18-035 66 EMILY LN BP-2021-1249
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 18-035 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: SOLAR ELECTRIC SYSTEM BUILDING PERMIT
Permit# BP-2021-1249
Project# JS-2021-002075
Est.Cost: $47000.00
Fee: $75.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: INSIGHT VENTURES LLC DBA INSIGHT SOLAR114618
Lot Size(sq.ft.): 42383.88 Owner: VON ROSENBACH SHELBY
Zoning: Applicant: INSIGHT VENTURES LLC DBA INSIGHT SOLAR
AT: 66 EMILY LN
Applicant Address: Phone: MS'trance:
89 MARKET ST (413) 338-7555 WC'
NORTHAMPTONMA01060 ISSUED ON:4/28/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL 32 PANEL 10.88 KW ROOF MOUNTED
SOLAR SYSTEM WITH INVERTER
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:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department _Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NOR HA TON 01WOLATION OF
ANY OF ITS RULES AND REGULATIONS. I
• V , . TAIT
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 4/28/20210:00:00 $75.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-11272
Louis Hasbrouck—Building Commissioner
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The Commonwealth of Massachusetts 2 J
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Board of Building Regulations and Stare mds <90 F R
�J UNIPALITY
Massachusetts State Building Code, 780 .„,,qt��o,,,N�, USE
Building Permit Application To Construct, Repair, Renovate Re sed Mar 2011
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One-or Two-Family Dwelling ---:'-40' 10 o 4/S
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✓� ,_ T Section For Official Use Only ''�• ,`
Building Permit Number: J Date Applied:
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jo i Falk) I 7 . Y • ii/(2.Y/ /
Building Official(Print Name) Signature la Dale
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assess s Map& Parcel Numbers
66 Emily Lane 35"
1 Q
1.1a 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 0 Lone: Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Shelby von Rosenbach Northampton,MA 01060
Name(Print) City,State,ZIP
66 Emily Lane 415-741-6884 shelbymarie(a7gmail.com
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction❑ Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition ❑
Demolition 0 Accessory Bldg. 0 Number of Units Other al Specify: Solar
Brief Description of Proposed Work': Installation of 10.88 kW roof mounted solar system. 32 Hanwha 340 Q-cells
modules and 1 SE7600 inverter. Will not exceed building footprint but will add 6"to roof height.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Estimated Costs:
Item (Labor and Materials) Official Use Only
1. Building $ 15,510.00 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ ❑Standard City/Town Application Fee
31,490.00 ❑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.( Check Amount: Cash Amount:
6.Total Project Cost: $ 47,000.00 0 Paid in Full 0 Outstanding Balance Due:
City of Northampton
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! DEPARTMENT OF BUILDING INSPECTIONS
.%,0. 2- 212 Main Street • Municipal Building
Northampton, MA 01060 t ,,�,1
PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR NEW
1 &2 FAMILY DWELLING,ADDITIONS, POOLS, DECKS,ACCESSORY STRUCTURES,
FENCES,GROUND MOUNTED SOLAR, ETC.
1. Building Permit Application signed by legal owner and filled out by owner or authorized agent.
2. One set of plans and specification of proposed work(digital and hard copy).
3. Site Plan with location of proposed structure(s)and setbacks.
4. Construction Debris Affidavit filled out and signed by applicant.
5. Worker's Compensation Insurance Affidavit filled out and signed by applicant.
6. Contractors must supply a copy of CS License, HIC Registration and proof of Liability Insurance.
7. Energy Conservation Compliance Certificate(new/replacement windows).
8. Home Owner's License Exemption Form filled out and signed by homeowner(if applicable).
9. Note any Conservation and/or Special Permit requirements (if applicable).
10. Driveway Permit(if applicable).
11. Proof of Water and Sewer entry fees paid(if applicable).
12. Trench Permit-public land by DPW/Private land by Building Dept.
13. Stretch Energy Code—all new construction will require a HERS Rater Affidavit to be submitted with
permit application before issuance of permit.
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) CS l 14618 10i'31/2023
Edmund P.Sepanski License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) U
PO Box 130
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu.ft.)
Otis,MA 01253 R Restricted I&2 Family Dwelling
City/Town,State,ZIP M Masonry _
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
413-446-5112 Ed(a'getinsightsolar.com I Insulation
Telephone Email address D Demolition _
5.2 Registered Home Improvement Contractor(HIC)
192102 06/08/2022
Insight Ventures,LLC dba Insight Solar HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
59C North Street eric(agetinsightsolar.com
No.and Street Email address
Hatfield,MA 01038 413-338-7555
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 Insight Solar
to act on my behalf, in all matters relative to work authorized by this building permit application.
Shelby von Rosenbach 4/27/21
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.
Leah Visconti 4/27/21
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,fmished 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
oti i Massachusetts
*
t tiA DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
� p„ a Northampton, MA 01060 r
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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: 59C North Street. Hatfield. MA 01038
The debris will be transported by:
Name of Hauler: Insight Solar
Signature of Applicant: L i"4 Az& Date: 4/27/21