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Home My WebLink About0155 MONOMOY CIRCLE - d �� 4 e ,. b .. 'I t �. ., - .� � li a _ .� Town of Barnstable ill . ... x. g 'Os"',- Postehis Card So That,rt is Visible From the Street Approved Plans Mus he Retamedon Job,and:this Card Must be Ke t �Alii4't3['AUdE. � ✓nLin rTi' � ' .<, �, � ;x ��. :a P. �.1 a, id Until'.Final Inspection Has BeenMade r � g��. • i , rs h s_, mid s b a•` `< .. :z,: " ` '�; y� * i s Whe e,a'Certificate-'of O.ecu anc.�Re u�red;such::Buildin"'shallNotbe<Occu red=u '` a `e eJl l p Y. tt _ x p ec n made I a Fi s been Permit No. B-18-1814 Applicant Name: SOUTHERN NEW ENGLAND WINDOWS LLC' Approvals Date Issued: 06/08/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 12/08/2018 Foundation: Location: 155 MONOMOY CIRCLE,CENTERVILLE Map/Lot 191-207 Zoning District: RC Sheathing: Owner on Record: PRAY, EDWARD W&JANICE L Contractor Name: SOUTHERN NEW ENGLAND Framing: 1 �* WINDOWS LLC. Address: 155MONOMOYCIRCLE .; 2 CENTERVILLE MA 02632 " -Contractorlice�nse 173245 u Chimney: Description: Windows Replacement(2) Est�prebj ct Cost: $3,922.00 P Insulation: Pe vif Fee: $35.00 Project Review Req: ' $35:00 � � � FeePaid: Final: 77 Date 6/8/2018 Plumbing/Gas IAA Rough Plumbing: - Final Plumbing: � Building Official < � - Rough Gas: This permit shall be deemed abandoned and invalid unless the work autlionz@d by 1his permit is commenced within six months a,,ertissuance. All work authorized by this permit shall conform to the approved application and the;approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zonin'g�by laws.and codes. This permit shall be displayed in a location clearly visible from access street o road and shallbe rna�ntamed open for public inspection for the entire duration of the Electrical work until the completion of the same. ` AlService: The Certificate of Occupancy will not be issued until all applicable signatures by�thiq�Buiiain! and Fire Officals are provided on this permit. g Inspections Required for All Construction Work: Rough: Minimum of Five Call Ins p q ..a.:^ . 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: - - 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT { T L {� =- ptr rod, Application number o C� Date Issued................... �� HAM 13M . � 1639, �m Building Inspectors Initia s...• ............................... / Map/Parcel.......l..z?.7............................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION M PROPERTY INFORMATION Address of Project: /53- /7a✓i®mo)� G Cjj7W✓,-Ile_ NUMBER STREET VILLAGE Owner's Name: <V-cvcl'#.Ta!l,Ze. Fra Phone Number Email Address: Cell Phone Number 78/-e2.9/= 9 7 3 S Project cost$ 3 Cl 2 Z — Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Sep A-wa k"a gym- -E Date: TYPE OF WORK ❑ Siding 12fwindows (no header change)# Z ❑ Insulation/Weatherizatiori ❑ Doors (no header change)# Commercial Doors require an inspector's review ❑ Roof(not applying more than 1 layer of shingles) Construction Debris will be going to Grl a s4e-lr?ai1a Pr744 - Z,'k,c o/r I CONTRACTOR'S INFORMATION Contractor's name I�t Gn `�R��;so✓, - S,, e�� e«I ��s(rr�,� c�ou�S Home Improvement Contractors Registration(if applicable)# 17 32-L S (attach copy) Construction Supervisor's License# 01 S 7 07 (attach copy) Email of Contractor Phone number 110/ Z 2.R -1900 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY 15 IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATIONNUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (if yes please attach floor plan with exits marked) Dimensions of each Tent X X 7 X Additional tent dimensions can be attached on a separate piece of paper. Check one:this event is a:for profit non-profit event Check one:Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval *WOOD/COAL/PELLET STONES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles:front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CAM the Massachusetts State Building Code. I understand the construction inspection procedures;.specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date PLICANT'S SIGNATURE 1f k�— Signature Date o All permit applications are subject to a building official's approval prior to issuance. rVM6Wal Agreement Document and: Payment Terms deirsen dba:Renewal By Andersen of Southern New England . Edward&Janice Pray Legal Name:Southern New England Windows,.LLC .1 55 Monomoy Cir. ��i RI #36079,MA#173245,CT#0634555;Lead Firm#1237 Centerville,MA 02632 WINDOW qE tncEMExr 10 Reservoir Rd I Smithfield,RI 02917 : - H:(781)291-9735 Phone:866-563-2235 1 Fax:401-633-6602 1 sales®renewalsne.com Buyer(s)Name: Edward &Janice Pray Contract Date: 05/23/18 Buyer(s) Street Address: 155 Monomoy Cir., Centerville, MA 62632: Primary Telephone Number::(781)291-9735 Secondary Telephone Number Primary Email: eejpray@comcast.net Secondary Email: Buyer(s)hereby jointly,and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a•: Renewal By Andersen of Southern New England("Contractor'.),'in accordance with the terms and conditions.described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other.document attached to this Agreement Document,the terms.of which are all agreed to by the parties and incorporated herein by reference(collectively, this"Agreement ). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed.all work under this Agreement. Total Job Amount: _ $3,922 By signing this Agreement;you acknowledge that the Balance Due;and the Amount Financed must be made.by personal check;bank check,credit card,or cash., Deposit Received: $11961 Balance Due: $1,961 Estimated Start Estimated Completion: 6-10 WEEKS 6-10 WEEKS: Amount Financed: $3,922 Method of Payment: Financing We schedule installations based on the date of the signed contract and secondarily on the date in which we complete the technical measurements.The installation date that we are providing at this time is only an estimate.We will communicate an official date .,and time at a later date.Rain and extreme weather are the most common causes for delay. Notes: 50% deposit-GREEN. SKY, 50% balance due upon completion-GREEN SKY - Buyer(s)agrees and understands that this Agreement constitutes.the entire understandings between the parties and that.there are no Verbal . understandings changing or modifying any.of the.terms of this Agreement.No alterations to or deviations from this Agreement will:be . valid without.the signed,written consent of both the Buyer(s)and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and2)was orally informed of Buyer's right to cancel this Agreement: . NOTICE TO BUYER:Do not sign this contract if blank:You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER, MAY CANCELTHIS TRANSACTION AT ANYTIME NOT.LATER THAN MIDNIGHT. OF 05/26/2018 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Legal Name:Souther New England Windows,LLC = ' r dbai Renewal B A�dersen of Southern New.England. Buyer(s) C': . � Signature of Sales Person Signature Signature" Chris,Hutson Edward Pray Janice Pray Pfm`t Name of.Sales Person ", Print Name Print Name' ' I - UPDATED: 05/23/18 3 Page-2 / 11 . Office of Consumer Affairs and Business RegUlation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Hoene Improvement Contractor Registration Registration: 173245 Type: Supplement Card SOUTHERN NEW ENGLAND WINDOWS LL Expiration: 9/19/2018 BRIAN DENNISON 26 ALBION RD = LINCOLN, RI 02865 Update Address and return card.Mark reason for change. Address Renewal Employment - Lost Card :-,-.:--Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: Office of Consumer Affairs and]Business Regulation Registration: 173245 Type: 10 Park Plaza-Suite 5170 Expiration: 9/19/2018 Supplement Card Boston,MA 02116 >OLITHERN NEW ENGLAND WINDOWS LLC. iENEWAL BY ANDERSON MIAN DENNISON ' 16 ALBION RD ✓/ .INCOLN, RI 02865 Q_"dersecreiary Not valid without signature bJc l-ar4..✓t � +; 4ii e a3G9ily s and viGit{ Ct;vs Z . BRIAN D DENNISON 7 LAMBS POND CIRCLE CHARLTON MA 01507 09'0$12018 C The Commonwealth of Massachusetts Department of Industrial_Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.govldia 11'orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Le 'bl Name (Business/Organization/lndM(lual): E e t Address: .2(o City/State/Zip: h7 Phone#: !%k1 Are you an employer?Check the appropriate box: Type of project(required): 1,KI am a employer with dZ0 temployees(full and/or part-time).* T.Q New construction 2.�I am a sole proprietor or partnership and have no employees working for me in any capacity.[No workers'comp-insurance required.] 8• Remodeling 3.❑I am a homeowner doing all work myself No workers'comp.insurance required_)t 9• [:]Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property- I will 10[]Building addition ensure that all contractors either have workers'compensation insurance or are sol 11.[]Electrical repairs or additions proprietors with no employees. 5.[]I am a genera]contractor and I have hired the sub-contractors listed on the attached sheet 12.❑Plumbing repairs or additions These sub-contractors have employees and have worker.'comp.insurance.! 13.❑]RRoof repairs 6. We are a corporation and its officers have exercised their right of exemption,per MGL c. 14•FE Other lit/t 41 // 152,§1(4),and we have no employees.[No workers'comp.insurance required.] rep/G'C 'Any applicant that checks box gl 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 contactors must submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 1 am an employer that isproviding workers'compensation insurance jar my employees. Below is the policy andjob site information Insurance Company Name: `Irf Inn 1) S scM Policy#or Self-ins.Lic.#: W O-A 3I��7 2_q — Z Expiration Date: ILI 1 ' Job Site Address SfS Mq�o/rt ay er• City/State/Zip: i" Attach a copy of the workers'compensation policy declaration page(showing the policy number and expire 'on date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation pthishable 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 copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under th ains and penalties of perjury that the information provided above is true and correct Sip,nafore: e Dale: Phone#: 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.CitylTown Clerk 4.Electrical Inspector. 3.Plumbing Inspector, 6.Other Contact Person: Phone#: ACC o® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 12/29/2017 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 endomement(s). PRODUCER CONTACT CoBiz Insurance, Inc.-CO NAME: PHON 1401 Lawrence St, Ste. 1200 No. .303-98&0446 1'wr.Not-.303-98MB04 Denver CO 80202 E-MAILD , COMaiI cobizinsurance.com INSURE S AFFORDING COVERAGE NAIC/ INSURER A:Acadia Insurance Company 31325 INSURED ESLERco-01 Southern New England Windows, LLC. INSURER B:Firemens Insurance Company of WA,D.C. 21784 dba Renewal by Andersen of Southern New England INSURER c:Homeland Insurance Company of New York 34452 10 Reservior Rd INSURER D Smithfield RI 02917 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1252851165 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 POLICY NUMBER MM/DD MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY CPA3158728 1/12018 1/12019 - EACH OCCURRENCE $1.000,DOD dLAIMS-MADE OCCUR PREMISES occurrence $300,000 MED EXP(Any one person) $10.000 PERSONAL d ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I - GENERAL AGGREGATE $2.000.WD X POLICY PERK ❑ LOC _ i PRODUCTS-COMP/OP AGG $2.000,000 OTHER: $ A AUTOMOBILE LIABILITY N CPA3158728 1/12018 1/12019 COMBINED SINGLE LIMB Ea accident $1,000,00D X ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED I AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS I Per accident $ $ A X UMBRELLA LIAB X OCCUR CPA3158728 1/12016 1112019 EACH OCCURRENCE $10,000,0D0 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,OOD.00D DED I X I RETENTION$ $ B WORKERS COMPENSATION VVCA3158729-20 1112018 1/12019 X PER OTH- AND EMPLOYERS'LIABILITY YIN, STATUTE ER ANY PROPRIETORIPARTNERIEXECUMVE OFFICERWEMBER EXCLUDED? ❑N/A EL EACH ACCIDENT $1.000,000 (Mandatory in NH) If yes desaibe under EL DISEASE-EA EMPLOYEE$1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Pollution liability 7930073340000 1/12018 1/12019 Each Occunence $1.000,D00 Claims-Made Policy Retroactive Date 06202013 Aggregate $1,000,000 Deductible $10,D00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. For Informational Purposes AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application# �' T 7 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address Village V�, Owner C Milk Address Telephone tl ' �✓ Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 0D, ff� Construction Type__ Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl 0 Walkout ❑ Other BUILDING DEPT, Basement Finished Area (sq.ft.) Basement Unfinished Area (sgJ.t)N 19 7Q17 Number of Baths: Full: existing new Half: existing TG,A�N%' n�raeW��__ - �ifWVYV 1 1-3i'3e�S�tibYf'��LE Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes LNo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name %� Telephone Number Z Zj Address License# Home Improvement Contractor# Email IC 4 16 lJ 0404, eD r Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM T IS PROJECT WILL BE TAKEN TO uw SIGNATURE DATE �� r t FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED '4 MAP/PARCEL NO. L' ADDRESS VILLAGE ' f OWNER I S ,x DATE OF INSPECTION: FOUNDATION r FRAME INSULATION 'h c FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. s r -^,-^^ >• Massachusetts (Department of Public Safety / Board of Building RegWatlons and standards License: Mi00988 Construction Suhervl9or � HENRY E CAS-SIDY. 0 SHEO ROW (NEST YARMO'U�H �•rFl! �,. (J� Expiration: Commissioner 11/11/2017 i a 'a Office of Consumer Affairs and Business Regulation 10 Park Plaza -' Suite 5170 Boston, Ma usetts 02116 Home Improveme 0te-hizractor Registration Type: Corporation c ; .� .l' Registration: 153567 Cape Cod Insulation, Inc � � w Expiration: 12/14/2018 18 Reardon Circle So. Yarmouth, MA 02664 a )`V Update Address and return card. Mark reason for change, 'CA 1 i5 20M•05/11 --. -_—..._......__.__._i� ..___.__._..—_.__._.___..._..__._._.._•---...___...__.__..C,�-61d�.:�.aa-P.!��n.cz4:�t..n�^!a��mert..CJ-]w,as#,C.ar�i.... �s�iartr�nooacuea�r✓c oy��aooao%rWel�d Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONtRACTOR Registration valid for Individual use only ye; Corporation before the expiration date. If found return to: 3:;xglst:fetlon_ Expiration Office of Consumer Affairs and Business Regulation 10 Park Plaza•Suite 5170 12/14/2018 Boston,MA 02116 Cape Cod Insut n,. - ! Henry Cassidy 18 Reardon Clrcl ^ia R CC So.Yarmouth,Mt �'' C� t Undersecretary Not valid without signature �1 CAPECOD-27 DEATON CERTIFICATE OF LIABILITY INSURANCE F DATE(MMIDONM) 7129/2016 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. ;r IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)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 Ileu of such endorsement(s). PRODUCER CONTACT g NAME: 434 ere 1`34ray Insurance Agency,Inc. PHONE ac No): 877 816-2156 South Dennis,MA 02860 E-MAD RESS:mall@rogeregray.com INSURERS AFFORDING COVERAGE NAIC 0 INSURER A:Peerless Insurance Company INSURED. INS RERB:Saf9tY Insurance Company 39454 Cape Cod Insulation,Inc. INSURER C:Endurance American Specialty Insurance Company 41718 18 Reardon Circle INSURER D:Atlantic Charter Insurance Company 44326 South Yarmouth,MA 02664 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY.PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLISUOR LTR TYPE OF INSURANCE POLICY NUMBER MM/DDT MM/DDT LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE T OCCUR CBP8263063 04/01/2016 04/01/2017 UAMAQE TO RENTED- PREMISE Ea occurrence $ 100,000 MED EXP(Any one arson) $ 5,000 PER SONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑jECT ❑LOt� PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT E accident $ 1,000,000 B ANY AUTO 6232707COM01 04/01/2016 04/01/2017 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 (`, EXCESS LIAR CLAIMS-MADE EXCl0000636001 04/01/2016 04/01/2017 AGGREGATE $ DED I X I RETENTION$ 10,000 Aggregate $ 2,000,000 WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN STATUTE ER D ANY OFFICER/MEMBER/EXCLUERIEDED ECUTIVE El N/A WCE00431902 06/30/2016 06/3012017 E.L.EACH ACCIDENT $ 1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under 0 SCRIPTIONOFOPERATIONSbelow E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers Compensation Includes Officers or Proprietors. Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. CLEAResult,Eversource and National Grid are listed as Additional Insureds on this policy on a primary,non-contributory basis. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988.2014 ACORD CORPORATION. All rinhtn raaarvarl \ The CoMmonivealth of M(usa chusetts Department of Mdustrial Accidents M 1 Congress Street, Suite 100 Boston, MA 02111.2017 J., www,mass,go v/rlla .� VVw-kers' Compensation Insurance Affidavit; Miders/Contractors/Electricians/PI umbers, ApRlicant Information TO BE FILED WITH THE PERMITTING AUTHORITY, Piease Print Le ibl Name(Business/Organiuition/Individual),_ Address; / /'. City/State/Zi ; " , p � � � � X, Phone #: �' ' •.�'~/"� / ' Are you an employer? eck tbo appropriate box; _ ,• Type of project (required) I.2-t am a employer with ,f✓ employees(full and/or parl.timc),' 2.Q I am a sole proprietor or partnership and have no employees working for me in ?' ❑ New Construction any capacity,(No workers'comp, insurance required.) $ '[] Remodeling , ).❑I am a homeowner doing all work myself. (No workers'comp. insurance required,)1 9• ❑ Demolition 4.(]1 am a homeowner and will be hiring contractors to conduct all work on my property, I will 10 ❑ Building addition ensure that all contractors either have workers'compensation insurance or are solo proprietors with no employees. I I.(_] Electrical repairs or additions 5.Q I am a general contractor and I have hired the sub•oontraetors listed on the attached sheet, 12'❑Plumbing repairs or additions These subcontractors have employees and have workers'Comp, insurance.) l 3, Roof repairs 6.[]We are a corporoll on and its officers have exercised their right of exemption per MGL o. p 152,§1(4),and we have no employees.(No workers'comp,inswenco required.) 14'�Cther Any applicant That chccbox#I must also till out the section below showing thou workers'compensation policy information, 1 Homeowners who submit•*s affidavil indicating they ere doing all work and then hire outside contractors must submit a now affidavit indicatin such.T^ IContractors that check this box must attached an additional sheel showing the name of the subcontractors and state whether or not those entities have employees. If the sub-cont rectors have employees,they must provide their workers'comp,policy number, 1 arrr«n employer that is provlrllrto workers' conrpensatlon lrIsurance for my employees', Below Is the policy and ab site information l Insurance Company Name: Policy#or Self-ins, Lic, # !-� r Expiration i Date: Job Site Address: (� / Attaclra copy of the workers' compensatio y declarnt(on pa' e show City/State/Zip: Failure to secure coverage as required under MGL o 152, §25A is a criminal(Sh violation ng the pun she cy umber-and expiration dale), and/or one•year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a f' p able by a fine up to$I,500.00 day against the violator. A copy`of„this statement may forwarded to the Office of Investigations fine of up to $250.0..0..;— coverage verification, of the DIA for insurance rlo hereby certify urrrler l/re pains arcr(perrnitles ofMjUry that the WOrmatlon provlrlerl bov Is true errs corr ecr St natu e: i' -- Phone 1: 0 D it OjJlelal use only, Do,.�ito(wrtte In this area) to be eorrrpleted by city or town ofJlcla4 T City or Town; Issuin$Authority(Circle One , Permlt/Llcense # 1, Board of Health 2, Building Department 3, Clty/Torvn Clerk 4, Electrical Inspector s, Plumbla I T 6, Other g nspector Contact Person; Phone#; o* Regulatoi T Sep--vices ' nsAss S Richard V.Scali,Director �fo g Building Division Torn Perry,Building Corsur&sioner 200 Main Strect,Hyannis,-Ak 02601 Nr�N •.town.barnstnble.ma-us Of6ce: 508-862-4038 Fax: 508-790-6230 Property Omier Must Complete and Sign This Section f Using ABuilder 1, 7O'n'Ce Pray as Owner of the subJect property herchy authorize� Lo act.on rnybeha?f, 'A m all matters m1ativ+e to work authoiimd by this bui?ag permit application for: (Address of job) "Pool fences and alarms are the responsibIty of the applicant:. Pools are not to be filled or utilized before fence is lmtalled and all final -inspe oI s are rformed and accepted-a o er Signaum of.Applicant Print Name Pine WKr Date O:FORD4S:0��?7EktPERT�t]8SIUNPWI.S � Town of Barnstable *Permit# a �S Expires 6 months from issue date Regulatory Services Fee s s + BARNSPABLE. v� 039. MASS. ,0$ Richard V.Scali,Director O PPiik�ll�� Building Division b�ttRJl ' j f }j Tom Perry,CBO,Building Commissioner D 200 Main Street,Hyannis,MA 02601 �'�� CT 12 www.town.barnstable.ma.us N®F 4, M� Office: 508-862-4038 Fax:: 50817y90 r6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number ��j�-,2 0 7 Property Address 1 S S M on om o Y Cc. YResidential Value of Work$ q,S 7& — Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ice�t ,Y �rn�l-f✓�lie_ lSS Mo�orlo�/ ��. c�lf�r✓� I(e - M f 02=63 z Contractor's Name E 'j?JQJ. r, .A /Jr;5p/( Telephone Number NO I R 8'0 0 Home Improvement Contractor License#(if applicable) . 73. q S' Email: Construction Supervisor's License#(if applicable) t%5 7 O 7 12<orkman's Compensation Insurance . Check one: ❑ I am a sole proprietor ❑ m the Homeowner I have Worker's Compensation Insurance Insurance Company Name Cof,7/,`a59L I 41t� l'em l/I S e-Co, Workman's Comp. Policy# � Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) e-side Replacement Windows/doors/sliders. U-Value •3o (maximum.32)#of windows Z #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. i *Where required: Issuance of this permit does not exempt compliance with other town department regulations,'i.e.Historic,Conservation,etc. ***Note: Property caner must sign Property Owner Letter of Permission. A copy the Home Improvement Contractors License&Construction Supervisors License is require SIGNATURE: C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.0utlook\21`10I DHR\EXPRESS.doc Revised 040215 Reel L eMial A I(itl�'ft kDow men ment and _IFS Terms dbo Rmsmal'1 y Andersen, Wwacrd w0i 1 pka pmw 0.eaW'rrame Souftrn New bmiikiad'Awdlm,CLC 9! 5 Nkmvmuv eirck, j R9 ? 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PiViSt.N1:lfil.t ii12511i 6 `= Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-095707 Construction Supervisor • R t: d ��` � 'sea BRIAN D DENNISON 7 LAMBS POND CIRCLE CHARLTON MA 01507� t � , rF Si4�� Expiration: Commissioner 09108120.18 V�YI.P �t2/1'I'b%'1'GQ/1'?i� ✓�f?i ��d�flzr3lJ(zGYG�' Office of Consumer Affairs and Business Regulation VIE10 Park.Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improveme t contractor Registration Registration: 173245 YIf.. +-t.�.,�,� Tvpe: Supplement Card Expiration: 9/19/2018 SOUTHERN NEW ENGLAND WINDOW, BRIAN DENNISON , 26 ALBION RD r LINCOLN,RI 02865. , Update Address and return card.Mark reason:for change. scaI a 2OM-05nt p Address Renewal []Employment Lost Card. �� oii.u.irrin,rr�L��rOr/r,�i fi rc�i JeFYf —' frice of C,uasumer Affairs&BtWoess.Regubdon Registration valid for individual use only before the IOME IMPROVEMENT CONTRACTOR expiration date.If found return to: Office of Cons rmar Affairs and Business Regulation Registration—173245n Type: 10 Park Plam-Suite,5170 '. Expiration 9/19/269' Supplemerit:Card Boston,lblA02116 SOUTHERN NEW 68WS LLC.. RENEWAL BY ANDERSON - .. __y BRIAN DENNISON 26 ALBION RD LINCOLN,RI:02865 � ^ 'J,In'dersecremry Not valid without signature t The Commonwealth of Massachusetts Department of'Inditstrial Accidents I Conga-ess Street, Suite 100 Bostoti,4 02114-2017 wwfu mass g ov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERAti•11TTING AUTHORITY. Applicant Information Please Print Leaibly Name (Business/Organization/individual): Q(,t, q) 4-- Address: - City/State/Zip: I aeu-t 5 Phone Are you an employer'check the appropriate box: Type of project(required): I)W i am a employer with 20temployees(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. ❑Demolition 3.a 1 am a homeowner doing all work myself.f No w•orkM'comp.insurance required.)' 4.❑l am a homeowner and will be hiring contractors to conduct all work on m I will I p Q Building addition YProPem• ensure that all contractors either have workers'compensation insurance or are sole I I. Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑l am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs Mese sub-eonb-actors have employees and have wor`.lcers'comp.insurance.= / 6.❑we are a corporation and its officers have exercised their right of exemption per biGL c. 14. Other l.Jl O Lt 0-) 152,31(d),and we have no employees.[No workers'comp.insurance required.) t¢1,44 C 4 t— "Any applicant that checks box:I MUSE also till out the section belo.showing their workers'compensation policy information. }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 shoving the name orthe sub-contractors and state whether nr not those entities have employees. If the sub-contractors have employe,they must provide their workers'comp.policy number. I ant are:employer tlrat is providing workers'compensation insurancefor my employees: Below is the policy and job site" information. ,g Insurance Company Name: W tiS%�i�Z� �9t/� • s� :; Policy=or Self-ins.Lic.#: kJo— 3 13&0 8 ( Expiration Date: Job Site Address: 15-5- City/State/Zip:-�'P/rfe,,i/i�l(C ✓�r'1 Attach a copy of the workers' compensa ion policy declaration page(showing the policy number and_etpir/ation date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DLA for insurance coverage verification. N 1 do hereby cer ruder flee p 'is and penalties of perjury that the infor•rnation provided above is true and correct. Si nature: Date: Phone n: Official use only. Do not write in tlris 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#: •�� SOUTNEW-01 UOLLINGER ,4C0lz®- CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYM61291ZO1.6 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.ISSUINGINSURER(S),AUTHORIZED REPRESENTATIVE.OR PRODUCER,AND THE:CERTIFICATE HOLDER: IMPORTANT: If .the certificate holder Is an ADDITIONAL.INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions ofthe 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)6 CONTACT PRODUCER NAME: CoBiz Insurance,Inc.•CO PHONE 30 Fax 303 988=0804 821 17th St AIC N Ft):(.__3)988.0446 No:( ) Denver,CO 80202 aDD�RESS:CoBiiinturance@r.obkinsurance.com INSU AFFORDING COVERAGE NAIC d iNsuRERA:ContinentaI Western Insurance Company 10804 INSURED INSURER B: Southern New England Windows LLC INSURERC: DIBIA Renewal by Andersen 26 Albion Road INSURERO: Lincoln,RI 02865 INSURE RE: 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 REQUIR.EMENT, TERM OR cbNDM.ON 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. tLTR TYPE OF INSURANCE. INSD'WVD - POLICY NUMBER (Mr AM MM DLIMITS A X COMMERCIAL GENERAL LIABILITY I I EACH OCCURRENCE g 1.000r80 CLAIMS;MADE OCCUR i , CPA3136O8O 07/01/2616 0.710112017 I PREMISES Ea ocamence $ 100,000 f-- j i I MED EXP(Arty one pelsdn) S 10,00 PERSONAL&ADV INJURY $ 1,000,000 i GEN'L AGGREGATE LIMIT APPLIES PER: I ( GENERAL AGGREGATE $ 2i880i08 POLICY 0 JEC- LOC PRODUCTS-C.OMWOP AGG S 2,000,000 OTHER: 1 ' EMPLOYEE BENEFI ,$ 2,000,.000 AUTOMOBILE LIABILITY ( ( ( COMBINED ert, E LIMIT i$ 1�()o 000 A_ ANY Atlro . I ?CPA31.36080 10710112016 07/01/2017 BODILY INJURY(Per peMs ) 5... __ ALL OWNED ^SCHEDULED I BODILY INJURY(Per accident) S AUTOS AUTOS ` I—I NON-OWNED I PROPERTY DAMAGE $ HIRED AUTOS AUTOS PerecadeM is X UMBRELIA LIAB X OCCUR I EACH.000URRENCE $ 5i000,00 A EXCESS LIAB Cu,IMsMADE CPA3136080 1071011201610710112017 AGGREGATE $ DIED I X I RETENTION$ 0 I Aggregate I S SA00,00 WORKERS COMPENSATION STATUTE ERA AND EMPLOYERS'LIABILITY YIN I+ A ANY PROPRIETORIPARTNER/EXECUTIVE N/A CA3136081 i 07/011201.6 07/01/2017 EL EACH-ACCIDENT $ 1,000;000 OFFICERIMEMBER EXCLUDED? I 1,000 000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE S If yes,describe under E.L.DISEASE-POLICY LIMB S 1,000,00 DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS I LOCATIONS l VEHICLES(ACORD 101,AddlHonal Remartm Schedule,may be attached if more apace Is mqtdmd) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE'wrrH THE POLICY PROVISIONS. AUTHOR®REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION h n p AA q (•• I//�1I/AI'1 2/ l(\r\J f td!#'•!j�� F!F 5 1_6.ii; �.!ST3� G V I �V V Map `�1 Parcel �� Application # Health Division t Date Issued • Conservation Division Application Fee Planning Dept. `. "" `��c4� �Permit Fee y��•✓v Date Definitive Plan, `Approved by Planning Board Historic - OKH IVa _ Preservation / Hyannis Project Street Address mGnt) , OA-Aeke Village Owner Jan�c_-c - a &u3Q6^,K PY-4 Address 155 Nk M6 (an,af Telephone , 1 r ill 60 Permit Request i4v(('�} sV4 L Sb`� v��5 n(uv, too nb IS v . t ie a-n Square feet: 1 st floor: existing proposed 2nd floor: existing , proposed Total new On Zoning District Flood Plain Groundwater Overlay Project Valuation A t � Construction Type Lot Size Grandfathered: ❑Yes ,1!�No If yes, attach supporting documentation. Dwelling Type: Single Family . Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ^o On Old King's Highway: ❑Yes XNo 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 A/+ Central Air: ❑Yes ❑ No Fireplaces: Existin"_New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new si Pool: ❑ existing ❑ new sizgo'Barn: ❑ existing ❑ new size&'�_ Attached garage: ❑ existing ❑ new siztShed: ❑ existing ❑ new sizeOther: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes o If yes, site plan review# Current Use �l��- Proposed Use +� APPLICANT INFORMATION (BU HOMEOWNER) Name z ail ctnp- /JAS0V)Z7 Tele hone Number mb .53� Address License # CRIo�S Home Improvement Contractor# Email CC r_(/1 CGviy Worker's Compensation # 0\,R610 v5" yc) Al CONS UCTION DEBRIS RESULTING tTHlS PROJECT WILL BETAKEN T VM 5 SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. 4 w t ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT 4 4 ',, ASSOCIATION PLAN NO. w6olarCit . ONMR AUTHORIZATION _ Job#:. OZ(o 1ti5 1— Property Address: l S S 14C)h°n LA/ �o ey�+c ✓i.'Ce MA 0Z o 3 Z I r)9 W I rL.0as Owner of the subject property hereby authorize —SOLAR CORPORATION to act on my.behalf, in all matters relative to work authorized is bui c' g permit application. Signature of O er: Date:, � kM,l�Cnuattt� 1�surrtrnw.t of�►uu srten ""' f�lllY!Ol llUllftsA�KIM{)lltla��-Anil'�tlR�itrti x GeFr�� CS-1088115 JASON PATRY La 821 STEWART DRM Abington NA 02151 'Y :,.,.,.. :. 02109f2019 r OMee of Consumer ARairu&Business Iftalmdou HOME IMPROVEMENT CONTRACTOR 1 E r Registration: 108572 Type EvIratlon: 3=017 Supplement SOLAR CITY CORPORATION JASON PATRY 24 ST MARTIN STREET 816 2UNI 1k4kBOROUGH,MA 01752 Umlereeeretery The Commonwerdth of Massachmseft Deperhnent of Industrial Accide'tts I Congress Street,Salte IOU Boston,MA 02 114 201 7 www.ettamgav1diia Wj_. Compensation Insurance Aff>da�it:Builders/Contractors/Eleetricians/Ptumbers. TO BE f ILED WITH THK PERMITTING AUTHOIXITY. Apeticsntltt;formation Plernse-Print Legibly_ NaMe(Ttininess/DrgunWgnnitndividual): So[arCity Corporation Address: 31355 Ctearview Way City/State/Zip: Safi Mateo,CA 94402 phone##: 1888)785-2489 Are ymrao employer?Check the appropriate box: Type of project(required): La)I am aemplo}vr Cobh 12,500 employees(fall andlor p-Rim'). .7. ❑New construction ion l tan a sole proprietor or partnership and have no cmployocs working for ere in 8. Remodeling nay capacity.M t}orkets'comp.insuratrea requited.) 3.[J1 pins homeownerdoin'all work roysr3C[No workers'camp•insutaaearrqukAj t 9. ❑Demolition ' [] 4.[]l am a homeowner aid will W hiring amtmoWs to conduct all►work on my property. i will Ifl Building addition ensure that e1I crwritactors either have waAws.•'eotnpensation lasurance*rare sole 11.❑laectrieul repairs or additions proprietors with no anpSoyecc. 12.0 Plumbing repairs oi-additions S.Q 1 am a gent s[c mttaclot and I have hired the sub-ccmtraclms Usicd on the attached sheet. These snh-mntrwors haves mptoyecsand have workers'cone.bmirame3 I3.❑Roof repairs 6.1j We are a corporzion and im officers have csecisad their rf&of exemption per MOL c. 14.❑� Otll solar panels 15Z§I(41 and we have no employees,[No twtkw'ronw.iamramtcc required) *Any apptictait dul chocks box 91 most nlso rill out Ore scetiou below showing their worbins'compott0ion policy inronnauon. ¢110meowners Nclto 8rrbttril this attidnvii indicating they are dohtg all work and then hire outside.contractors man submit a jlvw ntrdavht iudkoling su di rCootractors Chart clrcck this bm uwst aitactr A an art[titionat sheet showing the name of Oho sub-contractors and pate whether or net those errtiHes 1mve Maployccs• Iflhe sub-contmetois Have a mployacs,they toast provide their wdrkco'comp.policy mm*". 1 aej as employer[that is providing workers'conrensatlon hsurance for my employees. Sdoty is die policy and jab site iajormatiorr. Insurance Company Name:American Zurich Insurance Company Policy 0 or Self im Lie,4: WC018201S-OQ Expiration Date: 9/1/2016 155 Monomoy Circle Centerville,MA 02632 Job Site Address: City,/State/Zip: Attach s copy of ft workers' compeosatiou polity declaration page(showing the policy number Chinni expiration elate). Fai lure to secure coverage as required under MOL 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 ofa STOP WORK ORDER and a finis of up to$250.00 a day against the violator.A copy of this statement may forwarded to the Office of Investigations of the DIA for insurance covomse verification. Ida hereby cer' auger the pains andpenalties of per my that the Information provider!above Is true cord correct (Jason Pa October 28,2015 Pho e O f)alai user only. Do not write in this urea'to be completed by elty or town o,f flela! : City or Town: Permit/License# Issuing Apthority(circle one): 1.Board of Retains 2.Building Department I CAyf town Clark 4.gleetrical inspector S.Plumbing Inspector 6.Other Contact Petaon: Phone#: i b _ . t Ae R!R DATE IMMfDD1YYYVi CERTIFICATE OF LIABILITY INSURANCE 0811712016 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(les)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 endorsoment s. PRODUCER - CQ TACT - - MARSHRISK&INSURANCE SERVICES ' ------..._._.—:_._.:.... ........: _1t..... . . .......... _....__..T.__ 346 CALFORNIA STRE I,SUITE 13M PHONE Ira CALIFORNIA LICENSE NO.0437163 E�hAJI SAN FRANCISCO,CA 94104 APRREs :.......... .._.....---.._..._....._..—. Allw,Shannon Scott415-743.8334 IN911rtER(S)AFFORDUtO COVEI#ACiE_._.. - ..__:_,- NAICg 998301-STND-GAWUE-15.16 MURER A;Ztaidt American tMUTM ce Colrpany 116535 --'--. ..tNSURERs;.NIA..-..._ :.._.._..:..-.__....-_.:- -•-----..._—. NlA Sdaraty Corporation 3065 Clean4ew Way INSURER C.NIA ... San Maw%CA 94402 INSURER D;American Zlmch 1nsluanoe Company, �40142 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-OD271383HO REVISION NUMBER:4 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE.POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- INSR, ._..._ _.....rAG6LT8U9K .. ..................:....... .................. ...POLICYEFF POLICYEKP- —. _—.:_ .........,...-_ .............. LTR i TYPE OF INSURANCE I POLICY NUMBER fmKODNMI IMMIDDNYYYJ LIMITS . A IX 'COMMERCIAL GENERAL LIABILRY GLOD162016-00 OW112015 09101fd016 EACH OCCURRENCE $ 3,000,000 h-- 't•-7 I _ DAMAGE TO RENTED ._.._.. ._......_ ..:.. iCLAIMS41ADF nOCCUR }S{Eegecxvren9e},•, S-_....,.,.___ 3,0M.0D0 I PRE14!$E X SIR:$250,ODD 1 MED EXP(Arty one.personi.... 5.... .........._._. .. . —5.000 AERSOfdAL 8 ADV INJURY $__: 3,000,CDO GEH'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ 6 000,000 POLICY f JECT .... LDC PPoQRUGTS:COl�tP10PAGG 5-.. .. 6,000.000 OTHER. I $ -- A AUTomosiLEuAwirr 80VIUM7.00 O9l0112015 M@1016 COMBINED SINGLE LIMIT X ANY AU70 ) I BODILY INJURY(Per person) S ALL OWNED SCHEDULED ,_. .. .....- x_. AUTOS X AUTOS 4 BBDILYINJURY(Peraccident) S NWlO'NNED PROPERTY DAMAGE - X HIRED AUTOS X... AUTOS I I j KIM-a_dl... . ............. S.. .._._..�.... ._...._.._ Y COMPiCOLL DED: 3 $5,000 tu�MBRELLALIAB £ACHOCCURRENCE SS Wl8 CSEAGGREGATE S i RETENTIONS S D WORKERS COMPENSATION ; jWC0181014-60(AOSJ OW11/1015 109/01/2016 X PER O H• AMUEMPLOVERVLIABILTfY �9?4i?�T€- •-.-LER. --- -:.....,_...... A ANY PROPRIETORMARTNERIE%Ecunve YfN 'WC0182015A0(MA) 0901/1015 409,,10112016 E.L EACH ACCIDENT S 1,000.000 OFf7CER#i�tEb19EREXCWDED? N1Aj . (Marrdatary to NFr) ; WC DEDUCTIBLE$500,01X) E L.DISEASE-EA EMPLOYEE S 1,000,01N) - i.l#yea,descrfbeund� 1 - ......._ DESCRIPTIONOFOPERATIONSbelaw ! El DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I V£FndfS(ACORD 101,Addlttonal RemarRa Schedule,maybe attaehod If more apace Is requlredl Evldenaedifnsurants;. - CERTIFICATE HOLDER CANCELLATION SdatCdy Corporation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3055 Geaniew Way THE EXPIRATION DATE THEREOF, NOTICE .WILL BE DELIVERED IN Sari Mateo.CA 9992 ACCORDANCE WITH THE POLICY,PROVISIONS. • ' - - AUTHORS REPRESENTATIVE of Marsh Risk&Insurance Services I Charles Marmolejo ©1989-2014 ACORD CORPORATION. All rights reserved. ACORD 2512014101) The ACORD name and logo are registered marks of ACORD Version#52.3-TBD 5O1arQt i October 21, 2015 # RE: CERTIFICATION LETTER Project/Job#0261999 Project Address: Pray.Residence 155 Monomoy Cir Centervil, MA 02632 Design Criteria: , -Applicable Codes= MA Res. Code,8th Edition,ASCE7-05,and 2005 NDS Risk Category = II 4 -Wind Speed = 110 mph, Exposure Category C -Ground Snow Load = 30 psf - MP1&MP2: Roof DL= 7.5 psf, Roof LL/SL= 21 psf(Non-PV Areas);Roof LL/SL= 21 psf(PV Areas) . Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.19069 < 0.4g and Seismic Design Category(SDC) = B< D To Whom It May Concern, A jobsite survey of the existing framing system of the address indicated above was performed.by a site survey team from SolarCity. Structural evaluation was based on site observations and the design criteria listed above. Based on this evaluation,I certify that the existing structure directly supporting the PV system is adequate to withstand all loading i indicated in the design criteria above based on the requirements of the applicable existing building and/or new building provisions adopted/referenced above. This review relies on the roof's structural system having been originally designed and constructed in accordance with the building code requirements and having been maintained to be in good condition. • is . .. � ' Additionally,I certify that the PV module assembly including all standoffs supporting it have been reviewed to be in accordance with the manufacturer's specifications and to meet and/or exceed all requirements set forth by the ASCE 7 standards for loading. The PV assembly hardware specifications are contained in the plans submitted for approval.. Additionally a summary of the structural review is provided in the results summary tables on the following page. F. Digitally signed by Humphrey Kariuki s, Sincerely, DN:dc=local,dc=SolarCity, K. Humphrey Kariuki, P.E. ou=SolarCity Users;ou=Beltsville, sT ucTu� ■ cn=Humphrey Kariuki,, No.5A33 Professional.Engineer 443.451.3515 _ .� . a email=hkariuki@solarcity.com RFGIIST� r� ' email: hkariuki@solarcity.com Date:2015:T0:21 07:54:07-04'00' ss� 3055 Clearview Way .San Mateo,CA 94402 T(650)638-1028 (888)SOL-CITY•F(650)638-1uzy soiarc�ry.corrt 'AZ ROC 243771,,-CA CSLB 886104.CO-EC 8D41,CT H1G.0032778;be HIC'71101486.DC H1S71101488.HI cr 29770.MA HIC 16857Z MD MHIC 12894a,NJ 13VH0616069q, _ OR CCB 186498;PA 077343,.TX TDLR 27006.WA GbL:.SOLAfiC•91907.0 2013 SolarCity,All rights reserved. 'I , Version#52.3-TBD solarCity HARDWARE DESIGN AND STRUCTURAL ANALYSIS RESULTS SUMMARY TABLES Landscape Hardware-Landscape Modules'Standoff Specifications Hardware X-X Spacing X-X Cantilever Y-Y Spacing Y-Y Cantilever Configuration Uplift DCR MPi&MP2( 6.4 24". 39" NA 64 62.3% Portrait Hardware-Portrait Modules'Standoff Specifications Hardware X-X Spacing X-X Cantilever Y-Y Spacing Y-Y Cantilever Configuration Uplift DCR MPi&MP2 48" 20" 65" NA Staggered 77.7% Structure Mounting Plane Framing Qualification Results Type Spacing Pitch Member Evaluation Results MPi&MP2 Stick Frame @ 16 in.O.C. 250 Member Analysis OK Refer to the submitted drawings for details of information collected during a site survey on. All member analysis and/or evaluation is based on framing information gathered on site.The existing gravity and lateral load carrying members were evaluated in accordance with the IBC and the IEBC. 3055 Clearview Way San Mateo,CA 94402 T(650)638-1028 (888)SOL-CITY F(650)638-1029 solarcity.com AL ROC 213771,,CA CSLf3 686104.CC EC 8041,Of HIC IMi32778.OC HIC 71101486,DO HIS?1101488,HI CT,29710,t iA IAIC 1885t2.MD MHIC 126046.NJ 13VH061WI300. OR COB 180498.PA 077343.Tx TOLR 27006,WA GCL:SOLARG'91907.0 2013 SOIG(Cdy.All rlyhts reserved. f . Y j STRUCTURE ANALYSIS_LOADING SUMMARY AND MEMBER CHECK- MP1 & MP2 Member,Properties Summary MPl &MP2 Horizontal Member Spans Rafter Pro erties Overhang 0.66 ft Actual W 1.50 Roof System Properties San 1 << VV,13.65ft ..¢ 'Actual DN,, 0 5. 0" Number of Spans(w/o Overhang) 1 San 2 Nominal Yes Roofing Material Comp Roof San 3 „ , = A 8.25 in.A2 Re-Roof No Span 4 S. 7.56 in.^3 Plywood Sheathing Yes San 5 I 20.801n.A4 Board Sheathing None Total Rake Span 15.79 ft TL Defl'n Limit 120 Vaulted Ceiling No PV 1 Start`' 7.50:ft ? ,Wood Species SPF Ceiling Finish 1/2"Gypsum Board PV 1 End 13.50 ft Wood Grade #2 Rafter Slope 25°, y PV 2 Start 1r%° Fy :t �, 'psi . �i b Rafter Spacing 16"O.C. PV 2 End F„ 135 psi Top Lat Bracing Full_. PV 3 Start^ f 1400000 si Sot Lat Bracing At Supports PV 3 End Em;n 510000 psi Member Loading Summary Roof Pitch 6 12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 7.5psf: x 1.10 8.3 psf 8.3 psf PV Dead Load PV-DL` '3.0 psf' .;` y'i'` x 1.10 R ` ' _" 3.3 psf Roof Live Load RLL 20.0 psf x 0.93 18.5 psf Live/Snow toad - LL SLItZ 30.0• sf lam,.: z x 0.7 J�x;0.7 i `,, _21,0 psf;, ,l 2 1.0 psf Total Load(Governing LC TL 29.3 psf 32.6 nsf Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf=0.7(CJ(Ct)(Is)py; Ce=0.9,Ct=1.1,IS=1.0 Member Design Summary(per NDS Governing Load Comb CD CL + CL - CF Cr D+ S 1.15 1.00 1 0.49 1 1.3 1.15 Member Anal sis Results Summary Governing Analysis Max Demand @ Location" Capacity DCR Result Bending + Stress 1516 psi 7.7 ft 1504 psi 1.01 Pass [CALCULATION OF'DESIGN WIND LOADS, MP1 WMP2 Mounting Plane Information Roofing Material Comp Roof PV System Typey_, �S61 rCity SleekMount'" Spanning Vents No _ .�.._ .. ..a.—- -,'-. _. Standoff Attachment Hardware =� Comp Mount Type C Roof Slope 250 Rafter,Spacing_ 16' 0 C-..�..�.-,,._.,..dam, _ .._......_..m....��... ...�.,..�__ Framing Type Direction Y-Y Rafters Purlin,Spacing_ 1, _X-X Purlins Only_, —. .._ �NA..__M Tile Reveal Tile Roofs Only NA Tile Att h ent Sy is Tel Roofs Only' ---- _- Standin Seam/Trap Seam/Trap Spacing SM Seam Only NA Wind Design Criteria Wind Design Code _ ASCE 7-05 WindWind D iesies gn,Method __x�,.. ,� _ _:,; �. ;_' _ 'ga Partially/Fully Basic Wind Speed V 110 mph Fig. 6-1 _ A_... _Section 6.5.t.3,_, Roof Style Gable Roof �� Fig.6-11B/C/D-10/B Mean Roof Height h �15 ft Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.85 Table 6-3 , q Topog�+ rap actor^_ .........„;�,_.... . _Krt,7 . . ..__._.�._ � _�.__ � _ 1.00 __.. _ .� - --- �. _Section 6.5.7 Wind Directionality Factor Kd - _ 0.85 _ _Table 6-4 ..___ .. �. _. 7 - _ _v� Im ortance Factor r „Y;W- 1.1 I -- ._. k., 1.0 x..- r, r Table 6-1 Velocity Pressure qh qh = 0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15 22.4 psf Wind Pressure Ext. Pressure Coefficient U GC u -0.88 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient' Down 4., r` GC 0.45 Fig.6-118/C/D-14A/B Design Wind Pressure p p qh(GC) Equation 6-22 Wind Pressure U „ -19.6 psf Wind Pressure Down 10.1 sf ALLOWABLE STANDOFF SPACINGSw_____ X-Direction Y-Direction Max Allowable Standoff.Spacing . Landscape j 64" 39" Max Allowable,Cantilever, _r „_w Landscape ,A�— _. _24" NAv Standoff Configuration Landscape Staggered Max Standoff Tributary.Area �. `_.. Trib_` _ �� _: 17 sf PV Assembly Dead Load W-PV 3.0 psf PV Dead Load at Standoff P-PV 52 Ibs Net Wind Uplift_at Standoff Tactual - +r—_ ' 311"Ibs Uplift Capacity of Standoff —, T-allow 500 Ibs Standoff'Dema-- acici DCR` 4 'M y 62.3% X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 65" Max Allowable.Cantilever_— Portrait 20 - _ _ NA_ __ —. .. - Standoff Configuration Portrait Staggered Max.Standoff_Tributa_ry_Area _ Trib_ _�_ �_ 22 sf�__ PV Assembly Dead Load W-PV 3.0 psf — PV Dead Load at Standoff P-PV 65 Ibs Net Wind Uplift at Standoff__ -- _T_actual Uplift Capacity of Standoff T-allow 500 Ibs _ _ Standoff Demand Ca aci ��"�� ':�, DCR _°_ a � � ,�',,, f - _ S o I a r C ty. Date: November 4, 2015 - TO: Barnstable Building Department From: SolarCity Corporation Cape Cod Warehouse 1 , Phone: (508)640-5397 s� FAX: (866)-552-9847 RE: 155 Monomoy Circle a �� Centerville, MA 02632` rr' BP: Not Issued Yet Application Submitted: October 28,2015 ' Old Size: 20 Panels @ 5.2 kW Y Revised Size: 21 Panels,@5.46-dated 1 012 612 01 5—Sent in 11103 Reverted to Original: 20 Panels @ 5.2 kW—dated 1110312015 Our Job No.: JB-0261999 Note: r - Attached are the second set of revised plans for our proposed solar installation located at 1.55 Monomoy Circle in Centerville. The building&electrical permits'applications were sent to your office on October. 28, 2015 and one revision on November 3, 2015. Since filing the applications for the Building/Electrical permits and the revision sent on November 3, 2015, we have added removed one (1) panel from MP1 and adjusted the lay-outs on MP1 and MP2. We would greatly appreciate the revised plans being added as a modification to our existing application for permits. System Size: 20 modules @ 5.2 kw-DC. , Please contact me directly with-any questions/concerns. Cheryl Gruenstern Permit Coordinator SolarCity Corporation Cape Cod Warehouse (508) 640.5397 cgruenstern@solarcity.com SOLARCITY.COM: " A7 ROC 2437711ROC 2454530MOC277498,CA LICM38104,-CO E0804.1,CT HIC M6327MELC 0125305,GC g711 014 8 6/Ec-,0902585,HI CT-25770,MA HIC 168572/MA E0136MR,MO MHIC923948;-1- IJJ NJHt(3413VH06160600l34EB01732700,UR CBI80498/C562/PB1102,PA HICPA077343,TX TECL27005s U`JA SOLARn—'919011SOLARC'905P:0 2014 SOLARGITY CORPORATION.ALL FIGHTS RE6EFIVE1?._ - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION I Map �� Parcel � Application # L Health Division Date Issued `7 I Conservation Division Application Fee Planning Dept. Permit Fee �y Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address ��"� �4.A1a_,V e/ �,o0<4& Village �9&2 144X e Owner ,�l�it9/L C_ �O �y Address S� TelephoneTg/ c2:F/TZ. Permit Request gj f Z/OK5 / C��/v�rr✓�'� ��G ,::�/!!wze- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation o?UD, OConstruction Type' Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. .Dwelling Type: Single Family 8/ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes JA-Ko On Old King's Highway: 0 Yes_ to Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Areas ft. Basement Unfinished Areas ft`�I ' Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new j =w Total Room Count (not including baths): existing new First Floor Room Count y U Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached,garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Cep i i.�,ll7; 4 tZ Telephone Number �_o 7'73 Address - S'�� ti� ,JZ&,ag)-0,/, License # /®d ,p Home Improvement Contractor# Worker's Compensation #Wt'v4/a U S.�.66/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ��f�h2 a t t ' FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE ( OWNER 4 f DATE OF INSPECTION: r FOUNDATION FRAME INSULATION ' FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING s DATE CLOSED OUT ASSOCIATION PLAN NO. I - 10 Park Plaza - Suite 5.170 Boston, Massachusetts 02116 Home Improvement Contractor Registration - Re4 istration: 153567 Type: Private Corporation s r Expiration: 12/15/2012 Tr# 206433 CAPE COD INSULATION, INC p HENRY CASSIDY 455 YARMOUTH RD. HYANNIS, MA 02601 •R `x.`___^ Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card DPS-CA1 0 50M-04/04-G101216 Office o mer Affairs us ne s ReguI lion License or registration valid for in divida!use en-!y HOM 6Vg%f before the expiration date. if found return to: Registration: 153567 Type: Office of Consumer Affairs and Business Regulation Expiration 12/15/2012 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 OD INSULATI_ INC_ HENRY CASSIDY ;�i r 455 Y A R M 0 U T H RD — HYANNIS, MA 0260h i Undersecretary t alid ith t A tune i\19s.;tchusetts-department of Public Safeth Board of Building Regulations anfl Stand.11- �. construction Supervisor License License: CS 100988 HENRY CASSIDY , s 8 SHED ROW_ WEST"`�ARMOIJTH MA'02673 �. Expiration: 11/11/2013 ('u a un issi"'tr i T r#: 7620 The Common rCalth of Massachusetts Department ol'litdustrial Accidents Office of Investigations W 600 1 u—i -hington Street Bost( MA 02111 � = WWll'.1m.,1 '3.gov/dia Worker's coeriperisation Insurance Affira�.:it: Builders/Contractors/Electricians/Pluiubers Applicant Information Please Print Legibly Nance (B LIS I i-iess/Organization/Iiidividual) 0ei 1 - Address: t'ily6rcltc%Lip: Y1 ( e A L21 6- _ Phone#: SC- 797 / q Are you an employer? Cheek the appropriate box: Type of project(required): 1. l ant a employer with (J_ ,❑ I am a�enu<d contractor and I have' 6. New construction employees(full and/or part-time).* hired the stib-contractors listed on 7• Remodeling 2. the attach d;Beet.$ ❑ I atn a sole proprietor or partnership These sub Cntivactors have 8. ❑ Dernolition and have no employees working for employees;tiid have workers' comp. 9. Building addition me i❑ any capacity. [No workers' insurance.-I,. 10. Electrical re pairs or additions comp insurance required.] 5. We are a co!poration and its . 11. Plumbing r ep arrs or additions officersl rat( exercised their right of 0 t. ❑ l ant a homeowner doing all work exemption p:t MGL c. 152§ (4),and 12. Roof repairs r myself. [No workers' comp. we have no i:litpioyees. [No workers' 13. Other insurance required] t comp. insui nice required.] "Airy applicant that checks box#1 must also fill out the section below showiim�oicir workers'compensation policy information. t 1tumCowne,s who submit this affidavit indicating they are doing all work" I dicn hire outside contractors must submit a new affidavit indicating such. tCouuactot:s that check this box must attach an additional sheet showing the mince of the sub-contractors and state whether or not those entities have employees.if he sub-couu'actors have employees, they must provide their workers'comp.policy number, l tun an employer that is providing workers'compensation bisa!ance for my employees.Below is the policy arrd job site inf urination. Insurance Company Name: l'olicy#or.Self-ins. Lic. #: 00Ar .5C/ !. Expiration Date: . hq Job Site Address: _ City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy[umber and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 c.ut lead to the imposition of criminal penalties of a fine up to$1,500-00aud/or Otte-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.Be advised. that a copy of this statement ma e forwarded to the Office of Investi�,:uions of the DIA for insurance coverage verification. I do here c i under the ins and penalties of'perjury thatthe information provided a ove is true and Correct. tiianarurc: Date:. Phone#: Official use only. Du not write in this area,to be completed bv'cit),or town official City or Town: Permit/L,icense# Issuing Authority (circle one): 1. Board of Health 2.Building Department 3.City/Tomi Clerk 4.Electrical Inspector S.Plumbing Inspector b.other. ., C'untact Person: Phone#: Jul. 2. 2012 3: 17PM No, 1605 P, 1 Client#:4597 CCINSUL ACORA,. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY)07/02/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN TKE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUC1=R,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to(he certificate holder in lieu of such endorsemen((s), PRODUCER NCONTACT AME: M8Y aret Youn Rogers&Gray Ins.-So.Dennis ac° 508-760-4602 F B77-816-2158 434 Route 134 E-MAIL Arc Na South Dennis,MA 02660-1001 508 398-7980 - INBURER(9)AFFORDING COVERAGE NAICB UdsuRI-,RA:Peerless Insurance 18333 -- INSURED INSURERe:Evanston Insurance Company Cape Cod Insulation[no Atlantic Charter Insurance 455 Yari-nouth Road INSURERC: Hyannis,MA 02601 INSURERD:Commerce Insurance Company 34754 INSURER E: INWRERF: - COVERAGES CERTIFICATE NUMBER, REVISION NUMBER. THIS IS TO CERTIFY THAT THE POLICIES OF IN$UfRANCE LISTED 13CLOW MAVE 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 RY 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. - TYPE OF INSURANCE ADOL SWVD UER POLICY NUMBER POLIDlYYYY MMIFO—OCDY LIMITS A GENERAL LIABILITY GBP8283083 4101/2012 04/01/201 EACH OCCURRENCE $1 000000 X COMMERCIAL GENERAL LIABILITY PREM ES a cNccTurrDenoe $1 DO DDD CLAIMS-MADE I OCCUR, MEO EXP(Any one peceon) $5 000 PERSONAL&ADV INJURY $1000000 OENERALA04REGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER; PRODUCTS-COMPIOPAGG s2000000 POLICY PRO- LOC $ h AUTOMOBILBLIAe1LITY 12MMBCKVMK 4/0112012 p4J0112p1 FOMazBIINEDSINGLELIMIT 1 OOOOOO ANY AUTO BODILY INJURY(Per person) $ ALL OWNED FV-1 SCHEDULED _ AUTOS AUTOS BODILY INJURY(Pat socident) S X NON- HIRED AUTOS X AUTOgWNED PROPERTY $ $ B X UMBRELLA LIAR OCCUR XONJ453512 4/01/2012 04/01/201 EACH OCCURRENCE $1 00Q 000 EXc1=S6 uqs CLAIMS-MADE - AGGREGATE $1 00O 000 OED I X1 RETENTION 00000 -C WORKERS COMPIENSATION . oni. $ AND EMPLOYFi3 LIABILITY WCA00525902 0613012012 06/30/201 X ANY PROP{iIP'p Pq(� NE XECUTIVE Y N E,L,EACH ACCIQENT 1 OOO OOO OFPICER/MEMBE13 E1(C�U0W � N J A (Mendd in NH) Iryee,daseADe under E.L.DISEASE-EAEMPLOYEG $1000000 eac DESCRIPTION OF OPERATIONS below Y E.L.DISEASE•POLICY LIMIT 1$1I 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(At(aah ACORD IN,Addillonal Remarks Schedule,I(more apace la required) "Workers Comp Information Y� Included Officers or Proprietors Certificate Holder is Included as an additional insured undor General Liability when required by written contract or agreement. CERTIFICATE HOLDER CANCELLATION Cape Cod Insulation,lnc SHOULD ANY of THE ABOVE DESCRIBED POLICIES I3E CANCELLED BEFORE THE EXPIRATION DATE THEREOF, No71cR WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ®198 -2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo aro registered marks of ACORD #$838491M83848 MEY OWNER AUTHORIZATION FORM , (Owner's Nam " owner of the property located at h, (Property ddress) /1 Q'Z{3Z (Property Address) C>� CC�GQ Vls �� l�iJOY, hereby authorize � (/ , (Subcontr ct r) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. Ow r ign 1 , { Date CEC EOVIE D JUN 27 9 2012 r CAPE COD LE INSULATION Zia 15 Rl' 2. 2 F-M OLASi S-A-M 5PYA1{OAAI SUSy1N04O 1ATTS U11T111 INSULATION CLIUNUf 1-800-696-6611IVI 'Town of Barnstable �5113P4- Regulatory Services Building Division 200 Main St Hyannis, NIA 02601 Date: 1741,3 Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this.in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exe.eeds Federal & State Requirements. Property Owner Property Address Village . /OrP�� Ajl//,GMSon ISS AlUrtuA4oy C�c � vL IL& Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings (X) ( ) ( 3(5) Slopes ( • ) ( ) ( ) ( ) ( . ) Floors 0 Walls ( ) ( ) ( ) ( ) ( ) Sincerely _ le y E C sidy J , President Cape Cod nsulation, Inc. t Assessor's map and lot num Q ^� C/ �� SEPTIC SYSTEM MUST BE GO l Z INSTALLED IN COMPLIANCE Sewage •Permit number ................ .................'........... ........... WITH ARTICLE II STATE ' SANITARY CODE AND TOWN TOWN.' OF BAR NSTA9L`F . y�i TH E T��" ff ;t i DARNSTABU, tLl R .RahLING INSPECTOR p t6}9• ry P-APPLICATION FOR,.-,PERMIT TO .. Y.. ••• .... .. .. .............................................................. ............................. .........:................................ TYPE OF CONSTRUCTION ... .. .dc .. ......l...�`........19 . TO THE INSPECTOR OF BUILDINGS: The undersigned reby plies for a permit accord' g to the following informati Location�, ....... .......... .... ... ......... s ProposedUse .. ..... ... . .. .. .. ............................................................................................................... Zoning District ..................................... Fire District ......... ........... .. .:........ .......................... Nameof Owner .. ... . .....I................... ...........................Address ........... ........... .4.......................... / r Nameof Builder ..........................................r.........................Address .................................................................................... Nameof Architect ..................................................................Address ............... .................,.......... ....................................... Numberof Rooms .............................................Foundation ....... .... ................... ...................................... Exterior .......:. .... .... . ......... ...............................................Roofing ...... . .... . ... .... ...... ............................................ .....Interior .......... Floors �:............................. rr. .......... ........... .. ............................ "OWN Im uonr _ ...Plumbin .........ice'".... Fireplace .. ~ ' :. ... ...... ...... ..........................Approximate Cost ........ • ....... ...... ......� Definitive Plan Approved by Planning Board ________________________________19________. Area ............. ....'....... Diagram of Lot and Building with Dimensions Fee �"'� SUBJECT TO APPROVAL OF BOARD OF HEALTH r g)- -2 a � r hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regar g the above Y construction. Name ... ................. Small, Alan E. 18656 - one story, +.. NO................. Permit for .................................... ' sin a family dwelling ...rg,.... ..Circle...............-... ..... M C'ocat ..................onom..y.........iC ........cle r f' Centerville ............................................................................... Owner ......Alan E. Small .................................. ....... i = Type of Construction ............frame.............................. Plot Lot :4675 ..................... ' C r I Permit Granted September 13 76 ...............19 t Date of Inspection � �A...19 Date Completed ....��./� ...r�.. .��........19 _ PERMIT REFUSED ..`......................................... 19 ` ............................................................................... ..:............ ................................................................. 4 ............................................................................ Approved ................................................. 19 ............................................................................... � '�, a r' � +.• '� _ r -7` 1 1S1L-�rz Goo .Wz . PL07 PLAIN L-OGA-T k Of 4 CSIA 'EPY�t»�. , tN� y SCAtE � =QQ� DATE ARD .* A BAXiEll m P � 2EFET-ZENcE No.24048 "p sut PL, Qom. z 72- / Gx9;e7"/,-c Y 7;,M?' 7*h� /C-M IP4""AM/ �4y v l N C C 71VI&V P.lY 7Z7 M5� R t-G I ST F-�ZF-') LA%D SURVEYOR 5 Z'0411 /G L 4*S CJF "� �'Gx�1r C1,�` O ST I Z V O-L E M A S S ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE 1. THIS SYSTEM IS GRID-INTERTIED VIA A AC ALTERNATING CURRENT UL—LISTED POWER-CONDITIONING INVERTER. BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. 1 CONC 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 - i - GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5.: Y I CURRENT 6. CIRCUITS OVER 250V TO GROUND SHALL Imp CURRENT AT MAX POWER COMPLY WITH. ART. 250.97, 250.92(B). Isc SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DO NOT ENTER kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN ` (N) NEW RELIEF AT'ALL ENTRY INTO BOXES AS REQUIRED BY ~ NEUT NEUTRAL UL LISTING. NTS NOT TO SCALE 9. MODULE FRAMES SHALL BE GROUNDED AT THE _ OC ON CENTER UL-LISTED LOCATION PROVIDED BY THE ' PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING POI POINT OF INTERCONNECTION HARDWARE. PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. h S STAINLESS STEEL STC STANDARD TESTING CONDITIONS r F TYP TYPICAL 4 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 ' Cutsheets Attached 1. ALL WORK TO BE DONE TO THE 8TH EDITION GEN #168572 ' OF THE MA STATE BUILDING CODE. a 9 ELEC 1136 MR _ 2. -ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2014 NATIONAL ELECTRIC CODE INCLUDING MASSACHUSETTS AMENDMENTS. MODULE GROUNDING METHOD: ZEP SOLAR REV BY DATE COMMENTS AHJ: Barnstable REV NAME DATE COMMENTS - r * a s UTILITY: NSTAR Electric (Boston Edison) ' CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: PREMISE OWNER:. ` DESCRIPTION: DESIGN: B-0261999 00 PRAY, JANICE PRAY RESIDENCE CONTAINED SHALL NOT E USED FOR THE RUeben $OSa .,,SOIa�CIt • BENEFlT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: �.,� NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 155 .MONOMOY CIR 5.2 KW PV ARRAY �. PART IZ OTHERS OUTSIDE THE CONNECTION T'SWITH MODULES: CENTERVIL TMK OWNER:ORGANIZATION, EXCEPT IN CONNECTION WITH , MA 02632 � 24 St. Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (20) TRIN_A SOLAR # TSM-260PDO5.18 7��y� *. SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN p AIRN• r PAGE NAME: SHEET: REV: DATE Marlborough,MA 01752 PERMISSION OF SOLARCTY INC INVERTER. 7812919735 . . PV C 11 3 2015 T. (650)638-1028 F:,650)636-1029 SOLAREDGE SE5000A-USOOOSNR2 COVER SHEET (8B8)—Sot—CITY 765-2489 www.sdarcitY-- PITCH: 25 ARRAY PITCH:25 MP1 AZIMUTH:252 ARRAY AZIMUTH: 252 MATERIAL: Comp Shingle STORY: 1 Story F. PITCH: 25 ARRAY PITCH:25 �.� MP2 AZIMUTH:72 ARRAY AZIMUTH: 72 02 K. m MATERIAL: Comp Shingle STORY: 1 Story O IUKI v ST UCTURAL NO.51933 p F fST£ ront Of House FG �� SSIONAL E STAMPED & SIGNED FOR STRUCTURAL ONLY Digitally signed by p 1 � HKariuki O , Date: 2015.11 .03 B 21 :48:45 -05'00' ,- LEGEND Inv ; 0 (E) UTILITY METER &WARNING LABEL Zd W h� INVERTER W/ INTEGRATED DC DISCO & WARNING LABELS © DC DISCONNECT & WARNING LABELS AC DISCONNECT & WARNING LABELS 0 DC 'JUNC.TION/COMBINER BOX & LABELS 9 9QD DISTRIBUTION PANEL & LABELS LC LOAD CENTER & WARNING LABELS MP1 O DEDICATED PV SYSTEM METER O STANDOFF LOCATIONS CONDUIT RUN ON EXTERIOR -- CONDUIT RUN ON INTERIOR GATE/FENCE A O HEAT PRODUCING VENTS ARE RED 1t INTERIOR EQUIPMENT IS DASHED L_"J SITE PLAN Scale: 1 8 = 1 01, 8, 16, 1 Ed J B—0 2 619 9 9 00 PREMISE OWNER: DESCRIPTION: DESXIl: CONFIDENTIAL- THE INFORMATION HEREIN 108 NUMBER: Rueben SOSO SolarCity. CONTAINED SHALL NOT BE USED FOR THE PRAY, JANICE PRAY RESIDENCE BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: I p NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 155 MONOMOY CIR 5.2 KW PV. ARRAY ►Il PART TO OTHERS OUTSIDE THE RECIPIENTS MODULE CENTERVIL 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 SHEET: REV DATE _ Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PAGE NAME E (850)638-1028 F: (650)638-1029 PERMISSION OF SOLMCITY INC. SOLAREDGE sES000A-us000sNR2 7812919735 SITE PLAN PV 2 C 11/3/2015 (888)-SOL-CITY(765-2489) www.solarcitycom S1 S1 13'-8" - {E) LBW 13—8' (E)� LBW SIDE VIEW OF MP1 NITS -- A SIDE VIEW OF MP2 NITS 6 - MP1, X-SPACING X-CANTILEVER Y-SPACING Y=CANTILEVER NOTES MP2 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES LANDSCAPE. 64" 24", STAGGERED LANDSCAPE 64" 24" STAGGERED PORTRAIT 48" 20„ 48„ 20„ . - PORTRAIT . _ ROOF AZI 252 PITCH 25 „ ROOF AZI 72 PITCH 25 RAFTER 2x6 @ 16 OC STORIES: 1 RAFTER 2X6 @ 16 OC STORIES: 1 - ARRAY�AZI 252 PITCH:: 25 : •, ARRAY AZI 72 PITCH 25 C.J. 2x6 @16" OC Comp Shingle C.I. 2x6 @16" OC Comp Shingle PV. MODULE 5/16 BOLT WITH LOCK INSTALLATION ORDER _ & FENDER WASHERS LOCATE RAFTER, MARK HOLE 1' - ZEP LEVELING FOOT (1) LOCATION, AND DRILL.PILOT RIu1cI HOLE. 0 . gn ZEP ARRAY SKIRT (6) . . sT ucTURA1 SEAL PILOT HOLE WITH �No: »��o (4) (2) POLYURETHANE SEALANT. GIST ZEP COMP MOUNT C _ sS�orvA.. ZEP FLASHING C (3) (3) . INSERT FLASHING.. STAMPED & SIGNED (E) COMP. SHINGLE (1) FOR STRUCTURAL ONLY (4) PLACE MOUNT. (E) ROOF DECKING U (2) U LAG BOLT WITH ' 5/16" DIA STAINLESS (5) G(5)FF'R—�A SEALING WASHER. STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH WITH SEALING WASHER C(ff BOLT & WASHERS. (2-1/2" EMBED, MIN) (E) RAFTER 1 STANDOFF � - CONFIDENTIAL- THE INFORMATION HERON JOB NUMBER: PREMISE OWNER: DESCRIPTION: DESIGN: JB-0261999 00 ��► CONTAINED SHALL NOT BE USED FOR THE PRAY, JANICE PRAY RESIDENCE Rueben Soso ,,SO�a�C�t BENEFIT OF ANYONE EXCEPT SOLARCITY.INC., MDUNTING SYSTEM . NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 155 MONOMOY CIR 5.2 KW PV ARRAY y. PART TO OTHERS OUTSIDE THE RECIPIENT'S , ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES: CENTERVIL, MA 02632 THE SALE AND USE OF THE RESPECTIVE (20) TRINA SOLAR # TSM-260PDO5.18 24 St.,Martin Drive, Building Z Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE.NAME SHEET: REV. DATE Marlborough,MA 01752 PERMISSION OF SOLARGTY INC. INVERTER: T: (650)038-1028 F: (650)638-1029 SOLAREDGE SE5000A—USOOOSNR2 7812919735 I STRUCTURAL VIEWS PV 3 C 11/3/2015 (NB)-SOL-CITY(765-2489). www.solorcity.com " UPLIFT.CALCULATIONS _ - SEE SEPARATE PACKET FOR STRUCTURAL CALCULATIONS. . r a , CONFIDENTIAL THE INFORMATION HEREIN JOB NUMBER: J B-0 2 619 9 9 00 PREMISE OWNER: DESMPTION: DESIGN: \\`s CONTAINED SHALL NOT BE USED FOR THE PRAY, JANICE PRAY RESIDENCE Rueben Sosa _ ,,So�a�City BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: •� NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Com Mount T e C . 155 MONOMOY CIR 5.2 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS Moo Comp YP CENTERVIL 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 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME SHEET: REY. DATE Marlborough,MA 01752 PERMISSION OF SOLARCITY VY INC. NOMREDGE T: (650)638-1028 F: (650)638-1029 sES000A—us000sNR2 7812919735 UPLIFT CALCULATIONS PV 4 c 11/3/2015 (BB8)-SOL-CITY(765-2489) www.solamity.com GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE _ Panel Number:NoLobel Inv 1: DC Ungrounded . GEN 168572 - BOND (N) #8 GEC TO TWO (N) GROUND 9 INV 1 —(1)SOLAREDGE �!$E5000A—USOOOSNR .LABEL:" A —(20)TRINA SOLAR # TSM-260PD05.18 # � - RODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:43944382 Inverter; 5000% 240V, 97.574 w/Unifed 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 125A MAIN SERVICE PANEL y E� 10OA/2P MAIN CIRCUIT BREAKER Inverter 1 (E) WIRING CUTLER-HAMMER 1 10OA/2P Disconnect 3 SOLAREDGE Dot SE5000A—USOOOSNR2 DC- 1. 1 (E) LOADS A ------------ ---- MP � ix 1`' - -- ---- EGC -- . 240V. ---_____ ___ ____ -I - '— 12 I , DC+ (13 13 30A 2P -- -------------- -GETEGC1 _ Tl�_ Dc+ + _ / ------------ A _ .,.GEC --.�N DG_ _ MP2: 1x9 '� g I / GND -- EC-'C--- -------------- ------ -- --=— G -------- =--=--�-J . . N (1)Conduit Kit; 3/4' EMT o EGC/GEC GtC TO 120/240V I I' SINGLE PHASE UTILITY SERVICE PHOTO.VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN _ Voc* MAX VOC AT.MIN TEMP POI (1)SQUARE D yy H M220 PV BACKFEED BREAKER A - (1)CUTLER—HAMMER #DG221URB PV (20)SOLAREDGE"�300-2NA4AZS Breaker, 20AY2P, 2 Spaces Disconnect; 30A, 240Vac, Non—Fusible,'NEMA 3R AC PowerBox Optimizer, 30OW, H4, DC to DC, ZEP DC —(2)Gro qd Rod —(1)CUTLER— AMMER N DG030N6 5r8 x 8, Copper Ground�Neutral It; 30A General Duty(DG) nd (1)'AWG6, Solid Bare Copper (.1)Ground Rod; 5/8• x 8',Copper .(N) ARRAY GROUND PER 690 47(D). NOTE•. PER EXCEPTION NO 2, ADDITIONAL e t 4 E DEPENDING ELECTRODE MAY NOT BE REQUIRED DEPENDI ON LOCATION OF (E) ELECTRODE (1)AWG#10, THWN-2, Black 2' AWG #10, PV Wire, 60OV, Block Voc* 500 VDC Isc 15`' ADC O (1)AWG#10, THWN-2, Red T 00 (1)AWG#6, Solid Bare Copper EGC Vmp =350 VDC Imp 8.07 ADC (1)AWG#10, THWN-2, White NEUTRAL Vmp =240 VAC Imp=21 AAC (1)Condwt Kit; 3/4',EMT , • , , , . . , . _ • , •70 AWG#8,,R"-2,"been . , EGC/GEC-(1)Conduit,Kit;•3/4".EMT �(2)AWG#10, PV Wire, 60OV, Black .Voc* =500 VDC Isc =15- " ADC ' O (1)AWG y6, Solid Bare Copper EGC Vmp =`350 VDC Imp=6.6 . ADC . . . . . ... (I)Conduit Kit:.3/4*.EMT. . . . . . . . .'. CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: PREMISE OWNER: ! DESCRIPTION: DESIGN CONTAINED SHALL NOT BE USED FOR THE J B-0261999 00 RUeben SOSO T ENTAJ D ANYONE EXCEPT SOLAOR T INC. PRAY, JANICE PRAY RESIDENCE B MOUNTING M:G SYSTEM: NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Com Mount T e C 155 MONOMOY CIR 5.2 KW PV. ARRAY ,SolarCit y y PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES GENTERVIL MA 02632 ORGANIZATION, EXCEPT IN CONNECTION WITH St. Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE 20 TRINA SOLAR TSM-260PD05.18. SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME: SHEET: REV: DATEMarlborough, MA 01752 PERMISSION OF SMENT, Y INC INVERTER: T. 50).638-1028 F: (650)638-1029 SOLAREDGE SE5000A—USOOOSNR2 781291.9735 , THREE -LINE DIAGRAM PV 5 11/3/2DI:-CITY(765=2489) w"-solarcitycorn �1 •r, - 0 0 0 -o - Label Location: Label Location: Label Location: (C)(CB) o (AC)(POI) 1 to (DC) (INV) Per Code: _ Per Code: Per Code: NEC 690.31.G.3 D o 0 0 o n D NEC 690.17.E D NEC 690.35(F) Label Location: - oQ),g` :o D - o 0 0kk TO BE USED WHEN e O O O ' (DC) (INV) o•o D - D -o s n • D INVERTER IS D p Per Code: UNGROUNDED NEC 690.14.C.2 Label Location: Label Location: - o 0 0 • -o P (POI) .o - (DC) (INV) - o 0 o Per Code: -° Per Code: • •-D D o 0 o NEC 690.17.4; NEC 690.54 -o - NEC 690.53 :O • � O•D D • D� O' ° • 'O O O- °- HAD ra Label Location: °'ON'' N ° 1 (DC) (INV) _ Per Code: ° NEC 690.5(C) Label Location: (POI) -e D D • D D D • -o - o - Per Code: 0 0 0 0 -o NEC 690.64:B.4 . MM Label Location: IJ�I� (DC) (CB) o •_D Per Code: Label Location: D o 0 0 - NEC 690.17(4) - (^�, (D) (POI) o• :o D - o o c Per Code: °• I�WPMFa o D �:• D NEC 690.64.B.4 Label Location: (POI) _ _ Per Code: Label Location: o e ° NEC 690.64.B.7 M(AC) (POI) D"o ° e (AC): AC Disconnect p O Per Code: ° ° - (C): Conduit NEC 690.14.C.2 (CB): Combiner Box (D): Distribution Panel (DC): DC Disconnect (IC): Interior Run Conduit Label Location: (INV): Inverter With Integrated DC Disconnect- 0 (AC)(POI) (LC): Load Center °- Per Code: (M): Utility Meter d NEC 690.54 (POI): Point of Interconnection CONFIDENTIAL- THE INFORMATION HEREIN CONTAINED SHALL NOT BE USED FOR ��'qvp OF 3055 Clearview way THE BENEFIT OF ANYONE EXCEPT SOLARCITY INC., NOR SHALL IT BE DISCLOSED San Mateo,CA 94402 T: IN WHOLE OR IN PART TO OTHERS OUTSIDE THE RECIPIENT'S ORGANIZATION, Label Set n►` o (650)638 1028 F:(650)638 1029 EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE I�• 01a I� (888)-SOL-CITY(765-2489)www.solarcity.com SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PERMISSION OF SOLARCITY INC. '',SOlafClty ZepSolar Next-Level PV Mounting Technology, ��^S61afClty I ®pSDlar Next-Level PV Mounting.Technology Zep System Components'b for composition shingle roofs .,gip-rflo$ Grwxw zep 7nted«k twry sa sloanf , -ate • - - , zw o +Rae w Wddla _ .. .. Roof Affach at •. , - - aray sa.t" OMPA i c , Ogi"- Description PV mounting solution for composition shingle roofs � Works with all Zep Compatible Modules o • Auto bonding UL-listed hardware creates structual and electrical bond y Zep System has a UL 1703 Class"A"Fire Rating when installed using ' Comp Mount Interlock Leveling Foot V� LISTED modules from any manufacturer certified as"'Type 1"or"Type 2'' Part No.850-1382 Part No.850-1388 Part No.850-1397 Listed to UL 2582& Listed to UL 2703 Listed to UL 2703 Specifications Mounting Block to UL 2703 Designed for pitched roofs . . y Installs in portrait and landscape orientations is • Zep System supports module wind uplift and snow load pressures.to 50 psf per UL 1703 f Wind tunnel report to ASCE 7-05 and 7-10 standards • Zep System grounding products are UL listed to UL 2703 and ETL listed to UL 467 , • Zep System bonding products are UL listed to UL 2703 • Engineered for spans up to 72"and cantilevers up to 24" 111 • Zep wire management products listed to UL 1565 for wire positioning devices Ground Zep Array Skirt,Grip,End Caps DC Wire Clip Attachment method UL listed to UL 2582 for Wind Driven Rain Part No.'850-1172 Part Nos.500-0113, Part No.850-1448 Listed to UL 2703 and 850-1421,850-1460, Listed UL 1565 ETL listed to UL 467 850-1467 zepsolar.com zepsolar.com- Listed to UL 2703 This document does not create any express warranty by Zep Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for - This document does not create any express warranty by 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 Zep Solar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. 4. responsible for verifying the suitabilityof Zep Solar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.00m� - - 02 27 15 ZS for Comp Shingle Cutsheet Rev 04.pdf Page: 1 of 2 02 27 15 ZS for Comp Shingle Cutsheet Rev 04.pdf Page: 2 of 2 solar=oo solar - 0 0 SolarEdge Power Optimizer Module Add-On for North America. IQ P300 / P350 / P400 SolarEdge Power Optimizer p - P300 P350 :400 Module Add-On For North America (for 60-cell PV (for 72-cellPV (for 96 cell PV modules) modules) modules) P300 / P350 / P400 INPUT Rated Input DC Power(') 300 350 400 ' Absolute Maximum Inpu[Voltage(Voc at lowest temperature) 48 60 80 Vdc - .. .......................................... ......... ................ .......................................... ........... ............ MPPT Operating Range 8-48 8-60 8-80 - .. Maximum Short Circuit Current(Isc) 30 Adc .....imu..Short Circuit it Cu.ent(........... ................ ... ..... .... ...................................................... Maximum DC Input Current 12.5 Adc Maximum EfficiencY........................................... ............................99:5........... % OvervoltaBa Category �., Weighted Effiaency-. - 98.8 % ..Over .. .. II OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER) Maximum Output Current 15 Adc �1 Maximum Output Voltage 60 Vdc OUTPUT DURING STANDBY(POWER.OPTIMIZER DISCONNECTED"FROM INVERTER OR INVERTER OFF) - • Safety Output Voltage per Power Optimizer 1 Vdc r° STANDARD COMPLIANCE _ te+rs , FCC Part15 Class B,IEC61000-6-2,IEC61000-6-3 'ts •, Safety IEC62109-1,(dass 11 safety),UL3741.. ..o... ......... ... ...... ......................... ..I..................... ... ....... ............ r SS Yes IN INSTALLATION SPECIFICATIONS Maximum Allowed Sys[em Val[age 1000 Vdc Dimensions(W x L x H), .........141x 212 x 40:5/5.55 x 8.34 x 1.59.................. .mm./in Weight(including cables) 950/2.1 gr/Ib - - .........................................................................'.............................................................. ....... .. .A!........ Input Connector ..................................MC4/Amphenol/Tyco Output Wire Type/Connector Double Insulated;Amphenol Output Wire Length.......................................... ..............0.95/3:........I........................L2/,3.9 - " Operating Temperature Range -00 +85/-00 185 'C/'F Protection Rating IP65/NEMA4 - Relative Humidi[ .....................................0..100 % ......................................................................... .................................... ............. �n.1.sr<co fth�mod�m moewem�orosxco .roi��n«:imw.e _ - - PV SYSTEM DESIGN USING A SOLAREDGE - SINGLE PHASE THREE PHASE THREE PHASE - - INVERTER 208V 480V PV power optimization at the module-level Minimum stria Length(PowerO Optimizers) 8 10 16 ...................g... ..........P...... ..........................................,................................................................. Maximum String Length(Power Optimizers) 25 .25 50 ..........:......................................................................................................:...... Maximum Power per String 5250 6000 .12750 W _ — Up to 25%more energy - - - _ — Superior efficiency(99.5%) .. ....................................—........................................................................... ......................................... .......... Parallel Strings of Different Lengths or Orientations Yes Mitigates all types of module mismatch losses;from manufacturing tolerance to partial shading - _ ............................................................................................................................................`.................... ................ Flexible system design for maximum space utilization i - - Fast installation with a single bolt 1 —"Next generation maintenance'with module-level monitoring Module-level voltage shutdown for installer and firefighter safety. n - USA - GERMANY - ITALY - FRANCE - JAPAN - CHINA - ISRAEL - AUSTRALIA WWW.SOIaredge.u5 ,, • THE Trtlmemount MODULE TSM-PD05.18 Mono Multi Solutions_ DIMENSIONS OF PV MODULE • ELECTRICAL DATA @ STC unit:mm - Peak Power Watts-PMnx.(Wp) 245 ! 250 1 255. I 260941 - - Power Output Tolerance-PMnx(%) 0-+3 Maximum Power Voltage-VMP(V) E 29.9 I 30.3 I. 30.5 30.6 TH E r o na mount tAMEuE 1 - 11 Box Maximum Power Current-IMPP(A) 8.20 8.27 8.37 8.50 =, �o Open Circuit Voltage Voc(V) 1 37.8 ,. 38.0 38.1 _ 38.2 a-a s.n i Short Circuit Current-Isc(A) 8.75 8.79 111 8.88 9.00 ; srawnG HOLE n t tt ,, .k f Module Efficiency rlm(%) 15.0 1 15.3- 15.6 k 15.9 STC:Irradiance lodd W/m'.Cell Temperature 25°C.Air Mass AM1.5 according to EN 60904-3. MODULE Typical efficiency reduction of 4.6%a1200 W/m'according to EN 60904-1. - ELECTRICAL DATA @ NOCT 4 r _ - - �® CELL ��■L - Maximum Power-PMnx(wp) +_ 182 1 l 186 �. � 190 j 193 r - t I Maximum Power Voltage-VMr IV) 27.6 28.0 28.1 28.3 MULTICRYSTALLINE MODULE se<.B GROUND-HOLE Maximum Power Current-IMPP(A) ( 6.59 I 6.65 I 6.74 6.84 ., „-ow,in BoiE ,q A. Open Circuit Voltage(V)-Voc(V) 35.1 35.2 35.3 .A1 35.4 WITH TRINAMOUNT FRAME (Short Circuit Current(A)-isc(A) 7.07 7.10 I 7.17 7.27 NOCT:Irradiance at 800 W/m',Ambient Temperature 20°C.Wind Speed 1 m/s. b4V� 6O V V PD05.18////�� /qq/�• C. 812 Bo .Back View POWER OUTPUT RANGE MECHANICAL DATA Solar cells Multicrystalline 156 x 156 Trim(6 inches) - Fast and simple to install through drop in mounting solution I cell orientation 60 cells(6 x,o) - ) Module dimensions 1650 x 992 x 40 Trim(64.95 x 39.05 x 1.57 inches) Weight 21.3 kg(47.0 Ibs) MAXIMUM EFFICIENCY 4 Glass 13.2 mm(0.13 inches),High Transmission,AR Coated Tempered Glass A-A BacksheeT White ( 1 Good aesthetics for residential applications Frame Black Anodized Aluminium Al Trinamount Groove 1 toy with i ( _ - - , J-Box . IP 65 or IP 67 rated _ - A 1s /' - � I-V CURVES OF PV MODULE(245W) �. O~+37 Cables Photovoltaic Technology cable 4.0 min'(0.006 inches'), �< .. lo.0° 11200 min(47.2 inches) POWER OUTPUT GUARANT EE 9m - Fire Rating .Type 2 y9' 8.m 800W/m' - - .. r - °° Highly reliable due to stringent quality control ' ' Q bin (/ \4 Over 30 in-house tests(UV,TIC,HE and many more) ff s.W As a leading global manufacturer `` % In-house testing goes well beyond certification requirements 5 4' TEMPERATURE RATINGS MAXIMUM RATINGS t generation photovoltaic - 3m - of next p ° , 9 , , -- m 200w/m= Nominal 0 Operating Cell ° ° Operational Temperature 40 85 C p 9 . products,we believe close Temperature(NOCT) as C(_2 c) Y ( . . - - 100 Maximum System IOOOV DC IEC) cooperation ;. er tion with our partners p XXII• - - o.m ;Temperature Coefficient of PMnx -0.41%/°C Voltage 1000V DC(UL) l is critical to success. With local o.�° loin, s 1 ) 30m 40.m y }i f _ presence around the globe,Trina is - t• _ volts e v - • Temperature Coefficient of Voc -0.32%/°C Max Series Fuse Rating 15A - - able to provide exceptional service Tom erature Coefficient of Isc .0.05%/°C to each Customer in each market �X j Certified to withstand challenging environmental _) and supplement our innovative, 1 conditions reliable products with the backing /% • 2400 Pa wind load of Trina as a strong,bankable - • 5400 Pa snow load WARRANTY - partner. We are committed - 10 year Product Workmanship Warranty, ` to building strategic,mutually - - - beneficial collaboration with 25 year Linear Power Warranty installers, ; _ . installers,developers,distributors (Please refer to product warranty for details) < and other partners as the backbone of our shared success in - " CERTIFICATION - - - - drivingSmartEnergyTogether. LINEAR PERFORMANCE WARRANTY ^ PACKAGING CONFIGURATION (SP 10 Year Product Warranty•25 Year Linear Power Warranty 0 ay us Modules per box:26 pieces w Trina Solar limited ,, to uuuJ Modules per 40'container.728 pieces www.trinasolaccom mo% Fp X _ s Addii' P ® a f-1 WEEE a not valve Irolp Trin � aoMPunx* - 0 0 90$ a$OlplS Ilryeq!M'a!laAl ; Q - CAUTION'READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT. �oMPgTx y ®2014 Trina Solar Limited.All rights reserved.Specifications included in this datosheet ore subject to t7 8o% B +. _ change without notice. . ��o��solar �Po�asolar Smart Energy Together Years 5 to 15 20 25 Smart Energy Together 9°eaant`o .Trina standard ,t.Q Industry standard THE Trtaamount MODULE TSM-PD05.18 Mono Multi Solutions t DIMENSIONS OF PV MODULE ELECTRICAL DATA @ STC unit:mm Peak Power Watts-Pmnx(Wp) ` 250 1 25.5 1 260 I 265 - - O - 941 o Power Output Tolerance-Pranx(%) 0-+3 n n PT aM^ Ount Maximum Power Voltaget-Imp(V) 8.27 8.37 8.50 i 8.61W �Vl' mox xvwn o Maximum Power Current-Irarr(A) 8.27 8.37 8.50 8.61 e„"^'rrure Open Circuit Voltage-voc(V) 38.0 38.1 38.2 38.3 0 I a09i1 HOLE Short Circuit Current-Isc(A) 8.79 8.88 9.00 9.10 - wsrnwrrc ®� - Module Efficiency gm I .Air 15.6 f .15.9 ! 16.2 cell . STC:Irradiance 1000 W/m',Cell Temperature 250C Air Mass AM1.5 according to EN 60904-3. Typical efficiency reduction of 4.5%at 200 W/m'according to EN 60904-I. o ELECTRICAL DATA @.NOCT - - CELL w- - Maximum Power-PM*x(wp) 186 190 i 193 - 197 ® 1► _ M Maximum Power Voltage-V.p(V) 28.0 28.1 _ - 28.3 28.4 i \\IVII LLLaaa Illfffi�i lll��illl�. Maximum Power Currfn'IMry Voc(A' 6.65 ! 6.74 6.84 6.93 MULTICRYSTALLINE MODULE 60°3OUNWHOLE A ! PD05.18 : w„°E g - 35.2 35.3 35.4 35.5 WITHTRINAMOUNTFRAME t Short Circuit Current(A)-Isc(A) 7.10 7.17 7.27 I 7.35 .1 - NOCT:Irradiance at Bolt W/m',Ambient Temperature 20°C.Wind Speed I m/s. - 250-265W_ g,2 ,BD Back view MECHANICAL DATA POWER OUTPUT RANGE solar cells Multicrystalline 156.156 mm(6inches) Cell orientation 60 cells(b x 10) r 1 Fast and simple to install through drop in mounting solution I ,t � Module dimensions �_1650 x 992 x 40 mm(64.95=39.05 x 1.57 inches) - •� �� Weight 19.6 kg(43.12 Ibs) 0 v Glass 13.2 mm(0.13 inches),High Transmission,AR Coated Tempered Glass MAXIMUM FICIENCY EF Backsheet White q.A Frame 1 Black Anodized Aluminium Alloy + I Good aesthetics for residential applications +,-sax IP 65 or lP 67 rated \� Cables Photovoltaic Technology cable 4.0 mm'(0.006 inches'), -.+ C ® � mm(47.2 inches) - POSITIVE POWER TOLERANCE LvcuRvesoFPVMo�uLE(2sow) 1200 t , Connector �H4 Amphenol o.ao - D.. .000w m' Fire Type (UL 1703 Type 2 for Solar City Highly reliable due to stringent quality control a.. • Over 30 in-house tests(UV,TIC,HF,and many more) As a leading global manufacturer .,�+� In-house testing goes well beyond certification requirements 6.0o Eoow m, TEMPERATURE RATINGS MAXIMUM RATINGS of next generation photovoltaic • RID resistant € products,we believe close �. u' a.ao Nominal Operating Cell 44°C(+2°C) Operational Temperature (-40-+g5°C Temperature(NOCT) - cooperotion with our partners a.ao Maximum system t000voc(Iec) - - i5 Critical 10 SUCCe55. With local z.00 j Temperature Coefficient of Pr.,�x -0.41%/°C I Voltage 1000V DC(UL) i - presence around the globe,Trina is _ '00 Temperature Coefficient of Voc -0.32%/°C Max Series Fuse Rating. 15A able,to provide exceptional service •-�° to each customer in each market f `1 _ Certified to withstand challenging environmental zo 3o ao so Temperature Coefficient of Isc M1005%/°C and supplement our innovative, conditions v„•e°M reliable products with the backing / • 2400 Pa wind load of Trina as a strong,bankable - • 5400 Pa snow load WARRANTY partner. We are committed CERTIFICATION 10 year Product Workmanship Warranty to building strategic,mutually 25 year Linear Power Warranty beneficial collaboration with _ installers,developers,distributors 1. -I a 41L BS SA (Please refer to product warranty for details) Q fll� ustFo ° us and other partners as the w M - backbone of our shared success in driving Smart Energy Together. LINEAR PERFORMANCE WARRANTY �~•" PACKAGING CONFIGURATION a r r nWEH E 10 Year Product Warranty•25 Year Linear Power Warranty . Modules per box:26 pieces w Trina Solar Limited www.trinasolar.com .Modules per 40'container:728 pieces y Atltl/f7ohal valve Ito ' a909 ; q mrflha Salafs flhe4r WaffOhly CAUTION.READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT. coMP4Tiq �O rya 02015 Trina Solar Limited.All rights reserved.Specifications included in this datosheet are subject to e� Po�asolar Bo% 8 a' "T11 u1111asolar change without notice. Smart Energy Together Years s o s zoo zs Smart Energy Together In- o_` _ 13 Trina standard E3 Indusnystand-I - _ n 1 v�J so I a r=ooSingle Phase Invetiers for North America solar e I SE3000A-US/SE380OA-US/SE5000A-US/SE6000A7US/ SE760OA-US/SE1000OA-US/SE1140OA-US - SE3000A-US. SE3800A-US SE5000A-US SE6000A-USSE7600A-US SE10000A-US SE11400A-US Q n p Q Q Q //'��►►�� OUTPUT SolarEdge Single Phase Inverters irrr Nominal AC Power Output 3000 3800 5000 6000 ..... 7600 100.O,q.Vv 0V 11400 VA Max AC Power Output 3300 4150. 5400 @ 208V 6000 8350 10800 @ 208V 12000 VA For North America ....:5450.(a1.240V,.. ... .... .. .................10950-�240V. ........ - - � AC Output Voltage Min:Nom:Max.ltl .. 183-208-229 Vac - ..... . SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ ACO t.. -. .,.-..Min.No.....................Ma ......::.... AC Output Voltage Min:Nom:Max.l'I SE760OA-US/SE10000A-US/SE11400A-US 211-24U 264Va0 ... ....................................... ................ ..... ............................. ...... .........:...:.... ......... AC Frequency Min,.Nom:Max.l. 59 3:60.60:5(with HI country setting 57 60 60.5) 24 @ 208V 48 @ 208V - ' Max Continuous Output Current 12.5 I 16 25 32 47.5 A ........................................... . .....21 tal-240y.. .:.. ........ 42 @.240y - . GFDI Threshold ..................1............ ........ ...... ...... � I Utility Monitoring,islanding Protection,Country Configurable Thresholds _ Yes _ Yes ( INPUT ' - •""'""` �werte�"' Maximum DC Power(STC) 4050 5100 6750 8100 10250 W Transformer-less Ungrounded .. .......................: Yes ............................................... .... ... ............ .... .. .. ......... 'ileals Input Voltage 500 Vdc .,c Wa it i. .Nom.DC Input Voltage•••_._••.._. - ,325@208V/350@240V..._. •...••.•. ••.Vac.... . ...... ............. ....16.5 @ 208V ..... Max.Input Curtentllt 9.5 13 18 23 34.5 Adc .... ...... .. ... ..................... ....... .... ...............I.15 5(al'240V.I................I................I... 1°1.240V ...........................:.. Max.lnput Short Circuit Current ...................:................................... 45.................... .Adc.... i._ ................................... .. Reverse-Polarity.Protection...... Yes...... ......................... .................... ....... - - Ground-Fault Isolation Detection 600ko Sensitivity Maximum Inverter Effcency 97 7 98 2 98.3 98.3 98 98 98. .% . . . P , CEC Weighted Effi . . ...............I................I.998 @_2 Oy..I........:.......I................. 97 @ 208V I............................. ciency 97.5 98 SITS 97.5 97.5 � - - Nighttime Power Consumption <2.5 <4 W ADDITIONAL FEATURES Supported Communication Iriterfaces. RS485,1S232,Ethernet ZlgBee(optional) . Revenue Grade Data,ANSI C12:1 Optional[ ............................. .......... ... .. ... ...... ... ............. .. ... . ......... ..... ......... ........ ... .. ..... Rapid Shutdown-NEC 2014 690.12 Functionality enabled when SolarEdge rapid shutdown kit is installed(4) At STANDARD COMPLIANCE ... . .............. ................ ......... ......... S UL1741,UL1699B.UL1998,CSA 22.2 - (i Grid Connection Standards IEEE1547 - - - . . ............................................ ................................................ ........ ....... ... ..... ..... . .............. ......... i INSTALLATIONSPECIFICATIONS F f class B /AWG ra nge 3/4"minimum/16-6 AWG 3/4 mmlmum/8-3 AWG - ........ ...... .. '.................................. .. ... ...... ..... L DC input conduit size/ti of strings/ 3/4'minimum/1-2 strings/- ` - •,, iP 1. v - /4'minimum/1-2 strings/16-6 AWG ............. ....................... ..:: .3................. ............................... .. .... .1....AWG .... .. .. ,. Dimensions with Safety Switch .... ... ... ..30.5 x 12.5 x 10.5/.. ....in/.. 30.Sx12.5x7.2/775x 315x184 ............ . . . . . 775 x 315 x 260 . min f.( Weight with Safe Switch - 51.2/23.2 - 54.7/24 7 - - 1 88 4/40.1 Ib/kg - a ........ ................. :........ ...... . Natural convection ..� - Cooling - � - Natural Convection - and internal Fans(user replaceable) - t fan(user The best choice for SolarEdge enabled systems ....... ...::........................... ................................... ........... r?plan?abl?).......... .. .. ....... ..... Noise <25 <50 dBA _ g p p - -13 to+140/-25 to+60(-40 to+60 version avail ablelst) F/ C � Integrated arc fault protection(Type 1)for NEC 2011 690.11 compliance - t Min:Max.Operating Temperature Superior efficiency(98%) Range.............. : . '" Protection Rating NEMA 3R Small,lightweight and easy to install on provided bracket (14orother regional settings please contact SolarEdge support kl A higher current source may be used;the inverter will limit its input current to[he values stated. - Built-in module-level monitoring - pl Revenue grade inverter P/N:SE.-AUSOOONNR2(for 7600W inverter:SE760DA-US0D2NNR2). - - I4l Rapid shutdown kit P/N:SE10D0-RSD-Sl. Internet connection through Ethernet or Wireless l k -40 verson P/N.SEx-A-US00ON1,11.14(for 760OW Invert-SE7600A-USOD2NNU4). - Outdoor and indoor installation - Fixed voltage inverter,DC/AC conversion only - Pre-assembled Safety Switch for faster installation j I - Optional-revenue grade data,ANSI C12.1 USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THENETHERLANDS-ISRAEL WWW.SOIaredge,.US I• j irims a l'I�tC��H4k►�4(•F1 F�P13xa�STi�u� uJ