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22D-059 (3)
• solar alter thermal Cd RENEWABLES wind �(J September 4, 2009 City of Northampton Building Department Mr. Louis Hasbrouck 212 Mai Street, Room 100 Northampton, MA 01060 RE: Building Permit Application Mr. Robert Dihlmann, Florence MA Dear Mr. Hasbrouck, Attached please find a building permit application for Mr. Robert Dihlmann of Florence MA. The following supporting documentation is attached. 1. Original building permit application 2. Building permit application fee $174 ($6k/ $1,000 project costs) 3. Worker's Compensation Insurance Affidavit 4. MA CSL License for Robert Jenen, Project Manager Alteris Renewables 5. MA HIC License for Robert Jenen, Project Manager Alteris Renewables 6. PV Project Site Plan 7. Specification sheets for equipment installed at the Dihlmann residence. 8. Home owner's consent form for work to be performed at the Dihlmann residence. In addition to the above information, the following is true. The total square footage of this project is 319 square feet and weighs approximately 612 with the UniRac Solar Mount racking system. The modules will be held in place with S5 clamps to the racking system. The total project cost is $28,857. Please mail the approved building permit in the self addressed envelope provided. Should you require additional information, please do not hesitate to contact our office. Thank you for your assistance in this project. Since t Mi helle Everett Operations Manager 34 Front Street Suite 321 I P.O. Box 51924 I Springfield, MA 01151 I t: 413.734.1456 I f: 440.445.4054 I www.alterisinc.com 0lt (J a It er i s TM RENEWABLES Owner Consent Form Owner: Robert Dihlmann Address: 33 Florence Road Town: Florence State: MA Zip: 01062 I hereby give permission to Alteris Renewables, Inc. and their representatives to pull the required permits for a solar installation on my property. Signed, ziii„ le 34 Robert Dihlmann Date 34 Front Street Suite 321 1 P.O. Box 51924 1 Springfield, MA 01151 1 t: 413.734.1456 1 f: 440.445.4054 1 www.alterisinc.com • m Start at www.unirac.com 111 N I RAC Download our SOlarMouruSMasar Prue tut with Bright Thinking of Solar Suing Charm and installation manuals. Generate quick price estimates with our on -line SolarMOUnr3 Ertimaror. 1 `l 0 r? I aRANIng 4r T* , to a .'r,ya_ ' ,s- ✓' ° " 1 s a Code Compliant Warranty www.unirac.com .- - - - . The SolarMl!tS systemis PEttrtified. 5.111 Unirac SOIaMr!,U®is covered bya l0 -year limited pmd(d Fast Foot Unirac Grounding Clip for documentation applicable ro your building code. ranTy ands 5 -year limited 5nish warranty. pot SOiarMount l5 much more than a product. PastFOOt ^arcachmentoption is the #1 Solution for Save time and materials by eliminanng the Component ompletc warranties . download any SOlarMOUntdC embrane roofs. Featuring ECO -Fasmn rechnolo10 bF needmndiuusly insrallagroun3 lug on po 6 Specifications uu'[alfation manual from our web site be of idv of engineered components can the Alpine Snow Guard t:ompany, xtitFOOt offers' a self each module anti bare rapper wire berwum, 6061 -T an 6 and 6063 -T e assembled be aS into into a wide variety PV mounting sealing feawre mrmembrene mofx mamoes wu-aid roof au modues. mxtead, ximplyvresx one of rnexe •solarMnum bauaxt trarne structures. With SolarMount you'll be able to solve mr nufacturer's membrane warranty. Fas1Foot is perfect clips into the mpslor of the SolarMottt rail at 6100 -00 aluminum esrrusinn anacnmg m metal, ttt oft and wood. ana h,oxranx the end of me row and between eacn patror virtually any PV module mounting challenge. • SolarMountt raids on 31 EPDM, PVC, T1'o and built up roofs . modules as they veivralled. Nign and fvten •Mounting clips and clamps system support: p It's also a t m o tee 'c su rt com ate the moduli verb solarMOUnuop mounting TBt le dt. -feel installation and code compliance documentation, clamps N Ne r,sual mariner. The nibs of the gs en p 3/4" Conduit strap udrae cmwmng cup piers the ano two - piett nandoffs anon line SolarMount Estimator, person•twperson �aamr attapwo-emanagementhn eftorrlessty me mountin morn are ti d,ax eremm sererr eondirion4(vary.re�arcl nmr pmrcd wemed,mrf customer service, and design assistance to help you rails 3r8 slur end with ayuick yuerter into, firmly snag agmund path tluough the solarMount reiL .one -plate standoffs solve the toughest challenges. hd o place wirhaut roolx or the neeJmdrill-- a<Idi,ie�al Complete the instalarion by insrailing one fbS Stainless steel es.Made moor " r, drw stabdueq itsitsunderthe gmurdn,glugazth theS,rpprrnt Which is why SolarMount is PV's most widely used moduletn ancnory + "conduitorcablesalong the rail wish rail. COnnecttbe lugx withabarc copperwire Fasmners the arlded ability m use nandard wire des if desired. m ground the entire array. mounting system. r'•UNIRAC �411 Broadway Boulevard NE Pub 070131- Ids• bebruary 200 pe r. nxo. ows our n, ,o, aow save Albuquerque NM 97101 - 1545 USA U 2007 111010.111c All rights reserved. - .40.. , , • SOLARMOUNT -.. . PV's most versatile mounting system i'A1 't•'1 .,,.::-••-,,,,.-..-.:... • • . • ' - • : . • .. • • . ' ••••..._ 04 __ .... _ .. __ . . , . ----, 10 ,..• - ---........_._-________` - -. b...._ ...: iiii.„.• ...._. „...., ./ 6. ..' • . : • A....b 4.,#. ltd To .nnone..r.n.e , nn - - t Splice Bats Top Mounting Clamps Bottom Use botto Mounting Clips Junction Plat. Strut-in-Tube Style Legs . m .. v I li 71 '" _—... , . ,, — _ -"W"-' ,....,,,. , .. --, „ 7 "l'ur 11 4 ' viTle r ne ' v ° e r r ' s ', 2su , attr ,__ _ :1 to exactly the filt , ,, fr.. th ' , f This is ideal for l l i .,ph,...., N ' n ' ,L h ■Z d g 1 ' s ‘ i: h s= b I cli „,.. holes Sinspls s'Y'l \k, vs. , the rail to s fit the rhp irito its rails]. over H is ftir ler so re .1 , Hi., srvlW s. llf RH. bar I s STP180S - 24 /Ab -1 SUNTECI-I STP1 75S - 24 /Ab -1 STP170S - 24 /Ab -1 Solar powering a green future STP165S - 24 /Ab -1 STP160S - 24 /Ab -1 Electrical Characteristics Characteristics STP1805- 24/Ab -1 STP175S- 24/Ab -1 STP1705- 24 /Ab-1 STP1655- 24/Ab -1 STP1605- 24/Ab -1 Open - Circuit Voltage (Voc) 44.4V 44.2V 43.8V 43.6V 43.2V Optimum Operating Voltage (Vmp) 35.6V 35.2V 35.2V 34.8V 34.4V Short - Circuit Current (Isc) 5.4A 5.2A 5.14A 5.04A 5A Optimum Operating Current (Imp) 5.05A 4.95A 4.83A 4.74A 4.65A Maximum Power at STC (Pmax) 180Wp 175Wp 170Wp 165Wp 160Wp Operating Temperature -40 ° C to +85 ° C -40 ° C to +85 ° C -40 ° C to +85 ° C -40 ° C to +85 ° C -40 ° C to +85 ° C Maximum System Voltage 600V DC 600V DC 600V DC 600V DC 600V DC Maximum Series Fuse Rating 15 AMPS 15 AMPS 15 AMPS 15 AMPS 15 AMPS Power Tolerance ±3 % ±3 % ±3 % ±3 % ±3 % STC: Irradiance 1000W/m Module temperature 25°C, AM =1.5 Mechanical Characteristics 758 429.81 Solar Cell Mono - crystalline 125x125mm (5inch) Junction box - Drainage holes No. of Cells 72(6x12) x3 t.. Dimensions 1580x808x35mm (62.2x31.8x1.4inch) 14x9 [0.5500.351 r Mounting sots I ' a t€, Weight 15.5k (34.1Ibs.) 8 places 9 g H � tt i r' � -. 1 , ' Front Glass 3.2 mm (0.13inch) tempered glass 1 Frame Anodized aluminium alloy 1 z 1 1 , ,,. Junction Box IP65 rated ° i 8 8 AIW (12AWG), asymmetrical lengths ( -) 1200mm roon to >/ Output Cables (47.2inch) and ( +) 800mm (31.5inch), MC Plug Ground h holes les zplaces l ,!1!..,,:!!'!!!!,! t a ; ; Type IV connectors d .>. Temperature Coefficients Section A -A ♦ _ °C __._. Nominal Operating Cell Temperature (NOCT) 45 ° C ±2 11 _ = - - =' =_ Temperature Coefficient of Pmax -0.48 %/ — _ -- _ - - - -- °__i____ r 1.5 =_°__________=-----_--- - _—=_____ === I Temperature Coefficient of Voc - 0.34 %PC r _ Note: mm [inch] 35 t 4 808131•81 ► Temperature Coefficient of Isc 0.017 %/ Current - Voltage & Power - Voltage Curve (170W) Temperature Dependence of Isc, Voc, Pmax I 180 140 1 1 c ow/n32 AII_ 20 5 1 hi 1st aOGW /na ' .�.�., �.,., — g r 100 ..__�__�__.l __ ' ' lza A VoC U 00 3 90 0 Pmax Al _ E pr 1' - 0 . ...■■■ , _ 0 20 ........ 0 0 5 10 15 20 25 30 35 40 45 -50 -25 0 25 50 75 100 Voltage(V) Cell Temperature (°C) www.suntech-power.com E_ rnail.:,Ir- ',urirr,r -h v.,, - , ,rr , STP- DS- STD- N01.01 Rev 2008 STP180S - 24 /Ab -1 S SUNTECH STP175S - 24 /Ab -1 BLACK LABEL' STP170S - 24 /Ab -1 Solar powering a-green future- STP 165 S - 24/Ab -1 STP160S - 24 /Ab -1 175 Watt MONO-CRYSTALLINE SOLAR PANEL Suntech Black LabeITM modules are exclusively designed and engineered for homeowners who seek a rooftop solar solution " that combines visual aesthetics with excellent efficiency Features • High conversion efficiency based on innovative photovoltaic technologies ► • High reliability with guaranteed +/ -3% power output tolerance • Withstands high wind - pressure and snow Toad, and extreme temperature variations Quality and Safety • 25 -year power output transferable warranty • Rigorous quality control meeting the highest international standards • ISO 90011000 (Quality Management System) and ISO 14001:2004 (Environmental Management System) certified factories manufacturing world class products • UL listings: UL1703, cULus, Class C fire rating, conformity to CE Recommended Applications • Residential roof top systems • On -grid utility systems • On -grid commercial systems c0___ CG Suntech's technology Unique design on drainage ' " , yields improvements to holes holes and rigid construction ', BSF structure and prevents frame from anti- reflective coating to deforming or breaking due increase conversion < yt to freezing weather and other m k e efficiency 1 400 ' 4igllY forces '+" Suntech was named Frost and Sullivan's 2008 Solar Energy The panel provides more Development Company of field power output through an advanced the Year cell texturing and isolation process, which improves low irradiance performance www.suntech- power.com rn [l sales Jr r -.;rr STP - STD N01.01 Rev 2008 9 3/4" 9 3/4" 28' -9 1/2" ► • v) • • _I 0 N /t SYSTEM S..M4ARY DRAWING TITLE 3.6 kW (DC) at Standard Testing Conditions ri ,,,E, Photovoltaic Array Layout 18 Evergreen ES — A 200 PV Modules TD DRAWN I tr1M 1 Solectria PVI 4000 Inverter KH RENEWABLES Unirac SolarMount Racking System The Dihlmann Residence SCALE I/4" = r o' (LETTER) 33 Florence Rd DATE DAL Roof Pitch (Module Tilt) = 35° Florence, MA 01062 7/6/09 ALTERIS RENEWABLES, INC. Module Azimuth = 192° Magnetic DATE REVISION 17 Burnside St Bristol RI 02 C- C N cn O to 2 O co t_ m z m . z ' t- Boar. o : Lull ing ' egula ons an. tandar i s ! D _ I One A Place - Room 1301 rfix 4 -.:m Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 163252 Type: Individual Expiration: 5/27/2011 Tr# 284599 ROBERT N. JENEN ROBERT JENEN P.O. BOX 158 - • HOUSATONIC, MA 01236 - Update Address and return card. Mark reason for change. ' I Address i _ Renewal [ • Employment E' Lost Card DPS -CA1 0 40M•08108- DBSLIFORMCA108212008 A to©an4ffeaouveaelllZ (/ ti/1.mUck to Board of Building Rcgulalions and Standards License or registration valid for individul use only W 1 - f HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: i (........r Board of Building Regulations and Standards _ + Registration: 163252 g g g • '' One Ashburton Place Rm 1301 ' Expiration: 5/2772011 Tr# 284599 N Boston, Ma. 02108 Type: Individual ROBERT N. JENEN ROBERT JENEN 1066 MAIN ST .tb.i......�_ 1 HOUSATONIC, MA 01236 Administrator Not valid without signature j It Bn siXef tiaigngif&nsgauana see StandsrlS Construction Supervisor License License: CS 81308 Expiration: 2/4/2010 Tr* .'201 Restriction: 00 ROBERT M JENEN PO BOX 158 HOUSATONIC. MA 01236 ('.emnniisionrr - • - • • ' • <,. . • '••# , • „ . • • (.„ , • • ' . . • • • • - • •Nr - • , • ••.4 • ■,,•••4" ••• ° ••I 4 1. < • • ' • • • • • • • • • • • • ' * **4 A The Commonwealth of Massachusetts et a . k Department of Industrial Accidents � Office of Investigations �, I ! 600 Washington Street Boston, Mass. 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians /Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual) : /4' 7 ' /S RatG Address: Po /Box 5 City /State /Zip: SP/el) / 4,,49- O /4.57 Phone #: 9/3 735//i Are an employer? Check tIt appropriate box: Type of project (required): 1. am an employer with /'� 4. 1 I am a general contractor and I 6. L New construction employees (full and/or part time).* have hired the sub - contractors 7. 1 Remodeling 2. J I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub - contractors have 8. 1 Demolition working for me in any capacity. employees and have workers' 9. 1 Building addition [No workers' comp. insurance comp. insurance.. required] 5. I We are a corporation and its 10. 1 Electrical repairs or additions 3. I I am a homeowner doing all work officers have exercised their 11. l Plumbing repairs or additions myself [No workers' comp. right of exemption perm MGL insurance required] t c. 152, § 1(4), and we have no 12. J Roof repairs employees. [no workers' 13. Other 301447Q pf1�1.Ees comp. insurance required.] / *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. tHomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contactors that check this box must attach 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, the must • rovide their workers' corn,. colic 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: £ ant /4 //VA/AC*44X • Policy # or Self -ins. Lic. #: it)C,4 d2 y 858 Expiration Date: Job Site Address: 33 ?�MeA/eE X41f /D City/State /Zip: ?/D 'e Ve /%I4 '/ t '2. Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration (date). Failure to secure coverage as required under Section 25a of MGL 152 can lead to the imposition of criminal penalties of 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 $250.00 a day against violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certi under the pains and penalties of perjury that the information provided above is true and correct. Signature: at Date: `J /y /D 5 Print Name: Ad/cite E/ 6r Phone #: 7/3 7 /5 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 Heath 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact person: Phone #: • - . 5 ,•• • • • • •ft. •• • ••# •-• • • • • • • • • . * , *., • •\: ' *, • •••• • * •• ••• . ' ••• • .1.. r • s • • , • • ) 1/1 • . • • • • 1 • • ti I SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: / � / Not Applicable ❑ Name of License Holder : ,D ,8E C/ z (/ (.,. e J O p / 30 O D License Number Pe go X /5 MiusahAllc a /51 eg2 d/Q Address Expiration Date / f /3 '73 / / Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ /RaJ 7 AI R /b 25 Company Name / Registration Number � a SDI /5 g ttorksetteAlle hi /9- C)/23 5 /? 7 � Q o // Address L�[ Expiration Date Telephone l 43 73 SECTION 10- 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 ❑ 11. — Home Owner Exemption The current exemption for "homeowners" was extended to include Owner - occupied Dwellings of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person (s) who own a parcel of land on which he /she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm structures. A person who constructs more than one home in a two -year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he /she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature 4. .. • • \. • •, r .. .� • I • 1t . - • • . ` ♦. • • • l' \ �'r •. ..�... , . 'r .. • • .t SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) n Roofing n Or Doors El Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [p Siding [El] Other [ Brief Description of Proposed �" ' Work: frt say 3"L - A'17p?( Oc 5o 4_4- P t."L - !S X Alteration of existing bedroom Yes / ` No Adding new bedroom Yes )C No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet 6a. If New house and or addition to existing housing, complete the following: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT j '✓fLA , as Owner of the subject property / �fiff}/]/R 6ER hereby authorize P' i UT /S RE/va 1),446 S Res Jt /� Pidgai T to act on my behalf, in all matters relative to work authorized by this building permit application. S 11 /9ic yP2ft no r! c!21240, Signature of Owner Date I, 19 /S , as Owner /Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Q / Ili.. /_ 4:e ; / D 'S Ad/1'fi/ �1 Print Nam= . 94/Zafr Signat e of Owner /Agent Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg & paved parking) # of Parking Spaces Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO rel DON'T KNOW 0 YES 0 IF YES, date issued: • IF YES: Was the permit recorded at the Registry of Deeds? NO O DON'T KNOW 0 YES 0 IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO or DON'T KNOW 0 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained ® Obtained 0 , Date Issued: C. Do any signs exist on the property? YES ki NO Q • IF YES, describe size, type and location: fy D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, avation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. • • • 4. • ea. ° a • • • • • *. 6 , , r , . • r • • • • ' • • • • a V r . • A41 , - •• • • • , \et ' NA! •• • • • • N. • • t • , • • •• .\.11 • Department use only - _ _ City of Northampton Status of Permit: , Building Department Curb Cut/Driveway Permit; JUG 212 Main Street Sewer /SepticAvaiiability r % Room 100 Water/Well Availability ti4 Northampton, MA 01060 Two Sets of Structural Piens 5 phone 41.3 -587 -1240 Fax 413 - 587 -1272 Plot/Site Plans, c Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: This section to be completed by office 33 ? /oie vice i4? 2 b Map Lot Unit 9/01e eAItee, /v! 4 Ole& Z Zone Overlay District Elm St. District CO District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: r RDB n Drftt-A4,1-Ar� J 33 9 /0KWAieg 'o rio,..ellv.v Name (Print) , tt �,��r, Current Mailin d ss: o E r l2T�L u C// 6 ) ,4 itZi Z4 - in/y.7k Telephone 6-7,oe& Signature 2.2 Authorized Agent: 0/57 Atrets R 1easf - - zs S Pd &x 7' z # , SiOrtt A/i4 Name (Pri / / �/ ) // - Current Mailing Address: '')/ �� tail G�S �v y JP • Telephone /3 734 � � 344. Signat e / SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building ,Ri, 2i� / (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) Check Number d /0 5/ 1 7'7 4 _ _ This Section For Official Use Only Permit Number: Date Building Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2010 -0266 APPLICANT /CONTACT PERSON ALTERIS RENEWABLES INC ADDRESS /PHONE P 0 BOX 51924 SPRINGFIELD (413) 734 -1456 PROPERTY LOCATION 33 FLORENCE RD MAP 22D PARCEL 059 001 ZONE URA(100) / /WSP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out ^ 1051 $ I 7q _ � Fee Paid C3 Typeof Construction: INSTALL SOLAR PANELS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 81308 3 sets of Plans / Plot Plan THE F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF ATION PRESENTED: Approved Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND /OR Special Permit With Site Plan Major Project: Site Plan AND /OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received & Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Peanut from CB Architecture Committee Permit from Elm Street Commission _ Permit DPW Storm Water Management Demolition Delay Signature of Building Official D. e Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health, Conservation Commission, Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning & Development for more information. 33 FLORENCE RD BP- 2010 -0266 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 22D - 059 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit # BP- 2010 -0266 Project # JS- 2010 - 000341 Est. Cost: $28857.00 Fee: $174.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ALTERIS RENEWABLES INC 81308 Lot Size(sq. ft.): 18687.24 Owner: DIHLMANN ROBERT A & BARBARA J LAWLESS - DIHLMANN Zoning: URA(100) / /WSP Applicant: ALTERIS RENEWABLES INC AT: 33 FLORENCE RD Applicant Address: Phone: Insurance: P O BOX 51924 (413) 734 -1456 WC SPRINGFIELDMA01151 ISSUED ON :9/18/2009 0 :00 :00 TO PERFORM THE FOLLOWING WORK :INSTALL SOLAR PANELS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: Driveway Final: Final: Final: 1/4&p/ Rough Frame: Gas: Fire Department Fireplace /Chimney: Rough: Oil: Insulation: Final: Smoke: Final: 6K )Z/ THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. ,i i i 0 ------7 . — 0, --- .. .." Certificate of OccupanclC7 /ii L " Signature:" FeeType: Date Paid: Amount: Building 9/18/2009 0:00 :00 $174.00 St VV cliy-' l'q 0 cif y / G' 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo