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35-135 • BP-2022-0083 20 WESTWOOD TERR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 35-135-001 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-2022-0083 PERMISSIONIS HEREBY GRANTED TO: Project# 2022 SOLAR Contractor: License: Est. Cost: 29000 TRINITY SOLAR 098295 Const.Class: Exp.Date:09/29/2023 Use Group: Owner: SULLIVAN DEBORAH A 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:01/25/2022 TO PERFORM THE FOLLOWING WORK: 2I ROOF MOUNT PANELS 8.4KW 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: Gas: Final: Final: Rough Frame: Rough: Fire Department Driveway Final: Fireplace/Chimney: Final: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: 1 1. J( . Ti,. Fees Paid: $75.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner Department use only --------.,__City of Northampton Status of Permit: WI'j. building Department Curb Cut/Driveway Permit i ______ ' 212 Main Street Sewer/Septic Availability JAN 2 Room 100 Water/Well Availability 4 20 Northampton, MA 01060 Two Sets of Structural Plans nFaT pho e 413-587-1240 Fax 413-587-1272 Plot/Site Plans _ _ NpgTti�MPD7Nr,INSPECTIONS Other Specify ON.MA mQ60 APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office �^ _ Map Lot Unit fi' "j � ,`,E�Woot 1 uz Zone Overlay District Elm St. District CB District SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Deborah Sullivan 20 Westwood Terrace,Northampton,MA 01062 Name(Print) Current Mailing Address: 603-203-8721 Please see attached Telephone Signature 2.2 Authorized Agent: Michael A White - Trinity Solar 48 Moore Street,East Longmeadow,MA 01028 Name(Print � j f j 1 Current Mailing Address: t s X ��;�/,�� �`�, '�1t� ,+ ,i 413-203-9088 Signature! i Telephone SECTION 3 -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 8,000 (a) Building Permit Fee 2. Electrical 21000 (b) Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection _ 6. Total=(1 +2+ 3+4+5) 29000 Check Number ! /SJ This Section For Official Use Only p.p1�-. 3 Date Building Permit Number: �/ Issued: Signature: 1 - 701 0%V Va51d')\ Building Commissioner/Inspector of Buildings Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage 0/0 Open Space Footage (Lot area minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW Q YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DON'T KNOW Q YES Q IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW Q YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Q , Date Issued: C. Do any signs exist on the property? YES ® NO 0 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO Q IF YES, describe size, type and location: E. Will the construction activity disturb(clearing, grading,excavation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q NO 0 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition Replacement Windows Alteration(s) ❑ Roofing Or Doors 0 Accessory Bldg. El Demolition ❑ New Signs [0] Decks [I=J Siding [0] Other[0] Brief Description of Proposed Work: Install 8.4kW DC solar on roof(21 panels).Will not exceed building footprint,but will add 6"to roof height. 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 6a. If New house and or addition to existing housing, complete the following: a. Use of building : One Family Two Family Other b. Number of rooms 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 i. 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 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 Date Trinity Solar , as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Michael White,-Tnity Solar ! Print 1te� � 'f ' fl X w, t'., t Signature of Owner/Agent f Date 1/20/2022 SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Michael A White CS-098295 License Number 48 Moore Street, East Longmeadow, MA 01028 9/29/2023 Address j Expiration Date X i ititiLtd 413-203-9088 Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable 0 Trinity Heating&Air Inc. DBA Trinity Solar 170355 Company Name Registration Number 20 Patterson Brook oad-JTnit10,West Wareham,MA 02576 10/11/2023 Address (j I j Expiration Date " t .1 : il Telephone 413-203-9088 J 1 i SECTION 10-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 0 11. - Home Owner Exemption 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, Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person(s)who own a parcel of land on which he/she resides or intends to 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 the job 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 person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature