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42-148 BP-2023-1187 991 WESTHAMPTON RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 42-148-001 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-2023-1187 PERMISSION IS HEREBY GRANTED TO: Project# 2023 SOLAR Contractor: License: Est. Cost: 46116 VALLEY SOLAR LLC CSL115680 Const.Class: Exp.Date: 04/09/2025 Use Group: Owner: J MCCARTHY THOMAS F& LINDA Lot Size (sq.ft.) Zoning: WSP Applicant: VALLEY SOLAR LLC Applicant Address Phone: Insurance: 116 PLEASANT ST, SUITE 321 (413)584-8844 EXT 217 376140840101 EASTHAMPTON, MA 01027 ISSUED ON: 08/31/2023 TO PERFORM THE FOLLOWING WORK: INSTALL 30 PANEL 12.60 KW ROOF MOUNT SOLAR SYSTEM (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 NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: • aI • , . Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner Ac W The Commonwealth of Massac sett V Board of Building Regulations and tan rd uG IPALITY Massachusetts State Building Cod , 78 CM 3 02/22 USE Building Permit Application To Construct,Rep ir,R }0 Or DemoliW a Revi ed Mar 2011 One- or Two-Family Dwe 1 Nopi;8�zof This Section For Official Use Only 44Pr°N.MAocrie". Building ermit Number;,P-- .:.4. 6 — // g7 Date Applied: t=Uio--5 - Z 5 //? / < 13-3- -ZOr Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 991 Westhampton Road, Northampton, MA 01062 1.Ia 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: Thomas McCarthy Northampton, MA 01062 Name(Print) City, State,ZIP 991 Westhampton Road (413)575-4965 mccrthylnd@yahoo.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 g7 Specify: Solar Brief Description of Proposed Work': Installation of a 30-panel roof-mounted solar array. System size 12.600kW DC. SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $3,228 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $13,835 ❑ Standard City/Town Application Fee ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ �� Suppression) Total All Fee�j Check No.(19 I Check Amount: Cash Amount: 6. Total Project Cost: $46,116 0 Paid in Full 0 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 ��Jp 1; 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.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP '''' 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 .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 Valley Solar LLC to act on my behalf,in all matters relative to work authorized by this building permit application. eCo. 08/23/2023 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. P Edh:cz 3/23/23 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 Massachusetts 4.' !�� DEPARTMENT OF BUILDING INSPECTIONS — � �a �. ' •, 212 Main Street • Municipal Building S.' Northampton, MA 01060 5 NY' 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 Signature of Applicant: p � � Date: 8/23/23 The Commonwealth of Massachusetts Department of Industrial Accidents I congress Street,Suite 100 'it Stili Arr i. Boston, AIR 02114-2017 MM..mass.garidia Workers'Coniperisatiou Insurance A ffiii;,%itt BuildersiContractorsiElectricians/Plumbers. 1 i)BE i I I 1:0 Willi MI.PEkvti II LNG AtittIORITV. Applicant Information Please Print Legibly Name{Business,Orpnaza nom ludo,ulua K,.,Valley Solar LLC ....,.. Address: 116 Pleasant St Suite 321 City StateZip: Easthampton, MA 01027 Phone -, 413-584-8844 Ares itti erriplmtr?Cheek the=prawns=Ise i: -I a pe of projrci t reunited i 13 I am a catolo!,ta.WI ii, 30 rinaloyees iriat litaim parvtime).* 7. El New construlon 20 I am a Mk propneYir or paurierslop aral have no employee*%While fur me in 8. Ej Remodeling any=reeky..Nu we:km'*soup..inattuirwe requited" 0 Dtnnolition .ta lam 3 IttAil03Ateitet iltigag all lVfark mt)elf.[No wor*er*.coals.irentimme rextairedj' 1 0 ci Building addition 4.C3 I am a lamistowne and will be hiring emmactots to emitted all work on eity poverty, I wen ensure that all mearamon either lime weaker's'compensation in..411rant ate able I 1 0 Electri.cal repairs or additions proprietors with no tn.-phi:lives. 110 Plumbing.repairs or additions tam*amend tootnictor and I have hared the sub-contractors Listed on the=sale/1,410A 13.FIRoof repairs These mlytontractors have employee*said lame workers.=sm.Creurrance .1--.... 14.'ovi Other Solar 613 we area=met-mime=Its offset=have exercised theit habit of mempaosit pet IA61 e. 15:2;§1t41,ami we Mem no engsleyees.[No workers'comp insurance required.1. *Any applicant that checks ban 01 shiht altn)fill OLsi the.i.aucit tmlow showing Ebert workers`,..ampeasation is IL-. information, *tht.trumeeners who submit the affidavit insticanatig they are=mg all went and Is hoe outside conuacurra num'submit a nem atruttv a sralicaung sock kUrstractors that the the box Mkt attached=atisdalunal sheet showing the ViitIrte oldie tatlyeimtructors and mite'whether or not tts smithies lime mployees. Brix-sulyeommettes haVe ettioloyees,they must provide Mei workers"eeinp,poln4 nun'IN:t, ——, lam an employer that Li providing workers compensation ilti'litrittee for my employees. Ilelow is the polity and job site informathat insurame Company Nallit,, Continental Indemnity/AUW _ Policy#or self.trig,L . ,,. 376140840101 Expiration ry,,, 09/01/2023 Job sae Addres:991 Westhampton Road citystatc / ,Northampton, MA 01062 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Ftlilkirt to aeie tire coverage as required under VIOL c. 152,§25A is ll Crunitial violation punishable by a fine up to Si<500.00 andlor one-year imprisonment.as well as civil penalties in the font ola STOP WORK ORDER and a fine of up to 5250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the D[A for insurance coverage verification. I do hereby certify under the pain'.and penalties of/weft try that the information provided above ili true and correct. Sienature: /°Ce-t-24 A ' 43.11-G1.2eUG Date,.8/23/23 413-584-8844 "•i„ Official tre only, Do not ivrite in this area,to be completed by city or town official 1 ' City or Town: Pernilt/License# Issuing Authority(circle one): I. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: