SOLAR-0768-2021 Office Use Only
t Permit#: EOLA e— 01-b 6 a 202�
Permit Fee:.$ gr �
742 Bay Road,Queensbury, NY 12804
P:518-761-8256 www.aueensbury.net Invoice#:
Flood Zone? Y UN Reviewed By:
'SOLAR PANEL PERMIT APPLICATION
SITE INFORMATION:
Project Location: 7 Amethyst Dr
Tax Map ID#: 308.14-1-28 Subdivision Name:
PROJECT INFORMATION:
Re ntial:Q Commercial Other:
✓Single Family
Multi-Family
�x t
Are the solar panels? 0 Purchased Leased `
Estimated cost of construction: $26,582.00
Total System Capacity Rating (sum of all panels): >=
Solar PV System: 10.85 kw DC �
�C
Select System Configuration: <
X Supply side connection with micro inverters
Supply side connection with DC optimizers
Supply side connection with string inverter
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 If,for any reason,the building permit application is withdrawn, 30%of the fee is retained by the Town of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 WS 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:
See attached
Homeowner's Signature Date
10.12.21
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): Nathan Etu
Mailing Address, C/S/Z: 7 Amethyst Dr, Queensbury, New York 12804
Cell Phone: _(214 )632-7952 Land Line:
Email:
• Solar Contractor:
Workers' Comp documentation must be submitted with this application
Business Name: Kasselman Solar, LLC.
Contact Name: Loreen Harvey
Mailing Address, C/S/Z: 279 Broadway bldg 2, Menands, NY 12204
Cell Phone:_(518 )478-3906 Land Line: _( ' )
Email:LHarvey@kasselmansolar.com
• Electrical Contractor:
Workers' Comp documentation must be submitted with this application
Business Name: Kasselman Solar, LLC
Contact Name: Ernesto(Gino)Cimmino
Mailing Address, C/S/Z: 279 Broadway bldg 2, Menands, NY 12204
Cell Phone: _( 518 )3.68-3196 Land Line: _( )
Email:ginoc@kasselmansolar.com
Contact Person for Compliance in regards to this project: Loreen Harvey
Cell Phone: ( 518 )478-3906 Land Line:
Email:LHarvey@kasselmansolar.com
Solar Panel Application Revised January 2021
c
PLEASE INCLUDE WITH YOUR SUBMITTAL:
1. Completed Solar Panel Installation permit application
THREE (3) COPIES OF.THE FOLLOWING:
2. Signed and stamped architect or engineer solar plans, which include:
a. Design/snow load
b. Letter indicating rafters can handle additional load of solar panels and snow
c. Proper setbacks from ridgeline for Fire Department access
d. Rapid Shutdown
3. Plot plan indicating proposed structure to hold solar panels
ADDITIONAL IMPORTANT INFORMATION:
1: Any changes to the approved plans prior to or 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.
Solar Panel Application Revised January 2021
- .
DocuSign Envelope ID:6768FOEF-099C-4194-A1CC-45A7AD4C94C7
279 Broadway
- Building#2 `
K.:
.k:a's:5ehrxtan : L Menands,NY 12204
(518)-478-8365
(518)'-953-1095 Fax
Nathan Etu '
I (Customer) hereby authorizeKasselmari Solar LLC,to act
as customer,agent&contractor,and to submit all necessary permit applications and supporting
documents to the,Town.Building Department on my behalf.
Nathan Etu
Customer Name(Print)
DOCUSIgned by:
C U S FI J gTIOJf ,e
7 Amethyst Dr Queensbury New York 12804
Customer Address
Queensbury
Municipality that issues your Building Permit
DocuSigned by:
t -�h wah
Kas 4q�10?4�nployee Signature
yoRlt workers' CERTIFICATE OF INSURANCE COVERAGE
t—, STA7E Compensation under the NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW
Board
PART 1. To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier
I a. Legal Name and Address of Insured(Use street address only) lb.Business Telephone Number of Insured
518 478-8365
Kasselman Solar LLC lc.NYS Unemployment Insurance Employer Registration
20 Walker Way Number of Insured
Albany,NY 12205 1d.Federal Employer Identification Number of Insured or
Social Security Number
464740969
2. Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier
Coverage(Entity Being Listed as the Certificate Holder) ShelterPoint Life Insurance Company
Town of Queensbury 3b.Policy Number of entity listed in box"la":
742 Bay Road DBL441239
Queensbury,NY 12804
3c. Policy effective period:
03/24/2021 to 03/24/2022
4.Policy provides the following benefits:
a. ® Both disability&paid family Ieave benefits
b. ❑ Disability benefits only.
c.❑.Paid family leave benefits only
5.Policy Covers::
a. ® All of the employer's employees eligible under the New York Disability&Paid Family Leave Benefit Law
b.❑ Only the following class or classes of employer's employees:
Under penalty of perjury,I 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 as described above.
Date Signed March 5,2021 By
2-
(Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carver)
Telephone Number (800)233-0115 Title Authorized Representative
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
carrier,this certificate is COMPLETE. Mail it directly to the certificate holder.
If box"4b,4c or 5b"is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the Disability and Paid Family Leave
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 (9-17)
=IL
fi � - WESTSH ® RE
DESIGN ENGINEERS, P.C. F. COPY
1 100 GREAT OAKS BLVD. I SUITE 117A
ALBANY I NEW YORK 12203
To: Kasselman Solar
TOWN OF QUEENSBURY 20 Walker Way
BUILDING DEPARTMENT Albany,NY 12205
Bayed on our limited examination,compliance
M41 our comments shall not he construed as Date: September 22, 2021,
indicating the plans and sppecifications are in
full,compliance with the BUilding Codes of Ref.: 21090354
New York State.
Subject: Etu Residence CEOWE
7 Amethyst Dr. OCT 1 8 2�2a
Queensbury,NY
P
TOWN OF QUEENSBURY !
BUILDING& CODES
To Whom It May Concern, — --...--
The following references the structural roof analysis of the Etu residence located in
Queensbury, NY. Westshore Design Engineers has been retained in order to analyze the
existing roof structure for adequacy in supporting the proposed additional loading due to
rooftop solar panels. The site-specific loadings are as follows: Seismic Design Category
C; basic Wind Speed of 115mph; and Ground Snow Load of 50psf, per ASCE 7-16. The
Applicable codes also include the 2020 Residential Code of NYS. The existing roofs
consist of pre-fabricated/engineered wood trusses at 24"o.c.
Based on structural analysis the RI and R2 roofs are adequate to support rooftop solar
panels with a maximum loading of 3psf.
"Unirac" L-foot anchors or equal with 5/16" diameter lags required at 48" on center
maximum, staggered,with 2.5"minimum embed or S-5! Clamps or equal for metal roofs.
RoofTech"RT Mini" or equal attachments for deck attachments.
Please don't hesitate to contact us with additional requests.
Thank you.
Westshore Design Engineers P`o�N S A./V A
ti
* 2 �
TOWN OF QUEENSBURY
0724 af
BUILDING & CODES DEPT.
Reviewed B
Date: FO 091373
pR�FES S10Np�
9/22/2021
John Eibert Nicolas Nitti,PE
Director of Solar Operations President
WestShore Design Engineers 1 100 Great Oaks Blvd.I Suite 117A I Albany,NY 12203 1518.313.7153
Customer:
1017/2021
Nathan Etu
Address: 7 Amethyst Dr
Queensbury,New York 12804
_ Phone:
12 Longi 350 W Modules (214)632-7952
12 Enphase IQ7+ Microinverters
31 Longi 350 W Modules
99 1WROMEX 31. Enphase IQ7+ Microinverters-ARCOMBINER System Size: 10.85
50A Main
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25-year Power
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Complete System and Product Certifications Positive power tolerance(0 +SW)guaranteed
IEC 61215,IEC 61730,UL 61730
ISO 9001:2008:ISO Quality Management System High module conversion efficiency(up to 20.3%)
ISO 14001:2004:ISO Environment Management system- _ Slower power degradation enabled by Low LID Mono PERC technology:first year<2%,
T562941:Guideline for module design qualification and type approval 0.55%year 2-25
OHSA518001:2007 Occupational Health and Safety
Solid PID resistance ensured by solar cell process optimization and careful module BOM
Joeselection
, , I s�• C El us Reduced resistive loss with lower operating current
k specifications subject to technical changes and tests. Higher energy yield with lower operating temperature
LONGi Solar reserves the right of interpretation.
Reduced hot spot risk with optimized electrical design and lower operating current
■
C71 Room 801,Tower 3,Lujiazui Financial Plaza,No.826 Century Avenue,Pudong Shanghai,200120,China
Tel:+86-21-80162606 E-mail:module@longi-silicon.com Facebook:wvnvfacebook.com/LONGi Solar
Note:Due to continuous technical innovation,R&D and improvement,technical data above mentioned may be of modification accordingly.LONGi have the sole right to make such
modification at anytime without further notice;Demanding party shall request for the latest datasheet for such as contract need,and make it a consisting and binding part of
lawful documentation duly signed by both parties.
`These Modules ate not offered,distributed or supplied to Germany by the LONGi Group.
LONGi Solar Technclogle GmbH does not offer,distribute or supply those Modules in Germany or any other country. 20200401V11
LR4-6.0HPB 345' 370M
Operating
1038 Cell Orientation:120(6x20) Operational Temperature:-40C^+85C
Junction Box;IP68,three diodes Power OutputTolerance:0`+SW
1 �� 9 Output Cable:4mm2,300mm in length, Voc and IscTolerance:13%
(� I�
9�>�J '^ length can be customized Maximum System Voltage:DC1000V(IEC/UL)
ON 111
Glass:Singleglass Maximum Series Fuse Rating:20A
t2 3.2mm coated tempered glass Nominal Operating Cell Temperature:45±2C
n� Frame:Anodimdalurnhumalloyframe Safety Class:Class11
umtrmmMdd Weight19-S Fire Rating:UL type I or 2
Tole an e. Dimattsime 175S,d038x35mm
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`Maw u Po er P � '`'� .o �„ 7_ _ �a; ; ,} •
m to w (,It1aX/W},-� 345,,r 2576 }350r 2614 - 355 2fiS1 -' 360 268,& 365°_ 2Z2c6 370 -_� 27¢3, c
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Short-Ircurt Lurreht(ISc/A}- , �2 06= 8 95 1116 9 02 a 1125 �,9 O9 1133 9,16 1t 41; 9 28 11 SO__ 9 3D-
Voltage at Maximum Power(Vmp/V) 34 2 318 j 34.4 32.0 34 6 332 `a 34.8 32.4 35 D _; 35.2 32.8E
Current atMaximtinPower(lmp/A)r 1D09 809' 101& All 1027r+ 83 1035 =- &c3a 1043 836, 1052 843_j
Module Efficiency(%) 18 9 19.2 19 5 19.8 :20 0 "d 20.3
STC(ftandard Testing Cortdltiops)irl ad66 SU00W/m' Ce117emperdture,25 C,Spectra 2t AM15 _ j
NOCT(Nominal Operating Cejl Temperature):Irradiance 80OW/m2,Ambient Temperature 20 C,Spectra at AM1.5,Wind at 1m/S
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Temperature Coefficient of Isc +0.0489/./C Front Side Maximum Static Loading 540OPa
Temperature Coefficient of Voc -0.2709/o`/C Rear Side Maximum Static Loading 240OPa
Temperature Coefficient of Pmax -0.350V./C Hailstone Test 25mm Hailstone at the speed of 23m/s
IN Curve
Current-Voltage Curve(LR4-60HPB-360M) Power-Voltage Curve(LR4-60HPB-360M) Current-Voltage Curve(LR4-60HPB-360M)
12 400 Cell temp-25C 12 Cell Temp•25C
10 350 —1o00w/m' 10 l000w/m
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6 —Cell Temp=45C 3 200 6
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Voltage(v) Voltage Iv) Voltage(v)
GI Room 801,Tower 3,Lujiazui Financial Plaza,No.826 Century Avenue,Pudong Shanghai,200120,China
Tel:+86-21-80162606 E-mail:module@longi-silicon.com Facebook:wwwfacebook:com/LONGi Solar
Note:Due to continuous technical innovation,R&D and improvement,technical data above mentioned may be of modification accordingly.LONGi have the sole right to make such
modification at anytime without further notice;Demanding party shall request for the latest datasheet for such as contract need,and make It a consisting and binding part of
lawful documentation duly signed by both parties.
These Modules are not offered,dsftibuted or supplied to Germany by the LONGI.Group. 20200401V11
LONG!SolarTechnologie GmbH does not offer,distribute or supply those Modules In Germany or any other country.
Data Sheet
Enphase Microinverters
Region:AMERICAS-
Enphase The high-powered smart grid-ready
Enphase IQ 7A Micro' dramatically simplifies the
a Q:7A M Icrolnverter installation'process while achieving the highest
system efficiency for'systems with 60-cell and
72-cell modules.
Part of the Enphase IQ System,the IQ 7A Micro
integrates with the Enphase IQ Envoy"; Enphase IQ
Battery",and the Enphase Enlighten" monitoring
and analysis software.
The IQ Series Microinverters extend the,reliability
standards set forth by previous generations and
undergo over a million hours of power-on testing,
enabling Enphase to provide an industry-leading
warranty of up to 25 years.
High Power
• Peak output power 366 VA @ 240 VAC and 295 VA @ 208 VAC
Easy to Install
• Lightweight and simple
• Faster installation-with improved,lighter two-wire cabling
• Built-in rapid shutdown compliant(NEC 2014&2017)
Efficient and Reliable
ir • Optimized for high powered 60-cell and 72-cell modules
• Highest CEC efficiency of 97%
• More than a million hours of testing
m Class If double-insulated enclosure
• UL listed
Smart Grid Ready
• Complies with advanced grid support,voltage and frequency ride-
through requirements
• Envoy and Internet connection required
• Configurable for varying grid profiles
• Meets CA Rule 21 (UL 1741-SA)
To learn more about Enphase offerings,visit enphase.com `�j EN PH AS E•
Enphase IQ 7A Microinverter
INPUT(DC) IQ7A-72-2-US
z
Module compatibility 60-cell,66-cell,and 72-cell PV modules
Power point tracking voltage range 2 18 V-58 V
Max DC short circuit current(module ISC)3 15A
OvervoltagecfassDCpo_rt
DC port backfeed current 0 A
didi Nb`;additi6halDC;si b--pr6tdctidnr
Pv`-' ungrounded-enaTTY; -q
-pi e,ACI ction-'require,s 7 b-
-p dric ircu r rq e r'
OUTPUT-(AC)--- @ 240-VAC @ 208 VAC
k'outputfiowdr
Maximum continuous output power 349 VA 290 VA
Maximum continuous output current 1.45 A(240 VAC) 1.39 A(208 VAC)
Extended frequency range 47-68 Hz
WOO
-iN
Maximum units per 20 A(L-L)branch circuit' 11 (240 VAC) 11 (208 VAC)
SLaoz-"7�""
AC port backfeed current 18 rnk
Power factor(adjustable) 0.85 leading... 0.85 lagging
EFFICIENCY @240 VAC @208VAC
ZMIN 61��ji-f I fi c I p n c
MECHANICAL
-5-
Relative humidity range 4%to 100%(condensing)
Dimensions(HxWxD) 212 mm x 175 mm x 30.2 mm(without bracket)
:Weight M&
Cooling Natural convection-No fans
1-141-1pr"" W
or-WeVlobdtldns-,-�'-
Pollution degree PD3
Environmental category UV exposure rating NEMA Type 6 outdoor
FEATURES
Monitoring p
Compatible with Enphase IQ Envoy '
LIL 62109-1,UL1741/IEEE1547,FCC Part 15 Class,'B, ICES-0003 Class B,
CAN/CSA-C22.2 NO.107.1-01
This product is UL Listed as PV Rapid Shut'Dowin Equipment and conforms with NEC-2014 and
NEC-2017 section 690.12 and C22.1-2015 Rule 64-218 Rapid Shutdown of PV.Systems,for AC
and DC conductors,when installed according manufacturer's instructions.
1.No enforced DC/AC ratio.See the compatibility calculator at https://enphase.com/en-us/support/module-compatibility.
2.CEC peak powertracking voltage range is 38 V to 43 V.
3.Maximum continuous input DC current is 10.2A.
4.Voltage range can be extended beyond nominal if required by the utility.
5.Limits may vary.Refer to local requirements to define the number of microinverters per branch in your area.
To learn more about Enphase offerings,visit enphase.com
@ 2020 Enphase Energy.All rights reserved.Enphase,the Enphase logo,Enphase IQ 7A,Enphase IQ Battery Enphase Enlighten,Enphase IQ ENPHASE.
Envoy,and other trademarks or service names are the trademarks of Enphase Energy,Inc.Data subject to change.
2020-06-16
SOLARMOUNT U N I RAC
SOLARMOUNT.is the professionals' choice for residential PV mounting applications. Every aspect of'the
system is--designed-for an easier, faster installation experience. SOLARMOUNTis.a complete solution with
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only is SOLARMOUNT easy to install-,.but best-in-class aesthetics make it the most attractive on any block!
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