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BLD-22-007405
in eid eleL ("tt/re.,_ DocuSign Envelope ID:F88EOFBE-0B60-4835-9D4C-58783A0BC3ED l2 tt I Z G� ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department :'oF''r 1146 Route 28,South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 '.41:14 Massachusetts State Building Code,780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling RECEIVED This Section For Official Use Only _ _r- , Jo' 07 2022 Building Permit Number: Pi.,0 1.)-CO Mal Date Applied: r- 6 $ BUIL DING DEPARTMENT Building Official(Print Name) Signature vet‘, SECTION 1:SITE INFORMATION 1.1 Property Address: 31 icehouse Rd 1.2 Assessors Map&Parcel Numbers Yarmouth, MA 02664 59_155 1.1 a Is this an accepted street?yes no Map Number Parcel Number -1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) _1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required I Provided Required Provided Required Provided i 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private❑ Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Leonid Klebanov Yarmouth, MA 02664 Name(Print) City,State,ZIP 31 Icehouse Rd (508) 277-7076 leoklebanov@yahoo.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 ! Existing Building 0 1 Owner-Occupied ill [ Repairs(s) ❑ Alteration(s) 51 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other lgl Specify: PV Solar Install Brief Description of Proposed Work': PV Solar installation / System Size: 9.2 kw DC (23) Hanwha Q.PEAK DUO BLK ML-G10+ 400 PV MODULES / (23) Enphase IQ7PLUS-72-2-US INVERTERS) SECTION 4:ESTIMATED CONSTRUCTION COSTS. • Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 13,110 1. Building Permit Fee:$ /5-r) Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ 13,110 s 0 Total Project Cost (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 0K4r %Z 7 5.Mechanical (Fire $ Suppression) Total All Fees:$ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ 26220 0 Paid in Full ❑Outstanding Balance Due: DocuSign Envelope ID:F88EOFBE-0B60-4835-9D4C-58783A0BC3ED • SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) Bruce Arnold CS089489 10/24/2023 License Number Expiration Date Name of CSL Holder 86 Willard Ave List CSL Type(see below) U No.and Street Type Description Seekonk, MA 2771 U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP Ivl Masonry RC J Roofing Covering • WS Window and Siding SF Solid Fuel Burning Appliances (617) 334-5785 Engi neeri ng@brei terpl anet.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC201100 3/2/23 Breiter Planet Properties HI Co y N e or HIC Registrant Name HIC Registration Number Expiration Date 6 Fara Ave Engineering@breiterplanet.com No.and Street Seekonk, MA 2771 (617) 334-5785 Email address City/Town,State,ZIP Telephone permitting@breiterplanet.com SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(NI.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 0 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: OWNER'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. Homeowner Authoroization Attached via Customer Agreement 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.sov/oca Information on the Construction Supervisor License can be found at www.mass.eov/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" ACo Lam CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/8/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER MCSWEENEY& RICCI INSURANCE AGENCY INC NCONTACT AME: 420 WASHINGTON STREET PHO FAX No, Ext): (A/C,No): BRAINTREE, MA 02184 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Liberty Mutual Fire Insurance 23035 INSURED INSURER B: BREITER PLANET PROPERTIES LLC 86 WILLARD STREET INSURERC: SEEKONK MA 02771 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 64477203 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER IMM/DD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL 8,ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) 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) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WC2-31S-622693-021 10/6/2021 10/6/2022 STATUTE ERH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $100000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 100000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) WORKERS COMPENSATION INSURANCE COVERAGE APPLIES ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE OF MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION SUNOVA ENERGY CORPORATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO BOX 56229 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN HOUSTON MA 77256 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Jon Smith ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 64477203 I 1-622693 121-22 WC I Pralhad Khade 110/8/2021 3:39:38 PM (EDT) I Page 1 of 1 ,;.,, a*'�, �,d`y, �C�."•;;er/;,sr�,.v;.:::"' „ilk,'�'- .. ,i/�'::,'.'»,:; ;y% '", `'�i'.;i5-;��' ,,,,;..� :.0 ,y.« .r,y^; �= „�,., r4G/l�<s� rr�G',� • ,"�aS,',:£'E`i'"r-�"�.,-,;,;;,,¢¢¢a, >�,,;a�s;�- r;,V': i, S ..\.• a ,.. 4 t,'„- v:,.y'E:;,:.rry.""--'. l..'y!"�?'.$s ¢." iV- I ./� E" �`a a��i��r ass- yy'.��',r�'�a• -,;��>„/ � ? • "" � ;9', ./tic• io, "-,1,-". ?`, � •„ • ark Via'' " % ,fir', '„ F „ £ 1:4) K- w i , t" ;r7 ; „ z-rr „4 F.••n _ art:••s / i' %f ice' ;::;; ,,, 40' fez„`„ Wig,., - 0 ��t.,„:vy , . s=' " ?. �'fv''" ;",;,'•',; :,.,,,,•tea .. 'i,,, i/+� i's; NalIF ' 'ti) 4, _. Li '', ro r.,..- 0 '5'' ' ''''''tvittit-:';'''';';v,,„, , f ;, _ a0 .110...4 a-,-) 7/..., ,,,,,,-;c*"0,, ,'; 'ii0r,,,:!-IZAW%-,W, , fro Ytt,..k.w.,,tit,-k3'.: '•t,„,• ..„,,,,,— ,. 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Ml e ,III " ;`;,, ;;, - m co g to) '� .;w.�./tea CO lit CO : x 0 12/16/21, 11:05 AM Details Licensee Details Demo ra hic Information Full Name: BRUCE A ARNOLD Owner Name: License Address Information City: SPRINGFIELD State: MA Zipcode: 01105 Country: United States License Information License No: CS-089489 License Type: Construction Supervisor Profession: Building Licenses Date of Last Renewal: 10/7/2021 Issue Date: 10/24/2009 Expiration Date: 10/24/2023 License Status: Active Today's Date: 12/16/2021 Secondary License Type: Doing Business As: Status Change Reason: License Renewal Pi ere uisite Information No Prerequisite Information No Available Documents • https://madpl.mylicense.comNerification/Details.aspx?result=c79130a4-5853-4624-9199-2009481 e215f 1/1 r' `/ /f1/( /(P7)(7% /f/:)/'r!/ % Office of Consumer Affairs and Business Regulation 1000 Washington Street Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: LLC Registration: 201100 BREITER PLANET PROPERTIES,LLC Expiration: 03/04/2023 D/B/A BREITER PLANET CONSTRUCTION 86 WILLARD AVENUE SEEKONK,MA 02771 Update Address and Return Card. SCA 1 Cr 2CM-05 17 7,^,rift,/,'!,n°W r ,//::// Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:LLC before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 201100 03/04/2023 1000 Washington Street -Suite 710 BREITER PLANET PROPERTIES,LLC Boston,NIA 02118 Di'B/A BREITER PLANET CONSTRUCTION ANDREW BREITER-WU �� r 86 WILLARD AVENUE •s,G4P.t` SEEKONK.MA 02771 Undersecretary Not valid wIthout signature `_. DocuSign Envelope ID:F88EOFBE-0B60-4835-9D4C-58783A0BC3ED ONE or TWO FAMILY— BULDING PERMIT APPLICATION REGULATORY APPROVALS NOTICE Address of Proposed Work: 31 Icehouse Rd Yarmouth, MA 02664 Scope of Proposed Work: PV solar Installation / system size: 9.2 kw DC (23) Hanwha Q.PEAK DUO BLK ML-G10+ 400 PV MODULES / (23) Enphase IQ7PLUS-72-2-US INVERTER(S) Date: 1/14/2022 Based on the scope of work described above,the applicant is required to obtain approval sign- offs from the following departments as checked-of below: Health Dept. —508-398-2231 ext. 1241 Conservation—508-398-2231 ext. 1288 Water Dept. —99 Buck Island Road, 508-771-7921 Old Kings HWY. Hist. Comm. —508-398-22631 ext. 1292 Engineering Dept. —508-398-2231 ext. 1250 Fire Dept.—Kevin Huck/Scott Smith, 96 Old Main Street, SY Note: Please call Fire Department for an appointment. 508-398-2212 Other Appropriate plans and/or application shall be provided to each departments checked-off above. Each of these regulatory authorities has their own requirements outside the jurisdiction of the Building Department. All applicable approvals shall be obtained prior to submitting a building permit application to the Building Dept. Thank you for your cooperation. Receipt Acknowledgement: DocuSigned by: Qin, tft,V-wlk 6/8/2022 Applicant's Signature Date Rev.Jan. 2019 A CERTIFICATE OF LIABILITY INSURANCE DAT9/9/202',�""' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE.HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT McSweeney&Ricci Insurance Agency, Inc. PHONE FAX 420 Washington Street (A/C,No.Ext): 781-848-8600 (ac,No):781-843-8807 Braintree MA 02184 ADDRESS: mrireception@mcsweeneyricci.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Lloyds Of London 85202 INSURED ANDRBRE-01 iNSURERB: Breiter Planet Properties, LLC 86 Willard Ave INSURER C: Seekonk MA 02771 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1254845225 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 INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A GENERAL LIABILITY TBD 9/8/2021 9/8/2022 EACH OCCURRENCE $3,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $50,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $3,000,000 GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $3,000,000 POLICY PRO LOC $ JECT A AUTOMOBILE LIABILITY TBD 9/8/2021 9/8/2022 COMBINED SINGLE LIMIT (Ea accident) $1.000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X x NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N/A $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Professional Liability TBD 9/8/2021 9/8/2022 Per Claim 3,000,000 Aggregate 3,000,000 Deductible 5,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) All limits listed are shared limits with a shared aggregate limit. Contractors Pollution Liability included$3,000,000 subject to$5,000 per claim deductible $5,000 per occurrence deductible applies to CGL Additional insured,primary and non-contributory for on-going and completed operations and waiver of subrogation applies with respects the above CGL policy as required by written contract or agreement. 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. For Informational Purposes AUTHORIZED REPRESENTATIVE I .7'''*;'4*. 6 , . ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID:F88EOFBE-0B60-4835-9D4C-58783A0BC3ED ,,,,,ealth of Massachusetts --? � 1, Department of Industrial Accidents eo�ls 1 Congress Street,Suite 100 =. f Boston,MA 02114-2017 � www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE RILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): B rei te r Planet Properties Address: 86 wi l l and Ave City/State/Zip: Seekonk, MA 2771 Phone (617) 334-5785 Are you an employer?Check the appropriate box: 1. I am a employer 100+ Type of project(required): © er with R yemployees(full and/or part-time).* 7. Q New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in any capacity.[No workers'comp. insurance required.] 8. Remodeling 3.E1 I am a homeowner doing all work myself.[No workers'comp,insurance required.]/ 9. ❑Demolition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will to ❑ Building addition ensure that all contractors either have workers'compensation insurance or are sole I I. ElectricaI repairs or additions proprietors with no employees. 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12'❑Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insurance.t 13.0 Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.®Other 501 a r 152,§I(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box Al 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 ant an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: Liberty Mutual Policy r or Self-ins.Lic.#: wc2-31s-622693-021 10/6/2022 Expiration Date: Job Site Address: 31 icehouse Rd City/State/Zip: Yarmouth, MA 02664 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. oecusw ed by: Signature: Qw w hx' '` �d1„U ye21.4 Date: 6/8/2022 PhoneT: 617-334-5785 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. PIumbing Inspector 6.Other Contact Person: Phone#: DocuSign Envelope ID:F88EOFBE-0B60-4835-9D4C-58783A0BC3ED o� TOWN OF YARMOUTH i BUILDING DEPARTMENT pp MATT.ICRLC3[.� a. 1146 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: Non DATE: Appl i cabl e JOB LOCATION: NAME STREET ADDRESS SECTION OF TOWN "HOMEOWNER" NAME HOME PHONE WORK PHONE PRESENT MAILING ADDRESS CITY OR TOWN STATE ZIP CODE The current exemption for `Homeowner' was extended to include owner—occupied dwellings of one or two units and to allow such homeowners to engage an individual for hire who does not possess a license,provided that such homeowner shall act as supervisor. (State Building Code Section 110 R5.1.3.1) Definition of Homeowner: 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 attached or detached structure assessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner;such"homeowner"shall submit to the building official,on a form acceptable to the building official,that he/she shall be responsible for all such work performed under the building permit. (Section 110 R5.1.3.1) The undersigned `homeowner' assumes responsibility for compliance with the State Building Code and other applicable codes,by-laws, rules and regulations. The undersigned `homeowner' certifies that he/ she understands the Town of Yarmouth Building Department minimum inspection procedures and requirements and that he / she will comply with said procedures and requirements. HOMEOWNER"S SIGNATURE APPROVAL OF BUILDING OFFICIAL INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch.142. Yes No If you have checked ves,please indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent h:homeownriicexemp DocuSign Envelope ID:F88EOFBE-0B60-4835-9D4C-58783A0BC3ED §TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext..1261 Fax 508-398-0836 Office of the Building Commissioner BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Ch. 40, §54 and 780 CMR- Section 105.3.1. #4. I hereby certify that the debris resulting from the proposed work/demolition to be 31 Icehouse Rd, Yarmouth, MA 02664 conducted at Work Address Is to be disposed of oat the following location: 569 Winthrop st, Taunton, MA 02780 Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. bocuSipned by: Qv,dn.w bruftx-k 6/8/2022 Signature of Application Date Permit No. Current EngineerIng 1/18/2022 Breiter Planet Properties, LLC, 86 Willard Ave, Seekonk, MA 02771 Subject:Structural Certification for Installation of Residential Solar re job: Leonid Klebanov, 31 Icehouse Rd,Yarmouth, MA 2664 Attn.:To Whom It May Concern A field observation was performed to document the existing framing of the above mentioned address. From the field observation,the existing roof structure was observed as: ROOF 1: Shingle roofing supported by 2x6 Rafter @ 16 in. OC spacing.The roof is sloped at approximately 23 degrees and has a max beam span of 13 ft between supports. Design Criteria: Code: 2015 IBC w/780 CMR (ASCE 7-10) Ult Wind Speed: 140 mph Ground Snow: 30 psf Exposure Cat: B Min Roof Snow: 25 psf After review of the field observation report and based on our structural capacity calculations in accordance with applicable building codes,the existing roof framing supporting the proposed solar panel layout has been determined to be: ROOF 1: adequate to support the imposed loads.Therefore, no structural upgrades are required. Current Renewables Engineering Inc. �tH OFMgs Professional Engineer o�a��MOVASS c, info@currentrenewableseng.com �� e� cy °� CIVIL NO.56313 " A7p/, 9eGISTF �t' (SS/ONAIENG\� Exp:6/30/2022 1960 Chlcaga Ave,Suite D15,Riverside,CA 925C3 WVAPv.currentrcnewableseng,com 951.254.5655 IN f C I I Y PR 1ESSIONAIISM €::USTOM R E Xf RIE.NCE Current Engneerinc 1/18/2022 Breiter Planet Properties, LLC 86 Willard Ave Seekonk, MA 02771 Attn.:To Whom It May Concern re job: Leonid Klebanov 31 Icehouse Rd Yarmouth, MA 2664 The following calculations are for the structural engineering design of the photovoltaic panels and are valid only for the structural info referenced in the stamped plan set.The verification of such info is the responsibility of others. After review, I certify that the roof structure has sufficient structural capacity for the applied PV loads. All mounting equipment shall be designed and installed per manufacturer's approved installation specifications. Design Criteria: Code: 2015 IBC w/780 CMR ASCE 7-10 Live Load: 20 psf Ult Wind Speed: 140 mph Exposure Cat: B Ground Snow: 30 psf Min Roof Snow: 25 001 OF MASS ,01\OVAss4 ley G c CIVIL Current Renewables Engineering Inc. N0.56313 w Professional Engineer srERE �sQ info@currentrenewableseng.com essioNA1.E4'. Exp:6/30/2022 1960 Chicago Ave,Suite D15,R€yers:de,CA 92%07 www,currentrenewableseng,corn 951154.5.655 INTEGRITY PROFESSIONALISM CUSTOMER EXPERIENCE Date :1/18/2022 Current Job Code: Leonid Klebanov 2of6 Engineering Roof Properties: Roof 1 Roof Type= Shingle Roof Pitch (deg) = 23 Mean Roof Height (ft) = 13 Attachment Trib Width (ft) = 2.75 Attachment Spacing(ft) = 4 Framing Type = Rafter Framing Size = 2x6 Framing OC Spacing(in.) = 16 Section Thickness, b (in.) = 1.5 Section Depth, d (in.) = 5.5 Section Modulus,Sx(in.^3) = 7.6 Moment of Inertia, lx(in.^4) = 20.8 Framing Span (ft) = 13 Deflection Limit D+L(in.) = 2.6 Deflection Limit S or W (in.) = 1.73 Attachments Pattern = Fully Staggered Framing Upgrade = Adequate Sister Size= NA Wood Species= DF#2 Wood Fb (psi) = 900 Wood Fv(psi) = 180 Wood E (psi) = 1600000 CD(Wind) = 1.6 CD(Snow) = 1.15 Cis= 1.15 CM=Ct=CI_=CI= 1.0 CF= 1.3 Cfu = 1.00 Cr= 1.15 F'b_wind (psi) = 2476 F'b_snow (psi) = 1779 F'v_wind (psi) = 288 F'v_snow (psi) = 207 M_allowable_wind (lb-ft) = 1560 M_allowable_snow(lb-ft) = 1121 V_allowable_wind (Ibs) = 1584 V_allowable_snow(Ibs) = 1139 E' (psi) = 1600000 1960 Chicago Ave,Suite DI:: _,CA 92507 irw1f'a?w.cu€rout enewa lesen ,.com, 961 2'34`.5i:i's`.:3 INTEGRITY PROF FSSIONAI,ISM CUSTOMER F PFRIFNCF Date :1/18/2022 Current Job Code: Leonid Klebanov Clenc 3of6 Engineering Load Calculation: Dead Load Calculations: Panels Dead Load (psf) = 3.0 Roof 1 Roofing Weight(psf) = 3.0 Decking Weight(psf) = 2.0 Framing Weight(psf) = 1.4 Misc. Additional Weight (psf) = 1.0 Existing Dead Load (psf) = 7.4 Total Dead Load (psf) = 10.4 Snow Load Calculations: Ground Snow Load, pg (psf) = 30 Min Flat Snow, pf_min (psf) = 25 Min Sloped Snow, pf_min (psf) = NA Snow Importance Factor, lc= 1.0 Exposure Factor, Ce= 0.9 Roof 1 Thermal Factor, Ct= 1.2 Flat Roof Snow, pf(psf) = 25 Slope Factore, Cs= 1.00 Sloped Roof Snow, ps (psf) = 25 Wind Load Calculations: Ultimate Wind Speed (mph) = 140 Directionality Factor, kd = 0.85 Topographic Factor, kzt= 1.0 Roof 1 Velocity Press Exp Factor, kz= 0.70 Velocity Pressure, qz (psf) = 29.9 External Pressure Up, GCp_1= -0.85 External Pressure Up, GCp_2 = -1.55 External Pressure Up, GCp_3 = -2.45 External Pressure Down, GCp= 0.45 Design Pressure Up, p_1 (psf) = -25.4 Design Pressure Up, p_2 (psf) = -46.3 Design Pressure Up, p_3 (psf) = -73.2 Design Pressure Down, p (psf) = 16.0 1960 Chicago Aye,Suite D1.5,Riverside,,CA 925 / www cu.irrentre ewa les ng.com t INTEGRITY PROFESSIONALISM CUSTOMER EXPERIENCE Date :1/18/2022 Current Job Code: Leonid Klebanov 4of6 Engineering Hardware Checks: Lag Screw Checks: Roof 1 Ref. Widthrawal Value, W (lb/in) = 266 (Cm=Ct=Ceg= 1.0) CD= 1.6 Adjusted Widthrawal Value, W' (lb/in) = 426 Lag Penetration, p (in.) = 2.5 Allowable Widthrawal Force, W'p (Ibs) = 1064 Applied Uplift Force (Ibs) = -287 Uplift DCR= 0.27 Ref. Lateral Value,Z(Ibs) = 270 (Cm = Ct= CA=Ceg= 1.0) CD= 1.15 Adjusted Lateral Value, Z' (Ibs) = 311 Applied Laeral Force (Ibs) = 120 Angle of Resultant Force, a(deg) = 67 djusted Interaction Lateral Value, Z'a(Ibs)= 781 Lateral DCR= 0.15 Roof Framing Checks: Force Checks: Roof 1 LC1: D+S Applied Moment (lb-ft) = 998 Applied Shear(Ibs) = 307 Allowable Moment(lb-ft) = 1121 Allowable Shear(Ibs) = 1139 Moment DCR= 0.89 Shear DCR= 0.27 LC2: D+0.6W Applied Moment (lb-ft) = 564 Applied Shear(Ibs) = 173 Allowable Moment(lb-ft) = 1560 Allowable Shear(Ibs) = 1584 Moment DCR= 0.36 Shear DCR= 0.11 LC3: D+0.75(S+0.6W) Applied Moment (lb-ft) = 1024 Applied Shear(Ibs) = 315 Allowable Moment(lb-ft)= 1560 106€0 Chicago Aye,Suite D15,Rnierside,CA 9/ 0 r ,tww.S3irrentreneweh0fewn 951 254 S` .`5 N.I EGRITY PR J FSSIONAI SM ,UST MER EXPERIENCE: Date :1/18/2022 Current Job Code: Leonid Klebanov 5 of 6 Eng ring Allowable Shear(Ibs) = 1584 Moment DCR= 0.66 Shear DCR= 0.20 LC4: 0.6 D+0.6 W Applied Moment (lb-ft) = 253 Applied Shear(Ibs) = 78 Allowable Moment(lb-ft) = 1560 Allowable Shear(Ibs) = 1584 Moment DCR= 0.16 Shear DCR= 0.05 Deflection Checks (Service Level): Roof 1 LC1: D+L Deflection (in.) = 0.40 Deflection Limit(in.) = 2.99 Deflection DCR= 0.13 LC2: S Deflection (in.) = 0.64 Deflection Limit(in.) = 1.99 Deflection DCR= 0.32 LC3: W(Down) Deflection (in.) = 0.17 Deflection Limit (in.) = 1.99 Deflection DCR= 0.09 LC4: W (Up) Deflection (in.) = -0.27 Deflection Limit(in.) = 1.99 Deflection DCR= 0.14 Seismic Check: Existing Weight: Wall Weight (psf)= 17 Tributary Wall Area (ft2) = 1200 Total Wall Weight (Ibs) = 20400 Roof Weight (psf) = 7 Roof Area (ft2) = 3500 Total Roof Weight(Ibs) = 25963 Total Existing Weight(Ibs) = 46363 1960 Chicago Ave,Suite Dib R?v rsid ,CA 9250, INTEGRITY PR FFS5I IAt.1S 9 C sTOME XPERRIF t:R Date :1/18/2022 Current Job Code: Leonid Klebanov , , or- Engineering 6of6 n ineer r Additional PV Weight: PV Panel Weight (Ibs) = 54 Number of Panels = 23 Total Additional PV Weight(Ibs)= 1252 Weight Increase: (Existing W+Additional W)/(Existing W) = 103% The increase in weight as a result of the solar system is less than 10%of the existing structure and therefore no further seismic analysis is required. Limits of Scope of Work and Liability: Existing structure is assumed to have been designed and constructed following appropriate codes at time of erection, and assumed to have appropriate permits.The calculations produced are only for the roof framing supporting the proposed PV installation referenced in the stamped planset and were completed according to generally recognized structural analysis standards and procedures, professional engineering and design experience, opinions and judgements. Existing deficiencies which are unknown or were not observable during time of inspection are not included in this scope of work.All PV modules, racking, and mounting equipment shall be designed and installed per manufacturer's approved installation specifications.The Engineer of Record and the engineering consulting firm assume no responsibility for misuse or improper installation.This analysis is not stamped for water leakage. Framing was determined based on information in provided plans and/or photos, along with engineering judgement. Prior to commencement of work,the contractor shall verify the framing sizes,spacings, and spans noted in the stamped plans, calculations, and cert letter(where applicable) and notify the Engineer of Record of any discrepancies prior to starting construction. Contractor shall also verify that there is no damaged framing that was not addressed in stamped plans, calculations, and cert letter (where applicable) and notify the Engineer of Record of any concerns prior to starting construction. 1960 Chwago Ave,Suite D1 ,Riv rstd ,CA 92507 7 WW.rt.rrr€ntmama blesc,ng,rorn 9;1. > > .a° INT:GRI-Y PROFFSSi NAI IS 9 CUSTOMER EXPERIENCE DocuSign Envelope ID:F88E0FBE-0B60-4835-9D4C-58783A0BC3ED DowwS" ign° Certificate Of Completion Envelope Id:BA6120D100B4467E8B9B9ADD05DE6B0D Status:Completed Subject:Leonid Klebanov:(MA)Town of Yarmouth-Building Permit Application Source Envelope: Document Pages: 10 Signatures:0 Envelope Originator: Certificate Pages: 1 Initials:0 Docs Team AutoNav:Enabled 3401 N Thanksgiving Way Ste 450 Envelopeld Stamping:Enabled Lehi, UT 84043 Time Zone:(UTC-07:00)Mountain Time(US&Canada) daas @gosolo.io IP Address:98.245.0.150 Record Tracking Status:Original Holder:Docs Team Location:DocuSign 1/14/2022 3:35:22 PM daas@gosolo.io Signer Events Signature Timestamp Daas Completed Sent: 1/14/2022 3:44:46 PM daas@gosolo.io Viewed: 1/14/2022 3:45:09 PM Team Signed: 1/14/2022 3:45:16 PM Solo Using IP Address:98.245.0.150 Security Level:Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted Certified Delivered 1/14/2022 3:44:46 PM Security Checked 1/14/2022 3:45:09 PM Signing Complete Security Checked Completed 1/14/2022 3:45:16 PM Security Checked 1/14/2022 3:45:16 PM Payment Events Status Timestamps Ell 0Z a O cc 1� Q . 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' L: t `v S _ L�i�flt Q — ltll Q — _ ▪ = �Alilt toiy, Cam? _(} !"3 O ii u y C � •A ...... e3: as uc . . ,.ri! 4,2 v g. vy,. = .... 'i.3 M NO N. ti _ _ ii - -55 s yt. Via;: z u t o N — o▪ _ E. n « 4 R ! II ! : I ' . it Liiiii ;.. .. • p�a « � '. b E�^`a"°£ y•x� ;2 : s s.rt' '' .H„ .. t iv '.r'_ tc's 3 Co 'y t C`i CZ c Ci7 ev lli „„alamemea y 'IF t— v. p.._. p EL. '', 76 > u ti g = '+ ry n :!:, . =' • <= bU .'� — �' ../ US C .a)+ co - '5- CQ :.' cc - Ca C C� © _ ;: ,).� C7 C sti +K .. ' aiF: . 0 2 4..• Cu -`- -C-7 ,C p "C .w C CJ . ,a-„ y s. yj CD IHH cp / Jh.i Q /n- Cl ., Cit C C1. CS ,d`. .�'. = — s.: DocuSign Envelope ID:BB433B51-4420-464D-8E39-433ED0231C05 PLANET PROPERTIES SOLAR HOME IMPROVEMENT AGREEMENT—RESIDENTIAL Customer information installation Location ")at Leonid klebanov 12/20/2021 31 Icehouse Rd Yarmouth MA 02664 Here are the terms of your Solar Home Improvement Agreement 9.200 . System Warranty Sy;t,e,t' ,...r The r to Planet r m s •We provide a money-back energy performance guarantee. •We warrant all of our roofing work. •We warrant and repair the System.,.,.,..,.,.r..... ....................................... .......................................................vita(here .. •We fix or pay for any damage we may cause to your property. •We provide 24/7 web-enabled monitoring at no additional cost. •The pricing in this Agreement is valid for 30 days after Thursday,September 30,2021. Your Breiter Planet Purchase Agreement Details Contract Price 26220 Amount Due 26220 Est.first year production 10165 800 Boylston Street, 16th Floor, Boston, MA 02199 (617)334-5785 breiterplanet.com DocuSign Envelope ID:BB433B51-4420-464D-8E39-433ED0231C05 DHLI I tH PLANET PROPERTIES SOLAR HOME IMPROVEMENT AGREEMENT—RESIDENTIAL 800 Boylston Street, 16th Floor,Boston, MA 02199 I (617)334-57 5 breiterplanetcom DocuSign Envelope ID:BB433B51-4420-464D-8E39-433ED0231C05 SOLAR HOME IMPROVEMENT AGREEMENT—RESIDENTIAL PLANET PROPERTIES 800 Boylston Street, 16"'Floor, Boston, MA 02199 T(617)334-5785 COM SOLAR HOME IMPROVEMENT AGREEMENT RESIDENTIAL Date of Execution: 12/20/2021 Leonid klebanov Efim Radzinsky 31 Icehouse Rd Yarmouth TO BE DISCLOSED AFTER 31 Icehouse Rd MA 02664 PERMITTING Yarmouth MA 02664 it itii3ii,'€ Ceti:„ N r b(F 800 Boylston Street 16th Floor Boston,MA 02199 This Solar Home Improvement Agreement(this"Agreement") is between Breiter Planet Properties, LLC("Breiter Planet", "we"or "Contractor")and you ("Customer")for the sale and installation of the solar system described below(the"Project"or the "System")at your home(the"Property"or your"Home").We look forward to helping you produce clean, renewable solar energy at your Home.The Parties agree as follows: KEY TERMS AND CONDITIONS 1. DESCRIPTION OF THE PROJECT AND DESCRIPTION OF THE SIGNIFICANT MATERIALS TO BE USED AND EQUIPMENT TO BE INSTALLED. Sale and installation of a 9.200kW DC photovoltaic system consisting of PV modules,corresponding inverter(s) and a mounting system designed for installation and operation at your Home. 2. CONTRACT PRICE.The Contract Price for the Project is$ 26220 The Contract Price is subject to any change orders agreed to in writing by both parties. 3. INSTALLATION TIMELINE.Breiter Planet will install the System within a reasonable amount of time after we sign this Agreement but no later than twelve(12) months from the date of this Agreement,which shall be of the essence.We will schedule your System installation at a mutually convenient date and time.When Breiter Planet completes installation of the solar panels and the inverters(s),then substantial completion of the work to be performed under this Agreement shall have occurred: Approximate Start Date: 30-120 days from the date of thisAgreement Approximate Completion Date: 30-120 days from the date of thisAgreement This performance timeline is an estimate and may be adjusted as provided in this Agreement, including delays due to late payments or unforeseen conditions. Page 3 of 22 800 Boylston Street, 16"Floor, Boston, MA 02199 1 (617)334-5785 1 breiterplanet,com DocuSign Envelope ID:BB433B51-4420-464D-8E39-433ED0231C05 DHLI I LK SOLAR HOME IMPROVEMENT AGREEMENT—RESIDENTIAL if PLANET PROPERTIES 4. SCHEDULE OF PROGRESS PAYMENTS. PAYMENT TIMING AMOUNT NOTES Deposit Due at Contract Signing $ 26220 Final Payment Rebate Assignment $ Buyer assigns rebate(estimate only at contract signing)to Breiter Planet.(See General Terms and Conditions,Section 1 of this Agreement.) Total $26220 (includes any applicable sales tax) I acknowledge I have re tion 4. (CUSTOMER'S INITIALS) .. 12/20/2021 5. The pricing in this Agreement is valid for 30 days after . If you don't sign this Agreement and return it to us on or prior to 30 days after 12/20/2021 , Breiter Planet reserves the right to reject this Agreement unless you agree to our then current pricing. Page 4 of 22 800 Boylston Street, 16th Floor, Boston, MA 02199 1617)334-5785 1 breiterplanet.com DocuSign Envelope ID:BB433B51-4420 464D 8E39 433ED0231C05 SOLAR HOME IMPROVEMENT AGREEMENT—RESIDENTIAL frDHLI I LH PLANET PROPERTIES You are entitled to a completely filled in copy of this Agreement, signed by both you and the Contractor, before any work may be started. GENERAL TERMS AND CONDITIONS You acknowledge that the System equipment and THIS AGREEMENT SUPERSEDES ALL PRIOR EXISTING materials we will furnish and install are subject to cost increases.We will hold the Contract Price for six(6) CONTRACTS BETWEEN YOU AND BREITER PLANET THAT months after the date of this Agreement.After six(6) PERTAIN TO THE"SYSTEM"DEFINED IN THIS AGREEMENT. months,if the cost of any System equipment or material 1. CHANGES,PERMITS,REBATES,INCENTIVES rises by any unusual amount because of circumstances beyond Breiter Planet's control,including but not limited Both parties will have the right to terminate this to market price fluctuation or a site audit that reveals the Agreement,without penalty or fee,if Breiter Planet need for additional materials or labor,then Breiter Planet determines after the engineering site audit of your Home shall have the right to present you with a change order for that it has misestimated by more than ten percent(10%) the System equipment with a new price.You will have the any of(i)the System size,(ii)the System's total cost or(iii) right to accept or reject this new price and get your the System's annual production. Such termination right deposit,if any, back. If you do not accept the new price, will expire at the earlier of(i)one(1)week prior to your Breiter Planet shall have the right to terminate this scheduled System installation date and(ii)sixty(60)days Agreement and issue you a full refund minus any after we inform you in writing of the revised size,cost or development costs already incurred by Breiter Planet production estimate. If you do not terminate this Properties, upon which the parties shall have no further Agreement or return the written amendment to this obligations to one another. Agreement described below within this time period,then this Agreement will automatically terminate and you will Breiter Planet will obtain any necessary permits,at Breiter not get your deposit,if any, back.Any changes to the Planet's cost. Breiter Planet shall not be responsible for System will be documented in a written amendment to this delays in work due to the actions of any permitting and Agreement signed by both you and Breiter Planet.You regulatory agencies or their employees.You will pay authorize Breiter Planet to make corrections to the utility Breiter Planet for any taxes or assessments required by and incentive paperwork to conform to this Agreement or federal,state or local governments or related regulatory any amendments to this Agreement we both sign. agencies or utilities. If you are financing your System, Breiter Planet's The rebate and incentive calculations Breiter Planet obligation to install the System is conditioned on Breiter provides to Customer are estimates.These estimates are Planet's confirmation that you have obtained financing for based on certain assumptions that may not be applicable the System. Breiter Planet may terminate this Agreement based on the circumstances specific to the Project. without liability if,in its reasonable judgment,this However,actual rebates and incentives are variable as condition will not be satisfied. eligibility requirements,funding availability,and rates may change. Breiter Planet will use good faith reasonable efforts to help Customer secure applicable rebates and incentives, but Breiter Planet shall have no financial obligation to Customer regarding actual rebate and incentive amounts received.Customer