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23D-186 31 WINSLOW AVE BP-2022-0074 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23D- 186 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-2022-0074 Project# JS-2022-000136 Est.Cost: $26942.00 Fee: $75.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: VALLEY SOLAR LLC 115680 Lot Size(sq. ft.): 16117.20 Owner: REBECCA J ROSE-LANGSTON Zoning: URB(100)/ Applicant: VALLEY SOLAR LLC AT: 31 WINSLOW AVE Applicant Address: Phone: Insurance: PO BOX 60627 (413) 584-8844 WC FLORENCEMA01062 ISSUED ON:7/21/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL 28 PANEL ROOF MOUNTED SOLAR ARRAY - 9.52 KW 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. IT) i Certificate of Occupancy Signatn , FeeType: Date Paid: Amount: Building 7/21/2021 0:00:00 $75.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner Department use only City of Northampton i tus of Permit: 44. Building Department _�utlprivewayPermit 212 Main tree �� Se' ptiailability Room`\ 00 n^a �O Water ell ailability Northampton,lM `QY> fk �TWo ets o Structural Plans phone 413-587-1240 Fax 41 - , PI Site ans (:) •4/ F� her S ecify „60 • S APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE DEM ISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office Map .7-5 .0 Lot / &' Unit 31 Winslow Avenue Florence, MA 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Rebecca Rose-Langston 31 Winslow Avenue Florence, MA 01062 Name(Print) Current Mailing Address: e6ec r a 'eraP,—(I ,stcrrt. (413) 727-8493 Telephone Signature 2.2 Authorized Agent: Valley Solar LLC PO Box 60627, Florence, MA 01062 Name(Print) Current Mailing Address. 413-584-8844 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit 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) 26,942 Check Number This Section For Official Use Only Building Permit Number: C6 0- . ^ 7 y Date Issued: �' Signature: e 2/' Z 9 Building Commissioner/Inspector of Buildings Date lhasbrouck @u northamptonma.gov info valleysolar.solar EMAIL ADDRESS (REQUIRED; 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 he 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 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 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 0 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 0 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 0 IF YES, describe size, type and location: E. Will the construction activity disturb(clearing, grading, excavation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO 0 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) t l Roofing 1 1 Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [[I Siding[O] Other[X solar Brief Description of Proposed Work: Installation of a 28 panel roof mounted solar array. System Size 9.52kW DC. 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 Rebecca Rose-Langston , as Owner of the subject property hereby authorize Valley Solar LLC to act on my behalf, in all matters relative to York authorized by this building permit application. :E'.e, .et,c et mom; c a.ntato-rt, 07/16/2021 Signature of Owner Date I, Valley 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. Patrick D. Rondeau Print Name P tLtLt,C4, Ran u 07/16/2021 Signature of Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable 0 Name of License Holder Patrick D. Rondeau License Number 53 Fox Farms Rd., Florence, MA 01062 CS-115680 Address Expiration Date k'n n.> u, 4/9/2025 Signature Telephone 413-584-8844 9. Registered Home Improvement Contractor: Not Applicable 0 Company Name Registration Number Valley Solar LLC 186338 Address Expiration Date PO Box 60627, Florence, MA 01062 Telephone 413-584-8844 10/27/22 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 0