30A-081 (11) 3olt -bgt— b0 (
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: E Check if owner-installed
Interconnecting Customer: Simon Ahtaridis Contact Person:
Mailing Address: 16 High Meadow Rd
City: Florence State: Ma Zip Code: 01062-2625
Telephone(Daytime): 413-588-4780 (Evening):
Facsimile Number: E-Mail Address: simonahtaridis@gmail.com
Address of Facility(if different from above):
43 Finn St Northampton MA 01060
Electrical Contractor's Name (if appropriate): Northeast Solar Design Associates - David J Baird
Mailing Address: 136 Elm St
City: Hatfield State: Ma Zip Code: 01038
Telephone(Daytime): 413-247-6045 (Evening): c ry 9--
Facsimile Number: 413-674-0006 E-Mail Address: Interconnection@northeast-solar.com to/Zt/2,o21
License number: 21918A
Date of approval to install Facility granted by National Grid: 6/28/2021
Application ID number: 00341230 SMART ID#: SMANG_35039
Contruction WR#: 30425390
Inspection:
The system has been installed and inspected in compliance with the local Building/Electrical Code of
(City/County):
Signe cal El, r al firing Inspector,or attach signed electrical inspection):
l n
'Name(printed): UlGClAr NI% 14 Date: (0 - ae) - a 1
License#: V6 (4,(p
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@nationalarid.com
Massachusetts:http://www.nationalgridus.com/masselectric/home/energveff/distributed aeneration.asp
Nantucket:http:l'www.nationalgridus.com/nantucket/home/energyeft distributed generation.asp Page 1 of 1