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42-153 BP-2023-0062 15 TIFFANY LN COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 42-153-001 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-2023-0062 PERMISSION IS HEREBY GRANTED TO: Project# 2023 SOLAR Contractor: License: Est. Cost: 31000 TRINITY SOLAR CSL108025 Const.Class: Exp.Date: 04/22/2024 Use Group: Owner: CHASE RAE ANN AKA RAE ANN FRENETTE Lot Size (sq.ft.) Zoning: WSP Applicant: TRINITY SOLAR Applicant Address Phone: Insurance: 32 GROVE ST (508)577-3391 WC 13588108 PLYMPTON, MA 02367 ISSUED ON: 01/19/2023 TO PERFORM THE FOLLOWING WORK: INSTALL A 14 PANEL 5.6 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: 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: • a . ),2 . Tit Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner / /9•4X The Commonwealth of Massac setts e/ :,d'F.\' F R . )` Board of Building Regulations d St ards qy L C, C ALITY i' Massachusetts State Building Code;,744> 19 �/ E Building Permit Application To Construct,Repair,Rei4t#14 Dem s V!i, a )tevise ar 2011 One-or Two-Family Dwelling �N.'',�'%, / This Section For Official Use Only "°ti q�AF / Building Permit Number: # .1-3 -•U Z Date Applied: .,.7 6,o°tis , rtiw €5 / ' �`✓ /- / 7ZQZ3 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 15 Tiffany Ln,Florence.MA 1.1a Is this an accepted street?yes Q no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Residential-Solar 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 El Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSIHPI 2.1 Owner'of Record: Rae Ann Frenette Florence MA 01062 Name(Print) City,State,ZIP 15 Tiffany Ln 7749290045 frenette.mikena,yahoo.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) ❑ Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other Specify:sow _ Brief Description of Proposed Work2: Install 5.6 kW DC solar on roof(1 4 panels) Will not exceed building footprint, but will add 6"to roof height. I SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $9000 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $22000 ❑Standard City/Town Application Fee ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees: (n 4 Check No. 13(9' heck Amount: • Cash Amount: 6.Total Project Cost: $31000 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-108025 4/22/2024 Phil Smith License Number Expiration Date Name of CSL Holder List CSL Type(see below) U 6 Torrey St No.and Street Type Description Easthampton MA 01027 U Unrestricted(Buildings up to 3/5,000 Cu.ft.) p R Restricted 1&2 Family Dwelling City/To to ZIP M Masonry X RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-203-9088 x applications.westma@trinity-solar.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 170355 10/11/2023 Trinity Solar Inc DBA Trinity Solar HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 20 Patterson Brook Road-Unit 10 applications.westma@trinity-solar.com No.and Street Email address West Wareham MA 02576 413-203-9088 x 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 ® 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 Please See Attached to act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name belo I hereby attest under the pains and penalties of perjury that all of the information contain• ' i app ' on is true and Or, to to the best of my knowledge and understanding. X 01/18/2023 Print Owner' 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"