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HomeMy WebLinkAboutBLD-23-002993 ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department 1146 Route 28, South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 t Massachusetts State Building Code,780 CMR e >' Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling RECEIVED This Section For Official Use Only - Building Permit Number: ,b LJ 2 3 d(}',,,-q'b Date A d: r—NOV 30 2022 Buil'-Al4' cial(Print Name) Si e BUI� NG DEPARTMENT S C ON 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers Li566s,ns 1G 'e.d 5 a\ O 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required l Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: — OutCheck if yes❑side Flood Zone? Municipal D On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: mawew mcoxai3 yaK►rnou4- 1 mik oa cvivi4 Name(Print) City,State,ZIP 955 WiflSjpw &cac) t'4 771-I aa8Qe31 gy m. ,flan No.and Street Telephone Elnail Address .l,,arr SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 I Existing Building 0 Owner-Occupied 0 I Repairs(s) ❑ Alteration(s) 0 I Addition 0 Demolition 0 Accessory Bldg. ❑ Number of Units Other 0 Specify: Brief Description of Pro used Work': Q SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ Li 8y a J 1. Building Permit Fee:S Et) Indicate how fee is determined: ❑Standard City/Town Application Fee 2.Electrical $ 1 6 j g .00 ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 0/IL a,01.313t �2 5.Mechanical (Fire $ • Suppression) Total All Fees:$ pl) Check No. Check Amount: Cash Amount: 6.Total Project Cost: Si`7 q y 7 .t ❑Paid in Full ❑Outstanding Balance Due: r ONE or TWO FAMILY— BULDING PERMIT APPLICATION REGULATORY APPROVALS NOTICE Address of Proposed Work: 4 O 5 (f`)'\ ( )«) E TO � . Scope of Proposed Work: roC)f -O ryi0( - ( I au -- Date: '` /at / as Based on the scope of work described above, the applicant is required to obtain approval sign- offs from the following departments as checked-of below: Health Dept. —508-398-2231 ext. 1241 Conservation —508-398-2231 ext. 1288 Water Dept. —99 Buck Island Road, 508-771-7921 Old Kings HWY. Hist. Comm. —508-398-22631 ext. 1292 Engineering Dept. —508-398-2231 ext. 1250 Fire Dept. —Kevin Huck/Scott Smith, 96 Old Main Street, SY Note: Please call Fire Department for an appointment. 508-398-2212 Other Appropriate plans and/or application shall be provided to each departments checked-off above. Each of these regulatory authorities has their own requirements outside the jurisdiction of the Building Department. All applicable approvals shall be obtained prior to submitting a building permit application to the Building Dept. Thank you for your cooperation. Receipt Acknowledgement: ,Aylolie d2:, 1\ IdAI22 Applicant's Signature Date Rev.Jan. 2019 i SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 0 {o( )ea License Number xpiration Date Name of CSL Holder I List CSL Type(see below) IA 5 -myL SilarViAN1 13d No.and Street Type Description Tat'7t r ��Y W�/L Oa 7 O U f Unrestricted(Buildings up to 35,000 cu.ft.) v r 6 t r J/T �J R J Restricted 1,k2 Family Dwelling City/Town,State,Z1P M Masonry RC f Roofing Covering WS Window and Siding �j SF Solid Fuel Burning Appliances gIS7 ?6/ e �69 y, r'is'S.11fl ') I Insulation Telephone Email address ` 41A!'''+ D J Demolition 5.2 Registered Home Improvement Contractor CHIC) 0 nl toi1 vait HIC Company Name or HIC istrart Name l� HIC Registration Number Expiration Date tog n �'Ylv La V t2 A-\ei 1 Ud p }�•na ei_rtyi v3 &x,rz n No.and Street TC(,�.►'tion � O - /l g79J 1�3 7(�1 i3 ( Email addr s awl-) , City/Town, State,ZIP [ I1Telleephone�) SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c.152.§ 25C(6)) - Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes 0 No 0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,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. Print Owner's ame(Electronic Signature) J Date • SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information o contained in this ap c do �¢trued 9. the best of my knowledge and understanding. 41. a 0J )-tf')'z Print Owner's or Authorized Azent's Name(Ei> tronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program), will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.aov/dos 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics, decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" 1 y The Commonwealth of Massachusetts I e i+ Department of IndustrialAcciderzts ( 1 Congress Street, Suite 100 ! Boston,MA 02114-2017 ft," www.mass.gov/dia Workers' Compensation insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE PILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legjbly Name (Business/Organization/Individual): Address: City/State/Zip: Phone #: Are you an employer?Check the appropriate box: — Type of project(required): 1.01 am a employer with employees(full and/or part-time).* 7. ❑New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 3.❑I am a homeowner doing all work myself.(No workers'comp.insurance required.]r 9. CI Demolition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑ Electrical repairs or additions proprietors with no employees, 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12.❑Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insurance.[ 1 Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per iv3GL c. 14.0 Other 152,§I(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#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 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: Policy t or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A 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 that the information provided above is true and correct. Signature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# • Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CityiTown Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: -�, SUNRINC-02 LWANG2 AC-CIOREY CERTIFICATE OF LIABILITY INSURANCE DA8/31/2022 TE YI 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 pollcy(les)must have ADDITIONAL INSURED provisions or 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 License#0C36861 CONTACT Walter Tanner NAME: Alliant Insurance Services,Inc. PHONE FAX 560 Mission St 6th Fl INC,No,Est): INC,No): San Francisco,CA 94105 Pass:Walter.Tanner@alliant.com INSURERS)AFFORDING COVERAGE NAIC U INSURER A:Evanston Insurance Company 35378 INSURED INSURER B:James River Insurance Company 12203 Sunrun Installation Services,Inc INSURER C:American Zurich Insurance Company 40142 775 Fiero Lane,Suite 200 Ph#805-540-7643 INSURERD: San Luis Obispo,CA 93401 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMBS LTRINSD WVD IMMIDD/YYYYI IMMIDD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR IMKLV5ENV103749 10/1/2022 10/1/2023 DAMAGETORENTED 1,000,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY X 'If LOC PRODUCTS-COMP/OP AGG $ 2,000,000 X OTHER:Retention:$100,000 Per Project Agg $ 5,000,000 AUTOMOBILECOMBINED SINGLE LIMIT LIABILITY (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AURTEO�S ONLY AUTOS BODILYO INJURY(Per accident) $ AUTOS ONLY AUUTOS ONLY (Per acEciRdentDAMAGE B UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 X EXCESS LIAB CLAIMS-MADE 001072261 10/1/2021 10/1/2022 AGGREGATE $ 4,000,000 DED RETENTION$ $ C WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY STATUTE OTH- ER WC614287601 10/1/2022 10/1/2023 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT NIA (MCR/ryEInMBH EXCLUDED? $ E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ _ I DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Workers'Compensation Policy WC614287601 Deductible:$1,000,000. Re:Permitting within jurisdiction. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Yarmouth THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1146 Route 28 South Yarmouth,MA 02664-4492 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD a _ The Commonwealth of Massachusetts Department of Industrial Accidents S = ►—_ F Office of Investigations ? 1- tt Lafayette City Center - 2 Avenue de Lafayette, Boston, MA 02111-1750 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Sunrun Installation Services _ Address:225 Bush St STE 1400 City/State/Zip:San Francisco CA 94104 Phone#: Are you an employer? Check the appropriate box: Type of project(required): l.® I am a employer with 50 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. El 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 8. ❑ Demolition workingfor me in anycapacity. employees and have workers' P ty. 9. ❑ Building addition [No workers' comp. insurance comp. insurance.* required.] 5. ElWe are a corporation and its 10.❑ Electrical repairs or additions officers have exercised their 11.❑ Plumbing repairs or additions 3.❑ I am a homeowner doing all work myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no 13.® Other l I. employees. [No workers' comp. insurance required.] *My applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet 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 joh site information. Insurance Company Name: American Zurich Insurance Company Policy#or Self-ins. Lic. #:WC614287601 Expiration Date: 10/01/2023 Job Site Address: 455 W 1(15?„lokn) G a.t City/State/Zip:'f Ql( rI6LA41 r 4 Attach a copy of the workers' compensation policy decla tion 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 that the information provided above is true and correct. Signature: a Date: `( ( / L Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License # Issuing Authority(check one): 10Board of Health 20 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 50'lumbing Inspector 6.00ther Contact Person: Phone#: Information and Instructions i Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es)and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under"Job Site Address"the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Lafayette City Center, 2 Avenue de Lafayette Boston, MA 02111-1750 Tel. (617) 727-4900 or 1-877-MASSAFE Revised 7-2019 Fax (617) 727-7749 www.mass.gov/dia Commonwealth of Massachusetts Construction Supervisor Division of Professional Llcensure Unrestricted -Buildings of any use group which contain Board of Building Regulations and Slandards less than 16,000 cubic het(891 cubic meters)of enclosed Cons`ruCthbh ty fie' parvlscr CS-040622 E.,pires:08101/2023 STEPHEN A ALLY 16 PARKWAY-ROAD STONEHAM lip 021118 Failure to possess a current edition of the Massachusetts Corn mrssioner 414 R State Bul ding Code is Cause for revocation of this license. For inTomistion about this license Call(117)727-3200 or visit wwwrnass.gavidol THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washingto S rapt-Suite 710 Boston,Massachusettt02118 Home Impr - Registration Type Supplement Card SUNRUN INSTALLATION SERVICES INC. (^ 21 WORLDS FAIR OR 0 E%egg . 10/13/2024 r\ SOMERSET,NJ 08873 Update Address and Return Cerd. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Ragwhseen raid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date.If found return to: TYPE:Si:ppkrrisnt Card Office or Consumer Affairs and Business Regulation aUSegn EXO1IIIII0fl 1000 Washington Street-Suite 710 180120 10113/2024 Boston,MA 02118 SUNRUN INSTALLATION SERVICES INC. STEPHEN IELLY 22s BUSH STREET t SUITE 1400 _ J� SAN FRANCISCO.CA 94104 Undersecretary t valid without gnature Stephen A Kelly 695 Myles Standish Blvd Taunton MA 02780 TEL: 978-793-7881 Email: eastmapermits@sunrun.com §TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261 Fax 508-398-0836 Office of the Building Commissioner BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Ch. 40, §54 and 780 CMR- Section 105.3.1. #4. I hereby certify that the debris resulting from the proposed work/demolition to be conducted at Work Address Is to be disposed of oat the following location:(raq S \f L 5-ktnitg5 r) V Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. -/Srrilbw -425 /)2 Signature of Application Date Permit No. TOWN OF YARMOUTH ' BUILDINGDEPARTMENT o . �` M r;=1� _�xd 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE: JOB LOCATION: NAME STREET ADDRESS SECTION OF TOWN "HOMEOWNER" NAME HOME PHONE WORK PHONE PRESENT MAILING ADDRESS CTTY OR TOWN STA 1'h ZIP CODE The current exemption for `Homeowner' was extended to include owner—occupied dwellings of one or two units and to allow such homeowners to engage an individual for hire who does not possess a license,provided that such homeowner shall act as supervisor. (State Building Code Section 110 R5.1.3.1) Definition of Homeowner: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is or is intended to be, a one or two family attached or detached structure assessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner;such"homeowner"shall submit to the building official, on a form acceptable to the building official,that he/she shall be responsible for all such work performed under the building permit. (Section 110 R5.1.3.1) The undersigned `homeowner' assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned 'homeowner' certifies that he / she understands the Town of Yarmouth Building Department minimum inspection procedures and requirements and that he / she will comply with said procedures and requirements. HOMEOWNER"S SIGNATURE S-e....e COY)T &t /±-- — APPROVAL OF BUILDING OJ~"I ICIAL INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch.142. Yes No If you have checked yes,please indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent h:horneownrllcexernp Page 1 of 8 __ )(C)F Current Engineering 11-25-2022 Sunrun Inc. 595 Market St Attn.:To Whom It May Concern re job: Matthew Marais 455 Winslow Gray Rd,South Yarmouth, MA 02664, USA The following calculations are for the structural engineering design of the photovoltaic panels and are valid only for the structural info referenced in the stamped plan set.The verification of such info is the responsibility of others. I certify that the roof structure has sufficient structural capacity for the applied PV loads. All mounting equipment shall be designed and installed per manufacturer's approved installation specifications. Design Criteria: Code: 780 CMR, IBC 2015, ASCE 7-10, Live Load: 20 psf Ult Wind Speed: 142 mph Exposure Cat: B Ground Snow: 30 psf Min Snow Roof: 0 psf 11-25-2022 kL`N OF M4SS o�� 00114.3C gay g e CIVIL 1, Current Renewables Engineering Inc. N0.56313 N Professional Engineer 4 0;4; info@currentrenewableseng.com 9aFFsslONALE1G\ Erp:6/30/2024 1760 Chicago Ave Suite J13, Riverside, CA 92507 info@currentrenewableseng.com (951)405-1733 3 2 Page 2 of 8 Matthew Marais Current rie i wables _-- . Engineering Roof Properties: Roof 1 Roof Type = Shingle Roof Pitch (deg) = 25.0 Mean Root Height (ft) = 13.0 Attachment Trib Width (ft) = 3.3 Attachment Spacing (ft) = 6.0 Framing Type = Rafter Framing Size = 2x4 Framing OC Spacing (in.) = 24.0 Section Thickness, b (in) = 1.5 Section Depth, d (in) = 3.5 Section Modulus, Sx (in3) = 3.062 Moment of Inertia, lx (in ) = 5.359 Unsupported Span (ft) = 9.5 Upper Chord Length (ft) = 14.0 Deflection Limit D+L (in) = 2.8 Deflection Limit S or W(in) = 1.867 Attachments Pattern = Fully Staggered Framing Upgrade = No Sister Size = NA Wood Species = SPF Wood Fb (psi) = 875.0 Wood Fv (psi) = 135.0 Wood E (psi) = 1400000.0 CD (wind) = 1.6 Cd (snow) = 1.15 CLS = 1.0 CM = Ct = Ct_ = Ci = 1.0 CF= 1.5 Cfu = 1.0 Cr = 1.15 F'b wind (psi) = 2415.0 F'b snow (psi) = 1735.78 F'v wind (psi) = 216.0 F'v snow (psi) = 155.25 M allowable wind (lb-ft) = 616.33 M allowable snow (lb-ft) = 442.99 V allowable wind (Ibs) = 756.0 V allowable snow (Ibs) = 543.38 E' (psi) = 1400000.0 1760 Chicago Ave Suite J13, Riverside, CA 92507 info@currentrenewableseng.com (951)405-1733 Page 3 of 8 Matthew Marais current Engineering Load Calculation: Dead Load Calculations: Roof 1 Panels Dead Load (psf) = 3.0 Roofing Weight (psf) = 3.0 Decking Weight (psf) = 2.0 Framing Weight (psf) = 0.602 Misc. Additional Weight (psf) = 1.0 Existing Dead Load (psf) = 6.602 Total Dead Load (psf) = 9.602 Wind Load Calculations: Ultimate Wind Speed (mph) = 141.524 Directionality Facto r, kd = 0.85 Topographic Factor, kzt = 1.0 Velocity Press Exp Factor, kz = 0.701 Velocity Pressure, qz (psf) = 30.534 External Pressure Up, GCp_1 = -0.87 External Pressure Up. GCp_2 = -1.549 External Pressure Up, GCp_3 = -2.419 External Pressure Down, GCp = 0.44 Design Pressure Up, p_1 (psf) = -26.561 Design Pressure Up, p_2 (psf) = -47.312 Design Pressure Up, p_3 (psf) = -73.873 Design Pressure Down, p (psf) = 16.0 Snow Load Calculations: Ground Snow Load, pg (psf) = 30.0 Min Flat Snow, pf_min (psf) = 0.0 Sloped Snow, ps_min (psf) = 0.0 Snow Importance Factor, lc = 1.0 Exposure Factor, Ce = 0.9 Thermal Factor, Ct = 1.1 Flat Roof Snow, pf(psf) = 20.79 Slope Factor, Cs = 0.75 Sloped Roof Snow, ps (psf) = 15.591 1760 Chicago Ave Suite J13, Riverside, CA 92507 info@currentrenewableseng.com (951)405-1733 Page 4 of 8 Matthew Marais Current Renewables Engineering Lag Screw Checks: Roof 1 Ref. Withdrawal Value, W(lb/in) = 205.0 (Cm = Ct= Ce9 = 1.0) CD = 1.6 Adjusted Withdrawal Value, W(lb/in) = 328.0 Lag Penetration, p (in.) = 2.5 Allowable Withdrawal Force, W p (Ibs) = 820.0 Applied Uplift Force (Ibs) = -240.618 Uplift DCR = 0.293 Ref. Lateral Value, Z (Ibs) = 205.0 (Cm = Ct= Co = Ce9 = 1.0) CD = 1.15 Adjusted Lateral Value, Z' (Ibs) = 287.5 Applied Lateral Force (Ibs) = 155.57 Angle of Resultant Force, a (deg) = 0.997 Adjusted Interaction Lateral Value, Z'a (Ibs) = 530.399 Lateral DCR = 0.293 1760 Chicago Ave Suite J13, Riverside,CA 92507 info@currentrenewableseng.com (951)405-1733 Page 5 of 8 Matthew Marais Current =� Engineering Roof Framing Checks: Force Checks: LC1: D+S Roof 1 Applied Moment (lb-ft) = 427.0 Applied Shear (Ibs) = 282.0 Allowable Moment (lb-ft) = 443.0 Allowable Shear (Ibs) = 543.0 Moment DCR = 0.963 Shear DCR = 0.519 LC2: D+0.6W Applied Moment (lb-ft) = 325.0 Applied Shear(Ibs) = 215.0 Allowable Moment (lb-ft) = 616.0 Allowable Shear(Ibs) = 756.0 Moment DCR = 0.528 Shear DCR = 0.284 LC3: D+0.75(S+0.6W) Applied Moment (lb-ft) = 483.0 Applied Shear (Ibs) = 319.0 Allowable Moment (lb-ft) = 616.0 Allowable Shear (Ibs) = 756.0 Moment DCR = 0.783 Shear DCR = 0.422 LC4: 0.6D+0.6W Applied Moment (lb-ft) = 260.0 Applied Shear (Ibs) = 172.0 Allowable Moment (lb-ft) = 616.0 Allowable Shear (Ibs) = 756.0 Moment DCR = 0.422 Shear DCR = 0.228 1760 Chicago Ave Suite J13, Riverside, CA 92507 info@currentrenewableseng.com (951)405-1733 Page 6 of 8 Matthew Marais Current Engineering Deflection Checks(Service Level): LC1: D+L Deflection (in.) = 1.02 Deflection Limit (in.) = 2.8 Deflection DCR = 0.364 LC2:S Deflection (in.) = 0.424 Deflection Limit (in.) = 1.867 Deflection DCR = 0.227 LC3:W(Down) Deflection (in.) = 0.183 Deflection Limit (in.) = 1.867 Deflection DCR = 0.098 LC4:W(Up) Deflection (in.) = 0.303 Deflection Limit (in.) = 1.867 Deflection DCR = 0.163 1760 Chicago Ave Suite J13, Riverside,CA 92507 info@currentrenewableseng.com (951)405-1733 Page 7 of 8 Matthew Marais Current Renew Engineering Seismic Check: Existing Weight: Wall Weight (psf) = 17.0 Tributary Wall Area (ft2) = 810.0 Total Wall Weight (Ibs) = 13770.0 Roof Weight (psf) = 6.602 Roof Area (ft2) = 1508.0 Total Roof Weight (Ibs) = 9955.156 Total Existing Weight (Ibs) = 23725.1:56 Total Additional PV Weight(Ibs) = 1143.45 Weight Increase: (Existing W+Additional W)/(Existing W) = 1.048 The increase in weight as a result of the solar system is less than 10%of the existing structure and therefore no further seismic analysis is required. 1760 Chicago Ave Suite J13, Riverside, CA 92507 info@currentrenewableseng.com (951)405-1733 Page 8 of 8 Matthew Marais Current (1 ) Engineering Limits of Scope of Work and Liability: Existing structure is assumed to have been designed and constructed following appropriate codes at time of erection, and assumed to have appropriate permits. The calculations produced are only for the roof framing supporting the proposed PV installation referenced in the stamped planset and were completed according to generally recognized structural analysis standards and procedures, professional engineering and design experience, opinions and judgements. Existing deficiencies which are unknown or were not observable during time of inspection are not included in this scope of work. All PV modules, racking, and mounting equipment shall be designed and installed per manufacturer's approved installation specifications. The Engineer of Record and the engineering consulting firm assume no responsibility for misuse or improper installation.This analysis is not stamped for water leakage. Framing was determined based on information in provided plans and/or photos, along with engineering judgement. Prior to commencement of work,the contractor shall verify the framing sizes, spacings, and spans noted in the stamped plans, calculations, and cert letter(where applicable) and notify the Engineer of Record of any discrepancies prior to starting construction. Contractor shall also verify that there is no damaged framing that was not addressed in stamped plans, calculations, and cert letter (where applicable) and notify the Engineer of Record of any concerns prior to starting construction. 1760 Chicago Ave Suite J13, Riverside, CA 92507 info@currentrenewableseng corn (951)405-1733 DocuSign Envelope ID: B9399174-3E15-47E3-A5C3-734C7D9AD889 Sunrun BrightAdvantageTM Agreement Madison Marais 455 Winslow Gray Rd, Yarmouth, MA, 02664 Take Control of Your Electric Bill $0 $37 ,941 . 75 $0 . 194 Amount Due at Amount Due Implied cost per kWh Signing at Installation OWN YOUR SYSTEM AND YOUR SAVINGS M � Buy your Solar System - its You may be eligible for a We also provide a yours on day 1! We handle Federal Solar Tax Credit, worry-free, 10-year project management, consult your tax advisor roof warranty. permitting, design, & installation. A SOLAR SYSTEM DESIGN FOR YOUR HOME You get a 7.67 kW DC Solar System With 21 Solar Panels and 1 Inverter(s) Which will produce an est. 8,300 kWh in its first year And offset approx. 139% of your current estimated, electricity usage YOUR SALES REPRESENTATIVE: Rick Denton rick.denton sunrun.com 7/4)836-0229 Doc&Bign Envelope ID:B9399174-3E15-47E3-A5C3-734C7D9AD889 By signing below, you acknowledge that you have reviewed and received a complete copy of the Agreement without any blanks. Such Agreement shall be the complete understanding between the Parties. SUNRUN INSTALLATION SERVICES INC. Signature: Print Name: Date: Title: Federal Employer Identification Number: 77-0471407 IF YOU CHOOSE TO PAY BY CHECK, MAKE CHECKS OUT TO SUNRUN INSTALLATION SERVICES INC. NEVER MAKE A CHECK OUT TO A SALES REPRESENTATIVE. OUR SALES REPRESENTATIVES ARE NOT AUTHORIZED TO RECEIVE CHECKS IN THEIR OWN NAMES. YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE TENTH BUSINESS DAY AFTER THE EFFECTIVE DATE. PLEASE REVIEW THE ATTACHED NOTICES OF CANCELLATION FOR AN EXPLANATION OF THIS RIGHT. DO NOT SIGN THIS AGREEMENT IF THERE ARE ANY BLANK SPACES. Customer Primary Account Holder Secondary Account Holder(Optional) a—DocuSigned by: Oi4.-Id-kw+-W OKA,',.is, —DFJ16ffhiure3 Madison Marais Signature 11/21/2022 Date Print Name Email Address*: matthewmarais007@gmail .com Mailing Address (if different than home address): 455 Winslow Gray Rd Yarmouth, MA 02664 Phone: (774) 228-0137 `Email addresses wiU be used by Sunrun for official correspondence, such as sending invoices. Sales Consultant . {�ggyJbe/ow/acknowledge that/am Sunrun accredited, that I presented this agreement according to t D n Code of Conduct, and that/obtained your homeowner's signature on this agreement 9 ED9FF6 EO433... signature Rick Denton Print Name 14A+ccnRS7Q Sunrun ID number SUNRUN INSTALLATION SERVICES INC. 1225 Bush Street, Suite 1400, San Francisco, CA 94104 1888.GO.SOLAR HIC 180120 Generation Date: 11/7/2022 Proposal ID: PK4A93637R33-K Version 201904V1 12 SHEET INDEX LEGEND SCOPE OF WORK GENERAL NOTES PAGE# DESCRIPTION W •SYSTEM SIZE:7665W DC,6000W AC •ALL WORK SHALL COMPLY WITH MA 9TH ED.CMR 780(2015 IRC/IBC/IEBC), PV-1.0 COVER SHEET SERVICE ENTRANCE •MODULES:(21)LONG!GREEN ENERGY TECHNOLOGY CO MUNICIPAL CODE,AND ALL MANUFACTURERS'LISTINGS AND INSTALLATION LTD:LR4-6OHPH365M INSTRUCTIONS. PV-2.0 SITE PLAN •INVERTERS:(1)SOLAREDGE TECHNOLOGIES: •PHOTOVOLTAIC SYSTEM WILL COMPLY WITH NEC 2020. Mp MAIN PANEL SE6000H-USSN PV-3.0 LAYOUT •RACKING:RL UNIVERSAL,SPEEDSEAL TRACK ON COMP, •ELECTRICAL SYSTEM GROUNDING WILL COMPLY WITH NEC 2020. PV-4.0 ELECTRICAL SEE DETAIL SNR-DC-00436 SP SUB-PANEL •MAIN PANEL REPLACEMENT:EXISTING 100 AMP MAIN •PHOTOVOLTAIC SYSTEM IS UNGROUNDED.NO CONDUCTORS ARE SOLIDLY PV-5.0 SIGNAGE PANEL WITH 100 AMP MAIN BREAKER TO BE REPLACED GROUNDED IN THE INVERTER.SYSTEM COMPLIES WITH 690.35. WITH NEW 225 AMP MAIN PANEL WITH 200 AMP MAIN LC PV LOAD CENTER BREAKER. •MODULES CONFORM TO AND ARE LISTED UNDER UL 1703. •INVERTER CONFORMS TO AND IS LISTED UNDER UL 1741. SM SUNRUN METER •RACKING CONFORMS TO AND IS LISTED UNDER UL 2703. PM DEDICATED PV METER •SNAPNRACK RACKING SYSTEMS,IN COMBINATION WITH TYPE I,OR TYPE II MODULES,ARE CLASS A FIRE RATED. N OF MAS INV INVERTER(S) •RAPID SHUTDOWN REQUIREMENTS MET WHEN INVERTERS AND ALL sa+ 00As sip, CONDUCTORS ARE WITHIN ARRAY BOUNDARIES PER NEC 690.12(1). ° � y� C.j N AC I CNIL AC AC DISCONNECT(S) •CONSTRUCTION FOREMAN TO PLACE CONDUIT RUN PER 690.31(G). NO.56313 •ARRAY DC CONDUCTORS ARE SIZED FOR DEBATED CURRENT. �90/ sTEx�EO�A�e� nDC DISCONNECT(S) FFSS/ONALENCI�N •11.43 AMPS MODULE SHORT CIRCUIT CURRENT. EAp:6/30/2024 CB IQ COMBINER BOX •17.85 AMPS DEBATED SHORT CIRCUIT CURRENT[690.8(A)&690.8(B)). STAMPED 11/25/2022 •PV INSTALLATION COMPLIES WITH THE NEC 2020 ARTICLE 690.12(B)(2). ABBREVIATIONS E—1 INTERIOR EQUIPMENT CONTROLLED CONDUCTORS LOCATED INSIDE THE ARRAY BOUNDARY ARE A AMPERE L J SHOWN AS DASHED LIMITED TO 80 VOLTS WITHIN 30 SECOND OF A RAPID SHUTDOWN INITIATION AC ALTERNATING CIRCUIT s u n ru n AFC ARC FAULT CIRCUITINTERUPTER �.�; CHIMNEY AZIM AZIMUTH COMP COMPOSITION DC DIRECT CURRENT l,....1 ATTIC VENT #180120 (El EXISTING I FLUSH ATTIC VENT VICINITY MAP I Bps MYLES STANDISH BLVD,TAUNTON,MA,81780-7331 ESS ENERGY STORAGE SYSTEM .. PVC PIPE VENT P1ONE0 FAS0 EXT EXTERIOR METAL PIPE VENT CUSTOMER RESIDENCE: INT INTERIOR MADISON MARAIS MSP MAIN SERVICE PANEL T-VENT 455 WINSLOW GRAY RD, IN) NEW n YARMOUTH,MA,02664 SATELLITE DISH NTS NOT TO SCALE TEL.(508)737-9958 OC ON CENTER FIRE SETBACKS APN:YARM-000058-000210 PREFAB PREFABRICATED PROJECT NUMBER: PSF POUNDS PER SQUARE FOOT HARDSCAPE ,, -_ 223R-455MARA PV PHOTOVOLTAIC `-- "Rd SbdthY8i(1lOUtt1 r DESIGNER: (415)580-6920 B RSD RAPID SHUTDOWN DEVICE —PL— PROPERTY LINE . ) X3 SOLAR MODULES 1.-- �`` i, -. AMAN SONI TL TRANSFORMERLESS ( A SCALE NTS - SHEET TIP TYPICAL _`, 'REV NAME DATE COMMENTS COVER SHEET ✓ VOLTS W WATTS I • REV:Al 11/26/2022 __d LAN LANDSCAPE SNR MOUNT - PAGE POR PORTRAIT SNR MOUNT&SKIRT PV-1.O - /.A TBrnpldl-600aipn_4.0.141 14 4 SITE PLAN-SCALE=1/16"=1'-0" ,�LtN OF At/S \�,IP ors' :ov4ss 4e o CIVIL�y a ' NO.56313 o *fMisnat° ,e �4.0NALE0 PL �� PI_ PL _ PL __� EKp:6/30/2024 STAMPED 11/26/2022 7 (N)ARRAY AR-02 (E)RESIDENCE 1 1 7 ( 1 INV o . \ I LI El AMP AC SE I" I PM s u n r u n T , n (N)ARRAY AR-01 #180120 < < r ESS MULES STAMM.BLVO,TAUNEON,MA,02160.7St1 , aNEo CUSTOMER RESIDENCE. wMADISON MARAIS 455 WINSLOW GRAY RD, YARMOUTH,MA,02664 n .°�I PL PL ARRAY TRUE MAG PV AREA TEL.(508)737-9958 —�— PLC`�—_ PL PITCH AZIM AZIM (SOFT) APN:YARM-000058-000210 WINSLOW GRAY RD AR-01 25° 178° 192° 294.1 PROJECT NUMBER: _ 223R-055MARA AR-02 25' 358' 372' 117.7 DESIGNER: (415)580-8920 ex3 AMAN SONI SHEET SITE PLAN REV:Al 11/26/2022 PAGE PV-2.0 4. Temper.w n 40.66 1^ ROOF INFO FRAMING INFO ATTACHMENT INFORMATION DESIGN CRITERIA Name Type Height Type Max OC Detail Max Landscape Max Landscape Max Portrait Max Portrait Configuration MAX DISTRIBUTED LOAD:3 PSF Span Spacing OC Spacing Overhang OC Spacing Overhang SNOW LOAD:30 PSF RL UNIVERSAL.SPEEDSEAL TRACK ON WIND SPEED: AR-01 COMP SHINGLE-RLU 1-Story 2X4 RAFTERS 6'-4" 24" COMP,SEE DETAIL SNR-DC-00436 STAGGERED 140 MPH 3-SEC GUST. S.S.LAG SCREW AR-02 COMP SHINGLE-RLU 1-Story 2X4 RAFTERS 6'-4" 24" RL UNIVERSAL,SPEEDSEAL TRACK ON fi'-0" 2'-4" 4'-0" 2'-0" STAGGERED 5/16"x1/4"MIN.EMBEDMENT COMP,SEE DETAIL SNR-DC-00436 D1-AR-01-SCALE:3116"=1'-0" I 1H OF MA AZIM: -01 INSTALLERS SHALL NOTIFY ENGINEER OF 00V4S S40t, PITCH:7825° ANY POTENTIAL STRUCTURAL ISSUES cy 1' 28'-11" .2'-3" OBSERVED PRIOR TO PROCEEDING W/ CNIL INSTALLATION. NO.56313 • 1' *FO/STENEO "IF ARRAY(EXCLUDING SKIRT)IS WITHIN 12" �Ess/oNnEEN��a BOUNDARY REGION OF ANY ROOF PLANE EDGES (EXCEPT VALLEYS),THEN ATTACHMENTS NEED EMp:6/30/2024 TO BE ADDED AND OVERHANG REDUCED WITHIN STAMPED 11/25/2022 THE 12"BOUNDARY REGION ONLY AS FOLLOWS: 10'-3" —ALLOWABLE ALLOWABLE ATTACHMENT SPACING INDICATED ON PLANS TO BE REDUCED BY 50%. ""ALLOWABLE OVERHANG INDICATED ON PLANS TO BE 1/5TH OF ALLOWABLE ATTACHMENT ---6'TYP""" - SPACING INDICATED ON PLANS. D2-AR-02-SCALE:3/16"=1'-0" AZIM:358° sun r u n PITCH:25° 1, 23'-2" 24,-3" *180120 6B5 AMES STANDIH BLVD,TAUNTON,MA.WNW. •• w oNE D • • _ CUSTOMER RESIDENCE: MADISON MARAIS 455 WINSLOW GRAY RD, YARMOUTH,MA,02664 6'-10" CI T:7 TEL.(508)737-9958 APN:YARM-000058-000210 • • • (' 6'-3" PROJECT NUMBER: • • - -----. • 223R-455MARA 3'-11" DESIGNER: (415)580-6920 ex3 AMAN SONI SHEET 11'-7" 30'-5" LAYOUT SEE SITE PLAN FOR NORTH ARROW. REV:Al 11/26/2022 PAGE PV-3.0 rempar° o86 A • 120/240 VAC SINGLE PHASE SERVICE METER 8: O EVERSOURCE 2369105 UTILTY GRID (I NEW 200A MAIN DISCONNECT I -LOAD SIDE TAP • I NEW 200A MAIN BLADE(N)LOC TYPE KABLE (N)MA SMART BREAKER FUSED AC UTILITY SOLAREDGE TECHNOLOGIES: DISCONNECT REVENUE SE6000H-USSN - METER 6000 WATT INVERTER JUNCTION BOX PV MODULES /� 3.. �3� �3J (2) OR EQUIVALENT (1) LONGI GREEN ENERGY TECHNOLOGY NEWA225A MAIN •L A �_ l�ll Z « // CO LTD:LR4fi0HPH-365M o.o. I 1YlO _ ✓: II / (21)MODULES v V OPTIMIZERS WIRED IN: —.— FACILITY 35A FUSES ;____,r_J(1)SERIES OF(11)OPTIMIZERS LOADS 4.:••u SQUARED 240V METER SOCKET LOAD RATED DC DISCONNECT (1)SERIES OF(10)OPTIMIZERS D222NR8 100A CONTINUOUS WITH AFCI,RAPID SHUTDOWN —SOLAREDGE POWER OPTIMIZERS 3R,60A UTILITY SIDE OF CIRCUIT COMPLIANT P401 120240VAC CONNECTS TO TOP LUOS- (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 I 2 3/4"EMT OR EQUIV. (4)10 AWG THHN/THWN-2 NONE (1)10 AWG THHN/THWN-2 $V n I V n 3 3/4"EMT OR EQUIV. (2)8 AWG THHN/THWN-2 (1)10 AWGN/THHTHWN-2 (1)8 AWGN/THHTHWN-2 ,I/ #180120 P.WILES STANOLSH BLVD,TAUNfCN,MP,0170047111 PHONE FA%0 CUSTOMER RESIDENCE: MADISON MARAIS 455 WINSLOW GRAY RD, YARMOUTH,MA,02664 MODULE CHARACTERISTICS P401 OPTIMIZER CHARACTERISTICS: TEL(508)737-9958 LONGI GREEN ENERGY MIN INPUT VOLTAGE 8 VDC APN:YARM-000058-000210 TECHNOLOGY CO LTD: MAX INPUT VOLTAGE: 60 VDC PROJECT NUMBER: LR4-60HPH-365M: 365 W MAX INPUT ISC: 11.75 ADC 223R-455MARA OPEN CIRCUIT VOLTAGE: 40.7 V MAX OUTPUT CURRENT: 15 ADC MAX POWER VOLTAGE: 34.2 V DESIGNER: (415)580 8920 ex3 SHORT CIRCUIT CURRENT: 11.43 A SYSTEM CHARACTERISTICS-INVERTER 1 AMAN SONI SYSTEM SIZE: 7665 W SHEET SYSTEM OPEN CIRCUIT VOLTAGE: 11 V ELECTRICAL SYSTEM OPERATING VOLTAGE: 380 V MAX ALLOWABLE DC VOLTAGE: 480 V REV:Al 11/26/2022 SYSTEM OPERATING CURRENT: 20.17 A I SYSTEM SHORT CIRCUIT CURRENT: 30 A PAGE PV-4.0 r 4 Templafe_ve n_4.0.L IS AWARNING INVERTER I ELECTRICAL SHOCK HAZARD PHOTOVOLTAIC DC DISCONNECT NOTES AND SPECIFICATIONS: •SIGNS AND LABELS SHALL MEET THE REQUIREMENTS OF THE NEC 2020 ARTICLE MAXIMUM SYSTEM VOLTAGE: 480 VDC 110.21(B),UNLESS SPECIFIC INSTRUCTIONS ARE REQUIRED BY SECTION 690,OR TERMINALS ON LINE AND LOAD IF REQUESTED BY THE LOCAL AHJ. SIDES MAY BE ENERGIZED IN LABEL LOCATION: •SIGNS AND LABELS SHALL ADEQUATELY WARN OF HAZARDS USING EFFECTIVE POSITION THE OPEN INVERTER(S),DC DISCONNECT(S). WORDS,COLORS AND SYMBOLS. •LABELS SHALL BE PERMANENTLY AFFIXED TO THE EQUIPMENT OR WIRING i PER CODE(S):NEC 2020 690.53 METHOD AND SHALL NOT BE HAND WRITTEN. LABEL LOCATION: •LABEL SHALL BE OF SUFFICIENT DURABILITY TO WITHSTAND THE ENVIRONMENT INVERTER(S),AC/DC DISCONNECT(S), INVOLVED. AC COMBINER PANEL(IF APPUCABLE). •SIGNS AND LABELS SHALL COMPLY WITH ANSI Z535.4-2011,PRODUCT SAFETY PER CODE(S):NEC 2020:690.13(B) SIGNS AND LABELS,UNLESS OTHERWISE SPECIFIED. •DO NOT COVER EXISTING MANUFACTURER LABELS. WARNING: PHOTOVOLTAIC AWARNING POWER 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 JBIPULL BOX CONTAINING DC CIRCUITS. AND PV SOLAR ELECTRIC PER CODE(S):NEC 2020:690.31(D)(2),IFC 2012: SYSTEM 805.11.1.1 LABEL LOCATION: CAUTION : UTILITY SERVICE METER AND MAIN SERVICE PANEL. PER CODE(S):NEC 2020:705.12(C) IPIDSHUTDOWNSWITCH /WARNING - MULTIPLE SOURCES OF POWER POWER SOURCE OUTPUT CONNECTION OR SOLAR PV SYSTEM DO NOT RELOCATE THISI \ OVERCURRENT DEVICE LABEL LOCATION: \1 INSTALLED WITHIN 3'OF RAPID SHUT DOWN LABEL LOCATION: SWITCH PER CODE(S):NEC 2020:690.56(C)(2),IFC —/ N. S U fl i U ADJACENT TO PV BREAKER AND ESS 2012:605.11.1,IFC 2018:1204.5.3 �l OCPD(IF APPLICABLE). PER CODE(S):NEC 2020' 4" 705.12(B)(3)(2) AWARNING III #16D12D SOLAR PV SYSTEM EQUIPPED gig FL_ SOLAR PANELS ON ROOF a8m2MYLES.0 Ha M,TAUNTON,w,,02780,,,, PHOTOVOLTAICIRPANEL WITH RAPID SHUTDOWN III °."E° COMBINER PANEL ° DO NOT ADD LOADS II I CUSTOMER UT MADISON RESIDENCE: LABEL LOCATION: - 455 WINSLOW GRAY RD, PHOTOVOLTAIC AC COMBINER(IF APPUCABLE). 1--Y YARMOUTH,MA,02664 'PER CODE(S):NEC 2020:705.12(D)(2)(3)(c) TURN RAPID SHUTDOWN INVERTER (EXT) SWITCH TO THE"OFF" ry� TEL(508)737-9958 POSmON TO SHUT DOWN PRODUCTION METER APN:YAR M-000058-000210 PV SYSTEM DISCONNECT PV SYSTEM AND REDUCE —AC DISCONNECT PROJECT NUMBER: MAXIMUM AC OPERATING CURRENT:25.00 AMPS SHOCK HAZARD IN THE —SERVICE ENTRANCE 223R-455MARA NOMINAL OPERATING AC VOLTAGE: 240 VAC ARRAY. Ell —MAIN PANEL (INT) DESIGNER: (415)580-0820 ex3 LABEL LOCATION: 455 WINSLOW GRAY RD, YARMOUTH, MA, 02664 AMANSONI AC DISCONNECT(S),PHOTOVOLTAIC SYSTEM POINT OF INTERCONNECTION. SHEET PER CODE(S):NEC 2020:690.54 LABEL LOCATION: PER CODE(S):NEC 2020:705.10,710.10 SIGNAGE ON OR NO MORE THAT 1 M(3 FT)FROM THE SERVICE DISCONNECTING MEANS TO WHICH THE PV SYSTEMS ARE CONNECTED. REV:Al 11/26/2022 PER CODE(S):NEC 2020:690.56(C)4 PAGE PV-5.0 a rampare_va a 0 86