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0064 PARK AVENUE
_ �s.-J }7.; ....n, °, t+ i3 ,. �i ..;+ •' ti �xoac'a' � Q ��t f..'� ��� � � '"J q �.�w,$ ��,v �,�*J '� i r. �. - 1 �r o o i Town of Barnstable Building f Post This Card So That rt ts;Uis�ble'From tte Street -A roved;;P,,lans Mustbe,Retamed on.-Job and this Card Must.be::Kept &i + SARIMAItLC • ., "x `ice "` ^' r, :„ �,•3 .' ',;� p... $� '£ 'Si .r' ",". '` s z s - '% Permit Posted Until Final Inspection�Has Been Made E .r F ,. raa+° Wher ¢C e a ficat�e of Occupancy is Requi*re�d,,south Burldg shallNot be0�cpied uhtil a Fnai Inspection haseen meow Permit No. B-20-814 Applicant,Name: Russell Cazeault Approvals Date Issued: 03/18/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 09/18/2020 Foundation: Location: 64 PARK AVENUE,CENTERVILLE Map/Lot: 208-013 Zoning District: RD-1 Sheathing: Owner on Record:. BETE,JOHN M JR&ROBIN M Contractor Name` -PAUL J. CAZEAULT&SONS INC. Framing: 1 Y Address:` 64 PARK AVENUE YContxractor License 103714 2 CENTERVILLE, MA 02632 � Est Project Cost: $15,000.00 Chimney: Description: Remove the existing shingle roof on the entire home Install GAF Pe."rmit Fee: $76.50 s l Insulation: Timberline HD architectural style shingles with'lifetimewarranty. Fee Paid/ $76.50 Project Review Req: Date 3/18/2020 Final: Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work autho izeIal d�y'is permit is commenced within six'months�6ffer issuan Final Plumbing: All work authorized by this permit shall conform to the approved application and th6�approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures sh�allb in compliance with the local zoning by law� arid codes. Rough Gas: This permit shall be displayed in a location clearly visible from access stree41 t�or roa&and shall be maintained open for public inspection for the entire duration of the % Final Gas: work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures bykthe Building and.Fire Officials are"p oyiided on th permit. Electrical Minimum of Five Call Inspections Required for All Construction Work a 1.Foundation or Footing ? Service: 2.Sheathing Inspection i a o 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "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 Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: a Town of Barnstable id Pos11 uing i p tTh�s Card So.That it is'VisibleFromr"the;Street Approved Plans"Must be Retained on J`ob and this Card Must be Kept Posted Until Final Inspection Has Been Made. Where a Certificate of Occupancy is Required;such Buildrng shall Not be Occupied until a Final�lnspection has been made j ermit Permit No. B-20-893 - Applicant Name: BETE,JOHN M JR &ROBIN M : . Approvals Date Issued: 04/01/2020 Current Use: Structure Permit Type: Building-Addition/Alteration r-Residential Expiration Date: 10/01/2020 Foundation: Location: 64 PARK AVENUE,CENTERVILLE = Map/Lot: 208-013 Zoning District: RD-1 Sheathing: -.rT .emu Owner on Record: BETE,JOHN M JR&ROBIN M Contractor Name:``°., Framing: 1 Address: 64 PARK AVENUE Contractor License: 2 CENTERVILLE, MA 02632 Imo" Est. ProjectCost: $3,000.00 Chimney: t Permit Fee: $85.00 Description: Tear down chimney to roof line and rebuild Insulation: Fee Paid- $85.00 Project Review Req: ( Final• S Date.. 4/1/2020 -s/ Z� Plumbing/Gas Rough Plumbing: . Building Official _ Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced.within six months after,,issuance. r All work authorized by this permit shall conform to the approved application and the'approved construction documents for-which this permit has been granted. Rough•Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by.-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. i Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: ` Service: 1.Foundation or Footing 2.Sheathing Inspection - Rough: 3.All Fireplaces must be inspected at the throat level before firest flue1ming is installed - A 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). • Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: 1HE Application Number.3.77J.0.............(Yftl. ............... RNgrABM MASS, PermitFee.................................Zoning District........................ 1639. lVotalFee Paid ................................................................ ...... UJ CC1.4 TOWN OF BARNSTABI erTnit Approval by..... ................... ........ am BUILDING PERMIT Q Qz -�g .................... Map.... ..................Parcel�.--1-01, . APPLICATION CIO Section 1 — Owner's Information and Project Location Project Address y yay-v Village Owners Name SCANNED APR 0 3 2020 Owners Legal Address S City State zip Owners Cell # E-mail Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section 3 — Type of Permit ❑ New Construction E] Move/Relocate ❑ Accessory Structure E] Change of use El Demo/(entire structure) El Finish Basement ❑ Family/Amnesty El Fire Alarm Rebuild El Deck Apartment El Sprinkler System ❑ ddition E] Retaining wall ❑ Solar Renovation ❑ Pool El Foundation Only Other-Specify Section 4 - Work Description �=v ac 6�LJ V1 C A0 YAD-4 Wu Last updated: 1/31/2020 Application Number........... .,,: Section 5---Detail Cost of Proposed Construction S kc-ra-z�k _Square"Footage of Project Age of Structure 1�, �N� Dig Safe Number # Of Bedrooms Existing 5- Total# Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6— Project Specifics QzWiring ❑ Oil Tank Storage ❑ Smoke Detectors Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System Masonry Chimney ❑ Add/relocate bedroom Water Supply El Public ❑ Private Sewage Disposal ❑ Municipal �On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane C Yes U—Qo Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8— Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed. Side Yard Required Proposed " Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 1/31/2020 i DATE(19MIDQOIYYYY` ; ` ACC) CERTIFICATE OF LIABILITY INSURANCE , 03/19/2020 THI 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.-,It LiS ..zgbject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this .,,, . confer rightsl'hee certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: Mark Sylvia PHONE 957-2125 FAX No:X MARK SYLVIA INSURANCE AGENCY LLC N Ext; (508) E-MAIL DDRESS: @ y kris marks Iviainsurance.COm A 404 MAIN ST INSURERS AFFORDING COVERAGE NAIC# CENTERVILLE MA 02632 INSURER A: ACE AMERICANINSURANCECO 22667 INSURED INSURER B: PAULINO MARCUS INsuReRc: DBA PAULINO MASONRY INSURER0: 370 LUMBERT MILL RD INSURER E: CENTERVILLE MA 02632 1 INSURER'F: COVERAGES CERTIFICATE NUMBER: 517636 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. IN RI ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMID MM/D COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGETO RENTED CLAIMS-MADE 17 OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 40TH'ER: ❑PRO- ❑LOC PRODUCTS-COMP/OP AGG $ POLICY JCT COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY Ea accident BODILY INJURY(Per person) $ ANY AUTO.. ALL OWNED SCHEDULED 'N/A BODILY INJURY(Per accident) $ AUTOS AUTOS PROPERTY DAMAGE NOWOWNED Per accident $ HIRED AUTOS AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$. WORKERS COMPENSATION X STATUTE ER H $ AND EMPLOYERS'LIABILITY I Y/N ANYPROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED? .. WA WA WA 6S62UB9F52552520 03/05/2020 03/05/2021 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 (Mandatory In NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $—1,000,000 DESCRIPTION OF OPERATIONS below N/A DESCRIPTION OF OPT ATi6W6/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance. The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investig , s/. . ; PAULINO MARCUS V has elected coverage.- - ia6 CERTIFICATE HOLDER CANCELLAT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Gary;Blondin Alt 10 Little" .ond Rd AUTHORIZED REPRESENTATIVE Marstons M' MA 02648 Daniel M.Crow)ey,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION: All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of IndustridAccidenis Office of Invest1gations 600 Washington Street Boston,MA 02111 www-mass govIdia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organizat ombdividual): C A,C,0PVTU Address: �c1 City/State/Zip: Phone M w a 25, Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with- 4. I am a general contractor and 1 employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2PZIa.m a sole proprietor or partner- listed on the attached sheet. 7. RRemodeling p and have no employees These sub-contractors have 8. ❑Demolition working for mein any capacity. employees and have workers' 9. El Building addition [No workers'comp.insurance comp.insurance.: required-] . 5. We are a corporation and its. 10.E]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 L❑Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance regi.ed.]t c. 152,§1(4),and we have no employees.[No workers' 13.❑Other, comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information., t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors mast submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have . employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. �.Y I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ' Policy#or Self-ins.Lie,#: ( - Expirati Date: 0 3'0 ✓ C r 1 Gaaj.0 Job Site Address: l City/Stste/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of f this•statement may be forwarded to the Office of Investigations of the DIA for ms-urance coverage verification. I do herebyTcfy under the p ' d e ofperlury that the information provided above is true and correct t \ Si store• Date: Q '�oo`" Phone#: r O&ial use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and In7wrkers' ctions Massachusetts General Laws chapter 152 recces all employers to provi compensation for their employees. Pursuant to this statute,en employee is defined as"...every person iii thef another under any contract of hire, express or implied,oral or written." An employer is define as %an individual,partnership,association,corpo, on or other legal entity,or any two or more of the foregoing engaged m,ajoint enterprise,and including the legal r�entatives of a deceased employer,or the receiver or trustee of an\individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and/who resides therein,or the occupant of the dwelling house of another Vvho employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or buildin �Vpurtenant thereto shall not because o such employment be deemed to be an employer." MGL chapter 152,§25C(6)also that"every state or local li using agency shall withhold the issuance or renewal of a license or permit to crate a business or to co ct bwldings in the commonwealth for any applicant who has not produced acceptable evidence of comp'ance with the insurance coverage regnired." Additionally,MGL chapter 152, §25* states"Neither the co onweahh nor any of its political subdivisions shall enter into any contract for the perform of public.work un' acceptable evidence of compliance with the insurance requirements of this chapter have been 1 ;ted to the con ' g authority." Applicants Please fill out the workers compensation afda t completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),a s(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC) r L Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry work 'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this vit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Aldo sure to sign and date the affidavit. The affidavit should be retumed to the city or town that the applhi 6 for the p or license is being requested,not the Department of Industrial Accidents. Should you have any questions ° the law or if you are required to obtain a workers' compensation policy,please call the Department at the number ' below. Self-insured companies should enter their self-insurance license number on the apprpprigfe line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The epartment has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigatio ' has to contact you regarding the applicant. 'Please be sure to fill in the permit/license n6ber which will be used as' reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and undl"Job Site Address"the applican should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked the city or town may be provided to the applicant as proof that a valid affidavit is In file for firture permits or licenses. new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not relat any business or commercial venture (i.e.a dog license or permit to bum leave etc.)said person is NOT required to plete this affidavit. The Office of Investigations would like t a thank you in advance for your cooperati \d should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and Yax number: The Commonwealth of Massachusetts Department of Industrial Accidents Qf1ce of Investigations __- 600 Washington Street Boston,MA 02111 - Tel.#617-727-4900 ext.406 or 1-877-MASSAF'1 Revised 4-24-07 Fax#617-727-7749 www;maw.gov/dia qo scaxNEo APR 0119N i i i i I� 1p s lok 5 is Tj, Avow Aj uj co w,ot. kool%bw Amw lot kA uj Too wke ,M �+ MgtY C,oski YK k AQ sou VLt sio Jk R40AJ k c %IpouSP. H•� u a y3p taa� c�. irt. Aj getQ Mary � � 1� t k-, ey 'vAlt �i� Application Number........... Section 9— Construction Supervisor Name Telephone Number Y I Address City State Zip License Number License Type Expiration Date t Contractors Email Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10—Home Improvement Contractor Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: IWA Telephone Number b-3& �3 �e1,1�- r Work Number 2.U I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massa chup tate Building Code. I understand the construction inspection procedures,specific inspections and documentation requy 80 CMR nd the Town of Barnstable. 6�Signature v Date 7 Lo F APPLICANT SIGNATURE Signature - Date z,1.2-a Print Name ��� Telephone Number 65b 14 E-mail permit to: Off- tA,,a_4.1 �,A, Last updated: 1/31/2020 Section 12 — Department Sign-Offs Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval 1 Section 13 — Owner's Authorization as Owner of the subject property hereby authorize �Ma e�S a„�QQ: ,,� to act on my behalf, in all j matters relative to work authorized by this building permit application for: Address of job) k 3 '7a20 Signature of Owner date Print Name 1 a 0 . 3 'I i I j t i d t �. Last updated: 1/31/2020 ;� 1 I a 9l�iy Tomm of Barnstable xPeimiit# �4. Regulatory Services Expires 6 months from isc Fee BARYSI'ABLL 1 Thomas F.Geiler,Director �Efl MA'1 e BiuRding DMS1UH1 Tom Perry,CBO, Building Commissioner 200 Main Street;Hyannis,MA 02601 www.townbarnstable.n a.us Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERAUT APPLICATION - RESII) NIIA , ®NLy Not Valid widtotaRedX--Press imprinr Map/parcelNumber 208-013 Property Address 64 Park Avenue Centerville, MA 02636 ®Residential Value ofWork S 30,000 Minimum fee of$35.00 for work underS6000.00 Owner's Name&:Address Robin Bete 64 Park Avenue Centerville, MA 02636 r^ Contractor's Name I �,57�l/���t l�li lep �.E �. Te hone Number 1,.,�Home Improvement ContractorLicense r(ifapplicabk) 1063 fima>7 ;,���j d{�rCQ��7 r U(�b�j(LfQP(�j�CC)( Construction Supervisor's License#7(ifapplicable)(067 v. Workman°s Compensationh urance Check one: ❑ I am a sole proprietor XPRESS 'ER ® 0 11m athe Homeowner (, `I have Worker's mpensation Insurance E1 Insurance Company---EfA,ni fa e ns(.(.ravi 6 7 w� Gf/� TABLE St'orkman's Comp.Policy"_-- n(� "! 30( 0 . Copy oflusurance Compliance Certificate must accompany each permit. perm Request(check box) ❑ Re-roof(huraicane naffed)(stripping old shingles) All construction debris will.be taken to- Bourne ❑Re-roof(hurricane naffed)(not stripping. Going over exi,-tipgg layers ofmo ❑ Re-side ® Replacement Windows/doors/sliders.U-Vahie .30 ' (ma ntoa.35)#ofwindows 3 n ofdoots_ ❑ Smoke/Carbon Monoxide detectors 4 floorplans marked with red S and inspections required. Separate]Electrical&Mire Permits required. OWlere required:Iss m=e ofthis perm$does rwi exempt c0nVR ce w ah oilier town deParw tregulatixu,ie.Historic,Conservation;etc. ***Note_ PropertyOwnernm=signPropertyOwnerLetterofPermission. A copy of le Horse Improvement Contractors License&Construction Supers isors License is required. SIGNATURE: C Users'deeollkAppDarALocalMitresof:f 4aidmslTempormylxrttr Fah \coae=OutlookNER76BD,%A1E RESS.doc Revised 061313 }ti Th4e C'ornmonwealth of klassach�csetts Department of Industrial Accidents Office of Investigatio-u •l -600 Washington Street ¢' Boston, !VIA 0211.7 W1.1W.mass,gov%dia Worker•s compewation.Inmarallce Affidavit:Builder s/Contractors/Electricians/]Pl•tirribers . Applicant Inforlmation- Please]Print]LegibIp Name(Business/Organizauon/Inditiidual): FPQ Via r q City/State/zip:-1 O �i 7} l� ©o� J�6 ai .Are you an employer?Check the appropriate box- Type of project(required.): .I am a etployer with_ 4.❑ 1 a general contractor and I have 6. employees(full and/or part-time).* hired the sub-c r. New cerast action ' p 1 ox tractors listed on �, ®Remodeking 2, the i ed7iheet. I am a sole proprietor or partnership These'sub-contractoj-s have $• ®Demolition and have no employees working for employees and have workers'comp. 9. Building addation me in any capacity.[No viorkers' insurance.)` comp insurance required.] 5. •We are a corporation and its 10.Q FkectricaI repairs or additions {—� officers have exercised their right of I L Plumbing repairs or additions 3.t_! I am a homeowner doing all work exemption per MGL c.152§(4),and 12.Q Roof repairs myself.(No workers'comp, we have no employees,[No workers' insurance required]i comb.insurance required.] 13.❑Othe *AnY applicuot that checks oox r1 vest also Mil out the section below showing their woAers'.compenrtiorpolicy is orars�rior t Homeowners who submit:his affidavit indicating they are doing aR work and then hiie.oursid conttacwrs mu t subs to new affidavit indicat ng saeli *Contractors that check this box must attach an additional sheet showing the name of tae sn3 contfacte.a and state wl ether or not those eantiaes have ach. yres,;f the sub coast tors have employe s they must provide their;workers'cowp,policy number. I ant an employer that is providing iporicersl compensation insrta-ance for my employees.Belo iv is the policy and job site infornudon- D /; r,� Im-urance Compaay Name: ���[ �C. � (�, �A �� ! l�e 1.( , Policy 41 or Self-ins.Lic.ii: `t V D qq 3 D(.g D ; FzpL'atioII Dale: Job SizeAddrrss: 64 Park Avenue City/5tate/Ltp: Centerville, MA 02636 Attach a copy e. the ragaasworkers'compensation police declaration page(showing the policy number and expiration date). I allure to secure coverage as required antler.Section i5A of MGL C.152 can lead to the iaanosition of criminal penal es of a fmc up to$1,500.00 an(L'or one-year imprisonment,as Weil zs civil penalties in the form of a STOP WORK ORDER:and a fine of un to$250.00 a d2y agains['the violator.Be advised that a copy of thi tray s statement ay be forwarded to the Office of Investigations of the DIA for insutxace coverage v;,rMcatiom 16 hereby certify the :res penaties of perjury•tkat the information vided above is true and correct. Signature: _ Date: � ���/3 Phonet Official use only.Do riot u+rite.in this area,to be completed by city or town official City or Town: PermifilLiceIIse n Issuing Authority(circle one): € 1.Board of Health, 2.Buildinb Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing inspector 1 6.Other Contact Denson: Phone�: FRASCON-01 PAAS CERTIFICATE OF LIABILITY INSURANCE DATE(MtllDD1YY1^I) 911912013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), 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 endorsement(s). PRODUCER 508 676-0309 CONT CT Viveiros Insurance Agency,Inc. PHONE Ashley PaIVa 375 Airport Road rAlc No Ext': 508-676-0309 127 iAlc,No): 508-324-9147 VINL Fall River,MA 02720 ADDRESS:APaiva@Viveirosinsurance.com INSURER(S)AFFORDING COVERAGE NAIC B INSURER A:Granite State Insurance CO ENSURED Fraser Construction LLC INSURERS: PO BOX 1845 INSURER C: COtuit,MA 02635 INSURER D; 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 LTR TYPE OF INSURANCE INSR WVD POLICYNUMBER MOD MWDD EXP LIM[TS GENERAL LIABILITY EACHOCCURRENCE $ COMMERCIAL GENERAL UABLfTYEr PREMISES Ea Occurrence $ _ CLAIMS MADE OCCUR MED EXP(Anyone person) $ PERSONAL&ADV NJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPlO?.AGG $ POLICY 1 PRO-JECT LOC $ AUTOMOBILE LIABILITY M f SIN U,1 Ea accident $ ANY AUTO ALL OWNED SCHEDULED BODLYINJURY(Per person) $ AUTOS AUTOS NONLO BODILYINJURY(Peraccident) $ AUTOS HIRED AUTOS lNED AUTOS Peraccidem $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LiA6 HCLAIMS-MADE AGGREGATE DED RETENTION $ i WORKERS COMPENSATION WC STATU• OTH• $I AND EMPLOYERS'LIABILnY YIN TORS LIMITS ER A oFFICERI a 3ERREXC UDEEo,C�VE NIA wC009930601 9/26/2013 9/26/2014 EL.EACH ACCIDENT $ 500,000 (Mandatory In NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 500,000 DESCRIPTFONO=OPERATIONS below E.L.DISEASE-POLICYLIMR $ 500,000 f DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Aftach GIRD 101,Additional Remarks Schedule.if more space Isrequired) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable Building Division THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601- AUTHORaEO REPRESENTATIVE OO 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Massachusetts -Department of Public Safety. Board of Building RegEdattans and Standards Construction Supo'l-isnr 7 License: CS-097668 7 3. IWAN C IMASER -' 109 I'WINNYCaaW <wn, EASTIALI4IOU1[MAm,�„5i{ Expiration ' Commissioner 06/07/2015 { f Office of Consumer Affairsand Bu'sin,ess Regulation I O.Park Plaza- Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 112536 Type: DBA FRASER CONSTRUCTION CO. Expiration: 3/23f2015 Tr' 237059 DEAN FRASER P.O. BOX 1845 COTUIT, MA 02635 Update Address and return card_Mark reason for change. "•'^' �t`"rn.,, G Address [] Renewal 0 Employment p ymenE � Lost Card Office of CoasumerAffairs,5c Eu:;aipa Resolution License or regiuraUon valid for individul use only 1 OM=IMPROVEMENT CONTRACTOR before the expiration date, lffo egist and return to: ration: f 12535 Type: Office of Consumer Affairs and Business Regulation ;.. Virafion: 32312015 DBA 10 Park Plats-Suite 5Il70 FRASER CONSTRUCTION CO. Boston,MA 02116 DEAN FRASER 104 TWINN VIEW LANE E FALMOUTH,MA 02536 Uadcrsccrctary Not valid without signature �A h` Any payments not immediately paid upon job completion will be charged 0.005% for every day after the given.5 day grace period upon day of job completion. Possible Extra-Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry. eedg replacement will. be done and charged for as an extra at the rate of$ l 0 per hour,.plus 0 mark-up materials. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted,within thirty days may withdraw this proposal. lFg2ASER CONSTRUCTION, LLC: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon requests t DATE OF ACCEPTANCE: Homeowner 7r ser Construction, LLC. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map , Parcel 6 Application # o�OI S Health Division Date Issued jaiI y !S Conservation Division Application Fee (,(� Planning Dept. Permit Fee l Date Definitive Plan Approved by Planning Board AA� Historic - OKH ko _ Preservation/ Hyannis Project Street Address Village Owner�t til � �hh I�l �e'{r �i' Address t9 L4 Ar., Telephone 9 yf to Permit Request d tm o�- 5�-Lh 6nkyc C"A-6- ar, C,&C r P ( n V-eor, C*A .;R 3 Kin/ as Q � Square feet: 1 sit floor: existing — proposed 2nd floor: existing proposed — Total new "— Zoning District Flood Plain Groundwater Overlay Project Valuation-6 bob Construction Type -3 Lot Size Grandfathered: ❑Yes 2�No If yes, attach supporting documentation. Dwelling Type: Single Family - Two Family ❑ Multi-Family(# units) Age of Existing Structure I DO 4 rs• Historic House: ❑Yes AJ�No On Old King's Highway: ❑Yes Llo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other /(tl- 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/l/�- Central Air: ❑Yes ❑ No Fireplaces::/Existing K&New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing 0 new sizA0Pool: ❑ existing ❑ new size # Barn: ❑ existing ❑ new sizeA/1 - Attached garage: ❑ existing ❑ new size g('Shed: ❑ existing ❑ new size&Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes . N�No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION . (BUILDER HOMEOWNER) c7lon�Lu-k Name ` �asu n Telephone Number 5-bZ -L�-q b•f 3 i Address �i o W e S v\ License # Q, 6O Home Improvement Contractor# Email -Nt,(�b ��`� i .c_uw. Worker's Compensation # wcD 5` C961 -c�D ALL CON RUCTION DEBRIS RESU TING FROM THIS PROJEC WILL BETAKEN TO 0.G c�w�05 SIGNATURE DATE F i { l FOR OFFICIAL USE ONLY ,a , APPLICATION# DATE ISSUED MAP/PARCEL NO. x ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r - 6ot�nt oi_f4u�f�n0 R4quat�a!�i#Re sta �ta. 3 Its 04 �i.4- 81b JASM PATRY " PI SMWART Abington MA Oft -got too •. Ofiiee of Coasoaur AfTmin&Bod=n R eladoo- 'HOME tAAPROVENENTCONTRACTOR Re�atratton: 163P2 Typeryl Exptrattoa: 3tii i! SuppfemeM RA C SOLAR CITY CORPOTION I JASON PA`fRY 24 ST MARTIN STREET OLD 2Utu L AAW.BOROLN'KMAO.I. Uaftnmrebry i Tke.CottuttoJIwealth of Mas3achRselts DeparhpW- of 1ru4ustr1al A x*nfY 1 Cevgress Street,Suite IOl7 Boston,MA 62II4 2017 ww►v mawgovlditx f . Rrarkers'Compensation Insurance Affidavit:Benders/Contracton/Eledric€aa/'lumbers. . To BE r1I m WITH THE PIMMIT INN AUTHORITY. AptdicantItnPnrmatfoa - `` Fleaee_Pr�nf I���p. Name(BLwnm orppt"1ion/Indlvidoal) Sala3rCity Corporation Address: 306 Cleatview Way City/Staie/Zip; Son Mateo,CA 9"02 Phone,,i#: (888)765-2489 Are yw=empkrta?Cheek the xppropriate bat: Type of project(required): 1.01 amaemplar w whit 12,500 employees(full audAwpari time).= .7. Q New construction 2E]I a m a sole proprie for or peditership end ha r no employees iOorkiug for an¢.in 8. �'^"(Rertttadvl' my wants kwurancc M liked. hY•� 'c6mD.• q 1. . 31JI amahaun w..doipgall w*ffWsdC lloworkers cm.w.insaraxoa:reattwcd j t 9. [�DernOlition 0 t am a hanwo mew and will be hiring cntracWr,to coaftel all►work on my properW—1 vast I fl[].Building addition aaw Ghat all Matfnetors oida have►rarlxrs,'rauapmasatioo insumaaao orare sale 11.[]Elech ical mpairs.or additions pupa hxors WWI iw w4doy ,. . 12.Q Plumbing repairs or additions 5 f 31 wit a gamiest•oorttasetau end t ham burl the suh-txmtraators listed on the atredaed*ML I3.❑Roof repairs Throe mh-colm. tom halve employees and(rave warkcm,carlk i mmmme t. &E J we are a corpomion and its of ows have cxeroimd their right of excerption per MOL C. 14.[Z]Other eater panels 15Z§1(41 mil we have no employees,[No wotltarW comp.insumm ragniaed.l !Any atppltewd dW elteoks box d1 meet also till out the section ba low sltawh4 Moir wakars,compeamm policy infoonntioa. •i[avers elm sukaii this affidavit Making they are Bang all weak surd than h'ae aratside contractors moist stilmit s rxw arioawis bdicating stark Oast chock this box mist stanched err atjd oral shed showing the alines orft sub•oa nmutm seed nee whedw or wt owse entift 1mve aarOoyass. 1171k atilt-eommalois have employees,they must provide their watakers'comp policy aauaber. J am as Moyer that u providing warkm'corapenatulos ifrsarance for my employs. $ddew Is the palky and jab site fufor�or� Insurance Company Name:American Zurich.Insurance Company Policy#or Self irm Lic.R- WC.018201"0 Expiration Date: 9/112010. Centerville, 64 Park Avenue MA 02632 Jab Site Addt+ess: City/state/Zip: Ameh a copy of the workers'eompenaation policy deebration page(skowing the policy number and expiration date] Failure to some coverage as required under MOL c.152,-§25A is a criminal violation punishable by a fitte up to$1,500.00 anNar one-year imprisonment,as well as civil penalties in ills fort ofs STOP WORK ORDER and a One of up to S250.00 tt. day against the violator.A:copy of this statement may be forwarded to the Office ofinvestigalions orthe DIA ror insurance coverage vasri6cation. I do kereby card m Ow the pains and penalties of perjury that the lisformation peordded above is true ord correct.. ason Pa .October 1,2015 offiela/use onttr. Do not swMe,in this area,re be complelad by:city.or tons o,,(f daL City or Town: Perroit/License# lasing Apthority(circle one): 1.Board of Health 2.Building Department 3.Crtylrown Clark 4.Electrksd Inspector S.Plumbing Impector 6.Other Coutui Petaoa: Plume#: A`a�& CERTIFICATE 4F LIABILITY INSURANCE DATE"m� I OW712015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATWELY OR NEGAMELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A.CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the polley(les)must he endorsed. ff SUBROGATION IS WAIVED,srtb)ect to the terms and conditions of the policy,certain policies may require an endomement. A statement on this certificate does not Confer Fights to the certificate holder in Hsu of such endo►semenga}. CONTACTPRODUCER . MARSH RISK&INSURANCE SERVICES rr FFqq_11tL...-: _....�..._ 346 CALFORNtA STREET,SUITE 130D PRLe 1t+L�_ CALIFOR, DENSE N0.0437153 EMAII SAN FRANCISCO,CA 94104RRQSr$:: Aft Shannon9=4t5-743-8334 msur�Fgs)nFwxcoaocoaEnA�:.... :. ..__:_.: nAlcn 4998301-STND-GAWUE-15-16 — INGURERA_Z1ftArnEllean ir=FanceC-P" f f6535 NLsuRED INSURER s NA NIA SclarClty Corpmation 3065 DevAew Way INSURER C:NA Sm Malec,CA 94402 INSURER 0.Aa xillcan Zurich Insurance CLswny . 142 URERF: COVERAGES CERTIFICATE:NUMBER: SEA-00271383&48. 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. 14OTNTHSTANDING ANY REQUIREMENT,TERM OR CONorrioN OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VyHlCH 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. rASDLWIIR .. _........... ...... ^.POLICYEFF POLICYEXP — - _ ._._.._ :.. . ..... L7R TYPE OF INSURANCE I N LMIFTS A X 'COMMERCIALGENERALUASUttY GLOME2016410 09101120$ 09131=6 EACa1OCCURRENCE S 3,D00,�0 � DAMAGE TO REPITED IJ CLAIMls•MADE I 1 OCCUR PRENISFp lE?aroel.. S X S_IRS250.000:..... .... ( MEOEx?tAnyonepessall 3000,096 PERSONAL&AM INJURY S 3,000,000 GENLAGOREGATELAUTAPPLIESFER . . k. . GENERAL AGGREGATE S 6000,000 X PRO POLICY JECT l ..'.19G tt ?RQau=-GOMPIDPAGG 5 OTHER: A AUTomoauELa nuTy IBAPM82D17--00 0WIM15 D9101016 COMBINED SINGLE Lunn S 5000,000 X (Puss)ANYAtlfB �. I ., � Nr'1p.Y 1M,IURY S ---- X_. AUTOS EO X AUTOS S�C FOULED I f k SODILYINJURY(Perflaiaenll S --- X HIREDAUTOS X AUTO$ D I f I Pi DAMAGE $ COIAPJCOLI DED S $5.000 UtdaRELLA LtAe. . HoccUR f EACH OCCURRENCE i EXCEUUAS CLAJMSENWE ' � i AGGREGATE S O; 'RETENTIONS S D WORKERScMFEM&ATION jWC01820'14-tD(At� 09@1fLD15 f1=1f1D16" Xl1ITRAT!»� � AND FMPLOYERP LIA2111I Y �Os 01l�16 A ANY PROPRIETOA PARTNER/EN£CUT9 VE YIN a �NC0182015-00(MA) 09101 15 , EL EACH AGENT s 1000 000 OFACERRJEMSaREXCLUDED? �MIA! —._ _:.. ._ .--.-........ (Mandatory In mq WC DIMUCTIBLE S50D DED t E L DISEASE_EA EM S 1,904,UD0 OESCRI NO OPERATIONS tow El DISEASE-POLICY Limrr S 1,DDOWD i OESRRIPTION OF OPERATIONS 1 t=AM MS I VEMCLES WAXID M.Addl@onal Rundis Schedule;may be atraahsd It mace apace Is F6404di. . . . . Evidence of Insurance. � a • CERTIFICATE HOLDER CANCELLATION SdarUy Corporation . - SHOULD ANY OF THE ABOI/E OEBCItr$BD POLICIES BE CANCELLED BEFORE San Mateo.C r Way THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN San Mateo.CA_99402 ACCORDANCE VATH THE POLICY PROVISIONS_ AUTHORI EDREPRESE47ATWE of March Risk&Insurance Servkes CharlesMarmolejo 01988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD ,) Version*49.2 op..5 01aecit September 24,2015. too.500V Project/Job#0261824 RE: CERTIFICATION LETTER Project: Bete Residence 64 Park Ave Centerville, MA 02632 To Whom It May Concern, A jobsite survey of the existing framing system was performed by a site survey team from SolarCity:,Structural review was based on site observations and the design criteria listed below: Design Criteria: Applicable Codes= MA Res. Code, 8th Edition,ASCE 7-05,.and 2005.NDS -Risk Category = II -Wind Speed = 110 mph, Exposure Category C Ground Snow Load = 30 psf - MP1: Roof DL= 7 psf,Roof.LL/SL 21 psf(Non-PV Areas), Roof LL/SL,= 11.7 psf(PV Areas) . - MP2: Roof DL= it psf, Roof.LL/SL= 21 psf(Non-PV Areas), Roof LL/SL,.= 11.7 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 On the above referenced project;the components of the structural roof framing impacted by the installation of the PV assembly have been reviewed. After this review it has been determined that the existing structure is adequate to withstand the applicable roof dead load, PV assembly load,and live/snow loads indicated in the design criteria above.. . I certify that the structural roof framing and the new attachments that directly support the gravity loading and wind uplift loading from PV modules have been reviewed.and determined to meet or exceed structural strength requirements of the MA Res. Code,.8th.Edition. ,. . Please contact me with any questions or concerns'regarding this project. Digitally signed by William A. : - EldredgeJr. :. :Date:2015.09.24 13:54:54-04'00' William A. Eldredge, P.E. Professional Engineer T: 888.765.2489.)58636 email: weldredge@solarcity.com 3055 Clearview•Way San_Mateo,CA 94402 T(650)638-1028 (888)SOL-CITY F(650)638,-1029 solarcity.com - AZ ROC 243771,CA CSLO e88104,CO EC 8041,CT HIC 0632778,DC HIC 71101480,00 HIS 71161488.I'll CT-20770,MA Hid'108672,MD MHIC 128m,NJ 13V1.1001606m, OH COB 180498,PFk 077S43,TX TOLR 27006,WA CCL;SO[.J RC`81907,0 2013 S4larrily,'All rights,regarvpd. 09.24.2015 �\C � Version#49.2 PV System Structural. - Solar C�t Design Software PROJECT.INFORMATION &TABLE OF CONTENTS _ Project Name: v Bete Residence AHJ: _Barnstable Job Number 0261824 Building Code: MA Res. Code,8th Edition - Customer_Name: ,�; Bete,Robing 4 Based On: IRC 2009/�iBC 2009 x Address: 64 Park-Ave ASCE Code' ASCE 7-05 City,/State: ._ Centerville, �MA__ _.—Risk.Category_ II' ...� Zip Code 02632 Upgrades Req'd? No Latitude./-Longitude 41648615 -70.349475 ;; Stamp Req'd7 F� a x _ Y_es SC Office:I Cape Cod PV Desi ner: Matthew Ruck Certification Letter 1 Project Information,Table Of Contents, &Vicinity Map 2 Structure.Analysis (Loading Summary and Member Check) 3 Hardware Design (PV System Assembly) 4 Note: Per IBC 1613.1; .Seismic check is not required because Ss = 0.19069 < 0.4g and Seismic Design Category(SDC) = B < D .1 2-MILE VICINITY MAP At "00- i � t Aox OurLacly of vl,ctor 64'Park Ave,Centerville, MA 02632 Latitude:41.648615,Longitude: -70.349475,Exposure Category:C i } STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK MP1 Member Properties Summary MP1 Horizontal Member Spans Rafter Pro erties Overhang. 1.07 ft Actual W 1.50 Roof System Properties San 1 .. 6.01 ft . Actual•D,�:. .. ,3.50" Number of Spans(w/o Overhang) 2 San 2 6.26 ft Nominal Yes RoofingMaterial , Com Roof ' ' S 3`an " ". „,. y. , .urs YA , >, 5:25 in. :A . , Re-Roof . .No San 4 S. 3.06 in:A3 Plywood Sheathing ,z No &S an 5 6 I A 'iK5 36 in.A4 a; Board Sheathing Solid-Sheathing Total Rake Span 16.70 ft TL Defl'n Limit 120 Vaulted Ceiling `°`No PV 1"Start 3.25 ft Wood Species -�-SPF Ceiling Finish 1/2"Gypsum Board PV 1 End 11.25 ft Wood Grade #2 Rafter Sloe ai� 37° 6 PV 2 Start+.., W ;VK T' A5 AFb n 0: : :. . '875 psi t. Rafter Spacing 28"O.C. PV 2 End F„ 135 psi Top Lat Bracing Full a. PV 3 Start n. 'j. NE _ " T1400000 si Bot Lat Bracing At Supports PV 3 End ` Emin, 516006 psi Member Loading mary Roof Pitch 9 12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 7.0 psf z 1.25 8.8 psf 8.8 psf PV Dead Load g-,,,. PVcDLv. �u3 A.0.psf,),, �:.- x.n 1.25,,. ww Z m 3.8 psf-i: rn} Roof Live Load RLL 20.0 psf x 0.75 15.0 psf live/Snow Load # ' LL SL12 '30.0 psf x 0.7 1 x 0.39 ;. .21.0 psf 11.7.psf ; Total Load(Governing LC I TL 1 29.8 Psf 24.2 nsf Notes: 1. ps=Cs*pf,Cs-roof,Cs-pv per ASCE 7[Figure,7-2] 2. pf=0.7(Ce)(CO(Is)py; Ce=0.91 Ct=1.1,IS=1.0 - Member Design Summary(per NDS Governing Load Comb CD CL + CL H CF _: Cr D+ S 1.15 1.00 0.93 1 1.5 1 Member Anal sis Results Summary Maximum Max Demand,. @Location Capacity DCR- Load Combo Shear Stress 46 psi 1.1 ft. . 155 psi 0.30 D+S Bending + Stress v 697 psi 9.8 ft., 1509. si, z z -0.46 D+uS Bending - Stress -1038 psi 7.1 ft. -1407 psi 0.74 D.+S Total Load Deflections •- 0, 01 in-, , 463��," 0' 9 4 ft? 0.78 in. , 12W 'T" `Ty 0.26 `` 'D+S V _' [CALCULATION OF DESIGN_WIND=LOADS=MP1 Mounting Plane Information Roofing Material Comp Roof RK5yqeMWE _Type SolaCiSeeMoul ntT" Spanning Vents No Standoff' Attachment Hardware ' I .#x` _ =ComD<Mount,Tvpe C° x 7v 7_ W=: ._ .. Roof Slope 37 Rafter Spacing - - - 28"O.C. - - -- Framing Type Direction Y-Y Rafters Purim Spacing „_ -XX-X Purlins Only �6 e,_ _ NA _, 14. r Tile Reveal Tile Roofs Only. NA �.. � .Nil Tile Attachment System-. -. e Roofs Only. NA Standin Seam ra spacing SM Seam On NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind gn Method - ' - -_ Partially/Fully Enclosed M_ethod - _ : 7 77- -.I- Basic Wind Speed V 110 mph Fig. 6-1 Exposure Category , C Section 6 5.6.3 Roof Style Gable Roof Fig.6-11B/C/D-14A/B Mean Roof Height = r h : 1 q 25 ft" ' 01. Viz, a; .I4 Section 6;2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.95 Table 6-3 Topographic factor " u -- 1:00 4-4 st, .Section�6.57 :r Wind Directionality Factor Kd 0.85 Table 6-4 Importance Factor I 1:0 Table 67 Velocity Pressure qh qh =0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15 24.9 psf Wind Pressure Ext. Pressure Coefficient U GC u -0.95 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down ° GC' D�Wn r `0 87v,4, ' X, Fig''6-11B/C/D-14A/B Design Wind Pressure p p=qh(GC) Equation 6-22 Wind Pressure U „ -23.6 psf Wind Pressure Down Pfdovml 21.8 psf ALLOWABLE STANDOFF SPACINGS X=Direction Y-Direction Max Allowable Standoff Spacing Landscape 56" 39" �.._ �..-_.r-�.- __ Max Allowable,Cantilever Landscape 24" _-__ _- -_--_- �`�'1. �NA Standoff Configuration Landscape Staggered Max Standoff Tributary'Area , 4 Trib V.,15 sf°°. ' :..Ae ' a a - 64 PV Assembly Dead Load W-PV 3.0 psf Net WindUplift-at Standoff_ ----- _--_T-actual __� 340 Ibs Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand Ca eci DCR' °x , 67:9%a x .a rry. A, I' X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 28" 66" Max Allowable,Cantilever ,.Portra t w - =x, n., ,, 171. Standoff Configuration Portrait Staggered M_a_x Standoff Trib_uta Area -- Trib w u P 13 sf4" If T� - ri :'J, PV Assembly Dead Load W-PV 3.0`psf N at Standoff T-actual_ :. z •-284 Ibs _ Uplift Capacity of Standoff T-allow 500 Ibs . ., . Standoff Demand Ca aci DCR � ,� 2 :, t 56.•7% � .; 7- _�, 7` 77 7 '77 7 STRUCTURE ANALYSIS - LOADING.SUMMARY AND MEMBER CHECK- MP2 Member Properties Summary Horizontal Member S ans Rafter Pro erties MP2 Overhang 1.07 ft Actual W 1.75 Roof System Properties S"an,1 0, "° 'c 12.34 ft` °.:>;Actual D " 1Q6.50',' ^' Number of Spans(w/o Overhang) 1 San 2 Nominal. No Roofing-Material ,.a; <. Comp Roof. xs=, ,Span 31 1, �*., Q ,• :. At,,, i, 11-38 in.^2 .s Re-Roof No Span 4 S. 12.32 in. Plywood Sheathing No San 5, Ag I' 40.05 in.^4 Board Sheathing Solid-Sheathing Total Rake San 16.79 ft TL Defl'n Limit 120 Vaulted Ceiling Yes PV 1 Start 1.75 ft Wood Species DF Ceiling Finish 1/2"Gypsum Board PV 1 End .12.42 ft Wood Grade #2 Rafter Slope :, -37°,..w. M PV•2 Start Fb 900 psi Rafter Spacing 27"O.C. PV 2 End Fv 180 psi Top Lat BracingEt 1600000 psi, 7, ,_ Pot Lat Bracing Full PV 3 End Emi„ 580000 psi Member Loading mary Roof Pitch '9 12 Initial Pitch Adjust Non-PV Areas' PV Areas Roof Dead Load DL 11.0 psf x 1.25 13.8 psf 13.8 psf _ PV Dead Load.,o N. m: . PV-DL. 3.0psf," _ x,1.25 pk 3.8 psf Roof Live Load RLL 20.0 psf x 0.75 .15.0 psf Live/Snow Load LL SL1,2 30.0 psf x 0.T 1 x 0.39 21.0 psf _11.7.psf Total Load(Governing LC TL 1 34.8 psf 1 29.2 psf Notes: 1. s=Cs* f° Cs-roof,Cs v per ASCE 7[Figure 7-2 2. f=0.7 Ce IS • C =0.9,Cr=1.1,Is=1.0 P P i i P P � 9 � P � )(Ct).� )Py. e- Member Design Summary(per NDS Governing Load Comb CD CL + CL - CF Cr D+ S 1.15 1.00 1 1.00 1 1.2 1 Member Anal sis Results Summary. Maximum Max Demand @ Location Capacity DCR Load Combo Shear Stress :. 53 psi 1.1 ft. 207 psi 0.26 D+S Bendin + Stress t, 5' �1189 psi �7.3 ft. t? ., 1242 si ,. 0.96 :;D+.S Bending - Stress -68 psi 1.1 ft. -1242 si 0.06 D+ S Total Load'Deflection `7 -0UVin: .� '228 kk 41.3 ft. * f r 155 in'; �.`L 120° ;. ., 0.53 Awk D+S CALCULATION=OF DESIGN WIND_LOADS- MP2 71 Mounting Plane Information Roofing Material Comp Roof PV System Type _ _ __ Solardty-SleekMountT"' _ Spanning Vents No Standoff; Attachment Hardware ;3€. -` r= Como€Mount Tvoe Cr x "# ;. : Roof Slope 370 Rafter Spacing Framing Type Direction Y-Y Rafters Purlin Spacing X-X Purlins Only _ - NA Tile Reveal Tile Roofs Only NA Tile Attachment System r -„Tile Roofs`OnIY a 7 77NA Standin -Seam ra Spacing SM Seam Only NA Wind Design Criteria Wind Design Code ASCE 7-05 _Wind Design Method " F' Partially/Fully Enclosed Method A �, _ �� Basic Wind Speed V - 110 moh . Fig. 6-1 Exposure Category _ ,. h: ., C , r gam Sectwn 6 5 . 63„_ Roof Style Gable Roof . Fig.6-11B/C/D-14A/B Mean Roof Height h 25 ft Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.95 Table 6-3 w: Topographic Factor _ Krt P .1 00" ` • 77-Section 6.5J °' Wind Directionality Factor Kd 0.85 Table 6-4 Importance Factor r: ." I 7 ru h ate:; e:. c .0 =#77 Table 6-1. , - qh = 0.00256(Kz)(Kzt)(Kd)(VA 2)(1) Velocity Pressure qh 24.9 psf Equation 6-15 Wind Pressure Ext. Pressure Coefficient U GC u -0.95 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down `:GC Don ;je 44& U$m {"0 87 MI ri , fr s:•. Fig.6-11B/C/D-14A/B Design Wind Pressure p p=qh(GC) Equation 6-22 Wind Pressure U -23.6 psf Wind Pressure Down 21.8 psf ALLOWABLE STANDOFF SPACINGS X=Direction Y-Direction Max Allowable Standoff Spacing Landscape 54" 3911 Max Allowable.Cantilever.._ Landscape . Standoff Configuration Landscape Staggered Max Standoff Tributary Area Trib _ v 15 sf PV Assembly Dead Load W-PV 3.0 psf REV,nd Uplift at Standoff . 'EM actual _^ -328 Ibs •:'� € h r Uplift Capacity of Standoff T-allow 500 Ibs Standoff,Demand/CapacityDCR. ...65.5%„ X-Direction Y-Direction Max Allowable Standoff Spacing_ Portrait 27 66" Max Allowable Cantilever° Portrait 17" NA Standoff Configuration Portrait Sta ered Max Standoff-Tributary`Area `%" Trib Vl% 12 sf mw PV Assembly Dead Load W-PV 3.0 psf Net Wind _qt Standoff T-act_uaUpt 273 Ibs. Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand/CapacO DCR" 54J% II f Oi""SolarGW r . Date: October 20,2015 TO: Barnstable Building Department From: SolarCity Corporation Cape Cod Warehouse Phone: (508)640-5397 ..r,, = FAX: (866)552-9847 CD RE: 64 Park Avenue s Centerville, MA 02632 F BP: Not Issued Yet . Application Submitted: October 1, 2015 ' Y S Old Size: 22 Panels @ 5.83 kW Revised Size: 19 Panels @5.035—dated 1011212015 NEW/Original Size: 22 Panels @5.83 kW Our Job No.: JB-0261824 Note: Attached are the revised plans for our,proposed solar installation located at 64 Park Avenue in Centerville. The building&electrical permits applications were sent to your office on October 1, 2015. Since filing the applications for the Building/Electrical permits, we have, revised the plans from October 12, 2015, back to the original plans by removing three (3) panels from'MP2 and replacing those panels, together with three (3) additional panels to MP1. We would greatly appreciate the revised plans being added as a modification to our existing application-for permits. System Size: 22 modules @ 5.83 kw-DC. Please contact me directly with any.questions/concerns. Cheryl Gruenstern Permit Coordinator SolarCity Corporation Cape Cod Warehouse (508) 640.5397 ckruenstern@sola rcity.com SOLARCITY.COM AZ ROC 243771,'ROG 24545p/ROC277498,CA LIC4888104,CO EC8041.CT H!C 0632➢78/ELC 0125305,DC-711014861ECC902585,HI CT-29770.M.A HIC 168572'MA EL-1136MR,MD MHIC 128948, NJ NJHIGk13VHu6,160600l34EB01732700,OR C81804981C5621PB1102,PA HJCPA077343,Y 7CL27006,WA SOLARC'91901JSOLARC'905P.0 2014 SOLARMY CORPORATION.ALL RIGHTS_RESERVED.. f �p SME lq\ A.v ♦r as vA. -------- E*10 6 inonuit J"" _-•- � ..l...,►,, R �vie e Fee e r�Iat�ry �e � MASS. Thomas F.Geiler,Dlredor Building Division Peter F.Diillatteo, Building Commissioner 367 ldaia Stites, HYa=iSNfA 02601w X-P RES.S PERMIT Office: 508-862=038 DEC 4 2001 Fax: 508 90-62-20 _ RESIDWMLJQkL EXPRESS PERnCTf .i�PPLIC�iTION a rrT 10TADLE Not Valid without A dX•Pressltttprutt ,_-- Via arcel�ltunoer � P P Value of Wark Residential Owner's Fame& qO �ddzess_ _ � - Telephone Numbcr Contractor's Name Home Improvement Contractor license (if applicable)- Construction Supervisor's License=(if applicable) ❑Wo,krr='s Compensation Insurance Check one: I am a sole proprietor I am the Homeowner 0 1 haYe Worker's Compensation Insurance Insurance Con7P=Y\?ame Worlanan's Comp.Po1ic}• . Perinit'Rrquest(check boil Re-roof(stripping old shingles) Q Re-roof(not stripping. Going over existing layers ofroofi Q Re-side Replacement Windows. U Value - (=xi=tm'44) Other(specify) • g with other town deparM=t regulations.i.e.Historic Where required: lssu=ce of this parnit does not exempt comp han .Consen�tion.::c. Simature Q:Fornu:eapmrrs 70601 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. 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 GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY,. PHASE, AND SYSTEM PER ART. 210.5. � HDG HOT DIPPED GALVANIZED - - 6. CIRCUITS OVER 250V TO GROUND SHALL ' CURRENT - 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). 6, r MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN (N) NEW RELIEF-AT ALL ENTRY INTO BOXES AS REQUIRED REQUIRED BY NEUT NEUTRAL UL LISTING NTS NOT TO SCALE 9. MODULE FRAMES SHALL BE GROUNDED AT THE - OC ON CENTER UL—LISTED LOCATION PROVIDED BY THE PL PROPERTY LINE MANUFACTURER USING UL LISTED. GROUNDING - - POI POINT OF 'INTERCONNECTION HARDWARE. PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND. POSTS SHALL BE _ - SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. S STAINLESS STEEL STC STANDARD TESTING CONDITIONS TYP- TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V VOLT Vmp VOLTAGE AT MAX POWER VICINITY MAP INDEX Voc VOLTAGE AT OPEN CIRCUIT W WATT 1V1 COVER SHEET 3R NEMA 3R, RAINTIGHT - „ PV2 SITE PLAN 5 z PV3 STRUCTURAL VIEWS a �* j * PV4 UPLIFT CALCULATIONS LICENSE GENERAL NOTES - - Pv5 THREE LINE DIAGRAM y Cutsheets Attached GEN #168572 1. ALL WORK TO BE DONE TO THE 8TH EDITION OF THE MA STATE BUILDING CODE. ELEC 1136 MR 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2014 NATIONAL ELECTRIC CODE INCLUDING ` MASSACHUSETTS AMENDMENTS. MODULE GROUNDING METHOD: ZEP SOLAR ' i • REV BY AHJ: Barnstable � spe DATE COMMENTS REV A MRUC 10/9/2015 LAYOUT CHANGE/SYSTEM DOWNSIZE REV B J Child 10/15/2015 Reverted back to original design,shifted array on MP UTILITY: NSTAR Electric (Boston Edison) CONFIDENTIAL THE INFORMATION HEREIN JOB NUMBER PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE J B-0261824 00 � �+ • BETE, ROBIN I. BETE RESIDENCE Matthew Ruck �.7��arC�ty. BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: G *�: NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 64 PARK AVE ! 5.83 KW PV ARRAY ►r PART TO OTHERS OUTSIDE THE RECIPIENTS I ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES CENTERVIL, MA 02632 I 24St. Martin Drive Building 2, Unit 11 THE SALE AND USE OF THE RESPECTIVE (22) Hanwha Q—Cells # Q.PRO G4/SC 265 SHEET REN DATE Marlborough, MA 01752 SOLARgTY EQUIPMENT, W1IHOUT THE WRITTEN INVERTER: PAGE NAME. T.- (650)638-1028 F.- (650)638-1029 PERMISSION of SOLARCITY INC. SERTER: GE sES000A-us000sNR2 5085349456 COVER SHEET PV 1 b 10/15/2015 (868)-SOL-CITY(765-2489) www.solarcity.com PITCH: 37 ARRAY PITCH:37 MP1 AZIMUTH: 177 ARRAY_ AZIMUTH: 177 MATERIAL: Comp Shingle STORY: 2 Stories PITCH: 37 ARRAY PITCH:37 MP2 AZIMUTH:87 ARRAY AZIMUTH:87 MATERIAL: Comp Shingle STORY: 2 Stories LEGEND Inv Q AC (E) UTILITY METER & WARNING LABEL o INVERTER W/ INTEGRATED DC DISCO a M ® - inv & WARNING LABELS QED O © DC DISCONNECT & WARNING LABELS AC AC DISCONNECT& WARNING LABELS Q DC JUNCTION/COMBINER BOX & LABELS A �OF QD DISTRIBUTION PANEL & LABELS B - wlwAMA. G Lc LOAD CENTER & WARNING LABELS � Et.D . OM DEDICATED PV SYSTEM METER ci STANDOFF LOCATIONS CONDUIT RUN ON EXTERIOR Ilk --- CONDUIT RUN ON INTERIOR G o GATE/FENCE Q HEAT PRODUCING VENTS ARE RED ��`11 INTERIOR EQUIPMENT IS DASHED Front Of House STAMPED & SIGNED FOR STRUCTURAL ONLY Digitally signed by SITE PLAN N William A.Eldredge Jr. Scale: 3/32" = 1' Date:2015:1 0.15 W E 15:19:12-04'00' 01, '10, 21' S CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: J —B 0 2 6 1 8 2 4 00 PREMISE OWNER: DESCRIPTION: DESIGN: \\� S � CONTAINED SHALL NOT BE USED FOR THE BETE, ROBIN BETE RESIDENCE Matthew Ruck � BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: w�„ olarC't NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 64 PARK AVE 5.83 KW PV AR-RAY PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES- CENTERVIL MA 02632 ORGANIZATION, EXCEPT IN CONNECTION WITH ; , 24 SL Martin Drive Building 2 Z Unit 11 THE SALE AND USE OF THE RESPECTIVE (22) Han Who Q—.Cells # Q.PRO G4/SC 265 PAGE NAME SHEEP: REV DATE Marlborough,MA B01752 uilding SOLARCITY EQUIPMENT,WITHOUT THE WRITTEN INVERTER: T. (650)638-1028 F: (650)638-1029 PERMISSION OF SOLARCITY INC. SOLAREDGE SE5000A-USOOOSNR2 5085349456 SITE PLAN PV 2 b 10/15/2015 (886)—sOL-CITY(765-2489) www.solarcity.com PV MODULE 5/16" BOLT WITH LOCK INSTALLATION ORDER & FENDER WASHERS „ LOCATE RAFTER MARK HOL E LE ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT (6) HOLE. (4) (2) SEAL PILOT HOLE WITH POLYURETHANE SEALANT. ZEP COMP MOUNT C - ZEP FLASHING C (3) .INSERT:FLASHING L (E) 'COMP. SHINGLE (E) ROOF DECKING U (2) U - TALL LA BOLT W-INS G WITH ,. (E) 2x6 5/16" DIA STAINLESS (5) (5) SEALING WASHER. ^ STEEL LAG BOLT. - LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH WITH SEALING WASHER (6) (2-1/2" EMBED, MIN) BOLT & WASHERS. (E) RAFTER STANDOFF e: - (E) L (E) LBW o (E) LBW (E) LBW S1 of s n S-6" - WILMA 3'-6°. 8'-11° RIEDWilt (E) LBW $ motto 1'-1 ' (E) LBW SIDE VIEWOF .MP1 NTs SIDE VlW OF M�P��NS A B MP1 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES `'► "` MP2 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES LANDSCAPE 56" 24" STAGGERED w LANDSCAPE 54" 24" STAGGERED PORTRAIT 28" 17" PORTRAIT 27" 17" RAFTER 2X4 @ 28" OC ROOF AZI 177 PITCH 37 STORIES: 2 STAMPED & SIGN'�EC)' RAFTER 1-1/2"x6-5/8" @ 27" OC ROOF AZI 87 PITCH 37 STORIES: 2 ARRAY AZI 177 PITCH 37 FOR STRUCTURAL ONLY ARRAY AZI 87 PITCH 37 C.J. 2x6 @16" OC Comp Shingle C.J. 1-1/2"x6" @27" OC Comp Shingle CONFIDENTIAL— THE INFORMATION..HERON JOB NUMBER: PREMISE OWNER: DESCRIPTION: DESIGN: \`. . CONTAINED SHALL NOT.BE USED FOR THE J B-0261'824 00 `�!s SolarCit BETE ROBIN BETE RESIDENCE Matthew Ruck. BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: A•.r NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 64 PARK AVE 5.83 KW PV ARRAY h� PART TO OTHERS OUTSIDE THE RECIPIENTS + ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES CENTERVIL, MA 02632 THE SALE AND USE OF THE RESPECTIVE (22) Hanwha Q-Cells # Q.PRO G4/SC 265 24`St: Martin Drive, Building 2, Unit 11 SOLARCITY EOUIPMENT, WITHOUT THE WRITTEN ,i PAGE NAME SHEET: REV DATE Marlborough,MA 50 PERMISSION OF SOLARCITY INC. INNER: 50853`t9456 PV 3 b 10 15 2015 T: SOLO)638-105— F. (65 ww.sol-10y9 SOLAREDGE SE5000A-USOOOSNR2 STRUCTURAL VIEWS / / (BBB)-soL-CITY -248s) rrww.5olarcR.�orn L f UPLIFT CALCULATIONS SEE SEPARATE PACKET FOR STRUCTURAL CALCULATIONS. J B-0 2 618 2 4 0 0 PREMISE OWNER: DESCPoPTIOIx DESIGN: CONFIDENTIAL THE INFORMATION HEREIN JOB NUMBER: ' �OI���'� CONTAINEDTAINED SHALL NOT BE USED FOR THE - BETE ROBIN BETE RESIDENCE Matthew Ruck BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: �I,` NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 64 PARK AVE 5.83 KW PV ARRAY y. PART TO OTHERS OUTSIDE THE RECIPIENT'S Mooul�s CENTERVIL MA 02632 ORGANIZATION, EXCEPT IN CONNECTION WITH ° 24 St Martin Drive. Building 2, Unit 11 THE SALE AND USE OF THE RESPECTIVE (22) Hanwha Q—Cells # Q.PRO G4/SC 265 PAGE NAME SHEET: REV: DATE Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: T: (650)638-1028 F. (650)638-1029 PERMISSION OF SOLARCITY INC. ISOLAREDGE SE5000A—USOOOSNR2 5085349456 UPLIFT CALCULATIONS PV 4 b 10/15/2015 (888)-SOL—CITY(765-2489) www.8darcitycom 4 GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER-SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO TWO (N) GROUND Panel Number:NoLobel Inv 1: DC Ungrounded INV 1 (1)SOLAREDGE#SE5000A-US000SNR LABEL: A -( 2)Hanwho Q-Cells # Q.PRO G4/SC 265 GEN #168572 RODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:2227207 Inverter; 50u0W, 240V, 97.5% w�Unifed Disco and ZB,RGM,AFCI PV Module; 265 , 241.3W PTC, 40mm, Blk Frame, H4, ZEP, 1000V ELEC 1136 MR Overhead Service Entrance INV 2 ' Voc: 38.01 Vpmox: 30.75 , INV 3 Isc AND Imp ARE SHOWN IN THE DC-STRINGS-IDENTIFIER E 125A MAIN SERVICE PANEL _ �E; 100A/2P MAIN CIRCUIT BREAKER ' Inverter 1 E) WIRING , ( CUTLER-HAMMER . 10OA/2P Disconnect 3 SOLAREDGE. f SE5000A-USOOOSNR2 MP 2:1x10 (E) LOADS A _ -------------- ,_ 2a.V r------ _------------- -------- -- --- - -{ DC+ V DO I 2 30_A/2P DC+--------- _ -- -- -------- +A ------ ---.lN . . DC- . . _ MP 1�2: 1x12 EGC--- ---------- _----- ------------- G -------=-- - ------tJ N i (1)Conduit Kit; 3/4' EMT - r o EGC/GEC . . - _ -1 i TO 120/240V SINGLE PHASE - UTILITY SERVICE . I I - J. PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN Voc - MAX VOC AT MIN TEMP 1. ., POI (1)CUTLER-HAMMEJ2 #BR230 PV BACKFEED BREAKER A (i)CUTLER-HAMMER OG221URB /r, PV (22)SOLAREDGE300-2NA4AZS D� Breaker, 30A 2P, 2 Spaces Disconnect; 3OA, 240Vac, Non-Fusible, NEMA 3R /-� PowerBox ptimizer, 300W, H4, DC to DC,'ZEP -(2)Gro qd ROO -(1)CUTLER-rMER� DG03ONB Sr8 x 8, Copper Ground/Neutral d; 30A, General Duty(DG) nd (1)AWG �6, Solid Bare Copper -(1)Ground Rod; 5/8",x B', Copper'° (N) ARRAY GROUND PER 690.47(D). NOTE: PER.EXCEPTION NO. 2, ADDITIONAL ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCATION OF (E) ELECTRODE RE 1 AWG#10, 7HWN-2, Black f AWG 0, PV Wire, 60OV, Black Voc* =500 VDC Isc =15 ADC. O (1)AWG#10, THWN-2, Red O (1)AWG#6, Solid Bare CopperlaEGC Vmp =35Q VDC Imp=7.47 ADC (1)AWG#10, THWN-2, White NEUTRAL VmP =240 VAC Imp=21 AAC i 1 Conduit Kit; 3 4' EMT �. . . . . . . . . ./. . . . . . . . . . . . . . . . . . . _ . . . . .70)AWG#8,.TH_WN-2,,GYeen , , EGC/GEC-(1)Conduit Kit;,3/47.EMT. . . . . . . . _ . (2)AWG#10, PV Wire, 60OV, Black Voc* =500 VDC Isc =15 ADC O (1)AWG#6, Solid Bare Copper EGC Vmp =350 VDC Imp=8.97 ADC . . . . . . . (1)Conduit Kit;.3/4' EMT. . . . . . . • CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: l R PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE "` —O OO �\`!' • BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM; BETE, ROBIN BETE RESIDENCE Matthew Ruck i�� SolarCit NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 64 PARK AVE 5.83 KW PV ARRAY A _ y PART To OTHERS OUTSIDE THE RECIPIENT'S ORGANIZATION, EXCEPT IN CONNECTION WiTH MODULES: CENTERVIL, MA 02632 THE SALE AND USE OF THE RESPECTIVE (22) Hanwha Q-Cells # Q.PRO.G4/SC 265 24 St. Martin Drive,Building 2, Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN Q PAGE NAME SHEET: REV: DATE Marlborough,MA 01752 PERMISSION OF SOLARCITY INC INVERTER: 5085349456 PV 5 b 1O 15 20�5 T: (650)638-1028 R 650)638-1029 SOLAREDGE SE5000A-USOOOSNR2 THREE LINE DIAGRAM / / (8BB)-SOL-CITY(765-2489 ww%solarcit.com Label Location: Label Location: Label Location: • 0 0 0 •e - 0 - (C)(CB) (AC)(POI) 1 0 .w (DC) (INV) Per Code: Per Code: _ Per Code: . NEC 690.31.G.3 . o oo 0 0 NEC 690.17.E ° ° e e °_ •°• NEC 690.35(F) Label Location: ° e :o n - o 0 MUSED• ° e • o - TO BE USED WHEN (DC)(INV) gio INVERTER IS O Per Code: UNGROUNDED NEC 690.14.C.2 Label Location: Label Location: - o 0 0 °• -o ° Cop (POI) _o (DC)(INV) ° Per Code: -° Per Code: • • •-o 0 0o o NEC 690.17.4; NEC 690.54 .o ° . NEC 690.53 ° :o o o•n o • �'o �: a o- -o 0 0- e- -o 0 Label Location: °' 'D' ► e1 �n O (DC) (INV) _ Per Code: UFA -o e ® o o NEC 690.5(C) Label Location: (POI) 0 o e • o o n •o - o - Per Code: o e •o -o NEC 690.64.B.4 Label Location: c (DC) (CB) Per Code: Label Location: . NEC 690.17(4) �� (D) (POI) • �:o _ o - o ° o Per Code: e- o o - ®:• o NEC 690.64.B.4 0 0 • 0 00 •- -o ° o Label Location: o (POI) Per Code: Label Location: PC M-10 NEC 690.64.B.7 o 0 (AC):AC Disconnect Pao O O (AC)(POI) Per Code: °e a (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 (AC) (POI) (LC): Load Center °. .. �A Per Code: (M): Utility Meter W NEC 690.54 (POI): Point of Interconnection CONFlDENTIAL- THE INFORMATION HEREIN CONTAINED SHALL NOT BE USED FOR 3055 Clearview Way THE BENEFIT OF ANYONE EXCEPT SOLARCITY INC., NOR SHALL.IT BE DISCLOSED San Mateo,CA 94402 IN WHOLE OR IN PART TO OTHERS OUTSIDE THE RECIPIENT'S ORGANIZATION, Label Set ����►` T:(650)638d028 F:(650)638-1029 EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE �� (888)-SOL-Crry(765-2489)www.solarcity.com SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PERMISSION OF SOLARCITY INC. L •Y ''^SOIarClty ZepSolar Next-Level PV Mounting Technology l QsolarClty ZepSOlar Next-Level PV Mounting Technology Zep System Components for composition shingle roofs .11pre\oo 6raeoW 7nterloek f✓4-N ad stw'nF y vN i .. zePsr� N n Arragskrl h OOMPgT��`� Descriptionri rF j PV mounting solution for composition shingle roofs AcowPts`a Works with all Zap Compatible Modules Auto bonding UL-listed hardware creates structual and electrical bond • Zep System has a UL 1703 Class"A"Fire Rating when installed using U� LISTED modules from any manufacturer certified as"Type 1"or"Type 2" Comp Mount Interlock .'Leveling Foot Part No.850-1382 Part No.850-1388 Part No.850-1397 Listed to UL 2582& Listed to UL 2703 Listed to UL 2703 Specifications Mounting Block to UL 2703 • P Designed for itched roofs 9 • Installs in portrait and landscape orientations , Z System supports module wind uplift n 50 r 1703 Zep Sys a suppo s o e p ft and snow load pressures to psf per UL • Wind tunnel report to ASCE 7-05 and 7-10 standards 1 • 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" VVV 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.Zap Solar's sole warranty is contained in the written product warranty for r• This document does not create any express warranty by Zep Solar or about its products or services.Zap Solar's sole warranty is contained in the written product warranty for 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. ., _ responsible for verifying the suitability of Zap Solar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. 02 27 15 ZS for Comp Shingle Cutsheet Rev 04.pdf Page: 1 of 2 - • - -02 27 15 ZS for Comp Shingle Cutsheet Rev 04.pdf Page: 2 of 2 n .S�Iar � solar=ooSolarEdge-Power Optimizer ' 0 0 � Module Add-On for North America P300 / P350 / P400 SolarEdge Power Optimizer _ - P300 P350 P400 Module Add-On For North America (formodule PV (formodule PV (formodules PV modules) modules) modules) _ P300 / P350 / P400 INPUT Rated Input DC Power" 300 350 400 W , ........................................................................................................... .. ............................................ ............. _ Absolute Maximum Input Voltage(Vdc at lowest temperature) 48 : 60 80 . MPPT Operating Range .......... 48 8 60 8 80 Vdc Maximum Short Grcuit Current(Isc) 10. - . Adc Maximum DC Input Current 12.5 Adc 7J ............................................................................................................................................................... .. ............ Maximum Efficiency 99.5 % ............................................................................I...........:................. ...................................... ............. I o-�.' Weighted Efficiency 98.8.......................... ........ ...%...... Overvoltage Category F. 11 OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER) _ - Maximum Output Current 15 Adc. , Maximum Output Voltage 1 60 Vdc OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF) 03 Safety Output Voltage per Power Optimizer 1 Vdc ' STANDARD COMPLIANCE - • EMC FCC Part15 Class B,IEC61000 6 2 IEC63000 6 3 r fir•-_ _ Safety .............................. .......... .. .. .......IEC62309-1.(dass II safetyl,UL3741 .. ... ........... Rolls Yes - INSTALLATION SPECIFICATIONS '�` Maximum Allowed System Voltage 3000 .. Vdc ' Dimensions(WzIx HI ,.,,.,,,,,, ..141 x 212 x 40.5/5.55 x 8.34 x159 mm/in ..................................................... ....... ...... ..... e tt Weight(including cables)......... ......950/2:1......................... .....:. Input .................................... MC4/Amphenol/.Tyco ,.I......., ... - - OutputWireType/Connector ,,,,. Double Insulated Amphenol...,. ,. fir: '- .e. - :Output Wire Length. ....... ......................... 095/30. .L:............. 12/39 m/ft ... ..... �. � •,` - s. ," � �� - Operatin�7em erature Ran a 40 +85 40 +185 C/F ,...:.., . Protection RatinB......................................................................................IP65/NEMA4..................... Relative HumiditY...................... ... ........................... ... .......... -. maoMa sre oowo.mme moamc.moaom oroorosx po.o�tmo�oaonowca - :PV SYSTEM DESIGN USING A SOLAREDGE THREE PHASE THREE PHASE INVERTER SINGLE PHASE 208V 480V PV power optimization at the module-level , Minimumstrmg LengthcPnweroptimizem) 8 10 18 ............................. ................................................................................. Maximum String Length(Power Optimizers) 25 25 50 - ................................................... ............................................................ Up to 25%more energy - - Maximum Power per String 5250 6000 - 12750 W Superiorefficiency(99.5%) - .......................er St........�.....................................:..:.................. ..................................................... .......... - Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading - Parallel St..rings of different Len hs or Orientations Yes _ f Flexible system design for maximum space utilization _ - _ _ �.�`__ •-^ _ -�y w j — Fast installation with a single bolt ) Next generation maintenance with module-level monitoring I Module-level voltage shutdown for installer and firefighter safety USA - GERMANY - ITALY - FRANCE - JAPAN - CNINA - ISRAEL - AUSTRALIA WWW.SOIaredge.uS p�e8@+o.,1iX�1@� KdJm�Yb ��etc oe .��s$4wi'$F•:+rp�o+w�4' � �S: R•($"D(Y WNIiiW�ati• "I Format 65.7 in x 39.4 in x 1.57 in(including frame) - - l (1670 mm x 1000 mmx 40 mm) _ 1 Weighty 44.09 Ito(20.0 kg) From Cover 0.13 in(3.2 mm)thermally pre-stressed glass - :r1"" _ with anti-reflection technology _ - ,. _ I,Back Cover Composite film - + m } �"•�R �„� ' Frame_ Black anodized ZEP compatible frame ... Cell _, 6 x 10 polycrystalline solar cells t .. IV f Junction box Protection class IP67,with bypass diodes 1 Cable 4 mmx Solar cable;(+)a47.24 in(1200 mm),(-)a47.24in(1200 mm) .Connector Amphenol,Helios H4(IP68) E PERFORMANCE AT STANDARD TEST CONDITIONS(STQ 1000 W/m�,25-C,AM 1.5G SPECTRUM)'' •% q POWERCLASS(+5W/-OW) [W] - - 255 260 265 Nominal Power _ Pa„ 1 [W] -- « 255 •260 ...-. 265 / - Short Circuit Current - lu [A] 9.07 ~� 9.15 « 4 9.23 .• • ' • ' • ' ' rt Open Circuit Voltage V. [VI 37.54 37.77 38.01 _ .. - Current at Px,E I1p° [A] 8.45 8.53 8.62 } e at P.P1 30.75 The new Q.PRO-G4/SC is the reliable evergreen fiEohagncy(No Vrl % - - 30.18 3046 :15.9 g en for all applications,with ""`-`T�- � ' Efficiency(Nominal Power) q [%] a15.3 a15.6 z15.9 a black Zep CompatibleTM frame design for improved aesthetics, opt'- PERFORMANCE AT NORMAL OPERATING CELL TEMPERATURE(NOCT:800 W/ma,45 m3'C.AM 1.5G SPECTRUM)' th POWER CLASS • - [WI. 255 - T 260 - 265 mized material usage and increased safety.The 4 solar module genera- � _, W _.. _ _ tion from Q CELLS has been optimised across the board: improved output Nominal Power P,,. [Wl - 188.3 {192 0 195.7 I Short Circuit Current Is, [A] 7.31 7.38 7.44 yield, higher operating reliability and durability, quicker installation and � i5.16 - - . .. ..,.. ;: Open Circuit Voltage V. [V] 34.95 35.38 more Intelligent design. _ - _ + Current at Psv, - w I.Ee [A] _ 6.61 6.68 - -6.75 . ;1 Voltage at P,,,E V_ [V) 28.48 28.75 29.01 . - ( mew f mom, ..� � tolerances NOCT::5%(P );m10%(I V I, mo°,Vd i 3 yMeasuremen[tolerances STCi t3%(P );f lON(I�,Vim,I Vm°°) Measurement i - .. -Id INNOVATIVE ALL-WEATHER TECHNOLOGY PROFIT-INCREASING GLASS TECHNOLOGY DCELLS PERFORMANCE WARRANTY µ PERFORMANCE AT LOW IRRADIANCE •Maximum yields with excellent low-light •Reduction of light reflection by 50%, - . _ At least 97%of nominal power during ' r-r and temperature behaviour. plus long-term corrosion resistance due ;W,n -4� 21'-' first year.Thereafter max.0.6%degra- Na:• ___ ___ dation per year... - W •Certified fully resistant to level 5 salt fog to high-quality ■ :CR At least 92%of nominal power after s c _-_ 10 years. r- •Sol-Gel roller coating processing. ` ;���° - At least 83%of nominal power after � • � i , ENDURING HIGH PERFORMANCE R e• ____ 25 years. a: ------ Long-term r i- i- • Yield Security due to Anti EXTENDED WARRANTIES All data within measurement tolerances. ao - - sw o� _ a Full warranties in accordance with the PID Technology', Hot-Spot Protect, •Investment security due to 12-year warranty terms of the Q CELLS sales HIMDMNCE[whn+] - _ organisation of your respective country. and Traceable Quality Tra.QTm. product warranty and 25-year linear. - >a - The typical change in module efficiency at an irradiance of 200 W/ma in relation - rE-m to 1000 W/ma(both at 25°C and AM 1.5G spectrum)is-2%(relative). •Long-term stability due to VDE Quality performance warranty2. � """ - Tested-the strictest test program. ----- l TEMPERATURE COEFFICIENTS(AT 100o W/M2 25 C,AM 1 5G SPECTRUM) - GICELLS b Temperature Coefficient of Isc a [%/K] +0.04 Temperature CoeKeient of V� -p [%/K] -0.30 f 8 - TOP BRAND PV _eat - .- - SAFE ELECTRONICS - - - � [ Temperature Coefficient of PmEE y [%/R] -0.41 NOCT � [°Fl y -113 s 5.4(45 x 3°C) •Protection against short circuits and thermally induced power losses due t0 Maximum:System Voltage V., IV) 1000(IEC))1000(LIL) safety Class breathable junction box and welded Max Load(ULY [Ibs/Ns] 50(2400 Pa) Permittedg C TYPE 1 t e - Maximum Series Fuse Rating [A DC] 20 Fire continuous4 4 . . »_ [I module temperature - -40oF up to+185°F { cables. _ duty (-40°c up to+85°c) a C Phntnn f.Load Rating(ULY fibs/fPl 50(2400 Pa) z see installation manual f Quality Teatetl 'QCEIts r 1 1. L 1 f ' t. .„t_,- - � _ �'+Y, M BEY Dol,cryclalllne - - - n 0. lar module 201a , UL 1703;VDE Quality Tested;CE<ompliant; Number of Modules per Pallet 26 IEC 61215(Ed.2);IEC 61730(Ed.l)application class A - "' - ID.40032587 .::'�me0"e°Xi°. Number of Pallets per 53'Container _ -32 - THE IDEAL SOLUTION FOR:. 1t °OMD4re Humber of Pallets per 40'CBmainer 26 Rooftop arrays on , �/ [/' SA® residential buildin GpMPq T7A A 1 (] E `r E c�us % Pallet Dimensions I x W x H) 4 68.7 m x 45.0 m x 46.0 in f - N� (1745 x 1145 x 1170 mm) Pallet Weight' __. _ 1254 lb(569 kg) 7 5 4% v - NOTE:Installation instructions must be followed.See the installation and operating manual or contact our technical service department for further information on approved installation and use of APT test conditions:Cells at-1000V against grounded,with conductive metal full covered module surface, COMPAt�O this product.Warranty void if non-ZEP-certified hardware is attached to groove in module frame. i u, 25°C,168h r. z See data sheet on rear for further information. ,, Hanwha B CELLS USA Corp. ' 300 Spectrum Center Drive,Suite 1250,Irvine,CA 92618,USA I TEL+1 949 748 59 96 1 EMAIL gcells-usa®q.cells.com I WEB www.q-cells.us Engineered in Germany CELLS j Engineered in Germany OCELLS solar=oo Single Phase Inverters for North America s o I a re 0 0 rT SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ nn nn nn SE760OA-US/SE1000OA-US/SE1140OA-US I��I • SE3000A-US SE380OA-US SE5000A-US SE6000A-US SE760OA-US SE10000A-US SE1140OA-US OUTPUT 9980 @ 208V SolarEdge Single Phase Inverters '� Nominal AC Power Output 3000. 3800 . 5000 6000 7600 10000 Ga1240V 11400 V.. Max AC Power Output 3300 4150 5400 @ 208V 6000 8350 10800 @ 208V 12000 VA For North America. _ .. ....... ........ ....... ...... ... 5450 @?4DV......... ...... ..............:..1o950,ea,240V. ............. ................ AC Output Voltage Min.-Nom:Max.(ll 183-208-229 Vac - - - _ ` SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ Output Vol.....Min.No .Max.... ................ ............:.. ......� .......:.............. ............... �. ..:. :...................:........ AC Output Voltage Min:Nom:Max!=( SE7600A-US/SE10000A-US/SE1140OA-US . 211-240-264Vac .AC Frequency Min,.Nom:Max.!?(....... ................ .. ...........59.3,60;60,5(with HI country setting 57„60::60:5)••.......... .....................Hz••,.. Max Continuous Output Current. ••••.12.5•••••.I .••16......I 21(R1.240V-.I•...•.25...•••L•• •32 ••••••48@208V I 47.5 A .. ......... ......... ........ 42,�41.240V GFDI Threshold 1 A ( # Utility Monitoring,Islanding Protection,Country Configurable Thresholds Yes _ Yes - 4 INPUT f �we rfey- _ Maximum DC Power(STC) 4.050 5100 6750 8300 10250 13500 15350 W ('� 5 Transformer less Un rounded Yes ................ rt ....... Va aOtY Max.. ......................................:................... Nom Input Voltage 500 Vdc ats ................ ................. ...............................................32..5......208...V.../350 @ 240V Vdc .. ;DC Input Voltage.. @ Max.Input Current('( 9.5 13 16 5 @ 208V 18 23 33 @ 208V 34.5 Adc 15 s.Gal 240V 30 5.0.240V ......... ........................ ... ................................. Max.Input Short Circuit Current 45 Adc ........................................... ..................................................................................................................................... - Reverse:PolarityProtection Yes .............................................................................................................................. Ground Fault Isolation Detection -600ka Sensitivity } Maximum.nve Inverter Efficiency 97.7 -.••98.2••• 98.3 98.3 ... ...,98..•.. •• 96,••••• ••,,.98••.... ••%•••••+i) ..CEC Weighted Efficiency............... ......97.5......I......98......I.998 240y..1......97.5.....L....97.5........97 @ 208V L.....97.5...........�..... Nighttime Power Consumption <2.5 <4 W r ADDITIONAL FEATURES ` Supported Communication Interfaces - R5485,RS232,Ethernet,ZigBee(optional) ` ........................................... ...................................... ................... ....... ..........-....................................................... Revenue Grade Data,ANSI C12.1 optional"' ........................................... ................................................................................................ ......:.. ................. Q ' Rapid Shutdown-NEC 2014 690.12 Functionality enabled when SolarEdge rapid shutdown kit is installed(4) STANDARD COMPLIANCE t "'" •W � UL3741,UL16996,UL1998,CSA 22.2 p.. s,.. ........................................... ............................................................ ......... .............................................................. Grid Connection Standards IEEE1547 Iit - - -- Emissions FCC part15 class B _ _f. I INSTALLATION SPECIFICATIONS - .trra f - ....--1 AC out ut conduit size AWG ran a 3/4"minimum/16-6 AWG 3/4"minimum/8 3 AWG ...Cinputco.conduit size' �..........g.... .................................................g.�...... ....... . ........... . ..... • r DC input conduit size/ti of strings/ _ 3/4"minimum/1-2 strings/ l { ,AWG•rang?............................. 14:6 AWG - - Dimensions with Safety Switch ............ ......... ............. ...30.5 x 12.5 x 10.5./.. ... ..in%.... ii 3/4"minimum 1 2 strings 16 6 AWG .. .... .. ... .... p ` 305 x 125 x72/775 x 315 x 184 ..(HxWxO).••; .... 775x315x2.60 mm f Weight.withSafetySwitch••.••••..•••• ••.•......51.2/23.2••.....•..I.••„••.._.._......54:7/24.7.. .......•.•• .,,_ 88.4/40.1 Ib/kg �F .. ... .... Natural ................ ........ ... convection Cooling Natural Convection and internal Fans(user replaceable) fan(user The best-choice for SolarEdge enabled systems ..:.......... ........ ................................................... rgg�aceanlel..,....... :.. .. .................. ............ . . - Noise <25 <50 dBA -. ........................................... . .................................................. ......... Integrated arc fault protection(Type 1)for NEC 2011 690.11 compliance Min.-Max.Operating Temperature -13 to+140/-25 to+60(-40 to+60 version avallable(si) 'F/•C Superior efficiency(98%) Range............. ...................... ..................................................................................................................................... Protection Rating NEMA 3R Small,lightweight and easy to install on provided bracket For other regional settings please contact Solar6egeaupport (_(A higher current source may be used;the inverter will limit its input current to the values stated. �. Built-in module-level monitoring - - - Pl Revenue grade inverter P/N:SE—A-US000NNR2(for 760DW inverter:SE7600A-US002NN112). NI Rapid shutdown kit P/N:SE1000-RSD-51. Internet connection through Ethernet or Wireless (sl-40 version PIN:SEx—A-U5000NNU4(for 760OW Inverter:SE7600A-US002NNU4). Outdoor and indoor installation I Fixed voltage inverter,DC/AC conversion only _ Pre-assembled Safety Switch for faster installation I ` Optional—.revenue grade.data,ANSI C12.1 sunsf USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-ISRAEL www.SOlaredge.US - ... �I �_- - ��rUrilll7lit+AOrSTLa�a °tiM�;