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0962 OLD STAGE ROAD
a OW L ° H F q . p . a ° { ° , ° TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION UJ Map t -7Z Parcel <ri �� Applicatio Health Division Date Issued 3 -IV-1-7CIO +� Conservation Division `� Application Planning Dept. Permit Fee n, r--, V1 6 0 OU Date Definitive Plan Approved by Planning Board c Historic - OKH _ Preservation / Hyannis Project Street Address 16 2- Old �4,a Ad VillageQrn��'rY1 Owner LLB c(& lob 1 Sol, Address 96), ew 444 Telephone -U ^ 2-12-- q /7 Permit Request :iIldt, 14f � I, d& PyiX< � b-�kdf- 1h -141c 1001.1&A. t1 119 arc-KC) (,)Vtdc/w, Square feet: 1 st flo r: existing Afef proposed 2nd floor: existing W01 proposed Total new — Zoning District K Flood Plain Groundwater Overlay Project Valuatio 3366. Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Id Two Family ❑ Multi-Family(# units) Age of Existing Structure jig Historic House: ❑Yes 2f No On Old King's Highway: ❑Yes fd No Basement Type: Bull ❑ 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: 2 existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: Qi 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: Ell/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 ►J✓fG� u��Gt�.. Telephone Number ,ro i- 36o •-31-� Address �J� CTf7�F Tel-v-ACe License# G j d o 3�_y- (_eN+Cw(((P 1_ 444 U 3 Z Home Improvement Contractor# CSC L 11 Email Cowa cl`• n2 Worker's Compensation # 414"Nviou." ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE l6 Z�l FOR OFFICIAL,USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ""'ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING L` DATE CLOSED OUT l ASSOCIATION PLAN NO. 3 t i CERTIFICATE OF LIABILITY INSURANCE 3/12/2017 THIS CERTIFICATE 6S ISSUED AS A MATTER OF TM MC5H8A INSURANCE AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1550 Falmouth Rd Ste #2 ALTER THE COVERAGE AFFORDED BY THE MMES BELOW. Centerville, IAA 02632 INSURERS AFFORDING COVERAGE Shanahan, Brian N. WSURERA: 32 Goff Terrace INSURERB: Centerville, MA 02632 WSURERC: 508-428-7674 IMRER D. iMRER E: )OVERAGES THE POLICIES OF MMANCE LISTED BELOW HAVE BEEN SSUED TO THE MIRED NAMED ABOVE FOR THE POLICY PERIOD MrATED.NOTW ITHSTANDI NQ ANY REQUIREMENT,TERM!OR CONDITION OF ANY CONTRACT OR OTHER D()CUNENT WITH RESPECT TO WHIC♦I TH►S CERywcATE MAY BE ISSUED OR MAY PERTAN,THE WMRANGE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,SCLUSIONS AND CONDITIONS OF SUCH POLCIES.AGGREGATE LWTS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAM. 1SR TYPE POLY NUS POLICY EFFECTIVE POLICY E rAMJR DATE(IMMOM Lam GENERAL LI42HAY EACH OCCURRENCE 61000000 SAL GENERAL LVkBRM FIRE DAMAGE(ftW owe FM $500000 a AW S MADE ®OCCUR MED EXP O"aar Ism) $ A MPJ30810 3/30/2017 3/30/2018 PERSONIAL$ADVOV.fl$IY _S1000000 3/30/16 3/30/17 R TE $2000000 GENLAGGREGATELliu rAFPLESPER: PROMCIS-COWAOPAM $2000000 Pam Imo- LOC AUMMOEME LIASILRY COMMED O s Lr ANY AUT $ ALL OWNED AUTOS BODILY KILM SqEDULF.O AUTOS $ HIRED AUTO BOIt9-Y H JURY NON AUTOS Te $ PROPERTYDAMME $ � D GARAW UABA.ITY AUTOONLY-EA ACCIDENT S ANVAUIO OTHERTHAN FA ACC S AUTOONLY: AGG 8 EXCESS L148MM EACH CMIRRENCE $ O(X m 00AM MADE AGGREGATE S DEDUC BLE $ REEM" $ $ T1IDRl�C&NIPHOWWWAND FtY1A9TS ER EMPLOYERS'EIAIMM E-L EACH ACCIDEPIT $ El.DISEASE-EA EMPLO $ E.L DISEASE-PwCYLEMIT $ OTHER tESCRIPTION OF OP<8iA7 OCA ADDED BY PROVISIONS CERTIFICATE HOLDER IS AN ADDITIONAL INSURED FOR DURATION OF THE CONTRACT ;ERTIFICATE HOLDER ADDRIOMU.MIRE&MS IRER LETTER: CANCELLATION SHOULD ANY OF THE ASOVE DESCRIBED POLIMS 8E CANCELU D BEFORE ONE E)UMMMN DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO LIAR.10_DAYS WRITTEN TOWN OF BARNSTABLE NOTICE TO THE CERTIFICATE MXDER HAMM TO THE I.M.BUT"MIRE TO DO 50 SHALL 200 MAIN STREET DIPOSE NO OBLIGATION OR EIABKM OF ANY IOHD IWON THE RISLTER,ITS AGENTS OR HYANNTIS MA 02601 REPRESENTATIVES. D REPRESrEEWTATTIVE— C %CORD 25-S(7/97) 0 ACORD CORPORATION 1988 3; - THE Poky Number:MPJ30810 MAIN GREET GROUPAMERI A GROUP BUSINESSOWNERS COMMON DECLARATIONS MAIN STREET AMERICA ASSURANCE COMPANY 4601 TOUCHTON ROAD EAST,SUITE 3400,JACKSONVILLE,FL 32245-6000 Item 1. Named Insured and Mailing Address Agent Name and Address BRIAN SHANAHAN - MCSHEA INSURANCE AGENCY INC 32 GOFF TER CENTERVILLE MA 02632-2195 1550 FALMOUTH RD RT 28 STE 2 CENTERVILLE, MA 02632 Agent Phone No. (508) 420-9011 Agent No. 200140 Item 2. Policy Period From 03-30-2016 To: 03-30-2017 at 12:01 A.M., Standard Time at your mailing address shown above. Item 3. Form of Business: INDIVIDUAL Item 4. In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide the insurance as stated in this policy. This policy consists of the following coverage parts for which a premium is indicated. Where no premium is shown, there is no coverage. This premium may be subject to adjustment. COVERAGE PREMIUM Section I —Property $ 132 .00 Section I I —Liability $ 5, 094 . 00 Inland Marine $ 30 . 00 Total Policy Premium: $ 5, 299. 00 For Coverages.subject to premium audit: Annual Audit Applies Item 5. Form(s) and Endorsement(s) made a part of this policy at time of issue: See Schedule of Forms and Endorsements Countersigned: Date: By: , Authorized Representative THIS BUSINESSOWNERS COMMON DECLARATIONS AND SUPPLEMENTAL DECLARATION(S),TOGETHER WITH SECTION III —COMMON POLICY CONDITIONS, COVERAGE PARTS, COVERAGE FORMS AND ENDORSEMENTS, IF ANY, COMPLETE THE ABOVE NUMBERED POLICY. BPM D 1 1207 INSURED COPY '4 R� CERTIFICATE OF LIABILITY INSURANCE DATE(MMID01YY'") -r 03t10/2017 THIS'CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - CONTACT NAME: Fred Passaro PASSARO,LEVERONE&BUCKLEY INSURANCE AGENCY INC. PNO"E (508)398-2223 FAX Noll. Ess; fred@plbinsurance.com 239 ROUTE 28 INSURE S AFFORDING COVERAGE NAIC# DENNISPORT MA 02639 INSURER A: ACADIA INS CO 31325 INSURED INSURER B: BRIAN SHANAHAN INSURERC: DBA BRIAN SHANAHAN CONSTRUCTION INSURERD: 32 GOFF TERRACE INSURER E: CENTERVILLE MA 02632 INSURER F: COVERAGES CERTIFICATE NUMBER: 133637 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 I SUBR LTR TYPE OF INSURANCE- vmnPOLICY NUMBER P�pNYYYJ YEFF MMIIDICDIYYYYl EXP LIMITS COMMERCUILGENERAL LIABILITY EACH OCCURRENCE S _ CLAIMS-MADE OCCUR ' DAMAGE TO RENTED PREMISES.Ea occurrence 5_ MED EXP(Any one person) S N/A PERSONAL&ADV INJURY S GEML AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S PRO POLICY❑JECr LOC PRODUCTS-COMPIOP AGG S OTHER I S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S Ea accident ANY AUTO - I BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS NIA BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIREDAUTOS AUTOS Per accident $ UMBRELLALIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE NIA AGGREGATE S DED i RETENTIONS I S WORKERS COMPENSATION YIN I I X T OERH- AND EMPLOYERS'LIABILnY _SATUTE AYPROPRIERIPARTNEJEC� — i £.L.EACH ACCIDENT Is 1,000,000A OR/ FY? N (Mandatory In NH) I E-L.DISEASE-EAEMPLOYEEI$ 1,000,000 if yes,describe under DESCRIPTION OF OPERATIONS below E-L.DISEASE-POLICY LIMIT I S_ 1,000,000 N/A DESCRIPTION OF OPERATIONS 1 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 hints,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/Nvdhvorkers-compensationfiinvestigations/. Sole proprietor has not elected coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWN OF BARNSTABLE ACCORDANCE WITH THE POLICY PROVISIONS. 200 MAIN STREET AUTHORIZED REPRESENTATIVE HYANNIS MA 02601 Daniel M.Cr y,CPCU,Vice President—Residual Market—WCRIBMA @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD u, Massachusetts Workers' Compensation Insurance Plan erkley Acadia Insurance Co NCCI Gamer Code 33391 BAdministered by Berkley Assigned Risk Services P.O.Box 59143,Minneapolis,Minnesota 55459-0143 ASSIGNED RISK SLICES Toll Free(888)548-7431 Fax(866)215-8118 www.berkleyassignedrisk.com policyservices@berkleyrisk.com INFORMATION PAGE Renewal Of No.MAARP301005 Policy Number. MAARP301005 Risk ID: 000025819 Brian Shanahan Tax ID#: 04-2840127 dba:Brian Shanahan Construction Policy Period: From: 01/03/2017 32 Goff Terrace To: 01/03/2018 Centerville,MA 02632 Endorsement Date 01/03/2017 Date of Mailing: 12/13/2016 ® Individual Partnership ❑ Corporation ❑ Other Other workplaces not shown above: See Schedule 2.The policy period is from 1201 a.m.01103/2017 to 12:01 a.m.01/03/2018 at the insured's mailing address. 3.A.Workers'Compensation Insurance:Part One of the policy applies to the Workers'Compensation Law of the states listed here: MA B.Employers Liability Insurance:Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury By Accident $1,000,000 each accident. Bodily Injury By Disease $1,000,000 policy limit. Bodily Injury By Disease $1,000,000 each employee. C.Other States Insurance:Part Three of the policy applies to the states,if any,listed here: SEE 20-03-06(B) D.This policy includes these endorsements and schedules: WC990001A WC990601 4.The premium for this policy will be determined by our Manuals of Rules,Classifications,Rates and Rating Plans. All information required glow is subject to verification and change by audit. PREMIUM BASIS RATES ENTRIES IN THIS ITEM,EXCEPT AS SPECIFICALLY PROVIDED ESTIMATED ESTIMATED TOTAL PER$100 OF CODE ELSEWHERE IN THIS CONTRACT;DO NOT MODIFY ANY OF ANNUAL ANNUAL REMUNERATION REMUNERATION NO. THE OTHER PROVISIONS OF THIS POLICY. PREMIUM See Schedule Premium Summary Total Estimated Annual Premium $10,472.00 Minimum Premium: $500.00 Total Fees and Assessments $554.00 Total Fees and Premium $11,026.00 Total Amount Paid ($5,691.00) Total Amount Due $5,335.00 Agency Name and Address Passaro Leverone&Buck PO Box 160 Dennisport, MA 02639 DATE: 12/13/2016 Signature: Includes copyright material of the National council on Compensation Insurance used with its permission. @1983 @ 1991 National Council Compensation Insurance WC 99-00"01 The Commonwealth of1llassachusells _—Print For in_ Department of Industrial Accidents - " - Office of Investigations 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly Name(Business/Organization/Individual):Brian W.Shanahan Address:32 Goff Terrace City/State/Zip.Centerville, MA 02632, Phone#: 508-360-3567 Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 2 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have g. ❑Demolition workin for me in an ca employees and have workers' g Y PanrtY• t 9. ❑Building addition [No workers'comp.insurance comp.insurance. 10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required..]t c. 152,§1(4),and we have no employees.[No workers' 13.❑Other ' comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Acadia Insurance Co. Policy#or Self-ins.Lic.#:MAARP301005 Expiration Date:1/03/2018 Job Site Address:962 Old Stage Rd. City/Statdzip:Centerville, MA 02632 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerhf er t4i6iains and penafties ofpejyujy that the in ormation provided above is true and correct Signature: / - _ 49 Phone#:508-36 567 Official use only. Do not write in this area,to be conWleted 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#: l r Massachusetts'Department of Public Safety Board of Building Regulations and Standards License. CS-003247 Construction Supervisor BRIAN W SHANAHAN - 32 GOFF TERRACE*, O �f CENTERVILLE MA 026�2 'c Expiration- m ssioner 11/03/2017 _Office'of Consumer Affairs d Busioess Regutahon- 410ME IMPROVEMENT CONTRACTOR tegistration: '156211 Type: Expiration $11212017 Individual F` BRIAN SHANAHAN _, t BRIAN SHANAHAN -4== =°. 32 GOFF TERRACE CENTERVILLE,MA 02632' Undersecretary _ A `.µ License or registration valid for individul use only before the expiration date. If found return to t Office of Consumer Affairs and Business Regulation Il 10 Park Plaza-Suite 5170 Boston,MA 02116 Not vale wl hout signature Town of Barnstable Regulatory Services VANWAMg rY BLAM . ; Richard V.Scali,Director 39. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: ,s _.. (Address of Job)..._.... . . ... . .. .. **Pooh fences-and alanns'are-the-responsibility of the applicant Pools are not to be filled or utilized before fence is ins ed and all final inspections are performed.and ac te& Signature of Owner S ture of Applicant I�e�iz f'1�,OisUrr �rIAO 9140 66cc_, Print Name y Print Name Date 1: t t k4 f 3+ a � fe 1 019/02/20'08 ° i I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �0 Apcaoin Health Division Date Issued 3/LS 1 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address ` v d a- e X d' Village l��w ����V 1 4 Owner dQ-bVNQ Koblzwq Address ,S'akne aS a Up Telephone (SLY 0 cz ` 0� T a � r Permit Requests ►^ �0- � �% �� �� d�� J/ `e (��� G 6utllc we Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation A Construction Type Lot Sizeµ `_� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwellirng,Type Single Family 300' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other c r ; Basement Finished Area`('sq.ft.) Basement Unfinished Area (sq.ft) Numk;er of laths: Ful1:rexisting new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ 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) Cl I ? 8' Name W C� ' Telephone Number -03 Address Ay License # 0J _COU.'A V� /'/ Ur ls�� Home Improvement Contractor# G ,) t 13 0 0- Email Worker's Compensation #PVC 3 3 Y 3/7`6 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �� / yI FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. L, t. i ADDRESS VILLAGE OWNER i . DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ` GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT c ASSOCIATION PLAN NO. _4 The Commonwealth of Massachusetts I Punt Fong¢ . Department of Industrial Accidents Office of Investigations a I Congress Street, Suite 100 Boston, MA 02114-2017 ' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Cape Save,Inc. Address: 7D Huntington Avenue City/State/Zip: South Yarmouth, MA 02664 Phone #: 508-398-0398 Are you an employer?Check the appropriate box: Type of project(required): 1. ✓V I am a employer with 17 4. I am a general contractor and I 6 New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees. These sub-contractors have g. F1 Demolition d have workers'an working for me in any capacity. employees9. ❑ Building addition [No workers' comp. insurance comp. insurance required.] 5. We are a corporation and its ME]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no Insulation employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Technology Insurance Company Policy#or Self-ins.Lie.#: TWC 33539618 Expiration Date: 04/09/2014 Job Si te Address: 6 d- City/State/Zip:(,cw l�(k Attach a copy of the workers' compen ation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$.1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury t at the information provided above is true and correct I Signature: - Phone It: 508-398-0398 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. CityfTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ® DATE(MMIDDNYYY) �caR� CERTIFICATE OF LIABILITY INSURANCE 10/22/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONT CT NAME: Colleen Crowley Risk Strategies Company PHONE E (781)986-4400 F WAX 1015,No, C No:(781)963-9420 15 Pacella Park Drive Suite 240 INSURERS AFFORDING COVERAGE NAIC>€ Randolph MA 02368 INSURER A:Selective Ins. or America INSURED INSURER B.SafetyInsurance Company 3618 Cape Save, Inc INSURERC-Technology Insurance Company 7 D Huntington Ave INSURERD: INSURER E: South Yarmouth Mik 02664 INSURERF: COVERAGES CERTIFICATE NUMBER:CL13102268490 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 POLICY NUMBER MMI�EFF A9Mt�E%P LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,000 A CLAIMS-MADE Q OCCUR S1994480 0/16/2013 0/16/2014 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X 1 PRO X1 LOC COMBINED $ AUTOMOBILE LIABILITY Ea accdent IN LIMI 11000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED rV1 SCHEDULED 208200 1/6/2013 1/6/2014 BODILY INJURY(Per accident) $ AUTOS AUTOSNON-O PROPERTY DAMAGE $ X HIRED AUTOS N AUTOS Peracddent X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED I I RETENTION$ fixi S1994480 0/16/2013 0/16/2014 $ C WORKERS COMPENSATION fficers Included for X WCSTATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIE)(ECUTIVE YIN F3353968 rage E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? NIA /9/2013 /9/2014 (Mandatory in NH) E.L.DISEASE-EA EMPLOYF4$ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Weatherization Specialists GL: Blnkt AI, Blnkt PNC, Blnkt WOS, Per Proj Agg, Per Loc Agg / GL Exclusions: Snow & Ice Removal/OCIP/Wrap Ups 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 chael Christian/CLC �� ACORD 25(2010I05) 01988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD t (/_�/ J/ /� ���(j,!'�/�] nq 9,/7 /j g[� /`,�Alf3/t (/_�Jff/ c, r /Al/( ae, �V'ff'!!:it/d'd£'(::`! G'GT.y L4ltl i' ! I.•v(b .J'�`C. cx l_�P.,. £.lU Office of Consumer'Affairs and Business Regulation 10 Park Plaza- Suite S 170 Boston..Massachusetts 02116 Home Improvement Contractor Registration Registration:. 171.389 Type:. Corporation Expiration: -3/1412016. Tr# 249649 CAPE SAVE INC. WII-LIAM MCCLUSKEY 7-D HUNTINGTON AVENUE SOUTH YARMOUTH, MA 02664 Update,Address and return card.-Mark reason for change. sca-, a zbMoshs ? Address (1 Renewal 1.Employment. �j Lost.Card C, [ rrnrrsrrr.eer/I/r�^-llrr rrclrr.eft -s . Office of Consumer Affairs&Business Regulation License or registration valid for`indivtdul use only i !SOME IMPROVEMENT CONTRACTOR before the expiration date: If found,return to: Office of Consumer Affairs and Business Regulation 171380 Type: g Expiration 3/14/2016. Corporation 10 Park:Plazs.-Suite.5170 Bostdf,:. A 02116 CAPE SAVE INC_ WILLIAM McCLUSKEY 7.D HUNTINGTON'AVENUE' SOUTH YARMOUTH,MA 02664 Uudersecret— ry Not vah t sionature ' 9 Massachusetts aard o BLBi€di`ng REn.,?! io.r,s. n.d Sta..uc,vs 0irsfrucrion Supervisor Speviu rF 'iiee-Ise: CSSL/02776 WILLIAM J MC CLUSKEY 37 NAUSET ROAD West.Yarmouth MA 02673 r ni sso, 06/28/2015 . : f 3 Building Permit Authorization I, Debra'Robison _ =, as owner hereby give my permission to Cape Save, Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Office: 508-398-0398 to take all necessary steps to obtain a building permit to perform work at my property located at 962 Old Stage Rd Centerville, MA 02637 Signed �. _. Date / /' �- Cape Save Inc. 7-1) Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 DATE Thomas Perry CBO Town of Barnstable Building Division 200 Main St. Hyannis,MA 02601 RE: Insulation Permits Dear Mr. Perry , This affidavit is to certify that all work completed for 962 Old'Stage Road (#201401500) has been inspected by a third party Certified Building Performance Institute(BPI)Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, w William McCluskey NOISIAICI 1 �1SN �O Nph Oi j' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Liia Parcel las Application # 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 ale a. 0(.A ,�T , Village Cle�c xl, N p Owner (�r.l� ?Z 3 Address Ar Telephone 65� a4; a - W�l`+- Permit Request 3LA 'mil car!-v, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 49 al.m7o Construction Type so"C'r PV Lot Size C9.4 e Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 1°k4-3 Historic House: ❑Yes Ao On Old King's Highway: ❑Yes ANo 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: a existing _new eLTotal Room Count (not including baths): existing (a new First Floor Room Count - Heat Type and Fuel: ❑ Gas Boil ❑ Electric ❑ Other o �1 Central Air: ❑Yes No Fireplaces: Existing New Existing wo d/coal stove: Yes ❑ No e. �b CD Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: " existingt ❑ n" 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 - Telephone Number A-4-" -- ?,R - ` VI"A Address :ken r 01"oncngh tN-, License # KAAK ,\ 61-.13 5S Home Improvement Contractor# Worker's Compensation # G,�rca�ca� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO EOM,S, Dc,,,,,t, ,- SIGNATURE DATE Ui FOR OFFICIAL USE ONLY APPLICATION# __DATE ISSUED 3 MAP/PARCEL NO. w. ADDRESS VILLAGE OWNER DATE OF INSPECTION: .r tFOUNDATi_ONw. FRAME -._INSULATION, .11.J,1 _ FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING• d ._DATE CLOSED OUT t ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts a _ Department of Industrial Accidents Office of Investigations I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly ' Name(Eiusiness/Organization/Individuaq: SolarCity Corporation ' Address: 3055 Clearview Way City/State/Zip: San Mateo/CA/94402 Phone#: 650-963-5100 Are you an employer?Check the appropriate box: Type of project(required): I.❑■ I am a employer with 3000 4. ❑ 1 am a general contractor and 1 employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑.Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition . [No workers' comp. insurance comp. insurance.t required:] 5. ❑ We'are a corporation and its 10.❑ Electrical repairs or additions 3.❑ t am a homeowner doing all work officers have exercised their t LEI Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]r c. 152,§1(4),and we have no Solar/PV q x employees. [No workers' 13.■❑Other comp. insurance required.] "Any applicant that checks box t#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ` :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their Yorkers'comp.policy number. I am an employer that is providing workers'compensation insurance for nry employees. Below is lire policy and job site information. Insurance Company Name: Liberty Mutual Insurance Company Policy#or Self-ins. Lic.#: WA766DO66265023 Expiration Date: 09/01/2014 Job Site.Address. All Locations City/State/Zip: f Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration ate). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as.civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. l do hereby certify under llie pains arrrd penalties of rj that lit information provided above is true and correct. Si mature:- Date: t Phone#: 9782152359 Official use only..Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): , 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ,4co CERTIFICATE OF LIABILITY INSURANCE DATE21/2 Y3 ��• 08/ 1/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such'endorsement(s). PRODUCER 0726293 1-415-546-9300 CONTACT Brendan Quinlan Arthur J. Gallagher 6 Co. Insurance Brokers of California, Inc., License #0726293o,Ext): 415-536-4020 1255 Battery Street #450 brendan inlan@a' coteSS: quinlan@ajg.com San Francisco, CA 94111 INSURERS AFFORDING COVERAGE _ NAIC III__ INSURER A: LIBERTY MOT FIRE INS CO 23035 INSURED INSURERB: LIBERTY INS CORP 42404 SolarCity Corporation — �! INSURER C: 3055 Clearviera Way INSURERD: San Mateo , CA 94402 INSURERE: INSURER F; COVERAGES CERTIFICATE NUMBER: 35272277 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLJCIES 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 AD BR POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDDIYYYY MMIODIYYYY LIMITS A GENERAL LIABILITY TB2661066265053 09/01/1 09/01/14 EACH OCCURRENCE $1,000,000 X PAMAGE TO RENTED EM SES Ea occurrence $ 100,000 COMMERCIAL GENERAL LIABILITY I.CLAIMS-MADE 1-il OCCUR MED EXP(Any one person) $ 10,000 X Deductible: $25,000 PERSONAL&ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 X POLICY M PRO- LOC $ A AUTOMOBILE LIABILITY AS2661066285043 09/01/14 COMBINED SINGLE LIMIT Ma accident 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE _ AGGREGATE $ DEO I I RETENTION$ 1 $ B WORKERS COMPENSATION WC7661066265033 (WI Retr ) 09/01/1 09/01/14 X wcsTATu- oTH: AND EMPLOYERS'LIABILITY B I ER ANY PROPRIETORIPARTNERlEXECUTIVE YIN WA766D066265023 (Ded) 09/01/1 09/01/14 E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? D. NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 11 yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Proof Of Insurance. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence of Insurance Only THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are reglstered`marks of ACORD satyasan 35272277 15083751037 Barnstable Registry of Deeds 10:46:41 a.m. 02-24-2014 212 SolarCity. OWNER AUTHORIZATION Job ID: JB-026215-00 Location: 962 Old Stage Road Barnstable MA 02632 i as Owner of the subject property hereby authorize Solarci Corp—HIC 168572/ MA Lic 1136 MR to act on my behalf,in ah matters relative to work authorized by this building permit application and signed contract. Signature of Owner: Date: i 24 t;t IMartu D i•;e.Oki IIdm 2'Unit 11 M,31Ilx-rouah,MIA 017°2 T(888)SOL-CITY r(508)459-0318 S0LARCITY.00M k Office of Consumer Affairs nd Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home ImprovementaContractor Registration Registration: 168572 Type: .Supplement Card Expiration: 3/8/2015 SOLARCITY CORPORATION JASON QUINLAN 24 ST. MARTIN STREET BLD 2 UNIT 11 t, . MARLBOROUGH, MA 01752 Update Address and return card.Mark reason for change. SCA 1 G 20M-05/1 - - [].Address 0 Renewal 'E j.Employment Lost Card M. fGce of Consumer Affairs do Business Regulation License or registration valid for individul use only G9 = ME IMPROVEMENT CONTRACTOR before the expiration date. 1f found return to: Office of Consumer Affairs and Business Regulation egistraLon: 168572 Type. 10 Park Plaza-Suite 5170 Expiration: 3/8/2015„ Supplement":ard Boston,MA 0211.E SOLARCITY CORPORATION' JASON QUINLAN 24 ST MARTIN STREET BLD 2UNI � -- ItiIALBOROUGH,MA 01752 Undersecretary Not valid without signature massactluaot% -t?epartment of Puuiic Sataty Board of Building Regulations anti Slaridards I t mNlrovnlpll Stop o itiq— licenao;C4495884 , JASON R QUINLAN .r 190 WALL ST =rt BRIDGEWATER=MA y C�irrtli.�sslredei 12/02/2014 r »OON1201j1,(<-c<•1111 ���'kl�-Bu% . cG ?rlOffice of Consumer Affairsnnesse ulation g V g 10 Park Plaza- Suite 5170 A Boston, Massachusetts 02116 Home�ImprovementContractor Registration : f f ; :•£ Registration: 168572 Type: Supplement Card 't l Expiration: •3/8/2015 SOLARCITY CORPORATION _ , ALEC MEYERS ". 1 24 ST. MARTIN STREET BLD 2 UNIT 111, MARLBOROUGH, MA.01752 • '- `,} �a Update Address and return card.Mark reason for change. I L - Address Renewal Ten py Em to t 0ost L Card .-sCA 1 0 20M.05111 ❑ _ Mee of Consumer Affairs&Business Regulation License or registration valid for individul use only - ME IMPROVEMENT CONTRACTOR-. before the expiration date. If found return to: 5+ ' Office of Consumer Affairs and Business Regulation egistration: 168572^ I r Type: 10 Park Plaza-Suite 5170 , Expiration: 3/8/2015 ,7 Supplement Card Boston,MA 02116 - SOLARCITY CORPORATION ALEC MEYERS 24 ST MARTIN STREET BLD 2UN1 IT4AR2L130ROUGH,MA 01752 —-�--� '�"r a Undersecretary Not alith si na out ture . w r r ,, . _ of N� M1 a p n•^, yt ` ' �. � � 5' i p ; 5®Iarcit r I 3055 Clearview Way, San Mateo, CA 94402 SolarLease T (888) SOL-CITY F(650) 560-6460 SOLARCITY.CON SUMMARY Date: Homeowner Name and Address Co-Owner Name(if Any) Installation Location Contractor License Debra A Robison Denis Burgess 962 Old Stage Rd MA HIC 168572 962 Old Stage Rd Barnstable,MA 02632 Barnstable, MA 02632 Estimated'Solar Energy Production , FirstYear Annual Production: 13,429 kWh Initial Term Total Production: 256,206 kWh Payment Terms } Amount Due at Contract Signing: $0 I Amount Due when Installation Begins: $0.00 Amount Due following Bldg. Inspection: $0.00 Estimated Price per kWh.First Year: $0.1572 Annual Increase: 0.0 % ' First Year Monthly SolarCity Bill: $175.93 Lease Term 20 Years SolarCity's Promises to You: Your Prepayment and Transfer Choices During the Term: • SolarCity will insure, maintain, and repair the System If you move, you may transfer this agreement to the (including the inverter) at no additional cost to you as purchaser of your Home, as specified in the agreement. specified in the agreement. If you move, you may prepay the remaining payments • SolarCity will provide 24/7 web-enabled monitoring at (if any) at a discount. no additional cost to you, as specified in the agreement. • SolarCity will provide a money-back production guarantee, as specified in the agreement. Your Choices at the End of the Initial Term: • SolarCity will warranty your roof against leaks and v SolarCity will remove the System at no additional cost restore your roof at the end of the agreement as to you. specified in the agreement. a You can upgrade to a new System with the latest solar technology under a new contract. You may renew your agreement for up to ten GO) years in two (2) five (5)year increments. • Otherwise, the agreement will automatically renew for an additional one (1)year term at 10% less than the then-current average rate charged by your local utility SolarLease version 6,January :i5th, 2014 SAPC/SEFA Compliant Document Generated on 1/24/2014 22. PUBLICITY I have read this Lease and the Exhibits in their entirety and SolarCity will not publicly use or display any images of I acknowledge that I have received a complete copy of this the System unless you initial the space below. If you Lease. initial the space below, you give SolarCity permission to take pictures of the System as installed on your Home to show to other customers or display on our Owner's Name:-Debra A Robison website. Homeowners Initials Signature: Q ? }► � _/ Dater _ 23. NOTICE OF RIGHT TO CANCEL YOU MAY CANCEL THIS LEASE AT ANY TIME PRIOR Co-Owner'shame- `f-any): Denis Burgess TOMIDNIGHT OF THE THIRD BUSINESS DAY AFTER l / THE DATE YOU SIGN THIS LEASE. SEE EXHIBIT 1, Signature, C> THE ATTACHED NOTICE OF CANCELLATION FORM, FOR AN EXPLANATION OF THIS RIGHT. Date: 24. ADDITIONAL RIGHTS TO CANCEL IN ADDITION TO ANY RIGHTS YOU MAY HAVE TO ;;,SOIarCIt CANCEL THIS LEASE UNDER SECTIONS 6 AND 23, , YOU MAY ALSO CANCEL THIS LEASE AT NO COST SO ARCITY APPROVED AT ANY TIME PRIOR TO 5 P.M. OF THE 1411 SolarLease CALENDAR DAY AFTER YOU SIGN THIS LEASE. Signature: LYNDON RIVE,CEO o ar ease Date: SolarLease version 5,January 15th, 2014 SAP(:/SFFA r.mmnliant f � E NM Version#27.9 p�AsolarCit 4��QF FRS 3055 Clearview Way; San Mateo, CA 94402 Q AMR �fs (888)-SOL-CITY (765-2489) 1 www.solarcity.com' ASSOi UMI CIVIL No. 1555 February 14,2014 Project/Job#026215 S`S T RE: CERTIFICATION LETTER =— r Project: Robison Residence Digitally signed Amir Massoumi 962 Old Stage Rd y g LJ y Barnstable, MA 02632 Date: 2014.02.1416:24:15 -08'00' To Whom It May Concern, A jobsite survey of the existing framing system was performed by an audit 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 Note: per IBC 1613.1; Seismic check is not required because Ss = 0.19069 < 0.4g and Seismic Design Category(SDC) = B < D Note: Roof loads reduced per Code On the above referenced project,the structural roof framing has been reviewed for loading from the PV system on the roof.The structural review only applies to the section(s)of the roof that directly supporting the PV system and its supporting elements.After this review it was determined that the existing structure is adequate to carry the PV system loading. 1 I certify that the structural roof framing and the new attachments that directly support the gravity loading from PV modules have been reviewed and determined to meet or exceed requirements of the MA Res. Code,8th Edition. Please contact me with any questions or concerns regarding this project. Sincerely, Amir Massoumi, P.E. Civil Engineer Direct: 650.963.5611 email: amassoumi@solarcity.com ; 3055 Clearview Way San Mateo,CA 94402 T(650)638-1028 (888)SOL-CITY F(650).638-1029 solarcity.com A2 Rt1G 24;ti77,CA GSly 8881N CC EC$Q41,P,HIC rOC--32M.DG.HIC I1101486.DC Itl'F 711U MA 1?IC,1635r2j.,.D N:t•flC 12S948,N.)i'i44iGfiI6f1EDU, • OR CE%9 1�4J$.PA 077343,ix TpIR 2T00r.LYAGC3. S(}t.AF1f:°gi'�Ct7 Q 2U 135,Itr.CSty.AI4l iyht6 trSengrl. - 02.14.2014 •. tTM Version#27.9 no,,�®��� � � Sleek�ounPV System Structural Design n Software � PR07ECT INFORMATION &.TABLE OF CONTENTS � Project Name:_.;_w „-_"Robison Residence A _�HJ: T•y ; Barnstable Job Number: 026215 Building Code: MA Res. Code,8th Edition _ Customer Name Robison,Debra A Based On. : IRC 2009[,IBC 2009 .. .�_. . .� a _. .�.. Address: 962 Old Stage Rd ASCE Code: -ASCE 7-05 City/State_ ,_ Barnstable,_.M MA _Risk Category Zip Code 02632 _ Upgrades Req d? No Latitude_[Longitude . :41 g7,4U18 w,:. _ -7Q.362211 __ Stamp Req'd? ``w m,. _ Yes _ SC Office: Marlborough PV Designer: _MT Josh Wirth _ Calculations: EOR: Amir Massoumi ,P.E6 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(SDQ = B < D 1%2-MILE VICINITY MAP • .a �• � � s�• ! `� � � �" $. a :� • e� f/ u 4 .5•n W a 962 Old Stage Rd, Barnstable, MA 02632 Latitude:41.674018,Longitude:-70.362211,Exposure Category:C �I STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK u Member Properties Summary MP1 Horizontal Member Spans Rafter Properties Overhang 1.16 ft Actual W 1.50" Roof System Properties Span 1 12.00 ft,- Actual D` 5.50" Number of Spans(w/o Overhang) 1 Span 2 Nominal? Yes Roofing Material Comp Roof ' Span 3. A 8.25 in.^2 Number of Layers(Comp Only) ( 1 Layers) Span 4 Sx 7.56 in.^3 Re-Roof to 1 Layer of Comp? No Span 5 IX 20.80 irr.^4 Plywood Sheathing Yes Total Span 13.16 ft TL DefPn Limit 120 Board Sheathing None PV TStart 1.00 ft Wood Species SPF Vaulted Ceiling? No PV 1 End 11.25 ft Wood Grade #2 Rafter Slope, 340 PV,2 Start Fb 875 psi Rafter Spacing 16"O.C. PV 2 End F„ 135 psi Top Lat Bracing Full PV 3 Start E 14000.00 Bot Lat Bracing At Supports PV 3 End Emi„ 510000 Member Loadina mary Roof Pitch 8/12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 7.5 psf x 1.21 9.0 psf 9.0 psf PV Dead Load ` = PWDL 3.0 psf x.1.21 3.6 psf Roof Live Load RLL 20.0 psf x 0.80 16.0 psf Live/Snow Load LL/SL 30.0 psf x 0.63 x 0.39 18.9 psf „.11.7 psf. Total Load TL 27.9 psf 24.4 psf Notes: 1. pf=0.7(Ce)(CJ(Is)pg; Ce=Cf=IS 1.0; 2. ps=Cs-pf;Cs-roof,Cs-pv per ASCE 7[Figure 7-2] Member Desi n Summary(per NDS Load Combinations CD CL + CL - CF Cr D 0.9 1.00 1.00 1.3 1.15 D+(Lr or S)(Governs) 1.15 1.00 1.00 1.3 1.15 Member Analysis Results Summary Maximum Max Demand @ Location Capacity DCR Shear Stress 37 psi 13.2 ft 155 psi 0.24 Bending(+).Stress 934 psi 7.2 ft 1504 psi 0.62 (Governs) Bending(-)Stress 0 psi 1.2 ft. -1504 psi 0.00 Total Load Deflection 0.52 in T2 ft., L/274 0.44 i • ti , ECALCULATION OF DESIGN WIND:LOADS.- MP1 Mounting Plane Information Roofing Material Comp Roof . PV Sys-tem,ype.. � _ ._.. _ _w _ �: .SolarCity SleekMountT .__ _ PV System Module Orientation _ Landscape and Portrait Spanning_Vents No Standoff Attachment Hardware _a �. CompMount T e C A o- Roof Slope _ w ._4 w_. _ _._ ._ _. _ ,.,�34 _ � Rafter S acin 16"O.C. Wind Design Criteria Wind Design Code ASCE 7-05 Wind Design MethodPartiall Full Enclosed Method _ _Y/_ .Y_ _ _.� .-` m_ _ _ __., _ Basic Wind Speed _ V _ 110 mph Fig. 6-1 Exposure Category__ - _ _ - : _ _ ._..�._� -� C- _m __ _ _.Section 6.5.6.3 Roof Style Gable Roof Fig.6-11B/C/D-14A/B Me,RoofHei lit - h mow- "W _ ;15 ft �' . ' wSectfon.6:2 Effective Wind Area 1 Module A 17.6 sf IBC 1509.7.1 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.85 Table 6-3 Topographic l=actor . Krt„�$.wz '.1 00 µ Section 6'5.7M Wind Directionality Factor Kd 0.85 Table 6-4 im rtance Factor I • 1.0: Table 6-1 Velocity Pressure qh qh =0.00256(Kz)(Krt)(Kd)(V^2)(I) Equation 6-15 22.4 psf Wind Pressure Ext. Pressure Coefficient U GC u -0.95 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down GC �W„ 0:$8 Fig:6-11B/C/D-14A/B Design Wind Pressure p p-=qh(GC ) Equation 6-22 Wind Pressure Up Nut)) -21.3 psf Wind Pressure Down 19.6 psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff 5pacingy A w Landscape 64" 39" Max Allovakie_Cantilever. - Landscape , _ _.� - 24" NA v Standoff Configuration Landscape Sta ered Max Standoff Tributary„Areal_ _ Trib �� 17 sf' PV Assembly Dead-Load W-PV 3 psf .- - .w -. _ Net Wind:Uplift.at Standoff_T _ _ T-actual _ _ -342 Ibs- Uplift Capacity of Standoff T-allow 500 Ibs Stand'off:Demand Caaci _ _ DCR ~ . 68.5% X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 65" Max Allowable Cantilever Portrait _.19' _._ . NA. Standoff Configuration Portrait Staggered Max Standoff Tributary Area. Trib __ 22 sf - PV Assembly Dead Load W-PV 3 psf - Net Wind Uplift at Standoff . T-actual ' _ _ -428 Itis Uplift Capacity of Standoff T-allow 500 lbs Standoff Demand Ca aci ` DCR 85.6% STRUCTURE ANALYSIS - LOADING SUMMARY AND.MEMBER CHECK y Member Properties Summary MP2 Horizontal Member Spans Rafter Properties Overhang 1.16 ft Actual W 1.50" Roof System Properties Span i ` • 11.58 ft Actual D` 7.25"' Number of Spans(w/o Overhang) 1 Span 2 Nominal? Yes Roofing Material , Comp Roof Span 3, A 10.88 in.112' Number of Layers(Comp Only) (1 Layers) Span 4 Sx 13.14 in.^3 Re-Roof tot Layer of Comp? No Spah.51 Ix 47.63 in.^4` Plywood Sheathing Yes Total Span 12.74 ft. TL Defl'n Limit 120 Board Sheathing. �None. A PV 1,Start 1:17 ft Wood Species +` SPF Vaulted Ceiling? No PV 1 End 11.42 ft Wood Grade #2 Rafter Slope, t 370. PV 2 Start; Fb_, 875:psi < Rafter Spacing 16"O.C. PV 2 End F„ 135 psi Top Lat Bracing Full PV 3 Start 'E 1400000 Bot Lat Bracing At Supports PV 3 End Emin 510000 Member Loading ary Roof Pitch 9/12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 8.0 psf x 1.25 10.0 psf 10.0 psf PV Dead Load PV-DL 3:0 psf -x 1.25= f 3.8 psf Roof Live Load RLL 20.0 psf x 0.75 15.0 psf Live/Snow toad n LL/SL , t 30.0 psf, ^, • `x 0:58 I x 0.36 17.4`psf 10.7 psf. Total Load TL 1 1 27.4 psf 24.5 psf Notes: 1. pf=0.7(Ce)(Ct)(IS)pg; Ce=Ct=IS=1.0; 2. ps=Cs.pf;CS_,�f,CS_P�per ASCE 7[Figure 7-2] Member Desi n Summary(per NDS Load Combinations CD CL + CL - CF Cr D 0.9 1.00 1.00 1.2 1.15 D+(Lr or S)(Governs) 1.15 1.00 1.00 1.2 1.15 Member Analysis Results Summary Maximum Max Demand @ Location Capacity DCR Shear Stress 27 psi 12.7 ft 155 psi 0.17 Bending(+)Stress' 501 psi 7.0.ft, 1389-psi 0.36 (Governs) Bending(-)Stress 0 psi 1.2 ft. -1389 psi 0.00 Total Load Deflection 0:20 in.. 7:O ft. L/699 , 0:17 r ,CALCULATION'OF DESIGN:WIND-LOADS-_MP2__--- - _-� �-� Mounting Plane Information Roofing Material _ P Com Roof _ PV System TYpe_ _ _ �, wSolarCity SleekMount'"'� PV System Module Orientation Landscape and Portrait - v .� r Spanning>Vents • __ Standoff Attachment Hardware_ Com Mount Type C Roof Slope_ fi - 340 Rafter Spacing 16"O.C. Wind Design Criteria Wind Design Code ASCE 7-05 Wind,Design Method,, , . _ �_ Partially/Fully Enclosed Method; r _., r r _� - - Basic Wind Speed V 110 mph Fig.6-1 Exposure Category._ s __t_ __ �..__.._ .'.__._ _.. ,- .r w _ _ :C __..._._ _Section 6 5:63 y Roof Sryle_ Gable Roof Fig.6-11BjC/D-14A/B Mean Roof.liei fit -' h.- � � 15 ft ~r' Section 6Y Effective Wind Area 1 Module A 17.6 sf IBC 1509.7.1 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.85 Table 6-3 Topographic Factor: _ Krt.- 1 00_ _ Section Wind Directionality Factor Kd 0.85 Table 6-4 importance Factor.' I'' 1.0 Table 6-1 - Velocity Pressure qh qh =0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15 F 22.4 psf Wind Pressure Ext. Pressure Coefficient U GC -0.95 Fig.6-11B/C/D-14A/B EA. Pressure Coefficient(Down), GC (Dow6i 0.88 Fig.6-11B/C/p-14A/s Design Wind Pressure p p =qh(GC ) Equation 6-22 Wind Pressure Up P° -21.3 psf Wind Pressure.Down Pfdowni 19.6 psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape _ . �+ 64' 39" Max Allowable Cantilever Y. _ _Landscape_ �' w F ". 24;�_- .� w -.. _ NA. _ Standoff Confi uration Landscape Sta ggered Max Standoff Tributary-Area Trib 17sf PV Assembly Dead Load W-PV 3 psf Net Wind.Uplift at Standoff Rn. T-actual - _ „ ._ -342 Ibs,. Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand Ca aci DCR 68:5% X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 65" _F _ -- . Max Allowable Cantilever_ _ . .._ __ Portrait. « _ _ .19!' w "�.' -NA Standoff Configuration Portrait Staggered Max Standoff Tributary.Area _ _: , Trib _ _ _.22'sf..°, PV Assembly Dead Load W-PV 3 psf y Net Wind;uplifft of Standoff _ T-actual; __-" -428 Ibs Uplift Capacity of Standoff T-allow 500 Ibs - Standoff Demand Ca aci DCR 85.66/o Barry, Lois To: Greene, Jack Subject: 962 Old Stage Road, Centerville Jack, Our Centerville inspector, Jeff Lauzon, checked this property. The garage was finished in 1984. Jeff conducted a site inspection on 12/23/08 and the upstairs is unfinished. Lois 1 ' I 12/22/08 Re: 962 Old Stage Road, Centerville Jeff, Jack Greene, Assessor's Office, x4013, called re the attached garage at this property. Assessing just picked up this garage at their 9/2/08 inspection. I see there was a permit for a garage in 1982. Jack doesn't know if this was built then or if it was just finished recently. He also thought there might be living space above the garage, and asked that it be checked out. He would like to know the result—either call him at 4013 or let me know and I'll call him. LXPS?r'P2S UA) Parcel Detail Page 1 of 3 f f/ J - (yy may! �y"/�,,. [./ 3 t vr!'S r .; a i F+AFtib�r-"LE9y k �^ �;,'4✓ �k�"� � �:A%!iH AC%+ 1i`aS 1 K . Logged In As; Parcel Detail Monday, Decemb Parcel Lookup Parcel Info Parcel ID 172-158 Developer Lot!LOT 4 Location 962 OLD STAGE ROAD Pri Frontage 110 Sec Sec Road _ ( Frontage Village ICENTERVILLE Fire District 11 C 11 O MM Sewer Acct _.�.__._..�. �._. ._�_._..m .. .. ...,, �_.�._�.._._._-."..__._�.._...�....._.w..� Road Index 11174 ---_ Interact. it Ma , P T Owner Info owner ROBISON, DEBRA A Co-owner streeti M2 OLD STAGE RD streetz city ;CENTERVILLE State;MA zip !02632 Country US Land Info �. ...._ __. _..._ ... _._ __..._,.. .. . Acres 10.46 Use ISingle Fam MDL-01 zoning SRC Nghbd:0105 -- _.. .. . ......... ... - Topography Road ! Utilities I Location Construction Info Building 1 of 1 . _m �_ Year. �' Roof'------'— E 1978 I Gablep Ext Wood Shingle Built Struct Wall ` Effecti.... _......___... _ ...,...- . ... ._ r,_..... ,...- . Area i542 'Cove Asph/F GIs/Cmp Type,None Int I ii Bed ;-. Style ICape Cod 1 wall IDrywall l Rooms ,2 Bedrooms Int 4___ �f Bath Model i Residential I Floor I I 11 Full Rooms r Total Grade Average Type;Hot Water I Rooms'6 Rooms I http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=11903 12/22/2008 Parcel Detail Page 2 of 3 xi i Heat? Found- stories ;1 1/2 Stones OII ;Poured Cone Fuel ation Permit History Issue Date iPurpose I Permit# Amount I Insp Date I Comments Visit History Date Who Purpose 09/04/2008 00:00:00 John Greene Permit/Hold as NewGrth 09/02/2008 00:00:00 Paul Talbot Cyclical Inspection - Sales History Line Sale Date Owner Book/Page Sale P 1 09/30/1997 ROBISON, DEBRA A 10979/032 2 02/15/1993 ROBISON, DONALD N & DEBRA A 8445/192 3 ROBISON, DONALD N 2772/2 Assessment History. ww _rv.w_.. - Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2009 $60,800 $0 $0 $146,000 2 2008 $63,200 $0 $0 $152,100 4 2007 $96,800 $0 $0 $152,100 5 2006 $80,800 $0 $0 $157,200 6 2005 $79,700 $0 $0 $121,400 7 2004 $63,000 $0 $0 $121,400 8 2003 $57,100 $0 $0 $47,700 9 2002 $57,100 $0 $0 $47,700 10 2001 $57,100 $0 $0 $47,700 11 2000 $65,200 $0 $0 $32,700 12 1999 $65,200 $0 $0 $32,700 13 1998 $65.,200 $0 $0 $32,700 14 1997 $63,200 $0 $0 $29,100 15 1996 $63,200 $0 $0 $29,100 16 1995 $63,200 $0 $0 $29,100 i a http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=11903 12/22/2008 Parcel Detail Page 3 of 3 17 1994 $65,600 $0 $0 $36,000 ; 18 1993 $65,600 $0 $0 $36,000 19 1992 $74,600 $0 $0 $40,000 20 1991 $74,900 $0 $0 $58,100 21 1990 $74,900 $0 $0 $58,100 22 1989 $74,900 $0 $0 $58,100 23 1988 $55,600 $0 $0 $21,800 24 1987 $55,600 $0 $0 $21,800 25 1986 $55,600 $0 $0 $21,800 Photos _.. .__.,. ---------------- da r r t �— �nw ? Syr li v „y Ts a c http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=11903 12/22/2008 m Fie Edit, Tools Help Bldgs,Occup F'arl 1?Z18 Subdiuision ait arcei Phas Ijnt/SECtion� e �' s = - Owher Buffgnng an -� I hCBJS�JNEBRAt '�, > t II Septic "'Location 9 Unit f+unrcrpalrty CENT CENTER�fILI E _ # x t Well Sheet 4LD STr GE R1 4[} a Insp aTea P UiFER P'ROTECT1t) L uiti k�P ¢' ^»n dx'� Between � P�a� q atLtb" ,.dive � andz ParentparCPd t s Slgns L4C deSCr LOT ', acarrt iot y Rrntc�l i a a x Gonier iot r717Ui rnr�ncd Peiodic hasps° k 71 IStoly Use/group 1i}1{i i SfNGLE FAMILY14101ArE Yuatertype 7 , % . ' , C;tbet f oduies p �t use memo _ Sev�ertype fi i* _ l7as type i , e 13 .Zane code RC REfiiU C' l� i. �. RQad ypa,, 17777-7 t; , Zone reference 7 av w ,..ux Unde�n�und utils' y ., a ,Text 1=�,Restnct3ans zM( Hazards F Sub a drs 1 c latians Y,�Historyr a5,Inspections` k 7 f IMalntaTn3i�idlflgOGCIJ�ltirlt�:dEtt��fCf�f12 C11rrEn pFOQE! �� r4,.xx'�t.� a'1.�.:,l.L:x4f . `�"--»-`<'•.�M� ..�.���� „.,......a�wx... p A,m � � { Assessor's map and lot number ... ... t. �rl......... 1..?.. ... _I Sewage Permit number. .....:.......................... WITH n ,ra;E TLE 5 TABLE ¢� � eAsa9 . House number ....... ..i�...........................:.... ......::......... jRI7paL CODE �4 ' 6 9 r ' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... ...... ..... ..�......... .................................. ... ............ ........ ............... ... TYPE OF CONSTRUCTION ..........W:O Oj)' .................: ..............19.. ' TO`'THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following in ormation: O � t r E Al Location .... ........................ .. . ............... .............. ............................. Proposed Use .... .... .�`......C: .. . .:�2. ...... ... ... �5... 2.. ... 1A. Zoning District ....................................................... ................Fire District ......................../ t. .v.....G.L��.... ............ -Name of Owner C?.N�..L .... .�5.�. Address .....9.,2.C......�` .P. S ��.cam.... . ...... I N L S Address G /�� /9 G am/ E �f9/t/, W:9'4'e l Name of Builder ..... .................. ....................... .....................................`........................... Nameof Architect ...................................................................Address ................................................................. Number of Rooms .........................z..........I.........................Foundation ..... ©./.. . .. �P... ......... ..................................:..... Exterior ......!.... .................... .............................................Roofing, ....:^............................................... `F- r!- ..................Interior ......... . / / ................. u � i.s.l.-... ....:....................... Floors ............�-..�....K../............�........... !� Heating ...../ .C'l.?..L. ..................Plumbing ......./. �..6 ��. ............................. M Fireplace .......l..x.v.It1.... .............................................. Approximate Cost .. C,.d... ................` .... p�. Definitive Plan Approved by Planning Board ------_----_______-----------19______. Area ......S�..l ........................ Diagram of Lot-and Building with Dimensions .� 9 g Fee ....�ell . SUBJECT TO APPROVAL OF BOARD OF HEALTH r r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...... .... . . ..: ............. ............... Robison, Donald ti 2429*_ add to dwelling No ................. Permit for .................................... ............................................................................... Location ...........962 Old Stage Road- ........................:.;'�.......................... Centerville .......... ........................................................ Owner .......0,....Donald Robison . ......... ...................................... .......... - Type,of Co nstructibri ...........frame............................... _6 ...........................................................:............ Plot" .............'............. Lot ...................... ........... Permit Granted .....APguAt..Iq...............ig 82 Date of inspection ....4.4.4k. ..........19.. .. . ... 'Ap Date C6mpleted ......................................19 ol i a Y f a r� I TOWN OF BARNSTABLE Permit No. ----___-_200g2_-________ Building Inspector 80 r 00 su.I rr.a� Cash ------------------ � rua ------- OCCUPANCY PERMIT Bond ----_------------------_----- "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without ,a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Douglas W. Lebe1 Address Box 164, Marston Mills lot #4 962 Old Stage Road, Centerville Wiring Inspector I e /! ,o Inspection date 0� T17; Plumbing Inspector A �.. * Inspection date Gas Inspector A,, Inspection date ff Engineering Department- � 1� Inspection date g caF 3—�fq THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. .................._... '.!��........... is. '— .........�--:�.. ............... Building Inspector Si i w'F'" «?i+ i ,,b� '1't" ;,( r 4 .$4,� f✓a:.•Af ;ti�a< , n'_a t 5.'I�i t a it... ! n k r « Y e: - �!t t_: L Ar_yk 4 ir. F A µ t t >t✓. ��§. "' l9'IV, .jA rt"_'5r �. a ,t rrf`4�°".Q r r l.tf,>. r3 '-?1 tir.# rF,.; 2 f yr! I' a v {4 �£ 'a" a,,ty ti'. r r F5 r;d d 1 F'>gq1'11l � { -' 4 7 " h l '� ',I ,, fi.:. 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't.v..� r,` rY, v "Y.d*7°L a -: r n r FI r M n Y , 3 }.n; , r -V. t I_ e c yry o r, ,�r (P " ' P� r rr 'ti 7 t'1.w y' rFs r, * *'s" t r,`a's yy a , F 3 a ?xix r t .- /� r f1 L e 4,',ftt�+. F }'", s 1 'wry �.e w r �v-.SU 11 1,S waA r v '�" �. x ♦+ S . t;, ..,F 1 .+y f r�°,,` -, ' x +1 st r ct > . t Kf r ^r .3 �.. -) F(( , -1 z, ;, `{y •, ,� n r ,:r ,,, ;?k `� ,;- : r . CERTIFIED PLOT PLAOd x- Ka�lir1.�{ L� jrabf ^{ , i Ay , t r,4* r, J i 1Jtd '1�'r+,tyw"(k r •'js i ! ry + { x� �,pxa ,,� tj,y;r�t xa 5 T L sT��s �• rw 2 7 * ` +i r wyiu t- .�; Y e }4;, M1 � i` t �a..4i,.� f +'Y rry ��. [. D O ,�.,`7 C'a��Q "5'?^}K%)�� t•% J _,;,r f% I �+ NEIN CONSTRUCTION ONLY : '' ,yk I"Y� k^r , s 'S t f "C /!/7_ 12i/iLG;E ' ;5` '`, 4. 17 "h.. .-. } v C�;' ,d f�f b ) ><b t^tr i { INeer -,,,as, n ;p 1 . . T0>a, OFt FOWUND.ATION IS "3;Y3 FEET -`r . ,' I<�;' , � e +.� ;.1rL - P I• { ...�� t r r �d �'� g h's'I 4"ap 1, ®wOM�E 0 NT OF AOJACEN.T .' '4 - •k><. { RAG d:. At a f,;f ai. { l..,ti t'i: !.1 a .1 r t i J' .. 1. te. +-Y 6. ''` �'`'• it c{ �` ,f , , t„ ) ' 1,.. A , i ,), ; �� hti SCA�.E / 40 DATE'' g�•¢` 7$ �`. { ���' EIU(3/NEE'RINo CO INC) 1" �; I C'• RTIFY THAT; THE Fo�Np i.�,' Lt-,BEL _, �t y � I - , CLIENT f'SHO N %_ON '.THIS rPLAPJ ' LOCATED EOISTEREO ;RCGISTERED11 t ,r# t fIli, JOB NO J�78aa 6 ON HE GROUND A91;INDFCATE® �iA1 CIVIL 5 I , LAND ` (: I -, SRr--t .:Y ;y ,� I< °r' 1 ,Ai. CON,e;ORMS';: T6 THE 'ZON:IN®,.LAC�9 ; f EN®II�EER SURVEYOR DR+9Y �'I r �„ r1. OF J�fSARNST BLE v ASS �i " :f 3II'NO 11�AIN ST "` 712 MAIN ST '* CN^®Y= �f-�-Q-- r/�yl . , t :. .-I S�l;YA MOUTH;MASS, -�eWYAfdNIS;MASS. SHEET~;4101 RI — I ,pr 1,.._ - -• :;I.f' - -- ,. . DArTE - RE.®. . LAND SURVt YOR� l .x Assessor._'s,map and lot number .... :.. INSTALLED IN COMPLIANGR Sewage Permit number ..:...U� j3 ....................... '�, WITH ARTICLE 11 STATI1 R /� SANITARY CODE .AND- TOWN' Y� *THE TH E T O��O OF , -B A R-Aq A �1 RLE E BAHHSTABLE,ML L "b 9 am BUILONG IHASPECTOR AY A`' .i APPLICATION FOR PERMIT TO. ....................................... ..........................:.......................................................... s I TYPEOF CONSTRUCTION ......................................................................................:............................................... qb , ................................................19... ... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit saccording to the following information: Location .. . .... .,,�..............0//)....f .....1�. .................................... ................................... !�� ... GvL,i.. .... ?. ? .1../!.`! ............... Proposed Use ..... .................................. Zoning District ........../. .. . ....................................... ..:......Fire District .... � 1/! �.1......�✓``�..... ..vf/ .. ......... .. ....... .. .......... Name of Owner ...l� v.,. ..... Address ... . .X..... t.... r 1/ Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address ..........................................................................:. ....... /�� Q r Number of Rooms ...... ...... i t C3.��' ...............Foundation ......Cf.b . ................: � 1.....1... ...... Exterior "... ..........Q:'-.� .).........q.)... ....j.........Roofing ........ f 6 A .............................................. Interior Floors �r .. .......:..,1..... .. '..L.4..................................... Heating ....... l..i. :.. `'' s}�..............Plumbing .............V. I.C.7.................................................. Fireplace ....Approximate Cost /1.......V ..�-,�..................................................... f0. Definitive Plan Approved by Planning Board -------------------_-----------19________. Area ....7�& ...... " Diagram of Lot and Building with Dimensions Fee .........��..� .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OQ I hereby agree to conform to all the Rules and Regulations of the:Town/,anst1e rega ing th above construction. Name ...... .. ........... .............................. ' ~* L b 1 Douglas N . ' ` ' �~A 1 1/2 story ` . ` � ' ' . < � .�anz�ln ..dvvel.l����____. . ' ' Location `..962—Old_S�a���..Road_. ._ . \ ____, .............................. - ' ` ~ - \ / Owner —.— ��..\�:...�eb��I.---.—.. ` Tvo& of Construction --.--..���gy�_---- ~^ � � ............................................................. ' ' �� / P|c» .—..�_--,---.. Lot ---.°.^-----' _ ' � ' ^ � ' Pdrniit Granted ^ �4 lg 78 ""= of Inspection^ ~ � ^ . -_- Completed_ ` . PERMIT REFUSED . . . , . . ' . . . . ` . ^ / - � / , ............................... ,0 L� Approvecl ................................................ lg ! . . \ --------------.—~...--.~—.. . r � . -------..—.--.-----.—.—...... / mom ` ' ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE 1. WHERE ALL TERMINALS OF THE DISCONNECTING AC ALTERNATING CURRENT MEANS MAY BE ENERGIZED IN THE OPEN POSITION, BLDG BUILDING A SIGN WILL BE PROVIDED WARNING OF THE CONC CONCRETE HAZARDS PER ART. 690.17. r DC DIRECT CURRENT 2. EACH UNGROUNDED CONDUCTOR OF THE EGC EQUIPMENT GROUNDING CONDUCTOR MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY (E) EXISTING PHASE AND SYSTEM PER ART. 210.5. i EMT ELECTRICAL METALLIC TUBING 3. A NATIONALLY—RECOGNIZED TESTING GALV GALVANIZED LABORATORY SHALL LIST ALL EQUIPMENT IN GEC GROUNDING ELECTRODE CONDUCTOR COMPLIANCE WITH ART. 110.3. GND GROUND 4. CIRCUITS OVER 250V TO GROUND SHALL HDG HOT DIPPED GALVANIZED COMPLY WITH ART. 250.97, 250.92(B) I CURRENT 5. DC CONDUCTORS EITHER DO NOT ENTER Imp CURRENT AT MAX POWER BUILDING OR ARE RUN IN METALLIC RACEWAYS OR Isc SHORT CIRCUIT CURRENT ENCLOSURES TO THE FIRST ACCESSIBLE DC kVA KILOVOLT AMPERE DISCONNECTING MEANS PER ART. 690.31(E). ,�� —♦ , kW KILOWATT 6. ALL WIRES SHALL BE PROVIDED WITH IN I LBW LOAD BEARING WALL RELIEF AT ALL ENTRY INTO BOXES AS REQUIREDi BY mod: MIN MINIMUM UL LISTING. NN NEW 7. MODULE FRAMES SHALL BE GROUNDED AT# THE ' } EUT NEUTRAL UL—LISTED LOCATION PROVIDED BY THE NTS NOT TO SCALE MANUFACTURER USING UL LISTED GROUNDING OC ON CENTER HARDWARE. ) � PL PROPERTY LINE 8. MODULE FRAMES, RAIL, AND POSTS SHALL41 BE r POI POINT OF INTERCONNECTION BONDED WITH EQUIPMENT GROUND CONDUCTORS SAND PV PHOTOVOLTAIC GROUNDED AT THE MAIN ELECTRIC PANEL. SCH SCHEDULE 9. THE DC GROUNDING ELECTRODE CONDUCTOR SS STAINLESS STEEL SHALL BE SIZED ACCORDING TO ART. 250.166(B) & STC STANDARD TESTING CONDITIONS 690.47. TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY , V VOLT Vmp VOLTAGE AT MAX POWER Voc VOLTAGE AT OPEN CIRCUIT ' VICINITY MAP INDEX W WATT 3R NEMA 3R, RAINTIGHT - PV1 COVER SHEET PV2 SITE PLAN PV3 STRUCTURAL VIEWS PV4 THREE LINE DIAGRAM LICENSE GENERAL NOTES ' err Cutsheets Attached p 1. THIS SYSTEM IS -GRID INTERTIED VIA A GEN #168572 • � . -, X ELEC 1136 72 UL—LISTED POWER—CONDITIONING INVERTER. 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. 3. SOLAR MOUNTING FRAMES ARE TO BE GROUNDED. 4. ALL WORK TO BE DONE TO THE 8TH EDITION h d ti MODULE GROUNDING METHOD: ZEP SOLAR OF THE MA STATE BUILDING CODE. I AHJ: Barnstable 5. ALL ELECTRICAL WORK SHALL COMPLY WITH ' REV BY DATE COMMENTS THE 2014 NATIONAL ELECTRIC CODE INCLUDING REV A NAME 2/14/2014 COMMENTS MASSACHUSETTS AMENDMENTS. ,✓� UTILITY: NSTAR Electric (Cambridge Electric Light) r� �} • f J B-0 2 6 215 0 0 PREMISE DINNER: DESCRIPTION: DESIGN: CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: �. Josh Wirth /,`�OI���'�` CONTAINED SHALL NOT BE USED FOR THE ROBISON, DEBRA A ROBISON RESIDENCE �- Y BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: �'�4S NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 962 OLD STAGE RD 8.5 KW PV Array, PART TO OTHERS OUTSIDE THE RECIPIENT'S ORGANIZATION,, EXCEPT INCONNECTION WITH MODULES. BARNSTABLE, MA 02632 u THE SALE AND USE OF THE RESPECTIVE (34) YINGLI # YL250P-29b REV DAB 24 st'ua no rough,MA 01752 Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PACE NAME: T- (650)638-1028 F: (650)638-1029 PERMISSION OF SOLARCITY INC. Multiple Inverters 508292421.7 COVER SHEET PV 1 2/14/2014 (668)-SOL-aTY(765-2489) wwo.9aarpty.corn PITCH: 40 ARRAY PITCH:40 MPi AZIMUTH:220 ARRAY AZIMUTH: 22 MATERIAL: Comp Shingle STORY: 1 PITCH: 40 ARRAY PITCH:40 MP2 AZIMUTH: 130 ARRAY AZIMUTH:13 MATERIAL: Comp Shingle STORY; IF— • - Inv ' LC ge AC $ Pl LEGEND Q (E) UTILITY METER & WARNING LABEL In. INVERTER W/ INTEGRATED DC DISCO q & WARNING LABELS © DC DISCONNECT & WARNING LABELS Front Of House AC © AC DISCONNECT & WARNING LABELS Q DC JUNCTION/COMBINER BOX & LAE � vH OFF , N Q DISTRIBUTION PANEL & LABELS O� AMI R GCS MASSCUMI LC LOAD CENTER & WARNING LABELS CIVIL - hlo.•5 555 ` O DEDICATED PV SYSTEM METER ®l3G`��ir s r CONDUIT RUN ON EXTERIOR -- CONDUIT RUN ON INTERIOR .�..�.,.„(E)DRIVEWAY Digitally signed by Amir GATE/FENCE �� '� INTERIOR EQUIPMENT Massoumi 962 old Stage Rd Date: 201.4.02.14 15:59:56 08'00' SITE PLAN Scale: 3/32" = V 0 i' 10, 21' IFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: J B-0 2 6 215 0 0 PREMISE OWNER DESCRIPTION: DESM— HTAINED SHALL NOT BE USED FOR THE ROBISON DEBRA A ROBISON RESIDENCE IEFIT OF ANYONE EXCEPT SOLARCITY INC., MWNTNG SYSTEM: Josh Wirth I SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 962 OLDS STAGE RD 8.5 KW PV Array 'i, SOlarC a TO OTHERS OUTSIDE THE RECIPIENTS :ANIZATION, EXCEPT IN CONNECTION WITH MODULES: BARNSTABLE, MA 02632 : SALE AND USE OF THE RESPECTIVE (34) YINGLI # YL250P-29b 24 St Martin Drtm. Building 2, t ARgTY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME SHEET: REV: DAIS Marlborough,MA 01752 ;MISSION OF SOLARCITY INC. ���' T. (650) 638-1028 F: (650)63 Multiple Inverters 5082924217 SITE PLAN PU 2 2/14/2014 (888)-sm-aTY(765-248s) w ..r. S1 OF 4" 4� AM I R 12' MASSOLIMI . �'— 0 CIVIL (E) LBW No.5,555 A SIDE VIEW OF MP1 NTS MP16 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES LANDSCAPE PIN 64" 24" STAGGERED F PORTRAIT 48" 19" RAFTER: 2x6 @ 16"IX ROOF AZI 220 PITCH 34 STORIES: 1 ARRAY AZI 220 PITCH 34 C.J.: 2x8 @16"OC Comp Shingle PV MODULE 5/16" BOLT WITH LOCK r INSTALLATION ORDER & FENDER WASHERS LOCATE RAFTER, MARK HOLE ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT (6) HOLE. SEAL PILOT HOLE WITH S1 (4) (2) POLYURETHANE SEALANT. ZEP COMP MOUNT C ZEP FLASHING C (3) (3) INSERT FLASHING. 4" (E) COMP. SHINGLE (1) (4) PLACE MOUNT. V (E) LBW (E) ROOF DECKING (2) INSTALL LAG BOLT WITH SIDE VIEW OF MP2 NTS 5/16" DIA LAG BOLT (5) (5) SEALING WASHER. C WITH SEALING WASHER LOWEST MODULE SUBSEQUENT MODULES glFNSTALL LEVELING FOOT WITH MP2 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES (2-1/2" EMBED, MIN) LT & WASHERS. LANDSCAPE 64" 1 24" STAGGERED PORTRAIT 48" 19" (E) RAFTER ROOF AZI 130 PITCH 37 STANDOFF RAFTER: 2x8 @ 16"OC ARRAY AZI 130 PITCH 37 STORIES: 1 C.J.: 2x8 @16"OC Comp Shingle J B-0 2 6 215 0 0 °R°' °'""� DESCPoPTXNI: oEsc CONFIDENTIAL A THE INFORMATION HEREIN JOB Nl1MBER `\�,�SolarCity CONTAINED SHALL NOT BE USED FOR THE ROBISON, DEBRA A ROBISON RESIDENCE ,josh Wirth �_ , BENEFIT OF ANYONE EXCEPT SOLARCITY INC. MOUNTING SYSTEM: A J NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 962 OLD STAGE RD 8.5 KW PV Array PART TO OTHERS OUTSIDE THE RECIPIENTS Maou�s BARNSTABLE MA 02632 - ORGANIZATION,EXCEPT IN CONNECTION NTH MODULES: 24 St Martin Dr1w,Buiding 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (34) YINGLI # YL250P-29b PACE NAME SHEET- REY DAIS Marlborough.MA 01752 SOLARCITY EQUIPMENT, VATHOUT THE WRITTEN INVERTER T. (650)638-1028 F. (650)638-1029 PERMISSION OF SOLARCITY INC. Multiple Inverters 5082924217 STRUCTURAL VIEWS PV 3 2/14/2014 (688)-SOL-CITY(765-24s9) ww.sdaraty.com GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO (N) GROUND ROD Panel Number:Bryant-B2020SM Inv 1: DC Ungrounded _ gE� GEN 168572 AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:43 953 177 Inv 2: DC Ungrounded INV 1 -(1)i�m 000%Ov,97.574 w nlfed Dim and ZB, AFq -�S4)11NGLI # YL250P-29b ELEC 1136 MR PV Module; 250W, 226.2W PTC, H4, 46mm, YGE-Z 60, Black frame, ZEP Enabled Tie-In: Supply Side Connection INV 2 -(1)s m o�ow 24ov iss w%unifed 6iSoo and ZB, AFq Voc: 37.6 Vpmax: 29,8 INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER E 100A MAIN SERVICE PANEL E 100/2P MAIN CIRCUIT BREAKER (E) WIRING CUTLER-HAMMER SOLARGUARD BRYANT Inverter 1 Disconnect METER CUTLER-HAMMER (N) Load Center 8 Disconnect 7 5 SOLAREDGE B 45A SE5000A-US-ZB-U C I p E 30A/2P LA L1 znov SOIafClty 10OA/2P 6 N GFP/GFCI A 3 1 (E) LOADS GND _ -- GND --- - ---- GND _ _, r- -EGC/ _- DC+ DC+ - I I GEC a DC- - DG 1 String(s)Of 20 On MP 1 r----J I I GND __ EGC--------------------------- ---,---- EGC 1 I 1 -- -------------------- I J N 1 ♦ Inverter 2. 1 " 6 SOLAREDGE 1 Z i SE3000A-US-ZB-U --- - Gec{ i 20 f/2P Lt z<ov SolarCity L2 GFP/GFCI A TO 120/240V i i N 4 2 SINGLE PHASE I L_ ____ _EGC/ Dc+ - - - - UTILITY SERVICE - I - - GEC a ��D�C+ � DC- - 1 String(s)Of 14 On MP 2 GND -------------- ---,---- -- EGC---------------!!!���III�t"""III J��I Voc* MAX VOC AT MIN TEMP ' OI (1)Ground Rod; 5/8' x 8, Copper B (1)CUTLER-HAMMER #DG22MR8 /� A (2)SdarCit 4 STRING JUNCTION BOX D� -(2)ILSCO/IPC 4/0-/6 Disconnect; 60A, 24OVac,Fusible, NEMA 3R A 2x2 STRINGS, UNFUSED, GROUNDED Insulation Piercing Connector, Main 4/0-4. Tap 6-14 -(1)CUTLER-11AMMER Y DG100N6 -(2)ZEP 850-1196-002 { E 1)BRYANT BR816L125RP Ground/Neutral Kit; 60-100A, General Duty(DG) Universal Box Bracket; [PKG B] ( Load Cuter, 125A, 120/24OV,NEMA 3R -(1))CUTLER HAMMER $DS16FK Class R Fuse Kit Dnd 04)SOLAREDGE00-2NA4AZS -(1)CUTLER-HAMM BR230 -(2)FERRAZ SHAWMUTi TR45R PV BACKFEED OCP PowerBox Crtimizer, 300W, H4, DC to DC, ZEP Breaker 30A 2P 2 aces • Spaces Fuse- 45A 25OV,Class RKS _ 1 AWG Solid Bare Copper -(1)CUTLER HAMM �BR220 SolarGuard Moniloring System ( ) �' PP Breaker, 20A 2P, 2 Spaces C p -(1)CUTLER-HAMMER DG222URB -(1)Ground Rod; 5/8' x 8. Copper SUPPLY SIDE CONNECTION. DISCONNECTING MEANS SHALL BE SUITABLE Disconnect- 60A 240Vac, Non-Fusible, NEMA 3R S - 1 R- AMM N ARRAY GROUND PER 690.47(D). NOTE: PER EXCEPTION NO. ADDITIONAL CUTLE ER oGt00Ne ( ) , AS SERVICE EQUIPMENT AND SHALL BE RATED PER NEC. ( ) � Ground sutral d; 60-100A, General Duty DG) ELECTRODE MAY NOT Bf REQUIRElLDEQENDING ON L010 *BON 0E (.E)_ELECTROD (I)AWG /8, THWN-2, Black 1 AWG#10, THWN-2, Block (I)AWG #10, THWN-2, Black Voc* 500 VDC Isc 15 ADC (2)AWG#10, PV WIRE, Black Voc* =500 VDC Isc =15 ADC O (1)AWG 18, THWN-2, Red O g (1)AWG 010, THWN-2, Red O (1)AWG #10, THWN-2, Red Vmp =350 VDC Imp=14.1 ADC O (1)AWG#6, Solid Bare Copper EGG Vmp =350 VDC Imp=14.1 ADC (1)AWG /8, THWN-2, White NEUTRAL Vmp =240 VAC Imp=33.33AAC (1)AWG#10, THWN-2, White NEUTRAL Vmp =240 VAC Imp=20.83AAC ., (1 AWG/10, THWN-2,•Green•, EGG• • -(1)Conduit•Kit;•3/4'.EMT. _. . 70 AWG /8,•7HWN-2,•Green •, EGC/GEC.-(1)Conduit,Kit;.3/4',EMT• • , , • , , •, •• •-(1 AWG#8,.1(H,WN-2,•Green _. EGC/GEC•-(t)Conduit•Kit;.3/4".EMT_.. , , (1 AWG/10, THWN-2, Black Voc*_=500 VDC Isc =15 ADC (2)AWG ¢10, PV WIRE, Black . . . . ..Voc* =500 VDC Isc -15 ADC (1)AWG 16, THWN-2, Black (1)AWG#10, THWN-2, Black O � (1)AWG 110, THWN-2, Red Vmp =350 VDC Imp=9.87 ADC O� 1 AWG O (1)AWG 16. THWN-2, Red O (1)AWG$10, THWN-2, Red (1 AWG 10 THWN-2, Green EGC - 1 Conduit Kit; 3 4'EMT sR (. . . . . Solid Bare Copper EGC.. . Vmp =350 .VDC Imp=9.. . ADC x (1)AWG 16, THWN-2, White NEUTRAL Vmp =240 VAC Imp=33.33 AAC (1)AWG#10, THWN-2, White NEUTRAL Vmp =240 VAC Imp=12.5 AAC ) # , ( ) / .. .. . . .. .. • • • .• ._-(1)AWG/6,.Solid Bare,Copper• GEC. . . .-(1)CandUit,Kit;•3/4�,EMT. . . • . . . . . . .. • _ . . _-(1)AWG#8,•7H,WN-2,.Green . . EGC/GEC•-0).Conduit•Kit;_3/4"•EMT. . . .._ . ., CONFIDENTIAL- THE INFORMATION HEREIN De NUMaIx: JB-026215 00 PREMISE OWNER: DESCRIPTION: DESIGN:ROBISON, DEBRA A ROBISON RESIDENCE Josh Wirth TT. CONTAINED SHALL NOT BE USED FOR THE ■BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: ��OIarC'tyNOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 962 OLD STAGE RD 8.5 KW PV ArrayPART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES: BARNSTABLE, MA 02632 THE SALE AND USE OF THE RESPECTIVE (34) YINGLI # YL250P-29b St.Martin Drive,Building 2,Unit 11 soLARgTY EQUIPMENT, wlnNouT THE WRITTEN gh,MA 01752 w�TI 5082924217 PAGE NAME:-THREE LINE DIAGRAM REv DATE./ ,qN(Marlb788 489)6wwwsdardtywm PERMISSION OF SOARCITY INC. Multi le Inverters PV 4 2 14 20 SolarCity SleekMountT."" - Comp SolarCity SleekMountTM - Comp The SolarCity SleekMount hardware solution Utilizes Zep Solar hardware and UL 1703 listed Installation Instructions is optimized to achieve superior strength and Zep CompatibleTM modules aesthetics while minimizing roof disruption and Drill Pilot Hole of Proper Diameter for labor.The elimination of visible rail ends and •Interlock and grounding devices in system UL listed to UL 2703 Fastener Size Per NDS Section 1.1.3.2 mounting clamps,combined with the addition of array trim and a lower profile all contribute •Interlock and Ground Zep ETL listed to UL 1703 Seal pilot hole with roofing sealant to a more visual) a system.SleekMount as"Grounding and Bonding System" a y appealing g y ©3 Insert Comp Mount flashing under upper utilizes Zep Compatible TM modules with •Ground Zep UL and ETL listed to UL 467 as layer of shingle strengthened frames that attach directly to grounding device Place Comp Mount centered Zep Solar standoffs,effectively eliminating the need for rail and reducing the number of •Painted galvanized waterproof flashing - - upon flashing Standoffs required. In addition, composition .Anodized components for corrosion resistance T ®5 Install lag pursuant to NDS Section 11.1.3 shingles are not required to be cut for this with sealing washer. system,allowing for minimal roof disturbance. •Applicable for vent spanning functions --^" © Secure Leveling Foot to the Comp Mount using machine Screw O7 Place module O Components . 0 5/16"Machine Screw Leveling Foot 0 Lag Screw R ®D Comp Mount QComp Mount Flashing D o`er January 2013 �® January 2013 je`W U` LISTED cif S®����� C�MFPt�O y® solar=oo L�1 solar=ooSolarEdge Power Optimizer J ^l7 Module Add-On for North America o P300 / P350 / P400 SolarEdge Power Optimizer P300 P350 Module Add-On For North America (for 60-cell PV (for 7 96— 2u11 PV (for 96-cell PV modules) modules) modules) P300 / P350 / P400 Paz INPUT _Rated Input DC Powers° 300 310 4110 W Absolute Maximum Input Voltage(Voc at lowest temperature) 48 60 so Vdc MPPT Operating Range 8-48 8-60 8-80 Vdc Maximum Short Circuit Current(Isc) 30 Adc Maximum DC Input Current 12.5 Adc Maximum Efficiency 99.5 % Weighted Efficiency 98.8 % Overvoltage Category II OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER) O Maximum Output Current 15 Adc Maximum Output Voltage 60 Vdc <f, F G _OUTPUT DURING STANDBY(POWER OPTIMIZER TDISCONNECTED FROM INVERTER OR INVERTER OFF)_ ____- f Safety Output Voltage per Power Optimizer J 1 Vdc STMAry lEC621DARD COMPLIANCE FCC Pa109s 1(class Y),UL174 63000 10 6 3 Rolls Yes INSTALLATION SPECIFICATIONS _ .�' Maximum Allowed System Voltage 1000 Vdc f =f Dimensions(W x L x H) 141x212 x 40.5/5.55 x 8.34x 1.59 mm/in. *'r Weight(including cables) 950/2.1 gr/lb �,.�` �• _Input Connector _MC4/Amphenol/Tyco. F Output Wire Type/Connector Double Insulated;Amphenol Output Wire Length 0.95/3.0 ( 1.2/3.9 m/ft Operating Temperature Range 40- 85/-40-.185 'C/-F Protection Rating IP65/NEMA4 Relative Humidity 0-100 % n.e.a sT<row..onn.moam..Moe fuPw s%n. .1n,.n,.do d. PV SYSTEM DESIGN USING A SOLAREDGE THREE PHASE THREE PHASE n INVERTER SINGLE PHASE _ 208V 480V PV power optimization at the module-level Minimum StringLength(PowerOptimizers) 8 to is - Up to 25%more energy - Maximum String Length(Power Optimizers) 25 25 50 Maximum Power per String 5250 6000 12750 W — Superior efficiency(99.5%) — Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading Parallel Strings of Different lengths or Orientations I Yes — Flexible system design for maximum space utilization — Fast installation with a single bolt - - - - Next generation maintenance with module-level monitoring — Module-level voltage shutdown for installer and firefighter safety Z S USA - GERMANY - ITALY - FRANCE - JAPAN - CHINA - ISRAEL - AUSTRALIA www.solaredge.us YG YGE - Z Z 6® YL26UP-29b C� � ELL SERIESeYL255P-29b � C Powered by YINGLI CELL SERIES YL250P-29b YINCSSLA LAR YL245P-29b ELECTRICAL PERFORMANCE •- . YL240P-29b U.S.Soccer Powered by Yingli Solar GENERAL CHARACTERISTICS yy y Module type B 1 YL260P-29b YL255P-29b YL250P-29b�YL245P-29b YL240P-29b Dimensions(L/W/H) q 64.96in(1650mm)/38.98in(990mm)/ Power output P.- W 1 260 I 255 250 245 240 _ I 1.81in(46mm) Power output tolerances aPm,. % - - -0/+3 - Weight 45.2lbs(20.5kg) • Ideal for residentialModule -----.----- - --------_------- efficiency 9m I % 15.9 15.6 I 15.3 15.0 14.7_.-...----...-.. - �-------..- ..----- -..-.. ---- -'- 7 and commercial applications where cost savings, Voltage at P Vm V 30.3 30.0 29.8 29.6 29.3 Current at P.. hrew'�- A P 8.59 8.49 1 8.39 � 8.28 p 8.18 PACKAGING SPECIFICATIONS installation time, and aesthetics matter most. Open-circuit voltage V« v 37.7 37.7 1 37.6 37-5 A 37.5 Number of modules per pallet 22 Short-cuit current � 9.0 �- irc he I A 9 I 9.01 8.92 8 Number of pallets per 40'contained 28 _ _ Il - 1------ - -.83 8.75- STC 1000w/m'irradiance,25 C cell temperature,AM1.5g spectrum according to EN 60904-3 . :- • - • e Average relative efficiency reduction of 3 3%at 200W/m'according to EN 60904-1 Packaging box dimensions 67in(1710mm)/45in(1145mm) /Lower balance-of-system costs with Zep B/w/H) 46in n Hamm) _ •• • p _ •_ _ • Box weight 106716s(484kg) Compatible"frame. Power output P W U 189.7 � 186.0 182.4 178.7 175.1 0 Reduce on-roof labor costs by more than voltage at P - V pp V 1I _27_6 (!r_27.4 27_2 _ 27.0 26_8 Units:inch(mm) .2$% Current at Pm.. Impp�-A 6.87 I. 6.79 1 6.71 6.62 I 6.54 , Open-circuit voltage V« ! V 34.8 38.98 990 ,j) 34.8 _ 34.7 34.6 34.6 /Leverage the built-in grounding system- 36.as 936 1.81(46) Short-circuit current la A 7.35 7.28 7.21 ! 7.14 7.07 0 If It's mounted,it's grounded. NOCT:open-circuit module operation temperature at 800W/m'irradiance,20°C ambient temperature,1m/s wind speed /Decreaseyourpartscount-eliminatescrews, THERMAL CHARACTERISTICS m _ rails,mounting clips,and grounding hardware. - Nominal operating cell temperature NocT�I °C �� 46+/-2 - - • • Temperature coefficient of Pm,. Y -%/°C -0.42 I MR-MM. Temperature coefficient of V• 0- %/°C _ -0.32 ►Minimize roof penetrations while maintaining ( 0.05 Grounding holese Il Temperature coefficient of hr a .�%/°C _ •6�undin(6) °• ^ the system's structural integrity. - _ QGQMPgT�� Temperature coefficient of V.PP 0v_p %/°C -0.42 m e /Invest in an attractive solar array that includes }' N a black frame, low mounting profile,and 0. " OPERATING CONDITIONS i, aesthetic array skirt. �� FA, Max.system voltage 600Vcc or 1000Voc Mounting holes•, - 4-0.256x0.315(b.5xa) - ►Increase energy.output with flexible module �MPp ti Max.series fuse ratings. 15A layouts(portrait or landscape). -- - Limiting reverse current f 15A Drainage holes C /Trust in the reliability and theft-resistance of 8-0.12x0.315(3x8) u -40 to 185°F(-40 to 85°C) ^ the Zep Compatible'"system. Operating temperature range f • Max.static load 2400Pa 3.94(100) ,y Max.hailstone impact(diameter/velocity) 25mm/23m/s 0.47(12) AC SOLUTION OPTION Leading limited power warranty*ensures 91.2%of rated power for 10 years,and 80.7% ; The YGE-Z Series is now available as I of rated power for 25years. I CONSTRUCTION MATERIALS an En phase Ener ized'"AC Solution. --------- - - O P g -Front cover(material/thickness) - low-iron tempered glass/3.2mm I I SECTION C-C I This solution delivers optimum 10-year limited product warranty. cell(quantity/material/dimensions/ 60/multicrystalline silicon/ 11 ( performance and integrated intelligence. number of busbars) 156mm x/56mm/2 or 3 enphaSe - ; _ The Enphase M215-Z Zep Compatible j Encapsulant(material) � ethylene vinyl acetate(EVA) Microinverter is ne desi d to Connect *In compliance with our warranty terms and conditions. t 38(35) g Frame(material/color/edge sealing) anodized aluminum alloy/black/silicone or tape directly into the Z Series module groove,eliminating s e Junction box(ingress protection rating) - >_IP65 - the need for tools or fasteners-all with one easy step. ` "�' warning:Read the Installation and User Manual in its entirety _(� .•-., y- Cable(length/cross-sectional area) 1100mm/4mm'. "-A before handling,installing,and operating Yingli modules. _ -- - - s � Connector(type/ingress protection rating) tl MC4 or Amphenol H4/a IP67 I l BBB - 'Wi Our Partners UL 1703 and ULC 1703,CEC FSEC,ISO 9001:2008,ISO 4S!•9 14001:2004,BS OHSAS 18001 2007,SA8000 • Intelligent real-time .�. 6J'®LeeJO monitoring at the system If you buy from Yingli Americas,v bgh Americas The specifications in this datasheet are not guaranteed and are subject to change without prior notice. and module level with (� acts as the importer and complies with all } This datasheet complies with EN 50380:2003 requirements. Enlighten. CODS T applicable tariffs.Customers can buy from Yingli LISTED - I ( Americas with no worry that they will be liable for •r} i (PMOTOV440DMODULF) ma°e.uune F any import idri{(5, I _ 1.w..rvv.wn `.. Yingli Green Energy Americas, Inc. in c info li� C�3 amerit as.com Y 9 Tel: +1 (888)686-8820 YINGL'I' S-OLAR YINGLISOLAR.COM/US NYSENGE YINGLISOLAR.COMNS Yingli Americas m Yingli Green Energy Holding Co.Ltd. 'YGEZ60CeIISeries2013_EN_201309_V01 U.S.Soccer Powered by Yingli Solar s o I a r ' 0ao .-�' Single Phase Inverters for North America s o I a r e Wo - SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ 0 SE7600A-US/SE10000A-US/SE1140OA-US SE3000A-US SE380OA-US SESOOOA-US SE6000A-US SE760OA-US SE10000A-US I SE1140OA-Us - OUTPUT SolarEdge Single Phase Inverters 10 Nominal AC Power Output 3300 3840 5200 @ 208V 6000 7680 9980 @ 208V 11520 VA 5520 @240V 10080 @240V For North America " 5600@208V 10800@208V Max.AC Power Output 3650 4150 6000 8350 12000 VA 6000 @240V 10950 @240V AC SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ 0 183-208 Output Voltage Min.-Nom.-Max.* 9 18308-229 Vac . SE7600A-US/SE10000A-US/SE1140OA-US t AC Output Voltage Min.-Nom.-Max.' 211-240-264 Vac IO .AC Frequency Min:Nom.-Max.* 59.3-60-60.5(with HI country setting 57-60-60.5) Hz Max.Continuous Output Current 14 16 25 @ 208V 25 23 @ 240V 32 48 @ 208V 48 A . I 42 @ 240V GFDI 1 A Utility Monitoring,Islanding -f�verfe Protection,Country Configurable Yes ,Im G o 4 Thresholds _ ` 12.ZJ 6'. INPUT �eaant`l f " Recommended Max.DC Power'* (STC) 4100 4800 6500 7500 9600 12400 14400 W -T!",-�a��I° Transformer-less,Ungrounded Yes Max.Input Voltage 500 Vdc ' N .Nom.DC Input Voltage 325 @ 208V/350 @ 240V Vdc 17 @ 208V I 33 @ 208V Max.Input Current"'* 11 13 17 @ 240V 18 23.5 30.5 @ 240V 35 Adc f] Max.Input Short Circuit Current 30 45 Adc Reverse-Polarity Protection Yes Ground-Fault Isolation Detection 600kaSensitivity _ o- Maximum Inverter Efficiency 97.7 98.2 98.3 98.3 98 98 985 % I I 197.5 @ 208V I 91 @ 208V ( '•„ CEC Weighted Efficiency 97.5 98 98 @ 240V 97.5 97.5 97.5 @ 240V 97. Nighttime Power Consumption <2.5 <4 W _ADDITIONAL FEATURES _ __ - - Supported Communication Interfaces RS485,RS232,Ethernet,ZigBee(optional) 1{ STANDARD COMPLIANCE Safety UL1741,UL1699B(Part numbers ending in"-U"),UL1998,CSA 22.2 Grid Connection StandardsF IEEE1547 Emissions FCC part15 class B t INSTALLATION SPECIFICATIONS trF AC output conduit size/AWG range 3/4"minimum/24 6 AWG 3/4 minimum/8 3 AWG f - -- + '!, DC input conduit size/#of strings/ AWG ran a 3/4"minimum/1-2 strings/24-6 AWG 3/4'minimum/1-2 strings/14-6 AWG g i Dimensions with AC/DC Safety 30.5 x 12.5 x 7/ 30.5 x 12.5 x 7.5/ in/ 30.5x12.5x10.5/775x315x260 Switch(HXWXD) 775 x 315 x 172 775 x 31.5 x191 mm Weight with AC/DC Safety Switch 51.2/23.2 54.7/24.7 88.4/40.1 lb/kg -Cooling Natural Convection Fa ns(user replaceable) Noise <25 <50 dBA The best choice for SolarEdge enabled systems Rine ax.Operating Temperature -13 to+140/-25 to+60(CAN version****-40 to+60) 'F/'C - Integrated arc fault protection(Type 1)for NEC 2011 690.11 compliance(part numbers ending in rr-Ur') j Protection Rating NEMA 311 •For other regional settings please contact SolarEdge support I Superior efficiency(98%) "Limited to 125%for locations where theyearly average high temperature isabove774F/252C and to 135%for locationswhere it is below 77eF/25-C. { For detailed information,refer to htto://www.solaredge.us/files/odfs/inverter do oversizing guide.odf - Small,lightweight and easy to install on provided bracket A higher current source may be used;the in,efter will limit its input current to the�Iues stated. ••••CAN P/Ns are eligible for the Ontario FIT and micmFIT(microFIT en.SE11400A-US-CAN) - Built-in module-level monitoring - Internet connection through Ethernet or Wireless - Outdoor and indoor installation - Fixed voltage inverter,DC/AC conversion only Pre-assembled AC/DC Safety Switch for faster installation �svnsc�c USA - GERMANY - ITALY - FRANCE - JAPAN - CHINA ISRAEL AUSTRALIA www.solaredge.us F, { SolarCity SleekMounfm - Comp SolarCity Sleekfl/lountTM - Comp a The SolarCitySleekMount hardware solution •Utilizes Zep Solar hardware and UL 1703 listed Installation Instructions is optimized to achieve superior strength and Zep CompatibleTM modules aesthetics while minimizing roof disruption and e� 1© Drill Pilot Hole of Proper Diameter for labor.The elimination of visible rail ends and •Interlock and grounding devices in system UL listed to UL 2703 � Fastener Size Per NDS Section 1.1.3.2 mounting clamps,combined with the addition = of array trim and a lower profile all contribute •Interlock and Ground Zep ETL listed to UL 1703y a �� '�`,4 �* Seal pilot hole with roofing sealant to a more visual) s SleekMount as"Grounding and Bonding System" 4 r` appealing system. � Insert Comp Mount flashing under upper utilizes Zep Compatible TM modules with •Ground Zep UL and ETL listed to UL 467 as ` layer.of shingle strengthened frames that attach directly to grounding device ® Place Comp Mount centered Zep Solar standoffs,effectively eliminating the need for rail and reducing the number of •Painted galvanized waterproof flashing _ upon flashing standoffs required. In addition, composition .Anodized components for corrosion resistance ' . - , 05 Install lag pursuant to NDS Section 11.1.3 shingles are not required to be cut for this with sealing washer. system,allowing for minimal roof disturbance. •Applicable for vent spanning functions © Secure Leveling Foot to the Comp Mount using machine Screw Place module Components ' © 5/16"Machine Screw - B 0 Leveling Foot - © Lag Screw Comp Mount ® Comp Mount Flashing „ C • �� ��� Vj®��pip January 2013 VNI. � 0V� LISTED �i1, ® January 2013 G solar=oo solar - o o SolarEdge Power Optimizer Module Add-On for North America P300 / P350 / P400 SolarEdge Power Optimizer g O P300 P350 P400 Module Add-On For North America (for 60cell PV (for 72-cell PV (for 96-cell PV modules) modules) modules) P300 / P350 / P400 °(.� INPUT _ Rated Input DC Powerl'I 300 350 400 W t•`71 Absolute Maximum Input Voltage(Voc at lowest temperature) 48 60 80 Vdc �•J MPPT Operating Range 8-48 8-60 8-80 Vdc Maximum Short Circuit Current(Isc) 10 Adc ff n f1 Maximum DC Input Current 12.5 Adc Maximum Efficiency 99.5 % - t..�7 Weighted Efficiency9 % +.- Overvoltage Categtegory 11 _ " OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER) r� Maximum Output Current 15 ` Adc Maximum Output Voltage 60 I Vdc G OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF) _ ! Safety Output Voltage per Power Optimizer 1 r Vdc r STANDARD COMPLIANCE- r I EMC FCC Part15 Class B,IEC61000-6-2,IEC63000-6-3 ."R� _ <WJ�•-'� Safety � IEC62109-1(class II safety),UL1741 it - �•__..> RoHS Yes INSTALLATION SPECIFICATIONS _ „ f Maximum Allowed System Voltage 1000 Vdc ` ;¢� :. •'.' {�' Dimensions(W x Lx H) 141 x.212 x 40.5/5.55 x 8.34 x 1.59 mm/in Weight(including cables) 950/2.1 gr/Ib ..f Input Connector ) MC4/Amphenol/Tyco' . L� Output Wire Type/Connector Double Insulated;Amphenol Output Wire Length 0.95/3.0 I 1.2/3.9 m/ft . Operating Temperature Range 40-+85/-40-+185 -C/'F Protection Rating IP65/NEMA4 Relative Humidity 0-100 % Reed src p.,onne mov a Modu a of Ip oo sz II.,<d e,.dee a rowed. PV SYSTEM DESIGN USING A SOLAREDGE THREE PHASE THREE PHASE INVERTER SINGLE PHASE 208V _ 480V Minimum String Length(Power Optimizers) S 10 18 PV power optimization at the module-level �— t Superior efficiency to 25%more energy - Maximum String Length(Power Optimizers) 25 25 50 f Maximum Power per String 5250 6000 12750 W — Sici (99.5%) - 1 i ency t Parallel Strings of Different Lengths or Orientations I Yes — Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading r Flexible system design for maximum space utilization t — Fast installation with a single bolt - - 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.solaredge.us _ 4 YG Z 60 YL255P-29b YGE - Z 60CELL SERIESeYL255P-29b Powered by YINGLI CELL SERIES YL250P-29b YIN GLI LAR YL245P-29b ® ELECTRICAL PERFORMANCE YL240P-29b U.S.Soccer Powered by Yingli Solar do= GENERAL CHARACTERISTICS Module type YL260P-29b YL255P-29b YL255P-296 YL245P-296 YL240P-29b Dimensions(L/W/H) 64.96in(1650mm)/38.98in(990mm)/ Power output -P-i W 6_6260 �i 255 I 250 O 245 240 N 1.81in(46mm) Power output tolerances Nap_.., % R -0/+3 Weight - N 45.2lbs(20.5kg) • Ideal for residential Module efficiency -___ n. % 15.9 15.6 153 I 15.0 14.7 and commercial applications where cost savings, r Voltage at P... v-PPI Y 30.3 3°•° 29.6 t 29.6 r`-29.3 Current at Pm.. hwP , A 8.59 B.a9-; _ 6.39 9.28 8.1 s_ PACKAGING SPECIFICATIONS installation time, and aesthetics matter most. a Open-circuit voltage V« I V 37.7 37.7 1� 37.6 �i 37.5 , 37.5 Number of modules per pallet P 22 p 1. Short-circuit current II _A 9.09 9.01 p 8.92 8.83 8.75 Number of pallets per 40'container 28 STC:1000W/m'irradiance,25°C cell temperature,AM11.5g spectrum according to EN 60904-3 • • z ._ Average relative efficiency reduction of 3.3%at 200W/m'according to EN 60904-1 Packaging box dimensions 67in(1710mm)/45in(1145mm)/ (L/W/H) 46in(1178mm) 1 Lower balance-of-system costs with Zep •.- Box weight 106716s(464kg) Compatible"frame. r. Power output Pm. N W 189.7 ° � 186.0 { 182.4 11 178.7 175.1 ►Reduce on-roof labor costs by more than Voltage at_P vmPP� v z7.6 i7 a z7 2 27.o It 26.8,_ Units:inch(mm) _..._..,.._ -....--- ____-_,._.-_ _y .____ o - ` Current at Pm.. A 6.87 6.79 1 6.71 + 6.62 6.54. 25�O. \�- -� 1 38.98 990 - Open-circuit voltage v« 4. V 34.8 34.8 34.7 34.6 34.6 1 Leverage the built-in grounding system- I 36.85 936 1.81(46) Short-circuit current I.: I . y 735 ( 7.28 7.21 l 7.14 7.07 0 If It's mounted,It's grounded. I NOCT:open-circuit module operation temperature at 800W/m'irradiance,20°C ambient temperature,1m/s wind speed = y /Decrease your parts count-eliminate screws, I' " rails,mounting clips,and grounding hardware. THERMAL .CHARACTERISTICS Nominal operating cell temperature P INDICT 46+/-2 Temperature coefficient of Pm.. y %/°C .0.42 ^? Temperature coefficient of V°° P_ %oc -0.32 ►Minimize roof enetrations while maintaining ++p p Temperature coefficient of IH: %/°C I 0.05 Grounding holese 9 the system's structural integrity. MP X ( () I 'q�/e. +. Temperature coefficient of V.pp 0 N%/°C -0.42 °: 1 Invest in an attractive solar array that includes " �`NQ 11,;.* ;' ------ _.�___ __ ;�_ .6�0.236 b - - o a black frame,low mounting profile,and skirt. OPERATING CONDITIONS aesthetic array W Max.system voltage S -. 600Voc or 1000Voc Mounting holes ' - 4-0.256x0.315(6.5x8) ►Increase energy output with flexible module '4 = �MFP Max.series fuse rating 15A layouts(portrait or landscape). _ ._. -- -- ---- - ---- - '� Limiting reverse current �- 15A Drainage holes /Trust in the reliability and theft-resistance of I 8-0.12x0.315(3x8) u the Zep Compatible'"system. Operating temp 5°F(ao ° e - - ,� - ' -may ;; - • - Max.static load era 182400Pa t - 3.94(100) 1 _.�,--..._-.-__ lure range -40to 85°C) - Max.hailstone impact(diameter/velocity) _ 25mm/23m/s AG SOLUTION OPTION Leading limited power warranty*ensures = - 91.2%of rated power for_10 years,and 80.7% The YGE-Z Series is now available as a of rated power for 25 years. CONSTRUCTION MATERIALS A 1 r .- �_ _ ___ - i t an Enphase Energized'"AC Solution. f^- --- �- - ------ I „, "r � ;+,-- Front cover(material/thickness) _ low-iron tempered glass/3.2mm - r 1 { '-- ) x4 I, - j SECTION C-C L J This solution delivers optimum Cell(quantity/material/dimensions/ 60/multic stalline silicon/ I I. 10-year limited product warranty. h b ry t � performance and integrated intelligence. number of busbam) 156mm x 156mm/2 or 3 enphase 1 ; may1. The Enphase M215-Z Zep Compatible I Encapsulant(material) ethylene vinyl acetate(EVA) ' Microinverter is ne desi d to Connect *Incompliance with our warranty terms and conditions. .- ' I "V g _ Y , �Frame(material/color/edge sealing) q anodized aluminum alloy/black./silicone or tape directly into the Z Series module groove,eliminating Junction box(ingress protection rating) aIP65 the need for tools or fasteners-all with one easy step. - P Warning:Read the Installation and User Manual in its entirety ! Cable(length/cross-sectional area) �- 1100mm/4mm' before handling,installing,and operating Yingli modules. M> -. •` '" ' - . - x"A>f�'7+a':4"''Fr"+ �' i - Connector(type/ingress protection rating)- MC4 or Amphenol H4/21P67 r ` Our Partners -" UL 1703 and ULC 1703,CEC,FSEC,ISO 9001:2008,ISO 1 i S2� JJt 14001 2004;BS OHSAS 18001:2007,SA8000 Intelligent real-time Vamp s and module level with { CODS T If you buy from Yingli Americas,Yingli Amercas The specifications in this datasheet are not guaranteed and are subject to change without prior notice. monitoring at the V f acts as the Importer and complies with all This datasheet complies with EN 50380:2003 requirements. -'- o Enlighten. ffff applicable tarffs Customers can buy from Yingli �„• - LISTED Amencas with no worry that they will be liable for 1 I (PHOTOVOLTAIC MOOULF) ,P ooawv.a.v r 44DD any import tariffs. I 1 Yingli Green Energy Americas, Inc. 1 m Tel: ++1 (888)686-8820 YIN GLI' S-OIAR YINGLISOLARXOMMS •I. NYSENGE Y I N G L I S O L A R.C O INI U S Yingli Americas ®Yingli Green Energy Holding Co.Ltd. YGEZ60CellSeries2Ol3_EN_201309-VO1 U.S.Soccer Powered by Yingli Solar All s o I a r _ Mo -�' Single Phase Inverters for North America soIar e 0 Q O SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ SE760OA-US/SE10000A-US/SE1140OA-US SE3000A-US SE3800A-US�SESOOOA-US �SE6000A-US SE7600A-US SE10000A-US SE31400A-US SolarEdge Single Phase Inverters OUTPUT 5200@208V 9980@208V America r1.1 Q �ryL��L��� Nominal AC Power Output 3300 3840 5520 @240V 6000 7680 10080 @240V 11520 VA For North A 1 1 1 e r I c a 1�J Max.AC Power Output 3650 4150 5600 @ 208V 6000 8350 10800 @ 208V 12000 VA 6000 @240V 10950 @240V AC SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ 183-208 tVoltage Min:Nom.-Max.* 18308-229 Vac SE760OA-US/SE1000OA-US/SE1140OA-US 0 AC Output VoltageMin:Nom:Max.* 211-240-264 Vac N AC Frequency Min:Nom:Max.* 59.3-60-60.5(with HI country setting 57-60-60.5) Hz tj Max.Continuous Output Current 14 16 I 23 @ 208V I 25 32 I 42 @ 208V 48 A ° GFDI 1 A Utility Monitoring,Islanding - - ;•>`werte�'�,;, - Protection,Country Configurable Yes Thresholds INPUT tlH Recommended Max.DC Power`* (STC) 4100 4800 -6500 7500 9600 12400 14400 W +er2aN 1 Transformer-less,Ungrounded Yes Max.Input Voltage 500 .Vdc - I Nom.DC Input Voltage 325 @ 208V/350 @ 240V Vdc Max.Input Current*** 11 13 I 17 @ 240V I 18 23.5 I 3035 @2040V 35 Adc Max.Input Short Circuit Current 30 45 Adc Reverse-Polarity Protection Yes < Ground-Fault Isolation Detection 600kn Sensitivity Maximum Inverter Efficiency 97.7 98.2 98.3 98.3 98 98 98 % 97.5 @ 208V 97 @ 209V CEC Weighted Efficiency 97.5 I 98 98 @ 240V , 97.5 97.5 97.5 @ 240V 97.5 Nighttime Power Consumption I 2.5 <4 W ADDITIONAL FEATURES -7r ) 0 Supported Communication Interfaces RS485,RS232,Ethernet,ZIgBee(optional) STANDARD COMPLIANCE r - Safety UL1741,UL1699B(Part numbers ending in"U"),UL1998,CSA 22.2 f Grid Connection Standards IEEE1547 - 1 Emissions FCC partly class B ( t INSTALLATION SPECIFICATIONS t 1 r AC output conduit size/AWG range 3/4 minimum/24 6 AWG 3/4 minimum/8 3 AWG -- ,•i,- -+ s DC input conduit size/#of strings/ 3/4 minimum/1-2 strings/24-6 AWG 3/4'minimum/1-2 strings/14-6 AWG AWG range _ _ f Dimensions with AC/DC Safety 30.5 x 12.5 x 7/ 30.5 x 12.5 x 7.5/ in/ 30.Sx12.5x10.5/775x315x260 Switch(HXW%D) 775 x 315 x 172 775 x 315 x 191 - mm Weight with AC/DC Safety Switch 51.2/23.2 54.7/24.7 88.4/40.1 lb/kg • Cooling Natural Convection Fans(user replaceable) Noise <25 <50 - dBA - I Min.-Max.Operating Temperature . !I The best choice for SolarEdge enabled systems. Range -13 to+140/-25 to+60(CAN version****-40 to+60) -F/'C Integrated arc fault protection(Type 1)for NEC 2011 690.11 compliance(part numbers ending in"-Ur') Protection Rating NEMA 3R •For other regional settings please contact SolarEdge support Superior efficiency(98%) - - "Limited to125%forlocationswheretheyearlyaveragehightemperatureisabove77%F/252Candto135%forlocationswhereitisbelow77°F/252C. For detailed information,refer to htto://www.solaredge.us/files/od(s/inverter do oversizim,guide.odf Small,lightweight and easy to install on provided bracket A higher current source may be used;the inverter will limit iu input torrent to the values stated. '•"CAN P/Ns are eligible for the Ontario FIT and mi—FIT(microFIT en.SE11400A-US-CAN) Built-in module-level monitoring Internet connection through Ethernet or Wireless Outdoor and indoor installation Fixed voltage inverter,DC/AC conversion only — Pre-assembled AC/DC Safety Switch for faster installation n sunscc C USA - GERMANY - ITALY - FRANCE - JAPAN CHINA ISRAEL AUSTRALIA www.solaredge.us o „ ° • ,