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30B-071 BP-2022-0078 164 RI VERSIDE DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 30B-071-001 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-2022-0078 PERMISSIONIS HEREBY GRANTED TO: Project# SOLAR 2022 Contractor: License: Est. Cost: 19600 SCOTT FOURNIER 109847 Const.Class: Exp.Date: 12/04/2023 Use Group: Owner: GHISELIN ALEXANDER D&DIANE J WELTER Lot Size (sq.ft.) Zoning: URB Applicant: ALL ENERGY SOLAR INC Applicant Address Phone: Insurance: 159 FRONT ST 800-620-3370 C70061636 CHICOPEE,MA 01013 ISSUED ON:01/27/2022 TO PERFORM THE FOLLOWING WORK: ROOF TOP SOLAR 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: Gas: Final: Final: Rough Frame: Rough: Fire Department Driveway Final: Fireplace/Chimney: Final: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: I ' 4 1r • .)2 . TIT Fees Paid: $75.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner f— _., The Commonwealth of Massachusetts / ��. '; TIC _ Ir, Board of Building Regulations and Standatds SON 2 FOR C , ; • Massachusetts State Building Code, 780 MR 4 20j� MUNICIPALITY / USE Building Permit Application To Construct, Repair, Renovate. coolish a ievise i Mar 2011 r,,'.'��n,,1 One- or Two-Family Dwelling in, f T is Section For Official Use Only -o<;,; Building Permit Number: ✓1. °ZOs' 'to Date Applied: BuildingOfficial(Print Name) Signature Dzlte � SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 164 Riverside Dr 6 C7 7 1.1 a Is this an accepted street?yes x no Map Number Parcel Number • 1.3 Zoning Information: 1.4 Property Dimensions: 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 0 Zone: Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Alex Ghiselin Northampton,MA 01062 Name(Print) City,State,ZIP 164 Riverside Dr (413)586-1849 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 0 Demolition 0 Accessory Bldg. 0 Number of Units Other ® Specify:Solar PV Brief Description of Proposed Work2: Installation of a flush mounted rooftop solar PV system on the residence. • SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $15,200 1. Building Permit Fee: $ Indicate how fee is determined: ❑Standard City/Town Application Fee 2. Electrical $4,400 ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire Suppression) Total All Fees $ , Check No 6,1heck Amount: - Cash Amount: 6. Total Project Cost: $19,600 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-109847 12/4/2023 License Number Expiration Date Name of CSL Holder Scott Fournier List CSL Type(see below) U No.and Street Type Description 159 Front Street U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry Chicopee MA 01013 RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-658-8604 scott.foumier©allenergysolar.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 175144 4/24/2023 All Energy Solar HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 159 Front Street colin.buechel©allenergysolar.com No.and Street Email address Chicopee,MA 01013 413-427-2050 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 ❑ 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 All Energy Solar to act on my behalf,in all matters relative to work authorized by this building permit application. See authorized agent form Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNER1 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. in c gLedul 1/14/2022 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"