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HomeMy WebLinkAbout0200 WEST WIND CIRCLE 0� �.�����r�� ���'� _ -, . Town of Barnstable . _��_.__ _ _. .� _�.�.. .. Building anxvsRAe�e FPost This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept, '""0.11L 8 Posted Until Final Inspection Has Been Made. t639. FOMc�" ,Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit Permit No. B-20-1664 Applicant Name: Frank Ward Approvals Date Issued: 07/16/2020 Current Use: Structure Permit Type: Building-Trailer Expiration Date: 01/16/2021 Foundation: Location: 200 WEST WIND CIRCLE,OSTERVILLE Map/Lot: 121-011-019 Zoning District: RC Sheathing: Owner on Record: SHAW, BRIAN J TR Contractor Name: AMERICAN MOBILE HOMES INC. Framing: 1 Address: 298 RAMBLEWOOD DRIVE Contractor License: 106386 2 RAYNHAM, MA 02767 Est. Project Cost: $ 18,000.00 Chimney: Description: install a 12 x44 temp mobile home to be used as temp living Permit Fee: $25.00 quarters while the family rebuilds their water damaged home.their Insulation: home was damaged by a broken water pipe. ` Fee Paid: $25.00 Date: 7/16/2020 Final: Project Review Req: M.G.L.40a Section 3 to be placed for a period not to exceed twelve months while the residence is being rebuilt. Any such �//j _ Plumbing/Gas manufactured home shall be subject to the provisions of the —� Rough Plumbing: state sanitary code. Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed _ Final: 4.Wiring&Plumbing Inspections to be completed prior to frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: S TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ` 1't� N OFF r'ARNSTABLE Map ( - 6 l Parcel I I Application # Zn 15 0 Health Division ±; "Date Issued Conservation Division Application Fee 5& 06 Planning Dept. Permit Fee �7 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address CA, -r Village Owner_ hOMA Address (AftijltsID Telephone Permit Request 0 $ S S 1-1 WI, D = LI L 1 .mac) Square feet: 1 st floor: existing proposed .2nd floor.: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type rQ.nC�n. Lot Size 0 35 Ar6 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Z Two Family ❑ Multi-Family (# units) Age of Existing Structure j 5 Historic House: ❑Yes 9 No On Old King's Highway: ❑Yes ❑ No Basement Type: (2 Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing aC new Half: existing new Number of Bedrooms: existing _new Total Room Count (not.including baths): existing -7 new First Floor Room Count Heat Type andFuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: E(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 w APPLICANT INFORMATION (BUILDER OR HOMEOWNER) _ Name l en Un+ V 11 Telephone Number � Y-a Lf Address D ?o rQ.m)tin 4- Dr. License 14"n k 13,m kA 0910 Home Improvement Contractor# 1-708A Email hJanq I'll 9iyin}- lj�!-- Chjn Worker's Compensation # WCsoq(pol"JoU ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A� 3110 YQ ram oUNE Dr.. qk "Rn 6,04 SIGNATURE DATE 10_q �� Y FOR'OFFICIAL USE ONLY APPLICATION# , DATE ISSUED r: MAP/.PARCEL NO. ~ ADDRESS VILLAGE OWNER ' <. DATE OF INSPECTION: M FOUNDATION FRAME INSULATION FIREPLACE - ELECTRICAL: ROUGH FINAL • PLUMBING: ROUGH ' FINAL GAS: ROUGH FINAL FINAL BUILDING t/% �Jzb kt_ I ' , DATE CLOSED OUT ASSOCIATION PLAN NO. A� 121052014 CERTIFICATE OF LIABILITY INSURANCE DATE/2014 YYYY) =THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH USA INC. NAME` 122517TH STREET,SUITE 1300 aC o Ext: ac No): DENVER,CO 80202-5534 ADDARESS: Attn:Denver.CeaRequest@marsh.com Fax:212-948-4381 INSURERS AFFORDING COVERAGE NAIC N INSURER A:Evanston Insurance Company 35378 INSURED Vivint Solar,Inc: INSURER 8:Zurich American Insurance Company 16535 Vivint Solar Developer LLC INSURER C:American Zurich Insurance Company 40142 3301 North Thanksgiving Way INSURER D: Suite 500 Lehi,UT 84043 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-002520219-01 REVISION NUMBER:2 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. 1OLICYEXP �TR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM/DDY/YEYYY MM DDIIYYYY LIMITS A GENERAL LIABILITY 14PKGWE00274 11/01/2014 11/01/2015 EACH OCCURRENCE $ 1,000,000 I$5X0.100 MMERCIAL GENERAL LIABILITY DAMA TO RENTED 50 000 PREMISES Ea occurrence $ CLAIMS-MADE M OCCUR MED EXP(Any one person) $ 5,000 Ded.BI&PD PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE ' $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 POLICY FX PRO- LOC $ B AUTOMOBILE LIABILITY BAP509601500 11101/2014 11/0112015 COMBINEDdentS INGLE LIMIT $ 1,000,000 Ea acci X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE X HIREDAUTOS X AUTOS Pera.ZI $ $ A UMBRELLA LIAR TXOCA UR 14EFXWE00088 1110112014 1110112015 EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB IMS-MADE AGGREGATE $ 5,000,000 DED RETENTION$ $ C WORKERS COMPENSATION WC509601300(CA,HI,MD,NJ,NY,OR,UT) 11/01/2014 11101/2015 X WC STATU- I OTH- AND EMPLOYERS'LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N WC509601400(MA) 1110112014 1110112015 1,000,000 OFFICER/MEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ A Errors&Omissions& 14PKGWE00274 11101/2014 11/01/2015 LIMIT 1,000,000 Contractors Pollution DEDUCTIBLE 5,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 Main St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Hyannis,MA 02601-4002 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Kathleen M.Parsloer,((�+�,c ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD -Z�z 0 ` Vivint-solar 3301 North Thanksgiving Way, Suite 500 Structural Group Lehi, UT 84043 P: (801) 234-7050 Scott E. Wyssling, PE Head of Structural Engineering scott.wysslingC@vivintsolar.com June 9, 2015 Mr. Dan Rock, Project Manager Vivint Solar 370 Paramount Drive Raynham, MA 02767 Re: Structural Engineering Services Shaw Residence 200 Westwind Cir, Osterville MA S-4265637 4.42 kW System Dear Mr. Rock: Pursuant to your request, we have reviewed the following information regarding solar panel installation on the roof of the above referenced home: 1. Site Visit/Verification Form prepared by a Vivint Solar representative identifying specific site information including size and spacing of rafters for the existing roof structure. 2. Design drawings of the proposed system including a site plan, roof plan and connection details for the solar panels. This information was prepared by the Design Group and will be utilized for approval and construction of the proposed system. 3. Photovoltaic Rooftop Solar System Permit Submittal identifying design parameters for the solar system. 4. Photographs of the interior and exterior of the roof system identifying existing structural members and their conditions. Based on the above information we have evaluated the structural capacity of the existing roof system to support the additional loads imposed by the solar panels and have the following comments related to our review and evaluation: Description of Residence: The existing residence is typical wood framing construction with the roof system consisting of 2x8 dimensional lumber at 16" on center with 1 x8 collar ties every 48". The attic space is unfinished and the photos indicate that there was free access to visually inspect the size and condition of the roof rafters. All wood material utilized for the roof system is assumed to be Spruce-Pine-Fir #2 or better with standard construction components. The existing roofing material consists of composite asphalt shingles. Our review of the photos of the exterior roof does not indicate any signs of settlement or misalignment caused by overstressed underlying members. Stability Evaluation: A. Wind Uplift Loading 1. Refer to attached Ecolibrium Solar calculations sheet for ASCE/SEI 7-10 Minimum Design Loads for Buildings and other Structures, wind speed of 110 mph based on Exposure Category "B" and 33 degree roof slopes on the dwelling areas. Ground snow load is 25 PSF for Exposure "B", Zone 1 per(ASCE/SE17-10). 2. Total area subject to wind uplift is calculated for the Interior, Edge and Corner Zones of the dwelling. vivint. so I a r Pade 2 of 2 B. Loading Criteria 10 PSF= Dead Load roofing/framing 25 PSF = Live Load (ground snow load) 5 PSF= Dead Load solar panels/mounting hardware Total Dead Load=15 PSF The above values are.within acceptable limits of recognized industry standards for similar structures and in accordance with the 2069 International Residential Code. Analysis performed of the existing roof structure utilizing the above loading criteria indicates that the existing rafters will support the additional panel loading without damage, if installed correctly. C. Roof Structure Capacity 1. The photographs provided of the attic space and roof rafters show that the framing is in good condition with no visible signs of damage caused by prior overstressing. D. Solar Panel Anchorage 1. The solar panels shall be mounted in accordance with the most recent "Ecolibrium Solar Installation Manual', which can be found on the Ecolibrium Solar website (ecolibrium solar.com). If during solar panel installation, the roof framing members appear unstable or deflect non- uniformly, our office should be notified before proceeding with the installation. 2. The solar panels are 1 1/Y thick and mounted 4 1/2'off the roof for a total height off the existing roof of 6". At no time will the panels be mounted higher that 6"above the existing plane of the roof. 3. Maximum allowable pullout per lag screw is 205 Ibs/inch of penetration as identified in the National Design Standards (NDS) of timber construction specifications for Spruce-Pine-Fir assumed. Based on our evaluation, the pullout value, utilizing a penetration depth of 2 1/2', is less than the maximum allowable per connection and therefore is adequate. Based on the variable factors for the existing roof framing and installation tolerances, using a thread depth of 21/2"with a minimum size of 5/16" lag screw per attachment point for panel anchor mounts will be adequate with a sufficient factor of safety. 4. Considering the roof slopes, the size, spacing, condition of roof, the panel supports shall be placed at and attached to no greater than every fourth roof rafter as panels are installed perpendicular across rafters and no greater than the panel length when installed parallel to the rafters (portrait). No panel supports spacing shall be greater than four (4) rafter spaces or 64" o/c, whichever is less. 5. Panel supports connections shall be staggered to distribute load to adjacent rafters. Based on the above evaluation, with appropriate panel anchors being utilized the roof system will adequately support the additional loading imposed by the solar panels. This evaluation is in conformance with the 2009 International Residential Code, current industry standards and practice, and based on information supplied to us at the time of this report. Should you have any questions regarding the above or if you require further information do not hesitate to contact me. ;c--- ly yours, �N OFP Y � Scott E. Wyssli , PE c'v' MA License No. 505 0.50 9p� FGISTEP� FSSIONA- vivint. solar The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Infarmatio-a Please Print Leeibly Name EBusiness/Organizati(m/lndividuat): Vivint Solar Developer, L1_C Address:3301 North Thanksgiving Way,Suite 500 City/ t •Lehi, UT 84043 Phone#:801-377-911.1 Are ou an employer? the appropriate boat: tt 4. 1 am.a general contractor and I ��of project(required):1. I am a employer with t g employees(full and/or part-te}_' Have bred the sub-contractors 0i New Construction un ! 2.01' I am a sole proprietor or partner- listed on the attached sheet.. B_ Qj RemnMing. shier and have no,employees These sub-contractors have. & O Demh working for me in any' capacity.. employees and.have workers;" 9_ p1 Iildtiltftrtg.addition, [N-o workers'comp..insurance comp insurance'_$` I ' required.] 5.0 n We are a.corporation,and its, l MO.[]IEYectrical(repairs or additions 3..0, I am a homeowner doing all work officers have exercised theii- 111.01 Ptuat Bing repairs or additions ea)s If:No workere,conw. right of exemption:per MG`li 1 D2 Rooff'repairs, insurance regpared.)fi c..15Z.§.l(4),:and we have:no empl'oye� & workers" 13.Ig Met Sdar Installation comp.insurance rea}uii;e fl! *Any-appiteao that cheeks-boxift nu>,statso fdt out the section.below showiirg,their workers"=npcmatibv pod%y/iraformatk=. 4 Homeowners wha submit this:affi+;iavit indiea v g they are dbiug all work.and then,hire.outside•contractors:must.submitta wew affidavit iorGcating suck Zcoontraetors[fiat cheek this box.must attached an addftional'sheet sdavriag the watne a€die sun=eontraetors:anclsCaCe;vrE+et&ermrant Chase eeCities have employees: if the sub-coi&adamhaveemployees,they+must providetheir vtnxkers'comp;.policy,numbw.. I am an enWfter that is pravkrmg[wort m'conWensagm tmw wefir my eWtoyeea. &r,kw&thepo&y and ob site infoanra; Insurance Company Dame.:Z nch Amencan Insurance Company Policy#or.Self ins..I ie.. WC 5M0,1300 xpii atiion,Date::t 11f12B15 pp�qq''�� ,,` nS�bk- Job Site Address: GD C�es W t G� C'i 6State/Zip05h?zole �-t JC Attach a co of the workersr compensation declaration page(showing the ofic immber and expiration date). Q�t s copy B t�� P g ( g p � ap� ) Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to:the inposition ofcruninal penalties of a fine up to$1,500.04 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: - �ate:11/412014 Phone#: 801 2296459 Offtetal use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other- - - - - Contact Person: Phone#: _ !'G9sG'LGG�tICIGl'Ir/loeola .Office of Consumer Affairs hnd Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 170848 Type: Supplement Card VIVINT SOLAR DEVELOPER LLC. Expiration: 1/5/2016 BRIEN LANGILL -- - 4931 NORTH 300 WEST - —-- PROVO, UT 84604 Update Address and return card.Mark reason for change. Sr.A 1 e: zone-05/1 s Address Renewal Employment Lost Card ' C�-'.f—'�a�oorvnc�rz<uarc�CLi cf'C/�us.��v�clls t !�!,Tice of Consumer Affairs&Business Segatatioa License or registration valid for individal use only i INJ ME 110PROVEABEHT CONTRACTORbefore the expiration datesIf found return to: Office of Consumer Affairs and Business Regulation Registration: 1�0848 Type: 10 Park Plaza-Suite 5170 ExPft3UOfr t&M16 Supplement Gard Boston,MA 02116 VMNT SOLAR DEVELOPER LLC. i BRIEN LANGILL r 4931 NORTH 300 WEST PROVO,UT 84604 Undersecretary Not valid wit gnature E Massachusetts -Department of Public Safety Board of Building Regulations and Standards �. Construction Supcnisor License:CS406675 •BRIEPI LANGILL.-:' 603 POND STREET Sbuth WevmoutbIvu.� I s ` ExpiratioN Commissioner 01/09/2017 s Now:39 Union St. Hanover, Ma 02339 i ' . i . i ' 4931 North 300 West,Provo,UT 84604 Employer Identification No.: 80-0756438 V'v'nt. O I rrM Phone:(877)404-4129 Fax:(801)765-5758 Massachusetts H IC License No.: 170848 E-Mail: supportevivintsolar.com www.vivintsolar.com AR No.: '124 rd 3 7 RESIDENTIAL.POWER PURCHASE AGREEMENT This RESIDENTIAL POWER PURCHASE AGREEMENT(this"Agreement")is entered into by and between ViVINT SOLAR DEVELOPER,LLC,a Delaware limited liability company("We","Us","Our")and the undersigned Customer(s)("You", 'Your"),as of the Transaction Date set forth below. Full Name(First.,w.Las9 [ /A /[ Full Name(Fiat.An.Laso Custorner(s): i'rOpCr^02"D Yes l7,Vo ,pA m-1 Pr(nertvOwner: ❑Yet 0 No Telephone No.: G/7-72 317r6 E-Mail: 64 Property Street Address: 2 ve t-l­ Address: City,County,State,Zip: Ol vil1 111 O 1.SERVICES A. DESII-:N AND INSTALLATION. We will design,install.service and maintain a solar photovoltaic system on)'our Property.which will include all solar panels.inverters,meters.and other components(6-llcctivcly,the"Si:stetti') u,father described in the Customer Packet and the\York Order that We will provide u+You hereafter. All material portions of the system will he inaalletl by On employed technicians and clw trici:ins.and not subcontractors, With Your cooperation; We will (it design, uisull and connect the Svsicnt in material compliance with all applicable laws; (ii)coniplete all retluired inspections:anal(iii)obtain all required certifications and permits. In order to design a System that niceis Your needs,You agree that We may obtain Your electrical usage history from Your electric utilili(the"Uu/tZ'_)and You shall irovidc,. 5 Mtb_copies of You Utility hills as We may reasonably request. Other than the activation ice described in Section LBNe`wt I esign and inst:il�the System ar no cost to You. B. ACTIVATION. You agree to pay Us a one-time activation fee in the amount o1:S O \Ve tr ill interconnect the System with die Utility,and cause the System to generate energyy measured in kilowatt hours("kWh"))(the Ei0er). nstallation of the System eener:illy takes one day and is anticipated to begin and be substantially complete between two(2)and six(6)rucks hercafter. C. OWNERSHIP OF SYSTEM. We shall own the System as Our sole personal property. You will have no property interest in the System. D. OPERATIONS AND MAINTENANCE. We will operate and maintain the System(i)at Our sole cost and expense;(ii)in good condition;and(iii)in material compliance with all applicable laws and permits and the Utility's requirements. 1E1 INSURANCE. We carry commercial general liability insurance,workers'compensation insurance,and property insurance on the System. For more information concerning Our insurance,and to obtain a copy of Our certificate of insurance,please visit: www.vrvmtsolar.conVinsurance. 2.TERM,PRICE,PAYMENTS,AND FINANCIAL,DISCLOSURES A. ENERGY PRICE. For all Energy produced by the System.You shall pa Us$0.E per kWh(the"Energy Price"),plus applicable taxes. The Energy Price shall increase each year by two and nine-tenths pereent�2.9�o)I A g`oiid faith csumate of the System output measured in kilowatt hours will be provided to You in the Customer Packet. THIS AGREEMENT IS OR THE SALE OF ENERGY BY US a O YOU AND NOT FOR TIME SALE Ol A SOLAR ENERGY DEVICE. B. TERM. This Agreement shall be enective as of the Transaction Date and continue until the twentieth,(20',h)anniversary of the In-Service Date(the "Term"). The"In-Service Date''shall be the first clay after all of the following have been achieved: (i)the System has been installed and is capable of generating Energy,(ii)all permits necessary to operate the System have been obtained,(iii)the System has been interconnected with the Utility,and(iv)all inspections and certificates required under applicable law or by the Utility have been completed or received. [C.1XPAYMEN'1'S. Beginning with the first month following the in-Service Date and throughout the Term,We will send You an invoice reflecting the charges for Energy produced by the System in the previous month. You shall make monthly payments to Us by automatic payment deduction from Your designated checkmg account or credit card. It is Your responsibility to ensure that there are adequate funds or adequate credit limit. "there is no ftnancin charge associated with this Agreement. For all paymeals more than ten(10)da}vs past dae,We may impose a late charge equal to Twenty-Five Dollars($ 251 and interest at an annual rate of ten percent(10%),plus applicable taxes. It'You continue to fail to make any payment within ten(10)days after We give You written notice,then We may exercise all remedies available to Us pursuant to Section 13(b). If1>3 RENEWAL. At the end of the Term.You may elect to(i)continue with this Agreement on m year-to-year basis:(ii)enter into I new Agreement with Us and cancel this Agreement;(iii)purchase the System at the end of the Term and cancel this Agreement(the-Prrchuse Option");or(iv)cancel this Agreement and have 1Tic System removed at no coda)You. Yon ii ill need to notify Us in writing concerning Your election sixty(00)days prior to the coal of the'term. If you elect the Purchase Option. the "Purchase Option Price" will be the ihen-current fair market value of•the System bused on an indepumdcnt appraiser's valuation of similarl)v.izul photovolaic system,in)'our ec igmphie region. The aprriiser's calu:nion will he provided ui You in ariung anal will be hindinr. If\V.•rceci.c 1 our pnymcnt of the Purehusc Upiion Prier,costs a the:ympraisa,applieahlc tuxes,and all other amounts then owing mitt wipaid hereunder,)Ve will transfer uivner.,hgi ol'the System iuthe end of the Term on nn \s Is,Where h'basis. If Yuu elect io have the System removed.We will remove the S'stem Grim)'our Prrmpcm within ninth'(9(1)days alter the end nl'the'fcnn. IF 1'O11 DO\OT N(YLIF)'US OF )OUR ELFY"PION 'I'U C\NOEL �l' SENDING :\ \VRI'f 1'EN NOTICE 'lU US. I'HI?N `I'1115 AGREF:CIF:\'I' \VILL AUTQAIA'I'IC:AI_L1' RENEW ON A YEAR=1'O-YEAR BASIS UNTIL YOU NOTIFY US 1N)YRI'I'LVC OF POUR EaC'1'IUN'I O C'A\CET.,\'f L.EAST SIB"1'1'160► DAYS PRIOR TO THE END OF THE RENEWAL TERM. tO CREDIT CHECK. In connection with the execution of this Agreement and at anytime during the Term,You hereby authorize Us to(i)obtain Your credit rating and report fiom credit reporting agencies;(ii)to report Your payment performance under this Agreement to credit reporting agencies;and (iii)disclose this and other information to Our affiliates and actual or prospective lenders,financing parties,investors,insurers,and acquirers. WE MAY HAVE PRESCREENED YOUR CREDIT. PRESCREENING OF CREDIT DOES NOT IMPACT YOUR CREDIT SCORE. YOU CAN CHOOSI3 TO STOP RECEIVING"PRESCREENED"OFFERS OF CREDIT FROM US AND OTHER COMPANIES BY CALLING TOLL-FREE (888) 567-8688. SEE PRESCREEN & OPT-OUT NOTICE(SECTION 29)BELOW FOR MORE INFORMATION ABOUT PRESCREENED OFFERS. 3.LIMITED WARRANTY V LIMITED INSTALLATION WARRANTY. We provide a workmanship warranty that the System shall be tree from material defects in design and workmanship under normal operating conditions for the Term. We further warrant that all rooftop penetrations We install shall be waterti ht as of-the date of installation. We do not provide any warranty to You with respect to any component of the System. Any manufacturer's warranty is in addition tu,not in lieu of, this limited installation warranty. This warranty does not cover problems resulting from exposure to harmful materials and chemicals, fire, flood, earthquake,or other acts of god,vandalism,alteration of system by anyone not authorized by Us,or any rnher cause beyond Our control. R MANUFACTURERS' WARRANTIES. The System's solar modules carry a minimum manufacturer's warranty of Twenty(20)years as follows: a)during the first ten(10)years of use,the modules'electrical output will not degrade by more than ten perccn[(10%)lion die ongmal�y rated outputs and (b)during the first twenty(20)years of use,the modules'electrical output will not degrade by more than twenty percent(20%)from the origina y rated output. The Svstein's inverters carry a minimum manufacturer's warranty often(10)years against defects or component breakdowns. During the Term,We wilt enforce these warranties to[he fullest extent possible. C. DISCLAIMER OF WARRANTY. EXCEPT AS SET FORTH IN THIS SECTION3:WE MAKE NO OTHER WARRANTY TO YOU OR ANY OTHER PERSON. WHETHER EXPRESS, IMPLIED OR STATUTORY, .AS TO THE MERCHANTABILITY OR FITNESS FOR ANY PURPOSE OF THE EQUIPMENT, INSTALLATION, DESIGN, OPERATION, OR MAINTENANCE OF THE SYSTEM, THE PRODUCTION OR DELIVERY OF ENERGY, OR ANY OTHER ASSOCIATED SERVICE OR MATTER HEREUNDER, ALL OF WHICH WE HEREBY EXPRESSLY DISCLAIM. OUR LIABILITY FOR ANY BREACH OF ANY WARRANTY 1S LIMITED TO REPAIRING THE SYSTEM OR YOUR PROPERTY TO THE EXTENT REQUIRED UNDER THIS AGREEMENT. YOU ACKNOWLEDGE THAT WE ARE RELYING ON THIS SECTION 3.C. AS A CONDITION AND MATERIAL INDUCEMENT TO ENTER INTO THiS AGREEMENT. THERE ARE NO WARRANTIES WHICH EXTEND BEYOND THE DESCRIPTION OF THE FACE HEREOF. 4.REMOVAL OF THE.SYSTEM You shall not make anv AIterations(us defined in Section 9 e )to the System. If You want to make repairs or improvements to Your Properly that require the temporiry rem,ival of the System or that could mterl' ere ivltit its perlimnuncc or opera nion.)'oilmust give Us at least thirty(30)days'prior written notice (a"Custamrr-ReyuecteJS'hurdumn"I. You agree that any repair or unprivenieat to Your Property shall not materially alter Your roof where the Sysierli is mst:dice \s compensation for Our renivaal.storage.and reinstallation ol'the 'System.You agreeto pay to Us a lee equal to Four Hundred:md Ninety-Nine Dt+llai�(( 499, before 11 e remove the.Syslcni. You shall be iegmred ui pay the lhutrlorin I.,ynunt(as defined in Section 15)if the System is not reinsulled within tfiiriy 30)days rl'removal. In the event of an emergency aflectine the System, )you shall contact Us imni—cJnucly. II'We,re unable to timely respond,You niay(ai Your oven expense)contract rcith a licensed:aril quadilicd solar insulter to remove the System as necessary to nuke repairs required by tIle emergency. You shall he responsible for tiny dmnage to the System that results Ginn actions taken by Your contraacior. 5.ARBITRATION OF DISPUTES Most customer concerns can be resolved quickly and amicably by calling Our customer service department a1y(87.7)j404-44I19j If Our customer service department is unable to resolve Your concern,You and We agree to resolve any Dispute(as defined btelovL)"[hrough binding arbitration or small claims court instead of courts of general Jurisdiction. BY SIGNING BELOW,YOU ACKNOWLEDGE AND AGREE THAT(1)YOU ARE HEREBY WAIVING THE RIGHT TO A TRIAL.BY.IURY;AND(11)YOU MAY BRING CLAIMS AGAINST US ONLY IN YOUR INDIVIDUAL CAPACITY,AND NOT AS A PLAINTIFF OR CLASS MEMBER IN ANY PURPORTED CLASS OR REPRESENTATIVE PROCEEDING. You and We agree to arbitrate all disputes, claims and controversies arising out of or relating to UP Or.R A FE II Ir\rl'-. I)IRI•(•I.()!{ti, LEI I'LOYI+I:S, •\OI \IS, 11"il1'110 b,in 111,1 trncnt 11—Will.,Vmd 11,1„Ih\n,and t< OR (()NI RM 111)16 FOR \\`I' NPFC'IAL, CXI \11'LARY, '-1, 1\rlRl \(,RC F I\I ♦I- lht \.•a-atml utc \.Wnnmat lont•, m.l \UIRE('I, I^.( il)t\T;\i, (()\StfOI'1'\Ilr\I. OR Nl,`ti TIVL ll.odt11— .h. r —our F..Ar 'nc K,r. thda and im +her apnea ant. Ju.,+m.,. ,.5.Xwth.J .. 1,•V,.1J4.<•ltc,+W,1�[,-fn,nl'IV1,4c:1\:'L^0 1 1 DA\1AU S(MIF'I HI'It OR NM Fill (1.ALM 1III:R1.1'O10: I's .rw.upar : Jrll,w..r,t:md..nttwi-.%%,at,;txv:. .nawm iw-n., t,u. -..1 Il\SE;h('I\ ('(I\I'KAC I. I OR'T,DU F) 1\iP(?SL1)I.1Y I.,\\1'OR ;�°It{\1 I,I,t I F t f u.lu�sitntlo o l'lr ruuhn� m.i alun u, nr< O I IILR'A IS 1 IN CI)\\F.'1 I(I\ \\1 11I.AK!SI\I;(W I OI UR hul to Nl 1_o ar + Tl ,)r xr 1 Y.•. r rL ps. hon al nrrc•rt W it, IN \\}' \'f\l' I{LL:\1k:U Ifl Illk. 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VI i 1 R kill]I I\ if m. r.n ao .,t 'In. .g..ai nt n nk1 t••It can du1 YL\R AFrI R'i'ill:.I\CIDP,I (il\"1\(i RISI: 10Sl•(.•II pr*htu•Ial of <tlwaxrr w nt,e.whh to .In lh,ttan rn i m un or c�,ltngl.nt NoU AI'k\\(11G1.CDGf- THAT \\'l' AR1 RI'I PING, ON TI11C\1\I, !Jatf i�pptcLhis AinmiKlv\IwII lot t tlm,d,:ntlm�il hlp d u,hpo, unrnnal:1111,•C, SCC"II(1\ 17 \S A ('ll\)7r11O\ \NI) ` Nl\THRL\1. ,nd,nall,ut�r•C^1xv<tlu<1 r.tim,n uh,il+„n mmhdll,:rceand.Ilat,p,v.r,!•,/, I\Dl Z`l?\1F`.\'S 1O F\T,ii{ i,\rO'{'1IIS \l tl{1`.l\WF I r +.Itw if am wen1w-4,wu I.,%A.utm h k a1Cur,ohl,in mi ai m n Ilm I, 'I'll)<snfi rI..L,w,a.Half dlowo to k u•Ilmmt and Jull h.Cnt,uaCd+lc tr,1hC IS.1\1>F,�1\IFIC'.\t111\ to th IuI1L\t etihnt prnumtd by nap-:1 ,n.11•114V.nV111 h Iw•,r(ls.,l,lelris appltrahlc lam. You hcrch) .1rcc to md,mmoi adtancc c\`t.nvc., ?1.t nl vlt.ltl'\RI\ lht' \'Jrtllkal ,m+% ho c,ccutcd m one n, tnue alld hold harmle-� I is ,ill', ()car aflilialc\, tllrcctnh. Cm 1 O%Ct., •.:ntcrp is e,a1 all unfi u•untc lv,m.tufl 1w thum"t h.:ramulutr on,nutntmau. \ ua Iv4 h lKutanl, do,--ent I,vrnal 1 t'hall lxw.iu:c an tniginal IM a.gcnl rantnteorr,. and Ocar %u,cas\aln ,Ind axNlrlts Ouch, a r .,�'to 1 t 1 •'1 m-err d /'s-ntttt 1 li,tltt tiq an,l ill limot part., claims,s, ;tell, s. 771.1 lll.lr 111 hw,II'ri•M.lYdiQ1VC r.h•aHt Y..wr arnl Y,nir Fy,.rLryi)'a Lm'A t oNh, c\pcll'l'+(nlclllthnl'rea+mlahlo.Ithlriw),. lec,alld C\ppc11M'\1, phrdrsrarh,t Jn,,and illsn'%L m pr nt Ina,lsa.Wilt te!ctnuM).a-mail.akiai mctlla, danrwc%, Ilablhllcu•pelldtlo, Irl :c.. „}IlcaU(tn�. in)uncs,domand• ,It',ir,.cn•F,•wJ int auJioo, ,JvrL•e.xthnr;/mnv,ledthat\\e)gnc)hnt\\cNIII all.,lii`o,"fans kind or nalulc in cugnac(ioo alit)_amity r nul pl,Or nut dn..:;..c-IN•d Yowl r r nvmd l ..h�M,hmS mhnnc,ti,m p:N-pt a,I o,+W u, 6 ka,r,,2 c1l \un..Nw i10 t, %C,rrlci­1.:Gw an,hrr,rt.relrtlmg t.,.w aIwng lit,m) tLj% lcldtcd u)it)\our hrC;lLh of IJIt. 1gt;emcnl,or(11)Ynnt ,ul.dnu u.n.'. art igcn.c or u ill lhl mt cimthict• hnnlrla-d item Yonr 29.PHVS(I(l.F\ \\D OPl'dl11.1' \1)lfC( V. THIS nalanntlicatton ohligmion, undrt this S;wjolt_Ix hall not ippl\ if "PR.. > O l) ( { : ti \SED ON dlc htlrm or danta.z' that is the haw for sur11 third poth cLwu INFOR\IA60'. IN 1'OUR CRLDII' RI:PORI- INDICAHNG ozcurrcd tafill,•onto(Ow miplow ,orx-mu%i%t,al Your Pm+coy TiifXT YOC/N1hFj ('FRI'AIN CRITERIA THIS OFFER IS N(�I' and str•h halm tar,hunaac mx.S.11c•h cduscd by ilic actiw iwghgcncc (iIJ,\RAN rE1:1) IF YOU DO NOF \1FE'T Ol)R CRITERIA. If' car ttiillul tnn.nndlxt n!>urll empl(i\cc or al clu YOU DO NOT \\'ANT 10 RI-AIIVE PRESCREENED OFFERS 19.S011140GA 110N. Ytrll agmc lu relc:tse JII C+ncrrd I'cn,•ns (_II CRIJAT FR('\l t S A\D UT'lli'I{ CO\il',1NIFti,('r11,1,'1'liL Lunt any claim,of am panics •uinc through Your aulhornv or in l(1NSU.MUR 10I10KHM, M NCIUS 'KILI-FRFEi ISSS) 5t,;- YOUr name, :,)ch J, 1'utir i l mlib c comp:nn, and Yuu tierce It, 8688;OR \'.'RITL- F\PI.RL\N lA'1 01,T I'll.RO\'){I):\l.l [IN, dcferid I's agimm any wrh charm. l OL vc,inia, 'IO m iri , 'r\ 'coy.. TR:\\Sll\Io14 \\\I1: I(F-MO\',\L_ OPIUM P O. 111/11RI\SI RANCI.,C'OWIAM,0I I Ills I(V1+\SI BOX 5115 wll(IDLYN. PA lt)(r)r, k(�1111'A\ OPFIONS. P.O. 26.\\(F.\D\I1:\T, \\D 1C.11\-17RS it...A_nmmant luny nnl)Inc am<mdcd..r BOX 7-1f1123,\'1'l..\\1 A,GA 3037�:-0123. 3 I 1 - 1 ' (i);my aspect""I f te relationship bcltvecn You and Us,whether haled in contract,tort.statute or any other legal theory:66 this Agreement or any other aercell",m xmcenung the subject nurttcr hcreoG (iii) any breach, default. or termination of this Agreement; and (iv)the I; interpretation, or Ler..Pea th, of this rmattetllcnt,of: (iiin,the bi ninalion of the scope or tll)pllcablllt)•orthis Suction 5(each,a Dos ute';). Prior w annmencins arbitration,a arty must lira scm7 a tvriuen"Notice of Dispute"via certified maul to the other pp Irtv. The Notice of Dispute must describe the nature and basis for the DtsLlute and dle relicl",ought. 11 You and We are unable to resolve tlic 1)-ispute within thirty (3(1) days, then either parry muv commence arbitratiinl. "fhe arbitration shall he administered by, JAMS pursuant to its Slrcanllinet(Arbitrnion Rides and Procedures(cnoiluhli uf: hitp:!/w�aw.Iunlsadr.cinnlrules-streamlined-arbitration,the"JAXIS Rides")and under the rtdes set li)rth in this Agreement. The arbitrator shall be huuml by the temis of this Agreement. No matter the circumstances,the arhilrour.hall not award punitire.sppcciul,exemplary. indirec4 or consequential damages to either party. If You initiate arbitration.You shall be responsible ul pay S2511. All attorneys' lees. travel expenses,and other costs of the arbitrltinn shall he home by You and Us in accordance with the Jr\MS 12ules and applicable law. The arbitration shall be conducted at a mutually l�rccltble location nrar four Property. Judgment on an arbitration award may be entered in any court of competent jurisdiction. Nothing in this Suction 5 shall preclude You or We front seeking provisional remedies in aid of arbitration from a court of competent jurisdiction. NOTICE:BY INITIALING IN THE SPACE BELOW YOU ARE,AGREEING TO HAVE ANY DISPUTE All OUT OF THE MATTERS INCLUDFI) IN THE"ARBITRATION,OF DISPUTES" PROVISION DECIDED BV NEUTRAL ARBITRATION AS PROVIDED BY APPLICABLE LAW AND YOU ARE GIVING UP ANY RIGHTS YOU MIGHT POSSESS TO HAVE THE E.DISPUTLI-TIGA'TED IN A COURT OR.JURY TRIAL. BY INITIALING IN THE SPACE BELOW YOU ARE GIVING UP YOUR JUDICIAL RIGIITS TO DISCOVERY AND APPEAL. IF YOU REFUSE "I'O SUBMIT TO ARBITRATION AFTER AGREEING TO THIS PROVISION, YOU MAY RE: COMPELLED TO ARBITRATF. YOUR AGREEMENT TO THIS ARBITRATION PROVISION IS VOLUNTARY. YOU HAVE:READ AND UNDERSTAND THE FOREGOING AND AGREE TO SUBMIT DISPUTES ARISING OUT OF THE MATTERS INCL.UDFD IN THE "ARBITRATION OF DISPUTES" PROVISION TO NEUTRAL ARBITRATION. Customers)Initials: VWE AGREE TO ARBITRATION AND WAIVE THE RIGHT TO A JURY TRIAL: as ❑ 6.NOTICE TO CUSTOMERS V� A. LIST OF DOCUMENTS TO BE INCORPORATED INTO THE CONTRACT: (i)this Agreement,(ii)the Additional Terms and Conditions,(iii)the Customer Packet,and(iv)the Work Order. These documents are expressly incorporated into this Agreement and apply to the relationship between You and Us. B. IT IS NOT LEGAL FOR US TO ENTER YOUR PREMISES UNLAWFULLY OR COMMIT ANY BREACH OF THE PEACE TO REMOVE GOODS INSTALLED UNDER THIS AGREEMENT. C. DO NOT SIGN THIS AGREEMENT BEFORE YOU HAVE READ ALL OF ITS PAGES. You acknowledge that You have read and received a leg�ible copy f this Agreement,that We have signed the Agreement,and that You have read and received a legible copy of every document Illat We.haveo signed a-uring the negotiation, 1). DO NOT SIGN THIS AGREEATENt' IF THIS AGREENIE:NT CONTAINS ANY BLANK SPACES. You are entitled to a completely filled in copy of this Agreement,signed by hoth You and Us,before any work may be started. 1. YOU MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO THE LATER OF: (1)MIDNIGHT OF THE THIRD (3RD)BUSINESS DAY AF`TER'I'HE TRANSACTION DATE,OR(11)THE START OF INSTALLATION OF THE SYSTEM. SEE THE NOTICE OF CANCELLATION BELOW FOR AN F\PLANATION OF THIS RIGHT. VIVINT SOLAR DEVELOPER,LLC CUSTOMER(S): { By: By: �GCh.G tit /` a �/cQ4� Printed Name: `T k— rAr�Sc/'< Printed Name: "�3,41Rk{Af-A 15YA4) Tide: �o�nr /�a�it t Cl By: Printed Dame: Transaction Date: FOR INFORMATION ABOUT CONTRACTOR REGISTRATION REQUIREMENTS, CONTACT THE MASSACHUSETTS OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATION: TEN PARK PLAZA,SUITE 5170,BOSTON,MA 02116, (617)973-8700 OR 888-283-3757. ------------------------------------------------------------ NOTICE OF CANCELLATION Transaction Date: All No.: YOU AIRY CANCEL THIS TRANSACTION.\\ITHOU'1 1N1`_PE.NALTY O.R,OBLIGA OBLIGATION,N\'L"I HI�_THRE E(3)BUSINESS DAYS OF THE ABO\'E DATE, OR (IF l,A l ER)it l`I�.�T_HEIS1ARCr�O.FIINF�l VATIOL\(QF�tL1iE�3Y$TENf*#IF YOU CANCEL,ANY PROPERTY TRADED IN,AN1 PAVNfENTS MADE BY YOU UNDER THE CON"1'R:\C7`OR S ITE,:`�D ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELLATION NOTICE, AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION \VILL BE CANCELLED. IF YOU CANCEL,YOU MUST MAKE AVAILABLE TO TEIE SELLER AT YOUR RESIDENCE, IN SUBSTANTIALLY AS GOOD CONDITION AS WHEiN RECEIVED,ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT Olt SALE, Oil YOU N'IAY. IF YOU WISH. COMPLY WITH THE INSTRUCTIONS OF THE SEI..LER REGARDING.THERE TURN SHIPME-N'1-OF THE GOODS AT THE SELLER'S EXPENSE AND RISK. IF YOU DO MAKE THE GOODS AVAILABLF TO"I'FIE SELLER AND TH.E SELLER DOES NO-T PICK THEM UP WITHIN TWENTY(20)DAYS OF THE DATE OF YOUR NOTICE OF CANCELLATION, YOU AIAY RETAIN OR DISPOSE OF THE GOODS WITHOUT:WY FURTHER OBLIGATION. IF YOU FAIL TO N•IAKL THE GOODS AVAILABLE TO THE SELLER, OR IF YOU AGREE TO RETURN THE GOODS TO THE SELLER AND E'A1L.TO DO SO.'THEN YOU REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT. TO CANCEL THIS TRANSACTION, MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE,Oil SEND A TELIiC:Rr\N'1,"T(.)VI\%INT SOLiW DEVELOPER,LLC.AT a931 N 300 W,PROVO.UT 84i,04 PRIOR TO THE LATER OF: (I)MIDNIGHT OF THE THIRD(3 ) BUSINESS DAY AFTER TIIE TRANSACTION DATE.OR(II)THE START OF INSTALLATION OF THE SYSTEM. 1 HEREBY CANCEL THIS TRANSACTION: Date: Customer's Signature: r 1UUI114 \I. tI RNIS-\\1)(U\011In\s - t.l r ♦I+I lh Ul i t, l y r t f 9. %III kill a lr♦ - - - ,. 1; . / u Ilnr:ui. l,rnl t t.I M\rf R H I I I,Ill "I I I\1 •• 1' I'HlI y1kl\iq 1 NMI Ill , a tit ♦1 .. Ilt 1\+.I It r ,r r• + y •, _ lel i i 1' 200 Westwind Cir, Osterville MA 02655 . U a — — — — — — — — — — — — — — — — /�� N • w VUN� c o] /Nye 00 U 0 JUNCTION BOX ATTACHED T n ARRAY USING HARDWARE TO V INTERCONNECTION POINT,INVERTER, I LOCKABLE DISCONNECT SWITCH, KEEP JUNCTION ON BOX OFF ROOF ANSI METER LOCATION, 8,UTILITY METER LOCATION IPV SYSTEM SIZE: 4.42 kW DC I I � 0 N 00 I N J I v I O1 N a r t+� v � Z- 0 75'OF 1"PVC CONDUIT I ti D 2 - 17)Trina Solar TSM-260 PD05.08 MODULES FROM JUNCTION BOX TO ELEC PANEL z w U • I I � J NN Z SHEET I NAME: I W Z I � g Ua SHEET - - - - - - - - - - - - - NUMBER: PV SYSTEM SITE PLAN o SCALE: 3/32"= 1'-0" q 0 C x z c1 Cn r O- 0 A C Z m n cn2! c 9 CD z 0 m z C7 D m xx� m— C o 0 00 m 0 11 m 3 w3CD m w S CD m C) ?n c O. u O. O Z _ D= INSTALLER:VIVINTSOLAR O O JJ�� a m ROOF m m Shaw Residence INSTALLER NUMBER:1.877.4oa.4129 V rO C n' 200 Westwind Cir PV 2.0 m m i MA LICENSE:MAHIC 170B48 v v u J v Osterville,MA 02655 PLAN DRAWN BY:CRS AR 4265637 Last Modified:6/3/2015 UTILITY ACCOUNT NUMBER:1425 9410042 CLAMP MOUNTING SEALING PV3.0 DETAIL WASHER LOWER SUPPORT N yam 22® ,Z of3 z�- PV MODULES, TYP. MOUNT "~" '` -'`'" `� 300 OF COMP SHINGLE ROOF, FLASHING a PARALLEL TO ROOF PLANE 2 1/2" MIN 5116"0 x 4 1/2" � PV ARRAY TYP. ELEVATION MINIMUM STEEL LAG SCREW S NOT TO SCALE TORQUE= 13±2 ft-Ibs O CLAMP ATTACHMENT NOT TO SCALE c � s N CLAMP+ v ATTACHMENT CANTELEVER L/4 OR LESS COUPLING J L=PERMITTED CLAMP ECO SPACING SEE CODE COMPLIANT m COMPATIBLE LETTER FOR MAX ALLOWABLE o MODULE CLAMP SPACING. 8 PERMITTED COUPLING 3 N m o 0 CLAMP+ o CLAMP CLAMP (n a ATTACHMENT SPACING z m COUPLING PHOTOVOLTAIC MODULE > < m j Z 6i U a (ru) W W Z m W U Z Z � SHEET NAME: L=PORTRAIT77 CLAMP SPACING Z ECO w CLAMP SPACING SHEET A MODULEIBLE PV SYSTEM MOUNTING DETAIL CLAMP NG NUMBER: MODULES IN PORTRAIT/LANDSCAPE NOT TO SCALE 1 M NOT TO SCALE DC Safety Switch Notes: Rated for max operating condition of inverter NEC 690.35 compliant S 'opens all ungrounded conductors U C m Notes: SE380OA-US-U Inverter Specs: ALL CONDUCTORS AC CEC 240 NaQm AC Operating Voltage 240 V �€�'vdz Continuous Max Output 16 A �3 dz SHALL BE COPPER DC MaximuminputCurrent 13A 3:0 Co Solar Edge Optimizer Specs: t P300 DC Input Power 30OW U DC Max Input Voltage 8-48V DC Max Input Current 12.5A Design Conditions: DC Max Output Current 15A ASHRAE 2013 Max String Rating 5250W Highest Monthly 2%DEI Design Temp 39°C. Module Specs: 17 PV MODULES PER INVERTER=4420 WATTS STC Lowest Min.Mean Extreme DES -19°C VOC Temp coefficient V/°C Short Solar t Current (Isc) 08 1 STRING OF 17 PV MODULES p Short Circuit Current(Isc) 9.00A O/� SOLAREDGE 0 SE380OA-Use, Open Circuit Voltage(Voc) 38.2V INVERTER System Specs: Operating Current(Imp) 8.50A Max DC Voltage 500V Operating Voltage(Vmp) SOLAREDGE Nominal DC Operating Voltage 350V Max Series Fuse Rating 15A •� 16 17 ti DC SAFETY .E SWITCHMax.DC Current per String 15A STC Rating(Pmax) 260W •� 8 - d� -I 9' - i. - - Nominal AC Current 16A Power Tolerance 0/+3 0gy ' - PI �J 6 �I� _� EXISTING SOLAREDGE SUPPLY-SIDE L7`2 N ENTRANCE P3000PTIM12ERS SOLAR TAP CONDUCTORS NEC 705.12(A) M RATED:100A Ir I 1 N U Q S Siamem KNF222R Z g K 3DA 2 OV FUSED NEMA3 Z OR EGUNALENT 100A Cr G: U)} W W Z m VIBIon ewdnq J J W V2S-2S 20A Z EXISTING SHEET NAME: 240V/100A AC L— ------------- D LOAD-CENTER SRECIANSI VISIBLE J Q METER LOCKABLE M 'KNIFE'A/C ^ I' DISCONNECT L L L SHEET NUMBER: PV WIRE IN FREE AIR INTO THWN-21N 3/4"EMT MINIMUM W AWG CU WIRE(RATED 90 DEG Q IN 3/4"EMT CONDUIT.KEEP UNDER 2%VOLTAGE DROP.MINIMUM CONDUIT.L1,LZ,AND NEUTRAL;8 AWG GROUND WIRE. O 30 AWG CU WIRE EACH(RATED 90 DEG Q.6AWG BARE KEEP UNDER 1.5%VOLTAGE DROP. COPPER EGC OR 8AWG INSULATED GEC IN CONDUIT. W �y O CU N aow THIS ROOF SECTION'S TILT/AZIMUT d d z CANNOT PRODUCE MIN 800 SUN HOURS o Z z U cu Q ~!. c a N OMP.SHINGLE OD za VJ �= Oe a N J Ol N a v m U Q z co OOF SECTION 1 23 MODULE(S)REMOVED THAT > � g w 17 MODULES PRODUCED BELOW 800 SUN HOURS 5 z w U crwv» w w z m w U F F J Q � U N Q 2 SHEET NAME: ZU Fn CD SOLAR ACCESS CONSTRAINT 15 76%CUSTOMER USAGE OFFSET SHEET NUMBER: C) EcolibriumSolar Customer Info Name: 4265637 Email: Phone: Project Info Identifier: 36687 Street Address Line 1: 200 Westwind Cir Street Address Line 2: City: Osterville State: MA Zip: 02655 Country: United States System Info Module Manufacturer: Trina Solar Module Model: TSM 260-PD05.08 Module Quantity: 17 Array Size (DC watts): 4420.0 Mounting System Manufacturer: Ecolibrium Solar Mounting System Product: EcoX Inverter Manufacturer: SolarEdge Technologies Inverter Model: SE3800A-US (240V) Project Design Variables Module Weight: 43.0 Ibs Module Length: 65.0 in Module Width: 37.0 in Basic Wind Speed: 100.0 mph Ground Snow Load: 40.0 psf Seismic: 0.0 Exposure Category: B Importance Factor: II Exposure on Roof: Partially Exposed Topographic Factor: 1.0 Wind Directionality Factor: 0.85 Thermal Factor for Snow Load: 1.2 Lag Bolt Design Load - Upward: 820 Ibf Lag Bolt Design Load - Lateral: 288 Ibf EcoX Design Load - Downward: 722 Ibf EcoX Design Load - Upward: 765 Ibf EcoX Design Load - Downslope: 297 Ibf EcoX Design Load - Lateral: 233 Ibf Module Design Moment—Upward: 3655 in-lb Module Design Moment—Downward: 3655 in-lb Effective Wind Area: 20 ft2 Min Nominal Framing Depth: 2.5 in Min Top Chord Specific Gravity: 0.42 EcolibriumSolar Plane Calculations'(ASCE 7-05): Roof 1 Roof Shape: Gable Edge and Corner Dimension: 3.0 ft Roof Type: Composition Shingle Stagger Attachments: Yes Average Roof Height: 15.0 ft Include Snow Guards: No Least Horizontal Dimension: 28.0 ft Roof Slope: 33.0 deg Truss Spacing: 16.0 in Snow Load Calculations Description Interior Edge Corner Unit Flat Roof Snow Load 33.6 33.6 33.6 psf Slope Factor 0.68 0.68 0.68 Roof Snow Load 22.8 22.8 22.8 psf Wind Pressure Calculations Description Interior Edge Corner Unit Net Design Wind Pressure Uplift -17.1 -20.1 -20.1 psf Net Design Wind Pressure Downforce 16.0 16.0 16.0 psf Adjustment Factor for Height and Exposure Category 1.0 1.0 1.0 Design Wind Pressure Uplift -17.1 -20.1 -20.1 psf Design Wind Pressure Downforce 16.0 16.0 16.0 psf ASD Load Combinations Description Interior Edge Corner Unit Dead Load 2.6 2.6 2.6 psf Snow Load 22.8 22.8 22.8 psf Downslope: Load Combination 3 11.8 11.8 11.8 psf Down: Load Combination 3 18.2 18.2 18.2 psf Down: Load Combination 5 18.2 18.2 18.2 psf Down: Load Combination 6a 26.2 26.2 26.2 psf Up: Load Combination 7 -15.8 -18.8 -18.8 psf Down Max 26.2 26.2 26.2 psf Spacing Results(Landscape) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 65.9 65.9 65.9 in Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 64.0 64.0 64.0 in Max Cantilever from Attachment to Perimeter of PV Array 22.0 22.0 22.0 in Spacing Results(Portrait) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 49.7 49.7 49.7 in Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 48.0 48.0 48.0 in Max Cantilever from Attachment to Perimeter of PV Array 16.6 16.6 16.6 in EcolibriumSolar Layout e i �-Skirt cm Coupling Note: If the total width of a continuous array exceeds 35 ft, break array to allow for thermal O Clamp expansion and contraction. See Installation Guide for details. Warning: PV Modules may need to be shifted with respect to roof trusses to comply with 0 Bonding Jumper maximum allowable overhang. i EcolibriumSolar Roof Weights In Conformance with Solar ABC's Expedited Permit Process Module Quantity: 17 Weight of Modules: 731 Ibs Weight of Mounting System: 58 Ibs Total Plane Weight: 789 Ibs Total Plane Array Area: 284 ft2 Distributed Weight: 2.78 psf Number of Attachments: 29 Weight per Attachment Point: 27 Ibs I i EcolibriumSolar' Bill Of Materials Part Name Quantity ECO-001_101 EcoX Clamp Assembly 29 ECO-001_102 EcoX Coupling Assembly 17 ECO-001_105B EcoX Landscape Skirt Kit 5 ECO-001_105A EcoX Portrait Skirt Kit. 0 I ECO-001_103 EcoX Composition Attachment Kit 29 ECO-001_116 EcoX Flat-Tile Flashing 0 ECO-001_117 EcoX S-Tile Flashing 0 ECO-001_118 EcoX W Tile Flashing 0 ECO-001_363 EcoX Lower Support-Tile 0 ECO-001_109 EcoX Electrical Assembly (optional) 1 ECO-001_106 EcoX Bonding Jumper Assembly 4 ECO-001_104 EcoX Inverter Bracket Assembly 0 ECO-001 338 EcoX Connector Bracket 0 ECO_001-359 EcoX Lower Support- Low Slope 0 TME Ta�,� Town of Barnstable Regulatory Services ser�srwec�. Richard V.Scali Director 19- ' Building Division TomPerry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Ruulder I, �(���. �.�V lYG(,J , as Owner of the subject property hereby authorize_r-IT if )G 1 ffl V i U&A c-)Q r to act on my behalf, in all matters relative to work authorized by this building permit application for. (fib l,0.e9-W i n'd, �v (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. S a WbKOrrW Signature f Applicant 161 e,, LOAJ Print Name Print Name Date r Q:FORMS:O WNERPERMISSI0NPOOLS 1 UWU Ul DDkt1.1LStUlU1C Regulatory Services ��of rr{e T°tyy Richard V_Scah,Director Building Division ` 'BARNST'ABEZ Tom Perry,Building Commissioner nrnss. 200 Main Street, Hyannis,MA 02601 rEDMA�A www.town.barnstablema.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION:. number street village "I O&MOWNEW. name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"•homeowners"'was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that ttie:owner acts as supervisor. DEFINrrtON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner" shall submit to the Building Official on a form acceptable to the Building Official,that he%she.shall be responsible for all such work performed under'the buildinKpermit (Section 109.1.1) The undersigned"bomeowner"assumes responsibility for compliance Aith the State Building Code and other applicable codes, bylaws,rules and regulations. _ The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection pro dares an4 &0-d ' ents and that he/she will comply with said procedures and requirements. 1Si re of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shalt be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a persou(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.1S) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons_ In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit fomis\EXPRESS.doc Revised 061313 I r, ,►¢, Town of Barnstable *Permit# Expires 6 morrihafrom iasue date Regulatory Services Fee 5Y1 D D nU& Richard V. Scali,Director Building Division ) Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town bamstable.m&us J U N 14 201.6 Office: 508-862-4038 I�Faxi�508 7 0�62 ABLE EXPRESS PERMIT APPLICATION - RESEDENTUL ONLY Not Valid without Red X-Press byquint Map/parcel Number / Property Address �DO &)GSz&)1/)01 6o'Cle jSleRv/z�l,E M 4 Residential Value of Work$__f—T Q.4 d Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Zarkam JAaa) Contractor's Name NA Telephone Number_SG�- Home Improvement Contractor License#(if applicable) Email: Construction Supervisor',s License#(if applicable) ❑Workman's Compensation Insurance Check one: MI am-a-sole-proprietor . Lain-the-Homie.owner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit.' Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over . existing layers of roof) Re-side ❑ Replacement Vtindows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\wPF1LES\F0RM9\building permit forms\EXPRESS.doc Revised o4o2is r Y&-Co=RmweaM qfMasm&meft Depw&ffmt qf bid Acddk7&&- $99�as7iiitgtort,SY�et Boston,�A a2I�I . svFPmmas gvP/d=' Wm-k--& Compensati m Insmrmce A.ffid;ry SnHd ermIQ=ft-AcftwMecbidau&IPhamhers A.ppIjcan#Iufarns, fiDU Pease Prhd E nv • BA Rg�l2q SkAu) o�00 A)t5kIV,,nel Ljrc, tL Are you an employerl fheakthe appropriate ba= Type of project(required): L❑ I amp a employer*i& 4. ❑I am,a gemmml conft=tor and I' 6. ❑ on New es employees(*a MWW part-time * bave hiredffie m*-c hmctozs 2.❑ I am a sale pzopdetor orpartner- Misted onthe aftwhPA sheet: 7- ❑Bemodediag �ese smb-caahmctars hate ship and have no emrpl�ees & ❑Deind&on wading fit me in any rapacity en4dQyees and have worms' 9. ❑RwIditag additica [No va xkem' comp. cam-m,sura„ce -I 5. ❑ We are a corparalion and its lo.❑kcal repaim cr aciRians I am.a homeovmer doing all wmk °ffiO=have exercised therr 1L❑Plnmbmgrepans or adcrftioms myself o winches' _ of per M(H repaim insaumn regained-I i C.M§1(4k andwe have no L❑Bflaf employes[No wor oe& 13.0 Other COS msmance required] •s¢p appfDMt dar chefs boz iF1 em"MI; goficyi ML fi e �v®a tiris�53a seey mmdam.-sn.sad dLmhim au=&contmctorszmLst sdF h a new our a maim suciL =Caaus®affi�d�r]�tLis boa nisi a�bed�sa sd3i�a1 street shou�gtLeasmeof flee�taa4d st�e���avt�nse ehsv� employem zrtbP- bzve onployee-%dftqY�&rFwVzedi!w it adma cmmppaRUaam-aez fain att 1 Slat is pratridug�verkers'toarperrsatimr insnrarres der emPla3�eea $dow is flee pu�cy acid jab sits i�formadnrs Insnrame Company Namre: -Policy 41.Cr Sims_Lim F�girafzcI7afe: �b 02oo Gt�I wt nd Ct�-e 1 e. -�erylc.e p, Attach a copy of the workers'compensatioapoIicy declaration page(showing the policy number and expiration date). Fai-Inre to secm:e coverage as rewired.under Section 25A of M(H c 15-7 can lead to the imposition of caimamal penalties of a fine up to$L50QOU andlm one-gearimpdsonmeml as wag as civil penalties im the farm of a STOP WORN ORDERand a fine of up to MOCI a dap age the violator. Be advised flint a copy of this shM=ead asap,be£ceded to the Office of I ti—of the DIA for fin=wxe coverage vedfica¢i= Ida keraby a=W tke pails and afger rptE&flrs irf0Mac#iaapnaarda/dabatis' bus aard c:ermd SiesatureDa � Phone A alai use anFy Do nat mite is dib area,Mr be cmnpFeted.by cif arto=affrc&l City-or Iowa: PermhMicense: Issuing Authority(drde oat): L Board ofElwlth I RarTring Dqrxrhmmt I Chyfrown,Qerk 4.Electrical hmpector S.Phanbing Impectur 6.Other Cosrtaet person: phone ! 1 11 1 1 1 1 1 l 1 ! 1/ :v.Y .n4. ■A w .•_n r:w ..■ut:.- 1 MIR •'�.R n n • •- •••1■A�■. r«uu�■-ru«\ u1 i■- ■ ruu ••" \■ ■".1 1• its, YI•\If _.. %a as • II■i - •r.R. ■ 11 is a • :..•i•a• .1■•a• :1■ r.t■1■ :Ir •t •n ■371109�• _n ..•1 O.1: •G. ■■�R«l• :`•.�•wY1■•/. .•I .. _.../• « ■it _ cant •: :■■• . •1 U•l • i■ t•/ " •• u• �!■_r•�\ n \m wua! ■1■w- _n 1 n. .a uu_ u a "_ .1 a.�u•-_u •�. • : • ac �• arms • •1 i■ a •� • f • ■�- • :u u u nar •_. n•!R■ u .��•wrn•u •1 •i•�: "_1= :rntt a!uu • u_ .+«u ••- :• •� i1- •'• \at • •- 1 n• ■1 1 1_• n• 1• ■■•1 ■■_n in a _n:1 u■�«■_ a.■ -•■• ..-1■a. i■� a1n n i• •rrmmnl • •■ ■ -1 n \.■w- • .n•i1 a, ••1• a+nu • t a�R•u n ■• u.atu�■.n. r•n�■ 1 ra«■ u ._« ••.■. ■a n ■ ■- 6n_ ■•Iw ■l •■l■ u J •.l■■ •1 •ofC. \u• :u.u .art:m i■ar aru \. 1 •1 •ern ■ ■«■ a;nu ••u xn ■" . -u�\ u •- a■ ruu • • rn� 1■:1 � r_■r I .1 r: a ro•. - l I 1 u . • ■ i. wr, 1 -u - a : • • ✓• 1 - 1 . ■ - .1 . 1■ 1 ra.■ - . r. 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O •' ■ • •�a U it :1.■ r:to. : « •• O.1 \ ■■.:• 1 ■1 ii 1.1 t1■«. - •:rp/ L « rG■ ■- ■■/ 1 Ot■ .- 71�• • 1 �': J -_■ ��\ar ■•II •`•■� •1 wl\ /�■ ••Y►f■tn ►r■�- el ■ai•■• 1 r• :■aa .• .It •.YI■� •1 r.Inla•� ■\ rw■ • ■a:a11 1 1• • 1■■ ►a YI 1 •a:R•11 w as 111 .■ It r8I3■1. a•■- ■1 ■■•: 1 ■ ■■ - • 1 •w�l■ :1■\1■ ••.• • .1- /• t1_.. a 1 n :\ _n.. •) ••1 r••. .r■•1■ :1/1 ■•1 ■ •• . :.■• •a w t al■ ■- 1a:1 ■u mat :a n w. ■-.-•1•n _n\ r.. ■uln �1 i ��...tinu• ws• . ��- • j■11ire ca� ' 3• • ; ; ' ys �■ I RA ONSTABM i , 0596 ' Town of Barnstable Regulatory Services Richard V.ScaI4 Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.townbarnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section. If. sing A Builder as Owner o e sub' ct property hereby authorize o on my behalf, in all matters relative to work authorized by this building permit plication fo . (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPFZEW0RMS\bm7dmg pe=iit ft=slEXPRESS.doc Revised mow i Town of Barnstable Regulatory Services °U Richard V.Scab,Director Building Division s�sresrs, Tom Perry,Building Commissioner NAM 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HONMowNM LICU40 E UMMON DATE: (D Please Print ` / B o �200 CyeS><�J�cl ��� (�5���✓i� �� s VMBP "xoMEowr>ERn� Gl'���Q Sha U) 30 FA-A -S SQ name home phone# work phone# . CURRENTMAUJ IGADDRESS: O2 1 d �I�UI� GVOD.U` Ile - - citYAMM slats zip code The current exemption for"homeowners"was extended to include owner-opoMied.dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFT MON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or fame structures.'A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be reMonsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection pro es and requirements d that he/she will comply with said procedm-es and requirements: ' -of•Homeown� Approval ofBuflding Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction ControL HOMEOWNER'S E3MA TION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. . To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. QAWPFIL. TORIANnfiding permit fnnns\EXPRESS.doc Revised 040215 ' I2-710(v t►,E r Town of Barnstable *Permit# ' 6& PERMITExpires 6 months from issue date Regulatory Services Fee s 2006 Thomas F.Geiler,Director Building Division Tow BARNSTABLE - Tom Perry,CBQ, Building Commissioner. 200 Main Street,Hyannis,MA 02601 www.town.baTnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint ip/parcel Number A0 l d 54— )perty Address '200 "Residential Value of Work 42,0 00. J Minimum fee of$25.00 for work under$6000.00 vner's Name&Address R0 co / 8 AR 62f. A,0-w 6 D CU e 7� `�.� Cis sf A ntractor's Name 1y Telephone Number ,3 ime Improvement Contractor License#(if applicable) -nstruction Supervisor's License#(if applicable) Workman's Compensation Insurance Check one: ❑ I am a sole proprietor VI am the Homeowner ❑ I have Worker's Compensation Insurance ;urance Company.Name Aman's Comp.Policy# ipy of Insurance Compliance Certificate must be on file. rmit Request(check box). ❑ Re-roof(stripping old shingles) All construction debris will be taken to (�tA'L Od Re-roof.(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum .44) *Where required:Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. ' Home Improvement Con r License is required. GNATURE: 'orms:expmtrg iise071405 w The Commonwealth.ofMassachusetts . Department of Industrial Accidents Office of Investigations 600 Washington Street � Boston, MA 02111 www.Mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ^� Please Print Legibly Name (Business/organization/Individual): r7l /', Address:_ 2OCj �U eS , aQ C�2 r City/State/Zip:__ �g �- ��L /y/� Phone Are you an employer? Check the appropriate.box: Type of project(required): 1.❑ I am a employer with 4. El am a general contractor and I employees(full and/or part-time)..*- have hired the'sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet t 7. ❑Remodeling ship and have no employees * These sub-contractors have 8. ❑Demolition working for me in any capacity, workers' comp;insurance, g. ❑Building addition [No workers' comp,insurance 5. ❑ We are a corporation and its requiied,] officers have exercised their 10.[]Electrical repairs or additions 3.ZI am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' romp. c. 152, §1(4), and we have no 11Woof repairs insurance required.]t employees. [No workers' comp,insurance required.] 13,❑ Other 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp•policy information, am an employer that is providing workers compensation insurance for my employees. Below is the policy and job site 'nformation. assurance Company Name: 'olicy#or Self-ins.Lic.#: Expiration Date: ob Site Address: City/State/Zip; kttach 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 . ine 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 if up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office.of avestigations of the DIA for insurance coverage verification. do hereby certify under the pains an naldes of perjury that the information provided above is true and correct li ature: Date: hone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: -Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees, Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual;partnership,association or other legal entity,employing employees.'However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to bean employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any Qf its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),addresses)and phone numbers)along with their ceztificate(s)of insurance. Limited Liability Companies(LLC)or.Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance, If an LLC or LLP does have employees, a policy is required. Be advised.that this affidavit may be submitted to.the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Deparlment.of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is.complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permitllicense applications in any given year,need only submit one affidavit indicating current policy.information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: Tie Co=onwealth of Massachusetts Department of Industrial Accidents Mee of Investigations 600 Washington Street Bostoh,RSA 02111 Tel. 9 617-727-4-900 ext 406 or 1-M-MASSAFE Fax.#617-727-7749 Revised 5-26-05 www.mass.gov/dia I I t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION l �-I Map Parcel O// Application# �)60 6 D/3 7 Health Division 4.4 - 0q yhq � Conservation Division P $EP11019F'Permit# INSTALLE I""" "PLIANCE Tax Collector 1AA1M�11�E 5 'Date Issued Treasurer ENVIRONMENTAL CODE ANRpplication Fee - 0 TOWN REGULATIONS Planning Dept. 4w6%ddla. /Li Gd^Z,' Permit Fee Date Definitive Plan Approved by Planning Board O WW- Historic-OKH Preservation/Hyannis Project Street Address 1�,00 uueS+ (Ij av d c l&, Village 0L+e 2 v j L (ea „x�y Owner �g��o Qo�e2'{ ¢<<, Address P°Cr ►a b CC-cUr>cx.� 04L, /'✓17 ��411, 7 Telephone / '34 Permit Request 15, Cdve44 XCh,9 a 4e e aa4z ro Ui a� r? SL�I�� I�2eo/1 L � G �=TSC;c% 6Jrv112 E/p A) 51�7-lr� y1 ,Square feet: 1 st floor:existing 21 t proposed 3 6 2nd floor:existing proposed. Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.-% Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) ' Age of Existing Structure Historic House: ❑Yes &6o On Old King's Highway: -O Yes 0540 { Basement Type: dFull ❑Crawl ❑Walkout ❑Other ca Basement Finished Area(sq.ft.) k lble— Basement Unfinished Area(sq.ft) /Z 2 2 Number of Baths: Full:existing 2 new bc)tu-e_ Half:existing new Number of Bedrooms: existing 3 new k1VA-0 Total Room Count(not including baths):existing 6 new 7 First Floor Room Count Heat Type and Fuel: Ua Gas Cl Oil ❑Electric ❑Other Central Air: ❑Yes VNo Fireplaces: Existing --I- New Existing wood/coal stove: ❑Yes R<O � Detached garage. El new siz u Pool:❑existing ❑new size Barn:El �existing ,.*P lize**7'P_ Attached garage:Yexisting ❑new size NX 2�t- Shed:❑existing f(new size 8X l�Z Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes W<o If yes, site plan review# Current Use S� ���� h0AV Proposed Use s,g4-11 -e , BUILDER INFORMATION Name ��1 IS a--- Telephone Number Address 2OO Ub License# Home Improvement Contractor# U //tr e/Q_ Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUREdaZ�Ilr__ DATE `�G s FOR OFFICIAL USE ONLY n ` " 4, PERMIT�NO. DATE ISSUED n� MAP/PARCEL NO: ADDRESS VILLAGE OWNER DATE OF INSPECTION: lje°d i FOUNDATION 7 g ask, rn z � FRAME o GhR-?*r- nvtrt VmsXaLr_ ,1 INSULATION �,. to FIREPLACE -19 IF o ELECTRICAL: GIB® FINAL nr N PLUMBING: fk(Rj 1GFg FINAL r GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT • Q ASSOCIATION PLAN NO... i i The Commonwealth ofMassachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 ' www masSgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pluin hers Applicant Information Please Print Legibly Name (Busmess/organization/Individuan: K e h rA Address: 0106 Cl-V City/State/Zip: - CL&w- v t (p__ Phone#: / 5,09' 8'2 5537 Are you an employer? Check the,appropriate box: Type of project(requireal): 1;❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(fall and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet I Remodeling ship and have no employees These sub-contractors have SS ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' Comp.insurance 5. ❑ We are a corporation and its officers have exercised their 10.❑ Electrical repairs or additions equired.] 3. I am a homeowner doing all work t right of exemption per MGL 11•❑ Phimbmg repairs or additions myself.[No workers' comp. C. 152,§1(4),and we have no 12.0 Roof repairs insurance required.] t employees.(No workers' 13.❑ Other COMP.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'ovmpensaton policyinformation: . t Homeowners who subarit this affidavit indicating they are doing all work andthen hire outside contractors mast submit a new affidavit indicating such ZContractors that check this boa must attached an additional aheet showing the name ofthe sub-contractors and their workers'comp.policy information. Taman employer that is providing workers compensation insurance for.my employees. Below is the pollcy and job site information. Insurance Company Name: Policy#or Self-ins.Lie. : Expiratkm Date: Job Site Address: e S`t m't(,cd Ci�t., City/State,,Zip:� _ Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secvro coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500,.00 and/or one-year impriso=ent,as well as civil penalties in the-form oi'a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA,for insurance coverage verification. 1 do hereb ertify under the pains and penalties of perjury that the information provided above is true and cor•re� Si afore. �A� Date: '--4 Phone#; Official use only. Igo not-V#*e hi Phis area,to be completed by city or imm official: i City or Town: Permit/License# i Issuing Authority(circle one): 1.Board of Health 3.Building Departmena 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: i Information and Instructions , Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in.the service of another under any contract of hire, express orirnplied,.oial or written." An employer is defined as."an individual,partnership,association,corporation dr other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the . receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartinents and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair wark on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to bean employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states'Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of conr9liance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to you=situation and,if necessary,supply sub-contractors)nmne(s),address(es)and phone mmumber(s)along with they certificates) of insurance. Lind Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an MC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of InduW-21 Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The-affidavit should be returned to the city or.town that The application for the permit or license is being requested;not the-Depariment of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license nummber on•the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly: The Department has provided a space at the bottom. of tie affidavit for you to fill out in the event the Office of Investigations has to contact you regarding time applicant. Please be sure to fill in the permiVlicense number which wiU be used as a reference number. In addition;as applicant that must submit multiple pmmit4icense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job.Site Address"the applicant should write"all locations in_,(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that.a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of 1-n 4 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1 o77-MASSAFE Fay#617-727-7749 Revised 5-26-05 arw-R%.mass.gov/din i 1 °Fla Town of Barnstable Regulatory Services BML%f 'BM Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IlVIPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, -improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. BB Type of Work: k 2 ai o W. GPeLqQie Estimated Cost C rl ODD / I Address of Work: y W a l w :tia,c� Q �S re1�.�, t L � 14, i 11 Owner's Name: ��d2�JrQ.Q sh [a uy Date of Application: - — /"1 =® I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied 54Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. PR Date Owner's Name Q:forms:homeaffidav RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $ 50.00 Alterations/Renovations $ 50.00 Change of Contractor/Builder $ 25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE /J;��sqquare feet x$64/sq.foot= Q—I 50 x .0041= 19-8 a 16 below(if applicable) J GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq. ft. >120 sf-500 sf $ 35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (nu ber) Deck I x$30.00= 30 (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projcost Rev:063004 Town of Barnstable Regulatory Services •ABIVSrABLE. Thomas F.Geiler,Director Y MASS. g �p 1639• A�0 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: �// J - / JOB LOCATION: LOD Ul C�S_f W (/� Cr`71 O57 Q numberbe y n[street c� village "HOMEOWNER": pZrc=7- A9A t 42 1_�O� name home phone# / /� work phone'# ,EJ CURRENT MAILING ADDRESS: 2 !fin Ce-(i G a . i city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s).who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building'Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and re 'Dq/a; entss.. 13e/i l< . 4� -Li�� Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt ENVIRONMENTAL SERVICES BUILDING DIVISION STOP WORK. THIS STRUCTURE AND/OR PREMISES HAS BEEN INSPECTED AND THE FOLLOWING VIOLATIONS OF THE BUILDING CODE AND/OR ZONING ORDINANCE HAVE BEEN FOUND: itlt"&T 2) 3) 4 a YOU ARE HEREBY NOTIFIED THAT NO ADDITIONAL WORK SHALL BE UNDERTAKEN UPON THESE PREMISES, OR THE PREMISES OCCUPIED UNTIL THE ABOVE VIOLATIONS : r ARE CORRECTED. ANY PERSON REMOVING THIS NOTICE WITHOUT PROPER AUTHORIZATION SHALL BE LIABLE TO A FINE OF NOT LESS THAN FIFTY, NOR MORE THAN ONE HUNDRED DOLLARS. Address2rf* �' Jv � lutifow Date t gE i g ommis er i j � f L Y f f. I+ 1 ' it 11 - • • Ulf1 • �r L' i . �s t't t�g� 5, �y ' J t J - $1 _r � Town of Barnstable Regulatory Services Thomas F.Geiler,Director • BAaNSTABM • 9� MAM ��� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office 508-862-4038 0 0� Fax: 508-790-6230 t�'�J PEMT# FEE: $ / SHED REGISTRATION 120 square feet or less goo ules-� i )14,,v,( r,A a-.&�.v, G l� Location of shed(address) Village Property owner's name Telephone number D//A/3' Size of Shed Map/Parcel# Signature Datej Hyannis Main Street Waterfront Historic District? r Old King's Highway Historic District Commission jurisdiction? w Conservation Commission(signature required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 THAT IH/S �.OT /J NOT kOCATEO /N FEOER�PFF /HEREBY CERTIFY ooiSP�EFFECT/VE "AS S//OWN ON THE FEOEg FLOOR /NEB O So�TE M T MMUN/TY PA , 4� 55 ONO, R.L•S. PATE NOTE. NORTH ARROW NOT TO � O BE T BE USER FOR SOLAR PURPOSES. y 2px 4 rab • can Z a U /00.00' -� Ind Z y � Q a tOT '56 m • G2:a' O O o � E�clSriNCs •° � � N F1�.U: id.o' 2•0' d8.00' � • 22.5' � O /00. 00' 0o Cl) OCO Z 5T�/llU� o n y � rn IVA t ow."�i:Q. yl�:-sT1AP. GOA19T. m y.� --_. 0. yawn. , TION 40CATIOIV PkAN FOUNPA _ j TN/S Rkor PkAN WAS NOT MA Pe FROM .66 AN /NsnalmeNT SURVEY ANR /5 R �.OT USE 0,F THE BANK OM Y. UNOEs T O BE 5 TAB�--� C/RCUMSTANCES ARE OFFSE e�A2 lJSEO FOR FENCE; WALLS, yEOGES, E'TC. OiY/V"e BY: So. vA�M0 UTH ARROW ENG/REEK/NG I WA Y R08. �� 6 p EAST AALMOV TH HIGH E = OZ536 RAYMOND EAST fA�.M4V TH, MA. 9 No.21583 �� FCISTEQ' J`� SCALE p 30, Bs �L p PLAN Na ORA�WN BY CHEO� APPR BY' i4Y � y - • TOWN OF BARNSTABLE Permit No. -----M�t 7_--_-------__ }smn Building Inspector Cash "e. ; OCCUPANCY PERMIT Bond —X Issued to Dennis Star Construction Address 7 0t- so; 9n0 Wa�tr,-74"A C4 w- 1 a 1 � .e aser4 1 l g Wiring Inspector �( Inspection date Plumbing mspectorKzozs—�� — -� Inspection date Gas Inspector " /, Inspection date 9 R ,,( 5- Engineering Department. �r / , / j Inspection date j r3,1) / Board of health ` , f o_.vt•a� � -� Inspection date e THIS PERMIT WILL NOT CBE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. 2 .............� ...t ......, 19. ........ .....�� i c*L ........................... ...» . C Building Inspector Fs:7 4 IMP TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING s639. HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has <been issued for t.,he'�building authorized by, BuildingPermit .......................................................................................... issuedto ............ . ............ ............................................... Please release the performance'bond, /HEREBY CERTIFY 1NAT TN/S ,GOT/3 NOT ZocATEO /N FEOeeA,G FL000 HAZARF ZONE A"AS SNOWN ON THE FEPERA, F,1.00P INSURANCE RATE MAP FOR THE TOWN OF 64 T MMUV/Ty PANEL, /o,2S000/' oo�S�EFFECT/YE DATE�'01'83 BE T ONO, /R 4,.%5 PATE NOTE: NORTH ARROW NOT TO o BE USEP FOR 604,49 PURPOSES. > y �t . a Oho ao � I00.00 . y � 0 o SOT 5 GOTS� o Sao i o a Cry ' LZ:o' 73 n (?1 N Fl}UQAT_/.0�j._ N Id.o' Z.o' d8.00' i J 22.5' � � O c� i00. 00, (an 4 CO --I D n Tail/S P,GOT PLAN wA,5 NOT MADE mao FOUNPAT_ /ON 4OCAT/ON P4AN AN INSTiIPUfew SURVEY ANP /S FOR THE LOT-/ W t s'a I Q O (f +z. LASE OF THE BANK ONG Y. UNDER NO CIRCUMSTANCES ARE OFFSETS TO BE (�A.2�1 S TA, a LE M , USEP FOR FENCE; WArLL%yl HEDGES, Erc. OWNER BY: SO. \/AeMOOTH t"1A ROBER A MOW ENGINEERING INC. E. T G� y No.2 1583 60 EAST FA�.MOIITH H/GHWA Y RAY E,4ST Fi k.4fOL/THC BS AM. O.ZS36 9 1583 � CISTEQ`�OJ�ao SCAL.E�a3 , PATE:�ib SHEET'/.tzA DRAIYN 9Y- ChFCATPBY APR BY PLAN NO. �/TtI 2E2 Q *^ / SEPTIC SYS�'E~��i A�!le'S BE74 Assessor's map and lot number .../.. �.`.11. ... r • �. t .�+^s s �ttr` FtNet INSTALLED Ind.C(�£.-'PLIA �C �o o� .y.. ..1�. �/�!'ITH TITLE 5 Sewage Permit number .......... ............ �� d �' ENVIRONMENTAL CODE Aft �111211House number ................................../... ..................................... f TOWN REGULATIONS ro 1b791039 O • 9� em a` TOWN ' OF BARNSTABLE BUILDING '. JN.SPECTOR APPLICATION FOR .PERMIT TO � � S.. . ...........r.... n ..................... •.. ........• .................._ i TYPE OF CONSTRUCTION ........t,4ZQ.4..P... �. 'l.f. ............ . .................... ........ .�.��....... 19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...Z,.044 6..... ...9,1✓.-jH..0... .......... �i ..................... ProposedUse ........... ......................................................................................................................... ZoningDistrict .................JI.........................................:...Fire District ..................................................................: Name of Owner ..C41"ress .............. .. .( fJ'...�lT.......... Name of Builder ..�.� . C7..... f>�. . , Address .............� ....� � :�.. ............ . .> �. .. Nameof Architect ..................................................................Address ..............��.......................................... Number of Rooms .K/ .. . .1.✓....J .f./U...�1.1..T...Foundation ......%.:..�.: .E.....nq ..��g. . ... Exterior ......W..I.:.1..T..E... N...64-.&SYRoofing ....... . .. ... :GT.......�1.. ./..K ........�..... Floors ................G..l ..1 ..1�. .7' .Interior .........O..R.v:. ................................ .............................. ,Heating _ .D... .... �... . .., .:.�, ...... g ............�..� ..�� ................................. Heatin . .... r ��-'�� � .Plumbin Fireplace .................1�... �.. .............................................Approximate. Cost ............ �Q. .t...ow-0....................... Definitive Plan Approved by Planning Board -----------------------------19- ---. Area .....j................... a.., Diagram of Lot and Building with Dimensions Fee ...... 7( ,. ... ....... ........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH A/V I f • OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... .. ..... Construction Supervisor's License ..... .�� • (I "DENNIS STAR CONSTRUCTION No ....28147 One to v...... Permit for ............ ..... ................. Sinple Family Dwelling .............................................................................. Location ..Lot. ...56.......20.0...Wes.t.wind...Clirc.l.e, ...... . ........ . ...... . . Osterville ............................................................................... Owner Dennis Star Construction .....................................................t.......... Type of Construction F.r.ame............................... . ................................................................................ Plot ............................ Lot ................................ July 3, 85 Permit..Granted ........................................1-9 Date of Inspection ....................................19 Date Complete) ...... .....1,9 �� —. "' 74 Assessor's map and lot number :.. .�'.� ���., •iNs ^ Tp�♦ Sewage Permit number .................... ......1.f�... ............. MAe� House number, ................................... .. r ^ti . .......................f,............ I ; 1639. \0� ... _:. 'F0 NO d. TOWN OF BAR.NSTABLE I � BUILDING INSPECTOR I APPLICATION FOR PERMIT TO / ,.................. :. !.... ,,. .. ................................................................... TYPE OF CONSTRUCTION ........ ............ ................... 1 1 ...................13.)..........?..........19. �v i TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Locatlion .. :. ..� .... �r?/.. ...sue:./. ... .�. �. •I:. .......... %. .? { I�.(l / �•.f C-�....................... ._ . Proposed Use ........... :. /�. .� .A�'! .. .......................................................................................................................... ... .... Zoning ;District �........................................Fire District ................. Name Yof'iO,wner n .<N�ifl.P.-.P.� .�2.. .�?,!.!j: .. i 44 ddress .............. ��.. .rt .1 !... ........ Name of Builder go .............: .! .:.. ���.,��l�.F..�) �I..�.�............ Nameof Architect ..................................................................Address ......................::".v`................................................. Number of Rooms .. . 1.✓:..t .�, �... .�. ...Foundation ...... .....U.. .! ..... .TT:. 1-1 l T' / ....... .:A 1��.�..G.!`..p.Roofin �} Exterior .....: �..............� ....._ ...../ 1 g .......:/ .: 7....... . :.�..... Floors -�...4.. ... .T _t...............................Interior ........1'D R V �1/����� .....::................ ........ . •, I p . Fire lace ................. `.... �.. .............................................Approximate Cost ............3. � 4 ?,l .Q _ roximat .......................i Definitive Plan Approved by Planning Board ________________________________19________4 Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH i� IV /10 ` � I i� 6 t f � OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... : a.. ......... f 7`7 �• Construction Supervisor's License .....e....h�.a. .... . ....... DENNIS STAR CONSTRUCTION A=121-11-19 i No .181 Z Permit for ...One,,,Story.............. S ing l e...Fami ly...P..�a?�1Xlg...................... a Location ..Lot.,5,¢,......2.QQ„W.C.st..wjud...Ur..CJ.e .............Oster..y P............................................. Owner ....Denns,,,Star Cq}},$,t> 11C.C.]Rn......... Type of Construction .......F.rame Frame........................ ................................................................................ Plot ............................ Lot ................................ Permit Gran.ed July 3, 19 85 Date of Inspection ....................................19 Date Completed ......................................19 iI I I I I I I Ii I I I _- i : I _ I i : i - - O' r : 5' tli - , I r _ _ .-- { i _, ,.. 'lam"� r ��.,,.;'�"�:'m:�'"•-M r C L. � I� e ,.. � >: � '. -,-:.: :w.:• � I � i. � C.r.r.�.�._..,..^��qn�,�"_.�.....,..W.,W»..,..:._ Y I I _ - _._. , _, i .... (/,o3f` X �/ { I I` I I -::. �. .. _ _ .. Fr>�«•[�'.�, ,:�+...�.,,-«+K .w. ,��..mx,.s...�w•�,..a�.a.w.,�._�.,,.a-ter,-_�,�':,�res�#I�.,:su..-._. �_.:,�... _... al� . I : io I f' 154 � I . I --- a ._,_._ 6o : I � I ! X F (zoo' SAC i2 / ! I I I I ! ! I I I I j , I � 0 i FtooIQI yy� Al j 1 I I iI I I 9 I � �• b : I � I ! 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