SOLAR-0729-2022 Office Use Only
Permit#: ZA ZZ
Permit Fee:$
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 www.gueensbury.net Invoice#: `�+r� T
Flood Zone?. Y N Reviewed By:1
SOLAR PANEL PERMIT APPLICATION
SITE INFORMATION:
Project Location .271 Big Bay Rd,. Queensbury Ny 12804'
Tax Map ID #: 31.6.9-1 -27'1 Subdivision Name:
PROJECT INFORMATION:
�✓ Residential: ElCommercial Other.:
kNSingle Family
UMulti-Family
Are the solar panels? 0 Purchased ❑ Leased
❑ Roof-mounted ❑ Ground-mounted
Estimated cost of construction: $23;000
Total Svstem Capacity Rating (sum of all panels):
0.00 �j
Solar PV System: kW DC
Select System Confi uration:
Supply side connection with micro inverters
Supply side connection With DC optimizers CPO,
Supply side connection with string inverter
cOA SG'Ql-
Load side connection with DC optimizers
0 Load side connection with micro inverters
❑ Load side connection with string inverter
Solar Panel Application Revised March 2022
9
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Property Owner(s):
Name(s):
Tom & Beth Portuese
Mailing Address, C/S/Z: 271 Big Bay Rd, Queensbury Ny 12804
Cell Phone: _(516 )680-0674 Land Line:_( )
Email:tomportuese@yahoo.com
• Solar Contractor:
Workers' Comp documentation must be submitted with this application
Business Name: SunCommon
Contact Name: Mitch Warman
Mailing Address, C/S/Z: 1.155 Flatbush'Rd, Kingston Ny 12401
Cell Phone: _(845 )372-9401 Land Line:_( - )
Email:m itchell.warman 9 suncom Mon.coin
• Electrical Contractor:.
Workers' Comp documentation must be submitted with this application
Business Name: SunCommon
Contact Name: Joshua Robertson
Mailing Address, C/S/Z: 1155 Flatbush Rd; Kingston Ny 12401
Cell Phone:_(866 )452-7652 Land Line:_( )
Email:hv.rpm@suncommon.com
Contact Person for Compliance in regards to this project: Mitch Warman
Cell Phone: �_)845-372-9401 Land Line: (. )866-452-7652
Email:mitchell.warman@suncommon.com .
Solar Panel Application Revised March 2022
DECLARATION:
1. 1 acknowledge that no construction shall be commenced prior to the issuance of a valid permit and-,will be
completed within a 12 month period.Any changes to the approved plans prior to/during construction will
require the submittal of amended plans,additional-reviews and re=approval.
2. If,for any reason,the building permit application is:withdrawn,30%of the fee is retained by the Town of
Queensbury.After 1 year from the initial application date, 100%of the fee is retained.
3.. If thework is not completed by the 1 year expiration date the permit may be renewed, subject to fees
and department approval.
4. 1 certify that the application, plans and .supporting materials area true-and a complete statement and/or
description of the work proposed,that all work will be performed in accordance with the NYS Building Codes,local
building laws and ordinances, and in conformance with local zoning regulations.
5._ A third-party electrical inspection will be completed at-which time the Town_of Queensbury's.Building and Codes
Enforcement department will be contacted to complete an inspection of the final installation of the solar panels.
Please sign below to affirm that all answers are correct and that-you have met all of the conditions and
requirements to submit a unified solar permit.
I have read and agree to the above:
fi
omeowner's Signature Date
to
Solar Co. Representative Signature Date
Revised March 2022
Solar Panel Application
DocuSign Envelope ID:8604843C-6B92-4E90-B1C2-83F3162B9AF7
9/27/2022
Dear SunCommon,
I hereby authorize you to apply:for.a building permit.on my behalf,for the.purpose of installing a
solar electric and,or battery system at my-property located at:
271 Big Bay Road
Queensbury, NY 12804
CDpCUS'gned by:
Property Owner Signature Date:' 9/27/2022
991ADDC10A40407.:.
Property Owner Name: Tom and Beth.Portuese
;POWE'RWALL . ' _
Tesla Powerwall is a.fully-integrated AG battery6 em for { T 5 �-
residential or light commercial use:Its rechargeable lithium-ion
:battery pack provides energy st6racib1or solar self'-consumption,. +
:load shifting,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
i
owners to quickly'realize the benefits'of reliable, clean-poWer.
- r
PERFORMANCE SPECIFICATIONS MECHANICAL SPECIFICATIONS
AC Voltage(Nominal)" 120/240 V Dimensions. 1150 mm x 755 mm z 155 rrim
FeedAn.Type Split Phase (45.3 in z,29.7 in X t3.1 in)
Weight 125 kg(276 Ibs)
Grid Frequency 60 Hz
Mounting options. Floor or wall mount
Total'Energy' 14 kWh
Usable Energy? 13.5 kWh
755 mm 155 mm .
Real Power,rriax continuous 5 kW(charge and discharge)
Real Power,peak(10s,off-grid/backup) 7 kW(charge and discharge)
Apparent Power,max continuous 5.8 kVA(charge and discharge) „
n
Apparent.Powe,peak(1.0s,'off-grid/backup) 7.2 kVA(charge and discharge)
Maximum Supply,Fault Current 10 kA
Maximum Output Fault Current 32 A, 1150 mm
(45.3 In)
Overcurrent Protection Device 30 A
linbalance forSplit=Phase Loads 100%
Power_Factor Output Range +/-1.0 adjustable
Power Factor Range(fu!14ated power) 4-0.85
Internal Battery DC Voltage 5d V
Round Trip Efficiency'•2 900/0
Warranty 10 years;
'Values provided for 2YC(77'9;3.3 kW charge/discharge power. ENVIRONMENTAL SPECIFICATIONS
2AC io battery to AC,at beginning of life.
Operating Temperature -20°C to 50°C(-4°F to 122°F)
COMPLIANCE INFORMATION Operatin9:Hurnidity(RH) up to 100%,condensing
Certifications UL 1642,UL 1741,UL 1973, Storage Conditions -20°C to 301C(-4°F to 86°F)
UL 9540,IEEE 1547,UN 38.3 Up to 95%RH,non-condensing
Grid Connection Worldwide Compatibility State of Energy(SoE):25%initial
Emissions FCC Part 15 Class B,ICES 003 Maximum Elevation 3000 m(9843'ff)
Environment Indoor and outdoor rated
Environmental Ro'HS Directive 2011/651EU
Seismic AC156,IEEE 693-2005(high) Enclosure Type NEMA 3R
Ingress Rating IP67(Battery&Power Electronics)
IP56(Wiring Compartment)
Wet Location Rating Yes
Noise Level @ 1 m <40 dBA at 30°C(86°F)
T-5 L A TESLA.COM/ENERGY
TYPICAL SYSTEM LAYOUTS
WHOLE HOME BACKUP
•---- --- Optional;
Solar
o '7"17F0
Solar inverter
L--,------------------------ Main panel Backup Gateway Utility meter Grid
including
service disconnect
T 5 5 L n
Powerwall Whole home
backup
PARTIAL HOME BACKUP
--------------------------
Optional;
I .
Solar
Solar inverter
Sub panel Backup-Gateway Main panel Utility meter Grid
T 5 5 L n
n
Powerwall Backup loads. Home loads
T S.5 L.Fi NA,-BACKUP-2018-01-19 TESLA,COM/ENERGY
POWERWAL'L - - .
r r
Backu ' ,Gateway 2 "
Is.
The Backup Gateway for Tesla Powerwall provides:energy management f, 7 = a.'L
and monitoring for solar.self-consumption,tifn.e=based control,and backup. I
The Backup Gateway 2 controls connection to the grid;automatically° l .
detecting outages and.proyiding a seamless transition to:backup power.:, "
When equipped with-6 main circuit breaker;the Backup-Gateway 2,can be
installed at the service entrance:_When the optional internal parielboard is
installed,the Backup.Gateway. 2 can also funcfiori as a load center:.
The Backup Gateway'2:communicates dire ctly,with Powerwall,allowing-you
to monitor energy use and.manage backup energy reserves from any Mobile 1.
device with.the"Tesla app.
1
I ,
PERFORMANCE'SPECIF;ICATIONS MECHANICAL SPECIFICATIONS
Model Number 1232100-xx-y Dimensions 660 mm x 411 mm x 149 mm
(26 in x 16 in x 6 in)
AC Voltage(Nominal) 1.20/240.V.
Weight 20.4 kg(45 lb)
Feed-In Type Split Phase
Mounting options Wall mount,Semi flush mount
Grid Frequency 60 Hz
Current Rating 200 A
Maximum Input Short Circuit Current 10 kA'
Overcurrent P.rotection.Device 100-200A;Service Entrance Rated'
Overvoltage Category Category IV
AC Meter Revenue accurate(+/-0.2%) T S L 1%
Primary Connectivity Ethernet,WI-Fi
Secondary Connectivity Cellular(3G,LTE/4G)2
User Interface Tesla App 660
operating Modes Support for solar self-consumption, o
time-based control,and backup
.Backup Transition Automatic disconnect for seamless
backup
Modularity Supports up to 10 AC-coupled
Powerwalls
Optional Internal Panelboard 200A&space/12 circuit Eaton
BR Circuit Breakers
Warranty 10 years
1 When protected by Class,J fuses,Backup Gateway 2 is suitable for use in t" 411 149
circuits capable of delivering not more.than 22kA symmetrical amperes:
2 Tho'customef is expected to provide internet connectivity for Backup Gateway
2;cellular should not be used as the primary mode"of connectivity.Cellular
connectivity subject to network operator service coverage and signal strength.
COMPLIANCE INFORMATION ENVIRONMENTAL SPECIFICATIONS
Certifications UL 67,UL 869A,UL 916,UL 1741 PCS Operating Temperature -20°C to 500C(-40F to 122°F)
CSA 22.2 0.1,9,CSA 22.2 205 operating Humidity(RH) Up to 100%,condensing
Emissions FCC Part 15,ICES 003
Maximum Elevation 3000 m(9843 ft)
Environment Indoor and outdoor rated
Enclosure Type NEMA 3R
r ;, i 1: NA 2020-09-16 TESLA.COIA/ENERGY
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INTRODUCTION
Tesla Powerwall 2 was tested by Right Testing Lab, LLC, an ISO 17025 accredited laboratory, and
witnessed by CSA Group, also ISO 17025 accredited and Nationally Recognized Testing Laboratory (NRTL).
Testing was conducted in March 2021 in accordance with ANSI/CAN/UL 9540A:2019 Fourth Edition, Dated
November 12, 2019 - Test Method for Evaluating Thermal Runaway Fire Propagation in Battery Energy Storage
Systems.
This supplemental guide is intended to aid Authorities Having Jurisdiction (AHJs)in the application of the test results to
determine compliance with applicable codes. Specifically,where building and/or fire codes require large-scale fire test
data to support deviations from the minimum requirements set forth in those codes.
The Tesla Powerwall 2 has met the unit level performance criteria outlined in ANSI/CAN/UL 9540A when
installed as follows:
• The Powerwall must be installed in accordance with accompanying Powerwall 2 mounting bracket as detailed in
the installation instructions. No additional non-combustible substrate is required.
• For stacked installations,the Powerwall 2 stack kit accessory must be installed to provide adequate clearances
for preventing unit to unit propagation.
• Where applicable, a minimum clearance of 6"on the side(s)of the unit is required to prevent side-to-side
propagation to adjacent units and walls.
Page and Section numbers referenced from the test report are presented in bold type. For example,
verification that the Tesla Powerwall 2 has met the performance criteria outlined in ANSI/CAN/UL 9540A
can be found on pages 4 through 6 of the report.
For ease of use, this guide is arranged to follow the sequence used in the report issued by CSA Group titled UL 9540A
Checklist and Test Result. The scope of the report includes the performance criteria outlined in Section 9-Unit Level
Testing of ANSI/CAN/UL 9540A:2019 Fourth Edition.The report also includes a summary of data acquired at the cell
and module levels during prior testing.
All Section numbers in the report are references to ANSI/CAN/UL 9540A:2019 Fourth Edition, Dated November 12,
2019.
T = 5 L n ACPW2 1 TEST REPORT SUPPLEMENT 2
PRODUCT DETAILS
The device under test(DUT)in the attached report is the Tesla Powerwall 2, model 3012170-XX-Y,which is also
the ESS included as part of the Powerwall+all-in-one Solar PV and Storage solution (1850000-XX-Y). Full product
specifications and certifications are available on request from all Tesla authorized installers.
General product details are outlined on Page 2 of the CSA Group Checklist and Test Result document.
UNIT CONSTRUCTION
Figure 1 below illustrates the location of the battery module with in the unit as noted on Page 3 of the report.
■ Coolant System
Power Electronics
Battery Module `
Fig. 1 - Powerwall 2 Internal Component Layout
T = 5 L n ACPW2 TEST REPORT SUPPLEMENT 3
SUMMARY OF RESULTS
A comprehensive summary of the test results for each installation layout and test configuration is
provided beginning on page 3.This section provides important information needed to determine
residential and fire code compliance where reduced minimum separation distances are permitted, and
where the unit is intended to be installed on a combustible substrate.
Final verification that the Tesla Powerwall 2 has met the performance criteria outlined in ANSI/CAN/UL
9540A can be found beginning on page 4 through 6 of the report.This portion of the report can be
used as a checklist to aid in the verification of the unit's conformance to the performance criteria for
each installation confiquration.
In the unit level test it was demonstrated that:
The Powerwall 2 mounting bracket provides adequate clearance from the wall surface on which it is
• mounted.Wall surface temperatures did not exceed 97°C (175°F)of temperature rise above
ambient per Section 9.2.15. No additional substrate is needed.
• The Powerwall 2 stack kit provides adequate clearances to prevent unit-to-unit propagation when an
internal fire condition is established in an initiating unit.
• The recommended clearance of 6"on the side of the Powerwall 2 unit, as specified in the installation
manual, is also adequate to prevent side-to-side propagation to adjacent units.
CELL AND MODULE LEVEL TESTS
Pages 7 through 9 of the report provide background information and data collected during cell and module-level
testing previously conducted.This data does not directly correlate to residential or fire code requirements, rather it is
used to document and compare the characteristics of different cell chemistries and designs. One important value
recorded is the temperature at which thermal runaway occurs.This temperature of 185.8°C is used to verify that an
internal fire condition has been established during the Unit Level test.
PERFORMANCE CRITERIA - CELL LEVEL
Application of heat using film heater methodology did result in a thermal runaway condition,therefore
module level testing was required,
PERFORMANCE CRITERIA- MODULE LEVEL
Application of heat using film heater methodology did result in a thermal runaway condition, and the
resulting event was not contained by the module design,therefore unit level testing was required.
The Powerwall is intentionally designed without a module-level enclosure.This allows vent gases to be
routed in such a way that adds to the overall propagation resistance of the module, and prevents a
dangerous buildup of gases that may lead to an explosion or deflagration hazard.
-r = 5 L n ACPW2 1 TEST REPORT SUPPLEMENT 4
UNIT LEVEL TEST - GENERAL
Section 9 Unit Level Testing information begins on page 10 of the report. In additional to providing
greater detail on the test setup and unit performance,this portion of the report can also be used as a
checklist to aid in the verification of the testing laboratory`s conformance to the test procedure.
SAMPLE AND TEST CONFIGURATION
ANSI/CAN/UL 9540A provides for several configurations:
• Residential and non-residential use cases
• Wall and floor mounting
• Indoor and Outdoor locations
The Tesla Powerwall 2 is intended to be installed in any of the configurations noted in Section 9.1, so testing is
representative of each, and aligns with installation requirements established in the product installation manual.
The unit level test begins with the application of heat at a specific site selected to present the greatest amount of
thermal exposure to adjacent cells within the module.This application of heat must result in an internal fire
condition in accordance with the module level test previously conducted.This was verified by laboratory staff
using temperature data recorded during initiation of the event, compared against the cell surface temperature at
thermal runaway during the cell level test.This temperature was determined to be 185.8°C. (See Section 5.1.1
and Section 9.1).
Beginning with the indoor floor-mounted unit test, Section 9.2 on page 11 the report goes into more detail on
each test setup and installation configuration.
T = 5 L n ACPW2 1 TEST REPORT SUPPLEMENT 5
UNIT LEVEL TEST - INDOOR FLOOR MOUNTED
Section 9.2 begins on page 11 by outlining conformance to the physical test layout and data captured
during the test. An example test layout graphic has been reproduced from ANSI/CAN/UL 9540A on page 13
for cross reference with the actual layout represented in the 3D graphic provided.A summary of the recorded
dimensions is included below for clarity, along with the corresponding dimension callouts from the table on
page 14.
The units in this test configuration were installed according to the installation instructions using the Tesla
supplied support bracket and optional stack kit.The layout was chosen to represent a worst-case installation
with the minimum recommended clearances specified in the installation instructions.
Pages 11 through 17 demonstrate that the test layout,wall constructions, placement of the cheesecloth
indicator and instrumentation fully conformed to the test standard methodology.
_ 54'34
Dimensions(A), (B),and.(E)
approximately T ir-L when installed `'
with provided brackets
Dimensions(C)and (G)
6 in.
Dimension(D)6 in.
Figure 2 -Indoor Floor Mount Dimensions
T - 5 L n ACPW2 1 TEST REPORT SUPPLEMENT 6
UNIT LEVEL TEST - OUTDOOR GROUND MOUNTED
In accordance with Section 9.1.2 the indoor floor mounted test is also considered representative of outdoor
ground mounted installations,with the addition of a 1-ft wide horizontal soffit instrumented in accordance with
Section 9.3.3.Tesla does not require an additional installation substrate,so this was omitted during testing.
Pages 17 and 18 demonstrate that the test layout,wall constructions, placement of the cheesecloth indicator
and instrumentation fully conformed to the test standard methodology.
Dimension(D)approximately
when installed with provided
brackets 1 fit_soffit
Figure 3-Outdoor Ground Mount Dimensions
T = 5 L n ACPW2 1 TEST REPORT SUPPLEMENT 7
UNIT LEVEL TEST - INDOOR WALL MOUNTED
The indoor wall mounted test was performed in accordance with Section 9.2 except as modified by Section
9.4, which specifies a standard NFPA 286 fire test room and additional instrumentation placements.
Pages 18 through 20 verify that the test layout,wall constructions, placement of the cheesecloth indicator
and instrumentation fully conformed to the test standard methodology.
6 in.spacing 6 in.spacing
between unit and between units
target wall
4,t
k
'.} • -.
Figure 3 -Indoor Wall Mount Dimensions
(Door opening omitted for clarity)
T = 5 L n ACPW2 1 TEST REPORT SUPPLEMENT 8
UNIT LEVEL TEST - OUTDOOR WALL MOUNTED
The outdoor wall mounted test was performed in accordance with Section 9.2 except as modified by
Section 9.5,which again adds the 1-ft wide soffit and associated instrumentation.
Pages 20 through 22 verify that the test layout,wall constructions, placement of the cheesecloth
indicator and instrumentation fully conformed to the test standard methodology.
6 in.spacing 6 in.spacing
between unit and between units
target wall
r
Figure 5 -Outdoor Wall Mount Dimensions
T = 5 L n ACPW2 I TEST REPORT SUPPLEMENT 9
UNIT LEVEL TEST - REPORT DETAILS
Beginning on page 22, an overview table of each test is provided including a timestamped outline of
observations noted.The data provided in the graphs in this section is intended to be used as a means of
characterizing and comparing different ESS products in a standardized way.
Another use is for evaluating non-residential installations, or ESS that exceed the aggregate quantities
established in codes. The design of room construction and/or fire suppression for those systems based on
this data is beyond the scope of this guidance document.
We would like to answer any questions you have. Please feel free to email codecompliance@tesla.com.
T = 5 L n ACPW2 TEST REPORT SUPPLEMENT 10