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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#:....