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32C-121 (19) 20 FRUIT ST BP-2017-0216 GIS#: COMMONWEALTH OF MASSACHUSETTS Map- Block: 32C- 121 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: SOLAR ELECTRIC SYSTEM BUILDING PERMIT Permit# BP-2017-0216 Project# JS-2017-000373 Est. Cost: 550680.00 Fee: $75.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: VALLEY HOME IMPROVEMENT INC 077279 Lot Size(sq.R.): 10497.96 Owner: DAN JEFFREY A&TALA R ELIA Zoning: URC(100)/ Applicant: VALLEY HOME IMPROVEMENT INC AT: 20 FRUIT ST Applicant Address: Phone: Insurance: P O BOX 60627 (413) 584-7522 Workers Compensation F L O R E N C E M A 0106 2 ISSUED ON:8/19/2 016 0:00:00 TO PERFORM THE FOLLOWING WORK: INSTALLATION OF 30 PV SOLAR PANEL - 9.6KW 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: FeeTvpe: Date Paid: Amount: Building 8/1920160:00:00 $75.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck-Building Commissioner File#BP-2017-0216 APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT.INC ADDRESS/PHONE P O BOX 60627 FLORENCE (413)584-7522 PROPERTY LOCATION 20 FRUIT ST MAP 32C PARCEL 121 001 ZONE URC(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT {( Fee Paid CI0 C IV93 76- Building Permit Filled out Fee Paid Typeof Construction: INSTALLATION OF 30 PV SOLAR PANEL-9.6KW New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 077279 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 Demolition Delay Ha )7:77—./1. Signer f Building Official 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. b Department use only Li City of Northampton Status of Permit: Ir._: j, .i� Building Department curbcuu0dvewayPennit U212 Main Street Sewer/Septic Availability w Eli Room 100 Water/Well AvailabilityCCo Northampton, MA 01060 Two Sets of Structural Plans : phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans o Other Specify APP .TION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 PropertvAddress: This section to be completed by office oO FQc//T Si Map Lot Unit A/0le-T4-444'tP MA), Al 4 O/ 0 (00 Zone Overlay District Elm SL Dlstdct CB District SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT b ' 2.1 Owner of Record: ili J(- ` 1i‘ 20 Ervr1' 5t/ Nw4'havwwhA1 0106W Name(Print) - Current Mailing Address: AAPMiliddyt-2, - 575-' (G32- Telephone Signature // 2.2 Authorized Agent: Veit l.cYSDe_i-.e- e0 'sox (00647 it/oerhi4440-04) ,v14 Name yntl Cunent Mailing Address: / G/p(a{ a-t--^ 2. -C-L1-2r-- — i 5 S`8 88 v t Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSL Item Estimated Cost(Dollars)to be Official Use Only completed by permit 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) > 5(1, (n 80 Check Number / y`( 3 76 — This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date • Section 4. ZONING AU 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&gated parking) N of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW 3' YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW lNYES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW 0 YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO LY IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO V IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,ex vation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing ❑ Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [C) Decks [C Siding[C] Other glit SOLA- Brief Description of Proposed 30 pV I'Ylo/'dU�-f. Po,,rowy (Lac— Work: mPUVI oX_ 1� [ Alteration of existing bedroom Yes No Adding new bedroom Yes No Attecbeti Narrative Renovating unfinished basement Yes NZ No Plans Attached Roll )" Sheet Sa.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 AGENTOoOR CONTRACTOR APPLIES FOR BUILDING PERMIT C� Y t'- as Owner of the subject property (r' I hereby authorize ik\ t'-4 S kax , LL C to act on my behalf all matte elative to work a thorized by this building permit application. to / 1 [ (a Signature of Owner Dv':A,I Date I Vki11Sol i LLC ,as Owner/Authorized Agent hereby declare that the statemA nts 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. S erVii S I VZ{/ [t n Print Name6/4‘/ Signature of• r nt Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor / /� /t I Not Applicable�e l0 Name of License Holder: ) ,tJQ ( 1 V/cle 1Y xow ` 07 1 2:s License Num r Z(0 t3 tUmt{ u aw�ptu� IfnPlplol3 b Z) II Address Expiration Date Signature zdifr �1i3 - 5 � � ' 75Z't- 9.RealsteredNom improvement Contrpctor Not Applicable ❑ S e vitfl .S 1 \ &Y vvACtiv1 l 0 5 CH'S Comoanv Name Registration Number LO Box 60(ot-7 -7\ 11 \ i8 Address � nn �/� /� t Expiration Date iie.v , h' IIA 0lQ(c2- Telephone '113i' J �"7512 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 No 0 11. - Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occunied Dwelinas 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. JrefnitIon of Homeowner:Person(s)who own a parcel of land on which heishe 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 Snoerylsor 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 msv be habit for persons) 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 ¢„ The Commonwealth of Massachusefts '- Department of Industrial Accidents Office of Investigations irk — 1 Congress Street, Suite 100 a_-,'di Boston,31,4 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Annlicant Information pp Please Print Legibly Name (BwiaessJOrgar,r<ion.3ndividual): ;`<, '-'J. 50 \Cl�' [�L l.. __ Address: 314o i'C4`24r5i LL Or1V , Po c.50)4. k;O 257 n t Yr ro 1l.'t, L 3 `-- H H City/Stare/Zip: 1��� �h..�l (.� : �- � , .'��- Phone T: l �� S � `-( � � :� Are you ane employer? Check theappropriate box:mPI F.Type of project(required): 1. 1 am a employer with 5 4. ❑ I am a general connector and I i '-6. New construction employees (full and'm part =e).• have hired the subcontractorsrs r; listed on the attached sheet. 11 7. C Remodeling - 2. I am a sole proprietor or partner- I These sub-contactors have 1 I 8. 0 Demolition and have no employee: workingfor me in any r city. employees and have workers' 1 :pa ti 9. 0 Building addition [No workers' comp. insan urce comp. instuaace.r recut-ed] 5. Q We are a corporation and Rs i 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 11.0 Plumbing repairs or additions myself. No workers' comp. right of exemption per biGL I 12.c Roof repairs insurance required._ + c. 152, ¢1(4),and we have no 13. Other SO\,C-Ur employees. [No workers' comp. insurance required.) i *Any applicant that;ticks bog=1 muss also SJ out ins section below sowing theirwonce:z'coaoasadon poling information. Homeownes who submitthusffdsvit ihhii=ting they are doing all work end Len hire outside wvca:tors tan stbrdt a new afddn8 mdicng s.:ch. Convaaom that check this box-mac aim cited an additional shoe showing to name of the sab-:.oneactars end slate whether or not Most mattes have employees. If the sub-contactors have mpluyees,they meat arovida their wotkeg'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site inccrn.a:on Inc-mance Company Na__-. " kit ti � tik^.Slra L1.F1 L.L.V (,.t�`i,,/] t Policy r or Self-ins. Lie. #: \ C'OL` (0-2)-7SS Expiration Date: 2-1 I I 17 Job Site Address: _ ( 1 LL I 0 Clef I 0 NS City/Sate/Zip: _ Attach a copy of the workers' compensation policy declaration page(showing the policy cramher and expiration date). 0;1,1'e,n gistninr en,.a_.. _ re;s:.'nesd4 A Qt-T. 'n.. )5 A fi*ni .. le..a CI ea fine up to S1,500.00 and'or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a free of up to S250.00 a day egad-Kt the violator. Be adsiser that a copy of this statement maybe forwarded to the Office of investigations of the DLA for insurance coverage verification. i do hereby cent underr die/ airs andpe f o er'hat the inorma ion provided isJ ie and correct. Simaarure: "7 i/ p '/ ,i,ii ' Dare: CG I / /L) Phone c: ri 1_5 " tits, u- e)'i l.Y i-'r ll Official use only. Do not write in this area,to be completed by city er town official. t il I11 I City or Town: Perinit.lieensse t it p .sa.,ug Act-vt..s-tilde time.]: ll r I. Board of Health 2,Building Department 3. City;T owe Clerk 4.Elect-rim'inspector S.Plumbing Inspector I 11 6.Other I I' Contact Person: Phone I City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. Address of the work: 20 crvi } 5i- , N w-Wkcvw h v m C l 060 ` The debris will be transported by: k1/4, t 061� t,W 9ro teAtiltc'1f The debris will be received by: V Cti\i c\ ( < U- CA J 4.9 Building permit number: 1 Name of Permit Applican VOL\ C\ 501 r U—C I � ) Date Signature of Permit Applicant MICRO- INV[RI-ER GLLCTRICAL DIAGRAM • • 0 EQUIPMENT SCHEDULE TAG (DESCRIPTION I PART NUMBER NOTES 1 PV DC or AC MODULE >o a.)foL, 5P/Z KaI - L'y > G RC _. Q Li DC/AC INVERTER(MICRO) 2nbe q,Alt A-c AO(Lv r2 _ 3 i-BOX OF USED) a 14 UTILITY 4 PV ARRAY 3-s P. - i._.oC /b nMdu/f1 E.. [ c SERVICE 5 AC COMB PANEL(W USED) oL4DCc C i ,Av 6 i GEN METER OF USED) PawY C6N. 4 ."YLI ;( / C 0 CI . s` T AC DISCONNECT(IF USED) Crrt) VAI M( ZY e SERVICE PANEL L/�j as 4 c.� t2A ryafzCl 14 ,6YC < .np„1 /Q 0 SEE GUIDE APPENDIX D FOR O INFORMATION ON MODULE AND 0 111 111 ARRAY GROUNDING I i, • • • •• \i MN1 N) NJ MICRO-INVERTERS © 0 © OCPC ., IN BRANCH- \ ! r CIRCUIT j� AC DISCO H ✓. © _ © __' V �. V I-130X he INVERTER G a OCVD • • • •• r - _ L\V BUI LDINGaaI se �r. l 'J' • • • S I \ GR...x Humev PANEL L•I PANE © GR... A• MI IN BRANCH- CIRCUIT �L © \ 111 icli CIRCUIT ; \ A e �. FOR UNUSED MODULES �� H PVT'N/A”in BLANK ABOVE L. QCONDUIT AND CONDUCTOR SCHEDULE w TAG DESCRIPTION OR CONDUCTOR TYPE I COND. I NUMBER OF I CONDUIT CONDUIT GAUGE CONDUCTORS TYPE __SIZE � ado NeMle I USE-2 0 or PV WIRE p MFG MFG Cade N/A N/A ''oo,,II „„N,,,,,- One-Line Standard Electrical Diagram 2 GEC 0_ EGC 0 XALL THAT APPLY. N/A N/A Im"t^V'SU L'LLL- for Micro-Inverter PV Systems 3 EXTERIOR CABLE LISTED W/INV ~MFG MFG Cada N/A N/A Pu(4` c b P 6L1 Site Name. Cf r-CAA O0.11 4 THWN-20or XHHW 2❑ or RHWQp — M^/11.4wxeQ1'Irn Y3`P SiteW Address: ze, cry; Si-, y3/d✓'H'k'Mvt+ GEC❑ EGC ❑ XALL THAT APPLY SAME SAME I L --- , ¶6L\ ATA System AC Size: 1,le k /14A I4 NO DC GEC IF 690.35 SYSTEM ` sue rsca NO DWGNO nn waveey do ,I, , L5 THWN-2 0 or XHHW20 RHW-2 0 a lNV_ El,la 0 GEC 0 EGC 0 X ALL THAT APPLY 1 I SAME LSAME , owed a KALE NTS Date:b J2)j 0 wM 11 mull. r CrNz ST Is FRUIT m 20FRUIT 00 MKT 25 COW ST 9l. O � VPai FRUT 19 FRUIT ST Pi nth, J!STU1T `,, ! 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Y % . :- + i( 4fx9 , # c'� +y ,•\ � 4 y pyi y�� Y ' ^ "tom a w4 +1 ., ^S Yw ,` +� IMF ■y (1 �t"v�p i s• ' 1 y/y� 1■� 1 R` liis F' f5Y t°k ,.• I `Y'( / c _ iii : - : �' � lam, �, J - tiP � je r ' � I i rip ii ,, r ' II ille.:111 11 a 340 Riverside< Drive, 1 13/411111,,,'° Northampton, MA 01062 www.vatie solarsolar 413.584.8844