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SOLAR-000660-2016 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development- Building& Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: SOLAR-000660-2016 Date Issued: Tuesday, May 29, 2018 This is to certify that work requested to be done as shown by Permit Number SOLAR-000660-2016 has been completed. Tax Map Number: 308.7-1-43 Location: 40 WOODSHIRE CT Owner: Matthew Tarello Applicant: Monolith Solar Associates LLC This structure may be occupied as a: Solar Panel System 508 s.f. No Rafter Upgrades By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, �d Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 qW Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: SOLAR-000660-2016 Tax Map No: 308.7-1-43 Permission is hereby granted to: Monolith Solar Associates LLC For property located at: 40 WOODSHIRE CT In the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance Tvce of Construction Owner Name: Matthew Tarello Solar Panel-Residential $10,000.00 Owner Address: 40WOODSHIRECT Total Value $10,000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Monolith Solar Associates LLC 444 Washington ST Rensselaer,NY 12144 Plans&Specifications Solar Panel System 508 s.f. No Rafter Upgrades $30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,November 1,2017 (If a longer period is required an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town ofrues y N e 1,2016 C�j SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement Office Use Onlv ACCESSORY STRUCTURE APPLICATION Received DATE _ P'1 20 y0 Tax Map ID TAxMAP ID Permit No. c5OL-A-L- ZONING (hp(L Permit Fee a301 Rec Fee HISTORIC SITE _Yes No Approvals SUBDIVISION NAME Lot# APPLICANT moAolikyn Soto.( Rysot(atkxS LLC OWNER JqA -+ .tr+ '�J.Fttle ADDRESS �a� rta$h�,y�a^ 5� ' ADDRESS 4o I.deoJSk;re C}-. ('e^SSe,twer r-1'l 12.1y4 Qu.,,%s6ur'3/JlV 1Z404 PHONE 515) 4y4-1-044 PHONE is IS) g(D 1 - ZZ.3 S CONTRACTOR Vp1 c-M- I' COST OF CONSTRUCTIOgNN(ESTIMATEDI: $ (0, C00 ADDRESS: BUILDING ADDRESS: K( SIxMP, 15 DaA Q r PHONE: CONTACT PERSON FOR BUILDING&CODES COMPLIANCE PHONE TYPE OF CONSTRUCTION Check all that apply Please indicate measurements as required below Boathouse 18'floor sq.ft. 2n°floor sq.ft. Total sq.ft. Height Boathouse with Sundeck Deck Detached Garage(#of cars_) Dock Pole Barn Porch-open "Porch—3 season, Covered, Enclosed Shed Other Accessory Structure(s) SO i6.z P ooh _Mank-0-J. c"�( A(r�.� " Considered floor area&must comply with FAR(floor area ratio)requirements if located in the WR zone DECLARATION: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application, plans and supporting materials are a true & complete statement description of the work proposed, that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances; and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that Vwe are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. ✓I have read and agree to the above: Print Name: ► 0 Som k w Date: DI 2' A Signature: Date: bl 20 16 1 Town of Queensbury Building&Codes Accessory Structure Application July 2014 DocuSign Envelope ID:55E3C17B-010A.41DB-AF68-69FE23BD5CF5 Authority to Act as an Agent TO: National Grid I, Matthewrarello account#_ 22500-61022 hereby authorize Monolith Solar Associates, LLC to act as my Agent as permitted in the New York State Standardized Interconnection Requirements. I further authorize you to release to Monolith Solar Associates, LLC my account information for the prior twelve months, including electrical usage and demand history. Monolith Solar Associates LLC will use this information for the purposes of designing and installing my photovoltaic system, obtaining NYSERDA funding incentives on my behalf, and establishing utility interconnection agreements, proper metering, and approvals. Solar PV installation address: 40 woodshire CT Queensbury NY 12804 Customer FEIN (Federal Tax ID#) OoeuSipnntl Sy. ... FFILE COPY Signed WT41J hElMM32ESM1431 Print Name MatthewTarello TOWN OFQUEENSBURY BUILDING DEPARTMENT Title Homeowner Based on our limited examination,compliance with our comments shall not be construed as indicating the plans and speafications are in 7/24/2016 1909 PM EDT full compliance with the Building Codes of : Date New York State. 308.7-1-43 SOLAR-000660-2016 Tarello, Matthew 40 Woodshire Court rades Solar Panel System (no rafter upg ) STRUCTURAL ENGINEENS MPP August 17,2016 Mr. Victor Fernandes Monolith Solar 444 Washington Street Rensselaer,NY 12144 1 RE: Matthew Tarello Residence Solar Installation 40 Woodshire Court Queensbury,NY Structural Assessment of Roof Framing MPP Project No: 16-1614 Dear Mr.Fernandes: Pursuant to your request,MPP Engineers has performed a limited structural evaluation of the roof framing at the above referenced site to determine if the roof has adequate capacity to support the proposed solar panels. Our analysis was based on the framing information and configurations provided by Monolith Solar. It is our understanding that the structural components of the existing roof framing are in good condition. It is further understood that all existing connections between the various roof framing members are adequate to resist the current loading conditions and behave in the manner that a typical truss system is intended to behave prior to installation of the solar panels. Results MPI, MP2,& MP4—adequate to support the proposed solar panels Structural Data and Code Information Our analysis was performed in accordance with the requirements of the 2010 New York State Residential Code which refemces the 2009 International Residential Code.Per Table R301.2(1),the ground snow load to be used for each town is in accordance with Table R301.2(5).Similarly,the wind speed for each town is in accordance with Figure R301.2(4).The roof framing was analyzed in accordance with Section R104.11 of the 2009 International Residential Code which allows for alternate approved design such as using the ASCE 7 code for determining actual snow loads on roofs(e.g.,deriving flat or sloped roof snow loads from the specified ground snow load referenced in Table R301.2(5)). Wood members are analyzed and designed in accordance with the NDS 2005. The roof areas for the solar panels of this residence are framed with pre-engineered metal plate connected wood trusses.The existing roof structure is in good condition and has two layers of asphalt shingles. The pertinent data is listed below: MPP Engineers, LLC 1 34 South Main Street, Suite D I Allentown,NJ 08501 609-489-5511 (office) I www.mppen¢ineers.coml 609-489-5916(fax) Matthew Tarello Residence Solar Installation 40 Woodshire Court Queensbury,NY MP 1: Truss Top Chords: 2"x 4"& 2"x 10(#2 SPF Assumed) Truss Web Members: 2"x 4"(#2 SPF Assumed) Spacing: 24"O.C. Roof Slope: 42 Degrees Horizontal Projected Length of Rafter (Horizontal Projection): 12.60 feet Roof Sheathing: OSB Sheathing Condition of Framing: Good Roof Covering: Asphalt Shingles Ground Snow Load,Pg: 50 PSF from Table R301.2 (5)of NY State Residential Code Importance Factor,I: 1.0 Exposure Factor,Ce: 1.0(Conservatively taken as Partially Exposed) Thermal Factor, Ct: 1.1 with Panels(Cold Roof) 1.0 existing condition (Warm Roof) Design Snow Loads On sloped roof: 24.50 PSF(Existing—Unobstructed Warm Roof) 17.97 PSF(New—Slippery Surface on Cold Roof) MP2&MP4: Roof Truss Members: 2"x 4"(#2 SPF Assumed) Spacing: 24" O.C. Roof Slope: 32 Degrees Horizontal Projected Length of Rafter (Horizontal Projection): 14.30 feet max. Roof Sheathing: OSB Sheathing Condition of Framing: Good Roof Covering: Asphalt Shingles Ground Snow Load,Pg: 50 PSF from Table R301.2 (5)of NY State Residential Code Importance Factor,I: 1.0 Exposure Factor, Ce: 1.0 (Conservatively taken as Partially Exposed) Thermal Factor,Ct: 1.1 with Panels(Cold Roof) 1.0 existing condition(Warm Roof) Design Snow Loads On sloped roof: 33.25 PSF(Existing—Unobstructed Warm Roof) 24.38 PSF(New—Slippery Surface on Cold Roof) Wind Speed: 90 MPH from Figure R301.2(4)of NY State Residential Code Exposure B Matthew Tarello Residence Solar Installation 40 Woodshire Court Queensbury,NY Analysis Results: General Consideration ➢ Materials such as metal roofs or solar panels are considered slippery surfaces. Since the solar panels are mounted slightly above the roof line,it would be conservative to consider a thermal factor Ct of 1.1,treating the panel surface as a cold roof rather than as a warm roof. Based on the roof slope and considering it as a slippery surface,the snow load is reduced by 27%(6.53 PSF for MPI and 8.87 PSF for MP2&MP4)compared with the snow loading directly on the existing shingled roof surface. This reduction completely offsets the weight of the solar panels. Gravity Loading: MPI, MP2, &MP4—adequate to support the proposed solar panels It is our understanding that the panels will be installed using Univac rail with L-feet(or equal)at approximately 48 inches on center(e.g.every two to three rafters).The leveling feet will be fastened directly into the existing joists with 5/16"diameter lag screws with a minimum embedment of 2.5". In addition,it is important that the leveling feet support locations be staggered between adjacent panels so that no single rafter supports more load than under the existing conditions. Wind Loading Based on our calculations,the net wind loads imposed on the roof framing with an attachment spacing as indicated above will be less than the current loading on the roof framing. In addition, provided that the leveling feet are attached to the roof framing members in a typical staggered fashion,the overall wind loading imposed on the structure and the individual framing members will not be impacted to any great extent. Matthew Tarello Residence Solar Installation 40 Woodshire Court Queensbury,NY If you have any questions regarding this matter, please feel free to contact my office at 609-489-5511. We appreciate the opportunity to assist you with this evaluation. Sincerely, MPP Engineers, LLC Asma Faruqi �= f, All . t Ashutosh Patel, P.E. NY Prof. Eng.Lic.No.080555-1 308.7-1-43 SOLAR-000660-2016 {sky Tarello, Matthew 40 Woodshire Court Solar Panel System (no rafter upgrades) J4 y fo 127. 9 VJ 17ZI I � l 1 vl- r CERTIFICATE OF LIABILITY INSURANCE M/oorrvr) 9/221/201/2016 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 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 Arthur J. Gallagher Risk Management Services, Inc. NAME, PHONE .5I8-869-3535 FA% . 518-869-3580 677 Broadway 4th Floor Albany NY 12207 ADDRESS' INSURERS AFFORDING COVERAGE NAICq INSURERA:Great Divide Insurance Company 25224 INSURED SAESUNA-01 INSURER B:SelectiveInsurance Company of Amer 12572 Monolith Solar Associates LLC INSURERC:ACE American Insurance Company 22667 444 Washington Street Rensselaer, NY 12144 INSURER D:Rochdale Insurance Company 12491 INSURER E:TravelersProperty Casualty CoofA 25674 INSURER F: COVERAGES CERTIFICATE NUMBER:678399488 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 I AUUL UH POLICY EFFPOLICY EXP LTR TYPE OF INSURANCE INSD 1NV0 POLICY NUMBER MWDOIYYI'Y MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LABILITY Y ECP2016768�10 1/1/2016 1/1/2017 EACH OCCURRENCE $1,000,000 CLAIMS-MADEX❑OCCUR PREMISESEa ooanance $100,000 MED EXP(My one Person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY P O LOC PRODUCTS-COMP/OP AGO $2,000,000 1XIOTHER: $ B AUTOMOBILE LIABILITY 52190885 1/1/2016 1/1/2017 Ea accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIREDAUTOS NON-OWNED AUTOS Par accitlent $ CUMBRELLALUIB X OCCUR N1090562AOOI 111/2016 1/1/2017 EACH OCCURRENCE $5,000,000 X EXCESS UAB CLAIMS-MADE AGGREGATE $5,000,000 DED ''( I RETENTION$10,000 $ D WORKERS COMPENSATION RWC3352797 1/1/2016 1/1/2017 PER 10 ANDEMPLOYERS'LIABILITY YIN X STATUTE ER ANY PROPRIETORIPARTNEWEXECUTIVE ❑ N/A E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatary In NH) E.L.DISEASE-EA EMPLOYE $1,000,000 If yes,describe under DE SCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Pollution&Professional ECP2016768-10 1/1/2016 1/1/2017 Liability $1M$1m E Leased/Rented QT-66D-30948266 1/1/2016 1/1/2017 Limit 195,000 Solar Photovoltaic Energy System Per Location 5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached III more space is required) Forms ECP 1004 04 10 Additional Insured-Blanket, ENV 2004 09 06 Waiver of Subrogation Apply Town of Queensbury is hereby named as additional insured with respect to operations of the named insured. CERTIFICATE HOLDER CANCELLATION Town of Queensbury SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 742 Ba Road ry THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. Queensbury NY 12804 AUTHORIZED REPRESENTATNE ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD STATE OF NEW YORK WORKERS'COMPENSATION BOARD CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW PART 1. To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier Ia. Legal Name and Address of Insured(Use street address only) 1 b.Business Telephone Number of Insured Monolith Solar Associates LLC 518-330-5584 444 Washington Street Ic.NYS Unemployment Insurance Employer Registration Rensselaer, NY 12144 Number of Insured Id.Federal Employer Identification Number of Insured or Social Security Number 2. Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Great Divide Insurance Company Town of Queensbury 3b.Policy Number of entity listed in box"la": 742 Bay Road Queensbury NY 12804 ECP2016768-10 3c. Policy effective period: 1/1/2016 to 1/1/2017 4.Policy covers: a.❑x All of the employer's employees eligible under the New York Disability Benefits Law b.❑Only the following class or classes of the employer's employees: Under penalty of perjury,1 certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability Benefits insurance coverage asdescribed above. Date Signed 9/21/2016 By �'y - (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 518-869-3535 Title Regional Executive Vice President IMPORTANT: If box"4a"is checked,end this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If box"4b"is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.S of the Disability Benefits Law. It must be mailed for completion to the Workers'Compensation Board,DB Plans Acceptance Unit,20 Park Street,Albany,New York 12207. PART 2. To be completed by NYS Workers' Compensation Board(Only if box"4b"of Part 1 has been checked State Of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability Benefits Law with respect to all of his/her employees. Date Signed By (Signature of NYS Workers'Compensation Board Employee) Telephone Number Title Please Note.Only insurance carriers licensed to write NYS disability benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. DB-120.1 (5-06) Additional Instructions for Form DB-120.1 By signing this form,the insurance carrier identified in box"Y on this form is certifying that it is insuring the business referenced in box "la"for disability benefits under the New York State Disability Benefits Law.The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed as the certificate holder in box"2". This Certificate is valid for the earlier at one year after this form is approved by the insurance carrier or its licensed agent,or the policy expiration date listed in box"3c". Please Note:Upon the cancellation of the disability benefits policy indicated on this form,if the business wntinues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of NYS Disability Benefits Coverage or other authorized proof that the business is complying with the mandatorywverage requirements of the New York State Disability Benefits Law. DISABILITY BENEFITS LAW §220. Subd. 8 (a) The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined in this article,and not withstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair,that the payment of disability benefits for all employees has been secured as provided by this article. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any disability benefits to any such employee if so employed. (b) The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving theemployment of employees in employment as defined in this article, and notwithstanding any general or special statute requiring or authorizing any such contract,shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair,that the payment of disability benefits for all employees has been secured as provided by this article. DB-120.1 (5-06)Reverse SWorkers' CERTIFICATE OF INSURANCE COVERAGE STATE Compensation Board UNDER THE NYS DISABILITY BENEFITS LAW PART 1. To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier la.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured MONOLITH SOLAR ASSOCIATES LLC 518-444-2044 444 WASHINGTON STREET RENSSELAER,NY 12144 1 c.NYS Unemployment Insurance Employer Registration Number of Insured 49-675006 Work Location of Insured(Only required if coverage is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 27-0318192 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Standard Security Life Insurance Company of New York Town of Queensbury 742 Bay Road 3b.Policy Number of Entity Listed in Box"1a" Queensbury,NY 12804 72400-00 3c.Policy effective period 6/1/2015 to 9/20/2017 4.Policy covers: �X A.All of the employer's employees eligible under the New York Disability Benefits Law B.Only the following class or classes of employers employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carder referenced above and that the named insured has NYS Disability Benefits insurance coverage as described above. Date Signed 9/21/2016 By AA Q (Signature of insurance carrier's authonw4 repreacmalvc or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number (212)355-4141 Title SUPERVISOR-DBUPOLICY SERVICES IMPORTANT: If Box"4a"is checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carder,this certificate is COMPLETE.Mail it directly to the certificate holder. If Box"4b"is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the Disability Benefits Law.It must be mailed for completion to the Workers'Compensation Board,DB Plans Acceptance Unit,328 State Street,Schenectady,NY 12305 PART 2.To be completed by the NYS Workers'Compensation Board (Only if Box"4b"of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability Benefits Law with respect to all of his/her employees. Date Signed By Signature of NYS Workers'Compensation Board Employee) Telephone Number Title Please Note: Only insurance carriers licensed to write NYS disability benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. DB-120.1 (9-15) Additional Instructions for Form DB-120.1 By signing this form, the insurance carrier identified in box"3"on this form is certifying that it is insuring the business referenced in box"1a"for disability benefits under the New York State Disability Benefits Law. The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed as the certificate holder in box"2". Will the carrier notify the certificate holder within 10 days of a policy being cancelled for non-payment of premium or within 30 days if cancelled for any other reason or if the insured is otherwise eliminated from the coverage indicated on this certificate prior to the end of the policy effective period? YES Zx NO This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Disability Benefits contract of insurance only while the underlying policy is in effect. Please Note: Upon the cancellation of the disability benefits policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of NYS Disability Benefits Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Disability Benefits Law. DISABILITY BENEFITS LAW §220. Subd. 8 (a) The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined in this article, and not withstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits for all employees has been secured as provided by this article. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any disability benefits to any such employee if so employed. (b)The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in employment as defined in this article and notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits for all employees has been secured as provided by this article. D13-120.1 (9-15) Reverse 4 3 2 1 Compass G HOTOVOLINC SYSTEM LEGEND N SCOPE OF WORK: D - Distribution Panel INSTALLATION OF A SAFE AND CODE-COMPLIANT S - Sub Panel �. y11- 40 Woodshire Court ''Pns Falls GRID-TIED SOLAR PV SYSTEM. M - Meter Location u o / E I - Inverter Location J D 'J 0-M �r Fort E DC Trench ; D S Cofinth SITE MAP AC Trench T 1 cn U Inside oove°a®ooeo®°a ° > ` 6' min. depth o Outside Q r� Ganseacwrt I F ;. 50 width �- ,: Y. Ground Ground Access Greenfield � r Roof Access Path c Center reenfleld - : Roof Access Sartog * ' v. (L-) Springs) L Ventilation N C i' 37 ` /' Roof Access } o 11:LE Hatlston S a' ' ® � Z � � o Mitzi t ��.-•�•O ; t, TOWN^ OF Dt,. o�3UILDING IPARTMEN* I! N,�• tf., � � ,1 our limited eurination,c mplianCC( 31 2016co Ro—wid Lake St:ll�aater c:� omments shnot be co strued as the plans andJspeoificati ns are in C �' o v) �� \ T. i 1l; c;3nyl�fiance with the Building Codes of - i , — NCO D Mechanmville , I a6n Srhaq q. st? il oci Mate. O C:t tr i_i^'tT ,i. ti Z l ?p �fhtf' t_t ' ._� Ille � � ch L ao ,� x 6' min. depth �.. CD J co C) ford 20'width NOTES TO INSTALLER: � a N B k 6' min. depth B m 20'width e ? *** 35A Breaker tie in to MSP bottom i55 min n i . ^� right 54 a rnlies r _ q a *** Replace 4 of the existing 15A py _ breakers with (2) 15A tandem Cotarne f�t breakers V � C estrner f 2 Steep roof planes— MP1 Zj v `. Monolith Soiar Inverter location on insulated wall Associates, ILCA ' elmar _ with plastic sheathing C! q / > 5 > A TOWN F Q � - i \21 A For Customer Use ONLY (optional): S)RF > 80% BUILDING & 01 o -'1 I, the customer, hereby approve of the solar panel layout, the location of the equipment, and the system size with my signature below: - Reviewed By _ lN�- ar wife if possible — Customer will Sheet 1 nature: Date: Dates ( r g �p. .?�(, __ Customer signature: notified before install 4 3 2 1 4 3 2 1 GENERAL N 0 E o GENERAL NOTES: ELECTRICAL NOTES: • • N1. DRAWINGS ARE DIAGRAMMATIC ONLY. THE E1. ALL EQUIPMENT IS LISTED FOR USE. E13. BACKFED SOLAR BREAKER(S) SHALL BE INSTALLED AT THE U LOCATION AND ROUTING OF RACEWAYS SHALL BE OPPOSITE END OF THE CIRCUIT OR FURTHEST AWAY FROM THE DETERMINED BY THE INSTALL CREW UNLESS E2. MAXIMUM VOLTAGE DOES NOT EXCEED 60OVDC FOR MAIN BREAKER. J D OTHERWISE NOTED OR STANDARDIZED. RESIDENTIAL AND 1000VDC FOR COMMERCIAL. cu 4) p E14.ALL WIRE, VOLTAGES,AMPERAGES,AND EQUIPMENT IS SIZED 4 N2.ALL EQUATIONS ACCOUNT FOR WORST CASE E3. ANY EQUIPMENT OR ELECTRICAL MATERIALS USED FOR THIS ACCORDING TO TEMPERATURE DERATING AND LOCATION. 'u N CONDITIONS. INSTALLATION SHALL BE NEW AND LISTED BY A RECOGNIZED vii 0 >- ELECTRICAL TESTING LABORATORY. E15. ONLY COPPER(CU) CONDUCTORS SHALL BE USED. Q p N3.ALL OUTDOOR EQUIPMENT SHALL BE MIN. NEMA CONDUCTORS SHALL BE STRANDED OR SOLID WITH PROPERLY 1- i 3R RATED. E4. AN INVERTER IN AN INTERACTIVE SOLAR PV SYSTEM SHALL RATED CONNECTORS. AUTOMATICALLY DE-ENERGIZE ITS OUTPUT TO THE CONNECTED cn N N4. METAL CONDUIT AND ENCLOSURES SHALL BE ELECTRICAL PRODUCTION AND DISTRIBUTION NETWORK UPON E16. DISCONNECT SHALL BE WIRED SO NO BLADES ARE ENERGIZED. _ USED WHERE PV SOURCE OR OUTPUT CIRCUITS LOSS OF VOLTAGE IN THAT SYSTEM AND SHALL REMAIN IN THAT ARE RUN INSIDE A BUILDING. STATE UNTIL THE ELECTRICAL PRODUCTION AND DISTRIBUTION E17.ALL EQUIPMENT SHALL BE GROUNDED, INCLUDING BONDING 0 NETWORK VOLTAGE HAS BEEN RESTORED. JUMPERS WHERE NECESSARY ACROSS RAIL SPLICE PLATES TO N5. MODULES SHALL NOT BE PLACED OVER ANY BOND INDIVIDUAL PIECES OF RAIL. PLUMBING VENTS. E5. ALL PV ARRAYS SHALL BE EQUIPPED WITH DC GROUND FAULT PROTECTION. E18.ALL FUSED DISCONNECTS ARE TO CONTAIN AN IRREVERSIBLE C N6.ALL LABELS AND MARKINGS SHALL BE BOND BETWEEN THE GROUND AND THE NEUTRAL. N C ATTACHED ACCORDING TO REQUIREMENTS BY NEC E6. ANY AC COMPONENT SHALL MEET OR EXCEED THE AVAILABLE N E AND THE LOCAL AHJ. FAULT CURRENT CALCULATED AT THAT COMPONENT. E19.ALL PRODUCTION METERS WILL BE GROUNDED BY BEING M o T O STRUCTURAL NOTES: METALLIC ATTACHED TO THE SYSTEM GROUND WIRE. Lo It = o E7. ALL MODULES AND ANY RELATED ROOF MOUNTED N o M S1. MOUNTS ARE DIAGRAMMATIC AND EXACT [-] EQUIPMENT SHALL BE PROPERLY GROUNDED. E20.WIRES FOR TRANSFORMERLESS INVERTERS WILL BE BLACKE a LOCATION MAY CHANGE BUT SHALL BE AND RED[+] N E8. MARKINGS SHALL BE PROVIDED TO INDICATE THAT ALL D o N ACCURATELY SPACED. CONTACTS OF THE DISCONNECT EQUIPMENT MIGHT BE ENERGIZED. S2. MOUNTS SHALL BE STAGGERED WHEN �' o cn NECESSARY TO EVENLY DISTRIBUTE LOAD E9. CONDUIT RUNS SHALL BE PROVIDED WITH SUFFICIENT C � v WEATHERPROOF PULL BOXES OR JUNCTION BOXES/COMBINER AMONGST RAFTERS. o N o BOXES PER APPROPRIATE JURISDICTIONAL REQUIREMENTS. a) M o0 C) U) O cfl S3. DO NOT SPLICE RAILS IN MIDDLE 50% OF SPANd 7 lu BETWEEN TWO MOUNTS. E10. INVERTER(S) SHALL CONTAIN AGROUND FAULT DETECTION vi B } E11.ALL METALLIC RACEWAYS AND EQUIPMENT SHALL BE BONDED m AND ELECTRICALLY CONTINUOUS. E12. THE POINT OF CONNECTION COMPLIES WITH APPLICABLE CEC/ m s N EC. o ° BM a � o = = oao A A a 0 Sheet 2 4 3 2 1 4 3 2 1 LEGEND O MOUNT RAIL ARRAY LAYOUT-L7 LA ROOF AZIMUTH: 130° TN Tilt: 32° ---------------------• SETBACK ...i F SOLAR MODULE 19'-10" N STRING CONFIG D 0 © OBSTRUCTIONS �'-o" 12" Set Back 'v c! � Lft-9 Mid-6In ca s 0_ 0 C-) 0 --0 -- W u R28 End-4 ' Lft-6 Mid-2 N 6'— �1 _ �� 0� 0 � � .__ __ � C. _.v O �G I&-4 n g ry ARRAY LAYOUT 1 �� 0 bo R 14' End-4, �'� , _- `� AZIMUTH: 130° TN Tilt: 32° 5 R �p ^� bl d�4 161-011 (U 00 E 18" Set Back 1'-6" COLO >- o o 9-0 Z v3 CD Cj -0N 01 E 3/4" EMT Lft-8� v m Mid-4 � N n /NSIDECONDUIT eco 0 -0 - - �__-- a_ M [2] PV 10 AWG [CU], [1] 6 AWG [CU] �� n v cD C ._-. v R 21 End-4 C _ ._ U . .� ° 2 C co ENTERING/EXITING CONDUIT �� [2] PV 10 AWG [CU], [1] BARE 6 AWG [CU] ,cb� �'` LLftt-6 Mid-22 Lft-6 Mid-2 g � o Q Co C I— ai N v ' o 12'-11" ,.5 R 14' End-4 G.� ��,, R 14' _ End-4 __ N n 18" Set BackLft-6 Mid-2 �`� .°� Lft-6 Mid-2 X71 ��'� C vm ,F 10 Lft-9 Mid-6 R 14' End-4 R 14' 1 End-4 m u r- - -_ 0 U U 12'-8" 12'-8' ER 28' End--J .� E m o �� 0 �ft-� n 6q� s -- — o a A > s > A 18'-3" Totals: v Panel sizes are slightly over-estimated to account for variances in practical LFEET: 68 a a 1 ARRAY � �®�� � installation. Array area is actually RAIL: 181 ft oSheet 3 AZIMUTH: 220° TN Tilt: 42° slightly smaller than labeled. Mids: 28 Ends: 40 4 3. 2 1 4 3 2 1 U J J D D Allowable K2 Cross Rail W X48 placement I o ¢ 4-0 t a, L-foot LG LG _ a � 4 Minimum ' " C /2 .. . N C spacing between Y Y Y Y Y X O CO N modules toCLLo 0 compensate for T z N N -0 CO thermal expansion IT1 N oCN ° v _ N y' m CU d. M LG o - O U L Z \ F... Cl) O O CO v J W U) B Y Y Y Y X� B } LG Solar Module Mounting Detail ......... Rail s CrossRail48 MODULE CO S`� INTS L-Foot T-Bolt 28/15 M10x30 c d Y = Max L-feet Span = 52" G m � � Shingle Flashing : ®, .9 GF-1 Flashing _ X = Max Rall Cantilever = 17 Shingles 000 A '� Grey Composite "> s > A Roof Decking a ; o o , gym MIN. 2 '/" Rafter Embedment Lag Bolt 5/16" Sheet 4 Existing 2x Rafter 4 3 2 1 4 3 2 1 Wire SIZES # of Current Carrying Conductors monolith Location Size Type CCC EGC Conduit solar U A DC out from Panels #10 PV 4 #6 - D 2v ai :3 D B DC line side of SolaDeck #10 THHN 4 #8 3/4" n O C C AC from inverter to point D #8 THHN 2+N #8 3/4" o N ° Q Z D Service Conductors 4/0 THHN L y N Utility � � � meter o 2 1 A 2 B 3 C 4 D N C N C 00 n -------- ----------- M >- o ami O DC= 7N p M CH 1 I -- ------ - 40 N ° (11) ModulesN s 3 ® N r-------------------- iSoladeck Inverter --- -------------- - - MSP- CO -- --- 6 --.---G- --------- - � _ oA: 00 D (13) Modules p I $ o Q _ O N CD o 200A MSPi ~ o C3 200A MB I U) W I N B I cn 2 B m 3 0 � 0 Item # Qty Component Description v` 1 24 LG 320 See Electrical Calc Page for Specs m o > > 00 A 2 1 SolaDeck PV wire to THHN 2 Wire pass-through box ' s ' A v 3 1 SE6000A-US 6,000 Watts 240V Volts 1 PH o 0 0 0 4 1 Breaker Tie IN PV Breaker, 2 pole, 35 A 240V A.I.C. match Breakers Sheet 5 *** 2 Breakers 15A Tandem Breakers, replace 4x existing 15A breakers 4 3 2 1 4 3 2 1 Electrical Calculations LABELLING SE6000A-US LG 320 i Strn • Inverter 1 Service Voltage DC;AC Ratio 1.28 2 String(s) of 11 , 13 SE6000A-US Phase 240V Max Mods in a string per panel type: DC Disconnect (NEC 690.53): 18.00 D 25 amps 1PH less than 600V with temp correctio max string V 350.00 (1) Maximum Power Point Current D 350.00 (2) Rated Maximum Power Point Voltage N N 6000 watts 26.92 >>(Temp coef*change in tem from STC* Voc)+Voc '� r, 18.0 [A] Inp. LG 320 16 Max mods per string 5250W > 4160.00 500.00 (3) Maximum System Voltage 41 Z V_oc 40.9 (adjusted to -330C): a, 30.00 (4) Short circuit Current: o V-mp 33.6 Wire Sizer: Amperage at each point N �, I_mp 9.53 A DC out from Panels c 14AC Disconnect (NEC 690.54): I_sc 10.05 (ISC) X 1.25 OR (ISC)/(R.A.F. X T.A.F) __ #6 (1) SWITCHBOARD IS ENERGIZED FROM TWO SOURCES, 0 Panel wattage 320 CASE 1 10.05 x 1.25 12.56 j -i MAIN BREAKER AND BRANCH BREAKER CHANNEL 1 # of strings 1 CASE 2 10.05 / 0.8 / 0.76 16.53 #10 C (2) Nominal AC Operating Voltage: 240V N C # of Panels in string 11 8 E (3) Rated AC Output Current: 25.0 M N Q CHANNEL 2 # of strings 1 B DC line side of SolaDeck/ Metal Enclosure M } 2 o �n z n o # of Panels in string 13 (CURRENT) X 1.25 OR (CURRENT)/(R.A.F. X T.A.F.) #8 = o 0 M C N E a Raceway Adj. Factor(R.A.F.) DC 0.8 CASE 1 15 X 1.25 18.75 �! ° N Temp Coef. 0.32% CASE 2 15 / 0.80 / 0.76 24.67 #10 N Roof# Panels TSRF [%] Weighted [%] a 3 Change in Temp from STC 58 (D 6 U) Roof 1 6 89 22.25 2 $ o Q Temp. Adj. Factor(T.A.F.) 0.76 C AC line side of inverter �; N o Roof 2 7 89 25.95833333 0 tj co C) Temp Adjustment at Inverter 0.96 (CURRENT) X 1.25 OR (CURRENT)/(R.A.F. X T.A.F.) #8 co -J w Roof 3 0 0 0 > C B Raceway Adj. Factor (R.A.F.) AC 1.00 CASE 1 25 X 1.25 31.25 #8 COv B Fused disco Box size 60 CASE 2 25 / 1.00 / 0.96 26.04 �M Roof 4 11 89 40.79166667 1 m FUSE SIZE : 35 Weighted Average 89 E3 u o` E c o o � � z - O > I I o p O A > s > v o , � m ooa Sheet 6 4 3 2 1 t �.; i�-� ��r r is vJ s 1�,�}x:Y hts✓�'. 1�: '�`" j .:I e r J CD I ® IT . 0 p �s� r r—� �.m ®.Ca-o-C-C--3 CD c-) (::Do WOO to � 4r M, CD X111 � 1 ',i t I , • \ � i r �+r� 0 Awl, 0 U) v 11 OO ®CD CDx i CCD� CD CD 96)o. ® CD Date Revision Drawn By: Check By. Tarello, Matthew - 5353 08/02/16 V1.0.Original drawing DJM BMS Monolith Solar Associates, LLC 10/20/16 V2.0—Updated electri'lschematic BMS CPL 40 Woodshire Ct, Queensbury W 12804 • • (p 10/31/16 V3.0—Upd aced Seth ac k Design CPL ' h s s. size:7,680 watt 120i240 444 Washington Street • • v (24) LG320N1C-G4320 W modules 1 SE6000A-US 24 P320 O timizers Rensselaer, NY 12144 D oo C7 D 4 3 2 1 Sa}e N Cons l..'•j 3'e..1 n J -ten, ;-'o rmi e i e: Measure and record ridge,eave,ridge to cave and all necessary roof measurements.Locate origin Ix,y),and any Measure and record ridge,eave,ridge to cave and all necessary roof measurements.Locate origin(x,y),and any structure chanRes. structure changes. =�fl _ ,1 5 r P3 Customer Name: Matthew Tarello Date and Time Scheduled Monday 7/25 @spm Address:40Woodshire CT >��� • • 183 i)P Z I° ,lul�r, 15'R City,State, Zip:Queensbury NY 12804 V D Phone Number:(518)361-2235 Phone Number 2: Email:atorello86@gmail.com y'' i l !d S 'z ' ( 11Utility Provider:National Grid f I (Cr G I �(�' �r Z I ' �' ( D 2_1r�r U l z 6 ' to N Number of Modules: 28 Type of Modules:QCELLS-WEAK BLK-G3 270 $7i B � � u O 'I rG r, ir'�" 17' Q wo Number of Inverters: 28 Type of Inverter(s):SolarEdge DC Optimizers 1 Z r g" 13 Proposed System Size '5353 MI'b'1 `Z Azimuth:2Z5 t5D PUT shingle Layers:__Z-,_ MPII:_3,�f_ Azimuth:' rz �-Zo I5v PIIch: '^3:-Shin __ W p y •],560 Mounting Type:Roof Customer Number. origin A-Z Type (X,Y) H@Ight Crile:D Rectangle:OVA) Origin A-Z Type IX,Y) Height Circle:Lavers:_Rectangle:(W,L) cc t/1 Attic Access? (Yes[:*]No ) Sales Consultant:Janelle Calkins LA a � r O Customer Name: ..}-�-t+2w d,r� �� Surveyor: (cwt' 52,-(ILA Address: () ,,� I G Q �8n ?-q b Auditor Notes: Design issues,customer prefererrees,electrical/structural complications,interconnection and rn ,t� monitoring notes.Any site conditions that will impact design and Install W C + / r P( /i?�; (��` �� S C�. S(1111Q 1Cf (OO II 00 E A-b v e I R lIOiJO Draw a side view of the structure.Include spans of Max Upgrade Lumber Length: Draw a side view of the structure.Include spans of Max Upgrade Lumber Length: l t� 1 `J structural members and locations of load-bearing walls. Irove Length: structural members and locations of load-bearing wails. have Length: M Wr� Jn, lig �nkrar,Le �pr a+iiL uGCeSS, L!l!1! fv Ri k� a Goble Length: rn Fz L 1' t`� /s1�Q �7C'Qh ---- M ..._ _ Gable Length: M } o Q Sb Lf' J$ 1�Dr undCr G Wct^rct t ou5c ' e6 /^Qi t - r'.L size Spacing nPJ Rn9�us�an'✓trJ+v MCI p Size Spacing � Z qr n o ' I ! P Y'� d c�rnat n'� L✓,dtkl,'trc, cr Wes WAl L/ Cl OlIVCv.T �( (, ti z�G /i Raher/TC y r' s�lrY5-2x(a I^ 04 Rafter/TC ZYL1 n t 7 C p M Wei-t- �i:lfy to�N5 en�.�, 4r,,► Er Coiling Joist , rt,'S. _ C Qr Ridge r' � r p G Ccllingloist ^� � � N E 1 Meter N: L� d 7� 1J I Y I >' C �UCr S +/ Ridge � �i 1 N Collar ��, G CollarTle cc C1 N Purlin 7 " r r4 H Purlin 7 t{ " Service Size: 120/240 1).0/208 Y 0 277/480 I Lt -�' strut 2 �y" U �i•' Strut L Main Panel: Cutler-Hammer Square D Siemens Bryant Challenger Ge Murray Hip Rafter Hip Rartor �_ 00 U U 'J G Rating: 100 125 150 200 225 300 Notes: Notes: L rn (C) Cat.a• oMG30L,�G � fl j Ilk Z Q Drown she plan or lhn home.Mark the location or relevant obJecU.Label the mounting planes and draw a (Q p North(N)arrow. �, ` coN O Main Breaker Cutler-Yammer 5 uareD Siemens Bryant Challenger Ge Murray Indicate North f CD U 01 '� V J LLJ Kaic: Z 2, Rating: 100 125 150 200 225 300 vi v W Grounding: llG_round Rod H2O Unknown U v B B Location: ►7Ai' 1` m Conductor size: Neutral Size: V0 _` Ground Size: 3 1 D m J ori, Sub Panel: Cutler-Hammer Square D Siemens Bryant Challenger Ge Murray s Cat.it: j J Rating: 40 60 100 125 150 200 Main Breaker: Rating: 40 60 100 125 150 200 .2 Conductor Size: Locotlon of sub ponek �v v J � o Neutral Size: o � m 6 M Ground Size: 9C�l2�a Generator:Type: I•v o 9 Location: Tie-in Method: J o D o Internet: es No Hardwire? ' 5 L q S A � A 6«< o00 legend D Distribution Panni FOH Front of House Sheet 8 M Meter Loratlon Driveway Driveway I Invorterlocatlon (-Street-Wreet x Grounding 4 3 2 1 D Ov C7 p -o .1 V/ CD n .1� M I I I W I I I { { i -P 1 (D - 'Z —I 0 CD ._r-.,.._,..,.....,..�.,e,,.,..,.,�..... .�..n.. N � N N (D y� f � n (D N Date Revision Drawn By: Check By. Tarello, Matthew - 5353 08/02/16 V1.0.Original drawing DJM BMS Monolith Solar Associates, LLC 10/20/16 V2.0-Updated electrical schematic BMS CPL 40 Woodshire Ct, Queensbury NY 12804 • • (D 10/31/16 V3.0-Upd aced Setback Design CPL m s s. size: 7,680 watt 120/240 444 Washington Street • ' I'D (24) LG320N1C-G4 320 W modules (1)SE6000A-US 24 P320 Optimizers Rensselaer, NY 12144 D o� C7