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0158 MEADOW LANE
omFor dO NO. 152 1/3 ORA ESSELTE 10 0 o 0 r N i 4 t } i yi 1 r 4 (1f} f h 1 t I i fI� Engineering Dept.(3rd floor) MapN� Parcel 158'-op ermit# /�� 7 �Date House# Issu Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) 'S�� /� /S' Fee ✓'/v�.(O� Conservation Office(4th floor)(8:30-9:30/1:00-2:00) t� Planning Dept. (1st floor/School Admin. Bldg.) A��y 9k Definitive Plan Approved by Planning Board 19 SEPTIC . UST BE INSTALL LIANCE � TOWN OF BARNSTABLFt w s t:" - Building Permit Application NVIRONMENTAL CODE AND , TOWN R GULATIONS 1 Project Street Address oluS �1ye lS /t'�P aroma l n � � Village .E'/Us%_ile / Owner Tom Ci&0— Address /,.78 Telephone 3(0,� 30Q9 FPO 01 Permit Request lsX�� gofdi/i .v rife4a ,(e ole - / -e% lt�eiVslon/ C�4 First Floor square feet Second Floor 70 Z16D square feet Construction Type kiw d` AeS14ro9-I I Estimated Project Cost $ 9,eoo. Zoning District RF Flood Plain A3 Water Protection ,9p Lot Size j4Fa Acm Grandfathered ❑Yes ❑No Dwelling Type: Single Family U,-' Two Family ❑ Multi-Family(#units) Age of Existing Structure o28 Historic House ❑Yes ao /n�On Old King's Highway ❑Yes ❑No Basement Type: �11 El Crawl El Walkout ❑Other d�� l:dv"e'.1 SAOcy_ i i Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 932 Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing 3 New Total Room Count(not including baths): Existing 19 New First Floor Room Count Heat Type and Fuel: ❑Gas 200"il ❑Electric ❑Other Central Air ❑Yes f Illo Fireplaces: Existing / New Existing wood/coal stove ❑Yes ❑No Garage: U15etached(size) oC6 Yof Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes L7 No If yes, site plan review# Current Use Proposed Use Builder Information Name Telephone Number 39V f e6 Address Carpentry•Estimating•Design License# f 56-307 J4.<.< W ; .;.:. West Yarmouth, PvlA 0�673 Home Improvement Contractor# 111630 Worker's Compensation# IVC 3R S 3 f 0 3 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Z/s 4 l/.4.tTe S s%J SIGNATURE /,, ' DATE /5- AKd. BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) �. v co FOR OFFICIAL USE ONLY PERMIT NO. J DATE ISSUED b MAP/PARCEL NO. r ADDRESS VILLAGE OWNER; " DATE OF INSPECTION: FOUNDATION FRAME 2 O INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO a THE The Town of Barnstable • .�axsr�st� _ '& �m� Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any preexisting owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or` building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: Wcgixop Est.Cost Address of Work: ��� J�t'.9d�1:/5 /��- /11. e34610' T44-b`e Owner's Name '��'� .7llt GIli-Ale� Date of Permit Application: aIZ7_41 i hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby a ply for a permit as the agent of the owner: Date 'Contractor Name Registration No. OR Date Owner's Name The Commonwealth of Massachusetts = — ( Department of Industrial Accidents Off ee nlfayesif9atl0ns 600 Washington Street T,;;' Boston,Mass 02111 v Workers' Compensation Insurance A>Ydavit ovation• - - :.' phone# 0 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity am an employer providing workers' working compensation for my emp•oyees o g on this fob. :r::.: .::.:.............. ... .. ..........::::::.... ..:•:. L':. it :...::::::::. ,... �'�:\±.�ii��i�•.4:tiff`i^:ri:•{::::<�:;?::::::::'; :.••:':.;i• j a�{..�: ......:.......i. �T��.R �/��(�J17� b l(�(li :.,•.}:•:•::.:'•�::i:;::ish:;}•Y:;?is4i:::}:•:;::�:•:ii:•.}':.:•;•:i::::;:.:'is v:::':':::...: .....:.: ' P4C- ✓� I h H WY�I �fro:'';''° ��" .............. ..... ... ............ .. W. UR I am a sole proprietor, general contractor,or homeowner(gircie one) and have hired the contractors listed below who have the following workers' compensation polices: :.• ::. . ............. comp ,. City :....:.::::.....:.:.... :•;;:.;:::. ::.:... :> 1 " �in urnri co - '•o Y .:... ...,. ..:•v.:.�:......�:.::...............r{:;:;::4:v::::•i'•i:'^::v:::::iii•tYi:}i$i$ii::i:;i:•i:i•i:{:•:: :4:is 2:±•::;: •�.}{�: .. ...... i P Y jf ohon e t Y E<c'•?:. aC a lhon`aP's� X. FFIR-Scccssnry�_,.._, -"" �'u::tY:.Y'1;1 �• �••.hl s�`�.. ,i•',. v •t;r�• t4Wlr:"-•�+t+_iiM1 2•JKl`:St>~� rc;:t. �.� Failure to secure coverage as required under Section 25A of A1CL 152 can lead 10 the imposition of criminal penalties of a fine up to S1,500 00 and/or t as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a one years'imprisonmen copy of this statement may be forwarded to the Office of Investigations of the DI A for coverage verification. Jdo hereby certify under the pains and penalties of perjury that the injorn anon provided above is true �and correct Signature ,rt• -I/ __Date J'Y A/m/ 99 Pont name � �� I�cas ,' Phone# -28'' 391''"��f`e rr official use only do not write in this area to be completed by city or town official city or town: P ermiblicense# nBuilding Department 1. ❑Licensing Board pSelectmen's Oftice check if immediate response is required , f C]Health Department j !� contact person: phone#: n Other S (mised J/95 HA1 ' r- �-w e :y ACORD,� CR 'IFIGATEF L �8 .11`Y NtS`lj�1Rq,� E - DATE h1M/D DlYY ...,.......:::...:.::.:...,.... ...................,..�..:.:::.::..:�::::::.�:.�:........::::.::::.,:::.:.:::::...,...::::.�:.:::::.,.....:::::.�:::,::::......... ..... PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P H I L R I C H A R D & ASSOCIATES INC . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ' 94 HIGH STREET COMPANIES AFFORDING COVERAGE DANVERS , MA 01923 COMPANY - 38 A EO MARYLAND CASUALTY IN UR COMPANY STEVEN LEBARON B LEGION INSURANCE 54 TROWBRIDGE PATH COMPANY WEST YARMOUTH , MA 02673 C ! — COMPANY D tb ..... ..... THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ! EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE B,-EN REDUCED BY PAID CLAIMS. CO I LTR! TYPE OF INSURANCE I POLICY NUMBER I POLICY EFFECTIVE I POLICY EXPIRATION:DATE(MWDONY) DATE(MM ONY) LIMITS j I GENERAL LIABILITY GENERAL AGGREGATE S I X COMMERCIAL GENERAL LIABILITY ! j PRODUCTS-COMP.'OP AGG I $ "--J CLAIMS MADE OCCUR i I PERSONAL&AOV INJURY S A I OWNER'S 8 CONTRACTOR'S PROT� S C P 3 0 015 4 0 9 � 0 9./3 0-/9 Q 0 9'/3 0/®®I EACH OCCURRENCE I S I' _. _...:..... .. .. .._. I .._. (Any one lire)...! S J I FIRE DAMAGE MED EXP(Any one person) I SI to to 9v j I AUTOMOBILE LIABILITY ANY AUTO. I I (COMBINED SINGLE LIMIT I S I I ALL OWNED AUTOS J SCHEDULED'AUTOS — BODILY INJURY I S (Per person) I HIRED AUTOS INSUREDS OPY BODILY INJURY S NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ I j GARAGE LIABILITY AUTO ONLY•EA ACCIDENT S ANY AUTO I OTHER THAN AUTO ONLY: j EACH ACCIDENT S I I I AGGREGATE IS FEXCESS LIABILITY EACH OCCURRENCE I $ ! j I UMBRELLA;ORM AGGREGATE g `--jl � ; I H OTHER THAN UMBRELLA FORM I j I S WORKERS COMPENSATION AND ' EMPLOYERS'LIABILITY I I ! !TORY LIh11Tj' j ER !I EL EACH ACCIDENT I g THE PROPRIETOR! i ! PARTNERS/EXECUTI'V'c I INCL i W C 3 2 8 310 3 i 11 /01/9 1 1/0 1/ i EL DISEASE-POLICY LIMIT S OFFICERS ARE: EXCL I OTHER EL DISEASE-EA EMPLOYEE I S I t i I I DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS ' CARPENTRY FFC.T :::::.:.. ...............................::.:::......._......_... . A....�.}{... ..::.......:.......... :::.:....::........::.::::............:,.,.:..............:::.:: ......................... D... ..::.............:...:.::.:::.:.::.:................................. ........... . s......:..:.....,...,h:.....:. A c. SHi ULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED'BEFORE THE EXFIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO�TIHE C FICATE HOLDER NAMED TO THE LEFT, BUl FAILURE TO MAIL SUCH NOTIC A4 jMPOSE NO OBLIGATION OR LIABILITY 0 ANY KIND UPON TH C A ITS AGENTS OR REPRESENTATIVES. It ED R RESENTATIVE. ..:...,.....::........::.:::::::::::::.::::::.:,:.:::.::r..:+.t:.:!c:•:::.,.,•::>:;;:::a:�:::.�::�:::::::�:.::::....:�.,:�.:,......,..tea.:::c:;•:.::;.::.:.:::.::.:............:::::.,.......: ...... .: .::i'i.:� •; .....:... ...:.......: ,::r /ae '( ��vrnaruueaUst a��•lGaaJacRUJetIJ..: OF. •RT�ENT OF PUBLIC SAFETY CONS? ,;CTION_ SUPERVISOR LICENSE Numbe : -'• Expires: Restr ;ted4'Io; 0� STEVEi N LEBARON 54 TR-N8RIOGF. PATH 1 W YAR"iUTH, NA 02673 19 rnrnonurn�d o�:/ aaaac%uael4 HOME IMPROVEMENT CONTRACTOR:::..':• ' Registration:_ I: . t ; 114630 Expiration Type: IndividuaLl: . STEVEN ft., LeBRRON CONSTRUC,`` .. SIEVEN' IeBARON &8-t-/54 THROUBRIOGE•PATH ADMINISTRATOR N YARMOUTH: MA 02673 . f I I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # MAScheck Software Version 2 . 01 I I Checked by/Date I I CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 9-16-1999 DATE OF PLANS: 9/16/99 TITLE: Familyroom Addition PROJECT INFORMATION: Mark and Jean Gilbert 156 Meadow Lane West Barnstable, MA COMPANY INFORMATION: Kenneth Sadle Associates P.O. Box 1149 Hyannis, MA 02601 508 . 790 . 3922 COMPLIANCE: PASSES Required UA = 121 Your Home = 121 Area or Cavity Cont . Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 657 30 . 0 0 . 0 23 WALLS: Wood Frame, 16" O.C. 590 15 . 0 0 . 0 45 GLAZING: Windows or Doors 56 0 . 310 17 GLAZING: Windows or Doors 40 0 . 310 12 GLAZING: Skylights 15 0 . 410 6 FLOORS: Over Unconditioned Space 385 21 . 0 0 . 0 17 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations ,submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater tha 125% f the de ign load as specified in Sections 780CMR 1 1 and J4 . 4 /► Builder/Designer Date `T� S MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 . 01 Familyroom Addition DATE: 9-16-1999 Bldg. l Dept . l Use I CEILINGS: [ ] I 1 . R-30 Comments/Location I WALLS: [ ) I 1 . Wood Frame, 16" O.C. , R-15 Comments/Location WINDOWS AND GLASS DOORS: [ ] I 1 . U-value: 0 . 31 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location [ ] I 2 . U-value : 0 . 31 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location I SKYLIGHTS: [ ] I 1 . U-value: 0 . 41 For skylights without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location I FLOORS: [ ] I 1 . Over Unconditioned Space, R-21 Comments/Location I AIR LEAKAGE : [ ] I Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1 . Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2 . Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2 . 0 cfm (0 . 944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1 . 57 lbs/ft2 pressure difference and shall be labeled. I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed i [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch, Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4 . 4 . I [ ] I SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I [ ] I HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in. ) : I PIPE SIZES (in. ) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1 . 25-2" 2 . 5-4" Low pressure/temp . 201-250 1 . 0 1 . 5 1 . 5 2 . 0 I Low temperature 120-200 0 . 5 1 . 0 1 . 0 1 . 5 Steam condensate any 1 .0 1 . 0 1 . 5 2 . 0 COOLING SYSTEMS: Chilled water or 40-55 0 . 5 0 . 5 0 . 75 1 . 0 I refrigerant below 40 1 . 0 1 . 0 1 . 5 1 . 5 I [ ] I CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in. ) : PIPE SIZES (in, ) NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1 . 25" 1 . 5-2 . 0" 2 . 0+" I 170-180 0 . 5 I 1 . 0 1 . 5 2 . 0 I 140-160 0 . 5 I 0 . 5 1 . 0 1 . 5 I 100-130 0 . 5 I 0 . 5 0 . 5 1 . 0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- TOWN OF BARNSTABLE R I S E 1013 MAY 10 AM 11: 20 Division of Thielsch Engineering,Inc. 1341 Elmwood Avenue ENGINEERING Cranston,Rhode Island 02910 DIVISION May 1, 2013 Thomas Perry, CBO • Town of Barnstable Building Division 200 Main Street Hyannis, MA 02601 Re: Insulation permits Dear Mr. Perry,, This affidavit is to certify that all insulation work completed for 158 Meadow Lane has been inspected by a Building Performance Institute (BPI) certified Professional. All work performed meets or exceeds Federal and State requirement. Sincerely, Erik Nerstheimer Supervisor of Installations, BPI certified Building Analyst Professional and Envelope Professional, RISE Engineering, a division of Thielsch Engineering, Inc. 1341 Elmwood Avenue Cranston, RI 02910 401-784-3700 •800-422-5365 •Fax 401-784-3710 i f Application to 1999 287 7L Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building ta Addition ❑ Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other 2--'Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑'Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). /99� TYPE OR PRINT LEGIBLY DATE /lid ADDRESS OF PROPOSED WORK & C5% BAOW5 RBs.e , CM ASSESSORS MAP NO. OWNER /)7/4RX 1). .TEy? /U /n. G//_ae1e7- ASSESSORS LOT NO. �l HOME ADDRESS rZ M A /AA/e_T cL. Ag,&eitj--Z RBte.,WA TEL..NO. 4SOSr131,a 7;3 .1 FULL• NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if nece"ssaryP: w rT1 AGENT OR CONTRACTOR STP. veil "i. ,�ed9A24b/V TEL. NO. S 3$A39y,-2IV4o ADDRESS ' `� f�C-.1,6RUX C� Pf�l GV. �f mUnD ur::ly Co73 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)- /9 �Zf( la ,W7cl— Co� 7 �� � DPLC, U 0� 3� E Signed Owner-Contractor-Agent Space below line for Committee use. Rel;ei�ed (1 a Ce ificate is hereby M ,� QDate Q/I 1 pproved ❑ IMPORTANT: If Certificate i approved,approval Is subject to the 10 day appeal period provided in the Act. r Town of Barnstable 1 Old King's Highway Historic District Commission SPEC SHEET FOUNDATION SIDING TYPE COLOR jJ�f'(,f21�►L: CHIMNEY TYPED COLOR ROOF MATERIAL PITCH /Q I ( 2. WINDOW �+E-1/ � `flLi��(�Sla SIZE Z44Z TRIM COLOR , DOORS ��..,� �G(ZC `��j 17 COLOR SHUTTERS , GUTTERS 11 1 Q Q DECK GARAGE DOORS Al COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application, along with three copies each of the plot plan, landscape plan and elevation plans, when applicable. Plot plan need not be "Certified", but should show all structures on the lot to scale. SPECSHT PROJECT NAME: "Iz6 an ADDRESS: 600 PERMIT# 11 PERMIT DATE: \Z M1P: - 7� 001 LARGE ROLLED PLANS ARE IN: BOX I SLOT Data entered in MAPS program on: 1011610 BY: q/wpfiles/forms/archive i I _ v 10 x elnc ease-CL"Pile Assessor's office (1st floor): / �,y K4. Assessor's map and lot number ...✓ dQ /............ INTALD IN COM ` ....... •ir � Board of Health (3rd floor): 7 �+(� • i'TH TITLE Sewage Permit number ..n. .. ..� a....... ,�..14., "; �'`'NTQL Engineering Department (3rd floor): �/ TOWN REGULA 639. House number ................................Tr.� �rr�-..... .. :........... oYPY aye Definitive Plan Approved by Planning Board ----�11�_-----------------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 .U.Al .aUU'— � TYPE OF CONSTRUCTION ................................... U............. ................................... ......................... +t" .................................................19 , c TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information:: ^n Location / MF. ..................Q / U1. A✓1!tJSI7J. ..„ ............. .. lJ .......... ..�. �.. ..... ProposedUse ..................................'..!..!'..::..6.. ...........................................:......................................................................... D ZoningDistrict ........................n. .......................................Fire District ............................................................................... 3 Name of Owner A4� �'/t/j4/L/ 0 1�........ "T'J UKJ � W' �...........�....�../.�...............Address .:........... . n '......../...^............................t............... Name of Builder wJ�.Q.!� '...�1. ?. :::. :Address ..I.. ..7. ........!!�..!.... L?.!7....�.....w4...'�?.'Nw. �.'�►J "� .................... Nameof Architect .......................... .L...........................Address .................................................................................... Number of Rooms ..................................................................Foundation Exterior ....."v `. T......` ...f.'/�.....p/Te��:�..`.'.�.............Roofing ...................................... ..-............................. Floors .......:................{.!1. :..................................................Interior .......................V.N.�:S.I.J.Y..l ............................ Heating ..................................1/.7........................................:Plumbing :!Il.................................... �f Fireplace ................................-.'•'••� .................................Approximate Cost .............�..l.�...!!` .V..�............ . Area (11. ......................... ql�Diagram of .Lot and Building with Dimensions Fee `......... ................................ Olt OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations o:Lttow.n o Barn t bl r garding the above _ construction. Nam ........ .......................... ........................... Construction Supervisor's License ........o. J 2 GIUBERT, MARK i 32234 Build Gara e Flo ................. Permit for .............................J..... .....Aq.Qe.s.SQxy....t,O..PWQ.0 nig"............ Location .....1.5.8...Uead.ow...Lane.................... ' ...................We.st...Bazxis.tabJ.e.................... Owner .........Mar.k..Gi.4b.e,xt......................... Type of,Construction ...Frame.......................... r �° ............. ....._. ...................... .......................... e Plot .............................. Lot .....•............................ Permit Granted .....September•.•7,•••lq 88 Date of Inspection ...........y...............,'.......19 Date Completed ..........a-. .................19 tul PRE• ENGINEERED BUILDINGS Kl , - 2XB ,- uilT TM --- ---- 2z6 AalteA -----__...........__..._.. 2x6 Cot. fie 16" o.c. z -- C1�X S� A4p. Sh.& " I � • 7 z1X6 P.irie Ta..in I 2z8 F.Ldae �7o.�sta 3/2X10 — 2X4. Studs S•idinyr (oy�rtiav:cLLJ .ia.Llea'� os ". W/ WlclE Moot • OLD KINGS HIGHWAY REGIONAL HISTORIC DISTRICT., i BARNSTABLE HISTORIC DISTRICT COMMITTEE TOWN O�N �,! E R I� DATE OF HEARING ' AUGUST 11, 1988 B Q R Ff r ._ r. p.1 THE FOLLOWING APPLICATIONS WERE ACTED UPON: '$$ AUG 22 A9 :18 NAME & ADDRESS PROPOSED WORK ACTION JOSEPH & MARY DONAHUE ALTERATION-ROOF & DORMERS APPROVED 5 TISQUANTUM ROAD & EXTERIOR PAINT CUMMAQUID, MA. i JEFFREY G. & DANIA H. LATIMER NEW BUILDING - HOUSE 44 RENDEZVOUS LANE. APPROVEDAPPROVED BARNSTABLE, MA. MARK GILBERT NEW BUILDING - GARAGE 168 MEADOW LANE APPROVED _`"W.. BARNSTABLE, MA. W/CHANGE ELAINE L. GRACE DECK 8 APOLLO DRIVE APPROVED W. BARNSTABLE, MA`. JOHN & DANIELLE PISANI ADDITION - HOUSE 1405 HYANNIS ROAD APPROVED BARNSTABLE, MA. W/CHANGE MELVIN & PRUDENCE HOWES-JOSEPH 365 WILLOW STREET SKYLIGHT APPROVED �. BARNSTABLE, MA. TER & MARY OWENS HOUSE - ADDITION APPROVED \5 MAIN STREET 3ARNSTABLE, MA. 1 , 115236 ' TOWN OF.BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel A.Application # tl Ot•1 Health Division Date Issued 4- Conservation Division ;Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address 158' Meadow Lane Village W • �? �,►-� Owner Mark Gilbert Address Same Telephone 508-364-3476 Permit Request R-38 insulation to floored attic, R-13 kneewall , R-10 rn kneewall R-23 insulation to ,open attic, Basement door, 2 existing kneewall hatch, temporary access 1 roof vent, R-13 insulation to basement ceiling r. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 2182.20 Construction Type Lot Size Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family .0 Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl O 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: 0 Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: 0 Yes ❑ No Detached garage: ❑ existing 0 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 RISE Engineering Telephone Number 401/784-3700 Address 1341 Elmwood Avenue License # 100459 Cranston, RI 02910 Home Improvement Contractor# 1 2ouc) Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE l Cy r S , FOR OFFICIAL USE ONLY APPLICATION# 7 s DATE ISSUED ' �. MAP/PARCEL NO.. ADDRESS VILLAGE } OWNER t DATE OF INSPECTION: "FOUNDATIONd�� 1 = FRAME i INSULATION' ; FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH' FINAL . y 1 1 � 1 GAS: - , ROUGH FINAL =FI.NAL BUILDINGt � =--- _a :::DATE CLOSED OUT ASSOCIATION PLAN NO. _ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Mass. 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Build ers/Co> tractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): RISE Engineering a division of Thiel ch Engineering Address: 1341 Elmwood Avenue City/State/Zip: Cranston, RI 02910 Phone#: (401)784-3700 or 1-800-422-5365 Are you an employer? Check the appropriate box: Type of project(required): 1. 0 I am an employer with 4. 0 I am a general contractor and I 6. ❑New construction employees(full and/or part time).* have hired the sub-contractors �. 0 Remodeling 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. 0 Building addition [No workers' comp.insurance comp. insurance. # required] 5.0 We are a corporation and its 10. ❑Electrical repairs or additions 3. 0 I am a homeowner doing all work officers have exercised their 11. 0 Plumbing repairs or additions myself [No workers' comp. right of exemption perm MGL insurance required] t c. 152, § 1(4),and we have no 12. 0 Roof repairs employees. [no workers' 13. N Other Insulate comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tHomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contactors that check this box must attach an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that isproviding workers'compensation insurance for my employees.Below is thepolicy and job site information. Insurance Company Name: The Preston Agency Policy#6r Self-ins.Lic.#: 3730961-01 Expiration Date: 1/1/12 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 152 can lead to the imposition of criminal penalties of a fine up to$1;500.00 and/or one year imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of $250.00 a.day against violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coves e verification. I do herby certi and fhe ins enalties ofperjury that the information provided above is true and.correct. ,Si nature: / Date: Print Name: Erik Nerstheimer Phone#:(401)784-3700 or 1-800-422 365 x 1 3i Official use only Do not write in this area to be completed by city or town official City or Town: Permit/license#: Issuing•Authority(circle one): LBoard of Heath 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact person: Phone#: -�1 OP ID: 31 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 12/30/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER 401-886-8000 CONTACT NAME: The Preston Agency,Inc. 401-886-1700 PHONE FAX 1350 Division Rd Suite 303 A/C No Ext: A!C No): E-MAIL PO Box 810 ADDRESS: PRODUCER THIEL-1 East Greenwich,RI 02818-0810 CUSTOMER ID#: INSURERS AFFORDING COVERAGE NAIC# INSURED Thielsch Engineering,Inc INSURER A:Zurich-American Ins Co. Thielsch Group Inc. INSURER 8:American Guarantee&Liability Hi Tech Realty Inc. 195 Frances Avenue INSURER C:North American Capacity Cranston,RI02910 INSURER D:Hartford Insurance Company INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL rUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY 3730962-01 01/01/11 01/01/12 PREMISES(Ea occurrence $ 300,00 CLAIMS-MADE I OCCUR MED EXP(Any one person) $ 10,00 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 POLICY FX I PRO- LOC 1Frnn Ben. $ 1,000,00 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,00 A X ANY AUTO 3730963-01 01/01/11 01/01/12 (Ea accident) BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NOWOWNED AUTOS $ $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,00 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1 O,000,OO B ., AUC-4857188-00 01/01/11 01/01/12 RDEDUCTIBLE $ D RETENTION $ $ WORKERS COMPENSATION X WC STATU- I OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER -A ANY PROPRIETOR/PARTNER/EXECUTIVE 3730961-01 01/01/11 01/01/12 E.L.EACH ACCIDENT Is 1,000,00 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,00 Ifs describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 C Professional Liab DVLF00026800 04/01/10 04/01/11 Prof Liab 2,000,000 D Leased/Rented Eqp 02UUNTD5678 01/01/11 01/01/12 Equipment 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) +CERTIFICATE HOLDER CANCELLATION TOWN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED/ REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. I.ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD i 1 , NOTEPAD THIEL-1 PACE 2 Q INSURED•S NAME Thielsch Engineering,Inc OP ID: 31 DATE 12/30/10 RI4�r gineeringg,a division of Thielsch En ineerin ,Inc. lia kelpAssociaN a divisio f Thiels h Fr Oneenn ,Inc. Laboratory,a�jvlsjon o lelsch n !n erin ,Ir�c. oretor ,adivippgn.0 h sch n ineenn ,Inc.nginee mq cdlivision oTTTT TTniglsch nginee mg,Inc. ter Ma ageme gervices,a division of TTT Helsch Engineering,Inc. a I g1te Of ice o nsumer fain usmess a uon o g 10 Park Plaza- Suite 5170 Boston, ssachusetts 02116 Home Improve ontractor Registration _ Registration: 120979 M — Type: Supplement Card Expiration: 3/25/2012 THIELSCH ENGINEERING ERIK NERSTHEIMER 1341 ELMWOOD AVE. ° � h CRANSTON, RI 02910 � w Gy y S, Update Address and return card.Mark reason for change. Address Renewal Ej Employment ❑ Lost Card DPS-CAI 0 50M-04/04-GG110T012166p ✓�te"�Oonyimo�aiued.� 4y.,//ila'Qd�tude�6 Office of Consumer Affairs&Bu§iness Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation U19 Registration79 Type: 10 Park Plaza-Suite 5170 Expira _�12 Supplement Card Boston,MA 02116 THIELSCH EN L? - - ERIK NERSTH -' 1341 ELMWOOD CRANSTON; RI029 v=% -r" Undersecretary Not valid without signature Licensee Details Page 1 of 1 t . The Official Website of the Executive Office of Public Safety and Security(EOPS) Mass.Gov Home Public Safety Department of Public Safety Licensee Complaints License Type Construction Supervisor License# 100459 Restriction WS,IC Name Erik Nerstheimer City,State,Zip North Scituate,RI,02857 Expiration Date 3/28/2012 Status Current No complaints found for this Licensee. Back To Search http://db.state.ma.us/dps/licdetails.asp?txtSearchLN=CSLI00459 1/7/2011 r NAT-24531 - 1 y RISE ENGINEERING Federal ID#05-0405629 RI Contractor Registration No 8186 A division of Thielsch Engineering MA Contractor Registration No 120979 CT Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,R1 0291 0 ". (401)784-3700 FAX(401)784-3710 CONTRACT Page 1 RI S E THIS CONTRACT IS ENTERED INTO BETWEEN RISE ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DESCRIBED BELOW CUSTOMER PHONE DATE CUem# Mark D Gilbert (508)364-3476 12/22/2010 115236 SERVICE STREET BILLING STREET 158 Meadow Lane Po Box 163 SERVICE CITY,STATE,LP BILLING CITY,STATE,ZIP West Barnstable,MA 02668 W Barnstbl,MA 02668 JOB DESCRIPTION RISE Engineering will provide labor and materials to install a—11"layer of R-38 Class 1 Cellulose added to 128 square feet of floored attic space. $166.40 RISE Engineering will provide labor and materials to install 3.5"R-13 faced fiberglass batt insulation to 96 square feet of kneewall area. $105.60 RISE Engineering will provide labor and materials to install 2.25"R-10 semi-rigid fiberglass board insulation to 56 square feet of kneewall area. $151.20 RISE Engineering will provide labor and materials to install a 7"layer of R-23 Class I Cellulose added-to 512 square feet of open attic space. $512.00 RISE Engineering will provide labor and materials to insulate the back of the basement door with I"rigid fiberglass board and seal the door edge with weatherstripping to restrict air leakage. $100.00 RISE Engineering will provide labor and materials to insulate the back of 2 existing kneewall access hatch(es)with 2.5"rigid fiberglass board insulation,and seal the edge of the hatch with weatherstripping. $170.00 RISE Engineering will provide labor and materials to make a temporary access to an attic area The opening will be closed with a permanent roof vent. $75.00 RISE ENGINEERING Federal ID#05-0406629 Rlqontractor Registration No 8186 A division of Thielseh Engineering Registration No 120979 6ontractor Registration No 6201120 1341 Elmwood Avenue,Cranston,RI 029,�0,,,.,.-. (401)784-3700 FAX(401)784�-1116 ,, JAN 4 2011 CONTRACT t P5190 2 A RISE T.I.[.ONTRA.T IS ENTERED INTO BETWEEN ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DES.4111SED BELOW CUSTOMER PHONE DATE client a Mark D Gilbert (508)364-3476 12/22/2010 115236 SERVICE STREET BILLJNG STREET 158 Meadow Lane Po Box 163 SERVICE CITY,STATE,ZIP BILLING CITY,STATE,zip West Barnstable,MA 02668 W Bamstbl,MA 02668 JOB DESCRIPTION RISE Engineering will provide labor and materials to install 1 8"diameter roof vent(s)to increase ventilation in attic areas. The vent can be supplied in(circle color)black,brown,grey. $70.00 RISE Engineering will provide labor and materials to install 832 square feet ofR-13 faced fiberglass insulation to the basement ceiling. $832.00 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for eligible measures,the Cape Light Compact offers 75%incentive,not to exceed$2,000 per calander year. -$1,636.50 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Five Hundred Forty-Five&70/100 Dollars $545.70 UPON FINAL INSPECTION AND APPROVAL BY ENGINEERING.CUSTOMER AGREES TO"MIT AMOUNT DUE IN FULL INTEREST OF I%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AF/n?30 DAYS.SEE R"W"FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES 14e4_7 )( AUTHORIZED SIGNATURE-RISE ENGINEERING CUSTOMER EPTANCE NOTE THIS CONTRACT MAY BE WITHDRAWN BY us IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK DAYS. AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE t �7 I Control No: 3 4 2 4 4 THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF LABOR 8 DIVISION OF OCCUPATIONAL SAFETY J' 19 S•TANWORD STREET,BOSTON,MASSACHUSETTS 02114 LEAD-SAFE RENOVATION CONTRACTOR LICENSING WAIVER RISE Engineering A Division of Thielsch Engineering, Inc. 1341 Elmwood Avenue Cranston, R102910 WAIVER: LW000672 EXPIRES: April 15,2015 IN ACCORDANCE WITH M.G.L. C. 111, § 1970)(b)AND 454 CMR 22.03(3)(b), THIS LEAD-SAFE RENOVATION CONTRACTOR LICENSING WAIVER IS ISSUED BY THE DIV. OF OCCUPATIONAL SAFETY TO THE CONTRACTOR ABOVE FOR THE PURPOSE OF PERFORMING LEAD-SAFE RENOVATION WORK. THIS LEAD-SAFE RENOVATION CONTRACTOR LICENSING WAIVER MUST BE MAINTAINED BY THE CONTRACTOR IN ACCORDANCE WITH M.G.L. C. 111, § 197B(b) AND 454 CMR 22.04 WHEN PERFORMING LEAD-SAFE RENOVATION WORK. HEATHER E. ROWE,ACTING C01,,DUSSIONER L� Printed on Recycled Paper Barnstable Old Kings Highway Histol *c Disf 4 i CA ittee • 200 Main Street,Hyannis,MA 02601,TEL: 508=862-4787 7W 08-86 124, 784 URMARM yflF�9 APPLICATION CERTIFICATE OF APPROPRATENIS r:r,T Application is hereby made,with five(5)complete sets,for the issuance of a Certificate of Appropriateness-under Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973,for proposed work as described below and on plans,drawin¢s�or photographs accompanying this application for: Check all categories that apply; 1. Building construction: ❑ New ❑ Addition ❑ Alteration 2. Type of Building: ❑ House ❑ Garage/barn ❑ Shed ❑ Commercial ❑ Other 3. Exterior Painting roof ❑ new roof ❑ color/material change,of trim,siding,window,door 4. Sign: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ Tennis court ❑ Other 6. Pool ❑ Swimming ❑ Other man-made pool VSolar panels ❑ Other Type or Print Legibly: Date ;a.3 _1 a g J,o 13 NOTE All applications must be signed by the current owner Owner(print): -T G A AJ 41 r' (7 C-tz r Telephone#: 6-0 8 Address of Proposed Work: I-a 8 /),I TAd b J.,W Village W, "tZtit-3TA 101E1% ap Lot# /S4'0<17 Mailing Address(if ent) Owner's Signature Description of Propos Work: Give particulars of work to be done: se, 1 A R pia A _13 6, ROOF o/ P,nK i s A 3 -p 1Tc-k t=AcyN�1 AEAsT %e�ni�R�s 1�1/�RS� �A.�li�/C K,.j rx,,.j/r- CIF �- ,g AQ r lion ! jet rc-d, So-7-h Agent or Contractor(print): S rs A R " C e rV Telephone#: (1,.SCE -f_.3 8- !o 16 Address: 7oSS' WAy Contractor/Agent'signature: For committee use only. This Certificate is hereby PRO /DENIED Date 3 Members signatures RECEIVED JAN 2 3 .2013 GROWTH MANAGEMENT ii! APPROVE® FEB 13 2013 Town ol nstari e Old King's Highway Committee (Boards and Commissions101d Kin Hi 10KH Iuntions10KH2O11 Cert ro riatenmdoc a t 1 Q: irs 8�+'ay APP� APP P 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) Color: Roof Pitch(s): (7/12 minimum) (sped 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 2°d member Depth of overhang Window: (make/model) material color (Provide window schedule on plan for new buildings, major 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: REeEMD Gutter Type/Material: Color: Deck material: wood other material,specify Color: GRO 'T H MANAGEMENT Skylight,type/make/model: material Color: Size: Sign size: Type/Materials: Colo Fence Type(max 6' )Style material: Color. Retaining wall: Material: old King's Highway ttee Lighting,freestanding on building illuminating si�l f-I OTHER INFORMATION- THE ATTACHED CHECK LIST MUST BE COMPLETED AND SUBMITTT ED Please provide samples of paint colors,manufacturers brochure of windows,doors,garage door,fences,lamp posts etc Signed: (plan preparer) Print Name 9 2 Q.lBoards and Commissions101d Kings Highwayl0K1fApp1ica1ionsl0KH 2O11 Cert Appropriateness.doc r The Commonwealth of Massachusetts Print Form Department.of Industrial Accidents Office of Investigations ' I Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/individual): SolarCity Corporation Address:3055 Clearview Way. City/State/Zip:San Mateo, CA 94402 Phone #:650 963-5100 Are you an employer? Check the appropriate box: Type of project(required): 1.21 1 am a employer with 1500 4. ❑ i am a general contractor and 1 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' ❑ [No workers' comp. insurance comp. insurance.: 9. Building addition required.] 5. We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their. 11.❑ Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4), and we have no Solar PV employees. [No workers' 13.❑✓ Other comp. insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name:Zurich American Insurance Company Policy #or Self-ins. Lic.##:WC96734670 Expiration Date:09/01/13 Job Site Address: 9£JcrXVXn, City/State/Zip: 6o7610 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DiA for insurance coverage verification. I do hereby cer ' u tr r the s n e llies ofperLuLy that the.in ormation provided above is true and correct. Si nature: ' Date Phone#:978-215-2358 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health .2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: J ACC>R& CERTIFICATE OF LIABILITY INSURANCE D06/1 OB/166IDOl/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: 11 the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the oertifleate holder in lieu of such endorsomnn s. ►RODuCER'0726293 1-415-546-9300 CONTACTBrendan Quinlan Arthur J. Gallagher & Co. NAME: PHONE 415-S36-4020 _ Insurance Brokers of California, Inc., License 00726293 WC.No.Eat1:_. _I LAC No): One Market Plata, Spear Tower EMAIL Brendan Suite 200 ADDRM: WinlanMa�g.com ^ San Francisco, CA 94105 LISURER(S)AFFORDINGCOVERAGE _ NAICe__ INSURERA: 20RICH AMER INS CO 1653S INSURED INSURER9: LIBERTY INS CORP42404 SolarCity Corporation — INSURERC: UNDERWRITERS AT LLOYDS 32727 3055 Clearview Nay INSURERD: San Mateo , CA 94402 INSURERE: INSURER F: 1 COVERAGES CERTIFICATE NUMBER: 28723200 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITION_S OF F SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY_P_AID CLAIMS. INSR bDl1SUBR -' — POUCY EFF POLICY EXP - - - "- 11T TYPE Of INSURANCE l I POLICY NU DER DD LWITIT A GENERAL LIABILITY j GL0967364404 09/02/1 09/02/13 I EACH OCCURRENCE : 1,000.000 E 'COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED nce) $ 2,000,000 PftEM�€S.(Eaeocurro UAIMS-MADE l X i OCCUR _ 30,000 { $25,000 MED ExP(Arty onepinson) f E Deductibles PERSONAL 6ADVINJURY S 1,000.000 GENERAL AGGREGATE. Is 2,000,000 GEWL AGGREGATE LIMIT APPLIES PER ( PRODUCTS.COMP/OP AGG 'S 2,000,000 X I POLICY r I PRO• LOC A AUTOMOBILE LIABILITY I SAP982931702 1 09 O1 13 COMBINED SINGLE LIMIT E_ ANYAUFO (Ennocidem) _ 11,0001,000 BODILY INJURY(Per person) $ ^ ALL OWNED SCIIEDULEU I - AUTOS AUTOS I I BODILY INJURY(Per accident) $ X FIIRED AUTOS X AUTOS�ED PROPERTY DAMAGE S (Per sandent) S B X UMBRELLA UAB I X I OCCUR 'TH7661066265012 09/01/1 09/01/13 EACH OCCURRENCE $10.000,000 EXCESS LIAR CLAIMS-MADE i AGGREGATE 510,000,000 DEO TX I RETENTIONS 10,000 s A WORKERS COMPENSATION jWC967346704 WCSTATU• O1M• AND EMPLOYERS'LIABIUTY 09/Ol/1 09/02/13 X iTORYLIMITSi I ER ANY PROPRIETORIPARTNER/EXECUTIVE YIN ER ACCIDENT Is 1.000.000 OFflCER/MEMBER EXU UDE07 N 1 A (Mandatory In NH) E L.DISEASE•EA rMPLOYFE'S I.000.000 It yes,descnbo undx DES IPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1 S 1,000,000 C Errors and Omissions ( .BO146LDUSA1204514 09/01/1 09/01/13 Limit of Liability 5,000,000 Aggregate 51000,000 Deductible 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additbnst Remarks Schedule.It more apace Is required) Certificate issued as proof of coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence of Insurance Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE �N-t ? =� ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD goksan 28723200 Office of Consumer A (yi?r/soZd%uMsinwessaVeGguaelt(io&n 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement_Contractor Registration Registration: 168572 Type: Supplement Card Expiration: 3/8/2015 SOLARCITY CORPORATION NOLAN RICHARDSON 24 ST. MARTIN STREET BLD 2 UKIT 11 MARLBOROUGH, MA 01752 Update Address and return card.Mark reason for change. SCA 1 0 20M-05/11 � Address E] Renewal Employment ❑ Lost Card Q d /te rpa7rm�ra'luaet�l/�a�VI�LCtJat�c�uJe, . �\ ffice of Consumer Affairs&Business Regulation License or registration valid for individul use only =_ ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation egistration: 168572 Type: 10 Park Plaza-Suite 5170 Expiration: 3/8/2015 :R Supplement Card Boston,MA 02116 SOLARCITY CORPORATION NOLAN RICHARDSON 24 ST MARTIN STREET,13LD'2UNl TAAkLBOROUGH,MA 01752 Undersecretary Not valid without signature IN•Iassachusetts- Departtnent of Public Safeh Board of Buildin„ Re-ulations and-Standards Construction Supervisor License License: CS 92597 LESTER E WILT JR 10 RANGER CIRCLE SO WEYMOUTH, MA 02190 %-�— �•-- Expiration: 11/8/2013 ( nnmisciune,• Tr#: 7422 r i 0 TOWN OF BARNSTABLE BUILDING PERMIT,APPLICATION Map Parcel 6001 4:' Application # C�NJJA C� 1 Health Division Date Issued o2 Conservation Division Application Fee Planning Dept. Permit Fee �� Date Definitive Plan Approved by Planning Board M Historic - OKH Preservation / Hyannis Project Street Address 15 q /"1e&dev 1K. Vesf antis ble . MA 01665 Village Owner_-5c.un G r'( b erg' Address «sjc of Telephone -7 2`( -Z 3 Y - o? 2 S Permit Request 31 s01ae I--teCIV IC kxuJ,< vvr �Orjle na e_)a' 6,o,..f f° be io-Veoeponcc4-i 4z I-�o ry e4- .., 7 e/, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3,90o.UV Construction Type Solcw �V Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: Yes IdNo On Old King's Highway: E 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 i 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 a Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ J Commercial, ❑Yes u No If yes, site plan review# Current Use Rc_cic�41-A' Proposed Use No co i APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name S n( (.orp Telephone Number It 8- 717- 2. S 8 Address Ma r h License # a 2 S C1 7 L U 11 Home Improvement Contractor# l 6 g S Z2 /y! I b. W 1"A 012 s z- Worker's Compensation # JA&J L"7 3 u,6 70 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 2`f. JI". N1 ��•, 'D.. /mil 116on oA. MA 017.SZ .SIGNATURE a ' v, ��v, DATE g&RM J aD� S FOR OFFICIAL USE ONLY APPLICATION# f - ( DATE ISSUED MAP/PARCEL NO. Cs ADDRESS VILLAGE OWNER DATE OF INSPECTION: ; I ' 'FOUNDATION- FRAME = INSULATION' .* e FIREPLACE r1 F ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL .GAS: .:::: ROUGH ti FINAL :%FINAL.BUILDING:'.' DATE CLOSED OUT ;;, , ASSOCIATION PLAN NO:. rE LIP E , ENGINEERING INC. March 21,2013 Andrew Oesterreicher de SolarCity,Inc. 3055 Clearview Way OY E. E � San Mateo,CA 94402 CIVIL Re: Gilbert Residence—Project#026062 W 158 Meadow Lane AL'�'�° Barnstable,MA 02668 Andrew, As requested, we have reviewed the solar array connection to the roof structure at the above noted residence. The purpose of our review is to determine the required spacing of the connection points to the existing roof structure and verify that the existing roof structure can support the required loads. The solar array will be located on the structure as shown on the sheet PV 2 provided by SolarCity,Inc. A jobsite observation of the condition of the existing framing system was performed by an audit team from SolarCity. All attached structural calculations are based on these observations and the following design criteria: Design Criteria: ■ Building Jurisdiction: Barnstable,Massachusetts ■ Applicable Codes:, 2009 International Building Code,ASCE7-05 ■ Ground Snow Load: 30 psf • Roof Snow Load: 23.1 psf(reduced for slope) ■ Basic Wind Speed: 110 mph, Exposure C • Solar Modules: 3.5 psf-As shown on the plans provided by SolarCity We find that the solar array connections and the existing roof framing members are adequate to supp the required loading of the above noted jurisdiction plus the additional dead weight of the solar panels. We have only eviewed they Q i. adequacy of the connection to the existing roof and the roof structure to support the required vertical and lateral loads from the solar array system. We do not take responsibility for any other portion of the solar array support ystem, any other structural elements not contained within this letter,or the integrity of the structure as a whole. i Sincerely, Digitally signed by Troy E.Leistiko Eclipse Engineering,Inc. DN:O=VeriSign,Inc.', pOU=VeriSign Trust Network,OU=' W m www.verisign.com/repository/RPA I l Incorp.by Ref.,LIAB.LTD(c)98', OU=Persona Not Validated, Sushil Shenoy,EIT Troy E. Leistiko OU=Digital ID Class 1-Microsoft Full Service,CN=Troy E.Leistiko, E=troy)@eeimt.com Junior Project Manager Reason:I agree to the terms defined .by the placement of my signature in this document Enclosed: Supporting Calculations Location Date:2013/03/23 16:04,11-07'00' 155 NE REVERE AVENUE,SUITE A, BEND,011L 97701 a PHONE:(541)389 9659 FAX:(541)312-8708 D WINWECLIPSE-ENGINEERING.COM t ECLIPSE -ENGINEERING INC. Structural Calculations Roof Mount Solar PV Attachment PROJECT: Gilbert Residence - Job# 02606 ��� a W 158 Meadow Lane TROY E.LEIST 0 CIVIL Barnstable, MA 02668 iis3 Client: Jean Gilbert, 508-362-3029 a"" iEclipse Engineering, Inc. has reviewed only the adequacy of the solar panel attachment and roof framing at the solar panels to support the vertical and lateral loads of the above noted project. We neither take responsibility for any other element not I contained within this package nor the integrity of the structure as a whole. Calculations Prepared For: Calculations Prepared By:. SolarCity, Inc. Eclipse Engineering, Inc. 3055 Clearview Way 155 NE Revere Ave. San Mateo, California 94402 Bend, OR 97701 888-465-2489 541-389-9659 155 NE.REVERE.AVENUE,SUITE.A.REND,OR 97701 PI TUNE:(541)389-9659 I-AX:(541)312-8708 W1NW.ECUPSE-ENGINEERING.COM Eclipse Engineering, Inc Solar City 3/21/2013 Consulting Engineers Calculations SBS Project: Gilbert Residence Client: Solar City EEI Proj.M 13-03-184 Solar City Proj.M 026062 Date: 3/21/2013 Roof Angle: 45 deg Wind A: 1.29 i Building Dept.: . Barnstable i Ground Snow: 30 psf Wind Speed: 110 mph-3 sec gust ROOF LOADING ESTIMATES DL Roof- DL s Comp. Shingles(2-layers) 4.0 i 2x6 rafters @ 16"oc 2.8 Insulation 1.6 I 1/2"gyp. Ceiling 2.2 5/8" Plywood Shtg 1.8 Misc '2.0 Total: 14.4 psf Use: 15.0 psf DL Solar Panel- Panel Length 65.0 in Panel Width 39.0 in Hardware Weight 6.668 Ibs Panel Weight 55 lbs Panel DL 3.503034 psf Total: 3.5 psf Use: 3.5 psf Eclipse Engineering, Inc 3/21/2013 Consulting Engineers Calculations SBS ROOF SNOW LOAD - Per 2009 IBC Section 1608&ASCE 7-05 Roof Design Criteria Roof Pitch a= 45 deg Ground Snow Load- P9= 30 psf Existing Roof Snow Load-Per ASCE 7-05,Section 7.3 Exposure Factor- CB= 1 j Per ASCE Table 7-2 Thermal Factor- Ct.= 1.1 Per ASCE Table 7-3 Importance Factor- 1 = 1 Per ASCE Table 7-4 CAT II Slope Factor- Cs,= 1 Per ASCE Figure 7-2 Non-Slippery Flat Roof Snow Load- Pfr= 23.1 psf Pf,. = 0.7 *Ce *Cti *I *P9 Minimum Flat Roof Load- Pfrmin= 20 psf Per ASCE 7.3 Pfrmin = 20psf*I Flat Roof Design Snow Load- Pf= 23.1 psf Sloped Roof Design Snow Load- Psf= 23.1 psf Psi = Csi *Pf New Roof Snow Load-Per ASCE 7-05, Section 7.4 _ New Thermal Factor- C t2_L 1.2 ,Per ASCE Table 7-3 New Slope Factor- Cs2= 0.45 Per ASCE Figure 7-2 Non-Slippery-7.2b Flat Roof Snow Load- Pfrz= 25.2 psf Pf12 = 0.7*CQ *CC2 *I *Pg Minimum Flat Roof Load- Pfrm;,,= 20 psf Pfrmin = 20psf*I Flat Roof Design-Snow Load- Pf2= 25.2 psf Sloped Roof Design Snow Load- Ps2= 11.5 psf P12 = C12 *Pf Estimated weight of Solar Panels Ws= 3.5 psf Net Increase in Load on Roof Wf= 15.0 psf Wt = Ps2 +Ws %Increase in Load on Roof -35.2% w`—P51 * 100 Psi Note:The increase in load on the roof from the addition of the solar panels is less than 5%as allowed by the IEBC;therefore,the existing structure is adequate to support the additional solar panel weight. Eclipse Engineering, Inc. 026062-Gilbert Residence 3/21/2013 Consulting Engineering Roof Framing SBS SIMPLE SPAN BEAM DESIGN - EXISTING Rafters: MP2 plf:= lb•$ 1 psf:= lb•ft-2 psi:= lb-in-2 Design criteria: Allowable Stresses for- Fb:= 875.1.15.1.15.1.2•psi Fb= 1388.6•psi E:= 1400000psi SPF#2 F,:= 135.1.15•psi F„= 155.3•psi Total Roof Dead Load - Wr:= (15+ 0.0) psf wr= 15•psf Total Panel Load - wp:_ (3.5 + 23.1)•psf wp= 26.6•psf Span - L:= 12•ft Roof Tributary Width - wr:= 241 Roof Distributed Load - wf:= wr'wr+ w�wp wf= 83.2•plf Additional Dist. Load - wa:= o•plf Total Distributed Load - w:= wa+ wf w= 83.28 1 lb Total Point Load - P:= 0.0•lb P= 0 Dist From Point Load to End - a:= 041 Dist From Pt. Load to opp end - b, := L- a bi = 12ft w L2 P•a•bl Maximum Design Moment- M :_ + M = 1497.6 ft•lb 8 L Maximum Design Shear- V:= w L + P—bj V = 499.2lb 2 L TRY: (1) 1 .5. x 7.25" b := 1.5•in d:= 7.25•in A:= b•d S.- b d2 I b—d 3 � 6 12 A= 10.9•in2 S= 13.1•in3 1= 47.6•in4 Actual Shear Stress - f":= 3 v (L- 2•d) fv= 61.9•psi OK 2 A L Actual•Bending Stress - fb:= M fb= 1367.61•psi OK S Total Load Deflection - o:= 5w•0 + P•a•bi•(a + 2•bj) 3•a a+ 2•bl 384•E•1 27•E•1•L 0= 0.582•in L = 247.4 OK 0 . (1 ) 2 x 8 SPF #2 roof rafter @ 24 inches on center is adequate for the additional panel weight. Eclipse Engineering, Inc 3/21/2013 Consulting Engineers Calculations SBS SOLAR ARRAY CONNECTION 'TO EXISTING ROOF Wind Zone 2 Wind Loading -ASCE STANDARD -ASCE 7-05 . Section 6.4.2.2-Wind Loads on Components and Cladding -Simplified Method: 3 Second Wind Gust V= 110 mph Importance Factor I = 1 Net Design Wind Pressure-Figure 6-3 pre130= 25.5 psf 10 SQ FT Velocity Pressure Exp.Coefficient-Figure 6-3 X= 1.29 Up to 20ft above grade-exp C Topographic Factor 6.5.7.2&Figure 6-4 KZ,== (1 +Kl *K2 *K3)2 K, =0, K2=0, K3=0 Velocity Pressure-6.5.10 pfei= ' 32.9 psf A*Kt */*Pnet30 Length of Solar Panel LP= 40 in Max load is half of panel Spacing of Base Supports Sb= 48 in Every other rafter Height of Solar Rack HP= 3 in Worst case Area of Solar Panel @ support AP= 13.33 ft` LP *Sb Worst Case for Offset Panel Uplift per Bracket Tb= 439 Ibs Pner *AP Shear Force per Bracket Vb= 33 lbs Pnet *hp *Sp Number of Screws per Bracket Ns Tension per Screw Ts= 439 Ibs Tb NS V Shear per Screw VS= 33 Ibs b.N s Angle of Component Loading 0= 85.7 deg tan-'TSV s Component Load on Screw Zc= 440 Ibs F +VS2 Duration Factor Cd= 1.6 Shear&Withdrawl-5/16"Lag Z= 208 Ibs 130*Cd Withdrawl Capacity per Inch W= 205 Ibs/in Depth of Screw p= 2.25 in Withdrawl Capacity T= 738 Ibs Cd *p* W Capacity of(1)Lag Screw Za= 727.6 Ibs T*Z T*COS 02 +Z*sin 02 Capacity of SolarCity Base- Yeti Zb=1 6151lbs Checks Zb>Tb Za>Zc OK! OK! USE:5/16"DIAMETER LAG SCREWS spaced a maximum 48"on center across the slope Eclipse Engineering,Inc 3/21/2013 Consulting Engineers Calculations SBS SOLAR ARRAY CONNECTION TO EXISTING ROOF Wind Zone 3 Wind Loading -ASCE STANDARD -ASCE 7-05 Section 6.4.2.2-Wind Loads on Components and Cladding-Simplified Method: 3 Second Wind Gust V= 110 mph Importance Factor 1= 1 Net Design Wind Pressure-Figure 6-3 Pnet30= 25.5 psf 10 SQ FT Velocity Pressure Exp.Coefficient-Figure 6-3 a= 1.29 Up to 20ft above grade-exp C Topographic Factor 6.5.7.2&Figure 6-4 KZt= (1 +Kl *KZ *K3)z Kt =0,K2=0, K3=0 Velocity Pressure-6.5.10 pnet= 32.9 psf A*Kt */*Pnet30 Length of Solar Panel LP= 20 in Max load is quarter of panel Spacing of Base Supports Sb= 48 in Every other rafter Height of Solar Rack HP= 3 in Worst case Area of Solar Panel @ support Ap= 6.667 ft` LP *Se Worst Case for Offset Panel Uplift per Bracket Tb= 219 Ibs pttet *AP Shear Force per Bracket Vb= 33 Ibs Pnet *hp *Sp Number of Screws per Bracket Ns=1 '1 Tension per Screw Ts= 219 Ibs Tb NS Shear per Screw V V6 S= 33 Ibs Ns Angle of Component Loading 6= 81.5 deg tan-1 TS s Component Load on Screw Zc= 222 Ibs TSZ + VSz Duration Factor. Cd=1 1.6 'Shear&Withdrawl-5/16"Lag Z= 208 Ibs 130*Cd Withdrawl Capacity per Inch W= 205 Ibs/in Depth of Screw p= 2.25 in Withdrawl Capacity T= 738 Ibs Cd *p*W Capacity of(1)Lag Screw Za= 698.8 Ibs T*Z T*COS 02 +Z*sin 02 Capacity of SolarCity Base- Yeti Zb= 615 Ibs Checks Zb>Tb Za>Zc OK! OK! USE:5/16"DIAMETER LAG SCREWS spaced a maximum 48"on center across the slope ®a SolarCity. SolarLease 3055 Clearview Way, San Mateo, CA 94402 T (888) SOL-CITY F(650) 638-1029 SOLARCITY.COM Homeowner Name and Address Co-Owner Name(If Any) Installation Location Contractor License Jean Gilbert 158 Meadow Ln MA HIC 168572 158 Meadow Ln Barnstable, MA.02668 Barnstable, MA 02668 1. INTRODUCTION calendar month, including the Interconnection Date. This SolarLease®(this "Lease") is the agreement We refer to this period of time as the "Lease Term." between you and SolarCity Corporation (together with The Lease Term begins on the Interconnection Date. its successors and assigns, "SolarCity"or "we"), The Interconnection Date is the date that the System is covering the lease to you of the solar panel system turned on and generating power. SolarCity will notify (the "System") described below. The System will be you by email when your System is ready to be turned installed by SolarCity at the address you listed on. above. This Lease will refer to this address as the "Property" or your "Home." This Lease is up to 3. SYSTEM DESCRIPTION eleven (11) pages long and has up to three (3) Item Exhibits depending on the state where you live. This Lease has disclosures required by the Federal 7.680 kW DC (STC)photovoltaic system Consumer Leasing Act and, where applicable, state law. SolarCity provides you with a Performance Photovoltaic Modules Guaranty and Limited Warranty (the "Limited Inverter(s) Warranty"). The Limited Warranty is attached as Exhibit 2. SolarCity will also provide you with a Mounting system System user manual entitled "Solar Operation and . Maintenance Guide" (the "Guide"), that contains Monitoring system important operation, maintenance and service Electric meter number: information. This is a legally binding agreement, so please read everything carefully including all of the Extras: exhibits. If you do not meet your contract obligations under this Lease, you may lose your rights to the Additional Finance Surcharge: One-time System. If you have any questions regarding this payment Lease, please ask your SolarCity sales consultant. Lease Promotional Discount 2. LEASE TERM SolarCity agrees to. lease you the System for 20 years (240 full calendar months), plus, if the Interconnection Date is not on the first day of a calendar month, the number of days left in that partial SolarLease,June 8, 2012 Copyright©2008-2012 SolarCity Corporation.All Rights Reserved. I have read this Lease and the Exhibits in their entirety and I acknowledge that I,have received a complete copy of this Lease. Owner's Name: Jean.Gilbert Signature:-,,,,, l';iw,ar can Gilbert(Jul 24,2012) Date: Jul 24, 2012 uscgchief@comcast.net Co-Owner's Name (if any): Signature_ Date: r [SolarCity Signature Here] Date: Solarlease 11 i j i s I E i ..... _.... ........ . . i i + v v, s 1 �ci i 1 ............ ..........;........ ...........!.. : ...... ...... d. ' .. ....._:_l..___.1_...._.d......... ..:._...}.�... 4-... .. ..........}..:...... N ..i..... ..... _ ....L. .. ... Ir i E . ..T� .. !. ...!........... ... _�._ . . ...// .:_ i .. .. . ;.... 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