35-117 BP-2022-0097
30DREWSEN DR COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
35-117-001 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-2022-0097 PERMISSIONIS HEREBY GRANTED TO:
Project# 2022 SOLAR SYSTEM Contractor: License:
Est. Cost: 30000 EMPOWER ENERGY SOLUTIONS 019944
Const.Class: Exp.Date: 12/01/2023
Use Group: Owner: KOCOT PETER V& SHAUNEEN
Lot Size (sq.ft.)
Zoning: WSP 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:
INSTALL 26 PANEL 9.1 KW ROOF MOUNTED SOLAR SYSTEM WITH 6.0 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:
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: ` ;, 3
I .
' '
' I
Fees Paid: $75.00
•
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
J/ �C
The Commonwealth of Massachusetts/
lt)7.
Board of Building Regulations and StandardsOR
Massachusetts State Building Code, 780 CM N IP ITY
SE
Building Permit Application To Construct,Repair,Renovate-Qr Demolish 'd M 2011
One-or Two-Family Dwelling'
This Section For Official Use Only
Building Permit Number: •Z•).•• q 7 Date Applied: January 14,2422.. ''
•
r • 711 ' Y3V3
Building Official(Print Name) Signature l Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map& Parcel.Numbers
30 Drewsen Drive Northampton,MA 01062
1.la 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 Informatiion: 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:
Shauneen Kocot Northampton, MA.01062
Name(Print) City,State,ZIP
30 Drewsen Drive 413-RR7-7R94 shauneenkocot@gmail.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 ❑ Repairs(s) 0 Alteration(s) 0 Addition ❑
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work2:
Installation of a safe and code compliant,grid-tied PV solar system on an existing residential roof. 26 Panels/9.10kw
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:
0 Standard City/Town Application Fee
2.Electrical $ 26000 0 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.It 0 vi Check Amount: Cash Amount:
6. Total Project Cost: $ 30000 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 Dr
No.and Street Type Description
Northborough MA 01532-2600 Unrestricted(Buildings up to 35,000 Cu.ft.)
City/Town,State,ZIP R Restricted I&2 Family Dwelling
M Masonry
RC Roofing Covering
WS Window and Siding
774-249-1687 SF Solid Fuel Burning Appliances
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 111 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 Empower Energy Solutions Inc
to act on my behalf,in all matters relative to work authorized by this building permit application.
/ 1LR (oastJanuary 14, 2022
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.
cietagiteut 4'OC4tJanuary 14,2022
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"