agrees to pay the Contract Price in full regardless of the actual amount of rebates and/or incentives received. Page 5 of 22 BOO Boylston Street, 16th Floor,Boston, MA 02199 I (617)334-57 5 I breiterplanet.com DocuSign Envelope ID:BB433B51-4420-464D-8E39-433ED0231C05 SOLAR HOME IMPROVEMENT AGREEMENT—RESIDENTIAL fOKLI I LH PLANET PROPERTIES If you enter into the Renewable Energy Credit Agreement failure to comply with the requirements of this paragraph attached as Schedule B(the"REC Agreement"),Breiter does not preclude the recovery of compensation for work Planet will purchase all of the environmental attributes performed based on legal or equitable remedies designed associated with your System. Breiter Planet will set off the to prevent unjust enrichment. price we separately pay you for your environmental 3. PROPERTY CONDITIONS attributes("REC Credit")pursuant to the REC Agreement against the Contract Price.The REC Credit is considered You will be responsible for the structural integrity of the income and we will send you a Form 1099.Breiter Planet location where the System is installed,including structural may sell the environmental attributes to a third party.You or electrical modifications necessary to prepare your recognize that you will not own the environmental Property for the System.You agree that Breiter Planet is attributes to sell,use or claim,and a third party may have not responsible for any known or unknown Property the right to claim clean,green or renewable energy based conditions. on its purchase of environmental attributes from your System. If you do not enter into the REC Agreement,you 4. EXISTING CONDITIONS retain all rights and title in any environmental attributes Breiter Planet is not responsible and bears no liability for from the System and you will not receive the REC Credit. the malfunctioning of existing electrical equipment at In that case,you are responsible for registration and sale the Property,including but not limited to the main of the environmental attributes from your System. Breiter electrical service panel,any major electrical devices,or Planet has no obligation to assist you in the registration or any other fuses or similar devices. sale of the environmental attributes associated with your System. If you are financing the System or you are 5. COST OR DELAY DUE TO UNFORESEEN CONDITIONS entering into the REC Agreement,you agree to maintain Breiter Planet is not responsible for failures,delays or and make available,at your cost,a functioning indoor expenses related to unanticipated,unusual,or unforeseen Internet connection with the understanding that an conditions at the Property arising out of conditions beyond intermittent internet connection(which shall include but is Breiter Planet's reasonable control(all of which shall be not limited to temporary wireless hotspots)will not satisfy considered"Force Majeure Events"). Performance times this obligation. under this Agreement will be considered extended for a 2. SCHEDULE OF PROGRESS PAYMENTS period of time equivalent to the time lost due to such conditions. If Breiter Planet discovers unforeseen The schedule of progress payments (see Key conditions requiring additional cost,then Breiter Planet Terms and Conditions cover sheet) must shall present such costs to you and get your written specifically describe each phase of work, approval before beginning or continuing performance. Failure to provide such approval may result in Breiter including the type and amount of work or Planet exercising its termination rights pursuant to services scheduled to be supplied in each Section 8 of this Agreement. phase,along with the amount of each proposed progress payment. 6. PROPERTY ACCESS You grant to Breiter Planet and its employees,agents and Note about Extra Work and Change Orders.Extra Work contractors the right to reasonably access all of the and Change Orders become part of the contract once the Property as necessary for the purposes of(A) installing, order is prepared in writing and signed by the parties constructing,operating, repairing,removing and replacing prior to commencement of any work covered by the new the System or making any additions to the System;(B) change order.The order must describe(i)the scope of the installing,using and maintaining electric lines and inverters extra work or change,(ii)the cost to be added or and meters,necessary to interconnect the System to your subtracted from the contract;and(iii)the effect the order electric system at the Property and/or to the utility's will have on the schedule of progress payments or electric distribution system;or(C)taking any other action the completion date. Notwithstanding this reasonably necessary in connection with the construction, provision,the Contractor shall have the right to installation,operation,maintenance, removal or repair of substitute System equipment without Customer's the System. agreement,so long as that substitution adds no extra cost to the project and does not materially affect the System's performance.The Contractor's Page 6 of 22 800 Boylston Street, 16'Floor,Boston, MA 02199 ( (617)B 4-57 5 1 breiterplanet.coro DocuSign Envelope ID:BB433B51-4420-464D-8E39-433ED0231C05 lfKLI1LK SOLAR HOME IMPROVEMENT AGREEMENT—RESIDENTIAL PLANET PROPERTIES 7. TITLE AND RISK OF LOSS Title to the Project shall transfer to you when we complete 11. BREITER PLANET'S INSURANCE installation of the Project.After delivery of the System Breiter Planet carries the following insurance applicable equipment and materials to your Property,other than to the work being performed under this Agreement: damage directly resulting from Breiter Planet's actions, you bear risk of loss to the System.Breiter Planet retains a. Commercial General Liability Insurance(CGL). Breiter all Breiter Planet-owned intellectual property rights on Planet carries commercial general liability insurance any of the equipment installed in your System including, with coverage amounts that meet or exceed those but not limited to, patents,copyrights and trademarks and required by law. any data generated by Breiter Planet's monitoring system. b. Workers'Compensation Insurance. 8. TERMINATION AND DEFAULT Breiter Planet carries workers'compensation insurance for all employees in compliance with law. Breiter Planet may terminate this Agreement, upon seven (7)days written notice,for any material or non- 12. INDEMNIFICATION material breach,for any failure of Customer to agree to an appropriate change order,for any failure of Both parties shall indemnify,defend and hold harmless the Customer to pay Breiter Planet any amount due,for any other and its employees,officers,directors,agents and bankruptcy or financial distress of Customer,or for any assigns from any and all third party claims,actions,costs, hindrance to Breiter Planet in the performance process. expenses(including reasonable attorneys'fees and expenses),damages, liabilities, penalties, losses, 9. REMEDIES UPON CUSTOMER'S BREACH obligations,demands and liens of any kind arising out of or relating to its failure to perform its obligations under this Without limiting any of Breiter Planet's other rights and Agreement. Neither party shall be required to indemnify remedies,upon any breach by Customer, including any failure of Customer to pay Breiter Planet any amount due, the other for its own negligence,willful misconduct or or if you cancel this Agreement after we commence fraud. construction(i.e.,any work for the System)at your home, 13. GOVERNING LAW Breiter Planet shall have the right to:(i)pursue a stop work order at the Property; The laws of the state where your Home is located shall (ii ii)prevent any more work from being done at the Property until the breach is cured govern this Agreement without giving effect to conflict of and a bond is posted by the Customer for any amounts laws principles. payable under this Agreement;(iii) recover all amounts due under this Agreement for services provided through 14. ENTIRE AGREEMENT the date of termination including interest(prime+2%or This Agreement contains the parties'entire agreement such amount as allowed by law);(iv)remove any Project regarding the Project.There are no other agreements materials or equipment from the Property;and(v)any regarding this Agreement,either written or spoken.Any other legal remedies including but not limited to change to this Agreement must be in writing and signed by mechanics liens or similar remedies. both parties.Only an authorized officer of Breiter Planet may execute any change to this Agreement on behalf of I acknowledge I have read this Section 9. Breiter Planet. If any portion of this Agreement is Customer's initials 1� � { determined to be unenforceable or invalid,the remaining provisions shall be enforced in accordance with their terms or shall be interpreted or re-written so as to make them enforceable. Provisions that should reasonably be 10. MECHANICS'LIEN RELEASES considered to survive termination of this Agreement shall survive. Breiter Planet may assign or subcontract any of its Upon satisfactory payment for any portion of the work performed, Breiter Planet shall, prior to any further rights or obligations under this Agreement to any payment,furnish to Customer a full and unconditional successor,partner or purchaser. release from any claim or mechanics'lien pursuant to applicable law for that portion of the work for which 15. WAIVER payment has been made. Please see Exhibit 3 for Any delay or failure of a party to enforce any of the provisions of this Agreement, including but not limited to any remedies listed in applicable lien notices and warnings required by law. this Agreement,or to require performance by the other party of Page 7 of 22 800 Boylston Street, 16th Floor, Boston, MA 02199 ( (617)334-5785 ( breiterplanet,cor1 DocuSign Envelope ID:BB433B51-4420-464D-8E39-433ED0231C05 ijrDKLI ILK SOLAR HOME IMPROVEMENT AGREEMENT—RESIDENTIAL `PLANET PROPERTIES any of the provisions of this Agreement,shall not be Home. construed to(i) be a waiver of such provisions or a party's right to enforce that provision;or(ii)affect the validity of If you initiate the arbitration,you will be required to pay this Agreement. the first$125 of any filing fee. We will pay any filing fees in excess of$125 and we will pay all of the arbitration fees 16. SELLING YOUR HOME and costs. If we initiate the arbitration,we will pay all of If you sell your Home,you can transfer this Agreement.All the filing fees and all of the arbitration fees and costs.We can will each bear all of our own attorney's fees and costs of your rights and obligations under this Agreement except that you are entitled to recover your attorney's be assigned to the purchaser of your home pursuant to fees and costs if you prevail in the arbitration and the award you receive from the arbitrator is higher than Section 9 of the Performance Guarantee and Limited Warranty. Breiter Planet's last written settlement offer.When determining whether your award is higher than Breiter 17. PRIVACY/PUBLICITY Planet's last written settlement offer your attorney's fees You grant Breiter Planet the right to publicly use,display, and costs will not be included. share,and advertise the photographic images, Project Only Disputes involving you and Breiter Planet may be details,price and any other non-personally identifying addressed in the arbitration. Disputes must be brought in information of your Project.You may opt-out of these the name of an individual person or entity and must publicity rights by giving us written notice and mailing it proceed on an individual(non-class,non-representative) to: Breiter Planet Properties,LLC,Attention: Publicity Opt basis.The arbitrator will not award relief for or against Out,86 Willard Ave,Seekonk, MA 02771. Breiter Planet anyone who is not a party. If either of us arbitrates a shall not share your personally identifiable information or Dispute,neither of us, nor any other person,may pursue any data associating you with the Project location without the Dispute in arbitration as a class action,class your consent. arbitration,private attorney general action or other 18. ARBITRATION OF DISPUTES representative action,nor may any such Dispute be pursued on your or our behalf in any litigation in any court. Claims regarding any Dispute and remedies sought as part PLEASE READ THIS SECTION CAREFULLY.ARBITRATION REPLACES THE RIGHT TO GO TO COURT,INCLUDING THE of a class action,class arbitration,private attorney general RIGHT TO A JURY AND THE RIGHT TO PARTICIPATE IN A or other representative action are subject to arbitration CLASS ACTION OR SIMILAR PROCEEDING. IN on an individual(non-class, non-representative)basis,and ARBITRATION,A DISPUTE IS RESOLVED BY AN the arbitrator may award relief only on an individual(non- ARBITRATOR INSTEAD OF A JUDGE OR JURY. class,non-representative)basis.This means that the The laws of the state where your Home is located shall arbitration may not address disputes involving other persons with disputes similar to the Disputes between you govern this Agreement without giving effect to conflict of laws principles.We agree that any dispute,claim or and Breiter Planet. The arbitrator shall have the authority to award any legal disagreement between us(a"Dispute")shall be resolved exclusively by arbitration. or equitable remedy or relief that a court could order or The arbitration, including the selecting of the arbitrator, grant under this agreement.The arbitrator, however, is will be administered by JAMS,under its Streamlined not authorized to change or alter the terms of this agreement or to make any award that would extend to Arbitration Rules(the"Rules")by a single neutral any transaction other than yours.All statutes of limitations arbitrator agreed on by the parties within thirty(30)days of the commencement of the arbitration.The arbitration that are applicable to any dispute shall apply to any arbitration between us.The Arbitrator will issue a decision will be governed by the Federal Arbitration Act(Title 9 of or award in writing,briefly stating the essential findings of the U.S.Code). Either party may initiate the arbitration process by filing the necessary forms with JAMS.To learn fact and conclusions of law. more about arbitration,you can call any JAMS office or BECAUSE YOU AND WE HAVE AGREED TO ARBITRATE review the materials at www.jamsadr.com.The ALL DISPUTES, NEITHER OF US WILL HAVE THE RIGHT TO arbitration shall be held in the location that is most LITIGATE THAT DISPUTE IN COURT,OR TO HAVE A JURY convenient to your Home. If a JAMS office does not exist TRIAL ON THAT DISPUTE,OR ENGAGE IN DISCOVERY in the county where you live,then we will use another EXCEPT AS PROVIDED FOR IN THE RULES. FURTHER,YOU accredited arbitration provider with offices close to your WILL NOT HAVE THE RIGHT TO PARTICIPATE AS A 800Boylston Street, 16tt,Floor,Boston, NA 02199 I (617)334-5785 I breiterplanet.corn Page 8 of 22 DocuSign Envelope ID:BB433B51-4420-464D-8E39-433E:D0231C05 IfKLllLki SOLAR HOME IMPROVEMENT AGREEMENT—RESIDENTIAL PLANET PROPERTIES WHOM BREITER PLANET IS NOT RESPONSIBLE AS PROVIDED REPRESENTATIVE OR MEMBER OF ANY CLASS PERTAINING TO HEREIN) MISUSE, NEGLECT, UNAUTHORIZED ATTEMPTS TO ANY DISPUTE.THE ARBITRATOR'S DECISION WILL BE FINAL REPAIR,OR ANY OTHER CAUSE BEYOND THE RANGE OF THE AND BINDING ON THE PARTIES AND MAY BE ENTERED AND INTENDED USE,OR BY ACCIDENT, FIRE, LIGHTNING OR OTHER ENFORCED IN ANY COURT HAVING JURISDICTION, EXCEPT TO HAZARD. THE EXTENT IT IS SUBJECT TO REVIEW IN ACCORDANCE WITH APPLICABLE LAW GOVERNING ARBITRATION AWARDS.OTHER 21. NOTICE REGARDING PERFORMANCE AND PAYMENT RIGHTS THAT YOU OR WE WOULD HAVE IN COURT MAY ALSO BONDS NOT BE AVAILABLE IN ARBITRATION. The owner or tenant in a home improvement contract has 19. LIMITED WARRANTY the right to require the contractor to have a performance and payment bond. YOU UNDERSTAND THAT OUR WORK IS WARRANTIED UNDER THE TERMS OF EXHIBIT 2,AND THAT THERE ARE 22. DEPOSIT REFUND TERMS NO OTHER REPRESENTATIONS OR WARRANTIES, EXPRESS IF EITHER YOU OR BREITER PLANET CANCELS THIS OR IMPLIED,AS TO THE MERCHANTABILITY, FITNESS FOR AGREEMENT UNDER THE FIRST PARAGRAPH OF SECTION 1 ANY PURPOSE,CONDITION, DESIGN,CAPACITY, OF THESE GENERAL TERMS AND CONDITIONS, UNDER SUITABILITY OR PERFORMANCE OF THE PROJECT OR ITS PARAGRAPH 24(A)OF THESE GENERAL TERMS AND INSTALLATION. UPON RECEIPT OF PAYMENT IN FULL OF CONDITIONS OR UNDER SECTION 25 OF THESE GENERAL THE CONTRACT PRICE,ALL WARRANTIES THAT ARE TERMS AND CONDITIONS,YOUR DEPOSIT MINUS ANY PROVIDED BY MANUFACTURERS OF EQUIPMENT USED IN DEVELOPMENT COSTS ALREADY INCCURED BY BREITER THE PROJECT("MANUFACTURER'S WARRANTIES")WILL PLANET PROPERTIES, IF ANY,SHALL BE RETURNED TO YOU BE TRANSFERRED DIRECTLY TO YOU.YOU UNDERSTAND WITHIN 10 BUSINESS DAYS. IF YOU CANCEL THIS THAT BREITER PLANET HAS NO RESPONSIBILITY WITH AGREEMENT PURSUANT TO SECTION 24(B)OF THESE RESPECT TO SUCH WARRANTIES OTHER THAN TO GENERAL TERMS AND CONDITIONS, BREITER PLANET TRANSFER THEM TO YOU. CANCELS THIS AGREEMENT PURSUANT TO THE SECOND 20. LIMITATION OF LIABILITY. PARAGRAPH OF SECTION 1 OF THESE GENERAL TERMS AND CONDITIONS,OR THIS AGREEMENT AUTOMATICALLY a. No Consequential Damages. EACH PARTY'S LIABILITY TERMINATES PURSUANT TO THE FIRST PARAGRAPH OF TO THE OTHER UNDER THIS AGREEMENT SHALL BE SECTION 1 OF THESE GENERAL TERMS AND CONDITIONS, LIMITED TO DIRECT,ACTUAL DAMAGES ONLY.WE THEN YOU WILL NOT GET YOUR DEPOSIT, IF ANY, BACK. BOTH AGREE THAT IN NO EVENT SHALT-EITHER PARTY BE LIABLE TO THE OTHER FOR CONSEQUENTIAL, 23. LIST OF DOCUMENTS TO BE INCORPORATED INTO THE INCIDENTAL, PUNITIVE,EXEMPLARY,SPECIAL OR CONTRACT. INDIRECT DAMAGES. FOR PURPOSES OF THIS SECTION 20,YOU AGREE THAT ANY REMEDIES SPECIFICALLY • Exhibit 1: PROVIDED FOR IN THIS AGREEMENT CONSTITUTE Notice of Cancellation (10 Day Right to Cancel) DIRECT,ACTUAL DAMAGES. • Exhibit 2: Performance Guarantee and Limited Warranty b. Actual Damages. Neither party's liabilil:y to the other • Exhibit 3: will exceed$2,000,000,including without limitation, State Specific Provisions damages to your Home or Property during the performance of the Project or resulting from the Project. • Schedule A(Purchase Order) EXCEPTING THE OTHER PROVISIONS UNDER THIS • Schedule B(Renewable Energy CreditAgreement HEADING, BREITER PLANET DISCLAIMS AND CUSTOMER (if applicable)) WAIVES ALL EXPRESS OR IMPLIED WARRANTIES • Change Order Form INCLUDING(WITHOUT LIMITATION)ANY IMPLIED • Solar Operation and Maintenance Guide WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. BREITER PLANET SHALL NOT BE LIABLE TO CUSTOMER UNDER THIS WARRANTY IF AN ALLEGED DEFECT IN ANY WORK OR EQUIPMENT WAS CAUSED BY CUSTOMER'S OR ANY THIRD PERSON'S(FOR Page 9 of 22 00 Boylston Street, 16th Floor, Boston, MA 02199 1 617 5 -57 5 ! breiter l net,corn DocuSign Envelope ID:BB433B51-4420-464D-8E39-433ED0231C05 ir Envelope I t) SOLAR HOME IMPROVEMENT AGREEMENT—RESIDENTIAL PLANET PROPERTIES 24. ADDITIONAL RIGHTS TO CANCEL. IN ADDITION TO ANY RIGHTS YOU MAY HAVE TO CANCEL THIS AGREEMENT UNDER SECTION 25 BELOW AND UNDER SECTION 1 OF THESE GENERAL TERMS AND CONDITIONS,YOU MAY ALSO CANCEL THIS AGREEMENT(A)AT NO COST AT ANY TIME PRIOR TO MIDNIGHT OF THE TENTH BUSINESS DAY AFTER THE DATE YOU SIGN THIS AGREEMENT AND(B)AT ANY TIME PRIOR TO COMMENCEMENT OF CONSTRUCTION ON YOUR HOME. 25. NOTICE OF RIGHT TO CANCEL.YOU MAY CANCEL THIS AGREEMENT AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE YOU SIGN THIS AGREEMENT.SEE THE ATTACHED NOTICE OF CANCELLATION FORM ATTACHED AS EXHIBIT 1 FOR AN EXPLANATION OF THIS RIGHT. By signing below, I agree that Breiter Planet can contact me for telemarketing and informational purposes via call or text using automated technology and/or pre-recorded messages using the phone number(s) I provided that are listed on the first page of this contract. I understand that consent is not a condition of purchase.You may opt-out of this authorization at any time by calling us at: (617)334-5785 or sending us written notice and mailing it to: Breiter Planet Properties, LLC,Attention: Phone Authorization Opt-Out,86 Willard Avenue,Seekonk, MA 02771. Customer's Name: Breiter Planet Properties, LLC ,.- ' DocuSigned by: "---DocuSigned by: Signature: "� Signature: f� \--38E6A58FC951420... ''--8131 D0629821440_. Date: 12/20/2021 Name:Andrew Breiter-Wu Customer's Name: Title: President& Investment Manager Signature: Date: 12/20/2021 Date: Page 10 of 22 600 Boylston Street, 16" Floor, Boston, MA 02199 [ (617)334-5785 j breiterpl net.cosn DocuSign Envelope ID:BB433B51-4420-464D-8E39-433E_D0231C05 6HLIILH SOLAR HOME IMPROVEMENT AGREEMENT—RESIDENTIAL PLANET � PROPERTIES EXHIBIT 1 (BREITER PLANET PROPERTIES COPY) NOTICE OF CANCELLATION STATUTORILY REQUIRED LANGUAGE Notice of Cancellation Date of Transaction: 12/20/2021 You may CANCEL this transaction,without any penalty or obligation,within TEN BUSINESS DAYS from the above date. If you cancel,any property traded in,any payments made by you under the contract or sale and any negotiable instrument executed by you will be returned minus any solar development costs already incurred by Breiter Planet Properties,within TEN DAYS following receipt by the seller(Breiter Planet Properties, LLC)of your cancellation notice, and any security interest arising out of the transaction will be canceled. If you cancel,you must make available to the seller(Breiter Planet Properties, LLC)at your residence, in substantially as good condition as when received,any goods delivered to you under this contract or sale,or you may, if you wish,comply with the instructions of the seller (Breiter Planet Properties, LLC) regarding the return shipment of the goods at the seller's(Breiter Planet Properties, LLC) expense and risk. If you do make the goods available to the seller(Breiter Planet Properties, LLC)and the seller (Breiter Planet Properties, LLC)does not pick them up within 20 days of the date of your notice of cancellation,you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the seller (Breiter Planet Properties, LLC),or if you agree to return the goods to the seller(Breiter Planet Properties, LLC)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 Breiter Planet Properties, LLC,c/o Document Processing,86 Willard Avenue,Seekonk, MA 02771 NOT LATER THAN MIDNIGHT of the date that is TEN BUSINESS DAYS from the date you signed the Agreement. I, , hereby cancel this transaction on [Date]. Customer's Signature: Customer's Signature: Page 11 of 22 00 Boylston Street, 16``' Floor, €oston, MA 02199 l (617)334-5785 I Brerterplanot,com DocuSign Envelope ID:BB433B51-4420-464D-8E39-433E:D0231C05 if t9FtLiRti SOLAR HOME IMPROVEMENT AGREEMENT—RESIDENTIAL PLANET PROPERTIES EXHIBIT 1 (CUSTOMER COPY) NOTICE OF CANCELLATION STATUTORILY REQUIRED LANGUAGE Notice of Cancellation Date of Transaction:12/20/2021 You may CANCEL this transaction,without any penalty or obligation,within TEN BUSINESS DAYS from the above date. If you cancel,any property traded in,any payments made by you under the contract or sale and any negotiable instrument executed by you will be returned minus any solar development costs already incurred by Breiter Planet Properties,within TEN DAYS following receipt by the seller(Breiter Planet Properties, LLC) of your cancellation notice, and any security interest arising out of the transaction will be canceled. If you cancel,you must make available to the seller(Breiter Planet Properties, LLC)at your residence,in substantially as good condition as when received,any goods delivered to you under this contract or sale,or you may, if you wish,comply with the instructions of the seller (Breiter Planet Properties, LLC) regarding the return shipment of the goods at the seller's(Breiter Planet Properties, LLC's)expense and risk. If you do make the goods available to the seller(Breiter Planet Properties, LLC)and the seller (Breiter Planet Properties, LLC)does not pick them up within 20 days of the date of your notice of cancellation,you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the seller (Breiter Planet Properties, LLC),or if you agree to return the goods to the seller(Breiter Planet Properties, LLC)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 Breiter Planet Properties, LLC,c/o Document Processing,86 Willard Avenue,Seekonk, MA 02771 NOT LATER THAN MIDNIGHT of the date that is TEN BUSINESS DAYS from the date you signed the Agreement. I, , hereby cancel this transaction on [Date]. Customer's Signature: Customer's Signature: 800 A Boston,Street, 16th Floor, Bost r, ! A 02 . . (6 7)33 -S7 S breiter l ret.corr Page 12 of 22 DocuSign Envelope ID:BB433B51-4420-464D-8E39-433ED0231C05 DHLIILH SOLAR HOME IMPROVEMENT AGREEMENT—RESIDENTIAL ► PLANET PROPERTIES EXHIBIT 2 PERFORMANCE GUARANTEE AND LIMITED WARRANTY 1. INTRODUCTION This Performance Guarantee and Limited Warranty(this"Limited Warranty")is Breiter Planet Properties'("Breiter Planet"or "we")agreement to provide you("Customer")warranties on the System you purchased under the Agreement.The System will be professionally installed by Breiter Planet at the address you listed in the Agreement.We will refer to the installation location as your"Property"or your"Home." This Limited Warranty begins when we start the survey of your Home for the System and expires 25 years from completilan of installation (the"Warranty Period"),except as otherwise specified.We look forward to helping you produce clean, renewable solar power at your Home. 2. LIMITED WARRANTIES,PERFORMANCE GUARANTEE (a) Limited Warranties (i) Installation Warranty Our installation of the System will be free from defects in workmanship for the full Warranty Period; (ii) Inverter Warranty After the end of the Manufacturer's Warranty on your System's inverter,we warrant that under normal use and service conditions your System's inverter will be free from defects in workmanship or defects in,or a breakdown of, materials or components,for'the remainder of the Warranty Period; (iii) Roof Warranty All roof penetrations we make for your System will be watertight.This warranty will run the longer of(a)the first ten (10)years of the Warranty Period or(b)the length of any existing installation warranty or new home builder performance standard for your roof(the"Roof Warranty Period"); (iv) Damage Warranty We will repair damage we cause to your Home,your belongings or your property or pay you for the damage we cause,as limited by Section 7,for the full Warranty Period(except damages that result from our roof penetrations, which damages are covered for the Roof Warranty Period). Subject to the limitations listed in Section 2(e)below,under these warranties Breiter Planet will correct any defective workmanship(Installation Warranty),repair any roof leak(Roof Warranty),fix or replace any defective inverter part,material or component(Inverter Warranty)or repair any property damage(Damage Warranty),at no cost or expense to you(including all labor costs),when you submit a valid claim to us under this Limited Warranty. Cosmetic repairs that do not involve safety or performance shall be made at Breiter Planet's discretion. If you have a claim under any of the Manufacturer's Warranties during the Warranty Period,at your request Breiter Planet will make this claim on your behalf and at no additional cost perform any related labor associated with repairing the System. (b) Performance Guarantee (i) Power Production Guarantee Breiter Planet guarantees that during the Warranty Period the System will generate the guaranteed kilowatt-hours (kWh)("Guaranteed kWh")in the table set forth below as follows: Year Total kWh Agreed Price/kWh 2 0.09719 4 36,815.60 0.09719 800 Boylston Street, . "Floor, Boston, MA 0 199 (617)334-5785 Breiter lenet,corr DocuSign Envelope ID:BB433B51-4420-464D-8E39-433ED0231C05 DHLIILK SOLAR HOME IMPROVEMENT AGREEMENT—RESIDENTIAL PLANET PROPERTIES 6 54,855.24 0.09719 8 72,957.47 0.09719 10 90,467.26 0.09719 12 107,656.04 0.09719 14 124,881.01 0.09719 16 142,364.35 0.09719 18 159,448.07 0.09719 20 176,987.36 0.09719 A. If at the end of each successive month anniversary of the first day of the month immediately following the month in which your System commences operation the cumulative Actual kWh(defined below)generated by the System is less than the Guaranteed kWh,then we will pay you directly an amount equal to the difference, if any, between the cumulative Actual kWh and the Guaranteed kWh multiplied by the Agreed Energy Price per kWh(defined below). Your cumulative Actual kWh is dependent on a shading percentage of%on your Home. If this shading percentage increases, your Guaranteed Actual kWh will be reduced proportionately. For example,if the first month period commences on October 1,2015 and ends on September 30,2017,and the energy the System was supposed to generate is less than the energy the system was guaranteed to generate during such month period,we will pay you the difference in the Actual kWh and the Guaranteed kWh multiplied by the Agreed Energy Price per kWh.See the table below for a real-world example. Example Example Actual Example Agreed Example Guaranteed kWh $/kWh Energy Price Payment to You kWh 10,000 9,500 $0.10 $50.00 B. If at the end of each successive month anniversary of the first day of the month immediately following the month in which your System commences operation the Actual kWh is greater than the Guaranteed kWh during any month period, this surplus will be carried over and will be used to offset any deficits that may occur in the future. "Actual kWh"means the AC electricity produced by your System in kilowatt-hours measured and recorded by Breiter Planet during each successive month anniversary of the first day of the month immediately following the month in which your System commences operation. To measure the Actual kWh we will use the Remote Monitoring Service or to the extent such services are not available,we will estimate the Actual kWh by reasonable means. "Agreed Energy Price per kWh"is set out in the table immediately after the first paragraph in Section 2(b)(i)above. (c) Maintenance and Operation (i) General When the System is installed Breiter Planet will provide you with a copy of its Solar Operation and Maintenance 800 Boylston Street, 16" Floor, Boston, MA 02199 ( (617)334-5785 I breiterplanetcorn DocuSign Envelope ID:BB433B51-4420-464D-8E39-433ED0231C05 DHL(ILN SOLAR HOME IMPROVEMENT AGREEMENT—RESIDENTIAL PLANET PROPERTIES Guide.This Guide provides you with System operation and maintenance instructions,answers to frequently asked questions,troubleshooting tips and service information. If we install a safety anchor in your roof during the installation of the System,we will leave this anchor installed for our future use throughout the installation and operation of your System.This safety anchor is for our use only. You are not authorized to use this anchor. (ii) Remote Monitoring Remote monitoring requires a high-speed Internet line to operate.Therefore,during the Warranty Period,you agree to maintain the communication link between our monitoring device and the System and between remote monitoring device and the Internet. You agree to maintain and make available,at your cost,a functioning indoor internet connection with a router,one DHCP enabled Ethernet port with internet access and standard AC power outlet close enough and free of interference to enable an internet-connected gateway provided by Breiter Planet to communicate wirelessly with the System's inverter(typically this is 80 feet,but may depend on site conditions). This communication link must be a 10/100 Mbps Ethernet connection that supports common Internet protocols(TCP/IP and DHCP). If you do not have and maintain a working high speed Internet line then(A)we will not be able to monitor the System and provide you with the Power Production Guarantee or provide a Remote Monitoring upgrade;and(B)you will be required to provide Breiter Planet with annual production information from your inverter. (d) Making a Claim;Transferring this Warranty (i) Claims Process You can make a claim by: A. emailing us at the email address in Section 8 below; B. writing us a letter and sending it overnight mail with a well-known service;or (ii) Transferable Limited Warranty Breiter Planet will accept and honor any valid and properly submitted Warranty claim made during the Warranty Period by any person who purchases the System from you. (e) Exclusions and Disclaimer The limited warranties and guarantee provided in this Limited Warranty do not apply to any lost power production or any repair, replacement or correction of the System that result from the following: (i) materials and equipment covered by Manufacturer's Warranties; (ii) someone other than Breiter Planet or its approved service providers installed,removed, re-installed or repaired the System(including,but not limited to,damaging the System during such work); your failure to perform, or breach of, your obligations under this Limited Warranty, including not reporting System failure or damage,your being unavailable to provide access or assistance to us in diagnosing or repairing a problem,or your failing to maintain the System as stated in the Solar Operation and Maintenance Guide,or you modify or alter the System; (iii) shading from foliage that is new growth or is not kept trimmed to its appearance as of the date the System was installed; (iv) any System failure or lost or diminished performance that results from your actions,omissions or request(e.g. the System is not producing power because it has been removed to make roof repairs or you have required us to locate the inverter in a non-shaded area); (v) theft or vandalism of the System; (vi) any negligence or willful misconduct by you,your agents or representatives; (vii) your failure to comply with the terms of,or cooperate with Breiter Planet during,the warranty claim process; 800 Boylston Street, 16th Floor, Boston, MA 02199 [ (617) 54-5785 I breiiterinet.cor DocuSign Envelope ID:BB433B51-4420 464D-8E39-433ED0231C05 SOLAR HOME IMPROVEMENT AGREEMENT—RESIDENTIAL IfKLl 1 t I PLANET PROPERTIES (viii) any Force Majeure Event(as defined below); (ix) damage to your Home,belongings or property that results from our roof penetrations after the end of the Roof Warranty Period;and (x) damage or loss to the System due to ball strikes. Any cash payout to you is limited to the payouts described in Section 2(b)of this Limited Warranty. Breiter Planet will not make cash payments for any System damage.Rather,it will make System repairs as provided in this Limited Warranty. This Limited Warranty gives you specific rights,and you may also have other rights which vary from state to state.This Limited Warranty does not warrant any specific electrical performance of the System,other than that described above. Snow or ice may accumulate on rooftops and on solar panels during snowstorms.Accumulated snow or ice may slide or fall, resulting in property damage or bodily harm.If and when conditions safely allow you to remove accumulated snow or ice,you should do so to reduce the likelihood of excess snow sliding or falling. THE LIMITED WARRANTIES DESCRIBED IN SECTIONS 2(a)ABOVE ARE THE ONLY EXPRESS WARRANTIES MADE BY BREITER PLANET WITH RESPECTTO THE SYSTEM. BREITER PLANET HEREBY DISCLAIMS,AND ANY BENEFICIARY OF THIS LIMITED WARRANTY HEREBY WAIVES,ANY WARRANTY WITH RESPECT TO ANY COST SAVINGS FROM USING THE SYSTEM.SOME STATES DO NOT ALLOW SUCH LIMITATIONS,SO THE ABOVE LIMITATIONS MAY NOT APPLY TO YOU. 3. YOUR ADDITIONAL OBLIGATIONS (a) You grant to Breiter Planet and its employees, agents and contractors the right to reasonably access all of the Property as necessary for the purposes of compliance with this Limited Warranty. (b) If you want to make any repairs or improvements to the Property that could interfere with the System(such as repairing the roof where the System is located),you may only remove and replace the System pursuant to Section 5 of this Limited Warranty. (c) During the Warranty Period you agree: (i) to only have the System repaired pursuant to the Limited Warranty and reasonably cooperate when repairs are being made; (ii) to keep trees,bushes and hedges trimmed so that the System receives as much sunlight as it did when Breiter Planet installed it; (iii) to keep the panels clean,pursuant to this Limited Warranty and the Solar Operation and Maintenance Guide; (iv) to not modify your Home in a way that shades the System; (v) to be responsible for any conditions at your Home that affect the installation(e.g. blocking access to the roof or removing a tree that is in the way); (vi) to not remove any markings or identification tags on the System; (vii) to permit Breiter Planet,after we give you reasonable notice,to inspect the System for proper operation as we reasonably determine necessary; (viii) to not do anything,permit or allow to exist any condition or circumstance that would cause the System not to operate as intended at the Property; (ix) to notify Breiter Planet if you think the System is damaged,appears unsafe or is stolen;and (x) that you will not make any modifications,improvements,revisions or additions to the System or take any other action that could void the Limited Warranty on the System without Breiter Planet's prior written consent. 800 Boylston Street, 16th Floor,Boston, MA 02199 J (617)334-57 5 l breiterplanet.corn DocuSign Envelope ID:BB433B51-4420-464D-8E39-433ED0231C05 IfK�Il�K SOLAR HOME IMPROVEMENT AGREEMENT—RESIDENTIAL PLANET PROPERTIES 4. BREITER PLANET'S STANDARDS For the purpose of this Limited Warranty the standards for our performance will be(i)normal professional standards of performance within the solar photovoltaic power generation industry in the relevant market;and(ii)Prudent Electrical Practices. "Prudent Electrical Practices"means those practices,as changed from time to time,that are engaged in or approved by a significant portion of the solar power electrical generation industry operating in the United States to operate electric equipment lawfully and with reasonable safety,dependability,efficiency and economy. 5. SYSTEM REPAIR,REMOVAL AND REINSTALLATION (a) You agree that if(i)the System needs any repairs that are not the responsibility of Breiter Planet under this Limited Warranty or(ii)the System needs to be removed and reinstalled to facilitate remodeling of your Home,you will have Breiter Planet, or another similarly qualified service provider,at your expense,perform such repairs or removal and reinstallation. (b) Breiter Planet will remove the System from your roof while roof repairs are being made and reinstall the System after roof repairs are completed for a competitive price.You will need to provide storage space for the System during such time.If we reinstall your System, the Roof Warranty will restart at the completion of reinstallation and run for ten (10) years from reinstallation. Breiter Planet's obligations under this Section 5(b)are contingent on your compliance with the terms of the Agreement. 6. FORCE MAJEURE If Breiter Planet is unable to perform all or some of its obligations under this Limited Warranty because of a Force Majeure Event,Breiter Planet will be excused from whatever performance is affected by the Force Majeure Event,provided that: (a) Breiter Planet,as soon as is reasonably practical,gives you notice describing the Force Majeure Event; (b) Breiter Planet's suspension of its obligations is of no greater scope and of no longer duration than is required by the Force Majeure Event(i.e.when a Force Majeure Event is over,we will make repairs);and (c) No Breiter Planet obligation that arose before the Force Majeure Event that could and should have been fully performed before such Force Majeure Event is excused as a result of such Force Majeure Event. "Force Majeure Event"means any event,condition or circumstance beyond the control of and not caused by Breiter Planet's fault or negligence. It shall include,without limitation,failure or interruption of the production,delivery or acceptance of power due to:an act of god;war(declared or undeclared);sabotage;riot;insurrection;civil unrest or disturbance; military or guerilla action;terrorism;economic sanction or embargo;civil strike,work stoppage,slow-down,or lock-out;pandemic;explosion;fire; earthquake;abnormal weather condition or actions of the elements;hurricane;flood; lightning;wind;drought;animals;the binding order of any governmental authority(provided that such order has been resisted in good faith by all reasonable legal means);the failure to act on the part of any governmental authority(provided that such action has been timely requested and diligently pursued); unavailability of power from the utility grid,equipment,supplies or products(but not to the extent that any such availability of any of the foregoing results from Breiter Planet's failure to have exercised reasonable diligence);power or voltage surge caused by someone other than Breiter Planet including a grid supply voltage outside of the standard range specified by your utility;and failure of equipment not utilized by Breiter Planet or under itscontrol. 7. LIMITATIONS ON LIABILITY (a) No Consequential Damages YOU MAY ONLY RECOVER DIRECT DAMAGES INCLUDING THOSE AMOUNTS DUE PURSUANT TO SECTIONS 2(b)AND 6(C) UNDER THIS LIMITED WARRANTY,AND IN NO EVENT SHALL BREITER PLANET OR ITS AGENTS OR SUBCONTRACTORS BE LIABLE TO YOU OR YOUR ASSIGNS FOR SPECIAL,INDIRECT,PUNITIVE,EXEMPLARY,INCIDENTAL OR CONSEQUENTIAL DAMAGES OF ANY NATURE. SOME STATES DO NOT ALLOW THE EXCLUSION OR LIMITATION OF INCIDENTAL OR 800 Boylston Street, 16"Floor,Boston, MA 02199 1 (617) -57$5 I breiterplanet.corr DocuSign Envelope ID:BB433851-4420-464D-8E39-433ED0231C05 'f" HLIILM SOLAR HOME IMPROVEMENT AGREEMENT—RESIDENTIAL ?. PLANET , ;, PROPERTIES CONSEQUENTIAL DAMAGES,SO THE ABOVE LIMITATION MAY NOT APPLY TO YOU. (b) Limitation of Duration of Implied Warranties ANY IMPLIED WARRANTIES, INCLUDING THE IMPLIED WARRANTIES OF FITNESS FOR A PARTICULAR PURPOSE AND MERCHANTABILITY ARISING UNDER STATE LAW,SHALL IN NO EVENT EXTEND PAST THE EXPIRATION OF ANY WARRANTY PERIOD IN THIS LIMITED WARRANTY. SOME STATES DO NOT ALLOW LIMITATIONS ON HOW LONG AN IMPLIED WARRANTY LASTS,SO THE ABOVE LIMITATION MAY NOT APPLY TO YOU. (c) Limit of Liability Notwithstanding any other provision of this Limited Warranty to the contrary,Breiter Planet's total liability arising out of relating to this Limited Warranty shall in no event exceed the following: (i) For System Replacement:the original cost of the System (ii) For damages to your Home, belongings and property:two million dollars($2,000,000). 8. NOTICES All notices under this Limited Warranty shall be made in the same manner as set forth in the Agreement to the addresses listed below: TO BREITER PLANET: Breiter Planet Properties C/O Document Processing 86 Willard Ave Seekonk, MA 02771 Attention:Warranty Claims Telephone:617-334-5785 Email: Info@breiterplanet.com TO YOU: At the billing address in the Agreement or any subsequent billing address you give us. 9. ASSIGNMENT AND TRANSFER OF THIS LIMITED WARRANTY Breiter Planet may assign its rights or obligations under this Limited Warranty to a third party without your consent,provided that any assignment of Breiter Planet's obligations under this Limited Warranty shall be to a party professionally and financially qualified to perform such obligation. This Limited Warranty protects only the person who owns the System. Your rights and obligations under this Limited Warranty will be automatically transferred to any person who purchases the System from you.This Limited Warranty contains the parties'entire agreement regarding the limited warranty of the System. 800 Boylston Street, 1 "Floor, Boston, MA 02199 ) (617)334-5785 1 breiterpl net.cora DocuSign Envelope ID:BB433B51-4420-464D-8E39-433ED0231C05 � ����� SOLAR HOME IMPROVEMENT AGREEMENT—RESIDENTIAL PLANET PROPERTIES EXHIBIT 3 STATE SPECIFIC PROVISIONS MASSACHUSETTS CONTRACTOR LICENSING INFORMATION:All contractors and subcontractors must be registered by the Director of Massachusetts'Office of Consumer Affairs and Business Regulation and that any inquiries about a contractor or subcontractor relating to a registration should be directed to the Director. MASSACHUSETTS NOTICE TO BUYERS:You have warranties and rights under Massachusetts General Law Chapter 142A. Breiter Planet hereby makes such warranties and nothing in this Agreement waives your rights under Massachusetts General Law Chapter 142A. e mcu 1 �-mlj I I.) I rncu DocuSign Envelope ID:CO6CBE1 F-7437-40EE-901 B-1 E4C4870A015 (.Y 0-U O C h e c)(_ ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department p . 1146 Route 28, South Yarmouth,MA 02664-4492 508 398 2231 ext. 1261 Fax 508-398-0836 , Massachusetts State Building Code,780 CMR '' Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling G E L V E D This Section For Official Use Only Building Permit Number: 1 1 l) -,,2 e ied: J/ "az rie—V 14 202-21 afBUILDI — � TNT Building Official(Print Name) Signature ;. SECTION 1:SITE INFORMATION I.1 Property Address: 1.2 Assessors Map&Parcel Numbers _31 ►C E _ • 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use 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) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public CI Private 0 —Zone: Outside Flood Zone? Municipal❑ On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Leonia .K 00.,nD J I m A D 17/4 Name(Print) City,State,ZIP 32_ p TY' e /2d . i"lI8-o277- No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'-(check all that apply) New Construction 0 I Existing Building 0 Owner-Occupied 0 I Repairs(s) ❑ Alteration(s)n Addition 0 Demolition 0 I Accessory Bldg.0 Number of Units Other 0 Specify: Brief Description of Proposed Work2:9.2 kw roof mounted Solar Pv system - no battery - 13 panels J SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) I.Building $ 2,760 1. Building Permit Fee:$ Indicate how fee is determined: 2. Electrical $ 24,840 ❑Standard City/Town Application Fee ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing S 0 2. Other Fees: S L# .&.) -1LZny- /9CM -21 4.Mechanical (HVAC) S 0 List: d-141 //9 5.Mechanical (Fire Suppression) $ 0 Total All Fees:$ 6.Total Project Cost: $ 27,600 Check No. Check Amount: Cash Amount: ❑Paid in Full 0 Outstanding Balance Due: , DocuSign Envelope ID:C06CBE1 F-7437-40EE-901 B-1 E4C4870A015 \„ SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-115062 01/24/2024 Kevin Green License Number Expiration Date Name of CSL Holder 24 spice st suite 205 List CSL Type(see below) No.and Street Type Description charlestown, ma, 02129 U E Unrestricted(Buildings up to 35,000 cu. ft.) City/Town,State,ZIP R Restricted l&2 Family Dwelling v M Masonry RC f Roofing Covering WS I Window and Siding 617 468 6772 SF Solid Fuel Burning Appliances Tala@teamsunshine.solar ne.sol ar I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 205604 06/06/2024 Team Sunshine Construction LLC HIC Company Name or HIC Registrant Name HiC Registration Number Expiration Date 24 spice st suite 265 Tala@teamsunshine.solar No.and Street - - charlestown, ma, 02129 617 468 6772 Email address City/Town,State,ZIP Telephone 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 3 No 0 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 be , in all matters re!, work authorized by this building permit application. /o/2//2 2 Print Owner's Name(Electronic Signature-) ate • SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of petjuty that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. / c—nocuSigned by: ,02,4•Vil -r` -/ .- . 11/10/2022 Printlmrrzed 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.00v/dos 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" 14 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) License Number Expiration Date Name of CSL Holder List CSL Type(see below) No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu. ft.) / City/Town,State,ZIP R Restricted 18c2 Family Dwelling V M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Company Name or HIC Registrant Name HIC Registration Number Expiration Date No. and Street Email address City/Town, State,ZIP Telephone 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 0 No . 0 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 be , in all matters rel ' work authorized by this building permit application. --t. /0/2/ 2 2 / Print Owner's Name(Electronic Signature.) ate SECTION 7b: OWNER'.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.sov/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" ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department 1146 Route 28, South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 Massachusetts State Building Code, 780 CMR \o� e Building Permit Application To Construct, Repair, Renovate Or Demolish _ 1;•s:. a One-or Two-Family Dwelling 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: 1.2 Assessors Map&Parcel Numbers 31 tC E I-tou R-1 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use 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) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: Outside Flood Zone? — Check if yes❑ Municipal 0 On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: L.e on �d. ;e.bo,n D V H b p lkm*vr / mA Ong ? Name(Print) City,State,ZIP 32_ Apple_ Trte- IZ.d ,02-a7-7-'2014 No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire Suppression) $ Total All Fees:$ - Check No. Check Amount: Cash Amount: 6.Total Project Cost:. $ 0 Paid in Full 0 Outstanding Balance Due: Lel To whom it may concern: I, Leonid Klebanov, Homeowner of 31 Ice House Rd, Yarmouth MA 02664, would like to proceed with Team Sunshine Construction to finish my solar project. I would like to terminate any ties to Breiter Planet and Andrew Breiter, as that company abandoned my project, and has been completely unresponsive for the last several months. Best Regards, Leonid Klebanov Signature: -- Date: 10/21/2022 RECEIVED OCT 2 12022 BUILDING DEPARTMENT 1 1 ACC_)RT1 CERTIFICATE OF LIABILITY INSURANCE DATE IIMA/DCWYYYY) km./ 7:6:20,2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ON TALI- NAmE, PHONE FAX Smeller Insurance Agency,Inc. LikiC,No,Est): (6171965-100 (NC,No): 335 B I oykton Strect ADDRESS, .,,rimierinsurance,com INSURER(S)AFFORDING COVERAGE I NAIC Newton MA 02459 INSURER A: Florliord Uiiderssriiing fitstirance( flIdJ1 1(1456 INSURED INSURER B: Team Sunshine Constriction.LLC INSURER C 24 SPICE ST,Unit#205 INSURER D: INSURER E: CHARLESTOWN MA 02129-1312 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS"TO CERTIFY THAT THE POLICIES OF INSURANCE LIST El)BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 1 HE 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. ALLIJLIZSULLII Miff EFF POLICY EXP LIR TYPE OF INSURANCE INSD WVD POUCY NUMBER I IMMIDDJYYTY, (MM/DONYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ • LLAMAUL I HEN I t13 CLAIMS MADE OCCUR I PREMISES(Ea occurreixe) b MED EXP(Any one person) $ PERSONAL ADV INJURY S GENI AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ PRO- R POLICY JECT LOC PRODUCTS COMP/OP AGO $ OTHER $ AUTOMOBILE LIABILITY u0A4BINEu SINGLE LIMI, s acraderro ANY AUTO BODIlY INJuRY(Pei person) $ OVVNED AUTOS ONLY —SCHEDULED I BODILY INJURY(Per acadentl $ AUTOS —HIRED —NON-OWNED IfROPER EY DAMAC.E. AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIMB CLAIMS-MADE AGGREGATE nFr) RETENTIONS WORKERS COMPENSATION I X WA4TUTF Et-')RT"- AND EMPLOYERS'LIABILITY Y N ANY PR,DPP IF-TOR/PARTNER/EXECUTIVE Et EACH ACCIDLIN I ,000.01)0 A orFIC,FR,MI-MBER EXCLUDED'? Ni A y fi.S6OUB-6R43772-4-22 3a:MA 06[07i2022 06/07/2(123 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE I.000,0110 If yes describe under DESCRIPTION OF OPERATIONS below E I DISEASE POLICY LIMIT S 1,000.1100 DESCRIPTION OF OPERATIONS LOCATIONS.VEHICLES (ACORD 101,Addllional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS AUTHORIZED REPRESENTATIVE 104'90-MAW 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and Ingo are registered marks of ACORD i y� y � Ji '' �,�{ wJY • /� fl '� S 35y i •• � �i E:. , a try+ i 1414..ate �..a 7h ? 3 El I f , y �= 9 4. t N THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Z Type: LLC Registration: 205604 TEAM SUNSHINE CONSTRUCTION LLC Expiration: 06/06/2024 24 SPICE ST. CHARLESTOWN, MA 02129 Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:LLC Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street -Suite 710 205604 06/06/2024 Boston,MA 02118 TEAM SUNSHINE CONSTRUCTION LLC BENJAMIN M.CARROLL 24 SPICE ST. y, CHARLESTOWN, MA 02129 Undersecretary Not valid without signature DocuSign Envelope ID:CO6CBE1F-7437-4OEE-901B-lE4c4870A015 i '* � . _ j,�G ur AO, wealth of Massachuset1ts Department oflnrlustrialAccidetcts :�^ 1 Congress Street, Suite 100 1/4:-"'`,T0/ '7--t Boston, MA 02114-2017 • ,r www.tnass.gov/dia Workers' Compensation,insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH TUE PERMITTING AUTFIORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Team Sunshine Construction LLC Address: 24 Spice St Suite 205 City/State/Zip: Charlestown, MA, 02129 phone #: 508 631 6114 Are you an employer?Check the appropriate box: Type of project(required): I.®I am a employer with 5 employees(full and/or part-time).* 2❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Rem construction any capacity.No workers'comp insurance required.] S. ❑ Reodeling ✓ 3.❑1 am a homeowner doing all work myself.(No workers'camp. insurance required.]r 9. ❑ Demolition 4❑I am a homeowner and will be hiring contractors to conduct all work on my property I will 10 [1] Building addition ensure that all contractors either have workers'compensation insurance or are sole proprietors with no employees 11.❑ Electrical repairs or additions 5❑1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12•❑Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insurance.: 13•El Roof repairs 6❑We are a corporation and its officers have exercised their rich of exemption per MGL c 1 Other Solar 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. 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. lithe sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Hartford Underwriting Insurance company Policy r or Self-ins. Lic.r: 6s60uB-6R43772-4-22 06/07/2023 Expiration Date: Job Site Address: 31 icehouse Rd Yarmouth, MA 2664 Cate/Zip: Attach a copy of the workers' compensation policy declaration page(showing the he poli cy 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 lane 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. 1 do hereby certify under the pains and penalties of perjurp that the information provided above is true and correct. r—Doc Signed by: Signature: 11/10/2022 `-8 1 16D3 3C ,s. Date: Phone; 508 6 1 g114 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#: IA DocuSign Envelope ID:C06CBE1 F-7437-40EE-901 B-1 E4C4870A015 TOWN OF Y zf R\ O U T 1146 Route 28, South Yarmouth, NIA 02664 'f -398 22 ext. 1261 Fax 50.-398-0836 Office g the Building Cormissioner BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G. L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111/5 I hereby certify that the debris resulting from the proposed work/demolition to be Conducted at 31 Icehouse Rd, Yarmouth, MA 2664 Work Address Is to be disposed of at the following location: 115 washington st, Holliston, MA, 01746 Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. /—DocuSigned by: 11/10/2022 871614D33F3C415._ Signature of Applicant Date Permit No. 4