SOLAR-0416-2021 Office Use Only `
Permit#• ` 1. -�—' �E• 2� '
w Permit Fee:$ . . 5
742 Bay Road,Queensbury,NY 12804 Q
P:518-761-8256 www.gueensbury.net Invoice#:
Flood Zone? Y N Reviewed By:
SOLAR PANEL PERMIT APPLICATION
SITE INFORMATION:
Project Location: 18 Blackberry Lane
Tax Map ID#: zc1• Subdivision Name: Blackberry Circle
PROJECT INFORMATION:
Residential- Commercial Other:
Single Family
u i- aml y
Are the solar panels? X Purchased Leased
Estimated cost of construction: $ 4,000
Total System Capacity Rating (sum of all panels):
Solar PV System: 3.7 kW DC
Select System Configuration: D
Supply side connection-with micro inverters ,UN ®2 Zd2i
Supply side connection with DC optimizers ENSBURY
N OF ��& PES
Supply side connection with string inverter TCB CO
Load side connection with DC optimizers
X Load side connection with micro inverters
Load side connection with string inverter
Solar Panel Application Revised January 2021
DECLARATION:
1. 1 acknowledge that no-construction shall be commenced prior to the issuance of a valid permit and will be
completed within a 12 month period.Any changes to the approved plans prior to/during construction will
require the submittal of amended plans,additional reviews and re-approval.
2. If,for any reason,the building permit application is withdrawn,30%of the fee'is retained by the Town of
Queensbury.After 1 year from the initial application date, 100%of the fee is retained.
3. Ifthework is not completed by the 1 year expiration date the permit may be renewed, subject to fees
and department approval.
4. 1 certify that the application, plans and supporting materials are. a true and a complete statement and/or
description of the work proposed,that all work-will be performed in accordance with the NYS Building Codes, local
building laws and ordinances, and in conformance with local zoning regulations.
5. A third-party electrical inspection will be completed at_which time the Town of Queensbury's Building and Codes
Enforcement department will be contacted to complete an inspection of the final installation of the solar panels.
Please sign below to affirm that all answers are correct and that you have met all of the conditions and
requirements to submit a unified solar permit.
I have read and agree to the above:
I2" �/ ! 06/2/2021
Homeowner's Signature Date
Solar Co. Representative Signature Date
Solar Panel Application Revised January 2021
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Property Owner(s):
Name(s): Ryan Wild
Mailing Address, C/S/Z: 18 Blackberry Lane
Cell Phone:_( ) 518.307.0130 Land Line:
Email: rpwild@gmail.com
• Solar Contractor:
Workers' Comp documentation must be submitted with this application
Business Name:
Contact Name: Ryan Wild
Mailing Address, C/S/Z: 18 Blackberry Lane Queensbu y NY 12804
Cell Phone:_( ) 518.307.0130 Land Line: _( )
Email: rpwild@gmail.com
• Electrical Contractor:
Workers' Comp documentation must be submitted with this application
Business Name:
Contact Name: Ryan Wild
Mailing-Address, C/S/Z:
Cell Phone:_( ) Land Line:_( )
Email: rpwild@gmail.com.
Contact Person for Compliance in regards to this projelq t Ryan Wild
Cell Phone: 518.307.0130 Land Line: � )
Email: r win IdC@_amail.com
Solar Panel Application - Revised January 2021
RX Date/Time 09/20/2021 12:28 15182731202 P,006
Sep, 20. 2021 12; 04PM MDIA N0. 7865 P, 6/6
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
'&Woa that the electrical wiring to the electrical equipment listed below has been examined and is approved as
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the following conditions.
Owner: Date:
Ryan Wild 09/01/2021
Occupant: Location:
Solar PV System 18 Blackberry Ln.
Occupancy:Ingle Family Dwg. Queensbury,Warren Co_ NY
Applicant:
Logan Ferguson ^�•vl
34 Seminary St. IF
l/
Fort Edward, NY 12828
L
Joseph A.Holmes A
No. 148099154f97.EL
Equipment:
12-Solar Modules, 1 -3000 Watt Inverter, 1 -Back Fed Breaker "
p � 'CE,0WE
SEP 2 12021
TOWN OF QUEENSBURY
.BUILDING&CODES
This certificate applies to the electrical wiring to the etectrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and
above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership
inspection. No warranty is=pressed or implied as to the mechanical safety,effi- of the property indicated above,this certificate shall be immediately null and void.
ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based Upon the above conditions,
be valid for a period of one year from the above noted dete. Should the electrical this certificate may be revalidated upon reinspection by Middle Department
system to which this certificate applies be altered in any way.Including but not limit- Inspection Agency,Inc. An application for inspection must be submitted to Middle
ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc.to initlate the inspection and revalidation
any of the components installed as of the above noted dale.Nis celliflcale shall be process. A fee will be charged for this service,
DRAWNC-S PLOTTED04 1 1X17 RAFER PR[',S SCALE F90M VINAI 6 NOTED
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TOWN OF QUEENSBURY
BUILDING DEPARTMENT
Based on our limited examination,compliance
with our comments shall not be construed as
indicating the plans and specifications are in
full compliance with the Building Codes of
New York State.
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Infinite Engineering Solutions,, P.C.
18 Amethyst Drive
Queensbury NY 12804
.51-8-232.6017
PeteSankey&]ESPC.com
A review was completed to assess the capacity of the roof trusses at Lot 3 Blackberry
Lane,Queensbury NY,with the following results:
ELEMENT DEAD LOAD(psf)
518"OSB 2.1.
Asphalt Roofing 2.5
Proposed Solar Panels 2.4
TOTAL 7.0
Truss specification sheets indicate an allowable dead load of 10 ps€ These proposed
solar panels are acceptable.
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I JUN 0 2.2021 ?�
TOGIAN O};i�%UEEJ,:E,Usc DY .
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Pete Sankey,PE i€085126
Infinite Engineering Solutions,P.C.
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AROFESS10
289.18-1-35.3 SOLAR-0416-2021
Wild, Ryan
18 Blackberry Ln
Solar Panel Installation