22D-070 (12) Solar module weight: 30.9 lbs
Mounting system weight: 27 lbs
Total panel weight: 150.60 lbs
Number of points of support: 6
Point load: 25.10 lbs
Distributed load:
Solar module area: 12.72 ft2
Total solar module area: 51.15 ft2
Distributed load: 2.94 lbs/ft2
Mounting structure secured to the roof with six lag screws 5/16" shaft and 21/2,, thread
depth. The lag screws are embedded in 2" by 8" rafters 16" O.C.
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o DEPARTMENT OP BUILOD,,,G INSPECTIONS -
212 Alain Strcct . Municipal Building
N ort.hampton, Mass. 01060
j
}'ORICER'S CONQ'ENSATION LNSUR-A ` CE AITD):,,.vr'
—�'Tiovluv---- -6M -
Qi ccnsxJperzn�tt ) sass_-._.—_-
,IrlLh a pRrlcipai place of businessfresidence at: --e - O( 1 (phone')�,�� oo
do hereby certify, under the.pains and penalties of peguf-y Lha t
I
(�) I am an employer providing the follo-,ving'worker's comocnsado, cove mge for lay
etuployces xvoiiang on tills job.
es5go/Qb _
lvu-•zbcr) (r•:•pirtior,DzL) ...__,—A
I
I
O I acn a sole proprietor, geoeral contractor or homeowmer (ci;c;e one) and have hired
the coouactors Listed below wbo have the folio%viflQ workees caMoenszaon pckies:
('Namc of Co„mciOr) (l[1RlrancC. Coinpanyili oUc iNlu
of Cootrezor) (lnstnnec Comoan}vPo!icti \unc^r) (L»iiz-bon Date)
i
(Name of Conn-acto;) (Imnuanc: Compan)'/Pol-q- Numbj) (Expirrdoa Datc)
I
(Namc of Contractor) (Iasufanc—c Compauy/Policy Numb-�r) (Expifa ion Datc).
(nIIU'3r]:.diiC'oesl�ea,ifneeezrl-to inCU�iafonn,;oa pctn-iains to all Dear-_e.o:s) .
O I am a sore proprietor and have no one woridog for me.
( ) I am.a home o-,vuer perforr=c all the work myself.
i
NOTE:pl==be ewz=rt th,• +j-o bcmeo.�vcn wbo ecaplay Priam w do cr tgaa work on a d..ma:-;of
W tnoct that t`uee L is u3ieh the bo�nado oc oa tb.Qouac,a�pultcu rl tbeao e c Dot C-,-ny cc dared to be
crtployc-z unc.c the��S:d:mum,qLt(GL'152,.a l(5)�:�plinboo lry a homooava fa a!i'r..rv.a pcmit t>_y c�idmcc the
ji Icg31 nzlrc of.n c-Ployx uada d.Wo,*r e,Comp..I; a AX-
i
I uaderta d tha a oopy of this=LU= W may be foc-wwmied to tbo Degenmmt ol-L d-,=id AeadcIY Oir, a of L11-M roe the
oovez.b-e vcriC e�ioo and ttu L•iliac to s�re'eoverase mdc suzion 23 A of hiOt 152 Qa led to the izgm2iw of tzimia�!peaitsia
eom,:mg oC a tine tp Io S 1}00.00 aadlor ix=a�Of up too ye-r e-d avi1 pcaah c) 0 6c form of.stop Wort Order+red,
rim orI100,00 �pinu tree
For& '— use only .
Permrt i`luIDber
Lot f.
Signa crntiucc e J '
if.. �1'U►MP�.
Crity of Xart anrptan z Z
l�l USSACI�IIStttB -
DEPARTMENT OF BUILDI7TG INSPECTIONS
INSPECTOR '212 Main Street 0 Municipal Building
Northwnpton, MA 01060
r
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as i.is/her construction supc:-,- sor. The state defines "Homeowner" as, "Person(s)
who owns a parcel on which he/she resides or intends to be, a one or two fame
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 f egulations. The inspection process requires that the building department be called
to inspect work at various stages, which include foundation/footings (before backfill),
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
r
i
SECTION 8-CONSTRUCTION SERVICES t
8.1 Licensed Construction Supervisor: Not Applicable 13�
Name of License Holder:
License Number
Address Expiration Date
Signature Telephone
9 ,Re sfdred"Hom 'i"n iaveinen OattFa�tor :.
Not Applicable ❑
Comt3anyiName V Registration Num er -----"
qi qllb/2605'
Address I qq Expiration Date
Telephone
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAYLT'(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....... W No...... ❑
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-vear 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
resuonsible 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 fcheck alt applicable)
New House Addition ❑:: Replacement Windows Alterations) t� Roofing
Or Doors C1
Accessory Bldg. ❑ Demolition ❑ New Signs [o] Decks [p Siding[p] Other[p]
Brief Description of Proposed.
Work: G `ov" or stI n 140c' 60 11tCA;4_
Alteration of existing bedroom Yes_ _ No Adding new bedroom Yes _K No .
Attached Narrative Renovating unfinished basement Yes k No
Plans Attached Roll -Sheet
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
L'a-IM. as Owner of the subject
property
hereby authorize "'Tiqvew G(,
to act on my behalf,in all ma ers relati#to work auth rized by this building permit Japplication.
S nature of Owner Date
Ifil.01 JTP 'i irth&I V V f7 as Owner/Authorized
Agent hereby eclare that th statements an i formation on the foregoi g application are true and accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
AZLIM
Print Name
Signature of Owner/Agent ` Date
~ ~
'
Section 4. ZONING All Informat-j6h 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
Rear
Building Height
Bldg. Square Footage %
Open Space Footage %
(Lot area minus bldg&paved
of Parking Spaces J
(volume-&Location)
'
A. Ha's a Special Pennit/Vuhunco/Findi � enerbaen issued for/on the site?
m" 0 DON7KNOy ~ YES 0 �
IF YES, date issued:, /
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON7KNOVV 0 ,Ex
IF YES: enter Book Pagei and/or Document#!'
'
B. Does the site contain u brook, body of water urwetlands? NO 0 DON'T KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
`
Needs tobsobtained v��v~� Obtained «~�~�� Date' '
C. Do any signs exist on the property �� ��� YES x_� NO v��
IF YES, describe size, type and location:
D. Are there any proposed changes toor additions of signs intended for the property? YES 0 NO 0
IF YES, describe size, type and location:
E. Will the construction activity disturb grading, or filling)over 1 acre oris it part ofo common plan
thaw@|disturbovo,1aore? YES � ) NO � )
~�^ \ `~�
IF YES,then a Northampton Storm Water Management Permit from the DPW is required. .
�
Q y of Northampton ' ee t .
�� wilding Department CrilE?te
'�1 \ '21'2 Main Street se'ebt i � a�
Room 100 #, � eE��tar� x
Northampton; MA 01060
1*0he 413-587-1 y40 Fax 413-587-1272
APPLICAj1013 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:compfeted b office
Mato Lot Unit
006 Tior %cx. ROOJ
ZoEte °0verlayrD1sfrrct
M�4 oiou
EI[rtSt District �'CB District
SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED,AGENT
2.1 Owner of Record:
Tiorancr- kaacl . foretut, Mh a(�2
Name(Print) ` Current Mailing Address:
�-
4111--an;yl- 03
lL Telephone
Signature r
2.2 Authorized Agent: ��aHuy Jalr�1 `
aAU 1 324 tells (5fi ei - kr,K,JJ MR 0&1
Name(Print Current Mailing Address:
Signature Telephone
SECTION 3-ESTIMAT CONSTRUCTION COSTS
Item - Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building . or.'> (a)Building Permit Fee
2. Electrical DO (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) •a' Check Number
This Section For Official.Use Only
Date
Building Permit Number. Issued:
Signature: -
Building Commissioner/Inspector of Buildings Date
File#BP-2006-0140
APPLICANT/CONTACT PERSON PIONEER VALLEY PHOTOVOLTAICS
ADDRESS/PHONE 324 WELLS ST GREENFIELD (413)772-8788
PROPERTY LOCATION 86 FLORENCE RD
MAP 22D PARCEL 070 001 ZONE URA
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildin g t Filled out
Fee Paid Al
Typeof Construction: INSTALL SELF SUPORTING SOLAR ELECTRIC COLLECTORS
New Construction
Non Structural interior renovations
Addition to Existing_
Accessory Structure
Building Plans Included•
Owner/Statement or License 140077
3 sets of Plans/Plot Plan
THE FLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
I F 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
loo
Signature of Building 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.
86 FLORENCE RD BP-2006-0140
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:22D-070 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-2006-0140
Project# JS-2006-0063
Est.Cost: $8128.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: PIONEER VALLEY PHOTOVOLTAICS 140077
Lot Size(sa.ft.): 15246.00 Owner: LAMPIASI MATTHEW T&LISA A
Zoning:URA Applicant. VALLEY PHOTOVOLTAICS
AT. 86 FLORENCE RD
Applicant Address: Phone: Insurance:
324 WELLS ST (413) 772-8788 WC
GREEN FIELDMA01301 ISSUED ON.8 18105 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL SELF SUPORTING SOLAR ELECTRIC
COLLECTORS
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 8/8/05 0:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo