Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
43-095
%ft Snug-a-Bug Solar Homes P.O. Box 446, Palmer, MA 01069 (413) 283 -2192 Paul Carlson 4 April 29, 2012 A state law requires the following information; Our federal ID# 042 -78 -7007 Our state registration #107234 Construction Supervisor License #040449 All home improvement contractors and subcontractors must be registered with the state. All inquiries about a contractor or subcontractor relating to a registration should be directed to: Director, Home Improvement Contractor Registration One Ashburton Place, Room 1301 Boston, MA 02108 Tel. (617) 727 -8598 You have three days to cancel this contract from the signing date. A permit is required for any structural alteration, electrical or plumbing work. It is my obligation to obtain such permits as your agent. Owners who supply their own permits or deal with unregistered contractors will be excluded from access to the guaranty fund. 4/1t - - Snug a Bug Solar Homes P.O. Box 446, Palmer, MA 01069 (413) 283-2192 Paul Carlson 3 April 29, 2012 PAYMENT SCHEDULE Scheduling deposit $ 200.00 First day on job 3,500.00 When permanent roofing installed 3,300.00 When solar panels installed 3,000.00 Balance due upon completion 1,216.00 Estimate of all material and labor $ 11,216.00 e 2 - Snug a Bug Solar Homes P.O. Box 446, Palmer, MA 01069 (413) 283 -2192 Paul Carlson 2 April 29, 2012 • We will strip roof glazing from all areas and deposit onsite. • We will remove existing solar panels and deposit on site or haul away by owner's choice. • We will install 1 /2" Zip Roof sheathing with taped joints to existing framing. • We will install an ice and water barrier to sides of chimney and install three feet upward from ice panels. • We will apply roof shingles to match the existing as closely as is possible maintaining the existing ice panels. • Flashing at chimney will be reused with new step flashing as needed. • We will install 3 Solar 4 x 8 (EC32 ) Thermal, Empire series "black chrome" flat plate solar collectors to kitchen roof and will recharge the system with propylene glycol antifreeze. • It is recommended that kitchen roof be replaced prior to installation unless it's 5 years of age or less. Roofing option if elected will be at additional cost to be determined. • Solar tank will be a Sepco brand 120 gallon (S120SRW2024545) with dual heat exchangers and dual 4500 watt heating elements located in lower level of house. • We will employ the use of an aerial lift to be positioned on the front lawn. • All debris will be hauled away. • Job site will be picked up at end of each work day. • Job will be continuous through completion. NOTE: SOLAR PORTION OF THIS PROPOSAL FOR TAX PURPOSES IS $6800.00 MATERIALS AND LABOR s 4 4WASnug-a-Bug Solar Homes P.O. Box 446, Palmer, MA 01069 (413) 283 -2192 Paul Carlson 1 April 29, 2012 PROPOSAL PROPOSAL SUBMITTED TO: Paul Carlson STREET: 55 Whittier Street CITY, STATE, ZIP CODE: Northampton, MA 01062 PHONE: 413 - 584 - 1006 ALTERNATE PHONE: NUMBER OF PAGES IN THIS CONTRACT: 4 WE PROPOSE hereby to furnish material and labor - complete in accordance with specifications below: All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from specifications below involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Home owner to carry fire, tornado, and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. Authorized Signature Note: This proposal may be withdrawn by us if not accepted within thirty days. We hereby submit specifications and estimates for: Roof Remodel /Solar System Acceptance of Proposal: The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined. Date of acceptance: . / /v //,_ Signature: Signature: o cam. SRCC Search Collector Record Detail Page 1 of 1 SOLAR COLLECTOR CERTIFIED SOLAR COLLECTOR CERTIFICATION AND RATING ,0 1f icA4 4 , „ � SUPPLIER: SunEarth, Inc. ��Ii /b_ 9 8425 Almeria Avenue ® Fontana, CA 92335 USA 0G-100 CERTIFIED MODEL: Empire EC -32 COLLECTOR TYPE: Glazed Flat -Plate TVA SRCC OG -100 CERTIFICATION #: 2006024C Original Certification Date: 18- DEC -07 COLLECTOR THERMAL PERFORMANCE RATING Kilowatt -hours Per Panel Per Day Thousands of BTU Per Panel Per Day CATEGORY CLEAR MILDLY CLOUDY CATEGORY CLEAR MILDLY CLOUDY (Ti -Ta) DAY CLOUDY DAY (Ti -Ta) DAY CLOUDY DAY (6.3 kWh / (4.7 kWh / (3.1 kWh / (2000 Btu / (1500 Btu / (1000 Btu / m 2 .day) m m 2 .day) ft ft ft A ( -5 °C) 13.1 9.8 6.6 A ( -9 °F) 44.7 33.6 22.6 B (5 °C) 12.1 8.8 5.6 B (9 °F) 41.2 30.1 19.2 C (20 °C) 10.4 7.2 4.0 C (36 °F) 35.3 24.5 13.8 D (50 °C) 6.7 3.9 1.2 D (90 °F) 23.0 13.2 4.0 E (80 °C) 3.2 0.9 0.0 E (144 °F) 10.9 3.0 0.0 A- Pool Heating (Warm Climate) B- Pool Heating (Cool Climate) C- Water Heating (Warm Climate) D- Water Heating (Cool Climate) E- Air Conditioning COLLECTOR SPECIFICATIONS Gross Area: 3.051 m 32.84 ft Net Aperture Area: 2.76 m ft Dry Weight: 48.1 kg 106. lb Fluid Capacity: 3.8 liter 1.0 gal Test Pressure: 1103. KPa 160. psig COLLECTOR MATERIALS Pressure Drop Frame: Aluminum Extrusion Flow AP Cover (Outer): Low Iron Tempered Glass ml /s gpm Pa in H2O Cover (Inner): None Absorber Material: Tube Copper / Insulation Side: Polyisocyanurate Plate - Copper Absorber Coating: Black Chrome Insulation Back: PolyF & Fiberglass TECHNICAL INFORMATION Efficiency Equation [NOTE: Based on gross area and (P)= Ti -Ta] Y INTERCEPT SLOPE SI Units: q= 0.745 - 3.02850 (P) /I - 0.01977 (P) 0.753 -4.106 W /m °C IP Units: rl= 0.745 - 0.53347 (P) /I - 0.00193 (P) /I 0.753 -0.723 Btu /hr.ft °F Incident Angle Modifier [(S)= 1 /cos8 - 1, 0 ° <0< =60 1 Test Fluid: Water Kra = 1 -0.296 (S) 0.019 (S)2 Test Flow Rate: 20.1 ml /s.m 0.0295 gpm /ft 2 Kra = 1 -0.28 (S) Linear Fit REMARKS: August, 2012 Certification must be renewed annually, For current status contact: SOLAR RATING & CERTIFICATION CORPORATION 400 High Point Drive, Suite 400 • Cocoa, Florida 32926 ♦ (321) 213 -6037 • Fax (321) 821 -0910 https://securedb.fsec.ucf.edu/srcc/coll_detail?srce_id=2006024C 8/5/2012 STAGGERED PENETRATIONS 4' BETWEEN IROCITiNGS 1 1 J .?. g -717 ---- .2 f N N N N N N , 4 (E) 2x8 RAFTERS (.4) 24" SPACING C) FRONT VIEW OF MP1 SCALE: 1/2 .=1: •,, -•[:, 2x8 DDIER ■-', Ai :ER . . 24' S S t . ...I. 1 12 CC, 41 <I'sc BEITTICIE / 4...I 2N8 RAEIER 0 STANDOFF ,. _. 24 Scale:11/r= r „- ;,,,,,, ....... •.,..,- :, , _,_. , vy.E. i TO BF PLACES 4, IRE EEHILL EAREESETIN -<,..A< csA-c, * I: I, SEILAR RANEL ! 1NSTALLA :I A CINDER ! , ATIACEE3 WITH MODULE' 1 L3CATE RAFTER MAR/ IDLE I / 4°>7\ ' 2 2X4 SE'LLAR liE !DCA F( N ANS DIZ[LL ' 1 . AND i "1,,i -----,_ L --- (I,, : F• at:3 ' / l'r ' ' ? I ------, , , , '-- TT - 2 . 24 CikACE A RAFTER: 2x8 4; 42;1 PLACE THE 01.AI 00i 1 4.!.N1- TER IN.);ILI1 SUPPORT: 2x8, 2x4 MAX SPAN: 12-9” LEA FSOT -- - ___, --- INSTALL PG: /EBETHANE. i IE; COMP ILHiNL,LE ----- ,_'.. .11 'Ins■ • , .,,-- -2.' 224 SEAN; 1 A E c L L-FOLT 'AITH ' l',:; I.EI 228 SEAN': FITE:FSTN ELASHINS, ---! I !,I-EI Hi: JOIST 2 'D OS CINE 4 24" II S f ROOF DL' NG --"--- ,,,---' ..< ,, \ TR! FASTENER f 4 ,,,,---.! ,0,7 \ SIDE VIEW OF MP1 ff)o)sc (.'. EMBED, kiDNI - ,--'..-- 0 i■li.....i (E) RAF iTR --- CONFIDENTIAL - THE INFORMATION HEREIN XII MAWR JB-010042 0 0 PREMISE OMER MI Northempton DESCRPTION: DM: AN*.frfe' CONTAINED SHALL NOT BE USED FOR hiE CARLSON, PAUL CARLSON RESIDENCE WCHEN BENEFIT OF ANYONE DCEPT SOLAROITY NC.. MARKET MCOULES: NOR SHALL IT BE DISCLOSED IN WHOLE OR IN RES' (24) Y1NGLI # YL240P-29b 55 WHITTIER ST. 5.76kW ROOF MOUNT PV SYSTEM l'ieSolarCity PART TO OTHERS OUTSIDE THE RUPERT'S .„„,.„ .,„„‘„ ORGANIZATON, EXCEPT IN CONNECTION WTI r" ..... ""'""-.. IODATING sYsa. FLORENCE, MA 01062 DIE SALE AND LFSE OF THE RESPECTIVE ECOFASTEN L FOOT WITH SC RAIL 4135841006 3055 Oeavoew way San 85006 9.02 SOLARCITY EQUIPMENT. VATHOUT THE MRITIFN p A ymEwr irE: M,RTIGT, PAGE NAME: SHEET: REV DATE 7(650) 638 1(650) 638 PERMISSION OF SOLARCITY INC LEASE (1) POWER-ONE # AURORA P1-5000-OUTD-US STRUCTURAL VIEWS - MP1 PV 3 7/18/2012 (888)-sO(.0IT3 ( 5 20 .arrati com Ikkismo MAE plrtIfl3U ►Y ) 1 1 06/1912012 PRODUCER MS CERTIFICATE 15 ISSUEO AS A MATTER OF INFORMATION GAMBLE INSURANCE INSURANCE CO. ONLY AND CONFERS NO RIGHTS UPON ?NE CER11PICATE 65 BROAD STR P o. INSURANCE 399 DER THIS CERTIFICATE MT MEND DR ALTER THE COVERAGE AFFORDED BY THE POUGIES BELOW. WESTFIELD, MA 01066 - 0399 INSURERS AFFORDING COVERAGE RUC • INSURED MUMMA TRAVELERS INSURANCE LEONARD MINNIE D/B/A INSURER e: HARTFORD UNDERWRITERS SNUG -A-BUG SOLAR HOMES C: P.O. BOX 448 INSURER U: I PALMER, MA 01069 — INSURER E: COVERAGES THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR POUCY PERK INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERIA OR CONDRIIN OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN I5 SUBJECT TO AU. THE TERME. EXCLUSIONS AND CONDI IONS OF SUCH N �POUGIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED SY PAID CLAIMS.. I . erss7�rc LTR M TYPE OF IfUURANCE POLICY NUM pAT6 9ER VINi 1) LI MR5 OENENAL L$JUJRY EACH OCCuRRENCB s 1,000.000 A CRCIAL GENERAL LIABILITY PREMISES 0 , E I 50.000 A ❑ CLANS MADE 0 OCCUR 580-8931W512 05/03/2012 05/03/2013 AHED DIP ;Any AAR mR on) i 1.000 PERSONAL A MN INJURY s 1,000.000 GENERAL AGGREGATE i 2.000.000 GENT. AGGREGATE LEMIT APPLES PER PRODUCTS comor one i 2.000.000 POUCY • PROJECT • LOC AUTOIAOBN E UABILRY CON M O I $IN LIM @LE B s D AU.OWNEOAmos sC►EWLEDAUYOS t�NRl i ▪ INREO AUTOS B O U J R V i D NONANMEDAUTOS (P&aadd°'+I Ppm l OPE DAMAGE s GARAGE UAOILUY AUTO ONLY - EA ACCIDENT S 2 ANY AUTO Orq� es ACC i AUT Olvr: ACC 3 SACESEVOMMUA UMW! EACH occuRRENCE $ 0 occuR ❑ CLANS MADE AGGREGATE 1 s J DEDUCTIBLE II -] RETENTION 1 —7 ; AND ! T C-D rs Mr"' 1 n 8 ANY PROPRIETOR/PAR1'NEWEIECUTArE U8- 5012P697 01/24/2012 01/24/2013 EL A C C I T s 100.000 0FF EREXCLUDED7 YES ELIMEASe MBROYEE i NNyye� 100,000 SPECIAIPROV►SIONS beRlw 500.000 E.L. WBEASE - POUCY MIT i OTHER Y LB) exaysroMS AMEN BY a ir. -. V. . • «• -1 . . ., ■ - CARPENTRY CONTRACTOR CERTIFICATE HOLDER CANCELLATION ," - -- ammo ANY or THE A90YE DESOAMED PmUCJEB BE CANCMLID BEFOgE The DIPI<ATDN DATE mmr*EOF, TNEIBSDm MSU M Rai aAIFAVOR To MAL 10 DAYS WRITTEN NOTICE TO THE CRREMICATE NOLD6R NAMED TO nc LEFT DDT PA$UR,* TO SO MALI OPPOSE NO OBLIGATION OR LIAOLITY OF ANY MID UPON THE SIMMER. ITS AGENTS OR REPRESENTATIVES. AUTNOAY�iD *CORD 25 (2001100) — ' e *CORD CORPORATION 1988 • City of Northampton T4l s l -'ate`x ` Massachusetts �� r; to ` F� E lE 5 ' ` DEPAR2MENT OF BUILDING INECI w ; ; 212 Main Street • Municipal Building TONS ')y ,"„y' Northampton, MA 01060 d h 'f's: INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his /her construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he /she resides or intends 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 home owner." The building department for the City of Northampton wants any person(s) who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation /footings (before backfilj, sonotube holes (before pour), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made I, understand the above. (Home owner /resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location • The Commonwealth of Massachusetts } Department of Industrial Accidents Office of Investigations *N ' ! 600 Washington Street , s , , ". Boston, MA 02111 www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians /Plumbers Applicant Information SA-7 (") Please Print Legibly Name ( Business / Organization /Individual): +� -- .4 v Address: P O g y y 6 City /State /Zip: P y-,T vl V j9- Z 4 Phone #: `/ /3 al &', .? Are you an employer? Check the appropriate box: Type of project (required): 1. Q I am a employer with j 4. [1 I am a general contractor and I E New construction employees (full and /or part- time).* have hired the sub - contractors listed on the attached sheet. 7. El Remodeling 2.17 I am a sole proprietor or partner- ship and have no employees These sub - contractors have 8. 1 Demolition for me in any capacity. employees and have workers' working Y p Y• 9. n Building addition [No workers' comp. insurance comp. insurance. required.] 5. n We are a corporation and its 10.111 Electrical repairs or additions 3. n I am a homeowner doing all work officers have exercised their 11.n Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. n Roof repairs insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached 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, they must provide their workers' comp. policy 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: 7 1".e- l ' ` n / ri—cf tin Jett- hi 't v'e yz�' Policy # or Self -ins. Lic. #: Cq R© 3 % W S r 1 Z Expiration Date: 6 - 3 — /3 Job Site Address: ,SS wti.f}t sr Ff., 't C e- City/State /Zip: 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 c. 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 up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. x Si. ature: =� Date: '10 '"/ 1 Phone #: `/(3 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. B o f H 7 R,uildina Tlepartment 3 . Cit Clerk 4_ Electrical Inspector 5. Plumbing Inspector . b Y r 6. Other Contact Person: Phone #: SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : !— / �C 4/,4yL © a P 1 111 yr 14 License Number pO Iel( fth,- 0 /0 t9 0 O Address Expiration Date Signs re Telephone 1/ -/2. 9:. Registered Homeliripro`vernerit =Contractor Not Applicable ❑ Company Name Registration Number � 1 L ? - t o S 4r /JI Ie s ) O 7 2 3 I Address n Expiration Date P /31> � �: � & 4-w d , ✓ / w1 eel 12 4' yrs � � 3 -21 Z Telephone _ LS�'w =Ie'1 h'lA- (tor o '7 "3 - iy 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. • 'HO 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 SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House I Addition 1 1 Replacement Windows Alteration(s) a / Roofing Or Doors CI Accessory Bldg. ❑ Demolition 1 1 New Signs [O] Decks [Q Siding [ID] Other [0] Brief Descriptio of Proposed / Work: Z i1ti ve. I 14 RQe.) C - S ,.S 7 en. C PIZ Ies r,� ,�j 2 gA 2 04 Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No R loci-4z. SJ�i4�'L Plans Attached Roll - Sheet sa..If;New. ;house and .or addition to existing' housing, complete"tiie'following: (lei I 0 ' 49n4s 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 . . , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date { 4C f 14441- Cl MIS , as Owner Authorize Agent , ereby declare that the statements and information on the foregoing application are true and accurate, to the best o y nowledge •elief. Signed under the pains and penalties of perjury. a ,44 p / / •n -C Print Name Signature of Owner /Agent Date • • Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information e Existing Proposed Required by'Zoning This column to be filled in by Building Department Lot Size , ,_ —._.. --- _.., _ p _. Frontage __ —__ _._ —_ ------- _ --__ —_ — ------- Setbacks Front Side L:i __ R: ._ L:_ R:.....,.