43-116 BP-2023-0848
217 PARK HILL RD COMMONWEALTH OF M SSACHUSETTS
Map:Block:Lot:
43-116-001 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 PERMIT
Permit# BP-2023-0848 PERMISSIO IS HEREBY GRANTED TO:
Project# 2023 SOLAR Contractor: License:
Est. Cost: 27962 ALL ENERGY SOL I' INC 109847
Const.Class: Exp.Date: 12/04/202:
Use Group: Owner: TAYLIIR STEVEN, R&REBECCA M.TRUSTEES
Lot Size (sq.ft.)
Zoning: WSP Applicant: ALL E RGY SOLAR INC
Applicant Address Phone: Insurance:
66D MAINLINE DR 800-620-3370 C51473036
WESTFIELD, MA 01085
ISSUED ON: 06/27/2023
TO PERFORM THE FOLLOWING WORK:
INSTALL 17 PANEL 7.14 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:
f TA513,
i • r � yO .Fees Paid: $75.00
212 Main Street,Phone(413)587-1240,Fax (413)587-1272
Office of the Building Commissi'ner
RECEIVED
The Commonwealth of Massachusetts
JUN 2 6 2 •�.rd of Building Regulations and Standards FOR
Massachusetts State Building Code, 780 CMR MUNICIPALITY
USE
°Ev NA 41vttt ' iaitior To Construct, Repair, Renovate Or Demolish a Revised Mar 2011
TON,MA 01
Onc•or Two-Family Dwelling
This Section For Official Use Only
Buildin Permit Number: 0 ' '3^ f yle Date Applied:
H->
l �-x, 174Z - 27-2013
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
217 Park Hill Rd
1.1 a Is this an accepted street?yes x no Map Number Parcel Nu 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:
Steve Taylor Northampton,MA 01062
Name(Print) City,State,ZIP
217 Park Hill Rd 781-640-7036
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 ® Specify:Solar PV
Brief Description of Proposed Work2:Installation of a flush-mounted rooftop solar PV system on the residence.
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $22,462 1. Building Permit Fee: $ Indicate how fee is determined:
❑Standard City/Town Application Fee
2. Electrical $5,500 ❑Total Project Cost3(Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $ .
4. Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees: $ 1/2
Check No.11(1 t 9 check Amount: 14 Cash Amount:
6. Total Project Cost: $27,962 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
CS-109847 S.` 12/4/2023
License Number Expiration Date
Name of CSL Holder
Scott Fournier List CSL Type(see below) U
No.and Street Type Description
67 Pearl Street U Unrestricted(Buildings up to 35,000 cu. ft.)
• R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
South Hadley, MA 01075 RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
413-658-8604 permit@allenergysolar.com I Insulation
Telephone Email address D _ Demolition
5.2 Registered Home Improvement Contractor(HIC)
175144 4/24/2025
All Energy Solar HIC Registration Number Expiration Date
HIC Com an m y Name or HIC Registrant Name
66D Mainline Dr permit@allenergysolar.com
No.and Street Email address
Westfield, MA 01085 413-427-2050
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 All Energy Solar
to act on my behalf,in all matters relative to work authorized by this building permit application.
See authorized agent form
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.
6/9/2023
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"
wr morn WESTSHORE
DESIGN ENGINEERS, P.C.
> 100 GREAT OAKS BI..VD. 'SUITE 115
ALBANY I NEW YORK 1220?
To: All Energy Solar
66D Mainline Dr.
Westfield, MA
Date: June 5, 2023
Ref.: 23060079
Subject: Taylor Residence
217 Park Hill Rd.
Northampton, MA
To Whom It May Concern,
The following references the Taylor Residence in Northampto MA:
1. Existing roof framing:
Conventional framing is 2x10 at 16"o.c. with a 12'-8' span (horizontal rafter projection). This
existing structure is capable to support all the loads indi ated below for this photovoltaic project.
2. - Roof Loading:
- 4psf dead load(modules plus mounting hardware)
- 50psf ground snow load
- 6.9psf roof materials (2.9psf 2x10, 1.5psf sheathing, 2.5psf asphalt shingles)
- Exposure Category B, 129mph wind(3 sec.)
This installation design will be in general conformance to the zn: ufacturer's specifications,and complies
with all applicable laws, codes, and ordinances, specifically t e International Building Code/IBC 2015
and International Residential Code/IRC 2015 including all MA egulations and amendments. The spacing
and fastening of the mounting brackets is to have a maximum o i 48"o.c. span between mounting brackets,
staggered,and secured using 5/16"diameter corrosive resistant .teel lag bolts and a 2.5"minimum embed.
Snap N Rack deck attachments or industry similar in lieu of foot anchors installed per manufacturer
specifications and recommendations.
Thank you. P jNOFMAs840
FXP.8-9084 GAF
Westshore Design Engineers c NICOLAS A.
NITTI
CIVIL
W.V NO. 50222
,o Rf61STE0
'47.SSIONAI.E0c-
6/5 2023
John Ebert Nic•las Nitti,PE
Project Coordinator Pre.ident
WestShore Design Engineers 1100 Great Oaks Blvd. I Suite 11' I Albany,NY 12203 1518.313.7153
The Commonwealth of Massachusetts
tit, Department of Industrial Accidents
1 Congress Street, Suite 100
�, Boston, MA 02114-2017
— /' tt'14'lt m(ISs.gov/dl(t
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AI'THORITY.
Applicant Information Please Print Legibly
Name (Business%OrganizationInclividual):All Energy Solar
Address: 66D Mainline Dr
City/State/Zip: Westfield, MA 01085 Phone #: 651-842-9404
Are you an employer?Check the annropriate box: Type of project(required):
1.0 I am a employer with 250 employees(full and/or part-time).* 7. ❑New construction
2.121 I ant a sole proprietor or partnership and have no employees working for me in 8. El Remodeling
any capacity.[No workers`comp.insurance required.]
9. ❑Demolition
3.0I am a homeowner doing all work myself.[No workers'comp.insurance required.]
10 Q Building addition
I am a homeowner and Will be lining contractors to conduct all ;pork on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole 1 I.❑Electrical repairs or additions
proprietors with no employees,
I- ❑Plumbing repairs or additions
5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.D Roof repairs
These sub-contractors have employees and have workers'comp.insurance.=
6.❑W'e are a corporation and its officers have exercised their right of exemption per M-1CtL c.
14.Q Other solar
152. 1(4).and we have no employees.[No workers comp.insurance required.]
*Any applicant that checks box?t1 must also till out the section below showing their workers'compensation policy information.
Homeowwners who submit this affidavit indicating they are doing all work and then line outside contractors must submit a new affidavit indicating such,
tcontractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers`comp,policy number,
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Indemnity Insurance Co. of North America
Insurance Company Name:
Policy#or Self-ins.Lic. #: (C51473036 Expiration Date 10/1/2023
Job Site Address: 217 Park Hill Rd City//StatelZip: Northampton, MA 01062
Attach a copy of the titiorkers'compensation policy-declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MCJL c. 152, 525A is a criminal violation punishable by a fine up to$1,500.00
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a.fine of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby certify under the pains and penalties of petjury that the information provided above is true and correct.
A
Signature: ) Date: 6/9/2023
Phone#:413-461-7621
Official use onh'. Do not write in this area, to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#: