38A-129 BP-2022-1662
104 MOSER ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
38A-129-001 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-2022-1662 PERMISSION IS HEREBY GRANTED TO:
Project# SOLAR 2022 Contractor: License:
Est. Cost: 35867 VALLEY SOLAR LLC CSL115680
Const.Class: Exp.Date: 04/09/2025
Use Group: Owner: KANNAN COE, TERRENCE M&JAY AXMI
Lot Size (sq.ft.)
Zoning: PV Applicant: VALLEY SOLAR LLC
Applicant Address Phone: Insurance:
116 PLEASANT ST, SUITE 321 (413)584-8844 EXT 217 376140840101
EASTHAMPTON, MA 01027
ISSUED ON:12/28/2022
TO PERFORM THE FOLLOWING WORK:
24 PANEL ROOF MOUNT SOLAR SYSTEM SIZE 9.72KW
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:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIO ATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
;d - 3'11 .11
Fees Paid: $75.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
The Commonwealth of Massachusetts DEC 2 ] �C22 FOR
Ef Board of Building Regulations and Standards,
\ l ` . MUNICIPALITY State Building Code, 780 CMI
i USE
" " ' ``' "Remitted Mar 2011
Building Permit Application To Construct,Repair,Renovate Or�►ernot�si h
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: 6n 2-2 '16G0l Date Applied:
uJ r� I�pss /2-Z8 �oZZ
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map& Parcel Numbers
104 Moser Street,Northampton,MA 01060
1.la Is this an accepted street?yes 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 OWNERSHIP1
2.1 Ownerl of Record:
Terence Coe Northampton,MA 01060
Name(Print) City,State,ZIP
104 Moser Street 781-648-1731 terry@coetrans.com
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied ❑ Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. ❑ Number of Units Other ® Specify:Solar
Brief Description of Proposed Work': Installation of 24 panel roof mounted solar array.System size 9.72kW DC.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $25,107 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ 10,760 0 Standard City/Town Application Fee
0 Total Project Costa(Item 6)x multiplier _x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $ —
Suppression) Total All Fees: $
Check No. 1109 Check Amount: ' Cash Amount:
6.Total Project Cost: $ 35,867 ❑Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
CS-115680 04/09/2025
Patrick Rondeau License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) U
53 Fox Farm Rd
No.and Street Type Description
Florence,MA 01062 U Unrestricted(Buildings up to 35,000 Cu.ft.)
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
413-584-8844 permits@valleysolar.solar I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 186338
10/27/24
Valley Solar LLC HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
116 Pleasant Street,Suite 321 permits@valleysolar.solar
No.and Street Email address
Easthampton, MA 01027 413-584-8844
City/Town,State,ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AF141DAVIT(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 ❑
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 Valley Solar LLC
to act on my behalf,in all matters relative to work authorized by this building permit application.
Tuutu, 7Y1._ Cab 12/15/2022
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.
/61,2 l.,c%ti 7 /66.ir^G 12/15/22
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"
City of Northampton
H g
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C r ti Massachusetts Div k- '<<
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if
iu
• x DEPARTMENT OF BUILDING INSPECTIONS ; &' ,x
212 Main Street I Municipal Building Jti,
�.>s. Northampton, MA 01060 S *c
-51- x''‘
arD
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, S54, a condition of Building Permit
Number is that all debris resulting from this work shall be disposed of in a
properly licensed waste disposal facility, as defined by MGL c 111, S 150A.
The debris will be disposed of in:
Location of Facility: Valley Recycling, 234 Easthampton Rd, Northampton, MA 01060
The debris will be transported by:
Name of Hauler: Valley Solar LLC
�Signature of Applicant: � ' �n� Date: 12/15/22
The Commonwealth of Massachusetts
I*- { Department of Industrial Accidents
t-=` 1r
I• • Congress Street,Suite 100
S. i
=••'E'�' ' Boston, MA D?Il -2017
•-.-,� www.mass.gov/dia
11 takers'Compensation insurance Ariidat,it: Buiklers/ContractonlEkctriclans/Plumbers.
it)1W t II_F:D N'rl'l1 1 III P1.RMII tTlrC AUTHHOitITY.
.tnnlicant Information Please Print Let;ibh
Name(Husincss'Oryanization1rnii+'iduall:Valley Solar LLC
Address:116 Pleasant Street, Suite 321
CityState/Zip:Easthampton, MA 01027 Phone#:413-584-8844
Are)tor as employer?Cheek the appnnprlate taux: - Type of project(required):
tM 1 an,a employer with _"30 employees(full mina pit-time)• 7. 0 New construction
2.0l am a sole proprietor ut partnership and have nu employees working for me in 8. 0 Remodeling
any capacity. [No workers!(snip.insurance "Y""`v.l
9. 0 Demolition
IDI am a homeowner doing all work myself.ff io%violin.'comp.rttstnrarke n tmnah.I'
4.0 I ant a homeowner and will be hiring contniour,to conduct all work on my property- I will !0 CI Building audit' n
ensure that all contra,.-ton either have*otters'compensation insurance or are sole 1 1.a Electrical repa -or additions
proprietors w ith no employees
12.0 Plumbing repairs or addttion s
501 ant a yeriernl contractor and I have hired the sub-cuntractors listed on the*nailed sheet. 1 30 Roof repairs
These sub—cuntractun hose employe and hoc*mien'comp.mesutance.
ha we are a corporation and its officers hair exercised thca right of exemption per Wit..
14.,_i Other Solar
I52..Qll,*1.and we have no employees.[No workers'ccanp.insurance requited.]
*My applicant that checks boa a I must also fill out the section below show mg their workers'compensation policy infotrnatsm
Iiuineow•ners who submit this atrrkrsit indicating they are eking all wort and then herr outside etwa actors.must submit a new affidavit rndtoiting such
:Contractors that chcci this but must attached an alchtiunnl sheet showing the name of the,utrc,attra tun and state whether or not those entities have
employee_, lithe sub-cuntrseton.}soi:etrgtloyees.they must pro%idc their ..iorkcn'coop.policy number.
1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy aqvd job site
information.
Insurance Company Name: Continental Indemnity/AUW
Policy#or Self-ms.Lie.#: 376140840101 Expiration Date: 09/01/2023
Job Site Address:104 Moser Street Ciry'state zip:Northampton, MA 01060
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date►.
Failure to secure coverage as required under MGL e. 152, §25A is a criminal violation punishable by a fine up to S I.500.00
and or one-year imprisonment,as well as civil penalties in the form ofa STOP WORK ORDER and a tine of up to S250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above Is true and correct.
Signature: i P /e,12, -4 Date: 12/15/22
Phone e: 413-584-8844
Official use only. Do not write in thi.i urea. to be completed by city or town u4Tciat
City or Too,n: Permit/License t
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3.('ityflfown Clerk 4.Electrical Inspector 5. Plumbing Inspector
f,.Other
(debut Person: Phone#: 1