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HomeMy WebLinkAboutBuilding Permit # 9/8/2015 t%ORTFI p BUILDING PERMIT 3? ry` °L TOWN OF NORT-4,ANDOVER ° APPLICATION FOR PLAN EXAMINATION y � e Permit NO: Date Received � °� R6 A CH Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION 30 Amberville Rd Print PROPERTY OWNERCarlos Guzman _ Print MAP NO: lo 7 PARCEL`�1s0-0oo ZONING DISTRICT: Historic District ye no Machine Shop Village y s no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑J New Building ❑ One family I Addition f i Two or more family Industrial X Alteration No. of units: ❑ Commercial CI Repair, replacement Assessory Bldg l Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer Installation of a safe and code compliant,grid tied PV solar system on and existing residential roof. Ise Identification Please Type or Print Clearly) OWNER: Name: Carlos Guzman Phone:7185512173 Address: 30 Amberville Rd. North Andover, MA 01845 CONTRACTOR Name: Skyline Solar LLC Phone: 7323543111 Address: 124 Turnpike St.Ste 10.W. Bridgewater,MA 02379 Supervisor's Construction License: Exp. Date: CS-027047 11(9/15 Home improvement License: Exp. Date: 172284 6/7/16 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. 1 Total Project Cost: $ 41,000 FEE: $$492 Check No.: '7 \'� Y Receipt No.: NOTE: Persons contracting w' i unregistered contractors do not have access to the guaranty fund f�7 Signature of Agent/Owner �' _ Signature of contractor s u nG, EVITY Homeowner's Agent Authorization Form State of Massachusetts Carlos Guzman (print name) am the owner of the property located at address: 30 Amberville Rd North Andover MA 01845 (print address) I hereby authorize Sungevity or its subcontractor to act as my Agent for the limited purpose of applying for and obtaining local building and other permits from the Authority Having Jurisdiction as required for the installation of a PhotoVoltaic System located on my Property. DocuSigned by: Customer Signature: E(O�hs avlmau,cB3CE672CF187405 Date: 71112015 Print Name: Carlos Guzman Sungevity MA Home Improvement Contractors License # 168430 6(v Franklin Stwet, Swito 410 510A96 5500 866,SUNAALL O,Alan(t ("A 94607 (PSA tiIOA96,5501 r/ mommm— �i,/ii/a;;ii//;,�; Inc IRUGURA1.ENGINEERS July 16, 2015 Sungevity 66 Franklin Street 1AF O Oakland, CA 94607 s �(H Mq � TEL: (510)496-5621 PAUL K. ZACHER Subject: Structural Certification for Installation of Solar Panels TRUCTURAL 04 Job Number: 201534970100 Client: Guzman - 1869744 Q,c�G/ST Address: 30 Amberville Rd,North Andover, MA 01845 s ` Attn.: To Whom It May Concern, A field observation of the condition of the existing framing system was performed by an audit team from Sungevity. From the field observation of the property,the existing roof structure was observed as follows: The existing roof structure consists of composition shingles over plywood sheathing that is supported by 2x10 roof rafters at 16"on center all Arrays. The rafters at Arrays 1 &2 are sloped at approximately 33 degrees,while the rafters at Arrays 3 &4 are sloped at approximately 45 degrees. Array 1 rafters have a maximum projected horizontal span of 13'-5", 10'- 7"at Array 2, and 8'-7"at Arrays 3 &4 between load bearing walls. All attached structural calculations are based on these observations and the design criteria listed below: Design Criteria: • Applicable Codes=2009 IBC, ASCE 7-05 and 2005 NDS • Ground Snow Load=55 psf • Roof Dead Load= 10.7 psf(Arrays 1 &2) 12.7 psf(Arrays 3 &4) • Basic Wind Speed= 110 mph Exposure Category C • Solar modules=as indicated in attached drawings. As a result of the completed field observation and design checks: • All Arrays are adequate to support the loading imposed by the installation of solar panels and modules. Therefore, no structural upgrades are required. I certify that the capacity of the structural roof framing that directly supports the additional gravity loading due to the solar panel supports and modules had been reviewed and determined to meet or exceed the requirements in accordance with the 2009 IBC. If you have any questions on the above, do not hesitate to call. Sincerely, Paul Zacher, SE-President 8150 Sierra College Blvd, Suite 150—Roseville,CA 95661 —916.961.3960 p —916.961.3965—www.pzse.com. WPM l STRUGURAIANGINEERS July 16, 2015 Sungevity 66 Franklin Street Oakland, CA 94607 TEL: (510) 496-5621 FAX: Attn.: To Whom It May Concern re: Job 20153497: Guzman- 1869744 The following calculations are for the Structural Engineering Design of the Photovoltaic Panels located at 30 Amberville Rd,North Andover, MA 01845. After review, PZSE, Inc. certifies that the roof structure has sufficient structural capacity for the applied PV loads. If you have any questions on the above, do not hesitate to call. Sincerely, Paul Zacher, SE - President OF �t PAUL K. ZACHER TRUCTURAL No-§0100 �C) IP, GGis-re 4, SS/ONAL E R 6/60/16 8150 Sierra College Boulevard,Suite 150 * Roseville,CA 95661 o 916.961.3960 P 916.961.3965 * www.pzse.corn 1 2 3 4 5 PHOTOVOLTAIC SYSTEM VPV2.0 HEET °�` -- COVER AND SITE PLAN SYSTEM SIZE: GENERAL NOTES ARRAY 1 LAYOUT AC/DC kW STC: 10.008kW\11.5kWSALEM TPKE ARRAY 2,3&4 LAYOUT LINE DIAGRAM AEQUIPMENT: LABELS A PV MODULES: (46)Hyundai HIS-M250RG(BK) KEY: INVERTER(S): (2)SolarEdge SE5000A-US ---- PROPERTY LINE ®u SUBPANEL --- CONOUITRUN QOC DISCONNECT SCOPE OF WORK: # DRIVEWAY O AC DISCONNECT # FENCE SOLARMODUL€ ®©i,IUNCTION BOX INSTALLATION OF A SAFE AND CODE-COMPLIANT MAIN SERVICE PANEL El MONITORING UNIT GRID-TIED SOLAR PV SYSTEM ON AN EXISTING ? ❑a UTILITY METER I]COMBINER BOX RESIDENTIAL ROOF TOP. - E3 PV METER ❑ROOF OBSTRUCTION €` Q INVERTER CONDUIT RUN APPLICABLE CODES: INSIDE ATTIC 2014 NEC 2009 INTERNATIONAL CODES WITH MA i CSO AMENDMENTS CONTRACTOR INFORMATION: B i CONDUIT RUN BOSTON SOLAR WOBURN B ' INSIDE ATTIC 55 SIXTH ROAD r WOBURN,MA 01801 ROOF 1 f i� ROOF 2 JURISDICTIONAL INFORMATION: ARRAY 1 ARRAY 2 � NORTH ANDOVER,TOWN OF - - ' 1600 OSGOOD ST. ROOF 4 �� '� � NORTH ANDOVER,MA 01845 ARRAY 4 1 ' CONDUIT RUN ON NOTES TO INSTALLER: EXTERIOR WALL OC RUN;CONDUIT RUN FROM ARRAYS,ROOF MOUNTED J BETWEEN ARRAY 3 AND ARRAY 4 THEN ATTIC MOUNTED:OUT fJ , AND ON EXTERIOR WALL TO BOS, Z Z AC RUN;CONDUIT RUN FROM BOB ON EXTERIOR WALL TO(E) Jm MSP. CONDUIT RUN = POC;BREAKERS IN(N)PV DEDICATED SUB PANEL. ON ROOF FOR INSTALLER USE ONLY ROOF3 POST INSTALL SUNEYES REQUIRED? YES ARRAY 3 I CERTIFY THAT NO CHANGES HAVE BEEN MADE TO THE ARRAY LAYOUT: C C AMBERVILLE RD CONDUIT RUN CUSTOMER INFORMATION: INSIDE ATTIC CARLOS GUZMAN 30 AMBERVILLE RD F NORTH MA SITE PLAN N (7118)51-211703/#1869744845 DRIVEWAY SCALE: N.T.S. DESIGNED BY: V#: DATE: TM 10 07/16/15 Pv_0.0 suNcevcYluc.uz sr,Aws�w ar suRe a,o oA.urm,cAamT erNne�<omeaw,w,z�muoc.u,�nlM,e��oa.,omo,�s�twr+lcusTousas.ec,uru,�- T«essow•wlnos.srcewmanons.ao oeslons nRcrrrc axovemv of svnoemwe.NOPnrsi sunueE coweo 04 usEo roN onwlrx nNr oTUE1woN1e.wcRTuu,rue11e1111 vao,ecrvea wwcn Tier N­aEENOEveLOPco wRrwurouNvmirrsN coN­ 1 1 2 1 3 4 5 GENERAL NOTES. ELECTRICAL NOTES: GENERAL NOTES: El.ALL EQUIPMENT IS LISTED FOR USE. Nl.DRAWINGS ARE DIAGRAMMATIC ONLY.THE LOCATION AND ROUTING OF E2.MAXIMUM VOLTAGE DOES NOT EXCEED 600VDC. RACEWAYS SHALL BE DETERMINED BY THE CONTRACTOR UNLESS OTHERWISE E3.ANY EQUIPMENT OR ELECTRICAL MATERIALS USED FOR THIS INSTALLATION SHALL BE NOTED OR STANDARDIZED. NEW AND LISTED BY A RECOGNIZED ELECTRICAL TESTING LABORATORY. N2.ALL EQUATIONS ACCOUNT FOR WORST CASE CONDITIONS. E4.AN INVERTER IN AN INTERACTIVE SOLAR PV SYSTEM SHALL AUTOMATICALLY A N3.IF A DISCREPANCY IN QUANTITY OR SIZE OF CONDUIT,WIRE,EQUIPMENT DE-ENERGIZE ITS OUTPUTTO THE CONNECTED ELECTRICAL PRODUCTION AND A DEVICES,OVERCURRENT PROTECTION,GROUNDING SYSTEMS,ETC.(ALL DISTRIBUTION NETWORK UPON LOSS OF VOLTAGE IN THAT SYSTEM AND SHALL REMAIN EQUIPMENT AND MATERIALS)THE CONTRACTOR SHALL BE RESPONSIBLE FOR IN THAT STATE UNTIL THE ELECTRICAL PRODUCTION AND DISTRIBUTION NETWORK PROVIDING AND INSTALLING ALL MATERIALS AND SERVICES REQUIRED BY THE VOLTAGE HAS BEEN RESTORED. STRICTEST CONDITIONS IN THE SPECIFICATIONS OR NOTED ON THE PLANS TO E5.ALL PV ARRAYS SHALL BE EQUIPPED WITH DC GROUND FAULT PROTECTION. ENSURE COMPLETE COMPLIANCE WITH ALL CODES AND TO ENSURE THE E6.ANY AC COMPONENT SHALL MEET OR EXCEED THE AVAILABLE FAULT CURRENT LONGEVITY AND SAFETY OF THE OPERABLE SYSTEM. CALCULATED AT THAT COMPONENT. N4.ALL OUTDOOR EQUIPMENT SHALL BE MIN.NEMA 311 RATED. E7.ALL MODULES AND ANY RELATED ROOF MOUNTED METALLIC EQUIPMENT SHALL BE N5.METAL CONDUIT AND ENCLOSURES SHALL BE USED WHERE PV SOURCE OR PROPERLY GROUNDED. OUTPUT CIRCUITS ARE RUN INSIDE A BUILDING. E8.DC EQUIPMENT SHALL BE 60OVDC RATED MINIMUM. N6.MODULES SHALL NOT BE PLACED OVER ANY PLUMBING VENTS AND AT LEAST E9.MARKINGS SHALL BE PROVIDED TO INDICATE THAT ALL CONTACTS OF THE 6"ABOVE FLUSH VENTS. DISCONNECT EQUIPMENT MIGHT BE ENERGIZED. N7.THE ELECTRICAL CONTRACTOR SHALL COMPLY WITH ANY AND ALL E10.CONDUIT RUNS SHALL BE PROVIDED WITH SUFFICIENT WEATHERPROOF PULL BOXES REQUIREMENTS GIVEN BY UTILITY COMPANIES. OR JUNCTION BOXES/COMBINER BOXES PER APPROPRIATE JURISDICTIONAL N8.FOR ADDITIONAL EQUIPMENT SPECIFICATIONS,SEE PROVIDED CUT SHEETS. REQUIREMENTS. N9.ALL LABELS AND MARKINGS SHALL BE ATTACHED ACCORDING TO Ell.FOR ANY UNGROUNDED PV SYSTEM,A LABEL READING: B REQUIREMENTS BY NEC AND THE LOCAL AHJ.THE AHJ MAY HAVE SPECIAL LABEL B REQUIREMENTS BEYOND THE SCOPE OF THIS DOCUMENT.THIS MAY ENCOMPASS "WARNING-ELECTRICAL SHOCK HAZARD.THE DC CONDUCTORS OF THIS PHOTOVOLTAIC LANGUAGE INCLUDING,BUT NOT LIMITED TO,THAT FOUND IN NEC ARTICLES SYSTEM ARE UNGROUNDED AND MAY BE ENERGIZED." 690.5(C),690.14(C)(2),690.17,690.53,690.35(F),690.54,690.64(B)(7)and SHALL BE PLACED AT EACH JUNCTION BOX,COMBINER BOX,DISCONNECT AND DEVICE 705.10 WHERE ENERGIZED,UNGROUNDED CIRCUITS MAY BE EXPOSED DURING SERVICE. N10.INSTALLER TO FOLLOW ALL LOCAL JURISDICTION GUIDELINES. E12.INVERTER(S)SHALL CONTAIN A GROUND FAULT DETECTION AND INTERRUPTION Nll.ALL NEC REFERENCES SHALL BE DIRECTLY INTERCHANGEABLE WITH CEC DEVICE. REFERENCES. E13.ALL METALLIC RACEWAYS AND EQUIPMENTSHALL BE BONDED AND ELECTRICALLY N12.IT IS ILLEGAL FOR ANYONE UNLESS ACTING UNDER THE DIRECTION OF A CONTINUOUS. LICENSED PROFFESIONAL ENGINEER OR REGISTERED ARCHITECT TO ALTER ANY E14.THE POINT OF CONNECTION COMPLIES WITH APPLICABLE CEC/NEC. ITEMS ON THIS PLAN. E15.BACKFED SOLAR BREAKER(S)SHALL BE INSTALLED AT THE OPPOSITE END OF THE N13.THE ENGINEER HAS NOT BEEN RETAINED FOR JOB SUPERVISION. CIRCUIT OR FURTHESTAWAY FROM THE MAIN BREAKER. E16.ALL WIRE,VOLTAGES,AMPERAGES AND EQUIPMENT IS SIZED ACCORDING TO STRUCTURAL NOTES: TEMPERATURE DERATING AND LOCATION. Sl.MOUNTS ARE DIAGRAMMATIC AND EXACT LOCATION MAY CHANGE,BUT E17.ONLY COPPER(CU)CONDUCTORS SHALL BE USED.CONDUCTORS SHALL BE SHALL BE ACCURATELY SPACED. STRANDED OR SOLID WITH PROPERLY RATED CONNECTORS. C C S2.MOUNTS SHALL BE STAGGERED WHEN NECESSARYTO EVENLY DISTRIBUTE E18.DISCONNECT SHALL BE WIRED SO NO BLADES ARE ENERGIZED LOAD AMONGST RAFTERS. E19.ALL MODULES AND RACKING SHALL BE GROUNDED VIA IRON RIDGE RAIL INTEGRATED CUSTOMER INFORMATION: S3.DO NOT SPLICE RAILS IN MIDDLE 50%OF SPAN BETWEEN TWO MOUNTS. GROUNDING(PLEASE SEE DATA SHEET)OR WITH TIN PLATED DIRECT BURIAL RATED LAY IN CARLOS GUZMAN LUGS USING STAINLESS STEEL HARDWARE,STAR WASHERS,AND THREAD FORMING BOLTS 30 AMBERVILLE RD OR WEESS. NORTH ANDOVER,MA 01845 E20.ALL EQUIPMENT SHALL BE GROUNDED,INCLUDING BONDING JUMPERS WHERE (718)551-21731#1869744 NECESSARY ACROSS RAIL SPLICE PLATES TO BOND INDIVIDUAL PIECES OF RAIL. DESIGNED BY: REV#: DATE: PV-1.0 TM 1 0 1071161151 2 3 4 5 SYMBOL KEY: MODULE SPECIFICATIONS 1 01 (46)Hyundai HIS-M25ORG(BK) MOUNT V-2" MODULE��ElaHT: 37.9 RAIL 33'-1" MODULE LENGTH. 1 64.57 RAFTERS MODULE WIDTH: 39.29 ROOF ROOF I SPECS RAFTER SIZE: 10 NOMINAL SETBACK A EA _N RAPER NtAkG: 16" COMPOSITE SHIN SOLAR MODULE .......... ............ ROOF MATERIAL LE (D.--•......Q STRING CONFIG. ARRAY I SPECS: A SKYLIGHT NUMBER OF MODULES: 24 TOTAL MOD.WEIGHT(Ibl): 909.6 A CHIMNEY t -RACKING WEIGHT(1b.): 173.5 PLUMBING OR ARRAY WEIGHT(Ibs): 1083.1 ATTIC VENT ARRAY AREA(.qft): 422.8 ARRAY DEAD LOAD(1blflqft): 2.6 0 ATTIC VENT NUMBER OF MOUNTS: 52 LOAD PER MOUNT(Ibs): 20.8 ARRAYAZIMUTH(") 207 ARRAY TILT(-) 33 NUMBER OF FLOORS 2 ROOF ARMY 1 _j ARRAY 1 LAYOUT B B SOLAR MODULEpFSo PAUL K. ZACHER IRONRIDGEXR`10 -STRUCTURAL ti 01000 L-FOOT— ST QMSE-LAG SHINGLE C C COMPOSITE SHINGLE 5"X 5/16"-LAG CUSTOMER INFORMATION: 2.5"MIN.EMBEDMENT PER------I SCREW CARLOS GUZMAN 2X10 NOMINAL,16 O.C. 30 AMBERVILLE RD NORTH ANDOVER,MA 01845 (718)551-2173/#1869744 AMOUNTING DETAIL L SCALE: NTS DESIGNED BY:IREV#'l DATE: PV-2.0 I TM 1 0 107/16/15 -.01 ......111—... A,—,- —E D—Ill,11—CA11111,All—1—All-1 1 2 3 4 5 MODULE SPECIFICATIONS SYMBOL KEY: (46)Hyundai HIS-M250RG(BK) MOUNT MODULE WEIGHT: 37.9 RAIL 2-3 1 MODULE LENGTH: 64.57 —— _ RAFTERS 16,-6" MODULE WIDTH: 39.29 ROOF 2 SPECS ROOF RAFTER SIZE: 2X10 NOMINAL —SETBACK RAFTER SPAN: t0'-7" • RAFTER SPACING: 76" SOLAR MODULE ROOF MATERIAL: COMPOSITE SHINGLE O- -< ----OSTRINGCONFIG. �° .. ARRAY2SPECS A ® SKYLIGHT NUMBER OF MODULES: 10 A _ TOTAL MOD.WEIGHT(Ibs): 379 ® CHIMNEY RACKING WEIGHT(ft): 70.6 ARRAY WEIGHT(Ib.): 449.6 e PLUMBING OR o - ARRAY AREA(sgft): 176.2 ATTIC VENT ATTIC VENT ' — <-� ARRAY DEAD LOAD(Ibsj qft): 2.6 s !INUMBER OF MOUNTS: 20 1 3 LOAD PER MOUNT(Ibs): 22.5 ARRAYAZIMUTH(") 207 - - ARRAY TILT(") 33 NUMBER OF FLOORS 2 ROOF SPECS RAFTER SIZE: 2X10 NOMINAL N _ ROOF 2 - ARRAY 2 ( _ RAFTER SPAN: S 7" RAFTER SPACING: 16" ROOF MATERIAL: COMPOSITE SHINGLE ARRAY 3SPECS NUMBER OF MODULES: 8 TOTAL RRAY 2 LAYOUT 1-0" RACKING EIGHTWEIGHT(16s): 30. 3.2 1 RACKING WEIGHT(Ibsj: 58.6 SCALE:3/16"=1'-Q" ARRAY WEIGHT(Ibsj: 361.8 ARRAY AREA(sgft): 140.9 ARRAY DEAD LOAD(ibstsgft): 2.6 NUMBER OF MOUNTS: 18 LOAD PER MOUNT(Ibs): 20.1 ARRAY AZIMUTH(") 117 B ARRAY TILT(") 45 B 10" 10" 1NUMBER OF FLOORS 1 ROOF 4 SPECS 13'-3" 7`-4" W-7" RAFTER SIZE: 2X10 NOMINAL RAFTER SPAN: 8 T' ` SPACING ROOF MATERIAL: I COMPOSITE LE —}— _ ARRAY 4 SPECS io g �p NUMBER OF MODULES: 4 c ..... TOTAL MOD ..... ... _. .... ... .WEIGH 71 (1 1516 [g T bsJ: RACKING WEIGHT(ft): 32.8 CONTINUE TO CONTINUE FROM -�-" ! ARRAY WEIGHTIbs) 184.4 ROOF 4 ARRAY 4 ROOF 3 ARRAY 3 o (W*ARRAY AREA( 70.5 ARRAY DEAD LOAD(Ibs/sgft): 2.6 NUMBER OF MOUNTS:LOAD PER MOUNT(bs): 154 - ..; ARRAY AZIMUTH(") 297 ARRAY TILT(') i 45 NUMBER OF FLOORS I 1 K ROOF3 ARRAY3 w N I 1•�^ ROOF 4 ARRAY 4� _ CC r,-ARRAY 4 LAYOUT CUSTOMER INFORMATION: SCALE:3/16"=1'-0" BRAY 3 LAYOUT 1� �OF�4 CARLOS 30 AMBER ILLIE RD 2 SCALE:3116"=V-0" PAUL K. NORTH ANDOVER,MA 01845 I C TRUCTURURAL (718)551-2173/#1869744 _ m 100 �FGIST Eati ` DESIGNED BY: REV#: DATE: A PV-2.1 TM 0 07/16(15 su.cem�.e"avwwa�"s.su�res�oo...urvo,ca wool er«roe.sow"mnw,.I"®�"".e�uKa�mm.�kmo.,.,"neo m ico IwosroueAs ccub,,," .Hese ow.wises.sPcaFiunona�+o ocs�eru ar.e,rre vMoesaTvov suHomnixc.so Pnrn s«a«ee cameo as vseo vaa oaw�.x�ro»anwanaomsnnunmesveemomo+smFOHwwcH rxev H.vEe�oeaioreo wn�rou.00nwAi.reH coNsex, 1 2 3 4 5 ELECTRICAL KEY: MODULE ELECTRICAL SPECIFICATIONS (46)Hyundai HIS-M25ORG(SK) BREAKER SHORT CIRCUIT CURRENT(Isc): 8.7 �— SWITCH OPEN CIRCUIT VOLTAGE IV-): 37.4 El SCREW TERMINAL OPERATING CURRENT(IMP): 8.1 En FUSE OPERATING VOLTAGE(VMP): 30.9 0 SPLICE MAX SERIES FUSE RATING: 15 'w EARTH GROUND NOTE:#8 GROUNDING CONDUCTOR USED FOR DC GEC&AC EGC PER ARTICLE 690.47 STC RATING: 250 PTC RATING: 222 m CHASSIS GROUND DESIGN CONDITIONS ——GEC HIGHEST 2%DB DESIGN TEMP("C): 32 EGG MIN.MEAN EXTREME ANNUAL DB("C): -18 A NVERTER 1 SPECIFICATIONS A 200A MAIN BREAKER SOLAREDGE Si RATED WATTS(EACH): 5000 (3)#6 THWN-2 (3)#6 THWN-2 AC OPERATING VOLTAGE(V): 240 (8)#10 PV-Wire (8)#10 THWN-2 (1)#B GEC (1)#B GEC 1 #10 EGC 1)#10 EGC (3)#10 THWN-2 AC OPERATING CURRENT(A): 21 O ( 3/4"EMT 3/4"EMT FREE AIR 3/4"EMT (1)#8 GEC NUMBER OF MPPT CHANNELS 0 3/4"EMT METER INVERTER EFFICIENCY: 0.98 (N)MIN.60AAC Combiner INTEGRATED OC DISCONNECT SUB PANEL (E)LOADS 'INVERTER 11NPUTSPEOFICATIONS (N)SE5000A-US NOMINAL CURRENT PER STRING(In—): 7.9,8.6 INVERTER W/INTEGRATED (E)LOADS NOMINAL VOLTAGE(Vnom): iso DC DISCONNECTS (E)225A MSP MAX SYSTEM VOLTAGE(Vmax): Soo ——————— _ 240V 2P 3-W 14• MAX CURRENT PER STRING(Imax): 15 1 STRING OF + -AC 30A 2P LOCUS 60A 2P MAX INPUT CIRCUIT CURRENT(Imax): 3o MODULES METER MOPT.lCIURRENT=7.86A DC« OUTPUT INVERTER]E SE5CATIONS ——————— ______ SOLAREDGE SESOOOA-US ------ F& ______ _____ _ _ __ 1 STRING OF RATED WATTS EACH): 5000 12 MODULES + AC OPERATING VOLTAGE(V): 240 OPT.CURRENT=8.57A INVERTER AC OPERATING CURRENT(A): 21 ——————— NUMBER OF MPPT CHANNELS INVERTER EFFICIENCY: 0.98 INTEGRATED OC DISCONNECT (3)#10 THWN-2 GEC IRREVERSIBLY SPLICED TO INVERTER 2 INPUT SPECIFICATIONS (1)#8 GEC EXISTING DEC OR BONDED DIRECTLY NOMINAL CURRENT IE R STRING(in—): 7.1,9 3 3/4"EMT TO EXISTING GROUNDING ELECTRODE NOMINAL VOLTAGE(VIT 350 B MAX SYSTEM VOLTAGE(Vmax): soo B MAX CURRENT PER STRING([max): 15 (N)SE5000A-US MAX INPUT CIRCUIT CURRENT(Imax): INVERTER W/INTEGRATED DC DISCONNECTS -1 i-Tli-Nd-0F + -AC 30A 2P 10 MODULES OPT.CURRENT=7.14A I I DC OUTPUT 1 STRING OF + 13 MODULES OPT.CURRENT=9.29A INVERTER MIN.NEMA3R UL LISTED JUNCTION BOX WITH 90°C TERMINAL RATINGS LOCATED ON ROOF C C inom=(13 x 25OW)/350V=9.3A CONDUIT ELEVATION:1/2 TO 3-1/2"=22'C 46 MODULES TOTAL OPERATING VOLTAGE=35OVDC(REGULATED) HIGH AMBIENT TEMPERATURE:32°C 46 x 222(PTC WATTS)x 0.98=10008 CEC WATTS CUSTOMER INFORMATION: EXTREME LOW:-18"C CARLOS GUZMAN 225 x 1.2=270 ROOFTOP AMBIENT TEMP(Tcorr):54°C=0.76 SE5000A-US MAX OUTPUT CURRENT=21A 270-200(MCB)=70A CONDUIT FILL(Cfill):0.7 BREAKER SIZE=21 A x 1.25=26.25A=>30A 30 AMBERVILLE RD MAX ALLOWABLE AC PV BREAKER=70A SE5000A-US MAX OUTPUT CURRENT=21A NORTH ANDOVER,MA 01845 CONTINUOUS USE=Imax'1.25=15A BREAKER SIZE=21A x 1.25=26.25A=>30A (718)551-2173/#1869744 CONDITIONS OF USE=Imax/Tcorr/Cfili =15A/0.76/0.7=28.20A CONDUCTOR SIZE FOR 28.20A DESIGNED BY: REV#: DATE: INSTALLATION SHALL USE MIN.#10 AWG07/16/15 PV-3.0 TM 0 suNOe�m INe.�R FRANHUN..*rune S,o OAxuNO.cA waRT Rv. n"�.."Om,anlalcu,m, cru.,A�mAan:„o,.,,°°oao"Icoalwus.omcxs-cc".�"- 1-17 oaawiaas.saenFICnnoHs III oESlens ARE TIE PROl—OF SUll—THE 10 PAST SHALL eecovieo 11 useo FOR OR WITH HIEN o,HSR—OTHER TM.n THE SPECIFIC F—EIT 101 ITHLIH rr—REIN WITHourouaw 1CONSENT 1 2 3 4 5 NEC 690.5(c) NEC 690.31(E)3&4;2012 IFC 605.11.1 INTERACTIVE PHOTOVOLTAIC POWER SOURCE PLACE THIS LABEL ON INVERTER(S)OR NEAR PLACE ON ALL JUNCTION BOXES,EXPOSED GROUND-FAULT INDICATOR(ON INVERTER(S)U.O.N.) RACEWAYS EVERY 10'AND V FROM BENDS RATED AC OUTPUT CURRENT(A): 42 AND PENETRATIONS,ADJACENT TO THE NOMINAL OPERATING AC VOLTAGE(V): 240 rCONDUCTORS MAIN SERVICE DISCONNECT 1; IINVERTER I DC DISCONNECT PHOTOVOLTAIC SYSTEM DISCONNECT RATED MAX POWER POINT CURRENT(Imp): 16.4 A ELECTRIC SHORATED MAX POWER POINT VOLTAGE(Vmp): 350 A IF A GROUND FAULPHOTOVOLTAIC POWERNORMALLY GROUNDMAX SYSTEM VOLTAGE(Voc): 500 MAY BE UNGROUNDED AND ENERGIZED SOURCE SHORT CIRCUIT CURRENT(Isc): 10.9 NEC 690.17(E) NEC 690.35(F) INVERTER 2 DC DISCONNECT PLACE THIS LABEL ON ALL DISCONNECTING PLACE THIS LABEL AT EACH JUNCTION BOX,COMBINER BOX, MEANS WHERE ENERGIZED IN AN OPEN POSITION DISCONNECT AND DEVICE WHERE ENERGIZED,UNGROUNDED PHOTOVOLTAIC SYSTEM DISCONNECT CIRCUITS MAY BE EXPOSED DURING SERVICE: RATED MAX POWER POINT CURRENT(Imp): 16.4 RATED MAX POWER POINT VOLTAGE(Vmp): 350 MAX SYSTEM VOLTAGE(Voc): 500 rELECTRIC SHOCK HAZARD SHORT CIRCUIT CURRENT(Isc): 10.9 NOT TOUCH TERMINALS rPHOTOVOLTAIC C SHOCK HAZARD LS ON BOTH THE LINE AND LOAD ONDUCTORS OF THIS AY BE ENERGIZED IN THE OPEN SYSTEM ARE UNGROUNDED POSITION I AND MAY BE ENERGIZED NEC 705.12(D)(2)(b) NEC 705.12(D)(2)(c) PLACE THIS LABEL AT P.O.C.TO SERVICE B DISTRIBUTION EQUIPMENT(I.E.MAIN PANEL(AND PLACE LABEL ON ALL EQUIPMENT CONTAINING B SUBPANEL IF APPLICABLE)) OVERCURRENT DEVICES IN CIRCUITS SUPPLYING POWER NOTE: TO A BUSBAR OR CONDUCTORS SUPPLIED FROM MULTIPLE OUTSIDE LABELING OF SYSTEM COMPONENTS AND METERS IS TO BE DONE IN A WAY SOURCES. SUITABLE FOR THE ENVIRONMENT IN WHICH THE EQUIPMENT IS INSTALLED.NO STICKERS ARE PERMITTED. INVERTER OUTPUT CONNECTION almuffim DO NOT RELOCATE THIS OVERCURRENT DEVICE NEC 705.12(D)(3) THIS EQUIPMENT FED BY MULTIPLE POWER PLACE LABEL ON ALL EQUIPMENT CONTAINING SOURCES.TOTAL RATING OF ALL OVERCURRENT DEVICES,EXCLUDING MAIN SUPPLY OVERCURRENT DEVICES IN CIRCUITS SUPPLYING POWER OVERCURRENT DEVICE,SHALL NOT EXCEED TO A BUSBAR OR CONDUCTORS SUPPLIED FROM MULTIPLE AMPACITY OF BUSBAR SOURCES. p �'/'�w. ® NEC DISC(c) j[�] (�,j��\�1� PLACE ON RAPID SHUT DOWN DISCONNECT WHEN RAPID SHUT DOWN IS INSTALLED CONTAINS MULTIPLE POWER } C SOURCES # I CUSTOMER INFORMATION: CARLOS GUZMAN 30 AMBERVILLE RD NORTH ANDOVER,MA 01845 (718)551-2173/#1869744 DESIGNED BY: REV#: DATE: - PV-4.0 TM 1 0 07/16/15 aS.—lxe.IR—FUR ST SOTS a,ao.xuxo.cA a.ao, e,-«M��rsobsa�n.,e,�o,„m.c:,.,,,,AMa.�k.,o�.,on,o,��,imx,�co:roxexs mo,a,.,,�- .«es€ow.v+u cs.soceciSAII—,u,v ocsiexs nx€, raovcxrror rsoxeelmr 111.11 PaxT sx 1IESERI€o 11 USED FOR oxw,.xA.n mx€x woxxoTx€av OET FOR w,nex axer x IFER1 e€oa€ow 101 OUR WUU7EN coxsens Poly-crystalline Type I VIN 1011 RON,, H R M I R -W� R' Nomlalemput(PhIpp) w 245 250 2ss "plu'a"atpon"Whapp) v 301 30-9 319 cu—mrstParrellappo A ale 9.1 82 Himmial Heavy Industries was founded in 1972 ands a Femme 500 company.The company employs more than 48,000 people,and has a global Opt.d—lavolftaa.taacl v 313 aA 3ye leading 7 business divisions with sales of 51.3 Billion USO In 2013.A,one of our core businesses of the company,Hyundai Healey Industries is Short III eaftereen III0 ri ss 8.7 committed to develop and Invest heavily In the nold of renewable energy.Hyundai S1111 is the largest and the longest surmhog PV cell and Output'Umme, modulem nufacturrormS.Uth K,w.Whav,60OMW,fmodul,p,.duei.nmpatity,ndpmvidehigh-quality,ol,rPVp,,duttSI.m,,ethah or, 501 nes ,00""u"m is worldwide.We 5t—to chime one of the most fn,,nt per module,by establishing on R&D tab...may and investing toll ypI than 20 Million USD on innovative technologies. —al-fli-my lampeome-oaffird-OF'r,pe —3 TrmpetetarM le,t,fV., IN -2 -032 cm T—rsn— fifid.m.fle, 11K 2,248 tun's a,— Blac -k BPolycrystallineType Black-Black S-M-24SRG(BK)I HIS-M25ORG(SK)I HiS-M25SRG(SK) Win,-crystalline Type Mono-aystallineType RG-Series HIS-S255RG(RK)I HiS-S266RG(BK)I HIS-5265RG(SK) Nominal output prapip) w 255 2. 26S "Arah"Irearox(enipp, a a. 31.1 313 C"am—Pat"(ftapp) A V 8A a. 998 rare(3919')(W)X 1,640 mm(6457')(U X 35 mm 038')(H) 0,wachext-tagefto v 3183>5' 3636.1 Approx.17.2 Ing(37.9 111 Short cl—R—mes(;III A B. I, le 60c0fsm,enes(6xI0 matrix)(Hyundai cell,Made In Korea) cano'olk-ho, N—feethlic.a—r-, P. WhIenar 4 an'(I—G)colle,with ,I,,i,,d weatham—l-rinect— C.11" 1-aa-y.111mxillean I in IEC confied(UL fisted),Length 1.0 in(39.4') Q Mixl,aaffiderxy I Is. "I P68,weatherproof IEC carifirad(LL ifiard) Torrue.—opeffim,arfl'imp WK —s 'eAs 3 bypass diodes to prevent p—,decrease by partial shade Tiarpe,—I.Ifident.fV- sWK -0.36 033 033 erewrean—firclemolVK fiAn .'r32 Iran . 1— m 1:High ospilssln 10-1 an W.P.-gl..1in1 m 10.11 T Emaipsu�nt:EVA Back Shreer:Weatherproof film(Black color) .... .......... . ...... ............ "0 Clearanodfied aluminum alloytype 6063(Black color) Module Diagram IN Curves ,IEC612IS(Ed.2) dIEC61730byVI)E IS el UL�huni OU L 1703).Cl...C Fire Rating Out put 12000 ..........c'X •11.1..12000 and 11.1�100 1�2004 Certified •Advanced Mechanical Test(8,000 Pal passed OEC 61215) Mechanical Load To,,(40 fil/ft)Passed WU •Ammonia C.,.oi.a Re,ist—h Test passed \\ \� _) aeA L ,.u<"» •iEC 61701(Salt Mra C.......n T—)P....d \\ \\ I ice. d i •D red IEC(UL)certready( connectionconnectorsed and weatherproof connectors •Integrated bypass diodes \\ \\ - nom.- •I st year.97% \ \\ Installation Safety Guide 4 •After 2nd year:07%narmId gradation Onlyq,alificd pe—mool,houlderoul or perform maintenance. a—C 80.2%far 25y ars Please refe,1,the Hy near Limited Warrant,far me,, Be a—m of dangerous high DC.Iraq.. DCl.QWVuE I • DC—VWW Do damage —,,h the......face of the m.d.1r,. ISA .. —1y Do not handle or Install module,wheo theya .......n, ot. hit ppb CE.E.® 'esrsuc Til N AHYUNDAI y.nasiu1dq,7%`nIU.k-J.q.-, Sr..ITI—�ie,— T,,1­82-2-177422.7- _ HEAVY INDIUMIES HEAVY INDUSMIES "p-. AHYUNDAI AHYUNDAI CERTIFICATE OF COMPLIANCE Certificate Number 20141021-E325005 Appendix)Module Installation Instruction{HIS-M—RF.His-M—RG.HIS-S—RF.HIS-S—RG) Report Reference E325005-20131209 The installation methods which are described in Hyundai Heavy Industries installation Manual are Issue Date 2014-OCTOBER-21 covered by 2,400Pa Warranty. Method 2400 Pa 5400 Pa Issued to: HYUNDAI HEAVY INDUSTRIES CO LTD 1-5 DAEJANG-RI SOI-MYEON T 1 EUMSEONG-GUN Bolting Long Bar CHUNGCHEONGBUK-DO 369-872 KOREA 1 1 1 t This is to certify that PHOTOVOLTAIC MODULES AND PANELS 1 7 representative samples of "HiS-SxxxRF,HiS-MxxxRF,HiS-SxxxRG and HiS-MxxxRG Series with specific construction described in installation instructions compliant to Photovoltaic Module Fire U4 , Performance Type l" ±igOmm Have been investigated by UL in accordance with the 1-12 Standard(s)indicated on this Certificate. Long Bar Clamping Standard(s)for Safety: UL 1703"Standard for Safety for Flat-Plate Photovoltaic Modules and Panels", []:Camping area Lj ULC ORD/C1703-01"Flat-Plate Photovoltaic Modules and ❑:Additional Panels", support bar Clamping Area sL/4 ) area 4'8 L(4 Additional Information: See the UL Online Certifications Directory at ❑:Additional L �A%ivvv.ul.comtdatabase for additional information Clamping area for slipping U8:5Clamping area 5L14 snow ±100mm Only those products bearing the UL Certification Mark should be considered as being covered by UL's Certification and Follow-Up Service. L1? S/4_. Si4_ l Look for the UL Certification Mark on the product. I Short Bar � S i S 1, lip I Clamping Area 5514 L SIBS Clamping Area 5S/4 Note 1)The certified mounting method is bolting method by TUV Rheinland. 2)The Mounting method has been qualified by Hyundai Heavy Industries,and the mechanical load tests are based on IEC61215 ed.2. a,.nmin.uc mu UL sales Office Page 15 of 15 Factory 12th Fl.,Hyundai Bldg., 313,Salto,Soi-myeon,Eumseong-gun, Page 1 of 1 75,Yulgok-ro,Jangno-gu. Chungcheongbukl.363872.Karo. Seoul 110-793,Korea solar g Single Phase Inverters for North America solar. H3-'00A-U,160004US - 11- '......sExeaaau<_ s€3saan-us......sEsuceA-us..sE6e00xus'-.s€save-us'.setoaaaa-us'....seixanoa-us'. -- — -- auTauT .—.__- SolarEdge Single Phase Inverters i,pu �c - _, t �. _, For North America J H �tuC7U A_3. a 0tI U5'SE;R,OAUS t,E5000A {:S 11 SE6000="t-JS V - 25 \ \\\ \\ Wattu� \\�\ \\ CI - s 1, n3 C 211. pp- -40 y y:' VA ou _- \ \\\ w_ e ZZ' r 1 - ;- s�s a aU ADDITIONAL EATJAES \_ AM 1 1 1 t . .� STANDARD COMRL 1i' 'ILE. >_ INSTALLATION SPEC tf KAT13NS t 12.'r= The;best choice for SolarEdge enabled systems Integrated arc fault pretemor,RIPe ii for NEC-2GU 690,11 compleine ..rte= ...ti_r..r�,i.. 1,-:--- Superior .r..,;u,Superior ernteney(8%) g Sna l 1 @henoelght and eas,to instal,on.pros Ded brack=i. :: „ .0 t ".a., ....... ... .......... Built-in r.odule-levet rnoaft rin a Interne.-..0nn^-Conn throuPh.Ethernet net or Wirees g'Outdo-and ir,ocrinS`v9 ia�fl a Fixed voltage inverter.DC/AC conversion n^iv pre-assemBled Safety Switch for aster installation u6ilCna0 —en-sfatls aa'ta.Ati51 t12A \ _ - CEMAUTHORIZATION TO MARK AUTHORIZATION TO MARK This authorizes the application of the Certification Mark(s)shown below to the models described in the Product(s) Product: Utility Interactive Inverter Covered section when made in accordance with the conditions set forth in the Certification Agreement and Listing Brand Name: SolarEdge Report.This authorization also applies to multiple listee model(s)identified on the correlation page of the Listing7 models:SE3000,SE3300,SE3800,SE5000,SE6000,SE7000,SE7600 P Re ort. Models: (Option:followed by A to indicate Interface board,etc.) This document is the property of Intertek Testing Services and is not transferable.The certification mark(s)may be applied only at the location of the Party Authorized To Apply Mark. Applicant: SolarEdge Technologies Ltd Manufacturer: Jabil Circuit(Guangzhou)LTD DEV EAST DISTRICT Address: 6 Ha'Harash Street 45240 Address: 128 JUN CHENG RD Hod Hasharon GUANGZHOU GUANGDONG 510530 CHINA Country: Israel Country: China Contact: Mr.Oren Bechar or Mr.Meir Adest Contact: Elaine Ouyang +972 9 957 6620#293 or Phone: +972 9 957 6620#131 Phone: 020-2805-4025!135-7023-5852 FAX: +972 9 957 6591 FAX: NA Email: OREN.B@SOLAREDGE.COM Email: Elaine.ouyang@jabil.com Party Authorized To Apply Mark: Same asManufacturer Report Issuing Office: Cortland, NY 13045 Control Number: 4004590 Authorized by: OUN for Thomas J.Patterson,Certification Manager CUS Intertek This document supersedes all previous Authorizations to Mark for the noted Report Number. o nvns�•or m,�.o;,:.-asaa c:�m�enp aniawp ao +et- aroroa�� wm.a e oi.nc uN....pt..to AarwO yYreCa rnpy n�pr tl:uu is Marksn,f to av U,.eN n6rsk`.0.r�t..�cn mar .. 2ttsppmxCr ,den.hc Cert r.cr� ah :r.-vp mar-ewinitrG ef'vwmenl ar the 0 u:fran Y- .3nc .nc q ua�rq a . Intertek Testing Services NA Inc. 545 East Algonquin Road,Arlington Heights,IL 60005 Telephone 800-345-3851 or 847-439-5667 Fax 312-283-1672 UL 1741 Standard for Safety for Inverters,Converters,Controllers and Interconnection System Equipment for Use With Distributed Energy Resources,Second Edition Dated:January 28,2010 CSA C222 107.1 Issue:2001/09/01 Ed:3 General Use Power Supplies-(R2011) Standard(s): UL SUBJECT 16998,Outline of Investigation for Photovoltaic(PV)DC Arc-Fault Circuit Protection-Issue No.2,2013/01/14 CSA TIL M-07,Interim Certification Requirements for Photovoltaic(PV)DC Arc-Fault Protection-Issue No.1,2013/03/11 ATM for Report 3188027CRT-001a Page 1 of 8 ATM Issued:13-Nov-2014 ATM for Report 3188027CRT-001a Page 2 of 8 ATM Issued:13-Nov-2014 EC il3 i50—-')"-- Ec,1&515(1 j—,- 1Aaru^dlory 3U G COIJ-1 1y 9 EM Te—h... 6 +3. rv.,n•intett�K tc_m SolarEdge Technologies Ltd Letter Report 101703554CRT-001 June 20,2014 Letter Report No.101703554CRT-001 June 20th,2014 Project No.G101703554 + 3-ph Inverters: SolarEdge Technologies ltd email:meir.a@solaredgedge.com Mc Meir Adest Ph:+97Z9.957.6620 o SE9KUS/SE10KUS/ when SolarEdge rapid SE20KUS whthe SolarEd id shutdown cable labeled"MCI-CB-xxxxx- P 6 Ha'Harash St. x"which is part of kit SE1000-RSD-xx is installed in the inverter Safety Switch where xxxxx-xx is HOD HASHARON,ISRAEL any number;inverter part number may be followed by a suffix Subject: ETL Evaluation of SolarEdge Products to NEC Rapid Shutdown Requirements Dear Mr.Meir Adest. This letter report completes this portion of the evaluation covered by Intertek Project No.G101703554. If there are any questions regarding the results contained in this report,or any of the other services offered by This letter represents the testing results of the below listed products to the requirements contained in the following Intertek,please do not hesitate to contact the undersigned. standards: Please note,this Letter Report does not represent authorization for the use of any Intertek certification marks. National Electric Code.2014.Section 690.12 requirement for rapid shutdown. Completed by: Radhe Patel Reviewed by: Howard Liu This investigation was authorized by signed Quote 500534459 dated 06/10!2014.Rapid shutdown test were Tide: Engineering Team Lead Title: Staff Engineer `£C--- perform at SolarEdge Technologies Ltd,6 Ha"Harash St HOD HASHARON,ISRAEL and witness by Intertek r-, tiL , 1G � personal on 06!1712014. Signature: � �— Signature " The evaluation covers installations consisting of optimizers and inverters with part numbers listed below. Date June 20"',2014 Date: June 20'.2014 The testing done has verified that controlled conductors are limited to not more than 30 volts and 240 volt- amperes within 10 seconds of rapid shutdown initiation. Applicable products: • Power optimizers: o PBxxx-yyy-zzzz;where xxx is any number,0-9,up to a maximum value where xxx=350;yyy could be AOB or TFI;and zzzz is any combination of four letters and numbers. o OP-XXX-LV,OP-XXX-MV,OP-XXX-IV,OP-XXX-EV;where xxx is any number,0-9. o Paaa,Pbbb,Pccc,Pddd,Pace;where aaa,bbb,ccc,ddd,eee is any number,0-9 to a maximum upto aaa=300,bbb=350 ccc=500,ddd=600,eee=700. o Pxxx,Pyyy,Pzzz,Pmmm,Pnnn and P000;where xxx,yyy,zzz is any number,0-9 to a maximum up to xxx=300,yyy=350,zzz=500;where mmm,nnn,coo is any number,0-9 to a maximum up to mmm=405,nnn=300,000=350 • 1-ph Inverters: o SE3000A-US/SE3800A-US/SE5000A-US/SE6000A-US/SE7600A-US/SE10000A-US/ SE11400A-US when the SolarEdge rapid shutdown cable labeled"MCI-CB-xxxxx-x"which is part of kit SE1000-RSD-xx is installed in the inverter Safety Switch where xxxxx-xx is any number; inverter part number may be followed by a suffix Paget.t 2 Th x� t an t p auut,.a„tl m e yea cr c npott a s rtiy..K. f,rti n oY x a at n IY h.ine rano!.P ,derix. -c a �-x n tt.n untl t k ce ion a a'a P arsa 5.T..—g 5 ;N....e Inssrt-k ��:P4-..c�Nn,'r;a SD 12_12(, .. solar - So I a r. SolarEdge Power Optimizer Module Add-On for North America P300 P400 045 SolarEdge Power Optimizer - - - "9l —.1-1 -- - ll FCD4 P865 _ I;ar 5G ccmcauir:' (rpr,a a',50-=-eil (:c::h'n fiin nWuiesi Module Add-On For North America INPu rated lnPu_C'L?ci.er30 ---_ +0. - ,fly »s 8p a M = y _ _.. Qs OUTPUURING OPERATION(FOt$rER OPTIMIZER CONNECTED TO OPERATING INVERTER) �x �, !Saxlmnm oarpu Garcot �� _ Hoc _. Unum O.—t V.I.,e _. _.. k_. - 55 Trdr OUTPUT DURING STANDBY(POWER OPTIMIZER DIS£ONN€MD M FRAIN1tERTER DR INVERTER OFF}_ STAN _ _ _ Qic D _ F F �:. tE b1Ct IECUYOQ9 S' _ �- '-e - Sa`ch- IEtE•1C n 11za e.Y uL1741 INSTALLATION SPECIFICTIONS - - - - - It� .. � � u =.b5 _..._. .a_s 21 d 6"tees-on:A-..L i �x '�' 1 v 2 r lb - .G2.C5 ,�,..e... NAC.,Irv,TsU<- ....... 0-pet V, Type.C r­..a... Dau I a.«;F MP,-ne It C'.. 1.re.�__-F�z,Irr R.sn rr- ++L +w--9U -1'!5 C I'.: r i+; :ton Ra..np 1`1111x2 IP65 1 NEMA4 ......... >`:6 . IP Nt.jAef J i5 PV SYSTEM DESIGN USING A SOLAREDGE INVERTER' SINGLEPHASE THREE PH;xSE?08U THREE PHASE 680V ' PV power optimization at the module-level sum,L_n„tn hi ,mum P. .Is"St.n.. 52_ _u�0 _2750. -Superior efficiency fq9.5%i a. .. t ,:L.,��ir�, E'M±tigatesall tYPesoi-ntodule mismatch losses,from manufacturingtoieranc-3 pardat>h3ding t�... ...... ..... _ _ -Flexdfe syster„design tar n zerrum,space utiliatian •- -Fast installao-..th a siogie be!-, Nest gerpration maintenance:4"ith,re.-we`I-el rr=iLO g - Module-level.Mage shutdown for Installer and firefighter safety f NNEW IRON RIDGE Roof Mount System AUTHORIZATION TO MARK This authorizes the application of the Certification Mark(s)shown below to the models described In the Product(s) Covered section when made in accordance with the conditions set forth in the Certification Agreement and listing Report.This authorization also applies to multiple Iistee model(s)identified on the correlation page of the Listing v Re ort This document is the property of Intertek Testing Services and is not transferable.The certification mark(s)may be applied only at the location of the Party Authorized To Apply Mark. Applicant: IranRid e.Inc. Manufacturer: IonR�d a,Inc. 1495 Zephyr Ave 1435 eaechtel Road yam\ Address: Address: Hayward,CA 94544 Willits,CA 95490 Country: USA Country: USA Contact: Yarm Schwarz Contact: Jim N—worthy Phone: (800)227-9523 Phone: (800)227-9523 (510)225-0973 FAX: (707)459-1833 FAX; (707)459-1833 Email: yschwarz@iromidge.com Email: jnorsworthy@imnndge.com \\ - _ Party Authorized To Apply Mark: Same as Manufacturer MILL - Report Issuing Office: lake Forest,CA Control Number- 4007559 Authorized by: i- G for Thomas J.Patterson,Certification Manager ETL CLASSIFIED 0%_ us ,_ q rl_ �_ Intertek This document supersedes all previous Authorizations to Mark for the noted Report Number. IronRidge builds the strongest roof mounting system in solar.Every component has been tested to the limit � M and proven in extreme environments. - Our rigorous approach has led to unique structural features,such as curved rails and reinforced flashings,and is also why our products are fully certified,code compliant and backed by a 20-year warranty. Intertek Testing Services NA Inc 545 East Algonquin Road,Arlington Heights,IL 60005 Telephone 800-3453851 or 847-439-5667 Fax 312-2831672 Strength Tested PE Certified UL Subject 2703Outline of Investigation for Rack MountingSystems and Clamping Devices for Flat-Plato components evaluated for superior Pre-stamped engineering letters Standards}: photovoKaic Modules and Panels,Issue Number:1,October 4.2010 pt g structural performance. available in most states. Product: XR Rails with Integrated Groundin . Brand Name: N/A Models: 51-61GD-005.51-61 GD-0056,51-5000-001,and 51-65-001 `. Class A Fire Rating Design Software Certified to maintain the fire resistance Online tool generates a complete bill of =\ rating of the existing roof. materials in minutes. c Integrated Grounding 20 Year Warranty UL 2703 system eliminates separated Twice the protection offered by module grounding components. competitors. ATM for Report 101541132LAX-002 Page 1 of 3 ATM Issued:10-Nov-2014 �aW AOL IRONRIDGE Integrated Grounding System Installation overview Install Roof Attachments ... - �; •Install appropriate roof flashing and/or standoff for roof type. \ �- .�- �.� •Attach L-Feet to flashing or standoff. _ Traditionally,solar modules are grounded by attaching lugs,bolts or clips to the module frame,then connecting prepare Rail Connections these to a copper conductor that runs throughout the array.This process adds time and cost to the installation, •Insert splice into first rail,then secure with Grounding Strap and - and often results in improper grounding,creating self drilling screw. significant long-term safety risks. •Slide second rail over splice,then secure with opposite end of The IronRidge Integrated Grounding System solves these — Grounding Strap and self-drilling screw. challenges by bonding modules directly to the mounting rails.This approach eliminates separate module '" Mount&Ground Rails grounding hardware,and it creates many parallel grounding paths throughout the array,providingAttach rails to L-Feet and level rails. greater safety for system owners. Je _ Grounding Mid Clamp •Install one Grounding Lug per row of modules. Each Grounding Miid Clamp pianos through th, anodized coatings of both the module frame and Connect Grounding Lug to grounding conductor. the mounting rail to form sawn,electrical bonds, which are repeated throughout the array. Install Modules&Clamps ii Install first module using End Clamps and Grounding Mid Clamps. Install additional modules using Grounding Mid Clamps. i Finish row with a second pair of End Clamps. Testing&Certification Cal Module Frame Compatibility The IronRidge Integrated Grounding System has been tested and certified to Dimension Range UL 2703 by Intertek Group plc_ A = 31.Omm—51.Omm UL 2703 is a proposed UL standard B 5.08mm(minimum) for evaluating solar module mounting Any module from..whose parameters are no,listed in the and clamping devices.It ensures these provided table have not been tested for compatibility devices will maintain strong electrical and mechanical connections over an extended period of time in extreme outdoor The Grounding Clamp has proven robust in grounding 60-cell and \� environments. 72-cell solar module frames with box construction and a range of anodization thicknesses. --- The testing process close) mirrors that 2 g p y All solar modules listed to UL 1703 and with frame construction , Grounding strap of UL 1703,the solar module testing _ within the parameters stated above are compatible with the Grounding straps are used to standard,including temperature and IronRidge Integrated Grounding System. bond rail-to-rail connections. Grounding Lug humidity cycling,electrical and mechanical ���� Thep are oNy required on the Asingla Grounding Lug \ � - railwmhegroundingWg. wnnecsan,nnramw load testing,and manufacturing quality h of PV modules to the reviews. grounding conductor. 34311Y,irpphy Ott- MdUSA Starling Madison Lofquist, Inc. 5224 South 391 Street,Phoenix,Arizona 85040 'Fesit- V- rfficati-on o-IF Conformiliry tel:(602)438-2500 fox:(602)438-2505 www.smieng.com lronRidge June 16,2014 In the basis of the tests undertaken,the sample(s)of the below product have been found to comply with the requirements of 1495 Zephyr Ave Page I of I I the referenced specifications at the time the tests were carried out. Hayward.CA 94544 Applicant Name&Address: IronRidge,Inc. Attn:Mr.David F.Taggart,Vice President Products 1495 Zephyr Ave, Hayward,CA 94544 Subject: IronRidge XR100 Rail,Roof Flush Mounting System-Structural Analysis USA 7 Product Description; XR Rails with Integrated Grounding. Dear Sir: Ratings&Principle Fire Class Resistance Rating: Characteristics: Mount S nr�metrical).Class A Fire Rated for Low Slope applications when using Type 1,2 We have analyzed the IronRidge XR100 Rail for the subject solar module support system and and 3,listed photovoltaic modules.Class A Fire Rated for Steep Slope applications with Typel, determined that,for the configurations and criteria described below.it is in compliance with the 2 and 3,listed photovoltaic modules.Tested with a S"gap(distance between the bottom the applicable sections of the following Reference Documents: module frame and the roof covering),per the standard this system can be installed at any gap allowed by the manufacturers installation instructions.No perimeter guarding is required. Codes:ASCE/SEI 7-10 Min.Design Loads for Buildings&Other Structures international Building Code 2012 Edition Models: 51-61GD-005,51-61GD-0058,51-5000-001 and 51-65-001 California Building Code 2013 Edition Brand Name: IronRidge Roof Mount Other: AC428,Acceptance Criteria for Modular Framing Systems Used to Support PV Relevant Standards- UL 2703(Section IS.2 and 15.3)Standard for Safety Mounting Systems,Mounting Devices, Modules,dated Effective November 1,2012 by ICC-ES Clamping/Retention Devices,and Ground Lugs for Use with Flat-Plate Photovoltaic Modules Aluminum Desnm Manual,2010 Edition and Panels,First Edition dated Jan.28,2015 Referencing UL1703 Third Edition dated Nov.Is, 2014,(Section 31.2)Standard for Safety for Flat-Plate Photovoltaic Modules and Panels. The IronRidge XR100 Rail is an extruded aluminum section with an overall depth of 2.438 in.and a Verification Issuing Office: Intertek Testing Services NA,Inc net area of 0.583 sq.in. The rails are used to support solar modules,typically,on the roof of a 8431 Murphy Drive building. See Exhibit A-attached. The rails are clamped to aluminum angle brackets that are either Middleton,WI 53562 attached directly to the roof framing or attached to a stand that is screwed to the roof framing. The DateofTests: 08/27/2014 to 03/17/2015 rails are mounted across the slope with a small clearance(flush mounting)to the underlying roof Test Report Number(s): I 101769343MID-OOlrI,101769343MID-001a,10191S978M]D-001&101999492MID-001ar-crl. structure. The installed solar modules are at the same slope as the underlying roof structure. This verification is part of the full test report(s)and should be read in conjunction with them.This report does not automatically imply product certification. All loads are transferred to the roof framing through the angle brackets by simple bi-axial flexure of Completed by: Chad Naggs Reviewed by: Gregory Allen the rails- The maximum span of the rails is governed by either the mid-span flexural stresses or the Title: Technician It,Fire Resistance Title: Engineering Team Lead,Fire Resistance deflection requirement that the rail not come into contact with the roof. e- �4 Signature: Signature: --- The effect of seismic loads(for all design categories A-F)haN e been determined to be less than the Date: 03/3012015 Date: 08/30/2615 effect due to wind loads in all load conditions and combinations. Therefore,the maxinitun allowable spans for common load cases are shown in Tables 1,2&3 below for 0-6 deivee slopes.Tables 4,5. &6 below for 7-27 degree slopes,and Tables 7,8&9 below for 28-45 degree slopes. Starling Madison Loiquisi,Inc, - agi—rs Consulting Structural and Forensic E GFT-OP-Ila t24-MAR-20141 Iron Ridge June 16,2014 hvnRidge June 16,2014 Mr.David F.Taggart Pace 8 of 11 Mr.David F.Taggart Page 9 of 1 I IronRidee XR100 Rail,Roof Flush Mounting System-Structural Analysis lronRidge XR1.00 Rail.Roof Flush Mounting System-Structural Analysis Tattle 7-MAXHVIU:SPANS taches;-Roof Slope 29 to 45 Degrees-Wind Zone z Table 9-`A IMUNv1 SPANS(inches'-Roof Slope 28 to 45 Degrees-;Wird Zone 2 xti100 Wind Ground Snow Load x83.`30 Wind Ground Snow Load Rail Speed Rail, Speed Exposure mph 0 psf 10 20 30 40 50 60 70 80 90 Exposure mph L94 10 20 30 40 50 60 70 80 90 sf sf sf sf st sf sf sf sf sf sf sf sf sf sf sf sf sf 100 107 98 84 75 67 61 56 52 49 45 100 96 84 75 67 61 56 52 49 46 105 107 98 84 75 67 61 56 52 49 46 105 98 84 75 67 61 56 52 49 46 110 106 97 84 75 67 61 56 52 49 46 110 97 84 75 67 61 56 52 49 46 120 101 94 82 74 67 61 56 52 49 46 120 94 82 74 67 61 56 52 49 46 Category 130 96 91 80 72 66 61 56 52 49 46 CateOgory 130 91 80 72 6661 56 52 49 46 140 91 88 78 70 65 60 56 52 49 46 140 88 78 70 65 60 56 52 49 46 150 87 85 76 69 64 59 56 52 49 46 150 83 83 76 69 64 59 56 52 49 46 160 83 82 74 67 62 58 55 52 49 46 160 78 78 74 67 62 58 55 52 49 46 170 79 79 72 66 61 57 54 51 49 46 170 74 74 72 66 61 57 54 51 49 46 100 101 94 82 74 67 61 56 52 49 46 100 101 94 82 74 67 61 56 52 49 46 105 98 93 81 73 67 61 56 52 49 46 105 98 93 81 73 67 61 56 52 49 46 110 95 91 80 72 66 51 56 52 49 46 110 94 91 80 72 66 61 56 52 49 46 120 90 87 77 70 65 60 56 52 49 46 120 87 87 77 70 65 60 56 52 49 46 CatCory 130 85 84 75 68 63 59 56 52 49 46 Category 130 81 81 75 68 63 59 56 52 49 46 140 81 80 72 66 62 58 55 52 49 46 140 76 76 72 65 62 58 55 52 49 46 150 76 76 70 65 60 57 53 51 49 46 150 71 71 70 65 60 57 53 51 49 46 160 73 73 68 63 59 55 52 50 48 46 160 67 67 67 63 59 55 52 50 48 46 170 69 69 66 61 57 54 51 49 47 45 170 64 64 64 61 57 54 51 49 47 45 100 96 91 80 72 66 61 56 52 49 46 100 95 91 80 72 66 61 56 52 49 46 105 93 89 79 71 65 61 56 52 49 46 105 91 89 79 71 65 61 56 52 49 46 110 90 87 77 70 65 60 56 52 49 46 110 87 87 77 70 65 60 56 52 49 46 120 85 83 75 68 63 59 55 52 49 46 120 81 81 75 68 63 59 55 52 49 46 CateDgory 130 80 80 72 66 61 58 54 52 49 46 CaiCory 130 75 75 72 66 61 58 54 52 49 46 140 75 75 70 64 60 56 53 51 48 46 140 70 70 70 64 60 56 53 51 48 46 150 71 71 67 62 58 55 52 50 48 46 150 66 66 66 62 58 55 52 50 48 46 160 68 68 65 60 57 54 51 49 47 45 160 62 62 62 60 57 54 51 49 47 45 170 64 64 62 58 55 52 50 48 46 44 170 59 59 59 58 55 52 50 48 46 44 Notes-sec page II Notes-sae page II Starling Madison Lofquisy Inc. Consulting Structural and Forensic Eugineers Starling Madison Lofquist,Inc. Consulting Structural and Forensic Engineers -8- -9- IronRidge June 16,2014 IronRidge June 16,2014 Mr,David F.Taggart Page 10 of l 1 Mr.David F.Taggart Page I I of I I lronRidge NR I00 Rail,Roof Flush Mounting System—Structural Analysis h'onRidge NR100 Rail,Roof Flush Mounting System—Structural Analysis Tabic 9-MAXIMUM SPANS Anchesj-Roof=tope 28€o 43 Degrees-Wind Zone.3 Notes—Tabulated values are based on the following criteria: xa10e Wind Ground Snow Load 1. Building mean root height—30 It :gal Speed 2. Risk Catatory 1 3. Solar module Exposure mph 0 psf 10 20 30 40 50 60 70 80 90 -long dimension=67.5 in sf sf sf sf sf sf sf sf sf 100 107 98 p 75 67 p 56 52 49 46 4• Protide 3 in.clear between roof and rail 5 End cantilever span(max)=0.40 x maximum span from above tables 105 107 98 84 75 67 61 56 52 49 46 110 106 97 84 75 67 61 56 52 49 45 6. No rail splices in end spans 120 101 94 82 74 67 61 56 52 49 46 7. No rail splices in middle 1/3 of interior spans Category13) s4 91 fin 7z 66 61 ss 52 a9 4s 8. Single simple span(s). Spans listed in the tables above may be multiplied by 1.08 for B 140 88 88 78 70 65 60 56 52 49 46 continuous rails of 3 or more spans. 150 83 83 76 69 1 64 59 56 52 49 46 16-0-178 78 74 67 62 58 55 1 52 49 46 170 74 74 72 66 61 57 54 51 49 46 Our analysis assumes that the rails,including the connections and associated hardware.are installed 100 101 94 82 74 67 61 56 52 49 46 in a workmanlike manmer in accordance with the"IronRidge Roof Mount Installation Manual"by 105 98 93 81 73 67 61 56 52 49 46 IronRidge and gencrally accepted standards of construction practice. Additional information is 110 94 91 80 72 66 61 56 52 49 46 available at the IronRidge web site.IronRidge.cont. Verification of PV Module capacity to support 120 87 87 77 70 65 60 56 52 49 46 die loads associated with the given array shall be the responsibility of the Contractor or Owner and Category 130 81 81 75 66 63 59 56 52 49 46 not IronRidge or Starling Madison Lofquist. C 140 76 76 72 66 62 58 55 52 49 46 150 71 71 70 65 60 57 53 51 49 46 160 67 67 67 63 59 55 52 50 48 46 The adequacy of the supporting roof framing is to be detennined by others. 170 64 64 64 61 57 54 51 49 47 45 100 95 91 80 72 66 61 56 52 49 45 105 91 89 79 71 65 61 56 52 49 46 Please feel free to contact me at your convenience if you have any questions. 110 87 87 77 70 65 60 56 52 49 46 120 81 81 75 68 63 59 55 52 49 46 ` Category 130 75 75 72 66 61 58 54 52 49 46 Respectfully yours, 140 70 70 70 6460 56 53 51 48 46 150 66 66 66 12 58 55 52 50 48 46 TRS - ti51E 3 I 160 62 62 62 60 57 54 51 49 47 45 1 c, Yd:.RM1ER +i: 170 59 59 59 58 55 52 50 48 46 44 Tres Warner,P.F. Design Division Manager �jA Notes-ser page It �`'G44l 6 h ,,w Starling Madison Lofquist,Inc. Consulting Structural and Forensic Engineers Starling Madison Lofquist,Inc. Consulting Structural and Forensic Engineer, -ltl- -11- E-Mount Lag I QMSE - LAG E-Mount Lag Installation Instructions Installation Tools Required:tape measure,roofing bar,chalk line,stud finder,caulking gun,sealant compatiblewith roofing materials, THIS EDGE TOWARDS ROOF RIDGE INo. DESCRIPTION Orr,/BOX drill with 7/32"long-style bit,drill or impact gun with 1/2"socket. 1 FLASHING.4"X 12'X.040".5052.MILL I • • 2 OBLOCK.CLASSIC,A360.1 CAST AL,MILL I 3 PLUG.SEALING,S/16"X7/8",EPDM/I8-8SS I 4 LAG SCREW,HEX HEAD,5116'x 5-11Z,ue SS I - 5 WASHER.FENDER,5/16-OX I-1/4 OD.18-BSS I - —RACKING COMPONENTS NOT INCLUDED 3 \ 0 _ - ,1 liJ Locate,choose,and mark centers of rafters to be Carefully IA composition roofshinglewith roofing Insertflashing between 1st and 2nd course.Slide mounted.Select the courses of shingles where bar,just above placement of mount.Remove nails up so top edge of flashing is at least 3/4"higher __.... mounts will be placed, as required.See"Proper Flashing Placement"on than the drip edge of the 3rd course and lower next page. flashing edge is above the drip edge of l st course. Mark center for drilling. - 2 _ —s Quick Mount P RILE: QMSE-LAG:QMPV E-MOUNT AVAILABLE IN MILL,AND WITH LAG BOLT BRONZE ANODIZED FINISHESz 512E NA Br- 01r, REV Q D iE 8(39}.plc Lag pull-out(withdra,val)capacities its)intypical lumber. i Using drill with 7132"bit,drill pilot hole into roof Clean offany sawdust,and fill hole with sealant Slide the flashing into position.Insert the rubber Lag Boll Spocincai0ns and rafter,taking care to drill square to the roof. compatible with roofing materials. plug into the 081-1,cavity. Do not use mount as a drill guide.Drill should be .a,_r..y 'long style bit,aka'aircraft extension bit'to drill a —'— —— 1 W"deep hale into rafter. rvA,�,@3I}Ia M1.Iher� 1 5 .Am I[an Wood Gounci NDS200S,Tble III A IIIIA Nous. \� IiTh my the embedded lnaafrororothor structural roof munber. ~�- 2}Soe NDS Table 113.1C ror repo red etlge drsbnces. kilu 9c Mount Slide the washer and theLf ttinciuded)onco Usnga 1/2 inch socket on impact gun drive the lag screw, the lag screw until the OBlock stops rotating easily. DO NOTover-torque, 817.2.3-31 Sep-2014,Rev 1 B172.3-31 Sep-2014,Rev i Lnms Product Datasheet DIAGRAM-TYPICAL CONFIGURATION ENERGY 33 a - al....._:ATs - -i - INTERNET • a i • • t a' • • 1 M IN - ELECTRICAL SE SERVICE IN VERTEI LGATE 120 I ARRAY DIMENSIONS LOCUS ENERGY METER BASE COMM MODULE METER MODULE 1 6.95 it a TheLr--a C L orL res a re, era.Je.so i,a-sta he tione r t I Ljj an a ar 1 MUt lCa t nn,gat The' e m I.cn S or ncr r GI ( C I-n i f t rm `t I '7 t rg II"r II tine -F' Caar It i p l r ln� t� i II- CdtC i-a -r CI m C I..jet glass - i r h .n-t I .� 6311n ea_IIr usii,g n s"Indarica t base, r orr z t-is upli,aled in neair I t r'e to in).---Lc v E _rav m . cr trl �rure tlo _rrrl i,t,..ikr 5sdit_ -r� �_ v ._�_„t.7a alyti,. for� ��cS �__t m�raa . �� - -Tem DATA COLLECTION e gr,ata e co IeL,_j Dv tiie meter ano,e__e:rc the Adolua I'r,t-rr e=rtarirace riata aI oc collo_ted lore ly Fr m _, I„y ta,ser or a,t su�o rte.:';laert r_r_a aua;:at ,S-4-5 m ZIebee c...ne Ct ani.All 11B's,tared uI r_r t tl - mcty anll mpr auTcman-aPy uC"aJed to the SPECIFICATIONS _oHrNOC;e ms. r,7ccsso. ARMVa—r.,.,, ANSI 1220 tC. .., 0, s,m.ers t —1" V3-s0i` i. i 4w 1Y`- NETWORK ANETWORK CONNECTIVITY 121a IS RAM 2WA JL, n .u.'I-nec ,tlr..+gll a��I'u-.^.r or 4a I�:Ie G' c.._n �K -Tire The e� --a.-;GatCn 7,,[esayi �e�-1_L3o, 1_,,�'IrJ' - IdIa_ - �.'-TYcx S -hernet network co I__EIcr=.Oncs iL unitn.fc;led a L,., _reG r It gall im; j -y Le�,-n ranS;r,ittil y do'L ,vin-Dut any coning.rano.FQr ccrrr_-lzaticnscall a<_.,naually u'Td3loans crtio,6•E MENAxE.SC nuti,eer,t.e v—l_ss.;.d.Ire7-..nedticrr -,the,If the n_t..a.ns ar_..,valacl_ walanL a�� Ati t.-, urs u.mzns.a.._ G45-a s"s:., FCC"'t iss _nv..n,.nam ZB 4o 60i,ali=wr„itl- PT�,e FEATURES ,+ae�itx a,carunx e,�s. nr, ATST rt.ar Clint-- • All.C12.20 N f nl'te'. • RS-465an" Igte<-1„a-LS 0.;. T_c�Jlr ..ltfa l`--ir.�Sr'eY_1=vn - -re-mAA ..~g T .,x. CeIWx-3G oSM tz�a to fi .,b--�cllul r r Itt_rcat c rr t_=v' FI.-'Ind Plav acri a'Ioe e-s.�rxa;.I�. ✓ :).rate air fire ..e up �D dis5lav 'IE�t-4 ti Rneret RJ�+1101Or,,9eGF(S[atic .� Single Meter Sockets-Without Bypass Single Meter Sockets-Without Bypass 125&200 Amp 125&200 Amp n Application .� •Single meter position 'PROW • Receive ANSI C12.10 watthour meters n• - �- Surface or flush mount(see chant EEO=NEEMEMM - Construction 011 F-FlushMount tw=v' Ring typeIU1204 MS68-2'CanduitHub 1A �n' NEMAType3R IUt207 MS68A-MS73+MS68 2A—�n' / V� •ANSI 61 gray E-coat finish ype Ring 4F 2" t r 1 1' 927 MS73-AL ScrewT ` •Aluminum snapring included SF-Semi Flush Mount aG s2�h 2 1 h-7'Al j 9 Top Provson-See Chart SS-Stainless Steel j Standards Accessories UL 414 Listed 5th Jaw Kit-50365 ANSIC12-7 200A Triplex Ground-E18200 Knockout Layouts Ori(closed) U204(open) .AW Hub PuVUPCC.hi•4 Amp S." 1" . C....ue.m Fig.t Fig.2 Numbs Number 4Z J­ To. A— Un. lead N.utral 782051-02000 011 125 4 1013W OH/UG Y14-2/0 014-Z/0 Y74.270 TPProWeion -...e T.P Provision 78205142040 011 F 125 4 10(3W OH/UG 114-2/0 /14-2/0 Q14-2/0 78205142045 Oil M$73 125 4 1013W OH= Y14-2/0 Y14-2/0 014-2/0 78205142050 011 SF 125 4 10/3W OH UG X74.2/C Y14-2/0 X14-2/0 78205144030 927 100 7 30/4W OH//UG Y14-110 Y14-1/0 014-2/0 78205156000 204 200 4 10(3W OH 06-250MCM e6-250MCM 06-360MCM Q O 78205156020 204' 201 4 t0/3W OH Y6-25DMCM X6-250MCM Y6-350MCM 78205156030 204FMS73 200 4 10/3W OH X6-25DMCM .P6-25DMCM Y6-350MCM 78205156040 204 MS68 200 4 10/3W OH Q'6-ZSOMCM Y6-25DMCM X6-350MCM _ 78215756035 204 MS60A 200 4 10/3W OH Y6-25DMCM Y6-25DMCM X6-350MCM -- 78205108490 204 MS73 200 4 i0(3W OH Y6-250MCM X6-250MCM #6.350MCM 4F 76215156005 0204 200 4 10/3W UG X6-250MCM X6-250MCM Y6-350MCM 4F V 70205156045 U204 200 4 10/JW UG YE 25DMCM Q6-25DMCM Q6.350MCM - 4F 78205756060 0204 FMS73 201 4 1073W UG X6-25DMCM Y6-25DMCM Y6-350MCM 1A l 78205156070 0204 MS73 200 4 1013W UG Y6-250MCM 06-250MCM Y6-350MCM ' 78205156140 U207 200 7 30/4W OH/UG Y6-250MCM Y6-250MCM Y6-250MCM 4F to 70205156170U207 200 7 30/4W UG X6.250MCM 86-250MCM Y6-250MCM 78205156180 0207 MS73 200 7 MAW OH/UG #6.250MCM Y6-250MCM Y6.250MCM PnNUPC C.m104 —0vamll0imansions Top Knockout Number Number Hui4h1 Wirth U.pth Pmvisi.n layout Fig.3 Fig.4 „78205142000 011 12- e' OC AW Hub Fig.1 -"- 782051420040 011 F 12" B" 4'-/n" 2"max KO Fig,1 TOP Provision 76205142045 Ott MS73 t2' 8" 4`'/u' AW Hub Fig, Top Provision 78205142050 011 SF 72" 8' 4'/u" 2"max KO Fig.1 78205144030 927 17' 8- $/I( AW Huh Fig.1 78205156000 204 15" 8" 4`ie" AN Hub Fig,2 78205156020 204E 75' 8- 6" 2'in.K4 Fig2 78205156030 204 F MS73 15" B" 6" 2"mac KO Fig..2 78205156040 204 MS66 15 8' 4`!u" AW 12'Hub F.2 79205156035 204 MS60A 15" 8- 4'h'" AW/2"Hub Fig..2 4G 78205108490 204 MS73 15' 8' 4`/e' Nooe FIg.2 78205156005 0204 16" 12" 4°Ju" None Fig.3 78205+.56045 1204 F 15' 12" 6" (212"maz KO Fig.3 �' 78205156060 U204 MS73 15- 12 'h None Fit, 4F a� =- IA 4F 43 �7820515fi070 0204 MS73 15" 12' 4'h" NoneFig378205156140 U207 18" 12 5' AW Hub Fig.4 AIC Note' 78205156770 U207F 10" 12- 5' 7(i"maz KO Fg.4 F—horccrcu'1-u'r �' 1w 78205156180 U207 MS73 1fi" 12' 5" AW Hub Hg_4 raringaea page 137. B-Line I'll,-blectto.hangewithout Con,041—lutlltybrar ....or....All dim.n,,,m,minln .a. Data:ublacttochangewithoutnore.Consultlocaluuhn,fora-accepta—Alldim.nslonaaremmchen. B-Line 6 Meta,Mounnng Equipment Meter Mouru ng Equipment 6 ENERGY October 22"tl,2013 This letter is to certify that the LGate 120 and LGate 320 are communication boards built into the Vision Meter 2S CL200 and 16S CL320 socket meters,respectively.Each of these meters was certified to the ANSI C12.20(class 0.2%)standard by Underwriters Laboratory on June 7,2013 as part of the Vision Meter Family(Project Number 12CA71134,Job Number 1001541515,and Report Number R12CA71134- ANSI). ANSI C12.20 is currently recognized as the industry standard for electrical socket meters in both utility and PV monitoring applications.These tests cover both meter accuracy as well as several safety standards including electrical and environmental safety,as well as resistance to various types of mechanical shock.As electrical socket meters are generally installed and maintained by trained and certified professionals,rather than consumers,they do not fit the typical criteria for additional types of UL or IEC certification, If you have any further questions regarding the product certification of any Locus Energy LGate-branded device,please contact us at su%^-arra i€ae;;s=Herat co— The Locus Energy Team Locus Energy,LLC www.locusenergy.com Classic Conduit Composition Mount I QMCC Classic Conduit Mounting Instructions Installation Tools Required:tape measure,roofing bar,chalk line,stud finder,caulking gun,1 tube of appropriate sealant,drill with REM NO. DESCRIPTION CITY. 1/8"bit,drill or impact gun with 7/16"deep socket. THIS EDGE TOWARDS ROOF RIDGE 1 le HINN"X I2'x,0a0 5052.MILL t 2 OetOCK.CONDIl IT,5/16".60ti1-T6.MILL 1 3 WASHER SEALING.114"ID X 7/8"OD.EPOM BONDED SS } 4 LAG SCREW.HEX HEAD,1/,rx.2-1/2".184M I AVAILABLE IN MILL CLEAR ANODIZED, AND BRONZE ANODIZED FINISHES. 1 12.0 CONDUIT CLAMP 1.3 NOT INCLUDE 4 2.3 Choose placement of conduit mounts along path Lift composition .of file with roofing bar,just Slid—ricuit mount into desired position,Remove �2:.5 of conduit.Select location over center of rafter. above placement of conduit mount. any nails that conflict with getting the mount flush 3 with front edge of shingle course.Mark center for ® drilling. 4.5 2 9.0 - - III I I � .79 Oulck Mount PV ime — QMCC:CLASSIC CONDUIT COMPOSITION MOUNT \ \\\ u x.wa SIZE Ocr,wN ay. 11 REV A o..rc vranma 4 Using drill with 118'long bit drill pilot hole into Clean off any sawdust,and fill hole with roof Lift shingle and slide conduit mountinto place. 5 s _ I roof and rafter,taking care to drill square to the manufacturer's approved sealant Prepare lag boltwlth sealing washer and single hole roof. clamp(not included)as shown.Insert lag through Lag pulkout(withdiawol)capacitics(lbs)in typical lumber. hole in block,and position clamp over conduit. Lag 3clt iped(ratlons ter.s-III 16 sourem:Ameelcan Wootl Cowx+l.NOS MOS.Table 112 A,t 13.2 A Notes: I1 Thread mus[be embedtlad In a rafter ar other slruRwal coo(member. 21 See Bclnrragwradedgedlspbcar Insert lag through hole in block,and position IMPORTANT:To mamta nwaterproofinglt-slmpolw li tlwtlhealuminum Fla9s,gYcem It lspeopedy pla<M antler one tulle 'seabove the meu,Flng blockwldlalkazt soma of the damp over conduit Using drill with 7116"socket, fiashhsg e.mndmq up undar thacoura abova than.woo se m.o-rn„na��n.,.v drive lag until block Is tight Quick ulck a 925-478-8269.www.quickmountpv.com•info@quickmountpvcom BI 7.2.3-8 - '_4' Aug-2014,Rev 817.2.3-8 2700 Mitchell Dr.,Bldg 2•Walnut Creek,CA 94598 Aug-2014,Rev 4 '02013 by Quick Mount PV.All rights reserved. Gravity Loading Roof Snow Load Calculations pg=Ground Snow Load= 55 psf Ce=Exposure Factor= 0.9 (ASCE7-Table 7-2) Ct=Thermal Factor= 1 (ASCE7-Table 7-3) 1=Importance Factor= 1 pf=0.7 Ce Cf I pg 35 psf (ASCE7-Eq 7-1) where p,:5 20 psf, Pf min=I x pg= NIA min snow load(roof slope<f5°) where pg>20 psf,Pf min=20 x I= N/A min snow load(roof slope<15) Therefore,pf=Flat Roof Snow Load= 35 psf ps=Cspf (ASCE7-Eq 7-2) Cs=Slope Factor= 0.925 pe=Sloped Roof Snow Load= 32.1 psf PV Dead Load=3 psf(Per Sungevity) Roof Dead Load(ARRAY 1) Composition Shingle 4.00 Roof Plywood 2.00 2x10 Rafters @ 16"o.c. 2.90 Vaulted Ceiling 0.00 (Ceiling Not Vaulted) Miscellaneous 0,10 Total Roof DL(ARRAY 1) 9.0 psf DL Adjusted to 33 Degree Slope 10.7 psf Roof Dead Load(ARRAY 2) Composition Shingle 4.00 Roof Plywood 2.00 2x10 Rafters @ 16"o.c. 2.90 Vaulted Ceiling 0.00 (Ceiling Not Vaulted) Miscellaneous 0.10 Total Roof DL(ARRAY 2) 9.0 psf DL Adjusted to 33 Degree Slope 10.7 psf Roof Dead Load(ARRAY 3) Composition Shingle 4.00 Roof Plywood 2.00 2x10 Rafters @ 16"o,c. 2.90 Vaulted Ceiling 0.00 (Ceiling Not Vaulted) Miscellaneous 0.10 Total Roof DL(ARRAY 3) 9.0 psf DL Adjusted to 45 Degree Slope 127 psf Roof Dead Load(ARRAY 4) Composition Shingle 4.00 Roof Plywood 2.00 200 Rafters @ 16"o.c. 2.90 Vaulted Ceiling 0.00 (Ceiling Not Vaulted) Miscellaneous 0.10 Total Roof DL(ARRAY 31 9.0 oaf / Wind Calculations � Per ASCE 7~05 Components and Cladding / � Input Variables Wind Speed 110 mph � Exposure Category C | Roof Shape Goble/Hip Roof Slope 33 degrees Mean Roof Height 18ft | Building Least Width 16 ft / / Effective Wind Area 17.5 ft Design Wind Pressure Calculations oh=O.0O258°Kz°Kzt°Kd°V^2°| (Eo615) Kz(Exposure Coefficient)= 0.88 (Table 6-3) Kd(topographic factor)= 1 (Fig.6-4) KdNWnd Directionality Factor)= 0.85 (Table 6-4) � V(Design VNnd8pood)= 110 mph Importance Factor 1 (Table 6-1) qh= 2117 Standoff Uplift Calculations Zone I Zone 2 Zone 3 Positive GCp= -0.80 '110 -1.10 0.85 (Fig.6-11) Uplift Pressure= -20.85psf -25.49psf -25.49msf 19.7psf X0andoff Spacing= 4.00 4.00 4.00 YStandoff Spacing= 5.38 5.38 5.38 Tributary Area= 21.52 21.52 21.52 Footing Uplift= -449 lb -549 lb '549|b Standoff Uplift Check Maximum Design Uplift= -549 lb | Standoff Uplift Capacity = 7OO|b � � 7OOlbcapacity>548|bdemand Therefore, OK | Fastener Capacity Check � Number nfFasteners= 1 � � Minimum Threaded Embedment Depth= 2.5 Pullout Capacity Per Inch= 2U5|b Fastener Capacity= O2O|b | � 82O|bcapacity>548|bdemand Therefore,OK � � / (ARRAY 1) PASS w=61 plf Dead Load 10.7 psf PV Load 3.0 psf Snow Load 32.1 psf 2X1: "Rafter' 16°q:c Governing Load Combo=DL+SL Member Span 13'-5" Total Load 45.8 psf Member Properties Member Size S(in"3) 1(in"4) Lumber Sp/Gr Member Spacing 2x10 21.39 98.93 SPF#2 @ 16"o.c. Check Bending Stress Fb(psi)= fb x Cd x Cf x Cr (NDS Table 4.3.1) 875 x 1.15 x 1.1 x 1.15 Allowed Bending Stress= 1272.9 psi Maximum Moment = (wL"2)/8 = 1374.05 ft# = 16488.6 in# Actual Bending Stress=(Maximum Moment)/S =770.9 psi Allowed>Actual•-60.6%Stressed -- Therefore,OK Check Deflection Allowed Deflection(Total Load) = Ul20 (E=1400000 psi Per NDS) = 1.341 in Deflection Criteria Based on = Simple Span Actual Deflection(Total Load) _ (5*w*L^4)/(384*E*I) = 0.322 in = L/500 > U120 Therefore OK Allowed Deflection(Live Load) = U180 0.894 in Actual Deflection(Live Load) _ (5*w*L^4)/(384*E*I) 0.226 in L/713 > L/180 'Therefore SOK Check Shear Member Area= 13.9 in"2 Fv(psi)= 135 psi (NDS Table 4A) Allowed Shear = Fv*A = 1873 Ib Max Shear(V)=w*L/2 = 4101b Allowed>Actual--21,9%Stressed — "Therefore,SOK (ARRAY 2) PASS w=61 plf Dead Load 10.7 psf PV Load 3.0 psf Snow Load 32.1 psf "2x10,R—ft ""'@1 ;1 Governing Load Combo=DL+SL Member Span= 10'-7" Total Load 45.8 psf Member Properties Member Size S(in"3) 1 (in^4) Lumber Sp/Gr Member Spacing 2x10 21.39 98.93 SPF#2 @ 16"o.c. Check Bending Stress Fb(psi)= fb x Cd x Cf x Cr (NDS Table 4.3.1) 875 x 1.15 x 1.1 x 1.15 Allowed Bending Stress=1272.9 psi Maximum Moment = (wL^2)/8 = 854.986 ft# = 10259.8 in# Actual Bending Stress=(Maximum Moment)/S =479.7 psi Allowed>Actual m 37.7%Stressed a- Therefore,OK Check Deflection Allowed Deflection(Total Load) = U120 (E= 1400000 psi Per NDS) = 1,058 in Deflection Criteria Based on = Simple Span Actual Deflection(Total Load) _ (5*w*L^4)/(384*E*I) = 0.125 in = L/1016 > U120 Therefore OJ Allowed Deflection(Live Load) = L/180 0.705 in Actual Deflection(Live Load) _ (5*w*L"4)/(384*E*1) 0.088 in U1444 > U180 'Therefore CIG Check Shear Member Area= 13.9 in"2 Fv(psi)= 135 psi (NDS Table 4A) Allowed Shear = Fv*A = 1873 Ib Max Shear(V)=w*L/2 = 323 Ib Allowed>Actual..17.3%Stressed -- Therefore,DIS (ARRAY 3) PASS w=64 plf Dead Load 12.7 psf PV Load 3.0 psf Snow Load 32.1 psf 2(10 Rafters'@101 c °` =" Governing Load Combo=DL+SL _ Member Span=8'-7" Total Load 47.8 psf Member Properties Member Size S(in^3) 1(in"4) Lumber Sp/Gr Member Spacing 2x10 21.39 98.93 SPF#2 @ 16"o.c. Check Bending Stress Fb(psi)= fb x Cd x Cf x Cr (NDS Table 4.3.1) 875 x 1.15 x 1.1 x 1.15 Allowed Bending Stress=1272.9 psi Maximum Moment = (wL^2)18 = 586.933 ft# = 7043.2 in# Actual Bending Stress=(Maximum Moment)/S =329.3 psi Allowed>Actual-25.9%Stressed -- Therefore,OK Check Deflection Allowed Deflection (Total Load) = L/120 (E=1400000 psi Per NDS) = 0,858 in Deflection Criteria Based on = Simple Span Actual Deflection(Total Load) _ (5*w*L"4)/(384*E*I) = 0.057 in = L/1808 > L/120 Therefore OK Allowed Deflection (Live Load) = L/180 0.572 in Actual Deflection(Live Load) _ (5*w*L^4)/(384*E*I) 0.038 in 02711 > U180 Therefore CCK Check Shear Member Area= 13.9 in"2 Fv(psi)= 135 psi (NDS Table 4A) Allowed Shear = Fv*A = 1873 Ib Max Shear(V)=w*L/2 = 2741b Allowed>Actual®w 14.7%Stressed A. Therefore,OK (ARRAY 4) PASS w=64 plf Dead Load 12.7 psf PV Load 3.0 psf Snow Load 32.1 psf2x�0 Governing Load Combo=DL+SL Member Span=8'-7" ._. Total Load 47.8 psf Member Properties Member Size S(in^3) 1(in"4) Lumber Sp/Gr Member Spacing 2x10 21.39 98.93 SPF#2 @ 16"o.c. Check Bending Stress Fb(psi)= fb x Cd x Cf x Cr (NDS Table 4.3.1) 875 x 1.15 x 1.1 x 1.15 Allowed Bending Stress=1272.9 psi Maximum Moment = (wL"2)/8 = 586.933 ft# = 7043.2 in# Actual Bending Stress=(Maximum Moment)/S =329.3 psi Allowed>Actual -25.9%Stressed •- Therefore,DK Check Deflection Allowed Deflection(Total Load) = L1120 (E=1700000 psi Per NDS) = 1.341 in Deflection Criteria Based on = Simple Span Actual Deflection(Total Load) _ (5*w*L^4)/(384*E*I) = 0.057 in = L/1808 > U120 Therefore OK Allowed Deflection (Live Load) = L/180 0.894 in Actual Deflection(Live Load) = (5*w*L^4)/(384*E*I) 0.038 in L/2711 > L/180 Therefore OK Check Shear Member Area= 13.9 in^2 Fv(psi)= 135 psi (NDS Table 4A) Allowed Shear = Fv*A = 1873 Ib Max Shear(V)=w*L/2 = 2741b Allowed>Actual w-14.7%Stressed -- Therefore,CK Per 2009 IBC Chapter 34 Existing Weight of Effected Building Level Area Weight(psf) Weight(lb) Roof 1021 sf 10.7 psf 10925 lb Ceiling 1021 sf 6.0 psf 6126 lb Vinyl Siding 158 ft 2.0 psf 5694 lb (8'-0"Wall Height) Int.Walls 158 ft 6.4 psf 18221 lb Existing Weight of Effected Building 40966 lb Proposed Weight of PV System Weight of PV System(Per Sungevity) 3,0 psf Approx.Area of Proposed PV System 803 sf Approximate Total Weight of PV System 2409 lb 10%Comparison 10%of Existing Building Weight(Allowed) 4097 lb Approximate Weight of PV System(Actual) 2409 lb PercentIncrease 5.9% 4097 lb>2409 lb,Therefore OK DEBRIS DISPOSAL AFFIDAVIT In accordance with the provisions of M.G.L. c. 40, s. 54, Building Permit # was issued with the condition that all debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by M.G.L c. 111, s. 150A. The debris will be disposed of in: E.O.M.S Name of Waste Facility 318 Manley Street West Bridgewater, MA 02720 Address of Waste Facility 111.5 Debris: As a condition of issuing a permit for the demolition, renovation, rehabilitation or other alteration of a building or structure, M.G.L. c. 40 s. 54 requires that the debris resulting therefrom shall be disposed of in a properly licensed solid waste disposal facility as defined by M.G.L.c. 11 l s. 150 A.Signature of the permit applicant, date and number of the building permit to be issued shall be indicated on a form provided by the Building Department and attached to the office copy of the building permit retained by the Building Department. If the debris will not be disposed of as indicated, the holder of the permit shall notify the building official, in writing, as to the location where the debris will be disposed. 780 CMR—6`h Edition d/1 Oi"g��re Permit Applicant 9/3/15 Date J/1"I/ZU"Ib 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(les)must 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). NTT PRODUCER NAMEA: The Hamilton Group, LLC A/CC.N Ext:973-292-2292 a No): 3 Wing Drive E-MAIL Cedar Knolls NJ 07927 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:SeleCtiVe W8Y Ins 26301 INSURED SKYLI-3 INSURER B:Slective Ins Co of the S. East 39926 Skyline Solar LLC INSURER C:A.I.M. Mututal Insurance Company 3758 124 Turnpike Street, Ste 10 INSURER D: West Bridgewater MA 02379 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1089928575 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 SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY (MMIDDfYYYYI B GENERAL LIABILITY S 2106548 /6/2015 /6/2016 EACH OCCURRENCE $1,000_000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $100,000 CLAIMS-MADE X] OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $3,000,000 POLICY JEC PRO- X LOC $ B AUTOMOBILE LIABILITY A 9093015 /24/2015 /24/2016 Ea COMBINED cccideIN LE LIMIT nt $1,000,000 BODILY INJURY(Per person) $ ANY AUTO ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS PROPERTY DAMAGE X HIRED AUTOS X NOTOSWNED Per accident) $ A X UMBRELLA LIAB X I OCCUR S 2000480 10/11/2014 0/11/2015 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$10.000 $ C WORKERS COMPENSATION VWC-100-6018336-2015A 3/8/2015 3/8/2016 X TWO STATU- 0ER TH- AND EMPLOYERS'LIABILITY TORY LIMITS ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N/A E.LEACHACCIDENT $1000000.00 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000.00 If yes,describe under E.L.DISEASE-POLICY LIMIT $1,000,000.00 DESCRIPTION OF OPERATIONS below B Installation Floater S 2106548 /6/2015 /6/2016 Any One Occurrence $25,000 Property Business Property $100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Cc)19RR-2010 ACORD CORPORATION. All riahts rPservPrl_ The Commonwealth of Massachusetts Department of Industrial Accidents M Office of Investigations M d I Congress Street,Suite 100 �w Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Skyline Solar LLC _ Address: 124 Turnpike Street Suite 10 City/State/Zip:West Bridgewater, MA 02379 phone#:732-354-3111 Are you an employer? Check the appropriate box: Type of project(required): 1. 6 I am a employer with 4. 0 I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ®New construction 2.®.I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have 8. ® Demolition workingfor me in an capacity. employees and have workers' Y9. ® Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. We are a corporation and its 10.0 Electrical repairs or additions 3.® I am a homeowner doing all work officers have exercised their 11.® Plumbing repairs or additions right of exemption per MGL myself. [No workers comp. 12.® Roof repairs insurance required.] t c. 152, §1(4),and we have no PV Solar employees. [No workers' 13.® Other 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. A.I.M. Mutual Insurance Company Insurance Company Name: Policy#or Self-ins. Lic. #:VWC-100-6018336-2015A Expiration Date:3/8/2016 .lob Site Address: 30 Amberville Rd. North Andover, MA 01845 City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c tify nd r the pains and penalties of perjury that the information provided above is true and correct. 9/3/15 Si nature: e Date: Phone#: -35 111 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#: 01 Office of Consumer Affairs and Business Regulation . - 10 Park Plaza - Suite 5 170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 172284 Type: LLC Expiration: 6/712016 Tr# 251923 SKYLINE SOLAR, LLC. PETE DEBBAS - 124 TURNPIKE ST SUITE 10 WEST BRI©GEWATER, MA 02379 Update Address and return card.Mark reason for change. DPS101216 Address Renewal Employment _ Lost Card Office of Consumer Affairs&Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 172284 Type: Office of Consumer Affairs and Business Regulation Expiration: 61.112016 LLC 10 Park Plaza-Suite 5170 Boston,MA 02 i ib SKYLINE SOLAR,LLC. PETE DEBBAS 124 TURNPIKE ST SUITE 10 � � WEST BRIDGEWATER,MA 02379 Undersecretary Not valid without signature R"AZISS;4cllu ett Department of �frwty Board of .°taa Idifig 6wr«9aalo_atirs1-ks and Standards C'cRas�traarts��ar �iulia,rr�i�ur a �,N C t:w"nske, CS-027047 1?1If1.IP i C"111.01JINA 79 Oak Si, Unit#f0.3 A5bland MA 017: 1 � Expiration 4:r,�a ca'aror:ara;rr5�=r 11/09/2016 Office of Consumer Affairs nd Business Regulation �4i`, r,tpy� 10 Park Plaza - Suite S 170 ka Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 172284 Type: Supplement Card SKYLINE SOLAR, LLC. Expiration: 6/7/2016 PHILIP CHOUINARD ----.. 124 TURNPIKE ST SUITE 10 WEST BRIDGEWATER, MA 02379 __.. Update Address and return cord.Mirk reason for change. SCA r 0 20,44&11 (---� Address [-] Renewal r._i Employment ri 1,ost Card .�''� �i"rspe®�sra;,Fr✓rrrerB�m°��- „�lrr ,mr��a�r�ra�r; trice of C;onsumcr Affairs Business Regulation I.Acense or registration valid for individul use only 11� SME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulationegistration: 172284 Type: 10 Park Plaza Suite 5170 Expiration: 8/7/2018 Supplement Card pp Boston,MA 02116 SKYLINE SOLAR,LLC, PHILIP CHOUINARD 139 GLENDALE AVE. EDISON,NJ 08817 Ondersecretnry Nat valid without signature