Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0048 CAP'N ISIAH'S ROAD
i r f 4 i YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years]. A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.] You must first obtain the necessary signatures on this form at 2p0 Main St,�Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. ,- DATE: 7�Z Fill in please: APPLICANT'S YOUR NAME/S: — u4b&A N�CA10S. r f y BUSINESS YOUR HOME ADDRESS: 6(-� Cc9`n ZSiGcti s . Cof6,4ryta C.►zL• 3S� TELEPHONE # e Telephone Number 6 2,0 -04V1*P- a rjet M �Mil. k /n NAME OF CORPORATION: t NAME OF NEW BUSINESS C&tu l- Bawl TYPE OF BUSINESS d b Y! -•*.' IS THIS A HOME OCCUPATION? YES NO 6ybwn �- ADDRESS OF BUSINESS &4t7 000(r MAP/PARCEL NUMBER b (Assessing] nb+5)L4at_, When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM SSlhi' R'S OFFICE MUST COMPLY WITH HOME OCCUPATION This individu I h sin d f n per it requirements that pertain to this type of busine�LES AND REGULATIONS. FAILURE TO u Si atu COMPLY MAY RESULT IN FINES. C MMENT 1 1 I 2. BOARD OF ALT This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: Town of Barnstable �V Regulatory Services Richard V. Scali,Director Building Division 1AMSTABLE, MASS. $ Paul Roma,Building Commissioner i63q. �0 CEO 3gP a 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: — HOME OCCUPATION REGISTRATION Date: Zoe Name: E67_0 /li(,'Clu, /S Phone#:I JulCsa qq-`c Address: T bVih1`Q� S/� _ Village: Name of Business: COILLI Type of Business: Map/Lot-' n'3 O V G91D INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials, in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and.one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. 1,the undersigned, a read and agree with the above restrictions for my home occupation I am registering. Applicant: Date: Homeoc.doc Rev.06/20/16 I U i5C-) C2,aFS oeve r� Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee — * IARNSTABLE, • •'� Mass.1639. Richard V.Scali,Director �0 Building Division X-PRESS PERMIT Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 SEP 2 3 2015 www.town.bamstable.ma.us Office: 508-862-4038 TOWN OFTikk EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Map/parcel Number 38 Not Valid without Red X--Press Imprint ouu a�3 Property Address 1 CA P I tJ S ( A td Z7 CO TU IT KA- ©a (e 3S 0'Residential Value of Work$ 19 5700 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address T&6 p to l C_.N o t S 14,8 (s1Ak+ Zo co-rQ T K4 oa 63,Y- Contractor's Name �c�t��C�TE 14o t-L E G2..oj P Telephone Number S-O g 14a'L V ;L$a R Home Improvement Contractor License#(if applicable) Q fgi-i .4�'S Email: \610 t- G�w.pt E rL 14oe�E (rKo tP• �� Construction Supervisor's License#(if applicable) CS- 09 4 3 o.)_ IPW/Orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ m the Homeowner 71 have Worker's Compensation Insurance Insurance Company Name '&A Q It_. S V VIA 1 OS,)2A Ivg C S AG-6 0 C I Workman's Comp.Policy# V-?000 cc) (ox t 8 SW Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) g"'Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is re uired. SIGNATURE: C:\Users\Dccollik\AppDa a Vvlicrosoft\Windows\Temporary Internet Fi1es\Content.0ut1ook\2PI0I DHR\EXPRESS.doc Revised 040215 I The Coninionwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 frnvn:ntass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractois/Electricians/Plumbers Applicant Information Please Print Legibly Name(Bush s Orgauizatiotillntlividual): �ralU��i�¢ j ,• 1 �•-�Z�ys� Address: 12�0 /, eA4-,J City/State/Zip: 0— •Ace" Phone iV Are v an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees 'these sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance i required-] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself[No workers'comp. right of wa mption per MGL 12.[_1 Roof repairs insurance required.)i c. 152, §1(4),and we have no employees.[No workers' 13.0 Other comp.insurance required.) *Any applicant that checks box#1 tnnu also fill out the section below showing their woakers'compensation policy information. 1 Homeowners who submit this affidstdt iudirating they are doing all work and then hire outside contractors trust submit a new affidarit indicating such_ +Contractors that check this box must attached an additional sheet showing the name of the sub-comractoas and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: !�1 /L✓/ / / — Policy#or Self-ins.Lic.#:��n/LZ-.2/S - 602��2 -b2S Expiration Date: ? Z Job Site Address: "I Lt(C kl2r r.(/ City/State/Zip: CcTo% Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c._ 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one-year imprisonment,as well as ciiril penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage.verification. I do hereby certib,and the pains a Hies of perjury that Nte information provided above is bite and correct. S' lure: Date: 7 Phone#: Official rue only. Do not write in this area,to be completed by city or town q,Q9ciaL City or Town: PermidUcense 9 Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone 9: -- - — 6 LMG 4/8/2015 8:41:33 AM PAGE 3/008 Fax Server CERTIFICATE OF LIABILITY INSURANCE °AT41301"""'� 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED j REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemerlt(s). IPRao gmq MARK SYLVIA INSURANCE AGENCY 404 MAIN STREET P CENTERVILLE,MA 02632 rr, i T NAIC# INSURED MURERA: Uberty Mutual Fire insurance 23035 j COMPLETE HOME GROUP LLC ORB: 1770 81 MAIN STREET mac: OSTERVILLE MA 02655RSURER D: MURER E: IISMER F. COVERAGES CERTIFICATE NUMBER: 24136425 REVISION NUMBER: THS IS TO CERTIFY THAT THE PCUCIES OF INSURANCE USTFD BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PRICY PERIOD i INDICATED. MAY BE ISSUED O ANY REQRTAjNENT,TERM CR CONDITICN OF ANY CONTRACT OR OTHER DOCUMEl JT wTH RESPECT TO WHCH THs 1 EXCUJ CATS MAY BE ISSUED OR MAY POLIC Ea THE INSURANCE AFFORDED BY THE PCUGES DESCRIBED HEREIN IS SUBJECT TO All 7HE Taw IXCW�CNS AND CONDITIONS OF SUCH POLICIES U WM SH01MV MAY HAVE BEEN REDUCED BY PAID CLAIMS t TYPE OF POUCYP(tR4BER 1 ALC�U3�ILUABIUTY UMTS CLARu6MADE COMA EQCH000U § SES nztne� S RI®EXP me $ � CENLAGWEGATELRtN�/i'APPUESP>3} PBi9QVIL&ADVINIUAY S POUCNElJECT ❑IOC C2ALA0GREGATE § OrH9� PRODU1rTT3-CQIIRIOPAGS S j AUTUMBILEUA®UTYNGLECOr— § ANYAUrO 1 $ t ® BDILY INIURY(Perwmn) SSS§ BCDLYmRY(Fea=dvt) $HREDAUTOS AL arm UNBRE ALB OCC JR E)CSLB CLNWItN EACH0U DED REMMONS AOGFMkrE 6 hA A AND 8VFLW Ur WC2-31S-602832.025 3/232015 3/23/2016 § ANYPR0PREr0FVPAR vE Y/Nor,RC ✓ ER t,mnd -P/ABA+ roccwDED7 a N/AELEAICHAOCIDENr S 1000000 6%yint" EL DISEASE-EA81>P S 100000Prnd�VOF110�6U�m� ELOL95ASF-POLICYUm $ 100000 DESCRPTION OF OPERATM0I I LOCATIOISLS/Vf3iGU'S(ACORD 101,AdMorel RBIs Sdte&tQ my t.L anadfed B mrse rare is fe9Ured1 Workers competlsation insurance coverage applies only to the workers com ensation laws of the state of MA. This certificate cancels and supersedes all previously Issued certificates,on�r as they relate to workers compensation coverage. i CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OFTHEABOVEDESCRIBED POLICIES BE CANCELLED BEFORE BUILDING DEPARTMENT THE EXPIRATION DATE THEREOF, NOTICE VALL BE DELIVERED IN 200 MAIN STREET ACCORDANCE WM THE P011CYPROVISIONS, HYANNIS MA 02601 AUn40W®iMFRES9VTATIVE I Lberty Mutual Fire Insurance ACORD 25(2014/01) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD iEUC rv0.: 24136425 CLMM CCDE: 1759552 Anne Chandlev 4/3/2015 3:13:56 RM (EDr) Pace_1 of 1 i i I i Massachusetts -00partmeni of Public Safety Board of Building.Regul,ations and Standards License: CS-094302 A DAM HOSTET•1:0 770 SUITE A MAJrN OS7'ERVIiLLts WA 02� Expiration Conlln,ssioncr 12/,?2/2015 � r i i .a. 1:��L'`f('n1��//Iri/i II•Cr/���I�''•/( �ILIr'�/1 rI.11lrr• 0Ilice ofCousomerAf siirs S,Iiusmcss licbulation License or registration v;Ilid for individol use only _ HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: registration: 178455 Type: Office ofConslmier Affairs nll(I BlIsilless Ile■ulatian _..'Expiration: 4/16/2016 LLC 10 PnI•It Plaza-Suite 5170 '"'`"fr'''✓ VMACOMPLETE HOMEGROUP LLC. ADAM HOSTETTER 770 ALMAIN STOSTERVILI_E,MA 02653 .. __..._._...-._._._-..__....__._...___ . __ -•- I :. Undcrsecrunry Not valid wilhool signature - IMF Tq� a i • iARNSI'ABI.E. Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division j Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I 1R6. 5E > tJ 1GNo t-s , as Owner of the subject property hereby authorize (^i�a L i F On art F(�c�V to act on my behalf, in all matters relative to work authorized by this building permit application for: �g CAN lS t A N '�-D , Co t0tl M-4 C>a (Address of Job) Vo 3 of O Signature wner Dat Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Dccollik\AppData\Local\Microsoft\Windows\Temporary Intemet Fi1es\Content.0ut1ook\2PI0IDMEXPRESS.doc Revised 040215 r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # VFW Health Division Date Issued Conservation Division Application Fee �- Q Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 145? Village Owner �1tzabc`�n R��� �l. Wtc_ r,L Address Telephone 50%. otigo 4y l �1r►'�k (�(Vv Ua&3 ("- Permit Request eJ5, r c 1 -)JAN, h SIC i n t L d i 4 Square feet: 1 st floor: existing _ proposed 2nd floor: existing proposed Total new — Zoning District r F Flood Plain Groundwater Overlay Project Valuation mD� Construction Type_ Lot Size Grandfathered: ❑Yes 1S�No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Z�!)G, yirSe Historic House: ❑Yes WNo On Old King's Highway: ❑Yes ZkNo Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) -- Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing; — new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other A64- / Central Air: ❑Yes ❑ No Fireplaces: ExistingNfli- New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new sizapool: ❑ existing ❑ new size 0 Barn: ❑ existing ❑ new size 44- Attached garage: ❑ existing ❑ new size/U-Shed: ❑ existing ❑ new size b6t Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes- ),No . If yes, site plan review # Nfi; ; - e '"S1 Current Use� t ��H- Proposed Use APPLICANT INFORMATION , : '=` t-- - (BUILDER OR HOMEOWNER)6 --- »^ -- Name Ol a�71 U►� :: A Telephone Number .`�(� (9 yb•67391 Address I A re �\Je oc S License 6k e-h.J\ `5 µ CI�r!o�6 Home Improvement Contractor# Email 01 5 kACGLL,, • Gaw. Worker's Compensation # WC6i3,M 06 ALL CO TRUCTION DEBRIS RESUL G OM THIS PROJECT WI L BE TAKEN TO C�' Clct,�►►�pg SIGNATURE DATE DkS FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ` MAP/PARCEL N0. ADDRESS T - VILLAGE OWNER i DATE OF INSPECTION: FOUNDATION FRAME - 4 INSULATION FIREPLACE ti ELECTRICAL: ROUGH FINAL ,j PLUMBING: ROUGH FINAL GAS: ROUGH FINAL - FINAL BUILDING 3C r ,DATE CLOSED OUT J ASSOCIATION PLAN NO. o =;;;SolarCit . .•,o y o OWNER AUTHORIZATION Job#: Property Address: C(9 C/APtll.T/v S�/f N s /�(�� G�/ U T /�/f'Qr O Z G3 I as Owner of the subject property hereby author ze SOLARCITY CORPORATION to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner: Date: SOLARCITY.COM wr.ecnwome Ocawmem of ounfac safato boom 0!!whine gnsa ton►.Ra stonaterft u400a* CS-108616 JASON PATRV 821 STEWART NUVEO Abington MA O2�S1 tso .4600 �.r�M�►wr+r. 02IMM19 OflkeOfCoaonur Albin AOnigattk=�I�NOa MOVE @1PROVEMENTCONTRACTOR j Regtatmtlon: 18WM typul� EKp1�n: ==j7 supplement C SOLAR CITY CORPORATION JASON PATRY 24 ST MARTIN STREET 13LD 2UN1 dA-,Qp_— AAksOROUGK MA 01762 Uohruentury I d7l;w V�'Yyl?hill 0 Y-e to-ea-1111b Ot' ?I f IJ J ct"(�111tvj ~ Office of Consumer Affairs d Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 168572 Type: Supplement Card SOLAR CITY CORPORATION Expiration: 3/8/2017 CHERYL GRUENSTERN -- �- - — -- - - 24 ST MARTIN STREET BLD 2UNIT 11 - ------ --- MARLBOROUGH, MA 01752 Update Address and return card.Mark reason for change. sca, 0 Address Renewal ? Employment F_'' Lost Card ffice of Consumer Affairs&Business Regulation License or registration valid for individul use only }�r ,OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation i Registration: 168572 Type:a;� x yp : 10 Park Plaza-Suite 5170 Expiration: 3/8/2017 Supplement Card Boston,MA 02116 SOLAR CITY CORPORATION CHERYL GRUENSTERN _. 3055 CLEARVIEW WAY SAN MATED,CA 94402 Undersecretary -Not valid without signature^ The Commonwealth ofMassaciursefts Doparhnenl of Induarird Aceldenik 1 Congress Stree4 Suite 100 Boston,MA 02.114--2017 www.mass gov/d& Workers'Compensation lnsuratroe AffId&vit:Builders/Contractors/EimtddiiaWPlembem TO BE FILED WITH THE PMM T ING ALrrHORrry. Atorrllcant Itrf nattiart Purse Print v NalM(Husinc:WDrpnhmWn11ndividua0: "%0lMC'tY Corpor"on Address: 3055 Clearview way City/StatdZip: San Mateo,CA 94402 Phone#t: (B88)765-2489 Are ymran rmploWl Check the rppropriate bead Type of project(required): 1.01 am a employer with 12,500 employees(fall md1brpan4koe).• .7. ❑New construction ZQ 1 tern a sole proprietor or partlutship and ttavo no aaptoyocs working for ax is 8. []Remodeling any capachy.[No warbia'crop.inseaanca milulmd.j 3.J1 amabmiconadoi�'all wmt Wy dr[Nuworkers'comp,insurttrtoeregabM.j 9. El Demolition w• 4.[][am a horrreowncr and wilt behirtng c atractors to eoadW all tvak on my Ropety. i will I ❑Building addition aeon/hat all axruaato:s oldw have xvrtxrs'tom atioa lnsurmtco ware sole I I.❑Electrical room or additions proprietary whh no rxnployee 12.Q Plumbing repairs or additions So 1 am a gcnaal.contractor mat 1 have hired the soh-amhaators listed an the allWwd sleet. I3. Roof repairs These sn)--cca clots hove axnployccs and have workers'camp.i mrsaw.i ❑ 6.[3 we are a oomyormion and its offmm have csernise t amk rlgaa ofexantptlan per met.C. 14.❑r Other St71�r pane 152,§1(4) and we have no eaployoea,[No tvoti ors'w".Imumnee requircAl $Any MU mn that chocks box 91 mug also MI oat the socked below showing their workers'carrp&Mtion policy infonnadan. •l lomoowners%the sakttit this Affidavit indienting they are doing all work and then hire auside.contractors mint submit a new affidavit indicating such tCoovadms than check this tare m m aunchrd an attditionat sheet stowing dto naaw of dw sub-connectors and state Mbelba or n It those eaN=have Cagrioya". if the stdreonweoton have cmplovees,they mast provide their wdrkexs'comp.policy Mrnftr. Jam an onptoyer that is providing workers'e'ompgesation insurance for my employees. Sdow fs the policy and job site hrjarnrcrHo� Insurance Company Name:American Zurich Insurance Company Policy#or Self ins.Lie.4: WC0162015-00 Expiration Date: 9/1/2016 Job SiteAddms: 48 Cap'n Isiah's Road Cm,/Stiftaip; Cotuit,MA 02635 Attach a copy of the workers' ccrapensation pow+deckration page(showieg the policy uumber and expiratlion date). Failure to secure coverage as required under MOL c.152,§25A is a criminal violation punishable by a flute up to$1,500.00 and/ar one-year ar imprisownet%as we[I as civil penalties in the font/oft STOP WORK ORDER and a fine of up to SM.00 a day against the violator.A copy of this statement maybe Forwarded it)the Office of Investigations of the DIA for insurance coverage yori6cation. I do kereby cerV&unAw the pains and pen of pgrlury shut the b{forntatton p►ordded above Is true and ewed. (Jason Pa September 10, 2015 t7fficlal use only. Do not tnrlte in this urea,to be complete d by ch y or AMW o,ffldaL City or Town: Permit(License# Inning Apthority(circle ore): 1.Board of Health 2.Building Departmanl 3.Ct yfrown Clark 4.Electrical Inspector S.Plumbing Topector 6.Other Contact Person: Phone#: • c R� CERTIFICATE OF LIABILITY INSURANCE WIM201 08f1T/1015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATNELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder IS an ADDITIONAL INSURED,the poncy(les)must be endorsed. H SUBROGATION 15 WANED,subject to the terms and conditions of the policy,cortaln policies may require an endorsement A statenumt on this certificate does not confer rights to the certificate holder in Hsu of such endo►sem PRODUCER CONTACT MARSH RISC&INSURANCE SERVICES —..._._—._._...... —..-... . . .-..._. _....—..--- PHONE 346 CALFORNIA STREET,SURE IMD q1t CALIFORNIA LICENSE NO.0437153 E __....... 9d SANFRANCISCO,CA 94104 N9RR4 :.......... .._....__.._...-_••--.•-- Ath:Shawn$o*415.743-M34 _._....... _........... !suReR(s)n oti coax coveru►aE..... .. 998301-STND-GAWUE-15.16 INSURER A Zwtdh AirtarIcan USIrdrIES WwnY 116536 WSURED — - INSURER WA . . _... - —....—.�N/A _ SdarCityCaPoratlon _............................. ... ._...._..... ..._.. .. .__._ ' 3065 CIevAaW Way INSURER C:NIA UWA San Mateo,CA 94402' _�...--••-----.....__....... ................... _..._.._.._. INSURER ER°;Amerle-Zurich Insurance Company 10142 - INSURER F: COVERAGES CERTIFICATE NUMBER: SE6-00271383" REVISION NUMBER:4 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN�t' TYRE OF INSURANCE -rAtSbL vw vn CV N. .._. POLICY YY POLICY PXP LIMITS A X COMMERCIAL SENERALLIABILITY GL001810164)0 09A11fd016 FACHOCMMRENCE S 3.000,000 f_ _.._.. ._ Rouff F CM6A�ADF nOCCUR oREA1t9E$O W 3,00D,000 X SIR$250,000 I IAEDEXP(A!17alepelson) S.. 5,00D PERSONAL&ADV INJURY 5 3.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENF3tA1 AGGREGATE S 8.000,000 X POLICY lJECT Lac�.....'J PRQ J PRODUCTS-COMP/OP AGG S .. _-- -. 6.000_000 OTHER. S A AUromomLE I L4su iTY BAP0182017.00 o9Aim16 1whrm(I S 5,W0,000 X ANY AUTO i I I ROMY 01.IURY(Per peraon) S ALL OWNED U�x SCHEDULED ..ALITOS AUTOSFaRmAUT054l3•D1LYIkJURY(Per eaident) S AUTOSIINFD r TY DAMAGE S If+f +dl..._. ........... ..... ._._._.... ._...._.._ COMPICOLL DED: 6 $5 Opp UMWtELLALIAa HOCCUR i EACH OCCURRENCE $ EXCEeS LIAR CLAIAis-A6iWE i I � AGGREGATE .---._.... - S.--.---....... ....... OM 'RETENTION IS WOMERS IWC0182014-W(AOS) 09 1 015 109A1Ro16 X T O D AM EMPLOYERS!LIA29 fY ? _. _._.....--•- A YIN 'WC01820iS-W(MA) MM12015 �091 1=6 E.L EACH ACCIDENT S 1A00,0M ANY PRQ1RtIEfORAPARTNFJUE7tECUTIUE N k/A � OFFIGERIMEMBER EXCLUDED? I i —- _....._ ............. YVC DEDUCTIBLE$500,000 (Mandatory in NH) E L.DISEASE-EAEMPLOYEE.S• 1 . ; f6eulder If desa ._.. .._ ._ N OF OPERATIONS belaw E.LDISEASE-POUCYLIM►T S ._i,DDoAm t i I DE=OF OPERATIONS I LOCATIONS I VEHICLES tACORD t0t,Adt.1KIw l Ranmft ScheduW.may he oftoxtod It mom apace Is regWmel l Evidence of Inwimce. CERTIFICATE HOLDER CANCELLATION SdmCily C-poratim SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3055CearviexWay THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN San Mateo.CA 99402 ACCORDANCE WITH THE POLICY PROVISIONS. AUTKORRED REPREMWTATNE, of Marsh Risk&Insurance Se►vim ChadesMamn*Jo .�L��/�� ��•---=err @ IM 2014 ACORD CORPORATION. All rights ref erved. ACORD 2512014101) The ACORD name and logo are registered marks of ACORD 1 \ , Version#49.2 .w4solarCit Y i1Y September 8, 2015 RCUS 0%. MANN Project/Job#0261811 No.g00p ID RE: CERTIFICATION LETTER Project: Nichols ResidenceS's�a ,",L ;'��, 48 Capt-Isiahs Rd G� _ Cotuit, MA 02635 To Whom It May Concern, A jobsite survey of the existing framing system was performed by a site survey team from SolarCity. Structural review was based on site observations and the design criteria listed below: Design Criteria: -Applicable Codes= MA Res. Code,8th Edition,ASCE 7-05,and 2005 NDS - Risk Category = II -Wind Speed = 110 mph, Exposure Category C -Ground Snow Load = 30 psf - MP1: Roof DL= 10 psf, Roof LL/SL= 21 psf(Non-PV Areas), Roof LL/SL= 14.1 psf(PV Areas) - MP2: Roof DL= 13.5 psf, Roof LL/SL=,21 psf(Non-PV Areas), Roof LL/SL= 12.3 psf(PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss=0.19312 < 0.4g and Seismic Design Category(SDC) = B < D On the above referenced project,the components of the structural roof.framing impacted by the installation of the PV assembly have been reviewed. After this review it has been determined that the existing structure is adequate to withstand the applicable roof dead load, PV assembly load,and live/snow loads indicated in the design criteria above. I certify that the structural roof framing and the new attachments that directly support the gravity loading and wind uplift loading from PV modules have been reviewed and determined to meet or exceed structural strength requirements of the MA Res. Code,8th Edition. Please contact me with any questions or concerns regarding this project. Sincerely, Marcus Hann, P.E. Professional Engineer Digitally signed by Marcus Hann T: 888.765.2489 Date:2015.09.08 17:24:22-04'00' email: mhann@solarcity.com 3055 Clearview Way San Mateo,CA 94402 T(650)638-1028 (888)SOL-CITY F(650)638-1029 solarcity.com AZ ROO 243771,CA CSIB 888104,CO EC 8041,CT H;000..aa7 88,CC H:C 711014E6,DO HIS 71101488.HI CT-29770,MA HIC 18S572,MD MHIC 128948,W,1 WHC8/EASCO, OR CCB 180498.PA 077^..43,TT:TOLR 27MC,V'tlA GCL;SOLAHC'01907.O 2013 Sola,Oty.All righw roacr od. 09.08.2015 �X�. SolarCityPV System Structural Version#49.2Design Software PROJECT INFORMATION &TABLE OF CONTENTS Project Name: Nichols Residence AHJ: Barnstable Job Number: 0261811 Building Code: MA Res. Code, 8th Edition Customer Name: Nichols, Elizabeth Based On: IRC 2009/ IBC 2009 Address: 48 Capt-Isiahs Rd ASCE Code: ASCE 7-05 City/State: Cotuit, MA Risk Category: II Zip Code 02635 Upgrades Req'd? No Latitude/ Longitude: 41.631849 -70.430774 Stamp Req'd? Yes SC Office: Cape Cod PV Designer: John Mcdonald Certification Letter 1 Project Information, Table Of Contents, &Vicinity Map 2 Structure Analysis (Loading Summary and Member Check) 3 Hardware Design (PV System Assembly) 4 Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.19312 < 0.4g and Seismic Design Category(SDQ = B < D 1/2-MILE VICINITY MAP lie 41 48 Capt-Isiahs Rd, Cotuit, MA 02635 Latitude: 41.631849, Longitude: -70.430774, Exposure Category: C i STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK- MP1 Member Properties Summary MP1 Horizontal Member Spans Rafter Pro erties Overhang 0.74 ft Actual W 1.50" Roof System Pro erties San 1 12.43 ft Actual D 5.50" Number of Spans(w/o Overhang) 1 San 2 Nominal Yes Roofing Material Comp Roof San 3 A 8.25 in.^2 Re-Roof No San 4 SX 7.56 in.A3 Plywood Sheathing Yes San 5 I 20.80 in.A4 Board Sheathing None Total Rake Span 15.21 ft TL Deffn Limit 120 Vaulted Ceiling No PV 1 Start 1.25 ft Wood Species SPF Ceiling Finish 1/2"Gypsum Board PV 1 End 12.83 ft Wood Grade #2 Rafter Sloe 300 PV 2 Start Fb 875 psi Rafter Spacing 16"O.C. PV 2 End F„ 135 psi Top Lat Bracing Full PV 3 Start E 1400000 psi Pot Lat Bracing At Supports PV 3 End Emin 510000 psi Member Loading mary Roof Pitch 7 12 Initial Pitch Ad'ust Non-PV Areas PV Areas Roof Dead Load DL 10.0 psf x 1.15 11.5 psf 11.5 psf PV Dead Load PV-DL 3.0 psf x 1.15 3.5 psf Roof Live Load RLL 20.0 psf x 0.85 17.0 psf Live/Snow Load LL SL1,2 30.0 psf x 0.7 1 x 0.47 21.0 psf 14.1 psf _j Total Load(Governing LC I TL 1 1 32.5 psf 1 29.1 psf Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf=0.7(Ce)(CO(IS)pg; Ce=0.91 Ct=1.1, Is=1.0 Member Design Summary(per NDS Governing Load Comb CD CL + CL - CF Cr D+S 1.15 1.00 1 0.51 1 1.3 1.15 Member Anat sis Results Su_m__mary Maximum Max Demand @ Location Capacity DCR Load Combo Shear Stress 42 psi 0.7 ft. 155 psi 0.27 D+ S Bending + Stress 1178 psi 7.0 ft. 1504 psi 0.78 D+ S ,Bending - Stress -25 psi 0.7 ft. -769 psi 0.03 D+S Total Load Deflection 0.94 in. 183 7.0 ft. 1.44 in. 120 1 0.66 1 D+S (CALCULATION OF'DESIGNTNUIND'LOADS=MP1 Mounting Plane Information Roofing Material Comp Roof PV System Type SolarCity SleekMount'"' _ Spanning Vents No Standoff Attachment Hardware Comp Mount Tvpe C Roof Slope 300 Rafter-Spacing _ 16"O.C_N Framing Type Direction Y-Y Rafters Purlin Spacing _ X-X Purlins Only NA Tile Reveal Tile Roofs Only NA Tile Attachment System Tile Roofs Only NA Standing Seam/Trap Seam/Trap Spacing SM Seam Only NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind.Design Method. Partially/Fully_Enclosed,Method Basic Wind Speed V 110 mph Fig.6-1 Exposure Category — _ C Section.6.5.6.3_ Roof Style Gable Roof Fig.6-11B/C/D-14A/B Mean Roof Height h 25 ft Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.95 Table 6-3 Topographic Factor KA 1.00 _Section 6.5.7 Wind Directionality Factor Kd 0.85 Table 6-4 Importance Factor I 1.0 Table 6-1 Velocity Pressure qh qh = 0.00256(Kz)(Kzt)(Kd)(V-2)(I)24.9sf Equation 6-15 Wind Pressure Ext. Pressure Coefficient U GC „ -0.95 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down GC 0.87 Fig.6-11B/C/D-14A/B Design Wind Pressure p p= qh(G ) E uation 6-22 Wind Pressure U -23.6 psf Wind Pressure Down 21.8 psf .ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 64" 39" Max Allowable Cantilever_ - Landscape 24" NA Standoff Configuration Landscape Staggered Max.Standoff_Tributary.Area Trib 17 sf PV Assembly Dead Load W-PV 3.0 psf Net nd Uplift at_Standoff_ _ _ T-actual. -3861bs UWlplift Capacity of Standoff T-allow 500 Ibs Standoff Demand Ca aci DCR 77.2% X-Direction Y-Direction Max Allowable Standoff Spacings Portrait 48" 66" Max_Allowable Cantilever Portrait- 17" _NA� Standoff Configuration Portrait Staggered Max Standoff Tributary Area Trib 22 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind,Uplift at Standoff_ _T-actual _ -484 Ibs Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand/Capacity DCR 96.7% s STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK- MP2 Member Properties Summary MP2 Horizontal Member Spans Rafter Pro erties Overhang 0.74 ft Actual W 1.50" Roof System Pro erties San 1 7.55 ft Actual D 7.25" Number of Spans(w/o Overhang) 1 San 2 Nominal Yes .Roofing Material Comp Roof San 3 A 10.88 in.A2 Re-Roof No San 4 S. 13.14 in.A3 Plywood Sheathing Yes San 5 11 47.63 in.A4 Board Sheathing None Total Rake Span 10.12 ft TL Deffn Limit 180 Vaulted Ceiling Yes PV 1 Start 2.92 ft Wood Species SPF Ceiling Finish 1/2"Gypsum Board PV 1 End 8.25 ft Wood Grade #2 Rafter Sloe 350 PV 2 Start I Fb 875 psi Rafter Spacing 16"O.C. PV 2 End F„ 135 psi Top Lat Bracing Full PV 3 Start E 1400000 psi Bot Lat Bracing Full PV 3 End Emi„ 510000 psi Member Loading mary Roof Pitch 9 12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 13.5 psf x 1.22 16.5 psf 16.5 psf PV Dead Load PV-DL 3.0 psf x 1.22 3.7 psf Roof Live Load RLL 20.0 psf x 0.78 15.5 psf Live/Snow Load LL SL1,2 30.0 psf x 0.7 1 x 0.41 21.0 psf 12.3 psf Total Load(Governing LC I TL 1 1 37.5 psf 1 32.4 DSf Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf=0.7(Ce)(CO(IS)pg; Ce=0.9,Ct=1.1,IS=1.0 Member Design Summa (per NDS GoverningLoad Comb CD CL + CL - CF Cr D+ S 1.15 1.00 1.00 1 1.2 1 1.15 Member Anal sis Results Summary Maximum Max Demand @ Location -CapacityDCR Load Combo Shear Stress 22 psi 0.7 ft. 155 psi 0.14 D+S Bending + Stress 280 psi 4.5 ft. 1389 psi 0.20 D+S Bending - Stress -19 psi 0.7 ft. -1389 psi 0.01 D+ S Total Load Deflection 0.07 in. 1580 4.5 ft. 0.61 in. I L1180 0.11 D+S (CAL'CULATION=OF'DESIaWWIN D=LOADS=MP2_� Mounting Plane Information Roofing Material Comp Roof PP syvtem Type SolarCity_SleekMountT"' Spanning Vents No Standoff Attachment Hardware ComD Mount Type C Roof Slope 350 Rafter-Spacing 16"O.C. Framing Type Direction Y-Y Rafters PUflln Spacing X-X.Purlins Only NA Tile Reveal Tile Roofs Only NA Tile Attachment System Tile Roofs Only- NA ,Standing Searn/Trap Spacing SM Seam Only NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind Design Method Partially/Fully_Enclosed,Method Basic Wind Speed V 110 mph Fig. 6-1 Exposure Category . C Section 6.5.6.3_ Roof Style Gable Roof Fig.6-11B/C/D-14A/B Mean Roof Height h 25 ft Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.95 Table 6-3 Topographic Factor Krt 1.00 Section 6.5.7� Wind Directionality Factor Kd 0.85 Table 6-4 Importance Factor I 1.0 Table 6-1 Velocity Pressure qh qh =0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15 24.9 psf Wind Pressure Ext. Pressure Coefficient U G u -0.95 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down GC 0.87 Fig.6-11B/C/D-14A/B Design Wind Pressure P p =qh(GC ) Equation 6-22 Wind Pressure U -23.6 psf Wind Pressure Down 21.8 psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 64" 39" Max Al lowable.Cantilever Landscapes 24" Standoff Configuration Landscape Staggered Max Standoff Tributary.Area Trib 17 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff T-actual -388 lbs Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand/Capacity DCR 77.5% X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 66" Max Allowable Cantilever Portrait 17" NA Standoff Configuration Portrait Staggered Max Standoff Tributary Area Trib 22 sf PV Assembly Dead Load W-PV 3.0 psf Net Mind Uplift at Standoff T-actual -485 lbs Uplift Capacity of Standoff T-allow 500 Ibs Standoff Temand/Capacity DCR 97.1% TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Applicationol3��e� T U Health Division Date Issued / Conservation Division Application Fee Planning Dept. Permit Fee t �' Date Definitive Plan Approved by Planning Board q'17 13 . Historic - OKH Preservation / Hyannis Project Street Address 7� Village C q7-v i 7— ® 2 6 .3,5 Owner - o� Address 54/E Telephone JD Z 3 1) 9 9 Permit Request F6ucc e— SQe Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation E d� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King'so hway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other w Basement Finished Area(sq.ft.) Basement Unfinished Area (sq�,H_t)* Number of Baths: Full: existing new Half: existing new ? Number of Bedrooms: existing new w„ -` Total Room Count (not including baths): existing new First Floor Root Count ' 0% m Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use — APPLICANT INFORMATION ✓� / �J (BUILDER OR HOMEOWNER) Name Telephone Number �. Address to CAP AI XSIAN s RD License # Home Improvement Contractor# Worker's Compensation # ` ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED = - MAP/PARCEL NO. g j ADDRESS i`•� VILLAGE OWNER ' DATE OF INSPECTION: t FOUNDATION FRAME INSULATION _ FIREPLACE - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING f E DATE CLOSED OUT ASSOCIATION PLAN NO.' r TAP Departmentoffi'tdustrialA ddmts Office ofInvadgatiarrs ' = •600 Washington S`treet' - • Boston,MA02111 . www.massgavldia ' Workers'.Compensation Iuslzr Ace Affidavit;Builders/Contractors/Electricians/Plu berg licant Information Please Print L egffi Name(Buazness/Orgmizadmondividnan, Ci y/St WZip: a-Z I 026 35 Phone-# FO* employer? Check the appropriate bay FnR=D&Iing ject(req� employer with -4• ❑ I an a gmwd' contractor and I � ms(fan andlar part-:6Mf. have hired$�e subLconiracton crrnsh•nrtii,,, sole Fetor orpartacr- tisind on lhe•athacbed sheet. ship andhave no amiployees These sub-contracton have 8, El Demo}ifiDn working-for me in any capar#, employees.and have work=, [No workers' comp.insntance comp.rnmr=MJ' 9. ❑Building aeon We.are a c ❑Electrical repairs or adadom�• •' ❑ orpoiaiion and its 10. 3.1211 am a homeov*doing ill-work officers have exercised they 1111 Plumbing repaits or addi bons myself [No wor]er' comp c. right 6f exaction per MGL 12 Roof incrrnrrnp required.]t c. 152, §1(4), and.we have no repairs employees.[No worms' L3. er .L/L comp,fimmranze requized,j *Auy applicant ffiat ehrcka bmc#1 most also M out the section below showing their wotlms'campcnsafian policy mfitmatim- t Enmmwam who submit this affid-nt mdicdng$ey an doing all work and then hire outside cont aciars must submit a new affidavit indicating such $Contractrns that chkis b ic thoz most attached ea additional sheet showing the name of thb sub-contractors and state wharf=ornot those enfifi,havo employees. Ff the sub-contmtm have eosploycm,fhw'umst p avidb mac¢•wo k=' o comp•P Iicynombcr, . I am an employer that is providing workers'compensation insurance for lnformado,-4 my employees, Below is the policy and job site Instumace Company Mamie: Policy#or Sett ins.Lic.# ExgiradonDate: lob Sian Address: �StawZip: :Attach a copy of the workers' compensation policy declara$on page'(showing the policy number and expiration date). Failnre•to-secum coverage as required minder Secdm 25A of MM G. 152 can lead to$ie itupositinn of�aI fine up to$1,500.00 and/or one-year REIM onmmi, as wen as civil.penalties in the form of a STOP.WORK ORDERER ands of of up to $250.00 a day against$e violator, De advised that a copy of this statemeri�Maybe forwarded to the Office of Fnvastidations of the DIA far m�Tr•e coverage yerlficatiDn I da-he:r b certify under the pains-i a penalties of perjury that the information provided¢b is true and correct Data: l3 Phone# QflTc l use dnly. Do not write in this arear to be courplefed by city,or.town af`iriaZ City ar Town: PennitUcense# •Issaing Authority(circle-one): .1.Board of Health 2.Bmldiug Department 3.City/Town Clerk 4,Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Town of Barnstable i „�. o Regalatary Services s Thomas F. Geller,Director 16 Building Division Tom Perry,Building Commissioner 200 Main-Street; Ayaanis,MA 02601 _ R*ww.town.barastable.ma us office: 509-962-403 8 Fax: 509-790-6230 HOMEoWxM Lamm ExI:MPrrox Plcare Print DAM Z1113 JOB I OCAT70x: number , strut village "HOMMOwx� / : °� � y JOTS VZ6 7-1 f name [�Q /'�JQN f home�phhone# wp ork hone# CURRENT)AAMNG.ADDRIM: t o `-/ 'P _7 / *44s j�j) �y 7- /n4 eitYhawa state up code The current exemption for"homeowners"was extzndEd to include owner-occupied dwelImes of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFI MOM OF H0jrMw7\IER P ersoa(s)who owns a parcel of land on which helshe resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, a aichcd or detached structures accessory to such use and/or farm structures. A person who constrttcts more than tine home in a two-year period shah not be considered a homt:owner. Such "homeowner" shall submit to the Building Official.on a form acceptable to the Building Official, that be/shr shall be responstble for all such work perfprmed under the building permit (Section 109.1.1) The undersigned"homeownct'as=cs responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that•he/she understands the Town of Barnstable Building Department rrnnirmim insp6ction procedures and requirements and that he/sbe will comply with said procedures and r cuts. Sign-0 tirre of Hameown Approval of Building Official ' I . Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to cougaly with the State Building Code Section 127.0 Construction Control. t HonzowNmP,,s EXEmmbx .The Code states that: "Any homeowner patmTnmg work for which a bialdmg past is requited shall be cxcsipt from the provisions -if this scction_(Scction 1 D9.1.1 -Licrnsiiig of canahuc6Dn Supa•visors);provided that if the hDmeowacr engagrs a peson(s)far hire to do such Nark,that such Homeowner shall act as supe-visor.^ "y homeowners who use this exemption arc unaware that they an:assuring the responstbrlitics of a supa•visor(sec Appcndix.Q,• tubs&Regulations for Licaming Construction Supc yis�,Section 2.15) This lack of awa==bftet[mutts in serious problems,particularly ,,hen the homeowner hires unlicensed perns so In.this rase,our BDari1 cannot proceed against the unlicensed person as it tirould with a Necnscd upc visar. The homeovm cr acting as Supervisor is ultimately responmble. To misurc that the homeowner is f ffly zwars of his/her respDastbilities,many minmunitics tcquire,as part of the parrot application, ial the hDmcawner certify that he/she understands the rmpoastbtlitics of a Supervisor. On the last page of this issue is a form currently used by :vcral towns. You may cart t amend and adopt such a fotm/ccrtification for use in your community, TDr rns:hDMMXMMpt _ Town.of•Barnstable .�; Regulatory Services. M Thomas F. Geiler,Director 09. #A Building Division Tom Perry,Building Commissioner. 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit. (Address of Job) Pool fences .and alarms are the responsibility of the aPP licant. Pools are not to be filled before fence is.installed and pools are not to be utilized until all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date j Q:FORM&OWNERPERMIS SIONPOOLS . , ! ; ; i. c_ j!! 14 41 0, P A J 0 01T, 42 13 10 0 i 4:7 SB' Fe.L c-;P— ;LOT:4 OKI is P H 39,* till I ji 8 2 STORY I }' ! �,' I i 1 ' i 3; r)WELUNG I HOT 29 T Lo LO :44 �I , 1 ''i!fat f , � �1 � ; I � , �•i.f i; ' I '.' i i ; !' +; �I + la ��- II � , ; is ,.I + i 125 00' �fj "1 ! , i,G , �! ! �+�Ij �j'�j1�7 ! •� ' f I !) I ii !� lti , '' �' �� P,,AP'I\1 [ .ISIAH -S ROAD I. " ! i �'� �' 4€ €� i�li• ! 'if r Cc jri is I ! I: mt,;3w► 1 p'.I L xA 6 a .!AMERICAN! SURVE) ING' C MP ANY ":OF BOSTV1, IN 1264 MAIN STREET; TA TRAM, W A REGIST R D LAND SURVEYOR] 0 0 H REG TIFY,THAT Me 'PHONE (ieo 09,31-6.4,7 FAi 11 ; �I. ABOAW M T f . - I'; MORTGAGE INsptc rION PLAN.WAS PREPARE - I . I . I . , HYAN�IS NiOkf6AG . 1;I' CLIENT: OATE:____2 4% ! ! , :- RECORD CLIENT:_0 Ef) AT —iAR�-,I�ILL I COUNTY REGISTRY OF DEEDS A NEW BOOK 2.')4133 ,PAGE CONNECTION':WITH I WENT LC2 CERT IR A'E NID IS N T INTENDED FLAN REFERENCE -7 TG r R REPnEVN7EDiT0 BE.AI LAND -DRAWN PER TOW) Corul ASSESSORS R PROPERTY SuRvE . NO! THE LOCATI Of THE ORIGINAL MAP#' ifLjaA)ARCEL#: 'DATED. FINE DWELLING S OWN HEREON EITHER ADDRESS11"N IS&M. ROAD CC17111T CORNERS WERE;SET, IT 1:'� WAS IN C LfANCE WITH LOCAL BORROWER:B=4& F117Ag;T'H NICHOIr NNOT BE USED FOQRR APPLICABLE ZONING BYLAWS IN I J__ I TA13USHING FENCE, HEDGE.! EFFECT 'A"EN CONSTRUCTED ' I - I Kt BUILDING LINES, THELAND (WITH RESPECT TO MOR12ONTAL OWN HEREON IS BASED ON OIMIENSIONAIJ REQUIREMENTS ONLY). CLIENT FURNISHED INFORMA77ION. AND MAY BE OR IS EXEMPT FROM %iot.Anom It I ENFORCEMENT ACTION UNDER MASS T1.E SUBJECT,SHOWN D LIE!SUBJECT TO FURTHEW C L. TITLE %11, CHAP 40A. SECT ONE TAKINGS,]! OUT-SALES, EASMENTS, UNLESS OTH RV45C NOTED" ON N URA AS ON T`LING IMM V, N� PRFGR;m OR. FL . RATE DATED: I-INSURANCE M,P, AND RIGHTS OF WAN NO' SHOWN HER ON CONFIRMATORY RESPO S EXIENDED INSTRUMENT SURYEY IS AD�PISED Y P EL III: H NSIBILTY I FOMMUNIT I ERE N to THE;LAND OWNER16R WHEN STRU RES ARE.SHOWN AfTLD CHECKED I OCCUPANT. IT IS NOT INTENDED LESS THAN * FROM PROPERTY OR 'BY: I RJL 70 BEJRECOROED! i. !! REOUIRED Z(rING SETBACK.LINES; DATE- F.B. PGE: a t It f1jf ;f / ';` � 1 ) ii .l jlti i�! ;; ( I i II il 'f , I!,Ifi ! i ���a Page 1 of 1 • r , r f I I I I ' I http://web.mail.comcast.net/service/home/—/Mod%20Risk%2OApril2O l3%20FIier%20and... 3/31/2013 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map o 3? Parcel AppIicatior�??0/070� Health Division Date Issued �a 5/ice X—A Conservation Division Application Fee Planning Dept. 'Permit Fee �Sr Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address '"� r A P 5 1 A-if P 0 A�� Village Owner 1CS'�' Anr� �' II z 12:F�Q A/1(�Address ` to r �tA-�'1 Telephone ��jj Permit Request l>! l� `��!� 6 A-A /Z o o (mod-ei W109y, Square feet: 1 st floor: existing proposed 2nd floor: existing 67 6 proposed —0 Total new Zoning District AP Flood Plain n Groundwater Overlay Project Valuation Id,} AC/onstruction Type 1uDOd( Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Wr' Two Family ❑ Multi-Family units) Age of Existing Structure Historic House: ❑Yes YNo On Old King's Highway: ❑Yes ®'No Basement Type: ®'Full ❑ Crawl ❑ Walkout ❑ Other o Basemert Finished Area (sq.ft.) D Basement Unfinished Area (so.. 3 � Number of Baths: Full: existing o2 new n Half: existing 0 new, Number of Bedrooms: 73 existing Q new ? Total Room Count (not including baths): existing new ® First Floor Room Counf-Y Heat Type and Fuel: UGas ❑ Oil ❑ Electric ❑ Other ev Central Air: M/Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Ca'No Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: C/existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ®'No If yes, site plan review # -Current Use j'. 4(t 4a- �f 11 Proposed Use S r n�f APPLICANT INFORMATION 1 (BUILDER OR HOMEOWNER) Name Ch R 1 sh� A£ L Co PAr Telephone Number 73 7 -a 676 Address '� (�1 I d License # C S " 0 V 6 9.6 Home Improvement Contractor# Q Worker's Compensation # ALL CONSTRUCTIO DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Li FOR OFFICIAL USE ONLY APPLICATION# - - DATE ISSUED _ MAP/PARCEL N0. ADDRESS VILLAGE OWNER ` DATE OF INSPECTION: ti FOUNDATION Y FRAME BfiP`IA Y INSULATION . !0 oY et FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL FINAL BUILDING °: Neea21°lc�. �wao , DATE CLOSED OUT t ASSOCIATION PLAN NO.' Office ot'�o me A airs&�dsinesslleg lu anon Y, License or registration valid for individul use only 3 before the expiration date: If found return to: HOME 1101PROVEMENT CONTRACTO Office of Consumer Affairs and Business Regulation Reg istratio n:,•yk1 56038 Type: - 10 Park Plaza-Suite 5170 Expiration: 5'/29%2013 Individual Boston,MA 02116 CH fS COLBATHV'`1t==: == CHRIS COLBATHi� 383 OLD MILL ROAD" OSTERVILLE,MA 02655=y;7': Undersecretary I Not valid without signature U Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-049696 RD -COA-LCHRSTOPHER VY 383 OLD MILL OSTERVILLE Wa 0226 '`�,•�- � ` ,riti�`� Expiration Commissioner 05/25/2014 i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers UF Applicant Information / Please Print Legibly 'Name (Business/Organization/Individual): Address: 3 C� r I ( -2�/ 1 f►1 ( 6 �� City/State/Zip- a-d fk Phone#: `508 - 737- o2Q'76 Are you an employer?Check the appropriate box: 4. I am a general contractor aJI Type of project(required), 1.❑ I am a employer with ❑ gemployees(full and/or part-time).* have hired the sub-contract 6 ❑New construction 2. I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp. insurance. 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.[]Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13•0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce under the pa' an penalties of perjury that the information provided above is true and correct PSiLgP afore: ��pp Date: p7 b Phone Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Cont#ct Person: Phone#: aTME ,ti Town of Barnstable Regulatory Services snarrsTnaLE, + Mass. �, Thomas F.Geiler,Director 0 a. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I as Owner of of the subject property l) hereby authorize R(57�� h g2 l big"1 1Y\ to act on my behalf, in all matters relative to work authorized by this building permit. q CAP N 2-6 7- (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of 01vner Si tore of Applicant. C() I bW Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 6/2012 oFTIE r, Town of Barnstable Regulatory Services BMWSPABLE, Thomas F.Geiler,Director y iKnS& $ �A i679• A.0 Building Division rF0 MA'I Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town I state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire'who does not possess a license,provided that the owner acts as supervisor. 1 DEFINITION OF HOMEOWNER Person(s)who owns 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. (Section 109.1.1) The undersigned"homeowner"assumes responsibility1for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. I Q:forms:homeexempt :s f I !� �• LOT 42 { i If !, T '4 �; i { , i LOT ; 7.38;rx ' , i • L I OT 43 :f ; CK •yN � ( j� ' 'F ' � ' �, jt ' r —39't 2 STORY t7Y.ELLlNG 1 t f 111 J; ': 1 i-L0T 29 I u,! k .LOT 44jj i I if I jiI j ! � 2� 00' i y f SAP >1 ISIAWS ' ROAD : s AMERICAN, SURV�EXING COMPANY f OF BOSTO INIE. I � � 1264 MAIN STREET WA Ti#AM, M j5S. 02151 I III ie. REGISTERED LAN O��URVEYDR.t' I -PHONE 081) B43-64r FAX (78{) 89� 709t I' 0 I HERE@Y CERTIFY AT sTHE d ABOVE MORTGAGE INSPECTION+ ; [ ! MORTGAGE INSPECTION ,PIL'AN I1 PLAN-WAS PREPARED FOR' HYANNIS'MORTGAGE i DATE: �zOJ RECORDED AT ARII�T a OIJNTY REGISTRY OF DEEDS{ y,y CLIENT: 0N."•OR BOCK 254133 i PA L.C. CERT 1,34623.9 a•• N CONN_CTION WITH{A NET/ CLIENT REa 035Z7 - ORTCAGEt AND IS N T INTENDED (� PLAN REFERENCE} J,0•R; DOts a03 CR P,EPRESENTEDi TO,$E A LAND DRAWN PER TOWN OF: f i?70tT ASSESSORS P. PROPERTY SURVE�'. NO' THE L OCAT".OF THE OF.IGINAL NAPS- PAP,£EL�:.' DATED• ; )! DWELLING SHOWN r-EFE?N EITHER ADDRESS aP. CApT= I`:iaH S-ROAD C011 llT + DINERS WERE SET. AND IT I WAS iN COM IIaucE W t1. LOCAL BORROWER: FOB 'Li ABETH NICHOtS I Rf CANI'10? HE USED FQR APFL!CA9LE:ZCktN,BYLAW IN i 6• STAeLISHING F.ENCE,IHEOGE, EFFECT WHEN CONSTRUCTED BUILDING LINES, DkE LAND (WITH RESFECT TO HORIZONTAL I 1 7 I S-� SHOWN HEREON : BASED CN OIMENSIONA4 REC4:tREt/.ENTy ONLY), i � ! ' C'_IENT FURNISHED I OR IS EXEMPT F"A vIOLATIOw S ! NFORNAYION, AND MAY BE ENFORCEMNT ACTION UNDER MASS ( SUEJECT TO FUR TNER C I. TITLE vl( THE SUB IECT O'efglElLNA ICES ir%`i0�30 ZONE -x CHAP BOA, SEC 7 A$ SHOWN ON 11) NAYIL:iA4 F OOD INSURANC PROGRAM ! OUT—SaLES, TAKINGSi EaSMENTS, UNLESS OTHERYASE NOTED OR I ! i } INSURANCE FLOOq RATE MA:.WED AND RIGHTS OF WAY. NO SHOWN HERF�ONA CONC IRtAA TORT £OnaMUNfTY PdrEe +, 7 I�ldO •i "�RESPONS181LTY is EXCENDED INSTRUuENTtSJZ�E`I., AOVvS:0 11 i HEREIN TO THE+LANDIOWNER Oft WHEN STRIJCTURES ARE SHOWN { I LDE PTA, t CX D BY CUPANT_ I•. IS NOT WENDED LtSS THAN V FROM PRTY.-ERTY nq ; $_ R. .r jTO ICE RECOaG%J, IREOUcR£0 ZON'HG SETeiC'y LINES I DATE! 1 3 } " 1 -•A c,g oGc , ! I- f - �i co . - CIIINcI 9� 1 0 Q � S 1 _ :1� d C5 T �n v o � x � � n CP J> s CM ,('$ SISCb 4- s s dt n S v> 0 OD - fi cz � � T _ � U w .a Town of Barnstable �- ,�"'E' ,� Regulatory Services Thomas F.Geiler,Director Z BARNSTABLF, NAM g Building Division 039. Argo� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# V q SO r FEE: $ SHED REGISTRATION A 200 square feet or less Location of shed(address) Village co e� I c hol �' 5D(9 �ZIy qqq / Property owner's name Telephone number 8 / xi 2-` (11-1 9� © � Size of Shed Map/Parcel# 8 23 � i Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED. BY A PLOT PLAN Q-forms-shedreg REV:05201 1 ' p 1 -LOT°4''2 to o'�I 14 8' 17. ,i 1. ') I I� pr t ':. "t - I � i I• d i ' ' I I;., OK' � I I I •�� ! p 2 STORY + te, II (; DWELLINGp ! �0T 29 LOT 44. i 4•1 �l ( !.1 125 00' I p p p i }� ! : CAP 1 ROAD i . E , SI`AH S V . I ♦. i p - ' ' 1 c + !'. � � j4 9 P`� ° �I: I II. Ii: � , , F.':. i i I r I• c ,z ,• j �i: !' '� ERICA SURVIE ING OUPANY!' , I ;If"-�_T o emu' O• �' l °:1 + PF BOSTIO , :IN i {+ ! ! '• + 1264 MAtN SSREET, r THAN, +` 'c i I `PHONE (T�61) 803-64'{% i FA% ?Ol i�11S�,7bB1 A REGISTERED jLANO RVEYOR. I v_ ' O N REBY C� FY; ATiT"E ! Aeov MORTG!�D� IN cloNi I MORTGAGE IIISP C I.qN P PLAN-WAS,P30AR FOR �) T j♦� IHYpNNIS IMOF�fiGAG ; I `• OATE: OPRA ' + RECO D A4 ' COUNTY REGlS7RY bF DEEDS •`I CUE T.- q� N cokmnOMi�NQIH•A NEy4,. i CLIENT R 015�7•• BOOK I PAGE...' LC�CfRT �;346239 I,+ ORIG GEL' ANIJ•6 N T 1►1TE(vDEO J.O. • " a n PLAN REFERENCE°_ ' _ RE RE Up To BE A`•ULND BRAWN.PER TO OF; i - +ASSESSORS THE LOCAn OF c R DATED: l 3 R PR E{tiY pVE N0; TME ORIGTHAL ytAP ARCEIj I I CORNTS WERp($�S�T, D IT DWEujb owN xEREON EITHER AOD SS OT `+ ! WAS IN LIANCE WITH LOCAL BORROWER: ANNOT ✓, USED F APPLICABLE ZONING BYLAWS IN STABLISHING F`EPICE, HEOCE,; - 8UIl01NC Ul/ES. ELAND EFFECT CONSTRUCTED (w1Tx aE tiT To HOM2CWTu' SHOWN HEREON IS B SED ON DIMENSIONA REOUIREMENTS LWLY), i 4 CLIENT. FURNISHED OR 15 EXEM T FROM VIOLATION NFORNATTON, AND M Y BE ENFORCEM ACTION UNDER MASS + ! I SUBJECT TO FURTH CL. TITLE M. CHAP aOA. SEC 7 T f 5IIggJECT D uLNG uE �I Obp ZONE I OUT—SALES, TAIONG EASMENTS, UNLESS 0 WfSE NOTED SE A SHOAT! QN T E NATI l FLOOD R+SURAN pM AND RIGHTS OF WA NO' )° SHOMTI ON A CONFIRMATORY INSIRANCE FLOG RATE M. 4:0 TED: + I 1 RESPONSIBILTY�s EX DEO 1° INSTRUI[ENT SURVEY IS AOLISFA ' COMMUNITY P EL it I HEREIN TO THE!LAND OWNERi''6R ImEN STRU RES ARE•SHOWN I OCCUPANT. IT IS NOT INT.ENpEQ.° LESS THAN 'FROM PROQERtY OR 'BY; TO BE"RECORDED;. A p p.REOLNREO Z NC SET8ACK,LINES `DATE- t F.B. PCE:�° pp •y i c�! y 1 r: k f d nr a a� t�'�1 `� y •.r��+"µ.me}.`� �r i . Cat � � � o s �� i t, P�^ t m�= x< y � All a/ r #low j -__� _. � �;, - 7 -. ,. V .. �-: �_ �- �- r- t • - Aar 1 Y' •� -S, V .s - c � L=� J U3 �� d l� :AC c 1 -- _- = . ,_ ��5�c _ � F r R .�: A � -7 CD 7c CJ, '�'. .� ''� ,: I i � � � ���&`� C�� �1 � r z `� '� .* i' �. �_ '» y - �, - _''' `.�.:. � 2 � --r _ _ - - .. �� f� 1 =_ �, . , _ _,._ �. . ul rn TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel d�� Application # Health Division Date Issued 3 Conservation Division Application Fe Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address L+ g C. A P+Ain S i Village C.o � t�l°t Owner I���f) �"� l t e h o k S Address Lit C(4 P+_A i rl �S i,A rl Telephone !!�_O R - y-a R Permit Request W go c� I�, 2 tA v"r A 88 a-:n x S7 , ` rX a e1_,1_tP o ' f Square feet: 1 st floor: existing proposed nd floor: existing proposed CO Tofal new=o2D, o'� Zoning District Flood Plain Groundwater Overlay Project Valuation `Construction Type W00A -'eAVTV-t' CD Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family M-' Two Family ❑ Multi-Family(# units) cr, Age of Existing Structure Act Historic House: ❑Yes 2<o On Old King's ighway: ❑Yes ❑ No Basement Type: U`FFull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) O Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new 1- Half: existing new O Number of Bedrooms: existing Qnew Total Room Count (not including baths): existing w new First Floor Room Count Heat Type and Fuel: @ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes �Jo Fireplaces: Existing .1 New C Existing wood/coal stove: ❑Yes U/No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ("existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Aiz�d_2 In-r A- a )1Q4 Telephone Number 50�S - �'� 2 Q 3 L/ Address � � l U m e License # o y 9 d S� 2 01 I F , ✓� Home Improvement Contractor# (i b 3 2 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 0 DUI M (� SIGNATURE DATE 3- Rio- 68 j { y>` ,J FOR OFFICIAL USE ONLY V P ' APPLICATION# t: DATE ISSUED MAP/PARCEL NO. ` r n `7 ADDRESS ` VILLAGE OWNER s • 4 • J } DATE OF INSPECTION: "> FOUNDATION s FRAME INSULATION FIREPLACE ` ELECTRICAL: ROUGH ,FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 s` immmass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information I_-Ple4sl Print Legibly Name (Business/Organization/Individual): G h (Z l S Address: City/State/Zip: 6Z i 1 .I Q done.#: ST= - y a v- L1/0 Are you an employer?Check the appropriate box: r7. of project(required): 1.❑ I am a employer with 4. [] I am a general contractor and I New construction employees (full and/or part-tim.e).* have hired the sub-contractors 2.NrI am a'sole proprietor or partner- listed on the attached sheet Remodeling ship and have no employees These sub_contractors have , Demolition workingfor me in an capacity. employees and have workers' Y p tY• # 9. ❑Building addition [No workers' comp.insurance comp. insurance. required] S. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. (Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. Iam an employer that isproviding workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: Policy#or Self-iris. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1;500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER`and a fine of up to$250:00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the 1DIA for insurance coverage verification. I do hereby ce c nder the nand penalties of perjury that the information provided above is true and correct Si afore: Date: Phone#• �G?U— 3 y!0 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructio.ns Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees:a Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representative's of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not.because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for•the performance of public work until acceptable evidence of compliance with the insurance requirements,of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation.and, if necessary, supply sub-contractors)'name(s), address(es) and phone number(s) along with their certificate(s)of.. insurance. Limited Liability Companies*(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at.the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in__(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The.Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Wasl ingpn Street Boston, MA 02111 Tt<l. #E17-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7744- Revised 11-22-06 www.mass.gov(dia f ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE- AND TWO-FAMILY DETACHE SIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Name: 6�- Site Address: , t Y� c F pl-ini j_ Town: C oA u i J Applicant Phone: 5'OSs- _ L-La 0- 3 V t U Applicant Signature: Date of Application: NEW CONSTRUCTION: choose ONE of the following two options) 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE- AND TWO-FAMILY BUILDINGS MAXIMUM' MINIMUM Ceiling or Basement Slab K -Option 1: Fenestration exposed Wall Floor Perimeter AFUE HSPF U-factor floors R-Value R-Value Wall R-Value SrrR R-Value R-Value and Depth National Appliance Energy 35 R-38 R-19 R-19 R-10 R-10, Conservation Act(NAECA)of 4 ft. 1987 as amended,minimums or realer as applicable Note: This form is not required if you choose either of the two versions of RBScheck as.listed below. ❑ Option 2: REScheck Version 4.1.2 or later variant software analysis must*be completed 780 CMR 6107.3.2 REScheck-Web which can be accessed at http://wwW.energycodes.gov/reschecld :'ADDITIONS,-OX2�.ALTERATZON'S TO"::EXT TING:BUILDIlVGS::O R 5.Y ARS OLD* *Buildings under 5 years old must use option#1 or 42 in New Construction section above. Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b_a) SF 100 x - _ % of glazing (b) Glazing area equals, SF b a If lazing is <:40%.use*.the chart below. If.glaziri is>:40 % proceed to "SUIVROOM"section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS M7ratiron MINIMUM Ceiling and Slab Perimeter ❑ F Wall Floor Basement Wall R-Value i Exposedfloors R-Value R-value R-ValueR-Value and De th R-37 a R-13 R-19 R-10 R-10, 4 feet a R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e.not compressed over exterior walls, and including any access o enin s).- ❑ SUNROOM-An addition or alteration to an existing building/dwelling unit where the total glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. Note:. Owner to fill out Consumer Information Form (found in Appendix 120.P) t � f. I i '' 1 � ' j i f i s' �. s AWC Currie to IVood Constrccctioli hi Hi h I'Vind Ai-eas: .1101uph I'Virrd Zane massacliusetts CLieckiist for- Compliance (780 CNl'R5301.2.1.1)' Check Compliance 1.1 SCOPE Wind Speed(3-sec. gust)...................................: ...................................... 110 mph WindExposure Category.................................................................. .............................................................B . Wind Exposure Category Engineering Required For Entire Project .......................................0 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories 5 2 stories Roof Pitch ........ .. (Fig 2) ...........................................- ft 1s 33 . MeanRoof Height ..............................................................(Fig 2)...............................................E.� BuildingWidth, W ...................................I.......................: ( g )...............................................y ft 5 80' _JL BuildingLength, L ...........:..................................................(Fig 3)................................................ Buildin As ect Ratio UW (Fig 4)................................................. s 3:1 Nominal Height of Tallest Opening .............................:.....(Fig 4)................................................ - 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)............................................................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1. Concrete.............................................................................................................................. ConcreteMasonry ..................... .............................................::................ 2.2 ANCHORAGE TO FOUNDATIONI-3• 5/8"Anchor Boits:imbedded or 5/8"Proprietary Mechanical Anchors as an alternative-in concrete only Bolt Spacing-general ................................ .(Table 4)............................................... in. Bolt Spacing from end/joint of plate ..................:...................(Fig 5)..................:................. in. s 6"- 12". Bolt Embedment-concrete..........................................(Fig 5).............................................. _in.>_7" Bolt Embedment mason (Fig 5)..............:......:........................ in.>_ 15" PlateWasher................................................................(Fig 5)..............................................- 3.1 FLOORS Floor framing member spans checked .::.............................(per 780 CMR Chapter 55)......................... ....... . Maximum Floor Opening Dimension....................................(Fig 6)................ .Y.. ft 512' . Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6).............................. ........ Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig.7)..................................................:.r 6 ft 5 d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls'or Shearwall................(Fig 8)...................................................... ft 5 d Floor.Bracing at Endwalls..............:.....................................(Fig 9).........................................................,......... Floor Sheathing Type (per CMR-Chapter55).Suh..f�o°. ................................................. —f�55 in. Floor Sheathing Thickness .................................................(per 780 CMR Chapter p )..:.......... . Floor Sheathing Fastening..................................................(Table 2)..Q d nails at in edge/ ✓in:field 4.1 WALLS Wall Height • Loadbearing walls..........�:............................... (Fig 10 and Table 5)...........................�` ,,ft 5 10' ................... ....... ' `ft 5.20' J� Non-Loadbearing walls................................................(Fig 10 and Table 5) 7� Wall Stud Spacing ................. (Fig 10 and Table 5)................... L b in. 5 24".o.c. _yam Wall Story Offsets .......................(Figs 7&8)............................................._ft 5 d 4.2 EXTERIOR WALLS Wood Studs Loadbearing Walls..........................................:..............(Table 5)..............................2x_L- ft A in. , i% Non-Loadbearing'walls................:.................................(Table 5)....................:.........2x-�-- ft-� �- in. Gable End Wall Bracing' . FuII Height End Studs (Fig 10 9 )•••••�..�.:.........•............................. ........ WSPAttic Floor Length......:..........:................................(Fig 11 ft 2!W/3 Gypsum Ceiling Length if WSP not used ....:..............(Fig 11 ft 2:0.9W and 2•x 4 Continuous Lateral Brace @ 6 ft. o.c. .. (Fig 11)............................................................. or 1 x 3 ceiling furring strips @ 16"spacing min. with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays Double Too Plate AWC Cuirle 10 [1%od Collsti'lletion in H%{�/� J'l�irul,dr'errs: 1r0�u/�lr. 16'irI Zone Massachusetts Cheddist f6r Compliance (780 CiAlIR-5301.2.1.1)' Loadbearing Wall Connections Lateral (no. of 16d common nails)................................(Tables 7).................:................................... Non-Loadbearing Wall.Connections Lateral (no. of 16d common nails)................................(Table 8)....................................................... Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) Header Spans .........................................................(Table 9).................:.....:.........._ft_in. 5 11' Sill Plate Spans .........................................................(Table 9).................................._ft_in. 5 11' Full Height Studs (no. of studs)....................................(Table 9)............................................:...,...... Non-Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) Header Spans.................................•...........................(Table 9).................................. • ft_in.5 12' Sill Plate Spans...........................................................(Table 9).................................._ft_in.5 12" ......Full Height Studs (no. of studs).......................... ....(Table 9).......•...................................... ..... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension, W Nominal Height of Tallest Opening2 ...•.................................................•.........•................ 5 6'8" SheathingType..............................................(note 4)............/..;L......C.¢.x...................... Edge Nail Spacing................:........................(Table 10 or note 4 if less)..........•............._in. FieldNail Spacing...........................................(Table 10).................................................._L in. Shear Connection (no:of 16d common nails)(Table 10)............. .................................... ....._ Percent Full-Height Sheathing..........:............(Table 10)..................................................._% 5%Additional Sheathing for Wall with Opening > 6'8"(Design Concepts).................... Maximum Building Dimension, L Nominal Height of Tallest Opening2......................................................................... 5 6'8" Sheathing Type..............................................(note 4)..............'/.:i......C.9.X...................... Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ G in. Field Nail Spacing.....................:.................:..(Table 11).................................................. 1, in. Shear Connection (no. of 16d common nails)(Table 11)......................................................... — Percent Full-Height Sheathing........................(Table 11)..................................................... % 5%Additional Sheathing for Wall with'Opening > 6'8"(Design Concepts).................... Wall Cladding Ratedfor Wind Speed?................................................:................ ............................................................... 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool, see BBRS Website) ; Roof Overhang .................................• ...................(Figure 19) ............. ft s smaller of 2'or L/3 � • Truss or Rafter Connections at Loadbearing Walls Proprietary.Connectors Uplift ..........(Table 12)......:........ ............ ..............U= plf Lateral•............................................(Table 12)............. ........................:.....L= plf Shear............................... ................ 12)............................................S= pif Ridge Strap Connections, if collar ties not used per page 21... (Table 13)...............................T= plf Gable Rake Outlooker.........:................................(Figure 20) ............._ft 5 smaller of 2'or L/2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)............................................U= lb. Lateral(no. of 16d common nails)...(Table 14)........:..............................L= . lb. Roof Sheathing Type.............k.rtak.....C..1).X....................(per 780 CMR Chapters 58 and 59) ............ Roof Sheathing Thickness.....................................:......�........................................... .Ya in. >_7/16"WSP _. Z Roof Sheathing Fastening............................................(Table 2).........................................................jam, Notes: 1, This checklist shall be met in its entirety, excluding the specific exception noted in 2,'to comply with the requirements of 780 CMR.5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft. shall be permitted when 5%is added to the percent full-height sheathing -'requirements shown in Tables 10 and 11. 3. The bottom sill plate'in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade. I ATVC Guide to TVood.Con.ctruction in 1,11irad,areas: 110 mph Hlilyd Zor-le Massachusetts Cliocklist for C01111 ial]cc (780 04115301.2-1:1)' 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio, determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction, panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to.band joist and lower attachment made to lowest plate at first floor framing- v. Horizontal nail spacing at double top plates, band joists, and girders shall be a double row of 8d staggered 8t 3 inches on center per figures below: Vertical and Horizontal Nailing for Panel Attachment 5. Glazing protection: a) new house or horizontal addition—required if project is 1 mile or closer to shore (generally,south of Rte. 28 or north of Rte. 6) b)vertical addition—not required unless there is extensive renovation to the first floor c) replacement windows—needs energy conservation compliance only(chap 93) 6. Wood Frame Construction Manual (WFCM)for 110 MPH, Exposure B may be obtained from the American Wood Council . (AWC)website. --WHEN THIS EDGE RESTS ON FRAMING USE&1 MAILS AT 6"P c �- i---'-IT------ ,1 • 1.1 �. 11 1) II I 1 ,l o3 Q ' It It••tt 11 11 r 1 I f} : It it ,f 1 lim. lid1 , 11 ii ii I a I' .W i� i i i i I EDGE KJTFAMFl?IATE "i I ,1 1 . I W I I 1 1 g 1 �gv W 3"MW. ; , 1, I 1 , MR r STAGGERED DOWLE EDGE RAICSPACM I i`II NAIL PATTflMN PANEL PANEL_ �JI �✓ PANEL EDGE �' DOUBLE"LEDGE SPAG>iVG DETAL See Data!)on Next Page Detall Vertical and Horizontal Nailing Vertical and Horizontal Nailing for Panel Attachment for Panel Attachment °FZHFrti Town of Barnstable Regulatory Services r r a" ASS. y MASS. Thomas F. Geiler,Director 16.19. �, Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.b arnstab l e.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder IN 1 C�,o S , as Owner of the subject property hereby authorize Cy&�Sl n pAu bj_ Gb&-47% to act on my behalf, in dmatters relative to work authorized by this building permit application for: (Address of Job) 08 — Signature of Owner Date r Print Name F . 4 If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. �opZHt:r, Town of Barnstable Regulatory Services i t BARNSTABLE, Thomas F. Geiler,Director MASS. 1639• A,�� Building Division rFD MA'1 Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAFLING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of sN units or less and to allow homeowners to engage an individual for hire who does not possess a license;provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns 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 be/she'shall be responsible for all such work performed under the building permit, .(Section 109,1.1) The undersigned"homeowner"assumes'responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. Tha-ttrrdersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department nutumum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section'109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeoH�ers who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results iri serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure tha�jhe homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a forrm/certification for use in your community. O:f6im.c-hnmeexemnt 07/24/2003 7FU 07:49 NAX �CU1rnUx I I .i i I 1 I e• ; I j •i. I I ! •, it 'I I� I � I• I,,I It ' I. L'GT' It LOT 0 ?V.38' LOT I It I s I , ' I ► I vI : •' I ' 1 ! 39'tOID tt ) I I p j 2 STORY I DWELLING N 1 ' ! I' I ! i• I � I ' 11 I LOT 29 I, LOT 44 t €: i I;'� 4� �!'j1 125 00' CAP 1SIAH'S ROAD l: ! i ice.;' •� - ( I I� (� I' ' I '�� t. - 'AMERICANS SURVE ING �� OMPANYI' ��ig OF BOSTO , IN �p AN I 1264 MAIN STREET. TT THAM, ' 'PHONE (del) 893-64» ;FAX 41) 099-7691 A REGISTERED(LAND SURVEYOR,00 HE t 1 . �i! a ABOVERMORT GE IY.NP$CiION ' ! I .PLAN•jWAS PR,PARE OR ' MORTGAGE INSP�E 1 ION P IV ! ' 1 HYANNISiMORTGAG , I DATE: R2203 RECORDED AT I COUNTY REGISTRY OF DEEDS ' I CUEN�'aoNNOR BOOK I PaGE LC.' CERT //346238 N COrINECnONI WITH A NEW CLIENT RE�.g o'5ZT PLAN REFERENCE t ORTGAGEt AND.IS N T INTENDED y0• 00,11403 PRAWN PER TOWi OFi IT I ASSESSORS +. R RE('RESENTEO;TO BE A LAND TME LOCAn OF THE ORIGINAL MAPy I ARCELI. i I R PROPERTY RVE . NO; •: DWELLING OWN HEREON EITHER ADDRESS • A 1 R gg, GOTIIIT I CORNERS WERE'SET, ,WD IT WAS IN C UANCE WITH LOCAL BORROWER: A I a I ! CANNOT BE USED F APPLICABLE ZONING BYLAWS IN 1 { S7A9USHING EENCE,r-EDGE, EFFECT WKE CONSTRUCTED , • _ i :I BUILDING ONES. THE LAND (WITH RESPECT TO HORIZONTAL SHOWN HEREON IS BASED ON DIMENSIONAL REOUIREMENTS ONLY), ; CLIENT FURNISHED ! OR IS EKENitT FROM VIOLATION ) ! 1 I. NFORMATIDN, AND MAY BE ENFORCEMETJT ACTION UNDER MASS THE SUBJECT D IN UE ,�I LObD ONE ' SUBJECT TO FURTHER: G L, TITLE Vq. CHAP 40A. SEC 7 AS SMOYM QN E NATI FOOD NSURAN OGRAM i OUT—SALES. TONCS,j EASMENTS, UNLESS OTHERWISE NOTED OR INSURANCE FLOG RATE M P DATED: AND RIGHTS OF WA NO I SHOWN HER ON A CONFIRMATORY COMMUNITY Pf EL A: 2 0001DIDI i RESPON98ILTY IS EXIENDED ! INSTRUMENT SURVEY IS AD41SEO • HEREIN TO THEI LAND OWNER;OR WHEN STRUCTURES ARE.SHOWN I FICLIDEDK OCCUPANT. IT IS NOT INTENDED, LESS THAN • FROM PROPERTY OR 'BY: TO BE RECORDED:. j (t i.REOUIREO Z ING SETBACK,LINES ATE' I F.B. PGE: ., \ • I i 1 I F. • � �. �rie Vi an��zoniue¢� d�,./�aooac�uaetta � . Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: R�egistration:�156038 Board of Building Regulations and Standards Expiration>-::-5/29/2009 Tr# 255589 One Ashburton Place Rm 1301 11,'r`, Type zlndividual Boston,Ma.02108 CHRIS COLBATH�.y CHRIS COLBATH ` F' `,. �.._. - > 383 OLD MILL ROAD'��-`��-: f OSTERVILLE, MA 02 r Administrator --(�Not.valid wi ut signature irk X. r< t+ r y. 1 Jell c. y s j BOARD OF BUILDING REGULATIONS ++ i License: CONSTRUCTION SUPERVISOR } NUmber �CS O49696 c Sirthdate U5/25/1963 LN lr( 4 ;expires: 5/25/,?.008 Tr.no: 23101 Rid trete }ct . II. CHRISTOPHER O IBAH , Y i 383 OLD MILL RD I OSTERVILLE,•MA 02655 + �: Commissioner - "' . ....•::•,.•_ .. . :,.I Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR. O TRACTOR Reg istration•.N156038 Expiration 5/29/2009 Tr# 255589 C, Q�-_ m pe lnidu al n Tny � divi CHRIS COLBATH%- CHRIS COLBATH = / 383 OLD MILL ROADS 1 OSTERVILLE, MA 02655 yY Administrator Assessors map and lot number-1 pir Sewage Permit number � Cf*•� d � ,House number ....................................... 9 t639• 9� TOWN OF BARNSTABLE a BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..........!:.... �... ':"...... ...... .... ..... . .......................................... :. ...... .......... ..... .. f TYPE OF CONSTRUCTION ................ .....:.e��.. :?.... .`. s.s..:... :........................................................................ ............................................. ... TO THE INSPECTOR OF BUILDINGS: j The undersigned hereby applies for a permit according to the following information: Location .... '..'..... ...."....' .i..A. H,,.i:I.r....�::.:`'.......... . .... . . .... . . `f.:.... ProposedUse .........I.Li." .............. ....................................f:.... ............................................................................................ Zoning District ......... ........Fire District ...................... ......... .. • Name of Owner ... y ........... ....... .......... . ............ s,y 9 .;Y � C J !/ .4 �• � /'�� p N f � ..�.�:............. � .............................� • Address ,�"r � .� • Name of Builder . . ? ............Address :- '� Name-of Architect 2 ......�~ � ....Address •=� . • 1 G:1'Pyl Number of Rooms .......................r ►'lc..............................................Foundation ; : .r, 'n t: `. .' J t Roofing i' r �: •t Exterior ..... ......... .................... ....... ........................ s......... ................ Floorsat. ..................................................................Interior ......... ................................................ ..................... Heating .....................................� .............................Plumbing .........:..........f.r............................................................. V A ` Fireplace ✓.....................................................................Approximate Cost ............ Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area .......................................... Diagram of Lot and Building with Dimensions Fee. ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of.Barnstable regarding the above construction. Name .......::....................:...........:........................................ Roberts Realty Tr6st' A=38-63 ".'21275 No ................. Permit for ......two...s.torY.......... single family dwellina ................ ...................................... .................... Location ..........48..C,�Lp..'.n.....I.siah.'.s..R.o.ad...... .... .. .. . . ........ . .. .. . .... t ........................ ............................................ Owner ...........Robe.r.ts..R.e.alty..........Trust................... . .... .. . ...... Type of Construction ..............fr... .................... .................;...................... .............................. atPlot ............................ ..........#Q............... May 8 ............19 79 Permit Granted .......................... Date of Inspection ................. ..................19 Date Completed .....................2..................19 PERMIT REFUSED ................................ ......... ........ ............ 19 ............................................................................... ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ................................................................................ TOWN OF BARNSTABLE Permit No. 21275 _ Building Inspector siaur Cash039 OCCUPANCY PERMIT Bond "No-building.nor structure shall be erected,'and no land, building or structure shall be used for a' new, different, changed, or enlarged- use without a Building Permit therefor first having been obtained,from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspectoi." Issued to Roberts Realty- 'rust� Address 56 ruin St„ Kingston, 14A t lot #43 48 Captain ZsiaW s Road. Cotuit Wiring Inspector > Inspection date Plumbing inspector �., Inspection date , Gras Inspector L1 Inspection date Engineering Department /4.A �"�W�/� Inspection date�/ /�,- 7� THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING.INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. 19 _ . ... ._._.� .. ..... w /Building Inspector rat _J!s L� 4=r.r.�►L�l - 3 ',mot. `1�!O C,Ail I?�[at Lam{ �Lc»n✓ a 110 .c ? 33U G•�'•D• � � f't:op Q/o 4-S 6.P.O. To, �•Glot 4 PiT 1:�Cr`raAA &Z eA �a1 ait+. i 1 .C> - rib C:�.RD. �b. bD TOTS. •C)eS16K1 = �,_t Vim( F LZ3'-,ki = 33c E..t?D. V t=�.!:GCGLLTt[ IQG.'A"C"E= I �tirtl l,l OfL ES's. vt IpiAFl4tni 4 Na"t1CJ .� I Z g4 ee, T Tat- >:-44 too.o lwv �AM .J'P.oe Inoo Iuy. � -Box Seertc 2 ►►1v. ) to ,i T'a.WK � Goy. I.EAC.a A �Q ~ • t T •� P` a.. I�6U, w rr« ' ab t 1a1A ('lz Wl141�t'D ��M1 t_f= Lr.GAT1_ut;J z:�raTUtT -- �83 _ I t� ►��; � �-A..LE=" !c�:l-r ,I�—�O• _�.A.'T{_ c���a l�j VA 1 c rI�-c`ft.tr64 'r► {,�, t' H� rpv111J1�'i 10N >tl:.�a►.} Pt. [at.-I 5 ►:►= c�L►.1�� :c-,vIt,i-ILI(":.-I '43 aUc:� :�'�,I�:.cl� t:c.�Y�tc �.�n�::ur., ct= ,-►.►c_•. �.07 t,w►�: 2t.}cTQs PALE L 4+J'U 6ou CT PL4 N la_Gl i=r. t-to 5U2Vi:.Yvt�' t .t.t'� , �- 1.1��-�• I�,h.:,r:L; Ut :1 p-tom - U'�'ri'_��/ll_�i u 14t�1�`�. Ia ii .('t��.✓lv..1 •�f. 'kit. `•; t t it_ lit-t~'J►_�•� •�ItLtJLI"J , l ,1- t;t _ t� .� . . t,, ,�1- t'�.•_ti�t, ti- 1_c--Y' t_t t.t�:::,- - _ . . "Assessor's map and lot nu �36�).. 0l � `G ' .'�/`�2 T E -� � °� ?Sewage Permit number . ... ......:. .d ......................... SEPTIC �q y�^� d� R ♦� �t�Tl�s SYSTEM�.L964 'MUST IBE� t BABB 9TSDLE, i !louse number ..................... INSTALLED, ��Na��9�N� r MAO& ........................................... '39.a`0� WITH ARTICLE Il STATE o v �R 1� XVi A� TOWN T0TOWN}OF BAD_ BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..........6 42.....!r!a-t� r!!I�f1 sfs1��e /11ts............ TYPE OF CONSTRUCTION ................ �0 .... .1 'Cv...................:....'.JJ.:............................................ ................ ............19�j... TO THE INSPECTOR OF BUILDINGS: h The undersigned hereby applies for a permit according to the"following -information:' w` Location ....�vf! tw . ....l�smp!x...1,310w�....W,...........0 in �.f...V/T;A4�........................................... Proposed Use .......S�.t/cL.�.., ....N I-.t.../.7 !4+! � �tJ�........................................ Zoning District ...... .....................................Fire District ........09760.1.-e................ ............................................. Name of Owner.. .. ` ....Is"r—Address ...w�a.. l S' .../�.�/ �STd!�.(n/�• Nameof Builder ............ e....:............................Address ..........................ZAN. s................................... Name of Architect .........is�S(er....................................Address SON(le . .. . ................ ...................................... '� ! ' �. i Num�r'�of Rooms .............:G►..............................................Foundation .......�.N. . ..... Cf!!�' 4 Exterior ...... �,F!� ...... ..............Roofing ................ � V'7...��.1. �.. .'�...... Floors � rr.................................. ...............................Interior ..........SIBlI �Q*'r �L�3�.. .. ............ .............. ..... Heating ��•Gv� �,�.4L ................................Plumbing ......../- • �IC• IN& .......r A ' ................ .. vip-* ...................... Fireplace ........./....................................................................Approximate Cost ............. Definitive Plan Approved v S i ed by Planning Board _____________________________19______. Area Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH �1J11� 9 I hereby agree to conform to all the Rules and Regulations of t -own of am table re ing the a ve construction. me .......... ............ .... ... .. ........ .... Roberts Realty Trust j .....w..o....s..t...No MZ5..... Permit for .... t o ...... ry .........single„f ly dwelling,,,,,,,,,,,,,,,,,,,,, !.. li ..................... gn.'A�,Jsiah.'.s...Road,,,,,,,,,, ......................?.Q.t..it............................................. Owner .......Robert.Re Realty Trust .............. ........................ ............ ............................... Type of Construction ..........fraMe..................... ............................................................................... Plot ............................ Lot ...............#43.......... Permit Granted ........... ..................19 79 Date of Inspection ....................................19 Date Completed ... .. .......:..::...:....19. c PERMIT REFUSED, .............................................................. 19 ........... ...... .................... ....... .. ........... ... ......... ... .. .... ...... ..... ....... . ...... .. ............ .............. .............. .....;l/00 ................... . ......... ..... ........... ... Approved ................................................. 19 1 . ................................................................................ ............................................ .................................. ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE 1. THIS SYSTEM IS GRID-INTERTIED VIA A , �AC ALTERNATING CURRENT UL-LISTED POWER-CONDITIONING INVERTER. BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. CONIC CONCRETE 3. A NATIONALLY-RECOGNIZED TESTING DC DIRECT CURRENT LABORATORY SHALL LIST ALL EQUIPMENT IN EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3. (E) EXISTING 4. WHERE ALL TERMINALS OF THE DISCONNECTING EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED IN THE OPEN POSITION,. FSB FIRE SET-BACK A SIGN WILL BE PROVIDED WARNING OF THE GALV GALVANIZED HAZARDS PER ART. 690.17. GEC GROUNDING ELECTRODE CONDUCTOR 5. EACH UNGROUNDED CONDUCTOR OF THE GND GROUND MULTIORE BRANCH CIRCUIT WILL BE IDENTIFIED BY HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5. I CURRENT 6. CIRCUITS OVER-250V TO GROUND SHALL Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(8). Isc SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DO NOT ENTER kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN .METALLIC RACEWAYS OR kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC LBW LOAD- BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN (N) NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY NEUT NEUTRAL UL LISTING. NTS NOT TO SCALE 9. MODULE FRAMES SHALL BE GROUNDED AT THE OC ON CENTER UL-LISTED LOCATION PROVIDED BY THE PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING POI POINT OF INTERCONNECTION HARDWARE. PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. S STAINLESS STEEL - STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPIIBLE POWER SUPPLY V VOLT Vmp VOLTAGE AT MAX POWER VICINITY MAP INDEX Voc VOLTAGE AT OPEN CIRCUIT W WATT 3R NEMA 3R, RAINTIGHT • PV1 COVER SHEET PV2 SITE PLAN PV3 STRUCTURAL VIEWS PV4 UPLIFT CALCULATIONS LICENSE 'GENERAL NOTES PV5 THREE LINE DIAGRAM Cutsheets .Attached GEN #168572 1. ALL WORK TO BE DONE TO THE 8TH EDITION X; ELEC 1136 MR OF THE MA STATE BUILDING CODE. • 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2014 NATIONAL ELECTRIC CODE INCLUDING MASSACHUSETTS AMENDMENTS. MODULE GROUNDING METHOD: AHJ: Barnstable REV BY DATE COMMENTS REV A NAME DATE COMMENTS x x x x UTILITY: NSTAR Electric (Cambridge Electric Light) x x x x CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER PREMISE OWNER DESCRIPTION: DESIGN: JB-0261811 OO NICHOLS ELIZABETH John Mcdonald • CONTAINED SHALL NOT E USED FOR THE NICHOLS RESIDENCE -;;;SolarCity. BENEFIT OF ANYONE EXCEPT saARgTY INC., MOUNTING SYSTEM:. S.3 K W P V ARRAY NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 48 CAPT—ISIAHS RD OPARTRGANIZATION, IZ OTHERS OUTSIDE THE RECIPIENTS COTUIT, MA 02635 � � ORGANIZA71oN, EXCEPT IN CONNECTION MATH MODULES. TMK OWNER: THE SALE AND USE OF THE RESPECTIVE (20) Hanwha Q-Cells # Q.PRO G4/SC 265 * 24 St.Martin Drive,Building 2,Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: �N: PAGE NAME SHEET: REV: DATE Marlborough,MA 01752 PERMISSION of SOLARaTY INC. SOLAREDGE SE3800A-USOOOSNR2 5082809498 r: (sso)s3s-1o5 F. (65 635-1029 COVER SHEET PV 1 9/8/2015 Isas}-SOL-aTY 17ss-z4ss1 i�.salarcitr.a«n PITCH:'30 ARRAY PITCH:30- MP1 AZIMUTH:284 ARRAY AZIMUTH:284 MATERIAL:Comp Shingle STORY: 2 Stories PITCH: 35 ARRAY PITCH:35 MP2 AZIMUTH: 194 ARRAY AZIMUTH: 194 MATERIAL:Comp Shingle STORY: 2 Stories LEGEND 0 (E) UTILITY METER & WARNING LABEL A Front Of House INVERTER W/ INTEGRATED DC DISCO 9 9 A Inv & WARNING LABELS r-� -1 oc DC DISCONNECT & WARNING LABELS MP ' D © AC DISCONNECT & WARNING LABELS Rea, ' _`_- _ 3 Q DC JUNCTION/COMBINER BOX & LABELS B wo Q DISTRIBUTION PANEL & LABELS M AC. Inv STAtu113ED-&.SIGNED FOR LG LOAD CENTER & WARNING LABELS STRUCTIRAL (11LY O DEDICATED PV SYSTEM METER p`F O STANDOFF LOCATIONS r 45' CONDUIT RUN ON EXTERIOR --- CONDUIT RUN ON INTERIOR G GATE/FENCE Digitally signed by Marcus Hann 1v4.. i. 3 �` O HEAT PRODUCING VENTS ARE RED wuv�v Date: 2015.09.08 17:25:05 -04'00' �' P�?o. .91� n�` INTERIOR EQUIPMENT IS DASHED On T SITE PLAN' N Cr Scale: 1/8" = 1' E 0 1' 8' 16, W 5 J B-0 2 61811 00 "" °� �" DESCRIPTION: DE9(;!! CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER CONTAINED SHALL NOT BE USED FOR THE NICHOLS, .ELIZABETH NICHOLS RESIDENCE John Mcdonald �„SolarCity. BENEFlT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 48 CAPT—ISIAHS RD 5.3 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MootitEs COTUIT MA 02635 ORGANIZATION, EXCEPT IN CONNECTION WITH , 24 SL Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (20) Hanwha Q-Cells # Q.PRO G4/SC 265 SHEET. REV. DAB; Marlborough,MA 01752 SOLARg1Y EQUIPMENT, WITHOUT THE WRITTEN p PAGE NAME 1: (650)638-1028 F.- (650)638-1029 PERMISSION OF SOLARCITY INC. INVERTER: 5082809498 PV 2 9 8 2015 (888rSOL—CITY(765-2489) www.solarcity.com SOLAREDGE SE3800A-USOOOSNR2 SITE PLAN / / y S1 S1 � 4 7'-7" 12'-5" (E) LBW (E) LBW 6 SIDE VIEW OF MP2 NTS SIDE VIEW OF MP1 NTS A MP2 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER I NOTES MP1 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES LANDSCAPE 64" 24" STAGGERED LANDSCAPE 64" 24" STAGGERED PORTRAIT 48" 17" PORTRAIT 48" 17" ROOF AZI 284 PITCH 30 RAFTER 2x6 @ 16"OC STORIES: 2 RAFTER 2x8 @ 16" OC ROOF AZI 194 PITCH 35 STORIES: 2 ARRAY AZI 284 PITCH 30 ARRAY AZI 194 PITCH 35 C.J. 2x6 @16"OC Comp Shingle � C.J. 4x10 @24" OC Comp Shingle PV MODULE 5/16 BOLT WITH LOCK INSTALLATION. ORDER & FENDER WASHERS LOCATE RAFTER, MARK HOLE ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT (6) HOLE. SEAL PILOT HOLE WITH STAMPED'& SIGNED FOR (4) j . C(2)FPOLYURETHANE SEALANT. ZEP-COMP MOUNT C STR;UCTURA.L ONLY ZEP FLASHING C (3) (3) INSERT FLASHING. - (E) COMP. SHINGLE (4) PLACE MOUNT. Of Ads (t) (E) ROOF DECKING U (2) 5 INSTALL LAG BOLT WITH c� 5/16" DIA STAINLESS (5) O SEALING WASHER. MARCUS STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH " HMO . c WITH SEALING WASHER (6) BOLT & WASHERS. °'2"Q1A - (2-1/2" EMBED, MIN) ��� ��ts/ST I% (E) RAFTER 's9/lJk L S1 STANDOFF Scale: 1 1 2" = 1' CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE J B-0 2 61811 BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: NICHOLS, EUZABETH NICHOLS RESIDENCE John Mcdonald /..� NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 48 CAPT—ISIAHS RD 5.3 KW PV ARRAY ►rSolarcity. PART TO OTHERS OUTSIDE THE RECIPIENT'S MODULES-. COTUIT MA 02635 ORGANIZATION, EXCEPT IN CONNECTION WITH , 24 St.Martin Drive, Building.Z Unit 11 THE SALE AND USE OF THE RESPECTIVE (20) Hanwho Q—Cells # Q.PRO G4/SC 265 SHEET. REV: DATE Marlborough,MA 01752 SOLARCITY EQUIPMENT. WITHOUT THE WRITTEN ISOLAREDGE NVERTER PERMISSION OF SOLARCITY INC. SE380OA—USOOOSNR2 5082809498 PAGE NAME L SOL— sae-765-248 (sw saB-1o2s STRUCTURAL VIEWS PV 3 9/8/2015 cat-50L—CITY(,s5-24B9) �n,.==olaraRYCon, UPLIFT CALCULATIONS SEE SEPARATE PACKET FOR STRUCTURAL CALCULATIONS. l ' 1 . C J B-0 2 61811 0 0 �°°SE°WN°� DESCRIPTION: DESIGN: CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER:CONTAINED SHALL NOT BE USED FOR THE NICHOLS, ELIZABETH NICHOLS RESIDENCE John Mcdonald � olarC■�ty BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: . NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 48 CAPT.—ISIAHS RD 5.3 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MoouLEs COTUIT MA 02635 ORGANIZATION, EXCEPT IN CONNECTION WITH i 24 SL Martin DrtM Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (20) Han Who Q—Cells # Q.PRO G4/SC 265 �µ DATE Marltarough,NA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN �� PAGE NAME L c (650)638-1028 F: (650)638-1029 PERMISSION of SOARCITY INC. SOLAREDGE SE380OA—USOOOSNR2 5082809498 UPLIFT CALCULATIONS PV 4 9/8/2015 (688)-SOL—CITY.(765-2489) www.solarcity. n GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO TWO (N) GROUND Panel Number. Inv 1: DC Ungrounded INV 1 -(1)SOLAREDGE I# SE3800A-US000SNR2 LABEL: A Hanwha Q-Cells # Q.PRO G41 SC 265 GEN #168572 RODS AT PANEL WITH.IRREVERSIBLE CRIMP Meter Number:43957005 Tie-In: Supply Side Connection Inverter; 38QOW, 240V, 97.5%a w/Unifed Disco and ZB,RGM,AFCI PV Module; 265W, 241.3W YTC, 40mm, Blk Frame, H4, ZEP, .I000V ELEC 1136 MR Underground Service Entrance INV 2 Voc: 38.01 Vpmax: 30.75 INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER E 100A MAIN SERVICE PANEL E 1100A/2P MAIN CIRCUIT BREAKER Inverter 1 (E) WIRING CUTLER-HAMMER Disconnect CUTLER-HAMMER 1 00A/2P 4 Disconnect 3 SOLAREDGE A 20A SE380OA-USOOOSNR2 MPl: 1x10 i B 24ov -------- --------- ------ A L1 �-------------- B l2 I I DC+ I I N DG I 2 I (E) LOADS GND - ---- GND -- EGCI ___ DC+ - - - -- I GEC N DC- MP1,MP2: 1x101) L 13 d, r---J GND __ EGC--- --------------------- ------------- G ----' N (1)Conduit Kit. 3/4'EMT -J o EGGLEC - • I ' I I I I - GEC -1 TO 120/240V SINGLE PHASE UTILITY SERVICE I I I I I I PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN Voc* = MAX VOC AT MIN TEMP 2 Ground Rod; 5/8'x 8% Copper (I)CUTLER-HAMMER B DG222NRB /� PV SOLAREDGE D� I -�2;ILSCO IPC 4/0-/6 Disconnect; 60A, 24OVac, Fusible, NEMA 3R /y PowerBox Umizer, 300W, H4, DC to DC, ZEP. Insulation Piercing Connector, Main 4/D-4, Tap 6-14 (1)CUTLER-HAMMER OG221UR8 S p rg (1)AWG g6. Solid Bare capper SUPPLY SIDE CONNECTION. DISCONNECTING MEANS SHALL BE SUITABLE B Disconnect; 30A,gg240Vac, Non-Fusible, NEMA 3R nd AS SERVICE EQUIPMENT AND SHALL BE RATED PER NEC. -(1)aou�odPNeMuMEtra &DG0AONGBeneral Duty(DG) -(11 Ground Rod; 5/8' x 8', Copper (N) ARRAY GROUND PER 690.47(D). NOTE: PER EXCEPTION NO. 2, ADDITIONAL ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCATION OF (E) ELECTRODE 1 AWG#6, THWN-2, Black �(I)AWG#10. THWN-2, Black (2)AWG #10, PV Wire, 60OV, Block Voc* =500 VDC Isc =15 ADC ® (1)AWG 16, THWN-2, Red O I�+N(1)AWG 810, THWN-2, Red O (1)AWG #6, Solid Bare Copper EGC Vmp =350 VDC Imp=7.47 ADC, (1)AWG#6, THWN-2, White NEUTRAL Vmp =240 VAC Imp=16 AAC L (1)AWG#10. THWN-2, White NEUTRAL Vmp =240 VAC Imp=16 AAC (1 Conduit Kit; 3 4' EMT -(1)AWG j6,.Solid Bare.Copper. GEC_.. -(1)Conduit.Kit•3/4•,EMT, •. •. .. . . . .. . . .. .-(1)AN#8,•1H.WN-2•.Green , EGC/GEC-(1)Conduit•Kit;•3/4',EMT, , •• •• , . (2)AWG#10, PV Wire, 600V, 81adc Voc* =500 .VDC.Isc . 15 ADC O (1)AWG 86, Solid Bare Copper EGC Vmp =350 VDC Imp=7.47 ADC . . .. .. . . (1)Con04it Kit. . .. .. . . .. .. . . .. . . . . .. .. .. . . . . . . .. . . . . . . .. CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: J B-0 2 61811 O O PREMISE OWNER: DESCRIPTION: DESIGN: \\, CONTAINED SHALL NOT E USED FOR THE NICHOLS, ELIZABETH NICHOLS RESIDENCE John Mcdonold �:;;SD�a�C�ty BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYS1EI1: V aS NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 48 CAPT-ISIAHS RD 5.3 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES: COTUIT, MA 02635 THE SALE AND USE OF THE RESPECTIVE (20) Hanwha Q-Cells # Q.PRO G4 SC 265 24 St.Martin Drive,Building 2,Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER. PANE NAME SHEET: REV: DATE Marlborough,MA 01752 PERMISSION OF SOLARCITY INC. SOLAREDGE # S0800A-US000SNR2 5082809498 T`- (650)638-1028 F.- (650)638-1029 THREE LINE DIAGRAM PV 5 9/8/2015 ceffi>-SOL_gTY(,s5-2469) www.solarcitycon, WARNING:PHOTOVOLTAIC Label _ • Label Label • • POWER SOURCE WARNING WARNING ' Per Code: Code: Code: NEC • • ELECTRIC SHOCK HAZARDNEC ELECTRIC SHOCK HAZARD DO NOT TOUCH TERMINALS • THE DC CONDUCTORS OF THIS NEC • Label • TERMINALS ON BOTH LINE AND PHOTOVOLTAIC SYSTENI ARETO BE USED WHEN LOAD SIDES MAY BE ENERGIZED UNGROUNDED ANDINVERTERIS PHOTOVOLTAIC DC � IN THE OPEN POSITION N1AY BE ENERGIZED UNGROUNDED DISCONNECT "Code: NEC .•0 Label Location: Label LocatiomPHOTOVOLTAIC POINT OF MAXINIUNI POWER-_ D Code: Per INTERCONNECTION POINT CURRENT(Imp) A WARNING: ELECTRIC SHOCK Code: HAZARD.DO NOT TOUCH NEC 690.17.4; NEC 690.54 NIAXINIUM POWER-_VNEC 690.53 BOTH THE LINE AND LOAD SIDE MAXIMUM SYSTENI_V N1AY BE ENERGIZED IN THE OPEN VOLTAGE(Voc) POSITION. FOR SERVICE SHORT-CIRCUIT A DE-ENERGIZE BOTH SOURCE CURRENT(Isc) AND MAIN BREAKER. PV POWER SOURCE MAXINIUNI AC A OPERATING CURRENT MAXIb1UN1 AC Label • • OPERATING VOLTAGE V WARNING ' Per ..- NEC ELECTRIC SHOCK HAZARD IF A GROUND FAULT IS INDICATED ' NORNIALLY GROUNDEDLabel Location: CONDUCTORS N1AY BE CAUTION UNGROUNDED AND ENERGIZED DUAL POWER SOURCECode: SECOND SOURCE IS NEC 690.64.13.4 PHOTOVOLTAIC SYSTENI .• • • Per Code: Label Location: WARNING ELECTRICAL SHOCK HAZARD DO NOT TOUCH TERMINALSNEC 690.17(4) CAUTION ' '• TERMINALS ON BOTH LINE ANDPer Code: NEC*LOAD SIDES MAY BE ENERGIZED PHOTOVOLTAIC SYSTEM ••, IN THE OPEN POSITION CIRCUIT IS BACKFED DC VOLTAGE IS ALWAYS PRESENT WHEN SOLAR N10DULES ARE EXPOSED TO SUNLIGHT Label • • Per WARNING ..- INVERTER OUTPUT Label • • CONNECTION NEC ' PHOTOVOLTAIC AC DO NOT RELOCATEDisconnect AC DISCONNECTPer Code: THISODEVICERRENTConduit NEC ••0 :. (D): Distribution Panel (DC): DC Disconnect (IC): Interior Run Conduit Label Location: (INV): Inverter With Integrated DC MAxINwr.�Ac A '•I) (LC): Load Center OPERATING CURRENT Per ••- AC NEC •. Pointof • • OPERATING VOLTAGE V 3055 aearview Way :i 7 1 1 ►T 1 •• 1' 1 • 1 71 San Mateo,CA 0 1 1• 1 1 7• 1 l 1 •'7, 1• 1Lab_ i•7• 1 1 1 •1lSet 1 638-1029• w i l SolarCity Zepl ® - `- rl ® Solar Next-Level PV Mounting Technology '�{SolarCity ZepSolar Next-Level PV Mounting Technology Zep System Components for composition shingle roofs �Uprroof %R1, r Greund Zep InTdlOtk 0%it4om� . VeYntug FOd .-�.. I up Caapauw pv N.M. - Zcp Woorc Rod Atradaan ' Array Stdrl "0104r40 � Description PV mounting solution for composition shingle roofs - CdMpp't� Works with all Zep Compatible Modules • Auto bonding UL-listed hardware creates structual and electrical bond Zep System has a UL 1703 Class"A"Fire Rating when installed using U` LISTED modules from any manufacturer certified as'Type 1"or'Type 2" Comp Mount Interlock Leveling Foot t Part No.850-1382 Part No.850-1388 Part No.850-1397 Listed to UL 2582 8r Listed to UL 2703 Listed to UL 2703 Specifications Mounting Block to UL 2703 Designed for pitched roofs Installs in portrait and landscape orientations 11Fi1 I, I • Zep System supports module wind uplift and snow load pressures to 50 psf per UL 1703 • Wind tunnel report to ASCE 7-05 and 7-10 standards Q • Zep System grounding products are UL listed to UL 2703 and ETL listed to UL 467 - • Zep System bonding products are UL listed to UL 2703 Engineered for spans up to 72"and cantilevers up to 24"' • Zep wire management products listed to UL 1565 for wire positioning devices Ground Zep Array Skirt,Grip,End Caps DC Wire Clip • Attachment method UL listed to UL 2582 for Wind Driven Rain Part No.850-1172 Part Nos.500-0113, Part No.850-1448 Listed to UL 2703 and 850-1421,850-1460, Listed UL 1565 ETL listed to UL 467 850-1467 zepsolar.00m zepsolar.00m Listed to UL 2703 This document does not create any express warranty by Zep Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for This document does not create any express warranty by Zep Solar or about its products or services.Zap Solar's sole warranty is contained in the wrifien product warranty for each product.The end-user documentation shipped with Zap Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely y each product The'end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely responsible for verifying the suitability of Zep Solar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. responsible for verifying the suitability of Zep Solar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. 02 27 15 ZS for Comp Shingle Cutsheet Rev 04.pdf' Page: 1 of 2 02 27 15 ZS for Comp Shingle Cutsheet Rev 04.pdf ..Page: 2 of 2 - i t^'— solar=oo solar=oo SolarEdge Power Optimizer ^n Module Add-On for North America LJOV P300 / P350 / P400 SolarEdge Power Optimizer g f300 P3SO P400 Module Add-On For North America * (for 60cell PV (for 72-cell PV (for 96KeII Pv modules) modules) modulesI 1 P300 / P350 / P400 ° )q ea nput DC Power'1 300 350 400 W ' Absolute Maximum,Input Voltage(Voc at.lowest temperature)._...... .48.. .... ..... ..60.. .._.. ..,. .80.. .... Vdc .......................... .. ................. ....1 0 ....... MPPT Operating Range..........................-.............................$ ..........8 60 8..8.......... ...Vdc..... Maximum Short Circuit Current(Isc) Adc ...........................................................................10................................................ rt n rt Maximum DC Input Current 12.5 Adc Maximum_Efficiency................................................ ....................................99.5 ................................. ...%..... r ICJ ...................... ...... ... Weighted Efficiency 98.8 % .............................................................................................................................................................................. Overvoltage Category II M OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATI NG INVERTER) I, Maximum Output Curren[ 15 Adc .............................................................................................. ........ ............... Maximum Output Voltage - 60 _ Vdc f I OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR.iNVERTER OFF) I Safety Output Voltage per Power Optimizer 1 Vdc ^•�,.,t� ,J ISTANDARD COMPLIANCE W'— EMC FCC Part35 Gass B,IEC61000.6-2,IEC61000-6-3 .................................................................................................IEC6...................................................................... •.� p Safety.......................... ..........IEC62109,1(class II safety),.UL3741................................. ROHS Yes \ _ $INSTALLATION SPECIFICATIONS I Maximum Allowed System Voltage ............................1000 ...............Vdc ........................................................................... ............................ .... Dlmenslons(W zlx H) 141x212z40.5/SSSx8.34x 1S9 mm/In ......8.................................................................... Wel ht(Including ablesl..................................................................................950/21.................................... .Br/fib... . Input Connector MC4/Amphenol/Tyco Output Wire Type/Connector Double Insulated;Amphenol Output Wire Length ....................................................0...q.3:R.......I.......................12/3:9...... ..:..... �h.m ... .............. O eratin Tem .................................................................... .......................................... ProtectionRating........................................................................................IP65/,NEMA4.............................................. Relative Humidity 0-300 % ' ^�xned szcoonoi w�,nmx..sma^w m wm.sxoow�wn,rce.mw.a. Yp PV SYSTEM DESIGN USING A SOLAREDGE' - SINGLE PHASE THREE PHASE THREE PHASE J+ I INVERTER _ 208V 490V 1 PV power optimization at the module-level Minimum stria Len h(PowerO timizers B 10 18 Maximum String Length(Power Optimizers) 25 25 50 - Up to 25%more energy .. .a:x. u.rn.... e...............................................................................................000'....................1275........................ - Superior efficiency(99.5%) Maximum Power per String 5250........................... 6000 12750 W Parallel Stria s of Different Len hs or Orientations Yes - Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading """"""""""""""""""""""""""" '•"'"'..•........................ - Flexible system design for maximum space utilization - Fast installation with a single bolt - Next generation maintenance with module-level monitoring - Module-level voltage shutdown for installer and firefighter safety F;l USA - GERMANY - ITALY - FRANCE - JAPAN - CHINA - ISRAEL - AUSTRALIA www.solaredge.us �.a MECHANICAL SPECIFICATION Format 65.7 in x 39.4 in x 1.57 in(including frame) _ (1670 mm x 1000 mm x 40 mm) 1 Weight 44.09 Ib(20.0 kg) Front Cover 0.13 in(3.2 man)thermally pre-stressed glass o-,-,,,,,, _ with anti-reflection technology Back Cover _ Composite film - __ ^--_, _ `-^ •1f° x �� -��•-*"'��, Frame Black anodized ZEP compatible frame • !-�� Cell 6 x 10 polycrystalline solar cells )unction box Protection class IP67,with bypass diodes (._ ����( Cable - 4 mm-Solar cable;(rj z47.24 in(1200 mm),(.)a47.24 m(1200 Connector Amphenol,Helios H4 OP68) ELECTRICAL CHARACTERISTICS • • 1 , I �y • PERFORMANCE AT STANDARD TEST CONDITIONS(STC:1000 WIm,25•C,AM 1.5G SPECTRUM)' _ I POWER CLASS(+5W/-OW) [W] 255 260 265 Nominal Power- --- - - - _ - P [W] 255- ---_--- 260 T -- - _- - 265 4 - ' L t L • " Short circuit Current � T _ Ia [A] 9.07 -_- 9.15 _ -9.23 Open-Circuit Voltage V. IV] 37.54 37.77 38.01 Cu rem at P� - -- -- -T- 4r. _ [A] -r 8.45 _ 8.53 - _ - 8.62 Voltage atP - -�--^ - _ _VVV- IV] - -._-- 30.18 _--- - - 30.46 - ----- - -30.75 The new Q.PRO,G4/SC is the reliable evergreen for all applications,with - ENicienry(Nominal Power) - __~q [%] -'- _ a15.3 -_-^- - 2:15.6 - _ -- - a15.9 a black Zep CompatibleTM frame design for improved aesthetics, opts- PERFORMANCE AT NORMAL OPERATING CELL TEMPERATURE(NOCT:800 WW,45 s 3•C.AM I.5G SPECTRUMF mized material usage and increased safety.The 40,solar module genera- I POWER CLASS(+5W/-OW)__i _ ]w] 255 V 260 265 tion from Q CELLS has been optimised across the board: improved output Nominal Power _ _, _ P. [W] _ -� -� 188.3 - _ _192.0_T - 195.7 Short Circuit Current I,r [A] 7.31 7.38 7.44 yield, higher operating reliability and durability,quicker installation and Open Circuit Voltage Va IV] 34.95 35.16 35.38 more intelligent design. Curent atP•, _ Iw [A] - - -'- 6.61 _ - _6.68 _ - E75 t Voltage at Pe, --- t - _ _ Vw - IV] - - _-V_ 28.48 _-_ - - 28.75 -.^�- - 29.01 'Measurement tolerances STC:t3%(P,d;t 10%(1.,V-,1„w,Vim) 'Measurement tolerances NOCT:t5%(P„�;x 10%0I,V-,I,,,w,Vim) INNOVATIVE ALL-WEATHER TECHNOLOGY PROFIT-INCREASING GLASS TECHNOLOGY OCELLS PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE •Maximum yields with excellent low-light •Reduction of light reflection by 50%, . - N • -cmu At least 97%o(nominal power during �'• --r--r�-+r---�-r-r-,--,--i--+ and temperature behaviour. plus long-term corrosion resistance due x .�.�.-.-- first year.Thereafter max.0.6%degra .rm__ , ---- - - ' --------------- Athos per year. •Certified fully resistant to level 5 salt fog to high-quality e� At least 92%otnominal power after � • __�__�__�__�_�__�__�__�__� AA IO years. •Sol-Gel roller coating processing. ig:� ................... At lent 83%of nominal power after ENDURING HIGH PERFORMANCE 2 25years. •Long-term Yield Security due to Anti EXTENDED WARRANTIES I All data within measurement tolerances. Full warranties in accordance with the PID Technology',Hot-Spot Protect, •Investment security due to12-year warranty terms of the Q CELLS sales m xo m ruxouxcE(ww) and Traceable QualityTra.Qlm. product warranty and 25-ear linear • organisation of your respective country. p ty Y The typical change in module efficiency at an irradiance of 200 W/mx in relation Long-term stability due to VDE Quality performance warranty2. .� �• �--�'• ""P5 to 1000W/m'(both at 25•C and AM l.5G spectrum)is-2%(relative). ram,.,.,°,.�..�a,.�. � g Tested-the strictest test program. TEMPERATURE COEFFICIENTS(AT 1000W/M',25°C,AM 1.5G SPECTRUM) QCELLS Temperature Coefficient of 1. a y[%/K] +0.04 Temperature Coefficient a1 V� [%/K] 0.30 SAFE ELECTRONICS �TOPBRAND-PV Temperature Coefficient of P_ Y V[%/K] - -0.41 NOCT [°F] 113 t 5.4(45 t 3°C) H •Protection against short circuits and .,, "PROPERTIES 1 DESIGN thermally induced power losses due to 2015 Maximum system voltage V° IV] 1000(IEC)/1000(UL) Safety Class - ,_ II _ c Maximum Series Fuse Rating [A OC] 20 Fire Rating C/TYPE 1 breathable junction box and welded99 _ __ _ __ cables. Max Load(UW [lbs/ff'1 T 50(2400 Pa) Permitted module temperature i -40°F up to+185°F on corrtinuaus duty (-40°C up to+85°C) M Phntnn. t load Rating(ULF [Ibs/ft21 50(2400 Pa) 'see installation manual Ouallty 7estod GEEIIt QUALIFICATIONS 1 CERTIFICATES PACKAGING INFORMATIONY • �'+r-wwro eex oofycryxhlllm �°i Os•v°s0O1 xoWr maauta xel] �'•�+ owom xn UL 1703;VDE Quality Tested;CE<emplianl: Number of Modules per Pallet_ _ _ 26 ID.40032587 5 THE IDEAL SOLUTION FOR: IEC 61215(Ed.2);IEC 61730(Ed.l)application classA 101"""' Number of Pallets per 53'Container 32 �� r- �e"414o .a4 �„ Number of Pallets per 40'Container 26 moo arrays of OMPq C $�® - - a residential buildings �On. 6 )7/ D E c,,,,,us , - • Pallet Dimensions(L x W x H) 68.7 in x 45.0 in x 46.0 in yi h <n •,m c'oNehc° (1745 x 1145 x 1170 ram) .a v+ Pallet Weight _ _ ----. _`J - __1254 1b(569 kg)7 APT test conditions:Cells at-1000V against grounded,with conductive metal foil covered module surface, �Z. ;" NOTE:Installation instructions must be followed.See the installation and operating manual or contact our technical service department for further information on approved installation and use of _ 25°C,168 h OMPp this product.Warranty vaid if non-ZEP-certified hardware is attached to groove in module frame. - ' See data sheet on rear for further information. Hanwha O CELLS USA Corp. 300 Spectrum Center Drive,Suite 1250,Irvine,CA 92618,USA I TEL+1 949 748 59 96 1 EMAIL gcells-usa9gtells.com I WEB wvw.q<ells.us Engineered in Germany Q CELLS Engineered in Germany OCELLS - o solar a r=ee Single Phase Inverters for North America soIa r SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ SE7600A-US/SE10000A-US/SE11400A-US SE3000A-US SE380OA-US SESOOOA-US SE6000A-US SE760OA-US SE10000A-US SE1140OA-US OUTPUT ! _ 9980 @ 208V SolarEdge Single Phase Inverters Nominal AC Power Output 3000 3800 so00 6000 7600 .. 00 00 ,�,1p 240y. 11400 VA Max AC Power Output 3300 4150 5400 @ 208V 6000 8350 10800 @ 208V 12000 VA For North America .... . .. ... ......... 5450 AC .@240V. ,10950•�240V Outp put Voltage Min:Nom.Max.' 183-208-229 Vac ... ................ .................. .................. ........... Outp SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ ... .. ............................. ................ ............... ................. ............. AC Output Voltage Min:Nom:Max.t'I � � � � � � � 01 SE760OA-US/SE10000A-US/SE1140OA-US 240-264Vac AC ............... .. .............. ............ . .... .... ..... . .. .. ......... ................ .... ............. ................ AC Frequency Min.:Nom:Max.l'I.• 59.3-60-60.5(with HI country setting 57-60-60.5) Hz Max ConhnuousOutput Current........ .....1..5 ... I .....16 ..I...21.(,1°.240y.. ......25.......I.......3?.......I... @240V... '*....47......... ........... -GFDI Threshold 1 A Utility Monitoring;Islanding Protection,Country Configurable Thresholds Yes Yes w (INPUT ! �°'vertep L Maximum DC Power(STC) 4050 5100 6750 8100 10250 13500 15350 W fro ef5•11�b Transformer-less,Ungrounded Yes - _.,...�mMax.Input Voltage................... .......................................... .... ......500......................................................... ...Vdc... ....... .. ......... . .. .. .. Nom.DClnp......a................. ............ ........... 325@208V/350@240V ...•.•...,,,,. .Vdc.--- .. .. . .. .. .. .... Max.Input CurrenN'I................... ......9.5......I......13......I.15,5 @ 208V I.......18.......I.......23.......I..035 @ 240V.. ......34.5 Adc T, Max.Input Short Circuit Current 45 Adc - ........................................... ................................................................................:......................................... ........... - Reverse-Polarity Protection ..........................................................Yes Ground-Fault Isolation Detection 600ko Sensitivity - _ Maximum Inverter Efficiency.......... .....97:�.... ...98Z I.97. @ 240V.I.....98.3......1......98....... ...97 @ 208V...I.......95........ ....�..... '• CEC Weighted Efficiency 97.5 98 97.5 97.5 97.5 % . ............ 975•�la•240V.. ( Nighttime Power Consumption <2.5 <4 W I ADDITIONAL FEATURES I Supported Communication Interfaces RS485.RS232,.Ethernet,ZigB.ee(optional) .Revenue Grade Data,ANSIC12.1. OptionaP'I....... . •..•.•••......... . ....••......•,...... ----..-.. ..................... ................. ......... ......... ....... .............. ............................................ .. .. d Rapid Shutdown-NEC 2014 690.12 Functionality enabled when SolarEdge rapid shutdown kit is installed' STANDARD COMPLIANCE -7 Safety ........................................ :CSA22.2 ........................................... . . ......................................... ........... Grid Connection Standards IEEE1547 - - Emissions FCC partly class B 1 R i INSTALLATION SPECIFICATIONS - 1 AC output conduit size/AWG ran a 3/4'minimum/16-6 AWG 3/4"minimum/8-3 AWG '.. .output c ...t si ....... .... ............................... .................................................... ..................................... ........... DC input conduit size/#of strings 3/4 / 3/4"minimum/1-2 strings/ "minimum/1-2 strings/16-6 AWG - AWG rang@........................... ... i!1 6 AWG ( - - Dimensions with Safety Switch 30.5 x 12.5 x 10.5/ in/ j y 30.5x 12.S x 7.2/775 x 315 x 184 .(HxWxD)......•••.. 775 x 315 x 260 mm - ..................... ................................ ................................................... ........... ......................... ........... t Weight with Safety Switch............. ............1.2/23:...........I...................54.7124.7... ................ ............88:4/40.1............ .lb/.kg... Natural . ���------�9-- convection Cooling Natural Convection and internal Fans(user replaceable) fan(user The best choice for SolarEdge enabled systems rloise................................... ...............................<.is................;.............. .w.lageat}le). . <5o dBA ................................... ................................................................... ...................................................... ........... - Integrated arc fault protection(Type 1)for NEC 2011690.11 compliance Min:Max.Operating Temperature -13 to+140/.25 to+60(-40 to+60 version available(n) 'F/'C — Superior efficiency(98%) Range................................... . ......................................................................................................................... ........... Protection Rating NEMA 3R — Small,lightweight and eas to install on provided bracket w......................................... ................................................... ........................................................ ........... v p For other regional settings please contact SolarEdge support. 14 A higher current source may be used;the inverter will limit its input current to the values stated. — Built-in module-level monitoring pl Revenue grade Inverter PIN:SE—A-USOOONNR2(for 760OW Imen-SE7600A-1.15002NNR2). M Rapid shutdown kit PIN:SE1000-1150-Sl. — Internet connection through Ethernet or Wireless W40 version PIN:SE.—A-US000NNU4(for 760OW invert-SE7600A-US002NN1.14). — Outdoor and indoor installation — Fixed voltage inverter,DC/AC conversion only — Pre-assembled Safety Switch for faster installation — Optional—revenue grade data,ANSI C12.1 sunsoERoHS USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-ISRAEL W W W.sOlaredge.US F ' S7 x _ � P I 5} - IX 1 5 • 9O. C t 5 L r _ 17 ' • f /� LA 9 u � I ® � I i � I � ' I tn -x i I C J V (`J v m ' 0 ,� 14`ay Ix Lj Eli I V'UA d r4- to er_ { 9 C7 LT �' d Lr cr �- 0tp I Cl 'K � � f O � - a Ci d.