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31B-171 (10) BP-2021-2305 41 HENSHAW AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31 B-171-001 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-2021-2305 PERMISSION IS HEREBY GRANTED TO: Project# 2021 SOLAR SYSTEM Contractor: License: TRINITY HEATING @AIR INC DBA Est.Cost: 33000 TRINITY SOLAR 098295 Const.Class: Exp.Date:09/29/2023 Use Group: Owner: SAVAGE FRANCIS Lot Size (sq.ft.) TRINITY HEATING @AIR INC DBA TRINITY Zoning: URC Applicant: SOLAR Applicant Address Phone: Insurance: 4 OPEN SQUARE WAY, SUITE 410 (413)203-9088(1522) WC13588107 HOLYOKE, MA 01040 ISSUED ON:12/15/2021 TO PERFORM THE FOLLOWING WORK: INSTALL 25 PANEL 8.5 KW 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: Him!: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: (. :if O i ) . TAIT Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner RE C VE The Commonwealth of Massa huse C. ri° Board of Building Regulations d S C FOR Massachusetts State Building Co e, 7 0 CMR 4 2421 CIPALITY /' USE Building Permit Application To Construct,Re air,fittlor emolish a R ised Mar 2011 One- or Two-FamilyDwellin �COT�N _ AMn O�(ti SPECriON This Section For Official Use Only "0j0eo Building Permit Number: QP d 1- -3 30C Date Applied: 4-U�nJ ` 1 /2-!H Zoz4 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.l Property Address: 1.2 Assessors Map&Parcel Numbers 41 Henshaw Ave,Northampton,MA at 3 /7 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 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Francis Savace Northampton MA 01060 Name(Print) City,State,ZIP 41 Henshaw Ave (413)330-1172 salig(a mac.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 El Specify: Solar Brief Description of Proposed Work':Install 8.5 kW DC solar on roof( 25 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 $9000 1. Building Permit Fee:$ Indicate how fee is determined: ❑Standard City/Town Application Fee 2.Electrical $24000 ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire Suppression) Total All Fees: $ Check N%7 q Check Amount: Cash Amount: 6.Total Project Cost: S 33000 0 Paid in Full 0 Outstanding Balance Due: a , �i UC i ut2..i4L 4 ite SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License-(CSL) CS 098295 9/29/2023 Michael A White License Number Expiration Date Name of CSL Holder List CSL Type(see below) U 48 Moore Street No.and Street Type Description East Longmeadow,MA/Q1 28 U Unrestricted(Buildings up to 35,000 cu.ft.) #r 9 R ' Restricted 1&2 Family Dwelling City/Town,State, IP � I M Masonry I RC Roofing Covering Jll WS Window and Siding SF Solid Fuel Burning Appliances 413-203-9088 x '522 applications.westma@.trinity-solar.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) TrinitySolar Inc DBA TrinitySolar170355Registration Expiration 10/11/2023a HIC 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 1522 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 ® 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 bflow,I h eby'attest under the pains and penalties of perjury that all of the information contained in tilts a pi ti n i ttt `a accurate to the best of my knowledge and understanding. X j v! 12/09/2021 Print Owner's o 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" • The Commonwealth of Massac user 1 4 2021 Board of Building Regulations and tan..rdO-C FOR . Massachusetts State Building Code, 80 I MR IPALITY i *4`,/ mspEc-r ot5 SE Building Permit Application To Construct, Repair, . enom0e.OrVeAcil ife"' ' -,.e• Mar 2011 One-or Two-Family Dwellin ivoaT AA This Section For Official Use Only Buildinn'r Permit Number: I�/9"-4 f�0l) •M' Date Applied: ht UIK) `Kass ____/ /ZN-242I Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Asse� Me 1 op P&Parcel Numbers e 3 Gleason Rd,Northampton MA 01060 ((,� 1.1a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 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: Jordan Abbott Northampton MA 01060 Name(Print) City,State.ZIP • . 3 Gleason Rd (415)367-5216 jordangelabbott@yahoo.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 0 Specify:solar PV Brief Description of Proposed Work-:Installation of 17 module PV array on residence roof SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $6951.50 I. Building Permit Fee:$ Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $16811.50 0 Total Project Cost;(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees: " CK Check NoI'M�Check Amount Cash Amount: 6.Total Project Cost: S 23763 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-111266 03/14/2023 Daniel Gomez-Gonzalez License Number Expiration Date Name of CSL Holder List CSL Type(see below) U 43 Hatfield Street No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu. ft.) Northampton MA 01060 R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-772-8788 BUILDINGPERMITS@PVSQUARED.COOP I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 140077 9/15/2023 PIONEER VALLEY PHOTOVOLTAICS COOP HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 311 WELLS STREET BUILDINGPERMITS@PVSOUARED.COOP No.and Street Email address GREENFIELD MA 01301 413-772-8788 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 C No 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1,as Owner of the subject property,hereby authorize Pioneer Valley Photovoltaics Coopertive to act on my behalf,in all matters relative to work authorized by this building permit application. SEE ATTACHMENT (A) SEE ATTACHMENT(A) 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 application is true and accurate to the best of my knowledge and understanding. / 12/3/2021 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.rnass.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"