Loading...
31A-290 (5) III! III I 1111 77777+ T� PV (Nodule Compatibility List ASE ASE100, ASE300 AstroPower AP-65/75, APX-90, AP-110/120, AP-150, AP-6105/7105, AP-1106/1206 BP Solar BP270/275, BP585/590, BP2150, MSX-120, SX-75/80/85, SX-110/120 Evergreen EV-94/102 Kyocera KC-70/80/120 Photowatt PW750, PWX1000 Siemens SP65/70/75, SR90/100, SM100/110, SP130/140/150 Uni-Solar US-64 Call UniRac or your PV dealer for any PV module not shown. SolarMountTM Component Specifications 10 Year Limited Warranty a SolarMount Rails and Mounting Clamps, Tilt Legs UniRac, Inc.warrants to the original owner at the original installation site and "L" Shaped Footings—6061-T6 Aluminum that SolarMounts shall be free from defects in material and workmanship Extrusion for a period of ten(10)years from the earlier of 1)the date the installation is complete, or 2) 30 days after the purchase of the SolarMounts by the ® 3" and 6" Standoffs —Grade 5 Zinc Plated, original owner. This warranty does not cover damage to SolarMounts that Welded Steel occur during shipment,or prior to installation. m Fasteners— 304 Stainless Steel If within such period the SolarMounts shall be reasonably proven to be defective,then UniRac shall repair or replace the defective SolarMounts,or part thereof,at UniRac's sole option.Such repair or replacement shall fulfill Building Code Compliance all UniRac's liability with respect to this warranty. SolarMounts are designed to comply with the This warranty shall be void if installation of the SolarMounts are not per- Uniform Building Code, 1997, Chapter 16. See formed in accordance with UniRac's SolarMount Installation Guidelines,or if the SolarMounts have been modified,repaired or reworked in a manner Installation Guidelines for details regarding specific not authorized by UniRac in writing, or if the SolarMounts are installed in modules and loading. an environment for which they were not designed. UniRac shall not be liable for consequential, contingent, or incidental damages arising out of use of the SolarMounts. UNOM UniRac, Inc. 2300 Buena Vista, SE, Suite 134 Albuquerque NM 87106 USA Phone: 505.242.6411 Fax: 505.242.6412 e-mail: info @unirac.com www.unirac.com 8/01 .. � gAp f l®f ® ♦ s a ® Y "L" Footings The standard SolarMount "L" shaped foot is designed to bolt through existing roofing material to the rafter, and to be sealed with an appropriate roofing sealant under each footing. Two vertical mounting holes provide for adjustment of the height of the SolarMount rail. Standoffs Round standoffs (3" and 6" tall) are also available. ® They are installed under the roofing material, and are compatible with Oatey 1'/4" diameter elastomer collared flashings and other non-collared flashings. (Visit www.oatey.com for details of Oatey flashings) MONO= v Tilt Legs Standard SolarMount are designed to be flush mounted on a pitched roof. If the roof is flat, or if the roof pitch is too low, tilt legs are available to lift your array to the desired angle to the sun. The maximum angle can vary from 25 to 45 degrees from horizontal, depending on the size and on- entation of the SolarMount and your PV modules. a Splice nits SolarMounts can be mounted end to end in order to create continuous rows of modules. Simply splice as many SolarMounts together as required. UNORAC • . A ! A SolarMount is a "patent pending"mounting system designed for easy, safe and fast on-the-roof installation of PV modules. No more lifting cumbersome,pre-assembled arrays from the ground to the roof. ► SolarMountTm Dual Slotted Rails SolarMount rails have a Footing Bolt Slot that provides infinite flexibility for positioning SolarMount footings. Module Bolt Slot You can always lag directly into a roof member for maxi- mum structural integrity. The Module Bolt Slot provides equal flexibility for mount- ing your modules. The result is that SolarMount can Footing mount any module on virtually any roof. Bolt Slot ► SolarMount "Top-Down" Module Clamps Modules attach to the rails from the top with unique SolarMount clamps. �7 First, attach the footings to the roof, and the rails to — the footings. Then, use the SolarMount clamps to \ ; attach the modules to the rails from the top - one t module at a time. 1 SolarMounts can easily be mounted in either landscape (horizontal array) or portrait(vertical array) mode without Portrait ' any special added parts. Mode A variety of SolarMounts are available for mounting from two to as many as nine modules, depending on module andscape size. And, SolarMounts can be set end to end to create Mode extended length arrays. (See Splice Kits on the facing page) TX'M lililll r Patent pending) n ti h mounted rn�shown flux ode ,4 t toi) m SolarM cun a thorizon in Iandscap A nd safest W n . fastest, a build 9 eas1estj ua��y any ,Odoes Or\n e V� ount1001 over TS are t e roof °f ount ng_moo sho-WO abd roof M0U on the ctrona\nn \ mode' ilmlte a sing\e S°x-�''RIl a P� array dole Br'd�scape Ch°riz°mode,l{you oaentatans\n �n$ta Pv mod tan ve . -a use both to framed p°rtra,t( can even er the Matt or\argepunted using the ace,y ou is,wheth 64 be m atIbillty��st on so sta\1atjon Code ReAuirea,ess 01 th out?\J array vn\verst4' hnAmerlc M dole Come Pv gu11d\n or fiat,and re9 rely mach y Codes. sold In N°�. (See ° down" Meets Itched t wi11 Seto U.S 50 age) ck Page) Solak,age) 'QecauSe of ws5e h the be rma c,a1�5O fi M anePlianmP�an<e'I °n the ba ba bW \for can r roo e Co psseR` nts are idea array d {-{op u n enure t e installed t°y°Ug\ji\dlnc3 C° Roo so\arMo modu\es• A er akWa\rd hazard°f (See camps,n p\ay�, pv d wired wh and then See inside for details) rPU9 b\ sn tes the e r°°ftmg t a ,\,\\,he too,.f assembled array o other fO° s ed on em ua\s\Ott WMIR9 p 91 and adjust�n9 th GontInuOUadd stability. moo ta\1at�on' ate in tags Q0161.and Eas\s provide thorultp°sitwning f°° t re solarmu e re_dril\log holes, No fI GreenFasten'" GF1 — Product Guide Installation Instructions ,s * Use for vertical adjustment when leading edge of flashing hits nails in upper shingle courses OW A . Slide flashing up under shingles until leading edge engages 2. Remove flashing and cut"V"notch at marks where nail shafts engaged i r nails.Measure remaining distance to adjust upslope. leading edge of flashing the distance desired in Step 1.Notch depth not to exceed 2"length by 1/2"width. ztj Nails beneath shingle Placement of"V"notch V s T } M # } }IV bi A i , � x z i+ 3. Reinstall flashing with notched area u slo e. . Position notched leading edge underneath nail heads as shown. F Nails beneath shingle�.° g Nails beneath shingle y , � T t t� ¢ 877 859-3947 Committed to the Support of Renewable Energy ©EcoFasten Solar®All content protected under copyright.All rights reserved.07/122012 2.2 't Yi I iS tt a° GreenFasten"' GF1 — Product Guide Installation Instructions AD � A t jf tf+ it I j 1 X xt .J 2 3 4 1. Locate the rafters and snap horizontal and vertical lines to mark the installation position for each GreenFasten flashing. I 2. Drill a pilot hole(1/4"diameter)for the lag bolt.Backfill with sealant.* 3. Insert the flashing so the to art is under the next row of shingles and pushed far enough up slope to prevent water infiltration through vertical joint in shingles. 4. Line up pilot hole with GreenFasten hole. 5. Insert the la bolt through the EPDM washer,the to compression component rt, __ F .... 9 9 p P P w =$ (L-Bracket pictured)and the gasketed hole in the flashing and into the rafter. `� p a ' =e 6. Torque to 140 inch-pounds P f _ Consult an engineer or go to www.ecofastensolar.com for engineering data. *EcoFasten recommends an EPDM mastic. q 5 b 4� � 1 877-859-3947 Committed to the Support of Renewable Energy ©EcoFasten Solar®All content protected under copyright.All rights reserved.05/292012 2.1 S 275 mono PERFORMANCE UNDER STANDARD TEST CONDITIONS(STC)* PERFORMANCE AT 800 W/m2,NOCT,AM 1.5 Maximum power Pm 275 Wp Maximum power P 205.0 Wp Open circuit voltage V 39.4 V Open circuit voltage V., 36.1 V Maximum power point voltage V 31.0 V Maximum power point voltage V m 28.4V Short circuit current I m 9.58A Short circuit current I 775A Maximum power point current Im 8.94 A Maximum power point current Im 7.22 A `STC:1000 W/m',25•C,AM 1.5 Minor reduction in efficiency under partial load conditions at 25•C:at 200 W/nn,100% 1)Measuring tolerance(m".)traceable toTUV Rheinland:+/-2%(TUV Power Controlled). (+/-2%)oftheSTC efficiency(1000W/m2)isachieved. THERMAL CHARACTERISTICS COMPONENT MATERIALS - NOCT 46°C Cells per module 60 Cell type Mono crystalline TCI 0.004%/K Cell dimensions 6.14 in x 6.14 in(156 mm x 156 mm) TCvo< -0.30%/K Front Tempered glass(EN 12150) TCP,,_ -0.45%/K Frame Clear anodized aluminum Operating temperature -40°C to 85°C weight 46.7 Ibs(21.2 kg) SYSTEM INTEGRATION PARAMETERS l 1000 W/mz Maximum system voltage SC II - -^ 1000 V u Max.system voltage USA NEC 600 V Soo W/m2 Maximum reverse current 16 A 600 W/mz Nu mberof bypass diodes 3 g UL Design Loads" Two rail system 113 psf downward 64 psf upward 400 W/m' UL Design Loads' Three rail system 170 psf downward 64 psf upward 200 W/m2 IEC Design Loads' Two rail system 113 psf downward 100 W/m, 50 psf upward 'Please refer to the Sunmodule installation instructions for the details associated with `' these load cases. Module voltage[V] v a ADDITIONAL DATA -L-x4 -3744(951) Powersorting' -OWp/+5Wp J-Box IP65 Connector MC4 11.33(288) Module efficiency 16.40 Fire rating(UL 790) Class C 0.6 15.3 41.30(1050) VERSION 2.5 FRAME Compatible with both"Top-Down" Version and"Bottom"mounting methods 2.5 frame 65.94(1675) 4Groundin Locations: bottom g mounting 4 corners ofthe frame holes 4locations along the length ofthe module in the extended flanget 1.34 34 N E Independently created PAN files now available. • -L x 4 4.20(107)t r Ask your account manager for more information. 1.22(31) lam--39.41(1001)— ^� All units provided are imperial.SI units provided in parentheses. Solarworld AG reserves the right to make specification changes without notice. SW-01-600SUS 08-2013 f wi& 3�,�.cov.ca TUV Power controlled: S TUVRheinland Lowest measuring tolerance in industry i i0 000002A,3� Every component is tested to meet 3 times IEC requirements J Designed to withstand heavy accumulations of snow and ice J Sunmodule Plus: i Positive performance tolerance 1 J s • 25-year linear performance warranty and 10-year product warranty ` — t. J World-class quality Q"111eE.IEC11111 +� V •nmmw,ia.e:..v,�e Fully-automated production lines and seamless monitoring of the process and material V S...dl.dg1EC81]3a% P— D E •ro�omc Wd,JEon °•vencmc mspeamn ensure the quality that the company sets as its benchmark for its sites worldwide. 91oP ,r•P�=i�o�r,ea•d SolarWorld Plus-Sorting l__ v pPOaM>HCF TCS eo C"Plus-Sorting guarantees highest system efficiency.SolarWorld only delivers modules that \ SALT MIS RESISTAM V PHOTOWLf?1C PN011lh:i C US have greaterthan or equal tothe nameplate rated power. U1.1703 . •rl 25 years linear performance guarantee and extension of product warranty to 10 years C • ,, SolarWorld guarantees a maximum performance degression of 0.7%p.a.in the course of 25years,a significant added value compared to the two-phase warranties common in the industry.In addition,SolarWorld is offering a product warranty,which has been extended to 10 years.* *in accordance with the applicable Solarworld Limited Warranty at purchase. " www.solarworld.com/warranty SOLARWORLD MADE IN USA solarworld.com We turn sunlight into power. Enphase®M215 Microinverter//DATA INPUT DATA(DC) M215-60-2LL-S22-IG/S23-IG/S24-IG Recommended input power(STC) 190-270 W Maximum input DC voltage 48V Peak power tracking voltage 27 V-39 V Operating range 16 V-48 V Min/Max start voltage 22 V/48 V Max DC short circuit current 15 A Max input current 10A OUTPUT DATA(AC) @208 VAC @240 VAC Peak output power 225 W 225 W Rated(continuous)output power 215 W 215 W Nominal output current 1.1 A(A rms at nominal duration) 0.9 A(A rms at nominal duration) Nominal voltage/range 208 V/183-229 V 240 V/211-264 V Nominal frequency/range 60.0/57-61 Hz 60.0/57-61 Hz Extended frequency range' 57-62.5 Hz 57-62.5 Hz Power factor >0.95 >0.95 Maximum units per 20 A branch circuit 25(three phase) 17(single phase) Maximum output fault current 850 mA rms for 6 cycles 850 mA rms for 6 cycles EFFICIENCY CEC weighted efficiency,240 VAC 96.5% CEC weighted efficiency,208 VAC 96.5% Peak inverter efficiency 96.5% Static MPPT efficiency(weighted,reference EN50530) 99.4% Night time power consumption 65 mW max MECHANICAL DATA Ambient temperature range -40°C to+65°C Dimensions(WxHxD) 171 mm x 173 mm x 30 mm(without mounting bracket) Weight 1.6 kg(3.4 Ibs) Cooling Natural convection-No fans Enclosure environmental rating Outdoor-NEMA 6 FEATURES Compatibility Compatible with 60-cell PV modules. Communication Power line Integrated ground The DC circuit meets the requirements for ungrounded PV arrays in NEC 690.35. Equipment ground is provided in the Engage Cable. No additional GEC or ground is required.Ground fault protection(GFP)is integrated into the microinverter. Monitoring Enlighten Manager and MyEnlighten monitoring options Compliance UL1741/IEEE1547, FCC Part 15 Class B,CAN/CSA-C22.2 NO.0-M91, 0.4-04,and 107.1-01 'Frequency ranges can be extended beyond nominal if required by the utility To learn more about Enphase Microinverter technology, [e] enphase®visit enphase.com E N E R D Y 0 2014 Enphase Energy.All rights reserved.All trademarks or brands in this document are registered by their respective owner. Enphase®Microinverters Enphase@M215 ,Vlr" + a r a � t � Vii.•y:_ is r The Enphase M215 Microinverter with integrated ground delivers increased energy harvest and reduces design and installation complexity with its all-AC approach. With the advanced M215, the DC circuit is isolated and insulated from ground, so no Ground Electrode Conductor (GEC) is required for the microinverter. This further simplifies installation, enhances safety, and saves on labor and materials costs. The Enphase M215 integrates seamlessly with the Engage® Cable,the Envoy® Communications Gateway", and Enlighten®, Enphase's monitoring and analysis software. PRODUCTIVE SIMPLE RELIABLE - Maximizes energy production - No GEC needed for microinverter - More than 1 million hours of testing - Minimizes impact of shading, - No DC design or string calculation and millions of units shipped dust, and debris required - Industry-leading warranty, up to 25 - No single point of system failure - Easy installation with Engage years Cable rO enphase® s�® L J E N E R G Y C us EGSTING UTILITY METER. jj EXISTING SERVIGE PANEL " PROPOSED NET METER PROPOSED AC DISCONNECT PROPOSED REC METER 3 MILES 3 MIMLIL1 S 2 FILES 1�7 2 MFJi AtS .7 MODULES ra 3 . S. 31400ms 1L L SOUTH 222 COMPANY: ENDLESS MOUNTAINS SOLAR SERVICES 288 KIDDER ST 707 WILKES BARRE PA 18702 SYSTEM SPECIFICATIONS DRAWN BY:,JAMES LASKOWSKI KATHERINE OSBORNE SIZE. 7.7 CUSTOMER: MODULES 14 WASHINGTON PL TYPE: SOLAR WORLD 275 NORTHAMPTON MA 01060 AMOUNT:28 413-§84-M SYSTEM SPECIFIACTIONS Endless Mountains ENPHASE M215-60-240V LINE DIAGRAM KWDC:7.7 SOLAR SERVICES KWAC.6.02 AC VOLTAGE:240 AC AMPS:25.2 AC DISCONNECT SIZE:60 MODULES!QTY:SOLAR WORLD 275/28 FNPNA�ECARLF 2 AC BRANCH ma0 15.13 BLACK-L1 - RED-L2 WHITE-NEUTRAL. GREEN-GROUND JUNCTION BOX 2 POLE 20 AMP - _Y CIRCUIT BREAKER PER BRANCH CIRCUIT 8AWG WIRE ' 10 AWG WIRE(FROM SOLAR ARRAY TO COMBINER) (FROM COMBINER TO INTERCONNECTION rnnRr. - AC KM PANEL - -' 6AWG ` 6AWPUG M T R -. _ - TERMINATOR CAP � ------ --- Vin__ � • INSTALLED ON END OF CABLE TO METER OR AC DISTRIBUI ION UP TO 17 M21 Ss PANEL- PER BRANCH CIRCUIT REC METER cn 8 AWG WIRE 1-2 POLF 40AMP (FROM COMBINER TO CIRCUIT BREAKER AC DISCONNECT INTERCONNECTION) TO BE NSrAUEDFtJRrf4EST tv N inAMPD 7!R'EErt ETHERNET CONNECTION AWAY FROM MAN BRFAKER r—, 7 ENVOY COMMUNICATIONS GATEWAY TO BROADBAND ROUTER ' Y enphase COMPANY:ENDLESS MOUNTAINS SOLAR SERVICES Nf U tRAi GROUND 120 Vac POWER CABL F 288 KIDDER ST AC DWHIaU;ION PANEL e AWG WILKES BARRE PA 18702 (S70)820-SM OR SUB PANEL DRAWN BY:JAMES LASKOWSKI MURRAY 200 AMP CUSTOMER:KATHERINE OSBORNE 14 WASHINGTON PL _ NORTHAMPTON MA 01060 413-584-0888 LEONARD ENGINEERING, INC. 251 Mundy Street, Suite C Wilkes-Barre, PA 18702 (570)208-7233 www.LEIdesigns.biz January 26,2015 Jim Laskowski Endless Mountain Solar Services 288 Kidder Street Wilkes-Barre,PA 18702 Re: Osborne Residence, 14 Washington Place,Northampton,MA Dear Mr.Laskowski, As you requested, I have performed a structural evaluation of the roof framing at the above referenced residence.It is my understanding that solar panels weighing approximately 4 pounds per square foot(psf)are proposed to be installed in 4 distinct areas of the roof which contains multiple gable structures. Per your inspection and layout plan, the roof areas that will support the solar panels are: 1. Western Roof: 2x 10 rafters spaced at 16" on center with 12'horizontal span from bearing wall to ridge. 2. Front Center Area: 2x6 rafters spaced at 16" on center with 13'continuous horizontal span from bearing wall to ridge with load bearing support wall at T from outside wall. 3. Rear Center Area: 2x 10 rafters spaced at 24" on center with 8'horizontal span from bearing wall to ridge. 4. Middle Center Area(reverse gable between front and rear center roofs): 2x 10 rafters spaced at 24" on center with 8'horizontal span from bearing wall to ridge. All of the above roof areas are sloped at a 6:12 pitch. The Massachusetts Amendment to the 2009 International Building Code snow map indicates the design ground snow load in Northampton is 55 pounds per square foot(psf), which translates to a flat roof snow load of 38.5psf.The dead load of the rafters/sheathing/shingles is approximately 10 psf and the addition of the solar panels results in a total dead load of 14 psf and overall total load of 52.5 psf. For this evaluation, it was assumed the wood members are typical spruce-pine-fir mix, No.2 or better. Our calculations indicate that the rafters in Area 1 (western roof)are stressed to 55%of their total bending capacity under the code- required snow load in combination with the existing dead loads and the new solar panels. The rafters in Areas 2 and 3 are stressed to less than 40% of their allowable capacities under the full design load.Therefore it is my opinion the new solar panels can be installed in the proposed areas without reinforcement of the existing framing. The above recommendations and opinions are based on the above information provided by you and the assumption that the framing members are in sound condition.Any deviations from the above criteria discovered during the course of the work must be immediately brought to our attention. Please call me with a tions. V; I1401�°.�iS 'a ryL F0"pAliO Thomas Leonard, P.E. IRAL President No 4914;) JJj ,�♦fl�� f �n�re ENDLESS MOUNTAINS SOLAR SERVICES, LLC M WITH 5TU T T.N TSTEOROI GIL W 111511 I OTTTCC(sM rio. M FAX(SAM)S.12 MI WORK ORDER HCE174479 R.aq 888 of Cer**NE Ucnn,ible A i�tm�e Rcfcrrcd Q?- �*Nww-: j_&TUM Ht, OSQ d RAho_ ""c rf Ir.tails:x•n- Rm Grou d/[3.1ti ud A&k—./ �Ik�L_Tb�) PLC�e Ra,fT)Tc- tt�n�t s1da1 PubbcrI Mer. L�� Roof Pitch• V ta°15,20r,u.(@ 35`Or 45'O&,cr Cd) ss�� Sutc a4Iq+ W i2 6117 How c T>pc- Rrtcb;tito'u'ar�`Other Ptx�c_Zl_3:M!j—o 8158 wC<k: House_,; c - Sm ' T,., TEroc f 01%r. T moil. I�RgLKQSA Smvc Pxxl- Fwc;04,1 1M zm I Odser. COMPLM SOLAR PNNEL SYSTESI PACKAGE Sc%'m EocM S)ucm Dcsaxpom- f.r�aw tw b 7 f w SOLO}k t :. .Z 8 2?S 5 0LAtt woQr.b ?,-t a5 a8 bin #4r G Mi cruo r/vYen-TF,0-s Term":Pad mat Plan 8axd/h Corretat Istertu Rau COST OF SYSTEM CASH OR CHECK '2, If,q Ll i CRfDl7CARa�*tc,T'�..rn..*.•r+a�n,:� -�--s��� 3- T W s-3'7 S_ sE a f1���cE = 3?, 88`1 ckla»a>,nn. G14.t 3o3`I. s--- UANX Me MSS F 1 ti A Vt T OP 1 Trl'v t w** + P+t ,:S aM T(7 BE wu E TO w CAE_yT Culp r„ 7 R.;�miae�c ors � •.S.M/L .MN'• .tr w..�.•'...k..Mar.n.a r'mtl yttAj yMn sM DicC _ .- p•ea.�waw ww 4 u w-xr.�.e�a+,•.,y,n mar a'...r'1 ti►r..o.4• s� k,�t�•^r1 a.r.n,.yi,t aa.rm,Mar.,w..a3�.wt a 4a.e�.a r(!a�1ia pY+'r{XS.a•.S.c.ff,3 4N tn.;!n♦•it SaT�+>�at.ua.w k Arrr b sa.�rt.a.�cw sd C akw..x Or�.a+.Wt N`ham M wY wrx�,�,� c+l cac.ta t•.farry nraw W+r—ee M f *VNt sat Ra.Mw&&ke s,i-AW/- +M.Ud -MA s1 t~pew a N+•64.m. r L E Scanned by Carnscanner The Commonwealth of Massachusetts Department oflndustrialAccidents H Office of Investigations a 1 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): Endless Mountains Solar Services Address:288 Kidder St City/State/Zip:Wilkes Barre PA 18702 Phone#:570-820-5990 Are you an employer? Check the appropriate box: Type of project(required): 1.❑■ I am a employer with 10 4. ❑ I am a general contractor and 1 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2.E-1 I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.1 required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no 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 andjob site information. Insurance Company Name: HDI-Gerling America Inc Co. Policy#or Self-ins. Lic. #:000087613 Expiration Date:5/9/15 Job Site Address: 14 Washington PI City/State/Zip: Northampton MA 01060 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under 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 cert' under the pains and penalt' f jury t the information provided above is true and correct 1/19/15 Si ature: Date: Phone#: 08205990 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#: SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: L I O Trot l s-0 05q I license Number Address,, Expiration Db e b"t 2 733--/ad's Signature/(— Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ Companv Name Registration Number $13 K 5-4 1A 1 7– / 8/c Addr Expiration Date Telephone:5V—Y)o-t5l` l0 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application.Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... 0--' No...... ❑ 11. Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that file owner acts as supervisor.CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner:Person(s)who own a parcel of land on which lie/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached struchires accessory to such use and/or farm strictures.A Person who constructs more than one home In a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be responsible for all such work nerformed under the building hermit. As acting Construction Sunervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153(Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature I SECTION S-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors O Accessory Bldg. ❑ Demolition New Signs (0) Decks ( Siding(0) Other[� Brief De cription of Proposed Work:&,e r,Dviff d cyt4 +c o d 1,1d Sa 14tx-- Af/I P8, t.I IM /a I A.• Alteration of existing bedroom Yes -'�"No Adding new bedroom Yes L-�No Attached Narrative Renovating unfinished basement Yes - No Plans Attached Roll -Sheet 6a.If New house and or addition to existina housina,complete the followin a. Use of building:One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction L Is construction within 100 ft.of wetlands? Yes No. is construction within 100 yr. floodpiain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No. 1. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS IAGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 6S Ida/✓+F as Owner of the subject property hereby authorize s�lr -1 /� i/a,.,. !4' L t lc s -► I o act on my behalf ' 1 matters relative to work authorized by this building permit application. Signature er Date I, uM*;. slxa,,r t�� ' as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print N � ly S' ature of Owner/Agent Dale I Section 4. ZONING All Information Must Be Completed.Permit Can Be Dented Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage I t _ Setbacks Front Side L:I I RJ _ I L:I._ I R:I _ Rear Building Height Bldg.Square Footage I J Open Space Footage % ' {Lot area minus bldg&paved I ) I I I I Arkin 11 of Parking Spaces Fill: i l volume&Location A. Has a Special Permit/Variance/Finding e ygr been issued for/on the site? NO ® DONT KNOW YES IF YES,date issued:) I IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW O YES IF YES: enter Book Pagel I and/or Document ttf B. Does the site contain a brook, body of water or wetlands? NO GK---DONT KNOW tJ ES 0 IF YES,has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained o Obtained O , Date Issued: C. Do any signs exist on the property? YES 0 NO IF YES,describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES ® NO IF YES,describe size, type and location: I I E. Will the construction activity disturb(clearing,grading,ex anon,or filling)over 1 acre or is it part of a common plan that will disturb over 1I acre? YES ® NO IF YES,then a Northampton Stoma Water Management Permit from the DPW is required. Department use only i of Northampton Status of Permit: 2 9 ing Department Curb Cut/Driveway Permit 2 Main Street Sewer/septic Availability''; Electric,Plumbing g Ga$r Room 100 WaterlyVgll Availability Northampton,mA Ofpep ampton, MA 01060 Two Sets of Structural Plans p 7-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office Map Lot Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: n K"A t r,n P Q L6 Q mA- Iyr)(ro Name(P Current Mailing ddress: Utz.. Sg k- 0 8l� Telephone Signature 2.2 Authorized Agent: Name(P' t) Current Mailing Address: '5-7u-13Zo-5-rAaa S azure Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cast(Dollars)to be Official Use Only completed b y permit applicant 1. Building t 1 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection 6. Total=(1 +2+3+4+5) 3?e U J Check Number og r7 This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/inspector of Buildings Bate I File#BP-2015-0766 APPLICANT/CONTACT PERSON ENDLESS MOUNTAINS SOLAR SERVICES ADDRESS/PHONE 288 KIDDER ST WILKES BARRE18702(800)496-9620 PROPERTY LOCATION 14 WASHINGTON PL MAP 3 1 A PARCEL 290 001 ZONE URB000)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building-Permit Filled out M2 Fee Paid Tvneof Construction: INSTALL ROOF MOUNTED 7.7 KW SOLAR ARRAY New Construction Non Structural interior renovations Addition to Existing- Accessory Structure Building Plans Included: Owner/Statement or License 054562 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: pproved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Y Signature of tuilding.461fwiall Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning&Development for more information. 14 WASHINGTON PL BP-2015-0766 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 3 1 A-290 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: SOLAR PANELS BUILDING PERMIT Permit# BP-2015-0766 Project# JS-2015-001488 Est. Cost: $37884.00 Fee: $227.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ENDLESS MOUNTAINS SOLAR SERVICES 054562 Lot Size(sq. ft.): 18905.04 Owner: OSBORNE KATHERINE POLK TRUSTEE Zoning-: URB(100)/ Applicant: ENDLESS MOUNTAINS SOLAR SERVICES AT. 14 WASHINGTON PL Applicant Address: Phone: Insurance: 288 KIDDER ST (800) 496-9620 WC WILKES BARREPA18702 ISSUED ON.113012015 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL ROOF MOUNTED 7.7 KW SOLAR ARRAY POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 1/30/2015 0:00:00 $227.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner 14 WASHINGTON PL BP-2015-0766 GIs#: COMMONWEALTH OF MASSACHUSETTS MV:Block: 3 1 A-290 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: SOLAR PANELS BUILDING PERMIT Permit# BP-2015-0766 Project# JS-2015-001488 Est.Cost: $37884.00 Fee: $227.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ENDLESS MOUNTAINS SOLAR SERVICES 054562 Lot Size(sq. ft.): 18905.04 Owner: OSBORNE KATHERINE POLK TRUSTEE Zoning: URB(100)/ Applicant. ENDLESS MOUNTAINS SOLAR SERVICES AT. 14 WASHINGTON PL Applicant Address: Phone: Insurance: 288 KIDDER ST (800) 496-9620 WC WILKES BARREPA18702 ISSUED ON.113012015 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL ROOF MOUNTED 7.7 KW SOLAR ARRAY POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 1/30/2015 0:00:00 $227.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner