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0030 IRONSIDE DRIVE
y NO.1521/3 ORA MADE M USA 0 ESSELTE 0 0 O 0 S a li a k l 4 tL` F. i i S 4 °PHONE CAL • A.M. FOR DATE TIME ',R.M. M PHONED OF RETURNED PHONE17 YOUR CALL AREA CODE NUMBER EXTENSION PLEASE CALL MESSAGE WILL CALL AGAIN CAMETO SEE YOU WANTS TO SEE YOU S I G N E D nivei sal 48003 J , S310 N VIM o � ... � Town of Barnstable _ Building uxxsewW 2 Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept MAE& Posted Until Final Inspection Has Been Made. Permit =bsv.a�� � Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until'a Final Inspection has been made. cc 11 Permit No. B-18-3961 Applicant Name: VATOUSIOU, PETER D Approvals Date Issued: 12/19/2018 Current Use: Structure , _laI,1 Q1� Permit Type: Building-Deck Expiration Date: 06/19/2019 Foundatio c Location: 30 IRONSIDE DRIVE,WEST BARNSTABLE Map/Lot: 111-067 Zoning District: RF Sheathing: Owner on Record: VATOUSIOU, PETER D Contractor Name`� FramingP'-i U D Lit A619 Address: 30 IRONSIDE DRIVE Contractor License: 2 WEST BARNSTABLE, MA 02668 Est. Project Cost: $ 12,000.00 Chimney: Description: deck replacement 26x16 Permit Fee: $ 110.00 irt. Pj tO' i � Fee Paid:: $ 110.00 k 6 `�(°-Iq ttA Project Review Req: Date: r 12/19/2018 Final:�i �`�, Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open f r,public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this"permit. Service: Minimum of Five Call Inspections Required for All Construction Work:' _ 1.Foundation or Footing Rough: 2.Sheathing Inspection ` _ - 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT I Application Number......... ..................................... BARNEMABLF, 130V MAS& g W Permit Fee.......................................Other Fee........................ s639. w Total Fee Paid....... .............................................. ...... TOWN OF BARNSTABLE Permit Approval by.... .............on.... ............ BUILDING PERMIT Map......//.,/......................Parcel........ 2.................... APPLICATION Section 1 — Owner's Information and Project Location ",Pioject Address --Ozt V i —Village Owners Name Owners Legal Address 23=mIck0 -Dnve— city. State iAk zip Owners Cell# E-mail NIJ Section 2 —Use of Structure Use Group_ ❑ Commercial Structure over 35,000 cubic feet ❑ ommercial Structure under 35,000 cubic feet Family Dwelling Section 3 — Type of Permit 0 New Construction ❑ Move/Relocate E] Accessory Structure E] Change of use ❑ Demo/(entire structure) inish Basement ❑ Family/Amnesty El Fire Alarm Rebuild Deck F� Apartment Sprinkler System ❑ Addition ❑ Retaining wall E] . Solar El Renovation ❑ Pool El Insulation Other—Specify, Section 4 - Work Description V Last updated. 11/15/2018 Application Number.................................................... Section 5—Detail Cost of Proposed Construction 019 Square Footage of Project 50 Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method .PMA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated. 11/15/2018 f Application Number........................................... Section 9- Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10—Home Improvement Contractor Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation requir 780 CMR and the Town of Barnstable. -Signature Date A APPLICANT SIGNATURE "Signature Date Print Name ��] -y�A�j( Telephone Number r E-mail permit to: ('c�le ._ Last updated: 11/15/2018 i Section 12—Department Sign-Offs . i Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire department for approval Section 13 —Owner's Authorization I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name r i i r ' r Last updated: 11/152018 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly ' Name(Business/Orgm z don/Individual): Address: City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition Working for me m any capacity. employees and have workers' 9. ❑Building addition o workers' comp.insurance comp.mmrra*+ce.t required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions ] 3. I am a homeowner doing all work officers have exercised theirri of exemption per MGL 11.El Plumbing repairs or additions myself[No workers comp. emP p 12.❑Roof repairs insurance rid]t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sbeet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify u and penalties of perjury that the information provided above is true and correct. Signature: Date: Zq I 3:)I$ Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repay work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter then self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAM Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia l P bed�co0M 3 ' r 3.vspo�a.C; I �a�t:cKra ted ¢low , �3o cy;d ``'`.' - , ' • ,I, F.apacrt.�1 • ?64' gpd � '70' /� . . : : i:�:':I. Pot 4, Xocu4 eteuatt on !00 above M .0 by u y - /�rt2 y9 .,. .I ,\ \`.. _ -_�,-_j i N 1.T! . C�XT w V, i j eJG 1 0 39. p ; , f �. pad i r 13 M 75.0 t_T 74. 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C,V.• • BCC,fy Cl2 CCLti�L t TSB"Gt•c,N � �t (,. •-,_ } �I•+e.•.t'C•') y ��_F' ?ap.RT. ._... r -_ aItIJG4 a ylf,,,�UAs./3.Gt66^ .;y,. I q'a•- I tt.G�-,� .- .•.a _ _ w, I �3)2x to'P.T.aa���" I i c 20 - StFlu4N•. I N ,1 1t i.2G"t �t.. 1� r+4�a�.fl.1>• ._�9?yt c4t�LN ."ice`,- -.ld:r �.T/u.'!i � �r • (}i,. ,,,w ;:;� -t2•:Uc•CUI.,�C„�f.L.yi'. 77 :--A, i �, __ fi____�— ,_ + t= _ ,�'►,.-. _ — ' �`,'� Barnstable Bldg. Dept. _ Approved by: pecl;��-Tc nE r,ICres.•.'v-'fl:t t�15�•C Il + try• -i 1 Permit G.lcvrE I)OC�•jNELbI'C...G �I\6fT i+.YJC I ( I 1 ��.1, ^ `• 1^{� I �//(�� /�/�/ �I(� IFF Ell � t�CUC REPLA=E)-eOT PLAIN •ni .°� •t. — I I � Tc I � i :.RE�t+:E�tViil O nt Q'4 ,o I 13171w�JI�I SI� !�\'\T� AT Iue ^2I (/R Ib(J.�tE'� nc Sir l I i ` I r. I ' ����U � p �,�� ����� w` - . `� f �-� _ i � -� �\ .` �o `. . ' . Town of Barnstable Building Post this Card So.That it is.Visible From the.Street'-Approved Plans Must be Retained on Job and this Caid Must,be Kept MASS Posted Until`Final Inspection Has Been Made. D^y.m�� R Where a Certificate of Occupancy is Required,,suck,Building shall Not be Occupied until a Final Inspection has been made., Permit JliJl Permit No. B-16-1279 Applicant Name: Nathan Tissot Map/Lot: 111-067 Date Issued: 06/13/2016 Current Use: Zoning District: RF Permit Type: Solar Panel-Residential Expiration Date: 12/13/2016 Contractor Name: SOLAR CITY CORPORATION Location: 301RONSIDE DRIVE,WEST BARNSTABLE _ Est..Proje_ct Cost: $15,000.00 Contractor License: 168572 Owner on Record: VATOUSIOU,PETER D Permit Fee: $0.00 Address: 30 IRONSIDE DRIVE Fee Paid: 4 $0.00 WEST BARNSTABLE,MA 02668 " Date 6/13/2016 Description: Install solar electric panels on roof of existing house with any upgrades,when applicable,specified by Design;To be interconnected with home electrical system. JB0262288 5.94KW 22 Panels Please reference appTB-16-1231 for payment. Project Review Req ` Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the`.approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road a'{nd shall be maintained open for public inspection for the entire duration of the work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this pemit. Minimum of Five Call Inspections Required for All Construction Work r 1.Foundation or Footing I 2.Sheathing Inspection I 3.All Fireplaces must be inspected at the throat level before firest flue Immg is installed ,. 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection S.Prior to Covering Structural Members(Frame Inspection) " 6.Insulation 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. }y► �[ _ j Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT .,Oki �b Town of Barnstable :RECEIPT - ABM ` 200 Main Street, Hyannis MA 02601 508-862-4038 1639. Application for Building Permit Application No: TB-16-1279 Date Recieved: 5/12/2016 Job Location: 30 IRONSIDE DRIVE,WEST BARNSTABLE Permit For: Solar Panel-Residential Contractor's Name: SOLAR CITY CORPORATION State Lic. No: 168572 Address: 24 ST MARTIN STREET BLD 2UNIT 11, Applicant Phone: (508) 640-5839 MARLBOROUGH, MA 01752 (Home)Owner's Name: VATOUSIOU,PETER D Phone: (508)364-8423 (Home)Owner's Address: 30 IRONSIDE DRIVE, WEST BARNSTABLE,MA 02668 Work Description: Install solar electric panels on roof of existing house with any upgrades,when applicable,specified by Design; To be interconnected with home electrical system. JB0262288 5.94KW 22 Panels Please reference appTB-16-1231 for payment. Total Value Of Work To Be Performed: $15,000.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued, it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. i Signed: Nathan Tissot 5/12/2016 (508)640-5839 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $15,000.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $0.00 ........... ...._.......-._._.--- .---------- _............... ....... ... --..__._._...._._............--...--....._.................................................................... .....___._...._................._..._..-......_._._._.. Total Permit Fee Paid: $0.00 A � e.'+tu zaaa ' uy ��• � 2 R IS�-NO<T A.PERMIT THIS' �. , i THE► Barnstable Old Kings Highway Historic District Committee 200 Main Street,Hyannis,MA 02601,TEL: 508-862-4787 Fax 508-862-4784 _ Y 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; L'Building construction: ❑ New ❑ Addition itAlteration 2. Type of BuildigZ: House ❑ Garage/barn ❑ Shed ❑ Commercial ❑ Other 3. Exterior Painting roof ❑ 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 Sf Solar panels ❑ Other' . Type or Print Legibly: Date 3/7/2016 NOTE AR applications must be signed by the current owner Owner(print): Peter Vatousiou Telephone#: 508-364-8423 Address of Proposed work: 30 Ironside Dr Village West Barnstable Map Lot# 111/067 Mailing Address(if different) same Owner's signature see attached Description of Proposed Work: Give particulars of work to be done: Install 22 solar panels on the front (South) fa_ina_ roofs of the house and nttarhed 9arqqP Agent or Contractor(print): Nathan Tissot/SolarCity Telephone#: 508-640-5389 Address: 112 Great Western Rd South Dennis MA 02660 Contractor/Agent' signature: For co 'ttee se only. This Certificate is hereb APPROVE /D D 7 Date 7 Members signatures GROWTH MANAGEMENT APPROVED APR 2 7 2016 T .. ni Clnrnrf�hlc Old King's Highway Committee 1 QABoardc and Commissions\Old Kings Highway\OKH Applications\OKH DRAFT 2011 Cert Appropriateness DRAFT.doc i i 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) Asph/F GIs/Cmp Gable/Hip Color: It. grey Roof Pitch(s): (7/12 minimum) 12/12 (specify on plans for new buildings, major additions) Window and door trim material: wood other material,specify Size of cornerboards size of casings(1 X 4 min.) color Rakes Ist member 2nd member Depth of overhang Window: (make/model) material color (Provide window schedule on plan for new buildings, »ucjor additions) 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: Q Deck material: wood other material, specify Color: , `P M OV E Skylight,type/make/model/: material Color: wn SizR 2 9 �(l1� Sign size: Type/Materials: Color: Old of Barnstable Committee Fence Type(max 6' )Style material: Color: Retaining wall: Material: 4U�6 Lighting,freestanding R on building illuminating sign OTHER INFORMATION: solar 01 gk THE ATTACHED CHECK LIST U E� OMPLETED AND SUBMITTED Please provide samples of paintc lors, adufacturers brochure of windows,doors,garage door,fences,lamp posts etc Signed: (plan preparer) Print Name Nathan Tissot 2 Q.\Boards and Couuidssions\Old Kingt Highway\OKHApplirations\OKF1 DRAFT 2011 Cert Appropriateness DRAFT.doe Town of Barnstable Geographic Information System March 15, 2016 45 +111043 109 111037 11108 C'�5► #0' w 111012 # 0 # '#88 #74 111039 S}. 111046 111045 #558 #410 #388 #34� 11 111040 #9 #42 v �#9� *1035 i 111023 . *01 111034 111047 ,# � #12 4t#qr�1 •_ • 111070 � y �11029 111033 #0 #342 #3 111048 �,��0 .111028 • 5� 111054 #324 111027 111049; 1 3 #10 #304 111014 111032 #35 f #28 111 555 #28� #254 #11 111057 111050% • #10, N 45 111051 *1 1110561 111072� 1#271 #51 #48#48 ##2323 111058 111044 #295 w #313. A. 111018 111017 279 #19 111071001 111064 # F#0 44 1# #257 111068 #� 111019 111066 #51' #235 111069 4340 111067 111063 #0 #30 #259 111060 111061 • 1100040011 w #60 #291 111062 ® 111065 050 110001020 110DOtOti 1 , #271 255 #35 0 �q #12 L110001001 A CiLs�O #249 110#021002 110001019>110001033 #31 11000_1022 rw #0 #94♦ 110001023 110001024 110010 #280 r#260 #0 110001018 • 110001003 #. #111 110001029 110001025 #239 • `114 11 00 01 0 30 #230 '-#210 089005007 110011 11000.1028 110001004 ® #140 0 #729J 40 #0 1110001027 110001026 110001005`v w 110001017 #160 #190 #215 089004003� #121 �C�` ��. •11000 006� 11 00 0401 2 #121 08#13006 110001016 q< #209 0 & #130 #129 i� 110001007 110004008 110025014 1100010 55 #199" #5 #141 110001014 110001011 N 1100 25010 #0 #149/ W #173 \000110008 • #0018 0 1100 9409 #190 110009 110001013 1100 12 \ A& Q�4¢Q #350 11169 159 #163 110001009 110004007 OF O �1C 089005004 1100 50087 110025013 110008 ® #183 #46 Y 9104 #195 #22 #0 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:111 Parcel:067 Selected Parcel Q boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:VATOUSIOU,PETER D Total Assessed Value:$383600 1"=100'may not meet established map accuracy standards. The parcel lines on this mapW4 are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:0.77 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:30 IRONSIDE DRIVE >',lj• such as building locations. Buffer ��f� ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE 1. THIS SYSTEM IS GRID—INTERTIED VIA A AC ALTERNATING CURRENT UL—LISTED POWER—CONDITIONING INVERTER. BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. GONG CONCRETE 3. A NATIONALLY—RECOGNIZED TESTING DC DIRECT CURRENT LABORATORY SHALL LIST ALL EQUIPMENT IN RECEi NED EGG EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3. (E) EXISTING 4. WHERE ALL TERMINALS OF THE DISCONNECTING EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED IN THE OPEN POSITION, A� 19, Q�� FSB FIRE SET—BACK A SIGN WILL BE PROVIDED WARNING OF THE GALV GALVANIZED. . HAZARDS PER ART. 690.17. GROWTH MANAGEMENT GEC GROUNDING ELECTRODE CONDUCTOR 5. EACH UNGROUNDED CONDUCTOR OF THE GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5. I CURRENT 6. CIRCUITS OVER 25OV TO GROUND SHALL Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(B). Isc SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DO NOT ENTER kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR ����/ � kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC /rr LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 69O.31(E). MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN 2��6 (N) NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY NEUT NEUTRAL UL LISTING. of 0arnstable NTS NOT TO SCALE 9. MODULE FRAMES SHALL BE GROUNDED AT THE Town, s H;ghway OC ON CENTER UL—LISTED LOCATION PROVIDED BY THE Odd Comrrlittee PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING POI POINT OF INTERCONNECTION HARDWARE. PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. S STAINLESS STEEL STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V VOLT Vmp VOLTAGE AT MAX POWER VICINITY MAP INDEX Voc VOLTAGE AT OPEN CIRCUIT W WATT PV1 COVER SHEET 313 NEMA 3R, RAINTIGHT PV2 PROPERTY PLAN PV3 SITE PLAN PV4 STRUCTURAL VIEWS PV5 UPLIFT CALCULATIONS LICENSE GENERAL NOTES PV6 ELEVATION GEN #168572 1. ALL WORK TO BE DONE PTO THE 8TH EDITION C�h THREE REAtt INN DIAGRAM ELEC 1136 MR OF THE MA STATE BUILDING CODE. 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2014 NATIONAL ELECTRIC CODE INCLUDING MASSACHUSETTS AMENDMENTS. MODULE GROUNDING METHOD: ZEP SOLAR REV BY DATE COMMENTS AHJ: Barnstable REV A NAME DATE COMMENTS li UTILITY: NSTAR Electric (Commonwealth Electric) J B-0 2 6 2 2 8 8 O O PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER T ■CONTAINED SHALL NOT BE USED FOR THE PETER VATOUSIOU Peter Vatbusiou RESIDENCE Jay EllisSolarC�tyBENEFlT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: 1` oNOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 30 IRONSIDE DR 5.94 KW PV ARRAYPART IZ OTHERS OUTSIDE THE RECIPIENTIS MDDULES W BARNSTBL MA 02668ORGANIZATION, EXCEPT IN CONNEC110N 1NTH ' St. Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (22) SUNIVA # 0PT270-60-4-1BO ' SHEET: REV: DATE Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVFRIER: PAGE NAME ( )638-1028 F: (650) 8-1029 PERMISSION OF SOLARCITY INC L 650 63 SOLAREDGE SE5O0OA—US000SNR2 5083648423 COVER SHEET PV 1 a 3j3j2o1s (688)_sOL_GTY(,65-2469) .6ala.aitY.a�, 181' 39' , I 17' \ I 230 RECENED MARI 0 72016 I GROWTH MANAGMENT ® f �o\a�oo I a - ' PROPERTY PLAN N Scale:l" = 30'-0' w E 0 30' 60' S CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: J B-0 2 6 2 2 8 8 00 P'�"' OWNER. DESCRIP110N DESIGN CONTAINED SHALL NOT BE USED FOR THE PETER VATOUSIOU Peter Vatousiou RESIDENCE Jay Ellis • BENEFIT OF ANYONE EXCEPT IN VMOLE INC., MOUNTING SYSTEM w:;,SOIarCity. NOR SHALL IT BE OUTSIDE THE WHOLE OR IN Com Mount T e C 30 IRONSIDE DR 5.94 KW PV ARRAY PART IZ OTHERS OUTSIDE THE RECIPIENT'S MODULES- �' W BARNSTBL MA 02668 ORGANIZATION, EXCEPT IN CONNECTION WITH � THE SALE AND USE OF THE RESPECTIVE (22) SUNIVA # OPT270-60-4-180 1 1 24 St Martin Drive,Building 2, Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME. SHEET. REV. DATE Marlborough,MA 01752 PERMISSION OF SOLARCnY INC - INVERTER:�AREDGE SE5000A-USOOOSNR2 5083648423 PROPERTY PLAN PV 2 a 3/3/2016 (BBB)_soi-GTY(765-24F89)wwwgd�°Ycam PITCH: 45 ARRAY PITCH:45 MP1 AZIMUTH: 180 ARRAY AZIMUTH: 180 MATERIAL: Comp Shingle STORY: 2 Stories PITCH: 45 ARRAY PITCH:45 1VIP2 AZIMUTH: 180 ARRAY AZIMUTH: 180 MATERIAL: Comp Shingle STORY: 2 Stories �ytH OF N O cyc RECEIVED CD v I L MAR 0 7 Z016 9o�SS NA EN GROWTH MANAGEMENT L 3/04/2016 Digitally signed by Nic Gordon Date:2016.03.0410:25 08-08'00' ^, LEGEND 0 (E) UTILITY METER & WARNING LABEL Ins INVERTER W/ INTEGRATED DC DISCO & WARNING LABELS © DC DISCONNECT & WARNING LABELS K © AC DISCONNECT & WARNING LABELS - Inv AC Q DC JUNCTION/COMBINER BOX & LABELS L__J1 AC 1 DISTRIBUTION PANEL & LABELS . i .e © D i a�� P Lc LOAD CENTER & WARNING LABELS Fence Unlocked Gated ODEDICATED PV SYSTEM METER �® Q STANDOFF LOCATIONS `� CONDUIT RUN ON EXTERIOR v-0 " --- CONDUIT RUN ON INTERIOR Front Of House. ®�` — GATE/FENCE P` p,1 '�Q�6 p HEAT PRODUCING VENTS ARE RED PQ�D r=� o`65c�ge�ay L J INTERIOR EQUIPMENT IS DASHED �� ,o9 N SITE PLAN Odd G �e N Scale: 1/8" = 1' W E 0 1' 8' 16' S J B-0 2 6 2 2 8 8 0 0 PREMISE OWNER: DEsaDP110N: DESIGN: CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: F •CONTAINED SHALL NOT BE USED FOR THE PETER VATOUSIOU Peter Vatousiou RESIDENCE Jay Ellis �OIar�I��BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM:NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 30 IRONSIDE DR 5.94 KW PV ARRAYPART TO OTHERS OUTSIDE THE RECIPIENTS MooDLEs WBARNSTBL MA 02668ORGANIZATION• EXCEPT IN CONNECTION WITH ' Martin Drive,Building 2,Unit 11 THE SALE AND USE OF SOLARCIIY QUIPMEN H1TFIouT THE¶Y�IRIITEN (22) SUNIVA # OPT270-60-4-1B0 SHEET: REV: DATE 6 rl 1028h F:A 01752 (650)638-1029 PERMISSION OF SOLARCITY INC. PAGE NAMEINVERTER: SE5000A—USOOOSNR2 5083648423 SITE PLAN PV 3 a 3/3/2ols ,CITY(765-2489) •salarcltY.c«a t WEI tl E pQ� o��a�Ngr�ay � o Go e MAR 0 - ��� Si Si GROWTH MANAGEMENT 4" 33-1A 7-11 J3'- 0f-77-1 (E) LBW (E) LBW A SIDE VIEW OF MP�1 NTS B SIDE VIEW OF MP2 N� MPJ X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES MP2 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES LANDSCAPE 64" 24" STAGGERED LANDSCAPE 64" 24" STAGGERED PORTRAIT 48" 17" PORTRAIT 48° 17° ROOF AZ1 180 PITCH 45' ROOF AZI 180 PITCH 45 RAFTER .2X8 @ 16"OC ARRAY AZI 180 PITCH 45 STORIES.2 RAFTER 2x8 @ 16"OC ARRAY AZI 180 PITCH 45 STORIES:2 C.J. 2x6 @16"OC I Comp Shingle C.J. 2x6 @16"OC Comp Shingle PV MODULE 5/16" BOLT WITH LOCK INSTALLATION ORDER & FENDER WASHERS LOCATE RAFTER, MARK HOLE ZED 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. , OF (E) COMP. SHINGLE' �H �{ (1) (4) PLACE MOUNT. N �G (E) ROOF DECKING u (2) u (5) INSTALL LAG BOLT WITH ��L y 5/16" DIA STAINLESS (5) SEALING WASHER. 1 STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH SEALING WASHER (6) BOLT & WASHERS. sS NAL fcNG`� (2-1/2" EMBED, MIN) _ 03/04/2016 (E) RAFTER STANDOFF T^N DO FF ♦ J I �-il V Scale: 1 1/2" = 1' PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL S - THE INFORMATION HEREIN JOB NUMBER: JB-0262288 00 PETER VATOUSIOU Peter Vatousiou RESIDENCE Jay Ellis CONTAINED SHALL NOT EXCEPT USED FOR THE So�arCity NOR SHBENEFIT OF ALL IT"BENDISCL ED N YrttOLE ORCIN MOUNTING SYSTEM: 30 I R O N S I D E D R ''�'g PART TO OTHERS OUTSIDE THE RECIPIENTS 'Comp MOUfIt Type C 5.94 KW PV ARRAY ORGANIZATION, EXCEPT IN CONNECTION WTH MODULES: W B A R N S TB L, MA 02668 THE SALE AND USE OF THE RESPECTIVE (22) SUNIVA # OPT270-60-4-180 24 St. Martin Drive, Building z Unit 11 SOLAROTY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME SHEET: REV DATE Marlborough,MA 01752 PERMISSION OF SOLARg1Y INC. INVFRIFR T. (650)638-1028 F- (650)638-1029 SOLAREDGE 8E5000A—USOOOSNR2 5083648423- STRUCTURAL VIEWS PV 4' 0 3/3/2016 (aBB)-SOL-CITY(765-2489) www.solarcity.com UPLIFT CALCULATIONS APPR OV D RECENED APR 2 7 2016 MAR 0 7 ZU16 . Town of ble s Tg WaV GROWTH MANAGEMENT old King' Hi Committee SEE SEPARATE PACKET FOR STRUCTURAL CALCULATIONS. i . I PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: J g-0 2 6 2 2 8 8 00 T •CONTAINED SHALL NOT BE USED FOR THE PETER VATOUSIOU Peter Vatousiou RESIDENCE �Oy EIIIS :,,SO�arClty BENEFIT OF ANYONE EXCEPT SOLARCITY INC.. MOUNTING SYSTEM: �'. NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C .30 IRONSIDE DR 5.94 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES W BARNSTBL MA 02668 ORGANIZATION, EXCEPT IN CONNECTION WITH � 24 St.Martin Drive, Building 2, Unit 11 THE SALE AND USE OF THE RESPECTIVE (22) SUNIVA # OPT270-60-4-180 p{EET; REk DATE Marlborough MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME PERMISSION OF SOLARCITY INC. INVERTER: 5083648423 PV 5 a 3 3 2016 T (s50)s38-1028 F: (sS0)636-10� SOLAREDGE SE5000A—USOOOSNR2 UPLIFT CALCULATIONS / / (888�SOL-CITY(7s5-248g) www•sdarcit.com i APR 2"1 2�16 pp RECEIVED lown of BSH 9 hWay old K1n9 Cp1n1r1ittee 0 GROWTH MANAGEMENT L--T -T —1 JI El F-1 77-6' r-� 0000000ao L L! ILJ 0000aoaao ELEVATION SCALE: 4„_1 PREMISE OYMER: DESCRIPTION: DESIGN: CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: J B-0262288 00 PETER VATOUSIOU CONTAINED SHALL NOT BE USED FOR THE Peter Vatousiou RESIDENCE. Jay Ellis '. So�arCity CONTAINED D ANYONE EXCEPT SD FOR INC., MOUNTING SYSTEM: �,� NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 30 IRONSIDE DR' S.94 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENT'S ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES: W BARNSTBL, MA 02668 THE SALE AND USE OF THE RESPECTIVE (22) SUNIVA # OPT270-60-4—lBO 24 St Martin Drive,Building 2,Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PACE NAME: SHEET: REV: DATE Marlborough, MA 01752 PERMISSION OF SOLARCITY INC. T.- (650)638-10.28 R (650)638-1029 SOLAREDGE SE5000A—USOOOSNR2 5083648423 ELEVATION PV 6 a 3/3/2016 (BBB)-SOL—CITY(765-2489) www.solarcity.com GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO TWO (N) GROUND Panel Number:LC120DF Inv 1: DC Ungrounded INV 1 -(1)SOLAREDGE E5000A-USOOOSNR GEN #168572 ��$ LABEL: A -(22)SUNIVA # OPT270-60-4-1B0 ELEC 1136 MR RODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:2288410 Tie-In: Supply Side Connection Inverter; 500'OW, 240V, 97.5%; w�Unifed Disco and ZB,RGM,AFCI PV Module; 270W, 242.OPTC, H4, Black on Black, ZEP Enabled Overhead Service Entrance INV 2 Voc: 38.4 Vpmox: 31 INV 3 1 Isc AND Imp ARE SHOWN IN THE DC.STRINGS IDENTIFIER �E 100A MAIN SERVICE PANEL E; 10OA/2P MAIN CIRCUIT BREAKER o Inverter 1 O E WIRING CUTLER-HAMMER Disconnect CUTLER-HAMMER 1 _ 10OA/2P 4 Disconnect. 3 SOLAREDGE A A 30A SE5000A-US000SNR2 EDc GC MP1: 1x11 - - -------------------- I A B L1 2aov F------------ -- 'I E3 L2 DC+ I I N DG I 2 _ _ I (E) LOADS GND _-__ _EGCI DC+ + --------------------- GEC ---lN oG MP2: 1x11 r---J GND. -- Ems--- -------- G , N I (1)Conduit Kit; 3/4" EMT I ~ c EGC/GEC _ GEC-r-1 ( 0\j TO 120/240V T SINGLE PHASE I I 2a16 RECEIVED UTILITY SERVICE I Tow�ot651r1�lghway MAR O 7 ;Z Ktn9 I I 01d Commd�ee GROWTH MANAGEMENT PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN Voc* = MAX VOC AT MIN TEMP POI (2)Gro id Rod (1)CUTLER-HAMMER $DG222NRB /r\ PV 0)SOLAREDGE�P300-2NA4AZS D . srB x 8, per A Disconnect; 60A, 24OVac,Fusible, NEMA 3R A PowerBox Optimizer, 30OW, H4, DC to DC, ZEP -(2)ILSCQ}}IPC 4�0-$6 Insulotion Piercing Connector, Main 4/0-4, Top 6-14 B (1)CUTLER-HAMMER $40Vac,N nd (1)AWG$6, Solid Bare Copper Disconnect; 30A, 240Vac,Non-Fusible, NEMA 3R -(1)Ground Rod; 5/8' x 8', Copper S SUPPLY SIDE CONNECTION. DISCONNECTING MEANS SHALL BE SUITABLE -(1)CGTLERj MME jt;D30A General Duty(DG) AS SERVICE EQUIPMENT AND SHALL BE RATED PER NEC. (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$6, THWN-2, Block � 1 AWG#10, THWN-2, Block - O (2)AWG $10, PV Wire, 60OV, Black Vocp* =500 VDC Isc =15 ADC ® (1)AWG#6, THWN-2, Red - - = O IsF (1)AWG#10, THWN-2, Red ( 40 / ' . ' (2)AWG OKit.Solid Bore Copper j'.EM 0V,. . . .C Voc* =.500 VDC Imp=8.38 ADC (1)AWG /6, THWN-2, White NEUTRAL Vmp 240 VAC Imp-21 AAC L��LL(1)AWG 10, THWN-2, White NEUTRAL Vmp 240 VAC Imp-21 AAC (1 Conduct Kit; 3/4',EMT. . , , . ... .. ..-(1)AWG$6,,Solid Bare,Copper. GEC. , , . ,(1)Conduit.Kit;,3/47.EMT, , ,, , , , , , , , , , , , , ,, (1)AWG$8.TH,WN-2,.Green . , EGC/GEC. 1)Conduit Kit; 3 4' EMT ( $ Isc =15 ADC O (1)AWG$6, Solid Bare Copper EGC Vmp =350 VDC Imp=8.35 ADC (1)Conduit Kit;.3/4.EMT . .. . . . . . .. . . . . . . .. . . . . . . . . . . . . .. . . .. . CON J B-0 2 6 2 2 8 8 00 PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: T. 24 ■CONTAINED SHALL NOT BE USED FOR THE PETER VATOUSIOU Peter Vatousiou RESIDENCE Jay EllisolarC�tyBENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM:NOR SHALL IT BE DISCLOSED IN WHOLE OR IN 30 IRONSIDE DR 5.94 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS Comp Mount Type CORGANIZATION, EXCEPT IN CONNECTION N1TH MDDULEs W BARNSTBL, MA 02668 n Drive Building z Unit 11 THE SALE AND USE OF THE RESPECTIVE 22 SUNIVA # OPT270-60-4-1B0 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN SHEEP: REV DATE: Marlborough, MA 01752 INVERTER: PAGE NAME T. (650)638-1028 F: (650)638-'1029 PERMISSION OF SOLARCITY INC. 5083648423 PV 7 a 3/3/2016 (8B6 www.solarcity.com sES000A-us000sNR2 THREE LINE DIAGRAM )-SOL-CITY(765-2489) www.solarcit.com WARNING:PHOTOVOLTAIC POUVER SOURCE Label Location: - ' WARNING Label • 'Location: ' ' WARNING Label Location: ' ' Per Code: Per Code: Per Code: NEC 690.31.G.3 ELECTRIC SHOCK HAZARDNEC ELECTRIC SHOCK HAZARD DO NOT TOUCH TERR%IINALS ' 1 NEC •THE DC CONDUCTORS OF THIS 1 Label • • TERfv11NALS ON BOTH LINE AND PHOTOVOLTAIC SYSTEM ARE • BE USED WHEN PHOTOVOLTAIC DC LOAD SIDES R4AY BE ENERGIZED UNGROUNDED ANDINVERTERIS Code: IN THE OPEN POSITION MAY BE ENERGIZED UNGROUNDED DISCONNECT NEC .•/ LabelLabel Location: on: PHOTOVOLTAIC POINT OF • fv1AXIMURA P01NER-_ . INTERCONNECTION Per Code: Per A WARNING: ELECTRIC SHOCK POINT CURRENT(Imp) Code: HAZARD.DO NOT TOUCH NEC ••1 690.54 N1AXIfv1UM POWER S vNEC 690.53 TERMINALS.TERR�INALS ON POINT VOLTAGE(Vmp) BOTH THE LINE AND LOAD SIDE hr1AXIRAUR1 SYSTER4_v tviAY BE ENERGIZED IN THE OPEN VOLTAGE (Voc) POSITION. FOR SERVICE SHORT-CIRCUIT A DE-ENERGIZE BOTH SOURCE CURRENT(Isc) AND N1AIN BREAKEP,. PV POUlER SOURCE r:aAxlr.iurl Ac A OPERATING CURRENT NIAXIRdURd AC LabelOPERATING\/OLTAGE V WARNING ' Per ..- NEC ELECTRIC SHOCK HAZARD IF A GP.OUND FAULT IS INDICATED 690.5(C) NORfv1ALLY GROUNDED Label • • CONDUCTORS RAAY BE CAUTION UNGROUNDED AND ENERGIZED •• DUAL POWER SOURCEPer Code: SECOND SOURCE IS NEC 690.64.B.4 PHOTOVOLTAIC SYSTEfvI Label • • Per Code: Label WARNING Location: ELECTRICAL SHOCK HAZARD DO NOT TOUCH TERf!11NALSNEC 690.17(4) CAUTION ' • TERMINALS ON BOTH LINE ANDPer Code: NEC LOAD SIDES fvlAY BE ENERGIZED PHOTOVOLTAIC SYSTE�!1 690.64.B.4 IN THE OPEN POSITION CIRCUIT IS BACKFED DC VOLTAGE IS ALWAYS PRESENT IMHEN SOLAR MODULES ARE EXPOSED TO SUNLIGHT Label • • RECENED WARNING '• Code:Per ` INVERTER OUTPUT Label CONNECTION NEC ' 1 P H OTOVO LTAI C AC • DO NOT RELOCATEDisconnect THIS OVERCURRENT •;'�' e • • NEC DISCONNECT 690.14.C.2: DEVICE Combiner :• . Distribution (DC): DC Disconnect Label Location: (IC): Interior Run Conduit (INV): Inverter With Integrated DC Disconnect fvlAXiMUR�AC A ' '•I) (LC): Load 'I• Center OPERATING CURP.ENTPer Code: (M): Utility Meter NEC fv1AXIRAURA AC 690.54 OPERATING VOLTAGE ® V ra a • K San MateD,CA 94402; �11 oh,"I . a .•- I • - APR `�'1 2016 Town of f arnstable ® 0 nld King's Htee ' SOIafCity I ZepSolar Next-Level PV Mounting Technology ''SSOIafCity ZepSolar Next-Level PV Mounting Technologym'ttee Components Zep System 3` for composition shingle roofs l _ •.U'p roof Leveling Foot Interlock GrourM Zep ixcy'.ac mov:ni—leveling Foot Part No.850-1172 •� �' — r �� ETL listed to UL 467 " Zep Compatible PV Module , • Zep Groove � -- ///� Root Attachment Array Skirt rk ~ Comp Mount -�;•. �, Part No.850-1382 Listed to UL 2582 Mounting Block Listed to UL 2703 . QOOMPATje -:. . Description PV mounting solution for composition shingle roofs calm t'\ FO Works with all Zep Compatible Modules °°NPhr Auto bonding UL-listed hardware creates structural and electrical bond • Zep System has a UL 1703 Class"A"Fire Rating when installed using modules from any manufacturer certified as"Type 1"or"Type 2" Interlock Ground Zep V2 DC Wire Clip UL LISTED Specifications Part No.850-1388 Part No.850-1511 Part No.850-1448 Listed to UL 2703 Listed to UL 467 and UL 2703 Listed to UL 1565 • Designed for pitched roofs • Installs in portrait and landscape orientations I�7��v�ygyT1, • Zep System supports module wind uplift and snow load pressures to 50 psf per UL 1703 .�bd_'a`1:LE V a'D • Wind tunnel report to ASCE 7-05 and 7-10 standards • Zep System grounding products are UL listed to UL 2703 and UL 467• Zep System bonding products are UL listed to UL 2703 M64� MAR 0 ?01 Engineered for spans up to 72"and cantilevers up to 24" • Zep wire management products listed to UL 1565 for wire positioning devices • Attachment method UL listed to UL 2582 for Wind Driven Rain Array Skirt,Grip, End Caps GROWTH MANAGEMENT Part Nos.850-0113,850-1421, 8 67 zepsolar.com zepsolar.com Listed to UL 1565 i • This document does not create any express warranty by Zep Solar or about its products or services.Zep Solar's sole warranty Is contained in the written product warranty for _ { This document does not create any express warranty by Zep Solar or about its products or services.Zap Solar's sole warranty is contained in the written product warranty for each product The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely each product The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely responsible for verifying the suitability of ZepSolar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. responsible for verifying the suitability of ZepSolar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. Document#800-1890-0011 Rev A Date last exported: November 13,2015 2:23 PM - Document#800-1890-001 Rev A Date last exported: November 13,2015 2:23 PM r vv. 9,"",Tl T) solar=ee solar=eqSolarEdge Power Optimizer Module Add-On for North America P300 / P350 / P400 SolarEdge Power Optimizer - - - P300 0350 P400 Module Add-On For North America (for 60-ce11 PV (for 72-cell PV (for 96-cell PV - modules) modules) modules) P300 / P350 / P400 • Red Input DC Poweruf 300 350 400 W bso............. .................................................................................. Absolute Maximum Input Voltage Nod at lowest temperature) 48 60 80 Vdc ........................................... ..............-.................................................................... ............. MPPT Operating Range........................................................8-.�T ........... .....................a:............... ...Vdc . • Maximum Short Grcuit Current(Isc) 10 Adc um DC Input Current 12.5 Adc ..............................................................I....................... ...................................... Maximum Efficienry •,•.,••,.,•..,..,.••,••„_.••_99.5 % ...................................................................................... ...................................... ............. .,•' •. Weighted Efficiency ..............................98.8..........................................%...... Overvoltage Category 1 11 OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER) _ Maximum Output Current 15 Adc Mazimum Output Voltage 60 Vdc • - OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF) t Safety Output Voltage per Power Optimizer 1 Vdc STANDARD COMPLIANCE W_� •(' EMC FCC Part15 Class B,IEC61000-6-2,IEC61000-6-3 MIa.._ -� .............................................................................................................................................R.. ............ ............. IEC62109-1(dass II safety).UL3741 RoHS Yes INSTALLATION SPECIFICATIONS Maximum Allowed System Voltage.........................................................................1000...................................... ...Vdc ....-.e...................... in Dimensions(W x L x H). ............................................................141 x 212 x 40.S/S;SS x 8.34 x 159................... .... ................................. - � �� Weight(indudin�pbles) 950/2.1 �� ■ ¢. Input Connector MC4/Amphenol/Tyco .. •-. .. .................................................................................. n Out ut Wlre Type/Connector DI uble Insulated;Amphenol .r - Output Wire Length 0.95/3.0 12/39 m/ft N Operating Tempeature Range.....................................................................40--+85/:40:+185 -C/.F... � ill�_� ,C,., Protechon Ratin IP65/NEMA4 ........... . co CA cN Relative Humidlt .... 0_100................................. ....%...... Y.................. ....................................................................... ... L G� OS0• ^fn,asscc^.dnm.rooem..rnmwemwro.sx w.xf ra..,nro.m«a. . 6F c Y V PV SYSTEM DESIGN USING A SOLAREDGE THREE PHASE THREE PHASE Q t ( SINGLE PHASE � INVERTER 208V= . 480V t PV power optimization at the module-level Minimum Strng Length(Power Optimizers) 8 l0 18 .................................................................................. ...... Up[0 25%more energy f Maximum String Length(Power ODHmizers) 25 . 50 .................................................... ... ... ...... .. ... .. Maximum Power per String 5250 6000 12750 W — Superior efficiency(99.5%) ..ara..................................................................... ....................... ......... Parallel Strin s 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 ------ -- •--•-- _.�. _�. . — Next generation maintenance with module-level monitoring ' — Module-level voltage shutdown for installer and firefighter safety USA - GERMANY - ITALY - PRANCE JAPAN - CHINA - ISRAEL - AUSTRALIA www.solaredge.us - RECEIVED MAR 0 7NIG OPTIMUS SERIES:OPT 60 CELL MODULES �7�'r�T�MAN �h. �� Suniva ELECTRICALDATA(NOMINAL) GROWTH MANAGEMENT The rated power may only vary by t5 Wp and all other electrical parameters by t 5% m, ,sok„u,d,s,^,mi,r Model Number OPT OPT 1 .k ., . :, : , ., :, SUNIVA OPTIMUS° SERIES 1 Power Class"rfication(Pmax) 260W 270W Module Efficiency(%) 16.02% 16.63% Voltage at Max.Power Point(Vmp) 30.50 V 31.00 V ' 9 MONOCRYSTALLINE SOLAR MODULES `D {i `c Current at Max.Power Point(Imp) 8.52 A 8.70 A r �!„/ OPT SERIES:OPT 60 CELL MODULES `� Open Circuit Voltage(Voc) 38.30 V 38.40 V ZEP COMPATIBLE FRAME it Short Circuit Current(Isc) 9.01 A 9.te A APR 21 2016 9R7 I The electrical data apply to standard test conditions(STC):Irradiance of 1000 W/m'with AM 1.5 spectra at 25°C. n Ot Ea instable QCOMPATj� Tow The Optimus'modules consist of Suniva's latest CHARACTERISTIC DATA Old King S Ht2 Way ENGINEERING EXCELLENCE I l� technology:ARTisun'Select.These superior ; CoMm)tte j ■ Built exclusively with Suniva's highest-efficiency ' Type of Solar Cell High-efficiency ARTisun Select cells of 156 x 156 mm(6 in.)� • monocrystalline cells are designed and � I �^ d° - o ARTisun Select cells,providing one of the highest F v manufactured in the U.S.A.using our proprietary o Frame Black anodized aluminum alloy;Zep Compatible frame power outputs per square meter at an affordable �COMPA low-cost processing techniques.Engineered i h. s„ Glass Tempered(low-iron),anti-reflective coating manufacturing cost with our pioneering ion implantation technology, • Junction Box NEMA IP67 rated;3 internal bypass diodes ■ Suniva is a U.S.based company spun out from the high power-density Optimus modules provide excellent value; Georgia Tech University Center of Excellence in performance and reliability. a Cable&Connectors 12 AWG cable length approx.approx.1200 mm cable with Amphenol H4 connectors; Photovoltaics;one of only two such research centers in the U.S. n MECHANICALS FEATURES ■ Suniva's state-of-the art manufacturing and module Cells/Module 60(6 x 10) ' o � � 61 A lab facilities feature the most advanced equipment ti f Module Dimensions 1652 x 982 mm(65.04 x 38.66 In.) and technology Contains the latest ARTisun Select cell �`U SA* technology-over 19% Module Thickness(Depth) 40 mm.(1.57 in.) QUALITY & RELIABILITY Approximate Weight 18.5•+/-0.25 kg.(40.8+l-0.5lb.) f 0 Silver frame available upon request ■ Suniva Optimus modules are manufactured and TEMPERATURE COEFFICIENTS warranted to our specifications assuring consistent 4 Zep Compatible frame high performance and high quality. Voltage 0,Voc(%/°C) 0.335 ■ Rigorous in-house quality management tests 0 Marine grade aluminum frame with hard _ Current a,Isc(°/.PC) +0.047 1 beyond standard UL and IEC standards anodized coating Power y,Pmax(%NC) -0.420 ■ Produced in an ISO 9001:2008 certified facility E " NOCT Avg (+/-2°C) 46.0 QIndustry leading linear warranty:10 year warranty ■ Performance longevity with advanced on workmanship and materials;25 year linear LIMITS polymer backsheet performance warranty delivering 80%power at STC _m Max.System Voltage 1000 VDC for IEC,1000 VDC for UL ° Ma ■ Passed the most stringent salt spray tests based Max Series Fuse Rating 15 Amps on IEC 61701 0 Buy America compliant upon request Operating Module Temperature -40°C to+85°C(-40°F to+185°F) ■ Passed enhanced stress tests'based on IEC 61215 i Qualifies for U.S.EXIM financing SUN Storm Resistance/Static Load Tested to IEC 61215 for loads of 2400 Pa(50 psf); conducted at Fraunhofer ISE' hall and wind resistant ■ Certified PID free by PV Evolution Labs(PVEL) 0 System and design services available �% FARPFgF pU s 9 y P/V Suniva®reserves the right to change the data at an time.View installation manual at ze solarcom. = ORM STR 'UV 90 kWh,TC 400,DH 2000.'Tests were conducted on module type OPT 60 silver frame. ■ PAN files are independently validated by PVEL 9o% At CFy(F o k,ARR�tiNr, ■+z"j� _ CERTIFICATIONS > so% , Please read Installation manual before Installing or working with module. T2 25 0 Ga �. �PYEL AS5033 YEARS HEADQUARTERS ■ABYA1�165IVR Compliant 5765 Peachtree Industrial Blvd., PLEASE RECYCLE 30 �OPT-BOeell zs 70o No cross-140447772700USA Suniv er and black) MAY 7.2014(REV.6) ISAMD_0038) t.OPT•72 cell 122 24 528 www.suniva.com Th.Brilliance of S°lar Mad°Sensible• h `1 . Suniva Inc Date:August 28,2014 Suniva Inc Date:July 24,2014 Project No. 101744103MID-001.1r3 Page 7 of 8 Project No. 101708994MID-001r3 Page 7 of 8 6 Conclusion 6 Conclusion The results of the tests performed on the Photovoltaic Module model OPT270-60-4-100 with The results of the tests performed on the Photovoltaic Module model OPT270-60-4-100 and alternate components, provided by Suniva Inc. using a TYPE 2 exposure, per UL 1703(2013) OPT270-60-4-1BO provided by Suniva Inc. using a TYPE 1/2 exposure, per UL 1703(2013) Section 31.1 referencing UL 790(2004) "Standard Test Methods for Fire Tests of Roof Section 31.1 referencing UL 790(2004) "Standard Test Methods for Fire Tests of Roof Coverings", per section 7 and section 8 for Spread of Flame and Burning Brand tests are as Coverings", per section 7 and section 8 for Spread of Flame and Burning Brand tests are as follows. follows. f Sam le# Sample Description Test Rating Sam le# Sample Description Test Rating 1 Photovoltaic Module Spread of Flame TYPE 2 1 Photovoltaic Module Spread of Flame TYPE 2 Model:OPT270-60-4-100,Type 2 Construction Model:OPT270-60-4-100,Type 2 Construction 2 Photovoltaic Module Burning Brand TYPE 2 2 Photovoltaic Module Spread of Flame TYPE 2 ModeI:OPT270-60-4-100,Type 2 Construction Model:OPT270-60-4-1 BO,Type 2 Construction 3 Photovoltaic Module Spread of Flame TYPE 1 The Suniva Inc photovoltaic modules met the requirements for a Type 2 fire application in I Model:0PT270-60-4-100,Type 1 Construction accordance with UL 1703(2013)Section 31.1 in compliance with UL 790(2004) "Standard Test Methods for Fire Tests of Roof Coverings", per section.7 and section 8 for Spread of Flame and The Suniva Inc photovoltaic modules met the requirements for a Type 1 or Type 2 fire Burning Brand tests at a 5:12 slope. This test program was to evaluate 2 models the 60 cell application in accordance with UL 1763 (2013) Section 31.1 in compliance with UL 790 (2004). and the 72 cell modules. The components and materials are identical except for the number of "Standard Test Methods for Fire Tests of Roof Coverings", per section 7 and section 8 for cells. The construction reviews are on file at Intertek Lake Forest facility.The.60 cell model was Spread of Flame and Burning Brand tests at a 5:12 slope. Tests 1, 2 and 3 had previously been tested as representative of both the 60 cell and 72 cell models in the OPT line of photovoltaic tested for the Class C brand, therefore the tests were not repeated. This test program was to panels. As it pertains to fire resistance, the number of cells in these models does not change evaluate 2 models the 60 cell and the 72 cell. The components and materials are identical the amount of flammable materials, therefore the results of testing would be the same. This except for the number of cells. The construction reviews are on file at Intertek Lake Forest testing covers the model OPTxxx-zz-4-100, where the xxx is 225-350 (W) and zz is 60 or 72 facility.The 60 cell model was tested as representative of both the 60 cell and 72 cell models in (number of cells). the OPT line of photovoltaic panels. As it pertains to fire resistance,the number of cells in these models does not change the amount of flammable materials, therefore the results of testing This report does not automatically imply product certification. Products must be under a would be the same.- This testing covers the model OPTxxx-zz-4-1yy, where the xxx is 225-350 certification program and bear the Warnock Hersey registered certification mark to demonstrate (W)and zz is 60 or 72(number of cells)and yy is the backsheet color. compliance. This report does not automatically imply product.certification. Products must be under a INTERTEK TESTING SERVICES NA certification program and bear the Warnock Hersey registered certification mark to demonstrate compliance. QJ )�r'� RECEIVED INTERTEK TESTING SERVICES NA � , , Reported by: Gregory Allen Engineering Team Leader, Openings ` ' Reported by: i Intertek, Building Products Gregory Allen GROWTH 1A OUAGEMENT Engineering Team Leader, Openings Inte ek, Buil�jng Products Reviewed by: j �J Reviewed I Kent Kelsey Kent Kelsey Engineering Team Leader, Construction Products _ Engineering Team Leader, Construction Products Intertek, Building Products Intertek, Building Products 1 i j i RECEIVED MAR % 7 WI • • Single Phase Inverters for North America RONn�MANAGEMENT solarsolar SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ SE760OA-US/SE1000OA-US/SE1140OA-US SE3000A-US SE380OA-US I SESOOOA-US I SE6000A-US I SE760OA-US SE10000A-US SE1140OA-US OUTPUT SolarEd a Single Phase Inverters 9980@208V g g . Nominal AC Power Output 3000 3800 5000 6000 7600 11400 VA ........................................... ................ .......... ......30000 240V . � Max.AC Power Output 3300 4150 5400 @ 208V 6000 8350 10800 @ 208V 12000 VA For North America "A'C" .Ou.t..put V......oltage.......M..in...:N.....om:..M....ax!.'I.. ................ ................545o@?Qoy......-........... .............-...�0950. ?40�. ............................. r AC 183-208-229 Vac - - - - ��`�•f SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ ...Outp.tVolt....Min.No .Max.... ................ ......:......................................... .................................. ............................. A r AC Output Voltage Min:Nom:Max!" �A 211-240-264 Vac SE7600A-US/SE10000A-US/SE11400A-US ............................................ .......�....... ......................�...............�....... .......�...............�................�.................... AC Frequency Min.:Nom:Max!.1 59.3-60-60.5(with HI country setting 57-60:60.5) Hz ........ .............. ................ ............................ . Max.Continuous Output Current 12.5 16 24 @ 208 25 32 8 47.5 A -)\e ........ ........ ............... ................I.................... .2 V GFDI Threshold ................. 1.......................................................... ...A'.... n.o S\A 9nWa`I 4 @ 208V (� 42 24DV I - - Utility Monitoring,Islanding Protection,Country Configurable Thresholds Yes Yes \/,%rig cn flee INPUT C,0M Maximum DC Power(STC) . .. 4.050 5100 6750 8100 10250 13500 15350 W Transformerless,,Un grounded ...... Yes ....................................................... I q Max.In ut Voltage 5 P g ................... ............................................ ...... ....500... .. ..... ........................................... ...Vdc... _yG�Wactan�Y ......................................... ........ .. _ Y ..... ............... Nom.DC In ut Volta a 325 208V 350 i 240V Vdc P g @ /, Max.Input Currentm 9.5. ....13.... ••16.5�208V.I .....18 ... .....23..-. ...33 @208V••• ••..• ........ ...Adc•••• I 30;5 240V........................................... ................ ................. ......... ... ..- .................. . . .-.......-........ .. ... - Max.Input Short Circuit Current 45 Adc •, ._•�I%� Reverse-Polarity Protection ............................ ..... .Yes..........-........................................ ..... _ .................ty rote.................. .............. _ I -: .r 7 Ground-Fault Isolation Detection 600ko Sensitivity .............................. ................ .......... ..................-....-........ ...................-......... - Maximum Inverter Efficienc 97.7 98.2 98 3 98.3 ..............................Y.......... ................ .......... .... . 208V.. ........ ....98..... .97.98.08V... .....98...... ..•.'�°...-. CEC Weighted Efficiency 97.5 98 97 5 @ 97.5 97.5 @ 2 97.5 % t g Y ....... ............. ........... . { .............................P............ ................ ................ 98.�°.240V........9-....... ....... ....975,@ 240V.. .. Nighttime Power Consumption <2.5 <4 W ADDITIONAL FEATURES Supported Communication Interfaces R5485:RS232,Ethernet,ZigBee(optional) - ........................................... ............................................ ............... .. .. .. Revenue Grade Data,ANSI C12.1 Optional'' ........................................... ...................................... ............ ........... ......................................... Q. Rapid Shutdown—NEC 2014 690.12 .Functionality enabled when SolarEdge rapid shutdown kit is installed(4) T` STANDARD COMPLIANCE f �•sF t - .....••• UL1741,UL16998,UL1998,CSA 22.2 ..Safe.... .......... ................. ..............-...................................................................................................................... f Grid Connection Standards .••-•.--...-•.•..•••••,•........................................................................................... IEEE1547 . .................. .-.-............................................................... Emissions FCC part15 class B i INSTALLATION SPECIFICATIONS - AC output conduit size/AWG range 3/4"minimum/16-6 AWG 3/4"minimum/83 AWG ......... . ........-.. i DC input conduit size/p of strings/ 3/4 minimum/1 2 strings/ :� AWG ran a 3/4 minimum/1 2 strings/16 6 AWG I g 14...AWG............. Dimensions with Safety Switch 30.5 x 12.5 x 10.5/ in/ ^. HxWxD 30.5 x 12.5 x 7.2/775 x 315 x 184 775x 315z260 min. ....... ................................ ................................................................................................................................... 1 Wei htwithSafetySwitch--••••••••••• •••.••..•.51:2/23.2••••••••••I••••••••••••••.-•.:54:7/24.7-• 88:4/.40.1 ••.lb kg ..... .... - ................. Natural .. convection i Cooling Natural Convection and internal Fans(user replaceable) tl fan(user . The best choice for. olarEdge enabled systems -• ••••-••................................. ................................................................... .replaceable), Noise <25 <50 dBA . . i:n.-' ..................mp'er.......... ............................-...................................... ................................................................. Integrated arc fault protection(Type')for NEC 2011690.11 compliance Min:Max.operating Temperature .13 to+140/-25 to+60(-40 to+60 version available"') -F/-C Superior efficiency(98%) „Range................................... . Protection Rating .................................................NEMA 3R .. Small,lightweight and easy to install on provided bracket ;,;-••••••••• •••• Far other regional seMngs please mntatt SolarEdge support- Built-in module-level monitoringof A higher current sauce may be used;the Inverter will limit its Input current to the yalues stated. Revenue grade inverter P/N:SE—A-US000NN112(for 76DOW ImenerSE7600A-U50021,114112). (4)Rapid shutdown kit P/N:SEI000-1151)41. Internet connection through Ethernet or Wireless p'Zv,.kmP/N:SExtoaA-US0D0NNU4(for 760OW ImerterSE760DA-US002NNU4). Outdoor and indoor installation Fixed voltage inverter,DC/AC conversion only Y Pre-assembled Safety Switch for faster installation Optional—revenue grade data,ANSI C32.1 I II sunsaEc RoHS Q� USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-ISRAEL www.solaredge.us TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Tn;IN"OF ,1,,,ARNSTAR.E Application # J0 I Health Division r_ �! z r. i A. r Date Issued 4 v _ Conservation Division Application Fe' _�; Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis p Ml Project Street Address �U ��,�,,,se�` ►fir. ` Village - Owner _ Address s��t Telephone 3C L l 4-11> Permit Request �,.)� •-•z�F .._ } )� c�l�)��� .+ � Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family R/ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes Cl No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# _ Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Mike McCarthy Construction Telephone Number Address West Dennis, MA 02670 License # Cell - CSfL-5S633 HIC-169393 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Id ��� t FOR OFFICIAL USE ONLY r APPLICATION# DATE ISSUED MAP/PARCEL N0. ADDRESS VILLAGE OWNER . DATE OF INSPECTION: FOUNDATION .' FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL } :r . PLUMBING: ROUGH FINAL 3 GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT t ASSOCIATION PLAN NO. iy I Town of Barnstable W^ Regitfatoey. Services vstnrsi� kiehard. .Sca14 Dire 'V ctor. Bitgdijig]Division Tom Perry,Building Commissioner 200 Main SPteet,Iiyrumis,Mk 02601 wwv towa.barnstable_via_us. Office: 508=862-4038 fax: SO8-790-6230 Property Owner Must Complete-and Sign This Section. __ .._... _ . . ...__.. __.....zfUs•in._.;.ABuiLder bs:j 11 ,as 4rivner..of the:stbject nropeny v C liei�bpautharize, U -co act on mybelialf, in all matters.relative•to�rork.authon7P . ythis.building permit application for. 3 o fro,..s;�e b f l Ve, Vl kl�ri5�a b1 e M4 OJk6 q '(Addno s s�off-lob)•. Pool fences =a alarms are the r'es oiis � of be a p hc=t. P4o1s p� �S''` - 1?p. are not o be:filled ar utili ced before fence is 1nslled aid all linal ixnspections are.peiformed and accepted. �/ i /1 :$ignacu„e-of Owber. Signa�of A. pobcmt /i Priat.Name PiintNaaae I Daze Q;FORMS-OWTWPItA•SISSIONP.00LS t r i �i v Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supen•isor License: C"58633 MICHAEL J MCC�AR PO BOX 52 W DENNIS MA$267 �Z/�,, -&—elfor— is "` Expiration Commissioner 04/10/2016 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Goxtrtctor Registration _-- -_ Registration: 169393 Type: Individual 4--- Expiratio /2017 Tr# 264961 MICHAEL MCCARTHY MICHAEL MCCARTHY P.O. BOX 52 s - WEST DENNIS, MA 02670 --- Update Add4ess and return card.Mark reason for change. )Mosm J Address Renewal Employment 1 Lost Card The Commonwealth of Massachusetts Department of lnthistrialAccillents I Congress Street,Suite 100 Boston,MA 02114-2017 w1PIP.mass gov/dia 11roi�keis'Compensation Insurance Affidavit:Biiilders/Contractors/Electricians/Plurobers. TO BE FILED WITH ME P)'RhliTTING AUTHORITY. Applicant Information lease Print Le ibl . Nam Mikee(Business/Organization/Individual): c ay no Dew 47 i Address: West Dennis, MA 02670 e280-6964. City/State/Zip: r it_481 i3 M IHC-169393 i Are yoy an employer?Check thpropriate box: Type of project(required): 1. 1 am a employer with employees(full and/orpart-time).• 7. ❑New construction 2.❑1 am a sole proprietor or partnership and have no employees working for me in 8. [�Remodeling any capacity.[No workers'comp.insurance required.) 3. 1 am a homeowner doing all work myself 9. ❑Demolition ❑ g y (No workers'comp.insurance required.]t 4.❑1 am a homeowner and will be hiring contractors to conduct all work on my prop".ro I will 10❑Building addition ensure that all contractors either have workers'compensation insurance or are sole I I.❑Electrical repairs or additions proprietors with no employees. 5.❑1 am a general contractor and 1 have hired Ihesob-contractors listed on the attached sheet. 12.❑Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insurance.? 13.❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.90ther 152,§1(4),and we have no employees.lNo workers'comp.-insurance required.] •Any applicant that checks box#I must also fill out(he 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 hn 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 llrat is providing workers'compensation insrtrance for hiy employees. Below is the policy and fob site Information.insurance Company Name: AT/ r p� M ii,i -T, PEniLkr Policy#or Self-ins.Lic.#: V W C-—� —(�o i 7 C.i 6 —1d)y Y Expiration Date: )a / - �» Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine tip 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.A copy df this statement may be forwarded to the Office of investigations of the DiA for insurance coverage verification. !do/rereby certify tin tl nd s an allies rjrtry that the:infarmation provider!above is trite and correct. Si nature Date: /t Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector S.Plumbing inspector 6.Other Contact Person: Phone#: WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMRT1019 PAGE A.I.M. Mutual insurance Company 54 Third Avenue, Burlington, Massachusetts 01.803-0970 800 876-27651. NCCI NO 26158- POLICY NO. I VWC-100-6017656-20146 PRIOR NO. I VWC-100-6017656-2014A ITEM 1. The Insured: Michael McCarthy Construction Inc DBA: Mailing address: P 0 Box 52 FEIN:"-"'3862 West Dennis,MA 02670 Legal Entity Type: Corporation Other workplaces riot shown above: See Location 2. The policy period is from 12/15/2014 to 12/15/2015 12:01 a.m.standard time at the insured's mailing address. 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers'Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of liability under Part Two are: Bodily Injury by Accident $ 500,000,each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 500,000 each employee C. Other States Insurance: Coverage Replaced by Endorsement WC 20 03 06 B D. This Policy includes these Endorsements and Schedules: SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating'Plans. All information required below is subject to verification and change by audit. Classifications Premium Basis Rates Code Estimated Per$100 Estimated No. Total Annual Of Annual Remuneration Remuneration Premium INTRA 0712979 INTER SEE CLASS CODE SCHEDU E Minimum Premium $550 Total Estimated Annual Premium $29,332 GOV GOV Deposit Premium $7,748 STATE CLASS MA 1 5479 State Assessments/Surcharges $28,601.00 x 5.8000% $1,659 This policy,including all endorsements,is hereby countersigned by 12/15/2014 Authorized Signature Date Service Office: Bryden&Sullivan Ins Agcy of Dennis Inc 54 Third Avenue PO Box 1497 Burlington MA 01803 So Dennis, MA 02660 F�� WC 00 00 01 A(7-11)Includes copyrighted material of the National Council on Compensation Insurance,usnri with itn narmiccinn. - Assessor's office(1st Floor): / Assessor's map d lot number Conservation ' L �STD Board of Health(3rd floor): ��7��.c'® Sewage Permit number, / �(/ J I ��� ® )�4 L s rua G Engineering Department(3rd floor): y L�, ,, i/ _ - J �•��h+N.4 [,�c;�,���°° House number :�1t�- /"�`�°�®�7y Definitive Plan Approved by Planning Board —��—bE�6" S¢ 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and.1:00-2.00 P.M.,only, TOWN OF BARNSTABLE BUILDING ..,INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION S-- 2,41 19 0/ 3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a_permit according to the following information: �h Location o'i. -4 ZA , i' D" ! LcJaj Proposed Use Zoning District Fire District Ze) Name of Owner �1 ii�,ti,j Address A b X 04,32 Name of Builder Die COwn—r� Address %n X �GZ O 2t:,3 Z Name of Architect Address 22-4— 151)5- Number of Rooms Foundation � �owser� C��o� Z Exterior llz it ! nl� 4k 4rioofing 2 4 it Floors '1_ �n. -��. _�__ _ Interior'--�Lr1r.�C, Heating-- S G4s[ Plumbing I J a Fireplace o Approximate Cost OG,OcX� Area Alz 9� Diagram of Lot and Building with Dimensions l2 s��y Fee D3 50 Vr 2-4 t at 3y ` � Y 2y OCCUPANCY PERMITS REQUIRED FOR NEW DWELLI GS CA I hereby agree to conform to all the Rules and Regulations 61 the Town of Barnstable regarding the above construction. Name Construction Supervisor's License ® 1 2 y CROWDER, ELSIE No 3'6-26-2 Permit For 112 Story Single Family Dwelling Location Lot #42A, 30 Ironside Drive West Barnstable Owner Elsie Crowder a Type of Construction Frame Plot Lot Permit Granted ept. 2 9,. 19 93 Date of Inspection / 7/3 is i f�3 19 to o lei c�� 19 7�ttir y X�'•, � �.' ,S M N 1 v •a"' t ..'t r. ^� 1 6.,E r t It Hill I v a is � w � i x Qb� F`1 �t�}�`�'yr ^]+f4". .. 1f jar/ ��� • i f. P•7� ,awa,;r, ,. T Y 4 c• +7. { }}� s K 1 A I' ;„ fh. MAU U ;f^7 rs:tPr +Y 01 JrFt C ��tits • � �! i e dip*F{,1,�"y�i j ' ��w�. Sul}<4^1Y�tr•r tr,� r. "��a t �f Mk tl �i1A+'��� �" R 1 jai)'r`{�,i f'�i .•', +.�aZJ''' � r�y y•,C`,.t.Xd'g1'. 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F ` f 1 ? •C i I I''h�(, tip•,n •.;`. ` tit�.F �i e✓corgi r {, ali] < •x�' Grc"a- ol.c b - I wo vim. +.off en-or• L I a Ax..;o 4 ,a-or. � � � a I Z {1�t .•, , , It I_ J •� � ; '•u'y,µ4 hJ:i'.. I � � st ) 'a1. �rnn.��{.r;il .�?+<�� • n g J- ) i r�:• i I'�i 1tS1"s F w ix ti} XA: S.jr c'•' 61 ;,`may E, 1 L r (" ��.f�-d�•. IE , Ile r�9X.Ll Vfl r' E 6 Z xn po l_ iVCI �••• ��I�r:�ti�y w' ➢• ,:y.. _ r : p, � i st1q,,�+p�-; �xr'' + FL- ht11 t It Y 1 f } ,i�4aJt`;" 1 •� � •• 1,t. t + r'. 4 J� 1 k • �� � :Ii:, ��i� 1 ' r t I1T^ E . r ' i, i't o pY o��]',�"� `r,�.',, �� rya 7� �.•4f'gl'"1+� ��'�. a O z Y Ix 84"1` �`'TI�d r� i (r• F n t if l �� S• t" t :I .i� .j.f.. � 3 {��J la rf s J\��•� i A x, L b, .t �' >, c• t I�' �i ss� F r�•. � � � r °A �, is r: 1.`.• f6 10, +'• alb'•'"`Ir` n',"; •te ny.cF6. To rFw '� �t :f+�-•:,��. �Atr} {r�� n e• z ��, I yp" 1 4 CIS{{i�Cr O Ii ........ ... I it- MN Ito I P A't Iv, 14► 4_4 NS 4N its n\ OLD KING'S HIGHWAY HISTORIC DISTRICT SPEC SHEET FOUNDATION �; Cgy� SIDING TYPE _ W L cg c COLOR Gzeein/L � . ga3 CHIMNEY TYPE � COLOR ROOF MATERIAL COLOR PITCH W I NDOWS TR I M COLOR DOORS fo Pure' =. 1`ni Q l�a,t` COLOR SHUTTERS nn GUTTERS DECK GARAGE DOORS , COLORoY. fi Notes : Fill out completely, including measurements and materials/colors to be used. ✓Three copies of this form are required for submittal of an applicat-,ion, along with three copies each of /the plot plan, landscape plan and elevation plans , when applicable. "Plot plan need not be "Certified" , but should show all structures on the lot to scale. I "'�f+llon toposssss a oariooe - COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY _ MusscAassttsStatoBal/d/p� OF .ONE ASHBORTON PLACE Codo/soaass/or►Bl�Opgl/pA MASSACHUSET75 BOSTON,MA 021'uts — `"atMs//=8y; � LICENSE EXPIRATION DATE (Cl CONSTR. SUPERVISOR CAUTION ` 0 8/0 9/1 99 5 EFFECTIVE DATE LIC NO. FOR PROTECTION AGAINST RESTRICTIONS THEFT, PUT RIGHT THUMB NONE 06/30/1993 015243 PRINT IN APPROPRIATE o BOX ON LICENSE. DALE E CROWDER SS 4 028-32-6849 CENTERVILLE MA 02632 BLASTING OPERATORS Z MUST INCLUDE PHOTO. PHOTO(BLASTING OPR ONLY) FE •�.;�•� =�+ �0ON 00 NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY ;� ��w',})„� HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER DOB: 08/09/1944 (� (� � � r' ` �' 1995 � THIS DOCUMENT MUST+BESIGN NAME IN FALL ABOVE SIGNATURE LINE CARRIED ON THE PERSON OF SIGNATURE OF LICENSEE < �• THE HOLDER WHEN EN- OTHERS•RIGHT THUMB PRINT GAGED IN THISOCCUPATIDN. � II I + I t • Application to 93-9� SP PN�.PP NHS P GN _-Old King•S Highway Regional Historic District Comlkle§ ��e �(in the Town of Barnstable for a JUNCERTIFICATE OF APPROPRIATENESSTownIOFBARNs� ���. OLD HiGHW _ Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Constructio : JINew Building ❑ Addition ❑ Alteration Indicate type of building: 2House ❑ 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 —g-9 3 ADDRESS OF PROPOSED WORK �d k -& q2I� A6"S L �- We1�2 ASSESSORS MAP NO. fit -G1 OWNER Da-Q-Q-- (-'AowaQ21- ASSESSORS LOT NO. _rn7 HOME ADDRESS go,)( 7<P2 Gmt¢-I -& L 61(`22 TEL. NO. 2-2q - 15-C FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). v.a� 11l - t-2o aucliv�.e.. , 13aX t2ALl ,w. 3� 2-Co Waq.: ¢. �..v.. CJ. � 0Z6(e� to wa-el�t LAI— W. T6aAA14 02Gr8 W ea-'o C��", (Aa&,s,—. 3 a x SCob , VvN-O dD a e.Q_ 0 Z(,,4 q Tc AGENT OR CONTRACTOR sv � Qn 4J�acrP TEL. NO. ADDRESS DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8,other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). ned I j 0n 1� Owner-Contractor-Agent Space below line for Committee use. Li!�i /4/1 Lr Received by H.D.C. �" D The Certificate is hereby c uII ate By Approved IMPORTANT: If Certificate is approved,approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ t � l I j ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION, . FOR A CERTIFICATE OF APPROPRIATENESS The four categories for which a Certificate of Appropriateness is required are: (application for demolition or removal is a separate form). 1. EXTERIOR BUILDING CONSTRUCTION (new or existing buildings): An application is required for any exterior of a building to be erected or altered including windows, doors, siding, roof, light etc., that will be visible from any public street, way or public place. The following scale drawings are required in duplicate with application: plot plan (if addition — show existing buildings in outline), floor plan and elevations. Also required are snap shots of existing buildings, where additions or i alterations are to be made. No plot plan is required for addition or alteration-which does not touch the ground. 2. EXTERIOR PAINTING:. An application is required for any portion .of a building, structure or sign to be painted that is visible from a public street, way or public place. Color samples must be attached to these applications. An application is not required when repainting existing colors, changing to white, or using colors approved by the Town Historic District Committee. 3. SIGNS OR BILLBOARDS: An application is, required for any sign or billboard to be erected within the District, with the following exceptions: a. Existing signs or billboards on November 27, 1974 shall have until November 27, 1977 to secure an.approved Certificate of Appropriateness. b. Temporary signs for use in connection with any official celebration or parade or any charitable drive as long as they are removed within three days of the event. Certain other temporary signs that the Committee feels does not detract from the Act may be allowed with the prior permission of the Committee. c. Real Estate signs of not more than 3 square feet in area advertising the sale or rental of the premises on which they are erected or displayed. d. A single sign of not more than 1 square foot in area showing the name, occupation or address of the occupant of the premises on which they are erected or displayed in a residential zone. 4. STRUCTURE: An application is required to build or alter any structure within the District which is defined by the Act as a combination of materials other than a building, sign or billboard, but including stone walls, flagpoles, hedges, gates, fences, etc. GENERAL REQUIREMENTS 5. Work on projects requiring approval shall not be started until the'Certificate of Appropriateness has been filed with the Town Clerk by the.Committee. Approval,is subject to the 10 day appeal period provided in the Act. 6. No changes shall be made from the original approved specifications without advance approval of the Commission on an amended application filed with the Committee. 7. A separate application must be filed with each project requiring a Certificate of Appropriateness. 8. Under heading of "Detailed Description of Proposed Work" give detailed data on such architectural features as: foundation, chimney, siding, roofing, roof pitch, sash and doors, window and door frames, trim,-gutters —leaders, roofing and paint color. 9. Unless application is complete and legible and all material,required is supplied,application will not be accepted or acted upon. Copies of the Act establishing the Regional Historic District may be obtained at the Town Hall. i 1 f2.4. No. bed)aoarwl 3 ' { 7" "fA Cd imated Cow 330 chid j -{ each�i n. ` eap 3 ?6�� gpd cob• 1`t 1 1 70' Xo•t 41 A 1 1 • .C'ocu4 d-wa ti on i,& 100! Z. map .. N q.s r 1 { e m. pad .74.E' C'u,C-fie-lac pro .C'o t2 IN i _ o" t`... f �.._ ` wpm � 2 ; . _ . .. ... 3 3,7 0 n 7Arit 94co►1i1�t,de 70.��::r1 ----z41.13 3/ tive 50 wide uea etated qU :Cape:�ag�heP.s We Lando -.4q RaSA `load /d yam, M9 02601. �. to 73.0 I date 5-20 AtoJ-i.�.e� No �ca.Ce ( ;REv 'G-7,-S3 _� i 3x6 +'K.I�'i._ 2Rdwf-4EA, Ske '- 0 ;c Para .:-0 .Cox. 4� A ate. .own on a p.Lai�c �tecou�.d�_: _ •-t , , ._{. _-' Made 5-8+87 i i£Ceua ,ioiaa on;a.c i�latax: '; ; No wateh!eneou, t, ed; o? pe+z. 2 ►I;A pest 1 iJlae exi�i init- found Lion ,how►z on -thy p&top 71.0 p ��o tis located on .the gzound. shown hetieo►s'acid eo i,C b90 �o�i,C ►nee td. the. setback !o the -?bwn` og l3aAmtabte. . . . . . , sand rerr.obate 9-20-93 "r"��; `�. L �' E�•r).: j - J. � � -A��.,y• dLP��l.117i1� h'fPCA�I/�(IH• \'.. .. 'r�•. �r to to �� coa,tie coaAi1.� i 1 '�clOaAl ��%�. f �,L +L , � `ti1J1"tom%K.a_�` W W i 17pN kG ca" � id trI.-l-•-}'-i-t '1-_4..f t _ T : t i , 4-'�•-E-_-' 4--: 1.� �"-{.'1" '4". ..• L .� + r..y•r"-_ —1. .: •4;,....�„�.. --.. 1ti. ,i ..,.'."Th..�...�.r<A'^..tv :..,,.7..v .<.-.v'�.-•-v-;==-..,...,Y.r:"N-::,.s�c��5!`.s�'^.i+. L. .<,;.{'�vt.�.:' s:�. .s.,.,_...•yam, �*TM[TO TOWN OF BARNSTABLE Permit No. .....�......... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash 670• HYANNIS.MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY i Issued to Elsie Crowder Address Lot',42A, 30 Ironside Drive West Barnstable, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119:0 OF THE MASSACHUSETTS STATE BUILDING CODE. March 2, 19 .. 94 , . .. .. ..... ............ ............... Building Inspector JWN OF BARNSTABLE, MASSACHUSETTS BUILDIN,'' PERMIT ,. A=111-067 DATE 29 , Ig APPLICANT PERMIT NO. NQ 36202 NT Dale Crowder ADDRESS 762, Ceirit.=rvjlje r01.524_-1 (STREET) (CONTR'S LICENSEI PERMIT TO STORY Sil Build Dwelling l gl e Fant-L- j'j Dwell ly Dll iqgUMBER OF WELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSE) USE) AT (LOCATION) Lot #42A, 30 Ironside Drive, West Barnstable ZONING RF (NO.) (STREET) DISTRICT_ BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION LOT LOT-BLOCK SIZE BUILDING IS TO BE FT. WIDE By FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) Sewage . #93-286 REMARKS: Bond AREA OR 1296 sq. ft. VOLUME ESTIMATED COST 8 0, 000. PERMIT 103. 75 (CUBIC/SOUARC FEET) FEE Elsie Crowder OWNER ADDRESS b0x - /b2, BU ILDING Y enEerviiic UILDING DEPT. B t-Kum 7 ut172 OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS DNS REQUIRED FOR PERMITS �LL ZCN'ST;z.L;C7I0N' -YORK: CARE) KEPT 00�zTEO UMTIL F!I!sL INICOF17T!0W HAS eEcm :ARE REQUIRED FOR I ELECT R:C INSTALLATIONS. ;�LUma'NQ AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL NSTALLATIO�S. 2. PRIOR TO COVERING STRUCTURAL OUIREO.SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL M,EMBERS(READY TO LATH). .1. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARFArw% SO 19fir 1S VISHM FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVAL, ELECTRICAL INSPECTION APPROVALS d / 2 2 Cl___ HEATING INSPECT)U PPIA()V.'..• ENGINEERING DEPARTMENT "I 0 HE 8 41RD Of i�ZAL i F' WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT 'ov!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIOLIUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOP. BY TELEPHONE OR WRITTEN CONSTRUCTION PERMIT ;S ISSUED AS NOTED ABOVE. NOTIFICATION APR 14 194 10: 04 FROM RICHARDSON-CUDDY INS. PAGE . 002 ' DAT��DlYY) ' A�I:�i1t11RCERTIFICATE OF' INSURANCE. . :. ��� 4 / 14 /94 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER }� ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE / HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR K i C h a r d s o n Cuddy Ins . A g y . Inc . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. $ Park S t . —_ COMPANIES AFFORDING COVERAGE P .O . Box 388 COMPANY Attleboro , MA 02703 A _ Western Surety Company - INSURED COMPANY I Tartan, Inc . COMPANY i P O Box 1198 C W . Chatham, MA 02669 COMPANY D 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,NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS I 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. - I POLICY EFFECfIYE POUCY EXPIRATION LIMAS i LTt i TTPE OF INSURANCE POLICY NUMBEp DATE(MUVDDIYY) DATE(MM(DDIYY) GENERAL AGGREGATE . is I GENERAL.LIABILITY .. COMMERCIAL GENERAL LIABILITY , PRODUCT$COMP/OP AGG $ „ CLAIMS MADE 7-1 OCCURI I PERSONAL A ADV INJURY $ OWNERS&CONT PROT EACH OCCURRENCE 5 1 FRRE DAMAGE(Any One fire) S — — I MED EXP An one rton) S AUTOMOBILE UABILITY I COMBINED SINGLE LIMB $ ANY AUTO _ I ALLQWNED AUTOS BODILY INJURY g 1 (Per Ben;4n) SCHEDULED AUTOS I HIRED AUTOS (per Occiddeent)RY ;$ _ NON•OWNED AUTOS — ' �— _J PROPERTY DAMAGE !S AUTO ONLY-EA ACCIDENT 3 GARAGE UASILITY OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT�S -� AGGREGATE $ �CE98 LIABILITY EACH OCCURRENCE �.,,�- I UMBRELLA FORM I AGGREGATE OTHER THAN UMBRM_A FORM $ WORKERS COMPENSATION AND I STATUTORY LIMITS _ EMPLOYERS'LIABILITY I I EACH ACCIDENT 5 DISEASE•POLICY LIMIT 1 S THE PROPRIETOR/ 1_I IN" PARTNERS(EXECUTWE DISEASE-EACH EMPLOYEE'S ;•OFFICERS ARE. EXCL .OTHER 4 / 14 /94 4/ 14 /95 $ 1 ,000 . A Bond I i DESCRIPTION OF OPERA nONS&OCATKyN&YENICLLjfSn IAL ITEM R : Building Permit for (Lot 47 ) 260 Per DRive , West Barnstab1e >; 02668 . EFt77FICrAlt bI:DI:R;:;:6: Ub ;?g:e;e• :.I CANOELIDL ANY ► E aeove nEscR{seo+PouCtEs BE caNeELLEo BEFORE THE I FJ(RRAILON DATE THEREOF, TM E ISSUING COMPANY WILL ENDEAVOR TO MAIL Town of Barnstable i 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT, Town office building BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATIoN•OR UABIUTY Hyannis , MA 02601 OF ANY KIND UPON THE COMPANY rrs A6EMTS On REPRESEM7AT1YE9 AUTHORIZED RiiAN�A68raCY, 11 �-+ M; I . ....:.:...:. A'rnean::nc.�•t'2r93? • .. APR 14 194 10: 05 FROM RICHARDSON—CUDDY INS. PAGE . 003 0QMPLM APPUCAMLE ;•'-SPFRON ON,aEVMSE �D� section t Weal Western:-Surety Cornpany Fldeaty.......::.•> ; a ' In&dual ❑ Probate ......,.. .. 3• Refer".f;aceivar. ��. � Form 10 Pegrtlttarship ❑ Ucer" cb„n .......1:-......: s C.oi�pv=atioa APP.I.I.CATION.,FOR'.,BOND-"ANY KIND. Applicant(For p, names parse ra aid trad )Please t T er I.D.or S.S. A e� �J Address .0 C1L .. .. .• .. How]1Q2 ^sp e ? Previous Surety Yes C1 No. ft Y�4 t?r a nS"c°°d'+eaeon!°'?`�°°l!e• 0 atlOn OT ,.��.� ..� 'T Am and Effective Date ) . 'ape of Bond /Joe� e + 1 L b� Complete name and address of Oblig ice. otlaw :FINANCIAL STATEMENT as of a ' Check applicable section on the reverse:to:see whether'a:ffria tement`.i necessary ASSETS LIABILITIES Ca�h'.(I.ist:Banks) ' Acalunts Payable' ' Taxes due — Gas Taxes due&accru — Other rA ^Bond's ' DescribeNo a to asN pay le Oth rs scribe) le Describe n•eceivab .>'— no terial in Stockndite' TMat's-Be.Ceiva15 eritate'Hoziles�eadAs tate;:;'idvestiment TOTAL Ir . 1£,IT�S ize'sndCapital stocic:(Paid in)--.NET WORTH OR SURPLUS 'A3$ETS TOTAL Liabilities and Net Worth > Last Year Net Income- Two Years Ago_ _Last Year Gross Sales. Two Xears Aga ��— .•Y.'::' ; . .: .:.: INDEMNITY +Y oertib tha anth of a etneemencs The undetaienetl applicant kraal{bdemnitor8 berrby request western Sknoty CompWW(the"C=pLcel to bec ome au*ety fur the above bond.The mlde*et¢ned here� in tb�•aPPi+Cettson,'¢uthorl3� the('ornpany to verify this Worm¢tioa and o0 obtain additional ipfnrmation from say source,and jointly sad eevm¢i(r;+Rr?r . ( 1) To pay:she,uWA'Piccrb1t1*i-luding renewal prgmiu®. (2) To comphuBly iNUEl�fF7II'Y.the Company ^gad s4-t any liabslip.ken;oast atEomey's fees& whatsoever winch the C^mP¢W Shari¢t anv time susCein as mmty.or bg'zeason of bsvfr jr been 8tir®ty•on this bond at Any other•bond isatoed for applicant,or for the enforcement of this aRrccment Maim t the CumpanY by kewn of"Oth ti p' (5) Upon demand by the oomp w for any rmwD what�oever,to depoeit current fund+;with the Company m+nmonbt saffudmt to satirdy anYmQ�by the comvar!P.sw orri to.by as atflo�r of the.. (d) Thae the Company have the right to handle or settle 24 claim or scat in good faith.An itemized statement of lose and agwasa' . Company,soap be.prima face cridenae of the fact and extent of the Babb)pi the pndcr*ned to:the Comp, which might arise therefrom.. i 51'Cont the Cerkopaay may dcciure m become s¢rcty"on any bond and>�emod or amend nay bond without exotic and without any. agreement chap apply,to spy s¢di`altr*ed (.b� Thxt the Gem+panY shah,without notice•6nve the.riAht to alter the Penalty,terms and'madrtlorw of anv bend ivied for®deealantad deferred (7) 'That if dmutraet ar pelformarxe bond'w issued hereunder.the nadereipiad hereby a.Biga w the cumpaoY monies now due or hereafteir bessomirrpt doe Hader the pontrae t iarlli an payments and retained txncentar e,�ppi tools 'plant,,equipment and metarmla due or used on.the coat act.sad Sik9bt and mdemi]SOo+s cc tit'to the . ( 8) At th9 Campatty'a di9aetion,this•iodemnit;agreement shall be governed m ap respcxts by the lnwc of the State of South Dakota and the wrdPrigned apP jtuiadietlon FY'tho:ooscle of tyer State of South Uakcta and the United grates l)i{nct Court for the District of South Dakota it)all actions or Proeee&r.arising from or riiWng to thi iiidemuity r after. eat1599L•: (9) rhat tans iadem++hY:�y ba' �as to sgbaseNmt liability by an mdcmactor w>�per'notice to the CompanY At TiMM Fails South Dakota,7t eft ' a em date theltt�tec ttpoq whkh the Company ooeld:have,mz&ed all boada in:fa+ce for apyfioaat . , 19 to.' be:Corropany ititeriston• day of. •(f0),la,she:court'aB,avrf+4Ymeatbsthe.ConipanY....pro. Signed this such i,n B'ar the xorst•legai rare Svie ft da%tsath payments Are made. It . . Agent Agent's Code Address _ IM AM $r _ vyQ'Lld.�Vrt4tr■ 'that nnmrs seal add the word"indtiir"fff.4heir:owa: Note:Yeraoaat:miranitors rhwld eutn _. '(,(p � writitu,r..g. �LO..�fal�c AGENT'S RECOMMENDATION -your.reco mmendation will be helpful and may be the difference between getting a refusal or having the bond written.'Tell us what you know .and think of the applicant '-a.��..7 �"�5�'f�►'S'l�""��IV�^'���s `�'/�r�f_i�:+;.r...a+.f�`�� �ra�,.,,.i� 'fit+� rih'� �e��,/�a•NY�„ "'iY✓�-�ti!`•�'.."'"�`.•...r.�.�{Jti'i`'!"/.�.``^^...'�`r�"C�.....�.,. ..° °•� TOWN OF BARNSTABLE, BUILDING DEPARTMENT BAMR11°T TOWN OFFICE BUILDING rua , r °+ .639• HYANNIS, MASS. 0260I MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by BuildingPermit # ,.1 !��!. ..._.....__................................................................ ..._......._.............. issued to :.........................._..........._........................:..........._..... .. Please release the performance bond. ' 6 f OW14 OIF'BARNSTABLE, MASSACHUSETTS 4 ' BUILDING PE •� .-of,, DATE '>>!:- -_ to ~ T -' A,''•_ICANT i:'j"L' 19. PERMIT N v/ _11C. ADDRESS t 31i �S'Tii Y.,!.�;.,_.. !r:;. 0 _ /u - (NOJ (STREET) _ ICONTR-5 LICENSE; PERMIT TO r��'-TYPE � I =•�i; ^ - ��.0 NUMBER OF (-_) STORY - .. .•+:� �.'. _S:;'S;� ) (TYPE OF IMPROVEMENT) No. DWELLING UNITS (PROPOSED USE) AT (LOCATION) '!-t (NO.)` F41 ��%l� }�<Y� �V:i1 !J'i.i.1::: ;}I„=L iiii":1fif.Lsu1<t ZONING RF — (STREET)M1 DISTRICT BETWEEN (CROSS STREET) AND (CROSS STREET) SUBDIVISION LOT LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION ' REMARKS: JEW3"t' �i93 (TYPE) AREA VOLUME 1200 BOND cO' ft. ESTIMATED COST �r*. (} i0avUO PERMIT L 0 (CUBIC/SO UARE FEET) T FEE �V a�� OWNER T.avta::, L_il ADDRESS �V" .5.1-�V �`�-'>t r�"13tr1uIIia �`f! -01.,v! BUILDING DEPT. BY ---T---��•+•--�•--'ram ® THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY FART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC UNDER THE BUILDING PROPERTY, NOT SPECIFICALLY PERMITTED DING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND L SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC RESTRICTIONS.WORKS. THE ISSUANCE OF THIS PERMIT OCATION OF PUBLIC DIN DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION R ALL MINIMUM OF THREE CFOR -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR I, FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. PLUMBING AND 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL IN (RE INSPECTION TO LATH). 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS" CAR® SO IT IS VISIBLE FROM STREET BUILDING INSPECTIO ` PPR `ALSPLUMBING INSPECTION APPROVALS `�, ��MP� �� e ,`U� (r .\ ) ELECTRICAL INSPECT N APPROVALS �h�v 2 2 7 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 1 aa 71 Y BOul OF HEALTH OTHER r �` SITE PLAN REVIEW APPROVAL I Vc SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT N!LL BECOME NULL AND VOID IF CONSTRUCTION 4AS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS Of GATE THE INSPECTIONS INDICATED ON THIS CARD CAN BE RUCTION. I PERMIT IS ISSUED A$NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR WRITTEN NOTIFICATION. a t f .. TM�> TOWN OF BARNSTABLE Permit No.'......:..3-�{ri-1 ....... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash .Y� HYANNIS.MASS.02601 Bond ....X.......... CERTIFICATE OF USE AND OCCUPANCY Issued to Tartan, Inc. Address 260 Percival Dr, West Barnstable USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID. AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. .JulY .. . 8. ... . . .. .. . . 19...94.......... 1. ....... Building Inspector ; .,.�,..� mow,,. ., n. ,;-`... s,� ,,_..,,�•- "}-- - . ....+ ._ ...,.� + - _ ,,, .�,..:'„pa i-r-......--n- .-. '_rii'!_ .�.� _.. ..- __.. •. *7Mf>; TOWN OF BARNSTABLE 36202 Permit No. . BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash 7 ■Yl X ,670 HYANNIS.MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Elsie Crowder Address Lo-tr-.42A, 30 Tronside Drive West Barnstable, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. March 2, 94 19................. ................. Building Inspector