31C-066 BP-2023-0403
43 HIGGIN$ WAY COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
31C-066-001 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-2023-0403 PERMISSION IS HEREBY GRANTED TO:
Project# 2023 SOLAR Contractor: License:
Est. Cost: 38064 VALLEY SOLAR LLC CSL115680
Const.Class: Exp.Date: 04/09/2025
Use Group: Owner: POPPER POPPER, SALLY D& LEWIS M
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: 04/04/2023
TO PERFORM THE FOLLOWING WORK:
INSTALL 26 PANEL 10.4 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:
1.1 • • >2 - 15/
Fees Paid: $75.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
rl'
r R ►.
The Commonwealth of Massachusetts 4PR
Tit Board of Building Regulations arid StOdards ` 4 2 / FOR
Massachusetts State Building Code, _ MUNICIPALITY
ore l i USE
n�, A ow
Building Permit Application To Construct, Repair,Renov$ien a R¢vised Mar 2011
One- or Two-Family Dwelling oso
This Section For Official Use Only
Building Permit Number: !v#a'3" '3 Date Applied:
EyIL) (2,, 1/2 y-yZOz3
, Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 m er
Assessors
Map&Parcel Nus ^
43 Higgins Way, Northampton, MA 01060 t
1.1 a Is this an accepted street'?yes no Map Num'6er 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❑ On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Sally Popper Northampton, MA 01060
Name(Print) City,State,ZIP
43 Higgins Way 816-679-6505 sdpopper@gmail.com
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
Brief Description of Proposed Work2: Installation of 26 panel roof mounted solar array,system size 10.4kW DC.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $26,645 1. Building Permit Fee:$ Indicate how fee is determined:
2.Electrical $11'419 ❑ Standard City/Town Application Fee
❑Total Project Cost3(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5. Mechanical (Fire $ L,
Suppression) Total All Fees: $Q
Check No.$6 3 OCheck Amount: 15 Cash Amount:
6.Total Project Cost: $38,064 ❑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 l&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...........❑
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.
1!Lt ? 03/10/2023
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.
�GZ 25I Z /`Aitf 3/9/23
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
oat MP$+. ,5 +- sr.
s- �'" Massachusetts w`'� '
Y A. ,r `c
i.
'�f DEPARTMENT OF BUILDING INSPECTIONS s
# 4` 212 Main Street • Municipal Building J,y Cam
Northampton, MA 01060 j'''t yT -j1'ti'
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
fr � p ��Signature of Applicant: Date: 3/9/23
The Commonwealth of Massachusetts
Department of Industrial Accidents
1 Congress Street,Suite 100
)
Boston, MA 0114-2017
7.-in i my
t's6- www.mass.govidia
‘Votters Compensation Insurance Aftlidavit:Buildersi(7.ontractors/Electricians/Pluntbers.
-11.)HE FILED WITH TILE PERMITTING A1JTI1ORITY.
Applicant Information Please Print Leeihis
Name(BusinessiOrganization/Individual): Valley Solar LLC
Address: 116 Pleasant St Suite 321
, .
City/State/Zip: Easthampton, MA 01027 ['lion.: ,,,:413-584-8844
Are lima an eniployer?Cheek the a p propriety Nit: Type of project(required):
IX1 I.1111 a employer with 30 employees tiall;minim part-tirnet.* 7_ a New construction
2.1:1 I ant a mile pruprierur Of parmenhip and bare no employees.winking fur rne in K. 0 Remodeling
any capacity,[Nu warier,'comp.insurance recinired_I
9.30 I am a 114.111101iWnet doing all work myself.[No viorkiss'conp.insurance required.]" 0 Demolition
1 I 0 1:1 Building addition
4.0 lam a homeowner and will be hiring alluradurs to isinduct all work on my property. [will
ensure that all contractors either have workers'compensation insurance or am sole 1 II 43 Electrical repairs or additions
proprietors with no erriployees.
I 2.0 Plumbing repairs or additions
3C3 lam a general contractor and I have hired the siabAsintractors listed on the*nailed sheet
I 1E1 Roof repairs
Ttiee sob-contractors have employees and have workers'comp.insurance.;
14. :e Other Solar
6.E]we are a merpursition mans officers have exercised their right of exemption per MGL c. !
152,§I(4)..and we have no comphyves.[No workers'comp.insurance requimil
*Any applicant that checks box ssl nubs also fill out the section below showing their workers'compensation is.ili,...v LIE i‘St atation.
f lionicvveners who submit this offsiiirvit indicating they are doing all work and liven hire outside contractors must submit a new atTidav it indicating such.
tContractors that cheek dus box must attached an additional sheet show ing the name of the Cub-co *tors and state whether or not those entities have
employees, If the sub-eumracturs Isave empluyees,they most provide their workers'tamp.policy nartiber.
I am an employer that is providing workers'compensation&Samna.for my employees. Below is the policy and job site
information.
Insurance Company Name: Continental Indemnity/AUW _
Policy#or Self-ins.Lie. #: 376140840101 Expiration Date:09/01/2023
Job Site Address: 43 Higgins Way citystatezip, 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 c. 152,§25A is a criminal violation punishable by a fine up to SI,500.00
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine 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: /1)a-ULI--#‘ 17 /e6V1- Date: 3/9/23
Phone#: 413-584-8844
... ..._ ., ,
Official use only. Do not write in ilri% area to be completed by city or town offeciaL
City or Town: Permit/License#
'.. Issuing Authority(circle one):
I. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5,. Plumbing Inspector
6.Other
('on hid Person: Phone#:
, _ .