22B-057 40 SPRING ST BP-2021-1176
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:22B-057 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-2021-1176
Project# JS-2021-001966
Est.Cost: $9300.00
Fee: $75.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: SUNRUN INC 040622
Lot Size(so.ft.): 12545.28 Owner: GILLEMAN SARAH
Zoning: URA(100)/WP(100)/WSP(100)/Applicant: SUNRUN INC
AT: 40 SPRING ST
Applicant Address: Phone: Insurance:
734 FOREST ST STE 400 (978) 793-8584 WC
MARLBOROMA01752 ISSUED ON:4/14/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL 11 PANEL 315W ROOF MOUNTED
SOLAR SYSTEM WITH BATTERY STORAGE SYSTEM
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: cig#
1
FeeType: Date Paid: Amount:
Building 4/14/2021 0:00:00 $75.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
v' last 01 „ (a
/N Department use only
ai H MPTo� City of Northampton .4,0 �S ' Permit:
#✓.� � ' Building Departn 9 J • - . `ORveway Permit
212 Main Street,,,oN (7 Sewer'_'tic Availability
il " 14 Room 100 ?1,,�'Li <0(9/Water ell Availability
' Northampton, MA 0106*'>,�o,N, Two -ts of Structural Plans
— phone 413-587-1240 Fax 413-58l • F�. P•t/Site plans
�'06�O,ys a then Specify
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE O`R.DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: This section to be completed by office
40 SPRING ST. Map 2..2 .6 Lot 05'7 Unit
NORTHAMPTON, MA, 01062 Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
SARAH GILLEMAN 40 SPRING ST. NORTHAMPTON, MA, 01062
Name(Print) Current Mailing Address:
413-218-3435
Telephone
Signature
2.2 Authorized Anent:
STEPHEN KELLY 734 FOREST ST. STE400 MARLBORO, MA, 01752
Name(Print) Current Mailing Address:
j'1 6, 978-793-7881
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building 2,700 (a)Building Permit Fee
2. Electrical 6,600 (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) 9,300 Check Number / q 8C
This Section For Official Use Only
Building Permit Number: ea—c /'"// ? (i Date
Issued:
Signature: /77/7 LI"ly"Zd21
Building Commissioner/Inspector of Buildings Date
MAPERMITS @ SUNRUN.COM
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
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 filled in by
Building Department
0.29 ACRES 0.29ACRES
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage
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 0 DON'T KNOW ® YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW 0 YES
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO ® DON'T KNOW ® YES O
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained ® Obtained ® , Date Issued:
C. Do any signs exist on the property? YES ® NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES ® NO (g)
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 ® NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) I X Roofing l l
Or Doors 0
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [U Siding[O] Other[E1]
ROOFTOP SOLAR
Brief Description of Proposed
Work: INSTALLATION OF AN INTERCONNECTED ROOFTOP PV SYSTEM AND BATTERY STORAGE SYSTEM 11(315W)PANELS 3465W DC
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
6a. If New house and or addition to existing housing, complete the following:
a. Use of building: One Family_ X Two Family Other
b. Number of rooms in each family unit: 8 Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new construction. 200 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 X 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? X 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
SARAH GILLEMAN ,as Owner of the subject
property
hereby authorize SUNRUN INSTALLATION SERVICES INC. /STEPHEN KELLY
to act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
STEPHEN KELLY , 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.
STEPHEN KELLY
Print Name
4/9/2021
Signature Owner/Agent Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: STEPHEN KELLY CS-040622
License Number
734 FOREST ST. STE400 MARLBORO, MA, 01752 8/1/2021
Address Expiration Date
2,1' 978-793-7881
Signat .- Telephone
9.Registered Home Improvement Contractor: Not Applicable ❑
SUNRUN INSTALLATION SERVICES INC. HIC-180120
Company Name Registration Number
734 FOREST ST. STE400 MARLBORO, MA, 01752 10/13/2022
Address Expiration Date
Telephone978-793-7881
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,g 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 DI No 0
City of Northampton
Massachusetts —
0. * e
; til p. ' DEPARTMENT OF BUILDING INSPECTIONS S .
212 Main Street • Municipal Building Jb O�
usFi Northampton, MA 01060 ss� °`
_ y rep I y,, '40
AFFIDAVIT
Home Improvement Contractor Law
Supplement to Permit Application
The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and
subcontractors performing improvements or renovations on detached one to four family homes.Prior to
performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC").
M.G.L.Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion,
improvement, removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing
at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be
done by registered contractors.
Note:If the homeowner has contracted with a corporation or LLC,that entity must be registered.
Type of Work: Est. Cost:
Address of Work:
Date of Permit Application:
I hereby certify that:
Registration is not required for the following reason(s):
_Work excluded by law(explain):
Job under$1,000.00
Owner obtaining own permit(explain):
Building not owner-occupied
Other(specify):
OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED
CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT.WORK ARE NOT
ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND
UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK
PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION.
Signed under the penalties of perjury:
I hereby apply for a building permit as the agent of the owner:
Date Contractor Name HIC Registration No.
OR:
Notwithstanding the above notice,I hereby apply for a building permit as the owner of the above property:
Date Owner Name and Signature
City of Northampton
Massachusetts a`° e
kA
DEPARTMENT OF BUILDING INSPECTIONS
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:
(Please print house number and street name)
Is to be disposed of at:
(Please print name and location of facility)
Or will be disposed of in a dumpster onsite rented or leased from:
(Company Name and Address)
Signature of Permit 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.