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0199 BETH LANE
y,l t Assessor's map and lot number .... ...r�...................��........ QyoFI ETo� Sewage Permit number `` o /yam Q /P 1 ,p t B6B.B9TADLE, i House number ..t...... 4�'. h....!^i7t .�,.+. y MA6a of TOWN OF . 'BARNST q BUILDING INSPECTOR APPLICATION FOR YPERMIT TO ....O.U ; Ld.....�J' ^G.......... .. .G. .... ho. .......:. TYPE OF CONSTRUCTION ..............G........ ...... -...........................:.......................:.................... ................ G. ...1...........19 � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......1./...7...... L�. /�1... `..h Lar.-........................................................................:................................................... ProposedUse .....Q4 rG.L ... ...... .`��.�r. .................................. ................................................................................... ZoningDistrict ........................................................................Fire District .............................................................................. • Name of Owner Ql�.a.. ..�Ar.D. a.T*....Address 'fl....La..l e........ `.yan.a.../,5 / Name of Builder .10.6. . ... .....................Address ......... .'am—e........................................................ Nameof Architect ....64K.t.ti..............................................Address .................................................................................... Number of Rooms Foundation eG'.bVl.elt r PO� j Exterior .. ... .................................................................Roofing ... `5 /...................................................... Floors .....W...o ................................................Interior ..1 !.l9 ?.> . Heating ...1..[oma...............................................................Plumbing ............................................................. Fireplace ..: Q.I.t..................................................................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board --------------------------------19________. Area . �. c5 ........... Diagram of Lot and Building with Dimensions Fee v ' �................. ......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH l J I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. A Name UAW, .............................................. i RYAN, JOHN & DOROTHY No Permit for P�sJILD ADDITION ............................... Single Fami1X ............... Location ..19.9...B.et.h...L.a.ne......... ....................... .. ..Beth .. .. .... Hyannis ................................................................................ (n Owner ...John & n Dorothy R .. .......................YATI............. ' Type of Construction ...EKAMQ....... .................. ........................................... 6), Plot ..................... ...... Lot ................................ October 1, .......19 81 Permit Granted ............... ............... Q4 Date of'Inspection ...... ........19 Date Completed ....�71- ......19 -7 PERMIT REFUSED . ............................... 19.....................I.... -Ir- ................................'.,..................... ................................ .......................... . ............. . ........................k.:....I................................................ r I ............................................................................... Ile Approved ,........................................n.... 19 ............................................................ .................. . ................................................................................ Ra.gal I (,q)� Assessor's office(1st Floor): 1$ n Assessor's map and lot n �� Ps' �l�4� C��4 a?N 3' EKT SWSTEWsFIE TMt T ✓Conservation c� d 9�— Nl1STA LLED IN CONIP IANC Board of Health(3rd floor): WITH TITLE- Sewage Permit number / / d- = ssas�r►ntt ENVIRONMENTAL Engineering Department 3rd floor): T0V!N,R o o6}0. G� E�,b: �oasrr. House number �/ 9 �P'�-'A a-yi c-- � Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9.30 A.M.and 1:00-2:00 P.M.only 1 TOWN OF BARNSTABLE BUILDING . -. INSPECTOR APPLICATION FOR PERMIT TO ��n C 66L r a g e TYPE OF CONSTRUCTION - r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location � ��' c� r'S M &- a o`Z 601 y Proposed Use 0 � ' f Zoning District— , Fire District Name of Owner J ob n &Address LA JA � Name of Builder Sty. m e— Address Name of Architect c �_ Address Number of Rooms Foundation wu rej aYleyi� 5' 00Exterior re 0 v'� Fi21f Ce r6n f mg �S b Floors C� y"/7 Interior Dry GPi Heating Hal P Plumbing P-1 ox ie. Fireplace GY1 f T Approximate Cost r r P-® i +'Go Area Diagram of Lot and Building with Dimensions Fee 3 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 L / Construction Supervisor's Licen /T� RYAN, JOHN M. & DOROTHY C. REMODEL GARAGE No 3 4 8 33� Permit�For � - .- • ��.; �. i. ,. T' To is-i' Floor/ Single Famil' Dwelling 19 9 Beth Lane = Location { _ + Hyannis r ' Johri M & Dorothy . 'Ryan Owner Type of.Construction " Fr a me Plot Lot - Permit Granted February, 11 , 19, 92 yy r Date of Inspection •mil:f t 19 Date Completed c�/o � 19 I f }} i.;a.#e ,,a•+• - F I i 4- C TOWN OF BARNSTABLE BUILDING DEPARTMENT _ HOMEOWNER LICENSE EXEMPTION Please print. DATE �116 1/9 JOB LOCATION Number Street Address Section Of Town "HOMEOWNER" �a Name p Home •Phon_e Work Phone PRESENT MAILING ADDRESS/ I q 6 e-1- L/V 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 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 esides or intends to reside, on which there is',` or is intended to be, a one to six 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, by-laws, rules and regulations. The undersigned "homeowner" certifie' that he/she understands th Barnstable Building Department minimum inspection a Town of requirements P procedures and HOMEOWNER'S SIGNATURE a - 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. HIScs h r HOME OWNER'S EXEMPTION The code states 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 ldre` to do such work, that such Home Owner shall act as supervisor. " v Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for Licensing Construction Supervisors, Section 2. 15) . This lack of awareness often results in serious problems,. particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the unlicensed person as it-would with licensed supervisor. The Home Owner acting as supervisor is ultimately responsible. To ensure that the Home Owner is fully. aware of his/her responsibilities, many 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. r. / J r� A FI!, I . • OF BARNS TORW 546 n AM' 11, wla�,��°� Ins ctor ` .Cash OCCUPANCY PERMIT sond -- /--i_ ; y No 'building,nor structure-shall be erected, and hip land, building or.structure shall be �s used -for `a new,"different, changed, or':-enlarged use without a'Building Permit-therefor 'first having been, obtained'from;the Building Inspector. No',building'shall_-be oceppied-until,a 'certificate of-:occupancy has been- issue•d:by.;the:Building'-Inspector ". . Issued to cTohp M. 11yI , Address lot. 135 Bett Lane" Hymn is r Wiring Inspector ., ter '+ r tt r "_ Ir►sp@etion'date itE Plumbing Inspector " Inspection dated Gas Inspector i Inspection;date Engineering Department F Inspection date THIS PERMIT,WILL NOT, BE VALID, :AND THE BUILDING SHALL,'NOT BE t'OCCUPIED. UNTIL ' SIGNED BY'THE BUILDING. INSPECTOR UPON, SATISFACTORY COMPLIANCE 'WITH_TOWN ;•ti REQUIREMENTS `J 19.L Building Inspector Y• 1 f ..-i.a,.:., .kx.,. ,rro'..,.�..�...;,.,.i,ac � .s,..,:s t..4,'E_ :; .,.s. ,vk.gi... �.'? t--ah ,e,. -vd`.w�•&..�c i•!+�'rc�t� :$"sr'.,x�.��.t,°�„z.o;-..;r';,�a"„-rt S�u'r_'y3S� 1 TOWN OF BARNSTABLE Permit No. ........L rI Building Inspector Cash -__-_-- �YL t679. P ��r'y•` OCCUPANCY PERMIT Bond No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Jc*r Address lot ,05 k:`tn 1,11m. 1kvz:nn.i9 Wiring Inspector ', , Inspection date ,��' .�.f Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date 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. _ .............:... :z.�....! .w; ....... f Building Inspector and and lot number —7 q s p 7!.1... .� .... 5....... -} ,/� '�Lnumber iltUST BE ':` �;1 ':'-I.li iN COMPLIANCE 'e'wage+Pe t v`�'FT l r� 'il'ICLE II STATE ................................:......................... SANITARY CODE AND TOWN ft'W g ll ATI N, r - =i FTHET =� TOWN . OE --BARNSTA` LE BABb9TSDLE, i •?I "'�� ' ;639• -DUILDIN INSPECTOR y �. uu APPLICATION FOR PERMIT PTO ........... .. ................... . TYPE OF CONSTRUCTION ............... 6�..... •..•.................... .........................................�....r..� C?.................19..C./. w. TO THE INSPECTOR OF BUILDINGS: The undersign"rebyplies for a permit according to the following infor ation: Location ........ .... . .�............ ........ . ............................................................ ProposedUse ........../ ............................................................................... ....................................................... Zoning District ................. ...•...:. ..l.. Fire District ........... .... .... . ................ .. ............................... Name of Owner l�/�"J� ........Address �t0i /��' `'`�.................. ....•......T...... ..... ................................•.. ..... Nameof Builder ....................................................................Address .................. ...........................:......./f./...,...................... /�" '�..............................Address ......... 1"w�� Name of Architect ...... ...t...................... `...................... ��...... .............................. Numberof Rooms ......................�.. ...... ... ..•.F ndation ........ ............:............................................ �Aa— ( ��� Exterior ........... ................................................. .. oofing ......................... Floors ............. ........ . . .....................................................Interior ....................4........... .. .............. ............................... Heating .......&......Le .... ................. ....J. ............Plumbing .................`' d Fireplace ........... .. ................................................................Approximate. Cost ........... ... .Q..�G. ............................... Definitive Plan Approved by Planning Board ----------------------_---------19________ . Area 1. l a ................. ........................ 00 Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH E:7=-A )'t -�_ ci Lp- d I hereby, agree to conform to all the Rules and Regulations of the n of B nstable regarding the above construction. 1jr� - 19546 one Story � ' � -----' Permitfor .................................... � . -`��� single family dwelling ' . �` —'---.. ----------.-------. � � �f"y \ � ^ � Beth Lane ^°^."= ............ � � -------��...........-------------- �romt Cmmoe Cod ` Dvvne, --.-----''�------_____—. . frame ^ Typo of Construction .......................................... ..' ................,........... ................................................'. ^ Pk #35 Plot --------- Lot ----------' ~ - . � ' Permit Granted ""'" of Inspection ^+ uor= Completed , .....19 � � � ' PERMIT REFUSED -----_—.----------=--. 19 ` � ----.---------------------.. � ------'^^--^--------------- - ` � -'---'—'—^-------^^^^—~---^^--- ' � . . � --------~^-----^------^—^--' ' Approved ---------------'' lQ ' ' ---------------^—'---------' . . ` -------------------.------.. � \ � `- r �' r_�/ > i'7' ram:§` f •� } v1 .:.._i -.°vr,' Of '� ' a• ' r - ar f [- OAF, 4 ? 2 �. ©O. + F�. � r. ti k ...•�� - her � r r • ��; '�DQ{piVjte, . :,r •ya 0..0}Y zfio p 1 S (10 ��*,x ,.a•s.1 i; / - - d Fig > z r'r 7 AV6Q7' T"fIE y`L"'3kldkVN C�.t/ 7iG// !�G/=iN /S�GOC�97 ED OA/ 7-oWC- 1 � `�,.•, :,. !{ rrG' tJ1.l .r f►`.,"v .'iNOt /.�dl INE�E."E3CJI✓ Fink? 7`.No,9T /T14 tv e � ��T►� I \�� • 4 , _' a .. ,+tT ��, ��5�' �h`A f� •Y�" = 4 '�I. ' e .�` a?c"'ti"r`-+� .. �� • � ` L:'C�ca►7'"E �q...'+r'���"M'OJT"s--/ Ml-�SS ..._.,_.._—,...,..:..ram . Town of Barnstable Building � ���'�' '-{'ice . r zv�- +.� _ say"+\ �'".� '�'. �" "5 '"`' "•" .��.. ;,� �. '�``�.. .,..�`CB .x�`c �'>�"����� �'{ � e Post This"Card SoThat it ismUisibleFromaheaStreetA roved:Plans;Must be Retained onlob and this Qard�Must beKept " �ARliS'CAEtLB, • � ...a�'.".� �$-" 3 ,°�`�..�`� ;,4.'Yra a��'�...a.:���'�.\ � •� ��:,. #,.:.: �r ,� �, �". `� ��.�' ,-,��"�. 'x� ` �' ` i63 p �Posted�Uritll final lns eetion�Has Been�Made �� `��� � � �+� p °fie: s,, .. :> � � mow." � .. a". " Whe 'aCertificate off '' '" `�` '° �''v` h° lot be:Occu ied;:until a2:F,rnal:InS ection has been made) Permit ;63p Occupancyis�Requ�red,such Bwltlmg� a �_,�� p ,",,�, > w,p �. -�.�'. ". E�� .:�-=�:.�*.�#±:.;- :,w�i,�,vZ.o.a.:.,;�Ai ,..a�>..:.,..> ....�n.ax« i `u4""-Ew��,+:i�w�. .�e�.'w'�'�'a..'�A"�.a,�'.rnd`a'au:3s.F«w�b+»a�S.a .«::: ;,.�.«.c�:n,� a. .w*o-ev-wi>.-».,Se>ttu�,'.'�. ,.ar+. ,s saw....., �.a..>..�-s1 Permit NO. B-18-2522 _ Applicant Name: RYAN, DOROTHY C ESTATE OF Approvals Date Issued: 09/07/2018 Current Use: Structure Permit Type: Building-Restore to Single Family Expiration Date: 03/07/2019 Foundation: Location: 199 BETH LANE, HYANNIS Map/Lot 272 162 Zoning District: RC-1 Sheathing: Owner on Record: RYAN, DOROTHY C ESTATE OF ContractName Framing: 1 Address: DEDOMINGUEZ,SILVIA HERNANDEZ A AntractorLicense 2 it s �...:.P HYANNIS, MA 02601 � EstProject Cost: $ 10,000.00 Chimney: PgFe`e: Description: Restore to Single Family_by eliminating apartment In lower level, erm t $ 101.00 �� .; Insulation: remove kitchen in lower level plus unpermittedtbedrooms',and Fee Paid $101.00 replace front door V ®ate s� 9/7/2018 Final: x �. Project Review Req: 41 Plumbing/Gas QnrRough Plumbing: k Building g Official Final Plumbing: . Rough Gas: This permit shall be deemed abandoned and invalid unless the work autho-Ar zed by this permit is commenced within siz months�after issuance. Final Gas All work authorized by this permit shall conform to the approved apphcat�on antl the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures4hal�l be m compliance with the local zor g�laws acid codes. Electrical This permit shall be displayed in a location clearly visible from access street or road and shall bmamtained open for public inspection for the entire duration of the work until the completion of the same. k Service: The Certificate of Occupancy will not be issued until all applicable signatures by the-Building aril F�reOffcialsare provided on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: " ' 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: . 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: E Applicadon Number......................... 3�IAse. PC=it Fee....olnab..............Other Fee........................ 61¢ . Taal Fee Paid..................................................................... TOWN OF BARNSTABLE Permit Approval by................... ............on....` .�.'j / ..._ BUILDING PERMIT ...................Pare&.... ...(0-2........................... APPLICATION Section 1— Owner's Information and Project Location Project Address C(q C,t OUP Vilhigen.— —�"Ie Owners Name ?�n. -Da-K� 1013U`Pz S Ul ,J A , (_ UERT Owners Legal Address ��r 1 �� U8 C State A—' TOWdV 0F Ra - 6 C2 Owners Cell# 1� �l - 3b g - . Z O�. E-mail o y?-r i c e.3o 9 S @ nA i L, Cod F— Section 2—Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3—'hype of Permit ❑ New Consttuction ❑ Move/Relocate E] Accessory Structure ❑ Change of use El Demo/(entire siruct=) ElFinish Basement kFamily/knnesty ❑ Fire Alamo Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 -Work Description hest . s,n 1 e✓ w l l v r11i f�0�115 i �lNSe cN �pG r�pp (`a��' V, a TAct nndate&2/9/2019 Application Number.................................................... Section 5—Detail Cost of Proposed Construction ©OGZ) Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist WFCM Checklist ❑ Design Section 6—Project Specifics El Wiring ❑ Oil Tank Storage ❑ Smoke Detectors f. ❑ Plumbing ❑ Gas .;, Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Ad&relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal "❑ On Site a Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I an using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area.Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units(on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed' Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last undated 2/92018 f Mckechnie, Robert From: Mckechnie, Robert Sent: Friday, August 24, 2018 8:59 AM To: 'loverice3085@gmail.com' Subject: FW: application#TB-18-2522, 199 Beth Lane, Hyannis Sorry, sent to wrong email address in error. From: Mckechnie, Robert Sent: Friday, August 24, 2018 8:58 AM To: 'lovevice3085@gmail.com' Subject: application #TB-18-2522, 199 Beth Lane, Hyannis Good Morning, Thank you for your permit application for the basement. Please be aware that there are other issues must be addressed. After investigating the permitted work history for this address,the following items need your attention also: The sunroom on the back of the house is not shown on your floorplan. Currently you are using this space as an illegal bedroom. ✓1L.) The front door was changed from a required 36" side hinged door to a slider without a permit. This does not meet the required means of egress in the building code. The primary door to the house must be code compliant (780 CMR R311.2 as amended)which is a 36" side hinged door(32"" clear width). The back door can be a slider but must have 28" clear width. A.) The unpermitted construction in the basement has a room with the electrical service in it. This must be changed to become code compliant. Please come into the office again to add to the description of work on your application to make these corrections. Thank you, Robert McKechnie Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4033 1 QX The Commonwealth of Massachusetts Department of IndustrialAccidents 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): Address';-� ! e- k a&/Y— G-41S.tate/Zip:�, , 4n UNi Phone#: �- Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 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' [No workers' comp.insurance comp.insurance. $ 9. ❑Building addition j quired.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions .E, I am a homeowner doing all work officers have exercised their 11.❑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.❑Other comp.insurance required] I I *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. xContractors 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. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under 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 cerdA under the pains nd penalties of perjury that the information provided above is true and correct 4S atii=e: `� %Da EN O hone-#-s, (9 CK 7 7 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 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture. (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank 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 Massachusetts Department of Industrial Accidents Office of investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-NWSAFE Revised 4-24-07 Fax##617-727-7749 www.maw.gov/dia a Application Number... .................................. Section 9-.Construction Supervisor Name Telephone Number Address City State Zip License Number License Type yp Expiration Date . Contractors Email Cell# I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Bamstable.-Attach a copy of your license. Signature Date Section-10 —Home Improvement Contractor Name Telephone Number Address City State zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town ofBarnstable.Attach a copy of your H.LC... Signature Date Section 11—Home Owners License Exemption Home Owners Name: (� l O 4�I d�4J j e Z Telephone Number Cell or Work Number I - I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and F, documentation by 780 CMR and the Town of Barnstable. I. Signature Date APPLICANT SIGNATURE Signature (,e e � �� ��'2- Date Print Name ?eA-o D- amkA)5L) lielephone Number 72 - 36 O 2 C� 6 , E-mail permit to: � 0 e V t CP—3© S a K T.,.w......i. —A.1 mini o - Section 12—Department Sign-Offs ' Health Department © Zoning Board Cif required) . Historic District ❑ Site Plan Review Cifregd=d) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire deparbnent for approvab I 7 Section 13—Owner's Authorization i L , as Owner of the-subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date i Print Name i i i Last=dat:&-1J9r2018 j K a C) � S Barnstable Bldg. Dept. Approved by: � Permit y. f •o L�y'fi .rFtt��i -t % I fI{ ?�, i�,li ._ � � q'. II �� j} iS 11�,�� tekY F1. Y� f :� 1. ,� II r ..,•fit J e�: :I� �I I a �+- 9 — _Y� 'ti .IY � I'.I Y�' �, :V' I `t ,!, Ili ��!' k4. f.j'', �.•I" �'� � l',�Y � �_il. •t. I ,I.,i; �,+i%. '. �" r. 40 HA t r al I I (! ' ii Q i ca i }y. log, ................. ........... ......... ....... ri n�ig-,IIA4 alp; I�q- A", PA i0- W-oww",�4-- Assessor's map and lot number ....?. .............................. X1 3 1 7 Sew' age_ :!Peri';it number .........................7................................. THE TOWN OF BARNSTABLE 333ARISTABL XASL 1639-Ar BUILDING INSPECTOR j, I*- r APPLICATION FOR PERMIT TO ......... ................................................ ................................................................... TYPE OF CONSTRUCTION ..............%.... ...... .... ....................................................................... L v. TO THE INSPECTOR OF BUILDINGS:, The undersigned hereby applies for a permit according to the following information: /44 1Fe f ......................................... Lodation ......................................................./_'.. -1 ............................................................................ • Proposed Use .............A x- ........................................................................................................I........................................................ ZoningDistrict .................. 14...C.../...............................Fire District ................ ..... .... .............................. .............................. Name of Owner --,........Address .... ....... . ........ ..... .............................................................. Nameof Builder ....................................................................Address .................................................................................... 1-7 �Name of Architect ......................_. ..............................Address .............A� .. ........... .................................................................... Numberof Rooms ..............................................................-...Foundation Foundation .............................................................................. Exierior ...........................J....I...r........�....._.....................................Roofing ................................. .. . ....................... r1 A . - 1 / ,-,Floors .........................................Interior ..............' - ............................................... Heating .... .....................;..............C`774!5A-A...................Plumbing .................................................................................. 6 r Fireplace .............. L ...................................................................Approximate. Cost Y.............................................................. Definitive Plan Approved by Planning Board --------------------------------19--------- Area 18-704..0.................... .... ....... .... Diagram of Lot and Building with Dimensions Fee ... 0.. ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH "7 ) jsic r Q C) I hereby, agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. e 7/ OT "arn,,, -Name ............ ..........................................V.!......... Frost Cape Cod A=272-162 19546 one story No ................. Per. it for .................................... single family dwelling ............................................................................... Loca tto rl a Beth Lane ................................................................ Hyannis ............................................................................... Owner Frost Cape Cod Type of Construction .......... frame ........................................... ......... ........... .. .. ............. Plot ............................ Lot .... �35 August 26 77 Permit Granted~ .................................19 Date of Inspection/........:........................19 Date Completed .................................19 � V PERMIT REFUSED ............ ... 19 ........................................................ ............ . . ..... ... .......... ..... .......... d. ........ .... .. .........,., ........ Approved 19 9�YJ ............... ........... ....... .. . . ................ ,r - -"-.., ."."° .°. �•__....,��- ..:.,�,. ..-..,�� i k� r.- rr�,S*i1. ^;,,�: .,ice...- '.�-,..r• -'.. .� � - ♦ '.�r �.r^.'j!/ Assessor's map and lot number .� ..r� ....... .... ..:...... oFTHEro Sewage Permit number . ... .?..S,!... .......rr. �.,fr,/)::...... _ t 33ALU ABLE, i House number ........:..1....F/......,......t.%.,1............. .f"1 °:p............... 9 MA86 OD s639. a' TOWN ,OF BARN-STABLE BUILDING ' INSPECTOR APPLICATION FOR PERMIT TO ....0..........:'.t.........y P�G�... .......... !.a.G.�...�� =......... / �--' U........Y.......... TYPE OF CONSTRUCTION ...............��! C?1 ,. "/i�f !Z ........................................................................ ............. ...........19l •r TO THE INSPECTOR OF BUILDINGS: , The undersigned hereby applies for a permit according to the following information: Location ........<.. ./...... G ...... ................... .................. .. ..... ...............:............ ProposedUse .....r.00C:. .... ......4!.".0::. ................................... .................................................................................. Zoning District .....J0, ki ......................................................................Fire District .......................................................`..........................Name of Owner ..���.. .. Q.� ..�?. r1..X....Address <<�9../ p. H......G .. .C......./2/:V�a/u.0..J Name of Builder . .................... .Address .......:..S.O.Al•e.......................................................... Nameof Architect ...,/„Y7.e:.............................................Address .................................................................................... + Number of Rooms ..................................................................Foundation Exterior ...U) .Q. '................................................................Roofing h:;'. �?(.!!.. L .............. ................................... Floors .....1!.0Q.A...................................................................Interior ... ............................................................... Heating !Ylt ..................................................... .....Plumbing .. .(4,,!d..�p.,. ....•............•..............•.......................... ..!.....t< o ..... . .. Fireplace ").p / r Approximate Cost ...../a 00 Fire .... .............................................. Definitive Plan Approved by Planning Board -------------------_-----------19--------. Area ��� s f ,- ................. . ............ Diagram of Lot and Building with Dimensions Feed SUBJECT TO APPROVAL OF BOARD OF HEALTH t 1 I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............ � ' .`�........................ ................ � . . . . —..Single` ��..Dvv�llin��_____ - � � Locodonl9.9.. ..]��g��—.--------. � ----.xxy/dmai/a................................. .............. Owner /J.QbJ\ ..s�...P.Q.:r.Q.1;;1Y'..RYAA............... I7anze Type of Construction --r-----.,--.^---. � . --------------------------. Plot ............................. Lot ---._------ � Uotobez' I—� .......... � 3l ' ^ PmPermit �ronoa6 _------- lg Date of Inspection .._................................ �Date Completed ------_-----]� . - , PERMIT REFUSED . . —'------. l� . -----'—'------- z~------'' - ' ---.--.—....' .------.--.--.—..— �r .................................................................................. � ' /--.»00v"0��'—...�.��.u:�xx..�.-------. , Approved . . . � ---_-----------... lg . � ............... � ' � . ----.^--`_----..-------.~.—.—' . U TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee 71-. 7� b /1 Date Definitive Plan Approved by Planning Board Historic - OKH tfD _ Preservation / Hyannis E IC J Project Street Address Village a rr\S Owner ulcol-% IVAddress Telephone Permit Request Cm roo�-- 0,Q 44 T` \co C e n - c.S v. -To l'a� Lcsn.n c�l'�LI � �(cc_ `c� S �� • � �� �,W o�ol P�h��S Square feet: 1 st floor: existing — proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation \y,bbb Construction Type "3 Lot Size Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family ,& Two Family ❑ Multi-Family(# units) Age of Existing Structure L rS• Historic House: ❑Yes 6-No On Old King's Highway: ❑Yes 1.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 A&New Existing wood/coal stove:. ❑Yes ❑ No Detached garage: ❑ existing ❑ new sizool: ❑ existing ❑ new size Barn: 0 existing U`newsiz4� f Attached garage: ❑ existing ❑ new siShed: ❑ existing ❑ new size /� Other: 8 rl Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Ln Commercial ❑Yes ONo If yes, site plan review# �r e� Current Use Proposed Use 0 �� APPLICANT INFORMATION /� 6rQ0Av-,-,, (BUILDER OR HOMEOWNER) 0 Name &-X_ 1J1ZS&1P41rV Telephone Number Address License # C` (62L6 , •\i �'S �-� O Home Improvement Contractor# 7101 Email Worker's Compensation # AX-01taC)iS-Od ALL CkNSTRUCTION DEBRIS RE LTIN_ ROM THIS PROJECT WI BE TAKEN TO (� �Hn D5A SIGNATURE DAT �3-D It, FOR OFFICIAL USE ONLY APPLICATION # r DATE ISSUED MAP/ PARCEL NO. 1 ADDRESS VILLAGE i z OWNER DATE OF INSPECTION: '= FOUNDATION ' FRAME INSULATION r, FIREPLACE ELECTRICAL: ROUGH FINAL T . a PLUMBING: ROUGH FINAL GAS: ROUGH FINAL z FINAL BUILDING - a DATE CLOSED OUT t: ASSOCIATION PLAN NO. I = SolarCity. OWNER AUTHORIZATION Job#: Property Address: / 5 n ,�, �,� O o160 -1 VN as Owner of the subject property hereby autb6rize KOLARCITY CORPORATION to act on my behalf, in all matters relative to work authorized by this building permit application. I Signature bf O ner: Date: SOLARCITY.COM M. Itut f P MttC tBt ! `.• 0!!b�'flSttsf'0 isb IL„ffithE!� i - ticM!'d Of Auikbng Regislit.Ons and SttndAMW .. »Caevtr CS-108$16' JASON PATRY 921 STEWART DRIVE $ " Abington MA 02151 02IM2019 - 011iee of Coesamer Albin&Dostoess Rquistton PHOME IMPROVEMENT CONTRACTOR l Rogtsftgon* IMM TYPOry Explmtlon: 3J8J2017 Supplement C SOLAR CITY CORPORATION' I JASON PATRY I! 24 ST MARTIN STREET OLD 2UNI ikAki.BOR000K MA 01762 0ederseerehry !. t _n f 1�7r1�Z'0'?1110,t Office of Consumer Affairs d Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 168572 a Type:_ Supplement Card 1"t Expiration: 3/8/2017 SOLAR CITY CORPORATION CHERYL GRUENSTERN 24 ST MARTIN STREET BLD 2UNIT 11 MARLBOROUGH, MA 01752 Update Address and return card.Mark reason for change. SCA 1 <, 20na-05-F _ Address : Renewal Employment host Card q. ��+• -��'r J1JINr Iurrr//lr i��f/+s;..fir /�fr.,rl/: . Office of Consumer Affairs&Business Regulation license or registration valid for individul use only' before the expiration date. If found return to: ; tPME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation Registration: 168572 TyPe: 10 Park Plaza-Suite 5170, Expiration: 3/8/2017 Supplement Card Boston,MA 0211.E SOLAR CITY CORPORATION CHERYL GRUENSTERN 3055 CLEARVIEW WAY xt't.° p *, xw«.at,+4 SAN MATEO,CA 94402 Undersecretary - -Not valid without signature 7780 Com Mon wealth ofMtrssachwetts Department of Industrial Accidena+s 1 Congress Street,Suite 100 Boston,M4 02114 2017 , www massrgav/dia Arlrrkers'Compensation Insurance At1'idatnt:Builders/Contraetors/Electriclans/PEumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Leap Name(Hu.,InmetDr'baaizauont(ndividuat): S°tarC'ty Corporation Address: 3055 Cfearview Way City/Stale/Zip; San Mateo,CA 94402 phone#: (888)765-2489 Are you-an employer?Cheek the xppropriate box: Type of project(required): 1.01 am a unployv with 15.000 employees(!hl l wiftr paa4ftnC)-* .7. ❑New construction LQ 1 am a sole praprietor or padnership mid hake no cn*kyces work-in-,for me uh 8• Remod©ling any capacity.[No wark='comp.insurattcc required.) 3.Q1 sin ahomeownaeloing0 work myselC[Noworkars'wrap,hisurmocrequlred.jr 4 Q Demolition I []Building addition 4.❑I am a homeowner and will be hiring txmtractors to conduct all work on sny property. l will crssttra ihat all txutttactars Dither lravc tt IMS..'cotnpensatwo iasurarirt=arare sole_ 11.❑Elach-icul repairs or additions proprietors wish im surployecs. • 12. Plumbing repairs or additions 5.[31 am a gencrai,contractor wA t have hind listed on the attached sheet. I3.[:]Roof repairs These sub-eontraclas have tunptoyces and have workers'corap,insurance G.a We are a cocporatlar and its affiaKs have cure:ised hair right of excatptioa per MGi,c. 14.0Otlter solar panels 15Z§1(4) and we have rwamployces,[No insurancerequired.] It $Amy applicant that cheeps box 91 rnul.-AD fdl out the section below showing their workers'compensation policy inforruntlon. I iorueownen♦cho submit this anidavit indicating titey are doing all wort,and then hire outside.contractors nrtm submit a new aiTdevit indicating slies% konUaeton that check this hose omit auached an additional sheet showing the time of the sub-oo minors and state whether ar not those entities have employees, If the sub-commmctors l+avo anplovccs,they must provide their wd*crs'comp.policy aunrber. 1 avian employer that is providing workers'compensation lnsuratice for►thy eniplayees. Below is the palicy rind jab site h1formadan. Insurance Company Name:American Zurich Insurance Company Policy*or Self--iris.Lie.#: WC0/82015-00'. Expiration Date: 911/2016 Job Site Address: 199 Beth Lane city/swelz1p,Hyannis,MA 02601' Attach zit copy of the workers'compensation poltey declaration page(showing the policy number and expiration date). Failure to secure coverage as mquired under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties its the form ofa STOP WORK ORDER and a fine of up to W0.011 a day against the violator.A copy of this statement may be fot'warded to the Offlee of Investigations of the DIA for insurance coverage verification. 1 da hereby c wider the pains and penalties of perjury that the Informagon provided above is true and correct. (Jason Patr Februaa 26 2016 Phone QQiclal use only. Do not wrfte in this area,ra be eompleterl icy a ty or lawn of7claL City or Town: Penvit(License d Issuing Apthority(circle one): 1.Board of health 2.Building Department 3.City/Town" Clack 4.Meetrkal inspector:I Plumbing Inspector 6.Other Contact Persoac Phalle#: AC R& CERTIFICATE OF LIABILITY INSURANCE J DATE(MkWDrYYY1t7 `� 08/1712016 THIS CERTIFICATE IS ISSUED AS A !NATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFOR13FM BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING iNSURER(S), AUTHORMED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the poliey(les)must be endorsed. It SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may rettuire an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER " CONTACT - - MARSH RISK&INSURANCE SERVICES AA4E: _..._. r ....:.. _....T... 346 CALIFORNIA STREET,SUITE 13M LM r PHONE-Ext) 11 pA C No}—. r CALIFORNIALlCEN E-MAIL NO.0437153 AD�yg;.. ,... ....... _ . ' SAN FRANCISCO,CA 94104 __..._...—. Mtn�SKamon Scott 415-743-8334 .........1N9URER(S)A7•FOROINOCOV,Ef1AGE-.... .. ..__t:...- NAIC@-- �998301-STND-GAVVUE-15-16 _........—_. __._._._._:.. .INSURER A_g Zurich American insurance Company — I18535 SdatCity Corporation INSURER a NIA NIA 3065 Clean4ew Way INSURER c:NIA Nf --- San Malao,CA 94402 -- --....._-._...-.._,........ _. INSURER D:American Zurich Insurance Company �40142 [USURER E INSURER F: COVERAGES CERTIFICATE NUMBER. SEA-00271383E-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 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 . . _...--r UHR ADDLTS .. ........................ .......:... ...... ...POLICYEFF POLI'GYEXP - ---- ...—.._ ....,.._......_ .............. LTR TYPE OF INSURANCE I POLICY NUMBER fNRt4DDPfVYY1 [MMIODNYYYILIMITS - A [X 'COMMERCIAL GENERAL LIABILITY SLODI82016-00 0910112015 UBMI12016 EACH OCCURRENCE $MAGE TO 3.000,000 CLAIMS-MADE OCCUR - - - RENTED 3.00D.000 S.^ _ ._......__.. I I X SIR:$250,WD 1 MEO EX P(Any one.per�n) 5 5.M0 ' ... DE PERSONAL&ADV INJURY $ 3,000,000 GEN L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ B4O00,OOO POLICY X� l..:..�PROC �..... L _._ PRODUCTS-COMP/DP AGG S OTHER. $ A AUroMOBILEUASIUTY SAP0182017.00 09/0112015 0910112016 COMBINED SI GLEE IT S 50DOOM X ANY AUTO ( I 0OMY INJURY(Per person) S x_. ALL OWNED X SCHEDULED LED I BODILY INJURY(Par accident) S X HIRED AUTOS x... AUTOS NONIO�� ( I I j 1PRerDa�!�N)AMAGE..... ....: 5.... _..._.._ 1 - COMPICOLL DED: S $5,000 UMBRELLA LfABHCLAIMS-MADE OCCUR I ' I EACH OCCURRENCE $ EXCESS LIAR I : i AGGREGATE S OED t RETENTIONS S D WORKERS COMPENSATION jW00IW4-00(AOS) 09@112D15 109@1I2016 X PER OTH• ANY EMPLOYERSMARTNTrY 109,10112016 E.L.EACHTACCIDENTl S 1,000;000 A YIN WC018'1015 OD MA 09@1r1D15 ANY PROPRIErOR7PARTNERIE%ECIJTIVE ( ) OFfICERRAEM9ERE%CLUDED? .NIA; - (Mandatory in N►f) WC DEDUCTIBLE:$500,000 E L.DISEASE•EA EMPLOYEE S 5,�,�0 1If yes.desafbe under --- _ DESCRIPTIONOF OPERATIONS below E.L.DISEASE-POLICY LHNIT $ 1,1I00,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD"l,Additional Remarks Schedule,may be attaehod If more space la requlred) Evidence of insurance. CERTIFICATE HOLDER CANCELLATION SdarCdy Corporation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3055ClearviewWay THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN San Mateo.CA 99402 ACCORDANCE WITH THE POLICY PROVISIONS_ AUTHORIZED REPRESENTATIVk of Marsh Risk&Insurance Services CharlesMarmolejo '�'�'� ---= 01980-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD . Version#53.6-TBD ;;AsoIarCit m February 26, 2016 ��A OF RE: CERTIFICATION LETTER Project/Job # 0262706 KANN Project Address: C Residence No.20-gfg 199 Beth Ln ) -o ,4 Hyannis, MA 02601fF ST '1V arn SC , SC Office Cap Cod 7 CI,!a Cod 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 - MPi: Roof DL= 9.5 psf, Roof LL/SL= 21 psf(Non-PV Areas), Roof LL/SL= 21 psf(PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss =0.18757 < 0.4g and Seismic Design Category(SDC) = B < D To Whom It May Concern, A jobsite survey of the existing framing system of the address indicated above was performed by a site surveyteam from SolarCity. Structural evaluation was based on site observations and the design criteria listed above. Based on this evaluationI certify that the existing structure directly supporting the PV system is adequate to withstand all loading indicated in the design criteria above based on the requirements of the applicable existing building and/or new building provisions' adopted/referenced above. Additionally, I certify that the PV module assembly including all standoffs supporting it have been reviewed to be in accordance with the manufacturer's specifications and to meet and/or exceed all requirements set forth by the ASCE 7 standards for loading. The PV assembly hardware specifications are contained in the plans submitted for approval. Additionally a summary of the structural review is provided in the results summary tables on the following page. Sincerely, Marcus Hann,P.E. Professional Engineer Digitally signed by Marcus Hann T: 888.765.2489 t Date:2016.02.26 13:47:33-05'00' email: mhann@solarcity.com 3055 Clearview,Way„San'Mateo,CA 94402 ,T(650)638-1028 (888)SOL-CITY.F(650)638-1029 solarcity.com AZ K)0 243771•CA Ca a BZ8104,00 EC W41,CT HIC OS32TTB,M Hir 7i 107486,.W.KrS 7t16148%H1 GT-2977Q,MA H10 1CA572,MD 4HIC 128948,`NJ 1WH06180600, .. OFt.GGN 18p498,PA 077343,7XTb11332%008,ti?fA t,,C1.:SOt,ARC'Otgp7::g2013.tgpiatCitY:'Ali rlgh,dtsserved. Version#53.6-TBD �o,;So a y HARDWARE DESIGN AND STRUCTURAL ANALYSIS RESULTS SUMMARY TABLES Landscape Hardware_-Landscape Modules'Standoff Specifications Hardware X-X Spacing X-X Cantilever Y-Y Spacing Y-Y Cantilever Configuration Uplift DCR MPi 72" 24" 39" NA Staggered 70.1% Portrait Hardware-Portrait Modules'Standoff Specifications Hardware X-X Spacing X-X Cantilever Y-Y Spacing Y-Y Cantilever Configuration Uplift DCR MPi 48" 20" 65" NA Staggered 77.7% Structure Mounting Plane Framing Qualification Results Type Spacing Pitch Member Evaluation Results MPi Stick Frame @ 24 in.O.C. 250 Member Analysis OK Refer to the submitted drawings for details of information collected during a site survey. All member analysis and/or evaluation is based on framing information gathered on site.The existing gravity and lateral load carrying members were evaluated in accordance with the IBC and the IEBC. 3055 Clearview Way San Mateo,CA 94402 T(650)638-1028 (888)SOL-CITY F(650)638-1029 solarcity.com A7ROS 243771 4A�:,pC813$81LIJ,C^}i EQ.G(7,;t,GT}tIq G6a2.17ti,S:„HIC 711tJ a4t tc,L)GftIS 771':Ti-0BEs,til C7.29IiU;MA NIC 161357(AM7 MNlt.1,[H1AH,N. I..VHO!.ti,(r._(!0. Oft C4j3 1�04t`$,F'A.�7',";,+43.T 7C TD:.f+_YD�O,VJA GCS. �G�AR,�919Ui�?oi;3:;�farC;tY,Au raghta re-an•"1. y f,S._TRU�.�__-pCTUer RE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK MP1 Member Properties Summary MP1 Horizontal Member Spans Rafter Pro erties Overhang 2.16 ft Actual W 1.50" Roof System Pro erties OC. San 1 IT, 11 6:80'ft' Actual D '"` } " 5.50" Number of Spans(w/o Overhang) 2 San 2 5.73 ft Nominal Yes Roofing Material Com Roof 'S an 3 e - � A'" 8.25 in."2 Re-Roof No Span 4 S. 7.56 in.A3 Plywood Sheathin 4; Yes'a _ ,San 5,' 20.80 in' 0 I"'" A` . 4 Board Sheathing None Total Rake Span 16.21 ft TL Defl'n Limit 120 Vaulted Ceiling a Noy, T IPV 1'Start' Al 1:^17 ft ` Wood Species s SPF Ceilina Finish 1/2"Gypsum Board PV 1 End 13.42 ft Wood Grade . #2 Rafter Sloe 25° - :,PV 2 Start "i I Fe ? 875 psi' Rafter Spacing 24"O.C. PV 2 End F„ 135 psi Top Lat Bracing Full, A_ ;PV 3 Start, v r E`"- "°1400000 psi' Bot Lat Bracing At Supports PV 3 End Emig 510000 psi Member Loading mary .Roof Pitch 6 12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 9.5 psf x 1.10 10.5 psf 10.5 psf PV Dead Load, ,PWDL 3.0'psf x 1.10° r j` 3.3 psf Roof Live Load RLL 20.0 psf x 0.93 18.5 psf Live/Snow Load LL SLl'2 ' 30.0 psf "`" x 0.7 x 0.7 `' 21.0 psf 210 psf Total Load(Governing LC TL 1 31.5 psf 1 34.8 psf Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf= 0.7(Ce)(Ct)(IS)pg; Ce=0.9,Ct=1.1, Is=1.0 Member Design Summa (per NDS Governing Load Comb CD CL + EL H CIF Cr D+ S 1.15 1.00 0.84 1.3 1.15 Member Anal sis'Results Summary Governing Anal sis Max Demand @ Location Capacity DCR Result Bending - Stress -486 psi 9.0 ft -1259 psi 0.39 Pass (CALCULATION OF DESIGN-WIND-LOADS-F!"I Mounting Plane Information Roofing Material Comp Roof PV_System Type S6igd SleekMount- Spanning Vents - No �- - -_ Standoff Attachment Hardware a "Comp Mount Type C ° Roof Slope 2 RaR t r Spacing _U ,: . �- ,n ,. ,.. Z _ __Y.y - Framing Type Direction Y-Y Rafters Purlm Spacings -X Purlins'Onl _.. '. s Nq: y F Tile Reveal Tile Roofs Only NA Tile Attachment System =sfi„ 4-'.__ r Tile Roofs Only ,_ Standin searn/Trap spacing SM Seam Only NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind,Design Method Partially/F ully Enclosed Method Basic Wind Speed V 110 mph Fig. 6-1 Exposure Category_ __ y � _ C .__ _ Section 6.5.6.3_ _ .� _ Roof Style Gable Roof Fig.6-11B/C/D-14A/B Mean Roof Hei ht h 15 ft Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure _ KZ 0.85 _ _ Table 6-3 To o ra hic Factor- K 7 = 1.00 Section 6.5.7 _._;P 9_ P_ ._ .__ _rt - i n_ Wind Directionality Factor Kd 0.85 Table 6-4 _ 6-1 _ Importance Factor 1.0 Ta6le 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 -0.88 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down GC awn 0.45 Fig.6-11B/C/D-14A/B Design Wind Pressure P p= qh(GC ) Equation 6-22 Wind Pressure U -19.6 psf Wind Pressure Down 10.1 psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape_^ _ W�72"_ 39" Max Allowable Cantilever____ -v _ .Landscape- Standoff Confi uration Landscape Staggered Max Standoff Tributary Area Trib_ 20 sf PV Assembly_Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff__. T-actual _ _ ,�350 lbs Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand Ca aci DCR 70.1% X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48".� � _ T 65" Max Allowable.Cantilev_er __Portrait____ 20 - NA. Standoff Configuration Portrait Staggered Max-Standoff Tributary Area Trib_ _-- —.-22 sf - ____--_____, PV Assembly Dead Load W-PV 3.0 psf Net Wi_n_d_Uplift at Standoff T-actual_ : _ w -388 Ibsfl _ - Uplift Capacity of Standoff T-allow 500 Ibs Standoff Dema d Ca aci " -DCR "' 7 T7 0/0 '' J Town of Barnstable Building Department Services Brian Florence, CBO Building Commissioner BARNS TABLE. 200 Main Street Hyannis, MA 02601 anunsrs[•a Eam�•cmvn•r.wx¢ J 1639-201a www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Notice of BuildingCode Violations and Order to Cease Desist and � ) Abate: Pedro Dominguez and Silvia Dedominguez and all persons having notice of this order: As property owner or tenant of the property located at 199 Beth Lane,Hyannis,Assessors Map 272 Parcel 4162 and known as a residential structure,you are hereby notified that you are in violation of 780 CMR, the Massachusetts State Building Code Chapter 1 .Section 105.1, and Chapter 3.Section R310 and are ORDERED this date 7/16/2018 to: CEASE AND DESIST all functions associated with the following violation(s)on or at the above mentioned premises: Summary of Violation: On 7/16/20181 observed a violation of 780 CMR of the Massachusetts State Building Code Chapter 1 Section 105.1 and Chapter 3 Section 310 . Specifically,The basement was finished without permits and included five(5)sleeping rooms, a kitchen, a bathroom, a bulkhead enclosure, inadequate clearance for the electric panel, and the absence of smoke alarms or CO detectors. The five(5) sleeping rooms in the basement did not have emergency escape as required by code. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office,commence immediately upon receipt of this notice the following action: Cease sleeping in the basement and begin the permit process to either dismantle the illegal work or bring the basement into compliance. And, if aggrieved by this notice and order;to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal(specifying the grounds thereof) with the State Building Code Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143 § 100. If,at the expiration of the time allowed, action to abate this violation has not commenced, further action as the law requires may be taken. By Order, Robert McKechnie Local Inspector SENDER: COMPLETE THIS SECTION, COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3. A. Signature Print your name and address on the reverse X I]Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B.Received by(Panted��7r ate of Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: p No c��o v(2 Z ef r7' f--15;V1P 3.II I IIIIII IOII III i III I II I I II I I II I I I I I I II II III ❑0 Adult AdultressO Sign Signature Restricted Delivery El Registered st red Maice Type 0 Priority Mail lRestricted 9590 9402 3615 7305 6410 18 W4ertified Mail® Delivery ❑Certified Mail ResMcted Delivery Retum Racelpt'for ❑Collect on Delivery T erchandise 1-2._Article_Number_(ransfer_from_selv(oe_IakeO ❑Collect on Delivery Restricted Delivery ❑Signature ConfinntionT" ured Mail ❑.Signature Confirmation 7 015 17 3 0 0001 4990 519 0 ured Mail Restricted Delivery Restricted Delivery er$500) PS Form 3811,July 2015 PSN 7530=02-000-9053 Domestic Return Receipt First-Class Mail 1 Postage&Pees Paid USPS Permit No.G-10 I 9590 9402 3615 7305 6410 18 � I � I United States •Sender:Pleasb print your name,address,and ZIP+4®in this box• Postal Service TOWN OF BARNSTABLE BUILDING DIVISION 200 MAIN ST HYANNIS, NIA 02601 f Town of Barnstable Building Department Services Brian Florence, CBO Building Commissioner BARNSTABLE. 200 Main Street Hyannis, MA 02601 B RNSTFR t•�1 FAV LLE•C IMT•hY1N w NS u,•U:iTlR7- wA ,Y.ri✓d:E Y7 1639-2014 www.town.barnstable.ma.us �Dg Office: 508-862-4038 Fax: 508-790-6230 Notice of Building Code Violation(s) and Order to Cease, Desist and Abate: Pedro Dominguez and Silvia Dedominguez and all persons having notice of this order: As property owner or tenant of the property located at 199 Beth Lane, Hyannis, Assessors Map 272 farce i t162 and known as a residential structure,you are hereby notified that you are in violation of 780 CMR,the Massachusetts State Building Code Chapter 1 Section 105.1, and Chapter 3 Section R310 and are ORDERED this date W16/2018 to: CEASE AND DESIST all functions associated with the following violation(s)on or at the above mentioned premises: Summary of Violati.on: On 7/16/2018 I observed a violation of 780 CMR of the Massachusetts State Building Code Chapter 1 Section 105.1 and Chapter 3 Section 310 . Specifically, The basement was finished without permits and included five(5)sleeping rooms,a kitchen, a bathroom, a bulkhead enclosure, inadequate clearance for the electric panel, and the absence of smoke alarms or CO detectors. The five(5) sleeping rooms in the basement did not have emergency escape as required by code. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office, commence immediately upon receipt of this notice the following action: Cease sleeping in the basement and begin the permit process to either dismantle the illegal work or bring the basement into compliance. And, if aggrieved by this notice and order;to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal(specifying the grounds thereof) with the State Building Code Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143 § 100. If, at the expiration of the time allowed, action to abate this violation has not commenced, further action as the law requires may be taken. By Order, Robert McKechnie Local Inspector ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE 1. THIS SYSTEM IS GRID—INTERIIED VIA A c4 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. 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 n PV2 SITE PLAN PV3 STRUCTURAL VIEWS PV4 UPLIFT CALCULATIONS PV5, THREE LINE DIAGRAM LICENSE GENERAL NOTES Y x Cutsheets Attached GEN #168572 1. ALL WORK TO BE DONE TO THE 8TH EDITION R 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: AHJ: Barnstable REV BY DATE COMMENTS • " REV A NAME DATE COMMENTS , i s + i UTILITY: NSTAR Electric (Boston Edison) CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: J B-0 2 6 2 7 0 6 00 PREMISE OWNER: DESCRIPTION: DESIGN: \..! CONTAINED SHALL NOT BE USED FOR THEDorothylearn . a Brian McC BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: D O R O TH Y C R YA N . C Ryon n RESIDENCE NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 199 BETH LN ': 5.61 KW PV ARRAY SolarCity. PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES H YA N N I S M A 02601 ORGANIZATION, EXCEPT IN CONNECTION VATH r 24 St. Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE .(22) TRINA SOLAR # TSM-255PDO5.18 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 SE5000A—USOOOSNR2 COVER SHEET PV 1 A 2/26/2016 (BBB)-SOL-CITY(765-2489) www.solarcitycom • PITCH: 25 ARRAY PITCH:25 MPl AZIMUTH:286 ARRAY AZIMUTH: 286 MATERIAL: Comp Shingle STORY: 1 Story A TdW N � LEGEND 0 (E) UTILITY METER & WARNING LABEL ® lav INVERTER W/ INTEGRATED DC DISCO & WARNING LABELS D , © DC DISCONNECT & WARNING LABELS AC AC DISCONNECT & WARNING LABELS ® O DC JUNCTION/COMBINER BOX & LABELS AC °0 DISTRIBUTION PANEL & LABELS 101. LOAD CENTER & WARNING LABELS ODEDICATED PV SYSTEM METER Q STANDOFF LOCATIONS �tAffi& CONDUIT RUN ON EXTERIOR ——— CONDUIT RUN ON INTERIOR 004 GATE/FENCE ` Digitally signed by Marcus Hann Front Of House Q HEAT PRODUCING VENTS ARE RED t Date: 2016.02.26 13:46:28 -05'00' KANN ` INTERIOR EQUIPMENT IS DASHED 29919 �QT SITE PLAN ,STAMPED & SIGNED FOR Scale: 1/8" = 1' y STRUCTURAL ONLY 0 1' 8' 16' J B—0262706 00 PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: `\�, CONTAINED SHALL NOT BE USED FOR THE DOROTHY C RYAN Dorothy C Ryan RESIDENCE Brian McClearn �; y BENEFIT OF ANYONEEXCEPT SOLARCITY INC.. MOUNTING SYSTEM: �'���SolarCit NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 199 BETH LN 5.61 KW PV ARRAY �IA PART TO OTHERS OUTSIDE THE RECIPIENT'S MODULES H YA N N I S M A 02601 ORGANIZATION, EXCEPT IN CONNECTION WITH , 24 St. Martin Drive,Building 2, Unit 11 THE SALE AND USE OF THE RESPECTIVE (22) TRINA SOLAR # TSM-255PD05.18 PAGE NAME: SHEET: REV: DATE Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: ( )638-1028 F: 650 638-1029 PERMISSION OF SOLARCITY INC. P V 2 A 2 26 2016 888: 650 r SOLAREDGE SE5000A—USOOOSNR2 SITE PLAN / / ( )-soI-GITY(7s5-24ss) www.eolarcit.aom i Si 4" 2 6,-8" 5'-9" (E) LBW . SIDE VIEW OF MP1 NTS f - A 4 . MP1 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES LANDSCAPE 72" 24" STAGGERED ; PORTRAIT 48" 20" RAFTER 2x6 @.24" OC ROOF AZI 286 PITCH 25 STORIES: 1 ARRAY AZI 286 PITCH 25 C.J. 2x6 @24" OC Comp Shingle PV MODULE 5/16" BOLT WITH LOCK INSTALLATION ORDER & FENDER WASHERS LOCATE RAFTER, MARK HOLE ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT O 6 HOLE. 'STAM.PED:& SIGNED FOR - (4) (2) SEAL PILOT HOLE WITH M POLYURETHANE SEALANT. STRUCT4�' AL OIL ZEP COMP MOUNT C ZEP FLASHING C (3) (3) INSERT FLASHING. a (E) COMP. SHINGLE (4) PLACE MOUNT. 'A OF (E) ROOF DECKING U (2) (5) y> �; INSTALL LAG BOLT WITH �s: 944 ik OUs 5/16" DIA STAINLESS (5) SEALING WASHER. �� STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH . JtL WITH SEALING WASHER (6) BOLT & WASHERS. , ,, d (2-1/2" EMBED, MIN) � 1Tti T 5� y4 (E) RAFTER ORAL .� S 1 ANDOFF S1 CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: J B-0 2 6 2 7 0 6 00 PREMISE OWNER: DESCRIPTION: DESIGN: \\` CONTAINED SHALL NOT BE USED FOR THE DOROTHY C RYAN. Dorothy C Ryan RESIDENCE Brian MCClearn BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: ��Ao SolarCity NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 199 BETH LN • . 5.61 KW-PV ARRAY ., PART TO OTHERS OUTSIDE THE RECIPIENTS [MODULES:ORGANIZATION, EXCEPT IN CONNECTION WITH HYANNIS, MA. 02601 24 St. Martin Drive, Building 2, Unit 11 THE SALE AND USE OF THE RESPECTIVE (22) TRINA SOLAR # TSM-255PD05.18SHEET: REV.: DATE Marlborough,MA 01752 6a SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PAGE NAME: T. (650)638-1028 F: (650)636-1029 PERMISSION OF SOLARCITY INC. SOLAREDGE SE5000A—USOOOSNR2 STRUCTURAL VIEWS PV 3 A 2/26/2016 (BBB)-SOL—CITY(765-2489) wwwsdarciiywm UPLIFT CALCULATIONS Ji SEE SEPARATE PACKET FOR STRUCTURAL CALCULATIONS. CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: PREMISE OWNER: DESCRIPTION: DESIGN: JB-0262706 00 \\, SolarCit CONTAINED SHALL NOT BE USED FOR THE DOROTHY C RYAN Dorothy C Ryan RESIDENCE Brian MCClearn ' " BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: �,,\ r NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 199 BETH LN 5.61 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENT'S MODULES: H YAN N I S M A 02601 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St. Martin Drive, Building 2, Unit 11 THE SALE AND USE OF THE RESPECTIVE (22) TRINA SOLAR # TSM-255PD05.18 I PAGE NAME: SHEET: REV. DATE Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: T. (650)638-1028 F. (650)638-1029 A PERMISSION OF SOLARCITY INC. SOLAREDGE SE5000A—USOOOSNR2 UPLIFT CALCULATIONS PV 4 A 2/26/2016 (BBB�-SOL-CITY(765-2489) w".solaraity.mn GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO TWO (N) GROUND Panel Number: Inv 1: DC Ungrounded INV 1 -(1)SOLAREDGE #SE5000A—USOOOSNR? LABEL: A —(22)TRINA SOLAR # TSM-255PDO5.18 GEN #168572 RODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:44 014 603 Inverter; 5000W, 240V, 97.5%; w Unifed Disco and ZB,RGM,AFCI PV Module; 255W, 232.2W PTC, 40MM, Black Frame, H4, ZEP, 1000V ELEC 1136 MR Underground Service Entrance INV 2 Voc: 38.1 Vpmax: 30.5 INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER �E 200A MAIN SERVICE PANEL E; 20OA/2P MAIN CIRCUIT BREAKER Inverter 1 f (E) WIRING CUTLER—HAMMER - 20OA/2P Disconnect T SOLAREDGE 1 DC+ - " SE5000A—US000SNR2 Dc- MP1: 1x12 (E) LOADS A ----—--------- —----------- EGC-------------- ---- I zaov r------- l L2 I ' ,. N Dc- 1. . - 2 - I 30A/2P ---- cND --- —`----- EGG '' DC+ - - - - ----------------- ---------- `- GEC ---lN Dc C+ MP1: 1x10 A - /--- B I 1 ., i 1 -GND EGC- --------—--------_ ----------1--- G -----♦•J N 1 _ (1)Conduit Kit; 3/4' EMT . o EGC/GEC - - 1 . _ GEC - - - T0 120/240V I 1 SINGLE PHASE 1 UTILITY SERVICE 1 1 PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN Voc* = MAX VOC AT MIN TEMP " POI (1)CUTLER-HAMM R�BR230 PV BACKFEED BREAKER A (1)CUTLER-HAMMER �DG221UR6 PV (22)SOLAREDGE BP300-2NA4AZS Breaker, 30AEf2P, 2 Spaces Disconnect; 30A, 24OVac, Non-Fusible, NEMA 3R AC PowerBox ptimizer, 30OW, H4, DC to DC, ZEP DC -(2)Gro qd Rod -(1)CUTLER-�LAMMER DG030NB 5r8 x 8, Copper Ground/Neutral Kit; 30A, General Duty(DG) nd (1)AWG �6, Solid Bare Copper -(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 d10, THWN-2, Black (2)AWG d10, PV Wire, 60OV, Black Voc =500 VDC Isc =15 ADC O � (1)AWG #10, THWN-2, Red O (1)AWG d6, Solid Bare Copper EGC Vmp =350 VDC Imp=8.63 ADC (1)AWG#10, THWN-2, White NEUTRAL Vmp =240 VAC Imp=21 AAC U (1)Conduit Kit;.3/4',EMT . , . . . . . * -(1)AWG8,.11tWN-2, Green . . EGC/GEC (1)Conduit.Kit;.3/4 EMT. , . , . . , , , . - Cj)qqn0qit 2)AWG10, PV Wire, BOOV, Black Voc* -500 VDC Isc =15 ADC O1)AWG $6, Solid Bare Copper EGC 'Vmp -350 VDC Imp=7.19 ADC . . Kit;.3/4' EMT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • 5.y CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: PREMISE'OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE J B-0 2 6 2 7 0 6 0 ■ BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: DOROTHY C RYAN Dorothy C Ryan RESIDENCE Brian McClearn �, SO�a�C�ty. NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Com Mount T e C '199 -BETH LN 5.61 KW PV ARRAY hl ��� PART TO OTHERS OUTSIDE THE RECIPIENTS P ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES H YAN N I S, MA 02601 THE SALE AND USE OF THE RESPECTIVE (22) TRINA SOLAR # TSM-255PDO5.18 24 St. Martin Drive,Building 2,Unit 11 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PAGE NAME: SHEET: REV DATE T: (650)638-1028 F:MarlborouA(650)638-1029 PERMISSION OF SOLARCITY INc. SOLAREDGE SE5000A—USOOOSNR2 . . . .THREE- LINE DIAGRAM PV 5 A 2/26/2016 (888)-sa.-D1TY(765-2489) wwr.ealarclty.aam •- - o 0 0 •o o Label Location: Label Location: Label Location: (C)(CB) a �( (AC)(POI) o (DC)(INV) Per Code: _ -e Per Code: @QFMQo _e Per Code: NEC 690.31.G.3 NE NEC 690.17.E NEC 690.35(F) 00 0 0 Apo 0 0 E.G.o „� Label Location: - oC�►I:o e - o 0 0 - •- TO BE USED WHEN DC INV o•o s - o -o o s • e INVERTER IS D O Per Code: UNGROUNDED NEC 690.14.C.2 Label Location: Label Location: o 0 0 -o o[p (POI) -o - (DC)(INV) ° ° Per Code: ° Per Code: •-o 0 0 0 0 ° NEC 690.17.4; NEC 690.54 NEC 690.53 ° :o 0 0•0 0 o -e o o- e- Label Location: Cl : o (DC) (INV) y Per Code: _° o ° ® • °• o NEC 690.5(C) Label Location: (POI) o e o • o o " o • -o - o - Per Code: o ° o -o NEC 690.64.B.4 - o 0 0 , Label Location: n (DC) (CB) o -° Per Code: Label Location: NEC 690.17(4) r (D) (POI) 0 0 0 0 0 0 Per Code: • e NEC 690.64.B.4 MINN' o; )-o o saw 0 0 o oo _ Label Location: (POI). Per Code: Label Location: o o NEC 690.64.B.7 e . . o 0 0 - o AC : AC Disconnect Q Q O (AC) (POI) _ _ ( ) Per Code: °e (C): Conduit NEC 690.14.C.2 (CB): Combiner Box (D): Distribution Panel (DC): DC Disconnect (IC): Interior Run Conduit Label Location: (INV): Inverter With Integrated DC Disconnect 1 (AC) (POI) (LC): Load Center Per Code: (M): Utility Meter lPA34axmrga M. W , NEC 690.54 (POI): Point of Interconnection CONFIDENTIAL- THE INFORMATION HEREIN CONTAINED SHALL NOT BE USED FOR 3055 Clearview Way THE BENEFIT OF ANYONE EXCEPT SOLARCITY INC., NOR SHALL IT BE DISCLOSED San Mateo,CA 94402 IN WHOLE OR IN PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, .�►� T:(650)638-1028 F:(650)638-1029 EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE Label Set AI� (888)-SOL-CITY(765-2489)www.solarctty.com SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PERMISSION OF SOLARCITY INC. Solarcityl ta SolarCity Z pSolar Next-Level PV Mounting Technology '-SolafCity I Z pSolar Next-Level PV Mounting Technology Components Zep System for composition shingle roofs �,} %•� f -roof LevelingLeveling Foot . -~ Ground Zep Foot Interlock tx,-.y.wtc sMwn) LeveRng - --' C _ Part No.850-1172 _--— ETL listed to UL 467 Zep Compatible PV Module - Zep Groove ��•'^' ' Root Attachment _ - Army Skirt -<; - Comp Mount - Part No.850-1382 Listed to UL 2582 `4 �^ Mounting Block Listed to UL 2703 n 6 Q � - Description PV mounting solution for composition shingle roofs m, 0 Works with all Zep Compatible Modules °pMPar Auto bonding UL-listed hardware creates structural and electrical bond g, • Zep System has a UL 1703 Class"A"Fire Rating when installed using modules from any manufacturer certified as"Type 1"or"Type 2" ; Interlock Ground Zep V2 DC Wire Clip UL LISTED Specifications Part 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 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 t %- -bp 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 x Array Skirt,Grip, End Caps Part Nos.850-0113,850-1421, 850-1460,850-1467 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.Zap 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 responsible for verifying the suitability of ZepSolar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. responsible for verifying the suitability of ZepSolar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. Document#800-1890-001 Rev A Date last exported: November 13,2015 2:23 PM Document#800-1890-001 Rev A - Date last exported: November 13,2015 2:23PM c so I a r ' 0 0 = �] solar=oo SolarEdge Power Optimizer ^n Module Add-On for North America o P300 / P350 / P400 SolarEdge Power Optimizer P300 P350 P400 Module Add-On For North America (for 60-cell PV (for 72-cell PV (for 96-cell PV modules) modules) modules) INPUT P300 / P350 / P400 L°� . Rated Input PC ........Power 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 Circwt Curren[(Isc) 30 Adc . Maximum DC Input Current ....... Maximum Efficiency ..............................99:5 % " v-'•.., Weighted Efficiency Overvoltage Category II OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING IN Maximum Output Current 15 Adc ............................................................................ ...................... .. .......... Maximum Output Voltage 60 Vdc +' -OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF) f�. 63), Safety Output Voltage per Power Optimizer - 1 Vdc �•s{ STANDARD COMPLIANCE FCC Part15 Class B IEC61000 6 2 IEC61000 6 3 .. E��w•-. r:Y Safety y . .. ... ...... ......... .. ... IC.0230.9 (c.lass II safety)UL1741 Yes .. .. .. .... ........... ROHS Qga .INSTALLATION SPECIFICATIONS Ma imum Allowed System Voltage 1000 Vdc + Dimensions(WzLx H) 141z212 x 40.5/5.55 zS34z159 mm/in Weight(including cablesl........................................... 950/2.1... .. ..................................................................... ...... Input Connector M /Amphenol/Tyco .................... ..................................... .... ..................................C4.. ................... ................. .......... Output Wire Type/Connector Double Insulated;Amphenol - Output Wire Length. .........95/.......I.........t.........1 2/_3.9....... :... ..^!(h.... O eratin Tem erature Range -40 +85/40 +185 Protection Rating IP65/NEMA4 Relative Humidity 0 100 % ,, ... ............................. ... ................................................. ........ .... ... ... .. ... ......... amee src oowe.of me n dee Moemearup msxuowe.roea•e=di owMe `PV SYSTEM DESIGN USING A SOLAREDGE SINGLE PHASE THREE PHASE THREE PHASE INVERTER 208V 480V PV power optimization at the module-level l Minimumstnng Length(Power OpUm...... 8 10 18 — 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%) I .."...I.l I'..in.gs..f................�...r0.r............................ ............ ............ Parallel Strm s of Different Len hs or Onentanons Yes ' 1 - — 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 --n _ - .-.—....�,. ...�.... ,.�.,,,._ _.. f..�.—...,... .. —.,—,_.,...,-, • 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 �Fiu 4xiti. .E. Mono Multi Solutions �I11 THE '"�`Irinamount MODULE TSM-PD05.18 I , DIMENSIONS OF PV MODULE ELECTRICAL DATA @ STC - unit:mm Peak Power watts PM (Wp) I 245 250 1 255 i 260 941 r I Power Output Tolerance-PMnx(%) I Maximum Power Voltage-VMP(V) 29.9 30.3 I 30.5 I 30.6 THE 'Puna mount NEnoN o 111 I' Box Maximum Power Current-IMPP(A) 8.20 8.27 8.37 8.50 1 . ' ry 1 NAMEPLATE Open Circuit Voltage-Vac(V) 37.8 � 38.0 � 38.1 � 38.2 '. ° 'xT' Short Circuit Current-Isc(A) 8.75 8.79 8.88 9.00 STALnNG HOLE n 1 t P !I^; Module Efficient % , 15.0 15.3 15.6 15.9 MO D U LE yam(°) STC:lrratliance 1000 W/m',Cell Temperature 25°C.Air Mast AM1.5 according to EN 60904-3. Typical efficiency reduction of 4.5%at 200 W/m'according to EN 60904-I. ELECTRICAL DATA @ NOCT Maximum Power-PMAx(Wp) I 182 186 190 193 . 60 CELL Maximum Power Voltage-VMP IV) 27.6 28.0 28.1 4 28.3 MULTICRYSTALLINE MODULE aouHOlHGeoLE Maximum Power Current-IMPP(A) l 6.59 6.65 6.74 6.e4 �N.3 _ WITH TRINAMOUNT FRAME A A Open Circuit Voltage(V)-VocIV) 35.1 35.2 35.3 35.4 TTOMINHOLE pp �p Short Circuit Current(A)-Isc(A) � 7.07 t� 7.10 i 7.17 � .. 7.27 ' I NOCT:Irradiance at 800 W/m'.Ambient Temperature 20°C,Wind Speed I m/s. 245-260lf� - 8,2 PD05.18 BU j Back View POWER OUTPUT RANGE MECHANICAL DATA • �-� Solar cells I Multicrystalline 156 x 156 mm(6 inches) Fast and simple to install through drop in mounting solution cell orientation 60 tens(6 x 10) `� . 15.9�J \ ` Module dimensions j 1650 x 992 x 40 mm(64.95 x 39.05 x 1.57 inches) i0 j weight 21.3 kg(47.0 lbs) ;3.2 mm(0.13 inches),High Transmission,AR Coated Tempered Glass MAXIMUM EFFICIENCY Glass '4 A 1.9acksheet white ` Good aesthetics for residential applications Frame Black Anodized Aluminium Alloy with Trinamount Groove I-V CURVES OF PV MODULE(245W) .. J-Box iP 65 or IP 67 rated ° ®~��� /' Cables f Photovoltaic Technology cable 4.0 min'(0.006 inches'), POWER OUTPUT GUARANTEE to.- 1200mm(47.2inches) i Highly reliable due to stringent quality control «b- 8022W ' Fire Ruing Type 2 } • Over 30 in-house tests(UV,TI HE and many more) 5.- As a leading global manufacturer {, �° j • In-house testing goes well beyond certification requirements 5 4. 400W/m' TEMPERATURE RATINGS MAXIMUM RATINGS of next generation photovoltaic -^; - 3- 2oow/m� Nominal Operating Cell yq + L Operational Temperature -40-+g5°C products,We believe close 2.m Temperatu e(NOCT) j 44°C(32°Ct r 111 cooperation with our partners ;Maximum system 1000v oc(IEC) z is critical to success. With local I Temperature Coefficient of PMAx -0.41�/°C I Voltage 1000V DC(UL) in- O.CO to.- 20.- 30.m 40.. _ presence around the globe,Trina is Temperature Coefficient of Voc -0.32%/°C Max Series Fuse Rating ( 15A Certified to withstand challenging Voltage(V)able to provide exceptional service Temperature Coefficient t mperaturefficient of Isc 0.05�/°C to each customer in each market � lenging environmental .._., , and supplement our innovative, conditions reliable products with the backing 2400 Pa wind load of Trina as a strong,bankable • 5400 Pa snow load WARRANTY partner. We are committed 10 year Product Workmanship warranty ' to building strategic,mutually y - beneficial collaboration with 1 25 year Linear Power warranty _ W installers,developers,distributors (Please mferto product Warranty for details) a . and other partners as the backbone of our shared success in - CERTIFICATION ni driving Smart Energy Together. LINEAR PERFORMANCE WARRANTY PACKAGING CONFIGURATION • a' 10 Year Product Warranty•25 Year linear Power Warranty tLIMV6 asps Modules per box:26 pieces w Trina Solar limited I r www.irinasolaccom • A �Modules per 40'container:728 pieces } N o loop Addlgovvl v m r 16�J. a/ue L - EH-19 WEEE NH I,o ` COMPLIANT 0 90% - IItfC SOIyr 3llhepr N'Crfarli 1 - O CAUTION:READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT. poMPATjB - 0 °n Y - ®2014 Trina Solar Limited.All rights reserved.Specifications included in this datosheet are subject to l� (��i l9 80% 'change without notice. TY on-asolar Years 5 10 15 '1ron-asolar - / v Smart Energy Together zo zs' Smart Energy Together ~<�aMPpce Trina standard 13 i'nd ,Try>laniard - r { t solar=ooSingle Phase Inverters for.North America solar a SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ SE7600A-US/SE10000A-US/SE11400A-US SE3000A-US SE3800A-US SE500OA-US S_E6000A-US SE7600A-US SE10000A-US SE11400A-US OUTPUT 9980 SolarEdge Single e Phase Inverters Nominal AC Power Output 3000 3800 5000 6000 7600 10000@ 240V 11400 VA 9 ........................................... ................ ................ ................ . ..... .........................C. .Aq.. ............................ 540 @ 208V ...... ... 10800 @ 208V For North America ` 1.� Max'AG Power Output 3300 4150 5450.4a�,240V,. 6000 8350 10950,@240V 12000 VA .. .............. ...... ........ AC Output Voltage Min.Nom.Max!tl _ 183-20S-229 Vac SE3OOOA-US/SE38OOA-US/SE5OOOA-US/SE6000A-US/ COu.tp ..........Min.No .Max.... .. .... .. .... ... �. AC Output Voltage Min:Nom:Max!t( SE76O0A-US/SE1O000A-US/ SE114O0A-US 211 240-264Vac AC Frequency Min..Nom.Max.(........... ....... .,. ....,,._ ,59.3:60-60.5(with HI country setting 60:60.5)_.,...,...... ............_.,.._....Hz..... 0 24 @ 208V 48 @ 208V 47.5 ..Max Continuous Output Current...... .....12.5......I......lb......1. 21.�a1.240V.........25......L.....32... .�...42 @.240V...I............................ '` GFDI Threshold 1 A _ ' Utility Monitoring,Islanding Protection,Country Configurable Thresholds Yes Yes INPUT - Maximum DC Power(STC)............... ..........4....0. 050 5100 6750 ..............8..1..0.... 100 10250 13500 15350 W ., .-. ........................................ ..... Transformer less,Ungrounded .. ............. ....... ......... .. . .... Yes ............. ......................................... .... ... 2 »(+f ........ feats Max.Input Voltage 500 Vdc ................ ntY W2R8 ( 325 208V 350 240V Vdt ��.^•`.i Nom.DC Input Voltage .......... �O......./.....�° ............ .............. ......... . .....: 15.5 208V � !atta���. ". Max.Input Current('( 9.5 13 ....................................... 240V:.... ..1.I...... .... .23.........30.S.�RI.219y.. .......34.5 Adt "` Max.Input Short Circuit Current 45 Adc i ......... ....... ............ ............ ............................................ ...................................................... ,� Reverse-Polarity Protection Yes _ i Ground-Fault Isolation Detection 600ka Sensitivity , y Maximum l nverter Efficiency.......... ....97.7... .. ... .98:2...... .....98:3.. ........98.3..... ......98. ... .......98........ .......98............ ..... 97.5 @ 208V 97 @ 208V . CEC Weighted Efficiency..... ......... .....97.5......I......98....J.97. @ 240V........975 97.5 97.5 % ............... .. .... ..................97.5 @ 240V.. ........................ i Nightti me Power Consumption <2.5 <4 W _ , ADDITIONAL FEATURES Supported Communication Interfaces RS485,RS232,Ethernet,ZlgBee(optional) r Revenue Grade Data,ANSI C12.1 Optional('?... .............. .... ... ......... ...... ... ..... If • E ` ' Rapid Shutdown—NEC 7n14 690.12 Functionality enabled when SolarEdge rapid shutdown kit is insta lied( a —��- STANDARD COMPLIANCE »��: ;I s, :. Safety UL1741,UL1699B,UL1998,CSA 22.2 •�. ........................................... .................. .................................................. .............................................................. " - _ `v ' '' Grid Connection Standards IEEE1547 .. rid.Connection...Standards ................................................. ......... _ Emissions FCC part15 class B » I' + INSTALLATION SPECIFICATIONS .,._ 4�It;�' � .:� v i.� ..: AC output conduitsize/AWG range .........................3/4"minimum/16-6 AWG.,,..._„ ,.....,....,.... 3/4"minimum/8-3AWG ,.,,..... ,. " 1 .......................ize/ ......a. .... .. .. ... ........ .............. ................. DC input conduit size/#of strings/ 3/4"minimum/1-2 strings/ ........ ....................3/4"minimum/1-2 strings/16 6 AWG...................... N .AVJG.rang?..................... 14-6AWG ........... ' Dimensions with Safety Switch 30.5 x 12.5 x 10.5/ in/ , ., 30.5x 12.Sx7.2/775x315x 184 HxWxD . x 315 x 260 mm Weight with Safet Switch 51.2/23.2..........I..__.. _..54,7/,24.7., 88.4/40.1 Ib/kg ,. .... - i ♦ Natural - . ry convection Cooling Natural Convection and internal Fans(user replaceable) fan(user The best choice for SolarEdge enabled systems ..................................... .feplaceab�e).......... . .. . ................................... Noise <25 <50 deA Integrated arc fault protection(Type l)for NEC 2011690.11compliance I Min:Max.Operating Temperature 13to+140/-25to+60(-40to+60versionavail able"1) F/-C ..Rangetion ............................. ............................................................................................:............................. ........... — Superior efficiency(98%) " ( Protection Rating .................................................NEMA 3R — Small,lightweight and easy to install on provided bracket (1)Forother regionalsemngs please contact SolarEdge support. (D A higher current source may be used;the inverter will limit its input current to the values stated. ( — Built-in module-level monitoring - pl Revenue gmde inverter P/N:SExxxxA-USOOONNR21fur 7600W inverter:SE760oA-U5002NNR21. - ("(Rapid shutdown kit P/N:-US00DR5.14(for —4y P — Internet connection through Ethernet or Wireless I (5)-40 vets on P/N SExxzzA-USOOONNU41for 7600W mverter.SE7600A-U5002NN1.14). Outdoor and indoor installation f — Fixed voltage inverter,DC/AC conversion only 1 — Pre-assembled Safety Switch for faster installation — Optional—revenue grade data,ANSI C12,1 sunsaec E USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-ISRAEL www.solaredge.us AID. AI©� FERN i r 5 ' An�4e ,� t.E�;��dauas Rn *t (Jr�tiv� s .00 i Ar k � � � •�'^•-ram _ ___....set 4 °R qq x + , , I I f - QR k �A tq re s r