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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.: 1/3 006 c