10D-040 BP-2024-0265
99 WATER ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
10D-040-001 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-2024-0265 PERMISSION IS HEREBY GRANTED TO:
Project# 2024 SOLAR Contractor: License:
Est. Cost: 74166 VALLEY SOLAR LLC CSL115680
Const.Class: Exp.Date: 04/09/2025
Use Group: Owner: J. ERICKSON, SARAH
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 34 PANEL 14.28 KW ROOF MOUNT SOLAR SYSTEM WITH A 13.5 KW BATTERY (NO STRUCTURAL)
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:
Fees Paid: $75.00
212 Main Street,Phon (413)587-1240,Fax: (413)587-1272
Office of' e Building Commissioner
The Commonwealth of Massachusetts FOR
} ___$ t i'g Board Of Building Regulations and Standards MUNICIPALITY
�` - Massachusetts State Building Code,780 CMR
At--
)
�q� USE
a 1 /cuilding PermiVApplication To Construct,Repair,Renovate Or Demolish a Revised Mar
^ One-or Two-Family Dwelling 2011
pFvT. -0(9�
\�yI��U!1p�n�\ This Section For Official Use Only
n, GIN
Building Permit Number:g ° 7�I /,r 5j' Date Applied:
1 Etm /(gyp 1,S IL, Z 3-12-26 Z-7
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map and Parcel Numbers
99 WATER ST TEMP LEEDS MA 01053
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 Private Zone:_ Outside Flood Zone? Municipal ..' On site disposal system
Check if yes
SECTION 2:PROPERTY OWNERSHIP
2.1 Ownerl of Record:
Sarah Erickson Northampton MA 01053
Name(Print) City,State,ZIP
99 Water Street (612)432-3526 sarahjericksonCgmail.com
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction Existing Building Owner-Occupied Repairs(s) Alteration(s) Addition
Demolition Accessory Bldg. Number of Units 34 Other;I Specify:Solar
Brief Description of Proposed Work2: Installation of a 34-panel roof-mounted solar array.System size 14.280 kW DC.
Includes installation of Testa Powerwall 3.0 13.5kWh ESS.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building S 51916 1.Building Permit Fee:$ Indicate how fee is determined:
2.Electrical $22249 Standard City/Town Application Fee
Total Project Cost3(Item 6)x multiplier x
3.Plumbing $ 2.Other Fees:$
List:
4.Mechanical(HVAC) $
5.Mechanical(Fire Suppression) $ Total All F Q
4
Check No.y Check Amount: Cash Amount:
6.Total Project Cost $74166 Paid in Full Outstanding Balance Due:
SECTION 5:CONSTRUCTION SERVICES
CS-115680 4/9/2025
License Number Expiration Date
5.1 Construction Supervisor License(CSL) List CSL Type(see bellow) U
Patrick Rondeau �_ ............_...._
Name of CSL Holder Type Description
53 Fox Farms Rd.,Florence,MA 01062 Q Unrestricted(Buildings up to 35,000 cu.ft.)
No.and Street
R Restricted 1 AND 2 Family Dwelling
Florence,MA 01062
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
413-584-8844 Info@valleysolar.solar SF Solid Fuel Burning Appliances
Telephone Email address
1 Insulation
D Demolition
5.2 Registered Home Improvement Contractor(HIC)
Valley Solar LLC
HIC Company Name or HIC Registrant Name 186338 413-584-8844
HIC Registration Number Expiration Date
116 Pleasant St,Suit 321
No.and Street info@valleysolar.solar
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
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
Sarah J. Erickson
Prir.<or.,Mar 7,(7 al,Cd 03/07/2024
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNERI 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� thhee�best offn my knowledge and understanding.
, 2atl:c, %/(29Jkh.Cu 03/05/24
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 arbitrationprogram 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
,vvx� � Massachusetts ' '' . c'
q DEPARTMENT OF BUILDING INSPECTIONS ',% r"
4, Tr irl )' 212 Main Street • Municipal Building y b�.`
ye --- Northampton, MA 01060 �yi^ ‘`t
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, 34 Easthampton Rd, Northampton, MA 01060
The debris will be transported by:
Name of Hauler: Valley Solar LLC
Signature of Applicant: pcUt� p /�en��¢cuG Date: 3/7/24
The Commonwealth of Massachusetts
Department of Industrial Accidents
Congress Street,Suite 100
Boston, MA 02114-2017
mass„gooldia
oi kers'Compensation Insurance AffidaS it t Bit ilders/ContractorsiEtectriciansirlumbtrs.
it)RE I.[LEI)WITH I HU PER‘ItITENG AUTHORITY,
Applicant Information Please Print Legibls
Name;Busy., OrplIEZatiOn IndiVidlial): Valley Solar LLC
Address.: 116 Pleasant St Suite 321
City/State.*Zip: Easthampton, MA 01027 phone 4413-584-8844___
Ate y tat au empith ail caeca itte appropriate Won
Type of project(required):
11 I am a cenployer with 30 eingsloycea ithit andati 0 New construction
I ata a auk proprietor ur partneninp and have nu entpkapm,working for nu na 0 Remodeling
any eagianny.,fNo wort conap.itmorance m1nad:3
9.. El Demolition
30 I sioa ittancomatin doing all Wdtt IN4*oaten'camp.inturatice onattiroil
10 Building addition
.4.C]I ant et itornetraim and will be Ming contractors cuciduct ali work op ray gatsperty_I will
mina that all contractors either have siothers*cortagensaloni nommen to 0Eleetrical repairs or additions
prnpriatara*visit on msployeen
I 2:E1 PI Ittilbittg repairs or additions
I ant a eeninni timnirettir and I Ione hared the su&emtractors Listed no the altaithati sheet.
I 3.0 Roof repairs
These Ahaannincien Isaac employees.and have worken"stoop,manthea);
14.;;;'• Odle/Solar
op We are a notparation es oaken have esizeised then tight Of illtartown per MGI.c.
152..• tt,and we have no eterloyeay.[No viusken'conga lama-ante required.]
*Any pplicant that citcc6 bol1 nit nt Mai till otit the mnitun bakth show ingth orkers:compensation policy informatwo
litintiastrian who manna,this affsdavit ia&iating thlq are doing at w'ark and dam hare aural&coloration,mot authnit a new affidavit indicating oath.
Gunn actort that check this EVA mist anachad anavhditional ht at:towing the mane tif the aubatintimic:a and in *Intim or not thim tannins havie
tinpk,yeav If the,Ash-..,..entr,c;,r, ,Itipto:,deh..tiny mum.provide their workers"own ^flew)nupd,..1
I am on employer that is providing worAers'compensation insurance fitr my employees. Below is the policy rind job site
inI)rmation.
I nsurance Company
Continental Indemnity/AUW Name.
Policy#or sear.in,.Lie.#, 376140840101 Expiration Date. 09/01/2023
Job Site Address: 99 Water St otyistawzip, Leeds, MA 01053
Attach a copy of the workers'compensation polky declaration page(showing the policy number and expiration date).
Indore to secure coverage as rebutted under MGL c„ 152, 25A is a criminal violation punishable by a tine up to SI,500.00
andlor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to 5250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Ins estigations of the DIA for insurance
coverage verification.
I do hereby certify under the pains and penalties ofperjuty that the information prided above-Is true and t
Sienature: /6)4Ze4-1----AZ7 /89-ff-rj--4-azz• paw, 3/7/24
Phone 413-584-8844
Official use only. Do not write in this area,to be completed try city or town offkial.
(-it, or Town: Perinit/License
Issuing Authority (circle one :
I. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S. Plumbing Inspector
6„Other
Contact Person: Phone