31A-272 B -2023-0199
23 DRYADS GREEN COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
31A-272-001 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-2023-0199 PERMISSION IS HEREBY GRANTED TO:
Project# 2023 SOLAR Contractor: License:
Est. Cost: 50758 VALLEY SOLAR LLC CSL1156E0
Const.Class: Exp.Date: 04/09/2025
Use Group: Owner: TRUSTEE GOODRIDGE GEORGE L
Lot Size (sq.ft.)
Zoning: URA Applicant: VALLEY SOLAR LLC
Applicant Address Phone: Insurance:
116 PLEASANT ST, SUITE 321 (413)584-8844 EXT 217 376140840101
EASTHAMPTON, MA 01027
ISSUED ON: 02/23/2023
TO PERFORM THE FOLLOWING WORK:
INSTALL 18 PANEL 7.2 KW ROOF MOUNT SOLAR SYSTEM WITH 13.5 KW BATTERY
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:
Fees Paid: $75.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
The Commonwealth of Massachusetts R 11
Board of Building Regulations and Sta dar FEBF
1 20?3 MUNIOPALITY
Massachusetts State Building Code, 78 C USE
Building Permit Application To Construct,Repair, novat* La e�ish.4-_ Revised afar 2011
One-or Two-Family Dwelling �r�Than�n;cN ll';APF orv„
This Section For Official Use Only
Building PPermit Number: YS 0- )-,3-- i 4% ;ate Ap lied:
�l C45 / 2. 22-70z3
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
23 Dryads Green, Northampton, MA 01060
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 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system ❑
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Virginia Sullivan Northampton, MA 01060
Name(Print) City,State,ZIP
23 Dryads Green (919) 622-9422 sullivangs76(c 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 ❑
Demolition 0 Accessory Bldg. 0 Number of Units Other ® Specify:solar
Brief Description of Proposed Work2:Installation of 18 panel roof mounted solar array. System size 7.2kW
DC. Includes Tesla Powerwall+ 13.5kWh ESS.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $26,928 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $23,830 0 Standard City/Town Application Fee
0 Total Project Costa(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5. Mechanical (Fire $
Suppression) Total All Fee : $(
Check Noll41VP Check Amount: Cash Amount:
6.Total Project Cost: $ 50,758 13 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 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 Valley Solar LLC
t a o m behalf,in all matters relative to work authorized by this building permit application.
02/15/2023
int 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.
,4z.& j Z7 ieentci -4 2/13/23
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
r4 ,,,,-, . . ,sr.
Massachusetts - -,
itDEPARTMENT OF BUILDING INSPECTIONS
1. 212 Main Street • Municipal Building
Northampton, MA 01060 t v 11'''`
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: 2/13/23
...... The Commonwealth of Massachusetts
amcza.i,,,
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,„ Department of Industrial,4ceidents
1 Congress Street,Suite 100
Boston, MA02114-2017
woos,.m ass.govidla
.4 takers"Compensation Insurance Affidavit:BuildersiContractorsfElectricianstPlumber.s.
11)Ill.EU..k.')WITH THE PERNIITIING AUTHORITY.
Applicant Information Please Print t.,egiblv
Nallle 4 Business,thTantzationindo,'dual o-, Valley Solar LLC
Address: 116 Pleasant St Suite 321
City/State/Zip: Easthampton, MA 01027 Phone 4:413-584-8844
Are you an employee Cheek the appropriate boa: Type of project(required):
i>4 1 am a ennaloyes with 30 erro!iocs i full and al-part-tinsel...* 7. C:1 New construction
4:1 I am a war proprietor or partnership and have no employees%larking for me in g. CI Remodeling
am i:apacity.[No%takers'comp.insurance regional]
9. 0 Demolition
I am a 111161,W,h111-^T doing all wort myself.(No workin.s'coup,nriorance rixpored.)'
10 El Building addition
.1.9 I am a hornetramer and will Ne hising contradors IV conduct all work on rn)properry.. /will
imsurr that all contractors either hat e workers'i-onapelLlablVt insurance or me sole 1 1.0 Electrical repairs or additions
proprietors ts ith no mciplus-eca.
Ill:Plumbing repairs or additions
.50 i am a 1,.TTIL..731 contractor and I tiao.c hired the sob-contractors listed on the attached%beet
I 3.0 Roof repairs
Thew soh-conductors hose employe:La:Ind hose workers'comp.unasrance.1
14. _. Othei:Solar
6.0 Wc are u corporation and its officers have exacised then richt of exem on pti per NCI C. I
I. ..I.;144).and we have LID)employees:.[No worker-, comp.insurance TLY11.161L4f
'Any unpin-aid that check.%box 0 I must also fill out the....cti,•rt tviow showing then%tinkers'coniperisatam policy information
' Homeowners who submit this affidavit indicating tin')arc domg ail wink and then hire outside ractors mint submit a me. II irlid41,it indicating such.
',Contractors that eticet this to MU!i attached an additional sheet showing the ElliMe of the sub-cinuracturi and'tat whether tar riot thew entities have
cripit., cc, 1 r 4.....,isl-,- oillr4tIvr,11.5,.,:orri,,.;,,,,,,Thcy riu,,,pro..kid their NA orkers"cc.nir r,.1:,::,taLlt dm
I am an employer that is providing tvorkers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:. Continental Indemnity/AUW ___
Policy#or Self-ins.Lie.t 376140840101 Expiration Date. 09/01/2023
23 DryadsCSt
Green ' Northampton, MA 01060
Job Site Address: ate,Lip:
Attach a copy of the norkers'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 S1,500.00
and.nr one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to 5250.00 a
do 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 a ruler the titans and penalties ofperjary that the information provided above is trite and Correa.'
Signature: i)a-e72-/- P ,e9`fri-G/—.2. 4 Date: 2/13/23
413-584-8844
t Official use only. Do noi write in this area,to be completed by city or town official
( ifs or TON n: PermitfLicense ti
Issuing Authority(circle one):
I.Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector
6.Other
tf'ontact Person: Phone 4:
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