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31A-047
BP-2024-1114 249 CRESCENT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31A-047-001 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-2024-1114 PERMISSION IS HEREBY GRANTED TO: Project# 2024 SOLAR Contractor: License: PIONEER VALLEY Est.Cost: 44741 PHOTOVOLTAICS CS106329 Const.Class: Exp.Date:03/14/2026 Use Group: Owner: CHEN,HENRY& SKYLER TREAT Lot Size (sq.ft.) Zoning: URB Applicant: PIONEER VALLEY PHOTOVOLTAICS Applicant Address Phone: insurance: 311 WELLS ST - SUITE B (41 3)772-8788 6S62UBOW82800424 GREENFIELD, MA 01301 ISSUED ON: 08/29/2024 TO PERFORM THE FOLLOWING WORK: INSTALL 35 PANEL 14.875 KW ROOF MOUNT SOLAR SYSTEM (DECK ATTACHED, NO STRUCTURAL UPGRADES 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: if:7Z Fees Paid: $125.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner / if? c The Commonwealth of Massa huse is 4U6 2 9 r Board of Building Regulations a d S . Bards 2Q2� FOR Massachusetts State Building C. 7 at • M , ICIPALITY 'oqr Ugf), , USE Building Permit Application To Construct, Repair,Reno . :1Or6Yse,ir:• , Rz ised Mar 2011 One-or Two-Family Dwelling r410/o6070 Ns This Section For Official Use Only Building Permit Number: a p��—Y " 11 ILI Date Applied: 52'— --- Building Official(Print Name) ignature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 249 Crescent St.Northampton,MA 01060 1.1a 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 ycs❑ SECTION 2: PROPERTY OWNERSHIP1 2.1 Owner'of Record: Henry Chen Northampton,MA 01060 Name(Print) City,State,ZIP 249 Crescent St. (571)294-7617 henryechen@gmail.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 0 Specify:Solar PV Brief Description of Proposed Work2:Installation of a 35 panel roof mounted PV array.System size 14.875kW DC/10kW Ac. SECTION 4: ESTIMATED CONSTRUCTION COSTS ,t Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $15,659.35 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $29,081.65 ❑ 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• Sal �} v� Check Not N 1 Check Amount`.' t i Cash Amount: 6.Total Project Cost: $44,741 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-106329 03/142026 MAYA FULFORD License Number Expiration Date Name of CSL Holder - 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.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering_ WS Window and Siding SF Solid Fuel Burning Appliances 413-772-8788 BUILDINGPERMITS@PVSOUARED.COOP I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 140077 9/152025 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 MA01301 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 El 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 Pholovoltalcs Coopertive to act on my behalf,in all matters relative to work authorized by this building permit application. SEE ATTACHMENT (A) SEEATTACHMENT(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 laaccccurate to the best of my knowledge and understanding. 8/28/2024 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" 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. 1 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. 6 Ch6 Printed Na e Date Mo,v,e o e Signatr% Title Proposal and Agreement a 00018651 Page 7 of 13 Henry Chen-April 25,2024 ___-.....4 PVSQUAR-01 VCARRIER AC"ORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) ki....---- 1/17/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Valerie Carrier NAME: Whalen Insurance Agency PHONE FAX 71 King Street (ac,No,Ext):(413) 586-1000 104 � (A/C,No):(413)585-0401 Northampton,MA 01060 E-MAILDSS:valerie@Whalenlnsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Merchants Mutual Insurance Company ,23329 INSURED INSURER B: Pioneer Valley Photovoltaics Cooperative Inc. INSURER C: 311 Wells Street,Suite B INSURERD: Greenfield, MA 01301 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFFI POLICY EXP LIMITS LTR I)NSD .iA, (MM/OO/YYYY11(MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY li EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CTRI013322 1/1/2024 1/1/2025 DAMAGETORENTED 500,000 PREMISES IEa occurrence) $ MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 1 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY j 8-i LOC I PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: 8 A AUTOMOBILE LIABILITY : COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ ANY AUTO MCAI003353 1/1/2024 1/1/2025 BODILYINJURY(Perperson) $ OWNED X SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident), $ X AUTOS ONLY X AUTOS ONLYY IPerr acadent�AMAGE $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS-MADE CUPI005461 1/1/2024 1/1/2025 AGGREGATE $ 2,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate issued as evidence of coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Northampton Main tre ACCORDANCE WITH THE POLICY PROVISIONS. 21Northampton, MA 01060 AUTHORIZED REPRESENTATIVE 7A-- I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD