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534 NORTH FARMS RD BP-2019-0633 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 07-003 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 ELECTRIC SYSTEM BUILDING PERMIT Permit# BP-2019-0633 Project# JS-2019-001035 Est. Cost: $15840.00 Fee: $75.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: SKYLINE SOLAR LLC 027047 Lot Size(sq.ft.): 105023.16 Owner: NAGLE NORMA Zoning: RR(100)/WSP(100)/WP(65) Applicant: SKYLINE SOLAR LLC AT: 534 NORTH FARMS RD Applicant Address: Phone: Insurance: 4 CROSSROADS DRIVE - SUITE 116 (732) 354-3111 Workers Compensation HAMILTONNJO8691 ISSUED ON.1112812018 0:00:00 TO PERFORM THE FOLLOWING WORK:12 PANEL ROOF MOUNTED SOLAR -3.6KW 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: il: 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 11/28/2018 0:00:00 $75.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner SKYIINL Sc)IA1 RECE� Town of NorthamptonVEp 1/25/19 Building Department FEB 212 Main St. ' 4 2019 bEaT OF g Northampton, MA 01060 "aAtHaM�a"G r^,sPEcnons ON'M,01060 This letter is in reference to Address: 534 North Farms Rd. Clean Technology Fulfillment Center LLC submitted a permit application for residential rooftop solar for this project and would like to Change the Contractor for the installation work to Skyline Solar LLC, Skyline Solar LLC will now being doing the work for this project. I've attached our licenses and insurance for the Change of Contractor. Thank you for your assistance. Sincerely, I I I : Ryan Lane Owner of Skyline Solar LLC. 4 Crossroads Dr. Suite 116 Hamilton, NJ 08691 (732) 354-3111 permits@skylinesolar.net C1FC Clean Technology Fulfillment Center, LLC 1505 King St. Ext.,Suite 114 Charleston, SC 29405 January 25, 2019 Town of Northampton, MA Building Department 212 Main St. Northampton, MA 01060 Re: Clean Technology Fulfilment Center, LLC Permitting Property: 534 North Farms Rd. Northampton, MA 01062 Good morning Sir/Madam, I am writing to request the contractor of record for the above-mentioned property be changed from Clean Technology Fulfilment Center, LLC to Skyline Solar, LLC. Skyline Solar, LLC will be installing the project for us. I have attached copies of Skyline Solar's MA HIC, MA CLS and MA Master Registered Electrician license. After reviewing the attachments should you need further information from us to make the necessary changes, please do not hesitate to contact our office. We can be reached at 843-742-1844, x 300 Monday through Friday between 8:00 am to 4:30 pm. Thank you in advance for your assistance with this matter. Have a nice day! Sincerely, Terry McComb Palmetto Office Manager 843-720-1844 Ext. 300 o - City of Northampton Status of Permit: Department use only Building Department Curb Cut/Driveway Permit ` 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability 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 534 North Farms Rd. Map Lot Unit Zone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Norma Nangle 534 North Farms Rd. Northampton,MA 01062 Name(Print) Current Mailing Address: � I1 II (319) 268-1550 Q UV,yIS Telephone Signature 2.2 Authorized AStent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 4000 (a) Building Permit Fee 2. Electrical 10000 (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) 14000 Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bidg.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 (�) DON'T KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO (�) DON'T KNOW 0 YES Q IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW 0 YES Q 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 0 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 ® NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing EJ Or Doors ID / Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [0 Siding [0] Other[ Pnitr Brief Description of Proposed CHANGE OF CONTRACTOR. Installation of a safe and code compliant grid-tied PV Solar system on an existing residental roof. 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 1 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 Norma Nangle as Owner of the subject property Ryan Lane/Skyline Solar LLC. hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. L� d t,� Signature of Owner Date Ryan Lane/Skyline Solar LLC. as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Ryan Lane Print Nam J 31 1 Signature of ner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Phil ChOUlnard CS-027047 License Number 95 Ryan Dr. Suite 3 Raynham, MA 02767 11/19/19 Address Expiration Date 1W j L - lln� 35`I-3111 U Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ Skyline Solar LLC. 172284 Company Name Registration Number 95 Ryan Dr.Suite 3 Raynham, MA 02767 6/6/20 Addre s Expiration Date &,4U. Ltn:� Telephone (732)354-3111 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....... ® No...... ❑ City of Northampton ✓," S�s...:r: Sic Massachusetts c DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes. Prior to performing work on such homes, a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L. Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building"be done by registered contractors. Note:If the homeowner has contracted with a corporation or LLC, that entity must be registered Type of Work: Residential PV Solar System Est. Cost: $14,000 Address of Work:Change of Contractor. Installation of a safe and code compliant grid-tied PV solar system on a residential roof Date of Permit Application: 1/25/19 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law(explain): _Job under$1,000.00 Owner obtaining own permit(explain): Building not owner-occupied Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A. SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply for a building permit as the agent of the owner: 31 — �� ISjd LC, 172284 Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice, I hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature City of Northampton f Massachusetts f . a • DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 Massachusetts Residential Building Code Section 110.R5.1.2 Homeowner: Person (s) who own a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Section 110.R5.1.3.1 Any homeowner performing work for which a building permit is required shall be exempt from the licensing provisions of 780 CMR 110.R5, provided that if a homeowner engages a person(s) for hire to do such work, then such homeowner shall act as supervisor. Such homeowner shall submit to the Building Official, on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. City of Northampton Massachusetts - A. i �' "4 ��• DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street *Municipal Building Northampton, MA 01060 Debris Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. The debris from construction work being performed at: 534 North Farms Rd. (Please print house number and street name) Is to be disposed of at: E.O.M.S-318 Manley St.West Bridgewater, MA 02379 (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) lj�� L�mz -"" Signature I Permit Applicant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) A�O 1/30/2019 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 NAME: The Hamilton Group, LLC PHONE FAX 3 Wing Drive ,.JC.Lo Ext: 973-292-2292 (A/C,No: Cedar Knolls NJ 07927 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURERA:NY Marine&General Ins Co. INSURED SKYLI-3 INSURER B:Gotham Ins Co Skyline Solar LLC Skyline Solar RI, Inc. INSURER C:SELECTIVE INS CO OF AMER 12572 4 Crossroads Drive, Ste 116 INSURER D:Selective Ins Co of the S.East 39926 Hamilton NJ 08691 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:316929597 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. Y EXP LTR TYPE OF INSURANCE ADDL SUBR WVD POLICY NUMBER MMIDDY EFF MM/DD/YYYY LIMITS B GENERAL LIABILITY Y Y PK201900009639 1/30/2019 1/30/2020 EACH OCCURRENCE $1,000,000 X DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) ccurrence $100,000 CLAIMS-MADE F7X OCCUR MED EXP(Anyone person) $5,000 X $5M Cap on Agg. PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY X PRO- LOC Professional Liab. $1,000,000 JE C C AUTOMOBILE LIABILITY Y Y 52312421 1/30/2019 1/30/2020 COMBINED SINGLE LIMIT D A9093050 1/30/2019 1/30/2020 Ea accident1 $1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED Ix SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS AUTOS per accident B UMBRELLA LIAB X OCCUR Y Y UM201900006506 1/30/2019 1/30/2020 EACH OCCURRENCE $1,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 DED X RETENTION$10,000 $ A WORKERS COMPENSATIONWC201900013247 1/30/2019 1/30/2020 X OC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N T R ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED' ❑ NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 B Installation Floater PK201900009639 1/30/2019 1/30/2020 Per Occurrence/Ded. $100,000/$2,500 Property BPP/Ded. $100,000/$1,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) This Certificate does not afford coverage for Additional Insureds. The Certificate is only evidence of insurance coverage for the Named Insured. 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. Evidence of Insurance AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents - � Office of Investigations 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): Skyline Solar LLC Address:95 Ryan Drive Suite 3 City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑x I am a employer with 85 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. F]New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity. employees and have workers' y p ty• 9. E] Building addition [No workers' comp.insurance comp.insurance.: required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 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.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑x OtherPV Solar System 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 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 whether 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 my employees. Below is the policy and job site information. Insurance Company Name: NY Marine&General Insurance Policy#or Self-ins.Lic.#: WC201900013247 Expiration Dater 1/30/2020 Job Site Address: 534 North Farms Rd. City/State/Zip: Northampton, 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 fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cernder the p s d penalties of perjury that the information provided above is true and correct lfwa Si ature: Date: 1/5/18 Phone#: 2-354-3111 ;4Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: UUUUJRyII CI IVCIUpd IU.VrOAOI/C IDrr--fUDA-DING I-H9yr000Or-OI Homeowner's Agent Authorization Form State of Massachusetts I� Norma Nangle (print name) am the owner of the property located at address: 534 North Farms Road Northampton MA 01062 (print address) I hereby authorize Palmetto soar or its subcontractor to LLC act as my Agent for the limited purpose of applying for and obtaining local building and other permits from the Authority Having Jurisdiction as required for the installation of a PhotoVoltaic System located on my Property. DocuSigned by: Customer Signature: DAB098512OA9497... Date: 11/3/2018 Print Name: Norma Nangle d._ Commonwealth of Massachusetts t�Ql� Division of Professional Licensure Board of Building Regulations and Standards Cans�{tCl�tSi�f$��rva sor t C5-027047 s + Epirtts 111098019 f f PHILM J CHOW �` Ti OAK ST.Uqr M 1 ASHLAND MA ti4T21 ♦ro1w1 to1�` Commissioner —096 9 �1coa?coo2nastumtteur erdali�s oWPPme4vs1js1(Ve'gZ`ia1T1jnu 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Horne Improveme#Contractor Registration RepisUatlon: 1 TZZM w Type. swokmeM Cats! 6184420 SKYLINE SOLAR,LLC. LUQ" PHILIP CHOUINARD ; 4 CROSSROADS DRIVE SUITE 9 IS HAMILTON,NJ 08699 Update Address and return Bard.Mark reason for thank. WA a G soumru Address Renewal En4sloymcat Lost Card y-!lwrralrfls of Convmer Atrdn 6 9adneis ltgXb don Lleense or re4tstratloa valid for individual use anly WROVEMENT CONTRACTOR tsefore IM esplt,xka dart. It found return to.- 18811W o:tratian: 17M Two: otliee or Cstnioner AM*s end ttusivess Reguintioa 4IBR02D SUPOM a O Cad 14 lark Mata• S17Q BOOM MA 021162[16t6 SICYLINE SOLAR.LLC . k PH ILP CH MANAW 4 CROSSROADS DRIVE&M I t (4LNboulsipalare IafAAiN.TON ALIt]Od91tlaslrrseesetary Office of Consumer Affairs and Business Regulation One Ashburton Place - Suite 1301 Boston, Massachusetts 02108 Home ImprovementCon#ractor Registraflon R Type: LLC =---= Registration: 172284 SKYLINE SOLAR, LLC. ' = Expi 4 CROSSROADS DRIVE SUITE 116 ration: 06/0812020 HAMILTON, NJ 08691 ' Update Address and Return Card Scat d 2UOW17 �4 Woinmantorol/1 r/�" ltr�.Wi�IttNr//J Onke of Consumer Affairs A Business Regulation HOME IMPROVEMENT CONTRACTOR RegtWation valid for individual use only TYPE., LLC before the expiration date. 0 found return to: Office of Consumer Affairs and Business Regulation 17'42M ____, 06M/2020 One Ashburton Place-Suite 1301 SKYLINE SOLAR,LLC. Boston,MA 02108 RYAN LANE l 4 CROSSROADS DRIVE SUITE 116 {� HAMILTON.NJ OMI Ung Not valid without signature RECEIVED JAN 2 8 2019 __ 11DEVLIN L-. DEPT. R GUI INSPFCTIODIS CONTRACTING & MAINTENANCE NORTHAMPTON.r,nA 01060 0� 3 01/16/19 Building Department City of Northampton 212 Main St. Northampton, Ma 01060 Re: Cancelled Project-534 North Farms Rd. This is to inform you Matthew Devlin Lic#21151A and Benjamin O'Connor Lic#CS-111884 are no longer the installer on the above mentioned project. Please close out building BP-2019-0633 and electrical permits for the above address. Please return any permit fees that maybe refundable. If you have any questions please feel free to contact my office. Thank you, �*e Matthew Devlin 86 Finnell Drive#21 Weymouth, MA 02188 RESIDENTIAL SOLAR PHOTOVOLTAIC SYSTEM • -r4 T FARMS ROAD 53 NORTH AR S ' EXACTUS ENERGY NORTHAMPTON , MA NEW AGE ENGINEERING 3.6 kW DC +1833 392 2887 8/NOV/2018 205-4894 DUNDAS STREET WEST PALMETTO TORONTO,ON +1 843-720-1844 1505 KING ST EXT#114, CHARLESTON,SC 29405,USA SHEETINDEX Dwa C1 COVER PAGE 9l�IN�ff2 N1 GENERAL NOTES Ib!!fes S1 SITE PLAN S2 PANEL LAYOUT 11/15/1 S3 STRUCTURAL DETAIL El LINE DIAGRAM E2 ELECTRICAL CALCULATIONS E3 WARNING LABELS Al PANEL SPECIFICATIONS A2 RACKING SPECIFICATIONS ,a A3 MOUNT SPECIFICATIONS •_^�° A4 INVERTER SPECIFICATIONS Y W m A5 OPTIMIZER SPECIFICATIONS tw..,..... SYSTEM SPECIFICATIONS GOVERNING CODE: SYSTEM SIZE:3.8 kW IBC 2015 MODULE:Q.PEAK G4.1 30OW IRC 2015 INVERTER:SE3000A-US IFC 2015 r OPTIMIZER:P320 NEC 2017 City Of Northampton RACKING SYSTEM:SNAPNRACK 100 o' W C1-COVER PAGE - - r Building Department Plan ao Review 212 Main Street Northampton, MA 01060 534 NORTH FARMS RD EP-2019-0386 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 07 Lot:003 ELECTRICAL PERMIT Permit: Electrical Category: 12 PANEL ROOF MOUNTED SOLAR-3.6KW Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2019-001035 Est.Cost: Contractor: License: Fee: $60.00 CLEAN TECHNOLOGY MASTER ELECTRIC[ N 21151 Owner: NAGLE NORMAN Applicant: CLEAN TECHNOLOGY AT. 534 NORTH FARMS RD Applicant Address Phone Insurance 4682 FRANCHISE ST SUITE B (781) 660-4245 C- lity, 5 86974 NORTH CHARLESTON SC29406 ISSUED ON.11/27/2018 0: :0 TO PERFORM THE FOLLOWING WORK: 12 PANEL ROOF MOUNTED SOLAR -3.6KW Call In Date: Date Requested Inspection /fWt/Sfi2zn0 Reinspect?: TrencWUG: Special Instructions x Rou h x Special Instructions: Final: SRE Called In: Signature: Fee Type:: Amount: DatePaid Electrical $60.00 11/27/2018 0:00:00 172 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo r ►RECEIVED CTFC i -- Clean Technology Fulfillment Center, LLC I j 1505 King St.Ext.,Suite 114 JAN11 5 2019 Charleston,SC 29405 DFDT OF GUII DING INSPECTIONS r;o:�THnM TON.rnAo,oe° January 14, 2019 Town of Northampton, MA Building Department #100 212 Main St. O Northampton, MA 01060 b Re: Clean Technology Fulfilment Center, LLC Permitting Property: 534 North Farms Rd. North Hampton Good morning Sir/Madam, I am writing to request the contractor of record for the above-mentioned property be changed from Clean Technology Fulfilment Center, LLC to Skyline Solar, LLC. Skyline Solar, LLC will be installing the project for us. I have attached copies of Skyline Solar's MA HIC, MA CLS and MA Master Registered Electrician license. After reviewing the attachments should you need further information from us to make the necessary changes, please do not hesitate to contact our office. We can be reached at 843-742-1844, x 300 Monday through Friday between 8:00 am to 4:30 pm. Thank you in advance for your assistance with this matter. Have a nice day! Sincerely, Terry McComb Palmetto Office Manager 843-720-1844 Ext. 300 1;Ghsa@ PalWL0#19v60�-it-UKts� Col-�-� Office of Consumer Affairs and Business Regulation One Ashburton Place-Suite 1301 Boston, Massachusetts 02108 Home Improvement-Contractor Registration c , Type: LLC Reg Ovation: 172284 SKYLINE SOLAR.I.I.C. Expiraflon•- 06/0612020 4 CROSSROADS DRIVE SUITE 116 HAMILTON.NJ 08601 Update Address and Return Card. SCA1 4 ZDM4WITT� / T om"Han"Wa/W r1 �((ILIIMIUI'l/J Ofaee of Contwnter Affalm i Business FloViotim HOME IMPROVENIENT CONTRACTOR Repistredon valid for Individual use only TYPE:LLC before the expiration dais. N lbund return to: StaidLow,t% gabow OMos of Consumer Affairs and Business 111"Wation 172264—"-, 0610612!)20 One Ashburton Place•Suits 1301 SKYLINE SOLAR.110' s Boston,MA 02108 RYAN LANE 4 CROSSROADS DRIVE SURE 118 HAMILTON.NJ 08691 ` Not valid without signature Fold, Then Detach Along All Perforations ':.. OMMONWEALTH;OFMA SAgNUSETTS r� EL: . � Ct Im Kv b S"Syt # V? Commonwealth of Massachusetts Division of Professional Licensure Board of Budding Regu!lalions and Standards ConstrW0611%bpprvrn sar r� /1 CS-027047 „' t��ireas 11/04rzt}19 PHILIP J CHOIR 70 OAK ST.UIifT I ASHLAND MA 617it V( INV t 1L��`� Commissioner C '— fi- of eon um r"Ai`1r, a IAeSS K�tL11�t1f0 g 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Horne Improvement Gontractor Registration Registration: tT?M Type. Supplement Card SKYLINE SOLAR,LLC. Expiration PHIUP CHOUINARD a , 4 CROSSROADS DRIVE SUITE 116 HAMILTON,NJ 09691 Updale Address cad return cord.Alsrlt reswa for cbsr4e. WA I Q ZWWa Address Renewal Employment Lost Card Wbf rC�MfY/aN17tTUI�/y'���q,Ul�d1P�i *ftapo"ralon: Csnowr Af ain i fuslaris Ar�rtse License or re&noin vafld for individual use only WROVEMENT COffI`RACTOR before Ilse esplrstisa data. If fewul return is; Ira1b�: tZ p Tom. omee orComsmer AMdrs sed Wsisese Regulodea 14 Perk;inn.Suite 5174 RI6R02t1 Supplewo cad $sslsn,RIA 92116 SKYLINE SOLAR.LLC PHUP CHOUI BARD s CROSSROADS DRIVE SUITI<11 k"ALTDN N.;awl tlnJrrseexsnry Not rel ithoet signtlare