42-066 •
File #BP-2023-1029
APPLICANT/CONTACT PERSON:VALLEY SOLAR LLC
116 PLEASANT ST, SUITE 321 EASTHAMPTON, MA 01027(413)584-:844 EXT 217
PROPERTY LOCATION 1036 WESTHAMPTON RD
MAP:LOT 42-066-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST •
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $75.00
Type of Construction: INSTALL 30 PANEL 14.40 KW GROUND MOUNT SOLAR SYSTEM WITH
TRENCH TO HOUSE, TESLA BATTERY 27 KWH. SERVICE UPGRADE FROM
100 TO 200 AMP.
New Construction
Non Structural Renovations,
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans/Plot Plan
Driveway Grade%
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLIC, TION BASED ON
INFORMATION PRESENTED:
Approved x Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§ S T li C LE O` _ F (ov . (a,1<UJ
Intermediate Project: • Site Plan AND/OR Spec'.1Permit With Site Plan
Major Project: Site Plan AND/OR Spec%1 Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Va •.nce*
. Received&Recorded at Registry of Deeds Proof Enclose
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water P tability Board of Health
Permit from Conservation Commission Permit fro CB Architecture Committee
Permit from Elm Street Commission Permit DP Storm Water Management
Demolition Delay
ti
wf9A1V9i10\N— ) 1 ' -
/173/9-3
Signat ire of Building Official � ate
Note:Issuance of a Zoning permit does not relieve a applicant's burden comply with all zoning
requirements and obtain all required permits from Board of Health,Co servation Commission,Department
of public works and other applicable permit granting authorities.
* Variances are granted only to those applicants who meet the strict standar s of MGL 40A.Contact Office of
Planning&Development for more information.
'94 .c
��i�jQ
The Commonwealth of Massac sett , F R
's c, Board of Building Regulations an Stan rdsi(/G+
IIIU Massachusetts State Building Co 78 CMR .. / IPALITY
• �_" o USE
7.
Building Permit Application To Construct,Repair, nfaa molish a Revi ed Mar 2011
One- or Two-Family Dwelling Nq iON.,o'0 7��NS
This Section For Official Use Only so
Building Permit Number: rap, 4 3- is 2G Date Applied:
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map do Parcel Numbers
1036 Westhampton Road,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
20 24 4 115 4 368
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 1 Private 0 Zone: _ Outside Flood Zone? Municipal 1 On site disposal system 0
Check if yes0
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Matthew DeSouza Northampton,MA 01062
Name(Print) City,State,ZIP
1036 Westhampton Road (413)847-1280 myjeep2001@gmail.com
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK' (check all that apply)
New Construction 0 Existing Building❑ Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0
i
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:Solar
Brief Description of Proposed Work2:
Installation of 30 panel ground mounted solar array.System size 14.400kW DC.Includes installation of Tesla Powerwall+27kWh ESS.
Trenching 101ft from array to house to lay conduit.Main service panel upgrade 100A to 200A
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $84,576 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $37 900 ❑ 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 Fee $ n�/
Check No. feck Amours :, / Cash Amount:
6. Total Project Cost: $ 122,476 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 �,P!
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 R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
413-584-8844 permits@valleysolar.solar I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
Solar LLC 186338 10/27/24
Valley 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.
ff
07/25/2023
Print Owner's Name(Electronic Signature) Date
SECTION 7b: OWNER1 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
_�istrue and accurate to the best of my knowledge and understanding.
iDa L Z7 /wfrtd0-l-LG 7/25/23
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 '
ip i
DEPARTMENT OF BUILDING INSPECTIONS 4
212 Main Street • Municipal Building �,� n
��� Northampton, MA 01060 Ss p �i'ti'
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�t2
Signature of Applicant: �� Date: 7/25/23
The Commonwealth of Massachusetts
Department of Industrial Accidents
=„,...,..
=ley'1a , 1 Congress Street,Salle 100
SE
Boston, MA 02114-201 7
www.ntass.govitila
Workers'Compensation Insurance Affidavit:Builders/Contractors,Electricians/Plumbers.
TO BE FILED SS II H l'UL PERMITTING AUTHORITY,
Applicant Information Please Print Legibly
Name I Bus inesa:Organiza non'ItVldiral}: Valley Solar LLC . ...,...„
- --
Address: 116 Pleasant St Suite 321
citvistat, tip, Easthampton, MA 01027 Phone 4;413-584-8844
....
Are y OW aft tallpiaC C rk!t hock the appropriate holt Type of project trequire4
1,t14 I mull cruploy„cr. Wilt' 30 ,,mappliayma. lialt mama partAinset.. 7 0 New construction
z.171 1 am a amle imaprietot Or pattaimAap and have am aaraipkay working for me m g. 0 Remodeling
arty capamty.(No wenters.`eaamp.lammmatma ramilmdl
. 1 Demolition
30 I aro a lionsitowne doing all work myself.fNo workers'coop_artioninee reinareal'
100 13u i[ding addition
4.0 I atat a Imarammumx and will he hump oontrailors to conduct all work ori tray property_ 1 will
ensure that all contracted either hue%Vaal'Ctittgktmiliati iltbill2nt.•*or arc Wit 1 1.L71 Elmtrical repairs or additions
proprithisra with no einployetta,
12.0 Plumbing mulls or additions
5 I ran a anal t antructor and I have hired the suh.contiactors hated on the attached sheet
I 31-1Roof repairs
These soh-contriartner have employees and hoe work:era.'ampap,analaderj "*'...
14.s• Other Solar
6.0 wc a COTOrdinia WWI at,taieVr.itiVV elainsed then right of exemption per&MI c. ••••
151§Iikst.mai we hake no ensployeets.[No waniaam'oomp.announce imaptilamil
*Airy appindirt do i Llyacks Exak III mum/askaar fill eat alte,pa:alma ImItmaa sima.ing:twit 4ailatkaaM'atoniperwatrun whey information
+Ilinneowners who submit this affidavit indicating they ate doing all work and then hire outside entrains eivist mdatatit a new affrilas it indicating stet
Contractors that cheek this box artmat attached lib mfaliliamal hirrid hiltaattig the now of Ott'mibmantramora aid state whether or riot dame-orlarka.lama:
employeca If th,-sufa-commatars!save employees,they rBUO ftrin Lie their norkera'eornri puha:),immlam
. ,.....___„., „ —
I om air employer that is providing workers compensation insurance for any empkwees. Below is the policy and fob she
information.
bisurarice company Nante: Continental Indemnity/AUW
Policy#Lir seltin . Lie. 376140840101 Exprratior, ibte: 09/01/2023
Job site Addres,, 1036 Westhampton Road cayisLi, Northampton, MA 01062
Attach a copy of the workers'compensation policy declaration page(showing the pulley number and expiration date).
Failure to secure coverage as required under MGL c. 151 §25A is a minimal violation punishable by a fine up to Si,500.00
andlor 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 Investigations of the DIA for insurance
coverage verification.
„
I do hereby certify under the mins and penalties of perjury that the informiniim parided above is true and awed,
Signature: /672-/--. Z--) 41i-Z2a-a- Date: 7/25/23
Phone 0; 413-584-8844
,
r ,
Official use on tl% Do not write in this area,to Inc completed by city or town official
,
City or Town: Pernotticerise# ,
Issuing Authority(circle one):
I.Board of Health 2.Building Department 3.Cityrfown Clerk 4.Electrical Inspector 5. Plumbing Inspector i
4.Other
I
Contact Perwin: Phone#:....