Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0150 SETH GOODSPEED'S WAY
Goodqle�fl I PT a r 0 o � 0 I 0 a f/y ,� , � ,w � o ` . .° � e ° � � � � �. � � �: s o � � _� ° _ °, �_ � � o� ._ � ,o � -� a - of a � � z � Q f Q c o ,, o ;` o _ _ o � e m ;. o .. _ o � .. a 0 �. o � � ' o o. .: _ -- � � - - _ ��_ - - .... - _ �� _ _ �a. - - � -_ - _ - � _ - a � _ it a � _ i� o — _ � . �. -� � e o .. o - - _ _ ,. G o � o H _ _ - - -. - - .., R o c e � _ _ �. � _ � - , a ��� � _ p „. a o _ �=i4 " - � �b a" c - .� _ _ � ate. ,� � 9' ._ c c c e _ e _. .yam _- ❑ _ o - S TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map last : Parcel 09L/ Application # o2d1VA I0,22.3 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address GF79Y Village Os'_ Owner"�C�'rJ 79oc.JMQ&D Address /'_'F�Q 450� Telephone 7r7L4- a 3 B--9c490, Permit Request -EkutL_-U/AX3 -R� sir'_ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay. Project Valuation ' 0 Construction Type SL dZ Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 3 1 %/RS Historic House: ❑Yes $lo On Old King's Highway: ❑Yes r&No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas. ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove 0 Ye8O;No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑•new size _. % Ln o -Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: a— — C) Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 9(No If yes, site plan review# Current Use �RE��DL- �TI/� Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 7TLE2JM1 G. )me-n- /IIZInc> Telephone Number, �;101 —57 Address License # !a�/!'� A)A-mn,ee- 2!14A O/zF cf-7 Home Improvement Contractor# 1?6,279 Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU � - DATE FOR OFFICIAL USE ONLY ` APPLICATION# DATE ISSUED r , MAP/PARCEL NO,. k 1 s ADDRESS VILLAGE - x �.' OWNER DATE OF INSPECTION: t FOUNDATION FRAME t , INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL C s GAS: ROUGH FINAL ; FINAL BUILDING DA T-&-CLOSED OUT `\} AS-_S'WATION PLAN NO. y' ry Was n i t$01orlti1 so OopelL IV Cf11r ti ► , (a SV r r,,,:' Agent, a al amilm r, 'Ol iC1 It Roof p�`��J , HIC41 1A} and 51gn (cr 4}ulrMwts I ra ert my $ dVRuly eV ter: .r C •� - ,' and aP Sy IRt 1` It3�ure. r y �r� ;�r� ���ier��t�i1tlar of COUSLrUCilon � .t I�pgnsf bi lIty US rf.illy BC t th8 �y a;• Al Q after $ignalure � t 4 ,mph Wyld-Ctt9fto A Atilhorl7ted Agent The Conimotnvealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street _ Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Roof Diagnostics Solar of MA LLC Address: 89 F Washington Ave City/State/Zip: Natick,MA 01760 Phone#: 508-545-0989 Are y an employer?Check the appropriate box: Type of project(required): 1.Irl am a employer with-;50 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 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' [Ito workers' comp, insurance comp. insurance.: 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ R f repairs insurance required.] t c. 152, §1(4),and we have no ]R 'Pk,—employees. [No workers' 13. Other comp. insurance required.] 'Any applicant that checks box#I 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:The Hamilton Group/Continental Indem.Co. Policy#or Self-ins. Lic.#: 468185310104 Expiration Date: 10/5/14 Job Site Address: /5O :5- �d�` _L � /�iQy City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: - ... Date: Phone#:508-545-0989 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#: a oRoP CERTIFICATE OF LIABILITY INSURANCE 10�4�20'�3 Y"Y' 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(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: The Hamilton Group, LLC PHONE FAX 3 Wing Drive AIC No Ext: — — A/C No:()71-292-2441 Cedar Knolls NJ 07927 ADDRIESS: PRODUCER CUSTOMER IDy:ROOFD-3 INSURER(S)AFFORDING COVERAGE NAIC If INSURED INSURER A:Selective Way InS I Roof Diagnostics Solar of INSURER B:Slective Ins Co of the S. East Mass LLC 89F Washington Avenue INSURER C:Continental Indemnity Company Natick MA 01760 INSURERD: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:2079777279 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. IOC LTR TYPE OF INSURANCE INSR-Mk ADDL SUER POLICY NUMBER MWDDPOLICY EFF MPM/LDI pY EXP LIMITS A GENERAL LIABILITY S2000721 10/3/2013 10/3/2014 EACH OCCURRENCE $1,000,000 X DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $100,000 CLAIMS-MADE FTI OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $3,000,000 POLICY PRO- LOC $ B AUTOMOBILE LIABILITY A9093006 10/25/2013 10/3/2014 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OWNED AUTOS $ A X UMBRELLA LIAB X OCCUR S2000721 10/3/2013 10/3/2014 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 DEDUCTIBLE $ RETENTION $ $ C WORKERS COMPENSATION 468185310104 10/5/2013 10/5/2014 WCSTATU- OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 ❑ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) This certificate does not afford coverage for additional insureds. The certificate is only evidence of insurance coverage for the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Commonwealth of Massachusetts PO Box 7010 Boston MA 02204 AUTHORIZED REPRESENTATIVE #7 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD t_ i ^SRAa��,,,,, Z�S Massachusetts -Department of Public Safety ? w�����.. 36-600946031 �Vf Board of Building Regulations and Standards ti�rhrMrettpn Con%lruclion Supenisur This card acknowledges that the recipient has successfully completed a License: CS-093115 4�; : 30-hour Occupational Safety and Health Training Course in �-1 ' '` i,, Construction Safety and Health JOSEPFI M WYLDCHIRICO K3 Regent Street: * 'H North Attleboro MA U27ti0 10-S E.P-H-WYLD=CHJRICO _ y R� Michael'Nlillsap 4/22/2012 aJG Jy _ " "' Expiration (Trainerneme-print or type) - (Course end date) Commissioner 05/14/2015 -- ff."of Consumer Affairs&Business Regulation . License or registration valid for individul use only ti before the expiration date. tf found return to: ='OME IMPROVEMENT CONTRACTOR �c• Office of Consumer Affairs and Business Regulation `Registration: 170279 Type 10 Park Plaza-Suite 5170 1= Expiration: 10/5/2015 Supplement i'ard Boston,Mr\02116 ROOF DIAGNOSTICS SOLAR OF MASS,LLC. .. i JOSEPH WYLD-CHIRICO 89 WASHINGTON AVE. --- �— ' NATICK,MA 01760 Undersecretary �id without signature . r suflrufl EXHIBIT A � — SOLAR FACILITY ADDENDUM CONTRACT P87A14R36E1311K THIS SOLAR FACILITY ADDENDUM CONTRACT("Addendum")is made by and between Sunrun,Inc.("Sunrun")and Roof Diagnostics,Inc.("Contractor")for the design,engineering,procurement,installation,and construction of the Solar Facility described herein.This Addendum hereby incorporates, in total, the terms and conditions set forth in the Customer Origination Agreement("Contra "),and all schedules and exhibits thereto,executed by Sunrun and Roof Diagnostics,Inc.in March 10,2011.Capitalized terms contained herein have the meanings set forth in the Contract. SOLAR FACILITY TOTAL SOLAR CUSTOM Contract Price:$29,700.00 Host Customer:Joseph Bowman Street Address:150 Seth Goodspeed Way,Osterville,MA,02655 Rebate Level:$0.33 per watt Utility:NSTAR TECHNICAL SPECIFICATIONS System Size Description Rating Standard Test Condition Direct Current(STC DC kW) 6.000 CEC Alternating Current(CEC AC kW) 5.269 Generation Equipment Photovo/taiccol/ectors Manufacturer Model number STC DC rating Quantity Array 1 Trina Solar TSM-250PA05.08 250 W 24 Inverters Manufacturer Model number Efficiency Quantity Array 1 Power-One PVI-5000-OUTD-US(240 V) 0.965 1 Total Number of Panels: 24 Total Number of Inverters: 1 07/31/2013 P87A14R36E1311 K-H(Custom PPA Fixed) Page 1 of 2 L sunrufl - EXHIBIT r SOLAR FACILITY ADDENDUM CONTRACT SOLAR FACILITY DESIGN DIAGRAMS Attach the single-line diagram and aerial-view module layout for the Solar.Facility to this document. ASSIGNMENT . . . When transfer of the title to the-Work occurs pursuant to the Contract,title to the Work shall be transferred to the Person("Assignee")designated in Exhibit A-1.. MISCELLANEOUS Neither this Addendum,nor the Contract,creates any employment,agency,partnership,joint venture or other joint relationship between the Parties. Should a conflict arise between the terms of this Addendum and.the terms of the Contract that cannot be reconciled,the terms of this Addendum shall govern;: rDded,however•agreement on a conflicting term in this Addendum shall not operate to modify the conflicting term in the Contract for future. addenda executed between the Parties.This Addendum maybe executed in counterparts,eacHof which,will be deemed an original,but all of which taken together will constitute but one and the same instrument. SUNRUN,INC. ROOF DIAGNOSTICS,INC. E DocuSigned by: a►waw't�ra �ririr .. .. � .. .. - - `�7"' ."_. DD88A3C817C3448...: .. '. Signature " Signature . . Samantha Justesen Craig Pedersen Name Name Sunrun .Operations MA Operations:Director Title • :. Tit a .. 8/14/2013 : 8/8/2013 Date Date 07/31/2013 P87A14R36E1311 K-H(Custom PPA Fixed) Page 2 of 2 sunrun Sunrun Total Solar Solar Power Service Agreement Summary Joseph Bowman 150 Seth Goodspeed Way, Osterville, MA, 02655 ESTIMATED SOLAR ENERGY OUTPUT TO BE DELIVERED YEAR 1: 6,509 kilowatt-hours(kWhs) INITIAL TERM: 123,697 kWhs ESTIMATED ANNUAL ENERGY SOURCES FROM UTILITY 6,800 kWhs 291 kWhs FROM SUNRUN 0 kWhs 6,509 kWhs *Actual results may vary. This estimate assumes:1)your use of electricity remains constant,and 2)the Solar Facility produces as projected. CUSTOMER PAYMENT TERMS Non-refundable Deposit(due today) $500 Initial Payment(due at installation) $2,500 Monthly billt Year 1 $79.19(plus taxes, if applicable) Annual increase 0.0% Cost per kWh,Year 1 $0.146, excluding Upfront Payment(if any) Average cost per kWh,Initial Term $0.178, including Upfront Payment and annual increase(if any) t Monthly payments shown include a$5 discount for paying through ACH withdrawal from your checking or savings account.If you do not elect automatic payment through ACH withdrawal from your checking or savings account you will not receive this discount and each monthly payment will be$5 greater. Your initials indicate that you have read, understand and accept the explanation of estimated energy output,energy sources and payment terms.You understand that Sunrun has the right to check your credit and you agree that Sunrun will make final determination of customer eligibility. Accepted . THE SOLAR FACILITY IS OWNED BY SUNRUN INC.AND/OR ITS AFFILIATES. SUNRUN INC. 45 Fremont Street,32nd Floor,San Francisco,CA 94105 1-855-478-6786 07/31/2013 _ P87A14R36E1311 K-H(Custom PPA Fixed) Page 1 of 17 Agreement Overview l Sunrun Is Serious About Providing you Quality Service for the Life of-your Contract. SOLAR PEACE OF MIND Sunrun offers a Performance Guarantee.If your system does not produce the power output guaranteed in this agreement,we'll refund you for lost power. If your system overperforms you keep the excess power free of charge; Sunrun's customer care team is available by phone and email to respond promptly to any questions or concerns you may have. When we arrange for installation of a system,Sunrun owns the panels, and we monitor them constantly.Sunrun will insure, maintain,and repair the Solar Facility at no additional cost to you including inverter replacement. Sunrun only works with insured partners who have all required licenses to perform the work necessary to install and maintain your system. AGREEMENT OVERVIEW Sunrun wants you to be confident in choosing us as your solar power service provider for the next 20 years.While it's still necessary to read your entire Agreement,there are a few important points to be aware of. . After going solar you will continue to receive a bill from your Utility. Based on the information you provided Sunrun about your previous year's power consumption of 6,800 kWhs,your system is sized to offset 96%of the power you currently purchase from your Utility. ■ This Agreement becomes effective when both you and Sunrun have signed the Agreement and continues in effect for 20 years following the date your Utility grants permission to operate the Solar Facility. . Your first year monthly payment amount is$79.19.This,amount will increase by 0.0%annually for the term of the Agreement.This amount includes a $5 discount per month for automatic payment through ACH withdrawal from your checking or savings account. ■ Sunrun offers a 100% Performance Guarantee. If your system underperforms, Sunrun will refund you for lost power at the rates shown in Exhibit A.If your system overperforms,you keep the excess power at no extra charge. Sunrun's contractors provide a 5 year warranty to Sunrun against faulty roof penetrations. ■ You are responsible for payments during the full term of this Agreement. If you sell your house,you have two options: 1)Transfer the Agreement to the new homeowner,2) Purchase the system.You may prepay the remainder of the payments due under the Agreement to make the transfer even more attractive to the new homeowner. Whichever option you choose,Sunrun will guide you through the process.. ■ Your request for a pricing plan change must be submitted within 21 days of signing this Agreement, but before installation has begun.If installation begins within 21 days of signing this Agreement,the start of installation will mark the date after which you can no longer change your pricing plan. ■ You may only purchase the Solar System at certain specific times during the term of this Agreement.Those times are listed in section 10. ■ At the end of this Agreement's 20 year Initial Term: 1)Sunrun will remove the Solar Facility at no cost to you, unless you 2) Purchase the Solar Facility at its then fair market value, or unless 3)This Agreement is automatically renewed per the terms specified in Section 12 and Exhibit A. Accepted by(Initials) 4 �. Your initials indicate that you have read, understand and accept the information listed above. 07/31/2013 P87A14R36E1311 K-H(Custom PPA Fixed) Page 2 of 17 SUNRUN SOLAR POWER SERVICE AGREEMENT THIS DOCUMENT DESCRIBES THE TERMS AND CONDITIONS OF YOUR RECEIPT OF AND PAYMENT FOR ELECTRIC ENERGY TO BE SUPPLIED BY A SOLAR PHOTOVOLTAIC SYSTEM THAT WILL BE INSTALLED AT YOUR PROPERTY AND OWNED AND MAINTAINED BY SUNRUN INC. 1.Introduction (a)You are entering into this Sunrun Solar Power Service Agreement("Agreement')with Sunrun Inc.,together with its successors and Assignees, ("Sunrun").You represent that you are at least eighteen(18)years of age,that you are the owner of the property located at 150 Seth Goodspeed Way, Osterville,Massachusetts,026S5("Property'),and that your current utility is NSTAR.You further represent that every person or entity with an ownership interest in the Property has agreed to be bound by this Agreement. Accepted by(Initials): 4 z (b)Sunrun is a Delaware Corporation.You may contact Sunrun by mail at 45 Fremont Street,32nd Floor,San Francisco,CA 94105,by telephone at 1-855-478-6786,or over the Internet at www.sunrunhome.com.Sunrun will arrange for the design,permitting,construction,installation,testing,and activation of a solar photovoltaic system("Solar Facility')to be located on the roof of your house and/or grounds of the Property. (c)You agree to allow Sunrun to install and maintain the Solar Facility on the grounds and/or roof of the Property at a specific location to be approved by Sunrun.You further agree to purchase all electric energy generated by the Solar Facility at the price specified in this Agreement. 2.Solar Facility (a)Sunrun will arrange for the design,permitting,construction,installation and testing of the Solar Facility on the roof or grounds,as applicable,of the Property in material accordance with a system design that you will have approved.Thereafter,Sunrun will operate and maintain the Solar Facility so as to generate electric energy for use at the Property. Sunrun will perform these obligations("Sunruns Obligation.')during the Initial Term of this Agreement. During any Renewal Terms Sunrun will perform Sunrun's Obligations for as long as the Solar Facility remains economically viable. (b)You acknowledge and agree that: (i)The Solar Facility will be removable equipment and will not be a fixture or otherwise part of the Property. (ii)Sunrun will own the Solar Facility and you will have no ownership interest in the Solar Facility. (iii)The Solar Facility will not be subject to any lien,security interest,claim,mortgage or deed of trust that may be imposed on or assessed against your interest in the Property,or any other property belonging to you.You will have no right to sell,give away,transfer,pledge,remove,relocate,alter or tamper with the Solar Facility at any time.As such,Sunrun will not apply a lien to your title for the Property. (iv)The Solar Facility will be used primarily for household purposes but not to heat a swimming pool. (c)Sunrun will be responsible for all costs and expenses related to performing Sunrun's Obligations.You agree that Sunrun has the authority and discretion to use contractors or agents to perform or assist Sunrun in performing Sunrun's Obligations. (d)Sunrun estimates that the Solar Facility will be capable of generating 6,509 kilowatt-hours("Initial Year One Production Estimate')of electric energy during its first year of operation,but due to several reasons,including natural variation in weather,actual production will vary.Due to expected panel degradation,Sunrun estimates that the Solar Facility will be capable of generating 19.0040 times this amount of kilowatt-hours("kWh")during the Initial Term("Estimated Output').As set forth in Section 8,Sunrun will issue a refund to you if your system does not perform as expected.Sunrun makes no other representation,warranty or guarantee of any kind regarding the Solar Facility's actual or expected output or performance. (e)You agree that Sunrun,at its own expense,will install,maintain,and periodically test a meter at the Property that will measure all electric energy delivered to you from the Solar Facility.If the meter breaks or is found to be inaccurate,Sunrun will adjust the bill as applicable in the next billing cycle by applying a credit for any overcharges or applying an additional charge for any under-charges.You agree not to tamper with,damage or modify the meter in any way.You will be responsible for any damage or inaccuracies in the meter that are caused by you or any other person unrelated to Sunrun who may come onto the Property with your knowledge or permission. .07/31/2013 P87A14R36E1311 K-H(Custom PPA Fixed) Page 3 of 17 c 3.Design and Installation (a)The design for the Solar Facility will be presented to you prior to installation.You will have five(5)business days following this presentation to request a change or cancel this Agreement pursuant to Section 12(e).Otherwise,you will be deemed to have approved the Solar Facility design.With your written, deemed,or verbal approval,Solar Facility installation may begin at any time. (b)If you wish to change the design or installation process,Sunrun will use commercially reasonable efforts to accommodate your request. (c)If an obligation excluded from this Agreement in Section 20 must be performed in order to properly effect the installation of the Solar Facility,you agree to contract separately,and at your own expense,with a contractor who has been designated by or approved by Sunrun to perform such obligation. In this instance,Sunrun will not unreasonably withhold such approval. (d)You agree to cooperate with Sunrun and assist Sunrun in obtaining any permits needed,including the NEM Service application in Section 5(a).You agree to complete and return to Sunrun and/or its representatives,as appropriate,all applicable rebate documentation and,where applicable,Renewable Energy Credit documentation,upon request and following the In-Service Date.If you do not return the rebate or Renewable Energy Credit documentation, Sunrun may invoice you for the Final Rebate amount(as defined in Section 4(a)(iii)). (e)For the Initial Term and any Renewal Terms you agree to maintain the Property,at your expense,such that the Solar Facility retains shading conditions present at the time of Installation. (f)Sunrun requires its contractors to employ licensed personnel whenever required by applicable law,regulation or code. (g)Sunrun,its contractors and agents shall at the end of each business day keep the Property reasonably free from waste materials or rubbish caused by their operations.Prior to the In-Service Date,Sunrun and its agents shall remove all of their tools,construction/installation equipment,machinery,waste materials and rubbish from and around the Property. (h)Subject to the exclusions set forth in Section 20,Sunrun will return your Property to a condition similar to its original condition,provided that you notify Sunrun in writing or by e-mail of any deficiencies in restoration within five(5)business days of the municipal building inspector approval of the Solar Facility. 4.Changes to the Agreement (a)Prior to installation,the following conditions may change the expected costs and benefits of the Solar Facility to both you and Sunrun: (i)Change to the desigmof your Solar Facility. (ii)Change in the system's annual energy production estimate,expressed in kWh,provided by the National Renewable Energy Laboratory PVWatts Calculator("PVWatts calculato)")("Final Year One Production Estimate"). (iii)Change in the final rebate amount associated with installing the Solar Facility("Final Rebate"). (iv)The availability of cellular service at the Property. If any of these conditions occur,Sunrun may choose to modify the terms of this Agreement or cancel the Agreement.If Sunrun chooses to modify the terms,Sunrun will notify you in writing and you will have five(5)business days to accept the modified terms or cancel this Agreement pursuant to Section 12(e).If you do not respond to Sunrun within five(5)business days,Sunrun may deem you to have cancelled the Agreement. (b)You may choose to accept changes under this Section 4 in writing or by electronic mail.If a change pursuant to this Section 4 increases the Upfront Payment after you have already paid it to Sunrun,you agree to immediately pay Sunrun the increase in the Upfront Payment.Sunrun may suspend installation until this payment is received. (c)If for a period of one hundred eighty(180)days Sunrun fails to perform its obligations required to commence installation of the Solar Facility and you have fulfilled all of your obligations under this Agreement,you may cancel this Agreement,in which case Sunrun will refund to you the Upfront Payment set forth in Exhibit A,provided that your Property was accessible and in a state fully ready to permit the installation of the Solar Facility.Likewise,if you cause the installation of the Solar Facility to be delayed in excess of one hundred eighty(180)days,Sunrun may cancel this Agreement. (d)Your request for a pricing plan change must be submitted within 21 days of signing the Agreement,but before installation has begun.Once installation has begun,you can no longer change your pricing plan.If installation begins within 21 days of signing the Agreement,the start of installation will mark the date after which you can no longer change your pricing plan. 07/31/2013 P87A14R36E1311 K-H(Custom PPA Fixed) Page 4 of 17 5.Purchase and Sale of Electricity (a)As of the In-Service Date,you must be taking service from the Standard Net Metering Service("NEMServicel')from your local utility("Utility').You agree that you will continue to take NEM Service for as long as this Agreement is in effect.You agree to use the NEM Service currently in effect for this Utility or, in the event that the NEM Service is no longer in effect,you agree to use a substitute metering program as chosen by Sunrun.You agree to execute all documentation associated with NEM Service,or any substitute metering service,and any refund,credit,or rebate program promptly at the request of Sunrun,its affiliates,and/or the Utility. (b)Sunrun agrees to sell to you,and you agree to purchase from Sunrun,all electric energy produced by the Solar Facility.All electric energy produced by the Solar Facility will be made available to you for use at the Property. (c)If at any time you need more electric energy than is being produced by the Solar Facility("Supplementa/Energy'),you will be solely responsible for purchasing that electric energy from another supplier,such as your Utility.During the term of this Agreement you should expect to purchase Supplemental Energy from your Utility.Depending on the terms of your NEM Services,the Utility will bill you either annually or monthly.Sunrun will not be in default of this Agreement and will not be responsible for any Supplemental Energy you purchase to complement the electric energy produced by the Solar Facility. (d)You agree that for all electric energy you purchase from Sunrun under this Agreement you will pay Sunrun the prices set forth in Exhibit A. (e)The price specified in subpart(d)above does not include taxes.If any taxes are assessed on the sale of electric energy,the Property,or on your purchase of the Solar Facility from Sunrun under this Agreement,and such taxes are paid by Sunrun rather than you,you agree to pay or reimburse Sunrun for all such taxes,except to the extent that you are prohibited from doing so by applicable laws. (f)You agree that title to and risk of loss for the electric energy purchased under this Agreement shall pass from Sunrun to you at the time when the electric energy reaches the point of interconnection,i.e.,at the point where the Solar Facility connects to the Property's connection to your Utility. (g)You agree that Sunrun alone will receive any credit,rebate,environmental attribute,or other payment or offset that may be attributable to the Solar Facility and all incentives will be sole property of and transferable by Sunrun. Notwithstanding the foregoing,if you purchase the Solar Facility from Sunrun,you will own,and be entitled to proceeds from the sales of,solar renewable energy credit and renewable energy credit earned after the date you purchase the solar facility from Sunrun. 6.Billing and Payment (a)For each billing cycle,Sunrun will prepare a written or electronic invoice and charge your account for the Monthly Payment as set forth in Exhibit A. Your first monthly payment will be due on the first day of the second month after the In-Service Date.Your first monthly payment will cover the time period from the In-Service Date through the end of the month that includes the In-Service Date and could be less than the scheduled dollar amount for the first year's remaining 11 monthly payments if the In-Service Date is other than the first day of the month.Your 240th monthly payment will cover the last full calendar month of the Initial Term.Because your Initial Term ends on the 20th anniversary of the In-Service Date,if the In-Service Date is other than the first day of the month,your final(241st)monthly payment will cover the partial calendar month that includes the 20th anniversary of your In- Service Date.The exact dollar amount of your first and final(241 st)monthly payments will depend on when your In-Service Date occurs and on the actual portion of the month that is covered by the first and last(241st)monthly payments.(For convenience,the table in Exhibit A is based on the assumption that the In-Service Date will be the 1 st day of the month.) (b)Sunrun will mail or e-mail you an invoice no later than ten(10)days after the end of each billing cycle.You agree to pay the amount specified in each invoice by the due date specified in such invoice(which shall be on the first day of the subsequent month).If Sunrun does not receive your payment by the due date on the invoice,Sunrun may charge you the lesser of an administrative late fee of(i)one and a half(1.5%)percent per month on the portion of your balance that is more than thirty(30)days past due,or(ii)the maximum amount permitted under and subject to applicable law.This late fee is not an interest charge,finance charge,time price differential or other such charge or payment of a similar nature. . (c)Monthly payments shown include a$S discount for paying through Automated Clearing House(ACH)withdrawal.If you do not elect automatic payment through ACH withdrawal from your checking or savings account you will not receive this discount and each monthly payment will be$5 greater. (d)You may pay Sunrun with a check drawn on a United States bank account mailed to Sunrun's main office or you may agree to authorize Sunrun to deduct the invoice amount directly from your bank account each month. 07/31/2013 P87A14R36E1311 K-H(Custom PPA Fixed) Page 5 of 17 � r ' 7.Prepayments for Electric Enerev (a)At any time,you may prepay all of the expected amounts you will owe Sunrun during the remaining portion of the Initial Term("Prepayment')by contacting Sunrun. (b)The Prepayment shall equal the remaining monthly payments for the current year,plus the discounted value of each successive year's expected annual payment.Future year's expected payments will be calculated by multiplying the Estimated Output for that year by the price per kWh rate as set forth in Exhibit A.The future years'payments will be discounted at the lesser of(x)the prime rate(as published by the Wall Street Journal)plus 100 basis points or (y)5.0%. (c)If you make a Prepayment,Sunrun will continue to guarantee the output of your Solar Facility and will issue refunds as described in Section 8. (d)If you decide to make a Prepayment,the Solar Facility will remain at your Property and Sunrun will maintain it for the remainder of the Initial Term. 8.Guaranteed Output and Refunds . (a)Sunrun guarantees that the Solar Facility will generate one-hundred percent(100%)of the Estimated Output during the Initial Term of this Agreement (the"Guaranteed Output')or Sunrun will issue.you a refund as described below.For the purposes of this Agreement,"Actual Output'shall mean the amount of electric energy created by the Solar Facility to date plus any kWh for which you have previously received a refund. (b)If you purchase the Solar Facility from Sunrun pursuant to Section 10,and at the time of purchase the Actual Output is less than the Guaranteed Output,Sunrun will apply a credit towards the purchase price for the Solar Facility.This credit will be calculated by subtracting the Actual Output from the Guaranteed Output and then multiplying the result by the refund per kWh set forth on Exhibit A for the anniversary date that precedes the date of purchase. (c)On the second anniversary of the In-Service Date and on every anniversary thereafter,Sunrun will issue you a credit if the Actual Output is less than the Guaranteed Output for that anniversary date set forth on Exhibit A.This credit will be calculated by subtracting the Actual Output for that anniversary date from the Guaranteed Output for that anniversary date,and multiplying the result by the refund per kWh for that anniversary date set forth in Exhibit A. (d)If Actual Output is greater than Guaranteed Output per Exhibit A,you will not be charged any additional amount for this overproduction.Sunrun may use this overproduction amount(kWhs)to offset future underproduction should Actual Output be less than Guaranteed Output. (e)For the purposes of the prior calculations,Actual Output shall include any kWh of electricity that would have likely been produced during any day that a grid failure disabled the Solar Facility or any day that you caused or requested the system to be shut down or to generate significantly less electric energy. For the avoidance of doubt,Guaranteed Output will be reduced if Sunrun notifies you that a tree or other obstruction is reducing electric energy production and you do not remedy,or cause to be remedied,such reduced energy production. 9.Substitute Payments (a)You agree that if,through no fault of Sunrun,you cause or request the Solar Facility to be shut down,or if you cause an event that significantly reduces the production of electric energy by the Solar Facility,you will pay Sunrun a fee during each month that the Solar Facility is shut down or experiencing reduced production("Subsdtute Paymen&').However,Sunrun will not charge you Substitute Payments for the first seven(7)days during the Initial Term that the Solar Facility has been shut down or is experiencing reduced output. (b)For each billing cycle during the first year that this Agreement is in effect,the Substitute Payment will equal(i)the current price per kWh established in Exhibit A,multiplied by(ii)the estimated daily generation implied in Section 2(d),as well as the number of days for which Substitute Payments are due, minus(iii)any payment due for any kWh that are produced by the Solar Facility during the current billing cycle.Substitute Payments shall be in addition to other payments otherwise due under this Agreement. (c)For each billing cycle after the first year that this Agreement is in effect,the Substitute Payment will equal(i)the current price per kWh established in Exhibit A,multiplied by(ii)the kWh produced by the Solar Facility during the corresponding billing cycle in the previous year,minus(iii)any payment due for.any kWh that are produced by the Solar Facility during the current billing cycle.Substitute Payments shall be in addition to other payments otherwise due under this Agreement. (d)You will not be charged Substitute Payments for times when a grid failure results in the Solar Facility being deactivated. 07/31/2013 P87A14R36E1311 K-H(Custom PPA Fixed) Page 6 of 17 10.Options to Purchase (a)You have the option to purchase the Solar Facility at the following times during the Initial Term: (i)Upon the fifth anniversary of the In-Service Date (ii)At the end of the Initial Term of this Agreement (iii)Should you sell your Property during the Initial Term (iv)Should Sunrun fail to perform Sunrun's Obligations(in accordance with Section 18) (b)To purchase the Solar Facility pursuant to Section 10(a),you must deliver a written notice to Sunrun of your intent to purchase within sixty(60)days of the applicable date and deliver payment to Sunrun within thirty(30)days of receiving an invoice from Sunrun for the purchase price. (c)The purchase price will be the greater of(i)fair market value,as determined at the time("FMV")and(ii)the minimum price set forth in Exhibit A. Annually,Sunrun will determine the FMV of the Solar Facility by hiring an independent appraiser to estimate the value of a comparable in-service solar facility in your state and utility service area.This valuation will take into account the Solar Facility's age;location;size;and other market characteristics such as equipment type and equipment operating,maintenance and service costs,value of electricity in your area,and any applicable solar incentives. (d)Sunrun will credit the purchase price by any refund due to you pursuant to Section 8(b),provided however,that in no case shall such a credit result in a net purchase price that is less than the minimum purchase price.set forth on Exhibit A. (e)At other times,please contact Sunrun at(855)478-6786 to discuss the possibility of purchasing the Solar Facility. (f)If you purchase the Solar Facility,Sunrun will continue to monitor the Solar Facility for as long as the meter continues to function,or until the twentieth anniversary of this Agreement,whichever is sooner.However,Sunrun will not provide any maintenance or repair unless you enter into a separate agreement with Sunrun,at your expense,to perform these services.If possible,Sunrun will assign to you any product and/or workmanship warranties still in effect for the Solar Facility. 11.Sale of Proper and Assignment (a)If you sell the Property you may assign this Agreement to the new owner,provided that the new owner meets Sunrun's reasonable credit requirements and first agrees in writing to be bound by all of the terms and conditions set forth herein.Please contact Sunrun or visit wvvw.sunrunhome.com to obtain an assignment agreement. (b)During the Initial Term,within sixty(60)days of entering into a contract to sell the Property you will have the option to purchase the Solar Facility in accordance with Section 10. (c)If you sell or otherwise transfer your interest in the Property without either purchasing the Solar Facility or assigning this Agreement to the new owner in accordance with the terms of this Agreement,or if the new owner refuses to take assignment,then you will be deemed to have terminated this Agreement. (d)Sunrun may assign,lease,sublease,or transfer the Solar Facility and this Agreement along with all rights and obligations hereunder to any third party (each,an"Assignee"),without first giving notice to you or obtaining your consent,for any purpose,including,without limitation,collection of unpaid amounts,financing of the Solar Facility's installation,or in the event of an acquisition,corporate reorganization,merger or sale of substantially all of its assets to another entity.If Sunrun or its Assignee chooses to transfer the Solar Facility or this Agreement to another party,you agree to treat this other party as your counterparty under this Agreement.Otherwise,the terms of this Agreement will not change if this Agreement or the Solar Facility is assigned,leased,or transferred by Sunrun or its Assignee,and the Assignee will not be able to interfere with your rights to the Solar Facility as long as you are fulfilling your obligations under this Agreement.If Sunrun transfers the Solar Facility or this Agreement to an Assignee,Sunrun will continue to operate and maintain the Solar Facility until you receive written notice otherwise. 07/31/2013 P87A14R36E1311 K-H(Custom PPA Fixed) Page 7 of 17 3 12.Term and Termination (a)You agree that this Agreement will become effective only when both you and Sunrun have signed the Agreement. (b)This Agreement will continue in effect for twenty(20)years following the date Sunrun receives notice from the Utility that the Solar Facility is approved for operation("In-Service Date').This period shall be called the"Initial Term." (c)At the end of the Initial Term,this Agreement will be automatically renewed for an additional one-year term("Renewal Term"),unless you have purchased the Solar Facility or unless either you or Sunrun gives the other party to this Agreement a termination notice at least thirty(30)days prior to the expiration of the Initial Term.At the end of any Renewal Term,this Agreement shall.be automatically renewed for an additional Renewal Term,unless either you or Sunrun gives the other party to this Agreement a termination notice at least thirty(30)days prior to the expiration of the Renewal Term then in effect. (d)At the end of the term of this Agreement,if either you or Sunrun do not wish to renew it,Sunrun will remove the Solar Facility at no cost to you(unless you purchase the Solar Facility at the end of the Initial Term,or unless the term of this Agreement is automatically renewed).Sunrun agrees to leave your Property in the same general condition that existed immediately prior to removal of the Solar Facility. (e)If you cancel this Agreement pursuant to Section 3,you will not be refunded your Deposit,and you will not owe Sunrun any further payments.If Sunrun modifies your Agreement pursuant to any of the factors listed in Section 4(a)such that there is a decrease in the annual energy production estimate,or if the payment terms increase,or if it is determined that you must pay for any site improvements to accommodate a solar system,then you may cancel this Agreement and your Deposit will be refunded. 13.Access.Maintenance and Repair (a)You agree to grant Sunrun or its contractors access to your Property for the purpose of designing,installing,operating,maintaining and testing the Solar Facility and performing Sunrun's Obligations.Sunrun agrees to give you reasonable notice when Sunrun needs to access your Property for any of the foregoing purposes and will endeavor to restrict such access to normal business hours. (b)When possible you agree to allow Sunrun and construction professionals(an engineer,architect,or licensed contractor or their representative)hired by Sunrun to access your Property to inspect any buildings and,if applicable,roofs prior to the installation of the Solar Facility to ensure that your Property can accommodate the Solar Facility. (c)If parts fail during the term of this Agreement,Sunrun will use commercially reasonable efforts to replace them with like equipment;however,you acknowledge that due to parts availability and other factors,this may not be possible.Sunrun agrees that any change in equipment will not reduce the Guaranteed Output set forth in Section 8. (d)If you plan to move or temporarily disconnect the Solar Facility to allow for maintenance of and/or repair to the.Property,you agree,at your expense, either(i)to hire Sunrun to perform this work or(ii)to obtain Sunrun's approval of your contractor,who you agree must carry commercial general liability policy in an amount not less than one million($1,000,000)dollars per occurrence and name Sunrun,and its successor or assigns,as additional insured. (e)Sunrun's contractors provide a 5 year warranty to Sunrun against faulty roof penetrations. (f)You agree to make reasonable best efforts to provide a safe and secure work environment at your Property during the course of the Solar Facility installation and maintenance. 07/31/2013 P87A14R36E1311 K-H(Custom PPA Fixed) Page 8 of 17 14.Insurance (a)Sunrun agrees to carry insurance that covers all damage to and theft of Sunrun's Solar Facility.You will not be responsible for insuring the Solar Facility. Sunrun agrees to provide you evidence of Sunrun's insurance policy for the Solar Facility upon request.If Sunrun does not maintain insurance that covers damage to Sunrun's Solar Facility,it will be responsible for the consequences of not maintaining such insurance. (b)You agree to carry insurance that covers all damage to your Property during the term of this Agreement,including damage resulting from the Solar Facility,provided such damage was not caused by the gross negligence of Sunrun.It is your responsibility to determine if the installation of the Solar Facility will impact your existing coverage.If additional insurance is required to maintain your existing coverage,you will be responsible for either(i) procuring and maintaining such insurance or(ii)the consequences of not procuring and maintaining such insurance. (c)Sunrun requires its contractors performing the Solar Facility installation to maintain insurance coverage as follows:workers compensation,subject to statutory limits;Employers liability,with a minimum of one million($1,000,000)dollars each occurrence;commercial general liability,in an amount not less than one million($1,000,000)dollars per occurrence and two million($2,000,000)dollars annual aggregate;commercial automobile liability,in an amount not less than a combined bodily injury and property damage limit of one million($1,000,000)dollars per accident;excess liability insurance with a limit of one million($1,000,000)dollars per occurrence and in the annual aggregate in excess of the limits of insurance provided above;and any other insurance required by applicable laws or regulations. Your initials indicate that you have read,and understand and accept the limitations and obligations set forth in this Section 14. Accepted by(Initials): 15.Limitations of Liability (a)SUNRUN WILL BE LIABLE TO YOU AND ANY OTHER PERSON FOR DAMAGES OR LOSSES DIRECTLY ATTRIBUTABLE TO ITS NEGLIGENCE OR WILLFUL MISCONDUCT.TOTAL LIABILITY FOR SUCH DIRECT DAMAGES OR LOSSES WILL IN NO EVENT EXCEED ONE MILLION DOLLARS.THIS WILL BE YOUR SOLE AND EXCLUSIVE REMEDY AND ALL OTHER REMEDIES OR DAMAGES AT LAW OR EQUITY ARE WAIVED,EVEN IF YOU HAVE GREATER RIGHTS UNDER MASSACHUSETTS'S LAWS,WHICH YOU SHOULD CONSULT.SUNRUN IS NOT RESPONSIBLE FOR ANY CONSEQUENTIAL,INCIDENTAL,PUNITIVE,EXEMPLARY OR INDIRECT DAMAGES,LOST PROFITS OR LOSSES RELATING TO THIS AGREEMENT,IN TORT OR CONTRACT,INCLUDING ANY NEGLIGENCE OR OTHERWISE. (b)EXCEPT AS EXPRESSLY PROVIDED HEREIN,SUNRUN MAKES NO WARRANTY OR REPRESENTATION,EITHER EXPRESS OR IMPLIED,REGARDING ITS OBLIGATIONS OR THE SOLAR FACILITY.THERE IS NO WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE,AND ANY AND ALL IMPLIED WARRANTIES ARE DISCLAIMED. 07/31/2013 P87A14R36E1311 K-H(Custom PPA Fixed) Page 9 of 17 16.Resolution of Disputes (a)You agree that to expedite the resolution of and to control the costs of disputes,resolution of any dispute relating to this Agreement("Dispute"),will be resolved according to the procedure set forth in this Section 16. (b)Unless otherwise agreed in writing,Sunrun and you agree to continue to perform each party's respective obligations under this Agreement during the course of the resolution of the Dispute. (c)You and Sunrun agree to first try to resolve informally and in good faith any Dispute.Accordingly,you agree to send a written notice of Dispute to the address on the first page of this Agreement,and Sunrun will send a written notice of Dispute to your billing address.If you and Sunrun do not reach an informal agreement to resolve the Dispute within 45 days after the notice of Dispute is received,you or Sunrun may commence a formal proceeding as detailed below.All applicable statutes of limitation and defenses based upon the passage of time shall be tolled for the 45 days during which the parties try to informally resolve any Dispute. (d)If Sunrun and you cannot resolve the Dispute informally,the Dispute will be resolved by binding arbitration.This agreement to arbitrate Disputes is governed by the Federal Arbitration Act("FAA").The arbitration will be conducted under the rules of JAMS that are in effect at the time the arbitration is initiated('JAMSRu/es�')and under the rules set forth in this Agreement.If there is a conflict between the JAMS Rules and this Agreement,this Agreement will govern. (e)CLASS ACTION WAIVER.ARBITRATION MEANS THAT YOU WAIVE YOUR RIGHT TO A JURY TRIAL,AND ARBITRATION MUST BE ON AN INDMDUAL BASIS. AS A RESULT,NEITHER YOU NOR SUNRUN MAYJOIN OR CONSOLIDATE CLAIMS IN ARBITRATION BY OR AGAINST OTHER CUSTOMERS,OR LITIGATE IN COURT OR ARBITRATE ANY CLAIMS AS A REPRESENTATIVE OR MEMBER OF A CLASS OR IN A PRIVATE ATTORNEY GENERAL CAPACITY. (f)You may,in arbitration,seek all remedies available to you under this Agreement as interpreted under California law.If you decide to initiate arbitration against Sunrun,Sunrun will pay the costs for initiating the arbitration proceedings.If Sunrun decides to initiate arbitration,Sunrun will be required to pay the costs associated with initiating the arbitration proceeding.Sunrun also agrees to pay the costs of initiating the arbitration proceeding if the arbitrator finds in your favor.Other fees,such as attorneys'fees and expenses of travel to the arbitration,will be paid in accordance with JAMS Rules.If the arbitrator finds in your favor,Sunrun will pay your attorney's fees and expenses of travel to the arbitration.The arbitration hearing will take place in the federal judicial district of your residence,unless you and Sunrun agree to another location in writing.In order to initiate arbitration proceedings,you or Sunrun must take the following actions: (i)Write a demand for arbitration.The demand must include a description of the Dispute and the amount of damages you are seeking.The form of Demand for Arbitration can be found under ADR Forms at www.jamsadr.com. (ii)Send three copies of the demand for arbitration to the current JAMSlocation in San Francisco,California. (iii)Send one copy of the demand for arbitration to the other party. (g)In accordance with the FAA and the JAMS Rules,the arbitrators decision will be final and binding.Any right to appeal is likewise governed by the FAA and JAMS Rules.Any arbitration award may be enforced in any court with jurisdiction. (h)You and Sunrun agree to receive service of process of the arbitration demand by registered or certified mail,return receipt requested,at your billing address and Sunrun's principal executive office,as applicable. 17.Force Maieure (a)Neither you nor Sunrun will be in default of this Agreement for any delay or failure in the performance under this Agreement(including any obligation to deliver or accept the electric energy output of the Solar Facility)if the delay or failure is due to Force Majeure.Force Majeure includes acts of God such as storms,fires,floods,lightning and earthquakes,sabotage or destruction by a third parry of the Solar Facilities,war,riot,acts of a public enemy or other civil disturbance,or a strike,walkout,lockout or other significant labor dispute.Force Majeure does not include economic hardship of either you or Sunrun,a power grid failure(except if caused directly by a Force Majeure event),a failure or delay in the granting of permits,or insufficiency, unavailability,failure,or diminishment of solar resources,except as a result of an event that would otherwise qualify as a Force Majeure. (b)Force Majeure cannot be attributable to fault or negligence on the part of the party claiming Force Majeure and must be caused by things beyond that party's reasonable control.Additionally,you or Sunrun must have taken all reasonable technical and commercial precautions to prevent the event. (c)In order to claim Force Majeure as a reason for non-performance,you or Sunrun must give notice to the other party of the Force Majeure within fourteen(14)days of the occurrence of the Force Majeure and estimate how long it will last and what the potential impact is on the Agreement.The parry claiming Force Majeure must(i)make reasonable attempts to continue to perform under the Agreement,(ii)quickly take action to correct the problem caused by the Force Majeure,and(iii)make reasonable efforts to limit damage to the other party.Finally,the party claiming Force Majeure must notify the other party when the Force Majeure event ends and performance will resume as contemplated in this Agreement. (d)If you or Sunrun is prevented from performing under this Agreement for a period of either(i)three hundred sixty-five(365)consecutive days or more, or(ii)seven hundred thirty(730)non-consecutive days or more(whether full or partial days),the other party may terminate this Agreement,without liability of either party to the other,upon thirty(30)days written notice at any time during the Force Majeure. 07/31/2013 P87A14R36E1311 K-H(Custom PPA Fixed) Page 10 of 17 18.Your Remedies (a)If(i)Sunrun makes a general assignment for the benefit of creditors,files a petition in bankruptcy,appoints a trustee or receiver,or has all or substantially all of its assets subject to attachment,execution or other judicial seizure,or(ii)Sunrun fails to perform an obligation under the Agreement and such failure continues beyond a period of ninety(90)days(provided,in each case,this Agreement is otherwise in full force and effect prior to such event),you will have the option to purchase the Solar Facility. 19.Sunrun's Remedies (a)If you terminate this Agreement under Section 11(c),you will be required within thirty(30)days either(i)to pay Sunrun a termination payment equal to the Pre-payment of all future estimated energy to be produced during the Initial Term("Make Who/e'),as calculated in Section 7(b)or(ii)to purchase the Solar Facility pursuant to Section 10(b). (b)If you fail to perform a material obligation under the Agreement,and you do not correct the failure within one hundred twenty(120)days,if such failure continues beyond a period of one hundred twenty(120)days,then Sunrun can require you to pay Sunrun a Make Whole payment. (c)If you make a general assignment for the benefit of creditors,file a petition in bankruptcy,appoint a trustee or receiver,or have all or substantially all of your assets subject to attachment,execution or other judicial seizure,or you become insolvent or unable to pay your debts,or vacate or abandon the Property,then Sunrun can require you to pay Sunrun a Make Whole payment. (d)If you(i)are required to make a Make Whole payment and do not make the payment,(ii)terminate this Agreement without also purchasing the Solar Facility,or(iii)do not make any other payment or payments as contemplated and required under this Agreement,Sunrun shall,subject to any cure rights provided herein,have the right to disconnect your Solar Facility and/or enter your Property and remove the Solar Facility. (e)If as a result of your default Sunrun removes the Solar Facility,then in addition to the Make whole payment,you will be obligated to pay Sunrun an amount equal to the value of any federal,state and local incentives that Sunrun must return as a result of such removal. 20.Exclusions (a)This Agreement does not include an obligation by Sunrun to:remove or dispose of any hazardous substances that currently exist on the Property; improve the construction of the roof or the Property to support the Solar Facility;remove or replace existing rot,rust,or insect infested structures;provide structural framing for any part of the Property;pay for or correct construction errors,omissions and deficiencies by you or your contractors;pay for, remove or remediate mold,fungus,mildew,or organic pathogens;upgrade your existing electrical service;install any smoke detectors,sprinklers or life safety equipment required by municipal code or inspectors as a result of the Solar Facility installation;pay for the removal or re-location of equipment, obstacles or vegetation in the vicinity of the Solar Facility;pay for any costs associated with municipal design or architectural review,or other specialty permits(this includes cost to attend any public hearings,notification of neighbors,or additional drawings required);paint electrical boxes or conduit at the Property;and move items unassociated with the Solar Facility around the Property. 21.Miscellaneous (a)You agree that this Agreement constitutes the entire agreement between you and Sunrun.If any provision is declared to be invalid,that provision will be deleted or modified,and the rest of the Agreement will remain enforceable.The terms of this Agreement that expressly or by their nature survive termination shall continue thereafter until fully performed,which shall include,without limitation,the obligation to make payments hereunder. (b)This Agreement shall be interpreted in accordance with and governed by the laws of the State of New York,without regard to the conflict of laws principles thereof. (c)You agree that Sunrun has the right to periodically check your consumer credit report. (d)You agree that Sunrun has the right to use graphical representations or photography of the Solar Facility and the Property in its marketing and promotional materials. (e)This Agreement supersedes any prior understandings,agreements,or representations by or between the parties,written or oral,to the extent they related in any way to the subject matter hereof. (f)Any notice or other communication to be made hereunder,even if otherwise required to be in writing under other provisions of this Consent or any other documents or agreements that have been provided to you in connection with this Consent,may alternatively be made in an electronic record transmitted electronically to the electronic addresses provided by you.Any notice or other communication made in electronic form will have the same legal effect and enforceability as if made in non-electronic form. (g)This Agreement is binding upon,and inures to the benefit of,the parties and their respective heirs,executors,administrators,legal representatives, successors and assigns. [Remainder of Page Intentionally Left Bank] 07/31/2013 P87A14R36E1311 K-H(Custom PPA Fixed) Page 11 of 17 22. NOTICE OF RIGHT TO CANCEL YOU MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION AND ANY DEPOSIT PAID WILL BE REFUNDED. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. By initialing below,you expressly acknowledge that you have been advised on your right to cancel this Agreement and have received duplicate copies of the Notice of Cancellation. Accepted by(Initials): SUNRUN INC. CUSTOMER 8/14/2013 Date: Primary Account Holder FDocuSigned by: xkaA Date: July 31, 2013 Signature: D986A3C817C3448.:: Print Name: Samantha Justesen Signature: A 06)0� 6oul"�ir Joseph Bowman . Sunrun operations joebow1991@gmall.COm Title: Account email address . *This email address will be used by Sunrun for official correspondence,such as sending monthlybills or other invoices.Sunrun will nevershare orsell your email address to any SALESCONSULTANT thirdpartles. By signing below I acknowledge that Iam Sunrun accredited,that 774 238 9460 I presented this agreement according to"The RightStuff"and the Account phone number: Sunrun Code of Conduct,and that I obtained the homeowner's signature on this agreement. SecondarvAccountHolder foptiona/1 John Ferguson ' Name. [Prinf(7am eJSignature: Signature. �- Print Name: Joseph Bowman 6023130351 Sunrun ID#. (10-digit number you received from Sunrun) 07/31/2013 P87A1 4R36E1 311 K-H(Custom PPA Fixed) Page 12 of 17 i EXHIBIT A:SUN RUN ELECTRICITY PRICING At the signing of this Agreement,you will pay Sunrun a non-refundable Deposit("Deposit')of$500.At the start of installation of the Solar Facility,you will pay Sunrun an Initial Payment("Initia/Payment')of$2,500.Together,these payments comprise the Upfront Payment("Upfront Payment'). Electricity Payments:In addition to the Upfront Payment,you agree that for all electric energy you purchase from Sunrun during the Initial Term of this Agreement,you will pay a price per kWh in the form of monthly payments("Monthly Payments'l as shown below.The Monthly Payments shall increase by 0.0%annually during the Initial Term of this Agreement,effective as of the Monthly Payment that covers any calendar month that includes an anniversary of the In-Service Date(and such increase would not apply to any part of a Monthly Payment that covers the days in a calendar month leading up to an anniversary of the In-Service Date). The payments shown below are before any applicable taxes and include a$5 discount for paying through Automated Clearing House(ACH)withdrawal. If you do not elect automatic payment through ACH withdrawal from your checking or savings account,you will not receive this discount and each monthly payment will be$5 greater.(As described in Section 6(a),the table below also is based on the assumption,for convenience purposes,that the In-Service Date will be the 1 st day of the month.) Performance Guarantee Prepay Option Purchase Option End of Yearly Price Monthly Guaranteed kWh Refund/kWh If Guaranteed Estimated Price to Prepay Balance of Minimum Cash Year Per kWh Payment Output to Date Output Not Met Initial Term* Purchase Price - N/A N/A N/A N/A $12,634 N/A 1 $0.146 $79.19 N/A N/A $12,220 N/A 2 $0.147 $79.19 12,955 $0.172 $11,789 $22,330 3 $0.147 $79.19 19,384 $0.174 - $11,340 $18,367 4 $0.148 $79.19 25,781 $0.175 $10,872 $14,385 5 $0.149 $79.19 32,145 $0.177 $10,384 $10,394 6 $0.150 $79.19 38,476 $0.178 $9,875 $9,875 7 $0.150 $79.19 44,775 $0.180 $9,344 $9,344 8 $0.151 $79.19 51,041 $0.182 $8,791 $8,791 9 $0.152 $79.19 57,274 $0.183 $8,214 $8,214 10 $0.153 $79.19 63,476 $0.185 $7,613 $7,613 11 $0.154 $79.19 69,644 $0.187 $6,986 $6,986 12 $0.154 $79.19 75,780 $0.188 $6,333 $6,333 13 $0.155 09.19 81,884 $0.190 $5,651 $5,651 14 $0.156 $79.19 87,955 $0.192 $4,941 $4,941 15 $0.157 $79.19 93,993 $0.194 $4,201 $4,201 16 $0.157 $79.19 99,999 $0.196 $3,429 $3,429 17 $0.158 $79.19 105,972 $0.198 $2,625 $2,625 18 $0.159 $79.19 111,913 $0.200 $1,786 $1,786 19 $0.160 $79.19 117,821 $0.202 $912 $912 20 $0.161 $79.19 123,697 $0.204 $0 $0 Pursuant to Section 7,you may prepay the balance of your estimated obligations under this Agreement.Any prepayments you make to Sunrun will increase the refunds for which you are eligible. After the Initial Term,SunRun shall on each anniversary of the In-Service Date establish anew price per kWh that is equal to ten percent(10%)less than the"Average cost of electric energy'as established by your Utility or its successor."Average cost of electric energy'shall be the price you would otherwise pay for electric energy to your Utility or its successor for the 12 months preceding the start of each Renewal Term. Notwithstanding the foregoing,in no event shall this price per kWh be less than$0.010 per kWh. Pursuant to Section 10,if you purchase the Solar Facility before the Guaranteed Output has been achieved,Sunrun will issue you a refund.The estimates in this column assume the Solar.Facility achieves its Estimated Output and that you make the final Initial Payment upon the first anniversary. 07/31/2013 P87A14R36E1311 K-H(Custom PPA Fixed) Page 13 of 17 EXHIBIT.C. I [Intentionally left blank] .. i 07/31/2013 P87A14R36E1311 K-H(Custom PPA Fixed) Page 14 of 17 • NOTICE OF CANCELLATION DATE: July 31, 2013 (Enter date of transaction) YOU MAY CANCEL THIS TRANSACTION,WITHOUT ANY PENALTY OR OBLIGATION,WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. IF YOU CANCEL,ANY PROPERTY TRADED IN,ANY PAYMENT MADE BY YOU UNDER THE CONTRACT OR SALE,AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN 10 BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELLATION NOTICE AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED. IF YOU CANCEL YOU MUST MAKE AVAILABLE TO THE SELLER AT YOUR RESIDENCE,IN SUBSTANTIALLY 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 INSTRUCTIONS 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 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 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 REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT. TO 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 SUNRUN,INC.,45 FREMONT STREET,32ND FLOOR,SAN FRANCISCO,CA 94105 NOT LATER THAN MIDNIGHT OF (DATE) I HEREBY CANCEL THIS TRANSACTION. DATE: CUSTOMER SIGNATURE: NOTICE OF CANCELLATION MAY BE SENT TO SUNRUN AT THE ADDRESS NOTED ON THE FIRST PAGE OF THIS CONTRACT. 07/31/2013 P87A14R36E1311 K-H(CustomPPA Fixed) Page 15 of 17 DUPLICATE COPY NOTICE OF CANCELLATION DATE: July 31, 2013 (Enter date of transaction) YOU MAY CANCEL THIS TRANSACTION,WITHOUT ANY PENALTY OR OBLIGATION,WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. IF YOU CANCEL,ANY PROPERTY TRADED IN,ANY PAYMENT MADE BY YOU UNDER THE CONTRACT OR SALE,AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN 10 BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELLATION NOTICE AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED. IF YOU CANCEL YOU MUST MAKE AVAILABLE TO THE SELLER AT YOUR RESIDENCE,IN SUBSTANTIALLY 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 INSTRUCTIONS 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 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 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 REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT. TO 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 SUNRUN,INC.,45 FREMONT STREET,32ND FLOOR,SAN FRANCISCO,CA 94105 NOT LATER THAN MIDNIGHT OF (DATE) I HEREBY CANCEL THIS TRANSACTION. DATE: CUSTOMER SIGNATURE: NOTICE OF CANCELLATION MAY BE SENT TO SUNRUN AT THE ADDRESS NOTED ON THE FIRST PAGE OF THIS CONTRACT. 07/31/2013 P87A14R36E1311 K-H(Custom PPA Fixed) Page 16 of 17 • EXHIBIT E:SUNRUN DEPOSIT FORM If you are paying your deposit by check,please enclose this document with your payment and include your Sunrun Proposal ID reference in the memo line of your check. Name: Joseph Bowman Address: 150 Seth Goodspeed Way,Osterville,MA 02655 i Proposal ID: P87A14R36E1311K Deposit Amount: $500 Please send payments to:_ Sunrun Inc. P.O.Box 511612 Los Angeles,CA 90051-8167 Thank you for choosing Sunrun! 07/31/2013. P87A14R36E1311 K-H(Custom PPA Fixed) Page 17 of 17 Tom Petersen Architects Planners Mr. Thomas Perry,Building Commissioner September 24,2013 Town of Barnstable Building Division 200 Main Street Hyannis,MA 02601 Re: Solar Panel Installation Bowman Residence 150 Seth Goodspeed Way Osterville,MA 02655 Hi Tom, I've reviewed the proposed solar panel installation at this location to evaluate the existing roof structure and the connection of the panels to the roof. Criteria: Applicable codes: 8ch Edition Residential Code(2009 International Residential Code with Massachusetts Amendments) 2001 Wood Frame Construction Manual Design roof load: 40 psf live load, 15 psf dead load, 55 psf total load Design wind load: 110 mph, 35 psf My findings are as follows. 1. The new solar panels will imply an additional dead load of 3 psf. The existing roof structure (2x6 roof rafters @ 16"o.c.,with 2x8 ridge, span=+/- 12'-7")is sufficient to bear this additional load. 2. The solar panels are attached to the roof with the SolarMount-1 rack system by UNIRAC. The rack system, roof connections.and connection spacing are rated for 110 mph. This project requires the larger Solar Mount 1-2.5 beam(2.5"high)and spacing of flange foot connection to roof at 48"o.c. maximum.Flange footing connections to the rail are not required to be staggered. The flange foot connections to the roof are 3/8"diameter x 4" long lag bolts. I therefore certify that this installation complies with the applicable codes and design loads mentioned above and is acceptable for approval. Please let me know if you have any questions on this information. Thanks! Sin rely yours, �\g��S rc. "-�y,A tpNFnI o No.31621 z F Tom Petersen o . NJ HOWEL L �y Cc: Kelcy Pegler,Roof Diagnostics H of M°c. 6 Country Lane•Howell,New Jersey 07731 •Telephone 732-730-1763,Fax 732-730-1783 i 29'—I' Ir :n UPPER ROOF LOWER ROOF 21 PANELS I PANELS ' E • X15TING ELECTRIC PANEL X E%I$71NG ELECTIC METER UPPER ROOF LOWER ROOF ENPHASE MICRO AZIMUTH: 223 AZIMUTH: 223 INVERTERS PITCH:39 PITCH:39 (25) AIR GAP LESS THAN C (RACK MOUNT) ,•, Enphex TOTAL SYSTEM SIZE: L.25ko DC ,', M-215—LO-2LL—S22 25 MODULES a250w PER MODULE ROOF DIAGNOSTICS SOLAR AND ELECTRIC, LLC SITE MAP � BOWMAN RESIDENCE B7: AOREVISION T511-250PA05.08 GO SETH GOODSPEED WAY PANELS-250w OSTERVILLE, NA 02655 Trine Soler Panels DATE:9 FEBRUARY 2011 (l19) 238-9960 Roof Mounted PV Array 6.25-kW DC TOTALS: All wiring to be type THHN/THWN-2/MTW/AWM unless noted otherwise Modules 25 TSM 250 To Utility Note;additional NSTAR disconnect may be required between Enphase Engage 6#10 3#8 these devices if premanafactured 4 Hot/2 neutral+1 2 Hot/l equip mandated by local Utlllty T interconnect cable+ #6 equip gnd/GEC ground/GEC+1#8 utility.To have Meter #6 equip gnd/GEC In l"PVC/EMT neutral identical fusing as In 1"PVC/EMT specified below 100 Amp Main Lug W 100 A 4#8 buss 2 Hot/1 Neutral+1 PV sub equip ground 40 AMP back-fed Nema 3R panel ltron GSM In 1"PVC/EMT 15 TSM 250 terminal 2-2 pole 20 cellular breaker Box(es) amp solar (Label#6 Modules (Soladeck) breakers production applied) ! With I 1 X 15 Or meter Enphase 20 amp PV (babel#6 M215 micro - - monitor ---------—-------- --------------- - inverter for breaker applied) each module Label#5 &6 applied DC grounding electrode conductor-#6 10 TSM 250 Existing Modules T Main With I Existing Building distribution Enphase Eh Grounding panel M215 micro Envoy PV Electrode System Main:200 A inverter for monitor Buss:200 A each module with cat 5e or EOP to homes broadband network TSM Solar Panels: Maximum power at STC:250 MPP voltage:30.3 ROODIAGNOSTICSNIP Joseph Bowman Opencurrent: o to SotV LAR p Y Open circuit voltage:37.(i 150 Seth Goodspeed Wa Short circuit current:8.85 Module efficiency: 15.3 Osterville,MA 02655 Maximum system voltage:600 V One Line Diagram Phone:(774)238 9460 Maximum series fuse rating: 15 A C p Power tolerance:0-+3% 508-545-0989 Mono Multi solution,,, TSM = PC 05 TSM - PA05 THE UNIVERSAL SOLUTION i, 1 l MAX EFFICIENCY I r 250WModule can tear ;noalit, loads up to 540OPo and P MAX POWER OUTPUT wind loads up to 2400Pa t i • I 10 YEAR PRODUCT WARRANTY 3% Guaranteed power output O 0-+3/0 25 YEAR LINEAR POWER WARRANTY : High pelfonmance under love li,hl conditions Cloudy days, mornings and evenings I can 1^Il ui 1!',l I•nn�,Lr�Ln'ct c.l,�n _�, scrlo s In,n,pn,1 V c mponrs lines i'e wornm+•tjoi n:,qh Ivna4-6r na It`:^I^1-r;1 9tnIC dy.^Irq•ntn.il nlnni. hlanulaclured ?CCQI d111Cf to Inle-inallonal Quality ru If .•,I -III J,.,r .lu Cli2n.�' qr'` �SQ and -nV11011111ent Kinntair em'erl S`/ilem Slandaidii r.,ll-5,1 I Ili)-1 s.1:11 I'•c ins M-I'.rlh r )Ion I;In l m_II I ,I+.,I I•, nt ISO9001, IS014001 nonul.,CIL• IItr. yLuSIdurIonh :.ni3c2 ICti.'I.)Ihoc mi.l•-+I r rb• If It Ila), MA.J Y,..-O (!„IC"S ;hr do,I 1 'I n.i s 1)1, v,.I :I t',I I n�lU^r Int hr, ,I I rI.u'.q I I I d(.ns 1.•I,•I;:10)(1'I 1 Up V IN,,, ";IS Approved original MC4 Photovoltaic connector Inuit.dle.11,11 r•d„In'; 14�.��'] 16f?il Willi hl(1heSt IP_11F1IJIIIIy :.ih'I''�:ICu>,tN Clliti's CtC�'fy"'^nylS II If:,1:+.,I lI 1��+ .IiJ x.,.,hJ il,•,,r+I♦ I ILu urt It!t ,, I I-. I_U,I.1 •" f�U,l{"': •,dirt. 1 .rx.lr.ti.n , I+.I LINEAR PERFORMANCE WARRANTY 10 Yeor Product Worronty • 25 Year Linear Power Warranty hina Solnt lunlL t! Addilion°l v °fue from"no Solor'r linrol n•auonl Trinasolar Y '1t; net.`.t tuM•`t:.rl •. � , ■ 1 .. In TSM-PC05 / TSM-PA05 THE UNIVERSAL SOLUTION DIGS ENS IONS OF PV IAOOUIE TSIA-PC;FA05 fi(C16ICAI DAIAr,SIC. TSPA-235 FSM-240 TStA i45 TVA-250 , 94imm - PC:PADS FC'PAOS PC,PA05 PC+PA05 IT -verOutputiclerance-Po.-r(u<? /t3 J/13 0r13 Uhl :.�'„• o• A Mntfmum Power Vntlag�-V..(V) :A 5 7G 7 2U'r SO 3 L<exsmum Power Cuircr,14,—(A) 3 U3 210 5.13 6 2; Ouenc4cu.tVnitrce•Vo:(V) 37.2 273 375 376 Shad Circuit Cuur•.al-I!,;(A) 3 55 -862 y by y E5 mmZule Efficiency q-(T) 14 4 14 7 15.9 15.5 c .,Uri::ud TV!I SIC"Al,Ida:P.AIt S Ina i.n..t'ttrSv:crrl,r..•Il Lemp.rat u-r 7!+''t EF. -art—' ;Al,e•n.r..r .,. . d n I"CIGICAl DATA It NOCI TSM-235 ISM-240 1SIA-245 IS/A-250 PC!FAOS PC;FAOS PC7Ph05 FC,FADS Mailmum PovJer-P,—('Vip) 171 - -174 176 161 Maximum Povief Vollage-Vem(v). 264 26.6 26.3 27.0 Maximum PCtver Curren)-1—(A) 6 40 tt 55 6.64 _ 5 70 Open Circuit Vollace(V).Vor,(V) 34 0 34.1 34.2- 34 3 Shur I C6ruit Cuilent JA)d,c(A) 697 LO=. 710 '.7.25 AOC I 111111 a I PC al Soli'vinlr:Amti!crl lrin per 1,tu'e?G•C.V:.I:a I P LT.a lnh rong,rr—;uremenI mle'ance_3% h1[CHANIGAL'DhIA Solar cos f�Multietystalllr.e 156 15amm'(S the yes) S Cell orientation `65 cells(6 10) Module dimensions I + 1650.•99.2 4^!mm(64 95.39^5=1 7 Inches) - ``,�� (: 3c.rin: A.A . .. Glens H.9h Iran:pF:rt3'ICy SWar[Pms 3 2mm In 13 lnctle,) } Frame Anodized aluminium all - I-V CUCYCS Of PV MODULE TSM•24S PC/PA05 '-'•Box iV 65`rnled Cabics Pholavollaic Technologycahh 4 1mmt(11..066inche.'), 1000min(39 4 Inches). Connector 1/C4 PY. redac.n.n s= IFIAPBATUVE iFA11146s IAAaIPAUM 11MING5 7U: zwtV/m' Nominal Operatlno Cell 45•C(a2'C:• Opeiahonul-'entpilatvle •40--65'C Temre-:alute(NO(fT) IlaxUnwn System 1000'J DC(Ii:C)/ 6x Temriein u+re Coarficipm of N— -.o 4B%i�C1 vellagc 60eV Dr(UQ. \'uIIL•1,-r•:j Tempeiolvre Coe,5cian1 of Vac -0.32;/•C t.;ax`_tilts Fuse f2au,-c 15A Temporetuer Coelficieni of he 0 047%/'C Average elticiency recucl'cn of 4.517.41 20,0W/m' - ,irca:d n01r.FN LC9a.-1 _ 1iY,t;2AAlY 10 Year wo•Crransl:p wa'ronly - 25 year linear perlarmanrr wauai-y (%,•aA.r !p'Li:t a:+W.I vdn,n4l r-n i,t-L:'h'• Ci It III CAIIgN :2 PACr.fcu,ir,mji ic,url+IroN .`eft h / A\ I,roduh s per-'I*cnr:a'ncr I,1.1(1; l E t. UL GS Pv CYCLE 11tRC �� Yrinasolar ii/)IIri�i;l.l� L`II.,;Ilil 14)(LrI r ttnj, •4 1 n-tc_ ,11'i-.` sit!tr.•c;:_tt rt rt:M.,'e1�'I,.C' 1' ,.. ...il:i-r••v.r�:l'3 Enphaseo Microinverters Enphase@M215 -A [e] enphase. E N E R G' 'Y. The Enphase°Microinverter System improves energy harvest, increases reliability, and dramatically simplifies design, installation, and management of solar power systems. The Enphase System includes the microinverter, the Envoy° Communications Gateway ITMand Enlighten," Enphase's monitoring and analysis software. PRODUCTIVE SMART - Maximum energy production -Quick and simple design, installation, - Resilient to dust, debris and shading and management - Performance monitoring - 24/7 monitoring and analysis RELIABLE SAFE - System availability greater than 99.8% - Low-voltage DC - No single point of system failure - Reduced fire risk enphase= S�® Ic 14 L- R G 1' C US Enphase°M215 Microinverter//DATA INPUT DATA(DC) M215-60-2LL-S22/S23 and M215-60-2LL-S22-NA/S23-NA(Ontario) Recommended input power(STC) 190-270 W Maximum input DC voltage 45 V Peak power tracking voltage 22-36 V Operating range 16-36 V Min./Max.start voltage 22 V/45 V Max..DC short circuit current 15 A Max.input current 10.5 A OUTPUT DATA(AC) @208 VAC @240 VAC Rated(continuous)output power 215 W 215 W Nominal output current 1.0 A (Arms at nominal duration) 0.9 A(Arms at nominal duration) Nominal voltage/range 208/183-229 V 240/211-264 V Extended voltage/range 179-232 V 206-269 V Nominal frequency/range 60.0/59.3-60.5 Hz 60.0/59.3-60.5 Hz Extended frequency range 57-60.5 Hz 57-60.5 Hz Power factor >0.95 >0.95 Maximum units per 20 A branch circuit 25(three phase) 17(single phase) Maximum output fault current 1.05 Arms,over 3 cycles;1.04 Arms over 5 cycles. EFFICIENCY CEC weighted efficiency 96.0% Peak inverter efficiency 96.3% Static MPPT efficiency(weighted,reference EN50530) 99.6% Dynamic MPPT efficiency(fast irradiation changes,reference EN50530) 99.3% Night time power consumption 46 mW MECHANICAL DATA Ambient temperature range -400C to+65°C t Operating temperature range(internal) -40°C to+85°C Dimensions(WxHxD) 17.3 cm x 16.4 cm x 2.5 cm (6.8"x 6.45"x 1.0")without mounting bracket Weight 1.6 kg(3.5 Ibs) Cooling Natural convection-No fans Enclosure environmental rating Outdoor-NEMA 6 FEATURES Compatibility Pairs with most 60-cell PV modules Communication Power line Monitoring Free lifetime monitoring via Enlighten software Compliance UL1741/IEEE1547, FCC Part 15 Class B CAN/CSA-C22.2 NO.0-M91,0.4-04,and 107.1-01 To learn more about Enphase Microinverter technology, r 1 enphase3 visit enphase.com e t N t l G v ®2013 Enhhase Energy.All rights reserved.All trademarks or brands in this document are tegisteted by Qier respective ovmu. Envoy Communications Gateway EnvoyCommunications GatewayTM r0 1.14111 The Enphase Envoy'Communications Gateway is the networking hub for the Enphase Microinverter System. System owners can easily check the status of their solar system using the Envoy's LCD display or they can get more detailed information through Enlighten, Enphase's web-based monitoring and analysis software, included with purchase of Envoy. SMART SIMPLE RELIABLE - Includes web-based monitoring & Plug&play installation - 24/7 monitoring&analysis control Automatic upgrades&diagnostics - Advanced data management& - Integrates with smart energy devices storage l enphasec S�® ��JLL 1\1 � r G Y c us Envoy Communications Gateway//DATA INTERFACE Power Line Communications Enphase proprietary Local Area Network(LAN) 10/100 auto-sensing,auto-negotiating POWER REQUIREMENTS AC supply 120 VAC,60 Hz Power consumption 2.5 watts typical,7 watts maximum CAPACITY Number of microinverters polled Recommended up to 500 . For commercial installations,multiple Envoy devices are used in combination with Line Communications Filters (LCF)to separate networking domains across the site. MECHANICAL DATA Dimensions(WxHxD) 222.5 mm x 112 mm x 43.2 mm(8.8"x 4.4"x 1.7") Weight 340 g(12 oz.) Ambient temperature range -40°C to+65°C(400 to 149°F) Cooling Natural convection—no fans Enclosure environmental rating Indoor NEMA 1 FEATURES Standard warranty term One year Compliance UL 60950-1, EN 60950-1 FCC Part 15 Class B To learn more about Enphase microinverter technology, [e] enphase' visit enphase.com E N I_ Il Y 0 2013 Enphase Energy All rights reserved.All tradernarks or brands in this document are registered by their respective owner: GREENFASTEN"' PRODUCT GUIDE -- GF-I l 1 ! GF1-L812 A i i r 8.000: .005 — R.38 .032 ' .30= 12.00: .125 -- 1 .01 3.00- .125 1 o i fr r 4.00__.125 .26-.01 ►, � � v 1 - Finish Options 1� f BLK=Matte Black , BRZ= Medium Bronze MILL=Mill Finish :j w j fi EWdsfen S*r&AY content protected uWer copyrght Ad refits eeserved.03MIl I Sec.4-2 it i � . GREENFASTEN" PRODUCT GUIDE - GF-f GF!-L A i v 91 Ll I K v . 4 Y a 1.7 00, w Lai (7 I o SECTION A-A / /I j 0fcA;;en.So1_•rt3 M.amenprocctcd under copiroxAfidhe reserved.031H111 Sm4-1 1 r r Instailtitlon 1' ;t,:. 'inns 4 ..fie•��t,S .r M,, •y ' — ,�'' ,;'.�•...�/ A •�a."'�—., w. � �•� O ��"'� _ram`^�r Al us e --l.. f + r r 2 3 4 Locate the Idlters dno snap nolltorlc.l dr:l vx_r ai III II: aoslnon or each Greerraslen•asnam Drill a o lot vole dlamete ; or the lag bol:.Earl ht f rY�. 7 u ��c►< ��` �5 "�7i } 3. Insert me;'ashlrg so tre top part!s Jrier trt?nex:r o...t• q f- .a• I .It, •r ''" ? `�u . .— " �` ,x y t enough t.p aope:n pril% nt:eater Iril:railon traounl :, . u •1. Line tip pilot hone .r.W GreenFasten ho Insert tie lar ho.t tnroucn the EPD`i;, he.:n '+'a u Bra ctet plcured)and:IQ gasKe:ec-olc.•t:rc`h,,I rc_r,. r•tc �.. n. Torc.:e tic '40 irch pouncs Consult an engineer or ju:o 'cr ;It`. :If i; -a -Fco-aslen Iecommenos an EPDI' _ 6 pc,rt�f+'-� �r i ni•r,, t c L:S:.•i 5aL r Al contmt protcctcd Odcr cp,rlcht.mil ng,G rc;crwd. r Gt•�en a;ielt ryF'. — Noduct Guidc Installation Instructiors RM Use for vertical adjustment when leading edge cf flashing hits nails u1 upper shirlr1le courses it � . yhae fhahin9 uo under shingles until leading edge engages 2. Remove:lashing and cut"V" notch.at marks where nail shr s e�cln�•;erl nails.Measure remaining distance to adjus upslope. leading edge of flashing the distance cesiree in Step 1.votrlt ozzolli cir•; to exceed 2"length by 112"width. r• r Mms beneath shingle Plicofroi7t of'V"norch u 1 �.•'.1� � '"'t'�. ,r� .•t%®.mot' � ��/ 'Pr' . 3. Reinsian flashing.,ith notched area upslcac. 4. Position notched leading edge underneath nail hearts a;shown. •,: j Nails beneath shingle Flails oenca!h mingle t< +� w {�14�r'li. ♦ �C 3; :Y:4:'i•:1 Co rmiCrd to;ne Scppert of itene�:able Ener91 -D Ecdasten SclarO All conieni prnircied undercnpyricght.All rigltis iesas•ed.0512912012 FLANGE NUT END CLAMP OP MOUNTING FLANGE NUT CLAMP T-BOLT MID CLAMP 0 UGC-1 CLIP T-BOLT SOLAR MOUNT RAIL —T-BOLT UGC-1 CLIP -•�--RAIL 0 000 00 Installation Detail ©2008 UNIRAC, INC. �+ 1411 BROADWAY BLVD NE SolarMount Rail ALBUQUERQUE, NU 87102 USA Top Mounting Clamp PHONE 505.242.6411 LINIRAC.COM Universal Grounding Clips URASSY-0006 S:'' =jtc�oj E::7il _itror;C,D' _�'-�=l'— C: _Solar IA:jnl. Rail-1.117;Z-1 ,lid—TtF Hour-. Zlorp.dac. _ '22,2D:7E 1:47::_ �11 SO RMouN Top Mounting UniRac Grounding Clips and WEEBLugs - 225.6 UGC-1 Top Y mi ant s , - clamps 6�J i�y I Module 1 T-boll Nib C E�� �• I Figure 26.Slide UGC-7 grounding e UGC-1 c j* clip into top mounting slot of rail Intertek I Torque modules in place on top of Conforms to �� clip.Nibs will penetrate rail anod- ULStandaN/67 ihroug and il(see grounding path G' r • 'l through rail(see_Fig.3,reversdside). 'SolorMounl®rail(any type( Figure 27.Insert a bolt in the W EE B Lug aluminum rail or through the clearance hole in the stainless steel flat washer.Place the stainless steel flat washer on the boh,oriented y.�. so the dimples xdll contact thealuminum rail.Place the htgpordon �7 on the bolt andstainless'steelflatj washer.Install stainless steelflat yrEEBLug ` f washer,lock washer and ituc Tighten thenuttmtilthedimplesare completely embedded into the roil r. and lug.Me embedded dimples make �r r •° Stainless Steel Flat agas-right mechanical connectionF- Washer(WEER) and ensure good electrical connection between the altuninurn rail and the Clips and lugs are sold srparmitly, lttg through the 1'Y1:CB. r.�'/` .F^ e,Sol6 ountO roil (any type) Figure 28.UGC-1 layou r for even and odd number of modules in rosy. "X"denotes places to install UGC-1. --L-U I I Him Even Number of Aludules in row Odd Number o(Modules in row •H°U N I RAC Pta June 011 2 011 s■ 0 201 1 hr Unimc, A HICTI GROUP COMPAtly All rights reserved. U N IRAC fistullution Sheet 225.6 Unirac Grounding Clips and WEEBLugs 10 year limited Product Warranty See hctpJhvww.unirac.com for current warranty documents and information. U N I RAC 1411 Broadway Boulevard NE . some Albuquerque NM 87102-1545 USA 2 Wiley Electronics LLC Washer, Electrical Equipment Bonding and Lug (WEEBLug) The WEEBLug is a device for bonding a solar array. The WEEBLug consists of two parts: a stainless steel washer(weeb-6.7)and a tin-plated copper lug. The washer is designed to provide a reliable gas-tight electrical connection with anodized aluminum pieces. The lug allows the lay-in connection of an electrical equipment grounding conductor. The WEEBLug may be attached to the top of a mounting rail with a captive bolt, or fastened to,any aluminum piece after drilling a suitable size clearance hole(see part number list below). Figure 1.WEEBLug Usage: Insert a bolt in the aluminum rail or through the clearance hole in the aluminum piece. Place the washer portion on the bolt, oriented so that the dimples will contact the aluminum piece. Place the lug portion on the bolt and washer portion. Install stainless steel washer and nut. Tighten the nut until the dimples are completely embedded and the lug and aluminum piece are flat against the body of the WEEB. The embedded dimples will make a gas-tight mechanical connection and thus ensure good electrical connection between the aluminum and the lug. I copyright 2006 Wiley Electronics LLC I Figure 2.WEEBLug mounted on rail. • Material: 304 stainless steel,tin-plated copper • Listed to UL467 by ETL • Torque to 10 ft-lb using general purpose anti-seize • Maximum electrical equipment ground conductor size: 6 AWG • Use with hardware(included) • Outdoor rated Part number: WEEBL-6.7 for use with t/<inch mounting hardware WEEBL-8.0• for use with 5/16 inch mounting hardware WEEBL-8.2 for use with 8 mm mounting hardware copyright 2006 Wiley Electronics LLC Smart Syncha the smart grid intelligence company' ff CENTRON° GPRS SmartMeter 4 SmortSynch's AMilntelligenceT14 metering solution features a communications module that is integrated into the Itron CENTRON electricity meter.The CENTRON SmartMeter communicolles d � 'Ff' -� with a server running SmortSynch's Transaction Management SyslemTM(TMS)and complies with ANSI C 12.19 protocols for data storage and transmission. This solution delivers actionable intelligence(critical usage and rate data) over secure public wireless networks(such as AT&T and Rogers Wireless)and the Internet-in lieu of cumbersome and expensive private networks.This makes mass deployments quicker,easier,and more ' scalable,providing a significantly greater Return on Resources(Rol?) for utilities. Unlike proprietary,Closed-architecture solutions,the CENTRON SmartMeter is essentially a future-proof investment in technology.Its slandordsbased IP connectivity makes it adaptable and field-upgrodable to support today's sensoring and communications needs,as well as tomorrow's opportunities,better than any alternative. Functions & Features Wireless Networks Hardware Components •GPRS • Radio Control Module Board(RCM) • Capacitor Storage Bank(CSB) ) Advanced Metering Functionality • GSM/GPRS Modem • Flexible Two-Way Data Retrieval • Internal Antenna t • Scheduled and On-Demand Reads { • Tilt Detector • Interval Reads(5, 15,30,60 minutes) • Temperature Sensor • Reol-Time Interval Reads • Automated Register,Self-Read&TOU Retrieval Operating Ranges • Demand Resets Temperature • Real-Time Meter Event and Alarm Retrieval . Operating:(-40°C,+85°CJ • Real-Time Power Outage and Power Restoration . Transmission(GPRS):(-40°C. +85°CJ • Service Diagnostics and Tamper Detection • Tilt Detection Humidity Meter Clock Synchronization • 0110 to 95%non-condensing • SmartMeter Status Display Accuracy • Automated Meter Registration • Meets ANSI 12.20 for accuracy class 0.5% •Secure and Encrypted Data Transmissions • Bi-Directional Metering Regulatory& Industry Specifications •Over-The-Air SmartMeter Module Firmware • FCC Part 15 Class B Upgrade • ANSI C37.90.1 - 1989:(SWC) Supported Meter Forms • ANSI C12.20(Class 0.5)- 1998 • Class 20:3S.4S • PTCRB Certified • Class 100: IS • Network Carrier Certified SmartSynch.Inc. ' Class 200:2S. 125, 25S • Measurement Canada Certified 4400 Old Canton Road • Class 320:2S Jackson,Mississippi 39211 1-888-362.1780 4 �•w.:na"sr�ch cam Jft-k WO 0 =� Hardware Specifications Smart S ndh, Hardware Component Description r� Radio Control Module Board(RCM) 32-bii ARM processor,256K RAM,512K flash a Supplies peak power for data transmissions and all functions during r Capacitor Storage Bank(CSBJ power outages-no batteries requited GSM/GPRS Modem GSM modem communicates with head-end using GPRS and SMS services Internal Antenna Flexible dual frequency GSM antenna for the modem y Tilt Detector Defects unauthorised movement or removof of the device t Temperature Sensor Monitors all temperatures to ensure correct radio operation T Temperature Ranges Supported Meter Forms Operating: [-40°C,+85°C] Class 20:3S, 4S Transmission(wireless): [-40°C.+85°C] Class 100: IS r Class 200:2S. I2S.25S Humidity Range Class 320:2S t 0%to 95%non-condensing Regulatory&Industry Certifications 1° FCC Port 15 Class B Accuracy ANSI C37.90.1-1989:Surge Withstand Copobirity(SWC) Meets ANSI 12.20 for accuracy class 0.5% ANSI C 12.20(Class 0.5)- 1998 PTCRB Certified Measurement Canada Certified Network Carrier Certified Inpul/Output Signol or Interfoce Definition/Volues Module Power Input Voltage 120 VAC Meter Serial Interface 3.3V/TTL compatible asynchronous Inteorotion The SmarlMeter module is a fully integrated.under-the-cover option inside the CENTRON meter. The CENTRON GPRS SmarlMeter is shipped as one complete unit.ready for field deployment. Version and Compatibility Information CENTRON Meter Hardware: Supported meter forms,classes,and types. equipped with battery CENTRON Meter Firmware: TBD SmarlModule: CENTRON GPRS SmartMeter Module SmartSynch TMS: Version 7.20 or higher About SmortSyne h: Heodquartered�n Jackson.Miss.,SmorlSynch has been developing successful Smart Grid Intef!igence solutions lot the utility industry since 2000.The compony's cleon-tech innovations in the two-way delivery of reol-time energy usage data over public wireless networks(AT&T.Rogers.etc.),in lieu of private network build-outs,have to date simplified SmariMeter deployments for 100 major North Amer%con util l es,while enabling green energy inifiotives and delivering sign ficonffy higher Returns on Resources. Unl'ke propriefory,closed-0rch'teciure solutions SmorfSyrch's Smorimelers rep;esenl future-proof investments in technology.The standards-bored IP connecfv ly enabled.n every SmoriMele•deployed makes them adaptable and remotely upgrodable fo s�uppod todoy"s sensor and commun cotions needs os well as tomorrow's opportunities,better than ony allemofive. :.m.- :mz::.==Tm J, Coo yrich10 2009.SmortSynch Inc..all rights reserved. YOU WISH TO OPEN A BUSINESS? For Your, Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M-.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st. FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. t"r�?dot,+3►f°if '° ,� V.. DATE: Fill in please: APPLICANT'S YOUR NAME/S: G,SePc' �.ScwHt,v� BUSINESS YOUR HOME ADDRESS: (TO 5ef-,Al ���dsP�ed s c,✓�, �/ Ville- , /"tom 6. ASS TELEPHONE # Ce f!-"ae�Telephone Number �7���3� �fG 6 r� I-11�2� NAME'OFGQRPORATION AA NAME';OF NEW BUSINESS ::�oG` :'erir Ul��"):. CS TY OF 113 F6', fC' " IS THIS A HOME OCCUPATION?`. YE NO ADDRESS OF.BUSINESS ..� MAP%PARCELNUMBER When starting a new business there are several things you must do in or e o be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO ISSIVER'S OFFICE MUST COMPLY WITH HOME OCCUPATIOt This individ al h s n Wor e o an per it re uirements that pertain to this type of business. RULES AND REGULATIONS. FAILURE TO COMPLY MAY RESULT IN FINES. ut rize i nat * OMMENTS: -1 ' i t-1 2. BOARD OF ALTH This individual h ee infor a of per 't quir is that pertain to this type of business. Authorized nature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: Town of Barnstable HE Regulatory Services OF S Thomas F.Geiler,Director. Building Division • �xsresca. • A g Tom Perry,Building Commissioner 0 �0 '0i� ► 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved_ Fee: - d--O Permit#: HOME OCCUPATION REGISTRATION Date:a^(l - I a- 3 Name: 36 S e�h f3a�v->`�'�► Phone#: Address: ���/ Sefih �S Pe Cis ►.,,C,Y �r age: Name of Business: C61 to Eeryer' I G✓w7 CSl= Type of Business: it,fd. T e ), Map/Lot:' aa, ^aJ�l L INTENT': It is the intent of this section to allow die residents of the Towm of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of die Zoning ordinance,provided dig the activity shall not be discernible from outside die dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration math tie Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No riaffnc will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing die Customary Home Occupation,and not within the required fi-onht yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on tie same lot containing the Customary Home Occupation. • No sign shall be displayedindicatuhg the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business, the street address shall not be included. • No person shall be employed in tie Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigRedd,have read and agree with die above restrictions for my home occupation I an registering. Applicant: Date: Homeoc.doc Rec.01/3/08 i Town of Barnstable *Permit Expires 6 months r issue dat "T Regulatory Services Fee •AaxgrAeM � r0ass.039• • Thomas F.Geiler,Director ArED r,AA't� Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address S, e-+ G (j d d S wj L-dc-V Op J 1 N_ y" Residential Value of Work 12 071 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address I S;�) S� . G ob j S pqj Contractor's Name T.,) � Telephone Number /u� - � 7 Home Improvement Contractor License#(if applicable) 17 3 o-?q,r Construction Supervisor's License#(if applicable) q a a (O ❑Workman's Compensation Insurance .PRESS PERMIT Check one: ❑ I am a sole proprietor JAN 2 4 2013 I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name � t" c?h a ut- �'' C o . TOWN OF BARNSTABLE Workman's Comp.Policy# G "� 65 55 -� 3 9 7 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑Fence over 6' ('� 2 #of doors Replacement indow doors/sliders.U-Value y J (maximum.35)#of window 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required SIGNAT Q:\WPFILES\FORMS\ permit fonns\EXPRESS.doc Revised 051811 Massachusetts- Department of Public Safety j Board of Building Regulations and Standards j Construction Supervisor License I License: CS 42926 � v i PAUL H THIBEAULT 26 LESTER ST N SMITHFIELD, RI 02896 --G h Expiration: 2/16/2013 t bnmiissioner Tr#: 9563 JI Office o onsumer Affair and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 173245 Type: Supplement Card SOUTHERN NEW ENGLAND WINDOWS LL Expiration: 9/19/2014 PAUL THIBEAULT 1137 PARK EAST DRIVE WOONSOCKET, RI 02895 Update Address and return card.Mark reason for change. :-CA1 Co 50M-04/04-G101216 Address Renewal Employment Lost Card 711e f�iamrmoouueall�i o�/�aaoar/euaetta Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration:`..173245 Type: 10 Park Plaza-Suite 5170 Expiration: 9/10/2014 Supplement Card Boston,MA 02116 SOUTHERN NEW ENGtAND WINDOWS LLC. RENEWAL BY ANDERSON.. PAUL THIBEAULT .. 1137 PARK EAST'DRIVE >6 _ WOONSOCKET,RI 62895. Undersecretary Not valid without signature The Commonwealth of Afassachusetts Department of Industrial Accidents Office of Investigations kv 600 Washington Street Boston,MA 02111 i+'ww.maUgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers AppUcant Information / Please Print Legibly Name (Business/Organization/Individual): Jl' z7 7 Address: 3 7 Park d�LSlV� Ci /State/Zi : W&&AJ5BCAa -, �B�SPhone#: O/ Are you an employer?Check the appropriate box: 1. I am a employer with o20 4. ❑ I am a general contractor and I Type of project(required): 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 working for me in any capacity. employees and have workers' 8' ❑Demolition (No workers'comp. insurance comp. insumce.t 9. ❑Building addition required:] 5. ❑ We are a corporation and its 10.0 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.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no 3a.❑ I am a homeowner acting as a employees.[No workers' 13.E[Other Rom„ I4 L2dYt� general contractor(refer to#4) — comp.insurance required,]'Any applicant that checks box#1 mut also fill out the section below shoveling their workers'comp Policy information. t Homcowncm who submit this affidavit indicating they are doing all worst and then hire outride contractors must submit a new affidavit indicating such. tContra amrs that check this box must attached an additional sheet showing the name of the sub.connactors and state whether or not those an have eraployea. If the sub-contractors have employees,they must provide their workers'comp,policy j I I an an employer that is providing workers'compensation insurance for my ensployeeL Below is the policy and Job site informadom Insurance Company Name: D 1.) fvS lice 4wcF` Policy#or Self-ins. Lic.#:�}'T 902 7 6 9 g 3�a 3 7 �.� Expiration Date: Job Site Address: r h G�a S stoat Wa City/State/Zip: �S `Vie IQ U�� D��S� 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 fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of STOP WORK ORDER and alties a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do her cetri undo a pains and penalties of perjury that the information provided a is due and correct Phone' Da �n 2 3 2G13 � 7i � � ys� O Cial 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 S. Plumbing Inspector 6.Other Contact Person: Phone#! Client#:30124 SOUTNEW ACORD,.. CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DD/YYYY) 10/02/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed.if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER EADDRESS: Little Willis of Massachusetts,Inc. PHONE 914�600 FAX 100 Huntington Avenue A/C No): 856-914-1881 •little@williS.com INSURER(S)AFFORDING COVERAGE NAIC M Boston,MA 02116 INSURER A:Argonaut Insurance Co. 19801 INSURED Southern New England Windows LLC INSURERS:Beacon Mutual Insurance Company 24017 D/B/A Renewal by Andersen INSURER C: 1137 Park East Drive INSURER D: Woonsocket,RI 02895 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. L SR E OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP IN SR WVD POLICY NUMBER MM/DD MM/DD LIMITS GENERAL LIABOTY pEAACCHq�OECCCURRRRENCE $ GENERAL LIABILITY PREMISES EaEoNTED nce 8 CLAIMS-MADE DOCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO JE T LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UA13 CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY AIC927698352394 8/21/2012 08/21/201 X WCSTATU. OTH- B OFFICER/MEMBERANY O R�EXCLUDED ECUTIVE® N/A 68028(RI) E.L.EACH ACCIDENT $1 000 000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEEI$1 000 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Named insured is a Renewal By Andersen Dealer CERTIFICATE HOLDER CANCELLATION Southern NE LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1137 Park East Drive ACCORDANCE WITH THE POLICY PROVISIONS. Woonsocket,RI 02895 AUTHORIZED REPRESENTATIVE a. anmt ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S212686/M212684 AXL Renewal RI Ileg#1 lC.0560839 V RENEWAL BY ANDERSEN CrA Hi#519535 • �Andefsen. -'• MA HI#119535 t WINDOW REPLACEMENT e.An&—Con, , 1137 Park East Drive•Woonsocket,RI 02895 Lead Hnwrd Control Firm Phone 401.671.6401•Fax 401.671.6262 License#LHCF-0059 Southern New England Windows,LLC d/b/a Federal Tax ID#46-0566630 Renewal by Andersen of Southern New England CUSTOM WINDOW AND DOOR REMODELING AGREEMENT Buyer(s)Name Date of Agreement �fk 9 I Buyer(s)Street Address,City,sate,and Zip Code ut oZL .55 E-Mail Address Home Telephone Number Work Telephone Number Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal by Andersen of Southern New England("Contractor"),in accordance with the terms and conditions described on the front and the reverse of this agreement and on the attached''specification sheet(s)(collectively,this`Agreement"). Total Job Amount �Ob Estimated Starting Date: Method of Payment: O Check dCash a Financed Deposit Received(33%): y 57�,Up Credit Cards are accepted for deposit only-maximum 1/3 of the Balance at Start of Job(33%): j�1�A✓ project cost(Please see Credit Cord Payment Form.)By signing this Estimated Completion Date: Agreemem you acknowledge that the Balance at Start of Job and the Balance on Substantial G• 7(/ Balance on Substantial Completion of Job cannot be made by credit Completion of Job(33%):4n� card and must be made by personal check bank check or cash. Buyer(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. Buyer(s) acknowledges that Buyer(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 attached Notices of Cancellation,on the date first written above and(2)was orally informed of Buyer's right to cancel this Agreement.DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. (Rhode Island Sales Only)Notice to Buyer:(1)Do not sign this Agreement if any of the spaces intended for the agreed terms to the extent of then available information are left blank.(2)You are entitled to a copy of this Agreement at the time you sign it.(3)You may at any time pay off the full unpaid balance due under this Agreement,and in so doing you may be entitled to receive a partial rebate of the finance and insurance charges.(4)The seller has no right to unlawfully enter your premises or commit any breach of the peace to repossess goods purchased under this Agreement.(5)You may cancel this Agreement if it has not been signed at the main office or a branch office of the seller,provided you notify the seller at his or her main office or branch office shown in the Agreement by registered or certified mail,which shall be posted not later than midnight of the third calendar day after the day on which the buyer signs the Agreement,excluding Sunday and any holiday on which regular mail deliveries are not made.See the accompanying notice of cancellation form for an explanation of buyer's rights. Buyer(s)received t n mer education materials provided by the Rhode Island Contractors Registration Board. (Buyer's Initials) Renewal by dens Southern New England Buyer(s) Buyer(s) By: Sign of P duct Man ger Signature Signature �l Print Name of Product Manager Pririinn'tt N.aame �njn Print Name 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 ATTACHED NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT. - - - - - - - - - - - - - - - c- - - - - - - -'- - - - - - - -7- - - - - - - - - - - - - - - NOTICE OF ,ELLATION X NOTICE OF CANCELLATION I Date of Transaction q ZAJI.You may cancel I Date of Transaction .You may cancel this transaction,without ny penalty 6f obligation,within this transaction,without any penalty or obligation,within three business days from the above date.If you cancel,any I three business days from the above date.If you cancel,any property traded in,any payments made by you under the I property traded in,any payments made by you under the Contract or Sale,and any negotiable instrument executed I Contract or Sale,and any negotiable instrument executed by you will be returned within ten business days following I by you will be returned within ten business days following receipt by the Seller of your cancellation notice,and any I receipt by the Seller of your cancellation notice, and any security interest arising out of the transaction will be security interest arising out of the transaction will be canceled.If you cancel,you must make available to the Seller I canceled.If you cancel,you must make available to the Seller at your residence,in substantially as good condition as when I at your residence,in substantially as good condition as when received,any goods delivered to you under this Contract or I received,any goods delivered to you under this Contract or Sale;or you may,if you wish,comply with the instructions of I Sale;or you may,if you wish,comply with the instructions of the Seller regarding the return shipment of the goods at the the Seller regarding the return shipment of the goods at the Seller's expense and risk.If you do make the goods available X Seller's expense and risk.If you do make the goods available to•the Seller and the Seller does not pick them up within I to the Seller and the Seller does not pick them up within twenty days of the•date of cancellation,you may retain or I twenty days of the date of cancellation,you may retain or dispose of the goods without any further obligation.If you I dispose of the goods without any further obligation.If you fail to make the goods available to the Seller,or if you agree I 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 I to return the goods to the Seller and fail to do so, then you remain liable for performance of all obligations under you remain liable for performance of all obligations under the Contract.To cancel this transaction, mail or deliver I the Contract.To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any I a signed and dated copy of this cancellation notice or any other written notice, or send a telegram to Renewal by I other written notice, or send a telegram to Renewal by Andersen of Southern New England at r 1137 Park East Dr., I Andersen of Southern New England at 1 137 Park East Dr., WoQn1ocket,RI 02895,NOT LATER THAN MIDNIGHT OF I Woonsocket,RI 02895,NOT LATERTHAN MIDNIGHT OF Date I B CANCELTHISTRANSACTION. I HEREBY CANCEL THIS TRANSACTION. Buyer's Signature Print Name Date Buyer's Signature Print Name Date RbA Copy:White Buyer Copy:Yellow Buyer Copy:Pink i Town.:of.Barnsxab..e,: yP � Expires 6 months from;issue date. ' ..R&RNSMMASS,SS, = Re ulator. Services . tee... , '0 0� Thomas F.Geiler,Director �p �a79. . Building Division �6 v Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA,02601 Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number �� O Property Address ojc,V Residential Value of Work l� Owner's Name&.Address \ y Cy r\ lv. (Y1 Ck V1 Contractor's Name 1 L)< e (SL V\ ffiyNv- iM7, Telephone.Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: X-PRESS PERMIT ❑ I am a sole proprietor ❑ I am the Homeowner S E P 2 6 2008 [ "I have Worker's Compensation Insurance. Insurance Company Name L► �__e r �c,\I TOWN OF BARNSTABLE Workman's.Comp.Policy# Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over• existing layers of roof)- ❑ Re-side I C'�J [A Replacement Windows. U-Value b 'c1i (maximum.44) G vi !wkwrl S I i d i 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation;etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contracfois License is required. Signature. Q:Forms:expmtrg Revisedl2]901 The Commonwealth oj'Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Naive (Business10rganizati0na&v1dua1): Address: .. City/State/Zip: Phone#: �a�(6-3� Are you an employer?Check the*appropriate box: . - Type of project(required): _ 1. I am a employer with 4. ❑ I am a general contractor and I 6: ❑New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet t �• Remodeling ship and have no employees These sub-contractors have 8. Demolition working for mein any capacity. workers' comp.insurance. 9. ❑ Building addition. o workers' comp. insurance 5. ❑ We are a corporation and its officers have exercised their 10.❑ Electrical repairs or additions required.] Tight of exe lion per MGL � 11.❑ Plumbing repairs or additions 3.❑ I am a homeowner doing all work c. 152,§1(4),and we have no 12.❑ Roof repairs myself(No workers comp. . insurance required-] t employees. [No workers' eq ] 13.P 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 tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy infozznation I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. , I Insurance Company Name: Policy#or Self-ins.Lic. #: �l)C - S — (�c��5 - I k' Expiration Date: o 3 01 0-� Job Site Address: 6,b S__A� s2cc City/State/Zip: OS PyU Attach a copy of the workers' compensation policy dec aration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500..00 and/or one-year imprisonment, as well as.civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature: Date:* Phone#: r cial use only. Do not write in this area,to be completed by city or town official. or Town: Permit/License# ing Authority(circle one): oard of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector therntact Person: Phone#: i I Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. e Pursuant to this statute, an employee is defined as ...every person in the service of another under any contract oi"hire; t S express or implied,oral or written." j An employer is defined as"an individual,partnership, association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the dwelling house having not more than three apartments and who resides therein, or the occupant of the owner of a dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house dw or el the grounds or building appurtenant thereto shall not because of such employment be deeiii he employer:" MGL chapter 152,:§25C(6)also states'that"every state or local licensing agency shall withhold the issuance or = renewal of a license or permit to operate-a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,.MGL chapter 152,§250(7)states"Neither 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 requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), addresses)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with r employees other than the members or partners; are not required to carry workers'.compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for-confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicantlicant j Please be sure to fill in the permit/hcense number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current Site Address"the applicant should write"all locations in (city or policy information(if necessary)and under"Job town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof tbata valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial.Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia r °FtKE 1� Town of Barnstable Regulatory Services ` BAMSMBLE, Thomas F.Geiler,Director prE16 9. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section j If Using A Builder C� �v`M�, , as Owner of the ro subject l property hereby authorize /V I<e`� ''+ to act on my behalf, in all matters relative to work authorized by this building permit application for: 66 J,5 e � SST �1Ie (Address of Job Signature of Owner Date U �L�-JWlCiV7 Print Name ll.t;!'1T)L RC.flTS/1.TCD DL'T)�RTCCT(1T�T .j^ i Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 133851 Board of Building Regulations and Standards Ex ifition:_= One Ashburton Place Rm 1301 P 8/117,7/2009 Tr# 259484 Boston,Ma.02108 Type: Private Corporation NICKERSON HOME IMPROVEMENT MARK NICKERSON 12 COMMERE DRIVEa,,Q ORLEANS,MA 02653 Administrator Not valid without signature a i L I r� Liberty Liberty.Mutual Group tzz�mutug. P.O.Box 9090 Dover,M3 03821-9090 Telephone(800)653-7893 Fax(603)-245-5330 March 10,2008 TOWN OF BARNSTABLE ATTN:BLDG DEPT 200 MA NT STREET HYANNIS, MA 02601- RE: Certificate of Workers Compensation Insurance Insured: MCAS LLC DBA NICKERSON HOME IMPROVEMENT PO BOX 2476 ORLEANS, MA 02653 Policy Number. WC2-31S-360989-018 Effective 3/1 /2008 ExPirah alection: Coverage afforded under Workers Compensation Law of the following state(s): MA Employers Liability(Limits Sole Proprietor/Partner cove Bodily Injury By Accident $100,000 Each Accident Bodily Injury by Disease:. $ 100,000 Each Person Bodily Injury by Disease: $500,000 Policy Limits As of this.date,the above-referenced.policyholder is insured by Liberty Mutual Fire Insurance Co under the policy listed above. The insurance afforded by the listed policy is subject to all the terms,exclusions and conditions,and is not altered by any requirement,term or condition of any or other documents with respect to which this certificate may be issued. .._...__...__ certificate_is:issued.as-a-matterf•i onformation only and confers no n ...._.... ght upon you,the certificate holder. 'Phis certificate is not an insurance policy and does not amend extend,or alter the coverage afforded by the policy listed above. If this policy is cancelled before the stated expiration date,Liberty Mutual will endeavor to notify you of such cancellation. AUTHORIZED REpRESENTATIVE LIBERTY MUTUAL INSURANCE GROUP This Certificate is executed by LIBERTY MUTUAL INSURANCCE GROUP as respects such insurance as is afforded by those companies. cc: Insured: Producer of Record:- WAS LLC ROGERS&GRAY INS AGCY INC. DBA NICKERSON HOME IMPROVEMENT PO BOX 3700 PO BOX 2476 ORLEANS, MA 02653 PLYMO 3/10/2008 UTH, MA 02361 to Assessor's ma and lot number "./...,/..... 90..p ....�................ .....�... �F THE Tp♦ Q j r Sewage Permit number .....(.!.. ..- .!. ....�{_�`'`u?1..... BARNSTLUE, House number .............1,. 0................................................. 9p rasa p 039. `00 O OR TOWN OF BrARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... . v.............. ........................ TYPE OF CONSTRUCTION .......... ..U :.> ......... .!r............................................................... ...................7.1....v.................19.�,� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....� lP .S OT (T. 7 �Z-! .........Q" �f!C„v„� li'IP .. 1�4 Proposed Use L L Zoning District .................................................. ..Fire District .�::•.At41 Q ./ .................... .................................................................... v J �Na�wF ......................................................................A'ddress ............................................................... ............... yQ Nameof Builder ....�../..'................... .. .. ..................................Address .................................................................................... Nameof Architect .l.!!..�.4 .�-..............................................Address .................................................................................... Number of Rooms ....�.........!�...� ...............Foundation n /���� ,p p ,� -.................................`Ph-. !/ Exterior C�t �/I�. ....1d.l�`/ r� �Z �if44 .. CrRob g ............��'. 1..' ........-T.�t.............. ................. .................. Floors �..--.......�4-:R 7�........................Interior. .......... {6:; ... V� ............. ...................... ................`b . Heating L �,T �.. .................................Plumbing ...(:�t).. .� ... ....... .....7.,................... Fireplace ....... .......4.11 .......�.......I.............................Approximate Cost .....:3...��.0.0..�.. ....... ...:.........,...- Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area :... .... ..................... ......... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH V" - 3 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS. I hereby agree to conform to all the Rules and Regulations of the Town,i3f Barnstable regarding the above construction. ( O l �.`.�.., -- .......m,Name .... . .....s - .. Construction Supervisor's License ...... ...� ......... OSTERVILLE HEIGHTS REALTY TRUST A=122-94 No 4 9.8 .... Permit for 1? Story Single Family Dwelling ....................................................................... Location ..Lot 6,3, 150 Seth..Goodspeed Way ............................. ........ Osterville Owner ....Osterville Hei �' hts Realty Trust ......................................................... I Type of Construction Frame Plot ............................ Lot ................................ ' Permit Granted ......A. p .ri..1...2 2.:...........19 83 Date of Inspection. ....................................19 Date Completed ......................................19 7e.) / /I • . r'`�yo` �•e TOWN OF BARNSTABLE Permit No. 24982 Building Inspector Cash ' 63o OCCUPANCY PERMIT Bond N _-___------X--�-/ .� Issued to Osterville Heights Realty Address loth #63 150 Seth Goodspeed Way, Osterville Wiring Inspector ✓ l,i /-j�( �,, `.4� Inspection date 1 Plumbing Inspector � , Inspection date Gas Inspector G' ;' Inspection date Engineering Departmbnt L" c Inspection date Board of Health r. ' Inspection date ; y THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING "NSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. l f BuildineIus ector s •f.; 1 tt.r .j UlS � "��f ! / ,loft �j t �S t pit �• i Z� � { }"$t�•!- �T4,•f � I `^ ii .�. r s r tit�+�ar lif•l,f 1�!�"+,Jf�- a,r..t � , 1 JI N t 367, •• fir' ,�I, ,�' t4,8 •l .- v i r.{�` �7,A• i 1'v,, _ A , a- `��;. ; R• • ' LvT'!.� �Jt'('1�1 �IovDypreD� 1�tl�l`(! ` the baL; L.,; o� my knowledge, infyormuti on =d r�A R►.J'S TA C�L le , M,1��r 5, ' k 'beltef :C certify to_Tka.� t �tbxrt as vesult of a purvey Ida @ on -the s pu d 4 hA, rind that: �JM 1./l �Q.2 u,.��GK 3 A550<. IP.,,IG; , Y_ �I 1-1 O 1=A I eW ..MIePU T' , iA«S'.�_ , st Mti&(s) are located on.the: sit8 e_ CoA+wb xo, e_ w;lh Ti�vin Z.9nirr9:;� -title Nines, and lines of occupatimi to re a:, show thereon. ��P�rw oFMq� ; e site iL; situated in :Flood -Gone Ne.�• A. �o� WILLIAM r,`r l 1OA ttw1? .ty i' t.unel No e a M. t WARWICK n. y ' e r t t: `F 1 .t:• �0'"1 r�y=ads~7 r .p No. 19771 iy n '�'�t f i''�I ..'�.ysr {._ ,G r +� � �'� J� •I�q�Y51S'r 9�.ir.i L. ° � F Qn� '� r � +i 3Y� ;e�7�s , i [4v 'r r .� ;4.:•tl F%y► ,t� y7 r �w C�gT�� j(��. Nr.�, '� 1'1 `��(• �� _'�-..:i�"1 ?1" ti .I+°•� ��t}t�R��}YL•s -CIO "�'�'• •.t• t,'! • s„'Y„ r�l' •w'<r .r.r G�r[-. fit',.x..y, j� - e/f.3 Assessor' map and,lot number ....1 1...�.......... .e • / fTNE t , IC SYSTENT HUST BE Sewage Permit number ..... ....�..............i +, .. .l.�!?'�.... .:. �fil��'.,gLLE® isd C®i��LI,��C a • ' ����,� TITLE 5Z BASBSTODLE, MM6 House number ............. r.tN'V1R0N1`AENTAL C'0E, �`�sj%1 ''�t 039. 9 TOWN OF - BARNSTABLE" BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... . ...................../ .........(...,.�Si. !...1... .. D.!.1...:...................... J TYPE OF CONSTRUCTION ...... .. .........I.. .. ......... ................................................ ..................... v.................19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... ...................................�1 /�T�....CT .�1..f�/�J lam......... � // ......I f4 ..... . Proposed Use .....V...<..L6!. ��`=............ �T.'.:.�lL. ..............�........................�.��►-'..............:. Zoning District ..'......................................................................Fire District �...4177 .. Q� NaFfie of w(��f /lam / �fU'!`7Y !l Z4Ll;ddres ................/A.J �44 /4 �K....9,V,4.M /yA Name of Builder .....................Address .:.................................. Nameof Architect ...........................................Address .................................................................................... Number of Rooms ...... ./...�/ 2, —Ri*7...............Foundation ....�u(r"e. ........ d. ..L. ......-. Exterior .... ........... /.� ..... �`' . Floors ! �/�- Q/G 1 ' " � ..� � ` Cr .......... ...................... ...................................................Interior ......... . Heating ..... ........Plumbing ...1.. kJ.P.f-. .�...-..� ��7_10 ......................... Fireplace .......1... ......./-..11/..... ..�'�............................Approximate Cost .....3...2 . .............. . `odd Definitive Plan Approved by Planning Board -----------_------_-----------19________. Area ..... .... ..................... ..... .. d as- Diagram of Lot and Building with Dimensions Fee ............ ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH lop A o OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town f Barnstable regarding the above construction. Name ..... �. ...... Construction Supervisor's License .n . ... .... ... .... ,0S'TERVILLE HEIGHTS REALTY TRUS 1.4 9 8 2.. 1�2- Stor r ... ......... .. .......... Permit for .................... .......... Single Family Dwellin ............................................................................... Location ,Lot...63, 1.5.0...Seth....Goodspeed Way .. .. .... .... . .... .... osterville ............................................................................... Owner ....Osterville Heights Realty Trust` .............................................................. Type of Constructio n .Frame .............................. .. .. .. ................................................................................ Plot ........................ Lot ................................ April 22, 83 Permit Granted ........................................19 Date of Inoggen � ..............................19 Date Completeo ..........4!::;;: 7. 19 412 �oF loy, Town of Barnstable *Permit# '3.��� Expires 6 months from issue date GP/ BAMSrABM Regulatory Services Fee -1 19 9 1639.. �� Thomas F.Geiler,Director (� 0 / J Building Division Tom Perry, Building Commissioner X-PRESS PERMIT 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 - JUL 1 7 2002 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENITOXIONEMARNSTABLE Not Valid without Red X-Press Imprint Map/parcel Number—1 Z Z C' d (. 3 Property Address ! 's—flsiloS e t o S c c d �.c�_ 5-�<✓,r�'��,e g�fe'sidential Value of Work 40 U a o Owner's Name&Address g v o uJ Wt q L'I LJ Contractor's Name R o�c!f d r r 5c,✓1 Telephone Number 3 '" 2. 8 Zcj Home Improvement Contractor License#(if applicable) Construction Supervisor's License.#(if applicable) Q O 2. ❑Workman's Compensation Insurance C Chec e: I am a sole proprietor co ❑ I am the Homeowner N ❑ I have Worker's Compensation Insurance C Insurance Company Name W o r Cn rn Workman's Comp.Policy# Permit Request(check box) ASS �y Re-roof(stripping old shingles) All construction debris will be taken to b F L, fit, ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature . Q:Forms:expmtrg Revised121901