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24D-024 (2) BP-2022-0102 205 PROSPECT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24D-024-001 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-2022-0102 PERMISSION IS HEREBY GRANTED TO: Project# 2022 SOLAR SYSTEM Contractor: License: Est. Cost: 23000 EMPOWER ENERGY SOLUTIONS 019944 Const.Class: Exp.Date: 12/01/2023 Use Group: Owner: LESKO JILL C 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 FOLLO WING WORK: INSTALL 19 PANEL 6.65 KW ROOF MOUNT 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: ( ! 1 �. . f s '/ • Fees Paid: $75.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner • r R Ec The Commonwealth of Massachusetts R cr Board of Building Regulations and Standards JAN 2 8 Ir IPALITY Massachusetts State Building Code, 780 MR 2022 SE Building Permit Application To Construct,Repair1 Renovate ish a evis:d Mar 2011 One-or Two-Family Dwelling -- �N tit^° orro s This Section For Official Use Only °ry0 .41 Building Permit Number: 6 P - 2. -(OZ Date Applied: January 14.2022 • 1. 1�3as Building Official(Print Name) Signature ate SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 205 Prospect Street Northampton, MA 01060 a y 0 1.1a 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: Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Northampton,MA 01060 Jill Lesko Name(Print) City,State,ZIP 205 Prospect Street 413-5R4-51g5 jlesko@kingcushman.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 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:PV Solar Brief Description of Proposed Work2: Installation of a safe and code compliant,grid-tied PV solar system on an existing residential roof. 19 Panels/6.65kw 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: 2.Electrical $ 19000 ❑ Standard City/Town Application Fee ❑Total Project Cost3(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees: $ C Check No. I1 I( _Check Amount: • Cash Amount: 6.Total Project Cost: $ 23000 ❑Paid in Full ❑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 51 Assabet Dr Northborough MA 01532-2600 List CSL Type(see below) No.and Street Type Description Northborough MA 01532-2600 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 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 Femwood Drive 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 0 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 Empower Energy Solutions Inc to act on my behalf,in all matters relative to work authorized by this building permit application. f,�r1 „C(,c,, 1.0 January 14,2022 Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNER1 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. crt Ce.519 January 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"