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32C-090 BP-2024-1510 140 WILLIAMS ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 32C-290-001 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-2024-1510 PERMISSION IS HEREBY GRANTED TO: Project# 2024 SOLAR Contractor: License: TRINITY HEATING&AIR INC DBA Est. Cost: 27000 TRINITY SOLAR 088684 Const.Class: Exp.Date:07/06/2026 Use Group: Owner: GOFF GOLDBLAT DANA L&GREGORY Lot Size (sq.ft.) TRINITY HEATING&AIR INC DBA TRINITY Zoning: URC Applicant: SOLAR Applicant Address Phone: Insurance: 4 OPEN SQUARE WAY, SUITE 410 (413)203-9088(1522) WC 13588107 HOLYOKE, MA 01040 ISSUED ON: 11/12/2024 TO PERFORM THE FOLLOWING WORK: INSTALL 15 PANEL 6.15 KW ROOF MOUNT SOLAR SYSTEM (RAFTER ATTACHED, NO STRUCTURAL UPGRADES OR 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: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: 6/0 Fees Paid: $125.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner j1 `thccom nwealth of Massachusetts N�✓ 1 ( :oard o Buil ing Regulations and Standards FOR L sacpiuse State Building Code, 780 CMR MUNICIPUSALITY . 44: �( 2r> it App cati To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 'ON.r�q"Ecr� On,-or Two-Family Dwelling ,/ so,v This Section For Official Use Only Building Permit Number: 8A. - /67 0 Date Applied: 572, G/G/ t /r-/i zy Building Official(Print Name) ign lure Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 140 Williams Street,Northampton,MA 01060 1.1 a Is this an accepted street?yes ✓ no Map Number Parcel Number 13 Zoning Information: 1.4 Property Dimensions: Residential 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 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Dana Goldblat Northampton MA 01060 Name(Print) City,State.ZIP 140 Williams Street (413)652-1643 note2selfmusic@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 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition ❑ Accessory Bldg. 0 Number of Units Other 0 Specify: Solar Brief Description of Proposed Work2: Install 6.15 kW DC solar on roof(15 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 $8,000 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $19,000 ❑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 Fees: $ Check Not1al� heck Amount 1+A Cash Amount: 6.Total Project Cost: 27,000 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 1 5.1 Construction Supervisor License(CSL) CS-088684 7/6/2026 Michael S Blanchard License Number Expiration Date Name of CSL Holder List CSL Type(see below) U 142 Nelson Street No.and Street Type Description West Springfield,MA 01089 U Unrestricted(Buildings up to 35,000 Cu.ft.) R ' Restricted I&2 Family Dwelling City/Town,State,Z M Masonry X 11 Vf G t° � t I'� RC Roofing Covering vl f/( V' (� WS Window and Siding SF Solid Fuel Burning Appliances 413-203-9088 x 1521 applications.westma@trinity-solar.com I Insulation 1 Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) TrinitySolar Inc DBA TrinitySolar17035510/11/2025 HIC Registration Numb Expiration Date HIC Company Name or HIC Registrant Name 20 Patterson Brook Road-Unit 10 applications.westma trinity-solar.com No.and Street Email ddress 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 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 below,I hereby attest under the pains and penalties of perjury that all of the information contained in this appliiccatio is t e and accurate to the best of my knowledge and understanding. x I�it VJG<' b L L/#J-,U/ 11/11/2024 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/des 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" ,,i.,I.,f City of Northampton F``ti� ,' Massachusetts ��t7:i:_ s'C�t,, �� i � w; M , L . S i DEPARTMENT OF BUILDING INSPECTIONS .;' -iw 212 Main Street • Municipal Building wy.ti -'4� { Northampton, MA 01060 r:N ,,‘� 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 pp Mk Si nature of A licant: ti6e: (34-1 L lid"-"c/ Date: 1 u11/2024 g NJ,Electrical Contractor business permit number 34E800839200 NJ,HIC reg.t113VH12957000 For other jurisdictions,please visit:http://www.trinity-solar.com/about-us/locations-and-licenses SOLAR HOMEOWNER AUTHORIZATION FORM I, Dana Goldblat (print name) am the owner of the property located at address: 140 Williams Street Northampton,Massachusetts 01060 United States (print address) I hereby authorize Trinity Solar, LLC ("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 upon request by the homeowner. 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.: 25233-86032 Electric Meter No.: 87996725 Name on Electric Utility Account: Greg°fYGof Customer Signature Dana Goldblat Print Name October 11, 2024 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. Version 2,effective 03-26-2024