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10B-072
BP-2023-1055 30 WATER ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 10B-072-001 CITY OF NORTHAMPTON Permit: Solar Build PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2023-1055 PERMISSIONiIS HEREBY GRANTED TO: Project# 2023 SOLAR Contractor: License: Est. Cost: 20420 VALLEY SOLAR L CSL115680 Const.Class: Exp.Date: 04/09/202. Use Group: Owner: LE GREENE JASON & Lot Size (sq.ft.) Zoning: URB Applicant: VALLE SOLAR LLC Applicant Address Phone: Insurance: 116 PLEASANT ST, SUITE 321 (413)584-8844 EXT 217 376140840101 EASTHAMPTON, MA 01027 ISSUED ON: 08/07/2023 TO PERFORM THE FOLLOWING WORK: INSTALL 13 PANEL 5.46 KW ROOF MOUNT SOLAR SYSTEM (NO STRU6'URAL, NO BATTERY) 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: I I e, • V • .5,2 . T35.11T Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fa : (413)587-1272 Office of the Building Commis.ioner / tib �C The Commonwealth of Massachu -tts 4(0 r Board of Building Regulations and an �O Ij_ Massachusetts State Building Code, 7:i II ,� 0 ICIP• ITY q T oZ,/ �� US' Building Permit Application To Construct,Repair, Renovat: 61. , • h a vised ar 2011 One-or Two-Family Dwelling °ti,.so, This Section For Official Use Only °so"Ns Building Permit Number: 60 ')- 3.3-" lO 6'5 ' Date Applied: i(euil+.-)12s, /h 8 7-76Z3 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map i&Parcel Numbers 30 Water Street,Northampton,MA 01053 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: 1.8 Sewage Disposal System: Public 0 Private Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP1 2.1 Owner'of Record: Leanne Greene Northampton,MA 01053 Name(Print) City,State,ZIP 30 Water Street (413)588-1944 jlgreene5@gmail.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2 (check all that apply) New Construction 0 Existing Building❑ Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other la Specify:Solar Brief Description of Proposed Work': Installation of a 13-panel roof-mounted solar array.System size 5.460kW DC. SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $14,294 1. Building Permit Fee: S Indicate how fee is determined: ❑ Standard City/Town Application Fee 2.Electrical $6,126 ❑Total Project Cost3(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees: $ Check No C'�heck Amount: '7 5 Cash Amount: 6. Total Project Cost: $20,420 0 Paid in Full 0 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 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,ZIP 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. /Iffa‘ 07/25/2023 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. J /e.& a 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 `�' " ,c. =�,�.X� M� er�44n DEPARTMENT OF BUILDING INSPECTIONS . 4 212 Main Street • Municipal Building vx. c Northampton, MA 01060 �3fy -fit 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: � � 7� n�� Date: 7/25/23 The Commonwealth of Afassoehusetis surry Department of industrial Accidents Aft Congress Street,Suite 100 Boston,MA 02114-2017 725 Istwittiltass.garidia Workers"Compensation Insurance Affidavit:Hu iklers./ContractorstElectriehans:Plumbers. 10 HE FILED W1111 1HE PEIt7ktIETING Atrl'1101tIri', rdica tit I info rata Min Please Print 1,eeiblk Name t 13 ostaess.Orgallizahort itnintditall: Valley Solar LLC Address.: 116 Pleasant St Suite 321 City State,Zip: Easthampton, MA 01027 Phone#:413-584-8844 Are you sta entptayttl Chidk the appropriate IN'tt 11,t!pe of project(required). ix 1 arum corpinyer with ,ettqtdoyees that arniest part-tinat)... 7. El New eortstruction I am a sole proprietor or parmership and have nu spriphsyma working for atc 112 8.,C:1 Remodeling any capaelty„ No workers,'enhap.insurance. required" 9. Li Demolition 313 1 trea 11MIXVIVIILT doing all wink ingsvlf. workas,"way..nourater requitred" i ID Building addition 4.C3 AM 3 harricowner and anti be hires coanramors tjemiduct all work 4,11 it pItTerty., I Win CANtitts that all esnaramurs either lasso%sullen'conspensatian instaitime ot a sole 10 Electrical repairs or additions. proprietors with no employces„ I 2„D Pluiribing repairs or additions 'SO am a general tuntramor and I ka%v hired Ilk sub-cuotiactors listed on the attached ahem, 3.1:1Roof repairs This sub-ventiactots Moe employees and Mot workera,"contr.nontancej, 14.St Other Solar EJWe ate ri corporahon arid na officers have essarised their riglu ot exemption pot&VA c. 151 111(40,,and we Moe 130 employees.[No worm'comp.insurance naptived.1 An upra iiiat duals bolt PI MUM also fill out die N)t-ctuat Mlow shoo ini thee itLcoons:row UM Franey inforeetation ii&f4netettlUZS %Lama this fdaàindienting they am(hong ail work and then bin outside colitramoirs mind submit a be liTtdaviirogicating siseh. '4„.'oritraetors that cheek this 6.M 31111NT attached an addanorial sheet showing dal name fth1sub-coutractors and34.3fx &ober in ntSit rhuaeentities baso employee% If the sun,cortirsetor%Isa%c they most pm ide then orkers"comp policy.number if am din employer that is providing workers compensation insurance...Mr my emplosves. Below iv the polio.find job site information. insuratite cattipany Num, Continental Indemnity/AUW Pohey or setr_ins.Lic. 376140840101 Expiration Date. 09/01/2023 Job Site Address.: 30 Water Street CityStateilip: Northampton, MA 01053 Attach a'copy of the workers'ciiinpensathin policy declaration page(showing the pair) number and expiration date). Failure to secure coverage as required under MGL L. 152, §25A is a Lriminal violation punishable by a fine up to S1,5()0.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine 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 VIA for insurance cos erage verification. I do hereby certify under the pains and penalties of"Tinley that the information provided abatv is true and torn't.r. Signature: Date: 7/25/23 .. 413-584-8844 Official use only. Do rant serire in this area,to be completed by city or town official City or Town: Perntlifticense Issuing Authority(circle one): I.Board of health 2.Building Department 3,City Town Clerk 4.Electrical Inspector 5. MU tubing Inspector 4.Other Contact Person: Phone