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16A-020-014 BP-2023-0046 114 FAIRWAY VILLAGE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 16A-020-014 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-2023-0046 PERMISSION IS HEREBY GRANTED TO: Project# SOLAR 2023 Contractor: License: Est. Cost: 31000 VALLEY SOLAR LLC CSL115680 Const.Class: Exp.Date: 04/09/2025 KITTREDGE KEVIN T&CAROL M &KEVIN J& Use Group: Owner: ADAM P KITTREDGE Lot Size (sq.ft.) Zoning: WP/WSP Applicant: VALLEY SOLAR LLC Applicant Address Phone: Insurance: 116 PLEASANT ST, SUITE 321 (413)584-8844 EXT 217 376140840101 EASTHAMPTON, MA 01027 ISSUED ON: 01/19/2023 TO PERFORM THE FOLLOWING WORK: INSTALL 21 PANEL ROOF MOUNT ARRAY 8.4 KW 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: 10 • )2 Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner j The Commonwealth of Massachusetts j Board of Building Regulations and Stan 'ds ✓4/ • 'I OR .:� Massachusetts State Building Code; 780/, R /1 CI E ALITY T n,,, Building Permit Application To Construct,Repair,Rend'fra* emolistar evise Mar 2011 One-or Two-Family Dwelling , NSp This Section For Official Use Only .^.1q OF T/n Acy Building Permit Number: sp-Z 3 — y(, Date Applied: Je.e.v 4,5 i/nZ 1-is Zoz3 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 114 Fairway Village,Leeds,MA 01053 1.1a 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 El Private 0 Zone: _ Outside Flood Zone? Municipal❑ On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP1 2.1 Ownerl of Record: Kevin&Carol Kittredge Leeds,MA 01053 Name(Print) City,State,ZIP 114 Fairway Village, (413)297-6998 kittredge_k@yahoo.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other ® Specify:solar Brief Description of Proposed Work2: Installation of 21 panel roof mounted solar array,system size 8.4kW DC. SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $21,700 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $9,300 CIStandard 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) $ $'S Total All Fees: Check No.111`1 Check Amount'A`0 Cash Amount: 6.Total Project Cost: $31,000 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-115680 04/09/2025 Patrick Rondeau License Number Expiration Date Name of CSL Holder List CSL Type(see below) U 53 Fox Farm Rd No.and Street Type Description Florence,MA 01062 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 413-584-8844 permits@valleysolar.solar I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 186338 10/27/24 Valley Solar LLC HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 116 Pleasant Street,Suite 321 permits@valleysolar.solar No.and Street Email address Easthampton, MA 01027 413-584-8844 City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFWAVIT(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 B 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. 01/06/2023 Print Owner's (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. PG2fiLi d P Awe 1/5/23 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,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 0. MA I `� > Massachusetts 111 r 4 DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building J,� Northampton, MA 01060 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, 234 Easthampton Rd, Northampton, MA 01060 The debris will be transported by: Name of Hauler: Valley Solar LLC �Signature of Applicant: � p � Date: 1/5/23 The Commonwealth of Massachusetts r - Department of Industrial Accidents ` ,'��.!! 1 Congress Street,Suite 100 '�Iii= Boston,MI02114-2017 www mass.gov/dia 11'0:kers' Compensation Insurance Affidas it:Builders/ContractorslEkctrlciany'Plumbers. TO RE FILED N II'H ME PERMITTING All"1'HORl'T1'. Annlicant information Please Print Leeibh Name(Busi> ."c1nanimtiomIncitvit l/. Valley Solar LLC Address: 116 Pleasant Street, Suite 321 CityrState/Zip:Easthampton, MA 01027 Phone n:413-584-8844 Are yes as etnplayet!Cheek the apperttrhgt bass -1)pe of project(required): 11 I am a employer with 30 emiplo}rree(full eed at pan-linte)• 7. 13hew construction 2 Q I am a sole proprietor art partnership and have no employees working for rise in R. Q Remodeling any capacity.[No workers'comp.insurance required" 30 1 am do a homeowner mpp all work waif.IN*workers'comp.insurance required. ' 9. Demolition i.o I am a homeowner and will be hiring c ntr ra on o to conduct all work on my property. I will 10 Building addition ensure that all oulatmetuts either have makers'compensalwa insurance or arc mule I I.❑Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions SD I am a generml contractor and I have hired the sub—contractors hated an the attached sheei Theme sub-contractors have emploxa bid have workers'cusp.insurance. 13�Root repairs w 6.0 We arc a ow/potation and its officers have cxen:iacd rhea right of exemption per L per M c 14.0_4 Other Solar 1:52.C it 4).and w'e hase no employees.[No workers'cimip.insurance required.' 'An}applx-ant that checks box Ai must also fill out the avenue below sham arts their workers'compensation policy ml:xnmtton li nneownen who sinbinrt this affidavit indicating they arc doing all work and then hire outside contractor.merit submit a new affidavit indicating gulch :Contractors that check this boa must attached an additional sheet showing the name of the soh-eunttackir and state whether or nut those entities have employees if the stab-euntracWts lsi a ctryiluteis.the) must pro..tde their uurkers'comp pulley ntanl><r.I am an employer that is providing w•ortlers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Continental Indemnity/AUW — Policy*or Self-its.Lie. 376140840101 Expiration Date: 09/01/2023 Job Site Address: 114 Fairway Village citytstale'zip: Leeds, MA 01053 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date►. Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to$1.300.00 andror one-year imprisonment.as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator.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 perjaty that the infornrutirtn provided above is true and correct. signature: /a� 1 �en c r.� i.„,. 1/5/23 Phunc C: 413-584-8844 Official use only. Do not write in this area. to be completed by city or town official City or To n: Permit/License# I giants Authority (circle one): I. Board of Health 2.Building Department 3.('itsTorn Clerk 4. Electrical Inspector 5. Plumbing Insprctrrr fn.Other ( uutuct Permit): Phone k: