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18C-073 (2) --STANDARD mounting r ril 2 X 8 SPF#2 roof rafter-- 16"on center - - STAN_DA_RD rail splice bar .34.10'. _ -- - off et from ridge _-- I -. 1 - - 17,. _ _ -I t1-11 as posslMe F offs=thorn velle' bra ' 17._ __i 4-1 112" - I i — —Silevo Triex T300 4dules 62.44"x 41.57"x 1. 75" Possible _I L-fool mounted on Quick roo�with all metal Flash! g Quick-fool base is secured tot the roof rafter via h o GRK RSS;S�"X 3-118" structural screws. a z s Array standoffs are to be Array to be Installed on Sllevo telex T300 The centedine of t e clips Pioneer Valloy PholoV011alcs " salerAnnyl"ywi w Installed in a staggered the south facing roof of the 62.44" x 41.57"x 1.575" should be 6"to om the e"one'mma.m".,311 wen svee Noel-Lucey 2/2 pattern to even) distribute garage. end of the side fra e. ""°e, '"""ne1d"Ap1'01 777 Bridge Ro•d, p y g g P:(4 131 17 2-0 700 the array dead load. Roof rafters are 16"O.C. e. ""„ oesy„er: Northampton, IA 01060 solaar rmle��As:!,ram QIJIK FOOT� PRODUCT GUIDE - _. Bracket Options - L-102-3" a " Q) 'ic 1 _ .�._ tam... '•• i y y K O ii U f CX t � 4 0 C r LL 0 (l EcoFosten Solar")All content protected,ender copyngtit All rights reserved. 0318;1 1 Sec.4-8 I tY O VV O CO f-j .j QUIK FOOT" PRODUCT GUIDE ;r QF- S Ai A k � / S v E_ S g A SECTION A-A z 3/8-1618.8 L r, z s r y C N W ��EcuFnsten Sol k)Al A(rights reserveA. 031871 1 Sec.4 i Q u k Fo Ot TM PRODUCT GUIDE Quik Foot Contents Exploded Product View—Sec. Installation Instructions— Sec.2 Bill of Materials— Sec. 3 Cutsheets —Sec.4 Specifications--'Sec.5 k ' 1 Load Test Reports—Sec,b raw G. va y s , a i E EcoFasten 1dr(p Committed to the Support of Renewable Energy fY Standard Rails(XRS) Light Rails(XRL) Rail Splices Curved rails increase spanning Lightweight rails reduce cost for Internal splices seamlessly connect capabilities and aesthetics. lighter load conditions. rails, allowing easy L-foot installation. • Available in clear and black anod. - Available in clear and black anod. - Different versions for XRS and XRL • Multiple sizes between 12'and 18' • Multiple sizes between 12'and 18' • Includes self-tapping screws • Made of corrosion resistant alum. • Made of corrosion resistant alum. • Available with grounding straps _.__.. Att ad'iment _.___�__ ___. ___.._. _._._._. _ _.._. ..____r_m..�..____.__._ __�._, �._. _... -----.------- Flashings Adjustable L-Feet Tilt Leg Kits FlashFootTM is an all-in-one roof Slotted L-feet provide adaptable Fixed and adjustable tilt legs allow attachment for comp. shingle roofs. attachment to standoffs and(lashings. adjustment in all three axes. • Integrated L-Foot and hardware Available in clear and black anod. • Attaches directly to XRS and XRL • Certified compliant with IBC& IRC Works with XRS and XRL rails • Ships with all required hardware • PE certified with IronRidge Rails Compatible with third-party parts • Multiple sizes for 5-45 deg.tilts End Clamps Mid Clamps End Caps Wire Clips AN a . t_ a .. .. � ,mwmr_ �1;w L..- __­� L Secure modules to the end Fasten modules in the Provide a finished look for Organize both DC and AC of the rails. middle of the rails. rails. wiring along the rails. • Clear and black anod. • Clear and black anod. Keeps out debris Attaches to both rails • Sizes from 1.22"to 2.3" • T-bolt or hex nut designs Black polycarbonate Supports ten 5mm wires • Optional bottom clamps • Grounding clamp offered UV protected UV protected E_:1 Design Assistant ; . �A NABCEP Certified Training Go from rough layout to fully 1 Earn free continuing education credits, engineered system. For free. ! while learning more about our systems. C to it $ :sc c.Ec..z-a ITri i=o k) ironridge,.c;cam"training i ..< IRONRIDGE Roof Mount System 4 z 1 x� v 77, } IronRidge builds the strongest roof mounting system in solar. Every component has been tested to the limit 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. Strength Tested PE Certified All components evaluated for superior Pre-stamped engineering letters structural performance. In available in most states. Complete Assembly Design Software End-to-end solution provides Online tool generates a complete bill attachment, mounting, and grounding. _ of materials in minutes. Integrated Grounding 20 Year Warranty UL 2703 system eliminates separate Twice the protection offered by module grounding components. competitors. Triex'" T310 Watt, 18.5% Module Electrical Data(at STC) Temperature Ratings Note:STC:Air Mass 1.5,Irradiance 1000W/m2,cell temperature 25°C Temperature(NOCT)[C] 46+/-2 T295 T300 T305 T310 Temperature Coefficient Pmax[%/°C] -0.27 Maximum Power(Pmax)[W] 295 300 305 310 Temperature Coefficient Voc[%/°Cj -0.262 Max Power Voltage(Vmp)M 56.6 57 57.5 57.9 Temperature Coefficient Isc[%/°C] 0.04 Max Power Current(Imp)[A] 5.23 5.27 5.32 5.36 Open Circuit Voltage(Voc)[Vj 69.2 69.5 69.8 70.1 Maximum Ratings Short Circuit Current(Isc)[A] 5.62 5.65 5.68 5.71 Maximum System Voltage M 1000V DC(IEC)/600V DC(UL) Output Power Tolerance[Wp] 045 045 045 045 Maximum Fuse Rating 12A Total Area Module Efficiency 17.7% 17.9% 18.3% 18.5% Temperature Negative 40°C to Positive 85°C Electrical Data(at NOTC) Mechanical Data Note:NOTC:Air Mass 1.5,Irradiance 800W/rn2,Air temperature 20°C,Wind speed t m/s Solar Cells 96 Triex 125mm x 125mm cells Maximum Power(Pmax)[W] 213.1 216.3 220.3 223.5-- Dimensions - __-- 1 586m x 1056mm x 40mm Max Power Voltage(Vmp)[V] 52.4 52.7 53.2 53.6 Weight 19 kgs Max Power Current(Imp)[A] 4.13 4.16 4.20 4.24 Front Glass - 3.2mm High Transmission Tempered Open Circuit Voltage(Voc)M 64.3 64.5 64.8 65.1 Front Load Test(Snow) 5400 Pa Short Circuit Current(Isc)[A] 4.50 4.52 4.55 4.57 Rear Static Load Test(Wind) 2400 Pa Junction Box IP65 rated with 4 bypass diodes Electrical Data(at Low Irradiance) Output Cables 1 000m/ MC4 Connectors Note:Low irradiance:Air Mass 1.5,Irradiance 200W/m2,cell temperature 25°C _ Frame Silver Aluminum(Black Frame Option) Maximum Power(Pmax)[W] 57.2 57.8 58.3 58.9 Max Power Voltage(Vmp)[V] 53.7 53.9 54.1 54.4 Packaging Data Max Power Current(Imp)[A] 1.07 1.07 1.08 1.08 Modules per Pallet 25 Open Circuit Voltage(Voc)[Vj 65.0 65.3 65.6 65.9 Modules per 40'GP Container 350 Short Circuit Current(Isc)[A] 1.15 1.15 1.16 1.16 Modules per 40'HO Container 700 IN Curve T310 Dimensions 1000 W/m2 Q 45°C 1021 3100 1000 W/mz MOUntmg N (12.13) 40 OIeS °°"S ) 800 W/m 11.5751 " ) -- I fj ) S t 600 W/ml t 400 VV/M2 070 200 W/m �1 1 1586 i ' [38.181 It 3 ) t (Front View) � -_ta4.i(0.1611 Certifications yi Grourm*V Hole 4 Piaosa Certifications IEC61646,IEC61730 t1. _-___(41.57) (2.7.7 51 Warranty Warranty 10 Year Limited Product Warranty Performance Guarantee 25 Year linear (please refer to warranty for details) ©2014 Silevo Inc. Silevo TRX-T-0114-A dlY 's ft .r silev " ,s ' n An evolution of Silevo's proprietary Triex" hybrid technology, T-Series thin-film modules optimize emitter performance to enable High reiEx Efficiency, Exceptional Energy Harvest, and Manufacturing Excellence to deliver maximum return on your solar investment. 18.5%= Superior Efficiency Amorphous silicon combined with tunneling oxide thin- film layers provides higher open circuit voltage enabling higher module efficiencies up to 18.5%. -0.27%/°C= More Energy Output A low temperature coefficient coupled with improved R-shunt performance boosts energy capture in high temperature and low light conditions. 25 year linear power warranty& 10 year product warranty ISO 9001 certified production facility IEC 61646, IEC 61730 6 Steps = Manufacturing Excellence Industry's first hybrid device structure incorporates an advanced TCO layer, premium materials and 6 core automated manufacturing steps to deliver high value and performance. Silevo's Triex T-Series solar modules incorporate 96 improved hybrid tunneling junction solar cells and are certified under IEC thin-film standards. Designed to meet the dynamic weather conditions in the European market, T-Series modules can be deployed in residential, Rooftop Data May,4 2013 commercial,and ground mount utility scale solar projects.Available with either silver or black frame option. � > CEO `L I I STANDARD mounting rail li I I 2 X 8 SPF g2 roo`rafter 15"on center STANDARD rail splice bar 34'-10" '. offset from ridge 17' I 17' It'-1 as possible i ! I I ' i offset from valley i � I i as possible 17 4'-11/2.. I a, t i t4 6 14'-2' Silevo Triex T300 modules 62.44"x 41.57"x 1.575" ' I offset from valley as possible - I �I L-foot mamted on Quick-foot with all metal flashirg. Quick-foot base is secured to the roof rafter via two GRK RSS;h"X 3-118" structural screws. �I i I I I i i i Array standoffs to be Arra to be Instlled on Sllevo telex T300 The centerilne of the clips _ a ° " Noel-Luce y ��2/2 - ae. ...i. y ' installed m a staggered the south facing roof of the 62.44" x 41.57"x 1.575" should be 6"to15"from the 777 Bridge Road, pattern to evenly distribute garage. end of the side frame. ea Northampton,MA 0 060 the array dead load. Roof rafters are 16"O.C. 2 : W \ . y. y. . House attic west side of chimney where array Bpop 2d City of Northampton Buildi ng Department Plan Review L_ C Y—NORTHAMPTON 212 Main Street Northampton, MA 01060 ` 1 ywxYSe fix PV Array Bill Noel and Peggy Lucey 777 Bridge Road Northampton,MA 01060 Home phone: 413-584-0457 e-mail: cobrashark @comcast.net Array: (20)Silevo T300 as 3 rows in portrait. •' u'r Mounting: Iron Ridge Rails on L-Feet on $' Quickfoot bases Roof Structure: In sound condition 2"x8"at 16" O.C.with HS 14' See pictures attached. Roof Material :Asphalt shingles EAH Structural Consulting _ndail CDurt ;a. F,H INE 1,97S,4 i6,89� ,. ESame;_E.+"=H truti°"liP Framing Check (MP1) PASS-With Framing Upgrades w=60 pif Dead Load 12.9 psf PV Load 4.0 psf Snow Load 28.0 psf Double 2x8 Ratters alw 16'o,c, Governing Load Combo=DL+SL Member Span= 15'-6" Total Load 44.9 psf Member Pro_perties-Based on Upgraded Section Member Size S(in^3) 1(in^4) Lumber Sp/Gr Member Spacing Double 2x8 26.28 95.27 SPF#2 @ 16"o.c. Check Bending Stress Fb(psi)= f b x Cd x Cf x Cr (NDS Table 4.3.1) 875 x 1.15 x 1.2 x 1.15 Allowed Bending Stress=1388.6 psi Maximum Moment = (wL^2)/8 = 1799.57 ft# = 21594.8 in# Actual Bending Stress=(Maximum Moment)/S =821.7 psi Allowed>Actual--59.2%Stressed -- Therefore,OK Check Deflection Allowed Deflection(Total Load) = L1180 (E= 1400000 psi Per NDS) = 1.033 in Deflection Criteria Based on = Simple Span Actual Deflection(Total Load) _ (5*w*L^4)/(384*E*I) = 0.584 in = L1319 > U180 Therefore OK Allowed Deflection(Live Load) = U240 0.775 in Actual Deflection(Live Load) _ (5*w*L^4)/(384*E*I) 0.365 in U510 > U240 Therefore OK Check Shear Member Area= 21.8 in^2 Fv(psi)= 135 psi (NDS Table 4A) Allowed Shear = Fv*A = 2936 lb Max Shear(V)=w*L 12 = 464 lb Allowed>Actual--15.9%Stressed -- Therefore,OK Noel Residence, Northampton 4 EAH Structural Consulting 35 Kendal!. €. H Cara-IULTING Wind Calulations Per ASCE 7-05 Components and Cladding Input Variables Wind Speed 90 mph Exposure Category C Roof Shape Gable/Hip Roof Slope 22 degrees Mean Roof Height 20 ft Building Least Width 40 ft Effective Wind Area 17.5 ft Design Wind Pressure Calculations Wind Pressure P=qh*(G*Cp) qh=0.00256*Kz*Kzt*Kd*V^2*I (Eq_6-15) Kz(Exposure Coefficient)= 0.9 (Table 6-3) Kzt(topographic factor)= 1 (Fig.6-4) Kd(Wind Directionality Factor)= 0.85 (Table 6-4) V(Design Wind Speed)= 90 mph I Importance Factor= 1 (Table 6-1) qh= 15.86 Standoff Uplift Calculations Zone 1 Zone 2 Zone 3 Positive GCp= -0.85 -1.45 -2.30 0.40 (Fig.6-11) Uplift Pressure= -13.48 psf -23.00 psf -36.48 psf 10.0 psf (Minimum) X Standoff Spacing= 4.00 4.00 4.00 Y Standoff Spacing= 2.75 2.75 2.75 Tributary Area= 11.00 11.00 11.00 Footing Uplift= -148 lb -253 lb -401 lb Standoff Uplift Check Maximum Design Uplift= -401 lb Standoff Uplift Capacity = 400 lb 400—=401 ok by inspection Fastener Capacity Check Fastener= 1 -5/16"dia Lag Number of Fasteners= 1 Embedment Depth= 2.5 Pullout Capacity Per Inch= 250 lb Fastener Capacity= 625 lb w/F.S.of 1.5= 417 lb 417 lb capacity>401 lb demand Therefore,OK Noel Residence, Northampton 3 EAH Structural Consulting 357 K'endall �.. d fc rd, 114 J1 3 ii PHONE 1 "_.4 0 6 2 Gravity Loading Roof Snow Load Calculations p9=Ground Snow Load= 40 psf pf=0.7 CB Ct I p9 (ASCE7-Eq 7-1) Ce=Exposure Factor= 1 (ASCE7-Table 7-2) Ct=Thermal Factor= 1 (ASCE7-Table 7-3) 1=Importance Factor= 1 pf=Flat Roof Snow Load= 28.0 psf Ps=CSpf (ASCE7-Eq 7-2) _ Cs=Slope Factor= 1 p$=Sloped Roof Snow Load= 28.0 psf PV Dead Load=4 psf(Per One Roof Energy) Roof Dead Load(MP1) Composition Shingle 4.00 1x Decking 3.00 Double 2x8 Rafters @ 16"o.c. 4.54 Vaulted Ceiling 0.00 (Ceiling Not Vaulted) Miscellaneous 0.46 Total Roof DL(MP1) 12.O psf DL Adjusted to 22 Degree Slope 12.9 psf Noel Residence, Northampton 2 EAH Structural Consulting Edark E!:�r�e June 23,2015 To: PV Squared 311 Wells Street Greenfield,MA 01301 Subject: Structural Certification for Installation of Solar Panels Noel Residence 777 Bridge Road Northampton,MA.01060 To Whom It May Concern, A design check for the subject residence was done on the existing roofing and framing systems for the installation of solar panels over the roof. From a field inspection of the property,the existing roof support structures were observed by the client's auditors as follows: The roof structure of(MP1)consists of composition shingle on ix decking that is supported by nominal 2x8 rafters @ 16"o.c.,paired with nominal 2x6 ceiling joists @ 16"o.c..The rafters have a max projected horizontal span of 15'-6",with a slope of 22 degrees.The rafters are connected at the ridge to a continuous 2x6 ridge board and are supported at the eave by a load bearing wall. There are 1x4 collar ties @ 48"o.c.for structural stability. The existing roof framing system of(MP1)is judged to be inadequate to withstand the loading imposed by the installation of the solar panels.Structural reinforcement is required. Sister upgrade is required for(MP1).Stitch new 12'- 0"long 2x8 SPF#2 or DF#2(min)to existing member with Simpson SDW 22300 screws @ 16"o.c.or 10d nails @ 6"o.c.. The spacing of the solar standoffs should be kept at 48"o.c.with a staggered pattern to ensure proper distribution of loads. I further certify that all applicable loads required by the codes and design criteria listed below were applied to the Ironridge solar rail system and analyzed.Furthermore,the installation crews have been thoroughly trained to install the solar panels based on the specific roof installation instructions developed by Ironridge for the racking system and Quickmount for the roof connections. Finally,I accept the certifications indicated by the solar panel manufacturer for the ability of the panels to withstand high wind and snow loads. Design Criteria: • Applicable Codes=Massachusetts Residential Code,8th Edition,ASCE 7-05,and 2005 NDS • Roof Dead Load=12 psf(MP1) • Roof Live Load=20 psf • Wind Speed=90 mph,Exposure C • Ground Snow Load=40 psf - Roof Snow Load=28 psf Please contact me with any further questions or concerns regarding this project. Sincerely, r� E `n r+;ar o t cfvIL Elaine Huang,P.E. Project Engineer " Noel Residence, Northampton 1 10�ec'ley e f.irr-"C(Itf, li, f/ L 4r1;J1(14'1' is i ' Office of Consumer Affairs aj.d Rus.ness RegulaJon W4, 10 1 U Park Plana-Suite 5'70 Boston,Ntassachuse-ts 02116 Hoome lmprovcment Contractor Registration _. Registration_ 140077 Tqp(: Privait;Cor;xualion . t;mration: WIti/201- Ira 24:8131 PIONEER VALLEY PHOTOVOLTAICS COO . PHILIPPE RIGOLLAJD 311 WELLS ST SUITE B - -- GREENFIELD. MA 01301 Update Address and remm card.Mark mason for chauo. L. Addrras ` Renewal -- Empioymtnt -w*Cnrd �.�rr�+:'oirru�axacrr��c�'.s�itxt 2!VF44J/'� ''��. Olf7te<r t.JORrnKr#ttaln d:liasiersx Ratutatinn Uceax ur nsbdration vafitl for individui me=I) ,,UOIAE MPROVEM, ENT CONTRACTOR Lrfutc lGc capiratiru dxh'_ if rivad t eta,n,o. "t'.Mt alxtmtion: ^attlrf 1ypc: Afnec of Conc�encr,�tfairs and aasinc"RcRuiatian Oralic n: @Jf;;197t$ Piivah CuIP:x+xrLi 10 Pnrk Plaru Jaitc 51 i0 - Bostoo,MA 02116 P10PJF-R VA,LIFY Pt K7rf1V01 AILS Coo- PHIIIPPF RIGQIIAUD. 311'NF1L,1 S 1 ti Q _ GREENFIELD,RIA 0'301 'uaArncc�cty 1 Not valid wit hour r- y , fir Massachusetts -Department of Public Safety Board of Building Regulations and Standards y Construction Supinisor License: CS-106329 Maya Fulford 159 Clark Drive Giulford VT 05301 = ` 3' I� 'I "' Expiration Commissioner 03/1412016 ATTACHMENT A AUTHORIZATION TO PROCEED AND SERVE AS AUTHORIZED AGENT I hereby agree to the Project as set out above, and I agree to pay the contract price according to the Terms of Payment. I further agree to the Terms and Conditions attached hereto as a part of this Proposal and Agreement. I hereby authorize Pioneer Valley PhotoVoltaics Cooperative to proceed with the above-referenced Project in accordance with this Agreement_ I further authorize Pioneer Valley PhotoVoltaics Operative, or its designated representative, to obtain required permits for this project on behalf of the Owner and to begin work of obtaining a grant on my behalf, as applicable. Any photographs or videos of this project may be used by Pioneer Valley PhotoVoltaics Cooperative for marketing purposes. A check for the First Payment is enclosed and I am returning this Agreement within 21 days of the Proposal date. c.- -;. Printed Name Date Signature `i ytte Proposal aM Aweemert r 7 cb 7 Bait Noe(and PeW Macey,October 2.3,kLIT a z�' A`°R°® CERTIFICATE OF LIABILITY INSURANCE F12/22/2014)DAB'""" 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(ies)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). PRODUCER CONTACT Jenna ROdri.gue, CISR Webber 6 Grinnell PHONE (413)586-0111 FAX Street X MIL A/ (413)586-6457 8 North King .jrodrigue @webberandgrinnell.com INSURER 8 AFFORDING COVERAGE NAIC N Northampton MA 01060 INSURER A:Peerless/Liberty INSURED INSURER B Excelsior/Libert 11045 Pioneer Valley PhotoVoltaics Cooperative, Inc. INSURER C: Attn: Kim Pinkham INSURER D: 311 Wells Street, Suite B INSURER E: Greenfield MA 01301 1 INSURER F, COVERAGES CERTIFICATE NUMBER aster 2016 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 LTR TYPE OF INSURANCE POUCY NUMB POLICY LICY EFF IIPi IWDO1YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ _ 100,000 A CLAIMS-MADE Ex_]OCCUR CBP8378623 /1/2015 /1/2016 MED EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PR0. LOC $ AUTOMOBILE LIABILITY Ea BINEDt SINGLE LIMIT 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED EkAB372626 /1/2015 /1/2016 AUTOS AUTOS BODILY INJURY(Per accident) $ Ix HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Paracddent $ Underinsured motorist BI split $ 100,00 X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 DED I X RETENTION$ 10,00C CUS377126 /1/2015 /1/2016 $ A WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN X FR ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N❑ N/A (Mandatory in NH) KC8376525 /1/2015 /1/2016 E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,H more space is required) Sungage Financial is listed as Additional Insured per written contract with respects to General Liability as per the terms and conditions of the policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Sungage Financial ACCORDANCE WITH THE POLICY PROVISIONS. 86 Bedford Street, Unit 3 Boston, MA 02111 AUTHORIZED REPRESENTATIVE J Rodrigue, CISR/JER ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Print Form Department of Industrial Accidents Office of Investigations I Congress Street, Suite 100 ` r Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly PIONEER VALLEY PHOTOVOLTAICS COOPERATIVE Name (Business/Organization/Individual): _ Address:311 Wells Street, Suite B City/State/Zip:Greenfield MA 01301 Phone 4:413.772.8788 413.772.8668 fax Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with 25 a• ❑ I am a general contractor and I 6 ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling have ship and have no employees These sub-contractors 8. ❑ Demolition working or me in an capacity. employees and have workers' g Y P Y• A 9. ❑ Building addition [No workers' comp. insurance comp. insurance. required.] -5. ❑ We are a corporation and its 10.7, Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.7 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12 ❑ Roof repairs insurance required.] `r c. 152, §1(4),and we have no PV System q ] employees. [No workers' 13.7,/ Other Y comp. insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers compensation policy information. '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. Insurance Company Name:Excelsior/Peerless Policy #or Self-ins. Lic. #:_WC 8376525 Expiration Date.01/01/2016 Job Site Address:777 Bridge Road 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, 00.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to$20.00 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 coveTa#e verification. I do hereby certi y under the eains and alties, eriur that the in formation provided above is true and correct. S i Rnature: Date: 5/28/2015 Phone#•413-772-8788 _ 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: Maya FUlford CS-106329 License Number 159 Clark Drive, Giulford VT, 05301 03/14/2016 Address Expiration Date 413-772-8788 Signature Telephone 9 Registered Home Improvement Contractor: Not Applicable ❑ Pioneer Vallev Photovoltaics Cooperative, LLC 140077 Company Name Registration Number 311 Wells Street, Suite B, Greenfield, MA 01301 9/16/2015 Address Expiration Date Telephone 413-772-8788 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(6)7) 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 the 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 he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.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 performed under the building permit As acting Construction Supervisor 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 SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors M Accessory Bldg. ❑ Demolition ❑ New Signs [0) Decks [[] Siding[0] Other[d] Brief Description of Proposed Work: Installation of mounting system for solar panels on the main south facing roof area of the residence cast of the chimney Alteration of existing bedroom Yes X No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes x No Plans Attached Roll -Sheet 6a.If New house and or addition to existina housing, complete the following: 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 i. Is construction within 100 ft.of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT MARGARET L LUCEY as Owner of the subject property hereby authorize Philippe Rigollaud to act on my behalf,in all matters relative to work authorized by this building permit application. See attachment (A) 5 .26 .2015 Signature of Owner Date I Philippe Rigollaud 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. PHILIPPE RIGOLLAUD Print Name 5 .26 .2015 Signature of ne t Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg.Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW YES 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW Q YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained li ) Obtained ® , Date Issued: C. Do any signs exist on the property? YES ® 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 Q IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES ® NO Q IF YES,then a Northampton Storm Water Management Permit from the DPW is required. �h mod,•'_ Department use only 4y ity of Northampton Status of Permit: Building Department Curb Cut/Driveway Kermit 212 Main Street Sewer/SepticAvailability o��p Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 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 777 Bridge RD, Northampton MA 01060 Map Lot Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: Margaret Lucey 777 Bridge RD,Northampton MA 01060 Name(Print) Current Mailing Address: 413.584.0457 See attachment (A) Telephone Signature 2.2 Authorized Agent: Pioneer Valley PhotoVoltaics Cooperative, LLC 311 Wells Street, Suite B,Greenfield,MA,01301 Name(Print) Current Mailing Address: Signature r Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by per it applicant 1. Building $7,778 (a)Building Permit Fee 2. Electrical $16,844 (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=0 +2+3+4+5) $24,622 Check Number This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/inspector of Buildings Date File#BP-2015-1277 APPLICANT/CONTACT PERSON PIONEER VALLEY PHOTOVOLTAICS ADDRESS/PHONE 311 WELLS ST-SUITE B GREENFIELD01301 (413)772-8788 PROPERTY LOCATION 777 BRIDGE RD MAP 18C PARCEL 073 001 ZONE URB000)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: INSTALL ROOF MOUNTED SOLAR ARRAY New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 106329 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO MATION PRESENTED: _ZeApproved 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 Dela Sig re of B ding O ficial 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. 777 BRIDGE RD BP-2015-1277 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 18C-073 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Categ_o1y: SOLAR PANELS BUILDING PERMIT Permit# BP-2015-1277 Project# JS-2015-002341 Est.Cost: $24622.00 Fee: $150.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: PIONEER VALLEY PHOTOVOLTAICS 106329 Lot Size(sq. ft.): 23391.72 Owner: LUCEY MARGARET L&KELLY ANSALDO Zoning:URB(100) Applicant. PIONEER VALLEY PHOTOVOLTAICS AT. 777 BRIDGE RD Applicant Address: Phone: Insurance: 311 WELLS ST - SUITE B (413) 772-8788 Workers Compensation GREENFIELDMA01301 ISSUED ON.71812015 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL ROOF MOUNTED 6 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 7/8/2015 0:00:00 $150.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner