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32C-291 (4) 34 HOCKANUM RD BP-2019-1028 GIs C COMMONWEALTH OF MASSACHUSETTS MAIIBlock:32C.291 CM OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A) Categorv:SOLAR ELECTRIC SYSTEM BUILDING PERMIT Permit# BP-2019-1028 Proiect# JS-2019-001684 Est.Cost:$17000.00 Fee:$75.0o PERMISSION IS HEREBY GRANTED TO: Const,Class: Contractor: License: use Group: TRINITY SOLAR 104144 Lot Size(sa.R.): 6185.52 Owner: T14ORMAN BERTHA Zoning:URC000 Applicant. TRINITY SOLAR AT. 34 HOCKANUM RD AppllcantAddress: Phone: Insurance: 20 PATTERSON BROOK RD UNIT 10 (413)203-9088 O WC WEST WAREHAMMA02576 ISSUED ON:3/27/20I9 0:00:00 TO PERFORM THE FOLLOWING WORK:12 SOLAR PANELS ON ROOF - 3.78 KW 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: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Firephax/Chlo aey: Rough: Oil: Insulation: Final: Smokv Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy signature: FeeTYpe: Date Paid: Amount: Building 3/2720190:00:00 $75.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner �o c,)0 ly-41*-� Department use only EIV ED City of Northampton Status of Permit REC � Building Department Curb Cut/Dn a ay Permit 212 Main Street Sewer/Septic Availability MAA 2 0 2019 Room 100 Water/Well Availability N rthampton, MA 01060 Two Sets of Structural Plans 41 587-1240 Fax 413-587-1272 Plot/Site Plans nor oc ran,oma.irl.=PFcTONS Other Specify LIGATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOOLQLIS/H�A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office Map —�LeJC Lot e�)GlUnit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Redord: Bertha ThorDmn 34 HockaDum Rd,Northampton MA 01060 Name(Print) Current MaNi g Address: (617)765-7314 Please see attached Telephone Signature 2.2 Authorized Anent: Neil G Greene 4 Open Square Way-Suite 410,Holyoke,MA 01040 Name(Print) Cument Mailing Address: X 413-203-9088 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed bmita licanl 1. Building 51000 (a)Building Permit Fee 2. Electrical 12,000 (b)Estimated Total Cost of Construction from 8 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) H S. Fire Protecbon `Y 6. Total=(1 +2+3+4+5) 17,000 Check Number This Section For Official Use Only Date Building Permit Number Issued: Signature: 3 6 Building Commleslememnspector of Buildings Date Section 4. ZONING All Information Must Be Completed.Penna Can Be Denied We To Incomplete Information Existing Proposed Required by Zoning This camnn m IM orad In by Building Depuvnrnt Lot Sim Frontage - -- 0 Setbacks Front Side L:0 B:0 LL_RD Rear Building Height Bldg.Square Footage O �- -) % C O O Open Space Footage _ % ^ O (Lot erm minor bldg a pavW #of Puking Spaces Fill: vohme L_a Locoman A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW O YES O IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES O IF YES: enter Book Page[= and/or Document# B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C� C. Do any signs exist en the property? YES O NO Q IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O No O IF YES, describe size, type and location: E. Will the construction activity disturb(Gearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 am? YES O NO O IF YES,than a Northampton Storm Water Management Permit from the DPW is required. SECTION S-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing Or Doors El Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [p Siding[[3] Other[M Brief Description of Proposed Work: imis.mwsavm�rr:r�..�u��orr��+wi.ui.aan-a�r Alteration of existing bedroom_Yes X No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement _Yes x No Plans Attached Roll -Sheet Ga. If New house and or addition to existing housing, Complete the following: a. Use of building: One Family Two Family Other b. Number of more in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction 1. Is construction within 100 ft.of wetlands?Yes No. Is construction within 100 yr. floodplain_Yes_No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes_No. I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, Please see attached 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. Signature of Owner Dale I, Trinity Solar as Owner/Authorized Agent hereby declare that gie statements and information cn the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Neil G Greene Prim Name X Signature of Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Neil G Greene CS 104144 Umnse Number 43 Firglade Ave,Springfield,MA 01108 3/172020 Address Expiration Date X 413-203-9088 Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ Trinity Heating&Air Inc.DBA Trinity Solar 170355 Company Name Registration Number 20 Patterson Brook Rod-Unit 10,West Wareham,MA 02576 10/112019 Address Expiration Date X Telephone 413-203-9088 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L C.182,12SC(8)) 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...... 17 11. - Home Owner Exemution The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780, Stath Edition Section 108.3.5.1. Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends m reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official.that he/she shall be responsible for all such work Performed under the building permit As acting Construction Supervisor your presence on thejob site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers Compensation) and Chapter 153(Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for persons) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the Stale Building Code,City of Northampton Ordinances,State and Local Zoning Laws and Stare of Massachusetts General Laws Annotated. Homeowner Signature IWESTSHORC. DESIGN ENGINEERS, P.C. 100 ONBLVD. (SUITE 1 ALBANY ANY I NEW YORK I 12203D3 To: Trinity Solar 4 Open Square Way#410 Holyoke,MA 01040 Date: March 19,2019 Ref: 19030449 Subject: Soledad Residence 34 Heckmann Rd. Northampton,MA Dear Trinity Solar, The following references the Soledad Residence in Northampton,MA: 1. Existing roof framine: Conventional framing is true 3x4 at 30"o.c. with a 5' max span (horizontal rafter projection). Rafters that don't extend to the ridge shall be sistered with a new 2x4 up to the ridge and into another rafter on the opposite side of the roof.This existing structure is capable to support all the loads that are indicated below for this photovoltaic project. 2. Roof Loadine: - 4.33psf dead load(modules plus mounting hardware) 40psf ground snow load 5.7psf roof materials(1.7psf 3x4, 1.5psf sheathing,2.5psf asphalt shingles) Exposure Category B, 140mph wind(3 sec.) This installation design will be in general conformance to the manufacturer's specifications,and complies with all applicable laws, codes, and ordinances, specifically the International Building Code/IBC 2015 and International Residential Code/IRC 2015 including all MA regulations and amendments.The spacing and fastening of the mounting brackets is to have a maximum of 64"o.c. span between mounting brackets and secured using 5/16" diameter corrosive resistant steel lag bolts. To evenly distribute the load across the roof rafters,there shall be a minimum of 2 mounting brackets per rafter& min. 3"penetration of lag bolt per bracket, which is adequate to resist all 125mph wind live loads including wind shear. Per NDS Section 11.1.4 clearance holes equal to the diameter of the shank need to be bored into primary a primary framing member for the full length to the threaded portion of the screw to avoid splitting of the framing member. Thank you. o�+lG>tmoW dd�cy� sr NICOTTI A. w Westshore Design Engineers MITI clva NO. 50222 RfBIS1ERE0 p ��ffddPoNAL EaI' E 3/192019 John Elbert Nicolas Nitti,PE Project Coordinator President WestShore Design Engineers 1 100 Great Oaks Blvd.I Suite 117A I Albany,NY 122031516.313.7153 mmmm� WESTS HORC. DESIGN ENGINEERS, P.C. GRE4T OAK5 BLVD. lSWTE '0A LLaAxr I xEw roaK 112203 To: Trinity Solar 4 Open Square Way#410 Holyoke,MA 01040 Date: March 19,2019 Ref: 19030449 Subject: Soledad Residence 34 Hockanum Rd. Northampton,MA Dear Trinity Solar, The following references the Soledad Residence in Northampton,MA: 1. Existing roof framing: Conventional framing is true 3x4 at 30"o.c. with a 5' max span (horizontal rafter projection). Rafters that don't extend to the ridge shall be sistered with a new 2x4 up to the ridge and into another rafter on the opposite side of the roof. This existing structure is capable to support all the loads that are indicated below for this photovoltaic project. 2. Roof Loading: - 4.33psf dead load(modules plus mounting hardware) 40psf ground snow load 5.7psf roof materials(1.7psf 3x4, 1.5psf sheathing,2.5psf asphalt shingles) - Exposure Category B, 140mph wind(3 sec.) This installation design will be in general conformance to the manufacturer's specifications,and complies with all applicable laws, codes, and ordinances, specifically the International Building Code/lBC 2015 and International Residential Code/IRC 2015 including all MA regulations and amendments.The spacing and fastening of the mounting brackets is to have a maximum of 64"o.c.span between mounting brackets and secured using 5/16" diameter corrosive resistant steel lag bolts. To evenly distribute the load across the roof rafters,there shall be a minimum of 2 mounting brackets per rafter& min. 3"penetration of lag boll per bracket, which is adequate to resist all 125mph wind live loads including wind shear. Per NDS Section 11.1.4 clearance holes equal to the diameter of the shank need to he bored into primary a primary framing member for the full length to the threaded portion of the screw to avoid splitting of the framing member. Thank you. i�a���tI DrWssq�y`� NICOlA3 A. FN Westshore Design Engineers Nlrrl CIVIL NO. 50222 is E0 �a JIpNALENtP 3/19/2019 John Eibert Nicolas Nitti,PE Project Coordinator President WestShore Design Engineers 1 100 Great Oaks Blvd.I Suite 117A 1 Albany,NY 12203 1516.313.7153 INSTALLATION OF NEW HOCKANUM ROAD* ROOF MOUNTED PV SOLAR SYSTEM - 34 HOCKANUM ROAD NORTHAMPTON, MA 01060 vi rr sC�E _ SITE NTS may« n SHEET INDEX • • m PV-1 COVER SHEET w/SITE INFO NOTES TM PV-2 ROOF PLAN W/MODULE LOCATIONS marosmwsowismrn PV-3ELECTRICAL 3 LINE DIAGRAM AP APPENDIX ws.nu axs�wc�vr �I•.d s•• ®. • v •�• .� ,. 5 laws ..e.w� �ww..w�a.,.. A :�\ 'a•_ Ocunm� M o m M � P � f �w ® v.ov�wnuxo.o d .onxwnow.r� C °C z ec z oiM, = ¢ v ".�. FRONT SOLAR NEC 2017 ..r.......,® .� �r a •� �•�•��•• souwuswuenx,umu. drR ..m.o...�.......,....� ___ B B E ..a.. r �srewn ��....��.a».........+o.. �. w..w .. Vr 1f6L P3 PV- 3 s SOLAR INSTALLATION OF NEW HDCILWUM RWDO ROOF MOUNTED PV SOLAR SYSTEM r w', 34 HOCKANUM ROAD = � NORTHAMPTON, MA 01060 BCKE:NI8 _SITE SHEET INDEX • -. PV-1 COVER SHEET W/SITE INF08 NOTES M PV-2 ROOF PLAN W/MODULE LOCATIONS •aemmrvsaMsme• PV-3 ELECTRICAL 3 LINE DIAGRAM AP APPENDIX "•"+" I T- aner uro•. • m •. .m SOLAR .m.wm.e W Biac O 0 3 M = pC G � n: 8j VK{6YYNfMI1fTIM Q [ v� IN, a.. Pv _®_ ® . _ ® � .. _ �,.. .. � , An NEC IDI] i.mns.nnrn°.w.w......w......w«. .......r.«wrn�.wsa.... .s.w«...m......u.w..� r _____________ MTIW m.m5 no�A u nn Y.rton. ...vp6� SgEW�1xJiV.SM.YI1nW .uwa nn. wmv.,w. W Mm uu. .wm[nwereo.n ��3�Svl�iu� en�wrco u.wno�mnw��.m � l� D YFN6YYWSCW MSd -------------- 13 E ..aw ,,,_1561. a P1 PV- 3 4^ SOWLAR The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass gov1dla *11,arkers'Compenseltion Insurance Affidavit:Builderr/CoolnMora/Electrician&Tlumbem TO BE FILED w'h'it THE PERMITTING ALTHORITA. AaWkaot Information Please Print I.evbly Name(Business/Onloniratimvindividual):Trinity Holding&Air,Inc.dba Trinity Solar Address:2211 Allenwood Road City/State/Zip:Wan,NJ 07719 Phone h:732-780.3779 Art ye.anenPloyer!Chick D .pprspri.w boll: Type of prof(required): Lo lane employer cairn 1,600 emPNyem(ful amino,pnaimc)• 7. New concoction S�lamewle pmpnewrmpatnenhip Whavemmployrm svarkitp forme. 9. Remodeling any cipwa, [No wmkai wmp itwunwc osulnalI 3.❑lemananoxtwtdni„gall»r.kml,elf lNowwtaiemmow.rc<mauved.l' 9. Demolition s.❑1 em a Imrmsrw,uaW will he hir,ng canvmams to cmNm dl wmk on my propary. I will 10❑Building addition ¢more Na AN ctabact.eimehrr r have xms'eompemxwtimmwc<w we role 1 1.0 Electrical repairs or additions proptkm ,wim Int empl're' 12.[]Plumbing repairs or additions SCIemagen—mm�adns,Mn,Wlluveeald Js wbaniotti orom, ndnn uwanacnedaMa 13.0Roof repairs ilase subwnuamm neer amdgm aM Mve workers ..ear imwae< h.❑Wee,cacmptmnun and its omrers Nve ererciad Nen„gni nfeumryton Kr M(dr 14.00ther Stelae Installation 151,000I,"urnmenoemployers [Now lacm'wmp in,womencuimf] •Ant eppbeuni that check¢non 01 muse elw fill um dw action blow sM1nwng mein..,k<,,c oilwousun Pel,y innaamaon v I lunmowmn wlw submit this aaienned inc iratmg dry art doing all xnrk and awn hire ooblde aumtwmrs mug submit a new atfeLvh mlieyting sen. Implxtnrs Nat cha:k this bon mint anwheJ an additiuml mace slwxing dw name of me lmlw'mecwrs aitl gae wheher at rat acme amities Mse rinrlutaw. Ifaw wbsaremaa have employ«:.dw�mutt pros i,4 men xurkeri eaoP Polity nwntwr. I am an,emplgl•er that 1,providing me kers'rumprnsalim Insurance/or my employees Below Is rhe polity andluh site '"prowling. Insurance Company Name:EWGCR000065618 Policy k or Self-ins. Lic.b:HDI Global Insurance Co. Expiration Dale: 12131/2019 Job Site Address:4 Open Square Way, Suite 410 City/st acfzip:Holyoke, MA 01040 Attach a copy of the workers'compensation policy declaration page(showing the policy number and eapindon date} Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 andlor one-year imprisonment,as well as civil penalties in the king of STOP WORK ORDER and a fine of up to$250.00 a day against the violator. A cop}of this statement may be forwarded to the Office of Investigations oflhe DIA for insurance coverage verific /do hercbp tt /y Mn ='1h'& d alae u rr/u n'!Int!the i +nnarinn prnridad ahnpvr is true and rnrreel. Date' ph... I a#'7 3779 — - --- OJJ(ciat we only. Do not write in MA area.la be aamplered Inv cin or town official City or Towm Permil/License k Issuing Authority(elrele one): I. Hoard of Hall 2.Building Department J.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector L.Other I o"NO Pm'smr Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined w"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in ajoint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also stales that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has no produced acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers compensation affidavit completely,by checking the boxes dim apply to your situation and,if necessary,supply sub-contractor(s)morels),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit maybe submitted w the Department of Industrial Accidents for confirmation of insurence coverage. Also be so"to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to comae[you regarding the applicant. Please be sure to fill in the permit/limnse number which will be used as a reference number. In addition,an applicant that must submit multiple permit/lieense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in_(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or awn may be provided to the applicant as proof thin a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.When a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel.#617-727-4900 ext.7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia 4co d CERTIFICATE OF LIABILITY INSURANCE -1912019 1n2D19 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. IMPORTANT: H Nle cartmcate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. N SUBROGATION 15 WAIVED, subject to the terms and conditions o/the policy,certain policies in"require an endorsement. A statement on this cere8eata does not cents,rights to the unMieafa holder In 11.of such entl f. PRODUC. NAME: Mark G uta Arthur J.Gallagher Risk Management Services, Inc PXONM 86&462HMIOD F Mo 8584821888 4000 MidlanBC Drive Suite 2DO EAIAILEve Mount Laurel NJ 08054 sOenjo. ChMMIII.BSD.CertM@AJG.com _ 9 RERIBIArfgI WCO9ERME INM'f INSURERA:HDI-Globo lesurarlce Company 41343 NgURFO TRINHE"O MURMB,Lteftlmu,NICBUMBIWr lm 19917 Trinity Heading 8 Air,Inc.DBA Trinity Solar IxavRERc:McTiun CA1arerMe and DaM Ira Co 28247 4 Open Square Way,Suite 410 Holyoke, MA 01040 McRER o: INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER:621352838 REVISION NUMBER: 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 REOUIREMENT,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 HEWN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TpR TYPE OF INSURANCE L Po CYNUBBER PMICY EfT POLICYEV IAarB A X CCWERGALOBIEMLWBlJ1Y EGGCR000085818 1]h1rzO1B 1L11Y1018 ;PROwETS OCCUAWNCECWMa#IADE X OCCUR M Esow sastoe DD A" —veem) {0 NAL 9 ADV INJURY {2,000.1100ALAOGFEOATE {2.000.000 PIXICYOJER F1 CO FQPAGO {2,000,000OTHER, { -ffiiA AUmY081LE WBILT' FAGCRM008Mte 12N12m8 NGLEL {2.000.00DX ANY AUTO INJURY(Pal invo) { NANY(PareaNee4 i NROSONLY AUTOS HIRED NONOWNED AUTOS ONLY AUTOS ONLY i i E uMaRELULMB X OCCUt 1000201110SSW03 1221201/1 12212018 EMHOCCURRENOE $21,NO,NO c EXAGR000M51118 12212mS 12212016 c % EicEM Lu C—LM MDE AEC 1M892400 1221201/1 12212019 AGREANATE 1121,001 OED RETENTION { A AXOEIPIDYERSNamoss COMPExSAncN EMCROWNW18 12211201a 1221/2018 —TNA ER 'LIANIJIY AMPRWRETORNMTNEwExECUTNE YO NIA F1.FAb1ALY.ODIr i1.OMM0 CFFICEILNEMBEREXCLUDED'I AsMabry In NNl E.L.DIBFABE-E MKOYEE 91,000,000 eyes —se. OEn PTOR OF OPEMTIONE Ldw EL DS -PQICYUNIT if 1 OM A AJInmaMe EAOCRo0W116T18 1221201/1 12212019 Muter UNB {1,00021,000 cwnwcaueim 0e4 TMLTROsta l 9amiraNu M.00025,000 DESCRIPTION OF OPEMTOMM 1LOCATmMSIVEHICLES(ACOR01N,AeaBmal Romer SG,adu4,mry Mele[NNXApeepee IereMNnG) Evidence011nsurence. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE D%PIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Evidence of Insurance AaN RVIRVINUIE`1RES. �\ 1N ez-+ C 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2 01610 3) The ACORD name and logo are registered marks of ACORD ftn ty- SOLAR HOMEOWNERS AUTHORVATION FORM (print name) am the owner of the property located at address: (pint address) I hereby authorize Trinity Solar, and their subcontracting company , 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 locate on my Property. This authorization includes t e transfer/re-admin' ering, and/or cancellation of any existing rmits on fil r ose of updating/applying with an to su or. Customer Signature: Date: Print Name: Comoki.w..11h of Massacouselts e, Dwisron of Professional La,.sure Board of Building Regulations and Standards Constrpdbn'SupOrvuor CS-104166 Eypires:0311712020 SMNGFI EERE `I 43 FRGL EJIVE SPRINGFIELD MR/�OtL7eA Commraaioner C4 - L.nrn .. Su.lrvM.. n.e. ..r.nr kslea,Were nbc 4n nat sY..q.<y.'.e..s,nKon•Ko-n f aWr!b P...b!a t W me eMbn.1 q!IN..e[eYMX. SrY ButlIgCN 4cauv M!!YKlW�M ln4acw.l. iP Yrlare.lOT ns. lM ht.nv fJllath flr.fAO a vllil.vYJNy Wlbq I Office of Consumer Affairs and Business Regulation One Ashburton Place - Suite 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Type: Supplement Card TRINITY HEATING B AIR,INC. /, _ A Registration: 170355 D/B/A TRINITY SOLAR I�� — E-Piration: 10/11/2019 20 PATTERSON BROOK ROAD UNIT 10 WEST WAREHAM,MA 02576 y, Update Address ant Ratum Card. xA 1 o aiManr Mee of Conwever Mahn a ausinees Regulii HOM E IM PROVEM ENT CONTRACTOR Registration valid for individual eoMy TYPE:Suoolemerd Cad before the eaplraI data H u "alum to: Rwishatbn Expiration office of ConsuM{r AN., Nnesa RsgWatlon 110955 10/112019 10Pora Plana- he5170 TRINITY HEATING a AIR,INC. 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POWER DISTRIBUTION C�)�l ..m LIS g y cannttrors ere 11—1atu.ee M1sm higso :#re,pN 6061-T6 BUG-BITES" +am mo.Ybsbmetre Mtn m,11ana w9amhm moam steal +]9ro" i9n. so'C aM a:m m.eomm..a,m,m.l mhcdona,.M.re a,pm Is am Inwlalbn Piercing Connectors m.reed fo, rootaa..a9ro..•m n:aralas a, asmombl.*Mn,re mneuMNru'+1Im.NOP::G h,a mos ro.ou on mnem]g m glmu emla awd T:e o0 a rase,assign mulolow: w]PpavlN•r•:ss,so me m.enz.ro oo mal 9V11,m<y: . mneo[m..s.l:,mye.ro.om01. ra—aw b a{pa.a{psb Yninvn wYur...n bYnRmgtiv. mbWis Mm ro Orcak In tM grv:M mMuln,. Fvua MYYYOMauMrwlr IPC SERIES R•c amR(•au uen9) an ...a:M ass, lasss Ra ]•bfv - 6] OA 1 ®.ID —1 Ca 40m ] t]9 ®.YO 91.ID CW]pM 0.)) W Lb:A as W p rY aa�Ma'.�a.raw] (YYubl Iwm,sw M1TMdI1. is]�sID �a]9t]a Q9vwfma�N. GUTTER TAP CONNECTORShas ou�aeed �� auntil n �� ,da:ag a:::nmmnamn.muwlRe ,• eow gM ao't t IIIIN '- rniaal I e.Wme:w:mwla.. GP til til QO RO 4vTMMYr R9 O m.n 'lam" JI'f SERIES .7corlaug, can I m;;Y ro9� causavors 1. saw O O m.iai `0°sSmass g*:a a rvmppreapre. u is. w a:ya:a.aapaaRa.:ra.nwmRm. .abawa+r :a. GPC SERIES all111,11, M +wy�,aw• a (ia]� �'(n„n) Rte,w m]+m �.].e„roat,a oaaa.rn SOLARMOUNT :e� UNIRAC SOLARMOUNT SOLARYOOIIT is the professionalschoice for reudential PV mounting applications.Every aspect of the system is designed for an easier,faster installation experience.SOLARMOUNT is a complete solution with TRUSTINDUS] BESTDESIGNr OL revolutionary universal clamps.FLASHRIT PRO,full system UL 2103 certification and 25 year warranty.Not only is SOLARMOUNT easy to install,bulbesl-in-class aesthetics make it the most attractive on any black! 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O W/�nMM1n �. mmaw� O � r w ma'V•uou�a•avu w w mmre•y un••Wauctiw � mr•4mn mr�ami.e� eM ..x a^^Mwnanraw�E�m bw�w aMw�awpaYn a•omm �vamp m,.m�w rwxw ®cxaPw.vnt nmeu4 _ •�wwmm axsavv 4w.M4uiavlmrt •.w^4 } mgee�am•n.w•yam.0 �am•ww �wm.wm..waw... H� Www xscM1m.amwa.wma • •a • • n• • • .m uun a.• • 4 March 19,2019 To:Inspectional Services From: Rich Hennessy—Trinity Solar Subject: Building and Electrical Permit Applications for Solar Installation Attached please find a building and electrical permit application package,and all other necessary documents.Enclosed also are two checks covering fees associated with each of these applications. If you have any questions regarding these documents, please feel free to contact me. Thank you very muchl Rich Hennessy Rich.Hennessv(Dtrinitvso la rsystems.com 413-203-9088 Ext.1514 Trinity Solar 4 Open Square Suite 410 Holyoke,MA 01040