36-389 BP-► 022-0848
168 EMERSON WAY COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
36-389-001 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-2022-0848 PERMISSIONIS HEREBY GRANTE I TO:
Project# 2022 SOLAR Contractor: License:
PIONEER VALLEY
Est. Cost: 42885 PHOTOVOLTAICS 111266
Const.Class: Exp.Date:03/14/2023
HEWITT ROBERT &CAROL JEAN S RIVER
Use Group: Owner: HEWITT
Lot Size (sq.ft.)
Zoning: SR Applicant: PIONEER VALLEY PHOTOVOLTAICS
Applicant Address Phone: Insurance:
311 WELLS ST - SUITE B (413)772-8788 375928710105
GREENFIELD, MA 01301
ISSUED ON:07/20/2022
TO PERFORM THE FOLLO WING WORK:
INSTALL 33 PANEL 13.2 KW ROOF MOUNT SOLAR SYSTEM WITH STRUCTURAL MODIFICATIONS
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: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOL• TION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
I 0 I TO
- qi►
I ,
Fees Paid: $75.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
sk-`1`rit=7/7/ff='—' fej.> (...) y •rs
Department use only
City of Northam CE'! tus of Permit:
r Building D:part ent � rb C t/Driveway Permit
212 Mai Str et J ewer/ eptic Availability
Roo 10 �� 8 2022 ater Well Availability
Northampton, 1060 Two ets of Structural Plans
phone 413-587-12, ! Fax, Plot/ ite Plans
HAMnT°N'�q p-1. CTloNs Oth r Specify
APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE O- D OLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: This section to be completed by office
Map 30 Lot 3 g g Unit
168 Emerson Way, Northampton MA 01062 Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Carol Shriver-Hewitt and Robert Hewitt 34 Warburton Way Northampton MA, 01060.
Name(Print) Current Mailing Address:
(518) 506-4456
See Attachment A Telephone
Signature
2.2 Authorized Agent:
Pioneer Valley Photovoltaics 311 Wells St. Greenfield, MA 01301
Name(Print) ti Current Mailing Address:
413-772-8788
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building 15012.50 (a)Building Permit Fee
2. Electrical (b) Estimated Total Cost of
27872.5 Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection /�
6. Total= (1 +2+3 +4 +5) 42885 Check Number 1300
This Section For Official Use Only
Date
Building Permit Number: &r,/�.- Ad- 541 Issued:
Signature: IWJI 6a1V�., IO't 7/9 0 p ON
Building Commissioner/Inspector of Buildings Date
buildingpermits @ pvsquared.coop
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House n Addition n Replacement Windows Alteration(s) n Roofing n
Or Doors D
Accessory Bldg. ❑ Demolition ❑ New Signs [l]] Decks [Q Siding [O] Other[O]
Brief Description of Proposed Installation or(33)panel PV array on roof.
Work:
Alteration of existing bedroom Yes XX No Adding new bedroom Yes XX 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
Carol Shriver-Hewitt and Robert Hewitt as Owner of the subject
property
PV Squared (Pioneer Valley Photovoltaics)
hereby authorize
to act on my behalf, in all matters relative to work authorized by this building permit application.
See Attachment A See Attachment A
Signature of Owner Date
PV Squared , as O ner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the be t of my knowledge
and belief.
Signed under the pains and penalties of perjury.
Daniel Gomez
Print Name
/:V .i
7/12/2022
Signature of Owner/Agent Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable 0
Name of License Holder: Daniel Gomez Gonzalez
License Number
43 Hatfield St. Northampton, MA 01060 CS-111266
Address Expiration Date
03/14/2023
Signature Telephone
• / nl APA 413-772-8788
9. Registered Home Improvement Contractor: Not Applicable 0
Pioneer Valley Photovoltaics Cooperative
Company Name Registration Number
311 Wells Street, Suite B, Greenfield, MA, 01301 140077
Address Expiration Date
413-772-8788 Telephone 09/15/2023
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 th s affidavit will result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes ✓ No 0