Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0026 PACKET LANDING WAY
UPC12543 .o - - - - -- - - - - - - - - - -No.53LOR _ Aosr.roNS° - HASTINGS, MN i r I `a Town of BarnstableMASS RECEIPT 200 Main Street, Hyannis MA 02601 508-862-4038 i639. p1Q� J 0 Application for Building Permit -:1 :4� Cw) 3 Application No: TB-19-3487 Date Recieved: 10/16/2019 --- 'a Job Location: 26 PACKET LANDING WAY, WEST BARNSTABLE r� Permit For: Building-Shed - Residential-200 sf and under j 5a Contractor's Name: McGRATH POST & BEAM CO. PINE State Lic. No: 132935 s HARBOR WOOD PRODUCTS Address: 259 QUEEN ANNE RD. HARWICH MA 02645, Applicant Phone: (617) 721-5518 (Home)Owner's Name: CRAWFORD,EDWARD F& MARGARET Phone: (617)721-5518 M (Home)Owner's Address: 12 MATCHETT STREET, BRIGHTON,MA 02135-1505 Work Description: Want to replace an aging and rotting wood 8' x 8' shed in the backyard with a new wood 10' x 12' shed that would be purchased and installed by Pine Harbor Sheds in Hyannis,MA. Our existing shed is only 10' from the rear property line and we would like to put the new shed in basically the same spot, keeping it only 10' from the rear property line. If we have to bring it 5' further into our small yard it will be very close to the back deck and possibly on top of part of our septic system underground. The setbacks on all the other sides are fine, per the attached plot plan. Total Value Of Work To Be Performed: $5,000.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued, it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Margaret Crawford 10/16/2019 (617)721-5518 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total'Project Cost : $5,000.00 Date Paid Amount Paid Check#or CC4 Pay Type Total Permit Fee' $35.00 10/16/2019 $35.00 Paypal Paypal Total Permit Fee Paid: $35.00 ;: THIS.IS NOT A PERMIT Town of Barnstable � � s�nxsrwe� Post This Card So That it is Visible From the Street--Approved Plans Must be Retained on Job and this Card'Must be Kept Shed M"S& $ Posted Until Final Inspection Has'Been Made. • rasa Registration 'D'eoraa�° Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. y � Registration Number: B-19-3487 Applicant Name: Margaret Crawford Approvals Date Issued: 10/31/2019 Current Use: Structure Permit Type: Building-Shed- Residential-200 sf and under Expiration Date: 04/30/2020 Foundation: Location: 26 PACKET LANDING WAY,WEST BARNSTABLE Map/Lot: 179-003 Zoning District: RF Sheathing: Owner on Record: CRAWFORD, EDWARD F&MARGARET M Contractor Name: McGRATH POST& BEAM CO. Framing: 1 PINE HARBOR WOOD PRODUCTS Address: 12 MATCHETT STREET 2 Contractor License: 132935 BRIGHTON, MA 02135-1505 Chimney: Description: Want to replace an aging and rotting wood 8',x 8'shed in the Est. Project Cost: $5,000.00 backyard with a new wood 10'x 12'shed that would be purchased Permit Fee: $35.00 Insulation: and installed by Pine Harbor Sheds in Hyannis, MA. Our existing Fee Paid: $35.00 Final: shed is only 10'from the rear property line and we would like to put the new shed in basically the same spot,keeping it only 10'from Dater 10/31/2019 the rear property line. If we have to bring it 5'further into our Plumbing/Gas small yard it will be very close to the back deck and possibly on top Rough Plumbing: of part of our septic system underground. The setbacks on all the � ` Final Plumbing: other sides are fine, per the attached plot plan. Building Official Project Review Req: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Final Gas: All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the to al zoning by-laws and codes. Electrical This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Service: Rough: The Certificate of Occupancy will not be issued until all applicable signatures by.the Building and Fire Officials.are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Final: 1.Foundation or Footing 2.Sheathing Inspection Low Voltage Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection - Low Voltage Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Health 7.Final Inspection before Occupancy Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: 40 � O ' LOT 12 .,pp LOT 11 � RAMP - O:=AISE_-__- DECK -5626 cp LOT 10 v RES. ZO.NE.• "RF" This MORTGAGE INSPECTION plan Is Igor FLOOD ZONE.• "C" Bank Use Onl TOWN: BAB :�TABL — __ REGISTRY OWNER,: AARJ9IE IfEA-f—ey AL�X BURNS DEED REF: — — —BUYER: .: .Er2YA�] , a — -- -- DATE: 11 2�3 — — PLAN :REF: 177 ,3_ _SCALE:1"= 30__�F'C. I HEREBY CERTIFY TO Cd;L'L.Caa116N1f� ..T11I'l���c ��Z1t �F YANKEE SURVEY _TIR_S_T AMERICAN TITLE' INSITRANCE CO. THAT THE BUILDING SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS ;a`�� PAUE_ c CONSULTANTSSHOWN AND THAT ITS POSITION DOES ____ CONFORM = A. 40B (SUITE 1) TO THE ZONING LAW SETBACK REQUIREMENTS OF THE MF.'.FlITHEW N N 'No. 32098 INDUSTRY ROAD TOWN Oi ---- AND THAT ?� Q IT DOES_ NOT _ LIE WITHIN THE SPECIAL FLOOD HAZARD v� � 1SY1n�d a� MARS EL: MILLS. 05 0264f3 Fr AREA AS SHOWN ON THE H.U:D. MAP DATED si Q FAX 42 -0055 A'A( lAtlt)' Co . :riit; -Panel 250001 0011 D FAX 4 0=5553 _____ THIS: PLAN NOT MADE FROM AN INSTRU'MCNT 13090 BJS �A�I ITH . I' S SURVEY NOT 'P0 6E USED I'UR EtiNCE5 ETC. trill _ PERCENTAGE OF LOT COVERAGE a LOT AREA 16746.1t S.F. EXISTING STRUCTURES 14.77 J EXISTING PAVEMENT 2.7% p TOTAL STRUCTURES 14.7% TOTAL PAVEMENT 2.7% P TOTAL COVERAGE 17.4% d c LOT 12 LOCUS "MAP `tig"'. tiA PLAN REF: 177-43 DEED REF: 24785-142 pp; ASSESSOR'S MAP: 179-003 ZONING: RF pg.5 LOT 11 i. SETBACKS: 30'-15'-15' ,� 16746.1 S0. FT. FLOOD ZONE: C 0.4 ACRES PANEL NUMBER: 250001 0011 D GATED: 07/02/799 2 O� OVERLAY DISTRICTS: RP� OVEAP, OD �P °E"` PLOT PLAN OF LAND LOCATED AT: o° 26 PACKET LANDING WAY WEST BARNSTABLE, MA •s ` - LOT 3 4°• g %` PREPARED FOR: M. CRAWFORD FEBRUARY 2, 2012 t LOT 10 REV: 1j4`a�`ss�f LOT 2 REV: k A + REV. ovik YANKEE LAND SURVEY CO, INC. GRAPHIC SCALE 119 ROUTE 149 N °F` 30 oL 15 30 MARSTONS MILLS, MA - J TEL: (508)428-0055 FAX: (508)420-5553 yonkeesurvey®comcost.net www.yonkeesurvey.com 1 inch = 30 tt SHEET 1 OF 1 JOB#: 54763 SH r• _ i .q Town of Barnstable Building »rsrns Post This Card So;That it is>ViSible From the Street-.;Approved Plans,Must,be Retained on Job and this Card Must be Kept Posted Until"Final Inspection Has Been"Made " Per Mod Where'a Certificate of Occupancy is Required,,such Building shall Not be Occupied until a Final Inspedion7"has been made Pe1 lily Permit No. B-17-2086 Applicant Name: COTUIT SOLAR Approvals Date Issued: 07/10/2017 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date:' 01/10/2018 Foundation: Location: 26 PACKET LANDING WAY,WEST BARNSTABLE Map/Lot: 179-003 Zoning District: RF Sheathing: Owner on Record: CRAWFORD,EDWARD F&MARGARET M Contractor a e: COTUIT SOLAR Framing: 1 Address: 12 MATCHETT STREET Contractor License 146276 2 BRIGHTON,MA 02135-1505 �M., Est. Proj 6ct Cost: $45,000.00 Chimney: Description: Roof Mounted Solar PV Installation.System size:,13.42 KW-proposed Permit Fee: $280.00 Insulation: system will include 44-305W Modules connected with micro inverts t Fee Paid: $280.00 Project Review Req: Roof Mounted Solar PV Installation.System size:13 42 KW Date: 7/10/2017 Final: <S f 7 lE' -f proposed system will include 44-305W Modules connected withw micro inverts Plumbing/Gas Rough Plumbing: \Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work airthorized by this permit is commenced within six months aftertissuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this'permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map C _�q Parcel ��j TOWN STABLE PP OF BARN Application lication Health Division Date Issued ZJIa 1� -5 ri i 9: 010 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board D VTST"m Historic'- OKH G'l't Preservation/ Hyannis ®dCl�/LLB .— Project Street Address �6 � ��� 4,.1:2�nc Wa-d Village _ W �odwStj�r Owner low CNx�.d'Y-�G Address Z6 Telephone - Z�_ !� IO c �• D�fl Permit Request ter' �o W� V kt/1& ,4K , S�w�. 5�2� : �3• Z. 4� .s�! S�s�•r w��1 � y�! — 3�S' ►�e,�1�Ir- e0ft4,ee.k 1 M& V44wa i,►.�, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Ll f O d O 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: W/Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count ' Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size -Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION - (BUILDER OR HOMEOWNER) Name Vetr ke Telephone Number y off'4Z� Address �o aA License # 6F �o I( Wt OZ«� Home Improvement Contractor# e Z Email I L i i a t/" . tow, —'Worker's Compensation #414-a V11 ALL CONSTRUCTION DEBRIS RESULTIN FROM�t THIS PROJECT WILL BE TAKEN TO J SIGNATURE DATE {e—Z7 `0 - FOR•OFFICIAL USE ONLY APPLICATION # 1 .... a .. ` 1 DATE ISSUED ' MAP/PARCEL NO. ADDRESS VILLAGE OWNER i DATE OF INSPECTION: FOUNDATION . FRAME INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL _ i` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING r DATE CLOSED OUT. -, F ASSOCIATION PLAN NO. Massachusetts-Department of Public Safety j Iroard of building Regulations and Standards Conctructi++n Supenicur License:CS-107947 JOHN VREELAND S/ 48 QUASHNET ROAJD M _ IFIf Mashpee A 0209 y +�� Expiratio6>° Commissioner 04/25/2018 i COMMONWEALTH OF MAS8A6H116ETTS ELECTRICIANS ISSUES THE FOLLOWING LICENSE w REGISTERED MASTER ELECTRI t/1N'1 f. FRANCIS J BRADY Jig' s COTUIT SOLAR-LLC �` a 12MANWELLRp CHELMSFORD,MA 01.824 1624 20069 A 0Tl31I2019. 169149 - V�C (Q6/!t-'l7CC�)7ll1ClI�iJI L�(�4�/1A/7c�1/9r!��d Office of Consumer Affairs&Business Regulation �d HOME IMPROVEMENT CONTRACTOR H - -TYPE:Suoolement Card Rectistratlon Expiration 146276 04/07/2019 -fa COTUIT SOLAR LLC a 1 } , JOHN VREELAND,,, 3800 FALMOUTH RD-q"—:,' (� MARSTONS MILLS,MA 02648 Undersecretary SCA 1 0 2OM-05111 '\ The Commonwealth of Massachusetts Department of Industrial Accidents a 1 Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):Cotuit Solar LLC Address: P.O. Box 89 City/State/Zip:Cotuit, MA 02635 Phone#:508-428-8442 Are you an employer?Check the appropriate box: Type of project(required): 1.0 1 am a employer with 12 employees(full and/or part-time).* 7. ❑New construction 2. I am a sole proprietor or partnership and have no employees working for me in ❑ 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.❑1 am a homeowner doing all work myself[No workers'comp.insurance required.]t 10 ❑Building addition 4.❑1 am a homeowner and will be hiring contractors to conduct all work on my property. 1 will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.0 1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ p Roof repairs These sub-contractors have employees and have workers'comp.insurance? 14.DOtherSolar PV Installation 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ;Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Travellers Insurance Policy#or Self-ins.Lic.#:6HUB-4988P868-16� ) Expiration Date:3'-26-2017 / Job Site Address: of4 `V City/State/Zip: W. "lit Attach a copy of the workers'compensatiAn policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §§'25A is a criminal violation punishable by a fine 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 hereby certi nder the p 'ns and penalties of perjury that the information provided above is true and correct. Signature: Date: " Phone#:508-428-8442 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: A4 R® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 1 03/23/2017 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 CONTACT NAME: Lauren Bunker DON BUNKER INS. AGENCY PHC No Ext: (781)312-7206 A No: ADDRESS: Lauren@donbunkerinsurance.com P.O BOX 221 INSURERS AFFORDING COVERAGE NAIC# HANOVER MA 02339 INSURERA: TRAVELERS INDEMNITY CO OF AMERICA 25666 INSURED INSURER B: COTUIT SOLAR LLC INSURER C: INSURER D: 3800 FALMOUTH RD INSURER E: MARSTON MILLS MA 02648 INSURER F: COVERAGES CERTIFICATE NUMBER: 136850 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MOL DY EFF MMI DI DI EXP LIMITS LTRWVD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREM SES Ea oNccu ante $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PRO- JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident L $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DIEDRETENTION$ - $ V WORKERS COMPENSATION X PER STATUTE ER AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 500,000 A OFFICER/MEMBEREXCLUDED? NIA NIA N/A 6HUB4988P86817 03/26/2017 03/26/2018 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Conrad Geyser ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 89 AUTHORIZED REPRESENTATIVE Cotuit MA 02635 - )J C�� Daniel M.Cro✓✓%y,CPCU,Vice President—Residual Market—WCRIBMA @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD r YM A o CERTIFICATE OF LIABILITY INSURANCE �`06</osn001i77 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(les)must have ADDITIONAL INSURED provisions or 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 endorsemengs). PRODUCER NaMe: Lauren Bunker Dan Bunker Insurance Agency PHONE (781)312-7206 _ Imo.Not. 51 Mill Street c `"'' Building F ADDOOn� Lauren@donbunkednsurance.com Hanover,MA 02339 INSURE RAFFORDING COVERAGE — — — _ NAIC e __ INSURERA: Hartford Insurance v _ - INSIrREO C.OIUIt SOIBf LLC INSURER 8: Scottsdale Insurance — 3800 Falmouth Rd - — Marstons Mills,MA 02648 INSURER c INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS FSSR'— TYPE OF INSURANCE INSO --BR POLICY NUMBER + MM LTR MMro _ J`. LIMITS A I COMMERCIAL GENERAL LIABILITY - 108SBMTP1768 ID6101/2017 06/01/2018 EACHOCCURRENCE $ - _ 1.00_0,000 { — � ,CkA-WAAGFY6itENTEO- - ' CLAIMS-MADE `V OCCUR PREMISE`t JEs o=irmnoa) s 1,000,000 EXP MED IAny one person) S _ - 10,000 PERSONAL S ADV INJURY_.S _ 1.000,000 N'L AGGREGATE LIMIT APPLIES PER ( 11 + I GENERAL AGGREGATE S _ 2.000,000 ��POLICY J O- LOC I 1 PRODUCTS-COMPIOP AGG S 2.000,000 I OTHER IIIIIIII I IS A AmmoBiLEuAeILm I {08UECAA9714 04/30/2017 ,D4/30/2018 COMBINEDSINGLE LIMIT S 1,000.000 ANY AUTO BODILY INJURY(I'er Parton) f$ OWNED SCHEDULED ~BODILY INJURY(Per tarderu) S — AUTOS ONLY AUTOS I `_,-__. HIRED NONJDWNEO I PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY ,- - I B UMBRELLAuAs OCCUR ;XLS0102465 D6/01/2017 D6/01/2018 EACH OCCURRENCE I S 2,000,000 EXCESS LIM CLy I { AGGREGATE —{S ` 2,000,000 OED 1 -RETENTION S + I S .WORKERS COMPENSATION l I +PER STATU S' E, H AND EMPLOYER LIABILITY �- - - _ER - - --- ANY PROPRIETORIPARTNERIEXECtMVE Y NIA A+ E L EACH ACCIDENT is OFFICERIMEM8ER EXCLUDE - - '---— - (Mandatory In NMI E L DISEASE-EA EMPLOYEE,S I ee60'ft urWer _ _ .-- DESCRIPTION OF OPERATIONS bNow E L DISEASE-POLICY LIMIT 'S I � l I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD IM.Additional Remarks Scr OLft may be aLa Med It more space Is mqulmd) Solar panel/heating contractor and their related electrical work CERTIFICATE HOLDER CANCELLATION Conrad Geyser 3800 Falmouth St SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Marston Mills.MA 02648 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH T4 POLICY PROVISIONS. AUTHORIZED REPR ATNE r�. 019 20 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of A ORD • .�",r • _ rw� , 1 f - �cn'13'wu1Y do { k," • .. • yqh y,-e �� Z iJ 1 oN Y <` 1"s pwt _ r 4 ..�C�.•�y 1 , f !l ♦y ,. +r +6 s - � Project: • 1. Warning: Dual Power Source Second Source is PV System (15) 305w LG 2. Photovoltaic AC Disconnect Modules Voc=40AV, Utility y Service 15 SolarEdge P320 Root Top DC Optimizers ]unction Box Revenue Grade Voc 48,Isc 11.0 PV meter UL 1741/IE Utii tY EE 1547 3#12,#12gnd Out :de ty O Disconnect Line side tap (2) (distance<=10') 3#6,#8gnd-1"C 60 Amp i (15) 305w LG Modules Voc=40AV, SolarEdge 200A AC Isc=9.74A SE10000-US Main Panel (1) 15 SolarEdge P320 Roof Top Inverter DC Optimizers ]unction Box (1) Voc 48,Isc 11.0 UL 1741/IEEE 1547 200A Main 3#12,#12gnd Breaker (14) 305w LG Modules Voc=40AV, Isc=9.74A Roof Top 14 SolarEdge P320 A ]unction Box DC Optimizers Voc 48,Isc 11.0 3#12,#12gnd UL 1741/IEEE 1547 ��U� Cotuit Solar LLC Project: system: Solar Riser PV Wiring detail �� Margaret Crawford 13.42 kW DC 508-428-8442 Revision: June 19 2017 �- 26 Packet Landing Way44 - 305W LG Black modules PO Box 89 W. Barnstable, MA 44 - DC optimizers Eversource WO#: 2212854 COTUIT SOLAR,. PO Bo, 89 02635 02601 10kW SolarEdge inverter JAMES A. CLANCY PROFESSIONAL ENGINEER NATIONAL PARK, NJ 08063 (856) 358-1125 ]FAX: (856) 358-1511 Construction Code Office Date: June 18,2017 - Re: Cotuit Solar LLC,3800 Falmouth Rd.,Marston Mills,MA 02648 Subj: Margaret Crawford Residence,26 Packet Landing Way,West Barnstable,MA 02601 We have provided an inspection and review of the residence roof construction of the above named property in regards to verifying the capacity of the existing roof for installation of a new Solar Panel Array. We have found the residence to be of wood frame construction bearing walls with a truss framed roof system. The main roof is of 2x8 @ 16" o.c. and is sheathed with 1/2" ext-ply sheathing and a single layer of composite shingles. The existing roof structure bears directly upon the exterior stud framed wall system. The existing rafters as installed meet the required load/span ratings with sufficient capacity to carry the minor additional load of 4 #/sf imposed by the proposed solar array per the details below. Installation of solar rack systems shall be as follows: Each panel row shall be supported upon 2 mounting rails. Rails shall be screw anchored through roof and directly to rafters below. Rail attachment points to rafters shall be staggered each row with exception to the first fastener row from the gable end which is attached to two adjacent rafters. Silicone caulk shall be applied between the angle foot of the mounting system and the existing roof shingles at each foot location. Typical mounting detail sketch attached. When installed per the above specifications the system shall exceed 110 MPH wind & 30 PSF snow loads as required by Massachusetts 780 CMR table 1604.11. Should you have any further question or comment please feel free to contact our office. Respectfully, OF MES A. N NCY 46775 y James A. Clancy ,off tsTEP o Professional Engineer tONAL MA License#46775 boLAR MOD�cE P -L Toe MF 3�lip S$ #rir %W I • hMe y 9NeNQ ' TY P�/tt� ' JH eVNTsrJ G F�gQ_c PV PA++ s•I '�q P'R•.�a� R*4�6 J sa tiN CY 75 y James A. Clancy, PE .off 9Fv 601 Asbury Avenues National Park, NJ 08063 Massachusetts PE Lic#46775 Project: System: Attachment Plan Cotuit Solar LLC \�• ��� Margaret Crawford 13.42 kW DC 442 26 Packet Landing Wa 44 - 305W LG Black mod PO Box 89 ules Revision: June 19 2017 �� Cotuit, 89 02635 W. Barnstable, MA 44 - DC optimizers COTUIT SOLAR 02601 10kW SolarEdge inverter R (a) LC a . ,o Life's Good � o LG NeON2 Black LG's new module,LG NeONT"2 Black,adopts Cello technology.Cello technology replaces 3 busbars with �*� APPROVED PRODUCT 60 cell 12 thin wires to enhance power output and reliability. pVECC C ( U5 LG NeON11 2 Black demonstrates LG's efforts to increase customer's values beyond efficiency.It features enhanced Intertek KK,565573 a5EN61215 warranty,durability,performance under real environment, PnoaowmakMWJe and aesthetic design suitable for roofs. Enhanced Performance Warranty oo High Power Output 9 e LG NeONT"'2 Black has an enhanced performance Compared with previous models,the LG NeONTN 2 Black warranty.The annual degradation has fallen from-0.70/o/yr has been designed to significantly enhance its output to-0.6%/yr.Even after 25 years,the cell guarantees 2.4%p efficiency,thereby making it efficient even in limited space. more output than the previous LG NeON'"modules. Aesthetic Roof Outstanding Durability LG NEON'2 Black has been designed with aesthetics With its newly reinforced frame design,LG has extended in mind;thinner wires that appear all black at a distance.' the warranty of the LG NeON11 2 Black for an additional The product may increase the value of a property with 2 years.Additionally,LG NeON112 Black can endure its modern design. a front load up to 6000 Pa,and a rear load up to 5400 Pa. •O- Better Performance on a Sunny Day Double-Sided Cell Structure LG NeONTm 2 Black now performs better on sunny days The rear of the cell used in LG NeON112 Black will contribute thanks to its improved temperature coefficiency. . to generation,just like the front;the light beam reflected from the rear of the module is reabsorbed to generate a great amount of additional power. About LG Electronics LG Electronics is a global player who has been committed to expanding its capacity,based on solar energy business as its future growth engine.We embarked on a solar energy source research program in 1985. supported by LG Group's rich experience in semi-conductor,LCD,chemistry,and materials industry.We successfully released first Mono X0 series to the market in 2010,which were exported to 32 countries in the following 2 years,thereafter.In 2013,NeON^(previously known as Mono X�NeON)B 2015 NeON2 with CELLO technology won"Intersolar Award",which proved LG is the leader of innovation in the industry. .. .. LG NeON-2Block Mechanical Properties Electrical Properties(STC*) Cells 6 x 10 Module Type 305 W Cell Vendor LG MPP Voltage(Vmpp) 32.9 Cell Type Monocrystalline/N-type MPP Current(Impp) 9.28 Cell Dimensions 156.75 x 156.75 mm/6 inches Open Circuit Voltage(Voc) 40.1 0 of Busbar ' 12(Multi Wire.Busbar) Short Circuit Current(Isc) 9.74 Dimensions(L x W x H) 1640 x 1000 x 40 mm Module Efficiency(%) 18.6 64.57 x 39.37 x 1.57 inch Operating Temperature(°C) -40-+90 Front Load 6000 Pa/125 psf Q} Maximum System Voltage(V) 1000(IEC/UL) Rear Load 5400 Pa/113 psf Maximum Series Fuse Rating(A) 20 Weight 17.0 t 0.5 kg/37.48 t 1.1 Ibs Power Tolerance(%) 0-+3 Connector Type MC4,MC4 Compatible,IP67 STC(Standard Test Condition):Irradlance1000WW,ModuleTemperature25°C,AM1.5 'The nameplate power output is measured and determined by LG Electronics at its sole and absolute discretion Junction Box IP67 with 3Bypass Di0des •The typical change in module efficiency at 200 WW in relation to 1000 W/m'is-3.0%. Length of Cables 2 x 1000 mm/2 x 39.37 inch Glass High Transmission Tempered Glass Frame Anodized Aluminum Electrical Properties(NOCT*) Certifications and Warranty Module Type 305 W. Maximum Power(Pmax) 225 Certifications IEC 61215,IEC 61730-1/-2 MPP Voltage(Vmpp) 30.4 IEC 62716(Ammonia Test) MPP Current(Impp) 7.39 IEC 61701(Salt Mist Corrosion Test) Open Circuit Voltage(Voc) 37.3 IS0 9001 Short Circuit Current(Isc) 7.84 UL 1703 'NOR(Nominal Operating Cell Temperature):Irradiance 600 W/m',ambient temperature 20"C,wind speed 1 m/s Module Fire Performance(USA) Type 2(UL 1703) Fire Rating(for CANADA) Class C(ULC/ORD C1703) Dimensions(mm/in) Product Warranty 12 years 0 Output Warranty of Pmax Linear warranty'm 1)1 st year 98%,2)After 2nd year..0.6%p annual degradation,3)83.6%for 25 years ' Temperature Characteristics s 9 NOCT 45 t 3°C a� Pmpp -0.38%/°C Voc 0.28%/°C Isc 0.03 WC v s. .> •, Characteristic Curves - f uBOOW u,.uw.rMM.rwl 0(•1 BW .. v�1 6.00 600W •wd•4sq e,00 40ow .. 200W \ caw m 2.00 y y t B Vduge NI . 000 500 10.00 ts.00 20.00. 25.00 30.00. 35,00 40:�Oa. 3 3 100 - Nn Pma. Bo _..-.....................................r._..._..—�....__.._.....-._.,_.........- ......._......_.:..._..._.-_—_....._.............._..�..�...�...�.�... ° Terryrerature(°y - 5 _ -m - -25 0 25 so 25 90 The distance between the center of the mounting/grounding holes. North America Solar Business Team - Product specifications are subject to change without notice.OLGI LG Electronics U.S.A.Inc DS-N2-60-K-G-F-EN-50427 . ■ Life.'s Good 1000 Sylvan Ave,Englewood Cliffs,NJ 07632 .. Copyright©2016 LG Electronics.All rights reserved. Innovation for a Better Life Contact:lg,solar@lge.com 01/01/2016 www.lgsolarusa.com ❑ram r solar - • • SolarEdge Power Optimizer Module Add-On For North America P300 / P320 / P400 / P405 COD • '��4v•.enw�o� PV power optimization at the module-level Up to 25%more energy — Superior efficiency(99.5%) — Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading — Flexible system design for maximum space utilization ? — Fast installation with a single bolt Next generation•maintenance with module-level monitoring Module-level voltage.shutdown for installer and firefighter safety USA-CANADA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THENETHERLANDS-UK-ISRAEL www.solaredge.us solar=se SolarEdge Power Optimizer Module Add-On for North America P300 / P320 / P400 / P405 P300 P320 P400 P405 (for 60 cell modules) (for high-power (for 72&96-cell (for thin film 60-cell modules) modules) modules) INPUT Rated Input DC Power()................. ...........300 320 400............ ...........405............ .....W ........... ............................ ...... Absolute Maximum Input Voltage 48 80 125 Vdc (Voc at lowest temperature) ....... ......................................................... ............................ .......................................... MPPT Operating Range................. .........::.............8..48 ............80 .......12.5:105........ ....Vdc..... Maximum Short Circuit Current(Isc) 10 11 10.1 Adc Maximum DC Input Current............ ...........i2:5....... .............13.75....................................12:63......................... ....Adc..... ..................................................................................... ......... Maximum......encY..................... ............ . ........99:5 . .....%...... . ................................ ...................................................... Weighted.. .Et iencY...................... ......................................................98.8......................................... %...... Overvoltage Category II OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING SOLAREDGE INVERTER) Maximum Output Current 15 ................. TAdc.__.. Maximum Output Voltage ............. .........................................60 ........................... 85Vdc OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM SOLAREDGE INVERTER OR SOLAREDGE INVERTER OFF) Safety Output Voltage per Power 1 Vdc Optimizer STANDARD COMPLIANCE EMC FCC Part15 Class B,IEC61000-6-2,IEC61000-6-3 ............................................... ................................................................................................................... .............. Safety................................:..... ....................................IEC62109.1(class II Safety),.UL1741..................................... ROHS Yes INSTALLATION SPECIFICATIONS Maximum Allowed System Voltage ................1000 Vdc Compatible inverters All SolarEdpe Single Phase and Three Phase inverters ............ .................... ....... ............... ........... ... 128x152x27.5/ 128x152x35/ 128x152x48/ Dimensions(WxLxH) 5x5.97x1.08 5x5.97x1.37 5x5.97x1.89 mm/in Weight(includin. .cables)............... .......................760/1.7...............................830.�.1:8......... ........1064/.�:3........ ...�r./.�b.... Input Connector I MC4 Com atible Output Wire Type/Connector Double Insulated;MC4 Compatible ................................................ Output Wire Length..................... ......................0:95/3:9. I................ 1.2/3.9..... ......... ........ . M/.ft.... ...................... . . Operating Temperature Range :40:+85/.40:+185 °C/°F ..................................................... . Protection Rating ....__...IP68/NEMA6P Relative Humidity..................... 0-100 1 ....% .. .............................. ..................................................... . I'I Rated STC power of the module.Module of up to+5%power tolerance allowed. PV SYSTEM DESIGN USING SINGLE PHASE THREE PHASE 208V THREE PHASE 480V A SOLAREDGE INVERTERIZI Minimum String Length 8 10 18 (Power.0 timizers ............. Maximum String Length 25 25 50 (Power Optimizers Maximum Power per Striri�............ .:.:...........5250......: 6000............... ..............12750........... W Parallel Strings of Different Lengths Yes or Orientations I2I It is not allowed to mix P405 with P300/P400/P600/P700 in one string. CE ON YSOLAREDGE. OPTIMIZED BY SOLAREDGE are trademarks or registered trademarks of SolarEdge Technologies,Inc.All other trademarks mentioned herein are uiciemar,,s of their respective owners.•ate:12/2015 V.01. i s professional ET� ProSolar® RoofTrac® SOLAR us products- Intt 2tek Bonding and Grounding Guide UL2703 (Patent Pending) Applies to GroundTrac®and SolarWedge® mounting systems which utilize the RoofTrac® rail/clamp design. For RoofTrac®Rail Bonding Splice No buss bar • Drill 1/2"holes at bottom of rails with 1/2"110 Irwin Unibit®using the rail support as a hole location guide. • Insert 5/16"bolt through support holes and hand a thread into thread rail splice insert. Fasten to 15 ft-Ibs. Ia For Bonding Module Frame and Clamps to Support Rail Green lock washer indicates • Fasten pre-assembled mid-clamp assembly to module electrical bond frame,to 15 tt-Ibs. Module Frame Design: double wall,aluminum, 1.2"-2.0"tall,0.059"-0.250" thickness, UL1703 or equivalent tested module. UL467 standard tested bonding equipment for use with Professional Solar Products(ProSolar®)support rail. Bonding of module to RoofTra&rail via ProSolar®rail channel nut using buss bar. Bonding of RoofTra&rail to RoofTra&rail via ProSolar® UL467 tested universal splice kit(splice insert and splice support). Assembled Self-bonding Self-bonding Mid Mid Clamp With SS Bus Bar Clamp Fastened on Rail Grounding of RoofTrac®rail via Ilsco SGB-4 rail lug. (Solar module not Shown) System to be grounded per National.Electrical Code(NEC). See NEC and/or Authority Having Jurisdiction (AHJ)for grounding requirements prior to installation.See final run(racking to ground electrode)grounding equipment installation instructions for specific installation information. COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2015:All information contained in this manual is property of Professional Solar Products(PSP). TileTra&is a registered trademark for PSP and is covered under U.S.patent#5,746,029.RoofTra&and FastJack®are registered trademarks for PSP and are covered under U.S.patent#6,360,491..RoofTra&bonding designs patent pending. ProSolar®UL2703 Bonding and Class A Fire Rating Page 1 of 4 professional SOLAR ProSolaro RoofTrac® products Bonding and Grounding Guide (Patent Pending) Can be placed under module to hide connection if desired For Grounding Connection • ILSCO SGB-4 rail ground connection Basic Wiring Diagram RoolTracm Universal Rail Bonding Splice / Grounding =+ Lug Grounding Lug COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2015:All information contained in this manual is property of Professional Solar Products(PSP). TileTra&is a registered trademark for PSP and is covered under U.S.patent#5,746,029.RoofTra&and FastJack®are registered trademarks for PSP and are covered under.U.S.patent#6,360,491.RoofTra&bonding designs patent pending. ProSolar®UL2703 Bonding and Class A Fire Rating Page 2 of 4 4 Intertek Listing Constructional Data Report (CDR) 1.0 Reference and Address Report Number 100779407LAx-003 Original Issued: 14-Se -2012 Revised: 28-A r-2015 Standard(s) UL Subject 2703-Outline of Investigation Rack Mounting Systems and Clamping Devices for Flat-Plate Photovoltaic Modules and Panels. Issue#2: 2012/11/13 Applicant Professional Solar Products, Inc. Manufacturer Professional Solar Products, Inc. Address 1551 S. Rose Avenue Address 1551 S. Rose Avenue Oxnard, CA 93033 Oxnard, CA 93033 Country USA Country USA Contact Stan Ullman Contact Stan Ullman Phone (805)486-4700 Phone (805)486-4700 FAX (805)486-4799 FAX (805)486-4799 Email s(a)prosolar.com Email - s@prosolar.com Page 1 of 63 This report is for the exclusive use of lntertek's Client and is provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement,for any loss,expense or damage occasioned by the use of this report.Only the Client is authorized to permit copying or distribution of this report and then only in its entirety.Any use of the Intertek name or one of its marks for the sale or advertisement of the tested material, product or service must first be approved in writing by Intertek.The observations and test results in this report are relevant only to the sample tested.This report by itself does not imply that the material,product,or service is or has ever been under an Intertek certification program. ProSolaf®UL2703 Bonding and Class A Fire Rating Page 3 of 4 Report No. 100779407LAX-003 Page 2 of 63 Issued: 14-Sep-2012 Professional Solar Products, Inc. Revised: 28-Apr-2015 2.0 Product Description Product Photovoltaic Racking System Brand name ProSolar The product covered by this listing report is a rack mounting system. It is designed to be installed on a roof. It will be secured by means of Fast Jack or Tile Trac attachments, depending on the type of roof it is intended to be installed upon. The Rooftrac mounting system is comprised of support rails and top-down clamping hardware. This device can be used on most standard construction residential roof-tops. This system is in compliance with the mounting, bonding and grounding portions of UL Subject 2703. This system has the following fire class resistance ratings: Class A for Steep Slope Applications when using Type 1 or Type 2, Listed Photovoltaic Modules. Class A for Steep Slope Applications when using Type 2, Listed Photovoltaic Modules with or without the wind skirt. Class A for Low Slope Applications when using Type 1, Listed Photovoltaic Modules when a minimum of 12"gap between the roof surface and the bottom of the module is maintained. Class A for Low Slope Applications when using Type 2, Listed Photovoltaic Modules when a minimum of 14"gap between the roof surface and the bottom of the module is maintained. RoofTrac has different types of bonding and grounding, below is a list of them: Bonding of module-to-Roof Trac rail via Weeb PMC Description Bonding of module-to-RoofTrac rail via ProSolar rail channel nut using buss bar Bonding of module-to-Roof Trac rail via Ilsco SGB-4 lugs Bonding of Roof Trac rail-to-Roof Trac rail via Weeb Bonding Jumper-6.7 Bonding of Roof Trac rail-to-Roof Trac rail via Ilsco SGB-4 Lugs Bonding of RoofTrac rail-to-RoofTrac rail via ProSolar UL 467 tested universal splice kit(Splice Insert and Splice Support) Issuance of this report is based on testing to PV module frames with a height of 1 1/4 inch to 2 inches The grounding of the entire system is intended to be in accordance with the latest edition of the National Electrical Code, including NEC 250: Grounding and Bonding, and NEC 690: Solar Photovoltaic Systems. Any local electrical codes must be adhered in addition to the national electrical codes. This product investigation was performed only with respect to specific properties, a limited range of hazards, or suitability for use under limited or special conditions. The following risks and other properties of this product have not been evaluated: electric shock, Ultraviolet light exposure. Models RoofTrac Model Similarity N/A Fuse rating: 20 A Mechanical Load: 30 PSF Fire Class Resistance Rating: Ratings Class A for Steep Slope Applications when using Type 1 and Type 2, Listed Photovoltaic Modules.. Class A for Low Slope Applications when using Type 1 and Type 2, Listed Photovoltaic Modules Mechanical load was tested using 60 Cell Canadian Solar Modules model CS6P with 40mm Other Ratings frame height and maximum span of 48 inches using 4 inch and 6 inch TileTrac or FastJack posts with 1-1/2 inch tall RoofTrac rail.And maximum span of 72 inches using 4 inch and 6 inch TileTrac or FastJack with 2-1/2 inch tall RoofTrac rail. ProSolar@ UL2703 Bonding and Class A Fire Rating Page 4 of 4 ED 16.3.15(1 Jan-13)Mandatory i oft rp� Town of Barnstable Permit# PERMIT Erpires6months .romissu Regulatory Services Fee BARNHAB 1639 20 2015 Richard V.Scali,Interim Director . �0 '01f0 uAA�A TU OF BARNSTABLE 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 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number I 1 q 0 0-3 Property Address Z(o PACKET LA001&/(r (tray. WEST OAKAJ51-A& LE MA 6?- Residential Value of Work$ Pf 01ru Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address_ _ M W 61 C-r 4- 00 WA Ko CK tr w*oxo z I - Contractor's Name P12-\S E E)(Irm1 o K S Telephone Number 11 y—6 9 6 - 213 2 Home Improvement Contractor License#(if applicable) I T043Z Email: VQy�,re, 19,-;Ae.C-,�na Construction Supervisor's License#(if applicable) $5r_M(0 QKWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ® I have Worker's Compensation Insurance Insurance Company Name A1 " Plvh4 Workman's Comp.Policy# "C Lk p -7b3oa\3 '1o'k A Copy of Insurance Compliance Certificate must accompany each permit. Permit Re uest(check box) iF Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to Allc-d \1./as�-P -F-l1 ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum .35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 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: T:\KEVIN D\Building anges\EXPRESS PERMIT\EXPRESS.doc Revised 061313 Office of Consumer Affairs&Business Regulation-Mass.Gov http://servie-es.oca.state.ma.us/hic/licdetails.aspx?txtSearchLN=823f 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 HIC Registration Complaints Registration# 180438 Registrant PRIDE EXTERIORS CORPORATION Name DARREN SHEPARD Home Improvement Contractor Registration Address 453 SOUTH MAIN STREET Home Page City, State Zip ATTLEBOROUGH, MA 02703 Expiration Date 11/17/2016 Complaints Details No complaints found for this registrant. You can also view arbitration and Guaranty Fund history. Back To Search 2012 Commonwealth of Massachusetts. Mass.Gov@ is a registered service mark of the Commonwealth of Massachusetts. 1 of I I I/2A/)Al A I I-IZQ AA V. 1 Massachusetts -Deoar menc of Public Safety }�Y .� o„• Y __ � ,�E , _ .� x; Board of Building Regulations and Standards t a hsg Construction Supervisor 46 g License: CS-0857� :-� C� x � DARREN E N SHED , - •3_- y !��-.- •-� � �4 • 11 ROBERT TONER BLVD 5302 s Atdeboro Falls MA O2703 . . !en .. . • . 07109/2015 M �.y `� •. ` r commissioner STATE OF RHODE ISLAND �%�r, c,rrrurcrrrnma//�o� 5 REGISTRATION - _, Office of Consumer Affairs&Business Regulation DOME IMPROVEMENT CONTRACTOR Type - istration: 144915 +5m e9 Individual Expiration:..11/18/2014 1 REGISTPATION NO. FXP.DATE DARREN SHEPARD EGISTP.k1TrS NAME, UTI-16RIZZED,REPRESEIsm-nVEDARREN SHEPARD. 11 ROBERT TONER BLVD STE S- :RIVER'S LICENSE ft.' 2TH ATTLEBORO,MA 02763 Undersecretary f1 U.S.Depa7n—n-taf labor Qc:cupstionai Safety and Health Administration• "• C fy�` II k i roil Sep_ d. yam. . a scccsssi ;•r camplzted a SL tDur Occ a!ia:.ai SafeY,and HeaL•h. Training Course in 4onstruction Safety Heath i oFt�r� • BARN3I'ABLE. 139 ,m� Town of Barnstable RFD MA'S A Regulatory Services Richard V.Scali,Interim Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder IM M 6 Aitf f e9 A WF6 fop as Owner of the subject property hereby authorize bPrM2,F0 51t7AYz6j RLIDi; 0 (-WKl,0WS to act on my behalf, in all matters relative to work authorized by this building permit application for: 26 (24C r4GT L60aIj(,- w)an , w&r 8tYwST*G i-cJ MA (Address of Job) to AS/ /`j Signatur of Owner Date Nl�ltOtz C-g& ✓6 no Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. T:\KEVIN D\Building Changes\EXPRESS PERM rREXPRESS.doc Revised 061313 The Commonwealth of Massachusetts :. Department of Industrial Accidents Office of Investigations 600 Washinglon Sheet tr Bosto► MA 02111 mvivanass.gov/din Workers' Compensation Insurance Affidavit: Builclers/Conh'aetors/Eleetrieians/Plumbet's Annlicant Information Please Print Legibly Name(Business/Organization/Individual): Pdde EXterlor9.Corp. 11'Robert Toner Blind Ste 6402 Addt•ess: North Mdebom.MAlIM City/State/Zip: Phone Are you an employer?Check the appropriate box: 'Type of project(required): I.® I am a employer with 3 4. ❑ I am a general contractor and i cmployccs(full and/or part-time). a have hired the sub-contractors 6. ❑ New constntction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have R. ❑ Demolition working for me in any capacity, employees and have workers' [No workers' comp. insurance comp. insurance.t �• ❑ Building addition ❑ We are a corporation required.] � 5. oration and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their l LEl Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.R Roof repairs /New iZ�F insurance required.]t c. 152,§1(4),and we have no ------ ---. , employees. (No workers' 13.1_1 Other�� comp. insurance required.] 'Any applicant that checks box N I must also 1111 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 nc%v affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the subcontractors and slate whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I ant an eml loj,er tbal is provirli«g tvorkerv'cn«rye«srrlio«i«srrr««ce fur«y,e«rpluj,ees. Belo iv Is the pollee and fob slle lnforninflon. Insurance Company Name: A, �. a� �� • _ __ Policy I/or Self-ins. Lic.1/: l4 0 0 - '1o3 ppz\3 - ao tit A Expiration Date: N -3 Job Site Address:?.6 City/State/zip:."�=1_� o IM " O�b� 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 MG1.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 it 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(lo hereby cerliif «n lie pales and penaltles of perjury that the lnfonnallon provided above Is true and correct. Si nahirc: 57� Date: b -e. 3D x0\-t Phone I-) `\ - 6fl 3a Official use only. Do not write in this area, to be completed by city or town off7cial. City or Town: Permit/License b Issuing Authority(circle one): 1. Hoard of Health 2. Building Department 3.City/Town Cleric 4. Electrical Inspector S. Plumbing Inspector 6.Other Contact Person: Phone#: l MMIDDIYYYY ,� ®® CERTIFICATE OF LIABILITY INSURANCE DATE 2�52014 ' 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 policyres)must be endorsed. If SUBROGATION IS WAIVED,subject to the terns 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 .05329-001 NAIATTFACT Gilmore Insurance Agency Inc PN o, (608)699-7611 FAX No.: 27 Elm Street ��: North Attleboro,MA 02761 INSURERISI AFFORDING COVERAGE NAIC# INSURER . A.I.M.Mutual Insurance Company 33768 INSURED INSURER B. Pride Exteriors Corporation i INSURER C- 1 t Robert Toner Road INSURER D: N Attleboro,MA 02763 INSURER COVERAGES CERTIFICATE NUMBER. REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED yBEY PAID CLAIMSS..� I�TR TYPE OFINSURANCE INDSR YND POUCYNUMBER MMfDO/YW MMIDDIYF LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL UABILITY D MAGETO RENTED S PQ. SES Ea occurrence CLAIMS-MADE OCCUR MED EXP(Any one person) S PERSONAL 8 ADV INJURY S GENERAL AGGREGATE S EITL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG S OUCY PERO OC AUTOMOBILE LIABILITY (E accident) G LIMIT S E ANY AUTO BODILY INJURY(Per person) S ALL OV MED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) S NON-OVNTIED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident) $ S UMBRELLA LIAB HOCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMSMADE AGGREGATE S DED RETENTION S C 7� S �`r�N�L��s�t�3��r X TORY&r as 09 A ���Tp��pqR TNE�/E�ECIliIV�YIN EL EACH ACCIDENT S 100,000.00 A 0 ,EMBEREXCIUDEDT L� N/A AWC-400-7030213-2014A 1/31/2014 1-1-15 (Mandatory In NH) EL DISEASE-EA EMPLOYEES 100,000.00 DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY UR1Ir S 500,000.00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space Is required) Proof of Coverage CERTIFICATE HOLDER CANCELLATION Pride Exteriors Corp 11 Robert Toner Blvd,Suite#5-302 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE North Attleboro,MA 02760 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOR®REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD f Ac_ORO® DATE(MNUDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 12/11/2014 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 CONTACT Denise Thomas, CISR, AAI R.S. Gilmore Insurance Agency, Inc. PHONE (508)699-7511 1 FAC N.j.(508)695-3957 27 Elm St. AbMpAglESS.,dthomas@rsgilmore.com P. 0. BOX 126 INSURERS AFFORDING COVERAGE NAIC# N. Attleboro MA 02761 INSURERA:Seneca Specialty INSURED INSURER B: Pride Exteriors Corp INSURER C: 11 Robert Toner Blvd, Suite #5-302 INSURERD: INSURER E: No Attleboro MA 02760 INSURERF: COVERAGES CERTIFICATE NUMBERCL1412347932 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIDD MMIDD GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE To RENTED X COMMERCIAL GENERAL LIABILITY PREMISES a occurrence) $ 100,000 A CLAMS-MADE ❑X OCCUR -1026672 2/12/2014 2/12/2015 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY F PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA UAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ OED I I RETENTIONS S WORKERS COMPENSATION WC STATU- I OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE C to Follow E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE 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 Tim Gilmore/AbWJMA ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 r2ninrmi m Thn Anni2n n2wm nnri Inn^am rnniarnmrl morlra of Ar`non Assessor's map and lot number .79 - ?.....................: ..................... THE t0 Sewage Permit number ..+ ........:;................................. r Z BARBS TODLE. i House number ... ............................................................. r MAM r CO 1639• \0� p YPY Or TOWN OF BARNSTABLE BUILDING ,,;INSPECTOR APPLICATION FOR PkMIViO Ca►� ;«1CT, ,, 11 s i tc�N;1 ;�}�,,,,, S lCe............................ TYPE OF CONSTRUCTION. .IsJ( C19 E(AM .............. ................................................. ....�c�n�......r....... ..........19 .�.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..C�� ^... 'AC,1� ..... 1.���+.� ....� :)��? t>Ie1Ns� �c�Ee;..................................................... WRY .... ProposedUse ...... .eS 1 'sJ i A. ..............................................................................................tt........................................ Zoning District .....:!%.........................:.>............:.......................Fire District .. J)... .. >�',YlAStLlUP.. . f i�i ti Jv r I'r i` ri Y .........................../ Name of Owner 11r1'C�,1.... -.... U Y�I ..................Address .j..�..r.�...�...��r�"C ��„��; �. ...................................... Name of Builder �� ..� (1,�: ... �& !1C.'D 9!q..............Address 1Q ,. ter? 4... ?:r.......... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms —T ajjo Foundation ��`.X` X„I,l ..C.MeIAA !c1C> .. b�� `'} !►�JG :......... ................ .............Exierior ..C.� AT..... v Roofing ... i,lo(1? .......... .......... .`1. P........................................... v Floors :'�7t^.�` ... `�X...... -• i)i�k �,�t�. .Interior ..��. C' 't,CQC k....................................................... 3' F �( Heating ....:.............................................................................Plumbing .................................................................................. Fireplace ..........................................................Approximate Cost .:a. w Definitive Plan Approved by Planning Board ---------------____-----------19 . Area .(7i�(:).... ........................ i ,. Diagram of Lot and Building with Dimensions g 9 9 Fee ...�1Lf�. ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH r� C- i 1 4' i I !'• 1 n t S^1tt3 r•� 1,5 4CS• 4'�R�ls�• .�' � 0 :rth L4 c) I �.5 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ......'/t:......................... �... s�: ................... BURNS, MARY E. 23539 ADDITION No ....... for .................................... ........S. n_q1P...ZaMily. ..Dw.e1ling............ Location 2� FAr_ke.t.._Laridiri.4...way....... West Barnstable ............................................................................... Owner Mary E. Burns .................................................................. Type of Construction ...............Frame,.......................... ................................................................................ Plot ............................ Lot ................................ Octobe 8, 81 Permit Granted ...................... ..................19 Date of Inspection-.-.'.".. ...............................19 Date Completed ............./ .........................19 PERMIT REFUSED .................................................................. 19 ............................................................................... ................................................................................ .............. ............. ............. 01V.......... ....I.................. Approved ................................................ i9 ............................................................................... ................................................................... ........... tiw ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS The four categories for which a Certificate of Appropriateness is required are: (application for demolition or removal is a separate form). 1. EXTERIOR BUILDING CONSTRUCTION (new or existing buildings): An application is required for any exterior of a building to be erected or altered including windows, doors, siding, roof, light etc., that will be visible from any public street, way or public place. The following scale drawings are required in duplicate with application: plot plan (if addition — show existing buildings in outline), floor plan and elevations. Also required are snap shots of existing buildings, where additions or alterations are to be made. No plot plan is required for addition or alteration which does not touch the ground. 2. EXTERIOR PAINTING: An application is required for any portion .of a building, structure or sign to be painted that is visible from'a public'street, way'or pub►ic'place. Color sample's must be attached to these applications. An application is not required when repainting existing colors, changing to white, or using colors approved by the Town Historic District Committee. 3. SIGNS OR BILLBOARDS: An application is required for any sign or billboard to be erected within the District, with the following exceptions: . a. Existing-signs or billboards on November 27, 1974 shall have until November 27, 1977 to secure an.approved Certificate of Appropriateness. b. Temporary signs for use in connection with any official celebration or parade or any charitable drive as long as they are removed within three days of the event. Certain other temporary signs that the Committee feels does not detract from the Act may be allowed with the prior permission of the Committee. c. Real Estate signs of not more than 3 square feet in area advertising the sale or rental of the premises on which they are erected or displayed. d. A single sign of not more than 1 square foot in area showing the name, occupation or address of the occupant of the premises on which they are erected or displayed in a residential zone. " 4. STRUCTURE: An application is required to'build or alter any structure within the District which is defined by the Act as a combination of materials other than a building, sign or billboard, but including stone walls, flagpoles, hedges, gates, fences, etc. GENERAL REQUIREMENTS 5. Work on projects requiring approval shall not be started until the Certificate of Appropriateness has been filed with the Town Clerk by the Committee. Approval is subject to the 10 day appeal period provided in the Act. 6. No changes shall be made from the..original approved specifications without advance approval of_the Commission on an amended application filed with the Committee. a 7. A separate application must be filed with each project requiring'a Certificate of Appropriateness. S. Under heading of "Detailed Description of Proposed Work" give detailed data on such architectural features as: foundation, chimney, siding, roofing, roof pitch, sash and doors, window and door frames, trim, gutters —leaders, roofing and paint color. 9. Unless application is complete and legible and all material required is supplied, application will not be accepted or acted upon. Copies of the Act establishing the Regional Historic District may be obtained at the Town Hall. Application to VpNN`,0`E V�H �p PNS+P�5 EP `CH 6P �9P�S Hpp E�PM Old King's Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building Addition ❑ Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). I -TYPE OR PRINT LEGIBLY DATE S.e_ML ADDRESS OF PROPOSED WORK a� I�RCke� -.A*�o;Nq �►1 �� ASSESSORS MAP NO. 1 9 OWNER rn ►SS m RY Z2II'P— d V � ASSESSORS LOT NO. � HOME ADDRESS SOS �r��r�3e�� St-, 1�ewToJ� INIASS - TEL. NO. kSa,-7 - 307 $ 0'.\l(bo FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). 1� 2 SeA�rSe fox �8s �.►esr �Ar�cs�Able �A-c�bArAWP�IS 3 R,c'pmore S-h. Teti)rk'cxei 3) 1Zob _VkA C . 5>'IM S Lwo we WAv UsA aAVAAblt 1. Awye.NceCwmo ag 1"Rcl:e+ IgfJ W A V W-%prQ. 3�e�etCAbfOwSKt 102 w est 3 A'r IJ AGENT OR CONTRACTOR ]• e- kAP,ST 121i1)1.63 -zf-(JJC300U➢0-(JC1 S+TEL. NO. 2 A -AGIS ADDRESS 3'(, Cury►MAq_21 ARM. Oa(,.3� DETAILED DESCRIPTION OF PROPOSED WORK:` Give-all particulars of work to be done (see No. 8, other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). Signed Owner-Con tractor-Agent Space below line for Committee use. Received by H.D.C. Date The Certificate is hereby Date Time By Approved [ (n-IMPORTANT: If Certificate is approved,approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ / Assessor's map and lot number 1 � 9 3 r Sewage Permit number ..c,5,).60.Z.......................... SEPTIC SYSTEM MUST BE : HAsasTADLE, House number ........i.. INSTALLED IN COMI�LIAt��� q r"3a (.......................................................... �p MAGIL 0� k WITH TITLE 0A L`aM a� VS TOWN OF BARAfS11r TO BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..CP!M.TI.YvC.:T..... QN... 5} ...... E'S1 DC'1JC�............................. ..... TYPE OF CONSTRUCTION .4 gQP rAq, e .................................................. C obi .......... ........19lk . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 2 �Acit A W.eS� AY'Ns-� Le_ Location ......�..................�..........�,........�.l.N. ....��. ............................�................�b............................................... ProposedUse `�eS 1'►�E'tJ q .................................................................................................. Zoning District .... Fire District Name of Owner .. rj t..:.. vY.l3S..................Address 0�9 C 'V�'rTh 5 .:...1�1�`'W°To�V��l�..!.� ►AS$ Name of Builder .......,.:..`A. .Alm.... ..............Address oX... Ca...CVmmA �?i�... 11A5S,0a637 Nameof Architect ..................................................................Address .........................................................`............................. Number of Rooms —Two X ,X 1 C��^l1Et�T u a�K,.qt .;A t�JC .............L....................................................Foundation ....1._.. .... .... ........ .... ....... ... Exterior ..�C.L'C�Ar....5.!?.!.N�'�QS...................................Roofing ...PtiS1�r)AI ....�4 !, � �C .................................... � ' e-Floors Interior .K....................................................... eC �:A....: g Heating .......�E\ .....................................................Plumbin .................................................................................. n FireplaceNo........................................................................Approximate Cost .0,.q .e............................................... f � Definitive Plan Approved by Planning Board -------------------_-----------19--------. Area ....................... Diagram of Lot and Building with Dimensions Fee ... i.... . .......................... SUBJECT TO APPROVAL bF BOARD OF HEALTH I 6k e p -% rt 7 r z C-r b a I SaOry w om FrAme, O y �0 40 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name �..................P..... .... ..... ................... � - ~ � � BURNS, D�\I�� E. / 3]539 -� ��— ADDITION No 06rmhfov . .. � - Single Family Dwelling ---..------.----------.--.---.. ' 36 I`ac}cet �and ing Wa� / Location --.------------------- ` West Barnstable ---~.---~--.--.—.----------.. � � Ma E Bo� o Ovvne, ---.�,�— Burns--------------' ` - Typ I7� ' . of Construction —.�����Y�------..—. � � ` -------.-------------------. ' . Plot ............................ Lot ................................ October� 8 , Ol Permit Granted -----'....------]V Date of Inspection -----------..,lg � � Do^o Completed ------,������ ....=lg ` � PERMIT REFUSED -----,--.-------------.. lg ~ � � � � -------~.-----------------.. ' ^--.--_---.-----.----------.— ` ` —.---~---..—~..--_.----.—.----... � ^ ----.--.-------...—....--.---... ' � � � � � Approved ................................................ lA -----.—.-----.—...—.---------.. / \ ----.------.--------........—.. � . � �