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Wilson Building Permit App The Commonwealth of Massachusetts Board of Building Regulations and Standards Massachusetts State Building Code, 780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One- or Two-Family Dwelling FOR MUNICIPALITY USE Revised Mar 2011 This Section For Official Use Only Building Permit Number: _____________________ Date Applied: ______________________________ ___________________________________ ____________________________________________ ___________ Building Official (Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: ____________________________________________ 1.1a Is this an accepted street? yes_____ no_____ 1.2 Assessors Map & Parcel Numbers _____________________ ____________________ Map Number Parcel Number 1.3 Zoning Information: _______________ ___________________ Zoning District Proposed Use 1.4 Property Dimensions: _____________________ ____________________ Lot Area (sq ft) Frontage (ft) 1.5 Building Setbacks (ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c. 40, § 54) Public  Private  1.7 Flood Zone Information: Zone: ___ Outside Flood Zone? Check if yes 1.8 Sewage Disposal System: Municipal  On site disposal system  SECTION 2: PROPERTY OWNERSHIP1 2.1 Owner1 of Record: ________________________________________ _________________________________________________ Name (Print) City, State, ZIP _____________________________________________ _________________ ___________________________________ No. and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2 (check all that apply) New Construction  Existing Building  Owner-Occupied  Repairs(s)  Alteration(s)  Addition  Demolition  Accessory Bldg.  Number of Units_____ Other  Specify:________________________ Brief Description of Proposed Work2:_________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials) Official Use Only 1. Building $ 1. Building Permit Fee: $_______ Indicate how fee is determined:  Standard City/Town Application Fee  Total Project Cost3 (Item 6) x multiplier _______ x _______ 2. Other Fees: $_________ List:_________________________________________________ ____________________________________________________ Total All Fees: $_______________ Check No. ______Check Amount: _______Cash Amount:______  Paid in Full  Outstanding Balance Due:__________ 2. Electrical $ 3. Plumbing $ 4. Mechanical (HVAC) $ 5. Mechanical (Fire Suppression) $ 6. Total Project Cost: $ SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License (CSL) ________________________________________________________ Name of CSL Holder _________________________________________________________ No. and Street _________________________________________________________ City/Town, State, ZIP _________________________________________________________ __________________ ______________________________________ Telephone Email address _____________________ ______________ License Number Expiration Date List CSL Type (see below) _______________ Type Description U Unrestricted (Buildings up to 35,000 cu. ft.) R Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation D Demolition 5.2 Registered Home Improvement Contractor (HIC) ______________________________________________________________ HIC Company Name or HIC Registrant Name ______________________________________________________________ No. and Street ________________________________________ ____________________ City/Town, State, ZIP Telephone _____________________ ______________ HIC Registration Number Expiration Date _______________________________________ Email address SECTION 6: WORKERS’ COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152. § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes ……….  No ………..  SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER’S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner of the subject property, hereby authorize_____________________________________________________ to act on my behalf, in all matters relative to work authorized by this building permit application. ______________________________________________________ ______________________ Print Owner’s Name (Electronic Signature) Date SECTION 7b: OWNER1 OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. _____________________________________________________________ ______________________ Print Owner’s or Authorized Agent’s Name (Electronic Signature) Date NOTES: 1.An Owner who obtains a building permit to do his/her own work, or an owner who hires an unregistered contractor(not registered in the Home Improvement Contractor (HIC) Program), will not have access to the arbitration program or guaranty fund under M.G.L. c. 142A. Other important information on the HIC Program can be found atwww.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2.When substantial work is planned, provide the information below: Total floor area (sq. ft.) _________________________ (including garage, finished basement/attics, decks or porch)Gross living area (sq. ft.) __________________ Habitable room count ______________________ Number of fireplaces______________________ Number of bedrooms _____________________ Number of bathrooms ____________________ Number of half/baths ______________________ Type of heating system ___________________ Number of decks/ porches __________________ Type of cooling system_____________________ Enclosed ______________Open _____________ 3.“Total Project Square Footage” may be substituted for “Total Project Cost” NJ, Electrical Contractor business permit number 34EB01547400NJ, HIC reg. # 13VH01244300For other jurisdictions, please visit: http://www.trinity-solar.com/about-us/locations-and-licenses Corporate Headquarters 1-877-SUN-SAVES 2211 Allenwood Road Ph: 732-780-3779 Wall, New Jersey 07719 Fax: 732-780-6671 www.trinity-solar.com FOR INFORMATION ABOUT CONTRACTORS AND THE CONTRACTORS’ REGISTRATION ACT, CONTACT THE NEW JERSEY DEPARTMENT OF LAW AND PUBLIC SAFETY, DIVISION OF CONSUMERS AFFAIRS AT 1-888-656-6225. Date __________________________________ PrintName __________________________________ Customer Signature __________________________________ Name on Electric Utility Account: __________________ ElectricUtility Account No.: ______________________ ElectricUtility Company:________________________ given for my own convenience and benefit in order to expedite the approvals processes. solar transaction and are not a condition of the related solar agreement included herewith but are being and effect until revoked. I acknowledge that these authorizations are not required to proceed with the ApprovalsPaperwork when submitted.Myauthorizationsmemorializedhereinshallremaininfullforce signatures to Approvals Paperwork for purposes of the foregoing. Trinity Solar will provide copies of herewith for my signature, in furtherance of the related solar transaction, and I am providing any certification documents (“Approvals Paperwork”), including those for which signature pages are included documentation to, date, submit, re-submit, revise, amend and modify application, submission and populate technical details, fill-in, edit, compile, attach drawings, plans, data sheets and other Without limitation to the generality of the foregoing I specifically authorize Trinity Solar et al. to permits on file for the purpose of updating/applying with an alternate subcontractor. This authorization includes the transfer/re-administering, and/or cancellation of any existing with any state and/or local solar incentive program. obtaining permission and approval for interconnectionwith the electric utility company, andregistration Jurisdictionasrequired fortheinstallationof aPhotovoltaicSystem located onmy property, applyingand limited purpose of applying for and obtaining local building and other permits from the Authority Having subcontractors, including without limitation, _______________________, to act as my Agent for the I hereby authorize Trinity Heating & Air, Inc. DBA Trinity Solar and its employees, agents,and (print address) _____________________________________________. am the owner of the property located at address: (print name) I, _____________________________________, HOMEOWNERS AUTHORIZATION FORM :(676+25( '(6,*1(1*,1((563& 100 GREAT OAKS BLVD. ͿSUITE 115 ALBANY Ϳ NEW YORK Ϳ 12203 :HVW6KRUH'HVLJQ(QJLQHHUVۅ*UHDW2DNV%OYGۅ6XLWHۅ$OEDQ\1<ۅ 6XEMHFW :LOVRQ5HVLGHQFH 0LOWRQ6W 1RUWKDPSWRQ0$ 'HDU7ULQLW\6RODU 7KHIROORZLQJUHIHUHQFHVWKH:LOVRQ5HVLGHQFHLQ1RUWKDPSWRQ0$ ([LVWLQJURRIIUDPLQJ 5RRI&RQYHQWLRQDOIUDPLQJLV[DW´RFZLWKFROODUWLHVDQGDNQHHZDOODQGD¶´PD[ VSDQ 5RRI&RQYHQWLRQDOIUDPLQJLV[DW´RFZLWKD¶´VSDQKRUL]RQWDOUDIWHUSURMHFWLRQ 7KLVH[LVWLQJVWUXFWXUHLVFDSDEOHWRVXSSRUWDOOWKHORDGVLQGLFDWHGEHORZIRUWKLVSKRWRYROWDLF SURMHFW 5RRI/RDGLQJ SVIGHDGORDGPRGXOHVSOXVPRXQWLQJKDUGZDUH SVIJURXQGVQRZORDG SVIURRIPDWHULDOVSVI[SVIVKHDWKLQJSVIDVSKDOWVKLQJOHV ([SRVXUH&DWHJRU\%PSKZLQGVHF 7KLVLQVWDOODWLRQGHVLJQZLOOEHLQJHQHUDOFRQIRUPDQFHWRWKHPDQXIDFWXUHU¶VVSHFLILFDWLRQVDQGFRPSOLHV ZLWKDOODSSOLFDEOHODZVFRGHVDQGRUGLQDQFHVVSHFLILFDOO\WKH,QWHUQDWLRQDO%XLOGLQJ&RGH,%& DQG ,QWHUQDWLRQDO 5HVLGHQWLDO &RGH,5& 6HFWLRQ LQFOXGLQJ DOO 0$ UHJXODWLRQV DQG DPHQGPHQWV7KHVSDFLQJDQGIDVWHQLQJRIWKHPRXQWLQJEUDFNHWVLVWRKDYHDPD[LPXPRI´RFVSDQ EHWZHHQPRXQWLQJEUDFNHWVDQGVHFXUHGXVLQJ´GLDPHWHUFRUURVLYHUHVLVWDQWVWHHOODJEROWV7RHYHQO\ GLVWULEXWHWKHORDGDFURVVWKHURRIUDIWHUVWKHUHVKDOOEHDPLQLPXPRIPRXQWLQJEUDFNHWVSHUUDIWHU PLQ´SHQHWUDWLRQRIODJEROWSHUEUDFNHWZKLFKLVDGHTXDWHWRUHVLVWDOOPSKZLQGOLYHORDGVLQFOXGLQJ ZLQGVKHDU3HU1'66HFWLRQFOHDUDQFHKROHVHTXDOWRWKHGLDPHWHURIWKHVKDQNQHHGWREHERUHG LQWRSULPDU\DSULPDU\IUDPLQJPHPEHUIRUWKHIXOOOHQJWKWRWKHWKUHDGHGSRUWLRQRIWKHVFUHZWRDYRLG VSOLWWLQJRIWKHIUDPLQJPHPEHU 7KDQN\RX :HVWVKRUH'HVLJQ(QJLQHHUV -RKQ(LEHUW1LFRODV1LWWL3( 3URMHFW&RRUGLQDWRU3UHVLGHQW 7R 7ULQLW\6RODU 2SHQ6TXDUH:D\ +RO\RNH0$ 'DWH-XO\ 5HI INSTALLATION OF NEW ROOF MOUNTED PV SOLAR SYSTEM 49 MILTON ST. NORTHAMPTON, MA 01062 42.325036,-72.653789 MILTON ST. R1 SYSTEM SIZE DECREASE 8/3/2021 P1 ISSUED TO TOWNSHIP FOR PERMIT 7/1/2021 NO.DESCRIPTION DATE WILSON, JOANNA- TRINITY ACCT #: 2021-06-598711 49 MILTON ST. NORTHAMPTON, MA 01062 42.325036,-72.653789 PROPOSED PV SOLAR SYSTEM DRAWING DATE:7/1/2021 DRAWN BY:MF REVISED BY:DMR DC SYSTEM SIZE:8.16kW AC SYSTEM SIZE:7.6kW MODULE COUNT:24 MODULES USED:HANWHA 340 MODULE SPEC #:Q.PEAK DUO BLK-G6+ 340 UTILITY COMPANY:NAT'L GRID UTILITY ACCT #:38266-82029 UTILITY METER #:15825036 DEAL TYPE:SUNNOVA R1 R 2211 Allenwood Road Wall, New Jersey 07719 877-786-7283 www.Trinity-Solar.com ROOF 1 MODULES: NAW/d,͗EΣKZ/Edd/KE͗EΣ ROOF 2 MODULES: NAW/d,͗EΣKZ/Edd/KE͗EΣ ROOF 3 MODULES: 0W/d,͗ϮϯΣKZ/Edd/KE͗ϮϵϳΣ ROOF 4 MODULES: NAW/d,͗EΣKZ/Edd/KE͗EΣ ROOF 5 MODULES: NAW/d,͗EΣKZ/Edd/KE͗EΣ ROOF 6 MODULES: 14 PITCH: 23 ORIENTATION: 117 ROOF 7 MODULES: 10 PITCH: 22 ORIENTATION: 116 ROOF 8 MODULES: 0W/d,͗ϮϮΣKZ/Edd/KE͗ϮϵϲΣ ROOF 9 MODULES: 0W/d,͗ϮϬΣKZ/Edd/KE͗ϮϬϳΣ ROOF 10 MODULES: 0W/d,͗ϮϬΣKZ/Edd/KE͗ϮϳΣ & 7& GR / 2 &% #% 28&+5%100'%6 #%%'55+$.'#0&.1%-#$.' 42.325036,-72.653789 24 HANWHA 340 (Q.PEAK DUO BLK-G6+ 340) 1 SE7600H-US000BNC4 INSIDE OUTSIDE. OUTSIDE (UTILITY ACCESSIBLE)OUTSIDE. R1 SYSTEM SIZE DECREASE 8/3/2021 P1 ISSUED TO TOWNSHIP FOR PERMIT 7/1/2021 NO.DESCRIPTION DATE WILSON, JOANNA- TRINITY ACCT #: 2021-06-598711 49 MILTON ST. NORTHAMPTON, MA 01062 42.325036,-72.653789 PROPOSED PV SOLAR SYSTEM DRAWING DATE:7/1/2021 DRAWN BY:MF REVISED BY:DMR DC SYSTEM SIZE:8.16kW AC SYSTEM SIZE:7.6kW MODULE COUNT:24 MODULES USED:HANWHA 340 MODULE SPEC #:Q.PEAK DUO BLK-G6+ 340 UTILITY COMPANY:NAT'L GRID UTILITY ACCT #:38266-82029 UTILITY METER #:15825036 DEAL TYPE:SUNNOVA R1 NOTES: 1.) ALL EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH THE MANUFACTURER'S INSTALLATION INSTRUCTIONS. 2.) 3.) ALL LOCATIONS ARE APPROXIMATE AND REQUIRE FIELD VERIFICATION. ALL OUTDOOR EQUIPMENT SHALL BE RAIN TIGHT WITH MINIMUM NEMA 3R RATING. / 7&52 2 &% #% GR & &%R 2211 Allenwood Road Wall, New Jersey 07719 877-786-7283 www.Trinity-Solar.com 5& 65 CALCULATIONS FOR CURRENT CARRYING CONDUCTORS REQUIRED CONDUCTOR AMPACITY PER STRING [NEC 690.8(B)(1)]: (15.00*1.25)1 = 18.75A AWG #10, DERATED AMPACITY D/EddDW͗ϯϯΣ͕dDWZd/E'&dKZ͗͘ϵϲ RACEWAY DERATING = 4 CCC: 0.80 (40*.96)0.80 = 30.72A 30.72A >_ 18.75A, THEREFORE WIRE SIZE IS VALID TOTAL AC REQUIRED CONDUCTOR AMPACITY 32.00A*1.25 = 40.00A AWG #8, DERATED AMPACITY D/EddDW͗ϯϬΣ͕dDWZd/E'͗ϭ͘Ϭ RACEWAY DERATING <_ 3 CCC: N/A 55A*1.0 = 55A 55A >_ 40.00A, THEREFORE AC WIRE SIZE IS VALID CALCULATION FOR PV OVERCURRENT PROTECTION TOTAL INVERTER CURRENT: 32.00A 32.00A*1.25 = 40.00A --> 40A OVERCURRENT PROTECTION IS VALID ARRAY CIRCUIT WIRING NOTES 1.) LICENSED ELECTRICIAN ASSUMES ALL RESPONSIBILITY FOR DETERMINING ONSITE CONDITIONS AND EXECUTING INSTALLATION IN ACCORDANCE WITHNEC 2020 2.) LOWEST EXPECTED AMBIENT TEMPERATURE BASED ON ASHRAE MINIMUM MEAN EXTREME DRY BULB TEMPERATURE FOR ASHRAE LOCATION MOST SIMILAR TO INSTALLATION LOCATION. LOWEST EXPECTED AMBIENT TEMP = -16ΣC 3.) HIGHEST CONTINUOUS AMBIENT TEMPERATURE BASED ON ASHRAE HIGHEST MONTH 2% DRY BULB TEMPERATURE FOR ASHRAE LOCATION MOST SIMILAR TO INSTALLATION LOCATION. HIGHEST CONTINUOUS TEMP = 33ΣC 4.) 2005 ASHRAE FUNDAMENTALS 2% DESIGN dDWZdhZ^KEKdyϰϳΣ/Ed,hE/d^dd^;W>D^WZ/E'^͕/^ϰϰ͘ϭΣͿ͘&KZ>^^d,Eϵ CURRENT-CARRYING CONDUCTORS IN A ROOF-MOUNTED SUNLIT CONDUIT AT LEAST 0.5" ABOVE ROOF AND USINGd,KhdKKZ^/'EdDWZdhZK&ϰϳΣKZ>^^ (ALL OF UNITED STATES) 5.) PV SYSTEM CIRCUITS INSTALLED ON OR IN BUILDINGSSHALL INCLUDE A RAPID SHUTDOWN FUNCTION THAT CONTROLS SPECIFIC CONDUCTORS IN ACCORDANCE WITHNEC 690.12(A) THROUGH (D) 6.) PHOTOVOLTAIC POWER SYSTEMS SHALL BE PERMITTEDTO OPERATE WITH UNGROUNDED PHOTOVOLTAICSOURCE AND OUTPUT CIRCUIT AS PER NEC 690.41 (A)(4) 7.) UNGROUNDED DC CIRCUIT CONDUCTORS SHALL BEIDENTIFIED WITH THE FOLLOWING OUTER FINISH:POSITIVE CONDUCTORS = REDNEGATIVE CONDUCTORS = BLACK NEC 210.5(C)(2) 8.) ARRAY AND SUB ARRAY CONDUCTORS SHALL BE #10 PV WIRE TYPE RHW-2 OR EQUIVELANT AND SHALL BEPROTECTED BY CONDUIT WHERE EXPOSED TO DIRECT^hE>/',d͘^hZZzKEh/d>KE'Zd,EϮϰ͟^,>> KEd/EчϮϬhZZEdZz/E'KEhdKZ^E WHERE EXPOSED TO DIRECT SUNLIGHT SHALL CONTAINчϵhZZEdZZz/E'KEhdKZ^͘ 9.) ALL WIRE LENGTHS SHALL BE LESS THAN 100' UNLESS OTHERWISE NOTED 10.) FLEXIBLE CONDUIT SHALL NOT BE INSTALLED ON ZKK&dKWE^,>>>/D/ddKϭϮ͟/&h^ OUTDOORS 11.)OVERCURRENT PROTECTION FOR CONDUCTORS CONNECTED TO THE SUPPLY SIDE OF A SERVICE SHALL BE LOCATED WITHIN 10' OF THE POINT OF CONNECTION NEC 690.9(A)(3)(2) 12.) WHERE TWO SOURCES FEED A BUSSBAR, ONE A UTILITY AND THE OTHER AN INVERTER, PV BACKFEED BREAKER(S) SHALL BE LOCATED OPPOSITE FROM UTILITY NEC 705.12(B)(3)(2) 13.) ALL SOLAR SYSTEM LOAD CENTERS TO CONTAIN ONLY GENERATION CIRCUITS AND NO UNUSED POSITIONS OR LOADS 14.) ALL EQUIPMENT INSTALLED OUTDOORS SHALL HAVE A NEMA 3R RATING SQUARE D DU222RB 60A UNFUSED DISCONNECT ISOLATED NEUTRAL 240V ϭT $ LOCKABLE 60A DISCONNECT FUSED W/ 40A FUSES SQUARE D PN: D222NRB ISOLATED NEUTRAL 240V ϭT $ NOTE: INTERNAL REVENUE GRADE MONITORING CONTAINED WITHIN SOLAR EDGE INVERTER SOLAR EDGE PN. RWND-3D-240-MB SMART METER PRODUCTION METER / ISOLATED NEUTRAL LINE SIDE LOAD SIDENEUTRAL EXISTING MAIN BREAKER LOAD CENTER INSULATED LINE TAPS INSTALLED ON MAIN FEEDERS NEC 705.12(A) /2p100AMAIN240V ϭT 100A MAIN BREAKER 100A BUSBAR EXISTING ϭTϭϮϬͬ240V UTILITY METER ') INVERTER #1 - SE7600H-US000BNC4 DC AC Imp 20 Pout 7600 Vmp 400 Imax 32 Voc 480 OCPDmin 40 Isc 30 Vnom 240 PV MODULE SPECIFICATIONS HANWHA 340 (Q.PEAK DUO BLK-G6+ 340) Imp 10.2 Vmp 33.94 Voc 40.66 Isc 10.52 A #6 THWN-2 GEC TO EXISTING GROUND ROD B 3/4'' CONDUIT W/ 2-#8 THWN-2, 1-#10 THWN-2, 1-#10 THWN-2 GROUND C 3/4'' CONDUIT W/ 4-#10 THWN-2, 1-#10 THWN-2 GROUND D 3/4'' CONDUIT W/ 4-#10 THWN-2, 1-#10 THWN-2 GROUND E 3/4'' CONDUIT W/ 2-#8 THWN-2, 1-#10 THWN-2, 1-#10 THWN-2 GROUND F #10 PV WIRE (FREE AIR) W/ #6 BARE COPPER BOND TO ARRAY G 3/4'' CONDUIT W/ 2-#6 THWN-2, 1-#6 THWN-2, 1-#8 THWN-2 GROUND NOTE: CONDUIT TYPE SHALL BE CHOSEN BY THE INSTALLATION CONTRACTOR TO MEET OR EXCEED NEC AND LOCAL AHJD REQUIREMENTS INVERTER #1 PV+L1 L2 N PV-& SOLAR MODULES MOUNTED TO ROOF ON 2 ARRAYS 24 - 340W MODULES W/ 1 SOLAR EDGE P340 PER MODULE 15 ADC MAX PER STRING 1 STRING OF 14 MODULES IN SERIES - 400 Vmax 1 STRING OF 10 MODULES IN SERIES - 400 Vmax *2 STRINGS TO BE TERMINATED IN PARALLEL INSIDE INVERTER 1 H 8"x8" JUNCTION BOX R1 SYSTEM SIZE DECREASE 8/3/2021 P1 ISSUED TO TOWNSHIP FOR PERMIT 7/1/2021 NO.DESCRIPTION DATE WILSON, JOANNA- TRINITY ACCT #: 2021-06-598711 49 MILTON ST. NORTHAMPTON, MA 01062 42.325036,-72.653789 PROPOSED PV SOLAR SYSTEM DRAWING DATE:7/1/2021 DRAWN BY:MF REVISED BY:DMR DC SYSTEM SIZE:8.16kW AC SYSTEM SIZE:7.6kW MODULE COUNT:24 MODULES USED:HANWHA 340 MODULE SPEC #:Q.PEAK DUO BLK-G6+ 340 UTILITY COMPANY:NAT'L GRID UTILITY ACCT #:38266-82029 UTILITY METER #:15825036 DEAL TYPE:SUNNOVA R1 R 2211 Allenwood Road Wall, New Jersey 07719 877-786-7283 www.Trinity-Solar.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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 THISCERTIFICATE 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?(Mandatory in NH) DESCRIPTION OF OPERATIONS belowIf yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIREDAUTOS ONLY 5/20/2021 Arthur J.Gallagher Risk Management Services,Inc.4000 Midlantic Drive Suite 200MountLaurelNJ08054 Mark Grasela 856-482-9900 856-482-1888 CherryHill.BSD.CertM@AJG.com Gotham Insurance Company 25569 TRINHEA-03 National Union Fire Insurance Company of Pittsburg 19445TrinitySolarInc.4 Open Square Way,Suite 410Holyoke,MA 01040 Endurance American Specialty Ins Co 41718 Liberty International Underwriters 206332321 A X 2,000,000 X 100,000 5,000 1,000,000 2,000,000 X GL202100013378 6/1/2021 6/1/2022 2,000,000 B 2,000,000 X CA 2960145 6/1/2021 6/1/2022 ACD X 5,000,000 X EX202100001871ELD300069891001000231834-05 6/1/20216/1/20216/1/2021 6/1/20226/1/20226/1/2022 5,000,000 Limit x of$5,000,000 19,000,000 B WC 13588107 6/1/2021 6/1/2022 1,000,000 1,000,000 1,000,000 B AutomobileComp/CollusionDed.CA 2960146 6/1/2021 6/1/2022 All Other UnitsTruck-TractorsandSemi-Trailers $250/500 $250/500 Evidence of Insurance. Evidence of Insurance 6/1/2022 Holyoke MA, 01040 WC13588107 4 Open Square Way, Suite 410 INVERTERSsolaredge.com Optimized installation with HD-Wave technology Specifically designed to work with power optimizers Built-in module-level monitoring Outdoor and indoor installation Optional: Revenue grade data, ANSI C12.20 Class 0.5 (0.5% accuracy) Record-breaking efficiency Fixed voltage inverter for longer strings Integrated arc fault protection and rapid shutdown for NEC 2014 and 2017, per article 690.11 and 690.12 Extremely small UL1741 SA certified, for CPUC Rule 21 grid compliance Single Phase Inverter with HD-Wave Technology for North America SE3000H-US / SE3800H-US / SE5000H-US / SE6000H-US / SE7600H-US / SE10000H-US / SE11400H-US 12-25 YEARWARRANTY SE3000H-US SE3800H-US SE5000H-US SE6000H-US SE7600H-US SE10000H-US SE11400H-US OUTPUT Rated AC Power Output 3000 3800 @ 240V3300 @ 208V 5000 6000 @ 240V5000 @ 208V 7600 10000 11400 @ 240V10000 @ 208V VA Maximum AC Power Output 3000 3800 @ 240V3300 @ 208V 5000 6000 @ 240V5000 @ 208V 7600 10000 11400 @ 240V10000 @ 208V VA AC Output Voltage Min.-Nom.-Max. (211 - 240 - 264)Vac AC Output Voltage Min.-Nom.-Max. (183 - 208 - 229)----Vac AC Frequency (Nominal)59.3 - 60 - 60.5(1)Hz Maximum Continuous Output Current @240V 12.5 16 21 25 32 42 47.5 A Maximum Continuous Output Current @208V -16 -24 --48.5 A GFDI Threshold 1 A Utility Monitoring, Islanding Protection, Country Configurable Thresholds Yes INPUT Maximum DC Power @240V 4650 5900 7750 9300 11800 15500 17650 W Maximum DC Power @208V -5100 -7750 --15500 W Transformer-less, Ungrounded Yes Maximum Input Voltage 480 Vdc Nominal DC Input Voltage 380 400 Vdc Maximum Input Current @240V(2)8.5 10.5 13.5 16.5 20 27 30.5 Adc Maximum Input Current @208V(2)-9 -13.5 --27 Adc Max. Input Short Circuit Current 45 Adc Reverse-Polarity Protection Yes Ground-Fault Isolation Detection 600k Sensitivity Maximum Inverter Efficiency 99 99.2 % CEC Weighted Efficiency 99 99 @ 240V98.5 @ 208V % Nighttime Power Consumption < 2.5 W ADDITIONAL FEATURES Supported Communication Interfaces RS485, Ethernet, ZigBee (optional), Cellular (optional) Revenue Grade Data, ANSI C12.20 Optional(3) Rapid Shutdown - NEC 2014 and 2017 690.12 Automatic Rapid Shutdown upon AC Grid Disconnect STANDARD COMPLIANCE Safety UL1741, UL1741 SA, UL1699B, CSA C22.2, Canadian AFCI according to T.I.L. M-07 Grid Connection Standards IEEE1547, Rule 21, Rule 14 (HI) Emissions FCC Part 15 Class B INSTALLATION SPECIFICATIONS AC Output Conduit Size / AWG Range 3/4” minimum / 14-6 AWG 3/4” minimum /14-4 AWG DC Input Conduit Size / # of Strings / AWG Range 3/4” minimum / 1-2 strings / 14-6 AWG 3/4” minimum / 1-3 strings / 14-6 AWG Dimensions with Safety Switch (HxWxD)17.7 x 14.6 x 6.8 / 450 x 370 x 174 21.3 x 14.6 x 7.3 / 540 x 370 x 185 in / mm Weight with Safety Switch 22 / 10 25.1 / 11.4 26.2 / 11.9 38.8 / 17.6 lb / kg Noise < 25 <50 dBA Cooling Natural Convection Operating Temperature Range -40 to +140 / -25 to +60(4) (-40˚F / -40˚C option)(5)˚F / ˚C Protection Rating NEMA 4X (Inverter with Safety Switch) (1) For other regional settings please contact SolarEdge support (2) A higher current source may be used; the inverter will limit its input current to the values stated (3) Revenue grade inverter P/N: SExxxxH-US000NNC2(4) For power de-rating information refer to: https://www.solaredge.com/sites/default/files/se-temperature-derating-note-na.pdf(5) -40 version P/N: SExxxxH-US000NNU4 Single Phase Inverterwith HD-Wave Technology for North AmericaSE3000H-US / SE3800H-US / SE5000H-US / SE6000H-US/ SE7600H-US / SE10000H-US / SE11400H-US © SolarEdge Technologies, Inc. All rights reserved. SOLAREDGE, the SolarEdge logo, OPTIMIZED BY SOLAREDGE are trademarks or registered trademarks of SolarEdge Technologies, Inc. All other trademarks mentioned herein are trademarks of their respective owners. Date: 12/2018/V01/ENG NAM. Subject to change without notice. Q.PEAK DUO-G5 305-330 1 APT test conditions according to IEC/TS 62804-1:2015, method B (−1500 V, 168 h) 2 See data sheet on rear for further information. Q.ANTUM SOLAR MODULE  Quality Tested ID. 40032587 high reliabilitylow degradationfrequent product surveillance EN The new Q.PEAK DUO-G5 solar module from Q CELLS impresses thanks to innovative Q.ANTUM DUO Technology, which enables particularly high performance on a small surface. Q.ANTUM's world-record-holding cell concept has now been combined with state-of-the-art circuitry half cells and a six-busbar design, thus achieving outstanding performance under real conditions - both with low-intensity solar radiation as well as on hot, clear summer days. THE IDEAL SOLUTION FOR: Rooftop arrays on residential buildings Q.ANTUM TECHNOLOGY: LOW LEVELIZED COST OF ELECTRICITY Higher yield per surface area, lower BOS costs, higher power classes, and an efficiency rate of up to 19.9 %. INNOVATIVE ALL-WEATHER TECHNOLOGY Optimal yields, whatever the weather with excellent low-light and temperature behavior. ENDURING HIGH PERFORMANCE Long-term yield security with Anti LID and Anti PID Technology1, Hot-Spot Protect and Traceable Quality Tra.Q™. EXTREME WEATHER RATING High-tech aluminum alloy frame, certified for high snow (5400 Pa) and wind loads (4000 Pa) regarding IEC. A RELIABLE INVESTMENT Inclusive 12-year product warranty and 25-year linear performance guarantee2. STATE OF THE ART MODULE TECHNOLOGY Q.ANTUM DUO combines cutting edge cell separation and innovative wiring with Q.ANTUM Technology. ANTI PID TECHNOLOGY(APT) HOT-SPOT PROTECT(HSP) TRACEABLE QUALITY(TRA.Q™) YIELD SECURITY ANTI LID TECHNOLOGY(ALT) Rooftop arrays on commercial / industrial buildings UL 1703; VDE Quality Tested; CE-compliant; IEC 61215 (Ed.2); IEC 61730 (Ed.1) application class A Specifications subject to technical changes © Hanwha Q CELLS Q.PEAK DUO-G5_305-330_2017-09_Rev01_NAAt least 98 % of nominal power during first year. Thereafter max. 0.54 % degradation per year. At least 93.1 % of nominal power up to 10 years.At least 85 % of nominal power up to 25 years. All data within measurement tolerances. Full warranties in accordance with the warranty terms of the Q CELLS sales organization of your respective country. Typical module performance under low irradiance conditions in comparison to STC conditions (25 °C, 1000 W/m2). Hanwha Q CELLS America Inc.300 Spectrum Center Drive, Suite 1250, Irvine, CA 92618, USA | TEL +1 949 748 59 96 | EMAIL inquiry@us.q-cells.com | WEB www.q-cells.us MECHANICAL SPECIFICATION Q CELLS PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE IRRADIANCE [W/m²]RELATIVE EFFICIENCY [%] 200 400 600 800 1000 110 100 90 80 Irradiance [W/m²]Relative efficiency [%]Format 66.3 in × 39.4 in × 1.26 in (including frame) (1685 mm × 1000 mm × 32 mm) Weight 41.2 lbs (18.7 kg) Front Cover 0.13 in (3.2 mm) thermally pre-stressed glass with anti-reflection technology Back Cover Composite film Frame Black anodized aluminum Cell 6 × 20 monocrystalline Q.ANTUM solar half-cells Junction box 2.76-3.35 in × 1.97-2.76 in × 0.51-0.83 in(70-85 mm × 50-70 mm × 13-21 mm), decentralized, IP67 Cable 4 mm² Solar cable; (+) ≥ 43.3 in (1100 mm), (−) ≥ 43.3 in (1100 mm) Connector Multi-Contact MC4, IP65 and IP68 PROPERTIES FOR SYSTEM DESIGN Maximum System Voltage VSYS [V]1000 (IEC) / 1000 (UL)Safety Class II Maximum Series Fuse Rating [A DC]20 Fire Rating C (IEC) / TYPE 1 (UL) Design load, push (UL)2 [lbs/ft2]75 (3600 Pa)Permitted module temperature on continuous duty − 40 °F up to +185 °F (− 40 °C up to +85 °C) Design load, pull (UL)2 [lbs/ft2]55.6 (2666 Pa)2 see installation manual NOTE: Installation instructions must be followed. See the installation and operating manual or contact our technical service department for further information on approved installation and use of this product. EN RELATIVE EFFICIENCYCOMPARED TO NOMINAL POWER [%]100 95 90 85 80 75 155 2520010YEARS 98 Q CELLS Industry standard for tiered warranties* Industry standard for linear warranties* *Standard terms of guarantee for the 10 PV companieswith the highest production capacity in 2014 (as at: September 2014) DE DETAIL A 16mm 8.5mm24.5mm 980mm1685mm 4 × Befestigungspunkte (DETAIL A) Rahmen 1000mm 951mm 32mm 8 × Entwässerungslöcher 352.5mm ELECTRICAL CHARACTERISTICS POWER CLASS 305 310 315 320 325 330 MINIMUM PERFORMANCE AT STANDARD TEST CONDITIONS, STC1 (POWER TOLERANCE +5 W / −0 W)MinimumPower at MPP2 PMPP [W]305 310 315 320 325 330 Short Circuit Current*ISC [A]9.93 9.98 10.04 10.09 10.14 10.20 Open Circuit Voltage*VOC [V]39.35 39.61 39.87 40.13 40.40 40.66 Current at MPP*IMPP [A]9.44 9.50 9.55 9.60 9.66 9.71 Voltage at MPP*VMPP [V]32.30 32.64 32.98 33.32 33.65 33.98 Efficiency2 η [%]≥18.1 ≥18.4 ≥ 18.7 ≥ 19.0 ≥ 19.3 ≥ 19.6 MINIMUM PERFORMANCE AT NORMAL OPERATING CONDITIONS, NOC3 MinimumPower at MPP2 PMPP [W]226.0 229.7 233.4 237.2 240.9 244.6 Short Circuit Current*ISC [A]8.00 8.05 8.09 8.14 8.18 8.22 Open Circuit Voltage*VOC [V]36.80 37.05 37.30 37.54 37.79 38.04 Current at MPP*IMPP [A]7.43 7.47 7.51 7.56 7.60 7.64 Voltage at MPP*VMPP [V]30.43 30.75 31.07 31.39 31.70 32.01 11000 W/m², 25 °C, spectrum AM 1.5 G 2 Measurement tolerances STC ± 3 %; NOC ± 5 % 3 800 W/m², NOCT, spectrum AM 1.5 G * typical values, actual values may differ CertifiedUL 1703(254141) TEMPERATURE COEFFICIENTS Temperature Coefficient of ISC α [% / K]+ 0.04 Temperature Coefficient of VOC β [% / K]− 0.28 Temperature Coefficient of PMPP γ [% / K]− 0.37 Normal Operating Cell Temperature NOCT [°F]113 ± 5.4 (45 ± 3 °C) QUALIFICATIONS AND CERTIFICATES PACKAGING INFORMATION Number of Modules per Pallet 32 Number of Pallets per 53' Trailer 30 Number of Pallets per 40' High Cube Container 26 Pallet Dimensions (L × W × H)69.3 in × 45.3 in × 46.9 in (1760 mm × 1150 mm × 1190 mm) Pallet Weight 1415 lbs (642 kg)