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0045 REGATTA DRIVE
�� ��� ✓ � __ - T i f _ �._ O� P Application numb6r . Date Issued...... ......1......................... e sAR.NSTABLE. ' s ' Building Inspectors lnitials.....u.b................ RFD MA'S 6 -- Map/Parcel......�.5 1... 2Q TOWN OF BARNSTABLE 3 EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: 4 S e -4-{a r NUMBER STREET VILLAGE Owner's Name:,�,v►;-S tJa/l-ze!✓S 4 Phone Number Email Address: Cell Phone Number (,, i7,i�03-34ei I Project cost S 7, L(3C) - Check one Residential Commegaial ...a OWNER'S.AUTHORIZATION o y . As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: 4--e 4\ ccf,4 Date: TYPE OF WORD SidingtJ Windows no header change)# � Insulation/Weatherization ( g �— ❑ Doors(no header change)# Commercial Doors require an inspector's review Roof(not applying more than 1 layer of shingles) Construction Debris will be going to tA1OL5�P CONTRACTOR'S INFORMATION Contractor's name Je Sfi¢e(� - I,J�i��.,l W o r (rQ ,�3o Stop Home Improvement Contractors Registration(if applicable) (attach copy) Construction Supervisor's License# O�7 7 7 7 L- (attach copy) Email of Contractor ee-� a (•car-+ Phone number 7 9'/ - ALL PROPERTIES THAT HAVE STRUCTURES 00ER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS 1N A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. r APPLICATION NUMBER............................................................ "For Tents Only* Date Tent(s) will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a:for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s) of each tent df food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require.Fire Department approval, *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand nay responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CM R and the Town of Barnstable. Signature Date L1LCANT9 S SIGNATURE Sig 11—l Onature _ Date M All perms a .ons are subject to a building official's approval prior to issuance s u_�_.•, Window World of Boston MAHIN mbertrallon LUVW Offices&Showrooms 1s6025 w 015A Cummings park Q 29S OId Oek Street 01000 Basten Tlurlptke Pedarat ID N Wobum,MA 01801 Pembroke,MA omm Shrewsbury,MA 01646 92 4898432 (701)932-4805 (781)828.828i {508}845 667B www.WndowWorldolBosion.com Customer: �iWAS /rte`0A Phone(h) yyl7 Install Address: Phone a ahy:�pvp,"�.tr`tIle _ '_State:MA ZIP 02L3—E•mell h VJ^C11--9tJ K! C•aA WINDOW WORLD GLASS OPTIONS _100D series Single-hung All-Weld $249 SolarZorle Elite-built Pane 3129�_ 2000 Series DH AO Weld S259 i 4000 Series ON AINNeld $209 _Triple Pane $299 _6600 Series DHAII•Weld $309 WINDOW OPTIONS �2 LRe.Sllder S429 Glass Breakage Warranty(4130019000) Sits INCLUDED j _31.11e6llder imm.,m tua-110 $Sea _112Screen$ SgINCLUDEO Piatura!Fxod Lilo(0-83 my $419 Foam Insulation on Jambs and Head $i f INCLUOED Piclure/FixedLfe (84-1301.11) peublaStrenglhG�ss(4000(6000) $181NCLUDED TAvmfig $3Ta Double Locks(>28") $6 INCLUDED d A =Casement Pius$49(DH Sash Retl)$379 eja f� 3 2life Casement $889/`177 Full Screens $28 1 3 Ute Casement tm im ini au m ino $1029 Colonlel Grtde(Contoured)Flat) Basement Hopper $469 Prairie Grids $76 v _Bay Window-Soffit Mount I INS Seat$2a69 �Simulated DivtdedUts $182 ( i _Bow Window-Soffit Mount I INS Seat WOO �tampered OH Sash(9SO)(ISO) S7f 1` _Garden Window S2179 Obscure Glesa(BSO)(TSO) $75 i _Bay,Bow,Garden Oversize'(t 109 U0.S979 _Oriel Style(40160 or 60140) $75 ,^Belge/Almond 1149 —Foam Enhanced Frame $36 Waod Grain Interior(Swiss 4iw016=onHi sick— (Light Oak)Dark 0ax1 Cheryl Fax Wood PRE 1978 BUILT HOMES(RRP. NOVA i RrchMapeo) MYHOMEWAS BUILT INT14EYEAR�Initial Own arialaor pirch.Ororize/American Titrmf$100 MISCELLANEOUS _Destpnei Color Exiedor $i79 5peGa0ty Window. $ Custom Exterior Aluminum Cladding flwo-Send) O Textured SOD 0 0.8 Smooth$90 $ Window Color �)th-to, / W 47 Facing Color 6u�+ Outalda - Mulll•Ben Cfatlding •$20 1 NON CUSTOM DOORS _Instal Interio offer Stops $So 0o i VhtylRWOrtgPateDow Bh.orBR 512fa _installliner asing Starts At.$96 41rryt Rolpdg Papa boor OIL 31328 _Repair SIR,Jamb or replace still nosing $76 Add obese pdeersf Llutom tid@tgPaO 91259 FUR Su17•SIB(Single)replacement $176 _FrenoRanSltdingPatoDoor .or61. S1639 'In6ulateWeightBoxes $20^�•� _French Rail SlhRng Pall.D All. 51839 Mug to Form Multi Unit $30Jc-V,,,= j _—French Ra95Udingri pa ooron, 61749 �MuObn Removal no 7_CO Oustom Exlear ding S300 _8oladoneall S309 Metal Window flemovtd $76 aridspatro r 5210New Construction YnylRemoval $176 O5o Woodg' tnledore $399 New ConsL Ext,Rebo Fit $ISO � faded Daelgnot Color* SSae _Roof for Say/Bow Windows $500 j lnledorCestng 2141 314 3278 _Removal of Existing Bay)Bow $250 _FtandtaW Options $ _Bay/Bow Convoreton Ext.Ratio Mt $450 _InladoraUnde(six foot only) Sese (Now Siding Will Not Match) S , OaorCator •ROUND•UP FOR WINDOW W ..S r aaate �BLJudeChlidran'r7taioproRN pltal•` Cuslorner declines exterior wrap and understands pelnNrtg andVor repair may be required I Customer declines grids on windows/doora Initial DISCLAIMER:customer lsresponsftforthrfdT#ng in,comeclion with lhtseontocL•Painting,Shining.Alum SywmdlscanrrecNacamael8obdaoo leasin eamof826.00,itottnernmandorcadoAssociatlanApproval,IRsloriaObgktAppravat city ofBostonp*g8aldewaOtPemdlllssWconne ImWi ltesterallon NO SMA WORK IP NOT IN WAITINGI Customer agrees to the terms of payment a follows: 3�� �i�•� e_l�i/�� Ewa Labor&Materials S Site Set Up,Permit,Disposal 8 Delivery Fees$ 891m- f Total Amount $ t ID �' 7 /,e:, Custom Order Deposit 33% $ Ck# Project Start Payment 33% $ 2 r — Betance.Due Day of Installation $ 2.5"a. a 4 Amount Fnancad $ l4iodow�agdat Boston anticipates stadingtMawnrkon 4 ••Jhf andhe(ngsubstanReitymmpletadtn/7.deYaBecudtyInterest:Yes o� .Awl deposit required in advance of the stud of the WMIr SHALL NOT e1 aged 14%of Ore total contrail pdco or the oolitel cost of any matodat or aqulqupmont of a speelal order or custom made eaters,wNchmust beordered 10 edrallta of the slandl the WO*to assure not[he pra(ectwill proceed on sdceduta 14 11 paymeol ; shall he demanded 00 Ale contract Is completed to the satisfaction ai hots padres. I All home hmpravamanl contmotors and subeoNrattora shall be registered and[hat any Inytdres abed a contract or subcontractor relating to a realstrolbn should he daeoud(orOlitee of Consumer Atlahs and Business flegulallon,Tan Park Plata,Suite 5170 Boston,NA 02118.Phone:(617)973.8700 NO work$40 begln pdarto the 1120109 of the canbaU and bancm11U110 the owner of a Copy of aueb eardract. wwow Wodd of Boston under provision of Chapin 112A at the gcrand laws is muhed to apply forand ohtafn all constroeUanaekfed permits.window World of DaVon olug not be deemed responsible fordelay6ln in wads dpscrWad in This agreement caused bPPmmdalory,PIMApranUng agertcles,aulhor9tea orindNtduals. frolics:It the PURCRASEB(S)obtain$his own rAadrutilan rotated pormlle forth$work described under this agreement or deals with enro lsitred cintraclors, the PURCHASER(S)is hsrmry*4vhed that In the event of a d[spWa,lodgement end rmnpeymeat,the PURCNAIER(a)will not to entlllad to make a ofeffe ar col ectlon from the guereolyfond estebRrhedbythaple2142A,M&L You The IfuYyermey 0aaC011 a ransae it al any me pnriot to midnight of e I r business day offer de e e 3 refloaa[l0. Nolka of cenaalkllom must he in writing pas marked no later Then midnight al the following third hdslflese day. ► h a ILI'.1, TAIs eYfrMaw lvodd•Fen r i h ad ovmed aM a o0 L8 P Boston 0 oratln Inc.mMorgeense from yandow Warta.t //� ,�• '�3a.e. car,Q _ 7�))9� r: on oreony blankyspscaa. Oats i 410 a^'t��many Waok epaesa. ems Owner: eon D thereareany Wankapaa . Oaa mien m.a Wkilucavy-Oilginal Yoaowcopy-Pee n0teepyouaWmer wynrwara3*iaernu Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards onstruCtior, Supervisor CS-072772 Expires: 04/07/2020 JEFF C STEEI. 24 SHERWOOD AVE DANVERS MA 01923 Commissioner r'TIa`f(r:umr•nufPu//1 r��""/�n�.;cr<�nJa//.; Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE-LLC Rstratldn Exoiratfon,. 1elkift 04/11/2020 WINDOW WORLD OFBC18TON,LLC. JEFF C.STEELE -- 15A CUMMINGS PARK `] WOBURN,MA 01801 UnderwroMq ACC) CERTIFICATE OF LIABILITY INSURANCE rATEIMMIDD,YYYY, `.� 03/26119 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 have ADDITIONAL INSURED provisions or 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 NAME: amy roberts PHONE AX M.P.Roberts Insurance Agency Inc. arc No Ext: 978-683-8073 A/c No): 978-683-3147 1060 Osgood StreetE-MAIL North Andover,MA 01845 ADDRESS: amy@mprobertsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: WESTERN WORLD INS COMPANY INSURED INSURER B: MERCHANTS INS COMPANY L&P BOSTON OPERATING,INC INSURER c: ASSOCIATED EMPLOYERS DBA WINDOW WORLD OF BOSTON INSURER 0: 15A CUMMINGS PARK WOBURN,MA01801 INSURERE: 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 WMAGE °REITIVIT- 100 000 CLAIMSa1AADE �OCCUR PREMISES Ea occurrence $ � MED EXP(Any oneperson) $ 5,000 A NPP8525379 04105/19 04/05120 PERSONAL&ADV INJURY $ 1,000,000 M'OTHER: LAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE $ 2,000,000 POLICY❑JET LOG PRODUCTS-COMP/OP AGG $ 1,000;000$ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ a accident 1,000,000 ANYAUTO BODILY INJURY(Per person) $ B OWNED X SCHEDULED MCA1002569 04/05119 04/05120 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ X UMBRELLA LIAB I X1 OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE AN065362 04/05/19 04/05/20 AGGREGATE $ 1,000,000 DIED I I RETENTION$ $ WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY ANY PROPMEfOR/PARTNERIEXECUTIVE YIN N E.L.EACH ACCIDENT $ 1,000,000 C OFFICERIMEMBER EXCLUDED? � NIA W CC-500-5018609-2019A 04/05119 04105/20 (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(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN EVIDENCE OF INSURANCE ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORED REP ENTATIV�E O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of IndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PEPJvffr IlVG AUTHORITY. Applicant Information ,f Please Print Leg_ib/l� Name(Business/Organization/Individual):.[-12 son�JP/m/.14 r J-17r. /�/4iq �./v;t�aw c✓u�e�d EL�D s�d/1 Address: 15 Cr ur,m n a a r Gt I City/State/Zip: WobjlLD MA pig Phone#: •7 k 1 - 9 !> Z-qlf Q 5 Are you an employer?Check the appropriate box: Type of project(required): 1.a I am a employer with employees(full and/or part-time).* 7• New construction 2.FJ I am a sole proprietor or partnership and have no employees working for me in 8..Q Remodeling any capacity.[No workers'comp.insurance required.] 3.a I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. Demolition 10 Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I Will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees 12.❑Plumbing repairs or additions 5.❑.I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑R f repairs These sub-contractors have employees and have workers'comp.insurance.: 6.❑We are a corporation and its officers have excrcisedtheir right of exemption per MGL o. 14• Other 4y/,3�'t✓ 152,§1(4),and we have no employees.[No workers'comp.insurance required.]' /- «-07 P-111 4-5 *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. C I 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: A Ssnc i aled EM ploy,-r S Policy#or Self-ins.Lic.#: pV c-c- —5 00- Sn/$(�o 1J- 2 O/!1 A Expiration Date: 7 O Job Site Address: %y 5 ?e ,a+fit 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 MGL c:152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the viokator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verificati I do hereby certify er the ins d e 1' f perjury that the.informadon provided above is true and correct Signature: Date: Phone#: — Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r Town of Barnstable *Permit# - Erpires 6 months front issue date Regulatory Services Fee 3,S . + BAMWABLE. MAS& Richard V.Scali,Director039. Building Division Tom Perry,CBO,Building Commissioner AUG 2 3 2017 200 Main Street,Hyannis,MA 02601 n ''`` �. _ E ww _��`w.town.bamstable.ma.us TOWN I.* bAHNS� �� Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Vafid without Red X-Press linprint Map/parcel Number OSI 006 Property Address S A Dr. residential Value of Work$ z — Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ?el A t S (j/a//'z E /S K i N e c,a l'f a C n-41 ,/,1 Contractor's Name W pw wOr` t e FZ F_ Telephone Number 791 DF '3i�SiU� ` Home Improvement Contractor License#(if applicable) 1&6 OZS' Email: Constriction Supervisor's License#(if applicable) 67 Z7 - Yvorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [� I have Worker's Compensation Insurance Insurance Company Name iA'RTfDI FUR R4� I AAQ 64i� M Workman's Comp. Policy# 22 WE_C_(..T Z6 3,5' 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 []Replacement Windows/doors/sliders.U-Value 3 3 (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical& Fire Permits required. *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 equired. SIGNATURE: C:\Users\Decol I jtaMi' mdows\Temporary Internet Files\Cbntent.0utlook\2P10I DFIR\EXPRESS.doc Revised 040215 I MA HIC Reglstialion Window World of,Bo�ton3 LI;C �Nicel;8a`5hdtriKbbmS Number, r �� H Q1SA•Cl{mt0inga,t?arli Q 95QId0akStt et 1660$5.. • .. wphum MA Q1 01 Pambroke 14OV5.9 �ddete11D 19' _, (7e�j 526;&281. ',2i i4f9�e$` "Slrnply the Best for Less' vAVW W932-oebindowWorldoff3ostori.00m ctrstome ;fir/ i h a~� :... r:':_ t L '77W' rtst911 Addresx � ` Phone ti City rltC LLC Slate MA Zip E mal i`+z'F/ls4�� ..WINDOW WQaLI�� // aLA$S•OgTIQNS 1000 Serfas Single hung A11.Weld SolarZone Elde $119 . _2000 Series OH MechMefded:Sash $215 Tdp1e.Glazpd;TGZ"' $i95 ' 40QDSed*DH.&.Wetd $2ai9 {�Senes6Q0ogM�) . : T6000 SerlesiNi AIFWBId $L6D ti / 1NINDOW O IONS •2t3(eSliddr'" .$954��' 'V Gl�ssBraakSggWatratflS`' .,`:�$15.IriCLlri1ED:: _3 Ute SUder us:,AM) nrw M!10 $645 112 Screens $9J�cwoED �Piclure%Fnced ifo` $35a Foam Irisufation on lambs and Heald'`.'$1 f111 I1 1DED' �Avming s$Z60 Doubhl,SUehgthGl4<ss $15lNCLUDM LCasement $310 1 $6:INGlttDED ,Z2 U(e Caserridht $695 Fun Screens $22 3tlteCasement iutaJ, vZ: (jk,ravq $880 Colonial Grlds(ContoUredlFtah ' $45 ' _8a3ern'eittHdpt>e! $334 }- +Pte QddG $51 DlamondiGddb- $69 �BayWindow SOfbtA4punr/afNSSeat g266it,,T_ St '_ "' 'fe-:DI Utit� $182 LspwWindow SoHitMount/INSSaat$Z786 Yg Pre �7�AsI� HSrbj„tTgO) $65 -�Ga!dep"A1in4iauy 52f>40r gbanureoiasajesti):4160) �5 Specialty Window i�� C/.�LYIQ /,TFS� Oriel Style(40/60'de6W40)' $30 f3elge/Almond $g0 ____ Foamrthsntx Frame ;:$35f�_, Wood Ciieiritirterior(SenAse0pd1il0b0o¢h13700 PqE'113388UILTNiIMES'(EPALEADSAFEREAIOVATI (tiphtOeklOarkOaldGiery/FmtP+oav _Lea0sate:PracticesRequired n AiUf"Merlte J' ' MY HOME iNAS BF111?1N Tfi€YEAR I -r 1n111A .. ' _Bravm F�itetior!/1rCfi.LRanra/American lena)$100 D��dlnerCotor6deltot $575�� r #M CEI.F3tNE0US . �u9tdrOQx(aac�Al�rinrnrM,Cledd�ng:� NJInGowCattir / L)te�Apreil�75 U.S'nttKith$76 v +nsrdv OLfsreo Fade Color FNdt 9t iiVla�pFiB "' 1` 1v Nc�dµf eplo 45 yr � f Nq CanslnlckorrUldyTRein6+AI 9175y _ Al AorRa „ i,A`�y„+__;o Spi#ctf3UtiW w Ext"Ai.. �t0nyjiQgjn QGdI�R sb N 5tt80 r�--- K 6 Addmtiasdp,So9fott.1G,'a'nitMUrt¢PvtloDearS125o,_T MwtoFormMuJlklAmE - t F`U FcatAail Q 'or pr 6R 31 _ ., tns�aft IfftedorlExteipr Stops S¢0 �tl-4S > ti 9ot�? $74a5r ,w, ,,1netalf rOtdii�r ;„_ffdn�n}�dIV$Ad �a�b•Yj6br`aff:r` �Tr,SSSSEr ' w :t ___,_�;Inaulaja'Vy4 hL'fab)<el1F ,• x$Zb� �C�tom6sdartt�ra Slm ' R4of1oF'�ayfB�y�Wlnd6iN"s '` S500 .; �N--,s$91A�mte tg=� X�iaar" y�.a � •��g>clU1QQ'Neatf�iR 51�Ri�lCfflt s a"180 � �mGU P O` ss�c a r i a yr y h^a f�9fndVdFQ �n� 1 a 825D' ?.c Ask c4 X� ,Aegt11�rj� rSpf9de ejiF rlasibg,5fid �>n�FuDsubS11�(. 9�j`r$plaaemAnt •r 5134� rr-2DN�r y, ftltb1 < ¢traFh $364 s. F s i�w�{3r�1!+.� .'i+�gip•. 5 1i�� r . , � . ,�"---�-v.-�.:-�•�, '(�Aw`:3�dInJ��A41111�oY�u1�tCU) Door Color / :- nVlftfe tdat �'� _ �ruslo aci BektBrtdr old tinde7stan�d .'0 tintl grtp t Y ;^, �CO3fgf�rt>~' a liq�llo'Yi n �ljs W .. � '1 �A�i„_ EN"lasAINn¢pemdif9esf0. ex' stE230�HAmcO. ano-tTrComJeASsoa�osn rbv�i:ilrslbjjfti,.'tA lovftc_ bfq.Aa,.par(aegd Falk ' featlncangecfonwlint4Staliatlaa., NO EXTRA WORK tE Np7IN WRtY1N61 u$tcirttor 8gi�1�ffi:• e'tBI'M66'pSymon•tom 10 ows, S�rpL/r L/JPLY4'� TfitrOU� Extra Labdr&PArials aSR�S�etUq,Peimlt,Dleposal B DelivgrlrF80 . 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AUhdmehhprovarl�Od6iitFectaseid'siL�a'I�he`iiEnishelFfiore9ls[Bred`arNthststrybaahAbaLoutaa5jSG1£{lot*�i6cetlnastorrelaORgtoan3glsQAt[pl�a�ant� ` directedb:OipwotCanewaerA8a0vaod8udtteas8spidtlttan,hnt'arYPleu,6uf1s5170Burtau,MAp�L18Phone:(61T)973.8700 �"� # r: NowwksAallAcphaprtvttoMeAlyyntnpalNecontraetaadUwm01aIt01AeOwnpretatAJayglsuth itad r*S • VAndaiv'Nmlddf08stan•undeFgtWidan-0t'ChipleT'142ka61he0etmtart�v'sisl�Aredtb"ap�lyiplerfde(nalPeorstruirt8 tY�� 8ostonshattn�te�.d¢emtid�eaponsfateYar�et�ys�rtderudrdasr+Wedhk(Atsag(emfeEFaaUtOooy j'(QrRiJF�n NADsa,tr1119 PJ78011ASEtt(ATaetalgiptc mrgc0astfus0oo�4(p(od pslmllalaAtAe VJaKdarwl6edarpdf�4l�tltgM�d thePUfl6YlA8E8(BllFta /:NN1�$>hal� �im�rCft> in0kp�teluDpems�anaaonD4Y�ntelAsp$aCNR�EA(S}fWllAoftde Wool If p6lishetjb7rhtp�ar144R,M01 du 1 a •pyat m r� "tR sE 318� olkail:a'� SIl89.pr � rq Ip •A.1 a U. 9ac�ti e = 0 •"�,� Nolisepfca'ncelletton mnet�lefn,ei Unp pasltherFeano lat6rtfipn th(d�lpM1lottllC�o f4w n0 10do npastlay r sV ovttV � aehlsek otened tw D eF o iq. N stir= �, � 2 t'draaresnybtvhkvpncae aEa ;; i Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-072772 Construction Suoer4isor JEFF C STEELE 24 SHERWOOD AVE --_._._ -- - DANVERS MA 01923 "r ' Expiration: Commissioner 0410712018 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration: 16602s Type: Expiration:. 4112/2018 LLC WINDOW WORLD OF BOSTON,:LLC. JEFF STEELE 24 CUMMINGS PARK SUITE 15-A WOBURN,MA 01801 Undersecretary License or registration valid for individual use only before the expiration date. If found return to:Office of Consumer Affairs and Business Regulation 10 Yark?hm-Suite 5170 Boston,MA 02116 _ f ' Not valid witbout signature The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMUTING AUTHORITY. Applicant Information Please Print Legibly Narne (Business/Organization/IndMdual):_-4 j(A Address: /5'f1 C /h M,yt 4.S ?r K City/State/Zip: v n p o I Phone#: -7g 1 —g 3 2 _ t{g 0!57- FAre you an employer?Check the appropriate box: Type of project(required): 1.11(l m a employer with_TO employees(full and/or part-time).' 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 3.a I am a homeowner do all work myself 9. El Demolition doing y (No workers'comp.insurance required.)t 4. am a homeowner and will be hiring contractors to conduct all work on m 10❑Building addition ❑I y property. I will - ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.t 13.❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.FE10'ther W I n C(O 152,§I(4),and we have no employees.[No workers'comp.insurance required.] f-.e df('Q,,'r e i— —5 *Any applicant that checks box 91 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 thepolicy andjob site information.Insurance Company Name:_ (- t- a - Ca•/- r ��re TnSJRAIJL£ C 6 Policy#or Self-ins.Lic.#: Z Z W F_ C L ,) Expiration Date:_ /— Z 7— /i Job Site Address:_ �� de c,a 1'7'_4 City/State zip: P / P A Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this tement may be forwarded to the Office of Investigations of the DIA for insurance coverage verifi 'on. I do hereby cer under a pai erjury that the information provided above is true and correct Signature: Date: - - Phone#: 3 2-- 05 a use only. Do not write in this area,to be completed by city or town ofciaL 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#- WINDO-2 OP ID: HI ,acoRO ATE CERTIFICATE OF LIABILITY INSURANCE 05104/20/7 ) 05104/2017 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 Marsh 8:McLennan Agency-GSO P ONE Carli Witcher CISR,CBIA,CIC FAX 3625 N.Elm St AIc No.Ezt:336-272-7161 mac,(�•336-346-1397 Greensboro,NC 27455 qE p ess:Carli.Wtcher@marshmma.com C.Timothy Ward,CPCU,CIC INSURERS AFFORDING COVERAGE NAIC# INSURER A:Hanover Massachusetts Bay 22306 INSURED Window World of Boston, LLC INSURER B:Allmenca Financial Benefit 118 Shaver Street INSURER C:Hartford Fire Insurance Co. 19682 North Wilkesboro,NC 28659 INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR i OLiSUBR POLICY EFF ; POLICY EXP I TYPE OF INSURANCE I INSD I WVD POLICY NUMBER I MWDD i MMIDDIYYYY LIMITS A j X COMMERCIAL GENERAL LIABILITY I ` I t EACH OCCURRENCE i 5 1,000,00 CLAIMS-MADE j X ` OCCUR I !OD6790252708 04/01/2017(04/01/2018;DAMAGERENT 500,000 PREMISES(Ea occurrence) S i � r MED EXP(Any one person) S 5,00 PERSONAL&ADV INJURY ';S 1,0O0,000 GEN'L AGGREGATE LIMIT APPLIES PER: ' I GENERAL AGGREGATE I S 2,000,000 POLICY; ECOT- LOC j 1 iPitODUCTS-COMP/OPAGG :S 2,000,00 OTHER: i j S AUTOMOBILE LIABILITY I j COMBINED SINGLE LIMIT S 1,000,00 Ea accident B ' X ANY AUTO AW68757615 i 06/16/2016:06/16/2017 BODILY INJURY(Per person) ,S ALL OWNED i SCHEDULED AUTOS -AUTOS BODILY INJURY(Per aaident)i S NON-OWNED I I t ;PROPERTY DAMAGE HIRED AUTOS i AUTOS ! Peraccident 'S I S j X j UMBRELLA LIAB X 'OCCUR ( 7 EACH OCCURRENCE I S 2,000,000 A EXCESS LIAB ' CLAIMS-MADE! OD6790252708 04/01/2017 j 04/01/2018!AGGREGATE S DED i i RETENTION S S 'WORKERS COMPENSATIONPER ' OTH- :AND EMPLOYERS'LIABILITY X I STATUTE 1 ER i C I ANY PROPRIETOR/PARTNERIEXECUTIVE YIN I i22WECLJ2635 01/27/2017!D1/27/2018 I EL.EACH ACCIDENT ;s 500,000 1 OFFICERIMEMBER EXCLUDED? NIA, (Mandatory In NH) �I ! E.L.DISEASE-EA EMPLOYEES 500 OOO If yes,describe under i j ' DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT S 500,000 I i j 1 I i f I I t � DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) 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. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD F s„E Town of Barnstable *Permit#� CExpires 6 montlis from issue date Regulatory Services Fee s BARNSTABLE v� M' g chard V.Scali,Director *0�w i63y p�0 Iffiling Division JUN 2 f'ffaferry,CBO,Building Commissioner nn 200 Main Street,Hyannis,MA 02601 ���{1��� ���' ��RNS� �wn.batnstable.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 25,2— 0 5 1 00 Co Property Address y /c cG#G �I U anvil ) �fV� [`Residential Value of Work$ o — Minimum fee of$35.00 for work under$6000.00 Owner's Name&Addressn..�S i�� ICZev�/S Kt #/ ge t Dr � der✓��1 3 2 y� Contractor's Name W UW QOP` %/GFF ,rE�L,F_ Telephone Number 7�f/" �3L 7 SIS of ax-IVA-) Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) 67 2-7 7 2 Yorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner /11 I have Worker's Compensation Insurance Insurance Company Name � '�A 'folm Fj Rr_- /0-1; 4+-x c Workman's Comp.Policy# 22 W�.CL-T 26 3� 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 O'Replacement Windows/doors/sliders.U-Value . 3y (maximum.32)#of windows 2 #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *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 equired. SIGNATURE: C:\Users\Decol I to cal\Micros mdows\Temporary Internet Files\Cbnlent.0utlook\2P10I DI-IR\EXPRESS.doc Revised 040215 Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-072772 Corsi-ruction SUDeriisc . JEFF C STEELE 24 SHERWOOD AVE „_: DANVERS MA 0192.3 Expiration: Commissioner 04/07/2018 Office of Consumer Affairs&Business Regulation — HOME IMPROVEMENT CONTRACTOR Registration: 166025 Type: a Expiration: 4/1212018 LLC WINDOW WORLD OF BOSTON,LLC, JEFF STEELE 24 CUMMINGS PARK SUITE 15-A WOBURN,MA 01801 Undersecretary' License or registration valid for individual use only before the expiration date. If found return to:office of Consumer i r and Business Regulation 10 Park Plaza- Boston,MA 02116 ,Not valid without signature I ` The Commonwealth of Massachusetts - Department of Industrial Accidents 0 1 Congress Street, Suite 100 Boston, MA 02114-2017 -, www.mass.gov/dia I Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plum bers. TO BE FICLED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): rl Address: 1,5-fl C r K City/State/Zip: oi o i Phone#: -78 I -19 3 Z - i{k o 5- Are you an employer?Check the appropriate box: I Type of project(required): l.[g'l�m a employer with _employees(full and/or part-time).* 7. New construction 2.M I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition IM I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 Building addition 4. I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12. Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.$ 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other W l n / 152,§1(4),and we have no employees.[No workers'comp.insurance required.] f I Ce""e4—rs *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. r Insurance Company Name: F r4f Tn c J AA f�C f- C© Policy#or Self-ins.Lic.#: 2 Z V/E C L_T.Z S Expiration Date: 1- Z 7— IS Job Site Address: 'V6- Re-r,a A City/State/Zip: 6,171 10.1le MA Attach a copy of the workers' dmpensation policy declaration page(showing the policy number and expiration date): Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this s tement may be forwarded to the Office of Investigations of the DIA for insurance coverage verifi lion. I do hereby cer ' under a pain erjury that the information provided above is true and correct. Si ature: Date: r _ �' Phone#: - Z-- 0�_ 17a ly. Do not write in this area, to be completed by city or town ofJcia(.: Permit/Licensegrity(circle one): 1.Board of health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: WINDO-2 OP ID:WI DATE(MMIDDNYYY) �c.o�zo NCE CERTIFICATE OF LIABILITY INSURANCE 01/25/2017 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). CONTAC PRODUCER NAME: T Carli Witcher CISR CBIA,CIC Senn Dunn-GSO PHONE 336-272-7161 FAX No: 336-3464 397 3625 N.Elm St JAIC,No Ea Greensboro,NC 27455 AE�eDDREaL SS:cwitcher@senndunn.com C.Timothy Ward,CPCU,CIC INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Citizens Ins Co of America 31534 INSURED Window World of Boston,LLC INSURER B:Ail-erica Financial Benefit 118 Shaver Street 19682 North Wilkesboro,NC 28659 INSURER c:Hartford Fire Insurance Co. INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUB POLICY EFF POLJCY EXP LIMITS LTR TYPE OFINSURANCE INSD WVD POLICY NUMBER MMIDD MMIDD A X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 OB6790252707 04101/2016 04/01/2017 AMA RE 500,00 CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ 5,00 PERSONAL 8 ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- LOC PRODUCTS-DUCTS AGG $ 2,000,00 POLICY❑JECT $ OTHER: COMBINED SINGLE LIMrf AUTOMOBILE LIABILITY Ea accident $ 1,000,00 B X ANY AUTO AW68757615 - 06/1612016 06/16/2017 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ H HIRED AUTOS AUTOS Per accident X UMBRELLA AB X OCCUR EACH OCCURRENCE $ 1,000,00 A EXCESS LJAB CLAIMS MADE OB6790252707 04/01/2016 04/01/20 77 AGGREGATE $ DED RETENTION$ OT - WORKERS COMPENSATION X STATUTE ER H AND EMPLOYERS'LIABILITY 500,00 (�, ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N 22WECLJ2635 0112712017 01I27/2018 E-L.EA -I ACCIDENT $ I OFFICERIMEMBER EXCLUDED? F N!�' OO,OO E.L.E DISEASE-EA EMPLOYE $ (Mandatory in NH) 500,00 B yes,describe under E.L.DISEASE-POLICY LIMB $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space is required) CERTIFICATE HOLDER CANCELLATION FORINFO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE • THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. For Info Purposes Only AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD , w TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r Map o7Ja Parcel C6G Application # C�j �Qa .� D Health Division Date Issued -2"Is r Conservation Division Application Fee U Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board .� Historic - OKH _ Preservation/ Hyannis /fin Project Street Address Village CLM Owner �cnn�5 Ah cc. Wo_1C7r_ew5k i Address 5 c a. �ri vC) Telephone Sta .' rM• �1� Cc✓��e rJ� 'Ic M/4 Vc�lDl�a�a Permit Request nx mt)a - C'Q iS'�L �k 4->1 cam, ,(Z5 ec P , h eke- In)1 ! f1 U1M t r,11-1 c Square feet: 1st floor: existing proposed 2nd floor: existing proposed —Total new Zoning District RC- I Flood Plain Groundwater Overlay _ 00 Project Valuation V IS- Obb - Construction Type_ Lot Size "' Grandfathered: ❑Yes XNo If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure A \. c5. Historic House: ❑Yes/KNo On Old King's Highway: ❑Yes & No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other N A 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: ❑Yes ❑ No Detached garage: ❑ existing ❑ new siz ool: ❑ existing ❑ new size Jvharn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new sizhed: ❑ existing ❑ new size Other: z Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ;d No If yes, site plan review # a Current Use &e4)4' , Proposed Use C�'1 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) �! _ Name P�. . c.& Telephone Number �3 Address �\ a ��-ca'\�I�les � I�o� l License # �h►� U cnr�5 � - U;).&t. Home Improvement Contractor# &EEC 7a Email (, r c Gi)k LAcL c Worker's Compensation # WA )(,(-o ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO .�,. SIGNATURE DATE FOR-OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL .FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i4 DocuSign Envelope ID:063135876-302A-449A-94E1-16689E7662C0 ' wi Solaf Clty.. Power Purchase Agreement «. . m7 7 _ Here are the key terms of your SolarCity Power Purchase Agreement Date: 6/2/2015 11430 ( 20ye, irs ;a ry „System installation cost Electricity rate per kWh IAgreement term . Our Promises to You • We insure,maintain,and repair the'System(including the inverter)at no additional cost to you,as specified in the agreement. • We provide 24/7 web-enabled monitoring at no additional cost to you,as specified in the agreement. w • We warranty your roof against leaks and restore your roof at the end of the agreement,as specified in the agreement. • The rate you pay for electricity,exclusive of taxes,will never increase by more than 2.90%per year. The pricing„in this P PA ismalid for 30 days after 6/2/2015. f . We are confident that we deliver excellent value and customer service.As a result, you are free to cancel anytime at no charge prior to construction on your home: Estimated First Year Production 5,942 kWh 9 Customer's Name & Service Address ; Exactly as it appears on the utility bill Customer Name and Address Customer Name Installation Location Dennis H.Walczewski 45 Regatta Dr 45 Regatta Dr Hyannis, MA 02601. Hyannis, MA 02601 Options for System purchase and transfer: Options at the end of the 20 year term: If you move,you may transfer this agreement to the purchaser of your • SolarCity will remove the System at no cost to you. Home,as specified in the agreement. . You can upgrade to a new System with the latest solar • At certain times,as specified in the agreement,you may purchase the technology under a new contract. System. . You may purchase the System from SolarCity for its fair • These options apply during the 20 year term of our agreement and not market value as specified in the agreement. beyond that term. You may renew this agreement for up to ten(10)years in two(2)five(5)year increments. 3055 CLEARVIEW WAY, SAN MATEO, CA 94402 888.SOL.CITY 888.765.2489 I SOLARCITY.COM MA HIC 168572/EL-1136MR, Document Generated on 6/2/2015 NIBS 827850 0.. P DocuSign Envelope ID:OB3B5876-302A-449A-94E1-161389E76132CO 1: Introduction. System;or(iv)your System is not reporting production to This Power Purchase Agreement(this"Power Purchase SolarCity(e.g.you have disconnected the PowerGuide system Agreement"or"PPA")is the agreement between you and or the internet connection at your Home goes down on the SolarCity Corporation(together with its successors and assigns, reporting day),then SolarCity will reasonably estimate the "SolarCity"or"we"),covering the sale to you of the power amount of power that would have been delivered to you during produced by the solar panel system(the"System")we will install such System or reporting outages or reduced production at your home. SolarCity agrees to sell to you,and you agree to periods("Estimated Production")and shall consider Estimated buy from SolarCity,all of the power produced by the System. The Production as actual production for purposes of this System will be installed by SolarCity at the address you listed paragraph. In the first year of the Term,Estimated Production a will be based on our production projections. After the first above(the"Property"or your"Home.") This Power Purchase Agreement is eight(8)pages long and has up to three(3)Exhibits, year of the Term,Estimated Production will be based on depending on the state where you live.SolarCity provides you historical production for that month in the prior year. If we bill with a Limited Warranty(the"Limited Warranty"). The Limited you for Estimated Production because your System is not Warranty is attached as Exhibit 2.If you have any questions reporting production to SolarCity,and we subsequently determine that we have either overestimated or regarding this Power Purchase Agreement,please ask your SolarCity sales consultant. underestimated the actual production,then we will adjust the next bill downward(to refund overbilling)or upward(to make 2. Term. up for lost billing). You will not be charged for Estimated Production when the System is not producing electricity due to SolarCity agrees to sell you the power generated by the System SolarCity's fault,or if it's due to grid failure or power outages for 20 years(240 months),plus,if the Interconnection Date is not caused by someone other than you. . on the first day of a calendar month,the number of days left in that partial calendar month. We refer to this period of time as the 5. Power Purchase Agreement Obligations. "Term." The Term begins on the Interconnection Date. The (a) System,Home and Property Maintenance "Interconnection Date"is the date that the System is turned on and generating power. SolarCity will notify you when your System is You agree to: ready to be turned on. (i) only have the System repaired pursuant to the Limited 3. Intentionally Left Blank. Warranty and reasonably cooperate when repairs are 4. Power Purchase Agreement Payments;Amounts. ` ' being made; (i i) keep trees,bushes and hedges trimmed so that the (a) Power Price. During the first year of the term,you are - System receives as much sunlight as it did when purchasing all of the power the System produces for$0.1343 SolarCity installed it; per kWh. After the first year,the price per kWh will increase (iii) not modify your Home in a way that shades the by 2.90%per year.There are no installation costs. System; (b) Payments. (iv)- be responsible for any conditions at your Home that Your monthly payments will be the product of(A)the price per affect the installation(e.g.,blocking access to the roof, kWh multiplied by(B)the actual kWh output for the calendar or removing a tree that is in the,way,prior work you month("Monthly Payments"). Invoices for Monthly Payments have done on your home that was not permitted); will be mailed or emailed no later than ten(10)days after the (v) not remove any markings or identification tags on the end of a calendar month.If you are paying your invoice by System; automatic debit from your checking or savings account(ACH) (vi) permit SolarCity,after we give you reasonable notice, we will debit your bank account on or about the 1 It day of the to inspect the System for proper operation as we next month following invoice(e.g.January invoices are sent in reasonably determine necessary; early February and debited on or about March 1).Monthly (vii) use the System primarily for personal,family or Payments will change as your price per kWh changes over the � household purposes,but not to heat a swimming pool; Term of this PPA and as System production varies(e.g., summer has higher production).You will have regular access (viii) not do anything,permit or allow to exist any condition to the System's production via your SolarCity online account. or circumstance that would cause the System not to Payments due upon installation,if any,are due immediately operate as intended at the Property; prior to commencement of installation.You will make no (ix) notify SolarCity if you think the System is damaged or Monthly Payments if you are fully prepaying this PPA. In appears unsafe;if the System is stolen;and prior to this.case,you will pay only the amounts listed in the key changing your power supplier; terms summary on page one of this PPA. (x) have anyone who has an ownership interest in your .M (c) Estimated Production. If(i)the System is shut down for more Home sign this Power Purchase Agreement; than seven(7)full twenty-four(24)hour days cumulatively (xi) return any documents we send you for signature(like during.the'Term because of your actions;or(ii)you take some incentive claim forms)within seven(7)days of . action that significantly reduces the output of the System;(iii) receiving them;and you don't trim your bushes or trees to their appearance when (xi i) maintain and make available,at your cost,a functioning you signed this PPA to avoid foliage growth from shading the indoor internet connection with a router,one DHCP @] a Solar Power Purchase Agreement version 8.4.1 827850 f DocuSign Envelope ID'.OB3B5876-302A-449A-94E1-16689E713132CO enabled Ethernet port with internet access and standard (i) Automatic Payment Discount: All prices include a AC power outlet close enough and free of interference to $7.50 monthly discount for allowing us to automatically enable an internet-connected gateway provided by debit your checking or savings account for payments. SolarCity to communicate wirelessly with the system's You will not receive a$7.50 monthly discount if you do 'inverter(typically this is 80 feet,but may depend on site not allow the automatic debit; conditions). See section 2(c)of the Limited Warranty for 00 Returned Check Fee:$25(or such lower amount as details;and required by law)for any check or withdrawal right that is (xi i0 if your home is governed by a home owner's association returned or refused by your bank;and or similar community organization,obtain all approvals (iii) Late Payments:accrue interest at the lesser of twelve and authorizations for the System required by that percent(12%)annually or the maximum allowable by organization and advise us of any requirements of that applicable law. organization that will otherwise impact the System,its (e) Taxes installation or operation. (b) System Construction,Repair,Insurance and Your SolarCity electricity rate of$0.1343 per kWh is SolarCity's obligations: composed of an electricity rate of$0.1343 plus current taxes of$0.0000.You agree to pay any changes in the SolarCity agrees to: applicable taxes related to this PPA. Thus,if tax rates (i) schedule the installation of the System at a mutually change,your SolarCity electricity rate will change to reflect convenient date and time; this rate change.If this PPA contains a purchase option at 00 construct the System according to written plans you the end of the Term,you agree to pay any applicable tax review; on the purchase price for the System.You also agree to pay as invoiced any applicable personal property taxes o.n (iii) provide you with a web enabled meter to accurately the System that your local jurisdiction may levy. measure the amount of power the System delivers to you; (f) No Alterations (iv) provide you with a home energy evaluation; You agree that you will not make any modifications, F (v) notify you if the System design has to be materially improvements,revisions or additions to the System or take changed so that you can review any such changes; any other action that could void the Limited Warranty on (vi) clean up after ourselves during the construction of the the System without SolarCity's prior written consent. If you System; make any modifications,improvements,revisions or additions to the System,they will become part of the (vii) insure the System against all damage or loss unless System and shall be SolarCity's property. (A)that damage or loss is caused by your gross negligence;or(B)that damage or loss is caused by (9) Access to the System ball strikes;or(C)you intentionally damage the (i) You grant to SolarCity and its employees,agents and System; contractors the right to reasonably access all of the (viii) repair the System pursuant to the Limited Warranty and Property as necessary for the purposes of(A) reasonably cooperate with you when scheduling installing,constructing,operating,owning,repairing, repairs; removing and replacing the System or making any (ix) create a priority stream of operation and maintenance additions to the System or installing complementary payments to provide enough cash flow in our financing technologies on or about the location of the System; transactions to pay for the Limited Warranty obligations (B)enforcing SolarCity's rights as to this Power and the repair and maintenance of the System in Purchase Agreement and the System;(C)installing, accordance with this PPA even if SolarCity ceases to using and maintaining electric lines and inverters and operate;and meters,necessary,to interconnect the System to your (x) not put a lien on your Home or Property. electric system at the Property and/or to the utility's electric distribution system;or(D)taking any other action reasonably necessary in connection with (c) Home Renovations or-Repairs', installing,constructing,operating,owning,repairing; If you want to make any repairs or improvements to the removing and replacing the System.This access right Property that could interfere with the System(such as shall continue for up to ninety(90)days after this repairing the roof where the System is located),you may Power Purchase Agreement expires to provide only remove and replace the System pursuant to the SolarCity with time to remove the System at the end Limited Warranty. ~. of the Power Purchase Agreement. SolarCity shall provide you with reasonable notice of its need to (d) Automatic Payment,Late Charges,Fees access the Property whenever commercially In addition to the other amounts you agree to pay in this reasonable. Power Purchase Agreement,you agree to pay the following: 00 During the time that SolarCity has access rights you, shall ensure that its access rights are preserved and- shall not interfere with or permit'any third party to Solar Power Purchase Agreement version 8.4.1 827850 DocuSign Envelope ID:013365876-302A-449A-94E1-16B89E7BB2Co interfere with such rights or access. You agree that to confirm the suitability of the Property for the the System is not a fixture,but SolarCity has the right construction,installation and operation of the System; to file any UCC-1 financing statement or fixture filing (i i) approval of this Power Purchase Agreement by one of that confirms its interest in the System. SolarCity's financing parties; (h) Indemnity (iii) your meeting the applicable credit score; To the fullest extent permitted by law,you shall indemnify, 00 confirmation of rebate,tax credit and renewable defend,protect,save and hold harmless SolarCity,its energy credit payment availability in the amount used employees,officers,directors,agents,successors and to calculate the Monthly Payments set forth in this assigns from any and all third party claims,actions,costs, Power Purchase Agreement; expenses(including reasonable attorneys'fees and (v) confirmation that SolarCity will obtain all applicable expenses),damages,liabilities,penalties,losses, benefits referred to in Section 9; obligations,injuries,demands and liens of any kind or nature arising out of,connected with,relating to or (vi) receipt of all necessary zoning,land use and building resulting from your negligence or willful misconduct; permits;and provided,that nothing herein shall require you to indemnify (vii) completion of any renovations,improvements or SolarCity for its own negligence or willful misconduct.The changes reasonably required at your Home or on the provisions of this paragraph shall survive termination or Property(e.g.,removal of a tree or necessary roof expiration of this Power Purchase Agreement. repairs to enable us to safely install the System). (i) Payments (viii) if your home is governed by a home owner's association or similar community organization,your SUBJECT TO SECTION 4(b)ABOVE,YOU AGREE THAT receipt of all approvals and authorizations for the THE OBLIGATION TO PAY ALL PAYMENTS AND ALL System required by that organization and advising us of OTHER AMOUNTS DUE UNDER THIS PPA SHALL BE, any requirements of that organization that will otherwise ABSOLUTE AND UNCONDITIONAL UNDER ALL impact the System,its installation or operation. CIRCUMSTANCES AND SHALL NOT BE SUBJECT TO SolarCity may terminate this Power Purchase Agreement ANY ABATEMENT,DEFENSE,COUNTERCLAIM, without liability if,in its reasonable judgment,any of the SETOFF,RECOUPMENT OR REDUCTION FOR ANY above listed conditions(i)through(vii)will not be satisfied REASON WHATSOEVER, IT BEING THE EXPRESS for reasons beyond its reasonable control. Once SolarCity INTENT OF THE PARTIES THAT ALL AMOUNTS starts installation,however,it may not terminate this Power PAYABLE BY YOU HEREUNDER SHALL BE,AND Purchase Agreement for your failure to satisfy conditions CONTINUE TO BE,PAYABLE IN ALL EVENTS (i)through(vii)above. INCLUDING BY YOUR HEIRS AND ESTATE AND, EXCEPT AS SET FORTH BELOW IN SECTIONS 6,22 (b) Amendments. AND 23,YOU HEREBY WAIVE ALL RIGHTS YOU MAY The System's initial estimated production is set forth in this HAVE TO REJECT OR CANCEL THIS PPA,TO REVOKE PPA.After System design,the estimated production is ACCEPTANCE OF THE SYSTEM,OR TO GRANT A likely to change and we will share those changes with you SECURITY INTEREST IN THE SYSTEM. prior to installation. If the estimated production increases Ij) Credit Check or decreases by more than twenty percent(20%),we will You authorize SolarCity,or its designee,to obtain your document that change in an amendment.. credit report now and in the future,check your credit and You authorize SolarCity to make corrections to the utility employment history,answer questions others may ask paperwork to conform to this PPA or any amendments to regarding your credit and share your credit information with this PPA we both sign. SolarCity's financing partners.You certify that all 7 Warranty information you provide to us in connection with checking your credit will be true and understand that this information YOU UNDERSTAND THAT THE SYSTEM IS WARRANTED must be updated upon request if your financial condition SOLELY UNDER THE LIMITED WARRANTY ATTACHED AS changes. EXHIBIT 2,AND THAT THERE ARE NO OTHER 6. Conditions Prior to Installation of the System;Change REPRESENTATIONS OR WARRANTIES,EXPRESS ORIMPLIED,AS TO THE MERCHANTABILITY,FITNESS FOR ANY Orders. PURPOSE,CONDITION,DESIGN,CAPACITY,SUITABILITY OR (a) SolarCity's obligation to install the System and sell you the PERFORMANCE OF THE SYSTEM OR ITS INSTALLATION. power it produces is conditioned on the following items g. Transfer. having been completed to its reasonable satisfaction: (i) completion of(A)the engineering site audit(a SolarCity will assign this PPA to one of its financing partners. You thorough physical inspection engineering the Property, agree that SolarCity may assign,sell or transfer the System and , including;if applicable,geotechnical work),(B)the this Power Purchase Agreement,or any part of this Power Purchase Agreement or the exhibits,without your consent. This final System design,and(C)real estate due diligence assignment does not change SolarCity's obligation to maintain and. repair your System as set forth in the Warranty. Solar Power Purchase Agreement version 8.4.1 827850 �• r I DocuSign Envelope ID:OB3135876-302A-449A-94E1-16689E713132CO 9. Ownership of the System;Tax Credits and Rebates. (ii) at any time after the five(5)year anniversary of the You agree that the System is SolarCity's personal property under beginning of the Term,when you sell your,Home; the Uniform Commercial Code. You understand and agree that and this PPA is not a contract to sell or lease the System to you. (iii) if SolarCity ever ceases its operations. SolarCity owns the System for all purposes,including any data In each of(i),(ii)and(iii)above,the price you will pay for the generated from the System. You shall at all times keep the System will be the System's fair market value("FMV").A third System free and clear of all liens,claims,levies and legal party independent appraiser will be retained to compute the processes not created by SolarCity,and shall at your expense System's FMV. SolarCity's maintenance and repair obligations protect and defend SolarCity against the same. under the Limited Warranty(Exhibit 2)will continue when you YOU UNDERSTAND AND AGREE THAT ANY AND ALL TAX purchase the System until what would have been the end of the CREDITS,INCENTIVES,RENEWABLE ENERGY CREDITS, original Term. GREEN TAGS,CARBON OFFSET CREDITS,UTILITY REBATES 11.Renewal. OR ANY OTHER NON-POWER ATTRIBUTES OF THE SYSTEM If you are in compliance with your PPA,you have the option to ARE THE PROPERTY OF AND FOR THE BENEFIT OF renew your PPA for up to ten(10)years in two(2)five(5)year SOLARCITY,USABLE AT ITS SOLE DISCRETION.SOLARCITY renewal periods. We will send you renewal forms three(3)months SHALL HAVE THE EXCLUSIVE RIGHT TO ENJOY AND USE prior to the expiration of the Term,which forms shall set forth the ALL SUCH BENEFITS,WHETHER SUCH BENEFITS EXIST new Monthly Payments due under the renewal PPA,based on our NOW OR IN THE FUTURE. YOU AGREE TO REFRAIN FROM assessment of the then current fair market value of the System. If ENTERING INTO ANY AGREEMENT WITH YOUR UTILITY you want to renew,complete the renewal forms and return them to THAT WOULD ENTITLE YOUR UTILITY TO CLAIM ANY SUCH us at least one(1)month prior to the end of the PPA. In the event BENEFITS..YOU AGREE TO REASONABLY COOPERATE that you do not agree to the new Monthly Payments this PPA shall WITH SOLARCITY SO THAT IT MAY CLAIM ANY TAX �CREDITS,RENEWABLE ENERGY CREDITS,REBATES, expire by its terms on the termination date. If you don't send us CARBON OFFSET CREDITS OR ANY OTHER BENEFITS FROM anything in writing after we send you the renewal forms,then this THE SYSTEM.THIS MAY INCLUDE TO THE EXTENT PPA shall renew for an additional one(1)year term at ten percent ALLOWABLE BY LAW, ENTERING INTO NET METERING (10%)less than the then-current average rate charged by your local AGREEMENTS, INTERCONNECTION AGREEMENTS,AND utility and shall continue to renew for one(1)year terms at the same FILING RENEWABLE ENERGY/CARBON OFFSET CREDIT rate as your first renewal until(i)you give us notice at least thirty REGISTRATIONS AND/OR APPLICATIONS FOR REBATES (30)days prior to a renewal term that you do not wish to renew;or FROM THE FEDERAL,STATE OR LOCAL GOVERNMENT OR A (ii)we send you a notice terminating the PPA. LOCAL UTILITY AND GIVING THESE TAX CREDITS, 12.Selling Your Home. RENEWABLE ENERGY/CARBON CREDITS, REBATES OR OTHER BENEFITS TO SOLARCITY. (a) If you sell your Home you can: You understand that solar renewable energy credits(SRECs)and (i) Transfer this,Power Purchase Agreement and the certain incentives and associated data cannot be generated or Monthly Payments , earned without internet.As such,you agree to maintain and make If the person buying your Home meets SolarCity's credit available,at your cost,a functioning indoor Internet connection requirements,then where permitted by the local utility,the with the understanding that Wi-Fi hotspotting,tethering and person buying your Home can sign a transfer agreement intermittent Internet connection will not satisfy this obligation.You assuming all of your rights and obligations under this also agree to cooperate with SolarCity as necessary to provide Power Purchase Agreement. any other information required to generate SRECs or earn (ii) Move the System to Your New Home incentives and troubleshoot monitoring issues.Your failure to Where permitted by the utility(s),the System can be cooperate with SolarCity with respect to Internet requirements will moved to your new home pursuant to Section 4 of the result in your obligation to compensate SolarCity for all lost SREC Limited Warranty.You will need to provide the same rights or incentive revenue and related costs,subject to a monthly to SolarCity as provided for in this PPA and provide any charge of no less than$10.00(ten dollars)per month until third party consents or releases required by SolarCity in adequate Internet monitoring is implemented or restored. connection with the substitute premises. 10. Purchasing the System Prior to the End of the Term.' (iii) Prepay this Power Purchase Agreement and Transfer In addition to purchasing the System at the end of the Term,you only the Use of the System have the option to purchase the System prior to the end of the At any time during the Term,-you can prepay this Power Term as detailed below. To exercise this option you must be in Purchase Agreement in full by paying SolarCity the . good standing under this Power Purchase Agreement and you expected remaining payments(estimated future production need to give us at least one(1)month's,but not more than three .during the rest of the Term multiplied by the average kWh (3)months'prior written notice. You can purchase this System: rate during the rest of the Term)at a five percent(5%) discount rate.The person buying your Home will only need. (i) on the five(5)year anniversary of the beginning of to sign a transfer agreement to assume your rights and the Term and every annual anniversary after the five non-Monthly Payment obligations under this PPA. The • (5)year anniversary;and System stays at your Home,the person buying your H AMP . as Solar Power.Purchase Agreement version 8.4.1, 827850 DocuSign Envelope ID:06365876-302A-449A-94E1-16689E76132C0 does not make any Monthly Payments and has only to (b)Actual Damages comply with the non-Monthly Payment portions of this PPA. ( )H EXCEPT FOR CLAIMS UNDER SECTION 5 ,NEITHER _ PARTY'S LIABILITY TO THE OTHER WILL EXCEED AN (iv)Purchase the System(see Section 10) AMOUNT EQUAL TO THE MAXIMUM AMOUNT THAT (b) You agree to give SolarCity at least fifteen(15)days but not COULD BE PAYABLE BY YOU UNDER SECTION 16(H). more than three(3)months prior written notice if you want DAMAGES TO YOUR HOME,BELONGINGS OR PROPERTY someone to assume your PPA obligations. In connection RESULTING FROM THE INSTALLATION OR OPERATION with this assumption,you,your approved buyer and SolarCity OF THE SYSTEM ARE COVERED IN SECTION 6(C)OF THE shall execute a written transfer of this PPA. LIMITED WARRANTY. (c) If you sell your Home and can't comply with any of the 15. Default. options in subsection(a)above,you will be in default under You will be in default under this Power Purchase Agreement if an this Power Purchase Agreement. Section 12(a)includes a g y Home sale by your estate or heirs. one of the following occurs: (d) Free Assumability.This agreement is free of any restrictions (a) you fail to make any payment when it is due and such failure that would prevent the homeowner from freely transferring continues for a period of ten(10)days; their home("Property").SolarCity will not prohibit the sale, (b) you fail to perform any material obligation that you have conveyance or refinancing of the Property.SolarCity may undertaken in this PPA(which includes doing something you choose to file in the real estate records a UCC-1 financing have agreed not to do,like alter the System)and such failure statement("Fixture Filing")that preserves their rights in the continues for a period of fourteen(14)days after written notice; System.The Fixture Filing is intended only to give notice of its rights relating to the System and is not a lien or (c) you or your guarantor have provided any false or misleading encumbrance against the Property.SolarCity shall explain financial or other information to obtain this Power Purchase the Fixture Filing to any subsequent purchasers of the Agreement; , Property and any related lenders as requested.SolarCity (d) you assign,transfer,encumber,sublet or sell this PPA or any shall also accommodate reasonable requests from lenders or part of the System without SolarCity's prior written consent;or title companies to facilitate a purchase,financing or refinancing of the Property. (e) you or any guarantor makes an assignment for the benefit of creditors,admits in writing its insolvency,files or there is filed (e) EXCEPT AS SET FORTH IN THIS SECTION,YOU WILL against you or if a voluntary petition in bankruptcy,is NOT ASSIGN,SELL,PLEDGE OR IN ANY OTHER WAY adjudicated bankrupt or insolvent or undertakes or. TRANSFER YOUR INTEREST IN THE SYSTEM OR THIS experiences any substantially similar activity. PPA WITHOUT OUR PRIOR WRITTEN CONSENT,WHICH w SHALL NOT BE UNREASONABLY WITHHELD. 16. Remedies in Case of Default. If this Power Purchase Agreement is in default,we may take any one or more of the following actions. If the law requires us to do 13. Loss or Damaae. so,we will give you notice and wait any period of time required (a) Unless you are grossly negligent,you intentionally damage the before taking any of these actions. We may: System,or damage or loss to the System is caused by ball (a) terminate this PPA; strikes,SolarCity will bear all of the,risk of loss,damage,theft, destruction or similar occurrence to any or all of the System. (b) take any reasonable action to correct your default or to prevent Except as expressly provided in this PPA,no loss,damage, our loss;any amount we pay will be added to the amount you theft or destruction will excuse you from your obligations under owe us and will be immediately due; this PPA,including Monthly Payments. (c) require you,at your expense,to return the System or make it (b) If there is loss,damage,theft,destruction or a similar available to us in a reasonable manner; occurrence affecting the System,and you are not in default of (d) proceed,by appropriate court action,to enforce performance this PPA,you shall continue to timely make all Monthly of this PPA and to recover damages for your breach; Payments and pay all other amounts due under the PPA and, cooperate with SolarCity,at SolarCity's sole cost and expense, (e) disconnect,turn off or take back the System by legal process to have the System repaired pursuant to the Limited Warranty. or self-help,but we may not disturb the peace or violate the law, 14. Limitation of Liability. (f) report such non-operational status of the System to your utility, (a) No Consequential Damages informing them that you are no longer net metering; SOLARCITY'S LIABILITY TO YOU UNDER THIS POWER (g) charge you a reasonable reconnection fee for reconnecting the PURCHASE AGREEMENT SHALL BE LIMITED TO DIRECT, System to your utility or turning your System back on after we ACTUAL DAMAGES ONLY. YOU AGREE THAT IN NO disconnect or turn off the System due to your default; EVENT SHALL EITHER PARTY BE LIABLE TO THE OTHER FOR CONSEQUENTIAL,INCIDENTAL,PUNITIVE, (h) recover from you(i)a payment equal to the purchase price as EXEMPLARY,SPECIAL OR INDIRECT DAMAGES. set forth in this agreement plus(ii)all taxes,late charges, a �a Solar Power Purchase Agreement version 8.4.1 827850 7: DocuSign Envelope ID:0B3B5876-302A449A-94E1-16B89E7BB2C0 penalties,interest and all or any other sums then accrued or Only Disputes involving you and SolarCity may be addressed in'the due and owing;or arbitration.Disputes must be brought in the name of an individual (i) use any other remedy available to us in this PPA or by law. person or entity and must proceed on an individual(non-class;non- representative)basis.The arbitrator will not award relief for or We may submit to credit reporting agencies(credit against anyone who is not a party.If either of us arbitrates a bureaus)negative credit reports that would be reflected on your Dispute,neither of us,nor any other person,may pursue the credit record if you do not pay any amounts due under this PPA as Dispute in arbitration as a class action,class arbitration,private required. attorney general action or other representative action,nor may any You agree to repay us for any reasonable amounts we pay to such Dispute be pursued on your or our behalf in any litigation in correct or cover your default.You also agree to reimburse us for any court.Claims regarding any Dispute and remedies sought as any costs and expenses we incur relating to the System's return Part of a class action,class arbitration,private attorney general or resulting from early termination.By choosing any one or more of other representative action are subject to arbitration on an these remedies,SolarCity does not give up its right to use another individual(non-class,non-representative)basis,and the arbitrator remedy.By deciding not to use any remedy should this Power may award relief only on an individual(non-class,non- Purchase Agreement be in default,SolarCity does not give up our representative)basis.This means that the arbitration may not. right to use that remedy in case of a subsequent default. address disputes involving other persons with disputes similar to the Disputes between you and SolarCity. 17.System Removal;Return. The arbitrator shall have the authority to award any legal or At the end of the Term or the termination of this PPA,if you have equitable remedy or relief that a court could order or grant under not renewed this PPA or exercised your purchase option(if any) this agreement.The arbitrator,however,is not authorized to and you have not defaulted,then within ninety(90)days you change or alter the terms of this agreement or to make any award agree to call SolarCity at the telephone number listed in Section 7 that would extend to any transaction other than yours.All statutes of Exhibit 2 to schedule a convenient time for SolarCity to remove of limitations that are applicable to any dispute shall apply to any the System from your Home at no cost to you. arbitration between us. The arbitrator will issue a decision or award in writing,briefly stating the essential findings of fact and 18.Applicable Law:Arbitration. conclusions of law. PLEASE READ THIS SECTION CAREFULLY.ARBITRATION BECAUSE YOU AND WE HAVE AGREED TO ARBITRATE ALL REPLACES THE RIGHT TO GO TO COURT,INCLUDING THE DISPUTES,NEITHER OF US WILL HAVE THE RIGHT TO RIGHT TO A JURY AND THE RIGHT TO PARTICIPATE IN A LITIGATE THAT DISPUTE IN COURT,OR TO HAVE A JURY CLASS ACTION OR SIMILAR PROCEEDING.IN ARBITRATION, TRIAL ON THAT DISPUTE,OR ENGAGE IN DISCOVERY A DISPUTE IS RESOLVED BY AN ARBITRATOR INSTEAD OF A EXCEPT AS PROVIDED FOR IN THE RULES.FURTHER,YOU JUDGE OR JURY. WILL NOT HAVE THE RIGHT TO PARTICIPATE AS A The laws of the state where your Home is located shall govern this REPRESENTATIVE OR MEMBER OF ANY CLASS PERTAINING PPA without giving effect to conflict of laws principles.We agree TO ANY DISPUTE.THE ARBITRATOR'S DECISION WILL BE that any dispute,claim or disagreement between us(a"Dispute") FINAL AND BINDING ON THE PARTIES AND MAY BE ENTERED shall be resolved exclusively by arbitration. AND ENFORCED IN ANY COURT HAVING JURISDICTION, The arbitration,including the selecting of the arbitrator,will be EXCEPT TO THE EXTENT IT IS SUBJECT TO REVIEW INACCORDANCE WITH APPLICABLE LAW GOVERNING administered by JAMS,under its Streamlined Arbitration Rules(the ARBITRATION AWARDS.OTHER RIGHTS THAT YOU OR WE "Rules")by a single neutral arbitrator agreed on by the parties WOULD HAVE IN COURT MAY ALSO NOT BE AVAILABLE IN within thirty(30)days of the commencement of the arbitration. ARBITRATION. The arbitration will be governed by the Federal Arbitration Act(Title 9 of the U.S.Code).Either party may initiate the arbitration process 19.Waiver. by filing the necessary forms with JAMS.To learn more about Any delay or failure of a party to enforce any of the provisions of arbitration,you can call any JAMS office or review the materials at . this PPA,including but not limited any remedies listed in this www.jamsadr.com.The arbitration shall be held in the location that PPA,or to require performance by the,other party of•any of the is most convenient to your Home.If a JAMS office does not exist provisions of this PPA,shall not be construed to(i)be a waiver of within 50(fifty)miles of your Home,then we will use another such provisions or a party's right to enforce that provision;or(ii) accredited arbitration provider with offices close to your Home. affect the validity of this PPA. If you initiate the arbitration,you will be required to pay the first $125 of any filing fee..We will pay any filing fees in excess of$125 and we will pay all of the arbitration fees and costs. If we initiate the arbitration,we will pay all of the filing fees and all of the arbitration fees and costs. We will each bear all of our own attorney's fees and costs except that you are entitled to recover your attorney's fees and costs if you prevail in the arbitration and the award you receive from the arbitrator is higher than SolarCity's last written settlement offer. When determining whether your award is higher than SolarCity's last written settlement offer your attorney's fees and costs will not be included. �a Solar Power,Purchase Agreement.version 8.4.1 y 8P7850 r DocuSign Envelope ID:063135876-302A-449A-94E1-161389E7662C0 20.Privacy/Publicity You grant SolarCity the right to publicly use,display,share,and advertise the photographic images,Project details,price and any other non-personally identifying information of your Project. SolarCity shall not knowingly release any personally identifiable information about you or any data associating you with the Project location.You may opt-out of these publicity rights by giving us written notice and mailing it to:SolarCity Corporation,Attention: Publicity Opt Out,3055 Clearview Way,San Mateo,CA 94402. . 21.Notices. All notices under this PPA shall be in writing and shall be by personal delivery,facsimile transmission,electronic mail,overnight courier,or certified or registered mail,return receipt requested. 22. Entire Agreement:Chances. This PPA contains the parties'entire agreement regarding the sale and purchase of power generated by the System. There are no ` other agreements regarding this PPA,either written or oral. Any change to this PPA must be in writing and signed by both parties. Only an authorized officer of SolarCity may execute any change to this Agreement on behalf of SolarCity. If any portion of this PPA is determined to be unenforceable,the remaining provisions shall be enforced in accordance with their terms or shall be interpreted or re-written so as to make them enforceable. REST OF PAGE INTENTIONALLY LEFT BLANK y Solar Power Purchase Agreement version 8.4.1 827850 DocuSign Envelope ID:OB3B5876-302A-449A-94E1-16689E71362CO 23. NOTICE OF RIGHT TO CANCEL. I have read this Power Purchase Agreement and the Exhibits in their YOU MAY CANCEL THIS CONTRACT AT ANY TIME PRIOR TO entirety and I acknowledge that I have received a complete copy of this MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE Power Purchase Agreement. YOU SIGN THIS CONTRACT. SEE EXHIBIT 1,THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN Customer's Name: Dennis H.Walczewski EXPLANATION OF THIS RIGHT. 24.ADDITIONAL RIGHTS TO CANCEL. i IN ADDITION TO ANY RIGHTS YOU MAY HAVE TO CANCEL Signature: UOUFVRW- THIS PPA UNDER SECTION 23,YOU MAY ALSO CANCEL THIS PPA AT NO COST AT ANY TIME PRIOR TO Date: L 6L2/2015 COMMENCEMENT OF CONSTRUCTION ON YOUR HOME. 25. Pricing The pricing in this-PPA is valid for 30 days after 61212015. If you don't sign this PPA and return it to us on or prior to 30 days after Customer's Name: 6/212015,SolarCity reserves the right to reject this PPA unless you agree to our then current pricing. Signature: Date: SolarCit . Power Purchase Agreement SOLARCITY APPROVED Signature: UNDON RIVE, CEO (PPA) Power Purchase Agreement SOIa Date: 6/2/2015 } ❑� ZD Solar Power Purchase Agreement version 8.4.1 827850 ; I , DocuSign Envelope ID:OM5876-302A-449A-94E1-16B89E7BB2C0 EXHIBIT 1 (SOLARCITY COPY) NOTICE OF CANCELLATION STATUTORILY-REQUIRED LANGUAGE Notice of Cancellation Date of Transaction:The date you signed the Power Purchase Agreement. 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 payments made by you under the contract or sale and any negotiable instrument executed by you will be returned within TEN DAYS following receipt by the seller(SolarCity Corporation)of your cancellation notice,and any security interest arising out of the transaction will be canceled. If you cancel,you must make available to the seller(SolarCity Corporation)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(SolarCity Corporation)regarding the return shipment of the goods at the seller's (SolarCity Corporation's)expense and risk. If you do make the goods available to the seller(SolarCity Corporation)and the seller (SolarCity Corporation)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(SolarCity Corporation),or if you agree to return the goods to the seller(SolarCity Corporation)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 SolarCity Corporation,Document Receiving,6611 Las Vegas Blvd.S.,Unit 200,Las Vegas,NV 89119 NOT LATER THAN MIDNIGHT of the date that is THREE BUSINESS DAYS from the date you signed the Power Purchase Agreement. I,Dennis Walczewski,HEREBY CANCEL THIS TRANSACTION on [Date]. . Customer's Signature: Customer's Signature: y as Solar Power Purchase Agreement version 8.4.1 - 827850 112 5 DocuSign Envelope ID:0133B5876-302A-449A-94E1-16689E76132C0 EXHIBIT I (CUSTOMER COPY) NOTICE OF CANCELLATION STATUTORILY-REQUIRED LANGUAGE Notice of Cancellation Date of Transaction:The date you signed the Power Purchase Agreement. 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 payments made by you under the contract or sale and any negotiable instrument executed by you will be returned within TEN DAYS following receipt by the seller(SolarCity Corporation)of your cancellation notice,and any security interest arising out of the transaction will be canceled. If you cancel,you must make available to the seller(SolarCity Corporation)at your residence,in substantially as good condition as when received,any goods delivered to you under this contractor sale,or you may,if you wish,comply with the instructions of the seller(SolarCity Corporation)regarding the return shipment of the goods at the seller's (SolarCity Corporation's)expense and risk. If you do make the goods available to the seller(SolarCity Corporation)and the seller (SolarCity Corporation)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(SolarCity Corporation),or if you agree to return the goods to the seller(SolarCity Corporation)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 SolarCity Corporation,Document Receiving,6611 Las Vegas Blvd.S.,Unit 200,Las Vegas,NV 89119 NOT LATER THAN MIDNIGHT of the date that is THREE BUSINESS DAYS from the date you signed the Power Purchase Agreement. I,Dennis Walczewski,HEREBY CANCEL THIS TRANSACTION on [Date]. Customer's Signature: r. Customer's Signature: Solar Power.Purchase Agreement version 8.4.1 827850 " 0■ 5� DocuSign Envelope ID:063135876-302A-449A-94E1-16689E76132C0 EXHIBIT 2 PERFORMANCE GUARANTEE AND LIMITED WARRANTY 1. INTRODUCTION This Performance Guarantee and Limited Warranty(this"Limited Warranty")is SolarCity's agreement to provide you warranties on the System you are hosting pursuant to our PPA. The System will be professionally installed by SolarCity at the address you listed in the PPA.We will refer to the installation location as your"Property"or your"Home." This Limited Warranty begins when we start installing the System at your Home. We look forward to helping you produce clean,renewable solar power at your Home. 2. LIMITED WARRANTIES (a) Limited Warranties A SolarCity warrants the System as follows: (i) System Warranty During the entire Power Purchase Agreement Term,under normal use and service conditions,the System will be free from defects in workmanship or defects in,or,a breakdown of,materials or components(the"System Warranty"); (ii) Roof Warranty When we penetrate your roof during a System installation we will warrant roof damage we cause due to our roof penetrations. This roof warranty will run the longer of(A)one(1)year following the completion of the System installation;and(B)the length of any existing installation warranty or new home builder performance standard for your roof(the"Roof Warranty Period");and (Ili) Repair Promise During the entire Power Purchase Agreement Term,SolarCity will honor the System Warranty and will repair or replace any defective part,material or component or correct any defective workmanship,at no cost or expense to you(including all labor costs), when you submit a valid claim to us under this Limited Warranty. If we damage your Home,your belongings or your Property we will repair the damage we cause or pay you for the damage we cause as described in Section 6.SolarCity may use new or reconditioned parts when making repairs or replacements.SolarCity may also,at no additional cost to you,upgrade or add to any part of the System to ensure that it performs according to the guarantees set forth in this Limited Warranty. Cosmetic repairs that do not involve safety or performance shall be made at SolarCity's discretion. (b) Warranty Length (i) The warranties in Sections 2(a)(i)and 2(a)(iii)above will start when we begin installing the System at your Home and continue through the entire Power Purchase Agreement Term.Thus,for as long as you host the System from SolarCity under a PPA,you will have a System Warranty and our Repair Promise. (ii) The Roof Warranty Period may be shorter than the System Warranty,as described in Section 2(a)(ii)above. (Ili) If you have assumed an existing PPA,or purchased the System during the Term of your PPA,then this Limited Warranty will cover you for the remaining balance of the existing PPA Term. (c) Performance Warranties and Guarantee ' (i) Performance Guarantee . SolarCity guarantees that during the Power Purchase Agreement Term the System will operate within manufacturer's specifications and if it does not that SolarCitywill repair or replace any defective part and restore System performance. ❑� +❑� Solar Power Purchase Agreement version 8.4.1 827850 I DocuSign Envelope ID:OB3B5876-302A-449A-94E1-16B89E7BB2CO -(ii) PowerGuidelm Solar Monitoring During the Power Purchase Agreement Term,we will provide you at no additional cost our PowerGuide Solar Monitoring Service ("PowerGuide"). PowerGuide is a proprietary monitoring system designed and installed by SolarCity that captures and displays ' historical energy generation data over an Internet connection and consists of hardware located on site and software hosted by SolarCity. If your System is not operating within normal ranges,PowerGuide will alert us and we will remedy any material issues promptly. (d) Maintenance and Operation (i) General When the System is installed;SolarCity will provide you with a link to its Solar Operation Guide.This Guide provides you with System operation instructions,answers to frequently asked questions,troubleshooting tips and service information. SolarCity will perform all required System maintenance. (ii) PowerGuide PowerGuide requires a high speed Internet line to operate.Therefore,during the Power Purchase Agreement Term,you agree to maintain the communication link between PowerGuide and the System and between PowerGuide and the Internet. You agree to maintain and make available,at your cost,a functioning indoor internet connection with a router,one DHCP enabled Ethernet port with internet access and standard AC power outlet close enough and free of interference to enable an internet-connected gateway provided by SolarCity to communicate wirelessly with the system's inverter(typically this is 80 feet,but may depend on site conditions). This communication link must be a 10/100 Mbps Ethernet connection that supports common Internet protocols(TCP/IP and DHCP). If you do not have and maintain a working high speed Internet line we will not be able to monitor the System and provide you with a performance guarantee or provide PowerGuide. Further,if PowerGuide is not operational,SolarCity will be required to estimate your power usage as set forth in the PPA. (e) Making a Claim;Transferring this Warranty (i) Claims Process You can make a claim by: A. emailing us at the email address in Section 7 below; B. writing us a letter and sending it overnight mail with a well-known service;or C. sending us a fax at the number in Section 7 below. (ii) Transferable Limited Warranty SolarCity will accept and honor any valid and properly submitted Warranty claim made during any Term by any person who either purchases the System from you or to whom you properly transfer the PPA. (f) Exclusions and Disclaimer The limited warranties and guarantee provided in this Limited Warranty do not apply to any lost power production or any repair,replacement or correction required due to the following: (i) someone other than SolarCity or its approved service providers installed,removed,re-installed or repaired the System; destruction or damage to the System or its ability to safely produce power not caused by SolarCity or its'approved service providers while servicing the System(e.g.,if a tree falls on the System we will replace the System per the Power Purchase Agreement,but we will not repay you for power it did not produce); (iii) your failure to perform,or breach of,your obligations under the Power Purchase Agreement(e.g.,you modify or alter the System); (iv) your breach of this Limited Warranty,including your being unavailable to provide access or assistance to us in diagnosing or repairing a problem; Solar Power Purchase Agreement version 8.4.1 . 827850 i DocuSign Envelope ID:063135876-302A-449A-94E1-16689E71362Co (v) any Force Majeure Event(as defined below); (vi) shading from foliage that is new growth or is not kepttrimmed to its appearance on the date the System was installed; (vii) any system failure or lost production not caused by a System defect(e.g.,the System is not producing power because it has been removed to make roof repairs or you have required us to locate the inverter in a non-shaded area); (viii) theft of the System(e.g.,if the System is stolen we will replace the System per the Power Purchase Agreement,but we will not repay you for the power it did not produce);and (ix) damage or loss to the System due to ball stakes. This Limited Warranty gives you specific rights,and you may also have other rights which vary from state to state..This Limited Warranty does not warrant any specific electrical performance of the System other than that described above. Snow or ice may accumulate on rooftops and on solar panels during snow storms.Accumulated snow or ice may slide or fall,resulting in property damage or bodily harm.If and when conditions safely allow you to remove accumulated snow or ice,you should do so to reduce the likelihood of excess snow sliding or falling. THE LIMITED WARRANTIES DESCRIBED IN SECTIONS 2(a)and(c)ABOVE ARE THE ONLY EXPRESS WARRANTIES MADE BY SOLARCITY WITH RESPECT TO THE SYSTEM. SOLARCITY HEREBY DISCLAIMS,AND ANY BENEFICIARY OF THIS LIMITED WARRANTY HEREBY WAIVES,ANY WARRANTY WITH RESPECT TO ANY COST SAVINGS FROM USING THE SYSTEM. 3. SOLARCITY'S STANDARDS For the purpose of this Limited Warranty the standards for our performance will be(i)normal professional standards of performance within the solar photovoltaic power generation industry in the relevant market;and(ii)Prudent Electrical Practices. "Prudent Electrical Practices"means those practices,as changed from time to time,that are engaged in or approved by a significant portion of the solar power electrical generation industry operating in the United States to operate electric equipment lawfully and with reasonable safety,dependability,efficiency and economy. 4. SYSTEM REPAIR,RELOCATION OR REMOVAL (a) Repair. You agree that if(i)the System needs any repairs that are not the responsibility of SolarCity under this Limited Warranty,(ii)the system needs to be removed and reinstalled to facilitate remodeling of your Home or(iii)the system is being relocated to another home you own pursuant to the Power Purchase Agreement,you will have SolarCity,or another similarly qualified service provider,at your expense, perform such repairs,removal and reinstallation,or relocation. (b) Removal/Moving. SolarCity will remove and replace the System from your roof while roof repairs are being made for a payment of$499. You will need to provide storage space for the System during such time.Where permitted under the PPA,SolarCity will work with you to move the System to your new home as follows:(i)SolarCity will conduct an audit of your existing Home and new home to determine if a move is commercially feasible. This audit will cost$499. If SolarCity determines that a move is commercially feasible,it will then move the System for an additional payment of$499. (c) Return.If at the end of the Term you want to return the System to SolarCity under Section 17 of the PPA then SolarCity will remove the System at no cost to you. SolarCity will remove the posts,waterproof the post area and return the roof as close as is reasonably possible to its original condition before the System was installed(e.g.ordinary wear and tear and color variances due to manufacturing changes are excepted). SolarCity will warrant the waterproofing for one(1)year after it removes the System. You agree to reasonably cooperate with SolarCity in removing the System including providing necessary space,access and storage,and we will reasonably cooperate with you to schedule removal in a time and manner that minimizes inconvenience to you. 5. FORCE MAJEURE If SolarCity is unable to perform all or some of its obligations under this Limited Warranty because of a Force Majeure Event,SolarCity will be e excused from whatever performance is affected by the Force Majeure Event,provided that: (a) SolarCity,as soon as is reasonably practical,gives you notice describing the Force Majeure Event; Solar Power Purchase Agreement version 8.4.1 827850 i DocuSign Envelope ID:0133135876-302A-449A-94E1-16689E71362C0 (b) SolarCity's suspension of its obligations is of no greater scope and of no longer duration than is required by the Force Majeure Event(i.e., when a Force Majeure Event is over,we will make repairs);and (c) No SolarCity obligation that arose before the Force Majeure Event that could and should have been fully performed before such Force Majeure Event is excused as a result of such Force Majeure Event. "Force Majeure Event'means any event,condition or circumstance beyond the control of and not caused by SolarCity's fault or negligence. It shall include,without limitation,failure or interruption of the production,delivery or acceptance of power due to:an act of god;war(declared or undeclared);sabotage;riot;insurrection;civil unrest or disturbance;military or guerilla action;terrorism;economic sanction or embargo;civil strike, work stoppage,slow-down,or lock-out;explosion;fire;earthquake;abnormal weather condition or actions of the elements;hurricane;flood; lightning;wind;drought;the binding order of any governmental authority(provided that such order has been resisted in good faith by all reasonable legal means);the failure to act on the part of any governmental authority(provided that such action has been timely requested and diligently pursued);unavailability of power from the utility grid,equipment,supplies or products(but not to the extent that any such availability of any of the foregoing results from SolarCity's failure to have exercised reasonable diligence);power or voltage surge caused by someone other than SolarCity including a grid supply voltage outside of the standard range specified by your utility;and failure of equipment not utilized by SolarCity or under its control. 6. LIMITATIONS ON LIABILITY (a) No Consequential Damages YOU MAY ONLY RECOVER DIRECT DAMAGES INCLUDING THOSE AMOUNTS DUE PURSUANT TO SECTIONS 2(c)AND 6(C) UNDER THIS LIMITED WARRANTY,AND IN NO EVENT SHALL SOLARCITY OR ITS AGENTS OR SUBCONTRACTORS BE LIABLE TO YOU OR YOUR ASSIGNS FOR SPECIAL,INDIRECT,PUNITIVE,EXEMPLARY,INCIDENTAL OR CONSEQUENTIAL DAMAGES OF ANY NATURE. SOME STATES DO NOT ALLOW THE EXCLUSION OR LIMITATION OF INCIDENTAL OR CONSEQUENTIAL DAMAGES,SO THE ABOVE LIMITATION MAY NOT APPLY TO YOU. (b) Limitation of Duration of Implied Warranties ANY IMPLIED WARRANTIES,INCLUDING THE IMPLIED WARRANTIES OF FITNESS FOR A PARTICULAR PURPOSE AND MERCHANTABILITY ARISING UNDER STATE LAW,SHALL IN NO EVENT EXTEND PAST THE EXPIRATION OF ANY WARRANTY PERIOD IN THIS LIMITED WARRANTY. SOME STATES DO NOT ALLOW LIMITATIONS ON HOW LONG AN IMPLIED WARRANTY - LASTS,SO THE ABOVE LIMITATION MAY NOT APPLY TO YOU. (c) Limit of Liability Notwithstanding any other provision of this Limited Warranty to the contrary,SolarCity's total liability arising out of relating to this Limited Warranty shall in no event: (i) For System Replacement: exceed the greater of(a)the sum of the Monthly Payments over the Term of the Power Purchase Agreement and(b)the original cost of the System;and (ii) For damages to your Home,Belongings and Property: exceed two million dollars($2,000,000). 7. NOTICES All notices under this Limited Warranty shall be made in the same manner asset forth in the Power Purchase Agreement to the addresses listed below: TO SOLARCITY: SolarCity Corporation 3055 Clearview Way San Mateo,CA 94402 Attention: Warranty Claims Telephone: 650-638-1028 Facsimile: 650-638-1029 Email: customercare cDsolarcity.com TO YOU:, At the billing address in the Power Purchase Agreement or any subsequent billing address you give us. Solar Power Purchase Agreement version 8.4.1 827850 a i �1 f DocuSign Envelope ID:OB3B5876-302A-449A-94E1-16B89E7BB2CO 8. ASSIGNMENT AND TRANSFER OF THIS LIMITED WARRANTY SolarCity may assign its rights or obligations under this Limited Warranty to a third parry without your consent,provided that any assignment of SolarCity's obligations under this Limited Warranty shall be to a party professionally and financially qualified to perform such obligation. This Limited Warranty protects only the person who hosts the System. Your rights and`obligations under this Limited Warranty will be automatically transferred to any person who purchases the System from you or to whom you properly transfer the Power Purchase Agreement.This Limited Warranty contains the parties'entire agreement regarding the limited warranty of the System a s Solar Power Purchase Agreement version 8.4.1 827850 '4'7 DocuSign Envelope ID.OB3B5876-302A-449A-94E1-16B89E7BB2CO I 1 .a. a 827850 Via.. a DocuSign Envelope ID:OB3B5876-302A-449A-94E1-16B89E7BB2C0 r tl 827850 *� I 4. Mse>atxhus�ti •tktttutnn+M of Bub1►c 84tetty * SOAWd of SWIding Regulstiona and Slandatdtt t -ft. 1Ur fb a lup�*4a•i�0 Z GNn�IR CS-IMIS JASON PATRY 821 STEWART DICIVB. f� Abington MA 02551 t �,�....•.d�.6ta�. �..OrrJt►oi� 44"1" %nanw4 02IM2019 �. •'�i r f wrraa,raerwfl� `�~/��u+r(r{Mw/Q � s + Office of Consumer Affairs&Business Regulation HOMEIMPROVEMENTCONTRACTOR i Registrgtlt►n: 108572 Type:i Expiratlon: 318/2017 Supplement C1 SOLAR CITY CORPORATION JASON PATRY i 24 ST MARTIN STREET 13L0 2UNI g -- &AkeOROUOM,MA 01752 Underaterebry s c67j�, ���%�cii�zr��2�cr1{� /f, �.;��.%��cr.:���cf?Jc�1t�1�1 • . • ,s Office of Consumer Affairs find Business Regulation Imo ' 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvemdnt zContractor Registration -'} Registration: 168572 -� Type: Supplement Card } l` Expiration: 3/8/2017 SOLAR CITY CORPORATION CHERYL GRUENSTERN 'to - 24 ST MARTIN STREET BLD 2UNIT 11 - MARLBOROUGH, MA 01752 .4 Update Address and return card.Mark reason for change.- scA J o 201,,1.0,j, L Address ;' Renewal Employment rl Lost Card � .��• f�r'+!/1!i!i-!i Ilvti���i�•^71!7.i;1lPl/lfy`���7 fficc of Consumer Affairs&Business Regulation License or registration valid for individul use only IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation ;,Registration: 168572 Type: 10 Park Plaza-Suite 5170 `'' '{ Expiration: 3/8/2017 Supplement Card Boston,MA 02116 SOLAR CITY CORPORATION CHERYL GRUENSTERN w' ' 3055 CLEARVIEW WAY ;�: --.• � #" � ,w,t,.,.:,.s4��...ta;,..:.f SAN MATEO•CA 94402 — Undersecretary Not valid without signature r The Cominenw�e�alth o .fassachusetts f Department of Industrial Accidents Offlce of Invesdgations ' - I Congress Street,Sake IM Boston,MA 02II4-20I7 www.massg'ov/dfra Workers'Compensation Insurance Affidavit:builders/Contractors/Electricians/Plumbers Aortli et Intfo tfon Phase Print Let>dbly Name(BuslacW0rgWzadoalfndlvithQ: SolarCity Corporation Address. 3055 Clearview Derive Ci#y/StMe/Zi : San Mateo CA 94402 Photxo M 888-765-2489 Are you an employer?Check the appropriate troy: Type }of ro eel(required): 1.® I am a employer with,L,Q-,000 - 4. I am a general contractor and I employees(full and/or part-time).* have hired fife sub-contractors �]New construction 2.[3 I am a We proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees Theses heve H. ❑Demolition working for mein any capacity. employees and have wodons' 9. El$ufldiog addition [No workers'comp.insurance gyp.insurance. required,] 5. ❑ We are a corporation and its 10.[]Electrical repairs or additions 3.❑ I ant a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions mysclf,[No workers'comp. right of exemption per MGL 12. Roof repairs t c,.152,P Y El'Fees{.t and we have no 0 insurance tegitit i.) . em to [ o workers 13.R Other selair panels comp,insurance required.] 'Any appli eat dent checks boa#1 must also Sit out the seaioa below showing their wodm'compmation policy fiam ativa. t Homeowners who sibmit this affidavit indtcasing they are doing all work and am lire outside oansrae tors taunt subtait a new aftldavit indicating such. Contiaatots drat chick this box must atteabed an additioeat sheet showing.tbe*am of the m&eenttactam and staff whadw or mat those entities have employee.. if the sub-conmactors have employees,they mm provide their workees'comp.Polley ouniber. I am an employer that I provlding workers'compensation it~mrance for my employeex Mew is the pollry and job ske e5eformattott: Insurance Company Name: Liberty Mutual Insurance Comyan.Y Policy#or Self-ins.I.ie.M., WA766D06.6265024 Expiration Date: 9/1/2015 Job Site Address: 45 Regatta Drive City/State/Zip: Hyannis,MA Attack a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as enquired tinder Sections 25A of MOL 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 5250.00 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 c"6 under the a aides o that ire In ormatibn provided above is true and correct: une 24,2015' i tea - ph._._ow#: 908.314.1581 OfJWd use only. Do not wrl;e In this area,to be completed by city or town o fleiaL City or Town: Permit/License# 'Issuing Authority(drde,one): 1.Board of Health L Bulkling Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector t%Other Contact Person: Phone#: 1 • CERTIFICATE OF LIABILITY INSURANCE OVAM, T9ifS CN:IM CAM lS ISBUEp AS A MAT M OF NIPORMA7ION ONLY AND CQNPM No MM UM TM Cot"WATB MOLDRIL 7mis CERT9RICATE OOP INOT AFFIRMWELY Olt NEMATWELY AMEND.EXTEND OR ALTER THE CDUERAGE AFt•OROM 0Y THE PW OM NE.OYft T}IIS C9[TIFICAT9 OF NUMAM0 000 NOT 60INSTMITE A CONTRACT Idfl'T MON THB lSfFlI G WWAM ?,Aunimm REPRESENTATNE ORPRODUCEP,AND TMCERMCATE.HOLDER. . AI@+ORTAVP. wtabob dotes'is as ORTKmL IMM ft PoliaT"—Ralat he 01doraed it:MRTlcRT WA—wK WANIM to- lbo bums md amdmam crew policy,Mtdo POBeles mey AP*d00 pu sodomwwr. A as the cprlNlaabo dohs wA eoafir d&W bm 0w p�Coeoi p� hddw Lo the atom 1 s W1A5Ft�SK�19E17VRGES • MWOMAUMMEMOMM Me BM 315CAL�6AS�T,SIAIE T36p R CA lot WMAW NAM II9EClOi-SIIfD4rA199J1+T4i6 .LiheAy 6loluol Fie b6leanaeIm MURE.D Ptip"WWM a, 4w saffftc4puftX C,766friww�r c. WA tim►italao,ta4 9I� xsxAmra: �fy NUMBER: SEA4M44 N 4 THIS M TO CERMY THAT THE POUCIE'S OF INNONM Us=BELOW HAVE MUN IBSUIDD TO THE INSURED NAM AMM FOR THE POLICY YERIOO iNWATM M01MOVAIYUM ANY MUMMU MT,YEW OR COMMON OF AW COUrRAOT OR OTMIRt OOCUNaEW WITH RESPECT to VVIACH mas CERVICATE MAY BE ISSN OR MAY PERTALN,TH6 W4tWANC E AFFORDED BY TILE pWCIE3 DE8CRIBED IlERI3FI IS SUBJECT 7D ALL tHL TE1ihAS, E XC LIMNS AND CONINTIpbI,S OJFRUGf MOM LWITS S}IOVYN NAY HAVE BEPN REM=BY PAID CLAM. Ytrr�n A 404MALUAss Uefm m OYV9If26f4 � i }Appppp x MAMMAL LIAEIILiYY ' low CLAWSUM� Ljj OC W upip /e1tBOt1�L iMJV 1MdtIRY • :�� C+&78:itAI.AQC�A7$ s 2AOQ,9fU AC,GRE6ATEL$ILTAP1Yt#SPE!} PRADnCT'S.C4RiP/DPk66t s 2AQQ,� x x LOC e A AUMUD91L6LImim I 6 f,00DOal g ALJYAtltd ALL ooMVIHAAILY(RrpG m a urns 000aysuLllriP.raeada„0 e x HIRMAITM M grow111i milly x ml)& amale >7EG a i1 G0019f.GU0 2X4TSSLIM a 113M I i BAllAtai4llY913'IIAEpl11i1t TI VYCT66h4f ti 7N f3tE7i Rl aeNE K A ;1NCQ®IX:IIBIE69bQAlb' 091012[1!4 C�11df15 ELFACRACCIMT 4 1000U0n e durapa.ader EL VISMSE.FA y s fiL pCll R Sm lanaraf arc�ATaac,Wca►�x lvela�s twiaa,Aaorm myAs�.tsd�aa�re,nn,aa.�.I�ro�,wl Gda�o.otA�suaks. CANCOLIATM aH14lLiAlIN►"(aP71�,49oYB DeaO 0e BRFC7RE Mn haft CA SM Tl EitPMUM BATS THEREM. ROM WILL W DEUNEMM IN . ACCflROAIEG&MAT}ITii6P�Y118. A UHCA»I IaAol�e . Ot11NbI R4k iAlpl/Yc�6RY1{Ns . : .. Qlalfee Madnelgjo �',�'."'�':��'--••=�, ACCM is 01se�0 ACORD CORPORAnQ& Atl ri"ro$wvsfL 7bY ACCRb fnwn.rnd Mgo alo etariae of ACf?fiD rtr Version#46.4 X" Solarcit y F . June 9,2015 Project/Job#0261270 4 RE: CERTIFICATION LETTER Project: Walczewski Residence 45 Regatta Dr Centerville, MA 02632 TEMPORARY PERMIT To Whom It May Concern, MASSACHUSETTS 2015-004-PE A jobsite survey of the existing framing system was performed by a site survey team from SolarCity. Structural review was based on site observations and the design criteria listed below: Design Criteria: -Applicable Codes =•MA Res.Code,8th Edition,ASCE 7-05,and 2005 NDS - Risk Category = II -Wind Speed = 110 mph, Exposure Category C -.Ground Snow Load = 30 psf MP1: Roof DL= 10.5 psf, Roof LL/SL= 21 psf(Non-PV Areas), Roof LL/SL= 21 psf(PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.19069 < 0.4g and Seismic Design Category(SDC) = B < D On the above referenced project,the components of the structural roof framing impacted by the installation of the PV assembly have been reviewed. After this review it has been determined that the existing structure is adequate to withstand the applicable roof dead load,PV assembly load,and live/snow loads indicated in the design criteria above. I certify that the structural roof framing and the new attachments that directly support the gravity loading and wind uplift loading from PV modules have been reviewed and determined to meet or exceed structural strength requirements of the MA Res.Code, 8th Edition. . Please contact me with any questions or concerns regarding this project. Paymon Eskandanian, P.E. Digitally Signed by Paymon Eskandanian Professional Engineer 2015.06.09 11:20:01 -07'00' T: 714.274.7823 email: ,peskandanian@solarcity.com 3055 Clearview Way San Mateo,CA 94402 T(650)638-1028 (888)SOL-CITY F(650)638-1029 solarcity.com -. . AZ ROO 243771.CA O5L8 888104,C0 CC 8041,.0T HIC 0632778.DC HIC71101486,DC HIS 71101488.MII CT•29770,MA HIC 168572.MO MHIC 128948.NJ 13VII06160600. ..,OR(,08.180498,PA 077343,TX TOLA 27006,wA GOU SOLAHC`9190T.O 2013$alor0ty.All right•reseltd. . 06.09.2015 Q\4!.•op,: SO�a�Clt PV System Structural Version#46.4 ,, a y Deng n Software PROJECT INFORMATION &TABLE OF CONTENTS Y Project Name. Walczewski Resid_enc_e AHJ: .° Barnstable Job Number: 0261270 Building Code: MA Res.Code,8th Edition Customer Name: walczewski, Dennis _ Based On: _ ' IRC 2009'/IBG_2009 m Address: 45 Regatta Dr ASCE Coder ASCE 7-05 City,/State: Centerville, MA Risk Category_ Zip Code 02632 Upgrades Req'd7 No Latitude/Longitude: 41.672316 -70.319713 � Stamp Req'd? " Yes SC Office:I Cape Cod PV Desi ner: Daniel Ha ber g Certification Letter 1 Project Information,Table Of Contents, &Vicinity Map 2 Structure Analysis (Loading Summary and Member Check) 3 Hardware Design (PV System Assembly) 4 Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.19069 < 0.4g and Seismic Design Category(SDQ = B < D i 1 2-MILE VICINITY MAP IslandLewis Lo ckins Neck oloseberry • Dqigi 9a9S'VMassGl,S, 6'o' mmonwealth 0�f/mass6chusetts EOEA, USD�A Fai ce� Agency • 45 Regatta Dr,Centerville, MA 02632 Latitude:41.672316,Longitude: -70.319713,Exposure Category:C .�$ .STRUCTURE ANALYSIS LOADING SUMMARY AND MEMBER CHECK- MP1 Member Properties Summary • Horizontal Member Spans Rafter Pro erties MPi Overhang 0.57 ft Actual W 1.50 Roof System Properties .` San 1 . 13.09 ft Actual D '7.25' Number of Spans(w/o Overhang) 1 San 2 Nominal Yes Roofin 'Material Comp Roof Span 3, A 10.88 in:^2 n:a Re-Roof No San 4 S. 13.14 in.A3 Plywood Sheathing:.4=•x -§ M°v *°AYes San 5 I ' ° 47.63 in.^4' Board Sheathing None Total Span 13.66 ft TL Defl'n Limit 120 Vaulted Ceiling h, :q " s; "ri No TM PV 1 Start 1.08 ft Wood Species _ SPF Ceiling Finish 1/2"Gypsum Board PV 1 End 12.67 ft Wood Grade #2 Rafter,Slope! v _ µ 180 PV 2 Start F 875 si Rafter Spacing 16"O.C. PV 2 End F„ 135 psi ,. TO-p Lat Bracing w ;,r « . ., Full PV 3 Start" E 1400000 psi Bot Lat Bracing At Supports PV 3 End Emig 510000 psi Member Loading mary Roof Pitch 4 12 Initial Pitch Ad'ust Non-PV Areas PV Areas Roof Dead Load DL 10.5 psf x 1.05 11.0 psf 11.0 psf PV Dead:Load, ,:;= *:w r."PV-DL 3.0 psf x 1.05 3.2 psfu Roof Live Load RLL 20.0 psf x 1.00 20.0 psf Live%Snow Load.<, ' „£ '* LL W,2 30.0 sf x 0.7 x 0.7 21.0 sf 21.0 psf Total Load(Governing LC TL 1 32.0 psf 35.2 Dsf Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf=0.7(Ce)(Ct)(IS)p9; Ce=0.9,Cr=1.1, IS=1.0 Member Design Summary(per NDS Governing' Load Comb CD CL + CL - CF Cr D+ S 1.15 1.00 0.44 1.2 1.15 Member Anal sis Results Summary Maximum Max Demand @ Location Capacity DCR Shear Stress 40 psi 0.6 ft. 155 psi 0.25 D+S Bending + Stress tt-^ 913:psi 7.1 ft. 1389 psi 0.66 D'+S Bgndin (-)Stress -7 psi 0.6 ft. -616 psi 0.01 D+S Total Load Deflection:m j= M w 10.51%in. 323 7.1 ft. 1.38 in. 120 0.37 ; D+S,,' .. to r e . (CALCULATION-OF DESIGN WIND=LOADS=M-Pi Mounting Plane Information ` Roofing Material Comp Roof PV Systerr T e Solar City SleekMount"" Spanning Vents No Standoff Attachment Hardware Como Mount Tvpe Cm Roof Slope 180 Raft _erSpacing, 16'.'0.C. Framing Type Direction Y-Y Rafters Purlin Spacing X-X Purlins Only_ _DNA Tile Reveal Tile Roofs Only NA Tile Attachment System_ Tile Roofs Only NA Standin Seam/Trap Seam/Trap Spacing —SM Seam Only NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind Design Method Partially'/Fully Enclosed M_ethod" Basic Wind Speed V 110 mph Fig. 6-1 Exposure _Category —C ~° °- Section 6.5.6 Roof Style Gable Roof Fig.6-11B/C/D-14A/B Mean Roof Height h 25 ft a Section 6.2 „ Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.95 Table 6-3 Topographic Factor Krt 1.00 777, ° K Section 6.5.7 Wind Direc onality Factor Kdt____._ 0.85 Table 6-4 Importance Factor I 1.0 ' 7 - Table 6-1 Velocity Pressure qh qh = 0.00256(Kz)(Kzt)(Kd)(VA 2)(I) Equation 6-15 24.9 psf Wind Pressure Ed. Pressure Coefficient U GC u -0.87 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down GC Down 0.45 4, Fig.;6'11B/C/D-14A/B Design Wind Pressure p p= qh(GC) Equation 6-22 - Wind Pressure U -21.8 psf Wind Pressure Down 11.2 psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing_____ Landscape 64" 39" Max Allowable Cantilever �Landscape� 24'-' - _ e . _ ..� ,a' NAB Standoff Configuration Landscape Staggered Max Standoff Tributary Area Trib _17 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff. Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand Ca aci DCR 70.2% =z.x X-Direction• Y-Direction Max Allowable Standoff Spacing Portrait 48 66 Max Allowable Cantilever Portrait_ 19" a DNA - Standoff Confi uration Portrait Staggered Max Standoff Tributary Area_ - _ Trib :-_-_22 sf r PV Assembly Dead Load W-PV 3.0 psf Net,Wind.Uplift at Standoff actual -439 Ibs.•,x Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand Ca aci DCR 87.9% f P � OWNER AUTHORIZATION Job ID: •"J Q�-O`Zf„t`7`zn�-ems Locationk R( .� OZ(o� �• .. a ...w .. .. as Owner of the subject property hereby'authorize- SotarCity Coro—HIC 168572/ MA Lic 1136 MR to act on my behalf, in all matters,relative to work authorized by this building permit application and signed contract:, , 6 /, 3 'Signatur l� D e 5 s W �s ,r IMP ++i TOWN OF BARNSTABLS CERTIFICATE OF OCCUPANCY PARCEL ID 000 000 054 GEOBASE ID ADDRESS 45 REGATTA DRIVE ,` PHONE (508)771-10401 HYANNIS, MA ZIP 02601- i LOT 57 BLOCK i � LOT SIZE DBA DEVELOPMEN1 DISTRICT PERMIT 18476 DESCRIPTION (BUILDING PERMIT 015605) PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE ; • HARNSPABM • MA88. OWNER BAYSIDE BUILDING, INC_ 0i6 9' �� .ADDRESS ED H11� P.0.BOX 95 BUIL DI /39 CENTERV I LLE, MA BY DATE ISSUED 10/08/1996 EXPIRATION DATE -- I, `TOWN OF' 8�'�RNSTABLE R[)I:LDIVG PERMIT PARCF:f, ILA 000 000 054 GEOlaASE ID ADDR !: S 4b REGATTA DRIVE PHONE (508)`171-1-0, :.�' :: , HA 'LIP 02532 �`'�'i W VL i 5 LOT S7 L0C.:••?: LOT SIDE 7 _,A DEVELOPMENT DISTR.IGT Pk 'RjjT`1' L!3SC'15 DESCRIPTION SINGLE FAMILY DWELL:I.NG (SEW_PP•I'T'_495-.628; PERMy'f TYPE 2U1LD TITLE NEW RESIDENTIAL 3LDG PMT ' �-)NTRAcr: s_ r Ai `Tr._ ' B�1?..aAL'I {r, I cr(:" Department of Health, Safet3 iRCHI and Environmental Services `''O'.�AL i�i�:y S- �_t 1 a .HG AML H��XF L'}T'.1`C'HED 1. PRI VATS g 3TABLEr 039. t ,a I,t? Py.;.i.1..L BU7:U ING, 1N-,_ , ED ADDRESS INS P.0_e5OX. 95 BUILDING.-D V , ON CEN'TEfRITILLE, MA BY DAT IESU+,D 0 3/04/:1996 EXPIRATION PATF. THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALSPLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 96 G�/aC 0-7-p� I 2 Y Nfs? 2 fiA4'�,/ 3 1 HEATIN I PECTION APPROVALS ENGINEERING DEPARTMENT F��L Gas z 7 G 2� 10^ g -BOARD\'9k HEALTH OTHER: SITE PUA REVIEW APPROVAL d WORK SHALL NOT P0ttICEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. LOT 56 S,80•04'52"W y 130.00Lo y M �6 2 LOT 57 15,083 sq.ft. (: 0.35 UC. GPRPG� � �_ �+► ,J). J �cS NG cpl LOT 58 M I CERTIFY. THAT THE FOUNDATION CERTIFIED PLOT PLAN SHOWN HERON COMPLYS WITH THE SIDELINE AND SETBACK REQUIREMENTS OF THE TOWN OF MCA1170N HYANNIS BARNSTABLE, AND IS NOT LOCATED WITHIN THE FLOODPLAIN. lGAL& 1"=40' nATR JUNE 26,1996 DATE: (0.261G &k-,R.LL.S. LOT 57 THIS PLAN IS NOT BASED ON AN INSTRUMENT PLAN BK. 505 PG. 78 SURVEY AND THE OFFSETS SHOULD NOT BE USED TO DETERMINE LOT LINES. APPLiCMM BAYSIDE BUILDING CO. INC. -coo -®sY & Assessor's Office(1st floor) Mai �� LotA4 6 3^� Permit# 605 i.Conscrvation Office Oth floor) Date Issued Board of Health Ord floor Engineering Dent. (3rd floor) House# `I 15 dP Planning Dept. (1st floor/School Admin`Bldg): $vamc� ANC+E Definitive Plan Approved by Planning Board., r — / y 19 A( DDIications essed 8:30-9:30 a.m.& 1:00-2:g0.0 p.m.) vr 'RQNEGU�E L p ODE AND TIONS N" TOWN OF BARNST Building Permit Application Project Street Address 7 % J Village Fire District G Owner Address R Telephone + t f `f Q Permit Request: 7 TA i Zoning District I`L,— Flood Plain (� Water Protection &t"p Lot Size 11, 0 '33 Grandfathered Zoning Board of ApMls Authorization Recorded Current Use Provosed Use Construction T Existing Information Dwelling T Single Famil t/ Two family Multi-family Age of structure k) Basement type Historic House Finished Old King's Highway Unfinished Number of Baths ��� No.of Bedrooms -3 Total Room Count(not//including baths) First Floor Heat Type and Fuel1i(if;(4%& `— ./) Central Air �-/IO Fireplaces J Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name Telephone number 71 Address Q License# �G S & o_ Home Improvement Contractor# Worker's Compensation # U,/CC Z 0 1 Z 0 t- NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. 40,Z,94 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Lt4—�TLaJ� Project Cost CJ ,�35�XS�X.d031 Fee SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) /w(U BPERM T FOR OFFICE USE ONLY 6/ ADDRESS L VILLAGE OWNER v DATE OF INSPECTION: FOUNDATION ti 4` ' t r FRAME • ' + S INSULATION FIREPLACE f ELECTRICAL: "ROUGH FINAL ; PLUMBING: ROUGH FINAL GAS: ROUGH FINAL , , — ✓t, ,) x:� a r i 4 FINAL BUILDING ' '" DATE CLOSED Oa- a ASSOCIATE - I PLAiJ�NQ �.�y _:M ' .zo + a 'kill � s«W: 'PA Ta 51146L-a FAMILY 3 A `-(,A ACHE�►Np-�-''-? ,. - oe� , -' "PI °-�' F'!I. It D GhL./zI st�N v 9g 1 z9 407. ------- 107- o f PY , 'Tam nrX 14, N z 7 I :�� C7.S7 IlkRICHARp t awo �. 1 � T .j:. ..�_T _ PVC 6AL In .'. ,�✓ "� Box 7,04, xrc S rlc _ M IZ 1. I wM¢ kz: ALL 5rei r�QEs oi .3Toga , ,uaN'4 vrEF t-L721A11 BE H`Z° opEIJ SpAGE S�B�vi�oN ! M MAP 25Z/51 253 /9 I PLOr P tAO LgC.A-TIOW '-tN' EJZVIL-LE, /PYAuuis RATE-J ma RS i. C PLAN. I' N �" . f '-I N4AT TI{�a.v6z.u�L - "ERaJC� �l�cw�: NE1zEoN �.o,c.1'P� S wlrtµ T�ls SI�EV�lE '4 ''4(E-,TDWN OF' BA A,5rAz Lr-- PL BL So s Pc,. -I g ldu l5 �br L.o wl i� ['E PXOD pc.al� , BAWD Coot- PC.AN 3ld�Gq _.._. ., �d X�LIZ . P�%Ioud� l AtJ� 7tIi5 ��1 IS H07 . �jQ!p o� �N IUST�vti4Ek Tr ` Suev��ozs Surz�; / AIJv rN� oF�SE'i"S I�qu� u Ur &E o � �I L E�GI N s=EYS T'p E--�74e)--14, '>Pz-rzv I Lt-a MA,4 , --- APPLIc.QN - �� s _. �-, Co . .jNG. �F „� ��e cnr»ra�uaealf� c�✓j�auac�usella DEPARTMENT OF PUBLIC SAFETY a CORSTRUCTIOR SUPERVISOR LICENSE Ruben Expires: Restricted To: 00 L•Sr,�sar 7K C Lid �. BRIAR I DACEY 62 FERNBROOK LN CENTERVILLE r KA 02632 i TV F COMMONWTALTH OF MA,SSACHUSETTS ' P DEFA 'T OF LNDUSTRIAL ACCIDE'vT S _ 600 WASHINGTON STR= games.: Camooel BOSTON, MASSACHUSEM 02111 'or'r,ss,one WORKERS' CONPFNSATION INSURANCE AFFIDAVIT n --•. L `/ (licensee/permirree) with a principal place of business/residence ac d,2 6 3 a (City/SatelZip) do hereby certify, under the pains and penalties of perjury,than. [J I am an employer providing the following workers'compensation coverage for my employees working on this job. U/G / 3 /mot D 1 7 Insurance Company Policy Number () I am a sole proprietor and have no one working for me.. ( ) I am a sole proprietor, neral contractor r homeowner (circle one) and have hired the contractors Iisted below who have the following wor ers compensation insurance policies: Name of Conrnaor Insurance Company/Poliry Number 1\2me of Conrnaor Insurance Company/Policy Number Nime of Contm= Insurance Companv/Policv Number 0 I am a homeowner performing all the work myself. NOTE ,Please be aware tsar while bomeowners who empiov persons to do maintenanez, construction or rrpair..ork on a dwriiinc of not more thin tnrec units to wUtCh the hormcowner aiso resides or on the rrouatu appurtenant thereto are not eecerail� considered to be empioven under the'Workers' Compensauon Act (CL C 152.sm. 1(5)), app',cation by it bomeowner for a liuttse or permit rosy evidence Lilt leo tutus of an empiover under the Worken' Compensation Act. 1 understand that : cave•of tisis statt. ent will be forwarded to me Dcoarmsent of Indus vial Aecdena' O1ncc of ltuurana for mar vcr:ftc.::ton ant: :ha: faiiurc to iccurc COVt MrC as rtctsircd undo SGCOon 25A'of IMCL 15: an Icad to the imposition of a-..:.izai DCt%1IU[S eenstsone of: fine of up to S1500.00 and/or imptzsO=.tr.t of up to one ,- and dvii penaitiu in the form of a Stop Work t7ror. cane a fine of S100.C.Z. : day a€a:ns: me. 01 ,---- SHEETROCK: MEL REED: (L) WORCESTER INS - CB817530 (W) COMMERCIAL UNION - CBH557387 INTERIOR TRIM: DAVID'S REMODELING: (.L) COMMERCIAL UNION - NB F821442 DAVID BIK: (L) MERCHANTS INS GRP- 8CM0278579150 (W) TRAVELERS - 176K337-8-94 OAK INSTALLER: ROBERT BUDDEN: (L) NORTHERN ASSUR. - NBF528652 PAINTING: CAMPBELL PAINTING: (L) TRAVELERS - 1680251K4083COF (W) AMERICAN POLICY - WCC 186604 ROUSSEAU, AL (L) MERCHANTS MUTUAL - 8CM0278570179 (W) EASTERN CASUALTY - ??? GARAGE DOORS: ALL CAPE GARAGE DOOR: (L) U S F & G - BSC14667590301 (W) COMMERCIAL UNION - CBH573757 STORMS & GUTTERS: ALUMINUM PRODUCTS: (L) AETNA - MPOO21014146 (W) AETNA - JC89258880 OAK FINISHER: ti AMERICAN FLOORS: (L) TRAVELERS - 680 342W754-0 CARPET, VINYL & TILE: CARPET BARN: (L) VERMONT MUTUAL - SBP6507393 (W) PHOENIX INS. - 6NUB476J652794 WIRE SHELVING: CAPE COD CLOSETS: (L) U S F & G - BSC146983441 APPLIANCES: KITCHEN APPL MART: (L) FIREMENS FUND - AZC80453098 (W) HARTFORD INS CO - 77WZNB1603 MIRRORS & SHOWER DOORS: L & M GLASS: (L) COMMERCIAL UNION - CBR409003 (W) U S F & G - 0071439933 LANDSCAPE & SPRINKLER: COY'S BROOK: (L) COMMERCIAL UNION - ABR345850 (W) CIGNA COMPANIES - C41138178 DRIVEWAYS: NORTHERN SEALCOAT: (L) MARYLAND CASUALTY- EPA18716945 (W) THE PHOENIX - UB387K530 w ' SUBCONTRACTOR'S INSURANCE ENGINEEER: BAXTER & NYE ENG: (L) FIREMENS FUND - S30MXX80564866 (W) LIBERTY MUTUAL - WC1312595563023 EXCAVATION & SEPTIC: DRISCOLL, JJ: (L) U S F & G - HGL 110093 (W) U S F & G - 7708711936 FOUNDATION: BAYSIDE FOUNDATIONS: (L) COMMERCIAL UNION - ABR406267 (W) LIBERTY MUTUAL - WC1312201785044 WELLS: DENNIS SCANNELL (L) TRAVELERS - 660873E5627COF92 (W) WAUSAU - 151300062926 CELLAR/GARAGE FLOORS: MICHAEL BROWN: (L) AETNA - MP0023672849 FRAMERS: ROBERT DORRER: (L) TRAVELERS - W680526K991TIA9 (W) AETNA - 006C0023972416C MICHAEL DUFFLEY: (L) COMMERCIAL UNION - NBF821356 (W) LIBERTY MUTUAL - WC1312492127024 ROOFER & SIDEWALL: JOHN MEE: (L) AMERICAN STATES - 01CD1486783 (W) TRAVELERS - 6NUB44BK275894 MASON: SHERMAN, WAYNE: (L) COMMERCE INS CO - N60689 (W) WAUSAU INS - TO BE ASSIGNED ELECTRICIAN: CHAVES ELECTRIC: (L) HANOVER INS. - LHN2964649 (W) MISCELLANEOUS INS CO. - 0708878 91 1 PLUMB & HEAT: WHITELY PLUMBING: (L) TRAVELERS - 660365K1782COF9 (W) EASTERN CASUALTY - POLICY IN MAIL ALARM SYSTEM: BALTIC SECURITY: (L) FIRST FINANCIAL - FF0131 G400831 (W) COMMERCIAL UNION - CB0743379 CENTRAL VAC: VACUUM HOUSE: MERRIMACK MUTUAL - SBP1608045 INSULATION: MAP INSULATION: (L) AMERICAN STATES - 02CC326435-3 (W) U S F & G - 7711099932 f 1" i • i! 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I •� :o i j I v T I i II f � o � f°I I II �Pn i j � I • Q i x� �� � i ,AMC � !p I o • � ct I � A Ij9i I I Q i p �4 rl i \ i Of �I m*_I �V 1 rr, a�W — 86 z Av U ZILA s pia v \ m ":. �Z � 'TIC � I•. l' _S-ups -SYV 7_8 r�S = $ i 0 � It- D aLu wl P i tN d a0 VI Z I � - ra c NGs Gs %A 1p f x � P� A v cD ✓� o � nLu m �m P �o L p o r- s � cn N - -4(A (� f a m nr . r to L r c R ° 2 ' � R106 E SH II.LGLES ,JLx to--rLIOGE PLAwt II._._ -- f/-5£R:C-=TCFS-ASPH GLT-=�jL'•11NGL-65 L. rLO IIAM e \VCL70-'F'UR 21N 1. 77 — ' `� I 2•_0.. 1AV' P f.L �. co". K. 1x8 FAsc1� AtI.0 owf ALU/A.GLITTER c�r6b V .1 TGCL -B �c h„ a VE NTINGa �72Lp . i D _(REV OLU Cn -xLa r_-f-,� 4•DEAN C. *L in IJ 2x to STuoS �G 9.4.'_pC _@-P.L�_onl } u,-»A�Lo�J• Fttb2ECGLAs. �2rCe .s-ups i• skex-m-C.G,_..___ tauNDc-1 to".-FtgREGl..d7 2x 4 ST >s IS r L co ICAEpGT=�UNgL2LA(• ____._....:_t._:._ GO.X__SHEA-r T>IN(!._ C LAp . _.. .__....__... ..- F-1G. La ::3R G r:.- I�.jf -2r-�.o.@a 6••'-_ ...-� t)•_co_n+C .ETG_SL-A3.._�....xr0®16,. . :AN�Lio2 �' o,c t� 20`• o" 8 I9I J2A c�E - L4UN t7 q-,r _-.. P AY S I D E....Pj u t L p l t-I Cn C� ZENTEt:LVIULLC /^A-5 _ALE:3�0 s\• AiRROVEB BY BATE: OU (jEc;toN A- GgZr. ABBREVIATIONS ELECTRICAL NOTES, JURISDICTION NOTES A AMPERE 1. . THIS SYSTEM IS GRID—INTERTIED VIA A AC ALTERNATING CURRENT UL—LISTED POWER—CONDITIONING INVERTER.. _ , BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS.. w CON CONCRETE 3. A NATIONALLY—RECOGNIZED TESTING DC DIRECT CURRENT LABORATORY SHALL LIST ALL EQUIPMENT IN EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3. s (E) EXISTING 4. WHERE ALL TERMINALS OF THE DISCONNECTING y EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED IN THE OPEN POSITION, FSB FIRE SET—BACK . A SIGN WILL BE PROVIDED WARNING OF THE GALV GALVANIZED HAZARDS.PER ART. 690.17. GEC GROUNDING ELECTRODE CONDUCTOR. 5. EACH UNGROUNDED CONDUCTOR OF THE GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY . HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5. CURRENT - 6. CIRCUITS OVER 250V TO GROUND SHALL Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(B). ` Isc SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DO NOT ENTER 1 - kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR kW - KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN (N) NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY NEUT NEUTRAL UL LISTING. NTS NOT TO SCALE 9. MODULE FRAMES SHALL BE GROUNDED AT THE OC . ON CENTER UL—LISTED LOCATION PROVIDED BY THE PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING POI POINT OF INTERCONNECTION HARDWARE. PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. S STAINLESS STEEL STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPTIBLE• POWER SUPPLY V VOLT Vmp VOLTAGE AT MAX POWER T VICINITY MAP INDEX Voc VOLTAGE AT OPEN CIRCUIT 1 W WATT 3R NEMA 3R, RAINTIGHT - _ PV1 COVER SHEET PV2 SITE PLAN - PV3 STRUCTURAL VIEWS PV4 UPLIFT CALCULATIONS LICENSE GENERAL NOTES C�i nee R€ttalc� DIAGRAM GEN #168572 1. ALL WORK TO BE DONE TO THE 8TH EDITION X ELEC 1136 MR OF THE MA STATE BUILDING CODE. _ 2.' ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2014 NATIONAL ELECTRIC CODE INCLUDING MASSACHUSETTS AMENDMENTS. MODULE GROUNDING METHOD: ZEP SOLAR AHJ: Barnstable REV BY DATE COMMENTS REV A NAME DATE COMMENTS UTILITY: NSTAR Electric (Boston Edison) all + _ PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL— THE INFORMATION HERON JOB NUMBER J B-0 2 612 7 0 00 Daniel Ha ber SolarCity. CONTAINED SHALL NOT BE USED FOR THE WALCZEWSKI, DENNIS WALCZEWSKI RESIDENCE 9 9 �: ': BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: .� - �"`� NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 45 REGATTA DR �_ 5.83 KW PV ARRAY r�� PART TO OTHERS OUTSIDE THE RECIPIENTS CENTERVILLE MA 02632 ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES , #. TMK OWNER: a 24 St.Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (22) Hanwha Q—Cells #Q.PRO G4/SC 265 �• * SHEET: REV DATE.- Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN 1NVE1tiFR: ' PAGE NAME E (650)638-1028 F: (650)638-1029 PERMISSION OF SOLARCITY INC. SOLAREDGE SE500oA—US000SNR2 (508) 771-4419 COVER SHEET PV 1 6/9/2015 (888)—SOL—CITY(765-2489) www.solarcitycom ' PITCH: 18 ARRAY PITCH:18 MP1 AZIMUTH:247 -ARRAY AZIMUTH: 247 , MATERIAL:Comp Shingle STORY: 2 Stories A Front Of House TEMPORARY PERMIT MASSACHUSETTS 2015-004-PE Digitally Signed by Paymon Eskandanian AC 2015.06.09 11:18:38-OTOO' © LEGEND ' O (E) UTILITY METER & WARNING LABEL aInv INVERTER W/ INTEGRATED DC DISCO & WARNING LABELS © DC DISCONNECT & WARNING LABELS EED AC DISCONNECT & WARNING' LABELS d � P1 Q DC JUNCTION/COMBINER BOX & LABELS Inv 0 DISTRIBUTION PANEL & LABELS A Lc LOAD CENTER & WARNING LABELS O DEDICATED PV SYSTEM METER Q STANDOFF LOCATIONS CONDUIT RUN ON EXTERIOR --- CONDUIT RUN ON INTERIOR - GATE/FENCE Q HEAT PRODUCING VENTS ARE RED INTERIOR EQUIPMENT IS DASHED SITE PLAN Scale: 1/8" = 1' _ 01' 8' 16' 3 PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: J B-0 2 612 7 0 0 CONTAINED SHALL NOT.BE USED FOR THE Daniel Ha ber �� SolarCity. WALCZEWSKI, DENNIS WALCZEWSKI RESIDENCE Hag berg �- ; BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: �w NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type* C 45 REGATTA DR 5.83 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENT'S MoOULES CENTERVILLE, MA 02632 ORGANIZATION, EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE (22) Hanwha Q—Cells #Q.PRO G4/SC 265 24 Si. Martin Drive, 01g 2 Unit 1I SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN - - PAGE NAME SHEET: REV DATE Marlborough,M MA A T. (850)638-1028 F: (850)838-1029 PERMISSION OF SOLARCITY INC. INVER7LR' 0) SOLAREDGE #SE500OA7USOOOSNR2 (508) 771-4419 SITE PLAN PV 2 6/9/2015 (888)-SOL-CITY(765-2489) www.sdarcitycom ra S 1 4,. FEB� t (E) LBW _ 4 W., SIDE VIEW OF MPI NTS TEMPORARY PERMIT MP1 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES ". MASSACHUSETTS 2015-004-PE LANDSCAPE 6411 24" STAGGERED PORTRAIT 4811 1911 >, t d P n „ ROOF AZI 247 PITCH . 18 Digitally Signed by aymo [PAFFER 2x8 @ 16 OC STORIES: 2 -ARRAY AZI 247 PITCH 18 E$kandanian 3.- - 2x8 @16" oc comp Shingle • • 2015.06.09 11 :18:30 -07'00' , PV MODULE 5/16" BOLT WITH LOCK INSTALLATION ORDER & FENDER WASHERS ' LOCATE RAFTER, MARK HOLE - ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT- (6) HOLE. l (4) (2) SEAL PILOT HOLE WITH POLYURETHANE SEALANT. ZEP COMP MOUNT C ZEP FLASHING C (3) G(3F71NSERT FLASHING. ; (E) COMP. SHINGLE J(4PLACE MOUNT. (1) _ (E) ROOF DECKING V (2) INSTALL LAG BOLT WITH 5/16" DIA STAINLESS (5) (5) SEALING WASHER, STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH WITH SEALING WASHER G(6) -BOLT & WASHERS. z' (2-1/2" EMBED, MIN) (E) RAFTER 1 STANDOFF i Scale: 1 1/2" = 1' _ J B—0 2 612 7 0 O O PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: -7 �\\ ■ CONTAINED SHALL NOT BE USED FOR THE - WALCZEWSKI, DENNIS WALCZEWSKI RESIDENCE Daniel Hogberg " BENEFIT OF ANYONE EXCEPT SOLARCITY INC.; MOUNTING SYSTEM: /� T r NOR SHALL IT BE DISCLOSED IN WHOLE OR IN 45 REGATTA I A. DR -��� olar 'ty Comp Mount Type C. . . 5.83 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES: CENTERVIL'LE, MA 02632 ORGANIZATION, EXCEPT IN CONNECTION WITH24 SL Martin Drive, Building 2, Unit 11 THE SALE AND USE OF THE RESPECTIVE (22) Hanwha Q—Cells #Q-PRD G4/SC 265 PAGE NAME SHEET: REV. DATE Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: T. (650)638-1028 F: (650)638-1029 PERMISSION OF SOLARCITY INC. SOLAREDGE SE5000A—USOOOSNR2 5 . (508) 771-4419 STRUCTURAL VIEWS PV 3 6/9/2015 1 (888)-SOL-CITY(765-2489) www.solarcity.com UPLIFT CALCULATIONS SEE SEPARATE PACKET FOR STRUCTURAL CALCULATIONS. J B-0 2 612 7 0 00 PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: `\�,�SolarCit . CONTAINED SHALL NOT BE USED FOR THE WALCZEWSKI, DENNIS WALCZEWSKI RESIDENCE Daniel Hogberg � , BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Com Mount T e C 45 REGATTA DR 5.83 .KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENT'S ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES:- CENTERVILLE, MA 02632 24 SL Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (22) Hanwha Q—Cells #Q.PRO G4/SC 265 SHEET: REV: DATE Marlborough,MA 01752 r SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: — PAGE NAME T.- (650)638-1028 F. (650)638-1029 PERMISSION of SOLARCITY INC. B>- SOLAREDGE sES000A—us000sNR2 (508) 771-4419 UPLIFT CALCULATIONS PV 4 6/9/2015 (68soi.-CITY(765-2489) m solaraRy.cmn GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE O # O ( ) g INV 1 —(1)SOLAREDGESE5000A—USOOOSNR LABEL: A —(22)Hanwha Q—Cells �Q.PRO G4/SC 265 GEN 168572 BOND N 8 GEC TO ONE E GROUND Panel Number:TBBZO 40-40 C Inv 1: DC Un rounded U w # ROD AND ONE (N) GROUND ROD AT Meter Number:2226603 Inverter; 50 OW, 24OV, 97.5%a w�Unifed Disco and ZB,RGM,AFCI PV Module, 265 241.3W PTC, 40mm, Blk Frame,,MC4,�ZEP, 600V ELEC 1136 MR . PANEL WITH IRREVERSIBLE CRIMP Underground Service Entrance INV 2 E Voc: 38.01 Vpmax:''. . 30.75 INV 3 `. Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER E 200A MAIN SERVICE PANEL - - E 200A 2P MAIN CIRCUIT BREAKERInverter l � / - E WIRING I1V C _a - s . I erte 1 -_ O CUTLER—HAMMER - 20OA/2P Disconnect 3 SOLAREDGE _ 1 - . ' S -US DC. MP1: 1x11 : . E5000A OOOSNR2 _ (E) LOADS A ---—-------_- -------- --- ------------------- EGG L1 24ov ry r- -- _ .- .. L2 DC+ 30A/2P - E.:.�t/ DG . G+ ----------- -7-- - MPi: lxllCA EGC-— ------- ------- -------- ------------- N i (1)Conduit Kit; 3/4'EMT EGC/GEC Li L'i I GEC TO 120/240V SINGLE PHASE I w UTILITY SERVICE "PHOTO-VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN Voc* = MAX VOC AT MIN TEMP- OTT (1)CUTLER-HAMM 9 BR230 PV BACKFEED BREAKER Q (1)CUTLER-HAMMER DG221UR8 PV (22)SOLAREDGE iP300-2NA4AZS " 1 Breaker, 30A 2P, 2 Spaces ^ Disconnect; 30A, 24OVac, Non-Fusible, NEMA 3R AC PowerBox Optimizer, 30OW,.H4, DC to DC, ZEP DC -(I)Ground Rod; 5/8' x 8% Copper -0)CUTLER- AMMER g DG030N8 Ground�leutral Kit; 30A, General Duty(DG) = Cld (1)AWG#6, Solid Bare Copper -(1)Ground Rod: 5/8' x 8', Copper - . x (N) ARRAY GROUND PER 690 47(D). NOTE: PER EXCEPTION NO 2, ADDITIONAL ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCATION OF OE ELECTRODE i AWG#10, THWN-2, Black - 2 AWG g10, PV Wire, 600V, Blacc Voc* =500 VDC Isc-15 ADC OILL(1)AWG.#10, THWN-2, Red - O (1)AWG 6, Solid Bare Copper EGC Vmp =350 VDC Imp=8.22 ADC II^=FFLLL(1•)AWG 10, THVMI-2, White NEUTRAL Vmp .=240 VAC ImP=21 AAC (1 Conduit Kit.3I4".EMT. .. . . . . . . .70)AWG#8,.THWN-2,.Green . . EGC/GEC_-0)Conduit_Kit;.3/41'.EMT. _.. . . . = VDC _ iti Bare Copper EGC V p _350 VDC Imp=8.22 ADC (2 AWG#10,-PV O � (1)AWG 88. Solid . .. (1)Conduit Kit;,3/4' EMT. .. . . . . . . .. . . . . ... . . . . . . . . . . . . . . . J B—O r� O 0 O PREMIX OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL- THE INFORMATION HEREIN. [ERER L L \� CONTAINED SHALL NOT BE USED FOR THE WALCZEWSKI, DENNIS WALCZEWSKI RESIDENCE Daniel Hogberg BENEFIT OF ANYONE EXCEPT SOLARGTY INC., TEM: SolarCity.NOR SHALL IT BE DISCLOSED IN WHOLE OR IN 45 REGATTA DR 5.83 KW PV ARRAY '�1% PART TO OTHERS OUTSIDE THE RECIPIENTS ount Type C ORGANIZATION, EXCEPT IN CONNECTION NTH CENTERVILLE, MA 02632 THE SALE AND USE OF THE RESPECTIVE nwha Q-Cells #Q.PRO G4/SC 265 24 St. Martin Drive,Building 2, Unit 11 SOLARGTY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME SHEET: REV: DATE Marlborough,MA 01752 PERMISSION OF SOLARgTY INC. T: (650)638-1028 F. (650)638-1029 GE SE5000A—USOOOSNR2 (508) 771-4419 THREE LINE DIAGRAM PV - 5 6/s/2o�5 (e8B>—sal—CITY -24ss) wrrwsdarcIty.cam NlARNING:PHOTOVOLITAICrPOWER SOURCE • ELECTRICG SHOCK HAZARD • ELECTRIC SHOGKCHFAZARDq .� • 1 �*+T • 1 FC '- • 1 DO NOT TOUCH TERMINALS THE�DC�GONDUCTORSOF THIS .•- • • TERMINALS ON BOTH LINE AND PHOTOVb�LTAI" C�S•YSTEfV1ARE z �'' • : � x + LOAD SIDES MAY BE ENERGIZED UNGROUNDED "b" PH®��®�V®,�T�AI,� ® • ' IN THE OPEN POSITION MAY BE ENERGIZED :1 �' �, a� " ,•_ • • x`����PHOTOVOLTAIC P,OI�NT�OF �,rk �� ° INTERCONNECTION r •• MIAXIMUM POWER �A`= > fit, WARNING ELECTRIC+SHOCK PO INTCURRENT(Imp) ¢ x- ••1 ••1 y x nrgw _ ••" w HAZARD D'O�NOTlit, CH „. MAXIyMUM+POWER �,3 ••1 �TERMINALmSTERMINAL�S'ON POINT VOLTAGE _ BOTH iTHEILFINE�AND LI'l-1- E MAXIMUMM SM�YSTEM '` �''" VOLITAGE"(Voc)_\�: MAY BE,ENERGIZED�INTHEOPEN ' siPOSI 1 ION rF OR SERVICE SHOR IdCIRCUN DEENERGIZE BOTOURCE CURRENT,(Isc)�A`` ' .. . .. ANDq�,MAIIN,,BRE KER.. r PV POWEE SOURCE MAXIMUM'AC A OPERATINGUWI NT MAXIMUM�AC •- • • OPERATING VOLTAGE V WAYR<NING ELECTRIC$SHOCK HAZARD ;' IF AGROUND FAUuI IS INDICATED ' 1 `NOR(vILGROUNDED �hi� .•- • • CONDUCTORS MAY BE UNGROUNDED�AND ENERGIZED C;AU,T�I OO�N DUAL OWER SOURCE ••- SECOND SOURC Is ••1 •, PHOTOVOL`TAIG SYSTEM WARNING = _ EECTRICALSHOGKHAZARD • •1 ����ION . • •• • DONO�TTOUCH TERMINALS TERMINAL"StON BOTH LINE AND ••- 1 PHOTOVOLTAIC SYSjEMI LOAD SIDES MAYrBEENE-RGIZED 1 INTE�OPENOSITION CIRCUIT 16 B'ACKFED ••1 �DCVOLTAGEIS ALWAYS PRESENT WHEN SOLARMODUL EARE� EXP.OSEDTO�SUNLIGHT + r INVEERTE�U T •• .•- • • ' CONNECTION ' • 1 PHOTOVOLTAICAC .:- ADO NOT,REOCATE _ THISTOVERCURRENT • • DISC®NNECT ,. ••- oEvicE , YCgAXIMUMAC� A •,• OPERATING CURRENT `, ••_ ',�, "gf,�� ��RIAXIR1Ufv1 AC�_ «i • _ OPERATINGVOLTAGE ? • 1 �• • • • 1 1N 11111NIA1116Iy 1 III I wal Inac• _ w Way 1 1 / 1• 1 • 1 1 San Mateo,CA '1 IL1 1 • i 11 1 1 1 o- -S ® ar s Next-Level PV Mounting Technology "",,SolarCit Z Solar" - Next-Level PV Mounting Technology olarCity I ZepSol y Y I p Ze soSt@IY1 Components , l f for composition shing a roofs r Up-"roof - - Ground Zap InteNoek IVej sib,�aial a _ -J;, .. •t ZeC CumCbable PV Ftodutc ....> Zcp Groove' _ • - ,,. -. - Raul And� Description W PV mounting solution for composition shingle roofs �`cGmPPc�O Works with all Zep Compatible Modules Zep System UL 1703 Class A Fire Rating for Type 1 and Type 2 modules Auto bonding UL-listed hardware creates structual and electrical bond _ Comp Mount Interlock Leveling Foot U` LISTED Part No:850 1345 Part No.850-1388 Part No.850 1397 „ Listed to UL 2582, Listed to UL 2703 Listed to UL 2703 Specifications — Mounting Block to UL 2703 C'V Designed for pitched roofs „ Installs in portrait and landscape orientations • Zep System supports module wind uplift and snow load pressures to 50 psf per UL 1703" • Wind tunnel report to ASCE 7-05 and 7-10 standards 5 • Zep System grounding products are UL listed to UL 2703 and ETL listed to UL 467 • Zep System bonding products are UL listed to UL 2703 - Engineered for spans up to 72"and cantilevers up to 24" - • Zep wire management products listed to UL 1'565 for wire positioning devices ;.9 Ground Zep r;`. Array Skirt,Grip,End Caps DC Wire Clip _ • Attachment method UL listed to UL 2582 for Wind Driven Rain - Part No.850-1172 Part Nos.500-0113; Part No.85071448 Listed to UL 2703 and, 850-1421,850-1460, Listed UL 1565 ETL listed to UL 467 _ 850-1467 zepsolar.com Zepsolar.com " Listed to UL 2703 r This document does not create any express warranty by Zep Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for - - This document does not create any express warranty by Zep Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for each product.The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely each product.The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely responsible for verifying the suitability of Zep Solar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. - responsible for verifying the suitability of Zep Solar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. 12 22 14 ZS for Comp Shingle Cutsheet Rev 02.pdf Page: 1.of 2 - - - y 12 22 14 ZS for Comp Shingle Cutsheet Rev 02.pdf Page:. 2 of 2 X I i yx solar=oo � solar=ooSolarEdge Power Optimizer g " Module Add-On for North America P3U0 / P350 / P400 SolarEdge Power Optimizer s� P300 P350.. P400 Module Add-On For North America (fordules PV (for 72-cell PV (for 96 cell PV modules) modules) modules) IINPUT - ) P300 / P350 / P400 Y Rated Input DC Power•'I ........ ..... 300 ... .. .. 350 ..... ...... K• Ox z Absolute Maximum Input Voltage(Voc at lowest temperature) 48 60 80 Vdc .... ........ ......... ... ..... .................. ... .... ... ... ..... ¢h4>H 1 y" $?•° _ a MPPT Operating Range 8-48 8-60 8 80 Vdc ... .... ..... ..... .... .. .... ........ .............. Maximum Short Circuit Current hscl 10 Adc k yf 8 .... .. ....... ... ............. ...... ....... ........... ..... ............ ....... .. .. +`. Max mum DC Input C......... ....... .......................................................... 12:r'. .. ..... ..... '� Maximum EfhciencY u 99.5. .%.. ,_ Weighted Efficiency............................... ........ .. ........... .. .... 98.8................ ........... ...%... went ... .............. ....................... ........ .................... ... .. ............ . ...... 'r Overvoltage Category 11 _ JOUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER) +'k r't x t ' a `'`�°Sd` Maximum Output Curren[ 15 Adt .. . ' ......... tV Voltage ... ..... .... ...... ....... ...... .... .... ... ..................... aximum Output V ... _ M a 60 Vdc OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF) Safety Output Voltage per Power Optimizer 1 Vdc I STANDARD COMPLIANCE 1 Widy y EMC FCC Part]5 Class 8,IEC61000 6 2,IEC61000 6 3 Safety IEC62109-1(class II safety),UL1741 .<. .. r• " ,. i IRoHS NSTALLATION SPECIFICATIONS.. ... .......... ............ .. ........... ..... ...... .... .. Yes .. i Maximum Allowed System Voltage 1000 Vdc - - Dimensions(WxLx H) 141x212x40.5/5.55 x8.34x 1.59 mm/In • - t "`" Weight(mduding cables) 950/2.1 gr/lb. .g� - Input Connet[or MC4/Amphenol/Tyco ..;... e - t Output Wue Type/Co ................. ......... ... ........... Amphenol... ......... ........ ........ ... nnector ..,. .� Output Wire Len h ....... .... ........ .....0.95/3.0 ... ....... 1.2/3.9.......... %.k.. Operating Temperature Range.. ... ........ ... .... ......... ...�u410I+85/-40-+185..... ............. ...C/.F / ................... ...... ... .......... ..... .... ........ ............ .. ...... .. .. ..... ...... ... .... x Protection Rating .. ......... .........IP65/NEMA4 ' .. .... ... .... .. ....... ... ....... .. 0-100.... ....... ....... .. .....%..... Rel Rana src Rowe.maa awaasa mmaamwm.sx Rmar iaR..�.aarowrea • `7.' ``PV SYSTEM DESIGN USING A SOLAREDGE THREE PHASE THREE PHASE 1 SINGLE PHASE . _ I INVERTER 208V. 480V f ` PV„power optimization at the module-level - � � � r _ Minimum String Length(Power 0phmIzers) 8 10 18 • Up to 25%more energy - Maximum String Length(Power Optimizers) . 25 50 ............ ....... .. .... .. .. .. ... Maximum Power per String 5250 6000 12750 W - - ' —Superior efficiency 199.5%) ..............._g..............._...�.................................................................................................................................. Parallel Strin s of Different Len hs or Orientations Yes Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading '......""""""""""""" """""""""""...........'"""'...... "'" """""......""""""""""""""""""."" "...""""" Flexible system design for maximum space utilization - - Fast installation with a single bolt - ."�. - - - } +„ ? ,� - ' Next generation maintenance with module-level monitoring 4 _ - a �a — Module-level voltage shutdown for installer and firefighter safety - _ t USA - GERMANY - ITALY - PRANCE - JAPAN - CHINA - ISRAEL - AUSTRALIA WWW.SOIB f[:dg2.Us _ _ z '`"'�3 zip r t i t 'uN. • _ 'fir. .x • u so I a r o 0 Single Phase-inverters for North America s ola r oW:� _ .. o^ =SE3000A-US/$E3800A-US/SE5000A-US/SE600 A-US/ f .• G - ` �_�. SE760OA-US/SE10000A-US/SE1140OA-US SE3000A-US SE3800A-US SESOOOA-US SE6000A-US SE760OA-US SE10000A-US SE11400A-US i- t OUTPUT r, I SolarEduye Single' Phase Inverters o :.. o00 @z4o�. g - ....min... ... . . _ -No alACPowerOutput 3000 3800 5000 6000 7600 11400 VA • ` ri - Max.AC Power Output 3300 4150 6060 8350 12000 VA _ For North America _' ,. ... ...... ... .. .. ... .. .... ....... ... 5400 @ 208V 10800 @ 208V 5450 @240V 10950 @240V Output Voltage Min:Nom.Max.* ..... ... ......... ........... .............. SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ • ,- i ,;r •, ,,. _.AC Output Voltage Mm:Nom:Max.' - ,l. - A- SE10000A-US SE11400A-US '< ` z11-zbo-264va° .. . SE7600 US/ / .. ... ...........:. ........ ..... ................ .... .. .. . AC Frequency Min.:Nom:Max.' S9.3 60:60.5(with HI country setting 57-60-60.5) .Hz " .. '• sY ~ .. .-.Q .... i .. .24 @ 208V..) . .. .... _ I 48 @ 208V ..Max.Con.... ........ ..... ... ... ................. ..S. . ....... .... ... ........ .. Continuous Output Current 12 5 16 2 32 47 5 - .w- ._ '" •-'.`, a GFDI 1 A ...... ..... .. ..... ......... .......... ... ............ .. ... ..... ..... ... r _ ... - , d .. .. � � - y 4-� ,� 7• Utility Monitoring,Islanding 21 @ 240V 42 @ 240V jq Protection,Country Configurable - - Yes- - • F`�epfverte, Y Thresholds INPUT _ �• • ° t mendedMax. 0'Power** i Veaa ty r... F "sw � 3 3'. .... .... .......... ........ ... ................ .. .... _ ....... ...... ................ ... s _ (STC) M00 Wart I �. ,T.+k f :: ,r :.Transformer less,Ungrounded ... ...-... �SYes .......... .......... ................. ... ups,., z,�. „, ,,m '4.3 `$t - a ..... ..................... ....... .... ..... ...... .... _ ... W . ..-, ,. .... e�1aF. '` '' Max.ln utVolta a 500 Vdc .L P B .... ... ..... ........ .... ........... ... ......... ...... ..... .. ... 3750 4750 6250 9500 12400 14 5 ,`s. `•'. "; - Nom.DC Input Voltage... .. - ..325 @ 208V/350 @ 240V - Vdc ......,...�< ;, -.. ......................................... .... ....... ........... .. ...... ............ ............ .... ....... .-...... t"� -aff .'r •.._ ..16.5 @ 208V. . ...33 @ 208V. . - 5 [3 = , s •' a» F Max.InputCurrent - 9.5 13 ' 18" 23 345 Adc t i^f.'�y)'.I`"`i y - I 15.5 @ 240V I ..............).30.5 @ 240V ;'t s .- Max.In ut Short Circuit Curren[.... ....... ..............:30... .--..... ........ .... . 45...... ............... ..Adc... .. ? ........ .. .... ........................................ ... Reverse-Polarity Protection ............ ...... ..... .Yes................... ... . ............................. .. ............................ Ground Fault Isolation Detection 600ko Sensitivity Maximum Inverter Efficiency.....:.. ..97.7.... ._.98.2... 95.3 � '....98.3.... .....98..... ...98.. .... 98.... %..:. _ - "_ "# -''• xg '. ..CEC Weighted Efficiency 97.5 98. •97.5 @ 208V 97.5 97.5 ..97 @ 2011V 97.5 % g .. ....... ..............1............. 98 @ 240V ( I -97.5 @ 240V s 1r W� Nighttime Power Consumption <2.5... ........ ...... .. `4.. ..W. !ADDITIONAL FEATURES i' x y a € } k €_- _Supported Communication Interfaces R5485,RS232,Ethernet.ZigBee(optional) ,. ......... ...... ..... ..... ...... .. .......................................... ....... ....... .. .... * _ - _, �5 r .. .Revenue Grade Data,ANSI C12.1 ..Optional _ / i t 11 :STANDARD COMPLIANCE i Safety - UL1741 UL16998 UL1998,CSA 22.2 • }, _ ..,.,� "� :( .. ......... .. ..................... ........ .. ..... .... .. ................................................. '- -.'-......."-"` Fti .a.`. ' "tg",,.-yd•;�w .`' F$' .. ., - • •Grid Connection Standards IEEE1547 - - .. ......... ............................ ............................................... - ...................................... . :�-._ g � - r i- ... � x• - ?+ Emissions FCC part15 class B d r 'i INSTALLATION SPECIFICATIONS .: * '"�'s c- •::- - AC output conduit size/AWG range 3/4"mlmmum/24 6 AWG ........3/4"minimum/.8-3 AWG...• •.••. .. - bs ............................... ... ......... .......... .......... , Y. DC input conduit size/#of strings/, -6 -- - - ,, - "'��', �i� �f �: ;,fl t,� 5 C ^'_ "• - - 3/4"minimum/1 2 strings/24-6 AWG _ 3/4"minimum/1-2 strings/14-6 AWG- •. range. ... ......... ................. .... .. y - ,: ,._ :;__ ':., ,.a a�Y.4 ,>h i', .y;, ., ,'•.'' - Dimensions with AC/DC Safety 30.5 x 12.5 x 7/ 30.5 x 12.5 x 7.5/ x x x - 1°/ - - ( 30.5 12 5 10 5/775 x 315 260 - P.... s „, .,•� -^ Switch HxWxD • -'!->* �; :'`:, _ a„> __' " " '' ":'` =° 7 mm 7 ...•• 7 ..• ... .. _. . Wei htwithACDCSafe Switch 54.7/24.7 88.4/40.1 lb kg - ° Coolin Natural Convection Fans.(user replaceable) - - ........g.................................. ........ ..........--....................... ................... ....... ..... . ,.. ....... ... ......:... The best choice for SolarEd a enabled systems "oi5e <zs <so d/1. g Y _, Min:Max.Operating Temperature-' Integrated arc fault protection(Type 1)for NEC 2011690.11 compliance Ran a -13 to+140. 25..+60(CAN version" '-40 to... F { .8............ Superior efficiency(98%) Protection Rat ng .... ..............NEMA 3R. ._.... .................... ..... ...... .... .. 'For other regional settings please contact SolarEdge support. Small,.lightweight and easyto install on provided bracket Limited to 125%for locations where the yearly ayerage high temperature is abo,e 77*F/2S'C and to 135%for locations where it is below 77'F/25'C. - . - " For detailed Information,refer to htto//wwwsolaredee us/files/odh/inverter do oversizme-euig-df Built-in module-level monitoring .••Ahigher current source may be used;the Inverter will limit its input current to the values stated. ••CAN P/Ns are eligible for the Ontario FIT and mlcroFff(micmFIT exc.SE11400A-US-CAN). _ Internet connection through Ethernet or Wireless ' Outdoor and indoor installation u d u i . ., , ,,.. . 'r, 1. Nt ; �w Fixed voltage inverter,DC/AC conversion only Pre-assembled AC/DC Safety Switch for faster installation : Optional-revenue grade data,ANSI C12.1 surlsi � iy M j r --- p n•r �t p f USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THENETHERLANDS ISRAEL , www.solaredge.usil� S MECHANICAL SPECIFICATION Formal 65.7 in x 39.4 in x 1.57in(including frame) 44.09 minx 1000 minx 40 min). �Weight 44.09 lb(20.0 kg) _ - - From Cover 0.13 fin(3.2 mm)thermally pre-stressed glass with anti-reflection technology - ,,,. Back Cover Composite film •.,.��� �. _ c!1"_,,.a.+• � - Frame Black anodized ZEP compatible frame Cell 6 x 10 polycrystalline solar cells �•'�•,.,.. y,_.,..., Junction box Protection class IP67,with bypass diodes ..r�°„°a.,,.x.,na °'"' - r«• '"",.. _.�--""r j Cable 4 mm2 Solar cable;(+)a47.24 in(1200 mm),(-)a47.24in(1200 mrn) .•>•w� 2^•,° •```� ' Connector MC4 UP 68)or H4 UP68) I ELECTRICAL CHARACTERISTICS !� • • �I � � PERFORMANCE AT STANDARD TEST CONDITIONS(STC:1000 W/m',25•C,AM 1.5G SPECTRUMY r -._ _.�...-_ .. _ ._.. POWER CLASS(+5 W/-o W) [Wl 255 260 265 NimmalPower P_ [Wl 255 260 265 • ` ,_ L • . ' I Short Circuit Current f �_ _ Ix [A] - 9.07 _ _ 9.15 -.T T 9.23 all WILD] ' Open Circuit Voltage- 37*54 37.77 38.01 Current at P I.. [A] 8.45 8.53 8.62 V„w IN] _ 30.18 - 30.46 _ 30.75 The new{.PRO-G4/SC is the reliable evergreen for all applications,with 1 Elficiency(Nominal Power)� [°6] 215.3_ - 2!15.6- - Z15.9 a black Zep ,Compatible7l" frame design for improved aesthetics, opts- PERFORMANCE AT NORMAL OPERATING CELL TEMPERATURE(NOCT.BOO W/m=,45 x3%C.AM I.5G SPECTRUMY _ IA POWER CLASS(+SW/•OW) [W] - 255 260_ 265 mized material usage and increased safety.The 4 solar module genera- t ._ __ ._ . . _ ...�, __. tion from Q CELLS has been optimised across the board: improved output , NommalPower _ �- P� [W] - - ___188.3 _ 192.0 195.7 Short Circuit Current 13G [A] 7.31 7.38 7.44 yield, higher operating reliability and durability, quicker installation and Open circuit voeag.a _ V.- [V1 34.95 - - 35:16 - - - 35.38 more intelligent design. Current at P.- Iwm (A] 6.61 - i.68 - 6.75 Voltage m Pp, -- w. - V�p (V] 28.48 -... 28.75 .. 29.61 i -Measurement tolerances STC:z3%(P_);.10%(lam,Vs I_,Vmp) 'Measurement tolerances NOCT.x5%(Pm2p);z 10%(I V_,I,,,,Vmrp) ,'INNOVATIVE ALL-WEATHER TECHNOLOGY PROFIT-INCREASING GLASS-TECHNOLOGY - 0 CELLS PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE •Maximum yields with excellent low-light •Reduction of light reflection by 500A, At least 97'b of nominal power during x ^ - - and temperature behaviour. plus long-term corrosion resistance due first year.Thereafter max.0.6%degra- .. ,ems..,. . ^ w dation per year. •Certified fully resistant to level 5 salt fog, to high-quality At least 92%of nominal power after is r Sol-Get roller coating rocessin . 10 years. ; .g processing. W: At least 83%of nominal{mover after .. R i ' ' ' ENDURING HIGH PERFORMANCE ., 25 years. � N--- '-- •'Longterm veld"Security dye to An E)fTENbEO WARRANTIES All data within measurement tolerances. m m Pull warranties in accordance with the PO Technology',Hot-Spot'Protect: •Investment,security due to 12-year warranty terms of the Q CELLS sales IRRADIANCE rn1.9 ,°and Traceable$uality Tra:QT"'. product warranty and 25-yea organisation of your respective conntry.r linear i The typical change in module efficiency at an irradiance of 200 W/m2 in relation •Long-term stability due to VDE Quality; performance warranty?. I •�•zw �-_� " p rra to 1000 W/m2(both at 25°C and AM 1.5G spectrum)is-2%(relative). Q Tested-the strictest test program. TEMPERATURE COEFNCIE_NTS(AT 1000W/M2,25•C,AM 1.5G SPECTRUM) - - ,ckct s j.Temperature Coefficient of lie a [%/K] -Y +0.04 Temperature Coefficient of VIA_IS [%/K]a - _ -0.30 S T. a - §AFE ELECTAONiCP BRnhl7 L!V I Temperature Coefficient of P_ V [%/Kl -0.41 NOV, VFFI 113+5.4(45 t 3'C)� ry P •Protection against short eir'cuits;and PROPERTIES FOR SYSTEM DESIGN thermally induced power losses due to 2D74 ; Maximum system voltage V° _ IN] 1000(1EC)/600(UL) Safety class u breathable iunction box and welded. maximum series Fuse eating [A DC) _ _ 2_0 Fire Rating C/TYPE 1 cables: .. F_Max Load(UL? � rlbs/tVI _... � _50(2400 Pa) Permitted module temperature_ - -40°F up to+185°F .. an continuous duty (-40°C up to+85'C) - O P nfAnN'j �d Rating(UL)2 - [Ibs/ft2l ~Y' 50(2400 Pa) 2 see installation manual'is QuatltyTeator! i G1oBli .11 QUALIFICATIONS 1 CERTIFICATES PACKAGING INFORMATION0 alnaoea l0ta } UL 1703;VDE Quality Tested;CEaompliant;, - Number of Modules per Pallet 25 ' °""'""""^'•. r �� I IEC 612151Ed.2);IEC 61730(Ed.1)application class A -"'^" '-"• - -- - -_ _ THE IDEAL SOLUTION FOR:, 1e.4OW2507 l - � Number ofPallets per 53•Container _ w "n 32 - NQpowR4rm Number of Pallets per 40'Container 26 - Rooftop arrays on. _ - - T �NPRT t V A- /4. Pallor Dimensions(L x W x H) T 68.5 in x 44,5 in x 46.0 in residential buildings N�G /A/�, D E .C E c „usepZNs - (1740 x 1130 x 1170 mm) - j - l -- - _• r . .,.^ Paallet Weight 1254 lb(569 kg) _ 2 I m 'l �A. v NOTE:Installation instructions must be followed.See the installation and operating manual or contact our technical service department for further information on approved installation and use of O APT test;Condrtrans:.CelB at•1000V againstgiounded,with conductive meta foil covered odu a SUdaC& MMV this product.Warranty void if non-ZEP-certified hardware is attached to groove in module frame. 2 See data sheet oh'rearfor furtiierioforination. Nanwha B CELLS USA Corp. ., 8001 Irvine Center Drive,suite 1250,Irvine CA 92618,USA I TEL+1 949 748 59 96 1 EMAIL q-cells-usa@gtells.com I WEB www.q-cells.us ,Engineered,in Germany GORLS, Engineered in Germany Q CELLS