22B-048 (8) BP-2023-0577
15 RYAN RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
22B-048-001 CITY OF NORTHAMPTON
Permit: Solar Build
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING P RMIT
Permit# BP-2023-0577 PERMISSION IS HEREBY GRANTED TO:
Project# 2023 SOLAR Contractor: License:
Est. Cost: TRINITY SOLAR CSL108025
Const.Class: Exp.Date: 04/22/2024
Use Group: Owner: KORAMSHAHI DOYLE, CLARE& EMMA
Lot Size (sq.ft.)
Zoning: GI/WP/WSP/WSP-0 Applicant: TRINIT''SOLAR
Applicant Address phone: Insurance:
32 GROVE ST (508)577-3391 WC 13588108
PLYMPTON, MA 02367
ISSUED ON: 05/05/2023
TO PERFORM THE FOLLOWING WORK:
INSTALL 23 PANEL 9.315 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:
Fees Paid: $75.00
212 Main Street,Phone(413)587-1240,Fa (413)587-1272
Office of the Building Commiss oner
The Commonwealth of Massachuss 41' 4 �' . •
Board of Building Regulations and Stafild s Q FOR
Massachusetts State Building Code, 78 0� USE MUNICIPALITY
Y qa o
at Building Permit Application To Construct,Repair,Reno eOP olish a Revd Mar 2011
One-or Two-Family Dwelling
This Section For Official Use Only J
Building Permit Number: 3 w 677 Date Applied:
4v►- 42ass //i 5-1-1-ZOZ3
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
15 Ryan Road,Florence,MA
1.1 a Is this an accepted street?yes 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 OWNERSHIP'
2.1 Owner'of Record:
Emma Koramshahi Florence MA 01062
Name(Print) City,State,ZIP
15 Ryan Road (443)845-6029 koramshahie(a,gmail.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 ❑ Repairs(s) ❑ Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. ❑ Number of Units Other ✓❑Specify:solar
Brief Description of Proposed Work': Install 9.315 kW DC solar on roof(23 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 $13,000 1. Building Permit Fee:$ Indicate how fee is determined:
❑Standard City/Town Application Fee
2.Electrical $29,000 ❑Total Project Cost3(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $ Total All Fees: $
Suppression) b
Check No.1 IOU Check Amoun# Cash Amount:
6.Total Project Cost: $42,000 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
U Unrestricted(Buildings up to 35,000 cu. ft.)
Easthampton,MA 01027 R Restricted 1&2 Family Dwelling
City/To to ZIP �._ M Masonry
`,.� �_ RC Roofing Covering
X '' �� WS Window and Siding
SF Solid Fuel Burning Appliances
413-203-9088 x 1524 applications.wcstma@trinity-solar.com I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
170355 l 0/11/2023
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 1524
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
containe i app ' on is true and to to the best of my knowledge and understanding.
X 05/03/2023
Print Owner' or Authorized Agent's Name(E ectronic 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"
City of Northampton
Massachusetts %,
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� ''
DEPARTMENT OF BUILDING INSPECTIONS -,,
212 Main Street • Municipal Building .?_
Northampton, MA 01060 S3't;v ,,4�`
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, S54, a condition of Building Permit
Number is that all debris resulting from this work shall be disposed of
in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A.
The debris will be disposed of in:
Location of Facility: Casella- 295 Forest Street, Peabody, MA 01960
The debris will be transported by:
Name of Hauler: Trinity Solar
05) ,
Signature of Applicant: i Date: 5/3/2023
• NJ,Electrical Contractor business permit number 34EB01547400
NJ,HIC reg.#13VH01244300
so L A R For other jurisdictions,please visit:http://www.trinity-solar.com/about-us/locations-and-licenses
HOMEOWNERS AUTHORIZATION FORM
Emma Koramshahi
(print name)
am the owner of the property located at address:
15 Ryan Road Northampton MA
(print address)
I hereby authorize Trinity Solar Inc. ("Trinity Solar") and its employees, agents, and
subcontractors, including without limitation, , 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, Battery System, roofing or other
Trinity Solar offerings located on my property, applying and obtaining permission and approval for
interconnection with the electric utility company, and registration with any state and/or local incentive
program(s).
This authorization includes the transfer/re-administering, and/or cancellation of any existing
permits on file for the purpose of updating/applying with an alternate subcontractor.
Without limitation to the generality of the foregoing I specifically authorize Trinity Solar et al.to
populate technical details,fill-in, edit, compile, attach drawings, plans, data sheets and other
documentation to, date, submit, re-submit, revise, amend and modify application, submission and
certification documents ("Approvals Paperwork"), including those for which signature pages are included
herewith for my signature, in furtherance of the related transaction, and I am providing any signatures to
Approvals Paperwork for purposes of the foregoing.Trinity Solar will provide copies of Approvals
Paperwork when submitted. My authorizations memorialized herein shall remain in full force and effect
until revoked. I acknowledge that these authorizations are not required to proceed with the transaction
and are not a condition of the related agreement included herewith but are being given for my own
convenience and benefit in order to expedite the approvals processes.
Electric Utility Company: National Grid
Electric Utility Account No.: 55015-72064
Name on Electric Utility Account: Clare Doyle
Customer Signature
Emma Koramshahi
Print Name
3/2/23
Date
Corporate Headquarters 1-877-SUN-SAVES
2211 Allenwood Road Ph: 732-780-3779
Wall, New Jersey 07719 Fax: 732-780-6671
www.trinity-solar.com
FOR INFORMATION ABOUT CONTRACTORS AND THE CONTRACTORS' REGISTRATION ACT,
CONTACT THE NEW JERSEY DEPARTMENT OF LAW AND PUBLIC SAFETY,
DIVISION OF CONSUMERS AFFAIRS AT 1-888-656-6225.