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�-r �U/'�LQ �.' . �' v TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 2-MA II Map 0 �r Parcel O l Application # Health Division �+'11�1 Date Issued tzPT Conservation Division Application Fee AUG Planning Dept. TQW 2 9 2017 Permit Fee IUO;_8 Date Definitive Plan Approved by Planning Board A RNST4%, Historic - OKH _ Preservation / Hyannis Project Street Address J 2 721 P,r�/o ,� d Village l� Owner 7�Au e VA.fe/P i s f Address Telephone -IV F 3G D /FZ Permit Request rnz Z a " Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain 'Groundwater Overlay Project Valuation �9�0. Construction Type i 41_d Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family -Er Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes -9'No On Old King's Highway: ❑Yes F❑-No Basement Type: ❑ Full ❑ Crawl i 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 42,def Telephone Number 72-!5 /5` Address License # Home Improvement Contractor# Email rGh Worker's Compensation # lye. =6a ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I P//7 t FOR OFFICIAL USE ONLY APPLICATION # 4. DATE ISSUED MAP/ PARCEL NO. f` .ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL 'E PLUMBING: ROUGH FINAL _ ' GAS: ROUGH FINAL k . FINAL BUILDING 4?1DATE CLOSED OUT, ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts Department of InduslrlalACCldents 1 Congress Street, Suite 100 Boston, MA 02114-2017 www,mass.gov/dla Workers' Compensation Insurance Aftldavit: Builders/Contractors/Electrlclans/Plumbers, TO BE FILED WITH THE PERMITTING AUTHORITY, Applicsnt Informs Please Prtnt-Legibi Name (Business/Organizadon/Individual); Cape Cod Insulation Address; 18 Reardon Circle City/Statellp: South Yarmouth,MA 02664 Phone #; 508-775-1214 Are you an employer?Check the appropriate boxt I, I am a employer with 48 Type of project(required); © employees(full and/or part•time),� ❑ 2,0 1 am a sole proprietor or partnership and have no employees working for me In 7, New construction any capacity,(No workers'comp,insurance required,) 8, ❑ Remodeling 3,❑1 am a homeowner doing ell work myselt-[No workers'comp,Insurnos required,J t 9, ❑ Demolition 4,❑1 am a homeowner and wlll be hiring contmotorito conduct all work on my property, I will 10 ❑ Building addition ensure thu all oontrauon either have workers'compensation insurance or are sole Proprietors with no employees, 11,❑ Electrical repairs or additions 5,❑1 am a general contrautor and I have hired the sub-contractors Ilsted on tha attached sheet, 12,❑plumbing repairs or additions These sub•eontraoton have employees and have workers'comp,insuranee,t 13,❑Roof repairs 6,❑we are a corporation and Its oflloen have exercised thou fight of exemption per MOL o, 14, ✓❑�Other Weatherization 152,11(4),and we have no employees,[No workers'oomp,Insuanos required,) `Any applloant that checks box 61 must also fill out the section below showing their workers'o t Homeowners who submit tlk�fddavlt indicating ompensetlon policy Information they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tConnotors that oheok Us box must attached an additional sheet showing the name bf the sub-oontraotws and state whether or not those entities have employees, If the sub•con notors have employees,they must provide their workers'comp,Policy number, I am an employer'that is providing workers'compensation Insurance I jor my'employees. Below is the policy and/ob site r1Jormatlft Insurance Company Name; Atlantic Charter ' Policy#or Self-ins,Llo,#; WCE00431902 Expiration Date- 06/30/2018 Job Site Address; Sy i y 1d z:-/O ,qa/ City/State/zipt� C z L �� Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date), Failure to secure coverage as required under MOL o, 152, §25A Is a criminal violation punishable by a fine up to$1,500,00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250,00 a day a0ristthe violator,A copy of this statement may be forwarded to the Office of Investigations of the DIA for Insurance coverage veri$oatlon, I do hereby certW under the pains and penalties ojperjury that the iVorraatlon provided above is true and correct. Si¢nature; HenryCassldy 9�'7 508 775 1214 °ate z 71anly, Do not write In this area, to be completed by city or town o___c 1, s Permit/License# snguority(circle ones 1,Board of Health 2, Building Department 3, City/Town Clerk 4, Electrical Inspector•.,$, Plumbing Inspector 6,Other Contact Persons Phone#: Massachusetts Department of Public safety �:,, Board of Building Regulat•lons and Standards License,, 00.100906 ' C�natruotlon 3uReltv�s�or, �� � ,r HENRY 8 OA90I0Y; '� ''��, �'�' • I SHED ROW WEST YARMOVA1 J i �11 �1�11 .711111�1 �-�- EXplratlons ' Co misslonar 11f11f201T 10 ti Offloe of Consumer Affairs and Business Regulation 10 Park Plaza • Suite 6170 Boston, Ma�`' b. usetts 02116 Home Improveme,;:g�0,01 rector Re Istr ailon r� p etT Cape 00� Insulation Inc eistracn, C6or8po8r716 Rear �� Clrole xplratlonf 12/14/2a 0ti10 an 80,.Yarmouth, MA 026$ • ,,, '���:,;1• ;, ,,:,.!;.a ,fir ��aca•� �'i MINI) Vpdate Address and return card, ,,,. ,�.,�.....__...._._,_...,,,,.�„__.,,..,,• Mark reason for change, O�e�aarmcoactvolrlt/oyoG3�G`lraJlro/lWs�tJ• efi..'(,'�•,ll,rx�,lr;n!_r1,a,,,n;ploy/r��snl_1y1.,J,.c�,9.k,O�,r,�. OHIoe of 00nsumer Affairs &Business Requlellon HOME IMPROVEMENT OONTRAOTOR Regletratlon valid for Individual T•1 1'Q.I i Oorporallon before the expiration date, If fo l use on un „ , J1;`iRti, t?xpl_„ ram OHlce of Consumer Affairs and sl 12/14/2018 10 Park Plaza. e b ss Regulation O'ape Cod lilodl 1 ' �;, Boston,M 11 170 Henry Oassldy'tti � '�' . 18 Reardon Olro� So,Yarmouth,M� ,, ?"�4 vnderseoretary t 1s l hout si a� , ' I i CAPECOD-27 KDOYLE DATE(MMIDD/YYYY) ��. CERTIFICATE OF LIABILITY INSURANCE F06/30/2017 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(les)must have ADDITIONAL INSURED provisions or 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. PROgDUCER C CT 434 Rte ers 1�34ray Insurance Agency,Inc. PHONE(A/C,N Exc: (A/C,No):(877)816-2156 South Dennis,MA 02660 mail rogersgra .com INSURERS AFFORDING COVERAGE NAIC N INSURER A:Peerless Insurance Company 24198 INSURED INSURER B:SafelyInsurance Company 39454 Cape Cod Insulation,Inc. INSURER C:Endurance American Specialty Insurance Company 41718 18 Reardon Circle INSURER D:Atlantic Charter Insurance Company 44326 South Yarmouth,MA 02664 INSURER E 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 REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER IMMIDDIYYYYI IMMIDDfYYYY1 LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 11000,000 CLAIMS-MADE FX�OCCUR CBP8263063 04/01/2017 04/01/2018 DAMEM AGE TO-11 RENTED 100,000 occurrence) $ MED EXP(Any oneperson) 5,000 PERSONAL&ADV INJURY 1 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 X POLICY JECT LOC PRODUCTS-COMP/OPAGG 21000,000 OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 11000,000 ANY AUTO 6232707 COM 02 04/01/2017 04/01/2018 BODILY INJURY Perperson) $ AUTOS ONLYtX AUTOSULED IRE pN pWNEp BODILY INJURY Per accidentXAUTOS ONLY AUTOS ONLY PROaccRTYnI AMAGE C UMBRELLA LIAB N OCCUR EACH OCCURRENCE 2,000,000 X EXCESS LIAB CLAIMS-MADE EXC10006635002 04/0112017 04/01/2018 AGGREGATE 2,000,000 DED RETENTION$ D WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY YIN R/O WCE00431902 06/3012017 06/30/201$ ANY PROPRIETOR/PARTNER/EXECUTIVE 1,000,000 QFFICER Yq BE i EXCLUDED? N/A E.L.EACH ACCIDENT 1,000,000 soda o 1 NH E.L.DISEASE•EA EMPLOYE It yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required) Workers Compensation includes Officers or Proprietors. Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Thlelsch Engineering Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 195 Frances Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Cranston,RI 02910 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD i of t►�e rod Town of Barnstable Regulatory Services AARNSTAALE, : Richard V. Scali,Director MASS, m 9�p 1639. ,0� Building Division ArFO M Paul Roma Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section I, DIANE A WASKIEWICZ , as Owner of the subject property hereby authorize Cape Cod Insulation to act on my behalf, in all matters relative to work authorized by this building permit application for: 51 Tupelo Road Cotuit, MA 02635 (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form. C:\Users\decollik\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\L7U69LF2\EXPRESS(2).doc 01/25/17 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel D Application # o 0 S 0 76 3K Health Division Date Issued Conservation Division Application Fee �_DL_) Planning Dept. Permit Fee' 1—Ae•75� Date Definitive Plan Approved by Planning Board Historic - OKH �fD _ Preservation / Hyannis WO Project Street Address I Lk Ae_(a Village �Ls Owner `�c ry �� ���e r, )&cSti-e i..�►C 7_ Address �~� ��L�e�� IC Telephone �`��� ��d• t� 'v��SS 1�����5 (1a1�LR Permit Request " o 0 �X/S �� �U� � tJ9 �n c_ �CPm►� 1,�1� � e� c Q w� . o?3 �� Square feet: 1 st floor: existing proposed — 2nd floor: existing proposed -"'Total new Zoning District Flood Plain Groundwater Overlay Project Valuation (5 Obb"_ Construction Type Lot Size Grandfathered: ❑Yes A-No If yes, attach supporting.documentation. Dwelling Type: Single Family 19 Two Family ❑ Multi-Family (# units) Age of Existing Structure 65 S Historic House: ❑Yes %-No On Old King's Highway: ❑Yes XNo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) s 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: 0 Gas ❑ Oil ❑ Electric 0 Other j ntral Air: ❑Yes ❑ No Fireplaces: Existing��New Existing wool'coal stove: O� s ❑ No Detached garage: ❑ existing 0 new si)Vh-Pool: ❑ existing ❑ new si��' Barn:�a r xisting ,❑ nevo size/ Attached garage: ❑ existing ❑ new sizAtShed: ❑ existing ❑ new size aottCn er: -� Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ _ Commercial ❑Yes Zko If yes, site plan review # Current Use3��Q�(\ Proposed Use Mo V� APPLICANT INFORMATION (BUILDEFR HOMEOWNER) Name elephone Number -5 3� Address License # Q (op Home Improvement Contractor# Email e_05 S, �G CUt,r^ Worker's Compensation # WCCO c�645 -n ALL COS RUCTION DEBRIS RESULTINQA410M THIS PROJECT WILL BE KEN TO a riutnv,�41:�k SIGNATURE DATE �� z FOR OFFICIAL USE ONLY APPLICATION# i DATE ISSUED LL - MAP/PARCEL N0. ADDRESS VILLAGE- OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL o- GAS: ROUGH FINAL FINAL BUILDING r DATE CLOSED OUT ASSOCIATION PLAN NO. ` li Aug OWNER AUTHORIZAMON Job Iv: 07-� ZOeo7 ; i C-L.1► G w Owner of the subjed pmp" h=by and ore_eo,...brC -M M i as �nM D 8c o0 my baba f, in an rrra#m relative to work audxorized by this building Permit aPPlicatim and signed co¢tt wt. Si of Owner: -_ Date: 1, r t� r �sna: N �a >r iet"" s 1111N�t t.'Nat"�, 14 81.`r"t s�+l�•°+r,o 1 ' 1�Ic�.Ocsh,�oo0ta. CZt�dtTorat Ot pantw$ot�ilir coat of Cultbnp RcrOwatwo and 8tcnccr <aN`o CS-108816 JASON PATRV Ul SMWART DRWEA`9� Abin"MA 02�31 J,��i�• ��p..o�tK�N i. nr�uwa►i 0210612019 r _ � OfdoeafCoasaamAffmlm&DaiwaReBdsUoo i i' HOME RAPROVEMENTCONTRACTOR tt38672 Typa'� c Exptn tton. 3MM7 SupptemaM C SOLAR CRY CORPORATION JASON PATRY 24 ST MARTIN STREET 81021.1N1 ��-�— -- kUtLBOAOUGl1 MA 01752 UoQamrebry Office of Consumer Affairs And Business Regulation ' 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 168572. Type: Supplement Card SOLAR CITY CORPORATION Expiration: 3/8/2017 CHERYL GRUENSTERN --- --- - — - - - 24 ST MARTIN STREET BLD 2UNIT 11 - - ---- --- - MARLBOROUGH, MA 01752 Update Address and return card.Mark reason for change. scA, cs zor cos Address ° Renewal ? ; Employment �_'? Lost Card "O.frice of Consumer Affairs&Business Regulation License or registration valid for individul use only 'OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: • 1 Office of Consumer Affairs and Business Regulation r Registration: 168572 Type: 10 Park Plaza-Suite 5170 t` Expiration: 3/8/2017 Supplement Card Boston,MA 02116 SOLAR CITY CORPORATION CHERYL GRUENSTERN 3055 CLEARVIEW WAY �i> Ike ► _;. �,.<,�ci 1� SAN MATEO,CA 94402 — -- -`^ —^ ---- - -- Undersecretary Not valid without signature 77te Commonwealth of Massachiadts Department of Industrial Accidents 1 Congt-s Street,Suite 100 Boston,MA 02114-2017 wtw►umass.gav1dla Workers'Compensation Insurance Afilklavit:Builders/Centredors/Eledticlans/Plu nbem TO BE FILED WITH THE PERMI[ TING AUTHORITY. Agg4caut Inanimation Please Prinf Leai6lt+ Nome SalalCity Corporaflon Address: 3056 Cleawiew Way City/State/Zip: Sari Mateo,CA 94402 Phone#• (888)765-2489 Are ymean m+playa?Check the appropriate bar: Type of project(required): 1.141 ttmaemplayer with 12,500 employees(fWl audlbrpart4ioa).* .7. ❑New construction 101 am a sole proprietor or partnership and We no eMloyces wozkh%for arc in 8. Remodeling say capaohy.(No wmkea'Comp.k usanc*mWkcd.j 3.J1 ama how "n -all wo rk i Wsdr ve lNaoikeW cm v,inswa,um r quired.l 9. El Demolition meane 4.QIamahanwowncrandwillbeMftcmuacwrato allwofkonmyproperty. lwill 10QBildingaddition amwc that ail exx*mwrs oldw have wod;m.'romps wUw Ianrreace*rare sole 1 l.Q Electrical repairs or additions poprictors`ith*° °yem 12.Q Plumbing repairs or additions 5C3 1 am a amoral.mntssetw mid I have hired the suhexmtraden listed on Ike attached sheet These snb-c=actom have*mptoycxs mid have workers'conW insurance t 1 .❑Roof repairs. 6.Q We are a cuponaion and its officers have exemkad ih*right of excmptiaa per Mt1L c. 14. Other solar panels ' 15Z§1(41,and we lieu*no emooyrea,[No waikws'eaw.ht weacc mquircd] +Any applicant that chocks boa at most also fill oat the section below showing their workers'caution policy iufonwaw. •I kffRwwmm echo wbdl this afi3dava buliming dwy arc doing ell wmk and then hire outside.contrartom mist suLmit a raw amdavit b3dicaling such tC*uuadoza that check thL9 box must attacbcd ae ailditiond shed sbowbg the name of the sub•oantraown and state whether or mat those entltks have trrployces. if the sib-eonmmaots have anpbvecs,they mo providc their wd*cW comp polmy tamtber. - act an employer the is providing workers'eongmsatton Lrsrrrrurce for my employs. Bedow h tMe paltry and job site lnfatinOort: Insurance Company Name:American Zurich Insurance Company Policy It or Sel ins.Lic.4: WC0182015-00 Expiration Date. 91112016 Jot Site Address:+ess• 51 Tupelo Road City/State/Zip: Marstons Mills,MA 02648 Attach a copy of the workers'compensation polkW declaration page(showri>,g the poly number and expiration datej. Failure to same coverage as required under MOL c.152.§25A is a criminal.violation punishable by a fine up to S 1,500.00 and/or one-year imprisonment,as well as civil penalties in tluo form ofa STOP WORK ORDER and a t-ms of up to SBO.04 a day against The violator.A copy of this statement may be forwarded to the Office of Investigations o f the DIA for insurance coverage verification. I do hereby cerg&unow the pains and penattles of penury that the L{jormatton provided above is True and correct. (Jason Pa November 4,2015 Of ckad use only. Do not wrlte in this area,to be ctmpided by elty or town o War. City or Town: Permidl ieense# Issuing Apthority(cimte one): 1.Board of Healtfi 2.Building Department 3.Cdyfrown Clark 4.l leetriml Inspector S.Plumbing Inspector 6.Otber Contact Peru;. lPbane#: '01CCE!3AR� CERTIFICATE OF LIABILITY INSURANCE �„ ,"�°""'"' 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 polley(IGS)must be endorsed if SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain poNcies may require an endorsement A statement on this certificate does not confer rights to the certitcate holder In Rau of such endorsernwws. PRODUCER CONTACT MARSH RISK&INSURANCE SERVICES —..._._—._._...... ._..._... pK _..._. _...._..T__ 346 CALFORNR STREET,SUITE 13M PHONE 1t! CALIFORNIA LICENSE NO.0437153 E4WL _..... . . ... .............. .. .__....... SAN FRANCISCO,CA 94104 ........... Aft Shmnon Scoll4t5-7436334 _._....... _..........-nlsuaeR(6)AFrofmwo coYexae, -.... ,• ..__._.. roues 998301-STND-GAWUE-15-16 —. _._ __.. wsuRER A g Zuridt American U-r-a Ca W" - -— •J6535 INSURED SS daf0tyCm mation ass S ...._. .....__..................._.. ._ ._...._..... ..._.. .. ._ — 306,'r CI88MCW Way INSURER c.NIA JJ/` A SanMalep,CA9440Z' _—....--.._.---.....__....... ........... _..._.._.._. INSURER D:Amerfcm Zurich Irsmrxe Cw parry _..-_.........._ . 142 INSURE!F COVERAGES CERTIFICATE NUMBER: SEA-002713838.08 REVISION NUMBER:4 THIS 1S 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. !AWLSU :.................._...._._.... ..._ -PC(JCYEFF POUIGYEXV — — _........ TYPE OF WSURANCE 421M vvv5 POUCY NUMBER LBIprS A X 'commERCIAL GENERAL LIABILITY GLOM82016-00 09R}t/m15 09A1f1016 EACH OCCURRENCE S 3.000,000 DAMAGE TO RENTED I. . �CkAIM6AtADE nOCCUR PREANSE${Ea )... 3,000,OD0 X Sift"1250.000 PERSONAL 8 ADV INJURY S _ 3,000,01D GEN'L AGGREGATE LIMIT APPLIES PER OEPFERAI AGGREGATE S 66000•000 X PQUCY I:.. JJEECT t.....I L� PRODUCTS-GOMP/OP AGG S 6.000.000 - --•- OTHER. S A AuroMORtr R uAwuTY 100182017.00 09,01015 WAH 01fi W9MWD-siN5LEUM1Ts X ANY AUTO i I rl?q Y INJURY(Per person)ALL S OWNED SCHEMEDi BODILY UUURY_(Per.a.cdaent) SAUTOS AUTOS NON401�D PROPERTY DAMAGE MREDAfr05 @Edl —........ .S.. .. .XX _._.^....—._.-..—._..._. 1 COMPICaI.I DED: S j5 0p0 UMBRE LLA i EACH OCCURRENCE S ECE CLARASrdADE AGGREGATE S M S S D WaRKt3tscDMPE7a8ArioN IW0I12014-ffl(AOS) UNIRD15 109101/2016 X R AND EMPLOYER6'lIARIIAYY A YIN ANY PROPRIETORMARTHERIEXECUTIUE � 71=8201S-W(MA) 09M1015 '09101=6 EL EACHACCIDENT S Lw OFficaRaam E N/AjxcwDED) —._ _...__ ............. 1lVC DF_Dt1CT03LE:5500,000 In E L DISEASE-EA EMPLO S 1,OOO.DIS) (Ryea,deesaaft under L DISEASE-POLI(YLMArr 9 100D0� DESCRI NO T*NS E i DBS'CATP7WN OF CPkRATIONS I LOCATIONS I VO4C ES IACORD 191,Ad6ffwW Remarks ScheduTe,maybe atbtahod a mere space Is regdhvdl E vldenae of Insurance. CERTIFICATE HOLDER CANCELLATIONSdwCd ' Y Cmpotetlon SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3056CIearvlevWay THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN San Mateo.CA 99402 ACCORDANCE WIYH THE POLICY PROVISIONS. AUTROIUMD REPRESENTATIVE of Marsh Risk R Insurarm SerWuo Charles Mammleio �-�����1��-.= . ®1980-2014 ACORD CORPORATION. All rights reserved. ACORD 2612014101) The ACORD name and logo are registered marks of ACORD r Version*S2.6-TBD �o oSolarC�t a November 3, 2015 RE: CERTIFICATION LETTER Project/Job# 0262062 Project Address: Waskiewicz Residence 51 Tupelo Rd Cotuit, MA 02635 Design Criteria: -Applicable Codes= MA Res.Code, 8th Edition,ASCE 7-05,and 2005 NDS - Risk Category = II -Wind Speed = 110 mph, Exposure Category C -Ground Snow Load = 30 psf - MP1: Roof DL= 10 psf, Roof LL/SL= 21 psf(Non-PV Areas), Roof LL/SL= 21 psf(PV Areas) - MP2: Roof DL= 10 psf, Roof LL/SL= 21 psf(Non-PV Areas), Roof LL/SL= 21 psf(PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.19312 < 0.4g and Seismic Design Category(SDC) = B < D. To Whom It May Concern,, A jobsite survey of the existing framing system of the address indicated above was performed by a site survey team from SolarCity. Structural evaluation was based on site observations and the design criteria listed above. . Based on this evaluation, I certify that the existing.structure directly supporting the PV system is adequate to withstand all loading indicated in the design criteria above based.on the requirements of the applicable existing building and/or new building provisions adopted/referenced above. This review relies on the roof's structural system having been originally designed and constructed in accordance with the building code requirements and having been maintained to be in good condition. Additionally, I certify that the PV module assembly including all standoffs supporting it have been reviewed to be in accordance with the manufacturer's specifications and to meet and/or exceed all requirements set forth by the ASCE 7 standards for loading. The PV assembly hardware specifications are contained in the plans submitted for approval. Additionally a summary of the structural review is provided in the results summary tables on the following page. K. Sincerely, 1uKt Digitally signed by HKariuki 0 CTURAL No.51933 Humphrey Kariuki, P.E. Date: 2015.11 .03.13:14:57 RF GISTEP Professional Engineer T: 443.451.3515 7051001 email: hkariuki@solarcity.com 3055 Clearview Way San Mateo,CA 94402 T(650)638-1028 (888)SOL-CITY F(650)638-1029 solarcity.com AZ ROC 243771,CA CSLB 888104.CO EC 8041.CT HIC 0032778,DC HIC 71101488,OC HIS 71101488,HI CT•29770,MA HIC 168572,MD MHIC 128948.NJ 13Vb108100800, OR CCB 180498.PA 077343,TX TOLR 27006,WA GCL:SOLARC'91907.0 2013 Solwaty.All dghts roserved. I I =��aa Version#52.6-TBD 45olarClty. HARDWARE DESIGN AND STRUCTURAL ANALYSIS RESULTS SUMMARY TABLES i Landscape Hardware-Landscape Modules'Standoff Specifications Hardware X-X Spacing X-X Cantilever Y-Y Spacing Y-Y Cantilever Configuration Uplift DCR MPi 64" 24" 39" NA Staggered 70.0% MP2 64" 24" 39" NA Staggered 62.3% Portrait Hardware-Portrait Modules'Standoff Specifications Hardware X-X Spacing X-X Cantilever Y-Y Spacing Y-Y Cantilever Configuration Uplift DCR MPi 48" 19" 65" NA Staggered 87.3% MP2 48" 20" 65" NA Staggered 77.7% Structure Mounting Plane Framing Qualification Results Type Spacing Pitch Member Evaluation Results MPi Stick Frame @ 16 in.O.C. 250 Member Analysis OK MP2 Stick Frame @ 16 in.O.C. 250 Member Analysis OK Refer to the submitted drawings for details of information collected during a site survey. All member analysis and/or evaluation Is based on framing information gathered on site.The existing gravity and lateral load carrying members were evaluated in accordance with the IBC and the IEBC. 3055 Clearview Way San Mateo,CA 94402 T(650)638-1028 (888)SOL-CITY F(650)638-1029 sOlarcity.com AZ ROC 243771,CA CSLB 888104,CO EC SO41,CT HIC 0632778.DC HIC 71101488.DC HIS 71101488,HI CT-20170.MA HIC 188572,MO MHIC 128948,NJ 13VHDOIS000OI OR CCB 180498,PA 077343.Tx TDLR 27GOS,WA GCL:SOLARC'91907.0 2013 SoinrCity.All rights roserved. STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK- MP1 Member Properties Summary PIK Horizontal Member Spans Rafter Pro erties Overhang 1.16 ft Actual W 1.501, Roof System Properties San 1 12.66 ft Actual D 5.50" Number of Spans(w/o Overhang) 1 San 2 Nominal Yes Roofing Material Comp Roof San 3 A 8.25 in.A2 Re-Roof No , San 4 SX 7.56 in.A3 Plywood Sheathing Yes San 5 I 20.80 in.^4 Board Sheathing None Total Rake Span 15.25 ft TL Defl'n Limit 120 Vaulted Ceiling No PV 1 Start 2.08 ft' Wood Species SPF Ceiling Finish 1/2"Gypsum Board PV 1 End 11.25 ft Wood Grade #2 Rafter Sloe 250 PV 2 Start Fb 875 psi Rafter Spacing 16"O.C. PV 2 End F„ 135 psi Top Lat Bracing Full PV 3 Start E 1400000 psi Bot Lat Bracing At Supports PV 3 End Emig 1 510000 psi Member Loading mary Roof Pitch 6 12 Initial Pitch Ad'ust Non-PV Areas PV Areas Roof Dead Load DL 10.0 Psf x 1.10 11.0 psf 11.0 psf . PV Dead Load PV-DL 3.0 psf x 1.10 3.3 psf Roof Live Load RLL 20.0 psf x 0.93 18.5 psf Live/Snow Load LL SL112 30.0 psf x 0.7 1 x 0.7 21.0 psf 21.0 psf Total Load(Governing LC I TL 1 32.0 psf 35.3 Dsf Notes: 1. ps=Cs*pf;Cs-roof,Cs.-pv per ASCE 7[Figure 7-2] 2. pf= 0.7(Ce)(CO(IS)pg; Ce=0.91 Ct=1.1,Ik=1.0 Member Design Summa (per NDS Govemin Load Comb CD CL + CL - CF Cr D+ S 1.15 1.00 0.52 1 1.3 1 1.15 tuber Analysis Results Summary Governing Analysis I Max Demand @ Location capacity DCR T Result Bending + Stress 1457 psi 7.5 ft 1504 psi 0.97 Pass ' r (CALCULATION OF-UESIGN'WINW OADS=MP1 Mounting Plane Information Roofing Material Comp Roof tem Type _ _ SolarCity_Sleek PV Sys Mount— Spanning Vents No Standoff Attachment Hardware Comp Mount Type C Roof Slope 250 Rafter-Spacing 16"O.C. Framing Type Direction Y-Y Rafters Purlin Spacing _X-X.Purlins Only NA Tile Reveal Tile Roofs Only NA Tile Attachment System TIe.Roofs Only_ _ NA Standing,Seam[Trap Spacing SM Seam Only NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind Design Method Partially/Fully_Enclosed Method Basic Wind Speed V 110 mph Fig. 6-1 Exposure.Category C Section_6.5.6.3_ Roof Style Gable Roof Fig.6-11B/C/D-14A/B Mean Roof Height h 25 ft Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure Kz— 0.95 Table 6-3 Topographic Factor Ktt_ - 1.00 Section 6.5.7 Wind Directionality Factor �Kd 0.85 Table 6-4 Importance Factor Imo— 1.0 Table 6-1 Velocity Pressure qh qh = 0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15 24.9 psf Wind Pressure Ext. Pressure Coefficient U G -0.88 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down GC 0.45 Fig.6-11B/C/D-14A/B Design Wind Pressure p p =qh(G ) Equation 6-22 Wind Pressure U -21.8 psf Wind Pressure Down 11.2 psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 64" 39" Max Allowable.Cantilever Landscape_ 24" _ NA Standoff Configuration Landscape Staggered Max Standoff_Tributary Area Trib 17 sf _ PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff T-actual_ -350_Ibs_ Uplift Capacity of Standoff T-allow 500 lbs Standoff Demand/Capacity DCR 70.0% X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 65" Max Allowabl_e_Cantilever Portrait 19" NA Standoff Configuration Portrait Staggered Max Standoff Tributary Area• Trib 22 sf - PV Assembly Dead Load W-PV 3.0 psf Net Wind.Uplift at Standoff Tactual_ -436 Ibs Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand/Capacity DCR 87.3% I • STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK - MP2 Member Properties Summary MP2 Horizontal Member Spans Rafter Pro erties Overhang 1.16 ft Actual W 1.50" Roof System Pro erties San 1 11.92 ft Actual D 5.50" Number of Spans(w/o Overhang) 1 San 2 Nominal Yes Roofing Material Comp Roof San 3 A 8.25 in.^2 Re-Roof No San 4 S. 7.56 in.A3 Plywood Sheathing Yes San 5 11 20.80 in.A4 Board Sheathing None Total Rake Span 14.43 ft TL Defl'n Limit 120 Vaulted Ceiling No PV 1 Start 1.92 ft Wood Species SPF Ceiling Finish 1/2"Gypsum Board PV 1 End 11.17 ft Wood Grade #2 Rafter Sloe 250 PV 2 Start Fb 875 psi Rafter Spacing 16"O.C. PV 2 End F„ 135 psi Top Lat Bracing Full PV 3 Start E 1400000 psi Bot Lat Bracing I At Supports PV 3 End Emig 510000 psi Member Loading mary Roof Pitch 6 12 Initial Pitch Ad'ust Non-PV Areas PV Areas Roof Dead Load DL 10.0 psf x 1.10 11.0 psf 11.0 psf PV Dead Load PV-DL 3.0 psf x 1.10 - 3.3 psf Roof Live Load RLL 20.0 psf x 0.93 18.5 psf Live/Snow Load LL SL1,2 30.0 psf x 0.7 1 x 0.7 21.0 psf 21.0 psf Total Load(Governing LC I TL 1 1 32.0 psf 1 35.3 psf Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7[Figure.7-2] 2. pf=0.7(Ce)(Cr)(IS)pg; Ce=0.91 Ct=1.1,Is=1.0 Member Design Summa (per NDS Governing Load Comb CD CL + CL - CF Cr D+S 1.15 1.00 0.55 1 1.3 1 1.15 tuber Analysis Results Summary Governing Analysis I Max Demand @ Location Capacity DCR Result Bending + Stress •1294 psi 7.2 ft 1504 psi 0.86 Pass r (CALCUL'ATION OFT6E9IGNWIND=LO'AD5�MP2 Mounting Plane Information Roofing Material Comp Roof PV System Type SolarCity_SleekMountTm Spanning Vents No . Standoff Attachment Hardware Comp Mount Type C Roof Slope 250 Rafter_Spacing 16"O.C.. Framing Type Direction Y-Y Rafters P_urlin Spacing _X-X Purlins Only_ NA Tile Reveal Tile Roofs Only NA. Tile Attachment System Tiile.Roofs Only NA Standing Seam/Trap Spacing' SM Seam Only NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind.Design Method Partially/Fuliy_Enclosed_Method Basic Wind Speed V 110 mph Fig. 6-1 Exposure Category C _Section 6.5.6.3_ Roof Style Gable Roof Fig.6-116/C/D-14A/B Mean Roof Height I h 15 ft Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.85 Table 6-3 Topographic Factor KA 1.00 Section 6.5.7 Wind Directionality Factor Kd 0.85 Table 6-4 Importance Factor I� 1.0 Table 6-1 Velocity Pressure qh qh =0.00256(Kz)(Kzt)(Kd)(V^2)(I)22.4sf Equation 6-15 Wind Pressure Ext. Pressure Coefficient U GC u -0.88 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down GC 0.45 Fig.6-11B/C/D-14A/B Design Wind Pressure p p=qh(G ) Equation 6-22 Wind Pressure U -19.6 psf Wind Pressure Down 10.1 Psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 64" 39" Max Allowable.Cantilever Landscape 24" _NA Standoff Configuration Landscape Staggered Maz Standoff Tributary_Area Trib 17 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff T-actual _ -311 Ifs Uplift Capacity of Standoff T-allow 500 Ibs Standoff D mand/Capacity DCR 62.3% X-Direction' Y-Direction Max Allowable Standoff Spacing Portrait 48" 65" Max Allowable Cantilever Portrait 20" NA Standoff Configuration Portrait Staggered Max,Standoff Tributary Area_.,: Trib 22 sf PV Assembly Dead Load W-PV 3.0 psf NetW ind Uplift at Standoff T-actual 388_lbs_, Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand/Capacity DCR 77.7% TOWN OF BARNSTABLE. 2013 MAY 10 AM H: ) 9 RI S E Division of Thielsch Engineering,Inc. 1341 Elmwood Avenue ENGINEERING Cranston,Rhode Island 02910 DIVISI�?i May 1, 2013 Thomas Perry, CBO Town of Barnstable Building Division 200 Main Street Hyannis, MA 02601 Re: Insulation permits Dear Mr. Perry, This affidavit is to certify that all insulation work.completed for 51 Tupelo Road has been inspected by a Building Performance Institute (BPI) certified Professional. All work performed meets or exceeds Federal and State requirement. Sincerely, Erik Nerstheimer Supervisor of Installations, BPI certified Building Analyst Professional and Envelope Professional, RISE Engineering, a division of Thielsch Engineering, Inc. 1341 Elmwood Avenue Cranston,RI 02910 401-784-3700 •800-422-5365 •Fax 401-784-3710 I Of T► ' Od ti -Town of Barnstable /O o S o *Permit Regulatory Services q MA53 �AlEo6J9. A.�� Thomas F. Geiler, Director >� 3 S Building Division SE 2 b- 2012 Torn Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 TOWN OF gARNSTABLE www.[own.barns tab le,ma.us Office: 508-862-�1U38 •'" ' ' •`� EXPRESS PERMIT APPLICATION Fax: 508-790-6230 ` Not Ya!!d without Red X-press/��SIDENTIAI, ONLY nl Map/parcel Number B S i Property Address Lc> U! _residential Value of Work Minimum fee of$35.00 for work underS6000.00 :)wner.'s Name & Address Ae- Vractor's Name Telephone Number .jIne lrnproverncn[ Contractor License#Y(ifapplicable) 10 jjqCt r. instruction Supervisor's License #(if applicable .. ) cr.rrr'1— Workrnan's Compensation Insurance Chec one: 1 am a sole proprietor ❑ lam the Homeowner I have Worker's Compensation Insurance .ranee Company ]Name krnan's Comp. Policy#-- Y of Insurance Coulplijuce Certificate must accompany each permit. a Req Ue$t'(check box) ❑ kc-rouf(siripping old shingles) All construction debris will be taker, to STAeA_❑ .< Re-roof(not stripping. Goin 8 over existing layers of root) Re-side U ❑ Rep lace men[ Windows/doors/sliders. U-Value #ofdoors (rndxirnum .44)#of windows Where rcyuircd: Issuancrof this permit does not excmpf compliance with other sown dcpanmau regulations,i.e.Historic,Conservation,etc. "'Note: Property Owner must sign Property Ot•vner Letter of Permission. A copy of the Home Irnprovemeut Contractors Li cen required. se & Construction Supervisors License is URE: � ng permit(oruulEXPRESS.doc r Jill t t i gistration valid for individul use only License or re . before the expiration date. If found return toulation I Office of Consumer Affairs and Business Reg 10 Park Plaza-Suite 5170 Boston,MA 02116 I' N valid without signature 0mce ore HOME Ij nsumerAlra eg /Mp stration. VEEirs B°oin essE xP MCONRC Ie gu'/a `b`o-nirati ''�1:p1148 Ro�O •»., HN p 6I2sr20 DUNN � _�` 4 TYPe; 1 s =� ndiv du. 8°hn Dunn al 0:MARI ���-� E ANN T , is �j CEN'TERVILLE MqE 02 . 1_` L2rB�. Undersecretary Massachusetts _ Board of Buildin department Of g Regulati Public Constru Safety • ction S ons and Stan license: upen.isor dards JO P CS 14007 "► JO 1)UNN X 9BO 24/80'""� Center�ilie Aj UP 2� Commissioner - . Expiration 05/25/2014 i 'f FIE r�y Town of Barn-stable ` Regulatory Services • BAIRNSCABLZ �Q uAaI Thomas F. Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, IvLk 02601 www.town.barnstable.ma.us Office: 508-862-4-03 8 Fax: 508-790-623C P rop e rty Owne r Mus t Complete and Sign This Section If Using A Builder as Owner of the subject.property hereby aut_ho to act on my behalf, in 0 matters relative to work authon2ed by this building permit application for. (Address of Job) o� C9lv—aoQ4— S, true of Owner Date " Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption .dorm on the reverse side. t The Commonwealth of Massachusetts Department of Industrial Accidents Office oflnvestigations 1 ii li i iii 600 Washington Street Boston, MA 02111 www.mass.go v/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legij Name (Business/Organization/lndividual): Address: :Q (3. qi City/State/Zip:CO! CC 2+.).�t V—. 0k,Ci Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ 1 am a general contractor and 1 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2.[�am a sole proprietor or partner- listed on the attached sheet. t Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.[] Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] 13.❑ Other 'Any applicant that checks box fit must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. (�,,. Insurance Company Name: F--�3=(ATTy� %IDL44 � Policy #or Self-ins. Lic. #: <aGq W:�cpb( ( Expiration Date: r Job Site Address;� n. � �City/State/Zip: AS'�y1-S IS nA 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 S 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 hereb Nertify under the pains and penalties of perjury that the information provided above rs true and correct. Si gn ature Date: (R J(o 1�--- Phone#:1 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): I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other. ('nntart Pprcnn• Phone#: J V!Inv-i ^ DATE(MMIDDIYYY r O CERTIFICATE OF LIABILITY INSURANCE 10/28/11 IN ONLY THIS CERTIFICATE ISR OF INFORMATIO NOTU F I CATAFF AS A IRMATIVELY VELYEOR NEGATIVELY AMEND, EXTDEND OR ALTER CONFERS NO RIGHTS COVERAGE AFFORDED ABY THE POLICIES CERTIFICATE DOES BELOW. THIS IVE CERTIFICATE PRODUCER.INSURANCE, ND CERTIFICATE OO HOLDER. ust be UTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE IMPORTANT•d Ifconditionsthecertificate holder is an certain policies INSURED,an a nd0rsy(ies)m A statement ondthis certificate does not conferDightsJto the the terms annd certificate holder in lieu of such endorsement(s). CONTACT PRODUCER 508-771-1632 NAME: FAX Northwood Ins.Agency,Inc. 508 393 2955 PA°N�d Ezt: AIC No 540 Main Street, Suite 9 E•MAIL Hyannis, MA 02601 ADDRESS: INSURERS AFFORDING COVERAGE 'NAIC a ! INSURERA:The Norfolk & Dedham Grou INSURED John Dunn Aluminum and INSURER a•Associated Employers Ins. Co. Vinyl Products -INSURER C P 0 Box 924 INSURER D Centerville, MA 02632 INSURER E 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 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. _. �AOD U9� POLICY EFF POLICY EXP LIMITS INSR I TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LTa 1,000,000 ' GENERAL LIABILITY I EACH OCCURRENCE 15 R1051735A 09/23111 09/23/12 AMA PREMISES(Ea occurrence) I S A 1 COMIMERCIAL GENERAL L IABIL ITY CLAIMS-MADE OCCUR I I MED EXP(Any one person) I , I PERSONAL 8 ADV INJURY S X 'Business Owners ! I 2,000,000 GENERAL AGGREGATE S i -- � I I PRODUCTS•COMPIOP AGG 5 GEN1 AGGREGATE!Ini:T APPLES PER' I POLICY PRO. LOC ! COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY ` i (Ea accidentl S __ I i I i BODILY INJURY(Per person) !S - I ANY AU?0 '—i ALL pb'.'f•;ED SCHEOV'_ED 1 I BODILY INJURY(Per accident) S AUTOS �_ AUTOS - 1 PROPERTY DAMAGE $ NON-OWNED , , i ! Per accident _— 1 HIRED AUTOS AUTOS ! S i I I,S UMBRELLA lIAO EACH OCCURRENCE I OCCUR � -- i EXCESS LIAR I I I I I AGGREGATE ,S CLAIMS-MADE OEC ' RETEn'TIONS i I $ WC STATU• IOTH-! —I --- WORKERS COMPENSATION TORY LIMITS I I °R I —----- AND EMPLOYERS'LIABILITY i B YIN 500.00 11 I 09/29112 , CCIDENT ANY PROPR¢TORiPARTNERIcXECUTIVE IWC5004658012011 �II I t OFRCERIn1EMBER EXCLu NI A EMPLOYEEf $ 500,00 OED? I i � I E.L.DISEASE•EA (Mandatory in NH) l ! II yes,CesCnDa Undet i ! E.L.DISEASE•POLICY LIMIT I S 500,00 DcSCRIPi!Or<OFOPERA,!ONSoelo•, '. ! ( i lil l � RD 101,Additional Remarks Schedule,it more space is required) DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACO I i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 'THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVEE . ����.C,i:IGC.r��•�'T7"'�(-dam' ©1988-2010 ACORD CORPORATION. All rights reservedA ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 106848 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0,151 Parcel � Application # Health Division 'Date Issued V Conservation Division Application Fee —�' Planning Dept. Permit Fee' J Date Definitive Plan Approved by Planning Board Historic - OKH Preservation /Hyannis 0 Project Street Address ----- 51; Tupelo Road Village Ma,-grons Mills Owner Diane Waskiewicz Address same Telephone 508-428-2246 Permit Request air sealing, insulate attic (R-23) , weatherstrip` attic access hatch, install 2 insulated exhaust hoses and 8 soffit vents Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1910 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family .0 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 new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Rocm)Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal;stove: ❑.Yes-Ull No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ 91 ;n Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: i M 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 RISE Engineering Telephone Number 401-784-3700 Address 1341 Elmwood Ave; Cranston, RI 02910 License # 100459 Home Improvement Contractor* 120979 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 11 NIP Erik Nerstheimer for RISE p f� r1 J FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED_ y _ .MAPJ PARCEL NO. - ,,ADDRESS. VILLAGE `OWNER;. 4' DATE OF INSPECTION: FOUNDATION ,' 7,0 FRAME .'INSULATION.!! FIREPLACE 1' ELECTRICAL: ROUGH FINAL i - 7 PLUMBING: ROUGH FINAL Aj GAS.:':- ROUGH = %ug` FINAL ::FJNAL BUILDING b_. DATE CLOSED OUT ASSOCIATION-PLAN NO. � . i � I ( . RISE ENGINEEkui G Fe 'ID#OS-WS629 RI Contractor Registration No 81J16 A division of Thielsch Engineering MA Contractor Registration No 120979 CT Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,R102910 } (401)7844700 FAX(401)784-3710 CONTRACT Page 1 RL S E ' THIS CONTRACT IS ENTERED INTO BETWEEN RISE ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DESCRIBED BELOW CUSTOMER PHONE DATE Client B Diane A Waskiewicz (508)428-2246 08/17/2010 106848 SERVICE STREET BILLING STREET _ 51 Tupelo Road 51 Tupelo Rd ^� �' Ll SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP ' Marston Mills,MA 02648 Marstons Mills,MA 026 r^-n JOB DESCRIPTION RISE Engineering will provide labor and materials to seal areas of your home against wasteful,excess air leak will be performed in concert with the use of special tools.and diagnostic tests to assure that your home will.be left with a healthful level o air exchange and indoor air quality.Materials to be used to seal your home can include caulks,foams,weatherstripping and other products. Primary areas for sealing include air leakage to attics,basements and other unheated areas(windows are not generally addressed.) This work will be performed at the rate of$66 per man per hcur,which includes materials and testing. 8.5 man hours. $561.00 'RISE Engineering will provide labor and materials to install a 7"layer of R-23 Class I Cellulose added to 988 square feet of open attic space. $988.00 RISE Engineering will provide labor and materials to install insulation and weatherstripping to 1 attic access hatch(es). $25.00 RISE Engineering will provide labor and materials to install 2insulated exhaust hose w\roof mounted flapper vent to exhaust existing bathroom fan(s). $200.00 RISE Engineering will provide labor and materials to install(8 4" X 16"rectangular aluminum soffit vents to increase ventilation in attic Areas. $136.00 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for eligible . measures,the Cape Light Compact offers 100%incentive for air sealing. . $561.00 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for eligible measures,the Cape Light Compact offers 75%incentive,not to exceed$2,000 per calander year. -$1,011.75 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF '*'Three.Hundred Thirty-Seven &25/1.00 Dollars $337.25 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE A 17.MR 3YDAYS. EVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES AUTHIORkED SIGNATURE-RISE ENGINEERING C T6MER ACCEPTANCE .. NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF.NOT EXECUTED WITHIN QATE OF ACCEPTANCE .. ACCEPTANCE OF CONTRACT-THE OVE PRICE , PECIFICATIONB AND CONDITI ARE SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO 00 THE WORK DAYS. AS BPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street U. Boston, Mass. 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/organization/Individual): RISE Engineering a division of Thiel ch ngi near;ng Address: 1341 Elmwood Avenue City/State/Zip: Cranston, RI 02910 Phone#: (401)784-3700 or 1-800-422-5365 Are you an employer?Check the appropriate box: Type of project(required): 1. 0 1 am an employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part time).* have hired the sub-contractors 2. 0 I am a sole proprietor or partner- listed on the attached sheet. �• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp. insurance.1 9. ❑Building addition required] 5.0 We are a corporation and its 10. ❑Electrical repairs or additions 3. ❑ 1 am a homeowner doing all work officers have exercised their myself 11. ❑Plumbing repairs or additions y [No workers' comp. right of exemption perm MGL insurance required] t c. 152, § 1(4),and we have no 12. ❑Roof repairs employees. [no workers' 13. N Other Insulate comp.insurance required.] *Auy applicant that checks box#1 must,also fill out the section below showing their workers'compensation policy information. tHomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contactors that check this box must attach sin additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees.Below is the policy and job site information. Insurance Company Name: The Preston Aeency Policy#or Self-ins.Lic.#: 3730961-00 Expiration Date: 1/1/11 Job Site Address: _ 5 37 / ! "P-QJ{o Kod. City/State/Zip: �)J--;,� DC k0ld, 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 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 $250.00 a.day against violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certi and the ins enalties of perjury that the information provided above is true and.correct. Si nature: '` Date: j a Print Name: Erik Nerstheimer Phone#:(401)784-3700 or 1 800 422 365 x 1 33 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): LBoard of Heath 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact person: Phone#: ACORD. CERTIFICATE OF LIABILITY INSURANCE OPID 47 DATE(MMIDO (Y) THIEL-1 04/13/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF I f Y INFORMATION The Preston Agency, Inc• ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1350 Division Rd Suite 303 HOLDER%THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO Box 810 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. East Greenwich RI 02818-0810 Phone: 401-886-8000 Fax:401-8857-1700 INSURERS AFFORDING COVERAGE NgIC� INSURED INSURER.& Zurich—American Ins Co. Thielsch Engineering, Inc INSURER B: A-r.lc— Gwrsnt— c L14b1.11ty Thielsch Dioup Inc.Hi Tech Realty Inc. INSURERC: North American Capacity 195 Prances Avenue INSURER D: Hartford Insurance Company Cranston RI- 02910 p y INSURER E' COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWI-iHSTANDING AN(REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCLMdENT WITH.RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED-OR w-,Y PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT'TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE 8EEN REOUCED BY PAID CLAIMS. ITISR j4IJU . LTR INSR rePE OF INSURANCE POLICY NUMBER DATE(MWOO/YY) DATE 1�DIYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE 3 11000,000 TX COMMERCIAL GENERAL LIABILITY 3730962-00 04/01/10 01/01/11 PREMI�sE3 0' eoccwence) T 300,000 CLAIMS MADE rxl OCCUR', MED EXP(Any.ono person) $ 10,0 0 0 PERSONAL 3 AOV INJURY S 1,000,000 GENERAL AGGREGATE s2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG ; 2.1 000,0 0 0 POLICY X PRO- LOC Emp Ben. 1,000,000 AUTOMOBILE LIA8ILTN , COMBINED"SINGLE LIMIT S A X ANY AUTO 37309,63-00 04/01/10 Ol/Oi/11 (En accident) 2,000,000 ALL OWNED AUTOS - BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS NC BODILY HAIRY 5 d•A•OY/NED AUTOS accrdanl) PROPERTY DAMAGE S (Per accioeN) GARAGE LIA81LYtY AUTO ONLY-EA ACCIMgT ; ANY AUTO OTHER TTUNI EA ACC A.UTO.ONLY: AGG S EXCESS/UMBRELLALIABIL(TY EACH OCCURRENCE - ; 10,000,000 B X occuR ❑CIAIMSkWDE LIMB 9263637-00 09/O1/10 O1/01/11 AGGREGATE 110,000,000 DEDUCTIBLE $ X REJENTION $10,0 0 0 S WORKERS COMPENSATION AND X TORY LIMITS EREMPLOYERS'LIABILITY A ANY PROPRIETOR/PARTNEPVEXECUTIVE 3'730961-00 04/01/10 O1./01/11. E.L.EACH ACCIDEtrr $ 1,000,000_ OfHCER/MEh18 EYEXCLUDED?If yes,describe under E.L.DISEASE-EA EMPLOYEE ;1,0 0 0,0 0 0 SPECIAL PROVISIONS below E.L.DISEASE-PdLICY LWIT $ 1,0 0 0,0 0 0 OTHER C Professional Liab DVLO00026.800 04/O1/10 09/01/11 Prof Liab 2,000,000 DILeased/Rented Eqp 02UUNTD5678 1 09/01/10 04/01/11 Equipment 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS[VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 0_YS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY HIND VPON THE INSURER.ITS AGENTS OR REPRESENTATIVES. AUTHORCLE�REPRCSC ACORD 25(2001108) or V @ACORD CORPORATION 1988 sm • 'Y�' It;<'bW,'.•�;":;s�>ar"r;,�u 19�frn l'/.,:2,P J:tri�({J 44 a+ta;rt:w, !i ��5 j' t il% '4_tYtli - rCf:r;. t- t: �Iu ,f wP tlyhr44 �v�<�,r6rii��r3.-�''i9��1� �n•� {•' � p.:-'�- ��9��} t,','�� '``�l�t�IJ�:I�Ini�l! �' ��� {��i,¢THIF:L:1 5 t_tr<t�rai N OfT E P� { �' '}"�,4 ��I,K�..,.�rq t 1 t>i !,A• {,�, >r uh�f�,:. �` ;�,�{,: i OP tl`�'2���' ,i���.,F�, �, on e`o°��irit �o' Q }•� ,p�t�-.�u"EDfSMAME%�'akTH"ie1�C,}it��1�`�`ine� t�n�. }}'nQ� r�j ��#�r 1,,..�f�!�:.::e�.,,�71..,.� , fai ���.t,,/ . / 7 .. s.�... s:Zs t•.,-li+�itrll::h,-r.UfJt ._ -... t.;,..�:f�:u. .:A 8ttt.,.. l:� -1s{:t�,�-Jt ...vx7i,P.itO.,;L:..-N l� :::�.a r t 7i:�. Also for A RISE Engineering, a division .of Thielech Engineering,. Inc. Gaskell Associates.; a division of Thielech Engineering, Inc. BAL Laboratory; .a division of Thielech Engineering, Inc. ESS Laboratory, a division of, Thielech Engineering, Inc. ALCO Engineering, a division of Thiel.ach Engineering; Inc. Water Management Services, a division of Thielsch Engineering, Inc. \ 91te nsumer fangand usmess e u anon O ice o o g 10 Park Plaza- Suite 5170 Boston,=husetls 02116 Home Improventractor Registration Registration: 120979 Type: Supplement Card z w Expiration: 3/25/2012 THIELSCH ENGINEERING m ERIK NERSTHEIMER 1341 ELMWOOD AVE. a W CRANSTON, RI 02910 `- � w yc� v`0 °y•�r S�a Update Address and return card.Mark reason for change. Ej Address ❑ Renewal ❑ Employment Lost Card DPS•CA1 0 50M-04/04-G101216 ,per �!e ,°oominzoouveall/ o�.�aaeac�ucaelta Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration 979 . Type: 10 Park Plaza-Suite 5170 Iry Expira. 12 Supplement Card Boston,MA 02116 THIELSCH EN ERIK NERSTH 1341 ELMWOOD CRANSTON, RI 029 _/- " Undersecretary Not valid without signature i r d8e 1 OI 1 I The,Official Website of the Executive Office of Public Safety and Security (EOPS) Mass.Gov Home Public Safety Department of Public Safety Licensee Complaints License Type Construction Supervisor License#/ 100459 Restriction WS,IC Name Erik Nerstheimer City, State, Zip North Scituate, RI, 02857 Expiration Date 3/28/2012 Status Current No complaints found for this Licensee. Back TO Search \ ✓�ie.�o7n7nchz;ceo,�� o�✓�aeaczc/u.celta -'Yq;: ';:.:.:7""•°':_.._.'_.._..:.._. .. 'd Board of Building Regulations and Standards } j.;;.. kense or registration var d-for individlil use only •i HOME IMPROVEMENT CONTRACT i 1 before the expiration date. If found return to: Registrat•iQii:: 120979 Board of]Building Regulations and Standards Ez ,irati:o:n- .25/2010 ;. One Ashburton Place Rm]301 uPpiement Card =:T^Astrlu,142- 021 08 ELSCH ENGiNEE-k!bG.- K NERSTHEIMEFZR _ J'QE 1 ELMWOOD aNSTON, RI02910--•_'=` ;, �"�-t. �i, .— _ �• . Admin.isti.." Not valid without si nit'� 're hrtp:Hdb.state.ma.us/dps/licdetalls.asp?tXtSearchLN=( ,qT.1 0()d.SQ qw. PA-fr X NAT-24531 - 1 i Engineering Dept.(3rd floor) Map Parcel Permit# House# Date Iss d . `6--9 Z_ Board of Health(3rd floor)-(8:15 - 9:30/1:00-4:30)90 r � ���Fee S, Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) SEPTIC SYSTE &ST"BE NSTALLED 1NCE Definitive Plan Approved by Planning Board 19 WITH ENVIRONME AND TOWN OF BARNSTABLEr®WN RAC , Building Permit Application F' Project Street Address _�,/�j�� Q �� Lam, t *' Village / Owner �11�'W1�_S (AJ &z i Py0i /,Z Address ZZd e 1,44,A 0 Telephone Permit Request (/ /iU S First Floor square feet Second Floor square feet Construction Type )-�, Estimated Project Cost $ D�. Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.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 - Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name /�,/� Telephone Number � '/ :Q 7 Address i 2, ]5,n k Z //Mr , License#. 6/Zl S-3 CM7/I T Y l l azIr �.C� Home Improvement Contractor# f Qi�Q Worker's Compensation# /i e OZ�OV f(G --D-- NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTI G FROM THIS PROJECT WILL BE TAKEN TO r _-/ SIGNATURE VIIA DATE 4/� 7 BUIL ING PER DENIED R TIIE FOLL ING REASON(S) Q�,� -� o : vim-`6 et` '�� �'"�-• FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ' ELECTRICAL: ROUG FINAL 4 } PLUMBING: RQUGi 'r FINAL. GAS: e;�sw� FINAL.'* Oil ry FINAL BUILDING • �lye �V 1 .,' < , t , DATE CLOSED OUT, F ASSOCIATION PLAN NO. ' r 1 - The Town of Barnstable . BAWMAN Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 O&ce: 508 79"227 Ralph Crosm Fax: 508-775-3344 Building Commissioner For office use only Permit no. Date AFMAVrr HOME EUROVEMENT CONTUCTOR LAW SUPPLEXENT TO MRMIT APPLICATION MGL e. 142A requires that the`neoonstruction,alterations,renovation,repair,modaaIxaUioa,oonvumion, imprOWRIerri, removal, demolition, or oonstrt,dion of an addition to any pre-e4sting owner occupied building containing at ltast one but not more than four dwelling units or to strwtures which arc adjacent to such residence or building be done by registered Cootradors,with certain cxotptions,along with other raquircrncnti Type of Work: , ESL Cog f Address of Work: �, u O,Amer Namc:_ Date of Permit Applicatien: &L32 I hereb%eertifv that: Registration is not required for the following reason(s)- Work excluded by law Job under S 1,000 Building not owner-0ocupW Owner pulling owa pemlw Nods is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALTNG WITH UNREGISTERED CONTRACTORS FOR APPLICABLE ROME 1WROVEMENT 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 oµmer: / 0 0 Date Contractor name Registration No. I OR Date Owner's name i CollunoltweafilL of Ma .daclLu6cl l - I.O ..(�oParfincn/o��nc�uafria��ccic�infl 600 VVailunyfon S11001 James J.Campbell I�osfon, V a .4,a,tfta 02 f f f Commissioner Workers' Compensation insurance Affidavit I, N((Ik L1l9Gftiuv S (tlaascelp�n�ee) with a principal place of business at: (Cctyrluulzly) do hereby certify under the pains and penalties of perjury, drat: I am an employer providing workers' compensation Coverage for my employees working on this job. &Ale 55 42V C,�5- Insurance Company Policy Number () I am a sole proprietor and have no one working for me in any capacity. () I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number () I am a homeowner performing all the work myself. I understand that a copy of this statement will be forwarded to the Orrice of Investigations of the DiA for coverage verification and that failure to secure coverage as required under Section 15A of MGL 151 can lead to the imposition of criminal penalties consbtine of a fine of up to$1,500.00 and/or or. years' imprisonment,,swell as civil penalties in the form of a STOP WORK ORDER and a flue of S 100.00 a day against me. Sign 1is day of Lice ee/C'erritict Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 TOWN OF. BARNSTABLE BUILDING PERMIT 0 i I DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Restricted To: 00 C7rs41CHOLAS.A LAGAOINOS 13 THANKFUL LANE COTUIT, MA 02635 � i ' v85 0 Restricted To: 08 B0 - None 1A - Masonry only 1G - 1 6 2 Family Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. i SEM tlA '1I010J tr3Norssrry �vnnm. SON dN linlo0 NOMISiNINCY I 38tl1 103YNtlHl EI auel jnljue41 SOMIMV1 tl WHOM SoutPe6el d SPIO40TH t' 00 <ES b SONIOd9tl1 Stl10HOIN ➢S6I/9T/[0 [ T/LO- SJ ':alePgT�19 :s2JTd nNtiti/ST/LO uotlelTdz33SH37Il usi dnOJ ` 1df10IAuoTIe1 sisal1133VS JI d 30 1 j:: toet'Ot .l 1 b t 8 IMINOO 1NMAOMI NOR I ------- ----__ ---- -----------w ___:.-------------------------------- �j Restricted To: 00All 00 - (tone License or 'reg istration valid for individual lA I- ftasonry only t :: ' 1 use. only before expiration date. If found t Fmll.r� o p+saes,a aarroot i ly Notes Ma, on..ona return to:One Ashburton Place Rm 1301 o-� t i C a l•eeara for r►voo.t/on tos Ida.OZ = t. � I f 1 r 2 Mills Waskiewicz Land In BARNSTABLE - Marston Diane A. & James R. 3130 006 .................................................... Belonging to................................................. Deed in Book................ Page....... Land Court Certificate No. .............., in Book............... Page............ In Barnstable,,, Registry„°!..Deeds..... Recorded Plan Land.•in Barnstable by Baxter 6 Nye, Inc., Surveyors Date of Plan . Feb. 2, 1979 ' ..................................................................................:.......... ........................................ i■Barnstable•.•, Reglstry.gf• Deeds in plan B ••••337••••.,•No...!....... Filed Plan No. ..................................... MORTGAGE INSPECTION PLAN STEVENSON, JOHNSON E BRAMS 32351 Lea■Na Diane A. E James R. Waskiewicz v, j 0000 `\ \ \� 2 � O No,s� ti I I I LOT 23 <: ;a )b b (166.63) I TUPELO ROAD April 30, 1986 - JN 47781 Scale 1"—40% I CERTIFY THAT THIS PLAN WAS PREPARED \ r IN ACCORDANCE WITH THE COMMONWEALTH - OF MASSACHUSETTS PROCEDURAL AND TECH.NiCAL STANDARDS FOR THE PRACTICE _ • , OF LAND SURVEYING 250 CMR 6.05 AND WITH THE SPECIFICATION SHEET ATTACHED HERETO. tltl I!s. Iii, ■ ■ _ OF I :m _��� +■ �� KENNETH�9` B. Y: ANDERSON Y No. 31298�0 O �;a n '3? E,p PfCISTE(�� .,J�:•+S.y -"^'afr ark �.1 ,F Hr. ��•� ////// L LA1t0 -•- 11'AsseSr's map and lot number . ..........., , TT Sewage Permit number ... ...... .l..............`.............. C SYSTEM MUS ' AUJO IN CoMPu � LE, :' House number •........#�`r1...:................................................ V6M TITLE 5 'o "b a 0� ENVIRONMENTALCOOS . A,. � 'B�aY TOWN OF BA��RNS11XIBIE, -� BUILDING INSPECTOR F APPLICATION FOR PERMIT TO rw�f..... d1J TYPE OF CONSTRUCTION .... ........6. O ......................................... :..................................: ,...)�........... (J. (- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information/I://. Location y t-- TOFFS E`1l LL, ,... .............................��`...�.... ........................... ........................................ Proposed Use ... ate ......... /4K�&r........ .............................................. G ., .............. r Zoning District ..........Fire District aE-&�iE.Ef/>6,/-E: r•............................................:... .... ................... Name of Owner J��,&:�J � �.......K!!/�.�J.�rr.✓nvjC?.....................Address ...... Name of Builder — Vl�ill.../...(.....................Address .Name of Architect ..................................................................Address .................................................................................... Number of Rooms ..................l...............................................Foundation .......... iA ,L1...... ........:......... Exierior .........Roofing .......... `/�I� ................................................ Floors ....ow......:7P.....k !q... ................... .Interior ........� ... �4 a ..... .............. .................................... M Heating Gv/T�/ . . V`� Plumbing.... . ....... . .....................J.. Fireplace ..:.. Q...............................................................Approximate Cost ......... -000................... ........... .. Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area ........ ..4. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH o /J o r 3 o° X I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ti Name . ? .. '...... z.............. WSKIEWICZ, JAMES .22.5.6..5... Permit for ..T.Wo....St.oKY...... ..... .... to'�Y...... .. Single Family Dwell.inq... ......... ......................................................... ...... ... ........ 10 Lot #23 51 TUPE10 oad Location ................................................ ..... Marstons Mills ............................................................................... Owner .am.es s..Wa s.k.i.e.w i.e-z...................... .... .. .. ........ .. . .. .... .. . .. .... .. .. Type of Construction .......F.ra.m.e...................... ..................................................;.............................. Plot ............................ Lot ................................ October 7,........19 80 Permit Granted ............................. (e� Date of Inspection ................///�......19 Date Co plet9d .../................4 19 9,'/ m A W rn PERMIT REFUSED .................................. 19 C, .........re ................................. .................. ............................:................... r .................................................... Approved ................................................. 9 ............................................................................... fzi Al IL )eOQ - PC ti Z e- �.44 z. N i1.tJnAt r ft W34 C E—.SZTtl=l�1J p'ate .60 C G IZ T t P Y T t-t A,T' T(-1 r-- p t_A Q li G P t? t t c W ri-Z M Ot,4 6OAA 'L V-, w i rt4 -ri-lE j 10 E.l_l i•• C L6T Z3 A Wr-> 'SGTl3ACIG VGQUitcENt&WTIi 0 P T1.1ir� 'TO W Li oP7 fl-�A)z1JSTA5!_t FLA►i U Z-:, S 4E 4u I NC T(-•t t-S V) A W 1 LJ OT U:...1 A W U T P-V t l..l C c.) It.lyTi`rJ...�c,i.i; '�,EJi �/C.�( � T.at'� ur= , T<>• ;i•lGe�rLx� APPL-I C. T' �/V tl�_ ..F- 1 ► 1 l�il" Cyr USC:La 1`L, UC='t'C�►Adi�.�C_ '�.`%'C' !_ii�ti.=�': tied- � / e SU. ` I \ -7w��•""'�e TOWN OF BARNSTABLE Permit No. --------___--------- 1 ' Building Inspector •au & Cash am 039. OCCUPANCY PERMIT Bond ----____--------_ No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Rime, Wa-zkic!4•Ticz Address Wiring Inspector Inspection date Plumbing Inspector ? Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ....................................................1 19......_ ........................................................................_............................_....._._ Building Inspector . . - �� �, ; � •�. .,1-\Y'` i ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE 1. THIS SYSTEM IS GRID—INTERIIED VIA A AC ALTERNATING CURRENT UL—LISTED POWER—CONDITIONING INVERTER. BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. . CONC CONCRETE 3. A NATIONALLY—RECOGNIZED TESTING DC DIRECT CURRENT LABORATORY SHALL LIST ALL EQUIPMENT IN EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3. (E) EXISTING 4. WHERE ALL TERMINALS OF THE DISCONNECTING EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED IN THE OPEN POSITION, FSB FIRE SET—BACK A SIGN WILL BE PROVIDED WARNING OF THE GALV GALVANIZED HAZARDS PER ART. 690.17. GEC GROUNDING ELECTRODE CONDUCTOR 5. EACH UNGROUNDED CONDUCTOR OF THE GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5. I CURRENT 6. CIRCUITS OVER 250V TO GROUND SHALL' Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(B). Isc SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DO NOT ENTER kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN (N) NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY NEUT NEUTRAL UL LISTING. NTS NOT TO SCALE 9. MODULE FRAMES SHALL BE GROUNDED AT THE OC ON CENTER UL—LISTED LOCATION PROVIDED BY THE PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING POI POINT OF INTERCONNECTION HARDWARE. PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. S STAINLESS STEEL STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V VOLTVOLTAGE AT MAX t V cp VOLTAGE AT OPENPOWER CIIRCUIT VICINITY MAP INDEX W WATT 313 NEMA 3R, RAINTIGHT PV1 COVER SHEET PV2 SITE PLAN PV3 STRUCTURAL VIEWS PV4 UPLIFT CALCULATIONS LICENSE GENERAL NOTES PV5 THREE LINE DIAGRAM r• Cutsheets Attached GEN #168572 1. ALL WORK TO BE DONE TO THE 8TH EDITION X ; ELEC 1136 MR OF THE MA STATE BUILDING CODE. 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2014 NATIONAL ELECTRIC CODE INCLUDING MASSACHUSETTS AMENDMENTS. O MODULE GROUNDING METHOD: ZEP SOLAR AHJ: Barnstable REV BY DATE COMMENTS r REV A NAME DATE COMMENTS s # x s x s x # UTILITY: NSTAR Electric Commonwealth Electric) # # # # CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER g-0262062 OO PREMISE OMB' DESCRIPTION: DESIGN: CONTAINED SHALL NOT E T SO FOR THE WASKIEWICZ, JIM WASKIEWICZ RESIDENCE Kevin Midei SO�ci�C�t BENEFIT OF ANYONE EXCEPT IN YMO E INC., MOUNTING SYSTEM: 51 TUPELO RD �'`a NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C PART TO OTHERS OUTSIDE THE RECIPIENTS 5.98 KW PV ARRAY ��� y. ORGANIZATION, EXCEPT IN CONNECTION WITH MODULE. COTUIT, MA 02635 TMK OWNER:* . St. Martin Dom,Building 2,Unit n 7CI�M THE SALE AND USE OF THE RESPECTIVE .(23) TRINA SOLAR # TSM-260PDO5.18 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN 'RM: PERMISSION OF SOIARgTY INC. INVERTER: PAGE NAME SHEET: REV: DAIS: Marlborough,MA 01752 SOLAREDGE SE5000A—USOOOSNR2 (508) 360-6182 COVER SHEET PV 1 10/21/2015 (Bea)-SOL-CITY(7g5-2489) �s#rcI ycom r PITCH: 25 ARRAY PITCH:25 MP1 AZIMUTH:246 ARRAY AZIMUTH: 246 r MATERIAL: Comp Shingle STORY: 2 Stories PITCH: 25 ARRAY PITCH:25 c F.` MP2 AZIMUTH:246 . ARRAY AZIMUTH:.246 . ?� MATERIAL: Comp Shingle STORY: 1 Story O K. o RIUKI ST UCTURAL u No.51933 O RFGIST6a� STAMPED & SIGNED FOR STRUCTURAL ONLY 51 Tupelo Rd Digitally signed by 4 - (E)DRIVEWAY HKariuki Date: 2015.1 1 .03 Front Of House LEGEND 13:15:26 -05'00' OAC (E) UTILITY METER & WARNING LABEL I D II(Invll . lnv INVERTER W/ INTEGRATED DC DISCO & WARNING LABELS © DC DISCONNECT & WARNING LABELS 0 0 ❑ 4j AC DISCONNECT & WARNING LABELS Q DC JUNCTION/COMBINER BOX & LABELS A s D DISTRIBUTION PANEL & LABELS Lc LOAD CENTER & WARNING LABELS O DEDICATED PV SYSTEM METER 0 STANDOFF LOCATIONS CONDUIT RUN ON EXTERIOR —� CONDUIT RUN ON INTERIOR GATE/FENCE 0 HEAT PRODUCING VENTS ARE RED INTERIOR EQUIPMENT IS DASHED L_iJ SITE PLAN Scale: 1/8" = V _ 0 1' 8' 16' Ed wl'I'lo PREMISE OWNER DESCRIPTION: DESIGN: \hf' CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER Jg-0262062 00 WASKIEWICZ, JIM WASKIEWICZ RESIDENCE SolarCit CONTAINED SHALL NOT BE USED FOR THE Kevin Mlljel �, BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: 51 TUPELO RD 5.98 KW PV ARRAY ��`` Y NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C PART TO OTHERS OUTSDE THE RECIPIENTS MODuus COTUIT, MA, 02635 za sL Martin Drive.Building 2 Unit 11 ORGANIZATION, EXCEPT IN CONNECTION WITH Marlborough,MA 01752 THE SALE AND USE OF THE RESPECTIVE (23) TRINA SOLAR # TSM-260PDO5.18 PAGE NAME SHEET' REV. DATE T. (650)638-1028 F: (650)638-1029 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INS: (508) 360-6182 SITE PLAN PV 2 10/21/2015 (888)-SOL-CITY(765-2489) www.solaronycom PERMISSION of SOLARCITY INC. SOLAREDGE SE5000A—USOOOSNR2. Si Si1 11 " 11'-1111 12'-8" - 1'- (E) LBW 1'- (E) LBW SIDE VIEW OF MP1 NTS � SIDE VIEW OF MP2 NTS A MP2 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES MP1 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES LANDSCAPE 64" 24" STAGGERED LANDSCAPE 64" 24" STAGGERED PORTRAIT 48" 20" PORTRAIT 48" 191, RAFTER 2x6 @ 16" OC ROOF AZI 246 PITCH 25 STORIES: 1 ARRAY AZI 246 PITCH 25 RAFTER 2x6 @ 16"OC ROOF AZI 246 PITCH 25 STORIES: 2 C.J. 2x6 @16"OC Comp Shingle ARRAY AZI 246 PITCH 25 C.J. 2x6 @16"OC Comp Shingle � F,111e K. IUKI PV MODULE o TU V ST UCTURAL No.51933 5/16" BOLT WITH LOCK INSTALLATION ORDER RFGISTE�'``� & FENDER WASHERS LOCATE RAFTER, MARK HOLE � �ONA1 ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT (6) HOLE. SEAL PILOT HOLE WITH STAMPED & SIGNED (4) (2) POLYURETHANE SEALANT. FOR STRUCTURAL ONLY ZEP COMP MOUNT C ZEP FLASHING C (3) (3) INSERT FLASHING. (E) COMP. SHINGLE (4) PLACE MOUNT. (E) ROOF DECKING (2) INSTALL LAG BOLT WITH 5/16" DIA STAINLESS (5) (5) SEALING WASH R. STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH WITH SEALING WASHER (6) BOLT & WASHERS. (2-1/2 EMBED, MIN) (E) RAFTER. S1 STANDOFF , CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: J B-0 2 6 2 0 6 2 O O PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: WASKIEWICZ JIM WASKIEWICZ RESIDENCE Kevin Midei NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 51 TUPELO RD 5.98 KW PV ARRAY ►�5olarCity. PART TO OTHERS OUTSIDE THE RECIPIENT'S MODuIEr COTUIT MA 02635 ' ORGANIZATION, EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE (23) TRINA SOLAR # TSM-260PDO5.18 24 St. Martin Drive, Building Z Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME SHEET: REV. DATE Marlborough,MA 01752 PERMISSION OF SOLARCITY INC OLAREDGE SE5000A—us000sNR2 (508) 360-6182 STRUCTURAL VIEWS PV 3 10/21/2015 (BBa)_SOL_ �i028 F: (6500)6388-1029 UPLIFT CALCULATIONS • i SEE SEPARATE'PACKET FOR STRUCTURAL CALCULATIONS. PRT]11�OWNER: _ DESCRIPTION: � DESIGN:. CONFIDENTIAL— THE I BE USED R HERON JOB NUMBEfi ,J g-0262062 OO JIM WASKIEWICZ RESIDENCE Kevin Midei SolarCit CONTAINED SHALL NOT BE USED FOR THE, WASKIEWICZ, BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: 51 TUPELO RD - 5.98 KW PV ARRAY wol y. NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C PART TO OTHERS OUTSIDE THE RECIPIENT'S MODULES COTUIT, MA 02635 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St.Martin Drive,Building Z Unit 11 01752 THE SALE AND USE OF THE RESPECTIVE (23) TRINA SOLAR # TSM-260PDO5.18 PAGE NAME g{�T; RE.. DATE. Marlborough,MA 5D) SOLAPERMRCITY OFI EQUIPMENT, I I WITHOUT THE WRITTEN INVERTER: 508 360-6182 / / a T: SDL— TY(7626 F: (650)638-102g SOLAREDGE SE5000A—USOOOSNR2 ). UPLIFT CALCULATIONS PV 4 10 21 2015 (BBa�soL—CITY(765-248g) .�...ealar�ny.�n GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO TWO (N) GROUND Panel Number:CH40KM200 Inv 1: DC Ungrounded INV 1 -(1)SOLAREDGE#SE5000A-USOOOSNRF, 26 LABEL: A -(23)TRINA SOLAR TSM-260PDO5.18 GEN #168572 RODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:2235612 Inverter; 50uu0W, 240V, 97.5% w Unifed Disco and ZB,RGM,AFCI PV Module; OW, 236.9W PTC, 40MM, Black Frame, H4, ZEP; 1000V ELEC 1136 MR Underground Service Entrance INV 2 Voc: 38.2 Vpmox: 30.6 INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER �E 200A MAIN SERVICE PANEL E� 20OA/2P MAIN CIRCUIT BREAKER Inverter 1 (E) WIRING CUTLER-HAMMER 1 20OA/2P Disconnect 3 SOLAREDGE DC+ SE5000A-USOOOSNR2 ---- DC- MP 2: 1x9 (E) LOADS B 2aov r ----------------- ------ EGc ------ -------------- ----� u Lz oc+ I I N 2 I 11 13) 30A/2P ---- CND ---------- ------ -EGG --- DC I + I p I cEc IiN DC- c MP 1: 1x14 I i6 -----------------f� E --- -----------—---------tOCo,nduit -------------I ' I , N I Kit; 31e EMT c EGC/GEC i I I � I I - GEC -1 TO 120/240V SINGLE PHASE I I I I UTILITY SERVICE I I I I ' I I I I f I ' I I PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN Voc = MAX VOC AT MIN TEMP POIT (1)CUTLER—HAMM If BR230 PV BACKFEED BREAKER Breaker, 30A 2P, 2 Spaces AC PV a3)SPowerBGE aW300-2NA4AZS DC —(2)Gro qd RoQ PowerBox ptimizer, 300W, H4, DC to DC, ZEP 5r8 x B. Capper nd (1)AWG g6, Solid Bare Copper ' B (I)CUTLER—HAMMER DG221URB —(1)Ground Rod; 5/8" x 8% Copper -0)CUDisconnect; 3EA, 2D VG03ONBon—fusible, NEMA 3R (N) ARRAY GROUND PER 690.47(D). NOTE: PER EXCEPTION NO. 2, ADDITIONAL Ground eutral It 30A, General Duty(DG) ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCATION OF (E) ELECTRODE 1 AWC g10, THWN-2, Black 2 AWG #10, PV Wire, 600V, Block Voc* =500 VDC Isc =15 ADC O (1)AWG#10, THWN-2, Red 1 AWG T ( ) �i6, Solid Bare Copper EGC Vmp =350 VDC Imp=6.6 ADC. (1)AWG g10. THWN-2, White NEUTRAL VmP =246 VAC Imp=21 AAC (1 Conduit Kit; 3/4',EMT• , , , , , , , , , , , , , 0)AwG#8,,THWN72,,Green . , EGC/GEC, (1)Conduit.Kit;.3/47.EMT. , . , • , 06, Pv IWre, 60OV, Black VoC* =500 VDC Isc =15 ADC O I�sl (1)AWG p6, Solid Bare Copper EGC Vmp =350 VDC Imp=10.26 ADC R(1)Conduit Kit; 3/4' EMT . . . . .. . . . . . . . . . . CONFIDENTIAL— THE INFORMATION HEREII NUMBER J B-0262062 00 PREMISE OWNER• DESOMPTION: DESIGN: CONTAINED SHALL NOT BE TSEO FOR TH WASKIEWICZ, JIM WASKIEWICZ RESIDENCE Kevin Midei ;,`�Olar„�'� • �- BENEFIT OF ANYONE EXCEPT SOLARCITY NnNG SYSTEM: 51 TUPELO RD ��'a NOR SHALL IT BE Dlsaosm IN WHOLE omp Mount Type C 5.98 KW PV ARRAYPART TO OTHERS OUTSIDE THE RECIPIENORGANIZATION, EXCEPT IN CONNECTION WULEs COTUIT, MA 02635 THE SALE AND USE OF THE RESPECTIVE3) TRINA SOLAR # TSM-260PDO5.18 24 St.Martin Drive,Building 2,Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRIRTER: pp�NAME SHEET: REk DATE Marlborough, MA 01752 PERMIs9oN of soLARCITY INc. OLAREDGE SE5000A USOOOSNR2 (508) 360-6182 PV 5 10 21 2015 L• (650)638-1028 F: (650)638-1029 THREE LINE DIAGRAM / / (eeBrsol- (765-2489) wwwsolarcfly.cam Label Label Location: Label Location: WARNING:PHOTOVOLTAIC POVVER SOURCE ; WARNING ;' WARNING ' Code:Per _ ELECTRIC SHOCK HAZARD NEC • ELECTRIC SHOCK HAZARD - Code: NECNEC �.� •' DO NOT TOUCH TERMINALS THE DC CONDUCTORS OF THIS Label. TO BE USED WHEN • - • : INVERTERIS LINE AND PHOTOVOLTAIC SYSTEM ARE PHOT .OVOLTA LOAD SIDES MAY BE ENERGIZED MAY BE ENERGIZED UNGROUNDED DISCONNECT Per NEC .•0 Label Location: Label Location: PHOTOVOLTAIC POINT OF '• INTERCONNECTION s Code:Per MAXIMUIVI POWER- WARNING: ELECTRIC SHOCK POINT CURRENT(Imp) A Per Code: HAZARD. DO NOT TOUCHNEC '' NEC ' 90-54 MAXIMUM POWER- VNEC 690.53TERMINALS.TERMINALS ON POINT VOLTAGE(Vmp)_ BOTH THE LINE AND LOAD SIDE MAXIMU�A SYSTENI_V MAY BE ENERGIZED IN THE OPEN VOLTAGE(Voc) POSITION. FOR SERVICE SHORT-CIRCUIT DE-ENERGIZE BOTH SOURCE • CURRENT(Isc)_A AND MAIN BREAKER. PV POWER SOURCE AgAXIMUNI AC A OPERATING CURRENT MAXIMUNt AC V Label Location: OPERATING VOLTAGE WARNING ' Per ..- NEC ELECTRIC SHOCK HAZARD . IF A GROUND FAULT IS INDICATED NORMALLY GROUNDED Label Location:_ CONDUCTORS MAY BE CAUTION UNGROUNDED AND ENERGIZED DUAL POWER SOURCEPer Code: SECOND SOURCE ISNEC 690.64.; PHOTOVOLTAIC SYSTEM Label • • WARNING ' Per ELECTRICAL SHOCK HAZARD Label Location: NEC 6.0 CAUTION ' (POPer I) DO NOT TOUCH TERMINALS NEC TERMINALS ON BOTH LINE AND LOAD SIDES MAY BE ENERGIZED PHOTOVOLTAIC SYSTEM •• IN THE OPEN POSITION CIRCUIT IS BACKFED DC VOLTAGE IS ALWAYS PRESENT WHEN SOLAR MODULES ARE EXPOSED TO SUNLIGHT Label • • Per WARNING ..- INVERTER OUTPUT•- • • NEC '. CONNECTION ' Disconnect PHOTOVOLTAIC AC DO NOT RELOCATE THIS OVERCURRENT Conduit DISCONNECT DEVICE (CB): Combiner Box NEC .•o (DC): DC Disconnect (IC): Interior Run Conduit Integrated DC Disconnect Label Location: (INV): Inverter With (AC)(POI) Load Center - MAXIMUM AC A IMeter OPERATING CURP.ENT ode MAXIMUM AC V •. �'int of Interconnection NECOPERATING VOLTAGE 3055 Clearview Way San Mateo, 1. 17 /• / 7'i 1 1 / 71 /• 1 1 • 1 71 :7 i / 1 a r 1 •• 0638-1028 0 0 LabelSet29 t %kSOIarCit I Z Solar Next-Level PV Mounting Technology t 1,� Y P 9 9Y SolarCity. I ZepSolar Next-Level PV Mounting Technology Zep System Components for composition shingle roofs . Grand zep AneAuck (KOY lift,ro—) mug rca - -- r S Zep ConyaaEre W Idoddc �� • � zepGrawe - _�..► Rod Attachment A�skilt r-( QpOMDATj Description F /a PV mounting solution for composition shingle roofs o dppp Works with all Zep Compatible Modules • Auto bonding UL-listed hardware creates structual and electrical bond • Zep System has a UL 1703 Class"A"Fire Rating when installed using V� LISTED modules from any manufacturer certified as"Type 1"or"Type 2" Comp Mount Interlock Leveling Foot Part No.850-1382 Part No.850-1388 Part No.850-1397 Listed to UL 2582& Listed to UL 2703 Listed to UL 2703 Specifications Mounting Block to UL 2703 Designed for pitched roofs O(b Installs in portrait and landscape orientations • Zep System supports module wind uplift and snow load pressures to 50 psf per UL 1703 • Wind tunnel report to ASCE 7-05 and 7-10 standards Zep System grounding products are UL listed to UL 2703 and ETL listed to UL 467 Zep System bonding products are UL listed to UL 2703 Engineered for spans up to 72"and cantilevers up to 24 • Zep wire management products listed to UL 1565 for wire positioning devices Ground Zep Array Skirt,Grip,End Caps DC Wire Clip • Attachment method UL listed to UL 2582 for Wind Driven Rain Part No.850-1172 Part Nos.500-0113, Part No.850-1448 Listed to UL 2703 and 850-1421,850-1460, Listed UL 1565 ETL listed to UL 467 850-1467 zepsolar.com zepsolar.com Listed to UL 2703 This document does riot create any express warranty by Zep Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for This document does not create any express warranty by Zep Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for each product.The end-user documentation shipped with Zep Solars products constitutes the sole specifications referred to in the product warranty.The customer is solely each producL The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely responsible for verifying the suitability of Zep Solar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. responsible for verifying the suitability of Zep Solar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. 02 27 15 ZS for Comp Shingle Cutsheet Rev 04.pdf Page: 1 of 2. •02 27 15 ZS for Comp Shingle Cutsheet Rev 04.pdf Page: 2 of 2 l solar - - solar=@9SolarEdge Power Optimizer • • . Module Add-On for North America P300 / P350 / P400 SolarEdge Power Optimizer. P300 P350 P400 - Module Add-On For North America (formodules) PV (forodulel PV (f module PV "modules) modules) modules) (INPUT _ P300 / P350 / P400 Rated Input DC Power.. 300 350 40D W _ Absolute Maximum Input Voltage lVoc at•lowest[empe2ture)........... 48......... ...... ..60.. ....,_ ............. of ......, ....Vdc..,. MPPT Operating Range........................................................8: ..........8:.60.....................a..�......... ...Vdc..... .............. Maximum Short Circuit Current(Isc) . . 10 Maximum DC Input Current ..........12,5 A c ................. Maximum Efficien ..............................99:5 - 98.8 ., Weighted Efficiency..................................................................................................................................... ........... Overvoltage Category II ?OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER) 1 Maximum Output CurrentisAdo _ Maximum Output Voltage 60 - Vdc (OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER-OFF) 1 " Safety Output Voltage per Power Optimizer 1 Vdc )STANDARD COMPLIANCE FC EMC C Part15 Class B IEC61000-6-2,IEC61000-6 3 ........................................................................................... ............ ............. - •q Safety.............:..........................................................................IEC62109.1(class II safety).UL3741................... ............. RoHS Yes ' I INSTALLATION SPECIFICATIONS • t,,. Maximum Allowed System Voltage.........................................................................1000........... ......................... ..Vdc... 141x212z40.5/S.SSx8.34x1.59 mm/in ............... Dimensions(W x l x H) --••• ..950/2.1.................................. .. - Weight(including cablesl_ .................................. .. .. Input Connector ,••_....,,MC4/Amphenol/.Tyco.......................... ..............................ecl:.......................................................... Double Insulated Am henol..... Output Wlre TYPe%Connertor............................ P ...................................... Output Wire Length..................... 0.95/3.0 12/39 m/ I•.• .. - OPeratin�Tempe2ture Range.....................................................................40-+85/:40,:+185............................ .. Protection Rating " ................................................................................................. RelativeHumiditY...................................:..........................................................:100..................................... ....%...... �naaasrt nwvwm<�amn�.M,e�xauom.sx oo.�,wrnM�aim.ce. PV SYSTEM DESIGN USING A SOLAREDGE SINGLE PHASE THREE PHASE - THREE'PHASE INVERTER 208V - 480V PV power optimization at the module-level MlnlmumStringLength(Poweroptimizers) .. B 10 .... 1B......... ... .... Maximum String Length(Power Optimizers) 25 25 50 ............................................................... ..... ..... ..... .... ........ — Up to 25%more energy Maximum Power per String 5250 6000 12750 W Superior efficiency(99.5%) Parallel Strings of Different Lengths or Orient.tians.._....•................ ..,,••-„-..Yes•.,..,.............................,•„„......-.•,••. - Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading — Flexible system design for maximum space utilization - - Fast installation with a single bolt - - Next generation maintenance with module-level monitoring - Module-level voltage shutdown for installer and firefighter safety USA - GERMANY - ITALY - FRANCE - JAPAN - CHINA - ISRAEL - AUSTRALIA wwwsolaredge.us THE 'TI~inamount MODULE TSM-PD05.18 Mono Multi Solutions I DIMENSIONS OF PV MODULE ELECTRICAL DATA®STC unlf:mm Peak Power Watts-PM (Wp) I 245 250 255 260 941 t t 1 f I • I Power Output Tolerance-Pm (%) 0-+3 1 , THE TrinamountMaximum Power Voltage-VMr(V) ( 8.20 8.27 8.37 ` 8.50N 0 7 r e� f Maximum Power Cvrrent-IMrP(A) 8.20 8.27 8.37 8.50 C, Open Circuit voltage-Voc IV) 1 37.8 ) 38.0 1 38.1 f 38.2 ,'e'09x1 l Short Circuit Current-Isc(A) 1 8.75 8.79 8.88 r 9.00 ,T.,l1WC NOLE n MODULE � Module Efficiency 9m(%) J 15.0 15.3 i 15.6 , 15.9 STC:Irradiance IOOO W/m'.Cell Temperature 250C.Air Mass AMl.5 according to EN 60904-3. Typical efficiency reduction of 4.5%at 200 W/m'according to EN 60904-1. . c b � 0 ELECTRICAL DATA®NOCT 60 CELL Maximum Power-P-(Wp) 182 1 186 1 190 193 1. Maximum Power Voltage-VMr(V) 27.6 28.0 28.1 28.3 , MULTICRYSTALLINE MODULE 4s,JG OOND NG eaE Maximum Power Current-IrArv(A) 6.59 6.65 6.74 [ 6.84 WITH TRINAMOUNT FRAME ].ORNxNOE "- A Open Circuit Voltage(V)-Voc IV) 35.1 35.2 35.3 35.4 T Short Circuit Current(A)-Isc(A) t 7.07 7.10 I 7.17 1 Z27 NOCT:Irradiance at 800 W/m'.Ambient Temperature 20°C.Wind Speed 1 m/s. 245-260W PD05.18 Btz tso Back View POWER OUTPUT RANGE MECHANICAL DATA Solar cells I Multicrystalline 156 x 156 mm(6 inches) Fast and simple to install through drop in mounting solution � !Cell orientation 60 cells(6 x 10) 15 � w� Module dimensions 1 1650 x 992 x 40 mm(64.95 x 39.05 x 1.57 inches) v i Weight 1 21.3 kg(47.0Ibs) MAXIMUM EFFICIENCY Glass 1 3.2 mm(0.13 inches),High Transmission,AR Coated Tempered Gloss A-A I Backsheet White t - Good aesthetics for residential applications 1 Frame l Black Anodized Aluminium Alloy with Trinamount Groove J /� J-Box IP 65 or IP 67 rated 0--+ (/7o I-V CURVES OF PV MODULE(245W) �/I y � Cables {Photovoltaic Technology cable 4.0 mm'(0.006 inches'), IOU I!1200 mm(47.2 inches) POWER OUTPUT GUARANTEE 9m 000wim 8.m 80OW/m' Fire Rating Type Highly reliable due to stringent quality control <6m • Over 30 in-house tests(UV,TIC,HE and many more) 5m m As a leading global manufacturer • In-house testing goes well beyond certification requirements u 600 /m' TEMPERATURE RATINGS MAXIMUM RATINGS of next generation photovoltaic3. _ products,we believe close ` 2 m 2OOW/rn' Nominal Operating Cell I 44°C(±2°C) Operational Temperature)-40-+85°C Tem er cooperation with our partners I m p azure(NOCT) is critical to success. with local + Om 0:- to.- 20m 30P 40m Temperature Coefficient of P- 4-0.41%/•C VoltaMaxige System I000V DC(UQ presence around the globe,Trina is Temperature Coefficient of Voc t-0.32%/•C Max Series Fuse Rating 15A able to provide exceptional service vatoge(v) 1 s to each customer in each market ® Certified to withstand challenging environmental Temperature Coefficient of 1sc 0.05%rC and supplement our innovative, conditions reliable products with the backing • 2400 Pa wind load of Trina as a strong,bankable • 5400 Pa snow load WARRANTY partner. We are committed to building strategic,mutually t 10 year Product Workmanship Warranty beneficial collaboration with 25 year Linear Power Warranty installers,developers,distributors (Please refer to product warranty for details) a and other partners as the backbone of our shared success in CERTIFICATION 'driving Smart Energy Together. LINEAR PERFORMANCE WARRANTY PACKAGING CONFIGURATION a, a' 10 Year Product Warranty•25 Year linear Power Warranty `mow cat Modules per box:26 pieces z' Trina Solar Limited w www.frinasolar.com �► Modules per 40'container:728 pieces E ' 3 Addlfl 1 value r EIF].WEEE 1 m 90% from Trino Solor s llnegr N a t co runxr Trina. o Mann, • CAUTION:READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT. LONP41, solar t;80% TrinasOlar m2014Trino Solar Limited.All rightsreserved.Specifications Included In this dotosneetare subject to S change without notice. Smart Energy Together w. Years 5 10 Is 20 25 Smart Energy Together °asrv�� ■.Tdna standard �. Industry standard THE T&tmount MODULE TSM-PD05.18 - Mono Multi Solutions DIMENSIONS OF PV MODULE ELECTRICAL DATA @ STC unit:mm , Peak Power Wafts-Pwsx(Wp) 250 255+ 260 265 I 941 0- 3 1 I Power Output Tolerance-Pruac ICI • - - Maximum Power Voltage-V(V) 30.3 30.5 30.6 , 30.8 THETHnamount �� � i � � Maximum 8.27 8.37 BSD 8.61 xveFvurE Open Circuit Voltage-Vac(v) 38.0 38.1 i 36.2� I 38.3 0 Short Circuit Current-Isc(A) 8.79 8.88 9.00 9.10 , asxo E f c Module Efficiency qm(96) i 15.3 i 15.6 -- j 15.9 16.2 MODULE STC:Irradiance y re uctio Cell Temperature 25•C.Air Mass to E s according EN 60904-3 Typical efficiency reduction of 4.5$at 200 w/m'according to EN 60904-1. o � 0 ELECTRICAL DATA @ NOCT Maximum Power-Pr (Wp) 186 j 190 i 193 i 197 l 0 w��� �Maximum Power Voltage-Vw(Vi I 28.0 28.1 28.3 28.4 . (v" Maximum Power Current-lMrr(A) 6.65 11 6.74 6.84 6.93 MULTICRYSTALLINE MODULE PD05.18 A A Open Circuit Voltage(V)-Voc(V) 35.2 35.3 35.4 35.5 1 :.tlWx a E. WITH TRINAMOUNT FRAME Short Circuit Current(A)-Isc(A) i 710 zv zv 7.35 NOCT:Irradiance at 800 w/m'.Ambient Temperature 20•C,wind Speed 1 m/s. ' 812 180 250 265W Bock view MECHANICAL DATA I solar cells MDlticrystalline 156 x 156 mm(6 inches) POWER OUTPUT RANGE Cell orientation 60 cells(6 x 10) j Fast and simple to install through drop in mounting solution Module dimensions 1650 x 992 x 40 mm(64.95 x 39.05 x 1.57 inches) 1 •2% weight 19.6 Trim (0.13 i( bs) Glass 3.2 mm(0.13 nches).High Transmission,AR Coated Tempered Glass MAXIMUM EFFICIENCY AA ;Fr aksheet white ' frame Black Anodized Aluminium Alloy Good aesthetics for residential applications ,-Box IP 65 or IP 67 rated ® Cables Photovoltaic Technology cable 4.0 mm'(0.006 inches'), /J ,1200 mm(47.2 inches) 0--+% �(//o I-V CURVES OF PV MODULE(260W) i j . �Connector H4 Amphenol POSITIVE POWER TOLERANCE et s°°ow m Fire Type UL 1703 Type 2 for Solar City Highly reliable due to stringent quality control • Over 30 in-house tests(UV,TC,HF,and many more) ' As a leading global manufacturer ,tom 31 &00 �a r TEMPERATURE RATINGS MAXIMUM RATINGS • In-house testing goes well beyond certification requirements s� 1 , of next generation photovoltaic PID resistant 6 Nominal Operating Cell + Operational Temperature 40-+85°C products,we believe close 3 4.0e Temperature(NOCT) (44°c(_2°c) Maximum System 1000V DCpEC) t cooperation with Our partners °0° Temperature Coefficient of P- -0.41$/°C Voltage 1000V DC(UL) zoo is critical to success. With local +.ao Temperature Coefficient of Voc I-0.32%/°C Max Series Fuse Rating. 15A presence around the globe,Trina is 0° ao so )Temperature Coefficient of Isc 0.05%/°C able to provide exceptional service Certified to withstand challenging environmental �° '° to each customer in each market and supplement our inriovative, conditions reliable products with the backing • 2400 Pa wind load WARRANTY of Trina as a strong,bankable • 5400 Pa snow load 10 year Product Workmanship Warranty partner. We are Committed CERTIFICATION to building strategic,mutually j2syearLinearPowerwarranty beneficial collaboration with C& sps (Please referto product warrantyfordetails) a installers,developers,distributors IETm a and other partners as the backbone of our shared success in driving Smart energy Together. LINEAR PERFORMANCE WARRANTY PACKAGING CONFIGURATION ELLZB wFEE Modules per box:26 pieces Z 10 Year Product Warranty•25 Year Linear Power Warranty , I Modules per 40'container:728 pieces Trina Solar Limped - www.trinasolar.com m100% Addifio hat value trorrl Trina acn s 90% $afat's IlrfeQr Wp CAUTION:READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT. rPNP4 r�B `o_ ty 02015 Trina Solar Limited.All rights reserved.Specifications included in this datosheet are subject to ,'� M. Trinasolar __ Tr�nasolar change without notice. O 8096 Smart Energy Together rears s ID Is zo zs Smart Energy Together roMPt .Trinastandard Indusrryptandard _ - =ss $Qlaf'' ' • • Single Phase Inverters for North America soIar SE3000A-US/SE3800A-US/SE5000A-US/SE6000A-US/ SE7600A-US/SE10000A-US/SE11400A-US ` I SE3000A-US SE380OA-US SES000A-US I SE6000A-US I SE760OA-US I SE10000A-US SE11400A-US OUTPUT 9980 @ 208V ' SolarEdge Single Phase Inverters . Nominal. . Power Output 3000 3800 5000 6000 7600 10000 @240V 11400 VA ....omin......Powe.Output 7600......io0P.. ........ ............................. ..........5400 @ 208V................. laaoo @ 208V Max.AC Power Output 3300 4150 6000 8350 12000 VA For North America ..............�40y.................. ..................�o95o.@z �. ............................. ....... ................................... ................ ........ AC Output Voltage Min:Nom:Max.i'I - 183 ..................... ................ . Vac ... ............................................ .................................. I............................ ............ ......... SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ AC Output VoltageMin:Nom:Max"' , 211-240-264 Vac ................. ............................. SE760OA-US -US/SE1140OA-US i AC FrequencyMin.:Nom:Maz!'I k2l 60:60,5(withHIcountry setting 57-60:60:5) H?,,,.. Max.Continuous Output Current 12.5 16 25 32 47.5 A ....I. ...........I..21 240y...I ......... .I................ 240V...I.. ....... ....... GFDIThreshold 1 ........................................... ............................................................................................................................. .... Utility Monitoring,Islanding Protection,Country Configurable Thresholds Yes Yes s "` (INPUT Maximum DC Power(STC) 4050 5300 6750 8100 10250 13500 .15350 W -;avert .............. .......... ........................ . •��No1 Transformerless,Ungunded .. .. ..... es . @ 208V 0 g... .. .... .......... ... Max.Input Voltage ......................................:.... ats 325 / 50 @ 240V f m °le 8^ty Nom.DC Input Voltage,•-.--.,••,....,, Vdc••-. - o LQJStt ........... .. ......... 208V 18 23 @ �.�L'a ��' Max.Input Current12I 9.5 13 15.5 240v t 30.5 @-240V., ... .... ...................................... ................I...............I.......Q°........I................I................I...33'• 208V...I......34.5..........Adc l�eN • Max.Input Short Circuit Current M. .................................... ...........................................................Yes Reverse-Polarity Protection ..•••...... Ground-Fault Isolation Detection.... .................................................600ka Sensitivity... ... .. .. .... ... ... f. ........................................... ............ .. .. ........ .... ... .. .. .. .... .. -�- ? Maximum Inverter Efficiency,,,,,,,,,, ,,,,,97.7 982 98,3•.•-.. 983 98 98 _ ..98•••••... .......................... 0 ........... CEC Weighted Efficiency............... .....97.5......L.....98......L 998�,?40V..I......97.......I......97...........97@208V .................. .. —' 975 @.240V„ .......... Nighttime Power Consumption <2.5 44 W ADDITIONAL FEATURES Supported Communication Interfaces •,•.-........-R5485,RS232,Ethernet,ZigBee(optional) ...................................................................................... Revenue Grade Data,ANSI C12.1 Optionall°I ................................. - Rapid Shutdown-NEC 2014 690.12 Functionality enabled when SolarEdge rapid shutdown kit is installed)°I e STANDARD COMPLIANCE U1.1741,UL1699B,UL1998,CSA 22.2 Grid,Connection-standards.......... ........................................................ ...547..... ................................................IE ......... Emissions FCC part15 class B INSTALLATION SPECIFICATIONS AW TIONS ........ ... 4"minimrtm//8-3 AW9................ + r AC out ut conduit size/AWG ran a 3/4'minimum/16-6 AWG ,,, /. . '-- DC input conduit size/p of strings/ 4 minimum AWG 1-2 strings 1 zli AWG ran e,,,......., 3... minimum/1-2 strings/16-6 AWG I } r Dimensions with Safety Switch 30.5 x 12.5 x 7.2/775 x 315 x 184 30.5 x 12.5 x 10.5/ in/ _ _ _• 775 x 315 x 260 mm ,f,-`a HxWxD ................ �� Weight with Safety Switch............. ..........51.2/23:?..........I...................54:7/24 7. . .. :.............................. 40.1. . .............Ib/.kg... Natural convection Natural Convection and internal Fans(user replaceable) Cooling fan(user ' replaceable)................................................. j The best choice for SolarEdge enabled systems ........................................... ................................................................... . Noise <25 <50 dBA .............................. .......... ................................................................... .................................................... Integrated arc fault protection(Type 1)for NEC 2011690.11 compliance Min:Maz.Ope2ting Temperature -13 to+140/-25 to+60 -40 to+60 version available(s) F/'C ..Rang?................................... ..........................................................................................).......................................... Superior efficiency(98%) NEMA 3R Protection Rating Small,lightweight and easy to install on provided bracket Ill For other regional settings please contact SolarEdge support. m All current source may be used;the Inverter will limit Its Input current to the values stated. Built-in module-level monitoring pl Revenue gradelrnerterP/N:5EtanorA•USo0DNNR2(for 760OW Inverte SE7600A•USlx1INNN21. , t4 Rapid shutdown kit P/N:SEI000-RSD-51. 0).40 version P/N:SE—A-USCIDONNU4[for 760OW InverterSE7600A-Us0021NN1,14). Internet connection through Ethernet Or Wireless Outdoor and indoor installation Fixed voltage inverter,DC/AC conversion only Pre-assembled Safety Switch for faster installation Optional—revenue grade data,ANSI C12.1 sunsi?E • HS USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-ISRAEL www.solaredge.us TC�hlolci • °BY SOLAREDGE