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Home My WebLink About0312 PLEASANT PINES AVE 0 Oxford NO. 152 ORA ESSELTE 10910 .ACTIVE �' ►.� Town of Barnstable Building 9A8.mirABL6. Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept �""S Posted Until Final Inspection Has Been Made. 03 ,� Permit �+' Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-1574 Applicant Name: Rechelle Bryan Approvals Date Issued: 06/25/2020 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 12/25/2020 Foundation: Location: 312 PLEASANT PINES AVE,WEST BARNSTABLE Map/Lot: 214-040 Zoning District: SPLIT Sheathing: Owner on Record: HUGHES PROPERTIES LLC Contractor Name: Framing: 1 Address: 707 E WASHINGTON ST Contractor License: 2 ORLANDO, FL 32801 Est. Projec t Cost: $2,200.00 Chimney: Description: Weatherization and air seal work through Mass Save program- No Permit Fee: $85.00 structural changes Fee Paid: $85.00 Insulation: Project Review Req: Date: 6/25/2020 Final: Plumbing/Gas t Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Final Plumbing: 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. Rough Gas: 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. I r ( Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and.Fire Officialsare-provided on this permit. , Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Service: 2.Sheathing Inspection 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 Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Buildingplans are to be available on site P Fire Department � �`C All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: VIM Town of Barnstable Building BAMWABLK Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept MASS `e$ Posted Until Final Inspection Has Been Made. .asp. Permit t639 Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-1205 Applicant Name: Russell Cazeault Approvals Date Issued: 05/18/2020 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 11/18/2020 Foundation: Location: 312 PLEASANT PINES AVE,WEST BARNSTABLE Map/Lot: 214-040 Zoning District: SPLIT Sheathing: Owner on Record: HUGHES PROPERTIES LLC Contractor Name: ,PPAUL J. CAZEAULT&SONS INC. Framing: 1 Address: 707 E WASHINGTON ST Contractor License: 103714 2 ORLANDO, FL 32801 Est. Protect Cost: $5,000.00 Chimney: Description: Replacing existing roofing material with GAF Ultra HD Timberline Permit Fee: $85.00 style shingles; f Insulation: Fee Paid:! $85.00 Project Review Req: Date: 5/18/2020 Final: Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuan fficial Final Plumbing: 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. Rough Gas: 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. I i Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building-and-Fire-Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage 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. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: fi. Building plans are to be available on site Fire Department �Qk All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: glZ�li6 Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 3/5/16 Town of Barnstable Thomas Perry CBO H, - Building Commissioner Q o 200 Main St. Hyannis,MA 02601 - , RE: Building Permit#B-2016-0311 ' rn TO: Building Inspector(s), This affidavit is to certify that all work completed for 312 Pleasant Pines Ave, Centerville has been inspected by a third party Certified Building Performance Institute(BPI)Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey i I RICHIE'S INSULATION INC. I III OLD BEDFORD ROAD I WESTPORT, MA 02790 508-678-4474 BUILDING DEPARTMENT TO WHOM IT MAY CONCERN: PLEASE BE ADVISE(D�RICHIE'S INSULATION, INC. INSULATED THE FOLLOWING JOB: ADDRESS: i J�Q n 1 J � TOWN: lX- CONTRACTOR'S NAME , u ? rd ' CONTRACTOR'S ADDRESS: '1 rY1La h C c .a CONTRACTOR'S TELEPHONE NUMBER: -'uu THE FOLLOWING INFORMATION IS WHAT WAS USED ON THIS SPECIFIC JOB: MANUFACTURE: TYPE: ( c THERMAL CONDUCTIVITY PER INCH;. AREA THICKNESS R-VALUE FLinq IF511 ;.- WALLS J P: STAIRWELL BASEMENT CEILING I GARAGE CEILING G.H. WALL CRAWL OVERHANG CATHEDRAL WALL I CATHEDRAL CEIL I WALK OUT WALL I . FOUNDATION WALL I BLOCK/RUNN. SLOPES I P/V I THANK YOU VERY MUCH FOR YOUR COOPERATION IN THIS MATTER. IF YOU HAVE'AiNY FURTHER CONCERNS PLEASE CONTACT MY PHONE NUMBER. INSTALLER: i I i Y1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION i M Parcel '' Application # 16 3 Health Division Date Issued Conservation Division BUILDING DEPT.' Application Fee S Planning Dept. FEB 1 Z Permit Fee �� 02 0�6 Date Definitive Plan Approved by Planning Board OWN OF ` S Z BA TABLE Historic - OKH _ Preservation / Hyannis Project Street Adoress Village Owner. Addrescdavk ��d_A Telephone (60 1 X&A .Permit'Re uest ` o , fte, 4 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation i Construction Typ 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: i existing —new Total Room Count (not including bath-),): exist' ,�. w First Floor Room Count 3 YP Heat Type and Fue. ❑ Gas ❑ Oil 0 Electric O'Other Central Air: es ❑ No Fireplaces: Existing New, xisting 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: I 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 Telephone Num ��c.L� i �3` I Address License # se Home Improvement Contractor#" as Worker's Compensation # LL CONS R TION D RIS SUL IN OM THIS PROJECT WILL BE TAKEN TO n SIGNATUR DATE FOR,OFFICIAL USE ONLY APPLICATION# DATE ISSUED r MAP/PARCEL N0. 1 ` f 1 , • 1 ADDRESS VILLAGE Y OWNER DATE OF INSPECTION: _ 1 f t,_,FOUNDATIQN ' FRAME INSULATION i FIREPLACE j ELECTRICAL: ROUGH FINAL 1 r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING t DATE CLOSED OUT ` ASSOCIATION PLAN NO. 1 1 �*IE Tay T.aw-n of Barstble o� Regultmry Services Rmhard V scak Dnvdor .I3Bildnzg Divasion TomPerrp,Bm"[�ag cts � 200 Afair S`ITe-_t gym=dr.,MA 02601 W��ea3�arasfable�ma.tis ' Office: 508-8624{}38 _ F= 508-.790-6230 Propefty Owner Must Complete and Sign This Section f yak g.ABuilder as Qwner of dbe subject property bErebyauthozixe to=on mybebA is a1X nmttr-=mhfiye.to-Work=ffioriz bytb s bmUag peMit application,£or. . k t�s�Job .-�p n l)2.�� .4�� *Pool.fences and alarms are the responsI.ilityof the applicant Pools are not to be Bled or Ajwd befo is installed and all fiaA ns are pesfo=ed and pted_ s s�of Ap Pzi=Name• Pi=Name Date . i 2'lie Commornvea th a,f Hassadiusetts Departirren cr,f rkdkst ial AcddeFttr �_- f1,f-Ce,Of&Ve%6g921io7Zs. f 600 Wadiutgtort Street _= Boston,L4 021111 mvin,viassgov1dia War•leers' Campensation Insurance Affidavit BtaldersiC!nnfracturs/Flecfricians,Thunbers Applicant Infarmafrog Please Print Leal 'Nam Iancm� Lo I L A.ddrt✓SS: � citgtStatdzt Are you an employer?Checkthe appropriate box: Type of project(required}: am a general contracor an I.El I am a employer with ❑I t d I 6_ ❑ro o l nsi=uction loyees(full andfor part-time)-* bave hired the sulr-contractors 2.2 I am a sole propriet"orpartaer- listed oathe attached sheet. 7- eling sl>Fp and have no employees. these sub-con�fractors have S. ❑Demolition working fm 7SiP_1n an employees andhave wodcers' ENCY R,-orloU3■comp_in,raric e comp-mcnranim—$ 9. ❑B.uildmg addition re imred_] 5. ❑ We are a corporation and its 10-❑Electrical repairs or ad&tions 3_❑ I am.a homeowner doing all work officers have exercised their 1L❑Plumbiagrepairs or additions ' myself[No-workers'cemp- right of exemption per MGL 13-❑Roafrepairs c.152,§1(4)and we have no incrrranreretluiFed�� employees.[No workers' 13_0Other co=p-insurance required.] 'Any applicr�tfiatchedeshoor��.��lso5lloutthesectiaabelowshmriagtheirwodsen:compersatinnpoyicyi�a�aueoL l HaTMp-+n+ers Who submnt iris afbda«fi,.rrxtmg they are doing O Wank and then ham outside co=ft=tarv— suTondt a neat affidxd mdicsbao such jCa achors$ut check this boot- 23tarhed=additional skeet ato ing the name of the sub-comtrsctam and state virhe4hec ar oat ibnse eaties ham empkyees.Iftbesub-caatzctacshaseempIoyees,they=urpmidetheu marken'c=p.policynumher- I arrt all euiplaycrr tLat is prouidurg�t�orkets'conrperrsr arr irrszuattca for rely*enrplaS�ees $etosv is titaPa �'curd jola e irrformrrfian. Insurance Company Name: Parity 4 or Self--ins Lic-4 E�cpi€atiou Rafe: Job Sim Address: CitylStafea7 p: Attach 2 copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MQ.m 1572 caa lead to the imposition of criminal penalties of a fine up 10$1,506 OQ and or one y&rimprisonmeud.as wen as civil penalties its the form of a STOP WGRS ORDERand a fine of up to day against the violator. Be adtdsed that a copy of this statement saay,be forwarded to the Office of Iavesd of tkDIA far insurance coverage n� 'oa_ .t da herehy and p8rrafties ofg ' rye dlratthe irrfor mo&mrprvt•' /Es tnM and carrect Sjaraat„n.- Date: ! / Phone A OjfthrL use arrly. Do not write in this area,to be campTeted by city artown o f kLA City or TGwa: PermilUcense if Lsnmg Auflrority(cirde one): L Board of$ealth I RuiisTing Depm,tuent 3.fity1rown Clerk 4.Electrical Inspector 5.Pbrrabing Inspector 6.Oflrer Contact Person: Phone#: Information and lastru'diolas M-jss a�etfs Geher-al Laws chapter M req=m all employers'tn provide wo]3-,eas'compensation fur'fll F erupIoyeeg. this ,an�Iay�is defined as`�evuy pesos in$he seavice of another under a¢y contract of hire, express or ilupliaa oral or writs ." An P&Yer is de<fined as"air individual,paa{n ,assot�on;corporation or other legal entd�T,orr any tw or more of the foregoing engaged in a joint ent;rpase,and inclndiztgtie Iegal representatives of a deceased employer,or the receiver or tract=of an mdMdnA paztnersbLip,association or other Iegal entity,employing employees. However the owner of a.dweIImg house having not more than three apartments and.-Who resides therein,or the occapant of the - dweRi g house of another who employs persons to do mamas ce,construction or repair work on such dwDIling hOUSe or on.the grounds or buildmg appvrf i iemto shall not beano of salt employment be deemed to be an employer." MGL chapter 152,§25C(6)also stairs that every state or local licensing agency shallwithhoId rite iss¢ance or renewal of a license or permit to operate a business or to construct buuMb gs in the commonwealth for any applicanfwho has notproduced acceptable evidence of c6mplianrawith the hmmrance.covexagere� Additionally,ly,MGL chapter 152,§25CM stars¢ldeithn r the cannnonwe:alth nor any of its political subdivisions shall enter into any contract for the pmfunnauce ofpublic work muff acceptable evidence of compliance with the insm-ance.. regtmements of this d=terhavebeenp=cnt$din the contacting anthouty." Applicants PIease fill out the wooers'compensation affidavit completely,by c�hm ing the boxes that apply to youa situation anti,if neceSsalL supply sob-contractors)name(s), addresses)and phone numb=Cs) along with their eer(ificate(s)of n srn-ance. Limited Liability Companies(LLC)orLhnb-,dLiabRAyPartaeaahips(LLP)withno =[Iployees other than the members or partners,are not regtm ed to carry wo3keas' compensation ins ante If an LLC or LLP der es have employees,apolicy is rcquked. Be advised that this affdavitmaybe submittr-d to the Depa-tmmt of Industrial Accidents for confirmation of insurance cov]--rage. Also be sure to sign and date;lhe afIIdaYirt. The affidavit should b e r•etrsmed to the city or town that the application for the permit or license is being rt=quesbA not the D ep artmeat of ; T-n-dos rial Acciden-L- Shouldyou have any questions regarding the Iaw or ifyou ate required ti)obtain a wormers' compensation policy,please caII the Dep mtnem±at the numb er lisird be.Iow. Self-kmn ed townies should ear their s elf-i asorance:Iicecse number on the approgriat--line. City ar TOWIL OfElcials Please be sore that the affidavit is complete and primed legibly. The Depmdmc at has provided a space at the bottom of the affidavit for you to fill out in the event the Office ofIuvestigaiions has to coact you.regarding the applicant Please be store to f[H in the pen�it(license nmxmber which will be used as a reference number. Im addition,an applicant that must submit nzutlipIe pen�tllicense applications in any given year,need only submit one affidavit indicating cogent p olicy b fbnmation Cif necessary)and under"Job sits 1S_d ess"the applicant should "all locations in —(citY town).'A copy of rthe affidavit that has ben 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 fuhe perrn.its or licenses. Anew a$idavitmust be fiIleti out each year. Where a home owner.or citizen is obtaining a license or pmmit not related to any business or commercial vcnfrn� (i_e. a dog license orpermit tD btnn Ieaves eta.)said person is NOTr,qaked to complete$its affidavit The Office of Investibatinns would like to ffi=k you in advance for your cooperation and sho-dd you have any questions, please do not hesitate to give us a call The Departments ad&mss,telephone and fax»her_ 'Fhe cazmo �- tIr of Masmchmeftq ' Dega:daMt of 1u a]Accidents' f��e of�e�fr�tio� 6Q4� n S�cee� . Boston.MA CdI1F Tf,-1.4 617— -4 =t4-06 or 1477 MA S&4�F Fax 9 617-727-7M Kevised4-24-07 1 _ h� A ago a H r 77 ' U/Le�0�J77/I7bNIZc!/eILLC�O�U/�G(CdoClc�ulde r••'' ..... _ ^... - 'yrw y j e UI Office of Consumer Affairs&Bvsiness Rogrrtation tiicense or regisfratiori valid for individul use onl 3 ? � Y ;.T _ � Q before the ex lr OME IMPROVEMENT CONTRACTOR p' ation date. If found return to r. N c` �.\`d c o. n o co egistration: 8922 Type; J t Office of Consumer Affairs and Business Regulation`' ,, cn N _V ;I t• ..} p M — ; Expiration: 6/F/20-3Z:; Jndividual 10 Park Plaza-Suite 5170 4 Peter Kennedy ' Boston,MA 02116 -;.,: k i =w 3' Peter Kerined 444 MISIIC DRIVE. 4 MARSTON, MILLS, MA 02648: Un dersecretary, + -+ IVatvalid without signature -► rn 0 3; v N-d► CL fD O O N i Q! =3 J 1 � °'*� t G�� z . �� , • �i� ��. •� � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map .011 Ll Parcel 0 61,t Application # Health Division Date Issued I I?, fG Conservation Division Application Fee s ' Planning Dept. BUILDING DEl�ermit Fee ��5•�� Date Definitive Plan Approved by Planning Board AN 14 2016 Historic - OKH _ Preservation/ Hyannis p TABLE Project Street Address 3 \ ta,5 oL / ` e.F of, Village Ca Owner Dt - , t, Address o►m Telephone 510 Permit Request -Pt 4 9 e e o S�, J10 t...l,a ai-� c.. tt SPly '��►y ot7w c e LOL n w Cif !e rl d i nC I'o q,l►� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 0 0-0 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 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 KNO If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) i Name Wi 11a C.CLC ke Telephone Number 50 399 6,39 Address - �'u►n-�_, -►A :Ave License # —x—C L 0 g :'-7'4 �. �PPIOU4L ry) DOU6 Home Improvement Contractor# t�=( 3$ 0 Email Worker's 4Compensation # �j,,)W C 313 6 My ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO �R�n►a Vl-1 SIGNATURE DATE l t 3 6 t FOR OFFICIAL USE ONLY S APPLICATION # DATE ISSUED i MAP/ PARCEL NO. Y . ii ADDRESS VILLAGE j OWNER y DATE OF INSPECTION: ; *,' FOUNDATION ' FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL " ' FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I HOME OWNER WEATHERIZATION WORK PERMIT: PLEASE COMPLETE AND SIGN THIS FORM AS THE APPLICANT HOMEOWNER. a f/� .s hereby consent to and agree that weatherization work may be done 6y the eatherization Program of Housing Assistance Corporation on the property located at: ,3 1 G.,S a,41 f i r%,?5 A v e, The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: i Weather stripping; air sealing; attic& basement insulation; exterior wall insulation; ventilation measures In consideration of the weatherization work to be done at my home I agree to the following: 1. I give permission to Housing Assistance Corporation the property with such equipment and materials as may be necessary to perform weatherization. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5) years after the weatherization work is completed. I have read the provisions of this agreement and give my consent. Home Owner(signatu. Home Owner email: Date: Agent:(signature) Date: Weatherization Contractors: Adam T Inc Cape Save All Cape Energy Frontier Energy Solutions Alternative Weatherization Lohr Home Improvement Building.Science Construction Resolution Energy Cape Cod Insulation Tupper Construction The,Coinmonwealth ofMassachusetis Department of Industrial Accidents 1 Congress Street Suite 100 r Boston,MA 02114-2017 - 't www massgov/dia : NVorkers'Compensation Insurance Affidav-1t:Builde"rs/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Lep-ibly Name (Business/Organization/Individual):Cape Save Inc Address:7-D Huntington Avenue City/State/Zip:South Yarmouth, MA 02664 Phone#:508-398-0398 Are you an employer?Check the appropriate box: Type Of project(required): 1.�✓ I am a employer with 20 employees(full and/orpart-time).* _ 7.T D 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.] 3.[:]I am a homeowner doing all work myself.[No workers'comp.insurance required.)t 9. ❑Demolition ' 4.[31 am a homeowner and will be hiring contractors to conduct all work 10 Q Building addition on my property. I will ' ensure that all contractors either have workers'compensation insurance or are sole I LR Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.[]1 am a general contractor and I have hired the subcontractors listed on the attached sheet 13.0Roof repairs These sub-contractors have employees and have workers'comp.insurance.- 6.a We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[R]Other Insulation 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. t I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name:Wesco Insurance Company Policy#or Self-ins.Lic.# WWC3136274 Expiration Date:04/09/2016 Job Site Address: 312 Pleasant Pines Avenue City/State/Zip: Centerville Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine 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. 1 do hereby certify under th pains and penalties of perjury that the information provided above is true and correct I Signature: Date: 1/13/16 l Phone#:508-398-0398 } - Official use only. Do not write in this area,to be completed by city or town official City or Town;. Permifticense# 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#: A6 o;LD CERTIFICATE OF LIABILITY INSURANCE DA (MMIDDIVYYY) 10/14/2015 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(les)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 endorsements. CONTACT PRODUCER NAME: Colleen Crowley Risk Strategies Company PHCNN E : (781)986-4400 1aC No: (781)963-4420 15 Pacella Park Drive ADDRESS:ccrowley@risk-strategies.com Suite 240 INSURER(S)AFFORDING COVERAGE NAICi Randolph MA 02368 INSURER A:Selec tive Ins. of America INSURED INSURER Allmerica Financial Alliance Ins Co 10212 Cape Save, Inc INSURER C:Wesco Insurance Company 7 D Huntington Ave INSURER D: INSURER E: South Yarmouth MA 02664 INSURERF: COVERAGES CERTIFICATE NUMBER:CL15101402127 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. NSR TYPE OF INSURANCE POLICY NUMBER MM(ICY EFF MM'�EXP LTR LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,OOo A CLAIMS-MADE OCCUR PREMISES Es occurrence $ 100,000 S1994480 10/16/2015 10/16/2016 MEDEXP(Any oneperson) $ 10,o00 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JJERCT Fx-1LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY Eeaccident $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED AUTOS X AUTOS A4BA46796600 11/6/2015 11/6/2016 BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY AMA E $ AUTOS Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1 000 000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED I I RETENTION Nil S1994480 10/16/2015 10/16/2016 $ WORKERS COMPENSATION Officers Included for XJOTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE NIA Caverage E.L.EACH ACCIDENT $ 500,000 C OFFICERIMEMBER EXCLUDED? _ A4C3136274 4/9/2015 :4/9/2016 (Mandatory In NH) E.L:DISEASE-EA EMPLOYEE $ 500,000 If yes describe under DESZRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) National Grid Corporate Services LLC d/b/a National Grid, Action Inc, Colonial Gas Company and NStar Electric are all included as Additional Insureds with respects to the General Liability coverage of Named Insured as required by written contract. i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Housing Assistance Corporation THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 460 West Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE Michael Christian/CLC '� O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) �.. . Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 - Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 171380 Type: Corporation Expiration: 3/14/2016 Tr# 249649 CAPE SAVE INC. WILLIAM McCLUSKEY 7-D HUNTINGTON AVENUE SOUTH YARMOUTH, MA 02664 Update Address and return card.Mark reason for change. sCA 1 0 20M-0511 1 � Address ❑ Renewal ❑ Employment 0 Lost Card //(/ 1(I//I'IIG ItLOgCI.GC�I/i O�/�(.(IJ91/P�/CJ6��4 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only VUOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 171380 Type: Office of Consumer Affairs and Business Regulation Expiration:,------3/114/'2'01-6, Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPE SAVE INC. WILLIAM McCLUSKEY 7-D HUNTINGTON AVENUE- SOUTH YARMOUTH,MA 02664 Undersecretary Not vali rthout signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards n n.�_: — ♦-1 11Stri7C`uirl Siiriei ri�irr License: CSSL402776 WILLIAM J MC CfU 37 NAUSET ROA6 J F West Yarmouth 1VIA ( ,� J.2.-—&-6*.'"'"'' Expiration Commissioner 06/28/2017 • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel O4d Application #o)o!S D 702 z/ Health Division Date Issued h Conservation Division Application Fee Planning Dept. Permit Fee 54� Date Definitive Plan Approved by Planning Board Historic - OKH A[) _ Preservation/ Hyannis WD Project Street Address Village C—�n" � (, E Owner rfi CA Address Telephone s0� 3��,� '1 �Y.n�r rv1 (� MA* 0-63.1— Permit Request S64 c r; c,� hqksc C'LA PE Ku"'t I 4,�- Square feet: 1 st floor: existing — proposed 2nd floor: existing — proposed Total new Zoning District R F• RIF'I Flood Plain Groundwater Overlay av Project Valuation (7(� Construction Type 12. 3 Lot Size Grandfathered: ❑Yes A No If yes, attach supporting documentation. Dwelling Type: Single Family d Two Family ❑ Multi-Family (# units) Age of Existing Structure Z)b S5. Historic House: ❑Yes �&No On Old King's Highway: ❑Yes 24 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 Ttl Room Count (not including baths): existing new First Floor Room Count HCt Type and Fuel: ❑ Gas ❑ Oil 0 Electric ❑ Other Central Air: ❑Yes 0 No Fireplaces: Existing 1 New Existing wood/coal stove: .0 Yes 0 No Detached garage: ❑ existing ❑ new sizool: ❑ existing ❑ new size Barn: ❑ existing ❑nowsi 9 Attached garage: ❑ existing ❑ new siz5hed: ❑ existing ❑ new size Other: cas Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Ln Commercial ❑Yes No If yes, site plan review# Current Use—�z S I an✓ -, I- Proposed Use APPLICANT INFORMATION (BUILDE R HOMEOWNER) Name& l & r)tJJ)M11kZ1(N17k Telephone Number r0Address License # Home Improvement Contractor# f b�,S�oZ t Email n !�I 6CA -- Worker's Compensation # ALL CO RUCTION DEBRIS RESULTING F OM THIS PROJECT WILL BE TA EN TO 0. l,�vv�DS SIGNATURE DATE,a3�c�ls� y. FOR OFFICIAL USE.ONLY 4; APPLICATION# DATE ISSUED MAP/PARCEL NO. : ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME , INSULATION . ry, ` FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING r 4 , DATE CLOSED OUT ASSOCIATION PLAN NO. } . � a« � . �§ ■ � E 22 ■ .� § � E J © �� . § _. �■ § . � � § �2 . �.� :�� . �~ . . ■ x o � �§ . Cx 77se CommonweaM ofA aysackwdty Depwownt of industrial Acclden& 1 Congrm Street,Suite 100 Boston,MA 02114--2017 ww.mas&gov/d&Y W IW arken'Compensation Insurawx Allidav*-Builders/Contractors/Eleetriel wMamhers. TO BE FILED WITH THE PERMITTING AUTHORITY. A g g 9 c a n t Information Phase Print_I�el Name(BLWftc Wf un1zo6wAraHvidua9: SulerCity CorpornHOn Address: 3055 Ctean4ew Way City/Statc/Zip: Sari Mateo,CA 94402 phone#: (888)765-2489 Are yotraa employer?Check the appropriate bee: Type of project(required): 1.®1amaemploy,CrttaUt 12,500en (fail a adlorgartdimc).• .7. []New construction 21]1 am a sale proMktor or partnership and have no enVloya;s wottiag, for me in 8. 0 Remode tg Ray taparky.lNo wwk-to'com9.insurance required.) 1 9.3.[J1 Rm a bomeownerdoire'all work mysdr.)Novsorkers'co np.insarancernsquh it t 10❑Demolition 4.[]l am a hotnwowm mid will be turkrg amtractore to corded ell work on my propeq. twill ❑Building addition mace that all+x manna Aber have vwt eW eompenolin Insurance*rare stole I I.❑Electrical tepah or additions proprietors with no argrloyem 12.E]Plumbing repairs or additions Sol am a tt .txtruracsor end t Imve hired the subcamhadom listed on the attached sleet pairs Thesemb- .Kars have cmpb)=and have waakaa'eomp insumset KgOtof[ der &[J We are a c*WWon and its offiocrs have aemc at their right of exemption per M:)l.c. 14.❑� Othm 301af pant 152,§](41 and we trove no emtpioym.[No wori ers't mw.to mmm saguhAl j *Any qph art that checks box Y1 mast also(ttl oat the section blow showing their workers'compmwtion policy in bimlim. •l lomeowmm%ft sutanit)his aftidavu hldiceting Utey are doing all wank and thm hire ouWdacontractors must s4mit a now Ritlilmh brdicaiing snail. Sara that check this box eutsi attached en aiklitional shed showing the came of tho sub-oontt don mid shoe whe9w or nat dose vdilles have employees, if the moots have crnp!oyaes,lhW nW provide their wd*='comp policy amonber. I am air Moyer That is provid"rug workers'rnl�ensatMn lnsr�runee jor my uRployeesr Seltnp fs the p�ic�and jab site . htjornai#iot>'. Insurance Company Name:American Zurich Insuranca Company Policy#or Self ins,Lir-4: WC0182015-00 Expirgtion Date: 9/1/2016 Job Site Address: 312 Pleasant Pines Avenue City/State2ip: Centerville,MA 02632 Attach a copy of the workers'campeasatitou poHey declaration page(showieg the poilay number and expiration date). Failure to sectue coverage as required under MGL c.152,§25A is a criminal violation pumislmble by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil perntlties in the form ofe STOP WORK ORDER and a fines of up to$250.00 a day aping the violator.A copy of this statement may be forwarded to die Office of Investigations o f the DIA for insttrance coverage voriftcation. I do hereby cer un$w the pains and penalties of perlury that Me Information pr+oidded above Is true and correct. (Jason Pa . 'October 23,2015 Official use os(y. Do not write in this area,to be vaWleted by city or town offidAL City or Town: PermiliLicense# Ismi<ng Apthotrity(cinte one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.I leeirlcal inspector S.Plumbing Igor 6.Other Contact Person: %one 9: • �r1 DATE(MIND CERTIFICATE OF LIABILITY INSURANCE DB,1712015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: 11 the ceMficate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. H SUBROGATION IS WANED,subpct to the terms and conditions of the policy,certain policies may require an endoreemonL A Statement on this certificate does not confer rights to the cerUHcate holder in Heu of such endo►sem s. I CER CONTACT MMAARSH IR C&INSURANCE SERVICES AMF: _..._._—._._...... ._..._...T�Fp.qq_..... . . ._..._. _....--..—.-- 346 CALIFORNR STREET,SUITE 1MD ac Extt ...,.. . . .._.. . 11!y NQ� CALIFORNIA LICENSE NO.0437153 E4iwL _.. _.. SAN FRANCISCO,CA 94104 xMw.... AOn:Sitarutolt Scod4t5.743.8334 ............. _...........!I1 .RIs}.I►rw,mogo covFrtAt __._.- RALcs _ I 998301-SEND-GAWUE-is-16 WSuRERA:ZWkhAfftE1' n U-rd Ice Compam — 116M6 WA WSIlRED IIaSUIT9:. .....__..................._.. ._. ._...._.-... ..._.. .. .__._ WA SdarUty CwpwAan 3055 Cl M%tw Way - San MtUap,CA 94402' INSURER c:WA _—....---------.....__....... ................... A INSURER D:Amerkw 71Ir&Irntaanoe Company OI42 M18URER F: COVERAGES CERTIFICATE NUMBER: SEA-0027I3636-08 REVISION NUMBER:4 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLA9dS- INSft�..— TYPE OPWSURANCE '-..._ •...-':AWL au .. ......••.,....,....NUMBER 'POIJCYIFF POLI CY P.XP —. LIMITS....._.._.._. .............. LTR A X i COWAERCIAL GENERAL UAMPLITY GLOM82016-00 09101►2015 1001=6 EACH OCCURRENCE $ 3.0OQ000 . I CLAIMS40DE n OCCUR - PRE E O e S 3,ODD,ODO X SIR 5250,ODD 1 HIED ExP(Anyam.P ?I.:. 5..... _........_.__ 5,000 _. ._ PERSOtdAL&ADd INJURY 5 _ 3,000,OW GENL AGGREGATE LIMIT APPLIES PEFt $ X PRO- P000Y ... JECT 'LOC PRORIXiTS-COMPWP AGG S.•• _•-_-. 6,000,040 OTHER. S A AUTomnaiLELIAwiTY BAP0192017-W 109M1016 D Na s 5,000,000 ALLOM 1XX- ANY AUTO $pOILY 1NJl1RY(Per Person)Dl AUTOS ED XAS 1LED ILY INJURY(Per accident) S X AUTOSNON-Cr tED --- -- S ..................._ ..:.. HIRED AUTOS AUTOS I I PROPERTI DAMAGE i . . ICOLLI...__ .._........ ..... ._..._.... ._.$5.0_ COFAPiCOLL RED: S 85,D00 UMRP tL A LIAR OCCUR i EACH OCCURRENCE S EXCE86 LIAR HCLAIMS-fdADE � I � AGGREGATE ...__._......._ S'_-'_--•..... ........ OW ONS S D wome.s COq{PENSATtON ; IWC011Y1094-00 Wq 09101RD15 109)0111016 X Tag AND EMPLOYERS!LIASUM _. _ _._.....---- ' A YIN N%WI1201"(MA) 09)M015 i090=6 EL EACH ACCIDENT S 1,OOD,000 ANY PROPRIETOR/EXCLUDED? Q NIAI i�fM.ERILIEMBEREXCLUDED7 —._ .._....._ ............. (Mandatory In NN) WC DEDUCTIBLE 5�D�D E L DISEASE_EA EMPLO I q desalbe u:der R N O OPERATIONS I EL DISEASE-POLICY UMIT $ Lem Roo DESCRIpriON OF OPERATIONS I LOCATIONS I V94dfS IACORD 101.AddIBwW IZemaMs Sclredul%may be tMaalwd It mom space is requhedl Evbendeofiti manse. CERTIFICATE HOLDER CANCELLATION SdwCdy ti- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3055 ChwAew Way THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Son Meft.CA 99402 ACCORDANCE MOTH THE POLICY PROVtSIDNS. AUTHORIZED REPIUMPATATnrk of Marsb Rick&Insurance Servim charm Mamlolejo 01099-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD Version*52.3-TBD =� SolarCit October 19, 2015 RE: CERTIFICATION LETTER Project/Job # 0262104 Project Address: Hughes Residence 312 Pleasant Pines Ave Barnstable, MA 02632 Design Criteria: -Applicable Codes= MA Res. Code, 8th Edition,ASCE 7-05,and 2005 NDS - Risk Category = II -Wind Speed = 110 mph, Exposure Category C -Ground Snow Load = 30 psf - MP1: Roof DL= 19 psf, Roof LL/SL= 21 psf(Non-PV Areas), Roof LL/SL= 21 psf(PV Areas) - MP2: Roof DL= 14 psf, Roof LL/SL= 21 psf(Non-PV Areas), Roof LL/SL= 12.3 psf(PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.19069 < 0.4g and Seismic Design Category(SDC) = B < D To Whom It May Concern, A jobsite survey of the existing framing system of the address indicated above was performed by a site survey team from SolarCity. Structural evaluation was based on site observations and the design criteria listed above. Based on this evaluation, I certify that the existing structure directly supporting the PV system is adequate to withstand all loading indicated in the design criteria above based on the requirements of the applicable existing building and/or new building provisions adopted/referenced above. This review relies on the roof's structural system having been originally designed and constructed in accordance with the building code requirements and having been maintained to be in good condition. Additionally,I certify that the PV module assembly including all standoffs supporting it have been reviewed to be in accordance with the manufacturer's specifications and to meet and/or exceed all requirements set forth by the ASCE 7 standards for loading. The PV assembly hardware specifications are contained in the plans submitted for approval. Additionally a summary of the structural review is provided in the results summary tables on the following page. Digitally signed by Humphrey Kariuki. Sincerely, DN:dc=local,dc=SolarCity,ou=SolarCity Users, 1c ' 'ou=Beltsville,cn=Humphrey Kariuki, o sT cTu�u w Humphrey Kariuki, P.E. email=hkariuki@solarcity.com'� ''1°" Professional Engineer Date:2015.10.20 1 :27-04'00' R`�°1sTE�` T: 443.451.3515 email: hkariuki@solarcity.com 3055 Clearview Way San Mateo,CA 94402 T(650)638-1028 (888)SOL-CITY F(650)638-1029 solarcity.com AZ ROC 243771.CA CSL8 888104.CO EC 8041,CT HIC 0032778.DC HIC 71101460,DC HIS 71101488,HI CT 29770,MA HIC 108572.MO MHIC 128948,NJ 13VM08160600, OR CC8 180498.PA 077343•Tx'rOIA 27006,WA°CL:SOLARC'g19O7.0 2013 SotorCiry.All rights resorvetl. Version#52.3-TBD 5olar "Q to 0, Cit y HARDWARE DESIGN AND STRUCTURAL ANALYSIS RESULTS SUMMARY TABLES Landscape Hardware-Landscape Modules'Standoff Specifications _Hardware X-X Spacing. X X Cantilever Y-Y Spacing Y-Y Cantilever Configuration Uplift DCR M P1 72" 24" 39" NA 72 78.5% MP2 64" 24" 39" NA 64 68.7% Portrait Hardware-Portrait Modules'Standoff Specifications Hardware X-X Spacing X-X Cantilever Y-Y Spacing ' Y-Y Cantilever Configuration Uplift DCR MP1 48" 19" 65" NA Staggered 87.0% MP2 48" 191. 65" NA Staggered 85.6% Structure Mounting Plane Framing Quglification Results Type Spacing Pitch Member Evaluation Results MPl Vaulted Ceiling @ 24 in.O.C. 200 Member Analysis OK MP2 Vaulted Ceiling @ 16 in.O.C. 350 Member Impact Check OK Refer to the submitted drawings for details of Information collected during a site survey on. All member analysis and/or evaluation Is based on framing Information gathered on site.The existing gravity and lateral load carrying members were evaluated In accordance with the IBC and the IEBC. 3055 Clearview Way San Mateo,CA 94402 T(650)638-1028 (888)SOL-CITY'F(650)638-1029 solarcity.com AZ ROC 243771;CA CSLB 888104,L'.O EC 8041,cr HIC 0832778.DC HIC 71101486.DC HIS 71101488.HI CT.29770,MA HIC 168572,MD MHIC 128948.NJ 13VH06180600, OR COB 180498,PA 077343,TX TDLR 27006,WA OCL:SOLARC'01907.0 2013 SolerChy.All righta recem d. STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK - MP1 Member Properties Summary MP1 Horizontal Member Spans Rafter Pro erties Overhang 0.32 ft Actual W 1.50" Roof System Properties San 1 10.94.1ft Actual D 7.25" Number of Spans(w/o Overhang) 1 San 2 Nominal Yes Roofing Material Comp Roof San 3 A 10.88 in.A2 Re-Roof No San 4 S. 13.14 in.A3 Plywood Sheathing Yes San 5 I 47.63 in.A4 Board Sheathing None Total Rake Span 11.98 ft TL DefPn Limit 180 Vaulted Ceiling Yes PV 1 Start 1.58 ft Wood Species SPF Ceilina Finish Lath and Plaster PV 1 End 8.25 ft Wood Grade #2 Rafter Sloe 200 PV 2 Start Fb 875 psi Rafter Spacing 24"O.C. PV 2 End F„ 135 psi Top Lat Bracing Full PV 3 Start E 1400000 psi Bot Lat Bracing Full PV 3 End Emi„ 510000 psi Member Loading mary Roof Pitch 5 12 Initial Pitch Ad'ust Non-PV Areas PV Areas Roof Dead Load DL 19.0 psf x 1.06 20.2 psf 20.2 psf PV Dead Load PV-DL- 3.0 psf z 1.06 3.2 psf Roof Live Load RLL 20.0 psf x 0.98 19.5 psf Live/Snow Load LL SLl•2 30.0 psf x 0.7 1 x 0.7 21.0 psf 21.0 psf Total Load(Governing LC I TL 1 41.2 psf 44.4 psf Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf= 0.7(Ce)(CO(IS)py; Ce=0.9,Cr=1.1, I,=1.0 Member Design Summary(per NDS Governing Load Comb I CD CL + CL - CF Cr D+ S 1.15 1.00 1 1.00 1 1.2 1.15 Member Anal sis Results Summary i Governing Analysis Max Demand @ Location Capacity DCR Result Bending Stress 1196 psi 5.8 ft 1389 psi 0.86 Pass i I I [CAL-CUL'ATION OFTDESIGN WIND=LOADS-MP1 _ Mounting Plane Information Roofing Material Comp Roof PV System Type SolarCity_SleekMountT"' Spanning Vents No Standoff Attachment Hardware Comp Mount Type C Roof Slope 200 Rafter pacing 24"O.C. Framing Type Direction Y-Y Rafters Purlin Spacing _X-X.Purlins.Only NA Tile Reveal Tile Roofs Only NA Tile Attachment System —file—Roofs Only NA Standin Seam/Trap Seam/Trap Spacing SM Seam Only NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind,Design-Method' Partially/Fully_ERIEs-ed Method_ Basic Wind Speed V 110 mph Fig. 6-1 Exposure-Category __ _ C _Section-6.5.6.3_ Roof Style Gable,Roof Fig.6-11B/C/D-14A/B Mean Roof Height h 25 ft Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ� 0.95 Table 6-3 Topographic Factor Krt� 1.00 _Section_6.5.7 Wind Directionality Factor Kd 0.85 Table 6-4 Importance Factor I 1.0 Table 6-1 Velocity Pressure qh qh = 0.00256(Kz)(Kzt)(Kd)(V^2)(I)24.9sf Equation 6-15 Wind Pressure Ext. Pressure Coefficient U GC -0.88 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down GC w 0.45 Fig.6-11B/C/D-14A/B Design Wind Pressure p p=qh(GC ) Equation 6-22 Wind Pressure U 0 -21.8 psf Wind Pressure Down 11.2 psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing, Landsca 72" 39" Max Allowable Cantilever Landscapepe 24" NA Standoff Configuration Landscape Staggered Max Standoff Tributary_Area Trib 20 sf PV Assembly Dead Load W-PV 3.0 psf PV Dead Load at Standoff P-PV 59 Ibs Net Wind Uplift at_Standofff T_actual� _ -392 Ibs_ Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand/Capacity DCR 78.5% X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 65" Max Allowable Cantilever Portrait 19" NA Standoff Configuration Portrait Staggered Max Standoff Tributary Area Trib 22 sf PV Assembly Dead Load W-PV 3.0 psf PV Dead Load at Standoff P-PV 65 Ibs Net Wind Uplift at Standoff T-actual -435 Ibs Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand/Capacity DCR 87.0% STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK - MP2 Member Properties Summary MP2 Horizontal Member Spans Rafter Pro erties Overhang 0.66 ft Actual W 1.50" Roof System Properties San 1 8.00 ft Actual D 9.25" Number of Spans(w/o Overhang) 1 San 2 Nominal Yes Roofing Material Comp Roof San 3 A 13.88 in.A2 Re-Roof No San 4 Sx 21.39 in.A3 Plywood Sheathing Yes San S I 98.93 in.A4 Board Sheathing None Total Rake Span 10.57 ft TL Defl'n Limit 180 Vaulted Ceiling Yes PV 1 Start 2.83 ft Wood Species SPF Ceiling Finish 1/2"Gypsum Board PV 1 End 9.50 ft Wood Grade #2 Rafter Sloe 350 PV 2 Start Fb 875 psi Rafter Spacing 16"O.C. PV 2 End F„ 135 psi Top Lat Bracing Full PV 3 Start E 1400000 psi Bot Lat Bracing Full PV 3 End Em;n 510000 psi Member Loading mary Roof Pitch 9 12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 14.0 psf x 1.22 17.1 psf 17.1 psf PV Dead Load PV-DL 3.0 psf x 1.22 3.7 psf Roof Live Load RLL 20.0 psf x 0.78 15.5 psf Live/Snow Load LL SLl'Z 30.0 psf x 0.7 1 x 0.41 21.0 psf 12.3 psf Total Load(Governing LC I TL 1 1 38.1 psf 1 33.1 DSf Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf=0.7(Ce)(Ct)(Is)p9; Ce=0.91 Ct=1.1,IS=1.0 Member Design Summary(per NDS Governing Load Comb CD CL + CL - CF Cr D+S 1.15 1.00 1 1.00 1 1.1 1.15 Member Anal sis Results Summary Governing Analysis Pre-PV Demand Post-PV Demand Net Im act Result Gravity Loading Check 198 psi 225 psi 0.87 Pass (CALCULATION OF`DESIGN'VVIND LOADS fNP2 Mounting Plane Information 1 Roofing Material Comp Roof PV System Type SolarCity_SleekM6-untTm -- Spanning Vents No standoff Attachment Hardware Comp Mount Type C Roof Slope 350 Rafter_Spacing Framing Type Direction Y-Y Rafters Purlin Spacing _X-X.Purlins Only NA Tile Reveal Tile Roofs Only NA Tile Attachment System, Tile Roofs Only NA ,Standing Seam/Trap Seam/Trap Spacing `SM Seam On NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind Design Method Partially/Fully_Enclosed,Method Basic Wind Speed V 110 mph Fig. 6-1 Exposure.Category C _Section.6.5.6.3_ Roof Style Gable Roof Fig.6-11B/C/D-14A/B Mean Roof Height h 15 ft Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.85 Table 6-3 Topographic Factor Krt 1.00 _Section 6.5.7 Wind Directionality Factor Kd 0.85 Table 6-4 importance Factor I 1.0 Table 6-1 Velocity Pressure qh qh = 0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15 22.4 psf Wind Pressure Ext. Pressure Coefficient U G u -0.95 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down G 0.88 Fig.6-11B/C/D-14A/B Design Wind Pressure p p = qh(GC ) Equation 6-22 Wind Pressure U -21.3 psf Wind Pressure Down 19.6 psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 64" 39" Max Allowable Cantilever. Landscape__ 24" NA Standoff Configuration Landscape Staggered_ Max Standoff Tributary_Area Trib 17 sf PV Assembly Dead Load W-PV 3.0 psf PV Dead Load at Standoff P-PV 52 Ibs Net Wind Uplift at Standoff Tactual_ _ 343_IS Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand/Capacity DCR 68.7% X-Direction Y-Direction Max Allowable Standoff Spacing: Portrait 48" 65" Max Allowable Cantilever Portrait 19" NA Standoff Configuration Portrait Staggered Max Standoff Tributary�Area._______ Trib 22 sf PV Assembly Dead Load W-PV 3.0 psf PV Dead Load at Standoff P-PV 65 Ibs Net Wind Uplift at Standoff T-actual_ 428.lbs Uplift Capac of Standoff T-allow 500 Ibs Standoffity Demand/Capacity DCR 85.6% I w LE CAPE COD INSULATION -2 0112' 56 Fq�---/- ®®® NBIR OIASS SG MISS SppATTOAM SYSVINOIB - -� BAITS OUII[p5 WSYLATION CIIlIN05 _ .__----- " " 1-800-696-6611 D ` Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: ' 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 Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes ( ) ( Y) ( 30) ( X) ( ) Floors Walls ( ) ( ) ( ) ( ) ( ) Sincerely i HApeC s y Jr, resident C. ulation, Inc. o,\� v� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Y� Application #_Q ( b Health-Division Date Issued q i ZA ( I Conservation Division Application Fee Planning Dept. ; Permit Fee J�� 9 Date Definitive Plan Approved by Planning Board pk 9/1il�� 1C Historic - OKH Preservation / Hyannis Project Street Address 3 ( a PI•e�4SW�rS- ►se J F�� Village Owner HV5I, Pf00-gr++ J L-l-C Address Telephone !1 n-7^23^y - 21057 Permit Request Lsat4 i S A7Z -h6+) f K-10 C.e.IYulo,e 40 /��y�e�cw�g �l'fi✓+�us1 fit - 1/4-0.o t,e/lvloae-.4y a4fic, R-I r I WO +0 C/AU,1 SV&e lwrA-e ;4pt f i ff J L S-f P i�OOf S Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Typed , #7 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family '❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure 157 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 wood/coal stove: E8Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn_Cl existing>❑ new size_ 0 Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other., _e w Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# r" Current Use -- — — - Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) CAA-'C US I(J s1\v+vv-LW J Name He CArSSi Telephone Number Address M0A- XJ- License # /d o9 'F R�ftwA S iM A • 0Z 60 Home Improvement Contractor# Worker's Compensation # LAXA C)OS aS9 o l ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO YWMO_- +oy-0n. 1 0 SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# 'DATE ISSUED k ,MAP/PARCEL NO.-. 'S I ADDRESS ' VILLAGE ' - OWNER DATE OF INSPECTION: i •• __,-,FOUNDATION FRAME .d°...INSULATIQN%` - FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS a�x ROUGH FINAL - SFINAL B_U:ILDING `, DATE CLOSED.OUT, ASSOCIATION PLAN NO. - v The Commonwealth of Massachusetts Department of Industrial Accidents l Office of Investigations 600 Washington Street t F Boston, MA 02111 yy ww7•v.mass.gov/dia Workers' Compensation insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Naive (Business/Organization/Individual): CA CU �/V Sl1 GY f l LT7ti �/� �• Address: ✓� City/State/Zip: Phone #: �0 -7 7 2'' Are you an employer?Check th appropriate box: Type of project(required): 4. I am a general contractor and I 1.[� 1 am a employer with 6. ❑New construction ' eiiiployeas(full and/oigart-time).* have hired the sub-contractors.. . .listed on the attached sheet. 7. ❑Remodeling 2.❑ I am a sole proprietor-or partner- These sub-contractors have 8. ship and have no employees ❑ Demolition employees and have workers' working for me in any capacity. 9. ❑ Building addition comp. insurance. No workers' comp. insurance . ❑ 5 We are a corporation and its 10.❑ Electrical repairs or additions required.] 3.❑ I am a bomeowner.doing all work officers have exercised their 11.❑ Pltirnbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.) t c. 152, §1(4), and we have no employees. [No workers' 13•❑ Otber4aXVA& A Q- 1 rM._ comp. insurance required.] *Atiy applicant that checks box 41 must also fill out the section below showing their workers'compensation policy inforrnati6n. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional 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. fain an employer that is providing workers' compensation insurance for my employees. .Below is the policy and job site informatioft Insurance Company Name: n / Policy#or Self-ins. Lic. #: WC-4 00 1579 0 Expiration Date: Job Site Address: 312 P''Pn�__.Ql k-s as—te City/State/Zip:Ce nn�le tM�4- 3� 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 the violator. Be advised that a copy of.this statement may be forwarded to the Office of of up to$250.00 a day against Investigations of the DIA for insurance coverage verification. Ldo hereby certify u e pa' and penalties of perjury that the information provided above is true and correct. Si nature: Date: Phone#: 0 7 1 S f 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#: Date: 7/1/2011 Time: 11:28 AM To: 9,15087785735 ILogers ✓t Gray ins. rage: vu2 Client#:4597 CCINSUL ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 7/0112011 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:Ifthe 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: Margaret Young Rogers&Gray Ins.-So.Dennis PHONE 508-760-0602 F 508-258-2102 AIC No Ell: AX: No 434 Route 134 oun ma ro ers ra com ADDRESS: Y 9 9 9 Y• P.O.Box 1601 ' CUSTOMER ID t<: South Dennis,MA 02660-1601 INSURER(S)AFFORDING COVERAGE NAICU INSURED INSURER A:Peerless Insurance 18333 Cape Cod Insulation Inc INSURERB:Ohio Casualty Insurance Company 455 Yarmouth Road INSURER CAtlantic Charter Insurance Hyannis,MA 02601 Commerce Insurance Company 34754 INSURER D: P Y 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. NSR TYPE OF INSURANCE POLICY EFF POLICY EXP SR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A GENERAL LIABILITY CBP8263063 04/01/2011 04/01/201 EACH OCCURRENCE $1 000 000 P::: MERCIAL GENERAL LIABILITY PREMISES Ea occurrence $100 000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1 000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY PRO- LOC $ D AUTOMOBILE LIABILITY \ 11MMBCKVMK 04/01/2011 04101/2012 COMBINED SINGLE LIMIT $ (Ea accident) 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ X SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON-OWNED AUTOS $ B UMBRELLAL1AB X OCCUR 0001254514645 04/01/2011 04101/2012 EACH OCCURRENCE $1000000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1 00O 000 DEDUCTIBLE $ X RETENTION 10000 $ C WORKERS COMPENSATION WCA00525902 06/30/2011 06/30/2012 X WC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMIT ANY PROPRIETORIPARTNER/EXECUTNE Y/N E.L.EACH ACCIDENT s500 OOO OFFICERIMEMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 I Fr� — I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,It more space is requ'ved) Workers Comp Information Included Officers or Proprietors (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment 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 9198B-2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009109) 1 of 2 The ACORD name and logo are registered marks of ACORD #S68575/M68179 MEY 10 Park Plaza- Suite 5170 Boston, Massachusetts 0211.6 Home Improvement Coptractor Registration ;. Reqistration: 153567 Type: Private Corporation Expiration: 12/15/2012 Tr# 206433 CAPE COD INSULATION, INC :;.` :. -HENRY CASSIDY - 455 YARMOUTH RD. HYANNIS, MA 02601 :• - - ; ..,',Update Address and return card.Mark reason.for change Address Renewal L Employment Lost Card ;-CAI 0 50M-"04-G101216 Uffice o••��mer Affairs as ue Itegul lion License or registration valid for irdivide!use o.^.ty HOME R6 before the expiration date. if 'found return to: Registration: 153567 Type: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Expiration: 1Y/15/2012 Private Corporation Boston,MA 02116 OD INSULATIOA."INC,_. HENRY CASSID`G": 455 YARMOUTH HYANNIS,MA 0260:]''- ; :-`. •' Undersecretary t slid ith t si lure ' �9us�arhusctt�- Drpartmcn( of Pul)Ill sufctN Board trt Building Re(ul:ttiJ)11 urtl ltantlardr Construction Supervisor License License: CS 100988 Restricted to: 00 =r ` HENRY CASSIDY � - S,:�S'HED ROW E a; VVE;ST YARMOUTH, MA 02673 Expiration: 11/11/2011 Tr#: 100988 460 Wiest Maui Street - ---- — HOUSING Hyannis, MA 02601-3698 ENERGY HOME REPAIR ASSISTANCE T (508) 771-5400 7 F (508)790-2425 TTY on all lines w .haconcapecod.or CORPORATIONg wul LANDLORD C TENANT 141 PHONE `�D?'a�3 - a ao s PHONE 7 Dear Landlord., Your tenant is eligible for services through the Weatherization Program. Program regulations permit us to spend an average of$5,000-00 in materials and labor per dwelling unit. Program regulations require us to weather-strip and caulk doors and windows;insulate attics,sidewalk and floors. All work is professionally done by established private contractors- We will conduct a final inspection to make sure that all work is completed to specifications. Prior to making the inspection and doing the work we must have your permission. If you want your tenant to participate in this program,please sign the agreement and return the form to me. This agreement states that: 1. You will not raise the rent because of the Weatherization work or for one year from the time the work is completed. 2. You will not evict your tenant for one year following work completion date except for good cause related to the tenant's failure to pay rent or serious'or repeated violation of the terms of tenancy. 3. If you sell the property during the specified period,either the new owner must assume the obligations under the agreement prior to sale,or you must refund to us the entire amount of materials and labor we spent in weatherizing the unit If you request,you will be informed of the estimated measures before they are done and provided with a list of the actual measures and costs following the completion of the work. We also need proof that you own the property. A copy of a CURRENT TAX BILL OR DEED listing you as the owner will satisfy this requirement- Please fill in all blank areas of the enclosed agreement and return with the proof of ownership as soon as possible. Failure to fill out the entire form will result in a delay in processing the application. If you have any questions please call Mtchael Sartori at 508-771-5400,x_ 105. 2� Sincerely, O 4 , i Ruth Bechtold -;;;e Assistant Director Energy and Home Repair Department ................ .................................................................................. TENANT/PROPERTY OWNEWA(3ENcy WEATHERIZATION AGREEMENT 1. The Parties to this Agreement are the followin T' (hereafter known as Tenant), ten fsn e (print your tenant's name (hereafter known as Property Owner), aet �j (print your name) and Housing Assistance Corporation(hereafter known as Agency). In consideration of the mutual promises hereafter stated,the Parties agree as follows: 2. The date of Agency's signature will be the effective date of this Agreement. The Agency will sign and return a copy of the Agreement upon completion of the proposed Weatherization work. 3. Property Owner and Tenant consent and agree that the Agency may do the following with respect to the property loca d at(street,town) unit# and currently leased or rented to the Tenant. a) Enter the premises for the purpose of performing a Weatherization inspection. b) Enter the premises to perform Weatherization work which the Agency determines in its discretion is necessary and appropriate as a result of the Agency's inspection of the property and in accordance with the appropriate priority list for the type of dwelling. The Agency and the Agency's contractors may also.enter the appropriate common areas of the building for the purpose of accomplishing the Weatherization.work. The Agency and representatives of the Commonwealth of Massachusetts, Executive office of Communities and Development(Office of Energy Conservation)may farther enter the property to inspect any and all work hereunder. The Agency will provide reasonable notice of the timing of the Weatherization work and inspections. The Weatherization work will be performed in accordance with the Property Owner's consent asfurther specified below: E-j� ONLY ONE OF THE FOLLOWING li N/ I consent to performance by the Agency and its contractors of any Weatherization work determined necessary and appropriate by the Agency as a result of its inspection of the property. I understand that the Agency will provide a detailed statement of the actual work performed and the associated value at the completion of work. I will provide a separate consent to performance by the Agency and its contractors of Weatherization work following my receipt of the Agency's inspection report and a statement of the estimated work and associated value. This additional consent will be sent under separate cover as Attachment A. I understand that the Agency will provide a detailed statement of the actual work performed and the associated value at the completion of the work. 4. --The Property Owner understands and agrees. arany and all.-work;_including related_repavrs_ or_w c__t_e__.,.___________-. Property may also be eligible,will be performed at the Agency's discretion. 5. If the Property Owner is required to make repairs to the property prior to the commencement of Weatherization work by the Agency,the Property Owner will be notified by the Agency and will be required Owner receives a written extension from to make the repairs as soon as possible- Except where the Property Agency,time is of the essence in the performance of repairs by the Property Owner- the6. The Property Owner and Tenant authorize the Agency to receive a statement from the fuel supplier/utility supplier as to the quantity of fuel/utilities used at the above address in each.of the past three years and the future three years. The information is to be used only to determine the cost effectiveness of the Weatherization improvements. 7. The Property Owner agrees that the rent for the dwelling unit will not be raised because of any increase in the value thereof due solely to the Weatherization work performed. 8- *In consideration of the Weatherization work hereunder,the Property Owner further agrees that upon the effective date of this Agreement and during a period extending one full year from the time the work is completed: a) The present rent S /&vr. vt per month will not be raised for any reason..'(The rent amount must be filled in). **`However,this Paragraph(8a)will be waived by the Agency in writing if,_and only if,the premises are leased under a state or federal rent subsidy programs in.vvhich case the actual rent charged by the Owner shall conform to the standards of the resat subsidy program. Please state which Housing Subsidy program your tenant is on and through which Agency: n the case b) The Property Owner will not institute any summary-process action for possession ekcept i of non-payment of rent or other good cause related to the Tenant(or any successor Tenant)- c) In the event the Property Owner decides to sell the premises,Property Owner shall comply with one of the two requirements below: —The Property Owner shall not sell the premises unless the buyer agrees(with a copy forwarded to the Agency)in writing prior to sale to assume all obligations of the Property Owner set out in this Agreement; or —The Property Owner shall pay the Agency an amount equal to the cost,as certified by the Agency,of the Weatherization materials installed and labor performed in the premises as of the date of sale. Said amount shall be paid to the Agency immediately upon sale 9. (*Applicable only if Tenant's heat is included in rental payment and blanks are filled in.) At the end of the period set forth in Paragraph 8 above,the rent shall not be raised more than %per for an additional period of one year,and the provisions of 8b and 8c above shall continue in effect for such period. However,the rent provisions of this Paragraph 9 may be waived by the Agency in writing if,and only if,the premises are leased under a state or federal rent subsidy program,in which case the actual rent charged by the Owner shall conform to the standards of the rent subsidy program- 10. The Parties agree that the terms of this Agreement are incorporated into any other lease or agreement between the Property Owner and the Tenant,and between the Property Owner and any successor Tenant,and if there is any conflict between the provisions of this Agreement and the provisions of such other lease or agreement,the provisions of this Agreement shall govern. However,if such other lease okra' Bement, including without limitation a lease or agreement under state or federal rent ro subsid contains stronger protections for the Tenant, such stronger protections shall apply. ._....................---------- - -- -- ----------- --------- ----- - ----...-_..-_.... — --- - -- - _...... — -- - --- - -- ------- --- 11. For breach of this Agreement by the Property Owner,the Property Owner shall reimburse the Agency in an amount equal to the cost,as certified by the Agency,of the Weatherization materials installed and labor performed on the premises,as well as attorney's fee and court costs. The Property Owner may also be liable for damages to the Tenant in accordance with applicable law;in such instance,the Property Owner shall reimburse the Tenant for attorney's fees and court costs. Without limiting the foregoing,the Agency may at its option terminate this Agreement,by providing written notice to the Property Owner and Tenant,in the event of breach by the Property Owner or Tenant. 12. Performance of the Weatherization work hereunder by the Agency is contingent upon the availability of funds to the Agency from the commonwealth of Massachusetts and the federal government, as well as the eligibility of the Tenant under WAP program requirements. The Agency may terminate this Agreement,by providing written notice to the Property Owner and Tenant,if the Agency determines that the unavailability of funds or ineligibility of the Tenant warrants termination. 13. The Parties acknowledge that this Agreement is under seal. It is intended by the Parties that the Tenant or any successor Tenant is the intended beneficiary of the Agreement and shall have a right of enforcement. Property O 1 l Signature: Date Phone: Address: h A u e ('3rjQ hA_,a FZ 3.A a ! r �l Tenant Signature Date (o Agency Approved Weatherization Company: .A+3v,- All Cape Energy Caliber Building&Remodeling Cape Cod lnsulatio Cape Save Creswell Construction Frontier Energy Solutions Lobr&Sons Peter Smith Resolution Energy Rock Solid Construction Sprinkle Home Improvement This Agreement becomes Effective as of the Date of the Agency's Signature. The Agency will sign, and return copies of the Agreement to all parties,upon completion of the proposed Weatherization work. The Agreement shall remain in Effect for one full year from the Effective Date. Agency Signature Date TOWN OF BARNSTABLE BU G PUMT AP LICATION Map � Parcel -t'y. - -- - Permit# Health Division -?I A `1l x '0 1 S -eu ki-e Date Issued ZoO DOS �'Sl Conservation Divisio o �Oj [.��✓1�$'�p/ Fee, / Tax Collect I Treasurer SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE Planning Dept. 61 WITH TITLE 5 ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board 60 L, R Historic TOWNOfl�LATICNS OKH Preservation/Hyannis 56,E b Project Street Address - A A-9flu -- �!NHS £• 3 �-3 Village Owner aeLZO77*,I-f 41 rD 1)rr, j Address loo liS/-}-S4/ r—At . Telephone Permit Request M, >5a/t-ODA-k IW0! f7 4AI ON✓ S %� st floor: existing Square feet: 1 (O� _ �0 proposed q � _ proposed 2nd floor: existing ro osed Total new /S7 O f Valuation ` 2- I U . Zoning District Flood Plain Groundwater Overlay i Construction Type Lot Size /- `f 7 ACIf44 Grandfatfiered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure I Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes O'No Basement Type: U1,15ull ❑Crawl Rvalkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) `P y Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing Z new t Total Room Count(not including baths): existing J new 2— First Floor Room Count Heht Type and Fuel: ❑Gas 6/a,I ❑ Electric ❑Other Ft4� Central Air: ❑Yes Cf No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ®'No 1040etached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size !"J&ttached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 0 If yes, site plan review# Current Use A 5 I O'—_Z\!&i _ Proposed Use A)d C'ggJQG4, BUILDER INFORMATION Name_ /� I l� �!IOAS(0 n Telephone Number �� Address L 6 � �I-Sr/3✓4SW� `�S y I W License# y 23 Z t �— P.U- 60 X S l (o Home Improvement Contractor# 1 �� yu, Worker's Compensation# --t-A �O�o 146113 Oo ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO d s f vv�t�S �Rc4,U0� � �nl ' SS SIGNATURE DATE FOR OFFICIAL USE ONLY 1 . Y j mot.i PERMIT NO. 4; DATE ISSUED MAP/PARCEL NO.'- ADDRESS VILLAGE .. OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL S PLUMBING: ROUGH w.4 FINAL GAS: ROUGH-r FINAL � e FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. SMOKE DETECTOFZ,--, BARNSTABL BUI Dlio CAS,, P�l L � N►� now S� � C2 • B,�arvsr,►et� - Tifte own oBarns-table Regulatory Services j°rED .t},e Thomas F. Geiler,'Director Building Division Elbert Ulshoeffer, Building Commissioner:. 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508=790-6230 Permit no. Date AFFIDAVIT r , HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT-APPLICATION t . MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion. improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along•with other requirements. Type of Work: Ad I II OtJ t 0 l,u< Estimated Cost Z'r Address of Work: 3/Z Owner's Name: �)OYLO _P� 4( 6 6 C Date of Application: I hereby certify that-. Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. w+ESi t ►KYWS741 L dl L/) VL( Date Contractor Name Registration No. OR Date Owner's Name q:fomu:Affidav M Cut Appeaft i Table JS 2b(cmichaaq PreseripdTe Paeha;ss for Oaf and TwarFfaeill►Redd=tW Batldiap Hesmd with Fossil Fads MAXIMUM MINIMUM al aung Glaring Ceiling wall How Bascm= Slab 1i�aag/Cooiing Aren'(%) u-value R vala R valaef R•valad wall P&iw= � EMa p I I I R.valua' &valid 5101 to 6500 Hefting DeRM D&W Q IZ'/. 0.40 1 3E 1 13 19 10 6 Now R 1ZY. 0 SZ 30 19 1 19 10 6 Now S Ir/. 030 3E 13 19 10 6 IS AFUE T 13% a36 3E 13 25 WA WA Normal u - 0.46 3E 19 19 10 6 Normal V 13% 0.44 3E 13 2S WA WA 1S AFUE w 15% 0.52 30 19 19 10 6 U AFUE X 18% 0.32 3E 13 2S WA WA Normal Y IE•/. 0.42 3E 19 2S WA WA Normal Z 18% 0.42 3E 13 19 10 6 90 AFUE AA 181/. 0.S0 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 3 12- Al"P► 44 A14 S , Q g 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 77 S 3. SQUARE FOOTAGE OF ALL GLAZING: J e 4. %GLAZING AREA(#3 DIVIDED BY#2): 9. 7-1 U S. SELECT PACKAGE(Q—AA-see chart above): 4 NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a 780 CMR Appendix J Footnotes to Table.I5Z.lb: Glaring area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space, but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 R=of glazing area. ' After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall.For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R I3 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions, but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces (such as tmconditioned crawlspaces, basements, or garages).Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 11 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. . ' If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b) Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-vaIue in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c) If a ceiling,wall, floor, basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(035 for doors). II ESTIMA TED PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot= (above average construction) 14 � U. square feet X$96/sq. foot= 3 Uo (average construction) square feet X$57/sq. foot= GARAGE FINISHED square feet X$25/sq. foot= G (UNFINISHED) q NA4PORCH square feet X$20/sq. foot= DECK .Z I (o square feet X$15/sq. foot= Z" Or OTHER square feet X$??/sq. foot Total Estimated Project Value The Commonwealth of Massachusetts - Department of Industrial Accidents • � �=?'=� �—_� : O1IICd OfI�YCSIlA81lOdS - Q 600 Washington Street < Boston,Mass 02111 Workers' Cam ensation Insurance Affidavit � /�%/r.''�//////ice%%%/////��i.'�ii.,�////� " /%%�%%/f!/%�% mot:: tt»tion: city phone# ❑ I am a homeowner performing all work myself ❑ I -a sole aro=etor and have no one wMkMff in env raaacity GK am an Toyer Providing workers' ensation for avees ........:..::.:.:...:....: .:..}:..:::°D1 .... .. Y- Ong oa this job. .............. comasnv name. �! � . `. `.:. 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IIJIITaTtCY:tO.. .... ...::::::............... .:.:... ,L.....tc••:tx Fai2mr to secom- coverage as req=,ed ceder Section=of MQ.1S2 eon lead to the of aiathid a impoa�im pmaitits ota am tP to S13t}O.QO smrilc our ymn'imprisonment as vma as dftfi penaltles in the fora of a STOP WOGS ORDER and a roe of SI00.00 a dy a;aimt ma. I tmderstsnd that z copy of this statement may be form-ded to the 01aw of Investi2adam of the DIA for amem a raiaosdom I do herrby fy a pars penakin ofpe ivy that the informal n provided above is&w and/tarred Signa=e Date Print naase f �li/�/�v Phazie# otHdal use only do not write is this area to be completed by city or town oIDdai dry or town: permit/llame t! QBuOding Departsmeut ❑T feensiab Board ❑check if immediate response is required ❑Selectmen's Otilce ❑Health Department / contact person: phone#, � ❑ether ------------- U vwm 9/95 P1Ai 1 1 11 1 1 • 1 1 1 1 1 • •• 1� :1•J= • • 11 • 111 .••1 • 1 • 1• • 1•_ 1 !I: • w11 Y, • • • ' II • •• 1 1/ • 1 • 11 • 1 .11 UI — .1• ./ •••w•/l .11 • ' 1 • :I • • :1•tl• • •.1 •11 1• • • •1 1/1/•dl .••« •1• • 1 M• •11 •) • • • •. •I• • • • i _ • •• w•.111 •M /• • . � I • •�.•:11 • M/ w111• • 11�111 • ' •�w11�• • • ' • w••1• • w •. r w • •rl • Y.IIK •1 .1 .1 •: 1' 1 1 / 1 ' / 1 1 1 1 • 1 1 r' • .. 1 . 1 • • 4yof Ile 11 1 1 / -I 1, .+. I 1 1 1 • 1 1 1 1 1 l& 1 1 1 1/ /1 1 1 / • • • I 1 • 1 • • 1 1 1 1 r' 1 1 rl 1 1 / 11 11 1 1 • • ' •• on•1• • •• 1 • •• .11 • Il •• 1• ..: ••1 '/ •rl 1 w11/./ 1111• .11 •1.1• • • • ' • 1• / • • • • •. of • • 1 r • •11.1• ./1 1/• •1 11 1••:1• r �• /11 �r111w11♦ • • 1 • /w • • w• • y•1 • • • •/•1• ••r y• w ■• 1• •• •••1r..—rw •111/•w• wl• •11 •• • • 1 r•1.11• ..1/ 1 • • .�11 • •1 ••►' •/ .• .•• 1 /r 11•• .1• •1• .•1 • •• •1••1•.11 •.•••w ••1 Y ./• • • 1 •1/. 111/11 •�w •rll• ' 111 ry ••• r+11' • 1/ •• .••r' • 1•. • • -• • • / • •11•n 11 •1 • •11 •• «•1 •wll� ••/ r•1/1.1.11✓.1• •11 • 1/ 11 JI « •'• ~ - '� 1 1 1 11 JI 1 • • 1 •1 • • 1 1 •I I Its • �••11.1 �• •• •1.� MI •1 1• — • •�• 1 1 /1 / •K• •1 It-11 •I 11 •11 Y••Y. « •ti•1•. 11 • 1 1 .11 • w • •1/ •111 • • •1 • wEa •••wU ./so•• •111•• •w �• • • • 1 ' _ ul 1 1• r•1•Ir. • • •r. • U _ • .b• .•:In .�. • to •• •wU111 rw/ •IINI •�/ 11 1 1 •. 1 ��• �/Iw �1•r 11•••• • to. e 11 • /•w .1• .1/ • wN-1 1 •��• •1 • • • •1. • •1• • • 1 1 11 11 1 1 1 1 • •11 1 1 1 1 • I 1 1 1 1 11 1 1 • 11 ' 111 11 • / 1 1 Property Location: PLEASANT PINES AV MAP ID: 214/040/ Vision ID:15285 Other ID: Bldg#: 1 Card 1 of 2 Print Date: 03/05/2001 M , " .. ....„...,. .... ,.., ., ,, -...:arc- _.�,,..,C,O1X'STRUCTION.DETAIL-..;.,...�...�a.,._aa.M Element Cd. Ch. Description Commercial Data Elements Style/Type 4 Cape Cod Element Cd. Ch. Description Model 1 Residential Heat&AC Grade CFrame Type Baths/Plumbing HS[660] Stories 1.5 1/2 Stories ' ccupancy 0Ceiling/Wall ooms/Prtns Exterior Wall 1 14 Wood Shingle /o Common Wall 2 Wall Height Roof Structure 03 Gable/Hip, Roof Cover 03 sph/F GIs/Cmp AS 30 M? CONDO/MOBILE f10MEµDATA F m Interior Wall 1 08 Typical BM 2 Element Code Description actor tenor Floor 1 Zo Typical Complex 2 Floor Adj Unit Location Heating Fuel 2 Oil Heating Type 9 Typical. Number of Units C Type 1 None Number of Levels /°Ownership Bedrooms 2 2 Bedrooms 2 2 Bathrooms Bathroom AA,-XA ST/Mf1?RKET CA'LUAT,,(OX ,. 10 1 Full Unadj.Base Rate 48.00 Total Rooms 6 6 Rooms Size Adj.Factor 1.18860 Grade(Q)Index 0.97 Bath Type Adj.Base Rate 55.34 Kitchen Style Bldg.Value New 69,396 ' Year Built 1915 30 ff.Year Built 1975 rml Physcl Dep 2 uncnl Obslnc con Obslnc pecl.Cond.Code € � <` MIXED USES:=. pecl Cond 1010 Single Fain 100 verall%Cond. 78 eprec.Bldg Value 4,100 , QBOUTBUI_L^DINGS& YAADITE_MS(L�)/kXFB:UILnD`ING EXTRAFEATURES(B) ; Code Description LIB Units Unit Price Yr. DP Rt %Cnd Apr. Value FPL2 irepl-1/2 Sty B 1. 3,200.00 1975 1 100 2,500 FGR2 Garage-Avg L 486 25.00 1973 1 100 9,100 �MBUILDING SIIB=9ASUMIK9ItYSECTION r tx.F. Code Description Livin .Area ,Gross Area E .Area Unit Cost Unde rec. Value BAS First Floor 660.' 660 660 55.34 36,524 FHS Half Story,Finished 462 660 462 38.74 25,567 " UBM Basement,Unfinished 0 660 132 11.07 7,305 tl. ross Liv/Lea 1,1221 1 980 1 254 dVal. 1 69,3961 Property Location: PLEASANT PINES AV MAP ID: 214/040/ Visi n ID: 15285 Other ID: Bldg#: 1 Card 1 of 2 Print Date:03/05/2001 " ::^c -._�...__ .. ....r...R..- .r......- 5_,.,.T ...:m .L ...;.—_.....�..�„y..,......... ...._.,.... _. ::. `%3:�`' t4'.'r&t;s : • '.> r ,• r y ` ?. .:. ,1 �s , � ..:�s; , '"5.s F „- . `/ x" tr: h, , �� P . # v '�f,{,r-«r.. WON, ;. .aC_URRENT,OWNER, f ,,. T,-OPO. UTILITIES .STRT✓R0.4D. LOCATIQN=,, ._ � �� GURXEN,T%ISSE^SS1t1EN,T, � a QIUGHES,DOROTRY M Description Code Appraised Value Assessed Value �- S LAND 1010 72,300 72,300 801 LEASANT PINES AVE SIDNTL 1010 92,200 92,200 ENTERVILLE,MA 02632 RESIDNTL 1010 9 100 9 100 Barnstable 2000 MA s!�F F, SUPPLEMENTAL ' Account# 132225 Plan Ref. Tax Dist. 500 Land Ct# s' er.Prop. #SR VISION 'Life Estate DL 1 Notes: DL2 GIS ID: Total 173,600 173,600 �` ., �,, ,CORD 0-�,0-WNERSHIPR :^b, _.- •� BK.tYOL/PAGE'.>S,4LE.DATE /u .v� SALE�PRZCE�L/G ., �•, ,.��,`. �� PRE:[�lOUS ASSESSMENTS HLSTOR .�� ^• �: . .� .-' GHES,DOROTHY M 3084/104 Q 0 Yr. Code Assessed Value Yr. Code Assessed Value Yr. Code I Assessed Value 1999 1010 72,400 998 1010 72,400 1999 1010 92,200 998 1010 92,200 1999 1010 7,300 998 1010 7,300 Total: 171,900 Total: 171 900 Tota[: 158,900 r ",� - EXEMPTIONS ` ,M;,•'NS ..: "'" .. �.:�' 'OTHERS.,9iSSESSMENTS `. �. :•:"- "� �`" ' This signature acknowledges a.visit bya.Data Collector or Assessor. Year T e/Descri tion Amount Code Description Number Amount Comm.Int. Appraised Bldg.Value(Card) 54,100 ' Appraised XF(B)Value(Bldg) 2,500 Total Appraised OB(L)Value(Bldg) 99100 a `�A�� MIM"I.ESO ',,,., M�`�:, ��,� `'�� ` WI�a Appraised Land Value(Bldg) 72,300 BOG FRONT/LAKE y` Special Land Value VIEW............ Total Appraised Card Value 138,000 k Total Appraised-Parcel Value 173,600 Valuation Method: Cost/Market Valuation et Total Appraised Parcel Value .173,600 ¢.:,-� , -. xN .,l::v_:,s'..x ,$•.R';-1,-.. - '-..', ., .'=f'GYtr < ,r. .P. ..,F ,+,�,. _ -, -�. ;r�y„s,• ,-F .,,x,. .. s.r.s n.,.}�.....£.- y • ..v lx'.-S Ply .. a _ x.S - , c.< Yxi, ...'. ^ .,F"^ ..e r, r'�9'b .,.e£ ..,f B.UILDING•PERIKI=T RECOA r. . F.. r � ,> VL 1;j;gg..`;` y . <. ? -. .. a,, � r �a O . S T,C NGE HIST.OR.M. Permit ID Issue Date" Typ e Description Amount Insp.Date %Comp. Date Comp. Comments Date ID Cd. Purpose/Result rr„,n�..&.Ir:. � -�- �._s �,-f NINE � .. >.x.,.,.`.?�."..�`xr....:,�....r'"u.'r f.�.,..fa�-,��' wr.5'S�af:.<,ae..&r"...._�,F:..fd_:g.9 r-A:.-...L,..AN:D.. L...�I..N. E",;;.VA•,.?L,`x$:U;<Ar aT e_Z_.Orr..,N,-...S...E._.:C..z..mT.....rI..O,.N......., �,...r.r, �....,�'s..x..�_. 3.�:..�.'a.. !�,-'�fC`.,��^,.a�.,;. .3. 9 .. �_..»�r,.... � :n.. �.. .h.1.. ,-..........., . ....... ...... ...t_�2,,.,.-..;r�+aa.�,_...e..>�,s„�`t'fe.._ev.�r.rs.r_.1.�`+:'K.-.-sc- �,.3hf,✓;R�a�.>.�vS..ra��....�-��a�`#�,.rfa_zt�.�.. �cx.. B# Use Code Description' Zone D ronta a Depth Units Unit Price' L Factor SI C Factor Nbad. Adj. Notes-Ad lS ecial Pricing Ad", Unit Price Land Value 1 1010 Single Fam RF 5 1 1.00 AC 100,000.00 1.00 5 1.25 51BB 0.50 PCL(1.,U10)Notes:10 IBLDG 63,000.00 63,600 1 1010 Single Fam RF 5 0.47 AC 31,400.00 1.00 5 1.25 51BB 0.50 PCL(.47,U11)Notes: 11 1RES 19,782.00 9,300 i Total Card Land Units 1.47iACI Parcel Total Land Area 1.47 ACI Total Land Valuei 72,300 a r Town of Barnstable Department of Public Works Engineering Division 367 Main Street,Hyannis MA 02601 Office 508-862-4088 Thomas J. Mullen,Director Fax: 508-862-4711 Robert A.Burgmann,Town Engineer SUBJECT: Numbering of Buildings s, Map No. ';Z 1 Parcel No.�y Date: APzi 1_ ate. Arn o Dear Property Owner, Notice is hereby given in accordance with the General Ordinances of the Town of Barnstable, Chapter III,Article V, Numbering of Buildings, adopted March 3,1931, revised July 21,1994, public convenien d necessity req ices the assignment of number Q . for your property located on `� / SAsyi .it/t� J �vy� LcJ6-ki , -N.57716(x- STREET NAME VILLAGE This number should be affixed to your building so that it is visible from the street as outlined in Exhibit"E", Town of Barnstable Rules and Regulations for Numbering of Buildings. Please contact the Engineering Division at(508)862-4088 to verify E-911 records when the change is made. Robert A. Burgmann, P.E. Town Engineer encl.:. T.O.B. Rules& Regs. Common Questions _ Site Map Assessors Change Form , Iv D�.'-vim C Client :, 12900 2WBARNBU A ORnTM CERTIFICATE OF LIABILITY INSURANCE 0f/`17/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling & O' Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency, Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR g y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 222 West Main St . PO Box 1990 Hyannis, MA 02601 INSURERS AFFORDING COVERAGE INSURED INSURER A:Zurich-American Insurance Co West Barnstable Builders, Inc. INSURERB:Travelers Insurance Company P.O. Box 516 INSURER C: West Barnstable, MA 02668-1124 INSURER D: I 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. INSR POLICYEFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DA E / D/ D E M /D LIMITS A I GENERAL LIABILITY SCP37338572 01/24/01 01/24/02 EACH OCCURRENCE $1 000, 000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one tire)$5 O O O O CLAIMS MADEa OCCUR ME EXP(Any one person) $1 O 0 0 0 X�PD Ded:2 5 0 PERSONAL&ADV INJURY $1 0 0 0, 0 0 0 XJOCP GENERAL AGGREGATE s2 , 000, 000 IGEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2 , 000, 000 POLICYn JEC LOC PRO- F AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO (Ea accident) $ I ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS _ BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ WC $ B I WORKERS COMPENSATION AND IUB806HO13300 06/11/00 06/11/01 QE]y_ Tu- oTH- EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $1 0 0, 000 E.L.DISEASE-EA EMPLOYEE $100, 000 E.L.DISEASE-POLICY LIMIT I$5 0 O O O O OTHER I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER I ADDITIONAL INSURED;INSURER LETTER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Dorothy Hughes DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TOMAILLO—DAYSWRITTEN 300 Pleasant Pine Road NOTICIETOTHE CERTIFICATE HOLDER NAMED TO THE LEFT,BUTFAILURE TODOSOSHALL Centerville, MA 02632 IMPOSE NOOBLIGATION OR LIABILITY OFANYKIND UPONTHE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE I ACORD 25-S(7/97)1 of 2 #k213 8 7 � © ACORD CORPORATION 1988 i _.. .-✓Ije TOo�xo»ox�c�ea�c�./�t'adeadFux ONE INPROVENENT CONTRACTOR ± Registration 124878 Expiration: --03/13/2002 Type: Vrivatkorporatio NEST BARNSTABLE BUILDERS 1 '.:_. ...: HICHAEL KINGSTON. fro 7� RT. 6A/PO BOX 516 ;::,/1DMINIs7ruTOR NEST BARNST NA 02668 ,��n,' i;9 ✓� -V/6'I9L�i1' //CR�L.(Y7d�� '�2C7.11M.(/,ItUOP.uc y_ BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 023212 Birthdate: 04/12/1949 Expires: 04/12/2002 Tr.no: 22768 Restricted To: 00 MICHAEL L KINGSTON 9 GREAT HILL RD [-'�•"" SANDWICH, MA 02563 Administrator TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map / Parcel - Permit# 3ID2.1 0 Health Division �fL Date Issued Conservation Division0-0/coppc- Fee SL. y D Tax Collector �i� Treasurer C (10 f Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH A//,j Preservation/Hyannis n n . Project Street Address 3� `+�� I t Village CP t - Owner )6&-0 14-0(0 tw Address 31 Z P(�_-S/.AVQ—/01/�� Telephone 2- Permit Request 'kks `F T Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new ` Valuation 0 — Zoning District Flood Plain Groundwater Overlay Construction Type W(3c%n Lot Size lD % Grandfatiiered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family t Two Family ❑ Multi-Family(#units) co—jw+E�=-' Age of Existing Structure - Historic House: ❑Yes lNo On Old King's Highway: ❑Yes (?No Basement Type: ❑ Full 0trawI ❑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:O 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 f/ W ,/�S G� N L��16EDER INFORMATION ] Name ��I �Vi 1`�dJ69-( Telephone Number �J �' � ' G(� Address It License# 0 L� S Home Improvement Contractor# % 7 S _ Worker's Compensation# TQV 0 A013 30 Z ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 4 SIGNATURE DATE �. FOR OFFICIAL USE ONLY. Idea PERMIT NO. DATE ISSUED MAP/PARCEL-NO. � r - a ADDRESS VILLAGE _ f OWNER DATE OF INSPECTION: ' FOUNDATION - FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT r I } ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts Department of Industrial Accidents Office of/asest/aatloos 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name* DU 1`L y Lf C � location': city . i i ct,� phone# ❑ I am a homeowner performing all work myself. ❑ I a sole proprietor and have no one woridn in anv achy �//%/%///////%/�%%///O%O.�'i//O//O/%/////////O/.��'�l/DO,�I/%//////%�//////%////%�%%%%%�%%/////%/�i�.�/%O/.��10/.O/%///,. am an employer providing workers' compensation for l woddng on this job. l Y :coma nsm any ?lSf` lam {ildre II :�i:'::•i::.;:::: ::is�::{:::::::�: ::;is�::::::::::::::::: :;�:% %`� :: ::::;::;':.::2:::::: 3:::�::<::;i:>':::::::::>:::::::::::%::::::::r::i`:%�'::<::%' :: ::�:ii;::2::iR::;::::::::: :::::::::i:;::::: ::::'::::'::;' X. X. ansuranceco.: � _ ollcv ::> ::: :5: ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers compensation polices: oom s nam x. ss �adi{re i > < ..................... .....................................................:................................... n...... ... ....... ............................:�IX..............w::::.�:::::::.�::.�:::::•:::::::v....................." n>ii:{•i.n:•:::::. �{arse .....::: ::............. ::::::::::::: ::::::::::::::::::::::::::::::::::::::::::::::..... . ............................................................................................................................ .............. .......•:.............................................................. ....:::•�::: :....... ...... :............. ..... ............. ................................................. ♦............{{. w:::;{:•:{!{tin:;:::::::....• :..n..... • ..::::... .::....:.:..........::::•:::::.�::::::•:::::•:::::•::::::::::•:::::::::•:::b:.iii:•>:Ji:{•:.�.�::.:�::....:::tinii:{^i::IXh:C:{{{•:v:^n;.<.: �..}:::.n::?i}i:j;�•:::::•::•;::::::?nit:•:..{,::::.}•.y:.::ti;:•:::::::.;v::i?:?.::::::5.:.+ii:t:::<::{:;ni;:.. XX 7. "ddres ss' a `' hbII <_�1 •�aumnce Ex Fxamv to secure coverage as required under Section 25A of MGL 152 can lead to the fmpostilon of criminal penalHn of a fine up to SI,M00 and/or one yearn'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of SI00.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification. I do hereby certi the and penalties of perjury that the information provided above u trw•and correct "Signature Date •��,-� � ZUC��7 _ Print name Phone# YOU 2 q / — official use only do not write in this area to be completed by city or town otHcid city or town: perndt/llcernse k :[3He&lthDDePzMnent Bndldin Licensi ❑ ffice check ifimmediate response is required Selectman's contact person: phone fit; ❑Other (lev,.ad 9195 PIA) ' r Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a Icense or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until .,acceptable evidence of compliance with the insurancerequirements of this chapter have been presented to the contracting authority. 4� Applicants Please fill in the workers' compensation affidavit completely,by checldng the box that applies to your situation and `supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is ,-,being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. r City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the paiih icense number which will be used as a reference number. The affidavits may be ret uraR'io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would lice to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Oftit~e 01 Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 • - CF tHE tpy� '• �' The Town of Barnstable BARNSTABM �0g Regulatory Services 39. A Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. .Type of Work: /�'(�CJ(��`/ Estimated Cost 7006 'F Address of Work: 2 �"n S�n'`�,,) - Owner's Name: Date of Application: I ` V ` Iwo — I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the nt of the owner: Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav ✓!e C�omvnwnuie o� aaeac ucet7a p BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 023212 Birthdate: 04/12/1949 Expires:04/12/2002 Tr.no: 22768 Restricted To: 00 MICHAEL L KINGSTON 9 GREAT HILL RD SANDWICH, MA 02563 Administrator r1a� 4 1 '�" ��lDF.'�.�aaecc►Euaca� ONE INPROVENENT CONTRACTOR Registration ` 120878 Expiration „03/13/1402 . ? • TYpe El" }rivate Corporatio { rNEST BARNSTABLE BUILDERS I '� UICHAELj;KINGSTON" RT..WO 801 S16 1 AOMINIS1RAii0R r ..��*`+r .- t� : � •" Y . .0 DNNUW RtY,NEST BARNST -KA Y 02668 , i Giangregorio, Robin _ From: Giangregorio, Robin Sent: Monday, December 29, 2003 10:10 AM To: Traczyk, Art Cc: Broadrick, Tom; St.Peter, Danielle Hi Art, Mrs. Dorothy Hughes (508-362-3794)came in today regarding an expansion to an existing"cottage"on her property located at 312 Pleasant Pines Ave. in WB (214-040). She seeks to renovate and expand the 1-bedroom cottage (circa 1940)for vacation use by her son &family. This property is zoned RF-1 and GP. It has a new septic that was designed to include the cottage but not necessarily an additional bedroom. (I will check with BOH regarding the septic capacity.) There is room on one side to expand without infringing on the required setbacks. I advised her about the historic requirements due to the age of the structure and I am informed that Danielle is researching that aspect already as a result of a previous telephone call. After a lengthy conversation with Mrs. Hughes, whereby I determined that the family apartment would not apply and that they really seek to add at least one other bedroom, it appears to me that she needs zoning relief for the expansion of a pre-existing, non-conforming structure and use. As she seemed to be unhappy when I first approached her, I promised to check with you to make sure I am correct and did not miss any obvious and easy solution to this dilemma. p�btn J 2-mu � knable- 4o akk �` i Giangregorio, Robin From: McKean, Thomas Sent: Monday, December 29, 2003 10:45 AM To: Giangregorio, Robin Subject: RE: 312 Pleasant Pines Ave,WB According to the assessor's records, the parcel is 1.47 acres in size and as you indicated, it is located within a GP District. In accordance with the Town Ordinance Article 47 Regulation of Wastewater Discharge, this property is restricted to a maximum of four(4)bedrooms. Four bedrooms already exist there; therefore no additional bedrooms are allowed. P.S. The homeowner should already be aware of the plans to sewer this area. The Town (DPW) hired an engineering firm who has designed several options for sewering this part of Town. In approximately six years, town sewer will be available along this street. When the two dwellings at this property are connected to town sewer, there will be no restrictions in regards to the number of bedrooms there. -----Original Message----- From: Giangregorio, Robin Sent: Monday, December 29, 2003 10:15 AM To: McKean,Thomas Cc: Broadrick,Tom Subject: 312 Pleasant Pines Ave, WB Hi Tom, Could you please check and let me know there is sufficient septic capacity/property to allow for additional bedrooms on the property identified as 312 Pleasant Pines Ave, WB (R214-040)? This is a GP zone.The main house shows 3 bedrooms and the existing cottage shows 1 bedroom. The owner proposes an addition to the cottage with an increase in bedrooms (number not yet determined -but at least one more). Please advise. Thank-you! 0�9btn i 1 ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE 1. THIS SYSTEM IS GRID—INTERTIED VIA A AC ALTERNATING CURRENT UL—LISTED POWER—CONDITIONING INVERTER. BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. ` CONC CONCRETE 3. A NATIONALLY—RECOGNIZED TESTING DC DIRECT CURRENT LABORATORY SHALL LIST ALL EQUIPMENT IN EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3. (E) EXISTING 4. WHERE ALL TERMINALS OF THE DISCONNECTING EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED IN THE OPEN POSITION, FSB FIRE SET—BACK A SIGN WILL BE PROVIDED WARNING OF THE GALV GALVANIZED HAZARDS PER ART. 690.17. GEC GROUNDING ELECTRODE CONDUCTOR 5. EACH UNGROUNDED CONDUCTOR OF THE GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5. 1 CURRENT 6. CIRCUITS OVER 250V TO GROUND SHALL Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(B). Isc SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DO NOT ENTER kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN (N) NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY NEUT NEUTRAL UL LISTING. NTS NOT TO SCALE 9. MODULE FRAMES SHALL BE GROUNDED AT THE OC ON CENTER UL—LISTED LOCATION PROVIDED BY THE PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING P01 POINT OF INTERCONNECTION HARDWARE. PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. S STAINLESS STEEL STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V VOLT Vmp VOLTAGE AT MAX POWER VICINITY MAP INDEX Voc VOLTAGE AT OPEN CIRCUIT W WATT 3R NEMA 3R, RAINTIGHT PV1 COVER SHEET PV2 SITE PLAN PV STRUCTURAL VIEWS PV4 UPLIFT CALCULATIONS LICENSE GENERAL NOTES Put heetREttalcvl LINE GEN #168572 1. ALL WORK TO BE DONE TO THE 8TH EDITION ELEC 1136 MR OF THE MA STATE BUILDING CODE. 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2014 NATIONAL ELECTRIC CODE INCLUDING • MASSACHUSETTS AMENDMENTS. MODULE GROUNDING METHOD: ZEP SOLAR AHJ: Barnstable d REV BY DATE COMMENTS REV A NAME DATE COMMENTS s r : UTILITY: NSTAR Electric (Boston Edison) • — . • CONFlDENTIAL — THE INFORMATION HEREIN JOB NUMBER: J B-0 2 6 210 4 00 PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT USED FOR THE HUGHES, DOROTHY HUGHES RESIDENCE Matthew Carrion SolarCity. BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: �'.,. NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 312 PLEASANT PINES AVE 3.12 KW PV ARRAY �, PART TO OTHERS OUTSIDE THE RECIPIENT'S NODDLES: BARNSTABLE MA 02632 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St. Martin Drive, Building 2, Unit 11 THE SALE AND USE OF THE RESPECTIVE (12) TRINA SOLAR # TSM-260PDO5.18 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PACE NAME: SHEET: REV: DATE: T: (650) 638 1Marlbo0028h, : (650) 638-1029 PERMISSION of SOLARCITY INC. SOLAREDGE # SE3000A—USOOOSNR2 (508) 362-3794 COVER SHEET I PV 1 10/19/2015 (BBB)—SOL—CITY(765-2489) www.salarcity.cam PITCH: 20 ARRAY PITCH:20 MP1 AZIMUTH: 80 ARRAY AZIMUTH: 80 MATERIAL: Comp Shingle STORY: 2 Stories PITCH: 35 ARRAY PITCH:35 MP2 AZIMUTH: 170 ARRAY AZIMUTH: 170 MATERIAL: Comp Shingle STORY: 1 Story MP2 B LEGEND O (E) UTILITY METER & WARNING LABEL n� INVERTER W/ INTEGRATED DC DISCO & WARNING LABELS A DC DC DISCONNECT & WARNING LABELS AC AC DISCONNECT & WARNING LABELS �ZN 01F ` O DC JUNCTION/COMBINER BOX & LABELS � G O K. Nm RIUKI O sT UCTLIKAL DISTRIBUTION PANEL & LABELS rJ No.51933 10 �-GIs T6P�V Lc LOAD CENTER & WARNING LABELS Inv-) - ID ; SS/ONA1 I AC DEDICATED PV SYSTEM METER M STAIMt'tU Sitxt�lED EEI O STANDOFF LOCATIONS FOR STRUCTURAL ONLY CONDUIT RUN ON EXTERIOR (E)DRIVEWAY ——— CONDUIT RUN ON INTERIOR Front Of House GATE/FENCE Digitally signed by Humphrey Kariuki ) HEAT PRODUCING VENTS ARE RED 312 Pleasant Pines Ave DN:dc=local,dc=SolarCity,ou-SolarCity F -i Users,ou=Beltsville,cn=Humphrey I. I i INTERIOR EQUIPMENT IS DASHED Kariuki,email=hkariuki@solarcity.com L`J Date:2015.10.20 11:35:49-04'00' SITE PLAN N Scale: 3/32" = 1' W E 01, 10, 21, S PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL - THE INFORMATION HEREIN JOB NUMBER: J B-0262104 00 Matthew Carrion �\`�•: CONTAINED SHALL NOT BE USED FOR THE HUGHES, DOROTHY HUGHES RESIDENCE ,, BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: w4,SolarCity,. NO SHALL IT BE DISCLOSED I RWHOEN WHOLE OR IN Comp Mount Type C 312 PLEASANT PINES AVE 3.12 KW PV ARRAY PART O ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES: BARNSTABLE, MA 02632 24 St. Martin Drive, Building 2, Unit 11 THE SALE AND USE OF THE RESPECTIVE (12) TRINA SOLAR # TSM-260PDO5.18 PAGE NAME: SHEET: REV: DATE: Marlborough, MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: T: (650) 638-1028 F: (650) 638-1029 PERMISSION of SOLARCITY INC. SERTER: GE SE3000A—USOOOSNR2 (508) 362-3794 SITE PLAN PV 2 10/19/2015 (BBB)—SOL-CITY(765-2489) www.solarcity.com S1 S1 10 8' (E) LBW SIDE VIEW OF MP1 NTS (E) LBW A B SIDE VIEW OF MP2 NTS i MP1 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES LANDSCAPE 72" 24" STAGGERED MP2 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES PORTRAIT 48" 19" LANDSCAPE 64" 24" STAGGERED RAFTER 2X8 @ 24" OC ROOF AZI 80 PITCH 20 STORIES: 2 PORTRAIT 48" 19" ARRAY AZI 80 PITCH 20 ROOF AZI 170 PITCH 35 Comp Shingle RAFTER 2x10 @ 16 OC ARRAY AZI 170 PITCH 35 STORIES: 1 Comp Shingle PV MODULE 5/16" BOLT WITH LOCK INSTALLATION ORDER F. _ & FENDER WASHERS y� LOCATE RAFTER, MARK HOLE z' ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT K. HOLE. ZEP ARRAY SKIRT (6) c0i ST UCTUKu SEAL PILOT HOLE WITH No.51933 ZEP COMP MOUNT C (4) (2) POLYURETHANE SEALANT. RFGIST,r�`` CCCSsiOwu.E ZEP FLASHING C (3) (3) INSERT FLASHING. (E) COMP. SHINGLE (4) PLACE FOR & SIGNED (1) FOR STRUCTURAL ONLY (E) ROOF DECKING (2) INSTALL LAG BOLT WITH 5/16" DIA STAINLESS (5) 7 (5) SEALING WASHER. STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH WITH SEALING WASHER (6) BOLT & WASHERS. EMBED, MIN) (E) RAFTER STANDOFF . r CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER J B-0262104 00 PREMISE OIWER. DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE HUGHES, DOROTHY HUGHES RESIDENCE Matthew Carrion = }� IarCit . BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: �,� NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 312 PLEASANT PINES AVE 3.12 KW PV ARRAY ►0 0 y PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES BARNSTABLE MA 02632 ORGANIZATION, EXCEPT IN CONNECTION WITH , THE SALE AND USE OF THE RESPECTIVE (12) TRINA SOLAR # TSM-260PDO5.18 2a SL Martin Drive, BuOding 2,Unit 11 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN MVEIM. PAGE NAME' DALE T. 650 Marlborough, F:A(650)638-1029 PERMISSION OF SOLARGITY INC. SOLAREDGE SE3000A—USOOOSNR2 (508) 362-3794 STRUCTURAL VIEWS PV 3 10/19/2015 (888}SOL-CITY(765-2489) —.801—ltY-- : UPLIFT CALCULATIONS o SEE SEPARATE PACKET FOR STRUCTURAL CALCULATIONS. J B-0 2 6 210 4 0 0 PREMISEOY"� DESCRIPTION,. DEg Ck CONFIDENTIALTAIN A THE INFORMATION HEREIN I OB NUMBER-' . ,SolarCity. ' CONTAINED SHALL NOT BE USED FOR THE HUGHES, DOROTHY HUGHES RESIDENCE Matthew Carrion BENEFIT OF ANYONE EXCEPT SOLARCITY INC.. OUNTING SYSTEM: '"' NOR SHALL IT BE DISCLOSED IN WHOLE OR INCompMount Type C 312 PLEASANT PINES AVE 3.12 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENT'S ODu BARNSTABLE, MA 02632 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St. Martin Drim Building 2, Unit 11 ,THE SALE AND USE OF THE RESPECTIVE (12) TRINA SOLAR # TSM-260PD05.18 PAGE NAME: gHLLT; REV DATE; Marlborough,MA 01752 SOIARCITY EQUIPMENT, MATHOU I THE WRIITEN T. (650)638-1028 F: (650)638-1029 PERMISSION OF SOLARCITY INC. SOLAREDGE SE3000A-USOOOSNR2 (508) 362-3794 UPLIFT CALCULATIONS PV' 4 10/19/2015 (888)-SOL-CITY(765-2489) www.sdarcity.com GROUND SPECS MAIN PANEL SPECS GENERAL NOTES ` INVERTER SPECS MODULE SPECS _ LICENSE BOND (N) #8 GEC TO TWO (N) GROUND Panel Number:LC304OB1100 Inv 1: DC Ungrounded GEN #168572 INV 1 —(1)SOLAREDGE� SE3000A—USOOOSNR2 LABEL: A —(12)TRINA SOLAR ## TSM-260PD05.18 ELEC 1136 MR _ RODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:43 943 670 Inverter; 30 OW, 240V, 97.5%q w/Unifed Disco and ZB,RGM,AFCI PV Module; 260W, 236.9W PTC, 40MM, Black Frame, H4, ZEP, 1000V Overhead Service Entrance INV 2 Voc: 38.2 Vpmax: 30.6 INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER' I ' �E 125A MAIN SERVICE PANEL E; 10OA/2P MAIN CIRCUIT BREAKER Inverter 1 (E) WIRING CUTLER—HAMMER 10OA/2P Disconnect 2 SOLAREDGE SE3000A-US000SNR2 (E) LOADS A zaov L1 L2 N i 20A/2P ---- GND ---------------------- _ EGC/ DCa DC- - - - A --------'----- GEC -- TN Do oc- MP 1/MP 2: 1X12 I I�e I GND EGC-—-—-----------—-----------—----------- EGC-----------------�J N _J o EGCIGEC I I _ GEC — 1 TO 120/240V SINGLE PHASE I I UTILITY SERVICE I I I I I I I I ' I I PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN Voc* = MAX VOC AT MIN TEMP POI (1)MURRAY MP 0 PV BACKFEED BREAKER. e (I CUTLER-HAMMER DG221URB PV (12)SOLAREDGE F3OD-2NA4AZS Breaker, 20A 2P, 2 Spaces Disconnect; 30A, 24OVac, Non-Fusible, NEMA 3R AC PowerBox timizer, 300W, H4, DC to DC, ZEP DC —(2) Breaker, Srqd Rod -(1)CUTLER-{1AMMER A DG030NB 1 AWG Solid Bore Copper 8 x 8, Copper Ground/Neutral d; 30A, General Duty(DG) nd ( ) pp 1 -(1)Ground Rod; 5/8" x 8% Copper (N) ARRAY GROUND PER 690.47(D). NOTE: PER EXCEPTION NO. 2, ADDITIONAL ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCATION OF (E) ELECTRODE 1 AWG#10, THWN-2, Black 2 AWG#10, PV wire, 60OV, Black Voc 500 VDC Isc -15 ADC O9(1)AWG 810, THWN-2, Red O iE(1)AWG#6, Solid Bare Copper EGC Vmp,=350 VDC Imp=8.8 ADC II��J (1)AWG g10, THWN-2. White NEUTRAL Vmp =240 VAC Imp=12.5 AAC . . . . . . . . .(1)Conduit Kit;_3/4'.EMT . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . -(!)AWG#8,.TH•WN72,,Green . • EGC/GEC•-(1)Con44 Kit;,3/47•EMT•. , . • . • . . . CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: J B-0262104 00 PREMISE OWNER-. DESCRIPTION: DESIGN:� ��>> CONTAINED SHALL NOT BE USED FOR THE HUGHES, DOROTHY HUGHES RESIDENCE Matthew Carrion �, SolarCity. BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: ad NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 312 PLEASANT PINES AVE 3.12 KW PV ARRAY ►r PART TO OTHERS OUTSIDE THE RECIPIENTS NODDIES ' BARNSTABLE MA 02632 ORGANIZATION, EXCEPT IN CONNECTION WITH 'THE SALE AND USE OF THE RESPECTIVE (12) TRINA SOLAR # TSM-260PDO5.18AME: SHEET: 24 St Martin Drive,Building 2,Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PAGE REW DALE T. (650)638-1028 F.- (650)638-1029 PERMISSION OF SOLARCITY INC. SOLAREDGE # SE3000A-US000SNR2 (508) 362-3794 THREE LINE DIAGRAM PV 5 10/19/2015 (888)-SOL-cm (765-2489) www.solarcitycom WARNING:PHOTOVOLTAIC POWER SOURCE Label Location: Label* • • • Label • • WARNING WARNING ' Code:Per Code: Per Code: NEC •, NEC ELECTRIC SHOCK HAZARD ••0 ELECTRIC SHOCK HAZARD NEC 690.35(F) DO NOT TOUCH TERMINALS THE DC CONDUCTORS OF THIS TERMINALS ON BOTH LINE AND PHOTOVOLTAIC SYSTEM ARE : •_ • PHOTOVOLTAIC DCINVERTERIS LOADN THE OPEN POSNTIONIZED NiAY BEOENDERGIZED UNGROUNDED DISCONNECT Per NEC .•0 Label Location: Label • • PHOTOVOLTAIC POINT OF -• INTERCONNECTION MAXIMUM POWER-®A Per 1NARNING: ELECTRIC SHOCK ••_ POINT CURRENT(Imp) Per Code: HAZARD. DO NOT TOUCH NEC '• NEC 690.54 MAXIMUIv1 POWER- VNEC 690.53 BOTH THE LINE AND LOAD SIDE NIAXIMUL4 SYSTEM_ MAY BE ENERGIZED IN THE OPEN VOLTAGE(Voc) V POSITION. FOR SERVICE SHORT-CIRCUIT DE-ENERGIZE BOTH SOURCE CURRENT(Isc) A AND AGAIN BREAKER. PV POWER SOURCE MAXIMUM AC A OPERATING CURRENT MAXIMUM AC V Label Location: OPERATING VOLTAGE WARNING ' Per ..- NEC ELECTRIC SHOCK HAZARD • IF A GROUND FAULT IS INDICATED NORMALLY GROUNDEDLabel L• - • CONDUCTORS MAY BE CAUTION - UNGROUNDED AND ENERGIZED DUAL POWER SOURCE Per ••- SECOND SOURCE IS NEC 690.64.13.4 PHOTOVOLTAIC SYSTEM Label • • WARNING ' Per Code: Label . . ELECTRICAL SHOCK HAZARD CAUTION I DO NOT TOUCH TERMINALS690.17(4) ' -• TERMINALS ON BOTH LINE ANDPer Code: LOAD SIDES NIAY BE ENERGIZED PHOTOVOLTAIC SYSTEM NEC 690.64.13.4 IN THE OPEN POSITION CIRCUIT IS BACKFED DC VOLTAGE IS ALWAYS PRESENT WHEN SOLAR MODULES ARE EXPOSED TO SUNLIGHT Label • • Per WARNING ..- INVERTER OUTPUT Label Location: CONNECTION NEC 690.64.13.7 Disconnect PHOTOVOLTAIC AC - DO NOT RELOCATE DISCONNECT Code:Per THISODEVCERRENTConduit(CB): Combiner Box NEC .•0 .14*.C.2 (D): Distribution Panel (DC): DC Disconnect (IC): Interior Run Conduit Label Location: (INV): Inverter With Integrated DC Disconnect n-IAxIMUM Ac '•I) (LC): Load Center OPERATING CURP,ENT APer Code: (M): Utility Meter nAAXIMUM AC VNEC 690.54 OPERATING VOLTAGE S (POI)* • Point • of • • ►r r r r a r �r r �r r3055 San Matoo,CA 94402 (3earview Way i 5 r r r r i r Y. • q r rLabel 3 L solar=@@ solar=@9SolarEdge Power Optimizer Module Add-On for North America P300 / P350 / P400 SolarEdge Power Optimizer P300 P350 P400 Module Add-On For North America VorW-cell PV (for 72-cell PV (for 96-cell PV modules) modules) modules) P300 / P350 / P400 'INPUT Rated Input DC Power19 _ _ 00 ...................350....................... �.......... ....W...... ..........................................................3........ Absolute Maximum Input Voltage(Voc at lowest temperature) 48 60 80 Vdc .......................................................................... ............. MPPT OPeroting Range.......................................................8. 48 . Maximum Short Circuit Current(Isc) 10 Adc ....................9.r....................................................................................................................................... . ' Maximum DC Input Current 12:5 Adc Maximum Efficient ........................................99:5 % Weighted Efficiency ..............................98:8 ....%...... ............................................................. ...................................... Overvoltage Category II iOUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER) _ Maximum Outpu[Current 15 Adc .• ...................P.........8....................................................... ....................................... Maximum Output Voltage 60 Vdc .OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF) . Safety Output Voltage per Power Optimizer 1 Vdc STANDARD COMPLIANCE _. EMC FCC Part15 Class B IEC61000 6-2,IEC6100 6-3 • _- G Safety........................................................................................IEC62109.1(lass II safety).UL3741................... RoHS Yes INSTALLATION SPECIFICATIONS _ I Maximum Allowed System Voltage - 1000 Vdc Dimensions(W xLz H) 141x 212 x 40.5/5.55 x 8.34 x 1.59 mm/in ...................................................................:............................................................................................ ..........:.. :-- - Weight(including cablesl..................................................................................950/?:1.................................... .. Input Connector ...........................................................................................................MC4/Amphenol/Tyco ..................................................... ............. Output Wire Type/Connector Double Insulated;Amphenol Output Wue Length..........................................................0.95/3:........I.......................12/39....... ......... m/k.... .Operating Temperature Range.....................................................................40:+85/:40;+185............................ ... C/F.... Protection Rating IP65%NEMA4 ................................................................................................................................................................ ............. Relative Humidity 0-100 % m x,ma src w�+a m,�x,k.xmmeo ar ov�o.sx wWo.airn-o,no.ea. ltPV SYSTEM DESIGN USING A SOLAREDGE SINGLE PHASE THREE PHASE THREE PHASE +i iINVERTER 208V 480V t PV power optimization at the module-level Minimums[ringLength(PowerOptimizers) 8 30 1e ............................................................................................................................................................................. . Maximum String Length(Power Optimizers) 25 25 50 — Up to 25%more energy ...................................................................... Maximum Power per String 5250 6000 12750 W - Superior efficiency(99.5%) ............................................................................................................................................................................ Parallel Strings of Different Lengths or Orientations Yes - Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading """"""""""""""""""""""•'"""""""""""""""""""""' "..... - Flexible system design for maximum space utilization — Fast installation with a single bolt ' — Next generation maintenance with module-level monitoring — Module-level voltage shutdown for installer and firefighter safety USA - GERMANY - ITALY - FRANCE - JAPAN - CHINA - ISRAEL - AUSTRALIA www.solaredge.us ' THE Trtmamount MODULE TSM-PD05.18 Mono Multi Solutions DIMENSIONS OF PV MODULE ELECTRICAL DATA @ SIC unit:mm Peak Power watts-Pwrx(Wp) • 245 ( 250. 1 255 260 941 Power Output Tolerance-Pwsx(%) 0-+3 THETamount Maximum Power Voltage-VMr(V) 29.9 30.3 ) 30.5 30.6 nN eox Maximum Power Current-l-(A) 8.20 8.27 8.37 8.50 1 _ _ ��*E o 1 Open Circuit Voltage-Voc(v) � 37.8 i 38.0 38.1 I 38.2 11 Short Circuit Current-Isc(A) 8.75 8.79 8.88 9.00 ' - wsrurmcrmEE n II MODULE g +Module Effince 10 0 W qm(%) .Air L 15.3 - I 14-3 � 15.9 SIC:Irradiance 1000 W/m',Cell Temperature 25"C.Air Mass AMI.S according to EN 60904-3. t Typical efficiency reduction of 4.5%at 200 W/m7 according to EN 60904-I. 0 0 I ELECTRICAL DATA®NOCT 6 0 Maximum Power Volt (Wp) 1 4182 1 186 8.1 T 193 CELLMaximum Power Voltage-V.,r(V) , 27.6 28.0 28.1 28.3 I MULTICRYSTALLINE MODULE �°"a°""°�`"° A A Maximum Power Current-l-(A) j 6.59 I 6.65 j 6.74 ) 6.94 rr. Open Circuit Voltage(V)-Voc IV) 35.1 35.2 35.3 35.4 WITH TRINAMOUNT FRAME Short Circuit Current(A)-Isc(A) 7.07 ! 7.10 t 7.17 7.27 NOCT:Irradiance at 800 w/m'.Ambient Temperature 20"C.Wind Speed I m/s. PD05.18 245-260W Btz 180 Back View POWER OUTPUT RANGE MECHANICAL DATA Solar cells _Multicrystalline 156 x 156 mm(6 inches) Fast and simple to install through drop in mounting solution Cell orientation 60 cells(6 x 10) ' Module dimensions 1650 x 992 x 40 mm(64.95 x 39.05 x 1.57 inches) 15.9% Weight 21.3 kg(47.0 IDS) i MAXIMUM EFFICIENCY Glass 13.2mm(0.13 inches),High Transmission,AR Coated Tempered Glass ! A-A Backsheet White Good aesthetics for residential applications Frame Black Anodized Aluminium Alloy with Trinamount Groove ® 1 J-Box IP 65 or It 67 rated 0 IrV /��0 I-V CURVES OF PV MODULE(245W) ` v( f r Cables Photovoltaic Technology cable 4.0 mm'(0.006 inches'). POWER OUTPUT GUARANTEE 10m ++' + 12pe mm(47.2 inches) 9.m w{ r ire Rating Type 2 I Bm t700W/m' Highly reliable due to stringent quality control , a 6m • Over 30 in-house tests(UV,TIC,HE and many more) m s.m As a leading global manufacturer • In-house testing goes well beyond certification requirements 4.m 40BW/m' TEMPERATURE RATINGS MAXIMUM RATINGS tt of next generation photovoltaic am Zaow/mr Nominal Operatin Cell y Operational Temperature I-40-+g5°C 2m g 44°C(+2'C) l products,we believe close I m Temperature(NOCT) Maximum System 1000V DC(IEC) cooperation with our partners I O.m Temperature Coefficient of Prux -0.41%/°C ( Voltage 1000V DC(UL) is critical to success. With local am tam 20 30m 4gm 4 presence around the globe,Trina is Vol tage(v) Temperature Coefficient of Voc -0.32%/°C r Max Series Fuse Rating `15A able to provide exceptional service Temperature Coefficient of Isc _0.05%/-C to each customer in each market Certified to withstand challenging environmental t and supplement our innovative, conditions reliable products with the backing • 2400 Pa wind load WARRANTY of Trina as a strong,bankable • 5400 Pa snow load f I partner. We are committed ( 10 year Product Workmanship Warranty i to building strategic,mutually 25 year Linear Power Warranty beneficial collaboration with i � installers,developers,distributors (Please refer to product Warranty for details) a • and other partners as the backbone of our shared success in 11 `� t CERTIFICATION driving Smart Energy Together. LINEAR PERFORMANCE WARRANTY PACKAGING CONFIGURATION 10 Year Product Warranty•25 Year Linear Power Warranty farm °Spy Modules per box:26 pieces F Trina Solar limited A Modules per 40'container:728 pieces_ 1 www.trinasolor.com V00% r AddJHonal value 1 EU]B wEEE I +{I o am Trina corm n 0 90% SOlpr s linear warronh, • CAUTION:READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT, tFNP4rim o Tr�nasolar a 2014 Trino Solar Limited.All rights reserved.Specifications included in this datosheet are subject to Trinasolar BB% change wfih°et°°°° Smart Energy Together f Years s la is 20 25 Smart Energy Together ve • L _ _ ■Trina standard ■ Industry standard THE Va'amount MODULE TSM-PD05.18 Mono Multi Solutions f DIMENSIONS OF PV MODULE ELECTRICAL DATA®STC ' unit:mm t Peak Power Watts-Pe (Wp) 250 255 260 T 265 1 • _ 941 _ t (Power Output Tolerance-PMaxI%) 0-+3 {I • THE Try na m o u n t I 30.8 Maximum Power Voltage t-Imp(V) 30,3 ; 30S 30,6 i 8.61 x ruxcrmn o eox Maximum Power Current-IMvv(A) 8.27 8.37 8.50 8.61 tM_E - u' Open Circuit Voltage-Voc IV) 38.0 t 38.1 � 38.2 i 38.3 0 wsrnuwc�aF Short Circuit Current-Isc(A) 8.79 8.88 9.00 9.10 i MODULE Module Efficiency (%) I .Air ^ 15.r _! 159 16.2 STC:Irradionce 1000 w/m'.Cell Temperature 25°C Air Mass AM1.5 according to EN 60904-3. Typical efficiency reduction of 4.5%at 200 w/m'according to EN 60904-1. 0 0 ELECTRICAL DATA®NOCT Maximum Power-P-(wp) T 186 t 190 r 193 ( 197 I 60 CELL Maximum Power Voltage-Vw IV) 28.0 28.1 28.3 28.4 ' MULTICRYSTALLINE MODULE Maximum Power Current-IMvv(A) { 6.65 � 6.74 f 6.84 I 6.93 4s 43 arourrowc HaE PD05.18 A A )Open Circuit voltage(V)-Voc IV) 35.2 35.3 35.4 35.5 WITH TRINAMOUNT FRAME r:_eMM-LE I short Circuit Current(A)-hc(A) zto y 7.17 zv 7.35 NOCT:Irradiance at 800 W/m'.Ambient Temperature 20°C,wind Speed 1 m/s. 250-265W 812 ,BD Back view MECHANICAL DATA POWER OUTPUT RANGE solar cells j Multicrystalline 156 x 156 mm(b inches) Cell orientation 60 cells(6 x 10) 1 Fast and simple to install through drop in mounting solution Module dimensions }1650 x 992 x 40 mm(64.95 x 39.05 x 1.57 inches), f 1 6•� c Weight 19.6 kg(43.12lbs) o ``Glass 3.2 mm(0.13 inches),High Transmission.AR Coated Tempered Glass MAXIMUM EFFICIENCY IBocksheet +White A'A , Frame Black Anodized Aluminium Allay Good aesthetics for residential applications I I ®. I i J-Box IP 65 or IP 67 rated wA •Cables Photovoltaic Technology cable 4.0 mm'(0.006 inches'), 0 lti+3 '1200 mm(47.2 inches) I-V CURVES OF PV MODULE(26OW) Connector H4 Amphenol POSITIVE POWER TOLERANCE 4.40 I - s., saoovr°a Fire Type l UL 1703 Type 2 for Solar City. Highly reliable due to stringent quality control ; &� fI • Over 30 in-house tests(UV,TIC,HEand many more) 7.W As a leading global manufacturer { iI • In-house testing goes well beyond certification requirements a 600 Env TEMPERATURE RATINGS MAXIMUM RATINGS of next generation photovoltaic ! • PID resistant se, r .` - t products,we believe close 3 4.0o Nominal Operating Cell j q4°C(32°C) Operational Temperature .-40-+85°C i Temperature(NOCT) - cooperation with our partners AW I Maximum System IOOOV DC(IEC) is critical to success. With local �.°o Temperature Coefficient of Petra -0.41%/°C + Voltage 100aV DC(UL) I presence around the globe,Trina is l °D Temperature Coefficient of Voc I-0.32%/°C ;Max Series Fuse Rating i 15A _ able to provide exceptional service °0° i o +o zo 30 4o w Tem erature Coefficient of Inc 0.05%/°C Ik to each customer in each market ' Certified to withstand challenging environmental �_ P � __ { and supplement our innovative, ( conditions P•lw.ln 11 reliable products with the backing i ® 2400 Pa wind load of Trina as a strong,bankable WARRANTY partner. We are committed • 5400 Pa snow load ) to building strategic,mutually CERTIFICATION 10 year Product Workmanship Warranty beneficial collaboration with � 25 year Linear Power Warranty - installers,developers,distributors ° UL m ca- (Please refer to product warranty for details) N` and other partners as the N backbone of our shared success in i"0 1 driving Smart Energy Together. ; 4 LINEAR PERFORMANCE WARRANTY ® 2 t EU30wEEF PACKAGING CONFIGURATION a 10 Year Product Warranty•25 Year linear Power Warranty S coMVEw r Modules per box:26 pieces z i Trina Solar Limped www.trinasolaccom Modules per 40'container:728 pieces �J ww 4 � ;,loons - '- AddlNonol volue a90% Bahl Trino Sojor's❑near Warran < CAUTION:READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT. OHPAl y E xB Trinasolar ! Trinasolar change wit Solar notice. All rights reserved.Specifications included in this dotosheet are subject to O 8096 change without notice. I Smart Energy Together f Years s to is 20 zs Smart Energy Together dye OMPP '! L _ ___ ■Trin-sond-rd ■ Indu-suyytandard _��,f _ =ee soIar ' • • Single Phase Inverters for North America soIar SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ SE760OA-US/SE1000OA-US/SE1140OA-US SE3000A-US SE380DA-US I SESOOOA-US SE6000A-US I SE760OA-US I SE10000A-US I SE1140OA-US OUTPUT 9980 @ 208V SolarEdge Single Phase Inverters Nominal AC Power Output 3000 3800 5000 6000 7600 10000.9240y 11400 VA 5400 @ 208V 10800 @ 208V Max AC Power Output 3300 4150 6000 8350 12000 VA North AA - . . .. ..... .... ..... ......5450 @240V ......... ... ...... ........10950.�41.240V. ...... ................. F '•0 `h America AC Output Voltage Min:Nom.MaxPi 183-208-229 Vac SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US./ ...Outp.... ......Min.-Non.Ma.... ................ ................................................ ............................................................... AC Output Voltage Min:Nom:Max.l'I � � � � � � � • Vac SE760OA-US/SE10000A-U8/SE1140OA-US 211.240;264................... .. .............. ............ 59.. 60-6.. .ithHIc.untr.setting ....-60-.... ............. ......... . .. ...... AC Frequency Min.:Nom:Max.Irl.. 59.3-60-60.5(with HI country setting 57. . :60.5) Hz Max.Continuous Output Curren[...... .....12.5......I......16......I...21 @ 240V...I.......25......I......3?.......I...42 @ 240V...I.......47.5...........A..... _ GFDI Threshold Utility Monitoring,Islanding Protection,Country Configurable Thresholds Yes Yes t INPUT \overfa� Maximum DC Power(STC) 4050 5100 6750 8100 10250 13500 15350 W Transformer-less,Ungrounded Yes Y11= ` LJ t Max.Input Voltage................... .........................................................500......................................................... ...Vdc.... jests I Y'18Ra i ..Nom.00.lnput Voltage............... .................................:.:........325 @.208V_/.350 @ 240V........................:.................... .Vdc..*.. . - "fie h°� Max.Input Currentf'I 9.5 13 18 23 34.5 Adc ........................................... ................I...............I.15:5.�°.240V..I................I................I..30S•�41.240V............................... Max.Input Short Circuit Current 45 Adc aReverse:Polarity,Protection............ ................................................. .......Yes......................................................... ......... Ground-Fault Isolation Detection 600ko Sensitivity ... -- ..Maximum Inverter Efficiency.......... .....97.7... ....98.2.... ....98.3..........•98.3•.•.. ......95...............98'..... ......98...... ..%..... ........................................... ................I...............I.998 @,40y..I................I................. 97 @ 208V...I......................�...... CEC Weighted Efficiency 97.5 98 97.5 97.5 97.5 240V 97.5 .G Nighttime Power Consumption <2.5 <4 W ADDITIONAL FEATURES i Supported Communication Interfaces R5485 RS232,Ethernet,ZigBee(optional) Revenue Grade Data,.ANSI C12.1.... Optionallri..................................................... • ........................ ...............:. ....................... ....... .................. ............ .......................... . Rapid Shutdown-NEC 2014 690.12 Functionality enabled when SolarEdge rapid shutdown kit is installed)°I STANDARD COMPLIANCE f Safety................................... ........................................UL3741,UL1699B,UL3998,CSA 22:?....................................... ............. Grid Connection Standards IEEE1547 ........................................... .......................................................................................................:............................. - --- Emissions FCC part15 class B -- f� i INSTALLATION SPECIFICATIONS size/.AW.Gra a.. 4'minimum/16-6 AWG 3. /4"minimum/8-3 AWG ......... DC input conduit size/#of strings� / 3/4"minimum/1-2 strings 3/4"minimum/1-2 strings/16-6 AWG t AWG,rang@........... .14-6 AWG........................ I 1 Dimensions with Safety Switch 30.5 x 12.5 x 10.5/ in/ 30.5 x 12.5 x 7.2/775 x 315 x 184 775x315x260,•,,,,,,,•...mm..,, ' - ................................ ........................................................................................................ . ... Weight with Safety Switch............. .....:....SS 2/23:?..........I................... .... .24.7.. ............................88.4/,40.1.............Ib..kl;... • _ Natural convection Cooling Natural Convection and internal Fans(user replaceable) fan(user The best choice for SolarEdge enabled systems .................................. `gplaceabie)................................................. .. ......................... .. Noise <25............................... ........................ 50...........................dBA.... ........................................... :................................... - Integrated arc fault protection(Type 1)for NEC 2011690.11 compliance Min:Max.Operating Temperature -13to+140/-25to+60(-40to+60 version availablefs)) 'F/-C - Superior efficiency(98%) RanB?................................... ................................................................................ .................................................... Protection Rating NEMA 3R Small,lightweight and easy to install on provided bracket ......erne.nalset..gs ..pleasecont ttSola..ee.upport.............................................................................................................................. For �A higher anent source may be uud;the inverter will limit its input current to the values stated. - Built-in module-level monitoring pl Revenue grade inverter P/N:SEAom"S000NNR2(for 7600W Imen SE7600A-US002NNR2). 19 Rapid shutdtmn kit P/N:SE100D•RSC-S3. - Internet connection through Ethernet or Wireless - �-40 version P/N:SElcomA-1.15000NNU4(for 760DW ImerterSE7600AL5002NNU4). Outdoor and indoor installation - Fixed voltage inverter,DC/AC conversion only - Pre-assembled Safety Switch for faster installation - Optional-revenue grade data,ANSI C12.1 RoHS USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-ISRAEL www.solaredge.us • _"T-= volt ' . ELU LLU =.. i ' F jL V, �`; _._..._...._�o-wdTlow► `:GEET-E1�e710N :F801-M-ELEVAZIIIf.I s.:ro'ennc,115 rusut_. w._ccq•ar. SMOKE DETECTORS O.K. , i Ff BARNSTA LE ILDING DEPT. " r r i scw7 w ., 1 w -- -6191 508-428 - ;, evlin custom t o esigns ILL f! lei -T— Copyright o 2 1 ! `o Ilk-ciff �� Res reeds ^ 4 "� 1 1 fir♦---- �� ^ O f ' wMir .. I ! FOtJNbAZ1CKl`.PL11AL-: _F1ft&T._.FGGX itAf.l - 1 preliminary Plans and layouts by DC.D.are for the use of their customers Only Any other use Is strlctty prohibit . -c acatccKtW �. 'RsR1111si-SNM4LE4.--�_......:::_" tW4�3M'Yi'•.S .... .._ � .. � ..: - . .__........... . 9 r OFF(r C! 'r►.'d�. . i - s. t:*sarse►ti i uE\v r)e.CK.C?4•a3) I t .��.[71Mi1hro.a vxBri srase wte j of ste'�tmxenmG�S /li'Iiwe6 llttlerQ' . 7 � 508.448.6191 o eviin M @Ustom. o esigns '' eitsbTwcj nwttseo:Rwsutwr, iRa.ftrp gW�LC.eatsY�l copyngntO2M w ' All R�gnts �s bafs�•� Reserved 1 I� 1 i r4W ee I • �5 �_ ,'. 1�.. ___— a nsT _ � .TASK 6(�SIQN[T.i�.F4'�.� � _ q 1 ' --1��• tar tt�. �+so.�o..n--n+taai t 1, C ITS-o.,s�s�, ".•.._ ii _ AZ. Zj Preliminary plans and layouts by nt.O.are for the use of their customers Only-Any otner�use is strictly pronlelt � � ' UT11 UT111; ra 004 ::LEFT-ELEY�.TION FSOAIT_:ECEVA2ICi:1 .es:tusus_. - SMOKE DETECTORS O.K. - rt.:d 14slo' i '�IJQ � �- BARNSTAB E B ILDING DEPT. "" SECTION:-iS-b. ts du 508-428-6191 ; i a i .S'lA1NL.:SPIleIIGE. eviin .: - custom , AAc'`�. esigns copyright p 2W1 All Rights ® 11 ^0 Reserved � f37MLCdlCtllal � 'CYLaaVLC— � j� { '_�..`- -. } �,, w — 4 �r� I� i 1 O •! �i�4--•- �•ssalwnla.. i � - . MUM+r:r I sa FOtJ�II]A ICW-'.PLAP�L-.":.::_.._._. PUW Al t " . Preliminary plans and layou4 py QCA.are for the use of their customcrs Only"Any other use is strictly prohibit i PA.Slim" );0..FAGV.4 TL` 1 - ,x r -6DFF lT C! '�►.ems). .. -a*VMS" — ISEw t�ECK.C!�ao� • I j' Y. scow 3r _are-�mccs s wt[ \ 508.428.6191 ' o eviin r @UStOm. a esigns. mur•11eD IlLAM tMt�. ya.fa.REGlttw�9t.ewW� . . .. - cpyugnt 8 2000 . . •ia All R,gnts 2 Reserved . . _ J ii .srEa=t R.AAtFS80gLo �., t l oar � c A2 Z �'�.—_"'-""'---'-••—'--------" Preliminary plans and layouts by DC.D are for the use of their customers only.Any other use it strictly Prohibit PLAN SHOWING PROPOSED ADDITION ' PREPARED FOR DOROTHY M. HUGHES i 300 PLEASANT PINES A VENUE, BARNSTABLE, MA i PN OF4I , SCALE 1 " = 40 ' JANUARY 18, 2001 PARUyN CANAL LAND SURVEYING RYLL m 306 OLD PL MOUTH ROAD, SAGAAIORE BEACH, MA c. No.32448 a PROJECT NUMBER 01-005 SURv DA TE PROFESSIONAL LAD -31JIMEYOR j f a f Co S �O p Zx S 8116.5.t • E "V Q lf390P, I IAOD: , �A � Q' o 1. 47f Acres o ul v 9.20 a W N BB°04 036 e ke 206. 86 83 � 63 12•�� XIST. �v t; v1 4J yr ;250:9B