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17C-103 (5)
QUIK FOOT';', ROL)l_ C F GUILE Brocket Options L-102-3" WWI m Ml- uftm-i .... _. _ 1$ L ^� tell Ol f. Will O l X01, 'i i ,,,ti,nt G jcn<<,'w3,! �opy,,ght AP p,,s C3/8 1 1 Sec4-$ QUIK FOOT^ PRODUCT GUIDE % 2 . \Fl 812 � �«w » y � . \ 1 � , y <\2\\ \ 2 \ « y ? 2��« Scc.4-3 Qf- S "ll A SECTION A-A _ 3/8-16 18.8 01 UFC t. X� copy,,-,e !,Iris SCC4-2 Quik FootTM PRODUCT GUIDE Quik Foot Contents <r Exploded ProductView — Sec. I Installation Instructions— Sec. 2 Bill of Materials — Sec. 3 Cutsheets — Sec.4 Specifications Sec.5 Load Test Reports — Sec. 6 4 r 0, r x �z g� EcoFasten Solar® rs d to the Supporto,R ^cwable Energ :w' Rail Standard Rails(XRS) Light Rails(XRL) Rail Splices Curved rails increase spanning Lightweight rails reduce cost for Internal splices seamlessly connect capabilities and aesthetics. lighter load conditions. rails, allowing easy L-foot installation. • Available in clear and black anod. • Available in clear and black anod. Different versions for XRS and XRL • Multiple sizes between 12'and 18' • Multiple sizes between 12'and 18' Includes self-tapping screws • Made of corrosion resistant alum. • Made of corrosion resistant alum. Available with grounding straps 0 asc, € N, _._._..... Flashings Adjustable L-Feet Tilt Leg Kits FlashFootTM is an all-in-one roof Slotted L-feet provide adaptable Fixed and adjustable tilt legs allow attachment for comp. shingle roofs. attachment to standoffs and flashings. adjustment in all three axes. • Integrated L-Foot and hardware • Available in clear and black anod. • Attaches directly to XRS and XRL • Certified compliant with IBC& IRC • Works with XRS and XRL rails • Ships with all required hardware • PE certified with IronRidge Rails • Compatible with third-party parts • Multiple sizes for 5-45 deg.tilts x -- End Clamps Mid Clamps End Caps Wire Clips IL ► _ _Aim Secure modules to the end Fasten modules in the Provide a finished look for Organize both DC and AC of the rails. middle of the rails. rails. wiring along the rails. • Clear and black anod. • Clear and black anod. • Keeps out debris • Attaches to both rails • Sizes from 1.22"to 2.3" • T bolt or hex nut designs • Black polycarbonate • Supports ten 5mm wires @•^y Optional bottom clamps • Grounding clamp offered • UV protected • UV protected _ Design Assistant NABCEP Certified Training Go from rough layout to fully V Earn free continuing education credits, engineered system For free. *A, while learning more about our systems. , s 4� c V" 0F-,.3 S '.a � t 's: ..? S.: :, _v 1 Ali i t !d¢°. _ A '°g. .''4. 'r"✓G Si° - '!i 5 4:Ar. tia haik IRONRIDGE Roof Mount System , x h� tg i. IronRidge builds the strongest roof mounting system in solar. Every component has been tested to the limit and proven in extreme environments. Our rigorous approach has led to unique structural features, such as curved rails and reinforced(lashings, and is also why our products are fully certified, code compliant and backed by a 20-year warranty. Strength Tested PE Certified All components evaluated for superior Pre-stamped engineering letters a structural performance. available in most states. Complete Assembly Design Software End-to-end solution provides ® Online tool generates a complete bill attachment, mounting, and grounding. of materials in minutes. Integrated Grounding 20 Year Warranty a � UL 2703 system eliminates separate Twice the protection offered by module grounding components. competitors. MODEL: SPR-327NE-WHT-D ELECTRICAL DATA TV CURVE Ma ...ed et Standard Test Conditions[SKI:irradiance of I OOOW/m',AM 1.5,and cell temperature 25'C 7 Peak Power (+5/-3%) Pmax 327 W 6 1000 W/mz Cell Efficiency n 22.5 Panel Efficiency n 20.1 % Q 800 win, .. 4 Rated Voltage VmPP 54.7 V 3 Rated Current Impp 5.98 A V 2 Open-Circuit Voltage Voc 64.9 V 1 Short-Circuit Current Isc 6.46 A 200 W/m2 0 \ Maximum System Voltage UL 600 V 0 10 20 30 40 50 60 70 Temperature Coefficients Power(P) -0.38%/K Voltage M Voltage(Voc) -176.bmV/K Current/voltage characteristics with dependence on irradiance and module temperature. Current(Isc) 3.5mA/K NOCT 45°C+/2oC TESTED OPERATING CONDITIONS Series Fuse Rating 20 A Temperature -40' F to+185° F (-40°C to + 85°C) Grounding Positive grounding not required Max load 1 13psf 550 kg/m2(5400 Pa),front(e.g. snow) w/specified mounting configurations MECHANICAL DATA 50 psf 245 kg/M2 (2400 Pa) front and back—e.g. wind Solar Cells 96 SunPower Maxeon"cells Front Glass High transmission tempered glass with Impact Resistance