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a 44 Mechanical Properties Electrical Properties(STC2) Cells _ E v 10 300 W 295 W 290W 285 W 280 W Cell vendor c, _.. _ 100 Lg'_i.. -,JCL .2P5 -..` Maximum power Pmax(W) -•^!� Cell type - — - MPP voltage Vmpp(V) 320 319 31.8 316 ?I 5 Celt dimensions 156, 150 m n Cell busbar 3 MPP current Impp(A) ? 9:19 20'? 8 91' __ _.... Open circuitvoita aVoc V 395 :39:3 :19.2 1" Front cover (la°,�. "Open 9� ( ). �a0 3g.9 Dimensions(L x W x H) 10111.,1000< 35(mrrn) Short circuit current lsc(A) 10:`7 91 9.F;0 Qb8 Static load 'AN)Pa(s1�ow) Module efficiency(%) 1R.3 18.0 17.7 174 l i t P400 P, I'll) Operating temperature("C) --10-+90 Weight lh`3+0 5 kq Maximum system voltage(l) 1000 Connector type V(_4 connec,o, II"67 Junction box F'6 r.,it)3 t ass dio<iec Maximum series fuse ra1iny.(A).... 1`-i Length of cables 2 x 1000 mr, _.... Power tolerance(°o) r , ' Frame Ar d z?d aluroin,Im ^I,+11 d:c,'',,0' b4k, Certifications and Warranty Certiticarrons SFr (-11,11',,IE 6171,0-11 P, Electrical Properties(NOCT3) ISO 14001,ISC_1 90(1, --------------°--_— '. .'-----------.-----.- OHSAI,13C11)I, 300 W 295 W 290 W 285 W 280 W UL 1703 Maximum power(Pmpp) 22r, 216 213 2i0 ?CIE: Product warranty 10,,ears MPP voltage,(Vmpp) ?r13 2. 29.1 Output warranty of Pmax, (rn_ -�slnaIrv-anan*v MPP current(Im PP) 1L__ .33 7 25 -':15 1o �,»< _3�; �.. . .. .`. . .. Open circuit vokage(Voc). 5 '!-,: 362 36.0 35° Short circuit current(Isc) 8,08 7`�'• 7c? 780 77C! temperature Coefficients Efficiency reduction Prop.,loon w/n,-ro 200 w1,»°) 4.- NOCT 45 C _ ,Pmpp _.._. _��:} i- , 1 1-i»r- c _,1 r„ .II ,I:,o„I ;d t w.y„ �tr�r r^9, r• .,,,.o rk Voc Isc .(,1x13`�,/V... _.. ... CEZr. Dimensions (mm) r I ,I Characteristic Curves 5.5'.40( ) _ 10 O _I :1 10 1000 W 7.r, r o ... 960 __ r h .es a.0 7 ( ,)�`. n r 1 4 , I A_ 800W --- a eoo w :� ma ��� .. - c a C1E� Z 1 a u _..._.. , � ac n tow ” � - a zoow I "_•t, �� t0r�.__... �"a �rl s o s 10 15 20 2' 30 +5 40 ll'yr•(v) a' N n; I p-. � I Isc i' 4 080- 100 .... ._......... .._.-.«... - Pmax - w - I 20 ;5 -40 -2s 0 2.5 10 75 90 Tenrperatwr (T) TI,r.- I.l, ,.r tl,,, f.:or 1'�,(, A rno� , -✓uhr,�rns 1 [Ir. (limit rhl.-ri,cl l.�nhl 1 I I r. "I. R1 I 1 1 !3 I.I qy' ki Ii, LO Life's Good 9 a aw M Rej Us I MUMM ak LeZA.-mm, ,I hill,1'j"r Imw—wl ll�' EVE C&US PV CYCLE C E LG's High Efficient Cell Technology e Reliable Warranties Yj IN I I 1 1 t I i i i r i.,n i e,rlinri r t ii it 100% EI-Tesi Completed Positive Power Tolerance 11 OA- l)l-Jp 6 A Light and Robust v! Convenient Installation I,,I "lld r i-:1-lh i1 rl- I! d! 1111"1 ;'11'1 ),m- a 4 Wiid rnp Entl Clamp--,, E f tF3 ` ou 3 il f/ .� .J Y1Y"1k.Q4f[W y ;,' Gete d-ArKi%lernrs CYn—R*--Plan ref m_ Jszza a -pion j 3 � E 7rnrloaf rl4ash P+$�e1t11.4sr,3Y n Fan� tL#ict tlsltztp ` ���Peel ti.»k I , g 7n'1{'9R+tPql7 t"?ai°^^.� ``.�` Flashing .° sax firm-F ish Mount-Fiat Roof 't—Existing Root atmcUq f _ 71 ggsb -!-',it Mount-Mat Rix f C+stsd�-Ty�rat t2�faf Goays�dort r -_ _ AM CI-Irtv End ctarrip—, Section-Rusn mount stapsd_Roof -= 314" t'-t}" �•. l �X SAC / •fee! ". Detail D-Wd Clams to Rail-$e-cation Detail E--End C to Rq Elev 1" - . jyMpal Flush Mount Array-e1evalton IR-2-01 'Y EVALUATION REPORT Report Nurnberr 0240 Qrlgtrrally Issueds 0972012 Valid Through- 0912013 TA11LE 1s ALLCe?Vr'tlilLE,LOADS FOR EZ ROOF f.©LlNT J..,yFOO Load Direction Ultimate Load Test Load at Test Load at Calculated feat Value 0.250 frich €1.125 inch has fenerlltil eta I ' esAllowable a (see figure below)1 K&-3.0 deflcetiort deflection strew th Design lurrail Uplift(Withdrawal) 715 1,800 695 3401 340 Lateral 260 240 130 1.53 130 Notes t. Allowable load values are based oil the least value from the ulihnate load of three.tests(strerig.th lirtnit),tested load at 0.125 inch detfectioti(deflection limit),calculated fastener wipacity(witlidrowal or Wirral)fur wood with a specific gravity caf 0.55(Southern Piire)or ailiowrabie stress of the ahrnrhtum t4c of connectur. 2, Allowable food values are leased on lumber with all of the following characteristics: a. Located in dry service ounditic ris where the moisture content does not exceed 19%for an extended period of time such as in inost covered structures. b, Located where it does not experience sustained exposure to elevated temperetures that exceed 100'F. For art} other conditions,allowable table values shall be multilitied by the related adjustment factors)( �„ and/or C';)in accortlance with the Natichal,DcAgn Specifica(imi for Wood CIonstruction(NDS-03). . Allowable load values are based on lumber yvith a spec Tic gravity of 0.55 f,Sorrtheni Fine or equal), 4. Allowable luau values for vvithilr'awal are based on a minimum penetration of 2'r, inches into the roof rafter Lly one 5116 inch x.4 inch long stainless steel lag screw. 5. Allowable values may ttut be increased for lend duration in accordance with Section 101..3.2 of the NOS-05. f 3 �. EVALUATION REPORT Report Numben 0248 Originatty issued! 09/2012 Valid Throught 0912013 TABLE 2:MATERIAL PROPERTIES LUtn �tttnt .,,.. _..z �latertt►I _ Shot Aluminum n1I0, ANSYAA A180.0 Water f 41 usher LI' hS a+rathnrdutost►eter ratitt�vf Lst Pwlt — 3114 stainless steel ASTM AA 240 _ Lnfoat Aluminum allo rU�? I-6 AS'IA,8221 Hey C Ft;m w. A 'AA A380.0 _ t 1 s9►it 'jumauunm sl!_ ttltst# h5):m B209 �a EZ ROOF MOUNT COMPONENTS qs, . t' � T, ,tom° Figure l: .`hoe Assembly Figure 4:flex Cyst? i� t Figure?;Lag t}t7lt 1 igta!'e S:Flashing r E } F .,r Figure 3: L-foot Page 4 of 4 EVALUATION REPORT � Report Numbers 0248 Originally Issued. 0912012 Valid Through; 0912013 TABLE Is ALLOWABLE LOADS FOR FL ROOF MOUNT I,=t+'C)OT 10T(1113>)t,2",4.5 Lond Direction Ultimate l,tratl Test Load at 'feet Load at �calcttlated Allowable (sce figuve belosv) Test Valise 0.250 inch 0.125 Inch Fastener/Metal Resign.band I.S.-3.[! defl+ettion deflection trelt tlr I_Jfrlift(44'ithclrtaLe tlj 715 1,900 595 340 -140 Lateral 2 60 _ 240 t 0 I S i 130 Dotes 1. Allowable load values arm!ruseed on the!east value lions the ultimate h:Ad of three tests(strestttth liolit),teasel lu ad at 0,125 inch deflection(delloetion lisasit),calctalated fastener vapacity(withdrawal or lateral)for wood with a speciliu grnvit4r eaf{?.55 f;`�cststt raa Plna')c+r sllc>+wahle atresa r�l tlTe al"nsfnsrsrs l,•f 43t coi2ssrctKar. 2. Allowable load on lutnbetrivith all ofthe follawing charae-teristies. at Locatcd in dry service condidow;where tile.moisture Content does ttol exceed 19%for an extended period of tithe such as io_sucrst covered structures, b, Located where it does tt()t ex(rerie,nce sustailltd cacl}s?stare to elevated tottt}reratures that exceed 10ir- Y. Derr,mv other cone iduns.allowal?le table values shall be multirlied by the related adjs.rsiruent fitcter(s)iC`g,l and/or Q its accordance:with the National t?c;sigtt SgecifIvat on tier V4 cvtl Cnnstructiott(iII75 r15). 3• ,Allowable load values urea isased on lumber,,vith a specific grovify of 0.55(Southern Pine i)r equal). 4, ,Allowable load values Beal•withdrawal an based can<a tnininumn pettctrati€n of 2!f, inches into the roof tafter by one 5116 inch ti 4 inch!callg stainless steel lag screen, 5. Allowable values may not be increased for load durations in acrcardartce with Section I0 3.2,uf°the NDS-05. Uplift Lateral flag e 3 of 4 } S E BK, M s "f5• y�� w Y dr f electric Main ec � paned in �K'K FIRAY ;: ,. bedroom �� 9> Y oa� frrr�� t tter3t �yld � Mai r a S qs. a r 41a, I2QY ru Qf1Gti�' 5 yd '� s3. .e.f s e x` 4 Suzanne Whitman 17 Autumn Dr Northampton, Ma 01062 �° EVALUATION REPORT 110POrt Number: 02411 Prigl"Rily Issued., 0912012 Valid Throviob- 0912013 4.2 Installation Rain test data and thickness of glumintIm fleshing submitted is in conformance with Acceptance Criteria EZ Roof Mount must be installed using the 5116 inch for Roof Flashing for Pipe Penetrations (ICC-ES AC diameter stainless steel leg screw at each bracket .286-20087, Rain test conformed to Underwriters location as described In the manufacturer's installation Laboratory Standard for Gas Vents, JUL 441-96 Section instructions. Leg WOW must penetrate into the root 25. rafter a rninimurn of 2 % inches. Prior to installation,the root rafter shall be bored with the required lead and Test results are from laboratories in compliance with clearance hole for (lie unthreaded and shank portions ISO/IEC 17025, of the leg screw as required in Section 11.1.3 of the NDS -06. Threaded portion of the lag screw shall be 7.0 ID8NTIFtCATI0N inserted into its lead hole by turning with a wrench and not driving by a hamr-ner. A die-stamp label in the flashing bearing the nacre and address of the Manufacturer, the model number, 0SIs Of auxiliary holes in the Shoe other than tile use of tAPM0 Uniform ES Marks of Conformity, and this an extra fastener to stop the shoo from rotating during (Evaluation Report Number(ER-0248), installation is Outside the Scope of this report Flashing should be installed full under the shingle up to 1ApM0 tile raised portion of the fleshing to Prevent water UES ingress under the shingle. No portion of the flashing should be bent upward,- the fleshing must rest fully ES 9, TM against the roof shingles, Otherwise the water and wind 9 0 performance may be Impaired. TM 5.0 CONDITIONS OF USE IAPMO#0248 EZ Roof Mount L-Foot Kit for Shingle Roofs described in this report complle% with the codes listed in Section 1.0 of this report subject to the following conditions: 6.1 EZ Root Mount shall be installed In accordance with Ihis report, manufacturer's installation Instructions and the codes listed in Section 1.1. 6.2 Calculations to verify the imposed loads on the EZ Roof Mount assembly do not exceed the allowable loads contained In Table I of this report shall be submitted 10 the code official when requested. G9lCL1l8tjO1lS shall be prepared by a registered design Professional when required by tile statues of the jurisdiction where(tie work is constructed. 6.0 EVIDENCE SUBMITTED Testing and arialysis data submitted Is in confoomance with Evaluation Criteria for Joist Hangers and N41scellaneOUS Connectors(JAPMO ES EC 002-2011), Page 2 of 4 EVALUATION DEPORT (NUk Report Numberl 0248 Originally Issued., 0912012 Valid Through: 0912013 Division;06--WOOD AND PLASTICS 3.0 DESCRIPTION Section: 06060—Connections and Fasteners HOLDER-.RREPORT OLDER 3.1 General Description EZ Roof Mount I.-Foot Kit consists of 5 ,sash; SunModo Corporation components:(1)shoe assembly with captive waterproof 1905 SE 5"'St,Suite A w a%her, (2)lag bolt to fasten through the shingles to the Vancouver,WA 96661 roof rafter, (3) flashing that is plated under the row of shingles above the shoe and than over the shoe, (4) ],- EVALUATION SUBJECT Foot that is placed over the protruding shoe threads rand (5) hex cap that is secured on to the shoe- See SunModo EZ Roof Mount L-Foot Kit for Shingle f=igures 1 to 5 in Table 2. Roofs 3.2 Materials 1.0 EVALUATION SCOPE: EZ Roof Mount is fabricated from aluminum. Shoe 1.1 Compliance with the following codes: assembly is fabricated using casting aluminum allay with dimensions of 2,80 inches in diameter and 1.00 • 2009 International Building Code@ inches In height. It Is held in place us)ng one 5116 inch. • 2009 International Residential CodeO diameter lag bolt that is 4 inch in length and made of • 2006 International building CodeV stainless steel. Flashing is fabricated from sheet • 2006 International Residential CodeM aluminum with dimensions of 10.0 inches In width, 12,5 inches in length and 0.04 inches In thickness- 1.2 Evaluated In accordance with, L foot is a 2.00 inch long unequal leg angle :Wade frorn Evaluation Criteria for Joist Hangers and 63-T6 aluminum: with dimensions of 3-00 inches in Miscellaneous Connectors (IAPIr O ES EC002- depth, 2.00 inches in width and 0.24 inches in 2011),Approved March 2011 thickness. It contains a 0.375 inch diameter round hale Acceptance Criteria for Roof Flashing for Pipe with a 0,83 inch diameter chamfer (in base) that is Penetrations([CC-ES AC 286),Approved April 2010 located in the center of the base leer. One slot measuring 1,64 inch long by 0.40 inch wide occurs in 1.3 Properties Evaluated; the center and Is located 0.30 inches front the top edge of the vertical leg, which ties a scallop front and rear • Structural face. See Table 2 for component. material properties • Weather Protection and figures. 2.0 USES 4,0 DESIGN AND INSTALLATION l Z Roof Mount L-l=oot Kit for Shingle Rorafa is used to 4.1 Design mount scalar systems and other rooftop devices such as Tabulated all satellite dishes on asphalt shingle roofs with wood allowable loads shown in Table 1 0# this rafters underneath. report are based on allowable stress design (ASD). Adjustments to these values are required for wet 1=Z Roof Fount is specifically designed to be used for service conditions, sustained exposure to elevated installation of solar panels for electric or hot water temperatures, use Willi fire retardant lumber or with procttaction on roofs with slopes from 3 to 12 units lumber whose specific gravity is less than 0.55 vertical in 12 units horizontal. (Southern Pine). Allowable values based on fastener strength may be adjusted for duration of loading. See footnotes of fable 1 for more detailed explanation. Page 1 of 4 Cu POW t ZnQ bfInrlrinllonnl AtApre+e^pix 00-Rrrrd.+ra{rand+4erhnnkY�IM1H9-.A rgaba rap"l-7nnlad h the Wlad 5131aw NO rl*"011fm 7ubrknUl nosy bo r'r-!adceod,arlmd r ertagarit ratr."taal iY4ra t,ar Irmsm'ltpe5 i-arTp Mm a'}r r.^:f t?s€t i,0.ic1[/}I'�C 3ifbth e#L 0sahrtq ,recwa q.or where R'v4h"Ihr rtw,e-barn P.m"s u"IR Iho PA-11"I r1Y I-A77-43.55277.FPI Ar?_.112.4 01.�yeb:91YLS.RariFE; f.n1 'S+Mr tow?Pri�nde s�Ir*.te tT.MxMo.Catrrr i9fIre.T91rtf—11,R _ ; Vreeland Design Associates An integrative approach to design engineering and site planning Date: July 31, 2015 To: Ann Bronner NorthEast Solar 136 Elm Street Hatfield, MA 01038 From: David Vreeland, P.E. Vreeland Design Associates Re: Suzanne Whitman, 17 Autumn Dr, Florence, MA: Structural assessment of existing house roof to support proposed solar array. I have investigated the existing roof framing in the area of the proposed PV solar panel installation. The 26'x 54' ]-story ranch style house was constructed in 1972. The rafters are 2x6 installed at 16"on-center, spanning 12' with a roof pitch of 5/12. The roofing is standing seam metal roofing. Assuming a cold roof due to a vented attic and the solar panels being mount above the roof surface; from ASCE 7-10, Minimum Design Loads for Buildings and Other Structures, a reduction factor can be taken for the design snow load due to roof slope and slippery surface of the glass faced panels. From fig. 7-2c, page 36, for a 5/12 roof slope, a factor of 0.88 can be applied to the 35 psf roof snow load to give an effective snow load of 31 psf. Based on the 31 psf snow load, the 2x6 rafters are adequate to support the proposed solar panels and snow load. I have reviewed the mounting details for the proposed array. Based on a PV panel unit weight of 37± lbs, with the attachment points of the array placed at a maximum of 4' on center and staggered to minimize the load to any one rafter, the existing roof framing is adequate to support the proposed PV solar array. Please contact me if you have any questions or need additional information. Sincerely, OF A4s o� DAVID J VREELANQ m « f"C w ,Q 0 CIVIL rn David Vreeland, PE No.46317 Vreeland Design Associates � STS SS/ONAL �C� 116 River Road, Leyden, MA 01337 Phone: (413) 624-0126 Email: dvreeland @verizon.net Fax: (413) 624-3282 The Commonwealth of Massachusetts Print Form - Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 k Boston MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly Business/Organization Name:Northeast Solar Address:136 Elm St. City/State/Zip:Hatfield, Ma 01038 Phone 4:413-247-6045 Are you an employer? Check the appropriate box: Business Type(required): 1. I am a employer with 10 employees (full and/ 5. ❑ Retail or part-time).* 6. ❑ Restaurant/Bar/Eating Establishment 2.❑ 1 am a sole proprietor or partnership and have no 7. ❑ Office and/or Sales (incl. real estate, auto, etc.) employees working for the in any capacity. [No workers' comp. insurance required] 8. ❑ Non-proft 3.❑ We are a corporation and its officers have exercised 9. ❑ Entertainment their right of exemption per c. 152, §1(4), and we have 10.El Manufacturing no employees. [No workers' comp. insurance required]* 4.F1 We are a non-profit organization, staffed by volunteers, 1 1.❑ Health Care with no employees. [No workers' comp. insurance req.] 1 12.0 Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. **If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#l. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name:Hanover Insurer's Address:17 Autumn Dr City/State/Zip: Northampton Ma, 01062 Policy# or Self-ins. Lic. #WHN 5715134-02 Expiration Date:4/8/15 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 certify, under the pai nd penalties perjury that the information provided above is true and correct. Signature: a Date: 6/2/15 Phone#:413-247-6045 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. Licensing Board 5. Selectmen's Office 6. Other Contact Person: Phone#: www.mass.gov/dia SECTION 8 -CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Phillip Baunsgard CS 10 6113 License Number 11 Edward Ave . Southa ton, Ma 01073 6/7/17 re,, Expiration Date ,�a h 91 '.0ooez"o'c�W 413-247-6045 Si re elephone 9.Registered Home Improvement Contractor: Not Applicable ❑ Northeast Solar 169641 Company Name Registration Number 136 Elm St field, Ma 01038 7/14/15 Address Expiration Date U -L� -Telephone 413-247-6045 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....... X1 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) ❑ Roofing ❑ Or Doors D Accessory Bldg. ❑ Demolition ❑ New Signs [lam] Decks [C] Siding[0] Other[G3] Brief Description of Proposed Install 24 solar electric panels on residence Work Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes _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 Suzanne Whitman as Owner of the subject property hereby authorize Northeast Solar to ac n my behalf, in all matters re tive to work authorized by this building permit application. 'y C 6/2/15 Signature lvfOwner Date Northeast 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. Ann Bronner Print Name a 6/2/15 Signature of Owner/Agent Date Section 4. ZONING Alt 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 YES 0 IF YES, date issued:' IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW t YES 0 IF YES: enter Book Page and/or Document#'. B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW C) YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 Date Issued: C. Do any signs exist on the property? YES 0 NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES l NO 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 0 NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. ii Department use only ity of Northampton Status of Permit: uilding Department Curb Cut/Driveway Permit AUG -3 ih 212 Main Street Sewer/Septic Availability L Room 100 Water/Well Availability " , f#6 hampton, MA 01060 Two Sets of Structural Plans i�Pth mptg��as�1'u�OHt� -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 Autumn Dr, Florence Ma 01062 Map Lot Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Suzanne Whitman 17 Autumn Dr,Florence Ma 01062 Nam (Print) -- Current Mailing Address: �� ��� 41.3-586-5.544 wt ( (, Telephone Signatur 2.2 Authorized Agent: Northeast Solar 136 Elm St, Hatfield Ma 01038 Name(Print) Current Mailing Address: 413-247-6045 Signature Telephone SECTION 3 -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building (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=(1 +2 + 3+4+ 5) 29,786 Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2016-0141 APPLICANT/CONTACT PERSON NORTHEAST SOLAR DESIGN ASSOCIATES LLC ADDRESS/PHONE 136 ELM ST HATFIELD01038(413)247-6045 O PROPERTY LOCATION 17 AUTUMN DR MAP 44 PARCEL 077 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildiny,Permit Filled out Fee Paid Typeof Construction: INSTALL ROOF MOUNTED 24 PANELS SOLAR ARRAY New Construction Non Structural interior renovations Addition to Existing- Accessory Structure Building Plans Included• Owner/Statement or License 106113 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO MATION 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 oli 'fin lay Sig re of Building Official 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 AUTUMN DR BP-2016-0141 GIS#: COMMONWEALTH OF MASSACHUSETTS Ma-.Block:44-077 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-2016-0141 Project# JS-2016-000236 Est. Cost: $29786.00 Fee: $178.71 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: NORTHEAST SOLAR DESIGN ASSOCIATES LLC 106113 Lot Size(sa. ft.): 10280.16 Owner: WHITMAN SUZANNE M Zoning: Applicant: NORTHEAST SOLAR DESIGN ASSOCIATES LLC AT: 17 AUTUMN DR Applicant Address: Phone: Insurance: 136 ELM ST (413) 247-6045 () Liability HATFIELDMA01038 ISSUED ON.81412015 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL ROOF MOUNTED 24 PANELS 7.2 KW 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 8/4/2015 0:00:00 $178.71 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner