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31B-249 (2) I; l ! 1 M A,„ , Official Use Only _ - ommoncvea el f addac e 1 = 7 OCT 2 7 cc Permit No. -''�� IV -5 C � „ H Apartment o / .Jire Serviced " '• Occupancy and Fee Checked 1 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] . - (leave blank) ),�. 0 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 10/21/09 City or Town of: Northampton To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 100 Elm Street Owner or Tenant Smith College - Campus Center Telephone No. 413 -585 -2441 Owner's Address 126 West Street, Northamptom, MA 01063 Is this permit in conjunction with a building permit? Yes © No ❑ (Check Appropriate Box) Purpose of Building college Utility Authorization No. Existing Service 3000 Amp 3000 / 2 0 8 Volts Overhead ❑ Undgrd PCI No. of Meters 1 New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: photovoltaic project installat Of 130 Sharp ND- 224UC1 Modules will be roof mounted, 10 string of 13 Modules connected to (1) Satcon PVS -30kw Inverter Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans Tf T Trr Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ No of Emergency Lighting grnd. grnd. : atte Units No. of Receptacle Outlets No. of Oil Burners FIRE AL - 'i S No. of Zones No. of Switches No. of Gas Burners �/ ; No.. of : etection and 1 itiating Devices • No. of Ranges No. of Air Cond ns ' o. of Alerting Devices Heat Pump , l er o'ns KW No. of Self- Contained No. of Waste Disposers Totals I . N , } i } Detection /Alerting Devices Municipal No. of Dishwashers Space /Area eating Local ❑ Connection ❑ Other No. of Dryers t Heating KW Security Systems:* iy `.,—...-° No. of Devices or Equivalent No. of Water No. of No. of Data Wiring: Heaters KW Signs Ballasts No. of Devices or Equivalent Wiring: No. Hydromassage Bathtubs No. of Motor Total HP Tel No. of Devices or Equivalent OTHER: 130 Sharp ND- 224UC1 Module ,) Satcon PVS -30kw Inverter Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: $18 0 , 15 0. 0 0 (When required by municipal policy.) Work to Start: 11/1/2009 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE © BOND ❑ OTHER ❑ (Specify:) 1 certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: Borrego Solar Systems, Inc. ( LIC. NO.: 20784 A Licensee: Joseph Busch Signatur4 a t _ LIC. NO.: 20784 A (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 888-898-6773 Address: 205 Industrial Avenue E, Lowell, MA 01852 Alt. Tel. No.: 978- 602 -0630 *Per M.G.L. c. 147, s. 57 -61, security work requires Departmeri of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the liabilityinsurance coverage normaiiy required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner /Agent f : $ '' CO P ERMIT FEE Signature Telephone No. oC�• Division of Professional Licensure: License Search Page 1 of 1 The Official Website of the Office of Consumer Affairs & Business Regulation (OCABR) Division of Professional Licensure Mass. Gov Mass.Gov Home State Agencies State Online Services Home > Division of Professional Licensure > SEARCH Check A Professional License Office of Consumer Affairs By the Division of Professional Licensure ONLINE SERVICES LICENSEE Check a License Locate a Licensed Name: JOSEPH A. BUSCH • Professional Business: BORREGO SOLAR SYSTEMS INC LOWELL, MA Online Address Change NEW SEARCH I Contact the Agency * *This Licensee has additional Licenses click here to view them. ** More... Licensing Board: ELECTRICIANS REFERENCES & MASTER ELECTRICIAN RELATED INFO License Type: TYPE CLASS: A Disclaimer Regarding License Number: 20784 Website License Searches Status: CURRENT Enforcement Process Expiration Date: 7/31/2010 Glossary Issue Date: 4/2/2008 Help on License Search Exam Date: 4/2/2008 More... School: WORCESTER VOCATIONAL This web site displays disciplinary actions dating back to 1993. This license has had no disciplinary actions taken during this time. The page above has been generated by the Division of Professional Licensure web server on Monday, November 02, 2009 at 1:37:34 PM. © 2007 Commonwealth of Massachusetts Site Policies Contact Us Site Map http: //license.reg.state.ma.us /public /pubLicenseQ. asp? board _code= EL &type_class= _A &li... 11/2/2009 4'- (I) C7 41 1 6 9 5 l 7� �� 5Sr$ y� , . vi 1y,ii ).4 a -g Acs ). pd h b - 0 (171 9 - S'fi r X1'9) x ohs 01 wv c17 /7 ; Ad rid" 7 • -z'v o nl cri cv, t cr ik'v2o --s rrrrl 737 }) 'v'ri` ohli7 /? 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'12 X II a�a t 4 4 x (7 147t 04 6n '2 l , .71 1 L'L 1 ' 49 I 1 -'9t x'67 ° A I i 14 el 9 it L. 4'rt vile 4' is Piet 5•,h ? ;xn-/ E, tfcetv oil Qb x97 p - ? .ice 10 c 1.. sity/ ) 175. n -4 u1,.‘ cg = C 1 61 = 7 AI d f'-i ? a :t' /u" b)(21 t7"t 1. .36 -Ii , 11,1 1 9/147/0 :,it m " i. t- , v r r patr$4444Aprtw AAA c cv k1 "-OIL Ctri *Ac r cc rat TO 04/Pi/e'er Aje t0 fekfr4r2. c f tr ( '' ' ' ii /g t ltd , c liA :' 17© 4m7' 1 !J'tgPifF)ce4.ur ( If GYMftJelG I F �N"tta Ll'APhi Pa loar 4 giu/fi'M/ i x ffr}'r 61 :11 44. 3 vi 11 - 0 P i j'pP A y' (a''?Ti#i) 1 l r C 24- f� mut, , '‘ O t'#"' @ 0w ��� w V rf e p. � w y 0- r4/ p 4 4 1 1 IA K ,Li7 Hi) t to(G- lt 6 .4 ";oeo % 1 7 3S veir 1 PL e. so' p F 15' t' r Vie...- Cog- tl 1901C0-400710&) e e Wt8x %S" 0 c0 Art )O 4..5 r1F I, . !,, , !o6Pte, h = le �5 14,114 gm x '°' 9 to !k s5 (1A- Pk / 4H of ld,, /; �p c9 JAMES , Is EDWARD i ' TRANT J A , 28556, ---A-) Borrego Solar Systems, Inc. 205 Industrial Ave. East, Lowell MA 01852 Tel: 888 - 898 -6273, Fax: 888 - 843 -6778 §&P www.borregosolar.com BORREGO SOLAR STRUCTURAL CONSTRUCTION CONTROL AFFIDAVIT To the Building Commissioner: I hereby certify that I, or my authorized representative, in accordance with the requirements of the Massachusetts State Building Code, will perform construction observation of the structural work associated with the following project: Photovoltaic System Installation Smith College Campus Center 100 Elm Street Northampton, MA 01060 Upon completion, I will submit a Final Structural Affidavit confirming that the structural work has been completed in compliance with the requirements of the plans and specifications or listing any unresolved exceptions. .0 of 4 sy� James E. Trani, P.E. 9 � Engineer — Reg. No. 28556 JAMES t; z EDWARD R' TRANT j Borrego Solar Systems, Inc , No. 28556 o k i r � * i v � tel 205 Industrial Ave, East k ' may � Lowell, MA 01852 ' /' 7 O (978) 513 -2609 Version1.7 Commercial Building Permit May 15, 2000 SECTION 10- STRUCTURAL PEER REVIEW (7e0 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes 0 No 0 l SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, r J f' 'At"' Is c ( S r ‘,14; ' A ' ^ 1 Vj, ZrS f the �t' b ' ! Ems` s '.I 441. ,� T~ F'' 1 " , Co � �' � ' ... as Owner of the au jest property hereby authorize Scott Sar to act on my b i n all matters relative to work authorized by this building permit application. Signatur Date ,Scott Sargent 1, , 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. Sign er this an of p cv, -- Print Nam/ ate / Signature o f Signature Owner /Agent SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: ■ y Not Applicable CI News of License itowat Brendan Neale 010 /. i 4' 97365 License Number 205 Industrial Avenue, Lowell, MA 01852 11/28/2010 Address Expiration Date (978) 513 -2613 Signature Telephone SECTION 13 -WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6)) I 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 0 No Version1.7 Commercial Building Permit May 15, 2000 SECTION 9- PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES - FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116 (CONTAINING MORE THAN 35,000 C.F. OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable 0 Name (Registrant): Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility 2 4'5 - ' PtSr 1-ac45c, z e S S — k , Address 41/11111 Registration Number � �1� f18-515-266 b 3D - Zv /D Signatu - r Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of ResponsibiNty Armes Registration Number Signature — �.,... Telephone Expiration Date 9.3 General Contractor Borrego Solar Systems, Inc. Not Applicable 0 Company Name: `Scott Sargent Responsible In Charge of Construction 205 Industrial Ave., Lowell, MA 01852 Address __F .�. (998) 9'9 -- G5 Signature Versionl.7 Commercial Building Permit May 15, 2000 , 8. NORTHAMPTON ZONING I Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size /? O Frontage J 16 Setbacks Front t / o � r q 5.ii Q L :. .! R: ( L R: Ban a Building Height °° 31 1 ,r,' Bldg. Square Footage ; o << ,, % Open Space Footage % ,, r ;d SX (Lot area minus bldg & paved , 1 j 1 ( i narking) # of Parking Spaces Fill: t wohune & Location) .._ A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW 0 YES ey IF YES, date issued: / /.?q , o / I IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES IF YES: enter Book p . G7 Q t -.' ' Page 5 Z- a /or Document # B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW O YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained © , Date Issued: C. Do any signs exist on the property? YES NO O IF YES, describe size, type and location: tActf }ets& iLrz D. Are there any proposed changes to or additions of signs intended for the property ? YES NO IF YES, describe size, type and location: t th p/,.f 1bPill r 4 4,- 76 - ,G - ,t( e ,; {,.11710 E. Will the construction activity disturb (clearing, grading, a atlon, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES. then a Northampton Storm Water Management Permit from the DPW is required. r' Versionl.7 Commercial Building Permit May 15, 2000 SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition ❑ Repairs ❑ Additions ❑ Accessory Building ❑ Exterior Alteration I7 Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use ❑ Other ❑ Brief Description Installation of a roof mounted photovoltaic solar system. Of Proposed Work: SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly �.�( / A-1 ❑ A -2 ❑ A -3 W( 1A ❑ E( A-4 ❑ A-5 ❑ 18 ❑ B Business L�J 2A ❑ E Educational ❑ 28 ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C [� H Histh Hazard ❑ 3A ❑ I Institutional 1-1 ❑ 1 -2 ❑ 1-3 ❑ 3B ❑ 11 Mercantile IT 4 ❑ R Residential E R- ❑ R -2 0 R-3 ❑ 5A ❑ S Storage S -1 S -2 ❑ 58 ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: ■ COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS ANDlOR CHANGE IN USE Existing Use Group: Proposed Use Group: 1.. _ Existing Hazard Index 780 CMR 34):. Proposed Hazard Index 780 CMR 34): -- SECTION 6 BUILDING HEIGHT AND AREA I BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor (sf) V 1 ?a GTE 2 i 2-16' 2nd .}' .r _, m f 3 0 4 i 1 Total Ares (sf) € Total Proposed New Construction (sf) Total Height (ft) 'f y , Total Height ft + 7. Water pply (M.G.L c. 40, § St) 7.1 Flood Zone Information: 7.3 Sewage sposat System: Public Private ❑ Zone Outside Flood Zone Municipal On site disposal system❑ --", Versionl.7 Commercial Building Permit May 15, 2000 Department use only City of Northampton Statue of Permit: Building Department Curb Cut/Driveway Permit 212 Main Street SewerlSeptic Availability y �`v 9 Room 100 Water/Well Availability C'\ Northampton, MA 01060 Two Seta of Structural Plans phone 413 -587 -1240 Fax 413 - 587 -1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELUNG SECTION 1 - SITE INFORMATION 1 1.1 pro =rtr Addre::: This section to be completed by oMce Smith College - Campus Center gAyt , Map Lot Unit 126 West Street Zone Overlay District Northampton, MA 01063 Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: i - TiZv i reE ,, c rr Sh' TPf Cc :, t,6-G L,' cit.) 51.6 ii, i rlos /14.s.446/18). j it11'Cage- 6.. 126 West Street, Northampton, MA 01063 Name (Print) 1 Current Mailing Address: (413) 585 -2424 211 J s �9nature " 4 n Telephone 2.2 Authorised Ane Scott Sargent, Borrego Solar Systems, Inc. 205 Industrial Avenue, Lowell, MA 01852 Name (Print) Curtent MadirkAddress; (978) 513 -2639 Signature 0 1 / „ .. .....4.4 Telephone ig _ - I • . - - ,i I 9 • , - Ii rate, - - item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building (a) Building Permit Fee $60,050.00 2. Electrical (b) Estimated Total Cost of $180,150.00 consttidi from (6) 3. Plumbing Building Permit Fee 4. Mechanlcal (HVAC) 5. Fire Protection $ 2 j ” 2. 0 - 6. Total = 1 +2 +3 +4 +5 Check Number ;ft , / r-- This Section For Official Use Only Nin, - erm 7 u ben Date Issued Signature: Bdkii g Commissionemnapecter of Buildings Date File # BP- 2010 -0391 APPLICANT /CONTACT PERSON BORREGO SOLAR SYSTEMS INC ADDRESS /PHONE 205 INDUSTRIAL AVE LOWELL (978) 995 -6578 PROPERTY LOCATION 100 ELM ST - CAMPUS CENTER MAP 31B PARCEL 249 001 ZONE URC(100) / /EU THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out ` p� Fee Paid (3 3 6 6 Ty Construction: INSTALL ROOF MOUNTED PHOTOVOLTAIC SOLAR SYSTEM New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 97365 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: 7 pproved 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 Z h d 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. 10 atv4 ST - CAMPUS CENTER. BP- 2010 -0391 GIS #: COMMONWEALTH OF MASSACHUSETTS e= Ya CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit # BP- 2010 -0391 Proiect # JS- 2010 - 000524 Est. Cost: $240200.00 Fee: $360.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: BORREGO SOLAR SYSTEMS INC 97365 Lot Size(sq. ft.): 15855.84 Owner: SMITH COLLEGE OFFICE OF TREASURER Zoning URC(100) / /EU Applicant: BORREGO SOLAR SYSTEMS INC AT: 100 ELM ST - CAMPUS CENTER Applicant Address: Phone: Insurance: 205 INDUSTRIAL AVE (978) 995 - 6578 LOW ELLMA01852 ISSUED ON:11/3/2009 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL ROOF MOUNTED PHOTOVOLTAIC SOLAR SYSTEM 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 11/3/2009 0:00:00 $360.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo