43-099 BP-2023-0681
11 WHITTIER ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
43-099-001 CITY OF NORTHA$PTON
Permit: Solar Build
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2023-0681 PERMISSION IS HEREBY GRANTED TO:
Project# 2023 SOLAR Contractor: License:
Est. Cost: 28152 VALLEY SOLAR LL CSL115680
Const.Class: Exp.Date: 04/09/202
Use Group: Owner: MYI SOE
Lot Size (sq.ft.)
Zoning: WSP Applicant: VALLE SOLAR LLC
Applicant Address Phone: Insurance:
116 PLEASANT ST, SUITE 321 (413)584-8844 EXT 217 376140840101
EASTHAMPTON, MA 01027
ISSUED ON: 05/24/2023
TO PERFORM THE FOLLOWING WORK:
INSTALL 18 PANEL 7.2 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: 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:
10 . i . ).2
Ts, .
1 ' I
Fees Paid: $75.00
212 Main Street,Phone(413)587-1240,Fax (413)587-1272
Office of the Building Commiss ner
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EC
The Commonwealth of Massachusetts NAy - 3 M
Board of Building Regulations and Sand? FIR
IALITY
t
Massachusetts State Building Code, 80 C) a°TM� TQG►NSpSer o USE
Building Permit Application To Construct,Repair,Renovate Or) xn i 1 i oso evised Mar 2011
One-or Two-Family Dwelling 1
This St ion For Official Use Only
Buildin Permit Number: gi?'a'.3-� eV Date Applied:
Elm-) Z5 /7/7Z I 5- Zy 2023
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
11 Whittier Street, Northampton, MA 01062
1.1 a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dime,sions:
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:
Soe Myint Northampton, MA 1/1062
Name(Print) City,State,ZIP
11 Whittier Street (201) 914-0077 sloatsburg10974Agmail.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 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other ® Specify: Solar
Brief Description of Proposed Work2: Installation of 18 panel roofing moLnted solar array. System size
7.200kW DC
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ 19,706 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ 8 445 ❑ 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: $
Check No. Check Amount: Cash Amount:
6.Total Project Cost: $ 28,152 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
c, 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
01062 U Unrestricted(Buildings up to 35,000 Cu.ft.)
Florence,MA
City/Town,State,01ZIP 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.§ 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 .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 Valley Solar LLC
to act on my behalf,in all matters relative to work authorized by this building permit application.
S ► 05/15/2023
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.
r()a li /trbw.dzl zs 5/15/2023
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
bMassachusetts ' %' ' t i f
DEPARTMENT OF BUILDING INSPECTIONS � '
212 Main Street • Municipal Building r.r „
Northampton, MA 01060 'P.N, ,,,'
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: �atii Z7 %n Date: 5,`15,'' 02
The Commonwealth of Massachusetts
Department of Industrial Accidents
.....t' ,W
1 Congress Sired,Suite 100
' 4.4);
.w...,i zu Boston, 31A 02114-2017
—' *1
www.mass.govidia
- ' orkers'Compensation Insurance Affidavit:Buiklers/ContractorrifElectricians/Plumbers.
Et)BE 1:11.ED v%11H THE PERAtfil'ING At 111()RITY.
Annlicant information Please Print [Avails'
Name itiusifies..s.,Organization:Individual): Valley Solar LLC
Address: 116 Pleasant St Suite 321
---- -
City/State/Zip: Easthampton, MA 01027 Phone;, 413-584-8844
Ate yam na employer?Cheek the a pproprintv bin:
I ieif project(required
1)4 I am 2 employer with 30 _cintgoyeeh tfikit autoi partgiincL* 7- ij New construction
2/73 I ant a suit proprietor or partnership and have no employees working fur mi:in S. 0 Remodeling
any capacity_[No workers comp.insurance roomed,"
9. D Demolition
31:11 am a lanmeowner truing all wink myself No wnikins-currip„Inurance roquerail
10 0 Building addition
4.:711 ant a hornsowner and will he hiring contractors to conduct all mark on my propmty. I will
innure that all contracturs either luit e workers'compensation insurance or ant sole I i.0 Electrical repairs or additions
flinpneiais Nidt no employees,
12.0 Plumbing repairs or additions
5 I am a genaul euntniettir and I hasc hired the sub-contractioni listed on the mutated sheet
I 31:3Ruofriepairs
These vati-cuntractun hoe employees arid hoc wintiers'comp.ettsmance.:
14.)7.4 Other Solar
61:1 WC are a corporation and us officers have exatised then right of.excnipuon per Wit.e_.
I 52_.;i.!tilt_and we hoe nu employees.[Nu workers'comp.insurance riamireill
*An applicant that chocks boa PI must also fill out the se..etion below show ins.then worker,'Cl,111pcnsut von ptilicy inloarnatton
' tivalwasvarn.who submit this arida%it it:bait:anew they are doing all work and then hire outside euntraetors aunt submit a new affidavit andkstjng such.
Contractor%that thcek this bus muss attached an additional sheet show Inv idle name of the iuh-contractor,and state whether or nut those eiturtimkroe
vitirklyCOL If the 54kb-ea/Knit:fon have i-ogiloy tkes.liv:3- ',au:A Mk,1,1i:i It'I: ,t CAM',zurnr ptetky rsuitik,:r
1 am an employer that is providing workers'compensation insurance,far my employees. Below is the policy and job site
information.
Insurance Company Name: Continental Indemnity/AUW ___
Policy#or self_ois. Lie.#: 376140840101 Expiration al:,... 09/01/2023
Job site AddresN: 11 Whittier Stree.', City Northampton, MA 01062
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL e. 152, §25A is a criminal violation punishable by a tine up to S1.500.00
andior one-year imprisonment,as well as civil penalties in the form 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 Ins estigation,of the DR tbr insurance
coverage verifcatioit.
1 do here!), certify under the pains and penalties at perjury that the information provided above is true and correct.
Signature: ii)atrti P -c9`126/-0--Ca.4 Date: 5/1 5/2023
Phone z: 413-584-8844
i
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):
I. Board of Health 2.Building Department 3.C'ityrfown Clerk 4.Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person:
Phone#: