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17A-083 BP-2023-1268 19 CAROLYN ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17A-083-001 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-2023-1268 PERMISSION IS HEREBY GRANTED TO: Project# 2023 SOLAR Contractor: License: TRINITY HEATING&AIR INC DBA Est. Cost: 11000 TRINITY SOLAR CSL108025 Const.Class: Exp.Date: 04/22/2024 Use Group: Owner: ROME JOANNE L&JONATHAN G LIBBY Lot Size (sq.ft.) TRINITY HEATING&AIR INC DBA TRINITY Zoning: R1/WSP Applicant: SOLAR Applicant Address Phone: Insurance: 4 OPEN SQUARE WAY, SUITE 410 (413)203-9088(1522) WC 13588107 HOLYOKE, MA 01040 ISSUED ON: 09/13/2023 TO PERFORM THE FOLLOWING WORK: INSTALL 7 PANEL 2.835 KW ROOF MOUNT SOLAR SYSTEM (NO STRUCTURAL 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: (. • r , yg . i ! Fees Paid: $75.00 • 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner RE EI VEo— A., The Commonwealth of Massac se Board of Building Regulations and tan ard6E�p OR Massachusetts State BuildingCod 780 MR 3 20 iJNfUSE CIPALITY r,. Building Permit Application To Construct,Repa' ,Remo Demolish a Revi ed Mar 2011 One-or Two-Family Dwe �'pRTHq ltb vw/,ySP This Secti For Official Use Only M�T�N'MA o o 0UNS Building Permit Number: 3�d-3 "'f. Date Applied: - 4-v.,._4--z.. �./ q-l -ZOZ3 . Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 As! `f sysoXs Map&Parcel Numbers s 3 19 Carolyn St,Northampton,MA 01062 f 1.1a Is this an accepted street?yesSl 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❑ 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: Jonathan Libby Northampton MA 01062 Name(Print) City,State,ZIP 19 Carolyn St 9179919240 doreen.libby(i4gmail.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(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 ✓❑Specify:solar Brief Description of Proposed Work': Install 2.835 kW DC solar on roof( 7 panels) Will not exceed building footprint, but will add 6"to roof height. SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $3,000 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $8,000 ❑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 Feed: $a �� Check No. Check Amours : Cash Amount: 6.Total Project Cost: $11,000 0 Paid in Full ❑Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) r 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. U Unrestricted(Buildings up to 35,000 cu. ft.) Easthampton,MA 01027 R Restricted 1&2 Family Dwelling City/To to ZIP M Masonry RC Roofing Covering X WS Window and Siding SF Solid Fuel Burning Appliances 413-203-9088 x 1521 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 1521 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 . ❑ 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 to to the best of my knowledge and understanding. X 09/12/2023 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" City of Northampton r Massachusetts -_ , {,a � �e DEPARTMENT OF BUILDING INSPECTIONS SI. .y,, �� 17���' 212 Main Street • Municipal Building �y -- Northampton, MA 01060 ."^• Ls. 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 Street, Peabody, MA 01960 _ The debris will be transported by: Name of Hauler: Trinity Solar 42 Signature of Applicant: Date: 9/12/2023 • * NJ,Electrical Contractor business permit number 34EB01547400 NJ,HIC reg.#13VH01244300 SOLAR For other jurisdictions,please visit:http://www.trinity-solar.com/about-us/locations-and-licenses HOMEOWNERS AUTHORIZATION FORM Jonathan Libby , (print name) am the owner of the property located at address: 19 Carolyn St Northampton,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 ctric Utility Account No.:2a, 9069479017 me on Electric Utility Account: Jonathan Libby Cu er signature Jonathan Libby Print Name June 9, 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.