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23D-110
BP-2024-0266 193 FEDERAL ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23D-110-001 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-2024-0266 PERMISSION IS HEREBY GRANTED TO: Project# 2024 SOLAR Contractor: License: Est. Cost: 32218 VALLEY SOLAR LLC CSL115680 Const.Class: Exp.Date: 04/09/2025 Use Group: Owner: JACKENDOFF AMY S&THOMAS H CHANG Lot Size (sq.ft.) Zoning: URB Applicant: VALLEY SOLAR LLC Applicant Address Phone: Insurance: 116 PLEASANT ST, SUITE 321 (413)584-8844 EXT 217 376140840102 EASTHAMPTON, MA 01027 ISSUED ON: 03/12/2024 TO PERFORM THE FOLLOWING WORK: INSTALL 22 PANEL 9.24 KW ROOF MOUNT SOLAR SYSTEM (NO STRUCTURAL OR 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: /7 Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner I �\ The Commonwealth of Massachuse s q� • *4 Board of Building Regulations and S dart*, �0 I IOP ITY Massachusetts State Building Code, 780�Mo a Building Permit Application To Construct,Repair,Renovate Or r R sed�r 2011 One-or Two-Family Dwelling `�"61 o o (NS �{ This Section For Official Use Only �`�.a Building Permit Number: Mist q. aa ' Date Applied: Ix) /% 5 /,? _ 3- /Z-Zany Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 193 Federal Street, Florence, MA 01062 1.1 a Is this an accepted street?yes 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 0 Zone: — Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Tom Chang Northampton,MA 01060 Name(Print) City,State,ZIP 193 Federal Street 413-588-1487 kleechez@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(s) ❑ Alteration(s) ❑ [Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other la Specify: Solar Panels Brief Description of Proposed Work': Installation of 22-panel roof-mounted solar array, system size 9.240 kW DC SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 23,952.6 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee 2.Electrical $ 10,265.4 ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5. Mechanical (Fire Suppression) Total All Fee Check No.i 0 Check Amount: � Cash Amount: 6.Total Project Cost: $ 34,218 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 Florence, MA 01062 U Unrestricted(Buildings up to 35,000 cu.ft.) 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 V a 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. ,7kowtar Cita ig 03/01/2024 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. / 2Z Z7 / 9 it. a 03/01/2024 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 74;tae•" :„�ro� 15�, SI� Massachusetts A. s c`G � DEPARTMENT OF BUILDING INSPECTIONS g, 44,4 212 Main Street • Municipal Building a✓ Northampton, MA 01060 .4 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 7� Signature of Applicant: �encv�u� Date: 3/5/24 .......... The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 t. --T.« .. ,4 ............„. Boston, MA 02114-2017 wwvamass.gor/dia Iluikers'Compensation Insurance Aflidas it:BuildersiContractorstElectriciansfPlumbers. II)HE 111_EH IN I tH I HE PERMI It INC At FI )RI II. .‘nrilicant lororma lion Please Print Legiblv Nanic.413ustrics's-Organization Individual 0: Valley Solar LLC Add:es,: 116 Pleasant St Suite 321 City/State:21p: Easthampton, MA 01027 Phone#: 413-584-8844 , .. .... Are you an crank},c r?t'hick the appropriate Nit; Type of project(required): 1..DK JITI a employer with 30 comay (fall miler part-tirne),* 7. C]New construction ..-...0 I am a auk propnctor or paincrthip and have no employees winking for mtc to 8. 0 Remodeling any capacity[No workers'comp.itnainutre miplin:d1 9. a Demolition /am a homeowner doing all work iriyielf.[No workin, comp..imiturance required.] l 0 EI Building additiori 4.0 I am A horricowno•and will bie hotn contractors to conduct all work on my property. I will muter that all tontraetors either have workenr compensation intairance us are sole l I a Electrical repairs or additions proprietors with no employees. i 2.E.1 Plumbing repairs or additions 50 I ant a gemial contractor and I Inn.4.:hued the sub-euntractuni listed on the anuithcil sheet th 30 rese sub-contractors hoe employees and hitiiie workers'com l Roof epairsp.trisurance..; I 4.Ciethes Solar 6.0 we toe a corporation and its idIVNTA Ian c cacti:oeil their right of exemption per Mist.c. 152.l,I4 4).and we have nu ertmloyecs.[No V.urkess'immp.insurance regained.I 'Am applicant that irltivis tua.1 luau a6o till out the section below shown:is Ilion,.at t.ei.-,',...iiiiiricrisation poi ii.::, infonriation. +liti-moiwiters 0.kw sulamo this attlilas it'indicating they are doing all work and then lure outride cormaetors mint.utninit a new affulat it initiotting suck ntrachars that check this bat must at Liebed an additional sheet showing the noun,of the sub-cian4rii.liir,and..late.1,hotter or nut those cantle,have employees, If the his,/' ntr-ict ort.Itaii,c otirlu:,act,thcli nit-1phVida their ..1,4l.tkette Lusty poise:. ii.iiik..1 I urn on employer that is proridinv workers'compensation insurance,for or r employees. Below is the policy and job site information. Lnsurance Company Name: Continental Indemnity/AUW ____ Policy#or Self-ins.Lie. ....., 376140840101 Expiration Date. 09/01/2025 Job Site-Address: City'SuitelZip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MCA_c. 152. §25A is a criminal violation punishable by a fine up to SI,500.00 atuflor one-year imprisonment,as well as civil penalties sn 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 tOrwarded to the Office of Investp,,ations of the DR for insurance coverage 4 erefiction. I 4 hereby ---:AI , , 7 uo r certw.unoer the imms urni pentlkii of perjury that the information provided above is tare and COrrect SitZ7 -evi. ea..64 Date: pi : . 413-584-8844 Official use only. Do not write in this area,to be completed by city or town official Cit, or Town: Permit/license Issuing Authority (circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: ...._