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16A-006 (4) � x - � � »•k � ��i T� 7 �a:� ��� � �l ���r �*.t�� ��k' Slr1� 'x. �: as r Y '>,v �•�,�'. ,yri��' �<-.-' �,.. ,l v:° � •,rte, '�,��'� $�: �„t �, r .�, to�`-.-' .... ,._. ,.. Pvi9chanic�--�! f'rcperties F_.locil l Properties(STC I) Cells n 300.._ _._ Cells _. W 295 W 290 W 285W 280 W Cell vendor t C;. Maximum powor Pmax(W) Cell type > - MPPvoltage Vmpp(V) 9 318 316 alt: Cell dimensions ,r>v IFr`mm Cell b!lsbar MPP current lmpp(A) 94, x'.33 p.'1' 8.47 Font cover _ Open circuit voltage Voc(V) 39_5 343 .... 3°1 39:J '.F.9 Dimensions(L x W x H) Short dicuit cwent Isc(A) 1C r7 ril 9.,tt ='.tri' )`iE; Static load ,.tr,0 G' ( 'I Module efficiency I; 1Z1 1�H)P,r. -di.. . O. rotin tem eratute C 4th,<W) -. Weight. (' •..F.rl Maximum system voltage 1%) t0'(.1 Connector type I Ir .'I rc r In IF o7 5 M�ar.imum series fuse rating .(A} ,)unction box II' r`"'ith i h.ca� d tali _ Length of cables 'v 10 ,1 nln Po•.ve1 talerancc(`rte) n 0 1n",c,Iiza.I )h!'1h.... - -+ _ ' ai l,.. ,� r,-i.lr ,,:,_,:�_ Frame -' orn�= r. r -.at ,I ,J,,, r,r Certifications and Wan arty C iflcations IFt r,F?I IF, C,1731) I, Electrical Properties(NOCT3) oli ,AS IWY O' 300 W 295 W 290 W 285 W 280 W I ill_I M3 Maximum power(Prnpp) ;''0 %lb ZI3 Ci 20b Product warranty. lr ",r,�r. -...... MPP voltage(Vrnpp) 211,2 20 7 Output warrrvit of Pm-1, _ Ir, r v.•an,,�t; . _ ....... .1?.. ?� �"�MPP current(Im p) Open circuit voltage(Vor„„) 3r h 3`'• _"_ �5Z a,_r 5, Short circuit current(Isc) FOP 7 Temperature Coefficients Efficiency reduction Y—),r»o w/n, t-f too W/- - NOCT N + Pmpp n.t r- .K r 10 to Voc r' - I L.._ f r r. (�1.� Climensions (rnm) 1 Cl,arar-tenstr; Curves o r t 000w _ c r�.....�, ._.~ _ J _ - 800 w -r r, _ 1 t ._.. - ._.. J j Jr t, b- 600 IV 400 N �; C F 7 f7 it 1 Fh' �`�1 _ 200 W 0 Ain r / 10 1, 2 -_--30 +S 40 n `.r /� a v t�aa«,('I � a �i wT , I I v �:. 120 .... va, re Pin,-ix--- l 4 10 -21 n zs en 7-, :o len,pe ata•e t`t:) :,rvr•l l:r ,L.I,:r �..-..,"1 , ,I niec s �.4 :?t,x:tc Wd aTrp End`,;,'amp.--, II 1 Y ?ts3 R -Plan r. r __ _ .._._ T,gica{=1ast�� f,wrraw..Stan?,''a�x Mid�'.tar�p- �.-'°'�`---_ ,, .ae>Jer P�t�f r v , 1—.jiw{ry*tsN 4asK�'^ —�MefrwMnaaa.r r ' Flastrng xlsainr;Roof S3 mun S@--I u-t-—51t rn-Flat 1 04134 111 _waM+ssxa w�° v.'T,. '���t Gam.�t":ibii F s i 'fit cla End P Section--FTum mount-Stcppd Roof - - f . '....•!ems,. '" .' ,r '-T_�'�... -- '_.-.",..,,°°_J` '�. � .Wed'a kne+- ' Detail G-ttia Glane to Rai- vaticn 7es 11 P,E nr G& �r-ft -Elrsy c�w.y wss ws r _._.� c - ..,..._�... T Ff s '?,Dual Array Elevation EVALUATION REPORT t t Report NUmben 0248 Originally Issued: 0912012 Valid Tbrough! 09/2013 TAI3iA 1; A.LLO%) ,'Atll.,C,LOADS FOR EZ ROOF INIOUNT L-FOOT 10'I1 L.oaai Direction Ultire:►te Load T"est ljatdat -rest Ltracl at C`aictrlated Allawalrfe Pest Value !1.250 bich 0.125 inch I�aastener/Nletal (,m Ii�tire 4)ei�rti�) Design Lcrarcl ES,-3.0 deflection de(lectlett ,Stceu tg h Uplift(Withdrawvatl) 715 1,,800 G95 340 340 Lam al 2090 240 1.10 153 130 Notes 1. Alluivable lead values are based tyro the lust value from the talthnate load of three tests(strtngth limit),tested load at 0,12+inch de_¢fectiroat(delleefiQn limit),calcaalated fastener capacity(withdrawal or lateral)fin-wood with a specific gravity of 0.55(Sumthecst.Title)or alt ewxable stress of'tite atntninurat 1,fart connector. a, Allowable loud values are based on lmatber with all of the following characteristics: a. Located ita dry service cvnditiom where the moisture content droves not exceed 19%fior sari extended ptriod of thane such as in roast covemd struc°tul's. b, Located where,it(toes€acct experience sustaincd exposure to clevated temperatures that exceed It r F. For my ether cunditiuns,alloNvable table N-,Blues shall be multiplied by the related sclfustrnvnt faic(cigs)(C,,,,, and,i r t',)in accordance with the Nattiolaal Design Spaaoificatinti for Wood Construction(ND5.0)• 3, AlloNvable load values are based can lumber m.,ith a specific gravity of 0.55(Southern Pint or equal), 4. Allowable load w^a1ue%for withdrawal are based on a Minimum peneiration of 2'/, inches into the roof rafter b_v 011C.5A CT inch x d inch IuttL.staainless steel lal;screw. 5. r'4.11owvable values may neat be hirrcased for€camel duration in accordance Nvith Section 10 3.2 of the NDS-05, EVALUATION REPORT Aaw Report Numbers 0246 Originally lasuedi 0912042 Valli!Throughz 0912013 TABLE 2:MATERIAL.PROPERTIES shut Altrininuin,�liUyxrt SFt11r1A380.0 waterpxuvf Washer — elummileter n0il� �,P91t �tU stubiiess steel ri STM A 240 L-foot A lum uLn ay ilo fs U6 3 -6 ASTIM B2 2 F H Ca p ivnum Ig A SIYAA A380,0 _.. i 1<s It t AduaTtiFSt spa lFe, tD �4S'1 M 1209 EZ ROOF MOUNT COMPONENTS Fiewel, She Assembly Figure 4: Flex C ip rr_=r7 q e Ft Figure 5.F<le:shilig Figure 1: L-fom Page 4 ttf 4 EVALUATION REPORT Report Numbert 0248 Originally Issued: 0912012 Valid Through: 09/2013 TAKE 1: A[..I.OWARLE LOADS FOR FZ ROOF ANIOUN 1'L-Fo oT la (lim)III.1 X1,5 Uond Direction Ultimate Lond `rest i,ruid at Test)load nt Calculated Alloxvable (see fig...°e below) Tvst Value 9.2+0 inch 4.125 inch Fastenerilvietal Design Load 17.S,-3.0 s eflection deflection 5treu tla Uplift(Withdrawal) 715 I'lio 095 340 140 I atera1 )lilt 240 130 t53 134 3'*tctes I. Allowable hand values are,lanced on the least value ftom the ultimate luad cif three tests(strength limit),tested load aal 4,125 inch deflectic,n tdellection limit),calculated fastenercaapacity(witladmWaal or lateral)for t'and with a specific.gravity of 0.55(Southern Pine)or alluwabte stress oaftlm nittnainunt 1...-fout c�rauetsYrr, 2. Allowable load values are based cars lumber with nil oaf the following chathc-leristics: a, Located in dry service conditions where the malshire cmiteat dines not exceed 19%for an extended period of time st€clt as in most coveted structorm h- Located w4cre it rives not eapetience strstaintd exposure eta efesaattA temperatures that exceed l04"F. For arty cutter conditionals,allowable table values shall be multiplied by(ha:related adjustutent fac'torfs)(C,, aatdtvli CJ in Accordance with the National V"ign Specihcation for Weed Cunstrucliont(s'*DS-05). 3, ,Allowaaigc load values are lase:d on lumber a Specific gravity of 0.55(Southern.Pine 01'eyaaal). il. Allowable load values for withdrawal are based on a minimum laenetratien of 2 !/z inclies inin the ronc railer by one 5116 inch x 4 inch lung staiuless steel lag screw. 5. Allowable values may.tot be ittcrcatsc*d for land duratiun in at:mrdn.nee will)Seetion 10,12 of the NDS-05- p Lateral j- f lac ge 3 of 4 amm EVALUATION REPORT (,*-_,) Report Number: 0248 '1 Originally Issued. 09/2012 Valid Through- 0912013 4.2 Installation Rain test date and thickness of alurnintim flushing submitted is in conformance with Acceptance Criteria LZ Roof Mount must be installed usinq the 5115 inch for Roof Flashing for Pipe Penetrations (ICC-ES AC UlArneter stainless steel lag screw at each bracket 266-2008), Raitl test conformed to Underwriters location as described in the manufacturer's installation Laboratory Standard for Gas Vents, UL 441-96 Section ;nStFLtCflOn8. I-R9 SWOw must penetrate into the roof 25. rafter a rniniriiurn of 2 ;/Ip inches. Prior to insla;18tiori,tile roof rafter shall be bored with the required lead and Pest results are from laboratories in compliance with clearance hole for the unthreaded and shank portions ISO/IEC 17025 Of the lag scrOW as maWred in Section 11.1,3 of the N -05 Threaded POriiO!' Of the lag screw shall be 7.O IDENTIFICATION inserted into its lead hole by turning witi) a wrench and not driving by a hammor. A 1ie-stamp label in the flashing bearing the name and address of the manufacturer, the model number, USe of auxiliary holes in tile Shoe other than the use of IAPMO Uniform FS Marks of Conformity, and this an extra fastener to stop the slice from rotating during Evaluation Report Number(ER-0248), inlIalfation is outside the scope of this report Flashing should be installed full under the shingle up to A p A10 the raised portion of the flashing to prevent water LIFs ingress under the shingle. No PortiOn of the flashing Should be bent upward; the (lashing must rest foly agat"st the roof shingles. Otherwise the water and wjn(j M Perfeimance may be impaired. Nr I 15,0 CONDITIONS OF USE IAPMO#024B EZ Roof Mount L-Foot Kit for Shingle Roots described in this report compliel; with the codes listed it, Section -1.0 of this report subject to the following conditions 5.1 E7 Roof Mount 8,11211 be installed in accordance with this report, Manufacturer's installation Instructions and the codes listed in Section 1,1.. 6.2 Calculations to verify the imposed leads on the F-Z Roof Mount assembly do not exceed the allowable loads contained in Table I Of Pfls report shall be submitted 10 the code official Yellen requested, Calculations shall be prepared by 8 (09istered desigtj ot-Ofesslottal when required by the statues of the ivrisdiction where the work is Constructed. 6.0 EVIDENCE SUBMITTED Testing and analysis data submitted is in confortnance with Evaluation criteria for Joist Hangers and MfScellaPeous Cqntleclorg(IAPMO ES EC 002-2011). Page 2 of 4 EVALUATION REPORT Report Numb,eri 0248 Originally issued: 0912012. Vaiid Through: €1912013 Division: 06—WOOD AND PLASTICS 3.0 DESCRIPTION Section° 06060—Connections and Fasteners REPORT HOLDER: 3.1 General Description EZ goof Mount L-Foot Kit consists of 5 basic: SunModc Corporation components-, (1)shoe assembly with captive waterproof 1905 SE b'h St,Suite A washer, (2)lag bolt to fasten through the shingles to the Vancouver,WA 98661 roof rafter, (3) flashing that is placed under the raw of shingles above the shoe and then over the shoe, (4) 1..- EVALUATION SUBJECT Foot that is placed over the protruding shoe threads and (r) hex cap that is secured on to the shoe. See SunMcdo EZ Roof Mount L-Foot Kit for Shingle Figures 1 to 5 in Table 2. Roofs 3.2 Materials 1.0 EVALUATION SCOPE: E2 Roof Mount is fabricated from alurr±inum. Shoe 1.1 Compliance with the fallowing codes: assembly is fabricated using casting aluminum allay with dimensions of 2,80 Inches in diameter and 1.00 • 2009 International Building Code@) inches in height. It is Yield in place using one 8116 inch 2009 International Residential CodeD diarneler leg bolt that is 4 inch in length and made of • 2006 International Building CodelD stainless steel, Flashing is fabricated from sheet • 2006 International Residential Codes aluminum with dimensions of 10,0 inches in width, 12..5 inches in length and 0.04 inches In thickness. 1.2 Evaluated In accordance withr L foot is a 2.00 inch long unequal leg angle made frorn • Evaluation Criteria for Joist Mangers and 6063-T6 aluminum with dimensions of 3-00 inches in Miscellaneous Connectors (IAPMO ES EC002- depth.. 2.00 inches in width and 024 inches in 2011),approved March 2011 th chress. It contains a 0,375 inch diameter round hale • Acteptance Criteria for Roof f°lasljiiiq for Pipe with a 0.83 inch diameter chamfer (in bane) that is Perietrations([CC-ES AC286),Approved April 20`10 located in the center of the base leg. One slot measuring 1,64 inch long by 0.40 inch wide occurs in 1.3 Properties Evaluated: the center and Is located 0.30 inches frorn the top edge of the vertical leg, which has a scallop front and rear • Structural fate. Sae Table 2 for component: material properties • Weather Protection and figures, 2.0 USES 4,0 DESIGN AND INSTALLATION FZ Roof Mount L-t=ool Kit for Shingle Roofs is used to 4.1 Design Mount solar systems and other rooftop devices such as satellite dishes on asphalt shingle roofs with wood Tabulated allowable loads shown in Table 1 of thin rafters underneath, report area based on allowable stress design (ASD). Adjustments to these values are required for wet F7 Roof Mount is specifically designed to be used for service conditions, sustained exposure to elevated installation of solar panels for electric or hot water temperatures, use with Tire retardant lumber or with vroduc;tion on roots with slopes from 3 In 12 units lumber whose specific gravity is less than 0.55 vertical in 12 units horizontal, (Southern Pine). Aliowable values based on fastener strength may be adjusted rot duration of loading. See footnotes of Table 1 for more detailed explanation. Page 1 of 4 �'JP3 �! 1177 hi Ir!.�cnallonnl At35 nr r!Aumelq�nnr�I.c hnnk;7 n711:1r" ,Aa ryq.`ra m...4.d'ronlnd An Ihp 6!31!311 5731.'.HD pal;to IN's rvbjealkn my be le}r t+tm�e�,x7nrtS-n � a r 4 F"ql rf e.3stapl 4y+k!^t 9r Ir 9E"Ilry 3+:*-Ar}hmi a•ttt%x f y+NlXnsa P a I(2;c.i85fh� c - 3rPi5 t7"`3 re-1g9 Or Whmfte.Y'011,041 the ry�':'_Mn pnr f'15�rF to the F.}!s^.•*R'h +-R77.tt,@Snpi•Far 4l?672:694•a��h; RCF'';iCS,nf.�•53rasl pt,CLA3 y+*a.1,1136 C+minkx CHkfrr" �tTY,S-7P16-1I^uA Vreeland Design Associates An integrative approach to design engineering and site planning Date: April 24, 2015 To: Ann Bronner NorthEast Solar 136 Elm Street Hatfield, MA 01038 From: David Vreeland, P.E. Vreeland Design Associates Re: Jim Ryan, 75 Chesterfield Rd, Leeds, MA: Structural assessment of existing garage roof to support proposed solar array. I have reviewed the roof framing details for the attached garage roof in the area of the proposed PV panel installation. The house was constructed in 1960. The rafters are 2x6 (13/a"x 5-5/8"), installed at 16" on-center, spanning 12'-4" with an approximate 5/12 roof pitch. I have reviewed the mounting details for the proposed array. Based on a PV panel unit weight of 37f Ibs, 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 roof framing is adequate to support the proposed PV array. Please contact me if you have any questions or need additional information. Sincerely, ����IH ofSS�� o' DAVID A. �G VREED ND CIVIL David Vreeland, PE Vreeland Design Associates Fssi ls-'Te 116 River Road, Leyden, MA 01337 Phone: (413) 624-0126 Email: dvreeland @verizon.net Fax: (413) 624-3282 s=� i' r� Main electric panel in basement James M Ryan DBA RFD 75 Chesterfield Rd Nort-heas I ic Leeds Ma 01053 The Commonwealth of Massachusetts Print For Department of Industrial Accidents Office of Investigations I Congress Street, Suite 100 �E Boston, MA 02114-2017 t www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly Business/Organization Name:Northeast Solar Address:136 Elm St. City/State/Zip:Hatfield, Ma 01038 Phone #:413-247-6045 Are you an employer? Check the appropriate box: Business Type(required): 1.❑✓ I am a employer with 10 employees(full and/ 5. Retail or part-time).* 6. ❑ Restaurant/Bar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7. ❑ Office and/or Sales(incl. real estate,auto,etc.) employees working for me in any capacity. [No workers' comp. insurance required] g• F-1 Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑ Entertainment their right of exemption per c. 152, §1(4),and we have 10.0 Manufacturing no employees. [No workers' comp. insurance required]* 11.❑ Health Care 4.❑ We are a non-profit organization,staffed by volunteers, with no employees. [No workers' comp. insurance req.] 12.0 Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. **If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#l. I am an employer tl:at is providing workers'compensation insurance for nTv employees. Below is the policy information. Insurance Company Name:Hanover Insurer's Address:75 Chesterfield Rd City/State/Zip: Leeds, Ma 01053 �- Policy#or Self-ins. Lic.#WHN 5715134-02 Expiration DaterOO,'S 116 Attach a copy of the workers' compensation policy declaration page(showing the policy number and exp ration te). 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,:=is mTd p of perjury that the information provided above is true and correct. sip °h Date:1/8/15 Phone#:413-247-6045 Of 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. Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www mass.gov/dia SECTION 8-CONSTRUCTION SERVICES 7 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder Phillip Baunsgard CS106113 License Number 11 Edward Ave . Southampton, Ma 01073 6/7/15 Address Expiration Date 413-247-6045 Signature Telephone 9.Registered Home Improvement Contractor`. Not Applicable ❑ Northeast Solar 169641 Company Name Registration Number 136 Elm St . Hatfield, Ma 01038 7/14/15 Address Expiration Date Telephone 413-247-6045 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... C] No...... ❑ 11. - Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(l) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the buildine permit. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ED Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [p Siding[O] Other[ED] Brief Description of Proposed Work: Install 14 solar panels on residence 1 Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a'. If New house and or addition to existing housing, complete the following: a. Use of building : One Family Two Family 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 James Ryan I, , as Owner of the subject property hereby autho ize Northeast Solar to act on ehal tters relative to work authorized by this building permit application. r14•,, l 1/8/15 Signatur of Owner Date Northeast Solar as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Ann Bronner Print Name a 1/8/15 Signature of Owner/Agent Date Section 4. ZONING At[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 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES 0 IF YES: enter Book Page' and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW 0 YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained l Obtained i Date Issued: C. Do any signs exist on the property? YES 0 NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO Q IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading, excavation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. V-, r�t, Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit ?12 Main Street Sewer/Septic Availability, Room 100 Water/Well Availability I I MW $ N&W iampton, MA 01060 Two Sets of Structural Plans phone 4113-537-1240 Fax 413-587-1272 Plot/Site Plans Electric,Plumbing&Gas Inspections Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office Map Lot Unit 75 Chesterfield Rd, Leeds Ma Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: James Ryan 75 Chesterfield Rd, Leeds Ma Name(Print Current Mailing Address: 413-584-1319 Gw—. Telephone Signatur 2.2 Authorized Apent: Northeast Solar 136 Elm St. Hatfield, Ma 01038 Name(Print) Current Mailing Address: a 413-247-6045 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= 0 +2+3+4+5) 20,282 Check Number This Section For Official Use Only Building ermit Number: Date g Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2015-1131 APPLICANT/CONTACT PERSON NORTHEAST SOLAR DESIGN ASSOCIATES LLC ADDRESS/PHONE 136 ELM ST HATFIELD01038(413)247-6045 Q PROPERTY LOCATION 75 CHESTERFIELD RD MAP 16A PARCEL 006 001 ZONE URA(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 r Typeof Construction: INSTALL ROOF MOUNTED 14 PANEL SOLAR ARRAY New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 106113 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: 4Approved 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 De i ' / r < Sign re of Building Officia 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. 75 CHESTERFIELD RD BP-2015-1131 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 16A-006 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-2015-1131 Project# JS-2015-002133 Est. Cost: $20282.00 Fee: $121.69 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Groin: NORTHEAST SOLAR DESIGN ASSOCIATES LLC 106113 Lot Size(sq.ft.): 28880.28 Owner: RYAN JAMES M&CHRISTINE H TRUSTEES zoning: URA(100)/ Applicant: NORTHEAST SOLAR DESIGN ASSOCIATES LLC AT. 75 CHESTERFIELD RD Applicant Address: Phone: Insurance: 136 ELM ST (413) 247-6045 () Liability HATFIELDMA01038 ISSUED ON.511912015 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL ROOF MOUNTED 14 PANEL 3.9 KW 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 5/19/2015 0:00:00 $121.69 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner