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16A-020 603 FAIRWAY VLG BP-2020-1165 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 16A 020 CITY OF NORTHAMPTON Lot:-000 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-2020-1165 Proiect# JS-2020-001966 Est.Cost: $29909.00 Fee: $75.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: VALLEY SOLAR LLC 077279 Lot Size(ssy.ft.): Owner: QUINN KEVIN Zoning: URA(102)/WP(17)/WSP(]5)/ Applicant: VALLEY SOLAR LLC AT. 603 FAIRWAY VLG Applicant Address: Phone: Insurance: PO BOX 60627 (413) 584-8844 WC FLORENCEMA01062 ISSUED ON.512712020 0:00:00 TO PERFORM THE FOLLOWING WORK.-27 PANEL ROOF MOUNT SOLAR - 9.45KW 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 5/27/2020 0:00:00 $75.00 212 Main Street,Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner Department use only City of Northampton Status of Permit. Building Departmept / rb Cut/Driveway Permit 212 Main Stree e%Septic Availability Room 100 # i r/Well,Availability r Northampton, M 060 Tw Sets 6f Structural Plans phone 413-587-1240 FaxkB- -1272 P t/Site,Plans ther pecify APPLICATION TO CONSTRUCT, ALTER, REPAIR, REEMOILISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office Map _ Lot CZ,2-1) Unit 603 Fairway Village Leeds, MA 01053 Zone Overlay District Elm St. District CB District SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Kevin and Nancy Quinn 603 Fairway Village Leeds, MA 01053 Name(Print) Current Mailing Address. 413-250-7252 t.x Telephone Signature 2.2 Authorized Agent: Valley Solar LLC PO Box 60627, Florence, MA 01062 Name(Print) Current Mailing Address: 413-584-8844 Signature Telephone SECTION 3 -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 425 5. Fire Protection 6. Total= 0 +2 + 3+4 + 5) 29,909 Check Number This Section For Official Use Only BuildingPermit Number: „ /' " Date h �����(f Issued: (J 2L Signature: ro_*� A I !LA��ff Building Commissioner/Inspector of Buildings Date Ihasbrouck @ northamptonma.gov info@vaIIeysoIar.soIar EMAIL ADDRESS (REQUIRED; CONTRACTOR) Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning 'rhis column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R L: R: Rear Building Height Bldg. Square Footage °/o Open Space Footage % (Lot area 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 () DON'T KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DON'T KNOW 0 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 0 YES 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 Q NO 0 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 IF 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. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) —7EJ New House ❑ Addition EJReplacement Windows Alterations) Roofing Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [[] Siding [o] Other[X Solar Brief Description of Proposed Work: Installation of a 27 panel roof mounted Solar array. System Size 9.45kW DC Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. If New house and or addition to existina 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, Kevin and Nancy Quinn as Owner of the subject property hereby authorize Valley Solar LLC to act on my behalf, in all matters relative to work authorized by this building permit application. �. n - - 04/27/2020 Signature of Owner Date Valley Solar LLC as 44w;w/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. Steven Silverman Print Name tre n, 0— AAIV m.� 04/27/2020 Signature of Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Steven Silverman License Number PO BOX 60627 Florence MA 01062 CS-077279 Address Expiration Date _ X�Y1lvn, to 6/21/2020 Signature Telephone 413-584-8844 9.Registered Home Improvement Contractor: Not Applicable ❑ Company Name Registration Number Valley Solar LLC 186338 Address Expiration Date PO Box 60627, Florence, MA 01062 Telephone 413-584-8844 10/27/20 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...... ❑