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25A-128 (15) BP-2021-2081 21 BATES ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 25A-128-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2021-2081 PERMISSIONIS HEREBY GRANTED TO: Project# 2021 POWER WALL &BACKUP Contractor: License: PIONEER VALLEY Est. Cost: 4500 PHOTOVOLTAICS 111266 Const.Class: Exp.Date:03/14/2023 Use Group: Owner: NIGROSH BARRY J&ELLEN EMERSO NIGROSH Lot Size (sq.ft.) , Zoning: URB Applicant: PIONEER VALLEY PHOTOVOLTAICS Applicant Address Phone: Insurance: 311 WELLS ST - SUITE B (413)772-8788 375928710101 GREENFIELD, MA 01301 ISSUED ON:10/26/2021 TO PERFORM THE FOLLOWING WORK: INSTALL TESLA POWERWALL (13.5 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. Signature: I It • ., I • I Fees Paid: $110.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner C—j � I � The Commonwealth of Massachusetts Board of Building Regulations and Standards FOR /'. Massachusetts State Building Code, 780 CMR MUNICIPALITY USE Building Permit Application To Construct, Repair,Renovate Or Demolish a Revised Mar 2011 _ One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number:(P-2.029-2o I Date Applied: /012 2021 c-u)k.)r2)5 1Z J zG-Zoz► Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 21 BATES ST,NORTHAMPTON MA 01060 1.1a Is this an accepted street?yes x no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use 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) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: NIGROSH,BARRY&ELLEN NORTHAMPTON,MA 01060 Name(Print) City,State,ZIP 21 BATES ST (413)584-5537 bnigrosh@aol.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied ❑ Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:Battery Backup for existing PV Brief Description of Proposed Work':Installation of(1)Tesla Powerwall (5 kW AC,13.5 kWh) SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $15942 ❑Standard City/Town Application Fee ❑Total Project Cost (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire Total All Fees:$ Suppression) $ O0 Check NoI Check Amount)/D — Cash Cash Amount: 6.Total Project Cost: $15942 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-111266 03/14/2023 Daniel Gomez-Gonzalez License Number Expiration Date Name of CSL Holder List CSL Type(see below) U 43 Hatfield Street No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) Northampton MA 01060 R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-772-8788 BUILDINGPERMITS@PVSQUARED.000P I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 140077 9/15/2023 PIONEER VALLEY PHOTOVOLTAICS COOP HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 311 WELLS STREET BUILDINGPERMITSOPVSQUARED.COOP No.and Street Email address GREENFIELD MA 01301 413-772-8788 City/Town,State,ZIP Telephone 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 p No 0 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 Pioneer Valley Photovoltaics Coopertive to act on my behalf,in all matters relative to work authorized by this building permit application. SEE ATTACHMENT (A) SEE ATTACHMENT(A) Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNER' 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' true and accurate to the best of my knowledge and understanding. • 10/15/2021 Print Owner's or Authoriz Agent Name(E ectronic 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 at www.