03-027 (12) 595 COLES MEADOW RD BP-2018-1380
CIS 4: COMMONWEALTH OF MASSACHUSETTS
Map-.Block: 03 -027 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A)
Category- SOLAR ELECTRIC SYSTEM BUILDING PERMIT
Permit# BP-2018-1380
Proiea# JS-2018-002444
Est.Cost $15000.00
Fee:$75.00 PERMISSION IS HEREBY GRANTED TO:
Const.Claes Contractor. License:
Use Group SOLARCITY CORP 110253
Lot Size(sq. R.): 106266.40 Owner. DENHART BRETT C&DEBORAH G
Zoni= RR(100)/WSWI00) Applicant SOLARCITY CORP
AT. 595 COLES MEADOW RD
Applicant Address: Phone: Insurance:
604 SILVER ST (978)215-2369 O Workers Compensation
AGAWAMMA01001 ISSUED ON.612512018 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL SOLAR ELECTRIC, 32 PANELS 10.4 KW
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 6/25/2018 0:00:00 $75.00
212 Main Street,Phone(413)587-1240,Fax:(413)5874272
Louis Hasbrouck—Building Commissioner
Solcc�
Department uee only
St"OfPemllt .
Curb GuVDriwlwy Permit
212 Main Street Seaer/3eptlo Availebglly
�f n WeOerlWellAVallWft
o ampo , 10 0 TWo Sete of Structure[Poem
ph ne 41 3-587-1240 Fax 413 587 1272 PkNslb Pepsi,
DFPT OF owI DING INSpecroN OtherSpa*
APPLICATION TO CONSTRUCT,ALT NOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION Gig— I ;—I 3 b o
1.1 Property Address This section to be completed by office
Map Lot Unit
595 Coles Meadow Rd. zone O.ariay District
Elm St Dletdd CS District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Brett Denhart 595 Coles Meadow Rd.
Name(PdnO Current Mailing Mdress: Northampton,MA,01060
Telephone
Signature
2.2 Authorized Agent:
Tesla Energy Operations 24 St.Martin Dr. Bldg 2 Unit 11 Marlborough MA 01752
Name Front) ��.., Current Mailing Address 774-281-0377
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completedloylpe itaDDlicant
1. Building (a)Building Permit Fee
$4,500
2. Electrical (b)Estimated Total Cost of
$10,500 Construction from 8
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total=(1 +2+3+4+5) 1 $15,000 Check Number
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signatur
Building ColtzlionerAnspector of Buildings Data
eoutslaV @ tesla.com
EMAIL ADDRESS(REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
Section 4. ZONING ALL Information Must Be Completed. P mit Can Be Denied Due To Incomplete Info ation
Existing Propgsed Required by Zonin
` This column to be fifinimby
t BuildingMpazvnent
Lot Sin
fNDBpy«:_
Frontage cer
Setbacks Front
Side U R: U R:
Rear
Building Height
Bldg.Square Footage %
Open Space Footage %
(Int area minus bldg&pavol
inakinau
#of Puking Spaces
Fill:
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO O - DONT KNOW YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW YES O
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO Q DONT 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 aeollnWe)
New House ❑ Addition ❑ Repla 9nt Windows Allocation(.) ❑ Roofing ❑
Or Doo s D
Accessory Bldg. ❑ Demolition ❑ New Signs [01 Decks [q Siding[0] Other[9(
Brief Description of Proposed Install solar electric panels to .of of existing home
Work: ,Ik k\. X\ h e\ .1-r \ 5y ar
Alteration of existing bedroom_Yes x No Adding new bedroom Yes x No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
sm.N Now house and or addWon to exhltina housing.Comoleft the followina:
a. Use of building One Family x Two Family Other
to 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.
1, Sepbc Tank_ CitySewer Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, as Owner of the subject
property
hereby authorize
to act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
I, Emilie outstay 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.
Emilie Outslay
Print Name
8/20/18
Signature of Own /Agent Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of Liwnae Holder. Daniel Kelley 110253
License Number
24 SLMarun Dr. Bldg 2 Unit 11, Malborough, MA,01752 12/1/19
% 1 / FVindion Date
IA/�/ 774364-3145
urs` I Telephone
dkelley@tesla cum
Not Applicable ❑
Tesla Energy Operations 168572
Company Name Registration Number
24 St.Martin Dr. Bldg 2 Unit 11 Malborough MA 01752 3!7/18
Address y Expiration Date
[.u,.:�... (1. ✓ Telephone 774-281-0377
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.162,§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...... ❑
City of Northampton
Massachusetts (.
A 1G
a
DEPARTMENT OP BO WXM INSPR=01tS
E12 Main Street a aunicipal Building p C�
Rorthaz ton, aA 01060 0
AFFIDAVIT
Home Improvement Contractor Law
Supplement to Permit Application
The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and
subcontractors performing improvements or renovations on detached one to four family homes. Prior to
performing work on such homes,a contractor most be registered as a Home Improvement Contractor("HIC").
M.G.L.Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion,
improvement, removal, demolition, orconstruction of an addition to any pre-existing owner-occupied building containing
at feast one but not mom than/our dwelling units....or to structures which are adjacent to such residence or building'be
done by registered contractors.
Note:Ifthe homeowner has contracted with a corporation or LLC,that entity must be registered
Type of Work: SOlar/PV Est.Cost: $15,000
Address of Work: 595 Coles Meadow Rd.
Date of Permit Application: 6/20/18
1 hereby certify that:
Registration is not required for the following reason(s):
_Work excluded by law(explain):
_Job under$1,000.00
Owner obtaining own permit(explain):
_Building not owner-occupied
Other(specify):
OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED
CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT
ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND
UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK
PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION.
Signed under the penalties of perjury:
1 hereby apply for a building permit as the agent of the owner:
6/20/18 Tesla Energy Operations FI' - O.. 168572
Date Contractor Name HIC Registration No.
OR:
Notwithstanding the above notice, I hereby apply for a building permit as the owner of the above property:
Date Owner Name and Signature
City of Northampton
4_.
- Naseachueette
i
DAB.Ut1}1. OF BUZZ iii ZI B.iTZON9
313 Yla rthemP a MuM D10 BullGlag
NorChamBton, MA 01060
Massachusetts Residential Building Code
Section 110.R5.1.2
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.
Section 110.R5.13.1
Any homeowner performing work for which a building permit is required shall be exempt from
the licensing provisions of 780 CMR 110.R5, provided that if a homeowner engages a person(s)
for hire to do such work, then such homeowner shall act as supervisor.
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.
City of Northampton
•. Maeeacnuaeeta Aer 4
c
DNPANONSNT OF FOIIDINO INSPECTIONS
212 Main Street *Municipal auil"ng
Northamton, M 01060 \0
Debris Disposal Affidavit
In accordance of the provisions of MGL c40, S54, I acknowledge that as a condition of the building
permit all debris resulting from the construction activity governed by this Building Permit shall be disposed
of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A.
The debris from construction work being performed at:
595 Coles Meadow Rd.
(Please print house number and street name)
Is to be disposed of at:
24 Sl Martin Dr. Marlborough MA
(Please print name and location of facility)
Or will be disposed of in a dumpster onsite rented or leased from:
(Company Name and Address)
Si nature of Permit A licant or Owner Date
If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the
Building Department as to the location where the debris will be disposed.
Q` The Commonwealth of Massachusetts
Department of Industrial Accidents
I Congress Street,Suite 100
Boston,MA 02114-2017
www mass.gov/dia
W'a.arkers'Compergettion Insurance Affidavit:Builders/Contractors/Eleetricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name (Business/Orgmiraeor✓lndividua0: Tesla Energy Operations
Address: 3055 Clearview Way
City/State/Zip: San Mateo, Ca,01752 Phone #: 888-765-2489
A«you ao employed Ch«k rhe appropriate box:
Type of project(required):
1.01amscrinererwith 5,000 employeee(fulland/rapart-twits)• 7. ❑New construction
].[-1l an a sole proprietor or partnership and have no employees working for me in 8. Remodeling
any erpaoity.[No waders'comp.insurance required-]
3.� meewwnr
F-11 am a honerdoing all work myself, kws'comp.insonswerequired.]' 9. El Demolition
4.71 am a homeowner and will be hiring contractorsto conduct all worsen my property twill 10[]Building addition
enswas Nat all contacrom either have workers''compensmion insurance or are sole I1.[]Electrical repairs or additions
proprietors with no employees. 12.❑Plumbing repairs or additions
5r I am a general convector and l hove hired the sub-centrubas l isted on the attached sh«x 13.❑Roof repairs
TMse sub-contrattors have employees and have workers'comp.mrsom n«.
6.r�we arc acorpoation and its officers have exercised thro m ht ofexemphon per MGL e. 14.QOther solar
152,§I(4),m,d we have no employees.[No worksm'comp.this ancerequ o,d.]
•Any applicant that checks box 91 must also fill out the section below showing their workers'compensation policy inti nomion.
I Ham«wners who submit[his affidavit indicating alai are doing all work and then hire outside contractors must submit a new sot thus indicming such.
employees thatcheckthis boxmust e emplder ,theymmlt pro showing Nename of Ne subcontractorssed nate whether.,wt those entities have
employees If the sub-conuadors have employees,they must provide their workerscomppolicy number.
l am an employer thm is providing workers'compensadon insurance fpr my employees. Below is the policy and job site
information.
Insurance Company Name: Zurich American Insurance Co.
Policy#or Self-ins.Lic.#: WC-1074584-00 Expiration Date: 10/31/18
Job Site Address: 595 Coles Meadow Rd. City/State/Zip: Northampton,MA,01060
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 farm of a STOP WORK ORDER and a fine of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Signature' "-(La9/ Date' 6/20/18
Phone#: 774-281-0377
Official use only. Do not write in this area,to he completed by city or town official
City or Town: PermitfLicense#
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#:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or mom
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who bus not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-omaractor(s)motels),address(es)and phone numbers)along with their cenificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sum that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permiOicense applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under`Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or titian is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
1 Congress Street, Suite 100
Boston,MA 02114-2017
Tel. #617-727-4900 ext. 7406 or 1-877-MASSAFE
Fax#617-727-7749
Revised 02-23-15 www.mass.gov/dia
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant io this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in ajoint enterprise,and including the legal representatives of a deceased employer,or the
receiver ortrustee ofan individual,partnership,association or other legal entity,employing employees. However,the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or W construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements ofthis chapter have been presented to the contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply your insurance company's time,address and phone number along with a certificate of insurance.
Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members
or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy
is required.Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of
insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town
that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you
have any questions regarding the law or if you are required to obtain a workers'compensation policy,please call the
Department at the number listed below. Self-insured companies should enter their self-insurance license number on the
appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number.In addition,an applicant that
must submit multiple pernit/icense applications in any given year,need only submit one affidavit indicating current
policy information(if necessary). A copy of the affidavit that has been officially stamped or marked by the city or town
may be provided to the applicant as proofthat a valid affidavit is on file for future permits or licenses. A new affidavit
must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business
or commercial venture(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this
affidavit.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
1 Congress Street
Boston,MA 02114-2017
Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE
Fax# 617-727-7749
www.mass.gov/dia
Fonn xevkcd 02-25-15
e Massachusetts Depanmrr! OI ouohc Safety
Board of Building Regulations and Standards
License CS-110253
"%I, .c00� lulxr, SO,
DOWEL KEUEV
11 ROLLIN1311110006 ROAD
14UBBMDSTON MA GIM
uinmiss�uler 12/01x2018
LIMaorEIn AflW�saWmw RquYlbn
NOME IM E:STR'MLt Card! OR RghUMbn wOtl mriMlMtlwlur Dory
TYPE:SuOpmmOM CON Wlon tlw v�piratlOn am. XmuM mum m:
tYp11tl100 OabbCoreum�r ARaOs�M aualnas Rpumtlon
' 1885]2 01bif1010 Ow NAOUNm PIW-Bulb t3pl
WA ENERENERGYUTONS,ING ewtM��MA 02108
OR/A TESLA ENERGY
OANIEl XELIEY �y
W55Cl VIEW WAY
sAN raraEo,u eaoo3 Urowsamerry Not valid without signature
HOME
AeW�a BOCTDRbn
ROME TYLE:S MEXT CONTRACTOR Rphtrfltlan nim for i IffirI w�Dory
TYPE:SuOdemnn bi mXon mn upratlOn bh. NmurM rt9n m:
(10168572 0 I:801MiM0 OMao/Goluwner Aealn nM eYMnx�RpiJaRon
1805]3 03107R019 Dim AnPhu-Salm 1]01
TESLAENERGY OPEMTIONS.INwla
C. an."MA 02 03108
DA3IA TESW ENERGY
EMILIEOARIE
SAN MATEOYIEW WAY (, ° ""•��` yi //,`
SAN MATED,CA 9m03 UrlEeraecretery Not v�W11hOUt signature
A�d CERTIFICATE OF LIABILITY INSURANCE Davz aolen
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 Me certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed.
N 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 contain rights to the cartglcate holder in lieu of such endorsement e.
PRODUCER LGRI
MARSH RISNB INSURANCE SERVICES NAME,PRONTA%
345 CALIFORNIA STREET,SUITE lYk AO ND:
CALIFORNIA LICENSE N0.04371M EMAIL
SAN FRANCISCO,CA 94104 'ADDRESS' ---
__ _ NSU S AFFp INGCGV GE NNCe
998301-STNOCMWUF17.18 GAW INSURERA:Zurich Amental leaves Coppary 16535
el$URmTask Ena19y Opemliel Inc. NSGRFR a:NIA NIA
3055 DO.,.Way WouffiR c:American Zurich Insurance Opel --_._ 40142
San Mal.,CA 94402 INSURERS:NIA NIA
INSURERE: - -
Hitachi
COVERAGES CERTIFICATE NUMBER: SEA{ 3533831 K REVISION NUMBER: 8
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 MY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MY HAVE BEEN REDUCED BY PAID CLAIMS,
NSR ASDL SUER POLICY EFF POLICY EXP
LTR TWE OF IXSUR/JICE PpLICYNUYBER p Y CARS
A X COMMFACIALGENE LUABILI Y GL011P4593CG 1061Yj01] 101 EACH OCCURRENCE S 2,SCG,B30
CLAIMS.MADE OOCCUR InLludes H.l LIpWI Liability 6NAA T RENTED 2500 0
PREMISES En mu Pe $
X SIR:$]50,Wo MED EXP(Any one Cees) S 5'10
X I TM CMVas LOU Nn YOU EXd PERSONAL a ADV INJURY $ 2i5D)OD0
GEN'L AGGREGATE LIMIT APPLI ES PER. GENERALAGGREGATE 5 40040,000
X P0.1CV C�p— [:]LOC PRODUCTS-COMPIOP AGG $ 6,030,03.'1
x OTHER'. Mper -Incessi A $
A AIITOMOBILELNNLRY RAP 10745961 10/312011 101/2018 EeMOIIEeDISINGLE LIMIT $ 5�.
X ANYAUTO WDILY INJURYIPor Ferson $
AUTOS ONLY AUTOS01 ULEO BODILY INJURY(PxemEenU $
HIRED BOROWNED PROPERTY DAMAGE S
AUTOS ONLY AUTOS ONLY Per ettiEenl
S
UMBRELLA"AnOCCUR FACHOCCURRENCE $
EXCESS LMB CIAIMSMAOE AGGREGATE $
UED RETENTION $
C WCRNERSCOePbmVTMJN WC10I4sR LAO )) 1M=11 % PER OTIC
ANDEMPLOYERS'WMLRY $TATVTE ER
c rix we 101458100(MA,coq 1or3tnon 10/312018 loonAoO
ANVPERAMEMOREXCLUEWE%ECUTNE EL EACH ACCIDENT $
A piarehiiy 1.1111 Exaupdpv O NIA EWS 107458500(CA) 101312017 10,31018 EL._DISEASE-EAEMPLOYEE S 1400,000
11"s eeemee unser LimiN applyexcess M$]SON SIRG
pE3CRIPTIONOFOPERA➢ONSLMvx EL.DISEASEPOLICYLIMIT $ 1,000,CU0
DESCRIPTION GF OFERATON31 LOCATIONS I VEHICLES IALORp 101,AtlJXbntl RmmeM$cM1atluM,mry M ellecM1etl Iingn apau ie repulretl)
CERTIFICATE HOLDER CANCELLATION
Tesla Entypy Opeaeons,Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
W55 Gopess Way THE EXPIRATN)N DATE THEREOF, NOTICE WILL BE DELIVERED IN
San Mateo,CA 91402 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHp1YED RMPRE$ENTATNE
Of Mash RIA a Insure.SrtelcM
Stephanie GENII AMW..i Ed—
CI 1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
DocuSign Envelope ID:FAE8391"765IBD6-1385E-0F942E8D4691F
By signing below, I agree that Tesla can contact me for telemarketing and informational purposes via call or text using
automated technology and/or pre-recorded messages using the phone numbers)I provided that are listed on the first
page of this contract. I understand that consent is not a condition of purchase. You may opt-out of this authorization at
any time by calling us at: 888-765-2489 or sending us written notice and mailing It to: Tesla,Attention: Phone
Authorbation Opt-Out,6800 Dumbarton Circle,Fremont,CA 94555. -
1 have read this Agreement(INCLUDING THE AGREEMENT TO ARBITRATE)and the Exhibits in their entirety and I
acknowledge that I have received a complete copy of this Agreement.
Customer's Name: Breft Denhart Solar Home Improvement Agreement
Signature,
„ff.a.... Testa Approved
Date: 6/16/2018
Customer's Name:
Cal Landon
Signature: VP, Energy Saks and Operations
Date: Date: 6/13/2018
Solar Home Improvement Agreement(Solerl-oan),version 5.1.0,April 30.2018
3325056
NO
Doc rSlgn Envelape ID:FAE83918A7654BD6-685E-011`942EBD469F
T = 5 L n
Customer Information salesperson Installation Location Installer License
Brett Denhart Juan Carlos Rosa 595 Coles Meadow Rd Tesla Energy Daaratons,Inc.
Northampton, MA 01060 MA HIC 168572/EL-
595 Coles Meadow Rd RegisaationAkense Number 1136MR
Northampton, MA 01060 HIS.0559845
4133209057 24 St Martin Dr,
Marlborough, MA 01752
Here are the terms of your Solar Home Improvement Agreement
1004 M DC 20yr
System Size System Warranty
The Tesla Promise
•We provide a money-back energy performance guarantee. pr
•We warrant all of our roofing work
•We warrant and repair the System .... . __.. Initial
•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 pricing in this Agreement is valid for 30 days after 6/13/2018.
Your Tesla " "r�Purchase Agreement Details
Contract Prins 00.00
REC Value(Estimate) -$0.00
Rebate Value(Estimate) , -$0.00
Amount Due $44,200.00
EsL brat yew production 12,223 kWh
6800 Dumbarton Circle, Fremont, CA 94555 1 888.765.2489 1 tesla.com 3325056
Solar Home Improvement Agreement(Solan-oan),version 5.1.0,Apn130.2018
Tesla.Inc.
Document generated on 6I13I2018 1 ❑�y
L Y
TVersion 972.1 -1
May 31,2018
RE: CERTIFICATION LETTER
4�
ProprtlJob#0102847 ILD$
H. G
Project Address: Denhart Residence CH
595 Coles Meadow Rd CIVIL w
Northampton,MA01060 No.52784
AHJ Northampton
SC Office Marlborough
Design Criteria:
-Applicable Codes=MA Res.Code,9th Union/IEBC,ASCE 7-10,and 2012 NDS
-Risk Category=II
-Wind Spsed=120 mph,Exposure Category C,Partially/Fully Emlosed Method
-Ground Snow Load=40 psf
-MP1:Roof DL=8.5 pat,Roof LUSL=35 psf(Nan-PV),Roof LL/SL=20.52 par(PV)
-MP2:Roof OL=11.5 psf,Roof LL/SL=35 psf(Non-PV),Roof LL/SL=20.52 loaf(PV)
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 pbslte survey of the existing framing system of the address indicated above vias performed by a site survey team from Tesla. Structural
evaluation was based on site observations and the design crdeha fisted above.
Based on this evaluation,I certRy that the alteration to the existing structure by installation of the PV system meets the requirements of the
applicable existing building ani new building provisions adoptaNreferenced above.
Additionally,I candy that the PV module assembly including all standoffs supporting it have been revieve l to be in accordance with the
manufacturer's specifications and to meet anclor exceed all requirements set forth by the referenced codes for leading.
The PV assembly hardeare specifications are contained in the plans/docs submi0ed for approval.
Digitally signed by James H. Childs, P.E.
Date: 2018.05.31 16:04:49 -07'00'
Tesla Iz
T c 5 L n
TVersion#72.1 -1
HARDWARE DESIGN AND STRUCTURAL ANALYSIS RESULTS SUMMARY TABLES
Landscape Hardware-lanae. Modulm'StandoRs i&Atbns
Hardware %-%Spacing X-X Gndbver Y-Y Suadna Y-YCaMikver Donfilluiration UpIMMIR
MPI fid" 24" 41" H4 red 44.1%
MP2 64" 24" q1" NA Sia ®d
Pal Hardware-Pottralt Modules'Standoff Spaciifications
Hardware %-XS till X-X Candlever Y-YS cin Y-YCalltllever I Conflouradon I UPON CCR
MP1 48" 29' 62" HA sw retl 50.0%
MP2 48" 21" 62" 144 Ste rerl 44.4%
Mounting Plane Roof Pitch Qualification Results
(No.) Member Evaluation Results
MPI 35" Meeber kpact Check OK
MP2 35° Melrber ct Check OK
RMerbNe aubmiXetl tlrd4lgsfortlelals MiMomvaon cdlMeE Olnrg sails auroy. All membermltlyaie atlbrevdu0ian is Creedonfa ,iMome np9MreU
on ails.Tiro eneM1ra plenty aM le'sN lotl relying membal5 vele eveuale4 inattpJence xilbap IEBC aN fM1e IBC.
Tesla.Irc.
T = 5 L n
ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES
A AMPERE 1. THIS SYSTEM IS GRID—INTERTIED VIA A UL—LISTED
AC ALTERNATING CURRENT POWER—CONDITIONING INVERTER.
BLDG BUILDING 2. A NATIONALLY — RECOGNIZED TESTING
CONIC CONCRETE LABORATORY SHALL LIST ALL EQUIPMENT IN
DC DIRECT CURRENT COMPUANCE WITH ART. 110.3.
ECC EQUIPMENT GROUNDING CONDUCTOR 3. WERE ALL TERMINALS OF THE DISCONNECTING
(E) EXISTING MEANS MAY BE ENERGIZED IN THE OPEN POSITION,
EMT ELECTRICAL METALLIC TUBING A SIGN WILL BE PROVIDED WARNING OF THE
FSB FIRE SET—BACK HAZARDS PER ART. 690.17.
GALV GALVANIZED 4. EACH UNGROUNDED CONDUCTOR OF THE
GEC GROUNDING ELECTRODE CONDUCTOR MULTIWIRE BRANCH CIRCUIT WALL BE IDENTIFIED BY
GND GROUND PHASE AND SYSTEM PER ART. 210.5.
HOG HOT DIPPED GALVANIZED 5. CIRCUITS OVER 250V TO GROUND SHALL COMPLY
I CURRENT WITH ART. 250.97, 250.92(B).
Imp CURRENT AT MAX POWER 6. DC CONDUCTORS EITHER DO NOT ENTER BUILDING
Isc SHORT CIRCUIT CURRENT OR ARE RUN IN METALLIC RACEWAYS OR
kVA KILOVOLT AMPERE ENCLOSURES TO THE FIRST ACCESSIBLE DC
kW KILOWATT DISCONNECTING MEANS PER ART. 690.31(E).
LBW LOAD BEARING WALL 7. ALL WIRES SHALL BE PROVIDED WITH STRAIN
MIN MINIMUM RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY
(N) NEW UL LISTING.
NEUT NEUTRAL 8. MODULE FRAMES SHALL BE GROUNDED AT THE UL
NTS NOT TO SCALE — LISTED LOCATION PROVIDED BY THE
OC ON CENTER MANUFACTURER USING UL LISTED GROUNDING
PL PROPERTY LINE HARDWARE.
POI POINT OF INTERCONNECTION 9. MODULE FRAMES, RAIL, AND POSTS SHALL BE
PV PHOTOVOLTAIC BONDED WITH EQUIPMENT GROUND CONDUCTORS.
SCH SCHEDULE
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 Sheet 1 COVER SHEET
Sheet 2 PROPERTY PLAN
Sheet 3 SITE PLAN
Sheet 4 UPLIFT CALCULATIONS
LICENSE GENERAL NOTES Cutsheets Attached LINE DIAGRAM
GEN /168572 1. ALL WORK TO BE DONE TO THE 9TH EDITION
ELEC 1136 MR OF THE MA STATE BUILDING CODE.
2. ALL ELECTRICAL WORK SHALL COMPLY WITH
THE 2017 NATIONAL ELECTRIC CODE INCLUDING
MASSACHUSETTS AMENDMENTS.
MODULE GROUNDING METHOD: ZEP SOLAR
AHJ: Northampton REV BY DATE COMMENTS
REVR in F32-IB Rem Nmvawall
UTILITY: National Grid USA (Massachusetts Electric)
��"�""� ter' �1", ' MM JB-0102847 00 BRETT DENHART 104 KW PV ARRAY DmM
BENEFIT a MME EM T TESLA IMC,MM IOEwI11D ssme Francisco Javier Pdanco T — 5 L rl
S IT BE DeaosED M MOLE aR IN ZS Comp V4 w Metal—Flushing 595 COLES MEADOW RD
PMR TO aTMNS WTSMIE ME rxcIPMNTS rmuEc NORTHAMPTON, MA 01060
oicwaTM,cxO w C001E M VDI
WE SME MID ISE OF ME REVECIRE 32) SC SC325
IMEOIMPM 1 NMam INE IwM11EN - WLE MME 9MEi: IM`f. 6/
v°°FS°0X aF TE9w wa Multi Ie Inverters COVER SHEET 1 a 6/12/2018
---------------
xear r.r
PROPERTY PLAN N
Sale:1" = 20'-0' k
0 20' 40' E
JB-0102847 00 _ _
coxTUET suu NOT a USED AM M BRETT DENHART 10.4 KW PV ARRAY Francisco Javier Polanco T
rao��wKK ai'x""` 1°"""S�'4t 595 COLES MEADOW RD 1 5 L n
PIAT m DrExs 0u nE w�Ys ZS Comp V4 w Metal—Flashing
aw 10N.EWTxC CTCNI KTH MaWs NORTHAMPTON, MA 01060
nE sxF uo use a nE xsmscnw (32) SC SC325
w9A ewJ Nff.YIITOar THE mm pME MNG 9EET: xV. um
cx
OF nsn mc.
Multiple Inverters PROPERTY PLAN 2 0 6/12/2018
PITCH: 35 ARRAY PITCH:35
MPS AZIMUTH:155 ARRAY AZIMUTH: 155
Digitally signed by James H.Childs, MATERIAL:Com Shingle STORY: 2 Stories
P.E. PITCH: 35 ARRAY PITCH:35
Date:2018.06.12 14:20:39-07'00' .�``� MP2 AZIMUTH:155 ARRAY AZIMUTH: 155
ES H. a MATERIAL:Comp Shingle STORY: 1 Story
CHILDS
CIVIL y
No.52784 R
BT 1
FOR STRUCTURAL ONLY
LEGEND
O (E) UTILITY METER & WARNING LABEL
O INVERTER W/ INTEGRATED DC DISCO
_ & WARNING LABELS
0° DC DISCONNECT & WARNING LABELS
'JI
AC DISCONNECT & WARNING LABELS
MPl P2 Oe DC JUNCTION/COMBINER BOX & LABELS
Q DISTRIBUTION PANEL & LABELS
SV
0 M SV Q LOAD CENTER & WARNING LABELS
O DEDICATED PV SYSTEM METER
O RAPID SHUTDOWN
Front Of House 0 STANDOFF LOCATIONS
CONDUIT RUN ON EXTERIOR
(E)Dx SWAY --- CONDUIT RUN ON INTERIOR
GATE/FENCE
0 HEAT PRODUCING VENTS ARE RED
595 Coles Meadow Rd r I_'
INTERIOR EQUIPMENT IS DASHED
L=J
SITE PLAN N
Sole: =
10, 1'
&
01' 10' 21' !
caraBBTUE- TME Ixraeunax HEAEN JIB xuBIT JB-0102847 00 r�
aaMAMEexoBE USS)FOR TE T DENHART
10.4 KW PV ARRAY
wii'rt eE lx rw�nEo wXOR 1xKMG 595 COLES MEADOW RD Francisco Javier Polanco T � 5 L n
run"oTBesgITEBETEWamrs ZS CComp V4 w Metal—Flashin NORTHAMPTON, MA 01060
URaw ulm.E%a:PT B 00 EC"WTH
TE SNF Axa USE a TAE R CM 32 SC SC325
I EWPNENT,WMOUT TIE WTEEN PAI£WNE 9[[r: EEY. MT:
rvTFssax cF TEv'
Multiple Inverters SITE PLAN 3 0 6/12/2018
ES H. SG
CHILDS m
CIVIL a
S1 No.52764
�AL
(N) PV MODULE STANDOFF DETAIL ONLY
(E) MOUNTING PLANE (MP)
TYPICAL PV SIDE VIEW :,��7
Velekn i<721
DESIGN SUMMARY
NTS
dooeMe ftedft D88110 Cftft
Desgn CodeASCE 7-10
' 14porIMlmFedw 1 to
PV MODULUe E UtinMk Mad Speed V- 120 rIph FS 160m
EmpoaMeCA11M C sed=25.7
Ground BOLT WITH INSTALLATION ORDER Geld Snow Load p0 40.0 psi ASCE Table 7-1
FENDER WASHERS
LOCATE RAFTER, MARK HOLE
ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT
ZEP ARRAY SKIRT (6) HOLE. RV IIIIOwNIUM
2 SEAL PILOT HOLE IMTH NIP Nr MPI am
(4) ( ) POLYURETHANE SEALANT. slydon a�aw�*Raft �ia.c C�wrrwsc
omwftw
ZEP COMP MOUNT C
ZEP FLASHING C (3) (3) INSERT FLASHING. PeN1 ar
(E) COMP. SHINGLE n mrr lypy =A par MMI
(1) (4) PLACE MOUNT.
(E) ROOF DECKING U (2) iV INSTALL LAG BOLT WITH 3%ndo11 andLavoult
5/16' DIA STAINLESS (5) (5) EALIN
HERMP Ns MP1 MP2
STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH S` XLawawvw
WITH SEALING WASHER (6) BOLT h WASHERS. 4t
2V 24'
(2-1/2° EMBED, MIN) r 41' 4r
v47a"Iflo r NA NA
(E) RAFTER 4r 411'
STANDOFF XLaMMr 20' 21'
a r or 6r
J 1 Sole: 1 1/2" = 1- d v-0.rdlever NA NA
%emvare rrmorrurs e�are rRAwfEmaw mucNe - awt tln w. xmacrossrarm angymabwu11ns.
^� MllNe ON e
JB 0102847 00 _ _
msaL
oMTMD uu, NoT aL UM FORM BRETT DENHART 10.4 KW PV ARRAY Francisco Javier Polanco
ZSS Camp
V4 w Metal—Flashing T 5 L n
it aµom�1wiai aniri NOR up595 COLES MEADOW RD
PLa1 m oX��TME�mn1Ys C
w w M.Fx�r w K$PEcTr wM (32) NORTHAMPTON, MA 01060
M swe wa usT a M ISSPLCIAE 32 SC SC 25
IISA EOw1gt,Y11110Ui M wdTlLe MFeIR PIff NY[: 9fEi: Rtt Wle
1fv
Multiple Inverters
UPLIFT CALCULATIONS 5 0 6/12/201e
GROUND SPECS MAIN PANEL SPECS I GENERAL NOTES I INVERTER SPECS MODULE SPECS LICENSE
BOND (N) i8 GEC TO TWO (N) GROUND Panel Number.G404OB1200 Inv 1: DC Ungrounded INV 1 -0)0.1 soma 1111. Esq. A -02)SC SC325 GEN /168572
ODS AT PANEL WIN TWO
CRIMP Meter Number:46313570 Inv 2 DC Ungrounded IrMar,3BD0W,240v,97.6[ zlge*a PI.0 RGI PV Module. 325W, 306.5 PTC. 40 EIEC 1136 MR
Underground Service Entrance Tie-In: Supply Side Connection INV 2_(,)pato 9 some S2 I. ILEI, B
MMA 5hXrN,240V, 97.BK Intmler: 52W 24 /M.97.5L M. Ilgbee.Rod Voc: 69.6 VpmaK: 57.6
INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER
E 2DOA MAIN SERNCE PANEL
E 200A/2P MAIN CIRCUIT BREAKER Inverter 1
(E) MIRING CUTLER-HAMMER BRYANT
Disconnect COOPER CUTLER-HAMMER (N) 125A Load Center
2DOA/2P Meter Socket Disconnect 10 Delta
E 50A FI Solivia 3.8 TL
F G 20A/2P
A �� E Branch Socket 4 C 1
II CIG
U(E) _ __ _ oro __ ____ _ _� F r __ T oc. 5 A a. MP 1: 2x7
A GrC 1 Rn __ _-_-___________ ___________ ___________ _ �
EW
ECE_________________(
•J
D
ECtXEt_; Inverter 2 IND Branch Socket 9 z Ic
7 1 t Della 9 «. MP 2: 2x3
1 SOiNa s.z n W
1 30A/2P _ __________ _5W_________________�
rec 1 i II wv r 6 3 M
-T-� 11 r 1 X. I
10 120/240V7
SINGE PHA4 L_ E«I MP 1/ MP 2: 2x6
UTIUTY SERNCE ---- -
I I
(I) v10 BT CmNR
yi
Voce = MAX VOC AT MIN TEMP
"I 2r eWMlp (1)OI,TIDf-HIJNEn /k:zcrMIi (2)Ddt Santo (I)IMM2 MULTI-CONTACT IPV-AIB4
I 6 B, CCg�pprr D.Ov, BDA 240Vea,F.W NOTA M AC RM RIM Ebutdoen, MV,2(M*NEW 40M04 Ment 6Wel: MC4 U-JOM Cmlwcla.Fanae FmM Mue DC
-(2)119a .Pc 4/P16 -(1)a DGOONB -(I)/320mB MULTI-COXIACT IPv-AZ51
P1wvg Carnnla; Man 1/D-4,Tap 6-14 Rwq/XwVa BO-tWA Cosa URr(W) D (4)N 4 MIS R 9md qq O U-AYnf Cannedor. Ma.MO.F.m.
-(1) TIER-HAINER,p516Fl( Smvl MIS RapM snutmwp 60m.24�IEIu M MC4
(1) LoOl T i B.U125RP Oue R Fuw KA B (2)/envy 1 YULT-C A L- i PV-AIB4
H Loud Cella; ,25A 1A/210v, NEW 3R (4)AN 914 PV WTI,60DV,Mea Voc* =559.6 vCC 1.ar =12.06 ADC Mall 6eaM: r.4 U- t _mm fma.Female Yeb
-(2)fImZ 6WWWrt 1NSOR Pv BAIXEEED DCP
-(1)anER-xAY1(� BRIO Fuez s0A 26W.�RKs 4 (1)AW 96.1XYFl-z Crean EDC vmp =403.z vnC Lnwtt.3 PDC -(2)/32AD,e MULTI-CONTACT Pv-Az61
Maar, 2aA/ z�w .. .(1 p�lpl'rt Krt 9m#11 Plus YCI I CvncW.W.Ya.Fant.
-(1)p111ER 2S F (I)LOLpEII L- Mem WM Ot
9ea1r, JW/X, 2 Specr Yell 125A 1-1MEG 19q Tpe rL.��(2 ATG'�il�w\TrI,WN 9vA Voc* =5596 VDC Isc =12.06 PDCEno-
SUPPLY (1)AYC/B, Sant Bore Cuppw
SIDE CONECIION. GSCOMNECTINC YFANS 9NA11 U artABI -(t)AW DAP, lr L Maa 6 Acnnary O C-+1-(1)AC P.NWI 2 Bean Ea Vmp -403.2 VTx: Imp=11.3 AOC -(1)
1 paf0am kc (01) ARRAY GROUND PER 690.47(D). NDIP PER &GEPTIGN 010 2 ODD
„(1 cove Kh 3/4'W 141401
®� t ATF A TMM-z,Sea -(,)GPMR-�ILpt aTODIW n 6 (t)AWc BB NM-2 Rem ECC vmp =3456 v« Im0-11.3 PDE ELECTRODE MAY NOT BE REWIRED DEPENDING ON LOCATION OF (E) ELECTRODE
(1IAEC/W TIWY 2 Red Gmnd7Maba I� 60.,00A Gwwa any(W) OC}(t)fgOflR Kli
(I)ACC dW THWN-2 Mlle M RW Vann =210 VAC Imp-37.4 MC r'�(I)AW:91%Tell Block - - 1 n IU CmLN.... . (4 AM/10.PV W;6OIV Moa V«* 5508 VCC Isc BOJ PDC
-(1)An 16,,THWN2,Rem TOC/4LC (00vooI M 31e MT. ... . . . . ®RiF(1)AW:/141HYN-2 RM [y(2)AN IM4 PVIM,, Oaa V00 47966VIK Lsc =12.06 ADC O�(1)AN A 1HWN2, Green Ea Vmp 407.2 VDC Lnp-5.65 POC
FrTT(t AYC B6, 1NM-2 Bba (1)AM 910. THIN-2 Wine wn RAL VmP 24o VAC I.p 1S8 AAL O IC4 1 ANC 16,NM 2 Been EW Vmp =3456 VCC I P=11.1 ADC „ (1)QJfgKT KIT
®k3•F(I)AW 06.THWN 2 Red -(I AM p THMF2 Ben EEC/OEC,-(1l DarwDK,Tm:,3/C dT ___ .. (1)ft KIU ye EMT... _ .. FrTT(4)A11C1'/A(WV WftV, Moa.. . . Vac* 239.WVDC 1x 603 AOC
ttll(1)AW ill THM-2 Mile NBITKAL Vmp =240 VAC Imp=37.4 MC " " "IIrTT'"T(I)A,1C/10. 1HM_2 Bloc (41=/10. w M0.MJUV, Back Voc* =239VVDC Iec =12.06 ADC 4)
-(1)AC R NM-2 Ren ECC Vmp 172.8 VX Imp-565 ADC
(1)ANC de.,6 Bare.Cada MC . (,)CUMiR.KW_3/PEMI__ . . . __ . ®�(1)AM11% THM-2 Red ®�(1)ANC/Brt MIT
Ran ECC Vmp =1728 V➢C Imp=11.3 AOC C�.LL(1)CONOKT KIT .
(1)AW 110, Nee-2 NK. IEUTRW Vmp 240 VAC Imp 21.6 MC .. ( )L1C1f�1��0r�p. EGyrTT��y�1�t (4)AIIC"/T�T�Y aV Mal - v«* 479.88 VOC isc 603 �ADL
-(1)AND It TNWN-f. tree EDC/CEC-(1)CaMunt Cil,3/e NT O�(2)AN4/14 Ma%..9aA Voc' 2J983VIx: Tec =1].06 ADL O�(1)AWCR1NNx-z Ren EGC.. . Vmp 315.6 VDC Imp-565 ADC
9 AM:16.nNM-$ Ren EM Vmp =1728 K Imp-11.3 AD (1)C14KMMT KIi
I Convent 3 f Elf -- 1 r lO w conduit
LY)iNQNTIN-TME INFORMATION HUMAN MWNBE J B-0102847 00 content N9SPTKI6 oEaRL
CHIMED SIAL Nal BE USD FOR THE BRETT DENHART 10.4 KW PV ARRAY
9J1 rt aE �IN M6E OR IN MDR 1g1XAN 595 COLE$ MEADOW RD Francisco Javier Po4nco T E 5 L n
PART M O8 aTMDE NE RRIFENNTs 22 Comp V4 W Metal-F OShID
mcuNAna.901 N CONNECTION ON Mmu¢ NORTHAMPTON, MA 01060
TIE SALE AND IH OF THE NESPECnW (32) SC SC325
1ESA EQUIPMENT,WIHOUI WW3vM TIE 1NNT1F11 PIS XIJE WT. UV. DAM
PEWBSMoxalEsu Nc
Multiple Inverters THREE LINE DIAGRAM 6 a 6/12/2018
CAUTION
POWER TO THIS BUILDING IS ALSO SUPPLIED FROM THE
FOLLOWING SOURCES WITH DISCONNECTS LOCATED AS SHOWN:
- Address: 595 Coles Meadow Rd
INVERTER AND
DC DISCONNECT
INVERTER AND
DC DISCONNECT
AC
AC
DISCONNECT
DISCONNECT
UTILITY
SERVICE
SOLAR PWT—Ovcu 4CC ARRAY(§)
I--------------------------J
PHOTOVOLTAIC BACK4W CMIK BREAKER N MAIN ELECTRICAL PANEL
IS AN A/C DISCODMECT PER NEC 690.17
OPERATING VOLTAGE = 240V JB-0102847-00
aa»,QwRK— THE STD,NIXIN � J B-0102847 00 `RS _ _
cuPawa SRN].NOT eE USEo Part BRETT DENHART 10.4 KW PV ARRAY Francisco Javier Polanco T
s oORaEµO� INTiRiQ�E ORRIN NOR 1 S C9p` 595 COLES MEADOW RD 1 5 L n
PAIR To 0MRs OUTSIDE TRE Isa41 Ts Z8 Com V4 w Metal—F ashin
aRP.wuaax,u"a"IN mwEcnON wnw IIaW& NORTHAMPTON, MA 01060
NE um a E
THE SUSE TRE kE5PECRM32 SC SC325
TI EQ I'Mm. -.7 1K 1NTTn1 � PNE XNC 9EET: IEY. um
"1°'m0N°R R9A"`
Multiple Inverters SITE PLAN PLACARD 7 0 6/12/2018
Label Location: Label Location: Label Location:
(C)(CB)(JB) WARNING (AC)(POI) (DC)(INV)
Per Code: Per Code: Per Code:
NEC 690.31.G.3 NEC 690.17.E NEC 690.35(F)
Label Location: TO BE USED WHEN
(DC)(INV) INVERTER IS
PHOTOVOLTAIC Per Code: UNGROUNDED
NEC 690.14.C.2
Label Location:
Label Location: (INV)
(DC)(INV) Per Code:
Per Code: CEC 690.56(C)
NEC 690.53
Label Location:
(POI)
Per Code:
NEC 690.64.8.7
Label Location:
(DC)(INV)
Per Code:
NEC 690.5(C)
Label Location:
(D)(POI)
Per Code:
NEC 690.64.8.4
Label Location:
(DC)(CB)
Per Code:
NEC 690.17(4) Label Location:
(POI)
Per Code:
NEC 690.64.B.4
Label Location:
Label Location: (POI)
AC POI Per Code: (AC): AC Disconnect
PHOTOVOLTAIC AC ( )(POI) NEC 690.17.4; NEC 690.54
DISCONNECT Per Code: (C): Conduit
NEC 690.14.C.2 (CB): Combiner Box
(D): Distribution Panel
(DC): DC Disconnect
(IC): Interior Run Conduit
Label Location:
(AC)(POI) (INV): Inverter eIntegrated DC Disconnect
(LC): Load Center
Per Code:
(M): Utility Meter
NEC 690.54 (POI): Point of Interconnection
Label Set
w+
Model RSS6004-2 Connection Dlaparn: _______ __ __
,...k oELT1 a.IPO sxVIPoYM eoz j
- ON 0.00E WIixM 1P eFW I
w
c us .
P
m Y ^v 1
RSS
,_ A0
ono
ro.u.wg i r
1 ncid SpetlReallwu NO4
Interstice,
Sol $00i'm
aww 1 4
e� M 1M
IYA IM
Oureer RaMge
1 2
2111 M5
MA MA
WAING ININN 21i
m wo-Oxnd
r1.celara 6V qwe Nora
ge ro0Y
IYA aF11MNU
Rapid Shutdown Device °"" °` 1n=esta2Wt]OD= �.�, 2Me 0a4a26(aNalroaeR
for Delta 3 .07.6 TL Inverters erc.w bvstro MgMno Mwcen m rc wcanmow pwrRewa we.
wwct�.wa.wgeaaKrwlaRgoe. emanngir 0lma
J0-/ro'F f'Ia-11rL') �0-1N'F(JO-W'C1
Delta's Rapid Shutdown Devices provide an automatic disconnect of 600VDC
residential or small commericial PV array system,fully compliant with the Rapid 0-trot 0-IM
Shutdown requirements 0 NEC 2014 article 690.12.It is compatible with Delta's Steel e W Wal
single-phaseresidentialinveners-
bMae 10 WN,
KEY FEATURES emrno Cempaerce
ISMAIX RMIAIX
•NEMA4X Protection kPH,CMII]1W-1 UL 1141,CSAf]3101-t
•Compact and Lightweight �aO4M M12 IEdrol4Arq mu
•Rack Mount Installation Dana Product Corporation Inc -
•Fast Connect with PV Connectors 46101 Fremont Blvd.
•Compliant with NEC 2014 snide 690.12 Fremont,CA 94536
Sales EnaM: InyerterSakel@defte-corp.com
•PLC Communication(Model RSS-6001-1 only) Support Ernae: InverkcSuppod@tlNkcorp.wm
Sales Nadine: +1-877-440.5651 or
-16263638021
S ® Support Helical: 877-44
k +12-4832
C US Support(Ilk.): +1-626-369-8019
.al 1, 1. a � t� e x t t
www.tlelta-americas.com www.dada-amerlcas.coMsdadnverkrs e &ELTA
Deka Solar Inverters Datasheet for SolarCity
�f
IIIIIIIIII-1110DIMitPZs r._u�FYt.?�fant'.-tns1
n
INPUT IVd
BIDV
WV
Ni
9V-%OV
-
ADA AAA MDAWYPPMn
35DAWMF9 Wlu/
SOW[fty 1.
- 121OW $O3]W 5!]3W
J p NMnY
�y�3x�� 1
2
OUTPUT NV)
- a5o5w ]mw sxSDw mAw ADDw
v ]..G V1 3..G VI SAO W,.d dD]wO V/ W]]w,.W
]DDDwONDV ]W W.NDV 5200 ®x10V YN WO2tlV RA WORMV
-
113-2avo2DSva1*-sIVONDv
12,SAG NVl 1I..A,.V,V/ NAAOMV/ ]I2AO2dv/ >I2AOAEV/
135AO2WV 15AAONDv NAAO2WV Zr.SAONDV 31]AONDv
mN[
50A-BO.SXx
5]0-590x:
<1.5W
m
s D.00
Dm-OASc
't. mm5vax�
O OErERNL SPECE1G5TpN
a
,�-e;r`, • i. • vr.naAnIv2.sx OR.w
yyy ��. � � -n-IxF(amcl �vc°w,AP P+5C1
�~ I JO-156'F(�0-&SCI
D_,am1
Axpn Yrm]wxw
1IEC119XM1l YE8gN -
196a 15Aa5A b(06 a.01 Qi5mm1 IDA]15Aa85blldatllaNBmm)
.9DE]n95 W) 55A bR6.5 xGx
XW1CmwJlm
EM1NMnibxbvnMbnM
- AVR212-AWGBC4P/A¢aWObrEC]t01])
21M]NMYV Mm4W bmw[Wn Ne .Nn MM5Obm5ni lmm�mYnb¢
- ANG 12-ANGBCnrP rpaY5lNbxrc W]51
]IEh HMIfA
CYW Abram
STNNWRDa/dRECTVFB
Solar Inverters x Wq@mYfl+��x
Ill,N,5vgtl FRbn.C8A p2I Na.IDI,-0,
Y ,W5
Transformedess (TL): 3.8 kW, 5.2 kW, 6.6 kW, 7.6 kW ..........
..... c.
EPoc N,EEE,Sr3.1
rCCP115 GYM0
Wide Operating Voltage Range:85-550V a+55wrnw n,xEceRD.n
- ul n.I cxONx345E MBY/.RTx8R1
-
Wide Operating Temperature Range -13- 158°F(-25-70°C) Axcmu.l aYN I%Ix,m..Wl
cYbilw w5.:l,xEfAAmO0s0.EEExen
High CEC Efficiency: 97.5% wAaxANry
Integrated AFCI(Arc Fault Circuit Interruption)
- NEMA 4X plus Sale Mist Corrosion Protection
Natural Convection Cooling F�-�L •5]F
....Y.EaY....mm
Dual MPPT(5 AW/6 6k/7.61,W)
- Compact and Lightweight nmc;� 3w
UL 1741 /IEEE 1547/IEEE 1547.1 /CEC Yebw�nFM1Y/bxnx�nmspnNilY�InmmHapml AELTA
Listed/UL 1699B(Type 1)1 NEC 690.11
dik
%
$OlafCl[y I ZepSoiar Next-Leval PV Mounting 7echnokgy SdafGty ZepSofar Next-Level PV Mounting Technology
. ZS Comp Components
for composition shingle roofs is w %**4
Mounting Block Array Skirt Interlock
Pan No.850-16M Pari No 860 or 500-0113 Pad No.850-1388or8501613
UsW W UL 003 aid UL 1581 Uad�W UL 2703 UadWWUL2]03
Flashing Accessory .Grip Ground Zap V2
Part No.8501631 Pad No.8501606or850Wi Pad No.850,1511
UsWd M UL 2703 and UL 2582 U to UL 27M Used m UL 47 ad UL M3
Description
W mounlig atlugon for oaddpaei5od songs reole
.'?sO Woks Mb as Zap CompaSde MaEulas
Aub bonding ULJieled herdaere aaades atrudurel add electrical bond
• ZS Camp Ms a UL 1]03 Can Fie PaWp Moen lnsblWd using mpdubs hen
any mann mdv cakged as'Type Por'Type Z Capturetl Washer Lag End Cap DC Wire Clip
Olf g Pad NP850-1631-001 Pad No. Pad No.850-1508
Specifications 850.163103 (LI8561586a850.1G60 U WUL1565
Designed kw padled rode IR)850.1588ar85D11fi]
• InWlla b statin erd leMacape anal
sd
ZS Canp siupparrt modu E M uplkd7.1 snow bad pressures b 5g pMpo UL 2103
M Cbppreponb ASCEs a and 7.10 standards
• ZSCobpgraunrargprodudsare ULUstaid UL 2703 and UL t67
• ZS Carp bondng predcdsn UL Bsbdb UL 2]g3
• Zap sas br opens upb]Tartld!to UL 155
Zap xis manshod! nl Road
W tided b UL 1535 fa vie povdonilg tlevbea
• A1lachmeM
unshod!ULlieOMbUL 2582b WYM DrNen Rati t*
Leveling Foot
Pad No.850,1397
aviaoar.can Misoler.com USMW UL 2703
TkEmatiahe na mam Mmman- Pea..Zap aWwamab PoaMSvmrvua.Zg6tlrYacmwanmm mid. anMwrYdnpakaawmlyb 11i0%VMa MVaMMaaJaPMa MnYaYWZaPaMvamul6pW[mnamaCN.LPativLatlawmmrpmmbaW inMarWnpo]udammryM
uN po3a4 TM wt0uav GmimxNtlm.vpippelwM Zp$gYeprWWemetiMeaMeola epetlfimSms MenbbmMgNWwammH nn omldnwnwbb MnWfm nen,va Jana"" zaps "Pmmua StlLapMUYaanYhlea lee mAaawn m'ma nlenMmin, apmlam4,a vNxxaalfiner6aMa
nfpcnvGb Mvedld�q MatiutilbmZapSM✓a pFJWa Maas UM.SpMaca4me an whMWNa�pa wlWNncdm.PNmb vAMpa:zapaY.mn. �egaiadeM WiaprgManiladlibdLp6paM1 gWufaMmNuu,6pwfia5mam rubetlmtluryemWamtiaa.PaWaaNPpryayale.¢m.
LbaalWaapAa90001 nevt MlelgaY6 Mry N,3p18aS1 Ra pwnwraa0.41lppepiMC UY YpaIµaYC:Mry&.bt8l51 PM
it
SC335 S_larC�, ELECTRICAL AND MECHANICAL CHARACTERISTICS
More power, JVVII IIauI
IT
less pa n e I s. -
,v
00
bbb
� P?
=1
With a sunlight to electricity °,..1 -
o„ ^^.,..(P...)[W] e°
conversion efficiency of over 19.4% ,,,,°„„ ,
the panel ranks amongst the +°•—=•=ry.==• _- =• .a ,.�,r, _ s, - -.
highest in the industry. That means a=,=„^,,,=.m. ^°„^-----•�^•^�•^°^°•-°°°-^•^^^^°-°°'�• .m ®”"
our panels can harvest more ° m
energy from the sun, which means .,,,=n,,.m, ,,,,.,M„°,M,,,,;;,,,,,,,,,,,,,,,,.e,,,,_ ........
it takes fewer of our panels to „^ ,,,� r Woi4”°^•' •'„„= m power your home. Plus, they ^^, w ,.n,a...„,m,��,°. „....,.., ..,°m....... ,m
generate more power output °^b °•^ •°°^^- ^°^° �°”°•°"°^^�^
m
during the hottest times of the day, -
even in warmer climates. „l,..n=„...,„°m=t=—.e,s=....5.
e I CEI ® .. SolarCity