11C-017 (5) IBERNACHEST BP-2019-1051
GIS#: COMMONWEALTH OF MASSACHUSETTS
Man:Block: IIC-017 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
Permit# BP-2019-1051
Proiea# JS-2019-001718
Est.Cost:$31000.00
Fee:$100.00 PERMISSION IS HEREBY GRANTED TO:
Comt.Class: Contractor: License:
Use Group: SKYLINE SOLAR LLC 027047
Lot Size(so.ft.): 8755.56 Owner. ASHTON JOSEPH D
Zoning;URA(100y Applicant. SKYLINE SOLAR LLC
AT. 1 BERNACHE ST
Applicant Address: bone: Insurance.
4 CROSSROADS DRIVE- SUITE 116 (732) 354-3111
Workers Compensation
HAMILTONNJO8691 ISSUED ON:3/2712019 0.00.-
TO
:00:TO PERFORM THE FOLLOWING WORK:30 MODULES ROOF MOUNT SOLAR ARRAY-
9.3 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 NOR PTON UPON VIOL/ATION OF
ANY OF ITS RULES AND REGULATIONS. dine a A t�hi
Certificate of Occupancy sianaturc:
FeeType: Date Paid: Amount:
Building 3/27/20190:00:00 $100.00
212 Main Strect,Phone(413)587-1240,Fax:(413)557-1272
Louis Hasbrouck-Building Commissioner
1 BERNACHE ST EP-2019-0656
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 11C
Lot:017 ELECTRICAL PERMIT
Permit. Electrical
Category: WIRE A ROOF MOUNTED SOLAR ARRAY,30 MODULES&30 MICRO-INVERTERS,9.3KW
Permit4 Electrical
PERMISSION IS HEREBY GRANTED TO:
Project4 JS-2019-001718
Esc Cost: Contractor: License:
Fa: $60.00 SKYLINE SOLAR LLC MASTER ELECTRICIAN 21667
Owner: ASHTON JOSEPH D
Applicant: SKYLINE SOLAR LLC
AT: 1 BERNACHE ST
Applicant A Phone Insurance
4 CROSSROADS DRIVE - SUITE 116 (732) 354-3111 C- Liability,
PK201900009639
HAMILTON NJ08691 ISSUED ON."6/20190.00:00
TO PERFORM THE FOLLOWING WORK:
WIRE A ROOF MOUNTED SOLAR ARRAY, 30 MODULES & 30 MICRO-INVERTERS, 9.3KW
Call In Date: Date Reouested inspection Date/SlanOlt: Reiaspem?:
Trench/UG:
Swim]Ins ructions
I
Ronal,
x
Sueeial lnstruedona:
Final:
SRE Called In:
Sinature:
Fee Type:: Arranger: DatePaid
Electrical S60.00 3/26/2019 0:00:00 12265
212 Main Street,Phone(413)587-1244,Fax(413)5874272-Inspector of Wires -Roger Malo
( ! C - dtl
aP- �9- Iasi
A6 & CERTIFICATE OF LIABILITY INSURANCE -"M°"`""
13012019
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 addlicate holder Is an ADDITIONAL INSURED,the policy(les)must be endo ed. N SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,urtaln polloiee may reoulre an sdomement. Atonement on MIs ceNBCate does not coder Holds to the
ardfiub holder in lieu of on andona..U.).
PRODUCER gyp,
Tho HamMon Group,LLC NONE 973-292-2282
3 Wing Drive
Cedar Knolls NJ 07927
uW AMDYIa0a6UW INC•
W"..A:NY Marine S General Is CO.
Skyllmno Solar LLC Se"'3 assets B:Gotham iro CO
Skyline Solar RI,Inc. MaMURC:SELECTIVE INS CO OF AMER 12572
4 Crossroads Drive,Ste 118 N ao:SdeQ9"InaCod tiro S.Esd 39928
Hamilton NJ 08891 ashadjam,
I aP:
COVERAGES CERTIFICATE NUMBER:318929597 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICES 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 SE 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 CLAMS.
In"Off UIUrICE PMlpyyp ro F M1KTEa Mels
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X La4PmAm PERBCRN.&A RUURY $14001010
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roe dI Lbo rd coverage for Additional aInasu rel Wtla,. The CeMromeWua is ord y,evidence
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CERTIFICATE HOLDER CANCELLATION
SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE MILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Evidence of Insurance Aem ..REHraM..mr.
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®1989-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD
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commissioner
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10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improverni Eontractor Registration
Regswunn: m2e4
Type. Suedemmnl Cant
SKYLINE SOLAR,LLC. - - Evifa°00 X020
PHILIP CHOUINARD
4 CROSSROADS DRIVE SUITE 116
HAMILTON,NJ 08691
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COMMONWEALTH OF MASSACHUSET-T5,-
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ELECTRICIANS
ISSUE-'$ THE FOLLOVVING A
REGISTERED MASTER
JAMES E LEAVIVr
SKYLINE SOLAR LLC
95 RYAN DR
Al
STE 3
RAYNHX%rty PAA 02767-1992
21667 0713112019 107567