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: