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31C-002 (14) BP-2022-0453 48 WARD AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31 C-002-001 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-2022-0453 PERMISSION IS HEREBY GRANTED TO: Project# 2022 SOLAR Contractor: License: Est. Cost: 15000 EMPOWER ENERGY SOLUTIONS 109944 Const.Class: Exp.Date: 12/01/2023 Use Group: Owner: BULL COHEN PERRY L &BROOK A Lot Size (sq.ft.) Zoning: RR/URA/WP Applicant: EMPOWER ENERGY SOLUTIONS Applicant Address Phone: Insurance: 30 OLD KINGS HWY S#1001 (475)221-2356 WC533SB2191Q011 DARIEN, CT 06820 ISSUED ON:04/28/2022 TO PERFORM THE FOLLOWING WORK: INSTALLI 1 PANEL 4.4 KW ROOF MOUNT SOLAR SYSTEM WITH INVERTER 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 )2 . Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner 74- g-,,,c, ; 1 Go I-uvi Irtit&Jj The Commonwealth of Massachtietts 4. Board of Building Regukitions and S nda s 2 7 CUCC,,,,,,, uN • : :. , I isIPEALITY Massachusetts State Building Code, 7 0 C, R APR _... Building Permit Application To Construct, Repair, enox te Or Demolish a Revise 01 Mar 21 I One-Or Two-FOM111°&Wel lin DEP,Tin?!„BUILDING INSPEC This Section For Official Use On ---141-'-''-'-----z--.t 'p MA 2.9_6° Building Permit Number. e la- a .-....is.--3 Date Applied: 03126)2022 40 la—.1 (Z`)5 /47 14-Zes-202Z Building Official(Print Name i Si gnaturc Date SECTION I: SITE INFORNEkTION LizrxerAwoir HAMPTON,MA,011..)60 1.2 Assessors Map& Parcel Numbers I.1a 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 Hood Zone? . . Public 0 Private 0 Check if yes0 Municipal 0 On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Bull.Brooke Northampton, MA, 01060 Name(Print) City.State.ZIP 48 Ward Avenue _ 505,440-11,02 brooks.nullinitt@gmaitcom No. and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(cheek all that apply) 1 7 1 New Construction 0 Existing Building El I Owner-Occupied 0 1 Repairs(s) 0 1 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bide. 0 I Number of Units i Other 01 Specify: PV solar installation Brief Description of Proposed'Work': Installation of a safe and code-compliant grid-tied PV solar system on an existing residential roof.11Pariels$4.40kw ... SECTION 4:ESTIMATED CONSTRUCTION COSTS Estimated Costs: Item Official Use Only (Labor and Materials) 1. Building S 4000 1. Building Permit Fee: $ Indicate how fee is determined: 0 Standard CityTown Application Fee 2. Electrical S 11.000 0 Total Priject Cost (Item(1)x multiplier x 3. Plumbing S 2. Other Fees: $ 4. Mechanical (HVAC) S List: 5. Mechanical (Fire S Total All Fees: $ la--77 Suppression) Check No.11141 Check Amount: /' Cash Amount: 1 6.Total Project Cost , S 15.000 ! 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-109944 12/01n023 Lando Bates License Number Expiration Dino Name of CSL Holder List CSL Type(see below) 30 OLD KINGS HWY S# 1001 No. and Street Type Description DARIEN CT 06820-4551 l' Unrest icted Buildings up to5.000 cu. ft.s R ' Restricted 1S2 Family DweiIuut Cit'Town.State,ZIP M Masonry RC 1 Roofing Covering _....._._._..._._._..._..____. _....______.__�___..._._ WS ' Window and Siding (475)221-2355 SF Solid Fuel Burning Applianc5 cr.prationsgkempowerenergy.00 _._ 1 Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 198351 0410512024 Empower Energy Solutions Inc ...._.. ...-_... HIC Registration Number Expiration Uat HIC Company Name or HIC Registrant Name operatlons[a)empawerenergy.CO No. and Street Email address 15AFZtEWCf 82©-4551 _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 I this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes ...._.. ❑ .. �c� ❑ 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.. s�%"•" ` ;�'`F 03/26/2022 Print Owner's Name(Electronic Signature) Date SEA ION 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:..,t,:, ^^..t:^^ ^^ :�*^ ^ '—:urate to the best of my knowledge and understanding. a•',•• E 03/2612022 Print Owner's or Authorized Aee-nt's Name t Electronic Signature) Date NOTES: 1. An Owner who obtains a bush ing permit to o is'' er own work,or an owner via o ices an unregister contractor (not registered in the Home Improvement Contractor(111C)Program).will not have access to the arbitration program or guaranty fund under M.G.L. c. 142A Other important inft�rmation on the HIC Program can be found at. www,mass,kov:oca Information on the Construction Supervisor License can be found at www.nzass,gov`dps 2. When substantial work is planned.provide the information below.. Total floor area(sq. ft.) (including garage, finisher1 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"