23C-080 BP-2021-2077
42 BLISS ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
23C-080-001 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-2021-2077 PERMISSIONIS HEREBY GRANTED TO:
Project# SOLAR Contractor: License:
Est. Cost: 31649 VALLEY SOLAR LLC CSL115680HIC186338
Const.Class: Exp.Date:04/09/202510/27/2022
Use Group: Owner: RUSCHHAUPT, MICHELEL
Lot Size (sq.ft.)
Zoning: WSP Applicant: VALLEY SOLAR LLC
Applicant Address ghone: Insurance:
PO BOX 60627 (413)584-8844 WC531S620647011
FLORENCE, MA 01062
ISSUED ON:10/22/2021
TO PERFORM THE FOLLOWING WORK:
INSTALL 22 PANEL ROOF MOUNT SOLAR ARRAY 8.8KW DC
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: (� T
4 • • - sva
Fees Paid: S75.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
Department use only
City of North CE f'1/ _ Status of Permit:
Building Depa►kme - v Curb ut/Driveway Permit
212 Main Sheet Sew r/Septic Availability
7 Room 1 '0 OCT 22 Wat r/Well Availability
fte
Northampton, A 01060 Tw Sets of Structural Plans
phone 413-587-1240 Fax -1272 Plo Site Plans
-NORTH h/4P�N6INSPECTIONS
MA n Ot er Specify
cco
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR`DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
This section to be completed by office
1.1 Property Address: �^ �j
Map i "�f_ Lot t gV Unit
42 Bliss Street Florence, Massachusetts 01062
Zone Overlay District
Elm St.District CB District
SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Michele Ruschhaupt 42 Bliss Street Florence, Massachusetts 01062
Name(Print) t�� Current Mailing Address:
(512) 426-0825
A Telephone
Signature
2.2 Authorized Agent:
Valley Solar LLC PO Box 60627, Florence, MA 01062
Name(Print)- Current Mailing Address.
Pi`. 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) hf /
5. Fire Protection
6. Total = (1 + 2 + 3 +4 + 5) 31,649 Check Number ( /Vc f
This Section For Official Use Only
Building Permit Number: 60 a)` 0107 7 Date
Issued:
Signature: //i[ /0-ZZ- 2r)Z)
Building Commissioner/Inspector of Buildings Date
Ihasbrouck @ northamptonma.gov
info valleysolar.solar
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
This column to be filled in by
Building Department
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 Q DON'T KNOW 0 YES Q
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO Q DON'T KNOW Q YES Q
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO Q DON'T KNOW Q YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained Q , Date Issued:
C. Do any signs exist on the property? YES Q NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO Q
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 Q NO Q
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) Roofing
Or Doors Il
Accessory Bldg. ❑ Demolition n New Signs [El] Decks [[ Siding [I]] Other X solar
Brief Description of Proposed
Work: Installation of a 22 panel roof mounted Solar Array System Si7e 8.8kW 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 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. Michele Ruschhaupt , as Owner of the subject
property
hereby authorize Valley Solar LLC
to act on my behalf, in all matters relativ,work authorized by this building permit application.
\--Wit& --- 10/22/2021
Signature of Owner Date
I, Valley Solar LLC , 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.
Patrick D. Rondeau
Print Name
Palm-i-c, h- .-o'u it- 10/22/2021
Signature of Owner/Agent Date
SECTION 8 -CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder Patrick D. Rondeau
License Number
CS-115680
Address Expiration Date
P riYALr .k, _ r 4/9/2025
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 10/27/22
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 V( No ❑