Loading...
44-134 1006FLORENCE RD COMMONWEALTH OF MASSACHUSETTS BP-2021-1924 Map:Block:Lot:44-134-001 Permit: Solar Build CITY OF NORTHAMPTON PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2021-1924 PERMISSIONISHEREBYGRANTED TO: Project# 2021 SOLAR Contractor: License: BEYOND GREEN CONSTRUCTION Est. Cost: 49000 INC 074539 Const.Class: Exp.Date: 11/28/2022 Use Group: Owner: LEBLANC ANDREW &ADRIENNE Lot Size (sq.ft.) Zoning: SR Applicant: BEYOND GREEN CONSTRUCTION INC Applicant Address Phone: Insurance: 13 TERRACE VIEW 4132039088 BEWC223285 EASTHAMPTON, MA 01027 ISSUED ON:09/23/2021 TO PERFORM THE FOLLOWING WORK: INSTALL 25 PANEL 10 KW ROOF MOUNTED SOLAR SYTEM 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. Signature: I , le i Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner Department use only City of Nort mp n �C --_� Status of Permit: Building D7�art ent �/f , -Cirb Cut/Driveway Permit 212 Min Street `SFp \• 'S we)1Septic Availability Ro,bm 3,141 2,,p ater/Well Availability Northamp Nt 9 160 (90(9,• wo Sets of Structural Plans phone 413-587-1240 Fan4 '1��'•, 1272 PlotJSite Plans >off.fir'1: ` \ Other Specify rio,v / APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVP E OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to be completed by office 1.1 Property Address: 1006 Florence Road, Florence, MA Map Lot Unit Zone Overlay District Elm St. District CB District SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Andrew Leblanc 1006 Florence Road, Florence, MA Name(Print) Current Mailing Address: (413) 478-3755 Please see attached Telephone Signature 2.2 Authorized Agent: Sean R Jeffords 13 Terrace View,Easthampton,MA 01027 Name(Print) Current Mailing Address: 111111111%. Y „""t 413-203-9088 Signature '� Telephone SECTION 3 -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 15000 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of 34000 Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) #7 .-� 5. Fire Protection 6. Total = (1 +2 +3 +4+ 5) 49000 Check Number 7170 This Section For Official Use Only Building Permit Number: 6P-- 2 1-I"//� 14 Date Issued: Signature: /1Z 9-2Z-ZiZi Building Commissioner/Inspector of Buildings Date 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 Bldg. Square Footage Open Space Footage 04, (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 Q DON'T KNOW Q YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DON'T KNOW Q YES Q IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO O DON'T KNOW Q YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Q Date Issued: C. Do any signs exist on the property? YES Q NO O IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO Q 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 IQ 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) n Roofing Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [El] Decks [I] Siding [El] Other[0] Brief Description of Proposed Work: Install 10 kW DC solar on roof(25 panels). Alteration of existing bedroom Yes X No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes X No Plans Attached Roll -Sheet sa. 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 Please see attached , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I, Beyond Green Construction Inc , 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. Sean R Jeffords Print Name X ' t' Signature of Owner/Agent Date 9/21/2021 SECTION 8 -CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder Sean R Jeffords CS-074539 License Number 13 Terrace View, Easthampton, MA 01027 11/28/2022 Address Expiration Date X 413-203-9088 Signature Telephone 9. Registered Home Improvement Contractor: . Not Applicable 0 Beyond Green Construction Inc 191746 Company Name Registration Number 13 Terrace View,Easthampton,MA 01027 5/9/2022 Address ' Expiration Date X Telephone 413-203-9088 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 0 No 0 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