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30C-041(1) Jul. 30.2013 08:10 AM PAGE. 1/ 1 , . • G (.) D S . , Property Con.sen.t Form Owner: Address: 132.. Rct Town: State: 104 Zip: 0101(„2 Phone: 7 I hereby give permission to Aliens Renewables, Inc, dba Real Goods Solar and their representatives to pull, the required permits for a so an installation on the above stated property. Signed, (WAsitintd Flo cowric.1(s) Date )!it, A I flIfl 1(1.1 .1 (1', /1 :);?;).) vvvivv.F, Or! • 3/8-16 X 3/4" SS HEX BOLT 3/8-16 Ito" SS FLANGE NUT 0, 4� 6105-T5 ALUMINUM 4..J. 1, 4 � 0000 0 D 00 UNI9 SolarMount/SunFrame ©2008 UNIRAC, INC. 2" Aluminum 1411 BROADWAY BLVD NE ALBUQUERQUE, NM 87102 USA Serrated PHONE 505.242.6411 L-Foot UNIRAC.COM UNIRAC-310068 S:AAutoCad Detail Library\CAD\UNIRAC-310068_2in Serrated L root.dwg, 6/24/2008 1:44:32 OM SoLARMouNr Technical Datasheets :."U N I RAC SolarMount Beams Part No. 310132C, 310132C-B, 310168C, 310168C-B, 310168D 310208C, 310208C-B, 310240C, 310240C-B, 310240D, 410144M, 410168M, 410204M, 410240M Properties Units SolarMount SolarMount HD Beam Height in 2.5 3.0 Approximate Weight(per linear ft) plf 0.811 1.271 Total Cross Sectional Area in2 0.676 1.059 Section Modulus(X-Axis) in3 0.353 0.898 Section Modulus(Y Axis) in3 0.113 0.221 Moment of Inertia(X-Axis) in4 0.464 1.450 Moment of Inertia(Y-Axis) in4 0.044 0.267 Radius of Gyration(X-Axis) in 0.289 1.170 Radius of Gyration(Y-Axis) in 0.254 0.502 SLOT FOR T-BOLT OR 1.728 1 1%4" HEX HEAD SCREW SLOT FOR T-BOLT OR HEX HEAD SCREW 2X SLOT FOR 1 SLOT FOR BOTTOM CUP 511 2.500 BOTTOM CUP 1 3.000 1.316 ir l' SLOT FOR I 1.385 3 HEX BOLT ' SLOT FOR 3/" HEX BOLT Jjf i i .387 .750 el 1.207 Y Y 1.875 A A ►X ►X SolarMount Beam SolarMount HD Beam Dimensions specified in inches unless noted 1121 SOLARMOUNT Technical Datasheets IP U N I RAC SolarMount Beam Connection Hardware SolarMount L-Foot Part No. 304000C, 304000D • L-Foot material: One of the following extruded aluminum alloys:6005- - — T5,6105-T5,6061-T6 ----- ----- • Ultimate tensile: 38ksi,Yield:35 ksi .------, r • Finish: Clear or Dark Anodized • L-Foot weight:varies based on height: —0.215 lbs(98g) ;,. y, •. • Allowable and design loads are valid when components are Bea - littb assembled with SolarMount series beams according to authorized Bolt UNIRAC documents L-Foot • For the beam to L-Foot connection: . •Assemble with one ASTM F593%"-16 hex head screw and one d" errated ASTM F594%"serrated flange nut Flange Nu ;:1 •Use anti-seize and tighten to 30 ft-lbs of torque '' • Resistance factors and safety factors are determined according to part 1 section 9 of the 2005 Aluminum Design Manual and third-party test Y results from an IAS accredited laboratory A NOTE: Loads are given for the L-Foot to beam connection only; be o•x sure to check load limits for standoff,lag screw,or other A attachment method 3 GI Applied Load Average Safety Design Resistance x solfty Direction Ultimate Allowable Load Factor, Load Factor, 'ANAKAN`" ' Ibs(N) Ibs(N) FS Ibs(N) 0 ��� _ Sliding,Z± 1766(7856) 755(3356) 2.34 1141 (5077) 0.646 Tension,Y+ 1859(8269) 707(3144) 2.63 1069(4755) 0.575 Dimensions specified in inches unless noted Compression,Y- 3258(14492) 1325(5893) 2.46 2004(8913) 0.615 Traverse,X± 486(2162) 213(949) 2.28 323(1436) 0.664 3i SoLARMouIrr Technical Datasheets :! UNIRAC SolarMount Mid Clamp Part No.302101C,302101D,302103C,302104D, 302105D,302106D Bolt •• Mid clamp material: One of the following extruded aluminum alloys: 6005-T5, 6105-T5,6061-T6 Mid la •e Nu • Ult mate tensile: 38ksi,Yield: 35 ksi Clamp • Finish: Clear or Dark Anodized • Mid clamp weight:0.050 lbs(23g) * Allowable and design loads are valid when components are °- assembled according to authorized UNIRAC documents • Values represent the allowable and design load capacity of a single 1W '''', mid clamp assembly when used with a SolarMount series beam to retain a module in the direction indicated • Assemble mid clamp with one Unirac%"-20 T-bolt and one'/<"-20 ASTM F594 serrated flange nut • Use anti-seize and tighten to 10 ft-lbs of torque Beam 000 • Resistance factors and safety factors are determined according to part 1 section 9 of the 2005 Aluminum Design Manual and third- party test results from an IAS accredited laboratory Applied Load Average Allowable Safety Design Resistance 1 oo ots - - Direction Ultimate Load Factor, Load Factor, ee,rrtrMwo«xs lbs(N) lbs(N) FS lbs(N) m Tension,Y+ 2020(8987) 891 (3963) 2.27 1348(5994) 0.667 Transverse,Z± 520(2313) 229(1017) 2.27 346(1539) 0.665 � Sliding,X± 1194(5312) 490(2179) 2.44 741 (3295) 0.620 ►X Dimensions specified in inches unless noted SolarMount End Clamp Part No.302001C,302002C,302002D,302003C, 302003D,302004C,3020040,302005C,302005D, 302006C,302006D,302007D,302008C,302008D, 302009C,302009D,302010C,302011C,302012C • End clamp material: One of the following extruded aluminum alloys:6005-T5, 6105-T5, 6061-T6 ----- :oft • Ultimate tensile: 38ksi,Yield:35 ksi • Finish: Clear or Dark Anodized• End clamp weight:varies based on height: -0.058 lbs(26g) ' d Clamp • Allowable and design loads are valid when components are Serrated assembled according to authorized UNIRAC documents Flange Nut • Values represent the allowable and design load capacity of a single end clamp assembly when used with a SolarMount series beam to retain a module in the direction indicated • Assemble with one Unirac /"-20 T-bolt and one'/4"-20 ASTM F594 `4 serrated flange nut �.., -- Bea Use anti-seize and tighten to 10 ft-lbs of torque• .-~' "" • Resistance factors and safety factors are determined according to part 1 section 9 of the 2005 Aluminum Design Manual and third- Y 41 party test results from an IAS accredited laboratory A • Modules must be installed at least 1.5 in from either end of a beam ►X a Applied Load Average Allowable Safety Design Resistance "" 'A.,-- .- Direction Ultimate Load Factor, Loads Factor, ' .. lbs(N) lbs(N) FS lbs(N) CD Of 3W 1 WIt Tension,Y+ 1321 (5876) 529(2352) 2.50 800(3557) 0.605 MOW 714101Ass Transverse,Z± 63(279) 14(61) 4.58 21 (92) 0.330 Sliding,X± 142(630) 52(231) 2.72 79(349) 0.555 Dimensions specified in inches unless noted 2 ' SOLARM0uNT Technical Datasheets :P U N I RAC SolarMount Technical Datasheet Pub 110818-ltd V1.0 August 2011 SolarMount Module Connection Hardware 1 Bottom Up Module Clip 1 Mid Clamp 2 End Clamp 2 SolarMount Beam Connection Hardware 3 L-Foot 3 SolarMount Beams 4 SolarMount Module Connection Hardware SolarMount Bottom Up Module Clip Part No. 302000C Washer • Bottom Up Clip material: One of the following extruded aluminum Bottom ,-Nut (hidden..s-- alloys:6005-T5, 6105-T5, 6061-T6 t' Up Clip : f, no < • Ultimate tensile: 38ksi,Yield: 35 ksi • Finish: Clear Anodized f''(`~ • Bottom Up Clip weight: -0.031 Ibs(14g) Beam '--Bolt • Allowable and design loads are valid when components are °"6 '-"' assembled with SolarMount series beams according to authorized UNIRAC documents `' / 1104,....,,,,,,N,, • Assemble with one%"-20 ASTM F593 bolt, one 1/4"-20 ASTM F594 serrated flange nut, and one'/."flat washer • Use anti-seize and torque tighten to 10 ft-lbs of for 9 q 1 „` • Resistance factors and safety factors are determined according to j/° part 1 section 9 of the 2005 Aluminum Design Manual and third- --, party test results from an IAS accredited laboratory • Module edge must be fully supported by the beam * NOTE ON WASHER: Install washer on bolt head side of assembly. DO NOT install washer under serrated flange nut Applied Load Average Allowable Safety Design Resistance Direction Ultimate Load Factor, Load Factor, ~`;-- i Ibs(N) Ibs(N) FS Ibs(N) 0 1 I 1 Tension,Y+ 1566(6967) 686(3052) 2.28 1038(4615) 0.662 Y i Transverse,X± 1128(5019) 329(1463) 3.43 497(2213) 0.441 • - Ian „X Sliding,Z± 66(292) 27(119) 2.44 41 (181) 0.619 Dimensions specified in inches unless noted a '2:".i'''''' /, r r x"fit 4p.,7,.7. " .,m v '''',:;',,S'''' „ dc" ^ 4 ', .c , lal EcoFasten Solari 877-859-3947 Committed to the Support of Renewable Energy t `1 k-r. 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Peak Power Watts-Pun.(Wp) 230 235 240 245 250 T�.,, a Power Output Tolerance-FN.(%) 0/+3 0/+3 0/+3 0/+3 0/+3 +- Maximum Power Voltage-Vue(V) 29.8 30.1 30.4 30.7 30.5 .--° Maximum Power Current-lave(A) 7.72 7.81 7.89 7.98 8.20 ,_ Open Circuit Voltage-Vac(V) 37.0 37.1 37.2 37.3 37.8 Short Circuit Current-lsc(A) 8.26 8.31 8.37 8.47 8.90 Module Efficiency qm(%) 14.1 14.4 14.7 15.0 15.3 E 0 o - § Values at Standard Test Conditions SIC(Air Mass AM1.5,Irradiance 1000W/m',Cell Temperature 25°C). v, 3 ELECTRICAL DATA,4 NOCT 'ISM-230 TSM-235 TSM-240 TSM-245 TSM 250 PC/PAO5.08 PC,,PA05.08 PC,PA05.08 PC/PAM.08 PC PADS OP Maximum Power(W) 168 172 175 178 183 A A Maximum Power Voltage(V) 27.1 27.4 27.7 27.8 27.7 Maximum Power Current(A) 6.20 6.27 6.32 6.41 6.62 F 812mm 180 Open Circuit Voltage(V) 33.9 34.0 34.1 34.2 34.8 Short Circuit Current(A) 6.68 6.70 6.75 6.83 7.20 Back View NOCT:Irradiance at 800W/m'.Ambient Temperature 20°C,Wind Speed 1M/s. Iri MECHANICAL DATA ESolar cells Multicrystalline 156 x 156mm(6 inches) '-L -,_, ............... Cell orientation 60 cells(6 a 10) Module dimension 1650 x 992 a 40mm(64.95•39.05 x 1.57 inches) I 40mm I A-A Weight 19.5kg(43.O lb) Glass High transparancy solar glass 3.2mm(0.13 inches) Frame Anodized aluminium alloy J-Box IP 65 rated I-V CURVES OF PV MODULE TSM-230 PC/PA 05.08 Cables/Connector Photovoltaic Technology cable 4.0mm'(0.006 inches'), 9m 1000mm(39.4 inches),MC4 Mown,' 800 7r 800W/m' 6r 400w/m' TEMPERATURE RATINGS MAXIMUM RATINGS 50° m Nominal Operating Cell 46°C(±2°C) Operational Temperature -40-+85°C 40° /"� Temperature(NOCT) U 300 , , Maximum System 1000V DC(IEC)/ 2m- - -- Temperature Coefficient of Prnnx -0.43%/°C Voltage 600V DC(UL) lm I Temperature Coefficient of Voc -0.32%/°C Max Series Fuse Rating 15A Or Temperature Coefficient of Ix 0.047%/°C or lo0, 200° 3000 400° Voltage(V) Average efficiency reduction of 4.5%at 200W/m' WARRANTY according to EN 60904-1. 10 year workmanship warranty 25 year linear performance warranty (Please refer to product warranty for details) 0 CERTIFICATION PACKAGING CONFIGURATION A Modules per box:24 pcs w W, I30 ;�4 E Modules per 40'container:672 pcs r_ Os Pl ercut ISIS V TrinascicI CAUTION:READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT. ©2011 Irina Solar Limited.All rights reserved.Specifications included in this datasheet are subject to change The power behind the panel without notice. ; Mono Multi Solutions Tsm _ pc05 08 Tsm _ pA05 . 08 THE UNIVERSAL SOLUTION 15.3% MAX EFFICIENCY Module can bear snow loads up to 5400Pa at i'i 250W wInd loads up la 2400Pa MAX POWER OUTPUT Guaranteed po,,/,. c output 10 YEAR 0,0 0-+3% PRODUCT WARRANTY Hiah.performanco undor low liaht coniffew, Cloudy days, mornings and evenings 25 YEAR LINEAR POWER WARRANTY Cr independent!y cettified by international certification bodies Manufactured accordng to Internatiol wit Qua ,teg,wc,--;pv Ithhhhtelet,ter Th.0 Vetel r; Il■e.pro,,J,Then(1`,r1,;._,ts ,,,,,--fr, fm,-;.-P, ISO and Environrr ent Management S)/sfem Standor,*- Iv thoth_,- Ls-tight-ill,mono inti tholS h,ss-t ,t 1509001, 15014001 lechrocie, A f,' ;,,h',t(th t the Ch/hiPOt ht hCh rl 5tCtt,'.■:hettChtl t t!1 Clett,,;(1,■Zei1 tlarhettY,lie iht)el'„it t OpttIC y 01 cipp,ox,toolch. ;9(tV," Tht It;`,0■V Black frame improves aesthetics ,,d,,,,,,,,y,,,p,,,,,,,t,,,,,,,,, restctorthd cornroc,,tc:' phbH, ok t,,upp,cc;t[c,,-,;Ihrousr-,,,,1 IL, ,t/ctoi 0/6 hy rit,:th:Jthvt ort t.thf ent co I ,.,truc tt.,tes'NW■pin,,C,t 1'1 pu,S tj ,,tmont LINEAR PERFORMANCE WARRANTY @ we o,tcht,nah'th y a: ,,C-i, to-t i t,tht,,t. Aryl(It-itthho So(-It,At,ttt-h,t,th,th 10 Year Product Warranty • 25 Year Linear Power Warranty Mo% Trina Solar Limited Adoio I no!vaitie f rorn• .091 13 907 T"a Sokir's 2 '14trAftoto.ktopearip g 'IP,'"Of144.04" anty 8°% TrinasolarYears 5 10 15 20 25 The power behind the panel July 22, 2013 To: Code Enforcement Division From: James A. Marx, Jr. P.E. Re: Engineer Statement for LaBarge Residence, 432 Burts Pit Rd.,Northampton, MA - Solar Roof Mount Installation I have verified the adequacy and structural integrity of the existing Roof 1: 2"x 8"roof rafters @ 16" c-c, roof slope distance approx. approx. 18'-3" with rafter span 13'-8"and pitch 30 deg.; for mounting of solar panels and their installation will satisfy the structural roof framing design-loading requirements of the Massachusetts building code—780 CMR Residential Code 8th Ed. For the installation of the solar mounting, the Unirac Solarmount rails will be anchored to the rafters with L-foot supports with Ecofasten ECO-GF 1-BLK-812 flashing and ECO- CP-SQ Bracket located on the center of the rafters and will be securely fastened to the rafters at 48" sp. with 5/16"x 3 1/2" SSTL lag screws. The mounting system has been designed for wind speed criteria of 90 mph Exp. B and ground snow criteria of 40 psf. All attachments are staggered amongst framing members. The Photovoltaic system and the mounting assemblies will comply with the applicable sections of the Residential Code and loading requirements of roof-mounted collectors. Thereby, I endorse the solar panel installation and certify this design to be structurally adequate. Sincerely, James A. Marx, Jr. 7/r @i3 Professional Engineer MA 36365 10 High Mountain Road Ringwood, NJ 07456 cc: Real Goods Solar g Sk The Commonwealth of Massachusetts .S.._.'-'S Department of Industrial Accidents M-=1 Office of Investigations 7. __'��= • 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Alteris Renewables, Inc. dba Real Goods Solar Address: 32 Taugwonk Spur, Unit A-12 City/State/Zip: Stonington, CT 06378 Phone#: (860)535-3370 Are you an employer?Check the appropriate box: Type of project(required): 1. © I am a employer with 120 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp. insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.0 Roof repairs insurance required.] t employees. [No workers' 13.E Other solar panels 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Zurich American Insurance Co. Policy#or Self-ins. Lic.#: WC5852405 Expiration Date: 01/01/2014 Job Site Address: 432 Burts Pit Road City/State/Zip: Northampton, MA 01060 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 certi nder a pains and penalties of perjury that the information provided above is true and correct. r 1 Signature: \, (A. Date: 1 13.5 h Phone#: (860)535-3370 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 Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Dan McLean 105675 License Number 481 Kenned Drive, Leeds, MA 01053 7/22/15 Addre-.. Expiration Date 413-588-2252 /Signature FFF Telephone 9.Reaistered Home Improvement Contractor: Not Applicable ❑ Alteris Renewables dba Real Goods Solar 162709 Company Name Registration Number 32 Taugwonk Spur,A-12, Stonington, CT 06378 4/6/15 Address /A 1 Expiration Date � (.v Telephone 860-535-3370 — 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 t 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 SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) n Roofing n Or Doors D Accessory Bldg. ❑ Demolition ❑ New Signs [D] Decks [q Siding[D] Other[El] solar Brief Description of Proposed Work: Installation of a 7.5kW roof mounted solar array using 30 Trina TSM-250PA05.08 modules,a Fronius IG Plus V 7.5-240 inverter,&all associated electrical work. Alteration of existing bedroom Yes X No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes x No Plans Attached Roll -Sheet 6a.if New house and or addition to existing housing,complete the following: a. Use of building :One Family X 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 Jeffry LaBarge ,as Owner of the subject property hereby authorize Alteris Renewables dba Real Goods Solar to act on my behalf,in all matters relative to work authorized by this building permit application. see signed authorization form attached ji�S i J Signature of Owner Date Alteris Renewables dba Real Goods Solar ,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. Kim Hendel Print Name Signature of Owner/Agent D te Section 4. ZONING AU 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 0 DON'T KNOW 0 YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO ® DONT KNOW Q YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained © Obtained ® , Date Issued: C. Do any signs exist on the property? YES © 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 0 NO 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 ® NO Q IF YES,then a Northampton Storm Water Management Permit from the DPW is required. ;4, Department use only " w City of Northampton Status of Permit: Building Department Curb Cut/DDnveway Permit JUG 9 20`3 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability N i rthampton, MA 01060 Two Sets of Structural Plans DEPT.OF BUI,_DING CTIONS • - 587-1240 Fax 413-587-1272 Plot/Site Plans NORTHAMPTON,M' ' 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 Map Lot Unit 432 Burts Pit Road Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Jeffry LaBarge 432 Burts Pit Road,Northampton,MA 01060 Name(Print) Current Mailing Address: 413-320-1019 see signed authorization form attached Telephone Signature 2.2 Authorized Agent: Alteris Renewables dba Real Goods Solar 32 Taugwonk Spur,A-12,Stonington,CT 06378 Name(Print) )4c) Current Mailing Address: 860-535-3370 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 6,000 (a)Building Permit Fee 2. Electrical 23,000 (b)Etetf Construction stimad To from al Cost(6)o 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection (/ r7 6. Total=(1 +2+3+4+5) 29,000 Check Number 3 a g r I / I� This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2014-0097 APPLICANT/CONTACT PERSON ALTERIS RENEWABLES INC DBA REAL GOODS SOLAR INC ADDRESS/PHONE 32 TAUGWONK SPUR RD UNIT Al2 STONINGTON (860) 535-3370 0 PROPERTY LOCATION 432 BURTS PIT RD MAP 30C PARCEL 041 001 ZONE SR(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out gg- I 0`�L�- Fee Paid U r Typeof Construction: INSTALL 7.5K SOLAR ARRAY TO ROOF New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 105675 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOfrMATION 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 ,..;■ealioirinDelay - 7-37—/. .S : a . e a fficial.ui ding 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. Building 8/1/2013 0:00:00 $174.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner 432 BURTS PIT RD BP-2014-0097 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 30C-041 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: electrial BUILDING PERMIT Permit# BP-2014-0097 Project# JS-2014-000189 Est. Cost: $29000.00 Fee: $174.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: ALTERIS RENEWABLES INC DBA REAL GOODS SOLAR INC 105675 Lot Size(sq.ft.): 48787.20 Owner: LABARGE EDWARD J&JEFFRY E Zoning: SR(100)/ Applicant: ALTERIS RENEWABLES INC DBA REAL GOODS SOLAR INC AT: 432 BURTS PIT RD Applicant Address: Phone: Insurance: 32 TAUGWONK SPUR RD UNIT Al2 (860) 535-3370 O Workers Compensation STONINGTONCT06378 ISSUED ON:8/1/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL 7.5K SOLAR ARRAY TO ROOF 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: 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner 432 BURTS PIT RD BP-2014-0097 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 30C-041 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: electrial BUILDING PERMIT Permit# BP-2014-0097 Project# JS-2014-000189 Est. Cost: $29000.00 Fee: $174.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: ALTERIS RENEWABLES INC DBA REAL GOODS SOLAR INC 105675 Lot Size(sq. ft.): 48787.20 Owner: LABARGE EDWARD J&JEFFRY E Zoning: SR(100)/ Applicant: ALTERIS RENEWABLES INC DBA REAL GOODS SOLAR INC AT: 432 BURTS PIT RD Applicant Address: Phone: Insurance: 32 TAUGWONK SPUR RD UNIT Al2 (860) 535-3370 0 Workers Compensation STONINGTONCT06378 ISSUED ON:8/1/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL 7.5K SOLAR ARRAY TO ROOF 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 Pai : Amount: /'ft' 917212 Main ,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner