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22D-084 (3) �� Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement;Contractor Registration Type: Corporation Registration: 186338 VALLEYS OLAR LLC. J _ Expiration: 10/27/2020 P.O.BOX 60627 FLORENCE,MA 01062 ° w/f Update Address and Return Card. SCA 1 0 20M-05/17 Sye �crn�zaiz�oea��cy�/�Gassacr�c el s Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE^Corporation before the expiration date, if found return to: Regisfc36&., Expiration Office of Consumer Affairs and Business Regulation 16-338-- ,,1412712424 1400 Washington Street-Suite 710 VALLEY SO LARI LLC � ;L' Boston,MA 02118 SILVERMAN STEVEN—=—/y/1) 340 RIVERSIDE FLORENCE,MA 01062 Undersecretary Not valid without signature Member Calculations Bending N4: 506.21 in°|b fb: 80.24 psi Load Duration Factor(Cd): 1.15 Stability Factor(CO: l Wet Service Factor(Cm): l Temperature Factor(CT): l Size Factor(CF): 1.3 Flat Use Factor vCf" : l Incising Factor(C): l Repetitive Member Factor(C,): 1.15 Fu: 900 psi F'b: 1547.33 psi 003.24~=1 S47.33 OK in Bending Shear Yo: 310.96 |b fV: S6.54 psi Load Duration Factor(Cd): 1.15 Wet Service Factor nCm : l Temperature Factor(CT): l Size Factor(CO: l.] Flat Use Factor xCf" : l Incising Factor(Ci): l Fv: 180 psi F'J: 207 psi 56.54«=207 OKinShear Deflection Live Load Deflection(AL): 0l in �/�G� =K'~ Live� ' Deflection Lmad Total Load Deflection (AT):� 0.12 in L/67� """'Total ' Deflection Uplift Calculation Tributary Square Footage on Component: \O.B} f� Uplift Pressure: -28.03 pyf Uplift per Lag: -310.15 |6o Lag Screw Diameter: 5/16 in Allowable Withdrawal per inch: 490.99 lbs/in Minimal Screw Penetration: 0.63 in Install 5/16"diameter oncenter with n. F152 N 152 S. Broad 5t. +►.a ■v �i Lansdale, PA 19446 (267)640-2758 Client Name: Valley Solar PFE Project Number: 184769 Client Project Number: 55BAUM Project: Baumer Residence Address: 55 Bliss St Florence, MA 01062 Description: Mounting Plane 2 Calculations By: ADL Date: November 1, 2018 Roof Construction 2x6 Rafters at 24"on center A= 8.25 int Ix= 20.8 in4 Sx= 7.56 in3 Wood Species= Doug-Fir Larch#2 Fb= 900 psi Fv= 180 psi E= 1600000 psi Roof Slope= 30 ° Rafter Span= 6.51 ft Ceiling Attached to Rafters?: No Design Criteria Ground Snow(P9): 40 psf Design Wind Speed: 117 mph Live Load: 20 psf Dead Load: 4.29 psf PV Modules: 3.46 psf Wind Calculations Directionality Factor(Kd): 0.85 Topographic Factor(K,,): 1 Velocity Pressure Exposure Coefficient 0 7 (Kz) Importance Factor(1): 1 Velocity Pressure (q,): 20.85 psf Tributary Square Footage on 10.83 ftz Component: Component Roof Pressures: 22.45 / -28.63 psf Snow Load Calculations Exposure Factor(C,): 1 Thermal Factor(C,): 1 Importance Factor(1): 1 Fiat Roof Snow Loads (Pf): 35 psf Roof Slope Factor(CS): 1 Sloped Snow Loads(PS): 35 psf Unbalanced Snow Load: 40 psf .~« Member Calculations Bending wu: 649.81 in1b fb: 10]1] psi Load Duration Factor(Cd): 1.15 Stability Factor VCJ: l Wet Service Factor«Cm : l Temperature Factor(CT): l Size Factor oCO: 1.3 Flat Use Factor xCf" : l Incising Factor(Ci): l Repetitive Member Factor(Q: 1.15 Fb: 900 psi Fu: IS47.]3psi |O3lJ*=lG47.33ONinBending Shear «a: 352.32 \b fV: 04.0psi Load Duration Factor(Cd): 1.15 Wet Service Factor KCw : l Temperature Factor VCr : l Size Factor(CO: l.] Flat Use Factor«Cf" : l Incising Facux(Cj): l F,: 180 psi F'J: 207 psi 54.06~~207 OKinShear Deflection UveLoad DeOecc|onV\J: 0.15 in L/552 "^ = ^o"° Deflection Total Load DeDeflection (AT): ��in��xa| �mad� 0.19 in L/463 Deflection Uplift Calculation Tributary Square Footage on 10.83ft2 Component: Uplift Pressure: -28.63 psf Uplift per Lag: -310.15 |6o Lag Screw Diameter: 5/16 in Allowable Withdrawal per Inch: 490.99 lbs/in Minimal Screw Penetration: 0.63 in Install 5/16"diameter lag� on center with _~ 1. FUSION l�2 �. 0madS� . Lansdale, PAl944h (267)640-2758 Client Name: Valley Solar PFEProject Number: 184769 Client Project Number: 55BAUM Project: 8aumerResidence Address: 55 Bliss St Florence, wAOlO6Z Description: Mounting Plane Y Calculations By: ADL Date: November l' 2018 Roof Construction 2xhRafters at 24"oncenter A~ 825 /nz h= 20.8 |n^ S«= TS0 in Wood Species= Doug-Fir Larch#2 Fu~ 900 psi Fv~ 180 psi E~ 1600000 psi Roof Slope= 3O^ Rafter5pon= 7.38 ft Ceiling Attached moRaften7: No Design Criteria Ground Snow(P,): 40psf Design Wind Speed: 117 mph Live Load: 20 psf Dead Load: 4.29 pof PV Modules: 3.46 psf Wind Calculations Directionality Factor(<d): 0.85 Topographic Factor((zt): l Velocity Pressure Exposure Coefficient 0.7(K,): Importance Factor 0: l Velocity Pressure (q,): 20.85 psf Tributary Square on lOQ] Component: . ft Component Roof Pressures: 22.45 / -28.63 psf Snow Load Calculations Exposure Factor(C,): l Thermal Factor(C,): l Importance Factor(1): l Flat Roof Snow Loads (pV: 35psf Roof Slope Factor([^): l Sloped Snow Loads (PJ: 3Spsf � FUSION lS2S. Broad 3c K— � 8��N»~��8 `� Lansda|e` PAl9446 (215)361-8040 November l. 2018 Valley Solar 340 Riverside Or Northampton, MAOlO62 RE: Baumer Residence S 5 Bliss St,Florence,MA 0 106 Client Project#: SSBAUM PFE Project*. 184769 On behalf ) | |analysis of theof at theabove referenced sufficient support the new photovoltaicmoumes/naddition zothe code required design loads. analysis based onthe information provided byValley Solar and is isolated only rothe areas where the modules are intended to be placed. S tem Specifications: Tota System Size: 8.32 kW/DC Panel S (Zh) LG Solar- LG32l[-C4 Racking System: SnapNRack- Series lOO UL The modules are tobelocated onthe following roof planes: Mounting Rafter Rafter Horizontal Collar Co||a�Tle Sheathing Shingle Number of Ceiling P|ana Size Spacing Span Ties Spacing Type Shingle Layers Profile I 2x6 Z4" 7ft. 5in. N/A O^ CDXl/Z' Asphalt | Flat Shingles 2 2x6 24^ 6ft. 6in. N/A U^ COX l/Z^ Asphalt l Flat Shingles The roof design has been analyzed in accordance with the 2015 International Residential Code and Massachuseoes Amendments 9th Edition with design loads asfollows: Ground Snow(Pg):40psf Wind Speed 00:ll7mph Mounting Plane l The calculations for these structural members are attached. |thas been determined bythis office that the roof, as specified above, is adequate to support the new PV modules in addition to the code required design loading. Attach the module rail brackets mn,heroofwith 5/lh^lag bolts at40on center maximum. Provide aminimum of2^uf penetration into the wood members. Mounting Plane 2 The calculations for these structural members are attached. It has been determined by this office that the roof, as specified above, is adequate to support the new PV modules in addition to the code required design loading. Attach the module rail brackets^ntheroofwith5/lb^|agbn|sat4Doncentermaximom. Prnvideam|n|mumofZ'' of penetration into the wood members. This th has determined that thinstallation of the PVSystem asspecified above will meet the structural requirements of the 2Ol5International Residential CodewithMassachuseoesAmendments9thEditinnandAS[E7-l0when /nsta/|rdin accordance with the manufacture's instructions. If you have any questions regarding this analysis, please feel free to contact us. OF Best Regards, Penn Fusion Engineering LLC Lk NO Andrew D. Leone, P.E. �. r—————————————————————--! All Diss:; ,th,^,� I I o ore u'ali:u meter f 9 2 <I OCPD Calculations: 5 b To/From y e I O I NEC 210.19(A)(1)(a)) ty Utili aInverter Enphase IQ6+Max Output MICROINVERTERS I – IN BRANCH CIRCUIT (Y =1.17A x 26=30.42A x 1.25= T I_� 1 1 W a 38.025A lookwh s 4 3 w 8 I J-e0X H H H M H AC Disco _ a I I ----------------- ---- ----- -- -- - (3'MAL 1 o I I 2 -.... _ _._ (3)V 1 N LI 8 I E O ym- 5 CU BARE !� I m N 0 V £ i 9 1 I NMC I V1 C `b I JAOX I I O N S MICROINVERTERS i N E I IN BRANCH CIRCUIT c 4 i o 0 -6 z H N H H H H o I N N N N N N I a, RGM I w 10OkWh ....,�. �..... J-BOX I EL 10 S 1Q> MAIN SERVICE PAN S m I (,).CuH I I Ac COMBINER BOX R /7 HHN }VC GEC I ILrS� n GEC tJ MICROINVERTERS I BASEMENT _ IN BRANCH CIRCUIT -- ------------ —GEC—J ° 1x1013 GU I (3)08 AL £S HWNz. +�=G GRo InverterTrinn Settinas: tt H H H H H Q—M EGc (11— i e I N N N N N N I 2 '�W °E E Inverter TRIP settings are set in the inverter per the ISO NE I I "ESC° _ SRD and ESB 756 section 7.6.11. L) m —————— DEVICE DEFAULT DEFAULT Pickups and J £ ————————————J � Eauioment Schedule PICKUP CLEARING TIME Clearing Times W Labeling Schedule SETTING a LL��JJJ0 (seconds) Adhere to (simplified defaults Required 1 PV ARRAY(Series 100) from section 7.6.11) q e 1CAUTION!ACVOLTAGE Snap N Rack Roof Mount System Defaults(Yes/ SOLAR PV MODULE(LG320NIK-A5] No): & 2. o a n 2 WARNING.PHOTOVOLTAIC POWER SOURCE Under Frequency(26)LG320W panels. 3 SOLAR PV AC COMBINER BOX q y 56.5 Hz 0.16 E 4 SOLAR PV AC PRODUCTION METER $.DC/AC MICROINVERTER fI06+_72_2_US) (81 U) z° a t (26)Enphase IQ6+Max output 1.17A @240V C n< m 5 PV SYSTEM AC DISCONNECT Rated AC Output Current:30A2AAC 4 J-BOX(242-92121) Under Frequency 58.5 Hz 300 Nominal Operating Voltage:240V AC SnapNRack Rail Mount J Box (81 U) g 6 RAPID SHUTDOWN SHUTDOWN SWITCH FOR SOLAR SYSTEM (reflective) 5.AC COMBINER(X-IQ-AMI-240-2 M) Over Frequency 61.2 Hz 300 m< Enphase IQ Envoy Gateway p p production RGM,Max 80A u to 4 AC 20A 7 WARNING!ELECTRICAL SHOCK HAZARD TERMINALS ON BOTH Br aker/branch(@ Barn) (810) 0 o c LINE AND LOAD SIDES MAY BE ENERGIZED IN THE OPEN 6. AC DISCONNECT(DU222RB1 Over Frequency 62.0 Hz 0.16 w° POSITION ° 8 WARNING BUSBAR IS ENERGIZED FROM 2 SOURCES UTILITY 30A 240VAC(adjacent to utility meter) (81 O) g a GRID AND PHOTOVOLTAIC SYSTEM 7.GENERATION METER(GE 1-210+) Under Voltage 50%of Nominal 1.1 it zm Revenue Grade Meter (27) as 9 WARNING!INVERTER OUTPUT CONNECTION DO NOT 8.MAIN SERVICE PANEL RELOCATE THIS OVERCURRENT DEVICE Under Voltage 88%of Nominal 2 r.r g 10 SOLAR PV 100A MAIN,125A BUS.30A Inverter OCPD 27 ^� a 9.UTILITY METER(#) ( ) 11 WARNING!UTILITY METER ENERGIZED BY 2 SOURCES s 9.UTILITY 1 PH,3W Over Voltage(59)110%of Nominal 2 Over Voltage(59)120%of Nominal 0.16 D d Wan is"Rmp"' y worm Pv UO a veAVvrbnre riMm,w t mc.(VHr).N 1$tlal~W Ma 0ami oscN.wW purpaee a.urppo"m caMrecr Did aVHr.em cvgbnrer agree mat trw WerrrerNsa"I pennotm r 'Nsmdw prow W in eY Nrrn br Me P.-.a—Wv or suppodm ma worxa eowwv pm1w cgn0 tors wiW—t ft partNasiwt a,aid codvpeeresdon Dam VHl, G D 0 1 L13 al sw r � o rt � O `c 4 z S a w CJ IV C) N iG t/f doto N fad 4 {yT/j7 Vl 4ta.r), n c) * } fd 1 cn 11 r.a •fmil .f). 0 T wi 10 r.} (O fp r31 r) n - 3 Valley Solar LLC 1340 Riverside Drive 517E NAME Polly and Donald Baumer SCALES SEE VIEW SHEET NUMBER Walley Po Box 6062 i Nonhaml%aD PLOT LINES slrE ADDRESS ss BI ss ss. DATE:srlsrls �5' lar MA 01062 413.584,6644 orence, 1 2 www.VafleySolar.Solar SYSTEM SiZE ar "uas- ELEC"ADAMS 5 r �a (26)LG320W SOLAR PV PANELS (26)ENPHASE IQ6PLUS = � o E a" m M. Utility Client: o N Donald Baumer = m a 55 Bliss St a Florence,MA 01062 o N e Project Components: $E _ a PRODUCTION METER(N) Racking:Snap N Rack Series 100 Z SOLAR PV COMBINER BOX (N) Panels:(26)LG320N1K-A5 g Micro-Inverters:(26)Enphase IQ6PLUS a a MAIN PANEL(E) W ga 2.Internal wall of house€ rn Main electrical Panel f$ Revenue Grade Production Meter P PRODUCTION METER Solar PV Combiner Box 2 AC DISCONNECT(N) 3.External wall of house ;o AC disconnect switch E Utility meter $a m= Np N1 ^ Rog O g ISI of N $bo m REVISION: SNAPNRACK SERIES 100 RACKING SYSTEM TYPICAL ROOF LAYOUT NOTES: -STANDARD LAG BOLT SPEC ASSUMES — 5/16" LAG BOLTS WITH 2.5" EMBEDMENT IN ROOF STRUCTURAL MEMBERS/RAFTERS -TORQUE ALL A" HARDWARE TO THE FOLLOWING: ROOF RAFTERS OR -SILVER S.S. 10-16 FT-LBS STRUCTURAL MEMBERS - BLACK S.S. 7-9 FT-LBS RAIL CAN MOUNT TO EITHER SIDE OF POST(UPSLOPE vs. DOWNSLOPE) SNAPNRACK MODULE - FOR UNEVEN ROOF SURFACES, USE UP TO TWO LEVELING SPACERS PER L MID CLAMPS MODULE OVERHANG FOOT OR STANDOFF.SEE DRAWING !! (NOT TO EXCEED 30% "STANDARD RAIL LEVELING" FOR /j/ // OR MANUFACTURER'S DETAILS AND LIMITATIONS RECOMMENDATIONS) / e MODULE OVERHANG STANDOFFS ARE BOLTED Ly! INTO ROOF RAFTERS OR STRUCTURAL MEMBER iy/! ;�! !' /',! // / i ! ZZ / "RAIL SPAN" DISTANCE BETWEEN ROOF ATTACHMENTS ty "RAIL END OVERHANG" (NOT TO EXCEED / 34%OF ACCEPTABLE RAIL SPAN) nn �(��\��jn I(�V(- MAINSTREAM ENERGY CORP. DESIGNER: G McPheeters SCALE: DNS PART NUMBER: DESCRIPTION: REV .5ll Il`op V ll uc ll� mreo i�'°°..'ros".F:nrn�o'`roma,�s, D Ryan F DRAFTER: Y 5100 D05 SERIES 100 TYPICAL LAYOUT 1 pb�AOOOOV9�09QJQ�R .� �.. APPROVED BY: DATE: 1ZO113 LG 21310 k Imo' Mechanical Properties Electrical Properties(STC*) Cells � ;x1U Module LGy320N1K--AS LG315NiK-AS �! Cell Vendor ; Maximum Power(Pmax) ii? Cull Type: o ��1t MPP Voltage(VmpP) Ceti imensions t x 1 i i_, ..; MPR Current(Impp) a of Bustrar 12((,Tv«+'.. ,_Lu_Ua ; Open Circuit Voltage(Voc) Oirnensicxrrs(L x W x FI) c Short Circuit Current(isc) 9 bh 8 x 4C 7.ich Module Efficiency ;i ont Load Jr'a Operating Temperature Rear Load 1,;Fa Maximum System Voltage Weight r Kq Maximum Series Fuse Rating Connector Type VII-4 Power Tolerance(%) Junction Bcrx !P',')8 w,01 i 3ypa5',C r , Cables ..ta ttass ��h an c,, rie c'ed rb,a.s Frame n r, i ,an _ Electrical Properties(NOCT*) Certifications and Warranty Module LG320N1K-AS L.G315NIK-A5 Certifii aticany Maximum Power(Pmax) P Voltage(Vm,PP) ^' ' P Current(ImPP) Open Circum Voltage(Voc) 3 9 _ Short Circuit Current(Isc) Module Fire Performance(USA) Fire Rating(CANADA) Product WarrantyYi Output Warranty of Pmax Dimensions(mm/in) Temperature Characteristics -- NOCT - Propp VUr _. Characteristic Curves 1000W - 1 i 0t70W 600W LE 200VV 'i � I i IS LG 1,1•^, _ En _ e.-i. Innovation for a Better Lifet LG Innovation for U f f":,"(,,.9 o d a Better Life LG NeON2 h3 I L'G",1100' I-C,NE,011,11" 2,adopts(_010 ello t,,(I Inn to gy r cp 1 w,3 h lli,lmr Ith 12 thin vvin," enh outpot,j0d LG us C E 60 cell heyonL' it feawi,,,,Pnhviced vv.:wrunty,dUrah�kty, h to wi, rr:-;lance U)d,�, I(id(,rwit(Mnlef I i, v d wst t wiuE !ot o Enhanced Performance Warranty High Power Output -2 A h,;an"'I Ihr�il 1-ed ju:fof nix 1(,�,V"',li f drl�"" IL F11(_'Irmu"l �mjoij-1&; fi-a°,�_C, ICr) to Lit Uol�J,,to, -,1 2ip ir -mtonq;i Mfic ert -o-: I, ;I,Ifed Aesthetic Roof Outstanding Durability 1, \J�-ION'!'Wo,k hf,wl 6:, iii F!(I thnner v,res L!faI apf Wdr 111 Nai k at I dic,,,I Addimrially,LG JN` 2 modern Jr U) P fei; io"d w't,: % 9 0 Better Performance on a Sunny Day Double-Sided Cell Structure Nf,ONTL, 'he rii! of Cho- o,,cd I� G Nr,') ".1'1,�Fii h A,k ot!�ullilv -01, ted 1,)l lk��tir'!1�s �nol "i"d Ur" I:C�t�j)t About LG H,!c trum- I Enphase IQ 6 and !Q 6+ Microinverters INPUT DATA(DC) IQ6-60-2-US IQ6PLUS-72-2-US Commonly used module pairings' 195 W- 330 W+ 235 W-400 W-r Module compatibility 60-cell PV modules only 60-cell and 72-cell PV modules Maximum input DC voltage 48V 62V Peak power tracking voltage 27 V-37 V 27V-45V Operating range 16 V-48 V 16V-62V Min/Max start voltage 22 V,t 48 V 22 V,i 62 V Max DC short circuit current(module Isc) ISA 15A Over voltage class DC port 11 It DC port backfeed under single fault. 0 A 0 A PV array configuration 1 x 1 ungrounded array,No additional DC side protection required, AC side protection requires max 20A per branch circuit OUTPUT DATA(AC) IQ 6 Microinverter IQ 6+Microinverter Peak output power 240 VA 290 VA Maximum continuous output power 230 VA 280 VA Norninal(L-L)voltage/range2 240 V/211-264 V 208 V/183-229 V 240 V!211-264 V 208 V/183-229 V Maximum continuous output curient 096 A 1 11 A 1.17 A 1.35 A Nominal frequency 60 Hz 60 Hz Extended frequency range 47-68 Hz 47-68 Hz Power factor at rated pcwer t0 1.0 Maxim!rnl units per 20 A(L-L)branch circuit 16(240 VAC; 13(240 VAC) 14(208 VAC) 11 (208 VAC) Overvoltage class AC port 111 Ill AC port backfeed under single fault 0 A 0 A Flower factor(adjustable) 0.7 leading.. 0.7 lagging 0.7 leading...0.7 lagging EFFICIENCY (x1240 V Caa208 V @240 V @208 V CEC weighted efficiency 97.0`<, 97.0'% 47.0% 970'i� MECHANICAL DATA Amblent temperature range -40°C to+65°C Relative humidity range 4"6 to 100" (condensing) Connector type MC4 locking type Dimensions(WuHxD) 219 mm x 191 mm x 37.9 mm{without bracket) Weight 1-29 kg(2-84 lbs) Cooling Naturalconvection Nofans Approved for wet locations Yes Pollution degree PD3 Enclosure Class Il double-insulated Environmental category/UV exposure rating NEMA Type 6/outdoor FEATURES Communication Power line Monitorirrg Enlighten Manager and MyEnlighten monitoring options Compatible with Enphase IQ Envoy Disconnecting means The AC and DC connectors have been evaluated and approved by UL.for use as the load-break disconnect required by NEC 690. Compliance CA Rule 21 (UL 1741-SA) UL 62109-1,UL1741/IEEE1547.FCC Part 15 Class B, ICES-0003 Class B, GAN/CSA-C22.2 NO.107,1-0"1 This product is UL Listed as PV Rapid Shut Down Equipment and conforms with NEC-20114 and NEC-2017 section 690.12 and C22.1-2015 Rule 64-218 Rapid Shutdown of PV Systems,for AC and DC conductors,when installed according manufacturer's instructions. 1.No enforced DC/AC ratio.See the compatibility calculator at ' 4 t,hi_y. 2.Nominal voltage range can be extended beyond nominal if required by the utility. To learn more about Enphase offerings,visit enphase.com �I ENPHASE. �� The high-powered smart grid-ready a n d f- o dramatically simplify the installation process while achieving the highest efficiency for module-level power electronics. Part of the Enphase IQ System,the IQ 6 and IQ 6+ Micro integrate seamlessly with the Enphase IQ Envoy'", Enphase Q Aggregator'm, Enphase IQ Battery", and the Enphase Enlighten'"" monitoring and analysis software. The IQ 6 and IQ 6+ Micro extend the reliability standards set forth by previous generations and undergo over a million hours of power-on testing, enabling Enphase to provide an industry-leading warranty of up to 25 years. Easy to Install Lightweight and simple Faster installation with improved two-wire cabling Built-in rapid shutdown compliant (NEC 2014 &20171 CG Productive and Reliable Optimized for high powered bow;ell and 72-cell*modules Mote than a million hours of testing Class likAouble-iiistilatedencii),,ii-ise UL listed Smart Grid Ready Complies with fixed power factor,voltage and frequency ride-through reqUirernents Remotely updates to respond to changing grid requirements (.3onflQUrable for varying grid profiles Meets CA Rule 21 (UL1741-SA) Ut tr+MIC-fo 1QWHTi,d%A 7",cultlodi il"s To learn more about Enphase offerings,visit enphase.corn EN PHASE City of Northampton -�' Massachusetts - r w DEPARTHENT Of BUILDING INSPECTIONS 212 Main Street •Municipal Building ' Northampton, MA 01060 �o Debris Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. The debris from construction work being performed at: 55 Bliss St, Florence, MA 01062 (Please print house number and street name) Is to be disposed of at: Valley Recycling. (235 Easthampton Rd, MA 01060) (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: Valley Solar. (POB 60627, MA 01062) (Company Name and Address) /V/zo�s/ Signature of Permit Applicant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. The Cotnnionwealtit of'Massachusetts "'- Department of Industrial Accidents I Congress Street, Suite 100 Boston, MA 02114-2017 unt inass.govldia Wgvicers'Compensation Insurance.affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITiI T14E PERMITTING AUTHORITY. Applicant Information Please Prink Legibly Name ($usiness/OrganizatictiAndividttal):Valley Solar LLC Address:340 Riverside Dr., PO Box 60627 City/State/Zip:Florence, MA 01062 Phone#:413-584-8844 Arc you an employer'.'Check the appropriate box: Type of project(required): t Q t III)it employer With cmployee;(full and/or pari-tine).* 7. []New construction 2.]1 am a sole proprietor or partnership and have no cmployces working for tnc in b. Remodeling any capacity.[No workers'comp.insurance required.] y. Q DetTlUllllUn 3.❑I am a honmowner doing all work myself[No workers'comp.insurance required.]' 10 Q Building addition 4.❑i am a homeowner and will be hiring contractors to conduct all work on my property. i will ensure that all contractors either have workers'compensation insurance or are We l 1.Q Electrical repairs or additions proprietors with no employees. 12.E]Plumbing repairs or additions 5❑i am a general contractor and i have hired thesub-contactors listed on the attached sheet. 13.❑Roof repair's These sub-ctmuectors have employees and have workers'comp.insurance, 14.QOtherSolar 6.F-1 We arc a corporation and its ofticcrs have exercised their right of exemption per MOIL c. 152.§44).and we have no employees.(No workers'connp.insurance required.] 'Any applicant that cheeks box 41 must also fill our the section bciow showing their workers compensation policy information. Honncowncrs who subnut this affidavit indicating they arc doing all work and then hire outside contractors must submit it incw affidavit indicating such. *Contractors that check this box must attached an additional slicer showing the name of the sub-contractors and state whether or not those entities have cmployccs. Ifthesub-contactors havcemployees.they must pawidetheir worker'cutup.policy number. 1 ant air employer drat is providing workers'coitipetisution ittsurattce for•tity eu2ployees. Below is the policy and f ob site it:formation. Insurance Company Name:Berkley Insurance Pviicy#or Scif-ins.Lic.#:MAARP301229 Expiration Date: 2/1/2019 Job Site Address: _ Bliss St City/State/Zip:-Florence MA 01062 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152. §25A is a criminal violation punishable by a fine up to S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator,A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. - Ido hereby certify under t aitrs an penalties of per] the infornratiorr provided above is irar<aril cors'ct. Signal re: Date: f �� Phone# 413-584-i844' 0fftcial use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License Al Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: SECTION 8-CONSTRUCTION SERVICES 8.1-Ucensed Construction Supervisor: Not Applicable ❑ Name of License Holder: License Number Steven Silverman CS-077279 Address Expiration Date 268 Fomer Road. Southampton, MA 01073 6/21/2020 Signatu lephone 413-584-8844 9:Featsterec!Home Imprrvemen£Corttractor. Not Applicable ❑ Company Name Registration Number Valley Solar LLC 186338 Address Expiration Date- PO Box 60627, Florence, MA 01062 Telephone 413-584-8844 a rT SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C($)) 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....... No...... ❑ I SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House Addition ❑ Replacement Windows Alteration(s) Roofing Or Doors F-1 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding[0] Other[X Solar Brief Descri do f roposed Bik� Work: V Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet Sa.lf`New house and or addition to ex 1s46.1 housing.`complete the b.owing: 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. t. 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 Donai d 60U my as Owner of the subject property hereby authorize Valley Solar LLG to ac my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date Valley Solar LLC a_s44m; p/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 Name I;C-4Lr Signature of Owner/AW 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 DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO Q DON'T KNOW 0 YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 , Date Issued: C. Do any signs exist on the property? YES 0 NO 0 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO O 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 0 NO 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Department use only •�, �. City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability ' Northampton, MA 01060 Two Sets of Structural Plans - - Plot/Site r phone 413-587-1240 Fax 413-587 1272 Plans Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEM ��VIILY WELLING n - rry SECTION 1 -SITE INFORMATION mn his section to b pi elboffice 1.1 Property Address: MapnFP* l�E96'�t6t+� Unit � .r ` NORTHAMPTON.MA 01060 T'j �t? CJCEi rn� o zL] Zone ver ay ss ric l.•V K— Elm St District CB District SECTION 2-PROPERTY OWNERSHIPtAUTHORIZED AGENT 2.1 Owner of Record: s J3CJn <Si, Name(Print) Current Mailing Addre r �it�- at.t.Ultit Telephone Signature 2.2 Authorized-Aaent; Valley Solar LLC PO Box 60627, Florence, MA 01062 Name(Print) Current Mailing Address: 413-584-8844 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (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=0 +2+ 15 6 r7 lCheck Number This Section For Official Use Only Date Building Permit Number: Issued: Signature: — l( 6 — Building Commissioner/Inspector of Buildings Date Ihasbrouck @ northamptonma.gov infovalleyysolar.solar '" EMAIL ADDRESS (REQUIRED; 'T"re" I IGM&O' N"R OR CONAAMOR) 55 BLISS ST BP-2019-0542 GIs#: COMMONWEALTH OF MASSACHUSETTS Man:Block:22D-084 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 ELECTRIC SYSTEM BUILDING PERMIT Permit# BP-2019-0542 Proiect# JS-2019-000879 Est. Cost: $28567.00 Fee: $75.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor., License: Use Group: VALLEY SOLAR LLC 077279 Lot Size(sg.ft.): 74487.60 (.owner: BAUMER DONALD C&POLLY S Zoning: URA(100)/WSP(100)/ Applicant. VALLEY SOLAR LLC AT. 55 BLISS ST ApplicantAddress: Phone: Insurance: PO BOX 60627 (413) 584-8844 WC FLORENCEMA01062 ISSUED ON:11/6/2018 0:00:00 TO PERFORM THE FOLLOWING WORK.-26 PANEL SOLAR ROOF ARRAY - 8.32 KVJ 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 Deaartment 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 Sianature: feeTvne: Date Paid: Amount: Building 11/6/2018 0:00:00 $75.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner