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03-007 (12) V FnerW Car wwWon FkA Renewable Cxneradan Next 1 7 -I t Proposed PV system layout. Yellow grid shows layout of PV array on south facing garage roof. Direct TV dish will be moved (circled). Trees in front of garage are 9 foot ornamentals and will not grow taller(circled). Subsequent pictures are of the surrounding exposure. Phone: 413 734 1456 PO Box 51924, Springfield, MA 0 1151 www.kosmosolar.coin fixv�Conrewarhorr Fuse AemwraWe Gt�mratld7 hk.x! 4/6/2007 Service Contract Quote#:070404RL-1 This agreement between Kosmo Solar and: Nancy Hughes Work Phone#: 468 Coles Meadow Rd. Home Phone#:413.585.0486 Northampton,MA.01060 Customer—Email:mughosRverizon.not- Scope of Work Kosmo Solar will provide the materials and the installation for you solar electric system,as well as all other services listed below. Parts will be ordered after receipt of initial payment,and are generally received within 2 to 6 weeks. Installation times will be coordinated shortly after receipt of contract,typically scheduled within 4 to 6 weeks after receipt of initial payment. Installation is typically completed within one to two calendar weeks,with a total duration of about 4 days. Due to extreme shortages of solar modules,attemative solar modules may have to be used. If the system size changes because of this,the price will reflect the change,proportional to the existing dollar per watt price of the solar module. For instance if your system is comprised of twelve 170 Watt modules,and only 165 Watt modules are available. Kosmo Solar may choose to use the 165W modules reducing your overall system wattage by 60 Watts,and reducing your price by 60 times the dollar per watt price.Please also note that solar module pricing is always fluxuating,and we reserve the right to change the quoted amount equal to that of any module cost increase between the time of this quotation and when the modules are l,uwlBased Installation of solar electric system. Installation of required electronic switchgear,inverter,and control unit. Assistance in the submittal of rebate paperwork. Submittal of building permits. Submittal of utility interconnection agreement. Printed instructions for the use and operation of the system. Removal of all debris associated with the job. Pricing Material Price 16,560.00 Labor Price' 7,016.98 Sales Tax 0.00 Total Project Price 23,576.98 Total Estimated Rebate and Tax Gredits" -9,480.00 Net Project Cost 14,096.98 "Note that part of the labor price includes$250 for permitting fees and interconnection fees. Should your installation exceed this amount,the additional cost will be added to the overall price of the system. Payment i errtts Owner agrees to pay Kosmo Solar according to the following payment schedule. Payment of$750 due to initiate the contract and complete submittal of the refund paperwork. Send in check made out to Kosmo i41:li6olar and a signed copy of this contract. (2) $6323 Thirty percent(30%)due after approval notification of the rebate. (3) $10610 Forty five percent(45%)upon receipt of materials. (4) $5894 Remaining twenty five percent(25%)due at the completion of installation. Signatures The above prices,specifications,and conditions are satisfactory and are hereby accepted. Authorization to Kosmo Solar is granted to perform work as specified. Payment will be made as outlined above. ntfer valid for 30 days Buyees Signature-- - Date_ `JJ ' Kosmo Solar Representative: _ Date:-=� Note that you the buyer have the right to cancel this contract fi within 3 business days of signing. See attached Notice of Cancellation form for details. Kosmo Solar.PO Box 51924'Spfingfield,MA 01151'Phone(413)734-1456'FAX(440)445-4054 7 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street kvtj Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): ji�, o,<nu X54- -P, Address: —?,0 . 17-)1q2_44 City/State/Zip-_ I.' Phone#: 41) - Are you an employer?Check the appropriate box: Type of project(required): 1.W I am a employer with C a 4. ❑ I am a general contractor and 1 6 ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.F1 am a sole proprietor or partner- listed on the attached sheet. $ ❑ Remodeling ship and have no employees These stab-contractors have 8. ❑Demolition working for me in any capacity. workers' comp. insurance. 9. 0 Building addition [No workers'camp.insurance 5. ❑ We are.a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.0 Roof repairs insurance required.] t employees. [No workers' 13.Rf Other comp. insurance required.] Any applicant that checks box#1 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 anew affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub,contractors and their workers'comp.policy information. I am an employer that isproviding workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: �y� hTlia�t Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: 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 the pai and penalties of perjury that the information provided above is true and correct. Sig nahire: t Date: Phone#: 4f 1:3q— A�.L1a 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: License Number Address Expiration Date Signature Telephone 9.Registered dome Improvement Coobr # Not Applicable ❑ Company Name Registration Number '?,a - QX ( I z,,l (%g Address i�- Expiration Date Sin' �irr4 0 t 7 , Telephone gi�"�`�'145-b 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 buildin%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 I)eath)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 Aoning 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 Accessory Bldg. ❑ Demolition ❑ New Signs [i^]] Decks [E] Siding[p] Other[a Brief Description of Propped 5 p Work: 1 iy T ,11[ar �� �f;Z i'�r u� .S tU rt";f -- Alteration of existing bedroom Yes_,K_No Adding new bedroom Yes _ C No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a.If Newhouse 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, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date 1, tcbu PA V_UCSin16(`-)t"-v as OwneM horize Agent hereby declare that the statements and inf rmation on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties/of perjury. Print me ©/L Signature of er ge Date Department use only City of Northampton Status of Permit. 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' _ "Soo 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 Zone Overlay District Elm St District CS District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 �Owner of Record: f� D g -j} A Name(Print) Current Mailing Address: 1 —' — a o Telephone Signature 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS 71 Item Estimated Cost(Dollars)to be Official Use Only com leted by ermit applicant 1. Building (a)Building Permit Fee 2. Electrical L (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) QT/i� v Cheek Number This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/inspector of Buildings Date File#BP-2007-1036 APPLICANT/CONTACT PERSON KOSMO SOLAR ADDRESS/PHONE P O BOX 51924 SPRINGFIELD (413)734 4456 Hloz PROPERTY LOCATION COLES MEADOW RD MAP 03 PARCEL 007 001 ZONE RR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Ty_peof Construction: INSTALL SOLAR ELECTRIC ROOF MODULES New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 145811 3 sets of Plans/Plot Plan THE FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: pproved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Co on 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. 468 COLES MEADOW RD BP-2007-1036 GIS#: COMMONWEALTH OF MASSACHUSETTS Map-.Block: 03 -007 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A) Category: BUILDING PERMIT Permit# BP-2007-1036 Project# JS-2007-001669 Est. Cost: $15000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Groin: KOSMO SOLAR 145811 Lot Size(sq. ft.): 301609.44 Owner: HUGHES NANCY Zoning: RR Applicant: KOSMO SOLAR Applicant Address: Phone: Insurance: P O BOX 51924 (413) 734-1456 Workers Compensation SPRINGFIELDMA01139 ISSUED ON.51712007 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL SOLAR ELECTRIC ROOF MODULES 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- Final: Smoke: Final:D 5"3Q -©7 "ab THIS PERMIT MAY BE REVOKED BY THE CITY F NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULAT ONS. Certificate of Occupancy Signature: FeeType: Wate Paid: Amount: Building 5/7/2007 0:00:00 $50.001612 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo