50-002 BP-2024-0896
524 PARK HILL RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
50-002-001 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-2024-0896 PERMISSION IS HEREBY GRANTED TO:
Project# 2024 SOLAR Contractor: License:
TRINITY HEATING& AIR INC DBA
Est.Cost: 33000 TRINITY SOLAR 088684
Const.Class: Exp.Date:07/06/2026
Use Group: Owner: KINGSBURY ANNE M TRUSTEE
Lot Size(sq.ft.)
TRINITY HEATING& AIR INC DBA TRINITY
Zoning: WSP Applicant: SOLAR
Applicant Address Phone: Insurance:
4OPEN SQUARE WAY, SUITE 410 (413)203-9088(1522) WC 13588107
HOLYOKE, MA 01040
ISSUED ON: 07/16/2024
TO PERFORM THE FOLLOWING WORK:
INSTALL 16 PANEL 6.56 KW ROOF MOUNT SOLAR SYSTEM WITH STRUCTURAL MODIFICATIONS (NO BATTERY)
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
t nderground: 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: 72_
Fees Paid: $125.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
The Commonwealth of Massach setts v
Board of Building Regulations and tand rds •R
Massachusetts State Building Code, 780 i MR U( 1 5 2024
UNI iPALiTY
SE
Building Permit Application To Construct,Repai ,Rem . - • Demolish a Revis 4 Mar 2011
One-or Two-Family Dwe Ivoq ukaINc r _
��' Y V Nction For Official Use Only ' MA oio�Ns
Building Permit Number: (Date Applied: —7
4)L.N1K how /..Iri'20.Zy
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2gFsors Map&Parcel NCy„nelgs
524 Park Hill Road Northampton MA 01062 ((�) J(�c�—
1.la 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 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Jon Kingsbury Northampton MA 01062
Name(Print) City,State,ZIP
524 Park Hill Road (530)318-6730 ikingsbu( msn.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 6.56 kW DC solar on roof(16 panels)
Will not exceed building footprint, but will add 6"to roof height.
Structural upgrades as described in engineering letter.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $10,000 1. Building Permit Fee:$ Indicate how fee is determined:
2.Electrical $23,000 ❑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 Fe 0 n,(7
Check No.\0 Check Amour* \ Cash Amount:
6.Total Project Cost: S33,000 ❑Paid in Full ❑Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) CS-088684 7/6/26
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 1&2 Family Dwelling
City/Town,State,Z .,,/ M Masonry
X/'�'( k t 4 f v_0 RC Roofing Covering
v( �✓ L'� l WS Window and Siding
SF Solid Fuel Burning Appliances
413-203-9088 x applications.westma@trinity-solar.com 1 Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
170355 10/11/2025
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 D
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 appliga�is e and accurate to the best of my knowledge and understanding.
XAK 04( 011,1 (,viol-/c/ 07/10/2024
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/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"