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HomeMy WebLinkAboutBuilding Permit #766-16 - Exception 1/4/2016ti' - /PERMIT TOWN OF NORTH ANDOVER � P APPLICATION FOR PLAN EXAMINATION Permit NO: / ' t!� Date Received i Issued: i ANT: Applicant must complete all items on this "ORT" LOCATION. 1Q-5 - eM W AA -e-< L.O rJZ- Print PROPERTY OWNER Bee S U► \'-cn-e-r1 b cA V M Print MAP NO: L1,YK PARCEL,;1 1 ZONING DISTRICT: Historic District yesrn b12- 4 !Machine Shop Villaqe ves( TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential Li New Building One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial 11 Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other El Septic ❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District ElWater/Sewer Identification Please Type or Print Clearly) OWNER: Name: Pie. sm -T�c h cn boa - y m PhoneAl 0 31 L-1 12-9.1 Address: —as 1` Ca C CONTRACTOR Name: a1S--a3" L01(LE U121 LU D / DM -n R - t L> • 'v -C)'0-2-1 Address: 060 o1wrf Supervisor's Construction License: Exp. Date:, Home Improvement License: Exp. Date: '-- ARCHITECT/ENGINEER Phone: Address: Reg. No. - FEE SCHEDULE. BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED Total Project Cost: a 5, o o FEE: $ Check No.: . . Receipt No.: NOTE: Persons contracting wit unregistered contractors do not have of Agent/Owner re of -QcbeeYve Srq on Q7 8 -2� 5 - a 3 33 I BASED ON $12&00 PER S.F. fund Permit No#: Date Issued: BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received �. of �SVED �6.6�C O 0H q- cocnanewm _ �� IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE OWNER: Name: Phone: Address: Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other _ DSeptWe�ll ®�Fld�l`ain f®finds" _ oYWate �j DESCRIPTION OF WORK TO BE PERFORMED: Identification - Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: Phone: Email: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE. BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Plans Submitt6d"El Plans Waived 0 Certified Plot Plan' CI Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer El TamingfMassageMody Art El Swimming Pools El Well El Tobacco Sales 11 Food Packaging/Sales El Private (septic tank, etc. El Permanent Dumpster on Site El THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS COMMENTS HEALTH COMMENTS Reviewed On Signature. Reviewed- on Signature Reviewed on .. . Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted I yes �—Z--Prlanning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine Ntj i t,,j and UA 8 A — (i -or department use I ® Notified for pickup Call Email I Date Time Contact Name Doc.Building Pennit Revised 2014 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits 4. Building Permit Application 4. Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses 4. Copy of Contract � Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products TOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Building Permit Application Certified Surveyed Plot Plan Workers Comp Affidavit -Photo Copy -of H.I.C.. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Mass check Energy Compliance Report (If Applicable) Engineering Affidavits for Engineered products TOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) Building Permit Application Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (if Applicable) Copy of Contract 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Building Permit Revised 2014 Location f Dat �- TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee Fni mrintinn Parmit Faa 4 I n rA F-� y 2 JLU 2 L1. O 0 O m u t \ O LL N v u w {n O V ta/f z z m O i O LL L O d' T C L U O 0 j 4A z Z ca J O w 0 W N z J u u J tZ p U c O (~) W N Z i p F- z W Q W a __ U. N j m O j *' Y O nLL 0 t -A _ O _ CD � O C _ W O .y T) C.) 0 co Q = eNC i i Z G co Z W w CL W N W a. O W :a U) z 0 m U cor O Z V N W Z 9 E CD O O Z CD tm r. a 0 1— .- E CD m m a~= OAd V O V=V O CL CL CA � Q t v J � .C- O d C Z U U) C Q B I = Q 2 LL O o m N u Y \ O o N m ? U a c Ln p WLU to Z Z ° c O s�. t0 O o LL L O T 4J C :E U LL O ►- H z Vr Z J d L D o K c LL O ~ (AO z .J v C J W m O CL' 0) 0 c LL oc w 0. IA ? n O CC M c LL z Q w cc LL c =)LL CO O z ac'i In v o V1 7,-r,,l;4!74t 7f- 0 a 2 F- N W W F— w W U N x F— Fa 0 W a z z CO U cn O W Z 9 w December 22, 2015 RE: Project/Job # 0183253 Project Address: AH] SC Office Design Criteria: U CERTIFICATION LETTER Tenenbaum Residence 125 Peachtree Ln Lot 13 North Andover, MA 01845 North Andover Wilmington Version #53.6 - TBD PIL - Applicable Codes = MA Res. Code, 8th Edition, ASCE 7-05, and 2005 NDS - Risk Category = II - Wind Speed = 100 mph, Exposure Category C - Ground Snow Load = 50 psf - MP1: Roof DL = 11 psf, Roof LL/SL = 32.5 psf (Non -PV Areas), Roof LL/SL = 17.5 psf (PV Areas) - MP2: Roof DL = 14 psf, Roof LL/SL = 32.5 psf (Non -PV Areas), Roof LL/SL = 17.5 psf (PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.33365 < 0.4g and Seismic Design Category (SDC) = C < D To Whom It May Concern, A jobsite survey of the existing framing system of the address indicated above was performed by a site survey team from SolarCity. Structural evaluation was based on site observations and the design criteria listed above. Based on this evaluationI certify that the existing structure directly supporting the PV system is adequate to withstand all loading indicated in the design criteria above based on the requirements of the applicable existing building and/or new building provisions adopted/referenced above. Additionally, I certify that the PV module assembly including all standoffs supporting it have been reviewed to be in accordance with the manufacturer's specifications and to meet and/or exceed all requirements set forth by the ASCE 7 standards for loading. The PV assembly hardware specifications are contained in the plans submitted for approval. Additionally a summary of the structural review is provided in the results summary tables on the following page. Digitally signed by Jason Toman Date: 2015.12.23 00:32:40 -07'00' 3055 Clearview Way San Mateo, CA 94402 T (650) 638-1028 (888) SOL -CITY F (650) 638-1029 solarcity.com AZ ROC 243771, CA CSLB 888104, CO EC 8041, CT HIC 0632778. DC HIC 71101486, DC HIS 71101486, HI CT -29770. MA HIC 168572, MD MHIC 126948. NJ 13VH06160600, OP. CCB 180498.. PA 077343. TX TDLR 27006, WA GCL SOLARC'91907. 02013 SolarClty. All rights reserved. �oat0 �ft Version #53.6 - TBD PIL HARDWARE DESIGN AND STRUCTURAL ANALYSIS RESULTS SUMMARY TABLES Landscape Hardware Hardware - Landscape Modules' Standoff Specifications X -X Spacing X -X Cantilever Y -Y Spacing Y -Y Cantilever Configuration Uplift DCR MPI 64" 24" 39" NA Staggered 63.1% MP2 64" 24" 39" NA Staggered 63.1% Portrait Hardware Hardware - Portrait Modules' Standoff Specifications X -X Spacing X -X Cantilever Y -Y Spacing Y -Y Cantilever Configuration Uplift DCR MPi 48" 20" 65" NA Staggered 78.7% MP2 48" 20" 65" NA Staggered 78.7% Structure Mounting Plane Framing Type Spacing Pitch Qualification Results Member Evaluation Results MPi Stick Frame @ 16 in. O.C. 400 Member Impact Check OK MP2 Vaulted Ceiling @ 16 in. O.C. 400 Member Impact Check OK Refer to the submitted drawings for details of information collected during a site survey. All member analysis and/or evaluation is based on framing information gathered on site. The existing gravity and lateral load carrying members were evaluated in accordance with the IBC and the IEBC. 3055 Clearview Way San Mateo, CA 94402 r (650) 638-1028 (888) SOL -CITY F (650) 638-1029 solarcity.com AL ROC 243771, CA CSLB 888104, CO EC 8041, GT HIC 0632778, DC HIC 71101486, DC HIS 71101488. HI CT -29770. MA HIC 168572. MD MHIC 128948. NJ 13VH06160600. OR CCB 180498, PA 077343. TX TDLR 27006, WA GCL SOLARC-91907. O 2013 SolerCity. All rights reserved. STRUCTURE ANALYSIS -LOADING SUMMARY AND MEMBER CHECK - MP1 Notes: 1. ps = ts•pf; is -roof, Cs -pv per ASCE 7 Irigure 7-z) z. pr = 0.7 (Ce) (C) Us) Pg; Ce=0.9, Ct=1.1, Is=1.0 Member De!! %!! Summa(per NDS Governing Load Comb CD CL + CL - CF Cr D + S 1.15 1.00 0.24 1 1.1 1.15 Member Anal sis Results Summary Governing Analysis I Pre -PV Demand I lPost-PVDemandlNet Im act Result Gravity Loadin 'Check 1 1239 psi 936 psi 0.76 Pass Member Properties Summary MP3 10/12 Horizontal Member Spans Overhang 1.16 ft Rafter Propertles Actual W 1.50" Roof System Pro rties Span 1 16.88 ft Actual D 9.25" Number of Spans (W]o Overhang) 1 Span 2 Nominal Yes Roofing Material Comp Roof Span 3 A 13.88 in.^2 Re -Roof No Span 4 S. 21.39 in.^3 Plywood Sheathing Yes Span 5 I 98.93 in.^4 Board Sheathing None Total Rake Span 23.55 ft TL Defl'n Limit 120 Vaulted Ceiling No PV 1 Start 1.42 ft Wood Species SPF Ceiling Finish 1/2" Gypsum Board PV 1 End 16.75 ft Wood Grade #2 Rafter Slope 400 PV 2 Start Fb 875 psi Rafter Spacing 16" O.C. PV 2 End F 1 135 psi Top Lat Bracing Full PV 3 Start E 1 1400000 psi Bot Lat Bracing I At Supports PV 3 End E,,,i„ 1 510000 psi Notes: 1. ps = ts•pf; is -roof, Cs -pv per ASCE 7 Irigure 7-z) z. pr = 0.7 (Ce) (C) Us) Pg; Ce=0.9, Ct=1.1, Is=1.0 Member De!! %!! Summa(per NDS Governing Load Comb CD CL + CL - CF Cr D + S 1.15 1.00 0.24 1 1.1 1.15 Member Anal sis Results Summary Governing Analysis I Pre -PV Demand I lPost-PVDemandlNet Im act Result Gravity Loadin 'Check 1 1239 psi 936 psi 0.76 Pass Member Loading mary Roof Pitch 10/12 Initial Pitch Adjust Non -PV Ares PV Areas Roof Dead Load DL 11.0 psf x 1.31 14.4 psf 14.4 psf PV Dead Load PV -DL 3.0 psf x 1.31 3.9 psf Roof Live Load RLL 20.0 psf x 0.70 14.0 psf Live/Snow Load LL/SL 1,2 50.0 psf x 0.65 (x 0.35 32.5 psf 17.5 psf Total Load(Governing LC I TL 46.9 psf 35.8 psf Notes: 1. ps = ts•pf; is -roof, Cs -pv per ASCE 7 Irigure 7-z) z. pr = 0.7 (Ce) (C) Us) Pg; Ce=0.9, Ct=1.1, Is=1.0 Member De!! %!! Summa(per NDS Governing Load Comb CD CL + CL - CF Cr D + S 1.15 1.00 0.24 1 1.1 1.15 Member Anal sis Results Summary Governing Analysis I Pre -PV Demand I lPost-PVDemandlNet Im act Result Gravity Loadin 'Check 1 1239 psi 936 psi 0.76 Pass -rICALCULATION OF DESIGN WINDICIADS -Aft Mounting Plane Information Roofing Material KZ Comp Roof Table 6-3 PV S tem Type-_ _ .. _ SolarCity SleekMoun-& Section 6.53 Spanning Vents - _ _ _ _--- ._ _ ^ _. No - 6-1 Standoff Attachment Hardware - _ Comp Mount Type C - Section 6.5.6.3 Roof Slope - qh 400 Fig. 6-11B/c/D-14A/B Rafter Spacing _ _. _ h _ _� _ - `16" O.C. Section 6.2 Framing T Direction Y -Y Rafters T -allow Purlin Spacing a _ _ _ X -X Purlins Only NA DCR Tile Reveal Tile Roofs Only _ NA Tile Attachment System Tile Roofs Only a _ - NA Standin §iirn/Trap Spacing SM Seam Only _ NA Wind Design Criteria Wind Design Code_ KZ ASCE 7-05 Table 6-3 Wind Design Method _ _ -_ . .. - - -Partially- Fully Enclosed Method '! Section 6.53 Basic Wind Speed - - V 100 mphFig. - -- - 6-1 Exposure Category - -- - _ - _ - _ _ _ _ C _ _ v Section 6.5.6.3 Roof Style qh Gable Roof Fig. 6-11B/c/D-14A/B Mean Roof Height h 25 ft _ -_.®_ .-.--- Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.95 Table 6-3 Topographic Factor Kzt 1.00 Section 6.53 Wind Directionality Factor _ Ka 0.85 Table 6-4 Im rtance Factor I -'1.0 Table 6-1 Velocity Pressure qh qh = 0.00256 (Kz) (Kzt) (Kd) (V^2) (i) Equation 6-15 3.0 psf - 20.6 psf T -actual UU"—I n...., Ext. Pressure Coefficient U U -0.95 Fig. 6-11B/C/D-14A/B Ext. Pressure Coefficient Down 0.88 Fig. 6-11B/C/D-14A/B Design Wind Pressure p p = qh ( ) Equation 6-22 Wind Pressure U -19.6 psf Wind Pressure Down 18.0 pe FALLOWABLE STANDOFF SPACINGS X -Direction Y -Direction Max Allowable Standoff Spacing Landscape64 "Landscape 39° Max Allowable Cantilever _ - - - 24;, -- - _ _ - _. _.-- _ _ - - NA Standoff Configuration Landscape- Staggered Max Standoff Tributary Area Trib 17 sf PV Assembly Dead Load - - W -PV 3.0 psf - Net Wind Uplift at Standoff- T -actual -316 lbs Uplift Capacity of Standoff T -allow 500 lbs Standoff Demand Ca ci - DCR _ _ 63.1% - -- X -Direction Y -Direction Max Allowable Standoff Spacing - - - Portrait 48" 65" Max Allowable Cantilever Portrait - - - - - - � - - 20" - _- - NA Standoff Configuration Portrait _- Staggered Max Standoff Tributary Area Trib22 sf PV Assembly Dead Load _- W -PV 3.0 psf Net Wind Uplift at Standoff T-actual � _ -394 lbs - Uplift Capacity of Standoff T -allow 500 lbs Standoff Den aAd Ca c' DCR 78.7% _ - -- [STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK - MP2 Notes: i. ps = Cs*pr; cs -roor, cs -pv per A5Lt 7 ingure 7-Z) Z. Pr = 0.7 (Ce) (Ct)(Is) p9 ; Ce=0.9, Ct=1.1, Is=1.0 Member sign Summa(per NDS Governing Load Comb CD CL + CL - CF Cr D + S 1.15 1.00 1 1.00 1.1 1.15 Member Analysis Results Summary Governing Analysis Pre -PV Demand Post -PV Demand Net Impact Result Gravity Loading Check -468 psi -391 psi 0.84 Pass Member Properties Summary MP2 10/12 Horizontal Member Spans Overhang 1.16 ft Rafter Properties Actual W 1.50" Roof System Properties Roof Dead Load S n 1 8.95 ft Actual D 9.25" Number of Spans (w/o Overhang) 2 Span 2 10.75 ft Nominal Yes Roofing Material Com Roof Span 3 20.0 psf A 13.88 in A2 Re -Roof No Span 4 50.0 psf Sx 21.39 in A3 P ood Sheathing Yes Span 5 I 98.93 in.^4 Board Sheathing None Total Rake Span 27.23 ft TL Defl'n Limit 180 Vaulted Ceiling Yes PV 1 Start 0.33 ft Wood Species SPF Ceiling Finish 1/2" G sum Board PV 1 End 15.58 ft Wood Grade #2 Rafter Slope 400 PV 2 Start I Fb 875 psi Rafter Spacing 16" O.C. PV 2 End F„ 135 psi Top Lat Bracing Full PV 3 Start E 1400000 psi But Lat Bracing Full PV 3 End E,,,i„ 510000 psi Notes: i. ps = Cs*pr; cs -roor, cs -pv per A5Lt 7 ingure 7-Z) Z. Pr = 0.7 (Ce) (Ct)(Is) p9 ; Ce=0.9, Ct=1.1, Is=1.0 Member sign Summa(per NDS Governing Load Comb CD CL + CL - CF Cr D + S 1.15 1.00 1 1.00 1.1 1.15 Member Analysis Results Summary Governing Analysis Pre -PV Demand Post -PV Demand Net Impact Result Gravity Loading Check -468 psi -391 psi 0.84 Pass Member Loading mary Roof Pitch 10/12 Initial Pitch Adjust Non -PV Areas PV Areas Roof Dead Load DL 14.0 psf x 1.31 18.3 psf 18.3 psf PV Dead Load PV -DL 3.0 psf x 1.31 3.9 psf Roof Live Load RLL 20.0 psf x 0.70 14.0 psf Live/Snow Load LL SLr'Z 50.0 psf x 0.65 1 x 0.35 32.5 psf 17.5 psf Total Load(Governing LC I TL 50,8 psf 39,7 psf Notes: i. ps = Cs*pr; cs -roor, cs -pv per A5Lt 7 ingure 7-Z) Z. Pr = 0.7 (Ce) (Ct)(Is) p9 ; Ce=0.9, Ct=1.1, Is=1.0 Member sign Summa(per NDS Governing Load Comb CD CL + CL - CF Cr D + S 1.15 1.00 1 1.00 1.1 1.15 Member Analysis Results Summary Governing Analysis Pre -PV Demand Post -PV Demand Net Impact Result Gravity Loading Check -468 psi -391 psi 0.84 Pass ,CALCULATION -OF -DESIGN- WIND LOADS-- MP2 Mountin Plane Information Roofing Material Kz Comp Roof Table 6-3 PV System .Type _ _ _ - _ _ _ . _ _ _ _ _ _- _ _ SolarcitySle&MountT"' S_ ection 6.51 Spanning Vents V__ _ _ _ _ No Standoff Attachment Hardware _ . _. _ _ _ - w comp Mount Type C - Roof Slope qh 400 _. Fig. 6-11B/C/D-14A/B Rafter Spacing h _ Section 6.2 Framing T Direction -- - - Y -Y Rafters T -allow - Purlin Spacing X -X Purlins Only NA WDCR Tile Reveal Tile Roofs Only_ NA Tile Attachment System Tile Roofs Only _ - - NA Standin Seam ra 5 cin SM Seam On _ NA Wind Design Criteria Wind Design Code Kz ASCE 7-05 Table 6-3 Wind Design.' et hod _ _ . _ _ .._ _ _ _ _- _ _ _ . Partially/Wly Enclosed Method' S_ ection 6.51 Basic Wind Speed V__ 100 mph Exposure_Category. _ _ _ ..- _ _ _ _ . _. _ _ _ . _ - C_ -Fig.6-1 - Se-ction_6.5.6.3 Roof Style _ qh ._ Gable Roof _. Fig. 6-11B/C/D-14A/B Mean Roof Hei ht h 25 ft - Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure Kz 0.95 Table 6-3 Topographic Factor Kz 1.60 S_ ection 6.51 Wind Directionality Factor -- -� --' Kd 0.85 Table -6-4 Im rtance Factor I - 1.0 Table 6-1 Velocity Pressure qh qh = 0.00256 (Kz) (Kzt) (Kd) (V^2) (I) Equation 6-15 - - 3.0 psf - - 20.6 psf T -actual Wind Dremmorm Ext. Pressure Coefficient U G -0.95 Fig. 6-11B/C/D-14A/B Ext. Pressure Coefficient Down %,,,, 0.88 Fig. 6-11B/C/D-14A/B Design Wind Pressure p p = qh () Equation 6-22 Wind Pressure U -19.6 psf Wind Pressure Down 18.0 psf [ALLOWABLE STANDOFF SPACINGS X -Direction Y -Direction Max Allowable Standoff- Spacing -� landscape 64 39 Max Allowable Cantilever Landscape - 24" NA Standoff Confiuration Landscape Staggered Max Standoff Tributary Area Trib 17 sf PV Assembly Dead Load_ _ W -PV - - 3.0 psf - - Net Wind Uplift at Standoff T -actual - - - -316 lbs -- - - Uplift Capac4_of Standoff T -allow - 500 lbs _ Standoff Demand Ca c' WDCR - - ----63.1% X -Direction Y -Direction Max Allowable Standoff Spacing- - Portrait 48" 65" Max Allowable Cantilever .Portrait 20" -- - NA Standoff Configuration Portrait Staggered Max Standoff Tributary Area Trib22 sf PV Assembly Dead Load W -PV - -3.0 psf Net Wind Uplift at Standoff T -actual _ _ - - -394 lbs Uplift Capacity of Standoff T -allow - 500 lbs Standoff Demand Ca c' . _ �' - DCR - - - - - - 78.74to- � - DocuSign Envelope ID: IlB75B9E-F7D9-4624-99A3-5E752DC69315 SolarCity I PPA Customer Name and Address Betsy Tenenbaum Carl Tenenbaum 125 Peach Tree Ln North Andover, MA 01845 System installation cost Installation Location Date 125 Peachtree Ln Lot 13 12/14/2015 North Andover, MA 01845 Here are the key terms of your Power Purchase Agreement V V lJ Electricity ra+- -g WAlk li:!� E -- Initial here here D The SolarCity Promise • We guarantee that if you sell your Home, the buyer will qualify to assume your • We warrant all of our roofing work. • We restore your roof at the end of the Agreement. • We warrant, insure, maintain and repair the System.......................................................................... • We fix or pay for any damage we may cause to your property. • We provide 24/7 web -enabled monitoring at no additional cost. • The rate you pay us will never increase by more than 2.90% -pe y `ear- • The pricing in this Agreement is valid for 30 days after 12/14/2015: D Your SolarCity Power Purc Amount due at contract signing $0 t Est. amount due at installation $0 Est. amount due at building inspection $0 Est. first year production 13,091 kWh Your Choices at -the End of the Initial • SolarCity will remove the System at no . You cari upgrade to a new System with th"e`latest solar technology under a new contract. • You may purchase the System from SolarCity for its fair market value as specified in the Agreement. • You may renew this Agreement for up to ten (10) years in two (2) five (5) year increments. 3055 Clearview Way, San Mateo, CA 94402 1 888.765.2489 1 solarcity.com Power Purchase Agreement, version 9.1.0, November 11, 2015 SAPC/SEFA Compliant Contractors License MA HIC 168572/EL-1136MR Document generated on 12/14/2015 Copyright 2008-2015 SolarCity Corporation, All Rights Reserved Initial here _ os Initial her'_i�__OA Options for System Purchase: • At certain times, as specified in the Agreement, you may purchase the System. • These options apply during the 20 year term of our Agreement and not beyond that term. 1407523 DocuSign,Envelope ID: 11B7589E-F7D9-4624-99A3-5E752DC69315 23. NOTICE OF RIGHT TO CANCEL. YOU MAY CANCEL THIS CONTRACT AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE YOU SIGN THIS CONTRACT. SEE EXHIBIT 1, THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. 24. ADDITIONAL RIGHTS TO CANCEL. IN ADDITION TO ANY RIGHTS YOU MAY HAVE TO CANCEL THIS PPA UNDER SECTION 23, YOU MAY ALSO CANCEL THIS PPA AT NO COST AT ANY TIME PRIOR TO COMMENCEMENT OF CONSTRUCTION ON YOUR HOME. 25. Pricing The pricing in this PPA is valid for 30 days after 12/14/2015. If you don't sign this PPA and return it to us on or prior to 30 days after 12/14/2015, SolarCity reserves the right to reject this PPA unless you agree to our then current pricing. Power Purchase Agreement, version 9.1.0, November 11, 2015 1407523 I have read this Power Purchase Agreement and the Exhibits in their entirety and I acknowledge that I have received a complete copy of this Power Purchase Agreement. Customer's Name: Betsy Tenenbaum DocuSbr4d W. Signature: 4FFMW123145F... Date: 12/14/2015 Customer's Name: Carl Tenenbaum DocuSigrwd by: Signature: 0 ��- OMP09AD2CFE4D4... Date: 12/14/2015 Power Purchase • Agreement \ / r S©IarCity approved Signature: Lyndon Rive, CEO Date: 12/14/2015 Z71C Cbta Montueafth ofMasswhusetta Deparbnent eflndiablalAccUmts Office of1nmdga&xs X Congress Stree4 Suite 100 Aostm, ASA 02114-2017 www.m=.pvv1dia Workers' Compensation Insurance Affidavit. Builders/CvutrdclorsMectrieians/Plumbers t htgibly Name (au*cworg=1zmkn#wivwuw): SolarCity Corp. Address: 3055 Clearview Way CitytStatrl7p: San Mateo CA. 94402 Phone /f: 888 - Am you -aa employer? Check the appropriate box: 1. G(11 am a employer with 5,000 4- [] I am a general contractor mW I employees (full attdkr part-time)." 2.0 1 wn a sole proprietor or part ur- ship and have no employees wonitg for mein any capacity. [No workers` coons, insulators required.) 3.01 am a homeowner doing all work rqwlf: [No workers' comp. insuratice requiretl.j t have hired the sub -contractors Iistcd on the attached skeet. These spb-curators have employees and have workers' comp, insurance t 5-. We are a corporation and its offtrsers have exercised their flot or oxar*tiun per MGI. c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (requited): S. 0 Now const=don 7. ❑ Remodeling S. ❑ Demolitio-a 9 (] Building addition 10.0 Electrical repairs or additions I L[I.Piumbiag repairs or additioas 12.0 Roof repairs 13[DOther Solar/PV *Ary Wf is at that :becks bon N1 mm" tut am the aecliaa bebw shOwhtg their wo*M- MUP06"tim PQ¢Y t iiomeowmrs who SAmitthie dittVk indfa8ftfi LY ate doing ail amk tad then him oWida mast submit a naw attldavit indicoftstuh. tCor*notore that cheek this bon muco edtwW on additiomd okra show ttee risme or" sob -cents ora cold stele whether or not those entities beve Cmployees. Ff the mb-eotdraetars have zWkyw, they W"t provitk t!k workers' etwo paltry rwmbm lam an emproyer theft is pmrkag Wedmrs' coxwettsatb►a- fnsunme for my employxas. BGlotr 1s &v policy and job site Warmatlon. Insurance Company Mama: Zurich American Insurance Company Policy # or Solt ins. i..ic. #: WC0182015-00 Expiration Date: 9/1/2016 Job Site Address: .2:S Peo C h -� r2 e LCt City/statelzip: N 0 aii nn do vt r Attach a copy of the woyMrs' compentration policy doelUration page (showing the policy number and oxpirstion date). Failure to secure coverage ars rcquked under Section 25A of MGL c. 152 can lead to the imposition of ctitrtm penalties of a fine up to S1,500.W andtor one-year imprisonment, as well es civil penalties in the fonts of s STOP WORK ORDER and a fine of up to $250.00-a day against the violmr. Be wh isW that ar copy of this statement may be forwarded to the Office of investigations of the DIA for insutatice coverage verification. ffrciul use only, Do not wrfle in this arras, to be crrnWded by rlty or tewa offidaL City or Town: Per aitfl kense # Issuing Authority (circle one). 1. Board atHealth 2. Building Deparinnettt 3. City/Town Clerk 4. Electrical Inspector $. Plumbing Inspector 6. Other Contact Person: Phone #' ACORO CERTIFICATE OF LIABILITY INSURANCEDATEI YYI 08117!2{145 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATNELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 13Y 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). �.X - ...... CLAIMS=MADE i...` OCCUR PRODUCER MARSH RISK& INSURANCESEWCES CONTACT P _........_ ............... .............. FAX ....__._._._. 345 CALIFORNIA STREET, SUITE 1300 _.._ .__ .. _..............._...!!!>.k91:...._.._..._......_...._......_.._ CALIFORNIA LICENSE NO. 0437153 E�dAR AP12R 3,W0,000 .. ' SAN FRANCISCO, CA ,94104 . . ..... . .......... ........ ..... -.. _.._. _._.___..__.. _. _....-- _.-. AtImShaman Seo11415-743.8334- .... _ ..... .. tPRODUCTS -COAIPn]PAGO . $ — 6,000,000 99830tSTND-CAWUE-15.16 MSR A: Zurdl American ft=rZnce CompanyINSURED A AUTOMOBILE LIABILITY `8AP018201T W BQSURER B :NIA VIA swarcgy CO�ahOa 3055 Clemlew Way_. . .... ... NIA Sart Mateo. CA 94402INSURER 1): Amhiew Z ft Inane Gomm 142 } X t ...; JON OY�ED HIRED AUTOSAUTOS ........ +.�:,X. P ._. _... . _.._.._.... IMPJRVRP: f COVERAGES CERTIFICATE NUMBER: SEA -00271383"" REVISION NL MB3ERA 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 REQUIRE=MENT, 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. AUTHORIZED REPRESENTATIVE �_ !NSR .. _ ._.. _.... .. _ ....... d66L;i313ii 0 maNUMBER TYPEOFINSURANCE ' POLICY F.FF '.; �LECY EXP ? LIMITS A X COMmERcIALoENERALLiAfRLITY I j(31.001820t6"40 0910912015401120116 S 3,0 �.X - ...... CLAIMS=MADE i...` OCCUR ; �EACFI"OCCURRENCE _..._..00, 3,000.00 X SIR: 5250,000 MED EXP (Any orro y4rsorl) S " 5.000 • __ t _ .._�...__ ..._... __ .... __._.. _._ :._ .... I PERSONAL & AOV INJURYG : S _._. _g. __....... 3,W0,000 .. ' GLAGGREGATELIMIfAPPUESPER' I I..... ._.. GENAGGREGATE GENERAL 6=, 000 ;W PRO X POLICY CT ;. ,,.y LOC .... _ ..... .. tPRODUCTS -COAIPn]PAGO . $ — 6,000,000 OTHER S A AUTOMOBILE LIABILITY `8AP018201T W `0910112035 :0"112016 COMBINED SINGLELSD.: 3 5000,000 X ANY AUTO Y I W URY (Pae person) ALL OWNED . I SCHEDULED X " AUTOS X AUT08 r- BODILY INJURY (Per ece dem) $ } X t ...; JON OY�ED HIRED AUTOSAUTOS ........ +.�:,X. P ._. _... . _.._.._.... COMPICOLL DED: $ 85000 > UMBRELLA UAB OCCUR I EACH OCCURRENCE S - - -.. ... ... . . ExC i ESS LU1B E..._ 1... i�DE � I . AQGREGATE j g DED IE S .. .... . g .._.. D WORIfERSCONIP6NSRTION WC0l82014.00(A0S) AND EMPLOYERS LIABILITY 09101/2015 �IOii2016 X `PER OTH, �. A :" Yl N I ANY PROPRIETORIPARTNERIEXECUTiVE WM182015-M (MA) OFFFCERNEMSER EXCLUDED? FN: N / A j I_.. i.�!T11> . ....- .._ ,0910112015 09104P2016 f L EACH AOCIDENT S I E _ .. _ _._..... _.. _..... . , .i .... ................. _ ... 1.00D,000 .. tMancla" In NMI ( INC DEDUCTIBLE: 5500,000 N Qescrlbeund¢r, I I 91 Eq FA EMPLOYES i�ii01000 DESC ION OF OPERATIONS below I E L DISEASE - POLICY LIMIT ' $ 1,00=1 i DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORR 147, Addllloml Rernsrks Schedule, may be aeached Armors since Is re MtQ EY6nce of bw am, Ur-K1U-IL;A lt!•IULUFIt a ALI#`Cr I AYMU SokW* Cmpmft 3055CleannewWay San Malec, CA 99402 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 1N ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk & insurance Services Chwles Marmofejo a 1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014U01) The ACORD name and logo are registered marks of ACORD -..�� &(:�71, 711 ( �,t"/ (!r�(/{:F'C� ,f Cn�f.�S•� J/ r/ [�"�./�\: 1 ?iL�C..<% (/i{,J'l�r ' - Office of Consumer Affairs and Business Regulation F, 10 Park Plaza - Suite 5 170 Boston, Massachusetts 02116 Horne Improvement Contractor Registration Registration: 168572 Type: Supplement Card SOLAR CITY CORPORATION Expiration: 3/8/2017 ASTRIO BLANCO g � 3055 CLE_ARVIEW WAY -- -_ SAN MATEO, CA 94402 Update Address and return card. Mark reason for change. SCA 1 0 2OM-05111 _�^' ❑ Address (] Renewal ❑. Employment (-1 Lost Card free of Consumer Affairs & Business Regulation License or registration valid for individul use only before the expiration date, If found return to: OME IMPROVEMENT CONTRACTOR Qttice of Consumer Affairs and Business Regulation sPRegistration: 168572 Type: 10 Park Placa - Suite 5170 Expiratio'n; 3/8/2097 Supplement card Boston, NIA 02116 . . 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