23A-214 BP-2023-0583
42 BEACON ST COMMONWEALTH OF 1VMASSACHUSETTS
Map:Block:Lot:
23A-214-001 CITY OF NORTH4MPTON
Permit: Solar Build
PERSONS CONTRACTING WITH UNREGkSTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2023-0583 PERMISSION IS HEREBY GRANTED TO:
Project# 2022 SOLAR CARPORT Contractor: License:
Est. Cost: 3500 VALLEY SOLAR LLC CSL115680
Const.Class: Exp.Date: 04/09/20 5
Use Group: Owner: HEX) ALL AARON H&MELITTA S CARNEVALE
Lot Size (sq.ft.)
Zoning: URB Applicant: VALLEY SOLAR LLC
Applicant Address Phone: Insurance:
116 PLEASANT ST, SUITE 321 (413)584-8844 EXT 217 376140840101
EASTHAMPTON, MA 01027
ISSUED ON: 05/05/2023
TO PERFORM THE FOLLOWING WORK:
INSTALL EV CHARGER WITH 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: 1 i i '
e, . J . '1 •
i � I
Fees Paid: $ .00
'0
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissio er
The Commonwealth of Massachus s
Board of Building Regulations and S nday ��,1. , FORICIPALITY
Massachusetts State Building Codas 0 CMR
0 4 USE
Building Permit Application To Construct,Repair,
e Or Desh R ised Mar 2011
One-or Two-Family Dwelling\tip rA,G,
This Section For Official Use Only\\ r��
Building Permit Number: gf-)-3--5?3 Date Applied: nsn Ns
// 2. 5-5. ZO Z3
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
42 Beacon 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 Informatiion: 1.8 Sewage Disposal System:
Public 0 Private 0 Zone: Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Aaron Hexdall Florence MA 01062
Name(Print) City,State,ZIP
42 Beacon Street (646)209-2037 hexdall@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 ® Specify: EV Charger
Brief Description of Proposed Work2: Installation of EV Charger in conjunction with solar project
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $1750 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $1750 ❑ 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) Total All F $
6.Total Project Cost: $3500 Check No.br heck Amount( ., Cash Amount:
0 Paid in Full 0 putstanding 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.)
City/Town,State,ZIP R Restricted 1&2 Family Dwelling
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 .❑
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 m ehalf,in all matters relative to work authorized by this building permit application.
Q a n crn' tAt 05/02/2023
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 is true and accurate to the best of my knowledge and understanding.
f) i4 # Z7 /e&A1414 5/2/23
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
ii, Massachusetts w ,
Lr W fit.
. DEPARTMENT OF BUILDING INSPECTIONS
y 212 Main Street • Municipal Building uF �1. �"
- � Northampton, MA 01060 ��� -_ ‘4
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
fr
Signature of Applicant: � � G Date: 5/2/23
The Commonwealth of Massachusetts
Department of Industrial Accidents
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I Congress Street,Suite 100
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Boston,AfA 02114-2017
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- % otters'Compensation insurance Affidas it: Buiklers/Contractors/Electricians/Plumbers.
l'ill BE FILED\\I t H THE PERM!I 11.,iti s I 11110RITY.
.krinlicant Information Please Print Legiblv
Name musiness.t)reanizaum individual): Valley Solar LLC
Adiirc--: 116 Pleasant St Suite 321
City,StateZip: Easthampton, MA 01027 Phone#:413-584-8844
Are!tea an employer?Cheek the a pprupriatt hit: -1)pe of project(required)
1.X1 1 am a traptoyer with_ 30 _employees,(full and 01 part-tiniet.• 7. 0 New construction
.2r3 I am auk proprietor or paiinert)ip and have no employees winking for me in M. 0 Remodeling
any carsc ity.(No workers'cbp,in omp. sunuace rivatisreill
9. 0 Demolition
1 am a horrasawars cluing nil work mysell,[No workint.'1.-inam.antuanee riNinrciii'
I a Ci Building addition
a.C]I am a lainvarwner and will Sr hums wittractors iv conduct all work on lilt property. I will
mivurc that all contractoes either hake woricars`comperivanen insurance or une sole 110 Electrical repairs or addition,
itrupnetary with no pluyet _
I IC]Plumbing repairs or addition
5f:3 I am a general contractor and 1 luve hired the 4Jb-contract0ri.listed on the attached thect
I 313 Roof repairs
These sob-cinitratiors lame cnipluys3.-s and hate workers'eiairip,ElUilatIIII:1:).
14.0""4 other Solar
6.1:1w,ai-..a ompuration and its offivera have tam-coed thrir next areas:mm.1ton per MCI.c. ...
1511:114).and we hate no employe:et.(No worker's'camp.insurance required.'
I
An applicant Ault cfaccics,boa c i aura also fill out the sectwa tv.lo A ,tiow mg then workers compensation pokey information
4 litinwownem who sishind this atiala%it indicating they are doing all work and then lire outside contractors must submit a new affidavit indikating auch.
Con dots that clici.k the,hook ltn,1%1 al-v.6,11 al Jiditiunal alicet abintins the mane of the mib-ciadrac toes and auk*litilwit iv not rhcrae entities I lalePt
cmilit.:"....V1 if the!sub-L.01,i;.i....;.,i,1,,s,:,it ii-1,...,..,',...,.Hwy must prnvide their *tirkerf comp pulley niarnhin
I am an employer that is providing workers'compensation insurance for my employees. Below Is the policy and job site
information.
Insurance Company Name:. Continental Indemnity/AUW ____
Policy#or Self-in . LIL. 376140840101 Expiration Date. 09/01/2023
Job Site Address:42 Beacon Street carstate,zip,Floren ,ce MA 01062
Attach a copy of the workers'compensation milk) declaration page(showing the policy number and expiration date).
hit hut'. to secure coverage as required under NIG L c. 152, §25A is a criminal violation punishable by a line up to S1,500.00
and.'or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to S250.00 a
day against the violator.A copy of this statement may be forwarded to the Mice of Investigations of the DIA for insurance
coverage veritication.
I do hereby certify under the rai,i,.tend perialtie of perjury that the inforrnathat provided tibuy. ift true and correct
Signature: f)2 -4, 17 ..6'1c-6 11 5/2/23
Phone :-: 413-584-8844
Offitiol use only. Do not write in this area,to be completed by city or town officiaL
( it) or Town: PermitfLicense#
Issuing Authority (circle one):
I. Board of Health 2.Building Department 3.City/Town(7krk 4.Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#: _ ,