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23A-129 (4) 46 MIDDLE ST BP-2019-1049 GIS N: COMMONWEALTH OF MASSACHUSETTS Mao:Block:23A- 129 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS permit,. Buildina DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cateeory:SOLAR ELECTRIC SYSTEM BUILDING PERMIT Permit N BP-2019-1049 ProiectN JS-2019-001710 Est.Cost:$12000.00 Fee:$75.00 PERMISSION IS HEREBY GRANTED TO: Const,Class: Contractor. License. Use Group: TOBIN BUILDING AND REMODELING 074317 Lot Size(se.ft.), 19602.00 Owner. WALMSLEY CATHERINE A Zoning:URB(100y Applicant: TOBIN BUILDING AND REMODELING AT: 46 MIDDLE ST Applicant Address: Pkone: Insurance: 306 NORTH MAIN ST ON (508) 525-9878 WC UXBRIDGEMA01538 ISSUED ON.•3/27/2019 0:00.00 TO PERFORM THE FOLLOWING WORK:ROOF MOUNT SOLAR 11 PANELS, 3.96KW 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 3/27/2019 0:00:00 $75.00 212 Main Street,Phone(413)587-1240,Fax:(413)557-1272 Louis Hasbrouck—Building Commissioner Department use only City of Northampton Status of Permit: Building Department Curb CuUDdveway Permit 212 Main Street Sewer/Septic Availability ` ROOM 100 WaterWell 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,AL EPAIR RENOVATE OR DEMnI ISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 6P- ow,r 1.1 Property address: MAR 2 S 2019 TI is section to 6e completed by am" 111. 1 1 t..1.J\� C Map a Lot /dq Unit ''-I'tD Nt UU- ✓\1 _ nFCT oc runowr,lZWTIONS Overlay District NORTHAMVTON.MN 01 Elm St.District CB District SECTION 2-PROPERTY OWNERSHIPIAUTHORI2ED AGENT 2.1 O f co d: na 4 o �AtMle Skeet Name(Prin1t�) " Gunen Maili d L /� 141Tf - 5�4{0 Teleph fief Slgnaatu 2.2 Authorized eM: ck�(�xc�.T b.� °�Ob N•►.1o11nS4'�3n1.l\xbYid�e, uR Name(Print) Current Meililg Atltlmea: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building G 00c) (a)Building Permit Fee 2. Electrical t(--\, 0 60 (b)Estimated Total Cost of I Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) , l5l) Check Number This Section For Official Use Only Building Permit Number Date Issued: Signature: Building Commissionedlnspector of Buildings Date 11nLWDV—\�0 Ain @ EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) e Section 4. ZONING All Information Atust M Completed.Permit Can Be Denied We To Incomplete Information Existing Proposed Required by Zoning This column to be find in by Building Department Lot Size Frontage L. Setbacks Front Side U R: . . L R: Rear Building Height Bldg.Square Footage Open Space Footage (td are min.bldg At od #of Parking Spaces --- - Fill: wlumc&I.ocanm A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO Q DONT KNOW ® 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 ® 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 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 IF YES, describe size, type and location: E. Will the construction activity disturb(denting,grading,excavation, or filling)over i acre or is it part of a common plan that will disturb over t 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 aoolicablel New Nouse Qtl Hion ® Replacement Window. Alterallon(s) Q Roofing Q Or Doors ❑ Accessory Bldg. El Demolition Naw Signs [OI Docks (q Siding[0] Other[a Briefsai Pfoposed M i p� 1pJ1c 671 C y �,Q�� Altere ion of e>dsting bedroom_Vas Y No Adding new bedroom Yes K No Attached Narrative Renovating unfinished basement Yee No Plans Attached Roll -Sheet 6a.If New house and or addition to existing housing, complete the following: a. Use of building : One Family R Two Family Other b. Number of rooms in each family und: 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 Woodsloves 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. SepticTank CHy Sewer_ Private well City water Supply SECTION 7s-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, C/M1YI VA4'1� IA��II Y/7IXM .as Owner of the subject property hereby authorize 1C1C1Q1 �7b\1'1 to act on my behatt,in all matters relative to work authorized by this building permit� application.2Q,k"n.\ Signature al Owrrr —� Date moor 1, 2 it A A Y I T ,�1t IC l(lhln ,as Owner/Aumodzed Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signeddor the pains d penalties of perjury. Tcx PrintNems Signature of Amer/Agent Der, SECTION 8-CONSTRUCTION SERVICES BA Licensed Construction Supervisor. --� Not Applicable 13Name of License Hold,,: ��CYNQ) I l��\(1 1.J -01 W31� License Number �:Qo N.Qiwv:�,43 N<uxbyar LAA &1515s a/s/al Address Expiration Date Signature � . —TalrplroneA (1! 14. `�S-�1Ff18 9.Reatstered Nome Improvement Contractor. Not Applicable ❑ 10)Din 66\C nA 0 nrl QBrm CUADX 11001 ba (o Compow Name Registration Number 301D(( 1JtAinS1 #3 t\( 15xbrir#U�e VIA (4153S1 Lm a AddresExPiDl( /ao ;s; a/ & ) SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(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 Affidavit Attached Yes....... V No...... ❑ i City of Northampton i_ Massachusetts / I DSPNIT r of BUILDING INSPECTIONS 212 Nein Shut .M icipa1 a0116 ng p C� tlortAanp[m, 101 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: 4b �i cad12. S-�r.P,e� (Please print house number and street name) Is to be disposed of at: CakAu,*j\ C�pc c t D Worcester (Zoacl (Please print name and location of facility) ><{m 0E, o1S6, Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) 04/-, -- A 3 ao�iq Signature of Permit Applicant oftOwner 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. L•:mnwnwealln of MassacnusNls 11> Division of Professional CYensure 1 Boerd of Building Regulations and 6landarOs IConstredion Sapermsor CS-074317 Expires:021052021 RICHARD J.TOBIN,JR. _ 306 N.MAIN ST.K3 NORTH U%BRIDG@ MA 01638 JI t" JPS .or ce..ww wrenOYE�YWIssv{Ya�TSYyP�E:S�wdEB76dwrzuzoxa TODINBIN BUIIDMBANp gEMOOELINO TOBIN JRRST /"—'F 1 The Commonwealth ofMassachusetts Department oflndestrial Accidents d Office oflnvestigations 600 Washington Street Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name: R 1,114 7:-7 a . (Business/Organization/Individual):— Address: ?V Ci /State/Zi : i O/ Pbose#: SO — S'�S- 1. ❑ I am a employer with 4.❑I am a general corttiactor asst I 6. New Corostruction employees(full and/or partfime).- have hired the subtomractom listed T ❑Remodeling r,� on the attached sheet.These sub- 2.JJ i am a sole proprietor or contractors have employees and 8. ❑Demolition partnership and have no employees have workers'comp.insurance.' working for me in any capacity. 9. Building addition [No workers'comp.insurance s.[]we are a corporation and its 10.Q Electrical repairs or additions required.] officers have exercised their right of 11❑plumbing Repairs exemption per MGL c.1S2,§1(4), 3.❑I am a homeowner doing all work and we have no employees.[No 12.❑Roof Repairs Myself, [No workers'comp.insurance workers'comp.insurance required.] 13 ❑Other required] 'Any appliwt that cheeks box a 1 most ata 511 out the section below Showing their workers'cOtopoaatim polity mfor1111500. I Homeowners who sabmit this admiem indicates they ate doing as wart and then hire outside conavowns must submit a new affidavit indicating sucL lConttactors than check Ws box must-,ached an addi,noal sheet showing the name of the sub-connacton and stele whether or not those cooties have employees. If the subcontnetors have employees,they must provide their workers'comp.policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and joh site, information. Insurance Company _ Name: Policy#or self-ins W.#: Expiration Date: Job Site Adokseg:,CL. I a City/SnmdZip: (1Y' Mfl 0[Ola Attach a copy of the workers'compewtbn polity declaration page(Showing the pokey number and notation date).Failure to secure coverage as required under Section 25A of MGI,c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one year imprisonment,w wall as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification- Ido erification.Itis hereby crrrlfy mrdertke paL�ae anndd penaJtles of perjwy awt the lnforamdon provided above is truce aet. dcorrec sienattue: , — t Date: Phone#: 17F/Ip _ 0FFJC14L DSE0MX DO MTWRIZEDVTWyAREA TO BECOAfPLETED RYCrTYOR TOWNOFFTCIAL. City or Tunes: Permitllacem e# Issuing Authority(circle outer 1.Board of Health 2.Building Deparfmot3.0ty/1'orwe Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone#: ACORd CERTIFICATE OF LIABILITY INSURANCE rr`BY`pP wnvzole THIS CERT IFICATE IS ISSUED AS A MATTER OF NFORMATTOII ONLY AND CONFERS NO RIGHTS UPON THE CERTRICATE 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 ISwMG INSUREINS),AUTHORIZED REPRESENTATIVE OR PROOITCER.AND THE CERTIFICATE HOLDER. MPORTAMT: NIM 9erUlFale AAIB,Is r AOOTIONVIL NSURED.D1e Pd y(Ws).0 NEYR ADDITIONAL INSURED proYltN9ns d M er10wsaE. n wBROGl1T1Ol1Is WAAED.sLolx4 b UM Nwmi erM car10NDAs d the pDNry,cdle4n pDNcws^ler EpWe r RrEOdseEENa A MMNEIea an mlt R.EBrIw.eon Ela Ddtr .a IM aE.LNNAIe MM.r IR IAM d sLrn RE1nDESNEMm1:). vvoaXEv �. ti ,ctcve lnS me CmWy d Alaska NNIN (0]])741.3125 P])1]riZBYI P n Ra.llns RCOR[M: ttm3nGeiele[Ilve.cm RERMLARI NiORdEGCWFRRC[ 192 9 RXMnaN VA 2)225.0)25 +LIBRA. SebdrvD lmuPrceod LSC 19259 NNN(D RNNNB: RICHARD iD&N OSA TOWN BUILDING AND REMODELING xM®Ep: Po BOX 491 ENXFAo: NNXZPE: NUXBRIDGE MA 015 311-04 91 !EB F• COVERAGES CERWWATE MNREER: REVUBDN MRBBER: THIS IS TO CERWY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED EMEED ABOVE FOR TM 9p1LY KRKX) INNCATED. MOTWIIT6TAMgNG ANY REQUIREMENT.TE RN OR COALITION OF ANY CONTRACT OR OTHER DOCUIENT VAN RESPECT TOMMCH THIS CERWICATEWYNISSUFDORWYPERTAIN.THEWSUR EWFO OWTIEPoLICIFSpEWC DWWNMSUBTECTTOALLDETERMS. EYCLUSgNS AIIO COIQIpN50F SACH POLICns.LYr5511:MM MAY IMVE BEEN REpKEp BY F/JDCIAYS. I'IFEaNYIINL NYNYNmIN Wrl C�FxPMOMEIMA LMr111' E/{M d:CIrIFRtF S 1.CQl.ON ttMBANX ®O[NR t sixi'm MpEMP mI S IS= A S 218)985 De01PD18 wAmig NREdYta Roe HAm 3 1.00RON unRcaEurE Wruw4ESPEe uINRN AcuxurE s 9.a0.N0 Purr❑X °rtc°Ji ®LLL IX40Ducrs LXXanOPAYL s 3.000.008 DIMER NIIa10M.E IMINIr1 S MY PU10 BCCIYINM"ffI {s ) 3 b AEDSp1Ea1lE0 BDpII.RYpr.1 W 1 NITOS dxY IGS myWIOAaIY IYFp fit,X D WTOS 4 4 4eNN+u L3RBoCOM EAOIDCL1xxNxa 4 EWI4LIY CVI . /IZIAGA E 4 aD Mr0xtlax+ + .ENL UAWL rY •E• R AIYPIOHtlETLMRARrEAf x[tV11YE ❑ xu ELE.CNCOpExT t dEYYEYYYq EX4aHM II.WAE-EASA mf 3 Ip 4RfDEe IVs OE50o1pxadERAIgIISRyR� EL aMAY.IUC Wr + DEYOIIrdoFD1A1MINILgAlp161gxLl(S HDODO NI.AYINANIRWbLbJY.gYOdMBr1E+0YgYEE CERTIFICATE HOLDER CANCELLATION SHOULD ANY M THE ABOVE DEWFNMO FOLICES BE CANCELLED BEFORE THE EXRRATXM DATE THEREOF NOTICE TLE BE DELIVERED N ACCOROANCE NINA DIE POLICY PROVISIONS. W INDMEFD IIEMYNRArERE OT9BL20ISACORDCORPORATNNV. MIrlgplft serYM. ACORD 25(201SO1) TM ACORD ERAr REM kgP Are regismW a $0 ACORD ` The Commonwealth ofMassaehusetts Ipy _ DepartmentoflndustrialAccidents 7 Congress Stree4 Suite 100 Boston,MA 011744017 www.mossgov/dfa Workers'C'ompeosation Imurauce Affidavit:Builders/ConlruwrsMmtriciansTlumbers. TO BE FILED xxTIM THE PERMITTB4G AtrMORITv. Anolicuat laformadoo /�� s,,1 Please Print Leeibl (Bwiy Name ness%Orji.mmtiuMhdividw �l7�'(�(QW l): � �d1�]� (�e coy((•l (i n Address: QFbXi,�D,`�U�Mkf1YCf�,1PX SIA A /' p City/Statrjzipcs Tri I MR (-315n'1 Pb,=#:01�) 81 Ft$ Are yva m employer!Chick 6,anosprLu box: Type of Project(required): 1�fmnaannloy«wiN ✓ mPlnyem(con amV«wnaimel.• 7. [1 New construction 2.❑lmam4mmeimpr«wlmwshipmd MyenomwloyaawmkN III S. ❑Remodeling any ca mily.[No wvlkmi mm.imu ism waumd.] 9. El Demolition 3.❑ em a tomrovvncr done all Nak myulf IN.yolk«,'«cop.wumnoc nquhcd.]' 1.❑I me M1arcowvcr end will h hmng conmcrors m 4ndm1 oil wwkm ms,pmpnM (will 10❑Building addition amore dm(all mnwcmrc eaherheve workers'mmpemaion inw,mce or art vole I1.❑Electrical repairs or additions proprlmon w,N no cmpmym. 12.0 Plumbing repairs as,additions 5 E Iona general--want aM l hive hila llm vubc uni liamd an as sonata sheer. 3.1Roof repairs r'� �/ Thea w'rcomrevlon have emptyuraM Nve nom, ..i; 14.�Othu 1U.1 e.❑W<m•rarpo,nim mw its nmem love exemwJNev riytr o(esemqun pa MCL c. ISl,glia),aM we An•r n,emplwae.INa Nork<n'r«op.inainn«roquira.l *Any nmawen Nm chzks Mrx m inea elan fill ml the archon Wovv slwwmg in,,volkeli cmvpenunon whey infmwtion. ' Nnmunrnm wM wbM Nu uttidv,l mdicmklg Nay urdo,np vll work eM Men hue omaNe cnmmeorc moa suborn a my e11Wvn mdammg,mh. 1('amnrlorsmm,buck Nu hnxmusm"I meddyonu pr Nowe" wwmofehe eobeonhacems and aeon wMla,as,ortdone m1i1K5 have rn,nlYyees. If the mbconuecl«,Mve empbym,Nay mlu(pmui4lteir xerkers'rmnp.m4ernumhr I union employer that is providing workers'compensmlon Insurance for ary empdayees. Below Is the poddcy and joh sdte information. Insurance Company Name: .^1 /�5 Policy Mor Self-ins.Liic.g: �+5 Expiration Date: 4 ' I "1 Job Site Address: 7/�a M d V alleeot- City/Suadzip:fl]pl[���O/L1�Oo� Attach a copy of the workers'compensation policy declaration page(showing the polity Wombat and tion dace) Failure to secure coverage as required under MGL c. 152,¢25A is a criminal violation punishable by a fine up to 51,500.00 and/or oneyear imprisonment,as well as civil pena:ties in the form of STOP WORK ORDER and a fine of up in$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 notify under a 'ns o/ff jary that the lnformallon provfd{ed boys Lr owe and correct Signature: . BI�1""• Date:. Phone#: Ca-i Offichif use only. Donor writs,in this amino,to be complesol l0'city or town oljlcdat City or Town: Permlt/Lic,nse n Issuing Authority(circle one): 1.Board of Healih 2.Building Deparbneul 3.Cilyrfown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: COLDW-3 OP ID:BT 4�izv CERTIFICATE OF LIABILITY INSURANCE °"01/1712019 ' 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: M Ne 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 pollute may require an endorsement. A statement on this certificate time not water rights to But certificate holder In lieu of such endorsements. PRpaaeER ccT D Francis Murphy Ins Agcy Inc Pte[oxnMaria MIIIIkin 50 Mein Street MC Nu,Enf 978-56&8711 -- An xo 97838741496 Hudson,MA01749 EAua - -- - - —----_- Marls MIIIIkin AosRFsa: __ INBUROIIa)AFFOROMO CWFRApE rvucr YwRER A:Massachusetts Bay Insurance Co 22306 Yeowas Stevan Caldwell Electrician api a:Norfolk&Dedham Mutual Fire 23965 Caldwell tlba 85 ChicoINSORERc:Commerce Insurance Company 34754 85Chicopee,Dr — - HubOartlston,MA 01452 INSURER o: INwRER r Nsu..'' 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. NOTWITHSTMIDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OA 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.UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID Cl-AMS. INS" LTR TYP!(N MYMAXO[ POLICY NIIMaM IIYRS A X earYEReuL011slI�eu LlIMaanr E/,cHOCCURRENc! S 1,000,00( _ aAarsaA� UoccwODND00214202 OBf00R01e Oef07R018 PREYLSES E.emne,m 3 _300,00 _ YED Em IRm we'+R) S 5,00 __ PERSONA aAW INJUIIY S 1,000,00 _GEm AGGREMIE LINRAPRIEB PFR GENERAL AGGREGATE S 2,000,00 R11CY C_i ❑LOCLPRwUCT4-wL1P.VPMa: a o HFR a AurDYaee.ELIAeXm sJ— a 1,000,000 C AW,Npro J21 OefMOIS 0&4=019wMLYS11URY(N(,m*N) i AULOANEAUFO$ O rX AI DUUED B Y.Uahrp,, Ne,q S X wREOAuros X AOTF�m - e.D Adt _... a s UYBRE—CAS OCCUR EACH OCCURRENCE S DICESSUAB CIAMSYADE AOGREDATE S nan RETENTNNIS a AM UAaUX YIN X ME B ANY PRWRIETgN`AmNEa 17ee10A 01/1212D1e Q4f12/2019 E.L.EAGI ACCXYHI S 100.000 Of HCERAIRAER E%0.1AEm Y❑X/A IW,WYry MMQ E.L pLY'ASE-EA S 100 mLevM OESCRIPTICIICF CPEMTg14 Ww' EL, LINT S BDD OESCRYTWN OF OPEMIgIb/LOGTIOIID/VENICIEs IACOND 1H.A09YwuI Rn„F,b SCMpW.,syar WErM emnrpa Y,quM) Steven J Caldwell is sxclutleal from work comp CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEO BEFORE City of Northampton THE ACCORDAH EE ill"T E POLICY PROVISIONSTION DAM THEREOF, . WILL BE DELIVERED IN 210 Main St Northampton,MS 01060 IWaNDRAZEr/D1RaMFSENTATNE lyA,WHI tra'. riufat ®1968.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD i o i A w Co 0ko1 7 � 2� 0 = a z 4 0 z o App z 2 T rn 0 o n rnrn p 3 � m N z SAV o y 0) o rn m ^ y n . F N ~ � F� 3 r e r77 -eu " a S� o2aNR A O k a 'za m- c.�em i v v"+ewnMS �y i y s 'o»ramvoFracsrsrEn y 0 € c e srus� 2 � vF�ROSy HK 01 n o aF SNP' -WER, a cov¢R sx A^onc�cF abz i 3 { 1 17 Bernay PAYMON ESKANDANIAN, P.E. Laguna Niguel,CA 92677 STRUCTURAL CAPACITY OF (E) ROOF STRUCTURE TO SUPPORT(N) ROOF MOUNTED PHOTOVOLTAIC(PV)SYSTEM DATE: 1/10/2019 PROJECT NO.: 18.058 PROJECT NAME: WALMSLEY RESIDENCE PROJECT LOCATION: 46 MIDDLE STREET NORTHAMPTON/FLORENCE,MA 01067 To Whom It May Concern: This letter is in reference to the design of the proposed roof mounted PV system at the above referenced project location.The purpose of this letter is to make an observation of the structural capacity of the(E)roof structure to support(N)roof mounted PV module arrays.This evaluation was based on site survey observations provided by Ezactus Energy and the following design criteria: DESIGN CRITERIA APPLICABLE CODES: 2015 INTERNATIONAL RESIDENTIAL CODE(2015 IRC)WITH MASSACHUSETTS RESIDENTIAL CODE NINTH EDITION AMENDMENTS(CMR 780) ASCE/SEI 7-10 MINIMUM DESIGN LOADS FOR BUILDINGS AND OTHER STRUCTURES RISK CATEGORY II DEAD LOAD (E)ROOF DEAD LOAD: 8.5 PSF PHOTOVOLTAIC MODULES/RACKING/ELECTRICAL: 3.50 PSF UVELOAD (E)ROOF LIVE LOAD: 20.0 PSF PHOTOVOLTAIC MODULE LIVE LOAD: 0.0 PSF SNOW LOAD GROUND SNOW LOAD: 40.0 PSF MINIMUM FLAT ROOF SNOW LOAD: 30.0 PSF WIND DESIGN DATA BASIC WIND SPEED(3 SECOND PEAK GUST),V(ULT): 117 MPH WIND EXPOSURE CATEGORY: C WIND IMPORTANCE FACTOR,Iw: 1.0 WIND DIRECTIONALITY FACTOR,Ka: 0.85 (TABLE 26.6-1) TOPOGRAPHIC FACTOR,Ka: 1.0(SEC.26.8.2) WIND VELOCITY PRESSURE EXPOSURE COEFFICIENT,K,: 0.95 (TABLE 27.3-1) SEISMIC DESIGN DATA(SEE ATTACHED ATC HAZARD INFO) SITE COORDINATES LATITUDE: 42.33361 'N LONGITUDE: 72.6705 'W SITE CLASS: D SEISMIC IMPORTANCE FACTOR,Ip: 1.0 dF 17 Bernay PAYMON ESKANDANIAN, P.E. Laguna Niguel,CA 92677 SPECTRAL RESPONSE ACCELERATION SHORT PERIOD,S,: 0.170 g 1 SECOND PERIOD,St: 0.0669 DESIGN SPECTRAL RESPONSE ACCELERATION SHORT PERIOD,SDS: 0.182 g I SECOND PERIOD,So,: 0.106 g SEISMIC DESIGN CATEGORY: 8 BUILDING INFORMATION (BASED ON SITE SURVEY DATA BY OTHERS) BUILDING LFRS: WOOD SHEAR WALLS ROOFING MATERIAL: 1 LAYER ASPHALT COMP SHINGLE ROOF SUPPORT FRAMING: PLYWOOD SHEATHING OVER 2"x5"@ 30"O.C.RAFTERS MEAN ROOF HEIGHT,hr(FT.): 25.0 ROOF STYLE: PITCHED ROOF ROOF PITCH: 10:12 Based on the structural review of the existing roof framing,the existing roof structure directly underneath the PV system is found to be adequate to support the load from the PV modules and racking hardware noted above and on the drawings without the need for retrofitting the(E)roof structure. The scope of this report Is strictly limited to an evaluation of the underlying framing and supporting structure only and does not include the design or review of the PV array racking system.All panels,racking,and hardware shall be installed per manufacturer specifications and within specified design limitations.All waterproofing shall be provided by the manufacturer/installer.We assume no responsibility for misuse or Improper installation of the solar PV panels or racking system.This review relies on the roof's structural system having been originally designed and constructed in accordance with the building code requirements and having been maintained to be in good condition. If you have any questions on the above,do not hesitate to call. Sincerely, Paymon Eskandanian,P.E. F7'N OF 949-371-5238 y� info@lagunaengineers.com PAYMON ESKANDANIAN v STRU �+ Nn 5 818661888 9FGISTE G�Q� ON Digital y aed by o Eskandan' n Date:2019.01.10 23:24:29-08'00' CODE INFORMATION w ,q SOLAR INDIVIDUAL PERMIT PACKAGE A111IG9Lf CO015,UW5 M0 R-O,EnONS E1b xa� Nu a6martwtlro[IwcO y _ �li toy.xxnaxAn[iERxICEm�oE fxEtl Z KATHARINE WALMSLEY 3 .96 kW GRID TIED PHOTOVOLTAIC SYSTEM (413) 548-5746 SATELLITE IMAGE 46 MIDDLE STREET NORTHAMPTON/ FLORENCE, MASSACHUSETTS 01062 AHJ: NORTHAMPTON UTILITY: NATIONAL GRID - MASSACHUSETTS JOB NOTES SHEETINDEX PV SOUR ARCWEWYURL ORRMNO6 Ny G y 3 � o q�3N 3 $ G� 9 ° o S 8 r NSOUR BI =MRAL DELENNOS Y 6j ,.. x NC DVATa EE€g w SOUR ELECIE ORAINMOS PVA-0 MIDDLE STREET LECExo 2 . m mwn p �vzmwsnrtrs ianr N z mels-.rnic I naouii% 1 ® znw vnuzr nem e -'-- wonnnLwE r - I L I � ac ogWxxeer e . ® INfNPrumnYneV�llrt h<m I I I I N`e• I Sy` ry F a ' M nOR ON �O)USMEME 4LOWR I I 'us w LSMWNOMONAW I I w�.u..oa.. s+.nuo6ze t>'m un 1J mimosmo. z-sroc. 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PVEJ �.. ____ sGxxU/mxp:,W•mo5m:rf.T.x[ �j i„ Z CAUTION POWER TO THIS BUILDING IS ALSO SUPPLIED FROM THE FOLLOWING SOURCES WITH DISCONNECT(S) •aIle e.mweam.ap.6asek LOCATED AS SHOWN: III PHOTOVOLTAIC T m . IV ARRAY ON ROOF r UTILITY METER '# t✓ '� AC DISCONNECT 3 qG _ MAIN SERVICE) a g PANEL 7 e MA SMART UTILITY REVENUE METER 46 MIDDLE STREET nex.e is mxoxera.uxoao.vvxe nese neuxe�.wuvo mexnmw wu.mx or oremxxens xxo rowea zocxces o PVE�4 INSTALLER NAME: SRANCM VOLTAGES: j Z _ IISRdL� 4. N r 5. 6. LEGEND SYMBOLS: ______________ ; ROOF 1: 9 F--- --- MODULES E.r,PECEmPauaearrAc�E , _ ia,cerFrtui&nEcen<� ----- , +��' rM E�rLYWP[[eTP i 1 ; lb,nYWPevnPaE llllll ��CnPYL ROOF 2: 2 •Mows MODULES e 8 g � y s $ $ a PVE-6 _.e