Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
38B-112 (3)
39 MUNROE ST BP-2019-0270 GIs#: COMMONWEALTH OF MASSACHUSETTS Man:Block: 38B- 112 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 ELECTRIC SYSTEM BUILDING PERMIT Permit# BP-2019-0270 Project# JS-2019-000446 Est. Cost: $9700.00 Fee: $75.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: SPARTAN SOLAR 107869 Lot Size(sq. ft.): 7405.20 Owner: LOMBARD JOHN&LILLY Zoning: URB(_100)/ Applicant: SPARTAN SOLAR AT. 39 MUNROE ST Applicant Address: Phone: Insurance: 10 CHARLES ST (413) 768-0095 GREENFIELDMA01301 ISSUED ON.9/6/2018 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL 2 SUNEARTH TRB-40 PANELS MOUNTED FLUSH TO THE SOUTH WALL OUTSIDE THE 1ST FLOOR BATH 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 9/6/2018 0:00:00 $75.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner Sola r Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit 4 . 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability �..� Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, TlEiVIOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION -7 1.1 Property Address: SEP 4 2018 This section to be completed by office Map 96 Lot l Unit 39 MUNROE STREET DEPT OF BUILDINGINSPF.CTIONS NORTHAMPTON,MA K491 Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: LILLY & JOHN LOMBARD 39 MUNROE STREET, NORTHAMPTON Name(Print) Current Mailing Address: 413-207-5899 Telephone Signature 2.2 Authorized A ent: 5a4v&ke� 2i�4-4110 /v 6 44]s A%hej& IVA Name( rinl) Current Mailing Address: y/3--�&oe— 0 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 9700.00 (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) 9700.00 Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: �f— Building Commissioner/Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) t;r, 4 f 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 tilled in by Building Dcpaitmcnt Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DON'T KNOW O YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DON'T KNOW O YES O IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO O DON'T KNOW O 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 O 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 O 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 O NO O IF YES,then a Northampton Storm Water Management Permit from the DPW is required. r 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 [0] Decks [0 Siding [O] Other[O] Brief Description of Proposed Install(2)Sunearth TRBAO panels mounted flush to the south wall outside the first floor bathroom. Work: Alteration of existing bedroom Yes X No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes x No Plans Attached Roll -Sheet 6a. If New house and or addition to existing housing, complete the following: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, Q( 1�J _, as Owner of the subject property SPARTAN GIORDANO hereby authorize to act on my behalf, in all matters relative to work authorized by this building pen/rmit application. Signature of Owner I r Date I, S�AIn.��.,� �)l�►t/lin t7 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 andpenalt es of perjury. S AJL� D A�A v Print NaYne I h Signature oi n r/ ent Date i f 4 SECTION 8 -CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: License Number 0 �r 5� , �;2.�✓I �,lV 013m ( �a zv Add r ss Expirati n Date W7v X—$ Sign f u Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ fg 5 2 (71 �;C, 3 Company Name Registration Number Q�O Address /J r Expirati Date Telephone 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 b ilding permit. Signed Affidavit Attached Yes.......x No...... ❑ t • The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street,Suite 100 y' Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Spartan Solar Address: 10 Charles St. City/State/Zip: Greenfield, MA 01301 Phone #:413-768-0095 Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with 4. ® I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. New construction 2.® I am a sole proprietor or partner- listed on the attached sheet. 7. ® Remodeling ship and have no employees These sub-contractors have g. ® Demolition workingfor me in an capacity. employees and have workers' Y + 9. ® Building addition [No workers' comp. insurance comp. insurance.+ required.] 5. ® We are a corporation and its 10.® Electrical repairs or additions 3.® I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.® Roof re airs insurance required.] t c. 152, §1(4), and we have no Solar Hot Water employees. [No workers' 13.® Other comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Acadia Insurance Company Insurance Company Name: — Policy#or Self-ins. Lic. #: MAARP302432 Expiration Date: 11/9/2018 15t3� OYIR►e.- City/State/Zip: c7f 0'6(� Job Site Address: Attach a copy of the workers' compensation policy declaration page(showing the policy number and 1xpiration 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. Ido hereby certify and r' a pains and penalties of perjury that the information provided Bove is true and correct. Si nature: Date: Phone#: 413-768 Official use only. Do 6f 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.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: � IFCT B BPrklev Company Massachusetts Workers'Compensation/nsurance pian Acadia Insurance Co/NCCI Carrier Code 33391 Administered by BerkleyNet Assigned Risk Renewal Of No, MAARP302432 INFORMATION PAGE SPARTAN GIORDANO Policy Number: MAARP302432 dba: SPARTAN SOLAR Risk ID: 1133797 10 CHARLES STREET Tax ID#: 47-1450518 Greenfield,MA 01301 Policy Period: From: 11/09/2017 To: 11/09/2018 Endorsement Date 11/09/2017 Date of Mailing: 10/03/2017 ® Individual Partnership Corporation Other Other workplaces not shown above: See Schedule 2. The policy period is from 12:01 a.m. 11/09/2017 to 12:01 a.m.11/09/2018 at the insured's mailing address. 3.A.Workers'Compensation Insurance:Part One of the policy applies to the Workers'Compensation Law of the states listed here: MA B.Employers Liability Insurance:Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury By Accident $100,000 each accident. Bodily Injury By Disease $500,000 policy limit. Bodily Injury By Disease $100,000 each employee. C.Other States Insurance: Part Three of the policy applies to the states,if any,listed here. SEE 20-03-06(B) D.This policy includes these endorsements and schedules: WCOOOOOOC WC000308 WC000403 WC000404 WC000414 WC000415B WC000422B WC200301 WC200302A WC200303D WC200306B WC200307 WC200401 WC200402A WC200403 WC200405 WC200601A WC200604 WC990001A WC990601 4.The premium for this policy will be determined by our Manuals of Rules,Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. PREMIUM BASIS RATES ENTRIES IN THIS ITEM,EXCEPT AS SPECIFICALLY PROVIDED ESTIMATED ESTIMATED TOTAL PER$100 OF CODE ELSEWHERE IN THIS CONTRACT; DO NOT MODIFY ANY OF ANNUAL ANNUAL REMUNERATION REMUNERATION NO. THE OTHER PROVISIONS OF THIS POLICY. PREMIUM See Schedule Premium Summary Total Estimated Annual Premium $1,214.00 Minimum Premium : $460.00 Total Fees and Assessments $44.00 Total Fees and Premium $1,258.00 Total Amount Paid ($1,258.00) Total Amount Due $0.00 Agency Name and Address Shippee Patrick M Agency Mirick Ins Agency PO Box 375 Shelburne Falls, MA 01370 DATE: 10/03/2017 /'/ " Signature: Includes copyright material of the National Council on Compensation Insurance used with its permission. /11C 00-00-01 @1983 @ 1991 National Council Compensation Insurance P.O.Box 59143 1 Minneapolis,Minnesota 55459-01431 Toll Free(888)548-74311 Fax(866)215-8118 www.be•'leyassignedrisk.com I assigned risk@berkleynet com 1 1 1 :i 1 i 1 {tI 1 i i a j]3 d i I q�y 7 S { �77 i ti Eerk(eyNet Massachusetts Workers' Compensation Insurance Plan Berkley Company Acadia Insurance Cc I NCCI Carrier Code 33391 a Administered by BerkleyNet Assigned Risk INFORMATION SCHEDULE Renewal Of No. MAARP302432 The Insured: Policy Number: MAARP302432 SPARTAN GIORDANO Risk ID: 1133797Tax ID#: 47-1450518 dba: SPARTAN SOLAR Policy Period: From: 11/09(2017 10 CHARLES STREET To: 11/09/2018 Greenfield, MA 01301 Endorsement Date 11/09/2017 Date of Mailing: 10/03/2017 Changes as set forth below are hereby made, with respect to the estimated remuneration, premium and/or rates. PREMIUM BASIS RATE PER $100 ESTIMATED ESTIMATED TOTAL OF ANNUAL CODE NO. CLASSIFICATIONS ANNUAL RENUMERATION RENUMERATION PREMIUM State: MA Premium Period: 11109/2017 - 1110912018 Location: #1 SPARTAN GIORDANO, 10 CHARLES STREET, Greenfield, MA 01301 5538 SHEET METAL WORK-SHOP & $20,910 4.58 $958.00 OUTSIDE-NOC&DR Total Manual Premium $958.00 0000 Employers Liability Increased Limits 0 $0.00 Subject Premium $958.00 Total Modified Premium $958.00 Total Standard Premium $958.00 0900 Expense Constant $250.00 9740 Terrorism 0.03 $6.00 Massachusetts Department of Industrial 0.0456 $44.00 Accident Assessment Reported Policy Minimum Premium $460.00 Estimated Annual Premium $1,214.00 Total Amount Due $1,258.00 Policy Summary 11/09/2017 - 11/09/2018 Total Manual Premium $958.00 Employers Liability Increased Limits $0.00 WC990001A P.O.Box 59143 1 Minneapolis,Minnesota 55459-0143 1 Toll Free(888)548-7431 1 Fax(866)215-8118 www.berkleyassignedrisk,com I assigned risk@bFrklevnet.com 3erkleyNet Massachusetts Workers' Compensation Insurance Plan Berkley Curr uany Acadia Insurance Co I NCCI Carrier Code 33391 a Administered by BerkleyNet Assigned Risk INFORMATION SCHEDULE MAARP302432 ad: Policy Number: MAARP302432 Risk ID: 1133797 AN GIORDANO Tax ID#: 47-1450518 1ARTAN SOLAR Policy Period: From: 11/09/2017 kRLES STREET To: 11/09/2018 field, MA 01301 Endorsement Date 11/09/2017 Date of Mailing: 10/03/2017 as set forth below are hereby made, with respect to the estimated remuneration, premium and/or rates. Premium $958.00 )dified Premium $958.00 andard Premium $958.00 e Constant $250.00 5M $6.00 ted Annual Premium $1,214.00 chusetts Department of Industrial Accident Assessment $44.00 kmount Due $1,258.00 ted Policy Minimum Premium $460.00 eposit Premium Required $1,258.00 um Paid to Date ($1,258.00) Premium Due $0.00 >ther terms and conditions of this policy remain unchanged. Agency Name and Address Shippee Patrick M Agency Mirick Ins Agency pQ Box 315 MA 01370 we 99 00-01A, Shelburne Falls, p143 I1o11 Free(888)548-7431 I Fax(866)215£1118 Minnesota 55459 berkieyeet com n Box 59143 I Minneapolis, assanedrisk@ "k".berkleyassignednsk.com I AleyNet Massachusetts Workers' Compensation Insurance Plan Acadia Insurance Co I NCCI Carrier Code 33391 a Berkley Company Administered by BerkleyNet Assigned Risk INFORMATION PAGE RP302432 Policy Number: MAARP302432 Risk ID: 1133797 ANO Tax ID#: 47-1450518 OLAR Policy Period: From: 11/09/2017 2EET To: 11/09/2018 1301 Endorsement Date 11/09/2017 Date of Mailing: 10/03/2017 ® Individual ❑ Partnership Corporation Other A shown above: le )d is from 12:01 a.m. 11/09/2017 to 12:01 a.m.11/0912018 at the insured's mailing address. npensation Insurance:Part One of the policy applies to the Workers'Compensation Law of the states listed here: _lability Insurance:Part Two of the policy applies to work in each state listed in item 3.A. f our liability under Part Two are: Bodily Injury By Accident $100,000 each accident. Bodily Injury By Disease $500,000 policy limit. Bodily Injury By Disease $100,000 each employee. tes Insurance: Part Three of the policy applies to the states,if any,listed here. 03-06(B) -y includes these endorsements and schedules: )OC WC000308 WC000403 WC000404 WC000414 WC000415B WC000422B WC200301 WC200302A WC200303D WC200306B WC200307 )1 WC200402A WC200403 WC200405 WC200601A WC200604 WC990001A WC990601 m for this policy will be determined by our Manuals of Rules,Classifications, Rates and Rating Plans. ion required below is subject to verification and change by audit. JM BASIS RATES ENTRIES IN THIS ITEM,EXCEPT AS SPECIFICALLY PROVIDED ESTIMATED 'ED TOTAL PER$100 OF CODE ELSEWHERE IN THIS CONTRACT;DO NOT MODIFY ANY OF ANNUAL MUNERATION REMUNERATION NO. THE OTHER PROVISIONS OF THIS POLICY. PREMIUM iedule Premium Summary Total Estimated Annual Premium $1,214.00 n Premium : $460.00 Total Fees and Assessments $44.00 Total Fees and Premium $1,258.00 Total Amount Paid ($1,258.00) Total Amount Due $0.00 y Name and Address ee Patrick M Agency Ins Agency ix 375 urne Falls, MA 01370 'y I S'Ignature'. � we 00-00-01 10312017 n52fion Insurance used with ils permission. -�of the National Council on ComPe 31 Soil Free(8681 548 1431 1 Fax 161215 8118 mpensation Insurance berkleynel com ��nneapoiis,Minnesota 55450-W4Bssignedrisk@ ovassignedrisk com 1 CERTIFIED SOLAR COLLECTOR SUPPLIER: BRAND: ThermoRay SunEarth,Inc. MODEL: TRB-40 ] j 8425 Almeria Avenue cccx��7 Fontana,CA 92335 USA COLLECTOR TYPE: Glazed Flat Plate I www.sunearthinc.com ✓� CERTIFICATION#: 10001803 ® Original Certification: March 06,2013 Expiration Date: February 01,20251 fisted below has been evaluated by the Solar Rating&Certification CorporationTM (SRCCT""),an ANSI accredited and EPA recognized yJ, n accordance with SRCC OG-100,Operating Guidelines and Minimum Standards for Certifying Solar Collectors,and has been certified by and of certification is subject to all terms and conditions of the Program Agreement and the documents incorporated therein by reference. y:1 COLLECTOR THERMAL PERFORMANCE RATING , Kilowatt-hours(thermal)Per Panel Per Day Thousands of Btu Per Panel Per Day High Radiation Medium Radiation Low Radiation Climate-> High Radiation Medium Radiation Low Radiation 6.3 kWh/m'.day) (4.7 kWh/m'.day) (3.1 kWh/m'.day) Category (2000 Btu/ft'day) (1500 Btu/W.day) (1000 Btu/ft'day) (Ti-Ta) 17.7 13.4 9.1 A(-9°F) 60.4 45.7 31.1 16.1 11.8 7.6 B(9°F) 55.1 40.4 25.8 13.7 9.5 5.4 C(36°F) 46.7 32.4 18.3 9.3 5.4 1.8 D(90°F) 31.9 18.3 6.0 5.4 2.1 0.0 E(144°F) 18.4 7.0 0.0 A-Pool Heating(Warm Climate)B-Pool Heating(Cool Climate)C-Water Heating(Warm Climate) ya D-Space&Water Heating(Cool Climate)E-Commercial Hot Water&Cooling `', OR SPECIFICATIONS 3.804 m' 40.95 ft' Dry Weight 59 kg 131 Ib ture Area: 3.419 m' 36.80 ft' Fluid Capacity: 3.3 liter 0.9 gal r Area: 3.456 m' 37.20 ft' Test Pressure: 1103 kPa 160 psi ICAL INFORMATION Tested in aocordance with:ISO 9806 ciency Equation[NOTE:Based on gross area and(P)=Ti-Ta] 0.751-3.72680(P/G)-0.00670(P2/G) Y Intercept: 0.753 Slope: -4.172 W/m'.°C 0.751-0.65682(P/G)-0.00066(P'/G) Y Intercept: 0.753 Slope: -0.735 Btu/hr.ft2.°F :Angle Modifier Test Fluid: Water 10 20 30 40 50 6070 Test Mass Flow Rate: 0.0199 kg/(s m') 14.75 Ib/(hr ft') 1.00 0.99 0.98 0.96 0.94 0.88 0.77 Impact Safety Rating:11 SKS: i OG-100 CERTIFIED y cal Direor Print Date:July,2013 nnict ©Solar Rating&Certification CorporaGonT"" 400 High y , 'C, ,;• « <_ .�.< h Point Drive,Sze 400 Cocoa Florida 32926 (321)213 6031 Fax(321 821 091 Page 1 of 3