____ .. . Rear i --- 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 0 DON'T KNOW 0 YES 0 IF YES, date issued:: IF YES: Was the permit recorded at the Registry of Deeds? NO (3 DON'T KNOW ( YES 0 IF YES: enter Book Page and /or Document #': B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained , Date Issued: C. Do any signs exist on the property? YES 0 NO 0 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES C NO 0 IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO 0 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. t Department a use only City of Northampton Satus of Permit ,r z,_P t r v + ? '� 7 k . t o 0:7 -''''''' - Building Department Curb Cut/Dnveway E Permit' _ 212 Main Street Sewer /Septic Room 100 W ate'r1WeU A vailabili t y I" I 0 012 Northampton, MA 01060 Two Sets of Sfruc tur al Plans 12 ph ne 13- 587 -1240 Fax 413- 587 -1272 PIotlSlte Plan 7 � t '..: . 9 s Other `Specify ur N3R TFarft _ w ",- - TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: Thi section to be completed by office r Map Lot Unit Zon Over Dis t r ict n flan CC_ kj EImSt. District " CBIDistr SECTION 2 — PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: r ,�[ �^ Name (Print) Current Mailing Address: Telephone S^ - /e© / Signature J �7 (� 2.2 Authorized Agent: 4 t wlvA-'' 0 4, h e.. 1e 0 g o' X tic / 4 & /n e r2 fi Name (Print) Current Mailing Address: 0 1 a L 9 Signature Telephone C p 1/ SECTION 3 - ESTIMATED CONSTRUCTION COS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building (a), Building , PermitFee 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) mil( �.1(O Check Number 19/07 If14*15 . This Section For Official Use Only Date Building Permit Number: ' r Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2013 -0156 APPLICANT /CONTACT PERSON SNUG -A -BUG SOLAR HOMES ADDRESS/PHONE P 0 BOX 446 PALMER (413) 283 -2192 PROPERTY LOCATION 55 WHITTIER ST MAP 43 PARCEL 095 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out / Fee Paid 6 7 Typeof Construction: REMOVE GLASS ROOF, SISTER RAFTERS,PLY & ROOF & RELOCATE NEW SOLAR PANELS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 40449 3 sets of Plans / Plot Plan THE F OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON I 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 Permit from CB Architecture Committee Permit from Elm Street Commission _ Permit DPW Storm Water Management Demolition Delay Signature of Bu ding Official Date 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. 55 WHITTIER ST BP- 2013 -0156 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 43 - 095 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit # BP- 2013 -0156 Project # JS- 2013- 000254 Est. Cost: $12216.00 Fee: $73.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: SNUG -A -BUG SOLAR HOMES 40449 Lot Size(sq. ft.): 64904.40 Owner: CARLSON PAUL R & JEAN S AKA JEAN E SIMMONS Zoning: Applicant: SNUG -A -BUG SOLAR HOMES AT: 55 WHITTIER ST Applicant Address: Phone: Insurance: P O BOX 446 (413) 283 -2192 WC PALMERMA01069 ISSUED ON:8/14/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: REMOVE GLASS ROOF, SISTER RAFTERS,PLY & ROOF & RELOCATE NEW 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: Rough Frame: Gas: Fire Department Fireplace /Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 8/14/2012 0:00:00 $73.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner