31C-081-012 BP-2022-0124
117 OLANDER DR. UNIT COMMONWEALTH OF MASSACHUSETTS
10
Map:Block:Lot: CITY OF NORTHAMPTON
3IC-081-012
Permit: Solar Build
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2022-0124 • PERMISSIONISHEREBYGRANTED TO:
Project# 2022 SOLAR SYSTEM Contractor: License:
PIONEER VALLEY
Est. Cost: 24850 PHOTOVOLTAICS 111266
Const.Class: Exp.Date:03/14/2023
Use Group: Owner: GLICKMAN JAMES A&ELISSA GELFAND
Lot Size (sq.ft.)
Zoning: Applicant: PIONEER VALLEY PHOTOVOLTAICS
Applicant Address Phone: Insurance:
311 WELLS ST -SUITE B (413)772-8788 3759287101(15
GREENFIELD, MA 01301
ISSUED ON:02/08/2022
TO PERFORM THE FOLLOWING WORK:
INSTALL 20 PANEL 8.7 KW ROOF MOUNT SOLAR SYSTEM WITH 19.7 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:
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:
g CP I
Fees Paid: S75.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
The Commonwealth of Massachusetts rt__i E C_?__:_� I V E L
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Board of Building Regulations and Standards - F R
Massachusetts State Building Code, 780 CMR _ ALITY
FEB '' E
Building Permit Application To Construct, Repair, Renovate Or Demolishid' Re ised i ar 2011
One-or Two-Family Dwelling
This Section For Official Use Only ' .,oTruil�;nir,(nisPECT(or;s
o4.tvlA(11,Wft ,
Building Permit Number: 0," �` I 2"y Date Applied: ' ___
Building Official(Print Name) � Signature ✓ ateSECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 4ssessors Map&Parcel N mb s
117 Olander Dr Unit 10,Northampton MA 01060 /
1.1 a Is this an accepted street?yes no Map Number Parcel Number
13 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 El Municipal_ Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
James Glickman Northampton MA 01060
Name(Print) City,State,ZIP
117 Olander Dr Unit 10 (774)452-6290 jaglickman@yahoo.corn
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) ❑ Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other El Specify:Solar PV
Brief Description of Proposed Work2:(20.0)LG 435 NeON R White solar panels on rooftop and inverter in basement
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $9,940 1. Building Permit Fee: $ Indicate how fee is determined:
❑Standard City/Town Application Fee
2.Electrical $14,910 ❑Total Project Cost3(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees: So I
Check No. I o(7°I heck Amount: `- Cash Amount:
6. Total Project Cost: $24,850 ❑Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
CS-111266 03/14/2023
Daniel Gomez-Gonzalez License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) U
43 Hatfield Street
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu.ft.)
Northampton MA 01060 R Restricted l&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
413-772-8788 BUILDINGPERMITS@PVSQUARED.COOP I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
140077 9/15/2021
PIONEER VALLEY PHOTOVOLTAICS COOP HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
311 WELLS STREET BUILDINGPERMITS@PVSQUARED.COOP
No.and Street
Email address
GREENFIELD MA 01301 413-772-8788
City/Town,State,ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.g 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 p No 0
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 Pioneer Valley Photovoltaics Coopertive
to act on my behalf,in all matters relative to work authorized by this building permit application.
SEE ATTACHMENT (A) SEE ATTACHMENT(A)
Print Owner's Name(Electronic.Signature) Date
SECTION 7b:OWNER' 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.
1/5/2021
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"