29-351 BP-2024-1080
40 AUSTIN CIR COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
29-351-001 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-2024-1080 PERMISSION IS HEREBY GRANTED TO:
Project# 2024 SOLAR Contractor: License:
NORTHEAST SOLAR DESIGN
Est.Cost: 13585 ASSOCIATES LLC 1061 13
Const.Class: Exp.Date:06/07/2025
Use Group: Owner: BUSHEY RONALD J&LOUISA A TRUSTEES
Lot Size (sq.ft.)
Zoning: WSP Applicant: NORTHEAST SOLAR DESIGN ASSOCIATES LLC
Applicant Address Phone: insurance:
136 Elm St 4132476045 WCC334761 A
HATFIELD, MA 01038
ISSUED ON: 08/26/2024
TO PERFORM THE FOLLOWING WORK:
INSTALL 10 PANEL 4.2 KW ROOF MOUNT SOLAR SYSTEM (RAFTER MOUNT, NO STRUCTURAL OR 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: ///72.
Fees Paid: $125.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
The Commonwealth of Massachusetts FOR
Board of Building' Regulations and Standards
??1) MUNICIPALITY
4 Massachusetts State Building Code, 780 CMR USE
Building Permit Application To Construct,Repair, Renovate Or Demolish a Revised Mar 2011
One-or Two-Family Dwelling
A This Section For Official Use Only
Building Permit Number/3P-2.024-/O?D Date Applied:
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
40 Austin Cir Z9-35/' 001
1.la Is this an accepted street?yes X no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
(.J5P . 3/2czcy�
Zoning District Proposed Use Lot Area r,y i 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:
Zone: _ Outside Flood Zone?
Public 0 Private 0 Check if yes❑ Municipal 0 On site disposal system 0
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner`of Record:
Ron Bushey Florence MA 01062
Name(Print) City,State,ZIP
40 Austin Cir (413) 588-2184 rjbushey@comcast.net
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) ❑ Alteration(s) ❑ Addition ❑
Demolition 0 Accessory Bldg. 0 Number of Units Other KJ Specify: Solar
Brief Description of Proposed Work2: Install 10 solar panels on Roof of ft o
Li.2V.W
SECTION 4:ESTIMATED CONSTRUCTION COSTS
(tern Official Costs: Official Use Only
(Labor and Materials)
1. Building S I. Building Permit Fee: $ Indicate how fee is determined:
0 Standard City/Town Application Fee
2. Electrical 0 Total Project Cost'(Item 6)x multiplier x
3. Plumbing S 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5. Mechanical (Fire
Suppression) a Total All Fees: fig
Check No?y085Check Amountl2'`Cash Amount:
6. Total Project Cost: S Si 3.585 ❑ Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) CS-10 6113 6/7/25
Phillip Baunsgard License Number Expiration Date
Name of CST-Holder
41 Heath Rd List CS!.Type(see below) U
No and Street Type Description
Colrain, Ma 01340 U Unrestricted(Buildings up to 35,000 cu. It.)
R Restricted l&2 Family Dwelling
vu, Su.,,te IIF' M Masonry
RC Rooting Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
413-247-6045 phil@northeast-solar.com I Insulation
Telephone Email address D Demolition _
5.2 Registered Home Improvement Contractor(HIC) 16 9 6 41 _ 7/13/25
Northeast Solar IfIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
136 Elm St. Permitting@northeast-solar.com
No.and Street Entail address
Hatfield. Ma. 01038 413-247-6045
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. Fai hire 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 Northeast Solar
to act on t y behalf, in all matters relative to work authorized by this building permit application.
.�. 7/a�layL
Print Owner's Name(Electronic Siunatur Date
SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below. I hereby attest under the pains and penalties of peri hat all of the information
contained in this application is true and accurate to the best o my knowledge d tderstanding.
w,t�► 9/141/21 •
Print Owt er's or Authorized it s Nan ( . ctronic Si_ a rej i 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
'AAA mass 14o1 oc:t Information on the Construction Supervisor License can be found at 1++% _ 11:s_> dy3
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
Massachus.tts
DEFAAMBMWP OF BUILDING INsPS.'TIONt>
,...1114e 212 Nair. Street • Mtuucip t1 Biuldiri ._ , ,:-
.. Northaapton, MA 01060 tv
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMO:+LITION AND RENC ATION PROJECT$
In accordance of the provisions of MGL c 40, 554, 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 f n: Northeast Solar Dumpster
136 Elm St, Hatfield Ma 01038
Location of Facility _ _
The debris .�vill be transported by• Northeast Solar Crew
Name of Hauler USA Recycling Hauls NES Dumpster
Signature of App L ar ____ ate _e7( ,)/2i