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'rny .'sF -,,, r e t r,:f - v r,, - ., , r , - -- , -� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 171 Parcel Application # , 71 `- 7 Health Division Date Issued Conservation Division 1PI-P4- Application Fee Planning Dept. Permit Fee 66 Date Definitive Plan Approved by Planning Board Historic - OKH — Preservation/ Hyannis Project Street Address i q Gila �� Pud 1(�SJU Village �1� Owner 10111L 19tao ) Address Telephone M-2q/- Permit Request PowoJ �� JD � d 5 0� 1 ® A Q71 Icy �6 6)2_1g30&1 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District IC G Flood Plain Groundwater Overlay Project Valuation Construction Type 1,0 � o� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0< Two Family ❑ Multi-Family(# units) Age of Existing-Structure 30 y- Historic House: ❑Yes JI No On Old King's Highway: ❑Yes $0 No w Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ C--.3 Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ �11 a c!b Commercial ❑Yes 0 No If yes, site plan review# cn Current Use Proposed Use � r zs - — APPLICANT INFORMATION _... .. (BUILDER OR HOMEOWNER) Name SO C✓ �' kc /SS6 Telephone Number Address License # SC7 �,�[✓1 y► �F- �2'� ,� Home Improvement Contractor# c Email So Worker's Compensation # WCd&L1GC=V•1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJ CT WILL BE TAKEN TO Z Gl)at o —J%4t S I r1A Q' SIGNATURE DATE ' .� FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL y GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents a I Congress Street, Suite 100 Boston,MA 02114-2017 �y www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Aanlicant Information Please Print Leeibly Name (Business/Organization/Individual):SolarCity Corp Address:3055 Clearview Way City/State/Zip:San Mateo CA 94402 Phone #:888-765-2489 Are you an employer?Check the appropriate box: Type of project(required): l.Q I am a employer with 12,000 employees(full and/or part-time).* 7. ❑New construction 2. I am a sole proprietor or partnership and have no employees working for me in ❑ 8. ❑Remodeling , any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 ❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. l will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub contractors have employees and have workers'comp.insurance. 6.❑We are a corporation and its officers have exercised their right of exemption per MGL a 14.[D Other solar panels 152,§](4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also till out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. i Insurance Company Name:American Zurich Insurance Company Policy#or Self-ins.Lic.#:WC0182015-01 Expiration Date:9/1/2017 Job Site Address:24 Braley Jenkins Rd City/State/Zip:Barnstable MA 02632 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).' Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A cop o this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verificat on. I do hereby rtify der t e ain nd penalties of perjury that the information provided above is true and correct. Si nature: A Date: 5/8/2017 Phone#:508-640-5389 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 i Contact Person: Phone#: �C�� aATe(nnMmDmYY} CERTIFICATE OF LIABILITY INSURANCE 0A1t ,s 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 endorsements). PRODUCER CO NTACT MARSH RISK&INSURANCE SERVICES PHONE ._....._. .-....- _..___._:_TTKO....._......_....._..........._........._. 345 CALIFORNIA STREET,SURE 1300n7L 1JNG.Nv1 CALIFORNIA LICENSE NO.0437153 SAN FRANCISCO,CA 94104 _ E;�:-.-. _........ . ..............._.__..-.. Attn:Shannon Swat 415-743.8334 „ , INSURERjSl AFFORDING COVERADE._, ._.._.�_... NAIL H 998301-STND•GAWUE•16.17 INSURER A:Zurich American Insurance Company 16535 INSURED NIA NIA SolarCity Corporation iHsuRert B' 3055 Qewnkw Way t pgFEA c:NIA-- - ---' - NIA ..... ........... San Mateo,CA 94402 INSURER D•Amaimn Zurich Insurance Company 042 (NSURr32 E URER F: COVERAGES CERTIFICATE NUMBER: SEAM3=78-03 REVISION NUMBER:6 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.DESCMBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID_CLAIMS. �L, TYPE OF INSURANCEAIR& UffmI'OUCIr NUM. IICY EXF POLICY O0P --"'IDPIYYYYI ' CLAWS-MADE OCCUR I 17 FAMH OCCURRENT S 1,000,000 A X COMMERCIAL GENERAL LIABILITYLOIIi6201607 —_...._.......-'--.-'--- ' r UAMAOE r0 2�ENTE�--- 1 I t.x:.l E MES Eacamagcol..._s .._.........._..100.000. X SIR:$250,ODD I MED EXP(Am aw parson) S .5,0D0 I PERSONAL&ADV INJURY $•,. 1,000,000 rGENLAGGREGATELIMIT APPLIES PER' GENERALAGGREGATE_. 5 ..•, 2.000,000 F..... ' O. X POLICY L....J JET LOC PRODUCTS-COMPIOPAGG S 2,000,000 OTHER: 1 S A i AUTOMOBILE LIABILITY 00182017-0:1 09A112015 D910112017 e d __ $ 1,000,000 X ANY AUTO BODLY INJURY(Perperson) $ ALL DMED I SCHEDULED ......__................_. ..... X AUTOS X 'AUTOS BODa Y INJURY(Pwacciden!} S' X HIREOAUTOS X 'NON.-OWNED PROP IY(]AMAGE' S I AUTOS S UMBRELLA LUIB OCCUR EACH OCCURRENCE $ EXCES.SLUIB CLAIMS•MADE AGGREGATE $ ED R ON6 S p woRKERs coMpmwioN C018 014.01(AOS) 0% ON112017 X PER UTH• AND EMPLOYERS'LIABILITY D ANY PROPRIETOR/PARTNERIEXECUTIVE YIN CX116201541 IMA) 0.91D1/2016 099112017 E:L.EACH ACCIDENT 1,000,Dm_ S —. . OFFICMMEMBEREXCLUDED? N�iNIA A EwS 01vol"1 CA 09MI12 18 09f01IT.017 (000 000 (Mandatory in { � E.L DISEASE_EAEMPLOY S _. - .-... U yes describe under Limits apply eim of S500K SIR-Cn 1,000,000 DESCRIPTION OF OPERATIONS below ( E L.DISEASE-POLICY LIMrT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 181,Additional Remarks Schedule,may be attached it more space Is required) CERTIFICATE HOLDER CANCELLATION Sofarcily Ccrpomlion SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3M5ClearviewWay THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN San Mateo,CA 94402 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Mamh Risk A Insurance Services SlephaMe Guaiumi wi 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered(Hants of ACORD _ Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston, Massachusetts 02116 Home Improvement'Contractor Registration Type: SuppiementCard' SOLAR CITY CORPORATION = Registration: 168572 24 ST MARTIN STREET BLD 2UNIT 11 Expiration: 03/07/2019 MARLBOROUGH,MA 01752 Update Address and return card. Mark reason for change. SCA 1 0 2CM•05111 ❑ Address 0 Renewal O Employment ❑Lost CardILI OMCO of Consumer Affairs&Business Reguhtion . A HOME IMPROVEMENT CONTRACTOR Registration valid for.individual use only - TYPE:Sum lament card before the expiration slate. If found return to: L6plr don Office of Consumer Affairs and Susiness Regulation !' +168572 03/07=19 10 Perk Plaza-Suite 5170 LAR CITY CORPORATION Boston, DANIEL FONZI 3055 CLEARVIEW WAY. SAN MATEO,CA QW2 NOt valid.WithOut 81gn8turtl Underse&etar �*` Massachusetts Department,of Public*Safety r ° Board of Building Regulations and Standards' i License: CS.101687 Construction Supervisor i 04NIEL D FOND _+ 396 ANDOVER STRE&` tMLMINGTON MA 01887,E L./ i Commissioner 09/1312018 " Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Type: Supplement Card �. .._ Registration: 168572 SOLAR CITY CORPORATION Expiration: 03/07/2019 24 ST MARTIN STREET BLD 2UNIT 11 MARLBOROUGH,MA 01752 14 t } � _ I Update Address and return card. Mark reason for change. sCA 1 0 20M•05/il n.IC.nnlnVrnani, I'1 1 Aaf('Ard r+...r..va., .0. ..i..L.�. ._- ��r— try �r c Tk'cr�tittritrur.<r�/�rs�=�lIrr;nr�rzJc//; a _ Office of Consumer Affairs&business Regulation 1 HOMEIMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: Expiration Office of Consumer Affairs a esa Regulation ryI 1�685721 03/07/2019 10 Park Plaza-suit 170 SOLAR CITY CORPORATION ~` ' Boston,MA 021 NATHAN TISSOT ` •.`l 3055 CLEARVIEW WAY -f N V iithout signature SAN MATEO,CA 94402 Undersecretary r DocuSign Envelope ID:91BDO93B-OF2B-454C-BF98-49BC58CCA372 ` ;Solarcit . OWNER AUTHORIZATION Job#: 0263084 24 Braley Jenkins Rd Barnstable MA 02632 Property Address: I Mike Merril as Owner of the subject property hereby authorize SOLARCITY CORPORATION to act on my.behalf, in all matters relative to work authorized by this building permit application. 1 DoeuSigned by: MLA /Ail 5/8/2017 gnature o caner: t i SOLARCITY.COM A?.WC 2431r410C 2454WMC21749S,CALCC*SM34,CQ ECSO41.Cr WC Q=T1&I:LC0125303,DC HI CT.297M3 plat HpC LGSV2.MA E4113WR,MD tlHio t2$}* k W NJHICM t.MM1MK 160000tUM017327M OR C5M1*aC SZPSl IM PAOCSWA17.a43,TX TECL.VWG0 WA SQLARC'010L11M.,OLARCV1W 0 201A SQL ARCIT Y CCk1PORATIQN ALL RIGHTS REBEWW. @1L i SolarCity 112 Great Western Road South Dennis, Mass. 02660 Barnstable Building and Wiring Department, This letter is to inform you that we (SolarCity) will be removing the Photovoltaic System and all equipment associated with it, from the residence of Mr. Merrill at 24 Braley Jenkins Rd in Barnstable Ma. 02632. Work will be done by licensed SolarCity Electricians with a one to one ration of helpers. If there are any other questions, please do not hesitate to reach out to me at (781)588-8007 or email at egent(@.solarcity.com. Sincerely, Edward F Gent Mass. Electrical License 13055 Ed Gent Regional Installation Lead I SolarCity ----------------------------------------------------------------------- t: 508.640.5392 m: 781.588.8007 SolarCity Corporation DBA Tesla Energy.CA CSLB 888104,MA HIC 168572/EL-1136MR.Click here to view our complete list of license numbers by state. 112 Great Western Road,South Dennis,MA 02660 T (888)SOL-CITY solarcity.com AL 05500.AR M-8937.AZ ROC 2437711ROC 246460,CA CSLB 688104.CO EC8041.CT HIC 0632778/ELC 0125305.DC 410514000080/ECC902585.DE 2 01112 0 3 8 6/Tt-6032.FL EC13006226.HI CT-29770.It 15-0052,MA HIC 168572/ EL-1136MR,MO HIC 1 2 8 94 8/118 05.NC 30801-U.NH 0347C/12523M.NJ NJHIC#13VH06160600/34E801732700,NM EE98-379590,NV NV20121135172/C2-00 43 78648/B2-0079719.OH EL.47707.OR CB180498/C562.PA HICPA0773 .RI AC004714/Reg 38313.TXTECL27006.UT 8726950-5501.VA ELE2705153278.Vr EM-05829.WA SOLARC•91901/SOLARC'905P7.Albany 439,Greene A-4B6.Nassau H2409710000.Putnam PC6041.Rockland H-11864-40-00-00.Suffolk 52057-H,Westchester WC-26088-H73.N.Y.0#2001384-0CA SCENYC:N.Y.C.Licensed Bectriclan.#12610.#004485.155 Water St.6th R..Unit 10.Brooklyn.NY T1201#2013966-0CA All loans provided by SolarCity Finance Company,LLC. CA Finance Lenders License 6054796.SolarCl ty Finance Company.LLC is licensed b7 the Delaware State Bank Commissioner to engage In business In Delaware under license number 019422.MD Consumer Loan License 2241L NV Installment Loan License IL11023/I1.11024.RI Licensed Lender#20153103LL.TX Registered Creditor 1400050963-202404.Vr Lender License#6766 (�omn»�ontuoa� e�//lRdAaclradel�! Official llsc Only ee77 �s Permit No. �Ua/varJxune�o��"1re_)orl+ictt� 1 Occupancy and I'Le Checked BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All wort;to he perlbrrncd in accordance with the Masmichusetts Rectrical Code(MF.C),527 CMK 12.00 (PLEASE PRINT 1N INK OR TYPE ALL/h'FORA61770AI) Date: 5/8/2017 City or Town of. Barnstable To the Inspector of Wires; By this application the undersigned gives notice or his or her intention to perform the electrical work described below. Location(Street&Number) 24 Braley Jenkins Rd OwnerorTenant Mike Merl Telephone No. 508-241-1554 Owner's Address same Is this permit in conjunction with a building permit? lies JJ Na ❑ (Check Appropriate Rax) Purpose of Building Residential 111ility Authorization No. Existing Service Amps 1 Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Removal of PV system and all associated equipment C'oru et!ort of the Iallorein defile num lx•a-aired bt the bra error o IViret. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transt'ormers KVA No.of Luminaire Outlets No.of Hot Tabs Generators KVA Above n- o.o Emergency !tg r ng No.ofLurni"Ares Shimming Pool rod. rnd. Battery Units No.of Receptacle outlets No.of Oil Burners FIRF ALARMS No.of Yxnes No.of Switches No.of Gas Burners o.a eteetton a Jul Total Initlatifig Devices No.of Ranges , No.of Air Cond. lion No.of Alerting Devices No.of Waste Disposers cat Pum—p-TFurrilicir Tons No.o - ontaine Totals:I I DetectionlAllerling Devices No.of Dishwashers Space/Area heating KW Municipal ❑ other Heating Appliances ect ty. stems No.of Dryers R pp i KW No.of Devices or Equivalent No.of ater KW o.o No.o Data Wiring: Heaters Signs Ballasts No,of Devices or Equivalent No.Hydratnatssagc Bathtubs No.of Motors Total TIP etecomrnunrcations >rtn : No.of Devices or Equivalent OTHER: 9 OOO Airade additional derail if desired,ar as required hr the Inspector of[Virrs Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start.-ASAP Inspections to be requested in accordance with MF.0 Rule 10,and upon completion. iNSURAp1CF.COVERAGE: Unless tvaived by the owner,no permit for the perlbrrnance ofetectrical work may issue unless the licensee provides proorortiability insurance including"completed operatiat"coverage or its substantial equivalent. 'rhe undersigned certifies that such coverage is in force,attd has exhibiled proof of same to the permit issuing office. CHF CK ONE- 'INSURANCE ® BOND ❑ OTHFR ❑ (Specify-) I certrji,.tinderlkepains mid penalties ofpe#uq;that the infmini ia►s vii tliir applientfon is irate nad roorphde. FIRM NAME:SOLARCITY CORPORATION LIC.NO.0136MR Licensee: MATTHEW T.MARKHAM Signature 00011111C idwfoe I.IC.NO.:1136MR f(f applivable.enMr"ry'-ient"in dle lrceuee nt ather llar.l Bus,Tel,No.,114-25e-81e0 Address: 112 Great Western Rd S.Dennis Ma 02660 All.Tel.No::771-26114605 'Ter M.G.I. c. 147,s.57-61,security Mort:imlti ca impartment oi'Public Safely"S"license: Lic.No OWNER'S INSURANCE WAIVER: I am away than the Licemmm does not hate the liability insurance coverage normally required by Inw. By any signature below,I hereby waive this requirement. I am the(check one owner El owner's agent Owner/Agent PERMIT FEE. 5 Signature Telephone Na. The Commonwealth of Massachusetts Department of Industrial Accidents s I Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):SolarCity Corp Address:3055 Clearview Way City/State/Zip:San Mateo CA 94402 Phone#:888-765-2489 Are you an employer?Check the appropriate box: Type of project(required): l. d I am a em to er with 12,000 employees full and/orpart-time).* ❑ p y ( 7. ❑New construction 2. I am a sole proprietor or partnership and have no employees working for me in ❑ 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. 1 will 10 ❑Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.[]Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ p Roof repairs These sub-contractors have employees and have workers'comp.insurance., 14.❑✓ Other solar panels 6.❑We are a corporation and its officers have exercised theirright of exemption per MGL c. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that;is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:American Zurich Insurance Company Policy#or Self-ins.Lie.#:WCO182015-01 Expiration Date:9/1/2017 Job Site Address:24 Braley Jenkins Rd City/State/Zip:Barnstable MA 02632 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A co this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c rtif u d r ai s and penalties of perjury that the information provided above is true and correct. Signature: Date: 5/8/2017 Phone#:508-640-5389 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#: CERTIFICATE OF LIABILITY INSURANCE °oeM1s►�o,("M"6°m"" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFI.CATE 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[s an ADDITIONAL INSURED,the policypes)must be endorsed. If SUBROGATION 15 WAIVED,subject to the terms and conditions of the policy,Certain policies may require an emlorsemenL A statement on this certificate does not confer rights to the certificate holder in Neu of such endarsemerd(a). PRODUCER PHONE CONTACT MARSHRISK&INSURANCE SERVICES _. .—....— _..___.._77 _......_....._..._............ 345 CAUFORNIA STREET,SUITE 130D _(A=Jlft.Eat}' --._......._........ ...._.....LW N CALIFORNIA LICENSE NO.D437153 EMAIL SAN FRANCISCO,CA 94104 —... ...._ ...._..._ ....... .. A(In:Shannon Scott415-743.8334 INSUltER16)AFFORDIAIG COVERAGE.-- ^_... NAIC# 998301-STND-GAWUE-16.17 INSURER A:Zurich Araertoan insurance Company....., - 16535 INSURED NIA NIA SclarCity Corporation INsuRER e 3055 CleaMew Way INsur R c:.NIA- — NIA San Ate,CA 94402 INSURER D.American Zurich Insurance Company 44142 3NSURER.E c RER F: COVERAGES CERTIFICATE NUMBER: SEA-OD3003278.03 REVISION NUMBER:6 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN k%1UED 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 lOY N..Ma.... ....... Mi MIDD31F MPOLtC� LIMITS A X COMMMCIALGRWERALLIA81LM �L 91W2<I1 0016201M 08 (D90112017 EACHOCCURRENCE 5 1,000,000 .......I.l 4 I DA CLAIMS-MADE f X OCCUR X SIR:$250,000 ( , MED EX (Any ono pam-L S 5,000 PERSONAL&AOV INJURY $... ... 1,000,ODO - -- ...... .- GENLAGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE.,, S . 2,0W,0D0 x POLICY L...J JPERCT LOC PRODUCTS-COMPIOP•AGG S 2,000,001 OTHER: S A j AUTOMON E LIARILTIY 'SAP0182017-01 0%0112015 1,000,OD0 ..LEA am".1. 1C ANY AUTO BODILY INJURY(Per persanl S ALL OWNED 1 SCHEDULED _......_. ......__................_. ..... K AUTOS X AUTOS ECOLY INJURY(Per accident) S' K X NON,OMED PROPERTY fiAMAGE' S , WREDAUTOS !AUTOS UMBRELLA LIAR `.....�OCCUR _.EACH_000URRENCE $ ..—....... ............. EXCE33LIA8 CLAIMS•MADE AGGREGATE S p p RETENTIpN S S D WORKERS COMPMSATION WC01820M.Ul(AOS) 16 0 112017 X AND EMPLOYERS'LIABILITY ••.J STATUTE, -••• .. ,.. ._ DANY PROPRIETORIPARTNEWEXECUTIVE YIN C01820%.01(MA) 09013112016 09.r0112017 E.L.EACH ACCIDENT S 1.0DD,000 OFFICER/MEMBEREXCLUDED? NN iNIA _.....__..—__.._._. —.. A (Mandatory in NH) EWS 019201Hi(CA) 09,01em 09101/2017 E,L:DISEASE_EA EMPLOY S 1 0,000 h yyes describe under :Limits apply wess III SMK SIR-CA 1,000,000 ESGIRIP'TION OF OPERATIONS below E L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addltlmmt Remarks Schedule,may be attached it more space is required) CERTIFICATE HOLDER CANCELLATION SofarCity Coryoraiion SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3065CfesrviawWay THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN San Mateo,CA 94402 ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATNE o1 Matruh Risk R Insurance Services Stephanie Gualumi 01988.2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD �;t,SolarCity OWNER AUTHORIZATION Job# Property Address: yjra aC� 64632 1 J /r C-A k4 X"c.,-,-� as Owner of the subject property hereby authorize SOLARCITY CORPORATION to.act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner: Date: SOLARGITY.COM x.- ...y...tea:%�`Q9%+�'*'7M�+S. ...''*e'..,rtr..��r�,;,.T rMJ�byj�t ',,.�a'nrT^i",.-.r-u !"rq�^'.u, ^t•a-":.ri'-'r'n`;�. ,.rt e+.�t "'r w '4, Hrfr... _... �,�' } o�rNE� TOWN OF BARNSTABLE 30821 Permit No. ................ e TOWN OFFICE BUILDING BUILDING DEPARTMENT Cash .ate .... HYANNIS,MASS.02601 Bond .... CERTIFICATE OF USE AND OCCUPANCY Issued to Lebel Sollows Trust Address Lot #155, . 24 Braley Jenkins Road Centerville, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY 'THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. October 30, 87 .......... .............. . 19................. G ^ ... ... ............... Building Inspector o,'��•��. TOWN OF BARNSTABLE BUILDING DEPARTMENT S IIARIFSTAU rru : TOWN OFFICE BUILDING a 9 t6 q' � ' HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by Building Permit #.................................... , issuedto ':� - .. .. . ................................................................................... . .. �.� Please release the performance bond. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M A�C(, I DATA I TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING- PE•RMUk- .t, • t A�171-2JO L1,, 5 T DATE 19 L' PERMIT N APPLICANT 1-'��E=1. JOi�O'm°5 e�l�lvl��=.it,�;: ADDRESS .01 Oi I.:U:,tkc _ 2y _�j is }t)fi.i. J. (NO.)s (STREET) ` i , (CONTR'S LICENSEI (�t 1, I PERMIT TO BUj.ld dwill:il�, 1_ J)_ii;r;lt: 1' :TIIl.l dWelli-il . NUMBER OF i O STORY }— y DWELLING UNITS � (TYPE OF IMPROVEMENT) NO. IPROPOSED USE) I AT (LOCATION) lot #155 24 BzaLey Jk:TLkirl;:i Road, C.e;;.i_a,'ryLyle ZONING CT 1`L C ' (NO,) (STREET) DISTR BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT, WIDE BY FT, LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: St!wi.tgt'' }110 F \ 3 276 WIND AREA OR 3a? sq. 7:i f'0,0L)�1 i�J.on PERMIT VOLUME ESTIMATED COST $ FEE (CUBIC/SQUARE FEET) OWNER Lebal V011OWS '12USL C 131. d koute i 2, iiy71I:: ).Atiy 'eq BUILDING DEPT. ADDRESS BY �,/''}rt I / p THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY.'4 NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRAbES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY, APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED�ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR"- CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS`.' ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRJ G.%'&L, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANI t'XL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT'IBE OCCUPIED UNTIL ' MINAL INSPECTION TI TO LATH).' FINAL.IN,SPECTION HAS BEEN MADf�.3. FINAL INSPECTION BEFORE'—' OCCUPANCY. °' y POST THIS CARD SO IT IS VISIBLE FROM STREET BUI ING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 7/av 2f cz— � 3 HEATING SPECTION APPROVALS ENGINEERING DEPARTMENT 1 i 1� -7- OTHER 2 Q ®G� ��t3 �y BOARD 0 ALTH Q -/ w �a WORK SMALL NOT PROCEED UNTIL THE INSPEC- PERMIT 'N!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN '..CONSTRUCTION. PERMIT iS ISSUED AS NOTED ABOVE: NOTIFICATION. a E.) ,4- 7 y IV Q F- av'; v� 4 a 4 Q 747, 1, '7 6 CERTIFIED PLOT PLAN F O R SCALE: ���;30' DATE: REFERENCE:,5ea/ Gpi l CERTIFY TOTH ES OF MY KNOWLEDGE AND 13ELIEF FROM INFORMATION CQUIR D THAT THE of-<:) loti SHOWN ON THIS PLAN I LOCAT E T E GROUND AS SHOWN HEREON. s- . �1N Of DAT P FESSIONAL LA SURVEYOR JOMEPH J. M. MONAHAN, JR. & ASSOCIATES � l!ApNARAM,JP- No. 13seo PROFESSIONAL LAND SURVEYORS ENGIN E°ERS lq�f�ISTEayp'�' TOWNE PLAZA - 90,0 ROUTE 134 SOUTH DE . N.IS, MA. 02660 3tfR��' J.N. 86,7c> 87- 5rs Assessor's office (1st floor): - THE Assessor's ma and lot number ��� -�: --� rot♦ Board of Health (3rd floor): _ ® k 9`6 OFPTIC SYSTEM ML&,;`, Sewage Permit number .......................... ............................ rnr.� BAUSTADLE. . I\:�11 ALLED IN COMPLIA M�a A 4gineering Department (3rd floor): ,� L 16VUTH TITLE 5 �0 639 6� t Housenumber ................................. . ..................................... E€ VIRONME 9TAl �®� OYAY�` APPLICATIONS PROCESSED '8:30-9:30 A.M. andf 1:00-2:00 P.M. only � a. TOWN REGUJLA C':G,,, TOWN: OF BARNSTABLE BUILDING.- INSPECTOR APPLICATION FOR PERMIT TO . : ............Build •a ,house ...I<.................................................... TYPEOF CONSTRUCTION ...........•..................Wood...Frarnp............................................................................... ...............9/ i ....................19.a..-- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..........Lot.. ..$X:aley...►T.eXI}Sins.:.Road...........Cen.ter.vill.p......................................................... ProposedUse .....PW2Q! ng..............................................................................I......................... Zoning District ........RG..........................................................Fire District .........C...and..,0.................................................... Name of Owner ...2'.ruS.t................Address .1.31...01d:.Rou.-e...1.3.2...I-Lyanni s.,....MA...0.2601 x r' t , , Name`of k'Builder ..Lebo. ...SOj.7.OW.S...D.eve.lopmentAddress .....'..................................................................... ......... Name of Architect North$ ...Dcfs.7 4�n...................Address .Ro.ute...bA...Y.armouthpoxt.,...MA................. % Number of Rooms . ........ Five........................................Foundation ........Cori.crete.............................. Exierior--)..... .....................Roofing ..............Aspha.lt............................................. FloorsrJ.........Plywood................................................Interior ..............Dr.ywall.................................................... • i C;= ' ............ ................. Heath .. G.S...........................................................Plumbin PV.0 C.u...2...b tY�s................ Fireplace ................Yes.............................._............................Approximate Cost .$b0•,OO.Q.,.O.Q....:................ ........................... Definitive Plan Approved by Planning Board --July_16-r---------19-44- • Area ...� ....... Diagram of Lot and Building with Dimensions A�•�f._.....,•„• Fee ..... .... .......... SUBJECT TO APPROVAL OF BOARD OF HEALTH r t � 0 c . OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of t e To `n of a stable r ing a ve construction. Name ... .. ...... .. . ................... f/ Construction Supervisor's License ................... ................ LEBEL SOLLOWS TRUST - Permit for ........t4x'. c „ Sin le Famil D..................g.....................y...... �.1.],�ng........... Location .....Lot...4.15.5...,2.4...B.r.ai.ey....Jenkins Road Centerville ` . ............................................................................... ` Lebel'' Sollows Trust Owner Type of Construction .,,,,,•Frame .................... ........................................................ Plot •Lot ro, r. d ran e G Permit r , • t ......June:.5.�................19 87 4 't Date of'Inspection :......71Z ........ 9 J Date C mplete ....19 � M r .•. 0 1 ` Assessor's office (1st floor): t / �r O*TNET0 Assessor's map and lot number / ! � .......... Q r.............. ' Board of Health (3rd floor): 0 b Y�e Sewage Permit number ........................................................ Z 33MUSTADLE,NAB J 'engineering Department (3rd floor): a 1� L— 'oo 039. House number .................................. ................................... �0�aY A,- APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Build a house ............................................................................................................................. TYPE OF CONSTRUCTION Wood Frame.............................................................................. _....._...../.9....`............._....._.....19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Lot )5 r Braley JenkisH Road Centerville .. ................................... ...................................................................... Proposed Use ..,,.Dwelling .................................................................................................................................................. Zoning District RC ......................Fire District C and O Name of Owner ....Lebel Sollows ,Trust Address ,13.1..,01d„Route 132 Hyannis, MA 02601' .............. ........................................................... Lebel Sollows Development ................."..................."....................".Name of Builder .....................................................................Address ............... Name of Architect North5ide Design ,..Address 1`ZOute 6 Yarmouthport p AR .... ............ r Five Concrete Number of Rooms Foundation Claps and SHmn ies Asphalt w Exterior ........................:. q............................:Roofing f Floors ....................Pl�twOOd................................................Interior ..............PVKW. . 1.1................................................... Heating Gas .......... f Plumbing .............PVC.JCU2b baths ... ... ................................. ' A roximate Cost . CO.�A00 00 Fireplace E?5 Y ............................................ pp ......................................... Definitive Plan Approved by Planning Board __J lv__16 _________19---SAL . Area ........................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH A' �t r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of t4 To°wn of Barnstable .e"air ing t e /b/ove construction. Name- ......... I....:....................1�_a ?J'� .................... Construction Supervisor's License-`.... LEBEL SOLLOWS TRUST _ A=171-230 - No 3 0 8 21 permit for ..1 z Story Single Family Dwelling ................................................................ Location Lot #155, 24 Braley Jenk-1_ns Rd. ............................................................... Centerville ............................................................................... Owner Lebel Sollows Trust ,. .................................................................. Type of Construction .........Frame..... ............................ ................................................................................ Plot ............................ Lot ................................ Permit Granted June 5:`1 87 - ................19 l2 Date of Inspection ....................................19 I Date Completed ........ .............................19 j�-7/0 y �� Town of Barnstable Building ;: f PoSARNPrA st ThisGard�So That,itasVisible:EFrom,the Street,,,=A ,.roved Plans M„ustbe Retained on J.qb and,this CartlMus#be Kept b` Posted Until£F al Inspection Has BeenEMade 5 �f, �, z `. , Q sa - x .a..,. o . . , „> .. ,. a �; „:,I �✓rn'llt ° Where a Certificate of OccUpancys,Required,such Building shall�Not be Occupied until a Ftnal Inspectionyhas been made had., ...„.. ..,: m �x Permit No. B-16-1846 Applicant Name: Cheryl Gruenstern Map/Lot: 171-188 Date Issued: 07/18/2016 _ Current Use: Zoning District: RC Permit Type: Solar Panel—Residential Expiration Date: 01/18/2017 Contractor Name: SOLAR CITY CORPORATION Location: 24BRALEY JENKINS ROAD,CENTERVILLE Est.,Project Cost: . $ 13,000.00 Contractor License: 168572 Owner on Record: MERRILL, MICHAEL B&APRIL C ,. Permit) ee $ 116.30 5n �•, Address: 312 SKUNKNET ROAD ri4,Paid 116.30 CENTERVILLE, MA 02632 .`.. � Date: 7/18/2016 Description: Install solar panels on roof of existing house,wrth an u rades,if applicable,ass ecified b PE"in Design;To be p P g Y pg pP p r Y g y interconnected with home electrical system. [5.2 kW 20 Panels JB-0263084 ='' f l Project Review Req : Install solar panels on roof of existing house,with any upgrades, if applicable,as specified by PE in Design;To be interconnected with home electrcalsystem 5F2kW 20 Panels JB-0263084 K x Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this'permit is commenced v✓rthan six months after issuance. All work authorized by this permit shall conform to the approved application and the;approved construction documents for�which this permit has been granted. v All construction,alterations and changes of use of any building and structures shall be in compliance with the local zonihj by laws and codes. This permit shall be displayed in a location clearly visible from access street orroad=amd shall be maintained open for public inspection for-the entire duration of the work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures by the�Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing ' 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is,iristalled P '{ t ,, 4.Wiring&Plumbing Inspections to be completed prior to Frame Insp�e coon, a 5.Prior to Covering Structural Members(Frame Inspection) "" 6.Insulation , 7.Final Inspection before Occupancy - Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. ON LS�� 'Persons contracting with unregistered contractors do not have access to the guaranty fund (as set forth in MGL c.142A). Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Y a TOWN OF BARNSTABLE,BUILDING PERMIT APPLICATION Map 1-7f—Parcel Application# � Health Division Date Issued '01 Conservation Division Application Fee ' Tax Collector Permit Fee Treasurer r �K22�4� Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Z`� ,�' S 1)4.5 Village C&'UT&r�Z V)L L-E 104- OZL--5 �- Owner &4fZ Y J P 40T Address Telephone 3-' -7 7 1p 0 16 Permit Request AC-M('✓ &" ,�I t,7C-7e 4 C-e—C7 fti� wl�DlscJ Al T 1'v0 y r Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. lU Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count O Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑rt w size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: r, r i Z Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No 'If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name t, , /Id�(�LL.� Telephone Number_ J 737- Nf�Al 9 Address To , � ,Z7 � License# 61 �.� 14/LLS 1 dz&VAHome Improvement Contractor# 13� 12 ( Worker's Compensation# to_�> T �3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO N V_11'0 Le�" SIGNATURE DATE f i FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP PARCEL NO. i r 7 ADDRESS VILLAGE OWNER DATE OF INSPECTION: t i FOUNDATION FRAME 3ISl�� INSULATION QOir) 31./oz.— t FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 1 GAS: ROUGH FINAL y FINAL BUILDING •� P 1 ' DATE CLOSED OUT ASSOCIATION-PLAN NO. z ',per The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly Name(Business/Organization/Individual): -VV LIr2 AY Address:— City/State/Zip: 1V4- 7.5e' ne.#:. bo Are y an employer?Check the appropriate bog: Type of project(required): 1. I am a employer with ?� 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the,sub-contractors 6. ❑New construction 7. Remodeling listed on the attached sheet. ❑ g 2.❑ I am a sole proprietor or partner- - ship and have no employees These sub-contractors have g. ❑ Demolition workingfor me in an capacity. employees and have workers' Y P tY•o workers co . � 9. ❑Building addition i . insurance. + insurance co required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work, officers have exercised their I LEJ Plumbing repairs or additions myself. [No workers' comp. right of;exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. ^7 Insurance Company Name: IV T- Policy#or Self-ins. Lic.M V b Expiration Date:. 1! bi Job Site Address:?'1 -vprt 1,y ��1 City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK.ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this.statement may be forwarded to the Office of Investigations of tke DIA for insurance coverage verification. I do hereby certi under t pains and penalties of perjury that the information provided above is tr a and correct. Signature: Date: .Phone#: Official use only. Do not write in this area,to be completed by city or town officiaL vi i 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 Y Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However,the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold'the issuance or renewal of a license or permit.to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es) and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the.bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference.number. In addition,an applicant that must submit'multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in__(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be-provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The- Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia _Y AS OF JANUARY 19 2*00.8 'YOU MUST UTILIZE THE FOLLOWING CRITERIAOR SUBMIYA RE S 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE-AND TWO-FAMILY BUILDINGS" MAXIMUM MINIMUM Ceiling or Fenestration Exposed Wall Floor Basement Slab Perimeter ' U-factor Floors R-Value R-Value AH R-Value R-Value and AFUE RSPF SEER R-Value r Depth National Appliance'Ene`rgy 0.35 R-38 R-19.I ..R-19 ,R-10 R-10,4 ft Conservation Act(NAECA)of 1987 as amended,rninimums or greater as applicable For SL 1 foot=304.8 mm. a. R-values are for insulation materials only,not for overall component. 4 Town f Barnstable w o a stable sAaxsTnsM 3 0gq Regulatory Services ab . Thomas F.Geller,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder c i ?0//4 7J4 ,as Owner of the subject property hereby authorize / v//ram to act on my behalf, in all matters relative to work authorized by this building permit application for: (Ad ress of Job) ignature of Ow er Date ZIAI A, Print Print Name Q:Forms:buildingpennits/express Revised 123107 k NEC-12-2007 03 :55 PN OCEANSIDE 'INSURANCE 5037907955 P. 01 WX PRODUCER MIS CERTIFICATE IS ISSUED AS A MATTER 05 INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Ommelds Ins umncaAgency Ina HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 62 West Main 8t ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Hyervtls,MA 02601 COMPANIES WORDING INSURANCE COMPANY A GRANITE STATE INSURANCE COMPANY EINIIURED ,MA 02048-M a THIS 18 TO CERTIFY THAT THE POLICIES OP INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE?FOR THE POLICY PERIOD INDICATED,NOT WITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY IRE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITION$OF SUCH POLICIES,LIMITS SHOWN MAY HAVE 13EEN REDUCED BY PAI D CLAIMS. B OP MU 0 NU R PclukVtlPreMrdff n TV RAYON 0A A- ROCOMPENRATION D EMPLOYERS'LKOLtfY ►ROPRIETOW LIMITS ARTNERSIEMCU FA PtarnE AlIE: NCL d +.c. 8388843 11/21/2007 11/21/2008 ATUTORYLCUIre m0AW16010MA 0WWmiany. ACCIDENT a 100,00 ISE AOE POLICY LPAT 600,00 D RI ECLAL 8 100.00 THE WORKERS COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR DOUG MULLEN, CERTIFICATE HOLDER,_._..___.____._._... ANCELLATION Town of Barnstable SHOULD MY OFTNQAROVEDEOOREED POLICES BEW05LLED BEFORE THE WItATION DATE THEREOF,THE ISSUING COMPANY WILL ENORAVOR TO MAL IQ 200 Main St., DA'rowRlrm Nome TO THE OERTFrATE HOLDER NAMED To THE LEFT,BUT PALURE TO MAL SUCH NOTICE SHALL"OSE NO OBLIGATION OR L NM L Y OF Hyannis, MA, ANYKN13UPON THE COMPMn!ITB AGENTS 0RREPR@OENTATNEO AUTHORIZED RL°PRESENTATIVE C I I u� mg. eb'h atio n dac�'uaet no Construction Supervisor tandards License 1i1 ' i �q r p License: ,� r CS 81995 t` Expratio J t 1123/2010, Tr#. 15516 Resttnct�orl :00<ft i r DOUGLASW MULLi ,' t ' N ' .t,- a 9 NOBBY LN '=" ; W YARMO ' MA 02.. h UTH 673 f Coin`Issi6her # �+ -- r, �lze from Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR License or registration valid for indiv►dul use-only, Registration before he expiration date. If found retu�tt to ' Ex r� -17_ .I # Board q�IWldingl2egulations and Stand ids I IF P ration 3/27/2009 ' Tr# 123181 One Ashburton Place Rm 1301 / TYPeDB Boston h.02108 MULLEN BUILDING REMODELING i�OUGLAS MULLEN`• 59 NOBBY LNG !'% { I n� VEST YARMOUTH MA 02673 s 3 `' Arlministratur --- —— < - Not yal' ithogt s�gii`ature• I� z y A 101v Ltv0 �7- t V-) x /s L v L f .4epmC-f, 5FA A S D 4-0--AvE�p, 7 7/ ZX`� t,JirLL t �v0 � b � t _v sy 4 1 � r t� f rim. a�.Ye W.t Town of Barnstable, P do Regulatory Services Thomas F. Geiler,Director IAMSTABM '"`"S& 1639• g Buildin Division ♦0 �'lf�►,u`'1 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www,town.barnstable.m a.us Office: 508-862-4038 Fax:, 508-790-M( PERMIT# -�Y�d' / FEE: $ 6 0 SHED REGISTRATION 120 square feet or less 13 C0nn ors c.,r� Cent-f'� i P . Location of shed(address) Village Property o is name ( Telephone number Size of Shed Map/Parcel# . ,tA 3lo Signature 03 �� Dat Fi Hyannis Main Street Waterfront Historic District? y�' Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature is required) �/L. Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST -PEtAC:COMPANIED BY A F. I--PrOT PLAN Q-forms-shedreg REV:042506 ,Y } tG �! +{,a• ,:, $ a 6^l Map Page 1 of 2 Town of Barnstable Geographic Information System New Search I H. Parcel Viewer Custom Map Abutters Map Size Zoom OutE U D E n fl fl Din 'y r r + ®= 3 P G Map: 251 Parcel: 048 F A b()d F 's Location: 13 CONNERS ROAD I �,«' w 26ID66 251148.= Owner: BURLINGAME, MARY E 428: 251066 #16 iU 20° E Location Information 25 1027 Map & Parcel 251048 �a41 ory Location 13 CONNERS ROAD �V ` #tip 4 o6s Acreage 0.38 acres 40 _ Current Owner Mailing Address BURLINGAME, MARY E 13 CONNERS RD 25-102$ 251048 ' . CENTERVILLE, MA 02632 �+51 q 13 Appraised Value (FY 2008) Extra Features $5,000 Out Buildings $0 261 Land $238,700 26-1029 .� '. ` Buildings- $187,700 k61 251047 x Total Appraised $431,400 . 4 Assessed Value (FY 2008) 2610 N 12 . 251064. Extra Features $5,000 251/00661 _N 1 Out Buildings $0 N 35 Fe a t� 251051 k 82-1 1�22 Land $238,700 A� " T -- _ a Buildings $187,700 _ Total Assessed .$431,400 Set Scale 1" Aerial Photos ill Copyright 2005-2007 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS BarnstableMA V0.2.91 [Production] http://www.town.bamstab.le:;ma.us/arcims/appgeoapp/map.aspx?propertyID=251048.,.. 2/13/2008 q DURABLE POWER OF ATTORNEY I•, Mary E. Burlingame, of Barnstable (Centerville) , Massachusetts, appoint my son, David B. Burlingame of Barnstable (Cummaquid) , Barnstable County, Massachusetts as my attorney, to conduct all my affairs, with full power and authority to act in my name and on my behalf as fully as I could do if personally present . Without limiting the generality of my attorney' s powers, I specifically authorize my attorney to do the following: 1 . To manage and have the general control and supervision of all my property and interests in property, real or- personal, tangible or intangible, including power to buy, sell, lease and mortgage . 2 . To maintain bank accounts for me in my name, or in the name of my ` attorney, and to make deposits or withdrawals of money belonging to me in such accounts, and to disburse any money from such accounts ,on the signature of my attorney. 3 . To pay all my bills and to expend funds for any purposes which my attorney deems 'for my benefit. k4 . To '- collect, demand ' and receive any income, interest, dividends, rents, profits or other property due or payable to me . ` S . To . borrow money_on my behalf, to execute contracts on my behalf and to execute on my behalf any other deed or instrument , in my name or in the name of my attorney, which, in the discretion of my attorney, appears to be necessary or advisable in the management of my affairs . .6 . . To have access to. all safe {deposit boxes in my name and the right to remove their contents . 7 . To prepare or have prepared and to sign tax returns of any sort on. my behalf . 8 . To prosecute or defend or submit to arbitration any claim by or against me or my property and to receive and give full or partial releases of any kind., 9 . To transfer funds or property of mine to any trust established by me, whether before or after the date of this instrument . 10 . To do any of the foregoing, in Massachusetts or elsewhere in the United States of America. No person dealing with my attorney shall be required to see to the application of any funds or property paid or transferred to my attorney. Any person may rely on -this power of .attorney or a copy Of it certified by a notary public until notified in writing of its . .revocation. I "nominate David B. Burlingame as my conservator, guardian of my person and guardian of my property should the need arise in the future for the appointment of any such fiduciary for the protection of my person or estate . , I intend that this power of attorney shall not be affected by my subsequent disability -or incapacity. IN:WITNESS -WHEREOF, I hereunto . set my hand and seal this day of November, 2004 . i t _2- t COMMONWEALTH OF MASSACHUSETTS Barnstable, ss November , 2004 Then personally. appeared' the above-named Mary E . Burlingame, known to me personally, and acknowledged the foregoing instrument to be her free act and deed, before me, Notary blic .� My Comm scion Expires f , w 1, i I, r. ABBREVIATIONS ELECTRICAL NOTES JURISDICTION 'NOTES _ A AMPERE 1. THIS SYSTEM IS GRID-INTERIIED VIA'A AC ALTERNATING CURRENT UL-LISTED POWER-CONDITIONING INVERTER. ` BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. CONIC CONCRETE 3. A NATIONALLY-RECOGNIZED TESTING DC DIRECT CURRENT LABORATORY SHALL LIST ALL EQUIPMENT IN - EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3. (E) EXISTING 4. WHERE ALL TERMINALS OF THE DISCONNECTING EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED IN THE OPEN POSITION, - FSB FIRE SET-BACK A SIGN WILL BE PROVIDED WARNING OF THE _ GALV GALVANIZED HAZARDS PER ART. 690.17. GEC GROUNDING ELECTRODE CONDUCTOR 5. EACH UNGROUNDED CONDUCTOR OF THE GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5. CURRENT 6. CIRCUITS OVER 250V TO GROUND SHALL Imp . CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(B). Isc SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DO NOT ENTER kVA. KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR , kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). ; MIN MINIMUM $. ALL WIRES SHALL BE PROVIDED WITH STRAIN (N) NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY; NEUT NEUTRAL UL LISTING. - - NTS NOT TO SCALE 9. MODULE FRAMES SHALL BE GROUNDED AT THE i a OC ON CENTER UL-LISTED LOCATION PROVIDED BY THE PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING fi n ` POI POINT OF INTERCONNECTION HARDWARE. - - _ PV PHOTOVOLTAIC 10. - MODULE FRAMES, RAIL, AND POSTS SHALL BE SCH SCHEDULE _. BONDED WITH EQUIPMENT GROUND CONDUCTORS. S STAINLESS STEEL _ STC STANDARD TESTING CONDITIONS TYP TYPICAL _ UPS UNINTERRUPTIBLE POWER SUPPLY ` V VOLT Vmp .VOLTAGE AT MAX POWER VICINITY MAP INDEX Voc VOLTAGE AT OPEN CIRCUIT W WATT 3R NEMA 3R, RAINTIGHT PV1 COVER SHEET PV2 SITE PLAN " PV3 STRUCTURAL VIEWS PV4 UPLIFT CALCULATIONS LICENSE GENERAL NOTES PV5 THREE LINE DIAGRAM PV6 CO UTILITY SITE PLAN GEN #168572 1. ALL WORK TO BE DONE TO THE 8TH EDITION Cutsheets Attached ELEC 1136 MR OF THE MA STATE BUILDING CODE. 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2014 NATIONAL ELECTRIC CODE INCLUDING MASSACHUSETTS AMENDMENTS. MODULE GROUNDING METHOD: ZEP SOLAR AHJ: Barnstable REV BY DATE COMMENTS _ REV A NAME DATE COMMENTS UTILITY: NSTAR Electric (Commonwealth Electric) 0 • a. CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: PREMISE OWNER:. DESCRIPTION: DESIGN: JB-0263084 00 MIKE. MERRILL - Mike Merrill RESIDENCE Namitha Ganapa �cSO�a�C�t CONTAINED SHALL NOT BE USED FOR THE \�.ti BENEFIT OF ANYONE EXCEPT SOLARCTY INC., MOUNTING SYSTEM: NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Com Mount T e C 24 BRALEY JENKINS:RD .. 5.2 KW PV ARRAY ; - OJ y PART TO OTHERS OUTSIDE THE RECIPIENTS p y ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES: BARNSTABLE, :MA•`02632 THE SALE AND USE OF THE RESPECTIVE (20) TRINA SOLAR # TSM-260PD05.18 24 St. Martin Drive,Building 2, Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME: SHEET: REV: DATE Marlborough.MA 01752 PERMISSION OF SOLARCTY INC. INVERTER: l (650)638-1028 F: (650)638-1029 SOLAREDGE SE5000A-USOOOSNR2 COVER SHEET PV 1 6/9/2016 (BBB)—SOL-CITY(765-2489) www.solarcitycom PITCH: 37 ARRAY PITCH:37 MPi AZIMUTH: 119 ARRAY AZIMUTH: 119 AND SIGNED' MA PITCH 23 ARRAY Comp ShinglePITTCH:23Stories STAMPED A 24 Braley Jenkins Rd MP2 AZIMUTH: 119 ARRAY AZIMUTH: 119 — FOR.STRUCTURAL ONLY '"ss4c MATERIAL: Comp Shingle STORY: 2+ Storie a' y� PITCH: 37 ARRAY PITCH:37 42 q3 LARDO E. v' DE vERA , MP3 AZIMUTH: 119 ARRAY AZIMUTH: 119 "d 0 STRUCTURAL y MATERIAL: Comp Shingle STORY: 2 Stories v NO. 52160 (E) DRIVEWAY F`rSfONAtN� Abe De `DN a Y signed-Ld-yAbe De Ve,a DN do bcal,dc Sabe D, Front Of House \/ ou H wth a Abe De Vera, Y era Dat 12016W 915:5137-0M AC 0 O LEGEND AC (E) UTILITY METER & WARNING LABEL Inv L__- Inv INVERTER W/ INTEGRATED DC DISCO & WARNING LABELS \ DC © DC DISCONNECT & WARNING LABELS t � 5. © AC DISCONNECT & WARNING LABELS Locked Gated O DC JUNCTION/COMBINER BOX & LABELS d MP1 DISTRIBUTION PANEL & LABELS a A Lc LOAD CENTER & WARNING LABELS Locre-d Ca Me O DEDICATED PV SYSTEM METER M24 Q STANDOFF LOCATIONS CONDUIT RUN ON EXTERIOR C --- " CONDUIT RUN ON INTERIOR d� M PZ GATE/FENCE Q HEAT PRODUCING VENTS ARE RED r,', I, `I INTERIOR. EQUIPMENT IS DASHED B SITE PLAN Scale: 1/8" = 11_ 0 11 81 161 s Ed 02027A F PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: J B—0 2 6 3 0 8 4 00 �M CONTAINED SHALL NOT BE USED FOR THE MIKE MERRILL Mike Merrill RESIDENCE Namitha Ganapa �;�SO��f Clt�/BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 24 BRALEY JENKINS CRD 5.2 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MODULE: BARNSTABLE, MA 02632 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St. Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (20) TRINA SOLAR # TSM-260PD05.18 PACE NAME: SHEET: REV: DATE Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: T' (650)638-1028 F: (650)638-1029 PERMISSION OF SOLARCITY INC. SOLAREDGE SE5000A—USOOOSNR2 SITE PLAN PV 2 6/9/2016 (BBB)-SOL-CITY(765-2489) www.solarcitycom r .. - S1 - - S1 _ J 2 A9 IARDO E. " DE VERA. -4 _ STRUCTURAL, No. 62160 Q 71_71) .7'-7" 90 FS$;r-sI S�ONAL� c (E) LBW (E) LBW Abe De : l signed by Abe De Vera DN do=10 al d 5 IarC'ty, SIDE VIEW OF MP1 NTS o Hal hore,cn SIDE �VIW �OF �MP3 NTS A Ve�� ou Ha de c0 Ape De Vera, mal(=mW e @solarciry.com Date:2016 06 09 15:5205-07'00' MP1 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES MP3 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES - LANDSCAPE, 6411 2411 STAGGERED LANDSCAPE 64° 24" STAGGERED PORTRAIT 48° 191, > „ ROOF AZI 119 . PITCH 37 PORTRAIT 48" 19" RAFTER 2X10 @ 16 OC STORIES 2 ARRAY AZI 119 PITCH 37 ROOF AZI 119 PITCH 37 ' Comp Shingle RAFTER 2X8 @ 16„ OC ARRAY AZI 119 PITCH 37 STORIES: 2 Comp Shingle PV MODULE 5/16" BOLT WITH INSTALLATION ORDER FENDER WASHERS LOCATE RAFTER, MARK HOLE ` ZEP LEVELING FOOT. (1) LOCATION- AND DRILL PILOT S1 ZEP ARRAY SKIRT (6) HOLE: (4) (2) SEAL PILOT HOLE WITH POLYURETHANE SEALANT. --ZEP COMP MOUNT C 4" ZEP FLASHING C (3) (3) INSERT FLASHING. 1` 13' (E) COMP. SHINGLE ` (E) LBW (E) ROOF DECKING U (2) INSTALL LAG BOLT WITH SIDE VIEW OF MP2 NTS 5/16" DIA STAINLESS (5) (5) SEALING WASHER. (B) STEEL LAG BOLT LOWEST MODULE SUBSEQUENT.MODULES INSTALL LEVELING FOOT WITH MP2 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES WITH SEALING WASHER (6) BOLT & WASHERS: ' (2=1/2 EMBED, MIN) LANDSCAPE 64" 2411 STAGGERED c PORTRAIT 48" it 19 (E) RAFTER STANDOFF ROOF AZI 119 PITCH 23 RAFTER 2X8 @ 16° OC ARRAY AZI 119 PITCH 23 STORIES:2+ - C.3. 2x6 @16" OC Comp Shingle CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: PREMISE OWNER: DESCRIPTION: DESIGN: J B-0263084 00 ��� CONTAINED SHALL YO NOT BE USED FOR THE MIKE MERRILL Mike Merrill RESIDENCE Namitha Ganapa ='�!�SolarCity. BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTWG SYSTEM: �.,a NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 24 BRALEY JENKINS RD. 5.2 KW PV ARRAY 0,, PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES BARNSTABLE, MA-02632 THE SALE AND USE OF THE RESPECTIVE 20 TRINA SOLAR TSM-260PDO5.18 24 S.Martin Drive,BuildingA012 Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN ( ) PAGE NAME SHEET: REV. DATE Marlborough,,MA 50) PERMISSION OF SOLARCITY INC. INVERTER: T. (650)838-1028 F. (850)638-1029 SOLAREDGE SE5000A-USOOOSNR2 STRUCTURAL VIEWS ' PV 3 6/9/2016 (888)-SOL-aTY(765-2489) www.solarcitycom UPLIFT CALCULATIONS F SEE SEPARATE PACKET FOR STRUCTURAL CALCULATIONS. CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: PREMISE OWNER: DESCRIPTION: DESIGN: JB-0263084 OO Namitha Gana ��`a, CONTAINED SHALL NOT E USED FOR THE MIKE MERRILL Mike Merrill RESIDENCE P° �:,,So�arCity. ;. BENEFIT OF ANYONE EXCEPT SOLARCITY INC.. MOUNTING SYSTEM: �.,,c NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 24 BRALEY JENKINS RD 5.2 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENT'S MODULE BARNSTABLE MA 02632 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St. Martin Drive. Building 2. Unit 11 THE SALE AND USE OF THE RESPECTIVE (20) TRINA SOLAR # TSM-260PDO5.18 PAGE NAME SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN SHEET: REV DATE Marlborough,MA PERMISSION OF SOLARCITY INC. INVERTER: T. (650)638-1028 F. (650)50)638-1029 SOLAREDGE SE5000A—USOOOSNR2 UPLIFT CALCULATIONS PV 4 6/9/2016 (888)—SOL—CITY(765-2489) www.solarcity.com GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO TWO (E) GROUND Panel Number:G2020MB1100 Inv 1:. DC Ungrounded INV. -(1)SOLAREDGE#SE5000A-USOOOSNR LABEL: A (20)TRINA SOLAR ## TSM-260PDO5.18 GEN #168572 RODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:2226301 Tie-In: Supply Side Connection Inverter; 50000W, 240V, 97.57; w$nifed Disco and.ZB,RGM,AFCI PV Module; 260W, 236.9W PTC, 40MM, Black Frame, H4, ZEP, 1000V ELEC 1136 MR . Underground Service Entrance INV 2 Voc: 38.2 ' Vpmax: 30.6 INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER �E 100A MAIN SERVICE PANEL _ E3 10OA/2P MAIN CIRCUIT BREAKER (E) WIRING CUTLER-HAMMER Inverter 1 Disconnect . CUTLER-HAMMER - 1 10OA/2P 4 Disconnect 3 . SOLAREDGE DC+ - 11 ti A 30A SE5000A-US000SNR2 ---- DC- P1,M M. x Br- . -- ------------ ------- ---- Ecc------------------� -M 2: 1 g L2 I _ DC+ N DC, I 2 (E) LOADS GND - ---- GND ------ ----- ---- -- EGC/ DC+ - + -cec - - N DC- C MP2,MP3: 1x9 -- EGC -------- --------- ------------- G -----------------*•� _ ---- _ _ , N a _ - (1)Conduit Kit;�3/4'EMT --J WES C/GEC _ - - - - Ptc I I ' T TO 120/240V SINGLE PHASE I. L k UTILITY SERVICE PP WIT SHUTDOWN PHOTO VOLTAIC SYSTEM EQUIPPED WITH'RAPID OWN _ Voc* = MAX VOC AT MIN TEMP :. POI (2)ILSCO 4 IPC 4/0-#6 / A (1)CUTLER-HAMMER $DG222NR8 /rr Pv (20)SOLAREDGEAP30D-2NA4AZS D� Insulation PiercingConnector; Main 4 0-4. Top6-14 Disconnect; 60A, 24OVac, Fusible, NEMA 3R, A r PowerBox timizer, 30OW, H4, DC to DC, ZEP S SUPPLY SIDE CONNECTION. DISCONNECTING MEANS SHALL BE SUITABLE 6 (1)CUTLER-HAMMER g DG221UR6 (1)AWG6, Solid Bare Copper AS SERVICE EQUIPMENT AND SHALL BE RATED PER NEC. Disconnect; 30A, 24OVac, Non-Fusible,-NEMA 3R nd -(1)CUTLER-HAMMER#DG03ON6 -(1)Ground Rod; 5/8 x 8', Copper Ground eutral It; 30A, General Duty(DG) (N) ARRAY GROUND PER 690.47(D). NOTE: PER EXCEPTION NO. 2, ADDITIONAL ELECTRODE-MAY NOT BE REQUIRED DEPENDING'ON LOCATION OF (E) ELECTRODE 1 AWG#6, THWN-2, Black �.- 1 AWG�110, THWN-2, Block 2)AWG #10, PV Wire, 600V, Block Voc* 500 VDC Isc=15 ADC ® (1)AWG g6, THWN-2, Red ( S )IQ�(1)AWG g10, THWN-2, Red O (1)AWG #6, Solid.Bare Copper EGC Vmp =350 VDC Imp=8.07 ADC (1)AWG #6, THWN-2, White NEUTRAL Vmp =240 VAC Imp=21 AAC `/ (1)AWG#10, 1HWN-2, White NEUTRAL Vmp 240'VAC Imp=21 AAC (1)Conduit Kit;`3/4' EMT 70 AN ,,Solid Bare.Copper, GEC. . . -(1)ConduR.Kit;.3/4',EMT, , • . , , , , , • . , , , , . .-(1)AWG 8, THWN-2, Green , , EGC/GEC (1)Conduit,Kit:.3/4',EMT. . . . , , . .: 2 AWG j10, PV Wire, 60OV, Black Voc* =500 VDC Isc =15 ADC O (1)AWG #6, Solid Bare Copper EGC Vmp =350 VDC Imp=6.6 ADC . �))Conduit Kit;.3/4 EMT ' . . . . . . . . . . . . . . . . . . . CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER PREMISE OWNER: , DESCRIPTION: DESIGN: JB-0263084 00 MIKE MERRILL Namitha Gana a CONTAINED SHALL NOT E USED FOR THE 1 Mike .Merrill RESIDENCE p �'SQ�afCity. BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: .�� r, NOR MALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C .p24 BRALEY JENKINS RD 5.2 KW FV .ARRAY ►r. ®• PART IZ OTHERS OUTSIDE THE RECIPIENT'S MODULES BARNSTABLE MA 02632 ORGANIZATION, EXCEPT IN CONNECTION WITH , THE SALE AND USE OF THE RESPECTIVE (20) TRINA SOLAR # TSM-260PDO5.18 24 St. Martin Drive, Building 2;Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN MVERTER PAGE NAME: SHEET: REV: DATE Marlborough,MA 01752 PERMISSION OF SOLARCITY INC. : T. (650)638-1028 F: (650)638-1629 ISOLAREDGE SE5000A-us000SNR2 - - THREE LINE DIAGRAM - _ PV 5 6/9/2016 (BBB)-SOL-CITY(765-2489) www.solarcitycom • o 0 0 o o Label Location: Label Location: , ,u Labe Location: Ion. (C)(Cg) (AC)(POI) '� 7�� " � � o � - � Y��, � � ��I, (DC) (INV) Per Code: _ _ Per Code: _ _ Per Code: NEC 690.31.G.3 00 0 0 0 - ° NEC 690.17.E e e • e e- �•• • NEC 690.35(F) Label Location: • o .o o - e o • •- TO BE USED WHEN Crl' ® ® ® ® (DC)(INV) o•e e -:o o • 'o e ® ' INVERTER IS ® ® Per Code: UNGROUNDED NEC 690.14.C.2 Label Location: Label Location: (POI) {� (DC) (INV ) o Per Code: ° Per Code: •-•" •e" o o NEC 690.17.4; NEC 690.54 ® o •..o « '' NEC 690.53 • 741 s t Label Location: (DC) (INV) . y. • ,,. _ Ae Per Code: 0p.o NEC 690.5(C) °_ _c • • • = Label Location: ,` o • o- f , c Per Code NEC 690.64.B.4 :w Label Location: Per Code: Label Location: •'•` o • s NEC 690.17(4) t ., (D) (POI) Per Code: o•e • - ot �� • e lio �: NEC 690.64.B.4 Label Location: (POI) Per Code: - Label Location: w o e -e o. NEC 690.64.B.7 (AC) (POI) .o o - e (AC): AC Disconnect ® ® Per Code: °o (C): Conduit NEC 690.14.C.2 (CB): Combiner Box (D): Distribution Panel. (DC): DC Disconnect (IC): Interior Run Conduit w Label Location: (INV): Inverter With Integrated DC Disconnect (AC) (POI) •' ''� Per Code: (M)>UtityMeteer .• _ e NEC 690.54 (POI): Point of Interconnection CONFIDENTIAL— THE INFORMATION HEREIN CONTAINED SHALL NOT BE USED FOR -�����j 3055 Clearview Way THE BENEFIT OF ANYONE EXCEPT SOLARCITY INC., NOR SHALL IT BE DISCLOSED �', ' San Mateo,CA 9,1402 '03IN WHOLE OR IN PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, ��� T:(650)638-1028 F:(650)638-1029 EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE Label Set Sold '� SOLARCITY-EQUIPMENT, WITHOUT THE WRITTEN PERMISSION OF SOLARCITY INC. ��� (888}SOL-C1TY(765-2489)www.solarcty.com 0 `'SOIr3fClty ®pSolar Next-Level PV Mounting Technology "'$OlafClty-I ®pSolar Next-Level PV Mounting Technology Com ponents Zep System N for composition shingle roofs y u �f. Leveling Foot rtrt-- - Interlock - ... .,r tirouM tep {tCcy side sFowal Part No.850-1172 �_- •..•---- Levetirig Foot ` ^ETL listed to UL 467 t _ r Zep Compatible PV Module - "„r yam' Zep Groove - Roof Attachment - - Array skirt r— Comp Mount .,.. Part No.850-1382 Listed to UL 2582 ✓ Mounting Block Listed to t1L 2703 • __ram---• ., � • ti o- Description . OEM �� / v PV mounting solution for composition shingle roofs , A — e Works with all Zep Compatible Modules Auto bonding UL-listed hardware creates structural and electrical bond �^ _ • Zep System has a UL 1703 Cl ass"A"Fire Rating when installed using modules from any manufacturer certified as"Type 1"or"Type 2" �L Interlock Ground Zep V2 DC Wire Clip LISTED Specifications Part No.850-1388 Part No.850-1511 Part No.850-1448 Listed to UL 2703 Listed to UL 467 and UL 2703 Listed to UL 1565 • Designed for pitched roofs • Installs in portrait and landscape orientations • Zep System supports module wind uplift and snow load pressures to 50 psf per UL 1703 r • Wind tunnel report to ASCE 7-05 and 7-10 standards • Zep System grounding products are UL listed to UL 2703 and UL 467 , • Zep System bonding products are UL listed to UL 2703 • Engineered for spans up to 72"and cantilevers up to 24" . • Zep wire management products listed to UL 1565 for wire positioning devices • Attachment method UL listed to UL 2582 for Wind Driven Rain Array Skirt,Grip, End Caps Part Nos.850-0113,850-1421, zepsolar.com zepsolar.com 8 s- to 1 ,8 0-1467 565 This document does not create any express warranty by Zap Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for This document does not create any express warranty by Zap Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for each product.The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely each product.The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely `� responsible for verifying the suitability of ZepSolar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. responsible for verifying the suitability of ZepSolar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.eom. Document#800-1890001 Rev A Date last exported: November 13,2015 2:23 PM Document#800-1890-001 Rev A Date last exported: November 113,2015 2:23 PM ' r • t t t t , • r 4 � t solar=oo solar=oo SolarEdge Power Optimizer Module Add-On for North America P300 / P350 / P400 SolarEdge Power Optimizer Module Add-On For North America - P300 P85D P400 (for 60-cell PV (for 72-dell PV (for 96•cell PV modules) modules) modules) v A �1NPUT t P300 P350 P4U0 Q' t' 23 ®rffi Absolulte MaP mumin ..Voltage(Voc ablowesttemperature) 48 360 800 Vdc I g,.,.. ,:': - ..MPPT Operating.Range........................................ .......8.:48...................5..60...................8..50...... Vdc.... .. .. Circuit Current hsc) .. .. ... ... .. ......................... .10. .......... .... ............. ....... .................................. ... .... ;,•�t, m ., :'" j ,,, ,_ Maximum DC Input Current ..........I.............. ............................. 12.5 .................... ......... ....Adc ... - h. ` Maximum Efficiency ........................... ... - 99.5 % .................................................... ... ................ ...................................................... `''.. „ Weighted Efficiency....... .. ....... ........................................9S:8............. ... ....... ..%...... Overvoltage Category II ~'..•r,.r, _ • ,. - )OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER) _ _ `'t 1 I Maxmum .......................p Curren[ 15 Adc - ,. #° Maximum Output Voltage 60 _ Vdc OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF) I Safety Output Voltage per Power Optimizer 1 Vdc �C.A ti.3. �2,a ,1 !STANDARD COMPLIANCE EMC......". ................................"............... FCC Part15 Class B IEC61000 6 2,IEC61000 6 3 ... ........... Safety IEC62109 1(class II safety)UL1741 Yes LINST _ NSTALLATION�SPECI FICATIONS •' 4 � .4 ' ye gip.•.. :w T-- `3s~%7 �' o-K z, ` +� -� t „,, +{ „,y V�piy 'f$-fix" - Maximum Allowed System Voltage 1000 Vdc Dimensions(W xLx H)... ..141z212 x40.5/S.SSx8.34x1.59 mm./in ,,� ,:' x u e`*x Weight(including cables) 950/2.1.................................... gr/Ib.... Input Connector MC4/Amphenol/Tyco .v ... J' ............... ................... ........ ... .. .................. .......... 3- v^q�^� - Out ut Wire T e Ste` _ �"f`, cz,. P.... YP /,Connector........... .. ... ....... .. ...... ............ .... ..Double Insulated Amphenol. ................. ... ..0.95/3.0.. ..1.2/"3.9.................... ..m./ P Bt Operating Temperature Range"�������� ,;40 +85/40 +185 ... ^Y ., Protection Raring .. ..... ............. ... ........... .... .. 65/NEMA4........ ...... ........ ... ...... „"�'` .............................. ....... ... .... ........ .. .... .......�?. ... .......... .......... .... ... L^e ^ Relative Humidity ..........0...100................... ........ ....%...... ...a+�e tiero .f-m ulm Mod.1 of.pms%vo.,t.—n am�a...................... .... , f INVERTER SYSTEM,DESIGN USING A SOLAREDGE- PV SINGLE PHASE THREE PHASE THREE PHASE VERTER � 208V 480V PV power optimization at the module-level Minimum String Length(PowerO timizers 8 10 18 ...................g.... .............?......................................................................................... ........................................ Maximum String Length(Power Optimizers) 25 25 50 .. — Up to 25%more energy .. .................................................................. ..... ...... ..... .............. ....... ... ........................................... .. ............. .. ........ . _ Maximum Power per String 525D 6000 12750 W — Superior efficiency(99.5%) - .................gs.of .ffe.r."...,...................o...:...................................................-.._..................................................... Parallel S.... s of Different Len hs or Orientations Yes Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading ."......."".""""""""""""""""..""""""""....'".""""""""""""""""""""""""""""""' — Flexible system design for maximum space utilization — Fast installation with a single bolt - - - - - - Next generation maintenance with module-level monitoring Module-level voltage shutdown for installer and firefighter safety USA - GERMANY - ITALY - FRANCE - JAPAN - CHINA - ISRAEL - AUSTRALIA WWW.SOlaredge.u5 ff _ THE Trtaamount MODULE, TSM-PD05.18 Mono Multi Solutions - - DIMENSIONS OF PV MODULE ELECTRICAL DATA @ STC unit:mm Peak Power Wafts-Pm (Wp) 250 �W 255 #. 260 26-1 941 Power Output Tolerance-P.Ax(%) - 0-+3 - Maximum Power Cuf rarentIMrr((A) 827 837 850 861THE uu?", 0 M 0--Urit- - �s ., s_ v - eunrvure c pen Circuit Voltage-Voc(V) ,38.0- 38.1 98.7 38.3r � . 1 iesrauiric ear Short Circuit Current-Isc(A) ••8.79 8.88 -9.00 4'9.10 ®®� - s Module Efficiency my,C1Air �. . 15.9 16.2 _15.6L- STC:Irradiance 1000 W/ 2 Cell Temperature 25"C.Air Mass AM1.5 according to EN 60904-3. Typical efficiency reduction of 4.5%at 200 W/m?-according to EN 60904-1. • _ _ _ :• - ELECTRICAL DATA @ NOCT .. -.a..� �Y .•--,. - • �[ A Maximum Power-PMAxIWP) 186 190 193 197 �.. CELL _ Maximum Power Voltage-V.P(VI 28.0 28 1 y 28.3 28.4 \tY LLL��a IILYYY LLLYYY J„., _.... .. ,i Maximum Power Current-IMPP(A) j 6.65 6.74 -6.84 .6.93 MULTICRYSTALLINE MODULE } t _ .. e-ma scxauxowcear L = A PD05.18 A Open Circuit Voltage(V)-Voc(V) 35.2 35.37 35.4 35.5 z onAw ear ' 7 A 727 7.35. WITHTRINAMOUNTFRAME shortcirauitCurrent�A)-I t 7.i0 71 sc(A) • - =�- - + NOCT:Irradiance at 800w/m2,Ambient Temperature 20°C,Wind Speed 1 m/s. -. 250.-265.W Back view MECHANICAL DATA _ POWER OUTPUT RANGE Solar cells 1 Multicrystalline 156 x 156 mm(b inches) Cell orientation •60 cells IS x 10) , Fast and simple to install through drop in mounting solution Module dimensions 1650 x 992 x 40 mm(64.95 x 39,05 x 1.57 inches) . - 2 Weight o-19.6 kg(43.12 lbs),. r 0 r _ - - _ Glass i 3.2 mm(0.13 inches).High Transmission,AR Coated Tempered Glass MAXIMUM EFFICIENCY Backsheet White • Frame j Black Anodized Aluminium Alloy - - Good aesthetics for residential applications ,-Box i IP65orlP67rated Y - ® � Cables" ,s Photovoltaic Technology cable 4.0 mm2,(0.006 inches'),... - .. ' - O _ ' ! 1200 mm(47.2 inches) I•V CURVES OF PV MODULE(260W) Connector - ,H4 Amphenol - - POSITIVE POWER TOLERANCE Moe _ • - :� s.00 r000w m'_ Fire Type __. UL 1703 Type 2 for Solar City Highly reliable due to stringent quality control &°° - • Over 30 in-house tests(UV,TC,HF,and many more) As a leading global manufacturer In-house testing goes well beyond certification requirements > c°ow m+ TEMPERATURE RATINGS MAXIMUM RATINGS of next generation photovoltaic PID resistant w Nominal Operating Cell Operational Temperature I-40-+85°C roducts' e believe close 3 ,"00 44°c(+2°c cooperation with our partners I s.00 Temperature(NOCT) .) Maximum System 1000V DC(IEC) ' is critical tosuccess. With local - zoo ` Temperature Coefficient.of P- -0.41%/°C Voltage 1000V DC(UL) presence around the globe,Trina i5 ( 00 Temperature Coefficient of Voc 1.0.32%/°C Max Series Fuse Rating 15A _ able to provide exceptional service to each customer in each market Certified to withstand challenging environmental ° ° _° 30 90 Temperature Coefficient of Isc 0.05%/°6 and supplement our innovative, conditions v•"•°•ro reliable products with the backing • 240-0 Pa wind load f of Trina as a strong,bankable • 54QQ Pa snow load t' WARRANTY - Wul IneL.We Ure(:U111rr1illed - - 10 year Product Workmanship Warranty to building strategic,mutually CERTIFICATION beneficial collaboration with f, 25 year Linear Power warranty installers,developers,distributors c $A (Pleas.4LIts < and other partners as the �TEB ° us o backbone of our shared success in - drivingSmartEnergyTogether• LINEAR PERFORMANCE WARRANTY ' PU28WErr -�_ S - PACKAGING CONFIGURATION ° g l 10 Year Product Warranty•25 Year Linear Power Warranty CON"A"' Module:per box:26 pieces w Trina Soler Limited � � Modules per 40'container:728 pieces www.trinasolar.com 1 6l00% a Adalltioric""C i ve 90% ,'kd - �am T(ifr0 SaiOrs'inepr WpryOntY y O CAUTION:READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT. 'a"P4T - w l7 80% �,ti•w ©2015 Trino Solar Limited.All rights reserved.Specifications included in this datasheet are subject to 4rohmsolar _ . : _. _ 4ruQnasolar • u:��-.-• _ - change without notice. . 3, Smart Energy Together Smart Energy Together �aO Years 5 l0 IS � 20 25 - 6'aNPP jr171 Trinastandard 13 Industry standard _ - I so I a r ' Single Phase Inverters for North America r Cr © ® v SE3000A US/SE3800A US/SE5000A US/SE6000A US/ solaSE760OA-US/SE10000A-US/SE1140OA-US �SE3000A-US SE3800A-6S I SE5000A-US I SE6000A-US I.SE760OA-US 'SE10000A-US I SE1140OA-US Ili ....:, lOUTPUT:"= ; - SolarEdge Single Phase Inverters l .............................. ... ....... . ...... ............. ... �oo o@i4 I�, ,;�. ,�-r Nominal AC Power Output 3000 3800 5000 6000 76o0 11400 VA ;, , Max.AC Power Output 3300 4150 5400 @ 208V 6000 8350 10800 @ 208V 12000 VA For North America ,� .a� ...ACC.Output. .........Voltage......Min........Nom....:.M..ax!...... ................ ................ . @240V.................. .................10950.�240y. . 31 SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ AC tputVo9Vac x r I ............... ................................................ .................................. .................. ........ .. �i � I � .. � ��r� AC Output Voltage Min:Nom.-MaxPl „,... { 211 240-264 Vac ✓ .....✓..............✓.. ............✓....... ......✓...............✓........ .......✓................... SE760OA-US/SE10000A-US/SE1140OA-US it r . .... .. .. ... . .. ....... . ..... . I) � �� AC Frequency Min.-Nom:Maxa'1..•.••. •_...._.....••.• ..............59.3 60-60;5(with HI country setting 57-60-60.5)._.._.•..••.. •..••_.••.•••._. .Hz.__. 48 @ 208V A Max Continuous Output Current ....��........�..................... y...�..... 2........I. ..3�.......�...42•�7p.240V.. ......47.�....... ........... k w �,, '= GFDI Threshold 1 A - jla_�Z ......................... ........................................Utility Monitoring,Islanding Protection,Country Configurable Thresholds Yes Yes I INPUT A Maximum DC Power(STC) 4050. 5100 6750 - 8100 10250 13500 15350 W I .- - i Transformer less Ungrounded ....... ... Yes ....................................................... m2 ats ' Max.... ... . ..... ............ . H i i Max.Input Volta a 500 Vdc i Wattan��,.y ". Nom.DC In u[Volta a 325 @ 208V/350 @ 240V Vdc i ,, ............ p.......g ............... ................ ......................................... .... ............ .... .............. ......... ._......�....-_.....-......,,;,., .,,;: 208V 0.@ 208V Max.Input Currentl'I 9.5 13 18 23 34.5 Adc .........p................................ ................I................15.S,Qa•240y.................. ................I..30:5.@.240V..I............................. Short Circuit Current 45 Adc Reverse-Polarity Protection.......... .........................................................Yes ..................................... ......... ........... Ground Fault Isolation Detection.... •• _. _ ._ •• __ •••600ka Sensitivity .•. ._.. ..._ .•.. •••• _.. ........ ..... ..... ...... .c...... .... ..... ..... .. ..... .. .. .. .. .. .. .. .. .. .. .. .. .... .. .. .... .. .. .. ... .. .... .. .. .. .. . nrAi:ir fib` "-¢"'7�' ,cp r. m Maximum Inverter Efficiency...,.. _ ...97.7,••• .•.98.2... 98.3 ...98.3°... ....98..... ..98°.... .....98...... ..%..... n c t § 97.5 @ 208V. 9/L4 2U8v.. -�, _ - - A , 1 -�`4 ( : .:..,-_•• -• CEC Weighted Efficiency 97.5 98 97.5 97.5 97.5 % xt - . .. .......... .... ........... .....98,(la_240V....... ......... .............. ..:5 @.240V.. .. ............ ........... • . ................................... Nighttime Power Consumption <2.5 <4 - W )ADDITIONAL FEATURES Supported Communication Interfaces R. ...RS232,Ethernet,ZigBee(optional) ..Revenue Grade Data,ANSI C12.1.... .......................... ...... ........optional(3) ..... . ......... .... ....................... ......... .. .................. ... ... .. ................... ......... 1y. ,tr#� .. @ ,`. '`- •fi-.::•'� m ,"> Rapid Shutdown-NEC 2014 690.12.. ..Functionality enabled when SolarEdge rapid shutdown kit is installed(" STANDARD COMPLIANCE Safety ,. _...UL1741 UL1699B,UL3998,CSA 22.2 Grid Connection Standards........ ............................ ..... ....IEEE1547..... ............................................... ......... Emissions .. .. ........... ...FCC part15 class B.. t., I INSTALLATION SPECIFICATIONS il'�;°":• <°��.s ,�� „„ ;, i • 5 ,.-..-.. ..� :. .., w.- °. _ w3;<r,,»? :. .w- n,. _�z:.;+ ... ,.:"`• AC output conduit size/AWG range ........................3/4 minimum/16 6 AWG.......................... 3/q"minimum/8 3 AWG.. ......... d .Ci input .z string um/ .. gs/1.. .mini .. .. ..ring. DC input conduit size/k of strings/ 3/4"minimum/1 2 strings/ 3 4"minimum 1-2 strings 16-6 AWG .. ....................................................................... ... ... . AWG rsions..with Safety ... ..... .... .... / g / ... 1 12.5 x 1 ... ...... in .. 5 30 Sx125x S0.5 In Dimensions with Safety Switch / / ' �""' '" � "� •`� �. - 30.Sx12.5x7.2/775x315x184. ( � ,' '• - s ' . x 315 x 260 min = v ,, .== ..lH%lt!X4).......... ....... ....... .. ...... ..... ..... ...... ............... ...... ..... ............... ...... .. r ,, -" _ - Weight with Safety Switch• ..51.2/2312• I ••54.7/24.7 884/401 Ib/kg s ...................................... .............. ................. .. ................ ................ ......... g. g4 .` Natural 1 ... s. ;':a €3'w� convection air .. s �"a.. a.+.y t. Cooling Natural Convection and internal Fans(user replaceable) fan(user The best choice for SolarEdge enabled systems ........................................... ................................................................... .ree)aseabl.?)....................................... Noise <25 <50 dBA - Integrated arc fault protection(Type 1)for NEC 2011690.11 compliance Min:Max.Ope rating Temperature -13 to+140/-25 to+60(-40 to+60 version availablelsl). -F/`C Superior efficiency(98%) Protection Rating NEMA 3R ........................................... ..................................................................................................................................... — Small,lightweight and easy to install on provided bracket a For other regional settings please contact SolarEdge support. Rt A higher current source may be used;the inverter will limit its input current to the values stated. ',w Built-in module-level monitoringpl Revenue grade inverter P/N:SEx�otxA-U5000NNR2(for 760OW inverter:SE7600A-US002NNR2). (4)Rapid shutdown kit P/N:SE1000-RSD-SI. ,Internet connection through Ethernet or Wireless - M-40,ersion P/N:SEmxxA-U50DONNU4(for 760OW inverter.SE7600A-US002NNU4). - Outdoor and indoor installation a y t, ..: 77..s a ,. ;, Fixed voltage inverter,DC/AC conversion only :,' .. '• . Y r Pre-assembled Safety Switch for faster installation Optional-revenue grade data,ANSI C12.1 sunspec i USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTIEALIA-THE NETHERLANDS-ISRAEL www.solaredge.us ' 00 • a.: xs �