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0205 MITCHELL'S WAY
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'�n,.'b.. �=.4:,�..; la.:<.. de"s"s,..r._� �.�s.�...a�:a <.>a<.,,.,.�.�.�.� :�.,..„,.:•a �.�K;:..p i K.., ...,,..� -,v.-..,..zo.�..k._�.,.�h+,.«..�.k.,.<m� .: - Rermlt:No B-17 3327 Applicant Name SKYLINE_SOLAR;LLC. Approvals Current.Use Structure 'Date Issued "''10/13/2017 _ Permit;Type Building=:Solar:Panel-Residential' Expiration Date 04/13/2018 Foundation ;,. Location:° 205 MITCHELL,S,WAY, HYANNIS Map/Lot 290 07,5 Zoning,Districi: RB ,. Sheathing: . Owner on Record: THAYER,ELLEN.M:&LEIGH G Contractor"Name PHILIP J"CHOUINARD Framing: 1 Co tractor L c' G CS,027047 Address: 205 MITCHELL'S'WAY 2 HYANNIS, MA 02601gr'Est Project Cost: $34,000.00 Chimney: Description: Installation of a Safe and Code Com taint Grid Tied P,ux ` 'PermitFee: . Solar System on an existing residential roof. 28 panels%9156 KW. $223.40 Insulation: Fee Paid $223.40Kf . Protect Review Req: �, r ' Final Date 10/13/2017 Plumbing/Gas ;. .- o g Ruh Plumbing: ' Building Official mat Plumbing: _ . This permit shall be deemed abandoned and.invalid unless the work authorized by this permit is commenced within six months after issuance. F' _ All work.authorized by this permit"shall conform to the approved appl cation and the approved,construction documents for wh ch this permit has been.granied:. Rough Gas.: x E All construction,alterations and changes of use.of any building and structures shall be in compliance with the local zoning by taws aril codes.' This permit shall be displayed in a location clearly visible.from access street or�r6 ,and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. b � ` �4- s Electrical( " The Certificate of.Occupancy,mill not be.issued until all applicable signatures�by the 8uildmg and Fire Officials are per vided on th s permit. Minimum of FiveLalllnspectionsRequiredforAllConstructionWork:=" z_=^ w - Service � . 1.Foundation or Footing Rough. 2:Sheathin Inspection .. 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to frame Inspection Final: 5.Prior to Covering Structural Members.(Frame Inspection) Low Voltage Rough:' 6.Insulation . 7.Final Inspection before Occupancy Low Voltage Final: Where a licable;se crate permits are required for Electric pp p _ .,p q al,Plumbing and Mechanical Installations. Health Wgrk shall not proceed.until the.Inspectorhas approved,the various stages of construction, Fin <:Rerso.ns:eontractrn with urine istered contractors do.r�ot have access to_the:`.u.ara:n . .#und:,.,.as set:for h;m..NIGI-c..1.42A). ." .. r-;• ��� �-•' �" 5 ' '-�_°� Building plans are to-be available on`site ,r All Permr;t:;Cards are'the,property.of�the APPLICANT=ISSl1ED.RECLPIENT.._ • Final 't< ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcell)l 5 Application —' Health Division Date Issued 3 17 Conservation Division Application Fee ` Planning Dept. 'Permit Fee. Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis r Project Street Address Q 15 M Ol L 10 ki. NV', nol-5 gA wo Village f � Owner L Address Telephone Permit Request ),1�10 A J CA J rJ rA /Z Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District W,0,01ood Plain Groundwater Overlay Project Valuation Aq i OCO Construction Type—PY So SP- ,r ►') Lot Size la� Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 5 Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes Q No On Old King's Highway: ❑Yes M 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 8UILOING Q w.. Total Room Count (not including baths): existing new �, F;irst Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Oth,eC Central Air: ❑Yes ❑ No Fireplaces: Existing Tnm,Newp __ Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ newt sizeS 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 /O/R' HOMEOWNER) Name ( LaA6 SIL11 E g,_ Al&r (mil.-, Telephone Number 73) Address q VCk A )UL& 3 License # �l Y LpLvi/ 6D67Home Improvement Contractor# Email � � �.�i�.i 11Q C- lqz � Worker's Compensation # 1NC20 7 : 00127 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO E, ()- M- S, — Man).e-V S SIGNATURE DATE 9/1 / / 7 r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL • r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 0djflll DATE CLOSED OUT j ASSOCIATION PLAN NO. f t HOMEOWNERS AUTHORIZATION FORM Addendum to Contract c r (print na e) am the owner of the property located at address: (Pc nt address) I hereby authorize Next Step Living Inc. and/or its subcontractor, Skyline: Solar LLC, to act as my Agent for the limited purpose of applying.for and obtaining local building and other permits from the Authority Having Jurisdiction as required for the installation of a Photovoltaic System located on my Property. Customer Signature: Electronic Signature Accepted/Addendum to Contract Date: Print Name "� j . Yo Sign Name: I 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: E.O.M.S Name of Waste Facility 318 Manley Street West Bridgewater, MA 02720 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 I 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—6`h Edition r �1 . ?en Oi'� Zeofermit Applicant 9/13/17 Date The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,AM 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Skyline Solar I I C Address:95 Ryan Drive Suite 3 City/State/Zip: Phone #: 732-354-31ll Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 60 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 These sub-contractors have ship and.have no employees 8.:❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp: insurance . comp.. msurance. T 9. ❑ Building addition 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 1 I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL I2.❑ Roof repairs insurance required.] T c. 152, §1(4),and we have no: employees. [No workers' 13.0 OtherPV Solar System. 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 jobsite information. Insurance Company Name: NY Marine&General Insurance Policy#or Self-ins. Lic.#:. WC201700013247 Expiration Date:1/30/2018 Job Site Address: 205 Mitchells Way City/State/Zip:Hyannis, MA 02601 . 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 certif der the p s. d penalties of perjury that the information provided above is true and correct. Signature: Date: 9/13/17 Phone#: 92-354-31 1: 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#: Massachusetts Department of PubNa Safety Board of Building:Regulations and Standards License-t a-IWI)a Construction Supervisor PHMJP J CHOUIIWIRD 79OAKST:UNfTqOW AS1A Af+IQ MA 01721 - ZUC CA, Expiration*. Commissioner 1IM912017 Y6fP �sao�ztur��� o,�C� .hcfaonsumer Ai 'airsfidnesse u afion g 10 Park Plaza =Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 172284 ,. Type: Supplement Card . SKYLINE SOLAR, LLC. " = Expiration: tiRl2tliB PHILIP CHOUINARD 4 CROSSROADS DRIVE SUITE 1162 . HAMILTON, NJ 08691 � .,Q Update Address and return card.A3ark reason for change, sca I 4 xora.osru _ Address Renewal. Employment Lost Card - C%/rr�f/r:nrsr�airirvrr�/�i� '.l�r,t7rrr�rrN//1 rrice orConsumer Atrairs&uusinets Regulailon : License or registration valid for individual use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Re ulation . Ragisiratlan:.172284 Type: 10 Park Plaza-Suite 5170 6 :.Expiration:. el712018 .^ Supplement Cab Boston,MA 02116 SKYLINE SOLAR LLC PHILIP CHOUINAR6;.' 4�} 4 CROSSROADS DRIVE SUITE 11 AAMILTON,NJ 08691 Undersetrela ry Not vats without signature ,per \ (pow. . we ld Office of Consumer Affairs and Business Regulation 10 Park Plaza Suite 5170 Boston, Massachusetts 02116 Home Improvemebt Contractor Registration Type: LLC _ . Registration: 172284 Skyline Solar,. Llc. Expiration: 06/06/2018 4 Crossroads Drive Suite 116 > O .. Hamilton, NJ 08691 w a o r W i Update Address and return card. Mark reason for change. SCA 1 0'20M-05/» Gl..Address CI Penermf 0 Ernoioyme& 0 !ost Card i Office of Consumer Affairs 6 Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only +, T�e: LLC before the expiration date. If found return to: GYP Office of Consumer Affairs and Business Regulation -ReGistration Exdration 10 Park Plaza-Suite 5170 - M 1772f34 06/06/201 t3 Boston,MA 02116 s 1 skyrine solar, Lic. ayan Lane " 4 Crossroads Onve'Sude Hamilton,j+:J 08691= � % °�" `~� undersecretary Not valid without signature ,4co CERTIFICATE OF LIABILITY INSURANCE DATE`mwDDNYYY) 2/24/2017 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 The Hamilton Group, LLC NAME:PHONE F 3 Wing Drive Ax ac xt:973-292-229 A/C No): E-MAIL Cedar Knolls NJ 07927 ADDRESS: INSURERS AFFORDING COVERAGE NAIC INSURER A: Syndicate INSURED INSURER INSURER B:New York Marine General Insurance Skyline Solar LLC INSURER C:NY Marine&General Ins Skyline Solar RI, Inc. INSURER D ProSi ht S nd. 1110 at Lloyd.s 4 Crossroads Drive, Ste 116 Hamilton NJ 08691 INSURER E INSURER F - COVERAGES CERTIFICATE NUMBER:639127296 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT.WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - TYPE OF INSURANCE ADDL SUBR - POLICY EFF POLICY EXP - LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DDNYYY LIMITS D GENERAL LIABILITY PK201700009639: 1/30/2017 1/30/2018 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES ERENTED a occurrence $100,000 CLAIMS-MADE OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGG $3,000,000 POLICY PRO LOC Professional Liab. $1,000,000 B AUTOMOBILE LIABILITY AU201700011884 1/30/2017 1/30/2018 C AU201700011916 1/30/2017 1/30/2018 Eaaccdent $1,000,000 X ANY AUTO BODILY.INJURY(Per person) $ - ALL OWNED : SCHEDULED. -. .BODILY INJURY Per accident $.AUTOS AUTOS - � � � � ( ) - X X NON-OWNED - : :PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ $ A UMBRELLA LIAB X OCCUR UM201700005051 1/30/2017 1/30/2018 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE ' AGGREGATE _ $5,000,000 DED X I RETENTION$10,000 C WORKERS COMPENSATION WC201700013247 1/30/2017 1/30/2018 X WCSTATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIM T E ANY PROPRIETOR/PARTNER/EXECUTIV- E.L.EACH ACCIDENT $1,000,000 -. OFFICER/MEMBER EXCLUDED? El .N/A - (Mandatory in NH) -. - - -.. E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under .. .. .. - .. DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $1,000,000 D Installation Floater PK201700009639. 1/30/2017 - 1/30/2018 Per Occurrence $100,000 Deductible $2,500 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) This Certificate does not afford coverage for Additional Insureds. The Certificate is only evidence of insurance coverage for the Named Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence Of Insurance SHOULD EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD `?-332? . RZM structural September 1,2017 ENGINEERS SunPower Corporation 77 Rio Robles San Jose,CA,95134 Subject:Structural Certification for Installation of Solar Panels Job Number:2017-04483 Client: Leigh Thayer-RP-16036 Address:205 Mitchells Way,Barnstable, MA 02601 Attn.:To Whom It May Concern A field observation of the condition of the existing framing system was performed by an audit team from SunPower Corporation. From the field observation of the property,the existing roof structure was observed as follows: The existing roof structure consists of: • Composition Shingle over 1x Decking is supported by 2x6 @ 20"o.c.SPF#2 at ARRAY 1/2.The rafters are sloped at approximately 25 degree and have a maximum projected horizontal span of 12 ft 0 in between load bearing walls.. • Composition Shingle over 1x Decking is supported by 2x6 @ 2V'o.c.SPF#2 at ARRAY 3.The rafters are sloped at approximately 25 degree and have a maximum projected horizontal span of 10 ft 11 in between load bearing walls. Design Criteria: • Applicable Codes=780 CMR,ASCE 7-05,and NDS-05 • Ground Snow Load=30 psf; Roof Snow Load=20.8 psf ARRAY 1/2;20.8 psf ARRAY 3 • Roof Dead Load=7.7 psf ARRAY 1/2;7.7 psf ARRAY 3 • Basic Wind Speed=110 mph Exposure Category C As a result of the completed field observation and design checks: • ARRAY 1/2:it is adequate to support the loading imposed by the installation of solar panels and modules.Therefore,no structural upgrades are required. • ARRAY 3:it is adequate to support the loading imposed by the installation of solar panels and modules.Therefore,no structural upgrades are required: I certify that the capacity of the structural roof framing that directly supports the additional gravity loading due to the solar panel supports and modules had been reviewed and determined to meet or exceed the requirements without structural upgrade in accordance with the 780 CMR. If you have any questions on the.above,do not hesitate to call. I�P�SN.OF4fgS c Prepared By: PAULK.: yG ZACHER u'n PZSE,Inc.-Structural Engineers o _STRUCTURAL Roseville,CA No.50100 sozc?z� �Q- FSS/ONAL 8150 Sierra College Boulevard, Suite 150, Roseville, CA 95661 T 916.961.3960 F 916.961.3965 W www.pzse.com Experience I Integrity I Empowerment gza structural September 1, 2017 ENGINEERS SunPower Corporation 77 Rio Robles San Jose, CA 95134 Attn.:To Whom It May Concern - re Job 2017-04483 : Leigh Thayer- RP-16036 The following calculations are for the structural engineering design of the photovoltaic panels located at 205 Mitchells Way, Barnstable, MA 02601.After review, PZSE, Inc. certifies that the roof structure has sufficient structural capacity for the applied PV loads. If you have any questions on the above,.do not hesitate to call. OFMASs9 PAULK. CyG Prepared By' ZACHER STRUCTURAL PZSE, Inc. -Structural Engineers No.50100 Roseville, CAoz ��SSlONAIENG\ i 8150 Sierra College Boulevard, Suite 150, Roseville, CA 95661 T 916.961.3960 F 916.961.3965 W www.pzse.com Experience I Integrity I Empowerment Project: Leigh Thayer-- Job#: 2017-04483 PZH Date: 9/1/2017 Engineer: GS Gravity Loading Roof Snow Load Calculations pg=Ground Snow Load= 30 psf Ce=Exposure Factor= 0.9 (ASCE7-Table 7-2) Cf=Thermal Factor= 1.1 (ASCE7-Table 7-3) I=Importance Factor= 1 pf=0.7 Ce Cf I pg 21 psf (ASCE7 Eq 7-1) where pg<_20 psf,Pf min=I x pg= N/A where pg>20 psf,Pf min=20 x l= N/A Per ASCE 7-05,minimum values of Pf shall apply to hip and gable roofs with slopes less than the larger of 2.38o and(70/W)+0.5. Therefore,pf=Flat Roof Snow Load 21 psf ps=CSpf (ASCE7-Eq 7-2) Cs=Slope Factor= 1.000 ARRAY 1/2 Cs=Slope Factor= . 1.000 ARRAY 3 ( Ps=Sloped Roof Snow Load 20.8 psf ARRAY 1/2 Ps =Sloped Roof Snow Load= 20.8 psf ;ARRAY 3 PV Dead Load=3 psf(Per SunPower Corporation) Roof Live Load= 18.40 - psf ARRAY 1/2 Roof Live Load= 18.40 psf ARRAY 3. Note:Roof live load is removed in area's covered by PV array. Roof Dead Load ARRAY 1/2 Composition Shingle 4.00 1x Decking 2.00 2x6 Rafters @ 20"o.c. 0.91 Vaulted Ceiling 0.00 (Ceiling Not Vaulted) Miscellaneous 0.09 Total Roof DL ARRAY 1/�. 2:... 1.0_ _-- - -- — _ psf _ DL Adjusted to 25 Degree Slope 7.7 psf Roof Dead Load ARRAY 3 Composition Shingle 4.00 1x Decking 2.00 2x6 Rafters @ 20"o.c. 0.91 Vaulted Ceiling 0.00 (Ceiling Not Vaulted) Miscellaneous 0.09 _Total Roof DL ARRAY 3 7.0 psf A�y DL Adjusted to 25 Degree Slope 7.7 psf I 2of6 r Pza Project: Leigh Thayer-- Job #: 2017-04483 Date: 9/1/2017 Engineer: GS Wind Calculations Per ASCE 7-05 Components and Cladding Input Variables Wind Speed 110 mph Exposure Category - C _. . Roof Shape Gable .Roof Slope 25 degrees Mean Roof Height 20 ft - Building Least Width 24 ft Effective Wind Area 16.4 sf Roof Zone Edge Distance,a 3.0 ft Controlling C&C Wind Zone Zone 2 Design Wind Pressure Calculations Wind Pressure P=qh*(G*Cp) qh=0.00256* Kz*Kzt*Kd*V^2*I (Eq_6-15) Kz(Exposure Coefficient)= 0.9 (Table 6-3) Kzt(topographic factor) 1 (Fig.:6.4) Kd(Wind Directionality Factor),= 0.85 (Table 6-4) ; V(Design Wind Speed)= 110 mph Importance Factor= 1 (Table 6-1). qh= 23.7 psf Standoff Uplift Calculations Zone 1 Zone 2 Zone 3 Positive GCp= -0.89 -1.66 -2.56 0.49 Uplift Pressure= -21.16 psf -39.45 psf -60.60 psf 11.51 psf Attachment Dead Load= 3.00 psf 3.00 psf 3.00 psf Max Rail Span Length= 6.00 ft 6.00 ft 6.00 ft Longitudinal Length= 2.73;ft 2.73 ft 2.73 ft Attachment Tributary Area= 16.38 sf 16.38 sf 16.38 sf Attachment Uplift= -3171b -616 lb -963 Ib Lag Screw Uplift capacity Check Fastener= 5/16 inch Number of Fasteners= 1 Minimum Threaded Embedment Depth= 2.5 inch Withdraw Capacity Per Inch 205 Ib (NDS Eq 11.2.1) Allowable Withdraw Capacity= 820 Ib (NDS Table 10.3.1) 820 lb capacity>616 lb demand Therefore;OK -Lag Screw Shear capacity Check Embedment Depth Reduction Factor 1 Snow Lateral Force= 165 Ib Attachment Lateral Capacity 288 Ib (NDS Table 11K) 287.5 lb capacity.>165 lb demand Therefore,OK 3of6 'PZ'H Project: Leigh Thayer-- Job#: 2017-04483 Date: 9/1/2017 Engineer: 6s Framing Check ARRAY 1/2 PASS w=53 plf Dead Load 7.7 psf PV Load - 3.0 psf Snow Load 20.8 psf i 2x6 Rafters @ 20'Wc. Member Span=12'-0" Governing Load Comb. DL+SL - Note:Attachments shall be Staggered. Total Load q31.5 psf Member Properties Member Size S(in^3) 1(in^4) Lumber Sp/Gr Member Spacing 2x6 7.56 20.80 SPF#2 @ 20"o.c. Check Bending Stress Fb(psi)= f'b x Cd x Cf x Cr (NDS Table 4.3.1) 875 x 1.15 x 1.3 x 1.15 Allowed Bending Stress=1504.3 psi Maximum Moment = (wL^2)/8 = 945 ft# 11340. in# Actual Bending Stress=(Maximum Moment)/S =1499.6 psi Allowed>Actual==99.79e.Stressed --.Therefore,OK Check Deflection Allowed Deflection(Total Load) = L/120 (E=1400000 psi Per NDS) = 1.2 in Deflection Criteria Based on Simple Span Actual Deflection(Total Load) (5*w*L^4)/(384*E*I) 0.778 in = L/186 < L/120 Therefore.OK Allowed Deflection(Live Load) _ L%180 0.8 in Actual Deflection(Live Load) _ (5*w*L^4)/(384*E*1) 0.556 in L/259 < L/180 Therefore OK Check Shear Member Area= 8.3 in^2 Fv(psi)= 135 psi (NDS Table 4A) Allowed Shear.= Fv*A = 1114 Ib Max Shear(V)=w* L/2 = 315 Ib Allowed>Actual--28.3%Stressed -- Therefore,OK 4of6 Project: Leigh ,. � g Thayer-- Job#: 2017-04483 PZE Date: 9/1/2017 Engineer: GS Framing Check ARRAY 3 PASS w=53 plf Dead Load 7.7 psf PV Load 3.0 psf Snow Load 20.8 psf p ) 2x6 Rafters _...� Member Span=10'-11" Governing Load Comb. DL+SL Note:Attachments shall be Staggered. Total Load 31.5 psf Member Properties Member Size S(in A3) 1(in A4) Lumber Sp/Gr Member Spacing 2x6 7.56 20.80 SPF#2 @ 20"o.c. Check Bending Stress Fb(psi)_ f'b x Cd x Cf x Cr (NDS Table 4.3.1) 875 x 1.15 x 1.3 x 1.15 Allowed Bending Stress=1504.3 psi Maximum Moment = (wLA2)/8 = 782.077 ft# = 9384.92 in# Actual Bending Stress=(Maximum Moment)/S - =1241 psi Allowed>Actual-82.SV Stressed - Therefore,OK Check.Deflection Allowed Deflection(Total Load) = L/120 (E=1400000 psi Per NDS) = 1.091 in Deflection Criteria Based on _ Simple Span Actual Deflection(Total Load) (5*w*LA4)/(384*E*I) = 0.533 in = L/246 < L/120 Therefore OK Allowed Deflection(Live Load) L/180 0.727 in Actual Deflection(Live Load) _ (5*w*LA4)/(384*E*I) 0.381 in L/344 < L/180 Therefore OK Check Shear Member Area= 8.3 m^2 Fv(psi)= 135 psi (NDS Table 4A) Allowed Shear = Fv*A = 1114 Ib Max Shear(V)=w* L/2 = 287 Ib Allowed>Actual--25.8%Stressed -- Therefore,OK 5of6 I Project: Leigh Thayer-- Job#: 2017-04483 Date: 9/1/2017 Engineer: GS Lateral PzM 780 CMR Existing Weight of Effected Building Level Area Weight(psf) Weight(lb) Roof 864 sf 7.7 psf 6653 lb Ceiling 864 sf 6.0 psf 5184 lb Vinyl Siding 800 sf 2.0 psf 1600 lb (13.5`Will Height) Int.Walls 400 sf 1 6.0 psf 2400 lb Existing Weight of Effected Building 15831 lb Proposed Weight of PV System ' Weight of PV System(Per SunPower Corporation) 3.0 psf Approx.Area of Proposed PV System 497 sf ~Approximate Total Weight of PV System 1491 lb I. 10%Comparison 10%of Existing Building Weight(Allowed) 1584 lb Approximate Weight of PV System(Actual) 1491 lb Percent Increase 9.4% 1584 lb>1491 lb,Therefore OK . - I BUILDING DEPT. SEP 2 6 2017 TOWN 0'EA INSTABLE 6 of 6 167 CODE INFORMATION wnp APPLICABLE CODES,LAWS AND REGULATIONS Nggq333 SOLAR INDIVIDUAL PERMIT PACKAGE 2016 INTERNATIONAL BUILDING CODE(IBC) 2016 INTERNATIONAL RESIDENTIAL CODE(IRC) Ogg 2016 INTERNATIONAL'FIRE CODE(IFC) � 2016 NATIONAL ELECTRICAL CODE(NEC) Z �a MASSACHUSETTS STATE BUILDING CODE BASED ON Z L E I G H THAYE R 20091 7_05 ASCE � w 9 . 16 kW GRID TIED PHOTOVOLTAIC SYSTE M�= - - - _ cli (508) 360-6920 _ � c SATELLITE IMAGE - _ - ® 5 PROJER LOCATION 205 MITCHELLS WAY - Lu BARNSTABLE, MASSACHUSETTS 02601 co AHJ: BARNSTABLE ! UTILITY: EVERSOURCE ENERGY (FORMERLY NSTAR ELECTRIC COMPANY) ` JOB NOTES SHEET INDEX o w PV SOLAR ARCHITECTURAL DRAWINGS y o PVA-0 .COVER SHEET i ...... ...... - .. PVA-1 ARRAY LAYOUT W O PVA-2 ROOF STRUCTURAL INFORMATION Q p J = :PVA-3 '' ROOF 2 STRUCTURAL INFORMATION = O w V¢ a .. PVA-4 ROOF 3 STRUCTURAL INFORMATION ~ is = J ... = U V) W f O O J O ry m p C ¢ Z -- - PVBOLAR ELECTRICAL DRAWINGS Y Z 5 z 0 PVS-1-2 MOUNTING DETAILS m PVS-3-4 STRUCTURAL CALCULATIONS a PVS-5 - STRUCTURAL LETTER REVISIONS .. .. PV SOLAR ELECTRICAL DRAWINGS. . PVE-1 ELECTRICAL SINGLE LINE DIAGRAM& SPECIFICATIONS PVE-2 ELECTRICAL CALCULATION PVE-3 ELECTRICAL DATA&SPECIFICATIONS .. .. PVE-4' PLACARD/CONDUCTOR:&OCPD SIZING TABLE AM PVE-5 STRING DIAGRAM PVE-6 INSPECTION LIST&COMMISSION REPORT PVE-7 ELECTRICAL DATA&SPECIFICATIONS PVA-O Py / LEGEND M -f ELLS W w o gg M'i\ p )UNCTION BOX � o CONDUrT.. §fA . .. ... .,. ...... .... : 0.... EXISTING�SERVICE POINT Z) " - PROPERTY LINE 3'_WIDE ACCESS PATH - NEW LOAD CENTER ' s ... ...... DRNEWAY �9 .... .. .a AC DISCONNECT o ..... -c- �. cp - .. EXISTING UTILITY METER 3p O ':. .. p0 C N " p p .: In o w 55 2t25, u' LU o. W y F a ¢ fii � Ul � H O J ❑"• tit t. O NOTE: w ~ J 1.MINOR FIELD ADJUSTMENTS ALLOWED J o ry m z '44'-3 BASED ON ACTUAL SITE CONDITION AND L9 F - MEASUREMENTS. a 60 Y Of o .. rn ..REVISIONS . ... �- ..... ... 1 .. .ESGatvrtoN CONTRACT MODULE. SPR-X20-327-BLK-C-AC 240 28 &QUANTITY �� -- INVERTER TYPE SPR-X20-32J-BLK-C-AC 240 28 .. AND QUANTTY �� ROOF TYPE COMPOSITION .. ... .. ....... .. - STORY.. .. 2-STORY.. .. HOME TYPE SYSTEM BO°,170°&260° ' ORIENTATION ' - ROOF PITCH scn,[® �ltx..,o 5.5:12&5.5:12&5.5:12 -' CONSUMPTION SMeEr PVA-1 ' MONITORING TBD be N F aqe FIG.A:MODULE PLACEMENT AND FRAMING DETAIL:ROOF 1 LEGEND uj w Bj e 0 _ o Q9� .. .. 2 > - - — EXISTING RAFTER / > g O 3 a p4 • ROOF ATTACHMENT Z : m ..... .. .. .. ....' ® RAIL Adgg ..CHIMNEY ROOF VENT P VENT PIPE a + Z 6� 1 i. + + .. .. .. PAUL R.'W ZACHER 'STRUCTURALAp y No 50100 �SSIONALEN i E < o 0, 4 a D U % .. ... ... w O 3 0 G O .. .. . F- O w a o. .. .. .. .. In ¢ CJ FIG.B:STRUCTURAL FRAMING DETAIL(NTS) w F u o m i L-FOOT FLASHING J ry m p K ¢ ? IA :. INVISIMOUNT RAIL >ylL ..' :- l7 � w .r LAG .. Y Z g O :. :. :. K RAFTER SIZE AND SPACING: BOLT - - - m O 2'X 6'® PV MODULE 20- COMPOSITE SHINGLE - ATTIC : REVISIONS I LAYER/S - . BRACING III _ 20"O.C. .. .. .. LEGEND VALUE A 24" .. - .. .. IRO— B 12' CEILING JOIST _ D 49" - ...... ... . A B - .. PURLIN BRACING 1"X 4" - SPACING O,C. 20 EXTERNAL LOAD INTERNAL LOAD BEARING WALL BEARING WALL � - PVA-2 w = FIG.A: MODULE PLACEMENT AND FRAMING DETAIL•ROOF 2 LEGEND W EXISTING RAFTER 2s O 1 a o z � � 1 � • ROOF ATTACHMENT O '�" t1 1' y o0 7 ;E - ______ RAIL a s i i V ® p � ..... .. .. CHIMNEY I J 0 ROOF VENT - Q VENT PIPE ZH OFA44 I PAUL K. W ZACHER STRUCTURAL y _ No.50100 SS/ONALEG� ..� .. w Z ry a 0 0 u a w 0 3 k.o a o _ Z = 0 w F- a = FIG.E:STRUCTURAL FRAMING DETAIL(NTS) - f f 0 LiL—FOOT FLASHING 0 Lis a: INVISIMOUNTR I LAG L 0 Z 0 0 RAFTER SIZE AND SPACING: BOLT ti m 2•X 6•0 PV MODULE .. 20"O.C. COMPOSITE SHINGLE ATTIC REVISIONS 1 LAYER LS 1"v4"PURLIN .. .. BRACING _ 20"O.C. ... LEGEND VALUE A 24" B 12' CEILING J015T D 49" ... PURLIN BRACING 1"X 4" SPACING O.C. 20 EXTERNAL LOAD INTERNAL LOAD--- BEARING WALL BEARING WALL sHeEr PVA-3 FIG.A:MODULE PLACEMENT AND FRAMING DETAIL:ROOF 3 - LEGEND LJJ 3 EXISTING RAFTER '^ 3 aeYe .. ... _ ... .. • ROOF ATTACHMENT O q a p o 0 . � ------ RAIL o . B .. .. ® 'CHIMNEY ROOF VENT VENT PIPE _ f CDJ ItA OF PAUL K. .. t.. ZACHERm STRUCTURAL y I ' Nob 0100 1 SSIONAL� 19_- 1 1 .. .. .. Z � a o Y f C ... ... .. - ... - .... ... - .. .. .. W. O .� O U u ut < 2 FIG.B:STRUCTURAL FRAMING DETAIL(NTS) _ w F f oLis z . .. .. L—FOOT FLASHING - J o N m Z INVISIMOUNi RAIL LAG 1 y 5 0 RAFTER-SIZE AND SPACING: BOLT.. -. ¢< U) K 2-X 6'® PV MODULE '- - _ - 20"O.C. ... ... .. ..� COMPOSITE SHINGLE ATTIC - .. - REVISIONS 1 LAYER 4S - 1".4"PURLIN .. .. :. BRACING® .. 20"O.C. .. .. LEGEND VALUE A B". CEILING JOIST q _ D B1" - - ow,w�ev n�eunco A 1"PURLIN BRACIN X 4" p SPACING O.C. ZO EXTERNAL LOAD INTERNAL LOAD---- .. - .. - - KALE �����o• BEARING WALL BEARING WALL sMerr PVA-4 a . INNSIImUNT MIL PV MODULE PV MODULE Y. 3 m are � O c ( HIX w --____________ ____ SWMO _ . .. .. COYP651fmN IES . .. .. SHOE ASSEMBLY . !/IS'N 1'S5.LAE 80LT YlRI!/IS•RASIRA O LENiER REROi TD SWIYYfI TAaE IESLn ro suxNEur rABLE Tro... a � o Po YA%SPMI AND GWRL GOR IWI SPN1 AND CNxll - -2 1/2•YIN.mIBE01ENr OIrO R4lFA.PRE-OML RE.— z n (E]1R1155 OR RKIFA (DOU TISI FIR 011 RMFR - x _(O�UCI.S FlR OR EQUAL) P)PE IMr RRIS '(2)PER YODUIE _'� —I..• - i �' I- I. �i FIGURE 3:INVISIMOUNT ROOF ATTACHMENT DETAILS @ TRUSS'/RAFTERS For Existing Roof and T - _ --il' ( II I SUNPoNfli YOOULE l d Roof Attachment Only ATTACNYEMR(TTP.) ` xN60101Mr RNL END cUYv PER SSUN E LRD a my .. IV%OF ftq =tea �._�-- END ON, LFaor L PAUL K. _ - PV MODULE ZACH PV MODULE STRUCTURAL rn �s �� _®tee / 1 I ry caYcosnmx swNnas • No.50100 — � III I — i INCIE Dx TOP OF M511OIO � SNINOIE OH lOP Oi FIASXINO �.•—� � � 06/30/2CYN I. I I I •G- I I I _ —— 4S/ONALE \i I \y6 _.—�_T � XIX DM ---- — -- N. /J2 JL' END CLPMP „� XIX W SXFAIXINC Y•INIW4 (J)18Y SINMFA NRR OR T �.. .� _ roE NNL DN ENO OR R R MEA 180 9xNEA NYL as TO t J -roE MR Ox E1CX END - w {' s/18•ll N•B.S.LNGBOLT !/IS•N♦•S.S.LNG[pLT (E)1XL6$OR RN'TER .. NOTE:♦�B'MT BIOCNINO YIIIX s/18•NASNFA O CENiFA TYP. YRIII!/IS•WASHEN O CENR]1 IMP. Y •WEIGHT OF INSTALLED ARRAY:3.5 PSF - \ / DILLY RE01tlREo NMfIE 2 1/2•YM.EYBFDEIENr RRO 2 1/1•YIN.FIOIE➢YFNr Wr0 g4TER. (/1 O Q f ATGCHYFM Po2R 6..X.— BIDCNDiG. PRE—REOUIRED. BEIYFmI RNIEIS/rRU556 IN PRE-DRILL REQUIRED. u •STAGGER ATTACHMENTS WHEREVER POSSIBLE ORDER TO YER WR Q Q MID CLAMP - OMmLD,R SMORM IN r10.1 (-.. Y 1 SWY4N TABLE. Lu o Q J FIGURE 1:PLAN VIEW,TYPICAL ARRAY LAYOUT' - FIGURE 4:INVISIMOUNT ROOF ATTACHMENT DETAILS BLOCKED LOCATIONS Q-o _ w . _ U14' z. .. .. ... n U n Q Z f Z o L J ryaDO f Z Y z C) � o DO .. ., REVISIONS .. .. GATE Ow.wry 09m01-2o17 96 CELL MODULE 72 CELL MODULE - - •INVISIMOUNT RAILS SHALL BE POSITIONED IN THE NON-CROSS HATCHED REGIONS - CNECNED Br nnniEl FIGURE 2:INVISIMOUNT MOUNTING CLAMP POSITIONING DETAILS E PVS-1 i N = oa FIGURE A:SINGLE LINE DIAGRAM-9.16 kWAC : : W oD o a � NOTE: BELOW ARE OPTIONAL OFFERINGS AND SHALL Ogg 0 > a ONLY BE INSTALLED IFTHE HOMEOWNER SIGNS F m .. ... 1•. A SPECIFIC.CONTRACT WITH SUNPOWE0.. SUNPOWER MONITORING SYSTEM C 1, a SUNPOWER MODULES JUNCTION BOX, (N)SOLAR LOAD CENTER a,•.rv, - .O• INCOMING SOURCE FEED SPR-%20- B.-BLX-C-AC(240) NEMA-3R, 100A MIN.,120/24OV, i(r�l !' W HOFFMAN Al2Rl D6 M.L.O,NEMA-30. .. .. _ \,.(y�� ROOFTOP 'OR EQUIVALENT LOCATION:NEXT TO ACD - " (E)'MANUFESQUAREAD EL (E)UIOLCAT10N0. ARRAY WIRING A ~ SIDE DOA,120/240V,IPH,3W OCATION:INSIDE THE HOUSE . .... .... .. II J� EI'E,UTILITY Al Bre 1 Circu t#1 F J SOA,2P _ _ E F : ® I K,/UPPl E TAPAAL � METER#�A� p - OC 10 AC MODULES 20A ZP :� VTPE.4/0-6 "�' 2299294 — r� I PV LOCATE DISCONNECT I I F 1 I J .. .. .. LOCATED NEXTNECT m,PLys .. 11// �Ac I.ACNMODUILE52 11 20�\P '15�`P _ - [\] FROM THIS SWIT'ITAP ` - = w !/ MCB x X 20A 2MA,2P r� -METER SOCKET® NA, Branch Circuit#3 _ ... TO BE PROVIDED B AC MODULES I I BY CONTRACTOR 50 A _71TO EXISTING I ... I.. ..I O .. .. LOADS 1 i1 .I I' EXISTING GROUND_ .. CAT Se ETHERNET UTILITY=LOCKABLE SAFETY SWITCH 60A,240VAC CONNECTION TO CURER-HAMMER DGZ22URB OR EQUIVALENT DSVCABLE MODEM LOCATED OUTSIDE WITHIN B'OF METER WITH VISIBLE KNIFE BLADES f D .. US BRANCH CIRCUIT SUMMARY BRANCH# ROOF LOCATION N o w Q V L9 O twz 3 3. .. .... ....... ... .. .. w O - ?� f z O w Q a V J UL TAG DESCRIPTION CONDUCTOR/CONDUIT SCHEDULE AtSOLAR AC MODULE/BRANCH ACM DESCRIPTION& CONDUCTOR SIZE NUMBER OF - ELECTRICAL NOTES J 0 C W OJ J Q TAG CONDUIT/CABLE TYPE CONDUIT SIZE `" N m z ti © DC/DC CONVERTERS NO CONDUCTOR TYPE (AWG). CONDUCTORS.. ... .... ... Q .-.d. 1.PROPER LISTING EXPECTED FOR CONDITIONS OF USE ON ALL LUGS,FITTINGS,CRIMPS,ETC l7 H- © SOURCE CIRCUIT JUNCTION BOX YES ue�uEsiio ul Fxs #12 2 2.ALL CONDUIT BEND RADII TO CONFORM TO THE NEC MINIMUM BEND RADII REQUIREMENTS. U) TYPE-ER,PER z su oµ ws L-11�Fs sxr iax 44 �q __ 3.MINIMUM CLEARANCE SHALL BE MAINTAINED PER NEC FOR ALL NEW EQUIPMENTS TO I INSTALLED., �i 0! J w © SEPARATE DC DISCONNECT NO WITH EGC #12 1 BRANCH CIRCUIT 4.EXISTING GROUNDING ELECTRODE SYSTEM MUST MEET NEC AND LOCAL UTILITY REQUIREMENTS. Y Q O W S.COPPER CONDUCTORS SHALL BE USED UNLESS SPECIFIED... .. .. .. .. m LF ® INTERNAL INVERTER DC DISCONNECTS NO THWN-2- #10 fi - 6.TYPE NM(ROMEX)CONDUCTORS ARE ALLOWED FOR INTERNAL AND ATTIC RUNS AND SHALL BE INSTALLED MEETING NEC REQUIREMENTS. - © STRING INVERTER NO EGC:THWN-2 #]0 1 EMT 3/4" T,IF MAIN SERVICE PANEL IS TO BE UPGRADED,IT WILL BE PERM—ED AND INSTALLED BY 3RD PARTY. D\ e B.AC WIRING SHALL UPSIZE IF VOLTAGE DROP EXCEEDS 2%'. .1 ' J-D S ION S SOLAR LOAD CENTER YES THWN #14 3 9.RUN CONDUCTORS IN EXISTING CONDUIT WHEN AVAILABLE PROVIDED IT HAS NO OTHER CONDUCTORS RUNNING THROUGH IT. © EMT 1/2" IOEQUIVAIENT SPECIFICATION ON CABLES AND ELECTRICAL EQUIPMENT SPECIFIED ARE ACCEPTABLE. ry oAtF oe[a Q PV PRODUCTION METER YES EGC:THWN ..#14 1 - 11.AS DC POWER 15 INTERNAL TO THE MODULE,GROUNDING ELECTRODE CONDUCTOR(GEC)FOR THE MODULE OR ARRAY IS NOT REQUIRED. ® SEPARATE AC DISCONNECT - YES A TWISTED FAIR #22 2 EMT.. 1/2" CHECK BOX FOR WHETHER SYSTEM IS GROUNDED OR UNGROUNDED: THWN-2 #e 3 ❑ GROUNDED(INCLUDE GEC) Q EMT 3/4" [�UNGROUNDED EGC:THWN-2 Plo 1 - FORUNGR UNDED SYSTEMS: THWN-2 #6 3- • DC OCPD DISCONNECT BOTH CONDUCTORS OF EACH O EMT 3/4" 0.P-iao36 SOURCE CIRCUIT. EGC:THWN-2 #30 ] ALeLAxtO UNGROUNDED CONDUCTORS MUST BE IDENTIFIED PERPERMITTE WHITE FINISHED CONDUCTORS ARE NOT - .. - _PERMITTED. E-1 CieELECTRICAL CALCULATIONS - £ 3 o _. e Zo �5 FIGURE C:ELECTRICAL CALCULATIONS iciurt U o X 0 LU C) '3 j g o' J = J .. F- a = au .. Ij .. S p U ¢ 4 LU o w m REVISIONS PVE-2 ELECTRICAL DATA&SPECIFICATIONS - 2w cl- �Fg6 ga3gF3g ' wA NG. � ¢ z O INVERTER OU ELECATNNETIDN Ou ' DD nOT aELOCnTE THIS � <aCFs sEmnD z Ano A WARNING D EaCDaRErv.DEVI E saD DLTAICBYBTEM � SIGNAGE LOCATIONS: ����� -- •MAIN SERVICE PANEL 111151/U4:S�7.1:��►11•GILT.A►i.J' - ELECTRICAL SHOCK HAZARD -- Co •INDOOR I C ITOOOR AC DISCONNECT •NEW INDOOR OUTDOOR LOAD CENTER •• • • IF A GROUND FAULT 15 INDICATED 1 .INDOOR/OUTDOORSUSPANEL • :• • • -NORMALLYGROUNDEDCONDUCTORS _ ••• • • MAY BE UNGROUNDED&ENERGIZED •• •• • . . POST PV—1 METER o 0 • - SIGNAGE LOCATIONS: SIGNAGE LOCATIONS: •I• •MAIN SERVICE PANEL •MAIN SERVICE PANEL M .INDOOR/OUTDOOR AC DISCONNECT •INDOOR/OUTDOOR AC DISCONNECT •NEW INDOOR I OUTDOOR LOAD CENTER - •NEW INDOOR OUTDOOR LOAD CENTER - SIGNAGE LOCATIONS: A o W •MAIN SERVICE PANEL C •NEW INDOOR OUTDOOR LOAD CENTER e •INDOOR/OUTDOORSUBPANEL BxrE IN)LOAD CENTER CREW I is plalk,lei .. SIGNAGE LOCATIONS: •NEW INDOOR/OUTDOOR LOAD CENTER SIGNAGE LOCATIONS: .MAIN SERVICE PANEL •NEW INDOOR/OUTDOOR LOAD CENTER .INDOOR/OUTDOOR SUB PANEL 290 V - �y Ul SIGNAGE LOCATIONS: • • • 11 MAIN SERVICE • 2BoxCE PANEL U N n ° ¢ O •• o Y r •NEW INDOOR I OUTDOOR LOAD CENTER I•• • •• •`• Ul Q Q H r r1- a U 3 SIGNAGE LOCATIONS: w urI U f •NEW INDOOR/OUTDOOR LOAD CENTER Q O J V W 2 O = w I.- C V'� < G SIGNAGE NOTES (=7 w G f p Q J O o ED O Q ... MATERIPL USED FOR THE SIGNAGE SHALL BE REFLECTIVE,WEATHER RESISTANT AND Ce Q Z .U-i SUITABLEFOR THE ENVIRONMENT U N K Be 2.WALL ON RED BACRGROUNO—1,-EFT'RS WITH MINIMUM y'LETTER HEIGHT,. Y Ce G Y O0 W • • • NACE SHALL HA a N • • • • a• MAIN SERVICE DISCONNECTMARKING SHALL BE PLACED ADIACENT TO MAIN SERVICE �' m ' Ed D S N LOCATION ON CLEARLY VISIBLE FROM THE LOCATION WHERE THE LEVER OPERATED. •• • • •A 1. RING IS REQUIRED ON ALL INTERIOR AND EXTERIOR OC CONW IT,RA-.w , REVISIONS SIGNAGE LOCATIONS: • • •• •••• ,REs CABLE ASSEMBLIES,AND JUNCTION BOXES TO ALERT THE FIRE SERVICE INDOOR/OUTDOOR AC DISCONNECT ro A olo CuirIBN THEM.mnagrvGs SHALL BE PLA[ED EVERT IO',AT TuaNs AND 29GV • ABOVE NO/OR BELOW PENETRATIONS,AND AT ALL DC COMBINER AND JUNSAN K—E. BO%Es.A SIGNAGE LOCATIONS: - s.Do NOT USE SCREWS FOR slcNAGE ATTACHMENT..USE ONLY APPROVED ADHESIVE. •INDOOR OUTDOOR AC DISCONNECT ' SIGNAGE LOCATIONS: •INDOOR I OUTDOOR AC DISCONNECT OPPORTUNITY TFS PVE-3 Conductor&OCP AzingLBased�on 50-G(120-F) � AW■G1`y184;A.WG1■1 AWG�114ANCl[t4AWG,31`3`14..AWG 1d AWG••14AW�.GJ�t.AWO 12AW.+�'82 AW("�12 AWG; � �tSA lBR'_'AJ*i5Aj�5A■ tSA >A.'SA� SAJ ISA�IS A�y�,�A�[1�.20 A'y���G A1y� _ ,�S�y,1.•1AAG i�IiS4G 115aG�50.■IISA4i$AIi2�■'L 41 � 5 14p 11-9+�( 4^ 5L�SA®51�lSA 15A 19A �9A A .AA 5�(:td, t5 a�i� 1_d5 3fIRA� 2 Aa 10`b/G ids G t0 '14 DAWG tOA.A G C�wG{Y1i WG �t2A 4ft2AYd0l0gVfG1 t,4W410A t04WG 8��;;''�•, 8'WGi 15A C-15k 15A i5A 15A 211Fr 21.1 • • • • • , • y14 AWG�t-0AWG�i4A\YCt�aAW610AWGi 0AWC�OAW_G��QAtlYG�rWGjf"WG 6AwGr8AW '�l15A��15A� 15A��15A� 15A I5A 15A �t4 A�`'f57A.1`tOR, 200.� • • • • �1415A4.i.115PGlAW � NAiQA'NGtOS A/G 1015AG,pI5YA4 85AG 531 AC 4'20 A4 G � 1415AGi'l blsWG}121pWG'tO ANAL l0A.tVSAWG dAW 034ll4'�80.LVG'6 C2AOt`J4 G VAfG1 C Mon ductor.&,C P Si1ingi'g aase-dlon 60,0C(940�F) • • wcl,is 47� (Ga 1�1 c;i vml 4Awo aawc Aw-tz nivG la awG _ IS A� SA� 1$A� A� 15A,�5A��15A� 5A'�SA *34 A��20 A��20A 4 A � yAWG 14 AWGI I FIY4�14ANGi 4AWG`�l4AVdG 14 AWG,1 AWG 14AWG/2pW }t2 AWG'� /2 AWG L154��IS A�r5Ay�5A� 15 A, IS � ISA' 15A 15 A� 204'�5 20 ATo 120 AI: A i�,i1y4AWG�UAWG WAWG'i4A\G 4ANG114 AWG v4Wp 1 at IZAWG O4Wu 10 A5'JG 1CRW�5-' 1i5 A� iGAI SA 1SAJ SAj�i5 A�x15A�R15Aj 15A� 2QA 20 'q^� . • =�141 tANG 4 1V4. '.i,j w. A IO AfVG DAI�JG 1D IO ApG bA AAG` _ n W,�O 1 ri01,f WryC,�ta pw0'[�1"2 AWQ1rt�0�VI��C1,1 0 WG tO AWN 1D AWQ GAW [A\YG1 bAWC' �•' yG1l�a 4r 'y••,, ,• fi10 Yy WC1T--I H I IR Wf 1`aWf� AWG ��S \ �IliS 7!'SA■/ SA�R$ \I1154��5Aj 51���/1204� OA 1 �y1�d AWG dAWG 12 AW412AWG YO AWG/04WG dAWG BAWD eAYIG BAWG LAWG GA`N4 A15 A%11G A� iSAIktS A� 150.' t5A 150., IGA 15A 4A .A 29A, - . u • �144WG`tal C112 AW0 IQ N��DAWG�W��AYJ�r�WGj�5A��6�A`��LXtR��mA� • •• �154 50.�kt5A� ISA t50. �SA 19A 15 A,•Ji " ' • ' • • j' 1 ,4AWG �J➢�� uaYJ4 m •'�. �mm tOAWG --_®■ -�00 _—_NO b • • • • • ,•• • , ,• •, ® INSTALLER NAME: BRANCH.VOLTAGES: 3 e 1 o � 2.. Z �y 3. , o � 4.. 5. - 6. LEGEND&SYMBOLS: -� -- PLUG/PLUG ______________ 10',PLUG/PLUG �"• ♦a�p { - 6.5',RECEPTACLE/RECEPTACLE u r 10',RECEPTACLE/RECEPiACLE w ♦ •,•..• •-�{, � e` • 5',PLUG/RECEPTACLE .. .......... " •�• •{, 10',PLUG/RECEPTACLE DAISY CHAIN n • • - . { _ , Y END CAPS o Y o Lu °♦ e • x.�. a 2 VI 0 N REVISIONS ♦E� PVE-5 SU N P CAW E R. RESIDENTIAL OPERATIONS 4 € Required Photos for SunPower Direct Installations _ sW e _INSTRUCTIONS:'Scan and email all items below:in one.pdf document. Email must be received c. N _ a � .1 N before the end of the final day of the installation;and the report will include each item on the list below. Email: quality_Od64@sendtodropbox.como .c .� Checkout Docs(take picture) d z - 0 Electrical Commissioning Report and Notes/Punch list = N 79 = MAs-built drawing indicating strings/circuits and any field changes a.E a jo W M If AC Modules,acan the layout map(serial number stickers):used on site g m '3 E - a ..Arrays and conduit run a g M inside.each rooftop junction box W U J ^ M Wider angle of junction box showing array wires entering and attic penetration M installed rails-show grounding detail if,applicable OClose-up of Roof Attachment with flashing(Tile: show underiayment flashing) v E I N Picture(s)'showing all panels in system 3 �. -. ; a 0 Wire management-Show:wires/cables under array at transition to junction box c c OSide of array showing InvisiMount rail ends flush to-the array.. My�Installed electrical transition box showing entry,of array conductors MCondult run including all rooftop,,attic and wall mounted locations _ _ ' m Equipment(eBOS) M > 0o f M Wide angle shot including all equipment o a s w r O DC Disconnect(if applicable):-Show internal wiring;including integrated inverter 8 t'O V o Y K terminations a Q Z MAC Disconnect(if applicable):-Show internal wiring z N a w o OSubpanel(if applicable)-Show internal wiring with dead front removed a > J = f u r d a w " f m d o 0 Point of Interconnection-close up of breaker/tap with dead front removed .. .. c x 0 Point of Interconnection-wide angle of panel showing all internal wiring ° x o < a SunPower Monitoring g a m Z.' w f w Olnside:PVSSx enclosure-showing power and CT wire terminations ? N 4 a z > J z a ? o OCT location-close up of CTs with dead front removed E a z z « - 5 a ace @� o o z z _ 0 Router Location -Show PLC in wall receptacle e g �� „ > � �� .3 � `„ �� o o �� 8 �� Y � o C o u'uu E a d Yc� ....o �.0 a 'c uu m m 1 Router'Location-Close up'of cable plugged.into router. - v e « v � a a s « > a = 'n c o c + a g a �a - BeautYshots : .. €.z' N a a m'u u >`>> N ` f a > > > > >`>> >> ° "2 m E 9 n'y REVISIONS M Wide angle shot of arrays)shot for the purpose of using in marketing materials. a z¢ a �.a E �_ 9 ` « Y .K to C .y G .2.i ..' O O of ` .. c SunPower Corp 2015 .. ° FIGURE 1: SUNPOWER QUALITY INSPECTION LIST.: FIGURE,2:.SUNPOWER ELECTRICAL COMMISSIONING:REPORT PVE-6 Lu Nil 10 '< * s• .t�h - t 4 • m o rt � ll�� � ) � � � (, — y�> rCE TFFICwA;TEOF G`OM_PL1A'NE�� _ �Y1�`7�e t��F�IA^,[ �i� i� r��_ Pa. t4}12 }7 4 'i a I _ ��j, I:n ) „„ `� t. •,,tt� h E8 Report Reference`' E466981 20140g03�, - �,�",� I y �: • `'1 B r a ;- Issue Oay. 2015 FEBRU/XRY�23 �)- f�' d ,` A zl _ ' ,, :` ,, ;�,.•. .. ;-.. .-;:; :; h x ''�' Issued t!�:h SUNPpWER COR p`i 1' J�t i�,tr!��L q' f"if} �f�„ 111 j rls✓ 1 1 77RI0'RO LES�V �� \ II {,fiY) (�{ fld UI t Module' M,d damp and Ra MuduiearEnd da np and mil r+ L '•..+ a 4 "�AA DOSE CA 95134-18�g , ?S r �� Tito- phis Is tc eert fy that MOUNTING SYSTEMS,MOUNTING DEVICES CLAMPING= s 1 represerttattvewsamples f DEVICES pNR GROUND L GS FORT USE W�TH!i t f i r t PHOTOVO-'AIC NfOdULES AND PANELS t "o"USL InvrsiMount Mounting and BondngiSystems{ti�r use v�rth'" }� ( r Photovottarc Modu}as �onsistng�of theIollowiilg cbm�ori@�€ts',L!} Foot,Raih,Rail 8 A `s,4 41' a �', Theses} teri}a imlcertentts�hVeP81soen emty End cap 4 t Y 1 l f v Y I JIlS {` f A$ ,:,m Frre Clalcaho :}fog a steasloped roof WlthrT CI 2 „r Mid dd p End damp Rail 6 Nil 5plke GroundW Ass ��• yste P. YPP i dI �t )rt 1 r, , modules 1 k,}y ( l �it l lv�� a� 6 �� P, d \ yh IS 2 `✓ ddand age�(or f ihiatron �( st tv :;ar -` Hj�8 b �n5 nil61J �• addnl� fl dl ,�'..,!{�j rl��i r ad •tr N L y Stanttards)Inded on-ltli s Certificate ante with the 3 "•`r r G Compon rial ent Mate Welgh[ rlktu� f Il,r- t i �'ryt-)� Max Wad 2400 PauPIIR �`'.,i 1^ �..tt F�l 'i ke. 4� I�JJI 1 .�1 �"..�(p71, t.'(t.,.•-r lN: "4,e4 t._ �,`# r,P Mid Clamp Blark oxide Rainless Reei AiSl 3o4 63 9(3.2 Del 5400 Pa down(wce — Slandard(s)fdrSafaty y ULSObjeIX 2703 Th OVt(ine' Inyesp anon for Maunirn End Clamp Black anotlized aluminum alloy606:3-T6 110g(3.88ce) - M 1-`s M r, t- 4,y •� ,tG'+.:: �. . f 9 4rM1.,- ••i ;:r .. - ,{ w Ran Black anodzedal—humanoy6006-T6 830 WrD(9-ift) d t q1 �3 I' 4 Systems,�Moun(ingDe Iceg9Clampirig/RetenttoiiDeyices and,^ �I ii I A: t v SIf a,ii spree uuminum anoy eoos rs 83oarmt9ovn) .War,aM,� s�a flPkh a m ty c .�'�+,. •,,, „ -"r1''+, t �'Grpunii"Lugs for us�wfth FI$t_Plate QholOvoltarc Mod�lfastandi-v—. _ bround Lµg 304s[aln,es5 y II , rr y Asem 106.E g/m(3751.) - r'4 .• \Panele ,t -,. " a,s ..?"` t f J �. €�ny wzao ton:nn plated copper luyJ Ui 2703 ustea i 4 ,Additibnafihformatior<� , I [t" Is,� ' SYr aI + 4wk / •}q EMUp Blackan+.tal(POM)capaymer .10.4g(037oz) [ „ ., Seethe�ULOniI C�rtificaLonsDirt;c at (�, p s t` .tiL I, r -1 1 "t (e' eenifl�tmns.' d:,s,Anm raun8wnen di.r nee.tet.,roe„ ,.�. ' } u,WWIUlXidWdatal asa foraQditiona(infomtabop --' ra,f'A fi ce and when dl(.—b,. �'' ;, :•, ;.,�., a ,• module tramelss3 s• d)r!' `] yfr•'_ ) ' _ v Composition ShingleM �-�u Oftly those prod�cis�beadng the 4sbng Mad�sh�ul�be cpnsrclAnad�as being yered Eby ULs l as *.,a,' g.Rarer ALLachmeot Camposid Sh n6le Roef Decking Attachment Application -t p i tiTh,UL`Eisbng arkgeneraiiy'i I modes the fdilo elgrnen s�`ihe symgoltUliFl -Circle®, h e`r •Curved and Flat i i RwfAVeJtment (� g W h p •Nnnervll t rf.e br O,her Roof Attachments Ref°<tor .1tachn,en[hate—man factures C—rina,[a[lon � � k � 'll� �i f � i I i I i -,q ��I � 9 N'•` _ t,ward,usveD4, ctl riol numbers( ay ba atphahwrenc)Cad gn�d.by UL and the producLcaat�gory r 4 j nan)e-(prodtkt-identR}ler)as indicated n theapprdpriate ULDirectorl+ '' v •,f�` '1' �,- i ( REVISIONS �t---4� iLobk1or the UL Fisbn9.Maric onitl9 duct v)..� tR al •Module name tlutb axnpadgevdm NOlnMtl nt ryrt ItNired rot hotdN lrvvnoxNN,. y oamss,nrawer ra`Per+dan.all ,, i r1 Rl�h Rcxrved aUNPOWE0.5he SUNPOWERbgo,e,id NVlSIetOUNraro treMmahs arrogtvnrtd t ,1 4 -dt-'il , ,C�i Saamarks erwnPwmr wrpmanon Nlomer vadamarka era n,o pmRam or thetr rnPatheowmra wnyv.,er.can „°u f'� d kn -t 7z ,�� (-Y Ei as ( pecltkatlone ltMwktl ntnnanasneet me sugearoGunge WmNe nnda. Dm,merd AS(19.v)6 ite�B ! �a,utlaomrran w. � rvu �, � fw�}..p.�,a� � ��-• k [ ' { litil�{iflt�lT11111TlN.." �:'y� aOWE e Page trbt2 �+9•'t.'°h 14 1. q.,e 4,r€n e^ .El N)�ti..y.y r�'\� *rof W"r} �, o.,a oxaw„ FIGURE 1:INVISIMOUNT DATA SHEET FIGURE 2:CERTIFICATE OF COMPLIANCE s„Ee. Law a ��JJanuary 5,2017. Ne TO WHOM IT MAY CONCERN: Structural load on Invisimount Roof Mounting PV system is determined in:accordance with the standard - ASCE 7-10 Minimum Design Loadsjor Buildings and Other Structures.Calculations refers to the following - - sections:of ASCE 740 and other codes:'. - - - •: Wind loads are calculated per Section 30.4"Part 1:Low-Rise Buildings"(not the Part 2"Simplified" - - - method). • Snow loads are calculated per Chapter 7. • Seismic loads are calculated.per Chapter 13.The force Fa is applied horizontally in the down-slope - direction,concurrently with the downward vertical force 0.2SosW, - : - • Combinations of loads are calculated using"Strength Design"(LRFD)per Section:2.3�. • Maximum attachment spacing is determined based on the capacity ofthe aluminum tail,L bracket,and - .. .. lag bolt. Lag bolt capacity is calculated following the requirements of the NDS standard. Should you have any additional questions,please feel free to contact me. - Sincerely, .. ESSi D. NO 73552 3 Fly.1231-IB ��11 T'lI' L'/.V OF Peter Todd,P.E.I Sr.Manager,Civil&Structural Engineering: - - SunPower Corporation I Offrce:.510:260.8202 Mter.todd(@,sunt)ower.com - 1414 Harbour way South SUNPOWER P; 1.510.540.0550 Richmond,CA94804 USA - '' www scnoowetcoro tom '' 'F::1:530.540.0552 ' - FIGURE A:STRUCTURAL LETTER LU 2/10=7 OIMS.E/86981-MOrrOng SystemM s, eubrg Devices,ClanpingDevices:aid Graatd Lugs for Use with Plolovattalc Mettles and Panels 2JI02017 OIMS.EA86901-Mouming Systems;Mounting Devices,Clamping Devices and Grand Lip far Use with Photovoltaic Modules and Parlels - 1 In the ICATIONS DIRECTORY module,and can be Wank, !ni .. .. 240 or:. s r QIMS..E466981 zoeyz4D.> N _. _ _ e - � :Mounting Systems,Mounting Devices,Clamping Devices and Ground Lugs for Y N, see above UL Usted. - g° Sunpower Use:with Photovoltaic:Modules and Panels Corp modules:Gen Page Bottom . .. 5 frame models SPRY. .. ... (where YY Mounting Systems;Mounting Devices,Clamping Devices and Ground tugs for represents Use with Photovoltaic Modules and Panels hmnbers 18, 19.20 or 21, :. .. .. .. :. .. and 4## .represents :S G Int ti fo Mo m' Systems.ste Mo t' D i CI D tl Ground Lugs f Use"with Photovoltaic Modules - any number' Panels from 365 to 310 abe:274 I SUNPOWERCORP Ei66981 to 233)'. 77 RIO ROBLES - .. .. ...... .. .. .... Y .. N See AboveUL Uued SAN LOSE,CA 95134 USA Sunpower up Investigated modules:Gen Investigated for System FI Tested In 5 frame for Meehankal' Classlfkatb Combit ation 'models SPR- Cat.NO. BOMI.9 Loading (A,eor C) with _ EYY•A#k. (where YY :PhotowRalc mountin system - represents numbers 18, nuns cunt Dons u ng of the'following components:L- See Below See Below Lise nre 9,2 0 a 21, ell Splice,Mid Clamp,Ground Lug Assembly. Performance : nd 9#9 1 e :End Clamp,SolarEdge.P400 Microlnverter Backplate,Row - ype 2 '' '' represents Clip. Modules in,. any number Steep Slope - from 345 to 285 and 250 Y N See Above UL Listed AC to 225) modules:Gen n helix Single to Mounting Chassis System end Helix- a D No.5[ See Below See Below A ListedPerformance an Motlels SPR ire Mounting System-Cha5515-Single Tllt-PeR ND:513831; Pertortnance %21-335- Following Tray-Part No.513832,Link Tray-Part No.. Type 2 :. BLK-335- , 513833,'Leading Trey-Part No.513834,Riveted Leading Modules in SPR-X20- Tray-Part No:537871,Spoiler-Single PI[-Part No. - Low Slope 327-8L1(-C- 513836,Deflector,Left-Pan No.513841,Deflector- AC,SPR,X21- - - Right-Part No.513842,Base Chassis-Dual-nit-Pan No. y - y See Above UL Listed PV 345-C-AC, 114056,Chassis Platform-Dual Tilt,Part No.514057,Front Modules: SPR-X21- Skirt-Part No.515928,Rear Skin•Part No.515929, Sunpower 335-C-AC, :Motlule Clip and;inverter Rack .Corp:Models ....... ...... .. SPR-X20- SPR-XYY- . ... 327-C-AC, AA#, SPR-E20-327- where YY . C-AC,SPR- .. :represents . E19-320-C- numbers 18, AC. :. :. .' 19,20:or 21, and### Y N Se,e'Above NRTL Listed.: - represents . Sunpower .. any.number Corp - from 390'to .. ...... .. .. ... ... 445,365 to. .. modules:'Geri - ... ' 5 frame �- � � 310 entl 274 - models SPR- - - to 233•SPR %XXEVNE- EYY-#A#, .. W HT/BLK-U- .. where YY WYACPJ and - .represents SPR-V-W W- numbers 18, %XX-Y-Z-G- 19,20 or 21, REVISIONS AC and### ..... - - (where HXXX" ... ... represents is the - .. any number wattage offrom 390 to the panel and ': ." :. : .,. : : �:445,345 to ,.. ranges from. _ 285 and 7SO 250 to 225:.. - to 225... and where All models "Yyy" identified Indicates the - must hove Inverter - - the Gen 3 voltage used - frame. >so • pn.0 carom -.-- Deno N By 'hVJkWabma.ul.can/egi-Wn'XWAamptatWUSE)(T/1FRAMElatoxpage.hbnl7mm CJMS.E468981&bumhortfid=Maasirg+Systems,+Mamtirg-Devieav,a... 113 —E CH-1 .hl�//daraDasa.ul.entl/p(j-WrJXWAemplsta1JSEXTl1FRAMFJahowp�e.hbnl7name=01MS.E4B�818C�eha0i0e=MaaNng+Syetans aMaaNngtDevicea+... 7!! FIGURE 1: UL CERTIFICATION-MOUNTING SYSTEMS,DEVICES,CLAMPING DEVICES& GROUND LUGS FOR PV FIGURE 2:UL CERTIFICATION-MOUNTING SYSTEMS,DEVICES,CLAMPING DEVICES& GROUND LUGS FOR PV aHarr LLJ W 2110?D17 OIMS.E486987-MdurhBrB Systems,Mourning Devices,Clamping Devices and Ground!Lugo for Uaewith Pholovolmic MaAlw and Pedals Y Y See Above UL Listed PV - Qq MOdd— _ 9 Sunpower . Corp:Models SPR-PYY. u aax and. SPv-pyy- .. . App,where - YY represents .. 15 or,17,and .. adz represents any number from 320 to .. 370.All .. models Identified must helve .. the Gen 3 /.me - .. . Last Updated on 2016.11.30 O-Sti(ggj pint this ched Terms of the Pape Too .. 0:2017 UL LLC The appearance of a company's name or product in this'database does not In itself assure that products so identified have been manufa tared under UV Follow-Up Service.Only these products bearing the UL Mark should be considered to be Certified and covered under UL's Follow-Up Servico.Always look for the Mark on the product. - UL permits the reprodutlon of the material contained In the Online Certification Directory subject to the following Conditions:1.The Guide - - Information,.Assemb0es,Constructions,Designs,Systems,and/or Certifications(files)must be presented In their entirety and In-a hon- misieading manner,without any manipulation of the data(or drawings).2.The Statement*Reprinted from the Online Certifications Directory With permission from UL-must appear adjacent to the extracted material.In additlon,the reprinted material must InciWe a copyright notice in - the following format:-0 2017 UL LLC-. REVISIONS in Mlp:/1da18bma.ul.cwnkgi-bi O Wlsmplate/USEXT/1FRAME/showpap.hhnl7nem�UIMS.E46BBBI&=shwffid=Mourlkrg+Systems,+Moadirg+Davit v,+... T3 .FIGURE 1:UL CERTIFICATION-MOUNTING SYSTEMS,DEVICES,CLAMPING DEVICES& GROUND LUGS FOR PV be = - e w = W3. o 0 „ -- tom" `�, "• - � 3 � CL lF( %,Ill I'.\Er a1-1� \ `�I jk . 'aa Z -PR� � f Gd L� a E ggk�g c �T; �i{II .�F 3 - �-<�1 + artlRcate Numtier,, 015Q918 E47,833Q r �� y C 1�. i I j.• S "'`I ReportReference� E47t33302�1$0916, = y 15F'TPN(B R 1$ v . � Q •• '..,� I, III,�� fit, i� r( ) T.•L/ "'`i�t >��, � y r 14 G F to,.1 g5•p(. I ..ts IO RUBLES Rsu SUNPOWERCgk f--yi LJ O t 4 �f .+ r I peiaUn)Temp. q.nG°C[o BRSPRxZ0-327{.AC ,f:L k' Nommataowera(Pnom) - 327w Niax.ambient 12z. (0 Q -- .�. S`"AN;LOSE Gxl1W�J5134-�1859- '3 `A•� /� \.y" Power Tolerance +5/-0% 'I crop, _ rr 1� 1�r s` '� I 1 ! a J7� k( fL� i !' .ti� h Ifr t -,t s. Ut'I ^ 1`t Avg.Panel EfFlciency' 20.4% Ldl ci 6T p-T,300r 1.i0'kym fro�[6 back'1 1 r Max.Lpad 1 '�.✓: �,._!.S `t.�,. t .� ,ti .. � ^v. '� ,' �- sno t25 .f61%10Pa6 I' m root /`: .: hisls.tSea�tifythat ACMOD1rILES •-� ,, `\ " y -�4 Temp.Coef.(Pourer) -0.299E/'C r •�. i 1!rrch{2�mmi d�amete•Ita1 at 51 npn(2 -, Three bypassdipdes p ImpaciReslslan<e vmrs)--- _- -_` __�--_ i� p�ll I, prese�Setiyesa�npleslcf�_USLf-)ACImotlUl6S,rMOdsIsSPRIX721 335 B„ SIPfB!z - ShatleTolerance •di ratecl modulelevel maximum power — 't AC SPR X 0 32,7fiC ACRSPR E20-`1 C AC SPlR E19 point vacking I i r \F it r,r '�„ h t X21 34$-GAC--SPR=X-2l 93S-C`. 25-yea•hooted pdwerwarramj i y I I 13a�C.AC rt/ ::.I I 1.f I I !I( o 11 U N� G . �'A'arrannes _ • '� ,y _=r'r a. �. I J f 4t• ;ytiy; i5•VC3.Illnited rOpUCl warru'nt Outpu[@240 V(min./nomJmax.) 211/240/264V �` f Out ut @ 208 V(min.inom./max.) 183/208R29 V �. - UL 115[ed to UL t74t,trctudmg. `✓ ass li ,1 v`� 6 USL ) Ev'algafiei to the•requirement o i7h n �. } n. -IEEEt5a7n5a7aa,diEEEIS47: sa/..au,;,iy .11 �yLt. (1 I I ( .I a I, t I t;, t t l , �t' ti Operating Frequency(min.lnpm./maxJ 59.3/60.0/60.54z j' y ��..Y"4Sta[ afEt,fOCiS2tetr fOr tflveffer§t Cotiverters....Contrdll�rs�.,`it•� Output.Power Factor(min.) _0,99 .Pt Ripid Shuttluvm Equipment I _ p v . y ti a d"(nterCocfneetfon System Equtprhent For else AC Max.Continuous Output Current @ 240V 1,33 A EgUprrenf Grc!md irg ;(� 1 ( �'� I I ` `� �+ I h - (•�.� `a t DsthbutedrEneg�l Resou[ s ULY1741 Second EdiUort,b AC Max.Continuous Output Current @208V - 1.54A IGL G7tS3,UL 9703 Connectursand tabiAS hOad �I. >, ( �. .'�-r It-;,k I �;•, }7 . AC Max Cont.Ou[put Power 320w break d,sconnoction) 5 ''' dot@d•January 28 2�10 .• '` f _T.p i- -UL 1703 Pv Moues(Type z.ILeram«gl � .f °' I r `• �` DGAC CK Conversion Hfioency 96.09E r r.. {I �%,r,= ,r ;s 4i , "i l4rr:� v I' `�( —� Enable Insta�latlon in arcordarxe N!rth; ( iI %�VYT ( I� I �.gI• I7, i ,it _J..s`: 7• k'�.1 (.k�.�-• J.�1 "I -- —. L 1 t Max.Units Per 20A Branch Circuit@240V 12(Single phase) Cer#(ications— ,4,I yd�\�,+-_«, tlr•`Y Jj 4 IJgn I f h t Max.Units Per 20A Branch Circuit @ 208 V 10(two pole) I : - NEC690.6 t'IaVe beeP'IraV@S(Iyat®d ky,uL in.,aC7 fdartC@ with the`,. _, 'No acrIVe phase balancing for 3 pha,c I I NEC690.12 Rapid Shultla»n(�ns(tle and:auts!de ,'-' -' "`•�✓,s �, .� ��n-c �. $tangard(S)VidlCat 7ert,O�t.thl§ :Insalla[bns' I theer ay) - - f�..,l��II 7t 5UI U11 / }. +'Il�yl i1� . .NEC 6' 5A Cornectors•69033N-(ENI) I �\ kl 14 _J/! 1�`yE� `• * I E r L� a P .. i .. ✓. FCCat o ICEs 003 clan B ' --, ,rj ,Seandard(sj for Safety: UL.1�1. Standard for Safety for inverters Converters- �, Solar Cells 96 Mona Iline Maxeon Gen III I when u°af with lnNv!Aount radJng(UL2703). I f ., FIB tyi Y,� ] f��� ,�r✓'I1 1YC6rrtr'QIIof,58nd,'IhterC�OnnectioR l$ystBmE UfpmQnt for lUse'�=' p Front Glass htransm scion tempered lass with Integrated t:;ruudding and Wincing 4{ ( .i'\c, 2�� 1"�..\,:;�'e'`Wlttt%t313trIbUtBd•EI1Br t;@SOUr� B✓r /" g p g I" r 9y` Ce .J .. s.�-.. anti-reflettivecoating _ .. - CkssAOreratetf „+ +ti:Fgtlditibnal,1nPOrmetion: \ $ee the UL dnline Certifications Direeto Environmental Rating Outdoor rated PI(S Test 'Pmem.1 ind rc d degrad unn kee I�ti ^I't S 1� r I,-" I I Y- ry �t, Frame Class 1 black anodized(highest AAMA I ¢\, I,�{ { r \I U SICOtn/datat)HselfO^r 2dditlOt[tfOmBtIOh•u� rating) Weight 45 51bs(20.61g) :. ' .A r _. G}'y a a l�s �... l `(S..L ;i f it 'v 4 ✓-`') r/ \1 z ',r 1 _- _ ` I ( 1 7 h 1 I j l I Max Recommended prC�UC1S 0sanng the;UL Certiftcahbn Mark$houle,,De copstdgced as be ebvtered by UL s 1 )4 1. In.(33 mm) t} �" .,,!. Certification and Follow Up Ssrvices1� Module Sparing. � ( ,. r .� y •-� •' - t y {' f;' �. .. I't<ivm i. v..-.„ 1° Look{�rthe UL CettificasontMarli-'on`Uie'tLrod IT "1l It-k�'�1 t ,P q e q't• bt oiljj(,} � 1_d •t !k I�`,t' h i �1+ I t (Ju9 rcru iXASYM sc{x Wad>'rot A}.A,e+4 Y-. ,tlm �,1v n ,� y ti Y 3 ,.�Jy / M r�xn'3Ya�MJe6a Nm ^•-- �'�yI 1 1 f ' ) T ~�� `i.JJ \ : ) / r'r�f � rG- 1 Rsju� REVISIONS ,uNexnn yu, pWH lit.ep UflnwnaW (' I,„«.o V w.a ror,+. .a.ea-�-.w.x .v•c.ura.:r:+xwae � ."...r... 7 1�.L .�e^' � ..,.tignratexnrmw•o..mltvn 5<ses `i;�"a � ��1J� \�'r u �I�� 1� �� � 11�1S�(� h E f�.�y � �I( .,t�fuf��w�•If 7 tie ����' aEv oeseni>r:ow o.re oe ee o.yx�x.�roa 5r�-.a,reRm rn zoo r+. ..✓ rou+dtr f r� f'-' \ a `«, IMCSh wnwra(r 7• q r,..Yrr�,mr.�nnM;mr �nim:.:�,�.r ��«Ia�� I� I ,�."' L... i �.�(�r{,(��,1,�"�r Il ty�'���i ) �I`�I ��'�7i,t,t��i�• t f11„1� r�msrm rtuuw.n a t,co.;+r Er .- a�muax � sae •roves 'IJ( I t I 811 f k •,b,c 1 `�'`" c 1'n a -•V; �'+.'' -r ,ttt - \ rF } 't i rxp _. yt" Yis•' .. ,..�, MMs s r ee%m11 # l�/. E� ,e,:w Il k _�L � iltliy ll�Ug,F I oi� ?,cf� »•�,J' r.>,� I; u = FIGURE 1:PV MODULE SPECIFICATION SHEET FIGURE 2:CERTIFICATE OF COMPLIANCE uJ CL :y � *•7� r��ln, / , ., - .C, R y�"�'I, �5 1 \/"y� �'.y,. �, r .\,1 `-�::. }-�>. y�.?�n 1::.a... �f bY,. i"r'I:{j; :tl. 'tIU', j :I I"J I .11 •.��jl.. r (lP. L .t, illy ?.; (' t I.f' 4 !III� :I- itl� ir•" tt - h i„ ir:l 7. 3�® f 7 i.j�.. Iyl ;:.. rr:., b. j'- : . �L's ) 1 1 i 9 . �I ;:.t J t :4 t SCE TlfF' :/�c`' OF ' (SNlPLIANCE .yIF1}/w�-��q , ©F 'C:fJMP 1 'NGE g t = ti: t - �,, :' ti,'_ L' . w. v� .`. ray i�+,7 u q _ ..J,: !ir'� ?w'..:-1c' IT .+I'r �;:'^ Il"T. ;r. g � .I �. I,1' ...r��`;�.. �:y �II"d'.I�.:. L `m. ,I I!,: :III-r 9: Crttfiwteltlumber✓ 2041" 2 E 7J.127 ° ,... 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IlssusJDaie M&NOVEiGIBER 12 u: i 1 4.! 6 ,,k,, LfVS� „ , ;li r �j t:,t .t t t ri "l ,t �(+I` Ii..t,rolf ...�-" '.,p.Jtir.° ,P"• k_:/ � I r .iY ,�''- i `Lt+l ,, C ✓_:`\d'" \, ✓ -. ,..4. mow,✓` I.L�..Isaued t�e SU'NPQt(VER'iC, RP k r .:III - , I J�"' :.} ¢. : t, I`p s_islto.cenlfylhdl,fepresertta&e sdmpl s zthhe proCuct issiIIN; ed-owthis�peNlicate wer@:tdsted, ti� i' i1 �a l- tr1 $ I, tom,,✓ ��,.,;� vim- �..:<`l5}r ��.,= 1.r•�..��, .s i„ � ,k _,�3 � k+� lti ecxorping to the�cu�m reguiremenls I tra..,"r, UVl.ti 1 1,f SOAtNt'J!i.O.aSl�E;r`I Q'pt iri l'.51�t 3 4.,4.1:-5'...,'.I 9: .r , -1. t: t . i �tli.�,.I�''I-l-}.J.'..T•:,,��'i,,aI F,,+.B:I z���`-�+',:-x;�iv_ .,,:ti,Pp k 1`��.\,s'��..)_.v s!h4'ery'o'n"X.,.)�.t(r.l1(!s;�`n-n"e•br;f,thr!e�,a OoiNre tl._Y'_.. .arc iu yiIe.FFi,,�.��a,,`p.,�h�UP,! : . l 1j?2 81,1,2i. 0-XzX eoM;1 PCm c UUtytnter ha�e,ML, 4 j" �tdbploisir',ltie nmenbaction bwtnvadgr i;ne or-0y,rt1- -� CNP STgTIGy7htiistocert�ty ! pFitovblvajgdule N K7:t lr a. dt' ; reprasentaNvesampleel[�f 1 FOR41 IM DEPENDENTPOG�(E12SYSTEM$' d,h a` ,-.3.\ �`+'42; l.'`'-.4.: , ',�`l�',Y < •,'r-.v•y t ,y�. 11,1 +. ,.. tid,.t.._ rl �.._..:,� TMal7lverterls,povided'with transfonnec.lsolatbabetweedin utend.output ,.. ,,9, -',�. I ';._,��' c j COINPONELIT'=PHOlC)VOLTAIE:RA♦31D SHLITDOIWtJ Y$THM' QUi�M NT f ` .fir-: 1 : f evaluate ae_PV t2apf 'SHutd"oWn.�gwpmegt Wnh-L-Re 1 antl Line'2'ACbylput - r Tnalm¢rteF 15 aleq� q ll ( ;44 I GE l I'I' r 1.w �,. ) ; 'cod ductors ev ated;asth'e contrblled'donductors'fAc uatio`Istprovided tiyibl`_fng tti"AC' (1 1 I l a I: See Addenidu Pa e t 1 L s i, : . J d ��' t (' i, y t ti �•:; :'�, f fn 9 h �' z ,� •`< ';. y oontlutOrs by a breaker or od7er dtscorinect,'deYcye :t,;� R \' ..��'t; '":I. br ,.�� L4'✓ > i�,^ : �r'7:c `mil' ,j._ '�/ _ /Y.��„3 a'i'� y-i•»�i" .v'd ,�.,j- ``''J `-y,r� +4 'l ..,F�? T ~' \t•; ,r' "Lt /1l:^ r'�.r;•' I.ITi f.,li !)` 1 '-,:a .�"�t. IIt_. ,:j1 .l;Y, ;:I.. :c,:�! it I:• .�r i.:.;, -:,n 1 ,L& '��dc'Fiave•6tlninve'sti ald'b" . .in 1 `Y 'n ', b, t !.,, �_4•. t t 6,,.fLj: {Q�,t,':. 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I u t ! 6 i ' 11' r `r I; :.t P _ M..gr a..., ,. ,,. 7°g i ,,t t _.Aprt_ il �n:� :t. ll ,. l f G Llf I •..,...prrtumber„modetnumtier.or'oth6r-productdesignauortesspecified'untler�'Marking;for,theprticular_ �.?;.: `L'?.t....� �',K ° ` 'y'` ..r e`�. •+.�"ilia` 'r"�� r:`��9�. �.�1Id.''1. Rec_9 Mon as dublisfied m the�appropb'ateaJL;Directory%As a supp�ementary means of-Identdying products;, ,.,r: l. ,_, .._/P" -\ .y -?�« >' 1. ,Ith b:havebeem r ticedwnderl, L•'B:Com ne IRe ni6o P; m:,UL's�R n¢dd-'Cam nenlMark•� :`r .ar iI ;`k:r'' ' '. '\fill. 64i•' ; 7 �:, ; ,�;: ! .. :"U:., �Q �$ :„fig „R,rog _ ,.og, .Pqn ?I `mey.be use�;tn,coniunchbnwilh.the repirired-}2ecggnf'aed!Marks Tfie Reco>�iietl Component Merk is� �° - l4--��, F'"i j { t 3.1,, I '�a^ � r t1`-�7 �,`:•`� it l �Nb� 'jl�, �' I.. u!'--.r j' raquiiBd.'wfie7fspeclfieatnthe,7l:Dlteojprecedingthe,ne`cogm nsCz`undsr'.Marieinga forthe`tndividuel\ ,�..T �r,B nitib�9 *r�,(+; „+,- :t.i, :�, ,. t '.+�.,. h 1r ;�.: /. ..rtry. J<"•`i ,t+ a rejog .r ;,r j} ;i. t C.,.Ix [� 1 -'. `"l f ?_ "t r Y {:i r.; , '•,f,.._ .::( tti7 a 11 i,� ,Ir- ti ^� I'l ?UL�1Y411nverte Cronverters,Cont`rotlelandtnterconnechon Syslern;Equipment fioYjuse-wdhl) I ,.. .. ,,s..I l ... L_. L., <r -.u..1, I,.. . I �r ! a....� .Recggniyed mponente are Tcomptete.tn certain gonstrycbonal features.or;resUlr4ed to perfDltnapce t _� r +.,.�•,�Dlstnquted Enbrgy.Re`sources :;� s_ ?.;,'} ,, e »1 :., .Y '1_ ,r f'.�>,q yr ;,G t,,. 4gpab7irtlesand are intended foruse asoomponents bf coniplQte equipment submitted for lnvestigation rather- �tftn'for Ire s ateteinstallahonl thefieldi'=rF 'innate Ience ol�tfie cdlri' nest ls:de'eridentu' ''i(s ,• U 1749iGRDY r:Photovoltaic`Rapld`Sh'ut6own E1"��'7i rrIwritt�x, ✓, F.,. ,+ - ,( P. IA� 4P, 9 h$ � "I .�'P' P pan I .r� .pL' t;'� tt P'4 rl' i s, 5 •,Iilb ; 1, 1�""F ,,. >'m9tailatiPjtanc uus4;lri_corhplete e441pment 61IAI led to UL LLC 7 :���i.31 rrl,\`1 ,. \`.q_ K-.tt a`<y \,. t,),.. i ( �..-:� L a 1 ti:•:. ,r.'I.g y t: }... �,� d ';:rl• '\t,.. > y,:�: .w',;: :-.,r' u;, �� -4f'-•,� \'�..._ C „Nb 107 f-.Gdnaravuse Polder_S ppliea !\, k)>`. ".F•.�,, 4 J a.. :::• n SA 22:2 e Lb ,torYtiel I Certincallon Mark on the ptoduct` : `wr �, r• :q- y r� ;:�. r REVISIONS pk ; . I�)" . I t 11, I'•.:�1�11 ; , I ;;F (.� . 31 ) �n l h tl�t,^_ (, Q '' �: l r 11 M:, ti t .{ 4•: �\r. -p 1;:;...�,<l9_, y\;< - •,.' ✓ J/1,-'7 . '�Fr✓ti :'�fi., -�,�'' >.✓ �,. A f,�'"`'�"�.� ^` '�i#. to}� �ad..� Wwr.�mtiIr <t� lip , I ;II G' :+...o,n,�w,.,uann+a�mm•.i.+s ..oA.uw dya aW .wain,,.a•v;" ,e+ � \ �-. �� ..,;.aw,a eta. ..o:..u. ewali ivu `.m,,.er w �„w..a 3l� �,� w,�;. �.y- ,t,.4v`z,'yin..rmoam.,..wmw�.+� < ,P\ .��: ,f.-_ .ua,arww ae•�•^.P•.y ✓ c ,f.y. i„+� 4<. , d•':r. '^ .� '...t::,\��' ..yv %„ .th. >�:�b.�t.,�4'....�.p 11,, .r.: r�,.. ,., �f s.;i 1d i'Y "`w rn•.`S,: t,P� i ti ll!I a a ag �"o t �'�'\••.,..s'�'�•,.,�r='r' v �t"43..1 5�.��. �.1 t. ,,.� t;,+ e'..'�t'•1:�, �',1 'Yt* Page';.7�zv ��?;: �I p,. ��f� '�r6�:;w t'��,.,IF _.:, ..-.;,'` 1.,;...,^` ._, `^,.... :y ✓' ��� _:� �-f - ,.. -+f Y,_..� \,.,.. �\.,� ,r f \c `,' r's;��.rr. 1 CHrc.ro .. C.. FIGURE 1:CERTIFICATE OF COMPLIANCE-RAPID SHUTDOWN(PAGE 1) FIGURE 2:CERTIFICATE OF COMPLIANCE RAPID SHUTDOWN(PAGE 2) ���* beUj Egg I 3 ` SUNPOWER CORPORATION ♦IL � m — 6p Saferyandi Installation*tipn'Inst2ctions-Document514744 RevC Z.. .. oa• ttisImperative Huse the applied AC IocItlnB connectom('order to defend ' r, ¢ v a $afetyandlnstallationlns[ructions. againstuntalnedcesonneldisconneamgthemwm after they have been o — ... .. .. .. frowned.. (United States and Canada) . Allinstallieflon.s must be performed In compliance with the National Electrical IMPORTANT SAFETY INSTRUCTIONS code(NEC)and any applicable lore codes. SAVE THESE INSTRUCTIONS. • 'ln,wfladon should bu pe fwmad only by aathodzad personnel. • Remove all meallicjewelry poortolnstelling this product to reduce[he chance of acclelenwl.ezposure W live circuits. - _ - • Use Insulated tools to reduce your risk of electric shock. .0 introduction Do not stand on drop,scratch wallow objects to fall on modules This manual provides safety and Installation Instructions for UL Listed o 'Broken glass,J-bores,broken connecm d/ damaged backsheets are S U N ROWER" SunPower AC pflotovonal<(PV)modules carrying the UL logo on the electricalehe.rds a,ule well wherrylacerationhamrd the uthonz,for dhonshould product label(iig.1). remove the modulefrom the army and contact thewppller for dhposal Instructions. O • Done[Install or hand/ modules hen they are wets d rin8 perlBds of hl8h wind. • Contact Your module supplierf maintenance is necessiuY. . L • Sevethese,instructional Safety and Installation Instructions for AC Modules 3.0 Electrlwl Characteristics AC Output Characteristics: 'Impgt[agtj Please tad this lnstruBNon manualln its entireybefo2 AIIAC moduleelectrltal output characteristics are listed In the Table 2 of the United States and Canada - Inatalung,widng,or using this product in any way failure to mmpy appendix. with these fru trurtions will Inwiidote the SunPower Unifted Wananry for PV Modulm DC Internal Characteristics: .. . . . .. .,notice. ti ... All internal DC electrical characteristics of SunPower modules are listed in Table 2 Contents of this rnanualare subject to change without notice. p+meappenal.. For the latest guide please refer to www.sunbower.com/PVlnstaliGuideACMod6le 1.1 Disclaimerofuabdrry .. The Installation techniques,handling and use of this product are beyond cumoeny' If an Installation Involves a SunPower AC module which does not appear on this control.Therefore,SunPower does root assume'responsibility for loss,damage,or list please consult the product label on the back of the module or visit SunPower Corporation espenw resulting from improper Installation,handling.or use. sunoower com for the Product datasheat. . www.sunpower.com - 3.1 Fire Rating 1.2 Notlanoly Recognized 7estlrrg Laboratory(NRTL)Listing Information The AC module malntalns Me same Type 2 ere rating associated with DC This product meets a,exceeds the requirements set forth by UL1703 and UL 1741 modules.- for AC Iry Modules.The UL 17035mrWa2 cover,flat-plate PV modules and canals O' QIntended for Installation on buildings or those Intended to be freestanding.The UL ,t 1741 Standard covers inverters,convertm,contmilers,and Interconnection 4.0 Electrical Connections' system equipment for use with distributed energy resources,Including AC .. This uric or systemis provided with fixed trip limits and shall not be aggregated Modules.The NRTL listing does not include mregratmn into a building s dace above 30 kW on a single point of common connection. ❑� because additional requirements may apply.This product 11 not intended for use where artificially concentrated sunlight is applied to the module. - .. .. ':Modules mum only be connected using supplied AC cabling and,AC.cable a messories.Do net'nrt or alter:a"connectors or cables attached to modules.You 1.3/imited Warranty must use the proper AC:transitlon cable adaptor:supplled by 5,spower when Module IMlted warantles are described In full In the SunPower warrardy tansltioningfrom the AC module cabling system to pmerwlring methods. certificates obtainable at 4"_sn ower.com. In summary,:the Limited ors The connect on'SunPower AC modules ship with weatherproof and sunlight- Wanantlas do not apply to any of the blavu mg: rated AC locking mnneccors which after connected require the use of a tool to .. Pv modules which in.SunPowe's absolae:ludgment have been subjected to: disconnect.module-to mcdule connections.This defends against untrained misuse,abuse,neglect,or accident,alteration,Improper installation,application; personnel disconnecting the modules when under bad(see Section 2.0).AC removal.Including fart not Ilnhed to Installation,appaado.,or removal by comneiters:are rated and tested to interrupt load wrrenti however,SunPower any parry other me,a SunPower authorized Dealer,—taemnee of mends that you always open the utility dedicated bm;mh circuit Irotectmm -users and/or malnumence Instructions;r recam SunPoweYs Inby soon, repair or remove power before plugging or unplugging any connectors:but a local AC SunPcations er aBmeem ether then an approved servKe=age"ien of disconnect ls'not required by SunPower, SunPower,powerfallure surges,ligbning flood,fire,accltlemal breakage Brother .. .. :. .events outside SunPower'. When ItrsGlling A[modules the National Electric Code,ANSI/NFPA 70 wiring .. .. methods shall be used. . 2.0 Safety Precautions Before Installing this device,read all safety lnstrucNans in this document 4.1 Equipment Grounding In accordance with the NRTL Listing of this product and to red—the possibility of REVISIONS re.mA 'AC Modules genet inlnm(direct current JCQ and output electrical shod,all metallic components of AC modules shall be grounded. s aft cads ogre o - - - SunPower AC modules snail be grounded sing the Integrated equlpmem inn andwen111M aredtolig t.voltag wbentlremodule is grounding mnductorconmined within thefeclCrybsmlled ACmodulecablec�and- under bad and when it n¢xpos¢d to light Ekttd al w2nts<on cart ouoss gppsBmfmdY muse lydury adeoth Ulmproper tonrtettbrt a: the supplied AC tans iron able.ThrsgrouMing conductor mart be connected.to. dirronrreatbnNmtrdb ac Ufontper is mode with madtzfe fends tMttr2 the building or structure's equipment grounding system and AC grounding J.oyeO or tom. - elactmra y uerh using NEC compliant methods.An metallic components of the AC module are bonded togetherro in the factory so no additnal grounding conductor Document 514744 Rev C .. attachment to the AC module is required.This method meet NEC requirement Disconnect the utility AC source from all modules in the PV army before forgrounding. making or tweaking eleculal connections .020ts5unPowertgrywatian All ripho reserved Spelgatuminclutled In tltis mpnual are subiaamtlunae vdthout roiled. .. FIGURE 1:MODULE INSTALLATION MANUAL PAGE 1 FIGURE 2:MODULE INSTALLATION MANUAL PAGE 2 sewer be N a lit, 6 ._ .. ....... 0 Ye �h ® SUNPOWER CORPORATION SUNPOWER CORPORATION , SUNPC3`WERj SUNPOWER _ Safety and Installation lndrtictions-Document 514744 Rev C Safety and Installation Instructions-Document 514744 Rev C 'The AC ontpur/neutral Is n«bonded to ground outside'of the Inverter.The AC Module,that feature ant reflective glass are ceptible an able flngerpNnt a module,wash with portable.narvheated water.Normal water pressure Is mod g. input and AC output ciraR are Isolated from the end duds.System gmareling per marks if much d the front surface.SunPowerecemmands handling modules Man adequate,but pressurized wmar(up w1500 psi)may be used Fingerprints, B NEC is the responsibilfty of theirstalfer.Ifauxiliary grounding Is desired to bond- .Table l:Mounting Configurations and Load Resistance having antlreflective glass with gloves or limiting acuching of the front surfam Any stains,or accumulations of dirt on the front surface maybe removed as follows: etalllc components In contact with the AC module,such as mounting rails,use flngerprints resultingfrom installation will naturally disappear over time or on be first dose off area and let soak fro 5 minutes.Re-wet the anm and then use soft Mourning configuration sponge or seam pe alas surface in a circular motion.Fingerprint .grounding.hardware that has been certified to meet requirements for grounding . reduced by following the washNg guidelines In Section 6.0.Product datasheeC less[loch to wl systems In UL 2703,UL3703,or UL1741 on anodized alumlmen.The SunPower Module (valid mounting location in specify the glass type used by a particular module. typlofly on be removed with a wit cloth ar sponge and water after wetting.Do InvisiMaunta mountirw system is compliant with UL 2703 requirements and 'Contl tudition - ram) Load rating rot use harsh cleaning materials such as scouring powder,steel wool,scraped, module-to rail ground d a ailing is achieved through in mid clamp and damp.When . procure Wind(up&down(:/. 6.0 Maintenance - blades,of other sharp instruments to dean module glass.Use afs«h materials 0r selecting anygrounding components avoid corrosion due to the use of dissimilar Frame End, damp car Frame Snow(down) :cleaning without consultation will Invalidate the product warranty. metals.SunPower suggests that stainless steel parts be used between any copper type mount Blip holes Visually Inspect.all'modules annually for safe electrical connections,sound' andalumlaumconnecdons. Module (frame (Al) (01) ICil mechanical connection,and freedom from corrosion.This visual inspection should. .. sue.' color) be performed from the ground,unless performed by trained SunPower dealers or 4.1 Connections to AC Circuits - - ggg-0gg �3000Pa/6000Pa' trained SunPower support Personnel.. ,. SunPower AC modules must be connected a utility source at the correct voltage 96 cell CiS(black) and hequenq in order to operate-and produce Power.They era not stand alone 5p.4pp 50.400 3WOPa/3000Pa Periodic tleening of modules h recommended,but Is not required. -Periodic generators and do not—to AC voltage thus are'6.capable of operation deaning has resulted in Improved performance levels,especially In regloo with independent of a utility-generated AC signal.The AC modules must be wnneded low levels of annual precipitation(less than 18.25 Inches 146.3 ml).Consult your When mounting modules in wow-prone ar annerIth t proonments,cleatspecial care only to a dedicated branch orcuR.The tables and connectors supplled'wkh' dealer or supplier about recommended clean'rhg schedules(or your area.To dean ' SunPower AC modules are certified and rated for the maximum number of AG units should betakenmmount the modules Ina manna(that prwMeswffldent design -' In parallel only.00 NOT connect roam AC module min together oMo any,Ingle- 'strength whit meeting local code roulraments. branch circuit than are noted In the specific AC module specifications.This circuit ms Table 2:Electrical Characterlstla rt be protected by overartenl protection not exceeding the values stated In Excluded__Operatl a Environments and RemnfiaurtW the AC module specigrations(ses Table 2). C rt In operating environments are not recommended f SunPower AC modules, oce two - ACRalings; d m excluded from the SunPower Limited Warranty ofth modules.Request C AU71ON Toreduce the Hsk of fire,conned only to a clrcult provided with 20A Youem r supplier to contact SunPower if there are any unanswered questions' �11Cv+Nunet5ranrlud Tell CorMidn'ns'fStC) a"hTam)xran°eIDb (SiKneKVNUMBE0.5 ` �wpm�STK oP°citing IL branch um bran circuit overt rrent protection in accordance with the National amcing the operating environment. LE Electrical Code,ANSI/NFPA 70. 1-1 PF r w.spalw eWa pwq +za. n 5.2 Mounting Confguraticals x;n .�w. Pan wwe e,wn N!tl Crow wn,,v p°^•b -- Modules may be mounted atany acille,from hoc zontal to vertical.Select the 5.0 Module Mounting - appropriate orientation to maxlmize sunlight exposure.Specific Information on env via sea. m The SunPower Umked Warranty for PV Modules Is contingent upon modules module dimensions and the location of mounting holes is shown in Fig.2. - 0a ascot eta cos to being mounted in atxada«e with the requirements described In[thissedlon. me ax,a. "w m In order to prevent water from entering the)unman box(which mould present a ari .ao sra 6n1,06 am is u. -axe amh via:.mtd aer rasa -;A. 5.2 Site Considerations safety hazard),modulesshould beoriented with thelundion box in the uppermost _ SunPowet modules should be mounted in locatloo met meet the fallowing position and should not be mounted such that the top surface faces downward - �,� 1H sin 'requirements: (eg.,on a tracking rtrudure that Positions the modules wAn the Junction box .9x -era aQoansxaa: z,b faxing skyward during sleep motle). to Operati gIrs Immune:All SunPower AC modules must be mounted in en am or Is IDIX 1t0 Dr0 no se i m aments that ensure SunPower modules will operate wkh Clearer— een o the following- Cleance betw the module frame and mounting structure or grade is required duo cis m as e maximum and minimum operatbhg temperatures: to prevent willing damage and to enable all cfrt w ulate behind module.A am - 4au see8a mex,a. uss -om: as minimum of 2'15 can)Is required between the module frame and structure or eta ace as a asc atr, m sin Nim.Operating.Cell Temp. aa5'C,a185'F ground.' tas .lN Max.Ambient U, I S(r C,+122-F Min.Operating Temp. I-Ur C,-40'F The module is only NRTL Usted for use when its factory frame is fully intact.Do not remove or after the module frame.Creating additional mounting holes may notinStrermih:SunPower AC modules are designed to meets maximum positive damage the module and reduce the.camplith of the frame... _.. va eadew' 'WMb fartnW 1N®auto• (or upward,e.g.wind)and negative(or dowevard,e.g.smlic load)design preas—, - axedinal, sanounndumerse bx4aw�vow tw".. described n:Table l when mounted in all of the mounting configurations specified Modules may be mounted using the following methods only: vatiaM Res,"Ind fsvefbt4wu'.bd' In Section 5.2.Design strength of 2400 Pa corresponds approximately to a wind - - vtivushumwranes, speed of 130 kni(81 mph),as tested per IEC 61215.SunPcw rAC modules have xz?WacNv+g�b also been evaluated to ULI703 fora po,hive or negative design load of 30 psf. '11 Pressure Clamps or 011 Mount the module with the clips an the side frame q woaov b Rave of the module.The side frames ore,ettu had to the longer sides of the 4 v.k,.--V sand c Fig.2:Mounting locations;for SunPower Modules shows where to mount W the moduli..The centerl)neofthe clip,should be 6-15'(15.2-38'con)from the to h4WLm mfed' 1 module frame Table I defines mounting options ttadh ent locations and end of the side frame.Installers should ensure the Clamps act of suffldent - resulting load rating achieved for each module configuration. strength to allow f«the maximum design pressure of the module. - ..' 0 Anted 2) End Mount:End mounting's the opium mounting of the length of the Is 'Bated fs�aag os6 module'send frame to a supporting rail(the end frames are on the shorter IF Found! f<rvicil-a7 eta Flg.i:Mounting)«ationsfw SunPower modules dimensions of the module).The end-rtwunting nil)and dips or clamps most ..__ .be_af wHltlent strength to allow for the maximum design pressure of the. '' a-uaaadpmmtemamnumatarmgtmws Ci' module.verify this capacity with the mounting system vends before a-Nomlmt°°tc�`5u>buav plvsetosrmmxi _ 'imtallatkm. p-TaPwmz•®rnsv+vmt�e ta.5xfatadpnlmvaomraal.nprmsy e -:sar t 1 3) SunPouns patlfletl SunP uppll d mounting systems:Modules' REVISIONS ^tram flat.• / mounted with trtadh toy Powe documentation,using hardware Mavimum output{auk tvnent(ac) I'— Total Syrichro Izatbnin HpT M.untinalocations systemssupplied by or specified by5 P :duration rush arrant 5.3 Handling of Modules during InStp(lation 69.5 Apk 38 A 5.53 m5 Never lift or move the modules using cables or the)unction box under any - tlrcamrtanna,.mrot plaremodules fare forward m cored contact with abra,Ne .. surfaa,such as root,drtvoway i,wooden pagan,ratings,or stuew wails.The frontsurface is sansldve to oils and abrashvewrfaces,which may leatlto _ - scratchesand Irregular soiling. ON16 SuaPows,CoipomWaCall rights nue„a 1.Specifications included in dhh rheanual arewbject to than,withwrt narca .ON26 Sonya-r Comontbn All rights reserved.Sperifiratbns included in Nis m.nod.m sublaa to charye whi ratite. FIGURE 1:MODULE INSTALLATION MANUAL PAGE 3 'FIGURE 2:MODULE INSTALLATION MANUAL PAGE 4 shies, Uj ap 'y.1�j t 1�M 3 M ¢t2 ®. 5.i RATION SUN POWER s-Docum Document 5147 4RevC Safety and Installation lnstructlons-Document 514744 RevC p' Fig.3:96 Cell AC Modules 3 S - 1,J° ''�rt�trtlrr a ryl3p Ensure(hstyouryllyunderstsridthegiounding aspens In tntssectidrl tierareproieerling•. - [d AC dedicated branch dmittmArin from the readily accessible disconnect to the must include g �f an equipment groundirtg condudor(EGt)1n the same raceway or cable as the AC-dealt conductors.This I — -EGC:must be ibnnected to theigieenconductor of the;trensttlon cable,whlth is part of..the ACmodule cable system. _____...... Ka modute.is removed.from a dicult SunPower strofigy.recommends thofyou trmali a temporary.EGC --- ---- ---- - to bridge the gap by lnsertirigan ACektenslonCable or other means,Inarderto malntahaffeGlve . ground continuity to subsequent modules • eetausefhe motlpdes areionneaed.in.a dalsychain^foshlor0lisonnectingonernOdulefrom'theciriMt using the AC cablexemovesvoltage and ground from the:other downstream.modules in'ithe dreulL Extreme care;should be taken tQ ensure that no other energized sources are ad}acg_it tothese rBre-u unded modules,otherwise auxilia rou methods rm=be a lied.. s he DC poweristntemal;toche:module,agroundingelettrode;wnductorlGEq for the moduledy w not'required:The exlstingACGEC at the irhilly service serves as the NEC-required GEC for the ure:. ':, The AC iable_groundingyath has.been tested bya:N_RTI.,end hs elEdrlcelcontinuiryfl'Om tfieAG Cattle ground pin to.the module frame has been certified. .-The ACmodule interconnecting cable system prcMdes an,intenial.-EGC forgroundng--the AC modules;it. Is the Installer'sresponsibility to ground any metallic mounting svutture accotding to local code .. Instellers_must mum tha whichover..mourxhigsystemthey choose Is then groundedadmidingtothe _ lmtructions of Mot mam'WngsyswwSome mounting systems can be bonded to theACW modules with listed dewces.Consuhthe'module"cluded safety instructions fordetgq% The AC modules or array do not require a GEC,and the neutral conductorwlthin the AC module.is • isoletedl}omground..TheACmoduit:mustbeconnectedtoa,dedicatedACbrenchdreultwith .e neutral conductor referenced at the building serge entrance. • the AC Interconnecting cable system attached to each module's.microlnverter is fully btsulafed and' indudes anintemal,L?GC.The @roundirtg pin isiurigorthan the others in the:plug; The ground path from the transition cable to the module.l rame,ls.ag failows: + The.transition cable's.green cendudbris.connected to the EGC from the,iidliry dedicated branch. dreuk _ ._ •, Alf:plugs have;g%uttd.pin9 that are Longer titan the circuit Puts;Thls.extra lengtheftures diet the, :ground tithe first to make contactwhen connecting modules and.the'last tobreakcontactwhen. - :dismmiecting.mgdules.. - • The AC;ground wire Inside the..micoktvertertwnlrates'on the microrIverter chassIS with a bolted connection,and Isemdronmentally seated. • The mlooinvenerchassis Is bonded,td the.module:framewith stainless.steel hardwareto provide REVISIONS ground`continuity to the'.module frame. DAM 0"WN 01416 SunPower Caryorouon.AY rape:reserved.Sp If dom indWed in N4 manualare suDitttto cm Wthwt notice. FIGURE 1: MODULE INSTALLATION MANUAL PAGE 5 FIGURE 2:AC MODULE GROUNDING MANUAL s•ea* .. .. be S pE§c LU a1j 4+� 1 e 7 Switching Devices Safety Switches _ 5p Product Selection OPIIINGB 120/240 Vac GenerebDuty,Fusible,Singla-Thmmr ' Ilvuvmo Nsrupasar B�ArypO .. -6 leiluse AC .ThmeK-AC BC NEMAI MAIB ., 'Ampere F1m T1Pe: RW Eeetlmmeladmr NEEnd-141apnml apmam Well PseNsba VION Tmg VON 2MV Ceubp M..W C11.4 N®ev Rug Type-T MAm(One Bode.One Fuse,s/N)-120 Woo- ... -. .... .... I 30 p1 1/2-2 OI6Q% T.M Rua Type-T1tmaWlmrP-M dmT-Fuea.SM)-120/240Vag ... b d M Rig I1-2 1-1/L-3 - O 10111 :Use mmide type ..(Type S. pQb/Q66 pIIaI Tpw) .0=1611 Cartridge ViN e-X-Fs1A T Wire(T-BI.&.We Fusee)-2M We 3-10 .7-Ia-1510 -- .1_ - - 15 25"0 _ m y. .. ... ...... 400 H - - 50-125 - :ONMZEFGRW1 DG .. BW H - - 75-200� - DGEIGN[Gd retioneki, .. Cartridge Typo-TOnse-WIn M116 Blades.))!Po—3/NI-120/240 We .. .. .b b 30 H - Ito 3 3-1-1/2a1 - OR2ONOB OGRINBB so H - 3-10 ]-Ia 15W - column 0C2talBB rjrs5 1(hs f6ld .. 100 N - Ila-ty I5-30tu - 110229NGB :OG2mr2RB ' ' 200 N. - IS r�0 ...- 0622aNGN .. O62NIgR ..- .. ... ... . 400 H 50-125- W OBZaNO[ 002ffi3R[ .. Natir .. O Moumpm hp la0tgs pppNelB'IwMn Mal element time Mlayluns ere ese4 _ ' 51 Thaeaawi inivetNneoninmdocktlmll>rmsnro tlom true,baiigopaneA wAen swilph is in No ON posit • - 01 LLec MreeW.ra aislap nmdun belgv. .. - .. 0S.Mn—I bale ere-1.kkh&ONa up."true,&EME PW lu TM5. ... .. ....... ... ... ....' B WARNING]WEh u not appomtl fp semce enemas omen a newel kit is immitetl. Au ganamenN eplerrr.«nm�a,ap immtlpalp�aplmaed.: .. .. .. Artanpiasmelimintlmaoppee gmlpaMplyaalmy avinhm.$pe Pe W-TI-15WamIlaNliry.In atltliBm.clurBm shia2earo availalloas ala¢esmry m T06.6004 MnonMvryswiOAmes.CaluloA Numbo1c 200A a 10.T/6911.400A.7D'MB,000A.1PMI'iaB. .. .. .. .. .. REVISIONS PROMI --T1-- Velume2-CommerOWDIe N.Mon CA08100003E-FeWuory2013 wwv.empnwm - - WE pnnwu BY FIGURE 1:AC DISCONNECT SPECIFICATION SHEET a„e„. be 3 W a 3 a �qp el— ea NFP.- Tentative Interim Amendment NFPA.70® National Electrical Codee 2014 Edition Reference: 690.17,Exception TIA 14-9 (SC 16=8-127TL4 Log#1222) Pursuantto:Section 5 ofthe NFPA Regulattow Governing the UevelopnreritofNFPA Standards,the National Fire Protection Association has issued the following Tentative Interim Amendment to NFPA 70a',National Electrical Cade®,2014 edition. - The T1Awas processed by the NEC Code-Making Panel 4 and the Correlating Committee on National Electrical Code,and - was issued by the Standards Council on August 4;2016,.with an effective date of August 24,2016. . A Tentative Interim Amendment is tentative because it has not been processed through the entire standards-making procedures.It is - interim because it effective only between editions of the standard.A TfA automatically becomes a public input of the proponent for the next edition of the standard;as such,it then is subject to all of the procedures of the standards-making process. - - - L:Ravise 690.1.7,.Esception to read as follows: Exception to(A)through(E):A connector shall be permitted to be used as an ac or a do disconnecting means,provided that it.con+plies with the requirements of 690.33 and is listed and identified for use with specific equipment. -Issue Date:August 4,2016 - - Effective Date:August 24,2016 (Note:For further Information on NFPA Codes and Standards,Please see W W W.nfp8.Org/dOClnfO REVISIONS Copyright C 2016 All Rights Reserved - NATIONAL FIRE PROTECTION ASSOCIATION _ a� oes«ra<�oa o.re oa E'MIN FIGURE 1:NFPA 70 TENTATIVE INTERIM AMENDMENT-ART.690.17 sxr� < N be W h/,^+ g5 a F a N ° SunPower.Monitoring Websites ... PVS5x. �r►+c�� SunPower AC Modules Improve Support, SunPower EnergyLink, Reduce Maintenance Costs Plug and Play Installation .... An intuitive monitoringv�ebsite enables youta This complete solution residential monitoring Includes the r9■aLe rpYeAN -- - SunPower®PVSu Supervisor 5x PVS5x which Improves the Installation ;olklhl " Multiple communication Su See a visual magi of customer sites P ( ) P .P Supports SunPower 96-cell _ Process,overall system reliability,and customer experience. options Include Ethernet AC modules,DC string Remotely manage hundreds ofsites - PLC,WIl and cellular ' Inverters,and hybrid(DC • Compact footprint for improved aesthetics ,(;' and AC)systems. Reeive,electivesystem report, 3 ..,,w• ?I. -Robust cloud connectivity and comprehensive local connectivity. - - Locate system issues and remotely dlegnose� - - Diagnose issues online nexible configuratlon of devices during installation - r ! • - „"'•- r Drill down for thestatus o(1 itlA•i Consumption metering dual devices - '^ ' {, Revenue-grade production metering _ b Web-based commissioning a . -a.` .+,•- .... V.P.. ... Remote diagnostics of PV55x and inverters ,} ^*� '+^ -P-• " - Compadble$unPUwerAC Mod IeS'Sur+Power 96-cellAC Mo[Iule,:185) :Temperature .. -!n'C to+bp^C{22"Fto*140.9, *� Durable UL Type 3R enclosure reduces maintenance costs (number supported per Pvss I {p " ♦ I I—IcIity(maximum) 9596,non condcnsing CompatibleS log Invert., .. .. r-N---, (number supported per PV5510 mtemet Acres Highspeed lrteme[acts ..... ..... - .. _ A¢ess bi liter or swnd, ... rs5-48s -.. nd r he. • . '.Power 240 VAC SO 60 hi One channel oi.reverue-gade prod Non metering 208 VAC{lvm poleA GO Hz Integrated Meal (ANSI C12.2n LIM 0'5)and two channels of :. :. r .. _....... _._ _ ..._._ ..___._._ consumption m getedr, Robust Cloud Connectivity — Add Valve for Customers Ethernet---- -- - ,LAN ordpUonai WAN)po •* Multiple options to maintain Optimal PLCfon96<II Ac d s Wllhthe:SunPOwer MOq'[O�ieg System connectiv[: Weigh[ 2.6�166Ibs) PLC lInngratd 1-1—pigAVstandard cumauni.11-to Hardwired Etherne : NS[Ome[S can: - Ste their solar system produces each t n- .r o 3a.S zOr<m.v1 (13 GI xB.I',x�e,ro -- ---- - — -- ---. -�— PLC deNceS aver AC nog day.monm.oryear i Power Une Communication(PLC) Endosuie Rabng uLType:3h: - 3G UMi'6 ' Cptimile their solar Investment and Save on - € - WI-FI - Zggee IEEE 8'J2.15.4 NAt;2.4GNz LSA16ad energy expenses. Cellular backup oata5mrege, God See their energy use and estimated bill savings !• 'cusmmer wenxea rvn,r,r upgrades Air madi:fi hBLpgades See their solar systems performance using the P - Partner w n It �gaLc_mvmrrnm . .SunPower moni[oring,websiteormobileapp_. .Browsers FireroxSafar,arc!chrom .. .' Fmrolle.. .. gro PhUone' dSand AndTId- .1 ' c m . o tonllneatm —c_c nw—r rnn _ _ 2.On a mehlie device,download the SunPower Mommr- Warranty to- ry Ig asplain Apple Ape store"or Google Pldj"store _ — Y rLlrnitdW �11�•"U .: - 3.Sign In usIng—ril emall and 0MY;ord Certlllcaoo s laps B)lU 2C Supports Multiple InvecterTypes B B M t a,o N s Supports SunPower96-cell AC module systems,DC string Inverter systems, - aEv oesca„mo„ o.re oa and hybrid(DC and AC)systerns. .. - - FCCCUL FCCID:YAW513402 11TE.E477122 UaumaitM1atl19 fnna D�WN BY CIECIED BY FIGURE 1:PVSSX SPECIFICATION SHEET FIGURE 2:PVSSX SPECIFICATION SHEET ,„acr a LLJ 1 : S U N P O W E R® PVSSx Detailed Installation InstructionsBib Q� S a Quick Start Guide:SunPower Monitoring System with PVS5x 1,Sol—an lnneflatlan bcenon that b rat in SunPv remmmaWsmrVxcnng PVSSxdbeOljmNepIDwlmYmumrxNtlf Bn Follow Nese untru0a issiall tans upervtw ervmg mdnnamg ' - m i £ s gure.and tonne—the PUSS Sx(PYSSx)to-1 rec date. igectsunligM. an Etlwmetable. O m See Ne,afny and lrstallid-manual for templet i—M,m. - 2 MPum PV55xb ilea us ng aPP prlat 1.Ru cannaltkutmn untlu4mthe Pl'SsxmMubapeeurg.Te PVSSxis v < 8 .. Hardware lorN urtate typeNt W—nflguradmN:Y4"undub WEnn&srouranusel2•ruMmtwiN Kit Contents You Will Need .' .. .. .. ,upooim 6A kg(15 lbs} supp0 nedud ers ngwaah BMgmketi seal allunusetl holes wtlh tlk' v, _ ;, 3 Fit PVS5x onto bra--,ell the pInS silty Included Type 4 hole plugs. - PvSupewlsor5x(PVSSp :Bracket Povwer Line Phillips"iernlrwer - - angagethe PVS5xholes. __,,,� fmPamntl Do.IwtruncommuNranon,.G t,—ghsemeopenbgar �FNenret Mepter Small flathead urewtlrtver 4.Secure PVSSx.bu),atusingthe tvw Included M4x 12::. candue.pove,wlre and Cable - RJaS Crimp nod - men mews. .. ?ACtlap[er,«dboll wrls u�Ethenet table Porrllne Ethernet (" WI-lb" 3.To munl tl ror each tleN Folow Ne Oubt strut Guide: I wt-1ppe, Su Pwx M ,mrulg SysNm PVS5x Oevic fa mplete rtttructions. t EPmP I Ca Rrefoxbutaeed Wmnivp Do not pow up h system until after you GamPlek Step 2 and E1n d Srep3end are ready[ flgu one PVSSx. 5.. 1 Your SunVower moNhonrtg welrsee cradeowhi -1 Enswe Natnwdreulibreakerls OFF. awn i Canto nnatbn Cdbk' lOptanal1Cuuomers Wi-Fl rlmwom al!Password' 2 Prepare the PVSSx ror ACwldrtg: '•AC modulos You shpub haveelready connected AC modulee m tha I:Cu T rrs! me (R57+ _j .. •Removethe%/SSaendnwrecwer by loosen ng three sirewsan Ne.. s¢wke panel.the PVS5x communicates with AC nodules using PLC batom of the encosure pmmcol. RoutingWire and Cable -- •Rb111oVedleiop ACwldngcover. •SMA,ABB:Connect the cable widi a bill cpmwtlor from Ne PVSSx •Remove one bottom AC waingluen, R aHwlAE—neud adons ponlNfNl and land wires In the only,or Nk. •Fbp Ne ACwring partition to the opposite stleNwhereyour AC .first lrlverterhthe dalryrhein. m penings in<he¢Mowre must be Nled�NType.4.or better rated components wlnmwillbelno-In. d.Re 1 Ne Rv55x enclosure caverand three screws on bottom InmNthelntegrivadlieeraI.... booeua? systam ofencbsure. bghmn Da apeMrp(s wlN apProprwte krafxou[taNStdb rwt usv uraadrhearq hemmer) FNCLOSU0.0 COVa0. Png n .. AC WRINEe COVEPS A[WIRINE PARTRION Hardware o (U Mxafimnsuexs topwsW of Um emiosurc mara•ww�.m4aw mnmatidm aek ale ACwdrn' nami - .. .. v gmwme ca trd m mtm.eme�mw#an Ruh RAntl ACwldngthrough.,ne Condob 1,turn laptop Wl-R OR. 2 CanneOan Eth—cable from laptop m-PVS5x LAN1 port 3.Op..brawsw(Chr or Flrefoq and type:: .... wuw-xnnmwewmm�lem n. PVSSx Connection Diagram 4.Follow the lnshuO mMret up 1-relidtalbn,chetk firmware, din wer devires verily d evite oWed.,and corimmlaslon the site. 1-AC Module Con d DC Invert C I n 3 R pow i o d cif t 'ce panel to the PVS5x' I eAevoeraeryv tom mxmawmm4zuvn aim mryuuonmyasmadom -Not The PUSS b pr Rg etl with apeMrkgs.for:fl4'condulG -- VIII ea rorvalbe I o:anw els.tas 1I2^ Butt wiN pplled reducing washam Nidl gasketzn swkeDm .na men You n ndl i cox sPalme nole,dntlx boTam ern Safety&Certifleatlons andb with ding Co dean le pluqnta a Safety II.anions.. AC 5 wile Panel a-�_ 4 FElectricalhth I Code olllanu and dp[Imal [I s, e 71 M... gin � Yb - exo .. ea Ne PVSxt d-i tea ULllstedl5Ara dtl LpoIII reake a xwebmeerenmmed on Va��ukal swim�psemio�y�s�yp edm mmM w td AVYG w1ri UL It d2pA rasatl tluaP kb lee usl 't1O�'s' 'Nisantl ubweammwkmma rail-Pexidl 12 helm W rig Ito mngenmamivareemuwb vmmDamnaeaee ens. a /^•••Ltq - m at a 12 AWGVAUng.When using AC modules,Nls break #t kl bet rgEyeoDmn. arm14atywAJtva.rnyynaaolm4nmmmEv. 1F4---..•t1{1}}.-Jtt s N seM,panel conralning Ne 2D A dual-pole k for the tWeP'LO�w mod belmua aoumma(rypeYagrwagmam[M1mn 3uYm I et Co.necd- i Wp m and land one blatkwbe m Lt,Oce red Vol t L;the whit,. em..m.a0 g4xmxnbmxebmxewammlxm.mwma.n 1 ah-m4ndwermmrmammvxw' M N;and the green wlra to END In UN M.to 1 als: roax+ms Lamnlwv Wrdomm�t 0 —� ail from wmvum a n eCONS Ltand CONS L2edcku-neach Rand CONS LI and a.dNmxiiwaemVtvrAarawp:msDUidbmxrstlmm�.abe 1 mue((xtlh ma�eae CONS L3mbel po tlingRleatlx miwmuawim 1 InaaNa swa*�mtmrcon utirs w}µ m ten panel(location bawd on type of meter you a ,mwE mtl° mmaaewisxmaaabaabu5>mafs metlnesv. Dui ]. a.I.-IRsl N erwke at�mwnmem�rmamlauaEf]Atwwnigme ryasmemD7 1 � Instnlll dtM incoming UI ngl Ng ttywlras.who drove,o/NeR s� wmema2avacatah 1 mtln zerMpvnd I_..___ _ mbeletl TNLSSIDE TOWANDSOURCE fawam the unP[J•meter and away •'� ° �Oaa�awmNtalaaermm� t FmAcnmmaa - Tram NeseM,Da L Im.rwxe Mrtp xm mMMlmyaarmm�we+memmamme t non mnwrc tom CONSUMMON(LOAD SIDE PVI CONSUMPTION(LONE SIDE PVk' o vRmya.oxtmrtPaeDslass.,renews.aexpyzno.nmam+tmpaeaumwm-N mumDand sk sdarrystembbsWkdonadatberin dn:solarsystenmblrmalktlonalUm .. 1 sermoe paMadtnawtream ofUw Rs isbemp or upsVearri ofNe Rs �eN falam:q.nm aa.mmr�mm mmmd..r+ar ..... FCC ComPlknu ...... ... ..•.. .Tnatle.veaxnd-u Men Pm�tSwlaeftl auk+gv+daasugmivvebaMNtwo nitHsa�am may.mrawaMlmNlmnhiaagaa . mnamdwmoxra�mx°r"D`exY lm.d.rax¢rwand wwaatM mnmdrexm mamwrme PVSsx Connection Outline - Seeoth ,loll for detalled Irstdaadon Insttuttlons. magdprrmnrim am wmdane ram mrempyvwntm mmmWsame. rdrb�n.ea�mm�vuamam Pen tsame axmaa tome smmam a��wtm Pmim. agUnu MrnmJinmefmmmmarw denW mbn,TM ,' e3dpmentgineratex usesemmmratl me mdbfineumryemroandtlarwcakd ....... ........�. _ .. oll—laammdvawW Melw�utMnall.—vamrNlwmrrmentetrin., l�M erdous vol[agel Dd NOT power up Nosomr syrt munUl agar you mmplom 5[apatthraugh 3. _ d Xoxw�er.SeWDment Uomwa narMulwnRartn mmGoi. • - ° - ° ° R.Alt th—tall ctle Icier and Sn the as dash �rc�' bd ntl Mmmmadamdpnaniarem ondam Sekctlaatlon 9 Route allRvaras Nr p e m�arkm°maem_M mmuNuamew Mena mmweardrc ralma�ymeaws DO NOT run cammunlranon abler Nrough same opening or urgWc ough coM hpowe eralavure.H Mpuntbrecket and secure with apptopdak lmctlware mar power wire. y neetl to extend theRleadsuse Clasttwlsled,Melded pair, bwmo ` 'm'p�m.�" me'orer' RPVSSxontole.-1 Run tommunludan undult InstNment ubleandapproprlate connectors.S-Power reon—noS •tana�md daevatemammwan4er®swa Ir-0 Eth— W..r Power Line ENan¢t Adepte-,connetlto - the use ofalllune-fleadlnsulanon dlspmcement_unneRws(IDC)or rnweonrL..crm.eqvlancnmrvme.wrmim homeowneR W14R .tolecom coops. luaoar . •Conna[Irnerter ummunloetbI to PVS5x(AC 10.Unit set of Cr kind,In urresponding CONS Lt end CONS U 1n)16 iadaaon�exPxee�e.___ t e Modulesalreadytonrwcted duouh..M.paaH ul,ninah,lfyous vt Nekatl sblp rethan 1141ndt(6 tom) tNsealpnvT^mansatm tie rnrematmexpmmb REVISIONS R PUSSlowne(--I encbsure imenml ACwwin®mPand formes table item-.Pan—M port i ecnn � bap antf To : ramc pi nwalues Vadly that Na hdryul�pmemnr✓m��ImmGMwm operamtl M mum assmie LS beds ) Repbu tit'eralosure cove 6PI polo Rph inmvmi I Jtfi rmpond to the Voltage exee�mem ^ sour FYY sEv oescatctlox lore oe ca m •Pie ppatln - .. .. phses fortha PVSSk powertorml b11S. i �mmm fluaens mea9ro+MaoworaMm n'>Coa*I iemrrmnommx Ru Powe candult m ..-.>. •-'•- •-- •.- IeDatdl - MRun2C ns owbw�loaa.umwermae,muuda�mM.eamax+pmmmme.mmameSmuelpwrrom�tE trx ,ma 1r�y� any thin Run turvnsfom,erlenvdreone mod Inns ReplaceACwhingoers .. Safely certntaaon .. Ui lbttdm UtfA9,Otnean4 teM,an loreuttlaorum. 240 VAC(JS) Ci Wiring(j16) a w:s.anmewunm.e:dam..de..m,mDmrodwaw,n de.km � (zlow ponab act Ethernet table hoN lapropm PUSS WNt Ibmtq PPn.oP b e antltype: 06M Men". CONS LI.CONS 11 PROD lac .. vV Fdbw[helx Olorsmtup nitatlon Neat firmware,dizcwer 11 Replam Ne botom AC wiring aver. @sax sort wile wss< x EeNu;varifydtMca a'don, tl ml"Iti-hbslte 12.Repbcethemp MWOngcoverdv¢r Ne ACpow,Mw (,,the left if s a m _ you onthrough left hob,on No right lfyou No through the righ[hole} Cronbinits sww.mmrpbr�wnE FIGURE 1: PVSSX QUICK START GUIDE FIGURE 2: PVS5X QUICK START GUIDE ,x¢� Fn a W 0 o P N m e m N } m N m F 3 R I E( Continental Control Systems O Z � A Pur Cow current transformers make installation easier because they can be Installed without disconnecting the circuit being measured.Split-co re 4.0 Grounding current transformers are available in a range of stock sizes and rated currents to meet your measurement Ensure that you fully understand the grounding aspects in this section before proceeding. Model Model Model CTS-0750{xxit) CTS4250-(xxx) CTS-20004na) 1800 Important!If installing the system on a metal roof,you must ensure that the system is bonded to the roof in 0.76'I.D: 125"1.13: 2.00"LD. AMP compliance with grounding methods as required by the AHJ. Rated Model. Rated Model: Rated Model i This section is intended to provide a well-rounded understanding of all aspects of grounding:for SunPower Equinox; Amps Suffix xxxAmps Suffix xxx Amps Suffix toot it contains excerpts from the Sun Power AC Module Safety and Installation Instructions(N51744),as well as references 5 -005 70 -070 400 -400 - .15 -015 100 -100 600. -600 3 -_ to the applicable NECArticles and UL Standards. 30 -030 150 -150 800- .800 50 -050 200 -200 1000 -1000 70 -070 250: -.-250 1200 .-1200 The system is Listed to UL 2703 for Integrated grounding;SunPower AC Modules area bonding component 100, -100 :300: -300 1500 -1500 AMP and are Listed to UL 1741:thus no additional grounding hardware,lugs,or copper wire are required on the 150 -150 400 <100 roof. 200 1 -200 1 600 • The SunPower AC Module is one of the components that bonds all of the metallic non-current carrying EOA;,, 1so'. components in the system,and is Listed to UL 1741. �/ AR1P - As part of UL 2703,only AC equipment grounding requirements apply-no DC system grounding requirements nor DC equipment grounding requirements apply. Theequipment roundin conductor(EGC)Chats built into the:AC.Module cables stem is sized \/' +•�"'4uwr,wr grounding y appropriately - D B/ - and meets all of the AC equipment grounding requirements for the system. A C 0.333_ ,y!,, i � nr - The AC dedicated branch circuit wiring from the readily accessible disconnect to the array must include an \ VAC `^"a�r u '. equipment grounding conductor(EGC)in the same raceway or cable as the AC circuit:conductors.This EGC must } be connected to the green conductor of the transition cable,which is part of the AC module cable system. Size CTS-0750 CTS-1250 CTS-2000. If a module is removed from a circuit(for service or replacement,for example),remember that the AC _ 2.00 in. 3.25 in. 4.75 in. - I .. - Module cable system is daisy-chained and that therefore you must first disconnect all power and then A 5.08 crn 6.45 an 12.1 cm install-a temporary EGC to bridge the gap by inserting an AC extension cable or other means,in order to ,OreB 2.10 in.. 3.35 in.. 5.00 in. maintain effective ground continuity to subsequent modules.Disconnecting a module from the circuit 5.33 curt 8.51'cm 12.7 curt removes voltage and ground from the other downstream modules in the circuit.Extreme care should be .C 0.61 in 1.00 in. 1.20 in. taken to ensure that no other energized sources are adjacent tozhese ungrounded modules.. 1.55 cm 2.54 an 3.05 cin - D 0.75 in. 1.25 in. 2.00 in. ;�"' _ A grounding electrode conductor(GEC)for the module or array is not required because the DC power is internal 1.91 cm 3.18 chit 5.08 cm t�w�f•� '•fit »»�� '4 to the module.The existing AC GEC at the utility service serves as the NEC-required GEC for the structure. 1.91 curt 3.18 an 5.08.cm j g y„� ltJii f1v! • The AC cable grounding path has been tested by An NRTL,and its electrical continuity from the AC cable ground pin to the module frame has been certified.. .. t®gs L61ID E •ss exposes metal parts on •up[0600VAC. L& recognized for voltages aeaemblatl trensfwmar, The AC Module interconnecting cable;system provides an internal EGC for grounding the AC Modules.It is the 80 q installer's responsibility to ground any metallic mounting structure according to local code. �88$)928-866J •Internal predalon burden resistor •0.333 VAC ouput at rated current. a EVISION 5 across secondary. -Epoxy encapsulated housing. of ratedcurrent- Neither the AC Modules nor the array require a grounding electrode conductor,(GEC).The AC Modules must be '166 �� �� .. •Accuracy 1%.from 10%10 tao%. connected to a dedicated AC branch circuit with an appropriately sized equipment grounding conductor(EGC):- • Continental Control Systenrsa The equipment grounding conductor must be connected to a grounding electrode using the existing premises •Leads-ati.WIstad pair,22AW0. •Phase angle<2 degrees for wiring system,typically originating at the building service entrance or service panel. 3131 Indian Road,Suite A CTS-0750 models>70Amps& Boulder,CO 80301 USA •Cure Interleaved at Joints for CTS-1250 models>150Amps. accuracy. (888)92 les@c Fax lays. 444-2903 •Snap dosingfopening feature. oocumeot usl4roi nevA t s srinvowrr Proprietary o•o,eR sales(dlccontrolsys.com •Phase angle is measured at so%m rated current. •RoHS Compliant onre ouwn www.wattno e.com '- ow,wry ev FIGURE 1:CURRENT TRANSFORMER SPECIFICATION SHEET FIGURE 2:SUNPOWER EQUINOX GROUND PATH&COMPLIANCE seer b� UJ N < SO io • C a ¢ O o O . There is no neutral conductor in the AC Modules:Each AC Module has been designed and is:Usted to operatet, without a neutral:conductor.The-reference.to ground;in the AC Modules'is through the equipment grounding - 4.1 NEC Compliance and the Ground-Path conductor(EGC). • The AC interconnecting cable system attached to each module's microinverter is fully insulated and includes an The following are the grounding-related NEC Articles and applicability for SunPower AC Modules on rooftops:' internal EGG The grounding pin is longer than the others in the plug,providing a"first to make,last to break" 690.41 does not apply to AC modules. connection sequence. 690.42'does not apply to AC modules. • The green conductor in the transition cable("trans cable')is connected to the EGC from the utility dedicated 690.43 covers equipment grounding,which is the only required type of grounding for an AC rnodule- branch circuit("the building ground"). .• 690.45 specifies that EGCs should be sized based on 250.122. The AC ground wire inside the microinverter terminates on the microinverter chassis with a bolted connection, and is environmentally sealed. 690.46 modifies 690.45 when.the EGC is notprotected within a raceway. • The microinverter chassis is bonded to the module frame with stainless steel hardware to provide ground 690.47 does not apply to AC modules: continuity to the module frame. 690.47(A)does not apply when installing an AC system.The AC"system"was already existing on the • Each receptacle has a ground pin that Is longer than the circuit pins to ensure that the ground is the first to make premises,and hence you areinstalling AC modules on the AC system. - - contact when connecting.a given plug-receptacle pair,and the last to break contact when disconnecting the pair. 690.47(B)applies to DC systems;it does not apply to AC modules. 690.47(C)does not apply(see 690.47(B)). Each SunPower AC Module includes a factory-integrated microinverter(MI)that does not require a neutral - 690.47(D)only provides guidance for a"dc grounding electrode conductor." wire to be connected to it for operation or for compliance with IEEE 1547.Power produced is conducted on the Li-L2 240 VAC or 208 VAC grid connection.Utility interactive functions In the MI circuitry have been evaluated to j 690.49 does not apply., IEEE 1547,and.use the ground wire instead of the neutral to determine grid values.This functionality is part of its Note as well that Section 4.1 of the SunPower AC Module Safety-and Installation Instructions(#57744)explains: UL Listing. As a Listed.product;"SunPower AC modules shall be installed and.used in accordance with any instructions included This product must only 6e connected to a single-phase system(L-L)of a premises with the neutral(N) in the listing or labeling"(110.3(8)).In addition,:SunPower AC Modules"shall be grounded using the integrated bonded to ground at the service entrance per code.(The MI does not reference the N to ground internally, equipment grounding conductor.:.no additional grounding conductor attachment to the'AC,module Is required." therefore this reference must be accomplished only at the service entrance.)Ensure that the installation site has a - higtrquality N-to-ground reference at the service.The MI determines L-N voltages based on measuring internally from L to the MI chassis,which is connected to the EGG - REVISIONS .. .. .. .. Document N518101 RSV. 16 5unp—rPmDrietmy DacUS."51g10i R"A 17 SunPoxxr P,QPrletsy FIGURE 1:SUNPOWER EQUINOX GROUND PATH&COMPLIANCE FIGURE 2:SUNPOWER EQUINOX GROUND PATH&COMPLIANCE ha a If, AT A SunRower Equinokm Ground Path and Compliance Z H .�t.2. system Ground Path The system features: - .. uieDamp integrated module-to-rail as well as adjacent-module bonding achieved through the mid clam and end clam A0No0tl1e 6 g 1 g( g p P).: . • Integrated rail-to-rail bonding(achieved through the self-drilling splice screws and,the splice)....... 4 7 System bonding is achieved through the ground lug assembly to the equipment ground conductor(EGq. _ '°i°°'"'► $ - 3 The following diagram illustrates the key grounding and bonding aspects of the system: W 2 RoortRp ram:Wft. I Q® bt&ar! b.LFtS1LtB A1 .+P.il7lY'�. SPODE the system ground path s�'r i 'so— • each component j apt 9 • each bondingpoint P se1.1� t� ncm1d"ean�tcerlaas�airrArt:.?z•ssraasen • the applicable NEC and UL references p,Dd ®Ra 4, Compliance : : Bonding Components cwRnma NEC. UL t��o Grounding Electrode to 69CA7(A) Service Panel 690.47(D) n/a. Service.Panel to 2 Roo ftopJunction Box 690.43 n/a Rooftop unction Box to 1741 AC Cable 690A3(A)': . 703 9703 4 AC Cable to n/a(part of 1703 Microinverter— ListiM 1741 Microinverterto n/a(part of 170.1 AC Module Frame ListJfW 1741 — 690.31(0) 1741 6 AC Cable to AC Cable 690A3(A) 6703 690A3(D) 9703 69OA3(A) . .. 7 AC Module Frame to 690.43(C) 2703 Mid Clamp to Rail 690A3 D e AC Module Frame to 690A3(A) O End Clamp to Rail 690.4%C) 2-103 RIVISIINS 690A3(D) D—REATIO DATE DD Ea 690A3(Q 9 Rail to Splice 690.43(C) 27a3 690A3(D) DDEummt M518101 R¢A 18 - SunPa—r P aprW-y DDNment as18101 RMB .22 _ Sunp—,Prapilemry DATE DRAWN BY DATE CHECKED —ED By FIGURE 1:SUNPOWER EQUINOX GROUND PATH&COMPLIANCE FIGURE 2:SUNPOWER EQUINOX GROUND PATH&COMPLIANCE s�EET r Uj 7/28/2017 DIMS.E466981-Mounting Systems,Mounting Devices,Clamping Devices:and Ground Lugs for Use with Photovoltaic Modules and Panels 7128/2017 OIMS.E466981-Mounting Systems,Mounting Devices,Clamping Devices and Ground Lugs for Use with Photovoltaic Modules and Panels 0 ' d a gig XXXE/NE- 9�9 WMT/BLK-U- Z o i Bye, :. VYYAC Vand s SP0.V- - QIMS.E466981 XXXY,2-G- h ^ p Mounting Systems,Mounting Devices,Clamping Devices and Ground Lugs for AD ^ Use:with Photovoltaic:Modules and Panels' (hero %%7° ... .. wattage of the panel and Page Bottom ranges from 250 to 225; and where Mounting Systems,Mounting Devices,Clamping Devices and Ground Lugs for YyY .. ..Use with Photovoltaic . and Panels. ....... .... ...... ...... .... .. .. ... .. Indicates the Modules inverter voltage used In the :See G e informationfor Mounting Systems, undo Devices."ClampingDevices and Ground Lugs for Use With Photovoltaic Modules and - - - - "' ". '" module„and Panels .. .. .. can be blank,' 24der SUNPOWERCORP E466981 20B(240.) -77 RIO ROBLES - -� � ���� -- y ... Y See Above UL Usted SAN LOSE,CA 95134 USA- Sunpower :. . Corp.mod InVestlgated � modules: moa Gen Inv08tigeteA for System lire C Tested to ... .. .. 5theme for McManGal ClassiNntlon Combination 'models Spit- (where No. Bonding Loading (A,B or C) With XYY-A4C. (where YY Photovoltaic mounting system : - -- represents numbers 18, [End n sl punt-cons sting o t e ( components: - See Below See Below Used Fire - _ : 19,20or21, Oat,Rail,Re I SpIIce,Mld Oampr Ground Lug Abbembly, PeRormance : entl Clamp,SolarEdge:P400 Microinverter Backplate,Row Type 2 -: - '" :represents lip. Modules In any number Stee Slo e .. from 370 to 310 and 274 Y Y - See Above UL Usted AC to 233) otlules:Gen 5 frame Y Y See above' UL Listed ... .. .. ... ..... Models SPR-. ... .. .. ... Sunpower..'. 22-360-C- .. Corp. :. .. .. C,SPR-X21- modules:Gen . 35-BLK-C- 5 frame .. C,SPR-%20- .. ... .. ... model SPR- . '.. .. .. .,. 27-BLK-C- ., EYY-sp B. .. C,SPR-X21- .. (where YY ' .. .- .: represents SPR-45-X21- numbers 18, .. ... ... ... .... 35-C-AC, ..... .. ...... .... ... ... 19,20 or 21, .. :. PR-)(20- :. and era . 27-C-AC, PR-E20- any number from 345 to .. PR-E19 .. ... .. :. .,- 285antl.250 320-C-AC, to 225) PR-X22-: 70-D-AC, Helix:Single Tilt Mounting System and Helix Dual Tilt. See Below See Below A:. Listed Fire PR-X22- Mounting System-Chassis Single Tilt-Part No.'513831,; PeRormance- 60-D-AC,; '' '' Following Tray-Part No.513832;Link Tray-Pan No: - - Type-2 PR-X21- 513833,Leading Tray-Pelt No.513834,Riveted Leading .Modules In 35-5LK-D- Troy;Pan Nd_517871,Spoiler Single Tilt•Part:No. Low:510pe., C,SPR- 51366,Deflector-Left-Part No.'513841,Deflector-Right 20-327- -Part No.513842,Base Chassis-Dual Tilt_Pan No. Y Y See Above UL Usted PV BLK-D-AC, 514056,Chassis Platform'Dual Tilt,Part'No.51:4057,Front '- 'Modules: PR-X21- Skirt-PeR No.515928,Rear Skirt-Part No.515929, Su power 45-D-AC, Module Clip and Inverter Rack Corp:Models REVISIONS PR-X21- - - SPR-XYy. . 35-D-AC. ...... . .. .' .. .. ..' .. itkp, ' asv osscslrnon D<.s oa ce Pit=E20- - where yy . 27-D-AC, represents .. .. - PR-E19- .. :numbers'18, .. .. ... 20-D-AC... .. .. .. ... .. .. ... .. .. 19,20 or.21, .. .. and:9Yi .. Y Y See Above NRTL Listed represents ISunpower eny:numberColefrom 390 to ramccr mod Ulm:Gen 445,370 to D—Dsnwn . - ... 5 frame ff .. .... .. .. .. 310'and 174 fll6gllC:Nsere/reach/DesktWOIMS.E4889B1%20-%2OMounting%20Systems,%2OMowbng%2ODevir .%20Clamping%20Devices%20and%ZOGrou.... 1/3 :fileldC:Nsers/re4de/DeskWp/DIMS.E488987%ZO-%20Mounting%20Systems,9620MounOng%20Devicas,%20Clampirig%20Devices%20and%20Gmu... 2/3 �s0 FIGURE 1:UL CERTIFICATION-MOUNTING SYSTEMS,DEVICES,CLAMPING DEVICES& GROUND LUGS FOR PV FIGURE 2:UL CERTIFICATION-MOUNTING SYSTEMS;DEVICES,CLAMPING DEVICES& GROUND LUGS FOR PV snFOr w �g LU PE IN 726 . f2017 DIMS.E466981-Mounting Systems,Mounting Devices,Clamping Devices Ground Lugs for Use with Photovoltaic Modules and Panels' " -- - --_—Pk-_ here YY .-.. .represents .. ^^ i $E numbers 18, .. 19,20 or 21,. and Spi represents any numtieF .. .. .. .. from 390 to .. 445,345 to 285 and 250 to 225' At models ..... ...... identified must have .. .. ...... .. the Gen frame. - . - .. .. Y' Y. .: See Above UL Usted W; Modules: Sunpower .. Corp:Models,. .. SPR-PYY-. .... AAO aM.... ... .. .... where. YY represents 15 or 17,and repreeeme any number from 320 to 370.All ... .. .. . models identified must have the Gen 3 frame .. .. Last Undated on 2017-07.27 QyfStlonsT print this nape -- Terms of Use Face Too g.2617UL LLC .. r The appearance of a company's name on product in this database does not In itselfassure that products so identified have been manufactured- - - - antler UL's Fallow-Up Service.Only those products bearing the UL Mark should be considered to be Certified'and.covered under UL's Follow-Up Service.:Always look for the Mark on the product. UL permits the reproduction of the material contained in the Online Certification Directory subject to the following conditions:1.The Guide Information,Aesemblies,CA stNNions,Designs,Systems,and/or Certifications(files)must be presented in their entirety and in a non- misleading manner,without any manipulation of the data(or drawings).2.The statement'0.epnnted from the Online CernOEatlons Directory with permission from UL'must appear adjacent to the extracted material.In addition,the reprinted material must Include a copyright notice In the following format:'®2017 UL LLC'. .._ .. :. REVISIONS ounwn av 'flel//C:fLJwmtmudefOesktop/DIMS.E466981%20.%2OMouming%2DSystems,%20Moun0ng%20Devices,Y,20Clamping%20Deviees%20and%20G.u.... 3/3 orris c„ccxeo FIGURE 1:UL CERTIFICATION-MOUNTING SYSTEMS,DEVICES,CLAMPING DEVICES& GROUND LUGS FOR PV t� DOUG FINK Permit Coordinator s SKYLINE SOLAR GOOD FOR THE FUTURE,GOOD FOR YOU 4 Crossroads Or, Suite 116 • Hamilton, NJ 08691 dfink@skylinesolar.net t 732.354.3111 Office • 732.354.3071 Fax t Leigh Thayer 205 Mitchells:Way Barnstable, MA 0260.1 To Whom it May Concern: I, Leigh Thayer, residing at 205 Mitchells:Way, Barnstable, MA 02601,would like to cancel the previously applied solar permit under my account and move forward with the submission with Skyline Solar as the installer: - Thank you, _.. Leigh:Thayer - Leii payer(Sep 26,2017). (508) 360-6920. f -, scooby.615@msn.com . w £ M f SunPower' Solar Permit. Adobe Sign Document History. 09/26/2017 ^°- Created: 09/26/2017 By: Andrew Feilke(andrew.feilke@sunpowercorp.com) s tr Status: Signed Transaction ID: CBJCHBCAABAADPk4BbZiKTtltllhRXaSgUDGhyyeFTZ4 "SunPower Solar Permit History Document created by Andrew Feilke (andrew.feilke@sunpowercorp.com) 09/26/2017-12:41:28 PM PDT-IP address: 12.251.62.110 P4 Document emailed to Leigh Thayer(scooby615@msn.coni)for signature 09/26/2017-12:42:04 PM PDT - Document viewed by Leigh Thayer(scooby615@msn.com). .. 09/26/2017-12:46`.09 PM PDT-IP address:73.61.10.223 �® Document e-signed by Leigh Thayer(scooby615@msn.com) Signature Date:09/26/2017-12:56:08 PM PDT-Time Source:server-IP address:66.87.124.237 (� Signed document emailed to Andrew Feilke(andrew.feilke@sunpowercorp.com) and Leigh Thayer (scooby615@nsn.com) 09/26/2017-12:56:08 PM PDT C-D LV. . SUNPO.. .: POWERED 9V :. .. .. WER Adobe siv, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0 "7 i .Application # Health Division Date Issued �� t✓ Conservation Division Application Fee 1 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address a l7 w% I B C}i G L l-S A Y Village 1'1\1 0 W `S Owner Kc-�iu -ZAPLIC.K1 Address L1 ivnft(Yk rWAia 0R o W@LES, MA 0iv9 Telephone Li 1 5 3 - 0) kog Permit Request R L0\0oL-L ozC R W�D A114 _6 a ub LA%JWo a AAA PAlt4 ALL 6PIAA SN CVEL 114GS 'TiLE 9LODkS Chkpe FL&b &S J Square feet: 1 st floor: existint proposed 2nd floor: existing SQQ proposed:_Total new Zoning District Flood Plain Groundwater Overlay Project Valuatiffi 0 ® Construction Type Lot Size 19 �U SR F T Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 'V Two Family ❑ Multi-Family(# units) Age of Existing Structure _ Historic House: ❑Yes lNo On Old King's Highway: ❑Yes �kNO Basement Type: ❑ Full ❑ Crawl ❑Walkout Other ?A 0.ITA A L Basement Finished Area (sq.ft.) 5 Q Basement Unfinished Area (sq.ft) a0p gG P•i Number of Baths: Full: existing_ new - 0` Half: existing new y Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: �p Gas ❑ Oil ❑ Electric ❑ Other Central Air: ;0 Yes ❑ No , Fireplaces: Existing New Existing wood/coal stove: ,❑YQs, ❑ No n Detached garagO* existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing 0 new Msize_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ =6:' $ Commercial ❑Yes 1 No If yes, site plan review# IX1r r-- Current Use Proposed Use =— ---�- - --,- -APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 1(E Ji A Telephone Number li3 52) "' ON Address 4 MMY, TW,fli DRWE License # e5 1 Y?)a L61LA(RRHIm MA 011YA5 Home Improvement Contractor# I ., s o Worker's Compensation # 5s�&5 AireCtie) ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Clws to wmau 6'_A�S E LLC A AD DbCiog MSQb6ft OF i&4J(hba 57M Q-508 e-231 9sg2 SIGNATURE v�n C�I~� DATE m.gT9 ,2.0 11 t FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ' MAP/PARCEL N0. ADDRESS VILLAGE OWNER ; a DATE OF INSPECTION: i FOUNDATION FRAME ' INSULATION F FIREPLACE -� fa. ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL 1 GAS: ROUGH FINAL FINAL BUILDING x DATE CLOSED OUT a4. ASSOCIATION PLAN NO. � I , i I N The Commonwealth of Massachusetts ^j 1 Department of Industrial Accidents, 1 Office of Investigations . . 600 Washington Street Boston MA 02111 ' `4.� www.massg ov/dia m Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers F' Applicant Information Please Print Leeiblv Name (Business/Organization/Individual): F\11 CZAPL1 1:Kj Address: 1WRiC Ttti9�i� 9�1�y City/State/Zip: (_A1L9R_4NA)n mA 01IQS ,i.Phone #: 413' 59h 3290 tc_N L 411-531 -t3�8 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' . on 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,o ship and have no employees These sub-contractors have 8.r❑ Demolition - working for me in any capacity. workers' comp.insurance. g. ❑ Building addition [No workers' comp: insurance 5. ❑ We are a corporation and its ' 10.❑ Electrical repairs or additions< required.] officers have exercised their , 3.❑ I am a homeowner doing all workright of exemption per MGL 1,1.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1.(4), and we have no 12.❑Roof repairs insurance required.]t. 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 hire outside contractors must submit a new affidavit indicating such. - tContractors that check this box must attached an additional sheet showing the name of the sub-.contractors and their workers'comp.policy information. ; I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site., information. a Insurance Company Name: l M 6 P.%C ft a v 9-1 LH i Ow P,AOCZ CU tv% ®e to Policy,#or Self-ins. Lic.#: O 2 � 3 9 109 Expiration Date:. Job Site Address:-- a 08 iN% IT IKU LLB lad R Y � City/State/Zip: 1A.1 AAA � MQ�tZ,OO Ie 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 maybe forwarded to the Office of, Investigations of the D.IA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct ; S_ gnature: Date: f11fF1 �"t`L0, r Phone Official use only. Do not write in this area,to be completed by city or town offzcial City or Town: `Permit/License'4 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." Add' .Additionally,MGL chapter y, ap r 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 thatthe affidavit is com plete 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 Roston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-977-MASSAFE Revised 5-26-05 Fax# 617-727-7749 www.mas&.gov/dia . . c a . Town of Barnstabfe� THE J}y, Regulatory Services STAB ? Thomas F. Geiler, Director SARNLF— Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.Wwn.barristable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: tv1 161 JOB LOCATION: ry, IT" number s eo[ f� village "HOMEOWNER": XES119 G2apL%C91 `I1. 5 9 �n �i"�—,��,�-i���q� name home phone work phone# CURRENT MAILING ADDRESS: �'} �C � city/town ' state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings ofsix 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. Suchf "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall fie responsible for all such work performed under the building permit.,(Section 109.1.ljl r 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 proceduresand requirements°and that he/she will comply witlrsaid procedures and requirements. Signature of Hom ner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic.factor larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homcowner performing work for which a building permit is required shall be exempt from the provisions �4 of this section(Secdon 109.1.1-Licensing-of construction Supervisors);provided that if the homeowner,engages a person(s)r6r 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 ofa supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.)5) This lack of 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'thc homeowner is fully aware ofhis/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 formJcertification for use in your community, Q:forms:homcczcrnpt of THWErqy Q� 'L BA ELY 16y Town of Bam' stable Regulatory Services Thomas F. Geiler,Director Building Division Thomas Perry, C80 Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0. Property Owner Must Complete and Sign This Section If Using A Builder 1-ZQ 9 INC V 1 , as Owner of the subject property hereby authorize (_.J 1�1r` j{}� L\C� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) y Y 1 i 20 if Signature of Owner Date Print Narhe If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:1Users\dccolliklAppDatalLocallMicrosofl,VindowslTcmporzry Inwnrt FilcslContcnt.0utlook-DDV87AAZ1EXPRESS.doc Revised 072110 CONSTRUCTION MATERIALS AND INSTALLATION COVERAGE DECLARATIONS The Declarations,Supplemental Declarations,Common American Zurich Insurance Company Policy Conditions,Commercial Inland Martine Conditions, A Stock Company Coverage Form(s)And Endorsement(s),if any,issued to Administrative Office: 1400 American Lane and forming a part thereof,complete the Commercial Schaumburg,IL 60196 Insurance Policy numbered as follows: THIS IS A COINSURANCE CONTRACT p New Policy ER70239209 ❑Renewal of Please read your policy. ❑Rewrite of In return for the payment of the premium,and subject to all terms of this policy,we agree with you to provide the insurance as stated in this policy. 1. Named Insured and Mailing Address: 2. Producer information: Kevin CZaplicki A Name:USA93UREINSURANCESEIMCESOFROMA,INC. 4 Mark Twain Drive P.O.sox 10610 Wilbraham,MA 01095 JACKSONVILLE.FL3224M124 saa06=7 B Telephone# C Fax# D Zurich Producer#Aoosm7 3. Policy Period—From:osmno11 To:02/OW012 E Field Office Name AUBURN 12:01 a.m.at your mailing address above. F Field Office Code XA 4. Form of Business: ©Individual ❑Partnership ❑Corporation ❑Joint Venture ❑Other 5. Limits of Insurance(eitherOne-Shot or Reporting Form as lndkaW below) 0 SUPPLEMENTAL DECLARATIONS (If this box is checked,Supplemental Declarations is attached to and forms a part of this policy) ❑ Reporting Form(continuous policy) fIc One-Shot(non-reporting for isingle structure policy) ❑Annual Rate ❑ Monthly Rate(HBIS—4) R] 1-4 Family Dwelling ❑ Commercial Structure Property Location A) Any one building or structure $ 205 Mitchells way B) All covered property at all locations $ Hyannis,MA02601 C) Rate Per Report D) Premium Per Report New Construction E) Total Taxes and Surcharges Per Report A) Anyone building or structure $ (per attached endorsement) B) All covered property at all locations $ F) Total Fully Earned Policy Premium Per Report (same as A unless otherwise noted) Remodeling D) Renovations and improvements $ 35,000 E) Existing buildings or structures $ 135,000 F) Rate $ 0.549 G) Premium $ 933.00 H) Total Taxes and Surcharges $ 0.00 (per attached endorsement) 1) Total Fully Earned Policy Premium $ 933.00 minimum premium applicable) 6. Deductible: 0$500 ©$1,000 ❑$2,500 0$5,000 []other 7. Forms Applicable To This Coverage Part: SEE SCHEDULE OF FORMS AND ENDORSEMENTS Countersigned: Lk—`\ By: Date Authorized Representative FW170001 MA(o4-1o) A CONSTRUCTION MATERIALS AND INSTALLATION COVERAGE SUPPLEMENTAL DECLARATIONS Policy Number. ER70239209 Policy Type: ❑Reporting Forms(continuous policy)OR 21 One-Shot(non-reporting formisingle structure policy) ADDITIONAL COVERAGES(COVERAGE FORM) LIMIT OF INSURANCE a. Collapse Included b. Scaffolding,Construction Forms And Temporary Structures $ 20,000 Re-erection Of Scaffolding $ 10,000 c. Debris Removal $ 20,000 d. Back-Up Or Overflow Of Sewers,Drains Or Sumps $ 5,ODO e. Fire Department Service Charge $ 10,000 f. Valuable Papers And Records $ 20,000 g. Pollutant Clean-Up And Removal $ 15,000 h. Ordinance Or Law—Direct Damage Loss To The Undamaged Portion Of The Building included Demolition Cost $ Increased Cost Of Construction $ Combined Aggregate For Demolition Cost And Increased Cost Of Construction $ i. Preservation Of Property Included j. Rewards $ 10,000 k. Property At A Temporary Storage Location $ 10,000 I. Property In Transit $ 25,000 OPTIONAL ADDITIONAL COVERAGES(ENDORSEMENTS) ❑ Business Income(HBIS-95) $ Anticipated Project Completion Date Monthly Limit Of Indemnity (fraction) Deductible Period days Civil Authority Included ❑ Business Income And Extra Expense(HBIS-82) $ Anticipated Project Completion Date Monthly Limit Of Indemnity (fraction) Deductible Period days Business Income Included Extra Expense Included Civil Authority Included ❑ Development Or Subdivision Fences,Walls And Signs(HBIS-58) $ ❑ Expediting Expense(HBIS-93) $ ❑ Extra Expense(HBIS-92) $ ❑ Marine Model Home Contents Coverage(❑HBIS-52—OR—❑HBIS 77) $ ❑ Soft Costs Coverage(HBIS-88) $ Anticipated Project Completion Date Deductible Period days Expense To Mitigate Loss Included Civil Authority(coverage extended for 3 additional consecutive weeks) Included OPTIONAL COVERAGE EXTENSION(ENDORSEMENT) Builders Risk Green Building Coverage Extension(HBIS-96) Aggro%to Limit of Liability $ "LEER Building Rating" x ' HBIS-91 MA(04-a9) Po licy Number ER70239209 SCHEDULE OF FORMS AND ENDORSEMENTS Named Insured:Kevin Czaglicki Effective Date:05/05/2011 12:01 A.M.,Standard Time Agent Name:USASSURE INSURANCE SERVICES OF FLORIDA,INC. Agent No.:A0060627 - FM170001 MA(04/10),HBIS-91 MA(04/09),U-GU-619-A CW(10/02),U-GU-630-C(12/07),U-GU-767-A(01/08), CM0001(09/04),IL0017(t l/98),40471(04109),HBIS-37 MA(04/09),14BIS-79 MA(04/09),HBIS-83 MA(04/09), HBIS-84 MA(04/09),IL0003(09/08),U-GU-319-F(01/09) U-GU-619-A CW(10102) Y. = YVassachusetts Workers''Compensation Insurance an „Acadia Insurance Company Administered by Berkley Risk Administrators:Company, L-LC. PO Box 1100, Mpls, MN 55440-1100 222 S 9th St; Mpls;MN 55402 Acadia Insurance® Phone(605)945-2144 Fax(866)215-8118 Toll Free(800)634-4589 NCCI Carrier Code 33391 CERTIFICATE OF INSURANCE 1.The Insured: WCIP Policy Number:WC-20-20-000092-04 Carlos Figueroa Tax ID#: F 0-1-8723094 dba: C N F Remodeling Policy Period: From: 5/1/2011 20 Captain Noyes Rd To: 5/1/2012 South Yarmouth,MA 02664 Date of Mailing:5/2/2011 The Certificate is issued as a matter of information only and confers no rights upon the Certificate Holder. This Certificate does not amend, extend or alter the coverage afforded by the.Policy•listed.below. This is to certify that the Policy of Insurance described Herein has been issued to the Insured,named above for the policy period indicated. Notwithstanding any requirement;term orcondition of any contractor other document with respect to which this Certificate may be issued or may pertain; the insurance afforded by the Policy described herein is subject to all the terms, exclusions and conditions of such Policy. ; �PE O NS RAMC LIMI Coverage Part One State(s) Workers'Compensation Statutory MA i ti Part Two Bodily Injury by Accident $500,000 each accident. Employers'Liability J Bodily Injury by Disease $500,000 policy limit. T Bodily Injury by Disease $500,000 each employee. Should any of the above described policies be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy provisions. ,4 All Entities/Insureds: ° Certificate Holder's Name and Address: Figueiroa Election Election Kevin Czaplicki Category Status Name 4 Mark Twain Dr Sole Proprietor Include Carlos Figueiroa . Wilbraham, MA 01095 Date Issued: 5/2/2011 Leonard Insurance Agency Inc 683 Main St B Osterville,MA 02655 Signature_ r BA 3140 RightF4x N2-2 4/28/2011 10:05:06 AM PAGE 2/002 Fax Server ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 04/28/2011 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)NSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:B the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. U SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemerd(s). PRODUCER CONTACT NAME: PHONE FAX LEBEL LAVIGNE DEADY INS (A/C,No,Ext): FAX (A/C,No): 637 GRATTAN ST E-MAIL ADDRESS: PO BOX 59 PRODUCER CHICOPEE,MA 01021 CUSTOMER ID if. 28TGG INSURER(S)AFFORDING COVERAGE NAIC A INSURED INSURER A: HARTFORD GROUP INSURER B: A PLUS ROOFING AND HOME MROVEMENT INSURER C: INSURER D: 38 PARENTEAU DR INSURER E: CHICOPEE,MA 01020 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 MAYBE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBR POLICY EFF DATE POLICY EXP DATE - TYPE OF INSURANCE POLICY NUMBER (MAADDIYYYY) (MROD1YYYY) LIMITS LTR INSR WVD GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE OCCUR. PREMISES(Ea occurrence) MED EXP(Any one person) $ PERSONAL&&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PROJECT LOC PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ , (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WC STATUTORY LIMITS OTHER WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY YIN UB-9784MB1A-10 06117/2010 06/17/2011 E.L.EACH ACCIDENT "$ 100.000 ANY PROPERITORIPARTNEW/EXECUTIVE Y E.L.DISEASE-EA EMPLOYEE $ 100,000 OFFICERWEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-POLICY LIMIT $ 500.000 y It yes,describe under DESCRIPTION OF OPERATIONS below - - DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIRESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE NO PARTNERS ARE COVERED BY THE WORKERS COMPENSATION POLICY. CERTIFICATE HOLDER CANCELLATION KEVIN 1 CZAPLICKI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE 4 MARK TWAIN DRIVE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE WILBRAHAM,MA 01095 Ramani Ayer ACORD 25(2009109) 1988.2009 ACORD CORPORATION. All rights reserved.. I up! ' I 5 N 10.E IDtjW y5 r 1 A ' 43 1 , , .__l. _ k P Ski Ig G a i9-k =LOO R ait•11A C,%,C-L1 Pt �w1,IS rL®b(� S L 17 LE"J M • i � I �(( � l � _1_ �y ! � i _ - - - - - � '-_ ,i �.1.��� k � i ` �. - i -- � � -- - - I . � �crSy'it'e& 0 R� • q=LD6 R ; - _- _Pttl�f -- 'ry\'R�, to, _IglD0.66 - 1 - - - - - t _ Eta t 114fi CLOS tT i _ k r + --- I t V� t5. w �.L6 !AT�iW1' + ,�. �. } ta�inl_.t-ilE� laeQ �`'ELi - 'F _ r j'D►y„E,�' r , 67) CL o`Z 11� 1.009 t—k' 1'1 V� o� 0tO avn S 1^184-T i I Pub Fa A pw� Off.. . � I �RD�� ,v�' . r .- {-. -,- �DbR � � i #©Q�R�. j � � ! T��IS7i►S(y � A SD Lbo r R Lt yNFC - F a� Sq F•% - D G M t-7 C HGU6 �Z P- Y F 4 _ l"- t, ST?1 10.5 T-b r _L7 , I I 5 � r I� J/O�I�rV�.. j� � �i. +.-. � _.mot.. � � � 4't ! f(. � F � r .. ��__..•�r.-� - � ' �i.. F - F. f t s , _ r R - - { ST11S(r F 1 h0 WS F1 C-A Q F}S C- m t is i 0.tiA •r-• -;- �� �i �q t f 4 a E R 1.F I ►� I S Fi t io - a �-r _ I r- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ® Parcel C)`l Application #a6 I Health Division Date Issued 4 WLI Conservation Division '��� Application Fee Planning Dept. Permit Fee 636 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address U iLX_!S j fV Village 'H I A A ' Owner �<f_At A ( 2 P,?L\"1 Address Telephone y 1 e 3 0 k4lLPJ Permit Request Lin a ii E C 0 L�I P�al (a a �h&Yt � 'ra?L H f�-� `I X F CyWh FALL%9 A98R.7 Rk4b D,966F-kOU LAMr 'To I)Emb 11- iffN.0 CL.EiAO Up `019,b - Nb C,P.Aat NLr-,or- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 11 " Construction Type Lot Size M(P Lo <r, I'T Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure IU \1RS Historic House: ❑Yes ANo On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other SAD WE- 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 m° Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other 1J A Central Air: ❑Yes No Fireplaces: Existing New Existing wood/coal stove;,❑Yes ❑ No Detached garage: �ikexisting ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing 0%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 K�Ai PL1cKI _ Telephone Number Address � NA f�i( T W Pf 14 D R I���. License #�' � 5 a 4 2 8 L� °+ L& A H9 its 'M 1; 19 i D q�P Home Improvement Contractor# ' 3� Worker's Compensation # S&,5 A-r7 ACk e o ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE rnA � �� FOR OFFICIAL USE ONLY -APPLICATION# DATE ISSUED MAP/PARCEL NO. i ADDRESS VILLAGE ° OWNER r DATE OF INSPECTION: FOUNDATION FRAME INSULATION i FIREPLACE ELECTRICAL: ROUGH FINAL ' : PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING t ; r DATE CLOSEDIOUT t ASSOCIATION PLAN NO. The Commonwealth-of Massachusetts ' t 1 Department of Industrial Accidents Office of Investigations r._ice 600 Washington Street ttla„ Boston, MA 02111 r www.mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/EIectricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): 1rNJ j P q, (,yo Address: hn iZ S (A-'iA 1�4 DER l ily City/State/Zip: kZiL_99U1hRiY\ MA 6695 Phone # Are you an employer?Check the appropriate box: Type of project(required): 1.0 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- fisted on the attached sheet.'_. 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. Demolition workingfor me in an capacity. workers' comp. insurance. Y P n'� 9.>❑ Building addition , [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner do' all work right of exemption per MGL•i 1 1.❑ Plum6ing'repairs or additions myself. [No workers' comp. c.-152; §1(4),and we have no 12.❑ Roof repairs insurance required.] t. employees. [No workers' comp. insurance required] 13:.❑ Other *Any applicant that checks box 41 must also fill out the sectionbelow showing their workers'compensation policy information. r - t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submita new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information., I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information: ` Insurance Company Name: A m 1 R i CIA 11 Z k3 R i G N 1 14z, Policy#or Self-ins..Lic. #: L � '� Expiration Date: �L) 20 Q Job Site Address: 1\4►'l(,,Itl E LI, `i/Sjkj y, City/State/Zip: Y TA 1414%5, MA i a 60 i 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: IS2 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 thepains andpenalties ofperjury that the information provided above:is true and correct Signature: 9E49ank G �, Date: Phone --S t)) 1 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): F 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 certificates)of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The 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-MASSAFE Fax # 617-727-7749 Revised 5-26-OS www.m:ass..gov/dia ,. ft ' oFrHe r Town of Barnstable .regulatory Services &&W ASLE mass. $ Thomas F. Geiler,Director �p s639• a im lfo,rw� _ Building Division Tom Perry, Building Commissioner 200 Main.Street, Hyannis, MA 02601 www.town.barn stable.ma.us Office: 508-862-4038 Fax: 508-790-62: ` Property Ownef Must Complete and Sign,This Section i If Using A Builder f I, Kc-*'I 10 C 2-ftp LiCV i , as Dwner of the subject property hereby authorize \41--N C z 4 Q L s C K f to act on my behalf, in all matters relative to work authorized by this building permit application for. :oZ�� 1Y1 i�.C�-i'�L LS (�i.A �c 1-►�► �9�.11J�� 'U-� �. (Address of Job) gnature o Owner D to 2 b 11 - Si 4 :JIN C-Ltq L+C'I Print Name If Property Owner is applying for perrnitplease complete the Homeowners License Exemption Form on the reverse side. ,Q:MRMS:0 WNERPERMISSION I Town of Barnstable � r Epp THE Tp�y Regulatory Services BARNSTABLE, Thomas F. Geiler, Director MASS. q, 1619. Building Division �lfD Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 509-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: `a b tJ 1Y\ 17 CPELLS WA`( 1 rl A 4"S ;.rn 4 number street C village a "HOMEOWNER": )X f IS C2.4Pl-.\SKI p�113 J(j 6 '�rLgb tq ) ) -LS 3l -0380 . name 1^� T home phone# work phone# t CURRENT MAILING ADDRESS: l I � I�1Z u' W L9 1 ht 1) k G 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.homeowrters to engage an individual 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 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. j t 1�Con�,N. AA" Signature of Ho eov ner Approval 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 of 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)icensed 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. v Massachusetts`Workers Compensation Insurance Plan ,t Acadia Insurance Company Administered by Berkley Risk Administrators Company,UC. PO Box 1100, Mpls, MN 55440-1100 222 S 9th St; Mpls, MN 55402 Acadia Insurance° Phone(605)945-2144 Fax(866)215-8118 Toll Free(800)634-4589 NCCI Carrier Code 33391 t CERTIFICATE OF INSURANCE I 1.The Insured: WCIP Policy Number:WC-20-20-000092-04 Carlos Figese-roa Tax ID#: F 01-8723094 dba: C N F Remodeling 20 Captain Noyes Rd Policy Period: From: 5/1/2011 To: 5/1/2012 South Yarmouth,MA 02664 Date of Mailing:5/2/2011 {i The Certificate is issued as a matter of information only and confers no rights upon the Certificate.Holder. This Certificate does not amend, extend or alter the coverage afforded by thePolicy•listed:below. This is to certify that the Policy of Insurance described herein has been issued to the Insured.named above for the policy period indicated. Notwithstanding any requirement;term or condition of any contractor other document with respect to which this Certificate may be issued or may pertain, the insurance afforded by the Policy described herein is subject to all the terms, exclusions and conditions of such Policy. � .,._� .. -LIMIU 111Y . 1 Coverage PE O ;INSUfiA'CEr � � P iKi State(s) Part One t { Workers'Compensation Statutory j MA Part Two Bodily Injury by Accident $500,000 each accident. Employers'Liability Bodily Injury by Disease $500,0 0 -policy limit. v Bodily Injury by Disease 3500,000 each employee. Should any of the above described policies be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy provisions. j. All Entities/Insureds: Certificate Holder's Name and Address: Figueiroa Election Election Kevin Czaplicki Category Status Name 4 Mark Twain Dr Sole Proprietor Include- Carlos Figueiroa , Wilbraham,MA 01095 t Date Issued: 5/2/2011 Leonard Insurance Agency Inc 683 Main St B Osterville,MA 02655 Signature_ 1 BA 3140 ; 05/02/2011 MON 10: 08 FAX 508 420 5406 Leonard insurance Agency 0001/001 A CORDM. DATE(MMMDPYYYY) CERTIFICATE OF LIABILITY INSURANCE o5/o2/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS i 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 poticy(iss)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 CONTAC NAME Leonard Insurance Agency Inc (PME 508.428.6921 ac Ne.508.420.5406 7 Wianno Avenue E-MAIL ADDRESS: - P 0 Box 494 PRODUCER ER D • Osterviile, MA 026SS -CUSTOMMSURERS)AFFORDING COVERAGE NAIC0 INSURED INSURER A: Western World HTB018 Carlos Fi guei roa INSURER e: DBA: CNF Remodeling IN C. 20 Captain Noyes Road INSURER D: South Yarmouth, MA 02664 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:MASTER 2011 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE D POLICY EFF POLICY EXP LTR INSR WVD POUCYNUMBEIt MMIDDIYYYY (MMIDDIYYYY) LIMITS GENERAL LIABILITY NPPIL299793 04h812011 04118)2012 EACH occuRRENCE $ 11000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE RENcMffencelTED PREMIS $ 50,000 AD CLAIM5ME ]OCCUR MED EXP(ft one person) $ 5100 A PERSONAL SADVINJURY $ 1,000,00 GENERAL AGGREGATE $ 2.000.000 GENIL AGGREGATE UMIT APPLIES PER PRODUCTS-COMPIOP AGG $ 11000,000 POLICY jPEF& LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMB $ (Ea accident) ANYAUTO ODDLY INJURY(Per pawn) S ALLOWNEDAUTOS SODLY INJURY(Per accident) $ SCHEDULED AUTOS HIREDAUTOS (PROPERTYDAMAGE $ NON-OWNEDAUTOS $ UMBRELtALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEDUCTIBLE - $ RETENTION S $ WORKERS COMPENSATION WCSTATU OTH- AND EMPLOYERS'UABUTY YIN TORY LIMITS E ANY PROPRIETORMARTNEMEXECUTIVE E.L.EACH ACCIDENT $ OFFICERINEMSERS(CLUDED7 NIA (MandAwy In E.L.DISEASE-EA EMPLO $ U yyam�,,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Adach ACORD 101,Addleonal Itemaft Schedule,N more apace Is required) ntractor in Massachusetts CERTIFICATE HOLDER CANCELLATION FAX: 413.S99.1386 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. i I Kevin Czaplicki AUTHORREDREPRESENTATIVE v C 1 4 Mark Twain Dr. Wilberham, MA 01095 Tina Correia/LEOTCI ? ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 2S(2009109) The ACORD name and logo are registered marks of ACORD OificACsum'�e�rAffa &$asinesw License.or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return,to: Office oft,Consugier Affairs and Business Regulation Registration �-\133538 10 Park Plaza-Suite 5170 Expiration 7/9%2011 Tr# 286831 Boston,"]YIA 02116 Type =177 lndiwdual g. KEVIN CZAPLICKI' ° F KEVIN CZAPLICKI r. 4 MARK TWAIN DRth IVE WILBRAHAM,Mkd1095 f Lindersecretary �.~T x Not va id w ou signa. Nlassachusetts- Del artment of Public SafetN Board of Buildin!- Reuulations and Standards Construction Supervisor License License: CS 52438 - - -- - KEVIN J CZAPLICKI �, 4 MARK TWAIN DR WILBRAHAM, MA 01095' cam. �s Expiration: 12/4/2012 C'unnnissimier Tr#: 7213 05/06/2011 21:59 14135470445 PAGE 02/02 673 Nest St. P!ic!ie;(dD9i e39-37?tl Foy, (A, W-Add5 May 6.2011 Re 205 Mitchells Way,Hyannis MA.02601 To whom it may concern. Please be advised elecficol power to detached accessory garage at the above referenced address has been disconnected.It is now safe to proceed with demolition of the structure.ff any other information is needed please feel free to contact me. Sincerely, Matthew T Ketchale (owner) Mo.Gc # 10124b Ct.Lie.# 192662 E-1 May 0611 08:43a Phillip's Plumbing-Heat 4135272406 - p.1 Phillip'v Phrmbing & Heating, Inc Master Plumber Uc.#10963 45 Payson Avenue Phone# -413-527-0340 Easthampton,1VLA 01027 BILL TO: Invoice Kevin Czaplicki 1 4 Mark Twain 7637 Wilbraham, MA 01095 DATE Job Location Due Date 05/06/2011 205 Mitchell's Way, Hyannis, MA 05/06/2011 Serviced Description Amount Location: ZU.) Mitchell's Way, Hyannis, MA 05510G/2011 *Inspocted two ear to age r m dd uv walai Luce Vi gcw IILIC; ,iu 75.00 structure 1 A monthly service charge of I-V2)%will be added to accounts over 30 days. Annual percentage $75.00 rate of 18%,if collection costs'are necessary the buyer will be liable for all expenses incurred Total including attorneys fccs - Payments/Credits Thank you for your business. Please make check payable to_Phillip's Plumbing&Heating,Inc. S75.00 Balance Due ------------ Ll- rT CAR P 1 , ' it - , sTQG67 T .. Town of Barnstable �FIKE rp� q, Regulatory Services - �'" Thomas F.Geiler,Director t BMWSPABLE, ' Building Division Mass. 9Q)p 1679• ♦e� Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 August 3,2006 Jasper L.Fisher 205 Mitchells Way Hyannis,Ma 02601 Re: Violation of Zoning Code Chapter 240 Section 11-Single-Family Residential B Zone Locus: Map 290 Parcel 075�20S;Mitchells W__ay,H s, Dear Mr.Fisher: This office has received a complaint regarding the operation of business identified as Rodney Fisher Septic Service&Landscaping from your property located at 205 Mitchells (corner of Pine Grove). You should be aware that this area is zoned for single-family use only and any other use is contrary to our Zoning Code as cited above. You are hereby notified that all uses other than the single-family use must cease immediately. Please know that I am available to assist you in identifying an appropriately-zoned business location upon request. Because non-compliance is subject to fines of up to $300.00 per day per violation,we remain confident that you will take immediate action to remedy this situation. You may contact me directly at 508-862-4027 should you require clarification. Sincerely, C_)14-"n d/t7 Robin C. Giangregorio Zoning Enforcement Officer JAComplaint Inv Repor&205 Mitchells Way Fisher.doc CERTIFfED MAIL 7004 2510 0002 6228 2658 t P:.. j.ef.y) �r .III 1A''i( • [ �/,'• rt n , o t�; r*1 +)1 Afy,,.i� w� .* *p\^7►" � �rv[PR� �nl i1�.• 4 � • � _j. _ x � Ra ,y tt:'Ae.�J �4�N+�4� `f�4�#� *w�� }.. .� I I U.S. Postal ServiceTM C-ERT�IFIEP j M A I RM9. RECEIPT (Domestic Mail,Only;No lnsurance'l;overage Provided) IF,o�,-delivery,information vvisit_ourwebsite at www.usps.com� 16OFFICIAL USE � / o i PS Forte F --3800Ju� 0002 on See Reverse for.lnstr. bons Certified Mail Provides: e e A mailing receipt (8�,e�H)zooz eunf'ooespod Sd e A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years Important Reminders: a Certified Mail may ONLY be combined with First-Class Mails or Priority Mail®. e Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. a For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811),to the article and add applicable postage to cover the fee.Endorse mailpiece'Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted-DDelivery". e If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. i SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Si ature item 4 if Restricted Delivery is desired. f y Ej Agent s Print your name and address on the reverse t'❑_Addressee so that we can return the card to you. B.Beceived by(Print ae 'C. Date of Delivery ■ Attach this card to the back of the mailpiece, ( ' or on the front if space permits. yr tm� 6 D. Is deliv ry address different�� es 1. Article Addressed to: If YES,enter delivery address oil PRIo j Ll e2/yt/y�,rs0 I � 3. Se ice Type grCertiffed Mail ❑Epress Mail ❑Registered e!PWum Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number" i ,:, (rranster trim service label) 1►. 0'0 4 2 510 10002 '6 2'2 8 }26,58 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 i UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid ' USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • TOFvVN OF BARNSTABLE BUILDING DIVISION 200 MAIN ST. HYANNIS, MA 02601 M � .s- �/ I _ ii yy }} `` {{ ii44 jjyy {{ 4i {{ 1 }}ff {{ ii {{ ifilfiilitlfiiliiilli!lilifillliiFfflififfli.Will ill1!111111 r. 06 116 Q 3 7c;�_ OpTHE r Town of Barnstable *Permit# �p Expires 6 months from issue date Regulatory Services fZ Fee • tLAaxsrAsr.E, 9cb ,t � Thomas F. Geiler,Director �lFD MP't s - Building Division - . ```"S PERMIT Tom Perry, CBO, Building Commissioner R�hY 200 Main Street, Hyannis,MA 02601 _ www.town.barnstable.ma.us rO �F g RNsTABLE Office: 508-862-403 8' Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Q Not Valid without Red X-Press Imprint Map/parcel Number ago. a 0 th 1 T(1,I-I -� �� W '-'I H a LT btu I PropertyAddress ���� � Z VResidential Value of Work Minimum fee of$35.00 for work under$6006.00 Owner's Name&Address `� \1 t 1S ( FAQ L1 C�k 1 Contractor's Name Telephone Number 1 5 q "32A(� Home Improvement Contractor License#(if applicable) 13 3 `J 3 g Construction Supervisor's License#(if applicable) �' S ❑Workman's Compensation Insurance Check one: I am a sole proprietor ; I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name `v Workman's Comp. Policy.# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) r Re-roof(stripping old shingles) All construction debris will be taken'to 00 m�, i�S V pC Gi O f 1JiS p Q��L Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors f� iR G i{ T�3R ' Replacement 'Wind ows%doors/sliders, U-Value ' (maximum .44)#of windows (�RT L p "Where required: Issuance of this permit does not exempt compliance with other towadepartment regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission: A copy of the Home Improvement.Contractors License& Construction Supervisors License is required. S SIGNATURE: Q:IWPFILESIFORMS\building permit.formslEXPRESS:doc. Revised 070110 s► , � Town of Barnstable ` Regulatory Services BARNSTARLy- MAS& $ Thomas F. Geiler,Director Building Division Tom Perry, Building Commissioner i 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-962-4038 Fax: 508-790-6230 Property OwnerMi' st Complete and' Sign This Section If Using A Builder I, v I k1. Cifl P L.A Ci:�i as'.Owner of the-subject property hereby authorize K to I CI-0 Qi1 u to act on my behalf, in all matters relative to'work authorized by this building permit application for. ahS `�TCHL iS (Address of Job) Signature of OvVner- Date Print.Name If Tropedy Owner is applying.for permit please.complete. the Homeowners License-Exemption Form on .the reverse side. 4, 1 Y Town of Barnstable �ofzHE ray Regulatory Services sAarrsrAs Thomas F. Geiler, Director RAMS, 163g. 16,$ Building Division PIED { Tom Perry, Building Commissioner 200 Main.Street, Hyannis, MA.02601 www.to wn-b arnstab 1 e.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HordEOWXER LICENSE EXEMPTION Please Print DATE: MA � s a®i1 JOB LOCAnON: a k) S M 1 TCR E L.L'�) WR `f 141 A 0 01 : number street ` —Salo C� village 2 "HOMEOWNER": E01 A 2-A P I.Ck I 413 " J 9� Ja t o y` Q) _ S J �_ name 1 home phone# we o-4 �CEL L CURRENT MAILING ADDRESS: K E,4 n 11, 1 -L P Ll C V l MORV, 11,501.4 DUN. N U3' L9 eityhown state ap 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 BOMTONVN`ER Person(s)who owns a parcel of land on which he/she resides or intends to.reside, on whicb,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 constrgcts more than one home in a two-year period shall not be considered a bomeowner. Such "homeowner"shall submit to the Budding 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,be/she understands the Town of Barnstable Building Department minimum' ection rocedures and m ements and that he/she will comply with said procedures and �P P q'ur requirements. a Signature of Homc Approval of Butlding.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 perfomring work for which a building permit is required shall be cxcmpI from the provisions of this section.(Section 1 D9.1,1 -Licensing of construction Supervisors);provided that if the homeowner cngagea a persons)for hire to do such work,that sur h Homeowner shall act as supervisor." Many homeowners who use this exunption an unaware that they arc assuring the responsibilitics of a supervisor(sec Appendix Q, Rules&Regulations for)Licarsing Construction Supervisors,Section 2.15). This lack of 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 responnbilides,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Superosor. On the last page of this issue is a.form currently used by several towns. You may care tamend and adopt such a form/certification for use in your community. r The.Commonwealth of Massachusetts Department of Industrial Accidents 1 �,1..;t• . ; 41 Office of Investigations 600 Washington Street Boston,MA 02111 ` c www.massgov/diq Workers' Compensation Insurance Affidavit: guilders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ' VE IJ 1 A ` I A P LA C W Address: City/State/Zip: i `MkAAM m'ft a6aq�-IPhone #: ': i}13 31 l') (� t Are you an employer?Check the appi-opria x: � � Type of project(required): 1.❑ I am a employer with 4. am a general contractor and I' 6. New construction employees(full and/or part-time).* have hired the sub-contractors 21 I am a sole proprietor or artner- listed on the"attache s eet. I ?•. �,Remodeling P i ship and,have no employeesi These sub-contractors have 81. 0 Demolition working for mein any capacity. workers' comp: insurance: ` . 9.. ❑ Building addition [No workers' comp. insurance 5. ❑ We area corporation and its required.] officers have exercised their, ; 10:[ ] Electrical repair's or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 1-1:[ ] Plumbing repairs or additions myself. [No workers' comp. c: 152, §I(4), and we have no 12 Roof repairs insurance required.] t. 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 hire outside contractors must subm it a new affidavit mdicatng such. !- xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing.workers'compensation insurance for'my employees. Below is thepolicy and job site Information- Insurance Company Name: r I)MI`A i 0 A 14 2xA 1 C, 1 A i i46ti mq ca�®A Sf l Policy #or Sef-ins Lic. #. `� - Q j -1 Expiration Date: 0 2 ` '`2 Job Site Address:' 1 i^i ►`T�-� i �. —tea a City/Statp: A M A a 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' enaldes ofperjury that the information provided above is Erie and correct , Signature1v� (J�ll17�.7 Date IYI �'L® Phone 7D� to � 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 IS2, §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 cofnpanies 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/licease 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 Iicense or permit to burn 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 Bo.s-ton,MA 0.2111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 5-26-05 www.mass..gov/dia I Office of Consumer Affa,�rss&Business egulation License or regtstratton.valid for indtyidul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration �133538 Office of Consumer Affairs and Business Regulation ExPiration: 7/9/2011 Tr# 286831 10 Park Plaza-Suite 5170 lugType ii iMv till Boston,MA.0211.6 KEVIN CZAPLICKI KEVIN CZAPLICKI �. r. 4 MARK TWAIN DRIVE t GIs r 1NILBRgHAM,MA'01095 Undersecretary 4 Not ya id w ou si g na t ,. c tt's- De P. Board of B I tt tment of P uildin Re,r uhlic Sat`et� Construction Su .•u""ions and Lice Pervisor License nse: CS, 52438 nse - KEVIN CZAP 4 MARK LICKI NVAIN DR , WILBRAHAM M;4 p1095 Ci„nm„vioner 'Expiration: 12%4( • � _..__ 2012 -- Tr#: 7213 Offii� Cons meA ftaeA�&Busineu`�adett License or registration valid for individul use only HOME IMPROVEh7ENT CONTRACTOR before the expiration date. If found return to: ,• .,, Office of Consumer Affairs and Business Regulation Registration °--,133538 10 Park Plaza-Suite 5170 Expiration _7/9/2011 Tr# 286831 _ Boston,IYfA 02116 r Type: �IndividuaF KEVIN CZAPLICKI_ KEVIN CZAPLICKI v' 4 MARK TWAIN DRIVE t WILBRAHAM,MA 01095 F; Undersecretary "Not w" ou signat Dep:u-tmcnt cif PuhStundards • Nlassaehus�tts Rc,ulations and Bi)ard of Buildin.Sup ervisor License _ Construction . License: CS 52438 KEVIN J CZAFLICKI 4 MARKTWAIN DR WILBRAHAM, MA W095 Expiration: 121412012 Tr#: 7213 ('ummissiuner --` A 'Tod ktabl� - "I 200 Main Street,Hyannis MA 02601 508462-4038 Application for Building Permit PP g Application No: TB-17-3327 '. Date Recie' d: 9/26/2017 Job Location: 205 MITCHELL'S WAY,HYANNIS� Permit For: Building-Solar Panel.-Residential Contractor's Name: PHILIP J CHOUINARD State Lic. No: CS-027047. Address:. Ashland, MA 01721 Applicant Phone: (732) 354-3111 1 (Home)Owner's Name: THAYER,ELLEN M&LEIGH C Phone: i (Home)Owner's Address: 205 MITCHELL'S WAY, HYANNIS,MA 02601 Work Description: Installation of a Safe and Code Complaint Grid-Tied PV Solar System on an.existing residential roof.28 panels/9,156 KW. � 3 L Total Value Of Work To Be Performed: $34,000.00 - - Structure Size: 0.00 0.00 0.00 1 Width Depth Total Area r I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property.in accordance with'the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understa�r d that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: SKYLINE SOLAR LLC. 9/26/2017 gn , (732)354-3111 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $34,000.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $223.40 9/26/2o17 $223.40 1731 Check ......................................................... �............ ................................................ ........................................................_ ...... Total Permit Fee Paid: $223.40 \tom`^O w J{L.,�; � �� C �Lsc' ''� O✓� � �