17A-080 (4) 38 CAROLYN ST BP-2019-1170
GIS#: COMMONWEALTH OF MASSACHUSETTS
MAp-.Biock: 17A-080 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Cateeorv:SOLAR ELECTRIC SYSTEM BUILDING PERMIT
Permit# BP-2019-1170
Project# JS-2019-001896
Est.Cost:$28000.00
Fee $75.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: SKYLINE SOLAR LLC 027047
Lot Size(so.H.): 11630.52 Owner: CRF,SC17'FLLI JOHN&PATRICIA M
Zonine:RI(100VURA(l0o)/WSP(100y Applicant: SKYLINE SOLAR LLC
AT. 38 CAROLYN ST
Applicant Address: Phone: Insurance:
4 CROSSROADS DRIVE- SUITE 116 (732) 354-3111
Workers Compensation
HAMILTONNJO8691 ISSUED ON:4/262079 0:00:00
TO PERFORM THE FOLLOWING WORKPV SOLAR SYSTEM 38 MODULES, 11 AKW
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: Qz 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 Sienature:
FeeTvoe: Date,Paid: Amount:
Building 4/26/20140:00:00 $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 Permit:
Building Department Curb Cut/Driveway Permit
212 Main Street Sewer/Septic Availabiliy
1 Room 100 WatenWell Availability
Northampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans
Other Speciy
APPLICATION TO CONSTRUCT,ALTER,REPAIR R EOR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMATIO EI P- /9-[ 7U
1.1 Property Address: , 9 2019 This section to be completed by office
38 Carolyn St APR M .! � Lot o 9 o Unit
DFPT OF fl 'DING INSPECTIONS ZO Overlay DistrictNOnTNPM
PTON.MAm050
Elm St Distr1M Ca District
SECTION 2.PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
John Crescitelli 38 Carolyn St
Name(Print) Current Mailing Address:
Attached (413)270-5957
Telephone
Signature
2.2 Authorized Aaent:
Ryan Lane 4 Crossroads Dr. #116 Hamilton NJ 08691
Name(PNny-�7 V — Current Mailing Address:
��/—�p/r�, 7323543111
Signature 6 Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building 7000 (a)Building Permit Fee
2. Electrical 21000 (b)Estimated Total Cost of
Construction from 8
3. Plumbing Building Permit Fee
4. Mechanical(HVAC) ��J
5. Fire Protection
8. Total=(1 +2+3+4+5) 28011(1 1 Check Number
This Section For Official Use Only
Building Pernik Number: Issued:
Signature:
Building Commissionedlnspector of Buildings Date
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
tat Size
Frontage
Setbacks Front
Side U R: L:_R:_
Rear
Building Height
Bldg.Square Footage %
Open Space Footage %
(Lot area minus bldg&loved
parking)
0 of Perking Spaces
Fill:
volume&Incation)
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 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 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(Gearing,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 5-DESCRIPTION OF PROPOSED WORK(check all acnilcablel
New House Addition ❑ Replacement Windows Alteratlon(s) Roofing
Or Doors D
Accessory Bldg. ❑ DomolNion ❑ New Signs [0] Decks [0 Siding[O] Other[rte
Brief Description of Proposed hoW Wons of a sale and code compliant,grid rid,W solar system on a rmidenthd rooftop.38 Modules) 114 kW
Work:
Alteration of ensting 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 exlst[na housing, complete the following
a. Use of building:One Family Two Family Other
to 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 Woodsloves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
In. Type of construction
I. Is construction within 100 fl.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.
Signature of Owner Data
Ryall 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
4/15/19
Signature o Own t Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Suwmiwr: Not Applicable ClName of License Holder Phil ChOUlnard CS-027047
License Number
79O St Unit#101 Ashland MA 01721 11/9/19
mss Expiration Dale
7913543111
Signature Telephone
9.Realstered 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.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....... 0 No...... ❑
City of Northampton
•" Massachusetts F„a rr
DBPAR� OF Btcrw O MSPBCrz=s
212 Main etrwt • Municipal
Northavg n, NA 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, orconstroction of an addition to any pre-existing owner-occupied building containing
at least one but not mors than four dwelling units....or to structures which are adjacent to such residence or building"be
done by registered contractors.
Note:If the homeowner has contracted with a corporation or LLC,that entity mast be registered
Type of Work: Est.Cost:
Address of Work:
Date of Permit Application:
I 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 owner-occupied
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, I hereby apply for a building permit as the owner of the above property:
Date Owner Name and Signature
City of Northampton
-�f Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street * l icipal aullA
Novthan,t , me 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 110.115.1.3.1
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
1 DEPARTMENT OF BUILDING INSPECTIONS
212 Main Stxaat •Municipal Building
North mpton, 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:
38 Carolyn 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)
Signa1dW of Permit 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.
' \ The Commonwealth of Massachusetts
Department of Industrial Accidents
1 Congress Street,Suite 100
Boston,MA 02114-2017
www.mass gov/dia
Ulkirkers'Compeneation Insurance Affidavit:Builders/CooMctorsfEleclricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITI'.
Applicant Information Please Print Leeibly
Name(Business/Organiwion/Individual):
Address:
City/State/Zip: Phone#:
Are yon an employer?Check the appropriate base Type of project(required):
1.El1 con a employer with employees(full and/or pen-time)." 7. ❑New construction
2❑I am a sale proprktoror partnership and have no employees working for me in g, ❑Remodeling
row capacity.[No workers'comp.to.. restated]
3❑1 ma a Mmeowar doing call work myself[No workers'comp.insuancamilmara.l s q. El Demolition
10❑ Building addition
4.❑1 am a homeowner and will be hiring connectors to conduct nil work ce or msaleproperty. I will
rnsurc until wntrazors either have workers'cmmpenamion insurance or are sole l l.❑Electrical repairs or additions
proprietors with no employees.
12.❑Plumbing repairs or additions
50 1 am a general conuactor and 1 have hired the subcontractors listed on the attached shat 13.❑Roof repairs
These subcontractors have employees and have workers'coop.imurance:
6.❑We art economists and its officers haveexercised their right of exemption per MGL a 14.❑Other
152,11(q,and we have no employees.Mo workers'comp,immmee required.]
"Any applicant that checks hos N I must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this amdavit indicating they are doing all work and then hire outside cmnna"w's most submit a new a fidavit indicating such.
:Contractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have
employees. If the sub-contractors have employees,thev must provide thnr workers'comp.policynumber.
I am an employer hat is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
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 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby cert jo underthe pains and p re fides ofperjury that the information provided above is true and correct.
Signature, Date'
Phone#:
Official use only. Do not write in this area,to be completed by city or town efficiaL
City or Town: PermiVLicense#
Issuing Authority(circle one):
1. Board of Health 2.Building Department 3.Cityll'own 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 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-contractors)name(s),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 may be 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 permittlicense number which will be used as a reference number. In addition,an applicant
that must submit multiple permitflicense 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 burn 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. #617-727-4900 ext.7406 or 1-977-MASSAFE
Fax#617-727-7749
Revised 02-23-15 www.mass.gov/dia
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 ajoint 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 yew insurance company's time,address and phone number along with a certificate 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 may be 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 611 out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the pennit/license number which will be used as a reference number.In addition,an applicant that
must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary). 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
most 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
Boston, MA 02114-2017
Tel.#617-7274900 ext.7406 or 1-877-MASSAFE
Fax# 617-727-7749
www.mass.gov/dia
Form Revised 02-27-15
Skyline Solar LLC
?SRYmIll Seita 31 Pa;rnam, MAT)/r7 I Pnc)ity. 7 , ..13111
City of Northampton
210 Main St.
Northampton, MA 01060
4/15/2019
To Whom It May Concern:
This letter is authorized to 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 38 Carolyn St. The homeowner's name is
John Crescitelli. The proposed project is a roof top solar system for the purpose of net metering.
Ryan Lane
HIC - 172284
62: ,
Phil Chouinard
CS-027047
OT" — --L
James Leavitt
ELC-21667
pve�,I�iv�y�Q
V l/Qil ((ry0.�/�4[rachr[rerd'
Acciaenlr
O,1ce ojlnvestigat(ons
600 Washington Street
UF j Boston,MA 01111
Workers,C ws gov/dia
ADplicant Information
compensation Insuranctvw mase Affidavit: Builders/Contractors/Electricians/Plumbers
Please Pnnt Le gbly
Nagle(Business/organieatioNlndividual): Skyline Saba
Address:95 glran nrlv.cu't a
City/State/Zi : Phone#: 7M n
Are you an employer?Check the appropriate box: Type of project(required):
1.® I am a employer with a5 4. ❑ I am a general contractor and 1
employees full and/or + have hired the sub-contractors 6. ❑New construction
( pan-time).
2.❑ 1 am a sole proprietor or partner- 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
[No workers'comp.insurance comp. insurance.:
9. E]Building addition
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 I I.❑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 13®Other PV Solar System
employees. [No workers'
comp. insurance required.)
•Any applicant that checks box 41 must also fill out the section below slowing Meir workers'compensation policy information.
f Homeowners who submit this affidavit indicating they are doing all work and then hire outside emu aclm,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 hue
employees. If the sub-wnvacmrs have employees,they must provide their workercomppolicy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is Me policy and job site
information.
Insurance Company Name: NY Marine&General Insurance
Policy#or Self-ins.Lic.#; WC20IBM13247 Expiration Date:1r3MI9
job site Address:38 Carolyn 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 cert( der rhe p d penalties ofperjury that the information provided above is true and correct.
Signature: i
Phone#: 2-354.3111
Official use only. Do not write in this area,to be completed by city or town ofdai
City or Town: Permit/License#
Issuing Authority(circle one):
1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.PluEInspretor
6.Other
Contact Person: Phone#:
CODE INFORMATION
SOLAR INDIVIDUAL PERMIT PACKAGE °`"°"`°°` " ""°
OM4 c
JOHN CRESCITELLI
7.85 kW GRID-TIED PHOTOVOLTAIC SYSTEM
(413) 626-1279 SATELLITE IMAGE
38 CAROLYN STREET
NORTHAMPTON / FLORENCE, MASSACHUSETTS 01062
AHJ: NORTHAMPTON
UTILITY: NATIONAL GRID - MASSACHUSETTS
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DATE: March 26, 2019
RE: 38 Carolyn St, Northampton, 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 March 21, 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 PVS-1 satisfactorily meet the applicable
standards included in the Massachusetts State Building Code (Ninth Edition), 2015 IBC/IRC and
20181EBC.
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:
OF
d�
Digitally signed
Chris by Chris HKim o CHRIS H.KIM
Date: CIVIL
H Ki m 2019.03.26 52430
11:16:31 -04'00' �� FC1
Chris Kim. P.E.