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23A-301 (5)
r * BP-2022-0995 154NONOTUCK ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23A-301-001 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-2022-0995 PERMISSIONIS HEREBY GRANTED TO: Project# 2022 SOLAR Contractor: License: PIONEER VALLEY Est. Cost: 28603 PHOTOVOLTAICS 111266 Const.Class: Exp.Date:03/14/2023 ANDERSON, JOHN CHRISTIAN& LAURA Use Group: Owner: CHASMAN Lot Size (sq.ft.) Zoning: URB Applicant: PIONEER VALLEY PHOTOVOLTAICS Applicant Address Phone: Insurance: 311 WELLS ST - SUITE B (413)772-8788 375928710105 GREENFIELD, MA 01301 ISSUED ON:08/17/2022 TO PERFORM THE FOLLOWING WORK: INSTALL 20 PANEL 8 KW ROOF MOUNTED 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: $ e; cgAsil Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner The Commonwealth of Massach setts R l.r) ! !r p .if OR Board of Building Regulations and nd r — L 1 I IPALITY Massachusetts State Building Code, 80 R �1ijevis SE Building Permit Application To Construct, Repair, en ate iGDtirg li Mar 2011 One-or Two-Family Dwell ng This Section For Official se A€ of©f,1nfN BuildingPermit Number: p � Date Applie : uRTFiAMAro N MAP nE,SZO Ns 4-11.-/Z% S'l7-2oa-Z Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 154 NONOTUCK ST,NORTHAMPTON MA 01062 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1 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 Pr vided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal Syste : Public 0 Private 0 Zone- Outside Outside Flood Zone? Municipal 0 On site disposal stem 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: ANDERSON,JOHN NORTHAMPTON MA 01062 Name(Print) City,State,ZIP 154 NONOTUCK ST (617)312-6319 johnchristiananderson.101@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) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:Solar PV Brief Description of Proposed Work2:roof mounted solar PV Installation of solar PV system on 2 roof planes;20 panels,8kW-DC,6 kW-AC SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $1 0378 1. Building Permit Fee: $ Indicate how fee is determined: ❑Standard City/Town Application Fee 2.Electrical $18225 ❑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: $28603 0 Paid in Full 0 Outstanding Balance Due: l SECTION 5: CONSTRUCTIQN 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 Northampton MA 01060 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 413-772-8788 BUILDINGPERMITS@PVSQUARED.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 STREET BUILDINGPERMITS@PVSOUARED.COOP No.and Street Email address GREENFIELD 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 p 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. i 8/9/2022 Print Owner's or Authorized Agents 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"