23A-025 BP-2023-0200
35 PARK ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
23A-025-001 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-2023-0200 PERMISSION IS HEREBY GRAN ED TO:
Project# 2023 SOLAR Contractor: License:
Est. Cost: 23390 VALLEY SOLAR LLC CSL1156:0
Const.Class: Exp.Date: 04/09/2025
Use Group: Owner: LURIA LURIA, SARA &ISAAC GOL'STEIN
Lot Size (sq.ft.)
Zoning: URB Applicant: VALLEY SOLAR LLC
Applicant Address Dia= 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 16 PANEL 6.4 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 VI LATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: .
.52
Fees Paid: $75.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Buildine Commissioner
The Commonwealth of Massachusetts
Board of Building Regulations and Standards 7 FOR
Massachusetts State Building Code, 780 C11�08 MUATICIPA:.ITY
/ 4USE
Building Permit Application To Construct,Repair,Renovate Or Da Revised Mar 2011
One-or Two-Family Dwelling
This Section For Official Use Only''''
Building Permit Number: ba- )3"2-n Dat Applied:
Coss / i'C - Z-ZZ-ZOZ3
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
35 Park Street, Florence, MA 01062
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 0 Private❑ Zone. _ Outside Flood Zone? Municipal 0 On site disposal system ❑
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP1
2.1 Owner'of Record:
Isaac Luria Florence, MA 01062
Name(Print) City,State,ZIP
35 Park Street (917) 455-6203 isaacluria83(a 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 El Specify:solar
Brief Description of Proposed Work2: Installation of 16 panel roof mounted solar array.System size 6.4kW DC.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $16,373 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $7,017 ❑ Standard City/Town Application Fee
❑Total Project Costa(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) q o7 Total All Fees:
Check N , Check Amount: / Cash Amount:
6.Total Project Cost: $ 23,390 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
U Unrestricted(Buildings up to 35,000 cu.ft.)
Florence,MA 01062 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)
Solar LLC 186338 10/27/24
Valley 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
to act n my behalf,in all matters relative to work authorized by this building permit application.
02/15/2023
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 istrue and accurate to the best of my knowledge and understanding.
/ Zt 2,‘ Z7 /9'f . 2/15/23
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
-ram
Massachusetts
'srti^. 4 ' DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Buildings �•
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: � Z� �e�,� Date: 2/15/23
The Commonwealth of Massachusetts
1 Department of Industrial Accidents
-
- 1 Congress Street,Suite 100
•
Boston,314 02114-2017
wwulmass.govidia
1%others'(..'ompentrtion Insurance Affidavit:BuildersitontractorsiEkrtriciansfPlumbers.
TO BE FILED V,1111 flit PEItAIITI'ING AU1'110RITV.
Applicant Information Please Print Legibly
Name 113tistrtess 1)rganization Inds.k Iduair„ Valley Solar LLC
Address: 116 Pleasant St Suite 321
City/StateiZip: Easthampton, MA 01027 Phone 4413-584-8844
Are"or an emptoyerr Cheek the appropriate hos: Type of project(required):
t>cl 1 am a employer with full delilat part-lima* 7 New construction
1C3 1 am a sok proprietor or point-TAT and have no%aril:405,ms working for me an 8. a Remodeling
an aNteat,,[No workers'comp.insurance required.]
9. Demolition
31:j am a litmarxrwiter doing all 0.tni myself.f',40 workins'comp,freAlr4IICA:
101:1 BUitiltni;addition
4.1]1 am a homeowner and wall lw hums contractors lb conduct all work on nit property. I will
=aim that all contreekirs either hate workers cornpensation rum:ranee Le are sole I I Electrical repairs or additions
pruprieturi with no employees..
1 in Plumbing repairs or additions
5C3I am a griamal contractor and I hake tonal the soh-euntractork,listed on the aturched sheet
130 Roof repairs
sob-contractors hake employees and hake workers'comp,imaitance)
6.0 Wr arc a coaporaiwn rind 36 officers have eserersed then right rat extanoun per MiGt. 14.it Other Solar
4),and we have no employees.[No workers'comp.insurance rtNuired.1
*Any appileaut that checks box;1 intht aii fill out the kvetioh t..,,elow showing their uinktirs'curtipertmitstin putts inlorniation
Ronietiwiserawho submit this atTida sit indicating they ate doing ail work and then hire utnxide euninieturx mint submit a new affrilak it indicating such.
:Contractors dial cheek this box most attached an Additional abet abatis nig the name attic xtib-cuntractucl and aZuk is Innitier tar riOtthaw,111.6.7,have
eniplo.ec, It sub-contraetom have eirg-10.7Ii i rir Ipaw.id*:liken workers"comp puticy nuanker.
I am an employer that is presiding wonters'compensation insurance for my employees. Below is the policy and job site
Information.
Insurance Company Name: Continental Indemnity/AUW
Policy#or Self-tn . Lie. 376140840101 Expiration Date. 09/01/2023
35 Park Street
Job Site Address: cityistatezip:Florence, MA 01062
Attach a copy of the uorkers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required undo'NAGL e. 152, §25A is a criminal violation punishable by a fine up to SI,500.00
andlor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.0)
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 fienattirs perjury that the information provide,'allure is true and correct
Sipature: 2/15/23
Phone 413-584-8844
Official use artir. Do not write in this area.to he completed by city or town official
( its or Town: Permit/License#
Issuing Authority(circle one):
I. Board of Health 2.Building Department 3.Cityrrown Clerk 4.Electrical Inspector 5.Plumbing Inspector
' 4.Other
Contact Person: Phone#:
. ,
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