49-037 BP-2022-0555
644PARKHILLRD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
49-037-001 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-2022-0555 PERMISSIONISHEREBYGRANTED TO:
Project# 2022 SOLAR Contractor: License:
PIONEER VALLEY
Est. Cost: 47537 PHOTOVOLTAICS 111266
Const.Class: Exp.Date:03/14/2023
Use Group: Owner: M GROSS MICHAEL J& SARA
Lot Size (sq.ft.)
Zoning: WSP Applicant: PIONEER VALLEY PHOTOVOLTAICS
Applicant Address Phone: Insurance:
311 WELLS ST - SUITE B (413)772-8788 375928710105
GREENFIELD, MA 01301
ISSUED ON:05/19/2022
TO PERFORM THE FOLLOWING WORK:
INSTALL 38 PANEL 15.2 KW ROOF MOUNT SOLAR SYSTEM
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
+r ji
Fees Paid: $75.00
212 Main Street, Phone(413)587-1240,Fax:(41 3)587-1272
Office of the Building Commissioner
r—
i REC� �,_ _ _ ,
The Commonwealth of Massachusetts j 1
Board of Building Regulations and Standard e • 1
Massachusetts State Building Code, 780 CMk MUNICI'ALI'('Y
MAY 18 9n U•E
Building Permit Application To Construct,Repair,Renovate Or emolish a 7i''e�tsed ,ar 2011
One-or Two-Family Dwelling i
•
i °EQ-T er BOLL."( INSPECTIONS
This Section For Official Use Only!._._� NORTryAMP ,TON Map,060
Building Permit Number: GO } �- - 'Cb Date Applied:
/Eui 1,...>/Kos-) lek7 5-19. zoZZ
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
644 Park Hill Road,Florence.MA 01062 Y Q a Z 7
1.1 a Is this an accepted street?yes no Map Number Parcel Number
1.3 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 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system ❑
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Sara Gross Florence,MA 01062
Name(Print) City,State,ZIP
644 Park Hill Road (413)301-2277 sjmgross@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 0 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other El Specify:Solar PV
Brief Description of Proposed Work2:Installation of a 38 panel roof mounted solar array.System size 15.2 kW DC.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $28,522.20 1. Building Permit Fee:$ Indicate how fee is determined:
❑Standard City/Town Application Fee
2.Electrical $19,014.80 ❑Total Project Cost3(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees:$ {n/
Check No/30 (heck Amount: -/ Cash Amount:
6.Total Project Cost: $47,537 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
CS-111266 03/14/2023
Daniel Gomez-Gonzalez License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) U
43 Hatfield Street
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu.ft.)
Northampton MA 01060
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
413-772-8788 BUILDINGPERMITS@PVSOUARED.COOP I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
140077 9/15/2023
PIONEER VALLEY PHOTOVOLTAICS COOP HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
311 WELLS SrREEr BUILDINGPERMITS@PVSOUARED.000P
No.and Street Email address
OREENFIELD MA 01301 413-772-8788
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 Q 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 Pioneer Valley Photovoltaics Coopertive
to act on my behalf,in all matters relative to work authorized by this building permit application.
SEE ATTACHMENT (A) SEE ATTACHMENT(A)
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 ' true and accurate to the best of my knowledge and understanding.
F
f J
5/6/2022
Print Owner's or AuthorizedAgent Name( ectronic 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"