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HomeMy WebLinkAboutBLD-23-003542 ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department of r 1146 Route 28, South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 • Massachusetts State BuildingCode,780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling - ECEiVED This Section For Official Use Only ,, Building Permit Number: .6 A3 -0.36 I` Date Appli i DEO 2 8 2022 /z BUILDING�/ t/ ' DEPARTMENT Building Official(Print e) Signature �t5a+�— 1_— — ___ SECTION 1: SITE INFORMATION 2 a ) 3 • 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 87 Stratford Lane 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 Provided Required Provided Required Provided I.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private 0 Zone: Outside Flood Zone? _ Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Yarmouth, MA 02675 Charlotte Collins Name(Print) City,State,ZIP 87 Stratford Lane 774-994-0785 No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'-(check all that apply) New Construction 0 Existing Building® Owner-Occupied 0 I Repairs(s) 0 Alteration(s) fS Addition 0 Demolition ❑ Accessory Bldg. 0 Number of Units Other ❑ Specify: Brief Description of Proposed Work Build a fire rated enclosure to house 2 Tesla Powerwall batteries in basement 3x6x9 SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) I.Building $ 2000.00 I. Building Permit Fee:$ Indicate how fejs deterred: 2.Electrical $ ❑Standard City/Town Application Fee •/ ❑Total Project Costa(Item 6)x multiplier L x 3.Plumbing $ 2. Other Fees: 2 4.Mechanical (HVAC) $ List: 3' ,0/-) if_ a g023 5.Mechanical (Fire $ - Suppression) Total All Fees:$ � 11✓ • Check No. Check Amount: Cash Amount_ 6.Total Project Cost: $ 2000.00 ❑Paid in Full ❑Outstanding Balance Due: \ \O U SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 067961 07/13/2024 Bruce A Junior License Number Expiration Date Name of CSL Holder R Bruce A Junior List CSL Type(see below) No.and Street Type Description 20 Patterson Brook Rd Unit 1 U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP NI Masonry W Wareham, MA 02576 RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 508-291-0007 permit.wareham@trinity-solar.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 170355 10/11/23 Trinity Solar/ Bruce A Junior HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 20 Patterson Brook Rd Unit 1 -solar.com �wareham @trinit Y No,and freer Email address • W Wareham, MA 02576 508-291-0007 City/Town,State,ZIP Telephone ` ifs,(Ai 1Vd\) \ 56 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 ® No ❑ f 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 Bruce A Junior to act on my behalf, in all matters relative to work authorized by this building permit application. Charlotte Collins see attached 12/20/2022 Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of peijury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Print Owner's or torized Agent's nic 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 car.be found at www.mass.eov/oca Information on the Construction Supervisor License can be found at www.mass.eov/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" Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Re ulations and Standards Constructi0 ` 'T r" P@rvj,1 & 2 Family CSFA-067961 Spires:07/13/2024 BRUCE A JU IOR . 8 SOMERVIt iF SJ at. MARSHFIELOvMA p Z !`MOI.LVdfY�?O Commissioner flail ,+;,� THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card Registration: 170355 TRINITY SOLAR INC. Expiration: 10/11/2023 D/B/A TRINITY SOLAR 2211 ALLENWOOD ROAD WALL, NJ 07719 Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use 6niy before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:Supplement Card Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street -Suite 710 170355 10/11/2023 Boston,MA 02118 TRINITY SOLAR INC. D/B/A TRINITY SOLAR BRUCE JUNIOR 20 PATTERSON BROOK ROAD UNIT 10 fry WEST WAREHAM,MA 02576 Undersecretary Not valid w1 out signature 'Y'9N TOWN OF YARMOUTH •r�e pro BUILDING DEPARTMENT O +� a - 1146 Route 28,South Yarmouth,MA 02664 ' x 508-398-2231 ext. 1261 Fax 508-398-0836 BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111.5, I hereby certify that the debris resulting from the proposed work/demolition to be conducted at 87 Stratford Lane Yarmouth, MA 02675 Work Address Is to be disposed of at the following location: Trinity Solar Inc Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. - 11.11. 12/20/2022 Signature of Application Date Permit No. U DATE(MMIDD/YYYY)AC-CO CERTIFICATE OF LIABILITY INSURANCE 5/13/2022 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 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 CONTACT NAME: Mark Grasela Arthur J. Gallagher Risk Management Services, Inc. PHONE FAX 4000 Midlantic Drive Suite 200 (A/C.No.Ext):856-482-9900 (A/C,No):856-482-1888 Mount Laurel NJ 08054 ADDRESS: CherryHill.BSD.CertM©AJG.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Gotham Insurance Company 25569 INSURED TRINHEA-03 INSURER B:National Union Fire Insurance Compny of Pittsburg 19445 Trinity Solar IBr INSURERC:Liberty International Underwriters 20 Patterson Brook Road, Unit 1 W. Wareham, MA 02576 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:590414193 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 Al p WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MM/DDNYYY) IMMIDD/YYYY1 A X COMMERCIAL GENERAL LIABILITY GL202100013378 6/1/2021 6/1/2023 EACH OCCURRENCE $2,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X JEC LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY CA 2960145 6/1/2022 6/1/2023 COMBINED SINGLE LIMIT $2,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ _ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ _ AUTOS ONLY _ AUTOS ONLY (Per accident) A UMBRELLALIAB X OCCUR EX202100001871 6/1/2021 6/1/2023 EACH OCCURRENCE $5,000,000 C X EXCESSLIAB ELD30006989101 6/1/2022 6/1/2023 CLAIMS-MADE 1000231834-06 6/1/2022 6/1/2023 AGGREGATE $5,000,000 DED RETENTION$ Limit x of$5,000,000 $19,000,000 B WORKERS COMPENSATION WC 13588108 6/1/2022 6/1/2023 X STATUTE EORH AND EMPLOYERS'LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L DISEASE-EA EMPLOYEE"51,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 B Automobile CA 2960145 6/1/2022 6/1/2023 All Other Units $250/500 Comp/Collusion Ded. Truck-Tractors and Semi-Trailers $250/500 _ I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of Insurance 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 tjf ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts c" _ Department of Industrial Accidents Congres Street,Suite , _` , a 1 BostonSMA02114-201 100 ,a`+'`S"';� www.mass.gov/dia Yorkers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual): TRINITY SOLAR INC Address: 2211 Allenwood Road City/State/Zip: Wall, New Jersey Phone #: (732)780-3779 Are you an employer?Check the appropriate box: Type of project(required): 1 �r 1 am a employer with 300 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.] 9. ❑Demolition 3.0 I am a homeowner doing all work myself.[No workers'comp. insurance required] 10 0 Building addition 4.❑1 am a homeowner and will be hiring contractors to conduct all work on my property I will ensure that all contractors either have workers'compensation insurance or are sole l 1.0 Electrical repairs or additions proprietors with no employees 12.❑Plumbing repairs or additions 5❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet ]3.0 Roof repairs These sub-contractors have employees and have workers'comp insurance: 6❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.�✓ OtherSoIar 152,§I(4),and we have no employees [No workers'comp insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information r Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp policy number I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:_ American Guarantee and Liability Ins Co Policy#or Self-ins.Lic.#: WC 1358810 Expiration Date: 06/01/2023 87 Stratford Lane Yarmouth, MA 02675 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. Si nature: Date: 12/20/22 Phon #: 508-291- 007 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#: �,4T y ,mac 4iR6 5 / o6 Vim Applaok 3-O 3>eer A) 0 cA-7-- — �,3} �(u�K �u�Sr1 s+ fro,„ cE(" 1 3 S T "-,i / "1� '. ��} �'' 1� f,„,tot7E �; , �; r"------5,120uor> /el j �� ova ,G'V ig4' ... ct� r ' -------,,bi 0 e tocCo'l ' , 7 - \ lb .�y�� I / li r"._ -r'2 e ? a v��eE G-' �oU 2 1�..;;;TyG% 3�E L�'�o p�ao2 any` -�ie&5-vrt--/H .:.''''' - ';'..e . ... 17'Owr� -�o v +kc�FY,4 sETtz �<<�/, fGam' qptl`C CnRORS OR pDINGAND ZVrHI j ANT FRpMTyE R�SSIONS CODE COMptNV COMPLIANCE, ESPpNSIB10Ll OFEUEVE THE ��U�1"T l/ I S 1 DATE: _— r� 1N - a As eulLr _ !LDlNG 'Pa0 �-0 w a��� OFFIC ..,._.. ~�-� f9t��� ?E (� �1r6fr Lgli, : COPY s t; ag . • • !N • --• <.;--cr (-1 _ \ .r.iNr �Yl�9 e-5'' t\ \ c 4l Ik >x Y y , .1 ! 1 Tr a. � ti >0..-(v , ...0.vi ttto dim . IC t Q I- \ „. -rmr M ' w -- Elaine H. Collins (Charlotte Collins-Solar Storage) 247 Station Drive, Westwood, MA 02090 ATTACHMENT 2 CERTIFICATE OF COMPLETION SIMPLIFIED PROCESS INTERCONNECTION Installation Information Check if owner-installed Interconnecting Customer: Elaine H. Collins Contact Person: Mailing Address: Location of Facility(if different from above): 87 Strafford Ln City: Yarmuthprt State: MA Zip Code: 02675 Telephone(Daytime):(774) 994-0785 (Evening): Facsimile Number: E-Mail Address: charlottecollins@hotmail.com Electrician: Name: Brian MacPherson Mailing Address: 32 Grove St City: Plympton State: MA Zip Code: 02367 Telephone(Daytime): 508-577-3391 (Evening): Facsimile Number: 508-291-0040 E-Mail Address:hrian marpherson @(trinity-solar.com License number: 21233A Date Approval of Install Facility granted by the Company: 11/17/2022 Application ID number: ESMAEX-01652/WR# 1078673 Inspection: The system has been installed and inspected in compliance with the local Building/Electrical Code of: (City/County) Signed: Local Electrical Wiring Inspector,or attach signed electrical inspection Name(printed): Date: As a condition of interconnection you are required to e-mail a copy of this form along with a copy of the signed electrical permit to: Name: DG interconnection Company: EVERSOURCE Energy Email: emdg@eversource.com POWERWAl.._[. . Testa Powerwall is a fully-integrated AC battery system for 5 L, Inresidential or light commercial use. Its rechargeable lithium-ion battery pack provides energy storage for solar self-consumption, time-based control,and backup. Powerwall's electrical interface provides a simple connection to any home or building. Its revolutionary compact design achieves market-leading'energy density and is easy to install,enabling owners to quickly realize the benefits of reliable, clean power. PERFORMANCE SPECIFICATIONS . MECHANICAL SPECIFICATIONS . AC Voltage(Nominal) 120/240 V Dimensions 1150 min v 753 rnm x 147 mrn ................. • .(4t..3!nR29.6inx5.75in)4 Feed-In Type Split Phase -----...._....._ ---T......_........ Weight 1.14 i.a(251.3 ibc,)` Grid Frequency 60 Hz ............................ Mounting options flour or wall mount . TotalEnergy 14 kWh' _..._.............._................_._.....................__.................................................................... _ ....._....................................__....._....._...................................................................._............:..'..............._..__............:.... Dimensions and weight differ slightly if manufactured before Mzrrch 20'19. Usable Energy 13 5 kWh' Contact'Testa for additional information. 147......_....__.___..._.__............................................._..............._....._.._............._....................__...._........._.......... ..........................................._....,.._.......... .. rr� I C 753 m ,Real Power,max continuous 5 kW(charge and discharge) harge) _ (. ,) ,nt i Real Power,peak(10s,off-grid/backup) 7 kW charge and discharge) Apparent Power,max continuous . 5.3 kVA(charge and discharge) Apparent Power,peak T E. S L wi;il! (10s,off-grid/backup) 7•2 TVA(charge and discharge) • Load Start Capability.............. ....... 33....106 kLRA`.._....'_._....._......._._..._.............. • Maximum Supply Fault Current '10 kA i 1150 rnrn i Maximum Output Fault Current 32 A i ; •a I. Overcurrent Protection Device 30 A Imbalance for Split-Phase Loads 100% Power Factor Output Range +/-1.0 adiustabie Power Factor Range(full-rated power) +/-0.85 0 0 Internal Battery DC Voltage 50 V • Round Trip Efficiency -0,•,'_, ENVIRONMENTAL SPECIFICATIONS Warranty 10 years• Operating Temperature -200C to_0'C(-4°F to 122°F/ • 'Values provi led for 25''C(77°Fl.3.3 LW charge/discharge power. Recommended Temperature 0°t:to 0°C(32'1-•to 86°1-) 'Load start:capability may vary. ,AC to battery to AC,at beginning of life. Operating Humidity(RH) Up to 100%,condensing ' Storage Conditions -20°C to 30°C:(-4°F to 36°F:r COMPLIANCE INFORMATION Up to!j5s PH.non-condensing - State of Energy(Sob):2�°%initial Certifications UL 1642,UL 1741.UL 1741 SA. Maximum Elevation 3000 m(934.3 ft) UL1741 SB.(IL 1973,UL 9540,IEEE. ....................................................................................................................................._..._..............._............................_._._..........._....._._....._..........-----... 1547,UN 38.3 Environment Indoor and outdoor rated Grid Connection Worldwide Compatibility Enclosure Type NEMA:3R Emissions FCC Part 15 Class B.ICES 003 Ingress Rating 1P67 ieattery&Power Electronics) r......`. .. ...._. .. ........ 1P56 t\bulb)Compartment) Environmental Rolls Directive 2 011,65/EU .......... ............. _... .. _ . _. ........__•........................... ........_......__..._.. ......._..........................................:...........................................................__. ......... Wet Location Rating Yes SeismicAC156.IEEE 693-2005(high) . ........................................................:....._................_............................................_............._.................._....._..................__..............__..........._..._............................ ................................... Noise Level.u;1m r. 40(IBA at 300C(86°I11) Meets the unit level performance Fire Testing criteria 5 '5Performance may be de-rater)at or,eratino term E natures below 10°C(50°F)or of UL 9.40A . . , greater than 43°C(109°F, t Ft T TESI..A.r:X)H/ENf_RGY 1 • NJ,Electrical Contractor business permit number 34EB01547400 NJ,HIC reg.#13VH01244300 SOLAR For other jurisdictions,please visit:http://www.trinity-solar.com/about-us/locations-and-licenses HOMEOWNERS AUTHORIZATION FORM Charlotte Collins (print name) am the owner of the property located at address: 87 Stratford Ln Yarmouth Port MA (print address) I hereby authorize Trinity Heating & Air, Inc. DBA Trinity Solar and its employees, agents, and subcontractors, including without limitation, , to act as my Agent for the limited purpose of applying for and obtaining local building and other permits from the Authority Having Jurisdiction as required for the installation of a Photovoltaic System located on my property,applying and obtaining permission and approval for interconnection with the electric utility company, and registration with any state and/or local solar incentive program. This authorization includes the transfer/re-administering, and/or cancellation of any existing permits on file for the purpose of updating/applying with an alternate subcontractor. Without limitation to the generality of the foregoing I specifically authorize Trinity Solar et al. to populate technical details, fill-in, edit, compile, attach drawings, plans, data sheets and other documentation to, date, submit, re-submit, revise, amend and modify application, submission and certification documents("Approvals Paperwork"), including those for which signature pages are included herewith for my signature, in furtherance of the related solar transaction, and I am providing any signatures to Approvals Paperwork for purposes of the foregoing. Trinity Solar will provide copies of Approvals Paperwork when submitted.My authorizations memorialized herein shall remain in full force and effect until revoked. I acknowledge that these authorizations are not required to proceed with the solar transaction and are not a condition of the related solar agreement included herewith but are being given for my own convenience and benefit in order to expedite the approvals processes. Electric Utility Company: Eversource Electric Utility Account No.: Name on Electric Utility Account: Elaine H Collins , Customer Signature Charlotte Collins Print Name 7/28/22 Date LyV{ LL Corporate Headquarters 1-877-SUN-SAVES 2211 Allenwood Road Ph: 732-780-3779 Wall, New Jersey 07719 Fax: 732-780-6671 www.trinity-solar.com FOR INFORMATION ABOUT CONTRACTORS AND THE CONTRACTORS' REGISTRATION ACT, CONTACT THE NEW JERSEY DEPARTMENT OF LAW AND PUBLIC SAFETY, DIVISION OF CONSUMERS AFFAIRS AT 1-888-656-6225. MA,Master Electric Contractor#21233A irk I • ® MA,Home Improvement Contractor#170355 Rhode Island Contractors'Registration and Licensing Board Registration No.39372 Rhode Island Renewable Energy Prof REPC-126 SOLAR For other jurisdictions,please visit:http://www.trinity-solar.com/about-us/locations-and-licenses 12/23/22 Town of Yarmouth 1 146 Route 28 S. Yarmouth, MA 02664 To whom it may concern, Please find the enclosed BATTERY ENCL. (B) application(s) and/or check(s) in the amount of $35.00 for 87 Stratford Lane, Yarmouth, MA. If you have any questions, please feel free to reach out to us at (508)-291-0007 or email us at permits.wareham@trinity-solar.com. Sincerely, The Permitting Department permits.wareham etri nity-sofa r.com (508)-291-0007 Wareham,MA and Rhode Island Offices 1-877-SUN-SAVES 20 Patterson Brook Road, Unit 1 Ph:508-291-0007 Wareham,Massachusetts 02576 Fax:508-291-0040 www.Trinity-Solar.com D-02-3 -643511Z. POWERWALL ., • ECEiVED rod; i Tesla'Powerwall is.a fully-integrated AC battery system for residential or light commercial use. Its rechargeable lithium-ion T L FEB2 3 2�23 . 64, . I battery pack provides energy storage for solar self-consumption, '� ' y UILDING DEPARTMENT time-based control,.and backup. • .,,;:..: . Powerwall's electrical interface provides a simple connection to µ, any home or building. Its revolutionary compact design achieves �.h ; >,,;,i�. I . • market-leading.energy density and is easy to install,enabling ,,,;',. .. tip: owners to quickly realize the benefits of reliable,clean power. . I v ; • PERFORMANCE SPECIFICATIONS MECHANICAL SPECIFICATIONS . AC Voltage(Nominal) 120/240 V • Dimensions 1150 mm"753 min x 147 mm _ .......................................__... -_._._ - ..._..---=" - In14 Feed-In Type . Split Phase _:---'----..---_.__. : {45.3 in. 29.6 In x �_......_...._� ..._.......____ ._.... _...----..____ _. _......._-____._.....__.-.. _....._.. Weight 1141.g(251.31135)4 • • Grid Frequency . 60 Hz _.._............__..._...-_..._........__......:...__._...:__.__-.____......-'--_--_-- Mounting options Floor or wall mount TotalEnergy 14kWh' -_...__-..............._._:._._.__._.__.`. .._--___......-_.._.___.....___..--_ _- — • —- ---•--- ----..-- • ''Dimensions and weight differ slightly it manufactured before March 2019. • • Usable Energy 13 5 kWh' Contact Tesla for additional information. • :__.__.. 147 min Real Power,max continuous 5 kW(charge and discharge) 753 rnm :_9.ti in) t .7 nt • Real Power,peak(10s,off-grid/backup) 7 kW.charge and discharge) - Apparent Power,max continuous . 5.3 WA(charge and discharge) Apparent Power,peak ' (10s,off-grid/backup) I•VA(charge and discharge) TESL A" Load Start Capability 88-106 A LRA' • Maximum Supply Fault Current 10 LA 150 mm Maximum Output Fault Current 32 A Overcurrent Protection Device' 30 A . • Imbalance for Spilt-Phase Loads 100% ' Power Factor Output Range +!-1.0 adiustable Power Factor Range(full-rated power) +/-0.85 0 0 Internal Battery DC Voltage 50 V _..__......._....................._._...._._..__........._.. _..._..._.:...__._..........._._..____.____....._.......__..._..... ENVIRONMENTAL SPECIFICATIONS Round Trip Efficiency 9014', Warranty 10 years. Operating Temperature -20°C to 5(1"C(-4°F to 122°Ft 'Values provided for 25°C(77°F).3.3 kW charg7e!discharge power. Recommended Temperature 0°C to 30°C(152°1-1 to 86°F 'Load start capability may vary. __........._._........ _._____.__..._.__...... SAC to battery to AC,at beginning of life: Operating Humidity(RH) Up to 100%,condensing • Storage Conditions -20°C to 30°C(-4•F to 86 F) tip to 9514 RH.non-condensing COMPLIANCE INFORMATION State of Energy(SoE):25%initial • • Certifications UL'1642.UL 1741.UL 1741 SA. Maximum Elevation 3000 m t9843 ft) IJL 1741 S.B.UL 1973,UL 9540,IEEE _..............._...._... __.....-.-._._...___._.._...:....._._..._........._................_......__.......__ 1547,UN 38.3 Environment Indoor and outdoor rated Grid Connection • Worldwide Compatibility' Enclosure Type NEMA 3R Emissions FCC Part 15 Class B.ICES 003 ingress Rating IP67.Battery&Power Electronics) __....- IP56.Wiring Compartment) • • Environmental RoH5 Directive 2011/65/EU -. Wet Location Rating • Yes Seismic AC156.IEEE 693-2005(high) • _.____..... ____---_..______...._.._..__....____-.._..— -_....._._- -_ ... Noise Level rw im 4U dBA at 30°C(85°F) Meets the unit level performance' Fire Testing `'Performance may be de-rated et oberating temperatures below 10°C(50°F)or !, criteria of UL 9540A ............._-- --..__.......... greater than 43°C(109°Fi. . T -^ E L n TESLA.COM/ENERGY • TYPICAL SYSTEM LAYOUTS , R D WHOLE HOME BACKUP FEB 23 21123 �...._..,...._...._...... BUILDING DEN i)p:wnai By ART Solar . ONSWII e� eO [0. Mill WM ti ..., Solar inverter Main panel Backup Gateway Utility meter Grid including service disconnect - • T 5 L. • ge){2 Powerwall Whole home backup • • PARTIAL HOME BACKUP • .._. .... iC•LiUn�i • --zcg7 Solar r.. I I L. I Il ii, yJl Solar inverter Sub panel Backup Gateway Main panel Utility meter Grid Txa,..n, • haCi1 I • Powerwall Backup loads Home loads "L' _ S L a.A TrSLA.CC)M/FNERG" .-....... •••-•N ...., • . . , ,g. I " •,,.,./. . ', , . „ , • , - , • . 1 . - , . it;•• -; ), . . ,i. , " . •-.i ' . ,'4,1i, ,,-...4.,, ,',,,,,,.., tf,t; i 1 , i 441031 PERMIT Diu,SA;' NtiMitt VZ City or Town Yarmouth .. ._ ... ._. Date. stait D ii Permit Number of applicable) -- — f..)G L c....r.ioef '4'... ,I, , , '" " ''' '' ' 1 '''"' "lr . • t,i Trinity Solar RECEIVED I or perm,f,c.nn 1.c Install ESS CMR 1.12.8.32 NFPA 855 Strict and complete compliance with ail federal,state and local laws,rules,regulations and coticti. FEB 23 2023 Nobly YFD before and after work is complete. ------- ----- BUILDING DEPARTMENT Al 87 STRATFORD LANE/South Yarmouth,MA 02664 By ___ - -------- ----- r-ep Tills perrn1 wd'expve on 1,/-1 S,gf,,1: '.:.Of*C'3,',3-a-i*el Per,r,t /..: -; 2.'' Cr 1._.4.." /— --- t Tltle . / ..7*- ( -/ This permit must be conspicuously posted upon the premises I CHARLOTTE COLLINS 224 JOHN M MARCELINE - ,-.Ali-•-:,f4-..1., ; ,„i 2- t \/- — • - $ 73, --°- I .-- " CAPEk"" ' CODD _ _ _ ., .....,,,,,,,,,,, ,5,5,7,4....., - I -/,............- ., • 1: 2 i L 3? LO?al: a 30 5 Via 1 2111 ?I, 1 t - --- :1.,...4\... •\VIWININ emnfinmutieata 1 711amachialh 61).0. a?CYZ /0 25, ROLL a3Okl,, ittS(/)-, 711,4 01-(75 _...7...;;, PERMIT DIG SAFE NUMBER ) - City or Town: Yarmouth Date: 02/21/2023_ . ' Start Date: Permit Number(if applicable) - In accordance with the provisions of M G L Chapter 148 as provided in Section 10 A this permit is granted Trinity Solar to _ For permission to Install ESS CMR 1.12.8.32 NFPA 855 Restr ctions Strict and complete compliance with all federal,state and local laws,rules,regulations and codes. Notify YFD before and after work is complete. At 87 STRATFORD LANE/South Yarmouth,MA 02664 ...... Fee Paid $ ... _ . This permit Will expire on -..,‘ , -7- Signature of Official Granting Permit z /, , k: , Li ,,.._, Tit 'le i 4 ./ i . - .,.. - 01 i I.. This permit must be conspicuously posted upon the premises