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Home My WebLink About1753 OLD STAGE ROAD f7r3 dig s� UPC 12543 �a No.53LOR � HASTIMOS. UN Tp Town of Barnstable *Permit# 13 p Expires 6 months from issue die Regulatory Services Fee • 11AM9rABLB. • Richard V.Scali,Director Building Division PERM111 Tom Perry,CBO,Building Commissioner MAR 24 2016 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us TOWN OF BARNSTAB E Office: 508-862-4038 Fax: 508-7 -6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Map/parcel Number Not Valid without Red X-Press Imprint __((� Property Address �} Q Ld S�cA r o t j �}r Residential Value of Work$ q jC7C� , tb Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ir d to Ct a �� 1 �?j pC.cl Sj 49 Contractor's Name CAR qr� lh�U �"So?1 S Telephone Number ':;"A Home Improvement Contractor License#(if applicable) 10 '1`i L4 0 Email: Construction Supervisor's License#(if applicable) 4'6 3141 ❑Workman's Compensation Insurance Check one: ®'I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit.- Permit Request(check box) ® Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken tok�tnQ' t- Co3 6a�� • `�'-�ch� c d �o�-as S e t `�`�9 ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors1 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: ^�� M QAWPFILESTORMS\building permit fomis\EXPRESS.doc Revised 040215 I .7he Cown romvteakh of Massadiuset& Departmment of1ndustria1Accide7rts Offiwe of I nvestigadons. ' 600 Washbigion Street Boston,CIA 02111 f vivin mass_govIdia 'Workers' Ca3mpensatian Insurance Affidavit:BuilderslContracturs/EIecEticianslPhunbers Applicant 1nfmrm3fron Please Print Fe,-ffi Y Name(BasineessnOrganiza4ion/Intdnal} Address: t b'�> VX=,\VL-O w s City/StatetZ*-Soc,oSSa* b1z 0zt-S9 Phone>r SaF (03-S-Zq Are you an employer?Check the appropriate box: Type of project(required}: 1.❑ I am a employes with 4. ❑I am a general contractor and I employees(full andfor part-�ime). * have hired the subcontractors 6_ ❑New coon 2.® I am a sole proprietor orpartner- listed on the attached sheet 7. ❑Remodeling strip and have no employees. . These sub-c=tractors have 9. ❑Demolition wonting for mein any capacity- employees and have wodmrs' [No nrorke-M, camp.insurance comp-insurance# 9. ❑Building addition required-] 5. ❑ We are a corporation and its 16❑Electrical repairs cr additions 3111 aura homeouner doing all work officers have exercised their 11-0 Plumbing repairs or additions sel€ o workers' �t of exempfion per MGL myself.� - 13_❑Roofrepairs i mctm=e required-]1 c.152,§1(4h andwe have no employees.[No workers' 13_❑Other comp_insurance required.] •daygTKcaa&atchecksboa#1umstalsofMoutthesectioubelowsbm mz their V;Mlerecampensad Upolicyinfvrmwaca T Homeowners who subunit dris dEdardr m catmg they are doing ttll Wank and.tken hire outside contractors]ems,submit a new affidavit mdifII�rnrTi ZCotrtractors ffiat check this boot must attached as additional sheer showing the name of the sub-cantructo-ss.snd state whether or not tbose entities h ve employees.Ifthesub-coatractots have emplopba%they nnisrpmvidetheir warkers'tomp.policyaumber. lam an euiployer tJrat rs prauiding ivorkes'cox gmLstE aii irLs7iriu.zceforinycHiple7jees. $el'osv is flrepoticy aced job site information. Insurance Company Name: Policy or Self-ins_Lit. MxpirationDate: Job Site Aeldre=- CitylStawzip: Attach a copy of the workers'compensationpolicy declaration page(shoving the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 15'1 can lead to the imposition of criminal penalties of a fine up to$U06 00 indrtir on-e-yearimprisonmeut,as well as civil penalties iu the form of a STOP WORK ORDER and a fine of up to$250M a day against the violator. Be advised that a copy of this statement xaay,be forwarded to the Office of Investigations of the DIA for insurance coverage vacation_ I dra hereby cmtrfy harder the pauis and pmra&W ofpetjut y that the info rmadmi provreied abm a is trace and carrect Sit�tature: t � a�� ,J lA Ilate: I L) j Phone e: S 6 C., Ojozd L use anly Do Brat write in tars area,ter be cauipieted by city artotrn affieiat City or Town: PermitUcense# L'MM lg Authority(circle one): L Board of Health 2.BuMmg Department 3.City/Town Clerk 4.Electrical Fnspertor 5.Plumbing Inspector 6.Other Contact Person Phone 9: -Ljormation and Instruefions Massaci metts Gehamzl Laws chapter 152 requires all empIoyers to provide workers'compensation for their employees. ' pms�this stag,au ernployee is defied as."_.evea9 person m the service of another under any contract ofhiis, express or implied,oral or vni� An Moyer is defined as ran indivi±m,parfnersh�,association;corporation or other legal entity,or any two or more of the foregoing=gaged in.aloes enterprise,and including the legal representatives of a deceased employer,or the receiver or trastee 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 occapant of the - dwelling hone of another who employs persons to do ma nfen ce,construction or repair work.on such dwelling house: or on the grounds or building appu�thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C 6)also staters that"every state or local licensing agency sb LU 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 cove7rage required." Additionally.MCrL chapter 152,§25C(7)states-Neither the commonwealth nor nay ofits political subdivisions shall enter into any contract for the performance ofpnblic work until acceptable evidence of compliapce with the insurance requirements of this chapter have:been presented to the contracting authority." Applicants Please flI oirt the workers'compensation affidavit completely,by cherldng the boxes that apply to your sitnation and,if nessary,supply sob-contactnr(s)name(s), address(es)and Phone number(s) along with their certificate(s) of ec irncr=ce. Liinited Liability Companies(LLC)or Limited Liability Parfnemhips 9-12)wr&no employees other than the members or partners,are not regimed to cant'workers' compensation insurance- If an LLC or LLP does have employees,a policy isrupied. Be advised that this affidavit:may be submitted to the Department ofIndnsfrial Accidents for confirmation of insurnce coverage. Also be sure to sign and date the affidavit The affidavit should be mtmied to the city'or town that the application for the permit or license is being requested,not the Department of Tnrha.ctr;al Accidents. Should you have airy questions regarding the law or ifyou aie regafi to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials t _ Please be sore that the affidavit is complete and pried legibly. The Department has provided a space at the bottom of the affidavit for you to fill out is the event the:Office of Iuvestigations has to contact you regarding the applicant- Please be sure to fill in the pen�it/license number which will be used as a reference number. In addition,an applicant that must submit multiple permitlIieensa app lit aflons is any given yeaar,need only submit one affidavit indicating cuaent p olicy fi ifomation(if necessary)and under"Job Sib-Address"the applicant should wipe"aII locations in (city or town)--A copy of the affidavit that has been officially stamped or madred by the city or town maybe 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 (Le. a dog license or permit to bum leaves etc.)said person is NOT regffired to complete this affidavit The Office of Invesfigaiious would IiIM 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 mmrnber_ ' C.GmMMwcalft of Massacb-metl s De=tcn=t cif 1ndusfial Accidents Office of Irvegtkatio= (500 washmgtan t 'ToL.617' -4900 cxt 4€6 car 1-4�77-MA SAFE Fax 617-727 7M B.evised 4-24-07 In �� r Office of Consumer Affairs&Business Regulation- Mass.Gov Page 1 of 1 The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) i Consumer Affairs and Business Regulation Home Consumer Rights and Resources Home Improvement Contracting Home Improvement Contractor Registration Lookup To search by registration number, enter the registration number in the textbox below and click the 'Search' button. Search by Registration Number 107740 Search To search by other fields, enter the search criteria in the fields below and click the 'Search Registrants' button. For the State field, use the two character state abbreviation such as "MA "for Massachusetts and "RI" for Rhode Isiand. All search fields allbw par`al tdxt so the search will look for any values that begin with what was entered. For example, if you enter"Fr" in the City/Town field and "MA" in the State field then the search will return records for Framingham, Franklin, and Freetown which all begin with "Fr" and are located in Massachusetts. To return less information enter in more criteria. For instance, entering in a state of "MA" will return a large number of records but entering in a state of "MA" and a city/town of"Medford" will lower the results. Search by Registrant's 177 --- --- company's name - _.._ . . . ..._ Search by Registrant's last name - __....._. . .. •City/Town State Zip code Search Registrants) Click on the registration number to view complaint history. You can also view arbitration and Guaranty Fund history. The list is current as of Monday,SeptembeL15,..2014,._._,.�__-.�. Search Results REGISTRANT RESPONSIBLE REGISTRATION ADDRESS EXPIRATION STATUS NAME INDIVIDUAL NUMBER DATE MARTINEAU AND SONS Martineau, Paul 107740 P.O. BOX 242 08/05/2016 Current Pocasset, MA 025.59 ©2012 Commonwealth of Massachusetts. Mass.Gov®is a registered service mark of the Commonwealth of Massachusetts. http://services.oca.state.ma.us/hLic/licenseelist.aspx 9/16/2014 i r Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-050341 ROBERT MARTIDtEA PO BOX 242 Pocasset MA 02559 x. —��- Expiration Commissioner 07/14/2016 i Unrestricted_Buildings of angroup which contain less than 35,000 cubic feet(91m B 3) enclosed space. i i Failure to possess a current edition State Bof the Massachus uilding Code is cause for revocation of this license i For DPS Licensing information visit: N'ww•Mass.Gov/ppS i ' I Town of Barnstable Regulatory Services EL%P rneM MASS. Richard V.Scali,Director 1h9. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I Evan Croft as Owner of the subject property hereby authorize Martineau and Sons to act on my behalf, in all matters relative to work authorized by this building permit application for: 7753 Old Stage Rd (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Own r Signature of Applicant I"yZGl 1 "rr� '�cSn e��r '�11--�t►t�e�,1,� Print Name Print Name 3 isb1b Date TOWN ORBARNSTABLE BUILDING PERMIT APPLICATION Map �Z Parcel b c�� `" Application #o �_J " Health Division ;. '� '�i - ' "." I`?: Date Issued Conservation Division Application Fee 1 Planning Dept. Permit Fee L 1;1 ;.�ijiv Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village Owner zom ddress Telephone n \ . Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District _ c Qd Plain Groundwater Overlay Project Valuatio .` 33 Construction Type Lot Size Grandfathered: ❑ Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ©' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ 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 woody/coal stove: ❑!Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barna=0 existing `6 new, size_ ? _ Attached garage: ❑ existing ❑ ❑ ❑ new size _Shed: existing new size _ Other: Q c - � �f 65. Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# `n Current Use Proposed Use APPLICANT INFORMATION (BJ�ILD�FJLO R OMEOWNER) Name Telephone Number ! - Uy� Address 1 icense # - Tl--)��o 1 � �bbg Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIG TORE ___. DATE jo�� L�� 1 571b FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED r +. MAP/.PARCEL NO. ADDRESS VILLAGE OWNER - DATE OF INSPECTION: . FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL- GAS: ROUGH FINAL` FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Trinity Solar 20 Patterson Brook Road Wareham, MA 02571 508-291-0007 Date: 10/26/15 I, Evan & Joan Croft —,do hereby grant Trinity Solar the right to sign on (Homeowner's Nome) my behalf in all matters regarding the permit applications through the township of W. Barnstable for the installation of solar panels and all other (Municipality) related work on my property at 1753 Old Stage Road . Please accept this (street Address) document,with full signature, in place of all application signatures. Furthermore,should there be any issues or discrepancies with the paperwork,please contact Danielle Devito at Trinity Solar, 732-780-3779 ext. 9044 or danielle.devito@trinitysolarsystems.com. Sincerely, &_MCvIt 1753 Old Stage Road Homeowner's Signature Street Address Evan & Joan Croft W. Barnstable MA 02668 Print name City,State,Zip Code 508-420-9023 Phone Number t i A6 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/2/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTANAME: Barbara Hayden DITTMAR AGENCY AICN o Ext (732)462-2343 FAX No:(732)780-6414 78 Court Street E-MAIL ADDRESS:bahayden@dittmarinsurance.com P.O. BOX 1180 INSURERS AFFORDING COVERAGE NAIC# Freehold NJ 07728 INSURER A:HDI-Gerling America Insurance Co. INSUREDINSURER B:Llo d l S London Trinity Heating S Air Inc., DBA: Trinity Solar INSURERC:North River Insureance Co. BPTP Future Holdings, LLC INSURER D: 2211 Allenwood Road INSURER E: Wall Twp NJ 07719 INSURER F COVERAGES CERTIFICATE NUMBER:2015-16 Liab Master 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 I ADDL SUBR EXP LTR TYPE OF INSURANCE POLICY NUMBER MM DIDIYYYY MMIDDY/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 2,000,000 DAMAGE TO RENTED 500,000 A CLAIMS-MADE X OCCUR PREMISES Ea occurrence S EGGCC000065615 11/1/2015 11/1/2016 MED EXP(Any one person) $ PERSONAL BADVINJURY S 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑PRO- JECT LOC PRODUCTS-COMP/OPAGG S 2,000,000 OTHER: Employee Benefits S 1,000,000 AUTOMOBILE LIABILITY EOa aBBINEDt SINGLE LIMIT S 2,000,000 A X ANY AUTO BODILY INJURY(Per person) S A OWNED 11/1/2015 11/1/2016 BODILYINJURY(Peraccident AUTOS SCHEDULED E AUTOS ) S NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident S PIP-Extended S 8,000 A UMBRELLA LIAB OCCUR EXAGC000065615 11/1/2015 11/1/2016 EACH OCCURRENCE S 3,000,000 C X EXCESS LIAB HCLAIMS-MADE AGGREGATE S 3,000,000 DED RETENTIONS 1 5227985133 11/1/2015 11/1/2016 Limit x of S3,000,000 S 21,000,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S 1 00,000 OFFICER/MEMBER EXCLUDED? ❑ A N/A (Mandatory in NH) EWGCC000056515 11/1/2015 11/1/2016 E.L.DISEASE-EA EMPLOYE S 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I S 1,000,000 B Errors & Omissions PGIARK0201403 5/30/2015 5/30/2016 Per Occurrence $2,000,000 Pollution Liability Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Trinity Heating S Air, Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Patterson Brook Road ACCORDANCE WITH THE POLICY PROVISIONS. Wareham, MA 02571 AUTHORIZED REPRESENTATIVE Barbara Hayden/BAH ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) • � I The CommottweallhofMissachusells , UWDepartment of Industrial Accidents I Congress Street,Suite 100 Roston,NIA 02114-2017 ivivmtnass.gov/dia 1lrorkers'Compensation Insurance Affidavit:Builders/Coiitractors/Eiectricinns/Plumbers. TO 0E FILED WITH TIiF,PEILNIIT'I'LNG AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organizatioivindividuai):Trinity Solar Address: 2211 Allenwood Road City/State/Zip: Wall, NJ 07719 Phone#: 732-780-3779 Are you au employer?Check the appropriate box: 'Type of project(required): LVI am a employer++ith 300 mployees(full and/or pan-time),' 7. ❑New construction 2.a 1 am a sole proprietor or partnership and have no employees+vorking forme ui 8. Remodeling any capacity.IA'o workers'comp.insurance required.I 3.Q I am a homeowner doing all n•osk myselL[No workers'comp.insurance required.]t ' 9. ❑Demolition 4.❑I am a homeo++ner and+vil I he hiring contractors to conduct all++•ork on my property. 1 will10 Building addition ensure that all contractors either have workers'compensarion insurance or arc sole I LVElectrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.Q 1 am a general contractor and I have hired tho sub-contractors listed on the attached sheet. l3.[I Roof repairs These subcontractors have employees and have workers'comp.insurance.: 6.E]we are a corporation and its officers have exercised their right of exemption per MGL C. 14.Q Otber _ 152,§1(4),and ue have no employees.I.to workers'comp.insurance required.) Any applicant that checks box#1 must also fill out the section below showing Their+vorkers'compensation policy information. t Homeowners who subotit this affidavit indicating they are doing all work and then hire outside contraclors must submit a new affidavit indicating such. lContractors that check This box must attached art additional sheer showing the name of the sub-con[raelors and sale whether or not those entities have employees. If the sub-contractors have employees,[hey must provide their workers'comp.policy number. J ant an employer that Is providing workers'compensation insfirance for lily employees. Below is(lie policy unfd job site ` litfornnation. Insurance Company Name:.The Dittmar Agency Policy#or Self-ins,Lie.#: FWC;C'C'MM65_ ,5 Expiration Date: 11/'I/16 Job Site Address: 1753 Old Stage Road City/State/Zip: West Barnstable Mass. _ _ Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date), Failure to secure coverage as required tinder MGL c. 152,§25A is a criminal violation punishable by a tine 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do lrerebl certl,under the pains and penaltlee of perjWry that the Information provided above Is true and correct. �jglt�lure: .t4�9?LQ.d � Dnte: 12/4/15 .Phone#: Offleial use only. Do not write in this area,to be completed by city or town ofjiclaf. City or'l'own: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfl'own Clerk 4.Electrical Inspector S. Plumbing Inspector 6.Other Contact Person Phone#: &I- te, Y494/�'1?/??'Lr2�'l LIJP�GGG�!'L ¢' l/LCU1clGYGf'LLl/lf � Office of Consumer Affairs and Business Regulation fi 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 170355 Type: Corporation Expiration: 1011212017 Tr# 271078 TRINITY HEATING & AIR, INC. TOM-BL U M ETTI-______r 20 PATTERSON BROOK ROAD UNIT 10 WEST WAREHAM, MA 02576 Update Address and return card.Mark reason for change. SCA 1 0 20M-0511, !] Address Renewal Employment Lost Card /a�ancmoi�rueti�C�o`'O�llu�xrr.�i�sctll Office of Consumer Affairs&Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 170355 Type: Office of Consumer Affairs and Business Regulation Expiration: '1:071.21201.7 Corporation 10 Park Plaza-Suite 5170 Boston,NIA 02116 TRINITY HEATING&AIR,,INC. TOM BLUMETTI 20 PATTERSON BROOK ROAD U ��5��WAREHAM,MA 02576 Undersecretary Not va id without signature I Office of Consumer Affairs dnd Business Regulation t0 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 170355 Type: Supplement Card TRINITY HEATING & AIR, INC. Expiration: 10/12/2017 GREGG LAGASSE-- 20 PATTERSON BROOK ROAD UNIT 10 WEST WAREHAM, MA 02576 Update Address and return card.Mark reason for change. sCA 1 0 20M-05n1 L Address Renewal iJ Employment ❑ Lost Card eel&'eonimoi wwlll �G�uauic/%arse%/� i ce of Consumer Affairs&Business'Regulatioo 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 17t)355 Type: 10 Park Plaza-Suite 5170 Expiration: 10/12tN17 Supplement Card Boston.MA 02116 TRINITY HEATING&Alft;INC. GREGG LACASSE 20 PATTERSON BROOK ROAD U t.:-.::_>_ ..;•;.-: ` WAREHAM,MA 02576 Undersecretary N 'vs t6 ut si store i Massachusetts Department of Public Safety ® Board of Building Regulations and Standards License: CS-103631 Construction Supervisor GREGG LACASSe- 14 PINE ISLAND ko"PMi MATTAPOISETT--MAv i CA, Expiration►: Commissioner 430/201T I Optimize Engineering Co., LLC P.O. Box 264•Farmville•VA 23901 Ph: 434.574.6138.E-mail: grichardpe@aol.com Richard B.Gordon, P.E. President October 29,2015 West Barnstable Building Department West Barnstable, MA Re: Solar Panels Roof Structural Framing Support To Whom It May Concern: I hereby certify that I am a Licensed Professional Engineer in the State of Massachusetts. Please note the following conclusions regarding framing structure, roof loading,and proposed site location of installation: 1. Existing roof framing: Conventional framing is 2x8 at 16" o.c.with 15'span (horizontal rafter projection). This existing structure is definitely capable to support all of the loads that are indicated below for this photovoltaic project. 2. Roof Loading • 4.33 psf dead load(modules plus all mounting hardware) • 18 psf snow live load(30 psf ground snow live load reference) • 4.5 psf dead load roof materials • , Exposure Category B, 115 mph wind uplift live load of 19.6 psf(wind resistance) 3. Address of proposed installation: Residence of Evan Croft, 1753 Old Stage Road,West Barnstable, Massachusetts This installation design will be in general conformance to the manufacturer's specifications,and is in compliance with all applicable laws,codes,and ordinances,and specifically, International Residential Code/ IRC 2009,2011 NEC,and 2012 ICC Energy Code. The spacing and fastening of the Unirac mounting brackets is to have a maximum of 64" o.c.span along the rail between mounting brackets and secured using 5/16"x 3%" length corrosive resistant steel lag bolts. In order to evenly distribute the load across the roof rafters,there shall be a minimum of 2 mounting brackets per rafter&min. 2" penetration of lag bolt per bracket,which is adequate to resist all 115 mph wind live loads including wind shear. The mounting brackets shall alternate between adjacent rafters between rail rows for better distribution of roof load. Penetration of anchors for modules mounted within 18" of ridge and edges of roof is to be a minimum of 3". Rails may be attached to either of two mounting holes in the L-feet. Mounting in the lower hole for a low profile, more aesthetically pleasing installation or mount in the upper hole for a higher profile to maximize airflow under the modules to cool them more.Slide the 3,8-inch mounting bolts into the footing bolt slots. The rails will be attached to the footings with the flange nuts. Very truly yours, Optimize.Engineering CO.,`LLC of Richar B.Gordon5 P.E. ° � ll,81 MAssq Massachusetts P.E. License No.49993 0� °y MECHANICAL ENGINEERING ICHARD B. n CIVIL ENGINEERING O C:ORDON ELECTRICAL ENGINEERING " "40.49 93 tJO.49993 G/STER�� /ONAL �G� Vim. n INSTALLATION OF NEW ROOF MOUNTED OLD STAGE ROAD. 8.84kW PV SYSTEM S . 1753 OLD STAGE ROAD WEST BARNSTABLE, MA 02668 S y4\ Issued/ReVislons 0 VICINITY MAP SITE NO. DESCRIPTION DATE SCALE:NTS Project Tile: CROFT,EVAN TRINITY ACCT.2015-69345 Project Address: 1753 OLD STAGE ROAD WEST BARNSTABLE,MA 02668 I GENERAL NOTES GENERAL NOTES CONTINUED GENERAL NOTES CONTINUED ABBREVIATIONS CONTINUED SHEET INDEX 1.THE INSTALLATIONCONTRACTOR IS 9. THEOCVOLTAGEFROM THEPANELSIS 14. B)CURRENTPREVARINGUTILITY PV-1 COVER SHEET W/SITE INFO&NOTES Drawing Title: JB JUNCTION BOX RESPONSIBLE FOR INSTALLING ALL ALWAYSPRESENT AT THE DC COMPANYSIF IFICATIONS. kCMIL THOUSAND CIRCULAR MILE PV-Z ROOF PLAN W/MODULE LOCATIONS EQUIPMENT ANDFOLLOWINGALL DISCONNECT ENCLOSURE AND THE OC STlWDARDS,AND REQUIREMENTS kVA KILOVOLT AMPERE PROPOSED 8.84kW OINECTIONSANOWSTRUCTONS TERMINALS OF THE INVERTER WRING 15 THISSETOFPLANSHAO BEEN kW KILOWATT SOLAR SYSTEM CONTAINED INTHEDRAYNNGPACKAGEAND DAYLIGHT HOURS,ALL PERSONS PREPARED FOR THE PURPOSE OF M H KILOWATT HOUR PV-3 ELECTRICAL 3 LINE DIAGRAM INFORMATION RECEIVED FROM TRINITY WORKINGONORINVWVEDWITH THE MUNICIPALANDAGENCY REWEW ANO L LINE MGB MAIN CIRCUIT BREAKER 2.THE INSTALIATWCONTRACTORIS PH OTOVOLTAICSYSTEMAREWARNED APPROVAL_THIS SET OF PLANS SHALL Dm.i.9 Informatl0n RESPONSIBLE FOR I STALUIRG ALL THAT THE SOLAR MODULES ARE NOT BE UTILIGED AS CONSTRUCTION MDP MAIN DISTRIBUTION PANEL EQUIPMENT PND FOLLOWING ALL ENE RGIZEDWHENEVERTHEYARE DRAWINGS UNTIL REVISED TO INDICATE ML0 MAIN LUG ONLY OMWING OAIE: I1/24A2015 DIRE CTIONSANDINSTRUCTIONCONTAINED EXPOSED TO LIGHT. -ISSUED FOR CONSTRUCTOM. MTO MOUNTED DRAWN Bv: IC INTHE COMPLETEMANUAL, 9. ALL PORTIONSOFTHISSOLAR 16 ALL INFORMATION SNOWNMUST BE MTG MOUNTING REWSED OY: 3.THE INSTALLATION CONTRACTOR IS PHOTOVWTAIC SYSTEM SHALL BE CERTIFIED PRIOR TO USE FOR N NEUTRAL RESPONSIBLE FOR READINGAND MARKED CLEARLY IN ACCORDANCE WITH CONSTRUCTION ACTIVITIES. NEC NATIONAL ELECTRICAL CODE UNDERSTANDING ALL ORAWINGs, THE NATIONAL ELECTRIC CODE ARTICLE RIG NOT IN CONTRACT COMPONENT AND INVERTER MANUALS NO 890. UMBER System Information: PRIOR TO INSTALLATION.THE INSTALLATION 10, PRIOR TO THE INSTALIATKIN OF THIS ABBREVIATIONS MIS NOT TO SCALE TOTAL SYSTEM S12F: 8.84LW CONTRACTOR IS ALSO REWIRED TO HAVE PHOTOVOLTAIC SYSTEM,THE OCP OVER CURRENT PROTECTION T—MODULECOVm: 34 ALL COMPONENT SWITCHES IN THE OFF INSTALIATIONCONTRACTOR SHALL AMP AM�RE p POLE MODULES USED: TRINA— POSITION AND FUSES REMOVED PRIORTO ATTEND A PRE-INSTALLTION MEETING AC ALTERNwTING CURRENT p8 PULL BOX AL ALUMINUM PH O PHASE MODULE SW R: RM-260 PD9— THEINSTAILATIONOFALLFUSESBEARIrvO FOR THE REVIEW OF THE INSTALLATION AF AMP.FRAME PVC POLYVINYL CHLORIDE CONDUIT URUWCUMPANY: EVER-1111 SYSTEM COMPONENTS, PROCEDURES,SCHEDULES,SAFETY AND AFF ABOVE FINISHED FLOOR PWR POWER 4.ONCE THE PHOTOVOLTAIC MODULES ARE COOROINATION. APO ABOVE FINISHED GRADE OTY UTILITY ACCr4: ]-BT Wa3 MOUNTED.THE INSTALLATION 11. PRIOR TO THE SYSTEM START UP THE QUANTITY UTRITY METER e; 7211163 CONTRACTOR SHOULD HAVE A MINIMUM OF INSTALLATION CONTRACTOR SHALL AWO CONDUITAMERICA(GEERICTE RG9 RIG[LLD GALVANIZED STEEL ONE ELECTRICIAN WHO HAS ATTENDED A ASSIST IN PERFORMING ALL INITIAL C CONDUIT(GENERIC TERM OF JS SOITCHBOARD DEAL TYPE: RACEWAY,PROVIDE A9 JSWBD SWITCHBOARD SOLAR PHOTOVOLTAIC INSTALLATION HARDWARE CHECKS AND DC WIRING SPECIFIED/ TYP NPICAL COURSE ON SITE. CONOUCT ITYCHECKS. CS COMBINER BOX U.O,1. UNLESS OTHERWISE INDICATED 5.FOR SAFETY,IT IS RECOMMENDED BY THE 12. FOR THE PROPER MAINTENANCE AND CKT CIRCUIT — WEATHERPROOF MANUFACTURE THAT THE INSTALLATION ISOLATION OF THE INVENTS REFER TO CT CURRENTTRANSFORMER XFMR TRANSFORMER RSV.NO. $heel CREW ALWAYS HAVE A MINIMUM OF TWO THE ISOLATION PROCEDURES IN THE CU COPPER •72 MWNT721NCHESTOBOTTOM PERSONS WORKING TOGETHER AND THAT OPERATION MANUAL DC DIRECT CURRENT OF ABOVE FINISHED FLOOROR EACH OF THE INSTALLATION CREW 13. THE LOCATION OF PROPOSED ELECTRIC DISC DISCONNECT SWITCH GRACE MEMBERS BE TRAINED IN FIRST AID AND AND TELEPHONE UTILITIES ARE SUBJECT DWG ORAIMNG CPR. TO FINAL APPROVAL OF THE EC ELECTRICAL SYSTEM INSTALLER B.TN IS SOLAR PHOTOVOLTAIC SYSTEM IS TO APPROPRIATE UTILITY COMPANIES AND EMT ELECTRICAL METALLIC TUBING BE INSTALLED FOLLOWING THE OWNERS. FS FUSIBLE SWITCH CONVENTIONS OF THE NATIONAL ELECTRIC 14 ALL MATERIALS.WORKMANSHIP AND FILL FUSE CODE.ANY LOCAL CODE WHICH MAY CONSTRUCTION FOR THE SITE GND GROUND SUPERSEDETHENECSHALLGOVERN. IMPROVEMENTS SHCWNHEREIN SHALL OF I GROUND FAULT INTERRUPTER 7.—SYSTWCOMPONENTSTOBE BE IN ACCORDANCE WITH: H2 FREQUENCY(CYCLES PER INSTALLED WITH T-0S SYSTEM ARE TO BE A)CURRENTPREVAILINGMUNICIPAL SECOND) `VL-LISTED ALL EQUIPMENT WILL BE NEMA ANDIOR WUNTY SPECIFICATIONS. 3R OUTDOOR RATED UNLESS INDOORS. STANDARDS AND REQUIREMENTS GENERAL NOTES O L A R IF ISSUED DRAWING IS MARKED WITH A REVISION CHARACTER OTHER THANW.PLEASE BE ADVISED THAT FINAL EQUIPMENT ANDIOR SYSTEM CHARACTERISTICS ARE SUBJECT TO CHANGE DUE TO AVAILASLITY OF EQUIPMENT. 2211AII-w--d 877-797.1171 "LN—I—y07719 imly5olu.<om NEW PV SOLAR MODULE,TYPICAL PANEL CLAMP SE�RRAeY�FL�E�E%NUT (REFERTOEOVIPMENTSLHEDULE yT[ q�FtTsw rA*um HE%NUT FOR SPECS AND OUANTITIES) aruy NEW MOUNTING FOOTI ATTACHMENT SOLAR MODULE SOLAR MODULE POINTS,TYPIGL (REfERT0 ENGINEERING LETTER FOR SPACING AND DETAILS) HE%HEAD CAP�SCC.R NEW TOP SLIOERTYPICAL CLAMP BASE TOP SLIDER (REFER TO THE QUICK RACK b Ix°°ems' �iO^�"'m Isevsc uLrTr4x�Tuy IY _ CODE-COMPLMNT INSTALLATION s O.BLOCKSLIOER ONE LA RRMPNALT SHINGLES `may C3/ MANUAL FOR SPECS AND DETAILS) IasaPT<e"u-T'a'u^'um IPs Trmcua�er was s^c<m r4R m:TnLm APOC SEALANT ,...N NEW END CLIP.TYPICAL I¢s slay (REFERTOTHE RACK CODECOMPLIANT INSTALLATION 3` MANUALFORSPECSANDDETAIL9 SOLAR MODULES SHALL NOT J NEW MID CLIP,TYPICAL EXCEED PEAK HEIGHT. !!-; \ • (REFER TO THE QUICK RACK COOECOMK INSTALLATION F3(ISTNG RAFTER MANUAL FOR SPECS AND DETAILS) ATTACHMENT 8 CLIP DETAIL PV MODULE ATTACHMENT ASPHALT SHINGLE ROOF HEIGHT FROM GROUND LEVEL TO PEAK OF ROOF SCALE:NOT To SCALE SCALE:NOT TO SCALE SCALE:NOT TO SCALE Issued/Revisions N0. DESCRIPTION DATE Project Title: CROFT,EVAN I -; § TRINITY ACCT P:2015.69345 7 Project Address: 'T ) 1 1753 OLD STAGE ROAD WEST BARNSTABLE,MA 02668 Drawing Title: PROPOSED 8.84kW SOLAR SYSTEM Drawing Information I p1 i :ry DRAWING DATE: 11/x4/I015 oRAwry er: )c .) REVISED BY: 1 rr System Information: ;ii,�i; TOTAL SYStTMSRE: 8.84kW -- —At MOOUI F COUN I: 3< S� -'Sy ffs�:{ MODULE It— 1S.-I260 MOWIE SPFC N: 15M-250 PDOS.08 y UTILNYCOMPAI4 EVERSOURCE UTIIm Am X: 1.5 IS,—1 RTY uses �1 '' -UTY METER P: 32TIIB3 P. L Ysl t,r �fU OEAL TYPE: NOTES: 1].) P S AC CORD ANCE WRH THE MANUFACTURERS INSTALLATION INSTRUCOHS. 2.JALLOUTDOORECIUIPMENSALL6ERAINTIGHTWTHMINMUM N EMA M RATING. ROV.NO. $t1e01 ALL LOCATON9 ARE PPPRO%IMATE AND REWIRE FIELD VERIFICATION. 4) ROOFTOP SOLAR INSTALLATION ONLY PV ARRAY WILL NOT EXTEND BEYOND THE EXISTING BUILDING ENVELOPE ARRAY SCHEDULE SYMBOL LEGEND PLUMBING SCHEDULE EQUIPMENT SCHEDULE r r V Rl INEW END CLIP.TYPICAL(REFER TO THE UNIRAC OTY SPEC 4 INDICATES ROOF DESIGNATION REFER TO INDICATES NEW UTILITY DISCONNECT TO BE CODE-CONPUANr INSTALLATION MANUAL ARRAYORIENTATION.173• ®.ARRAY SCHEDULE FOR MORE INFORMATION U� INSTALLEDOUTSIDE ® SECTION 325 FOR SPECS AND DETAILS) 34 TRINA 260(TSM-260 PDO5.08) MOOUIf PIr01.35- R2 INDICATES NEW PV SOUR MODULE.RED MODULES NEW MID CLIP,TYPICAL(REFER TO THE UNIRAC 1 SE760GA-US ARRAYORIENTATION•83' 1 M I I INDICATES BASTING METER LOCATION a INDICATE PANELS THAT USE MICROINVERTERS �OODECOMPLLWTINSTKUTION MMNK • • MODULE PITCII.35- 1_I REFER TO EQUIPMENT SCHEDULE MR SPECS (SECTION 3.2.5 FOR SPECS AND DETAIL OTHER OBSTRUCTIONS *NOICATESE%ISTINGELECTRICALPANEL INDCATES NEW PRODUCTION METER TO BE NEW—� UNIRAC RNL,TYPICAL a EP LOCATION:INBMEMENT tP INSTAULEDWTSIDE. ---It REFER TO THEUNIRACLODECo""ANT SOLAR I NSTALUTKKI MANUAL FOR SPECS AND DETAILS) TNOKATESNEW=NDISCONNECTTOeE INDICATES NEW INVERTER TO BE NEW MOUNTINGFOOTIATTACHMENTPOINTS. 221,AII4—IRIM4 877.797.N78 Ei GROUPED wRN MNN PANEL INETALLEDOITSIDE • 'TYPICAL (REFER TOENG:NEEHING LETTER FOR Y 7. REFER TO EQIIPMENT SCHEDULE FOR SPECS. I SPACING AND DETAILS) Lvdl new lease 0)719 wwvl�inil SoUl.snm Engineer/Licens0 Holder: MOUNTED SOLARMOOULESMOUNTEDTOROOFONZARMYS UNDER SOLAR MODULE 30-36UW MODULES W/1 SOW EDGE P300 PER MODULE NEC 690.34 18.75 ADC MAX PER STRING 8'A8' _______________________----------——------------------__------_- 2 STRINGS OFI7 MODULES IN SE RIES-350 F ------ JUNCTION '2 STRINGS TO BE TERMINATED IN PARALLEL INSIDE INVERTER 1 BOX I I I , I I I \ I I " I Issued/Revisions i i I I I I NO. ^.,.I DESCRIPTION w IDATE I I Project Tltle: I I CROFT,EVAN ARRAY CIRCUIT WIRING NOTES TRINITY ACCT N:2035.69345 I COMPLIES WRH 2O11 NEC GFCI RECEPTACLE Project Address: 1.)LOWEST EXPECTED AMBIENT TEMPERATURE BASED ON EXISTING 1 BREAKER ASHRAE MINIMUM MEAN EXTREME DRY BULB 120/240 Nq 240V 10 14/SA/2 NM CABLE TEMPERATURE FOR ASHRAE LOCATION MOST SIMILAR TO UTIU TY I"1 IODA MAIN BREAKER I 17530LD STAGE ROAD INSTALLATION LOCATION. LOWEST EXPECTED AMBIENT METER IOOA BUSBAR I WEST BARNSTABLE,MA 02668 TEMP c-16C r I 2.)HIGHEST CONTINUOUS AMBIENT TEMPERATURE BASED LL I I 0—in Title: ON ASHRAE HIGHEST MONTH 2R DRY BULB A. I I 0 TEMPERATURE FOR ASHRAE LOCATION MOST SIMILAR TO I LOCKABLE BOA SE INSTALLATION LOCATION. HIGHEST CONTINUOUS TEMP I DISCONNECT FUSED W/ I 37C J 40A LASES I PROPOSED 8.84kW I GROUPED W/MAIN 60A UNFUSEO PRODUCTION SOLAR SYSTEM 3.)2005 ASHRAE FUNDAMENTALS 2%DESIGN I BREAKER LOAD CENTER DISCONNECT METER ID TEMPERATURES DO NOT EXCEED 4TC IN ME UNITED I 0V Im 240V Im INVERTER 41 STATES(PALM SPRINGS.CA IS 44.1-C). FOR LESS THAN I 24 0V Drawin Information 9 CURRENT-CARRYING CONDUCTORS IN A L' I tl°°n —d+� I DRAW,BOATF: I1Uza/z015 ROOF-MOUNTED SUNUT CONDUIT AT LEAST 0.5'ABOVE DRAW BY; IC ROOF AND USING THE OUTDOOR DESIGN TEMPERATURE L =.� I I M f\ �• I REVISED BY: OF 471C OR LESS(ALL OF UNITED STATES). ° a I _ 4.)PHOTOVOLTAIC POWER SYSTEMS SHALL BE e;Rm _ g g _ E m I _J System Information: _--- 0 PERMITTED TO OPERATE WITH UNGROUNDED r --- ° `� - " "' - '"' PHOTOVOLTAIC SOURCE AND OUTPUT CIRCUIT AS PER llT^'V [--____----_J °�`°nne u°uo° --1 Ci PJ C•) G)Q� • aamm�m Vr i I I TOTAl5Y5IEM SIZE: e,&1LW NEC 690.35 SQUARED SQUARE D EXISTING MAIN BREAKER LOAD -_____J TOTAL Mopuu COUNT: 34 5.)ALL EQUIPMENT INSTALLED OUTDOORS SHALL HAVE y" CENTER INSULATED LINE TAPS PIN: D222N DU222NRO -_____---- MODULES USED: TAINA 2W A NEMA3 RATING. INSTALLED ON MAIN FEEDERS MODULE SPECN: TSM•260 PpO5.OB NEC 690.64 DTILrTY COMPANY: EVERSDURCF CALCULATIONS FOR CURRENT CARRYING UTILITY'ACCI N: 1465151 OGA3 CONDUCTORS UTILITY METER 1: 223I183 REWIRED CONDUCTOR AMPACITY PER STRING DEALTYPE: [NEC690.e(0)(I)k(15.00.1.25)1-18.75A AWG 010.DERATED AMPACITY W MODULE SPEOFICATRONS AMBIENT TEMP: 55'C•TEMP DERAIING FACTOR: .76 TPINA 260(TSM-260 PDD5.08) " RACEWAY DERATING-4 CCC: 0.80 Rev.No. Sheet (40•.76)0.80-24.32A Imp 8.5 "m° '06 P1 PV - 3 24.32A 1 18.75A•THEREFORE VBRE SIZE IS VAUD P6 THWN IGEC LO EIUSTING GROUND ROO Va 38.} TOTAL AC REQUIRED CONDUCTOR AMPACITY g 32.GOA•1.25-40.00A 8 3/4"[MiW/INB THWN11-tl10 TNWN-11tl10TNWn-I GROUND RING 08.OERATED AMPACITY C 3/4"EMT W/4.910 THWN-}.1-0101HWH-2 GROUND AMBIENT TEMP: 3OC�TEMP DERATING: 1.0 INVERTERNI-SE7GWA-US RACEWAY DERATING S 3 CCC:N/A OC AC D 3/4'EMi W/4.tl10IHWN 11-tl10TNWN3 GROUND 6Dn • $SA•1.0-55A Imp 23S Poul 7GAD E 3/4"EMTW/1-ABTHWN-2.I-PIOMWN-11-N301HWN-26RWNDty 55A'40.00q THEREFORE AC MIRE SIZE IS VALID Vmp 350 Ian l2 G CALCULATION FOR PV OVERCURRENT PROTECTION V°c SOD Imaa 40 tl4.F'CAEW/46 BARE COPPER BOnDTO MODULES AND RAVES TOTAL INVERTER CURRENT: 32.00A Ix 30 VnOm 2A0 G 3/4"GMCW/3-P6lHWN-},1-tlBTNWN-2GROUND SOLAR 32.00A-1.25-40.00A }211 N1.m md-1 117a91.2111 -->40A OVERCURRENT PROTECTION IS VALID Wul4 N'Aw lP,xy.l7/B w-.TInny.SPMI.4Rm MATERIAL LIST • tv JOB NAME:CROFT,EVAN nj ADDRESS:1753 OLD STAGE ROAD M SOLAR WEST BARNSTABLE,MA 02668 22nMk—WRod 977-797-2978 49.736 ESTIMATED MAN HOURS 2.07 DAYS(3 1.55 DAYS(4 1.04 DAYS MEN) MEN) (6 MEN) •34 TRINA 260's(8.84KW) •2 SEPARATE ARRAYS •22'PEAK TO GROUND •34 PORTRAIT&0 LANDSCAPED •NO PIPES OR VENTS BEINGS RELOCATED OR REMOVED •1 INVERTERS INSTALLED OUTSIDE •NO TRENCH ESTIMATED SENT TO JOB USED ❑ TRINA 260(TSM-260 PD05.08)---P300 SE OPTIMIZERS 34 _ ❑ SE760OA-US 1 ❑ 60A INDOOR FUSED DISCONNECT W/(2)40A FUSES 1 ❑ METER AND METER PAN 1 _ _ ❑ 60A OUTDOOR NON-FUSED DISCONNECT 1 _ _ ❑ SOLADECK BOX(ES)&HAYCO CONNECTOR(5) 2 ❑ 14'SECTIONS OF RAIL 19 _ _ ❑ INSULATED BUG BITES(LINE TAPS) 2 _ _ ❑ FLASHINGS 68 ❑ CASE(S)OF BLACK SPRAY PAINT 1 ❑ CASE(S)OF TAR 1 _ ❑ TP LINK 1 ❑ PV LEAD WIRE 100' ❑ T-BOLTS ❑ MID CLIPS ❑ END CLIPS ❑ SPLICE KITS — — — ❑ GROUND LUGS _ _ r Optimize Engineering Co., LLC P.O. Box 264•Farmville•VA 23901 Ph: 434.574.6138.E-mail: grichardpe@aol.com Richard B. Gordon, P.E. President October 29,2015 West Barnstable Building Department West Barnstable,MA Re: Solar Panels Roof Structural Framing Support To Whom It May Concern: I hereby certify that I am a Licensed Professional Engineer in the State of Massachusetts. Please note the following conclusions regarding framing structure, roof loading,and proposed site location of installation: 1. Existing roof framing: Conventional framing is 2x8 at 16" o.c.with 15'span (horizontal rafter projection). This existing structure is definitely capable to support all of the loads that are indicated below for this photovoltaic project. 2. Roof Loading • 4.33 psf dead load(modules plus all mounting hardware) • 18 psf snow live load(30 psf ground snow live load reference) • 4.5 psf dead load roof materials • Exposure Category B, 115 mph wind uplift live load of 19.6 psf(wind resistance) 3. Address of proposed installation: Residence of Evan Croft, 1753 Old Stage Road,West Barnstable, Massachusetts This installation design will be in general conformance to the manufacturer's specifications,and is in compliance with all applicable laws,codes,and ordinances,and specifically, International Residential Code/ IRC 2009,2011 NEC,and 2012 ICC Energy Code. The spacing and fastening of the Unirac mounting brackets is to have a maximum of 64" o.c.span along the rail between mounting brackets and secured using 5/16"x 3%" length corrosive resistant steel lag bolts. In order to evenly distribute the load across the roof rafters,there shall be a minimum of 2 mounting brackets per rafter&min. 2" penetration of lag bolt per bracket,which is adequate to resist all 115 mph wind live loads including wind shear. The mounting brackets shall alternate between adjacent rafters between rail rows for better distribution of roof load. Penetration of anchors for modules mounted within 18" of ridge and edges of roof is to be a minimum of 3". Rails may be attached to either of two mounting holes in the L-feet.Mounting in the lower hole for a low profile, more aesthetically pleasing installation or mount in the upper hole for a higher profile to maximize. airflow under the modules to cool them more.Slide the 3,8-inch mounting bolts into the footing bolt slots. The rails will be attached to the footings with the flange nuts. Very truly yours, Optimize Engineering Ca:, LLC - H OF y� 0 y Richard B Jtaocdon;-P. E. s RICHARD B. N Massachusetts'�P.E. License No.49993 o CORDON MECHANICAL ENGINEERING U MECHANICAL CIVIL ENGINEERING NO.49y93 ELECTRICAL ENGINEERING �'��F;/STE �fONAL�G INSTALLATION OF NEW ROOF MOUNTED OLD STAGE ROAD. 8.84kW PV SYSTEM 1753 OLD STAGE ROAD WEST BARNSTABLE, MA 02668 Issued/Revisions nVICINITY MAP SITE NO. DESCRIPTION DATE SCALE:NTS I Project TiDe: CROFT,EVAN TRINITY ACCT R:301S-69985 Project Address: 1753 OLD STAGE ROAD WEST BARNSTABLE,MA 02668 GENERAL NOTES GENERAL NOTES CONTINUED GENERAL NOTES CONNNUEO ASBREVIATTONSCONTINUED SHEET INDEX Drawing Title: 1.THE INSTALLATONCONTRACTORIS 8 THE OC VOLTAGE FROM THE PANELS IS 14. B)CURRENTPREVAIUNGUTILOY JB JUNCTION BOX PV-1 COVER SHEET W/SITE INFO&NOTES RESPONSIBLE FOR INSTALLING ALL ALWAYS PRESENT AT THE OC COMPANY SPECIFICATIONS, LCMIL TN OUSANOCIRCULARMILS EOUIPMENTAND FOLLOWING ALL DISCONNECT ENCLOSURE AND THE DC STANDAROS.ANDREOUIREMENTS AVA KILO.VOLi AMPERE PV-Z ROOF PLAN W/MODULE LOCATIONS PROPOSED 8.84kW kW KILOWATT DIRECnONS AND INSTRUCTIONS TERMMALS OF THE INVERTER DURING 15 TMS SET OF PLANS HAVE BEEN SOLAR SYSTEM CONTAINED INTHEORAWINGPACIOGEAND DAYUGHTHOURS.ALL PERSONS PREPARED FOR THE PURPOSE OF AWH KILOWATT HOUR PV-3 ELECTRICAL 3 LINE DIAGRAM INFORMATION RECEIVED FROM TRIN". WORKING ON OR INVOLVED WITH THE MUNICIPAL AND AGENCY REVIEW AND l NINE MCB MAIN CIRCUIT BREAKER 2.THEINSSIBLE FOR CONTRA NG ALL THAT THE SOLAR MODULES WARNED NOTEE ALTHIS SET OF PLANS SHALL DTBWIn InfOrmalion INSTALL ENERGIZED WHENEVER EVERTH THEY NRAWING ILIZ TI ASCONSTOINDIN MOP MAIN LUG ONLY PANEL EQUIPMENT AND FOLLOWING ALL ENERGIZED WHENEVER MEY ARE DRAWINGS UNTIL REVISED TO INDICATE AILO MAIN LUG ONLY DRAWING DAI E: ll/2A/2015 DIRE CTIONSANDINSTRUCTIONCONTAINED EXPOSED TO LIGHT. 'ISSUED FOR CONSTRUCTION'. MTO MOUNTED DRAWN BY: IC IN THE COMPLETE MANUAL. 9. ALL PORTIONS OF THIS SOLAR 16 ALL INFORMATION SHOWN MUST Be T. MOUNTING 0.LVISED BY: 3.THE INSTALLATION CONTRACTOR IS PHOTOVOLTAIC SYSTEM SHALL BE CERTIFIED PRIOR TO USE FOR N NEUTRAL RESPONSIBLE FOR READINGAND MARKEDCLEARLYINACCORDANCEW" CONSTRUCTION ACTIVITIES. NEC NATIONALELECTRICALCODE UNDERSTANDING ALLORAWINGS, THE NATIONAL ELECTRIC CODE ARTICLE NIC NOTIN CONTRACT COMPONENT AND INVERTER MANUALS ew. NOII NUMBER System infortnation: PRIOR TO INSTAJUATION.THE INSTALLATION 10 PRIOR TO THE INSTALLATION OF THIS ABBREVIATIONS NTS NOT TO SCALE TOTALSYSTEMSUE: B.BtBW OCP OVER CURRENT PROTEC ION CON TRACTOR ISAWITCHEUIN THEO RAVE INSTALLATION THE AMP AMPERE P POLE T01lLL MODULE COUNT: la ALL COMPON FUS SRM O EDPROR INSTALL ATIONCONT_TIOR MEET MODULES USED: TRINA 260 POSITION AND FUSES REMOVED PRIOR TO ATTEND AEVIEWBTALLTION MEETING AC ALTERNATING CURRENT PB PULL BOX THE INSTALLATION OF ALL FUSES REARING FOR THE REVIEW OF THE INSTALLATION ALUMINUM PHO PHASE MODULE SPEC A: TSM-260 P005.08 • SYSTEM COMPONENTS. PROCEDURES.SCHEDULES.SAFETY AND AMP.FRAME PVC POLYVINYL CHLORIDE CONDUIT UTILITY COMPANY: EVERSOURCE A.ONCE THE PHOTOVOLTAIC MODULES ARE COORDINATION. APF ABOVE FINISHED FLOOR POUR POWER .1UTYACCTR: I465 ISIOOA3 MOUNTED,THE INSTALLATION 11, PRIOR TO THE SYSTEM START UP THE AFG ABOVE GNASHED GRADE RG RCLANIGID Gtt CONTRACTOR SHOULD HAVE AMINIMUM OF INSTALLATION CONTRACTOR SHALL AWG CONDUIAME T TERM RGS RIGID GALVANIZED STEEL DEAL TYPE: A: 2231183 ONEELECTRICMNWHOHASATTENDEDA ASSIST IN PERFORMING ALL INITIAL C CONDUIT(GENERIC TERM OF JS SWITCHBOARD DEAL ttPE: RACEWAY,PROVIDE AS wp SWITCHBOARD SOLAR PHOTOVOLTAIC INSTALLATION CODWAREITYCHEKS. WIRING SPEGFIEG ryP TYPICAL COURSE ON SITE. FOR THE PROP CRAW. CB COMBINER BOX U.O.I. UNLESS OTHERWISE INDICATED S.FOR SAFEry,IT IS RECOMMENDED BY THE 12, FOR THE PROPER MAINTENANCE AND CKT CIRCUIT WP WEATHERPROOF • MANUFACTURE THAT THE INSTALLATION ISOLATION OF THE INVERTS REFER TO CT CURRENT TRANSFORMER WMR TRANSFORMER CREWALWAYe MAVEAMINIMUMOFTWO THE ISOLATION PROCEDURES IN THE CU COPPER -12 MMNT721HCHESTOBOTTOM RSV.NO, Sheet PERSONSWORKING TOGETHER ANOTHAT OPERATION MANUAL DC DIRECT CURRENT OF ABOVE FINISHED FLOOR OR EACH OF THE INSTALLATION CREW 13. THE LOCATION OF PROPOSED ELECTRIC DISC DISCONNECT SWITCH GRADE MEMBERS BETRAINEDINFIRSTAIDAND AND TELEPHONE UTILITIES ME SUBJECT OWG DRAWING CPR. TO FAR INAL APPROVAL OF THE EC ELECTRICAL SYSTEM INSTALLER 9 THIS SOL PHOTOVOLTAIC SYSTEM IS TO APPROPRIATE UTILITY COMPANIESAND EMT ELECTRICAL METALLIC TUBING BE INSTALLEDFOLLCWING THE OWNERS. FS FUSIBLE SWITCH CONVENTIONS OF THE NATIONAL ELECTRIC 14 ALLMATERUILS.WORKMANSHIPAND FU FUSE CODE.ANY LOCAL CODE WHICH MAY CONSTRUCTION FOR THE SITE GND GROUND SUPERSEDE THE NEC SMALL GOVERN. IMPROVEMENTSSHOWNHEREINSHALL OF GROUND FAULT INTERRUPTER ).ALLSYSTEMCOMPONENMTOM BE IN ACCORDANCE WITH: HZ FREOUENCY(CYCLES PER INSTALLED WTTH THIS SYSTEM ARE TO SE A)CURRENT PREW"UNG MUNICIPAL SECOND) L'LISTED ALL EQUIPMENT WILL BE NEMA AND/ORCOUNTYSPECIFICATIONS, M OUTDOOR RATED UNLESS INDOORS. STANDARDS AND REQUIREMENTS n it GENERAL NOTES S O L A R IF ISSUED DRAWING IS MARKED WITH A REVISION CHARACTER OTHER THAN'A'.PLEASE BE ADVISED THAT FINAL EQUIPMENT ANOIOR SYSTEM CHARACTERISTICS ARE SUBJECT TO CHANGE WE TO AVAILABLITY OF EQUIPMENT, 2Z11AIt,,m.dRIeI Sn-797-2978 wall,New lerley0))19 www.11in�Iy5oW1.1om ED HEX 3'-2' NEW PV&OIAN MODULE.ttPICAL PANEL CLAMP SReRF4rc7b<[WmEawr/� U.0.1. (REFERTOEOUIPMENTSCHEOULE uianec n4LTHEX NUT FOR SPECS AND QUANTITIES) PO NEw MOUNRNG FOOT/gTTACMMEM SOLAR MODULE SOLAR MODULE ry L END VEERING LE (REFERTO SPACING ENGINEERING LETTER FOR SPACING MOD EAILS) HEX HEAD CAP SCREW 14Te 4recenrtrron�IuO NEW TOP SLDER.—CAL CLAMP BASE TOP SLIDER (REFER TO THE QUICK RACK bl.ews 4Me+•4A4rruR Ixa 4xc rHcv4swrtTus N, a'c4 r`I � CODE�COMPUANT INSTALLATION r OBLOCK SLIDER pHE LA YERASPHALTSHINGLES NN 3'-- y0 MANUAL FCR SPECS AND OEMLS7 ISFFPc4asers4ALprup INe[ruM'FinaMTYArM 4>ct.9 NEW END CLIP,TYPICAL sf FFw OPTnaR alws APEX;SEAL.rEVI (REFERTOTHE OUICKRACK , COD E�COMPLIANT INSTALLATION S MANUAL FOR SPECS AND DETAILED SOLAR MODULES SHALL NOT NEW MIDCLIP,TYPK:IIL EXCEED PEAR HEIGHT. !S I\' (REFER TO THE QUICK RACK coo-COMPLIANT INSTALLATION EXIEING RAFT ER MANUAL FOR SPECS AND DETAILS) ATTACHMENT 8 CLIP DETAIL PV MODULENATTACHMENT ON ASPHALT SHINGLE ROOF HEIGHT FROM GROUND LEVEL TO PEAK OF ROOF SCALE:NOT TO 9CAlE SCALE:NOT TO SCALE SCALE:NOT TO SCALE Issued/Revisions NO. DESCRIPTION DATE Project Title: ® CROFT,EVAN TRINITYACCTR:2015-6 934 5 4c 1 14 ns Project Address: 1753 OLD STAGE ROAD WEST BARNSTABLE,MA 02668 Drawing Title: PROPOSED 8.84kW 1 i 1f±:13 D[ SOLAR SYSTEM Drawing Information IIDS J S' ,�3 OMWING DATE: 11/1</I015 K rim gFVI5E0 BY: t � S stem Information: TOTpI SYSTEM 512E: 8.84kW IOTALMODUIECOUNI: 34 MODUL USED: T-A MODULE SPEC N. ISMi60 Y005.08 • (; UIILITYCONIMNY: EVEMOUflCE Un—ACC)4: 14651510043 PROPEµ,Y LINES UnUW AFTER 4: 2.11E3 DEALTYPE: NOTES: 1.)ALL EQUIPMENT MANUFATURERS ALL BE INSTALLED INSTR ACCORDANCE WITH THE AL OUTDO MANUFACTURERS INSTALLATION INSTRUCTIONS. Rev.No. Sheet 2.)ALL OUTDOOR EQUIPMENT SMALL BE RAW TIGHT WITH MINIMUM NEMA, RATING. 3,)ALL LOCATIONS ARE APPROXIMATE AND REWIRE FIELD VERIFICATION. 4) ROOFTOP SOLAR INSTALLATION ONLY PV ARRAY WILL NOT EXTEND BEYOND THE EXISTING BUILDING ENVELOPE ARRAY SCHEDULE SYMBOL LEGEND PLUMBING SCHEDULE EQUIPMENT SCHEDULE r r V L ION MANUM, RI NEW END CLIP.TYPICAL(REFER TO THE UNIRAC Ott SPEC P INDICATES ROOF DESIGNATION REFER TO INDICATES NEW UTILItt DISCONNECT TO BE ARMYORIENTAmON•173' ARRAY SCHEDULE FOR MORE INFORMATION UD INSTALLEDOUTSIDE ® SECTION SFL2 5 FOR SPECSAaTD DETAILS) 34 TRINA 260(T5M-260 P005.08) MODULE Vl rCil=JS' R2 Imo/--�1 INDICATES NEW PV SOLAR MODULE.RED MODULES NEW MIDCLIP,TYPICAL(REFERTOTHEUNIRAC 1 SE76ODA-US AgpAY ORIExrgnON•83' I M 1 INDIGTEG EXISTING MEEK LOCATION a INDICATE PANELS THAT USE MICRO INVERTERS ® COOECOMRIANT INSTALUTKIN MANUAL MODULE PITCH-35' 11_IJI REFER TO EQUIPMENT SCHECULEFORSPECS. SECTION 3.2.5 FOR SPECS AND DETMLq_ _OTHER OBSTRUCTIONS inity INDICATES EXISTING ELECTRICAL PANEL INDICATES NEW PRODUCTION METER TC BE NEW UN:RAC RAIL.TYPICAL EP I LOCATION:IN BASEMENT INSTALLEDOUINDE. --- (REFER TO THE UNIRACCOOECOMPLWT 0 L A R INSTALLATION MANUAL FOR SPECS AND DETAILS) INDICATES NEW MAIN DISCONNECT TO BE INDICATESNEWINVERTER TO BE NEW MOUNTING FOOTI ATTACHMENT POINTS, 2211 Nlcnwvodgwd 877.797.2978 �� GROUPED WITH MAIN PANEL ® IJ.—LTODEOTSICIL4T SCHEDULE FORSPECS. 0 )SPACING ANEFE TOENGINEERINGLETTER FOR WAL—J-V07719 www.l,iniry5ol4c.com Engineer/License Holder: MOUNTED SOIARMODULESMOUNIEDIOROOFON2ARMYS UNDER SOLAR MODULE 34-26DW MODULES W/1 SOLAR EDGE P300 PER MODULE NEC 690.34 18.75 ADC MAX PER STRING B-YB- _______________________________ ________-____________________ < ZSTRINGSOF 17 MODULES IN SERIES-3SOVmax --- ------ 'UNC RON - .2 STRINGS TO BE TERMINATED IN PARALLEL INSIDE INVERTER I Box i < 1 I 1 1 1 " I 1 Issued/Revisions 1 1 1 1 I 1 I NO. DESCRIPTION DATE Project Title: I CROFT,EVAN TRINITY ACCT R:2015-69345 ARRAY CERCUIT WIRING NOTES I COMPI3E5 WITN 2011 NEC GFCI RECEPTACLE I Project Address: 1.)LOWEST EXPECTED AMBIENT TEMPERATURE BASED ON EXISTING 1p15A BREAKER ASHRAE MINIMUM MEAN EXTREME DRY BULB 120/240V 1<,� 240V tp 14/2 NM CABLE l TEMPERATURE FOR ASHRAE LOCATION MOST SIMILAR TO UTILITY M IOOA MAIN BREAKER I 17530LD STAGE ROAD INSTALLATION LOCATION. LOWEST EXPECTED AMBIENT METER 100A BUSBAR WEST BARNSTABLE,MA 02668 TEMP e-16C r I 1 2)HIGHEST CONTINUOUS AMBIENT TEMPERATURE BASED I I D.,An Title: ON ASHRAE HIGHEST MONTH 2%DRY BULB }z I I R LLL TEMPERATURE FOR ASHRAE LOCATION MOST SIMILAR TO 1 LOCKABLE 6OA INSTALLATION LOCATION. HIGHEST CONTINUOUS TEMP- I 01SCONNECT FUSED W/ I 33-C - aoA FusEs PROPOSED 8.84kW GROUPED W/MAIN 60A UNFUSED PRODUCTION SOLAR SYSTEM 3.)2005 ASHRAE FUNDAMENTALS 22 DESIGN I BREAKER LOAD CENTER DISCONNECT METER I D TEMPERATURES DO NOT EXCEED 47'C IN THE UNITED I 240V IP 240V to STATES(PALM SPRINGS,CA IS 44.1-C). FOR LESS THAN I9 CURRENT-CARRYING CONDUCTORS IN Az7! DRAwIxGDAr[:ROOF-MOUNTED SUNLIT CONDUIT AT LEAST 0.5'ABOVE DRnwn eY: IC ROOF AND USING THE OUTDOOR DESIGN TEMPERATUREOF 47•C OR LESS(ALL OF UNITED STATES). L-4.)PHOTOVOLTAIC POWER SYSTEMS SHALL BE ---PERMITTED TO OPERATE WITH UNGROUNDED System Information: PHOTOVOLTAIC SOURCE AND OUTPUT CIRCUIT AS PER ---------'_f 6 '�' o'1' 1 I TOTAISYSTEM SIZE: 8.84kW >a<aan NEC 690.35 SQUARE D SQUARE D 1 _____-� rorAl MooulE couH1: 34 EXISTING MAIN BREAKER LOAD pN: 0222N OU222NRB CENTER INSULATED LINE TAPS <-•--------J MODULESUSED: TRINA26D 5.)ALL EQUIPMENT INSTALLED OUTDOORS SHALL HAVE INSTALLED ON MAIN FEEDERS _ MOD LE SDec x: T5Nls6o Do0s.oe - A NEMA 3 RATING. NEC 690114 — UTIINYCOMPANY: EVERSGURCE UnUTY ACCT/: 146S 151 0041 CALCULATIONS FOR CURRENT CARRYING CONDUCTORS UOLITY METER R: 22311B1 REWIRED CONDUCTOR AMPACITY PER STRING DEALTYPE: [NEC 690.8(9)(1)k (15.00.1.25)1-18.75A AWG R10.DERATED AMPACITY PV MODULE SPEOFICATIONS AMBIENT TEMP: 55G.TEMP DERATING FACTOR: .76 1RINA 260(ISM-260 POOS.OB) RACEWAY DE RATING-4 CCC:0.80 Rev.No. Sheet (40•.76)0.80-24.32A Imp 8.5 24.32A-18.75A,THEREFORE WIRE SIZE IS VALID V. A ob LNWN-3 GEC 10 DUSTING GROUND ROD TOTAL AC REQUIRED CONDUCTOR AMPACITY y 32.00A-1.25-40.00A B 3/4"E1I W/218 MWN2,I.4I0lHWN-1.lil0 THWN2 GROUND AWG fa.DERATED AMPACITY C 3/4"EMTvN4-#IOTMWN.2,1-010 THWN-2GROUND AMBIENT TEMP: 30'C,TEMP DERATING: 1.0 INVEm ER41-SE7600AUS RACEWAY OERAB , NG-3 CCC:N/A � AC D 3p"EMT W/4410IHWN-3,1410 TNWx-2 G0.0ux0 • • offir 55A-1.0-55A Imp 123.5 Paul 7600 E 3/4"EMTW/2.4BTHWN-2.1.NIOTIIWN-2,1-4101HWN-7 GROUND 55A:40.00A THEREFORE AC WIRE SIZE IS VAUD v— 350 bV1 32 Vac 500 ImaR 40 F dl2 PV WIRE W/d68PRE COPDER BONDTO MODULES u1DM115 CALCULATION FOR PV OVERCURRENT PROTECTION O L A R TOTAL INVERTER CURRENT: 32.00A Iu 30 Vnom 240 G 3/d"FMC W/3R61HWNy 148 THWxs GROUND 32.00A-1.25-40.00A 2211 M4•mw4d Rase 87]a97.29]B -->40A OVERCURRENT PROTECTION IS VALID WRIL Newle-sry O7719 www.Tl�nny5ol4I.<4m MATERIAL LIST • JOB NAME:CROFT,EVAN ni ADDRESS: 1753 OLD STAGE ROAD 'SOLAR WEST BARNSTABLE,MA 02668 2211 Allm..dRoad 877-797-2978 Wall.New 1—y 07719 www.Triniry-Solar.roni 49.736 ESTIMATED MAN HOURS 2.07 DAYS(3 1.55 DAYS(4 1.04 DAYS MEN) MEN) (6 MEN) •34 TRINA 260's(8.84KW) •2 SEPARATE ARRAYS •22'PEAK TO GROUND •34 PORTRAIT&0 LANDSCAPED •NO PIPES OR VENTS BEINGS RELOCATED OR REMOVED •1 INVERTERS INSTALLED OUTSIDE •NO TRENCH ESTIMATED SENT TO JOB USED ❑ TRINA 260(TSM-260 PD05.08)---P300 SE OPTIMIZERS 34 _ ❑ SE760OA-US 1 — — ❑ 60A INDOOR FUSED DISCONNECT W/(2)40A FUSES 1 ❑ METER AND METER PAN 1 ❑ 60A OUTDOOR NON-FUSED DISCONNECT 1 _ ❑ SOLADECK BOX(ES)&HAYCO CONNECTOR(5) 2 _ ❑ 14'SECTIONS OF RAIL 19 _ ❑ INSULATED BUG BITES(LINE TAPS) 2 _ _ ❑ FLASHINGS 68 _ ❑ CASE(S)OF BLACK SPRAY PAINT 1 ❑ CASE(S)OF TAR 1 _ ❑ TP LINK 1 — — ❑ PV LEAD WIRE 100, _ _ ❑ T-BOLTS — — — ❑ MID CLIPS _ — — ❑ END CLIPS — _ — ❑ SPLICE KITS — — — ❑ GROUND LUGS — — I op r *Permit#d ., .7 �'T Town of Barnstable �� F.V&es 6 months from issue date • -6 2014 Regulatory Services Fee <14 � Thomas F.Geiler,Director OF BARNSIABLE Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 1 Ca L d � ®'Residential Value of Work — Owner's Name&Address c �"� 1� J J Q�.�� —�CA Ot C a, Contractor's Telephone Number_ Elome Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable)_ S O aj i ]Workman's Compensation Insurance Check one: IR I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance hsurance Company Name Workman's Comp.Policy# 'ermit Request(check box) ®''Re-roof(stripping old shingles) All construction debris will be taken to ?,.uc ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side' ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. signature N;P1zs1k& !:Fomu:expmtrg 1 �•�+E Town of Barnstable Regulatory Services ' aaar AM Thomas F.Geiler,Director039. ° 39r1. Building Division 1. Tom Perry, Building Commissioner 200 Main street, Hyannis,MA 02601 A Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, To �� r'd�� , as Owner of the subject property hereby authorize to act?oii my behalf, in all matters relative to work authorized by this building permit application for:, DA (Address of Job) p 2- (� MsV- (.4 �Z6 � S44 e of Owner Date Print Name The Can wamp=Wi afMassacliuse ffgiF t raf l-idmirid-4ccir ems e,juf�afions ffoskw> MA O2M wff w.7n=g&v1dxa 'arks' Cu'mpensatianInsmance davit Bmlders/Cim ra'cinrsMectriciananumbers Applicmt Infarmation Please Plat ibIy Flame Mdre-sg. CityfStt,/� OC-aS Se `Cn Q> o ZS S 4 Phone Are you an employer?Chet kthe appropriate bay I of o ecE L❑ I am a i with 4- ❑ I am a general ccntracEar and I 3 e 3 �� _ t Io (full,orgazt#ime * hav6hke&the sub-cout£a�s _ ❑I3eu� 2_�I am a sole grtrprietar orparfner- listed on the attached sheet _ 7_ ❑Remodeling . ship and have nz employeesZee nab-aoutrartozs have g- ❑Demolitiun- wading forme in any capacity employees and hzve too ts' 9- ❑$nllcfiing addition �C).WO&EM, coIInp.TE14ITtance comp.m�I 1 5_ ❑ We are a corporation.and its 10-O Electrical regain of additions 3-❑ I am a homwwner doing all wok offic;prs hExe emumsed their 1 f-0 Plumbing repairs or additions mvcCLSf o WC.=' rightof eaemptioa .E per MGM 12 Roof repairs n 152, §1(4),and we have no, incrxs,nrere�uirEd]F 13'_❑other employees-Wa ems' comp-insurance requim4lj �1Yayanp��afthat checks ban0lmnstalsofiIloatthQsectionbelotgshaeeingt�teawo�esTromne�tioapoL[S iuf�rmafita� ffameawneis air,srbrrir:-thu c„fd.--and"—dag dey a:e dump mbCuir a nZW RMdarit mdirnH� such_ a thst check this[xzc most sGached xa:dditimtsl sheet shvtemg the name of pre nab and stale zchether ocnot fl�sg enli6es T,aye MnP1ayeec. Iftbe nab corrtsadms lyre employees,they—,st pmvide then-Wulmr'camp.poiicg umber_ tors aiz ampivpeF'ihrd is prfnlidrirg trvrke-rs'c-ortr�xerzsrrhnn iresrtrruzcs for rtt}�erti�gfnyecs. �eTotr is Ste pv&c}�arcd job sits - • ir�vrmQtir�?rt. a< Insufance GompwzyName: Paficp 9 or Self-ins UC.4k FmpimtiomDate- iob§itrAddn=, (� ?j OLdS�G� �d • �J�4Cc��1� c;fytstat�zp: Attach a•cagy of the Torkers'corupensation palic•F dedzrstion page(showing the policy number and ration zlate). Failure to secure cave.age as retluiredunties Section.25A of MGL r 152 can lead to the imposition of rriminal ptaxU es of a f=up to SL500.00'andlor one-pearimpason=en,as WeU aS c nil pesniti- in ae form of a STOP WORIK ORDEK and a fine of up to$250.00 a day against the violator- Be advised that a cDpy of this statement may be forwarded to-the Office of luvestigations of the DIA for insurance;coverage veafication_ I do hereby certify undff tha-pains rutdpenaI—as of ger�ury f3tatfhe info rrrtt>ffaa prmi dgd abane it tr(uf�and aarrsct sieaatum Phone Off Ecial um only. Da not mibr in ffds area,fit be cawrpLted by cif or fawn officiaL CIty or Town; PumdtUctn se# Fc�Aathor4(m cIe oneY- . . L Bum7a of'Health 2.$uifdbagDepartmcnt I GitpTuwa O=k 4_Eledncallnsgector S.Pfumbhagbaspector -6.C 4her Corot Person: Phoat.#r ti Massachusdts General Laws chapter 152 requires all employers to provide workers'compensation for their employee Pursuantto this stainte,an employee is defined as"__every person in the service of another under any contract ofhire, express or implied, oral or written.." . An ernplvyer is defined as"an individual,partammhrp,association, corporation or other legal entity, or any two or more of ale foregoing engaged in a joint enterprise,and inclndingthe legal representatives of a deceased employer,-or the receiver or trustee of an individual, sso partatmbip,association or other legal entity,employing employees. However the owner of a dwelliag'house having not more than.three apartments and who resides therein,of the occupant of the dwelling house of another who employs persons to do maintenance, construction or repay work on Bach dwelling house or on the grounds or budding appurtenant thereto steal.not because of such employment be deemed to be an employer." IvIGL chapter 152, §25C(6)also stories that revery state or Iocal&tensing agency shah withhold the issuance or renewal of a Iicen sse or permit to operate a business or to constrict buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the hasurance.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 perfunmance ofpublic work until acceptable evidence of compliance with the insurance requirements of thus 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 c sub-contractors)name(s), address(es) and phone mmmber(s)along with their certificatr_(s) of rncu= e. Limited Liability Companies(LLC)or Limited Liability Partnerships U-12) AdthDo 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.advise m d that this affidavit ay be submitted to the Department of Industrial Accidents for con5rmafion of in u nce nversge. Also be sure to sign and date the affidavit The affidavit should be retumed to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-his rance license number on the appropriate at. City or Town Officials ' ..X Please be sure that the affidavit is complete and primted legibly. The Deparlmeat has provided a space at the bi It ,+ o f{he affidavit for you to fill out in the event the Office of lavestigations has to contact you regaFding 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 pemlitllicense applita ions in any given year,need only submit one affidavit indicafmg r-u=nt' policy information(ifnecessary) and under'Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i e.a dog license or permit to bum leaves ete.)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 dD not hesitate to give us a call. The Department's address,telephone and fax number: The C0MM::anV?ealth of M&-zachusiub De neat cif Tndustial Aocidmt Wo washingtm atQfA Rc>ston,MA 02111 Te1..A 617'27-4�5 ext 466 or 1-9771\LA-SSAFE . . Fax# 617-727-774 Revised 4-24-07 i Office of Constuner Affairs & Business Regulation - Mass.Gov Page 1 of 1 r The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) Consumer Affairs and Business Regulation Home Consumer Rights and Resources Home Improvement Contracting Home Improvement Contractor Registration Lookup To search by registration number, enter the registration number in the textbox below and click the 'Search' button. Search by Registration Number 107740 __ Search To search by other fields, enter the search criteria in the fields below and click the 'Search Registrants' button. For the State field, use the two character state abbreviation such as "MA "for Massachusetts and "RI" for Rhode Islaffd'. All search fields allow partial text so the search will look for any values that begin with what was entered. For example, if you enter"Fr" in the City/Town field and "MA" in the State field then the search will return records for Framingham, Franklin, and Freetown which all begin with "Fr" and are located in Massachusetts. To return less information enter in more criteria. For instance, entering in a state of "MA" will return a large number of records but entering in a state of "MA" and a city/town of "Medford" will lower the results. Search by Registrant's - - - company's name - - _.._..---._...._._..__.. Search by Registrant's last name -- _....--_...._.._....__.._._._..... ._._. - Zip City/Town State ...._..............__._..---___-_.--------- --------...._ code Search Registrants) Click on the registration number to view complaint history. You can also view arbitration.and Guaranty Fund history. The list is current as of Monday, September 15, 2014.: Search Results REGISTRANT . RESPONSIBLE REGISTRATION ADDRESS EXPIRATION STATUS NAME INDIVIDUAL NUMBER DATE MARTINEAU AND SONS Martineau, Paul 107740 P.O. BOX 242 08/05/2016 Current Pocasset, MA 02559 ©2012 Commonwealth of Massachusetts. Mass.Gov®is a registered service mark of the Commonwealth of Massachusetts. h-ttp://services.o.ca.state.ma.us/hic/licenseelist.aspx 9/16/2014 i U Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-050341 ? r , ROBERT M TI A PO BOX 242 Pocasset MA 0255'9 - i Expiration Commissioner 07/14/2016 < MassacKusetts -Department of Public.Safety y _,Uhe�panv„�a,�,a,� l o ��`aaaizciz�oe Board of-BuildingRe and Standards Regulations 9 ffice of Consumer Affairs&Bu§m2ss RdguSa6on Construction SupervisoF l I ME IMPROVEMENT CONTRACTORS 4 License: OS-050341 egistration: ;107740 Type. \ i xpiratic0 5/ROBERT MART A 4 Supplement r PO BOX 242 MARTINEAU AND SONSEN n. Pocasset MA 02559 \ti 3 y r kBER'T MARTIN X C1. BOX 742�•; Expiratio r Pocasset,MpA_D2559 Commissioner 07/14/201 i Undersecretary ki ► 3 C GC. d �ZAa h� tfjdn4� -Fv w<Al 12/04/2013 11:27 ITOWN OF BARNSTABLE coyleb IPURCHASE ORDER LIQUIDATION/RECEIVING REPORT CLERK: coyleb BATCH: 1149 QUANTITY PREVIOUS CURRE PO LN VENDOR ORDERED REND/CANC RECEIV 14001491 001 EDWARD L. 7ENKINS 250.00 0.00 0. ENTRY DATE 07/17/2013 i ,1 ,I 1 r CAPE COD INSULATION FMU OlA33 U"US$ sour ADAM SUSPM02D Mns ou"'. M'"ATI " cm'"0' 1-800-696-6611 Town of -16a✓i1.S �o% a ,�, Regulatory Services , Building Division r) Address - Address 2 - '' Date: Zz �9 i Dear Building Inspector .' , Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village 7 6 J--&;, Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) CK (;J00) Slopes Floors ( ) ( ) ( ) ( ) ( ) Walls ( ) ( ) ( ) ( ) ( ) ,per .j Sincerely 'bHE idy , Pre entula ' n, �� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 15T Parcel 6 / '-`Application # 0 . , 6 Health Division Date Issued Z Conservation Division Application Fee V Planning Dept. - Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis t� Project Street Address —�eh�— / ;�_ Village Aa did;64 o e— Owner. d,�AZ i%� 1;?�adjgL-' CAddress -ate Telephone `4' ,6 24-02 42 z� 6� Permit Request i A fir_ d /•- ��v, l4/L�L�� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 10? Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family a/ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes J No On Old King's Highway: ❑Yes U 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 0 Electric ❑Other � o ® Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wocWdoal stov—e ❑Yes ❑ No �,I x- Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: Opel isting Onew�size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Ln Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) h' Name Telephone Number =�2 Z�:K— /? I Address xnj�rT T License'# �G Home Improvement Contractor# /bd "Fe Worker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE t • FOR OFFICIAL USE ONLY i APPLICATION# DATE ISSUED MAP./PARCEL NO. s ADDRESS VILLAGE r OWNER DATE OF INSPECTION: FOUNDATION:- FRAME `INSULATION. z ` FIREPLACE ELECTRICAL: ROUGH FINAL ` -PLUMBING: ROUGH 'FINAL GAS ROUGH FINAL r FNAL BUILDING! 7>>, DATF CLOSED OUT `i ASSOCIATION PLAN.NO. . J c OWNER AUTHORIZATION FORM (Owner's Name) owner of the property.located at e.QA (Property Address) Property Address) g hereby authorize Ca --Q— ecd-� (Subcon r ) at an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. 7 er's ig r 0 Dat IAAR222012 The Commonwealth of Massachusetts Department of Industrial Accidents ro Office of Investigations �w 600 Washington Street Boston, MA 02111 www.mass.gov/dia Worker's compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Ca P P_ e G , Address: City/State/Zip:JiyaP2✓/(S- MIA 10a 6 e Z Phone#: 5`0� 9- -27 Jr " Are you an employer? Check the appropriate box: Type of project(required): 1. LIl I am a employer with© 4.❑ I am a general contractor and I have 6. ❑ New construction employees(full and/or part-time).* hired the sub-contractors listed on 7. ❑ Remodeling the attached sheet.$ 2. ❑ I am a sole proprietor or partnership These sub-contractors have 8• ❑ Demolition and have no employees working for employees and have workers' comp. 9. ❑ Building addition me in any capacity. [No workers' insurance.$ 10. ❑ Electrical repairs or additions comp insurance required.] 5.❑ We are a corporation and its officers have exercised their right of 11. ❑ Plumbing repairs of additions 3. ❑ I am a homeowner doing all work exemption per MGL c. 152§(4),and 12. Roof repairs myself. [No workers' comp. we have no employees. [No workers' 13. Other insurance required.] t comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must 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 is providing workers'compensation insurance for my employees.Below is the policy and job site information. �^ Insurance Company Name: Atl l- r `e u ra(4C e c . Policy#or Self-ins.Lic.#: WCA d©_0�_l 5-! 0 Expiration Date: #) '?..c ,i4 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 ma a forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do here c under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: 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 a Contact Person: Phone#: I r` 10 Park Plaza - SLllte 5170 Boston, MassaclILISCUS 02116 k lunle Improvement Copiractor Registration Pepislration: 153567 -1-vpe: Private Corpor::1lion Expiration: '12115/20*12 11-A 206433 (',Al'I:: COD INSULATION, INC i-IL NRY CASSIDY V55 YARMOUTH RD. I-NANNIS, MA 02601 _Update Adtlress aucl return c:u'd. �'l:u•I: rcasun lur ch,wgr. Address I....I Relicwul L I I:nrliluynteul I I I.uii t',u'd �1116i�1L.i nq�u lnr� .111:��1 S/1�',�' Itu�,uu}:/.• I(c�Ul�i liun Licewiv or rogim-atioii valid I'U I'i::;l[1'td t:! ItOhtL/Ihi{P�26VL(VI�N`1"f UN7"j�AC-f('� z:iuuaf(a bcl'urc Ihu r,pir,ttion date. lrfuuntl relw-o to: heylstranon: 153567 Type: Oflicc ul'Constimer Affairs anti Business Itcgulation i" l0 hrl' I'I:iza-Suile_5 170 j: Enpirauun: 121I5/20'12 Private Corporation Bustun,Ill:\02116 IN.-;Ul A I ION, INC r l Indersccrct:tr)' ;l falid ith l sio IUre"/ ? I�Ias,achwc[t� Ur�l:u unrnr u(I ull is S'A'CIN Board of, Booltlin . :uul jt:ulllarll� Construction Supervisor License License: CS '100988 hn, HENRY CASSIDY a SHED ROW 1 WEST YARMOUTH, MA 02673 Expiration: 11/11/2013 t uuinii�.nuirr Trw 7620 bi `�11e11 4*yi CCINSUL ACORD CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDDIYYYY) 210212012 THIS gERTI ICATE 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, e ce I Ica e o er Is an ITIONAL a policy Ies must be en orse ,subject o the terms and conditions of the policy, certain policies may require ai) endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - NAME: Margaret Young Rogers&Gray Ins. -So. Dennis PHONE FAX 434 Route 134 (ac,_No e%J.508-7604602 _ ..___..._....___..__... _...___.....(ac, Nu): 877-816-2156 E-MAIL P.0. Box 1601 ADDRESS:youngma@rogersgray.com PRODUCER South Dennis,MA 02660-1601 CUSTOMER ID#: INSltkk:l I INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:Peerless Insurance 18333 Cape Cod Insulation Inc INSURER B:Ohio Casualty Insurance Company 455 Yarmouth Road Hyannis, MA 02601 INSURER C:Atlantic Charter Insurance INSURER D:Commerce Insurance Company 34754 INSURER E INSURER F: COVERAGES _ CERTIFICATE NUMBER: REVISION NUMBER: T'rilS I$I()fLrl?I IPY I'IiA I"I"I-IE POLICIFS OF INSURANCE LISTED BELOW HAVE BEiad i,SuCD TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOPNITHS IANOING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRAC I i?i; ,I HER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY HE ISSUED OR MAY PERTAIN,TFIF INSURANCE AFFORDED BY THE POLICIES DESCROFT,rIEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY RAVE HEEN REDUCED BY PAID CLAIMS. VSR ADDL SUBR POLICY EFF POLICY EXP SR• ----_- rY?F,OF IC1H:1t�AiLV.t'F 4gISR.YL �4I Iry ruuwu� _, - A GENERAI.LIABILITY CBP8263063 04/01/2011 04/01/2012 EACH OCCURRENCE .$1,000,000 _ X C0MMk:ItI;lA1_GL-NERAL I DAMAGE TO RENTED PR PREMISES(Ea occ.nrdnc;c�) $100,000 CLAIMS-MADC X OCCUI'2 _MED EXP(Any one parson) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE s 2,000,000 car{I A4GHLl_AIL.IIMII APPLIES PER. PRODUCTS-COMPIOPAGG s2,000,000 PRO. $ Pereltry d1:8F t98 _ D AUTOMUt�IIt LIABILITY 11MMBCKVMK 04101/2011 04/01/2012 COMBINED SINGLE Lim r $ ANY All I l) (Ea accident) 1,000,000 I UWNI ll All I OS AI BODILY INJURY (Pei putsun) $ . 80011_Y INJURY(Per accideol) $ X :SCNi UIILEI I Al1I0S X FIIRIrI)AIIIUS PROPERTY DAMAGE $ (Per accident) X NON OWNi-O AI I I OS $ $ B UMBRELLALIAB .X OCCUR 0001254514645 04/01/2011 04/01/2012.EACHOCCURRENCE $1,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $1,000,000 I)L-UUC 1114E I: $ X IU-IINIION $ 10000 WORKERS COMPENSATION WCA00525902 06/30/2011 06/30/2012 X VVC O YTLIMITS ERFI AND EMPLOYERS'LIABILITY Y I N ANY PROPRIF I'ORIPAR 1'NERIL-XECUTIVE� �� E.L.EACH ACCIDENT' s 500,000 UFNCEWMFMHF.R1=Xl;ll1UEU? L-.�7:I NIA (Mandatury in NH) E.L.DISEASE-EA EMPLOYEE$.500,000 Il yua Ue>CnUu ui nlrn IIFS('HIPIIC)N SII-UI'E I2ATIf)Nti beln'r✓ .l -P 1. I ,ESCRIP'rK)N OF OPERATIONS J LOCATIONS I VEHICLES(Attach ACORD 101,Additional Renmr k5 Schedule,if more space is required) Norkers Comp Information Included Officers or Proprietors ,ERTIFICATE HOLDER _. CANCELLATION 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 01988-2009 ACORD CORPORATION.All rights reserved. CORD 25(2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD iiS773681M68179 MEY TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map l / Parcel App lication# �_o o o Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village Owner , Address Telephone Oda - voL., - dd Permit Request 20z f_0 rntl- ' 2- f, �0 ILMkI Square feet: 1st 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, att supporting documentation. I � Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) ► C r Age of Existing Structure Historic House: ❑Yes ❑No On Old Kings Highway: ❑Yes :O No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other/ d ► `" Basement Finished Area(sq.ft.) / Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing_ new ci� Fri Total Room Count(not including batfa�xisting new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil Cl Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garag :❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached gar ge:❑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 BUILDER INFORMATION Name �' Telephone Number LfOV 4'�-G3 ,Address �1 C)., :?,y- License# �R F� A°'�, 0 a Home Improvement Contractor# P14 Worker's Compensation#�KU�S��1. 7f ALL CONSTRUCTION DEBRIS RESULTI G FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE P FOR OFFICIAL USE ONLY PERMIT NO. r DATE ISSUED MAP/PARCEL NO.` ADDRESS VILLAGE` `OWNER i DATE OF INSPECTION: f ij FOUNDATION FRAME l INSULATION s . r `FIREPLACE ?' ELECTRICAL: ROUGH FINAL { PLUMBING: ROUGH FINAL t GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ' ASSOCIATION PLAN NO. The Commonwealth of Massachusetts ,a` / Deparhnent of Industrial Accidents Office of Investigations \ 600 Washington Street Boston,MA 02111 f www.ntass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Phmbers Applicant Information Please-Print Istwbly Name(Business/organization/individual): fZ � ('C�j yJ j��- -� z..I6L Address: City/State/ZiP: f'J 1`�,�5 iL!__5 di--i Phone Are you an employer?Check the appropriate box: Type of project(r"vired): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees full and/or 6. ❑New construction ( part-time). have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. S ?• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers'comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.[]Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I I-El Plumbing repairs or additions myself.[No workers'comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.]r employees. [No workers' comp.insurance required.] 13.[ Odter j *Any applicant that checks box#i must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit in i tiug such. Contractors that check this box must attached an additional sheet showing the name of the.subcontractors and their workers'comp.policy information. I am an enWloyer that is providing workers'compensation insurance for my employees Below is the policy anddob site information. Insurance Company Name: ST�i¢��6-j 9,C /N F Policy#or Self-ins. Lic.#: K]�U 'j �9 y�f'7 tj Expiration Date: / Me- Job Site Address: City/StateiZip: Attach a copy of the workers'compensation policy declaratioe page(shoWisg the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby certify under the pains and penalties of perjury that the information provided above is tare and correct Si ature: Date: Phone Ofjkiat 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 ti.Other Contact Person: OP ID DG DATe(MMIDDmm A , CERTIFICATE OF LIABILITY INSURANCE AMSRI_2 04 22 08 [P:R:O :Du THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Berry Insurance Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 9 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Franklin MA 02038 Phone: 800-824-5201 Fax:508-520-6914 INSURERS AFFORDING COVERAGE NAIC# INSURED WSURERA: at Paul Hire&Hariae Ia&. Co. INSURER B: One Beacon Ins American Tent & Table, Inc. INsuRERc: Allen Sylvester P.O. Box 1348 INSURER01 Marston Mills MA 02648 INSURER E COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXPIRAAN LTR NSR TYPEOFINSURANCE POLICY NUMBER DATE MWD DATE MIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,OOO OOO A nCOM MERCIALGENERALLIABILITY CK00220040 01/21/08 01/21/09 PREMISES Eaaoaoence $100,000 CLAIMS MADE ®OCCUR MED 1�(Any one person) $5,000 I PERSONAL BADVINJURY $1 000,000 GENERAL AGGREGATE 52,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $1,000,000 POLICY r jE( LOC AUTOMOBILE LIABILITY CO B ANY AUTO FBlHOS133 Ol/21/08 01/21/09 -dd-d) uGtEUMtr s$1,000,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per Person) S X HIRED AUTOS BODILY INJURY S X NO"WNEDAUTOS (Peraorldent) 1 PROPERTY DAMAGE S (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE S OCCUR Q CLAIMS MADE AGGREGATE $ S DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMBS ER A ANYUIH- LOYERIETORI ARITY XHUB5819Y97508 01/21/08 01/21/09 EL EACH ACCIDENT $100,000 ANY PROPRIETOR/PARTNER/EXECUTNE OFFICER/MEMBEREXCLUDED? E.L DISEASE-EA EMPLOYEE $100 000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY UMIT $SOO,000 OTHER A Equipment Floater CK00220040 01/21/08 01/21/09 Limit $450,000 Deduct. $2,500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Operations usual to equipment rental/ CERTIFICATE HOLDER CANCELLATION JOANCRO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Joan Croft IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 1753 Old Stage Road REPRESENTATIVES. Barnstable MA 02668 AUTOO EPR ENTATIVE ACORD 25(2001108) ©ACORD CORPORATION 1988 (Cotrtif irate of fame Req;tgtanre ,�' REGISTERED ISSUED BY: Date treated or APPLICATION AZTEC TENTS manufactured Num CONCERN NO. 490 ALASKA AVENUE �� a� TORRANCE,CA 90503 CAI.COMB F-41101 (310)328-5060 i elf This is to certify that the materials described below hereof have been flame retardant treated(or are inher- ently nonflammable). FOR AMERICAN TENT& TABII:,INC. ADDRESS 381 OLD FAL #DUTH ROAD CITY MARSTONS MILLS STATE MA, 02M d Certification is hereby made that: (check "a"or "b") (a) The articles described below this certificate have been treated with a flame retardant chemical approved ❑ and registered by the State Fire Marshal and that the application of said chemical was done in confor- mance with the laws of the State of California and the Rules and Regulations of the State Fire Marshal. Name of chemical used............................................Chem.Reg.No......................... Meathodof application................................................................................................ (b) The articles described below hereof are made from a flame-resistant fabric or material registered and approved by the State Fire Marshal for such use; Fabric has been tested and passes NFPA701-S& Trade name of flame-resistant fabric or material used.. .arm .Reg.No. ......f!!!....... The Flame Retardant Process Used .N9LL NOT Be Removed by Washing (will or will not) David Bradley Chuck Miller- President Name of Applicator or Producdon perlrnendent Tive PRIS CUSTOMER ORDER NO. R160230 ITEMS MANUFACTURED: 2-305c30'(2 PC.)STANDARD TOP ONLY-ULTRA WHR'E 4-305r10'STANDARD MIDDLE TOP ONLY-ULTRA WHITE 2-205t20'(2 PC.)STANDARD TOP ONLY.ULTRA WHITE 4-205c10'STANDARD MIDDLE TOP ONLY-ULTRA WHITE • Town of Barnstable ansxsrAKX �MASS .� Regulatory Services Thomas F.Geiler,Director Building Division Tom Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I ;as Owner of the subject property hereby orize / '. J to act on my behalf, in all matters relative to work authorized by this building permit application for: 0Ai"- IRA (Address of b) Sit e of Owner Date Print Name Q:Forms:expmtrg Revise071405 The Town of Barnstable Department of Health , Safety. and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Ralph V1.Crossen Office: 508-7 90-6227 ' ' Belding Commissione Fax: 508-790-6230 Home Occupation Registration Date: ZOO l n Name: �C5 Q�..� C C O�c� Phone#• Address: 1 �� 0 d —Village:�1 •�0.�S Name of Business: Rs-Ag Type of Business: ��t ri�q P rU IC _Map/Lot: /S�z I11,rMNT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings, subject to the provisions of Section 4-1.4 of the Zoning ordinance, provided that the activity shall not be discernible from outside.the dwelling: there shall be no increase in noise or odor; no visual alteration to the premises which would suggest anything other than a residential use; no increase m traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector, a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit, Iocated within that dwelling unit. • Such use occupies no more than 400 square feet of space• in residential buildings, and • There are no external alterations to the dwelling which are not customary there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise, vibration, smoke, dust or other particular matter, odors, electrical disturbance, heat, giare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials• or flammable or explosive materials, in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation, and not within the required front yard. . There is no exterior storage or display of materials or equipment. ccu ation, other than one van or one • There is no commercial vehicles related to the Customary P pick-up truck not to exceed one ton capacity, and one trailer not to me a0 feetilength and not to exceed 4 tires, parked on the same lot containing the CustomaryOccupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business, the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I the undersigned. have read and agree with the above restrictions for my home occupation I am registering. Applicant: Homeoc.doc . .-^sue+[ :.--�a•^a4 4 �'ry zH*4-�.L yr,y.:w��. .q;y�^» �:�'"�:r:'s��s,+`YkL t��"a r:�-x+'� ��µ�.._;. ��dac. .+ _ .+r,s.�a;.ti+.Tws;w,d.,✓t��it.�.' ` "�' -�"`f"t.;: L 1 v r TOWN OF,BAR,NSTABLE Permit No. ----------27356 ___--- : Iris Inspector nm s Building.,- p Cash 1 ""Y~ P71A OCCUPANCY PERMIT �. Bona __ -------------- Issued to M. G. .DeveloptIItt Address lot #1 1753 01d .Stage Road, `Nest Barnstable `wiring Inspector • ✓'r / Inspection date Plumbing Inspectors _ F Inspection date.j Gas Inspector rs { e r t Inspection date 74 �, A.a Engineering Department Inspection date Board of Health Inspection date' f J%s T4`THIS PERMIT WILL OT BE"-VALID D 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. �,,.. Building Inspector �� ..� °•� TOWN OF BARNSTABLE BUILDING DEPARTMENT Nut= asaarr : TOWN OFFICE BUILDING M6 $ HYANNIS, MASS. 02601 f MEMO TO: Town Clerk i FROM: Building Department DATE: An Occupancy Permit has been issued lor, the building authorized by Building Permit $�.. ........... y.. _.. .......................................................... ............. .._..�.........»....... __. ... . � ..t "G� l2 issued to _.............. ...................... ............_..._._...... .„.........._...�.............. d Please .release the performance bond. I Z 67-1 'w i q Q Q \ o �J CER T1jF14 E® PL ®T �L A A I r. - �,• ICON .. ...,: ;�•_�•CFO w - SCAL E : 4,0 GATE I HEREBY CERTIFY THAT THE ABOVE DWELLING IS LOCATL'D ON THE GROUND AS SH•ONN,THAT IT CONFORMED TO THE TOWN ' S ZONING SETBACK REGULATIONS AT THE TIME IT WAS CONSTRUCTED AND THAT THIS MORTGAGE INSPECTION WAS PERFORMED IN ACCORDANCE WITH THE TECHNICAL STANDARDS FOR MORTGAGE LOAN INSPECTIONS AS ADOPTED BY THE MASSACHUSETTS ASSOCIATION OF LAND SURVE S CIVIL ENGINEERS,INCORPORATED. T OS R. . DATE el/yY > AL[ CAPE ,LAND 54IRYE, CONS(/LTANT.5 --.33.5'-4GD BARA1-5r 13-L-E" ---ROAD,• EA5T AMOVTH, MA. Assessor's map and lot number .. wW 'L l��—�� W8 r Sewage Permit number ....... .... 'I. .�...Q. - ................. INSTALLED IN COM? WITA TITLE Z B8HB9TLBLE, i House umber v rya .7v`r3................................................ E11'E1Ir�ENVIRONMENTAL o TOWN OF BARNSTABLDEPTICSYSTEM MUST BE INSTALLED IN COMPLIANCE WITH TITLES :�� BUILDING INSPECTOR ENVIR �� CODE N° TOWAPPLICATION FOR PERMIT TO ...... ....................................................................... TYPE OF CONSTRUCTION .......... .0 R. ......F1R.A.Y^.riz ........................................... ............................... ..................L!...!.. ..............14./. I TO THE INSPECTOR OF BUILDINGS: The undersigned herebyapplies for a .......according ................. Sa. .!Z.N. .� ............................... ProposedUse ....... .......................................................................................................................................... ZoningDistrict ........................ .....................................Fire District .... ............................................... Nameof Owner ... ....................Address ............................:....................................................... Nameof Builder ...... ........................Address .................................................................................... Name of Architect .../..x.p!!?T.�15. ....�QC.S>c, Address 6 (�o G. .... 1................ �...vf�....................................r�.�................ Numberof Rooms ....:.............................................................Foundation .........�........ ...................................................... n Exterior ....... VL, .... ...... .1, .p)p0oon .Roofing ................!?5. .................................................. Floors .......C'. 1RA. .......................................................Interior ...........SYl�e (ZoSAC,........................................ Heating ; .......... ........................................................Plumbing Fireplace ..........Q�....F.1 ...........Approximate. Cost .........7.0.................................................. Definitive Plan Approved b Plannin Board ___ �_ ____-_________ ..... ' PP Y Planning.Board 19_�_�. Area .. .....�........................... 60 Diagram of Lot and Building with Dimensions Fee �. .. SUBJECT TO APPROVAL OF BOARD OF HEALTH ° r �o OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam .... .. ...... ...... ..... .0..................... Construction Supervisor's License ... .ft 5.V.......... M. G. DEVELOPMEMT ,AM No .... Permit for ..0ne-Story.............. Z* Si!�V.��'Family Dwelling ............ .......................................................... Location ..Lot...1.......175.3...Old..Stage. ...Road......... ... ...... . ...... .. ........ ........ West Barnstable ................................................................................ Owner ....M.....G....Development........................ .. . ... ..................... .. Type of Construction ..Frame............................. ................................................................................ Plot ............................ Lot ............................. December 21. 84 Permit Granted ........................................19 Date of Inspection ..........19 Date Corppleted ...........19 Ov 6 41 Assessor's map and lot number /..... .. ��.�!z...DO� k . ... ... �Of I 1 P t Sewage Permit number ...... .-J.. ................ v'2 rrvl bw o� ;/,/ y Z BABBSTADLE, i HODS@ number ......... .......'.. ................................................. 900 M 39- 1 am a' TOWN ,-,'OF 'BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... .............................................................. .....:.. TYPE OF.CONSTRUCTION .......... �. .......FsR�P...y... .............................................. ............................... ............... �./... . ... �y ,9 TO THE INSPECTOR OF BUILDINGS:, The undersigned hereby applies for a permit according to the following information: L. ld, S \ Lv s� 3wveN t �3 Location .........4.....,... 4..................T.!? . .Q............. .......................�.......................S. -... ............................... -Proposed'Use R .l .................................................................................................................................................... p l y .......�'.. r•�cc Zoning Di ictr........................�%,��......................................Fire District ....G(/a... ;/"!!!!5.:................................... Name of Owner .../.�..,.... a I /� I Name of Builder ......1�,..4?.'r.l..�...4?S e.A.,4.........................Address ...................................................... ............................... ��Name of Architect ... o `.:................:aid..�.....�..S.�,c�.a................Address ................... .............................................. ..�................ Number of Rooms �...................................................Foundation Np rr `\............... ............................................................................... Exterior .: .... �'. Q.e'4... ...... P9A4..Roofing .....`............t�S.�'l..�T........................................... \ �e (2ocx Floors ......C.!�.+��.� .................Interior ...........�.�!1................ .............................................................................. MA -- re a V Heating .......... .> . !`1.....................................:...................Plumbing ...................... �......... .. .'.......................C............ .. Fireplace F, ...Approximate Cost 7 T.................................................... Definitive Plan Approved b Planning Board t , y L) PP Y 9 s�`' ---- - - t 9- Area j........................... Diagram of Lot and Builing with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH i q, 0 p• OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS -. � w I hereby agree to conform to all the Rules and Regulations okthe Town of Barnstable regarding the above construction. Nam . .................. Construction Supervisor's License ... �.S.11_f M. G. DEvELopmENT A= 2�1 o No ..273.5.6.... Permit for ........ Q. .1;QxY........... ...................... Location .... .....1753 Old...Stage.Road West Barnstable ............................................................................... Owner .....M.....G. Development ...................... Type of Construction ..Frc-UTe............................. ................................................................................ Plot ............................ Lot ................................ Permit Granted December 21..............19 84 ........................... Date of Inspection .....................................19 Date Completed ......................................19 s-1 2 — KS o• �> TOWN OF BARNSTABLE Permit No. _________27355 Building Inspector Zan Building --.------_----- _ / ' 16) 1. OCCUPANCY PERMIT Bond __—____ Issued to N. G. De ielopueat Address lot #1 1753 Old Stage Road, ..ebt Barruitable Wiring Inspector Inspection date Plumbing Inspector �/' Inspection date Gas Inspector n i�".� � .+.n�i 1 ,..,! Inspection date 74 At,It PT Engineering Department Inspection date i Board of Health Inspection date 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. .................. _....__ _.... .__._....... ._ Building Inspector