31D-124 (6) 72 MASONIC ST BP-2020-1144
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:31D- 124 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-2020-1144
Proiect# JS-2020-001915
Est.Cost:$39696.00
Fee:$252.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: PIONEER VALLEY PHOTOVOLTAICS 111266
Lot Size(sq. ft.): 2613.60 Owner: BERGER DAN H
Zoning:CB(100)/ Applicant. PIONEER VALLEY PHOTOVOLTAICS
AT. 72 MASONIC ST
Applicant Address: Phone: Insurance:
311 WELLS ST - SUITE B (413) 772-8788 Workers
Compensation
GREEN FIELDMA01301 ISSUED ON.512012020 0:00:00
TO PERFORM THE FOLLOWING WORK.-install 10.59 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 5/20/2020 0:00:00 $252.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
Versiont.7 Commercial Building Permit May 15,2000
Department use only
City of Northampton Status of Permit:
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, REPAIR, RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: This section to be completed by office
72 Masonic Street Map 3 Lot / zy Unit
Northampton MA 01060
Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Dan and Alex Berger 72 Masonic St, Northampton MAO 1060
Name(Print) Current Mailing Address:
(413) 584-3232
Signature See Attachment A Telephone
2.2 Authorized Agent:
PV Squared Solar 311 Wells St. Greenfield MAO 1301
Name(Print) Current Mailing Address:
(413) 772-9074
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building $13,202.50" (a)Building Permit Fee
2. Electrical $26,493.50 (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) 39696.00 Check Number /� y
This Section For Official Use Only
Building Permit Number ^ / Date
7 Issued
Signature:
Building Commissioner/Inspector of Buildings Date
Z V'4
RF
Q40
PV Squared Solar I www.pvsquared.coop
Phone:413-772-8788 1 Fax:413-772-8668
311 Wells St.,Ste. B I Greenfield.MA 01301
in. r . sO' MA Elec.Lic.A13764 I MA HIC 140077
Dear Town Inspections Officials,
Please see our enclosed applications to permit a Solar Photovoltaic System in your
jurisdiction. As you are likely aware, PV Squared is a worker-owned-cooperative B-Corp,
employing 40+ people in Greenfield. We have installed thousands of PV Systems out of our
Greenfield, MA Headquarters since 2002.
PV Squared is committed to complying with all Commonwealth laws and regulations. Our
worksite guidelines are created with the intention of exceeding all safety, electrical, and
building requirements as defined by their respective jurisdictional entities. This includes
the work of people from multiple disciplines, including electrical engineering, structural
engineering, civil engineering, electricians, construction supervisors, roofers, and their
associated helpers.
We are a company that values training and education. We make certain that every
individual is qualified for the roles and responsibilities that they assume. It is our policy to
pay for the employees travel and training time and cost of the education, including CSL and
Journeyman and Master Electrician classes.
As an electrical contractor we are furthermore guided by the January 30, 2009
Massachusetts Board of State Examiners of Electricians (BSEE)judgements, and rulings that
have followed. We pay strict adherence to these mandates and all electrical work is
conducted by an electrician and an electrician's apprentice in a 1:1 ratio. We also
understand that non-electrical tasks associated with a Solar installation can be completed
by non-electrical workers, such as CSLs and others. I have attached our installation policy
for your review, as well as a list of example non-electrical tasks.
Should you have any questions or concerns regarding this policy or delineation of work,
please let us know. We are a learning organization that is always trying to improve on what
we do.
Respectfully,
Maya Fulford
Installation Manager
Versionl.7 Commercial Building Permit May 15,2000
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑
Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑
Brief Description the installation of a 10.59 kilowatt solar array
Of Proposed Work:
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑
A-4 ❑ A-5 ❑ 113 ❑
B Business ❑ 2A ❑
E Educational ❑ 2B I ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑
M Mercantile ❑ 4 ❑
R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑
S Storage ❑ S-1 ❑ S-2 ❑ 513 ❑
U Utility ❑ Specify:
M Mixed Use ❑ Specify:
S Special Use ❑ Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE
Existing Use Group: Proposed Use Group:
Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34):
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(sf)
I St 1ST
2nd 2nd
3rd 3rd
4
4 t tn
Total Area(sf) Total Proposed New Construction (sf)
Total Height(ft)
Total Height ft
7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public ❑ Private [3 Zone Outside Flood Zone❑ Municipal ❑ On site disposal system[_]
Versionl.7 Commercial Building Permit May 15,2000
8. NORTHAMPTON ZONING
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 (Y
(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 e YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO C) DON'T KNOW e YES i
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW Q YES o
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 e
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES ® 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 e
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Versionl.7 Commercial Building Permit May 15,2000
SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO
CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE)
9.1 Registered Architect:
Not Applicable ❑
Name(Registrant):
Registration Number
Address
Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
Robert Leet Structural Review
Name Area of Responsibility
PO 881, Wendell MA 01379 38942
Address Registration Number
See Attached Engineers Letter (978) 544-8000
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
PV Squared Not Applicable ❑
Company Name:
Daniel Gomez-Gonzalez
Responsible In Charge of Construction
43 Hatfield Street, Northampton MA 01060
Address
�n�nr�rk' (413) 772-8788
Signature Telephone
Versionl.7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes O No
SECTION 11 -OWNER AUTHORIZATION -TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
Dan and Alex Berger as Owner of the subject property
hereby authorize PV Squared to
act on my behalf, in all matters relative to work authorized by this building permit application.
See Attachment A 04/08/2020
Signature of Owner Date
Christopher Krezmien , 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.
Christopher Krezmien
Print Name -
04/08/2020
Signature of Owner/Agent Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: Daniel Gonlez-Gonzalez 111266
License Number
43 Hatfield Street, Northampton MA 01060 03/14/2021
Address Expiration Date
(413) 772-8788
Signature Telephone
SECTION 13-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
DocuSign Envelope ID:F9DA6E23-FC1C-47C6-A7EF-458CM13F81F2
Attachment A
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. I will allow any photographs
or videos of this project to 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.
Alex Katz-Berger 2/3/2020 15:21 PM EST
Printed Name Date
FRDocuSigned by:
(,t,), ��_fi u'&r System Owner
Signature Title
Proposal and Agreement#00015491 Page 6 of 11
Masonic St Associates-January 29,2020