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32C-156 (6) 31KINOSLEY AVE BP-2019-1252 S# _ COMMONWEALTH OF MASSACHUSETTS M :BI :32C. 156 CITY OF NORTHAMPTON Lot -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category SOLAR ELECTRIC SYSTEM BUILDING PERMIT Permit# BP-2019-1252 Project# J$-2019-002017 EstCost:$36000.00 F e:$75.QO PERMISSION IS HEREBY GRANTED TO. Const Class: Contractor., License: Use Group, SKYLINE SOLAR LLO 027047 Lot Size(sa.ft.): 6011.28 - w r:_ JOHNSON ERIC zoning:UNG09 / Algpllcan rJSKYLINE yOL6R LLC AT.• 31 KINGSLEYAVE Applicant Andress: Phone: Insurance: 4 CROSSROADS DRIVE- SUITE 116 (732) 354.3111 Workers Compensation HAMILTONNJO$691 ISSDED Ql 11412019 0:00:00 TO PERFORM THE FOLLOWING WORK.-ROOF MOUNT SOLAR PV ARRAY- 36 MODULES - 11.4 KW POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector or Wiring D.P.W. Building Inspector Underground: Service: Meter.. Footings: Rough; Rough: Hoose# Foundation: Driveway Final: Final: Final: Rough Frame: Cas: I:i�e2nr'tmyq„t Fireplace/Chimp": Rough: QBa Insulation: Final: Smokes Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeTVDe' Date Paid: Amount building 5/14/20190;00:00 575.00 212 Main Street,Phone(413)587,1240,Fax: (413)587-1272 Louis Hasbrouck—Buihtmn Commissioner o � 2 Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit ! ; �,fir.• 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-567-1240 Fax 413-587-1272 Plot/Site Plans Other Specily APPLICATION TO CONSTRUCT,ALTER,REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTIONI -SITEINFORMATION R CEIVED j3p-(9-o,6� 1.1 Property Address: This section to be completed by office 31 Kingsley Avenue lAAY 6 2419 ap G Lot 1(9(1 Unit DEPT.OF BUILDING INSPEOTI e Overlay District NORTHAMPTON.MA nI"Elm St Dlatdct CB plain& SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Eric Johnson 31 Kingsley Avenue Name(Print) Current Mailing Address'. Attached (413)270-4411 Telephone Signature 2.2 Authorized Apenl: Ryan Lane 4 Crossroads Dr. #116 Hamilton NJ 08691 Name(PrinlV/7 Current Mailing Address: /�/4y w _ 7323543111 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 9000 (a)Building Permit Fee 2. Electrical 27000 (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 7���J✓� 5. Fire Protection 6. Total=(1 +2+3+4+5) 1 360001 Check Number d This Section For Official Use Only Building Permit Numbe /r: A n IIsssued: p Signaturate e Z— �� LL I� -rte l 411 Building Commissionedinspeclor of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) 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 De eirment Lot Size Frontage Setbacks Front Side L: R:_ I,: R:_ Rear Building Height Bldg.Square Footage % Open Space Footage % (Int mea minus bldg&paved parking) #of Parking Spaces Fill: (voice&Incidi n) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO © DONT KNOW O YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW © YES IF YES: enter Book Page and/or Document if B. Does the site contain a brook, body of water or wetlands? NO O DON'T KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES. O NO O IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O IF YES, describe size, type and location: E. Will the construction activity disturb(Gearing,grading,excavation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO O IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION ti-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ' cement Windows Alteration(s) Roofing O Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [0 Siding[0] Other[EZU Brief Description of Proposed Instillations of a safe and code compliant,grid tied,PVsolaraysrem on aresidentiod fl.p.38 Modules l 114 kW Work: Alteration of existing bedroom_Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet So. If New house and or addition to existing housing, Complete the following: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of healing? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? F. Type of construction i. Is construction within 100 R.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 Dennis Desmond I ,as Owner of the subject property Skyline Solar hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date Ryan Lane 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. Ryan Lane Port Name 4/25/19 Signature of Own t Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable 0 Name of License Holder: Phil Chouinard CS-027047 License Number 79 Oak St Unit#101 Ashland MA 01721 11/9/19 Address Expiration Date 7313543111 Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable 0 Skyline Solar/ Ryan Lane 172284 Company Name Registration Number 4 Crossroads Dr. #116 Hamilton NJ 08691 6/6/20 Address Expiration Date Telephone 7323543111 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....... 10 No...... 0 City of Northampton Massachusetts s { DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building C Northampton, MA 01060 AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes. Prior to performing work on such homes, a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L.Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors. Nate:If the homeowner has contracted with a corporation or LLC, that entity must be registered Type of Work: Est. Cost: Address of Work: Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law(explain): _Job under$1,000.00 _Owner obtaining own permit(explain): _Building not owner-occupied Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L. Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply for a building permit as the agent of the owner: Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice, 1 hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature City of Northampton -� Massachusetts (( c DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building ° NoithamPtan, MA 01060 Massachusetts Residential Building Code Section 110.R5.1.2 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. Section 110.R5.1.3.1 Any homeowner performing work for which a building permit is required shall be exempt from the licensing provisions of 780 CMR 110.R5, provided that if a homeowner engages a person(s) for hire to do such work, then such homeowner shall act as supervisor. 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. i City of Northampton S •0• S� Massachusetts ( DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street *Municipal Building Northampton, MA 01060 Debris Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. The debris from construction work being performed at: 31 Kingsley Avenue, Northampton MA 01060 (Please print house number and street name) Is to be disposed of at: (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: EOMS 318 Manley St. West Bridgewater, MA 02379 (Company Name and Address) A Signa—�Permit Applicant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02774-2017 In www.mass.gov/dia R orkers' Compensation Insurance Affidavit;Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Narne(Business/Organization/Individual): Address: City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.L]l am aemployer with employees(full and/or pan-time).• 7. ❑New construction 2.❑lama sole proprietor orparmcohip and haven.employees working for me in 8. Remodeling any capacity.[No workers'comp-insurance required.] 3 Fl am ahomeowner doing all work myself[Noworkers'comp.insurancerequired.l' 9. El Demolition 4.0 1 an a homeowner and will be hiring contractors to conduct all work on my propeny. [mill 10❑ Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5C]1 am a general contraction]I have hired the sub-contmetors listed on me ttuned sheet 13.�Roof repairs These sub contractors have employees and have workers'comp-insurance: 6 We arc a corporation and its officers have exercised their,ndo of exemption per MGL a 14.00ther 152,§1(4),and we have no employees,[No workers'comp.insurance required.] 11 *Any applicant that checks box p I must also fill out the section below showing their workers'compensation policy information. I 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 most touched 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'comppolicy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job sire information. Insurance Company Name: Policy#or Self-ins.Lia #: Expiration Date: Job Site Address: City/Smte/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 MGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the farm of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofperju y that the information provided above is true and correct. Signatum Date' Phone#: Official use only. Do not write in this area,to be completed by city or town oJfciai City or Town: Permit(License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/ own Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 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 ajoint enterprise,and including the legal representatives of 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)camels),address(es)and phone numbers)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 pennit/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. Anew 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax 9 617-727-7749 Revised 02-23-15 www.mass.gov/dia 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 ajoint enterprise,and including the legal representatives of deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However,the owner of 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 your insurance company's name,address and phone number along with a certificate 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 pennit/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). 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax # 617-727-7749 www.mass.gov/dia F..Revised 02-23-15 DATE: April 22, 2019 RE: 31 Kingsley Avenue, Northampton, Massachusetts, 01060 To Whom It May Concern, As per your request, we have conducted a structural assessment of the building at the above address that included a site inspection on April 4, 2019. This inspection included an examination of the roof structure and condition as well as any structural drawings that were available. PV solar panels are proposed to be installed on roof areas as shown in the submitted plans. The panels are clamped to rails which are attached to the roof with a lagged mounting system, and installed per manufacturer's specifications and recommendations. It was found that the roof structure as noted on S3 satisfactorily meet the applicable standards included in the Massachusetts State Building Code(Ninth Edition), 2015 IBC/IRC and 2018 IEBC. Design Criteria: Wind speed = 117 MPH Ground snow load =40 psf Roof dead load = 9 psf Solar system dead load = 3 psf The roof was determined to have asphalt shingles atop board sheathing. Overall the roof area is structurally adequate to support the additional load of the solar panels and their framework. Acknowledged by: �Sl{ OF Digitally signed ��CHRIS H. KIM Chris by Chris Kim CIVIL Date: 52430 HKi M 2019.04.22 15:46:29-04'00' The Commonwealth of Massachusetts Department of Industrial Accidents Offtce of Investigations NJ 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): ekyl'no Solar ILC Address:lis Ryanprime suite 3 City/State/Zip: Phone#: 732, Are you an employer?Check the appropriate box: Type of project(required): I.® I am a employer with 85 4. ❑ I am a general contractor and I employees(full and/or part-time).• have hired the sub-contractors 6. El 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. insumnce.t required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I 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, §l(4),and we have no 13.® Other PV Solar System employees.[No workers' comp. insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Hoorcowners who suhmittlicafidookedicating they are doing all work and then hire outside contractors must submita new affidavit indicating such. tContracmrs that check this has must attached an additional sheet shoving 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: NY Marine&General Insurance Policy#or Self-ins.Lic.#: WC201800013247 Expiration Date: M12019 Job Site Address:31 Kinqsley Avenue, Northampton, 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 fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of STOP WORK ORDER and a foe 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 certif der thepi&Stulpenalties of perjury that the information provided above is true and correct. Sig t /Yo Date 4/25/2019 Phone 4: 2.354-3111 Oficial use only. Do not write in this area,to be completed by city or town oJrciaL City or Town: Permit(Liccnse# 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#: 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 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 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 parmitllicense 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 cuff ent 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 02-23-15 www.mass.gov/dia DEBRIS DISPOSAL AFFIDAVIT In accordance with the provisions of M.G.L. c. 40, s. 54, Building Permit # was issued with the condition that all debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by M.G.L c. 111, s. 150A. The debris will be disposed of in: E.O.M.S Name of Waste Facility 318 Manley St. West Bridgewater, MA 02379 Address of Waste Facility 111.5 Debris: As a condition of issuin, a pnnut for the demolition, renovation, rebabilitetion or other alamtion of a building or stmcmre, M.G.L.c.0 a 54 requires that the debris result.,tharefmm shall be disposed of.a properly littosed solid waste disposal facility as defircd by M.G.L.c. Ill s.150 A.Signature of the permit applicant, date and number of the building unrout to be issued shall be indicated on a form provided by the Builditsg Drymfinent and anachnd to the office copy of the building permit mm.ed by the Building Deparhoenc If the debris will not In,dnposed of as indicated, the holder of the pemdt shall ratify the building official,in writing as to the location where the debris will be disposed. 780 CMR-0 Edition 11 a re of Permit Applicant 4/25/19 Date "✓ CERTIFICATE OF LIABILITY INSURANCE °" ;g o"9 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subs to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the cerliticate holder In lieu of such endorsement(s). CORE ACT PRODUCER NAME. The Hamilton Group, LLC PHORR 973-292-2292 FAX x,: 3 Wng Drive -MA Cedar Knolls NJ 07927 ADDRESS: INSURERS AFFORDING COVERAGE MAIDI INSURER.:NY Marine 8 General Ins Co. INSURED BILI-D INSURER B:Gotham Ins CO Skyline Solar LLC Skyline Solar RI, Inc. INSURER n SELECTIVE INS CO OF AMER 12572 4 Crossroads Drive,Ste 116 INSURER D:Selective Ins Co of the S.East 39926 Hamilton NJ 08691 INSVRiR E: INSURER F' COVERAGES CERTIFICATE NUMBER:316929597 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CIAIMS. INSR TYPE OF INSURANCE ADD R PoLICY NUMBER MA4DCYDM'YY MM'DEFF CNYYYP UNITS R B GENERAL LIABILITY Y Y PKID1RUCO" v6]9 15DR019 1(JOQp20 EACH OCCURRENCE $1,0.'U,000 X 0 A TOREWED COMMERCIAL GENERAL LIABILITY DID EEIEao¢umn $10D 000 CLAIMSAUOE OOCCUR MEN EXP(Any we person) SSWO X SSM Cap.,A, PERSONAL a MV INJURY $1,.nor GENERAL AGGREGATE S1 NU 000 GEN'L AGGREGATE LIMIT APPLIES PER'. PRODUCTS-COMPIOP AGO $i OEnWO POLICY X PRP LOL PrWas¢Ional Lieb. E1 Wn000 IGCT C AUTOMOSILELIABILIIY Y Y 52312421 1.2019 To.N.20 COMB INED SINGLE JIMIN D AEOG0 1OCCE9 loo'2030 E.—dere 1W0 C00 ANY AUTO BODILY INJURY(Per Grew) s AUTOS OSMEN X AUHOB LED BODILY INJURY(Per acuEeM) $ X AUTO AUTOS X pO OOWNE° ROOPES (Per RTYl DAMAGEHIRS $ B UMBRELLA WB X OCCUR Y Y UM20190WOems V104019 IM12020 EACH OCCURRENCE $1WO W0 X ..as LNB CIAIMSMIDE AGGREGATE $1 W0000 DEO X RETENTION 510000 $ A WORKERS COMPENSATION WC2019000132G] IORC 19 19012030 X EMT OlN- ANDEMPLOYERS'LIABILITY YIN ANY PROPRI ETORIPARTNERIE%ECUTIVE EL.EACH ACCIDENT E1 W0000 OFFICERIMEMBER EXCLUDEC N/A Murdalory In Nm EL DISEASE-EA EMPLOYE $1,MA,DEE ny de.v�ba neer DESCRIPTION OF OPERATIONS below ELOIBEA$E-POLICY LIMIT $1CAR ONE B Installs—Floater PICo PTO]115a39 1/308019 ffd012020 Por OCWnerval0ed. $1 W 000'$2,503 Prapany BPP/Dad. S1W,CC.1 L. 7"MONSIVEHICLESCLES(AXwhACORD 101,AddsonelRemnAsScredule,IImwe spaceIBreeni coverage for Additional Insureds, The Cedlfcate is only evidence of insurance coverage for the Named Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Evidence of Insurance AUTH°WEEO REPRESENTATIVE o� ( N7- 911988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD DATE: April 22, 2019 RE: 31 Kingsley Avenue, Northampton, Massachusetts, 01060 To Whom It May Concern, As per your request, we have conducted a structural assessment of the building at the above address that included a site inspection on April 4, 2019. This inspection included an examination of the roof structure and condition as well as any structural drawings that were available. PV solar panels are proposed to be installed on roof areas as shown in the submitted plans. The panels are clamped to rails which are attached to the roof with a lagged mounting system, and installed per manufacturer's specifications and recommendations. It was found that the roof structure as noted on S3 satisfactorily meet the applicable standards included in the Massachusetts State Building Code (Ninth Edition), 2015 IBC/IRC and 2018 IEBC. Design Criteria: Wind speed = 117 MPH Ground snow load =40 psf Roof dead load = 9 psf Solar system dead load = 3 psf The roof was determined to have asphalt shingles atop board sheathing. Overall the roof area is structurally adequate to support the additional load of the solar panels and their framework. Acknowledged by: -`jN OF Digitally signed ��CHRIS H. KIM Chris by Chris Kim 8 CIVIL Date: 52430 HKim 2019.04.22 �o FOr E 15:46:29-04'00' Office of Consumer Affairs and Business Regulation One Ashburton Place - Suite 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Type: LLC SRegistration: 172284 SKYLINE SOLAR, LLC. Expiration: 06/06/2020 4 CROSSROADS DRIVE SUITE 116 HAMILTON, NJ 08691 Update Address and Return Card. SCAT 0 2WM 917 ��in Venrmnnnwa�/�n�'��tu,v�ui�r/G Offla o1 f:onsumerAffelw a eesYleae RsOuktlon HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:LLC before the expiration dote. If found return to: R Excirstlon Office of Consumer Affairs and Business RegWation 172261 0062020 One Ashburton Place-Suite 1301 SKYLINE SOLAR,U.C. Boston,MA 02106 RYAN LANE 4 CROSSROADS DRIVE SUITE 116 HAMILTON,NJ 08691 undersecretary Not valid without signature CommonweaKn of Massaehuselro Dhision of N.I.sbnal Lkenaure Beard of Building '�R.ee9Wallons and Standards Co of 11toltbl��Bpp ry i s p r csanodT , L�ypiref 11m912919 PHILIPJ CHCNI 7p DMI ST.UII�MT4 `^ ASHLAND MA 01721 , q\I to"', commissioner a meo�zrue��l�io �Consumer f, airs og(�BfasJrgcucfaefi 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvernint Gontractor Registration ReyekT171251 _ Two. Supplement CBM SKYLINE SOLAR,I.I.C. ExpiraDon Nerzo2D PHILIP CHOUINARD 4 CROSSROADS DRIVE SUITE 116 ' HAMILTON.NJ 08691 4r Updole Address Bad rdum end.Alvrk renes for e6evpo fc•� 4 ssuavn Address Kms" En&y..t Lest Card nfir y-/jk*faaY erCoereeser Af6M64sMrn RrpWWe Lkeeuar re6Btndov nlld for kdlridual na"By EI ROgBdBlTCORRUCIOR adorn OleeapmOvid" Iffaeadrdumun omwareeeseroer Aman Bed SmheD Repuld m 4elrorc 1]1761 Type: 10 Park flea+•Suits Sup '"hadow Nam Suppb C'ad Byron,111A 91116 SKYLINE SOUR,LLC 1 , PIOLIP CH01R1MM 4 CROSSROADS GINE SUITS 11 tNMRTON NJ DWI Ileslres.R,ap /ia'rel Abal slpalort RESIDENTIAL SOLAR PHOTOVOLTAIC SYSTEM 31 KINGSLEY AVE EXAMS ENERGY NORTHAMPTON, MA NEW AGE ENGINEERING 10.20 kW DC .1S3S5822W7 _. -..-.._ 17/APR/19 GSHW8 DUPONT STREET PALMETTO TORONTO ON N M3.72Q,IA4 1505 KING ST EXT»114. CHARLESTON.SC 2 M USA . SHEET INGSX u Cl OOYER PAGE N1 GENERAL NOTES S1 SITE PLAN PANEL-AYOUT S2 STRUCTURAL S] STRUCTURAL DETAIL Et LINEDIAGRAM E2 ELECTRICAL CALCULATIONS 1 M • EA WARNING lABU Al PANEL SPECIFICATIONS Q RACKING SPECIFICATIONS ~ AS MOUNT SPECIFICATIONS M IWERTER SPECIFICATIONS --- A5 OPTIMIZER SPECIFICATIONS SYSTEM SPECIFICATIONS GOVERNING CODE: Mmy^- SYSTEM SIZE.10.20 kW RSC 2015 ® MODULE'.SILTAS SLAM3COW IRC.15 INVERTER:SELXNN"US IFCM15 -. OPTI MIZER.P.0 NEC 2017 ,..„..-. RACKING SYSTEM:SNAPNRACR 100 "`^""« Cl COVER PAGE GENERAL NOTES. ALL MATERIALS,EQUIPMENT,INSTALLATION AND WORK SHALL COMPLY WITH THE FOLLOWING APPLICABLE CODES. IBC 2015.IRC 2015,IFC 2015,NEC 2017 WHEN A BACKFED BREAKER IS THE METHOD OF UTILITY INTERCONNECTION,THE BREAKER SHALL BE PV SYSTEMS SHALL BE PERMITTED TO SUPPLY A BUILDING OR OTHER STRUCTURE IN ADDITION TO ANY INSTALLED AT THE OPPOSITE END OF THE BUS BAR OF THE MAIN BREAKER. OTHER ELECTRICAL SUPPLY SYSTEM(S)[NEC 6904AII TO REDUCE FIRE FP DS,DC PV SYSTEMS WILL BE EQUIPPED WITH A GROUND FAULT PROTECTION THE INSTALLATION OF EQUIPMENT AND ALL ASSOCIATED WIRING AND INTERCONNECTION SHALL BE SYSTEM IN ACCORDANCE WITH NEC 690,01(8) PERFORMED ONLY BY QUALIFIED PERSONS[NEC 690<(C)) WHERE GROUNDFAULTPROTECTION IS USED.THE OUTPUT OF AN INTERACTIVE SYSTEM SHALL BE EXISTING PLUMBING VENTS,SKYLIGHTS,EXHAUST OUTLETS VENTILATIONS INTAKE AIR OPENINGS CONNECTED TO THE SUPPLY SIDE OF THE GROUND FAULT PROTECTION[NEC 705.321 SHALL NOT BE COVERED BY THE SOW[PHOTOVOLTAIC SYSTEM. ALL PLAQUES AND SIGNAGE REQUIRED BY THE LATEST EDITION OF NATIONAL ELECTRICAL CODE,LABEL INVERTERS.MOTOR GENERATORS PHOTOVOLTAIC MODULES.PHOTOVOLTAIC PANELS,AC SHALL BE METALLIC OR PLASTIC,ENGMVED OR MACHINE PRINTED IN A CONTRASTING COLOR TO THE PHOTOVOLTAIC MODULES,SOURCE CIRCUIT COMBINERS,AND CHARGE CONTROLLERS INTENDED FOR PLAQUE.PLAQUE SHALL BE UV RESISTANT IF EXPOSED TO SUNLIGHT. USE IN PV SYSTEMS SHALL BE LISTED OR FIELD LABELED FOR THE PV APPLICATION[NEC 6904 DMI ALL THE NEC REQUIRED WARNING SIGNS MARKINGS.ANO LABELS SHALL BE POSTED ON EQUIPMENT ALL OUTDOOR EQUIPMENT SHALL BE NEMA 3R RATED(OR BETTER),INCLUDING ALL ROOF MOUNTED AND DISCONNECTS PRIOR TO ANY INSPECTIONS TO BE PERFORMED BY THE BUILDING DEPARTMENT. TRANSITION BOXES AND SWITCHES. CONNECTORS SHALL BE OF LATCHING OR LOCKING TYPE,CONNECTORS THAT ARE READILY • ALL EQUIPMENT SHALL BE PROPERLY GROUNOEO ANO BONDED IN ACCORDANCE WTH NEC ARTICLE 250. ACCESSIBLE PND OPERATING AT OVER 30 VOLTS SHALL REQUIRE TOOL TO OPEN AND MARKED'DO NOT • SYSTEM GROUNDING SHALL BE IN ACCORDANCE WITH NEC SWAT DISCONNECT UNDER LOAD'OR'NOT FOR CURRENT INTERRUPTING' NEC 690.33(C)8(E)(2)) FOR PV MODULES,EQUIPMENT GROUNDING CONDUCTORS SMALLER THAN SAM SHALL COMPLY WTH FLEXIBLE,FINE-STRANDED CABLES SHALL BE TERMINATED ONLY WITH TERMINALS.LUGS,DEVICES,OR NEC 250.120(C)[NEC 690461 CONNECTORS IN ACCORDANCE WITH NEC 110 14 ALL PV SYSTEM DC CIRCUIT AND INVERTER OUTPUT CONDUCTORS AND EQUIPMENT SHALL BE WORK CLEARANCES AROUND ELECTRICAL EQUIPMENT WILL BE MAINTAINED PER NEC 110.26(A)HT PROTECTED AGAINST OVERCURRENT UNLESS STATED OTHERWISE IN NEC 690S(A) 11026(A)D)ANO 1ID36(A)(3). OVERCURRENT DEVICES USED IN PV SYSTEM OC CIRCUITS SHALL BE I ISTED FOR USE IN PV SYSTEMS • ALL EXTERIOR CONDUITS FITTINGS AND BOXES SHALL BE RAIN-TIGHT ANO APPROVED FOR USE IN WET [NEC 690 9(B)1 LOCATIONS PER NEC 314 15 PV SYSTEM CIRCUITS INSTALLED ON OR IN BUILDINGS SHALL INCLUDE A RAPID SHIJTOOWN FUNCTION IN ROOFTOP MOUNTED PHOTOVOLTAIC PANELS AND MODULES SHALL BE TESTED,LISTED B IDENTIFIED IN ACCORDANCE WITH NEC 690.12 ACCORDANCE WITH UL1703 DISCONNECTING MEANS SHALL BE LOCATED IN A VISIBLE.READILY ACCESSIBLE LOCATION MEN THE EACH MODULE TO BE GROUNDED USING THE SUPPLIED CONNECTION POINT PER MANUFACTURER'S PV SYSTEM EQUIPMENT OR A MAXIMUM OF 10 FEET AWAY FROM THE SYSTEM[NEC GWA 3(A)1 REQUIREMENTS.ALL SOLM MODULES,EQUIPMENT,ME METALLIC COMPONENTS ARE TO BE BONDED. IF THE EXISTING GROUNDING ELECTRODE SYSTEM CAN NOT BE VERIFIED OR 15 ONLY METALLIC WATER ALL WIRING METHODS SHALL BE IN ACCORDANCE NRH NEC 690.31 PIPING,IT IS THE CONTRACTOR'S RESPONSIBILITY TO INSTALL A SUPPLEMENTAL GROUNDING • CONNECTORS SHALL REQUIRE A TOOL TO OPEN AND BE MARKED'DO NOT DISCONNECT UNDER LOM' ELECTRODE. OR'NOT FOR CURRENT INTERRUPTING".[NEC 69033(EX DC CONDUCTORS SHALL BE RUN IN EMT AND SHALL BE LABELED.-CAUTION DC CIRCUD'OR EOUIV. ALL GROUNDED CONDUCTOR SHALL BE PROPERLY COLOR IOENTIFIEO AS WRITE INEC 20061 EVERY 5 FT. PV SYSTEM CONNECTED ON THE LOAD SIDE OF THE SERVICE DISCONNECTING MEMS OF THE OTHER CONFIRM LINE SIDE VOLTAGE AT ELECTRIC UTILITY SERVICE PRIOR TO CONNECTING INVERTER VERIFY SOURCE(S)AT ANY DISTRIBUTION EQUIPMENT ON THE PREMISES SHALL MEET THE FOLLOWING[NEC SERVICE VOLTAGE IS WTHIN INVERTER VOLTAGE OPERATIONAL RANGE. 7US 12(BL, SERVING UTILITY TO BE NOTIFIED BEFORE ACTIVATION OF PV SYSTEM, I) EACH SOURCE CONNECTION SHALL BE MADE AT A DEDICATED CIRCUIT BREAKER OR FUSIBLE ELECTRICAL CONTRACTOR TO PROVIDE CONDUIT EXPANSION JOINTS AND ANCHOR CONDUIT RUNS AS DISCONNECTING MEANS.)NEC705,12( ADI REQUIRED PER NEC. 2) THE SUM OF 125 PERCENT OF THE POWER SOURCES OUTPUT CIRCUIT CURRENT AND THE RATING OF THE OVERCURRENT DEVICE PROTECTING THE BUS BM WILL EXCEED TILE AMPACITY OF THE BUS BAR [NEC 70SLSBA2U 3) EQUIPMENT CONTAINING OVERCURRENT DEVICES IN CIRCUITS SUPPLYING POWER TO A BUS BAR OR CONDUCTOR SHALL BE MARKED TO INDICATE THE PRESENCE OF ALL SOURCES.[NEC 70512(8)(3)1 L) CIRCUIT BREAKER IF BACK FED,SHALL BE SUITABLE FOR SUCH OPERATION [NEC 70512(B)(1)] PALMETTO PROJECT'.31 KINGSLEY AVE AUTHOR EE H-GENERALNOTES PHONP.N Bi3R6�IBW MUNICIPALITY.NORTHAMPTON,MA DATE'. 1T/APW19 WMN.PALMETTO ON CLIENT.E JOHNSON NEVA 11II '" INVERTER./WARNING NG LABEL / AC DISCONNECT wl WARNING LABEL 31 KINGSLEY AVE / MA SMART GENERATION METER GARAGE - - SERVICE POINT 8 UTILITY METERING n DISTRIBUTION PANEL wI WARNING LABEL x O \ 1 q N / 23 5 . T m y„ IT IT rz� TI 1 e^ -U l � CNN19 N.K CIVIL N00 31 KINGSLEY AVE "XWELLING \ 2T 6- / 38,.9,„ Ch � Oigi<allysignetl ris b CKrisH Kim Date: PROPERTY LINE M 2019.04.22 H Ki \ \ 15:46A 7 TPk DO- 82-11 ' O- 82-11 / NOTES: SAFETY PLPN: NEAREST URGENT OARE FACITTY - SCALE AS SHORN - INSTALLERS SHALL DRAW IN DESIGNATED SAFETY AREA AROUND HOME NAME. - ALL DIMENSIONS IN FEET UNLESS - INSTALLERS SHALL UPDATE NAME,ADDRESS,AND PHONE NUMBER OF ADDRESS. OTHERWISE STATED NEAREST URGENT CARE FACILITY RELATIVE TO THE SITE BEFORE STARTING PHONE NUMBER'. MEN PALMETTO PROJECT:31 NNG5LEY AVE AUTHOR.EE S1-SEEPIAN PHONE'.N BC3420 VNJT MUNICIPALITY NORTHAMPTON,MA DATE. t]UPRtlV WNN.PALMETTO COM CLIENT.E.JOHNSON REV'.A CHIMNErsoIAR TXERMFL 44` SERVICE MAST d PL VCRT SOLAR ROOF 1 - 1DrvP. TUBE PITCH 22.5° A, AZMiU I DECIDUOUS TREELINE a�I TREETOPS BS CA NOPV ON GROUND P OHMNEY 3 \ DECIDUOUS TREE TO BE REMOVED LEGEND �CXNB H CINL B]1TR FN�i METER / 38 9 / — o ROOF PITCH:225°SLOPED SHINGLE ROOF PANEL TYPE:SILFAB SLP-M 30M NOTES: AOMUTHS:13<° PANEL SIZE:65.0'X 390" - SOLAR PANEL LAYOUT SUBJECT TO CHANGE ACCORDING TO RACKINGTYPE'.SNAPNRACK 100 NUMBER OF PANELS:36 EXISTING CONDITIONS MOUNT TYPE:SNAPMRACK FLASHEDFOOT SYSTEM SIZE:1030kVV - SCALE AS SHOWN GROUND TO EAVES DISTANCE:10' - ALL DIMENSIONS IN FEET UNLESS OTHERWISE STATED PALMETTO pROJECi'.31 pNGELEV AVE AVI1bR.EE 52-PANEL LAYOUT PHONE.*1 B43]20.1Md MUNICIPALITP.NORTHAMPTON,MA DaiE 1]/APR/18 WAW.PALMETTO COM CLI ENT'.E JOHN30N REV:A LAG SCREWS SHALL BE S.S. 5/16" X 4" W/ TOPCHORD µ 2.5' MIN EMBED IN \ RAFTERSITRUSS TOP CHORDS �/ BOTTOM CHORD -� V_6" / / 12•_9" � TOPCHORD ROOF 1 2x8 @ 16"O/C PITCH 22.5° xa -� MAX 49" -- O11W5 X.NN TOP CHORD SPACING 18" 6 Crva c ax MAXIMUM MOUNT SPACING'. MOUNT PATTERN'. STAGGERED PANEL TYPE:SIIFAIS SIAM 300W NOTES: PANEL SIZE:65.0'x390' - SCALE AS SHOWN RACKI NO TYPE:SNAPNRACK 100 - ALL DIMENSIONS IN FEET UNLESS MOUNT TYPE'.SNAPNRACK FLASHED L FOOT OTHERNASE STATED SOLAR SYSTEM DEAD LOAD:3.0 PSF L��E LMETTO PPOJECT.31 KINGSLEY AVE AUTHOR.HE 9-$TRVCTVNAL DETAIL BIN20-1 x1p MVNIG PALITY NORTHAMPTON,MA DATE. 171APWIS LMETTOCOM CLIERT E.JOHNSON FOJA IL{ LI2 IN 'UPPLY SIDE"I -12S 1 TEL IEL TO � W m 3 xASROSEFA5P ouxa 1- m m dIRI6 H.1(IM TO' wwx unae x ox lmno 1 m KLm wmo oI STRITS OF 14 ulrs uc 1x /rz CJ cava OCNINECTED TO'A'II'IS CERS D Ell � . � OFLYRESIT,.nE. DEC x DONPPEOWTHMPo xoo rAx...SIESTRON INVEIAIIR BPEce MODULESPECS ASMRAE AMBIENT MR SPECS OPTIMI2ERSPECS MAKE: SOLAREDGETECHNOLOGIES LM.. MODULE MAKE: SILEAB SLAM 300W 296 DRY BULB TEMP: 81 MAKE: SOLAREDGE TECHNOLOGIES LTD. MODEL SE10000H-US MODULE QUANTITY'. 31 MODEL P320 MOIXIIE POWER XXVV DISTANCE ABOVE ROOF I>TIS): B1.rF INPUT INPIR OUTPUT MAX INPUTVOLTAGE. CEOV VOG 39.ESV MMP'. 32.IW EXTREME MIMI -T°F MAXVOLTAGE OBV BW MAX INPUTOURRENT: 27A BE, 9,71A IMP'. 8.161 MAX CURRENT 13.]SA is• MAX OC POWER 155WW WIRE scHEOUL ID CONDUCTOR NEUTRAL EGC CONDUT KIT OUTPUT 1 IO)%10AWG PV WIRE,COPPER MA (p p3AWG.GAPE,COPPER EGG WA-FREE AIR NOMINALAC POWEROITPUC 10000W2 (4)p10AWG THWN-2,COPPER WA It)%ID AWG.lHWN2,COPPER "GC OTS DI.EMT NOMINALACOUTPUTVOLTAGE: 2dOV 3 (2)%S AWG TVhVN3,COPPER U)pSAWG THWN3,COPPER U)810AWG,T16NN4,COPPER EGC DT5'DA.EMT MAX OUTPUT CURRENT 02A 0 (2)p6 AWG THWM2,COPPER (t)%6gWGTHWN2.COPPER (1)MOAWG.THWN2,COPPEREGC 0.75'DA EMT 5 (2)pSAWG TMNK2,COPPER (1)pS AWG THJJR2,COPPER (1)p10 AWG.TNWN3,COPPER EGC 0]5'01.EMT PALMETTO PROJECT,31 RNGELEY AVE AUTHOR.EE E1 LINE DIAGRAM PHONE T1 p1}721FNAA MUNICIPALITY.NORTHAMPTON,MA DATE. 17APRI19 AVANPALMETTO.COM CLIENT'.E.JOHNSON REV A SYSTEM SUMMARY BMW I SMING2 1 STRWGJ POVVER OPTMUER MAXIXIIPUT CURRENT 1Y. 15A WA SOIAFEDGEMA%STRMIGSQE CPTM�RS IN SERIES 1< 20 WA MOCEL SEIWOIMVLS ARRAY STC POWER 1020JW MA%STPoNG POVIER MN[AC WfiPENTAU PNA%PANEL NOMWAL AC POWER 1CPoOW INIANSIWNG SBE 30 MODULES pWNTRY MAKE ANO MODEL pMA% 6LI NAP VOC VMP TEMP COEFF OF VOC GUSE RAZING 3C SILFAB SIAM WW 3WVJ 9T1A 9.16A J9MV J3.BPJ b%PC 11 15A POWER OPTIMZFRS pLNNTRY MPKE AND MOCEL RATED INPUT POKER MA%WTPUi CURRENT MAX WPUt Sc MA%DC VOLTAGE WE DEFFlCIENCY J6 SOLA!£CGE P330 IlOW t$4 11A Ii6V f8.0% INVERTER MAJ(OUTPUT LELRaEN TED OVPNTIi1' MAKE AND MODEL AC VOLTAGE MA%OLPD 0.4TING RATED POWER LUPAEN! MA%INPVT WRgEM MA%INPlrt V0.TAGE EFFlGENLY 1 SOWREWE SE100W.US 24M 60AI Imom 43A 27A I 98W 69% OcFDS OWDSOI S BREAKER CALLUTATION - DIL I1V RATEDCURRENT MAX VOLTPGE MAXWTPUTGRRENT NECMULTPLER MIN OCPD SOLAR BREAKER 1 60A 240V 4M 125% SR SA In OQRC OR CONDUR 9 O CL IN WNDUT` OCYD EGC CONT.OJRRENT MAX WRRENT 1 10AWG PV WIRE.COPPER FREE PIR WA WA BANG BPAE.CAPPER 15A IPERSTRING NIA 3 10 AWGTMNQ,COPPER 0]5"DN.EMT d WA 1O AWG THNR42,COPPER 15A IPERSIftINGI NIA 3 6AWGTHWN-3 LOPPER 0I5"DN.EMT l 80P tOPWGTHWN3.COPPER dN 52.SA < 6AWG THWN-l.COPPER O.TS'OW.EMT 2 WA tO AWG TNWR2.COPPER 42A 535A 56AWG IRANI COPPER 0]5'DN.EMT 2 WA 10PWG 1HW1F2,COPPER VA 52.5A ID OOKDVLTOR BASE.AMP FILL FACTOR DERATEDAMP. ¢MP.FACT TEMP.DERATNG 2 10AWG 1HWN�2 CAPPER J5A 060 28A 1W B. 3 6AWG THWN-3,CAPPER 65A 100 644 tCV BSA 1 BAWG THWN2.COPPER f5A 1.W ft5A 1.N GS4 NOF 5 BAWG IHWW2.COPPER CSA t00 6`A 1.0J 65A 'C=REFERS TO WRRENT LPRRY WG CONI 3 CXR6 K KRA CIVIL -TEMPERATURE FACTOR IS BASED ON 2%DRY BULB HIGH MITI NO TEMPERATURE ADDER T1EREFORE RACEWAYS MUST BE AT IEAST]/6'ABOVERWF � 6RdA PALMETTO PROJELT.J1 pNGSLEV AVE AUTHOR.EE EY-ELECTRICPL GLGIIALIONS PHONE.�1 X3]00-1611 MUNICIPALITY.NORTXAMPTON,MA DATE' 1]IAPRry9 WNW PALMETTO LOM CLIENTEJOXNSON REVA FOEMATT RNGOx A RED EACERR D SOLAR PV SYSTEM EQUIPPED NNINCE"SM INCHES LIETTDR HERHIT EAR ELECTRIC SHOCK HAZARD WITH RAPID SHUTDOWN ..WHIN FEIIuv FORT moweSIGHi oLwoslo INECLERYSSIALLAC ws .RY ENSSALSO IN Iry UPPS PavnaN „ `nTHEN coNxEcrslaueE Ev,�IRE.a oslsrumm�lEFUNL IxeLs RnPlosxuToovm uIlRY1�R NMEENT110sEUISM STNNDAMDFO ISTCH TO THE�FF' AD rvED PI ENI INANEx POSITION ALL HASARD IN THE exmY �_ Wwal£AwE51VE MATERIALS DI SCORNED NOMEJONSWUNDRE FNSYS70MANCRECORE n 1. [NEC WNCAN ALL TO"CORRECT SHALL eF LABELED PHOTOVOLTAIC INECPSC SAIDIPLACE ATM POWER SOURCE uxsERncE PANEL S HASALL AFIN MAIN-101 C.00-SILT(OR ON I NE OCIES CAP unEVERY Ncnax DI OPER HESMTH LONER CLOGED .S E C.E.I.CEYM10 [NEC SIR 551 PUCE AT EACH DC E001PMEM CAUTION: SOLAR CONNECTING MEJUNS ELECTRIC SYSTEM a MwNT OAF SINTEPRCONNECLON-LAITT SON CAUTION SEANICEPANEL—SUBANE CH OASLEI CHRIBKIUM CONTAINS MULTIPLE GVIe POWER SOURCES n INEC Tm IDOSSI PLACE uSEL ON ALL DEVICES s NORSO-SUPTUHNIGNOWER IrvpIC sw NCCCN PLACE THAN NO MORE 3. T Jl FROM MCI FOUNDED NOTES: 1) ALL LABELING USED OUTDOORS MUST BE ENGRAVED METAL, UV STABILIZED ENGRAVED PLASTIC OR OF A MATERIAL SUFFICIENTLY DURABLE TO WITHSTAND THE ENVIRONMENT INVOLVED. VALUES HAND WRITTEN OR IN WRITTEN IN MARKER ARE NOT ACCEPTABLE PER NEC 2017. 2) LABELS USED INDOORS MAY BE MADE CE DURABLE WIVE OR PAPER 5) DO NOT COVER ANY EXISTING MANUFACNRER APPLJED LABELS 'WTH INSTALLATION SPECIFIC LABELS {) LABEL COLORS CHOSEN PER NWA ]O 2017 DIRECTION THAT ANSI Z535-2011 BE USED 5) REQUIREMENTS COMPLY WITH NEC 2017 6) ADDITONALLY. IT IS HIGHLY RECOMMENDED THAT THE INSTALLER ATTACH A LABEL 'WTH THE COMPANY NAME AND CONTACT INFORMATION AT THE INVERTER ]) ALL WARNING SIGNS OR LABELS SHALL COMPLY WITH NEC 110.21(B) PALMETTO pROJECL Ji NINGSLEY AVE AUTHOR'.EE E3-WARNING LABELS PHONE�18C1]20.185< MVNI CIPALITY NORTINMPTON,MA GATE- 1]IAPRIIB VM1"(PALMETTO ryJM (,LI ENT'E JOHNSON REV:A m.1r , aa: Silfaby p,ev n. 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XW/A3L)BWF.iFIIF E159Jll B11OEX'E/S 1O6F3'3L(E6N LTM )b5-10.16 WMDIES OF IIE PALMETTO PROJECT.]1 KINGSLEY PVE AUTHOR.EE AE RAONING SPEQFICAiIONS PH0NE:�1 EC3Ez6181C MUNICIPALITY.NORTNAMPiON,MA GATE. 1EIAPq/19 WNJLPµMETiO.COM NENT'.E.JOHNSON RE&A I�c�s SNMN MFLASHED L FOOT n.Wathlns c-%1101 YII"'a wa�llo 501APM.SQC FIASHED L FOOT N.Wathms vNrt NY8W53: �/1 x PaW MKDpsi. ev/L x 242-9200).242-02008,242-9 W,242-92051 s M - 242-9ZD12.242A2 2U-MW.2429205/ x ^ //351300 p.JO 6 Z 93• 3 1� 1 �ZPJ 1 � o 31 PAR.I]ST ZDO Z] OZ f1EM DfSCRIRION l 1 5XA9MMCK,l FOOT BAY.MILL Z 1 Sf EO (FOOT ft SNING IZM 11131N BIAIX GLLV 3 1 5XpW0.K%LiLOi COMPoSIi1pN 930EG CLURJBIACK 1 NIR FIAXGE$E0.MTEp,S/161M-10.55 1 ' 5 1 51LMPACK CXANNK NVT 5116MI0 SI:V IIN FM t LFO ISX 6 1 BpLT,FLWCiOM 5/IHH-t0N 1-0HI 55 f L M4TEN45'. 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M J1M1rMr L�enkAa[0.0 Whil gtl avynrte solar- . • - "Ha PALMETTO PROJECT.11 KINGSI-1I ACIHI EE AA INVERTER SPECIFICATIONS PHONE'.11 0340618K MUNICIPALITY.NORTHAMPTON,MA DATE. 1I.PR/18 NMNJ.PAIMETTO.COM CLI ENT'.E.JOHNSON REV I Power Optimizer For North America P320/P3M/P370/P4O/PM5/P505 Power Optimizer 0 For North America S LI P3M P3M/P370/`400/PMS /P505 m m 7G 7. pV power opOmtratioo at the moc ule level. sww ma.�.nsssx; • ••':•• � Mwn mn..r�wm�nin<wmuea�X, SnuuNfr� nau.. :nes 'aIW u.nrnn v�nvin " wm�Mn My solar- . . - PµMETTO EROJECT.31gNG5LEY AVE AUTHOR.EE AS OPTIMICERSPECIFICATIONS PEONE:,IMS3720.1EK MUNICIPALITY NORTHAMPTON,W DATE'. 1TIAPRtlB NMNJ.ppLMETTO COM OLIENT.E.IOFIN50N RE¢A ­uoly„ „—uNu 1u,. ize oroo—o,r—r—oo Homeowner's Agent Authorization Form State of Massachusetts IS Eric Johnson (pMt name) am the owner of the property located at address: 31 Kingsleyavenue Northam ton MA 01060 (print dress) 1 hereby authorize Palmetto solar or Its subcontractor to act as my Agent for the limited purpose of applying for and obtaining local building and other permits from the Authority Having Jurisdiction as required for the installation of a PhotoVoltaic System located on my Property. a� 3a„�w: Customer Signature: 54c 3)EDUOSEBFN81_. Date: 3/26/2019 Print Name: Eric Johnson Channel Partner: Palmetto Solar Project Name: Johnson - 196873 Customer Name: Eric Johnson Needs to be Walked In to: Northampton, City of Building Department Address: 210 Main Street Northampton, MA 01060 34 Panels @ 300 10.2kW E- 27000 B- 9000 Map: 32C Block: 156 Lot: 001 Parcel #: Property Sq Footage: 6098 Date Submitted : Check # Check Amount $ Check # Check Amount $ City of Northampton 210 Main St Northampton MA 01060 4/25/2019 To Whom It May Concern: This letter is authorized to of Skyline Solar LLC to obtain building permits on behalf of Ryan Lane, owner of Skyline Solar LLC, Phil Chouinard, Skyline Solar's Construction Supervisor and James Leavitt, Skyline Solar's master electrician. The project is located on 31 Kingsley Ave. The homeowner's name is Eric Johnson. The proposed project is a roof top solar system for the purpose of net metering. Ryan Lane HIC - 172284 C Phil Chouinard CS-027047 C CC James Leavitt ELC-21667