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HomeMy WebLinkAbout0066 CAPES TRAIL ♦ l OxfordNO. 152 1/3 ORA ESSELTE 10% �. LOT 19 LOT 26 210.00' t�- LOT 28 44. 483 +/- SF LOT 29 (1.02 +/- AC) RR n CONC. FOUND. �' 7g4 3� LOT 27 R'59;?5.00, =210.00' T 99-307 ! CE TIFIELD PLOT PLAN LOCATION : .CAPES TRAIL W. BAP.N. PREPARED FOR: SCALE 1 ': = 50.' DATE 01115192 REFERENCE : L- 46 PB 462 PG 33 & 34 NICKULAS HOMES ' T HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS ARLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. `�� Of JOHN o McELWEE down c8pe engineering . inc. 14o•33602 0� j CIVIL ENGINEERS / !Q LAND SURVEYORS ,l /992 'psi �RE J RTE 6A - YARMOUTh, MASS. DATE AEC. SURVEYOR i 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map Parcel Application # Health Division Date Issued .3 Conservation Division Application Feet Planning Dept. 4 'Permit Fee Date Definitive Plan Appro,ed by Planning Board : Historic - OKH Preservation / Hyannis Jed Project Street Address h�r Gg��r lr. Village V 5� ► e Owner C6(ele< 'fW4 /yr C. Address e.r $v . Telephone 0 3 - 76 7- 2 SZ 7 Permit Request hs1<a l� Y fa C,-0_r+, _hlykic 4-6 17G C- 110^eS r-ICc71rI'-Q I S\..rZen Square feet: 1 st floor: existing proposed _ 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1/3 000 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family C� Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes (!�No On Old King's Highway: YYes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _newZE Total Room Count (not including baths): existing new First Floor�o m Coin Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other o CD Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing woo /coal stove: ❑des ❑•.No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: existing, nerj size_ _ cao Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: rn Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes d No If yes, site plan review # Current Use �esl'dc lfia/ Proposed Use eV_ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) _ Name 1S��uve,�nro/ r7u.t,-? R Telephone Number 17:? - Address 2H S�. / �►,`.� b.�. /ifs 2,. U�,'� i License # &8 N �ao bbie0L3L,. Mq 0173-L Home Improvement Contractor# 16 fs 572 Worker's Compensation # IIn/C 11 >3V 0 b ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 2-L/ S�_ Zjad,], Dv. Z!&d /b� CX 7 5 2 SIGNATURE DATE 7/36 A3 �a f FOR OFFICIAL USE ONLY APPLICATION# 5 DATE ISSUED _ MAP/PARCEL NO. . ADDRESS VILLAGE OWNER r I DATE OF INSPECTION: I FOUNDATION ti I FRAME } `INSULATIONI FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING:, ROUGH FINAL GAS. ROUGH " .; FINAL FINAL BUILDING �� G - --DAT..E CLOS;ED:.OUT _ ASSOCIATION PLAN NO ' The Commonwealth of Massachusetts vDepartment 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): 6 Address: 2N !r4.- /t'lrsrJ: , 1�t, 13Q City/State/Zip: txr/ c,,,o G Phone#: `l r-Zt r z 3 S k Are on an employer?Check the appropriate box: Type of project(required): 1.[7I am a employer with 30049 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity, employees and have workers' com insurance.: 9. ❑Building addition [No workers'comp.insurance comp. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.[ Other S,o(u..,. 1' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Zga,,icy, MafuytikGG Ca Policy#or Self-ins.Lic.#: L/C R(2 3L/ 67 0 Expiration Date: q 1 4.3 Job Site Address: 6 Cope-f 7irf City/State/Zip: �le_ n_d o%�� AW Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,50.0.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under t e par and penalties of perjury that the information provided above is true and correct Signafore: Date: /� 30 3 Phone#: 4 7 —2/S- 23 r fi Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: I I 1 .r Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant-to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter 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 permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to 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 Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax# 617-727-7749 www.mass.gov/dia f ,a►co o� e16 CERTIFICATE OF LIABILITY INSURANCE O0 116/2012012Y) 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: It the cert(flcste holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements. PRODUCER 0726293 1-415-546-9300 CONTAC re ndan B Arthur J. Gallagher fi Co. NAME: •-_ Quinlan PHONE Insuznnce Brokers of California, Inc., License M0726293AX WC.No.E.U.EAp:415-536-4020_. _I•(A(C,No): One Market Plaza, Spear Tower ADDRESS: brendan�quinlan�e soon Suite 200 Jg. San Francisco, CA 94105 INSURER(S)AFFORDING COVERAGE __ NAIC 0__ INSURERA: ZURICH AMER INS CO 16S35� INSURED ' SolarClty Corporation -- INSURERS: LIBERTY INS CORP 42404 INSURERC: UNDBAHRITERS AT LLOYDS _ 32727 3055 Clearview Nay INSURERD: San Mateo . CA 94402 INSURERE: i INSURERF• COVERAGES CERTIFICATE NUMBER: 28723700 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR NSR TYpE Of INSURANCE POLICY NUMBER PODp EFF POLICY EXP IIMITB- I A GENERAL LIABILITY j OL0967364404 -09/Ol/1 09/O1/13 X I EACH OCCURRENCE 2,000,000 `COMMERCIAL GENERAL LIABILITY DAMAGE 10 RENTED 2,000,000 PHEML$E$.(Ea oaeunm-o) f (CLAIMS-MADE l X I OCCUR IJEO EXP(Any me person) f 20,000 X i Deductibles $25,000 PERSONAL ItADVINJURY _ S 2,000,000 GENERAL AGGREGATE. i$2.000.000 GEN'L AGGREGATE LIMIT APPLIES PER t PRODUCTS•COMP/OP AGG $2.000.000 I X i Pd,ICY PRO. LOC $ A AUTOMOBILE LIABILITY I RAP982931702 1 09 Ol 13 COMOINED SINGLE LIMIT X (Ea socidam) f 1.000,000 ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCIIEDULEO - - AUTOS ALTOS i BODILY INJURY(Per ac6denl) S X IIIREO AUTOS X HON•OWNED PROPERTY DAMAGE AUTOS (Per accident $ B X UMBRELLA UAG X I OCCUR I I 'TH7661066265012 09/01/1 09/92/3.3 EACHOCCURRENCE $20.000.000 EXCESS LIA CLAIMS-MADE DEO 1 X RETENTION$10,000 i AGGREGATE 9 10 r 000.000 A WORKERS COMPENSATION WC967346704 WC LIMIT 116ER $ AND EMPLOYER&LIABILITY 09/O1/1 09/O1/13 X ANY PROPRIETORIPARINER/EXECUTIVE YIN TORY LIMITSi 1 ER OFFICERIMEMBER EXCI UDED7 DINlA E.L.EACH ACCIDENT $ 1,000,000 (Mandatory M NH) I E.L.DISEASE•EA EMPLOYEE'$ 1.0 00,000 N yS deIIaft under DESCRIPTION OF OPERATIONS adorn E.L.DISEASE-POLICY LIMIT r$ 1,000,000 C Errors and Omissions :80146LDUSA1204524 09/01/1 09/01/13 Limit of Liability 5,000.000 Aggrogate 5,000,000 Deductible 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule.(I more space is required) Certificate issued as proof of coverago. CERTIFICATE HOLDFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence of Insurance Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE �N ©1988.2010 ACORD CORPORATION. All rights rosorvod. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD gokean 28723200 The Commonwealth of Massachusetts Print Form Department of Industrial Accidents Office of Investigations ' I Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Busin SolarCity Corporationess/Organizatiot>/Individual): . Address:3055 Clearview Way City/Stale/Zi :San Mateo, CA 94402 Phone#:650 963-5100 Are you an employer?Check the appropriate box: Type of project(required): 1.21 1 am a employer with 1500 4. ❑ 1 am a general contractor and 1 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition workingfor me in an capacity. employees and have workers' Y9. ❑ Building addition [No workers' comp. insurance comp. insurance.* required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.[] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152,§1(4),and we have no Solar PV employees. [No workers' 13.0 Other comp. insurance required.] •Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I ant an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name:Zurich American Insurance Company Policy#or Self-ins. Lic.#:WC96734670 Expiration Date:09/01/13 Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. l do hereb cer#fy Mder the s n epalfles ofperjuty that the in ormation provided above is trite and correct. Si nature: Date Phone#:978-215-2358 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: o% C%</ JJCGG/�.I /'/'1 Office of Consumer Affairs nd Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 168572 Type: Supplement Card Expiration: 3/8/2015 SOLARCITY CORPORATION JASON QUINLAN 24 ST. MARTIN STREET BLD 2 UNIT 11 MARLBOROUGH, MA 01752 Update Address and return card.Mark reason for change. sCA 1 c, 20M-W11 � Address [:] Renewal 0 Employment Lost Card ���r �r uiiiuiirarvrl/�c/!-'��is.inr�n�r•/%� flice of Consumer Affairs&Business Regulation License or registration valid for individul use only _ ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation ` egistre Jon: 168572 Type 10 Park Plaza-Suite 5170 ExplratioM 3/8/2015 Supplement ::ard Boston,MA 02116 SOLARCITY CORPORATION JASON QUINLAN 24 ST MARTIN STREET BLD 2UNI ITlIALBOROUGH,MA 01752 Undersecretary Not valid without signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards I (ollor„rl,on♦ul,cr%Mnr License,CS-095884 JASON R QUINLAN� 190 WALL ST BRIDGEWATER=MA Expiration Cuntu�ss�n„er 12/02/2014 w I I S7� i k,yq 1 1: t r •r:�,�F �[ 4 ' k_ - Dsf1 �iirF � . Barnstable Old Kings Highway Historic District Committee o� ? ,,�,$ ; 200 Main Street,Hyannis,MA 02601, TEL: 508-862-4787 Fax 508-862-4784 MABS p 61Wf�p`0b APPLICATION, 'CERTIFICATE OF APPROPRIATENESS Application is hereby made,with five(5)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973,for proposed work as described below and on plans,drawings,or photographs accompanying this application for: Check all categories that apply; 1. Building construction: ❑ New ❑ Addition ❑ Alteration 2. Type of Building: ❑ House ❑ Garagelbarn ❑ Shed ❑ Commercial ❑ Other 3. Exterior Paintinig,roof ❑ new roof ❑ color/material change, of trim, siding,window, door 4. Sign: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining 7solar ll El Tennis court ❑ Other 6. Pool El swimming El Other man-made pool panels ❑ Other Type or Print Legibly: Date NOTE All applications must be signed by the current owner Owner(print): C_W�F-,_m Telephone Address of Proposed Work: (����p��. —r' ,y�L Village Map Lot# Mailing Address(if different) Owner's Signature Description of Proposed Work: Give particulars of wor to be done: �5�e (jj 0 orb' i V.. t Agent or Contractor(print): . ovr- ' l- 04z,b Telephone#: (az.N Address: �- - *-a 4t It ��� a a Contractor/Agent' signature: 40��. For committee use only. This Certificate is hereby APPROVED/DENIED Date Members signatures r MAC 15 2�13 APPROVE® � tib. ,i �,� JUG 10 2013 GROW 0 Old King's Highway Committee 1 Q:lBoards and Commissions101d Kings HighwaylOKHAppiicationslOKH 2O11 Cert Appropriateness.doc J Dispute be pursued on your or our behalf in any shall not be construed to (i) be a waiver of such litigation in any court. Claims regarding any Dispute provisions or a party's right to enforce that provision; or and remedies sought as part of a class action, class (ii) affect the validity of this PPA. arbitration, private attorney general or other 20. Notices. representative action are subject to arbitration on an All notices under this PPA shall be in writing and shall individual (non-class, non-representative) basis, and be by personal delivery, facsimile transmission, the arbitrator may award relief only on an individual electronic mail, overnight courier, or certified or (non-class, non-representative) basis. This means that registered mail, return receipt requested, and deemed received upon personal delivery, acknowledgment of the arbitration may not address disputes involving other receipt of electronic transmission, the promised persons with disputes similar to the Disputes between delivery date after deposit with overnight courier, or you and SolarCity. five (5) days after deposit in the mail. Notices shall be sent to the person identified in this PPA at the The arbitrator shall have the authority to award any addresses set forth in this PPA or such other address legal or equitable remedy or relief that a court could as either party may specify in writing. Each party shall order or grant under this agreement. The arbitrator, deem a document faxed to it as an original document. however, is not authorized to change or alter the terms 21. Entire Agreement: Changes. of this agreement or to make any award that would This PPA contains the parties' entire agreement extend to any transaction other than yours. All statutes regarding the sale and purchase of power generated by of limitations that are applicable to any dispute shall the System. There are no other agreements regarding apply to any arbitration between us. The Arbitrator will this PPA, either written or oral. Any change to this issue a decision or award in writing, briefly stating the PPA must be in writing and signed by both parties. If essential findings of fact and conclusions of law. any portion of this PPA is determined to be unenforceable, the remaining provisions-shall be BECAUSE YOU AND WE HAVE AGREED TO enforced in accordance with their terms or shall be ARBITRATE ALL DISPUTES, NEITHER OF US WILL interpreted or re-written so as to make them HAVE THE RIGHT TO LITIGATE THAT DISPUTE IN enforceable. COURT, OR TO HAVE A JURY TRIAL ON°THAT 22. Publicity. DISPUTE, OR ENGAGE IN DISCOVERY EXCEPT AS SolarCity will not publicly use or display any images of PROVIDED FOR IN THE RULES. FURTHER, YOU WILL the System unless you initial the space below. If you NOT HAVE THE RIGHT TO PARTICIPATE AS A initial the space below, you give us permission to take REPRESENTATIVE OR MEMBER OF ANY CLASS pictures of the System as installed on your Home to PERTAINING TO ANY DISPUTE. THE ARBITRATOR'S show to other customers or display on our website. DECISION WILL BE FINAL AND BINDING ON THE PARTIES AND MAY BE ENTERED AND ENFORCED IN Customer Initials `�,!_ ANY COURT HAVING JURISDICTION, EXCEPT TO THE ~" EXTENT IT IS SUBJECT TO REVIEW IN ACCORDANCE REST OF PAGE INTENTIONALLY LEFT BLANK i WITH APPLICABLE LAW GOVERNING ARBITRATION AWARDS. OTHER RIGHTS THAT YOU OR WE WOULD HAVE IN COURT MAY ALSO NOT BE AVAILABLE IN ARBITRATION. 19. Waiver. Any delay or failure of a party to enforce any of the provisions of this PPA, including but not limited to any remedies listed in this PPA, or to require performance by the other party of any of the provisions of this PPA, Solar Power Purchase Apreemenl, Few(shry`.i,i i113 U ZUU8 2013 Si)larCiLy Ctrrparalion.All Riglrls Resrrved. i y : I have read this Power Purchase Agreement and the 23. NOTICE OF RIGHT TO CANCEL. Exhibits in their entirety and I acknowledge that I have YOU MAY CANCEL THIS CONTRACT AT ANY TIME received a complete copy of this Power Purchase PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY Agreement. AFTER THE DATE YOU SIGN THIS CONTRACT. SEE EXHIBIT 1, THE ATTACHED NOTICE OF tOwner's-Name:-Charles-Constantine? CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. 24.ADDITIONAL RIGHTS TO CANCEL. SSignature? / ' IN ADDITION TO ANY RIGHTS YOU MAY HAVE TO tDatel r CANCEL THIS PPA UNDER SECTIONS 6.AND 23, YOU MAY ALSO CANCEL THIS PPA AT NO COST AT N —Na — y�""rgi -^�-' Co Owner--'s•Name-(if-an )rGeor ia�onstantlne ANY TIME PRIOR TO 5 P.M. OF THE 14TM CALENDAR ' DAY AFTER YOU SIGN THIS PPA. CS'ignatur0 ..• Dc ate �•Rlr, i ,-,SolarCity Power Purchase Agreement Signature:, 2 Date: v �✓ SOLARCITY APPROVED LYNDON RIPE,CEO (PPA)Power Purchase Agreement SOlalrCfty Solar Power Purchase Agrecinenl, February 5,2013 N)2008''.013 SolarCity Corporation.All Righis Reserved. 3/22/2013 026107-Constantine.xlsx gp�G4v Solarcity. 3055 Clearview Way San Mateo,CA.94402 (888)•SOL-CITY(765-2489) 1 www.solarcity.com STRUCTURAL DESIGN CALCULATIONS by YOO JIN KIM, P.E. PROJECT: Constantine Residence - Project # 026107 3.43 kW Roof Mount Solar PV System 66 Capes Trail Barnstable, MA. 02668 REPORT PREPARED FOR: SolarCity, Inc. 3055 Clearview Way San Mateo, CA. 94402 888-765-2489 �ytN OF N OWNER: Y00 IN Charles Constantine K 66 Capes Trail No.4 I 7 y Barnstable, MA. 02668 603-767-2527 OVAL PROJECT DESIGNED BY: Digital signed by Yoo Jin Kim SolarCity, Inc. Date:2013.06.17 11:34:09-07'00' 3055 Clearview Way San Mateo, CA. 94402 888-765-2489 �seeee March 22,2013 SolarCity. RE: Certification Letter Project: Constantine Residence-Project#026107 66 Capes Trail Barnstable, MA.02668 To Whom It May Concern, A jobsite observation of the condition of the existing framing system was performed by an audit team from SolarCity.All attached structural calculations are based on these observations and the design criteria listed below: On the above referenced project,the roof structural framing has been reviewed for additional loading due to the installation of the solar PV addition to the roof.The structural review, including the plans and calculations only apply to the section of roof that is directly supporting the solar PV system and its supporting elements.After review it was determined that the existing structure is adequate to carry the loads of PV without a structural upgrade. Design Criteria: • Applicable Codes=Massachusetts Residential Code,8th Edition,ASCE 7-05 and 2005 NDS • Roof Snow Load=40 psf • Roof Dead Load= 11.5 psf(All MPs) • Basic Wind Speed= 110 mph Exposure Category C • Solar modules=As indicated in attached drawings. I certify that the capacity of the structural roof framing that directly supports the additional gravity loading due to the solar panel supports and modules had been reviewed and determined to meet or exceed the requirements in accordance with the 2009 IBC. Please contact me with any further questions or concerns regarding this project. Sincerely, OF y Yoo Jin Kim, P.E. Project Engineer p`t' Y00 JIN K � VI y No.4 ORAL Digit y signed by Yoo An Kim Date: 2013.06.17 11:34:17-07'00' 3/22/2013 026107-Constantine.xlsx �oeeao °Do, ova r C i t 3055 Clearview Way San Mateo,CA.94402 (888)-SOL•CITY(765-2489) www.solarcity.com Calculations by: ADV Reviewed by: YK Table of Contents 1 Wind Load Calculations for Partially/Fully Enclosed Structures 2 Solar PV System a Rack Dead load Determination 3 Roof Dead load Determination 4 Rafter/Beam Calculations 5 Appendix Image from Google Earth showing Wind Exposure a Lai/Lon Seismic Spectral Response data from USGS web site Note:Seismic Check is not required because Ss=0.196<OAg per 1613.1J in 2609 IBC Design Criteria: Designed to Massachusetts Residential Code,8th Edition Dead L08d=11.5 psi(All MPS) Roof Live Load=20 psi 119.25 psi Reduced] Basic Wind Speed=110 mph Exposure Category C Roof Snow Load=40 psi r 6/17/2013 026107-Constantine.xisx Wind 1 ASCE7-2005 C$C Partially/Fully Enclosed Structure Wind Design. Input Variables Calculations and Values Required Variables Design Wind Pressures based upon: mean roof height,ft 25 ASCE 7-05 Chapter 6 Wind Loading Exposure Category(6.5.6.3) C Basic Wind Speed(Figure 6-1 or local data) 110 Equation 6.5.12.4.1:h<60 ft Comp.and Cladding Elements Importance Factor(1 for residential) 1 Wind Pressure P=qh*(G*Cp) Roof Shape Gable 6.5.10:Velocity Pressure Panel Tilt(degrees) 21.6 deg qh= 0.00256*Kz*Kzt*Kd*V^2*1 Roof Zone 1 contiguous sq.feet of array 35 From Table 6-3: least width of the building ' 30 Kz= 0.94 From Figure 6-4: Kzt= 1.00 Local Topographical Features From Table 6-4: (choose'standard"or refer to pictures right,and below) Kd= 0.85 type of hill none From figure 6-1: Hill Height(h)(ft) V= 110 slope of hill(degrees) From table 6-1: horizontal distance from hilltop to house(x) I= 1 height from bottom of hill to mean roof height(z) From Velocity Pressure Equation: qh= 24.75 Design Wind Pressures From Figure 6-19A P(Ibs.per sq.ft.)=qh*Cn*G Cn(down)= 0.40 Pd(downforce pressure)= 9.89 Cn(uplift)_ -0.85 Pu(uplift pressure)_ -21.03 From 6.5.8.1 G= 0.85 Max Tributary Area Max Uplift Force on a Single Standoff Pmax(Ibs.)=Amax*Pu+0.6*PL*COSO Yingli YL245P-29b Pmax= -335 Amax(sq.ft.)=X*Y Factor of Safety=FI*D*NI/Pmax Fastner Type: Hex Lag Screw(Per Plans) X(distance between standoffs in ft.) 5.33 Fastener Diameter:5/16"-2.5"Min Embed Y(distance between standoffs in ft.) 3.25 250 =FI(pullout capacity of fastener(Ibs/inch)) Amax= 17.32 3.0 =D(minimum fastener thread depth) 1 =NI(number of fasteners per standoff) 2.24 =Factor of Safety Dead Load Calculations DL(Ibs/sq.ft.)_(Mm+Mh)/(L*W) Point Load Calculations L(length of Yingli YL245P-29b modules) 5.41 PL(Ibs)=Amax*Loading W(width of Yingli YL245P-29b modules) 3.25 PV PL= 53 Mm(weight of Yingli YL245P-29b modules) 43.65 Mh(weight of hardware per module) 10.42 DL= 3.08 1 B lVersion 1 8 3/22/2013 026107-Constantine.xlsx ZEP DL 5 CALCULATION OF SOLAR PHOTOVOLTAIC ROOFTOP SYSTEM DEAD LOAD. All MPs MODULE AND STAND-OFF CHARACTERISTICS Module Make&Model: Yingli YL245P-29b Panel Configuration: Zep Array Nmod = 14 Quantity of Yingli YL245P-29b modules Lmod = 5.41 ft Length of one Yingli YL245P-29b module Wmod= 3.25 ft Width of one Yingli YL245P-29b module Amod = 17.58 sf Area of one Yingli YL245P-29b module Wtmod = 43.65 lb Weight of one Yingli YL245P-29b module DLmod= 2.48 psf Unit dead load of Yingli YL245P-29b modules Solar Rail Make& Model: SolarCity Rail Solar Rail Configuration: X-X Solar rails running in X-X direction Wt.ii= 0.68 plf Unit weight of aluminum solar rail, plf Stand-off Make& Model: ZEP Cs Comp Wtstandoff= 1.75 lb Unit weight per stand-off assembly PANEL AND RACK SYSTEM GEOMETRY 0= 21.6 deg Tilt of panel system from horizontal eroof= 21.6 deg Slope of roof mounting surface hmin= 0.33 ft Least panel height above roof surface (vertical dimension) hmax= 0.33 ft Greatest panel height above roof surface(vertical dimension) h= 0.33 ft Mean panel system height above roof surface(vertical dimension) Lx_x= 5.41 ft Array length in X-X Direction Sx_x= 4.00 ft Standoff spacing in X-X Direction Ns,x_x= 2 Number of standoffs in X-X Direction Ly_y= 45.47 ft Array length in Y-Y Direction (actual dimension at panel tilt0) Lh,y_y= 42.28 ft Horizontal projection of array length in Y-Y Direction SY.Y= 3.25 ft Standoff spacing in Y-Y Direction Ns,Y_Y= 28 Number of standoffs in Y-Y Direction 1 3/22/2013 026107-Constantine.xlsx ZEP DL 6 DETERMINATION OF SYSTEM DEAD LOAD FOR SEISMIC ANALYSIS COMPONENT AREAS, LENGTHS,AND QUANTITIES Asystem = 246 sf Gross area of solar PV system ^modules = 246 sf Net area of solar modules only Nra;,= 13 Number of solar mounting rails L,a;,= 70 ft Approximate total length of solar mounting rail Nstandoff"= 56 Number of stand-off assemblies DEAD LOAD CALCULATION Length or Unit Component Component Quantity Weight Weight, lb Solar Modules 14 x 43.65 lb = 611 Solar Rails 70 ft x 0.68 plf = 48 Stand-off Assemblies 56 x 1.75 lb = 98 Subtotal for Hardware= 146 lb Total System Seismic DL= 757 lb Weight of Hardware per Solar Module= 10.42 lb Weight of Modules per square foot of PV System= 2.48 psf Weight of Hardware per square foot of PV System = 0.59 psf Total Seismic System Weight per square foot= 3.08 psf 3/22/2013 026107-Constantine.xlsx Roof DL 7 DETERMINATION OF DEAD AND LIVE LOADS: All MPs DEAD LOAD LIVE LOAD Element Materials Wt. (psf) IBC 1607.11.2 Roof: Comp Shingle 6.00 Lo= 20 psf Roofing Paper 0.50 Ab;b= <=200 sf 1/2 in. Plywood or OSB 1.50 R, = 1 2 x 8 @ 16 in. o.c. 2.27 (Rafter) RZ= 0.9625 Miscellaneous 1.23 Lr= Lo* R, * R2= 19 psf 11.50 Roof Pitch 5:12 1.075 21.6 deg Dead Load @ Roof Pitch= 12.37 Ceiling: 2 x 8 @ 16 in. o.c. 2.27 Insulation 1.42 5/8 in. Gypsum Board 2.80 Miscellaneous 1.50 7.99 F O R T E MEMBER REPORT Level,MP1 PASSED 1 pieite(s) 2 x 8 Spruce-Pine-Fir No. 1 / No. 2 @ 16" OC Overall Sloped Length:15'7 5/16" 0 0 12 4.75F_ 1'2' 13' 1 2 All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal. Design Results Actual®Location Allowed Result LDF Load:,Combination(Pattern) System:Roof Member Reaction(Ibs) 464 @ 14 2" 956(1.50") Passed(48%) -- 1.0 D+1.0 S(Alt Spans) Member Type:Joist Shear(Ibs) 425 @ IT 7 1/4" 1126 Passed(38%) 1.15 1.0 D+1.0 S(Alt Spans) Building Use:Residential Moment(Ft-Ibs) 1479 @ 7'10 3/16" 1521 Passed(97%) 1.15 1.0 D+1.0 S(Alt Spans) Building code:IBC Live Load Defl.(in) 0.561 @ 7 9" 0.691 Passed(L/296) 1.0 D+1.0 S(Alt Spans) Design Methodology;ASD Total Load Defl.(in) 0.760 @ 7'9 3/16" 1 0.922 1 Passed(L/218) 1.0 D+1.0 S(Alt Spans) Member Pitch:4.75/12 Deflection criteria:U.(L/240)and TL(L/180). Overhang deflection criteria:U.(2L/240)and TL(2L/180). Bracing(Lu):All compression edges(top and bottom)must be braced at 2'1/2"o/c unless detailed otherwise.Proper attachment and positioning of lateral trading is required to achieve member stability. A 15%Increase in the moment capacity has been added to account for repetitive member usage. Applicable calculations are based on NDS 2005 methodology. Bearing Length Loads to Supports(lbs) Supports Total ,Available Required Dead Snow Total Accessories. 1-Beveled Plate-DF 3.50" 3.50" 1.50" 138 416 554 Blocking 2-Hanger on 7 1/4"DF beam 1.50" Hanger' 1.50" 125 348 473 See note •Blocking Panels are assumed to carry no loads applied directly above them and the full load is applied to the member being designed. •At hanger supports,the Total Bearing dimension is equal to the width of the material that is supporting the hanger • 'See Connector grid below for additional Information and/or requirements. Connector:Simpson Stron -Tie Connectors Support Model Seat Length Top Nails Face Malls Member Nails Accessories 2-Face Mount Hanger Connector not found N/A N/A N/A N/A Dead Snow Loads Location Spacing (0.90) (1.15) Comments 1-Uniform(PSF) 0 to 14'3 1/2" 16" 11.5 40.0 Roof DL&St. 2-Unifonn(PSF) 6'11"to 12'11" 16" 3.1 - Roof DL&SL Weyerhaeuser Notes SUSTAINABLE FORESTRY INITIATIVE Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values. Weyerhaeuser expressly disclaims any other warranties related to the software.Refer to current Weyerhaeuser literature for installation details. (www.woodbywy.00m)Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Use of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to assure that this calculation Is compatible with the overall project.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards. The product application,input design loads,dimensions and support information have been provided by Forte Software Operator Forte Software Operator ,lob Notes 3/22/2013 1:52:26 PM Abe De Vera Forte v4.0,Design Engine:V5.6.1.203 So larcity Stluctura1026107.4te (3,0)362-7526 adevera@solarcity.com Page 1 of 1 F 0 R T E MEMBER REPORT Level,MP2 PASSED 1 pieCe(s) 2 x 8 Spruce-Pine-Fir No. 1 / No. 2 @ 16"OC Overall Sloped Length:15'6 1/4" 0 0 4.75[a— 1 2 All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal. Desl n Results- Actual@ Location, Allowed' . Result LDIF Load:,Combination,(Pattem): System:Roof Member Reaction(Ibs) 458 @ 14'1" 956(1.50") Passed(48%) -- 1.0 D+1.0 S(Alt Spans) Member Type:Joist Shear(Ibs) 419 @ IT 6 1/4" 1126 Passed(37%) 1.15 1.0 D+1.0 S(Alt Spans) Building Use:Residential Moment(Ft-Ibs) 1469 @ 7'9 3/16" 1521 Passed(97%) 1.15 1.0 D+1.0 S(Alt Spans) Building Code:IBC Live Load Defl.(in) 0.547 @ 7'8 1/2" 0.687 Passed(L/302) 1.0 D+1.0 S(Alt Spans) Design Methodology:ASD Total Load Defl.(in) 0.744 @ 7'8 5/8" 0.916 Passed(1-1221) 1.0 D+1.0 S(Alt Spans) Member Pitch:4.75/12 Deflection criteria:U.(L/240)and TL(L/180). Overhang deflection criteria:LL(2L/240)and TL(2L/I80). Bracing(Lu):All compression edges(top and bottom)must be braced at 2'4 1/4"o/c unless detailed otherwise.Proper attachment and positioning of lateral bracing is required to achieve member stability. A 15%Increase in the moment capacity has been added to account for repetitive member usage. Applicable calculations are based on NDS 2005 methodology. Bearing1ength L.oadstoSupports,(Ibs) 'Supports' Total- , Available Required . Dead Snow Totah Accessories 1-Beveled Plate-DF 3.50" 3.50" 1.50" 140 414 554 Blocking 2-Hanger on 7 1/4"DF beam 1.50" Hanger' 1.50" 121 345 466 See note •Blocking Panels are assumed to arty no loads applied directly above them and the full load is applied to the member being designed. •At hanger supports,the Total Bearing dimension is equal to the width of the material that is supporting the hanger • 'See Connector grid below for additional information and/or requirements. Connector:Simpson Strong-Tie Connectors Support Model Seat Length Top Nails Face Nails Member.Nalls Accessories 2-Face Mount Hanger Connector not found N/A N/A N/A N/A - — - Dead Snow; - Loads Location Spacing (0:90) (1.15), Comments 1-Uniform(PSF) 0 to 14'2 1/2" 16" 11.5 40.0 Roof DL&SL 2-Uniforn(PSF) 5'6"to 11'7" 16" 3.1 - Roof DL&SL Weyerhaeuser Notes - - - [Ij)SUSTAINABLE FORESTRY INITIATIVE Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values. y Weyerhaeuser expressly disclaims any other warranties related to the software.Refer to current Weyerhaeuser literature for installation details. (www.woodbywy.com)Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Use of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to assure that this calculation Is compatible with the overall project.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards. The product application,input design bads,dimensions and support information have been provided by Forte Software Operator Forte Software Operator Job Notes 3/22/2013 1:45:34 PM Abe De Vera Forte v4.0,Design Engine:V5.6.1.203 Solarcity Sttuctura1026107.4te (310)362-7526 adevera@solarcity.com Page 1 of 1 - r 66 Capes Trail. West Barnstable. MA.02668. USA vow a -� F GooQIe eart'. f 3/22/2013 026107-Constantine.xisx USGS 1 Conterminous 48 States 2005 ASCE 7 Standard Latitude=41.708453 Longitude=-70.404236 Spectral Response Accelerations Ss and S1 Ss and S1 = Mapped Spectral Acceleration Values Site Class B- Fa= 1.0 ,Fv= 1.0 Data are based on a 0.05 deg grid spacing Period Sa (sec) (g) 0.2 0.196(Ss, Site Class B) 1.0 0.053 (S1, Site Class B) Conterminous 48 States 2005 ASCE 7 Standard Latitude=41.708453 Longitude=-70.404236 Spectral Response Accelerations SMs and SM1 SMs= Fax Ss and SM1 = FvxS1 Site Class D- Fa = 1.6 ,Fv=2.4 Period Sa (sec) (g) 0.2 0.313(SMs, Site Class D) 1.0 0.128(SM1, Site Class D) Conterminous 48 States 2005 ASCE 7 Standard Latitude=41.708453 Longitude =-70.404236 Design Spectral Response Accelerations SDs and SD1 SDs=2/3 x SMs and SD1 =2/3 x SM1 Site Class D- Fa = 1.6 ,Fv=2.4 Period Sa (sec) -(g) 0.2 0.209(SDs, Site Class D) 1.0 0.085 (SD1, Site Class D) TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application #Iz4 IN G 2 S Health Division Date Issued Conservation Division Application Fee S� Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address w c, ,z Village �� ,, 2 �� -A Owner �C' .r1-� � .� aAddress ,,.a Telephone 1 Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type f,'-'O ' � ' Lot Size 1 a /� �.�`p� Grandfathered: ❑Yes ® No If yes, attach supporting documentation. Dwelling Type: Single Family .Id Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes (d No On Old King's Highway: ❑Yes ® No Basement Type: 0 Full ❑ Crawl ❑Walkout ❑Other s o Basement Finished Area(sq.ft.) Basement Unfinished Area �q ft) gZ ( . � Number of Baths: Full: existing new Half: existing :g! Mw v Number of Bedrooms: existing —new Ell Total Room Count (not including baths): existing 6 new First Floor Rom Couf� Heat Type and Fuel: 9 Gas 0 Oil ❑ Electric ❑ Other v rn Central Air: ❑Yes YNo Fireplaces: Existing New Existing wood/coal stove: 0 Yes LVNo 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 Id No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) U3 Name ���� ("n 4,,� 0„6t k..*Telephone Number Address , ¢a It_QPA License # ( �An A � L-A Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY - _ r APPLICATION# DATE ISSUED MAP/PARCEL NO.' 'ADDRESS y VILLAGE - OWNER r. DATE OF INSPECTION: r FOUNDATION FRAME INSULATION FIREPLACE T ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL - FINAL BUILDING = DATE-CLOSED OUTS ASSOCIATION PLAN NO:�_- - y Y _._ — The Commonwealth of Massach usetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.rnass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Q ^ ,Please Print Legibly Name (Business/Organization/Individual): �lVt t9t �if P� 40 -moo✓k�, �.t Address: City/State/Zip: Phone #: 6 O 3 1�7 .--T—_57T— Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition workingfor me in an capacity. employees and have workers' y p �'• 9. ❑ Building addition [No workers' comp. insurance comp, insurance.$ required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp:insurance required.] •Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees, if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties of perjury that the information provided above is true and correct. Signature: Date: r` Phone#: �O Official use only. Do not write in this area, to be completed by city or town officiaL i 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 M PON The Commonwealth of Massachusetts Department of Industrial Accidents ' Office of Investigations 600 Washington Street F Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: 1(:i 1 1)46 LJZA City/State/Zip: E. Phone #: (f -At Ef6 Are you an employer?Check the appropriate box: Type of project(required): I.❑ I am a employer with 4. ❑ I am a general contractor and I - /O'f ees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance p required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.RrOther comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ;Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the a'ns and penalties of perjury that the information provided above is true and correct. Si nature: Date: 'O ------------ Phone#: — Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions , Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. 'Should you have any questions regarding the law or if you are required to obtain'a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter 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 permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to 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 Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax # 617-727-7749 www.mass.gov/dia Town of Barnstable rok�- Regulatory Services BARNS-rAsLF- Thomas F. Geiler,Director Muss_ 16s9. ..0g Building Division Tom Perry,Building Commissioner 200 Maid-Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: S08-790-6230 I OMMOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: (O �^� l V �/� '\ r Q �sr"�Q number street �r village r� �t \ HOMEOWNER": 0L AC R 14 S Jn F b �"&04 7 name /ni �+ n1 o6n- pone#cy- Q wor # CURRENT MAILING ADDRESS: ( b \ AJI AY c 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 HONI KONVNER Persons)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 I 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/sbe understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will'comply withfsaid procedures and requirements. Signature of Hornrown Approval of Building Official Note: Three-family dwellings'contain:ing 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_(Sectian 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such wort,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(sce Appendix Q. Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness bftcn results in strious 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 rtsportsibilitics,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 forrrt/ccrtification for use in your community. Q:forms:homw cmpt i r 1HE r Town of Barn-stable Regulatory Services ` s.Rwsr"sc.n Thomas F_ Geiler,Director q� 1659. IN Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Fax: S08-790-6230 Property Owner Must Complete and Sign This, Section If Us ing A Builder r I , as Owner of the subject.property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O MERPERMISSION �Op IKE r Town of Barnstable a , Old King's Highway Historic .District C.orrimb, � �B"RN �$ 200 Main Street, Hyannis, �p 1639• Massachusetts 02601 ��, U9 'Et,MA+ (508) 862-4787 Fax (508) 862-4784 C� OrdK�a arnstabla s Highway committee MINOR MODIFICATION TO PRIOR APPROVED PLAN 972 CMR Rules and Regulations, Section 1.03(2), 1.03: General Procedures (2.)- (a.) Only minor changes may be approved by the Committee without the filing of a new application and a new hearing. Minor, changes include alterations that can be done without a detrimental impact on the overall appearance of the project such as altering a.single window or door change or a minor change of colors. All minor changes by amendment will require the local Committee's or its designee's approval. Submit 2 copies of the application and supporting materials and documentation Applicant(s), print name C_ �� ,^cn/ "-0— (�')-�, ` ±lT4 Address of proposed work: House No. Street Village Assessors Map and parcel no. ( -n !9 z �ti 7 Date of approval of Certificate of Appropriateness Proposed Minor Modification: c o -2 -,C ,r W .1 J u� off./--t t�W/ �i 4 �1 —c �� 9 4 4 -P �r Signature of applicant: Print name: ,ni , �� �,A 11 tel no. APPROVED/DISAPPROVED: signed CHAIRMAN DATE: CC: BUILDING COMMISSIONER :, • 0 C T 0 1 2009 a QAGMD-Groups101d Kings HighwaylOKH New ApplOKH Minor Modification Form;07.doc Bpgitteerirg r) Map I�� v��U� Parcel Permit# 0Y R l' House# Z e y QQ 6(0 Date Issued ard of—Health 3rd floor)(8:15 - 9:30/1:00 Fe WSPirzcConservation Office(4th floor)(8:30-9:30/1:00-2:00) V ' ,q EO NrFlyl My 1 e s� Planning Dept. (1st floor/School Admin. Bldg.) _i�����-9 NV e� ale Plan roved by Planning Board 19 ® �w1ly� �N4 MR 4&6d g� rf0 MPy TOWN OF BARNSTABLE Building Permit Application Projec Str Addressrl,,�� /L Village W.��(��(A f o;A-c,6 Owner 4M k Seb Address W Telephone Permit Request �n X First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ q00, DO Zoning District Qf_s'l A ?nil ftL Flood Plain ��d Water Protection Lot Size , 0 Z Grandfathered ❑Yes ❑No Dwelling Type: Single Family II N. Two Family ❑ Multi-Family(#units) Age of Existing Structure 'i, CV6 Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: OFull ❑Crawl �ecrt ❑Other Basement Finished Area(sq.ft.) t Basement Unfinished Area(sq.ft) w 3 4 Number of Baths: Full: Existing ' New Half: Existing New No.of Bedrooms: Existing 3 _New • Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: M Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes qj No Fireplaces: Existing WO New Existing wood/coal stove ❑Yes No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) &Attached(size) I 0 QC ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 4 No If yes, site plan review# Current Use ( N Proposed Use Builder Information Name Telephone Number Address i License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO NV)e SIGNATURE(_? .Q� JQJAA2te9Zk DATE AAJ l r BUILDING PERMIT DENIED FOR THY&FOLLOWI EA_SON(S) FOR OFFICIAL USE ONLY y PERMIT NO. DATE ISSUED � MAP/PARCEL NO. 6a ADDRESS VILLAGE OWNER DATE OF?JNSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBI�G, ,,ROUGH FINAL GAS: '�-`.�.� ROUGH FINAL FINAL BUf--? G1 DATE CLOSED Ou-- ASSOCIATION PLAN-,NO' s ,-Application to �N +PPPiM`54EP Old Kings Highway Regional Historic District Committee imthe Town of Barnstable fora . CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building Addition )_]. Alteration' Indicate type of building: ❑ House ❑ Garage Q Commercial OtherC� 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign. ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE L ptireff ADDRESS OF PROPOSED WORK !�� C -�5 �UI ASSESSORS MAP NO. ��� OWNER ,�rct� ASSESSORS LOT NO. HOME ADDRESS �`E' r TEL. NO.M) ✓b2 C;Lq FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). er l Cos (Apes ��u .L � I�tAs 1e 1 fb�� q n�11r�v�y lS an D n (0 3 -rezit L- W afylSh -G It f �1�1 02b6 . AGENT OR CONTRACTOR Q� TEL. NO. ADDRESS DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8,other'side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). r l ` Signed Owner-Contractor-Agent Space below line for Committee use. _ '7�Received _by H.D:C. . 'tl� r ccA T . � ni Date-- """"�"� The Certi a ffy Date Ti _' g I � C!=T nl b KING'S Approved ❑ IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ °F WE t� . .� The Town of Barnstable s�rrsrasie. Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: Est.Cost Address of Work: K (a (ys I L- 4 (AL &,(.1 L(( db tp, ,1 //rT_ Owner's Name( cke(f e 1 f Date of Permit Application: ' �^ I hereby certify that: Registration is not required for the following reason(s): Work excluded by law _Job under$1,000. Building not owner-occupied =�;Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name The Commonwealth of Massachusetts 2j Department of Industrial Accidents _ 600 Washington Street Boston,Mass. 02111 Workers' Compensation MOM Insurance:�ffidavit rm Mr name: l location 1 I hone# o I am a homeowner performing all work myself. I am a sole roprietor and have no one working in any capacity �O%%%%%/ //%/ %%%%%%%%%%%%///%/%%/%%%%%%%%%%%/%/%%%%/%/��%/%%%%%�/%�%�/�%%/��%%%/%%//,./,;;,; ❑ I am an employer providing workers' compensation for my employees working on this job. com anv name: address: city phone# insurance co. oiicv# ❑ I am a sole proprietor, general contractor. or homeowner(circle one and have hired the contractors listed below who have the following workers' compensauon policcs: ....... company name: address: city phone#• insurance co. cam anv name: address: :... .. hone#: city :;. ituurance co.. :.::..:.;;:: >::<.;;:;. oiicv# %/%�% //// or Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one yeah'Imprisonment as well as civil penaltlea in the form of a STOP WORD ORDER and a fine of 5100.00 a day against me- I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herebv certify under the pains and pen allies ojperjury that rhe information provided above is truo and correct / Signature Date - Phone Print name official use only do not write in this area to be completed by city or town official city or town: permit/license is ❑Building Department ❑Licensing Boatel ❑Selectrnen's OMce ❑cheektf immediate response is required Q$ealfir Department Other contact person: phone rt; ❑ ' e (tsvum 995 FIA) . TR11' 1 . Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 engagedin a joint enteiprise,,and including the legal.representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal'entit, employing employees. However the owner.of a l) '!dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 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,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law'or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns 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 permi license number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 Invesugatlons _ 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 agar phone#: (617) 727-4900 ext. 406, 409 or 375 TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION Number Street address Section of town "HOMEOWNER" b U NameO Home phone Work phone . PRESENT MAILING ADDRESS t, City town State Zip code The current exemption for "homeowners" was extended to include owner-occunie, dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. S DEFINITION OF HOMEOWNER: Person (sy who owns a parcel of land on which he/she resides or intends to re- side, 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 Offic_ on a form acceptable to the Building Official, that he/she shall be resuonsiL for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes responsibility for compliance with the St Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE, APPROVAL OF BUILDING OFFICIAL INote: Three family dwellings 35 , 000 cubic et, or larger, will be required to comply with State Building Code Section 27. 0, Construction Control. ' HOME OWNER'S EXEMPTION The code state that: ' "Any Home Owner performing work for which a=�-buildinc permit is required shall be exempt -from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that i_ Home Owner engages a person (s) for hire to do such work, that such Home Owr. shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the)responsibili ties/ of a supervisor (see• Appendix Q, ' Rules and Regulations for . licensing Construction Supervisors, Section 2. 15) . This lack of iwaren often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot,,proceed-against the irilicensed,i'person as it• would with licensed Supervisory t The Home Owner act. as supervisor is ultimately responsible. To ensure that the Home Owner is ;fully .aware of his/tier responsibilities, mi fD=nunities require, as part ofthe permit application, that the Home Owner rtify that he/she understands the responsibilities of a supervisor. On t . -ast page of this issue is a. form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. ',r3 LOT 19 ss LOT 26". LOT 29 LOT 28 \ 6�XX j A.X 19 f Y DRAINAGE l EASEMENT ..� LOT 27 O e1300? RES.. ZONE: "RF" This MORTGAGE INSPECTION Plan is For FLOOD ZONE.- "C" Bank Use Only TOWN: —FZ=B_AEN1��'TB UfZ� �LE_ — — REGISTRY OWNER: LQFVNA� I�ASE NSS Y DEED REF: _79 Z229 _ _ BUYER: _G'EQBGFF,L &_ffXHFL1E_AL_ ELYITELL4 DATE: 10 L294 _ _ PLAN REF: 462-33-& 34 _S.CALE:1"= 40___FT. I HEREBY CERTIFY TO ARBQR4TMNAL�Q&TIC OF THAT THE BUILDING ��`� 'K4c,� YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED .ON THE GROUND AS a' PAUL c CONSULTANTS SHOWN AND THAT ITS POSITION DOES __ CONFORM TO THE ZONING •LAW SETBACK REQUIREMENTS OF THE . Mk1N H. 143 ROUTE 149 TOWN OF —__RARNS_.4BZ-------------AND THAT MARSTONS MILLS, MA. 02646 IT DOES_NOT_ LIE WITHIN THE SPECIAL.FLOOD .HAZARD �s. � faro TEL 428—0055 AREA AS SHOWN ON THE H.U.D.' MAP DATED_$f�/�`f__ `boy, LANos° FAX 420-5553 Co . unit —Panel # 250001 0015 C � _____ THIS PLAN NOT MADE FROM AN INSTRUMENT 15775 BJS PAUL A MERITH PIS SURVEY NOT TO BE USED FOR FENCES ETC. 14� Y/'4f �i' 1syJ�t+'+Y'1" ' dY�`Mti �fj1° Tf •1�7J '1� :f^f4`d{+}1.•�ra `3 TOWN OF BARNSTABLE Permlt No. 3 K8 BUILDING DEPARTMENT } Cash TOWN OFFICE BUILDING X HYANNIS.MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to Donald Nickulas Address Lot #28, 66 Capes Trail West Barnstable, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE. BUILDING CODE. I March 20, , I9..9 .......... .... ......... G ...�................. Building Inspector f .M.. ... µ "^�+'w.'1'O."�•�T<I�..�yI.1F .. �.�. ..-h.�..r�n.eA-..+v-1f r.�....1 � ,� STABLE, MASSACHUSETTS BLDII� t P.E:Rfli l •-013.007 DATE January 121 92 19 PE NO.. 84 41 PLICANT NiCkulas Building Co. ADDRESS •0• ox �:�arns(NO.) (STREET)(STREET) - (CONTR'S LICENSE) PERMIT TO Build dwelling 1} NUMBER OF 1 (TYPE OF IMPROVEMENT) NG I STORY n B( DWELLING• UNITS S AT (LOCATION) lot 28 Capes Trail. est arns a e ZONING' RF (NO.) (STREET) DISTRICT_ BETWEEN AND (CROSS STREET) (CROSS-STREET) SUBDIVISION LOT LOT BLOCK SIZE :BUILDING IS TO BE FT. WIDE BY FT- LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTI TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sewage #92-8 gbW ARAVOLUME 1124 .sq. ft. 65,000 PERMIT '90.00 : FEE , . (CUBIC/SQUARE FEET) ESTIMATED COST OWNER • Donald" Nickulas• . . ' ADDRESS OX50V West, barnsEaDie, FLA 02 58 BUILDING, DEPT. BY b p53,}yC . FROM THDATMEN F :,,<•'•.�...t ..st.. .., 1 V <. PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE tAPPLI^CANT FROM THE YCON'D1T101 OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL •APPROVED PLANS MUST B INSPECTIONS REQUIRED FOR E RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR I. FOUNDATIONS OR FOOTINGS. ELECTRICAL, PLUMBING AND MADE, WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO BEFORE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 � Z Z ,,/� � • 3 /�/gz G N��. o� 3 HEATING INSPECTION APPROVALS 1 SV C-7.E RTMEN NGWRI D AT 2 BOA D OF HEALTH OTHER SITE PLAN REVIEW APPROVAL L I ) WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAN I CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR WRITTI NOTIFICATION. i —� LOT 19 LOT 26 � 210.00. . r LOT 28 44, 4B3•t/— SF LOT 29 (1.02 +/- AC) ti n, I L CONC. o ' FOUND. �' 7 75;q yc LOT 27 Y \` r R=5975.00• . . c=2�0.pp • I) _ e 91-307 OEPTIFIED PLOT PLAN ,LOCATION : CAPES TRAIL W. BARN. PREPARED FOR. SCALE : 1 " = 50 ' DATE 0JI15192 REFEPENCE L- 46 PB 462 PG 33 & 34 NICKULAS HOMES .I HEREBY CERTIFY THAT THE STPUCTUPE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. � `� Of JOHN yG� o WELWEE down cape engineering . Inc. Nlo.33602 o� CIVIL 'ENGINEERS LAND SURVEYORS �/Q 5/992 S� RTE 6A - YARMOUTH. MASS. DATE PEG. SUPVEYOP-` Assessor's office(1st Floor): Assessor's map and lot n m 3Q o�THE TIC SYSTEM Conservation .g '' / �" ����IN CO Board of Health(3rd floor): Sewage Permit number WITH TITL, � �sassr�nt + �YL Engineering Department(3rd floor): ENVOR®NMENTAL i; House number 'TOWN, REGUL-1- � Definitive Plan Approved by Planning Board 19 Y4A_APPLICATIONS PROCESSED 8:30-9.30 A.M.and 1:00-2:00 P.M.only . ' TOWN OF BARNSTABLE % BUILDING INSPECTOR APPLICATION FOR PERMIT TO Jl� 'zcz q TYPE OF CONSTRUCTION �� r� i — p A-- 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: i Location 7(P 5 z 4 X/ Proposed Use Zoning District , ` ` Fire District Name of Owner /a/J 4,1—( is j4�Q_ ` Address Name of Builder /�1/ll�t.�t7'� �`�, .�, L c- Address j��i Name of Architect Address Al Number of Rooms � Foundation k Fixterior----- &---/ Roofing01 Floors e"- Interior Heating �``�+ Plumbing -_ 7Jz?r,,A�J Fireplace I' ) Approximate Cost Area Diagram�ofLot and Building with Dimensions Fee 0. " I 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 C nstruption Supervisor's License r 7NICKULAS, DONALD I 801 Permit For 11 Story Single Family Dwelling Location , Lot #28 , 66 Capes Trail West Barnstable { Owner Donald Nickulas Type of`Construction Frame Plot Lot s, p Permit Granted January 21 , 19 " 92 Date of Inspection 19 " I l 0 Date C pleted / /2 - 19 uo i R I ABBREVIATIONS ELECTRICAL NOTES INDEX LICENSE JURISDICTION NOTES' 1. WHERE ALL TERMINALS OF THE DISCONNECTING PV1 COVER SHEET ALL WORK SHALL,COMPLY WITH THE A AMPERE MEANS MAY BE ENERGIZED IN THE OPEN PV2 SITE PLAN MASSACHUSETTS STATE BUILDING CODE. AC ALTERNATING CURRENT POSITION, A SIGN WILL BE PROVIDED WARNING PV3 STRUCTURAL VIEWS BLDG BUILDING OF THE HAZARDS PER ART. 690.17. PV4 STRUCTURAL VIEWS ALL ELECTRICAL WORK SHALL COMPLY WITH 2O11 CONC CONCRETE 2. EACH UNGROUNDED CONDUCTOR OF THE PV5 THREE LINE DIAGRAM ' NEC. AND MASS AMENDMENTS C COMBINER BOX MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED PV6 ELECTRICAL CALCULATIONS D DISTRIBUTION PANEL BY PHASE AND SYSTEM PER ART. 210.5. Cutsheets Attached DC DIRECT CURRENT EGC EQUIPMENT GROUNDING CONDUCTOR 3. A NATI ONALLY—RECOGNI ZED TESTING LABORATORY SHALL LIST ALL EQUIPMENT IN (E) EXISTING EMT ELECTRICAL METALLIC TUBING COMPLIANCE WITH ART. 110.3. G SOLAR GUARD METER 4. CIRCUITS OVER 250V TO GROUND SHALL GALV GALVANIZED COMPLY WITH ART. 250.97, 250.92(B) CUTSHEETS ATTACHED GEC GROUNDING ELECTRODE CONDUCTOR 5. DC CONDUCTORS EITHER DO NOT ENTER GND GROUND OR DNCLOSU ENING CLOSURES RUN FRST METALLIC ACCESSIB ACCESSIBLERACEWAYS GENERAL NOTES HDG HOT DIPPED GALVANIZED I CURRENT DISCONNECTING MEANS PER ART. 690.31(E). 1. THIS SYSTEM IS GRID—INTERTIED VIA A Imp CURRENT AT MAX POWER 6. ALL WIRES SHALL BE PROVIDED WITH STRAIN UL—LISTED POWER—CONDITIONING INVERTER. INVS INVERTERS RELIEF AT ALL ENTRY INTO BOXES AS 2, THIS SYSTEM HAS NO BATTERIES, NO UPS. Isc SHORT CIRCUIT CURRENT REQUIRED BY UL LISTING. 3. PHOTOVOLTAIC SOURCE AND INPUT CIRCUITS AND kVA KILOVOLT AMPERE 7. MODULE FRAMES SHALL BE GROUNDED AT THE INVERTER INPUT CIRCUIT ARE UNGROUNDED. kW KILOWATT UL—LISTED LOCATION PROVIDED BY THE 4. SOLAR MOUNTING FRAMES ARE TO BE GROUNDED LBW LOAD BEARING WALL MANUFACTURER USING UL LISTED GROUNDING 5. ALL ELECTRICAL WORK SHALL COMPLY WITH THE MIN MINIMUM HARDWARE. 2011 NATIONAL ELECTRIC CODE. MIR MIRROR 8. ALL EXPOSED METAL PARTS (MODULE FRAMES, 6. WORK TO BE DONE TO THE 8TH EDITION OF MA (N) NEW RAIL, BOXES, ETC.) SHALL BE GROUNDED USING STATE.BUILDING CODE. NEC NATIONAL ELECTRIC CODE UL LISTED LAY—IN LUGS LISTED FOR THE NIC NOT IN CONTRACT PURPOSE. POSTS SHALL BE MADE NTS NOT TO SCALE ELECTRICALLY CONTINUOUS WITH ATTACHED OC ON CENTER RAIL. P PANEL BOARD 9. MODULE FRAMES, RAIL, AND POSTS SHALL BE PL PROPERTY LINES BONDED WITH EQUIPMENT GROUND CONDUCTORS PV PHOTOVOLTAIC AND GROUNDED AT THE MAIN ELECTRIC PANEL. PVC POLYVINYL CHLORIDE 10. THE DC GROUNDING ELECTRODE CONDUCTOR S SUBPANEL SHALL BE SIZED ACCORDING TO ART. VICINITY MAP SCH SCHEDULE 250.166(B) & 690.47. SS STAINLESS STEEL SSD SEE STRUCTURAL DRAWINGS STC STANDARD TESTING CONDITIONS SWH SOLAR WATER HEATER TYP TYPICAL LION UNLESS OTHERWISE NOTED UPS UNINTERRUPT18LE POWER SUPPLY V VOLT Vmp VOLTAGE AT MAX POWER Voc VOLTAGE AT OPEN CIRCUIT W WATT 3R NEMA 3R, RAINTIGHT I e A REV BY DATE COMMENTS n CONFIDENTIAL- THE INFORMATION HEREIN )oe NUYBER J B-0 2 610 7 0 0 `° 01YNQE "'� DESCRIPTION: DESIGN: ..% CONTAINED sNau NOT BE USED FOR THE CONSTANTINE, CHARLES CONSTANTINE RESIDENCE Scott Tomlinson BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MARIU. MODULES NOR SHALL IT BE DISCLOSED IN WHOLE OR IN RESI 0 ± c 66 CAPES TRAIL 3.43 KW PV Array ��Sol a �ty. PART TO OTHERS OUTSIDE THE RECIPIENTS d.4YINGLI� YL245P,-29b YGE—Z 60 y ORGANIATION, EXCEPT IN CONNECTION WITH PRo�CTMANAGfR: MauNTo(GSYSIEM: BARNSTABLE, MA 02668 3055gearviewWay THE SALE AND USE OF THE RESPECTIVE .,�GOm ,Mount T e C San Mateo,CA 94402 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN � , PACE NAME: ��: REV: DAB' 7:(650)638-1028 F:(650)638-1029 PERMISSION OFsoLARgTYINC. PAYMENT TYPE �vERtE�I } 037672527 COVER SHEET PV 6/17/2013 (888)-S0LCI7Y(765-2489)www•solarctry.com PPA P0WER-0 A�IA PVI-3.0—OUTD—S— S6 PITCH: 22 ARRAY PITCH:22 MP1 AZIMUTH:220 ARRAY AZIMUTH:220 MATERIAL:Comp.Shingle STORY: 2 Stories PITCH: 22 ARRAY PITCH:22 MP2 AZIMUTH:220 ARRAY AZIMUTH:220 MATERIAL:Comp Shingle STORY: 2 Stories OF p YOO JIN K� � No.4 7 y Digit ly signed by Yoo Jin Kim, Date:2013.06.17 11:34:46 - �__-- -07'00' LEGEND ,.Inv ; O (E) UTILITY METER & WARNING LABEL MP1 - - h� INVERTER W/ INTEGRATED DC DISCO O & WARNING LABELS --- ® DC DISCONNECT & WARNING LABELS MP2 ® AC DISCONNECT & WARNING LABELS JUNCTION BOX PV3 B Q DC COMBINER BOX & WARNING PV4 Q DISTRIBUTION PANEL & WARNING Front Of House 0 LOAD CENTER & WARNING LABELS O DEDICATED PV SYSTEM METER CONDUIT RUN-ON EXTERIOR -- CONDUIT RUN ON INTERIOR GATE/FENCE --- INTERIOR EQUIPMENT SITE PLAN ` Scale: 1/8" = 1' 0 11 8' 16' y� 5 J B-0 2 610 7 0 0 °° °�"� ""� °ten°"` DESIGN: CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER ����r o' CONTAINED SHALL NOT BE USED FOR THE CONSTANTINE, CHARLES CONSTANTINE RESIDENCE Scott Tomlinson �� �� BENEFIT OF ANYONE CLOSE IN WHOLE INC., MARKET: MODULES 'I' Soiattolty.NOR SHALL IT BE DISCLOSED IN WHOLE OR IN REST 14 YINGLI YL245P-29b YGE-z so 66 CAPES TRAIL � 3.43 KW PV Array PART OTHERS OUTSIDETHE RECIPIENT'S ORGANIZATION, EXCEPTT �GTMNAGER: MOUNMGSYSTEM: r BARNSTABLE MA 02668 U IN I CONNECTION NTH THE SALE AND USE OF THE RESPECTIVE Com Mount T e C 3055(]earview Way SOLARCITY,EOUIPMEHT, WITHOUT THE WRITTEN PAYMENT TYPE PIVMTE(C PAGE NAME SHEET: REV DATE T:(650)638-10 8 San F(650)38-1029 PERMISSION OF SOLARCITY INC. PPA POWER-ONE AURORA PVI-3.0-OUTD-S- 56037672527 # SITE PLAN PV 2 6/I7/2013 (888)-SOL{m(765-2489),e,wwsolarriry.com . T (E) 2x8 RAFTER T.O. PANEL @ 16" O.C. E 2x10 SI 0. RIDGE RIDGE BOARD 25-1" 25' �. (E) 2x8 CEILING 4 E LBW 13, lo, JOIST ® 16", O.C. 1,— GRADE SIDE VIEW OF MP1 RAFTER: (E) 2x8 ® 16" O.C. A NTS CEILING JOIST: (E) 2x8 @ 16" O.C. RIDGE: (E) 2x10 RIDGE BOARD MAX SPAN: 13'-0" MAX STANDOFF DISTANCE: 64" O.C. PV MODULE " BOLT WITH LOCK & INSTALLATION ORDER FENDER WASHERS LOCATE RAFTER, MARK HOLE ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT (6) HOLE. SEAL PILOT HOLE WITH OF (4) (2) POLYURETHANE SEALANT. .Z� 1 ZEP COMP MOUNT C Y00 JIN ZEP FLASHING C (3) (3) INSERT FLASHING. K to (E) COMP. SHINGLE N0.4 (1) C(4)F PLACE MOUNT. .o (E) ROOF DECKING U (2) IJ INSTALL LAG BOLT WITH Oa11N L A" LAG I�l(VVION (5) (5) SEALING WASHER. pgTp{�ppp�y�g LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH Digit ly signed by Yoo Jin Kim BOLT WITH SEALING (6) BOLT & WASHERS. Date:2013.06.17 11:34:55-07'00' (E)WRIER (E) RAFTER STANDOFF Si Scale: 1 1/2" = 1' CONnDENIIAL— THE IWORMARa+HEREIN : J B-0 2 610 7 0 0 �'I'SE OPMER: AM DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE CONSTANTINE CHARLES CONSTANTINE RESIDENCE . Scott Tomlinson - NOR SHALL L ANYONE EXCEPT IN VMOLE INC., MARKET: MDDULES � 'I', Solar sty. NOR SHALL IT BE DISCLOSED IN WHOLE OR IN REST 14 YINGLI YL245P-29b YGE—Z 60 66 CAPES TRAIL 3.43 KW PV Array o PART IZ OTHERS OUTSIDE THE RECCONNECTION %MT PIMCT MANAGER: MOUNTING SYSTEM: BARNSTABLE MA 02668 ORGANIZATION,IXCEPT IN CONNECTION WITH Way THE SALE AND USE OF THE RESPECTIVE CompMount Type C 3055 nMateo,CA 94402 PAGE NAME: rPV REV: DATE San Mateo,R( 50)6 SOLARgTY EQUIPMENT,WITHOUT THE WRITTEN PAYMENT T1PE: INVQt1ER: T:(650)638-1028 F:(65o)638-1029 PERMISSION OF SOLARCITY INC. PPA POWER—ONE # AURORA PVI-3.0-OUTD—S— S6037672527 STRUCTURAL VIEWS 3 6/17/2013 (888).SOL-CITY(765-2489)www.solardtv.com (E) 2x8 RAFTER 16" O.C. T.O. RIDGE (E) 2x10 T.O. PANEL SZ RIDGE BOARD 24'23'-8" (E) 2x8 CEILING JOIST @ 16" O.C. 12'-11" GRADE SIDE VIEW OF MP2 RAFTER: (E) 2x8 ® 16" O.C. 6 NTS CEILING JOIST: (E) 2x8 @ 16" O.C. RIDGE: (E) 200 RIDGE BOARD MAX SPAN: 12'-11" MAX STANDOFF DISTANCE: 64" O.C. PV MODULE " BOLT WITH LOCK & INSTALLATION ORDER FENDER WASHERS LOCATE RAFTER, MARK HOLE ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT (6) HOLE. tr1OF (4) N SEAL PILOT HOLE WITH ZEP COMP MOUNT C POLYURETHANE SEALANT. YOO AN K � ZEP FLASHING C (3) (3) INSERT FLASHING. IA No.4 7 (E) COMP. SHINGLE (4) PLACE MOUNT. (E) ROOF DECKING U (2) INSTALL LAG BOLT WITH A" LAG V(3"W(4N (5) (5) SEALING WASHER. p al"SHAg LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH Digi ally signed by Yoo Jin Kim BOLT WITH SEALING C(6) BOLT & WASHERS. Date:2013.06.17 11:35:04-07'00' (E)9WKRER (E) RAFTER �� STANDOFF Scale: 1 1/2" = 1' CONFIDENTIAL- THE INFORMATION HERON JOB NUMBER: PREMISE OWNER. AMt DESCRIPTION. DESGN. CONTAINED SMALL NOT USED FOR THE J B-026107 00 Scott Tomlinson �- CONSTANTINE, CHARLES CONSTANTINE RESIDENCE �,�� SolarCity BFNFIIT OF ANYONE EXCEPT SpARg1Y INC., MARIffT: MODULES:- NOR � SMALL IT BE DISCLOSED IN WHOLE OR IN REST 14 YINGLI YL245P-29b YGE—Z 60 66 CAPES TRAIL 3.43 KW PV Array PART IZ OTHERS OUTSIDE THE RECCONNECTION T PROJECT MANAGER MOUNTING SYSTEM: BARNSTABLE, MA 02668 ORGANIZATION,EXCEPT IN CONNECTION WITH 3055 Clearvlew Way THE SALE AND.USE OF THE RESPECTIVE Comp Mount Type C San Mateo,CA94402 SOLARCITY EQUIPMENT,WITHOUT THE WRITTEN PAGE NAME SHEET: REV: DATE PAYMENT TYPE ��: 037672527 s 1� 2013 T:(650)638-1028 F:(650)638-1029 PERMISSION OF SOLARCITY INC. PPA POWER—ONE # AURORA PVI-3.0—OUTD—S— S6 STRUCTURAL VIEWS PV 4 (888)-SOLCITY(765-2489)wwwsolarcity.com i GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO (E) LIFER AT PANEL ((E) 100A MAIN SERVICE PANEL Inv 1: OC Ungrounded INV 1 —(I)POWER—ONE AURORA PVI-3.0—OUTD—S—US LABEL: A —14 nNGU /YL245C29b YGE—Z 60 WITH IRREVERSIBLE CRIMP (E 100/2P MAIN CIRCUIT BREAKER Inverter 3o0�W, 240V, 96% Voc: 37.SModule; 245W, 221.6W PTC, H4, 46mm, Black Frame, ZEP Enabled Panel Number:Cutler—hammer (tan) INV 2 Vpmax:30.2 Meter Number:44 013 216 *MODULE CURRENT RATINGS ARE SHOWN AS Isc AND Imp IN Underground Service Entrance INV 3 THE OC STRINGS IDENTIFIER OF THE SINGLE LINE DIAGRAM. MAIN SERVICE PANEL ADJUST MIN. ACTIVATION VOLTAGES! (E) WIRING SOLARGUARD Inverter 1 IND I CUTLER—HAMMER METER SET MI .ACTIVATION VOLTAGE TO 1 7.54V 10OA/2P Disconnect 3 POWER—ONE DC- A- PVI-3.0—OUTD—S—US DC- 1 sbing(s)Of 7 On MP 1 _ /—�—� , LI — (E) LOADS /� I —————————— ——————————— EGC—--—————— — _j r L2 GFP/GFCI DC+ I NE17LDC I 2 ft MI � .ACTIVATION VOLTAGE TO 1 7.54V 20A/2P C/ __ DC+ DC+ A I GND ___ _E_GGEC ❑N DC_ pC_ 1 Strings)Of 7 On MP 1 a EGC— GND EGC -- ----------------------- --————————— — ---————————— ---- I I I (I)Conduit Kit; 3/4' EMT N I I EGC/GEC GEC ——- TO 120/240V SINGLE PHASE UTILITY SERVICE , I OI (1)CUTLER—HAMM P CH220 PV BACKFEED BREAKER A ER—HAMMER I OG221URB A C DC Breaker, 20A�2P, 2 Spaces, Tan Handle Disconnect- 30A, 24OV Non—Fusble NFMA 3R A —(1)CUTLER—VAIMER !DG03ONB Ground/Neutral Kit; 30A,General Duty(OG) BSolarGuurd Monitoring System 1 AWG 110, THWN-2, Block 2 AWG 110, PV WIRE, Black Voc =264.6 VDC Isc =8.63 ADC O (1)AWG 510, THWN-2, Red O 1)AWG #10, Solid Bare Copper EGC Vmp =211.4 VDC Imp=8.11 ADC L�L(1)AWG 110, THWN-2. White NEUTRAL Vmp =240 VAC Imp=14.5 AAC ������LLL 1 AWG THWN / .. ... ... (1)Conduit Kit; 3/4"EMT.. . •• • . •. .-( )•• • •#8, • • • •.2,Green• , EGC/GEC.-(1)Gandult Kit, 3 4'•E4T .. ... .... (2)AWG 110, PV WIRE, Block Voc =264.6 VDC Isc =8.63 ADC O IQH(1)AWG 110, Solid Bore Copper EGC Vmp =211.4 VDC Imp=8.11 ADC . . . . . . .. .(1)Conduit Kit; 3/4' EMT.. . . . . .. . ... ... .. . . ... . .... . . .. .. .. . . CONFIDENTIAL— THE INFORMATION HEREIN Jp8 NUYBFR J B-0 2 610 7 0 0 PREIDSE OMER: AHa DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE CONSTANTINE . CHARLES CONSTANTINE RESIDENCE Scott Tomlinson BENEFIT SHALL ANYONE CLOSE IN WHOLE INC.. MARKET MODULES: r ��'� Solaxity OR SHALL IT 8E DISCLOSED IN WHOLE OR IN REST 14 YINGLI YL245P-29b YGE—Z 60 66 CAPES TRAIL 3.43 KW PV Array o PART TO OTHERS OUTSIDE THE RECIPIENTS PRO,ECT MANAGE+: MOUNTING SY M: BARNSTABLE, MA 02668 ORGANIZATION, EXCEPT IN CONNECTION WITH 3055 Clearview Way THE SALE AND USE OF THE RESPECTIVE Comp Mount Type C San Mateo,cAggg02 SOLARCIIY EQUIPMENT,WITHOUT THE WRITTEN PAYMENT TYPE: INVERTER PAGE NAME SHEET: REV DATE T•(650)638-1028 F:(650)638-1029 PERMISSION OF SOLARCITY INC. PPA POWER—ONE # AURORA PM-3.0—OUTD—S— S6037672527 THREE LINE DIAGRAM PV 5 6/17/2013 (888)-SOL{ITY(765-2489)www.solardly.com i 1. Conductor Sizing per Art deg. ELECTRICAL CALCULATIONS a. Conductor must have 30 deg. C ampacity >= 125% of continuous current per Art 215.2(A)(1). Module: 14 Yin li YL245-29b YGE-Z 221.6 Inv Power WPTC Voltage Drop Calculations Version 5_8.0 Inverter 1: 1 Power-One PVI-3.0-S 0.96 3480 2978.3 Vdrop= (Imp) 2 Length) Resistance) (Vmp) b. Conductor must have (after corrections for conditions of use) >= Module: JmA Max.Len to ft Wire COntlflUOUs Current er Table 310.15 B 16 . Inverter 2: String: 90 AWG_10 atMaxAve Hi:78deg F p ( )( ) Module: Vdrop= 180 0.001240hms / 194.2766 0.93 Inverter 3: Branch: 0 AWG_10 at Max Ave Hi:78 deg F c. Evaluate conductor temperature at terminations per 110.14(C). Module: Vdrop= (8.11 0 0.001240hms) / 194.2766 0 Ampacity of wire derated for conditions of termination must be >= Inverter 4: Total voltage dro in conductors= 0.93 continuous current 1.25. All string terminations are rated at 90' C. Inverter: 8.11 zo AWG_10 at Vdrop= (8.11 40 0.0012 Ohms / 240 V V 0.1622 ------------------------------------------ Total: 14 Modules Total Inv Pwr: 3480 2978.3 PTC Combined 0 0 at 240V 2. OCP Sizing per Art 690.8(B)(1) Photovoltaic Module Electrical Specifications: Total STC:j 3430 Vdrop= 0 "0 Ohms) / 240 V 0 a. Round up to next size per Art 240.4(B) Voc: 37.8 V deg F deg C ------------------------------------------- Vmp: 30.2 V Record Low Temp: 3 -16 Total voltage drop in AC conductors= 0.16 3. Conductor Sizing per Art 690.8(B)(1) Isc: 8.63 A Max Average Hi Temp: 78 26 Total voltage drop in AC and DC conductors= 1.09 a. Conductor must have 30 deg. C ampacity >= 125% of continuous Imp: 8.11 A Record Hi Temp: 86 30 current per Art 215.2(A)(1). Tvoc: -0.12474 V/deg C Tisc: 5.178 1 mA/deg C b. Conductor must have (after corrections for conditions of use) >= String Type A and 2 Combined Strings Type A Voc Correction Method: Manuf Tvoc data Branch Circuit Type A 1 way wire length: 0 continuous current per Table 310.15(B)(16). Power-One PVI-3.0-5 Voc Correction Factor: 1 strings per branch 1 1 strings per branch 2 Inverter Min Vdc Input: 120 7 Yingli YL245-29b YGE Z 7 modules per series string 7 modules per series string C. Evaluate conductor temperature at terminations per Art 110.14(C). Min Vmp at Max Temp: 300.28 Voc= 264.6 Voc= 264.6 LPVWire Voc-- 264.6 V P P Max Voc at Min Temp: 300.4 Ampacity of wire derated for conditions of termination must be >= Vmp= 211.4 Inverter Max Vdc Input: 600 Vmp= 211.4 Vmp= 211.4 V continuous current*1.25. All branch terminations are rated at 75* C Isc= 8.63 Isc= 8.63 Isc= 8.63 A Max String Size: 13 min. Imp= 8.11 1-way wire length: 90 Imp= 8.11 Imp= 8.11 A ----------------------------- ------------- Icont= 10.79 Art 690.8(A)(1) Icont= 10.79 Icont= 10.79 A Art 690.8(A)(1) 1.a Conductor: AWG_10 PV Wire 2.a Conductor 1: PV Wire 4. OCP Sizing Conductor 2: a. Round up to next size per Art 240.4(B) Icont*1.25=(Amps) 13.48 Conductor 1 Conductor 2 ------------------------------ ------------ 30 deg C ampacity= 40 Icont*1.25=(Amps) 13.48 13.48 5. Conductor Sizing per Art 690.8(B)(1) 1.b Icont=(Amps) 10.79 30 deg C ampacity= 401 40 a. Conductor must hove 30 deg. C ampacity >= 125% of continuous Start ampacity 40 2.b Icont=(Amps) 10.79 10.79 current per Art 215.2(A)(1). Temperature derate(%=F) 0.71 Start ampacity 40 40 Conduit fill derate(%_#) 1 Temperature derate(%=F) 0.82 0.82 'b. Conductor must have (after corrections for conditions of use) >= Derated ampacity 28.4 Conduit fill derate(°�°_#) 0.8 o.s continuous current per Table 310.15(B)(16). 1.o Derated ampacity 26.24 26.24 Icont*1.25=(Amps) 13.48 2.c Term 1 Term 2 Ampacity 40 Temp table 75degC 75degC c. Evaluate conductor temperature at terminations per Art 110.14(C). Icont*1.25=(Amps) 13.481 13.48 - Ampacity of wire derated for conditions of termination must be >= 1.d Icont*1.25 (Amps) 13.48 Ampacity 351 35 continuous current*1.25. All inverter output terminations are rated at OCP Size= 15 75' C. Inverter Type A Output 2.d OCP Size 1 151 15 ------------------------------------------- Power-One PVI-3.0-5 1 way wire length: 10 ft . Combined Inverter Output 6. OCP Sizing Icont 1 14.5 1 A Art 690.8(A)(1) Service Voltage= a. Round Up to next size per Art 240.4(B) - 3.a Icont*1.25=(Amps) 18.12 Art 690.8(B)(1) Total Inverter Power- 1 way wire length= 0 OCP Size= 20 Art 240.6 A Icont=#of inverters*max inverter current Art 690.8(A)(1) 3.b Conductor: AWG_10 THWN-2 at 90 deg C:Table 310.16 Icont=(Amps) 7. Conductor.Sizing per Art 690.8(B)(1) Icont*1.25=(Amps) 18.12 4.a Icont*1.25=(Amps) Art 690.8(B)(1) a. Conductor must have 30 deg. C ampacity >= 125% of continuous 30 deg C ampacity= 40 OCP size= Art 240.6(A) current per Art 215.2(A)(1). 3.c Icont=(Amps) 14.5 4.b Conductor: THWN-2 at 90 deg C:Table 310.16 Start ampacity 40 Icont*1.25=(Amps) b. Conductor must have (after corrections for Conditions of Use) >= Temperature derate(%=F) 0.91 Icont deg C ampacity = continuous current per Table 310.15(B)(16). Conduit fill derate(%_#) 1 a.c Font=(Amps) PStart ampacity Derated ampacity . 36.4 Temperature derate(%=F) 3.d lcont*1.25=(Amps) 18.12 c. Evaluate conductor temperature at terminations per Art 110.14(C). ty p Am aci 35 Conduit fill derate(%_#) Ampacity of wire derated for conditions*of termination must be >= Derated ampacity continuous current*1.25. All inverter output terminations are rated at 4.d Icont*1.25=(Amps) 75' C min. Ampacity J B-0 2 6107 00 �°° o>�ER ""� °E�R�nQN: DESIGN:c CONFlDlTI71AL- THE INFORMATION HEREIN JOB NUMBER SCOtt TamIIFISOn �� CONTAINED SHALL NOT BE USED FOR THE CONSTANTINE, CHARLES CONSTANTINE RESIDENCE 10"S SolarCity. BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MARI(ET. MODULES NOR SHALL IT BE DISCLOSED IN WHOLE OR IN RESI 14 YINGLI YL245P-29b YGE-Z 60 66 CAPES TRAIL 3.43 KW PV Array PART TO OTHERS OUTSIDE THE RECIPIENTS PROECT MANAGER: MOUNTING SYSTEM: BARNSTABLE, MA 02668 ORGANIZATION, EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE Comp Mount Type C 3055 Clearview Way SOLARgTY EQUIPMENT, WITHOUT THE WRI111?I PAYMENT TYPE: INVERTER: PACE NAME ��TP1/ 6 REV. DATE-6/17/2013 San Mateo,CA 94402 6�17�2013 (888)SOLO)638-1 28 F:(65wwwsolardty.com PERMISSION OF SOLMCITY INC. PPA POWER-ONE # AURORA PVI-3.0-OS=UTD- S6037672527 ELECTRICAL CALCULATIONS V YL250P-29b YGE - Z 60 YL245P-29b YGE - Z 60 CELL SERIES YL240P-29b YIN *UOLAR 9 Powered by YINGu CELL SERIES YL235P-29b ELECTRICAL PERFORMANCE YL230P-29b U.S.Soccer Powered by Yingli Solar GENERAL CHARACTERISTICS Module type I VL250P-296 YLZaSP-29b YL240P-296 YL235P-296 I YL230P-29b Dimensions(L/W/H) 64.96in(1650mm)/38.98inry rrvyO/ Power output - P,"u I W 250 1 245 1 240 T 235 F 230 1.81 in(46 mm) Power output tolerances �,Ap ,; W -0/+5 Weight / 45.21bs(20.5 kg) • Ideal for residential Module efficiency qm) % 1 15.3 1 15.0 1 14.7 1 14.4 ( 14.1 and commercial applications where cost savings, Voltage at Pm., v-I v 30.4 1 30.2 1 29.5 1 29.5 29.5 - Current atlS.., 6.1 A 1 8.24 e.11 8.14 7.97 7.80 PACKAGING SPECIFICATIONS installation time, and aesthetics matter most. open-circuit voltage , I v 38.4 37.8 37.5 I 37.0 37.0 Number of modules perpalloot 22 Shortcircuit current 1. A 8.79 8.63 8.65 8.54 8.40 Number of pallets per 53•mmainer 36 STC:1000W/m'irradiance,25*C cell temperature,AM1.5g spectrum according to EN 60904-3 Average relative efficiency reduction of 5.0%at 200W/m'according to EN 60904.1 Packaging box dimensions(t/W/H) 67 in 0700 mm)/45 in(1150 mm)/ 1 Lower balance-of-system costs with Zep 47 in(1190 ram) Compatible'"frame. •" • sox weight I 1076lbs(488 kg) Power output P,w� W 181.1 177.9 174.3 170.7 167.0 ►Reduce on-roof labor costs by more than 25%. Voltage at P. � v,P v 27.6 27.2 1 26.6 1 26.6 26.6 Units:inch Inn ►Leverage the built-in grounding system- Current atP P. 6. A 6.56 6.54 1 6.56 6.42 6.29 38.98 990 if it's mounted,its rounded. Opon-circult voltage V« v 35.4 34.5 34.2 33.8 33.5 - g \ 36.85 936 1.81(46) Shortcircult current I.. A 7.12 6.99 7.01 6.92 6.81 $ I,Lower your parts count-eliminate rails,screws, mounting clips,and grounding hardware. NOCT:open•circuit module operation temperature at Eoow/m'irradlance,zo-C ambient rempemture,lm/s,„nd speed 1Design and permit projects easily with access THERMAL CHARACTERISTICS Nominal operating cell temperature INOCTJ •C 46+/•2 8 to layout calculator and stamped drawings. _ Temperature coefficient of P,,,., V %/'C -0.45 • O O Temperature coefficient of V. 6w. %I'C -0.33 ►Lower installation costs with savings across Temperature coefficient of 1.s os< I%rc 0.06 Cintunding holese(D ^ S equipment and labor. 6 236(6) a Temperature coefficient of V� 9v_ %rc -0.45 1 Minimize roof penetrations while maintaining $ the system's structural integrity. ® OPERATING CONDITIONS ►Invest in an attractive solar array that includes Max.system voltage 600Voc Mounting holes a-0.256x0.315(6.5x8) a black frame,low mounting profile,and Max.series(use rating 15A aesthetic array skirt. Limiting reverse current 15A Drainago as ►Increase energy output with flexible module Operating temperature range -40to1941F(40to9WC) s.0.12x0.315(3xa) layouts(portrait or landscape). " COMPATIBLEZEP Max.static load,front(e.g.,snow and wind) 50 psf(2400 Pal 3.94(100) ►Trust in the reliability and theft-resistance of I Max.static load,back(e.g.,wind) 50 p((2400 Pa)- --- s U.47 the Zep Compatible"system. Leading limited power warranty`ensures Hailstone impact 1 in(25 mm)at 51 mph(23 r ts) (12) 91.2%of rated power for 10 years,and 80.7% of rated power for 25 years. AC SOLUTION OPTION -- - - - - '- CONSTRUCTION MATERIALS Front cover(material/type/thickness) Low4mn glass/tempered/3.2 mm i ZSECTION C-C [e] The YGE-Z Series is now available as 10-year limited product warranty. Glass may have anti-reflects-coating i an Enphase Energized"AC Solution. enphase Cell(quantity/matedaVtype/dlmensions/ 60/polysllimn/muhicsystalline/ This solution delivers optimum - --- -- ---j area/#ofbusbars) 156mmx156 mm,/243.3cm'/2or3 performance and integrated intelligence. 'In compliance with our warranty terms and conditions. I Enwpsulant(material) Ethylene vinyl acetate(EVA) 1.38(35)The Enphase M215-Z Zep Compatible Microinverter Frame(matorlaVcolod ,Anodized aluminum alloy/black /'.yj � Ai Warning:Read the Installation and User Manual in its entirety is designed to connect directly into the Z Series module 1f.k3L- . - /ki-0133k1UKF33M Junction box(protection degree) 21P65 before handling,installing,and operating Yingli modules. groove,eliminating the need for tools or fasteners- I Cable(type/length/gauge/outside diameter) PV Wire/43.31 in(1100 mm)/12 AWG/0.244 in(6.2 mm) all with One easy step. UL 1703 and ULC 1703,CEC,FSEC,ISO 9001:2008, Plug connector Amphenol/H4/IP68 Our Partners ISO 14001:2004,EIS OHSAS 18001:2007,SA8000 (manufacturer/typo/protection degree) U 77 u The specifications in this datasheet are not guaranteed and are subject to change without prior notice. COL s /�� IISTE0 r CERT a-_�' This datasheet complies with EN 50380:2003 requirements. Intelligent real-time asaroratNc uoou.O •�- _-- monitoring at the system 4400 _ I (- J and module level with ------ - - -- .---- - - Enlighten. Yingli Green Energy Americas,Inc. info@yingliamericas.com Tel:+1 (888)686-8820 YIN GU LAR YINGLISOLAR.COM/US NYSE:YGE YINGLISOLAR.COM/US Yingli Americas 0 Yingli Green Energy Holding Co.Ltd. I VGQ60Cell5eries2012_EN 201206_VOt U.S.Soccer Powered by Yingli Solar powe-ogre= `!Renewable Energy Solufions AURORA #3 t • • • • • • Nominal Output Power W 3000 3600 4200 -- - -- - - - - - - - - - Maximum Output Power W 3000 3300•• 3300" 3600 4000a• 4000•• 4200 4600- 4600ee Rated Grid AC Voltage Ta -V 208 240 277 208_._f�240-�__ 277 y*- 208� 240 277 El ndelDCj Number of Independent MPPT Channels� 2� �2 2 ����� ®��� Maximum Usable Powerfor Each Channel W 2000 r 3000 3000 • Absolute Maximum Voltage(Vmax) V 600 f 600 600 Start-Up Voltage(Vstart) V 200(adj.120-350) 200(adj.120-350) 200(adj.120-350) M �� Full Power MPPT Voltage Range V _ 160-530 120-530 140-530 • Operating MPPTVoltage Range V 0.7xVstart-580 0.7xVstart-580 0.7xVstart-580 11�F�ww -4. /�w Maximum Current(ldcmax)for both MPPT in Parallel A 20 32 32 ly b-TL Maximum Usable Current per Channel A 10 16 16 1Yf H Maximum Short Circuit Current Limit per Channel A 12.5 _ 20 20 Number of Wire Landing Terminals Per Channel 2 Pairs(lon-Sversion) 2 Pairs(I on-S version) 2 Pairs(I on-S version) GENERAL SPECIFICATIONS Array Wiring Termination _w-__ __. Terminal block,Pressure CIa_mp,AWGI0.AWG4 _ i0utput Side(AC) _ - "'_J_� �� OUTDOOR MODELS ��� yya�' - - -Split- -Spill Split: Grid Connection Type 10/2W 0/3W 10/2W 10RW 0/3W 10/2W 10/2W 0/3W 10/2W Adjustable Voltage Range(Vmin-Vmax) V 183.228 211-264 244-304 183-228 211-264 244-304 _ 183-228 : 211-264 244-304 Grid Frequency - Hz 60 60 60 Adjustable Grid Frequency Range Hz 57-60.5 57-60.5. 57-60.5 Maximum Current(lacmax) A- 14.5 14.5 12 17.2 16 16 20 20 20 The mostcommon residential inverteristhe ideal size for anavera e- Power Factor >0.995 >0.995 i >0.99S g Total Harmonic Distortion At Rated Power % <2 <2 <2 sized family home. This family of single-phase string inverter Grid Wiring Termination Type�^ Terminal block,Pressure ClarlAWG10.AWG4 complements the typical number of rooftop solar panels,allowing ptotectionDevlces Input_ home-owners to get the most efficient energy harvesting for the Reverse Polarity Protection Yes _ Yes Yes size Of the property.This rugged Outdoor Inverter has been designed Over-Voltage Protection Type Varistor,2 for each channel Varistor,2 for each channel Varistor,2 for each channel PV Array Ground Fault Detection Pre_start-up Riso and dynamic GFDI(Requires Floating Arrays) as a completely sealed unit to withstand the harshest environmental -Output MeetsUL1741/IEE7547 - Meets UL 1741AEE1547 Meets UL1741/IEE7547 conditions. Anti-Islanding Protection a f;; requirements requirements �, requirements ll Over-Voltage Protection Type Varistor,2(Lt-La/Lt-G) Varistor,2(Li-La/L,-G) Varistor,2(Li-La/Lt-G) One of the key benefits of the Uno family of single-phase inverters J Maximum ACOCPD Rating� �_ _ _�_ A 4 20 20 15 2s 20 20 25 25 25 is the dual input section to process two strings with independent Efficiency _ _J 'i'r I Maximum Efficiency % 96.9 97 97 . MPPT especially useful for rooftop installations with two different i ( CEC Efficiency % 96 _ 96 96 orientations(ie East and West).The high speed MPPT offers real-time �j a .� operating performance_ _ - `" Stand-by Consumption Wwas <8 - <8 i <8 power tracking and improved energy harvesting. jf a Night time consumption _ w_ <0.6 <0.6 <o.e f Communication _ play The transformerless operation gives the highest efficiency of up to , - Remote erface 16 charactersNIVERS Lodis) Remote Monitoring(1xR5485 incl.) AURORA-UNIVERSAL(opt) 97.0%. The wide input voltage range makes the inverter suitable to Wired Local Monitoring(txRS48S Incl.) PVI-USB-RS485_232(opt),PVI-DESKTOP(opt.) low power installations with reduced string size. Lo Wireless Local monitoring PVI-DESKTOP(opt)with PVI-RADIOMODULE(opt) ..ikaaN; tw^ Environmental _ -13 to+140(-25 to+60)with -13 to+140(-25 to+60)with I -13 to+140(-25 to+60)with Ambient Air Operating Temperature Range •F('C) Berating above 131(SS) Berating above 131(55) ' derating above 113(45) • Ambient Air Storage Temperature Range •F(°C) -40 to 176(-40 to+80) -40 to 176(40 to+80) I -40 to 176(-40 to+80) ,;,HJ1�s. _,y. elative Humidity + RH _ 0.100 condensing 0.100_condensing i 0-_100 condensing All 11Acoustic Noise Emission Level db(A)@lm <50 < <50 _ <50__ e g Maximum Operating Altitude without Dereting ft(m) ; 6560(2000) 6560(2000) ' 6560(2000) Mech-an ical 5pedficatioins Enclosure rating NEMA 4X ` NEMA 4X + NEMA4X • Each inverter is set on specific rid codes can be selected in the field Cooling ? Natural C_o_nvection Natural Convection 1 Natural Convection p g Dimensions(HxWxD) � in(mm) { 33.8x12.Sx8.7(859x325x222)-SVersion • Single phase output Weight lb/(kg) <47.3(21.3)-S version <47.3(21.3)-S version <47.3(21.3)-S version Mounting System Wall bracket Wall bracket I Wall bracket • Dual input sections with independent MPPT,allows optimal energy harvesting from two sub-arrays oriented in g y Trade size Kos:(2ea x 1/21 and j Trade size Kos:(2eax1/21arid Trade size Kos:Rea x1F21and different directions Conduit Connections- (2eax1-1/4,3 places side,front (2eax1-1/4',3 places side,front (2eax1-1/4;3 places side,front • Wide input range rear) rear) rear) _ OC Switch Rating{PerContact) AN 25/600 25/600 25/600 • High speed and precise MPPT algorithm for real time power tracking and improved energy harvesting Safety • Flat efficiency curves ensure high efficiency at all output levels ensuring consistent and stable performance across Isolation Level 7.0cirmerless(Floating Array) Transformedess(Floating Array) Transformerless(Floating Array) Safety and EMC Standard ,UL 1741,CSA-C22.2 N.107.1-01 1 UL_1741,CSA-C22.2 N.107.1-01 'UL1741,CSA-C22.2N.107.1-01 the entire input voltage and output power range Safety Approval CSA„ CSA•, csA, • Outdoor enclosure for unrestricted use under any environmental conditions wa Standard Warranty years 10 10 10rranty _ • Integrated DC disconnect switch in compliance with international Standards(-S Version) Extended Warranty years 15&20 15&20 15 ii 20 • RS-485 communication interface(for connection to laptop or datalogger) Available-Models • Standard-Without DC Switch and Wiring Box I PVI-3.0.0UTD-US PVI.3.6-0UTD-U5 PVF4.2-OUTD-U5 Compatible with PVI-RADIOMODULE for wireless communication with Aurora PVI-DESKTOP With DC Switch and Wiring Box g PVI-3.0-OUTD•5-US t PVI-3.6.OUTD-S-US PVI-0.2-OUTD-S-US_ -All data is subject to change without notice Capabaity enabled at nominal AC wltage and with sufficient DC power available • • ^when equipped with optional DC Switch and Wiring Box • • • sp CSA INTERNATIONAL Certificate of Compliance Certificate: 2096477 Master Contract: 173688 Project: 2439385 Date Issued: July 19,2011 Issued to: Power-One,Inc 740 Calle Plano Camarillo,CA 93012 USA Attention:Robert White The products listed below are eligible to bear the CSA Mark shown with adjacent indicators 'C'and 'US'for Canada and US or with adjacent indicator 'US'for US only or without either indicator for Canada only. p Roir�f e�btorav Issued by: Rob Hempstock,AScT. c us PRODUCTS CLASS 531109 -POWER SUPPLIES-Distributed Generation Power Systems Equipment CLASS 531189 -POWER SUPPLIES-Distributed Generation-Power Systems Equipment -Certified to U.S.Standards Utility Interactive Inverter,Models PVI-4.2-OUTD-US,PVI-3.6-OUTD-US,PVI-3.0-OUTD-US,PVI-4.2- OUTD-S-US,PVI-3.6-OUTD-S-US,PVI-3.0-OUTD-S-US,PVI-4.2-OUTD-US-W,PVI-3.6-OUTD-US-W and PVI-3.0-OUTD-US-W;provided with two DC input channels,permanently connected. For details related to ratings,reference should be made to the CSA Certification Record,Appendix 1 or the Descriptive Report. APPLICABLE REQUIREMENTS CSA-C22.2 No.107.1-01 - General Use Power Supplies UL Std No. 1741-Second Edition - Inverters,Converters,Controllers and Interconnection System Equipment for Use With Distributed Energy Resources(January 28,2010) DQD 107 Rev,2009-09-01 Page:1 .