35-262 BP-2023-1089
62 WEST PARSONS LN COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
35-262-001 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-2023-1089 PERMISSION S HEREBY GRANTED TO:
Project# 2023 SOLAR Contractor: License:
Est.Cost: 19829 VALLEY SOLAR LL CSL l 15680
Const.Class: Exp.Date: 04/09/2025
Use Group: Owner: W SMI ,SCOTT
Lot Size (sq.ft.)
Zoning: WSP Applicant: VALLE SOLAR LLC
Applicant Address Phone: Insurance:
116 PLEASANT ST, SUITE 321 (413)584-8844 EXT 217 376140840101
EASTHAMPTON, MA 01027
ISSUED ON: 08/14/2023
TO PERFORM THE FOLLOWING WORK:
INSTALL 16 PANEL 5.84 KW ROOF MOUNT SOLAR SYSTEM ADD-ON (N STRUCTURAL NO 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 NOR HAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
>2 .
Fees Paid: $75.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissisner
4b A
cFi
The Commonwealth of Massa' use . " 0 4
Board of Building Regulations a . St:;;.�,• ds 1 O •R
E:-'.�U ra Massachusetts State Building Code, i ,:T:.,��' 1?j1h„ 0,,, I 'ALITY
��"Jf SE
Building Permit Application To Construct,Repair,Renov.o- " ,- y olish a Rev'.ed Mar 2011
One- or Two-Family Dwelling • •4140FCr
This Section For Official Use Only '196P4's
Buildin Permit Number: 12 P .) 3 IC!? Date Applied:
evis-3 a.5 /Z(/<7 . ,
Building Official(Print Name) Signature i Date
SECTION 1: SITE INFORMATION '
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
62 W Parsons Ln.,Northampton,MA 01062 3 S-
1.1a Is this an accepted street?yes x no Map Number Parcel umber
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) 1 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:
Scott Smith Northampton,MA 01062
Name(Print) City,State,ZIP
62 W Parsons Ln. (413)446-5529 ssmith8094@aol.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 ❑ Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:Solar
Brief Description of Proposed Work2:
Add-on installation of a 16-panel roof-mounted solar array to an existing system.System size 5.840kW DC.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $13,880 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $5 949 ❑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 Fee``si4., �
Check No. {'i Check Amount't1 Cash Amount:
6.Total Project Cost: $ 19,829 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
01062 U Unrestricted(Buildings up to 35,000 Cu.ft.)
Florence,MA
City/Town, State,012 R Restricted 1&2 Family Dwelling
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.
An.u.gn 08/07/2023
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.
/ . 4 Z7 / 9Ii i 4 a 8/3/23
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
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONSo‘ e
212 Main Street • Municipal Building J%
Northampton, MA 01060 Sy N`t
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
/'G
Signature of Applicant: 2r-C. Z7 /eeifcr� Date: 8/3/2023
t,,,
--- The Commonlvealth of Massachusetts
Deportment of Industrial.4ccidents
. * -
1 Congress Street,Suite 100
Boston„ifA 02114-2017
wmilmass.gov/tlia
'Workers'Compensation Insurance Affidas it:Buiklers/COritractorsiEktiriciansiPlumbers.
14)BE FILED WITH'I IIE PER.SIITIESC AtillIORI'lle.
_knolicant Inform tion Please Print Lei
Name t 13i.isA:L.--1)rz4anLtatiort lnklls ldualt. Valley Solar LLC
Address: 116 Pleasant St Suite 321
Citv:State;Zip: Easthampton, MA 01027 Phone ..p-413-584-8844
Are qua an employer?Cheek the appropriate hen: Type of project(required):
I.)gi I am a employer with 30 employs.-es(full antrot par-tint.* 7. Ej New construction
.11:3 I am a sole proprietor or parinership and have nu CITIpk)yeta,working fur me m 8_ 0 Remodeling
any capacity,(No workers:comp.'insurance required.]
9. 0 Demolition
311 I.3t11 a humouvencr doing all work myself.[No worktvs'eon,.Insurance resporotr
10 CI Building addition
4.C3 i am a homeowner and will 1 hums oontractors to conduct all work on my rinsperty„ 1 will
=sore that all contractors either lease NOricerf compensation insurance or are sole 1 I 1:::1 Electricafrepairs or additions
proprietors v,ith no employees.
12.0 Plumbing repairs or 311ditions
".,.0 I am a Ecimrai contractor and I hose hired the sob-contractors listed on the attached sheet
1347:3 Roof repairs
these sub-cocaratiors base employees and base workers'corms.111.1a17101:C.;
14. --' Other Solar
60 1.4: air a corporation and ir:officer,have esta-C-ised then men or exerription per hitiL e_ ..,
152..0 If rCir.,and st e have no employees.[No workers corny.insurance require&f
An applicant that rhea ls,.1/4.I iiii,-.4..1-..o It 1.1 sect tile W.A.iii.141 t•m:IuVo.iskamh inE then Vitliko:M.compiontannin pulley uilorrnatioes
'Homeowners who sainnit ibis attida ell Mail:tun they are doing all work and than hire outside contractors must submit a new affidavit itidit.nting ste:h.
'..Ci.intsactoiN!hat cheek this hos nung attached an islinikinal silsixt show ing the mime atilt sub-contractors and state ih.hcificr in riut tiaim:mlitica has,,e
II',r.l.,-,Lh-0.,isirieturs.love cry"lo',cies.they mita provide its:ii ',-.%i«rli,er-:,...4iinp pc..licy iankci.
, . ... . . „ . . „.
/am an employer that is providing worAers'compensotioPtt insurance for my employees. Below is the policy and Job site
information.
Insurance Company Name: Continental Indemnity/AUW _
Policy#or Self-ins. Lt . :.. 376140840101 Expiration Dare. 09/01/2023
Job Site Addics : 62 W Parsons Ln. cay„statedzip, Northampton, MA 01062
Attach a copy of the workers' compensation policy declaration page(showing the policy number and eipiriation dote).
Failure to secure coverage as re:Limo-xi under MGL e. 152, §25A is a criminal violation punishable by a tine up to 51,500.00
and!or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a line of up to S250.00 o
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
1 do hereby certify under the pains and penalties of palmy that the information provided above Is true and correct.
Signature: f)a-t/2,‘—/e 27 /e.i5l1 ark.. 8/3/23
phonc ::: 413-584-8844
(Vidal use only. Do tiot write in this area,to be completed by city or town official
City or Town: Permit/License
Issuing Authorit (circle one):
I. Board of Health 2.Building Department 3.City/Tovin Clerk 4.Electrical Inspector 5.Plumbing Inspector
4.Other
, Contact Person: Phone In
_______ , , ........ ......,