31B-167 (15) 137 ELM ST COMMONWEALTH OF MASSACHUSETTS BP-2021-1792
Map:Block:Lot:31B-167-
001 CITY OF NORTHAMPTON
Permit: Solar Build
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2021-1792 PERMISSION IS HEREBY GRANTED TO:
Project# SOLAR SYSTEM Contractor: License:
Est.Cost: 41000 SUNBUG SOLAR LLC
Const.Class: Exp.Date:
Use Group: Owner: SMITH JUSTIN
Lot Size (sq.ft.)
Zoning: URB Applicant: SUNBUG SOLAR LLC
Applicant Address Phone: Insurance:
411AHIGHLAND AVE SUITE 312 4138841000 PK202100010568
SOMERVILLE, MA 02144
ISSUED ON:08/27/2021
TO PERFORM THE FOLLOWING WORK:
INSTALL 41 PANEL 15.58 KW ROOFTOP 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.
Signature:
et; • • )2 Ts°1 •
Fees Paid: $100.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
Docu 32215-4691-42F5-BE51-078CF068AF6F
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The Commonwealth of Massachusetts
R
rm'1 Board of Building Regulations and Standards MUNICIPALITYF
v5Ta. / m Massachusetts State Building Code, 780 CMR USE
z; al uilding Permit Application To Construct, Repair, Renovate Or Demolish a Revised Mar 2011
C N One-or Two-Family Dwelling
s.g m m This Section For Official Use Only
i lBuildin it Number: g a i ' i 7$� Date Applied:
to
ZOI/4-)a,› 526-ZOZ/
Building Official(Print Name) / Sig2nature1 Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 A`sssesso Map&Parcel Numbers I
ss
137 Elm St 1 g
Li Is this an accepted street?yes X no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Residential - Solar
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 CI Municipal Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Justin Smith Northampton. MA 01060
Name(Print) City,State,ZIP
137 Elm St
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition ❑
Demolition 0 Accessory Bldg.0 Number of Units Other Jla Specify: Solar
Brief Description of Proposed Work2: Install 15.58 kW solar on roof,per attached documents.(41 panels)
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ 12,000 1. Building Permit Fee: S Indicate how fee is determined:
0 Standard City/Town Application Fee
2.Electrical $ 29,000 0 Total Project Cost`(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Feetfif
Check No.' (V Check Amount: Cash Amount:
6.Total Project Cost: $ 41,000 0 Paid in Full Cl Outstanding Balance Due:
PLa►i s L- 1-.
DocuSign Envelope ID:B6732215-4691-42F5-BE51-078CF068AF6F
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) CS 109144 07/21/21
Aaron Simms License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) U
66 Westfield Ind Park Rd
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu.ft.)
Westfield, MA 01085 R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
413-884-1000 aaron.simms@sungbugsolar.com I insulation
Telephone Eniail address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
Cheney163091Brand-SunbugSolar LLC HIC 05/10/23
Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
411A Highland Ave-Suite 312 cheney.brand@sunbugsolar.com
No.and Street Email address
Somerville,MA 02144 _ 413-884-1000
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 ® No ❑
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 SunBuq Solar
to act on my behalf,in all matters relative to work authorized by this building permit application.
r—DocuSigned by:
7/22/2021
Justin Smith /
Print Owner'ssatr4 Ags4 ij Signature) Date
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below,1 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.
Aaron Simms
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 H1C 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"