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0015 STALLION WAY
, , __ _ 1 -._., _ •.�.+ �_..-F � Y!.! +.. � .__ ._ ____ � - - - _- -_ '- _�._ - .icy __ - f'!�'.�- _ TOWN OF BARNSTABLE 3597.8 PermitNo. . .............. BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash Yl 9'>te..v► HYANNIS.MASS.02601 Bond .....X......... CERTIFICATE OF USE AND OCCUPANCY Issued to Bayside Building, Inc. Address Lot #129, 15 Stallion Way Marstons Mills, Mass. USE GROUP I FIRE GRADING OCCUPANCY LOAD i THIS PERMIT WILL NOT BE VALID. .AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. i August 30, 93 19.......... ...... ........... ...... ..................... Buildin Inspector tir*^:, .v ,....M;rrr.:� '.�-wi.y:.-.�'S;v't-r�1-�'":'F'�.�t`%�'•'`.,xy$'��r���q� 'h'��h1'�,�'�hs`nt;.t�'}Jt.�.fl��la+�»'�"�r;�-+,A.{-t�*,d. a�t..1..t.�tic.T.. ,t...�....'L .. �.,. ._. °�. TOWN OF BARNSTABLE BUILDING DEPARTMENT f asaaIr : TOWN OFFICE BUILDING - ��oarY►�� HYANNIS: MASS. 02601 I MEMO TO: Town Clerk ' FROM: Building Department DATE: An Occupancy Per''mit has been issued for the building authoriied by BuildingPermit ��.. ................................. ............................................_......_.........._......._......»»:......_ .».....»»» . issued to1,�1 Pn(DlU-1 ........... . ? i................................ ^ Please release the performance bond. . TOWN OF BARNSTABLE, MA34,:, .' 46V�4LDING PERMIT A=174 001.035 DATE June 21 19 93 - PERMIT NO. NQ 3#5 978 APPLICANT Own e r ADDRESS uu�c',4D (NO.) (STREET) (CONTR'S LICENSEI Bullu awelling. I siligle la.-iAly dwelling NUMBER OF PERMIT TO (—) STORY I DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) i 0 t 9 15-Tc—aTT—ion 14ay, Marstons Mills ZONING vlk AT (LOCATION) DISTRICT — (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT—BLOCK SIZE BUILDING IS TO BE —FT. WIDE BY FT. LONG BY FT, IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: SewAga #91-173 910 _105,-000 AREA OR i I PERMIT s 0 VOLUME (CUBIC/SQUARE.ARE FEET) ESTIMATED COST FEE 'c s e. inc Ll� ER a ij iu OWNER ADDRESS i:'o.x 9 L.: r Q 0 BUILDING DEPT. p By THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATION'S. 2. PRIOR TO COVERING STRUCTURAL QUIRED.SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERSIREADY TO LATH). 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD"'SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS I . PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS d( 1 ex" 2 2 2 toill I lid ko 3 1. HEATING INSPECTION APPROVALS ENG ERi G DEP ENT fill'op 01ws v___1_ ,o.,.7e a:- 7 BOAljD_QE HEALTH OTHER SITE PLAN REVIEW APPROVAL I� WORK SHALL NOT PROCEED UNTIL THE INSPEC- -PERMIT 'W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIOUUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT ;S ISSUED AS NOTED ABOVE. NOTIFICATION. ---7/Y//-V z .Ssb� 4 �81oN Q7�7�1`•,'S/1'/s'IpiyS 5.1.�5�'�'O Qoif�ila'r7S per/ ��a'�1S/9�� /Yb'/YO o�St�'8'1o/Y S//YG^1d S/f/�Lt i L l W/k'7dano7-7' 6z/ 107 .10 .si onYtr =57"-Y/ 111116117/�'� --1h'1 J-17h /Y b'7d .•L 070' O.�/�/1 a'�' kw � t A i.y LJ q/ Assessor's office(1st Floor): Assessor's map and lot number Board a Health (3rd floor): � + /SEPr,c Sys iv S,re'er°.�`w Sewage Permit number } � Engineering Department(3rd floor): _JS' %'INSTALLED � � D�us LL House number. GJ �i41: w N CD�P1 IAN a oo '670. Definitive Plan Approved by Planning Board 1R0 �Tl1'LE$ 6� NNIENTAL COD APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only Tomw R� A E AND TOWN , OF BARNSTA� ft?,NS BUILDING " INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION C/✓ �/(/li[ �✓T,(�yuLSz— 19 TO THE INSPECTOR OF BUILDINGS: , The undersigned hereby applies for permit according to the following information: /JD Location Proposed Use Zoning District Fire District — Name of Owner / Address L( `� ` Name of Builder Address Name of Architect Address Number of Rooms ` Foundation 'Exterior (/�"�'�` "Y Roofing 'vv'A-� Floors Interior Heating //V v Plumbing ��� Fireplace � � Approximate Cost 0��7, �Q Area Diagram of Lot and Building with Dimensions Fee 2�0�a 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 l,3-�1 7 Al� • Construction Supervisor's License �� y� ,a BAYSIDE BUILDING, INC. - t No 35978 Permit For 11 Story , Single Family Dwelling Location Lot #129 , 15 Stallion Way ' Marstons Mills Owner Bayside Building, Inc. Type of Construction Frame Plot Lot e _ ` Permit Granted dune 21 , `19 93 Date of'Inspection '/�9/93 119 • Dale mple d 19 co � 1 Irn " 71 .. a i Town of Barnstable *Permit# 20 I✓t/ 'b Regulatory Services Fee 6 ths�go ssaR¢ IAI MASS,tE �&6 9. Richard V.Scali,Director 167A p�� Ep IAAr " Building Divisiol oPRESS T Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 J U N 0 2 2015 www.town.bamstable.ma.us Office: 508-8 3RESS RNIIT APPLICATION - jai �p�A L N &R EXPRESS P 1 � 90-6230 /7`' d Q/ Not Valid without Red X-Press InWrint Map/parcel Number r Property Address /d9� W,4 y 11A1ffre& []/Residential Value of Work$ �OI D 0 •0 d Minimum fee of$35.00 for work under$6000.00 Oe os/�/4 d c K Ote />A wner'"s Nffe( Address �/ y �Z MGNOAIey 9014 A venue 7- 54m,lofd, 3YAY/ Contractor's Name ✓0 h stet Telephone Number �` W- IS C4 �,zz 1ome. Home Improvement Cdhtractor License#(if applicable) /00 9 VO Email: c#Z C C 44e fir//"Ve_r Construction Supervisor's License#(if applicable) WWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name „/ 6u,4Ao l Ais aiwlle Co/,yw y Workman's Comp.Policy# 2 w C .,rdZ,aL 0 o Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed (not stripping. Going over existing layers of roof) (/�, /��,/�j/ PrJ [YRe-side 6AYQt<, J/{p,vt- qN0 #ovje /{�f ✓�Ny! ,fly CeR;lrAl �eP// CP.I��1WQ1 ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows tlpe #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance ofthis permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Not4ata erty Owner must sign Property Owner Letter of Permission. py of the Home Improveme tractors License&Construction Supervisors License is uir SIGNAT C:\Users\Decolli Wrosoft\Windows\Temporary Internet File ontent.0utlook\2PIOIDHR\EXPRESS.doc Revised 040215 T i The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations I Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organintion/Individual):. CAPIZZI HOME IMPROVEMENT,INC. Address:1645 NEWTOWN ROAD City/State/Zip:{COTUIT, MA Phone#:508-428-9518 Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 40+ 4. ❑ I am a general contractor and I �. employees(full and/or part-time). have hired the sub-contractors 6. ❑New,construction r 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' comp.insurance.: 9. ❑Building addition [No workers' comp.insuranceP• required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.[:I oof repairs insurance required.]t c. 152,§1(4),and we have no 13.[ ther s/ 6 employees. [No workers' — comp.insurance required.] h014 t *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. (Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name:AmGuard Insurance Company Policy#or Self-ins.Lic.#:R2WC527200 Expiration Date: 12/30/2015 Job Site Address: 1 e 5 r4l l e R14� City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#: 508-428-951 Y Official use only. Do not write in this area,to be completed by city or town official. J .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#: C1 Page 7 of 7 Capizzi Home Improvement Inc. Specifications and Estimates STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I/WE, LENNY DOCKMEJIAN, OWN THE PROPERTY LOCATED AT 15 STALLION WAY IN MARSTONS MILLS, MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING D . SIGNATURE OF OWNER: 1777-7-1 OWNER'S ADDRESS: 15 STALLION WAY, MARSTONS MILLS, MA 02648 OWNER'S TELEPHONE: 508-681-0102 LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit, MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: 31.12 2014 16:49:00 Guard Insurance Guard Insurance Group 1/1 i i CERTIFICATE OF LIABILITY INSURANCE DATE(MNEDDIYYYY) 12 30 2014 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), AUTHORI2ED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE MOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policypes)must be endorsed. If SUBROGATION IS WANED,subject to the terms and conditions of the policy,carta)n policies may require an endorsement. A statement an this certificate does not confer rights to the certificate holder in lieu of such endorsement s PRODUCER CONTACT NANF- ROGERS&GRAY INSURANCE AGENCY,INC. PHONE rJix AK No: 434 Route 134 INSUREAM AFFORDING COVERAGE NAIC 9 South Dennis MA 02660 INSURER A: AmGUARO Insurance Company INSURED INSURERS: i CAP122I HOME IMPROVEMENT INC INSURER C: j 1645 NEWTOWN ROAD INSURERD: A WSURER E: ' COTUIT MA 02635 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIRESIENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WH)CH 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.UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE g POLICY NUMBER Mac f:F PN C exP l$leTB GENERAL LIABILITY EACH OCCURRENCE B COMMERCIAL GENERAL LIABILITY PREMISES =unanw 3 CLAIMS-MADE OOCCUR NEDEXP(Anyoneperaw) $ PERSONAL&ADVINJURY 3 GENERAL AGGREGATE S r GENT AGGREGATE LIMIT APPLIES PER' PRODUCTS-COMPIOP AGO 3 POLICY ,-. Los $ i AUTOWEILE LIABILITY C a N D SIG 1 ANY AUTO BODILY INJURY(Pa person) $ ALL OWNED ULEO BODILY INJURY(Pa acod-11 5 AUTOS AUTOS MIRED AUTOS NON-OWNED PROPERTY DAMAGE S AUTOS aaeWwA UUBRELLA LJAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE 3 DED RETENRDNS 3 WORKERS COMPENSATION YYC STATU- OTrh aNDEMPLGYERS YIN UAEILTr/ R2WC527200 12)25nO14 12/25/2-315 * M A 1 ANY PROPRIETORrPARTN9IEXECUrIVE EL EACH OCCIDENT S 1,000,000 OFFICEPAAMaER EXCLUDED? NI NIA I (Nendetory br NMI E,L.DISEASE-EA EMPLO S 1,000,000 i Ifyyes,Oeecdba uda T DESCRIP ON OF OPERAnONShdc» El DISEASE-POLICY LIMIT S 1,000,00() 1 1 DESCRIPTION OF OPERATIONS I LOCATIONS IVENICLES(Attadr ACORD tut.Additional Remarks Schedule It morn spew Is ngWmd) Thomas Capizzi IT is covered by the workers compensation policy. r�r I CERTIFICATE HOLDER CANCELLATION - Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ` Hyannis,MA 02601 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIMO REPRESENTATIVE ©1088-2010 ACORD CORPORATION. All rights reserved, ACORD 25(2010►OS) The ACORD name and logo are registered marks of ACORD 1 ) I g£ a e e�(in»rnranraerc�l� 1aK'jj.,1.rtef ffice of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:' Office of Consumer Affairs and Business Regulation egistration: 100740 T ype: 10 Park Plaza-Suite 5170 Expiration: 6/23/2016 Supplement Card II$oston,MA 02116 CAPIZZI HOME IMPROVEMENT,INC. JOHN STRUMSKI 1645 Newton Rd. go — _ Cotuit,MA 02635 a Undersecretary of valid without signature x' Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supen•isor License: C"6482a 4 IS ALDEN AVE 3� Buzzards Bay AIR 025322 . Expiration ,� ""' p� tion Commissioner 06/18/2016 i O < + TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION . y11 7r. Map Parcel d BARhIST,�BI•,G. Application # V Health Division ; E,:.i ®L Q,i }: l 'Date Issued Conservation Division Application Fee y Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board `' Historic - 0KH _ Preservation/ Hyannis Project Street Address Village \.LN Owner a ,gam �� ,,.,,, g Address tti Telephone ao-i- t.,k% - d ti Z :5a�..>>:�►N 6, a Permit Request _,..,w-�...hz� -2 " .'..s :n,. ` (. e ` ..� v�crSt �►��, x TO V% Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District ,,��..�� Flood Plain Groundwater Overlay Project Valuation'T ZZeo .`° Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Qle' 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.ft) Number of Baths: Full: existing' Z new Half: existing new Number of Bedrooms: 3 existing —new Total Room Count (not including baths): existing _new First Floor Room Count Heat Type and Fuel: UrGas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0 No Detached garage: ❑ existing ❑ new size_Pool: 0 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 Telephone Number Address License S w\�, c�A y.�:•4 b ij`� Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE T F FOR'OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. . ADDRESS , VILLAGE•• OWNER } DATE Or INSPECTION: FOUNDATIONK FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING A DATE CLOSED OUT ASSOCIATION PLAN NO. f i. n V . . ., k4' Rv • 4•*.iJ OWNER AUTHORIZATION FORM Omer Of Pmperty bcaw at ' IGIon F-ne ,to Won nWbGhSffA0 ObtSina WI p m malt bats ' f Massachusett 5-Department of Public.Safety Board of Build ng Regulations and Standaras ir�ncrrurriuo.`ip��r.i.�+e,�reCifilt? License-.CSSL-1027T8 CONOR D MCINF,tNS '' ale 39 SIASCONSED IY SAGAMO 2 .' f Ii F. •.. Expiration Ctmtmi 5sioner OWIW2015 UiJJ/r l ri,;!rIP[r - �. Office of Container AKoira&Badness R ulaUoa License or registration valid for Individul use only ME IMPROVEMENT CONTRALTO before the expiration date. If found return to. e0lstrat'on: 17tg51 I Type: Office of Consumer Affairs and Business Regulation �f zpiration. .31112016 Part ership .10 Park Plan-Suite 5170 Boston.MA 02116 CON-SERVE ENERGY CONOR MCINERNEY 376 ROUTE 130 SUITE G SANDWICH,MA 02563 Undtrsec retary Not-valid without signature i mmrnr-=n I a I Pvc Lis rnuuuL.ta anu I ne l*=I%I riteaI It nuLurx. IMPORTANT:If the yertificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms 8nd'co6didons of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME CS&SIWORKCOMPONE PHONE FAx A/C,No,Ext: A/C,No); PO BOX 946580 EMAIL ADDRESS Maidand,FL 32784-6580 I INSURERS AFFORDING COVERAGE NAIC 0 1-877-724-2669 INSURER A: Continental Casualty Company 20443 INSURED INSURER B: CONSERVISION ENERGY INSURER C: 376 ROUTE 130 INSURER D: SUITE C INSURER E: SANDWICH,MA 02563 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINGANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCEI AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. RIM ADDL 18UBR ' POUCY EFF POLICY EXP LTR TYPE OF INSURANCE RSR POLICY NUMBER M/DD M/DD OMITS A GENERAL LLABKJTY Y 6011316335 03111/15 03M 1116 EACH OCCURRENCE 1 000 000 DAMAGE TO RENTED 3OO OOO COMMERCIAL GENERAL LIABILITY Iy�(Ea�" W MS-MADE 'OCCUR ( MED E)(P(Any am pus" = 10,000 PERSONAL a AOV INJURY t 1,000,000 GENERAL AGGREGATE $ 2.000.000 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGO $ 2000000 POLICY CT X Loc A AUTOMOBILE UABILM 6011316335 03/11/15 03/11/16 COMBINED SINGLE LIMN— (Ea acddenl) $ 1,000,000 ANY AUTO BODILY INJURY(Per person) ALL OVNNEO SCHEDULED BODILY INJURY(Per accident) AUTOS ALTOS HIRED AUTOS H AUT (Per s cideent) GE S $ A X UMBRELLA UAa IN OCCUR 6011316362 03111/16 03111/16 EACH OCCURRENCE 2,000,000 EXCESS CLAIMS-MADE AGGREGATE 5 2,000,000 ED X RETENTION S 1O 000 S VVDRIKERS A AM�EMPLOYERS'�LAABLRY Y/N 6011316349 03111/15 03111/16 X TORYUMITs ER OFFICFRAAMBER OCCLUDED? NIA E L.EACH ACCIDENT : 500,000 ANY PROPRETORIPARTNERIEXEtlli1VE (hand"In NH) If yes,describe underEL DISEASE-EA EMPLOYEE = 600,00() DESCRIPTION OF OPERATIONS below El.DISEASE-POLICY umrr s 500 000 OTHER TORY LIMITS ER EL EACH ACCIDENT E.L.DISEASE-EA EMPLOYEE S S.L.DISEASE-POLICY LIMIT S Certificate Holder is added as an additional insured as provided In the blanket additional Insured endorsement as it pertains to work being performed by named insured underwritten contra INCLUDES PRIMARY AND NON-CONTRIBUTORY CERTIFICATE HOLDER j CANCELLATION Rise Engineering SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1341 Elmwood Ave ACCORDANCE WITH THE POLICY PROVISIONS. Cranston,R102910 AUTHORIZED REPRESENTATIVE lz—�•, t'%!f H• c 01988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) The ACORD name and Ingo are registered marks of ACORD s r The Corr onwealth of Massachusetts Depa ent of Industrial Accidents Q7ce of Invesdgadons 6110 Washington Street Boston,MA 02111 www.rnassgov/d7a Workers' Compensation Insurance davit: Builder/Contractors/Electricians/Plumbers ApIpUggat jQhrMjttL Please Print L ialy Name(Bu inewotga,n;zatiom4ndihduao. Cons rVision Energy Inc Address: 378 Route 130 City/State/Zip: SAndwich, MA 02563 Phone#: 508-833-8384 Are you as employer?Check the appropriate bo : 1.Q I am a employer with 6 4. ❑ 1 an a general contractor and I Type of project(required): employees(lirll and/or part-time).' Min hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- 1' on the attached sheet. 7. ❑Remodeling ship and have no employees ese sub-conttacters have g, ❑Demolition working for me in any capacity. toyees and have workers' (No workers'comp. insurance c mp.insuraace.t 9. []Building addition required:] 5. 0 a are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work o ficers have exercised their m myself.[No workers'comp. ri t of exemption11.❑Plumbing repairs or additionsoa per MGL 12.❑Roof repairs insurance requited.]t c. 152,110).and we have no 38.❑ 1 am a homeowner acting as a ei iployces.[No workers, 13.©Other Weatherization gena d contractor(refer to#4) coinp.insurance required] Any aDPlicne ttutt checb box Of muu oleo tiU ors the sectdm bet showins their workes'compeasatw icy iotottoadon. t Homeowner wbo submit tbis affidavit indicating they are doing ai work and then hire°abide conawm matt submit a nm affidavit indiatiag eucb. tCoatraeton that ebeek this box must attached an addidoeai abeet sb wai have n the name of rise snub-coatrsctpr and ante wbother a not throe eatitia eaWbyoea. if tha sub-ooetractoas have envioyeer,they nwt pmvi their workers' •Policy number. I am an employer that is provldlirg wonters'conrpe A trumrrnce for airy employeez"Below b the lnfomudortt Polley andlob Slue Insurance Company Name: CS&S/WORKCOMPC NE Policy#or Self-ins.Lic.#: 6011316349 Expiration Date: 3-11-2016 Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(stowing the Failure to secure Covent as pommy camber and expiration date). &e required under Section 25 of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S 1,500.00 and/or one-year imprisonment,as ell 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 t a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verifi tion. I dv bi a an/ror and Pam+ . of p that the in ormadon protdded abovr is rare and conierit r- Phone rIssulWng use onb& Do not wrMN/n this am%to be co plead by clip on town o,(lclai Tawn: Permit/License# Authority(circle one): of Health 2.BnUdiag Department3.Cl own Clerk 4.Electrical Inspector S.Plumbing Inspector Person: Phone#: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map I / Parcel j'Tii 1 0, B,AP.NSTi BLE . Application # Health_Division r f „ Date Issued) Conservation Division Application Fee Planning Dept. Permit FeeJ3,5 .., Cj Date Definitive Plan Approved by Planning Board _I'At i Ia Q • G Historic - OKH _ Preservation/ Hyannis Project Street Address S S f wr r o e) tiJn,u Village m 'dt Owner Leo�w��' 1�o�K .�,, e 'i ;, 1, -6I w- Address `Sit:.S� •�. w r: Telephone Permit Request 1 Solis t7w^GIs o roof 3. f-P, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed. Total new Zoning District 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) i 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.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other 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 Pw t ('I c i. ��F F'�no-•_ Telephone Number Address 2 S A Icy t o 20'.,b Wt 1 �u✓r�� MA License # C S- o 7- 0 13 Home Improvement Contractor# Email_ P��Ff,(n 304,N C Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Gelb r SIGNATURE DATE 11/'91t5 FOR OFFICIAL USE ONLY APPLICATION# i" DATE ISSUED {. MAP/PARCEL NO. m ADDRESS VILLAGE OWNER I' DATE OF INSPECTION: FOUNDATION ,r �3 FRAME INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL " PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ` FINAL BUILDING P DATE CLOSED OUT ASSOCIATION PLAN NO. _, 1 Tlie Common wealtlz.ofMassachuse'US Department of Industrial Accidents Office of In vestigatiohs 600 Washington.Streef Boston, 3fA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors%Electricians/Plumbers Applicant Information Please Prinr Legibly Naive(Business/Organizatiow7ndividual): Address: i._.'S—T a Ip: �� rt 6 D. C!W9e j_. ;hone#: Are you as employer?.Check the appropriate box:' Type of project(required): 1. I aid a employer with Z.6 4. I arti a general contractor and I employees.(full and/or part-time).* have�hired the sub-contractors 6 New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling shipand have no employees' ' These subcontractors.have . . 8. 0 Demolition 'working for•me'in any capacity. employees*acid have workers.' 9. Buildin addition __ _INo workers'.comg�insurance comp.insurance.; g _ required.] :. . 5. We'are a corporation and its 10. Electrical repairs of additions 3.0 I atfi a hdmeowrier doing all work. . " officers iiave;exereised their 11:[]Plumbing repairs or additions 'myself. [No workers'comp.. right of ek6hipfion per MGL' • insurance required]'t c: 1521`1 1(4);and we have no 12.�:hoof repairs. eibiployees.[No workers' 13.0 Other c6iip:tinsui`ance required.] *Any applicant that checks box#1 must also fill out the section below showing theiF workers'compensation policy inlpmiation t Homeowners whb submit'this affidavit indicating they are doing all work and then,hue.outside contractors must submit a new affidavil-indicating such. ;Contractors that check this box must attached an additional sheet showing the' of the sub-contractors and state Whether or not those entities have employees. If the sub cont;aCtors have employees,they must provide their workers'comp.policy number.. I am an erriployer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. A A , Insurance Company Name: _ s�.,d.. /�1, ' �.�iJ-T�•ice.. Policy#'or Self-ins:Lie,#:_ u W�,_ [QQ— ,;'�..l'ei Lg� y Zal'PE • , Expiration bate-- Job Site Address: City/State/Zip-Attach a copy ofihe 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 ca$lead to the imposition of criminal'penalties of a fine up to$1,Sb0:00 and%r 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 Investigations of the DIA for insurance coverage verification. I do hereby..certi .:_ r the ai.•_;_' d�enalties.1per'gry[hat the Information provided ahoy,a is'_true`gnd correct.• Si ature: Date: l Phone#: 9 6 . Official use only. Do not write in this area,to be completed by city or town official City or Towni 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#: t ' AcoR ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) E4/9/2015 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 CONT NAME:ACT April Skala Rogers&Gray Ins.-Kingston Branch PHONE FAx IAIC. A/C No: - - 63 Smith Lane E-MDDAIL Kingston MA 02364 ARESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:Llberty Mutual Fire InSUranCe Co. INSURED THEJOHN-01 INSURER B: IB RTY MUTUAL INSURANCE COMPANY The John Ryan Company Inc C:ChUbb Group of Insurance Cos. 149 Camelot Dr. INSURER D:Employers Insurance Plymouth MA 02360 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:1932517887 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. IY EXP LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER MMIDD/YYYY MMIDCDIYYYY LIMITS A GENERAL LIABILITY Y Y TB2-Z11-259309-074 /23/2014 /23/2015 EACH OCCURRENCE $1,000,000 X _CO OMMERCIAL GENERAL LIABILITY DAMAGES(Ea RENT PREMISE S ED occurrence $1,000,000 CLAIMS-MADE �OCCUR MED EXP Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY I X I PRO- LOC 1 $ A AUTOMOBILE LIABILITY Y Y AS2-Z11-259309-024 /23/2014 /23/2015 CO INGLE LIMIT Ea accident $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident B X UMBRELLA LIAB X OCCUR Y Y TH7-Z11-259309-064 /23/2014 /23/2015 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED X I RETENTION$10 000 $ D WORKERS COMPENSATION y WCC-Z11-259309-104 2/23/2014 2/23/2015 X I WC DRYSTATU- H- NON MASS ONLY LIM DT AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N IA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1.000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Contractors&Equip TB2-Z11-259309-074 /23/2014 /23/2015 Limit 40,0000 C EPLI 8240-8846 /23/2014 /23/2015 Limit 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Dockmejian ACCORDANCE WITH THE POLICY PROVISIONS. 15 Stallion Way Marston Mills MA 02648 AUIWWED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1te V Office of Consumer Affai and Business Regulation 10 Park Plaza - Suite 51 70 Boston, achusetts 02116 Home Improvexn Wontractor Registration Registration: 180528 x Type: Supplement Card rA r Expiration: 12/1/2016 JOHN RYAN CO INC. W PATRICK DUFFIN r > 149 CAMELOT DRIVE w PLYMOUTH, :MA 0236.0 A I. ___.____..........__._.._._..__. ._,___.__...__.-.___._....._-... ....................... .._... :._.::..,�$... iJ:p$et-Address and return card.Mark reason for change. _.�...._._.... .... -- -_ ................ ............._......... ....... ..._...... . .. . .............--........._.... . . . SCAT 0 50M-04/04-G101218 Address Renewal Employment Lost Card ✓/ee �ooynma�uoeai o/./�aaaac%uael22 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only HOME IMPROV&MENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registratlo _� Type: 10 Park Plaza-Suite 5170 Exp _ Supplement Card Boston,MA 02116 JOHN RYAN C� PATRICK DUF _ - 149 CAMELOT D `_ �a•s�-�6 _ PLYMOUTH,MA 023� y Undersecretary Not valid without signatu e � _......._.........:........................ -_ __._._..._.._._....._... i' Varzsa s.tM Pirb Safety Board of aidk S#an dagds t.�Watio�is�ffiitf• .. �Cbtict�tS #svr - UwIa= 'ram � t ! , JPts�a F7Cjttr3�fD[t Tom Petersen Architects Planners Mr.Thomas Perry,Building Commissioner September 5,2014 Town of Barnstable Building Division 200 Main Street Hyannis,MA 02601 Re: Solar Panel Installation Dockmejian Residence 15 Stallion Way Marstons Mills,MA 02648 Hi Tom, I've reviewed the proposed solar panel installation at this location to evaluate the existing roof structure and the connection of the panels to the roof. Criteria: Applicable codes: Edition Residential Code(2009 International Residential Code with Massachusetts Amendments) 2001 Wood Frame Construction Manual Design roof load: 40 psf live load, 15 psf dead load,55 psf total load Design wind load: 110 mph,35 psf My findings are as follows. 1. The new solar panels will imply an additional dead load of 3 psf. The existing roof structure (2x8 roof rafters @ 16"o.c.,with 2x8 ridge,span=+/- 14'-2")is sufficient to bear this additional load. 2. The solar panels are attached to the roof with the SolarMount-1 rack system by UNIRAC. The rack system,roof connections and connection spacing are rated for 110 mph.This project requires the larger Solar Mount I-2.5 beam(2.5"high)and spacing of flange foot connection to roof at 48"o.c.maximum.Flange footing connections to the rail are not required to be staggered. The flange foot connections to the roof are 3/8"diameter x 4"long lag bolts. I therefore certify that this installation complies with the applicable codes and design loads. mentioned above and is acceptable for approval. Please let me know if you have any questions on this information. Thanks! Si rely yours, y F. PFT 0 No.31621 x I, HOWELL Tom Petersen ; , o NJ o� Cc: Kelcy Pegler,Roof Diagnostics '��++of 00S"P 6 Country Lane•Howell,New Jersey 07731•Telephone 732-730-1763,Fax 732-730-1783 rJ QO 41 ov W O 0 = r,r i CO U Z m v OLD _ < U 111 O -<C. 7- U U - O 11l t c1� U-) :{ J w w cn O/ W 4 Lu co z (� Ln L(�f�) U N W co x - m U cv X (L CL o >n�7 �y NN _I c c+l L wv "gZD - � muo-ulo N v u�a CL ui()- Ott N � I o IN rn,.r7 a M DZ �n s z� <R U�U a J N W W O U � 1 W e I O O OL co cv b z U U U i- w ri u, W I— !— r uj I d u_ U U J !L 3 3 ll.l rl.l W �n u; rt W W c.n W ry I LL a a l? L j Ln w u1 Ci Z I L) it X r s p_ W W CLN t` ' T U LIB L U F- . u� • - Roof Mounted PV Array 3.73-kW DC TOTALS: All wiring to be type THHN/THWN-2/MTW/AWM unless noted otherwise Modules 10 CS6P-255P 5'CS6P-235PX- To Utility NSTAR Note;additional 3#8 disconnect may be Enphase Engage 3#10 2 Hot/1 equip required between premanafactured 2 Hot/1 Neutral+1 ground/GEC+1#8 these devices if Utility interconnect cable+ #6 ground/GEC neutral mandated by local #6 equip gnd/GEC In 1"PVC/EMT In 1"PVC/EMT utility.To have Meter identical fusing as .100 Amp specified elsewhere - Main Lug L-Gate 120 W 100 A PV buss monitor, 1 X 20A with 4#8 20 AMP back-fed 10 CS6P-255P Nema 3R Solar cellular 2 Hot/I Neutral/1 breaker & Bo Box(es) Breaker connection equip ground 60 Amp AC (Label#6 5 CS6P-235PX ) 1 X 15 or to In I"PVC/EMT Modules (Soladeck) 20 amp PV Disconnect applied) With 1 Enphase monitor monitoring M215 micro breaker portal inverter for each Label#5 (Label#6 module U &6 applied applied) i DC grounding electrode conductor-#6 Existing Enphase Main Envoy PV Existing Building distribution monitor Grounding panel With cat 5e Electrode System Main:200 A or EOP to Buss:200 A homes broadband network Canadian Solar Panels: Maximum power at STC:255/235 Dockmej lan Residence MPP voltage:30.5/29.7 'ROOF'-;DIAGNOSTICS:' K MPP current:8.36/8.10 Open circuit voltage:37.7/37.3 . .AR. 15 Stallion Way Short circuit current:8.92/8.62 - Marstones Mill,MA 02648 Module efficiency: 15.6/14.7 (508)6810102 Maximum system voltage:600 V One Line Diagram Maximum series fuse rating: 15 A Power tolerance:0-+3% 5 0 8-545-0 9 8 9 CanadianSolar Make The Difference THE BEST IN CLASS Canadian Solar's modules are the best in class in terms of power output and long term reliability. Our meticulous product design and stringent quality control ensure our modules deliver an exceptionally high PV energy yield in live PV system as well as in PVsyst's system simulation.Our accredited in-house PV testing facilities guarantee all module component materials meet the highest quality standards possible. •91eck freme product can be provided upon request. PRODUCT I WARRANTY&INSURANCE PRODUCT I KEY FEATURES Power putput 1 Excellent module efficiency 91 Added Value from_ our limited Warrant up to 15.85% Industry yStatement 13 standard 5 10 15 20 25 High performance at low irradiance Years above 96.5% 25 Year Industry leading linear power output warranty 10 Year Product warranty on materials and workmanship Positive power tolerance up to 5w Canadian Solar provides 100%non-cancellable,immediate warranty insurance High PTC rating up to 91.88% PRODUCT&MANAGEMENT SYSTEM i CERTIFICATES' IEC 61215/IEC 61730:VDE/CE/MCS/JET/KEMCO/511/CEC AU/INMETRO/CQC/CGC UL 1703/IEC 61215 performance:CEC listed(US)/FSEC(US Florida) UL 1703:CSA I IEC 61701 ED2:VDE I IEC 62716:TUV I IEC60068-2-68:SGS Anti-glare module surface available PV CYCLE (EU)I UN19177 Reaction to Fire:Class 1 IS09001:2008 1 Quality management system ISOTS16949:2009 I The automotive industry quality management system ISO14001:2004 I Standards for environmental management system IP67 junction box QC080000:2012 I The certificate for hazardous substances process management long-term weather endurance OHSAS18001:2007 I International standards for occupational health and safety HIRE Heavy snow load up to 5400pa *Please contact your sates representative for the entire list of certificates applicable to your products CANADIAN SOLAR INC. Founded in 2001 in Canada,Canadian Solar Inc.,(NASDAQ:CSIQ)is the world's TOP 3 Salt mist,ammonia and blown sand solar power company.As a leading manufacturer of solar modules and PV project resistance,for seaside,farm and developer with about 6 GW of premium quality modules deployed around the world desert environment in the past 13 years,Canadian Solar is one of the most bankable solar companies in Europe, USA, Japan and China. Canadian Solar operates in six continents with customers in over 90 countries and regions. Canadian Solar is committed to providing high quality solar products, solar system solutions and services to customers around the world. o. a %vww.canadlansolar.com Canadian Solar Inc. ti o .1ir CanadianSolar Make The Difference ELECTRICAL DATA I STC MODULE ENGINEERING DRAWING Electrical Data CS6P-2SOP CS6P-25SP Rear View Frame Cross Section Nominal Maximum Power(Pmax) 25O W 255 W Optimum Operating Voltage(Vmp) 30.1 V 30.2 V I Optimum Operating Current(Imp) 8:30A 8.43A Open Circuit Voltage(Voc) 37.2 V 37.4 V Short Circuit Current Isc 8.87A 9.00A Secna"AA Module Efficiency 1S.54% 15.85% Operative Temperature -40°C-+85°C I 35.0 Maximum System Voltage 1000V(IEC)/1000V(UL)/600V(UL) I.Maximum Series Fuse Rating 15 A I --- Application Classification Class A o Power Tolerance 0-+5 W I ov •Under Standard Test Conditions(STC)of irradlance of 1000 W/m',spectrum AM 1.5 and cell i temperature of 251C. I 110 I ELECTRICAL DATA I NOCT Electrical Data CS6P-250P CS6P-25SP I i Nominal Maximum Power(Pmax 181 W 185 W Optimum Operating Voltage(Vmp) 27.5 V 27.5 V Ootim_um 0oerdting Current(Imo_) 6.60 A 6,71 A Open Circuit Voltage(Voc) 34.2 V 34.4 V Short Circuit Current(Isc) 7.19 A 7.29 A CS6P-255P I-V CURVES •Under Nominal Operating Cell Temperature(NOR),Irradla nce of 800 W/m,spectrum AM 1.5, ambient temperature 201C,wind speed 1 m/s. 10 t0 8 9 MODULE I MECHANICAL DATA e e Specification Data T T Cell Jype Pol -cr stalline,6inch _8 _5 Cell Arrangement 60(6x10) a `- Dimensions 1638 x 982 x 40mm 64.5x38.7x1.57in e5 as Weight 18.Skg(40.8 lbs) "e —"4 - - [Front-Cave r i 2mm_tem ra glass Frame Material Anodized aluminium alloy —1000 W/m2 —5C JunrtinnAn_x— _ -_ID67 i diodes 2 —Soo w/m] x 25-V - Cable 4mm'(IEC)/4mm'&12AWG 1000V(UL100OV)/ t —600W/m2 _ 1 —45C 12AWG(UL60OV),1000mm(650mm is optional) 0 I —40o W/m2 0 —sec - -— Connectors _ MC4 or MC4 cam arable 0 5 10 16 20 25 30 35 40 0 5 10 15 20 25 30 35 40 45 Standard Packaging 24pcs,504kg(quantity and weight per pallet) I Voltage(V) Voltage(V) [Mod u PI ces Pe Cont (ne 67 40'H TEMPERATURE CHARACTERISTICS Specification Data Partner Section Temperature Coefficient Pmax) -0.43%M Temperature Coefficient(Voc) -0.34%/aC Temperature Coefficient(Isc) O..o6s_%_G Nominal Operating Cell Temperature 45±2 aC PERFORMANCE AT LOW IRRADIANCE Industry leading performance at low irradiation,+96.5%module efficiency from an irradiance of 1000W/m'to 20OW/m'(AM 1.5,25 C) As there ore different«nif/taflon requirements In differenl markets,please contact your sales representative Jar the speclflc cenif cotes applicable to you,p,.d.,..the apedfication and keyJeatures destAbed in Nh Oarasheet may deviate slightly and are not guaranteed.Due to ongoing Innovation,research and product enhancement,Canadian Solar Inc.reserves the right to make any adjustment to the Information described here[,at any tlme without notice. Please always obtain the most recent version of the dafasheet which shall be duty Incorporated Into the binding contract mode by the parties governing all transactions rclosed to thepurchose andsale of fheprodurts described herein. .. _ .. _ <.t :_ Wi a 41 ._._ .. _. j 1'se`e 11Yci�o n eft a ,� , t �� ,. "�.�2. i.. "s ^��—�'„N,7r X,� • •`'�C, 1�1 t;�...' � �r� ►t. .. ti. �. ` ._•t. 57- : 1�i> ,! +J' i ^-'� S S �J_i Lh.J ♦ -- t v • "`a 4 . _, _ r Fi `erg` -h*b e° a R ...:- a --� ��. � _�. � � L � ._. ,..._ .• Tie Ehphase All�croff�zverter System�improtivLes eherg�FiaWest ancreas�s?j'�I��abihty,, ttl y��amat�cally simpl�fes<de5lii„31�stallt�Fbi1`, d menage entf solarQwer systens3�, �TheEn�h�seaSystem�incl�des.�he�micrainverterxtlie Enjoy,`�G'omrnura(.oationsrGateway'�ani EnIi F►ten En phase s rnonl oring an'd ana j si software 1 +PRO-, U C T� /51=1 S1Wrk Ft�" `MaAmum energy,proo,o oR (�uicirantl s�mp�e d"es'ign Insfallatfoni;' Re���a])°19r��Ka.c��.lhs�nd�sliarlingl a�i�t�.,�na„gefne�T ,-`Per)oK�ance mon�oifng;;� 24/7;�ionitonn"�a'nd�nalys�s� , RELIJ#g1 SXPE, >SYsfertl ava9lab)�y Bre t iMart 09"" Wvol I# a:G No'sti�gle po�nYpf s�stein failure": IR, cetl foie risl%> enph'ase• S� e e C I � a, .� R :� Y BVhasee M216 Woroinverter/!DATA INPUT DATA(OC) M2i5-60-2LtrS22/S23 and M215-60-2LL-S22-NA/823-NA(Ontario) Recornmerxled input pio wen(5IC) 190-270 W Ma-4mum W OC witaos 45 V leak power tracking Voltage 22-3B V Operating range 16-35 V Mh/MaX etsrtvdtape 22 V/45 V Max DC short dmUt current 15 A Max Ircwt current 10.5 A OUTPUT DATA(AC) 0208 VAG 0240 VAC gated)0ontirx,ous)output power 215 W 215 W Nominal output current 1.0 A(Arms at nominal dureMcn) 0.8 A(Arms at nominal durwkKQ Nominal voitagelrartge 208/183-229 V 240/211-284 V Fx*%&d vottagehnge i79-232 V 206-289 V Nominal frequency/range 60.0/5$.3-60.5 Nz 60.0159.3-60$Hz Extended iregW%j tame. 37--80,5 Hz 67-60.5 Hz Power factor >0.95 >0.95 Maximum units per20 A branch circuit 25{three phase) 17(singis phase) Maximum output fault current 1.05Arms,over 3 cycles;1.04 Arms over 5 cycles EFFICIENCY CEC weighted efflelency 96.096 Peak Inverter eMWency 0li.3% Static MPPI'efilcleney(weighted.reference EN50530 99 a% Dynamic MPM emc*ncy(fast Irradiation Owves,reference EN50530) 99.3% Night time parer consumption 46 mW MECHANICAL DATA Am bient temperature range -40°C to+6S°C Operating temperature range(internal) -40°C to+8M Dimensions(ftHxD) 17.3 cm x 18.4 cm x Z5 cm(6.8'x 6,45'x 1.01 without mountfng bracket Weight 1.0 tag(3.5 ibs) Caloifry Natural conveclion-No I= Enclosure em4ronrnental rating Outdoor-NEMA 8 FEATURES Compatibility Pais w1th most 60-cell PV modules Communication Power One Mor t xing Free lifetime monitoring via Enlighten software Comptlance UL1741AEEE1547,FCC Part 15 Class 8 CAN/CSA-C22-2 NO.0-M91,0.4-04,and 107.1-01 To team more about Enphase Microinvertertechnology, (ak1 enphase visit cnphnsexorn J � N - h 41 r VVY3EJt=4"rsu.,yAte$$ sivuwvd.FU a br.r-.kiVvsa.t=.uAa.rc+y1bwdbjIkkr�4-0A1Ju:XvU Emroy.,ginh�un�c,atrq'�s�atg�nrax En ,-O C&Tmlul 1ta i` ' 1st ,Gc z ,.0 1 _ `The irnphase��ttvoy CoMrriul�ica#lQins C.a#ewe�"i,�`fhe tietwo�cm�'hub�bl"the Ertphase -,Mlctorverter;��ister� , �. � , _ .. - .._ _ .__"..._ z .: - - .__ .. .._•. . System•,owners can,.easil•y chec' ,,ib .status of their,solarsystemusing he,envoy`s LCD di`splay,or the : anget°morede'tailed_fiaformatonthrotlgtrEnllghien Enphase'sweb=based!'monitoringand nslyss software,Ir�clded wi#�purchae of 1=nvvy a�oCiLl�es,y' ,lased moniiong,8� --Plug&{i7ay rnaliatron: 24/7 monitoring.& naiyis; eon$oi'; Automatic t��igr des&{ci,agrEost>cs; Advance i'data n50a e�Wval Inlegrai es vvitti sfnarfi erier�y devices stotage r 1 enphase4 Coil 1. J E 14 E R G V G us th _ ,1 , v. a 9`./_fea! �Eyoy CofimticaUon .0,6tearara �% INTERFACES � f Poi�r-3 Unr�Cohiu z`ton �. �+ yasA pi ptgya - tAcxv2cs +.. tc'• mv1 i d 7r,c�. ••'• µ,. `..sltif_�dJ ...- _}_y�y,_�- �l,•�::er�..... sJ..,_ _...:e.k-r.�r _ •az,r"�.`,_a.r�3� ,..z> t .:Yt NY Ai PaVieFonsmp6on t :K�s► fy�cal,7atts rtfi{ts ', ._.! _141mb;@rxvft� lAY@?Q Pit d(.s• �Recorr�m-_�erfCID'1<_4p-Aw' , 1 . . _ ;#I"oP'commerc�a�jr�`,sf�Itatl��,mulU"pte y� a��e'Ticesatej. ��cseb{iircombTn ' w� 4e�C.�o,�m4fiica,�lons Fi�le��?• _ ,f f btwdrkl6'gQ d ► O�al Zcrossrtlle'�'sit MECHANICALOATA �.—.—. _� . ...• � t _—�_� _� �__� —:;Y xiq'.. At ensons;(�N ;` fi2�2•'Z"�R1,,f.,x-�,�?,iii�ltXd�:2',`m��8$'�x,�L4;vc17d)�-- lNergtit' '131 (IZa,; Am tterr�{iefitu e ge �4O!Ct0465 CI�40°7,h4 tl Co�il6:gi' 'Natutaliconyectionz-np='(�ri A^�• t,ar...�r x -Enct6�ure�eny�ronme, `rat�n�"s `•ledooiyiilEA j . , . 6>al#TlltaEV -- ''•S,,�"�ar�warra►rty`t�rm;_ � � icOnayeai',' � ._ • . • Gom�lia`nce .UL 6095t)-a'EN;fi09bi)*11 • 7 learn"more about Erighase i icroihuertei''technologq ( jhaSe vlsif eitp ekse:coin' �0r3'lsf�oso t3�appr aJfrt�ts_�ncri;_a�.pr�fcmot)q Qr r.�nnp�fi�mu QoaRam:+ge!rg';se�a t�'u�'�r�poc�lc ayner: TECHNICAL BRIEF [ei enphase NEC 2014 — Enphase System Code Compliance Overview This technical brief discusses new NEC 2014 requirements that apply to Enphase Microinverter Systems. It is useful for installers,electricians,and electrical inspectors or authorities having jurisdiction(AHJs)for understanding how code-compliance is handled where NEC 2014 is adopted. Main topics discussed in this document are: • NEC 2014 Section 690.12 Rapid Shutdown of PV Systems on Buildings • NEC 2014 Section 705.12 Point of Connection • NEC 2014 Section 690.11 DC Arc-Fault Circuit Protection NEC 2014 Section 690.12 Rapid Shutdown of PV Systems on Buildings Enphase Microinverter Systems fully meet this rapid shutdown requirement,without the need to install additional electrical equipment. Properly labeling the PV system power source and rapid shutdown ability is required per NEC Section 690.56(B)and(C). Solar electric PV systems with Enphase Microinverters have one utility-interactive inverter directly underneath each solar module,converting low voltage DC to utility grid-compliant AC.When the utility grid is available and the sun is shining,each microinverter verifies that the utility grid is operating within the IEEE 1547 requirements.Only then does it export AC power into the electric service for use by loads onsite or export power to the utility grid for others to use. When the utility grid has a failure,or the PV system AC circuits are disconnected from the utility service via an AC breaker,AC disconnect or removal of the solar or main utility service meter,the microinverters stop producing AC power in fewer than six AC cycles. Enphase Microinverters are not capable of operating as an AC voltage source.This means that without an AC utility source, Enphase Microinverters are not able to energize connected wiring and no AC voltage or current can be injected into the PV system AC circuits or the grid. When the AC utility source is removed from the PV system AC circuits via any means,such as an AC breaker,AC disconnect,or removal of the solar or main utility service meter,this equipment performs the rapid shutdown function per 690.12.With an Enphase Microinverter System this shutdown occurs well within the 690.12 required 10 seconds,and there are no other conductors energized more than 1.5 m(5 ft)in length inside a building or more than 3 m(10 ft)from a PV array. Code Reference 690.12 Rapid Shutdown of PV Systems on Buildings. PV system circuits installed on or in buildings shall include a rapid shutdown function that controls specific conductors in accordance with 690.12(1)through(5)as follows. (1)Requirements for controlled conductors shall apply only to PV system conductors of more than 1.5 m(5 ft)in length inside a building,or more than 3 m(10 ft)from a PV array. (2)Controlled conductors shall be limited to not more than 30 volts and 240 volt-amperes within 10 seconds of rapid shutdown initiation. (3)Voltage and power shall be measured between any two conductors and between any conductor and ground. (4)The rapid shutdown initiation methods shall be labeled in accordance with 690.56(B). (5)Equipment that performs the rapid shutdown shall be listed and identified. 1 ©2014 Enphase Energy Inc.All rights reserved. March 2014 NEC 2014—Enphase System Code Compliance NEC 2014 Section 705.12 Point of Connection Code Reference 705.12(D)(6)Wire Harness and Exposed Cable Arc-Fault Protection.A utility-interactive inverter(s)that has a wire harness or cable output circuit rated 240 V,30 amperes,or less,that is not installed within an enclosed raceway,shall be provided with listed ac AFCI protection. This requires exposed AC cable systems,such as the Enphase Engage Cable,to be protected by AC Arc-Fault Circuit Interrupter(AC AFCI)protection devices in the AC panel. Since Enphase Microinverters are utility-interactive inverters that backfeed into the electrical service through the overcurrent protection device,any overcurrent protection devices with AC AFCI that are installed must be specifically backfeed capable. NEC 2014 705.12(D)(4)Suitable for Backfeed.Circuit breakers, if backfed,shall be suitable for such operation. If terminals of circuit-breaker AFCIs are marked`Line"and"Load,"then the product is not backfeed capable. Today there are no known AC AFCI backfeed capable products in existence or planned,so Section 90.4 of the NEC code advises the inspector/AHJ to grant permission to use products that comply with the most recent previous edition of the Code. Until AC AFCI backfeed capable product is available,complying with NEC 2014 Section 705.12(D)(6)is achieved by discretionary guidance per NEC 2014 Section 90.4 and referring to NEC 2011 Section 705.12,where AC Arc-Fault Circuit Protection is not a requirement for utility-interactive inverters. Code Reference 90.4 Enforcement. This Code may require new products, constructions, or materials that may not yet be available at the time the Code is adopted. In such event,the authority having jurisdiction may permit the use of the products, constructions, or materials that comply with the most recent previous edition of this Code adopted by the jurisdiction. NEC 2014 Section 690.11 DC Arc-Fault Circuit Protection This requirement is for direct current(DC)Arc-Fault Circuit protection,and only applies to systems with DC voltages above 80 VDC. Enphase Microinverter systems are exempted from this requirement as they always operate well below 80 VDC.The requirement is basically unchanged from the NEC 2011,and it is unnecessary to add DC AFCI to an Enphase Microinverter System installation. Code Reference 690.11 Arc-Fault Circuit Protection(Direct Current). Photovoltaic systems with do source circuits,do output circuits,or both,operating at a PV system maximum system voltage of 80 volts or greater,shall be protected by a listed(dc)arc-fault circuit interrupter, PV type,or other system components listed to provide equivalent protection. 2 ©2014 Enphase Energy Inc.All rights reserved. March 2014 .. :. r ,��,• • •„ .ram r-3. 1 e` x. - y _ {7• _rr- �EtCFaslen 5�niai�r 8T1-F59-34�17 C�xitit�'to shh�St�hort gf Re�cwq�ile ' d t= i ' i Op, S ' b cl .. m -T, P N; b m: 0 3 � � T � R 3 a, fffi � �A 1 GREENFASTEN! 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INC. 1411 BROADWAY BLVD NE Standard Rail ALBUQUERQUE.NM 87102 USA PHONE $05.242.6411 UNIRAC.COM UNIRAC-300001 SO RMOUNI Top Mounting UniRac Grounding Clips and WEEBLugs-225.6 UGC.I 100 •F T c if •��.� � T-boll r� e�ust �� UG41r^�-�m Flsare26.31ideUGGl;sound t t clip lntotoDmoenrtrtsdotgtnlL Intatek Toryue rnodula N piocs on roD � a� yeftpN�rPNpqutratlralianod: ,4 . tietlnn eadnmk ndinvdtb`< ti+►rt+!nbtne ?t.1er4rsec(dS1y SobrMot rrm ma tour type) ^ WEES Lugirairnwarintiug)te dear�orue bola in thtsttdnttustat Jbctwa:iter:Raatheuatnleuttat Jtatwasherontheboi;oriented so died mptei wiiicomaa the abtmmt in raR Rm the l4pordon 1 on theboltaadstainlasstor)Jlat _- 1 l�tnc�►,thstaitstalniapaudJtat. washn,tocku+athaamdrut� �WEf'8Lt50 �}1 (*ea'-the nutwihTlhedunp)rs are ".�. eomplarc�embcddcdauothemd ' H`,,..•.%��' rartd'iu&�71ie'etriEedifedilGnpfantaki ,,.. I StoirflenSl@elFlal ;;agafaghemerhanlaalroanactlon _ •-_. ;v/afher(YlEEBj' ciidetisilregoodeler2rfoptGwutevlDn "" beavm the aluminum raft and dte sir' pm*. htgdmughtheWEM taro] (any type) Ftgum&i.UGC-llayoutfor evert and odd number ofmcdatu in row. o.temtcs ptacvto uutatt UGC-I. i fibre Xnn+Ln ofAtuduLrs in rwu .. OQd IVumba cJdlo4utn`tii'raw Pub.::U N I RAC June Zee ne201 011 •■ C 20l]bpvnhoe,tree AIUtlydOUPCOMPAHY A.Ushumscmd. OUNIRAC hutal2ationSheet225.6 Unirac Grounding Clips and WEEBLugs 10 year limited Product Warranty See hWJMwwxnVacaom for currant wamnq documarts and iefontCRia► i • MEN U N I RAC 1411 Broadway Boulevard NE mom Albuquerque NM 87102-1545 USA M 2 Wiley Electronics LLC Washer, Electrical Equipment Bonding and Lug (WEEBLug) The WEEBLug i§,adeyice.£fTor array,. The„WEF_BLug„rans(stg of two. parts:a iUhless steefwasher(weeb-6.7)and'a Irv-plated`'copperrlug: `The washerls designed to provide a reliable gas-tight electrical connection with anodized aluminum places. The lug allows the lay-in connection of an electrical equipment grounding conductor. The WEEBLug may be attached to the top of a mounting rail with a captive bolt,or fastened to any aluminum piece after drilling a suitable size clearance hole(see part number fist below). a _ o a Q Figure 1.WEEBLug Usage:Insert a bolt in the aluminum rail or through the clearance hole In the aluminum piece. Place the washer portion on the bolt,oriented so that the dimples will contact the aluminum piece. Place the lug portion on the bolt and washer portion. Install stainless steel washer and nut. Tighten the nut until the dimples are completely embedded and the lug and aluminum piece are flat against the body of the WEEK. The embedded dimples will make a gas-tight mechanical connection and thus ensure good electrical connection between the aluminum and the lug. copyright 2006 Wiley Electronics LLC Figure 2.WEEBLug mounted on rail. • Material: 304 stainless steel,tin-plated copper • Listed to UL467 by ETL • Torque to 10 ft4b using general purpose antl-seize • Maximum electrical equipment ground conductor size: 6 AWG • Use with%"hardware(included) • Outdoor rated Part number. WEEBL-6 �fqr use�with:%.inch;mounGnglhardware, WEEBL-8.0 for use w""i i§inch mounting hardware WEEBL-82 for use with 8 mm mounting hardware copyright 2006 Wiley Electronics LLC Oro 1 1 r y m_ Yn &lPir"Ti+31t�gen[�rtl'myan'�r, � i 1 P� elgenc�m�t gsct�rti00 tL_o1utB3 ntitl7Cr�rtttfrii'Z2r1ior3sY��y"�Ihctis�. . .' � J r7 ,_:••.- �Mte�cted?rflo`ihe Ikon t�NT�bN`�et�"c�ic�fy-mgter�'fhe�ENi�tON��mai7'vlete}•co'h�,�ila�'es3 • d•'"" Vl'li✓Yh M ��G"' �u oc dr9 1 S'#em MS � I t� ,, a�� r ;. �h,�51�t�ti9;P[otoCbist ts��gasohandtran�+sstan -, i j•' 1" �y !� ''' `1`ts sotG�antleve oC�fosalelltesigEllCe(Onitcat�sageii late` otoJ er secure ` rc�,re �vtCeless nelworl�s such I !►T Y o oc ersYVhe ass) "d 'e t 1em � q�`u t cil Ong _ ! .. sLoe5M9psf<1N!)carlt 9 tlf,R'tulnoRR sotire S{RoJ�k ouW1 e��� to. _ z ��ntke oprtetalYcloseif brchitectvreso7uttons"�he CEt�TROTIS .afar ee-i. ♦ - ., Yu7 oiIuivet�}RAtinfechn t ,mittssi'vnd a` px,��zt' pkeS:I�ndapiG2ile� y " . ronttj_d, dQble tpt�orf ._ Ugga 41✓'s _ 9 ort nkdtionsi.•eE �s�xl.Q `, `t � ootrQvWJ2CRouAitiEsellerriJfi�.crty'ottei?�otivo;e+ t ,! fVl et ss efv iaoiks ` Hat,e oC�"mponer>fis 4 +I -,Ro o C}on}rol Modiitecvd�R 1' ,'� , •4? ?', Fz. 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Gss fotc00fiutbGYclD ' t I Lyt'Van GtrV r�rL.d-D�GtO 1� /L ^!J y •1.' i ��t3Wkim JdAd Metering ;' �R:eg 1tMolyl A Otcfustry4 es;fflCCRons} TO Or �e�RSfiforiMeetnA�clut�Fitrnwer +wCr5'Clossll� �At�31�C37�Ot) A` CT 0 Q 5 k.,, y Suportri1A'etet'Fflmii 'u, a, << 4sti�1 1998jt ' ' ,3 `� �yNehvoik Carfier�ert,fud1� c, •�� �,,5,,,- `-� �Mediucerhdn't s `onod2s:Ce fi�dt, ' �I $flSUftSynCtllitl�C. •k1.t06;-20b;1S t2S, ! I cA, qq old nor+p aaoa �t�a;s,2cr?5: ry -1dzKson A'�3s+ss�ppii39211 �f .i .. +I tlP.9`•3621Zt3D ` f 1 i Hardware Specifications Smart Synch• Hordwore Compomo OesaV icn Rodib CortW Module Board(RCM)• 3WARMW0C9SW,25RRAM.SI2X%70Z Capocdor sift"ft*Sc m lei Pik p for doto traw"hokft orw a hutictions*AV ter ottfgpe —no ballertes required GSAA/GPRS vbftltt GSM modem cctrtir AXAZotes vkh heodend using CPft and SMS servl W Intemd Anteono f DA*dud&Oqugney GSM ontonm for fAe modern TR ISetecta Detects ttraAwdsed rnoyernWt or lernovat d the device Ternperok"Sensor tAw*oa of femperohxes to ensure cowl rocto operation s Temperohxe Rortger supported Meter Fotmts m Ho`C•+85'cl Crass M X 4S Tronurkslon(wkelessl:t-OIC;+WC) Class 1t }3 t�Oss M2S.I2&253 Nwlud1y Range Ctoa-Vl)-.2$ 0%to 9S%ran-condarutng p9�taY d Ind G � tsAy Certlficat;bm FCC Pt d is Class B } AGctmacy ANSI C37.90.1-19W.A994 Wlhstancl CopoMty(SWC) ' Meets ANSI 12.2D for occurgcy Goss os% ANSI C12.2Q(0=Q,5J—l M r. PTCR5 Cedifleo MeaVerrtenl Ct>mdo Cedilled Network Caaler Cer ftd lnpuf/Otrtpuf,r9nOt or(ntertoce (Derinf onlVotoes Module Power input Vottoge 120 VAC Meter Send Mellor() UV t Ttl cwiOotible osynttuorK" Inteytotion The Srs,ariMeter modda is a hNy integrated under-fhta cover option ride tho CENTRON rnetor.The CEMIZON GPRS Sma"Wlerh.Stopped+ass one complete unX reody tot Add depiorrdW. Vimbn and Cotnpoli"bAty rnlaymottorl CENTRON Meter Natdwote; Supported reeler form dt aft and types,egtripped with battery CEWWN Meter ftoYnvate: TBD Smartmod0et CENTRON GPRS SrnattMeter Module unorbS%Ch INS* Ver0on 7.20 orNgher About SmartSyneh:tteooQt veered n jock$ft wds_&rospnch t,os been dovebpir,g s�ccr:ssAA smote Gad nfelrgence sOtrsons for the vla<ty ind,ntry ssxa 217Q0.TM y's ciearteth tv�ovalions to tha Two-way dattvery of red•U?t,a energy vwge doto over public wkelaunehrorks JAI&I Rogers etc.),in Feu or p wore ne v cd:bWd outs,hove tq dole fnp[tiacf;n,ortNleter depbyrneMs tot 1 QO 0) a Muth Amecon A tes,u+Ae enobtrtp green t mw ougoom&r d degvering ion t.cantly tw"Returns on Resourom. UM a proprselory,cbSed orL9ffeCfure snt,lons SrnatSyrcN'x SrnarlMete3 tepresert hrtvre yto01 u,vastrrents�,lech�o+ogY the stondords-baled IP con nL%cfvvvty encbed in every Smatrotetr deployed mokes there odoptobte andreMlely upwodowe 10 support lodoy's sensor Ond commontorwu reeds*svvel ox ton*ow'jcppOdvn.t;..1 better than any motive Coo t 02009,Sn- i S nch tnc..oA nlhti reserved. DocuSign Envelope ID:8A9FA10E-B55B-4B13-8809-79DEA7C8531B 18. DATE OF LEASE THE DATE OF THIS LEASE AND THIS TRANSACTION IS June 30,2014. NOTICE TO RETAIL BUYER: DO NOT SIGN THIS LEASE IF THERE ARE ANY BLANK SPACES. YOU ARE ENTITLED TO A COPY OF THE LEASE AT THE TIME YOU SIGN. KEEP IT TO PROTECT YOUR LEGAL RIGHTS. 19. NOTICE OF RIGHT TO CANCEL YOU MAY CANCEL THIS LEASE AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE YOU SIGN THIS LEASE. SEE THE ATTACHED"NOTICE OF CANCELLATION"FORM IN EXHIBIT 2 FOR AN EXPLANATION OF THIS RIGHT. BY SIGNING BELOW,YOU ACKNOWLEDGE THAT YOU HAVE READ AND UNDERSTAND THIS LEASE AND ITS EXHIBITS IN THEIR ENTIRETY,AND THAT YOU HAVE RECEIVED A COPY OF THIS LEASE. PROPERTY OWNER: NRG RESIDENTIAL SOLAR SOLUTIONS LLC Leonard B Dockmejian On Behalf : DocuSlgned by: By; Signature: Name: DF122318C72141F... Date: 6/30/2014 Title: Date: PROPERTY OWNER: On Behalf Of: Signature: Date: Contractor License No.(if required): NJ13VH06478300:NY50906-H: Licensing State:NJ To the extent applicable,any acceptance of this Lease by affirmation through the DocuSign Electronic Signature shall be deemed a binding acceptance of this Lease and shall be valid as a signature. Lease Number: 10-0049064987-NST-NSTAR -11- nr ° ��tTti Town of Barnstable Building Department - 200 Main Street t tARNSTABLE. * Hyannis, MA 02601 MASK. (508) 862-4038 16.19. �� ArED MA't A Certificate of Occupancy Application Number: 200901277 CO Number: 20080341 Parcel ID: 174001035 CO Issue Date: 06/12109 Location: 15 STALLION WAY Zoning Classification: RESIDENCE F DISTRICT Proposed Use: SINGLE FAMILY HOME Village: MARSTONS MILLS Gen Contractor: DEAN, RICHARD Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: Building Department Signature Date Signed OF HET TOWN OF BARNSTABLEBUildin * g Application Ref: 200901277 � * BARNSTABLE, + Issue Date: 03/31/09 Permit y MASS. g �A i639• �� Applicant: DEAN,RICHARD rFD MP'1 A Permit Number: B 20090425 Proposed Use: SINGLE FAMILY HOME Expiration Date: 09/28/09 Location 15 STALLION WAY Zoning District RF Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 174001035 Permit Fee$ 255.00 Contractor DEAN,RICHARD Village MARSTONS MILLS App Fee$ 50.00 License Num 91285 Est Construction Cost$ 50,000 Remarks REPLACEMENT OF INTERIOR WLL§HEATHING(GYPSUMBQARD APPROVED PLANS MUST BE RETAINED ON JOB AND THIS CARD MUST BE KEPT POSTED UNTIL FINAL INTERIOR TRIM,FLOORING,INSULATION INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: COLMAN, ROSALIE M TR BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 15 STALLION WAY MARSTONS MILLS, MA 02648 INSPECTION HAS BEEN MADE. Application Entered by: RM Building Permit Issued By: `G�"�!�— 12<140 , THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION, STREET OR ALLY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1. FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3. WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4. PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6. FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS L/ !3i/l�S D/c 509 / s d oS DQ/�� / /l o rC�lyL 2 W c 2 y' 3 1 He ti g Inspecti Approvals Engineering Dept Fire Dept 2 Board of ealth �t�pZ Ga , D1 F/u om ��r� 1?3 i TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION, Map -���' .3 Parcel` Application #0009Q'IQ 7 Health Division Date Issued I i Conservation Division :!Application Fe Planning.Dept: Permit Fee, o7S S Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address D Village Owner G a Address Telephone Z �� Permit Request e o 61 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new 0 Zoning District. Flood Plain Groundwater Overlay Project Valuation © Construction Type Lot Size l Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure a w2r, Historic House: ❑Yes dNo On Old King's Highway: ❑Yes ITd No Basement Type: lg Full ❑Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing_Z1® new Half: existing new Number of Bedrooms: e, existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: &/Gas ❑ Oil ❑ Electric ❑Other ,. Central Air: ❑Yes Flo Fireplaces: ExistingtAe, New Existing wood/coal stove: ❑Yes P1 No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existi' H g ❑ new size_ Attached garage: existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: _: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ C& 0CID Commercial ❑Yes No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number 6� �GlA Address d License# 6 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 'fe"i SIGNATURE �� DATE 9 Zy ®9 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ; ADDRESS VILLAGE `OWNER DATE OF INSPECTION: _ FOUNDATION - FRAME INSULATION '.'FIREPLACE ELECTRICAL: :> ; ELECTRICAL: ROUGH FINAL ! v PLUMBING: ROUGH FINAL _GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT, ASSOCIATION PLAN NO. . NIaSsachusetts - Dchartment of Public Safety Board (if Building.Re�aulati011s :ind StMUL111 ds'•.': / Construction Supervisor License License: CS 91285 Restricted to: 00 �, ' tom. RICHARD T DEAN. ; y 61 CHESTNUT ST MIDDLEBORO, MA 02346 Expiration: .6/17/2010 Tr#: 29844 i . ('unquisiuncr .. Board Of Building Regulations and Standards HOME IMPROVEMENT Re -Z CONTRACTOR License or registration gistratid"n g stration valid for i Ez—" �47489 before the ex ndividul u f Pgat - Piration use only �z -- 7,13/2009 Board of B date. If found Tr# Building Regulationsreturn to: 1 TyPe`DBA 131826 One Ashburton Place01 and Stand RICHARD Boston Rm 1301 Standards T.DEAN CONSTR CrhO ,Ma•02108 RICHARD �=�- N � DEAN �\ �_�/'� 231 MOCKINGBIRD WAY1/ EAST TAUNTON,MA 02718 Administrator I Not valid without sig nature ' The Commonwealth of Massachusetts QK) 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 Legibly Name(Business/Organization/Individual): ,4 z / fe' r4&hn, Address: City/State/Zip: VJ/ o Phone.#: ��- Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with . . 4. ❑ I am a general contractor and I 6. Vewco:truction employees(full and/or part-tim.e).* have hired the sub-contractors.2.VI am a sole proprietor orpartner-' listed on the-attached sheet. T. dng ship and have no employees These sub-contractors have 8.'❑ Demolition workingfor me in an capacity. employees and have workers' Y P tY• 9. ❑ Building addition [No workers'-comp.•insuran_ce comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs dr additions myself.[No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp,insurance required.] *Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-conhaetors and state whether or not those entities have employees. If the sub-contracton have employees,they must provide their workers'comp.policy number. X am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.M Expiration Date: Job Site Address: City/State/Zip: _ Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the'imposition of crimiriaAl penalties of a fine tip to 31,500.00 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 Investigations of the DIA for insurance coverage verification. I do hereby certi and r the pains and pen ties of perjury that the information provided above is true and correct Si mature: 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#: 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 tiustee 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 o'r 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-conti actorm s)nae(s),addresses)andphone 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-insuranree license number on the appropriate line. City or Town Officials .Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy'information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or.commercial venture (Le.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone-and fax number: The Commonwealth of Massachusetts Department of Industdil Accidents Office of Investigations- 604 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-72713749 Revised 11-22-06 y www.mass.gov/dia Taff Town of Barnstable ' Regulatory Services . MGM g, Thomas F.Geiler,Director a'`�e 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.pmperty hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signature of Owner Date E Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERM ISSION �z r Town of Barnstable Regulatory Services ? � MI ? Thomas F.Geller,Director RNST Building Division Tom Perry,Building Commissioner 200 Maio•Street,--fiyannis,MA 02601.. www.town.barnstable.ma.us Office: 508-962-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMMON Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAMING ADDRESS: eityhown state zip code The ctment 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. DEF94MON 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"asst es 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 m;n;mum 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 bomeowner performing work for which a building perr nit is requined shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the hon=wner engages a person(s)for hip:to do such w^that such Homeowner shall act as supervisor." Many homeowners wbo use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q. Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often exults in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it Mould with p licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To cnsurs 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 fomdcertification for use in your community. Q:fomu:hoTn=xcmpt h { �ppTHE Town of Barnstable _ BARNASS- E. Regulatory Services 9 MASS. Building Division 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 50�1-790-6230 Inspection Correction Notice Type of Inspection Location /15�- 5A l/tUa1 -UA-W 9K Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. 'The ollowing items need correcting: • �u/�l ie� lP�l�`C� 7coiq-� btu- C�1-(:P�-�c , . WO nN71Y-L AVA UCy,Tie./Vr, _. OZ N w (6- Pc,Kq 71t-- 1i- 11-- t411 o s s Pt/C l 1�! N A L L.1 U --rz �a�P . 0 Please call: 508-862-40 $for re-inspection. Inspected.by 1 y a r--2-r U`� *-Ig-L V-X-) ( C— . Date y 0 7 0 q ppiHE Town of Barnstable Regulatory Services BARNSTABLE. A MASS. �A 039 Building Division + prFO , 200 Main Street,Hyannis, MA 02601 Office: 50�8-8624038 • ;� �,, � �� Fax: 50 z790-6230 ` Inspection Correction Notice Type of Inspection /Cl? Location 6-5747.f rGv1 W&.w )(. Ok— Permit Number Owner Builder v One notice to remain on job site, one notice on file in Building Department. `The following items need correcting: tp``•� p tG PU1g7,t-_ fi,-A o Gs JUG-"_) PVC - l icr F ( - a-� Lid a-� .D p- $Kr e-. rN �((3�2 �q �(✓ , j, r�-;�✓ lti�s-r r�r�s �.(,c l��-��.. — �1�-l� P�a�-�� C7u� �0-1�P� . �- o og 3 IYUA-1 Please call: 508-862-4038 for re-inspection. Inspected,by J a r �IL�L )C e Date `� 0 7 D 7 � , 4 i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 035'-vrl, ,' Permit# Health Division / y � 1 Date Issued Conservation Division �' , 6/13 ��� Fee Tax Collector SEPTIC SYSTEM MU 6 l d COMPLIANCE INSTALLED fly Treasurer WITH TITLE 5 Planning Dept. °""'""'' ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN REGULATnf1,_3 Historic-OKH Preservation/Hyannis Project Street Address J'1���L/ �, C J"14 -F 1-1. C� Village �- t,�nNS ,L Owner /�,/`7. �Z ;4�) Address /�111dAo 1i1AY Telephone ® Permit Request MI e4 — ..t or Square feet: 1st floor: existing Z�ck proposed 2nd floor: existing proposed Total new Estimated Project Cost 3 Z�0 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size f 1 3S2, Grandfathered: O Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family b Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 9W No On Old King's Highway: ❑Yes jo No Basement Type: grfull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ^Number of Baths: Full:existing ;5QQ new Half:existing d h e new Number of Bedrooms: existing new Total Room Count(not including baths): existing 41JPAT new dne-, First Floor Room Count yz Heat Type and Fuel: O'Gas ❑Oil ❑ Electric ❑Other Central Air: & es ❑No Fireplaces: Existing QME New Existing wood/coal stove: ❑Yes ONo Detached garage:❑��existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:Zrexisting ❑new size j Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 440 If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name ��.V_i4X�it /LIV Telephone Number 40 Address 129 Z License#—df 16 Home Improvement Contractor# f Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY - e t , . ERMIT NO. DATE ISSUED MAP/PARCEL NO. I ADDRESS VILLAGE OWNER DATE OF INSPECTION' • t FOUNDATION ` FRAME f INSULATION t ` FIREPLACE ELECTRICAL: ROU-9, - FINAL - PLUMBING: ROUC�I r FINAL GAS: ROUGII -s "1 FINAL FINAL BUILDING ww 9 1 rr, DATE CLOSED OUT ASSOCIATION PLAN NO. f f Massachusetts The Commonwealth o -=—' afl lImn dreussttirgiaatli Acciden ts•-- Departm ent o A office 600 Washington Street Mass. 02111 Boston., ' s� = Workers' Com ensation Insurance davitm J • Warne. location' hone � � - city all work mys� ❑ I am a homeowner P in aav Wi am a sole / •ems'and have no one //////////%G�// loyees worlang:on this job.:.:::.::::. Esrey ..:.::::::::.}...:::.::::.;:::.:::.::;:;::;:. ..::;. ::.::v:X�fi. ...........:. ...::::..;..:. amas . . rnnn.:: ........... .:•.......... .....,.........;}„„ ..,r.}r k#.+�Sfi, .. .9 -,•`C4 �J:.r.....;;::,::n•::{:Xi{::•;{;};F:.. ,,-. ...:.......:........::•.... .:v........,......v 4... ..v:.... � .. .� .... v..v.v,. 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J'•, Lh{N.,.L4-•i'`^^^• ::+:}...... .....h ;: :}:{ of a Sue np w SI,5OQoo and/or as Wades Seetlan.26A of MQ•14 eaalnd to the impel of erhnbW pensltln Failm'e to secure coverage wired of a.q OP WORK oRDzR�a fine of 5100.00 a day against me- I under d�t a one years'imprisonment as wen as c'vn pesawas to the form of Stu DIA for coverage verlfiea8emm• copy of this statement may be forwarded to the OMM of that tlu information provided above is trap and corm 1 do hereby certify �P� ,P fP�J ' Ot] - Simattu+e �— Phoae11,11W t 'Dint name I HIM oMcial use only do not write in this area to be completed by city or town ofTidal . perndNiemseq � ❑Buffding Deparvneat dtv or town: ❑Licensing Board []Selectmen's OMce ❑check if immediate response is required ❑Health Department phonefi• - ❑Other contact person: Information and. Instructions , loyers to provide workers' compensanon for the iassachusetis General Laws chapter 152 sects requires emp Person inthe service of another under anyw co cl to is defined as every -nplovees. As quoted from the `law ,an emp .Y f hire, express or implied, oral or written- co oration or other legal entity, or any two or more of association, corporation er, or the re;�i''er or ,n employer is defined a an �'p legal representatives of a deceased employ ne foregoing engaged m ) rise, and including 1 lovees. However the owner of a association or other legal entttY, =P o3' house of .ustee of an individual partnership, and who resides therein, or the occupant of the dwelling ,welling house having not more than three aP house or on the grounds or won or repair work an such dwelling mother who employs Persons to do maintenance, be deemed to be as employer. ;wilding appurtenant thereto shall not because of such employment . also states that every state or local licensing agency shall withhold the issuance or renewal AGL chapter 152 section 25 begs in the commonwealth for any applicant who has )f a Iicense or permit to operate a business or to constrict coverage required. Additionally, neither the sot produced acceptable evidence of compliance with the msuran comet a re P �of public work until shall entCr il=any�oinmonwealth nor any of its polities iasmra= � ofthis chapter have visfi= been presented to the contracting ,=eptmle evidence of comPlzance . authority. EMMIN N/ .applicants _ and _���*completely, Ong the boat that applies to Your situan� a certificate of insurance as all affidavits y be phase fill m names,' address and phone Also be sure to sign and supplying company Indusb Accid�fur of insurance coverages f submitted to the Department of hY or town that the application for the permit or lic=-0 is date the affidavit The af��shouldbe Should you have any questions regarding the `mow"or if you being requested,not the Department pleiw call the Department at the number listed below. are required to obtain a vvcdmrs comp p ' City or Towns bottom of the The Department has provided a space at the is complete and printed legtb1Y m camact you regarding the applicant. Please Please be sure that the off davit• �P ret t� azndavit for you to fill out in the event the Maize of mmnber. The affidavits may b e be sure to fill in the pesmitnicanse numbeWhir w�beused '�bavro been made. the Department by man or FAX unless othzt ariaagemo�s 'ems would like to thank you is advance for you coopc�ou and should you have any questions. The Office of lovesngati pl=-.do not hesitate to give us a call:' 101/1 R%�, // �fax member: The Department's address,telephone , The Commonwealth Of Massachusetts Department of Industrial Accidents Omce of Inestmanons _ •. 600 Washington Street Boston,Ma. 02111 f=#: (617) 727-7749 phone#: (617) 7274900 ext 4069 409 or 375 780 CMR Appendix 1 ' ?abtodSZlb(eoadaae6) ritie ParJrs6a for Oao aadTwo-Fam�1r RenidentW BuHdfap pept H with FosW FaeL " MEMMEN MINIMUM llearin,/c=ling 1VIAJM[t Ct W1111 B Arcs! , v � � P Equipm� ElhcieacY' R-valut� R= ParJcage 5901 to 6m Nada1G DeSeee D Normal Q 0A0 32 19 10 6 No:mnal 19 19 85 AFUE R — 12'X. O.S2 a 19 10 6 g 12• OJO i N/A N/A Normal 6 Normal T 15% 13 OA6 3= 19 19 10 _ -!�I/A 85 AFUS U ISM 13 � - � N/A V IS'iG 00-44 M 30 19 - 10 NIA Normal a !sK !3 ZS N/A g IBye 032 39 N/A N/A Normal y 18'iG 0AZ .38 19 !0 6 . 90 AFUE 13 19 90 AFUE Z !a'� 0r42 � 19 30 19 10 6 AA lay. . O.SO 1. ADDRESS OF PROPERTY. e, i i 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS. 3 SQUARE FOOTAGE OF ALL GLAZING: /D 4. %GLAZING AREA 03 DIVIDED BY#2)t S. 'SELECT PACKAGE(Q—AA-sca chart abov* ODS OF D G ENERGY REQUIREMENTS NOTE: OTHER MORE INVOLVED hMM ARE AVAILABLE- ASK US FOR THIS INFO ON. BUILDING INSPECTOR APPROVAL: O: YES: q-forms-t980303a 780 CIMR Appendix J • assemblies (including sliding-glass doors, skylights. and Footnotes to Table JSZ.lb: azing assemdross wall ' Glazing area is the ratio of the area of the glazing ace,but excluding opaque doors) to the b basement windows if located in walls that enclose conditioned may be excluded from the U-value requirement. area, expressed as a percentage.UP to 1/o of the total glazing deal with 300 R=of glazing area. For example,3 fl of decorative glass may be excluded from a building Sri 1, 1999, glaring U-values must with be tested and documented by the manufacturer in accordance.. After January Council (NFR� test procedure, or�taken from Table J1.5.3a. U-values are for the National Fenestration Rating whole units: center-of-glass U-values cannot be used. corisuuctiort, If the insulation achieves the full ' The ceiling R-values do not assume a raised or oversized R 30 insulation may be substituted for R-38 insulation thickness over the exterior walls without comp be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation and R-38 insulation MY For veal ceilings, insul�g sheathing must be placed between insulation plus insulating sheathing Cif uised)• the conditioned space and the ventilated portion of the roo£ sheathing used). Do not include resell the stem of the wall cavity insulation Plus insulating g (� 'Wall R-values rep For example an R 19 requirement could be met EITHER exterior siding,structural sheathing, interiordrywall. sheathing. Wall requirements apply to insulation plus R-b insulating S• by R-19 cavity insulation OR R I3cavity �constructions,but do not apply to metal-frame construction. wood-frame or mass(concrete,masonry. such as unconditioned crawlspaces, basements, s The floor requirements apply to floors over unconditioned spaces or garages).Floors over outside air must meet the ccftg requirements. depth less than 50%below made must Tre entire opaque portion of any individual basement wan with averaged sliding glass doors of conditioned me the same R-value requirement as above-grade requirement b�cements must be included with the other glazing. Basement doors must meet the door. U-value d-scribed in Note b. 'The R-value requirements are for unheated slabs.Add�additional R-��oh 3 heated or SbsIf you plan.to install more ' If the building utilizes electric resistance heating use compliance ire or more than one Piece of cooling equipment, the equipment with the lowest than one piece of heating equipmentthe selected package. efficiency must meet or exceed the efficiency required by or town sec Table J52.1a 'For Heating Degree Day requirements of the closest city NOTES: table levels.Insulation R values are minimum acceptable levels. a) Glazing areas and U-values are maximum acceptable components. R-value requirements are for insulation only and do not include structural greater 035. Door U-values must be tested b) Opaque doors in the building envelope must have a U-value R grest and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value and an aggregate U-value rating for that door is not available, include the in Table J1.5.3b. If a door contains glass of the door. slass area of the door with your windows and use the opaque door U-value to determine compliance lreater than 0.35). One door may be excluded from this requirement(Le.,may have a U-value greater includes two or more areas with c) If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall comp to different insulation levels,the component complies if the area-weighted nts comply ierage f the ue area-weight d averagelU- the R-value requirement for that component. Glazing or door comp value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 OF THE A The Town of Barnstable MASS.♦ .�� $ Department of Health Safety and Environmental Services 059. g Buildin Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-862-4038 Building Commissioner Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: /VIX�T/ //d/? Estimated Cost %® f Address of Work: Owner's Name: IPA (� IAMV Date of Application: ®e I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 . ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: ao &Z /�� Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav ESTINA TED PROJECT COST WORKSHEET Value LIVING SPACE (high end construction) square feet X$115/sq. foot= (above average construction) square feet X$96/sq. foot= construction) �/� square feet X$57/sq. foot=-4uz •d" (average GARAGE (UNF MSHED) square feet X$25Isq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Cost IAHFORM 1/3/00 `:j3 ✓� 'V.JG✓7Z2A'A1�WICltG!/L O�� BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR 1� Nu_m_ber_.GS_ 058652 ` Blrthdate 02/17/1952 �• tEScpires 02/17/2602 Tr.no: 22642 t> Restricted TIMOTHY A WASHBURN. 177 COACHMAN LANE__° W BARNSTABLE, MA 02668 Administrator .i �.;,,,t�,,� yew.�9.'9PR.,:w.*-�Y.-'V�S:3'Sti}...""..'.r.r•_ry—�as.�i;yt`�.'�..•"�:_._. .. •:lwi.`r..s'..�irq..�...:.:-.�,._...i�i�iT.e._ow..0.....�..a�Dir:ll..r ......�.u.. - .t, •r c`\ ✓ire ioom�xomceall�c o�✓�aauac%u�e! ONE IMPROVEMENT CONTRACTOR Registration: 130198 Expiration: 04/24/2002 TYPe: DBA T. A. YASHBURN CO. TIMOTHY YASHBURN a�OACHMAN LN. ADMINISTRATOR Y. BARSTABL MA 02668 0 LD 129 ru 7-1-IA7- 7',yE a c.4 Tic�.y Sf/OWiV yE.2E0.1/G"O�-lf�.G YS W/T/,� SCA L.L-7 7"•�•'�,S'/OE.0/�C/� ANC S�-TBA G/� �'/5 93 iCEQ!/�.2��s-1�".t/PS OF T.�/�' ToWit/�F �•LAit/ ,EE�'6.eE�(/C�. r3 A�2n/sr�8 LE . AAO /S A107- Z47- /Z 9 ,C4CAT,E'1� ly/T'y/N ,�"h�E .�.GvaaPl.4�.fC Pot -4ay ,SANYE /,V,, 10 O,C',45-E`TS Syvu/y S,G,(Ot/t.Z7 ,%�-g� • . QO.�.G I I - DATE REVENUE EXPENSES PROFIT/LOSS 0 0 0 r v\ r a i i 1 T I � iI 4 � 1 I ............ F AN "Ass'-�` PJ'S� A� � . co, ; � f i i a M.,_._.. . ._........ .............. L_ .T._.,sla ..... 41hrl/?.41-...... ............... ------— i 12' 6 � ih N N L e- M o 3'1"4 5'8114 3'2 12' ` fi'1An u G'► IUD to vc%4 (VVVWz i F 1 } z�,P PT is"o,c 1 i Z. E R? �•pr� h C-1E............ ------- � i 1 i ! 1 I j t I 1 ( ; f 1 � ( 1 1 ! I � � n DATE REVENUE EXPENSES PROFITILOSS 0 0 0 I . I