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23A-082 17 MAIN ST FLoKENG& BP-2022-0098 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23A-082 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-2022-0098 Project# JS-2022-000163 Est.Cost: $45066.00 Fee: $288.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: VALLEY SOLAR LLC 115680 Lot Size(sq. ft.): 10323.72 Owner: GLENNON MAURA Zoning:GB(100)/ Applicant: VALLEY SOLAR LLC AT: 17 MAIN ST Applicant Address: Phone: Insurance: PO BOX 60627 (413) 584-8844 WC FLORENCEMA01062 ISSUED ON:7/26/20210:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL 42 PANEL 15.54 KW SOLAR SYSTEM 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. Q . 3)07 Certificate of Occupancy signature: a FeeType: Date Paid: Amount: Building 7/26/2021 0:00:00 $288.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner RECEIVED 2021 Th Comm�onweaitn of Massachusetts 1�t i� Otfice of Public Safety an4 Inspections . Ma lltusrittal�atWl�igilatg:lede(780 CMR) Building Permit Appl catiwirefitifigiTliaiitiittibr than a One-or Two-Family Dwelling p (This Section For Official Use Only) Building Permit Number:(1'-.?-2.I Date Applied: Building Official: SECTION 1:LOCATION 17 Main St Northampton 01060 Florence Pie Bar No.and Street City/Towil Zip Code Name of Building(if applicable) AP3ft� 082. Assessors Map# Block#and/or Lot # SECTION 2 PROPOSED WORK Edition of MA State Code used If New Construction check here 0 or check all that apply in the two rows below Existing Building 0 Repair 0 Alteration 0 Addition 0 Demolition 0 (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 Other 0 Specify:Solar Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No 0 Is an Independent Structural Engineering Peer Review required? Yes 0 No 0 Brief Description of Proposed Work Installation of a 42 panel roof mounted Solar Array. System Size 15.54kW DC SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑ Existing Use Group(s): Business Proposed Use Group(s):_ SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 ❑ A-2❑ Nightclub 0 A-3 ❑ A-4❑ A-5❑ B: Business 0 E: Educational 0 F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H-4 0 H-5 0 I: Institutional I-1 0 I-2❑ I-3❑ I-4❑ M: Mercantile 0 R: Residential R-10 R-2 0 R-3 0 R-4 0 S: Storage S-1 0 S-2 0 U: Utility 0 Special Use 0 and please describe below: Special Use Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA El IB ❑ IIA ❑ IIB 0 IIIA ❑ TUB 0 IV 0 VA 0 VB 0 SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public 0 Check if outside Flood Zone❑ Indicate municipal 0 A trench will not be Licensed Disposal Site 0 Private 0 or indentify Zone: or on site system 0 required 0 or trench or specify: permit is enclosed 0 Valley Recyling,Northampton Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable 0 Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed 0 Yes 0 or No 0 Yes 0 No 0 SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Does the building contain an Sprinkler System?: Special Stipulations: Design Occupant Load per Floor and Assembly space: SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner Maura J Glennon 6 Service Center Rd Northampton 01060 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: Business Owner 413-341-3783 - mauraglennon@comcast.net Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: Valley Solar LLC 340 Riverside Drive Northampton MA 01060 Name Street Address City/Town State Zip to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here 0. Otherwise provide construction control forms(see section 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals) Name(Registrant) Telephone No. e-mail address Registration Number MA Street Address City/Town State, Zip Discipline Expiration Date 10.2 General Contractor Valley Solar LLC Company Name Patrick Rondeau CS-115680 Name of Person Responsible for Construction License No. and Type if Applicable 340 Riverside Drive Northampton MA 01060 Street Address City/Town State Zip 413-58.4-8844 - - Info@valleysolar.solar Telephone No.(business) Telephone No.(cell) e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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. Is a signed Affidavit submitted with this application? Yes El No C SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=$ 1.Building $ Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ appropriate muni . =$ 3.Plumbing $ 4.Mechanical (HVAC) $ Note:Minimum fee— act municipality) 5.Mechanical (Other) $ Enclose check payable to 6.Total Cost $45066 (contact municipality)and write check number here 68. ZCto SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Pa ,c,k �� 413-584-8844 Patrick Rondeau Construction supervisor Please print and sign name Title Telephone No. Date 340 Riverside Dr Northampton MA 01060 Info@valleysolar.solar Street Address City/Town State Zip Email Address • Municipal Inspector to fill out this section upon application approval: 7'ZG "Zb21 Name Date