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24D-324 (2) BP-2021-2307 1 PROSPECT CT COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24D-324-001 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-2021-2307 PERMISSIONIS HEREBY GRANTED TO: Project# SOLAR -2021 Contractor: License: Est.Cost: 37000 EMPOWER ENERGY SOLUTIONS 019944 Const.Class: Exp.Date: 12/01/2023 Use Group: Owner: GALVIN JOHN P &TAMARA S Lot Size (sq.ft.) Zoning: URC Applicant: EMPOWER ENERGY SOLUTIONS Applicant Address Phone: Insurance: 39 FERNWOOD DR (475)221-2356 WC533SB2191Q011 ROCKY HILL,CT 06067 ISSUED ON:12/14/2021 TO PERFORM THE FOLLOWING WORK: ROOF MOUNT SOLAR -33 PANELS 11.5KW 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: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: i � . ' • • Fees Paid: $75.00 • 212 Main Street,Phone(413)587-I240,Fax:(413)587-1272 Office of the Building Commissioner The Commonwealth of Massachuserts ‘IS)u 1 Cii ,Board of Building Regulations and Staiidartj CIPALITY a assachtsetts State Building Code, 780 Cy1R ' V 11VP'••`• M ' • L' . Building Permit Application To Construct. Repair/Ren• ,ate Or Defirefska ised: 'ar 2011 • hi.. One- or Two-Family Dwelling ,.) . This Section For Official Use On21si-.7.441/)614., . Building Permit Number: _41— 4.1./ - .2 2,0 7 Date A lied: 11",5o• s Eui 0 ' / (175 -,„ 11 /11"ZOZ) . Building Official(Print Name Simature fflte SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 1 Prospect Court Northampton, MA 01060 1.1a is this an accepted street?yes 101 no Map Number Parcel Number 1.3 Zoning Information: s 1.4 Property Dimensions: Residential Zoning District Proposed Use Lot Area tsq fh Frontage t fti 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 0 Private 0 ' ----- Ch k if Nes0 Municipal 0 On site disposal system 0 ec SECTION 2: PROPERTY OWNERSHIP' II Owner'of Record: Northampton, MA 01060 Tamara Galvin Name(Print} City.State.ZiP 1 Prospect Court 917-399-9822 tarnaragalvin@gma il.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 CI Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units i Other se specify: Sdar _ Brief Description of Proposed Work 2: instaiation of a safe and code-compliant,grid-tied PV solar system on an existing residential rod.33 panels/11.5kW SECTION 4:ESTIMATED CONSTRUCTION COSTS _ Estimated Costs: Item Official I.s e Only (Labor and MaterialS) 1. Building S 4000 1. Building Permit Fee: S Indicate how fee is determined: • 0 Standard City/Town Application Fee 2, Electrical S 33000 0 Total Project Cost'(Item 6)x multiplier x 3. Plumbing $ 2, Other Ftvs. $ 4. Mechanical (HV.AC) S List: 5. Mechanical (Fire Suppression) S i Total All Fees:,SA, liC Check No.i A 1/1/ Check Amount: Cash Amount: 6.Total Project Cost: S 37000 El Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-019944 12/01/2023 Lando Bates Licence Ntuntier Expiration Date Name of CSL Holder 51 Assabet Dr List CSL Type(see below) No. and Street Type Description U 1 Unrestrwted I Building..s up to 35.000 cu. ft. Northborough MA 01532 R I Restricted 1&."Family Dwelline City'Town.State.ZiP M Masonry RC Roofing t.d.' Sil WS Window arid Siding SF I. Solid Fuel Burnind Aprlans (475)221-2356 operations©empowerenergy.co Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 198351 4/5/2022 Empower Energy Solutions Inc HIC Registration Number Expiration Date H IC Company Name or HIC Registrant Name 39 Fornwooki Dr operations@empowerenergy.ce No. and Street Email address Rocky Hil CT 06067 (475)221-2356 CityTown, State.ZIP Telephone SECTION WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 2506)) 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 1.as Owner of the subject property,hereby authorize Empower Energy Solutions Inc to act on my behalf, in all matters relative to work authorized by this building permit application. Tamara Galvin I-curl-ma 125a-lvelz- 12/03/2021 Print Owner's Name(Electronic Signature) Date SECTION'7b:OWNER'OR AL1THORIZED 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 apphcation is true and accurate to the best of my knowledge and understanding. Asim Flafeez Print Owner's or Authorized Agent's Name Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do hisiber 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. 142.4,„ Other important information on the HIC Program can be found at www.mass,eovloca Information on the Construction Supervisor License can be found at www.mass.govidps 2. When substantial work is planned,provide the in formation 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 halfbaths 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" 1,--. in. -n•Ircnt4