12C-130 (2) ,....,��......_ `.".�- x.,.. a�`Gr'oa� ,�,;,,�sH,,..�.3 E ,.,�,.,rs✓„ .,.a.m�aa,-,; `,a v,.....<�s �,x,..,^i ..,F....� a#.. ,�_. „t.._�.a .., .� .,e,,, axi,�¢u,...,,.
Effective for IronRidge, Inc. ("IronRidge") mounting structure components("Products") manufactured after April 1st,
2012, IronRidge provides the following warranties, for Products installed properly and used for the purpose for which the
Products are designed:
• finishes shall be free of visible defects, peeling, or cracking, under normal atmospheric conditions,for a period of
three (3)years from the earlier of (i) the date of complete installation of the Product or(ii)thirty days after the original
purchaser's date of purchase of the Product("Finish Warranty");
• components shall be free of structurally-related defects in materials for a period of ten (10) years from the earlier of (i)
the date of complete installation of the Product or(ii)thirty days after the original purchaser's date of purchase of the
Product;
• components shall be free of functionally-related manufacturing defects for a period of twenty(20)years from date of
manufacture.
The Finish Warranty does not apply to: (a) surface oxidation of the galvanized steel components or any foreign residue
deposited on Product finish; and (b) Products installed in corrosive atmospheric conditions, as defined solely by
IronRidge;corrosive atmospheric conditions include, but are not limited to, conditions where Product is exposed to
corrosive chemicals,fumes, cement dust, salt water marine environments or to continual spraying of either salt or fresh
water.The Finish Warranty is VOID if(c) the practices specified by AAMA 609 & 610-02—"Cleaning and Maintenance for
Architecturally Finished Aluminum' (www.aamanet.org) are not followed by Purchaser for IronRidge's aluminum based
components; and (d) if the practices specified by ASTM A780/A780M-09"Standard Practice for Repair of Damaged
and Uncoated Areas of HotDip Galvanized Coatings"are not followed by Purchaser for IronRidge's galvanized steel-
based components.
The warranties above do not cover any parts or materials not manufactured by IronRidge, and exclude nonfunctionally-
related defects, as defined solely by IronRidge.The warranties do not cover any defect that has not been reported to
IronRidge in writing within twenty (20) days after discovery of such defect.
In the event of breach of or non-compliance with the warranties set forth above, IronRidge's sole obligation and
liability, and the sole and exclusive remedy for such breach or non-compliance, shall be correction of defects by repair,
replacement, or credit, at IronRidge's sole discretion. Such repair, replacement or credit shall completely satisfy and
discharge all of IronRidge's liability with respect to these warranties.
Refurbished Product may be used to repair or replace the defective components.Transportation, installation, labor, or any
other costs associated with Product replacement are not covered by these warranties and are not reimbursable.These
warranties additionally do not cover (a) normal wear, or damage resulting from misuse, overloading, abuse, improper
installation (including failure to follow professional instruction and certification), negligence, or accident, or from force
major acts including any natural disasters, war or criminal acts; and (b) Products that have been altered, modified or
repaired without written authorization from IronRidge or its authorized representative; and (c) Products used in a manner
or for a purpose other than that specified by IronRidge.A formal document proving the purchase and
the purchase date of the Product is required with any warranty claim.
Except as set forth above, IronRidge sells the Products on an "AS IS" basis, which may not be free of errors or defects,
and ALL EXPRESS OR IMPLIED REPRESENTATIONS AND WARRANTIES, INCLUDING ANY WARRANTIES
OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, QUALITY, WORKMANLIKE EFFORT,
CORRESPONDENCE TO DESCRIPTION, DESIGN, TITLE OR NON-INFRINGEMENT, OR ARISING FROM COURSE
OF DEALING, COURSE OF PERFORMANCE OR TRADE PRACTICE,ARE HEREBY DISCLAIMED.
FLUSH STANDOFFS(Not Listed or Classified) Not UL 2703 Evaluated
Torque to
139 in-Ibs
Attach Standoffs to roof locations with lag bolts(not
i
included). Place flashing over Standoff.Attach L-Foot on
top of Standoff washer with hardware.Torque to 139 in-Ibs.
_ i e
0 Only attach to Tilt Legs if assembly is tilted 10 degrees or less. q
I �
TILT STANDOFFS(Not Listed or Classified) °
i
Attach Standoffs to roof locations. Refer to QMPV Manual.
mzq
r.,. �N... � m
A. MOUNT U-FEET(Not Listed or Classified) A ��� � � �� B
{ Not Not
UL 2703 i UL 2703
Mount all U-Feet to roof attachments and torque to Evaluated ` Evaluated
required specifications. ' c
0 Determine the maximum distance between U-Feet,according to ti
engineering specifications. g \'
B. PLACE TILT LEGS(Not Listed or Classified)
Place Tilt Legs into U-Feet, aligning slots of legs with Join Inner and Outer Legs �
For Adjustable Tilt Legs 0
U-Feet holes. Insert 3/8"-16 bolt with washer into hole and (Not UL 2703 Evaluated) I
attach nut. Finger tighten,to allow pivoting.
0 For Adjustable Tilt Legs,join inner and outer legs with hardware.
o a
t
C.ATTACH RAILS ; Cs
Slide bolts into 3/8" rail slot. Lay rail in place, next to legs,
and line up bolts with rail to attach. Place nut and finger
1
tighten, to allow alignment.
I 1
i
O✓ For Adjustable Tilt Legs,attach pivot bracket to north rail in each
position where legs will connect.Adjust leg to desired length.
Adjustable Tilt Leg
Pivot Bracket
3
D.TILT ASSEMBLY
Aquire Desired Angle and
Make sure assembly is aligned and square. Tilt assembly Torque to 180 in-Ibs
to desired angle.Tighten all bolts to 180 in-Ibs.
i
0 Check with module manufacturer for rail placement specifics.
Place rails from module's edge,up to 20%of the module's length. F
0 Avoid crashing module into the roof as you tilt assembly. _ .. __........... .__._ ..
wr... s F
..,u�F.9,Mwe
0
Insert Internal Splice into first rail and secure with strap, \�
star washer, and screw. Slide second rail over Internal
Splice and secure with strap, star washer, and screw.
Ensure screws are fully seated. Repeat for all splices. cC�
► For XR10 ans XR100 rails,insert screws along the provided lines. •` l ��' �
0 Splice screws can be inserted on either side of rails.
6"Inside--�:y� �, ' Ensure Fully
0 Grounding hardware is only needed on same rail as lugs.
Rail ��z�� `��� Seated
' X03 s °� ' ` £ �v� F
.: ., ��_<__ ?` __?_.� _..>..�,,...,//,r.<.. caaa _�<<;'::vim, .v�.�^«.r<.
ALTERNATIVE IRONRIDGE LUGS
Using a 13/64"or#7 drill bit, drill a hole through side of
rail at least 1/2"from the end and centered.Attach lug and
secure 10AWG (minimum)copper grounding wire.Torque
hex bolt to 32 in-Ibs.Torque set screw to 20 in-Ibs for
10AWG, 25 in-Ibs for 8AWG, or 35 in-Ibs for 4-6AWG. ? '
► Alternative Lug not compatible with XR10 and XR100 rails.
0
WEEB LUGS O
Review Wiley WEEB Installation Instructions.
0 Ground one rail per row,placing lugs and straps on same rail.
r
s g� � �e€�' $�'�' �.e� � - :��a3`3• 9 per r��'�'°�; °. �^ _ Y �r.,3 `c
End Caps add a completed look and keep debris and __ ._______•_.________. __ _____._.._______ _______._ .____ ,
€
pests from collecting inside rail.
J
Firmly press End Cap onto rail end.
c M PX » mrt arc
v �, y�zN�dl
Wire Clips offer a simple wire management solution. _ ..___ ..__ "_,_..____• __________._..
I
Firmly press Wire Clip into top rail slot. Run and insert
electrical wire accordingly.
Run Wire
Through
• .< z ' .�a,�.a..4�:---:- .. � s � c �,-..< .._ ., u.<���.ra�.,.v�.� ,,,...... ._,... .�s•. ....�r.z r.�.,,.,x �<.,-.,r,.__:��.��eit � `
� v e
RF F O _ — Q _ _ _ _ _ _ _L1- — Q _ _ _ _ _ _ Q Q_ _ _ _ — _ _ _ _
O O m 0 O O 0 _ _ _ - - - - - - -- - -- - - - - --Efo ]-- - - - - - -E41
_ _ _ _ _ _ _ _ _ _ _ _ _
- - - - - - - - - - - - - - - - - - - - -[ 0 ]- - - - - - -1:01 El
O m _ _
End Clamp • Grounding Lug Grounding Minimum
Strap 10 AWG
Copper Wire
Mid Clamp Internal Splice (Rail Connection)
For rows exceeding 100 feet of rail, a Grounding Strap
Expansion Joint is required for thermal expansion. i � ,/Torque to
�C 84 in-Ibs
Insert Internal Splice into first rail and secure with screw.
\\\ \ �3/8"From End
Assemble and secure Expansion Joint an 3/8 inch from rail j \
end. Slide second rail over Internal Splice leaving 1"gap
between rails.Attach other end of Expansion Joint with
hardware, and torque expansion joint hex nuts to 84 in-Ibs. \`
1"Gap
\.`
Enure Fully \ \
6"Inside Rail `\ �� '� Seated -� \\ j
7 WPM
F
AWN
T BOLT GROUNDING LUG O
Hex Nut
Assemble Grounding Lug with provided hardware.Torque
�� �\ (84 in-Ibs) Set Screw
hex nut to 84 in-Ibs. Install a minimum 10 AWG solid (2o it
copper grounding wire.Torque set screw to 20 in-Ibs.
❑✓Grounding hardware is only needed on one rail per row of
modules.If using optional Grounding Straps,place on same rail.
Grounding Straps are not required to properly ground system.
I
I
'y�G
fl
. -� ......, .,.m.� rrr..._..=,..sra� =,mom.__ o.s,.vz�A�. sg .<.___f<�'„ ,�s._ :n .. a`£ v.'✓�D .c
A. END CLAMPS A _ ._.
w
Place first module in position on rails, a minimum of 1.5" ?,
from rail ends. Secure End Clam on rail, ensuring It IS Torque to
Clamp g J �,,', 65 in-Ibs i
hooked over top of module.Torque to 65 in-Ibs. Repeat
with End Clamp on other rail.
B. GROUNDING MID CLAMPS O B
Assemble Grounding Mid Clamp and slide it into position ® I
next to first module. Slide second module into position Jj
under clamp and secure with hardware. Ensure the clamp Torque to
teeth are in contact with both of the module frames and e4 in-Ibs
the bolt is properly aligned in slot.Torque to 84 in-Ibs (dry).
Repeat the procedure to secure each following module.
O Make sure T Bolt indent,at top of clamp,is perpendicular to rail. j
❑✓ If necessary,show Integrated Grounding Certification Letter. �� \
P. If using ETL-listed WEEB Clips with Standard Mid Clamps,refer to T-eon Indent
i Perpendicular
WEEB Installation Instructions.Torque to 120 in-Ibs(dry). Ll 1 to Rail
C.
C. END CLAMPS
Place last module in position on rails, a minimum of 1.5"
from rail ends. Secure End Clamp on rail, ensuring it is
hooked over top of module.Torque to 65 in-Ibs. Repeat
with End Clamp on other rail.
{
D. REPEAT STEPS
J
Install clamps for remaining module rows.
- q a°s _.....a�,,.�._,,, �x.._ a��f ._�,.,. rYa..,.ua, ... ..6x✓,, ,...s.:wc�tt�s,frF,,,.
rr ;« ,.., ,.��„✓.,a�w> - ..,,,.:1...<�aw,,, .., r xa:x.�n- ... ,t�..,. a � N
._
For composition shingle roofs, use FlashFoot. For other
Only L-Foot is ETL-Listed
roofs, mount L-Feet on compatible third-party attachments. Flashing Not UL 2703 Evaluated i
Fully Seat------"�
0 Refer to Page 7 for installing Standoffs or Tilt Legs.
FLASHFOOTTM
Locate and mark locations on roof. Drill 1/4" pilot holes and
backfill with approved sealant. Slide flashing between 1st
and 2nd course of shingles. Line up pilot hole and insert I
lag bolt through washer, L-Foot, and flashing. Fully seat.
i
•Verify roof attachment spacings,as definitions vary.
•If using FlashFoot with Tilt Legs,replace L-Foot with U-Foot and
add CP-SQ-Slotted Bracket and one extra flat washer per foot.
Wr
'..€._�.Ff ..,.tr«,.a�of ,,,`` �La__.�yse ,.....i,��
lip
A. PREPARE HARDWARE 'A ..._ .... �-
On the ground, slide 3/8"-16 hardware into side-facing rail
slot. Space out bolts to match L-Feet spacing.
❑✓ Tape ends of rail,to keep bolts from sliding out while moving.
► If using Mid Clamps with hex bolts,slide provided 1/4"-20 bolts
into top slot of rails at this time.Space bolts for panel spacing.
Preload and
Space Bolts
B.SPLICE CONNECTIONS O
6'Inside I Ensure Fully
Rail Seated i
Insert Internal Splice into first rail and secure with screw. \\\ \
Slide second rail over Internal Splice and secure with
screw. Ensure screws are fully seated. Repeat for all
splices. GOD
0 Install Grgundina Straps at this time.For rows exceeding 100 feet I�
of rail,an Expansion Joint is needed for thermal expansion.
{
r
I s
.0
C. FASTEN L-FEET
L-Foot
Attach rails to L-Feet using preloaded hardware. Position Hardware
rails at desired height and level.Torque to 236 in-Ibs(dry). (236 in-Ibs) `
0 To level rails,adjust L-Foot attachments to same height from roof.
9
as a ,
'' -
3.>;,3 .✓,.r � ..., <�. L.. .,F
DISCLAIMER.......................................
CHECKLIST.............................................................................................................................................................................................................................................................................................................................2
1_._ATTACH..BASE...............................................................................................................................................................................................
_3
2..PLACE.RAILS................................................................................................................................................................................................................................................................................................................3
3._SECURE„LUGS..........................
...................................................................................................................................................................................................................................................................................4..
4..CLAMP.MODULES........................................
......................................................................................................................................................................................................................................................._.4..
.ELECTRICAL ........................................................................................................................................................................................................................................................................................5
EXPANSION.JOINTS...................................................................................................................................................................................................................................................................................................5
ALTERNATIVE_LUGS...................................................................................................................................................................................................................................................................................................g
END..CAPS..(OPTIONAL).........................................................................................................................................................................................................................................................................................g
WIRE,CLIPS..(.OPTIONAL)...................................................................................................................................................................................................................................................................................._6
GROUNDING.STRAPS(OPTIONAL
......................................................................................................................................................................................................................................................6
STANDOFFS..(OPTIONAL)......................................................................................................................................................................................................................................................................................7..
TILT,LEGS(OPTIONAL)............................................................................................................................................................................................................................................................................................7..
WARRANTY..............................
..............................................................................................................................................................................................................................................................................................8
ii
MA1-�0._„<,
4
This manual describes the proper installation procedures and provides minimum standards required for product reliability
and warranty.Thoroughly understanding this manual is imperative to proper installation;failure to follow the guidelines set
forth can result in property damage, bodily injury, or even death.
IT IS THE INSTALLER'S RESPONSIBILITY TO:
• Comply with all applicable local or national building codes, including any that may supersede this manual.
• Ensure all products are appropriate for the installation, environment, and array under the site's loading conditions.
• Comply with all of roofing manufacturer's warranty terms, ensuring that any loose debris potentially obstructing
installation procedures is removed from the installation area.
• Use only IronRidge parts or parts recommended by IronRidge; substituting parts may void any applicable warranty.
• Ensure safe installation of all electrical aspects of the array.All electrical installation and procedures should be
conducted by a licensed and bonded electrician or solar contractor.All work must comply with national, state and local
installation procedures, product and safety standards.
• Comply with roofing manufacturer's warranty terms including: using protective barriers between mounting and roofing
and roof penetrations and removing all loose debris or gravel prior to installation.
• Ensure that the installation is completed by a licensed solar professional.
• Review the Engineering Design Guide and Certification Letters to confirm any engineering specifications.
• Comply with all applicable fire codes including, but not limited to, keeping walkways clear and avoiding obstacles.
• Ensure provided information is accurate. Issues resulting from inaccurate information are the installers'responsibility.
• Confirm with the selected module manufacturer that the mounting is compatible with the selected module. Please
consult module manufacturer's installation guidelines in order to verify mounting compatibility.
LISTED VS. CLASSIFIED
ETL Classified components comply with all bonding and grounding requirements per UL 2703. While ETL listed
components comply with all bonding, grounding and mechanical requirements per UL 2703.All components in this manual
comply with all bonding and grounding requirements per UL 2703, unless otherwise specified. While most components in
this manual comply with all bonding, grounding and mechanical requirements per UL 2703.
A - r F.fAf3 hms43 a';KS
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.,_v a,,,,,r ..,.....waxmbvlu,.0/,s,•, . s ,..1 ,v... ._i<..<. .,_.<.,:.:
En cLAsSIRED
ROOF MOUNT
4 US , US
Int
t k lntertek
4008083 4008083
IRONRIDGE
The strength of the S-5-1.1 clamp is in its simple design. The patented
setscrews will slightly dimple the metal seam material but • pierce
roof manufacturer's warranty intact.
The Right Way!
The 5-5-U and 5-5-11J Mini clamps are each furnished with
the hardware shown to the right.Each box also includes
a bit tip for tightening setscrews using an electric screw . M10 hole
located gun.A structural aluminum attachment clamp,the S-5-U 2.00" from edge of part 0 mm)
is compatible with most common metal roofing materials (51.00 mm) '(:ZD'
excluding copper.All included hardware is stainless
steel.Please visit www.5-5.com for more information
including CAD details,metallurgical compatibilities and
specifications.
1.50"
The S-5-U clamp has been tested for load-to-failure results (38.00 mm)
on most major brands and profiles of standing seam AL
roofing. The independent lab test data found at
www.S-5.com can be used for load-critical designs and 0.901, 0.64"
applications.S-5!1 holding strength is unmatched in the 123.00 m )
00 mm
industry.
Example Profiles R_ Note:Install both
i� 0.40" setscrews on same
-- (10.00 mm) side of clamp.
1.50'
(38.00 mm)
a ! �
y
c R M8 holes centered
1.18" on part
i (30.00 mm)
f !
i
1.50"
(38.00 mm)
L_.__ �_ _ _ ..... u.
1 0.90"
For horizontal seams under 0.65"do not use this clamp.Visit (23.00 mm)
(14.
www.5-5.com for more detailed information and proper
clamp usage.
0
0.40"
(10.00 mm)
1.50"
(38.00 mm)
Please note:All measurements are rounded to
the second decimal place.
5-5!®Warning!Please use this product responsibly) Distributed by
Products are protected by multiple U.S.and foreign patents.Visit the website at www.5-5.com for
complete information on patents and trademarks.For maximum holding strength,setscrews should
be tensioned and re-tensioned as the seam material compresses.Clamp setscrew tension should be
verified using a calibrated torque wrench between 160 and 180 inch pounds when used on 22ga steel,
and between 130 and 150 inch pounds for all other metals and thinner gauges of steel.Consult the S-5!
website at www.S-S.com for published data regarding holding strength.
Copyright 2013,Metal Roof Innovations,Ltd.S-5!products are patent protected.
S-51 aggressively protects its patents,trademarks,and copyrights.Version 060613.
R C�
� My
I
The Right Way!
S-5-U Clamp
The S-S-U clamp is by far our most LO
pgprllar and most versatile clamp.
>o
It tits <Ihoklt 8.) of tide stanclinc�
sear; profiles manufactured in North
America--including I1105t structural and
architectural profiles. It can be used on
vertically oriented seams and, by rotatiluI
the clamp 94 degrees, it can also be used
O on most horizontal 2'' seam profiles.
0- Its silY�ple design, generous dimensioninc_t,
a and rrrultiple hole orientations are Athat
Q? make the S 5-U clamp so versatile for use
vs..-ith the S snow retention products,
such as COlorGard as vvell as vvith other
0 heavy-duty apl.�lications.
Installation is as simple as setting the
"C specially patented round point setscretws "
into the claml), placing the clall�p on
the sea1T', and tightening them to the
r specified tension.Then,affix ancillary :
RS items using the bolt provided 'Alith the
0
� produCt. GO to WW+A�.S-5.Cgir1/tOUls
Ofor inforltlation and tools available for _ V
Eprol: "v attaching and "1"01)"'_ S 5'
�.. clamps. u6
M
= S-5-U Mini Clamp Cn
The S-S-U M ini is a bit shorter than the
S-5-U and has one setscrehV rather than
Ri
tvvo.The mini is the choice for attachinct
Q all kinds of rooftop accessories: signs,
walkvvays, satellite dishes, antennas, N
rgoftop lighting, lightning protection The S-5-U clamp is our M�
systelrs,solar arrays, exhauc,t stack most popular and versatile M
brae n(j,conduit,Condensate lines, clamp fitting:about 85% of �
mechanical equif:�lr,ent—just about ' Lt')
anythinct'' the startling seam profiles N
in North America. 00 I
_ 00
CO
00
s
.; Is -f-ka+ wd,wtos x+f&c, 15 a4fdtc L.A -b �- s t�,rS. �cw-�s . t - �►,� . S-s
i c 44-a-t I u k U s4,tA dZ l S'ea.p*t roof
d
i
�; rr►o 4�.k.LcS 1
The Commonwealth of Massachusetts
Department of IndustrialAccidents
Office of Investigations
I Congress Street,Suite 100
Boston,MA 02114-2017
' Y www mass.gov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
/t-- -ec �'� L,�G
Name (Business/Organization/Individual): /0 2xl Cd ��
Address: 63 U)es f S�f
City/State/Zip: /u'1{6d a.SA P9-62Y Phone #:
you an employer?Check th propriate box: Type of project(required):
1 I am a employer with 5 4. ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g. ❑Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.•
required.] 5. ❑ We are a corporation and its 10.El Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 1 l.❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs
insurance required.]t c. 152,§1(4),and we have no
employees. [No workers' 13 r Other /�(/ tT
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: , t�A-770wQ
Policy#or Self-ins. Lic.# W
: 3 J-2 y q?(,p Expiration Date:_2 A I Z/-S
D L 0/04 y
Job Site Address: 3 G 10v�cr J&(4 R� /�/rM4xX_ A, f City/State/Zip:
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 cerljf�nder the pins and penalties of perjury that the information provided above is true and correct.
Siertature• ( l� Date: 1G Zo t y
Phone#• y�3-��S''Ob 10
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 !
Same of License Holder: -5O Jyt QS D M'C.0 I C—S Cr ( 6
1 1 License Number
(t/3 /S
dre Expiration t)atel
% W3 -S O-8--a l d
Signature Telephone
9.Registered Home Improvement Contractor: Not Applicable !
Company Name Registration Number
Address Expiratiorf Dat
Telephone y 13 5-14 ob 16
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 o he building permit.
Signed Affidavit Attache Yc-
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
5-DESCRIPTION OF PROPOSED WORK IchecK ali aoulicablei
-------------7-
r V n I u Q i I L.)ulllolitibll 11401" "JILI116 �L-jj ,Jecks I J Siding 10, Other r 10'
3;iei Descnptjoll C"i proposeu
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6a If New house and or addition to existing hOLIS41G. complete the followina
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------ -- ---
SECTION 7a -OWNER AUTHORIZATION-TO BE COMPLETCD WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
T
hef'ebv a,,jtno.,iz
to act on rny.baLlaif inyaliv VA@ttls I�Iative to v"ork authon-zed t-),,this uuilcnno permit appiicaiinn
Signatui(:ot
as(-),,-,,nei I;AJjhoj 17ed
Agent nefeby declare that th, statenlem�' on mp,)[ication Lice T,ue ano accufate, to the best of rily knowledge
Signed under the pains Lind f2-lalues of P-0u"Y
Print Napl!7-
Uq .011'-
7
Department use only
y of Northampton SUWLIS Of Permit
01l4 ri'Iding Depament ;Curb Cut/Driveway Pefmit
2
12 Main Street Sevver,,Sept;c Availability
Room 100 V'Vaier/Well Availability
&Gas Ira;; ctiOns
Electric,Plumbing orth mpton, MA 0-1060 Two Sets Of Structural Plans
Northampton. e 13-587-1240 Fax 413-587-1212 Plot/Site Plans
�Other Specify
APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION-I -SITE INFORMATION
1.1 Property Address This section to be completed by office
Map Lot Unit
7GnC- Overlay District
Elryi St.District— CB District
SECTION 2 -PROPERTY OVVNERSHIPIAUTHORIZED ADEN I'
2.1 Owner of Record:
,4Qwie(Print)
`' Signat�ry
'ILI
J
2.2 Authorized Agent:
°v-
(�uf;tnl Mailing Address l!r I't,
Signature
SECTION 3-ESTIMATED CONSTRUCTION COSTS
---—-------------
Item
Estimated Cost(Dollars) :o 0e, Offictai Use Only
I
I completed by permit applicant
i
1 Building (a) Building Permit Fee
2 Electrical
"'umstruction from t6)
3 Plumbing Building Permit Fee
4 Mechanical(HVAC)
5 Fire Protection
6. Total=(1 +2 +3+4 +5) (7-neck Number
This Section For Official Use Only
Date
Building Permit Number
Signature.
Building Commiss,orier/Inspectoi Of bLflldings [Date
File#BP-2015-0463
APPLICANT/CONTACT PERSON TORRICO ELECTRIC LLC
ADDRESS/PHONE 63 WEST ST MT WASHINGTON (413)528-0010
PROPERTY LOCATION 37 CLOVERDALE ST
MAP 12C PARCEL 130 001 ZONE RI(100)/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 •
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 97422
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORNATION PRESENTED:
pproved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received& Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
elay
A51 �Y
gnature of Buildi Official 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.
I
37 CLOVERDALE ST BP-2015-0463
GIs#: COMMONWEALTH OF MASSACHUSETTS
MV:Block: 12C- 130 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
category: SOLAR PANELS BUILDING PERMIT
Permit# BP-2015-0463
Project# JS-2015-000871
Est. Cost: $40682.00
Fee: $64.09 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group TORRICO ELECTRIC LLC 97422
Lot Size(sq. ft.): 80063.28 Owner: STIEBEL FRANK
Zoning: RI(100)/`URA(l00)/WSP(100)/ Applicant: TORRICO ELECTRIC LLC
AT. 37 CLOVERDALE ST
Applicant Address: Phone: Insurance:
63 WEST ST (413) 528-0010 Workers Compensation
MT WASHINGTONMA01258 ISSUED ON:1012912014 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL 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 10/29/2014 0:00:00 $64.09
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner