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2024-0276 Office Use Only SOLAR /POWERWALL/EV CHARGER Permit#: 2.02/A 'OZI Permit Fe:A114.5 — Town of Queensbury APPLICATION 742 Bay Road,Queensbury,NY 12804 Invoice *46) P:518-761-8256 www.queensbury.net Flood Zone? Y TYPE: • N 1 Reviewed By: {k•A'S` �J SITE INFORMATION: Project Location: 37 Broadacres Queensbury NY 12804 Tax Map ID #: 302.18-2-63 Subdivision Name: Broadacres ❑✓ Residential: n Commercial n Other: Single Family Multi-Family Solar Panel Information: Are the solar panels? Where are they being mounted? nPurchased n Roof-mounted nLeased - ❑ Ground-mounted (see#5 on cover page) .. Total System Capacity Rating (sum of all panels): Solar PV System: kW DC Select System Configuration: nSupply side connection with micro inverters Load side connection with DC optimizers ❑ Supply side connection with DC optimizers ❑ Load side connection with micro inverters Supply side connection with string inverter ❑ Load side connection with string inverter Powerwall Battery Storage Information: (Please include detailed drawings&specs) Location: JUN 03 2024 Residential EV Charger Information: TOWN OF QUEENSBURY (Please include detailed drawings&specs) BUILDING&CODES Location: Attached garage Solar Panel/Powerwall Application Revised May 2024 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Property Owner(s): Name(s): Meghan Quillen Mailing Address, C/S/Z: 37 Broadacres Queensbury NY 12804 Cell Phone: (518)791-6681 Land Line: Email:meghan_quillen@yahoo.com • Solar Contractor: Workers' Comp documentation must be submitted with this application Business Name: Contact Name: Mailing Address, C/S/Z: Cell Phone: Land Line: Email: • Electrical Contractor: Workers' Comp documentation must be submitted with this application Business Name: Apex Energy Tek Contact Name: Greg Demarse Mailing Address, C/S/Z: 64 Main St,Queensbury, NY 12804 Cell Phone: Land Line: 518-415-5511 Email:Permitting@apexsolarpower.com Contact Person for Compliance in regards to this project: Dan Rice Cell Phone: Land Line: 518-415-5511 Email:permitting@apexsolarpower.com Solar Panel/Powerwall Application Revised May 2024 ; ,. , . ._ _. —chargepoi - :, ChargePoint HomFlex . Specifications and Ordering Information O?� Eoss GRY -TOWN,T acyo--k\h1,._Ncomoanca \� g�1�Dl��g- naaon, oxam+ ;, construed an .':; .,;.,,- on our 1im�tedOw ', ;canons are -.. :. gih our Gomm ans arnj SPGu�d\ng G°des o� W theP te, r` kNlih indicco�mPliance full State• dew l'atk ( 1 ''-''''''' ] `1 I l I i s I s, , :/ \_‘) V il I .' tip, r c , • W. 'ir E © ElIV El] B \0 �. , JUN 03 2024 TOWN LOFENURY ©. c) BUILDING&CODES.co op\� day. 0 ' . .,,i\e' , ChargePoint® Home Flex 302.18-2-63 2024-0276 Cavas, Matthew 37 Broadacres Road EV charger in attached garage • ChargePoint Home Rex Datasheet Architectural Drawings (Dimensions) Weight: 6.26 kg (13.8 lb) 179,4 mm 179.6 mm (7.06 in) - (7.07 in) • 4_132.1 mm y„ (5.20 in) iti yI . 1111 284.3 mm 11 I tll� j r, 4 _-ter' 1 F. ChargePoint, Inc. I Copyright©2023 • • ChargePoint Home Flex Datasheet Safety and Operational Ratings Station Enclosure Rating Type 3R per UL 50E Safety and CUnpfiance UL and cUL listed; complies`with UL2594,-UL2231-1,:. UL2231 2 .NEC peticle Q25 compliant. Canada:CSA L .Z 11ia:-28n - � For- - . � � ;;281.1.; 2�'l ?=, GEC HEMC Compliance FCC Part 15 Class B _�-_-_--�-- Sfora e Tem efatta:re.= : -40°C to 60°C -ao°F to';i40°[=} ambient: Operating Temperature -30°C to 50°C (-22°F to 122°F) ambient Operating.Hurrtii ity, : Up`to 95% at50°C ('122°F) nbn-coriciensing- Non-Operating Humidity Up to 95% at 50°C (122°F) non-condensing EWERGY.STA °: t. Yes Certification Indicators WiFi LED Yes :Fault Indicator:`per:U.L :,Yes Status LED _-- Yes Installation [ifT[Software Mobile App (OOS &Android) Outdoor Installation Hardwired installation`orweat tefproofNEiVA-receptacle Note: Reduired,by,code:•aa.,instalI;;an'oitdoor:rated:OFCF breaker upstream for outdoor plug in Installation • ChargePoint,Inc.reserves the right to alter product offerings and specifications at any time without notice,and is not responsible for typographical or graphical errors that may appear in this document. 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