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BP-93788
Permit No. BP-93788 BUILDING PERMIT GIS#: 16715.00 Commonwealthof Massachusetts Map: 0079 TOWN OF DARTMOUTH Lot: 0027 400 Slocum Road,Dartmouth,MA 02747 Sub-Lot: 0004 Phone:(508)910-1820 • Fax:(508)910-1838 Category: SOLAR PANELS "Project# JS-2020-000836 PERMISSION IS HEREBY GRANTED TO: Est.Cost: $24000.00 Contractor: License: Phone II: Fee: $75.00 PAUL A EATON CS-088720 (508)291-0007_ Const.Class: 111170355 Use Group: R3 Engineer. License: Phone#. Lot Size(sq.ft.) 119640 Zoning: SRB Applicant. Phone#: Aquifer Zone: ZONE 3 TRINITY HEATING&AIR/DBA TRINITY SOLAR Flood Zone: ZONE A (508)-291-0007 New Const.: N/A OWNER: FARIA HELDER M& Ai Alt.Const: N/A Date Typed: 10-25-2019 DATE ISSUED: V TO PERFORM THE FOLLOWING WORK: Install a nineteen panel photovoltaic array on existing rooftop - 5.985 KW Pro'eet Location: 70 PINE ISLAND RD Approved/Issued By: eu -E , �1� DAV UNETTE,LOCAL BUILDING INSPECTOR All work shall comply with 780 CMR 9TH Ed.(MGL Chap.143)and any other applicable Mass.Laws or Codes and plans on file. Schedule appropriate inspections as required. Upon completion,final inspection is required. I hereby certify that the proposed work is authorized by the owner of record and I have been authorized by the owner to make this application as his agent and to receive this permit, I further understand other agencies may have reason to STOP WORK if items under their jurisdiction are not met; not withstanding the issuance of this Building/Zoning Permit. Signature of Owner/Agent: )6 s �r � "Persons contracting with unregistered contractors do not have access to the guaranty fund(as set forth in MGL c.142A)" Inspector of Inspector of D.P.W.Inspector Building Inspector Inspector of Gas Fire Department Plumbing Wiring Water Service#: Footings: Underground: Oil: Underground: Service: Foundation: Rough: Smoke: Rough: Rough: Sewer Service#: Rough Frame: Insulation: Final: Final: Final: Cross Connection Final: Final: Board of Health E-911 Additional Comments: Planning Board Prior to issuance of Certificate of Occupancy/Completion,this card must be returned to the Building Department with all necessary inspections signed off. Department phone numbers are listed on the white"Required Inspections"document provided with the issuance of the building permit. POST CARD SO IT IS VISIBLE FROM THE STREET -, -, mi. 4 ,at TOWN OF DARTMOUTH - BUILDING DEPARTMENT RECEIPT ^,..j,) 0 0 PHONE: 508-910-182Q .FAX: 508-910-1838 Name I i : / s '. ----1'41 ' 1 ,.. i /-11/— Property Owner , /1-01 e' )1 xi- -,'' ---- Date:, i ---; ---:,- , Job Location: Map: 7.:2 ,' ; Lot: ->2 1 - V - ( Description ., 11\kedger#'s Ref. # Amount ,, Building &Building Mi c. 01000-44105 `::.-1..1 1j.",----- . , Electrical , , -01000-44106 i 1 Plumbing& Gas , 80100Q44107 •lii, Trench Safety (14i8V(13)000-44129 NO Other Department Revenue 01000-42420 '''h M....fly s*'.. .4 • R M E N TS White-Collector's Office Yellow Copy-Customer's Receipt Pink Copy-Building Department Received By THIS IS NOT A PERMIT/LICENSE FOR BUILDING, ELECTRICAL, PLUMBING OR GAS RESIDENTIAL ❑ Phased Approval(R106.3.3) $25.00 APPLICATION FEE IS NON RE-FUND/1/4 MA &NON-TRANSFERABLE H.� f?- DATE RECEIVED ``"' DARTMOUTH BUILDING DEPARTMENT y 9s: `8, _ 400 Slocum Road, P.O. Box 79399 _, ,�,` Dartmouth, MA 02747 I ( `9,- - ; Phone: 508-910-1820 Fax: 508-910-1838 lit/tjt----- www.town.dartmouth.ma.us APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING THIS SECTION FOR OFFICIAL USE ONLY RECEIVED BY: BUILDING PERMIT NUMBER:q37 1 DATE ISSUED: SIGNATURE: (art 451_, ,gle.,/ DATE: y" y_____ Building Commissioner/Inspector of Buildings Zoning District: -S7(,,os9 Proposed Use: /k Zone: ❑X 0 B U A ❑V Aquifer Zone: , THE FOLLOWING AGENCIES SHOULD BE NOTIFIED: ❑Board of 0 Board of 0 Cons. 0 Demo 0 DPW 0 Elec. ❑Energy Report Appeals Health Commission Affidavit Card Sent: Cut Off Follow-up` 0 Fire 0 Gas 0 Planning 0 Sewer Card 0 Water Card 0 Zoning 0 Other Chief Cut Off Board Cut Off Cut Off t - *REQUIRES INSPECTOR'S REVIEW BEFORE THE ISSUANCE OF A PERM . 4 ` i DEPARTMENTAL APPROVAL ,p 1 Board of Health: Signature: Date:. !, Conservation Commission: Signature: Date: , l Other: Signature: Date: Signature: Date: r Signature: Date: • Brief description of work being performed: Install 5.985 kw solar panels on roof. 19 panels total. SECTION 1 SITE INFORMATION 1.1 Property Address: 70 Pine Island Rd. 1.2 Assessors Mapp7&Lot> Number: Lot Area(sf.) Frontage Map / c/ Lot 7 Required Provided Front Yard ' 1.3 Historical District 0 Yes 0 No Side Yard Year Built Rear Yard 0 Altering more than 25%per side of building 1.4 Water Supply(MGL c40 s54): 1.5 Sewage Disposal System: Has application been submitted to the Historic Commission? 0 Municipal 0 Private Well 0 Municipal 0 On Site Disposal System 0 Yes 0 No Date: Revised 10/11 A CONSTRUCTION PLANS El SITE PLAN 0 ENERGY REPORT 1 - • RESIDENTIAL SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1, Owner Record: Ana Faria 70 Pine Island Rd. 508-971-2949 Name(print) Contact Address Phone Number 2.2 Authorized Agent: Paul Eaton 20 Patterson Brook Rd.Unit 1,W.Wareham,MA 02576 (508)291-0007 Name(print) Contact Address Phone Number SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor/Specialty License: License Number: 88720 Company Name/Contractor Name: Paul Eaton HIC# 170355 Address: 20 Patterson Brook Rd. Unit 1,W.Wareham, MA 02576 Expiration Date: 4/10/20 Signature: ,,� Telephone: (508)291-0007 3.2 Homeowner xemption-One&Two Family Only Section 110.R5.1.3.1 Exception: FOR HOMEOWNERS WHO INTEND TO PERFORM AND BE RESPONSIBLE FOR THEIR OWN PROJECT Exception: Any Homeowner performing work for which a Building Permit is required shall be exempt from the provisions of this section;provides that if a Homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor. For the purposes of this section only,a"Homeowner"is defined as follows: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use andfor farm structures. A person who constructs more than one home in a two-year period shalt not be considered a Homeowner. If you are applying under this section sign below: Signature: SECTION 4-WORKER'S COMPENSATION INSURANCE AFFIDAVIT(MGL c 152§25) Worker's Compensation Insurance Affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached: i "Yes 0 No SECTION 5-DESCRIPTION OF PROPOSED WORK(Check all applicable) ❑ Deck 0 Pool 0 Repairs 0 Alteration 0 Chimney/Fireplace 0 Woodstove/Pellet Stove 0 New Construction* 0 Accessory Bldg. 0 Roofing/Siding ' Other Solar (Energy report required) (Shed/Garage) (Specify below) ❑Addition 0 Replacement window/door 0 Demolition (Energy report required) No. of windows Doors (Specify below) *If new construction,please complete the following: Single Family: No.of Bedrooms No. of Baths Two Family: No of Bedrooms Unit 1 No. of Baths Unit 1 No of Bedrooms Unit 2 No. of Baths Unit 2 ❑Furnace(hot air)-fuel gas(natural or propane),fuel oil,electricity,other(specify): ❑Boiler(heating)-fuel gas(natural or propane),fuel oil,electricity,other(specify): ❑HVAC(combined unit)-primary fuel,natural gas,propane,electricity,other(specify): ❑Air conditioning-(separate unit) ❑None of the above to be provided I a Hot Water: Gas Electric Fuel Oil Other SECTION 6-ESTIMATED CONSTRUCTION COST Item Estimated Cost($)to be completed by permit applicant 1. Building 2,000 1 2. Electrical 22,000 3. Plumbing 4. Mechanical(HVAC) " 5. Total=(1 +2+3+4) 24,UUU SECTION 7A-OWNER AUTHORIZATION (to be completed when owner's agent or contractor applies for building permit) (Please Print) I, Ana Faria , as Owner of the subject property hereby authorize Paul Eaton 1 to act on my behalf, in all matters relative to work authorized by this building permit application. Please see attached. 10/9/19 Signature of Owner Date 1 SECTION 7B-OWNER/AUTHORIZED AGENT DECLARATION i, Paul Eaton , as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. 10/9/19 Signature of Owner ed Agent Date SECTION 8-OFFICE/INSPECTOR'S NOTES Less Application Fee: $25.00 Remaining Balance: $ 8� A Total Permit Fee: $ 7 Other$Amount$ 4 Gross Area-New Construction total sq.ft. Gross Area-Alteration total sq.ft. Permit Issued to: /J,1-‹` o Ct__ / 7/�,2,Yu Q.../ 4- 7'U 079- G :YmL� avt C C .Q 2 S`r.�72 . .-c . 7 8 5- i- tt.) c7 SECTION 9-ADDITIONAL COMMENTS/SKETCHES F;ij4& ris Ff / jam'' � -- �` �7., /4a ivy`/.!/'l r!x+�e,E' 7 'e'CPr/1 ,f .z' i/,,?'-;1r r'cle)k F '/4 Office of Consumer Affairs and Business Regulation 1 000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card TRINITY HEATING&AIR,INC. Registration: 170355 D/B/A TRINITY SOLAR Expi ration: 10/11/2021 2211 ALLENWOOD RD WALL,NJ 07719 SCA 1 Ci zoM osn 7 Update Address and Return Card. �7 f-vni sir;-r,i if,,/ 4..Gi,.,,,, .G;.. ;' Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:SUpolement Card before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 170355 10/11/2021 1000 Washington Street -Suite 710 TRINITY HEATING&AIR,INC.. Boston,MA 02118 D/B/A TRINITY SOLAR PAUL EATON 1 c":2,61.--,-.---20 PATTERSON BROOK ROAD UNIT 10 .�,.,�i i` '•iyG4,re-ii. WEST WAREHAAM,MA 02576 Not valid without signature Undersecretary t i Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards ConstruCtitin` Upervisor CS-088720 Expires: 04/10/2020 PAUL A EATON 117 COMFORT STREET BRIDGEWATER MA 02324 Commissioner ,L. c( ConsMuction supervisor Unrestricted-Buildings of any use group which contain less than 30,000 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass.gov/dpl t MA,Master Electric Contractor#21233 - n ' l ®• MA,Home Improvement Contractor#1703E Rhode Island Contractors'Registration and Licensing Board Registration No.393, SOLAR Rhode Island Renewable Energy Prof REPC-1; For other jurisdictions,please visit:http://www.trinity-solar.com/about-us/locations-and-licensf October 9, 2019 Tristan Souza Permitting Specialist 20 Patterson Brook Rd. Unit 1 W. Wareham, MA 02576 Tristan.Souza@trinitysolarsystems.com RE: Permit Application for Solar Installation Building Department: Enclosed please find applications and checks for 70 Pine Island Rd. building and electric permits. If you have any questions, please contact me at 508-291-0007 ext.1231. Very truly yours, Tristan Souza Permit Specialist Wareham, MA and Rhode Island Offices 1-877-SUN-SAVES 20 Patterson Brook Road, Unit 1 Ph:508-291-0007 Wareham, MA 02576 Fax:508-291-0040 www.trinity-solar.com wyvimWESTSHORE ins ,t c ri i`,; E N 3 I N Rpc RELt O KS Br S.itTE 15 i ALB AN j VE'_,i ,ORK12203 IIINOMMIN To: Trinity Solar 20 Patterson Brook Road Unit 1 West Wareham, MA 02576 Date: September 30, 2019 Ref: 19091239 Subject: Faria Residence 70 Pine Island Rd. Dartmouth, MA ili t "1, , ':ri Dear Trinity Solar, The following references the Faria Residence in Dartmouth, MA: 1. Existing roof framing: Pre-fabricated/engineered wood truss is 2x4 at 24"o.c. This existing structure is capable to support all the loads that are indicated below for this photovoltaic project 2. Roof Loading: - 4.33psf dead load(modules plus mounting hardware) - 30psf ground snow load - 5.1psf roof materials (1.1psf 2x4, 1.5psf sheathing, 2.5psf asphalt shingles) - Exposure Category B, 140mph wind(3 sec.) This installation design will be in general conformance to the manufacturer's specifications,and complies with all applicable laws, codes, and ordinances, specifically the International Building Code/IBC 2015 and International Residential Code/IRC 2015 including all MA regulations and amendments. The spacing and fastening of the mounting brackets is to have a maximum of 48"o.c. span between mounting brackets, staggered, and secured using 5/16" diameter corrosive resistant steel lag bolts. A minimum of 2.5" of penetration per lag bolt is required, which is adequate to resist all 125mph wind live loads including wind shear. Per NDS Section 11.1.4 clearance holes equal to the diameter of the shank need to be bored into primary a primary framing member for the full length to the threaded portion of the screw to avoid splitting of the framing member. Thank you. ���\.-tH OF Moss Westshore Design Engineers oS' EXP.6-3O-20 yGX �o NICOLAS A. N ITTI CIVIL V NO. 50222 a ii''eGISTE0 �,,c- 9°F O FSSINALEN��� 9/30/2019 John Eibert Nicolas Nitti, PE Project Coordinator President WestShore Design Engineers it 100 Great Oaks Blvd. II Suite 115 II Albany,NY 12203 II 518.313.7153 SOLAR HOMEOWNERS AUTHORIZATION FORM Ana Faria (print name) Am the owner of the property located at address: 70 Pine Island Rd Dartmouth MA 02747 (print address) I hereby authorize Trinity Solar, and their subcontracting company, , to act as my Agent for the limited purpose of applying for and obtaining local building and other permits from the Authority Having Jurisdiction as required for the installation of a Photovoltaic System located on my property. This authorization includes the transfer/re-administering, and/or cancellation of any existing permits on file for the purpose of updating/applying with an alternate subcontractor. Customer Signature Ana Faria Print Name 9/21/2019 Date Corporate Headquarters 800-SUN-SAVES 2211 Allenwood Rd Ph:732-780-3779 Wall, NJ 07719 Fax:732-780-6671 r. Made with Earth-Friendly Products -- — www.Trinity-Solar.com nsrn� 000077 r . ►oyz `n• ^a 0 0 �D �� 80e b N,,•11 In , A m Ci7 '� .! -i 'i'''J 'x �7 q i i aaovb� _ zz 4� .4 _4 V 'aC27 - 22 s t x77J��C7 �C �yC7 rl -. n _ �; C C r.,r- hr ►.o o n C� O 77 x C7 z N Ci7C17 C '�` N�-+ ( - nCi70 7 ao m" 77 lC o e NNN �7 z ►i �'� oo�om ► 77 -- P. v ►, • >p� Z 2 � N N N C A-x.. Qo C�7 R° °^ R°, - �7 3►47 TS N O O O S: ` -_ O 0 y 2z�� _ v' my N nnr a o tota �, 2 G c a W W b co f n , =O�r' C7 a o ccA a Po ems: b o' A ? i C O at - x 7 as c`' �I OC SIii OAUW�`"' �` N N ►+0 - , �, ►.,W �+�, 'S VI Cyam.a.? �'b C) H-+, NANe -0:,-0,-co C . ... = _ �o�AO i .0y n© '7 = 4.1 , A,� �sPr+ �.OA w` -0 a• n c 0, 000° ' C 0 0 0 5 b 000 � \ , - 0n � z O O zO p t' ''. 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TEMPEUJIRE LUElluisys r......,...,..4.6.,,. . 1 MC +0.39 braorrsav dosiickat UV.. 9 1553/111 -0.28 11 ninon:len C431401Mul P,,,,, V 1 Min -0417 Itsrnal 0341672,1310941 Town NV C11 113 3354 146-3-05 131 PROPERTIES FOR SYSTEM DESIGN 4 . t /....,303 ft.243.c„ f43 1000 ClE03,1r40 11.17 mad,/aux 17 413.k.33.33 St.,4,273 Fug fain [AIM 20 V.rx Fixing C th-('1/TYPS13011 5 .3. Sibila Lai,3*4l11117 N14.7•10 75 13440P3) yawed=Ada 53343uutist -4731f up'Ls 33,3,434143131s taxy 1-46'G siz•:4,4365`3,71 + 16411 3044.gull 0121 11343118 55,6 125366P4 '.344 1,073Sr-on marvel i a $2uAuF4canotts AND DprrantAlts PACKAGING iffoRmArias 7, 18.IJ5101.6k 03.3313+3913910Evaryi511, Kw*.x31133413131 pm 049e 32 ." 6,6 4,1 gt 1 frl,,Y3 1E0 GII13 Ctl.t1 InlieLr.V.i A - 4 ' 1439*f 41'P*119,ger WV mow- 50 3. 20 ria C E 41 1.„,L4, 1444444*PA AN 347+cr mot 0 it*osmiN dn. PAW%units (1...33*9 irs .$ t J., x ''-'4, 019 69:li 4E31 .ig 9 0,991 3 t 1&Orval,.1)909190 1 P3034 14440 1415,1)11€42453! Mit 1341331143133 19E94919 993 b919.10,1,1,14,19 PY4,9111414/4 439.113,Ta 1 kW V wtnt(44 tX,Y9,431 P141.,le93317930 11 lurro 11.499190 13 43w33e9,".4V4/.43`.0,ar31 ize 9'113 333131t 4449433198LiA339953 ino. .134 4,9319.9,1,90,1r10 4319 31933 439.,4%.9,15$8,1435 1 739.1.i 943 94149 94 1 E3414 ilqi in..4.1 4.3344,3 roi 721+.1,x c cab,. + The Commonwealth of Massachusetts II Department of Industrial Accidents �_M1S 1 Congress Street,Suite 100 .1116, ‘ Boston,MA 02114-2017 ' `< www.mass.gov/dia N. g Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Trinity Heating&Air DBA Trinity Solar Address: 2211 Allenwood Rd. City/State/Zip: Wall,NJ 07719 Phone#: (732)780-3779 Are you an employer?Check the appropriate box: Type of project(required): 1.grI am a employer with 300 employees(full and/or part-time).* 7. ❑New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. ❑ Remodeling any capacity.[No workers'comp.insurance required.] 3.01 am a homeowner doing all work myself.[No workers'comp.insurance required.]' 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 1 1.'Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.0 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 arc a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is frp,ti 'ng workers'compensation insurance for my employees. Below is the policy and job site inform4do Ins y Fr pa , H Global Insurance Company I111 Policy#or Self-ins.Lic.#: EWGCR000065618 Expiration Date: 12/31/19 Job Site Address: 70 Pine Island Rd. City/State/Zip: Dartmouth,MA Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: — Date: 10/9/19 Phone#: (508)291- 7 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#: ACC PRE, CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDlYYYI') � ` 12/20/2018 TEA-CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS C R'TIFICATE 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 CONTACT NAME: Mark Grasela Arthur J. Gallagher Risk Management Services, Inc. PHONE I FAX 4000 Midlantic Drive Suite 200 (NC.No,Eat):856-482-9900 No):856-482-1888 Mount Laurel NJ 08054 E-MAIL ADDRESS: CherryHilLBSD.CertM@AJG.COM INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:HDI-Global Insurance Company 41343 INSURED TRINHEA-03 INSURER B:Liberty Insurance Underwriters Inc 19917 Trinity Heating&Air, Inc. DBA Trinity Solar 28 Patterson Rd INSURER C:American Guarantee and Liability Ins Co 26247 Wareham, MA 02571 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:411228819 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 SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EGGCR000065618 12/31/2018 12/31/2019 EACH OCCURRENCE $2,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $500,000 MED EXP(Any one person) $0 PERSONAL 8 ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X Tar LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY EAGCR000065618 12/31/2018 12/31/2019 COMBINED SINGLE LIMIT $2,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident $ AUTOS ONLY AUTOS ) HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ B UMBRELLALUIB X OCCUR 1000231834-03 12/31/2018 12/31/2019 EACH OCCURRENCE $21,000,000 A EXAG R000065618 12/31/2018 12/31/2019 C X EXCESS UAB CLAIMS-MADE AEC 1448324-00 12/31/2018 12/31/2019 AGGREGATE $21,000,000 DED I RETENTION$ $ A WORKERS COMPENSATION EWGCR000065618 12/31/2018 12/31/2019 PER I I OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Automobile EAGCR000065718 12/31/2018 12/31/2019 All Other Units $1,000/$1,000 Comp/Collusion Ded. Truck-Tractors and Semi-Trailers $5,000/$5,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of Insurance f ,, t. ' , e 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. Evidence of Insurance AUTHORIZED REPRESENTATIVE IVl .tel :.Q,,,..) ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Permit No. BP-93788 Project Location: 70 PINE ISLAND RD Commonwe w•r-ohr sachusetts TO i' * 4,' 1 Aig. .>' 4 4 UTH iii, , 1 . . ‘'' : i' I : i liF tita7*: 104, • 46 D. /. D b 1.1 ,,d i IIII rir 406. .• *ir IF J to i i , , Contras I . o z e: i ' one#: PAUL f 0 ` I:)291-0007 5 Engineer. . 2 gc� Phone#: a Applicant: �S �8 Phone#: r. TRINITY HEA 1 le A I' ! Y:`i0 • (508)291-0007 OWNER: �' FARIA HELDER M& DATE ISSUED: / 13/9 n . ;;h n ,. TO PERFORM THE FOLLOWING WORK: Install a nineteen panel photovoltaic array on existing rooftop - 5.985 KW DATE TIME TYPE OF INSPECTION&REMARKS INITIAL /06?//T 32) 69ZA-77) CAd 1-----",,e,- "Le_..., '--- 1.)--t-,6,ii4...v...lort. r A f ci,417 7,0e._ 19.g. • )1- i,r\/- fry ft Tf_ . Permit No.. BP-93788 BUILDING IT GIS#: 16715.00 Commonwealth of Massachusetts Map: 0079 TOWN 6F DARTMOUTH - Lot: 0027 400 Slocum Road,Dartmouth,:MA 02747 Sub-Lot: 0004 Phone:(508)910-1820 •_.Fax:(508)910-1838 Category: SOLAR PANELS Project# JS-2020-000836 PERMISSION IS KERE&Y GRANTED TO: Est.Cost: ' $24000.00 Contractor. License: Phone#.Fee: $75.00 PAUL A EATON' ':CS 088720 (508)291.0007 Const.Class: HI-170355 Use Group: R3 Engineer. License Phone Lot Size(sq..ft.) 119640 Zoning: SRB Applicant: „ Phone# '� Aquifer Zone: ZONE 3 Flood Zone: ZONE A TRINITY HEATING&AIR/DBA TRINITY SOLAR (508)291 00.(17 OWNER: New Const.: N/A FARIA HELDER M& Alt.Const: N/A Date Typed: 10-25-2019 DATE ISSUED: TO PERFORM THE FOLLOWING WORK: Install a nineteen panel photovoltaic array on existing rooftop - 5.985 KW Project Location: 70 PINE ISLAND RD Approved/Issued By: AVID B U ETTE,LOCAL BUILDING INSPECTOR All work shall comply with 780 CMR 9TH Ed.(MGL Chap.143)and any other applicable Mass.Laws or Codes and plans on file. Schedule appropriate inspections as required. Upon completion,final inspection is required. I hereby certify that the proposed work is authorized by the owner of record and I have been authorized by the owner to make this application as his agent and to receive this permit, I further understand other'agencies may have reason to SLOP WORK if items under their jurisdiction are not met; not withstanding the issuance of this Buildin /Zoning Permit. Signature of Owner/Agent: 44 Kett "Persons contracting with unregistered contractors do not have access to the guaranty fund as set forth in MGL c.142A)" Inspector of Inspector of D.P.W.Inspector Building Inspector Inspector of Gas Fire Department Plumbing Wiring Water Service#: Footings: Underground: Oil: Underground: Service: Foundation: Rough: Smoke: Rough: Rough: Sewer Service#: Rough Frame: Insulation: Final: Final: Final:13 /l4 Cross Connection Final: Final: °], J /Iq Board of Health E-911 Additional Comments: Planning Board Prior to issuance of Certificate of Occupancy/Completion,this card must be returned to the Building Department with all necessary inspections signed off. Department phone numbers are listed on the white"Required Inspections"document provided with the issuance of the building permit. POST CARD SO IT IS VISIBLE FROM THE STREET THIS IS A COPY DocuSign Envelope ID:F5FA13D5-48BC-4257-980A-1 B9579C19FF6 ;i,fs is a copy:;e, of the Authoiltative Copy held oy the designated custodian S u n n a Puy,, Name Peter Morton Co-lat:yer and Add,es5 128 Bridge Street N�T!_ ([fAny Manchester-by-the-Sea,MA 01944-1414 I ;t<�il_iiun 128 Bridge Street Conrractnr Trinity Heating and Air Inc. I° `i"On d/b/a TrinitySolar Manchester-by-the-Sea,MA 01944-1414 2211 Allenwood Rd Wall,New Jersey 07719 Contract ID NR002237955 Salesperson William Randolph HOME IMPROVEMENT AG ENT EN 1i NT- Trinity Heating and Air Inc.and Peter Morton,and are ies to a Home'• r" ment Agreement and associated Consumer Note and Warranty. Pursuant to Section 1 of the Home Im.rovem; Agreement,the pa ish to amend the following sections of the Home Improvement Agreement,Consumer Note and Wa s f ws: I. HOME IMPROVEMENT A E SYSTEM DESCRIP 5 7.245 DC ST N HOTOVOL IC ITEM Jules Hanwha ells erter: SolarEe Monitor: "o arEdge f II. CONSUMER NOTE: r� 3 PAYMENT SCHEDULE Number of Payments Amount of Each Payment When Payments Are Due 18 S140. 8 Monthly,beginning at least 30 calendar days after the earlier of the follo.\n ina dates: (i) the Interconnection Date. or l ii) the date Y DocuSign Envelope ID: F5FA13D5-48BC-4257-980A-1B9579C19FF6 THIS 1„ AOP This is a copy view of the Authoritative Copy acid by the designated custodian that is 60 days after installation of the System is complete. ,, 282 S203.27 Monthly thereafter REVISED PAYMENT SCHEDULE , NOTICE TO BUYER: ITEMIZATION OF THE AMOUNT FINANCED (1) Do not sign this Agreement 1. Cash Price (for the System, including all S28,980.00 before you read it or if it contains applicable installation fees, accessories. mounting any blank spaces to be tilled in. hardware,and attachments)* (2) You are entitled to a *Does not include applicable sales or excise taxes completely filled-in copy of this 2. Sales and/or Excise Tax $0.00 Agreement. 3. Subtotal of above(I plus 2) $28,980.00 (3) You can prepay the full 4. Amount to be paid by you to public officials for $0.00 amount due under this Agreement official fees at any time. 5. Subtotal of all of the above(3 plus 4) $28,980.00 (4) If you desire to pay off in 6. Cash Down Payment $0.00 advance the full amount due, the 7. Rebate $0.00 amount which is outstanding will 8. Other credit towards Cash Price $0.00 be furnished upon request. a: SREC Purchase Price $0.00 , (6) Depending on your b: $0. : j agreement with the contractor, 9. Prepaid Finance Charge %. ,n rebates may be paid either 10. Amount Financed 28,980 0 directly to you or to the (5 minus 6 minus 7 minus 8 minus 9) - contractor. Creditor does not guarantee any rebate amount. If ` your actual rebate is lower than '-',„,-.- amount estimated here, your actual Amount Financed will be higher. TERMS AND CONDITIONS: PAY TSB al Payment will be made at Month 18) , uY „' fir' E s-4. T COPY DocuSign Envelope ID: F5FA13D5-48BC-4257-980A-1B9579C19FF6 rli� I` A This is a copy view or the Authoritative Copy neid by the designated custodian Month 18 Additional Payment. For the eighteenth (18`11) in the form of cash or a check, in which case you will be Payment Date, you may choose to make an additional required to pay standard payments S10 higher than the credit payment of$8,694.00, equal to 30°0 of the Amount Financed incentive payments. You agree to send payments to us at (the "Additional Payment"). At least 30 days before it is due, Creditor Address, specified above, or to any other address or we will notify you of the optional Additional Payment person specified in a written notice we send to you. For more amount,as well as the amount of your nineteenth(19`1')and all information about how the S l0 credit incentive will affect future payments if you choose not to make the Additional your monthly payments,see Schedule 1. Payment. If you choose to make that Additional Payment, you must either separately authorize that payment automatically 2. Prepayments. You may prepay in full or in part amounts from your checking account, or you must make that payment due under this Agreement at any time before those amounts in the form of cash or a check sent to us at Creditor Address, are due without penalty. A "prepayment" is any amount paid specified above, or to any other address or person specified in in excess of the total amount due at the time of payment. a written notice we send to you, so that we receive the payment by the due date. You must also make your scheduled If you pay in full all amounts owed under this Agreement monthly payment along with that Additional Payment. before all amounts are due (a 'Full Prepayment"). the Warranty Agreement you have entered into in connection with If you make your scheduled monthly payment plus the the System and this Agreement (attached as Ex - it 3 to the Additional Payment, we will forgive, and you will not be Home Improvement Agreement)will not be cance i,and you obligated to pay, the interest due on that Additional Payment will not be entitled to any refund in , $v ectio=with the amount (the "Deferred Interest"), the amount of which is Warranty Agreement. Please see the Wa w. 'gr- ent for S781.16. information about its possibl to 'u ation t c. w 11 ion, and about any applicable re r rei. (ifs iy) t . ''ght be Your remaining scheduled monthly payments will then be in available to you if, " _ arranty Age , e is term', ted or the same amount as your initial 18 monthly payments. canceled. 410 If you choose not to make the Additional Payment,the amount If you pr' y so e bu t the en ' amount due under this of your remaining monthly payments, beginning with the Agreeme . each :"Pa P ent" and collectively all nineteenth (19'') payment, will be calculated based on an h parti prepa nts sal Prepayments"), the Partial amortization of the Principal balance remaining at that ti me will no ect the dollar amount or the due date plus the interest due on that Additional Payment amount. of t q' ed regu ar monthly payments (other than the such, your remaining scheduled monthly payments will lik amount final payment) unless we specifically agree in be larger than your initial 18 monthly payments. u, i writing to a change to the payment schedule. However, if you make any Partial Prepayments prior to the due date of the For more information about your led ments, nineteenth (19`h) Payment Due Date, and choose not to make how making the Additional Pa. nt wi ffect yo the Additional Payment described above, that Partial scheduled monthly paymentk- Sch le Prepayment may result in lowering the amount of the 0 1- 4 ' remaining monthly payments, beginning with the nineteenth Making Your Pay ts. You a e ' ake all monthly (19`1')payment. As indicated above, we will notify you of the payments h ate tomatic pa nt tt your checking optional Additional Payment amount, the amount of interest accounkiih Ord& to eive as a r. centive credit in your forgiven, the amount of your nineteenth (19'h) payment if you monthl payments, re ng thy` payments by $10 per choose not to make the Additional Payment, and the amount month} ou Alternatively, may c oose to make your payments of your remaining monthly payments at least 30 calendar days Y in advance of the due date of that nineteenth(1911')payment. SCHEDULE 1—REVISED ESTIMATED SCHEDULE OF MONTHLY PAYMENTS Additional Payment Made Additional Payment Not Made Months ACH No ACH ACH No ACH 1-18 $130.58 S140.58 $130.58 S140.58 Months $130.58 S140.58 $191.27 S203'7 19-300 Month 18 I Additional THIS IS A COPY DocuSign Envelope ID: F5FA13D5-48BC-4257-980A-1B9579C19FF6 This view,s a Coax ot the Authc.-!fa„ire Copy held by the designated custodian Payment $8.694.00 S8,694.00 III. WARRANTY AGREEMENT: (2) Limited Warranties (i)Power Production Guarantee Provider guarantees that during the Term the System will generate the guaranteed annual kilowatt-hours(kWh)("Guaranteed Annual kWh")in the table set forth below as follows: Year Guaranteed Annual kWh 7,587 2 7,549 3 7,511 .*. 10, 4 7,474 5 7,436I 6 7,399 i 7 7,362 8 7 .,, 5 :A 9 7: 9 11 7 12 . 3 7,108 ("br 7,073 16 7,037 17 7,002 18 6,967 `'° 19 6,932 20 6,898 21 6,863 22 6,829 23 6,795 24 6,761 25 6,727 A. flat the end of-the first thirty-six(36)month anniversary of your first monthly payment and each successive twelve(12) month anniversary thereafter the cumulative Actual Annual kWh(defined below)generated by the System is less than the Guaranteed Annual kWh,then we will credit your account in an amount equal to the difference between the cumulative Actual Annual kWh and the Guaranteed Annual kWh multiplied by the Guaranteed Energy Price per kWh(defined below). Your account will be credited this amount within thirty(30)days following the end of the calendar year. Your cumulative Actual Annual kWh is dependent on a shading percentage of 11.26° on your llome. If this shading percentage increases, your Guaranteed Actual kWh will be reduced proportionately. The Guaranteed Annual kWh will be lower than the forecasted system output due to the variability in local weather conditions and the impact those conditions have on actual system production. For example, tar a first twelve(12)month period that commences on October 1,2010 and ends on September 30,2011,1,and the energy the System was supposed to generate is less than the energy the system was guaranteed to generate during such IS DocuSign Envelope ID: F5FA13D5-48BC-4257-980A-1139579C19FF6 TH IS A COPY This is a copy view of the Authuitative,Copy Yield by the designated custodian twelve(12)month period,we will credit you the difference in the Actual Annual kWh and the Guaranteed Annual kWh multiplied by the Guaranteed Energy price per kWh within thirty(30)days after December 31,2011. B. "Guaranteed Energy Price per kWh"means$0.176 per kWh. IV. EFFECT OF AMENDMENT A. Except as explicitly modified by this Amendment,all terms and conditions of the Home Improvement Agreement, Consumer Note and Warranty Agreement shall remain in full force and effect. Owner's Name: Peter Morton p—DocuSigned by: :1,4 Signature: pox NvfotA Date: August 15, 2019 %“3:44 MDT % \.---ED4D3700F99E4C5 Co-Owner's Name(if any): P '4. Signature: Date: , I 'VA Contractor Trinity Trinity Heating and Air Inc. d/b/a Trinity Solar 41,Aty iik, '% .4i:,4„,„, 4 DocuSigned by: '4*4, 0 Signature: 641, (MAI& '4:11 44 --wb E5453A95AB80485 Date: August 15, 44401,0 014 T ,,,34343v- 'NIA IIII0' . , ,4, A.4 ----- „, frA Z_°n a;° °pa♦'y 1 c 1 O �i m izlimA04Y1rHF mmpg-Wi g O Om ;;a H3;;lo= Fmpo o�zzm9Dm' DD p om n'Fi ao z ,wo 5Ooiyg oi o gzom000aooDoB,mzoz°micRS-n_ayuo6ra 2000N8 io? mpm iFcyomoFmzA mmaozzgoO 70 g mo ;WI ns ` p° gg ynaqm %io F°i''4Ao£ SIomazngzz$ aps' a °Om omp er ni i-ol' m _ wa omo N 1 T OI,T o ° a ao m °o - p o T og _no�1,=E > cy ma >m o y i-m o�mFmmm 2F moAz yE', m aPo $o " z zii'Mnooyo � x <mn o _og20, � moi5op, °,z � im, yoOow-am a A ° _ mo ao-n ny° ?nz.ygNyy o 0 (Jr) n2i9aoomiT,otzmF yyo ,2?,1 yv mi op° a y y� =°N1N5N i mm V ——I-oo oAm_ =yy Nm ny=A=0 =Ag.8 > 0D3AS - Am � .mo o> n 9°-m _mgoF pm m N z_g osoy f pcn y"a ° p ao a z _p N Irg,829�m °e�Tra'9 > 0 m rn (11 Np..---poa°°p°y m �o�=A= oa�o �� �� 5 zm��a-mNNo� c 0 H 9= m5Jg _� T “mirll Hopp � p=m —� imy 0c £==m89a I x aozmoo azo�o - 0 RAW yc�prp p y0oa<Yo-9oiOnm o i mLtpO -miyQiT<amO�c z 7 ,',1; ym y°:=°p1041X 0 L m = NFm=; D 1 mgF y �ov' O Co a 3;� .xfx11 O 0 T �ao9o=��pAmm99ya''=- oam =Fa3W m D D z °ooy =� o�ill �oo �o°oo�mo3333 xxxy . . 0 Inc F ��mAy3y��HIP:ing4 s moo nz Fr po2o� m ,T=y = x °ym==g= �a°yy = m v°m° oE� A_ aon p pya Fl!V y o. m A a A ai a v fn. 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