36-056 (17) BP-2023-0045
41 REDFORD DR COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
36-056-001 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-2023-0045 PERMISSION IS HEREBY GRANTED TO:
Project# SOLAR 2023 Contractor: License:
Est. Cost: 36690 VALLEY SOLAR LLC CSL115680
Const.Class: Exp.Date: 04/09/2025
Use Group: Owner: ALHASSAN SOFIYA
Lot Size (sq.ft.)
Zoning: WSP Applicant: VALLEY SOLAR LLC
Applicant Address Phone: Insurance:
116 PLEASANT ST, SUITE 321 (413)584-8844 EXT 217 376140840101
EASTHAMPTON, MA 01027
ISSUED ON: 01/19/2023
TO PERFORM THE FOLLOWING WORK:
25 PANEL ROOF MOUNT SOLAR ARRAY SYSTEM SIZE 10KW
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: . cs-,
6 '1 •
I ip
Fees Paid: $75.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
The Commonwealth of Massachusetts `44 i / 4,../
r Board of Building Regulations and•Standai /3 •<- FO
t.� Massachusetts State Building Code, 780 CC ,�� �0 MSJ�IICI E ITY
_ ti
Building Permit Application To Construct,Repair,Renovate • h a evis•, Mar 2011
One-or Two-Family Dwelling '' ' ''�goFcr,
This Section For Official Use Only °o 't's
Bui _z_
l •• g Permit Number: 6 P d4 3— y Date Applied:
�„,�&,), Date
l4-ZOZ3
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
41 Redford Drive,Florence,MA 01062
1.la 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:
Sofiya Alhassan Florence,MA 01062
Name(Print) City,State,ZIP
41 Redford Drive 408-781-9449 sa7674(a?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 Additio 1 0
Demolition 0 Accessory Bldg. 0 Number of Units Other ® Specify:solar
Brief Description of Proposed Work2:Installation of 25 panel roof mounted solar array,system size 10kW DC.
I
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $25,683 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $11 007' ❑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 —
Total All Fees: $
Suppression) $ 6'
Check No.111 'Check Amount: i Cash Amount:
6.Total Project Cost: $36,690 0 Paid in Full ❑Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
CS-115680 04/09/2025
Patrick Rondeau License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) U
53 Fox Farm Rd
No.and Street Type Description
Florence, 01062 U Unrestricted(Buildings up to 35,000 Cu.ft.) .
Florence,
City/Town,MAt01 ZIP R Restricted 1&2 Family Dwelling
M Masonry. .
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
413-584-8844 permits@valleysolar.solar I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
186338 10/27/24
Valley Solar LLC
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
116 Pleasant Street,Suite 321 -- permits@valleysolar.solar
No.and Street Email address
Easthampton, MA 01027 413-584-8844
City/Town,State,ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.if 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 ® No .❑
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 Valley Solar LLC
to act on my behalf,in all matters relative to work authorized by this building permit application.
Ao- ta, alia a.acui 01/05/2023
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.
/in a L i e P /`-9/14 1/5/23
Print Owner's or Authorized Agent's Name(Electronic 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"
City of Northampton
?• ' Massachusetts <4, x-- %.
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, MA 01060 ss'Ar Dx�`�
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, S54, a condition of Building Permit
Number is that all debris resulting from this work shall be disposed of in a
properly licensed waste disposal facility, as defined by MGL c 111, S 150A.
The debris will be disposed of in:
Location of Facility: Valley Recycling, 234 Easthampton Rd, Northampton, MA 01060
The debris will be transported by:
Name of Hauler: Valley Solar LLC
��Signature of Applicant: � z'. Date: 1/5/23
. s. The Commonwealth of Massachusetts
Department ofIndustrial Accidents
1 Congress Street,Suite 100
�'‘.,,*
lira Boston, M4 0 2114 201 7
www:mass.gov/dia
J 11 uskers'Compensation Insurance Amdavlt: BuilderssContractors/Eketricians/Plumbers.
TO BE FILED WITH THE PEItSIFfl I NC AUTHORITI'.
Applicant Information Please Print Leeibk
Name 1I3usu►css bhganttuttun Individual). Valley Solar LLC
Address: 116 Pleasant St Suite 321
City/State/Zip: Easthampton, MA 01027 Phone#:413-584-8844
Are yes as employer?Cheep dbe appropriate hen: Type of project(required):
i)S1 1 am a employer with_ 30 employees(full and'or put-time)• 7. D New construction
20 1 am a wit proprietor or prrIrrrhip and have ta,employees working for na in R. Q Remodeling
am,capacity [Nu workers'comp.imumnce regtmnd.l
301 am a homeowner doing an wort myself.(Too workers'comp.insurance reequired_I' 9. ❑ Demolition
4.Q I am rr a lrrnswner and win be luting contractors to conduct all work on my property. 1 will 1 0 Q Building addition
ensure that all contractors either have isorkers'compensation inattuancY or are sole I I a Electrical repairs or additions
proprietors a sth no cmployces_
12.0 Plumbing repairs or additions
S01 ant a general contractor and 1 have heed the sesb.eunnucton listed on the attached sheet
The sub-contractors have employers anti have workers'comp.insurance_ I3�Roof repairs
w
6.0 We are a corporation and its officer.have exercised then tight of exemption per A4GL
14.,",Other Solar
152.(>l44),and we have no employees.ITN workers'comp.insurance required.]
'Any applicant that checks box r 1 mint also fill out the section below sboa trig their workers'compensation puttee ru1'orrration
t Homeowners who submit this affidavit iewinating they art throng all work and then hire outside contractors muff submit a new affably it ttrdicateng such.
:Conlracturs that check this boss muse attached an arddational sheet wham mg the name of the sub.-contractors and state whether or not those entities have
cmployec, If the sssh-contractors.Iii%c cmplo)ecs.the) muss plus idc then '.soy rtt c'oinn Ito ltc) 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: Continental Indemnity/AUW
Policy#or Self-ins.Lie.#: 376140840101 Expiration Date: 09/01/2023
Job Site Address:41 Redford Drive clty'Stale zip: Florence, MA 01062
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date I.
Failure to secure coverage as required under MGL c. 152, t;25A is a criminal violation punishable by a fine up to$1.500.00
and:or one-year imprisonment,as well as civil penalties in the farm of a STOP WORK ORDER and a tine of up to S250.00 a
day against the violator. 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 the pains and penalties of perjury that the information provided above is true and correct
'ibnaturc: ' - <" ' /e..9) Date: 1/5/23
1E:loth: : 413-584-8844
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 S. Plumbing Insprcinr
6.Other
( intact Person: Phone#: