43-110 BP-2023-0576
107 WHITTIER ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
43-110-001 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-2023-0576 PERMISSION IS HEREBY GRANTED TO:
Project# 2023 SOLAR Contractor: License:
Est. Cost: 34900 VALLEY SOLAR LLC CSL115680
Const.Class: Exp.Date: 04/09/2025
Use Group: Owner:
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: 05/05/2023
TO PERFORM THE FOLLOWING WORK:
INSTALL 22 PANEL 8.8 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: I , O 9-,
• r � yb •
I ' I
Fees Paid: $75.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
i 1.
The Commonwealth of Massachusetts
or Board of Building Regulations and Standards„ w 7��_ FOR
Massachusetts State Building Code, 780. CM 4 1�IUNICIPALITY
2O? iusE
Building Permit Application To Construct,Repair,Ret>bvat Or Demolish a evis, d Mar 2011
One- or Two-Family Dwelling + ,c)c nun ),�,, trtiFp
This Section For Official Use Only "`4 o,00 1s1S
Building Permit Number:8P' A 3' 5 710 Date Applied:
4vl0 a, Y ''..-2 5-1-1- 3
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map& Parcel Numbers
107 Whittier Street, Florence, MA 01062
1.1a 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) i 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 CI Private 0 Lonc: Outside Flood Zone? Municipal 0 On site disposal system ❑
Check if yes❑ ``
SECTION 2: PROPERTY OWNERSIIPI
2.1 Owner1 of Record:
Adam Hall Florence, MA 01062
Name(Print) City,State,ZIP
107 Whittier Street (413)387-5487 adamchall01060@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) ❑ Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other ® Specify: solar
Brief Description of Proposed Work2:Installation of 22 panel roof mounted solai.array, system size 8.8kW DC.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $24,430 1. Building Permit Fee: $ Indicate how fee is detenuined:
2.Electrical $10'470 0 Standard City/Town A plication Fee
❑Total Project Costa(Ite 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fes: $ 6.
Check No. ►S Check Amount: Cash Amount:
6.Total Project Cost: $34,900 ❑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
Florence,
City/Town, R Restricted 1&2 Family Dwelling
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 ct on my behalf,in all matters relative to work authorized by this building permit application.
_ LIn 04/28/2023
Print In
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.
P z C, ,e9ia 4/28/23
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"
_t City of Northampton
, .,�•,
., ` Massachusetts 175 '1`f%
,
titm i DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building rti :''
t�
\ --,F Northampton, MA 01060 "Jsl, ,tA:.,
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
P
Signature of Applicant: c �`.c/ D �'� Date: 4/28/23
The Commonwealth of Massachusetts
Deportment of Industrial Accidents
.....X.mr,111111k
,i I Congress Street,Suite 100
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Siriti i=Ir Boston, .MA 02114-2017
W.
www.mass.govidia
‘%oakers*Compensation Insurance Affidavit:BuildersiContractorsJElectrielanstPlumbers.
l'O ilk:FILED WITH THE.PERNIILITING AUTHORITIt'.
.‘nolicant Information • Please Print Lel:it'll'
Name 4BUSIP-: ,011,..1. ntzationdmitytthialr Valley Solar LLC , ....
Addrcss: 116 Pleasant St Suite 321
._„„. ...,,_„...........„„_„, ...._....
CityiStaterZip: Easthampton, MA 01027 Phone P413-584-8844
An'nit an eingitar.see Cheek the appropriate h.iru Type of project(required):
ICIi am a employer with 30 ariplo?..,:eh i fail aralot part-tirrie)..• 7. 0 New consttuction
1 arn a Aok proprietor ur portnerslup and ktave nu cmployces kvorkorg for nu rn 8. 0 Remodeling
any capsinty,[No winiera'Ctdrip.6131.13:3131:tt ro4113n311
, 9. [1] Demolition
30 i Agri 3 horoLownei doing all work myself.f!io voorktn.'eurnp,nnuramee roaarml.j
1 10 p Building addition
4.c3 I am a IISATX.V14 ner and weill be hoots amcractur,tv conduct all wtirk on rik,glopcity.. 1 will
ensure that all roadraours either hake k+orkvrs curnaleit,ation On.urance ut are%ole 110.Electrical repairs or additions
prorintiori with no rinployet..a,
I 2.0 Plumbing repairs or additions
:SO I am a general curametur and 1 have hired the sith-ctiotractors fisted on the adtadiod shet-t
13 Roof repairs
These sub-contractors base employees and hese wutkers-vamp.insurance...1
14•sr"' Othei Solar
6.0 wt.are a corporation and its ufficers have cum:hied there right utexemptiun per ISIGL c. ...
151 104.and we it.a.t e no empluyees.[Nu workers'cum insurance regun•edl
*Arty at-Thema that c ito.k.s km.1 must also fill out the atom tscloa%boa in g then a:niers',.-ompensation policy trifocal:Own
+Hurneuvetien who siitirnd this affidavit indicating they are doing alt work and then hire,•otspic isindowtrars must submit a DCW affidav it indicating sui.h.
on actors that titt3.3.thi,KA must attached an althtional%beet%bow trig the name of the suh-contracturs and attic V.tx.lber or nut those entities List
crriplo:.ei., II rbe,L1,,,iriir.ic.iir,hose eiriplovi..,ea.tiii.- iiii.i,i provide their aolkers'comp pohcv number. .
1 am an employer that is providing workers"compensation insurance fir my employees. Below is the policy and jol,site
information.
insurance company Name: Continental Indemnity/AUW ___
Policy#or Self-ins.Lic.#: 376140840101 Expiration Date. 09/01/2023
Job Site Address:107 Whittier Street citystate,zip:Florence, MA 01062
Attach a copy of the workers'compensation polky declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MOL c. 152, §25A is a criminal violation punishable by a tine up to SI,500.00
and.Ur one-year imprisonment.as well as civil penalties in the form of a STOP WORK ORDER and a line of up to 5250.00 a
day against the violator.A copy of this gatement may be forwarded to the Office of Insestigations of the DI A for insurance
coverage verification.
I do hereby cc,rtafr under the pains and penalties ofperiury that the information provided above is true and correct.
Signature: /1)C6t72.4. . ' A5`11- 4-Ca.4 D.,1c: 4/28/23
Phone. •'-:. 413-584-8844
Official use only. Do not write in this area.to be completed by city or town official.
('its 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
Cont;itt, I' zsmi Phone#: