Loading...
HomeMy WebLinkAboutBLD-23-000563 em J ra outi 1-e et RECEiVED AUG 02 2022 ONE & TWO FAMILY ONLY- BUILDING PERMIT -- Town of Yarmouth Building Department .�' =�,Y, pPAR7NiEP.1T 1146 Route 28,South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 ice, Massachusetts State Building Code,780 CMR = o ,4 Building Permit Application To Construct, Repair, Renovate Or Demolish • a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number:e )-Z5 000 5t6-3 Date Applied: �Y`N SQAc 5 Building official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 30 Warbler Lane. Yarmouth, MA 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 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public CI Private❑ Zone: _ Outside Flood Zone? Municipal 0 On site disposal system Cl Check if yes❑ SECTION 2: PROPERTY OWNERSHIP` 2.1 Owner'of Record: Marie Anderson Yarmouth, MA Name(Print) City,State,ZIP 30 Warbler Lane (240) 372-3504 No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 I Owner-Occupied 0 I Repairs(s) 0 Alteration(s) El I Addition 0 Demolition ❑ Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: Install 8.80 kw solar panels on roof. Will not exceed roof panel. but will add 6" to roof height. 22 total panels. SECTION 4:ESTIMATED CONSTRUCTION COSTS. Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building S 3,000 1. Building Permit Fee:$_ _Indicate how fee is determined: El Standard City/Town Application Fee 2.Electrical $43,000 ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ Cr4.Mechanical (HVAC) $ List: 071101D 5.Mechanical (Fire $ Suppression) Total All Fees:$ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ 46,000 ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 'O$lo,S 2 !La( ZQ 23 Jason Patry of Trinity Solar Inc License Number Expiration Date Name of CSL Holder 20 Patterson Brook Rd Unit 1 List CSL Type(see below) U No,and Street Type Description W. Wareham, MA 02576 U I Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC I Roofing Covering permits.wareharn_ trinity-solar.com WS Window and Siding 508-291-0007 SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5,2 Registered Home Improvement Contractor(HIC) 170355 Jason Patry of Trinity Solar Inc ion 1/2023 HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 7n Patterson Brook Rd Unit 1 ermits.wareham@trinity-solar.com tree . arellam, MA 02576 508-291-0007 Email address City/Town,State,ZIP Telephone SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(iMI.G.L. c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes ❑ No .❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize Jason Patty of Trinity Solar Inc to act on my behalf,in all matters relative to work authorized by this building permit application. Marie Anderson Print Owner's Name(Electronic Signature) 07/2912DD22 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. Jason Patry of Trinity Solar Inc 07/29/2022 Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L. c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.Qov/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" •k -' 12 a: c..) c c tz ill 0ce or) a cu c., c C p cz) co o of 'ill,..... Ti co 0 LS .• 0 Co ..\.,' rz _ , — ...., C ci) E :-.: es Ts c ..- CJ 0 2.c a3 0) 0 a.o o a c a.) ....7-., D a)-a t7)o CD 1-- EP_ I?: Li) =x- C ' C CD CO 77)-a \•••••• cf) N- CO ',711 CO 5 ili>< (1.) 0 ci) 0 7— 0) CZ -5 • ,o .c c ...-...!.. ,-- co ."--,_\:N..\., ._ , 0 .- . 'ES..."'- m RI .•-• C ..... cj .... \'`. U) U) C) ,-. -ID 4- ._ < 2 D '''\...' co . w 0 2. c ..„-- ...;-f -0 a) 0 03 ii• .\'''' , a th cn c, 46., .... xc 0 g Ir. Z ..- cu L)-c 2 CO s.._ co t;t s ya -.-- = ...,_._ ,..,... m 0 0 ,Z c2, 0 E ,_ _c _ (1) 111, -.... 0 C) a) g: k. . -. ,,..•• - E 4_ o . , o _L '-:: ci) ".•,, I ce 0.) 0 a 0 \\,....„ Li= c.) — COO 0 c;,-.1 A 0 ,....., < X 0 4:t .- 0 t-- ;76•-, ,-- u) 0, I: 0 2 .,-- <>- r. 0 (S3\ 0 Z(z) Z . U) W , a g 0 1.— >"" —1 Z 0 .•.., C'-) W a' 0 2 tk Ct' <›- I-- 0 N 4 ILI --J I-- -,< ..., 0 2 EE < < 2 • E'°. (p 0.•IT F-0- <C, .. e.1 I a. a 0 CO i. ` CommnnweaBB MOSSaChUSetb VDivision of Professions Liceesure 'Board eQ Building RegolaOons and Standards c'onstimetirthittpierviscit Construction 9reeIlicor CS-9 Q&tit5 �• � :9?J9Qit2�'13 unrestricted-Buildings of any use group which contain JASON PATRY � _ ess than 35.000 cubic feet(391 cubic meters)of enclosed WIN CENTER ST HANOVER NIA 0 '!aM'+~E yyh Commissioner e {. t@ra UU Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Calf{017)727-3200 or vvi www.mass.govidpi A�O�J DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 5/13/2022 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 CONTACT NAME: Mark Grasela Arthur J. Gallagher Risk Management Services, Inc. PHO N.Exn:856 482-9900 (NCFAX No):856 482-1888 4000 Midlantic Drive Suite 200 E-MAIL Mount Laurel NJ 08054 ADDRESS: CherryHill.BSD.CertM@AJG.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Gotham Insurance Company 25569 INSURED TRINHEA-03 INSURER B:National Union Fire Insurance Company of Pittsburg 19445 Trinity Solar Inc. 20 Patterson Brook Road, Unit 1 INSURERC:Liberty International Underwriters W.Wareham, MA 02576 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:590414193 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 SUER POLICY NUMBER IMPOLICY INYYYY) (MM/DD/YYYY) LIMITS LTR INSD WVD A X COMMERCIAL GENERAL LIABILITY GL202100013378 6/1/2021 6/1/2023 EACH OCCURRENCE $2,000,000 DAMAGE TO RENTED _ CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $100,000 MED EXP(Any one person) $5,000 PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X PRO- LOC PRODUCTS-COMP/OP AGG $2,000,000 JECT OTHER: $ B AUTOMOBILE LIABILITY CA 2960145 6/1/2022 6/1/2023 COMBINED SINGLE LIMIT $2 000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) A UMBRELLA LIAB X OCCUR EX202100001871 6/1/2021 6/1/2023 EACH OCCURRENCE $5,000,000 C ELD30006989101 6/1/2022 6/1/2023 C X EXCESS LIAB CLAIMS-MADE 1000231834-06 6/1/2022 6/1/2023 AGGREGATE $5,000,000 DED RETENTION$ Limit x of$5,000,000 $19,000,000 q WORKERS COMPENSATION WC 13588108 6/1/2022 6/1/2023 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 B Automobile CA 2960145 6/1/2022 6/1/2023 All Other Units $250/500 Comp/Collusion Ded. Truck-Tractors and Semi-Trailers I $250/500 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Evidence of Insurance AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD MA,Master Electric Contractor#21233A • • ® MA,Home Improvement Contractor#170355 Rhode Island Contractors'Registration and Licensing Board Registration No.39372 Rhode Island Renewable Energy Prof REPC-126 SOLAR For other jurisdictions,please visit:http://www.trinity-solar.com/about-us/locations-and-licenses June 28, 2022 Tristan Souza Applications Specialist 20 Patterson Brook Rd. Unit 1 W. Wareham, MA 02576 (732) 722-1278 Tristan.Souza@trinity-solar.com RE: Permit Application for Solar Installation Building Department: Town of Yarmouth Bldg Dept 1146 Route 28 South Yarmouth, MA 02664 Enclosed please find applications and checks for 30 Warbler Ln. building and electric permits. If you have any questions, please contact me at 732-722-1278. Checks attached Very truly yours, Tristan Souza Applications Specialist Wareham, MA and Rhode Island Offices 1-877-SUN-SAVES 20 Patterson Brook Road, Unit 1 Ph: 508-291-0007 Wareham, Massachusetts 02576 Fax: 508-291-0040 www.Trinity-Solar.com ONE or TWO FAMILY— BULDING PERMIT APPLICATION REGULATORY APPROVALS NOTICE Address of Proposed Work: 30 Warbler Lane, Yarmouth, MA Scope of Proposed Work: Install 8.80 kw solar panels on roof. Will not exceed roof_panel, but will add 6" to roof height. 22 total panels. Date: 07/29/2022 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 Acknow g 07/29/2022 Applicant's Signature Date Rev.Jan. 2019 o�YAK TOWN OF YARMOUTH BUILDING DEPARTMENT `gypp MATTr�CMCCse� 1146 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE: 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 buildinE 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 yes,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 The Commonwealth of Massachusetts ; Department of Industrial Accidents •• „_,, � Office of Investigations l g Lafayette City Center ` 2 Avenue de Lafayette, Boston, MA 02111-1750 a ', `_^ x www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Trinity Solar Inc Address: 2211 Allenwood Road City/State/Zip: Wall, New Jersey 07719 Phone#: (732) 780-3779 Are ou an employer?Check the appropriate box: Type of project(required): I. 1 am a employer with 300 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub contractors 6. El New construction listed on the attached sheet. 7. El Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 10.VElectrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their ILO.❑ Plumbing repairs or additions myself. [No workers' right of exemption per MGL Ycomp. 12.12 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. (No workers' 13.0 Other comp. insurance required.] *My applicant that checks box f<I must also fill out the section below showing their workers'compensation policy information. t homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: American Guarantee and Liability Ins Co Policy#or Self-ins. Lic.#: WC 13588108 Expiration Date: 06/01/2023 30 Warbler Lane Job Site Address: City/State/Zip: Yarmouth, MA Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains an renaliies of perjury that the information provided above is true and correct. SSj nature: Date:: 07/29/2022 Phone#: (508)291-0007 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(check one): 1DBoard of Health 20 Building Department 3fCity/Town Clerk 4.0 Electrical Inspector 5EPlumbing Inspector 6.0Other Contact Person: Phone#: • ® NJ,Electrical Contractor business permit number 34EB01547400 NJ,HIC reg.#13VH01244300 SOLAR For other jurisdictions,please visit:http://www.trinity-solar.com/about-us/locations-and-licenses HOMEOWNERS AUTHORIZATION FORM Mane Anderson (print name) am the owner of the property located at address: 30 Warbler Ln West Yarmouth MA (print address) I hereby authorize Trinity Heating & Air, Inc. DBA Trinity Solar and its employees, agents, and subcontractors, including without limitation, _, to act as my Agent for the limited purpose of applying for and obtaining local building and other permits from the Authority Having Jurisdiction as required for the installation of a Photovoltaic System located on my property,applying and obtaining permission and approval for interconnection with the electric utility company, and registration with any state and/or local solar incentive program. This authorization includes the transfer/re-administering, and/or cancellation of any existing permits on file for the purpose of updating/applying with an alternate subcontractor. Without limitation to the generality of the foregoing I specifically authorize Trinity Solar et al. to populate technical details, fill-in, edit, compile, attach drawings, plans, data sheets and other documentation to, date, submit, re-submit, revise, amend and modify application, submission and certification documents ("Approvals Paperwork"), including those for which signature pages are included herewith for my signature, in furtherance of the related solar transaction, and I am providing any signatures to Approvals Paperwork for purposes of the foregoing. Trinity Solar will provide copies of Approvals Paperwork when submitted. My authorizations memorialized herein shall remain in full force and effect until revoked. I acknowledge that these authorizations are not required to proceed with the solar transaction and are not a condition of the related solar agreement included herewith but are being given for my own convenience and benefit in order to expedite the approvals processes. Electric Utility Company: EVersource Electric Utility Account No.: Name on Electric Utility Account: Marie G Anderson Customer Signature Marie Anderson Print Name 6/24/22 Date Corporate Headquarters 1-877-SUN-SAVES 2211 Allenwood Road Ph: 732-780-3779 Wall,New Jersey 07719 Fax: 732-780-6671 www.trinity-solar.com FOR INFORMATION ABOUT CONTRACTORS AND THE CONTRACTORS' REGISTRATION ACT, CONTACT THE NEW JERSEY DEPARTMENT OF LAW AND PUBLIC SAFETY, DIVISION OF CONSUMERS AFFAIRS AT 1-888-656-6225. uuuusplyi I Li ivutup IL).1.JULJOOP100-1JJL....)—'40/._)— CL .)-1—.)\—•I L I This is a copy view of the Authoritative Copy by the designated custodian sunn Sunnova Home Solar Service Easy Own Plan TM Equipment Purchase' 29. Signatures CAUTION -IT IS IMPORTANT THAT YOU THOROUGHLY READ THE AGREEMENT BEFORE YOU SIGN IT. BY SIGNING BELOW, YOU ACKNOWLEDGE THAT YOU HAVE READ ALL PAGES OF THIS AGREEMENT, INCLUDING SCHEDULE 1 AND THE DISCLOSURES AT PARAGRAPHS 3 -5. YOU ALSO ACKNOWLEDGE RECEIPT OF A TRUE AND COMPLETELY FILLED IN COPY OF ALL PAGES OF THIS AGREEMENT AT THE TIME YOU SIGN IT. Buyer's Na 'IMAIXEANDERSON Signature: I Atel tta)trs-ov 96267346808D48C Date: June 24, 2022 08:47 MDT Co-Buyer's Name: Signature: Date: Creditor: Sunnova Energy Corporation '11 John Santo Salvo ,;44;',ZrN, 4‘ • Authorized Signatory Sunnova Energy Cor Date: une , 2022 47 ,,\or ,44 20 East Greenway Plaza Ste 475,Houston,TX 77046 Date:6/24/2022 281.985.9900 www.sunnova.com ©2021 Sunnova Energy International, Inc.All Rights Reserved. 29 Contract ID: DD004743322 uuL.u.Diyi ci vutupe IL/.IJOIJOCV-W0-0040-40/J-VCLAJ-FOU I KJ J".1 I/-\I This is a copy view ot the Authoritative Copy 1 sunn va by the designated custodian Sunnova Home Solar Service Easy Own Plan TM Equipment Purchase 15, SIGNAT UR ES CAUTION -IT IS IMPORTANT THAT YOU THOROUGHLY READ THIS WARRANTY AGREEMENT BEFORE YOU SIGN IT. BY SIGNING BELOW, YOU ACKNOWLEDGE THAT YOU HAVE READ ALL PAGES OF THIS WARRANTY AGREEMENT. YOU ALSO ACKNOWLEDGE RECEIPT OF A TRUE AND COMPLETELY FILLED IN COPY OF ALL PAGES OF THIS WARRANTY AGREEMENT AT THE TIME YOU SIGN IT. Buyer's Name ARIPAisiDERSON Signature: 4Jf tia)fleSM 96287346808048C Date: June 24, 2022 I 08:47 MDT Co-Buyer's Name (if any): Signature: Date: „ • Contractor: Trinity Solar. „--uocu Signature: Signed by: Trinity St artt \‘• Date: --IiD4c961tP22 07:58 PD ‘ aSc \co,\ 'SSGEEGEE' G . =. , ,, i 1 11 11q1411,!;., ::;,;,,,1;:,„,,,,1 1 'A:171" • n 1 i . 0 , ,,1-t " LI li 1 Ai / 1 , i V I • 1 F I , I ill 1 i F,?•' ', n1,, ,:i i., :f;1 i 1 g 1 , , , i f a -; 8 t 1 . 1 1 1 iii I / al'1 1 ' 401 1 1 1 1 1 ' Iiii il Si 1 2 2 4 1 0 = ; 1 ''A 1 , 1 1'75 11 1 t16-' 11 5; 1 1 i § q t--",,1 I. if 0 z 1 F. 1 ! 1 1- i 21 z 1-I 1$: 0 1 4 Y if 2 i f ''';• ".4/ i E i '' ' — z . • - if 1 °1 u; /-1 — , 4, tA211 < I " " IA i '''''''''''''' .gg : /1 "1 ;3 i 122 it --1 1, 01' 5, i ' : 1 Ce .41 •-i V,0 N , go wv cog , ,_ 1tgr,„ i .1 1 , 0 F el 1 i 1 d 21 i ' ! 0. „ 1,,11 tqUi. FTel Ail i .1.-11 111-1 11,'• k,a, i il I 1 V-1 i tl , ..,1 , a? s... ,.i3O R! ! igldigli-,J -- , , ii 11 If IiiiIT -,' 1 1 1 a ;.' 14411..1,1i:111f iltrig t! i ,,,1 I 4 , i----t. s i Ft*::41: Itzi ,i .1 tti i , . ! •'=' 1 : 'P -' ;I a. . '2' 6'1 ilt i tj ! i 0, Ili P i ii "I ri g -9- L' e 3 e i!,„,i ti , , k ts,? ai ii f , - . , I3 i'o, 616,1: 2 E ! 21-> a 21. "il Ir '?'.1 ill It! 11 1: 3!'l d zit illigIn ; i q1 Is tw i e! i) s 12 j 5 apa 0 oa ll 1,,, ,p, Iiti 0 tifj,a15 4 1; ,*.1 ri i 12 2 1 3-;...2.Yh ,kTS. Ill ,.. ....0 t: IA riblo trl ... _ ..,.. t i -t, .:1. ,..; . i n litriii‘: L,C3 ili'. 1 '4 911 12 blilli:' CNIAI ' tg,., ;I .2.. 4 2 Rz - 3! ! '"'> a !it'd z ..'! 2,:gi .(2.-;,-g Z3Cs' S .'-.-. tT ',“,!!' '6pa gil:F3 ,. io = rl. VI *g. 4 ,izi 4 Z'O 1M , 11 wig i,-EZ Ill it + fl -$. gg g E 4d c gl,.g i5 ti I - 1,' g;i g!1, CD ".`f•i'1 0 q:l '',7c31LI, Fa."LsE E4 5.18. i, g , 11 5@) t—I I qr t -r:(3 qt 5j 2 co 2 0 D z 0 ......., ._ • 0 111111111111111111 0 0-91= d 0 .._..- El co ..... .?,1 gx — I .--- < 0 n Lli .1. 21 2An s? Ct: 1) z te• .;LL. E) 0.!0 L090.1 a" d \ G E : ' '.-' ! li i ; .., o § 4 gar w,� ^ •m=Q v ? z a 0°ti > o N 33 ig EHi rn C ..J s N � � ° w w a d 3= a w f EL - a _ < mad o N p6 d d a m o ° u,m ,, „„MG d B o a a m n . §;. C o o,„, Z O g o c E a 3 f f S E E o n3 r riaimr--1 1 WC 9m m8 'o ' /d I1 ie , � _ 1 zm 4� 3 3 3 3 - S no, o f___J 3 3 11►I 3 3 3 fi 1.1.1 3 ; 3 fl 3 N L W 3 0 0 0 0 v. .. EIMMUMMO g=m it; 1 ¢ob 1 I ;ear z z aa.g w:I t o aN_ - . . m -go qq, ,iii II O 4 4 jr- OAN ivain3N .N 11 o: 10 inm UI ! ! N a a i IiiIffii zo u`"!g$S x t o o 2 O, i o oz go S ig a3 G S i > Ha g� -=fao _�z g-� mz ,8 oo p ge g°,,g amo§ .liU ioo mo� ? sri, S o0 op, p; rio a m z N I wzga 53g; oioaoa a?Q a'ou �4K'I !n �gp g OI 42 U o o_ o O °O � o z� z a0 � oQu w od � �z a � a o fob G in p. Va WE iIi o :a� hiL lihili U!! IliUlil III yzo i oL U o„d >ow° I aq� ?;a! i Ga.z- a Wg �''NA §014a au� ° oio ggit oNo pIo xzwor?� ° �a�F a�� �C� ��o�p op ro io N` _ � 8 g'W'a o o- `cjOcuO W oo� o gfpoo� gooQ 300 NYEi�muo- w� zx f Nai omoa "' °o W _ t '+z zN�g w �ggzg- nil >�° 3zz« z6mooNu �z °uo �oi ow=� �� _ g Wmz� � Qo bz �� 4c5U i4§7 ii5 ag 3,gg ni oga ag a,,743g g; « li a� = N x : co ao Wy,�o Fd _ NW oLL „Soo �� map � w at -g i .. gfoo n u a.:°,x„Z rv��ig o�iT $FF?�oo _ion iorc �i?an Milli 33a al !III !it ill OWN �a Sig Olt a^ g �° 8 o� a¢ �,nuNl_ 5 z :oo ne°ii Milli mo oil !II 3_aR ill aW `O+ u Ol a :�'9 ^j o' ., �Smi ..off �a 3si aas< m ag " a,a,'m