42-089 (28) 170 GLENDALE RD-LANDFILL BP-2017-0690
GIS 4: COMMONWEALTH OF MASSACHUSETTS
Map:Block:42-089 CITY OF NORTHAMPTON
Lot-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:SOLAR ELECTRIC SYSTFM BUILDING PERMIT
Permit 4 BP-2017-0690
Project 4 JS-2017-000779
Fst.Cost: 5372978.00
Fee:$0.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: AMEC FOSTER WHEELER 41492
Lot Size(sq,R.): 2265120.00 Owner: NORTHAMPTON CITY OF
Zoning: Applicant: AMEC FOSTER WHEELER
AT: 170 GLENDALE RD - LANDFILL
Applicant Address: Phone: Insurance:
271 MILL RD WC
CHELMSFORDMA01824 ISSUED ON:II/17/2016 0:00:00
TO PERFORM THE FOLLOWING WORKSOLAR FIELD
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector f Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department 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.
Certificate of Occupancy signature:
FeeType: Date Paid: Amount:
Building 11/17x20160:00:00 50.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
IC Version l.7 Coimnercfnl Building Permit May 15.2000
• �'. Department use only
/ City of Northampton Status of Permit:
Q 1 Building Department Curb Cut/Driveway Permit -
' 212 Main Street Sewer/Septic Availability
Room 1O0 Wafer/Welt Availability
Northampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 PlottSlte Plans
_ ' Other Specify
APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: I'� This section to be completed by office
170 &L pALE- tn�-D . Map Lot Unit
FI-OCC& ,e / /Irk O/ V/i/+ Zone Overlay District
- ---- Vj --- - W -- Elm St.District CBDistdct
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Gc . AMCW,60 fli SA ^3 sT RZA✓b.iCH14t4 MA bile
Name( +aA.Ci�nrn.- Current Mailing Address
4.1 C‘., X10 SaEE11j
Signature .�-f;G Tel il
2.2 Authorized Agent:
—WC ° r c t 30! AL A J tactb ^�t ,,,,,,,,‘,L,". /pA t 1K2 Y
Name(Print) Current Mailing Address
a' tie CD6.0 IL
Signature _ �' Telephone
SECTION d-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit app(rcant _. _.-.
1. Building & Zt ei ?•N cro (a) Building Permit Fee
2. Electrical -- l�n DD (b)Estimated Total Cost of
N{'f Construction from(61 -_
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection - ,. . :rY
6. Total=(1 +2+3+4+5) 2i T-> Ci f3 . Check Number ( .
This Section For Official Use Only
Bonding Permit Number Date
/,,yy �-. // f Issued
Signatu - //—/7/"
B • • ommiss mer/Inspector of Buildings Date // iVC
Vermont 7 Commercial Budding Permit May 15,2000
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35.000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations 0 Existing Wall Signs 0 Demolition❑ Repairs Q Additions 0 Accessory B�uilding❑
t
Exterior Alteration 0 Existing Ground Sign❑ New Signs 0 Roofing Change of Use❑ Other Y
Brief Description Enter a brief description here. Mp
Of Proposed Work: , St t FIii5
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 0 A-2 0 A-3 ❑ 1A 0
A-4 0 A-5 0 18 0
B Business 0 2A ❑
E Educational 0 2B 0
F Factory 0 F-1 0 F-2 0 ....... 2C 0
H h Hazard 0 t 3A 0
I Instaut1onal ❑ 1.1 0 1-2 0 1.3 0 39 •
M Mercantile 0 4 I 0
R Residential 0 R-1 0 R-2 0 R3 0 SA 0
S Storage 0 S-I 0 5-2 ❑ L 58 0
U Uti0ty ❑ Specify; j
M Mixed Use ❑ Specify
S Special Use to. Specify. iTtoria.,
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE
Existing Use Group: N I-k.. Proposed Use Group _ u j
Existing Hazard index 780 CMR 34)- _ __ __ Proposed Hazard Index 780 CMR 341
{_. _.
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area ger Floor(sfj N1 N14
2r4 2�a ._
3 _... .. _.. 3m
4th _._ .... . 4m
Total Area(sf) Total Proposed New Oonstruction(sf)
Total Height(ft) _
_ - Total Heights
7.Water Supply(M.G.L. c.40,§54) J 7.1 Flood Zone Information: Ti Sewage Disposal System: eJ/4-
Public ❑ Private 0 "'/�" Zone_ Outside Flood Zone)," Municipal 0 On site disposal system
Version] 7 Commercial Budding Permit May 15.2000
8. NORTHAMPTON ZONING
Existing Proposed I Required by Zoning
This
uisdiog Dep menaby
column
n to be filled
t
Lot Size Ap tt' c ZaAS
Frontage
Setbacks Front
Side L R _... L _ R
Rear
Building Height Cid- — 401
Bldg. Square Footage M19. ^/u .fit '. —u
Open Space Footage
It area mirnrs bldg&paved M1)/4 Pi/.
parking)
If of Panting Spaces NM 9 N/4
Fdl NJ�f d 1‘/FLl
,(volume&Loraron) . _. (!`I
A, Has aSp^�ecial Permit/Variance/Finding ever been issued for/on the site?
NO 0 DON'T KNOW YES Q
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO Q DON'T KNOWS YES 0
IF YES: enter Book Page and/or Document#
8. Does the site contain a brook, body of water or wetlands? NO (231.
DONT KNOW Q YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained Q , Date Issued:
C. Do any signs exist on the property? YES Q NO sx51
IF YES, describe size, type and location-
D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO e
IF YES, describe size, type and location:
E Wilt the construction activity disturb(clearing,grading,excaa ion,or filling)over I acre or is it part of a Common plan
that will disturb overt acre, YES Q NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Verionl 7 Commercial Building Per=May 15,2000
SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO
CONSTRUCTION CONTROL PURSUANT TO 780 CMR 176(CONTAINING MORE THAN 35,000 G.F.OF ENCLOSED SPACE)
9.1 Registered Architect
Not Applicable
Name{Registrant}:
Registration Number
Address
..._. _ Expiratior Date
Signature Telephone
9.2 Registered Professional Engineerls):
Name Area of Responsibility
211 MILL 2oA) £HEtt-1\ , betk Gtt6Z _. gIN`i. _
Address Reg stration Number
S456. RZ .gdfa
Signature telephone Expiration Date
Cor.,SrEocirto1 G. Cv -ov? __. --_. __ )z f..fecriuut'(,...___.
Name Area of Responsibility
U W= EA-0 CAL -r e.,_svti—CA _Hrr. €7 CL, 4 /49 9
Address Regtstratbe Number
1.2i .ZS3. r2.ZI
Signature Telephone Expiration Dare
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name .. . . ._ _.. __. Area of Responsb Uty ......
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
Company Name:
Responsible In Charge of Construction
Set Au‘r4 ..tcwb r� (e).41401-1-QCiLC-N _P%. 19qZ cc-
Address
.7SDK et)[
Signature Telephone ,,
Tire Commonwealth of Massachusetts
=fit_ Department of Industrial Accidents
Office of Investigations
—oma 600 Washington Street P i4)
_ Boston,M114 02111 n 1
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Leuibly
Name(Bcsness/Qganization4ndividua;):
Address:
City/State/Zip: Phone#:
Are you an employer? Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I
employees(full and(or part-time).* hired ted the sub-contractors 6. ❑New consruction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. E Remodeling
ship and have no employees These sub-contractors have g, ❑ Demolition
working for me in any capacity. employees and have workers' 9. U Building addition
[No workers' comp. insurance comp. insurance.t
required.] 5. ❑ We are a corporation and its 10.1 ]Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 1I.❑Plumbing repairs or additions •
myself. [No workers' comp. right of exemption per MOL 12.0 Roof repairs
insurance required.] t c. 152, §1(4),and we have no
employees. [No workers' 13.❑ Other_
comp. insurance required.]
`Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy inormaeon.
'Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
1iConractors that check this box must attached an additional sheet showing the nave of the sub-contractors and state whether or not those en tides have
employees. if the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job she
information.
Insurance Company Name:
Policy#or Self-ins.Lic. #: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to 5250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification,
Ido hereby certify under the pains and penalties of perjury that the information provided above is true and correct
Signature: Date:
Phone#:
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/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#:
•
Versionl 7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes O No.R_J
SECTION 11 -OWNER AUTHORIZATION -TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
,as Owner of the subject property
rz
hereby authorize M.(<,-C..kgrJ 15r CC _._ _ __. __.. to
act on my behalf,in all matters relative to work authorized by this building permit application
ilf oz Zone
Signature•fr4wner Date
ANGtzSCd __.. _._. ._.. ___.. .._. ,as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
�`rc ALA ft-40
Print Name
_ //sDia, Z /6
Signature Owner/Agent Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable pc
Name of License Holder �. -_
License Number
Address Expiration Date
Signature Telephone
SECTION 13-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 ilding permit.
Signed Affidavit Attached Yes No C
City of Northampton 212 Main Street, Northampton, MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined by MGL c 111 , S 150A.
Address of the work:
The debris will be transported by:
The debris will be received by:
Building permit number:
Name of Permit Applicant
Date Signature of Permit Applicant
L7
LS& i`iC
L��
A4�OROe CERTIFICATE OF LIABILITY INSURANCE DATE MMIODYYMC
Lw--'-' 10/13/2016
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 a an ADDITIONAL INSURED,the policy(ies)must 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 Jennifer Eisenfluth
_NAMThe Sa£agard Group Inc we PHONE Enr (610)892-7688 tart,eat{6101802-7695 _.
100 Granite Drive, Suite 205 Anpaenhuth@safegardgroup.coe___
INSURER(S)AFFORDING COVERAGE , NMCII
Media PA 19063 esURER a:Zurich American Insurance Co. ' 16535
INSURED DNEURERa Federal Insurance Comment_ 20281
Miller eros. , a division of Wampol®-Millar Inc WBUNERO Great American Assurance Co. 'L2634A
301 Alan Wood General, LLC ,INSURER 0Gtart Indemnity & Liability Co. ': 38318
301 Alan Wood Road INSURER E:_
Conshohocken PA 19428 INSURER F:
COVERAGES CERTIFICATE NUMBER:2016-201T Master 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 OE SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR' TYPE OF INSURANCE ._ I- - - POLICY EPP ..POLICY EXP
LTRI INTO NNW PQLICY NUMBER IMMIDOIVYYYI".IMMIDOIYYYYI OMITS
X I COMMERCUL GENERAL LIABILITY 1,000,000
„-� 15 AGE OCCURRENCE F
lb-WAGE-to MISETO RENIT6"— 000,000
A CLAIMS-MACE X I OCCUR PREMISES fE meso,y I 5
_ GL00381722-01 7/1/2016 7/I/201] •MRD EXP(Any one peton) $ 10,000
X No XCU Exclusion
on Liability PERSONAL B ADV NJURY $ 1,000,000
GENT AGGREGATE LIMn APPLIES PER GENERAL AGGREGATE S 2,000,000
T-.i Pao- . ._� ..__ _.. _._
'POLICY EXT I JECT i X .LOC .PRODUCTS 60MP(OP AC-G E 7,004,000
OTHER S
•AUTOMOBILE LIABILITY L IiM &INEDt/SINGLE LIMIT •g 1,000,000
A XANY AUTO !I• HOMY INJURY(P person) S
ALL OVMEC nn SCHEDULED BAP038172i 01 121/2016 7/1/2017 SOOILYJUR (P demo S
X1
nurQa .NONJOxNED PROPERTY ORMAGF
X HIRED AUTOS x AUTOS sTP.X.mcdrID s
I X'' Comp De-3260 XICal Deo 5200 $
C EXCESS ABA, FXJ IExc410 SEM Starr SMEmor ]/1/2015 0/1/201] TEACH OCCURRENCE $ 30,1100,000
• _ OCCUR I EXC4100835 (Leat $5n1
D �X _ i I CLAIMS-MADEit AGGREGATE E 10,000,000,
DED I X tRETENTIONS I 1000022854 f 7/1/2016 L 1)1/2017 15
PER I diH-
:,Vi
WORKERS
LOYtftS'COMPENSATION
YIN'. .X I STATUTE 1 FR
I ANY PROPRIETOR/PARTNER/EXECUTIVE EL.EACH ACCIDENT S 1 000,000
IOFFICERMEMBEH EXCLUDED' I N !N/A •
A
/Mandatory In NMI WC0381721-01 7/1/2016 17/1/201] E.L DISEASE EA EMPLOYEES 1,000,000
r yes,aeamDe under
DESCRIPTION OF OPERATIONS below t If [E.L.DISEASE-POLICY LIMIT I,5 1,000,000
B -Inland Marina 1 669-1S-23 7/1/2016 - 7/1/2017 !DORFe(Ln 4,735,646
Contractors Equipment LeaseeSented Egmpmem 500,000
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACMRO 101,AddIonel kern/irks Schedule,may be ached II more space Is required)
Certificate issued as Evidence of Insurance.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Northampton, Massachusetts THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Department of Public Works ACCORDANCE WITH THE POLICY PROVISIONS.
125 Locust Street
Northampton, MA 01060 AUTHORIZEOREPRESENTARVE
1J Eisenhuth/ALR y �J ::. , I, c .-I C -
91988.2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
INS025nntem,
Initial Construction Control Document
Ai
To be submitted with the building permit application by a
Registered Design Professional
G for work per the 8th edition of the
Massachusetts State Building Code, 780 CMR, Section 107
Project Title: Northampton Landfill PV Date: November 16,2016
Property Address: 170 Glendale Road,Northampton, MA 01062
Project: Check(x)one or both as applicable: (X)New construction Existing Construction
Project description:New photovoltaic array will be installed on and existing landfill.
I Brandon C. Steacy MA Registration Number: 52656 Expiration date: 06/30/2018
,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,
computations and specifications concerning':
Architectural Structural Mechanical
Fire Protection (X)Electrical Other:
for the above named project and that to the best of my knowledge, information, and belief such plans,computations and
specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted
engineering practices for the proposed project. I understand and agree that I (or my designee)shall perform the necessary
professional services and be present on the construction site on a regular and periodic basis to:
I. Review, for conformance to this code and the design concept,shop drawings,samples and other submittals by the
contractor in accordance with the requirements of the construction documents.
2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and
quality of the work and to determine if the work is being performed in a manner consistent with the approved
construction documents and this code.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent
comments, in a form acceptable to the building official.
Upon completion of the work, I shall submit to the building official a`Final Construction Control Document'.
"This Initial Construction Control Document is for the medium voltage portion of the project. This does not cover the
low voltage design.
Enter in the space to the right a"wet"or it BRANDON C to
electronic signature and seal: Bim' a
ELECTRICAL
Phone number: 508-634-5300 Email: Brandon.steacy@cegconsulting.com 4, "' 016
Building Official Use Only
Building Official Name: Permit No.: Date:
Note I.Indicate with an'x'project design plans,computations and specifications that you prepared or directly supervised.❑`other'is chosen,
provide a description.
Version 06_11_2013