43-034 BP-2023-0289
42 PARK HILL RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
43-034-001 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-2023-0289 PERMISSION IS HEREBY GRANTED TO:
Project# 2023 SOLAR Contractor: License:
Est. Cost: 38347 VALLEY SOLAR LLC CSL115680
Const.Class: Exp.Date: 04/09/2025
Use Group: Owner: MARIE JANULEWICZ, JACLYN
Lot Size (sq.ft.)
Zoning: WSP Applicant: VALLEY SOLAR LLC
Applicant Address Phone: Insurance:
116 PLEASANT ST, SUITE 321 (413)584-8844 EXT 217 376140840101
EASTHAMPTON, MA 01027
ISSUED ON: 03/09/2023
TO PERFORM THE FOLLOWING WORK:
INSTALL 19 PANEL 10.535 KW ROOF MOUNT SOLAR SYSTEM
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 VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
li • >2 -
Fees Paid: $75.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
I• �\
The Commonwealth of Massachusett'sh ��y �/
eiw Board of Building Regulations and Standa FOR
Massachusetts State Building Code, 780 C k- c9<90 Iy UNICIPALITY
,sq ��� �� USE
Building Permit Application To Construct,Repair,Renovate plish a Reviled Mar 2011
One-or Two-Family Dwelling 4�qa ci.
q�
T1 Section For Official Use Only
Buildin Permit Number: 6/ a 5 Date Applied: �_
1 I 6,� 3 Z3
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
42 Park Hill Road, Florence, MA 01062 43 63 g/
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 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:
Mark Conz Florence, MA 01062
Name(Print) City, State,ZIP
42 Park Hill Road (413) 320-5665 conzie4@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 ® Specify:soiarr
Brief Description of Proposed Work2:Installation of 19 panel roof mounted solar array. System size 10.535kW DC.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $26,843 1. Building Permit Fee: $ Indicate how fee is determined:
2. Electrical $11'504 ❑ Standard City/Town Application Fee
❑Total Project Costa(Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All F s:�$ 6
No.I0,7v Check Amount: Cash Amount:
6.Total Project Cost: $38,347 0 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
U Unrestricted(Buildings up to 35,000 cu.ft.)
Florence,MA 01062 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 IR 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
o act o half,in all matters relative to work authorized by this building permit application.
03/04/2023
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.
/°at i Z7 AN-6 -a 3/3/23
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
r °' Massachusetts -
I h DEPARTMENT OF BUILDING INSPECTIONS
4
212 Main Street • Municipal Building 4: �
Northampton, MA 01060 �st-ry �1`v'y'
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: � T� iPe� Date: 3/3/23
-46.13. The Commonwealth of Massachusetts
Department of Industrial Accidents
1 Congress Street,Suite 100
Boston, MA 02114-2017
wwiRmass.govldia
1. 0/kers' Compensation Insurance Affidavit:Buiklers/ContractorsiElectriciansil'Iumbers,
III BE FILED WITH THE PERMITTING Ali-111011,1TV,
Annlicant Inform:Ilion Please Print I.egibli
Name 4 Li osines..s,IJrttaniza lion individual): Valley Solar LLC
Addr,:—: 116 Pleasant St Suite 321
city/state/zip; Easthampton, MA 01027 Phone#:413-584-8844
Are you an eniployer?Cheek the appropriate tort: -r!,pe of project(required):
ixi I zin a employer with 30 ..ciolitayees'full and:or part-tirese),* 7. E3 New construction
.2.1711 am a sole proprietor ot partnership and have nu carployees winking for me m 8. 0 Reinodeling
any capaeity.(No mutters comp.insurance reiponsti
9. ED Demolition
30 1 am a Ito cramWner doing all work myself.(No worktns'Lome.insurance reciurred,)
10E] Building addition
4.0 I am a homeowner and will Ise hauls Lvaitraksirs to conduct all wink on my property_ I will
mu-ore that all cuntraLlors either have*mien'ecimpensemon imam:nee ot atu 5.1.31e I 1 43 Electrical repairs or additions
prop:a-tors*rill no cUipiWyce5„
12.E]Plumbing repairs or additions
5 I am a t‘merid euntraelor and I ha.,e hired the sob-cuntrautins,listed on the anandualsiteet_
i 30 Roof repairs
These sub-contractors have employixs and bast workers'comp.insurance.;
14.s't Other Solar
6.0 Wc are a k.orporanon and its officers balk extarised then iads:of exempnon per MCI e.
152.t.ii 4).and we hate no employees.(No'workers'comp insarance napnired.)
'Arty arrpi want Ihni Liteeks.but a) mu>1 21.,,o till out tile sauction hcloA,iloy•mg their%caters.'compensation pulley tniormatunt
1 ihernevwrtali who submit thaw atfidakIi in:heating they are doing all work and then hire outside contractors attest submit a new affidavit andieating suck
1Contx actoi that ehe...k ila,hk,\Inuit alladved an alsitliontil alsoct Aso*mg the name of the sob-ci.mtractors and-Aar.4,hr:ibex at nut Chow cnittit.-).Iwo,:
II,ii,.. -1,..1,-,..r,:•.4.:;',4,have orwrio)tcs.,the!, rnu%t pho6de their uorkers'comp policy lumber
I am an employer that is providing worAers-compensation insurance for at) employees. Below is the policy and job site
information.
insurance cenvany Name: Continental Indemnity/AUW
___
Policy a or Self-in . Lie.#. 376140840101 Expiration Date. 09/01/2023
Job Site Address:42 Park Hill Rd city,stateizip, Florence, MA 01062
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under VIOL e. 152, §25A is a criminal violation punishable by a tine up to$I,500.D0
andlor one-year imprisonment.as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of In%estigations of the DIA for insurance
coverage verification.
. ,
1 do hereby eertilfr under the pains and penalties of perjury that the information provided above is true and correct.
Signature: /°C6t72.4 ..").t /-4.4.z4 [1,.;L. 3/3/23
Phone z: 413-584-8844
- ,..... ...
Official use only Do not write in this area.to be completed by city or tows:official
(its or Town: Permit/License a
Issuing Authority (circle one):
I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone 4: