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I �IIu �?1� r n r n 25 in llPdj P[w m)nt; Ali Iran nu..rr irini�r�rl al it! 2'S �� luniter�1 in,ltrl ,airan!y - 'Int L! 1 1 11x1 It Imf(nmplirur_ nitli !)pliranle rnnrnontnl 2-mint: it , rPlI nre mints of FEE I j 1 i an,I F 1 1,7!1' i I(li - - _ _- - -_ Nrdfic�tinrr, •141 ��Ire Rate;1 ^d-ig;lit 6 hg) i.1arl RI,,-n a m ruler l �in(�P nu„) Alttalln)ior in a�r nrdan e v^�ilhilPlE(.6 30 Eilan r nahles r • r,. f y � I I � I r.ii,l .,I r.. c i ii,,.i._ i, ' .r„i.:i It i.i.,IC, i i n is lr ,bin „rl ire-I`1' I'lInr_.: U:,:)r m,l "if•unr ,I .n C1,.r i. . 1 ,1,,-1 In it h dl= t r rh r i rh ui n- .._ SUNPC r ' r - - - - - - - - - - - - - - - - - - - - - - - - - - - - ^ - - - - - - - - - - - - - - - - - - - - - - - - - Exterior Wall House ' 1 Shed Roof I Exterior Shed Wall � 1 1 , Solar AC 1 Disconnect I ' Utility I PV 1 PV 2 — — — — — PV 8 PV 9 I , 240V I I I 11 1 L — — — — — — — — — — — — — ' I 1 — — — — — — — 1 I 9x SunPower ' X20-250-BLK-B-AC modules , I 1 � 1 1 '- - - - - - - - - - - - - - - - - - - - - - - - - - - - -' 1 - - - - - - - - - - - - - I - - - - - - 1 - - — — — — — — — 1 r — — — — — — — — — — — — — — — — — — , 1 , 1 In House Basement 100A ' 1 Interior Main 1 1 Shed Wall ' Breaker � I 1 ' Main Electric I Sub Panel , 1 , Panel with , 1 with 1 I 125A bus , 125A bus 1 , , kWh ' 15A/240V I ' F30A/240V ' production Solar Intertie , ' Panel meter Breaker , 1 aker , 1 1 1 , � 1 1 '- - - - - - - - - - - - - - - - - - - - - - - - - '- - - - - - - - - - - - - - - - - - - -' Solar PV 1 Line Schematic Patricia Wright Date: 9/10/15 67 Vernon St Drawn By: Northeast Northampton, Ma 01060 Justin Annis ......... - ----- p - OGE Rav, Data-lul- d ctamo, P -Ph Ceft.A,Mid Cl am Plan L ......1, ati 0, �74 �Pt74-21 ray_SL,22_-2-Z# (,,iicf"'Mrimp Solar r1and v Sec inn-Fish Mwnt-Flat Roof Zxiszinq Root Smkjciur�. R ccf, C Typt Ptlap ,z! C,:m--C"m -f: End Clam-) Sq tjor'-Re LAlwt-,-9.Lc )of 2.q, r VAMS fT= IR-2.01 3 W z V EVALUATION REPORT Report Number. 0248 Originally Issued: 0912012 Valid Through: 09t2013 TABLE is ALLOWABLE,LOAM FOR E7 ROOF NAOUNT L-E at T 10.1-(lbs.)rz�a,S Load Direction L.ilthnate Load Test 1_.vad at 'Feast Load at Calculated Allowable (see fi ure,below) lest Value, 0150 Inch 0.125 inch ES.-3.0 dellet:tion deflection �trett th DesignL rrarl U cliff(withdrawal) 715 5 1.Roo C-95 ?40 344 Lateral 26t} 249 lit? 153 130 Not+.' I. r31lownbi v Brad values stye base(]oll the Its cast Value fcorn(he'.01itnlite laa:l of three tests(sir r gili lintit),ted;tvd load al 0.125 ittch dv,Vvctit-)rt(defletstion liniP0,calculated fastener capacity(withdrawal or lateral)fin-wood with a cperiFc vt 0.55(Stnittwoi Pine)or allowtible ctrc.5.s of ibe alunorturn L-fuut cotinectur. 2. Allowable load valves are ha 3vd on fun?ber vith all of the frltaveing ellaraett ristic ; at. Located in dry stir°vice candith-its where the moisture cr?ri(ent does not exceed 199in For art extended period of iilnu s ich as in niust covert d strijou€"t'.S_ b, L catexl where it clots tint experie m:stiMninud exposure to elevated te€itperature..s that exceed I OW F. 1'or any other wMiiions tll+;++,cable table values shall be ntrilliplied by the related atdsttstment factoq's)1C'T,: and/or t,r)in acco elance with the Nationpi Dcsign Specification fur$ and Cohstnicticin(NIDS 05). 3. Allowable load values are btreed on lumber with a specific gravity of 0.55(So nlicni Pine or eslt:al). d. Allowable load valtteq for withdrawal are bfLsed om a minimum penctiation oft l'a inches into the roof rnMr I+y wic 511 f inch:x d inch lying,stn'nlcss fiiettf dag sfc tevr, 5. f'tlitaWal+le V'24IUec IMY not k `tict4ased for lead duration;it acca3iAltire Faith Scd;on 10.3:2 vftlte 1405-05, t ti i ateral LOW EVALUATION REPOR Reporl Ntumbert 0248 Originally issuedt 09/2012 Valid'Through: 0912013 _ TABU 2: MATERIAL PROPERTI'ES___,,,,_.. C'vtstp;rn:rt=i �4�€t�riaj I Sltcrc 4C iniltum u frt� r terptc za€ � laec _ 'EK)NI with durcnneter ratsug of Cio grF34t$t 304 stabilesx stcei e: i A 240 I "t AI ut t;nuan ttllity 606 3 t6 r1S I Nf S2 t 4 � Hex 1 r'�Ituitrrtt to a A rS I�rL A380,0 _hl tsltttt Alu t*i€tttst€ ItQy, 1060 AS'! 11ARii EZ ROOF MOUNT COMPONENTS Wlb ep =i � S 5' lip ured:Shoe A15ie nbiy Figure 4:1 icx C pr. ,Figure.''.::Lag Bolt Figure 5:flashitl.g . Figure A: I_-R)ol Pagt,4 of 4 EVALUATION REPORT mo Report Plumber: 0248 Originally Issued: 0912012 Valid Through; 0912013 TABLE 1: ALLONVABLE LOADS IMt KZ ROOF MOUNT L-FOOTIOT Loid Pirecti4jil Ulth"Ate 1,011d Trst LvId at Test Load at Calculated Allowable (ste.figure below) rest volue F,25 Q.125 Illch Fastener ffil eta I Desigit Load F.S.R deffectioll deflection �rell —ill UJAM(WIthdrawal) 715 1,800 (195 340 340 260 240 130 153 130 I Allowable°oad viilucs arr.11mud mi lim ImO value Iforn flic ultirmate load of threc tests{strength limit);tested triad at P.12.�inch dellection(delkxtiort 11mil),calct0mcd Wiener vallat'ity(withdrawnI or lateral}f(;r�'Vuod Nvith aspeciflu gnivity(tf 0,55-5(sqtjthertr Pit ie),or alt-vahle stress vf the aluminium 1,-fot.,t. 2. Allowpble load values are tat cd tit lumber"ViIi till nt,the followilig cllal-actvi�,;dcs: a, Located iii dry sera Jcv.von0imis where Cite moislure cutitent dves not exceed 19% rcr,it extended period , Ptimq 5110,1 as ill most vovered structures, For arty other condiOims,oliov?ahic tah;v valums,shill be multiriied by tile related"Idjustmerit ftirtor(s)(C', Wid/or CJ its accordance w4fli Ilic Nalional Design Slier.if, rut Wood Constructint,tNDS-05}, J. Allowable kv-dvalue-,are based ,)it Junber witli a specir gravity of(),55 f&)� utherm Pine of rqual). Alloviable load vahies for wilfidrawal are.based uit a tijillillUM i3elletmatioll'oU rh ilches into the rorifraller 11Y 011C 5/16 ifIcIl x It ifich If-III9 slafifles5 ME6 ia&,sCrew, 5 AlIoNvabic whue.5 iijily trot tic illcreaSud fQr(orld duratium ill lCuordimce with Sec.liort 10-3.2 of tile NIDS-05. Uplift Lateral 0t fk Pa0e 3 of 4 EVALUATION REPORT Report Number: 0248 0691"ally Issued, 0912012 Valid Throught 0912013 4.2 Installation IR-3in test data and thckile.,ss of aluminum hashing ,;,jL,mittpd is in conformance with Acoeutance Criteria EZ Roof Mount must be irastafied using the 506 inch for Roof Flashing for Pipe Penetrations (ICC-ES AC diametOr stairliess, steel 189 screw at each bracket 286-2008), Bain T1 lest conformed to Underwriters 10C,Utiori as described In the manufacturer's installation LaborWary SWndard for Gas Vents. UL 441-96 Sectior, InstrIlctlons. 199 screw Must peretrato into the roof 25. rafter a rninirnurn of 2 %, ;riches. Prior to fristaflatiorl, the roof rafter shall be bored with the required jean and lest resuits art? frorr, laboratories in compliance with clearance hole for the ul-1,throaded and sham; p artions 180/IE-C 1,7025 Of the iag screw as reauired iq section 11.1,3 of the NDS -05. Threaded parties?, of tjse lag ;crew shall he 7,0 IDENTIFICATION inserted into its lead ho'e by turning with a wrench and not driving by a harnwor. A lie-stamp label ;#, 1110 flashing bearing the name and address of the manufacturer, the angel number. Use Of OLIXilirlry holes in the shoo other than the use of IAPMO Uniform E3 Marks of Conformity, and this an extra fastener to 910P the shoe franc rotating during EvaluaUon Report Number(ER-0248), h1slallatior, is outside the serape of this report Flashing should be installed full under the shingle up D to the fa;sed Portion of the Fashing to provent healer lAp U ingress under the shingle- No portion cif the flashing N1 0 S SI•V,Wd be bent uuward,- the flashing must rest fur aga4lst the roof shingles Y Performance *� . Otherwise the water and wind rM may be Impaired. Y, 5.0 CONDITIONS OF USE IAPMO,40248 EZ ROof Mount I_-Foot Kit for Shingle Roofs described Ill this report Conip!lps W,!h tile codes listed it Section of report sit,,ject to the following condlions: 5.1 E7 Rcof Mount shall be inst0ed In accordance wilh this report, MAnufacturer'n, Installation instructions and the codes listed in Section 1,9 6.2 CaictjIaj'ors I , to verify the imposed loads (M the EZ Roof Mount Ossefllbiy do rot 'Oxceed the A?!0wable loads corlaitied in TaWe I oc' teals report shall be lo tine code official When requested, G'lfctila I tions shale lie prepared by 8 registered design CF0ff-�ss!(1l)8I When "squired by t1je statue of the i9fisdiction Where fhe wank is construr.ted. 6.0 EVIDENCE SUBMITTED Testing and aralysis datn submitted Is in confounance vilth Eviluatfon Crilpja for Joist Hangers and Miscellaneous C•rnectors(JAPMO ES EC grit-2019). Page 2 of 4 EVALUATION t.EPORT u Report Number: 0248 originally Issued: 0912012 Valid Through-, 0912013 Divisiow 06—WOOD AND PLASTICS 3,0 DESCRIPTION Section: 06060—Connections and Fasteners REPORT HOLDER: 3.1 General Description EZ Roof Mount t-Foot Kit consists of 5 basic. SunModolCorporation components: (1)shoe assembly with captive waterproof 1906 SE 5" 8ulte A crasher, (2)lag bolt to fasten through the shingles to the Vancouver,WA 96661 rmof rafter, (3) flashing that is placed under the row of shingles above Ilia shoe and then over the shoe, (4) i.- EVALUATION SUBJECT Foot that =s placed over the protruding shoe threads and (5) hex cap that is secured or to the shoe. See SunModo EZ hoof fount L-Foot Kit for Shingle Figures I to 5 in Table 2. Roofs 1,0 EVALUATION SCOPE: 3.2 Materials EZ Roof Mount is fa b!-Icated from aluminum. Shop 1.1 COMPliance with the following codes: assernbly is fabricated using casting aluminum alln with dimensions of 2.80 inches in diameter and 1.00 * 2009 International Building C;odet inches in height. 11 N held in place using one 5116 irc::h • 2008 International Residential Code ? d9arneter lag boll that is 4 inch in length and mnade of * 2006 Interratitanal Building Coder stainless steel. Flashing is fabricated from sheet * 2006 international Residential CodeV aluminum with dirrensions of 10.0+riches in width, 17.5 inches in length and 0.04 inches In thickness. 1.2 Evaluated In accordance with: L foot is a 2.00 inch long unequal leg angle made from * Evaluation Criteria for Joist Hangers and 6063-T6 aluminum with dimensions of 3.00 grchr s in Miscel'arreous Cowlect€3rs (IAPIVO ES EC002- depth 2.00 leaches in width and 0.24 inches in 2011),Approved March 20111 thickkress. It contains a 0.3 75 inch diarneler round hole Acco to nce Criteria for Roo` l lasning for Pipe with .3 0.83 irich diameter chamfer (in base) that is Penetrations(iGC-LS A0286),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 renter and Is located 0,30 ;riches from.1fm top edge of tine vertical leg,, which INas a scallop front and rear Structural fraco. See Table 2 for component material properPes • Weather Protecflon acrid figures. 2,0 USES 4.0 DESIGN AND INSTALLATION FZ Roof M�ount L-Foot Kit for Shingle Roost; is used to 4,1 Design mount solar systems and other rooftop devices such, as satellite dishes on asphalt shingle roofs with woW Tabulated allowable loads shown in Table 1 of thk rafters underneeth. report are based on allowable stress design (ASD). Adjustments to these values are required for gnat E7 Roof 10ount is sneciftcally designed to be used for service conditions, sustained exposure to elevated installation of solar panels for electric or toot water temperatures, use wilh fire retardant Fumbe+ or to 1h Draduction on roots with slopes from 3 to 12 units lumber ,,Y hose specific gravity is less than 0,55 ve!tical a,a !,7 units horizontal, (Southern Pinet. Allowable values based on fastener strength may be adjusted fut duration of loadir:g. See footnotes of Table» for more detailed explanation, Page 1 of 4 Coo n F e113 i Ir.!emati>nat deity r e''triun!i rs sr."t o hunt -nlry.iv A rg"?s r w w J.$'"tadtn I"L)111 d 1l"`44 PA"'14 Futi'r-S,MAY 4-r r vNced,s13rl t+.. 41 gin;r c al S,54,P r et I(;E-IZ watrt! 'r.. a r ,s s s°rpl'm tnnc#rc m-ak SarY 2.1e:�Cntj.yr eUcrrt r,rr�9•gryw I r Cr„.;µ. .t Darmds!t:u.g!tMH G•rla b -87t't:�Ft•F1,G 12A' AVal, „ yrgl teal F', -A. .,lr...:, C ..^Sri.^aPTC„61.PG`-7PIfi-1154, 4 � A Z xz, 3 � �. 0 CD CD rn o w nfj N CC CD CD `, C (D J, 3 (D (D a- CD :3 (D `'' Vreeland Design Associates An integrative approach to design engineering and site planning Date: October 13, 2015 To: Ann Bronner NorthEast Solar 136 Elm Street Hatfield, MA 01038 From: David Vreeland, P.E. Vreeland Design Associates Re: Patricia Wright, 67 Vernon St,Northampton, MA: Structural assessment of existing 12'x16' storage shed roof to support proposed solar array. I have reviewed the roof framing details for the 1-story, 12'x 16' storage shed in the area of the proposed PV panel installation. The rafters are full dimension 2x4 installed at 38" on-center, spanning 6', with a 7/12 roof pitch. An 8' length of the roof has a 2'-6" overhang. The full dimension 2x4 rafter are adequate to support the nine proposed panels and the current MA State Building Code snow load requirement. I have reviewed the mounting details for the proposed array. Based on a PV panel unit weight of 33f lbs, with the attachment points of the array placed at each 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, V�N OF DAVID _ 1 g VREELAND 1r CIVIL -+ '.JI cn No.46317 David Vreeland, PE Vreeland Design Associates 1f7NAL E 116 River Road, Leyden, MA 01337 Phone: (413) 624-0126 Email: dvreeland @verizon.net Fax: (413)624-3282 The Commonwealth of Massachusetts Print Farm Department of Industrial Accidents z _43§ Office of Investigations I Congress Street, Suite 100 .�' Boston, MA 02114-2017 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] 8• E] 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.❑ Manufacturing no employees. [No workers' comp. insurance required]* 4.F1 We are a non-profit organization, staffed by volunteers, 11.❑ Health Care with no employees. [No workers' comp. insurance req.] 12.❑ 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#1. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name:Hanover Insurer's Address:67 Vernon St City/State/Zip: Northampton, Ma 01060 Policy #or Self-ins. Lic. #WHN 5715134-02 Expiration Date:4/8/16 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 ' s and pen ofperju�ry that the information provided above is true and correct. Signature: v / Date:7/22/15 Phone#:413-247-6045 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. Licensing Board 5. Selectmen's Office 6. Other Contact Person: Phone#: www.mass.gov/dia SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Phillip Bausgard CS-106113 License Number 41 Heath Rd, Colrain Ma gJ.340 6/7/17 Address Expiration Date -247-6045 Signature Telephone 9s. ttitilr. .�lctrih.tYntl + tti £..CndtracttoY* Not Applicable ❑ Northeast Solar 169641 Company Name Registration Number 136 Elm St, Hatfield Ma 01038 7/14/17 Address Expiration Date Telephone 413-247-6045 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§2SC(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....... ls� No...... ❑ 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 D Accessory Bldg. ❑ Demolition ❑ New Signs [❑] Decks [Q Siding[❑] Other[0 Brief Description of Proposed Work: install 9 solar electric panels on residence Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes _No Plans Attached Roll -Sheet ea..i; OW-h ft Ana0rr,aldditib010,Wdsthi hoWiit cislri ldd ithe fd,I!,Wl `. 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 Patricia Wright as Owner of the subject property hereby authorize Northeast Solar to a behalf, in all tters relative to work authorized by this building permit application. Signat re of wner 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 4�a '� 7/22/15 Signature of Ow / gent cy 1001 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:1 - L: R:. Rear Building Height Bldg. Square Footage Open Space Footage °o (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 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained 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 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 NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. trt it tlee bh ^`^• City of Northampton Building"Department G �lyyrft{ F n 212 Main Street °rte iriltit ��t enn°,arm Room 100 b 194,6 ,1it ' Northampton, MA 01060 T4 �ytr€ 31Itd6 � � phone 413-587-1240 Fax 413-587-1272 Pelk � 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 67 Vernon St, Northampton Ma 01060 Map Lot__ Unit; Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Patricia Wright 67 Vernon St, Northampton Ma 01060 Name(Print) - Current Mailing Address: } ! 413-586-7790 Telephone Signature 2.2 Authorized Agent: 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=(1 +2+3+4 +5) $ 11,808 Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building CommissionertInspector of Buildings Date File#BP-2016-0508 APPLICANT/CONTACT PERSON NORTHEAST SOLAR DESIGN ASSOCIATES LLC ADDRESS/PHONE 136 ELM ST HATFIELD01038(413)247-6045 Q PROPERTY LOCATION 67 VERNON ST MAP 31A PARCEL 098 001 ZONE URB(100)/WP(12)/ 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 2.7KW 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: ✓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 em o ' ' elay Sig ure of Buildin icial 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. 67 VERNON ST BP-2016-0508 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 3 1 A-098 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-2016-0508 Project# JS-2016-000848 Est. Cost: $11808.00 Fee: $75.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: NORTHEAST SOLAR DESIGN ASSOCIATES LLC 106113 Lot Size(sa. ft.): 21126.60 Owner: WRIGHT PATRICIA Zoning: URB(100)/WP(12)/ Applicant: NORTHEAST SOLAR DESIGN ASSOCIATES LLC AT. 67 VERNON ST Applicant Address: Phone: Insurance: 136 ELM ST (413) 247-6045 () Workers Compensation HATFIELDMA01038 ISSUED ON.1011912015 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL ROOF MOUNTED 2.7KW 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 10/19/2015 0:00:00 $75.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner