24D-026 (3) BP-2022-0609
IONMEM
Map:Block:Lot:
COMMONWEALTH OF MASSACHUSETTS
24D-026-0O1 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-2022-0609 PERMISSIONISHEREBYGRANTED TO:
Project# 2022 SOLAR Contractor: License:
Est. Cost: 11768 SUNRUN INC CS-116361
Const.Class: Exp.Date:04/14/2025
STEPHENSON-MURPHY SANDRA & ROBERT E
Use Group: Owner: MURPHY
Lot Size (sq.ft.)
Zoning: URB Applicant: SUNRUN INC
Applicant Address Phone: Insurance:
150 PADGETTE ST UNIT A (978)793-8584 WC614287600
CHICOPEE,MA 01022
ISSUED ON:06/01/2022
TO PERFORM THE FOLLOWING WORK:
INSTALL 17 PANEL 6.035 KW ROOF MOUNT 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:
Final: Final: C_'c-2' Final: Rough Frame:
ram,.
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:QK (� ZZ-22. V i2
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: $ , O f
I
Fees Paid: $75.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
/Ctt I') i ArTrle. 67
4 \ Commonweal o/rilamaducutb Official Use Only
a r� ± cc�� c7 Permit No.
2":-„li1= - 1 ptament o`._tire Service!
=f Occupancy and Fee Checked 22 a D Uo
--, ` BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code( :C),5 7 CMR 12.00
(PLEASE PRINT IN INK ORrrE ALL NFORMATI N) Date: �5 ay a
City or Town of: Q(-- i'yi�ml ) To the Insp ctor f Wires:
By this application the undersigned give otice his'or h i ention to perform the electrical work described below.
Location(Street& ber `
Owner or Tenant Telephone No. '�<r
Owner's Address Same As Above
Is this permit in conjunction with a building permit? Yes VI No n (Check Appropriate Box)
Purpose of Building Single Family/ Residential Utility Authorization No.
Existing Service Amps / Volts Overhead P1 Undgrd n No.of Meters
New Service Amps / Volts Overhead n Undgrd n No.of Meters
Number of Feeders and Ampacity
Location and Nature of Pro osed Electrical Work: Installation of roof top photovoltaic solar systems
panels C.(1 ' kW
tis
Completion of the following table may be waived by the Inspector of Wires.
oTotal
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lightinggrnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No. n Deten and
I nitiatinggon Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water KWNo.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: Inspe tions to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE [v BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Sunrun Installation Services Inc �// � LIC.NO.:4316A1
Licensee: Nathan Ashe Signature// j adt, / 4j0_ LIC.NO.: 21136 A
(If applicable, enter "exempt"in the license number line.) Bus.Tel.No.:978-594-3519
Address: 150 Padgette St Unit A. Chicopee. MA 01022 Alt.Tel.No.: 413-259-8044
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S" License: Lic.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $
, \ The Commonwealth of Massachusetts
_Lai: Department of Industrial Accidents
k .„.,. Office of Investigations
°e=
='t� 1 Congress Street, Suite 100
= Boston, MA 02114-2017
T" >'' www mass.gov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual):Sunrun Installation Services Inc
Address: 225 Bush St, Suite 1400
City/State/Zip: San Francisco, CA 94104 Phone#: 415-946-7500
Are you an employer?Check the appropriate box: Type of project(required):
1.2 I am a employer with 253 4. ❑ I am a general contractor and I
employees (full and/or part-time).* have hired the sub contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub contractors have B. ❑ Demolition
working for me in any capacity. employees and have workers'
[No workers' comp. insurance comp. insurance.t 9. ❑ Building addition
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12,0 Roof repairs
insurance required.] t c. 152,§1(4),and we have no
employees. [No workers' 13.2 Other Solar Installation
comp. insurance required.]
'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t I lomrnwncts who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
:Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: American Zurich Insurance Company
Policy#or Self-ins. Lic. #:_ WC614287600 Expiration Date: 10/1/2022
Job Site Address:/6 1 il Lam_ af City/State/Zip: -QII I O O 4 /vil
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under h.c pains and penalties of perjury that the information provided above is true and correct.
Signature: . ) - —L—J Date: 9/16/2021
Phone#: 415-946-7500
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
Q J 1 2 0 9 9 1 3 9 CONTROL #
IMPORTANT
your Wens*a lost teturoyed.•Inaccurate.of
If your license lost,damaged or destroyed;is inaccurate;ormedal°be corroctoO owl our web vas et moss.powfdpl For
needs to be corrected, instruosons to amigo the tr-q-i. ,ailkng of your Renewat
instructions to ensure the proper mailing ob your Renewal APCacation and arty()thy,cu,c-sponclance
Application arid any other correspondence.
That Immo oubpoot to Moosactstootts Genera Laws dnd
This license is subject io Massachusetts General Laws and regulations.Ytur Mose IS a Ogrolo0o.and cannOt 'or"n'
aolognscl to Or der of hlw Keep Ihrn
regulations.Your lictris.e is a privilege,and cannot DO lent or any parson entity un pwolyWIMP On yOur person oosted as moulted by law snaky
assigned to any person or entity under penalty of lam Keep this reguiabone
license on your person or posted as required by law and/or
to, EALTH OF MA_. LS$Aci-f(J,54.TT
regulations
CIOTNRICSEIARNviSces INC
COMMONWEALTH OF MASSACHUSETTS
ellitiSs:NE:THE FOLLOWING LICENSE
REGISTERED ELECTRICALBOARI °F BUSINESS
4"71
BOARD OF
SUNRUNINSELET
ELECTRICIANS
ISSUES THE FOLLOWING LICENSE
REGISTERED MASTER ELECTRICIAN
NATHAN A ASHE 241 RIVER STREET EXT
SUNRUN INSTALLATION SERVICES INC It! BILLERICA.MA 01821-2344
166 HUNT RD
CHELMSFORD,MA 01824-3747 4316At
02/31i2022
KAK* 940003
21136 A 071312022 692593 miaow
' -
9 COMMONWEALTH OF MASSACHUSETTS
DIVISION OF PROFESSIONAL LICENSURE
BOARD OF
ELECTRICIANS
ISSUES THE FOLLOWING LICENSE
REG JOURNEYMAN ELECTRICIAN ct
z
NATHAN A ASHE
F.7)
166 HUNT RD Lu
CHELMSFORD, MA 01824-3747
w
11361 B 07/31/2022 693264
i-T—Tr • '
Nathan Ashe
Master Electrician
978-594-3519
mapermits@sunrun.com