22D-067 BP-2024-1300
121 FLORENCE RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
22D-067-001 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-2024-1300 PERMISSION IS HEREBY GRANTED TO:
Project# 2024 SOLAR Contractor: License:
NORTHEAST SOLAR DESIGN
Est. Cost: 43267 ASSOCIATES LLC 106113
Const.Class: Exp.Date: 06/07/2025
Use Group: Owner: MORIN MARLENE A
Lot Size (sq.ft.)
Zoning: WSP Applicant: NORTHEAST SOLAR DESIGN ASSOCIATES LLC
Applicant Address Phone: jnsurance:
136 Elm St 4132476045 WCC334761 A
HATFIELD, MA 01038
ISSUED ON: 10/10/2024
TO PERFORM THE FOLLOWING WORK:
INSTALL 24 PANEL 10.08 GROUND MOUNT SOLAR SYSTEM AT BACK OF PROPERTY (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:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: 1/4.2.
Fees Paid: S125.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
z. Or:
File #BP-2024-1300 PWuW
APPLICANT/CONTACT PERSON:NORTHEAST SOLAR DESIGN ASSOCIATES LLC
136 Elm St HATFIELD, MA 01038 4132476045
PROPERTY LOCATION 121 FLORENCE RD
MAP:LOT 22D-067-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $125.00
Type of Construction: INSTALL 24 PANEL 10.08 GROUND MOUNT SOLAR SYSTEM AT BACK OF
PROPERTY (NO BATTERY)
New Construction
Non Structural Renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
Driveway Grade%
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION
PRESL/ ENDED:
Approved Additional permits required(see below) For all projects that need additional reviews 0+'=}k;E
as checked below,please see the Office of Planning& Sustainability Permit page or scan here -;.t
PLANNING BOARD PERMIT REQUIRED UNDER:§
•:
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demolition Delay
ID-ID -ZO zb
Signature of Building Official Date
Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all
required permits from Board of Health,Conservation Commission. Department of public works and other applicable permit
granting authorities.
*Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&
Development for more information.
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�, The Commonwealth of Massachuse is r'
_ ,`* Board of Building Regulations and S -ndars s R
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Massachusetts State Building Code, 80 C' R �'T 3
Building Permit Application To Construct, Repair, ' - otaityF! Demolis4 i R iced ar 2011
One-or Two-Family Dwelling °g74,41q�,i4�i
This Section For Official Use Only °N ^4so
Buildin Permit Number: g�a ��� ��T
�( (�vOZ3 Date Applied: °'�y;°Ns
C—ti'l4) KI, // fib' 16-Z02I(
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers'
121 Florence Rd Apt 1 - •d `0 7
1.l 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:
Marlene Morin Florence MA 01062
Name(Print) City,State,ZIP
121 Florence Rd Apt 1 (413) 586-9886 attorneymarlenemorin@yahoo.
No. and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORIC2(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 jai Specify: Solar
Brief Description of Proposed Work2: Install 24 ground-mounted solar panels 1O,COW
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
l. Building $ I. Building Permit Fee: $_ Indicate how fee is determined:
2. Electrical $ ❑ 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 Fees: $ (y
Check Nob l I 1lheck Amount: 12'7 Cash Amount:
6. Total Project Cost: $ $43,267 ❑ Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) CS-106113 6/7/25
Phillip Baunsgard License Number Expiration Date
NamC of CST.Holder
41 Heath Rd List CSL Type(see below) U
No.and Street Type Description
Colrain, Ma 01340 U Unrestricted(Buildings up to 35,000 cu. R.)
R Restricted l&2 Family Dwelling
4nlP
M Masonry
RC Rooting Covering --
WS Window and Siding
SF Solid Fuel Burning Appliances
413-247-6045 phi►@north st—solar.coltt 1 Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 169 6 41 7/13/25
Northeast Solar HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
136 Elm St. Permitting@northeast-solar.com
No.and Street Email address
Hatfield, Ma. 01038 413-247-6045
Cityfrown,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 IN No 0
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1
I,as Owner of the subject property, hereby authorize Northeast Solar
to act on m eh' f in all afters relati a to ork authorized by this building permit application. .
411111. Cy,. 5-.
Print Owner's Name(1?lectranic Signature) Date I
SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION
By entering my name below, I hereby attest under the pains and penalties of per' that all of the information
ntained in th. application is true a irate to tl a best my knowtedg tderstanding.
/Ai () ,
q73,r/2z-i
PrintOw1,1 , 'i Aiitlt,,rV40 A_cio ‘ •i ! ,,'non 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
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• t . ' 40
DEPARTMENT OF BUILDING ZN.SPECTIUN:i
212 Main Street • Municipal Buildlnq
•
,,._. Northampton, MA 01060
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: Northeast Solar Dumpster
136 Elm St, Hatfield Ma 01038
Location of Facility:
The debris will be transported by: Northeast Solar Crew
Name of Hauler USA Recycling Hauls NES Dumpster
•
Signature of Appli nt __ ate %