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43-156 BP-2023-0061 30 HAWTHORNE TERR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 43-156-001 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-2023-0061 PERMISSION IS HEREBY GRANTED TO: Project# 2023 SOLAR Contractor: License: PIONEER VALLEY Est. Cost: 39798 PHOTOVOLTAICS CS106329 Const.Class: Exp.Date: 03/14/2024 Use Group: Owner: CLAY FIERST, DANIEL L. &NAOMI G. Lot Size (sq.ft.) Zoning: WSP Applicant: PIONEER VALLEY PHOTOVOLTAICS Applicant Address Phone: Insurance: 311 WELLS ST - SUITE B (413)772-8788 375928710105 GREENFIELD, MA 01301 ISSUED ON: 01/19/2023 TO PERFORM THE FOLLOWING WORK: INSTALL 27 PANEL 10.8 KW ROOF MOUNT SOLAR SYSTEM ON NEW SHED 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 VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: I17. • IV • .52 16 ryy Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner 1---R Fb..�_ _ ._r_._._..,_ -._ ... The Commonwealth of Massacl usett ----- -1 1 _ rr Board of Building Regulations and tan rds F R r:. Massachusetts State BuildingCode I780 MAN 1 8 2023 'MU1�iI IPALITY ,�' i i SE Building Permit Application To Construct,Repair Ren vate Or Demolish a 'RevisrdAMar 2011 One-or Two-Family Dwell ng DP°T.OF BUILDING INSPECTIOf')S I NO9THAnm,CIN MA01060 This Section For Official Use only-- ------ ------—_—_._.__1 Buildi g Permit Number: ►SP'.1 3- C)/ Date Applied: an I-) 4.,_) jl2 t= iq zoz3 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 30 Hawthorne Terrace,Northampton,MA 01062 1.1a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Daniel Fierst Northampton,MA 01062 Name(Print) City,State,ZIP 30 Hawthorne Terrace (303)915-2791 danfierst@gmail.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 A.dition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:solar PV Brief Description of Proposed Work2:Installation of a 27 panel roof mounted PV array System size 10.8kw DC,10kw AC. SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $13,929.30 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $25,868.70 ❑ Standard City/Town Application Fee ❑Total Project Cost (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: $ f� Check No.13y9 O Check Amount: 7) /n✓ Cash Amount: 6.Total Project Cost: $39�798 ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-106329 03/14/2024 MAYA FULFORD License Number Expiration Date Name of CSL Holder List CSL Type(see below) U 159 CLARK DRIVE No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) GUILFORD VT 05301 R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-772-8788 BUILDINGPERMITS©PVSQUARED.COOP I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 140077 9/15/2023 PIONEER VALLEY PHOTOVOLTAICS COOP HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 311 WELLS STREET,SUITE B BUILDINGPERMITS@PVSQUARED.COOP No.and Street Email address GREENFIELD MA 01301 413-772-8788 City/Town,State,ZIP Telephone SECTION 6: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 p No 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize Pioneer Valley Photovoltaics Coopertive to act on my behalf,in all matters relative to work authorized by this building permit application. SEE ATTACHMENT (A) SEE ATTACHMENT(A) Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION 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. f L (�� 1/13/2023 Print Owner's or Authorized Agent's Name(Electronic!ll Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost"