18C-106 BP-2023-0964
59 GLEASON RD COMMONWEALTH OF SSACHUSETTS
Map:Block:Lot:
18C-106-001 CITY OF NORTH MPTON
Permit: Solar Build
PERSONS CONTRACTING WITH UNREG STERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2023-0964 PERMISSIO IS HEREBY GRANTED TO:
Project# 2023 SOLAR Contractor: License:
Est. Cost: 64356 VALLEY SOLAR L C CSL115680
Const.Class: Exp.Date: 04/09/20 5
Use Group: Owner: LEE E SON VICTORIA
Lot Size (sq.ft.)
Zoning: URB Applicant: VALL Y SOLAR LLC
Applicant Address Phone: Insurance:
116 PLEASANT ST, SUITE 321 (413)584-8844 EXT 217 376140840101
EASTHAMPTON, MA 01027
ISSUED ON: 07/24/2023
TO PERFORM THE FOLLOWING WORK:
INSTALL 26 PANEL 10.40 KW ROOF MOUNT SOLAR SYSTEM WITH 13.5 KW BATTERY
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
I ,
Fees Paid: $75.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissis ner
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ti� VG 1•••••
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The Commonwealth of Massachus= mG
Board of Building Regulations and Stank:=' 40 FOR
EU Massachusetts State Building Code, 780 C ���: ► ICIPALITY
1,2sq SE
Building Permit Application To Construct,Repair,Renovate - s oli a ''used Mar 2011
One- or Two-Family Dwelling Val,
Tl}i� ecti n For Official Use Only
Building Permit Number: /✓-�'J'' wry ate Applied:
lriev,.� 40'>5 / 7-Z'-1-ZDZ3
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
59 Gleason Road,Northampton,MA 01060
1.1 a Is this an accepted street?yes x 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 CI _Zone: Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Timmon Wallis Northampton,MA 01060
Name(Print) • City,State,ZIP
59 Gleason Road (631)507-8686 timmon.wallis@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 ) 0 Alteration(s) 0 Addition ❑
Demolition ❑ Accessory Bldg. 0 Number of Units Othe 0 Specify:Solar
Brief Description of Proposed Work':
Installation ofa 26-panel roof-mounted solar array.System size 10.400kW DC.Includes installation of esla Powerwall+13.5kWh ESS.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $40,456 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $23,900 ❑ Standard City/Town A plication Fee
❑Total Project Costa(It 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5. Mechanical (Fire
Suppression) $ Total All Fees:
Check No.\t U Check ount: Cash Amount:
6. Total Project Cost: $64,356 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
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.
07/18/2023
Print Owner's Name lectronic 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.
1e8 GG 7/18/23
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 '� if''��.
Arf
„1, DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, MA 01060 -1'1y�, yet
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: � p �,c Date: 7/18/23
„‘ N\ The Commonwealth of Massachusetts
r
=tere„mri= Department of Industrial Accidents
mirr
1 Congress Street,Suite 100
=6 8
gar Boston, MA 02114-2017
www.ntass.gavidia
- Workers Compensation Insurance Affidavit: Hu iidersiCoutractorsiElectrielanstPlumbers.
10 BE PILED WITH [LIE PEUAII MTV;AtrttIORITY.
_Umbra nt it fo ratai i u Please Print Legibly
Name 03 OrgalignitICILI Valley Solar LLC
Addtess: 116 Pleasant St Suite 321
city,state,zipl Easthampton, MA 01027 Phone -413-584-8844
Ate you as employee Cherie the appropriate hilt: I pe of project(required)
1)21 I am a employ:et with 30_ wargeloyeeh Oldil autos partAri awl,* 7. D NeW construction
.1%0 ua a wok ptoptictor or pantletairtp anti have no eraployeca work far Mt VI K. 0 Remodeling
any capacity_No workers”matip.ittAakiiinet: ituaimul
9, 0 Demolition
3,0 1 am a liiitaXOWner doing all work napelt,[No**Atha'corm,inetemance monied"
10 El Blinding addition
4.0 lam a 111.1ffitirdriler non*dl Ire boom martramory to maraud all work ont rsty piutt I'hit!
ornate dna all CXEKIErtAil-tri eitheX la ie YkOlakePA. aaaat imca utSilk I I 1:1 Elettrica repairs'or additions
puipaciais with au iimptoui,s,
12.0 Plumbing repairs or additions
1 am a gcmhal contracho mai I have bared the aith-cunhactort Laden on the attached Acct.
and ID Roof repairs
These arib-martractoth have eariploycha kern%woke&comp,torattance.1
14. Other Solar
60 We.ore a corporattut ha on-leers have ewratised their right oteheraptom pm Mt&c.
151,hit 4 t_and m.etrarliscc,... war S'comp,itiantrome te.quilv4.1.1
'Any applicantth.itihhh,boaI 1 i :4.1.11,4111.below alwth mg tea w token.'coroperwanian policy mformatirm
thatterhamerA'iota.)sterna this affidat,It indwating they are doing all NA,ink and Ohm b outside eordrectora ottot Waned a tam affidavit andithtmg such
Itotar&A,tt.that efitrek this batwing attached ao additional ahem htICAN,irw CF.:Mime of the withermtractora anti haw liether or not thaw emitiey hay
mployee, If fit."hsb-mahrectorhIaa hey mu-A pow lie their vt orkerh"comp iwthh.
I am an employer that is providing workers'cornpensation insurance for my employees. Below is the policy and job she
information.
Insurance Company Name: Continental Indemnity/AUW
pacy#or sof_ins.Lie.#,,,• 376140840101 Expiration 09/01/2023
job site Address: 59 Gleason Road CityStatelir Northampton, MA 01060
Attach a copy of the workers'compensation wok!, declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MOE c. L52, '2SA is a criminal violation punishable by a tine up to 51,5001X)
and/or one-year imprisonment. well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00
day against the vk,Lu r To, of this statement may he fury,arded to the Office of Investigations of the DIA for insurance
coverage veritieatl c it,
Ida hereby certify under the pains and penalties of perjury that the information provided abort'iS true and awed.
Sianatarc: Date: 7/18/23
1.4horc %: 413-584-8844
Official use only. Do not write in this area,to be completed by city or town official
City or Town: PermWlicense
Issuing Authority (circle one):
L Board of Health 2. Building Department 3.City rto Clerk 4.Electrical Inspector 5. Mouthing Inspector
6.Other
Contact Person: Phone#: