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Home My WebLink About0155 CAPES TRAIL TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION i Map (W Parcel 006 ?pricati�n # Health Division Date Issued l Conservation Division 'Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic -'OKH Preservation/ Hyannis Project Street Address �.5.S' 7�s 7ro:l, Z-Iesel Zww�'�.vd�� _ 0.366p Village Owner .�Q ��i.�ttt71 AddressJ,s�y�.1 L✓f. �taS�.o�l Telephone Permit Request sA[17/iLL sa44.y �cLEe_TxjG yA a:1-S �N IMF��sr,.JG y,*&4 _�E TI/yams _n�.�.i`TL�1] �.u�rtJ f,�oMc�cE'dT,g�GQG S�J7Y.N ��LJ�/�O4dG(1 Square feet: 1 st floor: existing -- proposed 2nd floor: existing -- proposed Total new— Zoning District T?F Flood Plain — Groundwater Overlay. Project Valuation J.?oov.oo Construction Type AL`t nw;-1vw _.rew vx Pwo c%..s Lot Size Grandfathered: ❑YeWAU-NO If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) sK"&xeked dl�tsiox Age of Existing Structure w.% Historic House: ❑Yes XNo On Old King's Highway:>�Y6 ❑ No Basement Type: ❑ Full U17 --0 Walkout ❑ Other Basement Finished Area (sq.ft.) -- Basement Unfinished Area (sq#) Number of Baths: Full: existing "' new Half: existing new 71 . � Number of Bedrooms: existing =new := =& Total Room Count (not including baths): existing new First Floor Room Counf-i Heat Type and Fuel: ❑ Ga4449-Oil ❑ Electric ❑ Other Central Air: aY60 -0 No Fireplaces: Existing --&Aev7- Existing wood/coal stove:-avYh9 ❑'No Detached garage: ❑ exist rmw size_Pool: ❑ exis*Tg/%&nrew size — Barn: ❑ exist+t/I&CeW size_ Attached garage: ❑ extsti0quTew size _Shed: ❑ exMtir 03, 1ew size — Other: Zoning Board of Appeals Authorization ❑ Appeal #- Recorded ❑ Commercial ❑Yes W No If yes, site plan review # Current Use sj „&4Z Proposed Use .yo ck p,vaC_ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) SmloaG�, Name Telephone Number Address JZ0 �ore�ya•�`e� r e2.?4�o License# 9 CS/0766,3 Te►��Jro,�c� mq Home Improvement Contractor# /6857.� Email Worker's Compensation #l.�J,t?9'66J70�e16�D,?S� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE VJ,4(— DATE I u � FOR,OFFICIAL USE ONLY APPLICATION# DATE-ISSUED f ^ MAP:/PARCEL NO. _` • `[ - ADDRESS VILLAGE, r f OWNER' DATE OF INSPECTION: 'FOUNDATION ° FRAME INSULATION }' FIREPLACE <r t ELECTRICAL: ROUGH �, t: FINAL 6 PLUMBING: ROUGH '"x "FINAL'.! GAS: ROUGH r FINAL ' { FINAL BUILDING. " t DAT&ZLOSED OUT ASSOCIATION PLAN NO. = • - , t �DO 6�L i i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations UV. I Congress Street, Suite 100 Boston,MA 02114-2017 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name(BusinessrOrgani7a ionilrtdividuaij: SolarCity Corporation Address:3055 Clearview Way City/State/Zip:San Mateo, CA 94402 Phone#:888-765-2489 Are.you an employer?Check the appropriate box: Type of project(required): 1.K I am a cmployer with 7000 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 tY• t 9. ❑Building addition [No workers' comp.insurance comp. insurance. required] 5. ❑ We arc a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions .myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required]t c. 152,§1(4),and we have no Solar Panels employees. [No workers' 13.Q 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. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Liberty Mutual Insurance Company Policy#or Self-ins.Lic. #:WA7-66D-066265-024 Expiration Date:09/01/2015 Job Site Address: 155 Capes Trail City/State/Zip: Barnstable,MA 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert05?under the pains and penalties of perjury that the information provided above is true and correct. Signature: ems Date: 11/4/2014 Phone#: 7818167489 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Ac R CERTIFICATE OF LIABILITY INSURANCE r °�09/201°°'"Y"Y' � 09/29,2(1i4 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THI$ CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE.POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the poGcy(ies)must be endorsed If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsement(s). PRODUCER CONTACT MARSH RISK&INSURANCE SERVICES NAIVE: 345 CALIFORNIA STREET,SUITE 1300 PHON o AC No): CALIFORNIA LICENSE NO.0437153 SAN FRANCISCO,CA 94104 ADDRESS: INSURERS)AFFORDING COVERAGE NAIC0 998301-STND-GAWUE-14-15 INSURER A:Liberty Mutual Fie Insurance Company - 16586 INSURED Ph(650)9635100 INSURER e:Liberty Insurance Corporation 424N SolarCity Corporation INSURERC:N/A NIA 3055 Clearoiew Way INSURER D: San Mateo,CA 94402 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: SE 4 W4402%V REVISION NUMBER:4 • THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD POLICY EFF POUCY EXPO LTR POLICY NUMBER u MMID A GENERAL LIABILITY TB2-061-066265.014 109/01014 09101/2015 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RF9TE5--PREMISES Ea oca Term $ 1�'� CLAIMS-MADE M OCCUR MED EXP(Arty one person) g 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2.000.ODD X POLICY X PRO- LOC Dedud Ve $ 25,000 JFCT A AUTOMOBILE LIABILITY AS2-061-MLR-044 09/01/2014 09MI12D15 COMBINED SINGLE LIMIT 1,0W,000 IF X ANY AUTO BODILY INJURY(Per person) $ !!REll OWNEDSCHEDULED BODILY INJURY(Per accident) S OSAUTOSPROPERTY DAMAGE NON $ X AUTOS X AUTOS X Phys.Damage COMPICOLL DED: $ $1,000 1$1,000 UMBRELLA UAB OCCUR EACH OCCURRENCE 3 EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I_RETE,,rTiON$ I $ B WORKERS COMPENSATION WA7.66D-066265-024 09/01@014 1/20 5 x I WC STATU- I OTH- AND EMPLOYERS'UABIUTY B ANY PROPRIETORIPARTNERIEXECU IVE YIN WC7-661-066265A34(WI) 09/01/2014 09/01/2015 1,000,000 OFFICER/MEMBER EXCLUDED? N NIA EL EACH ACCIDENT $ B (Mandatory In NH) i�WC DEDUCTIBLE:$350,006' EL DISEASE-EA EMPLOYE $ 1,000,000 If yes,desbeunder DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 1,000,e00 i 1 • DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarla;Schedule,H more space Is required) Evidence of Insurance. i 1 CERTIFICATE HOLDER CANCELLATION SolarCity Corporation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3055 Clearview Way THE EXPiRAT10N DATE THEREOF, NOTICE WILL BE DELIVERED IN San Mateo,CA 94402 ACCORDANCE WITH THE POLICY PROVISIONS. 1 AUTHORIZED REPRESENTATIVE of Marsh Risk S Insurance Services Charles Marmotejo C ^?Z ��-- 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD I � t Office of Consumer Affairs'and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration . Registration: 168572 Type: Supplement Card SOLARCITY CORPORATION Expiration: 3/6i2015 CRAIG ELLS 24 ST. MARTIN STREET BLD 2 UNIT 11 —----_-- --- ---- MARLBOROUGH, MA 01752 Update Address and return card.Mark reason for change. sCA 1 0 Zorn 05;11 Address Fi Renewal n Employment Cl Lost Card Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: f Office of Consumer Affairs and Business Regulation Registration: 168572 TYPt 10 Park Plaza-Suite 5170 Expiration: 3/8/2015 Supplement ;ard PP Boston,MA 02116 SOLARCITY CORPORATION CRAIG ELLS 9 24 ST MARTIN STREET BLD 2UNI _l "kLBOROUGH,MA 01752 — Undersecretary Not v lid without signature r Massachusetts -Department of PwbJiC Safetj Board of Building Regulations ind Slailda(ds • � �ugJrif,hntiuliriit.� � _ -ccense CS-107663 CRAIG ELLS 206 BAKER STREET Keene NH 03431 • 1 rL�nlyr�ilggll�nE Y 08129/2017 Office of Consumer Affairs.and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement_Contractor Registration Registration: 168572 Type: Supplement Card SOLARCITY CORPORATION Expiration: 3/8/2015 NILE MILLER L _-- 24 ST. MARTIN STREET BLD 2 UNIT 11 MARLBOROUGH, MA 01752 Update Address and return card.Mai•k reason for change. SCA 1 t; 20M-05/1 i [] Address Renewal ❑ Employment I Lost Card FZ1 Tp�r3iii ii[arrtat?a��t�r-ll...ttr./1".w/la . ^m -- frice of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation egistration: 168572 Type. 10 Park Plaza-Suite 5170 Expiration: 3/8/2015 Supplement Card Boston,MA 02116 SOLARCITY CORPORATION NILE MILLER 24 ST MARTIN STREET BLD 2UNI ITA ALBOROUGH,MA 01752 Undersecretary Not valid without signature a hocuSign envelope ID:8p6B30D6-B245-4269-A9DA-F22FF3BB205C A7k.,So1arCity 3055 Clearview Way, San Mateo, CA 94402 SOIa1r LeaSe T (888) SOL-CITY F (650) 560-6460 SOLARC SUMMARY Date: 7/l/2014 Customer Name and Address Customer Name Installation Location Contractor License Zachary Peterson 155 Capes Trail MA HIC 168572/MA Lic. 155 Capes Trail Barnstable, MA MR-1136 Barnstable, MA 02668 02668 Estimated Solar Energy Production First Year Annual Production: 6, 113 kWh Initial Term Total Production: 116, 632 kWh Payment Terms Amount Due at Contract Signing: $0 Amount' Due when Installation Begins: $0.00 Amount Due following Bldg. Inspection: $0.00 Estimated Price per kWh First Year: $0.1671 Annual Increase: 0.0 % First Year Monthly SolarCity Bill: $85.13 Lease Term' 20 Years SolarCity's Promises to You: SYSTEM AT NO CHARGE. • SolarCity will insure, maintain, and repair the System (including the inverter) at no additional cost to you as specified in the agreement. • SolarCity will provide 24/7 web-enabled monitoring at no additional cost to you, as specified in the agreement. SolarCity will provide a money-back production guarantee, as specified in the agreement. • SolarCity will warranty your roof against leaks and restore your roof at the end of the agreement as specified in the agreement. • The pricing in this Lease is valid for 30 days after 7/1/2014. If you don't sign this Lease and return it to us on or prior to 30 days after 7/l/2014, SolarCity reserves the right to reject this Lease unless you agree to our then current pricing. • BY SIGNING THIS AGREEMENT YOU ARE ONLY COMMITTING TO A SITE SURVEY AND SOLAR PROPOSAL. YOU MAY CANCEL THIS AGREEMENT AT ANY TIME PRIOR TO COMMENCEMENT OF INSTALLATION OF THE SolarLease•version 6.4.0, June 16th, 2014 SAPC/SEFA Compliant Document Generated on 7/1/2014 I DocuSign Envelope ID:8D6B30D6-B245-4269-A9DA-F22FF3BB205C 22. PUBLICITY I have read this Lease and the Exhibits in their entirety and I acknowledge that I. SolarCity will not publicly use or 'have received a complete copy of this display any images of the System unless Lease. you initial the space below. If you initial the space below, you give SolarCity permission to take pictures of the System as installed on your Home to Customer's Name: Zachary Peterson show to other customers or display on DowSignedW. our website. • Sign ature:• C9A97FDC34C1 Homeown Date: 7/1/2014 23. NOTICE OF RIGHT TO CANCEL YOU MAY CANCEL THIS LEASE AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS Customer's Name: DAY AFTER THE DATE YOU SIGN THIS LEASE. SEE EXHIBIT 1,_THE ATTACHED NOTICE OF Signature- . CANCELLATION FORM, FOR AN EXPLANATION OF. •THIS RIGHT. Date: 24. ADDITIONAL RIGHTS TO CANCEL IN.ADDITION TO ANY RIGHTS YOU MAY HAVE TO 'CANCEL THIS LEASE UNDER SECTIONS 6 E 4%,SO�a�Clty.AND 23, YOU MAY ALSO CANCEL THIS LEAS V, ` t AT NO COST AT ANY TIME PRIOR TO COMMENCEMENT OF INSTALLATION. SolarLease 25. Pricing SOLARCITY APPROVED. The pricing in this Lease is valid for _ 30 days after 7/1/2014. If you don't sign this Lease and return it to us on or prior to 30 days .after 7/l/2014, Signature: • SolarCity reserves the right to reject LYNDON RIVE,CEO this Lease unless you agree to our then SOIarL@85@ current pricing. �-.`SolarCity. Date: 7/1/2014 _ r SolarLease version 6.4.0, June 16th, 2014 SAPC/SEFA Compliant. i x '"'I"S olarCity. OWNER AUTHORIZATION Job ID: MdA 6 y/6 Location: I k40, 41 as Owner of the subject property hereby authorize SolarCity Corp—HIC 168572 / MA Lic 1136 MR to act on my behalf, in all matters relative to work authorized by this building permit application and signed contract. 1 a of Date: y I 1 24 St Martin Drive,Building 2 Unit 11 Marlborough,MA 01752 T(888) SOL-CITY v(508)460-0318 SOL ARC ITY.COM AZ ROC 243771,CA CSLB 888104,CO EC 8041,C1 HIC 0632778,DC HIC 71101486,DC HIS 71101498.HI 1329770. MA HIC 168572.MD MHIC 128948,NJ 13YHO6160600,NY WC•24624-14I1,OR CC8 I60498.PA 077343,TX TDIR 27006,WA SOLARC•91901 Version#37.4 lsolarcity. - 3055 Clearview way,San Mateo, CA 94402 r'q AINDIREW D. (888)-SOL-CITY (765-2489) 1 www.solarcity.com VJI11TE v STRUC`ri IRAL f) July 22,2014 No.-sZ,0 Project/Job#026416 RE: CERTIFICATION LETTER FS NAI. Project: Peterson Residence 155 Capes Trail Barnstable, MA 02668 To Whom It May Concern, A jobsite survey of the existing framing system was performed by a site survey team from SolarCity. Structural review was based on site observations and the design criteria listed below: Design Criteria: -Applicable Codes = MA Res. Code,8th Edition,ASCE 7-05,and 2005 NDS - Risk Category = II -Wind Speed = 110 mph, Exposure Category C -Ground Snow Load = 30 psf -MPl: Roof DL= 8 psf, Roof LL/SL= 23.1 psf(Non-PV Areas);Roof LL/SL= 12.9 psf(PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.19774 < 0.4g and Seismic Design Category(SDC) = B < D On the above referenced project,the structural roof framing has been reviewed for loading from the PV assembly on the roof.The structural review only applies to the section(s)of the roof that directly supports the PV system and its supporting elements.After this review it was determined that the existing structure is adequate to carry the PV system loading. I certify that the structural roof framing and the new attachments that directly support the gravity loading from PV modules have been reviewed and determined to meet or exceed requirements of the MA Res.Code,8th Edition. Please contact me with any questions or concerns regarding this project.- Sincerely, Andrew White, P.E. Digitally signed by Andrew White Structural Engineer Main: 888.765.2489,x2377 Date:2014.07.22 11:15:21 -04'00' email: awhite@solarcity.com 3055 Clearview Way San Mateo,CA 94402 T(650).638-1028 (888)SOL-CITY F(650)638-1029 solarcity.com :'rn:1. K`S:3?fH J•'>43,(X,il ., .. Y:Y< _ .1 A•..••.,., .... ' ,n'ef.,.A �i.I_e�-:.a,;l. ' 07.22.2014 TM Version#37.4 ,.,Solar SleekMount PV System Structural Design Software PROJECT.INFORMATION &TABLE OF CONTENTS Project Name: Peterson,Residence AHJ: Barnstable Job Number: 026416 Building Code: MA Res.Code,8th Edition Customer Name: Peterson,.Zachary Based On: IRC-2009,/IBC.2009 Address: 155 Capes Trail ASCE Code: ASCE 7-05 City/State: Barnstable, MA —Risk-Category: II Zip Code 02668 Upgrades Req'd? No Latitude_/Longitude: 41.709103 -70.407488_ _Stamp,Req'd? --Yesµ SC Office: South Shore PV Designer: Cliff Williams Calculations: Brad Taylor EOR: Andrew White P.E. Certification Letter 1 Project Information, Table Of Contents, &Vicinity Map 2 Structure Analysis (Loading Summary and Member Check) 3 Hardware Design (PV System Assembly) 4 Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.19774 < 0.4g and Seismic Design Category(SDQ = B < D 1/2-MILE VICINITY MAP 4 6 � \ n ` \ ►Hl • • • I �Lr. Ali - • • - • - ° • - - • • - 155 Capes Trail, Barnstable, MA 02668 Latitude:41.709103,Longitude:-70.407488,Exposure Category:C LOAD ITEMIZATION - MP1 PV System Load PV Module Weight(psf)_ _ 2.5 psf Hardware Assembly Weight s 0.5 psf PV System Weight s 3.0 Psf Roof Dead Load Material Load Roof Category_Description _ _ _ MPi Roofing TYp_e -_� _ _ Comp Roof N( 1 Layers) i 2.5_psf Re-Roof to 1 Layer of Comp? No Underlayment _ !�� 'T _ Roofing Paper _ _ —0.51psf_ Plywood Sheathing Board Sheathing` _ __ None _ Rafter Size and Spacing T _ �T 2 x 8 + @ 16 in.O.C. _ 2.3 psf Vaulted Ceiling _ ' No _ Miscellaneous V Miscellaneous Items 1.2 psf Total Roof Dead Load 8 Psf MPi 8.0 Psf Reduced Roof LL Non-PV Areas Value ASCE 7-05 Roof Live Load _Lo 20.0 psf Table 4-1 Member_Tributary,Area T _ At___ < 200 sf Roof Slope , 9/12 _ Tributary-Area Reduction__ _Rl _ 1 _T'^' _Section 4.9 Sloped Roof Reduction _R2 0.7_5 _ Section 4.9 Reduced Roof Live Load Lr 4= Lo(RI)�(R2)� Equation 4-2 Reduced Roof Live Load Lr 15 Psf MPi 15.0 ncf Reduced Ground Roof Live/ now Loads Code Ground Snow Load p9 30.0 psf ASCE Table 7-1 Snow Load Reductions Allowed? Yes Effective Roof Slope 370 I Horiz..Distance from..Eve to,Ridge� W 15.81ft I Snow Importance Factor IS 1.0 Table 1.5-2 Snow Exposure Factor Ce Partially Exposed Table 7-2 1.0 Snow Thermal Factor Ct Structures kept just above freezing Table 7-3 1.1 Minimum Flif Roof Snow Load(w/� pf-min 23.1 psf 7.3.4&7.10 Rain.on Snow-Surcharge) Flat Roof Snow Load pf= 0.7(Ce)(Ct)(I) pg; pf? pf-min Eq: 7.3-1 Pf _ 23.1 psf 77% ASCE Design Sloped Roof Snow Load Over Surroundinq Roof Surface Condition of Surrounding -roof All Other Surfaces Figure 7-2 Roof 1.0 Design Roof Snow Load Over Ps-.00f= (Cs-.00f)Pf ASCE Eq: 7.4-1 Surrounding Roof Ps-roof 23.1 psf 77% ASCE Design Sloped Roof Snow Load Over PV Modules Surface Condition of PV Modules CS-pV Unobstructed Slippery Surfaces Figure 7-2 Design Snow Load Over PV PS.PV= (Cs- J Pf ASCE Eq: 7.4-1 Modules Ps p" 12.8 psf 43% S • COMPANY PROJECT Woodworks® SOFIWAR4 FOR IVOOO OFSIGN July 22, 2014 07:29 MP1.wwb Design Check Calculation Sheet WoodWorks Sizer 10.1 Loads: Load Type Distribution Pat- Location [ft] Magnitude Unit tern Start End Start End DL Dead Full Area No 8.00 (16.0) * psf PV LOAD Dead Partial Area No 1.42 12.00 3.00 (16.0) * psf SNOW LOAD Snow Full Area Yes 23.10 (16.0) * psf *Tributary Width (in) Maximum Reactions (lbs), Bearing Capacities (lbs) and Bearing Lengths (in) i 16-2.5" 0' 0'-8" 12'-4 Unfactored: Dead 112 108 Snow 201 188- Factored: Total 313 296 Bearing: F'theta 567 567 Capacity. Joist' 3293 2974 Supports 2789 - Anal/Des Joist 0.10 0.10 Support 0.11 - Load comb #2 #4 Length 3 .50 3 .50 Min req'd 0.50* 0.50* Cb 1.11 1.00 Cb min 1.75 1.00 Cb support 1.25 - Fcp sup 425 - *Minimum bearing length setting used: 1/2"for end.supports Bearing for wall supports is perpendicular-to-grain bearing on top plate. No stud design included. MP1 Lumber-soft, S-P-F, No.1/No.2, 2x8 (1-1/2*W-1/4") Supports: 1 -Lumber Stud Wall, S-P-F Stud; 2-Hanger; Roof joist spaced at 16.0"c/c; Total length: 16'-2.5"; Pitch: 9/12; Lateral.support: top=full, bottom= at supports; Repetitive factor: applied where permitted (refer to online help); F-1 1_` WoodWorks® Sizer SOFTWARE FOR WOOD DESIGN MP1.wwb WoodWorksO Sizer 10.1 Page 2 Analysis vs. Allowable Stress (psi) and Deflection (in) using NDS 2012 : Criterion Analysis Value Design Value Analysis/Design Shear fv = 29 Fv' = 155 fv/Fv' = 0.19 Bending(+) fb = 760 Fb' = 1389 fb/Fb' = 0.55 Bending(-) fb = 9 Fb' = 663 fb/Fb' = 0.01 Live Defl'n 0.30 = L/584 0.97 = L/180 0.31 Total Defl'n 0.48 = L/366 1.46 = L/120 0.33 Additional Data: FACTORS: F/E(psi)CD CM Ct CL CF . Cfu Cr Cfrt Ci Cn LC# Fv' 135 1.15 1.00 1.00 - - - - 1.00 1.00 1.00 2 Fb'+ 875 1.15 1.00 1.00 1.000 1.200 1.00 1.15 1.00 1.00 - 4 Fb' - 875 1.15 1.00 1.00 0.478 1.200 1.00 1.15 1.00 1.00 - 2 Fcp' 425 - 1.00 1.00 - - - - 1.00 1.00 - E' 1.4 million 1.00 1.00 - - - 1.00 1.00 - 4 Emin' 0.51 million 1.00 1.00 - - - - 1.0.0 1.00 - 4 CRITICAL LOAD COMBINATIONS: Shear : LC #2 = D+S, V = 227, V design = 209 lbs Bending(+) : LC #4 = D+S (pattern: sS) , M = 832 lbs-ft . Bending(-) : LC #2 = D+S, M = 10. lbs-ft Deflection: LC #4 = (live)- LC #4 = (total) D=dead L=construction S=snow W=wind I=impact Lr=roof constr. Lc=concentrated All LC's are listed in the Analysis output Load Patterns: s=S/2, X=L+S or L+Lr, _=no pattern load in this span Load combinations: ASCE 7-10 / IBC 2012 CALCULATIONS: Deflection: EI = 67e06 lb-in2 • "Live" deflection = Deflection from all non-dead loads (live, wind, snow...) Total Deflection = 1.00(Dead Load Deflection) + Live Load Deflection. Bearing: Allowable bearing at an angle F'theta calculated for each support as per NDS 3.10.3 Design Notes: 1. WoodWorks analysis and design are in accordance with the ICC International Building Code (IBC 2012), the National Design Specification (NDS 2012), and NDS Design Supplement. 2. Please verify that the default deflection limits are appropriate for your application. 3. Continuous or Cantilevered Beams: NDS Clause 4.2.5.5 requires that normal grading provisions be extended to the middle 2/3 of 2 span beams and to the full length of cantilevers and other spans. 4. Sawn lumber bending members shall be laterally supported according to the provisions of NDS Clause 4.4.1. 5. SLOPED BEAMS: level bearing is required for all sloped beams. 6. The critical deflection value has been determined using maximum back-span deflection. Cantilever deflections do not govern design. I . i [CALCUI:ATION OF DESIGN WIND_LOADS MP1 Mounting Plane Information Roofing Material Comp Roof PV,System Type SolarCity-SleekMountT"' Spanning Vents No Standoff Attachment Hardware Comp Mount Type C Roof Slope 370 Rafter Spacing 16"O.C. Framing Type Direction Y-Y Rafters Purlin.Spacing X-XPurlins_Only_ NA Tile Reveal Tile Roofs Only NA _ Tile Attachment_System _Tile Roofs Only NA StandingSeam Spacing SM Seam Only— NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind.Design,Method __ _ Partially/Fully Enclosed Method Basic Wind Speed V 110 mph Fig. 6-1 Exposure Category C _Section.6.5.6.3_ Roof Style Gable Roof Fig.6-11B/C/D-14A/B Mean Roof Height h 25 ft I Section 6.2T Wind Pressure Calculation Coefficients Wind Pressure Exposure K= 0.95 • Table 6-3 Topographic_Factor Krt 1.00Section 6.5.7 Wind Directionality Factor Kd 0.85 Table 6-4 Importance Factor I=' 1.0 Table 6-1 Velocity Pressure qh qh =0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15 24.9 psf Wind Pressure Ext. Pressure Coefficient U GC -0.95 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down GC 0.88 Fig.6-11B/C/D-14A/B Design Wind Pressure p p =qh(GC) Equation 6-22 Wind Pressure U -23.7 psf Wind Pressure Down 21.8 psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 64" . 39" Max_Allowable.Cantilever —Landscape 24" NA Standoff Configuration Landscape Staggered Max Standoff Tributary,Area Trib 17 sf PV Assembly Dead Load W-PV 3 psf Net Wind;Uplift at Standoff T_actual _ .-383•lbs Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand/Capacity I DCR 76.5% X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 64" Max Allowable Cantilever Portrait_ 17" NA Standoff Configuration Portrait Staggered Max-Standoff Tributary.Area Trib 21_sf PV Assembly Dead Load W-PV 3 psf Net Wind Uplift at Standoff Tactual -479.Ibs Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand/Capacity DCR 95.7% Barnstable Old Kings Highway Historic District Committee 200 Main Street,Hyannis,MA 02601,TEL: 508-862-4787 Fax 508-862-4784 "wee' APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with four(4)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 Buildinz: 0 House ❑ Garage/barn ❑ Shed ❑ Commercial ❑ Other 3. Exterior Painting ❑ new roof ❑ color/material change, of trim, siding,window,door 4. Ste: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ Tennis court ❑ Other 6. Pool ❑ Swimming ❑ Other man-made pool ® Solar_ =els ❑ Other Type or Print Legibly: Date JD-/-AD/41 NOTE All applications must be signed by the current owner Owner(print): ZsCWAY%y jPQfe!'SOr! Telephone#: .3V8-.769-A:rXI Address of Proposed Work: /1"S Ca pga T-6j j Village G/. �.vRNS1WJA Map Lot#08 !S 0046 Mailing Address(if different) Owner's Signature S« Af,4444a' Description of Proposed Work: Give particulars of work to be done: /N SrGILL OLAA WNeIS oAu Roe Pr a;r EXIS77MG IP es Agent or'Contractor(print): .r SoLAP. Gem IA As?!d9 T p r<�!,6-Zz,VO . le phone#: ZZ. T Address: AA0 CoricardtG 2RRk 2!,_4 &AR410, km6ro& Al.Q 0.7.3V Contractor/Agent'signature: ,A41uX< For committee use only. This Certificate is hereb APPROVE DENIED'' Date M atures Qr.--e— RE09VED OPT GtROWTU C3EMENT PPS 2 of gacnshWal Od �a9 tn-nee 1 QABoardv and C.ommissionA01d Kings Highway'10KH Applications\OKH DRAFT 2011 Cert Appropriateness DRAFTdoc i � n CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 5 Copies Foundation Type: (Max. 12"exposed)(material-brick/cement,other) Siding Type: Clapboard__ shingle_ other. Material: red cedar white cedar other Color: Chimney Material: Color: Roof Material: (make&style) (f6g m r;A Color: ( Roof Pitch(s): (7/12 minimum) �Z (specify on plans for tint-buildings, inajor additions) Window and door trim material: wood other material, specify Size of cornerboards size of casings(1 X 4 min.) color •Rakes Ist member 2"d member Depth of overhang RECEIWD Window: (make/model) material color OCT Y 2 Zn14 (Provide window schedide on plan far new buildings, nuijur additions) GROWTH NIANAGElVIENT Window grills(please check all that apply_: true divided lights_ exterior glued grills_ grills between glass_removable interior_ None Door style and make: material Color: Garage Door,Style Size of opening Material Color Shutter Type/Style/Material: Color: Gutter Type/Material: Color: Deck material: wood other material, specify Color: Sky;ight,type/nnake/modelh „iaterial Color: Size: Sign size: Type/Materials: Color: Fence Type(max 6' )Style material: Color: ^^ Retaining wall: Material:• I1P RO. Lighting,freestanding on building illuminating sign OCT 2 2 2014 OTHER INFORMATION: Town of Barnstable 010 ay THE ATTACHED CHECK LIST MUST BE COMPLETED AND SUBMITTED Committee Please provide samples of paint colors,manufacturers brochure of windows,doors,garage door,fences,lamp posts etc Signed: (plan preparer) Print Name ' AUZ-4 1414tdQ 2 QABoards and Conunissions101d Kings HighwayOKII ApplieationAOK11 DRAFT 2011 Cerr Appropriateness DRAFT.doc I 4 i �TI S. SIGNS Diagram of sign,showing graphics,size,design and height of post,color and materials. Spec sheet. Site Plan on a GIS map or mortgage survey,OR photographs OR to-scale sketch of building elevation showing location of proposed sign;and any tree to be removed near a freestanding sign. Fee according to schedule. 6. SOLAR PANELS \ Drawing of location of panels on house showing roof and panel dimensions. Site plan showing location of building on property. (Assessors map may be submitted) Height of solar panel above the roof. Color of panels 64c ek o,►6Z"&' Finish(matt or glossy) RECEIVED 7. FOR LIST OF ABUTTERS: PLEASE SEE OKH STAFF T y N 14 SIGNED (plan preparer) 4-4— Print IV1 Lp Mjt. T Date: Tel.Phone no's: 7��'8i6'�� A p P RO VEU� NOTE OCT 2 2 Z014 The Old Kings Highway Historic District Committee MAY DENY INCOMPLETE APPLICATIONS Town of Barnstable Old King's Highway Committee ATTENDANCE AT MEETINGS: If the applicant or his/her representative is not present during the hearing is scheduled,the application may be either CONTINUED OR DENIED APPEAL PERIOD APPROVED PLANS PLAN PICK UP There is a ten(10)day appeal period,plus a 4 day waiting period for approved plans from the date the decision is filed with Town Clerk. This is necessary for each Certificate of Appropriateness and/or Certificate for Demolition issued by the Old King's Highway Committee. Plans approved by the Old King's Highway Historic District Committee may be picked up at Growth Management,Regulatory Division,200 Main Street,Hyannis,after expiration of the 14 day"wait"period. If the- 140'day falls on a Saturday, your plans will be available the afternoon of the following business day. DENIALS Applications that are denied may be appealed to the Old Kings Highway Regional Historic District Commission within 10 days of the filing of the decision with the Town Clerk. For more information, see the Bulletin of the Old Kings Highway District Commission. BUILDING PERMITS, OTHER AGENCY CONTACTS In most instances,before commencing work, a Building Permit is required. The Building Division will require a certified plot plan for new construction and/or demolition. Commercial work may require Site Plan approval. Demolitions: the applicant should check with the Building Division as to conformance with Zoning requirements. Other Regulatory Agencies at 200 Main St,Hyannis MA 02601: Building Division 508-862-4038 Conservation Division 508-862-4093 Health Division 508-862-4644 QUESTIONS ABOUT YOUR APPLICATION? PLEASE CALL THE BARNSTABLE OLD KINGS HIGHWAY OFFICE AT 508 862-4787 5 QABoards and Commissions\Old Kings 11fghwa3&0Khf Applfeatfonsk0KH DRAFT 2011 Cert Appropriateness DRAFT.doc Town of Barnstable Geographic Information System October 2,2014 088008002 0�008001 109092 088008003 - 040 #851 088007008 #747 109015014 061 089006005 0731 109015013 088010 088007007 #60 ® #717 #0 08809 088008004 #10" � 109093 Sandw/ch #o # 4 #40 088008005 44 Akk. 0880070/2 � 109015015 109015003 0 � 0 088007006 935 a #i i 0 591® 109015012 .� �008007 010 '#210 4* #200 088008006 088007005 109094 0 109016004 #85 088006003 045 #� 088008008 088007003 080, 109016011 0211 #186// o #25 088007 0170/ 109015010 �C► 0106 109013002 088 009 088006007 1 #012509 ® #5 ® 0156 l)8801>6002 Ot98011 — t09016006 109013003 0811s 2 ® �#140f #135 #100 # ' *186/# �l 088007001 109015006 0169 ® 088012 0120 109013004 0. 088006006- #155 f�B 109015007 #65 d #15.5 E #130 4 ® 0 109013005 OBB#01036901 109015008 #75 088005 At 150. #126 ® e109013006 088013® 109013001 # 's 108002007 0107 #80 m 08801141, ® 108002001 # 1080288 11 #77 ®® 108002006 10 0100 108029 865 ® 1080&005 108030 #6v 0976 #49 �+piDF �.� 1080002002 S 1108002003 � 108002004! 4 e #5 �6, 108003 0 148 Feet DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:088 Parcel:006006. a boundary determination or regulatory Interpretation. Enlargements beyond a scale or Owner PETERSON,ZACHARY M& Total Assessed Value:$249000 Selected Parcel N 1'=I W may not meet established map accuracy standards. The parcel lines on this map - E are only graphic representations of Assessors tax parcels.They are not we property Co-Owner. Acreage:1.00 acres Abutters boundaries and do not represent actuate relationships to physical features on the map such as building locations. Location:155 CAPES TRAIL Buffer f d z ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE 1. WHERE ALL TERMINALS OF THE DISCONNECTING AC ALTERNATING CURRENT MEANS MAY BE ENERGIZED IN THE OPEN POSITION, BLDG BUILDING A SIGN WILL BE PROVIDED WARNING OF THE CONC CONCRETE HAZARDS PER ART, 690.17. DC DIRECT CURRENT 2. EACH UNGROUNDED CONDUCTOR OF THE RECEIVED EGC EQUIPMENT GROUNDING CONDUCTOR MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY (E) EXISTING PHASE AND SYSTEM PER ART. 210.5. EMT ELECTRICAL METALLIC TUBING 3. A NATIONALLY-RECOGNIZED TESTING OCT - 2 2014 FSB Fire Set-Back LABORATORY SHALL LIST ALL EQUIPMENT IN GALV GALVANIZED COMPLIANCE WITH ART. 110.3. GEC GROUNDING ELECTRODE CONDUCTOR 4. CIRCUITS OVER 250V TO GROUND SHALL ��®WTI MANAGEMENT GND GROUND COMPLY WITH ART. 250.97, 250.92(B) HDG HOT DIPPED GALVANIZED 5. DC CONDUCTORS EITHER DO NOT ENTER I CURRENT BUILDING OR ARE RUN IN METALLIC RACEWAYS OR Imp CURRENT AT MAX POWER ENCLOSURES TO THE FIRST ACCESSIBLE DC Isc SHORT CIRCUIT CURRENT DISCONNECTING MEANS PER ART. 690.31(E). kVA KILOVOLT AMPERE 6. ALL WIRES SHALL BE PROVIDED WITH STRAIN kW KILOWATT RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY LBW LOAD BEARING WALL UL'LISTING. MIN MINIMUM 7. MODULE FRAMES SHALL BE GROUNDED AT THE (N) NEW UL-LISTED LOCATION PROVIDED BY THE NEUT NEUTRAL MANUFACTURER USING UL LISTED GROUNDING NTS NOT TO SCALE HARDWARE. APPROVED OC ON CENTER 8. MODULE FRAMES, RAIL, AND POSTS SHALL BE PL PROPERTY LINE BONDED WITH EQUIPMENT GROUND CONDUCTORS AND POI POINT OF INTERCONNECTION GROUNDED AT THE MAIN ELECTRIC PANEL. OCT 2 2 2014 PV PHOTOVOLTAIC 9. THE DC GROUNDING ELECTRODE CONDUCTOR SCH SCHEDULE SHALL BE SIZED ACCORDING TO ART. 250.166(8) & Town of Barnstable SS STAINLESS STEEL 690.47. Old coo Highway Committee STC STANDARD TESTING CONDITIONS. TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V VOLT Vmp VOLTAGE AT MAX POWER VICINITY MAP INDEX Voc VOLTAGE AT OPEN CIRCUIT W WATT 3R NEMA 3R, RAINIIGHT PV1 COVER SHEET PV2 PROPERTY PLAN • ,� PV3 SITE PLAN 6 • PV5 STRUCTUORAL VIEWS Gw LICENSE GENERAL NOTES ' PV6 RENDERING 1. THIS SYSTEM IS GRID-INTERTIED VIA A PV7 SATELLITE RENDERING GEN #168572 UL-LISTED POWER-CONDITIONING INVERTER. PV8 UPLIFT CALCULATIONS ELEC 1136 MR 4 PV9 THREE LINE DIAGRAM 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. 3. SOLAR MOUNTING FRAMES ARE TO BE a Cutsheets Attached GROUNDED. hMA 4. ALL WORK TO BE DONE TO THE 8TH EDITION MODULE GROUNDING METHOD: ZEP SOLAR OF THE MA STATE BUILDING CODE. 5. ALL ELECTRICAL WORK SHALL COMPLY WITH REV BY DATE COMMENTS AHJ: Barnstable THE 2014 NATIONAL ELECTRIC CODE INCLUDING • REV A NAME DATE COMMENTS MASSACHUSETTS AMENDMENTS. UTILITY: NSTAR Electric (Cambridge Electric Light) • • `� • - ,�fi • - • [,�• - - • • - NTA CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER J B-0 2 6 416 00 PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE PETERSON ZACHARY PETERSON RESIDENCE Cliff Williams `SolarCity. BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: S NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 155 CAPES TRAIL 4.77 KW PV ARRAY �'.. PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES BARNSTABLE MA 02668 ORGANIZATION, EXCEPT IN CONNECTION NTH 24 St Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (18) SUNIVA # OPT265-60-4-1BO 1�v REV: DATE. Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PACE NAME: T. (650)638-1028 F: (650)638-1029 PERMISSION OF SOLARCITY INC. SOLAREDGE SE5000A-US—ZB—U 5082691321 COVER SHEET 1 8/12/2014 (686)-SOL-CITY(765-24e9) ,rrn..sdaraity.aam i 155 Capes Trail imp (E) DRIVEWAY OCT 2 Z914 57'-7' 35'-4° 24-11" 139-9" 139'-11" 57'-4" PROPERTY PLAN 100' 6" Scale:1" = 20'-0' 0 20'. 40' S J B-0 2 6 416 0 0 PREMIX owNER oEscwPnoN. oCli f CONFlDgV11AL— THE INFORMATION HERON JOB NUMBER: CONTAINED SHALL NOT BE USED FOR THE PETERSON, ZACHARY PETERSON RESIDENCE Cliff Williams , SolarG �" BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: '`� m NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 155 CAPES TRAIL 4.77 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENT'S MODULES: BARNSTABLE MA 02668 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 SL Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (18) SUNIVA # OPT265-60-4-1 BO SIM. REY: DATE Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN MVERTER PAGE NAME T: (650)638-1028 F: (650)630-1029 PERMISSION OF SOLARCITY INC. ISOLAREDGE SE5000A=US—ZB—U 5082691321 PROPERTY PLAN PV 2 8/12/2014 (888)-SOL-aTY(765-2489) w".solarcity.aom PITCH: 37 ARRAY PITCH:37 MP1 AZIMUTH:219 ARRAY AZIMUTH:219 �t Jc A Or xAq s MATERIAL: Comp Shingle STORY: 1 Story q' 11P:D'1EW D., yG WRITEv S•rPUCTURAL ND.47210 ! FS NAL� RFC TVED STAMPED & SIGNED OCT 2 Z014 FOR STRUCTURAL ONLY Front Of House Digitally signed by Andrew White GROWTH Ivi7ihrl�CxM]ENT Date:2014.08.22 12:40:55-04'00' AC AC "'Inv"' ' © ' r=_11 LEGEND F----I ` O i D i - (E) UTILITY METER & WARNING LABEL O Inv INVERTER W/ INTEGRATED DC DISCO & WARNING LABELS B © DC DISCONNECT & WARNING LABELS RAU AC DISCONNECT & WARNING LABELS 0 DC JUNCTION/COMBINER BOX & LABELS - MP1 Q DISTRIBUTION PANEL & LABELS 0 Lc LOAD CENTER & WARNING LABELS A O DEDICATED PV SYSTEM METER Q STANDOFF LOCATIONS CONDUIT RUN ON EXTERIOR --- CONDUIT RUN ON INTERIOR �® — GATE/FENCE 0 HEAT PRODUCING VENTS ARE RED INTERIOR EQUIPMENT IS DASHED " ZoWa°�BSH9hW Y SITE PLAN O\dKV\9t ,ttee Scale: 1/8" = 1' 01' 8' 16' X CONFIDENTIAL— THE INFORMATION HEREIN EIDNVEMRRR., PREMISE OWNER: DESCRIPTION: DESIGN: JB-026416 00 CONTAINED SHALL NOT BE USED FOR THE PETERSON, ZACHARY PETERSON RESIDENCE Cliff Williams �."', ' BENEFIT OF ANYONE EX(XPT SOLARgTY INC., TEM: ��Solar ity NOR SHALL IT BE DISCLOSED IN WHOLE OR INount T e C 155 CAPES TRAIL 4.77 KW PV ARRAY n,� m PART TO OTHERS OUTSIDE THE RECIPIENTS BARNSTABLE MA 02668 THESALE ANORGANIZATION, EXCEPT IN CONNECTION WITH i 24 St.Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE NIVA # OPT265-60-4-1B0 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN- PAGE NAME: SHEET: REV: DATE: Marlborough,MA 01752 PERMISSION OF SOLARCITY INC. S082691321 PV 3 $ 12 2014 T: (650)638-1028 F. (650)638-1029 DGE SE5000A-US-ZB-U SITE PLAN / / (888)—SOL—CITY(765-2489) ww.sclarcity.com T.O. RIDGE 37 - DEGREE' ROOF PITCH T.O. ARRAY 24" BETW. ROOF AND O ARRAY 22'-- 2" T.O. GRADE A�� - ELEVATION VIEW BACK CONFlDENIIAL THE INFORMATION HEREIN JOB NUMBER: J - B0 2 6 416 00 PREMISE OWNER: DESCRIPTION: DESIGN: — �� ■ CONTAINED SHALL NOT BE USED FOR THE PETERSON, ZACHARY PETERSON RESIDENCE Cliff Williams �i,`SolarCity. BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM �' NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 155 .CAPES. TRAIL 4.77 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENT'S MODULES BARNSTABLE MA 02668 ORGANIZATION, EXCEPT IN CONNECTION WITH i 24 SE Martin Drive,Building Z Unit 11 THE SALE AND USE OF THE RESPECTIVE (18) SUNIVA # OPT265-60-4-180 PACE NAME: SHEET. REV. DATE: Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER T: (850)638-1028 F: (650)638-1029 PERMISSION OF SOLARCITY INC. SOLAREOGE sES000A-US—ze—u 5082691321 ELEVATION PV 4 8/12/2014 (eee}sOl-an(7e5-2a8s) . .Sala altr�r,. ANdDTREW D. �G WI-11TE ` .sTFRJCTt WAL y i RECEIVED No.473 t 0 n p S NAI.0�- 11 • E GROWTH N�'=NAGAEN'� STAMPED & SIGNED 11'-8„ FOR STRUCTURAL ONLY V(E) LBW A SIDE VIEW OF MP1 NTS MP1 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES LANDSCAPE 64" 24" STAGGERED PORTRATT 48" 19" - RAFTER 2x8 @ 16"OC ROOF AZI 219 PITCH 37 STORIES: 1 ARRAY AZI 219 PITCH 37 C.J. 2x6 @16"OC Comp Shingle PV MODULE 5/16" BOLT WITH LOCK INSTALLATION ORDER & FENDER WASHERS LOCATE RAFTER, MARK HOLE ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT (6) HOLE. (4) (2) SEAL PILOT HOLE WITH POLYURETHANE SEALANT. ZEP COMP MOUNT C ZEP FLASHING C (3) (3) INSERT FLASHING. (E) COMP. SHINGLE (4) PLACE MOUNT. (1) APPROVED I (E) ROOF DECKING U (2) U INSTALL LAG BOLT WITH i 5/16" DIA STAINLESS (5) (5) SEALING WASHER. OCT 2 2 2014 STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH Town of Barnstable WITH SEALING WASHER (6) BOLT & WASHERS. Old King's Highway (2-1/2' EMBED, MIN) _ Committee (E) RAFTER STANDOFF S+ Scale: 1 1/2" = 1' CONFIDENTIAL- THE INFORMATION HEREIN 106 NUMBER: PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT FO USED FOR THE J B-0 2 6 416 00 ■ BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: PETERSON, ZACHARY PETERSON RESIDENCE Cliff Williams -- =SolarCity.NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Com Mount T e C 155 CAPES TRAIL 4.77 KW PV ARRAY '�11 o PART IZ OTHERS OUTSIDE THE RECIPIENTS MODULES BARNSTABLE MA 02668 ORGANIZATION, EXCEPT IN CONNECTION WITH , THE SALE AND USE OF THE RESPECTIVE (18) SUNIVA # OPT265-60-4-1 BO 24 SL Martin Drive,Buuding 2,Unit 11 DATE:PAGE NAME: SHEET SOLARCITY EQUIPMENT. WITHOUT THE WRITTEN : REV. E Marlborough,MA 01752 PERMISSION OF SOLARCITY INC. INVERTERO5082691321 PV 5 8 12 2014 T: (OLO)638-105- F. (OLO)638-10y9 SOLAREDGE SE5000A—US—ZB—U STRUCTURAL VIEWS V / / (e88)-S(A-CITY -248s) wwrr.salarclt.can y � M x � t E C4 C, Q, l--q pp y — - a' Q ,y r, i J B-026416 0 0 PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL THE INFORMATION HEREIN JOB NUMBER:CONTAINED SHALL NOT BE USED FOR THE PETERSON, ZACHARY PETERSON RESIDENCE Cliff Williams ,BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: solarCity. NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 155 CAPES TRAIL 4.77 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS NODDLES: BARNSTABLE MA 02668 ORGANIZATION, EXCEPT IN CONNECTION NTH MODULES: St. Martin Drive,Building 2, Unit 11 THE SALE AND USE OF THE RESPECTIVE (18) SUNIVA # OPT265-60-4-1B0 SHEET: REV: DATE: Marlborough, MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME: T: (650)638-1028 F: (650)638-1029 PERMISSION OF SOLARCITY INC. INVERTER: 2014 8V 6 12 SOLAREDGE SE5000A-US-ZB-U 5082691321 RENDERING P / / (888)-SOL-CITY(765-2489) www.sdarcity.com s=—�1 r� A APPRO OCT 2 2 ZU14 Town of Barnstable Old King's Highway Committee (� (� CONFIDENTIAL — THE INFORMATION HEREIN JOB NUMBER: J B-O 2 V 4 1 V 00 PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT USED FOR THE PETERSON, ZACHARY PETERSON RESIDENCE Cliff Williams �:, ty. BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: �'�� NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 155 CAPES TRAIL 4.77 KW PV ARRAY ;SolarCi PART TO OTHERS OUTSIDE THE RECIPIENT'S MoouLEs: BARNSTABLE MA 02668 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St. Martin Drive, Building 2, Unit 11 THE SALE AND USE OF THE RESPECTIVE 18) #SUNIVA OPT265-60-4-1B0 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME: SHEET: REV: DATE: Marlborough, MA PERMISSION OF SOLARCITY INC. INVERTER: T: (650)638-1028 F: (650)0)638-1029 SOLAREDGE SE5000A—US—ZB—U 5082691321 SATELLITE RENDERING PV 7 8/12/2014 (888)—SOL—CITY(765-2489) www.solarcity.com UPLIFT CALCULATIONS SEE SEPARATE PACKET FOR STRUCTURAL CALCULATIONS. r PREMISE OWNER: DESCRIPTION: DESIGN CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER !n • CONTAINED SHALL NOT BE USED FOR THE JB-026416 OQ PETERSON, ZACHARY PETERSON RESIDENCE Cliff Williams ,SO�afC�t�/BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: wj�� 1 0 NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 155 CAPES TRAIL 4.77 K-W PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES BARNSTABLE, MA 02668 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St.Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE ( 8) SUNIVA # OPT265-60-4-1BO PAGE NAME SIIEEL REk DAIS Marlborough,MA 01752 PERMISSION EOFIPOENT. INC. WITHOUT THE WRITTEN [RZT—E- 5082691321 p / / T: (650)638-1028 F. (650)638-1029 SOLAREDGE SE5000A—US—ZB—U UPLIFT CALCULATIONS PV ° 8 12 2014 (888)—SOL—CITY(765-2489) www.solarcity.. GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO (N) GROUND ROD Panel Number: Inv 1: DC Ungrounded INV 1 -(I SOLAREDGE ##SE5000A-US-ZB-U LABEL: A -(18)SUNIVA ## OPT265-60-4-1BO GEN #168572 AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:40413788 Tie-In: Supply Side Connection Inverter; 501(OW, 240V, 97.5%a w/Unifed Disco and ZB, AFCI PV Mod'ule; 265W, 237.4PTC, H4, Black on Black, ZEP Enabled " ELEC 113.6 MR Underground Service Entrance INV 2 Voc: 38.3 Vpmax: 30.7 INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER �E 100A MAIN SERVICE PANEL E; 10OA/2P MAIN CIRCUIT BREAKER CUTLER-HAMMER SOLAR GUARD Inverter 1 Disconnect CUTLER-HAMMER METER 100A/2P 4 Disconnect 3 SOLAREDGE . . . . kSE50L00A-US-ZB-U 30A Bn C D aN zmV SolarCity B 2 A 1 (E) LOADS GND _ ____ GND _ -- GND --- ------------- - GEC ---A�_ oc1 String(s)Of 18 On MP1 oc- - r--- EGC--------------------------- - EGC 41�.J I N _J o E-C GEC Z 'tg -1 I I I � I TO 120/240V SINGLE PHASE j RE�E �'�D UTILITY SERVICE i EGA!' - I ' I OCT - 2 ZO14 PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN GROWTH 114NAGEMENT Voc* = MAX VOC AT MIN TEMP Ol1)Ground Rod; 5/8' x 8', Capper B (1)CUTLER-HAMMER f DG222NR8 A (I)SolarCity,g 4 STRING JUNCTION BOX -�2)ILSCO t IPC 4/0-f6 Disconnect; 60A, 240Vac, Fusible, NEMA 3R ' AC 2x2 STRGS UNFUSED, GROUNDED DC Insulation Piercing Connector, Main 4/D-4, Tap 6-14 D SolorGuard Monitoring System PV (18)SOLAREDGE �3o0-2NA4AZS C (1)CUTLER-HAMMER #DG221URB PowerBox Optimizer, 30OW, H4; DC to DC, ZEP Disconnect; 30A, 24OVac, Non-Fusible, NEMA 3R -(1)CU11 ER- AMMER DG03ONB nd (1)AWG#6, Solid Bare Copper Ground Veutral It; 30A, General Duty(DG) -(1)Ground Rod; 5/8" x 8% Copper S AS SERVICE EQUIPMENT AND SHALL BE RATED PER NEC.SUPPLY SIDE CONNECTION. DISCONNECTING MEANS SHALL BE SUITABLE (N) ARRAY GROUND PER 690.47(D). NOTE: PER EXCEPTION N0. 2, ADDITIONAL ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCATION OF (E) ELECTRODE 1 AWG 16, THWN-2, Block � 1 AWG #10, THWN-2, Black i AWG 110, THWN-2, Black Voc* =500 VDC Isc =15 ADC (2]AWG #10, PV WIRE, Black Voc* =500 VDC Isc =15 ADC O (1)AWG 16, THWN-2, Red O 14r(1)AWG #10, THWN-2, Red O (1)AWG f10, THWN-2, Red Vmp =350 VDC Imp=13.45 ADC O (1)AWG #6, Solid Bare Copper EGC Vmp =350 VDC Imp=13.45 ADC I (1)AWG f6, 7HWN-2, White NEUTRAL Vmp =240 VAC Imp=20.83 AAC ALL(1)AWG fI O, THWN-2, White NEUTRAL Vmp =240 VAC ImP=20.83AAC (1)AWG f10, THWN-2,Green,. EGC_ ._-(1)Conduit Kit 3/4' EMT . . . .. . . . . . . .. .. . ... . .. . .� �� . , , , , , , -(1)AWG 16,.Solid Bare.Copper. GEC. . , ,-0).Conduit.Kit;.3/4'.EMT... . . .. . . . ... . .. .-(1)AWG f8,.THWN-2,.Green .. ECC/GEC 0).Conduit.Kit;.3/4'.EMT. . : . ., . _ ,, OCT 222014 ' Town of Barnstable I Old King's Highway CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: J B-0 2 6 416 00 PREMISE OWNER: DESCPoPTION: DESIGN: �\,!s CONTAINED SHALL NOT BE USED FOR THE PETERSON, ZACHARY PETERSON RESIDENCE Cliff Williams ':,,So�arCity. BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: .S NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 155 CAPES TRAIL 4.77 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES BARNSTABLE MA 02668 ORGANIZATION, EXCEPT IN CONNECTION WITH , 24 St.Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (18) SUNIVA # OPT265-60-4-11310 SHEET. REV: DATE- Marlborough.MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PA( NAME INVERTER: T. (650)638-1028 F. (650)638-1029 PERMISSION OF SOLARCITY INC. . SOLAREDGE SE5000A-US-ZB-U 5082691321 THREE LINE DIAGRAM PV 9 8/12/2014 (888)-SOL-CITY(765-2489) www.sclarcity.corn SolarCity SleekMountTM - Comp SolarCity SleekMountTM - Comp The SolarCity SleekMount hardware solution •Utilizes Zep Solar hardware and UL 1703 listed `r �> " Installation Instructions is optimized to achieve superior strength and Zep CompatibleTM modules aesthetics while minimizing roof disruption and. �� Q Drill Pilot Hole of Proper Diameter for •Interlock and grounding devices in system UL Fastener Size Per NDS Section 1.1.3.2 labor.The elimination of visible rail ends and listed to UL 2703 mounting clamps,combined with the addition / o ©2 Seal pilot hole with roofing sealant of array trim and a lower profile all contribute •Interlock and Ground Zep ETL listed to UL 1703 v !' to a more visually appealing system.SleekMount as"Grounding and Bonding System" Insert Comp Mount flashing under upper utilizes Zep Compatible TM modules with •Ground Zep UL and ETL listed to UL 467 as layer of shingle strengthened frames that attach directly to grounding device O4 Place Comp Mount centered -Zep Solar standoffs,effectively eliminating the upon flashing need for rail and reducing the number of •Painted galvanized waterproof flashing standoffs required. In addition, composition .Anodized components for corrosion resistance O Install lag pursuant to NDS Section 11.1.3 shingles are not required to be cut for this with sealing washer. system, allowing for minimal roof disturbance. •Applicable for vent spanning functions 6 Secure Leveling Foot to the Comp Mount using machine Screw -- — Place module cp C%jO Components B Q 5/16"Machine Screw Q © O Leveling Foot E © Lag Screw 0 OD Comp Mount © Q Comp Mount Flashing �. p obi `,,kid' QCwmar1a `%k4d - Janua SolarCity® ry 2013 ca Pro A jm V� LISTED �� SolarCity® January2013 RE CUM 003 - 2 204 GROWmH MANAGEMENT OPTIMUS SERIES:OPT 60 CELL MODULES OPTIMUS SERIES: OPT 60 CELL MODULES i High-quality and high-efficiency suniva PV yields sensible solari , a ^ SERIES MONOCRYSTALLINE SOLAR MODULES u u v a. A am 4 M ..-..��.-..ram .-..�.��-r- ....�,�.�.__� ..._.. _.�_ .._.�...<...-�.-��.�_ .-�--E-_�-�— ._.�.� r � —.ww—wee—w,m—rm—aur,—.w•weac it • OPTXXX-60-4-1BO(Zap Compatible frame) The Optimus®modules consist of Suniva's ELECTRICAL DATA(NOMINAL) latest technology:ARTisurl®Select.These superior rated 2.5 We w d arl otherer l r e monocrystalline cells are designed and manufactured Power Classification Pmax(W) 255 260 265 in the U.S'A,using our proprietary low-cost processing Module Efficiency % 15.71 16.02 16.33 techniques.Engineered with our pioneering ion I implantation technology,high power-density I Model Number OPT 255-60.4-1 BO-8 260-604-1 BO-8 265-60-4-1 BO-8 • I O timus modules provide excellent value, I Voltage at Max.Power Point Vmp(V) 30.20 30.50 30.70 • performance and reliability. - { Current at Max.Power Point Imp(A) 8.45 8.52 8.64 c4nlRaauona: Open Circuit Voltage VOc IV) 38.1 38.3 38.3 _ e^w - E�- '.f:NWE�PNCBIf Short Circuit Current Isc(A) 8.96 9.01 9.12 `CJ The eladdcal oars apply to smndard iesi conditions(STC):Irmtllance or 1000 W/m'wNh AM 1.5 specrm el 25'G ( Inrmck DIMENSIONS AND WEIGHT Cells/Module 60(6x10) ' I Module Dimensions 1652 x 982 mm(65.04 x 38.66 in.) _ q t Module Thickness(Depth) 40 mm(1.57 in.) I Approximate Weight 18.5+/-0.25 kg.(40.8+/-0.5 lb.) Engineering Excellence Features Quality&Reliability CHARACTERISTIC DATA Built exclusively with Suniva's Contains the latest ARTisun Select Suniva Optimus modules are Type of Solar Cell High-efficiency Suniva•ARTisune Select mono crystalline cells of 156 x 156 mm(6 in. highest-efficiency ARTisun Select cell technology-over 19% manufactured and warranted to our Frame Black anodized aluminum alloy;Zep Compatible frame cells,providing one of the highest Silver frame and black frame with specifications assuring consistent high power Outputs per sqUare nieter at black back sheet available performance and qUality worldwide. Glass Tempered(low-iron);anti-reflective coating an affordable InanUfaCtUring cost Zep Compatible frame RigorOLIS quality management Junction Box NEMA IP67 rated;3 internal bypass diodes Suniva's state-of-the art Marine grade aluminum frame with Performance longevity with Cable&Connectors 12 AWG 14 mm')cable with Amphenol H4 connectors;cable length approx.1200 mm TEMPERATURE COEFFICIENTS the most advanced equipment hard anodized coating Produced it)an ••f f r f: , Voltage 8,Voc(%/°C) -0.335 and technology Industry leading linear warranty r IEC 61701 Current vg O,Isc(%/°C) +0.047 ` Power ( -2' (%PC) 46.0 APPROVED Photovoltaics(one of only two such Buy America compliant upon request Passed enhanced stress tests'based on LIMITS research centers in the U.S.) Qualities for U.S.EXIM financing IEC 61215 conducted Max.System Voltage 1000 VDC for IEC,1000 VDC for UL Systein and design services available I Certified° a Operating Module-Temperature 40"C to+85°C(-40°F to+185°F) 0 C T 2 2 2014 Ask about our validated PAN flies Storm Resistance/Static Load' Tested to IEC 61215 for loads up to 5400 Pa(113 pso; hail and wind resistant Sumlvaomserves the right to change the data ar any time.We' Installation manual at repsolarcorn.'UV 90 kWh.TC 400,off 2000. Town of Barnstable 'Tests warn conducted on module type OPT 60 slhc,t me. Old King's Highway (SAMD-00381 Committee @.F." OURPROOUOTS: rsMonocryetolline Modules Monocrystalllns Calla rOPTIMUS SERIES 60 cell 19%+elfitlenryqAOPTIMUS SERIES 72 cell5765 Peachtree Industrial Blvd., r Mulllcryatalllne Modules Balance of Systeras Solution(BOSS) el:+1 4404 477 2700 92 USA OOMpO MV SERIES 60 call Racking,Inverters,Batteries,Energy u n I va MV SERIES 72 call Storage Appliances and EV Chargers wwwaunlva.com m•mm�...... u.a.s..a1; 05 1a 13 (Rae,t) • solar=@o Solar=ggSolarEdge Power Optimizer Module Add-On for North America P300 / P350 / P400 SolarEdge Power Optimizer - P300 P350 P400 Module Add-On For North America (formodule PV (formodules PV (f module PV modules) modules) modules) P300 / P350 / P400 • INPUT Rated Input OC PowedO 300 350 400 W Absolute.Maximum lnput.VOltaEe.(Voc at.lowest temperature) ,,,, 48 ... ..._. •„•. 60 ••,•,. 80 Vdc ...........P......g.....8.. ... ................ ........ .. .......... MPPTO eratin Ran a ........8.:48.• ....8.60 _,......... 80 Vdc•,,._ • Maximum Short Circuit Current(Isc) 10 Adc Maximum DC Input Current .........12.5 Adc,,.. .................................................................... .............................. ...................................... . _ Maximum Efficiency Wei hied Efficien 98.8 ...%...._ Overvoltage Category OUTPUT DURING DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER) _ Maximum Output Curren[ ` - 15 Adc Maximum Output Voltage 60 Vdc r"' • OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF) Safety Output Voltage per Power Optimizer 1 1 . Vdc STANDARD COMPLIANCE i,Js°-- •� EMC...................................................................... .........FCC PartlS Gass B:lEC63000-6-2:IEC61000.6:3.......... .......... pit V `Wawa SafetY................................................................. ....................IEC62109.1(class II safetY);UL3741................. .......... _ - ROHS I Yes -INSTALLATION SPECIFICATIONS �$ - � Maximum Allowed System Voltage 3000 Vdc Dtmensions(W xlx H) 141 z 212 x 40.5/S.SSx 8.34z1.59 mm/In Weight(Including cables) 950/2.1 gr/Ib r� Input Connector......................................................... ............................MC4/Amphenol/Tyw......................... .......... s.�, Output Wire Type/Connector Double Insulated;Amphenol _ Output Wire Lenldh..................................................... 0.9S/3.0 12/39 m/k ..........................I.................... ....................... ............. Operating Temperature Range ._....,,•„• 40s85/.-40-.185 ............................................................................. . ......................................... . Protection Rating .....................IP65/.NEMA4 ® _ Relative Humidity awe.zme�uawm.sxwWer�ae.+rce.m.<a. PV SYSTEM DESIGN USING A SOLAREDGE THREE PHASE THREE PHASE l INVERTER SINGLE PHASE 208V 480V PV power optimization at the module-level Minimum string Length(Power Optimizers) .,8............. ............10 _ 18 •,•,• ...........nn St......Length zers)........................ .......... Maximum String Length(Power Optimizers)• 2.5............ . 25.......... 50 lJpto25%moreene Y .............................................................................................. .. . ......... Maximum Power per String 5250 6000 12750 W .............. ........................... ........................... ........................... ............. —Superior efficient 99.5%) P y( Parallel Strings of Different lengths or Orientations Yes ' — Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading ............................................................................... ................................................................................... ............. �,. — Flexible system design for maximum space utilization ' — Fast installation with a single bolt r µ__..,- -.._�— •_-�-- .-- -_�._ --s ,— --- - Next generation maintenance with module-level monitoring t — Module-level voltage shutdown for installer and firefighter safety - _ 1 USA - GERMANY - ITALY - FRANCE - JAPAN - CHINA - ISRAEL - AUSTRALIA www.solaredge.us ! i so I a r ' • • Single Phase Inverters for North America solar=ee SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ SE760OA-US/SE1000OA-US/SE1140OA-US SE3000A-US SE380OA-US I SE5000A-US I SE6000A-US SE760OA-US I SE10000A-US I SE1140OA-US OUTPUT SolarEdge Single Phase Inverters 9980.... V Nominal AC Power Output 3000. 3800 5000 6000 7600 11400 VA 30000@24oV .........•.... ......... .......................................... ................ ............... ................. ................ ................ .. .. 5400 @ 208V 10800 @ 208V For North America Max.AC Power Output 3300 4150 6000 8350 12000 VA ,. ,..,,._. ,5450 @24oV. 10950 @240v .................Min..... ..-M...... ................ . ................ ................ .................................... ..... AC Output Voltage Min:Nom:Max.' SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ AC OutputV29 Vac :. . ........................................ ................ ............... ................. . AC Output Voltage Min:Nom:Max.• � V Of SE760OA-US/SE10000A-US/SE1140OA-US 211:2.... Va.............. ... .............. ............ . ........-60.. . it .Icou .... ..........-60 .... ............................... ...... .... .,AC Frequency Min.Nom.:Max.•„ ....... . ..3-60-60.5(with HI country setting 57-60:60.5) Hz, Max:Continuous Output Current..... .....12.5 I .....16......I,..21.@.240V.,I.......25....... ......32....... ..42 @ 240V...I,,..'.4.......... ....A..... r`+ �— — GFDI 1 A I$ ....................................... ........................................................... ........................................................... ........... � Utility Monitoring,Islanding Yes Protection,Country Configurable • If! m'��aerte�`^ Thresholds C= • . INPUT d` A2 2 t Recommended Max.DC Power" 3750 4750 6250 7500 9500 12400 14250 W Yeats ........... .................................... ........... N > artanlN f .IsTc)................................... ................ ............... ................. ................ f" Transformer-less,Un rounded ....................................................... Ves ....................................................... ... t f ``�� lash ................... ...�................. .. ........ .. ... .... Max.Inpu[Voltage................ �-- .... x In .... ..........................................................500........................ .. Nom.DC Input Voltage 325 @ 208V/350 @ 240V Vdc ! 1•ri i� Max.Input Current... .. ... ....9.5......I......13...... ..15:5.@.240V. .......1a....... .......23 ....I..30.5 @22 0V..I.......34.5....... ...Adc.... (� i W Maz.Input Short Circuit Current .....................30 c 45 Ad fI Reverse-Polarity Protection Yes Ground-Fault Isolation Detection.... ................................... ............600k.Sensitivity... ... ... ... .. ... r� ...... ... ......................... .. .. ......... .. .. .. .. .. .. .. .. .. ....... ........ .. .. tJ Maximum Inverter Efficiency.......... .....97.7..... 98....... ...,..98.3....., .....98:3...... 98 98 98 ...... ....%..... ..... 97.5 @ 208V 97 @ 208V............................... ........ CEC Weighted Efficiency 97.5 98 97.5 97.5 97.5 % ( 98 @ 240V .97.5 @.240V.................... ................................... ........... ............... ................ ................ ........... ;. !y ! Nighttime PowerConsu, p tIn <2.5 <4 W 1 ADDITIONAL FEATURES i Supported Communication Interfaces RS485,RS232,Ethernet,ZigBee(optional) .......................................... .............................................. .......................................................................... . ......... ((( Revenue Grade Data ANSI C12 1 Optional STANDARD COMPLIANCE UL1741,UL1699B,UL1998,CSA 22.2 � ....Y............... .......................................................IEEE1547........................................................ ........... ..Grid Connection Standards ............................................................................ ........... r Emissions FCC part15 class B i I INSTALLATION SPECIFICATIONS r AC output conduit size/AWG range 3/4"minimum/24-6 AWG 3/4"minimum/8;3 AWG DC input conduit size/ff of strings/ - AWG ran a 3/4"minimum/1-2 strings/24-6 AWG 3/4'minimum/1-2 strings/14-6 AWG B.............................. .. Dimensions with AC/DC Safety 30.5 x 12.5 z 7/ 30.5 x 12.5 x 7.5/ 30 5 x 12 5 x 10.5/775 x 315 x 260 in/ • Iy ,1 I tch IHxWzD) .................. 775 x 315 x 172....... 775 x 315 x 191 ................... .. .. ... .................. .mm .. ROVED ...... ......................... .................................. APP• ._ _:.. �..� WeightwrthAC/DC Safety Switch .,..,,...,51.2./23.2 54.7/24.7......... .......... .... 88..4/401.... ........... Ib/.kg_., .......................................... ............... ....................... .. .. ... .... .. ... . . ... .... Coolin .,..,,..,..Natural Convection Fans(user replaceable) The best choice for SolarEdge enabled systems Noise <25 <50 BA . ........................................ ................................ ......................... .... Min.-Max.Operating Temperature -13 to+140/-25 to+60(CAN version•••'-40 to+60) -F/-C T 2 2 2014 Integrated arc fault protection(Type 1)for NEC 2011690.11 compliance Range.................................. .................... ......... ........ ................................................... ........... OCT Protection Rahn NEMA 3R Superior efficiency(98%) For other regional settings please mntact SolarEdge support. Town of Barnstable Small,lightweight and eas to install on provided bracket umitedto 125%for locations where the yearly average high temperature is above 77'F/25'C and to 135%for locations where it is below 77'F/25'C. jY P Fordetalled Information,rewoohrt"•/^--- •olared „•/fll /oafs/imener do o eNdna nuldeedf Old King s Highway Built-in module-level monitoring .'A higher current sourcemaybe used;the Inverter will limit Its Input current to the values stated. Committee I ••CAN P/Ns are eligible for the Ontario FIT and mlcroFIT(mi—FIT eac.SE11400A-US-CAN). Internet connection through Ethernet or Wireless _ Outdoor and indoor installation Fixed voltage inverter,DC/AC conversion only Pre-assembled AC/DC Safety Switch for faster installation Optional—revenue grade data,ANSI C12.1 • H S USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-ISRAEL www.solaredge.us I a r I CERTIFY THAT THIS SURVEY AND PLAN WERE MADE 4' IN ACCORDANCE WITH THE PROCEDURAL AND TECHNICAL STANDARDS fiVR THE PRACTICE OF LAND SURVEYING IN THE MMONWEALTH OF MASSACHUSE, 03 PAW, P.L S. AT LOCU , LOT 3 z FAUt A. I - . ME81TI-9EW T o -c> 320-0-3 �, = x n G,; �9ALGs �� 49 :., ol 277. 45' EX 5 0 I LOCUS MAP Q + ASSESSORS MAP.- 88,LOT 6-6 LOT 5 ,y PLAN REF 40599E & 489151 \ ZONING: "RF" ►r DRIVE WA Y FLOOD ZONE.' "C" TOTAL AREA - COMM. PANEL# = 43,653 S.F. o° — 250001 0015 C 2 24.3 .00 p DATED. 8119185 HSE:,,, 184. 0 TIC SYSTEM- 44. 9' �, ER INSTALLERS C l55•co y b (APPROX) O I�, ..........., PLOT PLAN REGISTERED LAND — _ _ 00of —UNREGISTERED LAND / `� OF LAND r LOCATED AT 155 CAPES TRAIL LOT 5A DH, ` �, o WEST BARNSTABLE,, MA. I PREPARED FOR LE'O DE'COSTA _ S36°18'00"yv 275. 43' TEMP. DECEMBER 23, 2002 TURN—AROUND ON PLAN 489151 YANKEE SURVEY CONSULTANTS GRAPHIC SCALE LOT 54 UNIT 1, 40B INDUSTRY ROAD P. 0. BOX 265 30 0 15 30 60 120 MARSTONS MILLS, MASS. 02648 TEL• 428-0055 FAX 420-5553 ( IN FEET ) i J# 53324 DB 1 inch = 30 ft. r aF 01 3 REb,04V c Z4) �. L a ice' S�•�.� .\ j � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION o , IMap a Parcel Oot�'. oo Permit# A2� Health Division d 0? 7 6 - Z S� Date Issued Conservation Division e 6 Application Fee Tax Collector Rd tAa �. I j0[0-3 Permit Fee Treasurer [30 3 SEPTIC SYSTEM MUST 6E Planning Dept. INSTALLED IN COMPUANC` Date Definitive Plan Approved by PI nnin Board VM TITLE 5 ��6b ENVIRONMENTAL CODE ANE Historic-OKH 0 w reservation/Hyannis TOWN REGLILAI.ONS Project Street Address 155 CAPy5 "iRA►L. Village \AJ65T 6A(435r 'ABLE Owner i Eo TUNE DE COSTA Address 155 CPtPE5 'f2A1L Telephone 50 8 3 Permit Request emus'r2Lm-T 1+ )c, 2"2.x q-2_" Poepvc 4 QauN.p Poo L Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District e F Flood Plain Groundwater Overlay Project Valuation 14,50® Construction Type Lot Size 43, (,o 5 3 S Y Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new ,Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: Cl Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:Cl existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing O new size Other: Zoning Board of Appeals Authorization Cl Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name.51-V&P Sr,&NA+ D181A &L-kSPg 40,. Telephone Number ®g 457-7so0 Address 435 W kGzvoyr UwV License# EAST FA-LMouT14 M✓V 07-1;3(o Home Improvement Contractor# 130&6 Worker's Compensation# -01-13 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO FA LwieuT ' td tic SIGNATURE DATE 11q O� FOR OFFICIAL USE ONLY PERMIT NO. s„6 " DATE ISSUED ` MAP/PARCEL NO. j ADDRESS VILLAGE OWNER i DATE OF INSPECTION: r FOUNDATION r FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH r FINAL GAS: ROUGH FINAL FINAL BUILDING r f�L� DATE CLOSED OUT ASSOCIATION PLAN NO. _ The Commonwealth of Massachusetts _�, Department of Industrial Accidents M � � office a/108508055 _ 600 Washington Street -= Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name:THE Sint nAr,%i tve, eft L� S PA Cc P1,&>4 Ct�fl dL, �1/fLl�S Tiq lomtron: f 5S C A P6s zaa, ci` ��►YLNS'TFE(�� WI phone# tW-362-11415— ❑ I am a homeowner performing all work myself. ❑ I am a sole grietor and have no one worlds in ca achy I am an e mP 1 rnviding workers' compensation for mY employees workin :::::::::::::::::::::::::::::::?:?::::?:??::::::;:::::::::::::° g on this job. .................................:::::.:::..:::::.:.:...::........................:::::::.:::::::::.:................................:.....................:...:::.::.:::::.::::...........:.....:::.:::.::::::::._.:.:::. company name > t `�' '� .......... : .. .....: ..::::.:::..:::�: cites :.::::::..:.::::;:::.;':::::.;.>';'.;;::<.;:::::::.phone'#:;:.::.;:.: >:;.:;'.;,::;....... surance>co:: .......'.�.k .. . ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices; fi`cii : %i<::::<: :::i:i::::isi:i:::i2:i .>:::;asiisi com tin n m ::1.^ii'r>ijiii:;'iiiiiii:'C:�iti::i>ii:ijififi:�i:�'i iii;%:;%:;::iieif�iiii:%�iiiiii:i%%>.�!::;{i:;i:;?iiviii:•:;�-i:i:3: !:?:;-�:iiiii'riiii':%%%%vJ:�^:^i:%%�i;:iy;%%:;.ii?:J?i:f$i:4i':!v'i iv}.�:::::.�::::::::::i:�}?:•i%:}}?:�::.�::::.w: . ............. .......... .............. .................. ...:.�::::•:.......:........:.......:-:•:::w::::::::v:v:-i'•-:vi?i:v:{:.}v:•?n;•??:•?i?:•i?:•?:•::;�?:?:{!•?:f;;G'•:;u.:?i'r':??::: 4 :..•rw;. ;•? ..y,,:. :::w•:::._:::::•::::::::•.:........ :.? ` e ri ...ram.^::>:•�:•`.•.........-- ............ 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R. vR h:Y :::.�:::::rr::::::...:::....::�:i???:;•:irii r;n::;{:•:.:.�:{•:•?'•?:.:�::'+;v::rii•.;::-:is i'::;v:'-::,:::y::^��;::%%?:i vviiiii}i}iii:%:ij:ii:;%:}`:•:.;}w:r:•{: ::.��n:�:?i;:::::!•i::.F4?:-i'r?:::::::.:•::r?-i.•.:•:::.i'v::::.�:•::.�:i:;v�n�;:};':w:::4':•::'•.�i-i?::-.: w:..::::::.:i?:{::...:.•::•:x:.�:v':;•.:•Y..........:••.. :..n. ` ............. ..........;:^.�:?:}i:4ii:;•}•.... w::.:�::.::n<?:i;�i:�ii'r:>.:•.::: ::v:�:v:•:;iiT r:;�rr?i??i:;r......:. .........:.:::::........................::::/.::..:..:...................,..................:........X................. ...:............ v;:.::•..................::v::::.��•.............r.................... yi#:•::'.:ni::.:ii:.�:.: ii}ii%;�i:};•}:?{!!•iii:^:::!i:v:L:.iiii:•ii:!;.i}i:•�:•iiii:;C:;;%:ii;:;iii iY:iii:� Xx— er nam:# as s do............................................................................................................... :3• :�.iii:''jj::<::::i::J�i'::.';':":':::.'•ii$ii:i`:::}!;'�'{>':�il":�j:? is%`':%%v::::;:>?;i'%%:f:.>.i?i;i�;:>+'+.!}:. `:";;:i:;`:`;:>�:�<::`rii j:i�5%i>:;�ii:::;::�%? :;:i:':;:ist i:::':;:;:ti::;#:::>::::::::::::::::::�:;':?::>:;:;'..:i;i<:;:;:;i:j::2::::::::i`i�::i::<ii<v 2 Q }► ��n�aran Fafime to secure coverage as required under Section 2sA of MGL ls2 can lead to the imposition of criminal penalties of a fine up to$1,wo.00 and/or one years'imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 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 verlitcation. I do hereby c fy corder the p and nalties ojperjury that the information provided above is ow.and coned Signature Date (411 6 3 Printname �lfz�/Fz.iv �lLNvtJ� Phone# ofticial use only do not write in this area to be completed by city or town official city or town: pervdt/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other_ (m sed 9/95 PJA) 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 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 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. M Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and n- supplying company names, address and phone numbers along with a certificate insurance as all affidavits maybe r' submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and A.. to the city or town that the application for the permit or license is date the affidavit. The affidavit should be returned 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 Permit/license number which will be used as a reference number. The affidavits may be retained 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 Once of Investigations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 I THE,p�yO Town of Barnstable Regulatory Services sn MASS& Thomas F.Geiler,Director ass. fp5;.ta`�� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 . Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME 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: UrL GWWAAn -5tu 104)", R. Qpo L 14 ZZjx 42Estimated Cost f+r 10 v Address of Work: 155 taPCS 12A I L- Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law ❑Job Under$1,000 RBuilding 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 a agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name I °F�► rti Town of Barnstable �P Regulatory Services BA"ANSMBIXMass. 8 Thomas F.Geiler,Director .i63q 10 TED 39 s Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property O p rtywne r Must Complete and Sign This Section If Using A Builder I, �'� ��'T� , as Owner of the subject property hereby authorize IRE 5wi mmi&-Ac, P60 L to act on my behalf, in all matters relative to work authorized by this building permit application for: 6�5 Ct�d�S T2�� L tv, 9�+rtsysT�.g (Address Job) (v 25 C�3 Si ature o Date v Print Name Q:FO RMS:O W NERPERMIS S ION I DEC-13-2002 FRI 02:20 PM ALBERTO INSURANCE & R. E. FAX NO. 5086730734 P. 01 CERTIFICATE OF.IN3U•RANC'E 12/00102 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Antonio F Alberto Insurance Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 420 Stafford Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Fall River,MA 02721 COMPANIES AFFORDING INSURANCE INSURED COMPANY A GRANITE STATE INSURANCE COMPANY Steve Senna _ 435Waquoit Highway r;{; n E Falmouth,MA 02536.0000 4.'; ,:COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOT WITHSTANDING 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 THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co - LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE RATE POLICY EXPIRATION DATE q ORKEk1-CT PENCAYit7N D EMPLOYF•RS'LIABILITY HE PROPRIETOR( LIMITS ARTNF,RSIEXECUTIVE FFICERS ARE: NCL❑EXCL O 3202138 12/02/2002 12/02/2003' STATUTORY LIMITS :vvnlF�t � • cage Appfies to MA Ope,*Uon*Only. F.ACH ACCIDENT $ 100 00 DISEASE POLICY LIMIT $ 500,00 ESCRIPTION OF OPERATT NS/VEHICLESISPECIAL ITEMS ISEASE-EACH EMPLOYEE $ 100100 CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 367 MAIN STREET DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT HYANNIS,MA 02601 FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY.ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE i i rn Board of Building Regula 'ons and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement-Contractor Registration Registration: 1306ee Type: DBA Expiration: 4/6/04 The Swim Pool Spa Sale & Ser, MaketGrp Stevert Senna P.O. Box 3612 E. Falmouth, MA 02536 Update Address and return card.Mark reason for change. Address [] Renewal M Employment [J Lost Card i rl I CERTIFY THAT THIS SURVEY AND PLAN WERE MADE IN ACCORDANCE WTH THE PROCEDURAL AND TECHNICAL Q► 1� �P STANDARDS FOR THE PRACTICE OF LAND SURVEYING IN T OMMONWEALTH OF MASSACHUSYA C� PAU4�P,f:lf W, P.LS. T LOT 3 =I PAUL A. MERITHEW49 N39°31 '37"E 9 � 277.'45' _ 1 ',r J EX 5 0 a- LOCUS MAP Ao � 0 4 ' O� ASSESSORS MAP: 88,LOT 6-6 y LOT 5 > " 111 PLAN REF 40599E & 489151 1�., e ®W ZONING. "RF" ` J I a 4r 0 m V W Y FLOOD ZONE: ""C" cr DRIEA TOTAL AREA aE COMM. . PANEL# � - ( ! 98' 250001 0015 C 43,653 S.F. _ DA TED. 8119185 t55 J'H 4.3 „ OAWK Jm SE184. 0' EPTIC YST - `'"` 44. 9'PER INSTA RS C 55:wb (APP X) PLOT PLAN V REGISTERED LAND OF LAND STD 0Q0 UNREGISTERED LAND M = r LOCATED A T 11 155 CAPES TRAIL LOT 5A 1YE cn I o WEST BARNSTABL , MA. PREPARED FOR LEO DECOSTA 275. 43' _ S36°18'00"W TEMP. DECEMBER 23, 2002 TURN—AROUND } ON PLAN 489151 YANKEE SURVEY CONSULTANTS LOT 54 UNIT 1, 40B INDUSTRY ROAD GRAPHIC SCALE P. O. BOX 265 30 0 15 30 60 120 ? MARSTONS MILLS, MASS. 02648 . TEL• 428-0055 FAX 420-5553 IN FEET ) J# 53324 DB 1 inch = 30 ft. �� 6��e€,i��. _ •� / ,. Ear' �x�f /_�'��: d -y�F.r' Af •yam y - f •e � r I I �ED I - A: HAYWARD' ;�� HAYWARD R Americas #°I'Pool Water Systems. �r P `k; ;j TM Grld Element D E FlIter ReGen NOT A CARE ReGenk The crystal clear choice. You could have chosen any number of filtration systems for IN THE WORLD. your above-ground pool.But you selected the ReGenX Grid Element D.E.system from Hayward.And you're glad that you o.u're quietly drifting atop a shimmering did. ReGenX provides you with the clearest water possible.The P Y plane of crystal clear water. Relaxing. kind of water that actually feels like it has been meticulously Washing away the pressures of the day. polished to a fine and brilliant luster. You gently close your eyes. You hear your children's You also take pride in ReGenX'S energy efficiency. Efficiency that allows you to enjoy your sparkling oasis,but voices from the other side of the pool. Sounds of without the price you'd think you would have to pay.And you pure enjoyment frame your mind—and your marvel at how simple ReGenX is to operate.So you can do backyard. You smile to yourself. more of what you're doing right now.Relaxing. As the sun caresses you in warmth, you can't A sunburst of pure pleasure. help but notice how clear your pool water is. What makes the ReGenX filter system the smart choice of pool How shiny your water is. How polished it is. You rt not only feel refreshed. You feel regenerized. owners throughout the world? It ' ` all starts with its patent-pending sunburst grid design.A design The most superior that helps provide for fir st-time- �,i cleaning defense against through cleaning power.And microscopic dirt and other total pool enjoyment. impurities—diatomaceous When the sunburst grid earth filter powder and ReGenX's patent-pending element is coated with diatoma- grid element. ceous earth filter powder(D.E.), - it forms the most superior cleaning defense against dirt and other impurities.Removing microscopic dust and pollen as small as one micron—100 times smaller than a grain of salt. Regeneration in a "snap" Gradually,accumulated dirt will `s cause pressure to rise and flow to decrease—the time when conventional filters need back- washing. But not ReGenX. Simply activate the exclusive piston knob at the top of the filter. As the piston moves up and down ReGenX filters do not inside the filter,snap-action puls- require bachwashing. es of water are propelled against Just activate the piston the sunburst grid,dislodging dirt knob to regenerate. The entire procedure takes and D.E.from the grid element. less than a minute. When filtering resumes,the dirt and D.E.resettle on the grid,extending the use period of -the D.E.,while starting a new cleaning cycle. Model RG70075XS ReGenX System with Power-FloTm LX high performance pump. As the piston moves up and down,snap-action pulses of Technology that understands water are propelled against the sunburst grid,dislodging user friendliness. dirt and D.E.from the grid element. ReGenX is equally impressive on _ the outside as it is on the inside. Constructed of PermaGlass XLTl "�'� a durable,non-corrosive material, c • ReGenX will provide you with years Easy-Loh ring allows and years of trouble-free operation. quick access to all •• In fact,the ReGenX filter tank internal components. comes with a full ten year warranty. V , 1 ReGenX's filter head can be freely rotated a full 360' making installation quick and simple. Plus,a unique Easy LokT" ring design allows easy access to the filter internals—with ! no tools required. For added convenience,ReGenX features a safety catch which ensures a positive seal between the filter head and tank. It also prevents any unwanted entry into the filter. Excellence backed by a heritage of leadership. When you choose a ReGenX Grid Element DE filter system, I you not only select superb technology,you also benefit from the knowledge and commitment that the industry's leading equipment manu- facturer can provide.Only Hayward offers pool owners the compatibility TO of The Total Hayward System... a 60► comcomprehensive,coordinated family America's p v Pool of of quality designed and crafted recirculation products. Get Regenerized. So relax.And enjoy your swimming pool to its fullest.With the ReGenX Grid Element DE filter series from Hayward.The logic is crystal clear. When the dirt holding capacity of ReGenX has been , reached,cleaning is simple.Just activate the piston knob, drain and recharge ReGenX with fresh D.E. It's that simple. No backwashing necessary. And since ReGenX cleans without backwashing,you'll save hundreds of gallons of treated pool water,and eliminate the r problem of waste water disposal.While conserving your own energy as well. ReGenX' Grid Element D . E . Filter Series V. ReGenX filters are also available as ,a. individual units to custom design filtra- tion requirements for new or existing d- pools.Choose the appropriate pump as well as system enhancing accessories, '1 such as optional Hayward automatic _ pump timer and chlorine feeders. si FORMANG RG450 Series ReGenX System RG700 Series ReGenX System _. / Enjoy the benefits of crystal clear sparkling A high-powered,high-capacity ReGenX i water for above-ground pools of all types t system that is the ultimate in filtration for and sizes.System come complete with: larger above-ground pools.System come j • RG450 ReGenX filter complete with: •Power-Flo LX series • RG700 ReGenX filter high-performance pump • Power-Flo LX series •Quick-connect union high-performance pump • Modular platform base •Quick-connect union • Deluxe modular platform base pecifications FILTER TYPE: ReGenX Grid Element Extended-Cycle Diatomite e' FILTER TANK: Injection-Molded PermaGlass XLT"^ - FILTER ELEMENT: Reinforced Spun-Bonded Polypropylene Grid Element FASTENINGS: Easy-LokT"Ring Assembly PUMP AND MOTOR: . Power-Flo LXT1 Series Pump—115 volts MOUNTING BASE: Injection-Molded ABS Energy Savings For proper filtration of residential swimming Ar pools,your filter system should provide a Model Number Maximum Design Turnover(In Gallons) complete turnover of the pool water once Flow Rate 8 Hours 12 Hours every 12 hours.Because ReGenX filters are RG450 Series 30—45 GPM 14,400-21,600 21,600-32,400 designed for high-efficiency,you may use'the 8 hour turnover rate and save energy costs by RG700 Series 30—70 GPM 14,400-33,600 21,600-50,400 operating the system less hours. HAYWARD . RG96 Americas # 1 Pool Water Systems. 1-888-HAYWARD www.haywardnet.com ©2000 Hayward Pool Products,Inc. t 'k`^�� e` }to �: arxti' f t* r�'*i`� •r � s � 1 � t i i- s :; AA FA "A V" . � th �•�t' f' ~. ' 1 .r• . ,�"`v'.S..erriT' t. `�,vZ .^ �.�a, a r }f4!? ? �• .`• I"• f ail s��.l •'`.r°'.r«'•"Z'C'K �f. � __y?, v. �� {'� � .�.� jSl� JT:c i .n' ` .Y Oil I I r S •��,rl .a �yw.Y�` a 4'Y'��.�•` .� it f _a ti N A Y l 1 � 'i� y l � 1 �t ' ••� rJ � 1 ilk.{' „• t Rt 1 �' ,►, THE SWIMMING POOL and SPA GROUP, EAST FALMOUTH;-MA - ~•� ' Constructed this FOX Quality,On-Ground POoll�rj� I .J �A� • { �%� � 5��, I�mf rrf`�:i I C�'�i� r � �•�,kur�,�,� �n�.� F�n�sn�� Pools Deck Plus Patio and Fence '4= [M D LK/mmARC, T. . h t I '.M�beX�` F r+r"�'". F 'OA.�.��'�•`t1'w�r•�A�w7.I .3 ,t �'• �, ' / E zft 1 The Walk-Around Series of On-Ground Pools,as its name implies,comes with a walk-around deck that surrounds the i �� f,►�� entire pool perimeter. A 4 x 8' patio/entrance area is also !!� included for sunning and easy access to the pool. 1 i When considering your On-ground pool options,be sure to I think about adding the beauty and convenience of a Walk-In® • Stair. See next page for more information on this exciting A, addition. i 1 - UK P mj\ RJ0 U �\ Pi F® L og i �► Built-In WALK-IN STAIRS will make your pool complete! Yes,the beauty and convenience of Walk-In® I Stairs is now available to you in the Walk- Around line of On-Ground Pools. Made - . . from white, weatherable polymer material, _� { these stairs will withstand the freezing and thawing in colder climates.A strategically �-- k positioned hand rail adds comfort and safety when entering or exiting the pool. These • " stairs are ideal for children or the elderly and - `-��,x a � make your a pool a real pleasure to use. ti j Eliminate the need to "hoist"yourself in or ^.v ` out of the water. Stairs can be located at y { either end of pool upon request. ►t • STANDARD ONGROUND POOL DESIGNS W151422GW W151422GWC W151422GWS W151422GSC W15143OGW W15143OGWD W15143OGWS W151430GSD W151632GW W151632GWD W151632GWS W151632GSD GRECIAN POOLS GRECIAN POOLS WITH GRECIAN POOLS WITH GRECIAN POOLS WITH WITH WALK-AROUND DECK WALK-AROUND DECK WALK-AROUND DECK, WALK-AROUND DECK AND A 41'SIDE DECK AND 8'WALK-IN STAIR 8'WALK-IN STAIR AND EXTENSION A 41"SIDE DECK EXTENSION Certain Deck Modifications Available With 3-Week Lead Time MORE OPTIONS TO ADD TO YOUR FUN AND PLEASURE! a In-Pool Light—a"must"for nightime use • Automatic Pool Cleaners • Pool Heater • Winter Cover • Automatic chlorinators and ozonators • Fun Kit with Net and In-Pool Games Mdang Fea2ums _ "Strong 4J�N D,Orace Our pre-formed Steel panel y,coupled vyitl% ►,r� �t ( <t a unique iJNI Brace suo4 rt system,et �,+ L J.� _� �� .� 1 or.wvithout eater. An en weer � y� sures that your-pool wilt hold�its shape with- v � re Fared b �an rode endent consultingrt�, ' T�'��' ! _ - r r. d engineering,firm, testifies to the sugenor ength of theaLJNItBrace`"s stem.'Spectally _ ,protected-heavy gauge steel;_walls•and all-ceda , , decking�and fencing means a'durable;•"ng - lasting pool.. The coping£orjlie f>Ir features fivor'aclts.The low_ er'tradk is used-for the liner;the�6•pj')qr is for a snav-m cover.~Ve pool cover is�below' w �' your deck:Igo need-for heavy water,bags or. covers on the deck which niay stain.the r i." ` deck or attract insects^ vT 'To p Each Amish Country. On Goundpool-is cus-_ M _ tom fitted with a 29 mil virgin%iny�lm`qr,the - material of choice fore fine swimming pools. i Distinctive, intricatePy-design"d tile`s surrounds` the pool;'enhapced lij a unique wall,and bottom pattern,giving ygpur pool'lasti4g > r elegance. ^ s b\ a 4114-4 — \. .vent rl SWVS and Gate -Cedar is widely recognized as a superior, long-lasting wood for outdoor applications. All decking, fencing, '^tom; gaqtes and entry stairs areprecision cut from top quality ® cedar:- With easy,routine care your pool will maintain V i its beautiful, rustic look for years to come. D - At the top of the generously sized 3 foot wide entry , - stairs is matching gate that is self-closing and lockable. P. O. Box 557 York PA 17w405--h-.. WS-711 1/03 Litho-'in USA Town of Barnstable *Permit#Exp �° r Regulatory Services Fee 6 mondu�om issue date Thomas F.Geiler,Director �Fp MP't Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number (� Property Address [Residential Value of Work (4 000 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address t,L Contractor's Namee� �� (L y�-�'u_��( Telephone Number _'50 g 50 (4(7 4 O Home Improvement Contractor License#(if applicable) (2-%ol'Sj Construction Supervisor's License#(if applicable) vl C! Z (7 1 ❑Workman's Compensation Insurance X-PRESS PERMIT Check one: ❑ I am a sole proprietor ij El am the Homeowner r ` 9 I have Worker's Compensation Insurance // TOWN OF BARNSTABLE Insurance Company Name (,.13�'YLitif �� Workman's Comp.Policy# WC,231 S 33�5©Z/ QZO Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) 21A_Joo (hurricane n iled)(stripping old sh' es) All construction debris will be taken to `�9P�ck"Y 1 <Qg VS46Y - e?z U_ VD) w rP_�,_v= , ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 The .Commonwealth of Massachusetts Print Farr =�(; Department of Industrial Accidents 9 'r;L Office of Investigations _." - TM,�=� 600 Washington Street � Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Blectricians/PIumbers Applicant]information Please Print LessibIy Name(Business/Orgmization/Individual): Address:�5 L,v City/State/Zip: �4a --RA Pis W-b-)S Phone#: J2!�-oS :Soq L-� Are you an employer? Check the appropriate box: Type of project(required): L g I am a employer with .3 4. I am a general,contractor and I 6 New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached.sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. []Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp.insurance comp.insurance. required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.0-Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] 'Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all wotic 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 subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam 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.#: C.2-6\S S-_2�) C6-O O 20 Expiration Date: "Job Site Address: t55 4-r,_4 Ltr C&L�—SN-e8L�v- 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 cerdfv under the pains and penalties of perjury that,the information provided above is true and correct .Si mature: ( Date: 20 ��l Phone#: 50 g E;0 0( n 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#: r � � ® (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE DATE1 2 011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights•to the certificate holder in lieu of such endorsement(s). PRODUCER DOWLING &ONEIL INS AGCY INC CONTACT NAME: PO BOX 1990 PHONE 508 775-1620 FAX 1A/C,Not: 508 778-1218 HYANNIS, MA 02601 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURERA: LIBERTY MUTUAL GROUP INSURED OLIVER KELLY INSURERB: 127 EVERGREEN STREET INSURERC: SOUTH YARMOUTH MA 02664 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:_9249356 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING.ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MWOLQ YYYY MM EXP LTR /DD POLICY/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrrence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY r PRO- LOC $ AUTOMOBILE LIABILITY Ee COMBINEDSINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS 8 AUTOS NON-OWNEDNONWNED (Per PROPERTY adnt $DAMAGE HIRED AUTOS AUTOS $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ $ A WORKERS COMPENSATION WC2-31 S-338804-020 12/28/2010 12/28/2011 VYC STATU- OT i- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS EE . Ar:Y PRCPP.!=TCPJP^RTNER/EY.�CUTIVE-. E.L.EAC'HACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED9 u N!A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 10000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Workers Compensation Insurance:Part One of the policy applies only to the Workers'Compensation Laws of the State of MA. THE WORKERS'COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR OLIVER KELLY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF YARMOUTH THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1146 ROUTE 28 ACCORDANCE WITH THE POLICY PROVISIONS. SOUTH YARMOUTH MA 02664 • AUTHORIZED REPRESENTATIVE Jeff Eldridge 0 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD CERT NO.: 9249356 CLIEtTI CODE: 1329955 Deb Derochemont 1/6/2011 8:47:17 AM Page 1 of 1 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 128957 ta ' , Type: Individual -11 :--- ; z$�r-�' �=-r�S�L Expiration: 6/14/2013 Tr# 213157 Oliver Kelly 's Oliver Kelly ' 8 Rhine Rd Yarmouthport, MA 02675 Update Address and return card.Mark reason for change. Address DRenewal Employment Lost Card SCA 1 Co 20M-05/11 — v/ar, TpaImnz�uueal!/a�C�/�aajuc/zuaeCld ,-----•---------- .�_�_—.— -• --- - Office of Consumer Affairs&Busidess Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: s _e4 istration: 128957 Type: Office of Consumer Affairs and Business Regulation xpiration: 6/14/20135 Individual 10 Park Plaza-Suite 5170 '=~ Boston,MA 02116 Oliver Kellyyl � .r ='.-�'" - tom_;�•p Oliver Kelly K, 8 Rhine Rd. " Yarmouthport,MA 02675 'r=r Undersecretary (��LNot valid without signature e . ;:` ,�Ia,�<{�hu�t tt� llc utnt�nt of Put}tC S,tfttti. t � � fi hai,d of,8uiI4in,, �c��u!<rtiunti 46d Yirridardl, ��;. ;CogstrGcttOrt.Siu,�rar�sor i�! �.` 1s'��:s, Ucense�-CS SLr 99167 ResLrec3 to RF V%i r. .T d JW `.9 PEREGRINE,;LANE'' -4. .. <i ".OUTH'YARMOUTH,(MA 02664x l wy CMcpirah46, 9/28/2011 rA-'-, ''�': a.�"t`-:..a."i t'•.,..�..{ti.;l•vy'l.1,.��k�t4..-..:6 :,�-!![` 1 �t..)k.�'•.: • aeatvsUBM • 639. Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: �53�� ,•/Cam. �i�,r-�/�1Gf�o�6�� (Address of Job) IV Signature of Owner Dat �y /e Cs Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollikWppDataU.ocal\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 r Application to ®Yb 3�igblmap Regional Aiqt.orit Miotritt Committee In the Town of Barnstable CERTIFICATE OF APPROPRIATENESS plication is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness undefgpectiggC- )f Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described.below and oir plan swings, or photographs accompanying this application for. tv `p i o- r�� 4ECK CATEGORIES THAT APPLY: Exterior building construction: ❑ New ❑ Addition ❑ Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial 0 Other Exterior Painting: Signs or Billboards: ElNew Sign [IExisting Sign ❑ Repain ' g Existing Sign Structure: El Fence ❑ Wall El Flagpole Other f�bou�. 6Yowv� boa 1, YPE OR PRINT LEG113LY: DATE ODRESS OF PROPOSED WORK I�5 5 '�` i�eb� ` 7 SSESSOR'S MAP NO. WNER �r^, a^-*� "'�� `` e"�S ASSESSOR'S LOT NO. OME ADDRESS _C 5 Tra,l �es��G��n5�a.�o� TELEPHONE NO. ULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any ublic street or way. (Attach additional sheet if necessary.) kGENT OR CONTRACTOR Its-�W'"^"'" ��'1 d SQL- G'nD`� TELEPHONE NO. kDDRESS �3 Cv1�2�1�1'ice- �o c�.c� , Hy Wei 5. M )ESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please nclude locations of proposed signs. A I't X 22 Wa., K v.�v�rc9- c9.�� `�� bwrY'o`�^^�,l' �- �s i w�.e.-�-e.r- o•� � 1 � i I 1 ' A v 0 Signed ne ontractor- gent For Committee Use Only This Certificate is hereby Date N 03 Approved/ enied Committee Members' Signatures: Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET 'OUNDATION SIDING TYPE COLOR :HIMNEY TYPE COLOR .ZQOF MATERIAL COLOR PITCH WINDOWS COLOR SIZE TRIM COLOR DOORS COLORS SHUTTERS COLORS GUTTERS COLORS DECKS MATERIALS I GARAGE DOORS COLORS SKYLIGHTS SIZE COLORS SIGNS COLORS FENCE COLOR NOTES s Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plans, when applicable. �t d d Permit# �-3 e� Engineering Dept. 3rd floor Ma Parcel Q �- fo ? House# Date Issu oard of Health QLd floor)(8:15 -9:30/1:00-4:30) -y5 G'dHK Fee , ��onservation'Office(4t^h floor)(8:30-9:30/1:00-2:00) S S ! - Planning Dept.(1st floor/School Admin. Bldg.) y�t►u,a, Definitive Plan Approved by Planning Board 19 BARN3TA9LE 8 _ MASS • • �FD MAC�`� TOWN OF BARNSTABL Building Permit Application 3 Project Street Address Village y- Owner ) ry" 'l G� Address 15C� Telephone 501 3`O Permit Request JALX First Floor O. �0 square feet Second Floor N /1A square feet Construction Type W pa ck Estimated Project Cost $ I.a o Zoning District Flood Plain Water Protection Lot Size Z IAct-e-Grandfathered ❑Yes ❑No Dwelling Type: Single Family l" Two Family ❑ Multi-Family(#units) Age of Existing Structure I t Historic House ❑Yes UYgo On Old King's Highway ❑Yes Q to Basement Type: [ ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 1 Basement Unfinished Area(sq.ft) A(M-) Number of Baths: Full: Existing 1 New Half: Existing New No. of Bedrooms: Existing 3 New Total Room Count(not including baths): Existing�-5- New First Floor Room Count Heat Type and Fuel: alias ❑Oil ❑Electric ❑Other Central Air ❑Yes @,go Fireplaces: Existing New Existing wood/coal stove ❑Yes 2-Mo Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) [a None ❑Shed(size) " ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name Telephone Number Address 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 RESUL NG FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED THE FOLLOWING REASON(S) a, FOR OFFICIAL USE ONLY PERMIT NO. Z 3 3-7�- j DATE ISSUED ` r MI P/PARICELINO. ADDRESS VILLAGE- OWNER DATE OF'INSPECTION: r FOUNDATION FRAME INSULATION - FIREPLACE 1 ELECTRICAL: ROUGH 'FINAL PLUMBING: ROUGH FINAL GAS: 1 ROUGH FINAL FINAL BUILDING + DATE CLOSED OUT , ASSOCIATION PLAN NO. ' , L 00 �rl i LOT 3 I e� II ! LOTS 5 k SA a� 43,653 9f* ^y. �\ 1.0 ocresk ti LOT 54 -*pOG� rs9�3?, I 6' •00• 110� Cs i �JC JOB # 95-391 LOTS 5 & 5A CER TIFIED PL 0 T PLAN LOCATION : CAPES TRAIL WEST BARNSTABLE, MA SCALE 1" _ ' 60' DATE : 2-23-96 PREPARED FOR: REFERENCE LOT 5 LCP 40599-B SHEET 2 LOT 5A PB 489 Pc 51 CHAMPION BUILDERS .I HEREBY CERTIFY THAT THE ST9UCTURE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. ��N Of b��s en Soe12-4d41 o� ARNE �4 fo. 362-9m H. I OALA v down cape engiDeering, Inc. CIVIL ENGINEERS �� LAND SURVEYORS ——————— �39 fllIIiil Q1.. gdTmOtltb, 2IIQ DATE REG. LAND SUR •s F Old Kings Highway Regional Historic District Committee ,x, in the Town of Barnstable for a 1997 091 CERTIFICATE OF APPROPRIATENESS Application is hereby made, id 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 CATEGORI HAT APPLY: 1. Exterior Building Construction: ❑ New Building LV Addition ❑ Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other 2 Exterior Painting: g ❑ 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). c, TYPE OR PRINT LEGIBLY ` DATE- ADDRESS OF PROPOSED WORK 15 ( ST�C271� 1 �W LrnS I ASSESSORS MAP NO. OWNER (4-C Qck ASSESSORS LOT NO. HOME ADDRESS S C0-( TEL. NO. 56 9 56Z-1 Y FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). SC" AY,CAV w CA k\kyr, 16y oog W &r2tt46, m p Sc nr,0t 1 `�u,v� �,•ol- I ��'e�� `��-��-•,1 i3`1 �-1�3Q ST�1 � �urn�"lU,�lz !'Yl�' AGENT OR CONTRACTOR ' TEL. N0. 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). npl, �! Signed t Space below line for Committee use. Owner-Contractor•Age Received by H.D.C. . f Date 7heCertificate is hereby p rid. —y-y Dat Time 2 3- �'X Approved [] IMPORTANT: If Certificate is approved,approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ Town of Barnstable ' Old King's Highway Historic District Committee tW SPEC SHEET CHIMNEY TYPE COLOR ROOF MATERIAL COLOR PITCH WINDOW SIZE TRIM COLOR DOORS COLOR . SHUTTERS COLOR GUTTERS DECK I� �� r£ �Sy1r`L 1 r�/�•1-L C� GARAGE DOORS COLOR SIGNS COLORS SIGNS COLORS SIGNS �� ,(� no I' COLORS 'd LEA FENCE COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application, along with three copies each of the plot plan, landscape plan and elevation plans, when applicable. plot plan need not be "Certified" except for new homes, but should show all structures on the lot to scale. SPECSHT I - �IKE PLEASE SUBMIT THE FOLLOWING.INFORMATION AND/OR MATERIALS ,GrA= i WITH YOUR APPLICATION TO'THE OLD KINGS HIGHWAY COMMITTEE Meas %619• THREE(3)OF -IN THREE(3)SETS APPLICATION: All sections m sti be completed SPEC SHEET: Complete applicable information PLOT PLAN: Show all structures on the lot and any proposed additions/changes. Certified�sitelengineered plans for new homes preferred DRAWINGS: . All Elevations and please include Landscaping plans for changes in existing footprint and in new homes only. ADDITIONALLY THE FOLLOWING MAY BE SUBMITTED: PICTURES: Of area(s)affected;Street view for additions/changes. SAMPLES: Of materials/colors(i.e.color chart) THE FOLLOWING FEE(S) MUST BE SUBMITTED WITH THE APPLICATION UPON FILING MADE PAYABLE TO TOWN OF BARNSTABLE CERTIFICATE OF APPROPRIATENESS $20.00 CERTIFICATE OF EXEMPTION S10.00 CERTIFICATE FOR DEMOLITION S10.00 OR REMOVAL •}f•}}fNf}1f/Nf RR/f•ff}f f}fNfNNNfffNNlffNfflfNNNfNNNff1N!}NfNNN}}N}NfNtfffffNffN}ffff}fffff fN}f As .of January 1, 1996, the applicant will.be responsible for their legal advertisement. Please anticipate an'invoice from the Barnstable Patriot that will be Your responsibility to pay. The actual cost.of the advertising fee will reflect the length of each ad. ff}}}f}}f}Rf flfffffflf}/ff/R}1lffffffff iNf}}1f}N}1f}NNffflhNfffN1f11fNfflfNNNffNNf�}!N}NN}Nff/ff}f}ff}ff Approved Plans Please be advised that plans approved by the Old King's Highway Regional Historic District Committee may now be picked up at the..Building Department. You no longer have to stop at the Planning Department before going to'the Building Department. Remember, "There is still a ten (10) day appeal period on approved plans". This Is necessary for each Certificate of'Appropriateness 'and/or Demolition issued by the Old King Highway. Since the 10th day,falls on a Saturday, your plans will be available on most Mondays unless there is a holiday, then the plans have to be p' . ed upon Tu6sdjj s. Thank You. WE.SHALL BE.PLEASED TO ANSWER ANY QUESTIONS REGARDING THESE APPLICATIONS: PLEASE CALL GWEN BROWN AT 790-6285 APPZNPO °FsHE A Town of Barnstable-Planning Department Old King's Highway Historic District Committee • BARNSTAB.e. • 230 South Street, Hyannis, Massachusetts 02601 9� MASS. `0 (508)790-6285 Fax(508)790-6288 ABED MA'S� OLD K/NG'S HIGHWAY HEARING SCHEDULE JANUARY 8, 1997-DECEMBER 11, 1997 HEARING DATE FILING DATE LOCATION JANUARY 8 DECEMBER 19 .-WEST BARN COMM BLDG ' JANUARY 22 JANUARY 3 WEST BARN COMM BLDG FEBRUARY 5 JANUARY 17 WEST.BARN COMM BLDG FEBRUARY 19 JANUARY 31 WEST BARN COMM BLDG MARCH 5 FEBRUARY 14 WEST BARN COMM BLDG MARCH 19 FEBRUARY 27 WEST BARN COMM BLDG APRIL 2 MARCH 14 WEST.BA.RN COMM BLDG APRIL 16 MARCH 28 WEST BARN COMM BLDG APRIL 30 APRIL 11 WEST BARN COMM BLDG MAY 14 APRIL 25 WEST BARN COMM BLDG MAY 28 MAY 9 WEST BARN COMM BLDG JUNE 11 MAY 23 WEST BARN COMM BLDG JUNE 25 JUNE 6 WEST BARN COMM BLDG *JULY 9 JUNE 20 'STURGIS LIB, BARN* *JUL Y23 JULY3 *STURGIS LIB, BARN* *AUGUST 6 JULY 18 *STURGIS LIB, BARN* *AUGUST 20 AUGUST 1 . *STURGIS LIB, BARN* SEPTEMBER 3 AUGUST IS WEST BARN COMM BLDG SEPTEMBER 17 AUGUST 29 WEST BARN COMM BLDG OCTOBER 8 SEPTEMBER 19 WEST BARN COMM BLDG OCTOBER 22 OCTOBER 3 WEST BARN COMM BLDG NOVEMBER 5 OCTOBER 17 WEST BARN COMM BLDG NOVEMBER 19 OCTOBER 31 WEST BARN COMM BLDG DECEMBER 3 NOVEMBER 13 WEST BARN COMM BLDG NOTE:HEARINGS WILL BE.HELD AT THE COMMUNITY BUILDING ROUTE 149, WEST BARNSTABLE,' MA, EXCEPT FOR THE MONTHS OF JULY AND AUGUST. I ° 1Q.1 p `Yf LOT 3 i i LOTS 5 & 5A 43,653 sit ^y. 1.0 acres* ti LOT 54 Res i �ld _7 'dry, JOB # 95-391 LOTS 5 & 5A it CERTIFIED PL 0 T PLAN LOCATION : CAPES TRAIL HEST BARNSTABLE, MA PREPARED FOR: SCALE 1" = 60' DATE : 2-23-96 REFERENCE LOT 5 LCP 40599-B SHEET 2 LOT 5A PB 489 PC 5 f CHAMPION BUILDERS i HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. 11" sae-3e2-4541 0 ARNE r� I t. sae 3e2 OALA down cape eA&eeriag, inc. 0.263:8 �e CIVIL ENGINEERS —— -- LAND SURVEYORS — Np osa main at. yarmautb, mn DATE REG. LAND SUR f De Costa ntw D k J . _. �'' S orlATvplp y' �fc�p qo Ytnf Prt.SSurLTrt_Aj("Col aXlaX Ia' _.yo YtAr PrUSvm� ,Tr epO td 40 Y 4 Ar ?rtS5, +,Yt TrtQrtd /MAXI`IaX3b'' Q R►vs+ - �,�s i � 4oYt6r Prf ' 5LNL-TrtAtia gYgXL' Post$ i I L A9 bol+- S r%-\ o Wov O © ®J w y ,h� i ° De Costa t�5 r._,�j it �S� p ♦A.rS - PO�t - P05r �4 Cady�cl by L�ytw CA�or�cti 4Y�1 f 700bs t� De Costa nf-w btr-k Li 8" S onAT.00b W DLt. i : yo Y Af Pr ur�.T A axt x �a E ASS r't. �d 0 _yo Wr 40 I Ar Pr-LSSv T-rti Qrf d Y,, � 4.OYt4f Prf.SS q(.Lr'f--TrtAi yXy Xc G' Posts LAO bol+ S ri, to r I — LLY l/E y ►hl u De Costa 111.w tc,k _Mllllllllll-F `ot"r b' i 5 QP\� IL rS� eC Luorv;�� by �y�+ CA�d;cti 4y�1 Vy I v - OCb$ t ► h �f � E � 1 � la;r� r •+� ,t. .... ` .�$ YR�'.'}.•R"' �M��.�'sJ�;..3. -. � .�:i1.. -1 ti`��r r �,� .:#. h^.Qr1'. ,S�Nn. r �� t� �1. ��. j ,,.'3. a `�. ,� � `�, , r' � � � � e �,�•' , � .�.0 T ,tiny. 4C's� �l�[ +C` 1 � � 1ij� i • ��*kl ��{ . � { w 6 j,� � t �. ,•,�hk�,ll..}. � iEs7 f � <„/'. - 317Z17J'lE �filA �`- �I�•,fLIkOR�I�411 1� T13� {y�q,1�.l�y',yt• � 1 �fSF9k r +y��+sr�+11i i �4 �r � .t t' T 1 .!� �� ;}<• � �"� °�?r ' �•�Vf"g.`�: '�°�/�-°�F�tY'tl• c. y�?�i,'..�•�ft pp �,1 i 'N;�� so-•.'., rr,�`*.. Cf71Q r _ ^,q�Dyf. 'k-01"46,11 T , •� LL 1 f y t. ��. �.� � r�'_ y A<^t< P F � �]If/f p1 r� ;t: ya{�t•" �Y7�t(y��S�j/� 6•J� C..�n/ ��L�. t, �4 I �' la��(�(fr •4!:'� �.� �/ � A'jIAA. «�. r-�.'�.`�s..�, .,rr"'�t';:. r •� .�j�,]r�I•.Ir,�r r�. p •�� q•- .tIl:•+,� ,« .ram' .f. a �f�' I. �I.�(' �;9 c. 0 I , h.fY�.� �,1�i .r.y„� f• �. r� D�+•P j+ ,r11•� !r•' .ri�l•. 1�� v• ! t i ��` q t{WL�^tjei�t Y}1[`f1d"' {i 1 I �� ♦..,� rR ! � e r •h#,YA� r'QjgR�V� l• '.�_ r��`�� , ` � F III I: r r .�Y .� •`` Ip. �f�.. Ar t 4VI ��0 1I.? !S!4p' d I• �� r -�S r � ,7 �� :> *!'�'n' 41�+�'fi!}` .Yr..;<Kt•+:s+ . i �r _ es r tr'.14� -1�,1r,{��, �N•�'�`rt„aL�. Pr,'�ydrr� r .fit$,�/ / T��—,�t.- ._a; ,,,,F�"'!�r hj��l � K 4.�"I�,j��Y�E�+r ..,,( ��"�y.'iM.0 ��,•:r �nf� i�',r ��""r �' r _� �'pti� .ti�r«N +'►�� Gsr'' �,�(�..�}...-� ,� � �VV.'f� H�.T tick r: �nz i. �.p7.v..M� ( ` - ✓�_..�. y�Ifj.` Y :,ftir kr .�Ir `1,- .Y:�T• ��r. ,l. .:E. �f• � . /?Y3/�•�'��i� r{rl'_+ 'r�•. ta�Y``� •y,d,4%N.'t.' .. ,, � 1� !tt. is • i do 0O ro Y .n r g a ,N l v O I ' rn n - � o a rn A �A i 3 A N N - V 14 O ¢ IS N j M , . a 0 C D O 0 DOD 0 � 0 I Ll x x (� v g� o 10 A g m A 11 70 f THE he Town" of Barnstable Department of Health Safety and Environmental Services `�°r�,,, • Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 i Building Comr. 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:� S C�n4� l'C� LI,�C EA—Igu rnSTtA�•V1 IMF o Owner's Name " - �s Date of Permit Application: �J'Zg �I I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied �wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME MOROVEMENT 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 Registration No. 0 Tltc• Cunt»tunwealth of Alassachusctts Dcpartnrcflt of lndustrial.4ccrdents �• ;;; '. 6011 (t avNiz;;totr Street $ustu�t.. UN.T. 03111 , Vlrorkcrs Compensation Insurance Alyd:tvit -- ri _ i li�tn i_nt•rm irin• i_ •--- --.._ ._. ca • n• C, / I am a homeowner performing_ all �vori: myself. I am a sole proprietor and have no one working in anv capaciry [! I am an employer providin_ workers' compensation for my employees working on this job. mn ,am• namr� 9dttrrcc� •t+.. hnnr#• tl I am a sole ro rietor. eneral contractor, or homeowner(circle atte) and have hired the contractors listed eio�� N G P P e the following workers* compensation polices: cnm itiv n tint• ldtirccc� • hone�• cin•• nliev it incur-inrr rn. - -- — --•.rT•-.r..�.z• — __ cnm an+• nni- atitl retc� hone#• ritr. insurinr cn _ .+! jam•--- .., •"�:,.;,i—^! Attach additio_nai sheet if necaiaty-, •` ""' `=`�••"�; + Failure to secure co�crat:e as required under bcctton 3A of NIGL 15_can icad to the imposition of cnminai pensities of a line up to S' 00-UU unc+cars'itcure covernt:t,•• a ui civil penalties in the form of a STOP WORK ORDER and a floc of s100.00 a day against me. 1 undersianc cope of thi,,tatement may be funrtirded to the Oliice of InvcstiCations of the DIA for coverage�erification. /do herchr crrrif- r the paitrs n pen of p rjun•that the information prodded above is true rut omct. o�te •� z� � Signature-` Phone is Print name IOW ..------ '�oflicialw a unto do not write in this area to be completed by city or torn ofriciai pri mit/llcense# i"►tluiiding Department .' city or town: �Uccnsing Huard [ CSeieetmen',URcc f _.. .�.nnrrd t-itrnilh Denartment lassachuscus General Laws chapter 152 section 25 requires all employers to provide workers corilpensathpl for tttci nPirn•ecs. As quoted from the "Inw an cmpl(tree is defined as every person in the service of another under all,., mtract of hire: express or implied. or i or\1Titten. n entpll/rer i�°defined as an individual. partnership. association. corporation or other legal entity. or an\- two or more fora=oitt�= en__s:_ed in a_joint enterprise. and including the le-,, representatives of a deceased emplover. or the zciyer or trustee of an individual , partnership. association or other legal entity, employing employees. Ho%\,eyer the ,.•ncr of a dwelling house having not more than three apartments and who resides therein. or the occupant of the .-cllitt:_ house of another who employs persons to do maintenance , construction or repair work on such dwelling hou oft d r ::rr.unds or building appurtenant thereto shall not because of such employment be deemed to be an employer. 3L cha'ptcr 152 section 25 also states that every state or local licensing agency shall tvitltliuld the issuance or '101,4111 of a license or permit to opernte a business or to construct buildings in the communwcalth for an• -)licant who has not produced acceptable evidence of compliance with the insurance coverage required. ditionall•.. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the form"ttce of public work until acceptable evidence of compliance with the insurance requirements of this chapter ita n presented to the contracting authority. )hcants Sc fill in the workers' compensation affidavit completely, by checking the box that applies to your situ :oil and )Iyin__ company names. address and phone numbers as all affidavits may be submitted to the Department of .strial Accidents for confirmation of insurance coverage. Also be sure to sign and elate the affidavit. The :c%•it should be returned to the city or town that the application for the permit or license is being requested. .he Department of Industrial Accidents. Should you have any questions regarding the "law- or if you are required :sin a «•orkers' cotnpcttsation policy. please call the Department at the number Iisted below. or Towns be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of -itdavit for you to 1-111 out in the event the Office of Investigations has to contact you regarding the applicant. Pleas re to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to :parttnent by mail or FAX unless other arrangements have been made. Tice of Investigations would like to thank you in advance for you cooperation and should you have any questions. do not hesitate to _give us a call. - ,eparttnent's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents r i office al Investigations 600 Washington Street Boston,Ma. 02111 fax #: (6I7) 77.7-7749 phone '•`: (6I7) 7274900 ext. 406, 409 or 375 . TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION P ease print. • DATE JOB LOCATION I TIT W eSt Number Street address Section of town 'HOMEOWNER" � !JQ �� I �o�-�( �� Co(7 3��I Name Home phone Work phone PRESENT MAILING ADDRESS �n co 16 City town State Zip code The current exemption for "homeowners" was extended to include owner-occupi dwellings of six units or less and to allow such homeowners to engage an ir dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: - Person (sY who owns a parcel of land on which he/she resides or intends to r 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 structure A person who constructs more than one home in a two-year period shall not b considered a homeowner. Such "homeowner" shall submit to the Building Offi on a form acceptable to the Building Official, that he/she shall be respons for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the 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 requirement and that he/she will comp h s proce res and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICI Note: Three family dwellings 35 , 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. "Expect the Best" ,OP,NCHAMPION Builders • Developers • Contractors B U I L D E R S , I .N C. (617) 826-3800 FAX: (617) 829-0000 LANDSCAPING SPECIFICATIONS Lot 5 Capes Trail, West Barnstable Each house will have a minimum of ten (10) foundation plantings, consisting of yews, rhododendrons, arvervities, bayberry and ileac. Lawns will be a minimum of 1,000 square feet of sod. The balance of the disturbed areas will be loamed and seeded. All driveways will consist of a paved apron and 3/4 to 1 112 bluestone driveway. 3 .r 4 Specializing in Affordable Single Family Custom Homes Corporate Park • 300,Oak Street • Suite 155 • Pembroke, Massachusetts 02359 L 4. ' TowfiV Barnstable Old Ying's Highway Historic District Committee SPEC SHEET. Lot 5 Capes Trail FOUNDATION Poured concrete Sides & Rear - white cedar shingles SIDING TYPE Front -.cedar clapboard COLOR Red r r CHIMNEY TYPE Brick COLOR ROOF MATERIAL Asphalt shingles COLOR Dual Black 4. PITCH 7 WINDOW RIVCO wood double hung SIZE 24/24 TRIM COLOR White, DOORS 30/68., 2 lite, 6 panel steel COLOR Blue S r",t,<_ SHUTTERS ` Blue S"O f at_ GUTTERS White l DECK None.' GARAGE DOORS - COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application, along with three copies each of the plot plan, landscape plan and elevation plans, when !.1. ' applicable. Plot plan need not be "Certified", but ' should show all structures on the lot to scale. N, SPECSHT I Application to 9 Old Kin-�'s Highway Regional Histy,ric District Committee ' � gwaY eg in the Town of Barnstable for a 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: HECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: New Building ❑ Addition ❑ Alteration Indicate type of building: House ❑ Garage ❑ Commercial ❑ Other 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 1 2/1 1/95 _ ADDRESS OF PROPOSED WORK .— Lot 5 Capes Trail (Rou:. P 1 55 ) ASSESSORS MAP N0. 88/6--6_ OWNER Champion Builrle;rs- Inc, _ ASSESSORS LOT NO. S _ HOME ADDRESS 100 nak Stretr Suite #155, Pembroke. MA 02359 TEL. NO. 171) 996-38,00 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). Kristen M. Plausioc, 425 Capes Trail, West Barnstable, MA Mary Ann Laczko, 1.55 Berkshire I rail, West t5arnstabre, MA Grace A. Olive, 80 Peter Blossom Lane, West Barnstab;e, MA r. &z IArs. David Belcher, apes Irall, West arnsza e, 4rA:g >;r OR CONTRACTOR Champion Builders, Inc. TEL NO. (617) 826-3800 _ ADDRESS 300 Oak Street, 4155, Pembroke, MA 02359 DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No. 8,other side), including materials to be used, if specification,.;do not accompany plans. In the c.:se of signs,give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). Construct new 24 x 40 -in.ale-family ranch-style d-:elling (see specs attached) CH RS, INC. ,�► 'CEP` ��'="1 u r Signed Owner- ractor-Agent_ Space below line for Committee use. B4': Matthew I. D ey, President Received by H.D=C I i n'' i;, i ,A_ `7/2 ,Date The Cer ca* is hereb Date Time i 1 8 1995; 00, Approved ❑ " ' IMPORT A' If Ce ficate is approved, approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ 000 - 000 — 03` Assessor's Office(1st floor) Map; Parcel 6��"errm*t# Conservation Office(4th floor)(8:30-9:30/1:00-2:00) 2 / Date Issued o2 — v20 gro Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) Feep, 6 r , Engineering Dept. (3rd floor) House# 155�C-3/ = fpviy �CII? `IKE d� Planning Dept. (1st floor/School Admin. Bldg.) RARNSTAB l ' MASS.. Definitive 5dress by Planning 'Board 7 ' 2 S`- ,19 �rY T ,e,v . �" �' 2�/CGS V � c eo�u•+ TOWN OF BA�TA$L Building Permit Application Project StrLot 5 Capes Trail (Rouse '1 5 5 ) - Village West 'Rarnctah1P s Owner Champion Builders, Inc. - Address` 300 Oak Street, '155, Pembroke„ MA 02359 -Telephone • (617) 826-3800 Permit Request To. construct a 24 ' x 40 ' ''ranch style dwelling with 3 bedrooms and 1 bath 4 ' First Floor 960 square feet Second Floor n/a square feet Estimated Project Cost $ 0 . 0 0 ;�z i 577b, Zoning District RF Flood Plain C Water Protection n/a Lot Size 43 ,653 s e, f t . Grandfathered ? no Zoning Board of Appeals Authorization Recorded Current Use land Proposed Use new home Construction Type wood frame Commercial Residential x Dwelling Type: Single Family x Two Family Multi-Family Age of Existing Structure n Basement Type: Finished Historic House n�a Unfinished x Old King's Highway Number of Baths 1 No.of Bedrooms 3 Total Room Count(not including baths) S First Floor 5 Heat Type and Fuel F W A by gas Central Air Fireplaces 1 Garage: Detached Other Detached Structures: Pool Attached Barn None x Sheds Other Builder Information Name Champion Builders, Inc. Telephone Number (617) 826-3800 Address 300 Oak Street, Suite 155 License# 046020 Re broke, !IA 02350 Home Improvement Contractor# 101920 Worker's Compensation# WOCC 41601279 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 BETAKEN TO local du m p CHAI,ZP RS, INC. SIGNATURE p DATE Dec. 11 , 1995 BUILDING PERMIT11 DEMRIWFOOt FbEd iNG REASON(S) / - /3- 9 FOR OFFICIAL USE ONLY PERMIT NO: DATE ISSUED MAP/PARCEL NO. ADDRESS 4 VILLAGE OWNER ; DATE OF INSPECTION: FOUNDATION FRAME INSULATION Blvsv - , FIREPLACE�7,(' % , ELECTRICAL: ROUGH ' ' FINAL PLUMBING: ROUGH FINAL ' GAS:;+ K XR QU GH�. FINAL ' f FINAL BUILDING , DATE CLOSED OUT , ASSOCIATION PLAN NO. i } f TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 000 000 039 GEOBASE ID ; ADDRESS 155 CAPES TRAIL PHONE (617)826-3800 WEST BARNSTABLE, MA ZIP 02668- . LOT 5 BLOCK ' LOT SIZE DBA DEVELOPMENT DISTRICT : PERMIT 14591 DESCRIPTION SINGLE FAMILY DWELLING PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY Department of Health, Safety CONTRACTORS: and Environmental Services ! ARCHITECTS: r : TOTAL FEES: ( BOND $.00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY ` BARNSTABLE, " .MA83. OWNER CHAMPION BUILDERS, INC. , Fp MAl A ' ADDRESS it 155 BUT N DI IS -Alw 300 OAK STREET BU T� PEMBROKE, MA DATE ISSUED 04/19/1996 EXPIRATION DATE TOWN OF BAR14STABLE BUILDING PERMIT ;h"1~L, ID G(;G OJU 439 GEOBASE ID Ai' RhSS 155 CAPE 'TRAIL PHONE (617)82.6 1vES`1' BARi3fiTA3I:E, Mtn `Z,IP 02668- L,OT !i BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT PERMIT 133G� DESG!'.IPT.100 SINGLE FAMILY DWELLING. (SEW.L�MT_#96- P]E:M-1I T TYPL i. 'rLU T?:TI E NEW RESIDENTIAL BLDG PMT OnNTRACTORS : DAC l , 'MA'" Department of Health, Safe' A�,Cr- ITEC'TS: and Environmental Service:' TOTAL, FEES: $163. 68 i.COND 0 � Qi► � 'ONS' F:U(:T1.0):d C t`::_ii:'S 800-..00 G(1 10 tAi� ICiMIE DEr9Cn.EL 1 PRIVATE MASS. 0 W N E R CIIAP 10N PvILli RS. INC- , 1639. A�O� ADDY'?ES S ;i ED MKI 00 OAz aT cE1� BUILDM- IVISIO IEMEROK ,, MA BY I�T DA'_-E DA'?'E THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN. CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OF ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIF PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: WHERE APPLICABLE, SEPARATE E 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR i 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 1 I 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CAR-D SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 22 I w e,ort &,ow w ,pI/1/f CS- At;'r 3 •i �jl.�f /�� 1 EATING INSPECTION APPROVALS ENGINEERING DEPARTMENT PlNs�' J T l /N�r� �,�s 8' �� P14r�` 2 O qflvq F66jOTHER: SITE PLAN REVIEW APPROVAL �(/ W�] SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS E SPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. `OF,ME AO The Town of Barnstable O„ RARMAA- . ' Department of Health Safety and Environmental Services t6)P Building Division 367 Main Street, Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection P � Location Permit Number Owner �( Q� Builder One notice to remain on jobsite, one notice on file in Building Department. I The following items need correcting: l V4 ST keZ- A . s o CK-Pfas Please call: 508-790-62-277 rfor reeinspection. Inspected'by Date ` �.8 i PHONE CALL A.M FOR- -OATT TIME M PHONED OF RETURNED PHONE YOUR CALL AREA CODE NUMBER EXTENSION PLEASE CALL MESSAGE ' WILL CALL AGAIN CAME TO SEE YOU WANTS TO SEE YOU SIGNED �I ivibrsOI 48003 `NOTES I i i s a _ s �\.7�2S OO f� -- cb y LOT 3 e� I I f LOTS 5 & 5A w� 43,653 sf± ry �\ 1.0 ocrest LOT 54 '0 JOB # 95-391 LOTS 5 & 5A , CER TIFIED PL 0 T PLAN LOCATION : CAPES TRAIL WEST BARNSTABLE, MA PREPARED FOR: ISCALE : 1" = 60' DATE : 2-23-96 REFERENCE LOT 5 LCP 40599—B SHEET 2 LOT 5A PB 489- PC 51 CHAMPION BUILDERS i HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS FLAN IS LOCATED` ON THE GROUND AS SHOWN)HEREON.' oM SOS-362-4541 O� AR E �y ro,c 508 362-SM $ H. R 1 o OJALA v down cape &k--ineering,.inr. MAk o.263488 CIVIL ENGINEERS G �'`s 11 LAND SURVEYORS — —--- ------ -- --------- H'J I es9 main et. garmoutb. ma DATE REG. LAND SUR The C(ininim +'ealtlt of.Massachusetts Departmentof Industrial Accidents � t Y ' 011lceoflayestlyal/oos ►;.. = �' 600 11'asltinr;1on Street Boston,A1asc. 02111 ' Workers' Compensation Insurance Affidavit Plestse PR1NT'le�ibl � Aall' not tntormation - CHAMPION BUILDERS INC locntion• 300 (yak Street Suire-A ss Pembroke, MA 02359 nhnne0617) 826-3900 I am a homeowner performing all work myself. ® 1 am a sole proprietor and have no one working- in any capacity_ I am an employer providing-workers' compensation for my empioyees working on this job. enmnany nnm AS ABOVE t1 � • • Sit) phone#• insurance co PLEASE SEE ATTACHED CERTIFIC TF OF notice# INSTIR ANrR r,. ...... r......--.........,,..;,. •tea...•......Jy..w++sRwy.• _ ' I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who I the following workers' compensation polices: m in •n atldrets• - . A� r phone#• in�urnncc co nolicv# -\� -- ,.c,.�,. .7c�v,.-:•—�.rT•«ct^�s\:.o.--=r--•v.+.-.�4�mc._�Y.:TJVr,�7.rel��:.�cTn4+:+�°s�s"�!�-"15"!R'g""�-.� C0mn9n•name* r cit phone#• _`-- '' notice# •• .Attach additiorial'sh'R if'deeeisa Failure to secure coverage as required under Section 25A of 1%1GL 152 can lead to the imposilion of criminal penalties of a fine up to SI.500.00 anu One}•can'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and aline of S100.00 a day against me. 1 undemand tht copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verineatioo. /do hereby certify and the a hies ojperjurt•that the information provided above is true and coma Signature -Date 12/12/95 Printname MatthewJ. D Phone# (617) 826-3800 r olTtcial•use oniv do not write in this area to oe completed by city or town oftleiat cih or town: permi0leense# r iBuilding Department DUcensing Board D check if immediate response is required 13Seleetmeo's Office C111eatth Department contact pe phone#: r9Other V� T.`+_mow.rson: rmscd;•*s PJA) ....:::...........:::......::...:..:::.::..::....:.....:.:..::...:::::::.::::.::::::.:..::....:..: d /.,^/■/�■ � ..� ;' ... : ii: >: •i?•. .... .. i:>:.: ...c `i^3i:i:;:i'::i::: 'E3i :f: DATE M i :.t c;r:'�...��';I:F.�:C. :::: ::LI A:B.�:LI:TY::.: .N.S..U:R .. N:C: :::::;::;:::::::::::.:.:.::::.,:: - ::::.................:...........::.:::.::.............. ::.:::..A..::..::...:: .::.:.:........:.::::::::.:::t a :•��;;. 12 O1 95 PRODUCER (617)826-0123 FAX (617)826-0301 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION .3. ki el1y Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 243 Church Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pembroke, MA 02359 COMPANIES AFFORDING COVERAGE ........................................................................................................................................... ` romPANY Hanover Insurance Company Attn: Ext: A ;. ................................................................................................................................................ ........ ... �. . :. I SUITED, � SPA CS na .Insurance Co. amp�on Builders, Inc. B CorporatePark ................................'................................................................................................................ Suite 155A COMPANY C Pembroke,' MA 02359 ..........................................................................................................:....................................... COMPANY D >< >sz> :<;:>'.:`[>:>»:>:`<:<:::#:>:<::>?.<:s:z:#<::<<: >:>>:»>?[<::>>;z<:> »>[< ::«i:''<::::>< »:>::is::>::>:;:::::;s::::<::<:::>:•»::>:i:; >:<:::::sii 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 CON(NTION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ...............................................................................................................:.............................................................:...................................................................................................................... CO TYPE OF INSURANCE POLICY NUMBER :POLICY EFFECTIVE:POLICY EXPIRATION: LIMITS LTR: DATE(MM/DDrrf) DATE(MM/DD/YY) GENERAL LIABILITY i GENERAL AGGREGATE S 2,000,000 ..............................................;...................................... COMMERCIAL GENERAL LIABILITY .PRODUCTS-COMP/OP AGG :f 1,000,000 ........... ?.'......CLAIMS MADE ; X :OCCUR: 'PERSONAL a ADV INJURY f 1 I OOO OOO A ;>: <.....: ZDN3851016-03 04/O1/1995 04/Ol/1996 ............................................ ......... ......... ........ ` +OWNER'S a CONTRACTOR'S PROT EACH OCCURRENCE f 1,000,000 .............................................:.. FIR..........A E(Any one fire) �S...................50,000 ......; : E DAMAGE ................}.s......................5 000 MED EXP(Any one person) AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT :f 1 ANY AUTO 1,000,000 .•. :.......:ALLOWNEDAUTOS OILY ........ .................. X SCHEDULED AUTOS (Per P—)INJURY A AMN385097303 04/01/1995 04/01/1996 ........................................... .................................... X .HIRED AUTOS BODILY INJURY f X :NON-OWNED AUTOS :(Per accident) ' ....... .................................................... PROPERTY DAMAGE $ i GARAGE LIABILITY AUTO ONLY-EA ACCIDENTf ... ................ ANY AUTO OTHER THAN AUTO ONLY: ........................................ .,.:..,,:....,........,..:.......... r' ............................................................ � EACH ACCIDENT:f :........................................... .................................... AGGREGATE!$ EXCESS LIABILITY EACH OCCURRENCE :f :......: ......................... .................................... UMBRELLA FORM :AGGREGATE f:...... rOTHER THAN UMBRELLA FORM ........................................... ..,...................................... :S WORKERS COMPENSATION AND :TORY LIMITS: EMPLOYERS'LIABILITY , ......................................... ......,...,:., D(ECUTIVE EL EACH ACCIDENT 100,000 PARTNERSI B WOCC41601279 06/27/1995 06/27/1996 ..............................................:............................ THE PROPRIETOR/Ecu EL DISEASE-POLICY LIMIT :s 500,000 OFFICERS ARE EXCL EL DISEASE-EA EMPLOYEE'f ZOO,000' OTHER DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLESISPECUAL ITEMS .......:.:.......:.....................................:....:::::;::::::::::::::::::::::::::::::::.:::::..................:..:......::•::::::::.:.�:. ANC TEOAd:::::::.:�::::.:::.:.. .. ..............�................................ .......:...::..::.•......,:.::,.:....:.,.::.,..,..:.......:..:....:.�:...:..:...:..•:....:.:.........:...:.::.....:.,.:>:,n�..:.c,.:,,.,•.:::::::::,.,,,.::::.u::..oat:c.:s:c.:;:;�:>::.c..:u::,.,o�.:a::>::.::.a>s;:.:w:wccu.:.;b;::::x',:;:k<:::siik.:«:•r.�sii::iik:;:o»;;:�:: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of Barnstable I EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Building Department r ;v 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, . Main Street BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE No 08UGAT*N OR LIABILITY Hyannis, MA 02601 OF ANY KIND UPON THE CO AP NY,ITS AGENTS OR RE ES TATIVES. AUTHORIZED REPRESENTAT :.,.::.,:.,,:-.,.,:::<.::<::.:...,....:.......:..�,,...,....:::....,..:.::,...........,.:::...:....,..,..,....: n i to Ch e s s on .y 3 Rt„RICTIONS: 1G . � �ie �anvnaazcuea;!/z a�,/�aooac%uveCta � . OEPARTMEHT OF PULIC SAFETY 00 None lA - Masonry only License: CONSTRUCTIOM SUPERVISOR lG - 1 S 1 Faaily Holes filer Expires !' ' k!THEY'J I!ACEY BUZZARDS BAY, MA 02592 i COMMISSIONER i I, z.. LOT 5 GAFFES T R A, L 12'-O' �•..p• CONTYMS RIDGE VENT 2x10 CONTHMS RIDGE BOARD 12 ASPHALT GLES ON 1/2' ` TIE5 A 32' O.G. Y EXTERIOR PL OOD ROOF. 12 5HLATMNG `' 2x8 RAFTERS AT 16' O.C. ATTIC N5I LATM *- K-30 T VENTED DRPEDGE 2x8 FASCIA BOARD 1/2' DRYWALL WTM FNSH NOTES AT FAMLY ROOM PROVIDE IXG FFI SOT BOARD • 2x8 GEEING JOISTS AT 12' O.G. Y 1/2• EXTERIOR PLYWOOD SHEATHING i. ` WITH 5IDING SIDEWAL N5LLAnoN R-11 3/4' T+G PLYWOOD 5UBFLOOR 2x8 FLOOR JOISTS AT 1G' O.C. WITH 55 Bmcm J Gx10 SOLID GIRT �ApE. BASEMCNT NSU.ATION R-19 r,j� GRADE �i 22K P.T. SILLS WIT" 11 LADS AT 9' � r 3/2' x 12' DEEP ANCHOR DOLTS . J Ji O 13 SERS AT B' r i DAMP PROOF ALL r-'� 3 1L2' LALLY COLLMi i` FDN5 BELOW GRADE j T-J� f J J j rJ i 8• P.C. FOLMATON WALL5 2•x4' CONT. KEY ----J i 3' P.G. SLAB - eV 24' WOE x 12' DEEP P.C. -- �30' WOE x 30' LOMG x GONTINUOU5 WALL FOOTING 12' DEEP P.C. FOOTING DUILDING ' GROSS SECTION 6'-4- 3'-4. 30'-4- MASONRT OPENING 24• WADE x 12• DECP P.G. CONTNUOU5 WALL FOOTING - --- -- ------ --- ---- - -- ----..------ ------ ---- - I ---- ----- -------- -TO OK Y I I WALKOUT OR B KHTE AD TO K vmc U 6• P.G. FOUNDATION WALLS I i in I I DCTMMMD N THE F[1.D. I I 3• P.G. SlAO I a I I i 01 I I O Q Q ( I 10 SOLID GIRT A80k. f. SO SOLID GIRT ADO iLI '30' W G30- LONG 12• DEP Ii P.C. Fo� r5WIT11 3 1/2• P.C. FILM LALLY.COLUMNS 4 u I I 3• P.G. SLAB M I I h I' YI I r I f I y crtGULaR x 12• LONG a,NcnoR Y in LDOLTS AT CORNCRS AND 6'-O. O.G. NI --------------.----- - --.-.----- I A I L —————————————————-———— ---——————————————— 24• WOE x 12• DCCP P.G. CONTH=5 WALL rOOTNG 40'-0' FO- UNDAT .ION * ..- FLAN