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42-093 BP-2023-0998 219 GLENDALE RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 42-093-001 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-2023-0998 PERMISSION IS HEREBY GRANTED TO: Project# 2023 SOLAR Contractor: License: TRINITY HEATING&AIR INC DBA Est. Cost: 78000 TRINITY SOLAR CSL108025 Const.Class: Exp.Date: 04/22/2024 Use Group: Owner: LINDA BARANOWSKI MARIAN K& Lot Size (sq.ft.) TRINITY HEATING&AIR INC DBA TRINITY Zoning: WSP Applicant: SOLAR Applicant Address Phone: Insurance: 4 OPEN SQUARE WAY, SUITE 410 (413)203-9088(1522) WC 13588107 HOLYOKE, MA 01040 ISSUED ON: 08/03/2023 TO PERFORM THE FOLLOWING WORK: INSTALL 28 PANEL 11.34 KW GROUND MOUNT SOLAR SYSTEM WITH 200 FT TRENCH TO HOUSE (NO BATTERY) 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: J . Fees Paid: $100.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner Z-oi< File #BP-2023-0998 APPLICANT/CONTACT PERSON:TRINITY HEATING &AIR INC DBA RINITY SOLAR 4 OPEN SQUARE WAY, SUITE 410 HOLYOKE, MA 01040(413)203-90 8(1522) PROPERTY LOCATION 219 GLENDALE RD MAP:LOT 42-093-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Building Permit Filled out Fee Paid $100.00 Type of Construction: INSTALL 28 PANEL 11.34 KW GROUND MOUNT SOLAR SYSTEM WITH 200 FT TRENCH TO HOUSE (NO BATTERY) New Construction Non Structural Renovations Addition to Existing Accessory,Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans/Plot Plan Driveway Grade% THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: k Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay nh . f, Y/3/a3 Sign iture of Building Official / Date Note: Issuance of a Zoning permit does not relieve a applicant's burden ;o comply with all zoning requirements and obtain all required permits from Board of Health,Co lservation Commission, Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. 111, The Commonwealth of Massachuse 1 s% ' // r, Board of Building Regulations and Stan. o,� �� FOR \`,J Massachusetts State Building Code, 780 C % IPALITY tjL Building Permit Application To Construct,Repair,Renovate • ' . e fish Rev'.ed M, 2011 One-or Two-Family Dwelling ?a,2ro v This Sect' For Official Use Only z3 c>,4 Building Permit Number: � L0 r�'j1 � Date Appli d: 1 : •I, .�, /► i; 8 3 Building Official(Print Name) / Signature / te. SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 219 Glendale Rd,Florence,MA 1.1a Is this an accepted street?yesjL 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 20 256 15 36/40 20 148 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 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Ronald Baranowski Florence MA 01062 Name(Print) City,State,ZIP 219 Glendale Rd 4133749225 glendabrodeur117(a),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:Solar installation Brief Description of Proposed Work2: Install 11.34kW DC solar o 4panels). Trench 200 feet. SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $23000 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $55000 ❑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: $ Check No.\' 14 peck Amount: C Cash Amount: 6.Total Project Cost: $78000 ❑Paid in Full 0 Outstanding Balance Due: &/ SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-108025 4/22/2024 Phil Smith 4., License Number Expiration Date Name of CSL Holder List CSL Type(see below) U 6 Torrey St No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) Easthampton,MA 01027 R Restricted 1&2 Family Dwelling City/To to ZIP M Masonry X RC Roofing Covering J -r - 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 El 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 containe ' i app It is true and ate o the best of my knowledge and understanding. X 07/25/2023 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" • NJ,Electrical Contractor business permit number34EB01547400 NJ,HIC reg.#13VH01244300 SOLAR For other jurisdictions,please visit:http://www.trinity-solar.com/about-us/locations-and-licenses HOMEOWNERS AUTHORIZATION FORM Glenda Baranowski J (print name) am the owner of the property located at address: 219 Glendale Rd Florence, Massachusetts 01062 United States (print address) I hereby authorize Trinity Solar Inc. ("Trinity Solar") and its employees, agents, and subcontractors, including without limitation, , to act as my Agent for the limited purpose of applying for and obtaining local building and other permits from the Authority Having Jurisdiction as required for the installation of a Photovoltaic System, Battery System, roofing or other Trinity Solar offerings located on my property, applying and obtaining permission and approval for interconnection with the electric utility company, and registration with any state and/or local incentive program(s). This authorization includes the transfer/re-administering, and/or cancellation of any existing permits on file for the purpose of updating/applying with an alternate subcontractor. Without limitation to the generality of the foregoing I specifically authorize Trinity Solar et al.to populate technical details,fill-in,edit,compile, attach drawings, plans, data sheets and other documentation to, date, submit, re-submit, revise, amend and modify application, submission and certification documents ("Approvals Paperwork"), including those for which signature pages are included herewith for my signature, in furtherance of the related transaction, and I am providing any signatures to Approvals Paperwork for purposes of the foregoing.Trinity Solar will provide copies of Approvals Paperwork when submitted. My authorizations memorialized herein shall remain in full force and effect until revoked. I acknowledge that these authorizations are not required to proceed with the transaction and are not a condition of the related agreement included herewith but are being given for my own convenience and benefit in order to expedite the approvals processes. Electric Utility Company: National Grid Electric Utility Account No.: 2652150011 Naeon Electric Utility Account: Ronald Baranowski Customer Signature Glenda Baranowski Print Name March 30, 2023 Date Corporate Headquarters 1-877-SUN-SAVES 2211 Allenwood Road Ph: 732-780-3779 Wall, New Jersey 07719 Fax: 732-780-6671 www.trinity-solar.com FOR INFORMATION ABOUT CONTRACTORS AND THE CONTRACTORS' REGISTRATION ACT, CONTACT THE NEW JERSEY DEPARTMENT OF LAW AND PUBLIC SAFETY, DIVISION OF CONSUMERS AFFAIRS AT 1-888-656-6225. City of Northampton ';� 1"- �,S w. 57G �� Massachusetts w7' x_ fte ; _ DEPARTMENT OF BUILDING INSPECTIONS �; 1 , 212 Main Street • Municipal Building I> -Northampton, MA 01060 ":1* ‘'�'� CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: Casella- 295 Forest St, Peabody, MA 01960 _ The debris will be transported by: Name of Hauler: Trinity Solar Signature of Applicant: v Date: 7/26/2023