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38A-144 (4) W,Got ,�. VA � t Roof Trac TM Integrated with Fast Jack , attachments The patented Roof Mr u:1"system installed with the Fad jack"' Patent#6,360,491 attachment method provides an ideal solution for installations The Original "Top-Down" PV Mounting System. where a flashing is desired. The Fast jack` is also the solar industries preferred method of attachment for new construction roofs. Roof TFac®H Fast Jade—protected under Patent#6,360,491&Other patents pending. Tice Ttac®protected under Patent#5,646,049. , < Z� V ,VEN Inv OPI '.'d` a� ,g la 1 a 7be/rr,l lark' attachment prorichtc a quick and strong Iu tallation Nohaion. Ourpatented dew,,n plat(,+t1)(,bolt directly untivi thv;Iattclrion post where it prvr•ideN the molt support. This fea- turd aNnrC>\1andaid rogf flasbings S to hi flat on fv roof deck.. The removable pint allows ftasbings to be slipped over the base without damaging surrounding composi- tion shingles. Illustrated above is how the Fast lac:' tatlachment seamle&ly integrates with All attachment hardware is concealed the Rool 1rac"mounting gslem. within the support rail leaving an aesthetically pleasing solar array. 0 Splice Kit Y' The splice kit provides a solution to rigidly lock multiple rail sets together. The splice kit has a feature that allows for ther- mal expansion/contraction of the rails without damaging the roof-tope (800)84-SOLAR For more information you SOLAO (805)383-0802-fax can visit us on the web at I� 4630 Calle Quetzal Camarillo,CA 93012 iviviv ROO f'Etc.coin ,w TroycIntegrated with Tile Trac' attachments The patented Roof Traci"system installed with the file Aa&attachment Pates#6,360,491 method provides an ideal solution for mounting on a We roof. Tile The Original "Top-Down" PV`Mounting System. Aae reduces thepavibslity of broken tiles and kaking roofs, allowing the installer to make structural attachments to the roof rafter. 7be Rooj-Aac"`'installed with the Me!racy allows solar support rails to be adjusted to compensate for uneven roofs. Root ltac®&Fast Jack—protected under Patent#6.360.491&00m patents pending. k� Tile Trac®protected under Patent#5,646,049. a a. l The support rail was designed to conceal all attachment hardware. All connections are made inside the support rail hidden from view. The atlachnrents��sterrt is Illustrated above is hou the All eaposecl aluminum ii fully anodized to the perfect base for suc face mounting on module manufacturer spec f cations. atladimcrnt seamlessly integrates with the the roofs!11 has over 10 sq. inches mounting system. of base to prevenl damaging delicale composition sbingles. Fully integrated, and patented, clamping system actually changes the structural properties of the aluminum channel making it sign f canthy stronger. This design allows solar modules to be installed at a lower profile to the roof providing a more aesthetically pleasing installation. Module clamps are specifically designed", extruded and --_ engineered for each specific module frame. Our innovative —14\1\� ��ti clamping system provides inward tension on the module frame securing 115e laminate in the f tame. astJacBulk k� packaging means easier stocking abilities,less packaging waste and quicker,more convenient installation.Everything in the photo below is shipped in a redoseable box for storage of extra parts. Pd[HR k6,360,041 t` I f TILT The Fast Jack©is available in four convenient sizes. ' t All sizes are packaged in quantities of 18 per box: T i f 18 - 1" Round Posts(3",41/2", 6"or 7-1/2"tall) III Lit a tit`W 1111U11 tit ttt 18 Threaded bases =i t 18 - 3/8 x 3/4 SS Hex Bolts - - 4* - 'r - * - 40 - ^ 18 - 3/8"SS Flat washers r ! «. 18 - 5/16"x 3"SS Lag bolts " er - 18 - 5/16 SS Flat Washers 1tEl�I L t>i�i`L'1 Itt Lf It tll ;�,«� �� � , �� ��� a Easy Installation: u. � .., M "e • • shingles • t illus- trated below) Step 1: Drill Pilot hole Rafter Step n stall baseysing • • inte ra te d •rill • •- ed;llog into Pilot h1ole x• Slide flashing •- • • Thread post • • • • • above Fast Jack Base i« or bottom of « • © base ® o p • Flashing Template Available for Oatey ® (Pictured)and standard i flashings.Makes cutting in .'s` ` a perfect flashing easy and painless! i Kit includes Fast Jack post threader with knob ©Professional Solar Products,Inc.March 2006. 3 Laboratory T sted 2,359 lbs ® Vertical Pullout! FastJa 8081bs Side Axial Pullout! Patent#6,360,491 Flashable Roof Stanchion FastJack® FJ-300-18 The patented design of the FastJack®can be easily expressed as the most innovative,efficient For Oatey(D style flashings and cost-effective tool of it's kind! Between the precision M machined base and stanchion along with strict engineering and material standards,the Fostlack0' has been laboratory tested to provide 2,359 pounds of strength using only a single lag bolt(included)! Four Sizes Available! . 3" High Part# FJ-300-18 k for low profile installations using Oatey©floshings(for composition shingle roof-tops) FastJackn FJ-450-18 A-1/2" High Part# F1450 18 For standard he&flashings For installations using standard fleshings(for composition&flat rooftops) 6" High Part# FJ-600-18 • • •• •• For standard fleshings(for flat file rooftops) _ • • 7-1/2" High Part# FJ-750-18 For standard fleshings(sized for S-curve tile roofs and/or double flashed installations) The Fast Jacko design is covered under Pat.#6,360,491 Using lea.5/16"x 3-1/2"Lag Bolt Commercial Fastlack® also available (rated at 4,2501bs.) ' r F Benefits of the FastJack� Easy installation of flashin g s on 3/8"x 3/4" 3/8"SS r t r r r • Removable post makes installation on existing ss Hex Bolt"-�kl Flat washer roofs/retrofit quick and easy(refer to the illustration existing roof-tops to the right) t t r r r rr • Patented design locates the lag bob directly The post can be under the stanchion providing superior strength values Standard&Oateyo(lashings installed through . j • Fast&easy to install-saves time and labor slip over the base and under the the top of the • •• costs delicate shingle J f %! flashing • Precision machined from extruded aluminum, �/f there are no welds to corrode or break e Significantly lighter than sleet for installer •. - convenience and reduced shipping costs. - • . . a 8,x$4J4W • Integrated drill guide insures perfect pilot holes S every time- minimizes the possibility of splitting Ftt roof rafters • Base design allows virtually any roof flashing to i install flat on the roof deck If If Ein/lil ils fo/- Trtor*e inforr�iation Abrosolar0prosolar.com Y v SPECIFICATIONS PV1380OTL PV15200TL 611 .li '^ 0 n 0 z v O 0 Absolute Maximum Open Circuit Voltage 600 VDC 0 Operating Voltage Range 120-550 VDC d MPPT Input Voltage Range 200-500 VDC —' MPP Trackers 1 2 - .o Maximum Operating Input Current 20A 15 A per MPP tracker 18 A per MPP tracker 20 A per MPP tracker 'o L_ 3 Nominal Output Voltage 208 or 240 VAC,1-Ph AC Voltage Range -12%/+10% 0 Continuous Output Power 208 VAC 3300 W 5200 W 6600 W 6600 W v 240 VAC 3800 W 5200 W 6600 W 7600 W 208 VAC 15.8 A 25A 31.7 A 31.7 A o Continuous Output Current 240 VAC 15.8 A 21.6 A 27.5 A 31.7 A E Maximum Backfeed Current OA Nominal Output Frequency 60 Hz a v Output Frequency Range 59.3-60.5 Hz Power Factor Unity')0.99 a Total Harmonic Distortion(THD) (3% Peak Efficiency 98.3% CEC Efficiency 97.5% o Tare Loss <1 W 6 s m T Ambient Temperature Range(full power) -13°F to+1220F(-25°C to+500C) Storage Temperature Range -40°F to+185°F(-40°C to+85°C) Relative Humidity(non-condensing) 0-100% Optional SolrenView Web-based Monitoring External Optional Revenue Grade Monitoring External External Communication Interface RS-485 Safety Listings&Certifications UL 1741/IEEE 1547,UL1699B,CSA C22.2#107.1,FCC part 15 A&B Testing Agency ETL CSA Standard 10 year Optional Extended warranties,to 15&20 years DC Disconnect Standard,fully-integrated 17.5 x 15.8 x 8.5 in. 26.8 x 15.8 x 8.5 in. Dimensions(H x W x D) (445 x 401 x 216 mm) (680 x 401 x 216 mm) Weight 43 lbs(19.5 kg) 65 Ibs(29.5 kg) Enclosure Rating Type 4 Enclosure Finish Aluminum SOLECTRIA R E N E W A B L E B www.solectria.com I inverters @solectria.com 1 978.683.9700 SOLECTRIA RENEWABLES 5C?i ECTRIA 1 3 R .N _F 6E , w t E-Rm Solectria Renewables'PVI 3800TL, 5200TL,660OTL and 760OTL are compact, transformerless,single-phase inverters with the highest peak and CEC efficiencies in the industry.These inverters come standard with an integrated DC disconnect, optional DC arc-fault detection and interrupt,1 or 2 MPP tracker(s),and a user- interactive LCD and keypad.Its small and lightweight design make for quick and easy installation and maintenance.The inverters have an innovative passive cooling design. They don't have fans,so no fan noise or fan failures over the lifetime.These inverters include an enhanced DSP control,comprehensive protection functions,and advanced thermal design enabling highest reliability and uptime.They also come with a standard 10 year warranty with options for 15 and 20 years. 0 TpTERiph. C , US 8 E Multi-crystalline Type Nominal output(Pmpp) w 230 235 240 245 250 Voltage at Pmax(Vmpp) V 30.1 303 30.5 30.7 30.9 Current at Pmax(Impp) A 7.7 7.8 7.9 8.0 8.1 Open circuit voltage(Voc) V 37.1 37.4 37.7 38.0 38.2 Short circuit current(Isc) A 8.2 8.3 8.3 8.4 8.6 Output tolerance % +3/-0 No.of cells&connections PCs 60 in series Cell type 6'Multi-crystalline silicon Module efficiency % 14.2 14.5 14.8 15.2 15.5 Temperature coefficient of Pmpp %/K -0.43 -0.43 -0.43 -0.43 -0.43 Temperature coefficient of Voc %/K -0.32 -0.32 -0.32 -0.32 -0.32 Temperature coefficient of Isc %/K 0.048 0.048 0.048 0.048 0.048 X All data at STC(Standard Test Conditions).Above data may be changed without prior notice. Mono-crystalline Type Nominal output(Pmpp) w 245 250 255 260 Voltage at Pmax(Vmpp) V 30.3 30.5 30.8 31.0 Current at Pmax(Impp) A 8.1 8.2 8.3 8.4 Open circuit voltage(Vac) V 37.4 37.5 37.7 37.8 Short circuit current(Isc) A 8.6 8.7 8.8 8.9 Output tolerance % +3/-0 No.of cells&connections PCs 60 in series Cell type 6'Mono-crystalline silicon Module efficiency % 15.2 15.5 15.8 16.1 Temperature coefficient of Pmpp %/K -0.45 -0.45 -0.45 -0.45 Temperature coefficient of Voc %/K -0.33 -0.33 -0.33 -0.33 Temperature coefficient of Isc %/K 0.032 0.032 0.032 0.032 X Al data at STC(Standard Test Conditions).Above data may be changed without prior notice. Module Diagram( (unit:mm,inch) I-V Curves B (-) (+) 85 0.93'i , L'ddlmd=IAOO W/n2 1A00_(39-37) ]AM-0937') MALLA Ope°erg Ce9TM=5'C 4-WCABLE& 4rm1'CABtE& e ---OpeomgCeYTemp=25Y i CONNECTOR CONNECTOR � +o7sIDTrmw Op.M"QATew=4S'C f Opaadng Cel Temp=05Y $ GRWNDMW Q e .3 Gu [Al o ,s m n m �^tm9eM r WA knd=[p00Whd DETAILS °t__..__krid_*_900 W1W 4%04.2 GROUND HOLE Ile) 11(0,43 i&6(0.65') °i Mddkrad=700 W/m' 939 3&97') ME ct 18(0.07 C A 300 CdHernp=251 7 9B3 7 C 2455(9.66 o s io u m ss m sFCf10NCr •0 VoNa9eM Installation Safety Guide 46°C±2 Only qualified personnel should install or perform maintenance. -40-85°C •Be aware of dangerous high DC voltage. DC 1,000 V(lEC) Do not damage or scratch the rear surface of the module. DC 600 V(UL) •Do not handle or install modules when they are wet. 15 A [Printed Date:July 20121 Sales&Marketing HYUNDAI xo- / ► panted d rsc<emeed 121 Fl.,Hyundai Bldg.,75,Yulgok-ro,Jongno-gu,Seoul 110 793,Korea PSC 6�endN paper. Tel:+82-2-746-&406,7422,8525 Fax:+82-2-746-7675 HEAVY INDUSTRIESCO.,LTD. www.hyundaisolar.com I f Black-Black Multi-crystalline Type HiS-M230MG(BK)I HiS-M235MG(BK) HiS-M240MG(BK) His-M245MG(BK) His-M250MG(BK) MG-Series Mono-crystalline Type HiS—S245MG(BK)I HiS—S2501MG(BK)(HiS—S255MG(BK) HiS—S260MG(BK) 983 mm(38.7)(W)x 1,645 mm(64.76')(L)x 35 mm(1.38")(H) Approx.19.0 kg(41.9lbs) 60 cells in series(6 x 10 matrix) 4 mm'(12AWG)cables with polarized weatherproof connectors, IEC certified(UL listed),Length 1.0 m(39.4") IP65,weatherproof,IEC certified(UL listed) 3 bypass diodes to prevent power decrease by partial shade Front:High transmission low-iron tempered glass,3.2 mm(0.126") Encapsulant:EVA Back Sheet:Weatherproof film(Black) Clear anodized aluminum alloy type 6063(Black) •IEC 61215(Ed.2)and IEC 61730 byTUV Rheinland •UL listed(UL 1703),Class C Fire Rating Output power tolerance+3/-0% •ISO 9001:2000 and ISO 14001:2004 Certified •Advanced Mechanical Test(5,400 Pa)Passed(IEC) /Mechanical Load Test(40 Ibs/ft')Passed(UL) Delivered ready for connection Pre-confectioned cables •IEC(UL)certified and weatherproof connectors Integrated bypass diodes 10 years for product defect •10 years for 90%of warranted min.power 25 years for 80%of warranted min.power )K Important Notice on Warranty The warranties apply only to the PV modules with Hyundai Heavy Industries Co.,Ltd's logo(shown below)and product serial number on it. .a C E Coal PV CYCLE x HYUNDAI usm ��" HEAVY INDUSTRIES CO.,LTD. 9 Laurel St Subcontractor List 1. Kevin Greenlaw— Roof Prep and mounting hardware installation. 2. Dan Whiteley (Whiteley Electric) — Electrician. All electrical aspects of PV installation. ACC V CERTIFICATE OF LIABILITY INSURANCE DATE/3/2014) R 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 Phone: (978)597-6789 CONTACT Doris Garnhum Fax: (978)597-6587 NAME' PHOE L.F.Robbins Insurance Agency*• A/CNNo_,Extl (978)433 2777 FAX No). (978)433-6425 — --— 5 E-MAIL d arnhurn lfrobbms.cont 241 Main Street ADDRESS;__ g BX 634 _- _-INSURER(S)AFFORDING COVERAGE_ NAIC_# Townsend,Massachusetts 01469 INSURER A: Travelers Insurance Co. 1 87726 INSURED INSURER B: Peerless Insurance Company 24198 Transformations,Inc INSURER C-: 8 Coppersmith Way INSURER D: Townsend,MA 01469-4412 - — INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBRr.. ---- -----_-___ _. LTR TYPE OF INSURANCE POLICY NUMBER MMI DY/YYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY '.. EACH OCCURRENCE $ _---- _ DAMAGE TO RENTED ---- t CLAIMS-MADE OCCUR PREMISES(Ea occurrencel r$ MED EXP(Any one person).- $ _ PERSONAL&ADV INJURY $ _- GE L_J PRO LOC 4 --- -- - $ � N POLICY PRO LIMIT APPLIES III GENERAL AGGREGATE $ OTHER: PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ I_(Ea accident) ANY AUTO _ BODILY INJURY(Per person) $ ALL OWNED _ SCHEDULED - _ - -- - ---- - _ BODILY INJURY(Per accident) $ NON-OWNED _-___• --- --. -__.__._. I', PROPERTY DAMAGE AUTOS AUTOS AUTOS HIRED AUTOS '.AUTOS li I (per accident)_ $ UMBRELLA LIAB -. � OCCUR i EACH OCCURRENCE $ EXCESSLIAB � CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ AND OFFICER/MEMBER EMPLOYERS' EXCLUDED? rl N/A I III 4/2/2014 14/2/2015 ✓ .STATUTE_] �oRH A AND EMPLOYERS'LIABILITY 6KUB-0326N39-A-14 - ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ N E.L.EACH ACCIDENT $ 500,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under -- -__-- ---- DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 B InstallationBuilders Risk IM 8275253 4/25/2014 4/25/2015 I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Holder's Nature of Interest:Certificate Holder SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Northampton,MA AUTHORIZED REPRESENT&WE y �1 �,A jrrs jf 't,.a ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations -u 1 Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leizibly Name (Business/Organization/Individual): Ned Wilson - Transformations Inc Address:8 Coppersmith Way City/State/Zip:Townsend MA 01469 Phone#:(978)597-0542 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. Q I 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 g. E] Demolition working for me in any capacity. employees and have workers' 9 E] 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 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152,§1(4),and we have no Solar Panels employees. [No workers' 13A Other comp. insurance required.] *My applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t 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: Policy#or Self-ins.Lic. #: Expiration Date: Job Site Address: 9 Laurel St City/State/Zip:Northampton MA 01060 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Sigiature: Date: Phone#: 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#: 9 La . r e rrative Installation of 43 Hyundai HiS-S260MG solar photovoltaic modules and 2 Solectria Renewables PVI 5200TL inverters . Panels will be mounted using Fastjack and Rooftrac mounting hardware. Mounting feet to be attached using 5/16" X 3 %" stainless steel lags penetrating minimum 3" into rafters. Rafters are 2X12 @ 16" O.C. This system is designed to withstand 55 psf snowload and 100 mph windload. Please see attached datasheets for the Hyundai panels, Solectria Inverters, Fastjack and Rooftrac mounting hardware. SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder:Ned Wilson CS-106150 License Number PO Box 135 Mill River, MA 01244 07/05/2015 Address �_J f/'� • , Expiration Date ' /G (413) 854-1453 Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ Ned Wilson - Transformations Inc. 172166 Company Name Registration Number PO Box 135 Mill River, MA 01244 05/31/2016 Address Expiration Date Telephone(413) 854-1453 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....... p 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 bu0dine 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 0 Accessory Bldg. ❑ Demolition ❑ New Signs [[3] De cs [C] Siding[E3] Other[EA a Pane Brief Description of Proposed Work: Installation of 43 solar panels on roof of house.Please see attached narrative and datasheets for more detailed description of work to be performed. Alteration of existing bedroom-ayes . No Adding new bedroom Yes � No Attached Narrative Renovating unfinished basement = Yes F-7ZNo Plans Attached Roll -Sheet sa. 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? F] Yes _a No. Is construction within 100 yr. floodplain_nYes nNo j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No. 1. Septic Tank 0 City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, Ned Wilson - Transformations Inc as Owner of the subject property hereby authorize Ned Wilson to act on mf behalf, i all matters relative to work authorized by this building permit application. y 3 201 Signature of Owner Date I, Ned Wilson 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 u er the pars and penalties of perjury. Al xLA / f0 V1 Print Name Signature of Owner/Agent Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg.Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW O YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO O IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O 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 O NO O IF YES,then a Northampton Storm Water Management Permit from the DPW is required. � , �_ ._ ,, t� - Z a C=) Department use only City of Northampton Status of Permit: ce �. Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 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 Proaertv Address: This section to be completed by office Map Lot Unit 9 Laurel St Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Transformations Inc. 8 Coppersmith Way,Townsend,MA 01244 Name(Print) �I,-t�?�i Current Mailing Address: (978)597-0542 I'Ltl Telephone Signature 2.2 Authorized Agent: Ned Wilson-PV Project Manager Transformations Inc. PO Box 135 Mill River,MA 01244 Name(Print)/ ����/�j Current Mailing Address: AW (413)854-1453 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit 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) 50,310 Check Number Q F 7 7 U>(• This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2015-0249 APPLICANT/CONTACT PERSON TRANSFORMATIONS INC ADDRESS/PHONE 8 COPPERSMITH WAY TO�WNSEND (978)597-0542 ( J PROPERTY LOCATION 9 LAUREL ST V V Fb W IS,45q IVS'3 MAP 38a PARCEL 144 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 Typeof Construction: INSTALL 43 ROOF MOUNTED SOLAR PANELS New Construction Non Structural interior renovations Addition to Existin Accessory Structure Buildine Plans Included: Owner/Statement or License 106150 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO tMATION 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 a m ' i ela y y 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. 9 LAUREL ST BP-2015-0249 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38a- 144 CITY OF NORTHAMPTON Lot:- PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ELECTRICAL BUILDING PERMIT Permit# BP-2015-0249 Project# JS-2015-000441 Est.Cost: $50310.00 Fee: $301.86 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: TRANSFORMATIONS INC 106150 Lot Size(sq. ft.): 12563.00 Owner: TRANSFORMATIONS INC zonin : Applicant: TRANSFORMATIONS INC AT: 9 LAUREL ST Applicant Address: Phone: Insurance: 8 COPPERSMITH WAY (978) 597-0542 WC TOWNSENDMA01469 ISSUED ON.91512014 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL 43 ROOF MOUNTED 11 kw SOLAR PANELS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 9/5/2014 0:00:00 $301.86 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner