30C-009 BP-2024-1447
443 FLORENCE RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
30C-009-001 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-2024-1447 PERMISSION IS HEREBY GRANTED TO:
Project# 2024 SOLAR Contractor: License:
TRINITY HEATING& AIR INC DBA
Est. Cost: 48000 TRINITY SOLAR 088684
Const.Class: Exp.Date: 07/06/2026
Use Group: Owner: WALKO ANN C
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:11/01/2024
TO PERFORM THE FOLLOWING WORK:
INSTALL 32 PANEL 13.12 KW ROOF MOUNT SOLAR SYSTEM ON DETACHED GARAGE WITH 10 FT TRENCH TO
HOUSE (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: 172-
Fees Paid: S 125.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
// ,/iN"*(-,
/ \The Commonwealth of Massach setts / N�/
t,.1 ' Board of Building Regulations an Sta 0 Star rds 0C'J � N\ FOR
r;I Massachusetts State Building Code, ui CIPALITY
Building Permit Application To Construct, Repair,Renoo4? 6,9 emoli t rised ar 2011
One-or Two-Family Dwelling 1ry'r y>,
�n This Section For Official Use Only 1'19 .6,
Building Permit Number: 80/'".� t�lc/7 Date Applied: o�es.,,_
/Pk Zr
wilding Official(Print Name) S. azure Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
443 Florence Road Northampton MA 01062
l.la Is this an accepted street?yes571_ 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:
Ann Walko Northampton MA 01062
Name(Print) City,State,ZIP
443 Florence Road 4132650852 annwako13(a 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 0 Accessory Bldg. 0 Number of Units Other ESpccify:Saar
Brief Description of Proposed Work2: Install 13.12 kW DC solar on roof(32 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 $14,000 1. Building Permit Fee:$ Indicate how fee is determined:
2.Electrical $34,000 ❑Standard City/Town Application Fee
❑Total Project Cost (Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees:
Check No. (1$ Itheck Amount: (21C Cash Amount:
6.Total Project Cost: $48,000 ❑Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
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 1&2 Family Dwelling
City/Town,State,/„ Z M Masonry
XA/t! Gto (�fo L /_s RC Roofing Covering
v1 v, WS Window and Siding
SF Solid Fuel Burning Appliances
413-203-9088 x applications.westmata'��trinity-solar.com I 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 Bi 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 appli atio is e and accurateto the best of my knowledge and understanding.
X / lit IC 04e efri L'�/d1 ` 10/29/2024
U
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"
City of Northampton
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
-Jo` 212 Main Street • Municipal Building J� D
Northampton, MA 01060 JNyy.
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
Signature of Applicant: ��<<u�u<' ( `" /G1 t,L70'�Y Date: 10/29/24
g pp
NJ,Electrical Contractor business permit number34E800839200
N.I,HIC reg.#13VH12957000
SOLAR For other jurisdictions, please visit: http://www.trinity-solar.com/about-us/locations-and-licenses
HOMEOWNERS AUTHORIZATION FORM
1, Ann Walko ,
(print name)
am the owner of the property located at address:
443 Florence Road Northampton MA
(print address)
I hereby authorize Trinity Solar LLC ("Trinity Solar") and its employees, agents, and
subcontractors, including without limitation, Lon Goodman , 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.: 78227-49009
Electric Meter No.: 97846403
Nan a on ctric Utility Account: Ann Walko
b
Customer Signature
Ann W Iko Print Name r)I Kal )6')
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.