42-153 BP-2023-0062
15 TIFFANY LN COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
42-153-001 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-2023-0062 PERMISSION IS HEREBY GRANTED TO:
Project# 2023 SOLAR Contractor: License:
Est. Cost: 31000 TRINITY SOLAR CSL108025
Const.Class: Exp.Date: 04/22/2024
Use Group: Owner: CHASE RAE ANN AKA RAE ANN FRENETTE
Lot Size (sq.ft.)
Zoning: WSP Applicant: TRINITY SOLAR
Applicant Address Phone: Insurance:
32 GROVE ST (508)577-3391 WC 13588108
PLYMPTON, MA 02367
ISSUED ON: 01/19/2023
TO PERFORM THE FOLLOWING WORK:
INSTALL A 14 PANEL 5.6 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:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
• a . ),2 . Tit
Fees Paid: $75.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
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The Commonwealth of Massac setts
e/ :,d'F.\' F R
. )` Board of Building Regulations d St ards qy L
C, C ALITY
i' Massachusetts State Building Code;,744> 19 �/ E
Building Permit Application To Construct,Repair,Rei4t#14 Dem s V!i, a )tevise ar 2011
One-or Two-Family Dwelling �N.'',�'%, /
This Section For Official Use Only "°ti q�AF /
Building Permit Number: # .1-3 -•U Z Date Applied: .,.7 6,o°tis ,
rtiw €5 / ' �`✓ /- / 7ZQZ3
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
15 Tiffany Ln,Florence.MA
1.1a Is this an accepted street?yes Q 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 El Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSIHPI
2.1 Owner'of Record:
Rae Ann Frenette Florence MA 01062
Name(Print) City,State,ZIP
15 Tiffany Ln 7749290045 frenette.mikena,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) ❑ Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other Specify:sow _
Brief Description of Proposed Work2: Install 5.6 kW DC solar on roof(1 4 panels)
Will not exceed building footprint, but will add 6"to roof height.
I
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:
2.Electrical $22000 ❑Standard City/Town Application Fee
❑Total Project Costa(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees: (n 4
Check No. 13(9' heck Amount: • Cash Amount:
6.Total Project Cost: $31000 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) CS-108025 4/22/2024
Phil Smith License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) U
6 Torrey St
No.and Street Type Description
Easthampton MA 01027 U Unrestricted(Buildings up to 3/5,000 Cu.ft.)
p R Restricted 1&2 Family Dwelling
City/To to ZIP M Masonry
X RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
413-203-9088 x applications.westma@trinity-solar.com I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
170355 10/11/2023
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 ® 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 belo I hereby attest under the pains and penalties of perjury that all of the information
contain• ' i app ' on is true and
Or, to to the best of my knowledge and understanding.
X 01/18/2023
Print Owner' 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"