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31C-028 (5) =ee s ingle Phase Inverters for North America so I a r SE300OA-US/SE380OA-US/SE500OA-US/SE600OA-US/ SE760OA-US/S)~=10000A-US/SE1140OA-US SE3000A-US SE380OA-US SES000A-US SE6000A-US SE760OA-US SE10000A-US ! SE114GOA-US OUTPUT _ Nominal AC Power Output 3000 3800 5000 6000 7600 9980 @ 208V 11400 VA 10000 @240V Max.AC Power Output 3300 4150 5400 @ 208V 6000 8350 10800 @ 208V 12000 VA 5450 @240V 10950 @240V AC Output Voltage Min:Nom.-Max."' ✓ ✓ _ _ 183-208-229 Vac AC Output Voltage Min.-Nom.-Max u ✓ ✓ ✓ ✓ ✓ ✓ ✓ 211-240-264 Vac AC Frequency Min.-Nom.Max."I 59.3-60-60.5(with HI country setting 57-60-60.5) Hz Max.Continuous Output Current 12.5 16 24(,:D 208V 25 32 48 @ 208V 47.5 A 21 240V 42 @ 240V GF-DI Threshold 1 A Utility Monitoring,Islanding Protection,Country Configurable Thresholds Yes Yes INPUT Maximum DC Power(STC) 4050 5100 6750 8100 10250 13500 15350 W Transformer-less,Ungrounded Yes Max.Input Voltage 500 Vdc Nom.DC Input Voltage 325 @ 208V/350 @ 240V Vdc Max.Input Current"' 9.5 13 16.5 @ 208V 18 23 33 @ 208V 34.5 Adc 15.5 @ 240V 30.5 @ 240V Max.Input Short Circuit Current 45 Adc Reverse-Polarity Protection Yes Ground Fault Isolation Detection 600k,Sensitivity Maximum Inverter Efficiency 97.7 98.2 98.3 98.3 98 98 98 CEC Weighted Efficiency 97.5 98 97.5 @ 208V 97.5 97.5 97 @ 208V 97.5 98(�D 240V 97.S @ 240V Nighttime Power Consumption <2.5 <4 W ADDITIONAL FEATURES _...._ _ _ . -------_ Supported Communication Interfaces RS485,RS232,Ethernet,ZigBee(optional) Revenue Grade Data,ANSI C12.1 Optional" Rapid Shutdown-NEC 2014 690.12 Functionality enabled when SolarEdge rapid shutdown kit is installed"' STANDARD COMPLIANCE Safety UL1741,UL1699B,UL1998,CSA 22.2 Grid Connection Standards IEEE1547 Emissions FCC part1S class B INSTALLATION SPECIFICATIONS AC output conduit size J AWG range 3/4°minimum f 16-6 AWG 3/4°minimum/8-3 AWG DC input conduit size/it of strings/ 3/4"minimum/1-2 strings/ 3/4"minimum/1-2 strings/16-6 AWG AWG range_ _ 14-6 AWG _ Dimensions with Safety Switch 30.5 x 12.5 x 10.5 J n/ 30.Sx12.5x7.2 775x315x184 (HxWXD) 775 x 315 x 260 mm Weight with Safety Switch 51.2/23.2 54.7/24.7 88.4/40.1 lb/kg _ Natural convection Cooling Natural Convection and internal ! Fans(user replaceable) fan(user replaceable) , Noise _ <25 <50 dBA Min.-Max.Operating Temperature Range 13 to+140/-25 to+60(40 to+60 version available!') F/'C Protection Rating NEMA 3R 'rqor other regional settings please contact SolarEdge support. - .. ... °j A higher current source may he used;the inverter will limit its input cwrent to the values stated_ 'Revenue grade inverter P/N:5ExxxxA-US000NNR2(for 760OW invertecSE7600A-Us002NNR2)_ Rapid shutdown kit P/N:SE1000-RSD-51. -40 version P/N:SEx-A-US000NN1,14(for 760OW nnver1ecSE7600A-US002NNt14). SUflSPEC R LG NeON ,2 Black MEMO Mechanical Properties Electrical Properties(STC*) Celts 6 x 10 300 W Cell Vendor LG MPP Voltage(Vmpp) 32.5 Cell Type Mono(ry,tatine/N-type MPP Current(Impp) 926 Cell Dimensions 156.75 x 156 75 pip.)/6 x 6 inch Open Circuit Voltage(Voc) 397 u of Busbar 12(Multi Wire Busbar)0 Short Circuit Current(Isc) 9.70 Dimensions(L x W x H) 1640 x 1000 x 40 mm Module Efficiency(%) 18 3 64.57 x 39 37 x 1 57 inch Operating Temperature(°C) -40-+90 Front Load sf 25 1 Pa 6000 / - p � Maximum System Voltage(V) 1000 Rear Load 5400 Pa/1 13 psf Maximum Series Fuse Rating(A) 20 Weight 17.0+0.5 kg/37.48±1 1 ibs Power Tolerance(%) 0-+3 Connector Type MC4,MC4 Compatible,IP6 7 T(,_1a�na..Tr,( '00,w,1>,Mod,- n,_, ,�7s ,AM 1 5 -- - - -- - -- lunetionBox IP67 with 3 Bypass Diodes - -P � '' -�' "'.odtirc , Length of Cables 2 x 1000 mm/2 x 39.37 inch Mass "igh irrnsmiss"' Tempered Glass Electrical Properties(NOCT*) Frame Anodized A_uminum 300 W Certifications and Warranty Maximum Power(Pmpp) 218 _ MPP Voltage(Vmpp) 29.5 Certifications(In Progress) IEC 61215,IEC 61730-1/-2.UL 1703, MPP Current(Impp) 7.38 ISO 9001 IEC 62716(Amon Test), - -- -- -- - --- Open Circuit Voltage(Voc) 36.5 IEC 61701(Salt Mist C:orrosionlost) Short Circuit Current(Isc) 7.83 Module Fire Performance Type 2(UL 1703) Product Warranty 12 years 10 Output warranty of Pmax Linear warranty* # Dimensions(mm/in) (measurement Tolerance±3%) ro� n,o=s )ls-re W/— 2nd yea-0"X 51'.i dev '3c.on,3J8 F 1r z5 years >� Cl Temperature Coefficients 1 NOCT C 3 46 / - Pmpp 0.38/r°C Voc -0.28%/°C Isc 0.02%/'C Characteristic Curves — --- -- loom 6130 6QOW '. i. 4WW 290 200W 4 4 _ a S x E 1L0 l �0 I 111 ® LG North America So ar 9uslness Team p o N2 spa at.ona i(s ihect to:hang:-1v t� tut nonce •i.,J � LG Electronics JSA.Inc ')S NZ-60 K t r-Ehi-,04.-7 Life's Good 1000 Sylvan Ave Englewood Cliffs,NIJ 07632 Copyright 1 Q 15 1,f,Hectronics.N'nyhtsreseived Innovation for a Better Life Contact tg solar(cDIgecom 01/04;201 5 mv,.v lgsolarusa.com professional Rooffrov SOLAR products,y4, Installation Manual 1Vr Date Modified:08/13/07 Step 5: Installing Modules - _ u r k - Slide the two end clamps near the end of the After the first module is secured, slide two inter- support rail and install your end module(first). module clamp sets onto the first module side Carefully square the module to the frame and frame. They are designed to stay in place,freeing tighten the clamps using a 1/2" box wrench or you up to slide and align the next module into place. drive socket. We recommend a maximum torque Repeat this procedure until all modules are in- of 12-15 foot pounds to prevent damage to the stalled onto the support rail. module. t - w Upon installation of the last module in the panel, To complete the installation, cut off any excess install the module end clamp to the end of the last support rail not used with a reciprocating saw. module. Before fully tightening the bolts, make You may want to use an extrusion blade. any adjustments needed to create a square and even array. Page 7 of 7 COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2007: All information contained in this manual is property of Professional Solar Products(PSP). TileTrac®is a registered trademark for PSP and is covered under U.S.patent #5,746,029.RoofTrac®and FastJack®is a registered trademark for PSP and is professional RoofTrat® SOLAR productsw, Installation Manual Date Modified:08/13/07 For convenience, it is advisable to pre-�ssemble the bolt, lock washer and clamp into the sliding insert prior to bringing them up to the roof. I i Fig. 2 Fig. 1 Attachment and clamping of the solar modules to NOTE: Clamping hardware is not engineered or TileTrac® or FastJacks attachments works exactly the intended for use on support rail/strut other than same. After the support rails have been fastened, you the Professional Solar Products brand. are ready to install the solar modules. There are two sets of clamps; the outside clamps (end clamp) (Fig. 1) and the inter-module clamps (Fig. 2)that install between the modules. Please note that all module end clamps are specially extruded to fit a specific brand of module as specified in the ordering guide. Page 6 of 7 COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2007: All information contained in this manual is properly of Professional Solar Products (PSP). TileTrac@ is a registered trademark for PSP and is covered under W.S.patent#5,746,029.Roofrrac@)and Fast)ack®is a registered trademark for PSP and is covered under U.S.patent#6,360,491. I professional Rooffrav SOLAR products Installation Manual Date Modified:08/13/07 FastJack® Unibit#10 Drill bit t... `A Standard Flashing `A 2 c�� f�'rs Use of a Unibit®will de- crease drill time to approxi- Rafters mately 3 seconds per hole Installation of the RooffracO support rails to the drill a 1/2" hole through the rail. After drilling the hole Fastlack®. in the support rail, place the rail over the attachment feet, make any necessary final adjustments and tighten After the Fastlack® has been installed (refer to the the 3/8" Bolt& Washer combination to attach the respective installation guide), lay the support rail support rail to the FastJack®. Your support rails are (upside down) next to the attachments. Mark the now secure and ready for installation of the modules. channel adjacent to the attachment devices. Align and mark the intersecting"T groove on the rail and Page 5 of 7 COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2007: All information contained in this manual is property of Professional Solar Products (PSP). TileTracO is a registered trademark for PSP and is covered under U.S.patent#5,746,029.RoofTrac®and FastJack®is a registered trademark for PSP and is covered under U.S.patent#6,360,491. professional RoofTrav SOLAR products Installation Manual Date Modified:08/13/07 Step 2: Attaching Support Rails to TileTrac®/FastJack® T-wrench 2 TileTrac Device Nut/Washer combo Installation of the RoofTrac®support rails to the over the attachment feet, install the 3/8" washer and TileTrac®. nut and tighten using a 9/16" deep socket wrench. Your support rails are now secure and ready for After the TileTrac® has been installed (refer to the installation of the modules. respective installation guide), lay the support rail (upside down) next to the attachments, step 1, as illustrated above. Mark the channel adjacent to the Use of a Unibit®will decrease drill attachment devices. Align and mark the intersecting time to approximately 3 seconds per "V" groove drill guide on the rail and drill a 1/2" hole hole through the rail. After drilling the hole, place the rail Page 4of7 COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2007: All information contained in this manual is property of Professional Solar Products (PSP). TileTrac®is a registered trademark for PSP and is covered under W.S.patent#5,746,029.RoofTrac@ and FastJack®is a registered trademark for PSP and is covered under U.S.patent#6,360,491. i professional Rooffrov SOLAR productspil, Installation Manual Date Modified:08/13/07 Insert the splice "A" into the channel and install "B"—the two 5/16" bolts/ lock washers—into the lower support "C". Tighten using a 1/2" socket. Splice insert is designed to expand into the extrusion walls forcing the rails into alignment, do not over tighten. Roof Trac®support rails can now can be handled and installed as one solid rail. 1/2"Socket B 5/16" bolts/ lock washers A y Insert Extrusion ' 1 C Lower Support Splice Expansion Feature: Rooft'rae splice kits are designed to hold support rails in alignment and allow for thermal expansion of the aluminum. After fastening the support rails to the attachments,remove one of the 5/16"bolts.Thermal expansion of the aluminum support rails will now be absorbed in the splice connection instead of stressing the roof attachments.The remaining splice kit bolt and assembly will keep the support rails in perfect alignment Page 3 of 7 COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2007: All information contained in this manual is property of Professional Solar Products (PSP). TiteTrac®is a registered trademark for PSP and is covered under U.S.patent#5,746,029.RoofTrac®and FastJack®is a registered trademark for PSP and is covered under U.S.patent#6,360,491. professional � RoofTrac® SOLAR pr°du-� Installation Manual Date Modified:08/13/07 steps Installation 1) Utilizing the Splice Kit 2) Attaching Support rails to the TileTrac®/FastJack® 3) Installing modules 4) Cleanup and safety Step 1: Utilizing the Splice Kit It is recommended that you pre-install the splice kit on the ground for easier handling of the sup- p13ort rails. After installing the splices, set the lengths against the building.Typically,the installer on the roof can pull the lengths to the roof 4thout any mechanical equipment and handle the lengths as one unit. Felt Tip Pen Drill' — _ Use of a Unibit® will decrease drill Splice holes— time to approxi- mark with mately 3 seconds permanent ink I l l l t pen Uni-Bit® per hole r I, V-groove drill guide Lower Support S�ppoRr 1/8..Gap 'Q9 Intersections of the referenr;e mark and extended "V"groove. Turn the support rails upside down (as illustrated)so the bottom is facing up. Drill two holes using a 1/2" #10 UniBit®. Drill Place the lower support over the rails to at the intersection of the reference mark and use as a template. Center the lower the "V" groove drill guide. support over the rails and mark along the V-groove drill guide using a small felt pen. Page 2of7 COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2007: All information contained in this manual is property of Professional Solar Products (PSP). TileTrac®is a registered trademark for PSP and is covered under W.S.patent#5,746,029.RoofTrac@ and FastJack®is a registered trademark for PSP and is covered under U.S.patent#6,360,491. professional Rooffrov SOLAR productsyA, Installation Manual Date Modified:08/13/07 APPLICATION: The RoofTrac mounting system consists of sup- port rails and top-down clamping hardware which is integrated with either a TileTrac or FastJack attachment device. The RoofTrac mounting sys- tem can be utilized on virtually all standard con- struction residential roof-tops, mounting 4' on center, to install the majority of popular framed solar modules. AAWARNING bo Legend' All Professional Solar Products (ProSolar) are engineered and tested to withstand stated specifications (as stated on published specification sheets)when installed properly. Fail- Explanation or Install Tip ure to install properly may decrease the performance of in- stallation. SAFETY Important product All regional safety requirements should be followed when performance information installing Professional Solar Products. All tools and equip- ment located on the roof should be secured to avoid failing object hazards. All equipment/tools should be properly maintained and inspected prior to use. Any exposed studs Critical for Safety should be protectively capped to help avoid injury. This installation manual is intended for use by professional installers with a working knowledge of construction princi- ples. • Chalk line • 3/16"carbide masonry drill bit • 3/8" masonry drill bit(for tile roof) • Cordless drill • Cordless impact wrench with 1/2"socket Page 1 of 7 COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2007: All information contained in this manual is property of Professional Solar Products (PSP). TileTrac®is a registered trademark for PSP and is covered under U.S.patent#5,746,029.RoofTrac®and Fastdack®is a registered trademark for PSP and is covered under U.S.patent#6,360,491. d' PV Layout Plan — Breines — 120 Moser Stree City of Northampton Building Department Plan Review 212 Main Street Northampton, MA 01060 rM LLLI � �•-,�,« nr na.xt xk <<wx:r sn rm...:a.♦7a LM ME ELEVATION Statement of Work: The Photovoltaic system is composed of 20 LG 300 Watt panels. The STC rating for the system is 6.0 kW. The Photovoltaic system will be aff ixed to the roof structure with Professional Solar Product's(Pro-Solar) Roof Trac mounting system in accordance to the manufacturer specifications. ProSolar's rail enhancers(part#ARE-20) will be added to further reinforce the racking system. The lag bolts will penetrate the rafters by a minimum of 3.5". The fast Jacks or mounting feet will be spaced 4'on center and the static load will be distributed equally among associated rafters. We will not exceed the manufacturer's recommendations for cantilever distance or deviate from the installation guide in any way. This installation will exceed local static load and wind load requirements. Roof Snow load summary: Roof-10'-0" Span Roof framing is 2x8 @ 16"o.c. Array : ASCE 7-05 Sloped roof snow loads, Ps - Roof pitch is 33 degrees Existing - Ps= Cs * Pf Pf= Pg at time of construction is taken as I * 40=40 psf Cs= 1.0 per Figure 7-2 ASCE 7-05 for non-slippery surfaces. Ps =Cs * Pf= 1.0 * 40=40 psf Proposed-Ps=Cs * Pf Pf=Pg at time of construction is taken as I * 40 =40 psf Cs=0.68 per Figure 7-2 ASCE 7-05 for slippery surfaces. Ps=Cs * Pf=0.68 * 40=27.2 psf Snow load on rafters at panel sections CONCLUSION: Total Design Load : (15+3.5) psf+27.2 psf live load=45.7 psf versus Original load of 40 psf+ 15 psf= 55 psf. The panels can be added without increasing the gravity load on the roof structure. Respectfully submitted, "'Yo, Structural Response, LLC Scott E. Nelson � x s F Engineers License#41457 t$"S"N Y ry /s www.structuralresponse.com snelson@structuralresponse.com Page 2 of 2 Structural Response, LLC Structural Engineering Services 30 Shedd Lane, Chelmsford Ma 01824 Structural Observation Report Job#15172 10-19-15 CLIENT: Transformations, Inc. 323 West Main Street Ayer, Ma 01432 SITE LOCATION: Residential Structure 120 Moser Street Northhampton, Ma SUBJECT.- Review of panel loading conditions requirements on rafters. FINDING: Superimposed Weight: Panel Component Weights: Calculated per module Total (PSF) 3.40 (Use 3.5 psf) Roof Dead Loads: Approximated at 15 psf+ 3.5 psf= 18.5 psf Roof Live Loads: As listed in ASCE 7-05 as directed by 81h Edition and IEBC Use design live load based on �iSCE roof calculations listed on next page Per Attached Calculations: The addition of the solar panels and the re-calculation of the roof snow load under the current Building Code indicates that the stress in the existing members is not being increased by more than 5%. Therefore the panels may be added per the allowances of The IBC 2009 and the Massachusetts Amendments. A review of the existing and proposed loading conditions is warranted. Existing design gravity loads are used per code. www.structuralresponse.com 978.866.4249 snelson @structuralresponse.com Page 1 of 2 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 7-2010 www.mass.gov/dia The Commonwealth of Massachusetts Print Form Department of Industrial Accidents Office of Investigations I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizatiorl/Individual): Transformations,Inc-Benjamin Cumbie Address: 323 West Main Street City/State/Zip: Ayer, MA 01432 Phone #: 978-597-0542 Are you an employer?Check the appropriate box: Type of project(required): 1.❑✓ I am a employer with 9 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.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no Solar PV ststem employees. [No workers' 13.❑✓ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Travelers Insurance Co. Policy#or Self-ins. Lic.#: 6 KUB-0326N39-A-15 Expiration Date.4/2/2016 Job Site Address:120 Moser Street City/State/Zip:Northampton, MA 01060 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce! under the pains and genalties o er'ury that the in ormation provided above is true and correct. Digitally signed by Benjamin Cum ie Signature: �� °� Date:2015.10.061208:48 04'00' Date 10/6/2015 Phone#:978-597-0542 Official use only. Do not write in this area,to be completed by city or town offuiaL 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 01 Licensed Construction Supervisor: Not Applicable ❑ Name of Llcense Haider:Benjamin Cumbie -Transformations, Inc. CS-107968 License Number 46 Old Orchard Road, Groton, MA 01450 11/19/2017 Address Expiration Date 802-760-7192 Sign tune Telephone 9.A&3 Istered'HoMe InibeiVe nW Contractor..: Not Applicable ❑ Benjamin Cumbie 108293 Company Name Registration Number Transformations, Inc. 10/30/2016 Address Expiration Date 46 d Orchard rolon. MA01450 Telephone 802-760-7192 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....... 1p No...... ❑ 1X. om -:Aw er ExMIR! Ion 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 1108.3,5.1. 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 mponsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153(Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature _ SECTION 5-DESCRIPTION OF PROPOSED WORK Icheck all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs ] Decks [CI Siding[0] Other[ ] S Brief Description of Proposed Work:Insta ation of a roof mounted solar PV system. 20 -300 Watt panels(6.0 kW DC STC)Please see attached diagram 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 f`iVW:� `a Swan ddition 6a 1 e to e;'ctstiti h`ous'ins;i, �arngtete:#heollowira: 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_ 1. 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. 1. 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 1 Jay Breines as Owner of the subject property hereby authorize Ted Sawyer-Transformations, Inc. to"my behalf,'n all matters relative to work authorized by this building permit application. 10-15-2015 Sign er Date Ted Sawyer- Transformations, Inc. 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. Ted Sawyer Print Name--,.,. G' 10-15-2015 Signature of Owner/A nt Date � { � Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Informatfon Existing Proposei Requireil by—Zoning � This column to be filled in by Building Department Lot Size Frontage Setbacks Front Rear Building Height Open Space Footage % (Lot area minus bIdg&paved #of Parking Spaces (volume&Location)_ A. Has a Special Permit/Vnrinnce/Finding ever been issued for/on the site? �� NO «�� DON7KNOVV »�� YES »�� |--------1 IF YES,date `[__' IF YES: Was the permit recorded a1 the Registry nfDeeds? NO "�.` . KNOW KNOW YES �~� -��' -- -7 r------------1 IF YES.' enter 8omh | | Page and/or [ocument#1 �___-___-----| �_--_.--1 �------------j �� B. Does the site contain a brook, body mfv*�erorwetlands? NO �� DON'T KNOW �~� YES x�� IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs tmbembtmined ^�� bto�we� �-� 0�te�ssme�'' �---------- ��/ ' C. Do any signs exist on the propert ��y7 YES x�� NO |F YES,describe size, type and bocaton: | ! D. Are there any proposed changes to or additions of signs intended for the property? YES NO - - ------ ---'- - '- -- -- - ------ --} IF YES, describe size, type and location: i ( E Will the nonstrucCinn activity disturb(clearing,grading,excavation,cx filling)over 1 acre nriuit part ofo common plan that will disturb over 1acre? YEGK�� NO �W �� |F YES,then o Northampton Storm Water Management Permit from the DPW iurequired. - , City of Northampton Building Department aF t 212 Main Street W`xAti,v�tIUILG PECnOPS Room 100} ON MA 0106 r,4 td�c k} i7rr ic i. .b orthampton, MA 01060 phone x_ Z ;G 3 '„. 413-587-1240 Fax 413-587-1272 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 120 Moser Street Map Lot Unit Northampton, MA 01060 zone Overlay District Elm St District CB Rlstrict- SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: Jay Breines 120 Moser Street,Northampton,MA 01060 ed nt} Current Mailing Address: 413-586-7476 Telephone ' a thorized Ascent: Ted Sawyer-Transformations,Inc. 323 West Main Street, Ayer, MA 01432 Name(Print Current Mailing Address: 4:4�i 978-772-1390 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 22,800 (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+3+4+5) 22,800 Check Number This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissionedlnspector of Buildings Date File#BP-2016-0576 APPLICANT/CONTACT PERSON TRANSFORMATIONS INC ADDRESS/PHONE 8 COPPERSMITH WAY TOWN SEND01469(978)597-0542 PROPERTY LOCATION 120 MOSER ST MAP 31C PARCEL 028 ZONE PV THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Tvneof Construction: INSTALL ROOF MOUNTED 6 KW SOLAR ARRAY New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 107968 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOytMATION 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 emtion Delay / )l- Signature of uil ing 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. 120 MOSER ST BP-2016-0576 GIs#: COMMONWEALTH OF MASSACHUSETTS Map-Block: 3 1 C-028 CITY OF NORTHAMPTON Lot: - 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-2016-0576 Project# JS-2016-000962 Est. Cost: $22800.00 Fee: $75.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: TRANSFORMATIONS INC 107968 Lot Size(sg.ft.): 3723.00 Owner: BREINES JAY A&SUSAN C Zoning: PV Applicant: TRANSFORMATIONS INC AT. 120 MOSER ST Applicant Address: Phone: Insurance: 8 COPPERSMITH WAY (978) 597-0542 WC TOWNSENDMA01469 ISSUED ON.1012812015 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL ROOF MOUNTED 6 KW SOLAR ARRAY POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 10/28/2015 0:00:00 $75.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner