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'Iii' ii -1 1 1 11 1 1 1 .. 11111 .1 II • ,. :: i 1 ..c I s S 5.: w 0 c— 2 2, 0 Ili turo I 011al I 1,3 immippoill .. ., - -8!. ti• •.- 3 •ct 0••1" 111111111111111111 CO C;i3 c0!Fa 1.11.111.11.1...II. 1.11 ?.1: S91}3YA EVALUATION REPORT u � Report Number: 0248 3 - Originally issued: 09/2012 Valid Through: 09/2013 TABLE 1: ALLOWABLE LOADS FOR EZ ROOF MOUNT L-FOOT KIT(lbs.)''2.3,4.5 Load Direction Ultimate Load Test Load at Test Load at Calculated Allowable (see figure below) Test Value 0.250 inch 0.125 inch Fastener/Metal Design Load F.S.=3.0 deflection deflection Strength Uplift(Withdrawal) 715 1,800 695 340 340 Lateral 260 240 130 153 130 Notes 1. Allowable load values are based on the least value from the ultimate load of three tests(strength limit),tested load at 0.125 inch deflection(deflection limit),calculated fastener capacity(withdrawal or lateral)for wood with a specific gravity of 0.55(Southern Pine)or allowable stress of the aluminum L-foot connector. 2. Allowable load values are based on lumber with all of the following characteristics: a. Located in dry service conditions where the moisture content does not exceed 19%for an extended period of time such as in most covered structures. b. Located where it does not experience sustained exposure to elevated temperatures that exceed 100°F. For any other conditions,allowable table values shall be multiplied by the related adjustment factor(s)(CO3 and/or C,)in accordance with the National Design Specifications for Wood Construction(NDS-05). 3. Allowable load values are based on lumber with a specific gravity of 0.55(Southern Pine or equal). 4. Allowable load values for withdrawal are based on a minimum penetration of 2''A inches into the roof rafter by one 5/16 inch x 4 inch long stainless steel lag screw. 5. Allowable values may not be increased for load duration in accordance with Section 10.3.2 of the NDS-05. 1 . Lateral 10140 EVALUATION REPORT ,,. ... Report Number: 0248 Originally Issued: 09/2012 Valid Through: 09/2013 TABLE 2:MATERIAL PROPERTIES Component Material Shoe Aluminum alloy ANSI/AA A380.0 Waterproof Washer EPDM with durometer rating of 60 Lag Bolt 304 stainless steel ASTM A 240 L-foot Aluminum alloy 6063-T6 ASTM 8221 ",.. Hex Cap Aluminum alloy ANSI/AA A380.0 Flashing Aluminum alloy 1060 ASTM B209 , ‘,- EZ ROOF MOUNT COMPONENTS 't=, ''''- ,- 1, M%t;•■.,'":...;t.. ;?i;A\ ' '. ak''''''' ■■■;■::::°:-.''i) i"" .i. ..ar,-*•":..',7,-, '?' 'A `09.■'`' ' Figure I:Shoe Assembly Figure 4:Hex Cap : ' rim = . lAr -,.... , , ,--, / .------ -:"---------- ., / / 1'.. '—') .7----V ------- Figure 2:Lag Bolt Figure 5:Flashing .,...,-..'",-,..:-. ,...1".:.r ,,. Figure 3:L-foot Page 4 of 4 ...- EVALUATION REPORT if` Y . Report Number: 0248 Originally Issued: 09/2012 Valid Through: 09/2013 . TABLE 1: ALLOWABLE LOADS FOR EZ ROOF MOUNT L-FOOT KIT(Ibs.)1'2 '4,5 ' Load Direction Ultimate Load Test Load at Test Load at Calculated Allowable Test Value 0.250 inch 0.125 inch Fastener/Metal(see figure below) F.S.=3.0 deflection deflection Strength Design Load Uplift(Withdrawal) 715 1,800 695 340 340 Lateral 260 240 130 153 130 Notes 1. Allowable load values are based on the least value from the ultimate load of three tests(strength limit),tested load at 0.125 inch deflection(deflection limit),calculated fastener capacity(withdrawal or lateral)for wood s with a specific gravity of 0.55(Southern Pine)or allowable stress of the aluminum L-foot connector. '' 2. Allowable load values are based on lumber with all of the following characteristics: a. Located in dry service conditions where the moisture content does not exceed 19%for an extended period §, of time such as in most covered structures. , b. Located where it does not experience sustained exposure to elevated temperatures that exceed 100°F. For any other conditions,allowable table values shall be multiplied by the related adjustment factor(s)(Ca, E and/or C,)in accordance with the National Design Specification for Wood Construction(NDS-05). 3. Allowable load values are based on lumber with a specific gravity of 0.55(Southern Pine or equal). 4. Allowable load values for withdrawal are based on a minimum penetration of 2'h inches into the roof rafter by one 5/16 inch x 4 inch long stainless steel lag screw. 5. Allowable values may not be increased for load duration in accordance with Section 10.3.2 of the NDS-05. 1 Uplift Lateral Page 3 of 4 EVALUATION REPORT wit t ti Report Number: 0248 Originally Issued: 09/2012 Valid Through: 09/2013 4.2 Installation Rain test data and thickness of aluminum flashing is in• EZ Roof Mount must be installed using the 5/16 inch for bRoofdFlashing oor Pipe Penetrations t(ICC-ES Criteria AC diameter stainless steel lag screw at each bracket 286-2008). Rain test conformed to Underwriters location as described in the manufacturer's installation Laboratory Standard for Gas Vents, UL 441-96 Section instructions. Lag screw must penetrate into the roof 25, rafter a minimum of 2 1/2 inches. Prior to installation,the roof rafter shall be bored with the required lead and Test results are from laboratories in compliance with clearance hole for the unthreaded and shank portions ISO/IEC 17025. of the lag screw as required in Section 11.1.3 of the NDS -05. Threaded portion of the lag screw shall be 7.0 IDENTIFICATION :. inserted into its lead hole by turning with a wrench and not driving by a hammer. A die-stamp label in the flashing bearing the name and f address of the manufacturer, the model number, Use of auxiliary holes in the Shoe other than the use of IAPMO Uniform ES Marks of Conformity, and this an extra fastener to stop the shoe from rotating during Evaluation Report Number(ER-0248). installation is outside the scope of this report. ie Flashing should be installed full under the shingle up to I A the raised portion of the flashing to prevent water P M ingress under the shingle. No portion of the flashing should be bent upward; the flashing must rest fully ES against the roof shingles. Otherwise the water and wind performance may be impaired. TM IAPMO#0248 x 5.0 CONDITIONS OF USE EZ Roof Mount L-Foot Kit for Shingle Roofs described in this report complies with the codes listed in Section 1.0 of this report subject to the following conditions: 5.1 EZ Roof Mount shall be installed in accordance with this report, manufacturer's installation instructions and the codes listed in Section 1.1. 5.2 Calculations to verify the imposed loads on the EZ Roof Mount assembly do not exceed the allowable loads contained in Table 1 of this report shall be submitted to the code official when requested. Calculations shall be prepared by a registered design professional when required by the statues of the jurisdiction where the work is constructed. 6.0 EVIDENCE SUBMITTED Testing and analysis data submitted is in conformance with Evaluation Criteria for Joist Hangers and Miscellaneous Connectors (iAPMO ES EC 002-2011). Page 2 of 4 PUc �. ccL EVALUATION REPORT Report Number: 0248 Originally Issued: 09/2012 Valid Through: 09/2013 Division: 06—WOOD AND PLASTICS 3.0 DESCRIPTION Section: 06060—Connections and Fasteners 3.1 General Description REPORT HOLDER: EZ Roof Mount L-Foot Kit consists of 5 basic SunModo Corporation components: (1) shoe assembly with captive waterproof 1905 SE 5t"St,Suite A washer, (2)lag bolt to fasten through the shingles to the Vancouver,WA 98661 roof rafter, (3) flashing that is placed under the row of shingles above the shoe and then over the shoe, (4) L- ' EVALUATION SUBJECT Foot that is placed over the protruding shoe threads and (5) hex cap that is secured on to the shoe. See SunModo EZ Roof Mount L-Foot Kit for Shingle Figures 1 to 5 in Table 2. Roofs 3.2 Materials 1.0 EVALUATION SCOPE: EZ Roof Mount is fabricated from aluminum. Shoe 1.1 Compliance with the following codes: assembly is fabricated using casting aluminum alloy with dimensions of 2.80 inches in diameter and 1.00 • 2009 International Building Code® inches in height. It is held in place using one 5/16 inch • 2009 International Residential Code® diameter lag bolt that is 4 inch in length and made of • 2006 International Building Code® stainless steel. Flashing is fabricated from sheet • 2006 International Residential Code® aluminum with dimensions of 10.0 inches in width, 12.5 inches in length and 0.04 inches in thickness. 1.2 Evaluated in accordance with: L foot is a 2.00 inch long unequal leg angle made from • Evaluation Criteria for Joist Hangers and 6063-T6 aluminum with dimensions of 3.00 inches in Miscellaneous Connectors (IAPMO ES EC002- depth, 2.00 inches in width and 0.24 inches in 2011),Approved March 2011 thickness. It contains a 0.375 inch diameter round hole • Acceptance Criteria for Roof Flashing for Pipe with a 0.83 inch diameter chamfer (in base) that is Penetrations (ICC-ES AC286),Approved April 2010 located in the center of the base leg. One slot measuring 1.64 inch long by 0.40 inch wide occurs in 1.3 Properties Evaluated: the center and is located 0.30 inches from the top edge of the vertical leg, which has a scallop front and rear • Structural face. See Table 2 for component material properties • Weather Protection and figures. 2.0 USES 4.0 DESIGN AND INSTALLATION EZ Roof Mount L-Foot Kit for Shingle Roofs is used to 4.1 Design mount solar systems and other rooftop devices such as satellite dishes on asphalt shingle roofs with wood Tabulated allowable loads shown in Table 1 of this rafters underneath. report are based on allowable stress design (ASD). Adjustments to these values are required for wet EZ Roof Mount is specifically designed to be used for service conditions, sustained exposure to elevated installation of solar panels for electric or hot water temperatures, use with fire retardant lumber or with production on roofs with slopes from 3 to 12 units lumber whose specific gravity is less than 0.55 vertical in 12 units horizontal. (Southern Pine). Allowable values based on fastener strength may be adjusted for duration of loading. See footnotes of Table 1 for more detailed explanation. Page 1 of 4 Copyright©2012 by International Association of Plumbing and Mechanical Officials.MI rights reserved.Printed in the United Stales,No part or this publication may be reproduced,stored in IZ an etectronic retrieval system,or transmitted,in any form or by arty means,electronic,mechanical,photocopying,recording,or otherwise,without the prior written permission of the publisher.Ph 1•877-4IESRPT•Fax:909.472.4171•Web:www,laemoee orq•5001 Easl Philadelphia Street•Ontario,Califomia 91761-2816—USA w., j£ z s • 0 n Mechanical Properties ( Ct -� f Electrical Properties(SIC') .„. _ � — 6 x 10 _ 300 W 295 W 290 W 285W „280 W Cell vendor L(, 3(;;:) ,.ar -�crC) c -,, tvlaximum power Pmax(W) 2 .) _ � ._. 2131.1 Cell type (21onocry3130 )e Cell dimensions MPP voltage Vmpp(V) 320 31.9 31.8 31.6 31 mensions I1,(,x 156 n)rn Cell busbar 3 MPP current Impp(A) 942 9.30 919 9.09 897 Front cover (:Iris Open circuit voltage Voc(V) 111:1', 393 392 39.0 38? Dimensions(L x W x H) 1610 x. 1000 x 35(r ) Short circuit current Isc(A) 1�.0 ,Pi 9:30 9.ix' 9:o.) Static load 5400 I (snow) Module efficiency)%) 18 • 13 0 117 l i/ 171 L40(1 RT:1(mnd) Operating temperature(°C) --,111.)-+90 Weight 16 ii+0 r. ko Maximum system voltage(V) 1(n?n Connector type Mr 4 co,ne.:tor IF'77 Maximum series fuse toting(A) 11; Junction box II'67 n•l'HI 3 bypass dlod?s Power tolerance(%) f' + Length of cables.... ...... . 'r 1000 min Frame /vnadized.,i Jrninurr Certifications and Warranty Certifications If r:6121x, I33 0173x)-1/-2. 0 Electrical Properties(NOCT') ISO 1400 SCE()Or'?r'? __mm__.....�... _ .... �_..e.w..._ 0H1-)/:/1318001, 300 W 295W 290 W 285W 280 W 31 703 Maximum power(Prnpp) 22C, 216 213 210 206 Product warranty 10,,Pa(s MPP voltage(Vmpp) C/1 24?_ 401 '2'1'19 28313 Output warranty of Pmax �, , 3 le; re,boar warrant;, MPP current(Impp) 1 r-7 r 3 i ;2b 15 Open circuit voltage(Voc) 3'315 363 36.2 '6'- 35 9 Shod circuit current(Isc) 8.08 7. 'ha 7,30 770 Temperature Coefficients Efficiency reduction r 4.5 '° - _ prom 1000 WJm'to 200 Who'I NOCT 45+ 'C Pmpp 0 41 116K -0.31%/K. �" 1O Voc Isc ........ 001 /K Dimensions (mm) r? Characteristic Curves 1000 5.4 0( .iorl 1 ----- 1 —1 4 IOj 1000W , fJ I�IC,.• -ie ,a r.0 -- — ----- 1 .. � B _ Boo W r t 6( 600 W 04 3 a F A q not // 1( 402W OFOIZ ...) - N; !. N 0 J 202 W -0' w c, s 10 f', 20 ?s , 35 ao Voltage(V) ' ,a. - 110 J ( :t3--' m q F 120 r �..... t' - I I Isr:: 1 - :1)1 IIF�.al'r 7 r,:r � o Cl Pmax i , 40 -25 _ 85 50 75 90 Temperature(°C) Tf . I:r u'e : a+r. ,, ••,fe•M c ..:r:hr , ., rc7 ,hu,lPs P at d.91.,13 S Ii i h. I � . ,...... � Life's 0 $,__ife s o od .Li IL ..la p. r .r)P L F�,c _fl f..:, =,1 .TW... Northeast Attn: Building Inspector, October 29, 2013 The roof structure of the barn at 33 Keys St., Fore rough cut nCe. Ma 01062 is constructed of rou 2x6" rafters g not attached to rafters) @ 24„ on center, with a approximate 12 maximum span of 9'. The roof has an /12 pitch, the sheathing is 1/2"plywood and then covering the roof surface. ng code,is one layer of as Based on the 8th edition of the international buildi phalt shingles Snow Load of 40 psf, the roof structure is strong e, and the Ground photovoltaic photovoltaic en°Ugh to support the additional 3 modules and racking. The psf of modules' proposed rail attachment points will be in a staggered pattern with rail mounting feet no more than of the Photovoltaic array. an 4'on center to most evenly distribute the Sincerely, Phillip Baunsgard Jr. MA-CSL#CS-106113 Installation Supervisor Northeast Solar Design (413)247-6045 136 Elm St. Hatfield, Ma 01038 Northeast Solar Design. 136 Elm Street,Hatfield MA 01038.413-247_6045 The Commonwealth of Massachusetts r Department of Industrial Accidents � ,= ._'� , '$ Office of Investigations 11 . ' 600 Washington Street 1.--_- i 4, t �� °i .^ Boston, MA 02111 F ‹e � t ' A 4- www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): NorthEast Solar Design Address: 136 Elm St . City/State/Zip: Hatfield, Ma . 01038 Phone #: 413-247-6045 Are you an employer? Check the appropriate box: Type of project(required): 1. © I am a employer with 9 4. ❑ 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' g y p y• 9. ❑ Building addition No workers' comp. insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.n I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12 ❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no 13.n. Other Solar employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f 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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site in formation. Insurance Company Name: Hanover Insurance Policy # or Self-ins. Lic. #: WHN 5715134-0 2 Expiration Date: 4/8/15 Job Site Address: 33 Keyes St . City/State/Zip: Florence, Ma 01062 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 fo ' sure ice coverage verification. I do hereby 10,•°--:•,he ns and pen 'es of perjury that the information provided above is true and correct. doe Si_natu • Atr Date: 10/28/13 Phone#: 413 -247-6045 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: Phillip Baunsgard CS-106113 License Number 11 Edward Ave Southampton, Ma 01073 6/7/15 'dress _ / Expiration Date /%.� ���� � ' _i��► 413-247-6045 ig . re /elephone 9.Registered Home Improvement Contractor: Not Applicable ❑ 169641 Company Name Registration Number Northeast Solar 7/14/15 Address Expiration Date 136 Elm St . Hatfield, Ma 01038 Telephone 413-247-6045 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 ❑" 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 buildinE 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 n Addition ❑ Replacement Windows Alteration(s) i l Roofing 1-1 Or Doors El Accessory Bldg. ❑ Demolition ❑ New Signs [El] Decks [Q Siding[El] Other[El] Brief Description of Proposed } Work: / Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes 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 X 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 Elissa Forman , as Owner of the subject property hereby authorize Northeast Solar to act on my bell- , in all matters relative to work authorized by this building permit application. 10/28/13 Signature of Owner Date Ann Bronner Northeast 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. Ann Bronner Print Name 40 ./�_/�`/ 10/28/13 •n ture of Ow OwwtrMealliPr 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 0 DON'T KNOW 0 YES C IF YES, date issued: YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW Q YES Q IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO Q DON'T KNOW 0 YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained l Obtained , Date Issued: C. Do any signs exist on the property? YES 0 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 l NO Q 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 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Department use only 1/1 / City of Northampton Status of Permit: �~ ' fit --_ 7/ ) Building Department Curb Cut/Driveway Permit OV i 200 ' 1; 212 Main Street Sewer/Septic Availability .a;% Room 100 Water/Well Availability 1 orthampton, MA 01060 Two Sets of Structural Plans ph-61,w- 13-587-1240 Fax 413-587-1272 Plot/Site Plans ~— 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 33 Keyes St . Florence Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Elissa Forman 33 Keyes St.Florence,Ma 01062 Name(Print) Current Mailing Address: 413-587-4261 Telephone Signature 2.2 Authorized Agent: Northeast : . .� • t. Hatfield„Ma 01038 Northeast Solar 136 Elm St. Hatfield„Ma 01038 Name(P 4' Current Mailing Address: ■,� Northeast Solar 136 Elm St. Hatfield„Ma 01038 Si. ature ( Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (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) 19,720 Check Number 9J$1,7 0Ji • 3 ) --- This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2014-0565 APPLICANT/CONTACT PERSON NORTHEAST SOLAR DESIGN ASSOCIATES LLC ADDRESS/PHONE 136 ELM ST HATFIELD (413)247-6045 0 PROPERTY LOCATION 33 KEYES ST MAP 17C PARCEL 148 001 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 ¢� //Q Fee Paid V v/ o ,Typeof Construction: INSTALL 16 F MOUNTED SOLAR PANELS ON THE BARN New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 106113 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ION 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 i •. D. :y 7. - V //A lP •ff 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. 33 KEYES ST BP-2014-0565 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17C- 148 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-2014-0565 Project# JS-2014-000944 Est.Cost: $19720.00 Fee: $118.32 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: NORTHEAST SOLAR DESIGN ASSOCIATES LLC 106113 Lot Size(sq. ft.): 10890.00 Owner: FORMAN ELISSA Zoning: URB(100)/ Applicant: NORTHEAST SOLAR DESIGN ASSOCIATES LLC AT: 33 KEYES ST Applicant Address: Phone: Insurance: 136 ELM ST (413) 247-6045 0 Workers Compensation HATFIELDMA01038 ISSUED ON:11/5/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL 16 ROOF MOUNTED SOLAR PANELS ON THE BARN 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 11/5/2013 0:00:00 $118.32 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner