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31A-046 BP-2022-0098 253 CRESCENT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31A-046-001 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-2022-0098 PERMISSION IS HEREBY GRANTED TO: Project# 2022 SOLAR Contractor: License: Est. Cost: 18000 EMPOWER ENERGY SOLUTIONS 019944 Const.Class: Exp.Date: 12/01/2023 Use Group: Owner: AUGARTEN MARK S&ELLEN M TUSTEES Lot Size (sq.ft.) Zoning: URB Applicant: EMPOWER ENERGY SOLUTIONS Applicant Address Phone: Insurance: 39 FERNWOOD DR (475)221-2356 WC533SB2191Q011 ROCKY HILL,CT 06067 ISSUED ON:01/31/2022 TO PERFORM THE FOLLOWING WORK: ROOF MOUNT SOLAR 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: Gas: Final: Final: Rough Frame: Rough: Fire Department Driveway Final: Fireplace/Chimney: Final: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: yg . I1 • Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Buildine Commissioner REU iVLD The Commonwealth of Massachkisettsa N 2 8 2U22 wit Board of Building Regulations and ttandards FOR ICIPALITY Massachusetts State Building Code; 78OdElq[RrnNc INSPECTIONS USE ^,ORTHA,MpTON,MA 01060 Building Permit Application To Construct,Repair,Renovate Or Demolish a __ evised Mar 2011 One- or Two-Family Dwelling This Section For Official Use Only Building Permit Number:60- .?-.~R g Date Applied: January 08, 2022 lit N1/4 laia,D,_ Building Official(Print Name) Signature I * SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 253 Crescent Street Northampton MA 01060 a1. - C3 c-tc, 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 0 Zone: Outside Flood Zone? — Municipal 0 On site disposal system 0 Check if yes SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Mark Augarten Nnrthamptnn,MA,010 R0 Name(Print) City,State,ZIP 253 Crescent Street 413-320-7310 maugarten@gmail.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building❑ Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other El Specify: Solar Brief Description of Proposed Work': SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 4000 1. Building Permit Fee: $ Indicate how fee is determined: 14000 0 Standard City/Town Application Fee 2.Electrical $ ❑Total Project Cost3(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees: $ /' Check No.11 i w Check Amount: Cash Amount: 6.Total Project Cost: $ 18000 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-109944 12/01/2023 Lando Bates License Number Expiration Date Name of CSL Holder List CSL Type(see below) 51 Assabet Drive No.and Street Type Description Northborough, MA,01532 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 774-249-1687 Lando.B@empowerenergy.co I Insulation Telephone Email,address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 198351 04/05/2022 Empower Energy Solutions Inc HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 39 Fernwood Dr operations@empowerenergy.co No.and Street Email address Rocky Hill,CT,06067 (475)221-2356 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 Q 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 to act on my behalf,in all matters relative to work authorized by this building permit application. 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. ' . `�� January 08,2022 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"