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32C-244 BP-2023-0149 114 HAWLEY ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 32C-244-001 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-2023-0149 PERMISSION IS HEREBY GRANT' D TO: Project# 2023 SOLAR Contractor: License: Est. Cost: 35136 VALLEY SOLAR LLC CSL11568a Const.Class: Exp.Date:04/09/2025 Use Group: Owner: KAUFMANN ANDREW H Lot Size (sq.ft.) Zoning: URC Applicant: VALLEY SOLAR LLC Applicant Address Phone: Insurance:. 116 PLEASANT ST, SUITE 321 (413)584-8844 EXT 217 376140840101 EASTHAMPTON, MA 01027 ISSUED ON: 02/09/2023 TO PERFORM THE FOLLOWING WORK: INSTALL 24 PANEL 9.6 KW ROOF MOUNT SOLAR SYSTEM POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of siring 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 VI LATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 ()Hire of the Building Commissioner The Commonwealth of Massachusetts F E B - 7 2023 E ° r Board of Building Regulations and Standards FOR Massachusetts State Building Code, 78f 0 C1VlIt MT�JNICIPALITY -- U$E • Dr PT.OF BUILDING INSPECTIONS Building Permit Application To Construct,Repair,Renovate rfeDelffillittlf 01 DoWised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: f3i'--,2 3 /ci/ct Date Applied: Z-g20Z3 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 114 Hawley Street, Northampton, MA 01060 1.1 a 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 Providei 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public ❑ Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Saowanee Dechanupong Northampton,MA 01060 Name(Print) City,State,ZIP 114a Hawley Street (413)230-1100 juthapathra@gmail.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 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other El Specify:Solar Brief Description of Proposed Work2: Installation of 24 panel roof mounted solar array. System size 9.6kW DC. SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $24,595 1. Building Permit Fee: $ Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $10,541 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire Suppression) Total All Fees: ��q � Check No.7 Check Amoun : Cash Amount: 6.Total Project Cost: $35,136 0 Paid in Full 0 Outstanding Balance Due: City of Northampton �iAfl lir S _«" s Massachusetts ti47 � i DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Y `tea Northampton, MA 01060 ,-•• :\ PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR NEW 1 & 2 FAMILY DWELLING, ADDITIONS, POOLS, DECKS, ACCESSORY STRUCTURES, FENCES, GROUND MOUNTED SOLAR, ETC. I. Building Permit Application signed by legal owner and filled out by owner or authorized agent. 2. One set of plans and specifications of proposed work. (Digital and hard copy) 3. Site plan with location of proposed structure(s) and set backs. 4. Construction Debris Affidavit filled out and signed by applicant. 5. Worker's Compensation Insurance Affidavit filled out and signed by applicant. 6. Contractors must supply a copy of CS License, HIC Registration and proof of Liability Insurance. 7. Energy Conservation Compliance Certificate (new / replacement windows). 8. Home Owner's License Exemption Form filled out and signed by Homeowner (if applicable). 9. Note any Conservation and/or special permit requirements (if applicable). 10. Driveway Permit (if applicable). 11. Proof of Water and Sewer entry fees paid (if applicable). 12. Trench Permit - public land by DPW / private land by Building Dept. 13. Stretch Energy Code - all new construction will require a HERS Rater Affidavit to be submitted with permit application before issuance of permit. 14. Please provide the appropriate fee in the form of a check made payable to: The City of Northampton. 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 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 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 Valley Solar LLC to act on my behalf,in all matters relative to work authorized by this building permit application. )&Lc7 r L 02/02/2023 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. Pa&. 1/26/23 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 ,('' . Massachusetts DEPARTMENT OF BUILDING INSPECTIONS .4 v � ` 212 Main Street • Municipal Building ;n \ zt"" ,," Northampton, MA 01060 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: Pat-`- P /26,e- c4 Date: 1/26/23 :Z\ The Commonwealth of Massachusetts Department of Industrial Accidents i Congress Street,Suite 100 Boston, MA 02114-2017 AP www.mass.gaWdia orkers'Compensation Insurance Affidavit:Builders/C:ontractorsfElectriciansfPlumbers. 11)Bt.:1-11.11)X1 lift THE PERAlltfING .Ximlicant Information Please Print Legibly Name i 13 usiniess„•L)tganizarron,Individual t: Valley Solar LLC Address: 116 Pleasant St Suite 321 citvistate zir,Easthannpton, MA 01027 Phone#:413-584-8844 An you as employer"Cheek the appropriate butt! pe of project(req ired) 1)41 am a employer with 30 crilitioyees ifult atutot part-time)_* 7. New constructi • lam a tole proprietor or pormerthip and have nu sroployces working for me to Remodeling any capacity..[Nu workers'comp.insurance' rextutrd.) 9. Li Demoliticvn 3[3 I am a wua duals all u&myself.[No workers,'imam,insurance mg:tweet) 10 Building addif it 4E3 lam aJarrow-wrier and will be hiring euntrasiort to conduct all weak on my progerty. I will imsure that all contractors either base workers'corarp.msabon insurance ut are sole 1 ID Electrical repai or additions truprictors with no empluY01:5, 1243 Plumbing repo or additions 50I am a general contractor and I have hoed the sub,euntructort lisitod ors the attached sheet 134:Roof repairs These sub-cootrzieteing base employia.n,tun!hoc weans'worts,insurance.: 14.i_."" Other Solar 6.0 We are a oortsurabun and its officers have exercised then right of exerriphon per MGI.c. 152_,tt lirlt and we lute no ernployees.[No workers'camp insurance requimd.f 'Arts applicant that checks box c I HILIst also lib trot the welion,below show in their so,clams compensation pulley inhumation tio-meownen who submit this ekia, indlcatiog they are&nog all scull and then hire outside contractors must submit a nos affidavit i. athii suds, !Goritractin-N that ebcik this box mina attached an adtIrtional sheer Sbtyvtulg the name of the sub-euntractorg and state Witerlicr or not thaw titn. the Isive oriplirynes-they must raw,iJe their workers-comp policy numb:IL I am an employer that is providing warLers'compensation insurance litr my employerS. Belo IV is the polity and iob site information. Insurance Company Name: Continental Indemnity/AUW Policy#or seif_ins. Lie.#: 376140840101 09/01/2023 Expiration Da:c. Job Site Address:114 Hawley Street citystalezip:Northampton,,MA 01060 Attach a copy of the workers'compensation polic) declaration page(showing the policy number and expiration date). Failure to -secure coverage as required urtdcr \1c,L c. 152, §25A is a criminal violation punishable by a tine up S1,500.00 aniVor one-year imprisonment.as well as civil penalties in the form of a STOP WORK ORDER and a fine of u to S250.00 a day against the violator.A copy of this statement nay be forwarded to the Office of Investigations of the DIA t r insurance coverage verdication. 1 do hereby certify under the pain and(worthies of perfuty dud the information provided above is true and cOrrect. Signature: [1,1,.. 1/26/23 -.. 413-584-8844 Official use only. Do not write in this area.to be completed by city or town official City or Town: PermitfLicense# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Tan n Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other ('contact Person: Phone#: