43-041 58 AUTUMN DR COMMONWEALTH OF MASSACHUSETTS BP-2021-1879
Ma p:B lock:Lot:43-041-001
Permit: Solar Build CITY OF NORTHAMPTON
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2021-1879 PERMISSION IS HEREBY GRANTED TO:
Project# 2021 SOLAR SYSTEM Contractor: License:
TRINITY HEATING @AIR INC DBA
Est.Cost: 34000 TRINITY SOLAR 111552
Const.Class: Exp.Date:02/20/2023
Use Group: Owner: MARTIN BRUCE S&SOPIE H
Lot Size (sq.ft.)
TRINITY HEATING @AIR INC DBA TRINITY
Zoning: WSP Applicant: SOLAR
Applicant Address Phone: Insurance:
4 OPEN SQUARE WAY, SUITE 410 (41 3)203-9088(1522) WC13588107
HOLYOKE, MA 01040
ISSUED ON:09/14/2021
TO PERFORM THE FOLLOWING WORK:
INSTALL 28 PANEL 9.52 KW ROOF MOUNT SOLAR SYSTEM
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 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: Q
•
Fees Paid: $75.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
RECEI v a
The Commonwealth of Massachusetts
(' . `Q Board of Building Regulations and Standards FOR
202� The
State Building Code, 780 CMR MUNICIPALITY
�'� USE
DE Buildi r g Pe I 't Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011
No BA'T DI n'ASPECT/ONS One-or Two-Family Dwelling
rufA ot000
This Section For Official Use Only
Buildin7 Permit Number: /
gla** I' 1 r�t > D to Applied:
4 cuIN 143 '/7 9-ly-202 j
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
58 Autumn Drive.Northampton,MA it' 0 y/
1.1 a Is this an accepted street?yes X 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 ❑ On site disposal system ❑
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Sophie Martin Northampton MA 01062
Name(Print) City,State,ZIP
58 Autumn Drive (413)584-2118 sophi martin(comcast.net
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK(check all that apply)
New Construction 0 Existing Building❑ Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other El Specify: Solar
Brief Description of Proposed Work2:Install 9.52 kW DC solar on roof( 28 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 $10000 1. Building Permit Fee: $ Indicate how fee is determined:
0 Standard City/Town Application Fee
2.Electrical $24000— 0 Total Project Costa(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $ Total All Fees: $
Suppression)
6.Total Project Cost: $34000 Check No.q 1?3 Check Amount Cash Amount:
0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) CS-Ill 552 2/20/2023
Nicholas D Casavant License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) l.J
149 Dunnbrook Rd
No.and StreetType Description
East Brookfield, M 01515 U Unrestricted(Buildings up to 35,000 cu.ft.)
�' t R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
f al{ RC Roofing Covering
X / WS Window and Siding
SF Solid Fuel Burning Appliances
413-203-9088 x l 508 applications.westma //trinity-solar.com 1 Insulation
• Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 183776 11/12/2021
Demarse Electric, Inc. HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
64 Main St applications.westma@ trinity-solar.com
No.and Street Email address
Queensbury, NY 12804 413-203-9088 x 1508
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 Il 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 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 bow,I hereby a est under the pains and penalties of perjury that all of the information
contained i is application is 'ccurate to the best of my knowledge and understanding.
h 1A / 9/13/2021
Print Ow er' t rized Agent's Name(Electronic Signature) Date
I 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.ggy/oca Information on the Construction Supervisor License can be found at www.rnass.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"