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ZL-ZO-tIOZ (sayoul 00'Ll X 00'L L)s pools llnd ISNV 090001 2 LU 04 N f"' U W 0 a^(^ N Z 0 01 J M M N (n -1 � O N Z _ Nam WU Q � � o 7 Z g r� o o�m f7 J r7 F- J W wk p "r LO_ II a °° f- U t > LLB O ` ^^ O0. w 1..{. m � = LL Z o d S2 w m W z Iv it LL cm 3 T t0 3 a� p • •_. :♦ • v a 1 0 i ` 0 EL C C E c O W w cc C U c � mDIU '.00 o 0) 0 2 " d > c > o w. :3 N 0 fQ N O E iia 3 0WZa W r Z NtL O 80M � d LN 0 r- E Qd Q > w aU 2sU •E `- N Z � - (n N Q O N O i c U) m O cx N J E X N o o m jZv Vco � LO N T N c W N tV t Q. c W Z O F= U D F- co Z 0 U a O LL ZI-Z"Wz (sayoul 00 Z l)(00'l l)H Paal9 Ilnd ISNV 090001 3/8-16 X 3/4" SS HEX BOLT 3/8-16 SS FLANGE NUT �ry 4� 6105-T5 ALUMINUM 1. 4 0°000 00 U IM IRAC SolarMount/SunFrame ©2008 UNIRAC, INC. 1411 BROADWAY BLVD NE 2" Aluminum ALBUQUERQUE, NM 87102 USA Serrated PHONE UNIRAC.COM 505.242.6411 L-Foot UNIRAC-310068 S:AAutoCad -'clad Library\CAD\UN12AC 510068 tin Serrcicd L I ooLdw6, 6/24/200P 1:44:32 PM SOLARMouhrr Technical Datasheets ,,:: adow U N.1 RAC SolarMount Beams Part No. 310132C, 310132C-B, 310168C, 310168C-B, 310168D 310208C, 310208C-B, 310240C, 310240C-B, 310240D, 410144M,410168M, 410204M,410240M Properties Units SolarMount SolarMount HD Beam Height in 2.5 3.0 Approximate Weight(per linear ft) plf 0.811 1.271 Total Cross Sectional Area in' 0.676 1.059 Section Modulus(X-Axis) in3 0.353 0.898 Section Modulus(Y-Axis) in 0.113 0.221 Moment of Inertia(X-Axis) in 0.464 1.450 Moment of Inertia(Y-Axis) in 0.044 0.267 Radius of Gyration(X-Axis) in 0.289 1.170 Radius of Gyration(Y Axis) in 0.254 0.502 SLOT FOR T-BOLT OR 1.728 SLOT FOR T-BOLT OR 14" HEX HEAD SCREW %"HEX HEAD SCREW 2X SLOT FOR SLOT FOR BOTTOM CLIP 2.500 BOTTOM CLIP 3.000 1.316 SLOT FOR 38" HEX BOLT SLOT FOR 1.385 3/8" HEX BOLT .387 .750 1.207 Y Y 1.875 A >•X ►X SolarMount Beam SolarMount HD Beam Dimensions specified in inches unless noted a • Technical . , . - - ::=UNIRAC SolarMount Beam Connection Hardware SolarMount L-Foot Part No. 304000C, 304000D • L-Foot material:One of the following extruded aluminum alloys:6005- T5,6105-T5,6061-T6 ,,r•"" Ultimate tensile: 38ksi,Yield:35 ksi • Finish: Clear or Dark Anodized • L-Foot weight:varies based on height:--0.215 Ibs(98g) • Allowable and design loads are valid when components are Bea assembled with SolarMount series beams according to authorized Bolt UNIRAC documents L-Foot For the beam to L-Foot connection: •Assemble with one ASTM F593 W-16 hex head screw and one errated ASTM F594'/a'serrated flange nut Flange Nu •Use anti-seize and tighten to 30 ft-Ibs of torque • Resistance factors and safety factors are determined according to part 1 section 9 of the 2005 Aluminum Design Manual and third-party test Y results from an IAS accredited laboratory A NOTE: Loads are given for the L-Foot to beam connection only; be F X sure to check load limits for standoff,lag screw,or other attachment method 3.01 Applied Load Average Safety Design Resistance sxxaYron. Direction Ultimate Allowable Load Factor Load Factor, �wwarnww Ibs(N) Ibs(N) FS Ibs(N) m 2 at" 4 Sliding,Z± 1766(7856) 755(3356) 2.34 1141 (5077) 0.646 Tension,Y+ 1859(8269) 707(3144) 2.63 1069(4755) 0.575 Dimensions specified in inches unless noted Compression,Y- 3258(14492) 1325(5893) 2.46 2004(8913) 0.615 Traverse,X± 486(2162) 213(949) 2.28 323(1436) 0.664 8UNIRAC' SOLARMOUNT • . . - - :: SolarMount Mid Clamp Part No.302101 C,302101 D,302103C,302104D, 302105D,302106D rra Bolt Mid clamp material: One of the following extruded aluminum Mid la a Nu alloys: 6005-T5, 6105-T5,6061-T6 Clamp Ultimate tensile: 38ksi,Yield: 35 ksi Finish: Clear or Dark Anodized P� Mid clamp weight: 0.050 lbs(23g) Allowable and design loads are valid when components are assembled according to authorized UNIRAC documents • Values represent the allowable and design load capacity of a single mid clamp assembly when used with a SolarMount series beam to retain a module in the direction indicated • Assemble mid clamp with one Unirac'/."-20 T-bolt and one'/<"-20 ASTM F594 serrated flange nut • Use anti-seize and tighten to 10 ft-lbs of torque �a---.,. Resistance factors and safety factors are determined according to part 1 section 9 of the 2005 Aluminum Design Manual and third- party test results from an IAS accredited laboratory Applied Load Average Allowable Safety Design Resistance 3_00 UE AWF Direction Ultimate Load Factor, Load Factor, 9C7MrtEN MUUTAp.S Ibs(N) lbs(N) FS lbs(N) (1) i Tension,Y+ 2020(8987) 891 (3963) 2.27 1348(5994) 0.667 i.a-- Transverse,Z± 520(2313) 229(1017) 2.27 346(1539) 0.665 Y Sliding,X± 1 1194(5312) 1 490(2179) 1 2.44 741 (3295) 0.620 ►X Dimensions specified in inches unless noted SolarMount End Clamp Part No.302001C,302002C,302002D,302003C, 302003D,302004C,302004D,302005C,302005D, 302006C,302006D,302007D,302008C,302008D, 302009C,302009D,302010C,3020110,302012C 0 End clamp material: One of the following extruded aluminum alloys:6005-T5, :38ksi, ,Yield:�� Ultimate tensile: 38ksi,Yield:35 ksi • Finish: Clear or Dark Anodized • End clamp weight: varies based on height: —0.058 lbs (26g) d Clamp Allowable and design loads are valid when components are Serrated assembled according to authorized UNIRAC documents Flange Nut Values represent the allowable and design load capacity of a single end clamp assembly when used with a SolarMount series beam to retain a module in the direction indicated • Assemble with one Unirac W-20 T-bolt and one'/4'-20 ASTM F594 Bea serrated flange nut • Use anti-seize and tighten to 10 ft-lbs of torque • Resistance factors and safety factors are determined according to part 1 section 9 of the 2005 Aluminum Design Manual and third- Y party test results from an IAS accredited laboratory Modules must be installed at least 1.5 in from either end of a beam ►X Applied Load Average Allowable Safety Design Resistance Direction Ultimate Load Factor, Loads Factor, lbs(N) lbs(N) FS lbs(N) 4) VVIES Tension,Y+ 1321 (5876) 529(2352) 2.50 800(3557) 0.605 `"` Transverse,Z± 63(279) 14(61) 4.58 21 (92) 0.330 Sliding,X± 142(630) 52(231) 2.72 79(349) 0.555 Dimensions specified in inches-dnless-noted a �O � �� 0� ��Q@U�� N��0 �� . � nm �w �� ."... . SoUarMount Techn~caUDatasheet Pub 11oo10-imutno August oun SoVarMoumtModu!e Connection Hardware.................................................................. I BottomUp Module Clip.................................................................................................1 MidClamp ....................................................................................................................2 EndClamp....................................................................................................................2 SolarMouNt Beam Connection Hardware......................................................................3 L-Foo[...........................................................................................................................8 SmlarMoumtBeams..........................................................................................................4 SolarMount Module Connection Hardware SoUarMou0t Bottom Up Module Clip Part No. 3O2O0DC Washer ~ Bottom Up Clip material: One nf the following extruded aluminum alloys:0OO5'T5.8105-T5. 0O01'T0 up C no ^ Ultimate tensile: 38ko.Yield: 35 kai ^ Finish: Clear Anodized ^ Bottom Up Clip weight: -0.031 |bo(14g) Beam '40/t ^ Allowable and design loads are valid when components are assembled with So|odNourt series beams according toauthorized UN|RACdnoumanta ^ Aoaomb|o with one 1/4'''20AST[N F503 bolt, one 1/4'''2OASTK4 F594 serrated flange nut, and one%"flat washer Use anti-seize and tighten bu1Uf-|baoftorque ^ Resistance factors and safety factors are determined according to pod 1 section Qof the 2OO5Aluminum Design Manual and third- party heotmou|tahmman |ASaoovadi0ed |ubomtory Module edge must bo fully supported by the beam � NOTE ON WASHER: Install washer on bolt head side ofassembly. DO NOT install washer under serrated flange nut Applied Load Average Allowable Safety Design Resistance Direction Ultimate Load Factor, Load Factor, Tension,Y+ 1566(6967) 686(3052) 2.28 1038(4615) 0.662 Y A __. - Transverse,X± 1128(5019) 329(1463) 3.43 497(2213) 0.441 : W Dimensions specified in inches unless noted �� m^'"`" a w•A�lC b� n t �u. x..�.l're� .. �, S brf"se 13�r��r,.++ ��:c �^R% �Y+-i c+ Any v� t�. ,�5$ t.°£� w � ID d �¢ •`� 9FM1- S 5+�; sm't sm �"�'�%b' *r." ��4r «mJ-� ll _ t EcoFasten SolarA, 877-859-3947 Committed to the Support of Renewable Energy a m-o -0 o (D � 3 0 w C ob 0 0 oa (DD O n n � � N Goa ao N (D (D CD T T 00- 3 -O - 7 =5 =- oN in O Z (D O 7 T T C a n y a _ 04 CD 3 n n M C� � � O a w 3 0 (D as oa _0 w rD w 0 m w S. w J � n (D u O N In Ol w w O\ ON O < O. 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EcoFasten Solar,Al 877-859-3947 Committed to the Support of Renewoble Energy 1� 1 1 r; �l r W M M a> z z D ° cn z m 3 z n 0 O n D m C D h O 1. a C CD � a O o M 3 a I ro n w 1. r .. ,11_ ' ,r I "I q U ' '"" - °� �`ayy&__ " --�- � ��,`�,, ��,� , T k I ww", "', , I �,-0, " " ,.....�, � -1.11,, i 'xw. �` ' ;P.'u,' ,wM ...,...,,,,, yam,. .M ! twwM"-- , ,", , - - I 1�, , ,-, I - .F� 1 So-N a '�Z"w"' `. k� tt'x 9r ,_ .Y ""' �Y�� °fir w s,� " e p.* s s�.?w,, „� ..".t "rl :nom #� r 1-111-1111 ,y mom- '" -w"'" s. ', «.; «, { «;t:«�','� � "^es Lip rt y.--w v rr.n.,, 11 T ,..�„ „ «.,",.IT' .� aM1 a . 1 .M1 'U2.'++'.e'r 11 J� �y+dq y%r "M 1(^. ', .sh J m r 'AYa�, 'y _yr 11 s ^' k� �' b"3 9& k+ n .... .,. u e Kh ..s i. ..,... ..,1-1 wr+.Y' y"Yc+. ' . I, w a1 1'M am t '.a �"' rN` mow* 1 * ,� ru�Y�`f v.,.mT xi .,tt � I -1 f t P ,.,,;t r n N ,.--. 11 _ ,. .r y a. � � "I "�� 'ZI ro '"' ..ml rm�"z. �-.gym° rr O �' ' * `fey �' y[�]My n w»�,q'I I @ "��_11 _� ° -- . o �ti1 ,� i I I 0 E� a � ,� t i M ��V m: , e,� 1�lllq CS6P-220/225/230/235/240/245/250P Electrical Data CS6P-220P CS6P-225P CS6P-230P C86P-235P CS6P-240P CS6P-245P C56P-250P Nominal Maximum Power at STC(Pmax) 220W 225W 230W 235W 240W 245W 250W Optimum Operating Voltage(Vmp) 29.2V 29AV 29.6V 29.8V 29.9V 30.OV 30.1V Optimum Operating Current(Imp) 7.53A 7.65A 7.78A 7.90A 8.03A 8.17A 8.30A Open Circuit Voltage ii 36.6V 36.7V 36.8V 36.9V 37.OV 37.1V 37.2V Short Circuit Current(Isc) 8.09A 819A 8.34A 8.46A I 8.59A 8.74A 8.87A Operating Temperature -40'Cr+85'C Maximum System Voltage 1000V(IEC)/600V(UL) Maximum Series Fuse Rating 15A Power Tolerance +5W Pmax -0.43%rC: Temperature Coefficient Voc -0.34%tC Isc 0.065%rC NOCT 45'C Under Standard Test Conditions(STC)of Irradiance of 1000W/m',spectrum AM 1.5 and cell temperature of 25°C Mechanical Data Cell Type Poly-crystalline Cell Arrangement 60(6 x 10) Dimensions 1638 x 982 x 40mm(64.5 x 38.7 x 1.57in) Weight 20kg(44.1 Ibs) Front Cover Tempered glass Frame Material Anodized aluminium alloy Standard Packaging(Modules per Pallet) 20pcs Engineering Drawings IN Curves (CS6P-250P) -- ---- --- -- -- ----------- J III III II I 1111111111.1.111', ; �� IIII � 1 I11 � a -- - , I i I h i q a j r ( � m Vrrlrnftw£1`F f,' Y+.it.+{t+^fVF ° i 1 0 'Specifications included in this datasheet are subject to change without prior notice. About Canadian Solar Canadian Solar Inc. is one of the world's largest solar Canadian Solar was founded in Canada in 2001 and was successfully companies.As a leading vertically-integrated manufacturer listed on NASDAQ Exchange (symbol: CSIQ) in November 2006. of ingots, wafers, cells, solar modules and solar systems. Canadian Solar is on track to expand cell capacity to 70OMW and Canadian Solar delivers solar power products of module capacity to 1.3GW in 2010. uncompromising quality to worldwide customers. Canadian Solar's world class team of professionals works closely with our customers to provide them with solutions for all their solar needs. Headquarters 1 Riverbend Drive,Suite B Ontario Tel +1-519-954-2057 CanadianSolar 220/225/230/235/240/245/250 - On-grid Module CS61P is a robust solar module with 60 solar cells.These modules can be used for on-grid solar applications.Our meticulous design and production techniques ensure a high-yield, long-term performance for every module produced.Our rigorous quality control and in-house testing facilities guarantee Canadian Solar's modules meet the highest quality standards possible. Key Features • Top ranked PVUSA(PTC)rating in California for higher Applications energy production • On-grid residential roof-tops • 6 years product warranty(materials and workmanship); • On-grid commercial/industrial roof-tops 25 years module power output warranty • Solar power stations Other on-grid applications • Industry leading plus only power tolerance:+5W(+2%) • Strong framed module,passing mechanical load test Quality Certificates of 5400Pa to withstand heavier snow load • IEC 61215,IEC 61730, IEC 61701,UL 1703, • Ultra reliable in corrosive atmosphere,verified by CEC Listed,CE,KEMCO and MCS IEC61701 "Salt Mist Corrosion Testing" • IS09001:2008:Standards for quality management systems • The 1 st manufacturer in the PV industry certified for • ISO/TS16949:2009:The automotive quality ISO:TS16949(The automotive quality management management system system)in module production since 2003 • QC080000 HSPM:The Certification for Hazardous Substances Regulations • IS017025 qualified manufacturer owned testing lab, fully complying to IEC,TUV,UL testing standards Spy, A z1AN IEC .Q. .;: E C [�_-- ®FF www.canadiansolar.com EAH Structural Consulting 35 Kendall Cnm t Bedford, HA F11 :W 0 PHONE 1.978.406.89-21 EAH CONSULTINU ElainergIE4,Hutructural,cr,rr- Framing C_ heck (Roof A) PASS w=86 plf Dead Load 11.0 psf PV Load 4.0 psf Snow Load 28.0 psf ; Governing Load Combo=DL+SL Member Span=T-6" Total Load 43.0 psf Member Properties Member Size S(in^3) I(in^4) Lumber Sp/Gr Member Spacing 2"x3.75" 4.69 8.79 SPF#2 @ 24"o.c. Check Bending Stress Fb(psi)= fb x Cd x Cf x Cr (NDS Table 4.3.1) 875 x 1.15 x 1.5 x 1.15 Allowed Bending Stress= 1735.7 psi Maximum Moment = (wL^2)/8 = 604.504 ft# = 7254.05 in# Actual Bending Stress=(Maximum Moment)/S =1547.6 psi Allowed>Actual--89.2%Stressed -- Therefore,OK Check Deflection Allowed Deflection(Total Load) = U180 (E=1400000 psi Per NDS) = 0.5 in Deflection Criteria Based on = Simple Span Actual Deflection(Total Load) _ (5'w'L"4)/(384'E'1) = 0.498 in = U181 > L/180 Therefore OK Allowed Deflection(Live Load) = U240 0.375 in Actual Deflection(Live Load) _ (5'w'L 114)/(384'E'1) 0.324 in U278 > U240 Therefore OK Check Shear Member Area= 7.5 in^2 Fv(psi)= 135 psi (NDS Table 4A) Allowed Shear = Fv'A = 1013 lb Max Shear(V)=w L 12 = 322 lb Allowed>Actual--31.9%Stressed -- Therefore,OK Bassett Residence, Florence 4 smH Structural Consuumnm ` ss Kendall cou,t Bedford, mAoz7')o pnomcz + . 7a.400-Vo21 E:A^+ Cpwswk�r/t°G E|oine(g)e4*suurtu1 alc011-1 Wind Calulations Per ASCE 7-06 Components and Cladding Input Variables Wind Speed 90 mph Exposure Category C Roof Shape Goble/Hip Roof Slope 35 degrees Mean Roof Height 20 ft Building Least Width 40 ft Effective Wind Area 17.5 ft Design Wind Pre Calculations qh=O.00256°Kz°Kd°Kd^V^2^| (Eq_8 15) Kz(Exposure Coefficient)= O.8 (Table 6-3) Kd(topographic factor)= 1 (Fig.6-4) Kd(Wind Directionality Factor)= 0.86 (Table 64) V(Design Wind Speed)= 8Omph |Importance Factor= 1 (Table 6-1) qh= 16.88 Standoff Uplift Culcu|udon Zone I Zone 2 Zone 3 Positive GCp= -0.80 '110 -110 0.85 (Fig.6-11) Uplift Pressure= '1428psf 47.46psf 47.4Spsf 13.6psf X Standoff Spacing= 4l0 4.00 4.00 Y Standoff Spacing= 275 2.76 2.75 Tributary Area= 11.00 11.00 11.00 Footing Uplift= -157 lb -192 lb -18@|b Standoff Uplift Check Maximum Design Uplift= -192 lb Standoff Uplift Capacity = 4O0|b 4OO|bcapacity> 192|b demand Therefore,8K Fastener Capacity Check Number uf Fasteners= 1 Embedment Depth= %.6 Pullout Capacity Per Inch= 250 lb Fastener Capacity= 625|b v/F3.of1.S= 417|b 417|b capacity'182lb demand Therefore,UK Bassett Residence, Florence 3 EAKStructmmal Cmmyukmim os Kendall cuu,r Be d fo rd, m4u1 rnn pnowe � .978*06.8921 Ew`+^ COwSuLnNQ s|�mc«��noun�or�com Gravity Loading Roof Snow Load Calculations po=Ground Snow Load= 40 psf pf=0JCoCt|po (ASCE7'Eq7'1) C,=Exposure Factor= 1 (AGCE7'Table 7'%) C`=Thermal Factor= 1 (ASCE7'Table 7'3) |=Importance Factor= 1 A=Flat Roof Snow Load= 38.0 psf Po=C»A (ASCE7'Eq7-2) Cs=Slope Factor p,=Sloped Roof Snow Load= 28.0 pmJ PV Dead Load=4 psf(Per Astrum Solar) Roof Dead Load(Roof A) Composition Shingle 4.00 Ix Decking 3.00 2^x3J6^Rafters @24^o.o. 1.06 Vaulted Ceiling 0.00 (Ceiling Not Vaulted) Mimm||umomun 0.05 Total Roof DL(Roof A) 9.0 psf DL Adjusted hm35 Degree Slope 11.0 psf Bassett Residence, Florence 2 EAH Structural Cmnyuhmmg as Kendall Cowl Bedford, mj', o/ran PHONE 1.n7n*oon9z/ E:A`+ Cpp4swt-r/wa Elaine. EAnStl-uCturalznm February 18, 2014 To: RGS Energy 833 South Boulder Road Louisville,[O80037 Subject: Structural Certification for Installation of Solar Panels Bassett Residence 16S Willow Street Florence,MA.O106Z To Whom|t 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 as follows: The roof structure of(Roof A)consists of composition shingle on plywood sheathing over 1x planks that are supported by true climensionsed 2"x3.75"rafters at 24"o.c.,paired with matching ceiling joists. The rafters have a horizontal span of opprnximodey7''G"and o slope cf]Sdegrees. The rafters are end jointed at the top,and are supported by load bearing walls at the eaxe. There are 1x12diagna|struts at some rafters tn provide addition|support. The existing roof framing system of(Roof A)is judged to be adequate to withstand the loading imposed by the installation of the solar panels.No reinforcement isnecessary. 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 Unirac Solarmount 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 Unirac Solarmount for the racking system and Ecofasten for the roof connections. Finally,|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=9psf(Roof A) • Roof Live Load=2Opsf • Wind Speed=9U mph,Exposure C • Ground Snow Load=4Upsf - Roof Snow Load=Z8psf Please contact me with any further questions or concerns regarding this project. Sincerely, HUAN CIVIL Elaine Huang,P.E. Project Engineer AL Bassett Residence, Florence 1 Property Consent Form Owner: ?AOCAQ r-.- ( &SST7-t Address: I (a S- �ILLoW (7 Town: FL'0 to cLr- State: NA N Zip: N 0(_1 Z Phone: '113 - Yn. Liz- I hereby give permission to Alteris Renewables, Inc., dba Real Goods Solar and their representatives to pull the required permits for a solar installation on the above stated prcjperty. Signed, Homeowner(s) Date ---------------- ------ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/organization/Individual): Alteris Renewables, Inc. dba Real Goods Solar Address: 32 Taugwonk Spur, Unit A-12 City/State/Zip: Stonington, CT 06378 Phone#: (860)535-3370 Are you an employer?Check the appropriate box: Type of project(required): 1. x❑ I am a employer with 120 4. ❑ 1 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 ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers'comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.0 Roof repairs insurance required.] t employees. [No workers' 13.0 Other solar panels comp.insurance required.] *Any applicant that checks box 41 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Zurich American Insurance Co. Policy#or Self-ins. Lic.#: WC5852405 Expiration Date: 01/01/2015 Job Site Address: 165 Willow Street 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 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 certi nder�the pans nd penalties of perjury that the information provided b ve is true and correct. Signature: t/( ��ti.� Date: Phone#: (860)535-3370 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: Michael Rotondo 102054 License Number 61 Gellette Road, Fairhaven, MA 02719 10/6/14 A ss Expiration Date 7W 401-215-7056 Signature Telephone 9.Restlstered Home Improvement Contractor: Not Applicable ❑ Alteris Renewables dba RGS Energy 162709 Company Name Registration Number 32 Taugwonk Spur,A-12,Stonington, CT 06378 4/6/15 Address ? Expiration Date ' 7 � �., / Telephone 860-535-3370 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 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 buildine 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 e SECTION 5-DESCRIPTION OF PROPOSED WORK(check all aoalicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing E] Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [p Siding[lam] Other[EQ solar Brief Description of Proposed Work: Installation of a 2.75kW roof mounted solar array using 11 Canadian Solar CS6P-250P modules.I I Enphase M2]5-60-2LL-S22 micro inverters&all associated electrical work. 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 existin+a housing, complete the following: a. Use of building:One Family X 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 I, Pauline Bassett as Owner of the subject property hereby authorize Alteris Renewables dba RGS Energy to act on my behalf,in all matters relative to work authorized by this building permit application. see signed authorization form attached �4 /V a re of Owner Dat Alteris Renewables dba RGS Energy 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. Kim Hendel Print Name AI� Signatur of Owner Agent Data 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 Q YES Q 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 0 YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained O , Date Issued: C. Do any signs exist on the property? YES Q NO 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 0 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 Q IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Department use only City of Northampton StusctfPtnih Building Department curb° "Utfoliveway permit: 212 Main Street �er1Avabtir. y; FEB202014 Room 100 WaWAVellAvail4bility, N rthampton, MA 01060 TWO Set$of�t"'p "s Qp&,418 587-1240 Fax 413-587-1272 Ptt harts Flectnr t,,�, Other, Spii �-..� 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 165 Willow Street Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Pauline Bassett 165 Willow Street, Florence,MA 01062 Name(Print) Current Mailing Address: see signed authorization form attached 413-586-4232 Telephone Signature 2.2 Authorized Anent: Alteris Renewables dba Ao KqS 32 Taugwonk Spur,A-12, Stonington,CT 06378 Name(Print) Current Mailing Address: 860-535-3370 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building 2,000 (a)Building Permit Fee 2. Electrical 10,000 (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection 94 r7 17 6. Total=(1 +2+3+4+5) 12,000 Check Number 5 This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2014-0894 APPLICANT/CONTACT PERSON REAL GOODS SOLAR INC ADDRESS/PHONE 32 TAUGWONK SPUR RD UNIT Al2 STONINGTON (860)535-3370 Q PROPERTY LOCATION 165 WILLOW ST MAP 23C PARCEL 060 001 ZONE URA(100)/WSP(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid J Typeof Construction: INSTALL 2.75 KW ROOF MOUNTED SOLAR ARRAY New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 102054 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF?,RMATION PRESENTED: Approved 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 D of ' lay Sig re of Bui di O icial 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. 165 WILLOW ST BP-2014-0894 GIs#: COMMONWEALTH OF MASSACHUSETTS Ma p Block: 23C-060 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-2014-0894 Project# JS-2014-001552 Est. Cost: $12000.00 Fee: $72.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: REAL GOODS SOLAR INC 102054 Lot Size(sq. ft.): 65340.00 Owner: KATZ ALAN M&PAULINE M BASSET Zoning:URA(100)/WSP(100)/ Applicant: REAL GOODS SOLAR INC AT. 165 WILLOW ST Applicant Address: Phone: Insurance: 32 TAUGWONK SPUR RD UNIT Al2 (860) 535-3370 O Workers Compensation STONINGTONCT06378 ISSUED ON:212112014 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL 2.75 KW ROOF MOUNTED 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 2/21/2014 0:00:00 $72.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner