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0067 STONEY POND CIRCLE
6 % Ofooc/ i s - ;SolarCity. Date: December 15, 2015 TO: Barnstable Building Department From: SolarCity Corporation Cape Cod Warehouse Phone: (508) 640.5397 v FAX: (866) 552-9847 l RE: - 67 Stoney Pond Circle, Marstons Mills - BP: 201507001-- Pam' J B-0261692 Note: ' Attached'are the revised plans for our solar installation located at 67 Stoney Pond Circle in Marstons Mills. Since the permits issued, we have re-arranged the layout of the panels on MP2. We would greatly appreciate the revised plans be added as a modification to our permits. Please contact me directly with any questions/concerns. Cheryl Gruenstern Permit Coordinator SolarCity Corporation Cape Cod Warehouse (508) 640.5397 cgruenstern@solarcity.com SOLARCITY.COM A7 RCC 24'3771/ROC 245450/ROC277498.CA LIC@g88104,CO EC8041,CT HIC 0632778tELC 0125305,DC 4711014ge/ECO902585,HI CT-29770,tSA HIC 1685M4AA EL-1136MR,MD MHIC 12a948, NJ NJHICu13VH0616D600'34ER01732700,OR C9180498iC562iP81102,PA HICPA077343,TX TEOL27006,WA S6LARC'91901,WLARC-903P.0 2014 SOLAFICITY CORPORArioNr ALL RIGHTS RFSERVEO. t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map-+ Parcel Application # o?49 Health'Division V Date Issued 1 D -Z,&A/ Conservation Division Application Fee 1S� Planning Dept. Permit Fee 12 Z Pt� Date Definitive Plan Approved by Planning Board Q M e I� R Historic - OKH _ Preservation/ Hyannis M7) Project Street Address _ L Zr�b-n-e-�j l 0-AC C, Y Village S i-c.�ev� �• c l //�� Owner a�,r_lly tw�t�r►�� ��; GIp Bhr6�M• Address �� 6� D�n� 10&1,J l 1A,1-J Telephone Sad �I�Z) D�.3 �`� l lgran ` MGM!S m � �L I<1 Permit Request J 1 1-�- G v ,r CrP/`r�ne t� c� '� She v�• 9- O[)S 1 (5 Square feet: 1 st floor: existing — proposed 2nd floor: existing proposed Total new Zoning District - Flood Plain Groundwater Overlay Project Valuation-t:Q1A,bobob Construction Type Lot Size Grandfathered: ❑Yes allo If yes, attach supporting documentation. Dwelling Type. Single Family A, Two Family ❑ Multi-Family (# units) Age of Existing Structure 82 j r Historic House: ❑Yes 0 No On Old King's Highway: ❑Yes X(No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing 1 - new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new siz Pool: ❑ existing El new size Barn: ❑'e fisting ❑r-new s zeM 7 Attached garage: ❑ existing O'new sizeShed: ❑ existing ❑ new size 00ther: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ ci Commercial ❑Yes CVO If yes, site plan review # iv 19 Current Usee Proposed Use VU ��h APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 1Gn Ul ��1 v� svn V --oTelephone Number fig. �k Address ` a r°�fi e-S'e-&h -O A4 License # f1 � 0 Home Improvement Contractor# Email -CGIS � ) -Ca,.. Worker's Compensation # L,�'�UI�l� ALL CO RUCTION DEBR`IS RESULTIN R M THIS PROJECT WILL BE T BEN TO C&Amac. G� r1 n SIGNAT \ \/ 1 URE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED k NIAP/PARCEL NO. ADDRESS VILLAGE ,k OWNER ' DATE OF INSPECTION: '. FOUNDATION - FRAME y INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ' i r.6 oFGPll 2ftltrawt Ko(d9tz!}erCel?eC?!asp D A237. p —4140 P.:.a eft ,xr•. ' H ' WRIN �� � �.m Logged In Ass: Monday, r _ :ctober 19 �,. >� Parcel lnfo• �. � , � �".'.'� � �. :� �':a :parcei tU 064-068-0D5 oeveioperr tat LOT"5- Location"67 STONEY'POND.CIRQ pii Frontage sec Road I sec Frontage.� wuage MARSTONS MILLS' 'Areoistriot�C-"O�Iy1M _ Town'sewer exists'at tf;e address.Nb + - Road'tndex 21*19 - I Asbullt.Septic Scan: NQ ..t.S Hap 064668005 .1 a'.r Interactive MINM s" ...... ..:..... .... owner�WAKEBY DEVELOPMEtI Owlet%PAGLIERANI,STEVE�streets 67 STONEY POND'CIR(�sueatz city.MARSTONS MILLS: I Siati MA zro 02848' R � an � 1 d iMO, Acres 0.55` .use:Single'Fam EMDL-0.b zoni" RF Ngnna.0107 � ?r� Custornhe V` Topography 7771. RoadF r( ___ i '•. 5 5,k .�. ` fF�7�J� m51-� v�"'"...,.1 1'Y'�C't' i J, u3;"' „•��'�"�y, 't!• /.... i s� h x 101955 DocuSign Envelope ID:2BFD9721-F923-4C2B-AC8B-328458D1B92A r , SolarCity I Solarlease AMENDMENT Customer Name and Address Installation Location Date Steven J Paglierani 67 Stoney Pond Circle 10/13/2'015 Marstons Mills,MA 02648 67 Stoney Pond Circle Marstons Mills,MA 02648 1. The SolarLease Agreement between SolarCity and You,(the"Agreement")including the Summary and Exhibits to that Agreement,are hereby amended as follows: a. The rate you pay us will remain fixed for the term of the Agreement. b. We estimate that your System's first year production will be 9,583 kWh. c. Section 3 of the Agreement,"System Description"is replaced in its entirety with the following: Lease and installation of a 9.805 kW DC photovoltaic system consisting of PV modules,corresponding inverter(s) and a mounting system designed for installation and operation at your Home. d. Section 4 of the Agreement,"Lease Payments;Amounts"is replaced in its entirety with the following: 3055 Clearview Way,San Mateo,CA 94402 1888.765.2489 solarcity.com Solarlease Amendment,version 2.1.0,June 25,2015 Contractor License MA HIC 168572/EL-1136MR Document generated on 10/12/2015 1191864 a .�f l DocuSign Envelope ID:2BFD9721-F92�-4C2B-AC8B-328458D1B92A A. Amounts Due at Lease Signing,Installation and Building B. Monthly Payments: Inspection: Your first monthly payment is$125.12, Payments Due at Signing: followed by it monthly payments of$125.12 each, Amount Due at Lease Signing: $0.00 followed by 12 monthly payments of$125.12 each, Delivery/Installation Fee: $0.00 followed by 12 monthly payments of$125.12 each, Total Due at Lease Signing: $0.00 followed by 12 monthly payments of$125.12 each, followed by 12 monthly payments of$125.12 each, Payments Due at Installation: $0.00 followed by 12 monthly payments of$125.12 each, followed by 12 monthly payments of$125.12 each, Payments Due after Building Inspection: •$0.00 followed by 12 monthly payments of$125.12 each, followed by 12 monthly payments of.$125.12 each, followed by 12 monthly payments of$125.12 each, followed by 12 monthly payments of$125.12 each, followed by 12 monthly payments of$125.12 each, followed by 12 monthly payments of$125.12 each, followed by 12 monthly payments of$125.12 each, followed by 12 monthly payments of$125.12 each, followed by 12 monthly payments of$125.12 each, followed by 12 monthly payments of$125.12 each, followed by 12 monthly payments of$125.12 each, followed by 12 monthly payments of$125.12 each, followed by 12 monthly payments of$125.12 each. Your total lease payments,excluding tax,are$30,028.80. Your estimated average monthly tax payments are$0.00. Your first Monthly Payment is due on the first day of the first full calendar month following the.Interconnection Date. After your first Monthly Payment,future Monthly Payments (and any applicable taxes)are due on the first day of the S calendar month. i Solarl-ease Amendment,version 2.1.0,June 25-,2015 a 1191864 a DocuSign Envelope ID:2BFD9721-F923-4C2B-AC8B-328458D1B92A , f 3 — C. Other Charges: D. Total of Payments(A+B+C):$30,028.80 This is the total amount you will have paid by the end of this If you make your Monthly Payments by allowing us to Lease. It includes the Monthly Payments stated above and automatically debit your checking or savings account,then estimated taxes of$0.00. you will receive a discount of$7.50 on your Monthly Payments.The Monthly Payments listed above reflect this discount. If you do not allow the automatic debit,this discount will not be applied to your Monthly Payments and each Monthly Payment will be$7.50 greater. E. Purchase Option At End of Lease Term: F. Other Important Terms: You do not have an option to purchase the System at the end See Section 2 above for additional information on the Lease of the Lease Term. Term and also see below for additional information on termination, purchase options,renewal options, maintenance responsibilities,warranties,late and default charges and prohibition on assignment without SolarCity's consent. Payments due upon installation are due immediately prior to commencement of installation. e. The last sentence of Section 5(f)is replaced in its entirety with the following: The total estimated amount you will pay for taxes over the Lease Term is$0.00. SolarLease Amendment,version 2.1.0,June 25,2015 1191864 DocuSign Envelope ID:2BFD9721-F92q-4C2B-AC8B-328458D1B92A la t f. The last sentence of Section 5(h)is replaced in its entirety with the following: You agree that the System is not a fixture,but SolarCity has the right to file any UCC-1 financing statement or fixture filing that confirms its interest in the System. g. Section 5 of the Agreement,"Lease Obligations"is amended to include the following: (k) You authorize SolarCity,or its designee,to obtain your credit report now and in the future,check your credit and employment history,answer questions others may ask regarding your credit and share your credit information with SolarCity's financing partners.You certify that all information you provide to us in connection with checking your credit will be true and understand that this information must be updated upon request if your financial condition changes h. Section 12(a)of the Agreement is hereby replaced in its entirety with the following: (i) Transfer this Lease and the Monthly Payments. The person buying your Home(the"Home Buyer")can sign a transfer agreement assuming all of your rights and obligations under this Agreement by qualifying in one of three ways: 1) The Home Buyer has a FICO score of 650 or greater; 2) The Home Buyer is paying cash for your Home;or 3) If the Home Buyer does not qualify under(1)or(2),the Home Buyer qualifies for a mortgage to purchase your Home and either you or the Home Buyer pays us a$250 credit exception fee. (i i) Move the System to Your New Home. If you are moving to a new home in the same utility district,then where permitted by the local utility,the System can be moved to your new home pursuant to the Limited Warranty.You'will need to pay all costs associated with relocating the System,execute and provide the same access and ownership rights as provided for in,this Lease and provide any third party consents or releases required by SolarCity in connection with the substitute premises. (iii) Prepay this Lease and Transfer only the Use of the System. At any time during the Lease Term,if the person buying your home does not meet SolarCity's credit requirements, but still wants the System,then you can(A)prepay the payments remaining on the Lease (See Section 16(i)(i)and(ii)), (B)add the cost of the Lease to the price of your home;and(C)have the person buying your Home sign a transfer agreement to assume your rights and non-Monthly Payment obligations under this Lease.The System stays at your Home,the person buying your Home does not make any Monthly Payments and has only to comply with the non-Monthly Payment portions of this Lease. i. Section 12(b)is replaced in its entirety with the following: You agree to give SolarCity at least fifteen(15)days but not more than three(3)months' prior written notice if you want someone to assume your Lease obligations. In connection with this assumption,you,your approved buyer and SolarCity shall execute a written transfer of this Lease. Unless we have released you from your obligations in writing,you are still responsible for performing under this Lease. If your buyer defaults on this Lease and we have not yet signed the transfer agreement,you will be responsible for their default. We will release you from your obligations under this Lease in writing once we have a signed transfer agreement with ! the person buying your Home(provided such person has been approved as a transferee by SolarCity in writing). SolarLease Amendment,version 2.1.0,June 25,2015 1191864 � r DocuSign Envelope ID:2BFD9721-F923-4C2B-AC8B-328458D1 B92A 2. Exhibit 2 of the Agreement,the Limited Warranty,is hereby amended as follows: a. The Table of Guaranteed Annual kWh in Section 2(b)(i)is replaced in its entirety with the following: Year Guaranteed kWh Total kWh Guaranteed 2 18,163 18,163 0.15746 4 17,981 36,144 0.15905 6 17,802 53,946 0.16065 8 17,624 71,570 0.16227 10 17,449 89,019 0.16390 12 17,275 106,293 0.16556 14 17,102 123,396 016722 16 16,932 140,327 0.16891 18 16,763 157,090 0.17061 20 16,596 173,685 0.17233 b. The second and third sentences of Section 2(b)(i)A are replaced in their entirety with the following: Your cumulative Actual kWh is dependent on a shading percentage of 16.32%on your Home. If this shading percentage increases,your Guaranteed Actual kWh will be reduced proportionately. 4 Solarl-ease Amendment,version 2.1.0,June 25,2015 1191864 �• T DocuSign Envelope ID:2BFD9721-F921-4C2B-AC8B-328458D1B92A tia I have read this Amendment in its entirety and I acknowledge that I have received a complete copy of this Amendment.This amendment supersedes any prior amendments that are inconsistent with the subject matter contained herein. The pricing in this Lease Amendment is valid for 30 days after 10/12/2015. If you don't sign this Lease Amendment and return it to us on or prior to 30 days after 10/12/2015,SolarCity reserves the right to reject this Lease Amendment unless you agree to our then current pricing. Customer's Name:Steven J Paglierani SolarLease r DocuSlgnedby: Signature: � 0"�� SolarCity Date: _ 10,13,2015 approved Customer's Name: Signature: Signature: Lyndon Rive, CEO Date: Date: 10/12/2015 SolarLease Amendment,version 2.1.0,June 25,2015 1191864 t a : OWNER AUTHORIZATION Job ID: 627-6 169 S Location: n I ��'eUL►^ 001Q t�ra l as Owner of the subject property hereby authorize SoDeaICKy cCom—MC 168572/ MA]Line 1136 MR I to act on my , behalf,in all matters relative to work authorized by this building permit application and signed contract. Sign at er. Dom: I ��.. .:a'::�9.7 r:.661.'�CI: :iL7Q.. ..�i.�.•.�L ...u-..i'G T f:. Ste. 7 _c. ... .�.:.: 3o:.li?..'.iT.:�.l1L�p: II :L I:+kMIl S:.Ll:Ltii: Xi:..:?•.•+r .. ....n. ..n....�• .! f Mt�sahu��tt� OfuafTmAMOf punnc>li�nnfy Save of Au11Qon0 Rpulstoome and 314rtfdit" I<0fod« CS-108816 ' JASOIV PATRY 821 STEWART DRIVE " Abington MA 02ZI ; :...........:.; 02(0=019 � .'!�r f...awu•w..�d� /f/r�w.�w�ED Me of Comma Athin A Businen Regalefioo I "HOME iIAPROYEMENT CONTRACTOR 1 �+ R0111911 tl0n: 168572 TyPo•� Explmftn:: 3181Z017 SUPptemom SOLAR CITY CORPORATION JASON PATRY 24 ST MARTIN STREET SW WNI � — Ml"OROUGK MA 01752 Ua&menNery I V 1 ?I d J.lrrc��tct1et1 £� Office of Consumer Affairs d Bus><ness Regulation t ti, 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 168572 Type.: Supplement Card SOLAR CITY CORPORATION Expiration: 318/2017 CHERYL GRUENSTERN - -- - 24 ST MARTIN STREET BLD 2UNIT 11 - - - ---- -- MARLBOROUGH, MA 01752 Update Address and return card.Mark reason for change. SCA 1 0 2Qe�-os 11 Address Renewal ? i Employment F_•? Lost Card In •ffice of Consumer Affairs&Business Regulation License or registration valid for,individul use only 1.t OMEIMPROVEMENTCONTRACTOR before the expiration date. if found return to: Office of Consumer Affairs and Business Regulation ;Registration: 168572 Type: 10 Park Plaza-Suite 5170 =�- Expiration: 3/8/2017 Supplement Card Boston,MA 02116 SOLAR CITY CORPORATION CHERYL GRUENSTERN °}t 3055 CLEARVIEW WAYf`) ' 1•�•;tz «c- �.4 SAN MATEO,CA 94402 �--_F— —• ------ Undersecretary -Not valid without signature 77te Common wedlth of Mtysackttseh v Department of Industrial Accidents I Congress Street,Sufte 100 Boston,MA.02114--20I7 www.mass.gov/din lVerkers'Compensation Insuraom Affidavit:Builders!Contractors/Eleetricians/Plumbem TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Imformstion Please_Print_l.cs:lbly_ Name(BuiincssOrganizaUonitndividual): SolarCity Corporation Address: 3056 Ctearview Way City/State/Zip: Sari Mateo,CA 94402 Phone#• (888)765-2489 Are ymrao employer?Cheek the appropriate box: Type of project(required): 1.141 am aemptoy'er with 12,500 eunpleecs(fall aaft part).• .7. ❑New construction " ]tom a sole proprietor or pownhip and hwe no aaployrm work-in for arc in 8. Romodoiing any capacity.(No worAea'comp.inswancc mWired.l 3.(j1 mna hwneownerdWm*all work raysell IN I u worken'comp•insurancerquircd.l t 9. El Demolition 4.� so l am a hunwouvcr d will be hiring amtmclors to coadad Oil work on my proputy. I will I U Q Building addition cmure that ell erxdracm oidw have umrkers,'compensation insurance ware sole 11.Q Electrical repairs or additions p►oluWars wish no anployem 12.❑Plumbing repairs or additions so 1 am a genew.conuaetor and 1 have hired the suhKxmtmcton listed on the attached sheet. I3.[]Roof repairs There sub-eonuactoa have employces and have wwkas'cmip.it u mce t iq.Elothersaiar pant:Es 6.Qre We a a cwrWmion and its ofocrs have exercised lheu right olexerWica per Mrrl.C. 154§t(41 and we have no employm.[No workers'ramp.inswance required.] *Any applitauit that checks box 91 most also till out the seetiou below shorting their%=k%S'compensation policy inlonnallon. s I iornemvners Irta subroh this aflidava indicating tltey are doltog all work and then hire m9side.contractors most aftdt a jmw oMdavit indksting salt tCoatratiors ohm check this box must attortredan arWional sheet showing the same of tine sub-contractors and stain wluaber Or ant those entitles Iravc employms, if the sub-cantraetors have ateplov .they nW provide their workers'comp.policy nurnber. Jam an employer that fs providing workers'conretlsatfos lnsurancefor ar empla7va. Sefow fs the paficy and jub site fuforrmtrtia►r. Insurance Company Name:Arnerlean Zurich Insurance Company Policy#or Self-ins.Lie.#: WC0182015-00 Expiation Date: 911/2016 Job Site Address- 67 Stoney Pond Circle City/StafePl ip: Marstons Mills,MA 02648 Attach a copy of the workers'compensation policy declaration page(shoving the policy number and expiration date} Failure to secure coverage as required under MOL c.152,§25A is a criminal violation punishable by a fine up to S 1,500.00 and/or oneycer imprisonment,as well as civil penalties in to form ofa STOP WORK ORDER and a Pore of up to$250.00 a day ogdnst the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA ror inswwce coverage vorification. I do kereby cep ' un$w the pains oml penalties of p4ury that the Information provided above Is hue and correct. (Jason Pa . October 16,2015 Phone Qfficied use only. Do not write in this area,to be compfded by chy or town offldaL City or Town: Perpuit/Lieettse# Ruing Apthority(circle one): 1.Board of Health 2.Building Department 3.C'ttyfl'own Clerk 4.Electrical Inspector S.Plumbing Impedor 6.Other Contact Person: Phone#: • �y� DATE JMVMDNYYY) A 6� CERTIFICATE 4F LIABILITY INSURANCE 08/170015 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 cediflcaW holder Is an ADDITIONAL INSURED,the poliCy(laS)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 Hsu of such endo►sement(s). PRODUCER CO A MARSH RISK&INSURANCE SERVICES —..._._—._._...... ._..._... . ._..... . . ._..._. _...---..--- 345 CALFORNM STREET,SUITE I MO PHONE A1c CALIFORNIA LICENSE NO.0437153 E4ML SANFRANCISCO,CA 94104 AflRI?Rt.......... .._.... Alln;Shww Scol14t5-74M34 _._....... _...........!I+suaER(s?ApFagDlno coVERAGE- 998301•STND-GAWIIE•1516 _ INSURER :Zwtch American Imwdrice Company — 116536 Sd�� ta:It C0IPMdDII INSU s:,NIA N/A v.....__...................... ._. ._.,.._..... ..._. 3065 Clem A w Way INSURER C:NIA - A - SanMelep,CA94402' _—....__...._--.....__....... ................... _..._.._.._. SUS D:American ZW h Irlsurartce Company 0142 INsutTER E INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-OW13838.08 REVISION NUMBER 4 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 Vw1ICH 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. INS{R�.._ 41�AWLTS11 �CVNUkIaER -POLICYEF POLICYEXV LIMITS _ .......: TYPE OF INSURANCE VVVr) A X 'COMMERCIAL-GENERAL UABRJTY GLOD182016-00 09A112015 09101r1016 EACH OCCURRENCE $ 3,0W,000 � DAMAGE TUFUDUiff- I CLAIMS41ADE n OCCUR PREMt$E,S 3,00O,0D0 F X SIR E250,000 I ME D EX P(Arty ona.pecson) $ 5,000 PERSONAL 8 ADV INJl1RY S 3,0M,000 GEN•L AGGREGATE LIMIT APPUES PER: GENERAL AGGREGATE S 6 OOD,ceO X POLICY f )J�ECT -- OTHER. S A AummoeiLELIaswy BAPDIM7.00 09101/1015 09101121016 EUMEND SINGLE 5,d00,000 X ANY AUTO + I SOMY MURY(Per person) S X ALL O ED X AS FOULED BODILY WJURY(Par accident) S X XV AUTOS ) I PROPERTY DAMAGE FIR S _v...... HIRED AUTOS _ COMPICOU DED: S $5,000 UMBRELLALIAB OCCUR f ! EACH OCCURRENCE S t EXCESS VAB CLAIMS-DdAQE AGGREGATE ._.__._.......- 5•--..._............._.. OED 'RETENTIONS S D WORKERS cmwENSAYION ; iWC0182014-W(AOS) 09101r1D15 1090112016 X T&M AND EMPLOYERS UAe1LITY _. _ _.._....._.._ A ANY PROPRIETORAPARTNERIEXECUTIVE Y A N + ';WC018M15-00(MA) 09MI015 r09101 016 EL Faces ACCIDENT s 1,000,000 N —._ _....._ ............. OFFICERiMEMBEiR EXCLUDED) NAA I i (Mandatory In NK) ; WC DEAUCTISLE,S500,000 E L.DISEASE•EA EMPLOY S 1.�,0W tf yyea.describe wider _ DESCRIP tON OF OPERATIONS belaW E.L.DISEASE-POLICYLRAFT S 1,DDDM I i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD fe1,AdmlouW RemaAte Sche4uie,may he■ttaclled tr more space Is r"uhedl Evidence of insmce. CERTIFICATE HOLDER CANCELLATION SdmCdy Corpomfi- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3055 ChwAew Way THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN San Mateo.CA 9N(I2 ACCORDANCE MOTH THE POLICY PROVISIONS. AUTHORIZED RUR93MAT1140, of Marsh Risk A Insurance Services CharlesMamiolqjO m 1088-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD Version#48.9 �S I rCl v o a ty October 16, 2015 Project/Job #0261692 RE: CERTIFICATION LETTER Project: Paglierani Residence 67 Stoney Pond Cir Barnstable, MA 02648 To Whom It May Concern, A jobsite survey of the existing framing system was performed by a site survey team from SolarCity. Structural review was based on site observations and the design criteria listed below: Design Criteria: -Applicable Codes= MA Res. Code,8th Edition,ASCE 7-05,and 2005 NDS - Risk Category= II -Wind Speed = 110 mph, Exposure Category C -Ground Snow Load = 30 psf - MPl&2: Roof DL= 10.5 psf, Roof LL/SL = 19.5 psf(Non-PV Areas), Roof LL/SL= 10.5 psf(PV Areas) - MP4: Roof DL= 13.5 psf, Roof LL/SL= 19.5 psf(Non-PV Areas), Roof LL/SL= 10.5 psf(PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.19625 < 0.4g and Seismic Design Category(SDC) = B < D On the above referenced project,the components of the structural roof framing impacted by the installation of the PV assembly have been reviewed. After this review it has been determined that the existing structure is adequate to withstand the applicable roof dead load, PV assembly load,and live/snow loads indicated in the design criteria above. I certify that the structural roof framing and the new attachments that directly support the gravity loading and wind uplift loading from PV modules have been reviewed and determined to meet or exceed structural strength requirements of the MA Res. Code, 8th Edition. Please contact me with any questions or concerns regarding this project. A JASON WIL IAM � TQMAN Jason W.Toman, P.E. 0 STRUCTURAL cn Professional Engineer No.51554 T: 480-553-8115 x58115 'O9 �FOr PLO 5Q email: jtoman@solarcity.com Jason Toman Date: 0.16 09:47:44-07'00' 3055 Clearview Way San Mateo,CA 94402 T(650)638-1028 (888)SOL-CITY F(650)638-1029 solarcity.com A7 ROO 243771,CA CSLI3 MIN.CO EC 8041,CT WO 0632➢78.DC HIC 71101466,DO HIS 71101488.111 CT-29770,MA HIC 168572,MD MH:C 128948.NJ 13VH06160600. OR CCS 160498.PA 077343.TX TDLR 21006.VJA C,CU SCIARC'91907.O 2013 Solar City.All rights ra�ewad. 10.16.2015 Version*48.9 --1��O�ar�'� PV System Structural ', Design Software PROJECT INFORMATION &TABLE'OF CONTENTS Project.Name_ Pagliera ni.Residence AHJ: Barnstable Job Number: 0261692 Building Code: MA Res. Code, 8th Edition Customer Name: Paglierani,Steven J Based On: IRC 2009,/IBC'2009 Address: 67 Stoney Pond Cir ASCE Code: ASCE 7-05 City/State; Barnstable, Risk.Category: II Zip Code 02648 Upgrades Req'd? No Latitude%Longitude_ 41.686282 -70.416887 ,_,_Stamp.Req'd? Yes SC Office: Cape Cod PV Designer: Matt Morse Certification Letter 1 Project Information,Table Of Contents, &Vicinity Map 2 Structure Analysis (Loading Summary and Member Check) 3 Hardware Design (PV System Assembly) 4 Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.19625 < 0.4g and Seismic Design Category(SDQ = B < D 1 2-MILE VICINITY MAP DigitalGlobe, MassGIS, Commonwealth of Massachusetts EOEA, USDA Farm Service Agency 67 Stoney Pond Cir, Barnstable, MA 02648 Latitude:41.686282,Longitude: -70.416887,Exposure Category:C STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK- MP1&2 Member Properties Summary MP1&2 Horizontal Member Spans Rafter Pro erties Overhang 0.99 ft Actual W 1.50" Roof System Properties San 1 11.22 ft Actual D 7.25" Number of Spans(w/o Overhang) 1 San 2 Nominal Yes Roofing Material Comp Roof San 3 A 10.88 in.A2 Re-Roof No San 4 Sx 13.14 in.A3 P ood Sheathing Yes San 5 L 47.63 in.A4 Board Sheathing None Total Span 12.21 ft TL DefPn Limit 120 Vaulted Ceiling No PV 1 Start 1.00 ft Wood Species SPF Ceiling Finish 1/2"Gypsum Board PV 1 End 12.00 ft Wood Grade #2 Rafter Sloe 400 PV 2 Start Fb 875 psi Rafter Spacing 16"O.C. PV 2 End F„ 135 psi Top Lat Bracing Full PV 3 Start E 1400000 psi Bot Lat Bracing At Supports PV 3 End Emig 510000 psi Member Loading mary Roof Pitch 10 12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 10.5 psf x 1.31 13.7 psf 13.7 psf PV Dead Load PV-DL 3.0 psf x 1.31 3.9 psf Roof Live Load RLL 20.0 psf x 0.70 14.0 psf Live/Snow Load LL SL1,2 30.0 psf x 0.65 1 x 0.35 19.5 psf 10.5 psf Total Load(Governing LC I TL 1 1 33.2 psf 1 28.1 psf Notes: 1. ps=Cs*pf; Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf=0.7(Ce)(CO(IS)pg; Ce=0.91 Ct=1.1,Is=1.0 Member Design Summa (per NDS Governing Load Comb CD CL + CL - CF Cr D+ S 1.15 1.00 1 0.42 1 1.2 1.15 Member Anal sis Results Summary Maximum Max Demand @ Location Capacity DCR Load Combo Shear Stress 27 psi 1.0 ft. 155 psi 0.18 D+S Bending + Stress 522 psi 6.7 ft. 1389 psi 0.38 D+S Bending - Stress -34 psi 1.0 ft. -580 psi 0.06 D+S Total Load Deflection 0.33 in. 534 6.6 ft. 1.46 in. 120 0.22 D+S CALCULATION OF DESIGNTWIND LOADS=N1P1&2 ___, _ _ _ Mounting Plane Information Roofing Material Comp Roof PV.System Type SolarCity SleekMountT'" Spanning Vents No Standoff Attachment Hardware Como Mount Tvoe C Roof Slope 400 Rafter_Spacing 16"O.C. Framin Type Direction M Rafters Purlin Spacing X-X Purlins Only_ _ _ _ _ _ NA Tile Reveal Tile Roofs Only NA Tile Attachment SystemTile Roofs Only NA ,Standing Seam/rrap Spacing SM Seam Only NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind Design Method Partially/Fully Enclosed Method Basic Wind Speed V 110 mp_h_ v Fig. 6-1 Exposure Category C Section 6.5.6.3 Roof Style Gable Roof Fig.6-11B/C/D-14A/B Mean Roof Height h 15 ft Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.85 Table 6-3 Topographic Factor_ _ K t 1.00 _Section 6.5.7 Wind Directionality Factor Kd 0.85 Table 6-4 Importance Factor I 1.0 Table 6-1 Velocity Pressure qh qh = 0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15 22.4 psf Wind Pressure Ext. Pressure Coefficient U G -0.95 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down GC w .0.87 Fig.6-11B/C/D-14A/B Design Wind Pressure p p =qh(GC ) Equation 6-22 Wind Pressure U -21.2 psf Wind Pressure Down P f down 1 19.5 psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 64" 39" Max Allowable Cantilever �Lendscape 24" - - _ NA _ Standoff Configuration Landscape Staggered Max Standoff Tributa_ry:_Area _ Trib 17 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff_ T-actual _ -347 Ibs Llq.I t CaCapacity of Standoff T-allow 500 Ibs Standoff Demand/Capacity DCR 69.4% X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 66" Max_Allowatile Cantilever _Portrait 19" - _NA _ Standoff Configuration Portrait Staggered Max Standoff Tributary Area Trib 22 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind.UPlift at Standoff I Tactual_ -435 Ibs Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand/Capacity DCR 86.9% STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK- MP4 F Member Properties Summary MP4 Horizontal Member Spans Rafter Pro erties Overhang 0.99 ft Actual W 1.50" Roof System Properties San 1 12.82 ft Actual D 1.25" Number of Spans(w/o Overhang) 1 San 2 Nominal Yes Roofing Material Comp Roof San 3 A 10.88 in.A2 Re-Roof No San 4 S. 13.14 in.A3 PI ood Sheathing Yes San 5 I 47.63 in.A4 Board Sheathing None Total Span 13.81 ft TL Def'n Limit 120 Vaulted Ceiling Yes PV 1 Start 1.58 ft Wood Species SPF Ceiling Finish 1/2"Gypsum Board PV 1 End 12.33 ft Wood Grade #2 Rafter Sloe 400 PV 2 Start Fb 875 psi Rafter Spacing 16"O.C. PV 2 End F. 135 psi Top Lat Bracing Full PV 3 Start E 1400000 psi Bot Lat Bracing Full PV 3 End Emig 510000 psi Member Loading mary Roof Pitch 10 12 Initial Pitch Ad'ust Non-PV Areas PV Areas Roof Dead Load DL 13.5 psf x 1.31 17.6 psf 17.6 psf PV Dead Load PV-DL 3.0 psf x 1.31 3.9 psf Roof Live Load RLL 20.0 psf x 0.70 14.0 psf Live/Snow Load LL SL1,2 30.0 psf x 0.65 1 x 0.35 19.5 psf 10.5 psf Total Load(Governing LC I TL 1 1 37.1 psf 1 32.0 psf Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf=0.7(Ce)(Cr)(IS)pg; Ce=0.9,Cr=1.1,Is=1.0 Member Design Summary(per NDS Governing Load Comb CD CL + ` CL - CIF Cr t D+ S 1.15 1.00 1 1.00 1.2 1.15 Member Anal sis Results Summary Maximum Max Demand @ Location Capacity DCR Load Combo Shear Stress 35 psi 1.0 ft. 155 psi 0.23 D+ S Bending + Stress 786 psi 7.5 ft. 1389 psi 0.57 D+S Bending - Stress -38 psi 1.0 ft. -1389 psi 0.03 D+S Total Load Deflection 0.65 in. 310 7.4 ft. 1.67 in. 120 0.39 D+S CALCULATION=OF DESIGN WINO=LOADS=mR" Mounting Plane Information Roofing_Material Comp Roof PV Sy_stem Type SolarCity_SleekMo_untT'" Spanning Vents No Standoff Attachment Hardware Coma Mount Tv�e C Roof Slope 400 Rafter Spacings — �_ _ __ _16"_O.C. Framing Type Direction Y-Y Rafters Purlin Spacing X-7 Purlins Only NA Tile Reveal Tile Roofs Only .� NA w r Tile Attachment System Tile Roofs Onlyi NA Standin Searn/Trap Spacing SM Seam Only NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind_Design Method P_a_rtally/Fully Enclosed Method Basic Wind Speed V 110 mph J Fig. 6-1 Exposure.Category C' Section 6.5.6.3 Roof Style Gable Roof Fig.6-11B/C/D-14A/B Mean Roof Height h 15 ft Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure Kz 0.85 Table 6-3 Topographic Factor Kzt� 1.00 Section 6.5.7 Wind Directionality Factor Kd 0.85 Table 6-4 Importance Factor I 1.0 Table 6-1 Velocity Pressure qh qh = 0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15 22.4 psf Wind Pressure Ext. Pressure Coefficient U GC „ -0.95 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down GC 0.87 Fig.6-11B/C/D-14A/B Design Wind Pressure p p = qh(GC ) Equation 6-22 Wind Pressure U -21.2 psf Wind Pressure Down 19.5 Psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing_ Landscape 64" 39" 24" NA Max_Allowable Cantilever.Landscape` Standoff configuration Landscape Staggered Max Standoff Tributary Area Trib 17 sf _ PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff T-actual -347-Ibs Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand/Capacity DCR 69.4% i X-Direction Y-Direction Max Allowable Standoff Spacing_ Portrait 48" 66" Max Allowable Cantile_v_er Portrait 191. NA Standoff Confi uration Portrait Staggered Max.Stendoff Tributary Area Trib _ 22 sf PV Assembly Dead Load W-PV 3.0 psf NetNet Wind Uplift at Standoff T-actual -435_lbs Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand/Capacity DCR 86.9% TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION /� ,, �GS� "NOV OF BARNSTABtE Map lNl '( Parcel Application o Health Division ` ' = 1 Date'Issued 2�D Conservation Division Application Fee Planning Dept. ?!/r iri " '4"''�Permit Fee C 5 -06 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Y10�'lS�Y1S 1 Village Owner Ir'CJ, Address Telephone D 2t Permit Request Square feet:.1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) °Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION -- (BUILDER OR HOMEOWNER) Name Telephone Number Address License #kw OIL Home Improvement Contractor# Email U,ffl( 1w :).Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FRO' THIS PROJECT WILL BE TAKEN TO ANKJ Q1 \V SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATEISSUED ` MAR]PARCEL NO. ADDRESS t k VILLAGE OWNER _ t, DATE OF INSPECTION: t t FOUNDATION `� ► FRAME ' ' INSULATION FIREPLACE - ELECTRICAL: ROUGH FINAL y 1 PLUMBING: ROUGH FINAL ` GAS: ROUGH FINAL FINAL BUILDING,; D'ATE.-CLOSED OUT - - -- f ' ASSOCIATION PLAN NO. ' - n ;; DEBRIS DISPOSAL AFFIDAVIT In accordance with the provisions of M.G.L. c. 40, s. 54, Building Permit # was issued with the condition that all debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by M.G.L c. 111, s. 150A. The debris will be disposed of in: ABC DISPOSAL 1245 SHAWMUT AVE, NEW BEDFORD MA 02746 Name of Waste Facility Address of Waste Facility 111.5 Debris: As a condition of issuing a permit for the demolition, renovation, rehabilitation or other alteration of a building or structure, M.G.L.c.40 s. 54 requires that the debris resulting therefrom shall be disposed of in a properly licensed solid waste disposal facility as defined by M.G.L.c. I I l s. 150 A.Signature of the permit applicant, date and number of the building permit to be issued shall be indicated on a form provided by the Building Department and attached to the office copy of the building permit retained by the Building Department. If the debris will not be disposed of as indicated, the holder of the permit shall notify the building official, in writing,as to the location where the debris will be disposed. 780 CMR—61h Edition Signature of Permit Applicant t ��s Date ` 1 � CERTIFICATE OF LIABILITY INSURANCE DATE(MM9 24 ' ACORO 15 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 endorsemen s. PRODUCER CONTACT NAME: Thompson Insurance PHONE 781 335-1890 n!X No: (781) 335-9782 and Financial Services ADDRESS: JJTins@Comcast.net 389 Union Street INSURERS)AFFORDING COVERAGE NAIC# Weymouth, MA 02190-316 INSURER A:Travelers INSURED INSURER B:AIM Mutual MT McMahon and Son Inc. INSURER C:Western World Insurance Co. 19 Fieldstone Way INSURERD: Plymouth, MA 02360 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER M/DD/Y MMlDD/YYYY LIMITS C GENERALLIABILITY NPP8202484 9/16/15 9/16/16 EACH OCCURRENCE $ 1,000,000 COMMERCIALGENERALLIABILITY DAMAGE TO RENTED PREMISES(Ea occurrence) $ 100,000 CLAIMS-MADE OCCUR ME EXP("one person) $ 5,000 PERSONAL&ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2 000 000 GEN'LAGGREGATE LIMIT APPLIES PER PRODUCTS-00 MP/OP AGG $ 1,000,000 POLICY PROT El- LOC $ A AUTOMOBILE LIABILITY EA 2C882729 8/31/15 8/31/16 COMB�D�SINGLELIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALLOWN=D X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIREDAUTOS X AUTOS (Per accident) $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESSLIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION VWC-100-6014109-201 12/8/14 12/8/15 WCSTATU- X OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N N/A E.L.EACH ACCIDENT $ 500,000 OFFICEPJMEMBER EXCLUDED? 7 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 Ify es describe under DESG�RIPTIONOF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is requi red) Insulation Installation and Carpentry � I i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BLANK ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE John J. Thompson CLTC ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: i • �a o 91�t Massachusetts -Department of Public Safety CS//r. �Grynr.rr� uacrilt/r��U>llaouc/rraelly Ottice of Consumer At'tbu•3&ausiues6 RcgU'a1. Board of Building Regulations and Standards OME IMPROVEMENT CONTRACTOR Construction Super-i+or eglstration: �'61816 Type: i License:CS-068111 1 fir,I 1 WExpiration:`1172412016 Private Corporatic 'a MICHAEL T MAHON- ,iGitr _= a Ci -MICHAEL T.MCMAHON BYSON INC; 19 FIELDSTONF—'%WV PLYMOUTH MA< 0 �; MICHAEL MCMAHON' 19•FIELDSTONE WAY"'., FCYMOUTH,MA 02360 r �,,�„� �1 . " 't`• Expiration Undersecretary 0811712011f. Commissioner U �- F ,Unrestricted-Buildings-of any-use group which, Lf:�rsa or reEistraiion valid for individul use on:y contain less than•35,000 cubic feet q IM )of; ' before the expirati�.•i date. if`;and return to: a enclosed space. Office of Consumer Affairs and Busine'ss'teoulation 10 Park Plaza-Suite '170 - Boston,AIA 02116 - i i 1 i Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Not valid without signature For OPS Licensing Information visit: www.Mass.Gov/DP5 f• The Commonwealth of Massachusetts Print Form Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): M.T.McMahon and Son,Inc. Address: 19 Fieldstone Way City/State/Zip: Plymouth,Ma 02360 Phone #: 781-831-1234 Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with 8 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I L❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑x Other weatherization comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: AIM Insurance Policy#or Self-ins. Lic.#: VCW-100-6014109-201 Expiration Date: 12-8-2015 Job Site Address: �4J� �Cl" ""`C City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Sijznature: Date: I Phone#: 781-831-1234 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r I � T Town of Barnstable Regulatory Services tuASsS Ricbard V.Scati,Director Building Division Tom Perry,Building Commissioner 200 Main Street,IIyannis,NZA 02601 ►►tivw.town.b arnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Scction If Using ABuilder Barbara Paglierani j, as C.?cvner of the subject properl:y. hereby authoriZe___ 1,A,ka 4 to act on my behalf, in all matters relative to R-orkauthorized by this building pemut application for 67 Stoney Pond Circle Marstons Mills, MA 02648 (Aiddress of Job) _ ' "Pool fences anti ala= are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all fin 1 inspections are performed and accepted. Barbara M.Paglierani(Oct 13.2TA 5) Signature of 0wner Signature of Applicant Print Name z Print Name Date Q:FORMS:01V?dFRF}RMl$SIo>v'P(x)IS t �d+�� Assessors office, (1st floor.). THE Assessor's map and lot number 14-aA�K7.! Board of Health Ord floor): Sewage Permit number ............. ........ .. ............... .......... Engineering Department (ird floor): MASIL 4;�- -)'�7,-r;,-- 1639- Housenumber ........................... . .. ...................... 0 MAI Definitive Plan Approved by Planning Board :-------------------------------19-------- - APPLICATIONS PROCESSED 8:30 9:30 A.M. :and 1:00-2:00 P.M. only TOWN. OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....CDr1,F?.t.rUK,.t....wpw..klo.IqAi:....................................................................... TYPE OF CONSTRUCTION .........Vogel..F)1PVA................................................................................................... .June...13............................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Rot....5....S.t.o.ne.y..Rq�p�...!�.i.r.c2..e......M.ars.ton.s...M.i.l. W�.....q�.64.8.............................................. .. .... . .. . .. .... .. .... .. .. .... .. .... .. .. ....... .Proposed Use ..... .i.ngl e... nq......................................................................................................... ... Zoning District .........RF...................... ....................................Fire District ...C.707M.m........................................................... Name of Owner Delaney Realty Trust 230 Route 149, JMarstons Mills, MA ............................... ................................Address .................................................................................... Name. of Builder ,W.i.1.4a.i.r...C.......Brown........................Address D% 020'35 ................................... Nameof Architect ..................................................................Address .................................................................................... Poured Concrete on Footinq Number of Rooms ..y .......y............. ...........................Foundation .6..........................................................................- Exterior .....W.o.c.).d...S.h.i.n.ql.e................................................Roofing ....Asphalt...........: .............................................................. .. .. . .. .... .. ........ .. . .. Floors ......Oak....&...Carpe.t................................................Interior Sheetrock ....... . .... .. .... .. ................................................................................ Heating ... as.........................................................................Plumbing ..2....................... .................................................... Fireplace .............................................................................Approximate Cost .... ..................:......................... )2;2. Definitive Plan Approved by Planning Board 4-13-87 Area ...1,6*96 SQ,,...:ft..3P7.Story ...........- .4 Diagram of Lot and Building with Dimensions Fee e ..5/Z..od.................... �O 3 2.1p OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. 'Name Williamn'* C. grow Construction Supervisor's License ..02-8-CIER8........... cl 0 56 BAYSIDE BLDG. CO. A=064-068-005 — dos No 34325 Permit for ..1 Story.,.....,.,.. .....,,.Single Family„ly...Pyq,�.�inq....... ...... ..... ..... Location ....Lot...#.5.,......U...5.tpaqy..Pqpd Circle ...............Mg�IpatQap...Mi.1 l.S....................... Owner ...PAy.q.i.d.e..Bldg, ....Co .................. Type of Construction ......Z:rAM.Q....................... ............................................................................... Plot ............................ Lot ................................ Permit Granted ......M.ay....7.......................19 91 Date of.Inspection .....................................19 Date Completed .......................................19 /ItI19 Ea Dep"5rd ap Paicel d O—00 Permit# r2_0(4 q House# 6 7 Date Issued 2 /9,2r B oor - - . Fee 0 Bldg.) IKE ,Tn� -+itiyP Plan A----..-A U. Vlannin0 Board 19 i BARNSTABLE. 039. TOWN OF BARNSTABLE Building Permit Application Project Street Address �� (»1Q\� PC�CI C lky e_ Village "7LA.-I Owner Q(G1 C� ` )1 l P �-h P,A Address Telephone ' Q 2 — 59 Y S i 1 Permit Request C `�)n(1CS_ �11 `�i71 C'C1\Clnr 1 R-M.r 1 C)� rPFi 1M n-IinitS First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ '115�0 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes 0 No On Old King's Highway ❑Yes *No Basement Type: 14 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing_ Z New Half: Existing New No. of Bedrooms: Existing New 1 Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: gGas ❑Oil ❑Electric ❑Other Central Air I&Yes ❑No Fireplaces: Existing DC New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use '7 ilder Information Name Telephone Number lip�5 — 58 45 Address �Q License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE BUILDING PERMIT DENIED FA THE FOLLOWING REASON(S) t FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. i f e ADDRESS VILLAGE OWNER N DATE OFyINSPECTION: FOUNDATION FRAME INSULATIONIF / FIREPLACE ELECTRICAL: ROUGH FINAL " PLUMBING: ROUGH FINAL GAS: ROUGH FINAL s rFINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. pfTHE r, •'Y°� Town of Barnstable The- • ,�rrsreatE: • ��. 6 1m�' Department of Health Safety and Environmental Services 'OrEon+ " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only i Permit,no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT•APPLICATION ' I MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptio s,along with other requirements. ZNn. e 4k&x s �uimc�vas exis�•o Type of Work:r minnf ir,�r k t e�[�DZI S Est. Cost Address of Work: tr. l C.5kz)nell P(l' A C-cC e, Owner's Name �p( a`r� , ) P Pw ' Date of Permit Application: 'C A \Qq[) I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY [hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR . Date Owner's Name r_z__-- The Commonwealth of Massachusetts F�< _ Department of Industrial Accidents �`' = Office oilnlrestifatiens 600 Washington Street ; F ;, Boston, Mass. 02111 Workers' Com ensation Insurance Affidavit I , me. cation: ci hone# ✓�v I am a homeowner performing all work myself. ❑ I am a sole ro netor and have no one workin in any ca acity % %%/%Par V ❑ I am an employer providing workers' compensation for my employees working on this job. company name ;city' nhone#: . . ::....:.,.. insurance co -- - olicv#- / ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name• cihr phone#: . :::::s ;:. : tnsurance co. : ' _ ' camaany name.. .. _._ address: :. city .... ax olicv Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby ce un t pains and enalties of perjury that the information provided above is t uo and correct ✓Signature D� �/ �e Print name Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license 0 - ❑BuIIding Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised 9/95 PJA) Information and Instructions 1,C Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another,under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal'entit`y,'or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling House Having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain'a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pi number which will be used as a reference number. The affidavits may be rednriied io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of lavesduatloas 600 Washington StreetFi Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 TOWN OF BARNSTABLE • BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. . ,,^ c/DATE r/JOB. LOCATION cv& Number ' S reet address Section of town 'HOMEOWNER" C`(a\a Name Home phone Work phone ter• .. PRESENT MAILING ADDRESS ��� nge-,4 GnA C i -d , City town State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess' a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory 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 Officia: on a form aceeptAble to the Building Official, that he/she shall be responsiblE for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the Stat Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements i and that he/she will comp pth aid procedures and requirements. HOMEOWNER'S SIGNATURE 0 APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which a building ; permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person(s) for hire to do such work, that such Home Owne: shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix 0, Rules and Regulations for licensing Construction' Supervisors, Section 2. 15) . This lack of awarene: often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it -would with licensed Supervisor. The Home ' Owner: actir. as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware .of his/tier responsibilities, man communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. a r 40 1 �t rqk, Town of Barnstable *Permit#0�01'6a 1 I QExpires 6 mo r f m Regulatory Services Fee • MxxsrnBM r� ram. $1639. Richard V.Scali,Interim Director �0 RFD MP't� Building Division Nt Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT AXPLICATION - RESIDENTIAL ONLY Map/parcel Number p Not Valid without Red X-Press Imprint . . I// (� /W� / �A - rK Property Address 4. 7 2 Ol4 �1 I Y • i esidential Value of Work$ 7 oe)o UU Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address tAl 14 I Contractor's Name r JE q T�t��'S Telephone Number SOS 7 76' 6 CO1� C�i57,' /�e j'Home Improvement Contractor License#(if applicable) $ Email: la S ej Construction Supervisor's License#(if applicable) orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ Ip�he Homeowner . have Worker's Compensation Insurance APR S 2014 Insurance Company Name 1 r q y�IP Y T)A 6. Workman's Comp.Policy# 6 �� a & q 1 ?s i'h 6. 7 �� T® ®� ARNSTiABL Copy of Insurance Compliance Certificate must accompany each permit. Permit Request eck box) / e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to' �Q/�o��' /T t✓►hp ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows • #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Impr-QYeraeatiCuntractors License&Construction Supervisors License is require / �.. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 The.Commonwealth of Massachusetts Department of IndushrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant Information nn Please Print Legibly Name(Business/Organization/Individual): 2ct i ! �L6 A Address: 5 / e-- City/State/Zip: ,a v l S Ma Phone Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition workingfor me in an capacity. employees and have workers' Y �' ;r,��ance 9. ❑Building addition [No workers comp.comp.insurance p• required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their HE PI ing repairs or additions myself- [No workers'comp. right of exemption per MGL 12. oof repairs insurance required.]t c. 152, §1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *Any.applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hue outside contractors must submit a new affidavit indicating such. Contractors that check this box mast 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 praviding workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: I r g y t k v S Policy#or Self-ins.Lic.#: 6. �D /c7� 6' 7 N3 Expiration Date: 7 Job Site Address Sfo h-e- Pa A(� 00 City/State/Zip:_rngY56)i Vg Attach a copy of the workers' comp ation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiied 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 u e pains m ralti�s of perjury that the information provided above is true and correct Signature: Date: 7 i Phone#: Jr dz 3 O 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 S.PIumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for thew employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." =' An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in*a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to-be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance-or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit .The affidavit should be returned to the city or'town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance.license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (ie.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to than you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusats Department of lndustdal Accidents office of Investigations 600 Washingtou Street. J Boston,MA 02111 Tel, #617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#f 17-727-7749. www.nlass.gov/dia °� ETayti Town of Barnstable Regulatory Services BARNST"M ' Richard V.Scali,Interim Director 0:59. r��► Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete.and Sign This Section If Using A Builder / i'Pl/o('A� as Owner of the property subject l ply hereby authorize Y f` ��S to act on my behalf, in all matters relative to work authorized by this building permit i� (Address Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Nara Print Name Date • Town of Barnstable - - Regulatory Services - oFttlF rGryy Richard V.Scali,Interim Director Building Division anxivs�+srE Tom Perry,Building Commissioner -mass. 200 Main Street, Hyannis,MA 02601 QED M°� www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6250 HOMEOWNER LICENSE EXEMPTION - Please Print DATE: JOB.LOCATIQI+I: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: cityAown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. 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 dwelling, attached or detached structures accessory 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 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Appioval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack df awareness often results in serious problems,.particularly when the homeowner hires unlicensed persons. In this case;our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a,Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a'form/certification for use in your community. r -- � ACORO® DATE(MM/DDIYYYY) - CERTIFICATE OF LIABILITY INSURANCE 4/1/2014 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 drew Roth NAME: Murray & MacDonald Insurance Services, Inc. PHONE (508)540-2400 FA � o.(50e)289-4111 550 MacArthur Blvd. ADDRES mm EMAIL aroth@is mi.co INSURERS AFFORDING COVERAGE NAIC p Bourne MA 02532 INSURERA:Essex Insurance Co. INSURED INSURERB:Travelers WC David Nelson INSURERC: David Nelson INSURE RD: 84 Braxton Rd INSURERE: E Falmouth MA 02536 INSURERF: COVERAGES ta. , CERTIFICATENUMBER:13-14 Master GL 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. rA LICY EXP TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMIDDY/YYYY EFF MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMA ETORENTED 5Q�000 X COMMERCIAL GENERAL LIABILITY PREMISE Ea occurrence $ CLAIMS-MADE aOCCUR 3DR6230 10/1/2013 0/1/2014 MED EXP(Any one person) $ 1,000 PERSONAL&ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 X POLICY I PRO- LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLALIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN I ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ 100,000 (MandatoryOFFICER/MEMBERInEXCLUDED9 6HUB9975M67413 9/30/2013 9/30/2014 E.L.DISEASE-EA EMPLOYE $ 100,000 (Mandatory In NH) If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION bartarpw@comcast.net SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Wakeby Development 2 Jillson Way East Sandwich, MA 02537 AUTHORI2EDREPRESENTATIVE S Harrington, CIC/SMH �iD"r- ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025l9Mnnfi1 M Thn A(:(1Rrl name onrl Inns aro ronie}nrnri marlrc of A(:l1Rrl j U Massachusetts-Department of Public Safety j Board of Building Regulations and Standards 1 Construction Supervisor License: CS-048856 LARRY TUFTS, 95 LOVELLS LALQE MARSTONS MIL-LS Expiration commissioner 01/20/2016 Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 109680 Type: DBA Expiration: 9/21/2014 TI# 231020 TUFTS BUILDING LARRY TUFTS 95 LOVELLS LN MARSTONS MILLS, MA 02648 i Update Address and return card.Mark reason for change. Address Renewal Employment n Lost Card SCA 1 0 2OM-05111 -�e�o�»�rinurr�na�L/r.n�C/Glr�utc•�uuellJ -� -_.�-._ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 109680 Type: Office of Consumer Affairs and Business Regulation xpiration: 9/21/2014 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 TUFTS BUILDING LARRY TUFTS 95 LOVELLS LN MARSTONS MILLS,MA 02648 UndersecretaryNot valid without signature i _ ...... HAY810'E OUILOING Co Iwe— _ .._ _—_.�..t—_ __ � • i � C6NTC RVILLL /h4SS. 1 � ��wL .. -.wwo•�om ww�.: � � wm' � nvaw •1/A• 9 . o.+ Nrww S -�7`0 Al Po AIA C be,CC IF ,a , + ` � ems• . � .- � 1 ' - _ .AfPI-�s1.T••.Rp�•SMIIJGL.6f \N.G•4H�wOL.CS� - �� � �/-Aipwe�i (Goof' 3H3•dupC / . ' 1 ,BAY SJne- ALIL7JNy -Co we... �1''�• • +�.- — •\--• ! 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IL LLe ran�,e.r� IILLo• CC Iq I I M.7/ 9z" "'L-Lt- 4f gib. i I ��� S*4•`r-?fir \ .H :bru..s.►w - '��` �VA C. , Ll � \ \ '� �ova•�.o..�m ��J I i ' . � \ 'p.u_ : I 'Fa:Ln�ur_m+.uw-ws_• t � ./ d I I • � N6T .r , i t ' � 5�I4• ' L o (,�pU o�LG GOV ETLAG E Q-O LL tZA9.1= I fJ Ca SWIN.6 C.E!S ,Jog C-U- 12 .oc J. 'Lx$ So FrIT..W 2Fru.6 LE lbc ATV i .S7..uoS. S.14.E SS1�G:-StA I N'G L n' -2x.:4::.FCt:Ie����u. � �—_ -��_A p' Pso-�rz• i h- _CD '✓ r -- +�•- 7�C11�:T N - Ti I-tq 46 O �' C. .�i , y,�v, j ST• rat s r� Lt l Y ISSUED DATE(EA�NVI Dh i) f,y ?al� �.j•'V._�'!r `'w a.- 7 �.r ..t a.:.f.�s`l r. ..1 f �>.1nR.^F�ar3«�' Sl;r•' - 'w ti, 9%0 6 rf 7 1. .•--aH. rsf s. "•Al1`ft AS A MATTER OF INFORMATION ONLY AND CONFERS ,FIT Ir W T:HO.OES.THIS CERTIFICATE DOES NOT AMEND, [,Y.E r;n,(;( A;'FOR)ED BY THE POLICIES BELOW. F'.I'•!I:;'iI - AFFORDING COVERAGE IlF'G i1E ,.CiI M LIT i_lial_. r fill i-Edi;'i i`ii, '�"'r 1:,. s �� ,z•. ``rf�' ''s s., q �•GH w[�' Qt 1.. yr,a,�' �r,+ '- . -A�� Y I +..'i" . .G .i'-�.^' i- - �'3 �;ai,f J zd.•`1 `}' i{ -r ap , rn:.' r r . r 1• t r• ,1 1! f[ 1-1 1 N"]rt„tU I !,'I r t r OR TI?E POLICY PERIOD INDICATED, me rr-r)rNlrt•,:tit T Era ,r r I: .v t rr•r.r. r 1)fx,ltrArPl I WITH ElESPEECT TO WHICH THIS CERTIFICATE MAY f uu t 1 r!' I1 n )r :I n f 5 rH r r,•-t f'! 1.4 rr n,. ,. >t Ita f:RI IT ISC f TO ALL THE TERMS,EXCLUSIONS,AND CONOI- r• Irml•1 1 ALL LIMITS IN THOUSANDS 1�',iF d.ctcl;ar��i: 1 i 4ra. ,I-I% 'tr 1. �:; �.i/!90'. .tNE9Al.AGGRCGATE t:.V 1.} PHODuf:I S-COMPIOPS AGGREGATE 200 1• 1 1If'l',ON AI ',ADVFIITISIN(?INJURY 100 tst A;.!UCCUHRCNCE 10 0 i r1111,OAMAGL(ANY ONE FIRE) 50 MCI)ICAI EXPENSL(ANY ONF PERSON) J i;[I I,In'FRSON BOUILY � a " INJURY I SPFR ' f [:IUFNiI • DAMAGE -— -- EACH AGGSEGATF , 0(:CI1Rr*Nc: 4'• -Y •i n..TllT!�RY _._— '" `': '"�Q x r. 1 .!—�•__— (EACH ACCIDENT) JASEASE-POLICYDIM) ry - �- --- -`— (DISEASE-EAC,H EMPLOYEE) E4.i✓,it'I r I1Ir'A;70V:•r_)F.aCRISFD POLICIES BE CANCELLED BEFORE THE EX. I'lFlIFOr- THr ISSUING COMPANY WILL ENDEAVOR TO .fir "I :r,i=i L'rl otollcE: rO THE CERTIFICATE HOLDEia NAMED TO THE {:.i I -)' I,I I' 1;11 J•1,(•,J f,'Y I moo. I.•i 1'I'I: ( ( I ,k ![s rAAII_ SUCH NOTICE SHALL IMPOSE NO OGUC!rTIOH OR t 1:r^?il t-r or4 THE,COMPANY,ITS AGENTS OR REpRLrSGNTAT►VE3, li'r:f I!i,,rnr. -- --- ------ A, "�+(�r•.!�'�*�.►bf-7l'sYr.; :{��-,'�+:�:-i��'r-�•"�Sk�.,��'1'�"'�I��+i�'"�}'Y;�,�}�'..�.`i.�•-+^� 'Yr ,��e�y r ;,:. ,p� t<�,' 3 TOWN OF BARNSTABLE Permit No. .3432.5....... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash .► ` HYANNIS,MASS.02601 Bond ...........�J I CERTIFICATE OF USE AND OCCUPANCY Issued to Ba)ide Building Co. Address Lot #5, 67 Stoney Pond Circle Marstnng Mille MA USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. Au�ust..14... 19...9I.......... 4=-- .. .....`..�: Building Ins ector 7_''J>i-.'".r-fvrr..r, r ��..0�� O•,ew TOWN OF BARNSTABLE BUILDING DEPARTMENT _ NA8 TOWN OFFICE BUILDING , HYANNIS, MASS. 02601 MEMO TO: Towne Clerk FROM: Building Department ' DATE An Occupancy Permit-has been issued for the building authorized by Building Permit .............................................................................._..................._.............................. _ issued toIg ���C2.. ... ..............................._................_.... ._..._._.._� Please release the performance bond. ; y , v.�,.adj„u•g e. ..,s.'.n c., . •,.., ,ti•r. .t � , - -..Y.la,..�„�•>...� v •. � I q.:-'.J TOWN OF- BARNSTABLE, MASSA USETTS B U_I.D IN G PE T A=064-068-005 ~- DATE May 71 19 91 PERMIT NO. NQ 34325 5 APPLICANT Owner ADDRESS Listed Below #005645 :'. 7 1 (NO.) (STREET) (CONTR'S LICENSE) �,. . PERMIT T�'Build Dwelling (1} 1 STORY Single Family Dwellin%uMBER OF , WELLING UNITS - (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT-(LOCATION) Lot: #5, ' •67 _Stoney 'Pond Circle* Marstons Mills DISTRICT RF r ` _ (NO:) (STREET). •>..i „ .i AND ' (CROSS'STREET) (CROSS STREET) • - LOT :G SUBDIVISION- LOT* - BLOCK SIZE' ,r BUILDING IS*TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO-TYPE USE GROUP BASEMENT WALLS OR FOUNDATION I TYP E) I Y:- REMARKS:, Sewage ,•; _ . Bond AREA OR ;2032' s •, •ft �`* I k PERMIT VOLUME �. ESTIMATED COST 120 000•OO. ' FE.E ZO2.00 (CUBIC/SQUARE FEET)' - Z OWN ER eays!aevBldg. Co. q 4 BUILDING DE PT, •.. ADDRESS Centerville t.�s BY .e y OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. ,I F L H M I T DOE5 NOT RELEASE THE APPLICANT FROM THE CONDITIONS' MINIMUM OF THREE CALL 'APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO R 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. E OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS lot 3 1- H TING INSPECTION APPROVALS ENGIN RING DEEMNT D OF HEALTH , OTHER :_ SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS(ARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. [PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. f { 4 b / O � oor i1QY r - w / - w p .op. -Prop 3 .� ems' U`�P I Bedroom t l.P, A� W-44 �: 13 v `12- h� �'�db a •� .aG R 4..E �n� S O� . .. Na 240M n t 14 mac-\-h.+"c9 ,. �o\ :.-F•�y`i;:�•_�.. .a� .;t s.•r; . ' _ � '�' � �� jai• ( � �';, '_ � � ,o STLvVE✓ .�On/D ROAD Gww i t LSD.=.}t �.I {.... 11J � - • Si�EET 2 0"a. 3 N� •' "�77�tx.Mu.n__.A./ vi,4af:.-CG�ovncpcvafcr: - .. ''. r .GLVS.l�t1__J11E.ic�%✓%3./G�.._.......___. • 5lngle' Family •- 3 BecSlrooms. ..' •• ,.. _ . .�__ __ _ _ _-:...-._.--.----.. . i W/by• G4r6,. c -- DAILV FLoca 11.o x 3 = 33O GPQ. ----- -- _— --- - S�vT« Ti°1NK 330 -K'.zopy. = �(op Gzllons U9G, 1 SOC G L-1•lo.t S�pi-tt :•Ti.n Ic DIst�14.L fir 'y Uu toCo .gwl��+•tl p:�.t " . ... crvshla' .sicnvl CPcPac��r`l 2L6 x'2.5 =. 565.E�eQ. . GAPAGIT-Y f l X 1,0 113 G cp J P`�N i !:'�,. ���P\l lO��gss9 �' ,� Torp, 33,• S.P 678 G aQ f"PH N G.11 �E RRTio 2 min�inc� " $AXA. TERvII:LSUP! hl 9 No.24.048 � .A iJo.30216 Q Q \A9��`�;►sT S4' TE,STf/o!-E P•'6?00�9-30-F�7� 3 o FG: _�3•b FGur .361, h 80.o �� J Uc o Gel /.Yy. BoX /NK Gam_ ►�«� 0100 IS 1,77 ,SEPrrC 82,o Z , •. • t F •. � 81 o @1,47 • � •• G'.E.2T/F/E.p /?GOT ,vL'q,V Lz0. � 3 � C : 3 �-•'— LOG,GT/Oif/ 9rinrs/4si-.ct.__ 144" Velcr 7 1,o __ PQ / GE.E'T/,cY Tf/,QTTyE- ,voosF SYE.,--'ov GOMpGY,s• W/TX/Th'E S�.o��i�jE . €,c/j�E;/.coo. TOW11 df t3 qR-AlS7dg4- i2EG/.ST�,eEIJ.L�1N0 S/j.2!/EYp,�s 1Jit!J� /•.s:NOT ..:G�STr.21�/.GL.E a G V c T//!t sh�lT/it/ Y.4it/O.Ti�/E - -- �- I Sib 16"9 ? V I=-C.Gaxi, fit(cc..L �Ea-A,+JIE�.S i j I! OW-4 SO.d S" �sQeJ 6D Wsa��zT • a -F 9 ,3 O Awusrvme n7 i 1 ` 5q.75� Co•ra-�ov5 NIN 06 i 1 I qq,23 q 4. S y_�- OW-2 I '• m1e00000 49 �OW3 53 .09 48 FIGURE 6: GROUND-WATER- CONTOURS LEGEND ® OBSERVATION WELL �—52—GROUND-WATER CONTOURS ■ _ --� DIRECTION OF GROUNDWATER FLOW Pinc. SCALE 1:1320 • �.. � s�/SET' 3 0.� 3 F9 sessor's, office (1st floor): >;, F HE Assessor's map and lot number SNOI�ilnEMU N Board of Health (3rd floor): Sewage Permit number ........................................... 1 33AMSTABLE Engineering-Department (3rd floor): L G ,l7L moo 1639. House number ......... ................... Ki ........ .s:�►B of b :ems�/c.r v:�.Ci ray Definitive Plan Approved by Planning Board _-____�__J�3___.____.__19 APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00,-2:00 P.M. only TOWN OF. BARNSTABLE BUILDING . INSPECTOR APPLICATION FOR PERMIT TO ....QQa5.tr.=t...NeW...jici S.p....................................................................... TYPEOF CONSTRUCTION ..........W..Q.P.d...Fr.=Q.......................................................................:......................... June...la............................19..8 8.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .Lot 5. Stoney. Pond..Circle.r .Marstons Mills,s...MA.....0.26 48 ................................................. Proposed Use .....S.ing.le„Family...Dwellin. .................................................... Zoning District ....... RF - Fire District ...C.-O-MM ............................................. a 1 t_ u s tA—P }�9 Marstons N�1-�s--MA Name of Owner ........ Address ,Nome of Builder .Wig ......................Address .P. --..fie ....A6�..............r................................. . ...... Nameof Architect ...... ...........................................................Address ............ ........................... Number of Rooms 7 Foundation 8°...Poured Concrete on Footing. ........................................................... Exterior ....Wo.od...s)hin.g1-e................................................Roofing ...Asphalt.............................................................. Floors ......Oak........Car.........................................................Interior Sheetrock................................................... Heating ..Gap........................................................................Plumbing ..2........................................................................... ,. Fireplace ...I.............................................................................Approximate Cost ....$120...000............................................. Definitive Plan Approved by Planning Board 4-13-87 Area -Story Diagram of Lot and Building with Dimensions 9 9 Fee ........A=.....:................. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. _ Name =S ..... I.. . . ......... William C. Brown o Construction Supervisor's License ..0.28.088........... P. Bayside Bldg. CO. I ...Stoy............. kI -Permit for 2 ........r. Single ,. Family Dwelling Family Location 67 Stoney...Pond Circle .......................... Marstons Mills ................................................................................ Owner ...... Bldg. Co., - . ........ ....................................... Type of Construction .........Frame..................... ............................................................................... Plot ............................ Lot .................................. Permit Granted .....May...7..,...:................19 91 Date of Inspection �--7 ....................19 m I ted Pate .. ...............19 r... to ;. �,,. OF "` RIrFtARD Y 'r.' r- � Y cE eTi� / C,tee T/Ty T/-,�4'T 7-/-/ EX/STi�✓G LOC:4 T/��L/ J S�/OGt/N !=o>�v.ar��,J M�-2Sra�.S MILGS �lE.2E0.C/ CO�I.dL YS /.f/jT�/ SC,q L G— /IZ A,c/o SETB.4 Cf� .L EQC//.eEiv1ENTS o.��T.�/E �-ot�tiiV ate" • •�•L,�l�t! � .2E�'E,2�'�t/C'� OAT S" '9/ BAXTE�E it/YE /1UC. I O,c,�-ETS Syal�c%t/S�/�ULI�� IV,:--)T 8� �STE•21//.C.C�a �fQSS. l/SEp TO . 4F��4/C,QjV7' r r _ 27 � �`. �� �� � SSG `� �: i �,, i� i�' ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE 1. THIS SYSTEM IS GRID—INTERTIED VIA A t AC ALTERNATING CURRENT UL—LISTED POWER—CONDITIONING INVERTER. BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. CONIC CONCRETE 3. A NATIONALLY—RECOGNIZED TESTING DC DIRECT CURRENT LABORATORY SHALL LIST ALL EQUIPMENT IN EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3. (E) EXISTING 4. WHERE ALL TERMINALS OF THE DISCONNECTING EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED IN THE OPEN POSITION, FSB FIRE SET—BACK A SIGN WILL BE PROVIDED WARNING OF THE GALV GALVANIZED HAZARDS PER ART. 690.17. GEC GROUNDING ELECTRODE CONDUCTOR 5. EACH UNGROUNDED CONDUCTOR OF THE GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5. I CURRENT 6. CIRCUITS OVER 250V TO GROUND SHALL Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(B). Isc SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DO NOT ENTER kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN (N) NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY NEUT NEUTRAL UL LISTING. NTS NOT TO SCALE 9. MODULE FRAMES SHALL BE GROUNDED AT THE OC ON CENTER UL—LISTED LOCATION PROVIDED BY THE PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING POI POINT OF INTERCONNECTION HARDWARE. PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. S STAINLESS STEEL STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V VOLT Vmp VOLTAGE AT MAX POWER VICINITY MAP INDEX Voc VOLTAGE AT OPEN CIRCUIT W WATT 3R NEMA 3R, RAINTIGHT PV1 COVER SHEET PV2 SITE PLAN PV3 STRUCTURAL VIEWS PV4 THREE LINE DIAGRAM LICENSE GENERAL NOTES v Cutsheets Attached GEN #168572 1. ALL WORK TO BE DONE TO THE 8TH EDITION ELEC 1136 MR OF THE MA STATE BUILDING CODE. 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2014 NATIONAL ELECTRIC CODE INCLUDING i MASSACHUSETTS AMENDMENTS. MODULE GROUNDING METHOD: ZEP SOLAR AHJ: Barnstable REV BY DATE COMMENTS REV A NAME DATE COMMENTS x x x x UTILITY: NSTAR Electric (Commonwealth Electric) x x x x . � [• x x x x • rt1� I • . + . x x x x J B-02 616 9 2 0 0 PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL- THE INFORMATION HEREIN ae NUMBER PAGLIERANI, .STEVEN J PAGLIERANI RESIDENCE Matt Morse ;;,SOIarCIt . CONTAINED SHALL NOT E USED FOR THE BENEFIT OF ANYONE EXCEPT SOLARgTY INC., MOUNTING SYSTEM: �.; NOR MALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 67 STONEY POND CIR 9.805 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS TMK OWNER. ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES MARSTNS ML, MA 02648 24 St.Martin Drive,Building z Unit 11 THE SALE AND USE OF THE RESPECTIVE (37) Hanwha Q—Cells # Q.PRO G4/SC 265 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER �pq: PAGE NAME: SHEET: REV DATE T: (650)ta38-1028 F:A(t50)63B-1029 PERMISSION Of SOLARgTY LNG SOLAREDGE SE760OA—US002SNR2 5087370738 COVER SHEET PV 1 b 12 15 2015/ / (ggg)-SQL-CITY(765-2489) rwv.edarcitycam PITCH: 40 ARRAY PITCH:40 MP1 AZIMUTH: 176 ARRAY AZIMUTH: 176 MATERIAL: Comp Shingle STORY: 1 Story PITCH: 40 ARRAY PITCH:40 MP2 AZIMUTH:284 ARRAY AZIMUTH:284 MATERIAL: Comp Shingle STORY: 1 Story PITCH: 40 ARRAY PITCH:40 -� MP4 AZIMUTH: 104 ARRAY AZIMUTH: 104 MATERIAL: Comp Shingle STORY: 1 Story PITCH: 40 ARRAY PITCH:40 MP5 AZIMUTH: 104 ARRAY AZIMUTH: 104 MATERIAL: Comp Shingle STORY: 1 Story Q f D LEGEND Front Of House o (E) UTILITY METER & WARNING LABEL IoY INVERTER W/ INTEGRATED DC DISCO & WARNING LABELS B N © DC DISCONNECT & WARNING LABELS REV A s (E)DRDIEWAY ; ©1 AC DISCONNECT & WARNING LABELS REV O DC JUNCTION/COMBINER BOX & LABELS DISTRIBUTION PANEL & LABELS Lc LOAD CENTER & WARNING LABELS MP, O DEDICATED PV SYSTEM METER Q" STANDOFF LOCATIONS A CONDUIT RUN ON EXTERIOR --- CONDUIT RUN ON INTERIOR GATE/FENCE Q HEAT PRODUCING VENTS ARE RED INTERIOR EQUIPMENT IS DASHED L_�J SITE PLAN N Scale:1/16" = 1' E 01' 16' 32' W ka Mumma 5 J B-0 2 616 9 2 0 0 PIS'° ONNQt DESRIPnoN: DESGN CONFIDENTIAL THE INFORMATION HEREIN JOB NUMBER ��Z ■ CONTAINED SHALL NOT BE USED FOR THE PAGLIERANI, STEVEN J PAGLIERANI RESIDENCE Matt Morse STEM -;,,SOIarClty BENEFIT OF ANYONE EXCEPT SOLMC11Y INC., MOUNTING SY : w'•` NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 67 STONEY POND CIR 9.805 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES MARSTNS ML MA 02648 ORGANIZATION, EXCEPT IN CONNECTION VNTH , 24 St Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (37) Hanwha Q—Cells # Q.PRO G4/SC 265 PAGE NAME SHEEP. REV. DATE- Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER T: (650)638-1028 F. (650)638-1029 PERMISSION OF SOLARCITY INC. SOLAREDGE SE7600A—US002SNR2 5087370738 SITE PLAN PV 2 b 12/15/2015 (888�-SOL-CITY(765-2489) ■■w.salarcitycom (E) 1x8 (E) 2x6 S1 S1 S1 11'-6' (E) LBW (E) LBW (E) LBW (E) LBW A SIDE VIEW OF MP1 NTS B SIDE VIEW OF MP2 NTS 2 if'—ion (E) LBW (E) LBW MPl I X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES MP2 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES LANDSCAPE 64" 24 STAGGERED LANDSCAPE 64" 24" STAGGERED SIDE VIEW OF MP4 NTS PORTRAIT 48" 19" PORTRAIT 48" 1 19" D RAFTER 2x8 @ 16"OC ROOF AZI 176 PITCH 40 STORIES:1 RAFTER 2X8 @ 16"OC ROOF AZI 284 PITCH 40 STORIES:1 ARRAY AZI 176 PITCH 40 ARRAY AZI 284 PITCH 40 MP4 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES CJ. 2x8 @16"OC Comp Shingle C.I. 2x8 @16"OC Comp Shingle LANDSCAPE 64" 24" STAGGERED PORTRAIT 1 48" 19" RAFTER 2x8 @ 16"OC ROOF AZI 104 PITCH 40 STORIES: 1 ARRAY AZI 104 PITCH 40 C.I. 2x6 @16"OC Comp Shingle PV MODULE 5/16" BOLT WITH LOCK INSTALLATION ORDER & FENDER WASHERS i LOCATE .RAFTER, MARK HOLE i ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT (6) HOLE. (4) (2) SEAL PILOT HOLE WITH POLYURETHANE SEALANT. ZEP COMP MOUNT C ZEP FLASHING C (3) (3) INSERT FLASHING. (E) COMP. SHINGLE (4) PLACE MOUNT. (1) (E) ROOF DECKING (2) INSTALL LAG BOLT WITH 5/16" DIA STAINLESS (5) (5) SEALING WASHER. STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT NTH WITH SEALING WASHER (6) BOLT & WASHERS. (2-1/2" EMBED, MIN) (E) RAFTER 1 STANDOFF CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMMR JB-0261692 00 PREMISEOWNER: DESCRIPTION: DESIGN: PAGLIERANI, STEVEN J PAGLIERANI RESIDENCE Matt Morse �\��''SOIarCit CONTAINED SHALL NOT BE USED FOR THE ����t BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: �.�� NOR MALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 67 STONEY POND CIR 9.805 KW PV ARRAY �. y. PART TO OTHERS OUTSIDE THE RECIPIENT'S ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES MARSTNS ML, MA 02648 24 It North Drive, BuRding 2, Unit 11 THE SALE AND USE OF THE RESPECTIVE (37) Hanwho Q—Cells # Q.PRO G4/SC 265. �; REV. DATE-- Marlborough,MA 01752 $OLARgTY EQUIPMENT, WITHOUT THE WRITTEN [MOLAREDGE PAGE NAME T.- (650)638-1028 R (650)638-1029 PERMISSION OF SOLMCITY INC. # SE7600A—US002SNR2 5087370738 STRUCTURAL VIEWS PV 3 b 12/15/2015 (BB8)_SOL-aTY(765-2489) wnr.sdareRy.can GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO (E) GROUND ROD Panel Number:G3040MB1200 Inv 1: DC Ungrounded INV 1 -(1)SOLAREDGE 64 SE760OA-US002SNR? LABEL: A -07)Hanwha Q-Cells Q.PRO G4/SC 265 GEN #168572 J 'AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:2241734 Inverter; 7 OW, 240V, 97.57; w Unifed Disco and ZB, RGM, AFCI PV Module; 265 , 241.3W TC, 40mm, Blk Frame, H4, ZEP, 1000V ELEC 1136 MR Underground Service Entrance INV 2 Voc: 38.01 Vpmox: 30.75 INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER �E 200A MAIN SERVICE PANEL E; 20OA/2P M I IT EA R Inverter 1 (E) WI G CUTLER-HAMMER 1 200A/2P Disconnect 3 SOLAREDGE or- SE7600A-US002SNR2 Dc- ------MP 4�1x18 E LOADS -------- —----------- EGc -----� ( ) aA - L1 z4ov r------------- �— L2 DC+ 1 ♦— N OG I 2 0m +4A/2P -+ -------------- --------— -- EGa Dc+ and 4,MP 1: 1xGEC DGA N II B GND -- Ems--- -----------— ------ ------— G -----------------tJ 1 , i N I (1)Conduit Kit; 3/4'PVC, Sch. BO o EGGGEC I 1 llI �- GEC---T TO 120/240V SINGLE PHASE UTILITY SERVICE I REV B PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN Voc* = MAX.VOC AT MIN TEMP POI (1)SIEMENS 0240 PV BACKFEED BREAKER A (I CUTLER-HAMMER 8 DG222URB /fj C PV (37)SOLAREDGE�300-2NA4AZS DC Breaker, 40A/2P, 2 Spaces Disconnect; 60A, 24QVac, Non-Fusible, NEMA 3R A PowerBox ptimizer, 30OW, H4, DC to DC, ZEP CUTLER-�1AMMER DG10ONB (1)AWG �6, Solid Bare Copper Ground/Neutral it 60-100A General Duty(DG) nd. -(1)Ground Rod; 5/8' x 8% Copper (N) ARRAY GROUND -PER 690.47(D). NOTE: PER EXCEPTION NO. 2, ADDITIONAL ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCATION OF (E) ELECTRODE 1 AWG A THWN-2. Black 2 AWG #10, PV Ere, 60OV, Block Voc* =500 VDC Isc =15 ADC OLPL(1)AWG 88, THWN-2, Red O (1)AWG J6, Solid Bare Copper EGC Vmp =350 VDC Imp=13.45 ADC L�sLL(1)AWG#10, THWN-2, White NEUTRAL Vmp =240 VAC Imp=32 AAC . . .. .II.... (1 Conduit Kit;.3/4'.PVC, Sch..EA . . . . , . •. . . 1 AWG THWN-2, Green EGC GEC- !)Conduit Kit; 3 4 PVC, Seh. 80. . . . ( #1 . . . . . . _( ). . • �• • • . . . •. . • , • •• . ./. . • •(• . • , •_ . . ./�. . . . • • 2 AWG O, PVWire, 600V, Blodk Voc* =500 VDC Isc =15 ADC O (1)AWG Q6, Solid Bare Copper EGC Vmp =350 VDC Imp=14.2 ADC (!)Conduit Kit;.3/4' PVC, Sch..80 .. .. .. .. . . . . . . . . . . . . . . . . . . . . .. . . . . CONFIDENTIAL- THE INFORMATION HEREIN JOB NUIOFR J B-0 2 616 9 2 O O PREMISE 0N0• DESCMPTION: DESIM ■ CONTAINED SHALL NOT BE USED FOR THE PAGLIERANI, STEVEN J PAGLIERANI RESIDENCE Matt Morse ,,`�Olar�'�>„ BENEFIT OF ANYONE EXCEPT SOLARCnY INC., MOUNTING SY51EN: �'" r® NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 67 STONEY POND CIR 9.805 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MooutEs MARSTNS ML MA 02648 ORGTHE�SIALE AND USES OF CEPT IN CONNECTION THE RESPECTIVE (37) Hanwha Q-Cells # Q.PRO G4/SC 265 24 St Martin Driveoug,Building 2 Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME SHEET: REV. DATE Marlborough,MA 50) PERMISSION OF SOLARCITY INC. INVERTER L SOLO)638-105- F: SOLO)638-1029 SOLAREDGE SE7600A-US002SNR2 5087370738 THREE LINE DIAGRAM PV 4 b 12/15/2015 (11e8)-saL-CITY -2489) wrr.sdorcity.cam Label ..-1 Location: Labe l Location: PHOTOVOLTAIC POWER SOURCE WARNING •• WARNING ' Code:Per .•- Code: NEC ELECTRIC SHOCK HAZARD NEC � ELECTRIC-SHOCK HAZARD- '• D'O NOT TOUCH TERMINALS THE DC CONDUCTORS OF THIS NEC 690.35fl- •- • .n: TO BE USED WHEN LOAD SIDES MAY BE ENERGIZED UNGROUNDED ANDINVERTERIS PHOTOVOLTAIC DC IN THE OPEN POSITION MAY BE ENERGIZED UNGROUNDED DISCONNECTPer Code: NEC .•0 LabelLabel Location: on: PHOTOVOLTAIC POINT OF •• INTERCONNECTION Code: MAXIMUM POWEpj_q WARN Per ING: ELECTRIC SHOCK POINT CURRENT ImPer Code: HAZARD. DO NOT TOUCH NEC ' NEC 690.54 MAXIMUM POWER- VNEC 690.53 BOTH THE LINE AND LOAD SIDE MAXIMUM SYSTEM V MAY BE ENERGIZED IN THE OPEN Label Location: VOLTAGE(Voc) POSITION. FOR SERVICE SHORT-CIRCUIT A DE-ENERGIZE BOTH SOURCE CURRENT(Isc) AND MAIN BREAKER. PV POWER SOURCE MAXIMUM AC A OPERATING CURRENT MAXIMUM AC OPERATING VOLTAGE V WARNING ' Per ..- NEC ELECTRIC SHOCK HAZARD IF A GROUND FAULT IS INDICATED ' NORMALLY GROUNDEDLabel L• • CONDUCTORS MAY BE CAUTION • UNGROUNDED AND ENERGIZED DUAL POWER SOURCE Per Code: NEC SECOND SOURCE IS 690.64.B.4 PHOTOVOLTAIC SYSTEM Label • • Per Code: Label Location: WARNING ELECTRICAL SHOCK HAZARD DO NOT TOUCH TERMINALSNEC 690.17(4) CAUTION ' •• TERMINALS ON BOTH LINE ANDPer Code: NEC LOAD SIDES MAY BE ENERGIZED PHOTOVOLTAIC SYSTEM 9' IN THE OPEN POSITION CIRCUIT IS BACKFED DC VOLTAGE IS ALWAYS PRESENT WHEN SOLAR MODULES ARE EXPOSED TO SUNLIGHT Label • • Per WARNING ..- INVERTER OUTPUT NEC 690.64.B.7 Label CONNECTION PHOTOVOLTAIC AC •• DO NOT RELOCATEDisconnect DISCONNECT ••" THISODEVICERRENTConduit NEC •.0 :. Interior(D): Distribution Panel (DC): DC Disconnect Location:Label NIAXIMUM AC A ' •• •_• Center OPERATING CURRENT (M): Utility NIAXIMUM AC OPERATING VOLTAGE V Meter NEC 690.54 •• Point of Interconnection r r r r r r r i t ••• r r . r i r r r .• r r .•- ' ' ' ' • r r r r ' r r r � r � r r r •• i ',,SoiarG ®pSolar Next-Level PV Mounting Technology VtSolarCity I ®pSOlar Next-Level PV Mounting Technology t { Components ; Zep System for composition shingle roofs ��Up-roof I Leveling Foot tr7w.hd Zep- c Inoerloele f'h"ae stw I Part No.850-1172 Lereing root C--- ETLlisted to UL 467 UpCompadbk,PV Mod ule _ r I �� Zep Oowe — —•�•�TA_ - Rod Attarltment ..-� _ At swrt • f� Comp Mount r Part No.850-1382 ` Listed to UL 2582 Mounting Block Listed to UL 2703 �OMPgT� - ti� a� DescriptionComm _ PV mounting solution for composition shingle roofs Works with all Zep Compatible Modules ! COMPPr Auto bonding UL-listed hardware creates structural and electrical bond • Zep System has a UL 1703 Class"A"Fire Rating when installed using modules from any manufacturer certified as"Type 1"or"Type 2" �L LISTED Interlock Ground Zep V2 DC Wire Clip Specifications Listed No.850-1388 Part No.850-1511 Part No.850-1448 Listed to UL 2703 Listed to UL 467 and UL 2703 Listed to UL 1565 • Designed for pitched roofs • Installs in po ait and landscape orientations • Zep System supports module wind uplift and snow load pressures to 50 psf per UL 1703 Wind tunnel report to ASCE 7-05 and 7-10 standards • Zep System grounding products are UL listed to UL 2703 and UL 467 • Zep System bonding products are UL listed to UL 2703 • Engineered for spans up to 72"and cantilevers up to 24' • Zep wire management products listed to UL 1565 for wire positioning devices • Attachment method UL listed to UL 2582 for Wind Driven Rain Array Skirt,Grip,End Caps Part Nos.850-0113,850-1421, L 67 zepsolar.com zepsolar.com Listed to UL 1565 This document does not create any express warranty by Zep Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for This document does not create any express warranty by Zep Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for ' each product.The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely each product The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely r responsible for verifying the suitability of ZepSolaes products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. responsible for verifying the suitability of ZepSolaes products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. Document#800-1890-001 Rev A Data last exported: November 13,2015 2:23 PM Document#800-1890-001 Rev A Date last exported: November 13,2015 2:23 PM =@@ =@a SolarEdge Power Optimizer solar solar Module Add-On for North America P300 / P350 / P400 SolarEdge Power Optimizer P300 PasD P400 I Module Add-On For North America 60 (for 60-cell PV (for 72-cell PV (for 96•cell PV modules) modules) modules) P300./ P350 / P400 INPUT npu[DC PoweAe 300 350 400 W ............................P..................................P............................................................................................ ............. Absolute Maximum In ut Volta a Voc at lowest tem erature 48 60 80 Vdc . MPPT Operatin Ran a 8-48.....................8:.60 ........8:.80......... ...Vdc . Maximum Short Circuit Current(Isc) SO Adc ................................................................................................................................................................ ..... Maximum DC Input Current 12.5 Adc ..Maximum....Efficien..ty 99.5 % ., ....g.... ..... ......................................................................................................................................... ............. Weihted Efficiency............................................................ 98.8 ....%................................................................................. . Ovemoltage Category II OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER) _ Maximum Output Current 15 Adc ...................................................................................... ....................................... Maximum Output Voltage 60 ____ Vdc .OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF) • Safety Output Voltage per Power Optimizer 1 _ _ _ V_dc - STANDARD COMPLIANCE tdr� •r EMC FCC Part15 Class B,IEC61000-6.2,IEC61000-6-3 Safety IEC62109-1(class II safety),UL3741 RoHS I Yes INSTALLATION SPECIFICATIONS Maximum Allowed System Voltage 3000 Vdc ................................................................................................................................................................ ............. Dimensions(W x L x H) 141x212x40.5/S.SSx8.34x1.59 mm/in ................................................................................................................................................................ ............. Weight(including cables�..................................................................................950/ :1.................................... .. Input Connector •••,.••„•..........MC4/Amphenol/.Tyco ............................................................................. ................................ ............. Output Wire Type/Connector Double Insulated;Amphenol .. ..............................................................................................................................Output Wue Length..........................................................0.95/30........I.....I.................12/39....... ......... m/ft.... OperstinQ Temperature Range.....................................................................40;+85/:40:+185............................ ..C/...... - Protection Rating IP65%NEMA4 ................................................................................................................................................................ ............. RelativeHumiditY............................................................................................ .................................... ........... "I.-STC—.f then W....uk eup to.S%paver rolennaelbwcU. PV SYSTEM DESIGN USING A SOLAREDGE SINGLE PHASE THREE PHASE THREE PHASE • INVERTER 208V 480V PV power optimization at the module-level Minimum stria Length(Power Optimizers 8 10 18 ....inim.........g .(Pow...............�......................................................................................................................... — Up to 25%more energy Maximum String Length(Power Optimizers) 25 25 SO ....................ngth...............nize.......................................................................................................................... Maximum Power per String 5250 6000 12750 w - Superior efficiency(99.S%) ............................................................................................................................................................................. Parallel Strings of Different Lengths or Orientations Yes — Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading ( '""""""-"""""""""""gths or bons """"'' """"""""""""""""""""'""""""' — Flexible system design for maximum space utilization 1 — Fast installation with a single bolt • — Next generation maintenance with module-level monitoring ' - Module-level voltage shutdown for installer and firefighter safety USA - GERMANY - ITALY - FRANCE JAPAN - CHINA - ISRAEL - AUSTRALIA www.solaredge.us 1 - MECHANICAL SPECIFICATION Format 65.7 in x 39.4 in x 1.57 in(including frame) ' (1670 mm x 1000 mm x 40 man) - Weight 44.09 lb(20.0 kg) •.�.,..,".°v„rwe_, From Cover 0.13 in(3.2 mm)thermally pre-stressed glass with anti-reflection technology Back Cover Composite film •,ynrw_, x I ,,,_, Frame Black anodized ZEP compatible frame ' Cell 6 x 10 polycrystalline solar cells Junction box Protection class IP67,with bypass diodes Cable 4 mma Solar cable;(+)z47.24 in(1200 mm);(-)z47.24 in(1200 mm) H i - Connector Amphenol,Helios H4 OP68) m I-©-Ivv'•-' `I PERFORMANCE AT STANDARD TEST CONDITIONS(SIC:1000 W/m',25-C,AM 1.511 SPECTRUM)' POWER CLASS(+5W/-OW) [W] 255 260 265 Nominal Power P,,,, [W] 255 ' 260 265 211 ' • , ' L • ' ' Short Circuit Current Ik [Al 9.07 9.15 9.23 Open Circuit Voltage V. M 37.54 37.77 38.61 Current at P,•, I•„ [A] 8.45 8.53 8.62 Voltage at P' V• IV] 30.18 30.46 30.75 The new Q.PRO-G4/SC is the reliable evergreen for all applications,with Efficiency(Nominal Power) q [%) t15.3 z 15.6 2:15.9 ' a black Zep CompatibleTM frame design for improved aesthetics, opts- PERFORMANCE AT NORMAL OPERATING CELLTEMPERATURE(NOCT:800 W/m',45z3'C.AM I.5GSPECTRUM)' - th POWER CLASS(+5W/-OW) [w) 255 260 265 mized material usage and increased safety.The 4. solar module genera- tion from Q CELLS has been optimised across the-board: improved output Nominal Power P„, [W] 17.31 192A 195J r' P P ■ Short Circuit Current Ik [Al .7.31 7.38 7.44 yield, higher operating reliability and durability, quicker installation and Open Circuit Voltage V. IV] 34.95 35.16 35.38 more intelligent design. Current at P,,,, I•„ [A] 6.61 6.68 6.75 ' Voltage at P,•, V•„ IV] 28.48 28.75 29.01 'Measurement tolerances STC:t3%(P° );x 10%(I.,Vs,Imo,V, ) 'Measurement tolerances NOCT:s 5%(P�);:10%(1..V,1,V, ) INNOVATIVE ALL-WEATHER TECHNOLOGY PROFIT-INCREASING GLASS TECHNOLOGY QCELLS PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE •Maximum yields with excellent low-light •Ifeduction of light reflection by 50%, ■ - r m _cmu A[least 97%of nominal power during X'm '-r--r--r--r--r--r--r--r--• and temperature behaviour. plus long-term corrosion resistance due " -I,m m._.� first year.Thereafter max.0.6%Ee ra- !!t a.m.n,s lf=tT I 1 I 1 ______ _________________________ datian per year. I , •Certified fully resistant to level 5 salt fog to high-quality At least 92%of nominal power after E • �__�__�__�__� ]0 ears. E p g y •Sol-Gel roller coatingrOCOSSIn �` At least 83%ot nominal power after ENDURING HIGH PERFORMANCE a 25 years. •Long-term Yield Security due to Anti EXTENDED WARRANTIES All data within measurement tolerances. m n• em ao ® oo m an om Full warranties in accordance with the PID Technology', Hot-Spot Protect, • Investment security due to 12-year ► warranty terms of the Q CELLS sales alaolgeer lwrm'I m organisation of your respective country. and Traceable Quality Tra.QTm. product warranty and 25-year linear - . . • n The typical change in module efficiency at an irradiance of 200 W/m'in relation 'e;,,^"^"""°°i1ptl pi0ifi wAPS to 1000 W/m2(both at 25°C and AM 1.5G spectrum)is-2%(relative) I •Long-term stability due to VDE Quality performance warranty2. , _ 4 Tested-the strictest test program. - TEMPERATURE COEFFICIENTS(AT 1000W/M'25°C,AM 1.5G SPECTRUM) 4 QGELLS Temperature Coefficient of I,x a [%/Kl w +0.04 Temperature Coefficient of V. P [%/K1 -0.30 SAFE ELECTRONICS I TOP-BRAND w. rmeavan Temperature Coefficient of Po, Y [%/Kl -0.41 NOCT [°F] 113 t 5.4(45:3°6 •Protection against short circuits and . 1 1 1 )r thermally induced power losses due to 2015 Maximum System voltage ve IV] 1000(IEC)11000(UL) Safety Class II breathable junction box and welded Maximum series Fuse Rating [A DC] 20 Fire Rating C/TYPE 1 Max Load(UL) [lbsNPI 50(2400 Pa) Permitted module temperature -40°F up to+185°F Cables. on wminuous duty (-40°C up to+85°C) Phnfnn Load Rating(ULP (lbs/fPl 50(2400 Pa) a see installation manual Quality Testetl QCEULS QUALIFICATIONS 1 CERTIFICATES PACKAGING INFORMATION a i rq,^ r Bea yogxryaauloe 0 , molar module Iota UL 1703;VDE Quality Tested;CE-compliant; Number of Modules per Pallet 26 5 IEC 61215(Ed.2);IEC 61730(Ed.1)application class A ' THE IDEAL SOLUTION FOR: ID.40032597 e,er.°d Number of Pallets per 53'Comainer 32 a [♦ poNVgTjO� Number W Pallets per 40'COmainer 26 5 Rooftop arrays on pp ` ca-us pO Al7 D EPallet Dimertsions I x W x H) 68.7 in x 45.0 in x 46.0 in ®residential buildings C •:.0� (1745 x 1145 x 1170 man) - Pallet Weight 125,4 lb(569 kg) 1 rFA 0v NOTE:Installation instructions must be followed.See the installation and operating manual or contact our technical service department for further information on approved installation and use of APT test conditions:Cells at-1000V against grounded,with conductive metal foil covered module surface, CpMPp'(` this product.Warranty void if non•ZEPcertified hardware is attached to groove in module tmma. y 25°C,168h t Hanwha 0 CELLS USA Corp. See data sheet on rear for further information. 300 Spectrum Center Drive,Suite 1250,Irvine,CA 92618,USA I TEL+1 949 748 59 96 1 EMAIL gKells-usa®q<ells.com I WEB www.g-cells.us I Engineered in Germany O CELLS Engineered in Germany OCELLS =@@ soIar ' • • Single Phase Inverters for North America soIar SE3000A-US/SE3800A-US/SE5000A-US/SE6000A-US/ SE760OA-US/SE10000A-US/SE1140OA-US SE3000A-US SE390OA-US I SESOOOA-US I SE6000A-US SE760OA-US I SE1000OA-US I SE1140OA-US OUTPUT 9980 @ 208V SolarEdge Single Phase Inverters Nominal AC Power Output 3000 3800 5000 6000 7600 10000,@240y 11400 VA 5400 @ 208V 10800 @ 208V Max AC Power Output 3300 4150 6000 8350 12000 VA For North America Output No . .......... .... ....5450(A1240Y........ ..... ........... ... 10950,@Zaov. ................ . . ..... AC Output Voltage Mln.Nom:Max!" 0, _ _ v/ _ 183-208-229 Vac SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ Output Voltage ..n.-N ...Ma.... .... ........... ................................................ .................................. ............................. AC Output Voltage Min:Nom:Max."' � � � � ve / J SE760OA-US/SE10000A-US/SE1140OA-US ' "0-264Vac .-AC Frequency Min.:Nom:Max;l'I... . .. AC ................ ....... ......59.3-60-60.5.(with Hl country.setting57-.60.;60.5).,..,........,..,.,,,.._...._ .Hz...., Max.Continuous Output Current 12:5..... .... 16......I..21,�1a 240V...I.......25......I-.,,,,3?,,,,,,,I...42.@.240V ...... .... .. .. .. .A.. .. ........................................... ........ .. ��—�-- GFDI Threshold ..........., 1 A .; Utility Monitoring,Islanding Protection,Country Configurable Thresholds Yes Yes I INPUT Maximu m DC Power(STC) ... ...4050....- .5300..'.... .-6750..'...... .8100 ....10250. ....-...13500....-. '. --15350...' W ... .....ximu..... .... Tra!t formera ess,Ungrounded Yes Input Volta.v..................... ....500. .. .... ... .. ....... ......... .. ... ... i `WaRyntN ' Nom.DC Input Voltage............... ............ .......... 325 @ 208V/350 @ 240V .., ,..,,......... ,Vdc..,, o� Max.Input Current 9.5 13 16.5 @ 208V 18 23 33 @ 208V 34.5 Adc ` t°'ave P 15.5 240V ,30.5, 240V_. ...............I...............I.......�........I................ ` Via»„„gym:,. Iti f Max.lnput Short Circuit,Curre nt..... ....................................................... 45............................................................ Adc I Reverse.Polarity Protection Yes .................................................. . .... Ground-Fault Isolation Detection 600kD Sensitivity Maximum I nverte r Efficiency.......... ..:...97.7... ....98.2.... .....98.3.... .....98.3..... .......98.....;.........98..... .....98..,... ..%..... ..... .......... ............. ............ .. .. .... .. CEC Weighted Efficiency ....97.5......I......98......I.97.@,240V..I......97.5..... .....97.5....... 97 @ 208V 97.5 % ....................................... . 975.(a1,240V.. ............................. Nighttime Power Consumption <2.5 <4 W I ADDITIONAL FEATURES Supported Communication Interfaces R5485,RS232,Ethernet,ZigBee(optional) i ; Revenue Grade Oata,AN51 C12.1 Optionall't I+ . ...... ......................Func......tyen'........................................'n''1i ............................................... d Rapid Shutdown—NEC 2014 690.12 Functionality enabled when SolarEdge rapid shutdown kit is installed'°' --. STANDARD COMPLIANCE Safety UL1741,UL1699B,UL3998,CSA 22.2 ' Grid Connection Standards IEEE1547 ........................................... ............................................. ................................................................................. ------ - Emissions FCC part15 class B 0 t INSTALLATION SPECIFICATIONS AC out ut conduit size/AWG ran a 3/4"minimum/16-6 AWG 3/4"minimum/8-3 AWG { .......P............................�.... . . .....................................................3/4"minimum/1-2 strings�.............. DC input conduit size/p of strings/ j AWG range,,,,,,,,,,,,,,,,,,,,, 3/4"minimum/1-2 strings/16-6 AWG i ........ .................................................................................................14,-6 AWG........................ Dimensions with Safety Switch 30.5 x 12.5 x 10.5/ in/ 30:5x12Sx7.2/775z315x184.......................................775x315 x,260.......... ...mm.... ...... ............................... .............................. ..................... . Weight with Safety Switch............. ..........51.2/23:?..........I...................547/24.7.. ............................88:4/40.1.............lb/.kg. i . Natural convection Cooling Natural Convection and internal Fans(user replaceable) fan(user The best choice for SolarEdge enabled systems „ .rep( ea le) ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ...................................................... v ........................................... . <50 dBA bNoise................................... ..............................�25................................ ................................................................. - Integrated arc fault protection(Type 1 for NEC 2011690.11 compliance Min:Max.Operating Temperature lsi g P ( YP I P .......... ....... ........................... -13 to+140/.25 to+60(.40 to+60 version ava............. . . .... . ..' . F/-C... — Superior efficient 98% Range.....,,.,,, Y( I ot Pre ction NEMA 3R Rating ...................................................... ......................................................... j Small,lightweight and easy to install on provided bracket "'For other regional settings please czama SolarEdge support. I A higher arr ant source may be used;the Inverter will limit Its Input current to the values stated. Built-in module-level monitoringof Revenue grade Inverter P/N:SEvomA-US000NNR2(for 760OW Inverter.SE7600A-US002NNR2). 14 Rapid shutdown kit P/N:SE1000-RSD-S1. - Internet connection through Ethernet Or Wireless pl40 version P/N:SE—A-US000NNU4(for 7600W InverterSE7600A.U5002NN1.14). - Outdoor and indoor installation — Fixed voltage inverter,DC/AC conversion only - Pre-assembled Safety Switch for faster installation +' — Optional—revenue grade data,ANSI C12.1 sunsvec RoHS USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-ISRAEL www.solaredge.us 0 SolatEdge Technologies.ire.All rights rese—d.SOLAREDGE.One S.10,1111g.logo.OPTINIIZED tSOLAREDGE ire tritcletnaTks of ther respective o—ors.Date:am trademarks at registered tradornarkS of SOlArEdge Technologies,lac,All other IradenlirkS inerionod!herem ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE 1. THIS SYSTEM IS GRID-INTERIIED VIA A AC ' ALTERNATING CURRENT UL-LISTED POWER-CONDITIONING INVERTER. BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. CONIC CONCRETE 3. A NATIONALLY-RECOGNIZED TESTING DC DIRECT CURRENT LABORATORY SHALL LIST ALL EQUIPMENT IN EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3. (E) EXISTING 4. WHERE ALL TERMINALS OF THE DISCONNECTING EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED IN THE OPEN-POSITION, FSB FIRE SET-BACK A SIGN WILL BE PROVIDED WARNING OF THE GALV GALVANIZED HAZARDS PER ART. 690.17. GEC GROUNDING ELECTRODE CONDUCTOR 5. EACH UNGROUNDED CONDUCTOR OF THE GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5. I CURRENT 6. CIRCUITS OVER 250V TO GROUND SHALL Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(B). Isc . SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DO NOT ENTER kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN (N) NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY NEUT NEUTRAL UL LISTING. NTS NOT TO SCALE 9. MODULE FRAMES SHALL BE GROUNDED AT THE OC ON CENTER UL-LISTED LOCATION PROVIDED BY THE PL PROPERTY LINE MANUFACTURER USING UL LISTED. GROUNDING POI POINT OF INTERCONNECTION HARDWARE. PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE , SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. S STAINLESS STEEL STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V VOLT Vmp VOLTAGE AT MAX POWER VICINITY MAP INDEX Voc VOLTAGE AT OPEN CIRCUIT W WATT 3R NEMA 3R, RAINTIGHT PV1 COVER SHEET , PV2 SITE PLAN PV3 STRUCTURAL VIEWS PV4 THREE LINE DIAGRAM LICENSE GENERAL NOTES Cutsheets Attached GEN #168572 1. ALL WORK TO BE DONE TO THE 8TH EDITION X ELEC 1136 MR OF THE MA STATE BUILDING CODE. 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE' 2014 NATIONAL ELECTRIC CODE INCLUDING MASSACHUSETTS AMENDMENTS. MODULE GROUNDING METHOD: ZEP SOLAR y AHJ: Barnstable REV BY DATE COMMENTS REV A NAME DATE COMMENTS UTILITY: NSTAR Electric (Commonwealth Electric) Y PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER J B-0261692 00 PAGLIERANI STEVEN J PAGLIERANI RESIDENCE ���'• CONTAINED SHALL NOT E USED FOR THE Matt Morse SOIarClty. BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 67 STONEY POND CIRCLE 9.805 KW PV ARRAY h� PART IZ OTHERS EXCEPT IN THE RECCONNECTION TS WITH MODULE MARSTNS ML MA .02648 TMK OWNER:ORGANIZATION, EXCEPT IN CONNECTION WITH � 24 St Martin Drive,Building 2,Unit 11 ' THE SALE AND USE OF THE RESPECTIVE (37) Hanwha Q-Cells # Q.PRO G4/SC 265 *. SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN ARN- PAGE NAME: SHEET: REV: DATE Marlborough.MA 01752 PERMISSION OF SOLARCITY INC ISOLAREDGE"�"'� 5087370738 PV 1 a 10 9 2015 L SOLO)838-1028 F:;85O)638-1029 SE7600A-US002SNR2 COVER SHEET / / (88)- ITY(765-2489 www.solarcity.com PITCH: 40 ARRAY PITCH:40 MP1 AZIMUTH: 176 ARRAY AZIMUTH: 176 MATERIAL: Comp Shingle STORY: 1 Story PITCH: 40 ARRAY PITCH:40 MP2 AZIMUTH:284 ARRAY AZIMUTH: 284 MATERIAL: Comp Shingle STORY: 1 Story a STAMPED & SIGNED , FOR STRUCTURAL ONLY PITCH: 40 ARRAY PITCH:40 AC ,-� MP4 AZIMUTH: 104 ARRAY AZIMUTH: 104 �E�i°% ` A MATERIAL: Comp Shingle STORY: 1 Story PITCH: 40 ARRAY PITCH:40 o� JAS014 WIL IAM MP5 AZIMUTH: 104 ARRAY AZIMUTH: 104 TOMAN MATERIAL: Comp Shingle STORY: 1 Story — 0 STRUCTURAL c IN'51554 0 � FSS/pMAL��G\� ° Di y Jason Toman Date:2015.10.16 09:48:03-07'00' LEGEND Front Of House O (E) UTILITY METER & WARNING-LABEL im INVERTER W/ INTEGRATED DC DISCO & WARNING LABELS ' e N © DC DISCONNECT & WARNING LABELS (E)DRNMAY o © AC DISCONNECT & WARNING LABELS N OR Q DC JUNCTION/COMBINER BOX & LABELS DISTRIBUTION PANEL & LABELS Lc LOAD CENTER & WARNING LABELS MPl O DEDICATED PV SYSTEM METER 0 STANDOFF LOCATIONS A CONDUIT RUN ON EXTERIOR --- CONDUIT RUN ON INTERIOR GATE/FENCE 0 HEAT PRODUCING VENTS ARE RED INTERIOR EQUIPMENT IS DASHED SITE PLAN N Scale:1/16" = 1' E 01, 16' 32' W INS 5 J B-0 2 616 9 2 0 0 PREMISE O'er DESCPoPnoN: DESIGN: Mot CONFlDNEDAL A THE INFORMATION HEREIN 108 NUMBER Matt Morse .,,SO�a���ty. 'CONTAINED SHALL NOT BE USED FOR THE PAGLIERANI, STEVEN J PAGLIERANI RESIDENCE BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: �'� NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 67 STONEY POND CIRCLE 9.805 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MARSTNS ML MA 02648 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St Martin Drive,Bullding 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (37) Hanwho Q-Cells # Q.PRO G4/SC 265 SHEET: REv: DATE: Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER PAGE NAME T: (650)638-1028 F: (650)638-1029 PERMISSION OF SOLARCITY INC. SOLAREDGE SE760OA-US002SNR2 5087370738 SITE PLAN PV 2 0 10/9/2015 (e66)-sa=Gm(76s-246s) -...eaiar----n (E) 1x8 (E) 2x6 S1 S1 S1 11'-3° 11'-6• • (E) LBW (E) LBW (E) LBW (E) LBW A SIDE VIEW OF MP1 NTS B SIDE VIEW OF MP2 NTS (E) LBW LBW MPl I X-SPACING I X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES MP2 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES SIDE VIEW OF MP4 NTS LANDSCAPE 64" 24" STAGGERED LANDSCAPE 64" 24" STAGGERED PORTRAIT 1 48" 1 19" PORTRAIT 1 48" 1 19" D ROOF AZI 176 PITCH 40 ROOF AZI 284 PITCH 40 RAFTER 2X8 @ 16"OC STORIES: 1 RAFTER 2x8 @ 16"OC STORIES:1 ARRAY AZI 176 PITCH 40 ARRAY AZI 284 PITCH 40 MP4 . X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES C.J. 2x8 @16"OC CompShingle C.J. 2X8 @16"OC CompShingle LANDSCAPE 64" 24" STAGGERED PORTRAIT 48" 19" RAFTER 2x8 @ 16"OC ROOF AZI 104 PITCH 40 STORIES: 1 ARRAY AZI 104 .PITCH 40 C.J. 2x6 @16"OC— Comp Shingle PV MODULE 5/16" BOLT WITH LOCK INSTALLATION ORDER & FENDER WASHERS LOCATE RAFTER, MARK HOLE STAMPED & SIGNED FOR STRUCTURAL ONLY ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT (6) HOLE. SEAL PILOT HOLE WITH A ZEP COMP MOUNT C (4) (2) POLYURETHANE SEALANT. Qom' JASOw WIL IAM ZEP FLASHING C (3) (3) INSERT FLASHING. TOMAN -4 (E) COMP. SHINGLE v: STRUCTURAL (1) (4) PLACE MOUNT. No.5 1554 ADO�F� LL iST �'����Q )5/16E DIAOF DECKING (2)STAINLESS (5) (5) INS SEALINGALL LAGBOLT WI WASHER. TH FS C, on Toman STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH Date: 09:48:12-07'00' NTH SEALING WASHER N) (6) BOLT & WASHERS. (E) RAFTER -STANDOFF i Scale: 1 1/2" = 1' • CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER PREML%ONNER: DESCRIPTION: DESIGN CONTAINED SHALL NOT BE USED FOR THE J B=0 2 616 9 2 0 0 ��� PAGLIERANI, STEVEN J PAGLIERANI RESIDENCE Matt Morse SO�a�C�ty. BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MWNTMG SYSTEM: �•� NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 67 STONEY POND CIRCLE 9.805 KW PV ARRAY Ar PART OTHERS OUTSIDE THE RECIPIENT'S MODULES: MARSTNS ML, MA 02648 ORGANIZATION, EXCEPT IN CONNEC710N WITH THE SALE AND USE OF THE RESPECTIVE (37) Hanwho Q—Cells # Q.PRO G4/SC 265 24 St. Martin Dom, Building 2, Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN NVRIER PAGE NAME SHEET: REV. DAIS T: (650)68 Marlborough,F:A 01752 (650)638-1029 PERMISSION OF SOLARCITY INC. SOLAREDGE SE760OA—US002SNR2 5087370738 STRUCTURAL VIEWS PV 3 a 10/9/2015 (BBB)-SDL—CITY(765-2aas) ....�Iorcny�n, • GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO (E) GROUND ROD Panel Number:G3040MB1200 Inv 1: DC Ungrounded INV 1 —(1)SOLAREDGE # SE760OA-US002SNR? LABEL: A —07)Hanwha Q-Cells # Q.PRO G4/SC 265 GEN #168572 AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:2241734 Tie-In: Supply Side Connection Inverter; 7 OOW, 24OV, 97.5ga w Unifed Disco and ZB, RGM, AFCI PV Module; 265 , 241.3W PPTC, 40mm, Blk Frame, H4, ZEP, 1000V ELEC 1136 MR Underground Service Entrance INV 2 Voc: 38.01 Vpmax: 30.75 INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER a �E 200A MAIN SERVICE PANEL E� 20OA/2P MAIN CIRCUIT BREAKER Inverter 1 . E WIRING CUTLER-HAMMER ( ) CUTLER-HAMMER fD Disconnect20OA/2P 4 Disconnect 3 SOLAREDGE + MP1,MP2,MP4: A SE760OA-US002SNR2 c 1x19 LB] ----------- ------------ -------------------� AF L1. 240v ---------,- 1 g L2 DC+ 1 N D6 1 2 1 (E) LOADS GND - _-_- GND _—-- + --------------------- 2 ---lN Dc c MP4: 1x18 _J GND. -- EGC--- --------------------- ------------- G -----------------t� N I `' (1)Conduit Kit; 3/4• PVC, Sch. 80 c EGGGEC_ z ZS l 1 1 �- GEC ---+ TO 120/240V SINGLE PHASE UTILITY SERVICE 1 I 1 PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN Voc* = MAX VOC AT MIN TEMP POI (2)ILSCO/IPC 4/0—� A (i)CUTLER—HAMMER g DG222NRB /fj C — PV 07)SOLAREDGE P300-2NA4AZS DC Insula ion Piercing Connector; Main 4/0-4. Top 6-14 Disconnect; 60A, 24OVoc, Fusible, NEMA 3R /•� PowerBox Optimizer, 30OW, H4, DC to DC, ZEP S —(1)CUTLER— AMMER I DG100NB (1)AWG$6, Solid Bare Copper SUPPLY SIDE CONNECTION. DISCONNECTING MEANS SHALL BE SUITABLE Graundleutrd It; 60-1000. General Duty(DG) nd AS SERVICE EQUIPMENT AND SHALL BE RATED PER NEC. —(I CUTLER—HAMMER 11 DS16FK —(1)Ground Rod; 5/8" x 8'.Copper Class R Fuse Kit (2)FERRAZ HAWMUT if TR40R PV BACKFEED OCP (N) ARRAY GROUND PER 690.47(D). NOTE: PER EXCEPTION NO. 2, ADDITIONAL B (1)ause. 4HAMMER , lass RK5 5 ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCATION OF (E) ELECTRODE Disconnect; 60A, 240Vac, Non—Fusible, NEMA 3R —(1)CUTLER— AMMER DGIODNB GroundTAeutrd �t; 60-100A, General Duty(DG) 1 AWG 116• THWN-2, Block 1 AWG#B, THWN-2, Black 2 AWG ff0, PV wire, 60OV, Black Voc* =500 VDC. Isc =15 ADC ®�(1)AWG/6, THWN-2, Red O (1)AWG a8, THWN-2, Red O (I)AWG #6, Solid Bare Copper _EGC Vmp =350 VDC Imp=14.2 ADC �L(1)AWG 16. THWN-2, White NEUTRAL VmP =240 VAC Imp=32 AAC IILILL(I)AWG#10. THWN-2, White NEUTRAL VmP =240 VAC Imp=32 AAC .•• • • . . . (1 Conduit Kit;.3/4'.PYC, Sch.•BQ .. .. . • . . . . .-(1)AN/6,,Solid Bare.Copper.;GEC• . .-(1)Conduit•Kit;.3/4'•PVC,•Sch; 80. .. . • , .. .• •-(1)AWG 08,•1HMN-2,.Qeen . , ECC/GEC.-(1)Conduit.Kit;.3/47.PVC.•Sq .80. . •• O (2 AWG#10. PV Wfire,600 Block Voc = VDC Isc = � ADC A V la �* • �500 15 (1)AWG J6. Solid Bare Copper EGC Vmp =350 VDC Imp=13.45 ADC J (1)Conduit Kit 3/4•.PYC,So 80 . . . . .. . . . . . . . . . . .. . . .. .. .. .... . . J B-0 2 616 9 2 0 0 PREMISE 00 DESMPTION: DESIGtk CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER ■ CONTAINED SHALL NOT BE USED FOR THE PAGLIERANI, STEVEN J PAGLIERANI RESIDENCE Matt Morse t NOBENEFIT SHALL IT BEDISCLOSED N•IM10LE ORCIN Mou m sMou 67 STONEY POND CIRCLE 9.805 KW PV ARRAY WA. olar ity Comp Mount.Type C PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES:- MARSTNS ML, MA 02648 ` ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St.Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (37) Hanwha Q—Cells # Q.PRO G4/SC 265 PAGE NAME SHEET: REV:, DATE Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: T.- (650)638-1028 F: (650)638-1029 PERMISSION OF SOLARCITY INC SOLAREDGE sE7sooA—usoo2SNR2 5087370738 THREE LINE DIAGRAM PV -4 a 10/9/2015 (88B)-SOL-cm(765-2489) www.solarcitycam WARNING:PHOTOVOLTAIC POWER SOURCE Label • •n: Label Location: .• • • WARNING WARNING ' Per Code: Per Code: Per Code: NEC ELECTRI_G SHOCK HAZARD — ELECTRIC SHOCK HAZARD- -- NEC • 690.31.G.3 D O NOT TOUCH TERMINALSNEC THE DC CONDUCTORS OF THIS •- • •n: TO BE USED WHEN LOAD SIDES MAY BE ENERGIZED _ UNGROUNDED AND _ INVERTERIS PHOTOVOLTAIC DC ' Code: •_ IN TH'E OPEN POSITION MAY BE ENERGIZED UNGROUNDED NEC DISCONNECTPer .•0 Label Location: Label • • PHOTOVOLTAIC POINT OF MAXIMUM POWER- , Code:INTERCONNECTION POINT CURRENT(Imp)_ACode: WARNING: ELECTRIC SHOCK MAXIMUM POWER- •• HAZARD. DO NOT TOUCH • 0 NEC 690.54 POINT VOLTAGE(Vmp)�VNEC 690.53 TERMINALS.TERMINALS ON MAXIMUNI SYSTEM BOTH THE LINE AND LOAD SIDE VOLTAGE(Voc)_V fvtAY BE ENERGIZED IN THE OPEN POSITION. FOR SERVICE SHORT-CIRCUIT A DE-ENERGIZE BOTH SOURCE CURRENT(Isc) AND MAIN BREAKER. PV POWER SOURCE MAXIMUM AC A OPERATING CURRENT MAXIMUM AC Label • • OPERATING VOLTAGE V WARNING ' Per ..- NEC ELECTRIC SHOCK HAZARD 690.5(C) IF A GROUND FAULT IS INDICATED NORMALLY GROUNDEDLabel L• • CONDUCTORS MAY BE CAUTION UNGROUNDED AND ENERGIZED DUAL POWER SOURCEPer Code: NEC SECOND SOURCE IS •, PHOTOVOLTAIC SYSTENI Label • • WARNING ' Per Code: Label Location: ELECTRICAL SHOCK HAZARD DO NOT TOUCH TERMINALSNEC 690.17(4) CAUTION ' '• TERMINALS ON BOTH LINE ANDPer Code: NEC LOAD SIDES MAY BE ENERGIZED PHOTOVOLTAIC SYSTERA 690.64.13.4 IN THE OPEN POSITION CIRCUIT IS BACKFED DC VOLTAGE IS ALWAYS PRESENT WHEN SOLAR MODULES ARE EXPOSED TO SUNLIGHT Label • • Per WARNING ..- INVERTER OUTPUT Label • - • CONNECTIONNEC • ' 4.13.7 PHOTOVOLTAIC AC DO NOT RELOCATEDisconnect DISCONNECTPer Code: THISODEVCERRENTConduit NEC.690.14.C.2 :. (D): Distribution Panel (DC): DC Disconnect (IC): Interior Run Conduit Label AC A ' '• OPERATING CURRENT Per Code: (M): Utility Meter Load AIAXIMUM AC OPERATING VOLTAGE VNEC ' t - ,�SoiarCity I ®pSolar Next-Level PV Mounting Technology "-SoiarCity I ®pSolaf Next-Level PV Mounting Technology • Zep System Components .for composition shingle roofs f Ulrroof sr� Ground Zep 7nteAeck (y Cm ttnxn) ' • Leveling Foot � i Zep Campatlblo pv noawe J Zep Groove i Roof Atfadurrerit A.rar sort GOMp4T, °�F Description .FA j 0v PV mounting solution for composition shingle roofs caMppr Works with all Zep Compatible Modules o • Auto bonding UL-listed hardware creates structual and electrical bond ). • Zep System has a UL 1703 Class"A"Fire Rating when installed using V� LISTED modules from any manufacturer certified as"Type 1"or"Type 2" Comp Mount Interlock Leveling Foot ' Part No.850-1382 Part No.850-1388 Part No.850-1397 � I Listed to UL 2582& Listed to UL 2703 Listed to UL 2703 �� Spec if cations Mounting Block to UL 2703 Designed for pitched roofs Installs in portrait and landscape orientations • Zep System supports module wind uplift and snow load pressures to 50 psf per UL 1703 . • Wind tunnel report to ASCE 7-05 and 7-10 standards • Zep System grounding products are UL listed to UL'2703 and ETL listed to UL 467 • Zep System bonding products are UL listed to UL 2703 , • Engineered for spans up to 72"and cantilevers up to 24" Zep wire management products listed to UL 1565 for wire positioning devices Ground Zep Array Skirt,Grip,End Caps DC Wire Clip • Attachment method UL listed to UL 2582 for Wind Driven Rain Part No.850-1172 Part Nos.500-0113, Part No.850-1448 Listed to UL 2703 and 850-1421,850-1460, Listed UL 1565 ETL listed to UL 467 850-1467 zepsolar.com zepsolar.com Listed to UL 2703 This document does not create any express warranty by Zap Solar or about its products or services'.Zep Solar's sole warranty is contained in the written product warranty for This document does not create any express warranty by Zep Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for each product.The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely each producL The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely responsible for verifying the suitability of Zep Solar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. responsible for verifying the suitability of Zep Solar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. 02 27 15 ZS for Comp Shingle Cutsheet Rev 04.pdf Page: 1 of 2 02 27 15 ZS for Comp Shingle Cutsheet Rev 04.pdf Page: 2 of 2 solar=oo $Q I a r — 0 0 P SolarEdge Power Optimizer Module Add-On for North America P300 / P350 / P400 SolarEdge Power Optimizer p P300 P350 P400 Module Add-On For North America (for 60-cell PV (for 72-cell PV (for 96-cell PV modules) modules) modules) P300 / P350 / P400 ° a ea nput DC Power I 300 350 400 W ........... ................................................................................................................................................. ............. Absolute Maximum Input Voltage(Voc at lowest temperature) 48 60 80 Vdc MPPT Operating Range 8-48 8-60 8-80 Vdc .............................................................................................................................................................. ............. Maximum Short Circuit Current(Isc) 10 Adc .............................................................................................................:..... '��'uunnuunn'' Maximum DC Input Current 12.5 Adc IJ Maaximxim.... .................................................................................................................................................. ............. umE(ficiencY...........................................................................................99:5 ....%...... > Weighted Efficiency 96.8 % ................................................................................................................................................................ ............. Overvoltage Category 1 II OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER) OMaximum Output Curren[ 15 Adc ^ Maximum Output Voltage 60 Vdc 'pL OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF) .•--,� Safety Output Voltage per Power Optimizer 1 Vdc STANDARD COMPLIANCE {.+ •� EMC FCC Part15 Class B,IEC61000-6.2:IEC61000:63 .- ............................................................................... ............ ............. ,\•- �" Safety IEC62109-1(class II safety)UL3741 RoHS Yes INSTALLATION SPECIFICATIONS Maximum Allowed System Voltage 5000 Vdc Dimensions(WxLz H) 141x212x40.5/S.SSx8.34z1.59 mm/in Weight(including cables)..................................................................................950/ ................................... 2:1 Input Connector MC4/Amphenol/Tyco ••Output Wire•7ype/Connector._•••............••_........••.•••, ,. .... ..Double.Insulated AmPhenol....••._.•..•.•..... ••••••••••. .... .... ...... .. ... .. ... .............. ............ - Output Wire Length..........................................................0.95/3:........I.......................1.../3.9 m/k •OPeratin�7emperature Range....................................................................Wd0:+85/-'t0_+385............................ .. - Protection Ratint ......................................................................................IP65/NEMA4................................ ......... Relative Humidity 0.300 % .............................................................................................................. ............................................. ................. �p PeuE M IM moluk.MptlWe a ui m.5%paver�Wenn¢�Ib.eO. PV SYSTEM DESIGN USING A SOLAREDGE SINGLE PHASE THREE PHASE THREE PHASE INVERTER 208V 480V PV power optimization at the module-level Minimum String Length(Power Optimizers) .8 10 18 ...axim................................................................................................................................................................... - Up to 25%more energy Maximum String Length(Power Optimizers) 25 25 50 ........................................................................................................................ Maximum Power per String 5250 6000 12750 W - Superior efficiency(99.5%) ................g.................... .................................................................................................................................... Parallel Strin s of Different Len hs or Orientations Yes - Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading """""..... """"""""""""""""""""""""""""""""""""""""""""""""""""""""""...... - Flexible system design for maximum space utilization . - Fast installation with a single bolt �' --' ^'�-' •T�. _ ��' ,�' - +"� -_Next generation maintenance with module-level monitoring ( - - Module-level voltage shutdown for installer and firefighter safety n USA - GERMANY - ITALY - FRANCE - JAPAN - CHINA - ISRAEL - AUSTRALIA www.solaredge.us ) ,, 0;ma am�a- p x.. a.,•a�yrya •.maw+ n,��z m:, ' 1 0'-rt, n��� •umn -0F .d�O�'� a,�4@oL mo.vs-- ou�t6..-m�.n 1 �,,1? m� nic• �Ps't� :Ao:.0 w. ro.*en�w:.. SPECIFICATIONMECHANICAL Format 65.7 in x 39.4 in x 1.57 in(including frame) (1670 mm x 1000 mm x 40 mm) Weight 44.09 lb(20.0 kg) E From Cover 0.13in(3.2mm)thermally pre-stressed glasswith anti-reflection technologyBack Cover Composite film rFrame Black anodized ZEP compatible frameCell 6 x 10 polycrystalline solar cells.Junction box Protection class IP67,with bypass diodes "�"' Cable 4 mma Solar cable;(+)z47.24 in(1200 mm),(A 2:47.24in(1200 mm) Connecter Amp henol,Helios H4(IP68) - iIELECTRICAL CHARACTERISTICS PERFORMANCE AT STANDARD TEST CONDITIONS(STC:1000 W/m',25'C,AM 1.5_G SPECTRUM)' _ POWER CLASS(+5W/-OW) - [wl 255 260. 265 Nominal Power P,,, IW] 255 260 265 Short Circuit Current 11. [A] 9.07 9.15 9.23 a a / a Open Circuit Voltage V. IV] 37.54 37.77 38.01 Current at Pn, 1•11 [A] 8.45 8.53 8.62 Voltage at P,,, V_ [VI 30.18 30.46 30.75 ' The new Q.PRO-G4/SC is the reliable evergreen for all applications,with Efficiency(Nominal Power)" r, [%] a15.3 a15.6 a15.9 a black Zep CompatibleTM frame design for improved aesthetics, opts- PERFORMANCE AT NORMAL OPERATING CELL TEMPERATURE 800 W/mr,45t3•C.AM I.5G SPECTRUM)- POWER material usage and increased safety:The 4tb solar module genera- NomERCIAss(+Sw/oY+) _ IW]` 8.3 2.0 265 tion from Q CELLS has been optimised across the board: improved output Nominal Power P. [W] 17.31 17.38 195.7 P P P Short Circuit Current lu [A] 7.31 7.38 7.44 yield, higher operating reliability and durability,quicker installation and Open Circuit Voltage V. IV] 34.95 35.16 35.3.8 more intelligent design. F Current atP_ In, [A] 6.61 6.68. 6.75 Voltage at P,x, - V_ IV] 28.48 28.75 29.01 . 'Measurement tolerances STC:t3%(P,w);t 10%01,V_I_Vim) 'Measurement tolerances NOCT:t5%(P_);t 10%0.,V,,,I_V„W) INNOVATIVE ALL-WEATHER TECHNOLOGY PROFIT-INCREASING GLASS TECHNOLOGY QCELLS PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE •Maximum yields with excellent low-light •Reduction of light reflection by 50%, • _ •o uau. At least 97%of nominal power during R'm -'T--T--r--r--r-r--r--r--� and temperature behaviour. plus long-term corrosion resistance duel •� �-�� first year.Thereafter ma:.0.6%degra- P g m • -_'""°""'°'pY1'°"""°�_____ dalion per year. C g A[least 92%of nominal power after - , •Certified fully resistant to level 5 salt fog to high-quality E • __ __�__�__._�__�__,__i__; 10 ears. � � � � e _________________ Y •Sol-Gel roller coating processing. � A[l east 83%of nominal power after c • __i__�__r__'__�__�__i__'__; ENDURING HIGH PERFORMANCEAll e• zsyears. •Long-term Yield Security due to Anti EXTENDED WARRANTIES Full within measurement tolerances. - - xo - - - - m xo Full warranties in accordance with the PID Technology], Hot-Spot Protect, •Investment Security due to 12-year warranty terms of the Q CELLS sales IaalmNaee(WIWI organisation of your respective country. and Traceable Quality Tra.QTM. product warranty and 25-year linear i awe " r[un The typical change in module efficiency at an irradiance of 200 W/mu in relation ��•a•' - to 1000 W/m°(both at 25•C and AM 1.SG spectrum)is-2%(relative). •Long-term stability due to VDE Quality performance warranty2. Tested-the strictest test program. ___ + TEMPERATURE COEFFICIENTS(AT 1000W/M2,25'C,AM 1.5G SPECTRUM) Q CELLS Temperature Coefficient of IK a [%/Kl +0.04 Temperature Coefficient of V. p [%/Kl -0.30 - SAFE ELECTRONICS roP:eRanD-w ��T - Temperature Coefficient of P,•, Y [%/K] -0.41 NDCT PFI 113 t 5.4(45 t 3°C), - a •Protection against short circuits and PROPERTIES i 1 DESIGNR SYSTEM a thermally induced power losses due to 2015 Maximum System Voltage V,a IV] 1000(IEC)/1000(UL) Safety Class II c breathable junction box and welded Maximum Series Fuse Rating [A DC] 20 Fire Rating C/TYPE 1 } Max Load(ULP Ilbs/fV] 50(2400 Pa) Permitted module temperature -40°F up to+185"F cables. ) on continuous duty (-40°C up to+85"C) Phntnn Load Ratng III [IbsRP] - 50(2400 Pa) a see installation manual o Duality Testetl QcEus QUALIFICATIONS r CERTIFICATES PACKAGING INFORMATION ray�•r �' eex pol,cryatantoe d • mlar aroduts mla UL 1703;VDE Quality Tested;CEcomplianh Number of Modules per Pallet 26 r'°•d...mm a.raovm 1 IEC 61215(Ed.2);IEC 61730(Ed.l)application class A ' THE IDEAL SOLUTION FOR ID.40032587 Number of Pallets per 53'Container 32 ,yoOxv4rB Number of Pallets per 40'Container 26 ® �^ ®Rooftop arrays on GOMPq l7 pVE �� Pallet Dimensions(L x W x H) 68.7 in x 45.0 in x 46.0 in _ ® residential buildings - �Q A�� ♦ C ,° VzO� (1745 x 1145 x 1170 In t Pallet Weight 1254 Ib(569 kg) 42 rFA / ev NOTE:Installation instructions must be followed.See the installation and operating manual or contact our technical service department for further information an approved installation and use of ' APT test conditions:Cells at-1000V against grounded,with conductive metal foil covered module surface, COMPP�� this product.Warranty void if non-ZEPcertined hardware is attached to groove in module frame. 25°C,168h Hamxha 0 CELLS USA Corp. a See data sheet on rear for further information. 300 Spectrum Center Drive,Suite 1250,Irvine,CA 92618,USA I TEL+1 949 748 59 96 1 EMAIL gtells-usa®gcells.com 1 WEB www cicells.us Engineered in Germany OCELLS Engineered in Germany OCELLS v.� =se soIar " • • Single Phase Inverters for North America soIar SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ SE760OA-US/SE1000OA-US/SE1140OA-US SE3000A-US SE380OA-US I SESOOOA-US I SE6000A-US SE760OA-US I SE1000OA-US I SE31400A-us OUTPUT 9980 @ 208V S o I a r E d g e Single Phase Inverters Nominal AC Power Output 3000 3800 5000 6000 7600 10I;kQQ.1,240y 11400 VA 5400 @ 208V 10800 @ 208V Max.AC Power Output 3300 4150 6000 8350 12000 VA For North America S45o@a4oy... 1D95D.@?40y. .. ......... .... .. AC Output Voltage Min:Nom.Max!'1 _ . 183-208-229 Vac SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ .COu....... ......Min.......Ma.... ................ ................................................ .................................. ............................. . AC Output Voltage Min:Nom:Max!'1 � � � ve v, v/ � Vac SE760OA-US/SE10000A-US/SE1140OA-US 211-24°-264 AC Frequency Min..Nom..Max.l'I ..-..•..••.. •.•... .-••.59.3-60-60.S.Iwith HI country setting 57-;.60.:60.5)•..••....••.• ..••...••..•.••. ..Hz•.. ' ......... .... ................ ......... 24 @ 208V 48 @ 208V Max.Continuous Output Current...... .....12.5......I......16......I..21.Q 240y...I......25......I......32.......I...42 @ 240V...I......47.5...........A..... GFDI Threshold . . ............1.................................. ..............................A .... Utility Monitoring,Islanding Protection,Country Configurable Thresholds Yes Yes INPUT {�r✓�pverte�'^�wt1 Maximum DC Power(STC) 4050 5100 6750 8100 10250 13500 15350 W Ke'• G•i`^z Transformer-less,Ungrounded .........................Yes 8 J e ..................... ......................................................... d Beats ... Max.Input Voltage•..•..•.. 50° Vdc 1, WaRantY��} Nom.DC Input Voltage 325 @ 208V/350 @ 240V Vdc ................................. ................ .. .... • 16.5 @ 208V 33 @ 208V ��alaea4r, Max.Input Current' 9.5 13 18 23 34.5 Adc .... ..... ... ............................ ................I...............I..15:S.�al 240V..I................I..................30;5,�a�,24°y............................... Max.Input Short Circuit Current 45 'Adc - -... -� .•Reverse:Polarity.Protection.......... ............................................... ..... .Yes......................................................... ......... Ground-Fault Isolation Detection 600kn Sensitivity MaximuminverterEfficiency.......... .....97.7.... ....98.2.... .....98.3.... .....98.3..... ......98.......•..•..•.98..... .. .98.....• ....�.. .. CEC,h .......... 97.5 @ 208V 97 @ 208V ..................... ..... ........ 97.5 97.5 . ..Weighted Efficiency ........ ............... ......98.... *7 . 97.5 ........................... j Nighttime Power Consumption 9$.�°.240y „•,,,,,,.97;5 @.240y•, # u' ADDITIONAL FEATURES p I Supported Communication Interfaces R5485,RS232,Ethernet,2igBee(optional) Revenue Grade Data, C12.1.... .......................:................... .......Optionalu ..................................................... ......... ............ rad ...a ANSI............. .. ..... .......... .................. ....... ............ Rapid Shutdown-NEC 2014 690.12 Functionality enabled when SolarEdge rapid shutdown kit is installed(4) e STANDARD COMPLIANCE UL1741,UL1699B,UL1998,GSA 22.2 Grid Connection Standards IEEE1547 ................................. .....................:.... ............................. l ..................................................................... -- ! Emissions FCC pa rtrt S class B INSTALLATION SPECIFICATIONS AC out ut conduit size/AWG ran e .•.•..•.•...3/4u minimum/16-6 AWG 3/4"minimum/8-3 AWG - , input conduit size/III of .... .. ....... ..... ring../16-.......................... ......ring.... ...... .. ....... 1 y� DC input conduit size/N of strings/ 3/4"minimum/1 2 strings/16-6 AWG 3/4"minimum/1-2 strings/ 14-6 AWG "�. - I .................. .. ... ..30.5 x 12.5 x 10.5.... .....in/.. Dimensions with Safety Switch' / 30.Sx12.5x71/775x315x184 775x315x260 mm �) Wel�ht with Safety Switch............. ..........51.2/23.2•...•..••.I...:....•••..••..•..54.7/.24.7.. .... ......................88.4/40.1..............lb/.kg... Natural convection Cooling Natural Convection and internal Fans(user replaceable) fan(user The best choice for SolarEd a enabled systems replaceable),....•..•..50...•..................... ..• .B.A... p .................................................................. . . ONoise................................... ................................25................................ ................................................................. - Integrated arc fault protection(Type 1)for NEC 2011 690.11 compliance Min:Max.Operating Temperature -13 to+140/-25 to+60(-40 to+60 version availablelsl) F/'C RanB?.................................. ..................................................................................................................................... — $UpeflOr efficiency(98%) ..P .rotection Rating..:.................... .......................................................NEMA 3R............................: Small,lightweight and easy to install on provided bracket— t'r For other regional settingsm please contact Inverter support. • m A higher current source may be used;the Inverter will limit Its Input current to the values stated. — Built-in module-level monitoringpt Revenue grade Inverter P/N:SE—A-US000NNR2(for 760OW Inverter:SE760DA-U5002NNR2). 14t Rapid shutdown kit P/N:SEI000-M-51. — Internet connection through Ethernet or Wireless 0I-4o version P/N:SE—A-U5000NNU4(for 7600W Invert—SE7600A-USW2NN1.14). - - Outdoor and indoor installation r- - Fixed voltage inverter,DC/AC conversion only I — Pre-assembled Safety Switch for faster installation — Optional—revenue grade data,ANSI C12.1 sunsve USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-ISRAEL www.solaredge.us 1 are Ifaclornarks of their respect—o,nc,s.e 4 I