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" DocuSign Envelope ID:C15ADABF-E2C4-44A6-873B-990E314D835A Attachment A AUTHORIZATION TO PROCEED AND SERVE AS AUTHORIZED AGENT I hereby agree to the Project as set out above, and I agree to pay the contract price according to the Terms of Payment. I further agree to the Terms and Conditions attached hereto as a part of this Proposal and Agreement. I hereby authorize Pioneer Valley PhotoVoltaics Cooperative to proceed with the above-referenced Project in accordance with this Agreement. I further authorize Pioneer Valley PhotoVoltaics Cooperative, or its designated representative, to obtain required permits for this project on behalf of the Owner. I will allow any photographs or videos of this project to be used by Pioneer Valley PhotoVoltaics Cooperative for marketing purposes. A check for the First Payment is enclosed and I am returning this Agreement within 21 days of the Proposal date. Barry Nigrosh 4/28/2021 111:01 AM EDT Printed Name Date c—DocuSigned by:AA� Oar./1/7 /l —. System F15r:FC7AARR(:47( Owner(s)B]N Signature Title Proposal and Agreement#00016432 Page 6 of 11 Ellen&Barry Nigrosh-April 28,2021 Commonwealth of Massachusetts Division of Professional L icensure Board of Building Regulations and Standards Cons teeth i t p yvisor CS-111266 E3 Aires: 03}14/2O23 DANIEL GOMEZ-GONZALEZ 43 HATFIELD STREET �= NOR THA M PTON MA 01060 NCI Jr, • ,f 14k"• 4 Commissioner iyaiz Ass, Ertylauk... Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card 077 PIONEER VALLEY PHOTOVOt 1AICS COCsPCRATIVE,INC. Re xp ratron 9/15/2 D/BlA PV SOUARED SOLAR F1lriraltron 09J15/20?.3 311 WELLS ST SUITE B GREENFIFI D,MA 01301 > : Up date Address and Return Card. ,.; /.O41,4e ut.t anrawed Min/.4.trn:.kfi.'.Rio�u1,Qy NC/ME IMPROVEMENT CONTRACTOR Registration valid for Ind•vidual use only TYPE:SuPPlement Card before the expiration date. If found return to: RStllft!)1114n Explr.tiDf Office of Consumer Affairs sines'Regulation 14U011 091td2023 1000 Washington Street ulte 71 PIONEER VALLEY I•HOTOVOI TAICS COOPERATIVE.1NC Boston.MA 02118 DIB'A PV SOS REO SOt AR MAYAFULFORD J 1� %311 WELLS 51 SUITE B 4, llama 1 GREENFIELD,IAA 01301 Undersecretary .ot valid without signature • _� The Commonwealth of Massachusetts 1 E11i► tl, Department of Industrial Accidents .I_ '5 1 Congress Street,Suite 100 54-_ Boston,MA 02114-2017 J. . www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly 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): LID I am a employer with 48 employees(full and/or part-time).* 7. ❑New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. ❑ Remodeling any capacity.[No workers'comp.insurance required.] 3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 ❑Building addition 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 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ROOF repairs These sub-contractors have employees and have workers'comp.insurance.t 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other Solar PV 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. ;Contractors 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:Continental Indemnity/AUW Policy#or Self-ins.Lic.#:37-592871-01-01 Expiration Date:01/01/2022 Job Site Address:21 BATES ST 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 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 hereby ce :r t e5�d penalties of perjury that the information provided above is true and correct. tR ; 10/15/2021 Signatu \ Date: 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#: AC RO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/22/2020 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 Kathy Parker NAME: Webber&Grinnell PHONo,Ext): (413)586-0111 (AIC,No): (413)586-6481 8 North King Street E-MAIL kparker@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 INSURER E Greenfield MA 01301 INSURER F: COVERAGES CERTIFICATE NUMBER: CL20122214681 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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD END POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,DAMAGE T000,000 RETED CLAIMS-MADE X OCCUR PREMISESO(Ea occurrence) $ 300'000 MED EXP(Any one person) $ 15,000 A BKS57072282 01/01/2021 01/01/2022 PERSONAL&ADVINJURY $ 1,000,000 GENTAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- 2,000,000 JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B OWNED 's/ SCHEDULED BAS57072282 01/01/2021 01/01/2022 BODILY INJURY(Per accident) $ AUTOS ONLY /—• AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY (Per accident) Underinsured motorist $ 300,000 OCCUR $X UMBRELLA LIAB URREN 5,000,000 EACH OCCURRENCE A EXCESS LIAB CLAIMS-MADE US057072282 01/01/2021 01/01/2022 AGGREGATE $ 5,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER YIN 1,000,000 C ANY PROPRIETOR/PARTNER/EXECUTIVE N N/A 375928710101 01/01/2021 01/01/2022 E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Business Pers Property $1,820,700 Commercial Property A BKS57072282 01/01/2021 01/01/2022 Installation $25,000 Transportation $75,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached It more space is required) Worker's compensation includes MA and NY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Proof 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 9nV4, ERRSWU00E OF .WI RED TO'T INT CORRECTION a ^ �O 0 0 O SWUM..0 0 0 O r OO O O k��I//�.f ESA usECIPRE SURGE TESLA GATEWAY WIRE UtILITY l I Inrt*n'i �N7 y0� DISCONNECT CAP TROUGH SERVICE I y METER I I "DR'° I PV SQUARED SOLAR _ / �T 311 WELLS STREET.SUITE B IITI/ U 0/' I i i GREENFIELD.MA 01301 TESTA (T O - Cr ID b M WWW.PVSQUARED.COOP — /Pw, I l 413-772-8788 NIGROSH#2 F In TESL.SOUR I a INUMrDFDOHapx STORAGE PRODUCTION CT COUPLING 21 BATES STREET EXISTING PV SYSTEM: Laos I NORTMAMPTON,MA I I Solectria PVI Inverter ono— #i p '-o - BACKED UPLOADS SYSTEM OVERVIEW I 6.21 kW DC I IL J I I I I 5kW AC(STORAGE) 6.5 kW AC 6 i6 O 135 kWh(STORAGE) L J I,AgrFN LOAD UTILITY: National Cold EXISTING EQUIPMENTUT+ + AIM ICODE: 2020 NEC(MA) INSIDE UTILITY SPACE I OUTSIDE-WITHIN I ITOF UTILITY METER I INSIDE-OTIQtt SPACE I OUTSIDE-BUILDING SERVICE I Northampton.Electrical..Roger elo,(13)587-1244, rmakeOnorthamptenlna.9ov Northampton.Building..Kevin Ross. (413)587-1239. kross0northemplonma.gov CONDUCTOR SCHEDULE&CALCULATIONS EQUIPMENT SCHEDULE KEY DESCRIPTION OTY CONDUCTORS CONDUIT CORD(A) TERM(A) REDO(A) OCP LENGTH VDROP% KEY OTY DESCRIPTION DATA/MAKE/MODEL AC-ESS OUTPUT 3 #10-THHNRHWN-290'C(CU) • Testa.AC2PowerwaI5.8kVA.13.5 kWh(The Powerwa0), 1 EGC 1 #1O-THHNRMVN-290°C(CU) 1795--E A2%MT.FIB 40A 35A 2604A 30A 15fl 0.32% A 1 TESU POWERWALI AC 2012170-00-x NEUTRAL I 410-THHN/THWN-2 90'C(CU) SOD.DU322RB,60A.240V,NON-Fusible,NEMA-3R(Outdoor),3P, AC-SERVICE CONDUCTORS(LINE • 8 1 ESS EQUIPMENT DISCONNECT Duty.. SIDE) 2 #4/0-%HHW/UIWN 75'C(AL) T-PVC General Du Disconnect SqD,DU322RB.60A,240V.NON-Fusible.NEMA-3R(Outdoor),3P, 2 EGC 1 BA-XHHWITHIWN 75-C(AL) (SCH40). 180A 180A 166A 200A 15ft 0.25% C 1 ESS.UTILITY ACCESSIBLE.RAPID SHUTDOWN DISCONNECT General Duly,Disconnect 2484%FM • - NEUTRAL I 14110-XHHW/THWN 75°C(AL) D 1 TESTA BACKUP GATEWAY Tech,Backup Energy Gateway 2,200A.120/240V,1232100-00-x AC-SERVICE CONDUCTORS(LOAD 2 p250-XHHWRHWN 75'G(AL) SIDE) 7-PVC E I WIREWAY,TROUGH NEMA 1,WIRE TROUGH,6-46%48' 3 (SCH40). 205A 205A 200A 200A 15h 0.21% EGO 1 84-XHHW/THWN MC(AL) 7244%Fit DELTA,CA302R,1-PHASE,1292011/50 VOLTS.CLASS 2.SURGE NEUTRAL 1 #250-XHHWTTHWN 75°C(AL) F 1 AC SURC#CAPACITOR CAPACITOR INVERTER GRID TRIP SETTINGS INTERCONNECTION CALCULATIONS GENERAL NOTES FREQUENCY&VOLTAGE-Per IEEE1547-2018(2nd.ed.)Category II ITEM VALUE ALL CONDUCTORS TO BE 600V MIN.RATED UNLESS OTHERWISE NOTED. TRIP fUNCTIONS VOLTAGE/ CLEARING POWER PHASE 1Phase INSTALLATION SUBJECT TO AHJ APPROVAL FREQUENCY TIMES NOMINAL GRID VOLTAGE(V) 240 STORAGE SYSTEM CHARGE CAPABILITY: ELECTRICAL OVER VOLTAGE(0V2) 1.2 0.16 ESS MAX AC OUTPUT AMPS(A) 20.83 THE ESS/BATTERY SYSTEM WILL ONLY CHARGE FROM ONSITE SOLAR(GENERATION ONLY) OVER VOLTAGE(0V1) 1.1 2 SINGLE LINE ESS CALCULATED MAX AC OUTPUT CURRENT(-1.25%KA( 26.04 STORAGE SYSTEM DISCHARGE CAPABILITY: UNDER VOLTAGE(W1) 0.88 2 THE ESS/BATTERY SYSTEM WILL DISCHARGE TO(RESTRICTED ELECTRIC GRID OR ONSITE LOADS) UNDER VOLTAGE(lM) 0.5 1.3 ESS OCPD USED(A) 30 DATE: 9/24/2021 MAX RATE OF POWER EXPORT TO THE POCC IS LIMITED BY THE TOTAL INVERTER(S)ON GRID AC RATING OVER FREQUENCY(OV2) 62 0.16 MAIN OCP DISCONNECT(A) 200 BY: MF OVER FREQUENCY(0V1) 61.2 300 'MAIN PANEL BUSS AMPACFTY(A) 200 SCALE: NO SCALE NEC ALLOWABLE BACKFEED AMPS AT 120% SIZE: 1Ix17 UNDER FREQUENCY IUFI) 58.5 300 IAI 40 UNDER FREQUENCY I U F2) 565 0.16 'LOAD SIDE BREAKER INTERCONNECTION IN TESTA GATEWAY(NO LOADS) PV-E1 POWERWALL Tesla Powerwall.is a fully-integrated AC battery system for residential or light commercial use. Its rechargeable lithium-ion T = 5 battery pack provides energy storage for solar self-consumption,_ time-based control, and backup. • Powerwall's.electrical interface provides a simple connection-to .any home or building. Its revolutionary compact design achieves - market-leading energy density and is easy to install, enabling - owners to quickly realize the benefits of reliable, clean power. - • PERFORMANCE SPECIFICATIONS MECHANICAL SPECIFICATIONS AC Voltage(Nominal) 120/240 V Dimensions' 1150 mm x 755 mm x 147 mm (45.3 in x 29.6 in x 5.75 in) Feed-In Type Split Phase Weight' 114 kg(251.3 Ibs) Grid Frequency 60 Hz Mounting options Floor or wall mount Total Energy' 14 kWh 'Dimensions and weight dlffei slightly if manufactured before Hutch 20 Usable Energy' 13.5 kWh Contact Tesia for additional information. 753 Real Power,max continuous' 5 kW(charge and discharge) (29 mm.6 in) ( 7 in) 295.75 in) Real Power,peak(10s,off-grid/backup)' 7 kW(charge and discharge) — Apparent Power,max continuous 5.8 kVA(charge and discharge) Apparent Power,peak(10s,off-grid/backup) 7.2 kVA(charge and discharge) T $ 5 L Maximum Supply Fault Current 10 kA Maximum Output Fault Current 32 A ( Overcurrent Protection Device 30 A 5.1 mm 45.3 in) Imbalance for Split-Phase Loads 100% Power Factor Output Range +/-1.0 adjustable Power Factor Range(full-rated power) +/-0.85 Internal Battery DC Voltage 50 V Round Trip Efficiency" 90% u u Warranty - 10 years ENVIRONMENTAL SPECIFICATIONS '✓elues provided•for 25°C(77'F) 3 3 kW-charge/discharge < Operating Temperature 20°C to 50°C( 4°F to 122°F) lit Backup mode grid Charge power•is limited•to 3.3 kW. 'AC to battery to AC,at beginning of.life.• ' .. • Recommended Temperature 0°C to 30°C(32°F to 86°F) Operating Humidity(RH) Up to 100%.condensing COMPLIANCE INFORMATION Storage Conditions -20°C to 30°C(-4°F to 86°F) Certifications UL 1642,UL 1741,UL 1973, Up to 95%RH,non-condensing UL 9540,IEEE 1547,UN 38.3 State of Energy(SoE):25%initial Grid Connection Worldwide Compatibility Maximum Elevation 3000 m(9843 ft)- Emissions FCC Part 15 Class B,ICES 003 Environment Indoor and outdoor rated Environmental RoHS Directive 2011/65/EU Enclosure Type NEMA 3R Seismic AC156,IEEE 693-2005(high) Ingress Rating IP67(Battery&Power Electronics) IP56(Wiring Compartment) Wet Location Rating Yes Noise Level(w 1m < 40 dBA at 30°C(86°F) ' - - TESLA.CONI/ENERGY TYPICAL SYSTEM LAYOUTS WHOLE HOME BACKUP Optional -pW Solar c--\._] A.lk X o o 00 !_-, Solar inverter Main panel Backup Gateway Utility meter Grid including service disconnect T =5 L ., W�nl Powerwall Whole home backup PARTIAL HOME BACKUP Optional 2f7. Solar __ am 0 0 =....... 1--I d o e m."Aul 0 A-.1. Solar inverter Sub panel Backup Gateway Main panel Utility meter Grid TESL n non Powerwall Backup loads Home loads T F. S L n I .CK'If' 0I I(11.-11 TESLA.COM/ENERGY. ' 0PV SQUARED PV Squared Handbook H E A R T A S O L A R ESS Decommissioning Procedure ESS DECOMMISSIONING This document is to provide guidance for the decommissioning of Energy Storage Systems(ESS) installed and serviced by PV Squared. It reflects best practices at the time of installation.The process and method of decommissioning should be done in accordance with local laws and regulations as well as be updated to reflect best practices at the time of service. WARING: Decommissioning or service of ESS must be performed by qualified personnel. Environmental damage, death or serious injury could result from improper decommissioning. PV Squared Contact Information - For all service needs: PV Squared I www.pvsquared.coop 311 Wells Street, Suite B I Greenfield, MA 01301 Office: 413-772-8788 I Fax:413-772-8668 Tesla Powerwall Contact Information Toll Free: 877 961 7652, Select option 2 https://www,tesla.com/support/energy/powerwall SolarEdge Contact Information T+1.510.498.3200 https://www.solaredge.com/us/service/support DECOMMISSIONING PROCESS • Refer to the manufacturer Installation, Operations, and Maintenance guides for decommissioning procedures. • Contact the ESS product manufacturer for any updated decommissioning guidelines. • Notify local Authorities Having Jurisdiction(AHJ)of decommissioning plan. • Follow all local requirements for permitting and AHJ oversight. • Follow the manufacturer power down and energy discharge instructions. • Complete a decommissioning report and mark the ESS As decommissioned with the following information. o The date of ESS decommissioning o The decommissioning service provider and contact information o The final result of the decommissioning process o Any decommissioning issues and measures taken to resolve those issues o Recycling plan • Provide the decommissioning report to the local AHJ and manufacturer. RECYCLING AND DISPOSAL WARNING: Always recycle batteries in an official recycling center in accordance with local laws and regulations. Contact the local solid waste collection site for local Lithium-Ion Recycling Instructions. Refer to the manufacturer recycling instructions. Contact the manufacturer for updated ESS end of life procedures. For more ESS recycling Information: Battery Council International (BCI) 330 North Wabash Avenue, Suite 2000 I Chicago, Illinois 60611 Phone: +1.312.245.1074 I infoPbatterycouncil.org .https://batterycouncil.org/ Revision 2021-07-15 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 all 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, learner/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 S 60 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 setup 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 5(1U4 J R� 4 tsildh PV Squared Solar I www.pvsquared.coop 11:44.4*, Phone:413-772-8788 I Fax:413-772-8668 311 Wells St.,Ste. B I Greenfield,MA 01301 y�'qT 5�`P MA Elec. Lic.A13764 I MA HIC 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, Maya Fulford Installation Manager