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29-587 BP-2023-0784 85 WOODS RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-587-001 CITY OF NORTHA PTON Permit: Solar Build PERSONS CONTRACTING WITH UNREGI TERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARA TY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2023-0784 PERMISSION IS HEREBY GRANTED TO: Project# 2023 SOLAR Contractor: License: Est. Cost: 28576 VALLEY SOLAR LL CSL115680 Const.Class: Exp.Date: 04/09/202 Use Group: Owner: KRIST N JOYCE Lot Size (sq.ft.) Zoning: SR Applicant: VALLE SOLAR LLC Applicant Address Phone: Insurance: 116 PLEASANT ST, SUITE 321 (413)584-8844 EXT 217 376140840101 EASTHAMPTON, MA 01027 ISSUED ON: 06/13/2023 TO PERFORM THE FOLLOWING WORK: INSTALL 19 PANEL 7.6 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 NOR HAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: i I; • lir • )2 . Ti .10 _ ___ . • _ Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax (413)587-1272 Office of the Building Commiss. ner RECEIVED The Commonwealth of Massachu tts JUN 1 3 2 F R Board of Building Regulations and St ndar s M)JNIC PALITY Massachusetts State Building Code, 7 0 C ,�_J E DEPT.OF B1gr G I S EC nogg* d Mar 2011 Building Permit Application To Construct,Repair, ' + otos One- or Two-Family Dwelling This Section For Official Use Only Building Permit Number: /$P 2.3+7 gel Date Applied: WLEV1NJ �l<o>s j/I 6- )3-26Z3 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: - 1.2 Assessors Map 8r Parcel Numbers 85 WOODS RD NORTHAMPTON MA 01062 1.1 a Is this an accepted street?yes x 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: .8 Sewage Disposal System: Zone: Outside Flood Zone? _ Public 0 Private 0 Check if yes❑ Municipal 0 On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Kristen Joyce Northampton,MA 01062 Name(Print) City,State,ZIP 85 Woods Road 978-697-3903 kristenjoycelmhc9@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( ) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:Solar Brief Description of Proposed Work': Installation of 19 panel roof mounted solar array.System size 7.600kW DC. SECTION 4: ESTIMATED CONSTRUCTION COSTS Estimated Costs: Item (Labor and Materials) Official Use Only 1. Building $20003 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $8573 ❑ Standard City/Town A plication Fee ❑Total Project Costa (Ite 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All F s,$� Check No.'6 Check Amount: 4 Cash Amount: 6. Total Project Cost: $28576 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(C ) I CS-115680 04/09/2025 Patrick Rondeau C.A.- License Number Expiration Date Name of CSL Holder List CSL Type(see below) U 53 Fox Farm Rd No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) Florence,MA 01062 City/Town,State,ZIPR 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 lit 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 erty,hereby authorize Valley Solar LLC to act on my beK in matters ative to work authorized by this building permit application. 06/08/2023 . 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. /1)a iLl e‘ /ezPA 6/8/23 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 r.t r , ti r7 -4- Massachusetts �441: . ;' CsJi DEPARTMENT OF BUILDING INSPECTIONS Sk � ,' ° 212 Main Street • Municipal Building J � cai` Northampton, MA 01060 S"j ••,. 1`0 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 P Signature of Applicant: �t2 ��� � Date: 6/8/2023 .... The Commonwealth of Massachusetts ....... .rt L. 4-:1=1 S Department of hum strut!Accidents ..,,,,.. ,.—. I Congress Street,Suite 100 Boston, 31,402114-2017 www.mass.govidia '-- N1 takers'Compensation Insurance Affidavit: Builders/C:ontractorsiEketriciansfPlumbers. III BE FILED Wilt'I IIE PERMITTING AUTHORITY. ..1ppiicant information Please Print Leoildv Name i 13 usineas.Orga IliZaa Hort Individual): Valley Solar LLC — Addres.: 116 Pleasant St Suite 321 - - City,,State Zip: Easthampton, MA 01027 Phone #:413-584-8844 Ara yam an employer?Check the appropriate hot: Type of project(required): 1)11 am a employe:wilt, 30 _timaloyees tfall ardor part-6inch* 7. 0 New construction ....,C31 aril a suit proprietor or pansierstup and have no empkri,ccs working for nie in 8. 0 Remodeling any Lapareiry,[Nu workers'comp.intimance requinad.1 9. 0 Demolition 3E3 1 am a hoineownt doing all work myself. No*satin.'coirp„insurance requircar 10 El Building addition 4.0 I am a larrnizrani.a.and will t hiring contractors to conduct all work im ruy property.. I will muure that all contractors either have workers'eon:wen...swim insurance irr are sole I i fj EleCtrical repairs or additions proprietors with no employeea, I 2.0 Plumbing repairs or additions 5.Elismap.qii2s.1 contractor and 1 lime hired the%Lib-contractor listed on the attached Ate.. 1313 Roof repairs These subiAiiiiiaciors hose iariployem.and has c WUrktrN*COMP.13114UXIIMC:` 6.0 14.0-t4 Other SOiar Vi'e are a oorporatim n and i officers have exixened their right of exemption per MG!.e. . 3..-2...t.liai,and we kave rso einployees.[No winters'comp insurance required.' `Any applicant hair c Inyks boa li 1 most inso fill out the%ection below shi o.in g their la mien.'compensation policy inliwination t Hamra:owners'Aim subina this anicial.g indicating they are doing all work and then hire outside contractors rracit sallarrin a new affidavit mdkaung such :Controckns that cheLk lilt)biA most attached an aldnional%levet%boo•mg the name of die sab-contraetins and tare,a Itobcr tn riot Chum:cniirica ILSW einrio±,. If tlw.sub-...ord!.,i-...4-.l'....,,:,:tti•1,,c,..,,,!11,1 iiiu,1 provide the-ir isorkers"eiimp polic? r,unik:r, I am an etaployer 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-ins.Lic.#. 376140840101 Expiration Date. 09/01/2023 85 WOODS RD NORTHAMPTON MA 01062 Job Site Address: CityiStateiZip:_ Attach a copy of the workers'compensation policy declaration page(showing the policy nuinber and expiration date). Failure to secure coverage as required under NiCiL e. 152, §25A is a criminal vlOiatain punishable by a line up to S1,500.00 aiutror one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to$250.00 a day against the violator_A copy of this statement may be forwarded to the Otli1/4.-c of Invest of the DIA for insurance coverage veritic a:1..'1 I. I do hereby certif.',under the pains and frenalties of perjury'hut the infOrmatlott provided iihove i%true and correct. Signature: PatIv- . -.9)1, /,,ZeZzz Date: 6/8/23 413-584-8844 Official stse only. Do not write in this area,to be completed by city or lawn official City-or Town: PermitfLicense Ai Issuing Authority('(circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 4.Other Contact Person: Phone 4: