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48-027 BP-2023-1283 66 RIDGE VIEW RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 48-027-001 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-2023-1283 PERMISSION IS HEREBY GRANTED TO: Project# 2023 SOLAR Contractor: License: Est. Cost: 173536 VALLEY SOLAR LLC CSLI 15680 Const.Class: Exp.Date: 04/09/2025 Use Group: Owner: COHEN,PERRY L.&GOWELL, AMY Lot Size (sq.ft.) Zoning: RR Applicant: VALLEY SOLAR LLC Applicant Address Phone:, Insurance: 116 PLEASANT ST, SUITE 321 (413)584-8844 EXT 217 376140840102 EASTHAMPTON, MA 01027 ISSUED ON: 09/18/2023 TO PERFORM THE FOLLOWING WORK: INSTALL 89 PANEL 35.6 KW ROOF MOUNT SOLAR SYSTEM WITH 2 BATTERIES (NO STRUCTURAL) 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: Inct,s� Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner The Commonwealth of Massach setts C� FOR ; Board of Building Regulations and•tan.• • ` MUNICIPALITY + M1 Massachusetts State Building Cod- 780 R Building Permit Application To Construct,Re..'r,Re •vattkqemolish a &. evised ar One-or Two-Family I elling 14 201 �f P 0(93 This Section For official Use : B0N� e,N ' Building PPe it Number: / 1�—a P •J� 3- /y 93 Date A lied: TnH NsA£r �j /�C—V, 3 / Koss / "Acro6 PUN !-/6'a:3 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 gs_s ors Map and Parcel Numbers 66 RIDGE VIEW DR FLORENCE MA 01062 `1 0 2 7 1.l a Is this an accepted street?yes x no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: Outside Flood Zone? Public , Private Municipal On site disposal system Check if yes SECTION 2:PROPERTY OWNERSHIP 2.1 Owner!of Record: Perry Cohen Northampton MA 01062 Name(Print) City,State,ZIP 66 Ridge View Road 413-977-6608 tcellura@sovereignbuilders.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction Existing Building Owner-Occupied Repairs(s) Alteration(s) Addition= Demolition Accessory Bldg. Number of Units 89 Other Specify:Solar Brief Description of Proposed Work2: Installation of an 89-panel roof-mounted solar array. System size 35.600kW DC. Includes installation of Tesla 27kWh ESS. SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building S 520611 1.Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ 121475 Standard City/Town Application Fee Total Project Cost3(Item 6)x multiplier s 3.Plumbing 5 2.Other Fees:$ List: 4.Mechanical(HVAC) 5 5.Mechani.cal(Fire Suppression) $ Total All Fe cal Check No.( Check Amount: (03 , Cash Amount: 6.Total Project Cost $173536 Paid in Full Outstanding Balance Due: SECTION 5:CONSTRUCTION SERVICES CS-115680 4/9/2025 License Number Expiration Date 5.1 Construction Sit,pervisor License(CSL) List CSL Type(see bellow) U Patrick Rondeau Name of CSL Holder Type Description 53 Fo:i Farms Rd.,Florence,NIA(11(162 Q Unrestricted(Buildings up to 35,000 cu.ft.) No.and Street R Restricted 1 AND 2 Family Dwelling Florence,MA 01062 City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding 413-584-8844 Info@valleysolar.solar SF Solid Fuel Burning Appliances Telephone Email address I Insulation D Demolition 5.2 Registered Home Improvement Contractor(HIC) Valley Solar LLC HIC Company Name or HIC Registrant Name 186338 413-584-8844 HIC Registration Number Expiration Date 116 Pleasant St,Suit 321 No.and Street info@valleysolar.solar Email address Easthampton,MA 01027 413-584-8844 City/fown,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 09/05/2023 Print Owner's Name(Electronic Signature) Date SECTION 7b:OWN ERI 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 tto thebeestt of my knowledge and understanding. 2a / /Cd� 9/1/23 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 tt¢t have access to the arbitrationprogram 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.govidps 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 .yt:4.y-p Massachusetts w �., 1= * DEPARTMENT OF BUILDING INSPECTIONS yq 212 Main Street • Municipal Building / Northampton, MA 01060 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 i) Signature of Applicant: c�t� 7� �en�� u Date: 9/1/23 , ° 'v The Commonwealth of Massachusetts 01 Department of Industrial Accidents ,1111 1 Congress Street, Suite 100 Boston, MA 02114-2017 5 www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):Valley Solar LLC Address: 116 Pleasant Street Suite 321 City/State/Zip: Easthampton, MA 01027 Phone #: (413) 584-8844 Are you an employer?Check the appropriate box: Type of project(required): I ❑✓ I am a employer with 40 employees(full and/or part-time).* 7. ❑New construction ?.El I am a sole proprietor or partnership and have no employees working for me in 8. ❑ Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition ❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10❑ Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 6.El Wearea corporation and its officers have exercised their right of exemption per MGL c. 14.❑✓ Other Solar 152,§1(4),and we have no employees.[No workers'comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Continental Indemnity/AUW Policy#or Self-ins.Lic.#:376140840103 Expiration Date:09/01/2024 Job Site Address:66 Ridge View Road City/State/Zip:Northampton, 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 MGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 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 painsand penalties of perjury that the information provided above is true and correct. Signature: f"erGt�i % �dy�� Date: 9/1/23 Phone#:(413) 584-8844 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: