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17D-050 (3) LG NeON­2Black MEMMM Mechanical Properties Electrical Properties(STC*) Cells 6X 10 300 W Cell Vendor LG MPP Voltage(VmPp) 325 Cell Type Monocrystalline/N-type MPP Current(Impp) 9.26 Cell Dimensions 156.75 x 156 75 turn/6 x 6 inch Open Circuit Voltage(Voc) 39,7 u of Busbar 12(Multi Wire Busbar) Short Circuit Current(Isc) 9.70 Dimensions(L x W x H) 1640 x 1000 x 40 mm Module Efficiency(%) 18.3 6457 x 39 37 x 1.57 inch Operating Temperature(°C) 40-r90 Front Load 6000 Pa/ 125 psf 10 Maximum System Voltage(V) 1000 Rear Load 5400 Pa/113 psf Maximum Series Fuse Rating(A) 20 Weight 17 0+ 9 0.5 k /37.4B+1.1 Ibs Power Tolerance(%) 0- r3 Connector Type MU,MC4 Compatible,IP67 TC(s r IT­rc�1:1 1d1adt000wnWMi,fti,T,i—a n-25T.AM15 Junction Box IP67 with 3 Bypass Diodes e„"I-r hw.e° r r_s ne�s,r i 11111 11e1 I'mlued by L,sett -It rs-le_.Id ah-1 to di,r rl�n -. -C - - -- -- ---- --- _..... 'Ihelypic l-I ,ge'I modlle efrc enryar 200 W/n'in 10411.1 to 1000 WhW is-30°,. Length of Cables 2 x 10001,tm/2 x 39.3 7 Inch Glass _ _. _ _ _ High transmission Tempered Glass Electrical Properties(NOCT*) Frame Anodized Aluminum 300 W Certifications and Warranty Maximum Power(Pmpp) 218 MPP Voltage(VmPp) _ 29.5 Certifications(In Progress) IEC 61215,IEC 61730-1/-2,UL 1703, MPP Current(Impp) 7.38 ISO 9001,IEC 62716(Arrtrnoma Test), Open Circuit Voltage(Voc) 36.5 IEC 61701(Salt Mist Cot rosion Test) Short Circuit Current(Isc) 7.83 Module Fire Performance lype 2(UL 1 703) Nocr(N A of P,,r q cell rP lUrlar e) rTad,--aoo wiRl2, t,mpe,in-20 c,—id Speed 1 Ir Product Warranty 12 years 0 Output warranty of Pmax Linear warranty' b Dimensions(mm/in) (measurement Tolerance±3%) •1)1 sryear98%,2)Af-2ndyeac 06%p annual depradatior,3)836 fu1 25yea11 Temperature Coefficients )l INDICT 46+3"C I (- Pmpp 038%/°C Voc 0 28%/°C Isc 0.02%/°C sa, Characteristic Curves � Bon OooW .�.M.n .Ix.., rll(•i _— _ G.nn 600W ..400. — 20OW 000 sno ono Isno >n.00 as�co Irmo nsoo ;! coon is no ( Inn� __-. _ - - ✓ \ � c€ g _ e � Y — � Int I DA GI, Jo I m = e ` Ti- Hlr rater of the No l,r'ngrgm tnrl'ng hnles. d �� Nor th Amenea qOl,Busin ss Team Plnduct speafications ale subject m change without notice [} � L C Clectronic,U S A ,, PIMUct60K 6-F-EN-5047.7 Life's Good 1000 Sylvan A-,Englewood Cliffs,NJ 07637_ i r = Copyright n 2015 LC Elecrronics.All rights reserved. Innovation for a Better Life ' C.or tlrt lot snlar(ci)Ige.cnln 1 011042015 mlv w Isola,usn cnm . J � / � XN Flat Rcol rn- 11 4r : EVALUATION REPORT IAAW Report Number: 0248 Originally Issued., 09/2012 Valid Through: 0W201 3 TABLE I: ALl.t)it'ABLE LOADS FOR E? ROOF MUIlN I'L-FOOT RI°I` Ltratl Aireclirs►► Ulthnale Load 'Pest brad at I,est Lnatl at Calculated Allowable (see figure Dic ctioll Test value 0.250 filch 0.125 ittch Fastener/Aletal F S,=3.9 deflection dellectltttt trcrt t _ besigtt Lvhrl Uplift(Withdrawal) 315 1.11k)f1 695 ?40 t 10 l atural 260 240 13€1 153 130 Notcs 1, Allowabl:t Imid valuc_s are based vrt the least valttc Born the ulthnAte hart of three Icsts(nimrgth limit),tested load at 0.125 inch (dcfleelicn hinit),calculated Nstener capacity(wvithdrawal or laicral)fu wwood writlt a elseri€ie<',taravlly of 0-55(;`-Ahern Titre)or allowable mcss,c.ftl:e alum intirn L-vat cottraect:tr. 2. Allt wvablcc load values are based rtn hiniber with al!ff the frllowvinj!cltttracieristics: it. l.ccated hi dry so vice conditions where the moisture content Aics no!exceed 19%for ate extended period of Iittty Such as!n ntvst Covered structures. t;,. Located wherc it does not expvrieltce sarstained exposure to clrvated tentl>eratures that exceed 100'F. Fur any other conditions,allowable table values shall be ntttliiplied by the related n(Ijustrrtcnt factor(s) awYor t,,)hi secoalanre with the Nalinnal!lcsign S+ctificalinai for i'ood C olistructivn(NDS•05). 3. Allowable Inact values are lsaavv oil lumber with a specific gravity of 11.55(soathent Pine or equal), d. Allowable load values fti-withdralval#re based on a minitnunt pettetration of 2 V, inches into the roof rafter bra one 5!16 inch x 1 inch Jong,stainless stevq lag,s rwv. *. tti.11ttwualtle value,,n±ay not la .ncttased for load duration itt actt)rdanre with S^_ciion 10.3-2 of the Nl`)5-05. EVALUATION REP0R-T(w0j----­- 1'tepar4 hlumben 0248 Originally(ssuedr 09120112 Valid Through- 0912013 _ TABU 2; MATERIAL PROPERTIES culnlil tmtlt Altttc ial �I1C14 a__ .., a 11$1a11U1"] Et�i[)y����' °___. .... Ali SI!AA A380,fl A�a'erptct�f A'r �l4e.r _ CI'D-M with cl tit y atrtet ?#31b �7f tit) L Ba°t 3f14 sim ile s stcef ASTN A 240 L U4 ilt�t tna�� tthcr 6063 I t rWI AI B2 2I Hex�ttl?.,,>. .�— sUtattttntttn x(I�sy r"�le I/ArA A380 0 1:.a,]ttt�s� �._ -Alumir wit, L I{It;f3 AS'lhI132r EZ ROOF MOUNT COMPONENTS ( e7 j dffl .,...,5 ow {I lti ueei:Sltrye of srt i aii Figure 4:Hex Cap Figure 2: l,kp 13,jlt`x �y Figure S:Flashing r: E r , Page 4 of 4 EVALUATION REPORT 1AAW Report Number- 0248 Or-191natlly Issued; 0912012 Valid Through; 0912013 TABLE l; ALLOWAK-E LOADS 1+10111'.L ROOF AIUUF�T L--1rOOT 1<_l'T(11m)t.r;s.a.s Ultimate.Lo"d Ti*st Load at Test Load at Calculated l,ostd 1)lrertit}tt ,Allt}v+�>tltte rest 4'st'ftte 0.250 invh 04125 Itch EastencrTll etaf (see figure.)tetoty} F.S.-3.0 tleflectiott deflectiuti Strength Design toad U1,ilift(1i'€thdrrtw O) 715 1,800 6115 340 340 lateral 260 240 134 f S;3 _ 130 Notes 1. Allowable!,oad vMucs are based on Ow least,val=.re from tyre ultimate load of three tests(strength)unit),tested fund of 0.1'?5 inch detlecliOn(deflection limit),valciclnted fastener t+pacity(%vithdram,al gr lateral)for woad %vith a specific gravity of t).5 (Suutherts Pine-)or allcsweble sires vi'the ahrminum 1,Nfoof corviv tm 1 Allowable load values are'k au ed rrrt himbor with till ofthe following chamaderistics: a, Located in dry s[n:cn vinditicros where the moisture.Cot eni does nol exceed 19%,ow f or an period period ofUmv Sim!)as ilt st covered strucitires, b. Located where it does trot expeticnce sustained exps?sore to th:vated teinutraturrs that exceed 10(r f'. For atey ether conditions,aflowable table vahics shall be utultifsliest by the related adjusiment fitc:tor(s)(C", wid ur t",j in inem da[ice with the Nalional Design Sliecific atioa Our'i4'c;od Construction(NDS-05), 1 Allt+ -able loi d values ate enact)on.himber wi€h a specific grrtvit;l,of f),55(Streithertt fine-••w,equal), 4. APo vrtble lDad vaines fior ivitlidritual area based un Aa mininur£tt uf 2 t,: inches into the roafrafier by sync -1t�inch; t iftch 1 utg st etttless steel lag, rett=, 5. r'tlltal4abie vihies,ripY wit,bo increased fer toad duratiun to accordance with Section 10,3.2 of On NDS-05. Uplift. Lateral i l 4rz� 1'age 3 of 4 EVALUATION REPOR.T Ufte (, �) Report Nurnberr 0248 * Origl"MIY Issued: 0912012 Valid Throught 0912013 4.2 Installation Rain test data and thckness Of Olurninurn flashing sUbmitted is in conformance with Accceolgrce Criteria EZ F'lOOI` MOUM must be inStalied Using the 5116 inch for Roof Flashing for Pipe Pf,"etfalk)rls YMES AC diarneter stainless steel lag screw at P-tich bracket 286-2UQ8), Rain test conformed to Underwriters location as described in the manufacturer's installation inStrLICHOrS. 1 -,,iq Laboratory Standard for Gas Vents. UL 441-96 Section , screw "lust pr into the roof 25. rafter 0 Minimum of 2 'Ar 'riches. Prior to inslailatiorl,the roof rafter Shall be bored %vith the required lead and I-est results are from laboratories in compliance Arith �d shanji, portions clearance Bette for the urthreaded an 180/IEC 1'7025 of the rag sct(-?w as reauired +,i Section 11.1,3 of the -05 Threaded portion Of file tag screw shall be. 7,0 IDENTIFICATION inserted jito,its lead hole by turning with a wrench and not driving by a harnwer, A die-sfa)mjp label in tile flashing bearing the narne and Ose Of OLIxilla address Of the manufacturer, (Ile mode] number. ar, extra ry 11010S in the ShOo Other than the use of (APMO Uniform Rs marks of Corfortnity and this fastener to stQP the shoe from rotating us inn 8valuation Repolt Number(ER-0248). InstnIlatior-,is outside the SCwe Of this report 'I Flashing should be installed full under the shingle up to ICZ------- the rWsed c0ftlun of the rl0shing to prevent water A p U - 's under the shingle, No portion of the flasIlIng illores MO F S st'_iWd be bent wward- the tiashing rn S) �(' , I.jst r(,,St ft,11Y F S agal�lst the roof sbingles; Otherwise the water arrd wind L 0 verformance rlr�ay be Impaired. j?) tTM 6,0 CONDITIONS OF USE IAPMO 40248 EZ Roof KjOkInj L-Foot Kit for Shingle Roofs described in !his report Cornp!"Ps with the codes listed in Secifnr 1.0 of this reports LibiOct to the following cond1flons., 5.1 C-7 Roof r0ouril shall be installed In accurdarice wiff, this ret OF[, rnAnufacturer't, tho Codes listed in Section 1,'nstn'IB110n instruction,14 and 1 6.2 Ca°culatjot,,g 10 t'eril`Y the illposed loads On the F_Z Roof Mount asseillbiy do not exceed the Allot(vable Corlaitlad in Table I of this repo- t shall be 10 the code Official When requested, CWCUlations 8141 be Prepared by a "09istered design Drofess"orial when 'Lzauired by tile statues 0r the iWisdiction where the work is COnstrUrzted. 6,0 I-S-VIDENCE SUBMITTED 1'esting and artalysis data submitted is in conforjnarjce with I Ev"Jivation, Criteria for Joist Hangers and Mi-scel arleOdg Connectors(IAPMO ES EC 002-20,11), Page 2 of 4 EVALUATION DEPORT Report Numberl 0248 Originally Issued: 0912012. Valid'Through: 0912013 Division. 06---WOOD AND PLASTICS 3.0 DESCRIPTION Sectiow 06060—Connections and f=asteners REPORT HOLDER: 3.1 General Description EZ Roof Mount L-Foot Kit conslsts of 5 basic SunModo Corporation components: (1)shoe assembly with captive watetprs of 1906 SE 5"'St,Suite A washer, (2)lag bolt to fasten through the shingleq to the* Vancouver,WA 98661 roof rafter, (3) flashing that is placed under the row of shingles above the shoe and then over the shore, (4)1.- EVALUATION TIAN SUBJECT Foot that is placed over the protruding shoe threads and (6) hex cap that is securest or to the shoe. See SunModo EZ Boot Mount L-Foot Kit for Shingle P gures 1 to 5 in Table 2. Roofs 3.2 Materials 1.t7 EVALUATION SCOPE: EZ Roof Morrnt is fabricated from aluminum. Shoe 1.1 Compliance with the following codes: assembly is fabricated using casting aluminum alloy With dimensions of 2.80 inches in diameter and 11.00 • 2009 International Building Code ML inches in height. It is held in place using one 5116 mash 2009 International Residential CodeS dianeter lag bolt that is 4 inch in length and made (if • 2006 International Building Coder stainless steel, Flashing is fabricated from sheet • 2006 International Residential CodeV aluminum with dimensions of 10.0 incises In width. 12,5 with 1.2 Evaluated In accordance with., in length and 0.04 inches In thickness. : L foot is a 2.00 inch tong unequal leg angle made frorn Evaluation Criteria for Joist Hangers and 6063-T6 aluminum with dimensions or 3.00 inches in Miscellannotis Connectors (IAPM0 ES EC002- depih., 2.00 inches in width and 0.24 inches in 2011),Approved March 2011 thickness. It contains a 0.375 inch diameter round hole • acceptance Criteria for Roof i lasNng for Pipe with :� 0.83 inch diameter Chamfsrsr (ins base) that is Penetrat'ons(€CC-L S AC286),Approved April 2010 located in the center of the base leg. one slat measuring 1,64 inch long by 0,40 inch wide occurs in 1.3 Properties Evaluated: the center and is located 0.30 inches from the top edge of the verlfcal leg, which has a scallop front and rear • Structural face. Sae Table 2 for component material properties • Weather Protection and figures.. 2.0 USES 4.0 DESIGN AND INSTALLATION PZ Roof Mount L-Foot Kit'for Shingle Roofs is used to 4`.1 Design mount solar systems and other rooftop devices such as satellite djshes on asphalt shingle roofs with woos) Tabula{ed alinwable loads shown in Table 1 of tills. rafters underneath. ieporl are based on a€loNable stress design fA,SD). Adjusilments to these values are required for wet €=Z Roof Mount is specifically designed to be used for service conditions, sustained exposure to elevated installation of solar parcels for electric or trot water temperatures, use with fire retardant lumber or with oroduction on roofs with sloces from 3 to 12 units lumber whose specific gravity is less than 0.55 vwtical in 12 units horizontal. (Southern Pine). Allowable values based on fastener strength may be adjusted for durations of loading. Sera foratnotes of Table. !'for more detailed explanations. Page 1 of 4 C o q+rl a�J17 t Y Ir^final sna!0.cx t r e?tri in t inl ar." hint a r Ifldy ,! rr�^?R ra Ea1 ad.YI•nfae'h I no Wdlyd 131a4`!h PRO<0 4e Flt w inn ray 1'.t n 4CUCld,Slim A G•'sIE h 1-R+7 t!.. SII T-Fi:'f F,E�4Pj�CY '�Nt x5pl4�E �1i sEltPiid(le i'r!-�,nawnriny ul nlltPr T, I±rv:i llF rv^,. N�l'':..411!9f ri3%>i:;:.bi lNw �_ , 4 CM".1!i...gift r^'a 9`7&S.2BIk-11lia Vreeland Design Associates An integrative approach to design, engineering and site planning Date-, November 12, 2015 Re: James Roberts, 96 Straw Ave, Florence, MA: Structural assessment and reinforcement detail of existing roof to support proposed PV and Thermal solar panel arrays. On 10122/15 we conducted a site visit and investigated the existing roof framing in the area of the proposed PV and thermal solar panel arrays. The 2-story, 28'x 44' hipped roof house was constructed in 1927. The rafters are full dimension 2x6 at 24" on-center spanning 13'-8" with a 7/12 roof slope. The hip rafters are full dimension M and span approximately 19'. Full dimension 2x6 attic floor joists, at 16" on-center, spanning 14', are attached to full dimension 2x4 exterior wall studs and supported on a bearing wall in the middle and running the 44' length of the house. There is a similar bearing wall on the first floor as well. A 2A plate is attached to the top of the wall studs and the 2x6 rafters are attached to the plate. Three (3)thermal solar panels, at 91 lbs each with fluid, will be mounted on the west side of the south roof and 13 PV solar panels, at 37 lbs each, are proposed on the remaining area of the 44' long south roof. Due to the hip roof layout the length of the ridge is approximately 16'. The south full length 2x6 rafters need to be reinforced by installing a 2x4 kneewall located 2'-6` in from the exterior wall to reduce the span of the rafters. The vertical 2x4 can be attached to the sides of the rafter with 2 —21/2" TimberLok screws and toe screwed to a 2- 2A plate that has been attached to the top of the floor joists. The 2x4 plate needs to be doubled because the joist are 16" o,c. and the rafters are 24" o.c. The south hip rafters will need to be reinforced as shown below: zJ13()�k k C., F-P slmysotl I Sr 1AW -14 S, -ED AA1 NEED AAI ....................... JZ7_,y,�, Z, .......... ---------- _. OF Atq. 9i 'to SLUE Z'�,G 1,41P DAVID A. VREELAN CIVIL -4 0 zq,��tqfq 317 ... .............. ,nro, NO.46 IST AL 116 River Road, Leyden, MA 01337 Phone: (413) 624-0126 Email: dvreeland@verizon.net Fax: (413) 624-3282 'i - - Main electric t: , Y � basement OR + v H �a I 111 • r fit°l 1 3 "4�• �Y?s I 4 0� t lt= ,j James D Robes env Ave 96 Straw Av FlorenCe, Ma 0 1062 The Commonwealth of Massachusetts print dorm Department of Industrial Accidents 3 ] Office of Investigations f ti 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): 1.0 1 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. 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.F-1 We are a non-profit organization, staffed by volunteers, 11.❑ Health Care 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 all organization should check box#1. I ant an employer that isproviding workers'compensation insurance for niy employees. Below is the policy information. Insurance Company Name:Hanover Insurer's Address:96 Straw Ave City/State/Zip: Florence, Ma 01062 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 ains and ties ofpeijury that the information provided above is true and correct. Si nature: a Date:9/16/15 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#: Nvmv.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 Colra ' , Ma 01340 6/7/17 00115R Expiration Date /A 4 �, 2,ej 4 5eo- 413-247-6045 i ure Telephone 9..R6Qwdtod,+4offid IttiotoveiiioiSt Gotitroctor' 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:GL.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.......X7 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 helshe 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 [O] Decks [Q Siding[O] Other[NJ Brief Description of Proposed ,q �J' w o Work: Install 13 solar panels on residence "/ fzft Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft.of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank City Sewer Private well__ City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I James Roberts as Owner of the subject property hereby authorize Northeast Solar to act on my be l , in all atters relative to work authorized by this building permit application. . 9/16/2015 ig ature 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 9/16/2015 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 Open Space Footage ° (Lot area minis 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 Q IF YES: enter Book ; Page; and/or Document#i 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 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 0 NO 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. 1�aaI�.R S City of Northampton Stettfirtfk s * f c� Building Department ttf WD, VOA p riif 212 Main Street +(F1tlb #i� ili I Room 100 Wit 1 - Northampton, MA 01060 i i fih � , y phone 413-587-1240 Fax 413-587-1272 iqit � LJ 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 96 Straw Ave Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: James Roberts 96 Straw Ave, Florence Ma 01062 Name(Print) Current Mailing Address: 413-261-8226 Telephone r 2.g ature Authorized A ent: Northeast Solar 136 Elm St, Hatfield Ma 01038 Name(Print) Current Mailing Address: �L1 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) 17, 006 Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2016-0714 APPLICANT/CONTACT PERSON NORTHEAST SOLAR DESIGN ASSOCIATES LLC ADDRESS/PHONE 136 ELM ST HATFIELD01038(413)247-6045 Q PROPERTY LOCATION 96 STRAW AVE MAP 17D PARCEL 050 001 ZONE URB(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 3.9KW 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: pproved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition y Sign e o ui 'ng ficial 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. 96 STRAW AVE BP-2016-0714 GIS#: COMMONWEALTH OF MASSACHUSETTS MapBlock: 17D-050 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-2016-0714 Project# JS-2016-001196 Est. Cost: $17006.00 Fee: $75.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: NORTHEAST SOLAR DESIGN ASSOCIATES LLC 106113 Lot Size(sq.ft.): 7971.48 Owner: ROBERTS JAMES D Zoning-:URB(100)/ Applicant.• NORTHEAST SOLAR DESIGN ASSOCIATES LLC AT. 96 STRAW AVE Applicant Address: Phone: Insurance: 136 ELM ST (413) 247-6045 O Workers Compensation HATFIELDMA01038 ISSUED ON:1112412015 0:00:00 TO PERFORM THE FOLLOWING WORK.INSTALL ROOF MOUNTED 3.9KW 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 11/24/2015 0:00:00 $75.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner