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Hinckley-Florence-BP Binder The Commonwealth of Massachusetts Board of Building Regulations and Standards Massachusetts State Building Code, 780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One- or Two-Family Dwelling FOR MUNICIPALITY USE Revised Mar 2011 This Section For Official Use Only Building Permit Number: _____________________ Date Applied: ______________________________ ___________________________________ ____________________________________________ ___________ Building Official (Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: ____________________________________________ 1.1a Is this an accepted street? yes_____ no_____ 1.2 Assessors Map & Parcel Numbers _____________________ ____________________ Map Number Parcel Number 1.3 Zoning Information: _______________ ___________________ Zoning District Proposed Use 1.4 Property Dimensions: _____________________ ____________________ 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) Public Private 1.7 Flood Zone Information: Zone: ___ Outside Flood Zone? Check if yes 1.8 Sewage Disposal System: Municipal On site disposal system SECTION 2: PROPERTY OWNERSHIP1 2.1 Owner1 of Record: ________________________________________ _________________________________________________ Name (Print) City, State, ZIP _____________________________________________ _________________ ___________________________________ No. and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2 (check all that apply) New Construction Existing Building Owner-Occupied Repairs(s) Alteration(s) Addition Demolition Accessory Bldg. Number of Units_____ Other Specify:________________________ Brief Description of Proposed Work2:_________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials) Official Use Only 1. Building $ 1. Building Permit Fee: $_______ Indicate how fee is determined: Standard City/Town Application Fee Total Project Cost3 (Item 6) x multiplier _______ x _______ 2. Other Fees: $_________ List:_________________________________________________ ____________________________________________________ Total All Fees: $_______________ Check No. ______Check Amount: _______Cash Amount:______ Paid in Full Outstanding Balance Due:__________ 2. Electrical $ 3. Plumbing $ 4. Mechanical (HVAC) $ 5. Mechanical (Fire Suppression) $ 6. Total Project Cost: $ SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License (CSL) ________________________________________________________ Name of CSL Holder _________________________________________________________ No. and Street _________________________________________________________ City/Town, State, ZIP _________________________________________________________ __________________ ______________________________________ Telephone Email address _____________________ ______________ License Number Expiration Date List CSL Type (see below) _______________ Type Description U Unrestricted (Buildings up to 35,000 cu. ft.) R Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation D Demolition 5.2 Registered Home Improvement Contractor (HIC) ______________________________________________________________ HIC Company Name or HIC Registrant Name ______________________________________________________________ No. and Street ________________________________________ ____________________ City/Town, State, ZIP Telephone _____________________ ______________ HIC Registration Number Expiration Date _______________________________________ Email address 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 ………. 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_____________________________________________________ to act on my behalf, in all matters relative to work authorized by this building permit application. ______________________________________________________ ______________________ 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. _______ ________________________ ______________________ Print Owner’s or Authorized Agent’s Name (Electronic Signature) Date NOTES: 1. 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.gov/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” The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers’ Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):______________________________________________________ Address:__________________________________________________________________________ City/State/Zip:_____________________________ Phone #:________________________________ *Any applicant that checks box #1 must also fill out the section below showing their workers’ compensation policy information. †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:____________________________________________________________________________ Policy # or Self-ins. Lic. #:__________________________________________ Expiration Date:____________________ Job Site Address: City/State/Zip:______________________ Attach a copy of the workers’ compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under 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 form 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 of perjury that the information provided above is true and correct. Signature: Date: Phone #: Official use only. Do not write in this area, to be completed by city or town official. City or Town: ___________________________________ Permit/License #_________________________________ Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other ______________________________ Contact Person:_________________________________________ Phone #:_________________________________ Type of project (required): 7. New construction 8. Remodeling 9. Demolition 10 Building addition 11. Electrical repairs or additions 12. Plumbing repairs or additions 13. Roof repairs 14. Other____________________ 1. I am a employer with _________employees (full and/or part-time).* 2. I am a sole proprietor or partnership and have no employees working for me in any capacity. [No workers’ comp. insurance required.] 3. I am a homeowner doing all work myself. [No workers’ comp. insurance required.] † 4. I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers’ compensation insurance or are sole proprietors with no employees. 5. I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers’ comp. insurance.‡ 6. We are a corporation and its officers have exercised their right of exemption per MGL c. 152, §1(4), and we have no employees. [No workers’ comp. insurance required.] Are you an employer? Check the appropriate box: ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 1/17/2024 (413) 586-1000 104 (413) 585-0401 23329 Pioneer Valley Photovoltaics Cooperative Inc. 311 Wells Street, Suite B Greenfield, MA 01301 A 1,000,000 CTRI013322 1/1/2024 1/1/2025 500,000 15,000 1,000,000 2,000,000 2,000,000 1,000,000A MCAI003353 1/1/2024 1/1/2025 2,000,000A CUPI005461 1/1/2024 1/1/2025 2,000,000 10,000 Certificate issued as evidence of coverage. City of Northampton 212 Main Street Northampton, MA 01060 PVSQUAR-01 VCARRIER Whalen Insurance Agency 71 King Street Northampton, MA 01060 Valerie Carrier valerie@WhalenInsurance.com Merchants Mutual Insurance Company X X X X X X X X X SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY N/A N/A N/A 01/10/2024 WHALEN INSURANCE AGENCY 71 KING ST NORTHAMPTON MA 01060 Valerie Carrier (413) 586-1000 valerie@whaleninsurance.com ACE AMERICAN INSURANCE CO 22667 966968 N/A N/A N/A A 6S62UB0W82800424 01/01/2024 01/01/2025 1,000,000 1,000,000 1,000,000 N/A 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/lwd/workers-compensation/investigations/. Daniel M. Crowley, CPCU, Vice President – Residual Market – WCRIBMA City of Northampton 212 Main Street Northampton 01060MA PIONEER VALLEY PHOTOVOLTAICS COOPERATIVE INC 311 WELLS ST STE B GREENFIELD 01301MA City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste 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. Address of the work: _______________________________ The debris will be transported by: ______________________________ The debris will be received by: ______________________________ Building permit number: ______________________________ Name of Permit Applicant ______________________________ __________________________________________ Date Signature of Permit Applicant AERIAL MAP NOT TO SCALEA SITE PLAN NOT TO SCALEB UTILITY SERVICE METER MAIN SERVICE DISCONNECT UTILITY SOLAR DISCONNECT (OUTSIDE) MAIN LOAD CENER SOLAR PV EQUIPMENT (BASEMENT) PROJECT INFORMATION: Project:Hinckley Florence Client:Ann Hinckley JoAnn Hinckley Address:110 Hillcrest Dr Florence, MA 01062 SYSTEM DETAILS Total System Size:15.39 kW - DC SOLAR 10 kW - AC SOLAR Modules:(38) Qcells 405 BLK Q PEAK DUO G10+ Optimizers:(38) SolarEdge S500B Alt. Optimizers:[Alt.Opti: S500B, S650B] Inverters:(1) SolarEdge 10kW HD-Wave w/ RGM DESIGN CRITERIA Ground Snow Load:40 (psf) Design Wind Speed:117 (mph) Exposure Category B Risk Category:II AUTHORITY HAVING JURISDICTION Building:Kevin Ross (413) 587-1239 Fire:Patrick Davis (413) 587-1241 Electrical:Roger Malo (413) 587-1244 Electrical Utility:National Grid Code Ref:2023 NEC (MA) 2015 IBC WITH MA AMENDMENTS (9th EDITION) 2015 IFC, MA AMENDMENTS TO 2021 NFPA 1, 527 CMR 1.00 PROJECT NOTES 311 WELLS STREET, SUITE B GREENFIELD, MA 01301 WWW.PVSQUARED.COOP 413-772-8788 SIZE: PV SQUARED SOLAR SCALE: DATE: BY: REV: PROJECT: CLIENT: SITE: HINCKLEY FLORENCE JOANN HINCKLEY ANN HINCKLEY - FLORENCE 110 HILLCREST DR FLORENCE, MA 01062 0 7/19/2024 ROBIN CREAMER SITE PLAN & PROJECT INFO. NO SCALE 11x17 PV-M1 FIRE ACCESS PATHWAYS MIN. 36" WIDE GUTTER TO RIDGE MIN. 18" BOTH SIDES OF RIDGE N N FIRE CODE COMPLIANCE TOTAL ROOF AREA: 3526 SQ FT TOTAL SOLAR AREA: 744 SQ FT SOLAR COVERAGE: 21% ROOF PITCH: 22° NO ESS (17') 204"(17') 204"(14') 133 5 16" (14') 168"(17') 8211 16" (14') 168"(17') 8211 16" Array 24811 16" Roof 80215 16"Roof 26578"Array 2221516"Array 539 5 16"10"84"139"64"159"213"3 4" 113 4" 11 4" 195 8" 3 4" 411 8" 74" MODULE DETAIL SCALE: 1/4" = 1'-0"A ARRAY LAYOUT SCALE: 1/8" = 1'-0"B 311 WELLS STREET, SUITE B GREENFIELD, MA 01301 WWW.PVSQUARED.COOP 413-772-8788 SIZE: PV SQUARED SOLAR SCALE: DATE: BY: REV: PROJECT: CLIENT: SITE: HINCKLEY FLORENCE JOANN HINCKLEY ANN HINCKLEY - FLORENCE 110 HILLCREST DR FLORENCE, MA 01062 0 7/19/2024 ROBIN CREAMER ARRAY LAYOUT & ROOF DATA AS SHOWN 11x17 PV-M2 ROOF SPECIFICATIONS Material:Composite Shingles Attachment Structure:Decking/Rafters Array Pitch/Tilt:22° Array Azimuth:101° / 281° MODULE SPECIFICATIONS MODULE MODEL:Qcells 405 BLK Q PEAK DUO G10+ / Q.Peak DUO BLK ML-G10+ 405 Dimensions:73.98" x 41.14" x 32mm Clamp Long Side:3/4"-19 5/8" Clamp Short Side:3/4"-11 3/4" RAIL SPECIFICATIONS Make & Model:XR10 / XR100 Clamp Torque:80 in-lbs L-Foot Torque:250 in-lbs Max Cantilever:23" ATTACHMENT SPECIFICATIONS Bases/Flashing:Iron Ridge HUG Halo UltraGrip Alternate Bases/Flashing:Sunmodo Nano Mount Fasteners:#14-10 x 2" Type A MP (Decking Screws) Alternate Fasteners:#14-10 x 3" Type A MP (All Purpose Screws) Sealant:Chemlink M-1 Max. Spacing:54" USE 48" TYP. ARRAY NOTES Framing and attachment locations to be verified on site. Bases are staggered to distribute point loading except at edges of array. Drawing is representational only. Locations of arrays, bases, and racking components may be adjusted as needed within specified limits. Additional or alternative bases may be used to meet actual roof conditions. Ironridge Module Gap Spacing: (3/8" Horizontal Spacing, 1/2" Vertical Spacing) Do not mount rails directly under module junction boxes. RAILROOF ATTACHMENTS INSTALL ON DECKING 48" OC TYP. NOTES: POSITION ARRAYS TO ALLOW FOR FIRE SETBACKS AS SHOWN RAFTERS 16" OC PLYWOOD DECKINGN 311 WELLS STREET, SUITE B GREENFIELD, MA 01301 WWW.PVSQUARED.COOP 413-772-8788 SIZE: PV SQUARED SOLAR SCALE: DATE: BY: REV: PROJECT: CLIENT: SITE: HINCKLEY FLORENCE JOANN HINCKLEY ANN HINCKLEY - FLORENCE 110 HILLCREST DR FLORENCE, MA 01062 0 7/19/2024 ROBIN CREAMER MODULE MAP NO SCALE 11x17 PV-M4N Subject: Structural Certification Letter Job Number: Project Name: Client PO: Address: Attn.: To Whom It May Concern Re: Residential Flush-Mount Solar Photovoltaic Installation PZSE's scope of work is limited to performing a structural evaluation of loading at the address above. After review, PZSE certifies that the alteration to the existing structure by installation of the PV system meets the requirements of the applicable codes and criteria shows below: Design Criteria •Applicable Codes: •Ground Snow Load: •Basic Wind Speed: •Existing Roof Dead Load: •Existing Roof Live Load: The existing structure is adequate to support the PV alteration per Code Sections Residential PV Module AssemblyThe PV module assembly including structural supporting components shall be installed in accordance with the manufacturers specifications and meets or exceeds all requirements set forth by the referenced codes above. Residential Installation RequirementsThe PV system shall be mounted flush to the existing roof surface. The contractor shall notify PZSE of any signs of damage to the roof framing prior to commencing the installation. PZSE shall then determine if the existing roof is adequate to support the applied loads. The electrical engineering and waterproofing system shall be addressed by others. If you have any questions on the above, do not hesitate to call. Prepared By:PZSE, Inc. - Structural EngineersRoseville, CA July 17, 2024 PV Squared 311 Wells St Greenfield, MA 01301 PZSE Portal # P24-I170713C1L Hinckley - Florence HINO14062024R 110 Hillcrest Dr, Northampton, MA 01062 780 CMR, ASCE 7-10 and NDS-15 40 lb/sqft 117 mph, Exposure Category B 7 lb/sqft 20.00 lb/sqft 402.3 and 402.4 Page 1 of 2 EXP. 06/30/2026 PAUL K. ZACHER STRUCTURAL No. 50100 110 Hillcrest Dr, Northampton, MA 01062 Page 2 of 2 EXP. 06/30/2026 PAUL K. ZACHER STRUCTURAL No. 50100 110 Hillcrest Dr, Northampton, MA 01062 PROPOSED PV SYSTEM LAYOUT AT 110 HILLCREST DR, NORTHAMPTON, MA 01062 Q.PEAK DUO BLK ML-G10.a+ Q.PEAK DUO BLK ML-G10+ Q.PEAK DUO BLK ML-G10+ SERIES MODEL 395-415Wp | 132Cells 21.1% Maximum Module Eciency PV MODULE RELIABILITY SCORECARD 2022TOP P E RFORM E R TOP BRAND PV MODULES USA 2022 See data sheet on rear for further information. APT test conditions according to IEC/TS 62804-1:2015, method A (-1500V, 96h) The ideal solution for: Rooftop arrays on residential buildings Qcells is the ﬁrst solar module manufacturer to pass the most comprehensive quality programme in the industry: The new “Quality Controlled PV” of the independent certiﬁcation institute TÜV Rheinland. The most thorough testing programme in the industry Q.ANTUM DUO Z Technology with zero gap cell layout boosts module eciency up to 21.1%. Breaking the 21% eciency barrier Innovative all-weather technology Optimal yields, whatever the weather with excellent low-light and temperature behaviour. High-tech aluminium alloy frame, certiﬁed for high snow (5400Pa) and wind loads (4000Pa). Extreme weather rating Inclusive 25-year product warranty and 25-year linear performance warranty1. A reliable investment Long-term yield security with Anti LeTID Technology, Anti PID Technology and Hot-Spot Protect. Enduring high performance NA DETAIL A 0.63" (16 mm) 0.33" (8.5 mm)0.96" (24.5 mm) 42.8" (1088 mm) 74.0" (1879 mm) 4 × Mounting slots (DETAIL A) Frame 41.1" (1045 mm) 39.2" (996 mm) 1.26" (32 mm) 8 × Drainage holes 15.6" (395.5 mm) 4 × Grounding points ø 0.18" (4.5 mm) Label ≥72.04" (1830 mm) ≥72.04" (1830 mm) Format 74.0in × 41.1in × 1.26in (including frame) (1879mm × 1045mm × 32mm) Weight 48.5lbs (22.0kg) Front Cover 0.13 in (3.2mm) thermally pre-stressed glass with anti-reﬂection technology Back Cover Composite ﬁlm Frame Black anodised aluminium Cell 6 × 22 monocrystalline Q.ANTUM solar half cells Junction box 2.09-3.98in × 1.26-2.36in × 0.59-0.71in (53-101mm × 32-60mm × 15-18mm), IP67, with bypass diodes Cable 4mm Solar cable; (+) 72.04in (1830mm), (-) 72.04in (1830mm) Connector Stäubli MC4; IP68 Mechanical Speciﬁcation Qcells pursues minimizing paper output in consideration of the global environment. Note: Installation instructions must be followed. Contact our technical service for further information on approved installation of this product. Hanwha Q CELLS America Inc. 400 Spectrum Center Drive, Suite 1400, Irvine, CA 92618, USA | TEL +1 949 748 59 96 | EMAIL hqc-inquiry@qcells.com | WEB www.qcells.com Q.PEAK DUO BLK MLG10+ SERIES Speciﬁcations subject to technical changes © Qcells Q.PEAK_DUO_BLK_ML-G10+_series_395-415_DA_2023-12_Rev06_NAProperties for System Design Maximum System Voltage VSYS [V] 1000 (IEC)/1000 (UL)PV module classiﬁcation Class II Maximum Series Fuse Rating [A DC] 20 Fire Rating based on ANSI/UL 61730 TYPE 2 Max. Design Load, Push/Pull 3 [lbs/ft 2] 75 (3600Pa)/55 (2660Pa) Permitted Module Temperature on Continuous Duty -40°F up to +185°F (-40°C up to +85°C)Max. Test Load, Push/Pull 3 [lbs/ft 2] 113 (5400Pa)/84 (4000Pa) 3 See Installation Manual 200 400 600 800 1000 90 100 80 110 10 2515 200 05 86 98 95 80 100 85 Electrical Characteristics TEMPERATURE COEFFICIENTS Temperature Coecient of I SC [%/K] +0.04 Temperature Coecient of V OC [%/K] -0.27 Temperature Coecient of P MPP [%/K] -0.34 Nominal Module Operating Temperature NMOT [°F] 109±5.4 (43 ±3°C) POWER CLASS 395 400 405 410 415 MINIMUM PERFORMANCE AT STANDARD TEST CONDITIONS, STC POWER TOLERANCE +5W/-0W MinimumPower at MPP1 PMPP [W] 395 400 405 410 415 Short Circuit Current1 ISC [A] 11.02 11.05 11.08 11.11 11.14 Open Circuit Voltage1 VOC [V] 45.20 45.24 45.27 45.31 45.34 Current at MPP IMPP [A] 10.48 10.54 10.60 10.65 10.71 Voltage at MPP VMPP [V] 37.68 37.95 38.22 38.48 38.74 Eciency 1 [%] 20.1 20.4 20.6 20.9 21.1 MINIMUM PERFORMANCE AT NORMAL OPERATING CONDITIONS, NMOT MinimumPower at MPP PMPP [W] 296.4 300.1 303.9 307.6 311.4 Short Circuit Current ISC [A] 8.88 8.91 8.93 8.95 8.98 Open Circuit Voltage VOC [V] 42.63 42.66 42.69 42.73 42.76 Current at MPP IMPP [A] 8.25 8.30 8.35 8.40 8.45 Voltage at MPP VMPP [V] 35.93 36.16 36.39 36.61 36.84 Measurement tolerances P MPP ±3%; I SC; VOC ±5% at STC: 1000W/m, 25±2°C, AM 1.5 according to IEC 60904-3 • 800W/m, NMOT, spectrum AM 1.5 RELATIVE EFFCIENCY [%]Qcells PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE At least 98% of nominal power during ﬁrst year. Thereafter max. 0.5% degradation per year. At least 93.5% of nominal power up to 10 years. At least 86% of nominal power up to 25 years. All data within measurement tolerances. Full warranties in accordance with the warranty terms of the Qcells sales organisation of your respective country. Typical module performance under low irradiance conditions in comparison to STC conditions (25°C, 1000W/m 2). YEARS IRRADIANCE [W/m²] Qcells Industry standard of p-mono* *Standard terms of guarantee for the 5 PV companies with the highest production capacity in 2021 (February 2021)RELATIVE EFFCIENCYCOMPARED TO NOMINAL POWER [%]UL61730-1 & UL61730-2, CE-compliant, Quality Controlled PV - TÜV Rheinland, IEC 61215:2016, IEC 61730:2016, U.S. Patent No. 9,893,215 (solar cells), Qualiﬁcations and Certiﬁcates *Contact your Qcells Sales Representative for details regarding the module’s eligibility to be Buy American Act (BAA) compliant. Cut Sheet v1.0 See Description / Length 1.75 .46 .58 1.00 .62 1.33 1.67 XR10 Rail Cut Sheet 1 11.00 ALIGNMENT CIRCLEBONDING SPRING STOP TAB 0.61 1.29 0.88 Rail shown for reference 1) Bonded Splice, XR10 ITEM NO DESCRIPTION QTY IN KIT 1 SPLICE, XR10, MILL 1 Part Number Description XR10-BOSS-01-M1 Bonded Splice, XR10 Propery Value Material 6000 Series Aluminum Finish Mill Bonded Splice, XR10 v1.0 Cut Sheet © 2022 IronRidge, Inc. All rights reserved. Visit www.ir-patents.com for patent information.QM-HUG-01-B1 or QM-HUG-01-M1 Cut Sheet Rev 1.0 1 RD STRUCTURAL SCREW PN RD-1430-01-M1 SOLD SEPARATELY SHOWN FOR REFERENCE Release Liner shown for reference ITEM NO DESCRIPTION QTY IN KIT 1 QM Halo UltraGrip(Mill or Black)1 PART NUMBER DESCRIPTION QM-HUG-01-M1 Halo UltraGrip - Mill QM-HUG-01-B1 Halo UltraGrip - Black QuickMount® Halo UltraGrip Cut Sheet © 2022 IronRidge, Inc. All rights reserved. Visit www.ir-patents.com for patent information.QM-HUG-01-B1 or QM-HUG-01-M1 Cut Sheet Rev 1.0 3.83 .38 3.35 1.63 2.99 .40 .34 .26 1.56 1. Halo UltraGrip Property Value Material 3000 Series Aluminium Finish Mill or Black