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22D-115 BP-2023-0680 46 AVIS CIR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 22D-115-001 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-2023-0680 PERMISSION IS HEREBY GRANTED TO: Project# 2023 SOLAR Contractor: I- License: Est. Cost: 25024 VALLEY SOLAR LLC CSL11568 Const.Class: Exp.Date: 04/09/202 Use Group: Owner: H ALA11'AN, YEZAN S&KAITLIN Lot Size (sq.ft.) Zoning: 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: 05/24/2023 TO PERFORM THE FOLLOWING WORK: INSTALL 16 PANEL 6.4 KW ROOF MOUNT SOLAR SYSTEM II 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 NOR HAMPTON UPON VIOI ATION OF ANY OF ITS RULES AND REGULATIONS. Signature: or .i ' - T.,61T Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax (413)587-1272 Office of the Building Commissioner rt,--i-R-E-CtIVI-,- The Commonwealth of Massachusetts B and cif Building Regulations and Standards FOR MAY " 3 20 M ssacljusetts State Building Code, 780 CMR MUNICIPALITY ' USE B plication To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 pFT.OF BUILDING INSPEC r CQTNanm�TON.MA 01060 ' ne- or Two-Family Dwelling This Section For Official Use Only BuildingVtSUIN-) Permit Number: 6►� 2 ' it f� Date Applied:Ap� &0,5 ll7". 5-2y-20Z3 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 46 Avis Circle,Northampton,MA 01062 1.1 a Is this an accepted street?yes x 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 ifyes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Yezan Alayan Northampton,MA 01062 Name(Print) City,State,ZIP 46 Avis Circle (781)267-9033 yezan.alayan©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 Repairss) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other ❑ Specify: Brief Description of Proposed Work2: Installation of 16 panel roof mounted solar array.System size 6.400kW DC. SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $1,7517 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $7'507 ❑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 Fees: $ Check N -a I Check Amount: 5 Cash Amount: 6.Total Project Cost: $25,024 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 f List CSL Type(see below) U 53 Fox Farm Rd No.and Street Type Description 01062 U Unrestricted(Buildings up to 35,000 Cu.ft.) Florence,MA City/Town,State,01ZIP 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) 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 a cb . my behalf,in all matters relative to work authorized by this building permit application. 05/17/2023 Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNER1 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. . Gzt 1 Z /eelt 5/17/2023 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 )... Massachusetts ' _t r�t f f t i I DEPARTMENT OF BUILDING INSPECTIONS t 212 Main Street • Municipal Building ,t Northampton, MA 01060 5'FSY .�a't''' 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: 5/17/2023 The Commonwealth of Massachusetts . , Department of Industrial Accidents I Congress Street,Suite 100 Boston, i1A 0.2114-2017 1.1•111/1111.111. WPM.mass.govidia - 1%otkers'Compensation Insurance Affid;, it:BuikieWContractors/Ekc(riciansfPlumbers. 11)BE VILE!)V1 I I II ! tit.PERM11-11\ .‘nnlicant Information Please Print Leeiblv Naxi 41inta.Dreamt:Ilion.I tido.iduai Valley Solar LLC Addrc:—: 116 Pleasant St Suite 321 City;State,Zip; Easthampton, MA 01027 Phone 413-584-8844 Are'nal an employee Cheek the appropriate bat! of project(required): tX1 I am a vniployer with 30 employee%(fall and:or part-timet.° 7. 0 New construction 2[3 I am a.sole pruptiehat ot partnership and hale no employees working fur nse in g. 0 Remodeling any cap-U:11y Na writicts'eunm.insialinee itNiareiti 9. [11 Demolition I am a homot,,wrier doing all vnati myself.INO workai.'comp,antarance reiptaredi 10 Ci Building addition 4.E1I am a Itomeivw no.and will IV hiring c 14jr Co imnduct all work on CI*,property. I Will izniark dud alctisttracluni L -rha .wolikers everiperroatcon insurance ot art sole I I.0 Electrical repairs or additions piupiwir..,N*ith nu employees, 124:1 Plumbing repairs or additions 5C3I ani a L.eiietw controczor and I has.c hired the sub-runtractor.hated on the attached sheet 3.1:1 Roof repairs These sub-contractors lane.employi.-cs and hate workers'comp.ursismnec. 14. 474°Uhl Solar 6.0 WC are a vorporation and rta otitis:era have exiatised then fight oF exerts/mum pet c 12.§WO.and we.It's e no emplot,ves:,[No workers'wimp_Mau:ranee required., 'Any applicant that cluxis box PI must tax,IUi out the wetion below%how ins then Unities,',..-ornnimNation putt," utiormation t Hunittiveners who du%affidas it indtcating they ant doing all work and then hire nilNiat eurtmieturs mint submot a new affrdas, indn'ating oj ( ntractor%that check Ihi4 toil must gladit an alit/ion:0 MN-3A hInNtniIIC name of the%lib-contractor.:and,tut, holier or not.Italhe auh-contraetor%[rase oriplolte4:1.Oh. r ir ,..vinn volley DUI, II 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-ins.Lic.P. 376140840101 Expiration Date. 09/01/2023 Job Site Address: 46 Avis Circle city/stale:zip: Northampton, MA 01062 Attach a copy of'the worker 'compensation polky declaration page(showing the policy number and expiration date), Failure to secure coverage as required under NIGL e. 152, §25A is a criminal violation punishable by a tine up to 51,500.00 anitor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.O0 a day against the violator.A copy of this stile-merit may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I elo hereby certify under the twins and ofperjuty that the ler i,r7m.sti,ort provided abort Is true and correct Signature: /)a-e-4-e- Z) 4911-6 -a-ez. 5/17/2023 413-584-8844 Official use onts., Do ma write in this area,to be completed by city or town official. City or Town: PermitrLicertse# Issuing Authority(circle one): I. Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: _ ,_