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Lesko Building Permit Application Final
City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ● Municipal Building Northampton, MA 01060 PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR NEW 1 & 2 FAMILY DWELLING, ADDITIONS, POOLS, DECKS, ACCESSORY STRUCTURES, FENCES, GROUND MOUNTED SOLAR, ETC. l. Building Permit Application signed by legal owner and filled out by owner or authorized agent. 2. One set of plans and specifications of proposed work. (Digital and hard copy) 3. Site plan with location of proposed structure(s) and set backs. 4. Construction Debris Affidavit filled out and signed by applicant. 5. Worker's Compensation Insurance Affidavit filled out and signed by applicant. 6. Contractors must supply a copy of CS License, HIC Registration and proof of Liability Insurance. 7. Energy Conservation Compliance Certificate (new / replacement windows). 8. Home Owner's License Exemption Form filled out and signed by Homeowner (if applicable). 9. Note any Conservation and/or special permit requirements (if applicable). 10. Driveway Permit (if applicable). 11. Proof of Water and Sewer entry fees paid (if applicable). 12. Trench Permit - public land by DPW / private land by Building Dept. 13. Stretch Energy Code - all new construction will require a HERS Rater Affidavit to be submitted with permit application before issuance of permit. 14. Please provide the appropriate fee in the form of a check made payable to: The City of Northampton. The Commonwealth of Massachusetts Board of Building Regulations and Standards Massachusetts State Building Code, 780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One- or Two-Family Dwelling FOR MUNICIPALITY USE Revised Mar 2011 This Section For Official Use Only Building Permit Number: _____________________ Date Applied: ______________________________ ___________________________________ ____________________________________________ ___________ Building Official (Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: ____________________________________________ 1.1a Is this an accepted street? yes_____ no_____ 1.2 Assessors Map & Parcel Numbers _____________________ ____________________ Map Number Parcel Number 1.3 Zoning Information: _______________ ___________________ Zoning District Proposed Use 1.4 Property Dimensions: _____________________ ____________________ Lot Area (sq ft) Frontage (ft) 1.5 Building Setbacks (ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c. 40, § 54) Public Private 1.7 Flood Zone Information: Zone: ___ Outside Flood Zone? Check if yes 1.8 Sewage Disposal System: Municipal On site disposal system SECTION 2: PROPERTY OWNERSHIP1 2.1 Owner1 of Record: ________________________________________ _________________________________________________ Name (Print) City, State, ZIP _____________________________________________ _________________ ___________________________________ No. and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2 (check all that apply) New Construction Existing Building Owner-Occupied Repairs(s) Alteration(s) Addition Demolition Accessory Bldg. Number of Units_____ Other Specify:________________________ Brief Description of Proposed Work2:_________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials) Official Use Only 1. Building $ 1. Building Permit Fee: $_______ Indicate how fee is determined: Standard City/Town Application Fee Total Project Cost3 (Item 6) x multiplier _______ x _______ 2. Other Fees: $_________ List:_________________________________________________ ____________________________________________________ Total All Fees: $_______________ Check No. ______Check Amount: _______Cash Amount:______ Paid in Full Outstanding Balance Due:__________ 2. Electrical $ 3. Plumbing $ 4. Mechanical (HVAC) $ 5. Mechanical (Fire Suppression) $ 6. Total Project Cost: $ January 14, 2022 205 Prospect Street Northampton, MA 01060 x Jill Lesko Northampton, MA 01060 205 Prospect Street 413-584-5195 jlesko@kingcushman.com x PV Solar Installation of a safe and code compliant, grid-tied PV solar system on an existing residential roof. 19 Panels/6.65kw 4000 19000 23000 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License (CSL) ________________________________________________________ Name of CSL Holder _________________________________________________________ No. and Street _________________________________________________________ City/Town, State, ZIP _________________________________________________________ __________________ ______________________________________ Telephone Email address _____________________ ______________ License Number Expiration Date List CSL Type (see below) _______________ Type Description U Unrestricted (Buildings up to 35,000 cu. ft.) R Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation D Demolition 5.2 Registered Home Improvement Contractor (HIC) ______________________________________________________________ HIC Company Name or HIC Registrant Name ______________________________________________________________ No. and Street ________________________________________ ____________________ City/Town, State, ZIP Telephone _____________________ ______________ HIC Registration Number Expiration Date _______________________________________ Email address SECTION 6: WORKERS’ COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152. § 25C(6)) Workers 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? Yes ………. No ……….. SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER’S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner of the subject property, hereby authorize_____________________________________________________ to act on my behalf, in all matters relative to work authorized by this building permit application. ______________________________________________________ ______________________ Print Owner’s Name (Electronic Signature) Date SECTION 7b: OWNER1 OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. _____________________________________________________________ ______________________ Print Owner’s or Authorized Agent’s Name (Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work, or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor (HIC) Program), will not have access to the arbitration program or guaranty fund under M.G.L. c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned, provide the information below: Total floor area (sq. ft.) _________________________ (including garage, finished basement/attics, decks or porch) Gross living area (sq. ft.) __________________ Habitable room count ______________________ Number of fireplaces______________________ Number of bedrooms _____________________ Number of bathrooms ____________________ Number of half/baths ______________________ Type of heating system ___________________ Number of decks/ porches __________________ Type of cooling system_____________________ Enclosed ______________Open _____________ 3. “Total Project Square Footage” may be substituted for “Total Project Cost” Lando Bates CS-109944 12/01/2023 51 Assabet Dr Northborough MA 01532-2600 Northborough MA 01532 - 2600 774-249-1687 Lando.B@empowerenergy.co Empower Energy Solutions Inc 198351 04/05/2022 39 Fernwood Drive Rocky Hill, CT, 06067 (475) 221-2356 operations@empowerenergy.co Empower Energy Solutions Inc January 14, 2022 January 14, 2022 CITY OF NORTHAMPTON SETBACK PLAN MAP:_______ LOT:________ LOT SIZE:____________ REAR LOT DIMENSION:_____________________________ FRONTAGE_____________________ REAR YARD _____________ SIDE YARD______________ SIDE YARD______________ FRONT SETBACK_______________ City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ● Municipal Building Northampton, MA 01060 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number ________________ is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: ___________________________________________________ The debris will be transported by: Name of Hauler: ______________________________________________________ Signature of Applicant: __________________________________Date: ___________ Empower Energy Solutions Inc 720 S Washington street North Attleboro, MA 02760 January 14, 2022 1 Purchase Agreement RESIDENTIAL SOLAR INSTALLATION AGREEMENT Customer 1 Name:_________________________ Phone:________________ Email:_________________________ Customer 2 Name:_________________________ Phone:________________ Email:_________________________ Street Address: __________________________________ Town:_________________ State:_______ Zip:________ Solar Consultant Name:_____________________ Phone:________________ Email:_________________________ PRELIMINARY DESCRIPTION OF THE PROJECT AND ESTIMATE OF THE SIGNIFICANT MATERIALS TO BE USED AND EQUIPMENT TO BE INSTALLED Module Name: _______________Mod. Quantity: ______ System size (kw) ________ Inverter:______________ Structural & Electrical Requirement: If any additional work i.e., attic bracing, electric panel upgrade, re-roof, tree removal etc. is required upon analysis of the site surveyor & structural engineer, an additional fee will be assessed upon the Customer. __________ (Customer Initials) PAYMENT TERMS: The Customer agrees to pay the Company the total amount of $________________ (the “Total Price”) in exchange for the System. This total does not reflect any incentives the Customer may be entitled to. Payment Method: ______ Cash, ______ Financed, Financing Company __________________ Financed Projects: Financed projects are subject to payment schedule terms of Customer’s financier. Payments will be made directly from financier to the Company. Cash Projects Payment Schedule (Applies to Cash Projects only) Installment 1 (30%): $___________ due immediately. Installment 2 (70% minus $1000): $ __________ due upon permit submission. Installment 3 ($1000): $ due day of install completion. Notes:_______________________________________________________________________________________ CUSTOMER AND SOLAR CONSULTANT HAVE REVIEWED THE ABOVE INFORMATION AND THE TERMS AND CONDITIONS ATTACHED, AND AGREE TO THIS AGREEMENT: Notice to Customer: (1) Do not sign this agreement if there are any blank spaces. (2) All contractors and subcontractors performing residential contracting services in Massachusetts must be registered with the director of consumer affairs and business regulations. Any inquiries concerning the registration of a contractor or subcontractor should be directed to the director of consumer affairs and business regulations. (3) You are entitled to a copy of this Agreement at the time you sign it. (4) You may at any time pay off the full, unpaid balance due under this Agreement and in so doing you may be entitled to receive a partial rebate of the finance charges. (5) The Company has no right to unlawfully enter your premises or commit any breach of the peace to repossess goods purchased under this Agreement. (6) You may cancel this Agreement if you did not sign the Agreement at the main office or a branch office of the Company, provided you notify the Company at its main office or branch office shown in the Agreement by registered or certified mail, that shall be posted not later than midnight of the third calendar day after the day on which the Customer signs the Agreement, excluding Sunday and any holiday on which regular mail deliveries are not made. See the attached notice of cancellation form for an explanation of Customer's rights. CUSTOMER 1 Signature: _____________________________ Date Signed: _____________________________ CUSTOMER 2 Signature: _______________________________ Date Signed: ______________________________ SOLAR CONSULTANT Signature: _____________________________ Date Signed: _____________________________ (Terms and Conditions attached) Empower Energy Solutions Inc. 15 June street, Ste 2A, Woodbridge, CT 06525 MA Contractors Registration No.:198351 09 / 25 / 2021 9/25/2021 Jill Lesko 413-584-5195 jlesko@kingcushman@gmail.com 205 Prospect St.Northampton MA 01060 Ryan Severin 413-687-7894 ryan.s@empowerenergy.co Longi Solar 19 6.65 Solar Edge 37223.33 Dividend 09 / 25 / 2021 Doc ID: 07128fde814212256edb738274a9aafb1d1fc868 2 TERMS AND CONDITIONS THIS RESIDENTIAL SOLAR INSTALLATION AGREEMENT (this “Agreement”) is made effective as of the date signed by the Customer (the “Effective Date”), between the Customer whose name and signature appears above, and Empower Energy Solutions, Inc., a Connecticut corporation (the “Company”). This Agreement relates to the installation of a certain System on the residential structure located at the address set forth above (the “Home”), which Home is owned by the Customer. 1. Installation Timeline. The Company will install or cause to be installed the System within a reasonable amount of time after execution of this Agreement but no later than 12 months from the date of a work order or last amendment to this Agreement (whichever occurs last). If a financing company is involved, the lender will require the Company to perform the installation with a required timeline. 2. System. The Company will provide the following to the Customer at the Home (collectively, the “System”): a. The Company will obtain any necessary permits, at the Company’s cost. The Company is not be responsible for delays in work due to the actions of any permitting and regulatory agencies or their employees; and b. The Company will cause the complete installation of a roof mounted solar photovoltaic electric generation system, with the components and specifications set forth above (as described, the “Solar Equipment”), according to final plans and specifications to be provided by the Company and approved by the Customer. All work by the Company is brought to the existing electrical connection; once at the electrical connection point, the actual connection will need to be made by or under the direction of the electrical utility company. NOTICE: Installation of the System may require (i) drilling into various parts of the Home, and (ii) other interior or exterior work that may require access to non-visible areas. The Customer consents to the installation work described. 3. Total Price. The Customer agrees to pay the Company the Total Price in exchange for the System, on the payment terms shown above, and further agrees as follows: a. Change Orders/Extra Work. If the Customer, the Customer’s agent or representative, or any governmental agency requires any changes to the System beyond what is initially agreed to by the Company, the cost for any such change will be added to the Total Price, and the term “Total Price” as used in this Agreement will mean the adjusted higher Total Price. The cost of any such change order will include direct labor, materials, subcontracts plus supervision, general conditions, overhead, and profit. The Customer will also be required to pay all expenses incurred by the Company because of unanticipated or unforeseen circumstances (such as a faulty roof or inadequate electric service). b. Cost Increases. Customer acknowledges that the System equipment and materials the Company will furnish and install are subject to cost increases. The Company will hold the Total Price for six months after execution of this Agreement or the date of the last signed amendment to this Agreement. After six months, if the cost of any equipment or material rises by any unusual amount because of circumstances beyond Company’s control, including but not limited to market price fluctuations or a site audit that reveals the need for additional materials or labor, then the Company will have the right to present Customer with a change order for the with a new Total Price. Customer will have the right to accept or reject this new Total Price. If Customer does not accept the new Total Price, this Agreement will terminate and the Company will provide the Customer with a full refund of any amounts previously paid, and the parties will have no further obligations to one another. c. Ownership/Security Interest. Until the time that the Customer has paid Company the entire Total Price, the Customer grants the Company and its agents, employees, and representatives the right to enter the Home/property and remove the System in whole or in part. The Customer agrees the System are not a fixture but will remain personal property at all times until the entire Total Price has been paid to the Company. Ownership of the System will remain with the Company until the Customer has timely paid the full Total Price. To the extent the Customer may be considered the owner of the System, however, the Customer grants the Company a security interest in the System to secure payment of the Total Price and any other amounts due under this Agreement, and grants the Company the maximum rights available under applicable law in enforcing that security interest. The Company also may assert all rights under applicable state law relating to contractor/mechanic liens on real property, with respect to the Home and the Customer’s property. Doc ID: 07128fde814212256edb738274a9aafb1d1fc868 3 4. Contractor Registration. Pursuant to Mass. Gen. Laws c. 142A § 1, et seq. all contractors and subcontractors performing residential contracting services must be registered with the director of consumer affairs and business regulations. Any inquiries concerning the registration of a contractor or subcontractor should be directed to the director of consumer affairs and business regulations. 5. Notice of Possible Mechanic’s Lien. The undersigned Contractor (the Company) is about to perform work and/or furnish materials for the construction, erection, alteration, or repair upon the Customer’s land at the address shown above under a Contract with the Customer. This is a notice that the undersigned Company and any other person(s) who provide(s) labor and materials for the improvements to the Customer’s property under contract with the undersigned Company may file a mechanic’s lien upon the land in the event of non-payment to them. It is the Customer’s responsibility to assure themselves that those other persons under contract with the undersigned Company receive payment for their work performed and materials furnished for the construction, erection, alteration, or repair upon the land 6. Late Fees. The Customer must pay the Company a late fee of $150.00 on any late payment. A payment is considered a late payment if the payment is not received by the Company on or before the due date. 7. Interest on Overdue Payments. Any amount not paid when due will bear interest at the rate of 12% annually, beginning on the date that is 30 days after the due date. 8. Manufacturer Warranty. The manufacturer of the Solar Equipment and any associated components may provide a manufacturer’s warranty. All warranties can be obtained by the Customer directly from the manufacturer and any claims for a manufacturer defect must be directed to the manufacturer and not the Company. The Company may assist the Customer in identifying any applicable manufacturer’s warranty(ies) solely as a courtesy. THE COMPANY PROVIDES NO ADDITIONAL WARRANTY RELATING TO THE SOLAR EQUIPMENT, OTHER THAN THE LIMITED LABOR WARRANTY DESCRIBED IN THE NEXT SECTION BELOW. To the extent products, equipment, systems, or materials incorporated into the Work are specified and purchased by Customer, they shall be covered exclusively by the warranty of the manufacturer. There are no warranties that extend beyond the description of the face of any such warranty. For such incorporated items, ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING THE WARRANTY OF MERCHANTABILITY AND THE WARRANTY OF FITNESS FOR A PARTICULAR PURPOSE ARE EXPRESSLY DISCLAIMED. 9. Labor Warranty. The Company guarantees that the System will be free from installation defects for a period of ten years following the conclusion of onsite installation (the “Labor Warranty”). This Labor Warranty does not cover any of the following: natural acts such as storms, winds, rain, or snow; damage covered or normally covered by homeowner’s insurance such as falling tree branches, power outages, power surges; normal wear and tear of the roof, roof shingle failure, sub-structure failure, or siding or electrical system failures. The Labor Warranty also does not cover any damages caused by animals or by improper maintenance of the structure or the system or by any action of any person other than the Company. If the Customer discovers an installation defect within the Labor Warranty period, the Customer must immediately notify the Company in writing describing the nature of the defect. If the Company determines that the defect is due to defective workmanship on the part of the Company during installation, the Company will correct the defect at no additional charge to the Customer. If a part repair or replacement is required and is covered by the manufacturer’s warranty, the Customer must first obtain warranty coverage from the manufacturer and only then will the Company remedy the workmanship defect. Customer will be responsible for all costs of all repairs and replacements not expressly covered by this Labor Warranty. 10. Roof Warranty. The Company, for a period of three years, warrants that, with respect to all roof penetrations made by the Company, such roof penetrations will be free from material defects in workmanship and will be sealed or flashed to eliminate any liquid or vapor penetration, and that such roof penetrations will not affect or otherwise diminish the strength, integrity, water-repelling or balance of any underlying roof structure. 11. Customer Responsibilities. The Customer agrees to provide the following in order to aid the Company in completing the System (any reference to the “Company” in this section also includes the Company’s agents, employees, representatives, and subcontractors): a. The Customer must identify and stake any concealed pipes, conduits, utilities, or other equipment before the Company begins work on the System (the Customer agrees that the Customer is responsible for any damage caused to or by any concealed pipes, conduits, utilities not identified and staked as required); Doc ID: 07128fde814212256edb738274a9aafb1d1fc868 4 b. Inform the Company of any rules, regulations, restrictions, or covenants covering the Home that may impact the design and installation of the System; c. The Customer must prepare and implement a stormwater pollution and prevention plan if such a plan is required by any government agency; d. The Customer must provide prompt decision making to the Company regarding unspecified construction plans, designs, or specifications relating to the System; e. The Customer must make sure the Home is prepared for local government (city/county/town) inspection at the time of completion of the System; f. The Customer must cure any pre-existing code violations at the Home that relate in any way to the System; g. The Customer must grant and obtain all permissions require for the Company to connect the System to required utilities at the Home; and h. The Customer must make water and electrical utility services available to the Company for use in carrying out the Company’s work; i. The Customer must make the Home and property available to the Company without interruption during the Company’s normal working hours to permit completion of installation work. 11. Property Conditions. Customer will be responsible for the structural integrity of the location where the System are installed, including structural or electrical modifications necessary to prepare the Home for the System. The Company is not responsible for any known or unknown property conditions. The Company is not responsible and bears no liability for the malfunctioning of existing electrical equipment at the Home, including but not limited to the main electrical service panel, any major electrical devices, or any other fuses or similar devices. 12. Rebates/Incentives. Depending on the state and utility district in which Customer resides, Customer may be eligible for various state and local rebates and incentives. The rebate and incentive calculations the Company provides to Customer are estimates only. These estimates are based on certain assumptions that may not be applicable based on the circumstances specific to the System. However, actual rebates and incentives are variable as eligibility requirements, funding availability and rates may change. In an effort to assist Customer in capturing its rebate, the Company will use good faith reasonable efforts to help Customer secure applicable rebates and incentives, but the Company will have no financial obligation to Customer regarding actual rebate and incentive amounts received. Customer agrees to pay the Total Price in full regardless of the actual amount of rebates and/or incentives Customer receive. 13. Return of Goods/Equipment. If the Customer cancels this Agreement, the Customer agrees to make all goods and equipment received from the Company available to the Company for pickup by the Company, or delivery back to the Company by mail or other courier service. If the Customer cancels this Agreement at any time that is more than three business days after the date of execution, for any reason other than that the Company deems the Home not suitable for the System, then the Customer will be required to pay the Company a cancellation fee equal to $3,000.00, in recognition of the fact that the Company will immediately incur costs relating to the design and installation of the System. The Company will pay for or reimburse the Customer for any mailing/delivery expenses relating to return of the goods and equipment. The goods and equipment must be in the same condition and form as they were when first provided by the Company to the Customer. 14. Privacy/Publicity. Customer grants the Company the right to publicly use, display, share, and advertise the photographic images, project details, price and any other non-personally identifying information of Customer’s project. The Company will not knowingly release any personally identifiable information about Customer or any data associating Customer with the project location. Customer may opt-out of these publicity rights by giving the Company written notice and mailing it to the Company’s address on the first page of these Terms and Conditions. 15. Default/Remedies. The failure of the Customer or the Company to comply with any term in this Agreement will constitute a material default, meaning a significant breach of this Agreement. Upon default by the Customer, the Company may immediately stop all work on the System, and the Company will have all rights and remedies available under this Agreement or available at law or in equity, all such rights and remedies being cumulative and non-exclusive. Doc ID: 07128fde814212256edb738274a9aafb1d1fc868 5 Upon default by the Company, the Customer must provide the Company with written notice, and the Company will then have 28 days in which to cure or commence the cure of the default. If the Company does not timely cure or commence cure of a default within that 28-day period, then the Customer’s exclusive remedy will be to deduct the resulting damages to the Customer from the Total Price. EACH PARTY’S LIABILITY TO THE OTHER UNDER THIS AGREEMENT IS LIMITED TO DIRECT, ACTUAL DAMAGES ONLY. BOTH PARTIES AGREE THAT IN NO EVENT SHALL THE COMPANY BE LIABLE TO THE CUSTOMER FOR CONSEQUENTIAL, INCIDENTAL, PUNITIVE, EXEMPLARY, SPECIAL OR INDIRECT DAMAGES. The Company’s liability to the Customer shall not exceed the Total Price, including without limitation, damages to the Home or property during the performance of installation or resulting from the System. Without limiting any of that, the parties clarify that upon termination of this Agreement by the Company for reason of Customer’s default, the Company may remove any System materials or equipment from the Home, and submit to credit reporting agencies (credit bureaus) negative credit reports that would be reflected on Customer’s credit record. 16. Unforeseen Conditions. The Company is not responsible for failures, delays or expenses related to unanticipated, unusual, or unforeseen conditions at the Home arising out of conditions beyond Company’s reasonable control (all of which shall be considered “Force Majeure Events”). Performance times under this Agreement will be considered extended for a period of time equivalent to the time lost due to such conditions. If Company discovers unforeseen conditions requiring additional cost, then Company will present such costs to Customer and get Customer’s written approval before beginning or continuing performance. If the Customer does not approve, the Company may terminate this Agreement. 17. Entire Agreement. This Agreement contains the entire agreement between the Customer and the Company relating to the subject matter addressed. No sales representative has the authority to add, delete, or modify the typed terms of this Agreement, either in writing or verbally. 18. Binding Effects/Assignment. This Agreement is binding upon and inures to the benefit of the parties and their respective heirs, legal representatives, successors and assigns. The Customer may not assign its rights or delegate its obligations under this Agreement. Any assignment or delegation by the Customer is void, meaning ineffective. The Company may assign its rights and delegate its duties under this Agreement at any time in the Company’s sole discretion. 19. Attorney’s Fees. In any action arising out of this Agreement, the prevailing party is entitled to costs and reasonable attorneys’ fees from the non-prevailing party. 20. Risk of Loss. All risk of loss or damage to the Solar Equipment will be borne by the Customer from the moment any such Solar Equipment arrives at the Home, unless the loss or damage is caused by the negligent, reckless, or intentional acts of the Company. 21. Counterparts; Signatures. This Agreement may be executed in multiple counterparts, each of which will be deemed an original, and all of which when taken together shall constitute one and the same document and agreement. A copy or electronic transmission of any part of this Agreement, including the signature page, and any electronic signature on this Agreement or electronic copy of this Agreement will have the same force and effect as an original. 22. Indemnification. Both Parties shall indemnify, defend and hold harmless the other and its employees, officers, directors, agents and assigns from any and all third party claims, actions, costs, expenses (including reasonable attorneys’ fees and expenses), damages, liabilities, penalties, losses, obligations, demands for injury to persons, including death, or damage to property, to the extent caused by the negligence or willful misconduct of the indemnifying party. 23. Governing Law. To the fullest extent possible, this Agreement will be governed by, and construed and enforced in accordance with, the laws of the state in which the Home is located, without regard to any conflicts of law issues. 24. Dispute Resolution. If the Parties cannot reach a resolution on a matter relating to or arising out of this Agreement, the Parties shall endeavor to reach resolution through good faith direct discussions between the Parties. If the Parties are not able to resolve such matter within thirty (30) days from the date of the first discussion, the Parties shall submit such matter to the following dispute resolution procedures: Doc ID: 07128fde814212256edb738274a9aafb1d1fc868 6 a. If direct discussions pursuant to Section 27 above do not result in resolution of the matter, the Parties shall endeavor to resolve the matter by private, non-binding mediation. To the extent practicable, the mediation shall be convened within thirty (30) days of a party's demand for mediation, and shall conclude within forty-five (45) days of a party's demand for mediation. The cost of mediation shall be shared equally by the Parties. b. If the matter is unresolved after submission of the matter to mediation, the dispute shall be subject to litigation in the Superior Court in Massachusetts serving the area in which the Home is located. The Parties further agree that such the said Superior Court in Massachusetts shall have jurisdiction over each of them, and is the appropriate venue for the determination of such disputes. c. If either party to this Contract shall seek to enforce this Contract, or any duties or obligations arising out of this Contract, against the other party to this Contract, by legal or equitable proceedings, then the prevailing party in such proceedings shall receive, in addition to all other rights and remedies to which such party is entitled, such party's reasonable costs and expenses incurred in such proceedings, including reasonable attorney's fees. For purposes of this Subsection, a prevailing party is defined, to the extent applicable: (1) as a party that is awarded a net fifty-one percent (51%) of its affirmative claims, after any offsets for claim(s) or counterclaim(s) by the other party, and (2) as a party against whom an award of less than fifty percent (50%) of the opposing party's claim is granted 25. Insurance. The Customer agrees to maintain and keep in full force, during the installation of the System and up through and including final payment, property damage insurance that covers the full insurable value of the Home. The Parties hereby discharge and release each other for or on account of any and all claims and liabilities arising out of any loss or damage to any property caused by such risks as are covered by insurance and the Parties shall properly notify their respective insurance carriers that each has waived subrogation rights against the other such that the waiver is binding upon said carrier. 26. State Specific Laws. Attached hereto may be a state specific addendum/notice containing additional terms, conditions, disclosures, and/or notices, specific to the laws of the State in which the Home is located. If attached, the state specific addendum is incorporated into this Agreement by this reference. If anything in the state specific addendum conflicts with these Terms and Conditions, the provisions in the State Specific Addendum will prevail. [End of Terms and Conditions] Doc ID: 07128fde814212256edb738274a9aafb1d1fc868 7 Notice of Cancellation _________________ (Date of Transaction) YOU MAY CANCEL THIS TRANSACTION, WITHOUT ANY PENALTY OR OBLIGATION, WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. IF YOU CANCEL, ANY PROPERTY TRADED IN, ANY PAYMENTS MADE BY YOU UNDER THE AGREEMENT, AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELLATION NOTICE, AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED.IF YOU CANCEL, YOU MUST MAKE AVAILABLE TO THE COMPANY AT YOUR RESIDENCE, IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED, ANY GOODS DELIVERED TO YOU UNDER THIS AGREEMENT; OR YOU MAY IF YOU WISH, COMPLY WITH THE INSTRUCTIONS OF THE COMPANY REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE SELLER'S EXPENSE AND RISK.IF YOU DO MAKE THE GOODS AVAILABLE TO THE COMPANY AND THE COMPANY DOES NOT PICK THEM UP WITHIN TWENTY 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 COMPANY, OR IF YOU AGREE TO RETURN THE GOODS TO THE COMPANY 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 EMPOWER ENERGY SOLUTIONS INC. AT 15 JUNE STREET, SUITE 2A, WOODBRIDGE, CT, 06525, NOT LATER THAN MIDNIGHT OF ____________________, 20_____. I HEREBY CANCEL THIS TRANSACTION. CUSTOMER* Signature: _________________________________ Printed Name: _________________________________ Date Signed: _________________________________ 09 / 25 / 2021 09/29 21 Doc ID: 07128fde814212256edb738274a9aafb1d1fc868 8 Notice of Cancellation _________________ (Date of Transaction) YOU MAY CANCEL THIS TRANSACTION, WITHOUT ANY PENALTY OR OBLIGATION, WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. IF YOU CANCEL, ANY PROPERTY TRADED IN, ANY PAYMENTS MADE BY YOU UNDER THE AGREEMENT, AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELLATION NOTICE, AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED.IF YOU CANCEL, YOU MUST MAKE AVAILABLE TO THE COMPANY AT YOUR RESIDENCE, IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED, ANY GOODS DELIVERED TO YOU UNDER THIS AGREEMENT; OR YOU MAY IF YOU WISH, COMPLY WITH THE INSTRUCTIONS OF THE COMPANY REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE SELLER'S EXPENSE AND RISK.IF YOU DO MAKE THE GOODS AVAILABLE TO THE COMPANY AND THE COMPANY DOES NOT PICK THEM UP WITHIN TWENTY 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 COMPANY, OR IF YOU AGREE TO RETURN THE GOODS TO THE COMPANY 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 EMPOWER ENERGY SOLUTIONS INC. AT 15 JUNE STREET, SUITE 2A, WOODBRIDGE, CT, 06525, NOT LATER THAN MIDNIGHT OF ____________________, 20_____. I HEREBY CANCEL THIS TRANSACTION. CUSTOMER* Signature: _________________________________ Printed Name: _________________________________ Date Signed: _________________________________ 09 / 25 / 2021 09/29 21 Doc ID: 07128fde814212256edb738274a9aafb1d1fc868 Audit Trail Title File Name Document ID Audit Trail Date Format Status MA Solar Install Agreement MA Solar Install Agreement.pdf and 1 other 07128fde814212256edb738274a9aafb1d1fc868 MM / DD / YYYY Completed 09 / 25 / 2021 14:56:26 UTC Sent for signature to Ryan Severin (ryan.s@empowerenergy.co) and Jill Lesko (jlesko@kingcushman.com) from alan.b@empowerenergy.co IP: 75.135.125.78 09 / 25 / 2021 14:56:43 UTC Viewed by Ryan Severin (ryan.s@empowerenergy.co) IP: 75.135.125.78 09 / 25 / 2021 15:03:24 UTC Signed by Ryan Severin (ryan.s@empowerenergy.co) IP: 75.135.125.78 09 / 25 / 2021 15:05:11 UTC Viewed by Jill Lesko (jlesko@kingcushman.com) IP: 71.192.26.234 09 / 25 / 2021 15:06:57 UTC Signed by Jill Lesko (jlesko@kingcushman.com) IP: 71.192.26.234 The document has been completed.09 / 25 / 2021 15:06:57 UTC CUSTOMER INFO DRAFTER 18/11/2021 M INV AC MSP B μ D LC ATS CITY OF NORTHAMPTON 212 MAIN ST #100 NORTHAMPTON, MA 01060 (413) 587 1240 A AC BLDG CONC C D DC EGC (E) EMT GALV GEC GND HDG I Imp INVS Isc kVA kW LBW MIN (N) NEC NIC NTS OC P PL PV PVC S SCH SS SSD STC SWH TYP UON UPS V Vmp Voc W 3R AMPERE ALTERNATING CURRENT BUILDING CONCRETE COMBINER BOX DISTRIBUTION PANEL DIRECT CURRENT EQUIPMENT GROUNDING CONDUCTOR EXISTING ELECTRICAL METALLIC TUBING GALVANIZED GROUNDING ELECTRODE CONDUCTOR GROUND HOT DIPPED GALVANIZED CURRENT CURRENT AT MAX POWER INVERTERS SHORT CIRCUIT CURRENT KILOVOLT AMPERE KILOWATT LOAD BEARING WALL MINIMUM NEW NATIONAL ELECTRIC CODE NOT IN CONTRACT NOT TO SCALE ON CENTER PANEL BOARD PROPERTY LINES PHOTOVOLTAIC POLYVINYL CHLORIDE SUBPANEL SCHEDULE STAINLESS STEEL SEE STRUCTURAL DIAGRAMS STANDARD TESTING CONDITIONS SOLAR WATER HEATER TYPICAL UNLESS OTHERWISE NOTED UNINTERRUPTIBLE POWER SUPPLY VOLT VOLTAGE AT MAX POWER VOLTAGE AT OPEN CIRCUIT WATT NEMA 3R, RAIN TIGHT PV1 PV2 PV3 PV4 PV5 PV6VICINITY ABBREVIATIONS ELECTRICAL NOTES GENERAL NOTES APPLICABLE CODES 2015 IBC 2020 NEC AHJ: UTILITY: LICENSES HIC: 198351 ELEC: 8209-EL-A1 COVER SHEET SITE PLAN ARRAY DETAIL STRUCTURAL VIEWS SINGLE LINE LABEL SET 1.WHERE ALL TERMINALS OF THE DISCONNECTING MEANS MAY BE ENERGIZED IN THE OPEN POSITION, A SIGN WILL BE PROVIDED WARNING OF THE HAZARDS PER ART. 690.17. 2.EACH UNGROUNDED CONDUCTOR OF THE MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY PHASE AND SYSTEM PER ART. 210.5. 3.A NATIONALLY-RECOGNIZED TESTING LABORATORY SHALL LIST ALL EQUIPMENT IN COMPLIANCE WITH ART. 110.3. 4.CIRCUITS OVER 250V TO GROUND SHALL COMPLY WITH ART. 250.97, 250.92(B) 5.DC CONDUCTORS EITHER DO NOT ENTER BUILDING OR ARE RUN IN METALLIC RACEWAYS OR ENCLOSURES TO THE FIRST ACCESSIBLE DC DISCONNECTING MEANS PER ART. 690.31(E). 6.ALL WIRES SHALL BE PROVIDED WITH STRAIN RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY UL LISTING. 7.MODULE FRAMES SHALL BE GROUNDED AT THE UL-LISTED LOCATION PROVIDED BY THE MANUFACTURER USING UL LISTED GROUNDING HARDWARE. 8.ALL EXPOSED METAL PARTS (MODULE FRAMES, RAIL, BOXES, ETC.) SHALL BE GROUNDED USING UL LISTED LAY-IN LUGS LISTED FOR THE PURPOSE. POSTS SHALL BE MADE ELECTRICALLY CONTINUOUS WITH ATTACHED RAIL. 9.MODULE FRAMES, RAIL, AND POSTS SHALL BE BONDED WITH EQUIPMENT GROUND CONDUCTORS AND GROUNDED AT THE MAIN ELECTRIC PANEL. 10.THE DC GROUNDING ELECTRODE CONDUCTOR SHALL BE SIZED ACCORDING TO ART. 250.166(B) & 690.47. 1.THIS SYSTEM IS GRID-INTERTIED VIA A UL-LISTED POWER-CONDITIONING INVERTER. 2.THIS SYSTEM HAS NO BATTERIES, NO UPS. 3.ALL INVERTERS AND ARRAYS ARE NEGATIVELY GROUNDED. 4.SOLAR MOUNTING FRAMES ARE TO BE GROUNDED. INDEX NG N T S A AC BLDG CONC C D DC EGC (E) EMT GALV GEC GND HDG I Imp INVS Isc kVA kW LBW MIN (N) NEC NIC NTS OC P PL PV PVC S SCH SS SSD STC SWH TYP UON UPS V Vmp Voc W 3R AMPERE ALTERNATING CURRENT BUILDING CONCRETE COMBINER BOX DISTRIBUTION PANEL DIRECT CURRENT EQUIPMENT GROUNDING CONDUCTOR EXISTING ELECTRICAL METALLIC TUBING GALVANIZED GROUNDING ELECTRODE CONDUCTOR GROUND HOT DIPPED GALVANIZED CURRENT CURRENT AT MAX POWER INVERTERS SHORT CIRCUIT CURRENT KILOVOLT AMPERE KILOWATT LOAD BEARING WALL MINIMUM NEW NATIONAL ELECTRIC CODE NOT IN CONTRACT NOT TO SCALE ON CENTER PANEL BOARD PROPERTY LINES PHOTOVOLTAIC POLYVINYL CHLORIDE SUBPANEL SCHEDULE STAINLESS STEEL SEE STRUCTURAL DIAGRAMS STANDARD TESTING CONDITIONS SOLAR WATER HEATER TYPICAL UNLESS OTHERWISE NOTED UNINTERRUPTIBLE POWER SUPPLY VOLT VOLTAGE AT MAX POWER VOLTAGE AT OPEN CIRCUIT WATT NEMA 3R, RAIN TIGHT PV1 PV2 PV3 PV4 PV5 PV6VICINITY ABBREVIATIONS ELECTRICAL NOTES GENERAL NOTES APPLICABLE CODES 2015 IBC 2020 NEC AHJ: UTILITY: EMPOWER ENERGY SOLUTION 15 JUNE STREET, STE 2A, WOODBRIDGE CT, 06525 LICENSES COVER SHEET SITE PLAN ARRAY DETAIL STRUCTURAL VIEWS SINGLE LINE LABEL SET 1.WHERE ALL TERMINALS OF THE DISCONNECTING MEANS MAY BE ENERGIZED IN THE OPEN POSITION, A SIGN WILL BE PROVIDED WARNING OF THE HAZARDS PER ART. 690.17. 2.EACH UNGROUNDED CONDUCTOR OF THE MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY PHASE AND SYSTEM PER ART. 210.5. 3.A NATIONALLY-RECOGNIZED TESTING LABORATORY SHALL LIST ALL EQUIPMENT IN COMPLIANCE WITH ART. 110.3. 4.CIRCUITS OVER 250V TO GROUND SHALL COMPLY WITH ART. 250.97, 250.92(B) 5.DC CONDUCTORS EITHER DO NOT ENTER BUILDING OR ARE RUN IN METALLIC RACEWAYS OR ENCLOSURES TO THE FIRST ACCESSIBLE DC DISCONNECTING MEANS PER ART. 690.31(E). 6.ALL WIRES SHALL BE PROVIDED WITH STRAIN RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY UL LISTING. 7.MODULE FRAMES SHALL BE GROUNDED AT THE UL-LISTED LOCATION PROVIDED BY THE MANUFACTURER USING UL LISTED GROUNDING HARDWARE. 8.ALL EXPOSED METAL PARTS (MODULE FRAMES, RAIL, BOXES, ETC.) SHALL BE GROUNDED USING UL LISTED LAY-IN LUGS LISTED FOR THE PURPOSE. POSTS SHALL BE MADE ELECTRICALLY CONTINUOUS WITH ATTACHED RAIL. 9.MODULE FRAMES, RAIL, AND POSTS SHALL BE BONDED WITH EQUIPMENT GROUND CONDUCTORS AND GROUNDED AT THE MAIN ELECTRIC PANEL. 10.THE DC GROUNDING ELECTRODE CONDUCTOR SHALL BE SIZED ACCORDING TO ART. 250.166(B) & 690.47. 1.THIS SYSTEM IS GRID-INTERTIED VIA A UL-LISTED POWER-CONDITIONING INVERTER. 2.THIS SYSTEM HAS NO BATTERIES, NO UPS. 3.ALL INVERTERS AND ARRAYS ARE NEGATIVELY GROUNDED. 4.SOLAR MOUNTING FRAMES ARE TO BE GROUNDED. INDEX NG N T S LESKO, JILL LESKO RESIDENCE 205 PROSPECT ST HOME NORTHAMPTON, MA,01060 413-584-5195 RACKING: IRONRIDGE XR-100 JOB NUMBER: 1037 UTILITY: NG OWNER:DESCRIPTION:DESIGNED BY: REV:DATE: 18/11/2021 PAGE NAME: PAGE: HA INVERTER: (1) SOLAREDGE INVERTER SE6000H-US (6.00 KW) 6.00 kW AC COVER SHEET PV1REVIEW BY: MS LESKO, JILL LESKO RESIDENCE 205 PROSPECT ST HOME NORTHAMPTON, MA,01060 413-584-5195 6.65 kW DC ROOF SOLAR SYSTEMRACKING: IRONRIDGE XR-100 MODULES: (19) LONGI LR4 - 60HPB 350M JOB NUMBER: 1037 UTILITY: NG UTILITY ACCT #:88152-60021 OWNER:DESCRIPTION:DESIGNED BY: REV:DATE: 18/11/2021 PAGE NAME: PAGE: HA INVERTER: (1) SOLAREDGE INVERTER SE6000H-US (6.00 KW) 6.00 kW AC COVER SHEET PV1REVIEW BY: MS Signed 11-19-21 DRIVEWAY FOHPROSPECT STM INVAC MSP B μ AC LEGEND M INV AC MSP B D LC μ UTILITY METER INVERTER AC DISCONNECT MAIN SERVICE PANEL DC JUNCTION BOX MONITORING UNIT DISTRIBUTION PANEL LOAD CENTER CONDUIT FENCE SCALE: 1" = 15' N S E W ATS AUTOMATIC TRANSFER SWITCH LESKO, JILL LESKO RESIDENCE 205 PROSPECT ST HOME NORTHAMPTON, MA,01060 413-584-5195 RACKING: IRONRIDGE XR-100 JOB NUMBER: 1037 UTILITY: NG OWNER:DESCRIPTION:DESIGNED BY: REV:DATE: 18/11/2021 PAGE NAME: PAGE: HA INVERTER: (1) SOLAREDGE INVERTER SE6000H-US (6.00 KW) 6.00 kW AC SITE PLAN PV2REVIEW BY: MS6.65 kW DC ROOF SOLAR SYSTEM MODULES: (19) LONGI LR4 - 60HPB 350M UTILITY ACCT #:88152-60021 Signed 11-19-21 M INVAC MSP B μ AC LEGEND ROOF RAFTERS RAIL MOUNT OBSTRUCTION ROOF LEAD SIGN OFF: TOTAL PENETRATION COUNT 64 JUNCTION BOX CONDUIT UTILITY METER MAIN SERVICE PANEL MP1 (13) MODULES SCALE: 1" = 10' N S E W MP2 (6) MODULES MP2 RAFTER PROFILE RAFTER SPACING C.J. SPACING ATTACHMENT SPACING ROOF PITCH ARRAY PITCH ROOF AZIMUTH ARRAY AZIMUTH ROOF SURFACE TYPE STORIES 2X6 26" 26" 48" 22° 22° 231° 231° ASPHALT SHINGLE 2 MP1 RAFTER PROFILE RAFTER SPACING C.J. SPACING ATTACHMENT SPACING ROOF PITCH ARRAY PITCH ROOF AZIMUTH ARRAY AZIMUTH ROOF SURFACE TYPE STORIES 2X6 26" 26" 48" 33° 33° 141° 141° ASPHALT SHINGLE 2 LESKO, JILL LESKO RESIDENCE 205 PROSPECT ST HOME NORTHAMPTON, MA,01060 413-584-5195 RACKING: IRONRIDGE XR-100 JOB NUMBER: 1037 UTILITY: NG OWNER:DESCRIPTION:DESIGNED BY: REV:DATE: 18/11/2021 PAGE NAME: PAGE: HA INVERTER: (1) SOLAREDGE INVERTER SE6000H-US (6.00 KW) 6.00 kW AC ARRAY DETAIL PV3 ARRAY DETAIL PV3REVIEW BY: MS6.65 kW DC ROOF SOLAR SYSTEM MODULES: (19) LONGI LR4 - 60HPB 350M UTILITY ACCT #:88152-60021 AC DISCONNECT MA SMART METER INVERTER AC DISCONNECT Signed 11-19-21 PAGE NAME: PV4 STANDOFF SCALE NTSS1 SOLAR MODULE RAIL L-FOOT QMSE-LAG SHINGLE COMPOSITE SHINGLE 5"X5 16" - LAG 2.5" MIN. EMBEDMENT PER SCREW 2X6 NOMINAL LESKO, JILL LESKO RESIDENCE 205 PROSPECT ST HOME NORTHAMPTON, MA,01060 413-584-5195 RACKING: IRONRIDGE XR-100 JOB NUMBER: 1037 UTILITY: NG OWNER:DESCRIPTION:DESIGNED BY: REV:DATE: 18/11/2021 PAGE: HA INVERTER: (1) SOLAREDGE INVERTER SE6000H-US (6.00 KW) 6.00 kW AC STRUCTURAL VIEWS REVIEW BY: MS RAFTERS: 2X6 @ 26" O.C. MAX SPAN: 12' - 3" 6" 12' - 3"1' - 4" 13' - 7" S1 NTS MP2 SIDE VIEW 2' - 10" 4" RAFTERS: 2X6 @ 26" O.C. MAX SPAN: 8' - 2" 6" 8' - 2"1' - 4" 9' - 6" S1 NTS MP1 SIDE VIEW 8" 4" 5' - 4" 5' - 4"2' - 10" 6.65 kW DC ROOF SOLAR SYSTEM MODULES: (19) LONGI LR4 - 60HPB 350M UTILITY ACCT #:88152-60021 Signed 11-19-21 BREAKER FUSE SWITCH EARTH GROUND GEC EGC 1 AWG #6, THWN-2 AWG #8, THWN-2, EGC/GEC CONDUIT, 3/4" EMT AWG #6, THWN-2 AWG #8, THWN-2, EGC/GEC CONDUIT, 3/4" EMT AWG #10, THWN-2 AWG #10, THWN-2, EGC/GEC CONDUIT, 3/4" EMT AWG #10, PV WIRE AWG #10, THWN-2, EGC CONDUIT, 3/4" EMT ELEC. LEAD SIGN OFF: WIRE SCHEDULE 1 2 3 4 120/240V SINGLE PHASE UNDERGROUND UTILITY SERVICE METER 31597157 100A/2P (E) LOADS 125A SQUARE D MSPGROUND ELECTRODE LINE SIDE TAP LINE LOAD 40A (N) 60A AC DISCONNECT - FUSIBLE, LOCKABLE - 40A FUSES 2 (N) SOLADECK JUNCTION BOX - UNFUSED -GROUNDED (N) (19) LONGI LR4 - 60HPB 350M 350W PV MODULES (19) SOLAREDGE P370 POWER OPTIMIZERS 1 BRANCH OF 10 1 BRANCH OF 9 (N) SOLAREDGE INVERTER SE6000H-US 3 4 INVERTER OUTPUT CURRENT(A)= INVERTER BACKFEED (A)= MSP RATING (A)= MAIN BREAKER RATING (A)= MAX BACKFEED (A)= TIE IN: 25 31 125 100 50 LST LINE (N)MA SMART METER METER SOCKET LOAD LESKO, JILL LESKO RESIDENCE 205 PROSPECT ST HOME NORTHAMPTON, MA,01060 413-584-5195 RACKING: IRONRIDGE XR-100 JOB NUMBER: 1037 UTILITY: NG OWNER:DESCRIPTION:DESIGNED BY: REV:DATE: 18/11/2021 PAGE NAME: PAGE: HA INVERTER: (1) SOLAREDGE INVERTER SE6000H-US (6.00 KW) 6.00 kW AC SINGLE LINE PV5REVIEW BY: MS LINE LOAD 40A (N) 60A AC DISCONNECT - FUSIBLE, LOCKABLE - 40A FUSES 1 2 6.65 kW DC ROOF SOLAR SYSTEM MODULES: (19) LONGI LR4 - 60HPB 350M UTILITY ACCT #:88152-60021 NOTE: NEC 690.17(E) WARNING ELECTRICAL SHOCK HAZARD DO NOT TOUCH TERMINALS TERMINALS ON BOTH THE LINE AND LOAD SIDE MAY BE ENERGIZED IN THE OPEN POSITION NEC 705.12(D)(2)(b) PLACE THIS LABEL AT P.O.C. TO SERVICE DISTRIBUTION EQUIPMENT (I.E. MAIN PANEL (AND SUBPANEL IF APPLICABLE)) WARNING INVERTER OUTPUT CONNECTION DO NOT RELOCATE THIS OVERCURRENT DEVICE NEC 690.31 (D) 2; 2012 IFC 605.11 On or in a building, unless location/purpose is evident Raceways, enclosures, every 10’, suitable for environment Minimum 3/8” CAPS White on Red, Reflective WARNING PHOTOVOLTAIC POWER SOURCE 2020 NFPA 70, NEC 690.53 Maximum system voltage calculated in accordance with 690.7 •At one of the following locations: •DC PV system disconnect •PV system electronic power conversion equipment •Distribution equipment associated with the PV system MAXIMUM VOLTAGE MAXIMUM CIRCUIT CURRENT MAX RATED OUTPUT CURRENT OF THE CHARGE CONTROLLER OR DC-TO-DC CONVERTER (IF INSTALLED) 2020 NFPA 70, NEC 690.54 All interactive system(s) points of interconnection with other sources shall be marked…” •Accessible location at disconnecting means, • as a power source: •Rated AC output current •Nominal operating AC voltage PHOTOVOLTAIC AC DISCONNECT RATED AC OUTPUT CURRENT: NOMINAL OPERATING AC VOLTAGE: BACKGROUND AND LETTERING COLORS FOR SIGNAGE/LABELS SHALL COMPLY WITH (IN ORDER OF PRIORITY) AHJ & FIRE DEPARTMENT AMENDMENTS, STATE CODE, AND ANSI GUIDELINES. THIS PAGE IS INTENDED OR SIGNAGE/LABEL VERBIAGE ONLY. OUTSIDE LABELING OF SYSTEM COMPONENTS AND METERS IS TO BE DONE IN A WAY SUITABLE FOR THE ENVIRONMENT IN WHICH THE EQUIPMENT IS INSTALLED. NO STICKERS ARE PERMITTED. DIRECT-CURRENT PHOTOVOLTAIC POWER SOURCE INTERACTIVE SYSTEM POINT OF INTERCONNECTION See Figure 690.1(b) diagrams for location in system Disconnects PV from all other wiring systems Installed in a readily accessible location Permanently marked: PV SYSTEM DISCONNECT, or equivalent Where line/load may be energized in open (off) position: Marked with the following or equivalent PHOTOVOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN 2020 NFPA 70, NEC 690.56(c) SHALL INCLUDE SIMPLE DIAGRAM OF BUILDING AND ROOF LOCATED AT EACH SERVICE EQUIPMENT LOCATION WHERE PV IS CONECTED" OR APPROVED READLY VISIBLE LOCATION TURN RAPID SHUTDOWN SWITCH TO THE "OFF" POSITION TO SHUTDOWN PV SYSTEM AND REDUCE SHOCK HAZERD IN THE ARRAY SOLAR ELECTRIC PV PANELS RAPID SHUTDOWN SWITCH SWITCH LOCATED ON SOUTH SIDE BY ELECTRICMETER LESKO, JILL LESKO RESIDENCE 205 PROSPECT ST HOME NORTHAMPTON, MA,01060 413-584-5195 RACKING: IRONRIDGE XR-100 JOB NUMBER: 1037 UTILITY: NG OWNER:DESCRIPTION:DESIGNED BY: REV:DATE: 18/11/2021 PAGE NAME: PAGE: HA INVERTER: (1) SOLAREDGE INVERTER SE6000H-US (6.00 KW) 6.00 kW AC LABEL SETS PV6REVIEW BY: MS6.65 kW DC ROOF SOLAR SYSTEM MODULES: (19) LONGI LR4 - 60HPB 350M UTILITY ACCT #:88152-60021 76 North Meadowbrook Drive Scott E. Wyssling, PE Alpine, UT 84004 Jon P. Ward, SE, PE office (201) 874-3483 Gregory T. Elvestad, PE swyssling@wysslingconsulting.com November 19, 2021 Empower Energy Solution Inc 15 June Street, Suite 2a Woodbridge, CT 06525 Re: Engineering Services Lesko Residence 205 Prospect Street Home, Northampton, MA 6.650 kW System To Whom It May Concern: We have received information regarding solar panel installation on the roof of the above referenced structure. Our evaluation of the structure is to verify the existing capacity of the roof system and its ability to support the additional loads imposed by the proposed solar system. A. Site Assessment Information 1. Site visit documentation identifying attic information including size and spacing of rafters for the existing roof structure. 2. Design drawings of the proposed system including a site plan, roof plan and connection details for the solar panels. This information will be utilized for approval and construction of the proposed system. B. Description of Structure: Roof Framing: 2x6 Dimensional Lumber Rafters 26” on center. Roof Material: Composite Asphalt Shingles Roof Slopes: 22 & 33 degrees Attic Access: Accessible Lumber type: Assumed Spruce Pine Fir, No. 2 Foundation: Permanent C. Loading Criteria Used • Dead Load o Existing Roofing and framing = 7 psf o New Solar Panels and Racking = 3 psf o TOTAL = 10 PSF • Dead Load o Existing Roofing and framing = 7 psf o New Solar Panels and Racking = 3 psf o TOTAL = 10 psf • Live Load = 20 psf (reducible) – 0 psf at locations of solar panels • Ground Snow Load = 40 psf • Wind Load based on ASCE 7-10 o Ultimate Wind Speed = 120 mph (based on Risk Category II) o Exposure Category C Analysis performed of the existing roof structure utilizing the above loading criteria is in accordance with the 2015 International Residential Code, including provisions allowing existing structures to not require strengthening if the new loads do not exceed existing design loads by 105% for gravity elements and 110% for seismic elements. This analysis indicates that the existing rafters will support the additional panel loading without damage, if installed correctly. Page 2 of 2 D. Solar Panel Anchorage 1. The solar panels shall be mounted in accordance with the most recent Ironridge installation manual. If during solar panel installation, the roof framing members appear unstable or deflect non-uniformly, our office should be notified before proceeding with the installation. 2. The maximum allowable withdrawal force for a 5/16” lag screw is 235 lbs per inch of penetration into Spruce-Pine-Fir, as identified in the National Design Standards (NDS) of timber construction specifications. Based on a minimum penetration depth of 2½”, the allowable capacity per connection is greater than the design withdrawal force (demand). Considering the variable factors for the existing roof framing and installation tolerances, the connection using one 5/16” diameter lag screw with a minimum of 2½” embedment will be adequate and will include a sufficient factor of safety. 3. Considering the wind speed, roof slopes, size and spacing of rafters, and condition of the roof, the panel supports shall be placed no greater than 48” on centers. 4. Panel supports connections shall be staggered to distribute load to adjacent rafters. Based on the above evaluation, this office certifies that with the racking and mounting specified, the existing roof system will adequately support the additional loading imposed by the solar system. This evaluation is in conformance with the 2015 IRC, current industry standards and practice, and is based on information supplied to us at the time of this report. Should you have any questions regarding the above or if you require further information do not hesitate to contact me. Very truly yours, Scott E. Wyssling, PE MA License No. 50507 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 PERMITTING AUTHORITY. Applicant Information Name (Business/Organization/Individual): Please Print Legibly Address: City/State/Zip: Phone #: Are you an employer? Check the appropriate box: 1.0 Jam a employer with employees (full and/or part-time).* am a sole proprietor or partnership and have no employees working for me in any capacity. [No workers' comp. insurance required.] 3.0 I am a homeowner doing all work myself, [No workers' comp. insurance required.] 4.fl Jam 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 proprietors with no employees. 5.0 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 6.fl We are a corporation and its officers have exercised their right of exemption per MGL c. 152, §1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 7. fi New construction 8. fi Remodeling 9. 0 Demolition 10 El Building addition 11.0 Electrical repairs or additions 12. fi Plumbing repairs or additions 13. fi Roof repairs 14. fi Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees, they must provide their workers' comp. policy number. lam an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy # or Self-ins. Lic. #: Expiration Date: Job Site Address: 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 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: 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 #: Date: Empower Energy Solutions Inc 39 Fernwood Dr Rocky Hill CT 06067 (475) 221-2356 RS Gilmore Insurance Agency Inc WC533SB2191Q011 11/03/2022 5 Old Coach Rd Canton, MA 02021 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 02-23-15 www.mass.gov/dia © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD EVIDENCE ONLY 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 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 TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROJECT LOC OTHER BND0000550 01 12/06/2021 12/06/2022 EACH OCCURRENCE $1,000,000.00 DAMAGE TO RENTED PREMISES (Ea occurrence) $100,000.00 MED EXP (Any one person)$5,000.00 PERSONAL & ADV INJURY $1,000,000.00 GENERAL AGGREGATE $2,000,000.00 PRODUCTS - COMP/OP AGG $2,000,000.00 $ AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED HIRED AUTOS ONLY NON-OWNED AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS-MADE Each occurence Aggregate B WORKERS COMPENSATION AND EMPLOYERS` LIABILITY ANYP ROPRIETOR/PARTNER/EXECUTIV OFFICER/MEMBER EXCLUDED? Y/N N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 6R192949 12/11/2021 12/06/2022 PER STATUTE OTHER E.L. EACH ACCIDEN $1,000,000.00 E.L. DISEASE - EA EMPLOYEE $1,000,000.00 E.L. DISEASE - POLICY LIMIT $1,000,000.00 C Errors & Omissions UDC-4832463-EO-21 05/10/2021 05/10/2022 $ 1,000,000 per occ $1,000,000 in agg DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EVIDENCE ONLY CERTIFICATE HOLDER CANCELLATION COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: Hartford Underwriters Ins Co (Hartford)INSURER B : 30104 Hiscox Insurance Company Inc.INSURER C : 10200 INSURER D : INSURER E : INSURER F : INSURED Empower Energy Solutions 10 Ramblewood Drive Rocky Hill, Connecticut, 06067 CONTACT NAME: 646-854-1058PHONE (A/C No. Ext): FAX (A/C No): E-MAIL ADDRESS: coi@foundershield.com INSURER(S) AFFORDING COVERAGE NAIC # Acceptance Indemnity Insurance CompanyINSURER A : 20010 PRODUCER Millennial Specialty Insurance LLC dba Founder Shield 122 W 26th Street, 2nd Floor New York, New York, 10001 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). 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 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/13/2021