31A-118 BP-2023-0963
26 VERNON ST COMMONWEALTH OF M SSACHUSETTS
Map:Block:Lot:
31A-118-001 CITY OF NORTH PTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGI TERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARA TY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2023-0963 PERMISSIO IS HEREBY GRANTED TO:
Project# 2023 SOLAR Contractor: License:
Est. Cost: 27972 VALLEY SOLAR L C CSL115680
Const.Class: Exp.Date: 04/09/202
Use Group: Owner: H H BARD JAMES B &MARI
Lot Size (sq.ft.)
Zoning: URB Applicant: VALLE SOLAR LLC
Applicant Address Phone: Insurance:
116 PLEASANT ST, SUITE 321 (413)584-8844 EXT 217 376140840101
EASTHAMPTON, MA 01027
ISSUED ON: 07/24/2023
TO PERFORM THE FOLLOWING WORK:
INSTALL 18 PANEL 7.20 KW ROOF MOUNT SOLAR ON GARAGE
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 yCyl(� �)
•
Fees Paid: $75.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissisner
RECEIVED
The Commonwealth of Massachuse
E
Board of Building Regulations and Stan rds JUL 2 1 2 FO
y '' Massachusetts State Building Code, 780 M ICIP LITY
US
Building Permit Application To Construct,Repair,Re vain i ed r 2011
One- or Two-Family Dwelling
NORTHA ,pTON.MA Q106O INSPECTIONS'
This Section For Official Use Only
Building Permit Number: `Jr, •-D--3"g(1). Date Applied:
41....3/Zs 1/�/ 7 Zy.Z023
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION'
1.1 Property Address: 1.2 Assessors Map Parcel Numbers
26 Vernon Street,Northampton,MA 01060
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 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
James Hubbard Northampton,MA 01060
Name(Print) City,State,ZIP
26 Vernon Street (413)584-7817 jhubbard@smith.edu
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 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work':
Installation of a 18-panel roof-mounted solar array on detached garage.System size 7.200kW DC.Trenching 24ft from array to house to lay conduit.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $19,580 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $8'392 ❑ Standard City/Town Application Fee
❑Total Project Cost3(Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $ Total All Fees: $r e �
Suppression)
Check No. U,V Check Amount: Cash Amount:
6.Total Project Cost: $27,972 0 Paid in Full ❑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
Florence,MA 01062 U Unrestricted(Buildings up to 35,000 cu.ft.)
City/Town,State,ZIP 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)
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.
P-1441 07/18/2023
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.
PGZ?L c..4 /C6i c 7/18/23
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
r ' .
Massachusetts _, '%
b
DEPARTMENT OF BUILDING INSPECTIONS ;`
212 Main Street •• Municipal Building {k :
v
, � — Northampton, MA 01060 ��xfY2ti�>.
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
1)
Signature of Applicant: � T� �e� Date: 7/18/23
aa9..... The Commonwealth of Massachusetts
Wrivi....... Deportment of Industrial Accidents
z1=-
' .- i-E 1 congress Street,Suite 100
Boston, M4 02114-2017
www.mass.gor/dia
'Workers'Compensation Insurance Affidavit:Builders/C:ontractors/EkctriciansfPlumbers.
ro BE FILED WICI°11'IDE MB NI I rl'ING Atrl'HORIT't'.
Aonlicaut I tiforilLitilio Please Print Leeiblv
Name i Li usiae-,..tirgarlizattoit'nth\idual r: Valley Solar LLC
Addtc:-..: 116 Pleasant St Suite 321
City/State/Zip: Easthampton, MA 01027 Phone#:413-584-8844
Are)111I an employer?tlisvk the appropriate bat: I pe of project(required):
Fan,a c mphay es with 30 employees tfall andkir part-timet.• 7. El !Ve%8 COnistrUction
'21:3 I am a mk proprietor or Furincrihip and hill!:no employees working for rillW In g. 0 Remodeling
any L-aisseity,[No workers;camp.inisorance is:stoned"
9. 0 Demolition
3E11 sin a homeowner doing all imirk myself[No morkiNN'comp,nriorance reetuarni y
10 0 Building addition
4..C3 i 49M a lturneouncr and Will be haute o.intractors to conduct ail%lick on my property, 1 will
ensure that all inntracturs either!lace norlicts'compensation'insurance iii are wile 110 Electrical repairs or additions
propritior,a ali no employees,
i 2.0 Plumbing repairs or additions
5E3 I am a ernigal contractor and I base hued the soli-euntractori hided on the mut-lied sheet
3.EIThese sub-contractors how eirtployei and hee im s wutkris`comp. uninee. I Root repairs:
14.s''- Other Solar
6.0 wr are a eirrporatain and its officers Ituive eittamsed then right of exemption per MGL 4.7....
151 t,iiii).and sse Kase no empluyeet.[No workers'....amp.insist-awe to4uiredl
An applicant that chills boa.a 1 ii11-0,.air,.1 titl oLl iiw wctitm below shoo.ing their*oilers compensation pill icy information
+linericoomicts who suirmil this attoko ii indicating they are doing all work and then hire outside eintinictori mint submit a new affidavit indicating,.n...1-.
1Cotaractori that check this box most attached an••',aiablitinaj altixt,boa ins dr.:name of Lilt:sub-euntractori Lull Aare et hillier or not thew entities
ciripio, L',.--. I I t be sch-eontrctiiis 11,4.,,,,..:-.mph., ,eb tit r 1
},, , t:V aki,i MO,1,1.:ill.:ir ',,,orter,",:,!Irip pi_ik y IlLittliV r
I am an employer that is providing workers'comivnsation insurance for my employees. Below is the policy and job site
information.
insurance company Name: Continental Indemnity/AUW
___
Policy#or Self-ins.Lic.#: 376140840101 Expiration Date. 09/01/2023
-ask
Job Site Address: 26 Vernon Street ciry,stalezip: Northampton, MA 01060
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as requited under MOL e. 152, §25A is a criminal violation punishable by a fine up to$1,500.00
ioukor 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 Lif this ,ii[anent may be forwarded to the Office of Investigations of the DIA fir insurance
ctiver..,,ie\crili..::1.7. t.
I do hereby certify under the pains and penalties of perjury that the information provide.]ahoy,'I\ trite till rl correct.
Signann,. f)ce-t4, ,P Avi- /-, ,a-ez Date: 7/18/23
Phone t: 413-584-8844
' Official itse on Ir. Do not write in this area,to be completed by city or town Vicki,.
City or Town: Permit/License
Issuing Authority(circle one):
I. Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
( tonlaCt Person: Phone#: