK 1. - �® RATED P, S V BOARD OF HEALTH Food/Kitchen PERMIT �T� D Septic System THIS CERTIFIES THAT ..................... .. Y ........................... BUILDING INSPECTOR Caea+. has permission to erect .......................... buildings on . �.... ........................................ Foundation i Rough to be occupied as ...� .... . ............. ... ................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final IT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS T Rough Service ..... ............. ................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required t® Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approvedthe Building Inspector. Burner Street No. Smoke Det. rr .A S, LAR A S S 0 C I A T C S r L L C June 30,2015 Phung Ngo United Solar Associates 452 Pleasant Street Second Floor Malden,MA 02148 Town of North Andover 1600 Osgood Street Building 20, Suite 2035 North Andover, MA 01845 Dear Inspector. Please accept the enclosed permit application for the residential solar system installation at 243 Great Pond Road. It is greatly appreciated if you can notify us once the permits are ready for pick up. Thank you for your cooperation. If you have any questions or if anything else is needed from us,please do not hesitate to contact me at 978-394-8231 or Jon Millburg at 781-264-4762. Sincerely, Phung o Project Assistant United Solar Associates 21 Drydock Avenue, 2"" floor next step Llving TM Boston, MA 02210-2384 0 home energy solutions 866-867-8729 NextStepLiving.com June 20,2015 Town of North Andover Building Department 1600 Osgood Street Building 20,Suite 2035 North Andover, MA 01845 RE:Steve Boyko Residence Solar Panel Installation 243 Great Pond Road North Andover, MA 01845 Structural Assessment of Roof Framing NSL Project No: SP206136 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 243 Great Pond Road,North Andover, MA 01845. Structural Data and Code Information Our analysis has been performed in accordance with the requirements of the MA Residential Building Code 780 CMR—Eighth Edition. Roof 1 of this residence is framed with conventional roof rafters with collar ties in a gable configuration. Roofs 3 and 4 as well as Roofs 2 and 5 of this residence are framed with conventional roof rafters with collar ties in hip roof configurations.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: Roof 1 Rafters:l W x 9"(#2 Spruce Pine Fir,Hem Fir,D Fir Assumed) Rafter Spacing: 16"on center Roof Slope: 35 Degrees Horizontal Projected Length of Rafter:9.5 feet Ceiling Joists:Present Collar Ties: Present every 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,I: 1.0 Exposure Factor,Ce: 1.0(Partially Exposed) Steve Boyko Residence Solar Panel Installation 243 Great Pond Road North Andover, MA 01845 Page 3 Importance Factor,l: 1.0 Exposure Factor,Ce: 1.0(Partially Exposed) Thermal Factor Ct: 1.0 Existing condition(Warm Roof) 1.1 With panels(Cold Roof) Design Snow Loads: 32.38 PSF(Existing—Unobstructed Warm Roof) 23.76 PSF(New Condition—Slippery Surface on Cold Roof) Basic Wind Speed: 100 MPH from Table R301.2(4) Importance Factor: 1.0 Exposure: B 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 j 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 all solar roof planes 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 8.18 PSF for Roofs 1, 3 and 4 and around 8.62 PSF for Roofs 2 and 5,which essentially offsets the weight of the solar panels. Gravity Loading: Given the size,spacing and configuration of the existing roof framing,we have determined that the existing framing for the residence is adequate to support the additional loading from the weight of the solar—electric system, including the panels, racking system,and all connections without any need for additional bracing or framing members. 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. i ELECTRICAL DESIGN 0 SOURCE COMBINER RATING INVERTER RATING 0 3 x#10 THWN-2 Wire BLACK W w 3 x#10 THWN-2 Wire RED INVERTER MODEL:EnphaseMicroinverter q* 3 x#10 THWN-2 Wire WHITE MODEL:M250-60-2LL-S22 0 0 00 MAX OCPD RATING(A):20 co Z Licensed Electrician Assumes All Responsibility For 1 x#6 THWN-2 EGC MAX DC VOLT RATING(V):48 LU 0 CD OCPD AMPERAGE RATING(A):20 1"EMT INDOORS MAX POWER @ 40'C(W):250 Determining Onsite Conditions and Executing OCPD VOLTAGE RATINGM:240 NOMINAL AC VOLTAGE(V):240 > Installation In Accordance witch NEC 2014 Codes LU NOMINAL AC CURRENT(A):1.0A < - pp MAX BRANCH AC CLIRRENT(A):15.3A/12.6A/10.8A w Lu w .. W LU 00 I MAX BRANCH OCPD CURRENT(A):20A I a) E (9 >0 00 Z M PV LOAD Ll 12 Z .* a 0 CNI I,— CENTER (D z End-Fed Branch of 17-M215 Inverters R1 + R2 E u) z 0 a) w 0 F bl.f 17 Panel—d c11ft 41—h TSM 260. TSM 26o. 0 TSM 20- w.1.u.-11.1 f..11 1—MIA I.. P-1 TSM D PM6.08 PAOS.08 ------------------------------------- A05,08 PAD5.08 z a. Ff E --------------------- 2 ----------_---------- 2LL� 2LL-r, ---------- — M-2116 M-2116 End-Fed Branch of 17-M215 Inverters R5 J-box 0 TSM26*- AC DISCO Maximum ou put fault cu rtant 0,6q rm s perp anei INSIDE cu ,E *.I,, FUSIBLE > 15A_ Z, UTILITY C) qcF------ -------- 60A RATING METER 50A FUSE U) GF222N s[p (D End-Fed Branch of 10-M215 Inverters R3 + R4 ATS Ea� TS.26. A-7-- U) PAM.; Maximum ouput fault cu wentA_ per Panel (L G 1�e� 75 � I I--i------V X •215.677.t_ tt E�,h 60�1_ I I U) 2LL.* 0 C_ AC DISCO z C= OUTSIDE z w NOTE:A GEC(grounding electrode conductor)is not NON-FUSIBLE required with Enphase Model M-215-60-2LL-IG ENVOY COMMUNICATIONS 60A RATING GNF322R GATEWAY il x#6 iTFWN-2 Wire BLACK ETHERNET CONNECTION TO 120 VAC POWER I x#6 THWN-2 Wire RED L2 L BROADBAND ROUTER 1 x#6 THWN-2 Wire WHITE CABLE 1 x#6 THWN-2 EGC 1"EMT INDOORS 4w Symbol Conventions: 4 WIRES 200A) j 2-Pole Circuit Breaker SERVICE PANEL RATINGS 200A um Temperatures PV MODULE RATIN QS_@_STC MEP BRAND:SIEMENS MSP Average High:28* Or\_o Fuse Average BUS AMP RATING(A):200 Record Low-31.7°C MODULE MANUFACTURER: Trina SERVICE VOLTAGEM:240 MODULE MODELM TSM-260PA05.08 MAIN AMP RATING(A):200 r Visible Break OPEN-CIRCUIT VOLTAGE(Voc): 38.2 BREAKER RATING(A):LST o/oKnife Switch AC DISCONNECT—RATINGS OPERATING VOLTAGE(Vmp): 30.6 ---------------- OPERATING CURRENT(Irnp): 8.50 DISCONNECTAMP RATING(A)-60 SHORT-CIRCUIT CUMENT(Isc):9.00 GENEPATOR LOCATE-'ON DISCONNECTVOLT RATING(V):240 CONDUIT SIZING t_�N� IDE Equipment MAXIMUM POWER(W):260 'ATIC TRt.E;F'E1! NEMA3R 1"PVC OUTDOOR AUTOM -'Q ---------—--------- Groundhg Voc TEMP COEFF(I/o/*C)=-0.32 I/o/oC V EMT INDOOR WATCH TO Z 01D Conductor Isc TEMP COEFF(0/./*C)=-0.05 old*C BACKFEEDING Drawn by-J_Inna GENE TOR ARRAY DESIGN / SITE DIAGRAM HEIGHT OF HOUSE PANEL ORIENTATION (TRUE) ROOF PITCH (DEGREES) 215"/235" 192'/1920/2380/147'/282* 350/35'/2401330/330 i 1 } ® O QUIC OUNT PV In o 0 LANDSCAPE W °- � Total's W '� . D Total#of Panels_43 j 00 co ❑ Total#of Splice Bars: 12 M M o ❑ co Total#of Bonding Jumpers: 12 N z o �� � Tota l# End Clamps: 60 °' y CIO + + E N Z Total#of Mid-Clamps. 68 Q 0) 1— Qg� REFER TO ENGINEER'S LETTER FOR O s° - 24"typ. STRUCTURALASSESSMENT t> Q z a UTILITY METER frjjff AC DISCONNECT E LGATE120 _ Cc eo^ 4e 80 (14)" T R2 0 p4q CU LL ` 609 m tYP• %rCU ® 16`tYP -- - --- EYP• < O CL (�4) 23'-2'(278" i PROPOSED LO 24°LID (,7,: CONN RUN: W •— �— tYp• ... �_ 1- ELECTRICIAN WILL �--' �.. ti� FIELD RFY U Cts F-39.3T--> X yp T ,2 I z TpJ•:. X20'-1"(241") lT J• SA A i9a �A LO TFJ x x,F Quick Mount PV Solar Flashings R3 will be used on every roof penetration ti R4 tip" - ARRAY LAYOUT IS NOT TO SCA'E Customer Signature: Date: OWNER'S AUTHORIZATION FORM For Permit Application(s) The sole purpose of this 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: Steve Boyko Solar Project Address: # 243 Great Pond Road North Andover, Ma. 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 Next Step ® Inc. CT HIC.0629266 o MA OCABR#162111-RI Contractor Reg.#37185 Date of Contract: 4/25/2015 next step Living. home energy sotutlons 21 Drydock Avenue.2nd Floor,Boston,Massachusetts 02210 Customer(s)Name(s): Steve Boyko telephone:866-867-8729-www.nextatepliving.com Customer(s)Street Address: 243 Great Pond Rd city: North Andover State: MA zip: 01845-3028 Customer(s)Home Phone llh Customer(s)Mobile Phone 0: Permits)Required: Building&Electrical City/County Issuing Permit(s): North Andover Customer(s)jointly and severally agrees to purchase the products and/or set-vices of Next Step Living,Inc.("Contractor")in accordance with the terms 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: Friday,July 24,2015 ESTIMATED COMPLETION DATE: Friday,July 31,2015 TOTAL SOLAR SYSTEM PRICE: $69,324.97 PAYMENT METHOD: select option(s) ESTIMATED STATE REBATES: $0.00 Cash F1 Credit Card SOLAR PURCHASE PRICE: $69,324.97 Check OFinancing ROOFING PURCHASE PRICE: $0.00 TOTAL PROJECT PURCHASE PRICE: $69,324.97 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,Customer(s)hereby irrevocably assigns to Contractor the right to receive and retain such rebate.Owner agrees to provide all required support to receive the rebate. Amount $0.00 (Customer's Initials) I'm fine receiving autodialed and/or pre-recorded calls or text messages from or on behalf of Next 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. 4/25/2015 By: William Martin Print Name Lic.#(CT only) Signature Date CUSTOMER(S) Stephen Boyko 4/25/2015 Print Name Signature Date 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. OBLLP2013.NSL.CTMARI TSM260-M43-IVD5250-DC3700-IRO-CC29325-RN-TN-Green Sky 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)973-8700. 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 Payment/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 Contractor's 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 writing,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) Customer(s) 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 TSM260-M43-IVD5250-DC3700-IRO-CC29325-RN-TN-Green Sky 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 Customer's 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(s) does not pay Contractor any of the money owed when it is due, Contractor may have a claim against Customer(s)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, Customer's 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 section headings 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. TSM260-M43-IVD5250-DC3700-IRO-CC29325-RN-TN-Green Sky Next Step Living, Inc. CT HIC.0629266.MA OCABR#162111•RI Contractor Reg.#37185 It Ie Date of Contract: 4/25/2015 next step Living,. home energy soLutions 21 Drydoek Avenue,2nd Floor,Boston,Massachusetts 02210 Customer(s)Nanil Steve Boyko Telephone:856-867-8729•www.nextstepliving.com Customer(s)street Address: 243 Great Pond Rd City: North Andover State: MA zIP: 01845-3028 Customer(s)Home Phone#: Customer(s)Mobile Phone#: 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. Panel Brand:Trina Solar Panel type:TSM-260PA05.08 Panel Watts(DC STC)-260 Monitoring system with 5 year service(owners responsibility after 5 years) The solar array will consist of 43 panels for a total system size of 11180(DC STC) Description of the Roofing Project and Description of the Significant Materials to Be Used:except for 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 after existing roofing material is removed, (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 underlayment covering all other areas,(7)complete installation to manufacturer's specifications,and(8)cleanup after ..- • ••• Scope of Work: No roof work being performed by Next Step Living Color: Roofing Brand: Owens Corning 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 fiom 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. , By: William Martin 4/25/2015 Print Name Lic.#(Cr only) Signature Date CUSTOMER(S) Stephen Boyko 4/25/2015 Print Name SignaturT Date Print Name Signature Date ©BLLP2013.NS L.CTMARI TSM260-M43-IVD5250-DC3700-IRO-CC29325-RN-TN-Green Sky � Next Step Living., Inc. ox/cuo29z66~*moc«oxw16z11z^mContractor Reg. w37zm � ^�y|^ next step ���� ng. -- home energy sutouons 21 Drydock/w ""^o"unvo,o"s,"".u"s°auhuoe`t"no,,o Telephone:voo-oor'o,m~"°w"^",`m,/*."o="m ���following MJo� �� � qf Cancellation� � app� �states. . _-_-_-_-_- _-_-_-_ -— LWT-16� -_-_-_-_-_ NOTICE OF CANCELLATION r | 4/25/2O15 1 Date ofTransaction: . Date ufTransaction: You may CANCEL this transaction,without any Penalty n,Obligation,within !You may CANCEL this transaction,without any Penalty n,Obligation,within � � THREE BUSINESS DAYS from the above date.nyou cancel,any property [THREE BUSINESS DAYS from the above date.nyou cancel,any property traded in,any payments made hyyou under the Contract nrSale,and any 'tmdedi�any paymemsmade hyyou under the cortm�o,sa|�and any � negotiable instrument executed hvyou will bereturned within TEN .negotiable instrument executed byyou will bereturned within TEN BUSINESS DAYS following receipt hvthe Seller vfyour cancellation notice, IauS|mESSDAYS following receipt hythe Seller ofyour cancellation notice, and any security interest arising out ofthe transaction will hecanc°|ed |� 'and any security intere�a�singout ofthe transaction wiUhecanceled.|f � . � you cancel,you must make available*uthe Seller atyour residence,in .you cancel,you must make available tothe Seller otyour residence,io substantially a,good condition uswhen received,any goods delivered u» Iaubmanha||vu,good condition aowhen received,any goods delivered to you under this Contract orSale;uryou may,ifyou wish,comply with the 'you under this Contract o,Sale;o,you may,ifyou wish,comply with the instructions ofthe Seller regarding the return shipment ufthe goods at the iinstructions of the Seller regarding the return shipment of the goods at the Seller's expense and risk.|fyou domake the goods available tuthe Seller IseUe/sexpense and risk.|fyou dumake the goods available tnthe Seller and the Seller does �� U rd not 'and the Seller does not pick them upwithin zndays vfthe date ofyour Notice ufCancellation,you may retain o,dispose ofthe goods without any 'Notice,fCancellation,you may retain n,dispose ufthe goods without any further obligation.|fyou fail tomake the goods available tothe Seller,or if \fuuherobligation.|fyou fail tnmake the goods available tothe Seller, or if you agree tvreturn the goods tothe Seller and fail tdw��then 'vnvagree toreturn the goods to the Seller and fail tdo so,then your remain liable for performance ofall obligations under the Contract.Tv 'remain liable for performance nfall obligations under the Contract.Tu cancel this transaction,mail u,deliver osigned and dated copy vfthis �oance|this t,ansm�iun,moUo,deliver asigned and dated copy vfthis ,ance||odonnvdeo,any other vvn�ennndo�orsend ate|eom^\oomsm 'cancellation notice o,any other written notice,n,send atelegram,mNext Step Living,m:,at 2zmrydvcuAvenue,2nd Floor,Boston,Massachusetts 'Step Living,mc,atu1nmclockAvenue,2nd Floor,Boston,Massachusetts � 02210, .02210, NOT LATER THAN MIDNIGHT oF 4/28/2015 —(Date) \moTLATER THAN MIDNIGHT Op (Date) /HEREBY CANCEL THIS TRANSACTION, |HEREBY CANCEL THIS TRANSACTION. Consumer's Signature Date Consumer's Signature Date ___________________________________________________________________ In addition to the above notice, the ju -`-11ow^ng Notice n ir Cancellation applies �� ����v ����tomer� -------------- --------------r-------------- '------------- NOTICE CAN ON IqO�FCE 6F EZ LLWT Date ofTransaction: Date ofTransaction: You cancel mi�hvv��nypana|�Yurnb|ioadvn within vou�av�ance|thiotmnsu�inn wi�h�v�auvpena|�v"rvWiX��iun within pvmayo,nc , , � , , three V3>business days from the above date.Kyou cancel,your cancellation!notice thmep)busineadays�nmthe above date.|fyou m,nce�your:oncpUa�o n nodcemu��aoeth/�you d^not wish tohebound hy the agreement and mustmou,d`vuvnudvnotvshmbehovndhythevoeemen,und mailed bvmomeregistered or mail notlater than midnight three(3)days Imai|edbyregistered or mail notlater than midnight three(s)days following the buyer's signing the agreement,excluding Sunday and any foUowngthe huve�ssigning the ognemen�excluding Sunday and any hoUdayonwhich mgWa,maUdeliveries are not made.xUconceUadvnw 'hvUdavnnwhich regular mail deliveries are not made.All cancellations must bemailed to:Next Step Living,m,.,at 21mndock xvenvu2nd Rnv� must hemailed�o�mem step Living,Inc., �21u mdvckAvenu�2nd Fl o o^ Boston,Massachusetts oa2zn. 'Boston,Massachusetts nozzo. | |HEREBY CANCEL THIS TRANSACTION. .|HEREBY CANCEL THIS TRANSACTION. Consumer's Signature mate 'Consumer's Signature Date ---------------------------------[—�-_---------_-__-__-__-__-------__-_--__-_------ T6eabove-signed individuals acknowledge receipt ofthe above Notices ofCancellation,with all blank lines filled in,and further acknowledge that they were orally informed of their right to cancel this transaction. Stephen BO kO � � Print Name Print Name | 4/25/2O15 Signature Date Signature mate / / TSM280'N43'|VD5250'DC3700-|RU-[[29325'RN'TN'G[eenSkv | TSM-DC05A.05 Hone y'% IN BLACK DIMENSIONS OF PV MODULE TSWDCOSA,05 .............. TSM-.250 TSM-255 ISM-260 'PSM-265 ELECTRICAL DATA @ STC DC05A,05 DCOSA,05 DCOSA,05 DC05&05 941mrn -------- Peak Power Watts-Pr-(Wp) 250 255 260 265 Power Output Tolerance-Penni(%) 0/+3 0/+3 0/+3 0/+3 Maximum Power Voltage-VP?(V) 29.8 30.1 30.2 30.6 Maximum Power Current-Impr,(A) 8.38 BAB 8.61 8.66 `10"d' Open Circuit Voltage-Voc(V) 38.1 38.2 38.4 3&5 NSTk Short Circuit Current-Isc(A) 8.91 8.98 9.15 9.20 Module Efficiency IT, 15.3 15.6 15.9 16.2 E STC:Irradiance 1000 W/ml,Cell Temperature 25°C,Air Mass AM145 according to E14 60904-3. Average efficiency reduction of 4.5%at 200 W/M2 according to EN 60904-1. 3 3 TSM-250 TSM-255 TSM-260 TSM-265 ELEC4 rRfCAL DATA@ NOCT DC05A.05 DC05A,05 DCOSA"05 DC05A,05 Maximum Power-Pruni(Wp) 183 186 190 194 &e.13 GIOXID F Maximum Power Voltage-Umar 2&9 263 27.0 27.2 Maximum Power Current-ItApp(A) 6.89 6.93 7.04 7.13 Open Circuit Voltage-Uoc(V) 33.8 34.6 34.8 35.0 Short Circuit Current-Isc(A) 7.14 7.20 7.34 7.40 812mm 180 NOCT:Irradiance at 800 W/m',Ambient Temperature 20°C.Wind Speed I m/s. Back View MECHANICAL DATA Solar Cells Monocrystalline 156 x 156 mm E Cell Orientation 60 cells(6 x 10) Module Dimensions 1650 x 992 x 35 mm Weight 18.6 kg A-A Glass High Transparency Solar Glass 3.2 mm Backsheet Black Frame Black Anodized Aluminium Alloy IN CURVES OF PV MODULE TSM-255 DC05A.05 J-Box IP 65 rated Cables Photovoltaic Technology Cable 4,0 Mrr,2,1000 Mr, 0.............................. Connector Original MC4 9'. Bw Awa 7.- 6.11 600W/m, TEMPERATURE RATINGS MAXIMUM RATINGS 52a 15 4.1. 400wini, Nominal Operating Cell 44-C(±2°K) Operational Temperature -40 to+85°C 3 rp 20OW/M2 Temperature(NOCT) Maximum System IOOOVDC(IEC) 2.- 1'. Temperature Coefficient of PMmx -0.41%/*K Voltage 0.� Temperature Coefficient of Vac -0.32%/'K Max Series Fuse Rating 15A 0. LOP, 20p0 3()m 40.v VoIbqeJV) Temperature Coefficient of Isc 0.0537./'K WARRANTY 10 year Product Workmanship Warranty CERTIFICATION 25 year Linear Power Warranty IEC61215/EI,161215 IEC61730/EN61730 (Please.refer to product warranty forderails) IEC 627162 PfG 1917/05.11 EC 61701 DIN ENI 60068-2-68 LC2 MCS BBA 0016 PACKAGING CONNGURATION Z Modules per box:29 pieces -6 1 YCL Modules per 40*container:812 pieces C E Pi,"' E SGS_ CAUTIO 4:READSAFETY AND INSTALLATION INSTRUCTIONS BEFORE USINGTHE PRODUCT.Trin-as-olar 9)2013TIrina Solar Limited All rights reserved.Specifications included in this datasheei are subject to change without notice. Smart Energy Together � � � � � � EnphaaewKQ215 Mioroinvartor//DATA � INPUT DATA(3C) M215'6V-2LL'S22'|G, 08210'6D-2LL-S2s-kG Recommended|npu1pnwer(STC) 190-270VV � Maximum input QCvoltage 48V Peak power tracking vo|tage 27V-89V Operating range 16V-48V Min/Max start voltage 22V/48V Max DCshort circuit current 15A OUTPUT DATA(4C) @2nQVAC @240 VAC ..... ���� .......... ������ Peak output power 225VV 225VV Rated(continuous)output power 215VV 215VV � Nominal output current 1.08A(Armua¢nominal duration) 0.9A(4rmnaLnominal duration) | � Nominalvu|taQo/mnge 208V/188'229V 240V/211-264V Nominalhaquenoy/range 00.0/57-61Hz 00.0/57-61Hz Extended frequency range* 57-62.5 Hz 57-62.5 Hz Power factor >0.85 >0.95 Maximum units per 20Abranch circuit 25(three phase) 17(single phase) Maximum output ha |t current 850 mA rms for O cycles 850mAr for Ocycles EFFICIENCY ................... ...........................���� CECweighted efficiency,24UVAC 96.5% CECweighted efficiency,208VAC 98.596 Peak inverter efficiency 96.596 Static MPPTefficiency kweightod.reference EN5O580 99.4% Night time powerconsumption 65mVVmax MECHANICAL DATA Ambient temperature range -40"Cto+65'C Dimenmiono( VxHx[) 171 mm 173 mmx3O mm(without mounting bracket) Weight 1.Okg(3.4lbs) Cooling Natural convection'Nnfans Enclosure environmental rating Outdoor- NEMA 8 Connector type K4215'00'2LL-S22-|G: MC4 Ni21500-2LLG25 |G AmphenolH4 FEATURES Compatibility Compatible with OO-ce||PVmodules. Communication Power line Integrated ground The DCcircuit meets the requirements for ungrounded PVarrays in NEC 0SO.35.Equipment ground iuprovided inthe Engage Cable.No additional GEC urground iorequired. Ground fault protection(]FP)iu integrated into the micminverte: Monitoring Enlighten Manager and k4yEn|ightenmonitoring options Compliance UU74U/|EEE]543FCC Part 15Class B.CAN/CGA-C22.2NO.O-KXS1' U.4-O4.and 1OI1-01 � | ^Frequency ranges can uoextended beyond nominal i,required uythe utility _----- / Thlearn more about EnphmseMic0invmrte[technology, ��� ��n" has��w | / Vi8� � .� ��� ��� o�n � E N E K G Y � 02015Ennhao Energy.xorights reserved.m/tramymarkmn,uumuvmm/uuuoumomammm/stomuuvmm,nmpem*vowmor. Mxrono69Rev 1.o | d ONE `IUN,,I,R,A,C SolarMount_l TM Roof Mount Technical Datasheet Pub 100701-ltd VI.0 July 2010 SolarMount-I Module Connection Hardware Sliderand Mid Clamp..............._.... ........... ...... ..................................................... Slider and End Clamp........ ........................ .................__.....__............... 2 SolarMount-I Series Accessory Mount......... ................. ............. ................... 2 SolarMount-I Beam Connection Hardware 1- Flange Foot.................. .....................__....... ............._ ......_........................................3 2- Flange Foot............. ....... ............._.................... ............. ................. .......3 BeamSplice................................................ ......_................................................. ......... 4 SolarMount-I Beam SolarMount-I Beams...... ....... ............ ........................... 5 SolarMount-1 Module Connection Hardware Salar Mount-1 Series Slider with Mid Clamp Part No. 020270, 020280, 02029C, 02030C . Slider and Mid Clamp Material: One of the following mill finished 'lei 6005-T5, 6105-T5, 6061-T6 extruded aluminum alloys. Ultimate tensile: 38ksi,Yield: 35 ksi Nut • Slider weight: 0.026 lbs(12g), Mid Clamp Weight:0.050 lbs (23g) • Allowable and design loads are valid when components are assembled with SolarMount-I Beams according to authorized UNlRAC documents Sli I r • Sliders are compatible with SolarMount-1 Beams • Assemble with one'/4-20 ASTM F593 bolt and one '/4-20 ASTM F694 serrated flange nut Mid Clamp • Use anti-seize and tighten to 10 ft-lbs of torque B Resistance factors and safety factors are determined according to part 1 section 9 of the 2005 Aluminum Design Manual Module Applied Load Average Allowable Safety Design Resistance Load Factor, Load Factor, ........... Direction Ultimate lbs(N) lbs(N) FS lbs(N) (1) .......... ................ �__............- Sliding,X± 1194(5311) 490(2180) 2.44 741 (3296) 0.620 Tension,Y+ 1503(6686) 677(3011) 2.22 1024(4555) 0.682 Y Transverse Z± 2080 (9252) 915(4070) 2.27 1138:3 ....... 0.665 A k*,X Dimensions specified in inches unless noted .111UNIRAC SolarMount-1 Bearn Connection Hardware SolarMount-1 1- Flange Foolt Part No. 0_40,14u # 1-Flange Foot Material: One of the following mill finished extruded aluminum alloys: 6005-T5,6105-T5, 6061-T6 Ultimate tensile: 38 ksi,Yield:35 its! 0 1-Flange Foot weight: 0.101 lbs(46 g) Allowable and design loads are valid when components are assembled with SolarMount-1 1.0 or 2.5 Beams according to authorized UNIRAC documents 1-Flange feet are compatible with SolarMount-1 Beams Resistance factors and safety factors are determined according to part I section 9 of the 2005 Aluminum Design Manual 1-Flange Foot Design and allowable loads are for the beam to foot connection Y Be sure to check load limits for roof attachments and standoffs X Average Allowable Safety Design Load Resistance Applied Load Ultimate Load Factor, lbs(N) Factor, Direction lbs(N) The(N) FS till Tension,Y+ Xi win11.0 Oaam 1388(5952) 591 (2629) 2.26 894(3977) 0,668 SolarMount- SolarMount-I 2.5 Beam 1514(67;15) 648(2882) 2.34 980(4359) 0.647 Compression,Y- Solarklount-1 1.0 Beam 2931 (13038) 1288(5729) 2.28 1948(8665) 0,664 Dimensions specified in inches unless noted SolarMount-I 2.5 Beam 2750(12233) 1223(5440) 2,25 1849(8225) 0,672 Transverse,X-,downhill 635(2825) 313(1392) 2.03 .....,...473(2104) 0.745 ..................... Transverse,X+,uphill 42(187) 20(89) 2.15 30(133) 0.705 Z± (see Beam Splice) Solai,Mount-1 2 - Flange Foot Fart No. 04002M,04003M 2-Flange Foot Material: One of the following mill finished extruded aluminum alloys:6005-T5,6105-T5, 6061-T6 Ultimate tensile: 38 ksi,Yield: 35 ksi 2-Flange Foot weight:0.103 lbs(47 g) Allowable and design loads are valid when components are assembled with SolarMount-1 1,0 or 2.5 Beams according to authorized UNIRAC documents 2-Flange Feet are compatible with SolarMount-1 Beams 2-Flange » Resistance factors and safety factors are determined according to part I Foot section 9 of the 2005 Aluminum Design Manual Design and allowable loads are for the beam to foot connection Be sure to check load limits for roof attachments and standoffs Y Applied Load Average Allowable Safety Design Load Resistance Direction Ultimate Load Factor, lbs(N) Factor, X lbs(N) lbs(N). FS1 0 ► Tension,Y+ SolarMount-I 1 0 Beam 31 5 864 (3843) 2.23 1307(5814) 0,667 Solartviount-1 2.5 Bsam 2478(11023) 1111 (4942).1— 2.23 1681 (7477) 0V8 Compression,Y- _7 SolarMount-1 1.0 Beam 3788(16850) 1706(7589) 2.22 2581 (11481) 0.681 SolarMount-1 2.5 Beam 3694(16432) 1562(6948) 2.36 2363(10511) 0.640 Dimensions specified in inches unless noted Transverse,X,downhill 635(2825), 313(1392) 2.03 473(210.4} l Transverse,X+,uphill 1 42(187) 20(89) 2.151 30(133) _WW0,705 Sliding,Z± (see Beam Splice) U N I N RAC H H SolarMount-1 Beam MATERIAL:One of the following extruded aluminum alloys:6005-T5,6105-T5,or 6061.T6,Mill Finish Beam Height(in) Properties Units 1.094 2.500 Approximate Weight(per linear ft) Plf 0,356 0.548 Total Cross Sectional Area in 2 0.3037 0,4665 Section Modulus(X-Axis) in' 0.1101 0,3687 Section Modulus(Y-Axis) Ina 0.0390 0,0422 Moment of Inertia(X-Axis) Ina 0.0602 0.4609 Moment of Inertia(Y-Axis) in 4 0.0195 0,0211 Radius of Gyration(X-Axis) in 0,4453 0,9940 Radius of Gyration(Y-Axis) in 0.2536 0,2127 1.406 2.500 1.044 ---------- 0.547 0347 SolarMount 1.0 Beam Height= 1,094" SolarMount,2.5 Beam Height=2.500" Part No. 10144M Y Part No. 11192M Y One 00,281 hole is 1.188" k Two 00.281 holes are 1.188" from each end of the beam 0.X from each end of the beam o-X Dimensions specified in inches unless noted 13C Powe "N, (800)967-6917 mywdcpower-systams rAm The Commonwealth of Massachusetts Department of Industrial Accidents a I Congress Street,Suite 100 Boston,MA 02114-2017 y www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):United Solar Associates, LLC Address:452 Pleasant Street, Second Floor City/State/Zip: Malden, MA 02148 Phone#:855-786-1776 Are you an employer?Check the appropriate box: Type of project(required): 1.[Z]I am a employer with 5 employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8, F1 Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.®1 am a homeowner doing all work myself[No workers'comp,insurance required.] 10 ® Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.F1 Plumbing repairs or additions 5.®I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.'* 14.M Other Solar Install We are a corporation and its officers have exercised their right of exemption per MGL c. 6.❑ 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $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.Lie.#:7PJUB-5850763-8-14 Expiration Date:7/23/2015 Job Site Address:234 Great Pond Rd 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 MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under 4te p 'its an l penalti's o p jury that the information provided above is true and correct. Signature: �` Date: S6 1101. 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#: DATE(MM/DD/YYYY) CERTIFICATE OF LIABILIT5/Y INSURANCE 20/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. Astatement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTA T NAME: PHONE FAX ASSET ONE INSURANCE SERVICES �A/C,No,Ext): (714) 625-8204 (A/C.No):(714)625-8290 575 Anton Blvd 3rd F1 t-MAIL ADDRESS: aagopian@gmiail.com Costa Mesa, CA 92626 INSURERS) AFFORDING COVERAGE NAIC# OE66207 INSURER A: Westchester Surplus Lines Insurance Company INSURED United Solar Associates, LLC INSURER B: INSURER C: 300 Brickstone Square. , Suite 201 INSURER D: Andover, MA 01810 INSURER E: . 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 TYPE OF INSURANCE ADDL SUBR PULI LIMITS LTR IR WVD POLICY NUMBER (MM/DDIYYYY) (MM/ D YY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 UAMA(31z I X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ _5 0 1000 ——I CLAIMS-MADE Fx_1 OCCUR MED EXP(Any oneperson) $ 10 1000 A 627527966 001 11/10/14 11/10/15 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN1 AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 PRO- —1 $ POLICY [XECTLOC ] F AUTOMOBILE LIABILITY (Ea accident) $ ANYAUTO BODILY INJURY(Per person) $ SCHEDULED ALLOWNED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) L $ UMBRELLA LAB OCCUR 11/10/14 11/10/15 EACH OCCURRENCE $ 5,000,000 A X EXCESS LIAB CLAIMS-MADE 627527966 001 AGGREGATE $ 5,000,000 F_FDED T1 RETENTION $ OT_HW-_ $ WORKERS COMPENSATION X I WC STATU- _F AND EMPLOYERS'LIABILITY YIN TORY LIMITS I OTER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ Ifyes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (AttachACORD 101,Additional Remarks Schedule,if more space is required) Certificate Holder is named Additional Insured, CERTIFICATE HOLDER CANCELLATION Town of North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn: Building Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1600 Osgood Street ACCORDANCE WITH THE POLICY PROVISIONS. Building 20, Suite 2035 North Andover, MA 01845 AUTHORIZED REPRESENTATIVE P: 978-688-9545 F: 978-688-9542 @ 1988-2010 ACORD CORPORATION.All rights reserved. ACORD25(2010/05) The ACORD name and logo are registered marks of ACORD From: 6513107911 Page. 2/2 Date:7/23/2014 7:14:02 AM DATE(MM/D D/YYYYI CERTIFICATE OF LIABILITY INSURANCE T R'1'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 ACONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER, IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the polioy(ies)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 NAM E: LOPRIORE INS AGENCY INC PHONE FAX 426 MAIN STREET SUITE 2 (A1C,No,Ext): (A/C,No): E-MAIL STONEHAM,MA 02180 ADDRESS: i5MTK INSURER(S)AFFORDING COVERAGE NAIC N 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 0214$ INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICES 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 HAVEBEEN REDUCED BY PAID CLAIMS. INSR ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MM OMYYYY) (MI%DDIYYYY) LIMITS GENERAL LIABILITY ACH OCCURRENCE $ COMMERCIAL GENERA-LIABI_ITY DAMAGE TO RENTED $ CLAIMS MADE O OCCUR. REMISES(Ea orci.rrenne) ED EXP(Any one person) $ ERSCNAL R ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: ENEP.AL AGGREGATE $ POLICY PROJECT LOC RCDUCTS-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 $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKER'S COMPENSATION ANDWC STATUTORY OTHER EMPLOYER'S LIABILITY YIN UB-SB507638-14 07(23/2014 07/23'2015 !LMITS £ ANY P ROPERITOR/PARTN ER/EXECUT VE N/A E.L.EACH ACCIDENT $ 1,000,000 OFFICERlM-MBER EXCLUDEC? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 Ifyes,cesuba unce DFSCRIPTION OF OFFRATk�NS N-Irvu E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES(RESTRICTIONSiSPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. CERTIFICATE HOLDER CANCELLATIONm � TOWN OF NORTH ANDOVER-BUILDING DEPARTMENT SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED 1600 OSGOOD STREET BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTAVVE 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. This fax was received by GFI FAXmaker fax server. For more information,visit: http://www.gfi.com u ITS ,r ELECTRICIANS WWI S10332806 ISSUES THE FOLLOWING LICENSE AS V REG JOURNEYMAN ELECTRICIAN DANIEL i MCGRATH tta a r t w 114 BOYLST'ONd ST xr�r�a,ria otta�wr��t A 02148-7931 rmsyamment of putt S et o1E t"tomRegulatclis, and Stan Pt iE,EiPJ1 m 6.dt , 0487E h OAS"EL J MCGRATH, 114 MaL.E►0 N T,CL1Vo 11a % �f t ar 09/16/2014 tea% ELECTRICAL UNLIMITED JOURNEYPIERSON tticr of Conaaamcr�ArfCairs`8a Business..... .. . 17AN1 L MMRATLL' Regulation 7114 BOYLS"I"ON ST ME IMPROVEMENT CONTRACTOR NIALDEN,MA 02148-74):51 egistration. 168524 Type: - u k xpirations 3M2017 Individual triffioaLC. 3,'I-EL ^x^10 11 m_ uw 09/30/2015 µ DANIEL MCGRATH " DANIEL MCGRATH 114 BOYLSTON ST MALDEN,MA 02148 Undersecretary STATE OF MAINE DEPT EI. " k iNS E�',ONAL XAMIN ING SOA RO ANCIAL TiOkd i LICENSE Al M800020703 DANIEL MCGRATH MATER ELECTRICIAN ISSUED Aug 26,2013 EXPIRES Au0 31,2016