23A-004 (2) BP-2023-0738
25 MEADOW ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
23A-004-001 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-2023-0738 PERMISSION IS HEREBY GRANTED TO:
Project# 2023 SOLAR Contractor: License:
PIONEER VALLEY
Est. Cost: 53896 PHOTOVOLTAICS CS106329
Const.Class: Exp.Date: 03/14/2024
Use Group: Owner: JULIE STARR DAVID &
Lot Size (sq.ft.)
Zoning: URB Applicant: PIONEER VALLEY PHOTOVOLTAICS
Applicant Address Phone: Insurance:
31 1 WELLS ST - SUITE B (413)772-8788 375928710105
GREENFIELD, MA 01301
ISSUED ON: 06/06/2023
TO PERFORM THE FOLLOWING WORK:
INSTALL 25 PANEL 10 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:-ly N House # Foundation:
Final: Final: �-rt, ( . Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:() it (0•22.2 Via
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: >2 .
• 1' . 9-115,
Fees Paid: $75.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
.15 i1► }L)O AJ ' 7---
•
Commonwealth o/1aasachuaelta Official Use Only
t Permit No.
EP--202-3— bo3S
.2epartmenl o`.ire.ervice3
!1- Occupancy and Fee Checked 4113�.Y7
--,. BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07]
.�,4 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1/10/2023
City or Town of: NORTHAMPTON To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) 25 MEADOW ST
Owner or Tenant DAVID STARR Telephone No. (413) 923-8092
Owner's Address 25 MEADOW ST, FLORENCE MA 01062
Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box)
Purpose of Building Res. Utility Authorization No. n/a
Existing Service n/a Amps / Volts Overhead ❑ Undgrd❑ No.of Meters
New Service n/a Amps / Volts Overhead ❑ Undgrd n No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: REMOVAL OF 10 SOLAR PV MODULES
FROM EXISTING GARAGE
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Transformers KVA KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of"Emergency Lighting
grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No. Initiatinngg Devices
of Detectionand
—__..
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
_ Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water KW Data No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Equivalent
No.of Devices or Equivalent
OTHER:REMOVAL OF 10 SOLAR PV MODULES PRIOR TO DEMOLITION OF GARAGE
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ❑✓ BOND El OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Pioneer Valley Photovoltaics Coop AA.(c?
LIC.NO.:3877 Al
Licensee: Pablo Revelo Signature/ O .L' ;X-'"1.IC.NO.:22381 A
(If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:413 772 8788
Address: 311 Wells Street, Suite B.Greenfield MA 01301 Alt.Tel.No.:413-834-3232
*Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)El owner ❑owner's agent.
Owner/Agent
Signature . - Telephone No. PERMIT FEE: $75.00
( c e,-r• r S �/ i/L3
USGy �f�
A` CORD® DATE(MM DD YYYY)
y CERTIFICATE OF LIABILITY INSURANCE 01/05/2023
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
—
PRODUCER CONTACT Kathy Parker
NAME:
Alera Group,Inc. PHONo.E<tl: (413)586-0111 FAX
No): (413)586-6481
Webber&Grinnell Division E-MAIL kparker@webberandgrinnell.com
ADDRESS:
8 North King Street INSURER(S)AFFORDING COVERAGE NAIC#
Northampton MA 01060 INSURER A: Ohio Casualty/Liberty 24074
f
INSURER B.
INSURED Ohio Security/Liberty24082
Pioneer Valley PhotoVoltaics Cooperative,Inc. INSURER C: Continental Indemnity/AUW 28258
Attn:Kim Pinkham INSURER D:
311 Wells Street.Suite B INSURER E:
Greenfield MA 01301 INSURER F:
COVERAGES CERTIFICATE NUMBER: CL231519687 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE X OCCUR DAMAGE TO RENTED 300,000
PREMISES(Ea occurrence) $
MED EXP(Any one person) $ 15,000
A BKS57072282 01/01/2023 01/01/2024 PERSONAL BADVINJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
PRO 2,000,000
POLICY
JECT LOC PRODUCTS-COMP/OP AGG $
OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
(Ea accident)
ANY AUTO BODILY INJURY(Per person) $
B OWNED �/ SCHEDULED BAS57072282 01/01/2023 01/01/2024 BODILY INJURY(Per accident) $
AUTOS ONLY /� AUTOS
X /HIRED • NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY /-% AUTOS ONLY (Per accident)
Underinsured motorist $ 300,000
X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 5,000,000
—
A EXCESS LIAB CLAIMS-MADE US057072282 01/01/2023 01/01/2024 AGGREGATE $ 5,000,000
DED X RETENTION$ 10,000 $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY STATUTE ER
Y/N 1,000,000
C ANY PROPRIETOR/PARTNER/EXECUTIVE N NIA 375928710105 01/01/2023 01/01/2024 E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1.000,000
II yes,describe under 1,000,000
DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT $
Blanket BPP $1,483,977
Commercial Property
A BKS57072282 01/01/2023 01/01/2024 Transportation $25,000
Installation $75,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more space is required)
Worker's compensation includes MA and NY
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
Proof of Insurance ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
CO 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
25 l'il t,vv s7-
Commonwealth f Massachusetts Official Use Only
Permit No.: 2,0y3"ot1M
dl Department f Fire Services Occupancy and Fee C:heckedi /3 2.5b
E� °:, ' BOARD OF FIRE PREV NTION REGULATIONS [Rev. 1/2023]
APPLICATION FO PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accord ce with the Massachusetts Electrical Code(MEC),527 CMR 12.00
City or Town of: Florence Date: 6/1/2023
To the Inspector of Wires:By this application.the[undersigned gives notices of his or her intention to perform the electrical work described below.
Location(Street&Number): 25 Meadow St. Unit No.:
Owner or Tenant: David Starr Email: david.starr@comcast.net
Owner's Address: 25 Meadow St, Florence, MA 01062 Phone No.: (413)270-1234
Is this permit in conjunction with a building permit?(Check appropriate box)Yes® No®Permit No.:
Purpose of Building: Res. Utility Authorization No.:
Existing Service: 200 Amps 120 1240 Volts Overhead❑✓ Underground❑ No.of Meters: 1
New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: Wire in a 25 panel roof mounted PV array.System size 10kW DC/6kW AC.
no S ic- ci l (
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: No. Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: 'Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices:
Swimming Pool:ln-Grnd.❑ Above-Grnd.❑ Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices:
No.Air Conditioners: Total Tons: Telecom System❑ No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices:
Solar PV KW DC Rating:10 Solar PV KW AC Rating: 6 No.of Electric Vehicle Supply Equipment:
No.of Modules: 25 Roof-Mount❑✓ Ground-Mount❑ LeN.el 1❑ Level 2❑ Level 3❑ Rating:
OTHER:
Solar
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $35,032'40 (When required by municipal policy)
Date Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: Pioneer Valley Photovoltaics Coop A-1 El or C-1 ❑LIC.No.: 3877
Master/Systems Licensee: Pablo Revelo LIC.No.: 22381 A
Journeyman Licensee: LIC.No.:
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: 311 Wells Street,Suite B,Greenfield, Mass.,01301
Email: buildingpermits@pvsquared.coop Telephone No.: 413-772-8788
I certify,under the pains an, enalties of perjury,that the information on this application is true and complete.
Licensee: r'i 4 1, ,,, fint Name: Pablo Revelo Cell.No.: 413-834-3232
INS CE C ERA E: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee
provides proof of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage
is in force and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE❑✓ BOND❑ OTHER❑ Specify: Workers Comp
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law.By my signature below,I hereby waive this requirement.I am the:(Check one)Owner❑ Owner's agent❑
Owner/Agent: Tel.No.:
Signature: Email.:
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