31B-108 19 BRIGHT ST BP-2021-1266
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 31B- 108 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-2021-1266
Project# JS-2021-002097
Est.Cost: $26690.00
Fee: $75.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: FREEDOM FOREVER MASS LLC 198080
Lot Size(sq. ft.): 3789.72 Owner: KATZ CATHERINE
Zoning: URC(100)/ Applicant: FREEDOM FOREVER MASS LLC
AT: 19 BRIGHT ST
Applicant Address: Phone: Insurance:
68 GOLD ST (413) 291-5992 O WC
AGAWAM MA01001 ISSUED ON:5/3/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL 26 PANEL 7.410 KW ROOF MOUNTED
SOLAR 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.
; �I ,4q T-1
Certificate of Occupancy signature:i
FeeType: Date Paid: Amount:
Building 5/3/2021 0:00:00 $75.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-11272
Louis Hasbrouck—Building Commissioner
Rs + ,
The Commonwealth of Massachusett. V 03
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({r a. 1 Board of Building Regulations and Stan i ards
�� Massachusetts State Building Code, 781 CM' APR 2 MUNI' IPA TY
9 4 SE
Building Permit Application To Construct,Repair,R,nov„r-a! Demolish a 'tevis-d Ma 2011
One-or Two-Family Dwellin• _tiop;8ukt,,N
go
Thi ection For Official Use Only AM�'ron;n�SpFCTin
Buildin Permit Number: l�t'r x,poi) to A plied: 't o,oso N3
Kc-u,t��og, 5 3 2ozi
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Nu be
19 Bright St., Northampton MA 10160 31
1.1a Is this an accepted street?yes J no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Residential
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❑ Zone: — Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Catherine Katz Northampton, MA 10160
Name(Print) City,State,ZIP
19 Bright St. _(413) 320-5953 kat7farml a@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 ❑ Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:Solar Installation
Brief Description of Proposed Work2:Install 26 rooftop PV solar panels, 7.410kW, 200A MSP
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $5,338.164 1. Building Permit Fee: $ Indicate how fee is determined:
0 Standard City/Town Application Fee
2.Electrical $21,352.656 0 Total Project Cost3(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees:. 1)..._______44,3
Check No. Check Amount: ' Cash Amount:
6.Total Project Cost: s 26,690.82 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
CS-110253 12/01/21
Daniel Kelley License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) Unrestricted
323 Highland St
No.and Street Type • Description
U Unrestricted(Buildings up to 35,000 cu.ft.)
Holden. MA 01520 R • Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC RoofingCovering
WS Window and Siding
SF Solid Fuel Burning Appliances
(413)291-5992 permitsma@freedomforever.com I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 198080 3/01/22
Daniel Kelley/Freedom Forever Massachusetts, LLC HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
68 Gold St permitsma@freedomforever.com
No.and Street Email address
Agawam, MA 01001 (413) 291-5992
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 0 No 0
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize Daniel Kelley
to act on my behalf,in all matters relative to work authorized by this building permit application.
Catherine Katz 4/28/21
Print Owner's Name(Electronic Signature) Date
SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to the best of my knowledge and understanding.
Daniel Kelley 4/28/21
Print Owner's or Authorized Agent's Name(Electronic Signature) Date
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"