06-064 (13) LG NeON 2 f3lnck MMM
Mechanical Properties Electrical Properties(STC*)
Cells 6X 10 300 W
Cell Vendor G MPP Voltage(VmPP) 325
Cell Type Mot ocrystalline/N-type MPP Current(ImPP) 9.26
Cell Dimensions 1 56 75 x 156.75 mm/6 x 6 Inch Open Circuit Voltage(Voc) 39.7 .
x of Busbar 12(Multi Wire Busbar) Short Circuit Current(Isc) 9,70
Dimensions(L x W x 11) 1640 x 1000 x 10 ruin Module Efficiency(%) 18.3
64 57 x 39.31 x 157 irich Operating Temperature(°C) -40- 190
Front Load 6000 Fa/'125 psf 0 Maximum System Voltage(V) 1000
Rear Load ;100 Pa/ 1 13 psf 0 Maximum Series Fuse Rating(A) 20
Weight 1/.0+ O.5 kg/31,48± 1.1 Ihs Power Tolerance(%) 0- v 3
Connector Type VIC4 MC4 Compatible,IP67 s poled TPSC loonva Wdi,I,Tngerarlr,25TAMl5
Junction Box IP67 with 3 Bypass Diodes 1 1 r 1
„ I nl cr EiFrr r ac r;sri �drr rc`I«Pr�,
-
Length of Cables 2 x 1000 rnm/2 x 39.37 Inch
Glass Iligh italISIT'ISSi°"lei ipered cla`'s Electrical Properties(NOCT*)
Frame Anodized Aluminum
300 W
Certifications and Warranty Maximum Power(Pmpp) 218
MPP Voltage(Vmpp) 79.5
Certifications(In Progress) 1EC 61?15,IEC 61 730-11-2,UL 1703, MPP Current(Impp) 7.38
ISO 9001,IEC 6 271(Ammonia Test), Open Circuit Voltage(Voc) 36.5
IEC 61 701(Salt Mist Cot rosion Test) Short Circuit Current(Isc) 7.83
Module Fire Performance type 2(UL 1 703)
"nIOC fPJo al Operarla CII T= 800 w/m7,an l'ctremperaturt 20
Product Warranty 12 years
Output warranty of Pmax
Linea
(measurement Tolerance±3%) r evarranty* C� Dimensions(mm/in)
1)I V ;r.98':4..2)Afrrr?,If year 0 p I 1 Iran+_ioii,-i)Ni_;"/1,,25 _ roA
(Jf l
Temperature Coefficients f
NOCT 46+ 3^r
I _
Pmpp 38%/°C �1 ✓� I�
' 1a �
- _ — -J
Voc 0
Isc
Characteristic Curves
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0.11 501 100 a1) '11)1 2110 11.11) 1.1 1 1000
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tC IIP or.rs 11`,A Ir - t7S-fl7-cn IC r. 1=-rN ,0427 ".'�(WE
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(_rppgbr c TDI S LG F Ie..tronlcs.All rights reserved. Innovation fora BetterLife Q- 4
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um
VALUATION REPORT
Rvparf Numbers 0149
Originally Issued. 0912012
Valid Through: 09/2013
TA 1; -VLL0\A'ABI,1;LOADS FOR E!,ROOF N10UN T•L-1+tlt}T RI T`(lhs.)U,3AA
Load Ilirection l:tithrimle Lnad Test l.,ttad al Tesl Lnml at C"alcttlated �lirtrvsti>1tA
1'evt 4'altap I1.2Si}melt 11.12.htela Favteiteemletal Unign butts[
(aec Ti use he kttt) E . delft ctiaz+ dellestliitt So meth tit
Uplift Withdrinval) 71 — 5 i . �-
1 ( a� l,fidit t9' dt1 340
Lateral 260 2113 130 153 130
Notes
1, AilowriNe had v€lms am based on the Irmt v alne f'rtiri the aliltrtate had of three is sir.(simngth lirtti(},tested
load at M I hich d:?Ht;cti n(de Dec! WHY cakulated 0$tell er cairacity(witlidriwal or la lcral)for wood
with a sttcci€it gravity of o.55(SL+ I tllrrta fine)or ail7evWe stress"tart atuntilttint 1, futat crnrlt c ttta.
2, Alin vaabie toad v:aliles are bn3vd ten 4unber with all cif the fpllcjv.qnft cliaracterieticc:
a. i,,Lr„ate d in dry;ej vice conditiatts Witere the Moisture avilent Hexes not«=need 0%err an rxteuded period
of tattat Stich as in niost covered Stlut'ttlics.
J). Locatted them it do is not experience sustaintd s:xposutc try elevated temperatures that exceed If)(.)'F.
Fol'auY miter Coliditiont atilt;+wattle tatble"toes shMI be niuli plied by the reluld n jttstmmit otctztKQ(Q,,
an dAr Q)In wxydame with Me Natiti A 13mi n Slt"il«a%fear WcW C"nnstt-trctictn WD.S,Uq.
. Allraw able load values arc liased one limber with a spetllic gravity of 03 55(,Southern Witte or equal),
d. Alltavvable load valites for vi ithdrrttmal are based on,a minilttuni penetration Cif 2'f, fetches into the roof taller
by i)ne 5?1 t,inch x 4 milt lung stF inkss Mee!lag screw.
5. Mhnmbk Kues set,,y ttui be;tmeaccd Rw Orld dnrmhn In accmlttnce vault Se:•t"+. n 1031 u*fK N11545.
((l
t As}^A:#i
EVALUATION REPORT
Report Numbers 0248
Origlnatly Issuedi 0912012
Valid Through- 094013
TABLE Z: MATERIAL.PROPERTIES
Alum tnumtt'Ir,3 �t�1Sl��ih,��SrJ
l�'^it�tc:4��1��stae!- — ;vI'I�t�I syst�i tlii,e;sraelei r„i'snL;of Cti�
f3r�it 0l A 740
Ahi iniar�srllE>y t�3 I�r 57 i fi2�F
Flex Ca�� €klu�zr�ni in a€1v AN.S!,AA A38fib,�
�Iu i �ttu:ai sif 1060 AS'I"@I 13209
EZ ROOF MOUNT COMPONENTS
AN
,fill$ 5 It
mw
IiiBEtic':Stir,,e F�:�scrribi�• l.,gure,a; '.
Ides Cap
are
1 ;
Figure 7: I.ag fivIt
Page 4 of 4
EVALUATION REPORT U t
Report Number, 024E3
Originally Issued: 0912012
Valid Through: 0912013
':CetMA 1: At.LO 'sfAR -E LOADS 1`013 FZ ROOF 1tOt)NT 1.4001 lsl't
ulthaastte t,rsred 'Tarf l.nitd at Test Load at Calculated
f_.oad 17�ttecaion Alltxsvafale
rest Value (L250 inch 0.124 inch Fast ener"Aletal
f;sc:c:di et e�below) F.S.-=3,0 tiefle�ctlott deflection Streit (lt Design D earl
tllrii4 715 1,801) 695 340 40
I-atct'at 60 240 130 15.1 130
Y`rsteS
I. Allncaabie'oar3 vo?ites artc,t?aGed on thm.rcao+.value t'r in 01e uttioi ate late{of,tit"tests{,citength liirtit);teswd
ltracl art 0.12 inch clr:ltectkc n(cfeflcrtion thnit),calettinterl fas'.ener vuirav ty(w ididw,vral or lateral)for wand
with a st)ccifit,grivit(s=of 0,55(,`oothern Pine)ter allowahie stress O'dte€altintintlui 1_ €;girt rerttiwctur.
2. ;Allowitble Iraaad vah,a(:s ate based aitt lettliber wiih nil ral'the fi tlowfilg cl=.:a.'?at.Ctistic.s:
a, Lix-acrd 3tt Iliv 4erticn btiasrf,licros berethe wtoistttrf cnitiml rl;res not e:xceetl M.,,,1'er it exterid-at T.revirr,t
of th it Stich u"ill most covered stractttres.
1,. Located w1 sae it tires ttc"t cxpetierice sustained cxps,stare it)tlevalerl[etr.t crattatrs that oxceed 100't'
For arty other condidons,tailow ble ta. 'ar tinlaes shnl(be anulti01iea1 by the rdateci adjitr9nent fstetvr(s)f C,
saatdlior C,j ill aecordnatcr "011'i tlar Nai anal t?csign S;xcificattioia fv! Wood C orstructtnti iNID.S-05)..
3. t'sllr vv abdi;l:iad a€flues sire^;laced prat hit"Iber with tt sliee+1c gin0y of 0.55 f;Sviiihety Pine or equal).
�t Allovviible tend viiiies are based r rt a inininuain lien ll-ali n(if 2 "s inches intn the roof tarter
ov totit 5/16 inch x 4 itroti I,n,3 St 611 s5 ateet lag ;c rvkv,
l_5 .Allowable wdut;may mat be incra sett fcr team cl tratiun in Rc uordiitwe i,61h Sec-lion I0 z.2 of1he NDS-05.
Uplift
Lateral
k. t
1
1'uge 3 of 4
UAW
EVALUATION REP0R.T(v*7,--)
Report Number: 0248
Origintaliy Issued: 0912R'f2
Valid Through- 0912 013
4.2 installation fain test data and thickness of alurnfnrim flashing
sul milted is in conformance with Acceptance Criteria
EZ Roof Mount must be irstailed usin4l the 5M fetch fvr Roof Plashing for pipe Peretratita is (ICC-ES AC
diameter stainiess steel fag screw at each braclqet 286-2U08), gain teat conformed to Underwriters
lwcOfiorn as described in the manufacturer's installation Lsaborato y Standard for teas Vents, UL 441-96 Section
=era#ructac t s. i .aq screw must peretrrate !nto tine rcof 25.
tatter a nain9rraum of 2 /, inches. Prior to instr�'tatiort, the
roof rafter shalt he oared with the required lead and lest results are from laboratories in corrrptiance with
clearance hole for 94) unthreaded and shank portions i80/1EC 17025
if the 419 scrClw as moulted ii Secuor, ,'1,3 of the
INIDS -05. 'i"hreaded portio-a Of tt;e rag screw shall tie 7.Q IDENTIFICATION
inserted onto its triad tao?e by turning with ,v�,�rr?nch. :ar!d
rant driving by a hramwer. A die-sam ratref the flashir bearing thra name and
Use of auxilira y itola s in tine;tar e other th a the use of address �f the manufacturer, the model number,
OP, extra fastener to stop the shoe from rotating -I E:" Uu� tlnifonn ..5 Marks of Conformity, and this
cost alfatir�r is outside the serape of th=s rHllart g `ta'�aatl Lvrtivatic�ra Report Number(ER-0248).
FWshing should be installed full order the shingle up t.a
tlae rf:'sect corti'n Of the Cashing to prevent wate �IA ,jt
raaureSs under tree sI:ogle. NO {carbon ref the flashing si ould bra beret upw r d I e flashing must rest fro y
aqe:;rest tf e root shingl+45. Ottle wise the wWor end wind peffeatrnanct-n ay be inrpaire� ` true
5.0 CONDITIONS OF USE I,APMO#'0249
EZ Roof ftlrount L-Foot Kit for Shir?tdle goofs described
in this report cnrnp!lpry wqh the codes listed ill Sectiom
1.9 of fills report subject to the following cond?tlons•
5.1 E7 Boot Mount shall be installed in accordance w°tlr
this report, rtaanuftarturer'ra instraltation instr=uctior,s and
the codes hstett in Soction 1,�1.
6.2 Calcr.=tatlop to verrfY the imposed leads on the FL
Roof Mount asserxably do rot exceed Vie allowable
loads ror'alned in 'r-,j i*'e I or Itris report shall be
submi!ted to the code official Mien requested.
G:a>cuiatlrans shall be prepared by €a registered rfesigrr,
"Ofesslr,ttal Whela required by the statures of the
jurisdiction where the work is cunstruuted.
6.0 EVIDENCE SUBMI-TED
f'esting and ar alysIs dale submitted is fn canforta7ance
wife EJafuet.lora Criteria fof Joist Hangers and
Miscellaneous Connectors(IAF'MO ES EC 00-2.20,11).
Page 2 of 4
EVALUATION REPORT
Report Number: 0248
Originally Issued: 0912012
Valid'through: 0912013
Division: 06 WOOD AND PLASTICS 10 DESCRIPTION
Section: 06060—Connections and Fasteners
REPORT HOLDER: 3.1 General Description
EZ Roof MOUnt I.-Foot Kit t:cansists of 5 basic,
S€naltllodo Corporation components, {1}shoe assembly with capifve waterprcof
1906 SE 5"'St,Suite A vmsher, (2)leg bait to fasten through the shingles In Ilie
Vancouver,WA 96661 Mol rafter, 1,3) flashing that is placed under the row of
shingles above shoe and then over the shoe, (4)I.-
EVALUATION SUBJECT Foeit that �s Placed over the protruding shoe threads
ar€d (6) hex cap that is sec€ared or to the shoe. See
SunModo EZ Roof Mount L-Foot Kit for Shingle Figures 1 to 5 in Table 2.
Roofs
3.2 Materials
1.t)EVALUATION SCOPE:
LZ Roof Mount is fabriceated fron. €:furi�irturn. Shoe
1.1 Cut"filiance with the following cosies: assembly is fabricated using casting eafurrinuna alloy
with d;V)0-rs•ons cf 2.80 inches in diameter and 1 00)
• 2009 International Building Lodes inches in, height. It is held in place using one 5116 irtair
• 20G9 Inter€cation al Residential Code9 d'rtarneter iag bolt that is 4 inch in length and rnade of
2006 Irternati anal Building CodeV stainless steel, Flashing is fabricated frum sheet
• 2005 lriternational Residential Godeylja alurninurn with dimensions of 1ti.0 inches in%yiedh, 12,5
inches in length ar d O.tt4 inches Ir=thickness.
1.2 Evaluated In accordance with:
L foot is a 2,00 irich €ong unequal lest Bangle made frorri
• Evaluation Cr€te=ia for Joist Bangers and 6003-T6 alurniruni with dimensions of 100 irc,hes in
Iylisceilaneous Ccrtiecters (IAPr,/,O ES ECO02- depth. 2.€0 inc es in width and 0.24 iriches i+i
2011),Approved Match 20111 thic'Kress. It contains ea 0.3r5 inch diameter round hole
• Acceptance Criteria for Roof fas=ting to:, Pipe w;th a 0.83. "ich diameter clianifer tin base) that is
l"Of sltrations(ICI:-LS AC2863}.Approved April 2010 Iecated in the c+e,iter of the base leg. Ore s-ot
measurrg 1.64 °rich ong by 0.40 inch wine occurs in
1.3 Properties Evaluated: the center and is Iccated 0.30 inches from Rie trap ecfye
of t'w vertical leg, ;vWch IPas a scallop front and rear
• Stntr:tural face, See Tablo 2 far component materieal taroperties
• %'IJeather Protection and figure,,.
2.0 USES 4,p DESIGN AND INSTALLATION
FZ hoof Mount L,Ftot Kit for Shirgle Roofs is usexi to 4.1 Design
mount solar systems and other rooftop devices such as
salellift" dishes on asph aft shingle roufs wi':h wood Tabulated allowable loads sliown in Table 1 of Pik
rafters vilderneeat'a. ieperl am based on affmable stress design (ASI),
Adjustments to these val=jes are reyuire;l for luet
Ei hoof Mount is st?e:*ciffcaliy des;gned to Ilex used for service conditions, sustained exposure to elewited
u€st illation of solar panels for electric tar fret water ternperature.,r use with fire ietardeant turnber or !,vith
car„d'oution on roots with siones from 3 Io 12 units lumber vdiuso specific gravity is less than n,.55
ve,tical in 12 units hotizontal. (Southern Pi,'Ie). Allowabl values based Ott fastener
strength may be ad usted for duration of loading. Seri
footnotes of Table ' for more detailed explan aflor€.
Page 1 al'4
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wt ['�=u-3.,e't per7rash;: .r Ilia
R'd@_3'K`T'Fa S P.id ':Ms'.t,tS1 K`.klgda( 1.Ir.`R CYO,k..``=Arf(r 84#1af-i!!1a-11",A
'vrtn.,r,in
Vreeland Design Associates
An integrative approach to design engineering and site planning
Date: November 25, 2015
To: Ann Bronner
NorthEast Solar
136 Elm Street
Hatfield, MA 01038
From: David Vreeland, P.E.
Vreeland Design Associates
Re: Nick Wojcik, Lot 14 Beaverbrook Estates, Leeds, MA: Structural assessment of existing
house roof to support proposed solar array.
I have reviewed the roof framing details on the main house roof for the proposed PV panel
installation. The roof framing of the new, still under construction, 2-story house are 2x4 Fink
design roof trusses installed at 24" on-center, spanning 24', with an 8/12 pitch. The roofing is
asphalt shingles.
I have reviewed the mounting details for the proposed array. Based on a PV panel unit weight of
approximately 37 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 roof truss, 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, ���J A OF
o DAVID A.
_ t ' VREEIAND a
CIVIL 4
David Vreeland, PE o 9' �
Vreeland Design Associates °�FSSA�
116 River Road, Leyden, MA 01337 Phone: (413) 624-0126
Email: dvreeland @verizon.net Fax: (413) 624-3282
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AA'' The Commonwealth of Massachusetts 06rim
Department of Industrial Accidents
�]« Office of Investigations
1 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.❑ 1 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• 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]*
4.❑ We are a non-profit organization, staffed by volunteers, 1 1.❑ Health Care
with no employees. [No workers' comp. insurance req.] 1 12•0 Other
*Any applicant that checks box 41 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 niv employees. Below is the policv information.
Insurance Company Name:Hanover
Insurer's Address:74 Chestnut Ave Ext.
City/State/Zip: Leeds, Ma 01053
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 tl is and pe ofperjury that the information provided above is true and correct.
Signature: Date: 11/5/15
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 Baunsgard CS 10 6113
License Number
41 Heath Rd Colrain, Ma 01340 6/7/17
A s Expiration Date
i
413-247-6045
Sig re Telephone
9.Registered Nome improvement Contractor: Not Applicable ❑
Northeast Solar 169641
Company Name Registration Number
136 Elm St . Ha 4ield, Ma 01038 7/14/17
Address Expiration Date
aa�+ d Telephone413-247-6045
° ✓ % o
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........7 No...... ❑
1� Hnme_awne> 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 I]
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [M Siding[0) Other
Brief Description of Proposed `,
Work: Install 30 solar 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
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.
1. 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 Nick Wojcik
as Owner of the subject
property
hereby authorize Northeast Solar
to act on my behalf, in all matters relative to work authorized by this building permit application.
NlGk aloft ik 9/9/2015 >
Signature of Owner I Date
Northeast Solar
as Owner/Authorized
Agent hereby declare that the stateme 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
9/9/2015
Signature of Owner/Agent Date
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L: R: L:' R:
Rear
Building Height
Bldg. Square Footage % I
i
Open Space Footage %
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO O DON'T KNOW Q YES Q
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW Q YES Q
IF YES: enter Book 1 Page, and/or Document# j
B. Does the site contain a brook, body of water or wetlands? NO Q 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 Q Obtained Q 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 Q 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 Q NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
VJOJCl
bbl5drtftht Usti 6iily
City of Northampton Status of Permit:
Building Department Curb Odvbrivew6y Permit
l '�PJS 12 Main Street Sewer%septic AvailaBiiity
Room 100 Water/Well Avoilabiiit
ort ampton, MA 01060 Two Sets of 5tructUrai Plafis`
` r 7-1240 Fax 413-587-1272 Plot/Site Plans. .._.
n
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
74 Chestnut Ave Ext Leeds MA 01053 Map Lot 6 y Unit
(Lot 14 Beaver Brook Estates) Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Nick Wojcik 74 Chestnut Ave EYt, Leeds Ma 01053
Name(Print) /, Current Mailing Address: 413-530-7908
Nl'c kvojc fit "x. Telephone
Signature
2.2 Authorized Agent:
Northeast Solar U 136 Elm St, Hatfield Ma 01038
Name(Print) Current Mailing Address:
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) 3 6, 2 5 8 Check Number
This Section For Official Use Only
Building Permit Number: Date
Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2016-0755
APPLICANT/CONTACT PERSON NORTHEAST SOLAR DESIGN ASSOCIATES LLC
ADDRESS/PHONE 136 ELM ST HATFIELD01038 (413)247-6045 Q
PROPERTY LOCATION 74 CHESTNUT AVE EXT
MAP 06 PARCEL 064 000 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
l ee Paid i
I3uildin« Permit Filled out
Fee Paid
Typeof Construction: INSTALL ROOF MOUNTED 9 KW SOLAR ARRAY
New Construction
Non Structural interior renovations
Addition to Existin
Accessory Structure
Mlildin, Plans Included:
Owner/ Statement or License 106113
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION 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: §
I=inding �_ 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
D molition Delay
Sigi 4reo _
Buildi g tficia 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.
74 CHESTNUT AVE EXT BP-2016-0755
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 06-064 CITY OF NORTHAMPTON
Lot:--00-0 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-2016-0755
Project# JS-2016-001256
Ist. Cost: $36258.00
Fee: $75.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: NORTHEAST SOLAR DESIGN ASSOCIATES LLC 106113
Lot Size(sq. ft.): Owner: WOJCIK NICK&KIM
Zoninz: Applicant: NORTHEAST SOLAR DESIGN ASSOCIATES LLC
AT. 74 CHESTNUT AVE EXT
Applicant Address: Phone: Insurance:
136 ELM ST (413) 247-6045 Liability
HATFIELDMA01038 ISSUED ON:121312015 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL ROOF MOUNTED 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 12/3/2015 0:00:00 $75.00
212 Main Street, Phone(413)587-1240, Fax: (413) 587-1272
Louis Hasbrouck—Building Commissioner