42-093 BP-2023-0998
219 GLENDALE RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
42-093-001 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-2023-0998 PERMISSION IS HEREBY GRANTED TO:
Project# 2023 SOLAR Contractor: License:
TRINITY HEATING&AIR INC DBA
Est. Cost: 78000 TRINITY SOLAR CSL108025
Const.Class: Exp.Date: 04/22/2024
Use Group: Owner: LINDA BARANOWSKI MARIAN K&
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: 08/03/2023
TO PERFORM THE FOLLOWING WORK:
INSTALL 28 PANEL 11.34 KW GROUND MOUNT SOLAR SYSTEM WITH 200 FT TRENCH TO HOUSE (NO BATTERY)
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:
J .
Fees Paid: $100.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
Z-oi<
File #BP-2023-0998
APPLICANT/CONTACT PERSON:TRINITY HEATING &AIR INC DBA RINITY SOLAR
4 OPEN SQUARE WAY, SUITE 410 HOLYOKE, MA 01040(413)203-90 8(1522)
PROPERTY LOCATION 219 GLENDALE RD
MAP:LOT 42-093-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $100.00
Type of Construction: INSTALL 28 PANEL 11.34 KW GROUND MOUNT SOLAR SYSTEM WITH 200
FT TRENCH TO HOUSE (NO BATTERY)
New Construction
Non Structural Renovations
Addition to Existing
Accessory,Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans/Plot Plan
Driveway Grade%
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
k Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demolition Delay
nh . f, Y/3/a3
Sign iture of Building Official / Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden ;o comply with all zoning
requirements and obtain all required permits from Board of Health,Co lservation Commission, Department
of public works and other applicable permit granting authorities.
*Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of
Planning&Development for more information.
111, The Commonwealth of Massachuse 1 s% ' //
r, Board of Building Regulations and Stan. o,� �� FOR
\`,J Massachusetts State Building Code, 780 C % IPALITY
tjL Building Permit Application To Construct,Repair,Renovate • ' . e fish Rev'.ed M, 2011
One-or Two-Family Dwelling ?a,2ro
v
This Sect' For Official Use Only z3 c>,4
Building Permit Number: � L0
r�'j1 � Date Appli d:
1 : •I, .�, /► i; 8 3
Building Official(Print Name) / Signature / te.
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
219 Glendale Rd,Florence,MA
1.1a Is this an accepted street?yesjL 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
20 256 15 36/40 20 148
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:
Ronald Baranowski Florence MA 01062
Name(Print) City,State,ZIP
219 Glendale Rd 4133749225 glendabrodeur117(a),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:Solar installation
Brief Description of Proposed Work2: Install 11.34kW DC solar o 4panels). Trench 200 feet.
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $23000 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $55000 ❑Standard City/Town Application Fee
❑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 No.\' 14 peck Amount: C Cash Amount:
6.Total Project Cost: $78000 ❑Paid in Full 0 Outstanding Balance Due:
&/ SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
CS-108025 4/22/2024
Phil Smith 4., 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
X
RC Roofing Covering
J
-r -
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 El 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 It is true and ate o the best of my knowledge and understanding.
X 07/25/2023
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"
•
NJ,Electrical Contractor business permit number34EB01547400
NJ,HIC reg.#13VH01244300
SOLAR For other jurisdictions,please visit:http://www.trinity-solar.com/about-us/locations-and-licenses
HOMEOWNERS AUTHORIZATION FORM
Glenda Baranowski J
(print name)
am the owner of the property located at address:
219 Glendale Rd Florence, Massachusetts 01062 United States
(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.: 2652150011
Naeon Electric Utility Account: Ronald Baranowski
Customer Signature
Glenda Baranowski
Print Name
March 30, 2023
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.
City of Northampton
';� 1"- �,S w. 57G
�� Massachusetts w7' x_ fte
; _ DEPARTMENT OF BUILDING INSPECTIONS �;
1 , 212 Main Street • Municipal Building I>
-Northampton, MA 01060 ":1* ‘'�'�
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 St, Peabody, MA 01960 _
The debris will be transported by:
Name of Hauler: Trinity Solar
Signature of Applicant: v Date: 7/26/2023