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16B-001 (9)
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V CT .1./1 -A W',N -.0 m • 3/8-16 X 3/4" SS HEX BOLT 3/8-16 I°44b7 SS FLANGE NUT < cp. a• 4� 6105-T5 1 ALUMINUM a1=I . 1, o°o°o ° � oo _ SolarMount/SunFrame ©2008 UNIRAC, INC. 2" Aluminum 1411 BROADWAY BLVD NE ALBUQUERQUE, NM 87102 USA Serrated PHONE 505.242.6411 L-Foot UNIRAC.COM UNIRAC-310068 S:\AutoCad Detail Library\CAD\UNIRAC—310068—tin Serrated L Loot.dwg, 6/24/2008 1:44:32 OM SOLARMOUNT Technical Datasheets :PUN'RAC SolarMount Beams Part No. 310132C, 310132C-B, 310168C, 310168C-B, 310168D 310208C, 310208C-B, 310240C, 310240C-B, 310240D, 410144M, 410168M, 410204M,410240M Properties Units SolarMount SolarMount HD Beam Height in 2.5 3.0 Approximate Weight(per linear ft) plf 0.811 1.271 Total Cross Sectional Area in2 0.676 1.059 Section Modulus(X-Axis) in3 0.353 0.898 Section Modulus(Y Axis) in3 0.113 0.221 Moment of Inertia(X-Axis) in4 0.464 1.450 Moment of Inertia(Y Axis) in4 0.044 0.267 Radius of Gyration(X-Axis) in 0.289 1.170 Radius of Gyration(Y Axis) in 0.254 0.502 SLOT FOR T-BOLT OR 1.728 SLOT FOR T-BOLT OR 1/4k HEX HEAD SCREW 1/4"HEX HEAD SCREW ii 2X SLOT FOR 1 SLOT FOR BOTTOM CLIP � 2.500 BOTTOM CLIP if 3.000 0 t 1.316 I' SLOT FOR SLOT FOR Ys"HEX BOLT ' i` 1 3A" HEX BOLT .387 .750 1.207 Y 1.875 1I Y I rX rX SolarMount Beam SolarMount HD Beam Dimensions specified in inches unless noted 4 ' SOLARMOuNr Technical Datasheets ::'U N I RAC SolarMount Beams Part No. 310132C, 310132C-B, 310168C, 310168C-B, 310168D 310208C, 310208C-B, 310240C, 310240C-B, 310240D, 410144M, 410168M, 410204M,410240M Properties Units SolarMount SolarMount HD Beam Height in 2.5 3.0 Approximate Weight(per linear ft) plf 0.811 1.271 Total Cross Sectional Area in2 0.676 1.059 Section Modulus(X-Axis) in3 0.353 0.898 Section Modulus(Y Axis) in3 0.113 0.221 Moment of Inertia(X-Axis) in4 0.464 1.450 Moment of Inertia(Y-Axis) in° 0.044 0.267 Radius of Gyration(X-Axis) in 0.289 1.170 Radius of Gyration(Y-Axis) in 0.254 0.502 SLOT FOR T-BOLT OR 1.728 SLOT FOR T-BOLT OR 1/4" HEX HEAD SCREW 1/4"HEX HEAD SCREW 2X SLOT FOR SLOT FOR 1 7 BOTTOM CUP ii� 2.500 BOTTOM CLIP T 3.000 1.316 �1' SLOT FOR I L 3B" HEX BOLT I SLOT FOR ` 34" HEX BOLT � 1.385 I 1 .387 .750 all 1.207—{ Y 1.875 JI A ►X ►X SolarMount Beam SolarMount HD Beam Dimensions specified in inches unless noted 4 SOLARMOUNT Technical Datasheets :PUN I RAC SolarMount Beam Connection Hardware SolarMount L-Foot Part No. 304000C, 304000D • L-Foot material: One of the following extruded aluminum alloys:6005- T5,6105-15,6061-T6 r �`� • Ultimate tensile:38ksi,Yield:35 ksi • Finish: Clear or Dark Anodized • L-Foot weight:varies based on height:—0.215 lbs(98g) ,,/1 Allowable and design loads are valid when components are Bea .11714.4.001.11°P-10000 •/" assembled with SolarMount series beams according to authorized ,. Bolt UNIRAC documents .+ L-Foot • For the beam to L-Foot connection: . •Assemble with one ASTM F593%"-16 hex head screw and one errated ASTM F594%"serrated flange nut Flange Nu e •Use anti-seize and tighten to 30 ft-lbs of torque • Resistance factors and safety factors are determined according to part 1 section 9 of the 2005 Aluminum Design Manual and third-party test Y results from an IAS accredited laboratory A NOTE: Loads are given for the L-Foot to beam connection only; be ~ X sure to check load limits for standoff,lag screw,or other attachment method 3.01 Applied Load Average Safety Design Resistance alt SLOT roa Direction Ultimate Allowable Load Factor, Load Factor, s warrvrz. ` lbs(N) lbs(N) FS lbs(N) 0 aai ' Sliding,Z± 1766(7856) 755(3356) 2.34 1141 (5077) 0.646 ■ Tension,Y+ 1859(8269) 707(3144) 2.63 1069(4755) 0.575 Dimensions specified in inches unless noted Compression,Y- 3258(14492) 1325(5893) 2.46 2004(8913) 0.615 Traverse,X± 486(2162) 213(949) 2.28 323(1436) 0.664 3 SOLARMOUNT Technical Datasheets ::'U N 1 RAC SolarMount Mid Clamp Part No.302101C,302101D,302103C,302104D, 302105D,302106D Bolt • Mid clamp material: One of the following extruded aluminum Mid - N• ., alloys: 6005-T5, 6105-T5,6061-T6 la •e Nu ` .. • Ultimate tensile:38ksi,Yield:35 ksi Clamp \ Finish: Clear or Dark Anodized • Mid clamp weight:0.050 lbs(23g) • Allowable and design loads are valid when components are ° assembled according to authorized UNIRAC documents -.., • Values represent the allowable and design load capacity of a single mid clamp assembly when used with a SolarMount series beam to retain a module in the direction indicated • Assemble mid clamp with one Unirac 1/4"..20 T-bolt and one%"-20 ASTM F594 serrated flange nut •Beam Use anti-seize and tighten to 10 ft-lbs of torque • Resistance factors and safety factors are determined according to part 1 section 9 of the 2005 Aluminum Design Manual and third- party test results from an IAS accredited laboratory Applied Load Average Allowable Safety Design Resistance I 03 DISTANCE Direction Ultimate Load Factor, Load Factor, ee rweem nooutts lbs(N) lbs(N) FS lbs(N) 0 Tension,Y+ 2020(8987) 891 (3963) 2.27 1348(5994) 0.667 Transverse,Z± 520(2313) 229(1017) 2.27 346(1539) 0.665 � Sliding,X± 1194(5312) 490(2179) 2.44 741 (3295) 0.620 iX Dimensions specified in inches unless noted SolarMount End Clamp Part No.302001C,302002C,302002D,302003C, 302003D,302004C,302004D,302005C,302005D, 302006C,302006D,3020070,302008C,302008D, 302009C,302009D,302010C,302011C,302012C • End clamp material: One of the following extruded aluminum alloys:6005-T5, 6105-T5, 6061-T6 =• • Ultimate tensile: 38ksi,Yield:35 ksi .-'' • Finish:Clear or Dark Anodized • End clamp weight:varies based on height:-0.058 lbs(26g) d Clamp • Allowable and design loads are valid when components are Serrated / assembled according to authorized UNIRAC documents Flange Nut • Values represent the allowable and design load capacity of a single end clamp assembly when used with a SolarMount series beam to retain a module in the direction indicated • Assemble with one Unirac%"-20 T-bolt and one%"-20 ASTM F594 f serrated flange nut N. Bea f/ • Use anti-seize and tighten to 10 ft-lbs of torque 4 • Resistance factors and safety factors are determined according to part 1 section 9 of the 2005 Aluminum Design Manual and third- Y 4 f party test results from an IAS accredited laboratory • Modules must be installed at least 1.5 in from either end of a beam •x ..s Applied Load Average Allowable Safety Design Resistance " '"`"' Direction Ultimate Load Factor, Loads Factor, ' — lbs(N) lbs(N) FS lbs(N) 0 t*i r 7 i VARIES NMI Tension,Y+ 1321 (5876) 529(2352) 2.50 800(3557) 0.605 «aotiaf '"' MSS Transverse,Z± 63(279) 14(61) 4.58 21 (92) 0.330 • Sliding,X± 142(630) 52(231) 2.72 79(349) 0.555 Dimensions specified in inches unless noted 2 ! SOLARMOUNT Technical Datasheets ::'UNIRAC SolarMount Technical Datasheet Pub 110818-ltd V1.0 August 2011 SolarMount Module Connection Hardware 1 Bottom Up Module Clip 1 Mid Clamp 2 End Clamp 2 SolarMount Beam Connection Hardware 3 L-Foot 3 SolarMount Beams 4 SolarMount Module Connection Hardware SolarMount Bottom Up Module Clip Part No. 302000C f Washer • Bottom Up Clip material: One of the following extruded aluminum Bottom / t (hidden..s alloys: 6005-T5,6105-T5,6061-T6 Up Clip ,.• u n. • Ultimate tensile: 38ksi,Yield: 35 ksi • Finish:Clear Anodized Bottom Up Clip weight:--0.031 lbs(14g) °� Bolt Allowable and design loads are valid when components are Beam `*y, � ` assembled with SolarMount series beams according to authorized UNIRAC documents r,r'' ` • Assemble with one'/<"-20 ASTM F593 bolt,one Y4"-20 ASTM F594 I serrated flange nut, and one 1/4"flat washer ,'' Use anti-seize and tighten to 10 ft-lbs of torque old ., Resistance factors and safety factors are determined according to -.,. part 1 section 9 of the 2005 Aluminum Design Manual and third- " ` '-- party test results from an IAS accredited laboratory • Module edge must be fully supported by the beam * NOTE ON WASHER: Install washer on bolt head side of assembly. DO NOT install washer under serrated flange nut Applied Load Average Allowable Safety Design Resistance Direction Ultimate Load Factor, Load Factor, I lbs(N) lbs(N) FS lbs(N) 0 i '?' Tension,Y+ 1566(6967) 686(3052) 2.28 1038(4615) 0.662 Y Transverse,X± 1128(5019) 329(1463) 3.43 497(2213) 0.441 A �.as X Sliding,Z± 66(292) 27(119) 2.44 41 (181) 0.619 Dimensions specified in inches unless noted a CS6P-220/225/230/235/240/245/250P Electrical Data CS6P-220P CS6P-225P CS6P-230P'CS6P-235P CS6P-240P CS6P-245P CS6P-250P Nominal Maximum Power at STC(Pmax) 220W 225W 230W 235W 240W 245W 250W Optimum Operating Voltage(Vmp) 29.2V 29.4V 29.6V 29.8V 29.9V _ 30.0V 30.1V Optimum Operating Current(Imp) 7.53A 7.65A 7.78A 7.90A 6.03A 8.17A 8.30A Open Circuit Voltage(Voc) 36.6V 36.7V 36.8V 36.9V 37.0V 37.1V 37.2V Short Circuit Current(Ise) 8.09A 8.19A 8.34A _ 8.46A 8.59A 8.74A 8.87A Operating Temperature -4007-+85°C Maximum System Voltage _ 1000V(IEC)/600V(UL) Maximum Series Fuse Rating 15A Power Tolerance +5W Pmax -0.43%rC; Temperature Coefficient Voc 0,34°k/C Ise 0.065%I°C NOCT 45°C Under Standard Test Conditions(STC)of irradiance of l000Wim',spectrum AM 1.5 and cell temperature of 25°0 Mechanical Data Cell Type Poly-crystalline Cell Arrangement 60(6 x 10) Dimensions 1638 x 982 x 40mm(64.5 x 38.7 x 1.57in) Weight 20kg(44.1 Ibs) Front Cover Tempered glass Frame Material Anodized aluminium alloy Standard Packaging(Modules per Pallet) 20pcs Engineering Drawings I-V Curves (CS6P-250P) r 9]2 _, --.... .....- - jIr 11111111111111 ,, t �1u1mOOHJHIi� ,1 ill UM g iu m111 L_ ° *Specifications included in this datasheet are subject to change without prior notice. About Canadian Solar Canadian Solar Inc. is one of the world's largest solar Canadian Solar was founded in Canada in 2001 and was successfully companies.As a leading vertically-integrated manufacturer listed on NASDAQ Exchange (symbol: CSIQ) in November 2006. of ingots, wafers, cells, solar modules and solar systems. Canadian Solar is on track to expand cell capacity to 700MW and Canadian Solar delivers solar power products of module capacity to 1.3GW in 2010. uncompromising quality to worldwide customers. Canadian Solar's world class team of professionals works closely with our customers to provide them with solutions for all their solar needs. Headquarters 1 650 Riverbend Drive.Suite B Kitchener,Ontario I Canada N2K 3S2 Tel +1-519-954-2057 Fax +1-519-578-2097 inquire.ca @canadiansolar.com www.canadiansolar.corn Ie CanadianSolar CS6P 22012251230/235 1240/2451250 P On-grid Module CS6P is a robust solar module with 60 solar cells.These modules can be used for on-grid solar applications.Our meticulous design and production techniques ensure a high-yield, long-term performance for every module produced.Our rigorous quality control and in-house testing facilities guarantee Canadian Solar's modules meet the highest quality standards possible. Key Features • Top ranked PVUSA(PTC)rating in California for higher Applications energy production • On-grid residential roof-tops • On-grid commercial/industrial roof-tops • 6 years product warranty(materials and workmanship); Solar power stations •25 years module power output warranty • Other on-grid applications • Industry leading plus only power tolerance:+5W(+2%) • Strong framed module,passing mechanical load test Quality Certificates of 5400Pa to withstand heavier snow load • IEC 61215,IEC 61730,IEC 61701,UL 1703, • Ultra reliable in corrosive atmosphere,verified by CEC Listed,CE,KEMCO and MCS IEC61701 "Salt Mist Corrosion Testing" • IS09001.2008:Standards for quality management systems • The 1st manufacturer in the PV industry certified for • ISO/TS16949:2009:The automotive quality ISO:TS16949(The automotive quality management management system system)in module production since 2003 • QC080000 HSPM:The Certification for Hazardous Substances Regulations • ISO17025 qualified manufacturer owned testing lab, fully complying to IEC,TUV,UL testing standards a A., aE IEC Etb. CE .5 eeE «,� .r www.canadiansolar.com RI o o s August 5, 2013 City of Northampton Building Department 212 Main Street Northampton, MA 01060 Hello, I have enclosed a building permit application, applicable fee and supporting documents for a residential solar installation in your town. Please let me know if anything else is required to approve our permit. Once the permit is ready please use the enclosed self-addressed stamped envelope to send to us. Thank you and let me know if you need anything else, C '� Lt/ %Lt C Kim Hendel Operations Specialist Real Goods Solar Formerly Aliens Renewables Inc. 32 Taugwonk Spur Rd.Al2 Stonington CT 06378 Ph 860-535-3370 Fax 413-683-2225 Kimberly.hendel@realgoods.com 32 Taugwonk Spur Rd Al 2 Stoningt«r 860 535 33/0 www.Realk;oocESgk r.�, ,fir %r IJdfirr trri'r'f/trlir r/ I drr,i,irirr trir.ir , i 6 Office of Consumer Affairs and Business Regulation to Park Plaza-Suite 5170 — Rcs:on,Massachusetts 02116 Have improvement Contractor Rc istration Reirstrobon 1€ ns 'rya 'Mk Cor®orillan Ea 01:01 402015 TO 237"''. 2 ALTERIS RENEWASLSS INC. M CHAEL POTON1O 32 TAUGWONK SPUR Al2 _ . STONINGTON, cd O637e 1'Irla1a Athinni and morn aril,Milli reahnn fur:hailer. Aidrett Mown! Ettrplu'event i.att 6'41 UKUt of t ensawa Anms k lleatiat►s Mtar)tuw l.lwitie ur revItti➢Itian bile Mart unit iJu1 tae filly ItrV►CrtOP Ireton tht rtpirsimo data If raued regime in ..,,,Vg: MOW arm T/pa O R tofCuero: a Adair nut Swine,fteavk•tirrn posiii comvato If rot*Mau.Soot 91'0 pteghoyt: N6t20i5 Batton,MA 011 W ALT!R15 Rfl EW/LES NC tWC-u.EL ROTON I 26 SOLES STANDtSti DR CADVER,MA 02330 t oderstmt[■n 1 %nt e3lld without Militate . ° . " 2. i A .,411- * M21462 ,„,, ■ '. GI-22-2013 07-221 tuft was wt in o gel 1 MCLEAN , , DANIELL DEDOCNONDOILLSOAD 1 klassach..setts -`1Firartr*'ent of?u c 5afvt1 3aard 0 Uutlain4 .eci.iiatic' s aria Sta. Liarc3 C<rntitr.ics.l in ',sip vni..oi' License CS-105675 `it alai , a t yam. DANIEL.LMCLEAN / 481 Kennedy Ruud. Leeds MA 11111!53. 4 ^tunas si o ne r 07/2212015 .2 - 1 AFRO? CERTIFICATE OF LIABILITY INSURANCE 12/1/2013 DATE(MM/012YY) 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(ies)must be endorsed. If 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 lieu of such endorsement(s). PRODUCER p CONTACT Lockton Companies,LLC Denver NAME: FAx 8110 E.Union Avenue Suite 700 ((A No,Ext): (A/C,No): Denver CO 80237 ADDRESS: (303)414-6000 INSURERISI AFFORDING COVERAGE NAIC# INSURER A: First Specialty Insurance Corporation 34916 INSURED Alteris Renewables,Inc. INSURER B: Zurich American Insurance Company 16535 1344665 dba Real Goods Solar INSURER C: James River Insurance Company 12203 32 Taugwonk Spur,Unit Al2 Stonington,CT 06378 INSURER D: Starr Indemnity&Liability Company 38318 _ INSURER E INSURER F: COVERAGES REAG001 2377RTIFICATE NUMBER: 11970279 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES 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 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 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD IMMIDD/YYYYI(MM/DDIYYYYI A GENERAL LIABILITY N N IRG200052800 12/1/2012 12/1/2013 EACH OCCURRENCE $ 1,000,,000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ 50,000 CLAIMS-MADE©OCCUR MED EXP(Any one person) $ XXXXXXX PERSONAL&ADV INJURY $ 1,000,000 _ GENERAL AGGREGATE $ 2,000,000 GEM.AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 I POLICYI X I 78-r In LOC $ B AUTOMOBILE LIABILITY N N BAP5852403 12/1/2012 12/1/2013 Ea accidentsINGLE LIMIT $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX L OWNED r--SCHEDULED AU � BODILY INJURY(Per accident$ XXXXXXX NON-OWNED PROPERTY DAMAGE $ XXXXXXX X HIRED AUTOS X AUTOS (Per accident) 1 _ $ XXXXXXX rC X uMBRELLALIAS X OCCUR N N 000557240 12/1/2012 12/1/2013 EACH OCCURRENCE $ 10,000,000 D X EXCESS LAB CLAIMS-MADE SISCCCL01954212 12/1/2012 12/1/2013 AGGREGATE $ 10,000,000 DED I I RETENTION$ � $ XXXXXXX B WORKERS COMPENSATION Y/N N WC5852405 1/1/2013 1/1/2014 X 1TORY UMITSI PER AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE ® N/A E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 DEySCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES/(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) 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. 11970279 AUTHORIZED REPRESENTATIVE For Evidence Only ge5PitAtivi / 8 afiCS l ACORD 25(2010/05) 01 010 ACORD CORPO ION.All rights reserved The ACORD name and logo are registered marks of ACORD August 1, 2013 To: Code Enforcement Division From: James A. Marx, Jr. P.E. Re: Engineer Statement for Wade Residence, 38 Mark Warner Dr., Northampton,MA - Solar Roof Mount Installation I have verified the adequacy and structural integrity of the existing Roof 1 (one layer shingles): 2"x 8" roof truss rafters @ 24"c-c, and pitch 32 deg.; and Roof 2 (one layer shingles): 2"x 10" roof rafters @ 16" c-c, roof slope distance 21'-1" with rafter span approx..16'-0" and pitch 18 deg.; for mounting of solar panels and their installation will satisfy the structural roof framing design-loading requirements of the Massachusetts building code— 780 CMR Residential Code 8th Ed. For the installation of the solar mounting, the Unirac Solarmount rails will be anchored to the rafters with L-foot supports with Ecofasten GF1-BLK-0812 flashing and ECO-CP-SQ Bracket located on the center of the rafters and will be securely fastened to the rafters at 48" sp. with 5/16"x 3 1/2" SSTL lag screws. The mounting system has been designed for wind speed criteria of 90 mph Exp. B and ground snow criteria of 40 psf. All attachments are staggered amongst framing members. The Photovoltaic system and the mounting assemblies will comply with the applicable sections of the Residential Code and loading requirements of roof-mounted collectors. Thereby, I endorse the solar panel installation and certify this design to be structurally adequate. Sincerely, d`t James A. Marx, Jr. Professional Engineer !` r MA 36365 fc;�,` ti° i4v 10 High Mountain Road Ringwood, NJ 07456 cc: Real Goods Solar gbkot The Commonwealth of Massachusetts ___ Department of Industrial Accidents _"y=�` Office of Investigations ;n= 600 Washington Street Boston, MA 02111 , www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Alteris Renewables, Inc. dba Real Goods Solar Address: 32 Taugwonk Spur, Unit A-12 City/State/Zip: Stonington, CT 06378 Phone#: (860)535-3370 Are you an employer?Check the appropriate box: Type of project(required): 1.© I am a employer with 120 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.t 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp. insurance. 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.111 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.11]Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.0 Roof repairs insurance required.] t employees. [No workers' 13.© Other solar panels comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Zurich American Insurance Co. Policy#or Self-ins.Lic.#: WC5852405 Expiration Date: 01/01/2014 Job Site Address: 38 Mark Warner Drive City/State/Zip: Northampton,MA 01060 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 ce ti undepthe pains and penalties of perjury that the information provided Bove is true and correct. Signature: vtt ),�,t;,hO Date: `)� Phone#: (860)535-3370 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Dan McLean 105675 License Number 15 ederal treet,Florence,MA 01062 7/22/15 Addr s Expiration Date r 413-588-2252 ignature Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ Alteris Renewables dba Real Goods Solar 162709 Company Name Registration Number 32 Taugwonk Spur,A-12,Stonington,CT 06378 4/6/15 Address 1 Expiration Date JA( Telephone 860-535-3370 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. i Signed Affidavit Attached Yes No ❑ 11. - Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.3.5.1. Definition of 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. 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. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) n Roofing ❑ Or Doors D Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [C] Siding[O] Other[tn] solar Brief Description of Proposed Work: Installation of a 6kW roof mounted solar array using 24 Canadian Solar CS6P-250P modules,24 Lnphase M2l5-60-2LL-S22 micro inverters&all associated electrical work. Alteration of existing bedroom Yes X No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes X No Plans Attached Roll -Sheet sa. if New house and or addition to existing housing, complete the following: a. Use of building :One Family X 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? f. 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. 1. 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 I, Ruth Wade ,as Owner of the subject property hereby authorize Alteris Renewables dba Real Goods Solar to act on my behalf,in all matters relative to work authorized by this building p rmit application. see signed authorization form attached lc r I Signature of Owner Dat Alteris Renewables dba Real Goods Solar ,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. Kim Hendee Print Name / 4 f 1 5 Signature of Ow r/Age Dat 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 Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg.Square Footage Open Space Footage (Lot area minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW Q YES 0 IF YES, date issued:. IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW Q YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Q , Date Issued: C. Do any signs exist on the property? YES (3 NO 0 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 0 IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q NO C IF YES,then a Northampton Storm Water Management Permit from the DPW is required. , J _ Department use only R t �.._- — City of Northampton Status of Permit: i Building Department Curb Cut/Driveway Permit AUG _ t 201 i 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability pEPt OF BUILDING INy(ECT ONS Northampton, MA 01060 Two Sets of Structural Plans NORTHAMPTON,MA 010 13-587-1240 Fax 413-587-1272 Plot/Site Plans 1 Other Specify J— APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to be completed by office 1.1 Property Address: 38 Mark Warner Drive Map Lot Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Ruth Wade 20 Bridge Road,#38,Florence,MA 01062 Name(Print) Current Mailing Address: 413-727-3994 see signed authorization form attached Telephone Signature 2.2 Authorized Agent: Alteris Renewables dba Real Goods Solar 32 Taugwonk Spur,A-12,Stonington,CT 06378 Name(Print) ' 1 r Current Mailing Address. 860-535-3370 '/,1,t,\ .14 t, ild Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 5,000 (a)Building Permit Fee 2. Electrical 20,000 (b)Estimated Construction Total from Cost(6)of 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection ��q #/� 6. Total=(1 +2+3+4+5) 25,000 Check Number r This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2014-0148 APPLICANT/CONTACT PERSON ALTERIS RENEWABLES INC DBA REAL GOODS SOLAR INC ADDRESS/PHONE 32 TAUGWONK SPUR RD UNIT Al2 STONINGTON (860)535-3370() PROPERTY LOCATION 38 MARK WARNER DR-20 BRIDGE RD MAP 16B PARCEL 001 001 ZONE SR/URA/WSP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid _ Building Permit Filled out jg9¢f fs Fee Paid v Typeof Construction: INSTALL SOLAR ARRAY TO ROOF 6K New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 105675 3 sets of Plans/Plot Plan THE FOL OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF ATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission _ Permit DPW Storm Water Management Demolition Delay Sign e of Buil. ng Of'cial Date Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. 38 MARK WARNER DR-20 BRIDGE RD BP-2014-0148 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 16B-001 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: SOLAR PANELS BUILDING PERMIT Permit# BP-2014-0148 Project# JS-2014-000265 Est.Cost: $25000.00 Fee: $150.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ALTERIS RENEWABLES INC DBA REAL GOODS SOLAR INC 105675 Lot Size(sq. ft.): 1296345.60 Owner: WADE RUTH Zoning: SR/URA/WSP Applicant: ALTERIS RENEWABLES INC DBA REAL GOODS SOLAR INC AT: 38 MARK WARNER DR - 20 BRIDGE RD Applicant Address: Phone: Insurance: 32 TAUGWONK SPUR RD UNIT Al2 (860) 535-3370 0 Workers Compensation STONINGTONCT06378 ISSUED ON:8/9/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL SOLAR ARRAY TO ROOF 6K 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: z/I// 11 /5-6, FeeType: Date Paid: Amount: 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner z