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23A-271 (15) 39 MIDDLE ST BP-2019-0858 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23A-271 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A) Category: SOLAR ELECTRIC SYSTEM BUILDING PERMIT Permit# BP-2019-0858 Project# JS-2019-001428 Est. Cost: $18000.00 Fee: $75.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use,Group: TOBIN BUILDING AND REMODELING 074317 Lot Size(sq. ft.): 13155.12 Owner: BRENNAN JAMES J&HAZEL E Zoning:URB(100)/ Applicant: TOBIN BUILDING AND REMODELING AT. 39 MIDDLE ST Applicant Address: Phone: Insurance: 306 NORTH MAIN ST#3N (508) 525-9878 WC UXBRIDGEMA01538 ISSUED ON:2/5/2019 0:00:00 TO PERFORM THE FOLLOWING WORK.-16 GRID TIED SOLAR PV SYSTEM 5.76 KW 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: Qii: 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: FeeTyne: Date Paid: Amount: Building 2/5/2019 0:00:00 $75.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner _, t nl use cttllly City of Northa pton fP Building Depart entF / - 9 P ur ,t ►ri y +fit , ;. 212 Main Str et FEB - 42 4�"' Room 100I Wet1 iiity Northampton, MA 010 of trl,l'lens phone 413-587-1240 Fax 413P-WRYAOY'01 �n'n Ot#ter'S�e� - APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 6/; /q.- T5_T 1.1 Property Address. This section to be completed,by office �' /1 Map Lot si711 7/ Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: G Name(Prin Curren Mailir�g�4d�r _ All -�-- Telephone Signat 2.22 Authorized Agent: 1L�c k)CL,Y(A --TLhc� ?-()(C KC t l tyrU(hYic� Axtl Name(Print) Current Mailing Address: Signature Telephone SECTION S-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building t Ga 10010 (a)Building Permit Fee 2. Electrical coo (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 1i 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) S Check Number / �- This Section For Official Use Only Building Permit Number: Date Issued: Signature: '!f-1 0 ems.rw Z 11 Building Commissioner/inspector of Buildings Date r 1 C.�_�Oh I� @ mY t\ C EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) 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 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 DONT KNOWIVN YES 0 IF YES, date issued:`` IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW Q YES 0 IF YES: enter Book Page' and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW W 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 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? YESQ 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 171 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [M Siding ] Ot er[ Brief Desc'ption of Proposed }} Work: Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes * No Plans Attached Roll -Sheet 6a.#New house a+nd ora +diti n to exis#�nc#hour tt ,colmgie#�the fQtlowtns>I: 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, )ty � � 1 ,as Owner of the subject property rf hereby authorize \U )ar \e0 V) n to act on my behalf, 'n all matters relative to work authorized by this building permit application. Signature of O r Date Ac� /\CN 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. Sig d under the pains and penalties of perjury. l5 <� Print Name C� Signature of Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 7 8.1 Licensed Construction Supervisor. 'n is�or. Not Applicable ❑ Name of License Holder: 1 u1 f ck TGb 1 �`) 1 4� l License Num �� f��, tilcu Y� 3 N i��bridcae M f) c)i fS ys, be 1 CA Address Expiration Da e Signature Telephone 9,gooklemo HOM2 brovement, =-qoc�L Not Applicable ❑ kct 0cl 1 to cl 0 q �-- Company Name Registration Nu er !U. xbnc�c e. � C� 5�g 1 C� Address /f �' Expiration Date Telephon 5Q: q 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...... ❑ r. City of Northampton ! Massachusetts ?S . .:.., c,�r �j. � � DEPARTMENT OF BUILDING INSPECTIONS p"s 212 Main Street •Municipal Building 5J° � Northampton, MA 01050 Debris 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. The debris from construction work being performed at: k-AcJjL '-�+ (Please print house number and street name) Is to be disposed of at: 5o �a� (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) ,f /1 Signature of Permit Applicant or Mner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. Massachusetts Department of Public Safety Board of Building Regulations and Stanc#ards License: CS-074317 .71 RICHARD J.T08IN,JR. f SN N.MAIN STA3 NORTH UXBRIDGE MA BU= • ..d, .• `. err• Expiration: I-ommissioner 02186/284! -"", !'.•••aa rr��xirv=rrSAI, ,rdj'w.,r,wr,Qgakv>rs 1���rAMIMw•�NIliIA�'1T21�11�. TM11Et oIMM �Towv " TOM WK 8Mt The Commmweaft ofH=warhrrsd&D wpmrrkneat of IsednsdW Acct Qjke of bn w.s*ad6w 600 Washir OOK S&8d BOWOR,MA 02I11 www.ntra M jvWdU Worloent Compebwuraoaee Affidavit»BWWaWC pp Au___n ret o►rm SULDe PIMC P—d at I��edw Name: 11 'C'/i a (Budne 91 -727-A,441 RIIJ Address: L [1 I am a emplaw with 4. 1 am a general contractor and t 6. New Constrtiction employees(full and/or part-time).* have hired the sem-contractors llsbed on the attached sheet.These sub- 2. orb- �. ❑Ren+odel� 2.0 lam a sok proprietor or contractors have employees and 8. ❑Demo[ on partnership and have no employees have workers'comp.lnsurance# 9. Q Building addition working tar me in any capacity. [No workers'comp.Insurance S.❑We are a corporation and its 10.n Electrical repairs or additions required.] ofters have exerdsed their right of exemption per MGL c.M§1(4). 3'Z'Q��Repairs 3.DI am a homeovuner dohs all work and we have no employees.[No 12.❑Roof Repairs Myself,(No workers'comp.insurance workers'comp.Insurance required 3 required]° 13.Q Other applic"dwt cabs b boat#1 noel sko IM out the wcdm below s miq their vradwe oonapion polio'woe. qg tbry are doing all work and thea hh+e oumdda eaems inn=nt nbn*a new affidavit indicating sale.%Caat umn dw abs*this beer mot attwfwd an addkkmW sbjW sbovw9 the name oftbe mib-�o and stmo w}w&war not those anwin hem a,mpbyeft irtbe Wmanuu6m have cq&yaM they mast provide&air wwkets'wnp.policy mmber. Ida tex evt0,8'fit�C�Wr*dW�n kaaa "fW m9 a y�em B k ttsPOffq'end,j0h S64 Wim' l omme company Name: Policy#or Saif' Job Sita Address- CitylSt elZip: 01 Attach a copy of due wo&eta'eeeaaP peft dethm iaa lip(sh6wing the pow saaabw aed eoration date).Failt n to ae=v cava sga as required under Section 25A of MQ.a. 152 can lead to the imposd=of criminal pmalties of a fine up to$1,500.04 and/or ou-yomr itnprisoama as well as civil penahies in the farm of a STOP WORK ORDER and a find of up to$►254.04 a day agaim the violasoc Be advised tbet a.oopy of this suftmu3t msy be fatwwded tD dw Office of 3nir ons of**DIA for hmnince,coverage vet>soafim. I do ka"y mo intAir MePOW&VdP=Ww SONJARY AW the 4k*W Is trove Mad w"wt o�tc�VWt�cx mrroTWR=J vfTH9Y rOXffCOACKErMvszr„rr�oa�toWxoPr2cra�. Chy arTo m Par nesse# 7saotag A xdwa ty(dmb ow); 1.Bo"of Beate►2.B D%Oremmwt 3.CTitjfr"m C Wft 4.Z6ebecad 'S.P b m b*ector 6. Odier Ce�ntaetPtars�: Pboac ft �C--� " DAT£eAraoavrvvn CERTIFICATE OF LIABILITY INSURANCE 04119/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: H the certificate holder Is an ADDITIONAL VOWED,the poky(fes)must haw ADDITIONAL INSURED provisions or be endorsed. I SUBROGATION IS WAIVED,subject to the Wan and conditions of the policy,certain Policies may require an erxbrswnenL A statement on this certificate does not carNar rights to the certificate holder in Neu of such endorsenunt(s). PRODUCER CONTACT NAME: Selective insurance Company of America = , (877)744-3125 (877)378-3033 P.O.Box 13325 ADDRESS: servicecenterl�selective.can a1SURERM AFFORDING COVERAGE MAIC Richmond VA 23225.0325 INSURER A: Selective Insurance Co of SC 19259 IISURED INSURER s RICHARD TOBIN DBA TOBIN BUILDING AND REMODELING INSURER C: PO BOX 491 INSURER D: INSURER E: N UXBRIDGE MA 01538-0491 1 SER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO W41CH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFF FUMY EXP LTR TYPE OF INSURANCE ww wwo POLICY NUMBER LIMITS X COMMERCIAL GENERAL LWAR RY EACH OCCURRENCE S 1,000.000 claaas•MADE �X OCCURwww s 500.000 MEDEXP(AMansperwn) S 15,000 A S 2263905 04/0712018 04/07/2019 PERSONAL a ADV INJURY s 1,000,000 GEML AGGREGATE LINIT APPLIES PER GENERAL AGGREGATE $ 3.000,ODD POLICY II JJERCOT Q LOC PRODUCTS-COMPIOP AGG S 3.000.000 OTHER: S AUTOMOa1LE LIABILITY C=) L S ANY AUTO BODILY INJURY(PuF parson) $ OWNED SCHEDULED BODILY INJURY(Per WCdeni) S AUTOS OM.Y AUTOS HIRED NON-OWNED POMRTY DAMAGES AUTOS ONLY AUTOS ONLY Mw accoom S UNA MIELLA UM OCCUR EACH OCCURRENCE S EXCESS LIAa CLAMS-MADE AGGREGATE S DED I I RETENTION S 5 VN01ItER5 COMPENSATION AND EMPLOYERS'LIABILITY Y I M STATUTE I IER _ ANY PROPRIETOWPARTNERIEXECUTIVE ❑ MIA E.L.EACH ACCIDENT S OFFICEMMEMBEREXCLUDED? NAanA�Aory in 0" E.L.DISEASE-EA EMPLOYEE S xy"devjibe under .DESCRIPTION OF OPERATIONS b0ow E.L.DISEASE-POLICY LIMIT S OESCR>PTION OF OPERATIONS J LOCATIONS I vEINCLES(ACORD M.Addida W Raaarks SdeduK may a au KMO I mon space is n p*** CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WALL BE DELIVERED IN ACCORDANCE MTN THE POLICY PROVISIONS. AUTHORREO REPRESENTATIVE 0 1OW201S ACORD CORPORATION. AN rights reserved. ACORD 25(2016103) The ACORD narrhe and"tare registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street;Suite 100 Boston,MA 02114-2017 www.massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMrITING AUTHORITY, Applicant Information Please Print Letiibly NaMe (BusineWOrganizwionTndividual):_ LD�-V t,/ ol jejle. - ib (in City/State/Zip. N� Phone#: Q1 91 jC\ Are you an employer*Check the appropriate box: / yerType of project(required): l"L am a employer with ?3 employees(full andior part-time).• 7. n New construction 2.a I am a sole pmpriator or parmail ip and have no employees working for me in $. C]Remodeling any capacity.[No workers'comp.insurance required.] 3.[3 1 am a homeowner doing all work myself.lNo workers'comp.insurance required.]' 1- BuildDemoing 4.Q I am a homeowner and will be hiring contractors to conduct all work on my property. I will 1'0[J Building addition ensure that all contactors either have workers'compensation insurance or are sole 1 I.Q Electrical repairs or additions Proprietors with no employees. 12. Plumbing repairs or additions 5, I am a general contractor and I have hired the sub-compactors listed on the attached sheet. 13. _ Roof repairs These wowb- baciors Nive eat syecs and have wotkcas'comp.msuraticc? eP 6.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14. QtlteilArJl _ 152,§1(4),and we have no employees.1No workers'comp.insurance required.) "Any applicant that checks box s 1 must also fill out the sectiott bolo%-!showing their workers'compensation policy information. 'Hotnwwnas who submit this affidavit uidiewing they are doing all work and then hire outside coturamn must submit a new attidavit tndwating such. tContractors that check this box must attached an additional sheet showing the mum of the sub-contractors and state whether or not than entities have employees. I£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 enrloyee� Below is the pocky and Job she information. Insurance Company Narric nn Policy#or Self-ins.Lic.#: +' Expiration Date: "1 Job Site Address: '-) ✓fid City/Statelzip: Attach a co of the workers'cam nsadon policy declaration page(show' the policy number and a � fq.1 py Pe P Y p S8 p yonder Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or ore-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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify tutder a ns of jury that the information provided above is true and correct Signature: Date: Phone#: Official use on&. Do not write in this area,to be completed by city or town oftial. City or Town: PermiVUcense# Issuing Authority(circle one): 1.Buard of Health 2.Buihhug Department 3,City/Town Cleric 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: COLDW-3 OP ID: BT CERTIFICATE OF LIABILITY INSURANCE DA01/17/2019Y) 01/17/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: —Maria—Millikin D Francis Murphy Ins Agcy Inc PHONE 50 Main Street co 978 --^— _ _ -6 436Ngx ^ o Hudson,MA 01749 E-MAIL ----- ---- Maria Millikin ADDRESS:_—_ — INSURER(S)AFFORDING COVERAGE NAIC a INSURER A:Massachusetts Bay Insurance Co 22306 INSURED— Steven Coldwell Electrician INSURERS:Norfolk 8r Dedham Mutual Fire 123965 Steven J Coldwell dba — 85 Chicopee Dr INSURER C:Commerce Insurance_Company — Hubbardston,MA 01452 INSURER D: INSURER E: t INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSA ---- TYPE OF INSURANCE --- POEXP ------------— — ---- LTR IND WV POLICY NUMBER �MMlDD/YY MM/DLICY D/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY iI EACH OCCURRENCE $ 1,000,00 -� 1`01TENTE6--- ---------- -- j CLAIMS-MADE �X�OCCUR ODND00214202 08/03/20181 08/03!2019 PRElMSES�Ea oocurrence $' 300,00_ 1...` MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 _"E 'L AGGREGATE LIMIT APPLIES PER: 1 J GENERAL AGGREGATE $ 2,000,00 POLICY 3 JEa LOC I , PRODUCTS-COMP/OP AGG $ 2,000,00 OTHER: I I $ AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT $ 1,000 OO C _ (Ea accident).---_--- —__ , _ ANY AUTO I BCYJ21 05/23/2018 05/23/2019 BODILY INJURY(Per person) $ AALL UTOS OWNED �SCHEDULED BODILY INJURY(Per acrid — NON-OWNED I PROPERTY DAMAGE X HIRED AUTOS X AUTOS P_er acadent $ i I $ UMBRELLA LIAB i- 10C I i EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE 1 i AGGREGATE $ — —� ----111111 �----- -- DED RETENTION$ I �$ WORKERS COMPENSATIONSTUTE AND EMPLOYERS'LIABILITY YIN X I -i—TATUIEJ H B ANY PROPRIETOR/PARTNER/EXECUTWE !WE178615A 04/12/2018 04/12/2019 I L.EAE. CH ACCIDENT $ J 100,00 OFFICER/MEMBER EXCLUDED? Y❑,N!A I--------- — (Mandatory in NH) i E.L.DISEASE-EA EMPLOYE $ 100,00 If es,describe under —_- ---_ DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS/LOCATIONS f VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached N more space Is required) Steven J Coldwell is excluded from work comp CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ci of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City p ACCORDANCE WITH THE POLICY PROVISIONS. 210 Main St Northampton,MS 01060 AUTHORIZED %tREPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD DATE: January 9, 2019 RE: 39 Middle St, Florence, MA, 01062 To Whom It May Concern, As per your request, we have conducted a structural assessment of the building at the above address that included a site inspection on December 27, 2018. This inspection included an examination of the roof structure and condition as well as any structural drawings that were available. PV solar panels are proposed to be installed on roof areas as shown in the submitted plans.The panels are clamped to rails which are attached to the roof with a lagged mounting system, and installed per manufacturer's specifications and recommendations. It was found that the roof structures as noted on PVS-1 can satisfactorily withstand the proposed additional loads and will meet the applicable standards included in the Massachusetts State Building Code (Ninth Edition) and 2015 IRC. Design Criteria: Wind speed = 117 MPH Ground snow load =40 psf Roof dead load = 9 psf Solar system dead load = 3 psf The roof was determined to have asphalt shingles atop half-inch plywood sheathing. Overall the roof area is structurally adequate to support the additional load of the solar panels and their framework. Acknowledged by: OF Ate, CHRIS H. KIM CIVIL ,o .52430 90 FG! T � Chris Kim, P.E. CODE INFORMATION w Lu - o SOLAR INDIVIDUAL PERMIT PACKAGE zoPiS nRNnnon°w�CODES,LAWS �DeRLULATI°NS 0 w � a 2015 INTERNATIONAL RESIDENTIAL CODE(IRC) c z Q1 2015 INTERNATIONAL FIRE CODE(IPC) i tS Z 2014 NATIONAL ELECTRIC CODE(NEC) o x y JAMES J B R E NAN 5 . 76 kW GRID TIED PHOTOVOLTAIC SYSTEM (413) 584-8911 SATELLITE IMAGE o W 39 MIDDLE STREET °'E"°GTI ON� NORTHAMPTON / FLORENCE, MASSACHUSETTS 01062 AHJ: NORTHAMPTON UTILITY: NATIONAL GRID — MASSACHUSETTS JOB NOTES SHEET INDEX W f1 W y {7 PV SOLAR ARCHITECTURAL DRAWINGS PVA-0 COVER SHEET RVA-1 ARRAY LAYOUT Q O k LU O ru m O - v= � a C � a w In In W O W O p Q o n z A Z 2 K PV SOLAR STRUCTURAL DRAWINGS Y RVS-1 MOUNTING DETAILS ^ N N g REVISIONS DBa�ormN PV SOLAR ELECTRICAL DRAWINGS RVE-1 ELECTRICAL SINGLE LINE DIAGRAM& SPECIFICATIONS PVE-2 ELECTRICAL CALCULATION �Euur.u .,ie-m�v PVE-3 ELECTRICAL DATA&SPECIFICATIONS »anus PVE-4 PLACARD/CONDUCTOR&OCPD SIZING TABLE oro-ma PVE-S BRANCH DIAGRAM �W V N— xwu s PVA-0 LEGEND p� ��- WOil w ° � 1�- O JUNCTION BOX d F 3 CONDUIT � m 0 EXISTING SERVICE POINT tl8 EXISTING UTILITY METER (E)DETACHED STRUCTURE —-— PROPERTY LINE ROOF ACCESS D NEW LOAD CENTER POINT� AC DISCONNECT ut ' 0 ro. UTILITY REVENUE METER a °� ® MA SMART ROOF 1:12 MODULE f CHRIS H.KIM �^ CIVIL .52430 � o � O FCI TE� TRENCH VIA PVC CONDUIT BURIED 18"m IN - 4 u) o w � Qu 6 Z > K N E UJ 6 K O I m O n g O UT w O NOTE: f > G 1.MINOR FIELD ADJUSTMENTS ALLOWED ^ o Z. BASED ON ACTUAL SITE CONDITION AND � o ce MEASUREMENTS. Y g 2 ' .TRENCHING REQUIRED-W OF CONCRETE- 0 13 o 0 vi = t—dINOMr--�/) REVISIONS CONTRACT MODULE SPR-X22-360-D-AC(240)(16) &QUANDTY I INVERTER TYPE SPR-X22-760-D-AC(240)(16) AND QUANTM TO ELECTRIC ROOF TYPE COMPOSITION UTILITY GRID wmSTORPwwu HOME TYPE 1-STORY DRA-M �eaNues HOME SYSTEM of[e <T•Mts ORIENTATION 180°&270° cReaao" APATa MIDDLE STREET ROOF PITON 7:12&7:12 COMONNSITORING°"PTLD" TBD PVA-1 W oa TABLE 1-ARRAYS INFORMATIONAL ROOF ROOFING ATTACHMENT NO.OF FRAMING FRAMING OC MAX PENETRATION MAX MAX RAILPENETRATION } , : a g3P PITCH TYPE TYPE STORIES TYPE SIZE SPACING SPAN PATTERN OVERHANG SPACING Z ROOF 1 30.51 Comp Shingle SunModo L-foot 1 Wood Rafter 2x6 16" 11' Fully Staggered 4' 1.33' gg ROOF 2 30.5° Comp Shingle SunModo L-foot 1 Wood Truss 2x4 16" 10.75' Fully Staggered 4' 1.33' N y Le ROOF 3 -- -- -- -- -- -- -- -- -- ROOF 4 -- -- y ROOF5 r c ROOF 5 -- -- -- ¢o CHECK TABLE 2 FOR PENETRATION PATTERN GUIDE f � w FIG 1.1:ROOF 1 STRUCTURAL FRAMING DETAIL FIG 1.2:ROOF 2 STRUCTURAL FRAMING DETAIL SH OF L-FOOT SHING INVISIMOUNTINV �,t p� L FOOT IASHING R41L ,S"4N —T TOP CHORD f CHRIS H.KIM RAIIIL INI30 OXN� HORD 1 TOP CHORD PV MODUL �' 2x4 @ 16"O/C F� CI214PV MODU2x6 @ 16 O/C LAG BOLT COLLAR TIELAG 80LCDMPOSIT2X4 @ 16"OIC 61TSHINGLE COMPOSm 1LAYERS TOPCHORD PITCH SHINGLE 30.5° - 1LAYERS PITCH O RD 30.5° T� U U'2 a Lj ZHaa F Lu O °C 1 0 ? i t E FIGURE 3:MOUNTING CLAMP °o - FIGURE 2:INVISIMOUNT ROOF ATTACHMENT DETAILS @TRUSS/RAFTERS TABLE 2:PENETRATION GUIDE FOR INSTALL .T a ? POSITIONING DETAILS c F- � QN 0 1 TWO OR MORE ROWS OF PANELS �• 1`• ,.• y LU W 2 p Z P LL _ I T�T+T�1 I T�TT� 1 S—F--, —vT-1 ¢ ? a VN NODULE W MODULE ♦ ♦ ♦ ♦ ♦ ♦ �U1 0 L Fool roP of clwEOR i I ( I I I I I I I I I I I I I I I I I I REVISIONS 1: nASIVRo I_♦TAII�_LAL+J L-1-it_L•_L11cJ Lt ALS♦y_kJ_J A«FD srAecEFFo FULLY S ERM Euslvlo SRaE�ulBty ONE ROW OF PANELS S/1!"Y SS LIG FDLT'AIIR 5/16'WiAIER♦KMER FWrtp CT,�• m.Pa MF RFgURFD. i;_�F T♦T TF T fl 5iTT TiT sT♦—I RF�,uly I I I I I I I I I I I I i DR ' . AF1 AwN 1 J' L 11 II � I vFANNEs L y_♦ ♦1 IJy.!L J_+J_AL#j 9 6 CELL MODULE vrY*FL is iULLY SIAWERED STACKFDj TAGGERED ,M,q;M RRILS SRiu BE 195RIDNPo wTrF 5 F�FC D6•W PVS-1 i FIGURE A:SINGLE LINE DIAGRAM-5.76 kW Lu r D E{ �MTMMWE# RSPECInC U Oa.NAE.OFFERINGS AND SHALLENSfALLEU iFTHEHOMEOWNERSIGNSY OWNEp.NETER LOCATIONS CONTRA.T WITH SUNFOWER. d.TY FOR A.MR ACCESS PEQNREMENFSWER MONTFORING SYSTEM u SUNPOWER MODULES JUNCTION BOX, (4,SOLAR LOAD CENTER SPR-X22-360-D-AC(240) NEMA-311, LUCA MIN.,124/24OV, INCOMING SOURCE FEED NO AN Al2R306 KLO,NEMM31k (E)MAIN SERVICE PANEL ROOFTOP OR EQUNALENT LDG:TION:DETACHEO STRUCUTRE ARRAY WIRING f1 1"A,A1W24OV,RIPH,3W BIDER( UTILITY CTED",METER - --- —--B INSTALLATON NOTE LOCATION:INSIDE HOME I 20/Z4 QV,1PH,3W - 1RE7L21INGREQUIRED of^ (TRANSITION EMT LOGTON:LINE SID P N ETA Branch CircukFl MLO WXERtNKESSARY) F ]CICO KUP-L-TAP I ��M[:TER SRIOR A� �z ` 12 AC MODULES E IPC-4/0HS 58720209 2 2P I C D PV AC DISCONNECT I I r z LOCATED NEIN TO Ac 4ranct.0 MULES Z 20A 2P ISA,:o MEfERW[TH1N10' AC IAODVLL3 //p�` PRDN THIS TAP MAB O - L1 I 100A,2P I L.+- -►J L. .. DTILIIY . r--a 1 I I - R VENUE ME ER O Exi` 5��� I MA SMART I �O I I I III L _Ipi -L.._.._. — 'fO� L J I L' EXISTING / GROUND_ UTILITY-LOCKABLE SAFETY SWITCH]UA,240VAC SQUARE D W221RS OR EQUIVALENT LOUTED OUTSIDE DETACHED STRUCTURE A iWITH VISIBLE KNIFE BLADES ,4`i•\ UTILITY-LOCKABLE SAfET1'SW(T0160A,240VAC SQUARE O D222NRB OR EQUIVALENT LOCATED OUTSIDE WITH VISIBLE KNIFE&ADB ry BRANCH CIRCUIT SUMMARY U~j W BRANCH R ROOF LOCATION LE PYSSxCC'S } ,^ 1 ROOF 1 --CATs. f�A F a Q ETERNET 3 ROOF 2 1/2-EMT CONNHECTION TO Q O 1l1yUy V ^OW Z (3)134THWN DS L/UBLE MODEM Z D: fZ0 9 -• (1)114 TAYN ECAC Lu N W�IQ=Q 5 -• 4'2'ENT J B. V 6 -- (2)122 AWG TWISTED PAIR TAG DESCRIPTION CONDUCTOR/CONDUIT SCHEDULE -- Lu W K O N d --h� SOLAR Ac MoouLt/BRANCH ACM ELECTRICAL NOTES Q e n o DESCRIPTION i CONDUCTOR SIZE NUMBER OF TAG CONDUIT/GBLE TYPE CONDUIT SIZE DC/OC CONVERTERS NO CONDUCTOR NTE (AWG) CpNOUCTORS 1.PROPER LISTING EXPECTED FOR CONDITIONS Of USE ON ALL LUGS.FFTFIHGS,CRIMPS,ETC, (� O SOURCE CIRCUIT]UNCTION BOX YES Ua ti 112 2 T'PE�ER PER 2.ALL CONDUIT BEND RADII TO CONFORM TO THF.NEC MINIMUM BEND RADB REQUIREMENTS. QQ - Q — _ 3.MINIMUM CLEARANCE SHALL BE MAINTAINED PER NEC FOR ALL NEN EQUIPMEWTIS TO BE INSTALLED. ; i J W BEVARATE DC DISCONNECT NO WITH EGC•H�auMa 112 1 BRANCH CIRCUIT 4.EXISTING GROUNDING ELECTRODE SYSTEM MUST MEET NEC AND LOCAL UTILITY REQUIREMENTS. >< O W 5.COPPER CONDUCTORS SHALL BE USED UNLESS SPECIFIED, r0 U) INTERNAL INVERTER DC DISCONNECT NO ❑ THWN-2 110 4 ENT �4• 6.TYPE NM(ROME%)CONDUCTORS ARP.ALLOWED FOR INTERNAL AND ATTIC RUNS AND SMALL BE INSTAlLEO MEETING NEC REQUIREMENTS, STRING INVERTER NO EGC:THWW2 110 1 7.:F MAIN SERVICE PANEL IS TO BE UPGRADED,IT WILL BE PERMITTED AND)15TALLE0 BY 3RO PARTY. N 2 e,AC WIRING SHALL UPSQE IF VOLTAGE DROP EXCEEDS 2%. :ALAR IAAD CENTER YES IHWM-2 f10 3 9.R EQUIVALENT SPECIFICATION NCABLEITWMELEM. K L EPROJN)EDITHASMO REAMPNOULEOBS RUNNING THROUGH IT. REVISIONS © ENT 3/4' 1 L AS D POMEREIS INTERN LTO THE MOM DI NG ELECTRODE (IE. PV PRODUCTION METER YES ECAC:TMW N-2 P30 1 1 L A6 OC POWER IS INTERNAL TO THE NODULE,GROUNDING ELECTRODE CONDUCTOR(GEC)FOR THE MODULE Of ARRAY IS NOT REQUIRED. SEPARATE AC DISCONNER YES THWN•2 110 ) $Cl140 MIC 1' CF ECU(BOX FOR WHETHER SYSTEM IS GROUNDED DR ® EGC:TNWW2 110 1 UNGROUNDED: THWN.2 t10 3 ❑ GROUNDED(INCLUDE GEC) E EMT )/A• Ed UNGROJNDED EGC:THWN-2 NIU 1 FOR UNGROUNDED SYSTEMS: • OC OCPD DISCONNECT BOTH CONDUCTORS OF EACH TNWN-2 16 3 Som I.CIRCUIT. © EGC:TNWN-2 t8 I �T 314. • UNGROUNDED CONDUCTORS MUST BE IDENTIFIED PER 230.5(C).WHITE FINISHED CONDUCTORS CONOUORS ANOT PMR46Y R )LB7RMB PE0.MITTEp. ars?-mv — ula Eo r PF�Tn PVE-1 ELECTRICAL CALCULATIONS w > is N V H �3 zD s FIGURE C:ELECTRICAL CALCULATIONS ` W Nx� - a � - bel wwo-w�aanMew.n ^ o N CD z ° 5 co G f 5 ^ o Do Z a Lu G f o Q CI m Z ^ � z 0 g w f .x 5 O n F Ln ui RFVls1ON5 IPV E-2 ELECTRICAL DATA&SPECIFICATIONS W : o- WITH RAPID SHUTDOWN4e PHOTOVOLTAIC POINT OF SIGNAGE LOCATIONS: 6" • • MAI • N SERVICE PANEL WARNING:DUAL POWER SECOND SOURCE IS PHOTC)VOILTAIC SYSTEM 2W VPV SOLAR i F SIGNAGE LOCATIONS: - •MAIN SERVICE PANEL •INDOOR lOUTDOOR SUB PANEL i SIGNAGE LOCATIONS: f o d .MAIN SERVICE PANEL •NEW INDOOR;OUTDOOR LOAD CENTER .INOOORIOUTDOORSUSPANEL • • • DISCONNECTAC 21.28 au v SIGNAGE LOCATIONS'. •INDOOR I OUTDOOR AC DISCONNECT W H N W U] U i F � u a z a y z o W f u LL 0 W z o t f s In _ m x y - a SIGNAGE NOTES w a �_ w ~ LU W 0 o 1. MATERIAL USED FOR THE SIGNAGE SHALL BE REFLECTIVE, a n i WEATHER RESISTANT AND SUITABLE FOR THE z ENVIRONMENT, f 5 W 2, ALL SIGNAGE SHALL HAVE ALL CAPITAL LETTERS WITH x 00 w MINIMUM%"LETTER HEIGHT,WHITE ON RED BACKGROUND, z 3. MAIN SERVICE DISCONNECT MARKING SHALL BE PLACED R P v[S[D m s AD]ACENT TO MAIN SERVICE DISCONNECT IN A LOCATION CLEARLY VISIBLE FROM THE LOCATION WHERE THE LEVER IS OPERATED. 4. MARKING IS REQUIRED ON ALL INTERIOR AND EXTERIOR DC CONDUIT,RACEWAYS,ENCLOSURES,CABLE ASSEMBLIES, AND)UNCTION BOXES TO ALERT THE FIRE SERVICE TO AVOIC CUTTING THEM.MARKINGS SHALL BE PLACED EVERY 10',AT TURNS AND ABOVE AND,OR BELOW PENETRATIONS, AND AT ALL DC COMBINER AND JUNCTION BOXES, onre ouwP IxANNEs S. DO NOT USE SCREWS FOR SIGNAGE ATTACHMENT.USE ONLY APPROVED ADHESIVE. Oxeo-ee ave nrnn�f9 SGtE PVE-3 �. ,,, 4d C �� a Conductor&OCP Sizing Bosed on 50`C(110°F) YAWa YAwe Ii AW6 1{AN!uYw YAWS YAWa YAylg YAW6 t2AYl5 QAtli6 t2 AW3 ,.�.y A,yq,� ILA ISA 1SA 1fA tSA tSA ISA tf} 1SA IDA 20A 210. Ii AWG 14 AN6 If AWf YANG to AWG IAAW6 YAWa 11AWG YAWL tS AWS 12 AWG lI AW6 15A 1SA HA 5a 154 ISP iSl HA IDA 1D4 D4 PLACARD SIGNAGE CONDUCTOR OCPD SIZING TABLE 50 Awa �.AWa 1 R99'a 4wtY0 uAWa 1l wap t PW3 I<AWa tB 75MSNArfi tf'9A +SA •SA 1SA t{A 13A 1PA ISA >D A,tYA t aCAUTION 100 I'AWG 1"wG IiA.<1]AWG 1,6 WG LAWG tD AWG li'WG tB AWG MAWG tOAwG ®uAwG to Aw6 Aa Awa I14AAa 11 sawG wANe 1D Aw,to Awe uAwa i.fAwG Awr. asawr, 15A ISP 15A 15A tS} 15} 15Af 15A 15♦ ffiA 320A h4 YAWL t.AWG I4 PW611 ANG`BAWD fOAWG wAW4 10AWG i1A^G OAWG SAWG BAWL tSA 164 ISA 19A 15♦ IfA 19w 1f} S IDA M4 SlA POWER . BUILDING • • 0 17S YAWL YAW4 A2 AW6124WG 10 AVIf 10 ANG MAWG a4WG AAWG {4WG {AWN {AWa tSA 15P 1SA iSA ISA tSA 15A 154 iSA IDA ]{A ffiA SUPPLIED . M THE • • "'':I.AW4 YAW4 12 ANG iBAW4 10 AWG 1p AWG n., ..t h. /., eAw4 iAW4 6AWG 1SA 15A NA SSA � - SOURCES . , Conductor&OCP Sizing Bosed on 60°C(140°F) SHOWN:of AC Modules on a Single Circuit LOCATED AS ©ice i10000aOC, NA/16 7!{�N1111!MSA YAW6 YAW4 MAW!uAWb UPM t]AWG 1]AWG t]AW6 _ 6L A' 7;A• f6A1' 'KA tSA 16A ISA TSA tsA IDA 21A NA PHOTOVOLTAIC so YANK YAWL ti AWL t1 AW4 YANK 1iAWG t1 AW6 1A AWG 14 AW412AWG t2 AWG S2 AW6 iSA ISp ISA tSA tSA 144 tSA 1S1 15♦ ffiA 20A DA ARRAY . .• 75 YAW4 YAW4 Ii 4WG 14 AS5fi'AAWG 1lAWG t3 AW6 12 AW6 12AWG w4Wr to AWG wlW6 15A ISA T9A :SA l3A 15A iSA )SA tLA ffiA 2DA DA • p 1 • l , � CENTER YS YiS AG IO QW4 14AWG 11 AWf l2H eK t+fu6 IO�W6 tO�Wa IOIDAW.a IOp WG EA G S4 u Awa uAwo If Awa IZANe uAwe wawa wAwo lo}wo 10 Awa a aAwa aAwc aA rtn uw KA 1 DISCONNECT LISA ISWR VISA•t1SA it3} IAS3YA w9Aa 1fA 315 Af' 3AA 310 Af• vMA• . ISO AWG M4ri6 124Wa 12 ANB iB AWG IDAWa 3AWfi 4AWD IAWG BAWD [AW6 {AW6 1SA I6A 15A 1SA 15A HA 19A 1S} 1SA 2DA Y4 DA 14 AW0 YAW4 I1 AW618 AMA'B ANIO AWf 1AWG AAAH SAWG {ipl{ fAw6 {AWD UTILITY REVENUE--- METER A SMART -- 15A 15A 15A }SA 15A 19A 15A 15A 15A ]LA 29R IOA A w - DISCONNECT •• UTILITY METERING we,m~hwe! 39 MIDDLE STREET --- now FIGURE 1:CONDUCTOR AND OCPO SIZING TABLE FIGURE 2:PLACARD IDENTIFYING LOCATION OF DISCONNECTS AND POWER SOURCES �v n,. �. a ` � = x.. �,. ;.$ �, -�_ �f-, _ d INSTALLER NAME: Lu o f BRANCH VOLTAGES: �} 1. O a m 2. =4. o 3. V) 6. p r--ti LEGEND&SYMBOLS: E1: 12ULE 3.3',PLUG/PL N10',PLUG/PLUGO _ 6.5',RECEPTACLE/RECEPTACLE W° --�G♦ - i E I I , i 30',RECEPTACLE/RECEFrACLE s s c x - - - --� S',PLUG/RECEPTACLE f 4 _# 'fr `# _ ------------- 10',PLUG/RECEPTACLE DAISY CHAIN 0 END CAPS 0 c N r � � � u V Y H L ° t W F s n 1 D W 7 V W Q Z Z m F ]E 5 O � C 10 n NI F-- DRNEWAY —j REVISIONS 4V 06Mlpp D�iE n DMNN C= TBxMtS ED F� MNi0.U Ivan._.... =E PV E-5