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HomeMy WebLinkAboutBLD-23-004204 Ma,fit i/j,'i 3 RECEIVED JAN 2 6 2023 ONE & TWO FAMILY ONLY-BUILDIN PERMIT Town of Yarmouth Building Department 13UILD1NG D . • 1146 Route 28,South Yarmouth,MA 02664-44 I NI - 508-398-2231 ext. 1261 Fax 508-398-0836 i- Massachusetts State Building Code,780 CMR Building Permit Application To Construct,Repair,Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: 6b r) 43 -6 6 Date Ap • Building Official int Name) • Signatu Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers !81 South Sea Ave. 1.1 a Is this an accepted street?yes X no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP` 2.1 Owner'of Record: Andrew Laird West Yarmouth Ma 02673 Name(Print) City,State,ZIP 181 South Sea Ave. 508-479-1002 alairdl verbnn net No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied ❑ Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg.0 Number of Units Other Specify:Solar Brief Description of Proposed Work2: Roof top solar installation of 18 solar panels., and 1.8micrninverters SECTION 4:ESTIMATED CONSTRUCTION COSTS. Item Estimated Costs: Official Use Only (Labor and Materials) I.Building $ 15,568 1. Building Permit Fee:S 17 _Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ 3,892 ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List 44C" )46 5.Mechanical (Fire $ -. Suppression) Total All Fees:$ Check No. Check Amount Cash Amount: 6.Total Project Cost: $ 19,460 0 Paid in Full 0 Outstanding Balance Due: W:• • { L't.y 1 y':: }_:: ••; • l.? • }?'t .1 i .. _n. .. _ ...,..-. r.. ...4..t='Jb.,... .erg.. ..�._ - - ,_Y+fit}. • _ !. .. }.'i f)..., ..... ,.... .. I •:i _ �'o; •r. . Y' •i.: •.. , • f;" SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 1 f12855 7/13/2023 MArk Durrenberger License Number Expiration Date Name of CSL Holder 577 Main St Suite 430 List CSL Type(see below) U No,and Street Type Description Hudson Ma,01749 U Unrestricted(Buildings up to 35,000 cu.ft)_ R Restricted l&2 Family Dwelling City/Town,State,ZIP M Masonry 978-830-3181 RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances amanda.mckaynewenglandcleanenergy.con I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 1/1/2025 MArk Durrenberger New England Clean Energy 174170 HIC Company Name or HIC Registrant Name HIC Registration Number Expiration Date 577 Main St Suite 43 No,and Street a - • . -wen•landcleanenergy.com Hudson Ma 01749 978-830-3181 Email address City/Town,State,ZIP Telephone SECTION 6: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 aS No ❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize New England Clean Energy to act on my behalf,in all matters relative to work authorized by this building permit application. See attached authorization 1/20/2023 Print Owner's Name(Electronic Signature) Date • SECTION 7b:OWNER1 OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. 4fry14 C- 11-0_Ka5_ 1/20/2023 Print Owner's or Authorized Agent's gime(Electronic Signature) Date NOTES: I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.aov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" • .., ' • • s .. ae. ..; The Commonwealth of Massachusetts Department of Industrial Accidents .1:: . Office of Investigations �-, Lafayette City Center 2 Avenue de Lafayette, Boston, MA 02111-1750 �`yy3� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): New England Clean Energy Address: 577 Main St, Suite 430 City/State/Zip: Hudson MA 01749 Phone #: 978-567-6527 Are you an employer? Check the appropriate box: Type of project(required): 1.❑x I am a employer with 20 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction listed on the attached sheet. 7. El Remodeling 2.CI I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in anycapacity. employees and have workers' P ty. 9. ❑ Building addition [No workers' comp. insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 10.0 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, §1(4),and we have no employees. [No workers' 13. x❑ Other solar 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: Amguard Insurance Company Policy#or Self-ins. Lic. #: R2WC352031 Expiration Date: 1/13/2023 Job Site Address:181 South Sea Ave. City/state/zipWest Yarmouth Ma 02673 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 certify under the pains and penalties of perjury that the information provided above is true and correct Signature: .Ahta.e.da- 70-ci<7 Date: 1/13/2023 Phone#: 978-830-3181 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority(check one): 10Board of Health 20 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 5E'lumbing Inspector 6.0Other Contact Person: Phone#: • i .1_; ,^ 2 • ! .. d. • ti♦s.. . . . r . . 5 • i7 .4 • ' 7 8 ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/21/2022 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(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject 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 certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME; Jennifer Maglione L&S-BOULE INSURANCE AGENCY PHONE 08 48 FAX _ANC,No.Fes: (5 900 (A/C,No): E-MAIL ma (lone Isboule.com ADDRESS: I g 158 MAIN ST INSURER(S)AFFORDING COVERAGE NAIC# MARLBORO MA 01752 INSURER A: AMGUARD INSURANCE CO 42390 INSURED INSURER B: NEW ENGLAND CLEAN ENERGY INC INSURER c: INSURER D: 577 MAIN ST STE 430 INSURER E: HUDSON MA 017493054 INSURERF: COVERAGES CERTIFICATE NUMBER: 845925 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 WITH 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 CLAIMS. INSR 'ADDL SUBRI POLICY EFF POLICY EXP TYPE OF INSURANCE LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ N/A PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- I JECT I LOC PRODUCTS-COMP/OP AGG $ _ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS N/A BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED I RETENTION$ I $ WORKERS COMPENSATION X l STATUTE I I ERH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED? N/A N/A WA R2WC352031 11/27/2022 11/27/2023 (Mandatory in NH) EL.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/Iwd/workers-compensation/investigations/ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Yarmouth ACCORDANCE WITH THE POLICY PROVISIONS. 181 South Sea Avenue AUTHORIZED REPRESENTATIVE Yarmouth MA 02673 Daniel M.Crowley,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD -_••,r!, • t t . - 00 N'.71 ,C1+‘. 'tI6 ' • ' ' • • !. • . 1`. i` - , ,144. • 4- 4;.';'*1 • • • • • . • • • : • 4;, ,; `.! • :., - • ; z . . . . . r, • . .. r ! '1;1; • _ . . • 't . . ••_ _ . . . _ , . . . " a . . . _ , . X • • - r O . • . • • • _ ' -4141 "' " " . ' " •- • 1 • . •. . -1 7 ACOR CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) ��- 12/21/2022 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(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject 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 certificate holder in lieu of such endorsement(s). PRODUCER CONTACT L&S Boule Insurance Agency Inc PHONE FAX 158 Main Street (A/C,No,Ert): (A/C,No): E-MAIL P.O.Box 63 ADDRESS: Marlborough,MA 01752 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: NORTHFIELD INSURANCE CO 27987 INSURED New England Clean Energy, Inc. INSURER B: ARBELLA PROTECTION 41360 577 Main St 10472 INSURER C: CAPITOL INDEMNITY CORP Ste 430 Hudson,MA 01749 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 WITH 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 CLAIMS. LTR _ _-.._.-TYPE OF INSURANCE INSD SUBR __-_- --. _.. (MOLICY/EFF POLICY EXP LIMITS INSR ADDLE. WVD POLICY NUMBER (MMIDD/YYYY1 COMMERCIAL GENERAL LIABILITY WS530136 11/13/2022 11/13/2023 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 100 000 CLAIMS-MADE V OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 ✓ POLICY JECT PRO LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMITTY 1020013317 01/30/2022 01/30/2023 (Ea accident) _- $ 1,000,00� ANY AUTO BODILY INJURY(Per person) $ OWNED v SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS _. ✓ HIRED ✓ NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) C b/ UMBRELLA LIAB OCCUR XS19022613-01 11/13/2022 11/13/2023 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED ✓ RETENTION$ 10000.00 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE EL.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? N/A --(Mandatory in NH) EL DISEASE-EA EMPLOYEE $ If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remark:;Schedule,may be attached if more space is required) Operations performed by insured on behalf of certificate holder Work comp certificate to follow CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Yarmouth ACCORDANCE WITH THE POLICY PROVISIONS. 181 South Sea Ave West Yarmouth, MA 02673 AUTHORIZED REPRESENTATIVE D- 1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 4 s,1 • . Y sP Fsg' • • • • i•" �. 't • • - • • 0. • ..: .. ... y. li •... n........ .mow ..r... _ ... .. .. .. .. — -. .,. ..._ THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusctts 02118 Home Improvement Contractor Registration ( 1rYMM�1YY! 111111yyyyyy � �w..m n de � . Type: Corporation w "' ,7 . Registration: 174170 NEW ENGLAND CLEAN ENERGY INC = Expiration: 01/01/2025 577 MAIN STREET 0010 SUITE 430 HUDSON, MA 01749 """WNW OW r � Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE: Corporation Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street -Suite 710 174170 01/01/2025 Boston,MA 02118 EW ENGLAND CLEAN ENERGY INC ARK R.DURRENBERGER 2 77 MAIN STREET 9 a t/,(lo,le" UITE 430 ►' Commonwealth of Massachusetts ifs Division of Professional Licensure Board of Building Regulations and Standards I ConstructioWS pervisor CS- 102855 S pines: 07/13/2023 MARK R DURRENBERGER 577 MAIN STREET, tt430 HUDSON MA 01749 ,.... R �"1 f. ,, Commissioner '., ,-- ..a ir .1 .. r..,. ,,P":• ..•.,- Li",..•-.. . . ..--''''''l'"' . . ..i. #4.'.-. ' '.'• - /•''' ---• . •:, • , ...„ , . . 4- 1- '4.--:',-,-,- • ..... - 4 , ... .. _ ._ • • .„ , ,. '. , •, : .'* I ',.i:'_';'c"--•;'4 . _ . "...,"`..$` ', •- i . , • 1; • ..,, .„ • ; . . , .,..-. •, A , ..... . ., . . . ... . , •-•,,,, • r , . . ... , „- . ., • .....- e''' ',' , 4 :- . .•:-..,,,,. ::,..-4. '4,-, — .......i . .... . . , .. • '''s, '. ......-; .... .• ''.' ' ,. . c . , .t. •. .. . , ,,•.. ...••'44! , • .,, :, ,", '"---'.1 - • '' .tt,, ,.4.• ; i; %.. -..' i c1NEW ENGL.AND lean Energy DELIVERING SOLAR—the better alternative General Consent Form Date: 12/15/2022 Property Owner: Andrew Laird Project Address: 181 South Sea Avenue,West Yarmouth, Ma 02673 I,Andrew Laird, as Owner or appointed representative of the subject property hereby authorize New England Clean Energy, Inc.to act on my behalf,in all matters relative to work authorized by this agreement,including but not limited to municipal permit applications, utility company applications, and rebate or other incentive applications. I recognize that signature requests may come from others such as the Utility,the incentive granting organization, or the Authorities Having Jurisdiction (AHJs). As such, I acknowledge that delays in processing signature requests from others will likely delay the installation of my renewable energy system.And therefore agree to process all subsequent signature requests in a timely manner. 4S 4/ 12/21/2022 Andrew Laird, Owner/ Site Representative Date 577 Main Street,Suite 430, Hudson,MA o1749 • 978-567-6527 • NECleanEnergy.com 3 a zF §TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-22311 ext.-1261 Fax 508-398-0836 Office of the Building Commissioner BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Ch. 40, §54 and 780 CMR- Section 105.3.1. #4. I hereby certify that the debris resulting from the proposed work/demolition to be conducted at 181 South Sea Ave. Work Address Is to be disposed of oat the following location: 577 Main St Suite 430 Hudson Ma, 01749 Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. 7/fc 0 1/20/2023 Signature of Application Date Permit No. .2, • , • 1 -• . •-• • -• . , „ . • , . . . .• • • . , • , •. . • . . 11 . . • • _ .• . . . ,. . • . . • . , • , . • . • / ECT9R E rI G I rI E S VSE Project Number:U1867.0571.221 January 4,2023 New England Clean Energy 43 Broad Street Hudson,MA 01749 REFERENCE: Prj3393 Laird Residence: 181 South Sea Avenue,Yarmouth,MA 02673 Solar Array Installation To Whom It May Concern: We have reviewed the existing structure at the above referenced site. The purpose of our review was to determine the adequacy of the existing structure to support the proposed installation of solar panels on the roof as shown on the panel layout plan. Based upon our review,we conclude that the existing structure is adequate to support the proposed solar panel installation. Design Parameters Code:Massachusetts State Residential Code(780 CMR Chapter 51,9th Edition(2015 IRC)) Risk Category: II Design wind speed,Vult: 140 mph(3-sec gust) Wind exposure category: C Ground snow load,Pg: 30 psf Flat roof snow load,Pf: 25 psf Existing Roof Structure Roof structure:2x8 rafters @ 16"o.c. Roofing material: asphalt shingles Roof slope:45° Connection to Roof Mounting connection:(1)Roof Tech RT Mini w/(2)5.0x60mm SS wood screws to framing at max.48"o.c.along rails Install(2)rails per row of panels,evenly spaced;panel length perpendicular to the rails shall not exceed 70 in Rail cantilever shall not exceed 33%of connection spacing Connections shall be staggered so as not to overload any existing structural member 651 W.Galena Park Blvd.,Ste. 101/Draper, UT 84020/T(801)990-1775/F(801)990-1776/www.vectorse.com r 01,1 1 VSE Project Number: U1867.0571.221 Prj3393 Laird Residence 1/4/2023 E r1 O 1 n E E F2 a Conclusions Based upon our review,we conclude that the existing structure is adequate to support the proposed solar panel installation. See attached calculations. The solar array will be flush-mounted(no more than 10" above the roof surface) and parallel to the roof surface. Thus, we conclude that any additional wind loading on the structure related to the addition of the proposed solar array is negligible. The attached calculations verify the capacity of the connections of the solar array to the existing roof against wind(uplift), the governing load case. Increases in lateral forces less than 10% are considered acceptable. Thus the existing lateral force resisting system is permitted to remain unaltered. Limitations Installation of the solar panels must be performed in accordance with manufacturer recommendations. All work performed must be in accordance with accepted industry-wide methods and applicable safety standards. The contractor must notify Vector Structural Engineering, LLC should any damage,deterioration or discrepancies between the as-built condition of the structure and the condition described in this letter be found.The use of solar panel support span tables provided by others is allowed only where the building type, site conditions, site-specific design parameters, and solar panel configuration match the description of the span tables.The design of the solar panels,solar racking(mounts,rails,etc.)and electrical engineering is the responsibility of others. Waterproofing around the roof penetrations is the responsibility of others. Vector Structural Engineering assumes no responsibility for improper installation of the solar array. Vector Structural Engineering shall be notified of any changes from the approved layout prior to installation. VECTOR STRUCTURAL ENGINEERING,LLC c WELLS L. •y„ 1 HOLMES 0 STRUCTURAL44 No.54240 01/04/2023 Wells Holmes,S.E. MA License:54240-Expires:06/30/2024 Project Engineer Enclosures WLH/tro 651 W.Galena Park Blvd.,Ste. 101/Draper,UT 84020/T(801)990-1775/F(801)990-1776/www.vectorse.com I. .t xA`• $Y-1. ily � 7$iik C{wr{1i i .txt :�ri.'4 Ian *43'rt-x ;w• `r3 • f".441.40f1r 'i 3� 4fii�'2?,"k� 3..of, .. ;1";i ft` .a;.{1a1 J1 :-..._ .i°t i1 , .i.. :S .+•s``7, : • • e; f y f,, � l Syr-(es�v}' 1"11 .t r .r: ' is ;; ;;; !], + .'.t , 'f ter..i.v`,y _1.L,�..i`Tt' • 'a::. . ,,: ... ,- .. ,..,• =L: "��tt s . i .:`f: '.u. < ::e-r �`s, .,E 1., 1$,J ii,.ffg [t • .. • .. Ei`M11 • .•C,-_ +i•' -3_ - • "l..!, ^ _ '{ ° } t#r t EEt 1"..1Ka.14„A,40;14 sA 4F n !:, tfs: ice: :w . . `. �i;J "�i�;"(#; !; '3 t1:f` 1 d�$t�`$ .'• ' i ." .y r:r • ..�'. ...�x. • IT .> .4.�l "S`3�.. .i. 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':'t eli ,ys ,,y v iii• • 4 . .. `a is s3 sr si:,' , JOB NO.: U1867.0571.221 VETORSUBJECT: WIND PRESSURE E n G l I FIEER s PROJECT: Prj3393 Laird Residence Components and Cladding Wind Calculations Label: Solar Panel Array I Note: Calculations per ASCE 7-Ma SITE-SPECIFIC WIND PARAMETERS: Basic Wind Speed [mph]: 140 Notes: Exposure Category: C Risk Category: II ADDITIONAL INPUT & CALCULATIONS: Height of Roof, h [ft]: 25 (Approximate) Comp/Cladding Location: Gable Roofs 27° < 0 <_45° Enclosure Classification: Enclosed Buildings Zone 1 GCP: 1.0 Figure 6-11 D (enter negative pressure coefficients) Zone 2 GCP: 1.2 Zone 3 GCP: 1.2 a: 9.5 Table 6-2 zg [ft]: 900 Table 6-2 Kh: 0.95 Table 6-3 KZt: 1 Equation 6-3 Kd: 0.85 Table 6-4 Velocity Pressure, qh [psf]: 40.3 Equation 6-15 GCP;: 0 Figure 6-5 PRESSURES: P = 9n GC� )— GC� l Equation 6-4 Zone 1, p [psf]: 39.8 psf (1.1) W, Interior Zones, beyond 'a' from roof edge) Zone 2, p [psf]: 47.8 psf (1.0 W, End Zones, within 'a' from roof edge) Zone 3, p [psf]: 47.8 psf (1.0 W, Corner Zones, within 'a' from roof corner) (a= 3 ft) • • ws+wa:�..,w�«sa+asa�wiii a.w s •::<s..w,w.�.-: a•.....,:..,.-,r--..:�. .. a.-,-...;,.,,.,•so...«x ,.:......,fir. z... - _ : f ...as...f ."'t. .. • ..':� t ,' is I :"�� l "'.t. 4 i ..,. .. ., . w...rit ry. t - r. ..j f' , \ tb,,V JOB NO.: U1867.0571.221 E C T O R SUBJECT: CONNECTION E rl G i tl E ER S PROJECT: Prj3393 Laird Residence Calculate Uplift Forces on Connection Pressure Max Trib. Max Uplift (0.6 Dead -0.6 Wind) Max Trib. Width Area2 Force (psf) (ft) (ft2) (lbs) Zone 1 22.2 4.0 11.7 259 Zone 2 27.1 4.0 11.7 316 Zone 3 27.1 4.0 11.7 316 Calculate Connection Capacity Roof Connector: Roof Tech RT Mini Additional Connection Info: w/ (21 5.0x60mm SS wood screws to framing Ultimate Capacity3 [lbs/in]: 894 Factor of Safety: 2 Qty. of Connectors: 1 Prying Coefficient: 1 Total Capacity [Ibs]: 447 Determine Result Maximum Demand: 316 Connection Capacity: 447 Result: Capacity > Demand, Connection is adequate. Notes 1. 'Max Trib. Width' is the width along the rails tributary to the connection. 2. 'Max Trib Area' is the product of the 'Max.Trib Width' and 1/2 the panel width/height perpendicular to the rails. (2) rails per row of panels. Length of panels perpendicular to the rails shall not exceed 70". 3. Ultimate capacity values are from manufacturer testing. 4. Install metal roof connector per manufacturer's written instructions with recommended fasteners when indicated. r ...:,n-.�-.`..a;.vy.�ecl...-...... ,.._r.- A .r..-. ,RA.,.-,A. :...-r. - _......, - ,.r -ar ..'Mf. r. f v.,-..-_•WF u,AM1 6�....yF, , -f i ,. ram... p/ •.:t JOB NO.: U1867.0571.221 VECTOR SUBJECT: GRAVITY LOADS E n G i n E E R s PROJECT: Prj3393 Laird Residence GRAVITY LOADS Roof Pitch: 12.0 :12 Design material Increase due to Material weight ROOF DEAD LOAD (D) weight [psf] pitch [psf] Asphalt Shingles 2.8 1.41 2.0 1/2" Plywood 1.4 1.41 1.0 Framing 3.0 3.0 Insulation 0.0 0.0 1/2" Gypsum Clg. 0.0 1.41 0.0 M, E & Misc 2.0 2.0 Total Existing Roof DL 9.2 PV Array DL 3.8 1.41 3 ROOF LIVE LOAD (Lr) Existing Design Roof Live Load [psf] _ 20 ASCE 7-Ma Table 4-1 Roof Live Load With PV Array [psf] 20 SNOW LOAD (S): Existing w/ Solar Array Roof Slope [x:12]: 12.0 12.0 Roof Slope [°]: 45 45 Ground Snow Load, pg [psf]: 30 30 ASCE 7-C), Section 7.2 Terrain Category: C C ASCE 7-C), Table 7-2 Exposure of Roof: Fully Exposed Fully Exposed ASCE 7-C),Table 7-2 Exposure Factor, Ce: 0.9 0.9 ASCE 7-C), Table 7-2 Thermal Factor, Ct: 1.1 1.1 ASCE 7-C), Table 7-3 Risk Category: II II ASCE 7-C), Table 1.5-1 Importance Factor, Is: 1.0 1.0 ASCE 7-C), Table 1.5-2 Flat Roof Snow Load, pf [psf]: 25 25 ASCE 7-C), Equation 7.3-1 Minimum Roof Snow Load, pm [psf]: 0 0 ASCE 7-C), Section 7.3.4 Unobstructed Slippery Surface? No No ASCE 7-C), Section 7.4 Slope Factor Figure: Figure 7-2b Figure 7-2b ASCE 7-C), Section 7.4 Roof Slope Factor, Cs: 0.77 0.77 ASCE 7-C), Figure 7-2 Sloped Roof Snow Load, ps [psf]: 19 19 ASCE 7-C), Equation 7.4-1 Design Snow Load, S [psf]: 19 19 trx 7. , Fc� Fw« 9 �/E C T O R Abbrev GRADES (psi) (psi) E (psi) (Ib/ft3) JOB NO.: U1867.0571.221 DFL#1 DFL#1 1,000 160 1,700,000 32 ..) DFL#2 DFL#2 900 180 1,600,000 32 E r-1 G I (1 E E R S DFt(5X) DFL#1 5X5 8 LARGER 1,350 170 1,600,000 32 SPF#2 SPF#2 875 135 1,400.000 26.2 SP#2 SP#2 1,100 175 1,400,000 34.3 PROJECT: Prj3393 Laird Residence SUBJECT: BEAMS 24F-V4 24F-V4 2,400 240 1,800,000 32 24F-V8 24F-V8 2,400 240 1,800,000 40 LVL(1.9) LVL(1.9X108E) 2,800 285 1,900,000 40 DESIGN LOAD.: Load Types: Snow Live Dead LVL(2.0) LVL(2.0x106E) 2,200 285 2,000,000 42 Roof 19 20 9 CRITERIA(L/) DTL DLL DI3L LSL LSL(1.3X106E) 1,700 400 1,300,000 42 R Solar 3.8 ' (BLANK) 120 180 STL38 GRADE 36 STEEL 21,600 14,400 29,000,000 490 STL46 GRADE 46 STEEL 27,700 16,500 29,000,000 490 STL50 GRADE 50 STEEL 30,000 20,000 29,000,000 490 Point Point o Add') Add'I Xi Live Dead oi n Roof Floor Wall Live Solar Point ft Dist Load Load at 3 Xm 1.5DL Length Trib Trib Trib Load Load Load ' 'a' 'ALL' 'PoL' ± Knell Vma: Va1ow DTI_ DTLanw DLL DLLB. GLB Label 'L'(ft) (ft) (ft) (ft) (plf) (plf) From to (ft) (lb) (Ib) GIGrade Size Al y Cr Co CF V R.(Ib) Rb(Ib) (ft-lb) (ft-lb) (Ib) (lb) (in) (in) (in) (in) Camb Check Rafter 14.2 1.33 5.1 (1) SPF#2 2x8 1.15 1.15' 1.20 313 313 1111 1521 286 1126 0.605 1.420 0.366 0.947 0.73M SHEET INDEX SUMMARY PV-1 PV-1:COVER PAGE PV-2:SITE PLAN PV-3:SINGLE LINE DIAGRAM \ GENERAL NOTES: PV-4:RACKING AND STRUCTURAL \ PV-5:PROJECT SIGNAGE - \ ALL WORK TO BE DONE IN ATTACHMENTS \ \ \ ACCORDANCE WITH THE -PV MODULE SPEC SHEET \ \ / FOLLOWING CODES: \-INVERTER SPEC SHEET \ • -IQ COMBINER \ -RACKING SPEC SHEET(1/4) \ \ \ 2020 NATIONAL ELECTRIC CODE -RACKING SPEC SHEET(2/4) \ S/� \ / 2015 INTL.RESIDENTIAL CODE -RACKING SPEC SHEET(3/4) \ Fj4� \ - / 2015 INTL.ENERGY BUILDING CODE -RACKING SPEC SHEET(4/4) \ F.qF \ 2018 INTL.ENERGY CODE \ \�NF \ / WITH MA AMENDMENTS PROJECT DETAILS / \ \ \ (18) REC405AA PURE BLACK 405W MODULE \ \ \ / AS ADOPTED BY THE STATE OF (18) IQ8+MICRO-INVERTERS / \ MASSACHUSETTS; (1) IQ COMBINER 4C-ES \\ I ALL OTHER ORDINANCES ADOPTED BY DC SYSTEM SIZE: 7.29 KW DC(STC) / \ \ LOCAL GOVERNING AGENCIES. AC SYSTEM SIZE: 5.22 KW AC NOMINAL � \ INSTALLE:ASPHALT SHINGLE ROOF / \ AHJ:TOWN OF WEST YARMOUTH RAFTERS: DECK TYPE INSTALLATION(REFER TO STRUCTURAL DOGS) \ / / PROJECT / \ I VICINITY MAP / / ANDREW LAIRD / / 181 SOUTH SEA AVENUE WEST YARMOUTH,MA 02673 - ������ :,w,. _ - \ -- / / GPS:1.641031,70.23 3473 . / 444r /---- --. / / O \ / / DESIGNER:YAO OUATTARA �/ \ / / CREATED:12/23/2022 \����®� // / REVISED:N/A aw air w.a.. e PARR a.w.an.15I ,7 „aeon,eau »5 W ISSUANCE:PLANSET p.p..urn�+a /a5.70 v www.vacrvwv.cva / 3D MODEL - - 114OF / = NEW ENGLAND CLEAN ENERGY „4(I f..-,., -- _ WELLS L / 577 MAIN ST.SUITE 430 HOLMES / HUDSON,MA01749 a?'RUC �l „ 0 I 'NEW ENGLAND V } `�,,+' .! I / (lean Energy. 01/04/2023 / a' 1 VSE Project Number:U1867.0571.221 PLANS PROVIDED BY: Yeaor Structural Englueerwg has ekmad the existing YAO OUATTARA ra tructure went wading from the solar array and screw ElectriNobce al end Soler Engineer NI connections to the existing framing The design or ms (978)4 certified:Ce Gene PV 04zzT7 D16452 racking system racking connections,and an other (878)483-8333 structural la by others Mechanical,architectural and all other nonstructural aspects of Ma design ma by onten. 48' 88' The de end metne shown 19 fdr review purppses Ony. Elecntml la by<Ahem unless stamped by Dean Lawmen. Q YAO OUATTARA retains all title,ownerehiP.and intellectual property rights to the materiel contained herein. I - ;S. ) I L T t • t a xa^y.• tea` ' , • • • • • • t • • • • ELEVATION DETAIL \ SITE PLAN PV-2 NOTE:INSTALLER TO VE RAFTER SIZE, \ ROOF INFORMATION SPACINGG AND AND SLOPED SPANS,AND NOTIFY ENGINEER OF ANY DISCREPANCIES BEFORE PROCEEDING TYPE ASPHALT SHINGLE ROOF \ PITCH -45° RAFTER DECK TYPE REFER TO ARCHITECTURAL DOC I • \ #STORY TWO-STORY ARRAY INFORMATION • ARRAY MODULES TILT AZIMUTH 1 \ ARRAY 18 45° 205° 1-..'''''\'''''41/11111'4-.."--...„.........,.....14bOpQ _ • ARRAY 1 ©©©© (18)MODULES © PROPOSED NEW EXTERIOR (18)MICRO INVERTERS © 1.1' TILITY PV GENERATION • 1=CIRCUIT 1 METER,SMART METER PROJECT • 2=CIRCUIT 2 PROPOSED POINT OF INTERCONNECTION: PITCH:—45° VIA NEW BACKFED BREAKER AT OPPOSITE ANDREW LAIRD • AZIMUTH:—205° END OF MAIN BREAKER• 181 SOUTH SEA AVENUE / WEST YARMOUTH,MA 02673 EXISTING INTERIOR 200A GPS:41.641031,-70.2383473 / MAIN SERVICE PANEL APPROXIMATE / PROPOSED NEW INTERIOR • PROPERTY LINE Q COMBINER PANEL AND DESIGNER:YAO OUATTARA / DATA ACQUISITION SYSTEM CREATED:12/23/2022 TILITY/ PROPOSED EXTERIOR NEW )kVECTOR OAR C DISCEN 2E/7 / SOLAR AC DISCONNECT REVISED:N/A / .ea.Ur.� s,eeen • ton • an,«.vsc ..;;:"°"`" °""ro' ISSUANCE:PLANSET,. or f�S NEW ENGLAND CLEAN ENERGY / WELL! 1, 577 MAIN ST.SUITE 430 / HIVE HUDSON,MA 01749 STRUCTURAL N No,84240 `NEW ENGLAND • \ / \; ;tlean Energy / / 01/04/2023 , VSE Project Number:U1867.0571.221 PLANS PROVIDED BY: _ YAO OUATTARA Vector Structure!E thg Electrical end Solar Engineer structure cture with boding torn the Coen easy end screw N Nabcep certified:Cede PV-042217-016452 NOTES:PANELS WILL BE FLUSH MOUNTED,NO GREATER THAN 12 INCHES FROM SURFACE OF THE FINISHED ROOFING MATERIALS.ALL WIRING, mmee.irma framing.TneoCbnot d,e (978)483.8333 rerict r system,Bede. agmeocan0.end ea atMr PIPES,RACKS AND JUNCTION BOXES MUST BE CONCEALED FROM VIEW.NO CONDUIT,J BOXES WILL BE VISIBLE ON THE ROOF.ALL CONDUIT swch,reb is by where.Mechanical..Rne.ab,.b.and ad The designs end material shown isfor review purposes only. WILL BE ROUTED THROUGH THE ATTIC.PANELS WILL BE FLUSH MOUNTED AND ALL CONDUIT/EQUIPMENT WILL BE PAINTED TO MATCH. other nonstructural aspects°t the de. an,by others. L , YAO OUATTARA retains all tide,ownership,and intellectual Electrical a by oerers,unless stamped by Sean levo,sen. property rights to the material contained herein. • • • .�3 I • S fi • • ii .-..r..,'.�... ...-.. ... .. .» .. .. ., . - ... .. , SINGLE LINE PV-3 NEC ELECTRICAL CALCULATIONS FOR CONDUCTORS SYSTEM INFO No OF Estimated Module Count 18 CONDUC.IN CONDUIT RATED TEMP CONDUIT MAX Modwevowerlw) 405 ID TYPICAL DESCRIPTION CONDUCTOR CONDUITConductor FILL% AMPS OCPD EGC CORR FELL CONT CURRENT RASE DERATE Micro-Inverter Count 1e CONDUIT Length FACTOR FACTOR CURRENT(125%) AMP AMPS Moro-Inverter Power(W) 290 AC BRANCH CIRCUIT:MICRO-INVERTER 10 AWG THWN-2, INTEGRATED MKro-Mwrter Current IA) 1.11 1 2 FREE AIR N/A N/A WA 10.89A 20A 2P 0.76 N/A 10.89A 13.61A 35A 26.6A meal Current(A) 21.78 OUTPUT TO JUNCTION BOX COPPER IN ENPHASE SYSTEM Derated Current(A) 27.23 AC BRANCH CIRCUIT:JUNCTION BOX 10 AWG THWN-2, 12 AWG THWN-2, DCPU(A) 30 2 2 TO ID COMBINER COPPER 1"DIA.EMT 4 Less Than 40' Less then 40% 10.89A 20A 2P COPPER 1.0 0.8 10.89A 13.61A 35A 28A DC Capacity(KW) 7.29 AC Capacity(KW) 5.22 3 1 (C COMBINER PANEL OUTPUT 10 AWG THWN-2, 1"DIA.EMT 2 Leas Than 10' Less than 40% 21,78A 30A 2P 10 AWG THWN-2, 1.0 1.0 21.78A 27.23A 35A 35A DC/AC Ratio 1.40 TO DISCONNECT VIA SMART METER COPPER COPPER 4 1 UTILITY DISCONNECT TO 10 AWG THWN-2, 1'DIA.EMT 2 Less Than 10' Less than 40% 21.78A 30A 2P 10 AWG THWN-2, 1.0 1.0 21.78A 27.23A 35A 35A TO POINT OF INTERCONNECTION COPPER COPPER ENGINEER OF RECORD SIGNATURE WITH SEAL INTERIOR ENPHASE • PROPOSED NEW IQ COMBINER 4C-ES EXTERIOR 30A NON-FUSIBLE X-IQ-AM1-240-4C-ES --- 125A,120/240V,1$3W """"." ''''.'..-.... EXISTING EXTERIOR SOLAR AC DV,NEAR 3RCT PROPOSEDY PRODUCTIONNEW MET EXTERIOR NEMA 3R UTILITY 1�3W,120/240V,NEMA 3R UTILITY METER .1. .I 120 1 3W 24/7 READILY ACCESSIBLE SMART GENERATION METER, • ge�ELI���tt� GANG-OPERATED ROOFTOP cRCUo1 LINE AT THE TOP OF THE EVERSOURCE LOCKABLE IN THE OPEN POSITION METER,LOAD AT THE PASS © oiu C405AA PURE S 104.40SW MODULES ACCOUNT#:3003 011 0016 RAPID SHUTDOWN SWITCH BOTTOM OF THE METER THROUGH METER#:2895067 BOX r `r 20A 2P • ,,, O• L� ei: PROJECT UTILITY 4 3 e - - • ANDREW LAIRD METER IC RECI2 CIRCUIT PUREBLACK 4c4W MODULES • © (IS CIDRO.NVERTER91De. 181 SOUTH SEA AVENUE ,U (E) 15A 2P WEST YARMOUTH,MA 02673 No 270A 2P -6 2_ GPS:41.641031,-70.2383473 i I saL ENPHASE DESIGNER:YAO OUATTARA S (N) g AWAP POINT OF INTERCONNECTION: CREATED:12/23/2022 LOAD SIDE CONNECTION VIA BACKFED BREAKER AT OPPOSITE REVISED:N/A END OF MAIN BREAKER + (E)200A HOUSE MAIN ISSUANCE:PLANSET SERVICE PANEL 200A MAIN BREAKER 120/240V 1$3W NEW ENGLANDCLEAN ENERGY S 577 MAIN T.SUITE 430 HUDSON,MA 01749 CWEW ENGLAND`(� C>> lean Energy '?? [ELECTRICAL NOTES'-_ - _ - - Drli ri.g Better Allermmiv.r, 1.ROOFTOP MOUNTED PHOTOVOLTAIC PANELS AND MODULES SHALL BE TESTED,LISTED AND IDENTIFIED BY RECOGNIZED TESTING LABORATORY ' 2.SOLAR SYSTEM SHALL NOT COVER ANY PLUMBING OR MECHANICAL VENTS ' 3.MODULES AND SUPPORT STRUCTURES SHALL BE GROUNDED UNLESS RACKING HAS INTEGRATED GROUND. 4.REMOVAL OF AN INTERACTIVE INVERTER OR OTHER EQUIPMENT SHALL NOT DISCONNECT THE BONDING CONNECTION BETWEEN THE GROUNDING ELECTRODE CONDUCTOR AND THE PHOTOVOLTAIC SOURCE AND/OR OUTPUT CIRCUIT GROUNDED CONDUCTORS. PLANS PROVIDED BY: 5.AU.PV MODULES AND ASSOCIATED EQUIPMENT AND WRING SHALL BE PROTECTED FROM PHYSICAL DAMAGE. YAO OUATTARA B.LIVE PARTS OF PV SOURCE CIRCUITS AND PV OUTPUT CIRCUITS OVER 150V TO GROUND SHALL NOT BE ACCESSIBLE TO OTHER THAN QUALIFIED PERSONS Electrical and Solar Engineer ENERGIZED. 7.INVERTER IS EQUIPPED WITH INTEGRATED DC DISCONNECT.THUS PROVIDING GROUND FAULT PROTECTION(APPLICABLE ONLY FOR STRING INVERTERS) Nebcep certified:Carta PV-042217-016452 B.ALL CONDUCTORS SHALL BE COPPER AND AT LEAST 75 DEG RATED (978)483-8333 9.A SINGLE CONDUCTOR SHALL BE PERMITTED TO RE USED TO PERFORM THE MULTIPLE FUNCTIONS OF DC GROUNDING.AC GROUNDING AND BONDING The designs and material shown is for review purposes only, BETWEEN AC AND DC SYSTEMS. all retains SITS,ownership,10.NON-CURRENT CARRYING METAL PARTS OF EQUIPMENT SHALL BE EFFECTIVELY BONDED TOGETHER.BOND BOTH ENDS OF RACEWAYS. YAO OUATTARA and intellectual property rights to the material contained herein. .... �' 5 • • -Q1 6 .:' i .. ..:. �i �� ' RACKING& PV-4.1 STRUCTURAL ill SOUtli Sea Avenue .+NNOMRIOfM .._r r„r... .e INOMRIOOL erelall OeMl. Pool Ser.on 1 here gel Dade Pee hank Pure .-. Pnlells Location 11 earth Wee dyer.YWmarte,4402e73 Total nmdebe nnu is a t,w 21 u wwwa.wr.c Po.il2a V01 Module RP[.0.0,Wan.Mae Mean/ total..ttn Pel mWveeen lest West kteeerena.x Wng.rey1Ument.254 b, Plmen.wn. Den Ilea'n a0.0'a 11e'le>1 Amre a 1016amm a 3a.em.y ttechmenl. o,entxton a Wain e.x tot e sere .10 Pails de mw N.a Prey type.O,epi crew.28 Merited.weal.25 Pst w.d.s ruytnlsSystem Welel 1110. total system welt,. e13 r On Wergeterlacherent 00A11, Wt. see. .. ._. weight Zap>m< s,yP.a Order load a, ENGINEER OF RECORD e+< SIGNATURE WITH SEAL 0wt, med w.Wh1 2 5 n. Pll.,hm.,.p.,,.R P.mr.n m erre/Information Ape elelerod oet metered emlmne.101m eerie, o awa nnrPm.nt, n Mel elope ett+rnmeet he,dware xewe Max leer,.hmeee. peo PROJECT II ANDREW LAIRD 181 SOUTH SEA AVENUE WEST YARMOUTH,MA 02673 GPS:41.641031,-70.2383473 DESIGNER:YAO OUATTARA hepreente Wer.tier Color., Merletere hall length Cennleeee sea ettechment. 5010<e, 1 lend. CREATED:12/23/2022 . 5w rlea Ira Pon seems.(Mel,p SI d lir 11.MA 1711'1 20 a 1.. b . 10' le 4'12<1101 Reid segmentWeleIlk:1. MPrt•eUPI le 0 1. REVISED:N/A ISSUANCE:PLANSET NEW ENGLAND CLEAN ENERGY 577 MAIN ST.SUITE 430 HUDSON,MA 01749 ZI'NEW ENGLAND lean Energy -e,i,I.Juudto AtenU}flan.en I,f,1:el 10 PM hoe 1 d3 last updated by Alf ouancM on 132aoe2201 ton. Mono2ora IIrhrering Notre Aft.,r.n,r, PLANS PROVIDED BY: YAO OUATTARA EkctnW and Solar Engineer Nabcep certified.Carte PV.042217-016452 (978)483.8333 The designs and material shown is for review purposes only. YAO OUATTARA retains all title,ownership,end Intellectual L__ property rights to the materiel contained herein. RACKING& PV-4.2 STRUCTURAL I tCI South Se.Avenue.. .IRCISR0011 ICI South Se.Avenue•, IRONRI Oos sae.e OM* bmil.till,Otalyrri. _L F---OPbaA.RANNN AA KW aNt1l AaIIfINrCflWlf - �o;-�-,- oa o�N�tt I.. ' . IIMANAI Sena II %No ONMll lest.IN Naw AlER OF RECORD E O �� ,_. W W `_, ,_, �� SIGNATURE WITH SEAL illElf Chino DONN WMtI01AE IU[tW(Mltl —^�--•NMO(AItN a1161aC% a ..lO V 7/. . �• �f c�WI dNtMME 1\FMN1E , �.... �./_ter',. illa W M()Ikll F c ) 1 IrvIM01)UlE _ _____. Mt MCA END ( lime l4WR se NNE121U(MN) AIIEMA I`.. AMAMI , c © •O eN motley,OW Wei OEM WOO INI Deem Plan toe Camp,NmN t_-- PROJECT AMerncMMd. • Grounding Lug —0 Fault Current.� Miimum1OAWG ANDREW LAIRD AAOu.slMRr• • Module Grounding Loy Ground Path Copper Wiry II a9ladrop noel^ 181 SOUTH SEA AVENUE m AIR ne(Raic(tnn unla WEST YARMOUTH,MA 02673 IIII Aire Tle E pension)cot(Rail ConrleCtlOn) :j Owd too w&copper Wm., GPS:41.641031,-70.2383473 I nCMConM+tr or Om eamNrohrO,2+3..Pe,o.a a+nlnn Ill e•hendbq Naar mooed m nnMle Porten I?)PV grooming lugs a1WJMd m ImdCP Rena«*MS 10 ANC Iv lamer ywrd Wn 17I Tao Qound pNse MIAOW to Iry row of raac 0.lh 10AWGn idea 1NNal roe DESIGNER:YAO OUATTARA CREATED:12/23/2022 REVISED:N/A • ISSUANCE:PLANSET NEW ENGLAND CLEAN ENERGY 577 MAIN ST,SUITE 430 HUDSON,MA 01749 `NEW ENGLAND 111/ ) lean Energy. ail /yr,J Led fa0.ted by CA(1 UUAttalA on 1X,111 Silo PM P¢NM1 IAM UWtra M Me a11ATMA an ltf1Nl4 N1'.re M N.axle /hAwrim,Brlee AWnr.Nun ' PLANS PROVIDED BY YAO OUATTARA Electrical and Solar Engineer Nabcep certified:Cara PV-042217-018452 (978)483-8333 The designs end material shown is for review purposes only. YAO OUATTARA retains all title,ownership,end intellectual property rights to the matenel contained herein. RACKING 8 PV-4.3 STRUCTURAL .AM Sm. form 0tr wY a see.A. AS Alva a 12 •...e.+•' t v ✓ 11,011f nn tle.r thin.a anSAtlMy Al OM 0141 a to AA WO a1AIl „ ENGINEER OF RECORD SIGNATURE WITH SEAL AFWtialAll alntnn.td1 n a 0Itt ate-.a..,. w uooc.ia1 36 lie Nit NOTE:USE ROOFTECH RT MINI II FOR ATTACHMENT AND FLASHING. REFER TO RT MINI II INSTALLATION MANUAL FOR INSTALLATION DETAILS RT MINI II ATTACHMENT COUNTS:36 SCREWS COUNTS 36A4n144 • PROJECT ANDREW LAIRD 181 SOUTH SEA AVENUE WEST YARMOUTH,MA 02673 GPS:41.641031,-70.2383473 DESIGNER:YAO OUATTARA CREATED:12/23/2022 REVISED:N/A ISSUANCE:PLANSET NEW ENGLAND CLEAN ENERGY 577 MAIN ST.SUITE 430 HUDSON,MA 01749 drNEW ENGLAND 1{ ean Energy, 773 L.u$Yfd.r.0 AJflSA re.11/1122 SI t0•tt A.f el, thhavnng Better Alternative. PLANS PROVIDED 6Y YAO OUATTARA Electrical and Solar Engineer Nebcep certified:Cord PV-042217-016452 (978)483-8333 The designs end materiel shown Is for review purposes only. YAO OUATTARA retains all title,ownership,and Intefectual property rights to the matenal contained herein. SIGNAGE PV-5 ! DANGER PHOTOVOLTAIC AC DISCONNECT • ELECTRICAL SHOCK HAZARD i HOTOVOLTAIC POWER SOURCE RATED AC OUTPUT CURRENT 21.T8A TERMINALS ON THE LINE AND NOMINAL OPERATING AC VOLTAGE:240V LOAD SIDES MAY BE ENERGIZED IN THE OPEN POSITION NEC S90.31101121 NEC 990.50 LABEL LOCATION: TARE!LOCATION, INTERIOR MO EXTERIOR DC CONDUIT EVERY 10 FT,AT EACH TURN,ABOVE AND AC DISCONNECTISI,PHOTOVOLTAIC SYSTEM POINT OF BELOW PENETRATIONS,ON EVERY JBIPULL BOX CONTAINING DC CIRCUITS.(WHEN INTERCONNECTION NEC 206.15(C)(4)&NEC 090.13(B) APPLICABLE) CArIFFI im A RIS),AC DISCONNECT($),DC DISCONNECT($).AC COMBINER PANEL(WHEN APPLICABLE) ! WARNING RAPID SHUTDOWN F0 1f POWER SOURCE OUTPUT SOLAR PV SYSTEM ` CONNECTION.DO NOT RELOCATE THIS L OVERCURRENT DEVICE. NEC e9B ee(CX2) LABEL LOCATION: ON OR NO MORE THAN 1 M(3 FT)FROM THE SWITCH NEC 705.12181(3H21 LABEL LOCATION: ADJACENT TO PV RACKETS BREAKER(WHEN APPLICABLE) ri WARNING SDLAR PV SYSTEM RAPID SHUTDOWN IED WITH ,N T E°a> WrMN 7' PROJECT DUAL POWER SOURCES „T.TOREE'POST -" I�IIMEWOC AV.iN SECOND SOURCE IS PV SYSTEM AMY I ANDREW LAIRD NEC IDS.121C)S NEC B90.59 IFC 605.11.3.1(1)&NECB90.5e(C) 181 SOUTH SEA AVENUE yeELLocTsnoN: LABEL LOCATION: WEST YARMOUTH,MA 02673 UTILITYSE VICE METER AND MAW SERVICE PANEL ON OR NO MORE THAN I M 03 FT)FROM THE SWITCH ff�� CAPS:41.641031,-70.2383473 #, - NOTES AND SPECIFICATIONS ALL LABELS WILL BE ON RESISTANT BAT MAKGROUND WITHSUITABLEI FORSr THE ENVIRONMENT. -ALL SIGNSLABELS LABEL HAVE LA RED BACKGROUND U R WHEN REQUIREMENTS OF THE NECO20 0 ARTICLE vo.H0NOLESELSRCALLMEETTCTIOBBQUITEDBYC 2ego. s DESIGNER:YAO OUATTARA THIS EQUIPMENT FED BY F REQUESTED UNLESS SPECIFICLOCAL LARD.INSTRUCTIONS ARE REQUIRED BY SECTION eW.OR MULTIPLE SOURCES: IF REQUESTED BY THE LOCAL ANT. SIGNS TOTAL RATING OF AU.OVERCURRENT WORDS,COLOR LABELS SHALL D S INO,.$ADEQUATELY WARN OF HAZARDS USING EFFECTIVE DEVICES EXCLUDING MAIN POWER R LABELS SHALL BE PERMANENTLY AFFIXED TO THE EQUIPMENT OR WIRING CREATED:12/23/2022 METHOD AND SHALL NOT SE HAND WRITTEN,UNLESS PORTIONS OF LABELS OR SUPPLY SHALL NOT EXCEED MARKINGS ARE VARIABLE.OR TINT COULD BE SUBJECT TO CHANGES,SHALL AMPACRY OF BUSSAR SE PERMITTED TO BE HAND WRITTEN AND SHALL BE LEGIBLE. •LABEL SHALL BE OF SUFFICIENT DURABILITY TO WITHSTAND THE ENVIRONMENT NEC 705.12IBX3X3) INY°`�° REVISED:N/A }ABEL LOCATIVE SIGNS AND LABELS SHALL COMPLY WITH ANSI Z535 4-2011.PRODUCT SAFETY COMBINER PANEL(IF APPLNBLEI SIGNS MID LABELS,UNLESS OTHERWISE SPECTER:°. •DO NOT COVER EXISTING MANUFACTURER LABELS. DIRECTORY MAP OF DISCONNECTING MEANS ISSUANCE:PLANSET POWER TO THIS BUILDING IS ALSO SUPPLIED FROM THE FOLLOWING SOURCE WITH NOTES AND SPECIFICATIONS: DISCONNECTS LOCATED AS SHOWN: NEW ENGLAND CLEAN ENERGY 577 MAIN ST.SUITE 430 1. ALL LABELS WILL BE ON RESISTANT MATERIAL SUITABLE FOR THE ENVIRONMENT. - _ - - -- - • HUDSON,MA 01749 2. ALL LABELS SHALL HAVE A RED BACKGROUND WITH MIN.3/B'WHITE LETTERING (7�'3. SIGNS AND LABELS SHALL MEET THE REQUIREMENTS OF THE NEC 2020 PJNTICLE11021(B),UNLESS SPECIFIC INSTRUCTIONS ARE (NEW ENGLAND REQUIRED BY SECTION 690,OR IF REQUESTED BY THE LOCAL AHJ. 4. SIGNS AND LABELS SHALL ADEQUATELY WARN OF HAZARDS USING EFFECTIVE WORDS,COLORS AND SYMBOLS. i. dean Energy 5. LABELS SHALL BE PERMANENTLY AFFIXED TO THE EQUIPMENT OR WIRING METHOD AND SHALL NOT BE HAND WRITTEN,UNLESS - PORTIONS OF LABELS OR MARKINGS ARE VARIABLE,OR THAT COULD BE SUBJECT TO CHANGES.SHALL BE PERMITTED TO BE HAND A l/ /\„- B. LABEL WRITTSNHALLDBE OF SUFFICIENT DURABILITY TO WITHSTAND THE ENVIRONMENT INVOLVED.SHALL BE LEGIBLE. •�•.• W Dehmlow• ��A �� • 7. SIGNS AND LABELS SHALL COMPLY WITH ANSI Z535.4.2011,PRODUCT SAFETY •.' ' �� SOLAR AC 8. SIGNS AND LABELS,UNLESS OTHERWISE SPECIFIED. �• 9. DO NOT COVER EXISTING MANUFACTURER LABELS. ` s.. DISCONNECT PLANS PROVIDED BY: 1 YAO OUATTARA Electrical and Solar Engineer Nabcep certified:Carte PV-0422174316452 N (978)483-8333 The designs and material shown is for review purposes only. to YAO OUATTARA retains all title,ownership,and intellectual 11 property rights to the material contalned herein. s it' r: €a�;. ' ' . 4-x ; ,' y { yg „ F. i I t s fit' L _ I ` y s i d «' -, Jp A• o � 0 � � � � -+ mom ; . nm = N D � R , 404 7..] m r o D s �s7 - n0 ` o , � m ITI 71 71 D_ m n MOT SIC - -c 5 z. r ---..._ . ¢ t $ z 3 z z, o g $ z z f a' g m ,_man t4 3 1 3 3 a f �j€ ' i m g u i i ' 3 E" 0 3 : 5, ,El > + SY2 c5} , VI- 13. r.Z. ,t,,5'° ..,. { ' 13 fi 3 It 3 R P 3 m m a i i 2 g ? Fri : : ; ; : : : i P i ..,i u js : : : : : a "i is7 :g ▪ as _ c gg � PS L▪ ?$^m v. + r•RA Y 97-23 131.4¢0.1. t. 1Q 3 y 3 e ~ e x n e f R 1. ti * - 0 e'E Ri - y 3 A cZi =ta . - `. 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'"- ‘4.,,'..;;;; - - - { A .. s Y 4 -' fit',,,, f•'" rt;` a • T*~ y 1 V �' _ - �r w max; EN PHASE ® IQ8 Series Microinverters Commonly used modub pnmrga• W 235-350 239-440 250-400 298-500 320-940. 295-800• • Module comp/Lblid, 0rserei 120 halt-oell. 60-cel1/120 hall-toll.60-col1/132 hall-call end/2-cell/MA hall-cell MOP/voltage mango tl voltage2/-31 29-45 33-46 J6-AM) 35-49 JB-16 Ope•aling range V y F26-48 25-58 Min/max a fart voltage r 30/46 30/88 Max moot DC v5114ge V 00 00 Mar DC current'(module lael A 16 Ovet voltage class DC port II us a DC met boated.,tent mA 0 M aE F. pV array conhgurahon 41 Ungrounded at ray,tog additional DC side proleatiwn required:AC ode protection mincer**mar 20A pm branch circuit Ir P•M.0Oou:e<,w, VA 245 300 330 366 384 366 Max continuous output power VA 240 200 325 349 360 3B0 Nominal Il.-Li voltage/terve' V Maple • 240/211-264 20tl/163-750 Max continoOUetple cut rent A 1,0 121 1.39 1.46 1.56 1./3 Nominal f.equanpy Me 00 IQS Series Microinverters 5stendedhegUencytango a, 60-ea Max undo Par 2UAfl•U branch circuit' is is 11 11 to 9 Our newest 108 Mlcrolnvvrters are the industry's first microgrid-forming,software- total harmonic d„rornon .5% defined mleroinvertere with split-phase power conversion capability to convert DC icy to Install ovvoltaga die AC port IIIe s power to AC power efficiently,The train of the semiconductor-based mlcrolnverter AO part back feed current mA 30 is our proprietary application-Bpocific Integrated circuit(ASIC)which enables the •Lightweight and compact with mlcrolnverter to operate in grid-tied or off-grid modes.This chip Is built In advanced plug=n=pray connectors Power hence Stung 1,0 55nm technology with high Speed digital logic and has super-fast response times .Power Line Communication Dog•Eled 0Gwe1 Md101 taaivat/1W 0.85*•ding-085 tagging to changing loads and grid events,alleviating constraints on battery sizing for home (PLC)between components her eltoiendv w 97,3 • 076 978 97.6 07e 91.4 energy systems, Faster Installation with Simple CEC weghtd eMctency g7 57 97 975 97 07 two-wire cabling Night Ume pnwai cnnmimphon ,ow - SO Enphdr •'®. • High productivity and reliability Ambmm temper Mute range -40vC to.60"C(.40.8 to•1404) • Produce power oven when the Relative humidity range 4%ta 100%(contl.neing) grid Is down • DC Connecter type MCI •More than one million cumulative blmenlons(•l,W.D) 212 min(6.31r 116 min(6.01s 30.2 tem(1.21 Part of the Emphasis Snorer 5y.t,m.I088emes 1085.ries Micronmr tare redefine r.paWlty hours of testing Miro crewel lets integrate with the Enphesa l0 standards with moo than one million Weight 1.06 kg(2.38Ibis/ (Very,Couture 00emwag and the Emph... cuatulaturehOw5 of prove,on testing, •Class II double-Insulated App mandormg and analysis software, enabling an n4ustryleeding limited warranty enclosure Cooling Natural convaotaan-no lane d up1025 rear. •Optimised for the latest high- Approved for wet Ix•uane Ws powered PV modules Aowela flOtilb it I m .60 dSA ill : ) Pollution degree 3 F trosOwn MlErogrld^fOfming hcb,ure Clas.Itdoubbinwlud.co rasistantpeymarke..cbeure CERTIFIED Compiles with the latest Bmnm.category y UV arpomrnentq NEMA type 8/outdoor SAWN advanced grid support Connect PV nodules quickly end easily to 100 Oen.Mic.oinveners are UL bated es •Remote automatic updates for Co flee SIat 1741•5A)•Fa62100-1.UL1741/1ttt1547,FCC Put le Ol•ua.ICt6.0003 Clew a.CAN/COA C22.2 NO 6)71.01 I00 Serbs MIcrolnverte•s Maly,the included 05 geed Shut Down Equipment erq con10im the latest grid requirements O-OCC-2 adaptor cable with plug-n-oleo 1.4C4 with vanduf teguluiona.when installed Cerhhcatbnt this product is ul Listed as PV 5u Sd Shut Down Equipment and conforms with NEC 2011,NEC 2017,and NEC 2020 section conneatore according to manutactuter'a Inetructiom. •Configurable to support a wide Sa0:12 ens C22.1.2016 Row e4-2/6 Repro Shutdown of PV 0yuama.for AC and DC 06nductors.when installed according In range of grid profiles manufacturer's eearocbone. C 2022 Enetran Energy.AM rights reserved.Enphese,the Enpha,a logo.106 mrc.omveners. •Meets CA Rule 21(UL 1741-SA) Ill the 1001-1.206 variant will be operating In god-tied mode only at 206v AC.Ill No enforced DC/AC ratio.Sea end ether namek are trddanMrkk of EnpMase Energy Imo.Date subject to Change. requirements the convent/at,naleul•la at hitpat/ABnk.enphaaittCon/mGdule oompatDnity(3)Mexlmum 00010uoua input DC current is 10.6A(4)Nominal wltage range can be extended beyond nominal it required by the utility.(St 1083E-05-0001-01-EN-US-2022-03.01 Limns may vary.Refer to boat requrernenls to define the number of nncroinverlers pat branch in you,area. 1085E-D5-0001-01-EN-US-2022-03-01 t /� 3 fy i> a y _ l� �' ' 3IC' k 'if F a t ... tit. } I. 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Y 'i i S a i 3 A $Q p .i 11 t . I 0 R . g i '. gs Er CD ill E 4o m = at as I -_§t m ! D § m fig it - _ _ IRONRIDOE Aire" Racking System Rails Aire•"Al Rail Aire"A2 Rail Aim"Rait ilea Aire"Dock Witia 01611111111311" IP! The lighter,open Aire'" The tougher.open Ain" Structurally connect and Connects Aire'Roils to it - rail for standard conditions rail for higher load Capacity, bond Ain"falls together attachments with ease. • @'spanning capability 8'spanning capability • Relnetallabla,up to ax • Clicks on.slides easily • Wire management tray • Wire management May internal splice design • Drops into open slots • MITI or anodized black • MIII or anodized black • No more splice rules • Anodized assembly �, Clamps&Grounding ♦� lira — Aire'"Lock Mids Ake"Leek Inds Ain"Look Steetth Ake"Lug ... .„-.,.,,-., 411110. 41111. ill, ! Aar. Air AIL 11.111 -- Securely bond between Securely bond modules to Securely bonds modules to Bonds Aire"Rails to modules to Aire"Rails. Aire"Rails along ends. red ends.entirely hidden. grounding conductors. Fits a0 40mm modules Flls 30.40mm modules Angled for easy install • Simplified with single bolt Utilizes UFp design • Easy rail engagement • Robust tether leash • Low•proflle form factor • Minimal 1/2"gap • Clean aesthetics • FRS most modules • Works with 10-6 AWO Breathe easy with accelerated installations. Accessories ---- The Aire'racking system has been carefully crafted to streamline every part of the installation process.taking out ail of the tiresome hassles—so that you get off the roof and on to your next project faster than ever. Ake1e Ceps Aire"'Clip Aire'"MLPE Mount Akre"'All TIM Hook Aire"retains the strength and reliability that IronRidge installers have come to depend on.Whether you're a4 :4? seasoned installer with years under your belt or just getting started in solar,breathe easy with open Aire", 'o! I/ IIS ippoi i ,.......,4 Strength Tested PE Certified ■ All components have been evaluated Pre-stamped engineering letters are Block entry end provide a Keeps wiring contained in Securely bonds MLPE end Attaches rails to tile roofs, for superior structural performance. available online for most states. finished look to Aire"Rails. open Airer"Rail channels. accessories to Aire"Rails, with Aire"Dock included. • Stay secure on rail ends • No module interference • Glove-friendly installation • Works on flat,S,&W tiles • Symmetrical,with drain • Simple press-in design • Lays flush in rail channel • Single-socket installation Class A Fire Rating Design Assistant • Cover rough-cut ends • Slot for easy removal • Low profile form factor • Optional deck flashing Certified to maintain the fire resistance Free online software makes it simple rating of the existing roof structure to create,share,and price projects. RPsn rir(r' __- Design Assistant �„o.�o°�:,'',, Approved for FL Hurricane Zones UL 2703 Listed System 25-Year Warranty Quickly go from rough layout z'+ Aire"has Florida Product Approval. to fully engineered system, Additional details can be found on the Entire system and components meet Products are guaranteed to arrive ieai � Florida Building Code webeite. the latest effective UL 2703 standards. `''.' without any impairing defects. '061„""' ' • we i - ri -..m, npm+„Yu�.rwt u.s.rnwm nr,+aa+a var4u,„i ,- r :,. _ • .... . 0 41 . .., „._,,. • .... ...:., ..1 ',. . ?o, it* . .. . . — - .'.,•.,, k 4 . . --... , •-• . . - ,--- i n.,;,*,A41 ... \ • , - ,V ::,.....',2. ' ' : '--- i ,-., :',. , .. . IitIC•I'-,',.t!..`,AVi .,- 1--,..-.,,,.-,,, 1047-„efi,71.;„. - - ' .. t.-. 1 IS t-•I "E.. < •.1 r ,,g r4, v .r.1,...-„,;4,.,.,--• tw- - . . -' -,-. 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L___.__..-i:._-.-L_._ i. li .---�.,., 5 x 60mm Mounting Screw(RT2-04-SD5-80):100 ea./Bag I `. 5/16 X 25MM Flange Bolt&Nut(RT2-04-FBN25) 100 ea/Bay RT-Butyl(RT2-04-MNBUTYL 1 10 ea/Box 3.64 Inch(O0mm) I .60 inah(15.4mm) ji 'war^ .r Deck Installation Rafter Installation Offset Rafter Installation ^`� a / OSB&PLY Hybrid Mounting • i _ k.. 11 40 RT-MINI II is suitable for all systems with any l-Fc NoV .Caulking or Pre-Drilling Required 4 Conduit Strap Installation Universal Attachment to Any Slope °;'Timm!m!I Rout Tech Inc.AlphaSealrm Technology has been used onover Offset Rafter Attachment Options Metal, EPDM,TPO, SBS,&Asphalt Roofs one million residential PV systems since 1994.It is the first PV I mounting system with Flexible Flashing certified by the ICC. engineered to withstand wind speeds up to 180 mph and ground Wide Range of Applications& Ultimate Snow up lO G'sf Flexibility on the Roof Engineered to ASTM D 1761 (Standard Test Methods for Mechanics)Fasteners In Wood) ICC ESR-3575 ASTM2140 Testing P E t t m c. No Need to Bend Rails RT Serrated Hex Flange Bolt/Nut: .1 ,131111 pLL„�41� Metal Flashing Retrofit Flexible Flashing 1.518 North & South Adjustment 5116-18 x 1 f t t fel .n ,44.1.17. .'� 1 Wrilt ICC 1111 a : e2!. z ,, Support 8 Download, 2 l‘i 1 0 4 4 0 0......__41- *."I I I I 41) '—4" ti'• 4g1,40 0 Er......,;!_-,0 ,,,,,,,,, . :G.—. .--../.— .: . Nth.0 Installation manual ICC ESR 3575 � � Shedding Water? 100%Waterproof 'fix c' / 1 Roof le c h v.v..... Roof Tech Inc.o@ •,; www.roof-tech.us info@roof-tech.us `t1EaRS . The Standard for Waterproof Flexible Flashing Since 1994 Aiphaseat'"y 10620 Treena Street, Suite 230, San Diego, CA 92131 �; -, 858.935.6064 2 "' www.roof-tech.us info@roof-tech.us "" . August 2022 L._ _ - a.. n'•A r n w y. a"r 1,„ St r r• -..+ ,�( - r�r £may fi t ,4� h�r - i ' .CZjTFt'.. pi 'f Y ,.;ys 404. � i ;? ' Fri' 1, s a tCt+f r�4+ �F , 4 C fy # L t� " R ! ; fk � , -- - 4,,,,,,,.*„. ,,,, -.:4):„.,1,.., .,,,,,,. .. u era14 =s, , s sai`: y� l' ; ate., . ...1 ','' e''''''?1‘4-T,A. e73'"? :;-;<,--44',.:'''.-'47,,,,i-': '.:.'''.:,v-': _y e ' ':,.4,--t40 — ,‘;''',`: .,---' .' - '; :-- ‘,:c -..' t "-;11▪-1::-:.!;;-1/161-.` : oolvii mot' .q N}E ;". , 4 t # �a.*` ,fit#' �' t`. • #x? „, .„ , ,, ... :,. . r,,,,.., • �, ,... . , r,..41,„; . -_ , ; ,_,,,,,..,..,.,,,,,. �f _4-...tici, .,. .... .4 .'-... -- ...," ....,..,'F, • • r4- fix_ '' 4. • R.° #.atd1 �a t -; mac' #g vYp } 1 N ., r � „ apt. t Y ;. ,• lipr.s r ' . ± P a c fix"% . i..k.....,„,..4 i 4rfi C 4 ` t,` '.....';,..o.,..-1:1,.;".'_iiii, • • Yri.t.x a,, • 1. , -', ;- il _ (.. . yrir• �'Ct ti a OVERMAN SPAN 'I.' (BETWEEN SUPPORT%) SPAN 'L' 4i4U I r1-41 W. !Et CHART BELOW S- CHA LOW le ./.1,C0 1 11 II 11 II 11 11 11 Q r S 1, 11 II 111 I+ 11 'II1 II 2 -�..Tti , II I-_�.W_.. 7 x..Y LL.0 1 -_m.._- I I ...��.._.f�.-s:a��,.��µ6,1.y{...... wN O N�1III it I.I li I II a O , I I hi 1 1 1 I I 11���i i .1:1 1 i 1 1 r PV RAILS V g N h i I. pl I I i I t 2 OR 3 PER PANEL C }a� I A 1' A 111 II i 11 III ,��,yL I EQUALLY SPACED CE --4 a.-...✓} s;, .r _ --i. __ -,-4,--.,... -IRIF.._...- ' ._J.J. -__t 5tl CHANT BELOIN a 8 11 I 6i I I 11 (ty I 1...44 _/ 111 I1 ..II I I At p I '11 II 11 11 aN (7pY 411Ea _ ._ " ,.r___ _n-. --- ._41 4` -a- ~'n ... �YR_ rZoLL..=ruj..s: I L__. W _ J6w.. _ LJ s__ JAB_ 4 II 11 'I11R�1��- gili J ,11 I II I I 11 it 11 I , II 1' 11 ,it II 1 1 N 11 II 1 I III1 II i I 4 6 11 1 'i RT-M1Nl_ lL I �P_.FY It1411NTING SYSTEM 1i I '1 1 II 11 I: THIS PRODUCT HAS BEEN DESIGNED AND TESTED TO COMPLY WITH THE L___.--_ 1 __n._ I .II --JL... i -- kY= __._�______ ,�x w _ �a REQUIREMENTS OF THE 2020 (7TH EDITION) FLORIDA BUILDING CODE 1 11 11 ti i I II 11 1, INCLUDING HIGH VELOCITY HURRICANE ZONE (HVHZ), a t 11 tit 1 1 11 I RC THIS PRODUCT APPROVAL IS FOR THE ROOF TOP PV MOUNTING SYSTEM 11 tit .� .� 11 I I II a II a II I. I AS SHOWN ON THESE APPROVED DRAWINGS. { �i u m 11 II 11 ROOF DETAILS, UPLIFT, SLOPE, ROOF TRUSSES AND OTHER ELEMENTS g,I V ,...il_ r- 0 SHALL BE DESIGNED BY A FLORIDA REGISTERED ENGINEER AND REVIEWED t V C ry TRUSS PANEL LENGTH 1 BY THE STRUCTURAL PLANS EXAMINER OF THE CORRESPONDING ' C O' BUILDING DEPARTMENT, d CONDITIONS NOT SHOWN IN THIS DRAWING ARE TO BE ANALYZED SEPARATELY, JL c 3RT-MINI II 1 MJGSCALPE AND TO BE REVIEWED BY BUILDING OFFICIAL, i . V 44 tp PLAN Ms INSTALLATION OF PV PANEL ACCESSORIES SHALL BE �DONE IN ACCORDANCE ~ C,Q:,,M NOTE: WITH THE CURRENT EDITION OF FLORIDA BUILDING CODE AND THE 2 v.C?6`" OVERHANG AS PER PANEL MANUFACTURER'S INSTRUCTIONS. MANUFACTURER'S INSTALLATION INSTRUCTIONS. I _ CC g E I SHOULD BE EQUAL ON BOTH SIDES OF PANELS. ANCHORS SHALL BE CORROSION RESISTANT, SPACED AS SHOWN ON DETAILSIA AND INSTALLED PER MANUF'S INSTRUCTIONS. SPECIFIED EMBEDMENT TO BASE MATERIAL SHALL BE BEYOND ROOF COVERING DESIGN LOAD cAPAfFEY - PSF (LANDSCAPE MODULES) DESIGN LOADS SHOWN ARE BASED ON 'ALLOWABLE STRESS DESIGN (ASD)'. UP TO 80" PANEL LENGTHS -ROOF SLOPES ROOF SLOPES ROOF SLOPES ROOF SLOPES SOLAR PANELS TO BE INSTALLED PARALLEL TO THE ROOF SURFACE WITH A FLIT ROOFS UP TO 7' 8' TO 20" 21' TO sr 0r TO 48' TOLERANCE OF 2 DEGREES. NUMBER SPAN ANCHOR ANCHOR ANCHOR ANCHOR ANCHOR ANCHOR-ANCHORIANCHOR ANCHOR ANCHOR 11 1 1- OF EAR! 'L' TYPE'A'TYPE'R' TYPE'A'TYRE'6' TYPE'A' TYPE '8' TYPE'AI TYPE '1E' TYPE 'A' TYPE'M C" 1 - Ie" 230.3 247.% 229.6 247,2 226:2 245.8 227.3 240,0 226.2 243,0 ` j 2A" 15431 168 B 154,2 1O4,9 102.7 184,5 151.9 163 a 140.7 16L7 ------- --- ------ • __ PV PANELS NOT PART OF THIS APPROVAL. j 2 _ 42' 11L2 ' i235 1153 • 128,3 116.0 , 1239 114.2 123.1 112,0 121.1 FOR PANEL DETALS, GENERAL NOTES, COMPONENT SIZES, i - 84,0 _-- PANEL RAIL CONNECTION TO ITT-MINI II AND 4/20/2021 46" 79.4 05.3 79 77 3 63 3 Y6 S 02 0 74,3 00:4 64" 00.E 80,0 59.0 j 043 50.4 62.9 57 6 IS2 2 00.4 00:1 INSTALLATION REQUIREMENTS/LIMITATIONS j ilil -------} SEE CORRESPONDING FLA. APPROVAL DWOS, 72' .. 54.3 60-.2 33:8 57.5 ail 66.2 ...S t,3 55.4 40,1 I 53.3 _...,,__.._...",._.----- FL 8617 111---�-.: IV 2soo?lo.0 250o zlo,o z5o,o 2oo.D 25G.o I50.D 250.0 1 IaG.o �_-_..��, 1 L ! ,. "'"-' -"' '' - '4.1 i-'" A CONTRACTOR TO RE NESPONSISLC FtMI tIt SCLECT,pN,PURCIMS[AF40'i F' 1 •� 24" 2097 22B.I 205E 224A 207.1_ 223.1 208.1 I22.4 204.1 *2I0.3 INSTALLAMH Or THIS PRODUCT RASED ON NIS PRODUCT EVALUATION 1 �\ ��.,,,:v7 1, 1 �1I 3 _ 32" i5t,O 1699 157.3 169,2 106.6 167.9 155.0 107.1 102,E 1 165,0 FAG G nt/TnT DOED NOT DEVATI THOM TIE COASI1ONS OL,YAIUO j �`�S S ✓i' j 4S' t 08,8 114,E 105.9 t 13.9 104.0 112.E 103.7 { 111.0 101,0 1093 ON tNit DOCUMENT. ,` S i j .._ _ .. _ _ S-THIS PROOuCT EVALUATION DOCUMENT WV_Fit CONSMERE0 INVAuCi Ir NA,tan 0 C 1 64' %1.0 66,9 80,3 86.3 70.8 64,9 79.0 84.1 75.0 62.1 ALTERED 9Y ANY MEANS J, x 72.4 77,7 71.7 77.1_70,3-_.75.7 69,4 74.9 67.3 t 72,9 C-flit SRECIFK PROJECTS SnALL RE RRtPAREO DY A FLORIDA RLOISTCREG "' I ! mo NFTR OR ARCHHEGT VAAOI No.&COME TPE ENGINEER OF RLCORO(t0RJ Fg� LOADS SHOWN IN CHARTS ABOVE ARE FOR PANEL WIDTHS UP TO 40' FOR TIE PROJECT AND WHO*ILL RE ROSPONSIDLE FOR THE PROPER L. r '_j,_!.,_..;L..J uNIE OF 1HA P.C.D. l ENGINEER Of RECORD.ACONT AS A Oft-MATS!)SITE 1" A .. drgwin 110. ' FOR WIDER PANEL WIDTHS (41"TO 48"), DETERMINE DESIGN LOADS AS FOLLOWS tNOINEER TO THE P.ED,ENGINEER SHALL SUBMIT TO THIS UTTER THE SITE 1i * ��,' 9 LOAD FROM CHART X 40 SPLCIfIC ORAwRW6 FOP REVIEW. ♦ f • 21-27F DESIGN LOAD • _-- O EHIS P.0 0.SHALL REM TMC OAtt ANO bIEiOINAL SCK/d+0 fIOM41URE Wj7' 4 \ NEW PANEL mom THC PROFESSIONAL ENGINEER OF LKCORC TPai FREPARtD IT. _. '� II1tt`\ �DHCIOT ,��, .OYERNAN SPAN L' (KNEEN SUPPORTS) __y_SPAN '1' .--. V I' . j 0,46 MAR, SCL-CHART 90.0* 1' SEE CHART FLOW E (�at^ , Tt pi I1 II 11z o- ti;;.' 1 I1 NGTf. Or- ;iM1.'I j 1 I; 11 OVERHANG AS PER PANEL MANUtAttUR€R'S INSTRUCTION$. _ 1 _-___Ir__s_._--_y,rL__.. -_---ly .,_.,_._.-i fl'ir-_._ SHOULD ME EQUAL UN (*QTIN ROES OF PANELS. I P ,; I 11 1, 1' ,I 1,II Q 6 N ��� If 1'I 1; I I I II fX 0 O C. -1.---II,I H'--'"' lti-_-. -r ._�:--1i -_..-- 1' _.- R W N '1 l{I IIV --Of 1, I I it�„ w N V l e TT , I III11Miii Q < 11 1�1 ll I. 11 II II 0 _m 11 �' 11 1' I f I .... {I, I I 11 {1 _...� V O i'r. A n A 14 11 Ii 1, I az $ V. Ill I I 11 1�� , _.�.,�,`4:.. --}- f -4 n I,1. -". -•'II.-. 44 s , I1 t`... PV RAILS O a a � � III i1 - II 2 OR 3 PER PANEL j� �i {I I ;i "-EQUALLY SPACED a z g I 1 1 +11 I r it I I!I SEE CHART BELOW '�uu"'I N�` 11 ; I I . !II II- ,� - II;;.. (L 2 € r !1 I I1 I1, II It II„ 11 .11. h. I1 yy, 11, i LIt. We (D I 1. I II , r , 11 111i i , 1 11 it �, I I I 1 I: I' 11 t I II m, �.� _. .� 14t -1x. _ _ at; ,_,=-_.thr� 11 11 ✓I 1 1i 10 11 p 11 II 11 1 1! I.. II 4, I1. II V �j r�i.._..___i.41-- __ _..- __.._ 'ARE -�I� ,.._ 7 .�y�p�ygl!1,!� - lyV I I 1,1 1 I 1' 1 1 I II § 4/ 1. 4.. - t 1. 1. . I,11. 117SSSS .S y 1, ,I If .. ROOF , i ! LL '1 -. 1' I,C}I 11 .1 II I•' TRUSeE3 "1, . I-_.o+ I;. 11 ,1 r I cri,e 1, j I 'di, I 0 II 1 r 11 II „11 1.1 11 .. 11 I I., U.1 II , I I III 1 I' „ 11 I I i, ;t 2 6 i III I I i t I'll ,1 I 11 11 11,I RT-MINI a m V• IA 1 I I IIII - I I 11 I i� I I I I L WinN -a PORTRAIT MODl1V$ 4` ,R i PLAN NEW I I_ DESIGN LOAD CAPACITY - PRE (PORTRAIT MODULES) DESIGN LOAD CAPACITY PSF (PORTRAIT MODULES) UP TO Re" PANEL. LENGTHS UP TO 90" PANEL LENOTTIS i ROOF SLOPES ROOF SLOPES ROOF SLOPES ROOF SLOPES --'T ROOF SLOPES ROOF SLOPES ROOF SLOPES ROOF SLOPES , ,. I FAT ROOFS UP TO r r TO S0' 21 TO Zr or TO 4E FLAT ROOFS UP TO r 0" TO 40' El' To zr 90" To 48• j , i NUMBER SPAN ANCHOR1ANCHOR ANCHOR ANCHOR ANCHOR ANCHOR ANCHOR ANCHOR ANCHOR ANCHOR NUMBER: SPAN ANCHOR 1 ANCHOR ANCHOR ANCHOR ANCHOR ANCHOR ANCHOR ANCHOR ANCHOR!ANCHOR ,OF RAILS 'L' TYPE'A'I TYPE'0'TYPE'�PE '0' TYPE'A'TYPE'8' TYPE'A'1YPE'0' TYPE'A'TYPE '9' OF RAILS 'L' repE A'j TYPE 9' TYPE 'A'IIYPE'0' TYPE 'A'TYPE 0 M'E'A TYPE'0' TYPE A I TYPE'B' (..-. ! to' 137,1#, 147,4 1304 14e,e 133,0 145.4 134.1 144,0 132.0 142,0 1 16" 117 2 1259 14OA. 125.3 118,0_1239 114.2 _123.1 1110 121.1 24' 93.0 ff.0 92.0 ff,0 90,0 , f7-1 HA i 46.e 87.0 94.8 I_ 24' 70 4 06.3 ` 78,7___94.6 77.3 e3.3 _-78 5 02,6 74,3 60,4 Si 32' 70,6 75,7 T$91 70.1 00.4 73,7 476 72.9 05,4 70.0 2 F�36' `606 00.0 991 64.3 68,4 j $2.4 57.6 __f1.3 80.4 60,1 ii 4 2 4. 48,4 51.8 47,7 -r 51,1 0 r 49.8 45.4 't 49,0 43.2 47.0 49 41,7 44,6 41.0 44.0 39.4 I 43,6 36-.7 41.0 36.4 3f.8 4/20/2021 -�- j-' 14" 37.3 3f 9 3$.f I 39.2 35 1✓ I 37.5 34.3 37,1 32.1'I"35.0 I 84" 32.3 34.5 `31.4 33.6 301 �' 32 5 29.3 3+1 37,1 29.4 1 pp _ C. 72' 33,5 35,9 32 f 35.2� 31 4 33.0 30,6 33.1 28,4 31.6 �. 72" 24.1 31.1 20.4 30.4 27 0 74 29.1 26.2 24 3 24 0 I 24.9 FL #.3 f3 b 17 I Ey7 1 16" 175,5 186,7 1748 tee/ 173,3 ' 158.7 1725 105,3 170,3 163.9 L 16" 134,1 144.1 133,4 143.E 131,9 11421 131.1 141.3 1286 139,3 in/ ..)l� r 13.2 '.........32'._-19 _.. . _-_- 1._' _.�.� ..-.:...�_7_._.. 1`_- �)_ - ��`7`""N yy R II r}, ,.. 32' 189.799.4 T990 17,4 195,7 e70 9]1 e8.7 65.6 1e49 915 3 I 31 66.0 711 00.3 73.4 609 720 f0,0 71.5 ...a3s 89.2 `� 'y�:•'''uORN '•.,. : ! ;'. 3 . Q 16" 01.1 66 a 60,4 64,9 59,0 e3 6 58.2 01,8 56.0 60.7 48" 47,4 50,7 48.0 50.0 4a,2 I 48.7 444 47,9 42,2 a 9 ',- 3 f 94" 46,9 501 46 2 49 a 44.7 48.2 _43 0 47,4 _41.7 A5,$ __8_I" 38,5 39 0 35.6 3e.4_ 34.1 __37.D__33.5 38.2 31.4 31 2 - :' Na 81223 4 I . I 72" 42.1 45.1 41,4 44.4 `39.9 ES 39,11 42,2 _ 30.9 140.2 22' 33.9 35.1 32.2 34.5 _30.7 33,1 29.9 32.3 27.6 30.3 ,� _ LOADS SHOWN IN CHARTS ABOVE ARE FOR PANEL LENGTHS UP TO 68" LOADS SHOWN IN CHARTS ABOVE ARE FOR PANEL LENGTHS UP TO 80" StA -../,----'- no. FOR SHORTER PANEL LENGTHS. DETERMINE DESIGN LOADS AS FOLLOWS FOR SHORTER PANEL LENGIRS (68"TO 80"), DETERMINE DESIGN LOADS AS FOLLOWS M%y' 7 LOAD FROM CHART X 86 LOAD FROM CHART X 80 ,' to„, 21-27r DESIGN LOAD -N.---.__NE_:.. DESIGN LOAD = I' \y\. -•- cil.;3, NEW PANEL LENGTH NEW PANEL LENGTH 11 (ihiet 2 o� 3, A r 3 1/C 1410L I r . Tpo 1 I 3 iC' gw - 1` L x jE 1 r ___- - z L �J v ? g N y rt S 't �' � { 0 0 '�."2 x it $ / _ Z, 4. t,�. N I z t b0 go r, ■' T.. s r f_ s o { t3 Y z 2g g$ -C e U 0 z - 1a-lai 00 c o _A 2 q � 'goia a OlIgn :li� � f a r }t .ii a a r Zti [2 21 1! II p 1 � �S a)1 20 \ a `, g� \ $ a 0 \ r 1111 .' -lP d L 1 u �\ ; 1 •� �L'1 SC ai t 1! � .40 6 ro t - 1 _ > > ;E .'. �. (may_ >EaF US 2 p'O f,`. .... 4 'i 3� a ' N I \'A' ECmm s s ns aC C ‘; ' army g s - ? Fpa a.e °` ■ m fl� U g , za gm 1 1\4_,..\.(k.,:f:\..„.."...\....\„, abk \ ®> a„ µ NN.. 0j kik • " f‘„,.........\\ \.....\\ 4..\ g:'' /,'.%.. .,'.:7'.. iv 1. , ' ' x.-;.' 0,. 1 4:r- t .... .. A `-,- T _\14000.100 vi-4, 111 z l O O '-\\'N,. l \ IN ‘' \‘--A\\\\\k .:itcol-ko ' _ o 1 ,N $ � o : ,_,.. ..- ..A,\\\ ' ,•,.,.,, .,, z Z '° IC , -- `? `,s 1l 1r ru r� —gip rY- ,! ., t, �� // > w a tV Zy,Z1�I i ( illN1 1 f Y/ WI 4{F' .../%* n u 11 1.E dU.. 113-43-21 T_�_ -(Rr-iilwI 11 ROOF TOP Pir A 0&if C SYS!E9A AL-FAROOQ CORPORATION a _ .. dole _by— N 4�Cl1 10_t_I .. - —__. ____ _ 1, ENGINEERS K PRODUCT DEVELOPMENT "! I 1{I d`W- 1 it-__,_' - 4.— — Roof Tech Inc. , sit9360 SUNSET DRIVE_SURE 220 N'olir.Ilr TOMO !- ,--r 10620 rreenc Street Suite 230 MI'MI FLORIDA 33173 rrn.z .1c., ) S V --- Son Diego. CA. 92131 TEA.,305.1 2642100 FA&nit 21 7.c9 rq c j lt,i �') AM.OF J i_.___ --_.. !•T,±mae:(858)9_35-80E4 .—._�.— �:___-._...__. SOLAR-far 1-;r_-- i ,,, The Commonwealth of Massachusetts Department of Industrial Accidents t r� Office of Investigations Lafayette City Center „____„,„:, f 2 Avenue de Lafayette, Boston, MA 02111-1750 "�=''� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): New England Clean Energy Address: 577 Main St, Suite 430 City/State/Zip: Hudson MA 01749 Phone #: 978-567-6527 Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with 20 4. ❑ I am a general contractor and I 1 employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction listed on the attached sheet. 7. CI Remodeling 2.El I am a sole proprietor or partner- These sub-contractors have ship and have no employees 8. 0 Demolition workingfor me in anycapacity. employees and have workers' p ty. 9. ❑ Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 11.0 Plumbing have exercised their 3.❑ I am a homeowner doing all work repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.� Other solar 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: Amguard Insurance Company Policy#or Self-ins. Lic. #: R2WC352031 Expiration Date: 1/13/2023 Job Site Address:181 South Sea Ave. city/state/zipWest Yarmouth Ma 02673 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 certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: 41/tadad,711-CA _ Date: 1/13/2023 Phone#: 978-830-3181 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority(check one): 1 DBoard of Health 20 Building Department 3LJCity/Town Clerk 4.0 Electrical,Inspector 5.EIPlumbing Inspector 6.DOther Contact Person: Phone#: Y, {;, qq g Ae _ .. _ ,1 • ' 1.�� •t :"":t` i}'-._` `. `:'.'.,' .3 , r d4 4� .,yY' r Ta,vf. =SS • • ` , . . _ , _ . {1p. = t The Commonwealth of Massachusetts '7 Department of Industrial Accidents Office of Investigations Lafayette City Center .y 2Avenue de Lafayette, Boston, MA 02111-1750 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): New England Clean Energy Address: 577 Main St, Suite 430 City/State/Zip: Hudson MA 01749 Phone #: 978-567-6527 Are you an employer? Check the appropriate box: Type of project(required): 1.Q I am a employer with 20 4. ❑ I am a general contractor and I 6. ❑New construction employees (full and/or part-time).* have hired the sub-contractors listed on the attached sheet. 7. ❑ Remodeling 2.El I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance. 9. Building❑ addition required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.0 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' 13.0 Other solar 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: Amguard Insurance Company Policy#or Self-ins. Lic. #: R2WC352031 Expiration Date: 1/13/2023 Job Site Address:181 South Sea Ave. City/State/ZipWest Yarmouth Ma 02673 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 certify under the pains and penalties ofperjury that the information provided above is true and correct Signature: 4m.cateid, �¢y Date: 1/13/2023 Phone#: 978-830-3181 Official use only. Do not write in this area, to be completed by city or town official. 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