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29-443 (6) BP-2021-2150 58 ELLINGTON RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-443-001 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-2021-2150 PERMISSION IS HEREBY GRANTED TO: Project# 2021 SOLAR Contractor: License: Est. Cost: 71026 VALLEY SOLAR LLC CSLI 15680 Const.Class: Exp.Date:04/09/2025 Use Group: Owner: KOCHIS ANN M& MARILYN KUSEK Lot Size (sq.ft.) Zoning: FFR/WSP Applicant: VALLEY SOLAR LLC Applicant Address Phone: • Insurance: PO BOX 60627 (413)584-8844 WC531 S620647011 FLORENCE, MA 01062 ISSUED ON:11/08/2021 TO PERFORM THE FOLLOWING WORK: INSTALL 28 PANEL 10.36 KW ROOF MOUNTED SOLAR SYSTEM WITH 18 KW BATTERY 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: 51-1* • Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner / ~�j�` Department use only Sri City of Northamptbl� �' ` n Status of Permit: `� • , Building Department`�`��=/ `Curb Cut/Driveway Permit A� , 212 Maim Street NO ewer/Septic Availability a ;' d Roo 100 8 202� Water/Well Availability •= " Northampto i, MA. 1060 Two Sets of Structural Plans R�tc 1 - r phone 413-587-1240_FX�$tf3 /lot/Site Plans _��.4 ING l�{`'E rioNsOther Specify - �ti0._ APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office Map �q Lot yc--/. Unit 58 Ellington Road Northampton, MA 01062 Zone Overlay District Elm St. District CB District SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Marilyn Kusek 58 Ellington Road, Northampton. MA 01062 Name(Print) Current Mailing Address " e. ck'c.,'..4.,-4., (413) 695-2581 Telephone Signature 2.2 Authorized Agent: Valley Solar LLC PO Box 60627, Florence, MA 01062 Name(Print) Current Mailing Address P U4, h- Zo-nxu, 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) 5. Fire Protection /,, 6. Total = (1 + 2 + 3 +4 + 5) $71,026 Check Number (.e . -3 6- This Section For Official Use Only Building Permit Number: G 0-a`i r 6 Date Issued: Signature: /C_- I - 8• ZO Z) Building Commissioner/Inspector of Buildings Date lhasbrouck @ 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 Q YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 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 tQ Obtained Q , Date Issued: C. Do any signs exist on the property? YES Q NO Q 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 n Addition ❑ Replacement Windows Alteration(s) ❑ Roofing n Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [El] Decks [Q Siding [I] Other[X solar Brief Description of Proposed Work: Installation of a 16 panel roof mounted solar array. System Size 5.44kW DC. Also installing an 18kWh Generac battery. DC coupled. 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 1, Marilyn Kusek , as Owner of the subject property hereby authorize Valley Solar LLC to act on my behalf ' All matters relativ o work authorized by this building permit application. IlLa/1,1,ed-rt` �"� 11/03/2021 Signature of Owner Date 1, Valley Solar LLC , as Or►wor/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 Pctziu.c'k, Z'ad 11/01/2021 Signature of Owner/Agent Date SECTION 8 -CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number Patrick D. Rondeau CS-115680 Address Expiration Date 340 Riverside Drive PO BOX 60627 4/9/2025 Signature Telephone ' ` u'C-4.., b- .er auk' 413-584-8844 9. Registered Home Improvement Contractor: Not Applicable E 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 No ❑