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1745 SOUTH COUNTY ROAD
I'7� � SoJt►� �,� �-� � �� � �� .5 I �. �.._.+.. •- .r �'. -� Kam- .... ,.. - -� ..� - "' -tp�'�.w�T . � +_.`,+++_, •ear` .., .^"A+ .. ... � ...._ -...� r. .��'!I���A 4 �� Q 1�v .. �� j C c a E r t} ` � "t t i t t ?s a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION; Map Parcel O �U pp A lication� - Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board � . Historic - OKH _ Preservation/ Hyannis ` Project Street .._ ��s ��'L�' !t- � Village Owner Address /745 S. c0`(t V Telephone Permit Request 7`f-1.="_ /Ac/ T?9Z-61-7—AfU OC— WO"t l k Square feet: 1 st floor: existing proposed :2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation J Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq'k�l v Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new w Total Room Count (not including baths): existing new First Floor Roo Count;-: CM Heat Type and Fuel. ❑ Gas ❑ Oil ❑ Electric ❑ Other -- �� m 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 (l) /k/6OTelephone Number Address �� N��-C � �t2 License Home Improvement Contractor# /7d2 79 Email Worker's Compensation # 004� 72770 DI ALL CONSTRUCTION DEBRIS RESULTING FROM THIS P JECT WILL BE TAKEN TO /Vv :4�t�lkj P><:�72:1al/, wo- 4a��� SIGNATUR DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ' MAP/PARCEL N0. i ADDRESS VILLAGE ' r . OWNER r DATE OF INSPECTION: r FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT i r ASSOCIATION PLAN NO. r � , 8/11/2015 PRReport O (/SBl Roof Diagnostic Team C/���.�L ��A/�/a�wj r�-�1 My Account o rMous .W �Y`ag,�uu Manage Favorite Counties Public records onli w not in line Log-Off Home Real Property Documents Grantor/Grantee Indexes Property Reports GIS Favorite Counties Blog Nationwide [Property Profile Report 11 roperty E j-back to search results Real Property Documents 1745 S county Rd, Ostervllle,MA 02655 County/State: Barnstable,MA Census Tract: 13002 Property Tax Reports Property Use: RSFR Zoning: Residential Deed&Mortgage Report Subdivision: Legal Description: MAPNUM:000098 WARDNUM:00 BLOCKNUM:024002 LOTNUM:000000 UNITNUM:00000 Sales Comparable jOwnership E Primary Owners: NAVIDA,T TRUST Asset Search Secondary Owners: DAVIS,NATHANIEL TRUST Mailing Address: PO BOX 961989,BOSTON,MA 2196 ax Information APN: MD98LO24002 Assessed Value: Texas Exemption: Land Value, $278100 Year Delinquent: 0 Improvement Value: $279200 General Services Percent Improvement: 50% Real Property Documents ® Tax Amount: $6047.00 Property Detail Grantor/Grantee Indexes ® Bedrooms: 4 Improvement Sae(sq feet): Bathrooms: 4.00 Total: 3284 Manual Research/Retrieval TotalRooms: 12 FirstFloor: 0 Historical Deeds,Plats,etc. Number of Units: 0 SecondFloor: 0 Number of Stories: 1 ThlydFloor: 0 Geo-Index Title Plants ® Fireplace: Not Provided FourthFloor: 0 Pool: Additions: 0 Adverse Lien Search ® Roofrype: Wood Shake/Shingle Basement: 0 ® Heating: FORCED AIR Lot Size(sq feet): Lease Alert Cooling: Square Feet: 200812.00 Lease Check _® BulldingShape: Depth: 0 Year Built: 1770 Width: 0 Malting Labels ® Parking: (Recent Sales&Tax Info) Square Feet: 0 ® ale Information rl Texas Data Coverage Sala Date: 05-21-12 Sale Amount: $1 File Date: - Cost Per Sq Feet: $0.0003045067 Document Number: SalesType: Transfer Property Reports First Loan Amount: $ Second Loan Amount: Property Tax Reports Third Loan Amount: Lender: Deed&Mortgage Report Title Company: v3uy Additional Report--Sales eport-Sales Comparables -�" Fa BuyProperty History Report I tlei Buy¢ales Comparable Repo Asset Search Speclal SeMces Recent Sales Reports (Commercial&Residential) GM IntegrityT)tleRecords Title Plants fin) Geo-Index Title Plants SITE MAP PARTNER SITES RESEARCH TOOLS OTHER RESOURCES About CourthouseSquare.com Ownership Search Lien Search Contact Us IntegrityTiitleRecords.com Abbreviations Definitions http:/Mfww.courdiousedirect.com/PRReport.aspx?ReportPackagelD=102&RecordlD=193381803 1/2 I Doc=1s192s058 05-21-2012 12:12 Ctf*=197146 BAf2NSTABLE LAND COURT REGISTRY WHEN RECORDED RETURN TO: Choate,Hall&Stewart,LLP Two International place Boston.MA 02110 ATTN: Lisa B.Flynn,Esq. I QUITCLAIM DEED Massachusetts , the I LOIS T. DAVIS, of 50 Fox Island Road, Osterville, Dollar($1 00), hereby grant "Grantor's, for consideration paid, and in full consideration of On Road, Ostervtlle, c to KATHt11ZINE VINING DAVIS COTE, of 1745 South County certain parcel of Massachusetts 02655 (the "Grantee"), with QUITCLAIM COVENANTS, v r with the buildings or structures thereon, situated 'fol ow stable (Osterville), land, together Barnstable County,Massachusetts,and more particularly describe LOT 27 LAND COURT PLAN 13104-J as Lot 9 on Land Court Plan 13104-C is So much of said premises formerly shown Cora J. Russe 1 to Edward Kirk Davis dated O given by 4 subject to restrictions as set forth in a deed g' of Deeds in Book 454, Page 8 March 22, 1928 and recorded with the Barnstable County Registry _ rances H. Baker et a] to Prentice Bd 235 and to easements as set forth in a deed given byFDeeds in Book 439, age 196 insofar�as o Hinckley dated July 12, 1926 and recorded with said v the same are in force and applicable. 24, 2006 and recorded in the Barnstable W For Grantor's title, see deed dated January Registry District of the Land Court as Document No. 1026806, given to Grantor by Thomas H. ate ecem er ^ P. Whitney,Jr. and James Howard Dowe Land Court as Document Nod 24837 bas 30, 1976 and recorded in said Registry District of th c. amended. oSaid premises are conveyed subject to and with the benefit of all easements,restrictions, a agreements and other matters of record,insofar as the same are now in force and applicable, Q This Quitclaim Deed is being delivered for nominal consideration for estate planning purposes. /I [See following page for signature and acknowledgment] 51041440 r J WITNESS my hand and seal as of this day of 2012. Lois T. avis COMMONWEALTH OF MASSACHUSETTS 22012 1V eared the above named Lois T. Before me, the undersigned notary public,personally aPP person acknowledged to me Davis, whose name is signed on the preceding document, and such ose- The identity of such person that she signed such document voluntarily, for its stated pure Photographic was proved to me through satisfactory evidence of identification, which v++ (�, U oath or identification with signature issued by a federal or state governmental agency, personal owl edge of the undersigned. affirmation of a credible witness,or U p 1 ,.•....,.... Anna D.Dehelean Notary Pubfic My Commission Expires February 13,2015 Commonwealth of Massachusetts [Signature Page to 1745 South County Road,Osterville,MA Deed) BARNSTABLE COUNTY ISTRY OF DEEDS A TRUE COPY,ATTEST BARNSTABLE REGISTRY OF DEEM 5104144v1 JOHN F.MEADE REGISTER n nq STRUCTURAL ENGINEERS M F=w F0 September 16,2015 Mr. WissemTaboubi NRG Solar 89F Washington Ave Natick,MA 01760 RE: Cote Residence Solar Installation 1745 S County Road +,�3 Osterville MA 02655 Structural Assessment of Roof Framing 1VIPP Project No: 15-2427 Dear Mr. Taboubi: 4-x Pursuant to your request,MPP Engineers has performed a limited structural evaluation of the roof framing at the above referenced site to determine if the roof has adequate capacity to support the proposed`> b solar panels. Our analysis was based on the framing information and configurations provided by NRG Solar. It is our understanding that the structural components of the existing roof framing are in fair condition. It is further understood that all existing connections between the various roof framing members,including ceiling joists,rafters,and collar ties,are adequate to resist the current loading conditions and behave in the manner that a typical rafter and ceiling tie system is intended to behave prior to installation of the solar panels. Results Main Roof—adequate to support the proposed solar panels Structural Data and Code Information Our analysis was performed in accordance with the requirements of the 780 CMR 51.00: Massachusetts Residential Code which has adopted the 2009 International Residential Code with Massachusetts amendments. Per Table R301.2(1),the ground snow load to be used for each town is in accordance with Table R301.2(5). Similarly,the wind speed for each town is in accordance with Table R301.2(4). The roof framing was analyzed in accordance with Section R104.11 of the of the 2009 International Residential Code which allows for alternate approved design such as using the ASCE 7 code for determining actual snow loads on roofs(e.g. deriving flat or sloped roof snow loads from the specified ground snow load referenced in Table R301.2(5)). Wood members were analyzed and designed in accordance with the NDS 2005. The roof area for the solar panels of this residence is framed in a gable configuration with conventional MPP Engineers,LLC 1 34 South Main Street, Suite D I Allentown,NJ 08501 609-489-5511 (office) I avz,�A,.mppengineers.coml 609-489-5916(fax) Cote Residence Solar Installation 1745 S County Road Osterville,MA 02655 roof rafters and collar ties.The existing roof structure is in fair condition and is assumed to have two layers of asphalt shingles.The pertinent data is listed below: Main Roof: Rafters: Varies: 2"x 6"true(42 Spruce-Pine Fir Assumed)@ 24"O.C. 3"x 6" true(#2 Spruce-Pine Fir Assumed)@ 28"O.C. 2"x 8" (92 Spruce-Pine Fir Assumed)@ 16"O.C. Roof Slope: 31 Degrees Horizontal Projected Length of Rafter (Horizontal Projection): 14.20 feet maximum Ceiling Joists: Present Collar Ties: Present Roof Sheathing: Wood Boards&Plywood Sheathing Condition of Framing: Fair Roof Covering: Asphalt Shingles Ground Snow Load,Pg: 30 PSF from Table R301.2 (5)of Massachusetts Residential Code Importance Factor,I: 1.0 Exposure Factor,Cc: 1.0(Conservatively taken as Partially Exposed) Thermal Factor,Ct: 1.1 with Panels(Cold Roof) 1.0 existing condition(Warm Roof) Design Snow Loads On sloped roof: 20.48 PSF(Existing—Unobstructed Warm Roof) 15.02 PSF(New—Slippery Surface on Cold Roof) Wind Speed: 110 MPH from Table R301.2(4) of Massachusetts Residential Code Exposure B Analysis Results: General Considerations ➢ Materials such as metal roofs or solar panels are considered slippery surfaces. Since the solar panels are mounted slightly above the roof line, it would be conservative to consider a thermal factor Ct of 1.1,treating the panel surface as a cold roof rather than a warm roof.Based on the roof slope and considering it as a slippery surface,the snow load is reduced by 27%compared with the snow loading directly on the existing shingled roof surface. This reduction equates to 5.46 PSF which completely offsets the weight of the solar panels. Gravity Loading: Main Roof—adequate to support the proposed solar panels It is our understanding that the panels will be installed using Unirac rail with L-feet(or equal)at approximately 48 inches on center maximum(e.g. every two to three rafters). The leveling feet will be fastened directly into the existing joists with 5/16"diameter lag screws with a minimum embedment of 2.5".In addition, it is important that the leveling feet support locations be staggered between adjacent panels so that no single rafter supports more load than under the existing conditions i y f Cote Residence Solar Installation 1745 S County Road Osterville,MA 02655 Wind Loading Based on our calculations,the net wind loads imposed on the roof framing with an attachment spacing as indicated above will be less than the current loading on the roof framing. In addition,provided that the leveling feet are attached to the roof framing members in a typical staggered fashion,the overall wind loading imposed on the structure and the individual framing members will not be impacted to any great extent. If you have any questions regarding this matter,please feel free to contact my office at 609-489-5511. We appreciate the opportunity to assist you with this evaluation. Sincerely, MPP Engineers,LLC rY Asma Farugi �W`tH OF, ASHJ S N 1 No. 35 O,e9FG/STS F�@ AL Ashutosh Patel,P.E. MA Prof. Eng. Lie.No.48235 PROJECT DESCRIPTION: SHEET INDEX PROJECT SITE, 29X260W& 6X235W ROOF MOUNTED PV-1 SITE PLAN&VICINITY MAP a «eM Home SOLAR PHOTOVOLTAIC MODULES PV-2 ROOF PLAN& PANELS ze- SOLAR PV-3 ROOF ATTACHMENT DETAILS �• 6 SYSTEM SIZE: &950 kW DC STC PV-34 ELECTRICAL&SIDE ELEVATION DETAIL SYSTEM O.. PV-4 ELECTRIC LINE DIAGRAM cB `O •jai�rR ARRAY AREA: PV-5 LABELING R—t: 631.6t {tz PV-6 SPECIFICATION DETAILS =uo.aiez._ PV-7 SPECIFICATION DETAILS "OWEIL, PV-8 SPECIFICATION DETAILS PV-9 SPECIFICATION DETAILS _ o PV-10 SPECIFICATION DETAILS - PV—I I SPECIFICATION DETAILS zE 174E S County RBI U PV-12 SPECIFICATION DETAILS % y' U j PV-13 SPECIFICATION DETAILS ~U r � ¢ >� �« W Qw DRNEWAY 2 VICINITY MAP \ \ PV-1 SCALE:NIS / PROJECT SITE Lj s 1 ` zOcv O \ 35 PV MODULES LL w =} H 1 (E)UTILRY METER w Q�W Ln W / Drg.No.: --- Ora.Bg.: TMG 1745 S County Rd Rev.Bg: --- Date: I8-SEP-15 PLAN NORTH TITLE SHEET: 1 SITE PLAN SITE PLAN WITH ROOF PLAN SCALE t/6a•_ ,-0• 3 HOUSE PHOTO VICINITY MAP P,,-, PV-t SCALE:NM P V—I ARRAY & ROOF AREA CALC'S nrg. ROOF R-1 Home ARRAY AREA : 631.61 fP SOLAR ROOF FACE AREA :868.24 fe 631.61/868.24= 72.75%ROOF eo aqe FACE AREA COVERED BY ARRAY �^by"P.PaTho� a oy kc„a xoweHOWE a. u, c NJ to U \ . \`\ (E) UTILITY METER � ' .b,t t\• '•`•.'\\ \'`\•\ Q w ROOF DESCRIPTION AWAY FROM HOUSE (FREE STANDING POLE) \ \ O APPROX. 11' TRENCH BETWEEN THE \ '\e '\, '`. ';e,'® \ O Q R-I:COMP, SHINLGES HOUSE AND FREE STANDING POLE \ • ', \ p Q AZIMUTH : 154' 1-1/2° PVC PIPE TRENCHED PITCH : 31' SHADING : 95% 18° BELOW SURFACE Ln LEGEND �' W Q N ZOO ® ROOF ATTACHMENT Fx 35 PV MODULES W RAFTER DE� CHIMNEY (N)AC DISCONNECT F i w =�-r- O PIPE VENT ® L-GATE 120 CELLULAR PRODUCTION METER �'> 3: Q W 0 AR SKYLIGHT ENPHASE MICRO-INVERTERS VENT (N) PV LOAD CENTER M215-60-2LL-S22-IG 1 O j I'PVC EMT CONDUIT U— j --- CONDUIT SATELLITE / 67 ATTACHMENT®48"O.0 MAX 1- N> 0 ELECTRICAL EQUIPMENT ANTENNA O Ln w UNIRAC SOLAR MOUNT RAIL ENPHASE MICROINVERTERS r N ® M215-60-2LL-S22-IG Y+V WHIRL YBIRD —p MODULE SPEC'S F�--� F----T Drg.Bg.: TMG I I 1 I Rev.BR: -- in ® i) Date: 18-SEP-15 in PUN NORTH TITLE SHEET: T T IROOF PLAN WITH PANELS ROOF PLAN PANELS SW-260 MONO SW-235 MONO SAFE HRB PV-2 SCALE:3/32"= 1'-0- PANELS-26OW PANELS-235W SOLAR WORLD PANELS SOLAR WORLD PANELS nrg Home SOLAR 0veo nab v.oar rc F�na e o� me a1aZ�: ^ NO WELL. �U U� �U O� Z U l�Lu Q uJ UNIRAC SOLARMOUNT GROUND.WEEB & 0¢ RAIL WITH ECOFASTEN MODULE CLAMP O¢ L—FOOT PV MODULE w rk COMPOSITE ASPHALT SHINGLES I i GREENFASTEN FLASHING: ECO—GF1—BLK-812 WITH Q I ECO—CP—SQ COMPRESSIONLn BRACKET Z QO CV O 5/16"X4" S.S LAG BOLT WITH 2.5" Fx 0z MINIMUM PENETRATION SEALED WITH F = < APPROVED SEALANT w F ~ u=i QZLLI w ul U> ~ h cn w O W U y`n..l— r N —O Drs.Na: -- Drg.Bg.: TMU Rev.Sg, -- Date: 18-SEP-15 TITLE SHEET: 1 ATTACHMENT DETAIL ROOF ATTACHMENT w-3 ALE.NTS DETAILS PV-3 Home' ' SOLAR fie.4qC Na.�leii NO WELL. t r'w orn � 11 N J U� O� to �w Q Oz a u- Oa Oo D[N w cr O 0 DOWNSPOUT M UTILITY METER Ln O ON A FREE ll1 s STANDING POLE Z O CO O (E) UTILITY METER 0 fY w (AWAY FROM HOUSE) w w E—~ N <Z3 w O / o F_ uVj F ~ I-to UL Z O�w ® 6 I FROM PV ARRAY o U r N 0 —O N Drg.No.: -- WIRES THROUGH TRENCH� L WIRES THROUGH TRENCH (N) JUNCTIONTMG TO (E) MAIN SERVICE PANEL Drg•B&: -- TO (E) UTILITY METER BOX FOR ENVOY y, -- FROM B FROM UTILITY PROVIDER Date: I8-SEP-15 (UNDERGROUND) (E) TO MAIN SERVICE PANEL (N) 100AMP PV LOAD TITLE SHEET. (INTERIOR WALL) CENTER (EXTERIOR WALL) ELECTRICAL! SIDE ELEVATION (N) UTILITY AC DISCONNECT (N) L-GATE 120 CELLULAR 1 ELECTRICAL&SIDE ELEVATION DETAIL DETAIL (EXTERIOR WALL) PRODUCTION REXTERIOR WALL)ER PV-3A Ste,N15 PV-3A i SERVICE INFO INVERTER SPECS MODULE SPECS MODULE SPECS nrg UTILITY COMPANY NSTAR ENPHASE QUANTITY 29 QUANTITY 6 Horne MAIN SERVICE VOLTTGE 240V INVERTER TYPE M215-60-2LL-S22-IG MODULES TYPE SW-260 MONO MODULES TYPE SW-235 MONO SOLAR MAIN PANEL BRAND SQUARE D QTY 35 WATTAGE 26OW WATTAGE 235W MAIN SERVICE PANEL 200 A WATTAGE 190-27OW NOCT WATTAGE 194.2W NOCT WATTAGE 170.9W eO4* MAIN CIRCUIT BREAKER RATING: 200A SERVICE VOLTAGE: 240V FRAME THICKNESS 31MM FRAME THICKNESS 31MM twF•8 `a MAIN SERVICE LOCATION NORTH-WEST WALL CEC EFFICIENCY 96.5% FRAME COLOR BLACK FRAME COLOR BLACK SERVICE FEED TYPE UNDERGROUND Voc 38.90V Voc 37.50V NOW ELL, C MAIN SERVICE PANEL GROUND EXISTING GROUND ROD Vpmax 30.70V Vpmax 30.30V HJMop.•,, Isc 9.18A Isc 8.19A Imp 8.56A ump 7.77A NU U� O 1 - JUNCTION Box (E)Funury (E)MAIN samm Paul tom, F- RAM BUS BAR EaA� L�Durnorw �so��Y ��aox SOLAR ARRAY (8,950 kWstc) 1 - L-OATE 120 PRODUCTION METER 612D%PP MP 3 DDscoNlNElcr 3 BME ER 3 CLOAD » 2 A 1 BRANCH it BRANCH ii O E- 1 - IOOA SOLAR ONLY LOAD CENTER 11 CRCUTr w PARALLII.CONHECIFD w Bta+cH Z Lu clecUlr 3 - 2QA/2P SOLAR BREAKER o - % 10 MODULES SOWN WORLD SW-260 M Q ONO p W 1 -20A/2P ENJOY BREAKER __—�_ — ® — — 2 MODULES SOLAR WORLD SW-2s5 MONO 0 1 - 60A AC DISCONNECT $ um 0 Q ro UIDm u- < MP 1 -40A SOLAR BREAKER , WIRES 2 1 BRANCH 2 B68dl21$2 O j THROUGH I 1 MODULES IN PARALLEL.CONNILV=IN BRANCH O TRENCH i to- 12 CIRCUIT Ln Do 4" 120% RULE I h 10 MODULES SOLAR WORLD SW-200 MONO R ---1 �+_—J 2 MOOIAFS SOLAR WORLD SW-233 MONO BUSBAR RATING: 200A T NVOLW— m�n+nos vf[ MAD!BREWER PAMNG: 200A ( �ya imp NOTES: (200 X 12)-200 40A t. ALL MODULES WILL BE GROUNDED W ACOORDANCE WITH MAX B4CKFEED: 40A 1 BRANCH #3 03 CODE AND THE MANUFACTURER'S INSTALLATION PROPOSED S'SI : 40A /1 uoDULEs ut PARALlE1 oorDlFxtED IN aw+cH INSTRUCTIONS. GROUND 40A=40A CiRg1rt in 2. ALL PJ EQUIPMENT SHALL LISTED BY A RECOGNIZED ROD I-L7 o MODULES SOLAR WORLD sw-zeD MaND s n TESTING LAB. — �L 3. TESIN SERVING UTDITY BEFORE ACTIVATION OF PV — — __� Ln 2 uowtlrs SOLAR wOTLD sw-2as uono w Q SYSTEM. _ O N 4. WHEN A B4CKFED BREAKER IS THE METHOD OF UTILITY Bm4a AM El ftmro _Z INTERCONNECTION,BREAKER SHALL NOT READ LINE AND f¢laeo-ziam`° LOAD. ' E f 5. WHEN A BACKFED BREAKER IS THE METHOD OF UTILITY INTERCONNECTION.THE BREAKER SHALL BE INSTALLED Q AT THE OPPOSITE END OF THE BUS BAR OF THE MAIN -- -- -- ~ BREAKER _ ~Z 6. WORK CLEARANCES AROUND ELECTRICAL EQUIPMENT WILL 2 u He- 12 TNWN-2� — N BE MAINTAINED PER NED 110.26(A)(1). 110.26(A)(2) I - .TF1WN- EGC/GEE J a: 110.269A) (3) IN 7/4'BIT CONDUR 7. ALL EXTERIOR OONDUITS. FITTINGS AND BOXES SHALL BE WEATHER STATION t= Ill U> RAPT TIGHT AND APPROVED FOR USED IN WET INFORMATION H-EA w LOCATIONS PER NEC 314.15 O IS ANOB O LU a. ALL METALLIC RACEWAYS AND EQUIPMENTS SHALL BELo BONDED AND ELECTRICALLY CONTINUOUS. ASHRAE 2i BO. 2S'C U.�H- la-SO NM AB0tTE Si D T-to RooF SURFACE TEMP —O 3 2 1 1 s-$B THm1-2 s-$E"W-2 S-$0 1HBN-2 CONDUCIDRS ARE ENS CABLE 4: [&G TORS AREI-$B THm1-2 EGC/GEC 1-$B MAN-2 EDC/GEC I- $6 TM1t-2 EOC/GEC OU w $BUYGED ON 1N �WO��ER 01 t'EMf CONDUIT IN 1'EAR GormuIT Rl 1'ELR CONDLFT RPCMCMS LIGHT NOT M -FREE AIt 't51EN NOi DNFREE ARDr Na: ---VOCI EIAT C WG`2Ewr 0 IN 1 z40YAG EJO" TO DIRECTvOR 240M TO DIRECT VOC:240VAC 9 LSC: x.wE 30 p.p� l fo.MAG SUNLIGHT LSC 9.BNC SUNllOHT ISC: to.BAC Drg.Bs.: TMG Rev.Bg: - ENPHASE INVERTER TOTAL SYSTEM CALC'S JUNCTION BOX TO LOAD CENTER CALLS JUNCTION BOX TO LOAD CENTER CALC'S ENPHASE INVERTER BRANCH 3 CALC'S ENPHASE INVERTER BRANCH 1&2 CALC'S _ - QTY:35 MAX AC:39.38A QTY:11 MAX AC:12.38A QTY.,12 MAX AC:13.50A QTY:11 MAX AC:12.38A QTY:12 MAX AC:13.50A Dete: IB-SEP-15 NOC:0.9 ton x NOC)x 1.23 NOC:0.9 (my x NOG)x 125 NOC:0.9 (orY x ROC)x 1.25 NOG:0.9 (an x Hoc)x Iis NOC:0.9 (Im X 7OC)x 1•25 TITLE SHEET: WIRE GAUGE:#8 WIRE OCP:50.00A WIRE GAUGE:#8 WIRE OCP:33.50A WIRE GAUGE:#8 WIRE OCP:33.50A WIRE GAUGE:#12 WIRE OCP:25.00A WIRE GAUGE:#12 WIRE OCP:25.00A ELECTRIC TEMP RATING:75'C AMP RATING x TEMP DE-RATE TEMP RATING:76C AMP RATu1D x TEMP DE-RATE TEMP RATING:75'C Amp RATING.Tw of-RATE TEMP RATING:75'C AMP RATWO x TEMP DE-RATE TEMP RATING:76C AMP RATING x T w DE-PATE LINE DIAGRAIT AMP RATING:50 A MAX Ac TO BE LESS OR FOWL m AMP RATING:50A MAX AO TO BE LESS OR EOUAL AMP RATING:50A MAx Ac TO BE LESS OR ewx AMP RATING:25A MAX AC TO BE LESS OR ECUAL AMP RATING:25A W AC TO BE LESS OR EOVAL WIfZE OW FDR WUtE TD EE TO WIC OCP FOR WIRE TO BE 70 WIRE OCP iDR W7Ig 7O 8E TO WIRE OCP FOR WARE TO BE TO R7RE 0CP FOR WIRE TO BE TEMP DE-RATE: i APPR'DVED Br zo,NOC TEMP DE-RATE:0.67 APPROWED By 2w NEc TEMP DE-RATE:0.67 APPR%Bt 2071 H"m TEMP DE-RATE: 1 APPROVED BY 2011 NEE TEMP OE-RATE: 1 AP""Br 2011 HEc PV-4 i nre Horne ALL LABELING SHALL FOLLOW THE ANSI Z535.4-2011 STANDARD SOLAR 'gpeD A* K F.PBTF PrFC. DISCONNECTION MEANS; TO BE TO BE INSTALLED AT MAIN SERVICE ND.aiezi= - INSTALLED AT ALL AC DISCONNECTS PANEL AS PER NEC 2014 690.54: `HOWELL. C Nj PER NEC 2014 690.13 (B) kb AC OPERATING VOLTS:240 VOLTS SOLAR AC DISCONNECT AC OPERATING CURRENT:39.38 AMPS �U U� DISCONNECTING MEANS MAY BE ENERGIZED to V IN THE OPEN POSITION; TO BE INSTALLED AT O DISCONNECTING MEANS PER NEC 2014 690.17 (E) Z WARNING Q w ELECTRIC SHOCK HAZARD. �z DO NOT TOUCH TERMINALS. Q TERMINALS ON BOTH THE LINE u- AND LOAD SIDE MAY BE ENERGIZED IN THE OPEN POSITION O to INVERTER OUTPUT CONNECTION; TO BE INSTALLED AT MAIN SERVICE PANEL PER NEC 2014 705.12 (0)(2) Ln Ln WARNING INVERTER OUTPUT CONNECTION z DO NOT RELOCATE THIS OVERCURRENT DEVICE LU Q lij lu �� w Q�LLI TO BE INSTALLED AT MAIN SERVICE w Y O J PANEL AND UTILITY NET METER: r LLI U? WARNING >-en w DUAL POWER SOURCES, V L SECOND SOURCE IS PV SYSTEM r N —O TO BE INSTALLED AT MAIN SERVICE PANEL IN THE EVENT OF SUPPLY SIDE CONNECTION: Drg.Na: --- WARNING Dn'Bg.: TMG SUPPLY SIDE CONNECTION IN Rev.Bg: --- USE FOR PV INTERCONNECTION Date: 18-SEP-15 TITLE SHEET: LABELING fi'V-5 nrg�' Home - SOLAR Enphase*M215 Microinverter//DATA �eaac 4gc,y P•�8T e Enphase>Microinverters INPUT DATA(DC) M215-60-2LL-S22-IG/S23-IG/S24-IG Recommended Input power(STC) 190-270 W Re.atwJL.L62 L,L. Ne L Max DC NJ Enphase®M 215 Peak power tracking king wage 27 V I or Peak power tracking voltage 2I V-39 V Operating range 16 V-48 V Min/Max start voltage 22 V/48 V ,`J Max DC short circuit current 15 A V Max input current 1DA ~_V OUTPUT DATA(AC) 4208 VAC 0240 VAC OC 0 F Peak output power 225 W 225 W Z W Rated(continuous)output power 215 W 215 W t3 1 W Nominal output current - 1.1 A(A nns at nominal duration) 0.9 A(A rrns at nominal duration) Q O Nominal voltage/range 208 V/183-229 V 240 V/211-264 V Q Nominal frequency/range 60.0/57-61 Hz _ 60,0/57.61 Hz_ U- Extended frequency range* 57-62.5 Hz 57-62.5 Hz - Q Q Power factor >0.95 _ >0.95 Q 1 O Maximum units per 20 A branch circuit 25(three phase) 17(single phase) N Maximum output fault current 650 mA rms for 6 cycles 850 MA mla for 6 cycles EFFICIENCY CEC weighted efficiency,240 VAC 96.6% a CEC weighted efficiency.208 VAC 96.5% Peak Inverter efficiency 96.5% Static MPPT efficiency(weighted,reference EN50530) 99.4% f Q Ln Ir Night time power consumption 65 mW max 111'Q N The Enphase M215 Microinverter with integrated ground delivers increased energy harvest and MECHANICAL DATA Z Q Q reduces design and installation complexity with its all-AC approach.With the advanced M215,the DC Ambient temperature range -40^c to+65"C _ W circuit is isolated and insulated from ground,so no Ground Electrode Conductor(GEC)is required Dlmenslons(WxHxD) 71 rant x 173 rant x 30 rant(without mounting bracket) r = Q 4 Ibs)(3 6 k h) 1 Weight . g . f— for the microinverter.This further simplifies installation,enhances safety,and saves on labor and We 1U F materials costs. Cooling Natural convection-No fans N Q�lll Enclosure environmental rating Outdoor-NEMA6 Lu �z Q J The Enphase M215 integrates seamlessly with the Engage Cable,the Envoy'Communications FEATURES 111 U Gateway"',and Enlighten',Enphase's monitoring and analysis software. Compatibility Compatible with 60-cell PV modules. N> Communication Power line Q L0 LU PRODUCTIVE SIMPLE RELIABLE Integrated ground The DC circuit meets the requiremenbs for ungrounded PV arrays In U N NEC 690.35.Equipment ground is provided In the Engage Cable.No 1--" Maximizes energy production -No GEC needed for microinverter -More than t million hours of testing additional GEC or ground is required.Ground fault protection(GFP)is —Q integrated into the microinverter. -Minimizes impact of shading. •No DC design or string calculation and millions of units shipped Monitoring Enlighten Manager and MyEnlghten monitoring options dust,and debris required -Industry-leading warranty,up to 25 Compliance UL174i/IEEE1547,FCC Part 15 Class 8,CAN/CSA-C22.2 NO.0-M91, •No single point of system failure -Easy installation with Engage years 0.4-04,and 107.1.01 Cable Frequency ranges can be extended beyond noninal it required by the utility Pg: --- 't. -- MG -- enphase• S'A. To learn more about Enphase Microimierter technology, fel enphase' P-15E N E R G Y C U9 visit enphase.com L ]E N E R G YET:ATIONILS PV-6 nrg ' Horne SOLAR —� 01tae ARCA, P.Pal �C Engage Cable System and Accessories EnphaseeEngage Cable System//DATA HOWELL.= NOWEII. C Nj C PES/ORDERING OPTIONS Enphasee Engage Cable Voltage Connector Spacing PV Module Orientation Model(lumber aConnactore' Weight" 240 VAC,4 conductors 1.025 meter(40") Portrait E'T10-240-40 40 40 Ibs to V L 240 VAC,4 conductors 1.7 meter(67") Landscape ET17-240-40 40� _ 45 be _U 208 VAC,5 conductors 1.025 meter(40") Portrait ET10-208-30 30 30 Ibs A 208 VAC,5 conductors 1.7 meter(67') Landscape ^ ET17-208-30 30 ^ 35 Ibs O �� - - ._. _ _ '•acttliore la'9�nr er]ISbeNm,en Ero'Na9 e,rhtr¢ 6abdive'Mela'ris nR dDp'c�6+•n!e F- Z LU CABLE SPECIFICATIONS <t j Description Rating Q p Cable temperature rating 9WC(194'F)wet/dry q Cable Insulator rating THWN-2 w _ - - _ - F— - - -_.- _ LL-I, UV exposure rating UL 746 C.F1 _ Conductor_size. _ 12AWG t1r) . Compliance _ Y.-. IEC.605291P67,CAN/CSA 22.2 No;21,162.3.UL 486A16,514C,8703.and 9703 i Cable rating TC-ER Cable Diameter 1.25 cm(0.49") Minimum bend radius 12 cm(4.75") ENGAGE ACCESSORIES Q LO LO Branch Terminator Disconnect Tool Z Q Q One terminator needed per branch Plan to use al least one per Fy W The EngageTVI Cable is a continuous length of 12AWG cable with pre-installed connectors for circuit installation LU Enphase Microinverters.The cable is handled like standard outdoor-rated electrical wire,allowing it ET-TERM-10(sold In packs of 10) ET-DISC-05(sold in packs of 5) =}-� H to be cut,spliced and extended as needed. w ~Q=LLI The Engage Accessories complement the Engage Cable and give it the ability to adapt to any 10 V O—1 Watertight Sealing Cap Cable Clip F U'J installation. 4 One needed to cover each unused `~ Many needed to fasten cabling r W 1 connector an the cabling w- to the racking or to secure looped U){� I ET-SEAL-10(sold In packs of 10) I""`i� cabling �Ld ET-CLIP-100(sold in packs of 100) U•ct-I— FAST FLEXIBLE SAFE r—O -Ouick installation -Simple design -No high voltage DC -Large branch capacity -No additional cables •Reduced fire risk Engage Coupler Used for splicing two power cables within an array ' ET-SPLK-05(sold In pecks of 5) Drg.Na: --- Dr9•B9-: TMG _ Rev.Bli: --- To learn more about Enphase Microinverter technology, 1 Date: 18-SEP-15 [el E N E R G e SA• rel enphase TITLE SHFET, L E N E R G v c us visit enphase.com 1. J E N E R G Y SPECIFICATION O 20t3 FMum eapl.H rgu 2caoa.M uacmiar'o a IkTas h ms aocunar w mg'ss�ce q rro•rcagcvu ara. DETAILS PV_1 nrg�' Horne SOLAR SWODSOOgU5 Oh2012 Sunmodule'" 101.eD Aaoy O°y SW 235 mono black/Version 2.0 t�." q No.a192t i C ij NO WELL. �^ PERFORMANCE UNDER STANDARD TEST CONDITIONS(STC)- PERFORMANCE AT 800W/ma,NOCT,AM 1.5 r.,r or• SW 235 SW 235 Maximum Power Pam• 235%vp Maximum power P,,,, 170.9•No Owdmult volbge V� 37.SV Ope,,dc 1t.IUrg< Vr 343V Maximum power Poi. K.S. Vw 30.3V Maximum power point wlug< vv. 275V V J shon clrcultwrrMt I" 8.:9A shMdl itcurrent I" 6.6CA M,xirnurrr yuwer yWrA+urrent I,.n T."A Maxlrnurn Power yulnt current 622A W '3G10CVN/M.bY,aJa 15 .WncrrNa:b:nr<N nvcauUttp.n1a11wncarN tiw"atl,'G KPCNIN,Y;Y O F :rf3";W'he STC erri:l.<ry n000V.',Msecv ercd y(� THERMAL CHARACTERISTICS COMPONENT MATERIALS L�' J NOCF a]'C Q `• :. Cons per module 60 W _^ TO►CWAIfEY ttI„ O.OaT X/Y. Cetl type Morp crysta line U z tt -OAS C<n dimenslem file In..,6.9 n;136 mmx 156 mm, Q AS%/K Front t<mpond glass IEN W-50; LL,04 Frame CV_ara ir_watuminnm O Q r•uorrw+bsal+rwarY9maradW weswmem�n. Welghl 46711,s(212kg, O O 211A.11 ratara i ULMaalmum Test load" iO psi El ALN/maj• Jp ,--••+—Ta:.. — IECMax1mum5new Testloa0'• P3 P,f(5.alN/ma, N ',a —�� "Pa„+Fe7tr,eaGsrcGruteluto•ad sarelfxuor6rytb9w:ol+ta•WrdanJ lwel a, —am"I� a.r[.rgtt eree4romenn vrn,ndesjminJalYfy,:er:. SYSTEM INTEGRATION PARAMETERS �roayaa Maalmum system voltage Sc ll 100ov Max.system voltage USA NEC 6DO V as Maximum mere cu""n I6 A. o w A Ln Number of bypass diodes 3 Q)n OUL Design Loads' ,vc n'syslcm ,136°selosfupvard W Q Sunmodule/" ul Design loadi leerail sy,L<m 70 Psf dow ward z fie tafupvaud LK SW 235 mono black/Version 2.0 i r'3pstd "" IEC Design toads' wx+a s,5tem S00sf wd f W}Q 'PW,at rotor le metu,w,xJeln:r:ltlunlnalru:d:r,bilM1eeeUihar+nau:ntl wltn lU the+elwtl.se: _ �Z World-class quality ,n fully-automated production lines and seamless monitoring of the process • • �a.r a:tla ADDITIONAL DATA Y and materlal enswe the quality that the company sets as Its benchmark for leClil o its sites worldwide. •w,wsr„rl".v+ 4131O350) Mea+Wingtolmn<n ,f-3Y f U SolanYmld Plu,•Sortlng° Pu.a P„• W SolarWorld Plus-Sorting —_ mnabn box - - ms9 ~ )'fnW Connector Mfd Plus-Sorting guarantees highest system efficiency.SolarWorld only delivers !E r—, •a es9a nsr) _ W modules that havegreater thanor equal to thenameplate rated power. Meewaetndmry la,ox U,q Fin nnng(UL790) aas,C r 25 years linear performance guarantee and exteAsion of product warranty to 10 years ({.((;)u SolarWodd guarantees a maximum performance degression of 0.7%p.a.In E7 g 0s LISLU the course of 25 years,a significant added value compared to the twaphase mleruk warranties common in the industry.In addition.SolarWorld is offering a +CaiDip Lwea"Ad'hE topDC.vn' productwarranty,which has been ex tended to l0 years.• a wmb marodes •iomwao-glaa:bn,: Na:Dr4. m'dante with lheappltibk SclafArodd LimicedWmmty al oic^a:e '�''''' ato•ntts of theframo --- ww,.mlar.mnacam/wanan'v 39.a'DDm> ,.ul3q i, r:As Drg.Bg,: TMG SOLARWORLD Rev.Bg: --- Date: 18—SEP-15 v 2Ta,r SCYr:yer dreprK.1 la+mll--,Waist,bao-aL^rvlu+a'lanp 1.the 1'OJ 1. el nl:asar,rgtda•erceluuaccricrcl,an.nm:xsaurn<rld L.,;:ca•Naror•y.scan,:vane r:,e.esnmrgntto neasoedrala,rnarg,a.dvoa°etwe. TITLE SHEET: www.solarworld.com We turn sunlight into power. u1ury Ga oiCcia`e�%rPerLais�a�nPw-•�„nw i,ware . ara•rr+al<e.onp�'ortr,e•nntlak.P-a+,r+maoaw•a.ry wr<o a.asd.rwcne m.rcooa•°°raal.ry. SPECIFlCAT)ON DETAILS PV-8 r oz �e �''N was tia� c c < < < -�.la• 8 �s„Wx �ws q Oti u a� „ C 0� z Js is O o o c _ W li 33� i R I ;q N cicom I k *1 Flo € .9 3 N V1 3 " Q kA p a z n 1 a ri ri ri 3 3 3 X g o g n k q 2 ! I 15 o3 i 1I W I m m TItL� SHEET: RE _ v r i:HO m�N W m P COTE, KATHERINE 0 0 ROOF DIAGNOSTICS r Pym m I 1 I 1145 S COUNTY ROAD SOLAR AND ELECTRIC, LLC TD1 �/�� 9 `"o + OSTERYILLE, MA, 02655 rN Y " M z i Home" ' SOLAR ��0peo a �P'118 jF Envoy Communications Gateway Envoy Communications Gateway//DATA r o No.atezt HO JLI, N �. NJ � Envoy Communications Gateway- INTERFACE U)U Power Line Communications Enphase proprietary (�J J Local Area Network(LAN) 101100 auto-sensing,auto-negotiating,B02.3 U LAN CONNECTION OPTIONS O U Cable Assembly,Ethernet,RJ45,Orange.10't Included with ENV-120-01 end ENV-120-02 W Power line communication bridge pair Included with ENV-120-Ot _Q Wireless N Use adapter(802.11b/9/n) Included with ENV-120-02 z I,POWER REQUIREMENTS O O J t: *" AC supply 120 VAC,60 Hz N {][ - Power consumption 2.5 watts typical,7 wails maximum CAPACITY Number of mlcroinvertars polled Recommended up to 600 Ir MECHANICAL DATA Ln W a0 n Dimensions(WxHzD) 222.5 ram x 112 ram x 43.'r ram(S.B"x 4.4"x 1.7") z O Weight 340 g(12 oz.) p[ae The Enphase Envoy Communications Gateway provides network access to the solar array Ambient temperature range -40°C to.65°c(-40^to 143°D r" LLI Q enabling comprehensive monitoring and management of an Enphase system. cooling Natural convection—no tans H F X: Solar professionals and system owners can easily check the status of their Enphase System using Enclosure environmental rating Indoor NEMA 1 r=n Q�LLI the Envoy's LCD display or get more detailed performance data via Enlighten"Software,included Y O J With purchase Of Envoy. FEATURES r W U 1 f-to OL Standard warranty term TWO years - _ O Ln it.l Compliance UL 60950-1,EN 60950-1.CSA22.2 No.60950-1 and IEC 0 (— SMART SIMPLE SCALABLE 60950-1,FCC Part 15 Class 8 -Includes web-based monitoring -Rug and play installation •Residential or commercial ready out API available System-level production data and control -Fexible network configuration of the box -Integrates with smart energy devices -No additional AC wiring required •Supports up to 600 microinverters -Automatically upgrades and sends aerformance data Org.No.: --- Org.Elf, TMG Rev.Bg: --- Date: 18-SEP-15 [e�enphase, To learn more about Enphase Microinverter technology, (e]enphase" TITLE SHEET: E N E R G Y c us visit enphase.COm ` E N E R G Y SPECIFICATION o?o1c Erxv�Ere'yy.ra�grx'_.-„xu.a vaue,-ate a o,cn+a.tnn ucu,r.n ego-ntevew w ua•, AMr c»-,w. DETAILS • PV-10 Horne SOLAR cu5 Product Datasheet DIAGRAM-TYPICAL CONFIGURATION ENERGY .� • ' F.AR, ® Oy y P.pg)man �lC, Y a n 5h'.Iectl CATS We.a1eI1 i C HOWELL• MIS INTERNET •y���ya�r N3 a�` LGate 120 EE �ww�-pis. I U RESIDENTIAL SOLAR MONITORING SOLUTION MEN I (F)0 • • �PRI• .mrre r ELECTRICAL V/ IYJ11vN^Iltl W_�1�� SERVICE OU • • Yid INVERTERS) LGATE 120 U1 PV ARRAY J Q W e • dszeLs. Q DIMENSIONS Q Q SOCKET ME TER Q_1 METER BASE COMM MODULE METER MODULE t ( N Tne LGa:e 120 combines a revenue-grade.solid-state power meter With ar advanced communications gateway. v v v B.`In 1 I These comporents work in conjunctor to remotely mon to,the perforrance of residentia,solar energy irstallatior i �•►_ ---�•-+-• in 17 6.31 regardless of panel or inverter type.The LGa[e 120 is a ore-piece completely under glass meter which installs easily using a stanoard 0 socket base.per`o•mance data Is uploaded in rear real-tine to the Locus Energy SolarOS I _ • monitoring platform which provides a suite of tools and ara.yt c5 fer asset managers. I `i�y,i• —. I LO in—., � (�Q Ey DATA COLLECTION —73OiR z O Q AC energy data is collected by the mere,and passed to:he communications rnoc,ile.Additiora system - LLI W perfo,mance data can be collected directly for,meteorological sensors and supported inve•ters via RS-485 or Q Lu =� Zigbee connect ons.All da:a is slo•ed.n non-vo'atile memory and then axiomatically up'oaded to SOIarOS at Lser lu }— configurable intervals. SPECIFICATIONS w Y�(L� P•PcessOr ARMS embedtlptl CPU A.—, ANSI WO aku 025E ~ W Q>, NETWORK CONNECTIVITY os Grammy nprLr 2.G.0TAnnm:ae opda- vd:wir"'pars 120.49C VAC ~ �—N OL The commuricatiors gateway inside the LGate;20 supports ptug and play Connectivity through a ce lular or Ethernet NpmbrY 128 M8 RAM Phases Sirgp ohasa.Spit oh—at 50 cr G0 Ha Q�LJ .P OW, LCO perp Socket Tyx 25 networx connectbn.Once the unit is instal':ed and powered on,it will immediately begin transinitt ng data wltno„t U V' any con`igura:ion.For maxinurn reliability,the cemmin"Cations gateway wi I aclomatically•Duce uploads::etween the f Q wireless and wires connect ons if either of the netwo,ks are unavailable. RS2Bs 2 wire And a wit. ANSI 12.2C clan 0.2% Mpdbus FCC Pan 158 ziObee PTCRB FEATURES A*ATC.nierc-ha nca • ANSI C'2.20 power meter Low cost installation LAN R14510/100 E1h•rreu full hair dugfM auto po atlly Drg.Na: --- • RS-485and Zigbeeirputs Doesn't require entrance into the house caBpler 3G GSM Endoem NE-3R rrPp Drg.Bs, TMG •GSM ce;lular o•Ethernet connectivity Rig and o By activation Networr<mB OHCP or stabs Weight 80z Rev.B: --- Over the air firmware updates Configurab a data upload interval p�vino 'e 201.k C.95%3• g End�onment 2O;o 70C.45R RH,nomcpntlpminp Date: I8-SEP-15 Warranty 5 Year 1101 .urrarly TITLE SHEET: SPECIFICATION DETAILS PY-ll nrg� Horne SOLARMOUNT Technical - dFUNIRAC" SOLAR ,rmuoo.ta.r.w tFUNIRAC Unirac Code-Compliant Installation Manual SolarMount 40ya0 xgCy SOLARMOUNT Beams o�,F..e,.. Part III.Installing SolarMount Part No.310132C,310132C•B,31o168C,310168C-B,310168D xa.a1621 3f0208C,310208C43,310240C,31024OC-6,3102400, E HoweLL. The Unirac Code-Compliant Installation Instructions support applications for building pertrdts for 410144M,410168M,410204M,410240M 4q, xs photovoltaic arrays using Unirac PV module mounting systems. ar This manual,SolarMounr Planning and Assembly,governs installations usiag the SolarMount and Properties Units SOLARMOUNT SOLARMOUNT HD U SolarMount HD(Heavy Duty)systems. U Beam Height in 2.5 3.0 ® Approximate Weight(per linear a) plf 0.811 1.271 V [3.1.]SolarMount rail components O� Total Cross Sectional Area in- 0.676 1.059 Z V t W Section Modulus(X-Axis) in° 0.353 0.898 W 1 0 Section Modulus(Y•Axis) ins 0.113 0.221 O Z "0 U 4 -V Moment of Inertia(X•Axis) in' 0.464 1.450 Q ' Q/® Moment of Inertia(Y-Axis) in' 0.044 0.267 Q O O �' tn Radius of Gyration(X-Axis) in 0.289 1,170 Q[U7 Ft8u 4.SolmMounr aaneard.(I rompoeama. Radius of Gyration(Y-Axis) I in 0.254 0.502 'Rails are extruded wing these ahrninum alloys:600545,6105-T5.6061-716 0 Rail-Supports PV modules.Usetwoperrawof Includes 3/8"x V."bolr with lock rasher fcrmtaching modules.6105-TS aluminum extrusion,anodized. 1,4001.Plwhings:Use one per standoff.Unimc offers appropriate fleshings for both standoff types. LO ©Railsplice-Joins and aligns rail sections Into single Note:There is also a flange <-A yW sendoff that does not length of mil.It can form either o rigid Z or thermal squire an L.foa[. 1^1 expansionjoim,8 Inches long,preddlled.6105-TS O Aluminum two-pelee smndoff(4"and 7") -Uwone 'Z 0 aluminum extrusion,anodized. per L-foo Tv¢jp(ec1::610513 aluminum extrusion. (Y © Includes/8'x/4"serratedflangeboltwithBPDM SLOT FORT-BOLT OR 1.726 LLl Q Self-drilling screw-(No.10 x%1-Use 4 per rigid washer for attaching L•fom,and two 5/I(i lag bolts. 1 SLOT FOR T41OLT OR _�-"r- P /4"HEX HEAD SCREW tLill splice or 2 per expansionjoint.Galvanized steel. /a HIX HEAD SCREW IU �- Q tag screw for L•Coot(5/16)-Attachesstandoffro N Q Z ll.i rafter. 2X SLOT FOR SLOT FOR Q I.4aot-Use to secure mils either through roofing BOTTOM QIP 2.500 BOTTOM Cup LU V Q J material to building structure or standoffs.Refer to 0' Top Mounting Clamps U— leading tables for spacing.Nora:Please contact Unimc 3.000 Ill 1 for use and specification of double L fom. ~ (--. Top Mounting Grounding Cups and Lugs T O UJ� ©1.4otrt bolt(3/8"x Y.")-Use one per L-fomtosecure 1.316 U In W rail to L•faot.304 stainless steel. SLOT FOR O q- tnstallersu lied materials: V. 1.385 T-O /s"HEX BOLT SLOT FOR _ O Flange not(3/8")-Use one per Lfoormsonrre mile lag screw for 4foot-Attaches L•foot orsmndoffro 1/e'HIX BOLT L-foot.304 stainless steel. miler.Determine the length and diameter based on pull- out values.If lag strew head's exposed to elements,use .387 stainless steel.Under fleshings.zinc plated hardware is •7So 1.207 ©Flottop standoff(optional)(3/8`)-Useif L•foot adequate. Y Y 1.875--� bole cannot be secured directly to rafter(with toe or shake roofs,for example).Sized to mintmize roof to lk & Drg.No.: --- mil spacins.Use one per 1.40ut.One piece:Service Waterproof roofing sealant-Use a sealant appropriate L.X L.X Condition 4(very severe)zinc-plated-welded steel. to your roofing material.Co,.cult with the company SOLARMOUNT Beam SOLARMOUNT HD Beam Om'89, TMG eurrenity providing warranty of mofing. Rev.Bg: --- 14 Dimensions epedRod in Inches unless noted Date: 18-SEP-15 TITLE SHEET: SPECIFICATION DETAILS — coEasten-Sol —Ecoftsten.-.Solar--7if I� NN k � � �,�3 g al c7� 1�i X3� � � fig;3 a=i a B1gsQo $ o g !!! I 11 3 IT $- I 9?3F5�62 0 t Eco.�-as�era olar� .. Ecoftsten—So ry _ 1 4 — V �a •�W _ � I� �� �y8a63� � = ° �g3`E' �a Mrs d� 5Z F_'�R-� �� s 'saga gg g 1- Mal o m TITLE SHEP-T: O pmm m 4 V1 � " p COTE, KATHERINE < Dix ROOF DIAGNOSTICS rr I g32 ym m I I Il�f5 S COUNTY ROAD SOLAR AND £L£CTRIC, LLC D W Nod �, OSTERVILLE, MA, 02655 `�a ,� �tD43441 Z • 1 J i :w..v'� �: �7; 4 R� F."- ;.;;�,j L:��.�..---•. .. .. .. .. .. .. .. .. { l 1(-�i J�'�J ;�,Y tii�.i} Illu bpparalrcr`#�l F App 0�15 y3fton owls an plan Copt: - patl3 flslitivrj� rawl 6oatd'_ — P � pr*ao Sty'' ....I. . � .... IY16 Telophorte. Total TIOeJ IL 0%20 '...• ,� ugtl&t`F;foetal'�.¶00r=�,cts�n5 �vgluta� n o rn. C,ors�t lctl nTa�a C 1 :a;; Pf4i9� 'tiere�; 0 Yes : 4�hlei 4i kasca upa��U'�crux' �- .. Cara+irl�, • ... Lot�iZe �_ u j �3f(1i¢ Q JO Forrcl� L �Notiasp:'I 1 Yes1 URci 6�atg's 41. k e o� c :.. ®�'�i�Csa�:�t�:. �-- •': . �- i*sce,iiertt F;f>Ret§Pry(" � `at.: `�ino . . . ... .. ,. '.:�' s¢'r�ml�arC�9�eti'w� •�'iJ4:ei��isr�_�--.:•y-.•-- ,. .. .. ,` .... .. • ew ilfCKrxio: � pJ�;prSo tl �.Irkt �OcIlm,(Rot inctiCtipg Q.f�tf'Pa—�Fr,;. -- » t; rl . c ..Q Ji1' l CJ/' 41�1C741n h7 CK�as 9' i3'Y�ri ,Ej�rs C3 ew 1AR0 ye •D e7c:�irz Ff.� oihaT'• ''• p1s Cl :. .. Pin Tiz :- •_ __-- .. .' . .. .• � As)tt-egaf;ori" p:XpLt'� , t' cl it.. c ,s,t Pon favlool. --�- C;oirreu�xjAi i3 �• � pt0po.5ed t.4a'. t,ur. 141 �nti t to 44 !igigta'IiT1 Yrod2lil est,;�}fi md')r'#t' ' --—^— slivo _._ e .- - �- ,[iy6b ALL ' ..r�•t:JTh113�8Fs}o �L _ � ;l�• '�`'''•I`•'s"_'y;•--%"�'�',:�..:'.•.^'.;c,::=' ,�L,� NATUR VIM— .. •��' •°'.`,- �'•' �...;,2,'-r �:{• �'"� �:dr::tip.t' S Jeiog awOH JaN :wad 99ZMC909 L 103 INd EO:ZE:O L 9 LOZ/OE/6 E 10 Z a6ed :0_ The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Build ers/Contra cto rs/Electricia ns/Plu m hers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Busuiess/Orgaitizatiou/Individual):Roof Diagnostics Solar Address:89F Washington Ave City/State/Zip: Natick MA 01760 Phone#:508-545-0989 Are you an employer?Check the appropriate box: Type of project(required): 1. ✓]I am a employer with 70 employees(full and/or part-time).; 7. New construction 2.rl I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.F1 I am a homeowner doing all work myself[No workers'comp.insurance required.]t 10 ❑Building addition 4.M I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.EJ Plumbing repairs or additions 5.rl I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof re airs These sub-contractors have employees and have workers'comp.insurance.t p 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14. ]Other PV Solar 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Federal Insurance Co. Policy#or Self-ins.Lic.#:0044727794-01 Expiration Date:4/1/16 Job Site Address: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.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 pal !lies of per aft reformation provided above is tru and correct. Signature: Date: 2� / Phone#:508-545-0989 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#: I / l ® DATE(MM/DDIYYYY) A�O CERTIFICATE OF LIABILITY INSURANCE 07/01/2015 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 endorsements. PRODUCER CONTAC Destiny Soria MCGRIFF,SEIBELS&WILLIAMS,INC. PHONE FA NAME: y P.O.Box 10265 AIC No Eat: 800 476-2211 A!C No): Birmingham,AL 35202 E-MAIL ADDRESS:dsoria@mcgriff.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Kinsale Insurance Company 38920 INSURED INSURER a:Liberty Mutual Fire Insurance Company 23035 Roof Diagnostic Solar Holdings LLC;Roof Diagnostics Solar and Electric LLC;Roof Diagnostics Solar and Electric of NY,LLC;Roof Diagnostics Solar and Electric of INSURER C:Federal Insurance Company 20281 Connecticut,LLC; INSURER D:Travelers Property Casually Company of America 25674 Root Diagnostics Solar of Mass,LLC;Restoration Design LLC;RDI Consulting,LLC 2333 Highway 34 INSURER E:Navi ators Specialty Insurance Company 36056 Manasquan,NJ 08736-1423 INSURER F COVERAGES CERTIFICATE NUMBER:RKP9RUNX 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�TR TYPE OF INSURANCE IAINSD SWVD POLICY NUMBER I MMIDDIYYW POLICY EFF MMIDDIYYUBRI VY I LIMITS A X COMMERCIAL GENERAL LIABILITY MSW45968 07/01/2015 04/01/2016 EACH OCCURRENCE $ 1,000,000 DAMAGE YO 50,000 CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY IX PE COT- LOC PRODUCTS-COMPIOP AGG $ 2,000,000 OTHER: $ B I AUTOMOBILE LIABILITY SISIPCA08335015 07/01/2015 04/01/2016 OMaBI ED SINGLE LIMIT nt) $(Ea 1,000,000 X ANY AUTO BODILY INJURY(Per person) I$ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident Deductible: Comp/Coll $1,000 E UMBRELLA LIAB X OCCUR MSW74841 07/01/2015 04/01/2016 EACH OCCURRENCE I$ 1,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1.000,000 DED RETENTION$_ Is C WORKERS COMPENSATION 0044727794-01 07/01/2015 04/01/P016 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y ANY PROPRIETOR/PARTNERIEXECUTIVE 1 N! 1,000,000 A E.L.EACH ACCIDENT $ 1,000,000 (Mandatory in NH)EXCLUDED? E.L.DISEASE-EA EMPLOYEEI$ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D Installation QT6601F654654TIL15 07101r2015 04/01/2016 Installation Limit 50,000 n Transit $ 200,000 Deductible $ 1,000 Leased/Rented from others $ 50,000 DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. /J AUTHORIZED REPRESENTATIVE For Evidence Purposes Only Page 1 of 1 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ��� Y: irrinnirarall�P���/rr.:.krr�riJr//,` ice of Cowumtr Affairs&Business Regulation License or registration valid for individul use only 8ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: . Office of Consumer Affairs and Business Regulation Wration 17027g , Type: 10 Park Plaza-Suite 5170 Expiratlon�1p p13°�; Supplement C.)rd Boston,MA 02116 ROOF DIAGNOSTICS SOl1tR OFUASS,I.I.C. IN NRG HOME SOLAR �V JOSEPH WYLD-CHIRICIJ'1 --� 89 WASHINGTON A1/E; NATICK,MA 01760 Undersecretary Not valid without signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards Cs-n%tructioin Superri%or License: CS-093115 JOSEPH M WYLDCH19UCO 11 HILL CREST AVENUE 1Y1 �. r Seekonk MA 02771 Expiration Commissioner 0511412017 I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 4.M1, Map OnC;� G O� , Parcel Application #3D I 411S Health Division Date Issued i. Z- Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis ®ro- Project Street Address �D0 0 07 Village Owner s G ��✓o�� ddre� � �� ✓�l/�1L[� Telephone 60 1? 1 Permit Request o b , (o O �1� l7 IV d4_)Aid- v /Nv s Ware feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning Di t Flood Plain Groundwater Overlay Project Valuation 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 ric House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No � i Basement Type: El ❑ Crawl ❑ Walko ❑ Other Basement Finished Area(sq.ft.) asement Unfinished Area (sq�fx a Number of Baths: Full: existing new Half: existing neW,- Number of Bedrooms: existing _new co Total Room Count (not including baths): existing new t Floor Room Count;. Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other 9 Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood al stover❑YF' ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existi ❑ 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 /1 L \ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) / .5�� Ll;v- �a /J Name �1G���/��-!�! ��`' �u-C/l-C Telephone Number Address /�� J JC ���� License # Home Improvement Contractor# Lo Worker's Compensation # U ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO / Y SIGNATURE DATE ` J� ��-- T w FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ` Jyyyk DATE OF INSPECTION: • _ - _. FOUNDA TION N 0 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING `. DATE CLOSEDEOUT t . ASSOCIATION PLAN NO.'! . " The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 UT www.mass.gov/dia " Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeEMV Name(Business/Orgmizationandividual): A/ie,4!/;.4x) Address: City/State/Zip:/ Aj4 hone.#: Are y�employer?Check the appropriate box: Type of project(required): 1. am a employer with A/ 4. ❑ I am a general contractor and I employees(full and/or part time).* have hired the stab-contractors 6 ❑New construction 2.❑ I am a'sole proprietor or'partner- listed on the attached sheet. T. []Remodeling shipand have no employees These sub-contractors have 8. '❑Demolition working for me in any capacity. employees and have workers' 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 doingall work officers have exercised their 11. Plumbin ❑ g repairs or additions myself.[No workers' c6mp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.[l].6fher % comp.insurance required] "Any applicant,that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contactors have employees,they must provide their workers'comp.policy number. Iam an employer that is providing workers'compensation insurance for my employees Below is the policy andjob site information. Insurance Company Name:. - - (J%(J�� /C/'S (fieA/0L,c �j WO A) Policy#or Self-ins.Lic.#: _)D 0110 I st i /2= Expiration Dater Job Site Address: 1. /Y s , CQ 0 A)T Y K City/State/Zip: b? ./k A.- `-IT 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 crimirial penalties of a fine tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investieations of the DIA for insurance coverage verification. I do hereby cerh;fy under the p 'ns a d penaltie of perjury that the information provided above is true and correct Si ature:' Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health '2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: CERTIFICATE OF LIABILITY INSURANCE 1?ATBcMMmD,YY,� 04/0&M12 TffiS C?.(tTIFICATS IS IS^QED AS A MTTER OF INFORMATION ONLY AND CONFER$ NO RIGHTS EJPON THE CER2FFICATE HOLDER. THIS (�� DOES NOT IiFpI T L}, OR NEGATIVELY AMM, EMM O&ALTER THE COYER.LS INSIIRANCE DOES NOT CONSTITUTE A APFURDED BY THE POLICIES BELOW. THIS CERTZSICAT$ Op CERTSFICA2B ZOLDER. CONTRACT BETWEEN THE ISSUIlIG INSIIRER(S), AUTHORIZED REPRESEMQTATZVE OR M?It�IICER, AND TiM ICA to t1le t If the certificate holder is an ADDITIONAL INSURHD, the poli (ies) must be endorsed. If SQBROGATION IS to the terms and coT� of the oli W►IVED. subject confer rights to the certificate holder ia, lieu cert of policies may )require an endorsement. A statement on this certificate does not PR®DC6L Berry Insurance Agency Inc Cow 9 Main Street pyre 1= C. No. Exq: (A/C.NO): Franklin, MA 02.038 Ems. CMSTOMM 1". FBox�D IHS AM(S) An==oov=W= NdIC f American Tent & Tab?a Inc IMrs M A: A.I.M. Mutual Insurance Co 33758 o 1348 Diars+.ons -Mills, * ? 02E48 � "" — rMck—D: a: COVERAGES CERTIVICATB N(IIfl�SR: REVISION N[JMIBER THIS Ss TG CcRLI2Z THAT ^si:.FOLICiES OP INSURANCE LISTED ffiIgA HAVE BEEN ISSUED 117 ?88 NOTWITRSTANDING ANY REQUIRr�NT, TERN OR CONDITION OF ANY CONTRHAVJkCT OR OTHER IIN6_= NAFffiD ABOVE FOR THE POLICY PERIOD ZNDICATED. . PERTAIN, Tffi I'i4£1S'.ANCE AF 0?tT?D ar TINE D000N4:NT WITH RESPECT TO WHICH THIS CERTIFICATE My BE ISSUED ok iMr POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND COMMONS OF SOCH POLICIES. LMKM SHOWN N9AY HAVE SEEN REDIICED HY PAID CLAIFIS. rnas sa 7YP1: OF INS'Lr:,AYCZ vbwL= N1MMER POLICY EFF POLICY EXP OAUWI--M u93TS GENURAL LIABILITY rr DAMUM TO MEVXM.... ......... .... ..._................_ { SnCL?LT;A}IIDE �M:CUA 71✓zCISPs�j.p ) 9 I N 1®Exv (A4 w PvseN S pBMADW C.ADV ffinn S 6EN'L AGGREGATE LIMIT A??LICS ER:� GMMMRL A 3 QPOLICY Clpw,ECf E]LOC DI>ODOCPS-eae/P/a➢1Wo S ADTONASLLE LLABILZT! C�nf!®STtltGNS LnQT EDADY AUTO (ea aeeiame) S 0X,L OWNL7,;jn OS 8w3w xamm (P= VSCHEDULZ,)AMS BYTILT TNIIDRZ(por aoeldeaq g nHIASr A.U:ros sMDEBNtzr awarcs �}YO\-;Nl.^c.'.AU?CS (pee aacldmq 5 5 I�tYSRELLa LIMB OCCUR I + EACH OOCQ(WI010E S OE(CESS LEAS CLAIMS:WE , �DEDUCi•7 Ai.l: � S �jRuTIEC:TIO); 5 - AOS i�RS CONPENSA71crl ANE 31'i.'I4'_T.ES LIAE:'".LTY t ?FM FTOPR'a OFMCBAF._":n X.L, EACH At�ez 8 100,000 ifl f:T:cCJTIVE JFFIC6RS ,S.,ZS incl 0 exc). 7026128012012 E.L. DISEAM-EDLIOY LDDT s 500,000 04/05/2012 04/05/2013 E.L. DXSRPi2-EL 100,000 7.:i_T=r7.7.:OP CYdRM^OAS OB LOCATIl6P5: 1 I CERTIRICP_T8 '-OLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE TEE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED n7 ACCORDANCE WITH THE POLICY PROVISIONS. AVNHOAIEED RMTZSEWMTIM 4 t- Certtf t rate of latmce R es;tgta nce REGISTERED Date or APPLICAIM AZrEC TENTS numdactixed 26W COLUMM ST OONCERN NO. TORRANCE,CA 9050Ci (800)228-307 ICAL.CONS F-419hi 0412009 e 4 bdowft -agodagheme (arare**qjernWnonffWnmab 7WJS1DcedWffW9he W 14F a been R y FOR AMEWCAN TENT& TABLE ATTN. ALLEN SYLVESTER 381 OLD FALMOUTH ROAD UNIT 41 MARSTONS MILLS, MA 02648 Cerdricadon is hereby made that. check 'a"or"b") (a) The articles described below this certificate have been treated with aflame retudant cheadcal approved and registered by the Slate Fire Marshal and that the applicationof said cheIrtical was done in condor mance with the laws of the Slate of Califorrila and the Rules and Regulations of the State Fire Mar-*d. Nam of chmdcal used Chem.Reg.No. MeadW of application The articles described below are arle from a flam-resistarit fabric or nukxW registeredand -N (b) 're Marshal for such use,Fabric has been tested and approved be the State F1 NFFAM4& Trade name of or lrlaterW used.,ftI le-resistuft Reg.No. - L-f—Ag The Flame Retardant Process Used WILL NOT ;�;.............. Be Removed IW Washing David Bradley Chuck Miller President CUSTOMER ORDER NO. R174684 ITEMS MANUFACTURED: 8.IWO VC TOP ONLY-LW 2-20xW 2PC STD TOP ONLY-UW 3-20x10 STD MIDDLE TOP ONLY-UW 2-3&W 2PC STD TOP ONLY-Lff 3-3W0 STD MIDDLE TOP ONLY-UW Jq9 y- 0 r �erttf trate o ame, ee;t6ta ace PAGE: 1 Date Manufactured AZTEC TENTS 2665 COLUMBIA ST INV NUMBER: 0184178 12/17/2010 TORRANCE,CA 90503 P.O. NUMBER: t (8001228-3687 CUSTOMER NO: AMER026 ! This is to certify that the materials described below have been flame retardant jtreated (or are inherently flame retardant). en°r e I n n ray .t &uln Mesa F•222.04 t AMERICAN TENT &TABLE INC. Callf=la Comb. lem-Tex 12,141 ib,IBox F-419.01 P.O. BOX 1348 Coated FabACa Clear Vinyl 16ga/20ga F-570.02 DAF dear vinyl 169a/209a F-593.02 i Marstons Mills, MA 02648 DAF DAF F-593.0 Fxauslvely Expo PolySateen liner F•434.01 I FerraA PrerWltralM 502 F-444.01 • Ferran FteWntnllnt 702 F-444.08 pnilllps Textiles RIII•Tex liner F-500.01 i pVC Tern. Deco Cloth/Velon F-504.01 Snyder WeaNerspdn F-140.01 i TA Vantage Flreslst Sunbrell8 F-368.05 ' TA Vante9e Fatlo 500 F-121.02 y Certification is hereby made that the articles described below hereof are made TA vanwge Blg Top F•121.10 from a flame-retardant fabric or material registered and approved by the Tn vantage Vangw Weblon F-069.01 i Tel vantage WeDlon/Coastline F-069.01 California State Fire Marshal for such use. The fabric has been tested and i passes NFPA 701 Large Scale. See chart to right for trade name of Verseloag Du25Wn 61673,81515 F-530.01 flame-resistant fabric or material used and additionally referenced on the label of the fabric panel. ' THE FLAME RETARDANT PROCESS USED WILL NOT BE REMOVED BY WASHING T '! David Bradley General Manager-Manufacturing I Name of Applicator or Production Superintendent Title of Applicator or Production Superintendent ITEMS MANUFACTURED TYPE PRODUCED 30x30 2pc Std Top Only UW S 2 ATC Style Clasp 20x20 2pc Std Top Only UW S 2 ATC Style Clasp Stock#'s 6957, 6958 20x20 1pc Top Only UW S 2 Stock#'s 6947, 6948 20x10 Std Middle Top Only UW S 3 ATC Style Clasp Stock#'s 6502.6503, 6504 30x10 Std Middle Top Only UW S 3 ATC Style Clasp 15x15 2pc Std Top Only UW S 1 ATC Style Clasp 15x15 Std Middle Top Only UW S 1 �l ATC Style Clasp , v 10x10 2pc Std Top Only UW S 2 ATC Style Clasp 10x10 Std Middle Top Only UW S 2 ATC Style Clasp 3000 2pc Series 1200 Top UW S 1 w/ New Plates Grommets �VE, Town of Barnstable Regulatory Services auoasTwate.rsns.�. Thomas F.Geiler,Director F163g6 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder ;as Owner of the subject property hereby authorize act on my behalf, in all matters relative to work authorized by this building permit application for. ;2� 15 (Address of Job) i i i 6iuv- Sifnature of Owner Date Print Name l ; i If Preberty Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERMISSION Doc=1s192s058 05-21-2012- 12=12 g. Ctf 4-f97.146 WHEN RECORDED BARNSTABLE LAND" COURT REGISTRY RETURN TO: Choate,Hall&Stewart, .LP' Two Intemational Place Boston,MA 02110 ° ATTN: Lisa B.Flynn,Esq. q • 3 3 x QUITCLAIM DEED I, L-OIS T. DAVIS, of 50 Fox -Island Road, Osterville, Massachusetts 02655, (the "Grantor'), for consideration paid, and.in full consideration of-One Dollar ($1..00), Hereby-grant c to •KATHARINE VINING DAVIS -COTE, of 1745 South County Road, Osterville, Massachusetts 02655 (the-�`Grantee"), with QUITCLAIM COVENANTS, that certain parcel of land, 'together with the buildings or structures thereon, situated in 'Barnstable (Osterville), Barnstable County,Massachusetts,and more particularly,described as follows: 5 LOT 27 a; LAND COURT PLAN 13104-J o So much of-said premises'formerly shown as Lot 9 on Land Court Plan 13104,-C is subject to restrictions as set forth`in a deed given by Cora J.Russell to Edward Kirk Davis dated March-22, 1928 and recorded with the Barnstable County Registry of Deeds irl4Book 454,Page 235 andnto easements as set forth in a deed given by Frances-H. Baker et al to Prentice Barriard U Hinckley dated July'12, 1926 and'recorded with said Deeds in Book 439, Page 14, insofar'as t the same are in force.-and applicable. to For Graritolt's title, see deed dated January 24, 2006 and. recorded in,:the Barnstable sRegisiry District of the,Land Court as Document No. 1026806,'given to Grantor by Thomas H. -P,. Whitney,Jr...and James Howard Dow,Davis, Trustees of Navida Trust,,u/d/t dated December 30, 1976 and recorded in said Registry District of the Land Court as Docume_nt,No._2248T7, as �. amended. 0 o Said premises are conveyed subjecLto and with the benefit of all easements, restrictions, agreements and other matters of record, insofar as the same are now in force and applicable. Q This Quitclaim Deed.;is being delivered for nominal consideration for estate'planning purposes. [See-following page for signature and acknowledgment] 51041441 r �t n WITNESS my hand and seal as of thisAV day of 2012. — Lors T. avis ti COMMONWEALTH OF MASSACHUSETTS Yk 2* 2012 Before me, the undersigned notary public,personally appeared the above named Lois T. ' Davis, whose name is signed on the preceding document, and such person acknowledged to me that she signed such dociiinent voluntarily, for its stated purpose. The identity.of such person was proved to me through satisfactory evidence of identification, which was U photographic identification with signature issued by a federal or state governmental agency, L] oath or affirmation of a credible witness,or U personal owledge of the undersigned. 1 N lic Anca D.Dehelean sa aota►y Public �/p' My Commission Expires Febru Commonweafth of ary 13,pOtS Massachusetts [Signature Page to 1745 South County Road,Osterville,MA Deed] 51041441 ®� ERMIT Y 2 7 Zoos Town of Barnstable *Pert#,, ab�dd J Fxpires 6 months from issue date Regulatory Services Fee F E3ARNSTABLE Thomas F. Geiler,Director039. ► Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02661 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - .RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address Residential Value of Work,L5 C 19 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 5 5L "AX",112 45 Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner P I have Worker's Compensation Insurance Insurance Company Name /Z4 Q2aL11-7 �� Workman's Comp. Policy# �/ 9� �',-7-15�z Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) 2�(Re-roof(stripping old shingles) All construction debris will be taken to_ ,c� ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side .� ❑ Replacement Windows/doors/sliders.U-Value (maximum.,A *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: QAWPFILESTORMS\building permit forms\EXPRESS.doc Revise020108 ,per The Commonwealth of Massachusetts �\ Department of Industrial Accidents Office of Investigations 600 Washington Street . Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information — /� Please Print Le0b� Name (Business/Organization/Individual): ,/�/jI///e� Address: 4,,�''i>0T'G�.I�I /V City/State/Zip: a�� hone.#: 2��= Are you an employer? Check the appropriate box: Type of project(required): 1 I am a employer with , -7 — 4. I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g• Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp.insurance comp.insurance.$ 5. We are a corporation and its 10.❑Electrical repairs or additions required.] 3.El T am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions [No workers' c mysel>L omp. right of exemption per MGL 12.&Roof repairs c. 152, §1(4), and we have no t insurance required.] employees. [No workers' 13.❑ Other comp,insurance required.] 'Any applicant that checks box 01 must also fill out the section below showing their workers'cmnpmsation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employes. if the sub-contractnrs have enployces,they must pravidt 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: ,�,�//1lJGi.�-� Policy#or Self-ins.Lie.#: �� Expiration Date: Job Site Address: City/State/Zip:/�,'� env Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to socurr.coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of Up to$250:00 a day against the violator. Be advised that a copy-of this statement maybe forwarded to the Office of Investi ations of the DIA for insurance covers a verification. I do hereby certify u er the pains•and penalties of perjury that the information provided above is true and correct. Signature: Date: — Phone#: L Official use only. Do not write in this area, to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other rnnt.act Person: _ Phone# 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-contractors)name(s),address(cs) and phone number(s) along with their certificate(s)of insurance, Limited Liability Companies*(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense 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 our,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 (ie. a dog license or permit to btim.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,tcicphone-and fax number._ The C6mmonwealth of Massachusetts Dq)arkment of Industrial Accidents Office of Investigations 600'Washington Street Boston, MA 02111 TO. #617-727-490.0 e'xt 4.06 or I477-MASSAFE Fax# 617-727-7749 Revised 11-22-06 • www.mass.gov(dia oFIHEr� Town of Barnstable Regulatory Services �HA MA�IE 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 r, 721754 -Z�Z ��j/fS' , as Owner of the subject property hereby authorize �/��l/��L�/�iX to act on my behalf, in all matters relative to work authorized by this building permit application for: Z24�— 51c� �i�A �� Z (Address of Job) 4 L5 Signature ' f Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption.Form on the reverse side. Town of Barnstable �pF1HE Tp�� Regulatory Services 3 BarWSrAgr s Thomas F. Geiler, Director .9. MASS. 1659. A,m Building Division TFn t�r Tom Perry,Building Commissioner . 200 Main Street, Hyannis, MA 02601 wmv.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 10B LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: 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 1 o9.1.1-Licensing of consti action 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 aire 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 fom✓certification for use in your community. Date:7272007 09:30 AfA Sender's Fax ID:Northwo6a Insurance Page 4-Of 6 ACORD_ CERTIFICATE OF LIABILITY INSURANCE OPID x DATE(Mht''C-D/YYf`0 DAVID-2 07/27/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Northwood Insurance Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 805 West Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis MA 02601 Phone: 508-771-1632 Fax:508-393-2955 INSURERS AFFORDING COVERAGE INAIC9 IJsu� INSURER.A The Norfolk 6. Dedham Group ( INSURER 3 Tra�alazs Insucanc• Cwapany Davkd COX, Inc. INSURER: P. O. Box 401 1 P,ERD: S Yarmouth 'MA 02664 . - 11J5URER E . COVERAGES TrE POLICIES OF INSURANCE LISTED SE!OVV HAVE BEEN ISSUED TO THE INSUREC NAMED ABOVE=6P THE POLICY PERIOD INDICATED NCTO!ITHSTANDING A!1 REQUIREMENT.T RbI JF CONL1;'10N GF AiJY ODNTRA.CT OR OTHER D0CUt.1E:'JT 94!TH RESPECT TC WHICH-HIS G�FIFICATE IP,AI BE I s!_IED J?. MAY PERTAIN,THE INSUR.wJCE AFFORCED 9Y THE POLIC E5 DESCF'IBEG HEREIIJ!S SUBJECT-0 ALL-HE cRMS,EX _USI.'.S AND 00NO!T0,45 CF SUGI- POLICIES AGGREGATE LIMITS Si?`AT!MA'i FAVE BEEN RELIY_'ED 5Y PAID CLAW . or u L DA TR NSR TYPE OF INSURANCE POLICY NUMBER pA7E(MM/DDIYYI T E I F1(d IDD.'W}ri I L;MtT9 GEIJERAL LIABILITY I EACH OCCURRENCE ;$1,0 00,0 00 i CGfAL!EF.0 ';c IL-1 E�AL_!*'UTY ` I ( PPEMiEES'Eaccru.�nce) ,S$50,000 I CL41tAS•'diLc OCCUF t MED ��(A�ycn.persnn) S $5,000 . A X Business owner s IIR00309545 I03/14/07II 03/14/08 !!PEP=c,J-L&ADimjj�:r s$1,,0 0 0,0 0 0GEERAL AGGREGATE s$2,000,000 !AGGREGATE LL•!T.AGP_E:;EER: DT FPODUCTS-CCAMP/OP A3 ;000.POLiC/ , ER — C I I AUTOMOBILE LIABILITY I I COMBI`IED SINGLE LIMIT S IJ+`I AIrO i IE3 ec�iden:) I ALL OWNED AUTOS I BODI!"IiJ,l-RY I SCHEDULED AL70 I I!Per pxsrn! HIR=D ALfn& - NON-OWPIED AUTOS I (P Dr 3 i enti S (P;r 3xi>i=nt1 PP.OPERTY CfWAG S (Par accident) GARAGE LIABILITY ALA?O ONLY-EA.ACCICEIJT S AIJY A.L�O I' ' I OTHER 7H,N Fes,A:;C. 5 I AUTO ONLY: , AGG 5 EXCESStUMBRELLA!IABILITY L-EACH OCCURRENCE.� S -• — UC:L!R J CLNidS kLGGE I I AiGF.EGAT'- — I I s I DEDUCTIBLE I a I RETENT ON $ S WORKERS•COhPENSA71IONAND AU_ E R B EM TCRY LI PLOYERS LIABILIT{ S 16KUB910X742207 07/15/07 I 07/15/08 •EL E.AC ACCIDENT' sI- 100,000 AJJ'r FHCV�RIETCIR!PPZfIJE?.'E:<fCU-IVE I "_F=ICFR4dEN4BER EXCU CED? E.L.015EASE-EA EVP_G rEE 15$10 0,0 0 Q S yn5,0L PqC under I V$CQ Q'QQQ SP-:=D PL i=4CVISCIJS G9tn,J .. E L.DISEASE-POLiC{UkI1T 5 ' OTHER DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES 1 EXCLUSIONS ADDED BY ENC•ORSGMEhT!SPECIAL PROVISIONS I a ! ti i CERTIFICATE HOLDER CANCELLATION - TOWNBAR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MNL iQ_ DAYS'ARITTEN NOTICE TO NG CERTIFICATE HOLDER IUMM TO THE LEFT,BUT FAILURE TO DO SO SMALL TOWN OF BARNSTABLE 367' MAIN STREET IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR HYANNIS I&N.02601 REPRESFN_TAnVES. AUTO ACORD 25(2001108) ©ACORD CORPORATION 1988 • t Board of Building Regulations and Standards �f License or registration,valid for tndividul use oh, HOME IMPROVEMENT CONTRACTOR before the expiration date.ITfound return to: •� j� a Board of Building Rc;ulations and Standards Registration:' 100497. ! , .Orie Ashburton Place RM 1301 " Ezpira.ion 6/18/2006 Boston,Ma.02108 R, Rr`Vate Corporation a' f. S b: DAVID COX INC.: David Cox I 19 LAVENDER LN �,g,�..GLa..` Not valid with signature W.YARMOUTH,MA 02673 � .Deputy Administrator Yi Board of Building Re ons and Standards �a One Ashburton Place '- Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 100497 Type: Private Corporation Expiration: 6/18/2008 DAVID -COX, INC. David Cox -- __ -----------:-- P.O. BOX 401 --------- SO. YARMOUTH, MA 02664 Update Address and return card.Mark reason for change. M Address 7 Renewal F-I Emutovmeot r...l host Card ' ������7�J ���� �� � �� �J�� �� � �� �� �� | � . TOWN� |� v�� BARNS TABLE _����� . ` � 1639. BUILDING .- NN N �� � �� INSPECTOR �� | _- -- - ---- - -- _- ~ ~~ ~~ ~ ~~=� ~ =� ~~ | APPLICATION FOR PERMT TO � TYPE OF CONSTRUCTION .......................... . ........................ � ---`__—___ ' ~ --'' —.��� ..-----.lo�r~�� � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for o permit according to the following information: South C I�am� y8��J�s����s �ill s Y&ass Location —�—.--..—...�....���--..���.--.----__--_--�----..�__________.______________. Proposed Use ------------------.-----_------------_____________ Zoning District ----------.-------------Fine District .............................. | l�STATE OF I�{�A R. I�\��S Ma��et�ons MiI�s ���s / Nome of Owner --------------.�-----_--.A66reu -----------..���_____�__.................... Nome of Builder ----------------------'A66,es ......................................... _________. _ | � ---.. � � Nome of Architect ----------------------A66reu --------------______________ ` Number of Room, ----------------------Foun6otion ------------___.___________ Exterior ----------------------------RooGng -----____—__________________ Floors ----------------------------..{nterior ----________________________ Heating ---------..----.-------------Plum6ing --------___________________. Fireplace ---------------------------.App,ox|moteCoo --------_____________^_ Definitive Plan Approved by Planning Board ----------- Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH � � Dwelling known as "Vining House & Garage" � Assessor's Bldg. # 2594 on Avis 98/24 ' � , � ' � |'he,e6v agree to conform to all the Rules and Regulations of the Town of 8ornuhz6|e regarding the above construction. � � ,Name ................. � JOEL P. . / Davis, =Mena Estate of 16116 demoV No ................. Permit for ................... ........ dwelling _ .....................�............................................ ........ Locati//'�/South -County Road Marston.,Mills, ............................................................................... Owner Estate of Rhea Davis •' ; . Type of Construction ..............frame............................ ....................... ..................................................... r Plot .......... Lot ................................. o J Permit Granted .......Ap?1J8................19 73 1 Date of Inspection ............. ....... ..............19 a Date Completed ..5. ........ .......... ........19 PERMIT REFUSED r, ................................... 19 i _ w ............................................................................... ................................................................................ ............................................................................... ............................................................................... Approved ............................................................................... ............................................................................... � [ THE ' . ~ ������J ��� � � ��J� � � � � � � � _ TOWN�� pN ��]� ������|� �� �� �������� - ~ ' ` ^ BUILDING . � 0N 0 0 �� N �� INSPECTOR � ��� 0000 � ��� � �� == ����~ = "� ~m . ~ «�� �kPPLUCATU��N FOR PERMIT TO -- S&� ___0°~�����.��..� 8~�.��������_____.______ . � - ~ � 0�u� . TYPE OF ---------.«���.����n&�' -----------------.----.`_____. � A C�C] � �� 1���' ��� � � �� x�� � ----------------lA.--. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for o permit according to the following information: Location — .. ....D8a ot#n.s..y�iIl�«_D�����._,_________._____________ ProposedUse --------------------____.^—_____________.______,___,________ y Zoning District Fire| ------'---^-----~-------- -------------------------- }3����� �� RHEA I� I���� 8QA�ST[DHG yKZ��S ���� Nome of Owner ----------------�------.�A66mas -------------.��____.�________.. ' Nome of Builder ----------------------'A66reo --,----------__--_.__________ ` Nome of Architect —_—_------------------A6dnss --------------_---__~_______ Number of Rooms� ----------------------FounJotion ----------_______'________. Exterior ----------------------------RuoGng .................... Floors ----------------------------..|ntahor Heating ---------------------------.Mum6ing --------______,____________.. Fireplace ---------------------------.Approximooa Cos ----_--________,_______ Definitive Plan Approved 6v Planning Board lA---- ^ Diagnzm of Lot and, Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH Pump House known as "Vining Pump House" Assessor's ident: Bldg. # 2605 on Avis 98/24 I hereby agree to conform to: all'. the. Rules and Regulations of the Town of Barnstable ' - . � � | regarding the above ---r1141.... Davis, Rhea R. Estate/of 16117 d lish�.e .. No ................. Permit for ...... ....... .................... pump house ....................................... ..............:........................ Location J.rAl South County Road .................................................. y. Marstons M11s ............................................................................... Owner .............Estate of Rhea.R. Davis ...................................................... Type of Construction brick .......................................... ................................................................................ Plot ............................. Lot ................................ Permit .........4ri2. 18 Granted" . ...........................19 73 Date of Inspection .............. ....... .............19 Date Completed . I ... ....... .... ........19 PERMIT REFUSED ................................................................... 19 ......................................I......................................... ................................................................................ .............................................................................. T....................................................................... Approved ................................................. 19 ............................................................................... ................. ........................................................... 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# Q Health Division Date Issued /Dr/9��— Conservation Division d Fee �/6 ' 62) ecto Tax oll r' PTIC SYSTEM MUST DE C _ I NSTALLED IN COMPLIANCE; Treasur r / WITH TITLE 5 'ENVIRONMENTAL CODE AND Planning Dept. TOWN REGULATIONS Date Definitive Plan Approved by Planning Board r Historic-OKH Preservation/Hyannis ` f Project Street Address 9.5_ _'S u ouyt- Village Owner NAy 1 DI: �l"12UST' v` Si � � gel A ress t3 o x I- QST,-="L LF_� iu1 14- 026s1� Telephone -4'zn 9o9 i Permit Request C orr YFR, T- ClAr l-G of iJC�11V a C i+Yfi46 IAM-D z Square feet: 1st floor: existing 5-25 proposed O 2nd floor: existing proposed Total new O Estimated Project Cost t5000 Zoning District fZ F• Flood Plain A(IA — Groundwater Overlay Construction Type Lot Size 3.6 G Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure -I D} Historic House: ❑Yes EMo On Old King's Highway: ❑Yes 5-M Basement Type: U-FUII @ rawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) (�) Basement Unfinished Area(sq.ft) t0004 Number of Baths: Full: existing new ep Half: existing o new o Number of Bedrooms: existing_ new !!2 Total Room Count(not including baths): existing new I First Floor Room Count 10 Heft Type and Fuel: ❑Gas Er6il ❑ Electric ❑Other Central Air: ❑Yes &lo Fireplaces: Existing _ New Existing wood/coal stove: ErYes O No Detached garage:❑existing O new size ' Pool:0 existing ❑new size —Barn:O existing ❑new size Attached garage:Urxisting ❑new size Shed:O existing O new size Other: Zoning Board of Appeals Authorization ❑ Appeal# t Recorded❑ Commercial O Yes LH16"' If yes,site plan review# Current Use StmGf e_;; Fc.+m i c-y Proposed Use S6nq r, BUILDER INFORMATION Name 1Zo G r P—s A M)►-y"!G Y� _, G" Telephone Number 4 2 8 • 6 10 6 Address t3 oX 3(e!;� License# o S 01 & 1,7 4 w O aZg P_46& L-F jz�k 02,4<y Home Improvement Contractor# r)n Worker's Compensation# NWC,. 4 S7 2'?0o3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN Mr om 13 P, SIGNATURE DATE /0 - /7 , 00 FOR OFFICIAL USE ONLY MIT NO. DATE ISSUED MAP/PARCEL NO. . , ADDRESS VILLAGE r OWNER 1 DATE OF INSPECTIO '.. FOUNDATION • FRAME INSULATION FIREPLACE , ELECTRICAL: ROUGH FINAL F r PLUMBING: ROI?G- FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUTj ti y i ASSOCIATION PLAN NO. t f R r ! Ll 1 t FAME Tp� ° The Town -of Barnstable 11A11N9TA13IE. ' MAS& Department of Health Safety and Environmental Services � 1a79• �0 Arf1639..t� Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT hIOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 1d2A requires that the "reconstruction, alterations, renovation, repair, ►noderniration, 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: Rpmpyl4T10N Est. Cost 15 00O Address of Work: 174S —5QO-r* GOyKTY RQ&C> Owner's Name NJ A)4 j DI-�- —r--e 0GT+ Date of Permit Application: 10 - 17. 00 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT Olt DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO TIME ARBITRATION PROGRAM OR CUAILINTY FUND UNDER MCL c. 1d2A SIGNED UNDER PENALTIES Or PERJURY I hereby apply for a permit as the agent of the owner: o av 1Z0a a�-s Ma�� tic ZK�- t o0(3 9 Date Contractor Name Registration No. OR Date Owner's Name I I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 Release 3 I I I I Checked by/Date I I I TITLE: Mr. & Mrs Mark Cote' CITY: Barnstable STATE:- Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 10-17-2000 DATE OF PLANS: 8-2-00 PROJECT INFORMATION: Conversion of one half of garage into art studio. COMPANY INFORMATION: Rogers & Marney, Inc. Box 310 Osterville, MA 02655 COMPLIANCE: Passes Maximum UA = 97 Your Home = 95 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 252 30.0 0.0 9 WALLS: Wood Frame, 16" O.C. 554 11.0 0.0 49 GLAZING: Windows or Doors 58 0.350 20 DOORS 18 0.300 5 FLOORS: Over Unconditioned Space 263 19.0 0.0 12 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined 'using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 Builder/Designer Date /O (?• O� TITLE: Mr. & Mrs Mark Cote' MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 DATE: 10-17-2000 Bldg. [ Dept. [ Use I I I CEILINGS: [ ] I 1. R-30 I Comments/Location I [ WALLS: [ ] [ 1. Wood Frame, 16" O.C. , R-11 I Comments/Location I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.35 [ For windows without labeled U-values, describe features:-. I # Panes Frame Type Thermal Break? [ ] Yes [ ] No [ Comments/Location I I DOORS: [ l I 1. U-value: 0.3 I Comments/Location I FLOORS: [ ] I 1. Over Unconditioned Space, R-19 I Comments/Location I [ AIR LEAKAGE: [ l I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When [ installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: [ 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. I 2. Type IC rated, in accordance with Standard ASTM E 283, with no [ more than 2.0 cfm (0. 944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure i difference and shall be labeled. I VAPOR RETARDER: [ l I Required on the warm-in-winter side of all non-vented framed [ ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating [ and cooling equipment and service water heating equipment must be I provided. Insulation R-values and glazing U-values must be clearly [ marked on the building plans or specifications. I [ DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4 .4 .7. 1. I I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I � I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4 .4 . I I SWIMMING POOLS: [ ] I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I I HVAC PIPING INSULATION: ( ] I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in. ) : I I PIPE SIZES (in. ) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-l" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I I CIRCULATING HOT WATER SYSTEMS: [ ] I Insulate circulating hot water pipes to the following levels (in. ) : I I PIPE SIZES (in. ) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 I 1.0 1.5 2.0 I 140-160 0.5 I 0.5 1.0 1.5 I 100-130 0.5 I 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only) ------------------------- 92. &mn:rmaf .1411 a�✓� iu�lrb BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 016174 Birthdate: 05/07/1939 Expires:05/07/2002 Tr.no: 2611.8 Restricted To: 00 CHARLES D ROGERS 300 BAXTER NECK RD .�':�✓'- 1iA0CTrVJC MII I R MA WRAR Orlminictmtnr � ��ie T�anvmaruve�z�� o��,/G��sa�c�e�a• Board of Building Regulations and Standards One Ashburton Place -• Room 1301 Poston , Ma,:3^achl !7- !tt -' n?' 08 Registration 1.00134 E,�r, i.YF+tion- 6 9/0 Tvn<- ' Pri ;;t fr;Y;,: rY, 7/��a»tih /t/q�✓lG.:a�/�.P HONE IMPROVEMENT CONTRACTOR Registration: 100134 POGERS •& MARNEY , IN(- Expiration: 6/9/02 I_harIes Rogers• Type: Private Corporatio P .0 . B O iC 3.10 Osterville MA 02655 ROGERS & HARNEY, INC. Charles Rogers G� 6e�toi 445 WEST 1 BARNSTABLE ROAO ADMINISTRATOR Ostervllle NA 02t55 _— -----� The CortimortIvealtlf of Mussach uscits Department of Industrial Accidents Office offtesUg3daffs 600 Washington Street �; - ��'• Roston, Mass. 02111 Workers' Compensation Insurance Affidavit i tI R •. name: locatiszn- S ity phone N _ I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity Cam an employer providing workers' compensation for my employees working on this job. LLm a n o n gam: b e S ��+a� Yl V t .l—h C- address:, L? X 3 1 O city: OS TCr• OZGSS !hone N• S0 13 • -A?� e 6 10 k insurance co C 14S'Ti;2.N 14St s t T Y policy 0�Vf q 5 9 A O Q -2, I am a sole proprietor,general contractor, or homeowner(circle one) and have hired the contractors listed below who the following workers' compensation polices: d. company name address: city: phone N• insurance`ctir _policy N: fQmtzanyname: addres3r: city: phnne N• insurance co. _policy N Failure to secure coverage as required under Section 25A of,\1(:L 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/,-? one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. l understand that i copy of this statement may be forwarded to the Office of Investigations of the D1A fur coverage verification. t do hereby certify under the pains and penaltie• f perjury that the information provided above is true and correct. Signature !:gz? Daic /O - I?•CJc) Print name Phone N Z.PJ' 6 �6 Ccontact ly do not write in this area to be completed by city or town nflieial permiulicense q rlBuilding Department 0Liccnsing Board mediate response is required QSeleetmen's Office 0I1ealth Department n: phone N; nOther i (1-4cd 1Plt NA1 � r T 171 T : P r T C F, T 14 �Tii F P —T :::l l Z - I .II ---------------- --------------------------------------------------------------------------------------J. 1------------------------------ Wow 1 Th;5 catlhfirati i3 Owed a; a matter QilyphAvy and cafer, h 1 Jai, - d-.ii -!-!": ,. ...t amend: ll'ic AGCY Ull'the Uqua allvda by he policki buy, PO BP 2Q 64 MAIN ST LYP!T! MR 02 Sf)1 j-------------------------------------------------------------------------- Code: S;-. c-I Ltr P; PRBEILILP PROTECTITli ------------------------------------------------------------------------------------------------------------------------------------- SPFET'..' HOLCOME POO % HY-i BAND HULCTIO ---------------------------- -------------------------------------------------- p 0 NX 17101i co Ur 0: UUT Wulli CUEN 1 LLE MR 0215 ----------c-... ;---EEE----- ----------------- ---------------*--------------------- ---------------------------------------------------------------------------- -------------------------------------------------------- COVERAGES of,inivance listed is-ped to the irsved named Q,d tam or wit Of other Went vith F all tni i b i d h i ustaiN the 534F i-ach p--�Iicieh Litt! 161;151zit QUIP Y phd chimi. -----------------------------------------------------------------ii--------------------------------------------------------------------- 11.1 Type of ;!--.!an-i I. i . 11 I; i i n 1a.. i and ---------------------------------------------------------------t'- a t,i------------------------------------------------------------ A 'HERR LABILITY 03 50 0 00,1 S0-4 .4-!! 0 a r,-i t a AV e 21 000 j His M 1 N ------------------------------------------ ---------- ---- --------------- -------------------------------------------------------- B M; No VANi` 1 u. -i�. `i. _... i / i i iE!.il:l� is _.. i ---------------------------------------------- ----------------------------------------------------------------------------------------- ""'Ec E a,-.h --S L!R�ILITY it 1 -0,t.h.. th a u!a-f ---------------- -----------------------n n .[o [ COMPEKATITll WIC 9 0 6 14 3 i 12/1819 1 121000 lka%ry -------------—---—------ ------------ 11 rr E."!P L 0 UK Inn 1 L!Tv ----------------------- ------- - --------- ----------------------------------------------------------------- -------- -- ---------- ------------ 4KYWI of qvann., Awn - --------------------------------------------------------------------------------------------------------------- CERTIFTCATE HOLDER CANCELLATIOIN' 0010H be VEMM :n5s ITT"' W."IdH1.named to the ,. ..... . —------------------------------------------- 4,: ......... ............... . . .. .................. .......... 06/22/2000 .. R NCE...LAB11" I X-11-111.11 "M 111-F.-I-11 XPE�;O` . ....... .. ........ .. ....... .. ............... ACORD, I MX. PRODUCER (508)994-9688 FAX (508)991-5461 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION RUTKOWSKI & KESTENBAUM ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE [!HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ':'4 COUNTY STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ) BOX 5911 COMPANIES AFFORDING COVERAGE . ............................................ ..................... NEW BEDFORD, MA 02742-5911 COMPANY Commercial Union Attn: Ext: A .. . . ........ .. ............. .......... ......... ............................................:......................................ff............................................................................................ INSUREDCOMPANY Gran e State Insurance Co Randall C. Agnew Electrical Contractors B Randall Agnew Electrical Contractors ............................................... .........I..................................................................... ...... PO Box 1270 COMPANY C Cotuit, MA 02635 ......................................... ..................... .................................. ....................... . .... COMPANY D CQ1lIw............. .Mb# ......... ............. ..... ............... ....... ............................ .......... ... .....x........................................ .. . ..... .. . .......... ........... ......... -... ................. ............. .. ........ .. .......................................................X. ::: ... . ... ... ....... ......... ........ . . ......... . .............. ...... . .........:........... .... .............. ..........::X, ............ ... ...... . ............. . ....... .............. .......... ......... . ... ... ....................... ...... 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. .................... ...................... ....................... ...... CO TYPE OF INSURANCE P POLICY EFFECTIVE POLICY EXPIRATION: POLICY NUMBER LIMITS LTR DATE(MM/DDfYY) DATE(MMIDDfYY) GENERAL LIABILITY GENERAL AGGREGATE S....... 2,000,000 ...................................................................................... X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOP AGG $ 2,000,000 ............... ........ ...................................................... ........................ CLAIMS MADE X OCCUR PERSONAL&ADV INJURY S : 11000,000 ........ ........ 11/16/1999 11/16/2000 ..............................A :::::`:' : :NBFB41863 ........................................................ OWNER'S&CONTRACTOR'S PROT: :$ EACH OCCURRENCE 11000,000 ............................ ............ ...... .................. .......FIRE DAMAGE(Any one fire) S 100,000 ......................................... ..................................................... .................................................... MED EXP(Any one person) $ 5,000 AUTOMOBILE LIABILITY ANY AUTO :$ COMBINED SINGLE LIMIT 1,000,000 . ........ ...................................................... ALL OWNED AUTOS BODILY INJURY (Per per on)X SCHEDULED AUTOS A ...... CBXE04239 11/16/1999 11/16/2000 ... .................. . ................................ X : HIRED AUTOS BODILY!NJURY X (Per accident) NON-OWNED AUTOS ........................................... ... PROPERTY DAMAGE $ ........ ..................................................... 0 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ............................................... .................. ................. ....... ANY AUTO OTHER THAN AUTO ONLY: :"""""................. ............................. . ................. .............. EACH ACCIDENT:$ ............................. ..................................................... .......................................................... AGGREGATE::$ EXCESS LIABILITY EACH OCCURRENCE S ..................................................................................... UMBRELLA FORM AGGREGATE ........................................................................... OTHER THAN UMBRELLA FORM .............H-j....:...................... WC STATU- WORKERS COMPENSATION AND TORY L OETR EMPLOYERS'LIABILITY ......... ................... .... .... ........LIMBS .......................... EL EACH ACCIDENT S 500000 B W C6039748 06/23/2000 06/23/2001 ...........................................................................,........ THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT S 500,000, PARTNERSIEXECUT1VE ....... ........... ......I........... .....: ................ ... OFFICERS ARE: EXCL' EL DISEASE-EA EMPLOYEE::$ 500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS ........... ................................... .................................... . ......... ............................. ................: , CE TI ......... ... ................. :.G-�.ER..T..IFICATE'FiOLD.ER': ..... . .. ........ . . .......................... L ............ .................. ....... ... .................... .. .......... . ..... . . . .................................. ..... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Rogers & Marney Inc PO Box 310 OF ANY KIN2_t9%U4 THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Osterville, MA 02655 AUTHORIZE5 REPRE ENT IVE _y ..................... ............................ .. ....... ........................................... .. ........... p.�. . I'vKPORATIO ......... .......................... .......... ....... .............d*4&44dd4&d44.... . ......... Assessor's map and lot number .... ...... ....! ............ Sewage Pe IN E r�M:41t number ... ...... .... .......... ............ 33 TAB E, • Housenumber ................................ ....................... a MAI Ap- TOWN OF . BAR'NSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...... ............................................... TYPE OF CONSTRUCTION ............. ......t ..................................................................... .......................... .. ..........19 TO THE INSPECTOR OF BUILDINGS: The undersigned her ,"pplies for a permit according to the following information: ----0 Ll 14 4- Location .... .................................................................................... ........................ ProposedUse ............. ...................................................................... . je�o................................. ZoningDistrict ........ ......................................................Fire District ...... ....................................................... Nome of Owner APS7�tiAltll I&L QP-N4 (�P .......Address ... .............................................. ...................................... Name of Builder ......Address ..r-,-.-)OX zpko 0;�?- . .................................... . ..... !.L........................ Nomeof Architect ..................................................................Address .................................................................................... K� e Number of Rooms .............. 12-....................................................Foundation ......0 0 c t,e�-(........................................................................ Exterior ...... ...........................................................Roofing ...........W.99 ....................................................... ....................................... Floors ......V00P......i.�... ...............................Interior ........ Heating ....... ............................................Plumbing ........I..,.(:T...e..(4. a.!j.............................................. Fireplace .........2 K(C-- -4.z>.S.........................................................................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 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ......... ...................Name 1.611 Construction Supervisors License ........... DAVIS, NATHANIEL 26169- ADDITION No .................. Permit for .................................... Single Family Dwelling 11 .aRIT South County Road: � , Location ......................................................... Marstons Mills ............ .................................................................. Nathaniel Davig. Owner .................................................................. 'W Type<-.of Construction ................Frame.......................... ;�..................................... ................................ Plot ........... ................ Lot ................................ March 15, 84 Permit Granted ........................................19 Date of Inspection ...........W4...................19 Date Completed ......... 19. r Asses'sor's map and lot number ...`, '' �� ;:... '`- THE • OFTHE O Sewage Permit number ..................................................::.... d AMSTAB , • B LE .�� MAM House: number ......................... .....,..7......1....................... . 1639 0m� 90 s 0 Mix TOWN OF• BARNSTABLE : BUILDING INSPECTOR �Q� -r O W.mot-- . APPLICATIONFOR PERMIT TO ..................:..................................................................................................... -TYPE OF CONSTRUCTION IW CX.9 �'�' t L� ..............................................................................:......................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........ .�:`7 ........................ N............................................... .,. ................................................................................... ProposedUse ...........................:.....................�-'..-........................ ................................... ZoningDistrict ......... ......................................................Fire District ......G.S.Q....................................................... Name of Owner gP. .H I L L....�-��`� G�'.........Address "' 1 ( (� " (���t (.•l. . ..�.............. ............ ........................................ Name of Builder � �-�C�.. "d" NY� i� G ......Address .��--�UX...,�'� S l �11 L- [ ......................... . Nameof Architect ..................................................................Address .................................................................................... ma's~ I Numberof Rooms .............................Foundation ......GO�G......................................................... Exterior ...... 129 ...........................................................Roofing .........Woocp........................................................ Floors ot"1�................................................................Interior Heating .......L X,1 �� (t,�. ...........................................Plumbing ........I��rt � :!as�............................................... Fireplace ..::.....C9 -............................................................Approximate. Cost GpU ... ......... Definitive Plan Approved by Planning Board ______________________________19_______. Area '"� SP ........................ Diagram.of Lot and Building with Dimensions =*�°' Fee ...:...... .. SUBJECT TO APPROVAL OF BOARD OF HEALTH 7^y i I: .00CUPANCY PERMITS REQUIRED FOR NEW DWELLINGS i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Namel �J. � ........... .................. Construction Supervisor's License �...` /,&!�. ........... DAVIS, NATHANIEL A=98-24-2 26,169 ADDITION No .......g......... Permit for .................................... .........S.in.g.le...Famil-y.4 J)welling .. .... .. .... .. .. .................................. S07W County Road Location ..;............................................................. Marstons Mills ............................................................................... Owner ......N.at. a hn.ie. a:1...D .vi.d...................... .. .... ....... .... .. ..... .... .. Type of Construction ,.,Frame........ I • .................... .. .... . .. ................................................................................ Plot ............................ Lot .................................. Permit Granted ........March.................151................19 84 Date of Inspection 19 Date Completed ..................n....................19 I N r• CO NG. SIA� /'�� . .!�� I R�ZO LMYI�ITeN no LwNIA R- ' 1 1 1 I 1 OYf.°-rIR I I YPw 1 1 I MaTt• . 1 - Naw wo°D asaaON NFr iab6 Dona 1 Oos4• DL GrVTNIr i 1 1 pnSSa6G ODa< I 1 \ 1 1 I 1 r I\Q°l0° O.M.OC. araV ` 1 1 g°10° QN. 04. 1 ODwN N.wr wota tD► 1 1 1 �CnalNarl.( 1 . 1 P-11 j�aaaAngl 1 1 L`br a-Y iVaaaTal Naw 0.ma SVSraM (rVl� , -Plt00• T0q ' erg v.r a.ae�laa IY"ac.. ��-- I L*� Pe tu,set 1�-ot.. cw•re EXISTING CONDITIONS i IZ• a�•' 3 ' FRONT ELEVATION SECTION MCw w.YODw Naw w�NDOw3 .�. haw w•NDow �� K ' m � S OI �• •n nre roo�waop aD•G .a...a .wr.Nb dl�ISS J6•P.C.Cyr,BD . rp parr �OraD •M i-l••wn � � . CONC. SIaB 7e�- 10 A114V .. ... ..____._-___._ ..—................_ .. .. ..... ..-__. ' COTEI STUDIO - •uu: 9 ••-�• •.wlorao ar: ouN.n o•n: 7_to-oo aamaD FIRST FLOOR PLAN REAR ELEVATION 1750 SOUTH COUNTY P . DYVMO MY11tO ROGERS MARNEY