31A-201 BP-2024-1380
40 WASHINGTON AVE COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
31 A-201-001 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-2024-1380 PERMISSION IS HEREBY GRANTED TO:
Project# 2024 SOLAR Contractor: License:
NORTHEAST SOLAR DESIGN
Est.Cost: 25817 ASSOCIATES LLC 106113
Const.Class: Exp.Date:06/07/2025
Use Group: Owner: GIRARD,WILLIAM M.&DOHERTY, BLAKE E.
Lot Size(sq.ft.)
Zoning: URB Applicant: NORTHEAST SOLAR DESIGN ASSOCIATES LLC
Applicant Address Phone: Insurance:
136 Elm St 4132476045 WCC334761A
HATFIELD, MA 01038
ISSUED ON: 10/22/2024
TO PERFORM THE FOLLOWING WORK:
INSTALL 21 PANEL 8.82 KW ROOF MOUNT SOLAR SYSTEM WITH STRUCTURAL UPGRADES (RAFTER ATTACHED,
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:
(:as: 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: 72_
Fees Paid: $125.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
Docusign Envelope ID:86AF2B24-8271-4BEA-A7AC-800FF21D3C7E
The Commonwealth of Massachus tts E C E I,V E J OR
.+ . Board of Building Regulations and S dargs —
'., Massachusetts State Building Code, 78 C R UN IPALITY
OCT 1 8 024 USE
Building Permit Application To Construct, Repair, R nov4tc Or Demolish a evis d Mar 2011
One-or Two-Family Dwellin ((
This Section For Official U On>"f PNORT OF BUILDING INSPECTIONS
HA4AnTrw.VA piOIX)
Building Permit Number: ,/3' A c1"I37U Date Applied:
;i'�iL" / /elia gc%- /e)-21-2 y
Building Official(Print Name) ignature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
40 Washington Ave Apt 1
1.1 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:
Bill Girard Northampton MA 01060
Name(Print) City,State. /IP
40 Washington Ave Apt 1 815-370-4244 billgirard@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) ❑ Addition 0
Demolition 0 Accessory Bldg. ❑ Number of Units Other jp Specify: Solar
Brief Description of Proposed Work'-: Install 21 solar panels on Roof d +to...t.r
(�avo4) .021‘-W
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ 1. 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 Fee :, 1, _ /
Check No. J 'check Amount: �J Cash Amount:
6. Total Project Cost: S $25,817 0 Paid in Full 0 Outstanding Balance Due:
Docusign Envelope ID:86AF2B24-8271-4BEA-A7AC-800FF21 D3C7E
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) Cs-10 6113 6/7/25
Phillip Baunsgard License Number Expiration Date
Name of CSL Holder
41 Heath Rd List CSL Type(see below) U
No.and Street Type Description
Coir Ma 01340 U Unrestricted(Buildings up to 35,000 cu. ft.)
�.<� n tit.�t ill' Restricted I&2 Family Dwelling
Masonry
RC Roofing 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) 169641 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 Em:iil 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. 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
1
i,as Owner of the subject property, hereby authorize Northeast Solar
to act on my behalf, in a relative to work authorized by this building permit application.
Mitt* Givort. 44111111B
8/27/2024
Print Owner's Name(I:r'eerei41IPS°rilatre) Date
SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION
By entering my name below, I hereby attest under the pains and penalties of p► ' try that all of the information
contained in this application is trite urate to the b-t of my knowled- id nderstanding.
q#Ii I
trot
10/1 (Zif
Print Ow r r s or Authori Agent' a :lectrom L ,. .tuft.) " v Date
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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"
Docusign Envelope ID:5029A45D-DD7B-4ACC-8B08-E4BA3FF72C04
City of Northampton
Massachusetts /.°1
A 1 DEPARTMENT OF BUILDING "INSPECTIONS
ti
e • r 212 Main Street • Municipal Building ,�
i Northampton, MA 01060 ^a
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
110/(o( q
Signature of A licant• Date:
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