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HomeMy WebLinkAboutBLD-23-003376 M a,/k. I2'/? /Z� ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department r of r 1146 Route 28, South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 Massachusetts State Building Code,780 CM/2. 'I..—e Building Permit Application To Construct, Repair, Renovate Or Demolish ! a One-or Two-Family Dwelling I RECEIVED This Section For Official Use Only Building Permit Number: pnA) -2_3 - )O3 % Date pplie - -7 DECC I f,„ 2022 `7 7. ! / UILDINO DbDARTMENT Building Official(P ' t Name) j Signature nY _ c,. _ SECTION 1:SITE INFORMATION 1.1 ro er Address: h' 1.2 Assessors Map&Parcel Number:. 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(it) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required I Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,154) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private 0 Zone: Outside Flood Zone? — Municipal❑ On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 wner'of Record: a KOOC-o\ (011 ,ns Yo r►'nnULon Gib ‘-/-1) Name(Print) City,State,ZIP 104 'Phliiti S Dr 5o$ (61416;g1A dc.yrnQA;en',ss &, 2n_ain No.and Street Telephone E ail Address core) SECTION 3:DESCRIPTION OF PROPOSED'WORK2(check all that apply) New Construction❑ 1 Existing Building❑ Owner-Occupied 0 I Repairs(s) ❑ Alteration(s) 0 I Addition 0 Demolition 0 I Accessory Bldg. 0 Number of Units Other ❑ Specify: Brief Description of Proposed Work': l r1SI-ei_l l a ti an Or a.✓' i s 0 e i9Y Flo- .4-c.rin.____±H r a S L . act 6 w,ti✓ SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ a,,5 ' 0 ,, 1. Building Permit Fee:$ I (10 Indicate how fee is determined: 0 Standard City/Town Application Fee E 2.Electrical $ 5 8 56 . UOProject (Item6) p ( � 0Total Pro�ct Cost3 x multiplier_ x 3.Plumbing $ 2. Other Fees: $ a-� 4.Mechanical (HVAC) $ List: � aa36 all/i 5.Mechanical (Fire $ Suppression) Total All Fees:$ 1 m , r d� Check No. Check Amount: Cash Amount: 6.Total Project Cost: S D (7(p- 0 Paid in Full El Outstanding Balance Due: ONE or TWO FAMILY— BULDING PERMIT APPLICATION REGULATORY APPROVALS NOTICE Address of Proposed Work: 1 i -I Ph q \\ 15 Dr • Scope of Proposed Work: Oc111 b a --)'Cei Date: \a/ o6) )' 52- 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: otfdyirbe ak," 1 a / D 9 I 2 _ Applicant's Signature Date Rev. Jan. 2019 SECTION 5: CONSTRUCTION SERVICES 5.1 Consstructiioon Supervisor License(CSL) 640 /m l r�2 /' r a3 License Numb er Expiration Date Name of CSL Holder y /_G(d m\J L {J S n cut h 3\' t�,i List CSL Type(see below)` U l et (x/tu` `f( TypeDescription Ta -ho rl (/V1 () '7 U U Unrestricted(Buildings up to 35,000 Cu.ft.) City/Town,State,ZIP Y V 1 t�( R Restricted 13c2 Family Dwelling M Ivlasonry RC Roofing Covering WS Window and Siding (( SF Solid Fuel Burning Appliances G u((CAM-YYlap('ter i I , Insulation Telep one Email addrte • ( en D Demolition 5.22 Registeredgi Home Improvement�/� ContractorC)/ 061 n 1 I 0 t' rU n l""^ `�� `. "' HIC ZJRegistration nJNumber lJ xpiraionDate • HIC Comp or HIC Registrant N C l`,Company s t .rn25L ►3l is rn l is 1e1-p✓1 014_6 9,,,7 78 7 7g � i ° Email address City/Town,State,ZIP "I Telephone Skin (��'�''1 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 ❑ 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) 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 contained in this application is true and accurate to the best of my knowledge and understanding. 44 \ I0t / Print Owner's or Author' d Agent's Name(Elect is 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.aov/oca Information on the Construction Supervisor License can be found at www.mass.nov/dps 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" • The Commonwealth of Massachusetts , c 1__ lif t Department of Industrial Accidents =�l= 1 Congress Street,Suite 100 .4,—II—.. . Boston,_ MA 02114-2017 „." www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information PIease Print Legibly Name (Business/Organization/Individual): Address: City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with employees(full and/or part-time).* 7. 0 New construction 2.0 i am a sole proprietor or partnership and have no employees working for me in any capacity.[No workers'comp.insurance required.] 8. ❑Remodeling • 3.0 I a a homeowner doing all work myself.(No workers'comp.insurance required.]t 9. 0Demolition m 4.❑I am a homeowner and will be hiring contractors to conduct all work on property. I will 10 Q Building addition ensure that all contractors either have workers'compensation insurance or are sol 11.0 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.t 13.0 Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.I]Other 152,§I(4),and we have no employees.(No workers'comp.insurance required.] *Any applicant that checks box gI 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. 1Contractors 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 an:an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.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. 1 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.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other . Contact Person: Phone#: Commonwealth of Massachusetts COeliiDfl SIlparYleDr Division of Pro}essforlal Ltcensure U,Mesblcted -Buildings of any use group which contain Board of BU l ting Regis/awns and Standards less than 36,000 cubic feet(001 cubic meters)of enclosed ConSLrrttai4lA rvisor -e. CS-o4o622 e�ires.08/01:2023 STEPHEN A FELLY 1B PARKwNAM-ROAD STONEHAM N) 02100 Failure to possess a current edition of the Massachuslb Commissioner Stale Building Code is cause for revocation of this Bowles. For infomlasian about INS license Cal(017)7274206 or veil vnir nress.govfdpl THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washinghta_S re,pt-Suite 710 Boston,Massachusetts 02118 Home Imp_ istration f^, — f _ - Type Supplement Card 21 N INSTALLATION SERVICES INC. i� Registration. 180120 21 WORLDS FAIR DR Expiration 10/13/2024 SOMERSET,NJ 08873 \' -` Ci. Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affava&Business Regulation Regitraaon reed for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration datr.If found return to: TYPE:Suppemenl Card Office of Consorter Atkin and Business Regulation Realatodata ' Ealzrotloa 1000 Washington Street•Suite 710 180120 10i13/2024 Boston,MA 01'118 SUNRUN INSTALLATK)N SERVICES INC. STEPHEN KELLY ." 225 BUSH STREET - 7 SIHTE 1400 �- k --,1-- SAN FRANCISco.CA 94104 undersecretary I valid without nature Stephen A Kelly 695 Myles Standish Blvd Taunton MA 02780 TEL:978-793-7881 Email: eastmapermits@sunrun.com t ,i'1 SUNRINC-02 LWANG2 ACOROF DATE(MM/DD/YYYY) �,,,� CERTIFICATE OF LIABILITY INSURANCE 8/31/2022 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 CONS--ITUTE 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 License#0C36861 CONTACT Walter Tanner NAME:Alliant Insurance Services,Inc. PHONE FAX 560 Mission St 6th Fl (A/C,No,Ext): (A/C,No): San Francisco,CA 94105 Fdoo lEss:Walter.Tanner@alliant.com INSURER(S)AFFORDING COVERAGE NAIC# 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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMM/DD/YYYY) IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR MKLV5ENV103749 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 j LOC PRODUCTS-COMP/OP AGG $ 2,000,000 X OTHER:Retention:$100,000 Per Project Agg $ 5,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ _ OWNED SCHEDULED AUTEO�S ONLY AUTOS WN BODILY INJURY(Per accident) $ AUTOS ONLY AUUTOS ONLY P OacEcR�t)AMAGE $ $ B UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 4'000'000 X EXCESS LIAR CLAIMS-MADE 001072261 10/1/2021 10/1/2022 AGGREGATE $ 4,000,000 DED I 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 YNN N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I 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 z ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents _—,' Office of Investigations `t Lafayette City Center Cep �/ 2Avenue de Lafayette, Boston, MA 02111-1750 `k 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): 1.® 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. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.* required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no c. employees. [No workers' 13. (] Other \\Cy' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: American Zurich Insurance Company Policy #or Self-ins. Lic. #:WC614287601 Expiration Date: 10/01/2023 Job Site Address: 169 f)hvilis D I- City/State/Zip: Attach a copyof the workers' com sation policy declaration page(showing the policy number and expiration date). P 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 painsin and penalties of perjury that the information provided above is true and correct. Signature: u Date: ��IQ q /2/7--- 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): II--II 10Board of Health 2❑Building Department 31JCity/Town Clerk 4.0 Electrical Inspector 50Flumbing Inspector 6.0Other Contact Person: Phone#: Information and Instructions 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 DocuSign Envelope ID: EBC12E90-1 E3B-4OFA-8B74-AA258801 FA28 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 I T ��QN SERVICES INC. Signatur : BC6AB2E2FF8E454. Print Name: Christian Del adi a Date: 12/1/2022 Title: project operations Federal Employer Identification Number: 26-2841711 IF YOU CHOOSE TO PAY BY CHECK, MAKE CHECKS OUT TO SUNRUN INC. NEVER MAKE A CHECK OUT TO A SALES REPRESENTATIVE. OUR SALES REPRESENTATIVES ARE NOT AUTHORIZED TO RECEIVE CHECKS IN THEIR OWN NAMES. YOU MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE TENTH EFFECTIVE DATE. PLEASE REVIEW THE ATTACHED NOTICES OF CANCELLATION FOR AN EXPLANATION OF THIS RIGHT. Customer C4rfefirrAtecount Holder Secondary Account Holder (Optional) EJAAAKAA, C-412. Dot Barbara Collins Signature 12/1/2022 Date Print Name Email Address*: barbaralcollins@gmail .com Mailing Address: 104 Phyllis Dr Yarmouth, MA 02664 Phone: (508) 694-6916 'Email addresses will be used by Sunrun for official correspondence, such as sending monthly bills or other invoices. Sales Consultant By signing be/ow/acknowledge that/am Sunrun accredited, that/presented this agreement according to :Swami Code of Conduct, and that/obtained the homeowner's signature on this agreement. FJqf16Uno... Carson Dinkins Print Name 3512854211 Sunrun ID number Sunrun Installation Services Inc. 1225 Bush Street, Suite 1400, San Francisco, CA 94104 1888.GO.SOLAR I HIC 180120 Contract Version: 2020Q1V1 Generation Date: 11/26/2022 Proposal ID: PK4AFVF 1 A9D-H Version 2020Q1V1 21 DocuSign Envelope ID: EBC12E90-1E3B-40FA-8B74-AA258801FA28 Sunrun BrightSaveTM Agreement Barbara Collins 104 Phyllis Dr, Yarmouth, MA, 02664 Take Control of Your Electric Bill $0 25 Years $85 $0 .259 Deposit due Agreement Term Length Monthly Bill for Year Year 1 Cost per kWh Today (2.9% annual increase One (plus taxes, if applicable; (excluding upfront in monthly bill) includes $7.50 discount for payment, if any) Auto-Pay enrollment) WE'VE GOT YOU COVERED WITH OUR WORRY-FREE SERVICE L k(c) We provide hassle-free We monitor the system We warrant, insure, Selling your home? design, permitting, and to ensure it runs maintain and repair We guarantee the buyer installation. properly. the system. We will qualify to assume also provide a 10- your agreement. year roof warranty. A SOLAR SYSTEM DESIGN FOP YOUR HOME You get a 3.90 kW DC Solar System With 10 Solar Panels and 1 Inverter(s) Which will produce an est. 3,920 kWh in its first year And offset approx.96% of your current, estimated electricity usage YOUR SALES REPRESENTATIVE: Carson Dinkins carson.dinkins@sunrun.com (3 5) 220-2503 i �.ril TOWN OF YA ZMOUT I,op�� YaR`� BUILDING(i• - DEPARTMENT ��� _t_717.ii v. w . ;;s��r ° 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE: �\ (� P(� JOB LOCATION: ) U -1 1 I ( ` 1 l S �`)r E STREEt ADDRESS SE N OF/TO "HOMEOWNER" t,rr\OCU Cot < I (1 S So A. j q (P q ' y NAME HOME PHONE WORK PHONE PRESENT MAILING ADDRESS CITY OR TOWN STA 11, 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 APPROVAL OF BUILDING OFFICIAL 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 1 aeG aws and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent h:horneownrlicexemp §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 I OR c)(-) \\1 S 0( Work Akldress Ices Sunrun 695 MylesInsta Stanllationdish BlvServd Is to be disposed of oat the following location: e'Taunton MA 02780 Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. \l/O / v_ Signature of Application to Permit No. Current Engineering 12-07-2022 Sunrun Inc. 595 Market St Subject: Structural Certification for Installation of Residential Solar re job: Barbara Collins 104 Phyllis Dr, South Yarmouth, MA 02664., USA Attn.:To Whom It May Concern Observation of the condition of the existing framing system was performed by an audit team of Sunrun Inc. After review of the field observation data, structural capacity calculations were performed in accordance with applicable building codes to determine adequacy of the existing roof framing supporting the proposed panel layout. Please see full Structural Calculations report for details regarding calculations performed and limits of scope of work and liability. The design criteria and structural adequacy are summarized below: Design Criteria: Code: 780 CMR, IBC 2015, ASCE 7-10, Ult Wind Speed: 141 mph, Ground Snow: 30 psf, Min Snow Roof: 0 psf ROOF 1: Shingle roofing supported by 2x6 Rafter @ 16 in. OC spacing. The roof is sloped at approximately 27 degrees and has a max beam span of 12.0 ft between supports. Roof is adequate to support the imposed loads. Therefore, no structural upgrades are required. 12-07-2022 0, OF M4ss �,�ax 0OV4s41 40 Current Renewables Engineering Inc. o� ep CIVIL cy s Professional Engineer " NO.56313 info@currentrenewableseng.com STEaEO�F� oFFss/ONA1., Exp:6 30,2024 1760 Chicago Ave Suite J13, Riverside, CA 92507 info@currentrenewableseng.com (951)405-1733 Pagel of 8 Current , �wabies Engineering 12-07-2022 Sunrun Inc. 595 Market St Attn.:To Whom It May Concern re job: Barbara Collins 104 Phyllis Dr,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: 141 mph Exposure Cat: B Ground Snow: 30 psf Min Snow Roof: 0 psf 12-07-2022 ovi OF MASS Current Renewables Engineering Inc. NO.56313 Professional Engineer QP "Pe t9— info@currentrenewableseng.com FSS/ONAI ('\P Exp:6/30/2024 1760 Chicago Ave Suite J13, Riverside, CA 92507 info@currentrenewableseng.com (951)405-1733 Page 2 of 8 Barbara Collins Current ivables Engineering Roof Properties: Roof 1 Roof Type = Shingle Roof Pitch (deg) = 27.0 Mean Root Height (ft) = 13.0 Attachment Trib Width (ft) = 3.3 Attachment Spacing (ft) = 5.3 Framing Type = Rafter Framing Size = 2x6 Framing OC Spacing (in.) = 16.0 Section Thickness, b (in) = 1.5 Section Depth, d (in) = 5.5 Section Modulus, Sx (in3) = 7.562 Moment of Inertia, lx (in ) = 20.797 Unsupported Span (ft) = 12.0 Upper Chord Length (ft) = 16.0 Deflection Limit D+L (in) = 3.2 Deflection Limit S or W(in) = 2.133 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 Cis = 1.0 CM = Ct = CL = Ci = 1.0 CF= 1.3 Cfu = 1.0 Cr = 1.15 F'b wind (psi) = 2093.0 F'b snow (psi) = 1504.34 F'v wind (psi) = 216.0 F'v snow (psi) = 155.25 M allowable wind (lb-ft) = 1319.03 M allowable snow (lb-ft) = 948.05 V allowable wind (lbs) = 1188.0 V allowable snow (Ibs) = 853.88 E' (psi) = 1400000.0 1760 Chicago Ave Suite J13, Riverside, CA 92507 info@currentrenewableseng.com (951)405-1733 • Page 3 of 8 Barbara Collins Current 111/ 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) = 1.418 Misc. Additional Weight (psf) = 1.0 Existing Dead Load (psf) = 7.418 Total Dead Load (psf) = 10.418 Wind Load Calculations: Ultimate Wind Speed (mph) = 141.414 Directionality Facto r, kd = 0.85 Topographic Factor, kzt = 1.0 Velocity Press Exp Factor, kz = 0.701 Velocity Pressure, qz (psf) = 30.487 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) = -26.52 Design Pressure Up, p_2 (psf) = -47.238 Design Pressure Up, p_3 (psf) = -73.759 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 = 0.717 Sloped Roof Snow, ps (psf) = 14.898 1760 Chicago Ave Suite J13, Riverside, CA 92507 info@currentrenewableseng.com (951)405-1733 Page 4 of 8 Barbara Collins Current 0/_, ewables Engineering Lag Screw Checks: Roof 1 Ref. Withdrawal Value, W(lb/in) = 205.0 (Cm = Ct = Ceg = 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 (lbs) = -212.653 Uplift DCR = 0.259 Ref. Lateral Value, Z (Ibs) = 205.0 (Cm = Ct = Co = Ceg = 1.0) CD = 1.15 Adjusted Lateral Value, Z' (lbs) = 287.5 Applied Lateral Force (Ibs) = 142.118 Angle of Resultant Force, a (deg) = 0.982 Adjusted Interaction Lateral Value, Z'a (Ibs) = 521.681 Lateral DCR = 0.272 1760 Chicago Ave Suite J13, Riverside, CA 92507 info@currentrenewableseng.com (951)405-1733 Page 5 of 8 Barbara Collins Current Renewables Engineering Roof Framing Checks: Force Checks: LC1: D+S Roof 1 Applied Moment (lb-ft) = 473.0 Applied Shear (Ibs) = 241.0 Allowable Moment (lb-ft) = 948.0 Allowable Shear (Ibs) = 854.0 Moment DCR = 0.498 Shear DCR = 0.282 LC2: D+0.6W Applied Moment (lb-ft) = 374.0 Applied Shear (Ibs) = 190.0 Allowable Moment (Ib-ft) = 1319.0 Allowable Shear (Ibs) = 1188.0 Moment DCR = 0.283 Shear DCR = 0.16 LC3: D+0.75(S+0.6W) Applied Moment (lb-ft) = 537.0 Applied Shear (Ibs) = 274.0 Allowable Moment (lb-ft) = 1319.0 Allowable Shear (Ibs) = 1188.0 Moment DCR = 0.407 Shear DCR = 0.23 LC4: 0.6D+0.6W Applied Moment (lb-ft) = 296.0 Applied Shear (Ibs) = 151.0 Allowable Moment (lb-ft) = 1319.0 Allowable Shear (Ibs) = 1188.0 Moment DCR = 0.224 Shear DCR = 0.127 1760 Chicago Ave Suite J13, Riverside, CA 92507 info@currentrenewableseng.com (951)405-1733 • Page 6 of 8 Barbara Collins Current llll Engineering Deflection Checks(Service Level): LC1: D+L Deflection (in.) = 0.439 Deflection Limit (in.) = 3.2 Deflection DCR = 0.137 LC2:S Deflection (in.) = 0.172 Deflection Limit (in.) = 2.133 Deflection DCR = 0.081 LC3:W(Down) Deflection (in.) = 0.078 Deflection Limit (in.) = 2.133 Deflection DCR = 0.036 LC4:W(Up) Deflection (in.) = 0.129 Deflection Limit (in.) = 2.133 Deflection DCR = 0.06 1760 Chicago Ave Suite J13, Riverside, CA 92507 info@currentrenewableseng.com (951)405-1733 Page 7 of 8 Barbara Collins Current Engineering Seismic Check: Existing Weight: Wall Weight (psf) = 17.0 Tributary Wall Area (ft2) = 950.0 Total Wall Weight (Ibs) = 16150.0 Roof Weight (psf) = 7.418 Roof Area (ft2) = 1950.0 Total Roof Weight (Ibs) = 14465.039 Total Existing Weight (Ibs) = 30615.04 Total Additional PV Weight (Ibs) = 598.95 Weight Increase: (Existing W+Additional W)/(Existing W) = 1.02 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.corn (951)405-1733 Page 8 of 8 Barbara Collins Current Renewables = 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.com (951)405-1733 SHEET INDEX LEGEND SCOPE OF WORK GENERAL NOTES PAGE# DESCRIPTIONFAN •SYSTEM SIZE:4290W DC,3800W AC •ALL WORK SHALL COMPLY WITH MA 9TH ED.CMR 780(2015 IRC/IBC/IEBC), SERVICE ENTRANCE •MODULES:(11)TRINA SOLAR:TSM-390DE09C.07 MUNICIPAL CODE,AND ALL MANUFACTURERS LISTINGS AND INSTALLATION PV-1.0 COVER SHEET 104 •INVERTERS:(1)SOLAREDGE TECHNOLOGIES: INSTRUCTIONS. PV-2.0 SITE PLAN SE3800H-USMN •PHOTOVOLTAIC SYSTEM WILL COMPLY WITH NEC 2020. MP MAIN PANEL •RACKING:RL UNIVERSAL,SPEEDSEAL TRACK ON COMP, PV-3.0 LAYOUT SEE DETAIL SNR-DC-00436 •ELECTRICAL SYSTEM GROUNDING WILL COMPLY WITH NEC 2020. PV-4.0 ELECTRICAL SP SUB-PANEL •PHOTOVOLTAIC SYSTEM IS UNGROUNDED.NO CONDUCTORS ARE SOLIDLY PV-5.0 SIGNAGE GROUNDED IN THE INVERTER.SYSTEM COMPLIES WITH 690.35. • LC PV LOAD CENTER •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. INV INVERTER(S) 1N OF 4A•RAPID SHUTDOWN REQUIREMENTS MET WHEN INVERTERS AND ALL O.., N,oVA3 9 cyo CONDUCTORS ARE WITHIN ARRAY BOUNDARIES PER NEC 690.12(1). ol`x� am4, IAC I AC DISCONNECT(S) •CONSTRUCTION FOREMAN TO PLACE CONDUIT RUN PER 690.31(G). U NO.56313 DC •ARRAY DC CONDUCTORS ARE SIZED FOR DERATED CURRENT. 90 ..1eTEO -�`�� 0 DC DISCONNECT(S) FESS/ONALEPc'�� •13.35 AMPS MODULE SHORT CIRCUIT CURRENT. EN,:6/30/2024 CB IQ COMBINER BOX •20.85 AMPS DERATED SHORT CIRCUIT CURRENT[690.8(A)&690.8(B)). STAMPED 12iO3rz022 •PV INSTALLATION COMPLIES WITH THE NEC 2020 ARTICLE 690.12(B)(2). ABBREVIATIONS r—1 INTERIOR EQUIPMENT CONTROLLED CONDUCTORS LOCATED INSIDE THE ARRAY BOUNDARY ARE A AMPERE L_1 SHOWN AS DASHED LIMITED TO 80 VOLTS WITHIN 30 SECOND OF A RAPID SHUTDOWN INITIATION AC ALTERNATING CURRENT AFC ARC FAULT CIRCUIT INTERUPTER CHIMNEY sunrun AZIM AZIMUTH COMP COMPOSITION DC DIRECT CURRENT ATTIC VENT #180120 (E) EXISTING FLUSH ATTIC VENT VICINITY MAP Derr', 5 6. LEs STANOISH BLVD,TAUNTON.NA 0PMT0]1 PVC PIPE VENT ESS ENERGY STORAGE SYSTEM PHONE EXT EXTERIOR ti_-.? _ METAL PIPE VENT CUSTOMER RESIDENCE: INT INTERIOR (••=,'I MSP MAIN SERVICE PANEL .J T-VENT 1104RPHYLLSO DR, ARMOUTH, �/ (N) NEW TCTTOJl♦r MA,02664 SATELLITE DISH NTS NOT TO SCALETEL. 64-6916 F�' OC ON CENTER 104 PhyllisD' — APN:(508)YARM9000078-000030 FIRE SETBACKS M. , 1i PR AB PRE-FABRICATED SC J�"( �{a•��'I C Jt'i. �`✓1r A PROJECT NUMBER: PSF POUNDS PER SQUARE FOOT [ 223R-104COLL I. '.,' HARDSCAPE F-3r'„IC Pam, PHOTOVOLTAIC DESIGNER: (415)580-6920 ex3 RSD RAPID SHUTDOWN DEVICE —PL— PROPERTY LINE TL'! TRANSFORMERLESS SOLAR MODULES — ANUP SHARMA D SCALDE:NTS :'°) SHEET TYP TYPICAL REV NAME DATE COMMENTS COVER SHEET ✓ VOLTS Er--11 J • W WATTS REV:A 12/7/2022 LAN LANDSCAPE l SNR MOUNT D PAGE PV-1.O POR PORTRAIT SNR MOUNT&SKIRT remA.N_w n_e.o.87 SITE PLAN-SCALE=1/16"=1'-0" 101 ,411 IT, • P AC a.. SE 1-1 !P i ...•`. Q • P` / .• .... PL - PM INV I• • PL ' , ------------7 3, •° (N)ARRAY AR-01 y'�' Movgsycy n 4••/ .. c� p Cy GN CIVIL ^� . , N0.56313 - -4 (E)RESIDENCE U'Aosrea�`6� FESS�ONPLEN�'VP n STAMPED 12/03/202 a sunrun ° r a. . ° '- #180120 b.MYLES STANDISH BLVD,TAINTON,M°,027867331 alli MR d PNONE0 FAX 0 CUSTOMER RESIDENCE: ------------j BARBARA COLLINS 104 PHYLLIS DR,YARMOUTH, MA,02664 PL Pt TEL.(508)694-6916 PL PITCH AZIM AZIM (SOFT)ARRAY TRUE MAG PV AREA APN:YARM-000078-000030 L______ PL - PROJECT NUMBER: - AR-01 27° 278° 292° 227.6 223R-104COLL PL DESIGNER: (415)580-8920 ex3 ANUP SHARMA SHEET SITE PLAN REV:A 12/7/2022 PAGE PV-2.O Tempers vsroon_a.P.87 • ROOF INFO FRAMING INFO ATTACHMENT INFORMATION DESIGN CRITERIA Name Type Height Type Max OC Max Landscape Max Landscape Max Portrait Max Portrait MAX DISTRIBUTED LOAD:3 PSF yp g Yp Span Spacing Detail OC Spacing Overhang OC Spacing Overhang Configuration SNOW LOAD:30 PSF 12'- RL UNIVERSAL,SPEEDSEAL TRACK ON WIND SPEED: AR-01 COMP SHINGLE-RLU 1-Story 2X6 RAFTERS 16 COMP,SEE DETAIL SNR-DC-00436 5'-4" 2'-1" 4'-0" 2'-0" STAGGERED 141 MPH 3-SEC GUST. S.S.LAG SCREW D1-AR-01-SCALE:3/16"=1'-0" 5/16":2.5"MIN EMBEDMENT AZIM:278° PITCH:27° • A._. ❑ -0 _ C 0 ❑ 0 _ ❑ ❑ N OF AU.S :I D,40:11 VASSq,ti G • ��� c� e4'NO C5IVIL6313 s m '� ❑ ❑ ❑ ❑ a 194 0 0 ;23y ,-5'-4"TYP.^ 90 4',NisIEBE0 4r44Q • ASS/ONAlEN6` __._._ _...__ _....._ _.-i0 0 0 0 Q—.._ —_-0 0 Exp:6/30/2024 STAMPED 12/03/2022 N_______ sunrun INSTALLERS SHALL NOTIFY ENGINEER OF #180120 ANY POTENTIAL STRUCTURAL ISSUES 6.MYLES STANDISHewo TAUNTON M.0278673, OBSERVED PRIOR TO PROCEEDING WI PHONE 0 FAX INSTALLATION. •IF ARRAY(EXCLUDING SKIRT)IS WITHIN 12" CUSTOMER RESIDENCE: BOUNDARY REGION OF ANY ROOF PLANE BARBARA COLLINS EDGES(EXCEPT VALLEYS),THEN 104 PHYLLIS DR,YARMOUTH, ATTACHMENTS NEED TO BE ADDED AND MA,02664 OVERHANG REDUCED WITHIN THE 12" BOUNDARY REGION ONLY AS FOLLOWS: TEL.(508)694-6916 ALLOWABLE ATTACHMENT SPACING APN:YARM-000078-000030 P INDICATED ON PLANS TO BE REDUCED BY PROJECT NUMBER: 50%. 223R-104COLL ALLOWABLE OVERHANG INDICATED ON .7 PLANS TO BE 1/5TH OF ALLOWABLE DESIGNER: (415)580-6920 ex3 ATTACHMENT SPACING INDICATED ON PLANS. ANUP SHARMA SHEET LAYOUT REV:A 12/7/2022 SEE SITE PLAN FOR NORTH ARROW PAGE PV-3.0 Temp'afe_ve n_4.0.87 120/240 VAC SINGLE PHASE SERVICE METER#: O EVERSOURCE 7158969 UTILITY GRID NOTE:TOTAL PV BACKFEED=20A I USED FOR INTERCONNECTION r I EXISTING CALCULATIONS C 100A MAIN BREAKER 1 EXISTING (N)MA SMART 100A (N)LOCKABLE UTILITY SOLAREDGE TECHNOLOGIES: �� MAIN BLADE TYPE REVENUE SE3800H-USMN FACILITY PANEL AC DISCONNECT METER 3800 WATT INVERTER JUNCTION BOX PV MODULES LOADS 3 3; 3 2 OR EQUIVALENT 1 , TRINA SOLAR:TSM-390DE09C.07 • o"� CD �./. ' /(�j� OPT MIIZERS WIRED IN: Y (1)SERIES OF(11)OPTIMIZERS I I (N)20A lFGao`j�o SQUARE D 240V METER SOCKET LOAD RATED DC DISCONNECT 4 PV BREAKER AT DU221RB 100A CONTINUOUS WITH AFCI,RAPID SHUTDOWN —SOLAREDGE POWER OPTIMIZERS OPPOSITE END 3R,30A,2P UTILITY SIDE OF CIRCUIT COMPLIANT S440 OF BUSBAR 120/240VAC CONNECTS TO TOP LUGS- (LINE AT TOP LOAD AT BOTTOM) CONDUIT SCHEDULE s u n r u n # CONDUIT CONDUCTOR NEUTRAL GROUND 1 NONE (2)10 AWG PV WIRE NONE (1)10 AWG BARE COPPER 2 3/4"EMT OR EQUIV. (2)10 AWG THHN/THWN-2 NONE (1)10 AWG THHN/THWN-2 #180120 3 3/4"EMT OR EQUIV. (2)10 AWG THHN/THWN-2 (1)10 AWG THHN/THWN-2 (1)8 AWG THHN/THWN-2 6.My ossTAHoISH BLVD,TAUNTON,MA,Oneo-)sJ1 RiONECUSTOMER RESIDENCE: BARBARA COLLINS 104 PHYLLIS DR,YARMOUTH, MA,02664 MODULE CHARACTERISTICS S440 OPTIMIZER CHARACTERISTICS: TRINA SOLAR:TSM-390DE09C.07. 390 W MIN INPUT VOLTAGE. 8 VDC TEL.(508)694-6916 OPEN CIRCUIT VOLTAGE: 40.8 V MAX INPUT VOLTAGE: 60 VDC APN:YARM-000078-000030 MAX POWER VOLTAGE: 33.8 V MAX INPUT ISC: 14.5 ADC SHORT CIRCUIT CURRENT: 13.35 A PROJECT NUMBER: MAX OUTPUT CURRENT: 15 ADC 223R-104COLL SYSTEM CHARACTERISTICS-INVERTER 1 DESIGNER: (415)580-6920 ex3 SYSTEM SIZE: 4290 W ANUP SHARMA SYSTEM OPEN CIRCUIT VOLTAGE: 11 V SHEET SYSTEM OPERATING VOLTAGE: 380 V MAX ALLOWABLE DC VOLTAGE: 480 V ELECTRICAL SYSTEM OPERATING CURRENT: 11.29 A SYSTEM SHORT CIRCUIT CURRENT: 15 A REV:A 12/7/2022 PAGE PV-4.0 Tem#ate_w n 4.o.87 /'\WARNING INVERTER 1 NOTES AND SPECIFICATIONS: •SIGNS AND LABELS SHALL MEET THE REQUIREMENTS OF THE NEC 2020 ARTICLE _ PHOTOVOLTAIC DC DISCONNECT 110.21(B),UNLESS SPECIFIC INSTRUCTIONS ARE REQUIRED BY SECTION 690,OR ELECTRICAL SHOCK HAZARD IF REQUESTED BY THE LOCAL AHJ. MAXIMUM SYSTEM VOLTAGE: 480 VDC •SIGNS AND LABELS SHALL ADEQUATELY WARN OF HAZARDS USING EFFECTIVE TERMINALS ON LINE AND LOAD WORDS,COLORS AND SYMBOLS. SIDES MAY BE ENERGIZED IN •LABELS SHALL BE PERMANENTLY AFFIXED TO THE EQUIPMENT OR WRING LABEL LOCATION: METHOD AND SHALL NOT BE HAND WRITTEN. THE OPEN POSITION 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) ®WARNING: 4\WARNING P . 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 PERCODE(S):NEC 2020:690.31(D)(2),IFC 2012: SYSTEM 605.11.1.4 LABEL LOCATION: CAUTION : UTILITY SERVICE METER AND MAIN SERVICE PANEL. PER CODE(S):NEC 2020:705.12(C) RAPID SHUTDOWN SWITCH AWARNINGI\ MULTIPLE SOURCES OF POWER POWER SOURCE OUTPUT CONNECTION FOR SOLAR PV SYSTEMD _ /N NOT RELOCATE ICISaft 1 OVERCURRENT DEVICE LABEL LOCATION. , INSTALLED WITHIN 3'OF RAPID SHUT DOWN LABEL LOCATION: SWITCH PER CODE(S):NEC 2020:690.56(C)(2).IFC I s u n r u n _1ADJACENT TO PV BREAKER AND ESS 2012:605.11.1,IFC 2016:1204.5.3 OCPD(IF APPLICABLE). PER CODE(S):NEC 2020 4" 705.12(B)(3)(2) WARNING SOLAR PANELS ON ROOF a16D12D SOLAR PV SYSTEM EQUIPPED PHOTOVOLTAIC SYSTEM -- ePNONEos sru�sN elw,rramroa.u•,oneaTaii COMBINER PANEL WITH RAPID SHUTDOWN 88.0 DO NOT ADD LOADS CUSTOMER RESIDENCE: • BARBARA COLLINS LABEL LOCATION: PHOTOVOLTAIC AC COMBINER(IF 104 PHYLLIS DR,YARMOUTH, APPLICABLE). — MAIN PANEL AND PV MA,02664 PER CODE(S):NEC 2020:705.12(D)(2)(3)(c) 3" TURN RAPID SHUTDOWN BREAKER DISCONNECT SWITCH TO THE"OFF' TEL(508)894�918 POSITION TO SHUT DOWN INVERTER (EXT) APN:YARM-000078-000030 PV SYSTEM AND REDUCE SERVICE ENTRANCE PVSYSTEMDISCONNECT SHOCK HAZARD IN THE PV PRODUCTION— PROJECT NUMBER: • MAXIMUM AC OPERATING CURRENT:15.83 AMPS./ ARRAY. —AC DISCONNECT 223R-104COLL y NOMINAL OPERATING AC VOLTAGE: 240 VAC�I METER „1 DESIGNER: (415)580-6920 ex3 LABEL LOCATION: 104 PHYLLIS DR, YARMOUTH, MA, 02664 ANUP SHARMA INC DISCONNECT(S),PHOTOVOLTAIC SYSTEM POINT OF INTERCONNECTION. SHEET PER CODE(S):NEC 2020:690.54 LABEL LOCATION: PER CODE(S):NEC zozo:705.10,710.10 SIG NAGS ON OR NO MORE THAT 1 M(3 FT)FROM THE SERVICE DISCONNECTING MEANS TO WHICH THE PV SYSTEMS ARE CONNECTED. REV:A 12/7/2022 PER CODE(S):NEC 2020:690.56(C) PAGE PV-5.0 Temp'ats_ve n_0087