Section 5
Guidelines for Certified Inverter Based Generators
Residential Projects 20 kW or less
Interconnection Application
*
- Indicates that a field is required
1. Interconnection Customer
*
Company or Last Name, First Name of Customer:
*
Customer
(Last Name, First Name):
*
Contact Person
(Last Name, First Name):
*
Street Address:
*
City:
Andover
Ansonia
Ashford
Avon
Baltic
Bantam
Barkhamsted
Beacon Falls
Berlin
Bethany
Bethel
Bethlehem
Bethlehem Village
Bloomfield
Blue Hills
Bolton
Bozrah
Branford
Branford Center
Bridgeport
Bridgewater
Bristol
Broad Brook
Brookfield
Brooklyn
Burlington
Canaan
Canterbury
Canton
Canton Valley
Central Somers
Central Waterford
Chaplin
Cheshire
Cheshire Village
Chester
Chester Center
Clinton
Colchester
Colebrook
Collinsville
Columbia
Cornwall
Coventry
Coventry Lake
Cromwell
Crystal Lake
Danbury
Danielson
Darien
Deep River
Deep River Center
Derby
Durham
East Brooklyn
East Granby
East Haddam
East Hampton
East Hartford
East Haven
East Lyme
East Windsor
Eastford
Easton
Ellington
Enfield
Essex
Essex Village
Fairfield
Farmington
Franklin
Gales Ferry
Georgetown
Glastonbury
Goshen
Granby
Greenwich
Griswold
Groton
Groton Long Point
Guilford
Guilford Center
Haddam
Hamden
Hampton
Hartford
Hartland
Harwinton
Hazardville
Hebron
Heritage Village
Higganum
Jewett City
Kent
Killingly
Killingworth
Lake Pocotopaug
Lebanon
Ledyard
Lisbon
Litchfield
Long Hill
Lyme
Madison
Madison Center
Manchester
Mansfield
Mansfield Center
Marlborough
Marlborough\
Meriden
Middlebury
Middlefield
Middletown
Milford
Monroe
Montville
Moodus
Moosup
Morris
Mystic
Naugatuck
New Britain
New Canaan
New Fairfield
New Hartford
New Hartford Center
New Haven
New London
New Milford
New Preston
Newington
Newtown
Niantic
Noank
Norfolk
North Branford
North Canaan
North Granby
North Grosvenor Dale
North Haven
North Stonington
Northwest Harwinton
Norwalk
Norwich
Oakdale
Oakville
Old Lyme
Old Mystic
Old Saybrook
Old Saybrook Center
Orange
Oxford
Oxoboxo River
Pawcatuck
Plainfield
Plainfield Village
Plainville
Plymouth
Pomfret
Poquonock Bridge
Portland
Preston
Prospect
Putnam
Quinebaug
Redding
Ridgefield
Riverside
Rocky Hill
Roxbury
Salem
Salisbury
Salmon Brook
Sandy Hook
Saybrook Manor
Scotland
Seymour
Sharon
Shelton
Sherman
Sherwood Manor
Simsbury
Simsbury Center
Somers
South Coventry
South Windham
South Windsor
South Woodstock
Southbury
Southington
Sprague
Stafford
Stafford Springs
Stamford
Sterling
Stonington
Stratford
Suffield
Suffield Depot
Tariffville
Terramuggus
Terryville
Thomaston
Thompson
Tolland
Torrington
Trumbull
Uncasville
Union
Vernon
Voluntown
Wallingford
Warren
Washington
Waterbury
Waterford
Watertown
Wauregan
Weatogue
West Hartford
West Haven
West Simsbury
Westbrook
Westbrook Center
Weston
Westport
Wethersfield
Willington
Wilton
Winchester
Windham
Windsor
Windsor Locks
Winsted
Wolcott
Woodbridge
Woodbury
Woodbury Center
Woodstock
*
State:
*
Zip:
Mailing Address
(if different):
City:
State:
Zip:
*
Customer's Eversource Account Number
(on the customers Eversource bill):
*
Meter Number
(on the customers Eversource bill):
*
E-mail Address:
*
Phone Number:
*
Fax Number:
*
Responsible party's name and contact information in case of emergency:
(provide day, evening and weekend contact information)
*
Is this a new service or service upgrade?
:
Yes
No
*
Is this Interconnection Request for?:
A retail customer interconnecting a new Certified Inverter-Based Generating Facility that will produce electric energy to be consumed only on the retail customer site
A generating facility where 100% of the excess output will be sold to its host utility
An Interconnection Customer interconnecting a new Certified Inverter-Based Generating Facility that plans to participate in the wholesale markets
2. Point of Contact
(if different from Interconnection Customer i.e. Developer)
Company
:
Representative
(First Name, Last Name)
:
Title:
Street Address:
City:
State:
Zip:
Mailing Address
(if different):
City:
State:
Zip:
E-mail Address:
Telephone number:
Fax number:
*
3.
Requested In Service Date
(If you do not use the date picker, please enter the date in mm/dd/yyyy format.)
4. Generating Facility / Inverter Information
*
a. Manufacturer:
*
b. Model No.:
Version No.:
Serial No.:
*
c.
Generating Facility Phase Type:
Single Phase
*
d.
Nameplate AC Rating:
KW
*
e.
Generating Facility/Inverter AC output voltage (volts):
f.
Rated Current (amps):
*
g.
Prime Mover:
Photovoltaic
Reciprocating Engine
Fuel Cell
Turbine
Other
Please specify other prime mover:
*
Energy Source:
Solar
Wind
Hydro
Diesel
Natural Gas
Fuel Oil
Other
Please specify other energy source:
*
h. UL1741 Listed:
Yes
No
i. Single line diagram of interconnection and site plan.
Upload
(Use the browse button to select the attachment, then click the upload button to add it to the form. Please try to limit to 4 attachments.
6. Other Comments, Specifications and Exceptions:
The application is available only for Residential inverter-based Generating Facilities 20kW and less that meet the codes, standards, and certification requirements to UL 1741 as outlined in the Guidelines.
Interconnection Customer Signature
I hereby certify that, to the best of my knowledge, the information provided in this application is true. I agree and accept all terms and conditions for Interconnection and agree to abide by the "
Guidelines for Interconnection of Residential Single Phase Certified Inverter-Based Generating Facilities of 20 kW (ac) or Less
" to interconnect a Certified Inverter-Based Generating Facility.
Submitted:
03/29/2024 05:48 AM