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0361 COTUIT BAY DRIVE
��� � �� � � � ,. _.,o.,._.^*..nM.».;.�:-^R,-+�+.,rn..m,..�.e+�.-��r+�...n:.,..,,,.,�--r. �...� ,..�.^__'r++r�v�,Tr'.'Tfi�,.r+,t!?'?�-�„m��..x,.r.er�.y!'P"A'arn,�tr`"�:�:+.^ ;W�-�a6 rw..k.�,�'i+�=��-,..-+bJ?'�?9x�,.;�'R..,a,-:,ac3� siy-94 � -�.Te.*-�++�t -;r�.�w�..�^--�^^��. *+�'t rc�--. ' s Y 1 e i j i 'e r 1 „� 1 .� ;i i ,1 l i� `I ,� { .I ..._ } � 3 �` _ `� � f�• f ��' r � vs�}� �. c 'J�. JJr 1' fr�, © �� 5� � o�; �� c�, �� /��� '� `�(// V . w e� �Kr� T .. ki M� M� ��` t �L„r �. L, t T �7 rE TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 6 Application # Health Division Date Issued 8Vl Conservation Division �d/NG p�PT Application F "/ 60 Planning Dept. AUG 03?O Permit Fee Date Definitive Plan Approved by Planning Board TO WA,A46 Historic - OKH Preservation/ Hyannis ARNSTAB(E 54 p �n AcZC.. J Project Street Address S(o L C� rJP 4 Or Village &A Owner , ��►� -t toln _V\V\1 S' Address �!o ��`�' �� 0I Telephone S OR -++(,p S433 Permit Request - �4;CDOYVI SAin4 COQWI i Square feet: 1 st floor: existing proposed 2nd floor: existing VDWoposed Total new Zoning District VeGS& ` CL� Flood Plain Groundwater Overlay Project Valuation 0 1 0 K Construction TypeyV2 e*S--'vIl l 04RroCvh 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's Highway: ❑Yes &No Basement Type: S 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 M 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 (BUILDER OR HOMEOWNER) Name S 0 bVY6 6Telephone Number, 5 DR Wa j q(, 0 Address O l t� I Li ense # (a (D o23(0 amlelp� 1 Jf 4A7 V Home Improvement Contractor# Email AQ 00 ia Yf r S &W WU6 - IJZ Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO is �1` w SIGNATURE DATE g' a► ' I Io {a l f1 1 ' Utz FOR OFFICIAL USE ONLY a APPLICATION # F DATE ISSUED MAP/ PARCEL NO. • ADDRESS VILLAGE OWNER- DATE OF INSPECTION: FOUNDATION f- FRAME s� INSULATION i, s FIREPLACE ` ELECTRICAL: ROUGH FINAL i. PLUMBING: ROUGH FINAL GAS: ROUGH FINAL y FINAL BUILDING f _ DATE CLOSED OUT ASSOCIATION PLAN NO. ;z r r i it jr A WC Guide to Woad Comm- r-ac#ari in H;g-14 Wm- d flreas:I Z 0 arph ff"h7d Zane - Massachusetts Checkhgt for ComoinC8 CMO ChIR 530 L2.L.l)' - - 1-1 SCOPE. - V&d Speed V-se¢9LM*- -_ 110 mph Wind Exprostue Category B -.F�gineetngRequ �nje 1.Z APPLICABILITY •Nuttiber of Stones(a i'oofwlvci'i exceeds B iri tZ sl0•pE Shax be-consdered a story)- . .stories S 2 stories - - - -- - Roof Fitch .— (Fig 2) - Mean Roof Height -- (Fig 2) _ft 5 3T Building Width,W I (Fig 3) Bruldrr?g Length,L - _ (Fig 3) _$_�BD' BrAding Aspect Ratio (Fig 4) Nominal Height of Tallest Dparfin Z _ (Fig 4) 5 6'B' 13 FRAMW G COIdN1=CTI NS General compliance with fim-rd g connections 2.1 FOUNDATIDFI Foundation Walls meefitg regttb=erts of 7BD CMR 5404.1 ConcrEge _._.._.---•--..�_.--- .- •------•-----..__.____. ..-----•-----..�_._.____ Conte Masonry_.---- - 2-2 ANcHORA E TO FDUNDATIONL3. 5!8`Anchor Bi3b ttbedded or M'Proprietary Mechanical Anchors as an alfernafive in mncrefe only BoltSpacirtg-general._. __._.�-_.._- (Table 4) in. Bolt SFacuig from ergVj d of plate (Fig 5) in._<6`-1 Z'. _ Bolt Embedment-mncreL- (Fig h;-.r Bolt Embedment-masonry _ (Fig 5) ' -- frL_>15, . Plate Washer. (Fig 5) 3'x 3'x Y, 3_1 FL.00RS Floorfiarning member spans dterled (pis 7B0 CMR Chapter 55) " Maximum FoorOpening Dimension (Fug 6) Full I-jefght Wall Studs at Floor D•penings less titan 2!from Exb_-dor Wan(Fig 6)-.:____.____.,�_..� ...__.. . Mkdrnirin Floor Joist Se9mcks Suppoitng L oadbearing Waifs or Sheanvall_ (Fg,7) Maximum Cantilevered Floor JorsLs , SupportV Lbadbearmg Walls Dr ShearvraIl--(Fig 8) _ft s d -FloorEracing at End►VMIIL____ (Fig 9)- . Floor ShealfiingType -(per7B0 CMR Chapter 55) Floor Sheathing Thicimess -(per 780 CMR Chapter 55)._____ in- Floor Sheathing Fastening_ - - (Cable 2)_ d nails at in edge!_infield , 4.f WALLS _ Wan HLaadbearing ueLft F9.10 and Table 5) •_ft 510' . Nair i.oadbearIn9 walls- (Fig 10 and Table 5) _ft-s 2D' Wall Stied Sparing ___. (Fg 10 and Table 5) _fn s 2 aM _ Wax Sinty mefs (Figs 7&B) _ft S d ' 4.2 tz>C�I DR WAL& . Wood Studs . Loadbaming s Non-Loadbearing walls._- _ _(Table 5) _ 2)c -_ft_h. Gable End Wan Bracing t _ Fun Height Endwall Studs —.(Fig 1 D) WSP•Affic Floor Length {Fg 11) _ ft 2m . 'Gypsum Caring Lengfft CIF WSP not M "Fig 11) _ft D_9W and Z x4 Corfirnrous Kral Brace L 6 ft ae_(Fig or 1 x 3 csTmg furring strips @ 1 s'spacing•min_wit 2 x 4 blocking @ 4 ft.spacing in end}Dist or truss bays D�Tm engi (Fig 13and Table 6) _ft _ SpTir~Connection(no:of 16d m6r=nails}' f fable 6) _ F • f AF:vCGuide to Wood CarrstwCdarr is Higfl gridAr'eas: 110 mph Wrrd Zone ' ' - Massachusetts Checklist for CompXance goo G7,t-TRs3ol L r_W LDadbeaaing Wall Connections - Lateral (na.of 15d common nails) (Tables 7) _. - Nor-[isdbearing Wan CDnnecSDns - Lak al(nn.Df 16d=nmon nails) (Table B) — Lc ad Bearing Wan Openings(record largest opening but aha�k all openings fnr cminpliance b`fable 9) Header Spam (Table 9) _ft—in.511' SA Plate Spans (Table 9) _ff—in.5s Fug Height Mds (nix of-st ifs) (fable 9)— ._. Non-Le ring Wag Openings(record largest opaNng bUt c heolc an openings for cam im Bla p&a m to Table 9) Header Spans----- (Table 9) —ft, in.5 lz Sill Plate Spares.-. - _ (Table 9) —ft—in.s 12' Fun Height Studs(no.of studs) (Table 9) - IdtiorWan Shea ping to Resist Upld't and Shea[Simutianeausfy - - hanimurn Bulking Dimension,W . NDar'¢rpl Height of Tallest Dpeningz ... ' Sheathing T;pe (note�1 Edge Nail Spacing (Table 10 or note 4 ff less) ire Field Nag Spacing— - (Table 10) in. Shear Connecion(no-of 16d common nails)(Tabla 1 D)_ - — --- PenmrrtFull-Height•Sheaffiing. " (Table 1D) 5°16 Addr3orral Sheathing for Wall wffh Opening>.6'&"(Design Concepfs) Mmdrm,an Bi Ldmg Dimension,L . NDmhal Height ofTallestOpening�—_,____.�------_----.-.....----------- -:=558' Sheaffring Type- (note 4)__ T • Edge Nail Spacing- (Table 11 or nob-4 if less) Field Nail Spacing (Table 11) m- Shear Connection(no. of 16d camman nails)(Table 11)-. _ Peramt Full-Height St>eathfng (Table 11) —_% 5%Addtir anal Sheathing for Wall wfth'Opening>6'B'(Design Concepts) - W4 Cladding Rated ibr Wind Speed? - - �1 RooFs - RDoffrarning member spans chedo d? (ForRafb�rs use AWC Span TpDL see BBRS Websife) kDDf Overhang -- ---(Figure 19)— ft 5 smaller of 2:Dr U3 Truss or Rafter Cannections at LDadbearing Wags = Proprietary Connectors _ UpEt — (Table 12)_ j U= plf Lateral (Table 12)_ -1= plf Shear )Table 12) S= -PtF. - Ridge Strap Connections,if collar yes not used per page 21._ (Table 13) plf - - Gable Rake OutloDker (Figure 2D)._...—_ ft 5 smaller of Z or LIZ Truss or Rafter Conneaflons at NDn-LDadbearing Walls Propriefary Connecbrs ' Uplift - (Table 14) Lj= lb. Lateral(no.of 16d common nails)-(Table 14)__.-__-.-._______..___...-L= . lb. . Roof Sheaffiiiig Type (pet7BD CMR Chapters 53 and 59) Roof�SfieafhHig Thickness_ —itt_>TI16'WSP RDof Sheathing Fasieemg (Table 2j — NDte� t. • This duedd<st shag be met in ifs entirety,ex:ludmg ffre specTic ercepfion noted in 2, to camply wf h the requkments of TBQ GMR-530121.1 Item 1. If the cheddu_st is met in rls entirety then the Mmvmg metal straps and hold downs are not required per the WFCNI 110 mph Guide: - - a. St�I Steps Per Frgtpe 5 _ . b. 2b Gage Staps per Figure 11 Upmt Straps per Figure 14 d AU Straps per Figure 17 e. Garner 5�d Hold Downs per Figum 1Sa and Figure lab j 2. 'E*=epgorr Opening heights Dfup.to B fL shaft be permrlad when 5%is added to tha percent fiAl-height sheathing requirernenfs shim in Tables 10 and 11. 3` The bDtiDm stl{plate in exfEidDrwalls shag be a muirnum 2 h nDmh-oi Uckness pnesstre #2-glade; . AFF'C Guide to Xbod Conr6-=6or7 zrr KrcdAreas_ IID MpIr 1-77'adz0ae Massachusetts Cheer for Compliance(isle Cir1:lts3ol?I'1)r 4. - - - a. From Tables i D and 11 and locaf=of wall sheathing and Balding kqg Flo,de WmAne Percept Futl-Heighf Sheaffhing and NA Spacing n_quirmMsts . b. Woad Structural Panels shall be minhum thldahess of 7116"and be installed as follows: - - L Panels shall be inslaAed W5 st=gth ass parallel b study - I All horhntal johis shall o=r over and be waled to framing r3L On single stnty canstruc5oN panels shall be a$achad to bottom plates and bp.inember Df$he double -- - --- — Pt — -- -- - -- ----- -:—-- - _ ------.—.-----'---'--..._. ..._P►r Dn two.sb:)ry=nstwc:Son,-upper-panelk-shaffbe affadW tolhd top mernber of-fhs upper doubletop-- --'-- plate and to band joist at bottom of panel.Upper attadunent of lower panel shall be made to band joist and lower attachment made to lowest plats at fast tioDrftmiag. V. Horimntal nal spacing at double tap plaits, band joists,and girders shaq-be a double row of ad staggered at 3 inches on mrder per figures below:Ver6cal.and Horimntal NwThng for Panel Aftachment 5. C-I& ►g pr ota�a)hew house or horimntd adMDn-required if projettis 1 mile or doser to shore(generally,south of Rte.28 or north of R e 6) b)verdcal addition-not requhzd uriless them Is e)dmivd mnova5on to.the first floor c)replammentkidows-needs energy conswvation cDmpfrancce only(chap 93) B.Wood Frame Consirudion Manual(WFCM)for 110 MPH, Exposure B may be obtained from the Amerilin Wood counm (AWt)wehsi�. V ' - rrss=sa urn • u 1 ' - 4 Ll - Il 11 . 1( ti •r' Q L ti II I. r � 1 . i l 11l� Q I t, It H• l• I 1 n l►r- { r - • - o t sr }r Ii • �.. 21 l�Q ' 1ZI It 1 .. it m rt I tI I A. Ut MEMBERS kt} Cl 1 I 11 ll t I, tl t l l I t rl -x SIT rA See Daly on Nexi Page - - Ve�tical and HDrizorTW NarTing , VerfG3l end lforimiW Na-lrnv _ for Panel AN d1u =t for Panel Affscl>MBr it ' 7 27m CoI3 mol'lweah*of Massad1usd& Department afludust7id Acc de!'Its Ik Orke of IM arti=S qJ 600 Washui!g on Shwet Boston,MA 02M tvrvla�mas�gov�dia Workers' CumpensationInsmrmce Afffi#avit-Beers(Conb=tm-&IEd r«nstP hers Applicant Infm=.afflau Pease Print v Address~ SO UO d v cxtg/st�t PhWne--,u-- (a D Are you an employer?Check the appropriate be= Type of project(required): 1.❑ I am a employer with 4. M I am a general coaizsctor and I employees(fall and/or part�ime}. * lydve hired Me sub-coutmctors 6- ❑New eonstacfion 2.❑ I am a sale propri4or orpartuer- Iisted onthe attffched sheet; 7. ❑Remodeling slrip and have no employees . These sub-contractors have g- ❑Demolition wa ddrig for mein any capacity. employees and have workers' [No wod=m'comp.instraance cam-Em -Ance I 9. ❑Building addifion regntred] 5- ❑ We are a corporafion and its 1ik❑Electdcal repairs or ad�ns officers have exercised dzir 3.❑ I onto bameaumer doing all work 1L❑Plumbing repairs or add<tiems ' myself[Na worms'o mp- Tight of emernpEon per MM 1—El Roofrepairs im-ura+ce reqaired.]i c.152, §1(4h and we haute no employees.[Nowodress' 13.❑Other cam.insma=e revired] 'dayapplresv�B�atcbec�sbosA— also M out the section below sbavdw_ibeirwmkerecomp2'mtimpoyeyinarmaCi=- #HOII]EDalae6 wLn submit dIIS aflidacrf i-r-atiag dw are dohig all Wc*anti then hire Out>!&contmce=mmst Sahaelt a new affidavit iai—ia such- ICaat oa$rst check thu 6tnt mast attechea as additional shed slowing tbename of the sob-c a noel state what m ar not/base entities bum employees.Iftbesub-coatsdarshaceemgTofee.%&eYamstpmi&theu tsnrka,-3LP•PGIiCfM � I am art Below is tfte policy and job site fnfot-nration. Iasurance company Dame: 'Policy l4 or Self-im Lic.t EspirationDate: Job Rte Address: city/Staw�,sp: Attach a copy of the workers'compensationpolicy declaration page(showing the policy-number and expiration date). Failare to secure-eovetage as requireduudes Setting 25A o€MQ.m 152 caa lead to the imposition of crirnhial petraltses of a fine up to$1,50a Ua and/or one-gear imprisonmed,as well as civil penalties is the fay of a SIUP WORK ORDER and a fine of up to$250-00 a dap against the violator. 3e adcdsed did a copy of this statement maybe hrwarded to the Office of Irrvesttabions ofl3re DIA for insummee coverage verification- I do her-aby csrt�aifynr ndw the pains and paud hks afperj aq mat trio atforraatfon pr a ided abmw h(rang and carrect Signature- Date- :Z 'l�o Phone;F so R. y y-( T� Offirid arse o nly. Do not write in dins area,to be completed by city artow n o,,&iat City or Town: PermitUcense; Issuing Aufixority(drde one): L Baard of Healt€a r.Buildmi g Dcltartment 3.CityltTosra Clerk 4L Electrical Inspectar S.Phunbing Iaspecter 6.Other Contact Person phone 9: i Information and lastruc-ions ' ' to workeas'capensation far fheir=ployees. Massar�setfs Ge3�eaal Laws I52 recjoses all employers provide . pMMUnf7tD this StStabe,an en?&Yr-_is dcf ned as¢every Parson m that seavi cat of another IInder mry co3±rad ofhire, �or impli ect oral 0r written." An e np&yer is defined as-an iaU ideal,per,associ�on,anpoir an or other legal Cony,or any two or more of fi�regom engaged m a Joint e�cprlse,�inch�g the,legal�ese�aizves of a deceased employer,or See receiver or trustee of an individual,partnership,association or otherlegal emtiiyy,employing employees. ](owevez that owner of a.dweIIing house having not more than three alarm merds and who resides therein,or the occagant of the - dweIInzg house of anoher who employs pmsaw to do make,construcdon or repair woIk on such dwelling house or on.the grounds or building appurh=znt thereto shall not because of such employment be deemed to be an employer-" MGL chapter 152,§25C(6)also stags that`every state or local Hcensmg agency shall wAhold fhe issuance or renewal of a license or permit to operate a business or to construe b�dings in the commonwealih for any zpplicant who has not produced acceptable evidence of compTrance with the iris r ce.coverage required. Additionally,MGL chapter 152, §25C(7)stars-Neif m the conimumweahh nor ray ofits political subdivisions shall enter into any contract for the pe f irm.anee ofpnblic work moil,acceptable evidence of compliance with the insuraaee.. reqiirenients of this chapter have been presented b the contracting authority" Please fal 0-c± ffie,wori=s'compensation affidavit completely,byche& g&0boxes that apply to your sitnafion and,if necessary,supply sub-contractors)na ne(s), address(es)and phone mnnbea(s) along whiz their=tificate(s)of insurance. Limited Liability Companies(LI.C)or LmatsdLiabi-lityPatfmsbtgs.(LU)withno employees other thanthe me=bets or parta=sy are not rbgmmmd to carry workers' campensafim insmance. If an LLC or LLP does have employees,a policy is regmtiied. lie advised that this afd&yk may be submitted to the Department of Industrial Accidents for confirmation of insm'ance coverage Also be sure to sigh and date the affidavit The affidavit should be retD=ed to the city or town that the application for the permit or license is being rcquestE not the Department of ; indastialArzidmIsL Should you have any questions regarding the law or if you are required to obtain a woziaas' compensaloz policy,please call the Department at the m=bez listed below. Self-ins red companies should enter their self-h3 ME cat license nMMber an the appioPL ate aa- City or Town OfUcials f Please be sine that the affidavit is complete and primed legibly- The Department has provided a space at.the both= of the affidavit for you to fM out m the event the Office of7nvesfigalions has to contact you regarding the applicant Pleas a be sure to f E[l in the pe�>f'/licrose mm3hm which will be used as a rufe<reace nilmbcr. In.addition,an applicant that must subnut muhiple pennitllicense apphb&ons in any given year,need only submit one affidavit indicating cmr mt olicy information(if necessary)and Linder`Job Site Address"the applicant should write"all locations in (city or p town)-A copy of that affidavit that has bey officially stamped or maiked by the city or town may be provided to the ' applicant as proof that a valid affidavit is on file for fufm a permits or licenses. A new affidavit zml st be fMed out each year.Where a home owner or citizen is obtaining a license or permit not related to any busfi=s or commercial venture (Le.a dog license or permit to bum leaves eta.)said person is NOT rcqaired to complete this affidavit The Office of luvcsdgzfi=would bleat to thank you in advance for your cooperation and should you have any gaes'tions, please do not hesitate to give is a call The Depaitme nfs address,telephone and fax rramber �c}f Iad�izzal A�d�nts t�4� n Stream Bwtw.MA Oil 11 Te-L.4 61 71- -49W Q�ft 4€6 Qr 1-977 IAA SSA Fax ff 617-727'74 Revised 4-24-07g Town of Barnstable Regulatory Services dF Richard V.Scali, Director Building Division Paul Roma,Building Commissioner MABEL � 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION n , Z /1P Please Print DATE: X JOB LOCATION: villagenumber "HOMEOWNER": s -{ Lai UVI,r is S yII 7 7� s 44-33 5 0 r g1l gS9D name /i home phone# work phone# CURRENT MAILING ADDRESS: Z, ?to l�O (>I�-F 6" 0 r _ �o`�-c�r`� �/V)tR Dom? (� ;3�✓ city/town 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. 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 buildingpermit (Section 109.1.1) The undersigned"homeowner"assumes 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 minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Sif Homeowner Approval of Building Official I 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 exempf 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 to amend and adopt such a form/certification for use in your community. Town of Barnstable' Regulatory Services ` Richard V.Scali,Director. 39. Building Division Paul Roma,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 application for: (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 Owner Signature of Applicant Print Name Print Name Date QTORMS:OWNERPERMISSIONPOOLs Assessor' ma and lot number — c* Toy � p ............................................ -...G.,-.s. .,-..... _... „,,...ti h THE � r�q N. � Sewage Permit number //.: .� .............�.. ... SNOIlv1f1J311:11 N GNV 30001VIN3VYN IDLE, House number a 5 31111 Hill °°,o,1639- �e CEO MAI10 a' TOWN OF BARN'S�1 ' 1 SAS311d3S BUILDING. INSPECTOR APPLICATIONFOR PERMIT TO ............................................................................................................................. TYPEOF CONSTRUCTION ........................................................................................:............................................ ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .................3�.�............... t.�?.) ....�1..!....!.... �?l. ........ 5? ?..4?......................................................... Proposed Use ...1.1V CaRQ.y.Alb........S.1�J.� .h��.?�l.�i..... o L................................................................................... Zoning District .............:"** *"Fire District A� � C Name of Owner ....... or�A.t- ........C.OL)N ..Address .3�.................... ... .`�.�. r....'%A -1 Rw� r .................... �tyD WJ �•st�1\"<E CCs 11UC r �\C �) QLl 1�� �o, iLl�ti 1 CA Name of Builder .......... .......................................................Address ...V............. ..............C.........1................................. . .Nome of Architect ..................................................................Address .................................................................................... Numberof Rooms ....................................... *........................Foundation ............................................................................... Exterior ...........Roofing. ......................................................................... ..................................................................................... Floors .................................:..`!:'........Interior ............... Heating .....:......................-......................................... Plumbing Fireplace ..................................................................................Approximate Cost .............1....................................................... Definitive Plan Approved by Planning Board -----------_______-----------19_______ . Area ....................... .. .. Diagram of Lot and Building with Dimensions Fee / SUBJECT TO �PPROVAL OFOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Tow of Barnstable regarding the above construction. Na ............................. .......................................... _777--, MacDONALD, COLIN Permit for ..Swimming•..P.00.1 ...to...D.Welllng.................. Location .3.61...Catult.-Bay...D.r.d.-va.......... . ................C.Q.tu_it............................................... Owner '...C.olin.-MacDonald....................... Type of Construction .....F-rame........................ ................................................................................ Plot ............................ Lot ................................. Permit•Gr'�nt d May 19, ............ ........ ...............19 80 Vt e VpRec i a n :Y.. 19 at Ir .......... .. Date Completed .................. 19 PERMIT REFUSED ...... .......... 19 ................ .. ........................ ft"n.n............................................... �� ......... NN..:....y............................................. r 1 •i ........... -4 .....1 ..... ......... ............................................. ............................................. < 4 j,Approvecly.......6.A. .............. 19 ............................................................................... ............................................................................... 1 O- 1 OWNS 2 ate' J Co/ln Mc Donald .qr Doy Circle x.' Woburn, Moss. 0180/ i CERT/PIED PLOT PLAN OF'. ,` sd LOT 78 �� �f'�w�-�• .ram . . "co ruI T BA Y SHORES .� IN l certify that the foundation is COTU/T, BARNSTABL E MASS. located as shown hereon and conforms 1b the sideline and setback requirements of Scale /"17 40' October /, 1979 the Town of Barnstable. bOHANNON 4.�4ND SURVEY CO. ` Z P/eosont St.,West Bridgewater, Moss. �-- Registered Land Surveyor o� ry O Town.of Barnstable *Permit b/ QS J Expires 6 m th from iss datf— °� Regulatory Services Fee BARNSfABM MASS. � 1639. a ei Richard V.Scali,Director L PMM'j prEG MA't Building Division . Tom Perry,CBO,Building Commissioner AUG 1 12014 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 TOWN OFSARWABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY S Not Valid without Red X-Press Imprint Map/parcel Number Q ro I 1 Property Address 3 C) 7tri IJ A y I"4I I-P( Cd-►v o A o `T f [LPte"s'idential Value of Work$ >.�� ,��O Minimum fee of$35.00 for work under$6000.00 Owner's Name&Addresses M k, rs ? l a -JyJ VAV ;DQl Vle' Contractor's Ndmep, &1 0 a I f f ti y Telephone Number Y s� ,S 0.:�Y Home Improvement Contractor License#(if applicable) 7(J 9 Email: dJ� -�—e�/�w P►?1�7h r �P Construction Supervisor's License#(if applicable) S- 0 7 J 5 7 ❑Workman's Compensation Insurance R ck one: I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy#' 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) ❑ Re-side Zeplacement Windows/doors/sliders.U-Value r",q (maximum.35)#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 quired. SIGNATURE: czeLi Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 Comrrtortywa *of Uassachus Deparhnent of lardm3fti 1 Accidents 600 Was-hington Street Boston,,MA 02111 wn-m xnass goWdla ',vrketi-s' Campensation.InsurauceAffidavit:Biiilders/,Conh-_cinrslF-IecfricianslPTumbers Ap]aHcianl Infe rwation Please Print:Legibly Name 03usnes-0jpurzalioujaavidua0: b / tl i City/stat�JZip: 1 w) one 4- S_ 0--2 Are you an employer?Check the appropriate box: T "ect (_ . t�cral coni;racttsr and I 3�of�o I r(���: L❑ I am a employer with 4 ❑ I am a�e ti_ ❑New construction Ioyees(hill aE&brpait-time)* havehi''edthe sub-contradors 2. a sofe proprietor or partner- Listed on the attached sheet 7-/gIRe..deliag ship and nay a ton employees emplaThese sob-coatractors have g_ ElDemolifioa wa&ing for-,.in any capacitlr. comp-ins'u��-1 and have workers' g_ ❑Building addition �o.Wo?-?�PSS' comp..isr¢,iranre cam- i = � 5_❑ We are a corporation and its 10-0 Electrical repairs or additions o$icers harm exercised 6ii seerr 1 i�_❑Plumbing airs or additions 3.❑ I am a homeowner doing all wort;_ g rep , nryse f- [No tvorI- rs'comp- right of P\�.tionper MGL L.❑Roof c_ 152, §1(4),and we have,no repairs employees.[No was' 13_❑Other comp-insurance rnquired_j 'Any sng-dcmt d3xt decks boa 41 mast slw fill oia the section below showing then wo3cas'compens&don polio mfbunx iorL HomecwnE s csbo submit this aiudavii iodicsti g mey are iming ]I roc a z�then bug onside contracmrs�sY submit a at-afdarit n 6,rofihi sacli tContac tors fast check this box must sifacheJd an additinnA sheet shocrnng the buan-,of the soft-oont iCtoa and ststE cchei�e[tx noz 5nse sit es have EaTInyets_ Ifthe sob--couti;_,ctms bzve mpIosees,thV must pmvide ih—r workers'comp.pohcg number - -Tan an empioy6-r That is prmidbTg tt orke--rs'corr.rimrurlio.n d job silk infotmaticr. Insurance CompanyName: Policy fr ar Self-ins-Z-icAP. Expiration Date: Job Site:hddi-ess: City/StatelZip_ Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to se=e•coverage as requireduader Sectioa 25A o€It2GL c 152 can lead to the imposition ofcrimmal penalties of a fine up to$1,5OO.OD and/or one-year imprivonment as well as civil penalties in the farm of a STOP WORK ORDMI and a fine of'up.to S250.00 a.day against the violator:- Be advised that a cry of this statement may be forwarded to the Office of Iavestigations of rile DIA for in&n-a ce coverage verifitation_ I dd hereby crrfi,r nder th pis anrlp W. afpedwy di tthe.irzforxatztion prmzdRCd abac a rs.6zts and cvFFscf Sitmature: Bate: 6 Pbtom 0: Official u-se anly. Da rrat sprits in this area,to bs carnpleted by city ar town offlciaL City-or Town: Peradtffiicense# hmuing r' nthority(circle oae}: 1.Baard of HeJth 2.Building Department I CitTiTavM Cleric 4_EIec-trical Inspector S.Plumbing rrispecfor 6.Othtr Coat-cct Persan: Phone#: 6 information and tnstfnctions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto 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 representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. lllowever 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 hereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also steles that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buddvzgs in the commonwealth,or any applicant who has not produced acceptable evidence of compliance with the insurance.coverage requiree;." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political siibdiv isions shall enter into any contract for the per ormance of public work until acceptable evidence of compliance with the irsmanc.e 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,i.f necessary,supply sub-contractors)name(s), address(es)and phone nur_bea(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC) or Limited Liability P erjhims(T_LIP)veil no employees other than tine members or partners, are not required to carry workers' compensation insinonce_ if, an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be s:bnzitted to the Department of Industrial Accidents for confirmation of instnance coverage_ Also be sure to sign and date the aff davit. '11re affidavit sbo ld be returned to the city or town that the application for the permit or license is being requested, not the Dcpai-�ent of Industrial Accidents. Should you rave any questions regarding the lava or if you are required to obtain a-,vrkers' compensation policy,please call i:he Department at the number listed below. Self-insured companies sn.ot>ld enter their self-insurance license number on&4c aapropriate line. City or Town Offiicials 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 ffibe event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/Lcense number which wrU be used as a reference number. In addition, an appL cant that must submit multiple permi(hcense applications in any given year,need only submit one affidavit indicating current policy information (if necessary) and under"Job Site Address-'the applicant should Nvnte"all locations in —_(city or town)."A copy of the affidavit that has been officially stamped or marked by fte city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or Lcenses. A new affidavit must I%aieci out each year_Wbem 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 burn leaves etc.)said person is NOT required to complete this affida;it. The Office of Investigations would lake 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: Ths,-Coto iwm-aIth of Massachiist-as DepaAnLnt of Indust aal Acc,,&nts Office of kvesfiptiari.s 6100 Washington St_Tte, Baston._IMA 02111 Td,A 617 727-4900 W 406 or I-cam?�i 4�SfiF� Revised 4-2 7-07 Fax i' 617-727- iC4 i THE rqy� Town of Barnstable Regulatory Services ysSBLK M . Richard V.Scali,Director 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 I, 6 n as Owner of the subject property hereby authorize �p �/� �� to act on my behalf, in all matters relative to work authorized by this building permit application for. 7 fol ,. �- /� I v (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. Igna e Owner Signature of Applicant Vic. r-rn-.nt Name Print Name Date QTORM&O WNERPERMISSIONPOOLS Town of Barnstable Regulatory Services _ ��oF rOtyy Richard V.Scali,Director Building Division r saxxsTpRTLF Tom Perry,Building Commissioner asnss. 9� 1619. 200 Main Street, Hyannis,MA 02601 ATEDA www.town.barnstablema.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: j JOB LOCATION: number sheet village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRFSS: city/town 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. 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 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 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 persons)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. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 Massachusetts.-Department of Public Safety Board of Building Regulations and Standards Construction Supervisor: License: CS-073547' DAVID W COLLWS - •,,. : . .20 PICCADILLY.RD'UE ; SANDWICH MA=0256 i Expiration Commissioner 12/07/2014 e ar�vrna�zcuecr o�C�aaaac/ccoeC/d i. Office of ConsumerAffairs&Business Regulation OME IMPROVEMENT CONTRACTOR i — >," egistration: \1� 8799 Type . It}dy", 1 -- S Expiration:=5%20Z2Q15 Individual • David Collins 1 ; David Collins 20 PICCADILLY RD ..Sandwich-, MA 02563 Undersecretary t B License or registration valid for individul use only before the expiration date. If found return to: Office of Consuiner Affairs and Business Regulation j 10 Park Plaza-Suite 5170 Boston,MA 02116 - I . I Not va d without signature - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Lf Map Parcel ?pprication # i Health Division Date Issued 4 Conservation Division Application Fee Planning Dept. Permit Fee �� • � Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 1 M-fU, + 90LU Dri y(° Village 60htj7 Owner S hah I q� cnn i S Address 3&_J-00fUA 1, ' &M Dr-i Telephone /(0- 5g33 Permit Request l n s4ea l ,Solar Ekc t ic, Pant_A 5 an rmf d F ex-I s it hq h �4-D Ire wikrrp WiA horned Africa-1 dysklrn, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new I Zoning District Flood Plain Groundwater Overlay Project Valuation 13140Q 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 0 No On Old King s Highway' ]Yews+ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq:ft) Nj a Number of Baths: Full: existing new Half: existing -new =� Number of Bedrooms: existing _new 3 Total Room Count (not including baths): existing new First Floor Room Count) 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 A No If yes, site plan review # Current Use Il0 id9o (J Proposed Use d e_6LAe 'VH0 O APPLICANT INFORMATION � �� � //11 (BUILDER OR HOMEOWNER) Name S6AatL��11i*A l.bm Telephone Number n94'(Z8 91 LQ lq?2915_q3W Address n0alai 1 Dc bAQ ON(+ 0 License # (A588'`T 1 ' \0T\\0=' MA onz5Q Home Improvement Contractor# I(o95 of Q,MCgM " SDWQAJ -COO Worker's Compensation # "19�D9,0012LO5023 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO_F=QMS Ou,YWS & 3D&-• 24 <S+, rYlaftin Dr. BIAS Onifll ► bj lbor3� M 01-M2 SIGNATURE i DATE I11<1 FOR OFFICIAL USE ONLY , _ APPLICATION# M BATE ISSUED _ MAP/PARCEL NO. ADDRESS VILLAGE M OWNER r DATE OF INSPECTION: E' J)PROUNRATIONIt)�a� FRAME A j SULATIQl4,m 4 i:u +» FIREPLACE _ ELECTRICAL: . ROUGH FINAL -- PLUMBING: ROUGH FINAL GAS: _ ROUGH FINAL FINAL BUILDING -- — F DATE CLOSED OUT ASSOCIATION PLAN NO. . e The Commonwealth of Massachusetts Department of IndustrialAccidents JOffice of Investigations 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Let=_ibly Name(Business/Organization/Individual): SolarCity Corporation Address: 3055 Clearview Way City/State/Zip: San Mateo/CA/94402 Phone#: 650-963-5100 Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 3000 4. ❑ I am a general contractor and I employees(full and/or part-time).' have hired the sub-contractors 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 g. ❑Demolition workingfor me in an capacity. employees and have workers' y p �'• 9. ❑ Building addition [No workers' comp. insurance comp. insurance.: 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 I LE] Plumbing repairs or additions . myself. [No workers' comp. right of exemption per MGL I2.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no q ] employees. [No workers' 13.X Other Solar/PV 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 anew 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 thai is providing workers'compensadon insurance.for my employees. Below is the policy and job site Information. Insurance Company Name: Liberty Mutual Insurance Company Policy#or Self-ins. Lic.#: WA766DO66265023 Expiration Date: 09/01/2014 Job Site.Address: All Locations City/State/Zip:!LmU& MA 026b 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 certify under die pains and peuallies of rj that th information provided above is true and correct. Signature: ..- ate: Phone#: 9782152359 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 Contact Person: Phone#: AC40RV 08/21 CERTIFICATE OF LIABILITY INSURANCE DATE(M r1DDIYYYII) 08/21/2013 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 REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy()es)must be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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*endorsements. PRODUCER 0726293 1-415-546-9300 CONTACT NAME: Brendan Quinlan Arthur J. Gallagher 6 Co. PHONE 415-536-4020 Fac+No; Insurance Brokers of California, Inc., License #0726293 .No.Fat' 1255 Battery Street 8450 ADDRESS: brendan inlan@ajg.com San Francisco, CA 94111 INSURER 8 AFFORDING COVERAGE HAIC 0 INSURER A: LIBERTY MDT FIRE INS CO 23035 INSURED INSURERS: LIBERTY INS CORP 42404 SolarCity Corporation INSURER C 3055 Clearviea Way INSURERD: San Mate* , CA 94402 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 35272277 REVISION NUMBER: 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. I D S BR POLICY POLICY LTR TYPEOFINSURANCE POLICY NUMBER MMD MID Y LIMITS A GENERAL LIABILITY TB2661066265053 09/01/1 09/01/14 EACH OCCURRENCE f 1,000,000 X DAMAGE TO RENTED 100,000 COMMERCIAL GENERAL LIABILITYPREMISES e occurrence f CLAIMS-MADE D OCCUR MED EXP(Any oneperson) f 10,000 X Deductible: $25,000 PERSONAL BADVINJURY f 1,000,000 GENERAL AGGREGATE $2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG f 2,000,000 JFCT X POLICY F PRO- LOC f A AUTOMOBILE LIABILITY AS2661066285043 09/01/1., 09/01/14 COMBINED SINGLE LIMIT Ea accident 1,000,000 X ANY AUTO BODILY INJURY(Per person) f ALLOWNEO BODILYINJURY(Peracddent) f AUTOS AUTOS NON-OWNED PPROPERa DAMAGEf HIRED AUTOSUSCHEOULED AUTOS , f UMBRELLA LIAB OCCUR EACH OCCURRENCE f EXCESS LIAB CLAIMS-MADE AGGREGATE f DIED RETENTION f B WORKERS COMPENSATION WC7661066265033 (WI Retr ) 09/Ol/1 09/01/24 X WOCSTAI OTH- AND EMPLOYERS'LIABILITYEIt B ANY PROPRIETORIPARTNERIEXECUTIVE YIN WA766DO6626SO23 (Ded) 09/01/1 09/01/14 E.L.EACH ACCIDENT f 1,000,000 OFFICER/MEMBER EXCLUDED? NIA (Mandatory In NH) E.L.DISEASE.EA EMPLOYEE f 1,000,000 11 yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT f 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Proof Of Insurance. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence of Insurance Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIV€RED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE fi;."t 01988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD satyasan 35272277 c z dim" t�� (��%�C�i1!6/l/���/(/UJ - Office of Consumer Affairs nd Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement.Contractor Registration Registration: 168572 Type: Supplement Card SOLARCITY CORPORATION Expiration: 3/8/2015 JASON QUINLAN - 24 ST. MARTIN STREET BLD 2 UNIT°11 MARLBOROUGH, MA 01752 Update Address and return card.Mark reason for change. SCA 1 G 20M-05/11 Fj Address R Renewal 0'Employment Lost Card ffice of Consumer Affairs&Business Regulation License or registration valid for individul use only VME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation egtstratlon: 168512 Type> 10 Park Plaza-Suite 5170 Expiration: 3/8/2015 Supplement ::ard Boston,MA 02116 SOLARCITY CORPORATION`. JASON QUINLAN 24 ST MARTIN STREET BLD'2UNI ��- — ITIIAALBOROUGH,MA 01752 Undersecretary Not valid without signature Massachusetts-Departrrient of Public Sofety Board of Building Regulations and Standards I C ionorucluon Sup%�n iNor Licensor CS-095884 JASON R QUIN14N 190 WALL ST BRIDGEWATER MA 7 �,,�,,, �.6f�• Expiration Cyit1♦nassintie+ 12/02/2014 w i ���— . U.��cz�zc�Office of Consumer Affairs ess egu ation a 10 Park Plaza - Suite 51.70 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 168572 Type: Supplement Card SOLARCITY CORPORATION Expiration: 3/8/2015 ALEC MEYERS _- 24 ST. MARTIN STREET BLD 2 UNIT 11 -- — -- MARLBOROUGH, MA 01752 — — Update Address and return card.Mark reason for change. sCA 1 C, 20M-05111 0 Address ❑ Renewal [] Employment Lost Card ffice of Consumer Affairs&Business Regulation License or registration valid for individul use only _ QME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration: 168572 Type: 10 Park Plaza-Suite 5170 Expiration: 3/8/2015 Supplement Card Boston,MA 02116 SOLARCITY CORPORATION ALEC MEYERS 24 ST MARTIN STREET BLD 2UNI ITJIAF�LBOROUGH,MA 01752 Undersecretary Not v li.�a d witt sig nature I I ' I - - SolarCity. r Power Purchase Agreement x - Here are the key terms of your SolarCity Power Purchase Agreement 0 14n86 - O years System installation cost Electricity rate per kWh Agreement term Our Promises to You • We insure,maintain,and repair the System(including the inverter)at no additional cost to you,as specified in the agreement • We provide 24f7 web-enabled monitoring at no additional cost to you,as specified in the agreement. • We warranty your roof against leaks and restore your roof at the end of the agreement,as specified in the agreement. • The rate you pay for electricity, exclusive of taxes,will remain fixed for the term of the agreement. Amount due at contract signing: $0 Estimated prepayment due when installation begins: $0.00 Estimated prepayment due following building inspection: $0.00 Homeowner's Name & Service Address Exactly as it appears on the utility bill Homeowner Name and Address Co-Owner Name(If Any) Installation Location Sherri Dennis 361 Cotuit Bay Dr 361 Cotuit Bay Dr Barnstable, MA 02635 Barnstable, MA 02635 Options for System purchase and transfer: Options at the end of the 20 year term: • If you move,you may transfer this agreement to the purchaser of your SolarCity will remove the System at no cost to you. Home,as specified in the agreement. You can upgrade to a new System with the latest solar • At certain times,as specified in the agreement,you may purchase the technology under a new contract. System. YOII may purchase the System from SolarCity for its fair • These options apply during the 20 year term of our agreement and not market value as specified in the agreement. . beyond that term. • You may renew this agreement for up to ten(10)years in two(2)five(5)year increments. oQbb CI.FARV!F'JJ W11 SAN MATEO, CA 888.SOL.CITY 888.765.2489 I SOLARCITY.COM MA HIC 168572 I IN ADDITION TO ANY RIGHTS YOU MAY HAVE TO CANCEL I_have read this Power Purchase Agreement and the Exhibits'in their THIS PPA UNDER SECTION 22,UNLESS INSTALLATION OF entirety and I acknowledge that I have received a complete copy of this YOUR SYSTEM HAS ALREADY COMMENCED,YOU MAY Power Purchase Agreement. ALSO CANCEL THIS PPA AT NO COST AT ANY TIME PRIOR TO MIDNIGHT OF THE OF THE THIRD BUSINESS DAY AFTER YOU SIGN THE FIRST AMENDMENT TO THIS PPA DETAILING Owner's Name:Sherri Dennis YOUR ESTIMATED PRODUCTION. Signature: Date: Co-Owner's Name(if any): Signature: Date: �, ,SolarCity. Power Purchase Agreement Signature: SOLARCITY APPROVED Date: LYN00N RIVE,CEO (PPA) Power Purchase Agreement ���SolarCitY i 01/14/14 Solar Power Purchase Agrees nt version 6.0 SolarGty. Power Purchase Agreement Congratulations! Your system design is complete and you are on your way to clean,more affordable energy.We estimate that your System's first year annual production will be 5,211 kWh and we estimate that your average first year monthly payments will be$,64.53.Over the next 20 years we estimate that your System will produce 99,421 kWh.We also confirm that your electricity rate will be$0.1486 per kWh,fixed for the next 20 years(i.e.electricity rate $0:1486 andUR rarati;$0:0000). Your Details Exactly as it appears on your utility bill I•lomeowner•s Name&Address Co-owner(if applicable) Service Address Sherri Dennis 361 Cotuit Bay Or 361 Cotuit Bay Dr Barnstable,MA 02635 Barnstable,MA 02635 As soon as you acknowledge the above design and production details by signing below,we will schedule your installation.If you have any questions or concerns please contact your Sales Representative: SOLARCITY APPROVED Owner's Name:Sherri Dennis SolarCity twhim MO.wag Signature Date Signature SdwHoers lefpW4wd Agreement $017rC�ttX Co-Owner's Name(if any): Signature Date J 3055 CLEARVIEW WAY, SAN MATEO, CA 94402 888.SOL.CITY 1888i 765.2489 I SOLARCITY.COM i f. `I wS®larCity. OWNER AUTHORIZATION Job ID: JB-026197-00 Location: 361 Cotuit Bay Drive, Barnstable, MA, 02635 Y1 Cs— �;D V1( O ' eV1dkli as Owner of the subject property hereby authorize SolarCity Corp—HIC 168572 to.act on my behalf, in all matters relative to work authorized by this building permit application and signed contract. I Signature of Owner: Date: t 1 24 St Nbmii Onve, BUIlding 2 Unit 11 (AwIhowtigh,Prig 01752 t (888) SOL-CITY F (508)1460-0318 SOLARCITY.001A I� i Version#17.6 �p� SolarCit o_ s7a. 3055 Clearview Way,San Mateo, CA 94402 (888)-SOL-CITY (765-2489) 1 www.solarcity.com December 20, 2013 Project/Job # 026197 RE: CERTIFICATION LETTER Project: Dennis Residence 361 Cotuit Bay Dr Barnstable, MA 02635 To Whom It May Concern, A jobsite survey of the existing framing system was performed by an audit 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 - Roof Dead Load = 8 psf(MP1&MP3) 12 psf(MP2) - Roof Live Load = 16 psf(MPI &MP3) 16 psf(MP2) -Ground Snow Load = 30 psf, Roof SL(PV Areas) = 11.7 psf, Roof SL(non-PV Areas) = 18.9 psf 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 structural roof framing has been reviewed for loading from the PV system on the roof.The structural review only applies to the section(s)of the roof that directly supporting the PV system and its supporting elements. After this review it was determined that the existing structure is adequate to carry the PV system loading. I certify that the structural roof framing and the new attachments that directly support the gravity loading from PV modules have been reviewed and determined to meet or exceed requirements of the MA Res. Code, 8th Edition. Please contact me with any questions or concerns regarding this project. OF� Sincerely, YOO JIN !f„ K c� VI ti No.4 7 Yoo]in Kim, P.E. �o Civil Engineer T Main: 888.765.2489,x5743 0lyi>11.�l1 email: ykim@solarcity.com Digitally signed by Yoo Jin Kim Date:2013.12.20 13:02:30-08'00' 3055 Clearview Way San Mateo, CA 94402 T(650)638-1028 (888)SOL-CITY F(650)638-1029 solarcity.com I l rCity. 12.20.2013 3055 Clearview Way, San Mateo, CA 94402 - ResidenceDennis • • # 026197 TABLE OF • CONTENT Section # Certification Letter I Table Of • And .• FramingProject Information, Mounting Structure.& P V System Information 3 Calculation Of Design Wind Loads And Uplift Calculations 4 Calculation Of Roof Dead And Live Loads 5 Calculation Of Roof Snow Loads (Mp3) 6 Structural Analysis Note: per . not • d because Ss 1 • 14• and Seismic DesignCategory 1 2-MILE VICINITY MAP • �}. � 4 - 1. �."w� � '' 1� 361 I r G f ` `��.. ,.vim, ""�, -. i p ,.'. �, •-. -. 4 �1C • Eagle Pond �`� � ��' - , • , • � {, {fit {`/' J\ -< �, � e'• �h. � •\ a .. y I• ?_t yk Di i a e assGlS, Co, moriwealth of Massachusetts EOEA USDA Farris Service A enc r Cotuit Bay Dr, Barnstable, MA 02635 Latitude:41.635938, Longitude: • rrCategory: I 12.20.2013 TM Version#17.6 ,o;; olarGty. SleekMount PV System Structural Design Application PROJECT INFORMATION _ Project Name: _ Dennis Residence AHJ: _ _ Barnstable Job Number: 026197 Building Code: MA Res.Code, 8th Edition Customer.Name: W� Dennis,,Sherri Based On: IRC 22009_/_IBC.2009 Address: 361 Cotuit Bay Dr ASCE Code: .-_ ASCE 7-05 City/State: Barnstable, MA. Risk Category_: II Zip Code - 02635 Upgrades Req'd? _ No Latitude/_Longitude: __ 41.635938—70.421348___Stamp.Read? Yes SC Office: Marlborough PV Designer: Linda Huie Calculations:I Brad Taylor EOR: Yoo Jin.Kim P.E. MOUNTING STRUCTURE & P V SYSTEM_INFORMATION Mounting Plane Information Roofing Material Comp Roof Tile Reveal _•SM.Span Onlyo —NA_ Standing Seam Spacing SM Seam Only NA Roof.Slope 340 i Rafter Spacing 16"O.C. PV Assembly Information PV System Type SolarCity SleekMountTM PV System Module Orientation Landsca e Tile Attachment System Tile Roofs Only. NA Tile Spanner,Bar_Direction _SM Span Only, ' NA- Spanning Vents No _ Standoff;(Attachment Hardware) Comp Mount Type C Minimum Eave End Setback 12" Minimum Ridge Setback 12" PV System Weight PV Module Weight,(psf) 2.5 psf HardwAssembly Weight 0.5 psf PV System Weight s 3 psf CALCULATION OF DESIGN WIND LOADS Wind Design Criteria Wind Design Code ASCE 7-05 �+ Wind,Design;Method____ PartiallyMully Enclose_d,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 Effective Roof Slope 340 Effective Rafter Spacing_. - _ 16"O.C. - Effective Wind Area 1 Module A 17.6 sf IBC 1509.7.1 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(Up) GC u -0.95 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient(Down) GC Down 0.88 Fig.6-11B/C/D-14A/B Design Wind Pressure p p = qh (GCp) Equation 6-22 Wind Pressure Up POP) -23.7 psf Wind Pressure Down P 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 Trib_utary_Area Trib 17 sf PV Assembly Dead Load W-PV 3 psf Net,Wind,Uplift at T_Standoff actual� _ -384.Ibs Uplift Capacity of Standoff T-allow 637 Ibs Standoff.Demand/Capacity DCR' 60.3% [CALCULATION OF ROOF DEAD AND LIVE LOADS - MP1 & MP3 Roof Dead Load Material Load Roof Category Description - _ MP1&MP3 Roofing Type Comp.Roof_� 2.5,psf Number of Layers _ _ 1 Underlayment Roofing,paper 0.5.psf _,,,_ Plywood Sheathing Yes _ _ 1.5 psf Board.Sheathing None _ 0.0,psf Rafter Size and Spacing___ _ _ 2 x 8 @ 16 in. O.C. 2.3 psf Vaulted_Ceiling _ �—No� 0.0,psf Miscellaneous Miscellaneous Items 1.2 psf Total Roof Dead Load 8 psf(MPI&M1123 8.0 P5f Reduced Roof Live Load Symbol Value ASCE 7-05 Roof Live Load La 20.0 psf Table 4-1 Member Tributary Area At < 200 sf Roof Slope 8/12 Tributary Area Reduction Rt 1 Section 4.9 Sloped Roof Reduction RZ 0.8 _ _ Section 4.9 Reduced Roof Live Load Lr = _R _R i Equation 4-2 Reduced Roof Live Load Lr 16 psf MP1&MP3 16.0 Psf CC ALCULATION OF ROOF DEAD AND LIVE LOADS - —RP-2 r Roof Dead Load Material Load Roof Category Description MP2 Roofing Materia I Comp.Roof 2.5,psf Number of Layers 1 Underlayment Roofing,Paper 0.5,W Plywood Sheathing Yes 1.5 psf Board,Sheathing None O.O,psf Rafter Size and Spacing 2 x 8 @ 16 in. O.C. 2.3 psf Vaulted.Ceiling Yes 4.1',psf— Miscellaneous Miscellaneous Items 1.1 psf Total Roof Dead Load 12 psf MP2 12.0 psf Reduced Roof Live Load Symbol Value ASCE 7-05 Roof Live Load - L. 20.0 psf Table 4-1 Member Tributary Area At < 200 sf Roof Slope 8/12 Tributary Area�Reduction Rt 1 Section 4.9 Sloped Roof Reduction R2 0.8 Section 4.9 Reduced,Roof Live Load - Lr L�= G (Rl) (R2) Equation 4-2 Reduced Roof Live Load Lr 16 psf MP2 16.0 Psf CALCULATION OF ROOF SNOW LOADS (MP1 & MP2) ASCE Design Roof Snow Load Criteria Code Ground Snow Load p9 30.0 psf ASCE Table 7-1 Snow.Load_Reductions Allowed?. __ Yes Effective Roof Slope 260 Horiz.;Distance;from,Eveto,Ridge_^ W - 20.5.ft_ Snow Importance Factor IS 1.0 Table 1.5-2 Snow Exposure Factor Ce Partially Exposed , Table 7-2 _ 1.0, Snow Thermal Factor Ct All structures excepti as indicated otherwise Table 7-3 Minimum Flat Roof Snow Load'(w/ pf-min 21.0 psf 7.3.4&7.10 Rain,On-Snow,Surchar9e) Flat Roof Snow Load. Pf pf= 0.7(Ce).(Ct) (I) pg; pf>_ pf-min Eq: 7.3-1 21.0 psf 70% ASCE Design Sloped Roof Snow Load Over Surrounding Roof Surface Condition of Surrounding All Other Surfaces Roof CS-ro°f 1.0 Figure 7-2 Design Roof Snow Load Over Ps-roof= (Cs-root)Pf ASCE Eq: 7.4-1 SurroundingRoof PS fOOf 21.0 Psf 70% ASCE Design Sloped Roof Snow Load Over PV Modules Surface Condition of PV Modules Cs-PV Unobstructed Slippery Surfaces Figure 7-2 1.0 Design Snow Load Over PV PS-PV= (CI.PV)Pf ASCE Eq: 7.4-1 Modules PS'°" 21.0 psf 70% CALCULATION OF ROOF SNOW LOADS (MP3) - ] ASCE Design Roof Snow Load Criteria Code Ground Snow Load p9 30.0 psf ASCE Table 7-1 Snow.Load Reductions Allowed? —Yesr� ' Effective Roof Slope 340 Horiz.,Distance from Eve to,Ridge W 20.5ft Snow Importance Factor " IS 1.0 Table 1.5-2 Exposed ly Exp '�'�' Snow Exposure Factor Ce ,t Partially 0 Table 7-2 Snow Thermal Factor 4 All structures except l s0 indicated otherwise Table 7-3 Minimum F15-f Roof Snow Load-(w/� pf-min ; 21.0 psf 7.3.4&7.10 Rain-on-Snow,Surcharge): Pf= 0.7(Ce)(Ct)(I) pg; pf? Pf-min Eq: 7.3-1 Flat Roof Snow Load Pf 21.0 psf 70% ASCE Design Sloped Roof Snow.Load Over Surrounding Roof Surface Condition of Surrounding All Other Surfaces Roof fOOf 0.9 Figure 7-2 Design Roof Snow Load Over Ps-roof= (Cs-root)Pf ASCE Eq: 7.4-1 SurroundingRoof PS-roof 18.9 Psf 63% ASCE Design Sloped Roof Snow Load Over PV Modules Surface Condition of PV Modules Cs_pI Unobstructed Slippery Surfaces Figure 7-2 0.6 Design Snow Load Over PV PS.PV = (CI_PV)Pf ASCE Eq: 7.4-1 Modules PS-PV 11.7 Psf 39% 1• ' � r COMPANY PROJECT WoodWorkso SOFTWARE FOR WOOD DESIGN Dec. 20, 2013 12:10 MP1.wwb Design Check Calculation Sheet Wood Works Sizer 10.0 Loads:' Load Type Distribution Pat- Location [ft] Magnitude Unit tern Start End Start End ROOF DL Dead Full Area No 8.00 (16.0) * psf PV LOAD Dead Partial Area No 2 .75 14.33 3 .00 (16.0) * psf ROOF SL ISnow Full Area Yes 1 21.00 (16.0) * psf *Tributary width (in) Maximum Reactions (lbs), Bearing Capacities (lbs) and Bearing Lengths (in) 17'-3" 0' 1'-2" Unfactored: Dead 121 111 Snow 233 207 Factored: Total 354 317 Bearing: F'theta 474 4.74 Capacity Joist 2753 2486 Supports 2789 - Anal/Des Joist 0.13 0.13 Support 0.13 - Load comb #2 #4 Length 3.50 3 .50 Min req'd 0.50* 0.50* Cb 1.11 1.00 Cb min 1.75 1.00 Cb support 1.25 - Fcp sup 425, - *Minimum bearing length setting used: 1/2"for end supports Bearing for wall supports is perpendicular-to-grain bearing on top plate. No stud design included. MP1 Lumber-soft, S-P-F, No.1/No.2, 2x8 (1-1/2"x7-1/4") Supports: 1 - Lumber Stud Wall, S-P-F Stud; 2 - Hanger; Roof joist spaced at 16.0" c/c; Total length: 17'-3.0"; Pitch: 5/12; Lateral support: top= full, bottom= at supports;.Repetitive factor: applied where permitted (refer to online help); 1 F1I Woodworks® Sizer SOFTWARE FOR WOOD DESIGN MP1.wwb WoodWorks®Sizer 10.0 Page 2 Analysis vs. Allowable Stress (psi) and Deflection (in) using NDS 2012 : Criterion Analysis Value Design Value Analysis/Design Shear fv = 36 Fv' = 155 fv/Fv' = 0.23 Bending(+) fb = 1006 Fb' = 1389 fb/Fb' = 0.72 Bending(-) fb = 25 Fb' = 1371 fb/Fb' = 0.02 Live Defl'n 0.45 = L/408 1.03 = L/180 0.44 Total Defl'n 0.71 = L/262 1754 = L/120 0.46 Additional Data: FACTORS: F/E(psi)CD CM Ct CL CF Cfu Cr Cfrt Ci Cn LC# Fv' 135 1.15 1.00 1.00 - - - - 1.00 1.00 1.00 2 Fb'+ 875 1.15 1.00 1.00 1.000 1.200 1.00 1.15 1.00 1.00 - 4 Fb' - 875 1.15 1.00 1.00 0.987 1.200 1.00 1.15 1.00 1.00 - 2 Fcp' 425 - 1.00 1.00 - - - - 1.00 1.00 - - E' 1.4 million .1.00 1.00 - - - - 1.00 1.00 - 4 Emin' 0.51 million 1.00 1.00 - - - - 1.00 1.00 4 CRITICAL LOAD COMBINATIONS: Shear : LC #2 = D+S, V = 282, V design = 261 lbs Bending(+) : LC #4 = D+S (pattern: sS) , M = 1101 lbs-ft Bending(-) : LC #2 = D+S, M = 27 lbs-ft Deflection: LC #4 = (live) LC #4 = (total) D=dead L=construction S=snow w=wind I=impact Lr=roof constr. Lc=concentrated All LC's are listed in the Analysis output Load Patterns: s=S/2, X=L+S or L+Lr, _=no pattern load in this span Load combinations: ASCE 7-10 / IBC 2012 CALCULATIONS: Deflection: EI = 67e06 lb-in2 "Live" deflection = Deflection from all non-dead loads (live, wind, snow...) Total Deflection = 1.00 (Dead Load Deflection) + Live Load Deflection. Bearing: Allowable bearing at an angle F'theta calculated for each support as per NDS 3 .10.3 Design Notes: 1. WoodWorks analysis and design are in accordance with the ICC International Building Code (IBC 2012), the National Design Specification (NDS 2012), and NDS Design Supplement. 2. Please verify that the default deflection limits are appropriate for your application. 3. Continuous or Cantilevered Beams: NDS Clause 4.2.5.5 requires that normal grading provisions be extended to the middle 2/3 of 2 span beams and to the full length of cantilevers and other spans. 4. Sawn lumber bending members shall be laterally supported according to the provisions of NDS Clause 4.4.1. 5. SLOPED BEAMS: level bearing is required for all sloped beams. 6. The critical deflection value has been determined using maximum back-span deflection. Cantilever deflections do not govern design. I COMPANY PROJECT WoodWorks® SOFEVVARF FOR WOOD DESIGN Dec. 20, 2013 12:11 MP2.wwb Design Check Calculation Sheet WoodWorks Sizer 10.0 Loads: - Load Type Distribution Pat- Location [ft) Magnitude Unit tern Start End Start End ROOF DL Dead Full Area No 12.00 (16.0) * psf PV LOAD Dead Partial Area No 1.67 7.58 3 .00 (16.0) * psf ROOF SL Snow Full Area Yes 21.00 (16.0) * psf *Tributary width (in) Maximum Reactions (lbs), Bearing Capacities (lbs) and Bearing Lengths (in) 11'-2.7" . 0' V-2" 9'-6" Unfactored: Dead 112 89 Snow 151 123 Factored: Total 263 212 Bearing: F'theta 493 493 Capacity Joist 2868 2591 Supports 2789 - Anal/Des Joist 0.09 0.08 Support 0.09 - Load comb #2 #4 Length 3 .50 3 .50 Min req'd 0.50* 0.50* Cb 1.11 1.00 Cb min 1.75 1.00 Cb support 1.25 - Fcp sup 425 *Minimum bearing length setting used: 1/2" for end supports Bearing for wall supports is perpendicular-to-grain bearing on top plate. No stud design included. MP2 Lumber-soft, S-P-F, No.1/No.2, W (1-1/2"x7-1/4") Supports: 1 - Lumber Stud Wall, S-P-F Stud; 2 - Hanger; Roof joist spaced at 16.0" c/c; Total length: 11'2.7"; Pitch: 6/12; Lateral support: top= full, bottom= at supports; Repetitive factor: applied where permitted (refer to online help); WoodWorks® Sizer SOFTWARE FOR WOOD DESIGN MP2.wwb WoodWorks®Sizer 10.0 Page 2 Analysis vs. Allowable Stress (psi) and Deflection (in) using NDS 2012 : Criterion Analysis Value Design Value Analysis/Design Shear fv = 22 Fv' = 155 fv/Fv' = 0.14 Bending(+) fb = 385 Fb' = 1389 fb/Fb' = 0.28 Bending(-) fb = 29 Fb' = 1370 fb/Fb' = 0.02 Live Defl'n 0.06 = <L/999 0.47 = L/240 0.12 Total Defl'n 0.10 = <L/999 0.62 = L/180 0.16 Additional Data: FACTORS: F/E(psi)CD CM Ct CL CF Cfu Cr Cfrt Ci Cn LC# Fv' 135 1.15 1.00 1.00 - - - - 1.00 1.00 1.00 2 Fb'+ 875 1.15 1.00 1.00 1.000 1.200 1.00 1.15 1.00 1.00 - 4 Fb' - 875 1.15 1.00 1.00 0.987 1.200 1.00 1.15 1.00 1.00 - 2 Fcp' 425 - 1.00 1.00 - - - - 1.00 1.00 - - E' 1.4 million 1.00 • 1.00 - - - - 1.00 1.00 - 4 Emin' . 0.51 million 1.00 1.00 - - - - 1.00 1.00 - 4 CRITICAL LOAD COMBINATIONS: Shear : LC #2 = D+S, V = 188, V design = 160 lbs Bending(+) : LC #4 = D+S (pattern: sS) , M = 422 lbs-ft - Bending(-) : LC #2 = D+S, M = 31 lbs-ft Deflection: LC #4 = (live) LC #4 = (total) D=dead L=construction S=snow W=wind I=impact Lr=roof constr. Lc=concentrated All L•C's are listed in the Analysis output Load Patterns: s=S/2, X=L+S or L+Lr, • _=no pattern load in this span Load combinations: ASCE 7-10 / IBC 2012 CALCULATIONS: Deflection: EI = 67e06 lb-in2 "Live" deflection = Deflection from all non-dead loads (live, wind, snow...) Total Deflection = 1.00 (Dead Load Deflection) + Live Load Deflection. Bearing: Allowable bearing at an angle F'theta calculated for each support as per NDS 3 .10.3 Design Notes: 1. WoodWorks analysis and design are in accordance with the ICC International Building Code (IBC 2012), the National Design Specification (NDS 2012), and NDS Design Supplement. 2. Please verify that the default deflection limits are appropriate for your application. 3. Continuous or Cantilevered Beams: NDS Clause 4.2.5.5 requires that normal grading provisions be extended to the middle 2/3 of 2 span beams and to the full length of cantilevers and other spans. 4. Sawn lumber bending members shall be laterally supported according to the provisions of NDS Clause 4.4.1. 5. SLOPED BEAMS: level bearing is required for all sloped beams. 6. The critical deflection value has been determined using maximum back-span deflection. Cantilever deflections do not govern design. f l� COMPANY PROJECT WoodWorks® SOFnvARF FOR WOOD DESIGN Dec. 20, 2013 12:11 MP3.wwb Design Check Calculation Sheet Wood Works Sizer 10.0 Loads: Load Type Distribution Pat- Location [ft] Magnitude Unit tern Start End Start End ROOF DL Dead Full Area No 8.00 (16.0) * psf PV LOAD Dead Partial Area No 1.25 14 .42 3 .00 (16.0) * psf ROOF SL 1 Snow Partial Area Yes 0.00 1.25 19.00 (16.0) * psf ROOF SL 2 Snow Partial Area Yes 14.42 17.19 19.00 (16.0) * psf PV SL Snow Partial Area Yes 1.25 14 .42 11.70 (16.0) * ,psf *Tributary Width (in) Maximum Reactions (lbs), Bearing Capacities (lbs) and Bearing Lengths (in) 2V-0.7" 14 0' 0'-11" 16-11" Unfactored: Dead 150 133 Snow 154 154 Factored: Total 304 286 Bearing: F'theta 540 540 Capacity Joist 3141 2837 Supports 2789 - Anal/Des Joist 0.10 0.10 Support 0.11 - Load comb #2 #4 Length 3 .50 3 .50 Min req'd 0.50* 0.50* Cb 1.11 1.00 Cb min 1.75 1.00 Cb support 1.25 - I Fcp sup 425 - .*Minimum bearing length setting used: 1/2"for end supports, . Bearing for wall supports is perpendicular-to-grain bearing on top plate. No stud design included. MP3 Lumber-soft, S-P-F, No.1/No.2, 2x8 (1-1/2"x7-1/4") Supports: 1 -Lumber Stud Wall, S-P-F Stud; 2 - Hanger; Roof joist spaced at 16.0" c/c; Total length: 21'-0.7"; Pitch: 8/12; Lateral support: top= full, bottom= at supports; Repetitive factor: applied where permitted (refer to online help); WARNING: Member length exceeds typical stock length of 18.0 [ft] i F-1 I WOodWorkS® Slzer SOFTWARE FOR WOOD DESIGN :71 MP3.wwb WoodWorks®Sizer 10.0 Page 2 Analysis vs. Allowable Stress (psi) and Deflection (in) using NDS 2012 : Criterion Analysis Value Design Value Analysis/Design Shear fv = 29 Fv' = 155 fv/Fv' = 0.19 Bending(+) fb = 973 Fb' = 1389 fb/Fb' = 0.70 Bending(-) fb = 15 Fb' = 1374 fb/Fb' = 0.01 Live Defl'n 0.51 = L/449 1.28 = L/180 0.40 Total Defl'n 1.06 = L/216 1.92 = L/120 0.55 Additional Data: FACTORS: F/E(psi)CD CM Ct CL CF Cfu Cr Cfrt Ci Cn LC# Fv' 135 1.15 1.00 1.00 - - - - 1.00 1.00 1.00 2 Fb'+ 875 1.15 1.00 1.00 1.000 1.200 1.00 1.15 . 1.00 1.00 - 4 Fb' - 875 1.15 1.00 1.00 0.989 1.200 1.00 1.15 1.00 1.00 - 2 Fcp' 425 - 1.00 1.00 - - - - 1.00 1.00 - - E' 1.4 million 1.00 1.00 - - - 1.00 1.00 - 4 Emin' 0.51 million 1.00 1.00 - - - - 1.00 1.00 - 4 CRITICAL LOAD COMBINATIONS: Shear : LC #2 = D+S, V = 230, V design = 213 lbs Bending(+) : LC #4 = D+S (pattern: sS) , M = 1066 lbs-ft Bending(-) : LC #2 = D+S, M = 16 lbs-ft Deflection: LC #4 = (live) LC #4 = (total) D=dead L=construction S=snow W=wind I=impact Lr=roof constr. Lc=concentrated All LC's are listed in the Analysis output Load Patterns: s=S/2, X=L+S or L+Lr, _=no pattern load in this span Load combinations: ASCE 7-10 / IBC 2012 CALCULATIONS: Deflection: EI = 67e06 lb-in2 "Live" deflection = Deflection from all non-dead loads (live, wind, snow...) Total Deflection = 1.00 (Dead Load Deflection) + Live Load Deflection. Bearing: Allowable bearing at' an angle F'theta calculated for each support as per NDS 3 .10.3 Design Notes: 1. WoodWorks analysis and design are in accordance with the ICC International Building Code (IBC 2012), the National Design Specification (NDS 2012), and NDS Design Supplement. 2. Please verify that the default deflection limits are appropriate for your application. 3. Continuous or Cantilevered Beams: NDS Clause 4.2.5.5 requires that normal grading provisions be extended to the middle 2/3 of 2 span beams and to the full length of cantilevers and other spans. 4. Sawn lumber bending members shall be laterally supported according to the provisions of NDS Clause 4.4.1. 5. SLOPED BEAMS: level bearing is required for all sloped beams. 6. The critical deflection value has been determined using maximum back-span deflection. Cantilever deflections do not govern design. Town of Barnstable *Permit# as 3 o 7 a?? EVires 6 months from issue date i7 Regulatory Services Fee • BAMSPABM + Y� MAS& ,0$ Richard V.Scali,Interim Director O, PRESS PERMIT /� PRESS a� iN1 Building Division Tom Perry,CBO,Building Commissioner OCT 10 2013 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 TOWN OF ► 7AE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY _ Map/parcel Number d d � � Not Valid without Red X-Press Imprint IL - S S Property Address �1 �i t � y o l�(� IJW esidential Value of Work$ ,52M Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Doin D! /1!il /, s- 3c. � a k, � �- c Contractor's Name D& Telephone Number Home Improvement Contractor License#(if applicable)/A?2 Email: Construction Supervisor's License#(if applicable) c S 7 j, ) (,2 ❑Workman's Compensation Insurance C�he�c ne: DD arn a sole proprietor ❑ I am the Homeowner ❑ 1 have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# 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) ❑ Re-side replacement Windows/doors/sliders.U-Value O (maximum.35)#of windows 3 #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 'red. SIGNATURE: QAWPFILESTORMS\building permit forms\EXPRESS.doc o Revised 061313 �� c . . ... .... .... • rlv 77te Commonwealth ofMassachrtsetts Deparbnent of bufnsftial Accidents Office of Imest gations 600 Mashington Street Boston,MA 02111 wnrw.tria_,mgovldia Workers' Compensation Insurance 4ffidavit:Builders/Contractors/EiectriciansXlumbers Applicant Information Please print Leeibly Name(BvsiresatOrganizationQ ffividnal): Address: 00 City/statrMp: Phone#i: Are you an employer?Check the appropriate box: Type of o'ect r 4. I am a contractor and I Yl� pr J (���= I_❑ I am a employer with ❑ 6- ❑New construction employees(full and/or part-time).* have hired.the sub-contractors. . 2.&T I am a sole proprietor or partner- listed on the attached sheet y- ❑Remodeling ship and have no employees These sub-contractors have g- ❑Demolition w forme many capacity employees and have workers' offing Y � tY- I 9. ❑Building addition (No workers' comp.insurance comp.insurance 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 1 L.❑Plumbing repairs or additions myself [No workers'comp right of elm tion per MGL 12-.❑Roof repairs insurance required.]7 c.152, §1(4),and we have no employees [No workers' 13..❑Other comp.insurance rtequlred. *Amy applu�nt that checks boa#1 most also fill out the section below showing their wo%keas'compensation policy iuf�tmsteoa. 113ameowners who submit this affidavit indicating they are doing all work Rod then hire outside contracmrs mast submit anew affidavit indicating such tractors that check this boat must attached an additinnal sheet shirring the name of die soh-coaaftacton and state whether ornot those entities have employees. If the svh-cmtmctors base employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compmnsvrtian inairance for my employees. Below is the policy and,job site information. Insurance Company Name: Policy 4 or Self-ins-Liew 9: ExpuationDate: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(shaving 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 SS 1,500.00 and/or one-year iniprisaament 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 kerb the vans and penalties ofperjury that the information provided above istrue and correct aipature: Date: Phone O•UE al use only. Do not write in this area,to be completed by city or town official. City or Town: Perm itUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/town Clerk 4.Electrical Inspector 5.Plumbing InTeetor 6.Other Contact Person: Phone#: 6 Information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Ptusuantto 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 representatives 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 employer." MGL chapter 152, §25C(6)also states that"every state or Iocal 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. "I1ie 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 lime. 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 kvestigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4M ext 406 or 1-977-MASWE Revised 4-24-07 Fax## 617-727-7749 www.massgavfdia oFE r Town of Barnstable Regulatory Services saxiv is ' Thomas F.Geiler,Director 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 I,D,t-,N a4n/ 'S , as Owner of the subject property hereby authorize-Dr RI(/ I / to act on my behalf, in all matters relative to work authorized by this building permit (�&11 f74V & (Address of J b) **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. dLY'� ignature of Owner Signature of Applicant Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 6/2012 I 1� Town of Barnstable Regulatory Services rBUB&`m8' Thomas F.Geiler,Director Eo;p • 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 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowmers"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. 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 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 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. C:\Users\decollgcWppData\L.oca]\MicrosoR\Windows\Temporary Internet Files\ContentOutlook\QRE6ZUBN\EXPRESS.doc Revised 053012 �1 License or registration valid for individul use only before the expiration date. If found return to: .i I I Office of Consumer Affairs andlusiness Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 Not va d without signature LJJ�te �rvnaaraule -/ Regulation ! Office of Consumer Affairs&BusinessnCTOR ! I OME IMPROVEMENT CONTRA Type: egistration: ,128799 Expiration:�5 ! 01i5i Individual Collins. ; David David Collins 20 PICCADILLY RDUndersecretary �{ Sandwich,MA 02563 Massachusetts—Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-073547 PAVED W COLLi$S 20 PICCADILLY.91) SANDWICH MA702563 ! 1 Expiration Commissioner 12/07/2014 I 0 Z�I1 �I3 CAPE COD TOWN OF BARNSTABLE INSULATION 2PJ13 JUL I I AIM 9: 22 /ICCR 0-5S SLAMl553 3PAA3fOAM 3YS-011S SAM 0033343 INSUTASION C""'03 1-800-696-6611 DIVISION Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 'r Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village oncvir� 51.e��1 l�¢nn: S -3b! Cofu.c�- ! � N' Co Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) ( x) ( 3r) ( ) (x ) Slopes ( ) ( ) ( ) ( ) ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls Antes 00 ) ) 66 14rr Sra t,r;7 Sincerely hECasJr, President on, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application � oo Health Division Date Issued 6v 7 113 Conservation Division Application FeeQ Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis OK 6�I�'13 Project Street Address Gl -c", Y1- 4e I"le Village Z4& .F�jz i Owner ,��e r>i L' �B� r/.S Address Telephone 0 af AvPO 4 D 3 Y Permit-Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation0-Zr0'0. L —Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attac pporting docuntation. Dwelling Type: Single Family Qr/ Two Family ❑ Multi-Family (# units) _ Age of Existing Structure Historic House: ❑Yes ®/qo On Old King' Highwac:) %s Flo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sift) %.„ r Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including bath existing new First Floor Room Count 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 (BUILDER OR HOMEOWNER) Name ��f/ Telephone Number Address �� License # oU Home Improvement Contractor# Worker's Compensation #��i�66.���96� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO v/ SIGNATURE DATE t FOR OFFICIAL USE ONLY ( APPLICATION# DATE ISSUED MAP/PARCEL N0. ADDRESS VILLAGE s , • OWNER DATE OF INSPECTION: _ FOUNDATION u FRAME INSULATION FIREPLACE r ELECTRICAL: ROUGH - FINAL PLUMBING: ROUGH FINAL k GAS: ROUGH FINAL FINAL BUILDING . DATE CLOSED OUT ASSOCIATION PLAN NO.' iomli G r=• } t - i t iN 1.43792 OWNER AUTHORIZATION FORM I, 5 \,Lyy-t t.Q .V11'l�S (Owner's Name) owner of the property located at (Property Address (Property Address) hereby authorize v Cape Cod Insulation (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. c� n Owner's Signature E41. r3 l Date L5� tS0 V L5 D JUN 7 20i3 r F su tlua:u'husctta - Uepal- icnt of Puhlic ""afCIN liu;rril of ISuililiu" IRe:;ulatinn, ;rtltl "tanrtl d;is construction Supervisor License h V Licen�k '•.CS. 100988 +; °' �. HENRY CASSIDY `�..�'+a.. 8 SHED ROW , L ' WESi.T `JARMOUTH, MA 02673 Expiration: it/11I2013 ( ,.uunisi iurr Trrr: 7620 C a l Ul(-ice of Consumer Affairs and Business Regulation <.'-. 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 153567 Tvpe: Private Corporation Expiration: 12/15/Zb14 Trli 233831 CAPE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE --_._......_.._.__._.......--.--........... SO. YARMOUTH, MA 02664 ....... Update Address and return card. Marls reason for change. (� Address L_) Renewal I._I Lemployntent I I Lost Card `ff'i,Ile.tit,rrrr`e:n��� r. C�DI(.rrJ;urcicrlelll ... Office of(:nnsumer Affairs & Business Regulatio„ License or registration valid fur individul use.unly ~' I�IOME IMPROVEMENT CONTRACTOR befure the expiration date. If found return to: y 9 153567 Type: 6 e iatration: Ofliec of Consumer Affairs and Business Regulation AExpiration: 12/1'5/2014 Private Corporation 10 Park Plaza-Suite 5170 (^ Bos(on,MA 02116 t:r1Pl C01)iNSULAlION,.)k.. rt;.Ohl' CfiS�IC)1" . Y,1kPlUUTII. MA 02664 Undersecrelar Y of val' Wit t �' oat rc CAPECOD-27 SPURDY , ACORO" I DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 4/24/2013 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 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 endorsement(s). PRODUCER CONTACT NAME: _ Cape Cod Commercial _ ROgers 8 Gray Ins.-Dennis Branch PHONE 508 398-7980 FAX 877 816-2156 434 Rte 134 (Al_No,Ext),�--- -------- - _ _ I.(A/C,No): ) E-MAIL South Dennis,MA 02660 ADDRESS:.. i INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:PEERLESS INSURANCE COMPANY INSURED INSURER B:COMMERCE INSURANCE COMPANY Cape Cod Insulation Inc j_iNsuReRC:Evanston Insurance Company 18 Reardon Circle I INSURER D:Atlantic Charter Insurance Company South Yarmouth,MA 02664 INSURER E I INSURER F: P COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INSR: fADDL SUBRT POLICY EFF � POLICY EXP I T LTR_ TYPE OF INSURANCE I INSR,VWD I` _-FOLIC_Y NUMBER LIMITS -- _.. ._.-I(MMIDD/YYYY)_ (MM/DD/YYYY.)�.. _ .. .. GENERAL LIABILITY j ' i I EACH OCCURRENCE l$ 1,000,000 DAMAGE TO RENTED A X 'COMMERCIAL GENERAL LIABILITY ICBP8263063 4/112013 41112014 PREMISES(Ea occurrence)_ '$ 100,000 i i CLAIMS-MADE X OCCUR i MED E_XP(Any one person) $ 5,000 PERSONAL&ADV INJURY )$ 1,000,000 I GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I I i j I PRODUCTS-COMP/OP AGG $ 2,000,000 PRO- 1 _ POLICY JECT L� LOC + $ I I COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY 1,00010001 (Ea accident)_ _ �$ B ANY AUTO j !12MMBCKVMK 4/112013 ! 4/1/2014 BODILY INJURY(Per person) i$ ALL OWNED X SCHEDULED I BODILY INJURY(Per accident)!$ AUTOS AUTOS , - I NON-OWNED I I PROPERTY DAMAGE is X HIRED AUTOS X (AUTOS (PER ACCIDENT) )- UMBRELLA LIAB I X I I I I EACH OCCURRENCE $ 1,000,000: X I 1 OCCUR i I - C .EXCESS LIAB I CLAIMS-MADE! IXONJ453512 I 4/1 I 12013 I 41112014 AGGREGATE _ 1$ 1,000,000, _J DED X RETENTION$ 10,000 ( F _ _ _ I is D ANY PROPRIETOR/PAR NER/EXECUTIVE Y 1 N NIA IWCA00525903 1 6/30/2012 I 613012013 E`L EAOCH ACCIDENT ER �$ _ 1,000,000� AND EMPLOYERS'LIABILITY OFFICER/MEMBER EXCLUDED? [N I 1,000,000i (Mandatory In NH) E.L.DISEASE•EA EMPLOYEE$ If yes,describe under ' DESCRIPTION OF OPERATIONS below I I E.L.DISEASE-POLICY LIMIT '$ 1,000,000, -- -_ -- ----- - -- t--- -. .... ..?9 _ - , i 1 I I I I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Certificate Holder is an additional insured under General Liability when required by written Contracts or agreements. CERTIFICATE HOLDER _ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN EVIDENCE OF INSURANCE ACCORDANCE WITH THE POLICY PROVISIONS. ' AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD r The Commonwealth oflYlassac•husetts NnniForm J Department of Industrial Accidents Office of Cnvesligatlons I Congress Street, Suite 100 its Boston, NIA 02114-2017 w ww.mass.gov/dia Workers' Compensation insurance Affidavit: Builders/Contractors/k:lee triciaiis/Plumbers A r ►licaoit It'tformatioit Please Print-Le L►IY Minic MU5i1IuSs/01_gar11zatiort/individu11): I (� VAt A' Phone #: 12_0�— 7 ' 1Z :1r•c tiou ail cntpluyet'? Check tl a appropriate box: --- �------------ ----- Type oC project(required): I. 1 ant a employer with ZU__ 4. ❑ I am a general contractor and t t.•ntployc:c, (full and/or part-time). have hind the sub-contractors 6. ❑ New construction I :Ott a sole prupricior or partner- listed on the attached sheet. 7. ❑ Remodeling Ship and have no employees These sub-contractors have b. ❑ Demolition corking li)r n?e in any capacity. employees and have workers' �No workers' corrtp. insurance9. l3uildin > addition comp. insurance.$ � required. corporation and its 10.❑ Electrical repairs or additions � 5. ❑ We are a cor (� I ant a htmtcowner doing all work officers have exercised their 1 1.❑ Plumbing repairs or additions mysel I'. I No workers' comp. right of exemption per MGL 12.❑ .Roof re airs insurance required.] t c. 152, §1(4), and we have no ((p iUGG(�kGVIIGe�ID employees. [No workers' 13.[�] Other comp. insurance required.] / 'AIIN applicant that chucks box tt I trust also fill out the section below showing their workers'compensation policy intormation. I I'm tic, who suborn this at'KLIVit indicating they are doing all work wul then hire Outside contractors must submit it new al7idavit indicating such. 't'outr:u•ua,that check this bux mint ettlachcd an additional sboet showing th,:ntune of the.sub-corarucloty turd slate whether or not dwse.entities have ciuldo.cc,- 11 tltc sub-contractors have employees,they must provide their workers'comp.policy number. I alit Orr emphger thtit is provi(litig workers'cortrpettsation insurance fir my employees. Below is the policy and joh site irrJi,nuutiarr.Ittsura nt r Company Nante: ( 6c � I �V� � G - / Policy8orScll=ins. 1-IC #: Expiration tion � Date: _ _.._•_ luh Silc Address: r, )r",I V, Ar, {it ve City/State/Zip: L4l__�� Auach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failury to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition ol.'criminal penalties of a lint:Lip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a tine tr1•u1,to$250.00 it day against the violator. Be advised that a copy of this statement may be forwarded to the O1"tice of InviAl-gallons of tree DIA For insurance coverage verification. 1 do her'eh.p certify ya;ler the ttins.(ttrrl perudties u/ erjury that the irrwrrnatiun provider!above is true and correct. }i�nca�tlr�: t D /o `3 ate: Uflic•ial use urrly. Do not write in this area, to be completed by city or town official. City of-Town: Permit/License# Imumg Authority (circle one): I. Boar'( ol't-lealth 2. Building Department 3. City/Town Clerk 4, Electrical Inspector 5. Plumbing Inspector 0. Uthcr 1'oftwel Person: Phone#: 'A-a _ Town of Barnstable s able *Pe 0,fih, Eires 6 �mna=edate Regulatory Services Fee s�axsraaM � � ss Thomas F. Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town barnstable ma us Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERA TT APPLICATION - .RESIDENTIAL ONLY Not VaUdwithotaRedX-Presslmprint Map/parcel Number , Property.Address ��p` �`cTt"l )t� (l�U �f �O'1�9�-� I � Q a(o S �- ,Residential Value of Work Minimum fee of$35.00 for work under$6000.00 .Owner's Name&Address 31".C1rl C Contractor's Name y`�l S ��y1CJ �'1c y(,7j(�-{ Telephone Number_ O�5� � Home Improvement Contractor License#(if applicable)_ Construction Supervisor's License#(if applicable) ❑Workmen's Com nsation Insurance Chec e: M-fam a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance . Insurance Company Name ' Workman's Comp.Policy# 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 ofroof) Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum 35)#of windows .Ilk ❑ 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 depmtareat 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 I required. SIGNATURE: ,yLj l������"yh� "riassachusctts- Dcl rrrtmcnt Puhlic $utct" Board of Buildin�L Rc'�ulations and Standards'dsu or License Construction Supervis License: CS 73547 DAVID W COLLINS 20 PICCADIL Y RD 0 563 SANDWICH, �. Expiration: 12n/2012 • c„�- �T Tr#: 7419 ('unuui..iu�t t' a f� °"r r��Bdsiness egu ation _= Ofrice o on��sumer TrCONTRgCTOR HOME IMPROVEMEN Type: = Registration:;ea128799 Expiration: 5720/2013 Individual E 1'ga I Da Collins ',I =- David Collins 20 PICCADILLY �y� Undersecretary Sandwich,MA 02 563`• :s.,,y y .0assachuse"tts-'Del►a'+tment of Puhlic Safety Board of Buildin.- Rellrulations and Standards . Construction Supervisor License License: CS 73547 DAVID W COLLINS 20 PICCADILLY RD SANDWICH, MA 02563 s; Expiration: 12/7/2012 Commission.r Trtt: 7419 s aeon valid for individul use only License or, Q9 .U -before.the,*&*,Tation date. If found return e to: Office pf Conner j ffairs and Business Reg 10arkPl �1�,-Suite 5170 Boston,MA 02116 j 1 I' -4 of valid ithout signature :y . r ,per The Commonwealth of Massachusetts \ . Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 •J•�, www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print t6eibly Name(Business/Organization/Individual): 0LV2 CO.] I 1 S Address: City/State/Zip: S� �vl L� ' (93&3 Phone.#: Are you an employer?Check the appropriate box: Type of project(required):_ 1.❑ I am a employer.with 4. ❑ I am a general contractor and I employees (full and/or.part-time). * have hired the sub-contractors 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 g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P �'• t 9. ❑Building addition comp.insurance. [No workers' comp.insurance 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 exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no �l h employees. [No workers' 13.0 r Other S ti'1 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. 1Contractors 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 certify under the pains and penalties of perjury that the information provided above is true and correct Signature• ,GJ� 31' C' Date: I 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 Contact Person: Phone#: L. Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. 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 representatives 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-contractor(s)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 then 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 6.00 Washington Street Boston, ILIA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax##617-727-7749 Revised 11-22-06 www.mass.gov/dia °PYRE T Town of Barnstable ti Regulatory Services .. MASS. Thomas F.Geiler,Director MASS. 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 r as Owner of the subject property hereby authorize Q_&A� aaito act on my behalf, in all matters relative to work authorized by this building.pemait. (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. CA Signature of Owner Signature of Applicant �In Q it 4(5, Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 6/2012 IKE l ti Town. of Barnstable . Regulatory Services snartsr.+ar.E. : Thomas F.Geiler,Director tAss. 1639 �•� Building Division . rFD NAA'l A 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 state zip code The current exem ption 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. 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 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 immi•,um 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 as u*pervisor(see Appendix Q; Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly k„ when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed personas 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 fom✓certification for use in your community. Q:forms:homeexempt I ' Town of Barnstable *Permit (�`� �m� �� Expires 6 months from issue date HERMIT Regulatory Services Fe SEP 1 1 2007 Thomas F.Geiler,Director TOWN OF BAR Building Division NSTABLE Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address J 7 ' cJ D tesidential Value of Worko Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 1)n yr O(-.mot A,,f c Contractor's Name� 11( (� I ((,6/'r Telephone Number Home Improvement Contractor License#(if applicable) l (� Construction Supervisor's License#(if applicable) ❑Workman's ompensation Insurance Che one: Lq I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) / ❑ Re-side ()—�° r�LJ V ql f y U [Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign-Prpperty Owner Letter of Permission. Al copy of the/Home_ImprooAipent Contractors License is required. SIGNATURE: \ . Q:Forms:expmtrg Revise061306 The Commonwealth of Massachusetts Department of IndustrialAccidents € Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers" Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information '. Please Print Legibly Name (Business/Organization/Individual): 461/ Address: City/State/Zip: Phone.#: c�2� �f Are you an employer? Check the appropriate box: Type of project(required):. 1. I am a e to er.with 4. I am a general contractor and I Y �-- 6. El New construction . employees (full and/or part-time).* have hired the sub-contractors 2. I am a'sole proprietor or partner- listed on the-attached sheet. 7. Remodeling ' and have no employees These sub-contractors have 8. Demolition hrp mp workingfor me in an capacity. employees and have workers' Y P tY• . 9. 0 Building addition comp.insurance.$ [No workers' comp.insurance 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 exemption per MGL 12.[]Roof repairs insurance,required.]t c. 152, §1(4),and we have no employees. [No workers' . .13.❑ 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 sbowing 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. Ido hereby cer_7f er th pains-a enalties ofperjury that the information provided above is true and correct: Si afore: / Date: Phone#: ys Official use only. Do not write in this area,tb 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 Contact Person: Phone#: I ' ��FTHE)per Town of Barnstable. �y°" Regulatory Services + a + BARNSTABLE, s MASS. Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,NIA 02601 ",w.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder I, �tvv De.'A h i G , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to,work authorized by this building permit application for; . U f- �A, (A dress of Job) S>aturef Owfier ate Print Name Q 10 RUMS:O W NERP ERM IS S I ON r Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR TOR o_128799 .`, �''pl tl0n 5W/2009 Tr# 128792 — 1` _TYpeDIndividual { David Collins 21 David Collins ��jy 20 PICCADILLY RDA`' `` Administrator Sandwich,MA 02563 i trator 1 � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application# ISt�IU 1'(d� Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee 3-o Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 3(0� COA:6:� Q)(ii a Y. Village C0�ru%+ V Owner (� \�. + on o V1 Address ca-k)► &u Telephone 4 a�) Permit Request i Square feet: 1 st floor:existing N proposed 2nd floor:existing I a proposed Total,ew .`1' _4 Zoning District Flood Plain Groundwater Overlay Project Valuation 4 K Construction Type Lot Size 3 3 3 sno Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Ul j Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) c:) rn Age of Existing Structure Historic House: ❑Yes A No On Old King's Highway: ❑Yes jd No Basement Type: 0 Full ❑Crawl ❑Walkout ❑Other i Basement Finished Area(sq.ft.) N `2r(A Basement Unfinished Area(sq.ft) ^' i aO f Number of Baths: Full:existing 3 new Half:existing i new Number of Bedrooms: existing_ new Total Room Count(not including baths):existing - new First Floor Room Count L] .b _cew�++6e�lftc)Ms Heat Type and Fuel: ❑Gas il N Electric c)v'c_aA of w E?Y• Central Air: ❑Yes 0 No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes UNo Detached garage:❑existing ❑new size Pool:N existing ❑new size Barn:❑existing ❑new size Attached garage:existing ❑new size Shed:❑existing 0 new size W X 10 Other: Zoning Board of Appeals Authorization ❑ Appeal,.# ---- Recorded❑- Commercial ❑Yes ❑No If yes, site plan review# Current Us 4 Proposed Use B DER INFORMATION Names Y' i �I'1 Yl i S Telephone Number 5(),9' 41a_0 (p O 3 4 2A=ad er ss, , License# C14- ;�� �BL (D 3. Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO CSIGNATU.RE, �Qif'� TE--�5 3 1 ` 0 Co n FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ' MAP/PARCEL NO. _ ADDRESS VILLAGE ' OWNER ell DATE OF INSPECTION: i FOUNDATION FRAME I INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth ofMassachusetts �� Department of Industrial Accidents '�,�j! Office of Investigations Y 600 Washington Street Boston, MA 02111 y www mass.gov/dia- Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Busiaess/Organizationandividu4: S 1,e yy( % �V\V1\ Address: o City/State/Zip: •C_��,- 0 a to 35 Phone M y a0 l oL)2& Are you an employer? Check the-appropriate box; Type of project(requiresi): 1.❑ I am a employer with 4.-0 I am a general contractor and I 6. ❑New construction employees (111 and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet t ?• Remodeling ship and have no employees These sub-contractors have 8: ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' comp.insurance 5• ❑ We are a corporation and its equired.] officers have exercised their 10.❑ Electrical repairs or additions 3. am a homeowner doing all work right of ezemption per MGL 11.❑ Phunbing repairs or additions myself.[No workers' comp, c. 152, §1(4),and we have no 12.[3 Roof repairs insurance required.]t . employees.(No workers' 13.® Other Sine comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policyinfotnoatiow ' t Homeowners who submit this affidavit indicating they are doing all work and theu hire outside contactors must submit a new affidavit indicating such ;Contractors that check this boa must attached as additional sheet showing the name of the subcontractors and their workers'comp.policy information. ram an employer that Is providing workers'compensation Insurance for.my employees Below Is the policy and job site Informatton. ' Insurance CompaayName: Policy#or Self-ini.Lic.##: Bxp ration Date: Job Site Address: city/5tate/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 oi'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 certify under the pains andpenalties of perjury that the Information provided above is true and correct. Signature: _,SC/,l..PA_t_.e _ Q Date: D�` � ` Phone#; SZ '4---lo 5-4 3 3 Official use o?*. Igo not OF& in thb area,to be completed by city of imm rrfffcud City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Health 2.Building Department, 3.Cttyt—lown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other. Contact Person: Phone#: luformation and Instructions , r Massachusetts General Laws chapter 152 requires all employers to provide workers' compensationfor their employees. pursuant to this statute, an employee is defined as"...every person in The service of another under any contract of hire, express orimplied,.aial or written." An employer is defined as-"an individual,partnership,association,corporation dr other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives 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 it 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 ofpublic work until acceptable evidence of con:91iance with the insurance requirements of this chapter have been presented to the contracting authority." Applicanta Please fill out the workers'compensation affidavit completely,by checldng the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numbers)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 isuran nce 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 p ermit 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 member listed below. Self-insured companies should enter .their. self-insurance license number on•1he 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 ihe 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 pmmftltieense number which will be used as a reference number. In addition,as 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 fature permits or licenses. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit notrelated to any business or commercial venture (i.e.a dog license or pem3it to bum leaves etc.)said person is NOT required to complete this affidavit The Office of luvestigations 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 Of im of Invest4a& 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE . Fax#617-727-7749 Revised 5-26-05 wwv.II2SS.gov/dia t °FVEr, Town of Barnstable Regulatory Services BAMS'rABv i'E� Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date (0 ° t% AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: s1,��. Estimated Cost 4 �� Address of Work: 3 p i l ,(r)_k)l+ 'C�Q" , Owner's Name: Q���('t U"VA 1 S Date of Application: I hereby certify that: Registration is not required for the following reason(s): E]Work excluded by law ❑Job Under$1,000 QBuilding not owner-occupied ZOwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. ' �J V�D OR k Date Owner's Name Q:forms:homeaffidav i Town of Barnstable �OFTHE Tp�� NP Regulatory Services BAMSTABLF. Thomas F.Geiler,Director Mass. v 039• ,0� 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 HOMEOWNER LICENSE EXEMPTION r _ Please Print /o DATE: lL' I ' C)V JOB LOCATION: `,1p l . `4'V 1� E � Sla {�JY. C U 1 number eet village "HOMEOWNER": 1�P�fi( � �LA0( S 010 �UT)3y ��& _ "7-33 name home phone# wak hone# CURRENT MAILING ADDRESS: 1 C•�-��' city/town state zip code .The-current exemption.for"homeowners"was extended to include owner-occupied dwelhnts 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. 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 of two-familydwelling,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 woik 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. 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 persons)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 hives 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. Q:forms:homeexempt Page 1 of 1 CERTIFIED PL 0 T PLAN - - rotate (kz00m in ' ;printer friendly 7 FAI0s IP FND IP SO4.95'00"E FND 150FOO.— . 1 `•LOT 78 N�� s TN�A 44.'122.99 S.F. �p,6 S ,� 4CA Y o �JSE PAlt"L B .. • vs ., 1 .' Cf1LU 0. ' Cam• mat � 'd���?�A�tE�� �o m to r � in p$.Q t LOT 77 2 STOO DA 0g61 68.3! N o L_-26.85' 24• FND DISTORBSD Ito; IP AY DRIVE ill- FND C07'UIT K c e I. ROD D. CARTER, A PROFESSIONAL LAND SURVEY0R,1;1DO BEREBY CERTIFY ' Mr-ME ABOVE`REPRESENTS AN ON SCALE; 1"=40' GROUND SURVEY BY INSTRUMENT ON. OR ABOUT SEPTEMBER 21, 1999. OD CARTER LAND SURVEY CO. Client D N DENNIS 5 EVERGREEN LANE SUI 13 HOPEDALE, MA 01747 Al reu 861 CITUIT BAY DRIVE TEL 508-473-1204 0+� R �s COTUIT MA. pptP SEPTEMBER 21 1999 A R tt 17264 034301 BK �cUR 1 ` °suave PB 292 PG 26 t Yhttp://www.customink.com/cink/create/controls2.html 5/9/2006 �. oFVE� , Town of Barnstable •A STA LZ Department of health,Safety,and Environmental Services 9� M039.IACSS. �0 Conservation Division a 200 Main Street,Hyannis MA 02601 Office: 508-8624093 Robert W.Gatewood FAX: 508-778-2412 Conservation Administrator MINOR ACTIVITY REGISTRATION Property Owner Telephone number Mailing address Project location Map/Parcel# (o kl4 s1 Project description The following minor activities will be reviewed,under Art.27,by Conservation staff instead of the Conservation Commission,as long as they are constructed at least 60' from a wetland resource area or top of a coastal bank. * Pathways 4' in width * Fencing that does not create a barrier to wildlife movement,6"above grade * Conversion of lawns to decks,sheds,or patios that are accessory to single family homes, as long as: -house eidsted prior to August 7, 1996 -alteration within the buffer zone is less then 250 sq.feet. -sedimentation and erosion controls are used during construction * Stonewalls(this does not include stonewalls for retaining wall purposes,grading and/or fill) Q G G_ Signature Date Reviewed by Date _GIS Plan Attached(fee charged for plan) Q/WPFiles/Form/MinorAct k � LC) T N OF PROPERTY LI ES�MAYs NOT BCE ACCCD`RA�TEF STANDARD LEGEND NOTE:not all symbds will oppear on a map x N fi „a tZ!:� GOLF COURSE FAIRWAY rv'Y-v"�— EDGE OF DECIDUOUS TREES EDGE OF BRUSH ORCHARD OR NURSERY EDGE OF CONIFEROUS TREES MARSH AREA — EDGE OF WATER �,_.�•^'"' __= DIRT ROAD DRIVEWAY PARKING LOT PAVED ROAD DRAINAGE DITCH ———— PATH/TRAIL PARCEL UNE++ MAP 326 —MAP# 021 - PARCEL NUMBER *367 —HOUSE NUMBER �s 2 FOOT CONTOUR LINE 10 FOOT CONTOUR LINE S \� 51 Q ( \ Elevation basod on NGVD29 X 4.9 SPOT ELEVATION STONE WALL i 1 -X—X- FENCE RETAINING WALL I r- RAILROAD TRAa -'---" STONE JETTY SWUMIIN6POOL PORCH R �]❑ BUILDING/STRUCTURE F4+L DDCX/PIER Q HYDRANT ..' a VALVE ® MANHOLE ... o POST 0" RAG POLE T O W N O P B A R N S T A B L E O E O O R A P N I C I N F O R M A T I O N S Y S T E M S U N I T o SIGN ® STORM DRAIN PROIIFOSfALLpFELT +NOTE lhisma ismenla errwNola ++NOTL The idRossamon D rD Po IyBmphicrepmsemoDom DATA SOURCES:HonhNMa(manimde(mMm�xsramterryated8oml995aalalpharogmphsbylhelames va s P=100'smlemapandnmyNOTr olpmpesiyboal,:l TheyamnothueloaaftmaM W.SamllCampany.TopopmphyandseDetaftwareimerpmrodfrom1989aeriolphoropm*byGEOD 0 MLIIYPOIF rs i0R'ER 0 l U 20 NallormlMa Amtmq Slaidards at Hus do rmt represem aauol mlofianwldps ro pAysiml oh(e� CarpomHoa Planimehiq topopmphy,and wpetatian mm mapped ro meet NatiRRl Map AmnoryStandmds s I IROI-20 FITT+ eolanped on the nmp. of a satle d 1'=100'.Panel Mes woe dipltited from FY1004 Torn f 8anatable Assessafs smt maps. O U6NT POLE o ELECTRIC BOX 1Desktop\Conservation.dgn 6/1/2006 9:00:51 AM A Pine Harbor PostShed? Why • Pine Harbor offers you superior quality products. ' - • We are a full service family company with a knowledgable staff in the shed business for over 30 years. } Our certified installers are dedicated to building you a quality t Rol ( shed. Our Post & Beam sheds are built with a Post & Beam frame system for rugged durability. -4 • Precise scheduling and on time installations. I 1 • Free site analysis and consultations. • Pine Harbor offers traditional New England designs. Our standard and custom designs offer flexibility to meet your storage needs. r _ We have more standard features and endless options and accessories to customize your shed. Convenient locations with great displays and store hours. Competative pricing—Having sold over 10,000 sheds through- -" ,,�, = = out New England, we are confident you will get the best shed = for a great price. -A We install sheds and deliver shed kits throughout New England a and beyond. Standard Post & Beam Sheds Come With: - • V plywood floor & roof CDX exterior grade • Post and Beam frame -r • Board & batten siding • 6'5" inside wall height • 36" standard door, with free ramp • Heavy Duty keyed ti • Stationary windows with flowerbox and shutter entry handle r • Louvers for ventilation • 25 yr.Asphalt shingles - • 2"x 6" Pressure treated floor framing • Solid concrete block (2"x 8" on 12'deep sheds) In extreme circumstances and supply shortages, Pine Harbor Wood Products reserves the right to use materials of equal or better quality. Helpful Hints _ ` r Time Tested Uses For P •Shed site re is important Pine Harbor Sheds prep p Grade of land can be deceiving Garden Tools and Supplies Patio Furniture A level site will look better,be more -- - Garden Tractors Bikes and Toys functional,and provide easy access! Mowers Grills •Stain/Seal within 30 days to preserve i Playhouses Pool Supplies the lifetime of your shed. Bunkhouses Motorcycles t •When choosing a size,we strongly Art Studios Snowblowers recommend ordering one size larger Outdoor Furniture and much more..... than you think you need.You always Protect Your Investments need storage space."Do it once-do it right!" ShingleColor Chart. 25 yr.3-tab Certainteed asphalt shingles.Standard choices below.Colors are not exact.Certainteed architect style shingles are an available option. Chestnut Brown Slate Gray Gray Frost Moire Black Weatheredwood Black Pepper V 1 �r_. �. � _ ...Fi�rev: -..h..Y x•Y r Standard Shed Designs 11114 4 Our most popular design, a classic peakedColl roof with %z pitch is perfect for shelving and hanging space on walls while keepingF floor space at a maximum. Traditional and "` R1 --i functional. fill C I Size Priclwg pill I 6x8 . . . . . . . . . . . . . $1375.00 1Ox12 . . . . . . . . . . . $2440.00 MI i 6x10 . . . . . . : . . . . . $1530.00 1Ox14 . . . . . . . . . . . $2850.00 1 8x8 . . . . . . . . . . ... . $1480.00 10x16 . . . . . . . . . . . $3250.00 8x10 . . . . . . . . . . . . $1775.00 12x12 . . . . . . . . . . . $2850.00 zg �� 'f ' ��. ,, . , 8x12 . . . . :. . . . . . . $2085.00 ]2x14 . . . . . . . . . . . $3350.00 t 8x 14 : . . . .': . . . . . . $2280.00 12x 1.6 . . . . . . . . . . . $3880.00 1Ox10 . . . . . . . . . . . $2300.00 12x20 . . . . . . . . . . . $4750.00 Stcmdard siding is Board&Batten. f For the ultimate in storage. This building' - offers 7' walls, 36" roof overhang, steep roof - - pitch ('%z), two storage lofts, overall upgraded substantial construction features and more. - .=11111E This building is more than just a shed. =_ a —Fill POP AAA rM 111 � III _ �, �Q� _ •� �. � Size Pricing ]2x]2 . 1Ox12 . . . . . . . . . . . . . . . . . . $4700.00 12x14 . . . . . . . . . . . $6100.00 l Ox 14 . . . . . . . . . . . $5200.00 12x 16 . . . . . . . . . . . $6500.00 ' : `• 1Ox16 . . . . . . . . . . . $5800.00 12x20 . . . . . . . . . . . $7800.00 1Ox20 . . . . . . . . . . . $6800.00 12x24 . . . . . . . . . . . $8800.00 Standard siding is Board&Batten. Ideal for workshop space - studio - bunkhouse etc. Price is subject to change without notice. Price does not include 5%sales tax. Standard Shed Pulp By increasing the roof pitch to a steeper itch '%2 and includinga 4' storage loft —this is the perfect style for the "pack rat". The loft provides storage space for small `"'" and seasonal items such as beach chairs ®® and hoses, etc... while maintaining optimal wall and floor space. This design adds New = � , England character! s 71 0 t �� Kf _ - Size Pricing K i4. A�oeen= 6x8. . . . . . . . . . . . . . $1540.00 10 $2650.00 . 6x 10. . . . . . . . . . . . . $1775.00 l 10x 14. . . . . . . . . . . . $3100.00 , 8x8. . . . . . . . . . :. . . $1700.00 1Oxl6. . . . . . . . . . . . $3550.00 8x1O. . . . . . . . . . . . . $1975.00 12xl2. . . . . . . . . . . . $3200.00 8x12. . . . . . . . . . . . . $2330.00 12x14. . . . . . . . . . . . $3800.00 _ - 8xl4. . . . . . ... . . . . . $2625.00 12x16. . . . . . . . . . . . $4200.00 1Ox10. . . . . . . . . . . . $2600.00 12x20. . . . . . . . . . . . $5200.00 Larger sizes available. Standard siding is Board&Batten. When outside covered storage is as important as the inside, the 30" overhang off the back allows for firewood, kayaks, bikes, etc.... to be kept accessible, yet covered without j making the entire shed bigger. The roofline i I is also appealing for its Saltbox looks. This design has a %2 roof pitch. - Size Prieing _ 6x8 ... . . . . . . . . . . . $1650.00 lOx 12 . . . . . . . . . . . $2750.00 {- - 6x 10 . . . . . . . . . . . . $1825.00 lOx 14 . . . . . . . . . . . $3250.00 8x8 . . . . . . . . . . . . . $1750.00 lOx 16 . . . . . . . . . . . $3600.00 8x10 . . . . . . . . . . . . $2100.00 12x12 . . . . . . . . . . . $3300.00 ` ! 8xl2 . . . . . . . . . . . . $2400.00 12x14 . . . . . . . . . . . $3900.00 x . � F �� � � � � • -� - 8x14 . . . . . . . . . . . . $2725.00 12x16 . . . . . . . . . . . $4300.00 z 1Ox10 . . . . . . . . . . . $2700.00 12x2O . . . . . . . . . . . $5500.00 Larger sizes available. Standard siding is Board&Batten. Price is subject to change without notice. Price does not include 5%sales tax. 5 Custom Shed Nips 12x16 Custom 16x20 Custom with 8x14 shed addition. loan NMI- a rM _ RIF 12x16 Custom 10x12 Custom greenhouse shed. t� 11111111111111111 �-' -_ -= 11111111111111111 _ ='. I1 i-*1111111111111111 1 � ?1 �_ , i 14x24 Custom 10x16 Custom with sliding doors. Why guy Custom: 1, � Our customized Post & Beam sheds are ideal for pool cabanas, changing rooms, pool pumps, rustic bunk- houses, extra space, playhouses, art studios and workshops. Let us design a building to suit your needs. We offer a large selection of screenhouses, horse barns, run-in sheds, barns and garages built on Cape Cod and the Islands! All of our Post & Beam buildings are of top quality rugged construction, built to stand the test of time! We offer design services, free on-site consultations and quotes on buildings of all sizes and styles. I R �'y,,.YY •e TOWN OF BARNSTABLE Permit No. ----- '42 ----- ' ! Building Inspector r..� Cash .F OO�PYPY �� a• ��� OCCUPANCY PERMIT Bond XY, ____ "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 Inspector." Issued to Colin B. MacDonald address '361 r-ot% .t Bav Drive Cotuit Wiring Inspector' Inspection date Plumbing Inspector (� �{ o';. Inspection date 4 . Gas Inspector 1 F Inspection date Engineering Department Inspection date 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.._._.,. ..................y. ...Building...Iuspeetor _......._.._...........» i.p i� E , FROM TOWN OF BARNSTABLE BUILDING DEPARTMENT. Mr.- Colin MacDonald 367 MAIN STREET 5 Day Circle HYANNIS, MA 02601 Woburn, MA 01801 � Phone:. 775-1120 SUBJECT: FOLDHERE ,DATE April 2, 1981 MESSAGE Enclosed please find your Occupancy Permit and your Bond. Please return the.Bond to your Insurance Company for cancellation.. SIGNED Joseph D. DaLuz, Building DATE Commissioner REPLY SIGNED i N87_RMI RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. SENDER: SNAP.OUT YELLOW COPY-ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. " ram. A, 0 5 - dcrc - --- - __ - .`�► __ --�A .tea. , _ . ., _ ,_..... _ _ _ -7 OWNER: Colin Mc Donald �'Qy 5 Doy Circle Woburn, Moss. 0/80/ O 'ti'gs y %c GRETE BOHaJ\'N0f� CERTIFIED PLOT PLAN OF F', �F °fi ti s0.ea c/sTet LOT 78 NQ Spa o3M1 "CO TUI T BAY SHORES �/'�'�` / certify that the foundation is /N located os' shown hereon and conforms to COTU/T, BARNSTABL E, MASS. the sideline and setback requirements of Sco% / 40' October /, /979 the Town of Barnstable. 80HANNON LAND SURVEY CO. 99 P/eosont St., West Bridgewater, Moss. Registered Land Surveyor Asiss_47 map and lot number .. 7-7�' o f THE ro Sewage Permit number .........9......... . . .......................... ~� ' ABLE, i House number 3..h..l. !1 tITI.E 6 00 6 IL 9 ENVIRONMENTAL COD a� TOWN OF s BARN:STAM'LREul-ATIONS t, BUILDING INSPECTOR h.l APPLICATION FOR PERMIT TO PAY..................... ... .......... ............... ...........j..:............................................ TYPE OF CONSTRUCTION .... ve ......... ...........................................:............................... ......... ��� .... ...................19. �! TO'THE INSPECTOR OF BUILDINGS: .• The undersigned hereby naap�npplies//for a permit according to the following information: ' - Location4. .�-....../1..C:(..........4�. G(..<(. ..............464./.......... .L.<emlE:............� . .�. ?�J �j ` a ProposedUse D�`. '1.C./41 ....................................................................................................................................... ZoningDistrict .............. ..................................................Fire District ...... ..L........................................................, i 501 A }.: r�/�c .� Name of Owner�.a.�.(..l..K ....:�,/�� ..�s[�ddress � � E 17 Name of Builder'RNOLD.'.I../.4 ..0M.IIkP....7 ess ....... Y..Y C.1 k...01—L............ Name of Architect ......... H' y /�SSOC< * !FIT LGL l� `C .....14�....�..���....�.d�........Address .........�.......��..F...'............ ../.�. 9.t..�'6�. ...... Number of Rooms .... .... .s?.'...................................FoundatioXWJIE .......... ®......... 4 L,.� ....QO.f.�-/.�.►.� 'JfL ... �... . .... Exterior Roofing ................... .............. Floors ... . ./ l f .... .5............................................................Interior ie............................................. Heating -.6 ..............................Plumbing 5 ' 1 ?qP //,, Fireplace .,!..i .......... .l. ...............................................Approximate Cost t.ftJ...s�. .®....... Definitive Plan Approved b Planning Board __________________________19 . Area 9a ............ PP Y 9 - �i.. ...I....... . Y6,6 d Diagram of Lot and Building with Dimensions Fee . .......................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH �UJ i,00 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ��ii Name(..-..0-4 ..................... ........................ MacDonald, Colin B. 21 4.. Permit for .............two..'.Sto......j�y.........single family dwelling ..............i ................ ........................... Location ........361...qqtuit Bav Drive ......................................... . ........................C9�wit.......................................... Owner ...........Colin..B.....MacDonad................... . .... .. . .................... Type of Construction .......frame........................ ............................................................................... PlotLot ......................................... ............ Permit Granted ... 19 80 Date of Inspection ...... .�19 --,Date Completed ........... ...19AD PERMIT REFUSED ...... ..... ...............................n..... 19 -2 ............ ................................................ In S. ... ...................... ..................... ....... . . ................................... ................ co 0 t 0 Appr ............................ 19 ..............I...... M M I......................!................................................... ..... ............I............................................................... Assessor's map and lot number Sewage Permit number ..... ✓...J�. . ....................::...... .. EAR39TA D House number .................. rMAB6 LE' i 4p t639. \0� �f0 MAY a TOWN OF BARNSTABLE F BUILDING .INSPECTOR APPLICATION FOR PERMIT TO i ' TYPE OF CONSTRUCTION fi .�-'j�. .....: , ......'.............................. .�..:. .............. ........................ .... .... .............. .... ..........................�.. .-.�.. .......... .... a !.. ...................19.. 1 TO THE INSPECTOR OF BUILDINGS: } The undersigned hereby applies for a permit according to the following information: Location ai „.......................r J..., , � ........../;?..ty ........ l � ��,!�...:........:... '°I. .� f,/.;�,�r Al !r 4� Proposed Use 1...I.C1. .... : .......................................................................... Zoning District ........ .... .................Fire District ` �J. ....... ....................... . ........................... Name of Owner s s..........�.G ddress ..' ...... ,.r. r.?.: .......................... yr h� f t Name of BuilderA0!.aLD.'.� C...l.�nN.4.�:..R..... ess ......�5� :vr�..y....�..�.�^.��.� !. ...........��s�;��) Name of Architect �4, H. ��...t^.. .!°!..... d"d� ...: .�.... �.:Sd......'� +....lY '�, � � a• ss Number of Rooms .... .............. 1....................................Foundation t;�.................:./.............. ... ................................... r r1 Exterior �� � /f� Roofing ;... .. . /;!•l .................. Floors ✓ l .Interior 1'��..i'-���.��' .................................. .� ......... ............................................................ Heating :.".+. ................. . ................................... . ....:Plumbing ... .............................../ ..:...................:.................... Fireplace .I:.l;•,� ........ /. .....................ApproximateCost ` .!:1°�P?��° ,�............ ... pP Y g ., �... .. 19_______. Area �r Definitive Plan Approved b Planning Board -------------------___________ •� ' • zf............ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH Z/(�CZ - y I•hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name-r..,&;s.� ...............................:.....�.. j C • MacDonald, Colin B. /A=55-11 � � 4 t�o ^ No�� .. Permi� {or ----..�����.---. � ' i ���� '----''r------''~-------^-----' Location ...........36I. t..Bay..D�i��__.. ' .--------..��tg1�------------. ^ ` � ' Owner ---Colio Bx Mac...__..d`_____.. ^ ' - . ',p~ of Construction ^ ' ' . ' � � ^ � . ^ ' Plot � h\ � January 8 y - . Permit Granted" � Date of ' � Dote Completed . ' � ` ' . EFUSED �~~~. ---. -------. ." � ---' ............ . /, . --_.^�~~'^---- --.. �. ...------.. ' . ................................... .......................................... ' ............... ............................................................... � Approved . [ � p . ................................................ lg ` --------.---------.----~.--. / �������~����'�����������,,,,,� � ^ � ` : Assessor's map and lot number ....S �:.:. �.................. / �G/i " /94 Bpi TN E Tod♦ Sewage Permit number ......... .............................. ro Z 33ARNSTADLE, i House number ...........•............... r MAO& 'E0 MAY tr' e TOWN OF BARNSTABLE ..,. 'BUILDING INSPECTOR APPLICATIONFOR PERMIT TO .......................................................................................................................... TYPEOF CONSTRUCTION ..................................................................................................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to thefollowing information: Location ................. :�.).............�,.�, t.y ........1A..`�........:�..��. ?t.�......... c�1..�?.�. :......:... y Proposed Use ... NN'. .......s::%AI_1�✓.M�t�l„1•..... ca o.� ............................................................................ ...... Zoning District ........................................................................Fire District of Owner 0 ....Address . .. ...lName . .................................................. .........\ .�..\ Name of Builder :?�UR .�.11.... ta_���.....�.C� 1)uC,Address ...��.....� `?V �L C 1�1� u, ���`\.� R\C N' .. Name of Architect ..................................................................Address ................................................................. Numberof Rooms .......................................:..........................Foundation ....................................................:.............:........... Exterior .................................................................:................:..Roofing ....................................................................................: r Floors ............................................................Interior .................................................................................... Heating ............................. .....Plumbing f Fireplace ..:............................................,..................................Approximate Cost J 1D O Zo Definitive Plan Approved by Planning Board -----------_______-----------19 . Area .� ..�...................... Diagram of Lot and Building with Dimensions Fee C/................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH e, '1 i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...................�......... .............................. pP/ MacDONALD, COLIN V' Swiming POOL ... ermor .................................... Accessory to Dwelling................ ........................................................... Location ...3.61...Cotuit Bav Drive ................ ........................ ......................... Cotuit ............................................................................... Owner .....Colin MacDonl,alld ............................................................. JI Type of Construction .....Frame .............................. ............................................. ................:............. Plot ............................ Lot .................................Permit Granted ,.-.../Ma-Y...1.9..............19 80 Date of Inspection ....................................19 Date Completed .......................................19 PERMIT RE 6SED .............................................. 19 ............ .!/ ...... ...................... ...... ..... ....................................... ............................................................................... ................................. ............................................ Approved ................................................ 19 ............................................................................... .............................................................................. Assessor's map and lot number .......0 THE Sewage Permit number ....7Y........... f........... House number ................ J5 F MAO& . ............................................ 00 1639. TOWN OF BARNSTABLE P12 BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............) ........... ....................... ........................................ TYPE OF CONSTRUCTION ........ .0........... ....................................... Al.............r7.............19.. TO THE INSPECTOR OF BUILDINGS: The. undersigned hereby applies for a permit according to the following information: Location ........ ...... 7.............G..A*4... .... ...................................................... .... .................... ....... ProposedUse ....... ..........d............................................................................ ................ ........................ C 7- ZoningDistrict ..............r".T. ...............................................Fire District ........................erv/...................................................... Name of Owner ... ...... .....Address ve C07 C07-V 7 ....................... ... ... ........ ................................. ..Address Name of Builder ..... A4.ff..Nf zo�....I&.......00-vLE Name of Architect ..................................................................Address ................... ............... .................................................. Number of Rooms ....... 0!�............70�.��clation Pr1(e 7- TV&W- ............gr�.... ........ Exterior ..... ... .. ......Jk'P- .-CA5,,0 ....Roofing ......I�S)?I-7�. . 77...1.................... ................ .. .... VFloors ..... 7...... W..... .L.......................Interior ....... ........................................... Heating .....k7�2��<Z; .7...... ........Plumbing ...... . ............................... ..................... (20 Fireplace /X,�, 4..............................................Approximate Cost ........ I .................. .................... Definitive Plan Approved by Planning Board --------------------------------19-------- - Area .....39.0. 0 .................... Diagram of Lot and Building with Dimensions Fee ........................7 .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW. DWELLINGS I hereby agree to conform to all the Rules-and Regulations of the T wan of Ba4rnst ble regarding the above construction. . ............ Name ............... ..... Construction Supervisor's License Oyk..E�....... ----------- McDONALDI COLIN A=055-011 OSS No Permit for ..Add .to....D..well.i ng Sina16 Family - Dwelling............ Single ....................... Location Qqt.V i t...B y..J12r,iv ...................cg.tuil............................................ Owner ....Colin...M..c...D........ona.ld.......................... .. .... ..... .. .... Type of Construction ....Er.?aMP......................... ...................................1,.......................................... Plot .......................... Lot ................................ Permit Granted ...A!4.9q-9t... ................19 90 Date of Inspection .....................................19 Date Completed ......................................19 -PERMIT COMPLETED 1/1/ Y/- e s" 0 C sygmm MUST BE Assessor's map and lot number ............................ . SF EC)IN COMPLI TALU INS Sewage Permit' number .. .... ............ WffI4 VLE 5 F7j5 ' AENTAL CO i . 1. — F STABLE, • House number ...............tf::,3 . .-. .1. mVIRONI X"& ..... ...... .................... ...................... -TOWN REGULATI 1639- a MAY Ar, TOWN . OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... .................A?�PyAi�..... TYPE OF CONSTRUCTION ........P .0........... . ................................................................. ......... 6......7...........9.49a TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......3(pl...... .......Gfle 4........ ............ ............... .....( ....... ......................................... ProposedUse ....... ......*F***"*'****'*"'***"**""*'*......... ............................................................. 07611 Zoning District ............. ....... ...........................................Fire District .............................................................................. cot-1 V-3 Ake-: Name of Owner .......................................... .....Address aW.C..Tpev...la... QKf.V.&.....Cc rw T.. Name of Builder ..Address' ...... Nameof Architect .............................. ...................................Address ..................................................................................... Number 'of Rooms ............ ............70W'-##..',"f.Ri�fidation RWehi��....GN.Ce ...... Exterior .... ...601'91rZ-0....... P5 ... Roofing ..... ........................................... Floors —r...../. Interior .......Dglykkj.m7L.4.,n.......................................... ie-�VI,14........................ Fleatin .....f 77..... ...........Plumbing ....... 9 ............................................................ 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 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS aTZt I hereby agree to conform to all the Rules and Regulations of the w of Barns le regarding the above construction. Name . ...................................... ......... ....................... ..... Construction Supervisor's License ........ McDONALD, COLIN No Permit for ...Add. ...To....Dwe.l.l.ing .. ..... .... ....... .. . . Sincrle Family Dwelling......... ................................................................. Location .....361 Cotuit Bay .Dri ..................................I.. ......WVP....... ............................C....otuit ............................................... Owner ......Colin McDonald.... .. ................................................... Ile, Type,qj� Construction .........Frame... ....................... .......... Plot .............................. Lot .................. Permit Granted ........ P-.r.........19 90 Date.-of Inspection .........................19FO Date Completed .................. .... ..... 19 M(U QZ le y� h o/ 4C �3 DSO OWNER Co/in Mc Donald 5 Day Circle t P• Woburn,Moss. O/BO/ ��Q ,� cF�; : , d �6es. GRCT; .,< V i t �'S FIED PLOT PLAN OF 9"" �E'0b CERT/ LOT 78 o sUs� "CO MI T B A Y SHORES "� �� / certify that the foundotion is IN located as shown hereon and conforms to COTUIT, BARNS TABL E, MASS. the sideline and setback requirOments of scale / 40' ':October /979 the; Town of Barnstable. B0I5PANNON :LAND SURVEY CO. 99 Pleasant St., west Bridgewater,MOSS• Registered Land Surveyor r ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE 1. WHERE ALL TERMINALS OF THE DISCONNECTING AC ALTERNATING CURRENT MEANS MAY BE ENERGIZED IN THE OPEN POSITION, BLDG BUILDING A SIGN WILL BE PROVIDED WARNING OF THE CONC CONCRETE HAZARDS PER ART. 690.17. DC DIRECT CURRENT 2. EACH UNGROUNDED CONDUCTOR OF THE EGC EQUIPMENT GROUNDING CONDUCTOR MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY (E) EXISTING PHASE AND SYSTEM PER ART. 210.5. EMT ELECTRICAL METALLIC TUBING 3. A NATIONALLY—RECOGNIZED TESTING GALV GALVANIZED LABORATORY SHALL LIST ALL EQUIPMENT IN GEC GROUNDING ELECTRODE CONDUCTOR COMPLIANCE WITH ART. 110.3. GND GROUND 4. CIRCUITS OVER 250V TO GROUND SHALL HDG HOT DIPPED GALVANIZED COMPLY WITH ART. 250.97, 250.92(B) I CURRENT 5. DC CONDUCTORS EITHER DO NOT ENTER Imp CURRENT AT MAX POWER BUILDING OR ARE RUN IN METALLIC RACEWAYS OR Isc SHORT CIRCUIT CURRENT ENCLOSURES TO THE FIRST ACCESSIBLE DC kVA KILOVOLT AMPERE DISCONNECTING MEANS PER ART. 690.31(E). kW KILOWATT 6. ALL WIRES SHALL BE PROVIDED WITH STRAIN LBW LOAD BEARING WALL RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY MIN MINIMUM UL LISTING. (N) NEW 7. MODULE FRAMES SHALL BE GROUNDED AT THE NEUT NEUTRAL UL—LISTED LOCATION PROVIDED BY THE NTS NOT TO SCALE MANUFACTURER USING UL LISTED GROUNDING OC ON CENTER HARDWARE. �? � Q PL PROPERTY LINE 8. MODULE FRAMES, RAIL, AND POSTS SHALL BE �— <r POI POINT OF INTERCONNECTION BONDED WITH EQUIPMENT GROUND CONDUCTORS1AND r Q PV PHOTOVOLTAIC GROUNDED AT THE MAIN ELECTRIC PANEL SCH SCHEDULE 9. THE DC GROUNDING ELECTRODE CONDUCTOR -- `73 SS STAINLESS STEEL SHALL BE SIZED ACCORDING TO ART. 250.166(B) & STC STANDARD TESTING CONDITIONS 690.47. � TYP TYPICAL t a� UPS UNINTERRUPTIBLE POWER SUPPLY %, V VOLT CS) rY' Vmp VOLTAGE AT MAX POWER Voc VOLTAGE AT OPEN CIRCUIT VICINITY MAP INDEX W WATT 3R NEMA 3R, RAINTIGHT � PV1 COVER SHEET PV2 SITE PLAN PV3 STRUCTURAL VIEWS PV4 THREE LINE DIAGRAM LICENSE GENERAL NOTES Cutsheets Attached v , GEN #168572 1. THIS SYSTEM IS GRID—INTERTIED VIA A /� ELEC 1136 MR UL—LISTED POWER—CONDITIONING INVERTER. 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. 3. SOLAR MOUNTING FRAMES ARE TO BE GROUNDED. 4. ALL WORK TO BE DONE TO THE 8TH EDITION MODULE GROUNDING METHOD: SLEEKMOUNT OF THE MA STATE BUILDING CODE. 5. ALL ELECTRICAL WORK SHALL COMPLY WITH REV BY DATE COMMENTS AHJ: Barnstable THE 2011 NATIONAL ELECTRIC CODE INCLUDING MASSACHUSETTS AMENDMENTS. • REV A NAME iz/zo/zo> COMMENTS • UTILITY: NSTAR Electric (Cambridge Electric Light) , CONFIDENTIAL — THE INFORMATION HEREIN JOB NUMBER: ,JB-026197 00 PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE DENNIS,. SHERRI DENNIS RESIDENCE Linda Huie a BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: ►•„SolarCity. NOR SHALL IT BE DISCLOSED IN WHOLE OR IN PART TO OTHERS OUTSIDE THE RECIPIENT Comp Mount Type C 361 COTUIT BAY DR 5.635 KW PV Array I� 'S MODULES: BARNSTABLE, MA 02635 THE SALE AND USE of ITHE�RESPECTIVE TM (23) YINGLI # YL245P-29b 24 St. Martin Drive, Building 2, Unit 11 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PAGE NAME: SHEEP REV: DATE L (650)6a38-1 28 F:A(650) 638-1029 PERMISSION of soLARCITY INC. SOLAREDGE SE5000A—US (508) 776-5433 COVER SHEET PV 1 12/20/2013 (888)-SOL-CITY(765-2489) www.solarcity.com f a PITCH: 24 ARRAY PITCH:24 MP1 AZIMUTH: 155 ARRAY AZIMUTH: 155 MATERIAL:Comp Shingle STORY: 2 Stories ' ��tH OF -`� PITCH: 26 ARRAY PITCH:26 C -`er4 MP2 AZIMUTH:83 ARRAY AZIMUTH:83 C? Y00 JIN yG MATERIAL: Comp Shingle STORY: 1 Story PITCH: 34 ARRAY PITCH:34 OM AC Inv VI H :MP3 AZIMUTH:77 ARRAY AZIMUTH:77 © O No.4 MATERIAL: Comp Shingle STORY: 1 Story T OVAL Digitally signed by Yoo Jin Kim , Date:2013.12.20 13:02:47-08'00' LEGEND Q (E) UTILITY METER & WARNING LABEL Inv INVERTER W/ INTEGRATED DC DISCO C & WARNING LABELS DC DISCONNECT & WARNING LABELS AC AC DISCONNECT & WARNING LABELS Front Of House 0 DC JUNCTION/COMBINER BOX & LABELS + A DISTRIBUTION PANEL & LABELS LOAD CENTER & WARNING LABELS ' o B O DEDICATED PV SYSTEM METER a CONDUIT RUN ON EXTERIOR --- CONDUIT RUN ON INTERIOR — GATE/FENCE r,_ INTERIOR EQUIPMENT L J C r , SITE PLAN N Scale: 3/32" = 1' tv 01, 10, 21'm MA f id OMER S CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: J B-0 2 619 7 00 PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE DENNIS, SHERRI DENNIS RESIDENCE Linda Huie �SolarCity. ,BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: • NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type c 361 COTUIT BAY DR 5.635 KW PV Array PART OTHERS OUTSIDE THE RECIPIENT'S MODULES BARNSTABLE, MA 02635 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (23) YINGLI # YL245P-29b- SHEET: REV: DATE; Madbaraugh,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME T- (650)638-1028 F: (650)638-1029 PERMISSION OF SOLARCITY INC. INVERTER: SOLAREDGE # SE5000A-US 508 776-5433 SITE PLAN PV 2 ,12/20/2013 (666)-SQL-CITY(7e5-2489) rrNwsalaraty.cam OF Y00 cy p JIN K (E) 1x8 VI ti x S1 No. 7 S 1 (E) 28 (E) 2x4 .o Tti NAL Digital signed by Yoo Jin Kim Date:2013.12.20 13:02:58-08'00' 14�-3 1' (E) LBW 1'— (E) LBW SIDE VIEW O F M P2 RAFTER: (E) 2x8 @ 16" O.C. � B CEILING JOIST: (E) 2x8 @ 12" O.C. SIDE VIEW OF MP1 RAFTER: (E) 2x8 16" O.C. NTS RIDGE: (E) 2x10 RIDGE BOARD A NTS CEILING JOIST: (E) 2x8 @ 16" O.C. MAX SPAN: 8'-4" RIDGE: (E) 2x10 RIDGE BOARD MAX LANDSCAPE STANDOFF X—SPACING: 64" O.C. (STAGGERED) MAX SPAN: 14'-3" MAX LANDSCAPE STANDOFF X—SPACING: 64" O.C. (STAGGERED) (E) 2x6 PV MODULE (E) 8x8 5/16" BOLT WITH LOCK INSTALLATION ORDER (E) 2x8 & FENDER WASHERS LOCATE RAFTER, MARK HOLE ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT (6) HOLE. (4) (2) SEAL PILOT HOLE WITH ZEP COMP MOUNT C POLYURETHANE SEALANT. S1 ZEP FLASHING C (3) (3) INSERT FLASHING. (E) COMP. SHINGLE (1) (4) PLACE MOUNT. (E) ROOF DECKING U (2) U 4 C5) INSTALL LAG BOLT WITH 1 16' 01 5/16" DIA LAG BOLT (5) SEALING WASHER. WITH SEALING WASHER LOWEST MODULE SUBSEQUENT MODULES (6) INSTALL LEVELING FOOT WITH (E) LBW (2-1/2" EMBED, MIN) BOLT & WASHERS. SIDE VIEW OF MP3 RAFTER: (E) 2x8 @ 16" O.C. (E) RAFTER NTS CEILING JOIST: (E) 2x6 ® 16" O.C. S♦ STANDOFF ) 10 RIDGE BOARD MAX SPAN: 16-0" 1 Scale: 1 1/2 — 1 MAX LANDSCAPE STANDOFF X—SPACING: 64" O.C. (STAGGERED) CONFIDENTIAL- THE INFORMATION HEREIN IN NUMBER: J B-0 2 619 7 O O PREMISE OWNER: DESCRIPTION: DESIGN: \ solarCity. CONTAINED SHALL NOT BE USED FOR THE DENNIS SHERRI DENNIS RESIDENCE Linda Huie BENEFIT OF ANYONE EXCEPT IN WHO E INC., Moulm s1STETA: 361 COTUIT BAY DR �NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 5.635 KW PV Array /� PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES: B A R N S TA B LE, MA 02635 THE SALE AND USE OF THE RESPECTIVE (23) YINGLI # YL245P-29b 24 St.Martin Drive, Building 2, Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PAGE NAME: SHEET: REV. DATE Marlborough, MA 01752 PERMISSION OF SOLARaTY INC. ISOLAREDGE SE5000A—US (508) 776 ' 5433 STRUCTURAL VIEWS / /2013 T: (OLO)638-105- F. (OLO)638-10y.� PV 3 12 20 (aBB)-soL-CITY(76s-lass) www.salarcit { GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO TWO (N) GROUND Panel Number:LC24PC Inv 1: DC Ungrounded INV 1 -(1)SOLAREDGE ## SE5000A-US LABEL: -( 3)YINGLI # YL245P-29b GEN #168572 RODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:43 969 158 Inverter; 50.00W, 24OV/208V, 97.5%,97%a w/ZB; SE1000-ZB02-SLV-NA PV Module; 245W, 221.6W PTC, H4, 46mm, Black Frame, YGE-Z 60, ZEP Enabled ELEC 1136 MR INV 2 Voc: 37.8 Vpmox: 30.2 INV 3 Ilsc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER �E 200A MAIN SERVICE PANEL E� 200/2P MAIN CIRCUIT BREAKER SOLARGUARD Inverter 1 SolarCity (E) WIRING CUTLER-HAMMER I METER 4 A JEMG 200A/2P Disconn ect 5 SOLAREDGE SE5000A-US 1 Strings)Of 11 On MP 3 (E) LOADS B C I r--------- ------------ -------- - --------------------� Lt ' L2 GFPIGFCI DC+ N DC• I 3 2 3OA/2P ----- EGG __ T�� DCr pc+ - - I --- -------------------- -GEC a DG DG 1 Sbing(s)Of 12 On MP 1 I rA GND EGC ---F- - EGC ------------- ♦.J I I (1)Conduit Kit; 3/4° EMT N, I EGC/GEC - z z --- GEC TO I20/240V SINGLE PHASE I I S UTILITY SERVICE I I I I . I I I I I Voc* = MAX VOC AT MIN TEMP Ol (1)MURRAY#MP230 PV BACKFEED BREAKER B (1)CUTLER-HAMMER #DG221URB /t► A (1)SolarCit @ 4 STRING JUNCTION BOX D� Breaker, 30A/2P, 2 Spaces Disconnect; 30A, 24OVoc, Non-Fusbte, NEMA 3R /y 2x2 i'&AGS, UNFUSED, GROUNDED -(2)Ground Rod; 5/8' x 8', Copper _ -(I)CU MER DG030NS -(2)ZEP }850-1196-001 Gtral it; 30A, General Duty(DG) Combiner Box Bracket; For ZEP, bottom mount only C SolarGuard Monitoring System P V (Z3)SOLAREDGE-#OP250-LV-AH4SM-2NA-Z PowerBox ptimizer, 250W, H4, OC to DC, ZEP nd (1)AWG #6, Stranded Bare Copper -(1)Ground Rod; 5/8" x 8% Copper (N) ARRAY GROUND PER 690.47(D). NOTE: PER EXCEPTION NO. 2, ADDITIONAL )AWG #10, THWN-2, Black ELECTROD.E-MAY-ROLBE-REURED-DEPENDIRG-ONIQCATLON-OE_(E)-ELECIROD.E 1 1)AWG #10, THWN-2, Black Voc* =500 VDC Isc =15 ADC (2)AWG #10, PV WIRE, Black Voc* =500 VDC Isc =15 ADC OL L(1)AWG #10, THWN-2, Red O MANS #10, THWN-2, Red Vmp =350 VDC Imp=8.29 ADC O (1)AWG #10, Solid Bare Copper EGC Vmp =350 VDC Imp=7.6 ADC IL.=LL(I)AWG #10, THWN-2, White NEUTRAL VmP =240VAC Imp=21 AAC (1)AN #10, THWN-2,.Green. . EGC. . . , • , . . . . . . . . . . . THWN-2, Green EGC GEC- 1)Conduit Kit; 3 4 PVC, Sch. 40 (I)AWG 10, THAN 2, Black Voc* =500 VDC Isc =15 ADC (2)AWG 10, PV WIRE, Blaodk Voc* =500 VDC Isc =15 ADC- (4)I. I (I)AWG #10, THWN-2, Red Vmp =350 VDC Imp=7.6 ADC O (1)AWG #10, Solid Bare Copper EGC Vmp =350 VDC Imp=8.29 ADC . . . . .L.=.L(Q) N #10, THWN-2,.Green. EGC LJ J B-0 2 619 7 0 0 PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: CONTAINED SHALL NOT BE USED FOR THE DENNIS, SHERRI DENNIS RESIDENCE Linda Huie �`��OI���I�� CNO SHTALL I OF T"BE"DI CLOOSSEDT N WHOLE OR IN SOLARCITY INC., MOUNTING SYSTEM: 361 COTUIT BAY DR 5.635 KW PV Arra ►�� PART TO OTHERS OUTSIDE THE RECIPIENTS Comp Mount Type C Y ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES: BARNSTABLE, MA 02635 THE SALE AND USE OF THE RESPECTIVE 23 YINGLI uu YL245P-29b 2a sL Martin Drive,Building z Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN tt PAGE NAME SHEET: REV: DATE Marlborough, MA 01752 PERMISSION OF SOLARCITY INC. INVERTER' SOH 776-5433 PV 4 12 20 2013 (650)638-1028 F. (sso)638-1029 SOLAREDGE SE5000A-US ) THREE LINE DIAGRAM / / ( )-SOL-aTY(765-2489) www.sdarkity.c«n 4 solar=@@ � ..- Pbaao All our inverters are part of SolarEdge's innovative system - over 97% efficiency and best-in-class reliability. Our fixed- designed to provide superior performance at a competitive voltage technology ensures the inverter is always working at its L:J�J1J���flj price. The SolarEdge inverter combines a sophisticated, optimal input voltage,regardless of the number of modules or o Q digital control technology and a one stage,ultra-efficient power environmental conditions. conversion architecture to achieve superior performance NIM& LJC�JV �U U V lJU lJ�.) � TECHNICAL DATA SE3000A-US SE3800A-US SE5000A-US SE6000A-US SE7000A-US 5200@208V 5200@208V Rated AC Power Output 3000 3800 5000 6000@240V 6000@240V W 00@2V 00@277V 52 q n " 5200@20808V 52 5200@208V Max.AC Power Output 3000 3800 5000 6000@240V 6000@24OV• W 6000@277V 7000@277V AC Output Voltage Min:Nom:Max. 183-208-229/211•240-264 183-208-229/211-240-264 /244.277-294 Vac AC Frequent l q"_+ �� ti• ;��`, � *�• ` / t y Min:Nom:Max. 59.3-60-60.5 Hz Max.Continuous Output Current @208V 14.5 18.5 24 25 25 A Max.Continuous Output Current @240V 12.5 16 21 25 1 25 A Max.Continuous Output Current @277V 18.5 22 25 A � � 9 � a. �^'k cam' a -= � 1�, GFDI 1 A i' '�. .3 'ra 4.� ]�R / - L}t Utility Monitoring,Islanding Protection,Country Configurable Thresholds Yes Recommended Max.DC Power*(STC) 3750 1 4750 1 6250 1 7500 1 8750 W ;it-jam.. - -:y�J "•-' / -less,Ungrounded Yes ,�' i/ a F•" , Max.Input Voltage 500 Vdc ,. '�' t• - ., \' � - 1 Nom.OC Input Voltage 325 @ 208V/350 @ 240V/400 @ 277V Vdc Max.Input Current 10 1 12.5 16 18 18.5 Adc Reverse-Polarity Protection Yes 4 Y Ground-Fault Isolation Detection 600kQ Sensitivity Maximum Inverter Efficiency 97.8 1 97.7 98.3 98.3 98.3 % •'� - - `+"' `A 97 @ 208V/ 97.5@ 208V, 240V 97 @ 208V/97.5@ 240V/ CEC Weighted Efficiency 97.5 % + •.7/ `-`r yL� � -rt' �. 97.5@ 240V /98 @ 277V 98 @ 277V - t' y "I `� t Nighttime Power Consumption <2.5 W w Supported Communication Interfaces RS485,RS232,Ethernet,Zigbee(optional) Safety U1.3741,IEC-62103(EN50178),IEC-62109 Grid Connection Standards Utility-Interactive,VDE 0126-1-1,AS-4777,RD-1663,DK 5940,IEEE1547 Emissions FCC part15 class 8,IEC61000-6-2,IEC61000-6-3,IEC61000-3-11,IEC61000-3-12 1 ROHS Yes The only inverters specially designed for distributed DC architecture AC Output 3/4"Conduit a Superior efficiency(97.5%) DC Input 3/4"Conduit Dimensions(HxWxD) 21 x 12.5 x 7/ 21 x 12.5 x 7.5/540 x 315 x 191 in/Trima Small,lightweight and easy to install on provided bracket 540 x 315 x 172 �12�5 a Built-in module level monitoring %Woke^ty Dimensions with AC/DC Switch(HxWxD) 30.5if12.5x7/775 x 315 x 172 30.5 x 12.5 x 7.5/775 x 315 x 191 in/mm a Communication to internet via Ethernet or Wireless °'O • Weight 42/19 45/20.5 lb/kg Weight with AC/DC Switch 48.5/22 52/23.5 lb/kg a Outdoor and indoor installation Cooling Natural Convection Min.-Max.Operating Temperature Range -4/-20(CAN version-40/-40)to+140/+60 'F/•C o Integral AC/DC Switch Protection Rating NEMA3R Hi0er Inpat oCPowe,may tw Instanm:analyze yaany AC pedormence. /am, CE •Thefollowing Part NamMrs ere avallable(CAN PNs ore eligible for tiro Ontado FIT owl mlononn: An5?EC208/24OV,min.opomting temp<F/dOC:SE3000AUS.SE3800AUS.SE5000A US.SE6000AUS.SE7000ALS 171 277V.min,opemUng tamp AF/-20C:SESOOOhUS.SE6000AUS.SE700DA-US 208/2401V•min.operating Comp-0OF/.40C:SE300QA USCAN.SE3800AUSfJN.SE5000A4JSCAN.SE6000AUSSAN 277V.min oM.Ung lamp 40F/-40C:SE5000AUSCAN•SE6000AUSCAN.SE7000A4JSCAN a USA a Germany a Italy a France a Japan a China a Israel solar-•• architects of ener-dv- wSo wEdg ar6dge.com arcMfects chorenergy^ O SoarEdge Technologies.Inc.2009-2012.All dgnts reserved.SOlAREOGE.No SolarEdge logo.ARCHITECTS OF ENERGY and OPTIMI2E0 BY SOLAREOGE are Updamerks or reglstarod ladomorka of SoarEdgo TacMologies.Inc.All other badamw*s mentioned herein are mdeman a of Nair mspeclNo ownon.Code:06/2012.V03.SVbjm to clangs wiUaat notice. II� 7 r w 7. solar " o o P ' � ~ ' • ' ' 0 ' OP250-LV OP300-MV ' t'•6 . +�` �)•. • 1 - 1 0 OP400-EV OP400-MV r 4 r HIGHLIGHTS a Module level MPPT-optimizes each module independently a Lower installation costs with faster design, less wiring, DC a Dynamically tracks the global maximum operating point for both disconnects and fuses modules and PV inverter a Easy and flexible installation-use the same installation methods a Module-level monitoring for automatic module and string level as exist today 1 • 0 fault detection allowing easy maintenance n Allows parallel uneven length strings and multifaceted a Electric arc detection-reduces fire hazards installations Unprecedented installer and firefighter safety mode-safe module a Allows connection of different module types simplifying inventory voltage when inverter is disconnected or off considerations a Connection of one or more modules to each power optimizer a Immediate installation feedback for quick commissioning TECHNICAL DATA OP250-LV OP300-MV/0P400-MV OP400-EV(Q42011) Rated Input DC power 250 300/400 400 W ti Z' - r", �i�W 'v' �? ✓(. ' ` Absolute Maximum Input Voltage(Voc) 55 75 125 Vdc jf �- MPPT Operating Range 5-55 5-75 60-125 Vdc y 1 4i 'R •`'?.�;�.,' �,;# � �'.�iY ,+;• :r'S+t::�-- +#tx�..r+ *L ` Maximum Input Current 10 10 5.5 Adc t., , a� 't �+#,� ;'' • Reverse-Polarity Protection Yes Maximum Efficiency �•�r 99.5 .:w•t+� �,•YK y i: _ n: � a 1 w, ciencY 98.8 %European Weighted Ef' T�, i .{ �.; ►' 4 !, �3 > �aK ' CEC Weighted Efficiency 98.7 % o •' ,� :. Inductive Lightning Protection 1 m/ft Overvoltage Category Sri ! u AdcMaximum Out Output Current 1 P! Operating Output Voltage 5 60 Vdc ti Total Maximum String Voltage(Controlled by 500 Vdc 'Y .T t� Y z:..3 Inverter)-US and EU 1-ph `!,` ' t,.`, 1*'' 4�„4. � " is Total Maximum String Voltage(Controlled by 950 Vdc Inverter)-EU 3-ph Safety Output Voltage per Power Optimizer 1 Vdc Minimum Number of Power Optimizers per / t �i- ^�� •�.. . String(1 or More Modules per power optimizer) 8(1-ph system) 16(3-ph system) A superior approach to maximizing the throughput of photovoltaic Maximum Number of Power Optimizers per Module power dependent;typically 20-25(1-ph system) / P PP 9 String(1 or More Modules per power optimizer) 45-50(3-ph system) systems using module embedded electronics Parallel Strings of Different Lengths or Yes Orientations o Up to 25%increase in power output EMC FCC Part15 Class B,IEC61000-6-2,IEC61000-6-3 to Superior efficiency(99.5%)-peak performance in both mismatched and unshaded conditions Safety IEC-62103(class II safety),UL1741 o Flexible system design for maximum space utilization Material UL-94(5-VA),UV Resistant RoHS Yes a Next generation maintenance with module level monitoring and smart alerts Dimensions(WxLxH) 120x13Ox37/4.72x5.11x1.45 mm/in to Unprecedented installer and firefighter safety ;4� '� °'�c, Weight 450/1.0 gr/lb �^.•' i r'w 25Yeats 3 E WJa��ty a Output PV Wire 0.95 m/3 ft length;6 mmz;MC4 Input Connector MC4/Tyco/H+S/Amphenol-H4 Operating Temperature Range -40-+65/-40-+150 •C/°F o The most cost effective solution for residential,commercial and Protection Rating IP65/NEMA 4 large field installations Relative Humidity 0-100 % USA 900 Golden Gate Terrace,Suite E,Grass Valley CA 95945,USA c��1w Cc solar-•• = Germany Bretonischer Ring 18,85630 Grasbrunn(Munich),Germany 11FFUUII Japan B-9 Ariake Frontier Building,3-7-26 Ariake,Koto•Ku,Tokyo 135-0063,Japan architects of energy°• Israel 6 HeHarash St.PO.Box 7349,Neve Neeman,Hod Hasharon 45240,Israel www.solaredge.com m SolarEdge Technologies,Inc.2009-2011.All rights reserved.SOLAREDGE,the SolarEdge logo,ARCHITECTS OF ENERGY and OPTIMIZED BY SOIAREDGE are trademarks or registered trademarks of architectsof energy TM SolarEdge Technologies.Inc.All other trademarks mentioned herein are trademarks of their respective owners.Date:09/2011.Subject to change without notice. I SolarCity SleekMountTM - Comp SolarCity SleekMountT"" - Comp The SolarCity SleekMount hardware solution • Utilizes Zep Solar hardware and UL 1703 listed f '` Installation Instructions is optimized to achieve superior strength and Zep CompatibleTM modules aesthetics while minimizing roof disruption and ` 0Drill Pilot Hole of Proper Diameter for labor.The elimination of visible rail ends and • Interlock and grounding devices in system UL listed to UL 2703 Fastener Size Per NDS Section 1.1.3.2 mounting clamps, combined with the addition Seal pilot hole with roofing sealant of array trim and a lower profile all contribute • Interlock and Ground Zep ETL listed to UL 1703 to a more visual) a system.SleekMount as"Grounding and Bonding System" O`, y appealing g y Insert Comp Mount flashing under upper utilizes Zep Compatible TM modules with •Ground Zep UL and ETL listed to UL 467 as layer of shingle strengthened frames that attach directly to grounding device Zep Solar standoffs, effectively eliminating the ® Place Comp Mount centered need for rail and reducing the number of •Painted galvanized waterproof flashing ° upon flashing standoffs required. In addition, composition .Anodized components for corrosion resistance 0 Install lag pursuant to NDS Section 11.1.3 shingles are not required to be cut for this with sealing washer. system, allowing for minimal roof disturbance. •Applicable for vent spanning functions Secure Leveling Foot to the Comp Mount using machine Screw Place module 0 Components O0 5/16" Machine Screw e © Leveling Foot © Lag Screw ©D Comp Mount © 0 Comp Mount Flashing 1 D obi 9 0 ® � =� a�onrarai -�►I/� �Soia0tym January 2013 �%,W � � 'SolarCity® January Janua a LISTED Janua 2013 OMPP Y r YL250P-29b YGE - Z 60 YL245P-29b ,� YGE - Z 60CELL SERIES Powered by YINGLI CELL S E R I E S YL240P-29b YINGLI, SOLAR YL235P-29b ELECTRICAL PERFORMANCE YL230P-29b U.S.Soccer Powered by Yingli Solar StandardElectrical parameters at Test Conditions(STC) GENERAL CHARACTERISTICS Module type � i IYL250P-29b I YL245P-29b YL240P-29b!YL235P-29b jYL230P-29b Dimensions(L/W/H) ?64.96in(16S0mm)/38.98in(990mm)/ Power output , (P.,..1W • 250 I 265 I 240 235 230 V 1,81 in(46 turn) Power output tolerances lap-! W -0/+5 Weight 45.2 lb,(20.5 kg) • Ideal for residential Module efficiency rlm % 15.3 15.0 1a.7 14.4 1 14.1 and commercial applications where cost savings Voltage at I w{ V 8.24 I 8.11 29.5 1 29.5 29.5 7.80 r arrontatP.. 11,,I A s.za a.11 8.14 I 7.97 zoo PACKAGING SPECIFICATIONS installation time, and aesthetics matter most. Open-circuit,voltage3 V.r e V 1 38.4 37.8 37.5 37.0 ! 37.0 Number of modules per pallet I 22 Short-circuit current 1. 1 A 8.79 I 8.63 I 8.65 i 8.54 8.40 Number of pallets per 53'contained 36 STC:1000W/mr irradiance,25•C cell temperature.AM1.59 spectrum according to EN 60904-3 • - • IT NPBDRP� d{f,_'._', Average relative efficiency reduction of 5.0%at 200w/m'according to EN 60904.1 Packaging box dimensions(L/WM) 67 in(1700 tutu)/45 in(1150 mm)/ 47 in(1190 mm) ►Lower balance-of-system costs with Zep Electrical parameters at Nominal Operating Cell Temperature(N• Box weight � 107616s(488 kg) Compatible'"frame. Power output Pm..r W 1 181.1 1 177.9 1 174.3 170.7 ! 167.0 ►Reduce on-roof labor costs by more than 25%. Voltage at P. Vm„ V 27.6 27.2P34E.2 6.6tJ26.6 26.6 Units:inch(mm)►Levera a the built-in roundin S stem- current at Po.. Ins A 6.56 6.54 .42 6.2938.98 990if it's mounted,it's grounded. g y Open-circuit voltage va 1 v 35.4 34.s3.8 33.8 `�\ 36.85 936 1.811461 Short-circuit current l I. A 7.12 6.9901 ) 6.92 6.81 $ ►Lower your parts count-eliminate rails,screws, - mounting clips,and grounding hardware. NOCT.open-circuit module operation temperature at 800W/mr inadiance,200C ambient temperature.l m/s wind speed m THERMAL CHARACTERISTICS ►Design and permit projects easily with access to layout calculator and stamped drawings. NeminaloperatlngcelltemperatureNxT' c ; ab+/-z s -� Temperature coefficient of P-A V I%rC -0.45 - • - • 0 0 Temperature coefficient of V. +0- lI`1L/'C .0.33 ►Lower installation costs with savings across Temperature coefficient of Ir 1 a. 76/C 0.06 Grounding holese(D 9 equipment and labor. Temperature coefficient ofV.m 111+8-1 bboz36(b) - % C --- -0.45 ►Minimize roof penetrations while maintaining --- the system's structural integrity. ® OPERATING CONDITIONS ►Invest in an attractive solar array that includes Max.system voltage 600voc Mounting holes a 0.256x0.315(6.Sx8) a black frame,low mounting profile,and Max.series fuse rating 15A aesthetic array skirt. Limiting reverse current I 15A Drainage holes e _ 8-0.1zxo.37s 13x81 ►Increase energy output with flexible module Operating temperature range 40 to 194•F(40 to 90°C) layouts(portrait or landscape). COMPATIBLEZEP FRAME Max.static load,front(e.g.,snow and wind) F 50 ps((2400 Pa) ----- 3.94(t00) ►Trust in the reliability and theft-resistance of Max.static load,back(e.g.,wind) 50 psf(2400 Pa) __ _ _ -"o.47(121 the Zep Compatible`"system. Leading limited power warranty'ensures Hailstone impact r 1in(25 mm)at 51 mph(23 m/s) 91.2%of rated power for 10 years,and 80.7% -of rated power for 25 years. Q AC SOLUTION OPTION CONSTRUCTION MATERIALS - C/� ' Front cover(materiaVtype/thickness) I Low-iron glass/tempered/3.2 mm I SECTION C{ I CThe YGE-Z Series is now available as 10-year limited product warranty. Glass may have anti-reflective coating an Enphase Energized'"AC Solution. Cell(quantity/materiaVtype/dimensions/ 60/polysilicon/multicrystalline/ er hase area/g of busbars) 156 mm x 156 mm/243.3 cm'/2 or 3 . ii400 �y�� This solution delivers optimum _ _ W{7+,1:a%iiJ 'In compliance with our warranty terms and conditions. I Encapsulant(material) Ethylene vinyl acetate(EVA) performance and integrated intelligence. 1 The Enphase M215-Z Zep Compatible Microinverter Frame(material/color) I Anodized aluminum alloy/black ` Warning:Read the Installation and User Manual in its entirety is designed to connect direct) Into the Z Series module • Junction box(protection degree) 1 zIP65 before handling, g, operating g g y �� _ _ _ g,installing,and o eratin Yn li modules. groove,eliminating the need for tools Or fasteners- Cable(type/length/gauge/outside diameter) PV Wire/43.31 in 11100 mm)/12 AWG 10.244 in(6.2 mm) all with one easy step. UL 1703 and ULC 1703,CEC,FSEC,ISO 9001:2008, Plug connector Amphenol/H4/IP68 Our Partners ISO 14001:2004,BS OHSAS 18001:2007,SA8000 (manufacturer/type/protection degree)gAddiam -� • The specifications in this datasheet are not guaranteed and are subject to change without prior notice. COUS !�) ®i. a��IISTEO This datasheet complies with EN 50380:2003 requirements. Intelligent real-time a«orova.tacr.eux.rr ''�^� monitoring at the system 4400 and module level with Enlighten. Yingli Green Energy Americas,Inc. info@yingliamericas.com �, j -- Tel: +1 (888)686-8820 YINGLaI. OLAR "` YINGLISOLAR.COMMS I NYSENGE • Y I N G L I S O L A R.C O M/U S Yj n g l i Americas ®Yngli Green Energy Holding Co.Ltd. 1 YGEZ6DCef]Series20l2_EN_201206 V01 U.S.Soccer Powered by Yngli Solar �F APPROVED NO L' ANGES LI' TO OF BARNSTABLE f Building Inspection Depafteat ! , i rr t�� ; 1 I ( HIM - i r - ---, Te�* As�wtu shrae�s �R yt��9� �►G�T f �X�STIN� t-:4— 2AI`-1 M CROUw I U 10 1b CK. Na j 1�CVD�c lXb UAV Tb b [3t.Oc►c, 6N�:�u.ZB,A.G.vn+CrZ�-TE�..�....,,,• .�X1S:r�� �`� ��J✓... Ib"QC /ISTf ►o- 160G. ►t-19 ��g►DcNG� . Ll 2 g- 3-90 1 o F 2 p H to Sao� �F{ 1 Zz�1 C�M� Ali t�e-Cw C- J-,V- P J � , ojtu �L iy � ,n o • � O � 11 • Cx �. p , � � � a o �p� Iy' C'D � ' J i I ( arm cr ryJ 0 LA v of z0 CJ Cob Q O +1 • I O Eqj T d T • t. t e' 1 I � cr,oi „0 5 do L Tl31N(1pJ r .w _ _Vt� DATE_ GENERAL SPECIFICATIONS -�_ 504 -` '- _�_.._ ._--- `' '' '- . Fib T _ SIZE / ".)EPTH Zr , 1;; 55(o O \ SHAPE A 1_7-/4 L3 r: N/)/V n \ AREA PER. TEMPLATE NC No CUSTOM POOLCAPACIT� �! �/�� — GALS. 7"R f� \ MOTOR H.P H P �? I FILTER VA - 2�, SO FT, 40 GS VACUUM LINE & SKIMMER t V' RETURN LINE Jo MAIN DRAIN SKIMMER - MODEL a Ati T H"j/VY t 7-' KET n BACKWASH TO Ft!TT-1&I C� �l � _t _FEW SEPARATION TANK YES ' ' NO �_1 COPING At\]TM 0tQY TILE COLOR -BOARD SIZE COLOR WWI TE ! I, \ BOARD SUPPORTS ' © Tile: ��1✓`� i LADDER-Model 4tJ Tile: B t7l E r/C H ROPE RINGS YECj WIROPE & FLOATS TEE j LIGHT 300W 500W t/ co .I I CONDUIT SHOP- ✓ LONG 1l CLOCK I I© -- O HEATER 51xE BTU \� I VENTED BY GASLINE BY: NATURAL GAS .. PROPANE OTHER FUE; �G DRAFT DIVERTF s', ,;E, rr�. POOL CLEANS ' N Q ELECTRIC BY ckk2l /gyp 3"-40 ` ELECTRICAL t301'+lDtN(' C�wNE'R GRAI)I"r 1%�() / O "� S STUB Pt _UMH EXI51_+�jr �) TILE & CONItit.: ;ITN 11 �V Q DECK BY ON I,JNER 13 _ OECKTREES ETC Ov R WATER'FOR GUNi CN 1;ITE SETBACKS C; REAR NOTES ___. FaE _FLOATS RESIDENCE 4' 1_0Vc BENCH OWNER:TO DETERMINE ELEVATION OF POOL ON - ! DAY OF EXCAVATION. 0w.,NE R: POOL AREA TO BE FENCED, PER COUNTY OR CITY ORDINANCE. GATES TO BE SELF SALESMAN �• __ - ^' LATCHING. BY OWNER JOB NO. - OWNER: - - WET DOWN CONCRETE SHELL AT LEAST ��^^ SWIMMING//�� I ��^^--��PjjO, /O L A �/` /� l' TWICE DAILY FOR 7 DAYS NAME �JL �� Cry�f'7G/C I1v� �f/�CQ!�'V,-,Lz DO NOT TURN ON POOL LIGHT WHEN POOL // CO/' v [)P DO NOT IS Y ADDRESS 3IALTERDECKINGSPECIFICATION O� Tr 17' AT / UE COTUr7 MASS NO GRADING ICES. PHONE Q73 -24<?8 UNLESS SPF(IFIED BUS PHONE .•� EXTENSION ANTMON�.J'POOts ANDREWS GUNITE NC. EQUIPMENT DEALER 6 REPUBLIC RD.. NO. BILLERICA, MA 01862 SCALE 1/8" - 1' 0"