31C-081 0 ir)1 - ZZ BP-2021-2344
117OLANDER PHASE 4 COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
3 I C-081-027 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-2021-2344 PERMISSIONIS HEREBY GRANTED TO:
Project# SOLAR Contractor: License:
PIONEER VALLEY
Est.Cost: 63950 PHOTOVOLTAICS 111266
Const.Class: Exp.Date:03/14/2023
SCH LACK, MARK I &JULIE W TRUSTEES
Use Group: Owner: KENNEY, JESSIC L & MILES L STEELE
Lot Size (sq.ft.)
Zoning: Applicant: PIONEER VALLEY PHOTOVOLTAICS
Applicant Address Phone: Insurance:
311 WELLS ST - SUITE B (413)772-8788 375928710101
GREENFIELD, MA 01301
ISSUED ON:12/28/2021
TO PERFORM THE FOLLOWING WORK:
26 ROOF MOUNT PANELS - 19.6KW
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: 861,4m.,
� 3
Fees Paid: $75.00
212 Main Street,Phone(413) 587-1240,Fax:(413)587-1272
Office of the Building Commissioner
Department use only
City Of NOrthar, pt0gStatus of Permit:
Building Depa4'tme t •if , Curb Cut/Driveway Permit
212 Main tree `Sewer/Septic Availability
Room 700 DEC 8 Water/Well Availability
NOrthamptonMP) 060 202/' Two Sets of Structural Plans
o 4+ ..
7. phone 413-587-1240' Fix�; „ ,, 2 Plot/Site Plans
— 4' Nr�✓�Sp Tether Specify
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATOR-DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
This section to be completed by office
1.1 Property Address: JJ Q
Map L3`� Lot O g/ Unit
117 Olander Dr - Unit 22, Northampton MA 011 Zone Overlay District
Elm St.District CB District
SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Mark Schlack 117 Olander Dr-Unit 22 Northampton MA 01060
Name(Print) Current Mailing Address:
413 570 4142
4PP AttarhmPnt A Telephone
Signature
2.2 Authorized Agent:
Pioneer Valley Photovoltaics 311 Wells St. Greenfield, MA 01301
Name(Print) J Current Mailing Address:
C4A/u• 413-772-8788
Signature Telephone
SECTION 3 -ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building 10439 (a)Building Permit Fee
2. Electrical 5351 1 (b)Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee `(/�1/_7
4. Mechanical (HVAC)
5. Fire Protection
6. Total= (1 +2 +3 +4+5) 63950 Check Number /a 7 00
/�
This Section For Official Use Only
Building Permit Number: 3�A/ � 4/y Date
Issued:
Signature: ' I /De/a 1
�• !
Building Commissioner/Inspector of Buildings Date
buildingpermits @ pvsquared.coop
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors 0
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding [O] Other[p]
Brief Description of Proposed
Workinstallation of 26 PV Panels on roof of residence. Installation of(2) solaredqe 9.8 kWh batteries, totaling 19.6kWh in basemei
As this falls under 20kWh guidance, we will install per manufacterers specifications
Alteration of existing bedroom Yes xx No Adding new bedroom Yes xx No
Attached Narrative Renovating unfinished basement Yes xx 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, Mark Schlack , as Owner of the subject
property
PV Squared (Pioneer Valley Photovoltaics)
hereby authorize
to act on my behalf, in all matters relative to work authorized by this building permit application.
See Attachment A See Attachment A
Signature of Owner Date
PV Squared
, 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.
Daniel Gomez
Print Name
12/14/2021
Signature of Owner/Agent Date
SECTION 8 -CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable E
Name of License Holder: Daniel Gomez Gonzalez
License Number
43 Hatfield St. Northampton, MA 01060 CS-111266
Address Expiration Date
03/14/2023
Signature Telephone
/
413-772-8788
9. Registered Home Improvement Contractor: Not Applicable ❑
Pioneer Valley Photovoltaics Cooperative
Company Name Registration Number
311 Wells Street, Suite B, Greenfield, MA, 01301 140077
Address Expiration Date
413-772-8788 Telephone 9/15/2023
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 ❑