The URL can be used to link to this page

Home My WebLink AboutBLDE-23-000920 SCOPE OF WORK GENERAL NOTES LEGEND AND ABBREVIATIONS TABLE OF CONTENTS PAGE# DESCRIPTION •SYSTEM SIZE:8030W DC,6000W AC •ALL WORK SHALL COMPLY WITH MA 9TH ED.CMR 780(2015 IRC/IBC/IEBC), I C SOLAR MODULES PV-1.0 COVER SHEET •MODULES:(22)LONGI GREEN ENERGY TECHNOLOGY CO MUNICIPAL CODE,AND ALL MANUFACTURERS'LISTINGS AND INSTALLATION SERVICE ENTRANCE 1 LTD:LR4-6OHPH-365M INSTRUCTIONS. L ° 1 ° DO PV-2.0 SITE PLAN •INVERTERS:(1)SOLAREDGE TECHNOLOGIES: •PHOTOVOLTAIC SYSTEM WILL COMPLY WITH NEC 2020. SE6000H-USSN MP MAIN PANEL ---e-,--- -------e PV-3.0 LAYOUT •RACKING:RL UNIVERSAL,SPEEDSEAL TRACK ON COMP, •ELECTRICAL SYSTEM GROUNDING WILL COMPLY WITH NEC 2020. pp PV-4.0 ELECTRICAL SEE DETAIL SNR-DC-00436 --SNR MOUNT o •PHOTOVOLTAIC SYSTEM IS UNGROUNDED.NO CONDUCTORS ARE SOLIDLY C. SUB-PANEL SNR MOUNT&SKIRT PV-5.0 SIGNAGE GROUNDED IN THE INVERTER.SYSTEM COMPLIES WITH 690.35. •MODULES CONFORM TO AND ARE LISTED UNDER UL 1703. LC PV LOAD CENTER CHIMNEY •INVERTER CONFORMS TO AND IS LISTED UNDER UL 1741. SM SUNRUN METER •RACKING CONFORMS TO AND IS LISTED UNDER UL 2703. ATTIC VENT •SNAPNRACK RACKING SYSTEMS,IN COMBINATION WITH TYPE I,OR TYPE II PM DEDICATED PV METER FLUSH ATTIC VENT MODULES,ARE CLASS A FIRE RATED. PVC PIPE VENT •RAPID SHUTDOWN REQUIREMENTS MET WHEN INVERTERS AND ALL INV INVERTER(S) METAL PIPE VENT CONDUCTORS ARE WITHIN ARRAY BOUNDARIES PER NEC 690.12(1). T-VENT •CONSTRUCTION FOREMAN TO PLACE CONDUIT RUN PER 690.31(G). C ]' I AC DISCONNECT(S) _ SATELLITE DISH •ARRAY DC CONDUCTORS ARE SIZED FOR DERATED CURRENT. DC •11.43 AMPS MODULE SHORT CIRCUIT CURRENT. n DC DISCONNECT(S) FIRE SETBACKS •17.85 AMPS DERATED SHORT CIRCUIT CURRENT[690.8(A)&690.8(B)]. CB IQ COMBINER BOX j . HARDSCAPE •PV INSTALLATION COMPLIES WITH THE NEC 2020 ARTICLE 690.12(B)(2). CONTROLLED CONDUCTORS LOCATED INSIDE THE ARRAY BOUNDARY ARE r-1 INTERIOR EQUIPMENT -PL- PROPERTY LINE LIMITED TO 80 VOLTS WITHIN 30 SECOND OF A RAPID SHUTDOWN INITIATION L J SHOWN AS DASHED SCALE NTS A AMPERE s u n ru n AC ALTERNATING CURRENT AFC' ARC FAULT CIRCUIT INTERRUPTER AZIM AZIMUTH VICINITY MAP COMP COMPOSITION #180120 DC DIRECT CURRENT (E) EXISTING 695 WALES STAND.,BLVD,rnuuroN.IAA 02e0-7n, * �; " ] ESS ENERGY STORAGE SYSTEM PAX,, owiu 's' ri ' 'e ,` ,' EXT EXTERIOR ',i e_ 3Brewster 4 INT INTERIOR CUSTOMER RESIDENCE. � i7'" " �� MAG MAGNETIC HELEN KRIZ ,„w Dennis '® .1)',,,, MSP MAIN SERVICE PANEL 43 CAPTAIN CHASE RD, (N) NEW YARMOUTH,MA,02664 1 L1 '4 4 * .`• j NTS NOT TO SCALE s . �ti OC ON CENTER TEL.(506)394-0507 able '43 CaptainLL Chase Rd, PRE-FAB PRE-FABRICATED APN:YARM-000088-000274 PSF POUNDS PER SQUARE FOOT r SCuth v �M0 t,l, MiY.. . c PV PHOTOVOLTAIC PROJECT NUMBER: - - RSD RAPID SHUTDOWN DEVICE 223R-043KRIZ Harwich,,—. TL TRANSFORMERLESS +'` € 4 TYP TYPICAL DESIGNER: (415)580-6920 ex3 IE zr "i V VOLTS RIZWAN ALI W WATTS �° SHEET REV NAME DATE COMMENTS COVER SHEET i-" REV:A 8/18/2022 ?:: n r PAGE PV-1.0 ----- e-, i - c 0.) 212) ARRAY TRUE MAG PV AREA SITE PLAN-SCALE=3/64"=1'4" PITCH AZIM AZIM (SOFT) AR-01 31° 316° 330° 196.1 W11 AR-02 30° 136° 150° 235.3 PL 5� )P P,,G Q� a`" (E)RESIDENCE (N)ARRAY AR-01 -,\ G . - •. ,� N t4 \ 2 \ 411 . ‘// \ Q" <\\ A', \ ,, sunrun \., MP i __./' #180120 INV PM ACI SE \ 695oNE MYLOSSTANDISHBLVDTAUNTONMA,021 .7S31 FAX CUSTOMER RESIDENCE: 1, 4- (N)ARRAY AR-02 HELEN KRIZ \ / 43 CAPTAIN CHASE RD, YARMOUTH,MA,02664 TEL.(508)394-6507 APN:YARM-000088-000274 g PROJECT NUMBER: 223R-043KRIZ DESIGNER: (415)580-0920 9)23 RIZWAN ALI SHEET SITE PLAN REV:A 8/18/2022 PAGE PV-2.O IS ROOF INFO FRAMING INFO ATTACHMENT INFORMATION DESIGN CRITERIA Max OC Max Landscape Max Landscape Max Portrait Max Portrait MAX DISTRIBUTED LOAD:3 PSF Name Type Height Type Span Spacing Detail OC Spacing Overhang OC Spacing Overhang Configuration SNOW LOAD:30 PSF RL UNIVERSAL,SPEEDSEAL TRACK ON WIND SPEED: AR-01 COMP SHINGLE-RLU 1-Story 2X8 RAFTERS 10'-8" 16" COMP,SEE DETAIL SNR-DC-00436 5'-4" 2'-1" 4'-0" 2'-0" STAGGERED 140 MPH 3-SEC GUST. S.S.LAG SCREWS: AR-02 COMP SHINGLE-RLU 1-Story 2X8 RAFTERS 10'-9" 16" RL UNIVERSAL,SPEEDSEAL TRACK ON 5'-4" 2'-1" 4'-0" 2'-0" STAGGERED 5/16":2.5"MIN EMBEDMENT COMP,SEE DETAIL SNR-DC-00436 STRUCTURAL NOTES: - • INSTALLERS SHALL NOTIFY D1-AR-01-SCALE:1/8"=1'-0" ENGINEER OF ANY POTENTIAL AZIM:316° STRUCTURAL ISSUES PITCH:31° OBSERVED PRIOR TO 33'-3' PROCEEDING W/ t _.--7'-10' .-. ----11'-7" _ _.--- 11'-7' -._ -. - - 21-8' _.. -.. -....._ i • IFINSTALLATION. ARRAY(EXCLUDING SKIRT) • • UNDARY REGION OF ANYOROOF PLANE 5 EDGES(EXCEPT VALLEYS), ____I THEN ATTACHMENTS NEED ! TO BE ADDED AND OVERHANG REDUCED WITHIN THE 12" 10I3 y_g" 5-4 TYP I 6'-10" BOUNDARY REGION ONLY AS FOLLOWS: STRUCT ; ••ALLOWABLE ATTACHMENT ,, ...... _.. __ _. _.- _._ _._ _.__. _. _._...- ONL SPACING INDICATED ON 1 �H OF Mq,g �� sq� PLANS TO BE REDUCED BY 5 I 4`� VINCENT yGw ••ALLOWABLE OVERHANG • u MWUMVANEZA CIVIL INDICATED ON PLANS TO BE I 1/5TH OF ALLOWABLE 42 7 k N �,.Eo ,"op ATTACHMENT SPACING f._... __. __.23'-2' __._ ��'oHALENCf`� INDICATED ON PLANS D2-AR-02-SCALE:1/8"=1'-0" PITCH:3 ° sunrun 30° 28'-11" _ ,f I 1 17'_5" #180120 d-_. _. .. 15'-11" .. .. 11'-7" - _. .. 11-7' __._ L - 7'-11"- } ses u,vLessrnNoisHewo rnuvroN,MA,027e0.7331 PHONE o _` ao I. ..__-g___.__ _-13-__--f3- r.� _.__ a__ e _ i CUSTOMER RESIDENCE: 1 1 HELEN KRIZ 6'-10" _ _ _ _ - _ _ . 43 CAPTAIN CHASE RD, •� YARMOUTH,MA,02664 I 3„ __...4 _ _° _ _ = 5,_8„ TEL.(508)394-6507 _ APN.VARM-000089-000274 1.11 • 8'-2" MI - . --. . -• PROJECT NUMBER: j 223R-043KRIZ • DESIGNER. (415)580-6920 ex3 _ 27'-0„ _.. _. __. ... r { r_y SHEET 2'-5" LAYOUT REV:A 8/18/2022 SEE SITE PLAN FOR NORTH ARROW. PAGE PV-3.0 120/240 VAC SINGLE PHASE SERVICE METER#. < O EVERSOURCE 2379580 UTILITY GRID I I EXISTING NOTE:TOTAL PV BACKFEED=31A / 200A MAIN USED FOR INTERCONNECTION BREAKER CALCULATIONS I EXISTING (N)MA SMART SOLAREDGE TECHNOLOGIES: < MAIN (N)LOCKABLE UTILITY SE6000H-USSN WITH �� BLADE TYPE REVENUE REVENUE GRADE METERING FACILITY PANEL_ AC DISCONNECT. METER /_..\ 6000 WATT INVERTER JUNCTION BOX PV MODULES LOADS - 'C-3 (3) �3/ 2) OR EQUIVALENT (1) LONGI GREEN ENERGY TECHNOLOGY ___ 1 ../� 'I z +(j MODULES // CO LTD:LR4-6OHPH-365M Duo �I ® �� '1 7 OPTIMIZERS WIRED IN: I I (1)SERIES OF(12)OPTIMIZERS (N)35A I= SQUARE D 240V METER SOCKET LOAD RATED DC DISCONNECT ' (1)SERIES OF(10)OPTIMIZERS PV BREAKER AT DU222RB 100A CONTINUOUS WITH AFCI,RAPID SHUTDOWN —SOLAREDGE POWER OPTIMIZERS OPPOSITE END 3R,60A,2P UTILITY SIDE OF CIRCUIT COMPLIANT P401 OF BUSBAR 120/240VAC CONNECTS TO TOP LUGS- (LINE AT TOP LOAD AT BOTTOM) CONDUIT SCHEDULE # CONDUIT CONDUCTOR NEUTRAL GROUND 1 NONE (4)10 AWG PV WIRE NONE (1)10 AWG BARE COPPER 2 3/4"EMT OR EQUIV. (4)10 AWG THHN/THWN-2 NONE (1)10 AWG THHN/THWN-2 sun ru n 3 3/4"EMT OR EQUIV. (2)8 AWG THHN/THWN-2 (1)10 AWG THHWTHWN-2 (1)8 AWG THHN/THWN-2 #180120 MYLES STANDISH BL.TAUNTON MA 02700,31 PHONE 0 FAX 0 CUSTOMER RESIDENCE: HELEN KRIZ 43 CAPTAIN CHASE RD, YARMOUTH,MA,02664 MODULE CHARACTERISTICS P401 OPTIMIZER CHARACTERISTICS: TEL.(506)394-6507 LONGI GREEN ENERGY MIN INPUT VOLTAGE: 8 VDC APN:YARM-000088-000274 TECHNOLOGY CO LTD: MAX INPUT VOLTAGE: 60 VDC PROJECT NUMBER: LR4-6OHPH-365M: 365 W MAX INPUT ISC: 11.75 ADC OPEN CIRCUIT VOLTAGE: 40.7 V 223R-043KRIZ MAX OUTPUT CURRENT 15 ADC MAX POWER VOLTAGE: 34.2 V SHORT CIRCUIT CURRENT: 11.43 A DESIGNER: (415)580-6920 ex3 SYSTEM CHARACTERISTICS-INVERTER 1 RIZWAN ALI SYSTEM SIZE. 8030 W SHEET SYSTEM OPEN CIRCUIT VOLTAGE: 12 V ELECTRICAL SYSTEM OPERATING VOLTAGE: 380 V MAX ALLOWABLE DC VOLTAGE: 480 V SYSTEM OPERATING CURRENT: 21.13 A REV:A 8/18/2022 SYSTEM SHORT CIRCUIT CURRENT: 30 A PAGE PV-4.0 J. INVERTER 1 NOTES AND SPECIFICATIONS: •SIGNS AND LABELS SHALL MEET THE REQUIREMENTS OF THE NEC 2020 ARTICLE ELECTRICAL SHOCK HAZARD PHOTOVOLTAIC DC DISCONNECT 110.21(B),UNLESS SPECIFIC INSTRUCTIONS ARE REQUIRED BY SECTION 890,OR IF REQUESTED BY THE LOCAL AHJ. MAXIMUM SYSTEM VOLTAGE. 480 VDC •SIGNS AND LABELS SHALL ADEQUATELY WARN OF HAZARDS USING EFFECTIVE WORDS,COLORS AND SYMBOLS. TERMINALS ON LINE AND LOAD •LABELS SHALL BE PERMANENTLY AFFIXED TO THE EQUIPMENT OR WIRING SIDES MAY BE ENERGIZED IN LABEL LOCATION: METHOD AND SHALL NOT BE HAND WRITTEN. THE OPEN POSDION INVERTER(S),DC DISCONNECT(S). •LABEL SHALL BE OF SUFFICIENT DURABILITY TO WITHSTAND THE ENVIRONMENT PER CODE(S):NEC 2020-690.53 INVOLVED. LABEL LOCATION: •SIGNS AND LABELS SHALL COMPLY WITH ANSI Z535.4-2011,PRODUCT SAFETY INVERTER(S),AC/DC DISCONNECT(S), SIGNS AND LABELS,UNLESS OTHERWISE SPECIFIED. AC COMBINER PANEL(IF APPLICABLE). •DO NOT COVER EXISTING MANUFACTURER LABELS. PER CODE(S)NEC 2020 690.13(B) WARiVi;VG.3, PHOTOVOI.TA,1O., A PO'9WER SOURCE LABEL LOCATION' DUAL POWER SUPPLY INTERIOR AND EXTERIOR DC CONDUIT EVERY 10 FT, SOURCES:UTILITY GRID AT EACH TURN,ABOVE AND BELOW PENETRATIONS. ON EVERY JB/PULL BOX CONTAINING DC CIRCUITS. AND PV SOLAR ELECTRIC PER CODE(S):NEC 2020:690.31(D)(2),IFC 2012' SYSTEM 605.71.1.4 LABEL LOCATION: cALITioN . UTILITY SERVICE METER AND MAIN SERVICE PANEL. ■ PER CODE(S):NEC 2020:705.12(C) MULTIPLE SOURCES OF POWER DO NOT RELOCATE THIS '�, OVERCURRENT DEVICE LABEL LOCATION: INSTALLED WITHIN 3'OF RAPID SHUT DOWN AL LOCATION.O SWITCH012: PER C 2018:12 2020:890.58(C)(2),IFC 1 s u n r u n ADJACENT TO PV BREAKER AND ESS 2072:605.11.1,IFC 2018:1204.5.3 OCPD(IF APPLICABLE). ... p PERCODE(S):NEC 2020: 705.12(B)(3)(2) II � � A SOLAR PV SYSTEM EQUIPPED I #180120 u 695 MYLES STANDISH BLVD,TAUNTON,MA.92786-r331 PHOTOVOLTAICIRPANEL wins RAPID MU R 9. FPHONE 0 AX0 COMBINER PANEL wins i7 DO NOT ADD LOADS CUSTOMER RESIDENCE: LABEL LOCATION: MAIN PANEL AND PV HELEN KRIZ PHOTOVOLTAIC AC COMBINER(IF I I, 43 CAPTAIN CHASE RD, APPLICABLE), I BREAKER DISCONNECT YARMOUTH,MA,02664 PER CODE(S)NEC 2020'705.12(0)(2)(3)(c) 3 TURN RAPID SHUTDOWN POSITIONTOSHUTDOWN1=111 SERVICE ENTRANCE SOLAR PANELS ON ROOF APM(YARM-000088-000274 PV SYSTEM DISCONNECT PV SYSTEM AND REDUCE PROJECT NUMBER: MAXIMUM AC OPERATING CURRENT 25.00 AMPS SHOCK HAZARD IN THE UNFUSED AC DISCONNECT INVERTER (EXT) 223R-043KRIZ ARRAY' Ea PV PRODUCTION METER NOMINAL OPERATING AC VOLTAGE. _240_ VAC DESIGNER: (415)580-0920 ex3 LABEL LOCATION: i 43 CAPTAIN CHASE RD, YARMOUTH, MA, 02664 RIZWAN ALI AC DISCONNECT(S),PHOTOVOLTAIC SYSTEM POINT OF ! INTERCONNECTION. ` SHEET PER CODE(S):NEC 2020:690.54 LABEL OR NO MORE THAT 1 M(3 FT)FROM THE SERVICE PER CODE(S):NEC 2020:705.10,710.10 SIGNAGE ON DISCONNECTING MEANS TO WHICH THE PV SYSTEMS ARE CONNECTED. REV:A 8/18/2022 PER CODE(S):NEC 2020:690.56(C) PAGE PV-5.0 01.1h Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-000920 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date'8/22/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 43 CAPT CHASE RD Owner or Tenant KRIZ HELEN A Telephone No. Owner's Address 43 CAPT CHASE RD, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead El Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of solar PV system(22 Panels 8.030 KW)(NO ESS) Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Ton No.of Waste Disposers Heat Pump I Number I Tons 1 KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: Nathan A Ashe Licensee: Nathan A Ashe Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 21136 Address: 166 Hunt Rd, Chelmsford MA 018243747 Bus.Tel.No.: Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But my signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$150.00 Ca...`A V2(172)/ e Conunonweanh o/Maddachwettd Official Use Only ?-M-=-411M--_ c .2 epartment on ire&ruiced Permit No. (�Z�`j-�� 1 C-� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 08/18/2022 City or Town of: Yarmouth To e Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform e electrical work described below. Location(Street&Number)43 Captain Chase Rd, Owner or Tenant Helen Kriz Owner's Address Same as Above AAA Telephone No. 508-394-6507 Is this permit in conjunction with a building permit? Yes V No Purpose of Building Residential (Check Appropriate Box) Utility Authorization No. Existing Service 200 Amps 120 /240 Volts Overhead Undgrd n No.of Meters 1 New Service Amps / Volts Overhead Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of an interconnected Roof Mounted PV system 22 Panels, 8.030 KwDC. No Battery Storage Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above r-i In- No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS (No.of Zones No.of Switches No.of Gas Burners No.of Detection and No.of RangesTotal Initiating Devices No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water KW No.of No.of No.of Devices or Equivalent Data Wiring: Heaters Signs Ballasts No.Hydromassage Bathtubs No.of Devices or Equivalent No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Roof Mounted Solar Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: $10962.00 (When required by municipal policy.) Work to Start:ASAP Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on is application is true and complete. FIRM NAME: Sunrun Installation Services Licensee: Nathan AShe LIC.NO.:4316 Al Signature LIC.NO.:21136A (If applicable,enter "exempt"in the license number line.) Address: 695 Myles Standish BLVD Taunton MA 02780 Bus.Tel.No.:978-594-3519 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safe Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one ❑owner ❑owner's a•ent. Owner/Agent Signature _ Telephone No. PERMIT FEE: $