Hail: (25 mm) at 51 mph (23 m/s) anti-reflective (AR) coating Junction Box IP-65 rated with 3 bypass diodes D WARRANTIES AND CERTIFICATIONS Dimensions: 32 x 155 x 128 mm Output Cables 1000mm length cables/MultiContact(MC4)connectors Warranties 25-year limited power warranty Frame Anodized aluminum alloy type 6063 (black) 10-year limited product warranty Weight 41.0 Ibs (18.6 kg) Certifications Tested to UL 1703.Class C Fire Rating DIMENSIONS MM (A)-MOUNTING HOLES (B)-GROUNDING HOLES (IN) 12X 06.6[.26] 1 O 04.2[.17] (el XT)H I ENDS ... (A) Ironridge STANDARD gad Sdkce Dar Ironridge.XR100 m:�unt,ng rai! i., on center 168 1/2 1289/16 CR 1 7/16 C'' 19 15 38 v 341/16 38 38 19 57/16 13 1/8 °D 1.51/1 38 38 38 131/8 M 204 171 5/8 ; L-foot rncunted on all metal FlaSAing. O L_k-foot Due's socured to the root rafter via twc GRK RSS X:3-1/8" -- structural ScrevaS. Sunpower 6t35'x 41.18"x 1.81' ___ -_ _ ___-__ _.__. ___ _. _.- ---- Array standoffs are to be Array to be installed on Sunpower The centerline of the clips a m•A r�wo�, installed in a staggered the south facing roof of the 61.39" x 41.18"x 1.81" should be 6"to15"from the ry R t �� ;.e pattern to evenly distribute residence. end of the side frame. -- 02/13/2015 3y .ay - the array dead load. Roof rafters are 19"O.C. - , COADY—NORTHAMPTON t PV array '" Robyn Coady 17 Stilson Ave, Florence MA 01062 Mounting: Quikfoot on asphalt roof. Robyn cell: 347-585-1176 e-mail: robyncoady @gmail.com Roof Structure: See model. Full dimension 2 by 6 @ 19 OC with 11.5 ft HS. Array: SPR-327s in portrait. 2 rows of 9 modules,one row of 7 modules. Roofing Material: Asphalt IR Y 4 µ N � ' 03/16/2015 10:46 4137728668 PVSQUARED PAGE 01/01 Vreeland Design Associates An integrative approach t6 design enaineerik and site planning Date: March 14,2015 �-1 ( ' I �' ��l i7 L To: Carl Siebing Pioneer Valley PhotoVoltaics Cooperative ! 6 2015 311 Wells Street, Suite B Greenfield, MA 0130I ic, Plumbing$Gas Ins e Northampton,MA 01060 dioRs From: David Vreeland,P.E. Vreeland Design Associates Re: Robyn Coady, 17 Stilson Ave, Florence, MA: Structural assessment of existing roof to support proposed solar array. I have reviewed the details of the existing roof framing in the areas of the proposed PV panel installations.The existing rafters of the 1900 2-story farmhouse are full dimension 2x6 installed at 19"-21"on-center, spanning I I'-6"at approximately a 10/12 pitch.The existing roofing is asphalt shingles. I have reviewed the;mounting details for the proposed array.Based on an approximate PV panel unit weight of 41±lbs,with the attachment points of the array placed at a maximum of 42"on center and staggered to minimize the load to any one rafter,the existing roof framing is adequate to support the proposed PV array. Please contact me if you have any questions or need additional information. Sincerely, -4 OF'k'ts� DAVID A. VRIVIAND C V"_0'j CIVIL H No.46317 David Vreeland,PE Vreeland Design Associates a T,r �`" ONA6 116 River Road, Leyden, MA 01337 Phone: (413) 6240126 Email: dvreeland @verizon.net Fax: (413) 624-3282 0fFcc oFCtY1, unier .:ffalrs :l"d Rij,.'nt�cs Rcpuia-inn 10 Park P1am- - Suite ; ?D Briton,Massachus1--ts 0?110 Homc 1lnprovemcnt Contractor lt,:gistration _ fte�isrifion: 1•tiu" Tplic Priv«t sar;a:,�'.ion PIONEER VALLEY PHOTO` OLTAICS G30 PI-1:1-1PH RIGCLLAJE7 311 I.NELLS ST SLITE B -- GREENFIELD MA 013D1 Opdate Address aald rertttal md,]lark rosota for ehannc. .Address -- RVnVWAI — ]RIfiiPlmlrttrnt I 1.r.51(sud fNi(�.r t. ;.urrr 11TA r{&Hn4 h lieulllinn�• I..iceme or reCLAr.Ltion\:dW Inr iti f vidu2 iule mh --a 'f ate Un-ct ixtr+w JxD:. If l:eut>t}n_U,nt p, =� �t7(dEIt�IPROViMENFCONT4AtCT7R E" Y--w--tration 7 lyNc- Ofrjec.f C.•an—,e•Affwies and f[ecircc,RCTU' tiara t !r 1V Parh 1'Ixia ♦ty tr il'l? Ex[ri-6Qv ` kc�[ao,h1A(�i1G --�- t'sler.cet�r:n Not•slid n•itha _�•_ t Massachusetts -Department of Public Safety Board of Building Regulations and Standards L"n.r1*71rtom super i,,t,r License: CS-106329 Mara Fulford - 159 Clark Drive - Giulford VT 05361 Expiration Commis-toner 03114/2016 w-i The Commonwealth of Massachusetts Print Form Department of'lndusirial Accidents — Office of Investigations 4 1 Congress Street, Suite 100 .Boston, MA 02114-2017 `M www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeZibly Name (Business/Organization/Individual):PIONEER VALLEY PHOTOVOLTAICS COOPERATIVE Address:311 Wells Street, Suite B City/State/Zip:Greenfield MA 01301 Phone #:411772.8788 413.772.8668 fax Are you an employer:' Check the appropriate boa: Type of project(required): 1. t am a employer with 25 4. ❑ I am a general contractor and I ❑ employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction ?.❑ 1 am a sole proprietor or partner- listed on the attached sheet 7. [] Remodeling ship and have no employees Chew sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9, Building addition [No workers' comp. insurance comp. insurance.' required.] 5. ❑ We are a corporation and its 10.7 Electrical repairs or additions 3.[) I 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.] c. 152, §1(4), and we have no PV S stem employees. ['Vo workers' 13.0 Other Y comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their tvorkers'compensation policy information. ' llomeo%tners who submit this affidavit indicating they are doing all work and then hire outside contractors 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 v%hether or not those entities have employees. If the sub-contractors have employees,they must provide their workers comp.policy number. I am an employer that is providing workers'compensation insurance for m_p employees. Below is the police'and job site in formation. Insurance Company Name:Excelsior/Peerless _ Policy 9 or Self-ins. Lie. #: WC 8376525 _ _ Expiration Date:01/01/2016 Job Site Address: 17 Stilson Ave i_ _ _ City/State/Zip:Florence, MA 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 tine of up to 5250.00 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 certify under the pains and tialties;!r FEerjurj,that the information provided above is true and correct. Sinnature: Date: 2/13/2015 Phone 9:413-772-8788 official use only. Do not write in this area,to he 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 d. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: ,aco CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `.� 12/22/2014 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 CONTACT Jenna Rodri a CISR NAME: 9u r Webber & Grinnell PHONE (413)586-0111 AIC No: (413)586-6481 8 North King Street EVIL .jrodrigue @webberandgrinnell.com INSURERS AFFORDING COVERAGE NAIC# Northampton MA 01060 INSURER A:Peerless/Liberty INSURED INSURER s-.Excelsior/Liberty 11045 Pioneer Valley PhotoVoltaics Cooperative, Inc. INSURER C: Attn: Kim Pinkham INSURER D: 311 Wells Street, Suite B INSURER E: Greenfield MA 01301 INSURER F: COVERAGES CERTIFICATE NUMBER:Master 2016 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. 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. LTR TYPE OF INSURANCE I POLICY NUMBER MMIDDYYYYY MMIDD/ YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMA E TO R NTED PREMISES Ea occurrence $ 100,000 A CLAIMS-MADE F_x1 OCCUR CBP8378623 /1/2015 /1/2016 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 _x1 POLICY PRO LOC $ AUTOMOBILE LIABILITY Ea BIKED SINGLE LIMIT $ 1 000 000 B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED A8372626 /1/2015 /1/2016 BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident Underinsured motorist BI split $ 100,000 X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 A I EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 DED I X I RETENTION$ 10,000 CUB377126 /1/2015 /1/2016 $ A WORKERS COMPENSATION WC STATU- X OTH- AND EMPLOYERS'LIABILITY YIN ER ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? N/A (Mandatory in NH) -8376525 /1/2015 /1/2016 E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,descnbe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Sungage Financial is listed as Additional Insured per written contract with respects to General Liability as per the terms and conditions of the policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Sungage Financial ACCORDANCE WITH THE POLICY PROVISIONS. 86 Bedford Street, Unit 3 AUTHORIZED REPRESENTATIVE Boston, MA 02111 --z _ J Rodrigue, CISR/JER ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005)01 The ACORD name and logo are registered marks of ACORD Attachment (A) i I AUTHORIZATION TO PROCEED AND SERVE AS AUTHORIZED AGENT I hereby agree to the Project as set out above, and I agree to pay the contract price according to the Terms of Payment. I further agree to the Terms and Conditions attached hereto as a part of this Proposal and Agreement. I hereby authorize Pioneer Valley PhotoVoltaics Cooperative to proceed with the above-referenced Project in accordance with this Agreement. I further authorize Pioneer Valley PhotoVoltaics Cooperative, or its designated representative, to obtain required permits for this project on behalf of the Owner and to begin work of obtaining a grant on my behalf, as applicable. Any photographs or videos of this project may be used by Pioneer Valley PhotoVoltaics Cooperative for marketing purposes. A check for the First Payment is enclosed and I am returning this Agreement within 21 days of the Proposal date. )2-vivo /49 12 V&g0 y Printed Nami Date V " nature Title i Proposal and Agreement Page 7 of 7 Robyn Coady,August 14,2014 SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Maya FUlford CS-106329 License Number 159 Clark Drive, Giulford VT, 05301 03/14/2016 Address Expiration Date 413-772-8788 Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ Pioneer Vallev Photovoltaics Cooperative, LLC 140077 Company Name Registration Number 311 Wells Street Suite B Greenfield MA 01301 9/16/2015 Address Expiration Date Telephone 413-772-8788 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...... ❑ 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 strictures. 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) ❑ Roofing ❑ Or Doors I] Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [M Siding[ice] Other[EQ Brief Description of Proposed Work: Installation of mounting system for solar panels on south side of rool. 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 6a. 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? 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 . 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 Robin Coady as Owner of the subject property hereby authorize Philippe Rigollaud to act on my behalf, in all matters relative to work authorized by this building permit application. See attachment (A) Signature of Owner Date Philippe Rigollaud 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. PHILIPPE RIGOLLAUD Print Name 02/13/2015 Signature of a Agent Date 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 tilled 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 Q DON'T KNOW Q YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW Q YES 0 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 l0 Obtained Q , Date Issued: C. Do any signs exist on the property? YES O NO Q IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO Q 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 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. 1T/ 177, F-7 Department use only Cp ! City of Northampton Status of Permit: FS 20 Z�iS U Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability Electric,Plumbing&Gas Inspections Room 100 Water/Well Availability Northampton,MA ptosp Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office 17 Stilson Ave, Northampton, MA, 01062 Map Lot Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Robyn Coady 17 Stilson Ave, Northampton,MA,01062 Name(Print) Current Mailing Address: 347.585.1176 See attachment (A) Telephone Signature 2.2 Authorized Agent: Pioneer Valley PhotoVoltaics Cooperative, LLC 311 Wells Street, Suite B,Greenfield,MA,01301 Name(Print) Current Mailing Address: � 1f 413-772-8788 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building $26,512 (a)Building Permit Fee 2. Electrical (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) $26,512 Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2015-0810 APPLICANT/CONTACT PERSON PIONEER VALLEY PHOTOVOLTAICS ADDRESS/PHONE 311 WELLS ST-SUITE B GREENFIELD01301 (413)772-8788 PROPERTY LOCATION 17 STILSON AVE MAP 17C PARCEL 103 001 ZONE URB(100) THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: INSTALL ROOF MOUNTED SOLAR ARRAY New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 106329 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF )kMATION 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 DemolitioU,D4ay Sig re Bu' mg facial 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. 17 STILSON AVE BP-2015-0810 GIs#: COMMONWEALTH OF MASSACHUSETTS Ma :Block: 17C- 103 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-2015-0810 Project# JS-2015-001433 Est. Cost: $26512.00 Fee: $162.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: PIONEER VALLEY PHOTOVOLTAICS 106329 Lot Size(sq. ft.): 9888.12 Owner. COADY ROBYN Zoning. URB(100)/ Applicant: PIONEER VALLEY PHOTOVOLTAICS AT. 17 STILSON AVE Applicant Address: Phone: Insurance: 311 WELLS ST - SUITE B (413) 772-8788 Workers Compensation GREENFIELDMA01301 ISSUED ON.311612015 0:00:00 TO PERFORM THE FOLLOWING WORK.INSTALL ROOF MOUNTED SOLAR ARRAY 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 3/16/2015 0:00:00 $162.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner