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23A-016 (6) PRODUCED ST AN AUTODESK EDUCATIONAL PRODUCT 3" stand -off support with 2 - "L "foot spreader bar - Osnord NBA. 3" stand off support with "L" -foot Garage roof line Mounting rail: Unirac SolarMount Standard 251 9/16 rail. 266 _ y Stand -off supports 314 QQ * 3/4 must be instated in a �- Y sgere ptte - - __ __ _ Hanger bolts to be _ ii rii 1 _ I I § (p on this metal LP - - -- ' I used - - k roof ta g instad llaation. rn. All rafters are reinforced with 2 X 8 lumber. MIMII MNIMMEDI -emu �1 l ��iili�I�l� �I�I �II � ��nl 11111111111111=i -I■1111_ o 2 > - 111, L. 11111 I _ 2 4 . 24 '' ` r ° n D a r A -I- i I II �I� ■■I I ■N O co cz) z _ �I- �I -- -II ■- C- ii -'J -.I �_ _.. o g c0 a FA I > _.._ 4_ t. � I I �I .�+ e D o M I I n ii Ln 24 - - -24 _ 48 48 *- -_48_ r - -48 _ / 24 , (.0 No Raen/N • Data 1 (IPv) 61 3/8 f Sorkin Garage 5 Solar array layout ep Sunpower -230 solar module M _ 12/07/2011 1/1 i 130000d 1000LLv3nO3 35300100 NV AN 0330000d PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT DNNrd Noise Mounting rail: Unirac SolarMount standard rail. Stand -off supports must be installed in a staggered pattern. All rafters are reinforced with 2 X 8 lumber. 24 r 48 48 48 f— 24_ s 1 12 7/8 24 .. -48 48 48- ....;. 2G. , a e 2 7;8 u1253,4 l 1: ..I IIIIIIIIIIIIIEIIII .— ll z 0) co. 8 'sti cp r' �. _.. , - NNYNNI� Dal. . 0) W i - 125 3/4 , __ ft........_ r 61 3 /R - Sorken Residence g 61 3/8 Solar array layout CO Sunpower -230 solar module r2/07/2011 1/1 Ce) i 19naoaa IvtiouvmO3 Ms3aoInv NV AB a3aoa0da ROOF - MOUNTED SOLAR ARRAY DEAD WEIGHT LOADING CALCULATION t ' . , ,YERVI W ,. - , . , 1 Project Name Sorkin residence Address Florence, Massachusetts 01062 The flushed to the roof solar arrays being installed on the south facing roof of the garage and the residence, consist of one array of 12 photovoltaic modules, a second array of 14 modules and a roof mounting system. The mounting system includes a series of supports that represent discrete points of contact with the roof structure. Each support is anchored to the rafters via 4" simpson structural screws designed with a minimum 3 inch thread depth allowing a minimum pull -out capacity of 2100 pounds on the house and hanger bolts on the garage roof. ROOF STRUCT RE COMMENTS .. . Reinforced rafters 2 X 4 Height 8 inches 1. Roofing material: Width 2 inches Light: YES Heavy: Rafter spacing 24 inches on center 2. Roof pitch: 7 /12 or 30 degrees SOLAR MODULE ARRAY WEIGHT CALCULATION i .. Photovoltaic modules Units Unit Wt. Total Wt. Units Unit Wt. Total Wt. Units Unit Wt. Total Wt. COMMENTS Solar module(s) ' 12 I 33.1 397 2 1 33.1 66 12 I 33.1 397 Sunpower 230W Subtotal 397 66 397 Mounting System Units Unit Wf. Total Wt. Units Unit Wt. Total Wt. Units Unit Wt. Total INt. Standard Rails Unirac 1504 0.064 96.3 252 • 0.064 16.1 1512 0.064 96.8 Lbs /inch Shared rail with cap strip 0 0.12 0.0 0 0.12 0.0 0 0.12 0.0 Lbs /inch L feet 70 0.25 5.0 6 0.25 1.5 24 0.25 6.0 supports include all hardware L feet on S5! Clamp 0 0.64 0.0 0 0.64 0.0 0 0.64 0.0 supports include all hardware L feet on 3/8 hanger bolt 0 0.58 0.0 0 0.58 0.0 0 0.58 0.0 Stand -off with hanger bolt (double support) 0 0.56 0.0 0 0.56 0.0 12 0.56 6.7 supports Stand -off with roof boot (single support) 10 1.28 12.8 3 1.28 3.8 0 1.28 0.0 Stand -off with roof boot (double support) 15 1.70 25.5 0 1.70 0.0 0 1.70 0.0 Stand -off with hanger bolt (single support) 0 0.43 0.0 3 0.43 1.3 12 0.43 5.2 Micro inverter 12 4.80 57.6 2 4.80 9.6 12 4.80 57.6 with hanger bolt & hardware Quickmount with doubble support 0 1.35 0.0 0 1.35 0.0 0 1.35 0.0 with hanger bolt & hardware Splice bar kits 8 0.19 1.5 0 0.19 0.0 0 0.19 0.0 Module and rail grounding 1 1.75 1.8 1 1.75 1.8 1 1.75 1.8 Module universal end clips 0 0.25 0.0 0 0.25 0.0 0 0.25 0.0 Module mounting clips 32 0.10 3.2 6 0.10 0.6 30 0.10 3.0 Subtotal 203.6 34.7 177.0 'Total solar module array weight _ 600.8 lbs I 100.9 lbs I 574.2 lbs 'POINTOAD.GALC4ILATION , . TT Number of support stand -off 25 6 24 TT Total solar module array weight 600.8 100.9 574.2 TT Point load I 24.0 lbs 16.8 lbs 23.9 lbs D18' UTEO OAD ,.;.. ` ULAT N - T TTTT Photovoltaic module array area Array I Array 2 Array 3 EEE EEE EEE 'Garage area array 3 Module width (horizontal) 61.39 inches 61.39 inches 61.39 inches Module length (vertical) 31.42 inches 31.42 inches 31.42 inches Intermodule spacing 1 inches 1 inches 1 inches Number of module columns 3 2 4 Number of module rows 4 1 3 Array area 166 square feet 27 square feet 166 square feet ' Total array area 380 square feet Distributed load 3.61 lbs / sf 3.74 lbs / sf I 3.46 lIbs / sf 1 p 1 i ,.. } . - 0, , hill4 "■ . ,,,,, v \\\\\\,\ " - � ' i t '+ sF Lam- 7, ' . #�'t r. j dd ,..^' Ill Jtf It 7; 461' ' 4 l' ' 11.... 4 grAll" 7-- bo 1 1 S A SITE PLAN (SORKIN - FLORENCE, MA) • oi r 4 * . PV array sites 4 PV array to be installed on south - facing roof of residence and garage. 0 0 0 9.71/16- suit• 22" 1 7116 23' 6" MIL 14'6" ZOO l 216," LI --16' A« t () AUTHORIZATION TO PROCEED I hereby agree to the Project as set out above, and I agree to pay the contract price according to the Terms of Payment. I further agree to the Terms and Conditions attached hereto as .a part of this Proposal and Agreement. I hereby authorize Pioneer Valley PhotoVoltaics Cooperative to proceed with the above - referenced Project in accordance with this Agreement. A check for the First Payment is enclosed and I am returning this Agreement within 21 days of the Proposal date. e.r So r i vk (t S Printed N�ie Date ,4aI A1l EPP- Sign - turep Title APPROVAL TO SERVE AS AUTHORIZED AGENT I hereby authorize Pioneer Valley PhotoVoltaics Cooperative, or its designated representative, to obtain required permits for this project on behalf of the owner and to begin work of obtaining a grant on my behalf. F 6 cif2-r Sd r<'h n (r P 'nt m r1 ed Na g Date /s03 Qc./hRr— Sign- ure Title Proposal and Agreement Page 8 of 9 Roger Sorkin and Eva Sanchez - Camacho, November 17, 2011 ACORI, CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 12/21/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Webber & Grinnell Ins. Agency, Inc. (A"! °M1Io,Ext) 413.586.0111 FAX No): 413. 586.6481 8 North King Street E-MAIL ADDRESS: Northampton, MA 01060 PRODUCER 00020081 CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC M INSURED INSURER A: Peerless /Peerless 24198 Pioneer Valley Photovoltaics Cooperative, Inc. INSURERB: Excelsior /Peerless 11045 311 Wells Street INSURER C : Suite B INSURER D : Greenfield, MA 01301 INSURERE INSURER F : COVERAGES CERTIFICATE NUMBER: Exo 2013 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MMIDDIWYY) (MMtDDIYYYY) GENERAL LIABILITY CBP8378623 01/01/2012 01/01/2013 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY - PREMISES (Ea occurrence) $ 100,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENE AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP /OP AGG $ 2,000,000 POLICY JET LOC - $ AUTOMOBILE LIABILITY BA8372626 01101/2012 01/01/2013 COMBINED SINGLE LIMIT $ (Ea accident) 1,000,000 ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ B X SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS (Per accident) X NON -OWNED AUTOS $ • X UMBRELLA LIAB OCCUR CU837712601/01/2012 01/01/2013 EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 2,000,000 A DEDUCTIBLE $ X RETENTION $ 10, 000 $ WORKERS COMPENSATION WC8376525 01/01/2012 01/01/2013 X ORY L MITS O ER AND EMPLOYERS' LIABILITY Y I N B ANOFFIY PR OR NER /EXECUTIVE N NIA E. L. EACH ACCIDENT $ 500,000 (Mandatory in NH) E L DISEASE - EA EMPLOYEE $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E . DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS! LOCATIONS ( VEHICLES (Attach ACORD 101, Additional Remarks Schedule. If more space is required) Project: 50kW and Less Massachusetts Clean Energy Technology Center, the System Owner, & as applicable the Host Customer as Additional Insured with respects to General Liability as per the terms and conditions of the policy CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Massachusetts Clean Energy Technology Center AUTHORIZED REPRESENTATIVE 55 Summer Summer Street, 9th Floor Boston, MA 02110 Jenna Rodrique, CISR /JER © 1989-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD 1 ne l,ullllnuuWes itu 01 1viussi CIIUSetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston; MA 02111 www.mass.aov /dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers Applicant Information � L Please Print Legibly Name (Business /Organization/Individual): � + 1 "ACV' vG l tt.- K.iutld �.lert�.Q7 1 the.., Address: 311 W �'}1 `per} et J City /State /Zip: Grp ^ 1 01301 Phone #: i+1 3- 31Z - $�&' Are you an employer? Check the appropriate box: Type of project (required): 1. N( I am an employer with N} 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. I 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 10. - Electrical repairs or additions required.] officers have exercised their 3. -- I am a homeowner doing all work right of exemption per MGL 11. Plumbing repairs or additions myself. [No workers' comp. C. 152, ' 1(4), and we have no 12. - Roof repairs insurance required.]H employees. [No workers' . - Other ��`� �(( comp. insurance required.1 Air '#",�,,,� � ''',,,__� 0 .7 jr * Any applicant that checks box #1 must also fill out the section below showing their worked compensation policy information. H Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ( C + hi:4)54) I Contractors that check this box must attach an additional sheet showing the name of the sub - contractors and their workers' I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: S^'0�"/ gGe,Ir'tP�4 Policy # or Self -ins. Lic. #: WC $341,5.2S Expiration Date: by 0 Job Site Address: 14 -'eut t�tr_ City/State/Zip: Tiviefi 4.A.. t" 1 ,L ajjav(�ttc„i'r J Ci Oa, 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 ofp/ y that th rmation provided above is true and correct. Signature: Date: iti 1/ 4.14 Phone #: L 413 • 411. Official use only. Do not write in this area, to be completed by city of 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 #: 5 - C SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: �j ,j Not Applicable ❑ Name of License Holder : 3,1%4.444.... i..W + am lQ.is i License Number w 4v - Grog I i 01301 I-1/4/I W-to La, Addrk Expiration Date ,�G 4j ss3 L Sign Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ 2 ioVer Ual Ib v 0 A Coo r, itti I li1c.. I - 11 - Company Nam Registration Number .t - T i w : . . . Vi 3a �/6�/.�1 Address .J.., // i Expiration Date 0 � Telephone 11"u - 7"11 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 til No ❑ 11. - Home Owner Exemption The current exemption for "homeowners" was extended to include Owner - occupied Dwellings of one (l) 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) ❑ Roofing Or Doors C] Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding [D] Other [f�I] Brief Des ri.tion of Propos -d i /�� Work: tl i ._ a. a i, c_ 4.., r. d. 14.! • 1. 1:1, i , i l,i. A /J'+ IA.A Alteration of existing bedroom Yes �( No Adding new bedroom Yes x o 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 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 I, 3f", Joi'th. , as Owner of the subject propea j hereby authorize �IOhP6V � � L117V6 4 ) 1344- - to act on my behalf, in all matters rel t ve to work authorized by th(k building perrhit application. Signature of Owner ✓ Date -9 I, In. ✓ T ►OW,,(/ VCv I ►�i Y P1 QA�I(� CpJ G , as 8wfler /Authorized Agent hereb declare t t the statement information on th foregoing application ar rue and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. / -Itiu PPE ti Go LL49 -u O Print Name /! � �1 6I1 oti j i 1 Signature of Qwrter /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 • DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT 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 110 DONT KNOW 0 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained I Obtained , Date Issued: C. Do any signs exist on the property? YES 0 NO e 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 ep 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 e IF YES, then a Northampton Storm Water Management Permit from the DPW is required. _ e Department use only RECEIVED ity of Northampton status of Permit: :uilding Department Curb Cut/Driveway Permit DEC 2 8 2011 212 Main Street Sewer /Septic Availability Room 100 Water/Well Availability N • hampton, MA 01060 Two Sets of Structural Plans p Op BUILDING M N$ O ° 413 .87 -1240 Fax 413- 587 -1272 Plot/Site Plans N Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: 22 Ft- section to be completed by office Map . Z3 Ft 01 (v Lot 6(,) I Unit 1 ?ecri< Zone U 123 Cl cj/ Overlay District ivreK.c.f, 15a cLA. 010fPZ, Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: � e� S`orkiy. k �'a a. Ccoha.,.� . _ 14 � 5�rc�� - fi W O orc4.c... M tb6Z, Nam Print) nn Current Mailing Address: Act- a• .mow -:fr- C J Telephone 1441- 5134- I bes Signature 2.2 Authorized Agent: / \A)e,11e - _ Gr a4 MWa13o1 Name (Pri ) 14ff Current Mailing Address: � 413 - - $ S Signature Telephone SECTION 3 - ESTIMATED CONSTRUC ON COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building 4F 4 goy (a) Building Permit Fee 2. Electrical J (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) 116105- Check Number S,? 9 a �5 This Section For Official Use Only Building Permit Number: D ate I ssued: Signature: Building Commissioner /Inspector of Buildings Date • File # BP- 2012 -0606 APPLICANT /CONTACT PERSON PIONEER VALLEY PHOTOVOLTAICS ADDRESS/PHONE 311 WELLS ST - SUITE B GREENFIELD (413) 772 -8788 PROPERTY LOCATION 14 PARK ST MAP 23A PARCEL 016 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out g Fee Paid SonaZ f Tvpeof Construction:_INSTALL SUPPORT STRUCTURES FOR SOLAR PANELS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 102513 3 sets of Plans / Plot Plan THE FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON 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 Permit DPW Storm Water Management / t - . oli' t. D_ - lay i i'r / '— /' ignature of : uilding 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. 14 PARK ST BP- 2012 -0606 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23A - 016 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: SOLAR PANELS BUILDING PERMIT Permit # BP- 2012 -0606 Project # JS- 2012- 001053 Est. Cost: $7905.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: PIONEER VALLEY PHOTOVOLTAICS 102513 Lot Size(sq. ft.): 25395.48 Owner: SORKIN ROGER & EVA CAMACHO - SANCHEZ Zoning: URB(100)/ Applicant: PIONEER VALLEY PHOTOVOLTAICS AT: 14 PARK ST Applicant Address: Phone: Insurance: 311 WELLS ST - SUITE B (413) 772 -8788 WC GREENFIELDMA01301 ISSUED ON:1/19/2012 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL SUPPORT STRUCTURES FOR 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 1/19/2012 0:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner