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30D-005 (4) Vreeland Design Associates An integrative approach to design engineering and site planning Date April 28, 2015 To: Carl Siebing Pioneer Valley PhotoVoltaics Cooperative 311 Wells Street, Suite B Greenfield, MA 01301 From: David Vreeland, P.E. Vreeland Design Associates Re: Carole Collins and Brian Reynolds, 289 Burts Pit Rd, Florence, MA: Structural assessment of existing house and porch roof to support proposed solar arrays. I have reviewed the details of the existing roof framing in the area of the proposed PV panel installation. The rafters, of the 1946, 1-story house, are 2x6 (1'/2"x 5'/z") installed at 24" on-center, spanning 12'-0" at a 7/12 pitch. A non-bearing 2x4 kneewall is located approximately 5'-10" from the exterior wall. The floor joists are 2x6 installed at 16" on-center. The roof framing on the south side of the house will need to be reinforced to limit deflection under snow load conditions. Install a 2x4 plate on top of the attic floor joists approximately 3' in from the exterior wall. Install 2x4 vertical bracing screwed with 2-2'/2" TimberLok screws to the side of each of the south rafters. Toe screw the bottom of the 2x4 brace to the 2x4 plate with 2-4"TimberLok screws. The porch rafters are 2x6 (13/4"x 53/4") installed at 24" on-center, spanning 7'-2", with a 3/12 pitch. I have reviewed the mounting details for the proposed array. Based on an approximate PV panel unit weight of 41± lbs, with the attachment points of the array placed at a maximum of 4' on center and staggered to minimize the load to any one rafter,the existing porch roof framing and the house roof reinforced as outlined above is adequate to support the proposed PV array. Please contact me if you have any questions or need additional information. Sincerely, �-�° '�s�c DAVID A. CIVIL rn David Vreeland, PE a NO.46317 A Vreeland Design Associates S�SrhSTS ONAL 116 River Road, Leyden, MA 01337 Phone: (413) 624-0126 Email: dvreeland @verizon.net Fax: (413) 624-3282 C UIK FOOT T PRODUCT GUIDE Bracket Options - L-102-3" 0 FRO amp AA 4J tv un 0 cIj A A G � ti O J� :�. 'EcaFas cn Soo,,1.All cw,renr Frotectol n to a pviigl s A;1 righis rrsciv, 03/8/!.G - QUIK FOOT ' PRODUCT GUIDE QFL-812 "'all! low Vw c t ti 0 _z A G X? Sec.4_a QUIK FOOT- PROD(JC t GUIDE - QF- S (Vo LJ i 0 O A SECTION A-A 3/8-1618.8 S y C L' ".[r�F�st Su�riu All 0_18/11 Sec.4-2 W% Quik Foor PRODUCT GUIDE Quik Foot Contents Exploded ProductView— Sec. I Installation Instructions — Sec. 2 Bill of Materials — Sec. 3 Cutsheets — Sec.4 Specifications --Sec.5 0 Load Test Reports Sec. b now up u. EcoFasten Solar® Committed to the Support of Renewable Energy a Standard Rails(XRS) Light Rails(XRL) Rail Splices s k�; r Curved rails increase spanning Lightweight rails reduce cost for Internal splices seamlessly connect capabilities and aesthetics. lighter load conditions. rails, allowing easy L-foot installation. • Available in clear and black anod. • Available in clear and black anod. • Different versions for XRS and XRL • Multiple sizes between 12'and 18' • Multiple sizes between 12'and 18' • Includes self-tapping screws • Made of corrosion resistant alum. • Made of corrosion resistant alum. • Available with grounding straps Flashings Adjustable L-Feet Tilt Leg Kits ... FlashFootTM is an all-in-one roof Slotted L-feet provide adaptable Fixed and adjustable tilt legs allow attachment for comp. shingle roofs. attachment to standoffs and flashings. adjustment in all three axes. • Integrated L-Foot and hardware Available in clear and black anod. • Attaches directly to XRS and XRL • Certified compliant with IBC& IRC Works with XRS and XRL rails • Ships with all required hardware • PE certified with IronRidge Rails Compatible with third-party parts • Multiple sizes for 5-45 deg.tilts End Clamps Mid Clamps End Caps Wire Clips Law c j. Secure modules to the end Fasten modules in the Provide a finished look for Organize both DC and AC of the rails. middle of the rails. rails. wiring along the rails. • Clear and black anod. Clear and black anod. • Keeps out debris - Attaches to both rails • Sizes from 1.22"to 2.3" T-bolt or hex nut designs • Black polycarbonate • Supports ten 5mm wires C•'yy Optional bottom clamps • Grounding clamp offered • UV protected • UV protected Design Assistant .y , NABCEP Certified Training Go from rough layout to fully 'P Earn free continuing education credits, engineered system For free. while learning more about our systems. t4. RON RI DGE Roof Mount System �q IronRidge builds the strongest roof mounting system in solar. Every component has been tested to the limit and proven in extreme environments. Our rigorous approach has led to unique structural features, such as curved rails and reinforced (lashings, and is also why our products are fully certified, code compliant and backed by a 20-year warranty. Strength Tested PE Certified All components evaluated for superior Pre-stamped engineering letters y; t4: structural performance. available in most states. Complete Assembly Design Software End-to-end solution provides Online tool generates a complete bill attachment, mounting, and grounding. of materials in minutes. Integrated Grounding 20 Year Warranty UL 2703 system eliminates separate Twice the protection offered by :_` module grounding components. competitors. MODEL: SPR-327NE-WHT-D ELECTRICAL DATA IN CURVE .Measured�i Standard Test Conditions(STCI:irradiance a1 I OOOW/m�,AM 1 5,and cell temperature 25°C 7 Peak Power (+5/-3%) Pmax 327 W 6 t000w/rn= Cell Efficiency n 22.5 5 Panel Efficiency n 20.1 % Q tsM W/rn 4 Rated Voltage VmmPP 54.7 V 3 Rated Current Impp 5.98 A V 2 Open-Circuit Voltage Voc 64.9 V 1 Short-Circuit Current Isc 6.46 A 200 W/m� \ 0 Maximum System Voltage UL 600 V 0 10 20 30 40 50 60 70 Temperature Coefficients Power(P) -0.38%/K Voltage m Voltage(Von) -176.6mV/K Current/voltage characteristics with dependence on irradiance and module temperature. Current(Ise) 3.5nnA/K NOCT 45°C+/-2°C TESTED OPERATING CONDITIONS Series Fuse Rating 20 A Temperature -40° F to+185° F 1-40°C to + 85°C) Grounding Positive grounding not required 1 13psf 550 kg/m2(5400 Pa), front(e.g. snow) Max load w/specified mounting configurations MECHANICAL DATA 50 psf 245 kg/m2 (2400 Pa) front and back-e.g. Solar Cells 96 SunPower Maxeon-cells wind Front Glass High transmission tempered glass with Impact Resistance Hail: (25 mm) at 51 mph (23 m/s) anti-reflective (AR) coating Junction Box IP-65 rated with 3 bypass diodes Dimensions: 32 x 155 x 128 mm WARRANTIES AND CERTIFICATIONS Output Cables 1000mm length cables/MultiContact(MC4)connectors Warranties 25-year limited power warranty Frame Anodized aluminum alloy type 6063 (black) 10-year limited product warranty Weight 41.0 Ibs (18.6 kg) Certifications Tested to UL 1703.Class C Fire Rating DIMENSIONS MM (A)-MOUNTING HOLES (B)-GROUNDING HOLES (IN) 12X 06.6[.261 IOX 04.2[.171 M1 , (B) BbTH 1 ENDS i Ironridge XR100 ail OD o , 2097/8 M O N u7 ' W O ctOO r 24 48 48 48 24 815/16 815/16 C2 815/16 815/16 00 48 48 1 48 48 CO -X 1 O SPF#2.�.oF ra`ier 16'on e"Ier SU,lp O'NEr '. C1.3`; x.41.18`z 1.81' _t _. _ tent ma t ion Q.ucs-foot with all r,,eral tlasi.ing _ Quick-toot h-se-s se❑ i i'ne rr„°a~te,wa t12F RSS X 3-1�8 stmctural sz!err_= Array standoffs are to be Array to be installed on Sunpower The centerline of the clips _ „ �ry­ installed in a staggered the south facing roof of the 61.39” x 41.18"x 1.81" should be 6"to15"from the -/�/ -/�/ pattern to evenly distribute residence. end of the side frame. r t 03/30/2015 L/G the array dead load. Roof rafters are 24"O.C. REYNOLDS - 289 Burts Pit Road PV Array Brian Reynolds 289 Burts Pit Road Florence, MA 01062 Home phone: 413-210-7284 e-mail: renbomb @verizon.net Array: SPR-E20-327s in portrait as 3 rows of 5. Mounting: Ironridge rails on L-feet on quikfoot mounting bases 3' Roof Structure: Engineers Letter will be added to the application once the review has been completed and received. Roofing Material: Asphalt shingles AC"R" CERTIFICATE OF LIABILITY INSURANCE X2/22/2014'-' 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 Rodri CISR NAME: 9u a r Webber & Grinnell PHONE (413)586-0111 FAX A/C No (413)586-6481 8 North King Street AM .jrodrigue @webberandgrinnell.com INSURERS AFFORDING COVERAGE NAIC# Northampton MA 01060 INSURER A:Peerless/Libert INSURED INSURER B:Excelsior/Liberty 11045 Pioneer Valley PhotoVoltaics Cooperative, Inc. INSURER C: Attn: Kim Pinkham INSURER D: 311 Wells Street, Suite B INSURER E: Greenfield MA 01301 INSURER F: COVERAGES CERTIFICATE NUMBERklaster 2016 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 TYPE OF INSURANCE POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYY MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE To RENT D PREMISES Ea occurrence $ 100,000 A CLAIMS-MADE a OCCUR BP8378623 /1/2015 /1/2016 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GE11 AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY ECOMB aBII ED SINGLE LIMIT $ 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BA8372626 /1/2015 /1/2016 BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident Underinsured motorist BI spift $ 100,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 DED X I RETENTION$ 10,000 CUB377126 /1/2015 /1/2016 $ A WORKERS COMPENSATION WC STATU- X OTH- AND EMPLOYERS'LIABILITY Y/N PP ANY PROPR IETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? N/A (Mandatory in NH) C8376525 /1/2015 /1/2016 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Sungage Financial is listed as Additional Insured per written contract 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 Sungage Financial ACCORDANCE WITH THE POLICY PROVISIONS. 86 Bedford Street, Unit 3 Boston, MA 02111 AUTHORIZED REPRESENTATIVE J Rodrigue, CISR/JER ' ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD Attachment (A) AUTHORIZATION TO PROCEED AND SERVE AS AUTHORIZED AGENT I hereby agree to the Project as set out above, and I agree to pay the contract price according to the Terms of Payment. I further agree to the Terms and Conditions attached hereto as a part of this Proposal and Agreement. I hereby authorize Pioneer Valley PhotoVoltaics Cooperative to proceed with the above-referenced Project in accordance with this Agreement. I further authorize Pioneer Valley PhotoVoltaics Cooperative, or its designated representative, to obtain required permits for this project on behalf of the Owner and to begin work of obtaining a grant on my behalf, as applicable. Any photographs or videos of this project may be used by Pioneer Valley PhotoVoltaics Cooperative for marketing purposes. A check for the First Payment is enclosed and I am returning this Agreement within 21 days of the Proposal date. K.Omoum _q Printed Name , Date nature Title Proposal and Agreement Page 7 of 7 Carole Collins and Brian Reynolds,October 22,2014 �r'��lfi� �•-f�tpl�!'l?4`•fl,id.�E'[!-ft�ft t��� �f�tt.';.r. f.Il:�'d.(./i['��i Office ol'C t.nsunier .=tffaits a1'.c1 13115,r1etS Repula_ion .' 10 Park Plaza- Suits 1'73 Boston,Massacitttye-ts 02110 Homc llnprowmeiat C:onimutor l:Legistrcation Regist.,gon: 14 CU 7 Tytu Privalc Car;�rz<sficn tx;rl-auc.s: �%,t,��r3t;: Ir1t �.::sasr PIONEER VALLEY PHOTO•VOLTAICS COO PH!LIPPE PIGC�LLAJD 311 WELLS,ST SUITE B GREENFI=LD MA 01331 Update Address and,Minn ewd.dark rrasors for ehatrgr, n L Addrm Renewal FmPlnytnent 1.p5i[:nrd S tlltiit rr. et.0 r 41rAiFa&ILriliat„K lit On Liceage tw rtgkir:dron value ror inifividul tile mitt FOtREMPROVEMENTCONTRACTOR Latncth �:itirit'r�rrdxt lrr—nd :tra-1r.o, ^• `tts:grstretnan: cl.)+t type- Coffee ort'nacumceAffair aadRearca<Rcyu%atian t I 'Eriµiraliwr 4i'tf3,'2J53 r'rivaF�Urt::Ytl:/.l 1U Park Plata Suite 51?L? 3"1 7eELtS^–,31;7---3 + Er`irIELD,P.1,%O'3N sr'.wior.ccr cru+ Not valid withoi Massachusetts -Department of Public Safety Board of Building Regulations and Standards Contraction Supcntcor License: CS-106329 ttl, Maya Ftdford - 159 Clark Drive ; Giulford VT 05361 A Expiration Commissioner 03/14/2016 ►x, Print Form The Commonwealth of Massachusetts Department of Industrial Accidents Office oJ'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/Z1 p:Greenfield MA 01301 Phone 4:413.772.8788 413.772.8668 fax Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with 25 4. ❑ 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. ❑ Demolition working for the in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.-required.] 5. ❑ We are a corporation and its 10.7 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.7 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.7 Roof repairs insurance required.] c. 1�2, 5](4),and we have no employees. [No workers' 13. ✓❑ Other PV System comp. insurance required.] "Any applicant that checks box 91 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 in formation. Insurance Company Name:Excelsior/Peerless Policy # or Self-ins. Lic. #: WC 8376525 Expiration Date:01/01/2016 Job Site Address:289 Burts Pit Road 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 S250.00 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. 1 do herebv certify under the pains and alties 4e`eriury that the information provided above is true and correct. Signature: Date: 3/9/2015 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 S. Plumbing Inspector 6.Other Contact Person: Phone#: 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.Registered 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 M Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q !ding[0] Other[o] Brief Description of Proposed Work: Installation of mounting system for solar panels on south side of roof. V�'00 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 Brian Reynolds 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 03/30/2015 Signature of ne 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 Q DON'T KNOW Q YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DON'T KNOW YES Q IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Q , Date Issued: C. Do any signs exist on the property? YES Q NO 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 0 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 Q IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Department use only City of Northampton Status of Permit: t Building Department Curb Cut/Driveway Permit 6 205 I 212 Main Street Sewer/Septic Availability J� Room 100 Water/Well Availability. �--- --in e i rthampton, MA 01060 Two Sets of Structural Plans Electric, Pwrnbmg&Gas p Northampton, M 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 30D-005-001 Lot Unit 289 Burts Pit Road Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Reynolds Brian K 289 Burts Pit Road, Florence,MA 01062 Name(Print) Current Mailing Address: 413-210-7284 See attachment (A) Telephone Signature 2.2 Authorized Agent: 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 $23,118 (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=0 +2+3+4+5) $23,1 18 Check Number Q This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2015-0941 APPLICANT/CONTACT PERSON PIONEER VALLEY PHOTOVOLTAICS ADDRESS/PHONE 311 WELLS ST-SUITE B GREENFIELD01301 (413)772-8788 PROPERTY LOCATION 289 BURTS PIT RD MAP 30D PARCEL 005 001 ZONE SR(100) 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 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 INFORMATION 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 Demolitio lay 1�2,r-�eo Signature of Bui ding fficiai 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. 289 BURTS PIT RD BP-2015-0941 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 30D-005 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-2015-0941 Project# JS-2015-001478 Est. Cost: $23118.00 Fee: $144.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: PIONEER VALLEY PHOTOVOLTAICS 106329 Lot Size(sq. 1): 25613.28 Owner: REYNOLDS BRIAN K Zoning: SR(100)/ Applicant: PIONEER VALLEY PHOTOVOLTAICS AT: 289 BURTS PIT RD Applicant Address: Phone: Insurance: 311 WELLS ST - SUITE B (413) 772-8788 Workers Compensation GREENFIELDMA01301 ISSUED ON.412912015 0:00:00 TO PERFORM THE FOLLOWING WORK.INSTALL 5 KW 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 4/29/2015 0:00:00 $144.00 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner