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38A-017 (3) 7 RUST AVE BP-2020-0963 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38A-017 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 SYSTEM BUILDING PERMIT Permit# BP-2020-0963 Project# JS-2020-001641 Est.Cost: $21000.00 Fee:$75.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: SUNBUG SOLAR 109144 Lot Size(sq. ft.): 4443.12 Owner: COLSON RICHARD Zoning: URB(100)/ Applicant: SUNBUG SOLAR AT: 7 RUST AVE Applicant Address: Phone: Insitrance: 411A HIGHLAND AVE (413) 884-1000 O WC SOMERVILLEMA02144 ISSUED ON:2/26/2020 0:00:00 TO PERFORM THE FOLLOWING WORK:6KW SOLAR ON ROOF - 20 PANELS 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: 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 2/26/2020 0:00:00 $75.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner DocuSign Envelope ID: 10520068-EF6A-40AB-8849-1F3DA2D 9DFD Department use only i -,� ... City of North mpt n I, uofPerrit: AI Building De artm nt FFB 7Ser/Se ut/D veway Permit ^ 212 Mai Stre t 2 6 20 is Availabili#y Roo 10®Fp � W Il AvailabilitNorthampton, 4� �[p„Vof Structural Plans phone 413-587-1240 Fax 413- ��� pFCT,o Plans o'obo Other pe_ity APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office Map -- Lot OC-7 Unit 7 Rust Ave, Northampton, MA 01060 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Rick Colson 15 Laurel St, Northampton, MA 01060 Name(Print) Current Mailing Address: Dees;9"Id bl: 617-413-5343 K& 1//,0Lsm" Telephone 1SigP8tUEe?72DD407 2.2 Authorized Agent: Aaron Simms-SunBug Solar 66 Westfield Ind Park Rd,Westfield, MA 01085 (N'aar'rdocT,signV, by: Current Mailing Address: 413-884-1000 � d'saiss�nasa Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 6,000 (a)Building Permit Fee 2. Electrical 15,000 (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) �� 5. Fire Protection 6. Total= (1 +2 +3+4 +5) 21,000 1 Check Number This Section For Official Use Only Building Permit Number: ��" ol(/ T1 3 Date / Issued: Signature: Building Commissioner/Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) DocuSign Envelope ID:10520068-EF6A-40AB-8849-1F3DA2D59DFD Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be tilled in by Building Department Lot Size Frontage , . . Setbacks Front Side L:' R: L: R: Rear Building Height Bldg. Square Footage Open Space Footage (Lot arca minus bldg&paved parking) #of Parking Spaces - Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW U YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW YES 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW (�) YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 Date Issued: C. Do any signs exist on the property? YES 0 NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO 1F YES, describe size, type and location: E. Will the construction activity disturb(clearing, grading, excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. DocuSign Envelope ID: 10520068-EF6A-40AB-8849-1F3DA2D59DFD SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition Q Replacement Windows Alteration(s) Roofing Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding [0] Other[dJ Solar Brief Description of Proposed Install 6 kW solar on roof,per attached documents.20 panels Work: Alteration of existing bedroom Yes X No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes x No Plans Attached Roll -Sheet aa.If New house and or addition to existing housing, complete the following: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft.of wetlands? Yes No. Is construction within 100 yr. floodplain Yes__No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, Rick Colson as Owner of the subject property SunBug Solar hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. S�D Signed by: K I b�Sbin 1/17/2020 igyya��r�g�yvner Date I, SunBug Solar 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. Aaron Simms P WiliWed by: q 1/17/2020 titxy'Al.. �IIMtMS �ytt o gr/Agent Date DocuSign Envelope ID: 10520068-EF6A-40AB-8849-1 F3DA2D59DFD SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Aaron Simms License Number 66 Westfield Ind Park Rd, Westfield, MA 01085 CS-109144 (Adc'62 ussigned by: Expiration Date 1J( WS 07/21/21 WW%31957A438_ Telephone 413-884-1000 9. Registered Home Improvement Contractor: Not Applicable ❑ SunBug Solar, LLC Company Name Registration Number 411A Highland Ave,St 312 163091 Address Expiration Date Somerville MA 02144 Telephone 413-884-1000 05/10/21 SECTION 10-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...... ❑ DocuSign Envelope ID: 10520068-EF6A-40AB-8849-1 F3DA2D59DFD W City of Northampton Massachusetts h e - DEPARTMENT OF BUILDING INSPECTIONS x 212 Main Street •Municipal Building Northampton, MA 01060 Debris 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. The debris from construction work being performed at: 7 Rust Ave, Northampton, MA 01060 (Please print house number and street name) Is to be disposed of at: 66 Westfield Ind Park Rd,Westfield, MA 01085 (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) DocuSigned by: 1/17/2020 RatWrlg5o#3Permit Applicant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed.