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City of Elk River Solar Energy Systems Permit Application <br /> Complete For a Roof Mount System: <br /> 1.What year was the roof last installed? <br /> 2.What is the condition of the roofing material? <br /> 3.Is the roof a rafter system? YES❑ NO❑ <br /> 4.Is the system to be flush-mounted to the roof such that the collector surface is parallel to the roof? YES❑ NO❑ <br /> 5.Does the roof have a single layer of roof covering? YES❑NO❑ <br /> 6.Identify method and types of weatherproofing for roof penetrations (e.g. flashing, caulk)? <br /> 7.Will the mounted modules with no more than an 18"gap beneath the module frames? YES❑ NO❑ <br /> If No,provide details of structural attachment certified by a design professional.Manufacturer's engineering specifications are sufficient <br /> to meet this requirement. <br /> 8.For manufactured mounting systems,fill in information on the mounting system below: <br /> a.Total Weight of Modules and Rails lbs <br /> b.Total Number of Attachment Points (attachment points must be equally distributed across array) <br /> c.Weight per Attachment Point lbs <br /> d.Maximum Spacing between Attachment Points on a Rail inches <br /> (see product manual for maximum spacing allowed based on maximum design wind speed). <br /> e.Distributed Weight of Module on Roof(c-f) lbs/ft2 <br /> (If total is greater than 5lbs/ft2,a study or statement demonstrating the structural integrity of the installation,or a <br /> statement stamped by a MN licensed certified structural engineer,may be required.) <br /> Have You Submitted Two Copies Of Detailed Drawings Of The Project,Including All Below? YES❑ NO❑ <br /> ❑Site Plan ❑Specification Sheets and Installations Manuals for: <br /> ❑PV Module(s) <br /> ❑Inverter(s) <br /> ❑Combiner Box <br /> ❑Disconnects <br /> ❑Mounting System <br /> I certify by my signature below that the information I have provided in this application is true and correct to the best of my knowledge. I <br /> understand that by applying for this permit,I grant the City of Elk River authority access to the property for inspection of the <br /> property before and after the alteration takes place. I also understand that if I knowingly have provided any false information,I may be <br /> subject to penalties enforceable bylaw. <br /> Landowner Date Contractor Date <br /> Office Use Only <br /> PID: <br /> Variance needed: Hearing: Variance granted: <br /> CUP needed: Hearing: CUP granted: <br /> Setbacks required: <br /> Compliance with building codes: Compliance with plumbing codes: Compliance with electrical codes: <br />