24D-172 (8) BP-2022-1358
210 STATE ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
24D-172-001 CITY OF NORTHAMPTON
Permit: Solar Build
PERSONS C RACT NG WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2022-1358 PERMISSION IS HEREBY GRANTED TO:
Project# 2022 SOLAR Contractor: License:•
Est. Cost: 16000 EMPOWER ENERGY SOLUTIONS 019944109944
Coast.Class: Exp.Date: 1 2/0 1/202 3 1 2/(11/2023
Use Group: Owner:
Lot Size (sq.ft.)
Zoning: URC Applicant: EMPOWER ENERGY SOLUTIONS
Applicant Address Phone: Insurance:
30OLD KINGS HWY S#1001 (47 1221-2356 WC533SB2191Q011
DARIEN, CT 06820
ISSUED ON: 10/19/2022
TO PERFORM THE FOLLOWING WORK:
INSTALL 12 PANEL 4.26 KW ROOF MOUNT SOLAR SYSTEM
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: RoughI a —� \ House# Foundation:
Final: Final: - 3•'3 (z..Qvr Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final: 6.i 2 )3.23 ILtZ
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
' . •
Fees Paid: $
212 Maul Street,Phone(413)587-?240,Fax (413)587-1272
Office of the Buildinc Commissioner
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Commonwealth ��jj//�� s�o///Iaachuaette Official Use Only
�a _ cc�� cc77 Permit No. '
27� ( ?'3 —
4 2epartment oJ.}ire.erviceJ ,
1{— Occupancy and Fee Checked ))6t f
y� . BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ion 1/2022
City or Town of: Northampton To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) 210 State St.
Owner or Tenant Schulman,Joshua Telephone No. (646)734-4616
Owner's Address 210 State St., Northampton MA 01060
Is this permit in conjunction with a building permit? Yes Q No ❑ (Check Appropriate Box)
Purpose of Building PV Solar Installation Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: a 2 104't&!5 - `-1• Z 0 IL(,v no S' vtt.k,v-A
Installation of a safe and code-compliant,grid-tied PV Solar System on a residential rooftop
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf T
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimmin Pool Above In- No.of Emergency Lighting
g grnd. ❑ grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices _ .____
No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water Kam, No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
'No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $12,000 (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE El BOND ❑ OTHER El (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Empower Energy Solution LIC.NO.: 8209 Al
Licensee: Lando Bates Signature .r...,L.«;.r.,,., LIC.NO.:20559 A
(If applicable, enter "exempt"in the license number line.) Bus.Tel.No.• 774-249-1687
Address: 51 Assabet Dr Northborough MA 01532-2600 Alt.Tel.No.:
*Per M.G.L. c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)El owner ❑ owner's agent.
Owner/Agent xA . r.,,;�<, 774-249-1687 PERMIT FEE: $
Signature Telephone No.
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