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Murphy Roof Permit App (1)The Commonwealth of Massachusetts Board of Building Regulations and Standards Massachusetts State Building Code, 780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One- or Two-Family Dwelling FOR MUNICIPALITY USE Revised Mar 2011 This Section For Official Use Only Building Permit Number: _____________________ Date Applied: ______________________________ ___________________________________ ____________________________________________ ___________ Building Official (Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: ____________________________________________ 1.1a Is this an accepted street? yes_____ no_____ 1.2 Assessors Map & Parcel Numbers _____________________ ____________________ Map Number Parcel Number 1.3 Zoning Information: _______________ ___________________ Zoning District Proposed Use 1.4 Property Dimensions: _____________________ ____________________ 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) Public Private 1.7 Flood Zone Information: Zone: ___ Outside Flood Zone? Check if yes 1.8 Sewage Disposal System: Municipal On site disposal system SECTION 2: PROPERTY OWNERSHIP1 2.1 Owner 1 of Record: ________________________________________ _________________________________________________ Name (Print) City, State, ZIP _____________________________________________ _________________ ___________________________________ No. and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2 (check all that apply) New Construction Existing Building Owner-Occupied Repairs(s) Alteration(s) Addition Demolition Accessory Bldg. Number of Units_____ Other Specify:________________________ Brief Description of Proposed Work2:_________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials)Official Use Only 1. Building $1. Building Permit Fee: $_______ Indicate how fee is determined: Standard City/Town Application Fee Total Project Cost3 (Item 6) x multiplier _______ x _______ 2. Other Fees: $_________ List:_________________________________________________ ____________________________________________________ Total All Fees: $_______________ Check No. ______Check Amount: _______Cash Amount:______ Paid in Full Outstanding Balance Due:__________ 2. Electrical $ 3. Plumbing $ 4. Mechanical (HVAC) $ 5. Mechanical (Fire Suppression) $ 6. Total Project Cost:$ SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License (CSL) ________________________________________________________ Name of CSL Holder _________________________________________________________ No. and Street _________________________________________________________ City/Town, State, ZIP _________________________________________________________ __________________ ______________________________________ Telephone Email address _____________________ ______________ License Number Expiration Date List CSL Type (see below) _______________ Type Description U Unrestricted (Buildings up to 35,000 cu. ft.) R Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation D Demolition 5.2 Registered Home Improvement Contractor (HIC) ______________________________________________________________ HIC Company Name or HIC Registrant Name ______________________________________________________________ No. and Street ________________________________________ ____________________ City/Town, State, ZIP Telephone _____________________ ______________ HIC Registration Number Expiration Date _______________________________________ Email address 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_____________________________________________________ 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: 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. _____________________________________________________________ ______________________ 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” Phil SmithSean G O'Brikis 6 Torrey St1434 14th Ave Easthampton, MA 01027Dorothy, NJ 08317 413-203-9088 applications.westma@trinity-solar.com CS CS-108025 CS-116655 4/22/20249/10/2025 UU Trinity Solar Inc DBA Trinity Solar 20 Patterson Brook Road - Unit 10 West Wareham MA 02576 413-203-9088 170355 10/11/202310/11/2023 applications.westma@trinity-solar.com Please See Attached X X X x x City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ● Municipal Building Northampton, MA 01060 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: ___________________________________________________ The debris will be transported by: Name of Hauler: ______________________________________________________ Signature of Applicant: __________________________________Date: ___________ Casella- 295 Forest Street, Peabody, MA 01960 Trinity Solar 5/9/2023 NJ, Electrical Contractor business permit number34EB01547400 NJ, HIC reg. #13VH01244300 For other jurisdictions, please visit: http://www.trinity-solar.com/about-us/locations-and-licenses HOMEOWNERS AUTHORIZATION FORM I, , (print name) am the owner of the property located at address: . (print address) I hereby authorize Trinity Solar Inc.(“TrinitySolar”)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 includesthe 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 Ispecifically authorize Trinity Solar et al. to populate technical details, fill-in, edit, compile, attachdrawings, plans, data sheets and other documentation to, date, submit, re-submit, revise, amend and modify application, submission and certificationdocuments(“ApprovalsPaperwork”),includingthoseforwhichsignaturepagesareincluded herewith for my signature, in furtherance of the relatedtransaction, 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 withthe 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. ElectricUtility Company: ElectricUtilityAccountNo.: Name on Electric Utility Account: Customer Signature PrintName Date CorporateHeadquarters1-877-SUN-SAVES 2211AllenwoodRoadPh:732-780-3779 Wall,NewJersey07719Fax:732-780-6671 www.trinity-solar.com FORINFORMATIONABOUTCONTRACTORSANDTHECONTRACTORS’REGISTRATION ACT, CONTACT THE NEW JERSEY DEPARTMENT OF LAW AND PUBLIC SAFETY, DIVISION OF CONSUMERS AFFAIRS AT 1-888-656-6225. Kenneth Murphy April 29, 2023 133 Nonotuck St Florence, Massachusetts 01062 United States National Grid 7567719016 Kenneth Murphy Kenneth Murphy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 1/12/2023 Arthur J. Gallagher Risk Management Services, Inc. 4000 Midlantic Drive Suite 200 Mount Laurel NJ 08054 Mark Grasela 856-482-9900 856-482-1888 CherryHill.BSD.CertM@AJG.com Gotham Insurance Company 25569 TRINHEA-03 National Union Fire Insurance Company of Pittsburg 19445Trinity Solar Inc. 4 Open Square Way, Suite 410 Holyoke, MA 01040 Liberty International Underwriters 1260165960 A X 2,000,000 X 100,000 5,000 1,000,000 2,000,000 X GL202100013378 6/1/2021 6/1/2023 2,000,000 B 2,000,000 X CA 2960145 6/1/2022 6/1/2023 A C C X 5,000,000 X EX202100001871 ELD30006989101 1000231834-06 6/1/2021 6/1/2022 6/1/2022 6/1/2023 6/1/2023 6/1/2023 5,000,000 Limit x of $5,000,000 19,000,000 B XWC 13588108 6/1/2022 6/1/2023 1,000,000 1,000,000 1,000,000 B Automobile Comp/ Collusion Ded.CA 2960145 6/1/2022 6/1/2023 All Other Units Truck-Tractors and Semi-Trailers $250/500 $250/500 Evidence of Insurance. Evidence of Insurance 4 Open Square Way, Suite 410 Holyoke, MA 01040 2,691 The information on this Technical Data sheet is based upon data considered to be true and accurate, based on laboratory tests and production measurements, and is offered solely for the user’s consideration, investigation and verification. Nothing contained herein is representative of a warranty or guarantee for which the manufacturer can be held legally responsible. The manufacturer does not assume any responsibility for any misrepresentation or assumptions the reader may formulate. TECHNICAL DATA SHEET STOCK NO. 4220XXX Sept, 2020 CAMBRIDGE This heavyweight, laminated shingle is composed of a dimensionally stable non-woven glass fiber mat, which is thoroughly impregnated with stabilized waterproofing bitumen. Cambridge is distinguished by its random shake- look design, unique dual band shadow coloration, and superior thermally activated shingle sealant. Colored, ceramic granules surface the top of both layers of this shingle to protect the asphalt from ultraviolet radiation. Each shingle has release tape and mineral powder applied to the underside, thus preventing any sticking in the bundle. Special algae-inhibiting granules have been added to provide long-lasting algae resistance. Suitable for application on roof slopes greater than 4:12. Underlayment is strongly recommended for slopes below 6:12. They may also be applied on low slope roofs (2:12 to 4:12) providing the deck is covered with two plies of felt or one ply of any IKO Ice & Water Protector. This shingle conforms to requirements of, ASTM D3018, ASTM E108 Class A, ASTM D3462, ASTM D3161 Class F, and ASTM D7158 Class H. CHARACTERISTIC UNITS NOMINAL VALUE TEST METHOD STANDARD LIMITS QUANTITY PER PALLET: - 56 - N/A PALLET SIZE: cm (in) 101 x 135 (40 x 53) - - LENGTH: mm (in) 1038 (40 7/8) - ± 6 (± 1/4) WIDTH: mm (in) 349 (13 3/4) - ± 3 (± 1/8) HEADLAP: mm (in) 50 (2) - MIN: 50 (2) BUNDLE QUANTITY: - 20 - - COVERAGE PER BUNDLE: ft2 (m2) 33.3 (3.1) - - EXPOSURE: mm (in) 149 (5 7/8) - - TEAR STRENGTH: g PASS ASTM D1922 MIN: 1700 HEAT RESISTANCE: - PASS * 90°C (192°F) STABILIZED BITUMEN WEIGHT: g/m2 (lbs/100 ft2) PASS ASTM D228 MIN: 2000 (41) GRANULE RETENTION: % PASS ASTM D4977 MIN: 86 FIRE RATING: - CLASS A ASTM E108 MIN: CLASS A * Sample shows no sliding or dripping of the bitumen coating when suspended vertically in an oven at 90°C (192°F) for 2 hours. See also Material Information Sheet – MIS # 1513, MIS # 1713, MIS # 1813 ICE & WATER DEFENDER EAVE PROTECTOR PRODUCT PURPOSE Application Ice and Water Protector Building Part Eaves, Valleys and Rake Edges Types of Slope Exterior Steep Slope Type of Covering Asphalt Shingles Substrates Plywood Asphaltic panel OSB PRODUCT CHARACTERISTICS Technology SBS Modified Bitumen Surface Sand Underface Two Parts Silicone Release Film Reinforcement Glass Mat Installation Method Self-Adhesive Service temperature -40 °C to 90 °C (-40 °F to 194 °F) Maximum exposure Cover as soon as possible PRODUCT CHARACTERISTICS PROPERTIES STANDARDS Results Roll Weight LB1236 Length: 10 m (32.8 ft) Length: 19.8 m (65 ft) – 14 kg (31 lb) 27 kg (60 lb) 39.9 kg (88 lb)LB1244 Length: 22.8 m (75 ft) Tensile Strength, MD/XD ASTM D1970 10.7 / 8.1 kN/m (61 / 46 lbf/in) Ultimate Elongation, MD/XD ASTM D1970 16 / 14% Tear Resistance ASTM D1970 400 / 353 N (90 / 79 lbf) Static Puncture ASTM D1970 140 N (31 lbf) Adhesion to Plywood, 24º C (75.2º F)ASTM D1970 211 N/m (14.5 lbf/pi) Thermal Stability, 14 days @ 70º C (158º F)ASTM D1970 <2.5 mm (<0.1 in) Low Temperature Flexibility ASTM D1970 Pass at -29 °C (-20 °F) Nail Sealability ASTM D1970 Pass Roof underlay adhesive membrane consisting of a reinforced glass mat and sand covered surface which is slip resistant. • Excellent resistance to temperature variations • Excellent dimensional stability • Easy Installation (All values are nominal) ©2022 SRS Distribution • 7740 S Hwy 121 • McKinney, TX 75070 • 214.491.4149 Visit us at TopShieldProducts.com INSTALLATION Storage Rolls should be stored upright, tape side up. If the products are stored outdoors, cover them with an opaque protective cover after removing the delivery packaging. Can withstand freezing but must be reactivated to at least 5 ° C (41 °F) before installation. Minimum Application Temperature 5 °C (41 °F) Complementary Products EXTERIOR PRIMER or H2O PRIMER Tools Required Heavy Roller Tape Measure Knife Surface Preparation The substrate must be clean, dry and free of dust, grease or other contaminants. Installation 1. If conditions require, prepare the substrate with EXTERIOR PRIMER or H₂O PRIMER. 2. Position the membrane parallel to the roof edge while leaving about 8 cm (3.2 in) at the front where the gutter will be installed. 3. Fold the sheet over itself, by half of its width, or 50 cm (20 in) over the whole length already positioned. It is recommended to kneel on the unfolded portion of the membrane to keep it in place during this operation. 4. Remove the protective film from the folded section while placing the membrane on the support. The self- adhesive portion will adhere to the support. 5. Then take the other side of the membrane and repeat the previous two steps. 6. Immediately apply pressure on the membrane using a heavy metal roller or hard rubber roller to ensure adhesion between the support and the membrane and avoid forming bulges, folds or gaps. Note: The transverse and longitudinal overlap should be 75 mm (3 in). Refer to ROOF SYSTEM INSTALLATION for waterproofing membrane installation to roof details and upstands. Rolling or brooming the product to the deck is advised with special attention to seams. This is especially impor- tant if the roof is not to be finished immediately of if inclement weather is in the forecast. Recommendations/Limitations It is not recommended to use a product containing bitumen directly on softwood boards or flexible polyvinyl chloride. Finishing membranes must be installed the same day as the application. Do not use under metal coatings. Do not apply directly onto wood planks, cover surface with plywood or OSB panels prior to the membrane application. Warnings Should be stored upright, protected from weather damage and UV rays. ICE & WATER DEFENDER EAVE PROTECTOR ©2022 SRS Distribution • 7740 State Hwy 121 • McKinney, TX 75070 • 855.569.1550 • TopShieldProducts.com SECUREGRIP 30Synthetic Roof Underlayment SPECIFICATIONS (meets or exceeds applicable standards) Standard SecureGrip 30 Permeability ASTM E96 06 perms Water Transmission ASTM D4869 Pass Nail Sealability ASTM D1970 Pass Pliability ASTM D226 Pass Tear Strength ASTM D4533 MD 25 lbs / CD 25 lbs Tensile Strength ASTM D751 MD 109 lbs / CD 87 lbs Elongation ASTM D751 MD 20% / CD 20% Wt Per Square ASTM D5261 2.3 lbs Nominal Thickness ASTM D5261 7 mils Range of Temperature -- 40˚F to 240˚F Fire Rating UL Class A ASTM E108 Pass Escanearel código QR para acceder adicional información TopShield SecureGrip 30 Synthetic Roof Underlayment is a synthetic roof- deck protection designed and manufactured to replace asphalt saturated felt in sloped roof system construction. Storage Always store rolls upright on pallets (or in the cradled pallet they are shipped on) and in a dry protected area. Availability TopShield SecureGrip 30 Synthetic Felts are available throughout the United States. Check with your local representative for product availability. Compliance: Codes • Performance characteristics meet or exceed ASTM D4869 – Type I, II, III and IV • Performance characteristics meet or exceed ASTM D226 – Type I, II • Tested in accordance with ICC-AC-207- UV Exposure –180 days • Meets the requirements of ICC-AC-188 – Intertek / WH #CCRR 1045 • FBC Approved - #FL18374 • TDI Listed – CCRR #1045 • Miami-Dade County approved17-0228.03 Rightly Engineered Barrier for your shingle roof system. Inorganic Construction Moisture protection - doesn’t absorb water and is inert to mold growth. Advanced Surface Technologies SecureWalkTM (top) and SecureGrip (back) promotes exceptional walkability. Improves Project Outcome Eliminating customer callbacks. Easier Installation 33% more coverage per pass across the roof (vs 36” wide rolls). Superior Performance Designed to perform under extreme weather conditions. Durable Synthetic construction resists tearing during roof installation - UV stabilized to resist UV degradation up to 3 months. Uses installations of standing seam metal panels. PHYSICAL DATA Per Roll 48” X 250’ Material Per Roll 1000 sq. ft. Squares Per Roll 10 squares Weight Per Roll 24 lbs Rolls Per Pallet 56 rolls Wt Per Pallet 1,344 lbs Limited Warranty 30 Years