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23A-130 (2) 50 MIDDLE ST BP-2019-0903 GIS#: COMMONWEALTH OF MASSACHUSETTS Man:Block:23A- 130 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A) Category:SOLAR ELECTRIC SYSTEM BUILDING PERMIT PermhM BP-2019-0903 Proiect# JS-2019-001505 Est.Cost:$28000.00 Fee:S75.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor. License: Use Group: SKYLINE SOLAR LLC 027047 Lot Size(sp.Rl: 14287.68 Owner: DESMOND LINDA M&DENNIS C Zoning: URB(100v Applicant: SKYLINE SOLAR LLC AT: 50 MIDDLE ST ApplicantAddress: Phone: Insurance: 4 CROSSROADS DRIVE - SUITE 116 (732) 354-3111 Workers Compensation HAMILTONNJO8691 ISSUED ON:212212019 0:00:00 TO PERFORM THE FOLLOWING WORK ROOF TOP SOLAR - 38 MODULES 11.4 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: 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: FeeTyoe: Date Paid: Amount: Building 21222019 0:00:00 $75.00 212 Main Street,Phone(413)587.1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner Department use only City of Northampton Status of Pennic Building Department Curb Cut/Driveway Permit �. 212 Main Street Sewer/Septic Availabiliry {. Room 100 WaterNifell Availability \\ Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/She Plans Specify APPLICATION TO CONSTRUCT,AL R, N ISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION l ri;R9 2019 YJ� ?f,.3 1.1 Property Address: ThIs seectiioon to be completed by office 50 Middle St IF IT nv run niNr,LL�FCTIo" Lot X36 Unit i110N,1I�^4166 Zone Overlay District Elm SL of at CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Dennis Desmond 50 Middle St Name(Print) Current Mailing Address: Attached (413)2745657 Telephone Signature 2.2 Authorized Agent: Ryan Lane 4 Crossroads Dr. #116 Hamilton NJ 08691 Name(PriM}�j"') Mailing Address: 732 // t�)/nr��.. 7323543111 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by pernnit applicant 1. Building 7000 (a)Building Permit Fee 2. Electrical 21000 (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) 29000 1 Check Number 1 4t-7 This Section For Official Use Only Building Permit Number: Date / Issued: Signature: / — 2 2%f t Building Commissionedinspeclor of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) , F Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information FAisting 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 46 (Wt area minus bldg&Paved parking) #of Parking Spaces FII: (volume&Wcatlon A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW O YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT 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 DONT 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(dearing,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. SECTION S DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteratlon(a) ❑ Roofing ❑ Or Doors O Accessory Bldg. ❑ Demolition ❑ New Signs [a) Decks [I7 Siding[oj Other[©j Brief Description of Proposed imtalladons of a safe and Cade compliant,grid lied.PV solarrystem on a residential roonop.38 Modules 111.4 kW Work: Alteration of existing bedroom_Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement _Yes No Plans Attached Roll -Sheet ea. 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? I. 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 1. Dennis Desmond as Owner of the subject property Skyline Solar hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. ATTACHED 2/1/19 Signature M Owner Dale Ryan Lane 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. Ryan Lane Print Name 2/1/19 Signature o Own l Oete SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder. Phil ChoUlnard CS-027047 License Number 79 Oak St Unit#101 Ashland MA 01721 11/9/19 Add Expiration Date _O 7313543111 Sig re Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ Skyline Solar/ Ryan Lane 172284 Company Name Registration Number 4 Crossroads Dr. #116 Hamilton NJ 08691 8/6/20 Address Expiration Date Telephone 7323543111 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.O.L.C.152,§28C(8)) 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 ARdavil Attached Yes....... ® No...... ❑ I City of Northampton Massachusetts "! I(1 G L DEPARTMENT OF BUILDING INSPECTIONS 212 Hain atraat • r Cipal Building rr V qS� Northampton, M1 01060 AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes. Prior to performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L.Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by reeistered contractors. Note:If the homeowner has contracted with a corporation or LLC,that entity must be registered Type of Work: Est.Cost: Address of Work: Date of Permit Application: 1 hereby certify that: Registration is not required for the following reason(s): _Work excluded by law(explain): _Job under$1,000.00 _Owner obtaining own permit(explain): _Building not owneroccupied Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply for a building permit as the agent of the owner: Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice, 1 hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature City of Northampton Q [tALm MassachusettsDEPARTMENT OF BUILDING INSPECTIONS212 Nein S[rae[ • N CiP81 Building Bo ., M 01060 Massachusetts Residential Building Code Section 110.115.1.2 Homeowner: Person(s)who own a parcel of land on which he/she 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. Section 110.R5.1.3.1 Any homeowner performing work for which a building permit is required shall be exempt from the licensing provisions of 780 CMR 110.R5, provided that if a homeowner engages a person(s) for hire to do such work, then such homeowner shall act as supervisor. 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. City of Northampton Massachusetts I� „f DEPARTMENT OF BUILDING INSPECTIONS 111\\\ 212 Main Stine[ •lNnicipal Building Nortt,an,pton, MA 01060 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: 50 Middle St, Northampton MA 01062 (Please print house number and street name) Is to be disposed of at: (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: EOMS 318 Manley St. West Bridgewater, MA 02379 (Company Name and Address) �n Signah�rmit AppIkWn1 or Owner 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. i i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 01111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name(Business/OrganimtioNlndividual): skyline solar LLC Address:95 RRvan nrlvaa sr.Ha n City/State/Zip: Phone#: 9a9-3sa-ad11 Are you an employer?Check the appropriate box: Type of project(required): 1.® I am a employer with AS 4. ❑ 1 am a general contractor and 1 employees(full and/or part-time).- have hired the sub-contractors 6. New construction 2.El 1 am a sole proprietor or partner- crop artner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' q ❑Building addition [No workers'comp. insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12 ❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13.®Otter PV Solar System wrap. insurance required.] 'Any applicant that checks box el must also fill out Ne section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and Nen hire outside contractors must submit a new affidavit indicating suci. rConaacmrs that check this box must mulched an addi amd shat showing the name of the sub-contractors and state whether or ma Chow entities have employees. If the sub-conaactors 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. Insurance Company Name: NY Marine&General Insurance Policy#or Self-ins. Lic.#: WC201800013247 Expiration Date:1/302019 Job site Address:50 Middle St, Northampton, 01062 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 certif der the p s nd penalties of perjury that are information provided above is true and correct. Signature* Date 2/14/2019 Phone#: 2-3 5 4 3111 Official use only. Dollar write in this area,to be completed by rl¢or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.Cilyfrown Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)morels),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to Carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple pennit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under`Job Site Address"the applicant should write"all locations in_(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. 9 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax 617-727-7749 Revised 02-23-15 www.mms.gov/dia DEBRIS DISPOSAL AFFIDAVIT In accordance with the provisions of M.G.L. c. 40, s. 54, Building Permit # was issued with the condition that all debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by M.G.L c. 111, s. 150A. The debris will be disposed of in: E.O.M.S Name of Waste Facility 318 Manley St. West Bridgewater, MA02379 Address of Waste Facility 111.5 Debris: As a condition of issuing a permit fm the demolition, renovation, rehabilitation or other alteration of a building or etremm,, M.G.L,e.40 s. 54 requires that the debris resulting therefrom shall be disposed of in a properly licensed solid wutc disponl f'lity as defined by M.G.L.c. 111 s.150 A.Signature of the person applicant, dam and number of the Wilding remit to be Wind shall be indicated on a form provided by the Boildiog Department and attached to the otfte copy of the Wilding pornit retained by the Building Department.If the debris will not be disposed of as indicated, the holder of the permit shall notify the building official.in writing,as to the location when&a debris will he disposed. 780 Chm—0 Edition r1 1 e of Permit Applicant 2/14/19 Date �Jfie (Qommonateliza, c/9 Awac4e& Office of Consumer Affairs and Business Regulation One Ashburton Place - Suite 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Type: LLC SKYLINE SOLAR, LLC. Registration: 172284 4 CROSSROADS DRIVE SUITE 116 Expiration: 06/06/2020 HAMILTON, NJ 08691 Update Address and Return Card. scAr a 2W��9177 'Jh. Vnnunnnaron�/�i n���lotvi�n�r//� ONke of ConsunrsrAffalre 8 Business Rapulaeon ROME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE: LLC before the expiration date. If found return to: Reolstradon Eaei[ffiion Office of Consumer Alfalrs and Business Regulation 172280 061062020 One Ashburton Place- Suite 1301 SKYLINE SOLAR,U.C. Boston,MA 02109 RYAN LANE \D ri -.�,-- R ' 4 CROSSROADS DRIVE SURE 116 U HAMILTON,NJ 08691 Undersecretary Not valid without signature ConKnonweallh of MasaiehYSIHM Division of Pmfesslonal LKenfum Board of Building Reguwlicins and Slanelards ConstTgClt r1%b"rvisor If CS-027047 t , F;pires 1110912019 N J PNILIDJCH HT1 79 OAK ST.1x1 01 1 ASHLAND MA 91791 `/ tl)�141CyI IOt" 0 commissioner C a ) onSUToer aIIr o/( USine.r ion �ldttt�of Consumer AIIairs afid'8usmess�egufa�flon 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improveme'P, Gontractor Registration Registration: 172284 Type. Suppielfwnl Caw SKYLINE SOLAR,LLC. Expiration 602M PHILIP CHOUINARD 4 CROSSROADS DRIVE SUITE 116 ' HAMILTON.NJ 08691 y,4@ `• UpdMr Address utl«wnvrd.Alark ream.for eheye s^.a, a away„ Address Renewal Enplarnew Last Cant Ir brS^nn,...,,,,,,ro6y-/!„rr,rir„ren ,reof6osusn AOlM94sben Repobaso Unraw or"bistrarbovalid for individual use ealy • EIMPRO9EMENTCGKMCTOR Before the espinfiandole. lffciundretunw: Olfee or Consumer Affairs acid Bmtaess Regulation RopoUMbm eT1791 Type: 10 Park Plan•S.W5170 Fspinlbm 64iM SWdaawM Card Bolan,NIA 01110 SKYLINE SOIM LLC PHILIP CHOI WARD t CROSSROADSS DRIVE SUITE 11 AAMtTON 111 DWI UAJrneenlerT Na Xaoal alBnamre Fold, Then Detach Along All Perforations a COMMONWEALTH OF MASSACHUSETI S BOAR ELECTRICIANS ISSUES THE FOLLOWING LICENSE AS A REGISTERED MASTER ELECTRICIAN m JAMES E LEAVITT SKYLINE SOLAR LLC 95 RYAN DR W STE 3 RAYNHAM, MA 02767-1992 21667 07/31/2019 107567 .Acoed CERTIFICATE OF LIABILITY INSURANCE DATE'" °" /30/2019 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. D 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 Ileu of such endorsement(s). ONFACT PRODUCER WE The Hamilton Group,LLC PHOXE 873--�92-u•92 FAX 3 Wing Drive VICAIL Cedar Knolls NJ 07927 ADDRESS lx REpSAFFORDMMVEM°E NRICF INSURERA:NY Manne A Gerwrel lne Do. INSURED a. INSURER B:Gotham in Co Skyline Solar LLC SNSURER C:SELECTIVE INS CO OF AMER 12572 ky`/line Solar RI,Inc.Int. 4C NJSDrive,Ste 116 IxsuRER°:Selective Ina Co of the S.Ea51 39928 Hamilton NJ 08891 INSUflEfl E: INSURERF: COVERAGES CERTIFICATE NUMBER:316929597 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW WIVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVATHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO MICH 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 SHOVM MAY HAVE BEEN REDUCED BY PAID CLAIMS. INA IYPEOFIXBURAXLE POLICY NUMBER IML roN Mµ,DryvyyF POLICYEW IlII118 LTR B pEI1EML LMBIUTY Y Y PNIDI9WTE49 'GCUA9 IDMa]e EACH OCCURRENCE I1,001I X CDMMERCIA.GENERK UABILRY PR MI ora, sufam CLAIMSb DE OOCCUR MED FXP one Asa] S5L00 X SSM Cep on AW. PERSONAL S ADV INJURY $1WB,Otl C£NERALAGGREGATE $2,000000 GFNL AGOREMTELIMn APPLES PER PRODUCTS-COMPIOP AGO i offo WI POLICY X PRO" LOC Pe,—1 L. {I.mO.e'a C RUIOMOMLE LMBILRY Y Y 53001 1/JOR019 1(JW'aM COMBINED SINGLE LIMIT 0 AWC1050 1/Jb1019 19LYNN ANY AUTO BODILY INJURY LPs Wan) S ALL OMED X SCHEDULED a001LYINJURYIPerazlert) S AUTOS X NMEDM1Tp$ X NONONNED PROPERTY DeMSE S AUTOS Pa S B UMBRELLA LMB X OCCUR Y Y IIMa119Umre5R IAXO119 1/i810M EACH OCCURRENCE S1000doo X EXCESS Me CWMS-0MDE AGGREGATE 51000,00) DEC X flETENMNi Ip S A WOR KERS COMPENSATION SM:2p1WWlIIA] lA0'dt19 1/5O9Y0 X RC BTATLL OT14 ANO EMPLOYERS'M M YIN ANY PROPRIETOMPARTINERIFXECURVE❑ NIA E.L.FACXACCSIEND S1m= OFFICEWMEMBERE%CLUDED'V (MentlMay In NMI E DISEASE-EA EMPLOYE 51M.000 1y de:vlla under DESCRIPTION OF OPERATIONSEeIpv E.L.DISEASE-POLICY UNIT 6i=. B Insertion Rudder PNM1900NU M 1/302019 IM1@0 Pr Oaanwu9M. f10p,C01S2,5D] PneeM BPRDed HOO.000'E1.OD] DEBCRIPMN OF°PERAMNSI LOCATIONS/VEHICLES(Asch ACOM 101,AddNImM MnurteSMedule,11 Wee space Is rpulreen This Certificate does not afford Coverage for Additional Insureds. The Ce tificate is only evidence of insurance Coverage for the Named Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Evidence of Insurance AUTHOMED REPRESEMATME 911988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD DATE: February 11, 2019 RE: 50 Middle Street, 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 February 6, 2019. 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 PVA-1 and PVS-1 satisfactorily meet the applicable standards included in the Massachusetts State Building Code (Ninth Edition), 2015 IBC/IRC and 2018 IEBC. 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 sheathing. Overall the roof area is structurally adequate to support the additional load of the solar panels and their framework. Acknowledged by: �y1H OF 02 G f CHRIS H. KIM `r^ CIVIL a .52430 9p IT Chris Kim, P.E. CODE INFORMATION w = 3"PP°`"a�`°°`a "" °"°°"°�"°" SOLAR INDIVIDUAL PERMIT PACKAGE uMlolxsfco[II%I x[AOExn.lcc¢Ilu'1 d - � Itr OU xnlEcxu EIErnIC CwEEIXRI Z IE' DENNIS DESMOND 1 7.85 kW GRID TIED PHOTOVOLTAIC SYSTEM (413) 270-5657 1 SATELLITE IMAGE 50 MIDDLE STREET FLORENCE, MASSACHUSETTS 01062 AHJ: FLORENCE UTILITY: NATIONAL GRID - MASSACHUSETTS JOB NOTES SHEETINDEX wacusaacxnacrv"��onnwmaa pp City of Northampton n s e g Building Department o a g Plan Review 212 Main Street Northampton. 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NmetB.CO IMOt UM e...r..wr olMmr ewre.IMaeM Ieeolg KINGS wpCO)"e" Wg .yee a Win FIGURE 1:CURRAW W NSM.ER SPECIFlG9011 ydet HWIE 3:SUNPoWER EQUINOX GROUND PIRN!COMpL1.LNCE d . n..ebeaaMval Mna,<Iorin meAe Mawlry.Exn AC MMuk Mneen aeaiMiMadNlMuam Mxxe N ii .,Mln,.,llb.,,l<xmax.m.Iwxx.elogla,meMme,,c MmMee,.,n,x,gn meeww^'mtg�nn�x1,M 4.1 NEC Compliance and the Ground Path <wMuax IEGCI The lolhod ng art the trouMing,rtyled NECAnicks and a pplInableth,for S ,Frdd e1 M MWulrs on aodhoor • The AC Nxconden, nle syAem andechnd to-1 1.mkmimeaer S luCymwlxed and intrudes an nlnrul E4C.1Mg,wlWppin nbrign dantYaUenin dedugprondty a'firsl In make.bNmbeaY' • Gypaldrcs—thothloaCmoduas rmnectm SaI • .R dm ml apply III mad. . me gaan cMlaxlb in de b cads Chan ratAn b roerSlM lode ESC lam dr MMy hMraded 69019 coxa eertpmen 8aourolaM wxh ntY S.N SeMed Shot ol®drrocg Mian AC mdeane. ba1<n dank IMe tram,grMbcl. • )neM Noun Need de the mkrdmbler txminalea on the rearreax Cnarls Man a Want mnnamn, G91i5apenfry lMI EGC55nauldY$M barred on 350.1 R. and is enWmment sealed. • MSer Theater MA 5 etlen had EGC IS—potMed vrnln a raewaY • She drao eaab Ws)rse.to be mrduk bane MN pass N.lwMad,No "I groadd • 690,47 treat aql apply to M mMded, <omI he the npowlea— SI dox M apply wen."an AC rysbm.)he,M'rybxn'nx erred,Ines gon That 1.rtapuck hex agrwnd pin had¢I anon ane aqua qm to emu,e a hat one gtaund is lle Int W made oemnes.N.hen[a I and MroalMq Al modules m The AC ednern. mtrcaa wnm mnnealag a gnen pag+nepmrle per.aM the lxvo rdal1-1.1.—dd—reneng ate par, EI apples to X rynemS it does rot appll ao AC modulo. • 690A)ICl does not appr bee.40 (Bll rander Ean Sobe— AC Mee"deraudea afa,he r..arN Mver 1.1 M)lkal dinner,apulrt width 650A)IDl only pones gutlanre he a tlr grounding elenroh cpntruaOC wrabYmnMEM bkberyrxln xMttmNlaaaewN I!R 151).poirtrpodu<MiscwMtweMm Shot IldI.,..x]W VACpacon ordnymt MlunaiommlY Mlcmwlrynaeheaoevakuttd ae 69].a9ddeo rctapple. 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MC Uln(lMatrvMto 690A11ymda rWa RearaNn .,aiMWfuaaM W[e CWf 690.x1111 FIRE AOc C= Iailartb ,IBrWnNatr 'hh, _ 9Mdneerurto rtM, t]D3 PW4kme Ina' tlatteal".1 IHl dand Uh 690DIPI GTA11 didkN.' eta al.a]IPIhmPlo RiN aNtl .1NI h warm ."DOrAUIW levellesindex 69dwxqpm N.N. x90.x111) fl� "d aadq m..ann�no�f.a n wi..*m«n mvT.na�o�w xx ua�.n^vnn FlWRE l:WINNOWER EWINON GROUND P1TI It WRIN-L NM FIGURE 3:SUNMWER!WINO%GROUND P1ln 1 CONPWNM W Product data sheet DU222R8 Pmducf Data Sheet D222NRB 06 cneracbnsacs SeI SWITCH NOT FUSIBLE GD 2a0V 60A 2P R).2ob•61A,Fusible.CamiEOa(Clap H.K Z 7 NEMA3R ®wmo r.m•+.ew:r.iw.+rrm.awev wr� ...... mup muum •«+or w.«n.r..��rr.�rrrrn r.mxda«s«aee r«w.. 1 ^^ .4. F � - - .... . .w.a�....r� EH<1er ■ DATE: February 11, 2019 RE: 50 Middle Street, 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 February 6, 2019. 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 PVA-1 and PVS-1 satisfactorily meet the applicable standards included in the Massachusetts State Building Code (Ninth Edition), 2015 IBC/IRC and 2018 IEBC. 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 sheathing. Overall the roof area is structurally adequate to support the additional load of the solar panels and their framework. Acknowledged by: tN OF f CHRIS H. KIM v CIVIL c .52430 Chris Kim, P.E. Channel Partner: SunPower Direct Project Name: Desmond - 1698798 Customer Name: Dennis Desmond Needs to be Walked In to: Northampton, City of Building Department Address: 210 Main Street Northampton, MA 01060 24 Panels @ 327 7.848kW E- 21000 B- 7000 Map: Block: Lot: Parcel #: 23A-130-001 Property Sq Footage: 14287 Date Submitted : Check # Check Amount $ Check # Check Amount $ Skyline Solar LLC iU S t, 1 'nrnmi .5!3!11IF,, 9' 36,] YVI :V;1, ,, I City of Northampton 210 Main St. Northampton MA 01060 2/14/2019 To Whom It May Concern: This letter is authorized to "AgIkk f of Skyline Solar LLC to obtain building permits on behalf of Ryan Lane, owner of Skyline Solar LLC, Phil Chouinard, Skyline Solar's Construction Supervisor and James Leavitt, Skyline Solar's master electrician. The project is located on 50 Middle St. The homeowner's name is Dennis Desmond. The proposed project is a roof top solar system for purpose of net metering. III. Ryan Lane HIC - 172284 Phil Chouinard CS-027047 James Leavitt ELC-21667