23D-198 BP-2022-0055
53 HINCKLEY ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
23D-198-001 CITY OF NORTHAMPTON
Permit: Solar Build
PERSONS.CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2022-0055 PERMISSION IS HEREBY GRANTED TO:
Project# 2022 SOLAR Contractor: License:
Est. Cost: 48000 SEAN JEFFORDS 074539
Const.Class: Exp.Date: 11/28/2022
DUCLOS JOSEPH A &JOSHUA R DEANNE E
Use Group: Owner: DELISLE-DUCLOS
Lot Size (sq.ft.)
Zoning: URB Applicant: BEYOND GREEN CONSTRUCTION INC
Applicant Address Phone: Insurance:
13 TERRACE VIEW 4132039088 BEWC223285
EASTHAMPTON, MA 01027.
ISSUED ON:01/20/2022
TO PERFORM THE FOLLOWING WORK:
INSTALL 13.2 KW 33 PANEL SOLAR SYSTEM ON ROOF WITH STRUCTURAL WORK
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:
Gas: Final: Final: Rough Frame:
' Rough: Fire Department Driveway Final: Fireplace/Chimney:
Final: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: ' y9-1'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 Northampton Status of Permit:
ri -. .4I t_-_'Nit U Quilding Department Curb Cut/Driveway Permit
7 ' 212 Main Street Sewer/Septic Availability
JAN 1 8 Room 100 Water/Well Availability
2022 Northampton, MA 01060 Two Sets of Structural Plans
phonj 413-587-1240 Fax 413-587-1272 PiotSite Plans
OF rail.DING INSPECTIONS Other Specify
,rri_ic, r,„�,,,r,a;,,NO
APillmiCAtioii 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
Map Lot Unit
S3 1-1 I /Z)41-FL, ST .
Zone Overlay District
Elm St. District CB District
SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Joseph Duclos 53 Hinckley St,Northampton, MA 01062
Name(Print) Current Mailing Address:
413-387-5215
_ Please see attached Telephone
Signature
2.2 Authorized Agent:
Sean R Jeffords 13 Terrace View, Easthampton, MA 01027
Name(Print) Current Mailing Address:
X. ,, 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 14,000 (a)Building Permit Fee
2. Electrical 34,000 (b)Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical(HVAC) —7(
5. Fire Protection
6. Total= (1 +2+3+4+5) 48,000 Check Number / '/c-41
This Section For Official Use Only
7('-12- 5'; Date
Building Permit Number: Issued:
Signature: is) i , 9 o ,9a
Building Commissioner/Inspector of Buildings Date
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition Replacement Windows Alteration(s) Roofing
Or Doors 0
Accessory Bldg. ❑ Demolition ❑ New Signs [D] Decks [Q Siding [p] Other[17]
Brief Description of Proposed
Work: Install 13.2kW DC solar on roof(33 panels).Will not exceed building footprint,but will add 6"to roof height.
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
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
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
Beyond Green Construction Inc
I, , 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.
Print Name
X
Signature of Owner/Agent Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable 0
Name of License Holder: Sean R Jeffords CS-074539
License Number
13 Terrace View, Easthampton, MA 01027 11/28/2022
Address Expiration Date
Now
"Nl
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 05/29/2022
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