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36-051 (3) N i N a � � N ¢a SO N N N 3 = U U a @ U @ N c � m a � c u 00 00-'- I' M M ! d z LL 7!I -'r e— �� I •� v 1 co n � v ' I I n M N co co CO a N I I� 0 OC)`0 � _ � it r� co (I A - (0 co !' CC) CI I --t co co II � . M r } - .�� N L ,Iol -8/£ OZ - 8/£ OZ - 8/£ o � ( . 0 0 T= � (6 Y f0 N Q z° -- - 3WVNA IiVGAI�J 3sn N - - 2 ° 2 U C7 0) 0 CD w N E ❑. U X N Q ) � C (n � H Y V p N co � Of E m QD a) (� c > Z', E O °s 'N m Q _3 d a af m `o o o m 0- �I x o a O P v O n 3 X o0 0U� C� c C m U n d U c Cn (9 o N in o U a l :3 N O UO f0 E O U U l I i� I I c�i cn CL fi 5 E L o 0 4k- C p 'd to to i I II Y c0i o U) ac) ,O -- - - L• C O _ 0') x Co N O I m III x 3 - -- I ° a_ - - - 0) U) tU of II { ----- - -- __ j 0 0 m Q L a) o 7 C -s a) 0 Qt N Y 9�4� V8� � o rnato t co � �,c v °o c 4) a) c m � o >, as U) (L> (a W a) Y L Q .0 Q Y t7 A VNJ 31VGAII l 61S' The 2009 International Residential Code and the car"Edition. iassachusetts Stale Amendments specify a ground snow load of 40 psf for Florence Massachusetts. The roof applied snow loading shall be as specified in Equations 73-1 and Equations 7.4-1 as found in the ASCE7-10 Minimum Design Loads for Buildings and Other Structures. Pf =.7 * Ce * Ct * I * Pg Eg7.3-1 Ps=Pf* Cs Eq 7.4-1 Ce=Terrain Category`B"/Partly Exposed= 1.0 Ct= 1.1 I = 1.0 Pg=40 psf Cs = 1.0(Rough surface, 5!12 pitch) The roof applied loads are as follows: Unifoml Sloped Roof Snow Load, Ps: 31 psf(minimum), Use 35 psf. Assumed new Panel and array Dead Load: 4.0 psf Existing roof dead load: 11.0 psf Total roof applies uniform load 50 psf. The unbalanced or drift snow load is Pg * 1=40 psf Total unbalanced drift load, including dead load is 55 psf.—Controls top chord design. For my roof structure analysis. I have used the gravity loads described above and I have assumed that the existing roof structure is framed from Spruce Pine Fir#1/#2 grade lumber. I have modeled the existing trusses to determine the capacity of the structural members beneath the proposed new array. Under the loading conditions described above. I have determined that the existing trusses do have the required capacity to support the new photo-voltaic array and code prescribed snow loads as long as the new array is supported as indicated on the attached sketch"2"which is a support layout plan. Please do not hesitate to contact me with any questions. Respectfully, Jacob Smith Engineering and Design By Jacob F. Smith, P.E. f * ` ` *I. JACOB SMITH ENGINEERING & DESIGN April 11th 2014 To: Carl Seibing Pioneer Valley Photo Voltaic 311 Wells Street Greenfield,MA 0101 Re: Roof analysis for new photo-voltaic array 12 White Pine Drive Florence, MA 01062 Carl: You have requested that I observe the residential structure located at the address indicated above. You have explained to me that the owners of this residential structure intend to install a new photo- voltaic array on a portion of the existing roof. You have requested that I determine if the existing roof structure has the required capacity to support code prescribed snow loads, existing roof dead loads and an additional photo voltaic array. On April 10th, 2014, you provided me with some general information regarding the proposed new photo-voltaic array layout. You have also provided me with several pictures of the existing roof structure and an elevation of the typical existing roof trusses. This existing structure is a single family residence and conforms to type 5-13 constriction (un- protected wood residential framing)as specified by the 2009 International Builclinq Code. You explained that the proposed new photovoltaic-array would consist of 12 photo voltaic panels located at the gable roof south face of the structure. The existing roof structure beneath the proposed new photo-voltaic array consists of/z"thick plywood roof sheathing on field build trusses that are spaced at 16 inches on center. See the attached"I" a truss elevation for existing truss member sizes. 8 Coxns AVENUE;SOUTH DEERRELD,MA 01373 jacob @jacobsmithengineering.com VOICE 413-397-3441 FAX 413-665-1142 W N cn 'I- Ln D N V) cn cn cn cn, U° i i i r i I— +-, c oOC a e3 �' W i � � v a.... y � �e r � 3 jN w � V) r a+ c G C 3 O O G d � � LL-W ea w o c c C o ` o ro c a 1a E o +a' '_ T a m o 3 a ' ° o` o ,, o c _ w a m e u ® a 2 pq w cJ c E a N C w ° 0 "' -o Q 119 iG pp O N +. C E C w N d. O A A o c v m .� c ° w9 �a m -° v c E E b0 E ° a E ewo c E E ° .° O a 9wi c a o EE ®® ea " ` ® •�• Y o w Li u° E ■■ ns 3 i Q c E o - Z N c �' c .o Y® x o t 4J s_ m E a a x E E - W `^ E w N m m w o m C v 2 0 U Ems` r O a..... Lj -® 6 X a � U- m ° EO E ° G o Y off _� OO Ln r' ,,, - ° �o E Lim +a+ C10 0�_ "` rrp{�A C A E E s 7 o a m t';,r r /l } cn m '^ u` �, E E E o C u, C ° gig UJ rr m Q J � L� U O E n i ° E �E Q E � � � SOLAR SUNPOWER OFFERS THE BEST COMBINED POWER AND PRODUCT WARRANTY POWER WARRANTY PRODUCT WARRANTY 100% 95% 90% s .. 85% r e• 80% 75% 0 5 10 15 20 25 0 5 10 15 20 25 Years Years More guaranteed power:95%for first 5 years,-0.4%/yr.to year 25.8 Combined Power and Product Defect 25 year coverage that includes panel replacement costs.° ELECTRICAL DATA OPERATING CONDITION AND MECHANICAL DATA E20-327 E19-320 Temperature —40OF to+1850F(—40aC to+85aC) Nominal Power12(Pnom) 327 W 320 W Max load Wind:50 psf, 2400 Pa,245 kg/m2 front&back Power Tolerance +5/-0% +5/-0% Snow: 112 psf,5400 Pa,550kg/m2 front Avg. Panel Efficiency13 20.4% 19.9% Impact 1 inch (25 mm)diameter hail at 52 mph (23 m/s) Rated Voltage(Vmpp) 54.7 V 54.7 V resistance Appearance Class A Rated Current(Impp) 5.98 A 5.86 A Solar Cells 96 Monocrystalline Maxeon Gen II Cells Open-Circuit Short-Circuit culVoltage sc) 64.9 V 64.8 V Tempered Glass High Transmission Tempered Anti-Reflective Short-Circuit Current(Isc) 6.46 A 6.24 A Maximum System Voltage 600 V UL& 1000 V IEC Junction Box MC Rated Connectors MC4 Compatible Maximum Series Fuse 20 A Frame Class 1 black anodized, highest AAMA Rating Power Temp Coef. (Pmpp) —0.38%/aC Voltage Temp Coef. (Voc) —176.6 mV/°C Weight 41 Ibs(18.6 kg) Current Temp Coef. (Isc) 3.5 mA/oC TESTS AND CERTIFICATIONS REFERENCES: Standard tests UL 1703,IEC 61215, IEC 61730 1 All comparisons are SPR-E20-327 vs.a representative conventional panel:240W, Quality tests 150 9001:2008, ISO 14001:2004 approx.1.6 m2,15%efficiency. EHS Compliance ROHS,OHSAS 18001:2007, lead-free,PV Cycle 2 PVEvolution Labs"SunPower Shading Study,"Feb 2013. 3 Typically 7-9%more energy per watt,BEW/DNV Engineering"SunPower Yield Report," Ammonia test IEC 62716 Jan 2013. Salt Spray test IEC 61701 (passed maximum severity) 4 SunPower 0.25%/yr degradation vs.1.0%/yr cony.panel.Campeau,Z.et al."SunPower PID test Potential-Induced Degradation free: l OOOV 10 Module Degradation Rate,"SunPower white paper,Feb 2013;Jordan,Dirk"SunPower Test Report,"NREL,Oct 2012. Available listings CEC,JET, KEMCO,MCS,FSEC,CSA,UL,TUV 5"SunPower Module 40-Year Useful Life"SunPower white paper,Feb 2013.Useful life is 99 out of 100 panels operating at more than 70%of rated power. 6 Out of all 2600 panels listed in Photon International,Feb 2012. 7 8%more energy than the average of the top 10 panel companies tested in 2012(151 f panels,102 companies),Photon International,March 2013. 8 Compared with the top 15 manufacturers.SunPower Warranty Review,Feb 2013. 9 Some exclusions apply.See warranty for details. j 10 5 of top 8 panel manufacturers were tested by Frounhofer ISE,"PV Module Durability 1046mm Initiative Public Report,"Feb 2013. [41.21n] 11 Compared with the non-stress-tested control panel.Atlas 25+Durability test report,Feb 2013. 12 Standard Test Conditions(1000 W/m2 irradiance,AM 1.5,25°C). 13 Based on average of measured power values during production. 46mm t [1.81 in] - 1559mm [61.4in] See htto://www.sunpowercorr).com/facts for more reference information. For further details,see supplementary specs:www.sunLpowercoro.com/datasheets.Read safety and installation instructions before using this product. C`s April 2013 SunPower Corporation.All rights reserved.SUNPOWER,the SUNPOWER logo,MAXEON,MORE ENERGY.FOR LIFE.,and SIGNATURE are trademarks or registered trademarks of SunPower Corporation.Specifications included in this datasheet are sabiect to change without notice. su npowercorp.com Document 8 504860 Rev 6/LTR_EN SUNPOWER • R PA §R7 17 HIGH PERFORMANCE & EXCELLENT DURABILITY • 20.4%efficiency Ideal for roofs where space is at a premium or where future expansion might be needed. E20-327 PANEL • High performance Delivers excellent performance in real world HIGH EFFICIENCY" conditions, such as high temperatures, clouds and low light.'-2,3 Generate more energy per square foot • Proven value E-Series residential panels convert more sunlight to electricity producing 36% Designed for residential rooftops, E-Series more power per panel,'and 60% more energy per square foot over 25 panels deliver the features, value and years.s,a performance for any home. HIGH ENERGY PRODUCTION 7 I Produce more energy per rated watt High year one performance delivers 7-9% more energy per rated watt.3This advantage increases over time, producing 20% more energy over the first 25 years to meet your needs.° r 120% 0 3 More Energy 110% Per Rated Watt Maxeon®Solar Cells:Fundamentally better. o 18%mare,year 1 Engineered for performance,designed for durability. t o0 2 90% 35%more, a- year 25 Engineered for peace of mind 80 70% Designed to deliver consistent, trouble-free w energy over a very long lifetime.45 } bo% N 50 0 5 10 Designed for durability Years 15 20 25 The SunPower°Maxeon Solar Cell is the only cell built on a solid copper foundation. Virtually 3 °% Maintains High impervious to the corrosion and cracking that $% Power of High Temps PHOTON degrade Conventional Panels.1,5 a No Iight-Induced j 6% Degradation #1 Ranked in Fraunhofer durability test." Q _ High Average Watts 100% power maintained in Atlas 25' 4% Herter Low-Light and comprehensive PVDI Durability test.'' Spectral Response w 2% High-Performonce o Anti-Reflective Glass 0% sunpowercorp.com Q fV v D O ti J Uc D .2 Q +� 1Z iO I Y f d 9Z7 0 a - + , 0 X co N X 09 XZ i N 00 X af 00 = 00 F N (� > Q / Z I C'7 - m v t76' a ! g v a i4 0 I � � v 0 (8)@u3 ajgnMau@6jo mddnS aq1 o�po11!wwoD Lb6E-6S8-LL8 oapiOS uGISejoa3 j 0 W N m V d N r U � D ' 0 ' O CL oc O O ' LL vi a ! 0 G ; G N i O + c6 i i �M O � d Q 00 cz 00 a � a : Q g 0 10aau3 agoMauab jo uoddnS oq�oa pa�j!w ao3 Z66S-6S8-ZL8 aaploS ua}seJoa3 W 0 r: r � W In N d v j j N c 0 LL E O Q Q O J o U w a _ V) X N N i O 00 00 Q Q � O O N LO N M O o i a • Q co s°= I� Q v iv o 'a Q , o �N io ( iau3 o gDmoua�l jo uoddnS ayz o)pajziwwcD Lb6E-698-LL8 aJploS ualsu�ODI W w ri � ! Li N CL O 7D co ! D oC w CL o a � L O o OL Y i � a Z ' J� M Ln M i (cDq z n a g v i� v e _ n I v 0 'a ' 4 to ; s � o X2iau3 a quMauaa jo uoddnS aq�o1 paD!wwoD Lb6E-6SB-,L9 ®aPIoS uaiSP�OD] W WE— a .,* Print Form The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations I Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):PIONEER VALLEY PHOTOVOLTAICS COOPERATIVE Address:311 Wells Street, Suite B City/State/Zip:Greenfield MA 01301 Phone #:413.772.8788 413.772.8668 fax Are you an employer' Check the appropriate box: Type of project(required): 1.Z I am a employer with 20 4. ❑ 1 am a general contractor and 1 employees(full and/or part-time).* have hired the sub-contractors 6. F-1 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' 9. 177 Building addition [No workers' comp. insurance comp. insurance... required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 1.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.7 Roof repairs required.]insurance re c. 152, §1(4),and we have no q ] 13.7 OtherPV System employees. [No workers' -- comp. insurance required.] "Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. 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 information. Insurance Company Name:Excelsior/Peerless Policy #or Self-ins. Lic. #: WC 8376525 Expiration Date:01/01/2015 Job Site Address: 12 White Pine Drive, 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 for insurance coverage verification. I do hereby certify under the ains and - alties. ..eerjury that the information provided above is true and correct. Si nature: Date: 4/2/2014 Phone#:413-772-8788 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#: AC° CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYY 12/17/2013 013 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 Jenna Rodrigue, CISR NAME: Webber & Grinnell PHONE (413)586-0111 FAC No: (413)586-6481 8 North King Street t:-MAIL jrodrigie@webberandgrinnell.com INSURERS AFFORDING COVERAGE NAIC S Northampton MA 01060 INSURER A:Peerless/Libert INSURED INSURER B:Excelsior/Liberty 11045 Pioneer Valley Photovoltaics Cooperative, Inc. INSURERC 311 Wells Street INSURERD: Suite B INSURER E: Greenfield NA 01301 INSURER F: COVERAGES CERTIFICATE NUMBER:Maste 2015 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. ILTRR TYPE OF INSURANCE ADDL SUB POLICY NUMBER MMIDDIYYW MMIDDIYY P LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTE7- X COMMERCIAL GENERAL LABILITY PREMISES Ea occurrence $ 100,000 A CLAIMS-MADE a OCCUR BP8378623 /1/2014 /1/2015 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1;000,000 GENERAL AGGREGATE $ 2,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X I POLICY 7 PRO LOC $ VIIIN ' SUE LIMIT AUTOMOBILE LIABILITY Ea accident 1 000 000 B Ix ANY AUTO BODILY INJURY(Per person) $ ALL OWNED % SCIEDULED 372626 /1/2014 /1/2015 BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS X AUTOS ED P.r acaly,t SAGE $ Undennsured motorist BI split $ 100,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LIAB OLAIMS-MADE AGGREGATE $ 2,000,000 DED I X I RETENTION$ 10,000 08377126 /1/2014 /1/2015 $ B WORKERS COMPENSATION X %STATU OTH- AND EMPLOYERS'LIABILITY Y/N FR ANY PROPRIETORIPARTNERIEXL=CUTIVE E L EACH ACCIDENT $ 1,000,000 OF CLI-UMLIVELH E]CCLUDLD? N❑ N/A (Mandatory in NH) RC8336525 /1/2014 /1/2015 EL DISEASE-EA EMPLOYE $ 1 000,000 E yes,do scnbe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ 1:000,000 DESCRP71ON OF OPERATIONS t LOCATIONS I 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 Massachusetts Clean Energy Technology Cen ACCORDANCE WITH THE POLICY PROVISIONS. 55 Summler Street, 9th Floor Boston, MA 02110 AUTHORIZED REPRESENTATIVE J Rodrigue, CISR/JER i ACORD 25(2010105) O 1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005)01 The ACORD name and logo are registered marks of ACORD SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Maya FUlford CS-106329 License Number 159 Clark Drive, Giulford VT, 05301 03/14/2016 Address Expiration Date 413-772-8788 Signature Telephone 9.Reaistered Home Improvement Contractor: Not Applicable ❑ Pioneer Vallev Photovoltaics Cooperative, LLC 140077 Company Name Registration Number 311 Wells Street, Suite B, Greenfield, MA, 01301 9/16/2015 Address Expiration Date Telephone 413-772-8788 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....... 0 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 SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ID Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [❑ Siding[[3] Oth Brief Description of Proposed Work: Installation of mounting system for solar panels on south side of residence roof. 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 David Neal as Owner of the subject property hereby authorize Philippe Rigollaud to act on my behalf, in all matters relative to work authorized by this building permit application. See attachment (A) Signature of Owner Date Philippe Rigollaud 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. PHILIPPE RIGOLLAUD Print Name 4/2/2014 Signature of 2 ner t 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 YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO ® DONT KNOW (F) YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO e DONT KNOW 0 YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O 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 ® NO e 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 ® NO e IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Department use only Gitjr.,of Northampton Status of Permit: ,-- Bull ing Department Curb Cut/Driveway Permit Main Street Sewer/ eptiaAvailabi►ity t'� ons oom 100 Water/Well Availability ; Afiam ton, MA 01060 Two Sets of Structural flans F , r�ipn -1240 Fax 413-587-1272 Plot/Site Plans Effect` r �' 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 12 White Pine Drive, Florence, MA, 01062 Map Lot Unit Zone Overlay District Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: David&Joanne Neal 12 White Pine Drive,Florence,MA,01062 Name(Print) Current Mailing Address: 413-584-4760 See attachment (A) Telephone Signature 2.2 Authorized Aaent: Pioneer Valley PhotoVoltaics Cooperative,LLC 311 Wells Street, Suite B,Greenfield,MA,01301 Name(Print) / Current Mailing Address: 413-772-8788 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building $5,280 (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) $5,280 Check Number This Section For Official Use Only Building ermit Number: Date g Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2014-1037 APPLICANT/CONTACT PERSON PIONEER VALLEY PHOTOVOLTAICS ADDRESS/PHONE 311 WELLS ST-SUITE B GREENFIELD (413)772-8788 PROPERTY LOCATION 12 WHITE PINE DR MAP 36 PARCEL 051 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid to- Typeof Construction:_INSTALL ROOF MOUNTED SOLAR ARRAY New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 106329 3 sets of Plans/Plot Plan THE FOLLOWING 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 Demolition Delay re of Burldi 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. 12 WHITE PINE DR BP-2014-1037 GIs#: COMMONWEALTH OF MASSACHUSETTS MW:Block: 36-051 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-2014-1037 Project# JS-2014-001788 Est. Cost: $5280.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: PIONEER VALLEY PHOTOVOLTAICS 106329 Lot Size(sa. ft.): 13024.44 Owner: NEAL DAVID B&JOANNE Zoning: Applicant. PIONEER VALLEY PHOTOVOLTAICS AT. 12 WHITE PINE DR Applicant Address: Phone: Insurance: 311 WELLS ST - SUITE B (413) 772-8788 Workers Compensation GREENFIELDMA01301 ISSUED ON.•411612014 0:00:00 TO PERFORM THE FOLLOWING WORK.INSTALL ROOF MOUNTED SOLAR ARRAY 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 4/16/2014 0:00:00 $55.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner