24A-144 21 Roe Ave Building Inspection Form bp-10-558
Alteris Renewables Inc.
Western Massachusetts Regional Office:
P.O. Box 51924 Springfield, MA 01151
Tel: (413) 734-1456 Fax: (440) 445-4054
www.alterisinc.com
BUILDING INSPECTION APPROVAL FORM
Permit #:
Name: Dorothea Von Goeler
Address: 21 Roe Ave.
Town/State: Northampton, MA
Description of Project: Installation of roof mounted, grid-tied 20kW photovoltaic system.
Date of Inspection: ________________
Inspector Signature:
____________________________________________________________ _____________
Name Date
Please fax signed form back to Alteris Renewables Inc. at 440-445-4054
Thank you!