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38D-042 (19)
solar=se Single Phase Inverters for North America solar=9e SE3000A-US/SE3800A-US/SE500OA-US/SE6000A-US l SE760OA-US/SE10000A-US/SE11400A-US SE3000A-US SE380OA-US SESOOOA•US SE600OA US SE760OA US. SE1000OA-,US SE1140OA-US,�, OUTPUT SolarEdge Single Phase Inverters . 10000@240 9980 @ 208V Nominal AC Power Output 3000 3800 5000 6000 7600 11400 VA Max.AC Power Output 3300 4150 5400 @ 248V 6000 8350 10800 @ 208V 12000 VA For North America 5450 @240V 1095°@24°v AC Output Voltage Min.-Nom.-Max.'' - ✓ _ ✓ 183-208-229 Vac SE300OA-US;SE380OA-US/ 0OA- S1SE6000A-U AC Output Voltage Min.-Nam.-Max.l'I 211-240-264 Vac SE7600A-US snUiA 7 SE1140OA-US ' ✓ ✓ ✓ ✓ ✓ ✓ ✓ AC Frequency Min:Nom.-Max.�'� 59.3-60-60.5(with Hi country setting 57 60-60.5) Hz 24 @ 208V 48 @ 208V S Max.Continuous Output Current 12.5 16 21 @ 240V 25 32 42 @ 240V 47.5 A 11/0 GFDI Threshold 1 A Utility Monitoring,Islanding Protection,Country Configurable Thresholds Yes Yes NP urn r7C Power{STC) 4050 5100 6750 8100 ...10250 13500 153S0 W r� ansfcrmer-lcss,Ungrounded Yes � L f Max input Voltage 600 Vdc Nom DC Input Voltage 325 @ 208V/350 @ 240V Vdc 16,5 @ 209V 33 @ 209V 1 4S Max Current"' 9" 13 18 23 34 ti Adc - ,s e1i9R Input 1.5.5 @ 240V _ 30.5 @ 240V Max Input Short Circ_t Current 45 - Adc 9 ` + Reve se Poia-ity Protection Yes Ground-Fault Isolation Detention 600k,,Sensitivity �� -� a Maxirnum'nverter t`ficiennv 97.7 98 2 98.3 98.s 98 98 98 i � ;�. - 97.5(q1 208V 97 @ 208V CEC We ghted Efficiency 97.5 98 02 98 @ 240V 97.5 97.+ 97 5 @ 240V 97.5 c � Nighttime Power Consumption -- — <2 5......... — .._......... ,-_ ._...... <4 _._.... I_ W......._ ADDITIONAL FEATURES - RS48S, S ern or Q f` T r e Communication Interfaces -(optional) . Supoo t d Com ti f s e8S P,232 Ethernet,71gBee o ti al) r p Revenue Grade Data,ANSI 0121 Optianall3J y% Rapid Shutdown NEC 2014 690.112 Functionality enabled when SolarEdge rapid shutdown ka�s nista led p _ ....._.._ ......__ ..... _.. ..._.. .... ... __. ... Y STANDARD COMPLIANCE ,r' fob/ U..=741 U1,6996,UL 1998,CSA 22.2 Sa .. IEEE 1547 Grid Connection Standards f ' -CC art15 class B INSTALLATION SPECIFICATIONS " AC output condi,it size/AWG range "s/4"m.^{mum/15(i AWG 3/4"minimum/8-3 AWG .�.,. DC input conduit size J#of strings; 3/4"minimurn/1-2 strings / ), 3/4"minimum 11-2 strings r'16-6 AWG 1.4-6 AWG AWG range Dimensions with Safety Switch 30.5 x 12.5 x 10.5/ in/ (HxwxD) 30.5 x 125 x 7.2 J 775 x 315 x 184 775 x 315 x 260 rnm Weight with Safety Switch 51.2/23.2 54.7/24,7 88 A J 40.1 Ib/kg Natural ? convection '.... Cooling Natural Convection ! and Internal Fans(user replaceable) F a. - fan,(user '.. Tgi -R.hi � for i"1� EI�d wit Nouse. replaceable) Ce Noise <25 <SC d6�\ vo Ittte rated arc fault rotecttinn(Type 1y forNEC 21611690 11 compliance Min.-Max.Operating Temperature Iii � (� � y13 t p -i3 fa+...40/-2S to i-50(-40 to+60 version available ) °F/"C Range - SuperlorefficIency,(98%) Protection Rating NEMA 3R - Small,lightweight and easy to install on provided bracket rnrotherregonalsetbrgs please contact SolarEdg support Built-in A higher current source may be used,th......to,vi,It limit Its input current to the values stated. rw module-level monitoring X31 Revenue grade nverter P/N:SE....A US000NNR2 Ifor 760OW nverter:SE7600A-US002NNR2). C i ,", shutdown kit P/N:SE1000 RSD-Sl. r Internet connection through Ethernet or Wireless ,,,Rapid-40 version P/N:SEx—A-US000NNU4(for 760OW inverterSE7600A-US002NNU4). — Outdoor and indoor installation — Fixed voltage inverter,DC/AC conversion only — Pre-assembled Safety Switch for faster installation Optional- revenue grade data,ANSI C12.1 u s c • )S„ "= ffNI CHINA"AU'; R,,`,, l rat : s Rt.,'=.h. THE Teinamount MODULE TSM-PDO5.18 Mono Multi Solutions DIMENSIONS OF PV MODULF E'ECTRICA-DAiAd STC un ij,irn Peak Power Watts-P.-(Wp) 245 250 255 260 941 Power Output Tolerance-P 0-+3 Maximum Power Voltage-VMP iVJ 29.9 30.3 30.5 30.6 THE rvua,oN GO eoz 0 maximum Power Current-lwp(A) 8.20 8.27 8.37 8.50 Tnnam0-- u1----1t NAMEPIATI I Open Circuit Voltage-Voc(V) 37.8 38.0 38.1 38.2 Short Circuit Cvffent-lsc JA) 8.75 8-79 8.88 9.00 Module Efficiency ri,,,(7.) 15.0 153 15.6 15.9 STC I-clic-O 1000 W/m'C.11 Temperature 25°C,Air Mass AM]5 according to EN 60904-3 MODULE Typical efficiency reduction of 4.5%a1200 W/mr according to EN 60904-1, o Ia E� A ,,, I- I D' NOCT Maximum Power-Pi-(WP) 182 186 190 193 60 CELL Maximum Power Voltage-Vw(V) 27.6 28.0 28.1 28.3 Maximum Power Current-Impp(A) 6.59 6.65 6.74 6.84 oaaN Noir MULTICRYSTALLINE MODULE 1013 GROUNDING HOLE A� _A Open Circuit Voltage(V)-Voc(V) 35,1 35.2 35.3 35.4 WITH TRINAMOUNT FRAME Short Circuit Current(A)-Isc(A) 7.07 7.10 7.17 7.27 NOCT:Irradiance at 800 W/ml,Ambient Temperature 20°C,Wind Speed I m/s. 245-260T' PD05.18 Back View 812 POWER OUTPUT RANGE MECHANICAI.DATA Solar cells Multicrystalline 156 x 156 mm(6 inches) Fast and simple to install through drop in mounting solution Cell orientation 60 cells(6-10) L Module dimensions 1650 x 992 x 40 mm(64.95 x 39.05 x 1.57 inches) 15.97o ----------------- Weight 21.3k g(47.0 lbs) MAXIMUM EFFICIENCY -A-A Backsheet White Good aesthetics for residential applications Frame Black Anodized Aluminium Alloy with Trinamount Groove I-V CURV.S OF FIVMODLILE(246W) J-Box IP 65 or IP 67 rated 0 +'ft 70 Cables Photovoltaic Technology cable 4.0 mm"(0.006 inches'), IS ............. ............ To.. 1200 Trim(47.2 inches) POWER OUTPUT GUARANTEE Fire Rating Type 2 7- 80OW/m' Highly reliable due to stringent quality control <" 600W/nn q A '5 4.1 .40CIW/,' TEPAK-RA"URE RATINGS 1A A x I M,JM RATINGS e a n q q'i C rj r r.o.r 4:.,r ir �Jelr' or 2.-1 20OW/m' Nominal Operating Cell 44°C(+2°C) Operational Temperature 40-+85°C 'o rjod;""-�4��We be,:ir�v-�io'e Temperature(NOCT) Maximum System 1000V DCJIEC)pe "'I r"r, In o z j r r:':c-r's Temperature Coefficient of P.. -0.41%/'C Voltage I000VDC(LL) o o- to,- 20.' 30!" 40,- c, ;,d Ire, Temperature Coefficient of Voc 0.32%/oC Max Series Fuse Rating 15A Voltage(V) ke r Iin v I ni r,e,x c;'i o r,0 I se r,P,-e Temperature Coefficient of Isc 0.05%/'C �o e."A Certified to withstand challenging environmental conditions 1 eob e t ''�ducts its n(,"oci<tr r 24i'�' WARRANTY c" Jnci os a fmng. A ed 10 year Product Workmanship Warranty 25 year Linear Power Warranty evelopeF � iiws (Please refer to product warranty for details) ,d �i bi on'll nir'e!c'ort ne ,the bcj-_U)c�ne I C.oz,r shared C�-e CERTIFICATION PACKAGING CONFIGURATION ,mo',rnu, erg'v Tc�g4�!hcr LINEAR PERFORMANCE WARRANTY < c C10 10 Year Productworranty 25 Year Linear Power Warranty USTED Modules per box:26 pieces Tilfro Solar Limited _111111-11-............... ....................... Modules per 40'container:728 pieces -100% COGIPUANT 90% Warrant CAUTION READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT. • 2 y 0 t 2014 Trina Solar Limited,All rights reserved.Specifications included in this datasheet are suppect to 0 w 0 80% change ithoutnotice THn-asolar Trin-asolar , I� � . :- -��Us� s Sn")II �-O )mart Energy Together MPRI, Year, 5 10 is 20 solar=@@ so I a r ® • • SolarEdge Power Optimizer Module Add-On for North America P300 / P350 / P400 SolarEdge Power Optimizer P300 7350 P406 Module Add-On For North America (for 60-cell PV (for 72-cell PV (for 96-tell PV modules) modules) modules) INPUT_ P300 / P350 / P400 • _ ', Rated Input DC Power10 300 350 400 W Absolute Maximum Input Voltage(Voc at lowest temperature) 48 60 80 Vdc MPPT Operating Range 8-48 8-60 8-80 Vdc -^' T Maximum Short Circuit Current(Isc) _ 10 Adc " • Maximum DC Input Current 12.5 Adc Maximum Efficiency 99.5 Weighted Efficiency 98.8 k Overrvoltage Category — ..,.. 11 ( OUTPUT DURING OPERATION POWER OPTIMIZER CONNECTED TO OPERATING INVERTER) Maximum Output Maximum Output Current 15 Adc 60 tage OUTPUT DURINGISTANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF) Vdc__ Safety Output Voltage per Power Optimizer 1 Vdc x �� � �f.✓ "���oR � STANDARD COMPLIANCE _. RM Sy -..FCC PaIEC6 1Class 09 1(class 1 safe 00 6 saYes fety),U1.614 __... ....._._.... INSTALLATION SPECIFICATIONSAR Maximum m Voltage a M um Allowed Syste .a e 1000 Vdc Dimensions(W x L x H) 141 x 212 x 40.5/5.55 x 8.34 x 1.59 mm/in >' Weight(including tables) 950/2.1 gr/Ib Input Connector MC4/Amphenol/Tyco r - '.. Output Wire Type/Connector Double Insulated;Amphenol '.. f c Output Wire Length 0.95/30 1.2/3.9 m/ft 3 — Operating Temperature Range 40-+85/-40- 185 'C/'F r Protection Rating IP65/NEMA4 Relative Humidity 0-100 % '.. Rated STC power of the-10,-J,o!op tp 5%powerroleranreal.— PV SYSTEM DESIGN USING A SOLAREDGE SINGLE PHASE THREE PHASE THREE PHASE 20$V 480V rryy�ii _ ,1 l I1 INVERTER '- TX �Ilf Q t triixat�l at the'...module-levo _. _ s,. ',� Minimum ring Length(Power Optimizers) .......... _.... 8 10 _-.. 18 ........ -___..._ Up to 259§nitt#`e-eoergy _ Maximum String Length(Power Optimizers) 25 25 50 SupefloreflClerf,ry{99.5a) _Maximum Power per String 5250 6000 12750 W Mitigates all types of module mismatch losses,{film manufacturing tolefanceta partial shading Parallel Strings of Different Lengths or Orientations Yes Flexible system design for maximum space utilization'.. ', Fast installation with a single bait Next generation maintenance With module-level monitoring Module-level voltage shutdown for installer and firefighter safety OSA ( r,%.P:T - .Y - '-.INC:C +„k FAr; - :.Ii A - I;_A. '-TRs,_jA bV lir'Sv.SU art =.US ^$018fCltY ZepSOlar Next-Level PV Mounting Technology '�tSOlaf�lty ZepSolar Next-Level PV Mounting Technology ZComponents Zep System for composition shingle roofs h Up-roof Leveling Foot : A Part No.850-1172 F Levtivig oot .... � ETL listed to UL 467 rrsi Zap compaMlie PJ FAodtde ,.. n r t Zees. Root Attachment Comp Mount Part No.850-1382 Listed to UL 2582 Mounting Block Listed to UL 2703 Got4PATje tiQ Description PV mounting solution for composition shingle roofs also= F, Works with all Zep Compatible Modules °ompq'\\ Auto bonding UL-listed hardware creates structural and electrical bond • Zep System has a UL 1703 Class"A"Fire Rating when installed using modules from any manufacturer certified as"Type 1"or"Type 2" Interlock Ground Zep V2 DC Wire Clip UL LISTED Specifications Part No.850-1388 Part No.850-1511 Part No.850-1448 Listed to UL 2703 Listed to UL 467 and UL 2703 Listed to UL 1565 • Designed for pitched roofs • Installs in portrait and landscape orientations • Zep System supports module wind uplift and snow load pressures to 50 psf per UL 1703 • Wind tunnel report to ASCE 7-05 and 7-10 standards • Zep System grounding products are UL listed to UL 2703 and UL 467 • Zep System bonding products are UL listed to UL 2703 • Engineered for spans up to 72"and cantilevers up to 24" • Zep wire management products listed to UL 1565 for wire positioning devices • Attachment method UL listed to UL 2582 for Wind Driven Rain Array Skirt, Grip, End Caps Part Nos.850-0113,850-1421, 850-1460,850-1467 zepsolar.com zepsolar.com Listed to UL 1565 This document does not create any express warranty by Zep Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for This document does not create any express warranty by Zep Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for each product.The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely each product.The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely responsible for verifying the suitability of ZepSolar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com, responsible for verifying the suitability of ZepSolar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. Document#800-1890-001 Rev A Date last exported: November 13,2015 2:23 PM Document#800-1890-001 Rev A Date last exported: November 13,2015 2:23 PM el el WARNING:PHOTOVOLTAIC POWER SOURCE '• • _ • '• • • '• • • WARNING '• WARNING • Code:Per Code: Per Code: Per NEC 690.31.G.3 ELECTRIC SHACK HAZARDNEC ELECTRIC SHOCK HRZARD DO NOT TOUGM TERMINALS '•1 THE DC CONDUCTORS OF THIS 690.35(F) •- • •n: TO BE USED WHEN LQAD SIDES MAY BE ENERGIZED UNGROUNDED AND PHOTOVOLTAIC DCDIN THE 3PEN POSITION MAY BE ENERGIZED DISCONNECT INVERTERIS ■" Code: ••- UNGROUNDED• , , NEC ••1 Label Location: .•_ • • PHOTOVOLTAIC POINT OF ■• MAXIMUM POWER-_ • INTERCONNECTION Per Code: POINT CURRENT{Imp) A WARNING: ELECTRIC SHOCK MAXIMUM POWER-- Code: HAZARD. DO NOT TOUCH 690.17.4; 690-54 POINT VOLTAGE(Vmp) vNEC 690.53 TERMINALS.TERMINALS ON MAXIMUM SYSTEM BOTH THE LINE AND LOAD SIDE Label Location: VOLTAGE{Voc) v MAY BE ENERGIZED IN THE OPEN POSITION. FOR SERVICE SHORT-CIRCUIT A DE-ENERGIZE BOTH SOURCE CURRENT(Isc)- AND MAIN BREAKER. PV POWER SOURCE MAXIMUM AC A OPERATING CURRENT - MAXIMUM AC OPERATING VOLTAGE V WARNING ' Per ..- ELECTRIC SHOCK HAZARD 690.5(C) IF A GROUND FAULT IS INDICATED NORMALLY GROUNDEDLabel L• • CONDUCTORS MAY BE CAUTION • UNGROUNDED AND ENERGIZED DUAL POWER SOURCE Per ••- SECOND SOURCE IS 690.64.13.4 PHOTOVOLTAIC SYSTEM Label • • WARNING (CPer Code:B) ELECTRICAL SHOCK HAZARD DO NOT TOUCH TERMINALS 690.17(4) CAUT I Q N Label-•Location: TERMINALS ON BOTH LINE ANDPer Code: LOAD SLDES MAY BE ENERGIZED PHOTOVOLTAIC SYSTEM IN THE OPEN POSITION CIRCUIT IS BACKFEDNEC 690.64.13.4 DC VOLTAGE IS ALWAYS PRESENT WHEN 50LAR MODULES ARE EXPOSED TO SUNLIGHT Label • • WARNING '• Per ..- INVERTER OUTPUT Label • - • CONNECTION 690.64.13.7 PHOTOVOLTAIC AC ■• DO NOT RELOCATEDisconnect DISCONNECTPer ••' THIS ODVERCERRENTConduit NEC .•114.C.2 (CB): Combiner :• Distribution Panel (DC): DC Disco . - • Interior • • Label • • MAXIMUM AC A ' ■• Load Center OPERATING CURRENT Code: MAXIMUM AC (M): Utility Meter 690.54 OPERATING VOLTAGE V • • • • i • 3055 aearview Way oil San Mateo,CA 94402 • • • ' (888)-SOL-CITY(765-2489)www.solarcity.com GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO TWO (N) GROUND Panel Number:LC120DF Inv 1: DC Ungrounded INV 1 —(1)SOLAREDGE ## SE380OA—USOOOSNR2 LABEL: A —(17)TRINA SOLAR ## TSM-255PDO5.18 GEN #168572 ODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:94311187 Inverter; 38GOW, 240V, 97.574 w/Unifed Disco and ZB,RGM,AFCI PV Module; 255W, 232.2W PTC, 40MM, Black Frame, H4, ZEP, 1000V ELEC 1136 MR Overhead Service Entrance INV 2 Voc: 38,1 Vpmax: 30.5 INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER �E 125A MAIN SERVICE PANEL E 10OA/2P MAIN CIRCUIT BREAKER Inverter 1 (E) WIRING CUTLER—HAMMER 10OA/2P Disconnect 2 SOLAREDGE SE380OA—USOOOSNR2 (E) LOADS A L1 zaav 4� L2 ~— N 1 1 1 20A/2P ---- GND -------------------- _EGC/ ---� DC+ Dc. - - MP 1: 1x17 - - ----------------- A GEC DC- DC- I 6 I GND __ EGC--------------------------------------- c------------------*J I I N _J o EGCIGEC_ z � � I I I I I I _ GEC T—y TO 120/240V i 1 SINGLE PHASE I I UTILITY SERVICE i I PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN Voc* = MAX VOC AT MIN TEMP Ol (1)MURRAY#MP220 PV BACKFEED BREAKER A (1)CUTLER—HAMMER #DG221URB /� PV (17)SOLAREDGEjP300-2NA4AZS D� Breaker, 20A/2P, 2 Spaces Disconnect; 30A, 24OVac, Non—Fusible, NEMA 3R „ PowerBox Optimizer, 30OW, H4, DC to DC, ZEP —(2)Gr qd RoQ —0)CUTLER— AMMER #DG03ONB (1)AWG 6, Solid Bore Copper 578 x 8, Copper Ground�Neutral Kit; 30A, General Duty(DG) nd —(1)Ground Rod; 5/8" x 8', Copper (N) ARRAY GROUND PER 690.47(D), NOTE: PER EXCEPTION N0, 2, ADDITIONAL ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCATION OF (E) ELECTRODE _ _ _ �(1)AWG X10, THWN-2, Black 1 (2)AWG /10, PV Wire, 600V, Black Voc* 500 VDC Isc 15 ADC OIsF (1)AWG /10, THWN-2, Red O (1)AWG #6, Solid Bare Copper EGC Vmp 350 VDC Imp 12.22 ADC I" (1)AWG/10, THWN-2, White NEUTRAL Vmp =240 VAC Imp=16 AAC 1 Conduit Kit 3/4'.EMT -(1)AWG8,,TFLNRJ-2,.Green . . f9P/PEP.7(l)Cpq4u.it.Kit;.3/4'.EMT. . _ . . . . . i i l i CON — THE INFORMATION HEREIN JOB NUMBER: J B—0101834 00 PREMISE OWNER: DESCRIPTION: DESIGN: CONTTAINEDAINED AL SHALL NOT BE USED FOR THE KELLOGG, CYNTHIA KELLOGG RESIDENCE Sergio Cuadros .�. SolarCity.BENEFIT OF ANYONE EXCEPT SOLARgTY INC., MOUNTING SYSTEM: /��� NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 40 HARLOW AVE. 4.335 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES NORTHAMPTON MA 01060 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St. Martin Drive,Building 2, Unit 11 THE SALE AND USE OF THE RESPECTIVE (17) TRINA SOLAR # TSM-255PDO5.18may. DATE: Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME T: (650)638-1028 F. (650)638-1029 PERMISSION OF SOLARCITY INC. INVERTER 604-8704 PV 4 2/1/2016 (888)—SOL—CITY(765-2489) www.solarcity.com SOLAREDGE SE3800A—USOOOSNR2 THREE LINE DIAGRAM PV MODULE 5/16" BOLT WITH LOCK INSTALLATION ORDER & FENDER WASHERS LOCATE RAFTER, MARK HOLE ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT (6) HOLE. 51 (4) (2) SEAL PILOT HOLE WITH POLYURETHANE SEALANT. ZEP COMP MOUNT C ZEP FLASHING C (3) (3) INSERT FLASHING. (E) COMP. SHINGLE 4 (1) (4) PLACE MOUNT. (E) LBW (E) ROOF DECKING (2) INSTALL LAG BOLT WITH 5/16" DIA STAINLESS (5) Q SEALING WASHER. A SIDE VIEW OF MP1 NTS STEEL TE LSLAG 6 WASHER LOWEST MODULE SUBSEQUENT MODULES (6) INSTALL LEVELING FOOT WITH WIT(2-1/2- EMBED, MIN) BOLT & WASHERS. MP1 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES LANDSCAPE 72" 24" STAGGERED (E) RAFTER 1 STAN DOFF PORTRAIT 48" 20" RAFTER 2X6 @ 24" OC ROOF AZI 132 PITCH 34 STORIES: 2 ARRAY AZI 132 PITCH 34 C.J. 2x8 @16" OC Comp Shingle PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL— THE INFORMATION HEREIN ,�NUMBER: JB-0101834 0 0 CONTAINED SHALL NOT EXCEPT USED FOR THE KELLOGG, CYNTHIA KELLOGG RESIDENCE Sergio CuadrosBEN ;So�arCity NOREFIT OF SHALL ITNYONE BE DISCL D N SOLARCITY OR RCIN MOUNTING s,rsou 40 HARLOW AVE. 4.335 KW PV ARRAY PART TO 01KRS OUTSIDE THE RECIPIENTS Comp Mount Type C ORGANIZATION,,--X- NORTHAMPTON,EPT IN CONNECTION WITH MODULES: M A 0106 0 24 St. Martin Drive, Building 2, Unit 11 THE SALE AND1 OF THE RESPECTIVE (17) TRINA SOLAR # TSM-255PD05.18 SOLARCITY EQ' YT, WITHOUT THE WRITTEN PAGE NAME SHEET. REV: DATE: T. Marlborough, MA 50) PERMISSION OF SOLARCITY INC. INVERTER: 860 604-8704 PV 3 2/l/2016 (888)—SOL,CITY(765-24898-1028 F- (650)638-1029 SOLAREDGE SE3800A—USOOOSNR2 � ) STRUCTURAL VIEWS ( ) www.solarcity.cam PITCH: 34 ARRAY PITCH:34 MP1 AZIMUTH: 132 ARRAY AZIMUTH: 132 MATERIAL: Comp Shingle STORY: 2 Stories A 4,= LEGEND (E) UTILITY METER & WARNING LABEL INVERTER W/ INTEGRATED DC DISCO Inv a Ing & WARNING LABELS O DC DC DISCONNECT & WARNING LABELS AC FZI- - - ---- © AC DISCONNECT & WARNING LABELS------- D \' I JUNCTION/COMBINER BOX & LABELS ODC DISTRIBUTION PANEL & LABELS Lc LOAD CENTER & WARNING LABELS M DEDICATED P _SYTEM METER STANDOFF LOCATIONS (E) DRIVEWAYCONDUIT RUN ON EXTERIOR CONDUIT RUN ON INTERIOR ' — GATE/FENCE HEAT PRODUCING VENTS ARE RED INTERIOR,EQUIPMENT IS DASHED 40 Harlow Ave. Front Of House ='J SITE PLAN Scale: 1/8" = 1' 01' 8' 16' X JB-01 01834 0 0 PREMISE OWNER: DESCRIPTION: DESIGN: CONFlDENTIAL— THE INFORMATION HEREIN JOB NUMBER: �Wtt ■ CONTAINED SHALL NOT BE USED FOR THE KELLOGG CYNTHIA KELLOGG RESIDENCE Sergio Cuadros �;;,So�arCity NEFlT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: �'" ,_()R SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 40 HARLOW AVE. 4.335 KW PV ARRAY SART TO OTHERS OUTSIDE THE RECIPIENTS MODULES NORTHAMPTON, MA 01060 CIRGANIZATION, EXCEPT IN CONNECTION WITH24 St. Martin Drive,Building 2, Unit 11 THE SALE AND USE OF THE RESPECTIVE (17) TRINA SOLAR # TSM-255PDO5.18 PAGE NAME SHEET: REV: DATE Mariborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN IIISOLAREDGE VERTER: T: (650)638-1028 F: (650)638-1029 PERMISSION OF SOLARCITY INC. SE3800A–US000SNR2 (860) 604-8704 SITE PLAN PV 2 2/1/2016 (see)-soL—CITY(765-2489) www.solarcity.com ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE 1. THIS SYSTEM IS GRID—INTERTIED VIA A AC ALTERNATING CURRENT UL—LISTED POWER—CONDITIONING INVERTER. BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. CONC CONCRETE 3. A NATIONALLY—RECOGNIZED TESTING DC DIRECT CURRENT LABORATORY SHALL LIST ALL EQUIPMENT IN EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3. (E) EXISTING 4. WHERE ALL TERMINALS OF THE DISCONNECTING EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED IN THE OPEN POSITION, FSB FIRE GALV GALVANIZED HAZARDS A SIGN HAZARDS�PER ART.LL BE 0690.D7WARNING OF THE CITY OF NORTHAMPTON GEC GROUNDING ELECTRODE CONDUCTOR 5. EACH UNGROUNDED CONDUCTOR OF THE BUILDING DEPARTMENT GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5. 1 CURRENT 6. CIRCUITS OVER 250V TO GROUND SHALL These Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(8). plans have been reviewed Isc SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DO NOT ENTER And kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR approved. kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). l MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN Date (N) NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY NEUT NEUTRAL UL LISTING. NTS NOT TO SCALE 9. MODULE FRAMES SHALL BE GROUNDED AT THE Signature, OC ON CENTER UL—LISTED LOCATION PROVIDED BY THE PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING POI POINT OF INTERCONNECTION HARDWARE. PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. S STAINLESS STEEL STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V VOLT Vmp VOLTAGE AT MAX POWER VICINITY MAP INDEX Voc VOLTAGE AT OPEN CIRCUIT W WATT 3R NEMA 3R, RAINTIGHT PV1 COVER SHEET PV2 SITE PLAN PV3 STRUCTURAL VIEWS PV4 THREE LINE DIAGRAM LICENSE GENERAL NOTES Cutsheets Attached GEN #168572 1. ALL WORK TO BE DONE TO THE 8TH EDITION ELEC 1136 MR OF THE MA STATE BUILDING CODE. 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2014 NATIONAL ELECTRIC CODE INCLUDING MASSACHUSETTS AMENDMENTS. MODULE GROUNDING METHOD: ZEP SOLAR AHJ: Northampton REV BY DATE COMMENTS REV A NAME DATE COMMENTS UTILITY: National Grid USA (Massachusetts Electric) CONFIDENTIAL— THE INFORMATION HEREIN [IN�VERTER: B NUMBER: PREMISE OWNER: DESCRIPTION: DESIGN: JB-0101834 00 SolarCit CONTAINED SHALL NOT BE USED FOR THE KELLOGG, CYNTHIA KELLOGG RESIDENCE Sergio CuadrosBEN NOREFIT OF ANYONE EXCEPT SHALL T BE DISCLOSED IN WHOAOR RCINMOUNTING SYSTEM: 40 HARLOW AVE. 4.335 KW PV ARRAY '►r y PART TO OTHERS OUTSIDE THE RECIPIENTS omp Mount Type C ORGANIZATION, EXCEPT IN CONNECTION WITH DULES: NORTHAMPTON, MA 01060 THE SALE AND USE OF THE RESPECTIVE 17) TRINA SOLAR # TSM-255PD05.18 24 St. Martin Drive,Building 2, Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME: SHEET: REV: DATE Marlborough,MA 01752 PERMISSION OF SOLARCITY INC. 86O 604-8704 PV 1 2/11/20116 (888)—SOL—)638-1028 F:CITY(765-2489(65w,edarcityc om OLAREDGE SE3800A—USOOOSNR2 ( � COVER SHEET ) CALCULATION OF DESIGN WIND LOADS - MPS. Mountina Plane Information Roofing Material Comp Roof PV System Type SolarCity SleekMountTm Spanning Vents No Standoff Attachment Hardware Comp Mount Type C Roof Slope 340 Rafter Spacing 24"O.C. Framing Type/ Direction Y-Y Rafters Purlin Spacing X-X Purlins Only NA Tile Reveal Tile Roofs Only NA Tile Attachment System Tile Roofs Only NA ,Standing Seam/Trap Spacing SM Seam Only NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind Design Method C Partially/Fully Enclosed Method Basic Wind Speed V 90 mph Fig. 6-1 Exposure Category ` C Section 6.5.6.3 Roof Style Gable Roof Fig.6-11B/C/D-14A/B Mean Roof Height h 25 ft Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.95 Table 6-3 Topographic Factor KA 1.00 Section 6.5.7 Wind Directionality Factor Kd 0.85 Table 6-4 Importance Factor I 1.0 Table 6-1 qh,= 0.00256(Kz)(Kzt)(Kd)(V^2)(I) Velocity Pressure qh Equation 6-15 16.7 psf Wind Pressure Ext. Pressure Coefficient(U ) GCp(up) -0.95 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient(Down) G (Down) 0.88, Fig.6-11B/C/D-14A/B Design Wind Pressure p p = qh(GC ) Equation 6-22 Wind Pressure Up pc„ -15.8 psf Wind Pressure Down down 14.6 psf ALLOWABLE STANDOFF SPACINGS j X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 72" 39" Max Allowable Cantilever Landscape 2411 NA Standoff Configuration Landscape Staggered Max Standoff Tributary Area Trib 20 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff T-actual -280 lbs Uplift Capacity of Standoff T-allow 500 lbs Standoff Demand/Capacity DCR 56.0% X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 65" Max Allowable Cantilever Portrait 2011 NA Standoff Configuration Portrait Staggered Max Standoff Tributary Area Trib 22 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff T-actual -311 lbs Uplift Capacity of Standoff T-allow 500 lbs Standoff Demand/Capacity DCR 62.1% L STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK- MP1 Member Properties Summary MP1 Horizontal Member Spans Rafter ProParties Overhang 0.99 ft Actual W 1.50" Roof System Properties Span 1 11.82 ft Actual D 5.50" Number of Spans w/o Overhang) 1 Span 2 Nominal Yes Roofing Material Comp Roof Span 3 A 8.25 in A2 Re-Roof No Span 4 SX 7.56 in A3 Plywood Sheathing No Span S I 20.80 in.^4 Board Sheathing Solid-Sheathing Total Rake Span 15.45 ft TL DefPn Limit 120 Vaulted Ceiling No PV 1 Start 1.17 ft Wood'Species SPF Ceilino Finish 1/2"Gypsum Board PV 1 End 14.50 ft Wood Grade #2 Rafter Sloe 340 PV 2 Start Fey 875 psi Rafter Spacing 24"O.C. PV 2 End F„ 135 psi TopLat Bracing Full PV 3 Start E 1400000 psi Bot Lat Bracing At Supports PV 3 End E,„in 510000 psi Member Loading Summary Roof Pitch 8/12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 10.0 psf x 1.21 12.1 psf 12.1 psf PV Dead Load PV-DL 3.0 psf x 1.21 3.6 psf Roof Live Load RLL 20.0 psf x 0.80 16.0 psf Live/Snow Load LL SL1,2 40.0 psf x 0.7 1 x 0.42 28.0 psf 16.8 Psf- Total Load(Governing LC TL 1 40.1 Psf 32.5 Psf Notes: 1. ps=Cs*pf; Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf= 0.7(Ce)(Ct)(IS)pg; CQ=0.9, Ct=1.1,I5=1.0 Member Design Summa per NDS Governing Load Comb CD CL + CL - CF Cr D+ S 1.15 1.00 1 0.51 1 1.3 1.15 Member Analysis Results Summary Governing Analysis Pre-PV DemandPost-PV Demand I NetImpact Result Gravity Loading Check 2195 psi 1 1755 psi 1 0.80 1 Pass Version#53.6-TSD SolarCity. HARDWARE DESIGN AND STRUCTURAL NALYSIS RESULTS SUMMARY TABLES Landscape Hardware-Landsc pe Modules'Standoff Specifications Hardware X-X Spacing X-X Cantilever Y-Y S cing Y-Y Cantilever Configuration Uplift DCR MPI 72" 24" 39" NA Staggered 56.0% Portrait Hardware-Portralt Modules'Standoff Specifications Hardware X-X Spacing X-X Cantilever Y-Y Sp cing Y-Y Cantilever Configuration Uplift DCR MPl 48" 20" 65•' NA Staggered 62.1% Structure Mounting Plane Framing Qualification Results Type Spacing Pith Member Evaluation Results MPi Stick Frame @ 24 in.O.C. 34P Member Impact Check OK Refer to the submitted drawings for details of information collected during a site survey. All member analysis and/or evaluation is based on framing information gathered on site.The existing gravity and lateral load carrying members were evaluated in accordance with the IBC and the IEBC. 3055 Clearview Way San Mateo, CA 94402 T(650)638,1028 (888)SOL-CITY F(650)638-1029 solarcity.com Version#53.6-TBD �� $ SolarCit v February 1, 2016 RE: CERTIFICATION LETTER Project/Job#0101834 Project Address: Kellogg Residence 40 Harlow Ave. Northampton, MA 01060 AH] Northampton SC Office Springfield Design Criteria: -Applicable Codes = MA Res. Code, 8th Edition,ASCE 7-05,and 2005 NDS - Risk Category = II -Wind Speed = 90 mph, Exposure Category C - Ground Snow Load =40 psf - MPI: Roof DL = 10 psf, Roof LL/SL = 28 psf(Non-PV Areas), Roof LL/SL = 16.8 psf(PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.22462 < 0.4g and Seismic Design Category(SDC) = B < D To Whom It May Concern, A jobsite survey of the existing framing system of the address indicated above was performed by a site survey team from SolarCity. Structural evaluation was based on site observations and the design criteria listed above. Based on this evaluationI certify that the existing structure directly supporting the PV system is adequate to withstand all loading indicated in the design criteria above based on the requirements of the applicable existing building and/or new building provisions adopted/referenced above. Additionally, I certify that the PV module assembly including all standoffs supporting it have been reviewed to be in accordance with the manufacturer's specifications and to meet and/or exceed all requirements set forth by the ASCE 7 standards for loading. The PV assembly hardware specifications are contained in the plans submitted for approval. Additionally a summary of the structural review is provided in the results summary tables on the following page. '( F M�I� Sincerely, Digitally signed by Humphrey K. Humphrey Kariuki, P.E. Ka rl u ICI v ST UCTUFtAL Professional Engineer N� �19�3 T: 443.451.3515 Date: 2016.02.01 20:31 :22 -05'00' �FGJS'( email: hkariuki@solarcity.com SSIpNAL 3055 Clearview Way San Mateo, CA 94402 T(650)638-1028 (888)SOL-CITY F(650)638-10: DocuSign Envelope ID:D1935166-7ED2-4AOF-AD17-21A01FA5AC6B 23. NOTICE OF RIGHT TO CANCEL. I have read this Power Purchase Agreement and the Exhibits in YOU MAY CANCEL THIS CONTRACT AT ANY TIME PRIOR their entirety and I acknowledge that I have received a TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE complete copy of this Power Purchase Agreement. DATE YOU SIGN THIS CONTRACT. SEE EXHIBIT 1,THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN Customer's Name:Cynthia Kellogg EXPLANATION OF THIS RIGHT. Docusigned by: 24. ADDITIONAL RIGHTS TO CANCEL. Signature: IN ADDITION TO ANY RIGHTS YOU MAY HAVE TO CANCEL THIS PPA UNDER SECTION 23,YOU MAY ALSO CANCEL Date: 1/12/2016 THIS PPA AT NO COST AT ANY TIME PRIOR TO COMMENCEMENT OF CONSTRUCTION ON YOUR HOME. 2S. Pricing The pricing in this PPA is valid for 30 days after 1/10/2016. Customer's Name: If you don't sign this PPA and return it to us on or prior to 30 days after 1/10/2016,SolarCity reserves the right to Signature: reject this PPA unless you agree to our then current pricing. Date: Power Purchase Agreement SolarCity approved Signature: -� Lyndon Rive, CEO Date: 1/10/2016 Pnw,e r Pu i phase A rc^rr!en0 v,,r_,ni 9.1-0,N ow rr )r,r ):i._, �■ I 147424`x; DocuSign Envelope ID:D1935166-7ED2AAOF-AD17-21A01FA5AC6B SdarCfty I PPA Customer Name and Address Installation Location Date Cynthia Kellogg 40 Harlow Ave. 1/12/2016 40 Harlow Ave. Northampton,MA 01060 Northampton,MA 01060 Here are the key terms of your Power Purchase Agreement as 20yri System installation cost Electricity rate gsr kWh Agreement Tglm Initial here , Initial here Ds The SolarCity Promise C �� •We guarantee that if you sell your Home,the buyer will qualify to assume your Agreement. ......................... . ...... ........ Initial here •We warrant all of our roofing work. Ds •We restore your roof at the end of the Agreement. C �< •We warrant,insure, maintain and repair the System. ........... .. ............. __ .... Initial here •We fix or pay for any damage we may cause to your property. •We provide 24/7 web-enabled monitoring at no additional cost. •The rate you pay us will never increase by more than 2.90%per year. •The pricing in this Agreement is valid for 30 days after 1/10/2016. Your SolarCity Power Purchase Agreement Details Your Choices at the End of the Initial Options for System Purchase: Amount due at contract signing Term: .At certain times, as specified in $® •SolarCity will remove the System at no the Agreement,you may Esta amount due at installation cost to you. purchase the System. $0 .You can upgrade to a new System with •These options apply during the 20 the latest solar technology under a new year term of our Agreement and Est.amount'due at building inspection contract. not beyond that term. $0 You may purchase the System from Est.first year production SolarCity for its fair market value as 4,465 kWh specified in the Agreement. You may renew this Agreement for up to ten (10)years in two(2)five (5)year increments. 3055 Clearview Way, San Mateo, CA 94402 1 888.765.2489 1 solarcity.com 1474248 Power Purchase Agreement,version 9.1.0,November 11,2015 SAPC/SEFA Compliant Contractors License MA HIC 168572/EL-1136MR a �� Document generated on 1/10/2016 Copyright 2008-2015 SolarCity Corporation,All Rights Reserved g DATE(MWOONYYY J '`;� CERTIFICATE OF LI 'BILITY INSURANCE 0811712015 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 AM1=NDj EXTEND OR ALTER THE COVERAGE AFFORDED 13Y 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(fes)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such andorsament(s). PRODUCER CONTACT MARSH RISK&INSURANCE SERVICESNAME% 345 CALIFORNIA STREET,SUITE 1300 P( Ka aU li �KoL CALIFORNIA Lf E14SE ND,0437153 E pRESs;_„„ SAN FRANCISCO,CA 94104 _ Attn:Shannon Scot!415743.8334 tNSVREEK6)APFDRDING COVERAGE NA(c_x. 998301-STND GAWUE-1516 _ _ _ INSURER a Zurich American insurance Company 16535 INSURED INSURER B NIA �NlA SolarCity Corporation }_ 3055 Clearview Way INSURER C:NIA _. ._ NIA San Mateo,CA 94402 INSURER U:American Zurich insurance Company 140142 INSURER k:. ..._...........{. .. INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-002713836.08 REVISION NUMBER:4 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 13Y PAID CL.AIMS- INSR ...-- ADP...SUER...... . .....__..._._._._—. ..._ LT TYPE OF INSURANCE -POLICY EFFT POLICY POLICY NUMBER MIDDIYYYY 1 MMrODIYYYY1 —.--...—.. LIMITS A iX 'COMMERCIAL GENERAL LIABILITY iGL00182016-OD 00112015 !0910112018 EACHOCCURRENCE S _ _ 3,000,000 ]CLAIMS-MADE X OCCUR I)AMAGE TO RENTED ' I.,.... i PR�MfSFs(Eaoccurrence)., S 3,000,{100 X SIR.$260,000 MED sxP{Arty orte person_- S 5,000 PERSONAL&ADV INJURY s 3,010,Oa0 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE 5 6 000,000 AAO- t 1 1 PRODUCTS COMPfOP AGG S 6 DDa,l1a0 X POLICY[_ JEST (. (LOC OTHER. ' S A AUTOMOBILEuASILIrr BAP0182017-00 09!012015 109)[1112016 COMBINED SiNGLC LIMIT x ! 117Eecglder;1....-_ ."_'..__ . 5,000,000 ANY AUTO j BODILY INJURY(Per person) S X :ALL OWNED X SCHEDULED BODILY INJURY(Per accidenty S 'AUTOS .. AUTOS .._. ......... ........ NON-OWNED PROPERTY DAMAGE X.. HIRED AUTOS .x-. AUTOS I S _{Per acttitlenl...... .. .. ........ ............ COMPICOLL DEDRREs $5,000 UMBRELLA LIAR �OCCUR � i � EACH OCCUNCE S I RRE EXCESS LIAB _ ... ,CLAIMS-MAOEI AGGREGATE t6 DED I RETENTION S i S D WORKERS COMPENSATION C0182014-DO(AIDS) 09)[1112015 09(0112016 �X PER TATUTE I OTH AND EMPLOYERS'LtABILITY I�� i. 1 )=R _ A ANY PROPRIErORIPARTNERIEXECurIvE YIN NIA WCD182015.00(MA) 09,10112015 09!1112016 t E.L.EACH ACCIDENT _p$ 1,00 a,000 OFFICERlMEMBEA EXCLUDED? l •-- ( - C DEDUCTIBLE:5500001(Manda --- E:L,DISEASE-EA EMPLOYE S 1,000,400 Ir qes-RIPTIONdascribe under { E.L.DISEASEPOLICYLIMITS 1,Q00,000 !DESCRIPTION OF OPERATIONS i7ol6•N 1 r I ] DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 161,Addeonal Remarks SchedUte,may he attached If more rpace Is requiredl Evidance DI insurance. CERTIFICATE HOLDER CANCELLATION 3055SolarCorporation SHOULD ANY OF THE ABOVE OF-SCRIBED POLICIES BE CANCELLED BEFORE 3955 CleaNew Way THE VXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN San Mateo,CA 99402 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk a Insurance Services I Charles Mar nole)0 01988-2814 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo at*registered marks of ACORD I k The Commonwealth of Massachusetts Department of IndustrialAceitlents V,� Office of Investigations 1 Congress Street,Suite 100 141 Boston,MA 02114-2017 - ; wit mmass gov/dia Workers'Compensation Insurance Affidavit:guilders/Con tractors/Electrielaas/Plumbers Agplicanj JnLoLm in ---please Print Legibly Name(BusineWOrganizationindividual): SOLARCITY CORP Address:3055 CLEARVIEW WAY City/StateM :SAN MATEO,CA 94402 Ixltotte#:888-765-2489 Are you an employer?Check The appropriate box: Type of project(required): 1.® 1 am a employer with 5000 4. ❑ 1 atm a general contractor and I employees(full and/or part-time), have hired The sub-contractors 'S New construction 2.Q 1 am a sole proprietor or partner- listed on the attached sheet. 7. Q Remodeling ship and have no employees These sub-contractors have S. 0 Demolition working for ore in any capacity. employees and have workers' Building addition [No workers' comp_insurance comp. insurance.e required.) 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I l.[]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.Q Roof repairs insurance required.]t c. 152,§1(4),and we have no SOLAR t PV employees. [No workers' l 3.M Other comg.insurance required,] "Any applicant that chccto box#t must also fill ant ilio section below showing their wotkors'eontpensatiou policy inroratation. t tfoateoc6um who submit this affidavit indicalhW ilicy arc doing all work and then hire outside contractors must submit a new affidavit indicating such, toontractots that check this box must auseired on additional sheet showing the name of the sub-contractors and state whether at not those entities have employem lr the sub-contractexs have employees,they must provide their svrAccrs'comp.Policy number. I ain art emploper that is providing workers'compensatioi,Insurance, nr my enViopeer. Below is the polixv and Joh site lnfrrrxerrlafon Insurance Eformticompany Ntttnc: Zurich American Insurance Company Policy 0 or Self--ins.Lic.#: WC0182014-00 __ Expiration Date. 09_/01/2016 Job Site Address: 40� L'f/ a VG City/slatc/zip:_ Abiryj)j Phi) Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MOL e. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as welt as civil penalties in lite farm 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 ofthe IIIA for insurance coverage verification. I do hereby cers(fy ander the f) tits nod penal ies of per]my that€(fie 1p formation,provide{{d'0, abovei � fs t eland correct. V�. ('hone#; Official trse onfr. Do riot write In this area,to he completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): i.hoard of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector d.Other Contact Person: Phone M. SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder:SOLARCITY/CRAIG ELLS 107663 License Number 604 SILVER ST AGAWAM MA 01001 8/29/17 Address Expiration Date X-978-875-1698 Signature Telephone 9. Registered Home'Improvement Contractor: Not Applicable ❑ SOLARCITY CORP/VICTORIA JUNCK 168572 Company Name Registration Number 604 SILVER ST AGAWAM MA 01001 03/08/2017 Address ^� Expiration Date Telephone 978-215-2367 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIIT(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...... ❑ 11. - Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.3..°x.1. Definition of Homeowner:Person(s)who own 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 dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one homt 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. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature SECTIQW 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House Addition Replacement Windows Alteration(s) Roofing Or Doors Accessory Bldg. Demolition New Signs [ ] Decks [ ] Siding[ ] Other Brief Description of Proposed q., `�jWork: Install solar electric panels to roof of existing home to be interconnected with home's electrical system. ✓ Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. If New house and or addition to existina housing, comoiete the followina: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Cynthia Kellogg as Owner of the subject property hereby authorize SOLARCITY to act on my behalf, in all matters relative to work authorized by this building permit application. 02/02/2016 Signature of Owner Date SOLARCITY CORPNICTORIA JUNCK as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. SOLARCITY CORPNICTORIA JUNCK Print Name 02/02/2016 Signa a er/Agent Date I r�. Section 4. ZONING All Information Must Be Completedl' Permit Can Be Denied Due To Incomplet nformdlltan Existing i Proposed Required b oning This Colum o be filled i Building epartnient ` K Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Date Issued: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading, excavation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 'Departmed use c ly City of Northampton 8tatttsaf ' rrrtlt F"° ` Building Department bra u�nv �hermit - 212 Main Streeteyl aeptt vaIIabl # :. �v` Room 100 tbrA* Availa rthampton, MA 01060 Twp.mss of Strvdtunl Plain" 413-587-1240 Fax 413-587-1272 ploti Pt" Other Specify AP ION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office 40 Harlow Ave Map Lot ' Unit Zone Overlay District Elm St.District CS District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Cynthia Kellogg 40 Harlow Ave,Northampton MA 01060 Name(Print) Current Mailing Address: 860-604-8704 Telephone Signature 2.2 Authorized A-gent: SolarCity CorpNictoria Aunck 604 Silver St Agawam MA 01001 Name(Pri ) Current Mailing Address: 2 114w 667e 978-215-2367 SigNafyr Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 3,000 (a)Building Permit Fee 2. Electrical 8,000 (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total= 0 +2+3+4+5) 11,000 Check Number $75 This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2016-0977 APPLICANT/CONTACT PERSON SOLARCITY CORP ADDRESS/PHONE 604 SILVER ST AGAWAM01001 (978)215-2369() PROPERTY LOCATION 40 HARLOW AVE MAP 38D PARCEL 042 001 ZONE URB(100) THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT -d I" A-- Fee Paid Building Permit Filled out Fee Paid Typeof Construction: INSTALL ROOF MOUNTED 4.33 KW SOLAR ARRAY New Construction Non Structural interior renovations Addition to Existina AccessoU Structure Building Plans Included: Owner/Statement or License 107663 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOWMATION PRESENTED: pproved__Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR' Special Permit With Site Plan Major Project: Site Plan AND/OR- Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding_ Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed --Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability —.—Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management ay Sign e ofTuilting Offi ial Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning& Development for more information. 40 HARLOW AVE BP-2016-0977 GIs 4: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38D-042 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: SOLAR PANELS BUILDING PERMIT Permit# BP-2016-0977 Project# JS-2016-001660 Est. Cost: $11000.00 Fee: $75.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: SOLARCITY CORP 107663 Lot Size(sy. ft.): 5706.36 Owner: KELLOGG CYNTHIA Zoning: URB(100)/ Applicant. SOLARCITY CORP AT. 40 HARLOW AVE Applicant Address: Phone: Insurance: 604 SILVER ST (978)215-2369 () Workers Compensation AGAWAMMA01001 ISSUED ON.2/5/2016 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL ROOF MOUNTED 4.33 KW SOLAR ARRAY POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 2/5/2016 0:00:00 $75.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner