39A-063 BP-2024-0808
69 LYMAN RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
39A-063-001 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-2024-0808 PERMISSION IS HEREBY GRANTED TO:
Project# 2024 SOLAR Contractor: License:
Est. Cost: 35014 CURRENT ENERGY LLC 103150
Const.Class: Exp.Date: 06/20/2025
Use Group: Owner: LEVITT SAMUEL W&ELLEN L GOLDSMITH
Lot Size (sq.ft.)
Zoning: URB Applicant: CURRENT ENERGY LLC
Applicant Address Phone: Insurance:
P.O. Box 385 (413)658-2047 6559UB0W4390524
Greenfield, MA 01302-0385
ISSUED ON: 07/10/2024
TO PERFORM THE FOLLOWING WORK:
INSTALL 23 PANEL 9.43 KW ROOF MOUNT SOLAR (NO STRUCTURAL OR BATTERY) AND UPGRADE SERVICE FROM
100 TO 200 AMP
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: l/Z.
Fees Paid: $75.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
I RECEIVED
I
The Commonwealth of Massachusetts JUN 2 1 2024
Board of Building Regulations and Stdnda FO
M ICI ALITY
Massachusetts State Building Code, 780 CMl
Vt).
c),FUII D!�3 INSPEC
Building Permit Application To Construct, Repair, Renovate Or-'f�' "%'diit�Fr s
Ted i far 2011
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: Oft .- 'f. R(rg Date Applied:
141)1►.� (ZS, /1i,2 7-IO1O2q
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessarsx ap& Parcel Numbers
69 Lyman Rd.Northampton,MA 3 /"r (f�3
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 CI 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: Northampton,MA 01060
Samuel Levitt p
Name(Print) City,State,ZIP
69 Lyman Rd. 413-530-8868 samlevitt@comcast.net
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied ❑ Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 1131 Specify: roof mount solar
Brief Description of Proposed Work':
Installation of a 9.43 kw solar array with 23 panels and related electric main service panel upgrade
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ 1. Building Permit Fee:$ Indicate how fee is determined:
2.Electrical $ $35,014 ❑ Standard City/Town Application Fee
❑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.-31 0 Check Amoun h6. Cash Amount:
6.Total Project Cost: $ $35,014 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License( S(.) CS-103150 06/20/2025
Chris Krezmien • '. ;}}6 License Number Expiration Date
Name of CSL Holder
Van Nuys Rd. List CSL Type(see below) U
No.and Street Type Description
Colrain,MA 01340 U Unrestricted(Buildings up to 35,000 cu.ft.)
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
413-200-0411 operations@currentenergy.pro I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
Current Energy LLC 207678 02/08/2025
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
305 Wells St. operations@currentenergy.pro
No.and Street 413-200-0411 Email address
Greenfield,MA 01301
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 l No .O
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 Current Energy LLC
to act on my behalf,in all matters relative to work authorized by this building permit application.
gain/Let Zed Zed& June 18,2024
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.
CI rte KrttiiteA June 18,2024
Print Owner s or Authorized Agent's Name(Electronic Signature) Date
NOTES:
I. 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
oa ►� `o, s .. s
��,' �� Massachusetts 4}s� r..'e
f DEPARTMENT OF BUILDING INSPECTIONS �;
,�.' 212 Main Street • Municipal Building �O. i7
�`:.174,,., Northampton, MA 01060 'rsb'y••<‘3
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: 305 Wells St. Greenfield, MA 01301
The debris will be transported by:
Name of Hauler: Current Energy LLC
Signature of Applicant: Chric j 9 Z IW CP4 Date: June 18, 2024
_ The Commonwealth of Massachusetts
�. Department of Industrial Accidents
Office of Investigations
Lafayette City Center
2 Avenue de Lafayette, Boston, MA 02111-1750
� t www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): Current Energy LLC
Address: 305 Wells St.
City/State/Zip: Greenfield MA 01301 Phone #:413-200-0411
Are you an employer? Check the appropriate box: Type of project(required):
1.❑ I am a employer with 5 4. ❑ I am a general contractor and I 6. New construction
employees (full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. D Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.*
required.] 5. El We are a corporation and its 10.❑ Electrical repairs or additions
q ]
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself [No workers' comp. right of exemption per MGL 12.El Roof repairs
insurance required.] t c. 152, §1(4),and we have no
employees. [No workers' 13.❑ Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: Continental Casualty Co
Policy#or Self-ins. Lic. #: 6S59UB0W43903523 _ Expiration Date:3/18/2025
Job Site Address: 69 Lyman Rd. City/State/Zip: _ Northampton, MA 01301
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that 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 pains and penalties of pedury that the information provided above is true and correct.
Signature: e/ ,zj Date: 5/1/2024
Phone#: 413-200-0411
Official use only. Do not write in this area, to be completed by city or town official.
City or Town: Permit/License #
Issuing Authority (check one):
10Board of Health 20 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 50Plumbing
Inspector 6.0Other
Contact Person: Phone#: