38B-117 BP-2023-0682
17 EAST ST COMMONWEALTH OF M SSACHUSETTS
Map:Block:Lot:
38B-117-001 CITY OF NORTHA PTON
Permit: Solar Build
PERSONS CONTRACTING WITH UNREGI TERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARA TY FUND (MGL c.142A)
BUILDING P .RMIT
Permit# BP-2023-0682 PERMISSIO IS HEREBY GRANTED TO:
Project# 2023 SOLAR Contractor: License:
Est. Cost: 26352 VALLEY SOLAR LL CSL115680
Const.Class: Exp.Date: 04/09/202
Use Group: Owner: CASE MICHAEL A
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: OS/24/2023
TO PERFORM THE FOLLOWING WORK:
INSTALL 18 PANEL 7.2 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 VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
I )2 TI. •
Fees Paid: $75.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
The Commonwealth of Massa9huse
Board of Building Regulations a9d Sta dards ?3 OR
�0 UN C PALITY
Massachusetts State Building Code,7g• ^ . F>i USE
Building Permit Application To Construct,Repair,Renovs9W` p 'sh a Re sed Mar 2011
One-or Two-Family Dwelling ��q o�cr10
osa NS
This Section For Official Use Only
Building Permit Number: a 3 &11-- Date Applied:
htvh,.--S / Koss
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map& Parcel Numbers
17 East Street, 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 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Michael Case Northampton, MA 01060
Name(Print) City,State,ZIP
17 East Street 413-522-7976 mcase53@yahoo.com
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK(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 D Specify:Solar
Brief Description of Proposed Work2: Installation of 18 panel roof mounted solar array. System size 7.200kW
DC
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Otticial Use Only
(Labor and Materials)
1.Building $18,446 1. Building Permit Fee: $ Indicate how fee is determined:
❑ Standard City/Town Application Fee
2.Electrical $7,906 ❑Total Project Cost3(Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All F es: j
Check No.1). I'Check Amount: f- Cash Amount:
6. Total Project Cost: $ 26,352 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)
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 my behalf,in all matters relative to work authorized by this building permit application.
jx.a 05/16/2023
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 is true and accurate to the best of my knowledge and understanding.
i°afAl Z7 lettAti 5/15/2023
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 N�' - ,'C'-4)4
�tE c
DEPARTMENT OF BUILDING INSPECTIONS
.. ..
4' 212 Main Street • Municipal Building -*
Northampton, MA 01060 111y . .
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: �c / /�e) c�'Q. Date:
The Commonwealth of Massachusetts
Department of Industrial Accidents
r...."a
1 Congress Street,Suite 100
znit*
Boston, MA 02114-2017
IVIE W .mass.govidia
Workers'Compensation Insurance Affidavit:Baiklers/ContractorsItlectricia us/Plumbers.
ID BE tLED WITH THE,PERNIIITING AUTHORITY,.
Applicant Information Please Print Legibls
Nante,1.13115111eSS.OrgalliZatiell I rldtVithi : Valley Solar LLC
Address: 116 Pleasant St Suite 321
City/StateiZipLEasthampton, MA 01027 Phone#:41 3-584-8844
..._____... ..........,..,
Are t ors att ettitpto:4 eel Cheek the appropriate ltstritt Type of project(required)
t)igi 1 ani a entpkiyer with errestereetts tfhil iiiinthir partAinte I.,* 7.. Ej New construction
:20 i am a side ruptiettat or partnership and hate no elliptoy,..-cl working for trie in $ 0 Remodeling
any capacity,(Ni workers'romp.Maharanee required"
9, Li Demoliti..
30 I am a liorneotvnet doing all mut myselt[No*orthera"comp,natairruittc mamma r
10 0 Building addition
.4.01 am a iturrietomict and*Al be 631110.3.Vettildtkr*.AP.00gmuct la work on my Novelly. I will
critiare that all contracturs either hate workers*shamperotation inatinince or me stile i I Electrical repairs or additions
proptietatts*ith no emplo3eca,
il.Plumbing repairs or additions
50 I ZIM a ren:Tia CksIntractor and I hove hired the antr-contracticira fished on the attached sheet
I 3.0 Roof repairs
These aub-enntrartors h p alve emloyeth,and have*take&comp,instirtusec;
14...-= Other Solar
60 Wc ate'a otamporatIon and iti,offical have exercised then mid of exemption rxtt NMI ti. ,... „
15.1§Itilt,and we have no employees.[Ni workers'comp,instapance reipiiariil
Any 411111‘16413 ei.'lilt 4 th:Ck:=,.ivA-,"I mad also fill out the sictition below shotting thee'4040:1-*:coreperatatain whey mforinatien
4 ittnneowners Witt)submit thit affitkatit indieating,they meshing all work and then hire tsltside etantrattera mu ahnit a ire*affidavit indicating sods,
Ctinuaitorts that cheek Tili,b Inat4 attached an nditlitharial altiart showing the maim tic the'atah-contractors and Aare effieditz or not those entities haw
empliit,eet If the tek,:oittr..ctitis IMN C employees.,they mutt powide their *Atrium' i como.policy number
. . ...
I am an emplol-er thin is providing icoriters'compensation imamate far my emplows. Below is the polity and lob situ
information.
thsurance company Name: Continental Indemnity/AUW _
Policy#or Sett-in .tic..4#,, 376140840101 Expiration Date. 09/01/2023
Job Size Address: CityiStatelip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and eipinttion date).
Failure to secure?coverage as required under MGL C. 152, *2SA is a criminal siolation punishable by a tine up to S1,500.00
andior 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 itblUltanCe
Coverage verification.
- -
I do hereby ctrali,under the pains tind pilau/ties of perjury that the information provided above Is true and corn:Vt.
Sigliat LI re°. a,t/e) 4/-_, Z7 Afrtd,g-Ca.G Date:
phor_ : 413-584-8844
Official use only, Do not write in this area,to be completed by city or town°Kyrie'.
tits or Town: Perna/license# .
Issuing Authority (circle one):
I.Board of Health 2. Building Department 3.0 ki.,rflown Clerk 4.Electrical Inspector S. Plumbing Inspector
4.Other
; Contact Person: Phone#1