31A-311 BP-2023-1067
107 VERNON ST COMMONWEALTH OF MldSSACHUSETTS
Map:Block:Lot:
31A-311-001 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-2023-1067 PERMISSION S HEREBY GRANTED TO:
Project# 2023 SOLAR Contractor: License:
PIONEER VALLEY
Est. Cost: 39497 PHOTOVOLTAICS CS106329
Const.Class: Exp.Date: 03/14/2024
Use Group: Owner: ROCK LL LINDSAY
Lot Size (sq.ft.)
Zoning: URA Applicant: PIONEE VALLEY PHOTOVOLTAICS
Applicant Address Phone: ' Insurance:
311 WELLS ST - SUITE B (413)772-8788 375928710105
GREENFIELD, MA 01301
ISSUED ON: 08/10/2023
TO PERFORM THE FOLLOWING WORK:
INSTALL 28 PANEL 11.34 KW ROOF MOUNT SOLAR SYSTEM ON HOUSE DETACHED GARAGE (NO STRUCTURAL
NO BATTERY)
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 NOR' HAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
• r , 9 + '1 •
Fees Paid: $75.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissii'ner
The Commonwealth of Massa huse �'�� FOR
Board of Building Regulations an Sta
Massachusetts State Building Co , 78 CMR M ICIPALITY
USE
Building Permit Application To Construct,Repa r,Re ovNeeprIrrip�ish a Re 'sed Mar 2011
One-or Two-Family Dw 'ling CCUU��
This Section For Offici 1 Us crT
Building Permit Number: // Date A • : NORTH UILDING INSPECTIONS
��►►N t l/ ,� - . _ 6-0 ZOZ3
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
107 Vernon St,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:
Lindsay Rockwell Northampton,MA 01060
Name(Print) City,State,ZIP
107 Vernon St. 413-326-6757 emonrock@mac.com
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 El Specify:Solar PV
Brief Description of Proposed Work2:Installation of a 28 panel roof mounted PV array.System Size 11.34kW DC!7.6kW AC.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated,Costs: Official Use Only
(Labor and Materials)
1.Building $13,823.95 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $25,613.05 ❑Standard City/Town Application Fee
❑Total Project Cost(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees: $
Check No.11.f 06 j Check Amount: Cash Amount:
6. Total Project Cost: $39,497 ❑Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
CS-106329 03/14/2024
MAYA FULFORD. License Number Expiration Date
Name of CSL Holder
tr^ - r; A List CSL Type(see below) U
159 CLARK DRIVE
No.and Street Type Description
GUILFORD VT 05301 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
413-772-8788 BUILDINGPERMITS@PVSQUARED.COOP I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
140077 9/15/2023
PIONEER VALLEY PHOTOVOLTAICS COOP
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
311 WELLS STREET.SUITE B BUILDINGPERMITS@PVSOUARED.COOP
No.and Street Email address
GREENFIELD MA 01301 413-772-8788
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 p No 0
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 Pioneer Valley Photovoltaics Coopertive
to act on my behalf,in all matters relative to work authorized by this building permit application.
SEE ATTACHMENT (A) SEE ATTACHMENT(A)
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.
1QC--1
8/8/2023
'
Print Owner's or Auth or ed 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,fmished 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"
DocuSign Envelope ID:36326C6E-4E72-412E-BE40-CB1 DD2753F33
Attachment A:
AUTHORIZATION TO PROCEED AND SERVE AS AUTHORIZED AGENT
I hereby agree to the Project as set out above, and I agree to pay the contract price according to the Terms of
Payment. I further agree to the Terms and Conditions attached hereto as a part of this Proposal and
Agreement. I hereby authorize Pioneer Valley PhotoVoltaics Cooperative to proceed with the above-referenced
Project in accordance with this Agreement. I further authorize Pioneer Valley PhotoVoltaics Cooperative, or its
designated representative, to obtain required permits for this project on behalf of the Owner. I will allow any
photographs or videos of this project to be used by Pioneer Valley PhotoVoltaics Cooperative for marketing
purposes. A check for the First Payment is enclosed and I am returning this Agreement within 14 days of the
Proposal date.
Lindsay Rockwell 7/10/2023 I 9:53 AM PDT
Printed Name Date
r—DocuSigned by: I f
U4,5 P CLWdL System Owner
�3597486C 79642F_.
Signature Title
Proposal and Agreement#00017875 Page 7 of 13
Lindsay Rockwell and Ami Ladd-May 26,2023
City of Northampton 212 Main Street, Northampton, MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined by MGL c 111 , S 150A.
Address of the work: 107 Vernon St, Northampton, MA 01060
The debris will be transported by: Pioneer Valley Photovoltaics, LLC.
The debris will be received by: WTE Recycling, Inc., 75 Southern Ave., Greenfield, MA 01301
Building permit number:
Name of Permit Applicant Rebecca Spradley (PV Squared)
8/8/2023 Rebecca Spradley
Date Signature of Permit Applicant