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9 SYLVAN LN BP-2020-0225 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:35-289 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 ELECTRIC SYSTEM BUILDING PERMIT Permit# BP-2020-0225 Proiect# JS-2020-000370 Est.Cost: $42862.00 Fee:$75.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: PIONEER VALLEY PHOTOVOLTAICS 111266 Lot Size(sa.ft.): 32713.56 Owner: FRIEDMAN PERRY Zoning: Applicant: PIONEER VALLEY PHOTOVOLTAICS AT. 9 SYLVAN LN Applicant Address: Phone: Insurance: 311 WELLS ST- SUITE B (413) 772-8788 Workers Compensation GREENFIELDMA01301 ISSUED ON:8/21/2019 0.00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL SOLAR ON ROOF - 14.72KW 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 8/21/2019 0:00:00 $75.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner RECEIVEDDepartment use only ity of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability AUG 2 1 2019 Room 100 Water/Well Availability Nhampton, MA 01060 Two Sets of Structural Plans DEPT.OF BUILDING INS 8413 587-1240 Fax 413-587-1272 Plot/Site Plans NORTHA%irTON,MA01060 Other Specify APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING _ r SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office � � 9 Sylvan Ln, Northampton MA 01062 Map Lot .--)-.P Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Perry Friedman 9 Sylvan Ln,Northampton MA 01062 Name(Print) Current Mailing Address: 413.374.2978 See attachment (A) Telephone Signature 2.2 Authorized Agent: Pioneer Valley PhotoVoltaics Cooperative,LLC 311 Wells Street, Suite B, Greenfield,MA,01301 Name(Print) Current Mailing Address: 413-772-8788 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building $15,243 (a) Building Permit Fee 2. Electrical 27,619 (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) �� 5. Fire Protection 6. Total = (1 +2 +3+4+5) $42,862 1 Check Number This Section For Official Use Only Building Permit Numb r: Date Issued: Signature: `ZI'Z�jq Building Commissioner/Inspector of Buildings Date ' SQUq Q PV Squared Solar I www.pvsquored.coop Phone:413-772-8788 J Fax:413-772-8668 311 Wells St.,Ste. 8 1 Greenfield,MA 01301 T Som' MA Elec. Lic.A13764 SMA NIC 140077 Dear Town Inspections Officials, Please see our enclosed applications to permit a Solar Photovoltaic System in your jurisdiction. As you are likely aware, PV Squared is a worker-owned-cooperative B-Corp, employing 40+ people in Greenfield. We have installed thousands of PV Systems out of our Greenfield, MA Headquarters since 2002. PV Squared is committed to complying with all Commonwealth laws and regulations. Our worksite guidelines are created with the intention of exceeding all safety, electrical, and building requirements as defined by their respective jurisdictional entities. This includes the work of people from multiple disciplines, including electrical engineering, structural engineering, civil engineering, electricians, construction supervisors, roofers, and their associated helpers. We are a company that values training and education. We make certain that every individual is qualified for the roles and responsibilities that they assume. It is our policy to pay for the employees travel and training time and cost of the education, including CSL and Journeyman and Master Electrician classes. As an electrical contractor we are furthermore guided by the January 30, 2009 Massachusetts Board of State Examiners of Electricians (BSEE)judgements, and rulings that have followed. We pay strict adherence to these mandates and all electrical work is conducted by an electrician and an electrician's apprentice in a 1:1 ratio. We also understand that non-electrical tasks associated with a Solar installation can be completed by non-electrical workers, such as CSLs and others. I have attached our installation policy for your review, as well as a list of example non-electrical tasks. Should you have any questions or concerns regarding this policy or delineation of work, please let us know. We are a learning organization that is always trying to improve on what we do. Respectfully, Adam Thurrell Operations Manager Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front �--,— Side L:= R:= L:!rr= 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 O DON'T KNOW O YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DON'T KNOW O YES O IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO O DON'T KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O Date Issued: C. Do any signs exist on the property? YES O NO O IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES O NO O 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 O NO O IF YES, then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alterations) Roofing ❑ Or Doors ED Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks Siding [p] Other[0] Brief Description of Proposed Work: Installation of Solar Array on South and Southwest facing roofs of house Alteration of existing bedroom Yes No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes X No Plans Attached Roll -Sheet 6a. If New house and or addition to existing housing, complete the following: 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 Perry Friedman as Owner of the subject property hereby authorize PV Squared to act on my behalf, in all matters relative to work authorized by this building permit application. See Attachment A 8/13/2019 Signature of Owner Date PV Squared as 6vvrter/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. Chris Krezmiem Print Name 8/13/2019 Signature of Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Daniel Gomez Gonzalez CS-111266 License Number 43 Hatfield Street , Northampton MA 01060 03/14/2021 Address llvmu� Expiration Date 413-772-8788 Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ Pioneer Valley Photovoltaics Cooperative, LLC 140077 Company Name Registration Number 311 Wells Street, Suite B. Greenfield, MA, 01301 09/15/2019 Address Expiration Date Telephone 413-772-8788 SECTION 10-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....... El 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 108.3.5.1. 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 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. 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 Comllnunwealth at tylassachusetts 9+ Division rpt Professional LRCenSure Board of Building Regulations and Standards Construction Supervisor CS-111266 Expires- 03/1412021 i. s DANIEL GOMEZ-GOlJ 43 HATFIELD STREET .. NORTHAMPTON MA 01060 Cotl11A11ssloner . 71, Office of Consumer Affairs and Business Regulation One Ashburton Place - Suite 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Type: Supplement Card PIONEER VALLEY PHOTOVOLTAICS COOP Registration: 140077 311 WELLS ST SUITE B Expiration: 09115/2019 GREENFIELD.MA 01301 SCA, O 20141-0S t7 Update Address and Return Card. Office of Consumer Affairs S Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. It found return to: ReailIttration Expiration Office of Consumer Affairs and Business Regulation 140077 09 15r1019 10 Park Plaza•Suite 5170 PIONEER VALLEY PHOTOVOLTAICS COOP Boston,M 0 116 CHRISTOPHER KREZMIEN 311 WELLS ST SUITE B -- GRFENFIELD MA 0130+ Undersecretary N t valid witho t ignature DATE(MM/DD/YYYY) 6.1 CERTIFICATE OF LIABILITY INSURANCE 12/28/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Linda Powers,CRIS NAME: Webber&Grinnell PHONE (413)586-0111 FAX (413)586-6481 A/C No Ext: AIC,No 8 North King Street E-MAIL (powers@webberandgrinnell.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Northampton MA 01060 INSURER A: Ohio Casualty/Liberty 24074 INSURED INSURER B: Ohio Security/Liberty 24082 Pioneer Valley PhotoVoltaics Cooperative,Inc. INSURER C: Continental Indemnity/AUW Attn:Kim Pinkham INSURER D: 311 Wells Street,Suite B I INSURER E: Greenfield MA 01301 1INSURER F COVERAGES CERTIFICATE NUMBER: Master Exp 1-2020 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 AUULIbUt3K POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1'000'000 DAMAGEN ED 300,000 CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ 5,000 A BKS57072282 01/01/2019 01/01/2020 PERSONAL&ADV INJURY $ 1'000'000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 X JECT ❑ LOC PRODUCTS-COMPIOPAGG $ 2.000,000 POLICY ❑ PRO OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED BAS57072282 01/01/2019 01/01/2020 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY Hx AUTOS ONLY PeraccidentX $1 K colt $1 K comp Underinsured motorist BI $ 300,000 3,000,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ A EXCESS LIAB HCLAIMS-MADE US057072282 01/01/2019 01/01/2020 AGGREGATE S 3'000'000 DED I I RETENTIONS $ WORKERS COMPENSATIONX STAPERTUTE EORH AND EMPLOYERS'LIABILITY Y/N 1,000,000 C ANY PROPRIETOR/PARTNER/EXECUTIVE FN] NIA WC/TBD/NYR 01/01/2019 01/01/2020 E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED. 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Business Pers Property $1,750,000 Commercial Property A BKS57072282/NYR 01/01/2019 01/01/2020 Installation $50,000 Transportation $75,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Worker's compensation ncludes Ma,CT,and NY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Evidence of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD '\ The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston, MA 02114-2017 r www mass.gov/dia NVorkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Analicant Information Please Print Leeibly Name (Business/Organization/Individual):Pioneer Valley PhotoVoltaics Cooperative Inc. DBA PV Squared Solar Address:311 Wells Street, SuiteB City/State/Zip:Greenfield MA 01301 Phone#:413-772-8788 Are you an employer?Check the appropriate box: Type of project(required): 1.E][am a employer with 48 employees(full and/or part-time).* 7. ❑New construction 2.n I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.F�I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 E]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ p Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 14.Q✓ Other Solar PV 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. TContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Ohio Casualty/Liberty Policy#or Self-ins.Lic.#:BKS57072282 Expiration Date:01/01/2020 Job Site Address:9 Sylvan Ln City/State/Zip:Northampton MA 0106 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do herebyce r t e ai s nd penalties of perjury that the information provided above is true and correct. Si natu Date: 8/14/2019 Phone#:413-7 -87 8 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#: Snug � Q �p� O Roof-453" PV Squared Solar Array 436%" 31 G eelnfield,ls MA 01Street, 1301 design@pvsquared.coop 413-772-8788 JOB: Friedman NSITE: 9 Sylvan Lane j Northampton,MA 01062 p REVISIONS: Q � Rafters @ 16"O.C. Array centered in roof. Array Layout 9%" A ,i8^=1'-0" * 393/8" 175/„ TITLE: Array Layout RAIL SPECIFICATIONS FDN#: 12308 Make& Model: Ironridge XR100 By: JG Clamp Torque: 80 in-lbs L-Foot Torque: 250 in-lbs DATE: 8/14/2019 Max Span: 63" SCALE: As Shown Max Cantilever: 21" _ _ SIZE: 8-1R~X11' MODULE SPECIFICATIONS: 1%4" Make&Model: Hanwha Q.Peak DUO-G5.320 Clamp Range: 9-7/8"to 17-5/8"on long side o (32mm) D\ /_O3 up to 9-7/8" on short side Q.Peak DUO-G5.320 Dimensions r �/ Module Size: 66-5/16"x 39-3/8"x 1-1/4"(32mm) B 1/4"=1'-0" (Sheet 3of3) ti gQUq Q ��O Roof-489)/2" L Array 317%8" PV Squared Solar 311 Wells Street,Suite B Greenfield,MA 01301 design@pvsquared.coop 413-772-8788 Z-4 Q1 16 " ( 4' 51/8 ) ' JOB: Friedman p SITE: 9 Sylvan Lane rn m N Northampton,MA 01062 1 rz O REVISIONS: O Q cl� Rafters @ 16" O.C. Array pushed towards Southewestern gable and centered between rafters to distribute cantilever. House Array Layout 9y/^ -4— 393/8" 17%" TITLE: Array Layout House RAIL SPECIFICATIONS FDN#: 72308 Make& Model: Ironridge XR100 FDJG Clamp Torque: 80 in-lbs '° BY:L-Foot Torque: 250 in-lbs DATE: 8/14/2019 Max Span: 63" _ SCALE: As Shown Max Cantilever: 21" SIZE: 8-1R"x11" MODULE SPECIFICATIONS: 1%4" Make& Model: Hanwha Q.Peak DUO-G5.320 Clamp Range: 9-7/8"to 17-5/8" on long side o (32mm) P /_O2 up to 9-7/8" on short side �Q.Peak DUO-G5.320 Dimensions �/ Module Size: 66-5/16"x 39-3/8"x 1-1/4"(32mm) " 1/a"=1'-0' (Sheet 2of3) PROJECT INFORMATION: " "4 • Owner: Perry Friedman Q O • Address: 9 Sylvan Lane Y � � f Northampton, MA 01062 RAT • •may' • Phone: (413)374-2978 PV Squared Solar 311 WellsStreet,Suite B • Email: perryfriedman@comcast.net Greenfield,MA 01301 design@pvsquared.coop • System Size: 14.72 kW DC-STC 413-772-8788 • Modules: Hanwha Q.Peak DUO-G5.320 JOB: Friedman • Rail: Ironridge XR100 ---- • Bases: Ecofasten Quikfoot SITE: 9 Sylvan Lane • Snow Load: 40 lbs Northampton,MA 01062 • Wind Speed: 117 mph Garage Array House Array REVISIONS: ROOF STRUCTURE: • 32°2x8 rafters @ 16" O.C. ROOF MATERIAL: te Plan • Asphalt shingles �NoScale PROJECT NOTES: 1. Framing location to be verified on site. Description Item Qty. 2. Slide rail assembly as needed to avoid QuikFoot AL Base Plate QF-AL-M 90 interfering with splices or bases. Flashing, QuickFoor Black QFL-BLK-812 90 3. Unless otherwise noted bases are staggered and spaced not more than 48"O.C. Slotted L-Foot 3in Black SCL-101-3-ANODZD 90 4. Additional or alternative bases may be used Fastener 5/16x3-1/8in GRKRSS2 180 to meet actual roof conditions. GEO-CEL clear PROFLEX26100 5 TITLE: Site Plan Ironridge XR100 11' Black XRL100-132BLK 4 Ironridge XR100 14' Black XRL100-168BLK 20 Ironridge XR100 Splice SPLIC2 14 FDN#: 12306 By JG Ironridge Low Profile Grounding Lug IRN GD-LUG-003 5 Ironridge Rail Clamp, Black UFO-CL001-B 94 DATE: 8/14/2019 Ironridge Rail Stopper, Black, 32mm UFO-STP-32MM-BLK 20 SCALE: No Scale Ironridge XR100 End Cap(1 Pair UR) XR100ENDCAP 10 SIZE: s-1/2'x11" Ironridge Plastic Clip TW029-4000-077 180 Wire Management Clip DCS-1307 360 PV _01 B Mechanical Balance of System(MBOS) v (Sheet 1 of 3) Friedman-Northampton f, 16 1 r b i elk, « .e k New England Construction Engineering, PLC 436 Campbell Street (NECE) Structural Construction Solutions White River Junction, VT 05001 Jonathan Rugg, P.E. 603-903-9798 j.rugg@NewEnglandConstructionEngineering.com July 23, 2019 Ms. Madeleine Geschwind Pioneer Valley PhotoVoltaics Cooperative, Inc. 311 Wells Street, Suite B Greenfield, MA 01301 Re: Friedman residence, Northampton, MA PV Squared Project No. 12308 NECE Project No. 19-001 T-57 Dear Ms. Geschwind, At your request New England Construction Engineering, PLC (NECE) has reviewed the information that Pioneer Valley PhotoVoltaics Cooperative, Inc. (PV Squared) provided on the roof and supporting structure of the Friedman residence, at 9 Sylvan Lane in Northampton, MA. The purpose of this review was to provide an opinion regarding the structure's ability to support a proposed rooftop mounted photovoltaic (PV) array. The information that you provided is attached to this letter for reference. You are proposing to erect PV panels on two roof surfaces of the residence. These include the main house, and attached garage. The main house measures approximately 28'x36'. The main house roof has a 30-degree pitch. The house has a gable roof which is symmetric about the peak.The roof is supported by 2x8 rafters at 16" O.C.These rafters span approximately 14' on the horizontal. The attached garage measures approximately 22'x40'. The garage roof has a 40-degree pitch. The garage roof is supported by 2x8 rafters at 16" O.C. These rafters span approximately 11' on the horizontal. Both the house and the attached garage roofs have plywood decks and asphalt shingles. NECE's review and analysis included controlling gravity load combination (dead load and snow load). Lateral loads (wind and seismic) are excluded from this review. In considering snow loads, both balanced, and unbalanced snow load conditions were considered. Conclusion: Based on the information that you provided, in my opinion, the existing roofs will support the design snow load and the additional dead load of your proposed PV array. I base this opinion on New England Construction Engineering, PLC PV Squared—Friedman Residence Jonathan Rugg, P.E. Northampton, MA Page 2 of 2 the following assumptions. I assume that PV panels will be installed parallel to the roof, eliminating any additional wind load. I assume that, owing to their smooth surface, the PV panels will shed snow more readily than the existing asphalt shingles. The ground snow load (Pg) for Northampton is 40psf. According to the information that you have provided, the proposed PV panels weigh approximately 2.3 psf. In summary, in my opinion, and predicated on the above assumptions, the existing roofs will support your proposed PV array. Thank you for the opportunity to assist with this project. If we can be of further assistance, please contact Jonathan Rugg at NECE. o �H OF�IgSsg0 Sincerely, JONATHAN A ✓+ � RUGG No. 51982 H �f !�onathan Rugg, P.E. , FFSSroNAL '\ New England Construction Engineering, PLC. 2 20 9 Attachments: -Building Information powwod by � DUO TOP••AMO N OluariNy Ti�t�d Tor �s^'•^ .row .........�+... :af 201 2018 2019 _ VDEft— ID.40032587 t CYCLONE pCHIS TESTING STATION "" • 2018 Solar Power • G.ANTUM TECHNOLOGY:LOW LEVELISED COST OF ELECTRICITY pl J Higher yield per surface area,lower BOS costs,higher power classes,and an efficiency rate of up to 20.2%. INNOVATIVE ALL-WEATHER TECHNOLOGY � = Optimal yields,whatever the weather with excellent low-light and temperature behaviour. Irtc p� 7 {� ENDURING HIGH PERFORMANCE { Long-term yield security with Anti LID Technology,Anti PID i Technology',Hot-Spot Protect and Traceable Quality Tre.Q"". EXTREME WEATHER RATING 07—) High-tech aluminum alloy frame,tested to the extreme in Australia for Australian Conditions at James Cook University Cyclone Testing Station. A RELIABLE INVESTMENT Inclusive 12-year product warranty and 25-year linear performance warranty'. STATE OF THE ART MODULE TECHNOLOGY Q.ANTUM DUO combines cutting edge cell separation and innovative wiring with Q.ANTUM Technology. 'APT test conditlons according to IEC/T5 62804-12015.method B(-1500V.168h) 'See date sheet on rear for further information. THE IDEAL SOLUTION FOR: Rooftop arrays on Rooftop arrays on res,dentialbald'ngs commercial/Industrial buildings Engineered in Germany OCELLS MECHANICAL SPECIFICATION Format 168bmm x 1000mm x 32mm(Including frame) Weight 18.7kg -.r.. __--- w•. From Cover 3.2 mm thermally pre-stressed glass with - anti-reflection technology Back Cover Composite flim _ - -- - v�^..••-„ r• Frame .. -- Black anodised ekanktkan •• Cell- 6 x 20 monocryslalline Q.ANTUM toter half calls_ Junction bolr b3-101mmx 32-60mmx 15-S8mm Protection class I1367,with bypass diodes Cable -- --_4rnm=Sdarc".,(+)z110tlm%t-)z1100mm Connector Stbubll MC4;IPBg ""°'�'" "•" �l :....IOP.,.. ELECTRICAL CHARACTERISTICS POWER CLASS 316 320 325 330 335 MINIMUM PERFORMANCE AT STANDARD TEST CONDITIONS,STC'(POWER TOLERANCE+5W/-OW) Power at MPP' Purr IWI 316 320 325 330 335 Short Circuit Current Is, IA) 10.04 10.09 10.14 10.20 10.26 E Open Circuit Voltage' Voc IV) 39.87 40.13 40A0 40.86 _ 40.92 Currentat MPP Iuiii. [A) 9.56 9.60 9.66 9.71 9.76 f Voltage at MPP V,a. [V) 32.98 33.32 33.66 33.98 34.31 Efficiency' 4 I%) 218.7 x19.0 219.3 219.6 219.9 MINIMUM PERFORMANCE AT NORMAL OPERATING CONDITIONS,NMOT' Power at MPP P,e, IWI 235.8 239.6 243.2 247.0 260.7 E Short Circuit Current IK [A) 8.09 8.13 8.17 8.22 8.26 E Open Circuit Voltage Voc IV) 37.59 37.84 38.09 38.34 38.59 Current at MPP h IN 7.62 7.68 7.60 7.64 7.69 Voltage at MPP V„e, [VI 31.36 31.68 32.00 32.31 32.62 'Measurement tolerances PM»,+3%;Imo;V�x5%at STC:1000W/m2,26t2'C,AM 1.60 according to IEC 60904-3•'80OW/mr,NMOT,spectrum AM 1.50 Q CELLS PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE r �r _7+r --r-----r----�-- -- --- Al least 98%01 nominal power dun- r � i 1 �, ».,....�.d..---I.» ing first year Thereafter max.0.54% -�, » degradation per year.At least 93.1% W_ of nominal power up to 10 years.At r ir ""- ---- - least 85%of nominal power up to i 25 years. 1 r 1 ' 1 P All date within measurement toter- r antes.Full warranties in accordance with the warranty terms of the '"^ •ss ew sr ar c r1 Q CELLS sales organisation of your inxaou•rctaw/,nq U • • r rrespective GOUfliry. runs Typical module performance under law irradiance conditions In comparison to STC conditions(250C,1000W/rnl. TEMPERATURE COEFFICIENTS Temperature Coefficient of I. a [%/KI +0.04 Temperature Coefficient of (%/K) -0.27 4 Temperature Coefficient of P,,,, y [%/K) -0.36 Normal Module Operating Temperature NMOT I'CI 43±3 PROPERTIES FOR SYSTEM DESIGN ----- - R Maximum System Voltage V,,.• [Vj 1000 safety Cie- 8 Maximum Reverse Current I, [Aj 20 Fire Rating C Max.Design Load,Push/Pull (Paj 3600/2667 Permitted Module Temperature 40•C-+86'C Max.Test Load,Push/Pull [Paj 5400/4000 on Continuous DutyS _ - o ' a QUALIFICATIONS AND CERTIFICATES PACKAGING INFORMATION � _ _ o VIDE Quality Tested,IEC 61215:2016;IEC 61730:2016,Application Class s; Number of Modules per Pellet 32 This data sheet complies with DIN EN 60360. Number of Pellets per Troller(24t) 30 ° 0 Number of Pellets per 40'HC-Container(26t) 26 ° DVE CE Pellet Dimensions(L x W x H) 1760 x 1150 x 1190mim --- -___-.-_-_ Pallet Weight - 642kg_ yy� Nota:Installation instructions must be followed.See the Installation and operating mental or Contact our technical service department for further sdormallon on approved fnstallancri ! and use of tMs product. P Made In Korea Hamvha O CELLS Australia Pty Ltd Suite 1,Level 1,15 Blue Sueel,Sydney,NSW 2060,Australia I TEL+61(0)2 9016 3033 1 FAX+61(0)2 9016 3032 1 IMAIL q-ceNs-austrel,e©q-calls com I WEB www.q cells com/eu .n Engineered in Germany OCELLS AAA IRONRIDGE XR100 Rail See Des r' tion / Length Rail Section Properties Property Value Total Cross-Sectional Area 0.582 int 66 Section Modulus (X-axis) 0.297 in' .46 Moment of Inertia (X-axis) 0.390 in" Moment of Inertia (Y-axis) 0.085 in' T9- Torsional Constant 0.214 in' Polar Moment of Inertia 0.126 in" 1.99 APPROVED MATERIALS: 6005-T6, 6005A-T61, 6105-T5, 6N01-T6 2.34 (34,000 PSI YIELD STRENGTH MINIMUM) .58 Clear Part Black Part Description/Length Material Weight Number Number XR-100-132A XR-100-1328 XR100, Rail 132"(11 Feet) 7.50 lbs. XR-100-168A XR-100-1688 XRIDO, Rail 168" (14 Feet) 9.55 lbs. XR-100-204A XR-100-2048 XR100, Rail 204"(17 Feet) Aluminum 11.60 lbs. V1.1 // . IRON RIDGE XR100 Bonded Splice XR-100 RAIL 12.0 1 X R-100-S P LC-B D KIT, XR100 BONDED SPLICE � 2 1) Splice, XR100, Mill 12" long 2) Screw, Self Drilling 1.24 63 1.93 .31 - 0.42--114 .42 .15- 93 #12-14 TYPE "B"THREAD Property Value Property Value Material 6000 Series Aluminum Material 300 Series Stainless Steel Finish Mill Finish Clear V1.0 fir/ 1 z QuikFootPRODUCT GUIDE Exploded Product View/B.O.M. - 1 Installation Instructions - 2 Cut Sheets - 3 Specifications -4 UJI V)1 k J FMM Q), EcoFasten Solar, V) p 1 QuikFoot— Product Guide Exploded Product View, Bill of Materials Materials Needed for Assembly 7 Item No. Description of Material/Part Quantity 1 QuikFoot Base Plate 1 6 2 Fastener(Length to be determined) 2 3 QuikFoot Flashing 1 5 4 EPDM Washer 1 O5 L-102-3"Bracket*(other options available) 1 4 6 5/16"EPDM Bonded 18.8 SS Washer 1 7 3/8"Stainless Steel Hex Nut 1 3 Required Tools w 2 t 0 V � W d RN d D oooa 877-859-3947 EcoFasten Solan All content protected under copyright.All rights reserved.10/09/14 t.t EcoFasten Solar products are protected by the following U.S.Patents:8,151,522 B2 8,153,700 132 8,181,398 132 8,166,713 132 8,146,299 132 8,209,914 B2 8,245,454 132 8,272,174 B2 8,225,557 B2 QuikFoot— Product Guide Cut Sheets: QF-AL-Base 2X 0.33in [8.38mm] c O E E V1 O 00 l", LOLO O (n N U-) L 0 w O �] 1 .50in V [38.1Omm] 3/8"-16 Stud �O;rOOO�Q d D � '0 -q- ooa QF-M : 1 .5" QF-L : 1 .75" 877-859-3947 EcoFasten Solar®All content protected under copyright.All rights reserved.10/09/14 3.1 EcoFasten Solar products are protected by the following U.S.Patents:8,151,522 B2 8,153,700 B2 8,181,398 B2 8,166,713 B2 8,146,299 B2 8,209,914 B2 8,245,454 B2 8,272,174 B2 8,225,557 B2 t QuikFoot— Product Guide Cut Sheets: QFL-812 R.38in [9.53mm] .032in [0.81 mm] V1 12.00i n [304.80mm] w 0 3.00in ��Q [76.20mm] c D p0Q .50in � 8.00in [ 12.70mm] [203.20mm] 877-859-3947 EcoFasten Solar®All content protected under copyright.All rights reserved.10/09/14 3.2 EcoFasten Solar products are protected by the following U.S.Patents:8,151,522 B2 8,153,700 B2 8,181,398 B2 8,166,713 B2 8,146,299 B2 8,209,914 B2 8,245,454 B2 8,272,174 B2 8,225,557 B2 QuikFoot- Product Guide Cut Sheets: Bracket Options-SCL-101-3 3/8" _y1 � A 46 SERRATIONS 0 1 7/8" - ---+ R1/16" 1/4 / o0 3/4„ 1/16" — R.005 16'R.005 R.O10 2XR.01 Ct`r 60.00 d3/8"±..006 002 1/8" 7/8" X 82° CTAILA ALE 3:1 877-859-3947 EcoFasten Solar®All content protected under copyright.All rights reserved.10/09/14 3.7 EcoFasten Solar products are protected by the following U.S.Patents:8,151,522 132 8,153,700 B2 8,181,398 132 8,166,713 B2 8,146,299 132 8,209,914 132 8,245,454 132 8,272,174 132 8,225,557 132 QuikFoot- Product Guide Specifications PART 1 -GENERAL 1.1 SUMMARY 1.3 SUBMITTAL A. WORK INCLUDES A. Submit manufacturer's written specifications. B. Base plate is 6000 series aluminum with one 1. QuikFoot base plate attachment bracket that B. Submit standard product cut sheets. PEM Type Press-In Stud 18.8 SS. attaches directly to the roof deck. C. Submit installation instructions. C. Fasteners to be compatible with chosen roof p 2 Provide appropriate bracket and fasteners D. Submit product specific load test data, showing application and meet specified pull out values for the roof system. ultimate and allowable load values specific to as shown in load test data. B. RELATED SECTIONS the roof deck specified for the project. D. Counter flashing is.032 gauge aluminum em- 1.Section 07600:Flashing and Sheet Metal bossed to accept shape of stainless steel base 2.Section 07500:Roofing 1.4 QUALITY ASSURANCE plate O 3.Division 1:Administrative and Procedural Installer to be experienced in the installation of Requirements specified roofing material for no less than 5 years in 2.3 FINISH 4.Division7:Thermal and Moisture Protection the area of the project. 1.2 SYSTEM DESCRIPTION A. Bracket is mill finish aluminum A. COMPONENTS: 1.5 DELIVERY/STORAGE/HANDLING B. Base flashing-Black-kynar painted 1. QuikFoot system consists of aluminum Inspect material upon delivery. Notify manufacturer bracket and base plate with(1)stainless steel within 24 hours of any missing or defective items. PART 3 - EXECUTION stud,(1)stainless steel nut,(1)EPDM washer Keep material dry,covered,and off the ground until and(1)bonded stainless steel and EPDM installed. 3.1 EXAMINATION washer. A. Substrate: Inspect structure on which brackets 2. Fasteners PART 2 - PRODUCTS are to be installed and verify that it will with- A.To be of metal compatible with QuikFoot stand bracket. 2.1 MANUFACTURER any additional loading that may be incurred. B. Fasteners should be selected for compat- EcoFasten Solar 289 Harrel Street,Morrisville,VT 05661 B. Notify General Contractor of an deficiencies ibility with the roof deck. �' Y C.Fastener strength should exceed or be (877)859-3947 before installing EcoFasten Solar brackets. equal to that of the allowable load of the www.ecofastensolar.com V system. See test data at C. Verify that roofing material has been installed 2.2 MATERIALS correctly prior to installing solar attachment www.ecofastensolar.com A. Attachment Bracket brackets. 3. Sealant(if required by roof manufacturer): to be roof manufacturer approved. 6000 Series Aluminum(choose one) 3.2 INSTALLATION Q4. Aluminum counter-flashing 1.CP-SQ-Slotted A. Comply with architectural drawings and project a D 5. Aluminum attachment bracket 2. F-111-A P-3-CSK engineer's recommendations for location of 3. B. DESIGN REQUIREMENTS: 4.P-3 3 system. Comply with Manufacturer's written in- - SK Dv4 stallation instructions for installation and layout. 1. Bracket spacing to be recommended by 5. L-102-3" project engineer. 6.L-102-6" 2. Install a minimum of two fasteners per 7.Z-101 base plate. 8.Comp Slide 3. It is important to design new structures or 8.Custom assess existing structures to make sure that they can withstand retained loads. 877-859-3947 EcoFasten Solar'All content protected under copyright.All rights reserved.10/09/14 4.1 EcoFasten Solar products are protected by the following U.S.Patents:8,151.522 B2 8,153,700 B2 8.181.398 B2 8.166,713 B2 8,146,299 B2 8,209,914 B2 8,245,454 B2 8.272.174 B2 8,225,557 B2 A 46 SERRATIONS I �o LO R1 /16" — 1 /4" 60 1 /16" R.005 R.010 2X R.01 60.00 3/8"+ 006 / 1/8" 002 Y / 0 7/8" X 820 DETAIL A .X = +/- .1 SCALE 3:1 .XX = +/- .O1 .XXX= +/- .005 289 Harrel Street pip Morrisville, VT 05661 SCL-101 -3 aODEcoFasten Solaro Toll Free Phone 1.877.766.3947 .O Toll Free Fax 1.888.766.9994 MATERIAL: 6000 SERIES ALUMINUM web www.ecofastensolar.com e-mail info@ecofastensolar.com SCALE: 1:1 1/6/2012 SHEET OF 1 Pioneer Valley PhotoVoltaics Cooperative POLICY DOCUMENT #9 Current version adopted by the Board of Directors on April 28, 2011 INSTALLATION CREW OPERATING POLICY This policy applies to alt PV Squared employees in Massachusetts, but is particularly directed at those involved in the installation of solar electric and other renewable energy systems (licensed electrician, [earner/apprentice electrician, licensed constructor supervisor, supervised carpenter and laborer). When engaged in this work as an employee of PV Squared on a PV Squared project site, activities of PV Squared employees are covered under the General Liability Insurance maintained by the Cooperative. It is the intent of this policy to provide clarity to installation situations where the applicable codes and regulations are unclear, ambiguous, or silent. It is possible that a municipal building or electrical inspector could interpret the codes and regulations in a manner that differs from what appears here. But this policy sets out, in writing, how the cooperative interprets legal work requirements and unclear details. It is an internal consensus working model, intended to be revised and improved from time to time. As a general matter, a city's or town's Building Commissioner is charged with enforcing the State Building Code, Plumbing and Gas Code, Electrical Code and Architectural Access Code. The commissioner addresses concerns about the safety, accessibility and security of construction of homes and businesses. The commissioner also enforces zoning bylaws. In accordance with Massachusetts General Law, employees of the cooperative who perform electrical tasks and activities must hold a Massachusetts journeymen's electrician license or be under the direct supervision of such licensed personnel. These tasks and activities include installing electrical wiring, conduits, apparatus, devices, fixtures or other appliances for carrying or using the electricity associated with Renewable Energy Generators (electrically active solar photovoltaic modules, wind turbine-generators, hydroelectric generators, etc.). In no circumstances shall the Massachusetts licensed journeymen have more than one learner or apprentice working with him/her or under his/her supervision. Mounting structures come in a variety of configurations and have differing functional and physical characteristics. A structural component or assembly becomes associated with electrical work as the Renewable Energy Generator is electrically bonded to the mounting structure. Unless otherwise noted in M.G.L. c.143 553 through 5560 inclusive, all structural work defined as follows shall not be required to be performed by a Massachusetts licensed journeymen electrician: • Structural improvements • Elements of a Renewable Energy Generator's support structure that fall under a building permit (e.g., assembly of top-of-pole mounting structure on steel pole with concrete foundation prior to execution of any required electrical bonding of the support structure and associated renewable energy generator (solar electric module) to the support structure Policy # 9 Installation Crew Operating Policy Pioneer Valley PhotoVoltaics Cooperative POLICY DOCUMENT #9 Current version adopted by the Board of Directors on April 28, 2011 • Roof-top mounting support structures including but not limited to posts, stand-offs, flashings, feet, and mounting rails • Operation of heavy equipment involved in moving, hoisting, digging and other tasks • Earth work, excavation and concrete work • Manual labor involved in moving loading and unloading of equipment • Moving, hoisting, and attaching an electrically bonded panel assembly (defined as one or more assembled and electrically bonded solar electric modules) to an existing structural support designed to host the panel assembly. Note however that construction of a panel assembly is an electrical task due to the required electrical bonding activities. Repair and Servicing of Installed Equipment Repair or replacement of an electrically bonded and/or energized renewable energy generator (e.g., installed solar electric panel) will be performed by a licensed electrician or properly supervised learner or apprentice working with the licensed electrician. Replacement of an installed inverter must be performed by a licensed electrician or properly supervised learner or apprentice working with the licensed electrician, if the work requires removal of AC and/or DC conduit and associated wiring that originates outside of the installed inverter (e.g., removal of external AC conduit and wiring between the inverter and point of interconnection with the on-site electrical service). Note that this activity may require a wiring permit in some local jurisdictions. This requirement also applies to the servicing of an installed inverter that involves replacement or repair of components and wiring internal to the pre-manufacturer inverter (i.e., factory installed components that were originally shipped with the inverter) even though such activity may not require a wiring permit. Replacement of an installed inverter may also be performed by a qualified technician who may or may not be a licensed electrician or properly supervised learner or apprentice working with a licensed electrician if the inverter is of a "plug and play" design. Such a qualified technician can also performed other tasks that include installation and servicing inverter-based performance monitoring systems (e.g., replacing internal communication cards, making "plug and play" ethernet connections, etc.), assuming these activities do not require creation of a new AC power source circuit to operate the communication system(s). Policy # 9 Installation Crew Operating Policy Non Electrical Work at a typical PV Squared installation: • All Material Handling tasks o Module prep and moving o Ladder lift set up o Ladder set up o Trash/recycling removal and sorting • Structural Improvements o All carpentry work • Roof Mount Array o Fall protection anchor setup and removal o Layout and mounting bases o Racking up to but not including"bonding/grounding related activities" o Leveling of racking o Sealing seams/patching roofing/additional flashing • Ground mount array o Site work, earth moving o Trenching/digging o Construction of racking up to but not including "bonding/grounding related activities" • Conduit run o Making holes in structure o Fire blocking, sealing penetrations o Stickers • Power Board o Build wall, hang plywood o Stickers • Interconnection o Stickers • Monitoring o Wifi options o Any"plug and play"devices o Programming of monitoring devices o Computer based activities • Installation completion o Final building inspections o Install pictures-See checklist o Update one line and roof drawings to reflect as built o Completion checklist o Notes for others o COC left onsite • Misc o Truck Organizing o Material List, ordering o Daily check-in o Customer interaction and training activities Massachusetts Electric Company&Nantucket Electric Company(d/b/a National Grid) M.D.P.U. 1320 Certificate of Completion for Simplified Process Interconnections Installation Information: ❑ Check if owner-installed Interconnecting Customer: PERRY FRIEDMAN Contact Person: Mailing Address. 9 SYLVAN LN City: FLORENCEState: MA Zip Code:01062-9619 Telephone (Daytime): (413) 374-2978 (Evening): Facsimile Number: E-Mail Address: perryfriedman@comcast.net Address of Facility (if different from above): Electrical Contractor's Name (if appropriate): PV Squared Mailing Address: 311 WELLS ST. SUITE B City: GREENFIELD State: MA Zip Code: 01301 Telephone (Daytime): 413-772-8788 (Evening): SAME Facsimile Number: 413-772-8668 E-Mail Address: interconnection@pvsquared.coop License number: A13764 Date of approval to install Facility granted by National Grid: 7/12/2019 Application ID number: 00242748 ro Inspection: The system has been installed and inspected in compliance with the local Building/Electrical Code of (City/County): Signed (Local Electrical Wiring Inspector, or attach signed electrical inspection): Name (printed): Date: License 4: As a condition of interconnection you are required to send/e-mail a copy of this form along with a copy of the signed electrical permit to National Grid: National Grid Attn: Distributed Generation 40 Sylvan Rd Waltham, MA 02451 E-mail: distributed.generation(c�national�grid.com Massachusetts: http://www.nationalgridus.com/niasselectric/home/energyef`f/distributed generation.asp Nantucket:http://www.nationalgridus.com/nantucket/home/energvef/distributedgeneration.asp Page I of I