32C-319 (2) •
,
•
•
Office o o ns co . ai rs : I it i ss`1Iegu a on License or registration valid for individul use.only
HOME IMPROVEMENT CONTRACTOR • before the expiration date. If found return to: -
Z E--__L----,,-.7,4 * Y � _ Office of Consumer Affairs and Business Re ulation
__ Registration: - 140077 Type: g
�' t ` Expiration: 9� -. 6 013 Private Corporation 10 Park Plaza -Suite 5170
Boston, MA 02116
P ER VALLEY OI:T`AI >, S COOP
-i 1 . - c ---_ , - ; - _•=--._: - :=41::: '
PHILIPPE RIGOLEA -A- e -
'
311 WELLS ST SUI t�E - a r
� �� —
GREENFIELD, MA O.Q1 =, =r -
_ : - Undersecretary Not valid without signature
,..u• Massachusetts - Den
411 Massachusetts - Department of Public Safet
Board of Building Regulations and Standards
Construction Supervisor License
Failure to possess a current edition of the License: CS 102513
Massachusetts State Building Code ,
Is cause for revocation of this license JONATHAN PARROTT
Refer to: WWWMass.Gov/DPS 5 BARBER AVE
GREENFIELD, MA 01301
C3' �''" � �>� Expiration: 4!1
,,iiixt ( mfmdsviuner Tr#: 12262
SIM5! TM
The Right Way!
VersaBracketTM
42"
(11 mm)
r0 �
VB -67 , VB-47
r �>
1.35"
(34 mm) (28.7 mm)
86" a-
7.3 mm)
.55
2.65"
(67 mm)
(23 mm)
2.9"
1.13" (73 mm)
(287 mm)
3 holes are provided for convenience and versatility.
Not all holes need to be used.
(38 mm) (73 mm)
Due to varied applications, mounting hardware is not
furnished with part.
T o accommodate various rib heights, VersaBracketTM comes in two heights —the 2.65" VB -67
and the 1.86" VB -47. The VB -67 mounting face has no holes or slots, thus, ancillary items are
typically secured using self- tapping screws. The VB -47 offers various mounting face configurations
with minimum purchase requirements. (Contact your distributor for available configurations.)
Each VersaBracketTM comes with factory - applied butyl sealant in the base. A structural aluminum
attachment bracket, VersaBracketTM is compatible with most common metal roofing materials. For
design assistance, ask your distributor, or use our web -based calculator at www.S -5.com for
job- specific system engineering and design of
your next snow retention project. Also 1
" 1 : 117 44 ;f 7 please visit our website for more o� ' �
information including CAD details, v
metallurgical compatibilities��
and specifications. 4
T he VersaBracketTM has been tested for
load -to- failure results on wood decking, metal and wood purlins. The
independent lab test data found at www.S -5.com can be used for load - critical
designs and applications. S -5!TM holding strength is unmatched in the industry. a ,
VersaBracketTM is versatile! It can be used for virtually any
attachment need, including S -5!TM ColorGard', on all types
of face - fastened metal roofing. No messy sealants to apply.
The factory - applied butyl sealant waterproofs and makes
installation a snap!
S -5!'" Warning! Please use this product responsibly! Distributed by
Products are protected by multiple U.S. and foreign patents. For published data regarding
holding strength, bolt torque, patents and trademarks visit the 5 -5!'" website at www.S- 5.com.
Copyright 2009, Metal Roof Innovations, Ltd. S -5!'" products are patented by Metal Roof Innovations, Ltd
version 021309
S 5 !TM
o0
The Right Way! a
C,
it m
IA
3
a
;9
VersaBracketTM
jersaBracketT"` can be used to mount You asked for it! We've virtually anything to a face - fastened got it! Now attach
ii,
roof system and is compatible with
almost any trapezoidal, face - fastened the St l ongest snow
profile. No messy sealants to apply! guard on the market,
No chance for leaks! The VersaBracketTM ATM
S - S. ColorGa \Wo
comes with factory-applied sealant r
already in the base for a water -tight to face fastened metal 1
attachment.
roofing with the S ,>! Tit
nstallation is simple! VersaBracketTM VelSaBraCketTM
,
Iis mounted in the flat of the panel, G
directly into the supporting structure
of the roof, i.e. wood decking, wood or steel purlins or trusses. No surface
preparation is necessary; simply wipe away excess oil and debris, peel the I
release paper from the base, align and apply. Secure through the pre - punched
holes using the appropriate screws for the supporting structure.
/ \,..
V ersaBracketTM is so strong, it will even support heavy -duty applications like
snow retention. For face - fastened, trapezoidal profiles, the VersaBracketTM
is the perfect match for our ColorGard® or RamGardTM snow retention systems
(For corrugated roofs use CorruBracketTM). VersaBracketTM is extremely
economical and facilitates quick and easy installation.
S -5 -PV Kit RamGardTM ColorGard®
CA
:24 ' '''''''. 174 ,- ' f. " ' ' - ' ''' ' Mt , ":,,,- ..',-. "4 " ..,
O , - 17 ' ,:... i..4;04,,,,,' '''',',.., ' i tio i so f : ,,, '''''■■ 4 : 4 ' 4 :::: , < -i...:.„,,, ,..,::::-'.., ..:-...!„.7. „,„ - - N --, ,, , 7- ---- -7
Attach almost anything to standing seam metal roofs
without piercing the panel!
888-825-3432 www.S -5.com
•
r
' ♦; \ 4!
,
,, 1 4 Illiffr.
\ ' :
4i <.
P
!Y SPA,
YS l Y •
F .
�� • r
r
1\ 1.
�� • t
�_ -ter
j w
ti
� Psi
PRODUCED BY AN AUTODESN EDUCATIONAL PRODUCT
Owed NA.
Array to be installed on
the CSA shed .
Stagger the
VersaBrackets supports to
evenly distribute the solar
array load.
SUNPOWER 308watt
61.39" x 41.18" x 1.81
Metal seam
9" on center Metal with seam every
9 -inch.
2x4 perlins 24 -inch on
SolarMount Standard rail splice bar center secured to rafter ful
SolarMount Standard mounting rail dimensions 2x8
f • 1 • / �f . • .. 1 II r d I • ' \ /
0
°o
a
1 f • • • • • 1 • d ■ 1
0
o • • • • ■ • 1 I 1
0
ll • t • • u 1 • R 1 •
0
. .. \-_-- a
12'-4 3116 " Nu RwYm/1rN Oa
x
g
L -foot mounted on VersaBrackets. SUNPOWER 308 watt
Brackets are secured to the metal seam via
61.39" x41.18" x 1.81"
three structural 1 -1/2" x 5" screws.
James & Coy Residence
Solar array layout SHED
Northampton. Massachusetts
cc
N.. w
D:
w
gn
=
10000Bd YYNOLLV3O03 x53OO1nY NV AB OODOOONd
ROOF - MOUNTED SOLAR ARRAY DEAD WEIGHT LOADING CALCULATION
OVERVIEW
Project Name James & Coy Residence Solar on CSA shed
Address Northampton, Massachusetts
The flushed to the roof solar array being installed consist of one array of 24 photovoltaic modules at a 8- 1/2:12 tilt and a
roof mounting system. The array is to be installed on the CSA shed. The mounting system includes a series of standoff
supports that represent discrete points of contact with the roof structure. Each support is anchored to metal roof via a
VersaBracket into the 2x4 perlins. The VERSABrackets are installed in a staggered pattern to evenly distribute the added
load.
ROOF STRUCTURE COMMENTS
Full dimension rafter structure and floor joist 1.Roofing Material:
Height 8 inches metal roofing
Width 2 inches 2.Roof pitch: 35 degrees
spacing 24 inches on center
SOLAR MODULE ARRAY WEIGHT CALCULATION 3. Horizontal Span: 6 ft
Photovoltaic modules Units Unit Wt. Total Wt. Comments
Solar module(s) ( 24 I 41 984 SPR- 308E -WHT -D
Subtotal 984
Mounting System Units Unit Wt. Total Wt.
SolarMot. standard 2032.8 0.064 130.1 Lbs /inch
M215 Enphase 0 3.50 0.0 Lbs /inch
L feet 0 0.25 0.0 supports include all hardware
L feet on VersaBracket 46 0.52 23.9 supports include all hardware
L feet on 3/8 hanger bolt 0 0.58 0.0
Eco- fasten with 8 screws and flashing 0 2.69 0.0 supports include all hardware
Stand -off with roof boot (single support) 0 1.13 0.0 and roof boots
Stand -off with roof boot (double support) 0 1.70 0.0
Stand -off with hanger bolt (single support) 0 0.43 0.0
Quickmount _ 0 0.75 0.0 with hanger bolt & hardware
Quickmount with doubble support 0 1.03 0.0 with hanger bolt & hardware
Splice bar kits 12 0.50 6.0
Module and rail grounding 1 1.75 1.8
Module universal end clips 0 0.25 0.0
Module mounting clips 52 0.16 8.5
Subtotal 170.2
Total solar module array weight 1154.2 lbs
POINT LOAD CALCULATION
Number of support stand -off 46
Total solar module array weight 1154.2
Point load I 25.1 lbs t
DISTRIBUTED LOAD CALCULATION
Photovoltaic module array area Array 1 Array 2 Array 3
Module width (horizontal) 41.18 inches 0 inches 0 inches
Module length (vertical) 61.39 inches 0 inches 0 inches
Intermodule spacing 1 inches 0 inches 0 inches
Number of module columns 12 0 0
Number of module rows 2 0 0
Array area 434 square feet 0 square feet 0 square feet
Total array area 434 square feet
Distributed load 2.7 lbs / sf
p
4,0 ,r,... /
.,„,...:
/ -- ' .„„,,,..... w
_,
_----.
. • ''''''''''''''''''. - ' -' . ' ' ' .,,z;,:::::" ''''.' . .'
° ,.
, „,.., .,....;-- ., „, „. , .,.-' .10
3
9
..1)* , . - , .. 7 . . - -'' m
CFA
0r
r
:^'r-° tom,° ,
, is.\,_ , , \, ;;Ift.:4,,A:,„9.,7; 1,01,..9„1.;H.,..,:,,,,,,,, _: IS„, ',_ '
, . - . _ , , . . , ,- ; : ,, i,_:„ ... . ,, ,,.. :.''''' ',',-,',,.:.:'',..19,.'4,.:1‘,..,). \:;',-, ,.. ;:; : . i , , , :: :: ... N :,,,ttt,.4 , 4 : ,, ,..4,.tii. ! „:"... .
r
\\:, * '.*:,: , ' 4*.
* - ,
'''''' f'.. . lAtI 't' ' 1 * -, ''''''''..:::: '': ' '
.
w
I
•
{`XW @' ' �� n b �
1
.
a
,,--.:, ' �, r i .
_, , , , ..
4.0,,,,,,,:.,,,, 3 r a ,, fi r,`
v ,
♦ 1 v *1 A . ,,,,
r'��`"�,+ •,�! � r bray :. � �r �
,.
S f : - .1 ` , �,.
The second sub -array will be installed on the metal roof of the CSA shed over its wall footprint.
Nothing will be installed over the overhang areas (right, left and bottom rrof).
, 1 ,_ . W
: ‘ : ° , i . , 19' A , *,,Tio }}
u
Fir ,,,, \
AM
ii ill
mi F b ;"x
If
'' c . ,y'
„F r
4 r . 4
1 P 1n ' h R' s P
v
I rM • q' -.
f i- a 4 * - `Pi, T x t
. r ,
F
e
V .
`� r
arTM�
r ?
e4 .4 a
+r"
PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT
SolarMount Standard rail splice bar
Gamed Nolen
SolarMount Standard mounting rail
Metal standing seam Array to be installed from
21" on center the west end of south
— 339 7/16 i-- facing roof of the building,
21 k 24 --4- -2 1- --•-24 k' after partial removal of the
two snow retention
systems.
e e Stagger the standing
seam S -5t clamps to
evenly distribute the solar
array load.
SUNPOWER 308watt
61.39" x41.18 "x1.81
A • e e e ' e Standing metal seam
assumed to be 21" O.C.
• ■ e w e i e •
0
0
a
o t
' V et a a e • • r
ie
a
a
-- _
o N a °c
a y
t e I! I IN a w e
0
' ,
i
0 • U e 8 * •
Na ReANOn/1N» Dw
LLI e e e le i I is ......,N.r.,...�
...._ &w
e I O e O e ' James & Coy Residence
Solar array layout
Northampton, Massachusetts
¢ T
) .... ....
L -foot mounted on S -5! metal seam clamp. 1 / - l
S -51 clamp secured to the metal seam via SUNPOWER 308 watt 5729/2012 113
two stainless steal set - screws. 61.39" x 41.18" x1.81"
cc
ur
N
1DnOOUd ItlNOLLtlDn03 NS3001ntl NV AB 03DnO0ad
S-5
The Right Way!
S - 5 - U Clamp 3/8" or M10 hole S -U Mini
located 1/2" (13 mm)
from edge of part
M8 holes
2"
centered
(51 mm) !y 1.18 F ,. on part
(30 mm) i �' f
1.5" 4; t " tl 7,= � �j��) 1.5" t,;l l # a � r
(38 mm) 9 . (38 m " , s'e
j , a r
(23mm) * rl/1 „ ° t (23m
NmF..,_ ; :.';',..:-.*--'', . -,' ... Y (( ( (14 rrnV
W fter Note Install both i � : ' setscrews on same 40 side of clamp. 4 0,'1 }
(10 mm) (10 mm)
ts" 1.5" m Actual Size
(38 mm) Actual Size (38 mm)
T he S -S -U and S -5 -U Mini clamps are each furnished with the hardware shown above. Each
box also includes a bit tip for tightening setscrews using an electric screw gun. A structural
aluminum attachment clamp, the S -S -U is compatible with most common metal roofing materials
excluding copper. All included hardware is stainless steel. Please visit www.S -5.com for more
information including CAD details, metallurgical compatibilities and specifications.
w For horizontal seams under Zrr,
o
l ; .� pal .65" do not use this clamp. Visit
www.S for more detailed
c information and proper clamp
to use.
he S -5 -U clamp has been tested for load -to- failure results on most major brands
1 and profiles of standing seam roofing. The independent lab test data found at
www.S -5.com can be used for load - critical designs and applications. S -5! holding i
strength is unmatched in the industry.
d
o
r
T'he strength of the S -5 -U clamp is in its simple design.
The patented setscrews wri11 slightly dimple the metal
seam material but not pierce it— leaving roof NVarranties intact.
5 -5! Warning! Please use this product responsibly!
Products are protected by multiple U.S. and foreign patents. Visit the website at Distributed by
www.S -5.com for complete information on patents and trademarks. For maximum holding
strength, setscrews should be tensioned and re- tensioned as the seam material compresses.
Clamp setscrew tension should be verified using a calibrated torque wrench between 160 and
180 inch pounds when used on 22ga steel and between 130 and 150 inch pounds for all other
metals and thinner gauges of steel. Consult the 5-5! website at www.S -5.com for published
data regarding holding strength.
Copyright 2010, Metal Roof Innovations, Ltd. 5 -5! products are patented by Metal Roof Innovations, Ltd.
version 051410
S 5 I . ° eg,„,
1
C
so
The Right Way!
3 ,,.„ tin t ' s ra,,_,, i
r
f
K
' r Y`kG'� , „. 01, ,, , 2 , -. 1 ' 16. 410
The S -S -U Clamp
T he S -5 -U clamp is by far 1 hanks tO our patented
our most popular and most
round -point setscrews,
versat clamp. It fits about 85%
of the standing seam profiles S 3 (1(11 d o 1101
manufactured in North America — pierce metal roof
including most structural and
architectural profiles. It can be paneling, lflerel)y
used on vertically oriented seams prole( tins rOOI
and, by rotating the clamp 90 coatings and weather .
degrees, it can also be used on
most horizontal 2" seam profiles. tightness v arranties.
I ts simple design, generous
dimensioning and multiple hole orientations are what make the S -5 -U clamp
so versatile for use with the S -5! snow retention products, such as ColorGard®, I
as well as with other heavy -duty applications.
I nstallation is as s as, setting the specially patented round -point ( r 4
setscrews into the clamp, placing the clamp on the seam, and tightening
them to the specified tension. Then, affix ancillary items using the bolt
provided with the product. Go to www. - 5.com /tools for information and
tools available for properly attaching and tensioning S -5! clamps.
The S -S -U Mini
== he S -5 -U Mini is a medium -duty, non - penetrating seam clamp. A bit shorter than
the S -S -U, the Mini has one setscrew rather than two. The Mini is the choice for
1111 1 attaching all kinds of rooftop accessories: signs, walkways, satellite dishes, antennas,
rooftop lighting, lightning protection systems, solar arrays, exhaust stack bracing,
conduit, condensate lines, mechanical equipment —just about anything!
and should not be used with, S -5! SnoRail' t or ColorGard® snow retention systems.
Attach almost anything to standing seam metal roofs
without piercing the panel!
888-825-3432 www.S -5. com
ROOF - MOUNTED SOLAR ARRAY DEAD WEIGHT LOADING CALCULATION
OV
Project Name James & Coy Residence Second expansion
Address Northampton, Massachusetts
The flushed to the roof solar array being installed consist of one array of 32 photovoltaic modules at a 8- 1/2:12 tilt and a
roof mounting system. The array is installed on newly renovated barn with a roof design for solar electric and solar
thermal systems. This is the second expansion. The mounting system includes a series of standoff supports that
represent discrete points of contact with the roof structure. Each support is anchored to metal standing seam via a S -5!
clamp. The S -5! clamps are installed in a staggered pattern to evenly distribute the added load.
itC45FSTRUC COMMENTS
Full dimension rafter structure and floor joist 1.Roofing Material:
Height 10 inches metal roofing
Width 2 inches 2.Roof pitch: 35 degrees
Standing seam spacing 24 inches on center
,SOLAR ` OULE ARRAY weiGHT CALCULATION 3. Horizontal Span: 8 ft
Photovoltaic modules Units Unit Wt. Total Wt. Comments
Solar module(s) I 32 I 41 1312 SPR- 308E -WHT -D
Subtotal 1312
Mounting System Units Unit Wt. Total Wt.
SolarMoustandard 2715.5 0.064 173.8 Lbs /inch
M215 Enphase 0 3.50 0.0 Lbs /inch
L feet 0 0.25 0.0 supports include all hardware
L feet on S5! Clamp 72 0.54 38.7 supports include all hardware
L feet on 3/8 hanger bolt 0 0.58 0.0
Eco- fasten with 8 screws and flashing 0 2.69 0.0 supports include all hardware
Stand -off with roof boot (single support) 0 1.13 0.0 and roof boots
Stand -off with roof boot (double support) 0 1.70 0.0
Stand -off with hanger bolt (single support) 0 0.43 0.0
Quickmount 0 0.75 0.0 with hanger bolt & hardware
Quickmount with doubble support 0 1.03 0.0 with hanger bolt & hardware
Splice bar kits 16 0.50 8.0
Module and rail grounding 1 1.75 1.8
Module universal end clips 0 0.25 0.0
Module mounting clips 72 0.16 11.7
Subtotal 233.9
Total solar module array weight 1545.9 lbs
POINT 'WADI OALCULATM,
Number of support stand -off 72
Total solar module array weight 1545.9_
Point load I 21.5 lbs J
AL- ULATION
Photovoltaic module array area Array 1 Array 2 Array 3
Module width (horizontal) 41.18 inches 0 inches 0 inches
Module length (vertical) 61.39 inches 0 inches 0 inches
Intermodule spacing 1 inches 0 inches 0 inches
Number of module columns 8 0 0
Number of module rows 4 0 0
Array area 581 square feet 0 square feet 0 square feet
Total array area 581 square feet
Distributed load 2.7 lbs / sf
Allow
' ' ''..: -' IPV..r...: 1
.. .::,
,. -,.,„ _ .,,,,
.. ,
A p
,...... ...„,
., „.., ,
,,........ „
W
r
/ '
z
',
1. • .
- ' ''''...:' ' - '.
• I '! t? i.„,_, It■ --_,
,,,,.5,,,,_...;..fm,,,, , . 100.A......... .. .,,,,,.._ ,„
_y
j, , .- // ..., , , a ddlik -'4'''''''.. === - ====. C .
t 11 - r—
MIN i
____.
{ — ® (.�
__. I - ILL_ ,. cio -
�/ % % / / / / % //iy/i/ /iy /� / / / /. /// i . ,,,P,"\,,..-.
O SECTION O SECTION she bemelte,
r,. steed
.
mra.�sr R@IOrEf)157P765iRA5: I waatlea0
merge* Is
J LW 2� Yty{cL , :---
. s' I reom
IOT
• f �� a /-` ./.., �f REVISIONS imil LOCL< � _ \ma /� I I ~ \, ,,,y, pP��j \ G7p0 1 illk
_,...,,,,....„...„...... ' lig i '-'''' ''''..
,' ": \
..1, ,,v__„,,i),,,,,- .:".:--1-' RdG�[ `
I
01 - , V - I
I • Q
t
- r l o
! R,',.
!t 4 '7- c . 7i �o, % .77. / r /
r y s :.� a`/ /. /, ,, / ./c �> ,oS , . " " ,, to / / / > , .. ,� , ,,, BUILDING �e\\\ /�♦. , / a ,... , . %� % / //,.//,e. , //..- ,/ % ,,,y,.� ,v/A-/,X7'
i ,, , / ,, � ° , % /; c6 %/ ,. % %,, ,,`;% / /o / %3 %C /,\/.. /,o /i%`c ,S / �> /c & `,', :7 e% :,'/,';‘,
),
0 SECTION SECTION r,+w w �m
.n A4.1
i t ■ ■t r 1 ■ Pwn be -
lic • 44 CIrded dF -.
•
•
BEN JAMES— NORTHAMPTON
SITE LOCATIONS OF SOLAR ARRAYS
Utility Meter & Master AC Disconnect
Sub -array #2 (east).
Y Inverter at west end, grade
} level, on car port wall.
Sub -array #1 (west).
Inverter within building,
grade level at NE corner TM
;< The first sub -array will be
: ;^ y • .° installed on the metal standing
� , ", seam roof of the newly renovated
� - ;�� gam, • '► ►, ' " po tato barn". It is following the
rw planned expension developped
during the renovation of the
structure. The supports of the
mounting structure will be
secured to the seam using the
same 5 -5! Metal seam clamps
rd +Iil #1. 1411isii411
�� � � � _� t €;4 l iiil! i used during the first installation.
<•• . . z A1f1 a Nfe % iei 1 iele u! ret lee r ee en a 1!� 1 11 Y1i; i
. A hai3O 4/wr (11)
•
( PV ) 2 is committed to providing a high quality product and service and we look forward to working with
you on your renewable energy project. Please contact Jon Child at 413 - 772 -8788 with questions or
comments regarding this proposal.
Sincerely,
Pi e , V': lley ^ hotoVoltaics Cooperative
Z
4 . natfl . n C ld
Project Manager
Attachments: General Terms and Conditions
•
AUTHORIZATION TO PROCEED AND SERVE AS AUTHORIZED AGENT
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. I further authorize Pioneer Valley
PhotoVoltaics Cooperative, or its designated representative, to obtain required permits for this project
on behalf of the Owner, as applicable. A check for the First Payment is enclosed and I am returning
this Agreement within 21 days of the Proposal date.
0 6 kk /1/1 . G -3/li 2 _
Printed Name Date
-----C.------ '-'
Signature Title
Proposal and Agreement Page 6 of 6
Ben James and Oona Coy, February 29, 2012
! tie l.11liimOuweui II us tvlassacuuseLts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston; MA 02111
• www.mass.gov /dia
Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers
Applicant Information Please Print Legibly
I
Name ( Business /Organization/Individual): �1 uwre.�r Va. 6 tt
Address: 311 �� rat
City /State /Zip: G I�e�e. M* o/30 I Phone #: Lti 3- 311,- g-}sK
Are you an employer? Check the appropriate box: Type of project (required):
1. )Q I am an employer with 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 11. Plumbing repairs or additions
3. — I am a homeowner doing all work right of exemption per MGL
myself. [No workers' comp. C. 152, ' 1(4), and we have no . 12. — Roof repairs
insurance required.JH employees. [No workers' 13. Other j ,+i ;
comp. insurance required.) 661 - fr o
* 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 laWavi indicating such.
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 informations
Insurance Company Name: 'c4,1cr∎c✓' / f e' ev t
Policy # or Self -ins. Lic. #: ) C. ;q6 5.,Z Expiration Date: 01 / D 1 / 2
Job Site Address: t �M � TieldA Kin rl City /State/Zip: 1115Y' WtA� aq,, ! k c O i ga
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 1' d pepalties erjury that the information provided above is true and correct
Signature: AidiZ14/_� Date: o l / 2 I
Phone #: L(? - 392 - .
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
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: fir- Not Applicable ❑
Name of License Holder : . L r
4 ,, �G )7 ,1Dts-- - 1 3
V t License Number
,v . Ary - (�retgat klec p 0/3D/ _ t/16/45
Addres Expiration Date
Sign" ure Telephone
9. Registered Home Improvement Contractor: Not Applicable ❑
r:
-- P1cruar VAJ./AIRL,Va u(d To, �.(,c- j°fD6 1
Company Nanie Registration Number
51 f
Address Expiration Date
Telephone 412, IV- z3Ke
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 buildi permit.
Signed Affidavit Attached Yes l 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
Asnotomw
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) 0 Roofing EJ
Or Doors D
Accessory Bldg. ❑ Demolition ❑ New S ',• ns [El] Decks [ n Sidin El] Other [ ty, if
Brief Description of Proposed if
Work: Installation of aluminum mounting systems for solar electric panels on the metal roof of the house and the shed
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 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, 1 r u.,.i L ,A/Atd , as Owner of the subject
property
r
hereby authorize --- 4_ �L L 1 4u.il, 'lltrntzr ; ;,,S 71tot3V > cu rA WD•' - tti1L i -
to act on my behalf, in all�tnatter relative to rk authorized by tl Is building permit appli tution.
/het. /1 a (IA . 9.4. I Ix,
Signature of Owner ' Da te
I, 1A yyi� t ;CHILI/Mk , as-Comer/Authorized
Agent hereby decl4he that the st ents 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.
+1 i 1. ] P' 6-0 , I r
Print Name r c
-1.,,,--„, , iL fog,
Signature of Owner /Agent Date
j .
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 0 DONT KNOW 0 YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T 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 0 DONT KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES 0 NO
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 0 NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
Department use only
BEC City of Northampton Status of Permit:
Building Department Curb Cut/Driveway Permit
3 2 0`2 212 Main Street Sewer /Septic Availability
Room 100 Water/Well Availability
PECTTdN4 Northampton, MA 01060 Two Sets of Structural Plans
DEFT O sur M•,,., :'' -587-1240 Fax 413- 587 -1272 Plot/Site Plans
NORTHAMF
Other Specify
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
This section to be completed by office
1.1 Property Address: 3/41 9
Vfih4(At Map �,+( �� Lot a id Unit
ay Zone Overlay District
tVol
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
Benjamin James 1 VENTURES FIELD RD NORTHAMPTON, MA 01060
Name (Print) Current Mailing Address:
tz/L GJ LM , l In �Fi� 2Sb 4S C;
• Telephone
Signature
2.2 Authorized Agent:
�h I t � '/ t,(c� iti �t l z �) �� ? L thw v1 �I I �� -� 3t(f - i j (vre.�t r. AzCgt, lii 0 i mil'; I
Name (P�i�it) ! / r u , Current Mailing Address:
Signature r Telephone
SECTION 3 - ESTIMAT A CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building 21,406 (a) Building Permit Fee
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) 21,406 Check Number / / /p/S' z/7
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
Building Commissioner /Inspector of Buildings Date
File # BP- 2012 -1116
APPLICANT /CONTACT PERSON PIONEER VALLEY PHOTOVOLTAICS
ADDRESS/PHONE 311 WELLS ST - SUITE B GREENFIELD (413) 772 -8788
PROPERTY LOCATION 1 VENTURES FIELD RD
MAP 32C PARCEL 319 001 ZONE URC000)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out r (/ ,�
Fee Paid /�`" 4 /4 4
Typeof Construction: INSTALL SOLAR ELECTRIC PANELS ON HOUSE & SHED
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 G ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO 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
emolition Delay
S • : re 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.
1 VENTURES FIELD RD BP- 2012 -1116
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32C - 319 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 -1116
Project # JS- 2012- 001908
Est. Cost: $21406.00
Fee: $128.44 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: PIONEER VALLEY PHOTOVOLTAICS 102513
Lot Size(sq. ft.): 77057.64 Owner: COY OONA MIA & BENJAMIN GILBERT JAMES
Zoning: URC(100)/ Applicant: PIONEER VALLEY PHOTOVOLTAICS
AT: 1 VENTURES FIELD RD
Applicant Address: Phone: Insurance:
311 WELLS ST - SUITE B (413) 772 -8788 WC
GREENFIELDMA01301 ISSUED ON:6/18/2012 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL SOLAR ELECTRIC PANELS ON HOUSE
& SHED
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 6/18/2012 0:00:00 $128.44
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner