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Home My WebLink About0126 ARROWHEAD DRIVE I t I TOWN OF BARNSTABLE Building 201500568 : BA MASS. Issue Date: 09/13/15 LE. : Permit . " prF0139. at Applicant: MONTEIRO,PETER M Permit Number: B 20152476 Proposed Use: SINGLE FAMILY HOME Expiration Date: 03/12/16 Location 126 ARROWHEAD DRIVE Zoning District RB Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 271122 Permit Fee$ 50.00 Contractor PROPERTY OWNER Village HYANNIS App Fee$ 50.00 License Num OWNER Est Construction Cost$ 0 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND TO FINISH BASEMENT,2 STORAGE ROOMS,BATHROOM,PLAYRO M,THIS CARD MUST BE KEPT POSTED UNTIL FINAL AND LAUNDRY 1 ST EXTENSION TO EXPIRE 3/12/2016 INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: MONTEIRO,PETER M BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 21 STEERE WAY INSPECTION HAS BE ADE. MARSTONS MILLS„MA 02648 Application Entered by: DB Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON P LI PERTY,NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC`YORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. - - - MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: I.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF,CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 11--9• Rfa9m ov sT/t/R5 , �F / o /7)e/A4— 2 2 2 3 1 Heating Inspection Approvals Engineering Dept t Fire Dept 2 Board of Health ' - tDo �od'ZA � ti�� fF fix. F S Afo Lij c5�$� �6 t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 11) 4 2 Map Parcel Application_# _D Health Division Date Issued 3 Conservation Division Application F Planning Dept. Permit Fee 5 S c Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street`Address Al f®c )de7AD any Owner A 24MAi X DO A Address .Telephone-: � j E) Z';60=.2 6 g _Per_mit_Request'�6 (r1W_S 2AIAR9e,(k IF Square feet: 1 st floor: existing iaAO—proposed 0,Q) 2nd floor: existing proposed Total new Y. Zoning District Flood Plain �G,,roouundwater Overlay rFroject Valuation Construction Type�' &1 Lot Size �*�, , C/ 'J �l Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes lkNo On Old King' ighway:yr❑Y6sP ❑ No Basement Type: Full ❑ Crawl Walkout ❑Other A Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new 4M Number of Bedrooms: existing —new Total Room Count (not including baths): existing )-A new First Floor Room Count Heat Type and Fuel: ❑ Gas NOil ❑ Electric ❑ Other ` Central Air: ❑Yes NNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name fk ) t0J Telephone Number Dg/ mo d-(61� Address—_ tA({(0U3 !S)( License_# Home Improvement Contractor#_ Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY ,APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE i OWNER DATE OF INSPECTION: FOUNDATION FRAME o A , INSULATION FIREPLACE w ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL i FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f The Commonwealth ofMassachuseftr . z - ' Department oflndusfi-ia[Acc idents Offrce of brvestigations 600 RWashhwon Street Boston,MA 0211I www.muss gov1&a Workers' Compensation Insurance Affidav&.r Builders/Contractors/Electricians/Plmmbers Applicant Information Please Print I.e:ribly Name(Business/organizadon/IndividuaI): �)�I I� !�CJI�� 0 C1"F�" • v - -Address:- ' City/�fate%Zip: Phone#: 360 Are you an employer? Check the appropriate bow Type of project(required); l.❑ I am a employer with 4~(].I am a general camractor and I employees(full and/or part tone). have hired the sub-contractors 6 ❑New construeiion 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑RenZodeling ship and have no employees These subcontractors have 8. Demolition working for me in any capacity, employees and have workers' [No workers'comp.iomnance comp.ffi=dnce_T 9. ❑Building addition . —_ required] 5. We are a corporation and its 10.[Electdcal repairs or additions �3 I am a homeowner doing all work officers have exercised their- 11. IPlmnbing repairs or additions ; Yself [No wodcers'comp. right of exemption per MGL 12_❑Roof repairs insurance required]t c. 152, §1(4),and we have no employees.[No workers' I3.�Otlier cancp.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 anew affidavit indicating such_ Z-tcoatractors that check this box must aitiched id a,dditioaal sheet showing the na'e of the sub contracfirs and state whether or not those catities have al!-Wo as. If the Ad).-contractors have employs,they mast provide their workers'comp.policy amber, I a n arz employer that is providing workers'compensation insurance for my employees Below it the po£icy anri job site info rmnLon. Insurance Company Name: n Policy#or Self-ins.Lic.#1 Expiration Date: rob site Adc{ress: 1 6 cdl({ d1 As) �l Cityist&ziP:.}T �, -MA S DI Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Fa>Irre to secure coverage as required render Section 25A of MGL c• 152 can lead to the imposition of criminal penalties of a fine up to$1,50.0.00 and/or one-year imprisonment as well as civil penalties in the fort of a STOP WORK ORDER and a foe of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify airs penalties of perjury that the information provided above it true and correct S% ature: Phone#: ' Official use only. Do not write in this area to be completed by city or town 007ciaL , City cr Town: PermirtlLicense# Issuing Authority`(circle one): 1.Board of Health 2.Building Department 3.CityfTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts G& eral Laws chapter 152 requires all employers to provide workers'compensation for their employees. PursuanttA this statute,an enployee is defined as"_..every person in the service of another tinder any contract of hire, express or implied,oral or wriftm." 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 occapant 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, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant-who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insuranCO._ requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the worker' compensation affidavit completely,by checlang the boxes that apply to your sitnation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s) along with their certificats(s)of incr=ce. Limited Liability Companies(LLC)or Limited Liabiity Partnerships(LLP)with no employees other than the members or partners,are not required to carry wormers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit maybe sub 'muffed to the Department of Industrial Accidents for confnmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be ret=ed 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 Iaw or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials T • Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant_ Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple penmt/limnse applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Ad 1Lress"the applicant should writs"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as 'proof that a valid affidavit is on file for fixture permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i-e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call- The Department's address,telephone and fax nwnber. T_hG-Coommomwe-alth of Massachusetts Department of Industrial Accidents office of kve3Vgati=S 600 Washington Strut Boston,MA 02111 Tf,-I.#617 727-4900 ext 406 or 1--977-MASSAFE Fax#617-727-7744 Revised 4-24-07 www.mass_govldia I . Town of Barnstable y, Regulatory Services od ��oFzxe roiyy Richard V.Scali,Director ° Building Division anaxsznaM * Tom Perry,Building Commissioner i63vS. 200 Main Street, Hyannis,MA 02601 RFD IVIA't R www.town.barnstable-ma.us Office: 508-862-4038 Fax: 508-790-6230 n An � ( HOMEOWNER LICENSE EXEMPTION .r_� DATE: �x� I Please Print r` .r q • `-10B-LOCATION- ' n�f1 t i� &0 i�4D �� 14 A4NJ 1 /number sheet village %"HOMEOWNER': .� Ill I n? r 12iE ( 360 �2 I6 ' name h/oor a phone# "/ work phone# CURRENT MAILING ADDRESS: _ 1�11A nLAIi� city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection ro e quire is and that he/she will comply with said procedures and requirements. /Signatrue omeeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shaU be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner -engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q;RuIes &Regulations for Licensing Construction Supervisors,Section 2.1S) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In'this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fuIIy aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community.. QAWPF=\FORMS\building permit fbrras\EXPRESS.doc Revised 061313 Town of Barnstable } Regulatory Services BAIMSTAMIX MIUNI Richard V.Scali,Director i639. & Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, �� , as Owner of the subject property hereby authorize to act on my behalf, ti in all matters relative to work a orized bythis uilding permit application for. (Ad ss o ob) "Pool fences and are the respo 'bifityof the applicant. Pools are not to be filled r utilized before fen is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q TORMS:O WNERPERMISSIONPOOLS Town of Barnstable *Permit#Zd 1562 ql!� Fapires 6 months from issue date r : Regulatory Services Fee + BAIMSTMU. Richard V.Scali,Director Building Division 1"�'RESS PERMIT Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 �UN 2 201 www.town.bamstable.ma.us 5 Office: 508-862-4038 - TOWN OF &Arilvo i�3t°. EXPRESS PERMIT APPLICATION - RESIDENTIAL-ONLY J C Not Valid without Red X-Press Imprint Map/parcel Number Property Address - (dV W(OdIME— D (EX Residential, Value of Work$ r9 .SO('>' Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ( — 't&1fWj 0—A Cj jtly Contractor's Name Telephone Number 5d_L 0 2 q Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance A Check one: ❑ I am a sole proprietor ` ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name . Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ;54e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to •q - � Lt� ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side `Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is f required. ` SIGNATURE: Q:\WPFILES\FORMS\building permit forms EXPRESS.doC Revised 040215 f ' I , f Ile Comiiommahth ofMassadjusetts I wtnant o,f Industrial Accidews Off'we of In+ fikations 600 Washington Street Boston,MA 02111 nwm,atassgvvldia Workers'iCampensatian Insurance Affidavit-Buflders/Gantract+ais/Eiectricians(Plumhers Applicant Information Please Print LeU'bIy Name t l/c� ar A- 6o2l 61 Are you an employer?Check the appropriate box: Type of project(required): LEI❑ I am a employer with 4. ❑ I am a general contractor and I employees(fall a�lor part-time). * have hired the sub-contractors 5_ ❑New won 27❑ I am a sole proprietor or paatoer- listed on the attached sheet. 'I_ ❑Remodeling ship and have no employees These mb-contractors have g_ ❑Demohticn wcddng for me in any capacity employees and have wodcers'. 9. ❑Building addition [No wodoers'comp-instuanre comp_tnsurance_l d 5_ ❑ We are a cmporaticn and its 10_❑Electrical repairs or additions lax officm have exercised 1I_❑Plumbing/3.�am a homeowner doing all work umbmg repairs or additions myself£[Noworkers'comp- rightof exemption per MGL 12.❑Roofrepairs incur-anre -]T e_152,§1(4),and we have no employ-[No workers' 13.0 Other comp_insur=ce required_I •fury appficanf eiat rher s box#I must also fill out the section below showing gnu workers'compensi au.Palie-r information. Homeowners Who submit this affidime umbmting they ate doing all wok and alien hie outs de conusats msi submit a new afdsvit indicating sari ZCon mct=that rb-1c this boa:must stumhed an nddvinnal sheet dumiag floe same of the sub-camdiscross and state whether ornot ffiose eafitees ham employees. Iftbas T&-=factor bane emplagees,&eymustprovide their workers'comp.policy number. I am an employer that isprmiding workers'compensation insurance for my employees. Bebiv is tiiepoTi y and job site infornraa0ft Insurance Company Name: Policy#or Self-ins.Ile_4- Expiration Date: Job Site Address: Cityfstatelzip: 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 2.5A of MiGL c_ 152 can lead to the imposition of criminal penalties of a fine up to$1,500:00 andror one-year imprisons as well as civil penalties in die form of a STOP WORK ORDER and a fine of up to$230_00 a day against the violator. Be advised that a copy of this statement may be forwarded to 9M Office of lmtestig;e":n-of the DIA for insurance coverage verification. Idb era hj5 a er irs penalties ofpe uly�thatthe information provided abom is -e and correct attrre:. Date: i!S Phone#: Of�`tcial use only. Do not av ite in this area,to be completed by city or torn offi at City or Town: PermitlLicense if Issuing Authority(circle one): 1.Board of Health 2.BuMling Department 3.Cityffown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone It: F h r 1J t OEVET Y. � BARNSTABM ,0� Town of Barnstable ATED MP'I A . Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO . Building Commissioner _ 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us- Office: 508-862-4038 f f --Fax: 508-190-6230 Property Owner. Must Complete and Sign This Section If Using A Builder I 'I I�1J �1►� �� ,as Owner of the' subject io e e 1 P p riY hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: r a (Address of Job) Signature of Owner .Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. ... Q:IWPFILESTORMSIbuilding permit formsEXPRESS.doc Revised 040215 , Town of Barnstable Regulatory Services 'THE t° Richard V.Scali,Director Building Division * STABLE . ' Tom Perry,Building Commissioner MASS 9 1639. � 200 Main Street, Hyannis,MA 02601 �pTFD www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 q 2 Jn�/ HOMEOWNER LICENSE EXEMPTION DATE: o 6�d�"J/�lJ l 5 1,,r,, Please Print .p� JOB LOCATION 1 d2 f�LOPN Z—kQ `� 26�rA 22lJ�� number street village / "HOMEOWNER": �� name home phone work phone* CURRENT MAILING ADDRESS: �t�.l� Af, c,-031Q city/town state zip code P The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection roldures nts and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 Parcel Detail Page 1 of 3 I i pk c� t w g r� 8 Logged In As: Parcel Detail Tuesday,June 23 2015 > Parcel Lookup Parcel Info Parcel ID 271-122 � ..I DeveloperLot Location 126 ARROWHEAD DRIVE ~�� Pri Frontage[70 I Sec Road _ Sec I �.I Frontage i- �• Village HYANNIS __ - �I Fire District HYANNIS Town sewer exists at this address NO I Road Index 0039 Asbuilt Septic Scan: Interactive ^, 271122_1 Maps Owner Info_ owner�SOUZA,WELLINGTON C&SAMANTA J _I Co-owner Streets 126 ARROWHEAD DRIVE I Street2 city HYANNIS �� State MA zip 102601 Country Land Info zoning NghbdAcres 10.227 useFiWge Fam MDL-01 0104� Topography Level I Road Paved I utilities Public Water,Gas,Septic I Location( I Construction Info Building 1 of 1 Year(1970 �I Roof Gable/Hip I Ext Wood on Sheath I Built! Struct Wall Living[1040 ( Roof Asph/F GIs/Cmp� AC Area Cover jNone =� Type Style Ranch Int D wall Bed 2 Bedrooms Wall ry Rooms - ' � s., Int Bath Model Residential I Floor Carpet _ I Rooms 11 Full-0 Half' I r =M Grade Average Minus �) Type Total Hot Water ( Rooms F4 Rooms �I ffit u. Heat Found Stories 1 StOry I atn -!Poured COnC. I Gross I2280I Area Permit History http://issgl2/intranet/propdaia/ arcelDetail.aspx?ID=20510 6/23/2015 f Town of Barnstable Regulatory Services THE Tp� o Richard V.Scali,Director Building Division �nxxsresi.s. * - Mom• Tom Perry,Building Commissioner 9 1639. a`�g �10TEo 't 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION �— Date.6�/� i , l p C Name; 1 I"l J -�OIV SI�Q l2 Phone#: c 0 Address: (A 0aJ E("D D( Village:lil-�4(d) _ Name of Business: 2A i (k) / t Type of Business:qA I t k)01 —Map/Lot: ( / INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. ; • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no sto6ge or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary�Home Occupation,and not within the required front yard. There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to"exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to 'exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. , • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the:un7der2�*�d,have read and the above restrictions for my home occupation I am registering. n Appli Date C Homeoc.doc Rev.103113 YOU-WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years): A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. 4 DATE:4. 16 ), Fill in please: RIA W.P ltf� t� 'f"� - APPLICANT'S YOUR NAME/S: /U �N 7ii4 BUSINESS YOUR HOME ADDRESS: TELEPHONE # Home Telephone Number iYIE:OF;CORPORATI,ON - - _ .. NA ME OF;:NEWBUSINESS � TYPE OF BUSINESS IS;THIS A'HOME°,OCCUPATIONS ADDRESS OF.,BUSINESS t i MAP/PARCEL NUMBER (Assessing) y When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO_TO 200 Main St.-- (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO MISSIO ER'S 0 j1pelrit This individual in r, e requirements that pertain to this type of business.-`' ut oriz i at OMMENTS: !` — k - ; 2. BOARD 0 HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 7/ Parcel / Application # Health Division Date Issued 2—Z" Conservation Division Application Fee �. Planning Dept. Permit Fee l ` u Date Definitive Plan Approved by Planning Board Historic - OKH AO _ Preservation / Hyannis Project Street Address Za6 jql' D-OW`1P1,td z9l' Village #Llalln%5 Owner__! iinm* 50UZCi Address ./26 a eAd nr Telephone 500- 360-,2/6,3 Permit Requestl/ISfA& S/0�� ,oa�els O�'I /ZV/ P�lSf7r /Ia' l� i cc�U v G,.c G/�ICII G�DA�/Ca C6 fG ,6L,4 /Cif, �' !/! '/�� v17�► �7on�P P��C/�-�G� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain �^ Groundwater Overlay Project Valuation 0 AV Q� Construction Type IS Lot Size Grandfathered: ❑Yes t"U No If yes, attach supporting documentation. Dwelling Type: Single Family IU' Two Family ❑ Multi-Family (# units) Age of Existing Structure KY 6. Historic House: ❑Yes ErNo 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: 0 Gas n�❑ Otr ❑ Electric ❑ Other Central Air: ❑Yes —❑ Nonti fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: I-existing04LI-Rew size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size — Attached garage: ❑ existing Ilb-frew size _Shed: ❑ existing ❑ new size _ Other Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ 01 Commercial ❑Yes ❑ No If yes, site plan review# Z ` Current Use /'LDS/ C/tfl Proposed Use ClLaand,, I APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name S�ate, Cor /�i�0� Telephone Number 7fr/- 21!1 Address&d Coralwk f l-t^ Q,� Oo?d ya License # CS 10760 &,!�rbn 1�2k Home Improvement Contractor# AM5 72- Email Pk�a�111 9Jar?1Xe.norm Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOES 5dl�G' i SIGNATURE DATE / !.� FOR OFFICIAL USE ONLY -APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT .� ASSOCIATION PLAN NO. 4 ' The Commonwealth of Massachusetts Department of Industrial Accidents Office oflnvestigations • , 1 Congress Street,Suite 100 ` Boston,MA 02114-2017 f www massgov/dia w ' Workers' Compensation Insurance Affidavit: Builders/Contractors/Electiricians/Plumbers Applicant Information Please Print Legibly Nam-e(Business/Organization/Individual): SolarCity Corporation Address:3055 Clearview Way City/State/Zip.San Mateo, CA 94402 Phone#:888-765-2489 Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 7000 4. I amp a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have.no employees These sub-contractors have 8, Demolition= ' and have workers' to working for mein any capacity. employees y 1 9.: Building addition [No workers' comp.insurance comp. insurance. required.] 5. 0 We arc a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or.additions myself. [No workers' comp. right of exemption per MGL .12.E Roof repairs• l insurance required]t c. 152,§1(4),and we have no 13.©Other Solar Panels r employees. [No workers' comp. insurance required.] j . *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 thea 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., I am an employer that is providing workers'compensation insurancefor my employee& Below is the policy and job site . information. :r Insurance Company Name:Liberty Mutual Insurance,Company ` Policy#or Self-ins.Lic. #:WA7-66D-066265-024 - Expiration Date:09/01/2015 Job Site Address: �a to t�/�G!,[C�q City/State/Zip: Alc,14 413_ In�t. Oa6 0� Attach a copy of the workers' compensation policy.declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,.as well as civil penalties in the form of a STOP WORK ORDER and a fine- of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. { I do hereby certify under the pains.and penalties of perjury that the information provided above is true and correct. Si6ature ✓1�- ,��4a�.��7z Date: /1a31gq(s :Phone#: 7818167489 A Official use only. Do not write in this area,to be completed by city or town.offtcial. , City or Town. Permit/License# A . Issuing Authority"(circle one): 1.Board of Health 2.Building Department 3.City[Town Clerk 4.Electrical Inspector 5.Plumbing Inspector r 6.Other* . Contact Person:' Phone#: A��® CERTIFICATE OF LIABILITY INSURANCE 08129!M10b14D 'n THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: MARSH RISK&INSURANCE SERVICES 345 CALIFORNIA STREET,SUITE 1300 PHONE FAX No): CALIFORNIA LICENSE NO.0437153 DR SAN FRANCISCO,CA 94104 ADDRESS: INSURER(S)AFFORDING COVERAGE. f 998301-STND-GAWUE-14-15 INsuRER A:Liberty Mutual Fire Insurance Company 16586 INSURED Ph(65o)963-5100 INSURER s:Liberty Inswanoe Corporation 42404 SolarCityCorporation INSURERC:NIA NIA 3055 Gearview Way INSURER D San Mateo,CA 94402 INSURER E: INSURER F. COVERAGES CERTIFICATE NUMBER: SEA-002440269-02 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 I INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DL SU - POLICY NUMBER MMN Y EFF POUCY EXP LIMITS ' r LTR 1 A GENERAL LIABILITY TB2-661-11121"14 09/01I2014 09/01Y1015 EACH OCCURRENCE $DAMAGE TO RENTED 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ 100'000 CLAIMS-MADE M OCCUR MED EXP(Arty one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE. $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 2,000,000 JECT X POLICY X PRO-—XI Deductible $ 25'000 A AUTOMOBILE LIABILITY AS2-66l-M(35044 09/0112014 09/0112015 COMBI�EOISINGLE LIMITEs 1,000,000 I X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X X NON-OWNED PROS AMAGE $ HIRED AUTOS AUTOS _ X Phys.Damage COMP/COLL DED: $ $1,0001$1,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED 1 1 RETENTIONS $ B WORKERS COMPENSATION IWA7466 265-W4 09/0 P10 4 09/0112015 X WC STATU- on1- . AND EMPLOYERS'LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVEYNNN/A IWC7-661-066265-034(WI) 09/01/2014 I9I01/2015 EL EACH ACCIDENT $ 1'000'000 B OFFICER/MEMBER EXCLUDED? I'WC DEDUCTIBLE:$350,000 1,000,000 (Mandatory In NH) L EL DISEASE-EA EMPLOYE $ H yes,describe under. ( 1,000,000 DESCRIPTION OF OPERATIONS below I L EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more space Is required) Evidence of Insurance. CERTIFICATE HOLDER CANCELLATION SolarClty Corporation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3055 Gearview Way THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN San Mateo,CA 94402 ACCORDANCE WITH THE POLICY PROVISIONS. I AUTHORIZED REPRESENTATIVE of Marsh Risk&Insurance Service I Charles Marmolejo 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 1 i�1�1� Office of Consumer.Affairs Zand Business Regulation -10 Park Plaza - Suite 5170 lip Boston, Massachusetts 02116 Home Inp rovement'Contractor'Registration Registration: 168572 -Type: Supplement Gard, Expiration: 3/8/201,5 SOLARCITY CORPORATION =_. r CRAIG ELLS 24 ST. MARTIN STREET BLD 2 UNIT�11�a -' - ------ MARLBOROUGH, MA 01752 Update Address and'return card.`Mark reason for change. t Address `( Renewal ,(� Employment Lost Card SCA 1 0 201A•05M / _., - i��r (..°r::iirlr<iir�•i:rJ��lt.rl�f'",�(ir !r'/i/f3A/J�:pY... Office of Consumer Affairs&Business Reiulikion License or registration valid for individul use only. before the expiration date. If found"return to: OME IMPROVEMENT CONTRACTOR 1 P Ofce of Consumer Affairs and Business,Regulation Registration: 1ti8572' TYpc! l0 Park Plaza-Suite 5170 Expiration: 3/8/2015 Supplement and %_ Boston,:MA 02116 SOLARCITY CORPORATION CRAIG-ELLS r q. 24 ST MARTIN STREET BLD 2UNI WLBOROUGH;MA 01752. " Undersecretary Not v" lid without srgnafure' FAas6achu_set ts Aepartment'0f i'riolr a#et4j Board,o(Budding ReguWi-6iis ;nd ta,i�uti `s �'pal�tf`l�iisr► 4c1(I'i'i��ii' t_icense .CS;107663 CRAIG ELLS.. c .206 BAKER$TRLET`U'4;"w !1Keene.NH.03431 °- . Cor#1Rl�s��r�7�r"t' 0812912017 , d�X^ Vol iMjeff� Office of Consumer Affairs and Business-Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration -�--� Registration: 168572 ". - Type: Supplement Card Exp. tion: 3/8/2015 SOLARCITY.CORPORATION NILE MILLER. W _ 24 ST. MARTIN STREET BLD 2 UNIT 11. MARLBOROUGH, MA 01.752 �.; Update Address and return card.Mark reason for change. sCA 1 0 20M-05/1 l [] Address 0 Renewal [l, Employment Lost Card ��G TJd»uriinrzuu[i�l�-Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation egistration:. 168572 type. 10 Park Plaza-Suite 5I70 r Expiration:�-3/81201`5# # Supplement 1:ard PP Boston,MA 02116- SOLARCITY CORPORATION' t r-1. NILE MILLER 24 ST MARTIN STREET BLD 2UNI iWLBOROWGH,MA 01752 Undersecretary Not valid without signature A a ' II f DocuSign Envelope ID:239B1DA0-8602-45F4-A1AB-F75F9D129723 IQ,Mp � SolarCity. Power Purchase Agreement _ .,a _� - _ Here are the key terms of your SolarCity Power Purchase Agreement Date: 12/21/2014 0 f 12.500 2 0 years K I System installation cost Electricity rate per kWh '° Agreement term 1 Our Prom ises,to«You • We insure,maintain,and repair the System(including the inverter)at no additional cost to you,as specified in the agreement. We provide 24/7 web-enabled monitoring at no additional cost to you,as specked in the agreement. , I _ • We warranty your roof against leaks and restore your roof at the end of the agreement,as specified in the agreement. ' • The rate you pay for electricity,exclusive of taxes,will never increase by more than 2.90%per year. • The pricing in this PPA is valid for 30 days after 12/21/2014. x • We are confident that we deliver excellent value and customer service:As'a result;you are free to-cancel anyti me at I no charge prior to construction on yourbome. TEstimated First Year Production ry _ T ' 5,412 kWh Customer's Name & Service Address Exactly as it appears on the utility bill Customer Name and Address Customer Name Installation Location SAMANTA Souza Wellington .Souza 126 Arrowhead Dr a 126 Arrowhead Dr Hyannis, MA 02601 Hyannis, MA 02601 Options for System purchase and transfer: Options at the end of the 20 year term: • If you move,you may transfer this agreement to the purchaser of your • SolarCity will remove the System at no cost to you. Home,as specified in the agreement. • 'You can upgrade to anew System with the latest solar • At certain times,as specified in the agreement,you may purchase the technology under a new contract. `. System. You may purchase the System from SolarCity for its fair • These options apply during the 20 year term of our agreement and not market value as specified in the agreement. . beyond that term. You may renew this agreement for up to ten(10)years in two(2)five(5)year increments. 3055 CLEARVIEW WAY, SAN MATEO, CA 94402 888.SOL.CITY 1 888.765.2489 I'SOLARCITY.COM MA HIC 168572/EL-1136MR Document Generated on 12/21/2014 �■ � � 469873 0 DocuSign Envelope ID:239B1DA0-8602-45F4-A1AB-F75F9D129723 22. NOTICE OF RIGHT TO CANCEL. I have read this Power Purchase Agreement and the Exhibits in their YOU MAY CANCEL THIS CONTRACT AT ANY TIME PRIOR TO entirety and I acknowledge that I have received a complete copy of this MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE Power Purchase Agreement. YOU SIGN THIS CONTRACT. SEE EXHIBIT 1,THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN Customer's Name:SAMANTA Souza EXPLANATION OF THIS RIGHT. oocusignea by: 23.ADDITIONAL RIGHTS TO CANCEL. Signature: I SQAQ M-4 sOIA/'�A IN ADDITION TO ANY RIGHTS YOU MAY HAVE TO CANCEL THIS PPA UNDER SECTION 22,YOU MAY ALSO CANCEL Date: 12/21/2014 THIS PPA AT NO COST AT ANY TIME PRIOR TO COMMENCEMENT OF CONSTRUCTION.ON YOUR HOME. 24. Pricing The pricing in this PPA is valid for 30 days after 12/21/2014. If you Customer's Name: Wellington Souza P 9 Y Y DocuSigned by: don't sign this PPA and return it to us on or prior to 30 days after 12/21/2014,SolarCity reserves the right to reject this PPA unless Signature: you agree to our then current pricing. Date: 12/21L 2014 ;SolarCity. Power Purchase Agreement SOLARCITY APPROVED Signature: LYNDON RIVE, CEO (PPA) Power Purchase Agreement SotarCity Date: 12/21/2014 Solar Power Purchase Agreement version 8.2.0 469813 Ils%e I lr,'�SolarCity OWNER AUTHORIZATION Job Property Address: J�O Air o wkc,-J br. nisi �0 u as Owner of the subject property hereby uthorize SOLARCITY CORPORATION to act on my behalf, in all matters relative to work authorized by this building permit application. Ir� of Signature of caner: Date: a Version#42.2 SOIarCI�Y tNOF Y00 ill !�- K �+ January 21,2015 VI y No.4 t Project/Job#026737 � RE: CERTIFICATION LETTER �AL Project: Souza Residence Digitally. Igne y Yoo Jin Kim 126 Arrowhead Dr Hyannis, MA 02601 Date: 2015.01.21 12:42:41 -08'00' To Whom It May Concern; A jobsite survey of the existing framing system was performed by a site survey,team from SolarCity. Structural review was based on site observations and the design criteria listed below: 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 -MPl: Roof DL= 10 psf, Roof LL/SL 21 psf(Non-PV Areas), Roof LL/SL 21 psf(PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.18757 < 0.4g and Seismic Design Category(SDC) = B < D On the above referenced project,the components of the structural roof framing impacted by the installation of the PV assembly have been reviewed. After this review it has been determined that the existing structure'is adequate to withstand the applicable roof dead load, PV assembly load,and live/snow loads indicated in the design criteria above. I certify that the structural roof framing and the new attachments that directly support the gravity loading and wind uplift loading from PV modules have been reviewed and determined to meet or exceed structural strength requirements of the MA Res.Code,8th Edition. Please contact me with any questions or,concerns regarding this project. Sincerely, Yoo]in Kim, P.E. Professional Engineer. Main: 888.765.2489,x5743 ' email:. ykim@solarcity.com s 3055 Clearview Way`San.Mateo,,CA 94402 T(650)638-1028 (888)SOL-CITY.F(650)638-1029 solarcity.com r AZ FLOC 243771,CA CSLB,,W104,CO EC 6041..CT HIC 0632775,DO HiO?1101406,DC FII$7t IQ14fi8.HI CT-29770,MA HIC 168572,M i AH10'126948.NJ 13Vli06166600,. OR COB 160498,PA 077343:Ta TDLR 27006.-WA GCL•SOL.ARC'01flO7.O 2013 SotaGity,AN rights reserved. V J 01.21.2015 \\ Version#42.2 PV System Structural %Solarcit o Design Software PROJECT INFORMATION &TABLE OF CONTENTS Projgct�Name: "°` '"'Souza Residence _ — _AHJ: Barnstable Job Number: 026737 Building Code: MA Res. Code, 8th Edition Customer Name: Souza,Samanta _ Based On:.__ IRC,2009/IBC 2009, Address: 126 Arrowhead Dr ASCE Code: ASCE 7-05 City/State: . -- Hyannis, _... MA _ r Risk Category: II Zip Code 02601 Upgrades Req'd? No -7 .3Latitude/Longitude 6 17 d? 'Yes R SC Office: South Shore PV Designer: Daniel Hagberg Calculations: John A.Calvert P.E. EOR:' ` Yoo Jin Kim P.E. Certification Letter 1 Project Information, Table Of Contents, &Vicinity Map 2 Structure Analysis (Loading Summary and Member Check) 3 Hardware Design (PV System Assembly) 4 Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.18757 < 0.4g and Seismic Design Category(SDC) = B < D 1/2-MILE VICINITY MAP 4. . , r 2$ tv 17"�1, 5., i •I olle, lV1assGlS_CorhM' onw.eal't • ® ♦ USDA ♦ - - ♦ •- 126 Arrowhead Dr, Hyannis, MA 02601 Latitude:41.658049,Longitude: -70.311733,Exposure Category:C y LOAD ITEMIZATION - MP1 PV System Load PV Module Weight(psf) 2.5 psf Hardware Assembl Weight s 0.5 PI PV System Weight s 3.0 Psf Roof Dead Load Material Load Roof Category Description MPi _ Existing Roofing Material _ 1 _ Comp Roof xk (2 Layers) 5.0•Psf No Re-Roof — - Underla ment_ y - _ s_ _ Roofing Paper 0.5 psf Plywood Sheathing Yes 1.5 psf Board Sheathin �- 9 Rafter Size and Spacing M 2 x 6 @ 16 in. O.C. 1.7 psf Vaulted Ceiling_ �: No --�'--. Miscellaneous Miscellaneous Items , 1.3 psf w Total Roof Dead Load 10 Psf(MPI) 10.0 Psf Reduced Roof LL Non-PV Areas Value ASCE 7-05 Roof Live Load Lo 20.0 psf Table 4-1 Member Tributary_Area At <200 Sf Roof Slope 5/12 Tributary Area_Reduction Rl 1 g I Section 4.9 Sloped Roof Reduction Rz 0.975 Section 4.9 Reduced Roof Live Load ,~ Lr .7 4=to(R,)-(Rz x E nation 4-2 Reduced Roof Live Load Lr 19.5 Psf MP1 19.5 Psf Reduced Ground/Roof Live/Snow-Loads Code Ground Snow Load p9 30.0 psf ASCE Table 7-1 Snow Load Reductions Allowed? z ;; 7, Yes , 74r. — - -- Effective Roof Slope 200 I Horiz. Distance_from Eve_to Ridge` W --- 16.5,ft I Snow Importance factor IS 1.0 Table 1.5-2 Snow Exposure Factor"' r n - Partially Exposed s P 1.0 Table 7-2 - - µ Snow Thermal Factor Ct - All structures except as indicated otherwise Table 7-3 - ,. — ..� �.. 0 1. Minimum Flat Roof Snow Load(w/ " Pf-min , ... 21.0 psf r,.7 Rain-on,Snow Surcharge).- 3°4&7.10 Flat Roof Snow Load Pf, pf= 0.7(Ce)(Ct)(I)pg; pf>_ pf-min Eq: 7.3-1 21.0 psf 70% ASCE Design Sloped,Roof Snow Load Over Surrounding Roof Surface Condition of Surrounding All Other Surfaces Roof CS-goof 1.0 Figure 7-2 Design Roof Snow Load Over Ps-roof= (C.-roof)Pf ASCE Eq: 7.4-1 SurroundingRoof Ps-roof 21.0 psf 70% ASCE Design Sloped Roof Snow Load Over PV Modules Surface Condition of PV Modules CS_p' .. _ Unobstructed Slippery Surfaces1.0 Figure 7-2 Design Snow Load Over PV PS-p„= (Cs-p„)Pf ASCE Eq: 7.4-1 Modules PS p" 21.0 psf 70%. 1 (CALCULATION OF�DESIGN�WIND LOADS�MP1 Mounting Plane Information Roofing Material Comp Roof PV,System Type ;k, ,__ Y SolarCity SleekMountT'" _ _ _ Spanning Vents No �;:, -,�-- � .� Standoff(Attachment Hard a- Com Mount T e C Roof Slope 200 n� _ _ Rafter Spacing Framing Type Direction _4 Y-Y Rafters Purlin Spacing_ -X-X Purlins Only_ uNA _ q - ----- Tile Reveal Tile Roofs Only NA Tile Attachment_System Nile Roofs Only NA _ Standing Seam/Trap Seam/Trap Spacing SM Seam Only NAB Wind Design Criteria Wind Design Code ASCE 7-05 Wind,Design Method —Partially/Fully Enclosed Method Basic Wind Speed V 110 mph _Fig. U- Exposure Category "` �`� *` =Section 6.5.633 Roof Style Gable Roof Fig.6-11B/C/D-14A/B Mean Roof Height h 1 -25 ft Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.95 Table 6-3 Top ographic,Factor a Krt__ __4 1.00 �� Section 6.5.7 Wind Directionality Factor Kd 0.85 Table 6-4 Im rtance Factor R - I M °'� 1.04 Table 6-1 3- Velocity Pressure qh qh =0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15 24.9 psf Wind Pressure Ext. Pressure Coefficient U GC -0.88 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down GC _ v F0.45 n 4 Fig.6-11B/C/D-14A/B Design Wind Pressure p p = qh(GC ) Equation 6-22 Wind Pressure U „ -21.8 psf Wind Pressure Down Pfdowni 11.2 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 AreaV Tribe` IA P37 sf L * PV Assembly Dead Load W-PV 3 psf Net AN,Uplift at Standoff,.. �T actual- m -349 Ibs W' Uplift Capacity of Standoff T-allow 500 Ibs Stand Demand Ca 'ac °` DCR' 7 "169.8%,�r ; F- — X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" _ 65" Max AllowableCiee - Portrait _ _ 19"nt --- ---- tStandoff Configuration Portrai Staggered Max Standoff Tributary,Area ; Trib 22 sf , PV Assembly Dead Load W-PV 3 psf Net Wind Uplift at Standoff "° T-actual Uplift Capacity of Standoff T-allow 500 Ibs y _ Standoff.Demand/Capacity,, DCR- 87.0% COMPANY PROJECT WoodWorks SORWAREFOR WOOD DESIGN -. Jan. 21, 201513:28 Beam1:wwb Design Check Calculation Sheet WoodWorks Sizer 10.1 Loads: Load Type Distribution Pat- Location [ft] Magnitude. Unit tern Start End Start End DL Dead Full Area No 10.00 (16.0) * psf SL Snow Full Area Yes 21.00 (16.0) * psf PVDL Dead Full Area No 3 .00 (16.0) * psi *Tributary Width (in) Maximum Reactions (Ibs), Bearing Capacities (Ibs) and Bearing,Lengths (in) : 0' 1'-3" 14'-3" Unfactored: Dead 144 120 Snow 218 182 Factored: Total 363 302 Bearing: F'theta 678 678 Capacity Joist 890 508 Supports 586 586 Anal/Des Joist 0.41 10.59 Support 0.62 0.51 Load comb #2 #4 Length 0.50* 0.50* Min req'd 0.50* 0.50* Cb 1 75 1.00 Cb min 1.75 1.00 Cb support 1.25 1.25 Fcp sup 625 625 *Minimum bearing length setting used: 1/2"for end supports and 1/2"for interior supports . MP1 Lumber-soft, D.Fir-L, No.2, 2x6 (1-1/2"x5-1/2") Supports:All-Timber-soft Beam, D.Fir-L No.2 Roof joist spaced at 16.0"c/c; Total length: 15'75.0"; Pitch: 4.5/12; Lateral support: top=full, bottom=at supports; Repetitive factor: applied where permitted(refer to online help); WoodWorks® Slzer SOFTWARE FOR WOOD DESIGN Beam1.wwb WoodWorks®Sizer 10.1 Page 2 Analysis vs. Allowable Stress (psi) and Deflection (in) using NDS 2012 Criterion Analysis Value Design Value Analysis/Design Shear fv = 48 Fv' = 207 fv/Fv' = 0.23 Bending(+) fb = 1539 Fb' = 1547 fb/Fb' = 0.99 Bending(-) fb = 58 Fb' = 1014 fb/Fb' = 0.06 Deflection: Interior Live 0.61 = L/273 0.93 = L/180 0.66 Total 1.21 = L/137 1.39 = L/120 0.87 Cantil. Live -0.19 = L/86 0.18 L/90 1.05 Total -0.37 = L/43 0.27 = L/60 1.37 Additional Data: FACTORS: F/E(psi)CD CM Ct CL CF. Cfu Cr Cfrt Ci Cn LC# Fv' 180 1.15 1.00 1.00 - - - 1.00 1.00 1.00 2 Fb'+ 900 1.15 1.00 1.00 1.000 1.300 1.00 1.15 1.00 1.00 - 4 Fb' - 900 1.15 1.00 1.00 0.655 1.300 1.00 1.15 1.00 1.00 - 2 Fcp' 625 - 1.00 1.00 - - 1.00 1.00 - - E' 1.6 million 1.00 1.00 - - 1.00 1.00 - 4 Emin' 0.58 million 1.00 1.00 - - - - 1.00 1.00 - 4 CRITICAL LOAD COMBINATIONS: Shear : LC #2 = D+S, V = 286, V design = 266 lbs Bending(+) : LC #4 = D+S (pattern: sS) , M = 970 lbs-ft Bending(-) : LC #2 = D+S, M = 36 lbs-ft Deflection: LC #4 = (live) LC #4 = (total) D=dead L=live S=snow W=wind I=impact Lr=roof live Lc=concentrated E=earthquake All LC's are listed in the Analysis output Load Patterns: s=S/2, X=L+S or L+Lr, =no pattern load in this span Load combinations: ASCE 7-10 / IBC 2012 CALCULATIONS: Deflection: EI = 33e06 lb-in2 "Live" deflection = Deflection from all non-dead loads (live, wind, snow...) Total Deflection = 1.50 (Dead Load Deflection) + Live Load Deflection. Bearing: Allowable bearing at an angle F'theta calculated for each support as per NDS 3 .10.3 Design Notes: 1. WoodWorks analysis and design are in accordance with the ICC International Building Code(IBC 2012), the National Design.Specification (NDS 2012), and NDS Design Supplement. 2. Please verify that the default deflection limits are appropriate for your application. 3. Continuous or Cantilevered Beams: NDS Clause 4.2.5.5 requires that normal grading provisions be extended to the middle 2/3 of 2 span beams and to the full length,of cantilevers and other spans. 4. Sawn lumber bending members shall be laterally supported according to the provisions of NDS Clause 4.4.1. 5. SLOPED BEAMS: level bearing is required for all sloped beams. 6. FIRE RATING: Joists, wall studs, and multi-ply members are not rated for fire endurance. 7. The critical deflection_value has been determined using maximum back-span deflection. Cantilever deflections do not govern design. TOWN OF BARNSTABLE CAP" COD PH 1: 43 INSULATION �� Fq E I FE: � NBLR OLA 55 :i.m SPRAT TOAM SUSPENDED ... BATTS .• ' , INSULATION LIILIN05 DIVISION 1-80VC °U/ 3N -696-6611 `Gown of-Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 — - _- te - - — Dear Building Inspector Please accept this Affidavit as documematioll that Cape Cod Insulation, Inc. performed &. completed the insulation and weatherizaiion work at the property listed below. Cape Cod Insulation did this in accordance to the sptc1fications 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 Cellulut; . R-Value Restricted Unrestricted Ceilings ( ) D4-) ( 730) ( ) ) Slopes ( ) ( ) ( ) ( ) Floors Walls ( ) ( ( ) ( ) ( ) T. c - Sincerely He y E Ca sidy r, President Ca e Cod sulation, Inca ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel \ Application # � > J Health Division Date Issued �o 2 'q Conservation Division Application Fee Planning Dept. t Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Jc;2 la �� / 12 )2 Village Owner 4Z �12 4,4 Address Telephone 1E Permit Request ,3'D l/��l��i�2/G G� J-�e' ZV�,l ef's Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain ' Groundwater Overlay Project Valuation 07 9B *>, Lt,-onstruction Type Lot Size Grandfathered: ❑Yes ❑ No If es, attach su� ortin dotation. Y PP� 9cumen :'• Dwelling Type: Single Family 0`� Two Family ❑ Multi-Family(# units) ° Age of Existing Structure Historic House: ❑Yes .a'Igo On Old King's H hway: gYes O-No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing. ❑ new size—Pool: ❑ existing. ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name AaA4' /�3` fd��i/��s/D Telephone Number �� 5�` 2,1 Address License Home Improvement Contractor# 17 Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 104117 DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP:/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL FtUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING.. QATE.CLOSED OUT aSSOOIATION PLAN NO. <e Massachusetts -Depa't�tm�'nt of f�pblic Safety j hoard of Buitdin'g Regula_#ans end Standards N. Construction Supervisor S-100988 License: C _ HENRY E CASSH10V 8 SHED ROW w: WEST YARMOUTH 02` r N Expiration Commissioner 11/11/2015 Office of Consumer Affairs and Business Regulation y 10 Park Plaza ,.Suite:5170 Boston, Massachusetts 02116 Home Improvement C6ntr'aetor Registration. 1 , i Registration: 153567 Type: Private Corporation � F Expiration: 12/15/2014 Tr# 233831 CAPE COD-INSULATION,`INC r;' HENRY CASSIDY ; I„ 18 REARDON CIRCLE 4' 1``i SO. YARMOUTH, MA 02664 P<1" Update Address and return card.Mark reason for change. SCA 1 20M-OS/11 Address ❑ Renewal Employment Lost Card C� � , lie�wrrraruvruuea�2 o�'G>�cr�aacl ua�. �__- Office of Consumer Affairs&Business Regulation License or registration valid for individul use only j 0OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 'p gistration: ,.At3567 Type: Office of Consumer Affairs and Business Regulation xpiration 12/15/2014 Private Corporatic•ii 10 Park Plaza-Suite 5170 ; d Boston,MA 02116 CAPE COD INSULATION INC HENRY C ,ASSIDY 18 REARDON CIRCLE fi g� �` SO.YARMOUTH,MA 026M4-r Undersecretar y Ivot val witho t sifnat re i »� The Coanniorovealth Of,I assuchuserts > -= Deparrrrrerrt of lrtdusrrral�lccia'ents Y _ Ojice of Xnvr?stlgattoriGs 600 Washinpon Street t B'ostorr,.AJA 02111 i ,_ S l )VWW.rrgaSS.gov1dia it on kt r'S' urXy�y,e � fi-ou Insurance A-ffid4vit: Buuilder5lCo tratctors/.Elec ricitalrtsyplixxxib,Y's a,;l.r..:atnt lri.9i�r>:iiall-Yiyin • 1P` gal s tK r i.i.t t Le)i b Al ,,�ui� �lsuauicsxiOr�;ra.ilizutiocl/ludividtutl): r�r,��,'' L�� !lr'�f1lC��1 l u _........._..-__ ,... , - ��/..-�/ r'`i.) 1.17L� iil'/ r%l • �ll�tlf'. tt� t«,, .,u c Ell t�toy zb'f beck the appropriate box: � ellCra `�, 1 aJ]7 it g' rype of project �rl'.quJred): l contractor and l pluyc:c� (nlll .tncj,Oe pea i-t-rime).* have hired the sub-contractors 6. Nrw constyuction. proprietOQ �r4 119tCd Uq tlC il ClCt s1CCt 7. 1ZC1 ) lla . ;hlp acid i. 114va nu t lnployce3 These sub-coamnctors have 8. wurkws fur nic i.u. tiny,capacity. employees aad have workers' [] laetn�nlition: IN„ wort k:t:rs' cutnp. insurrirlcc comp, insurance:t )• � Building; addition �(: ulrvdd 5. We are a co oration and its. l U.[] rp ❑,•Electrical repairs or addltiuns (� I Jill a hurtiru%vner doL'ng 41 work officers have exercised their 1 ,(� Plum binb rcplt.ir t.t�r oddilions r;clf. No workerx' Comp. nghrofexeiilptiouperMGL _ C. 1 S2, §,l(-4)I 1, aad�We have nU 12,[� Roof repairs h tI�;SUlallt:C r4"tlll.l,l'Gli.� r - hotrlcowncr acrmi" a3 a employees. [No workers' 13. Other ;;nicrul t:uutraetc�r (rc;ler [o.#q.) comp.uisui-ance required: ipplic-u that C[tc�ici lox*1 M"i al"w till out the 3ccdon below showing their wotkccs'Compcll!i4od1olicy aanntit oti,r!uutcuwuc,x who yubriut ttlix uFficluvic medicating they arc doing all work uxd then hire uutside contractors trust submit a new u115tL,vit wJ.irttinM suCla. �,,,,u�.n,cy i,c.l� ttiia hox rnuat utuuhed au uckliriouul sheet showing the nnnw of thexub-couauc:tots anti state w-heth"oe aot divac catities[,.Vc r t,.. �a It the sub-�u,uructwY luavc r:cnraloyccs, thcy muxt pmvidc their workc,i'comp.policy uumbc, t Will uri employer that' is pro►Iidirrlg ►vorkers'cornpertsatiun insurance for my ernployess. V I w is;the policy aridjob"sire 'nfu�uruUurt. - , 11r 5clt-lC'1�,. 1 1~Xptr'anoa Date: [ Jai, ,ur:ttl ll'css:/ / /State z' ip' }ti4�11 a cups of 14c worker:" cutztpetasatiOn policy iiet:laratlon page(shoNvinlg:the policy utit[ bcr>uuyaV explx uiiot>t date). c•cuv.e;i abtr a-j rcquuCd tnddr Section 25.A of MGl,e..l S2 can lead to the unpositian of crinlulal pctaaltiC3 of a upt„ I.it1� I.)U nnii/or Otte-ye"'nr unprisornment, as Wel1 as civil pciialtics iu the form of a STOP WORKORDER and a tine it tip to _>>U.uU a tiny abaizast tht; violatoe. Bc advised ihara copy of this statement may be forwarded'to the Offictr of 1 Il`cs(ltiatiJlls ul'tlic D1A fur 1-MIL1 —ducc cOve'r'age verification, u'a ncrcby ccrrrj 4 v ter,lhr iris brra penalties of perjury thus the informa6a provided above is:true and correct! i1(]tii«tt arc uldy,. Do riot [vrire'in t/ris area, to be contpleietl by city ur town official l � ! c.•lty of I'owrx; 1 tysuw�.-►ultyur 1ty (circle 4rxc}•: { - --__ t•li+aard of llculctt 2..Buildiing Deprartuieut 3. City/Tuiva Clerk 4.Electrical Inspector S. Pltirnitbinngr.fuspector l'olttatt l'crsutn * . phoae#; l — .....`�` " CAPECOD-27 'CVANGELDER CERTIFICATE OF LIABILITY INSURANCE DATE 411/2 DIYYYY) a1v2o1a THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTANAME: Cape Cod Commercial - Rogers&Gray Insurance Agency,Inc. PHONE 1 Ax (877)g16-2156 434 Rte 134 AIC o Ext: A/c No South Dennis,MA 02660 EMAIL ADDRESS: _ INSURER(S)AFFORDING COVERAGE NAIC d INSURER A:Peerless Insurance Company INSURED INsuRERB:COMMERCE INSURANCE COMPANY, CapeCod Insulation Inc INSURER C:Evanston Insurance Company 18 Reardon Circle INSURERD:ATLANTIC CHARTER INSURANCE GROUP_ South Yarmouth,MA 02664 INSURERE[ ' INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: I 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 VVITH,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 EDUCED BY PAID CLAIMS. INSR -.._..._._. _. ...__..----- KODL —._-------- LTR I TYPE OF INSURANCE :POLICY NUMBER!I ,;L' POLICY EFF POLICY YY LIMITS MMIDD/YYW MMIDDlYYW A X COMMERCIAL GENERAL LIABILITY t- '•` `;t ltl, EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE L-:_J OCCUR CBP8263063 04101/2014 04/01/2015 PREMISES O(Ea o�urr�TE�r,�e $ 100,00 L. ... _.._........ ................------ .+ ., MEDEXP(Anyoneperson) $--- ' 5,000 PERSONAL&ADV INJURY $ 1,000,00 — --- GEN'L AGGREGATE LIMIT APPLIES PER: t GENERAL AGGREGATE $ 2,000,000 X f II PRO- POLICY `_ JECT U LOC' PRODUCTS-COMP/OP AGG $ 2,000,00 OTHER: $ AUTOMOBILE LIABILITY .. - COMBINED SINGLE LIMIT $ L. Ea accident B IANY AUTO 14MMBCKVMK 04101/2014 04/01/2015 BODILY INJURY(Per person) $ ALL OWNED x SCHEDULED AUTOS HIRED AUTOS —_X AUTOS u , , ., ., ;, BODILY INJURY(Per accident) $ 1,000,00 I X NON-OWNED PROPERTY DAMAGE AUTOS _ r. ;!, I Per accident). _ $ $ ,, OCCUR EACH OCCURRENCE $ 1000000 X UMBRELLA LIAB X � III C EXCESS LIAB CLAIMS-MADE R/O XONJ453512 04/01/2014 04/01/2015 AGGREGATE $ DED X RETENTION$ 10,000 Aggregate $. 1,000,000 WORKERS COMPENSATION 'OTH- AND EMPLOYERS'LIABILITY - - STATUTE ER YIN D ANY PROPRIETOR/PARTNER/EXECUTIVE CA00525904 06/3012013 06130/2014 E.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? a NIA •` a ----�— (Mandatory In NH) E.L.DISEASE-EA EMPLOYEd$ 1,000,000 If}es,describe under - - DESCRIPTION OF OPERATIONS below .e E.L.DISEASE-POLICY LIMIT $ 1,000,OU DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 161,Additional Remarks Schedule,may be attached If more Space to required) Workers Compensation includes Officers or Proprietors. Additional Insured status is provided under the'Genera.l Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE . EVIDENCE OF INSURANCE THE `EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS., ` AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved.' ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD HouI in Assistance Corpbration Cape Cod HOMEOWNER I RESIDENT WEATHERIZATION WORK PERMIT&FUEL RELEASE: PLEASE FILL OUT AND SIGN THIS FORM IF YOU'ARE THE APPLICANT HOME OWNED. I SAMANTA.SOUZA hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation (herein after referred as "Agency")on the property located at: 126 ARROWHEAD DR HYANNIS MA 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: Weather-stripping&caulking of windows and doors, insulation of attics, sidewalls & baseriients, attic and other ventilation measures and possibly replacement of badly deteriorated windows. In of the weatherization work to be*done at my home I agree to the following: 1.. 1 give permission to the"Agency"its agents and employees to travel onto or across said property, with such equipment and materials as may be necessary to perform weatherization work on said property, 2. .The Housrng'Assistance Corporation reserves the right to inspect the fuel or utility bill for the weathedZed,unit on an ongoing basis for no more than five (a)years after-the weathemation work is completed:. I have read the provisions of this a .r nt asks freely give my consent. Home Owner (Signature) j Date: 4/9/2014 Agent:(signature) . -r Date: 4/9/2014 ;l ; HAC approved Weatherization Company': A.dain`T Incorporated All Cape Energy Alternative Weatherization Building Performance Contracting LLC Cape Cod Insulation Cape Save Frontier Energy Solutions Lohr Home Improvement Resolution Energy Amf December 29, 2015 BUILDING DEPT. Town of Barnstable ATTENTION. BUILDING DEPARTMENT ` DEC 3,O 2015 200 Main Street Hyannis, MA 02601 TOWN OF BARNSTgBLE RE: 126 Arrowhead Drive, Hyannis Permit No.: 201500450 ° ` Our Job No.: JB-026737 NOTICE.WCANCELLATION This letter is to certify our proposal to install Solar(PV)at the above-referenced property has been moved into a cancellation status. SolarCity Corporation and Samanta Souza will not be moving forward with the proposed . installation at this time. We would greatly appreciate reimbursement for the permitting fees paid, but understand that the town will not refund any fees. If you have any questions or concerns,please.don't hesitate to contactme. Thank you for your attention,to this matter, Sincerely, ` Cheryl Gruenstern Cheryl Gruenstern Permit Coordinator , SolarCity Corporation , cgruenstem@solarcity.com ; ` Telephone: (508)640-5397 ' cJ13— 0-,�-(�737 60 TOWN OF BARNSTABLE <� Building 201500450 * BARNSTABLE, : Issue Date: 02/02/15 Permit y MASS. �ArFO 3�A�� Applicant: SOLARCITY CORPORATION Permit Number: B 20150194 Proposed Use: SINGLE FAMILY HOME Expiration Date: 08/02/15 Location 126 ARROWHEAD DRIVE Zoning District RB Permit Type: RES SOLAR PANELS Map Parcel 271122 Permit Fee$ 71.40 Contractor SOLARCITY CORPORATION Village HYANNIS App Fee$ 50.00 License Num Est Construction Cost$ 14,000 LRe.arks APPROVED PLANS MUST BE RETAINED ON JOB AND L SOLAR PANELS ON ROOF THIS CARD MUST BE KEPT POSTED UNTIL FINAL AND PANELS 21 INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: MONTEIRO,PETER M BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 21 STEERE WAY INSPECTION HAS BEEN MADE. MARSTONS MILLS,MA 02648 Application Entered by: PF Building Permit Issued By: TIES PERMIT.CONVEYS,NO RIGHT TO OCCUPY:ANY STREET ALLEY.OR SIDEWALK OR ANY PART THEREOF,•EITHER TEMPORARILY OR PERMANENTLY ENCROACHMENTS ON LIC PROPERTY NO SPECIFICALLY PERMITTED UNDER TH E BUILDING CODE;MUST BE APPROVED BY THE JURISDICTION-STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF P LIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT;OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION; RESTRICTIONS: MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.I42A). 9 BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health Parcel ermit# ( S 0 ' Date Issued "" Fee Engineering Dept. (3rd floor) House# BARNSTABLE. MASS 19 , i rE0 MA'S TOWN OF BARNSTABLE Building Permit Application ;Street Address Village Owner �� 6 Address CZAii Telephone Permit Request _ First Floor , L{Uy, square feet Second Floor square feet Estimated Project Cost $ '2 ' Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure d5 Basement Type: Finished Historic House Unfinished Old King's HighwayC� Number of Baths No.of Bedrooms m Total Room Count(not including baths) First Floor Heat Type and Fuel YCentral Air �0 Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name L ..�rux Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY , PE'M N / DATE SU D MAP/PARIL NO.. - R1ESS VILLAGE OWNER , DATE F I SPECTION: FOUNDATION • FRAME INSULATION t FIREPLACE - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL M GAS: ROUGH FINAL FINAL BUILDING t p 1 1 DATE CLOSED OUT ASSOCIATION PLAN NO. F }} r t Tile Commonwealth of Massachusetts_ _ .... � ' ice•':,,, y - fy• Department of Industrial Accidents ' exceollmr.Molftffs »� ,l:..:_r•,�` 6111'1111 asi iirgrrrn Street Boston.Mass. 02111 Workers' Compensation Insurance A1Tidavit Ph III namee PI&. 10C.1 ion- Iq /?c/)uJF city am a homeowner performing all work:myself. 1 am a sole proprietor and have no one working in any capacity 1 am an emplover providing workers' compensation for my employees working on this job. camnnny n�mc• — address• tih•• phone Ih ....ce co nolicv# 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: any name: address, cib•• phone#r insurnnee co noiicv# - Ir�..•.iir. .,N.._+...�. r...-ytpy-V 4....]r4{��.�Tf_R!!Kr'•��' __ _ _ =- ___ �774C '�i_=- - �..,s __ -__ � _ cmlianv name• address city: phone#: insurnnce co poiiev# Atiach addifid-11'al'sheit If xiiicm 7772,R Failure to secure coverage as required under Section 25A of hIGL 152 can lead to the imposition of criminal pettaides of a fine up to$1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Ilse of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of investigations of the D1A for coverage verification. I do hereby ' •under the pain nd p tallies f erjurp he information pro►7ded above is nue and meet Signature ate Print name/`r i �/V /C (J Phone# U�` / 7 official use oniv do not write in this area to be completed by city or town official City or town: permit/licease# nBuilding Department (3Liceasing Board ` cheek if immediate response is required OSeteetmen's Office Dliesith Department contact person• phone#; nOther___. (revised R95 PJA) 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 emplgree is defined as every person in the service of another under any contract of hire, express or implied, oral or,%vritten. - An empli{ver is defined as an individual, partnership, association, corporation or other ; gal entity, or any two or more of the foreuoint,engaged in a joint enterprise,and including the le-al 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 dwcllin, 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 1'S2 section 25 also states that every state or local licensing agency shall withhold the issuance or rencival of a license or permit to operate a business or to construct buildings in the common%-caltli 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 insurance requirements of this chapter have been presented to the contracting authority. •---------:--:---.,:---�'-• ---^�' :�:•e., �,,,:!'T — .,. fir,.. - ,:a.t.;v..:�,u •.. �y.., S.:.t -^�.`4:r�,;::;.,—!'� .... .. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying-company names, address and phone numbers 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. _ ._ . ._:.•.e,••:.... ........ _.._. . :.•.. K' Wiz.;. _:_ .� ..:', i,: ��y�;', 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 permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like 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 office of Investigations 600 Washington Street = Boston,Ma. 02111 fax#: (617) 727-7749 •. phone #: (617) 7274900 ext. 406, 409 or 375 ., dare The Town of Barnstable 9,$ Department of Health Safety and Environmental Services � Building Division 367 Main Stroet,Hyannis MA 02601 Offs= 508 790-6227 Ralph Face 508 775-3344 Building Commissio For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,hair,modernization,conversion, improvement,removal, demolition, or construction of an addition to any McKisting 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. l 7T d� Type of Work: -2- Est Cost/'2�� , DHY4, N14, e) Address of Work: � Owner.Name: !J((/Vl Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law _ _ob under S1,000 Budding not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WiIT�LTf1REGI3'T' CONTRACTORS FOR APPLICABLE HOME IMPROVEN ENT WORK DO NOT HAVE ACCESS M THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL a 142A SIGNED UNDER PENALTIES OF PERJURY I hcrcby apply for a permit as the agent of the owner. / Date Contractor name Registration No. OR ' n,,e owner's name • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER.. LICENSE EXEMPTION Please print. DATE • ' .. JOB. LOCATION l �p �sr "Number Street address Section of town "HOMEOWNER" ./z,�j �� Name Home phone Work phone PRESENT MAILING ADDRESS City town State Zip co( The current exemption for "homeowners" was extended to include owner-occur dwellings of six units or less and to allow such homeowners to engage an dividual for hire who does not possess a license, provided that the owner acts as supervisor' DEFINITION OF HOMEOWNER: Person(sJ who owns a parcel of land on which he/she resides or intends to side, on which there is, or is intended to be, a one to six family dwellii attached or detached structures accessory to such use and/or farm structus A person who constructs more than one home in a two-year period shall not considered a homeowner. Such "homeowner" shall submit to the Building Off on a form acceptable to the Building Official, that he/she shall be respor for all such work performed under the building permit. . (Section 109.1.1) The undersigned "homeowner" assumes ..responsibility for compliance with the Building Code -and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requireme: and that he/she will co ply with said procedures and requirements. HOMEOWNER'S SIGNATURE �- APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be require to comply with State- Building- Code- Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for wh cfiJ . buiie Permit is required shall be exempt from the provisions of,.,,x is_-^section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided thz Home Owner engages a persons) for hire to do such work, that such Home shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assun the responsibilities of a supervisor (see Appendix Q, Rules and Regulat for .licensing Construction Supervisors I Section -2.15) . This lack of as often results in serious problems; particularly when the Home Owner hir unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home"Owner as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilitie communities require, as part of the permit application, that the Home 0 certify that he/she understands the responsibilities of a supervisor. last page of this issue is a form currently used by several towns. You care to amend and adopt such a form/certification for ,use; in your commu: TOWINI OF BARNSTABLE- DIVISION Ba.sep-%- ,men- PQ at�Y• • ' s q _ r.e 'T2 k F� f. I y 4.nJ'�---,-�-�1 r� y, ALI :WJ fp A " _{r :R slt .r1 �� r x �. . q e r ' IT $d ea I! ",A ° ---- - 4a ,2,- ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES w�. A AMPERE 1. THIS SYSTEM IS GRID—INTERTIED VIA A e AC ALTERNATING CURRENT UL—LISTED POWER—CONDITIONING INVERTER. BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. CONIC 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. l9 9 4i CURRENT 6. CIRCUITS OVER 250V TO GROUND SHALL r a� `a: Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(B). a e Isc SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DO NOT ENTER r' kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DCco r1l' 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 a � NEUT NEUTRAL UL LISTING. ,T 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 < POI _ POINT OF INTERCONNECTION HARDWARE. PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL'BE SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. S STAINLESS STEEL STC STANDARD TESTING CONDITIONS TYP - TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V VOLT Vmp VOLTAGE AT MAX POWER Voc VOLTAGE AT OPEN CIRCUIT ti` ' VICINITY MAP INDEX W WATT — 3R NEMA 3R, RAINTIGHT PV1 COVER SHEET..'.' PV2 PROPERTY PLAN PV3 ; SITE PLAN PV4. STRUCTURAL .VIEWS PV5 UPLIFT CALCULATIONS LICENSE GENERAL NOTES PV6 .THREE .LINE DIAGRAM GEN #168572. 1. ALL WORK TO BE DONE TO THE 8TH EDITION Cutsheets Attached 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: ft _ a. AHJ: . Barnstable REV BY DATE COMMENTS ' REV A NAME DATE COMMENTS - UTILITY: NSTAR Electric (Commonwealth Electric) CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: J B-0 2 6 7 3 7 0 0 PREMISE OWNER: DESCRIPTION: DESIGN: \\` CONTAINED SHALL NOT BE USED FOR THE SOUZA, SAMANTA SOUZA. RESIDENCE. Daniel Hogberg SolarCity. BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Com Mount T e C 126' ARROWHEAD DR 5.355 KW PV ARRAY �� PART TO OTHERS OUTSIDE THE RECIPIENTS p ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES: H YA N N I S, M A- 026 01 THE SALE AND USE OF THE RESPECTIVE (21) TRINA SOLAR # TSM-255PA05.18 24 St Martin Drive,Building 2,Unit 11 ! SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: q k PAGE NAME: SHEET: REV: DATE Marlborough,MA 01752 PERMISSION OF SOLARCITY INC. $OLAREDGE' SESOOOA—U$OOOSNR2 5083602168 T: (650)638-1028 F. (650)638-1029 COVER SHEET PV 1/21/2015 (6Ba�_SOL—CITY(765-2489) www.sdurcity.com PROPERTY PLAN Scale:l" = 20'-0' z 0 20' 40' r^ J B-026737 00 PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: CONTAINED SHALL NOT BE USED FOR THE SOUZA, SAMANTA SOUZA RESIDENCE Daniel Hogberg fb;;;So�a�C�ty BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: 126 ARROWHEAD DR 5.355 KW PV ARRAY ��'" r®NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C PART TO OTHERS OUTSIDE THE RECIPIENT'S MDDULEs H YAN N I S M A 026 01 ORGANIZATION, EXCEPT IN CONNECTION WITH , 24 St.Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (21) TRINA SOLAR # TSM-255PA05.18 PACE 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. SOLAREDGE SE500OA-USOOOSNR2 5083602168 PROPERTY PLAN PV 2 1/21/2015 (888)—SOL—CITY(765-2489) www.solarcity.com PITCH: 20 ARRAY PITCH:20 ` MP1 AZIMUTH:98 ARRAY AZIMUTH:98 MATERIAL: comp Shingle STORY: 2 Stories es 0 - Y00 JIN lf.. K ' VI No.4 Front Of House Ir Digitally igned by Yoo Jin Kim - Date: 2015.01.21 12:43:00 i -08'00' AC F---- p ; M LEGEND - Q (E) UTILITY METER & WARNING LABEL inv INVERTER W/ INTEGRATED DC DISCO & WARNING LABELS `© DC DISCONNECT & WARNING LABELS v Ar © AC DISCONNECT & WARNING. LABELS �* DC JUNCTION COMBINER BOX & LABELS a M l ® DISTRIBUTION PANEL'& LABELS Lc LOAD CENTER & WARNING LABELS r O ,DEDICATED PV SYSTEM METER Q STANDOFF LOCATIONS CONDUIT RUN ON EXTERIOR . - --- CONDUIT RUN ON.INTERIOR GATE/FENCE Q HEAT PRODUCING.VENTS'ARE RED INTERIOR EQUIPMENT IS DASHED SITE PLAN. Scale: 1/8 1' z N 0 1' 8' 16' PREMISE OWNER: DESCRIPTION: DESIGN: CONFlDENIIAL— THE INFORMATION HEREIN JOB NUMBER: J B—O 2 6 7 3 7 O O CONTAINED SHALL NOT BE USED FOR THE SOUZA, SAMANTA SOUZA RESIDENCE Daniel Hogberg - SolarCity. BENEFlT OF ANYONE EXCEPT SOIARCITY INC., MOUNTING SYSTEM: �'.,NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Com Mount T e C 11�26 ARROWHEADDR 5.355 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MODULE I I YA N N I S M A 02601 ORGANIZATION, EXCEPT IN CONNECTION WITH , THE SALE AND USE OF THE RESPECTIVE 21 TRINA SOLAR # T$M-255PAO5.18 24 St.Martin Drive Building 2,.Unit 11 ( ) EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME / SHEET: REV: DATE Marlborough,MA 01752 SOLARCITY PERMISSION OF WI INC. INVERTER: T: (650)638-1028 F. (650)638-1029 SOLAREDGE SE5000A-USOOOSNR2 50836.02168 SITE PLAN' PV. 3 1/21/2015 (888)—SOL—CITY(765-2489) www.solarcitycom S 1 N OF p? Y00 JIN KVI H No.4 7 13' .o - TE 1'-3 (E) LBW AL SIDE VIEW OF MP1 IVTs Digitally signe by Yoo Jin Kim A Date: 2015.01.21 12:42:53 -08'00' ti MP1 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES LANDSCAPE 64" 2411 STAGGERED PORTRAIT 4811 1911 RAFTER 2x6 @ 16" OC ROOF AZI 98 PITCH 20 STORIES: 2 ARRAY AZI 98 PITCH 20 C.J. 2x6 @16" OC Comp Shingle PV MODULE 5/16" BOLT WITH LOCK F INSTALLATION ORDER & FENDER WASHERS LOCATE RAFTER, MARK HOLE ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT (6) HOLE. SEAL PILOT HOLE WITH (4) (2) POLYURETHANE SEALANT. ZEP COMP MOUNT C — ZEP FLASHING C (3) (3) INSERT FLASHING. (E) COMP. SHINGLE (4) PLACE MOUNT. (1) (E) ROOF DECKING (2) u INSTALL LAG BOLT WITH 5/16" DIA STAINLESS . (5) (5) SEALING WASHER. STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH WITH SEALING WASHER (6) BOLT & WASHERS. (2-1/2" EMBED, MIN) (E) RAFTER STANDOFF J B-0 2 6 7 3 7 00 PREMISE OWNER DESCRIPTION: DESIGN: CONTAINED AL— THE INFORMATION HEREIN JOB NUMBER: \\�,�SolarCity. CONTAINED SHALL NOT BE USED FOR THE SOUZA, SAMANTA SOUZA RESIDENCE Daniel Hogberg �; p BENEFIT OF ANYONE EXCEPT SOLARCITY INC., OUNTING SYSTEM: �•` NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 126 ARROWHEAD DR 5.355 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENT'S oout� HYANNIS MA 02601 ORGANIZATION, EXCEPT IN CONNECTION WITH24 SL Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (21) TRINA SOLAR # TSM-255PA05.18 PACE NAME: SHEET: REV. DATE Marlborough,MA 01752 SOLARCITY EQUIPMENT, VATHOUT THE WRITTEN 1111SOLAREDGE NVERTER: T: (650)638-1028 F (650)638-1029 PERMISSION OF SOLARCITY INC. SE5000A—USOOOSNR2 5083602168 STRUCTURAL VIEWS PV 4 1/21/2015 (888)—SQL-ciTY(765-2489) www.solarcity.com UPLIFT CALCULATIONS • • . SEE SEPARATE PACKET FOR STRUCTURAL CALCULATIONS, • r CONFIDENTIAL— THE INFORMATION HEREIN FER PREMISE OWNER: DESCRIP110N: DESIGN: CONTAINED SHALL NOT BE USED FOR THEJB-026737 00 SOUZA, SAMANTA SOUZA RESIDENCE Daniel Hogberg � `s BENEFIT OF ANYONE EXCEPT SOLARCITY INC., TEM: ��O SolarCity.NOR SHALL IT BE DISCLOSED IN WHOLE OR INount T e C 126 ARROWHEAD DR 5.355 KW PV ARRAY o - PART TO OTHERS OUTSIDE THE RECIPIENT'Sy ORGANIZATION, EXCEPT IN CONNECTION WITH H YAN N I S, M A. 02601 THE SALE AND USE OF THE RESPECTIVE INA SOLAR # TSM-255PA05.18 24 SL Martin Drive, Building 2,Unit i1 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME: SHEET: REV: DATE: Marlborough,MA 01752 PERMISSION OF SOLARCITY INC. T-. (650)638-1028 F. (650)638-1029 GE SE5000A—USOOOSNR2 5083602168 UPLIFT CALCULATIONS _ PV 5 1/21/2015 (888)—SOL—CITY(765-2489) www•solarcity.com GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO TWO (N) GROUND Panel Number: Inv 1: DC Ungrounded INV 1 -(1)SOLAREDGE #SE5000A-USOOOSNR? LABEL: A -(21)TRINA SOLAR # TSM-255PA05.18 GEN #168572 RODS-AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:2298558 Tie-In: Supply Side Connection Inverter; 5000W, 240V, 97.5%; w Unifed Disco and ZB,RGM,AFCI PV Module; 255W, 232.2W PTC, 40MM, Black Frame, MC4, ZEP Enabled ELEC 1136 MR Underground Service Entrance INV 2 Voc: 37.7 Vpmax: 30.5 INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER _ �E 100A MAIN SERVICE PANEL SolarCityE; 10OA/2P MAIN CIRCUIT BREAKER (E) WIRING CUTLER-HAMMER Inverter 1 Disconnect CUTLER-HAMMER 4 A 1 10OA/2P 6 Disconnect 5 SOLAREDGE DC. B 30A SE5000A-USOOOSNR2 DGLp MP1: 1x8 C - EGC I A L1 zaovADI r- -------- - -------------------- I B L2 N 1 3 2 1 (E) LOADS GND _ _--- GND _EGCI ___ DC+ DC- f ------------------------- y�11-JI1 3) GEC N pG DG MP1: 1x13 r•---J GND -- EGC--- --------- ------------ ---F---- -- EGC--------------- tJ N I (1)Conduit Kit; 3/4' EMT I -J hi c EGC/GECLi L'i _ z 3 I I 1 I �._ GECT-1 TO 120/240V SINGLE PHASE 1 I 1 1 UTILITY SERVICE 1 1 1 1 1 1 i I I I 1 I PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN Voc* = MAX VOC AT MIN TEMP OI (2)Ground Rod; 5/8' x 8', Copper B (1)CUTLER-HAMMER #DG222NRB A (1)SolarCityy gg 4 STRING JUNCTION BOX -(2)ILSC0 IPC 4/0-#6 Disconnect; 60A, 24OVac, Fusible, NEMA 3R AC 2x2 STRMGS, UNFUSED, GROUNDED DC Insula ton Piercing Connector; Main 4/0-4, Tap 6-14 C (1)CUTLER-HAMMER #DG221URB PV -(21)SOLAREDGE- #P300-2NA4AZS S SUPPLY SIDE CONNECTION. DISCONNECTING MEANS SHALL BE SUITABLE Disconnect; 30A, 24OVac, Non-Fusible, NEMA 3R PowerBo% ptimizer, 30OW, H4, DC to DC, ZEP AS SERVICE EQUIPMENT AND SHALL BE RATED PER NEC. -(i)CUTLER-iiAMMER N DG03ON8 Ground/Neutral Kit: 30A, General Duty(DG) nd (1)AWG#6, Solid Bare Copper -(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 AWG #10, THWN-2, Black (I)AWG 110, THWN-2, Black Voc* =500 VDC Isc =15 ADC (2)AWG#10, PV WIRE, Black Voc* =500 VDC Isc =15 ADC © (1)AWG #6, THWN-2, Red O (1)AWG #10, THWN-2, Red O (1)AWG 110, THWN-2, Red Vmp 350 VDC Imp=9.35 ADC O (1)AWG#6, Solid Bare Copper EGC Vmp =350 VDC Imp=5.75 ADC (1)AWG #6, THWN-2, White NEUTRAL Vmp =240VAC Imp=20.83AAC (1)AWG #10, THWN-2, White NEUTRAL Vmp =240VAC Imp=20.83AAC (1 AWG#10, THWN-2,.Green. EGC -(1)AWG #6,.Solid Bare.Copper. GEC. . . .-(1)Conduit.Kit;.3/4'_EMT. . . . . . . . . . . . . . .. .-(i)AN #8,.T HWN-2,.Green . . EGC/GEC.-(1)Conduit.Kit;.3/4'_EMT_ _-. _ . . . . _. (1)AWG 110, THWN-4, 91ack Voc 500 VDC Isc =15 ADC (2)AWG #10, PV WIRE, Black Voc =500 VDC Isc =15 ADC ®RF (1)AWG#10, THWN-2, Red Vmp =350 VDC Imp=5.75 ADC 2 (1)AWG #6, Solid Bare Copper EGC Vmp =350 VDC Imp=9.35 ADC . . . . . (1)AWG#1.0, THWN-2,.Green. EGC CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: J B-O 2 6 7 3 7 00 PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE. SOUZA, SAMANTA SOUZA RESIDENCE Daniel Hagberg BENEFIT OF ANYONE EXCEPT SOLARG solarCity.TY INC., MOUNTING SYSTEM: �'� NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 126 ARROWHEAD DR 5.355 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES H YA N N I S M A 026 01 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St.Martin Drive,Building 2.Unit 11 THE SALE AND USE OF THE RESPECTIVE (21) TRINA SOLAR # TSM-255PA05.18 PAGE NAME SHEET: REV DAIS Marlborough,MA 01752 SOLARGTY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: T: (650)638-1028 F: (650)638-1029 PERMISSION OF SOLARGTY INC. SOLAREDGE SE5000A-USOOOSNR2 5083602168 THREE LINE DIAGRAM PV 6 1/21/2015 c668)-SDL-CITY(765-2489) www.solarclaaam r- Label Location: Label•Location: Label.Location: ■ o o e 'o o - C CB o AC POI o DC INV Per Code: _ Per Coder _ Per Code: NEC 690.31.G.3 00 0 0 0 NEC 690.17.E ° e ° ° o- 'e' ° NEC*690.35(F) Label Location: o :o ° - o 0 0 TO BE USED WHEN (DC)(INV) o•° ° - ° -e ° ° • • INVERTER IS aw - Per Code: UNGROUNDED D O � - � - . • NEC 690.14.C.2 Label Location: Label Location: o (POI) t • •o (DC)(INV) utlV Per Code:. - - o - NEC 690.64.B.7 Per Code: . -e I�• e •o NEC 690.53 •e e o eo E Label Location:. 0 0 0 -o I� (POI) Label Location: - o o Per Code: (DC)(CB)` '. -° °o o e o NEC 690.17.4; NEC 690.54 u� Per Coder • ° -° NEC 690.17(4) :o o o•° o • e :e ° -o 0 0- Label Location: _ o ((� .(DC)(INV) Label Location: ;. Per Code: (D) (POI) �p -e ° o °•-. ° NEC 690.5(C) Per Code:. : o- -o ° °• - o -o a •o o NEC690.64.B.4 Label Location: Label Location: ` . p (POI) (AC)(POI) . • -e o - Per Code: (AC): A .C Disconnect Per Code: NEC 690.64.B.4 (C): Conduit NEC 690.14.C.2 rr (CB):.Combiner Box (D): Distribution Panel (DC): DC Disconnect Label Location: Interior Run Condu t (IC): In i Q .(AC)(POI) ( NCV)):�Inverter With Integrated DC Disconnect e- - Per Code: Load Center ility e- d NEC 690.54 (POI).tPointnofenterconnection CONFIDENTIAL-,THE INFORMATION HEREIN CONTAINED SHALL NOT BE USED FOR , THE BENEFIT OF ANYONE EXCEPT SOLARCITY INC., NOR SHALL IT BE DISCLOSED �`'••!� ®�®�® IN OUTSIDE THE nSEEMEETIECA XCEPT N CONNECTIONTWITH THESSALE AND USEROFIPTHEr RESPECTIVE TION SC Label P'I Set s •��, 0OI��'� o O7®OL SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PERMISSION OF SOLARCITY INC. ''^SOIarCity I ZepSolar Next-Level PV Mounting Technology ^SOIafClty ZepSolar Next-Level PV Mounting Technology Zep System Components for composition shingle roofs .Up-roof ORO Ground Zep Interlock Icy We st—) - Leveling Foot . Zep Compatible W Module - , ^" t" Zep Groove — - Root Attachment - Array Skirt yCGMp4TvO Description rm PV mounting solution for composition shingle roofs �p°GMpas�O• Works with all Zep Compatible Modules o • Zep System UL 1703 Class A Fire Rating for Type 1 and Type 2 modules Auto bonding UL-listed hardware creates structual and electrical bond V� LISTED - Comp Mount Interlock Leveling Foot Part No.850-1345 Part No.850-1388 Part No.850-1397 Listed to UL 2582; Listed to UL 2703 Listed to UL 2703 Specifications Mounting Block to UL 2703 CI Designed for pitched roofs Installs in portrait and landscape orientations • Zep System supports module wind uplift and snow load pressures to 50 psf per UL 1703 • Wind tunnel report to ASCE 7-05 and 7-10 standards Zep System grounding products are UL listed to UL 2703 and ETL listed to UL 467 • Zep System bonding products are UL listed to UL 2703 • Engineered for spans up to 72"and cantilevers up to 24" • Zep wire management products listed to UL 1565 for wire positioning devices Ground Zep Array Skirt,Grip,End Caps DC Wire Clip • Attachment method UL listed to UL 2582 for Wind Driven Rain Part No.850-1172 Part Nos.500-0113, Part No.850-1448 Listed to UL 2703 and 850-1421,850-1460, Listed UL 1565 ETL listed to UL 467 850-1467 zepsolar.com zepsolar.com Listed to UL 2703 This document does not create any express warranty by Zap Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for This document does not create any express warranty by Zep Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for each product.The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely each product.The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely responsible for verifying the suitability of Zep Solar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com, responsible for verifying the suitability of Zep Solar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. 12 22 14 ZS for Comp Shingle Cutsheet Rev 02.pdf Page: 1 of 2 12 22 14 ZS for Comp Shingle Cutsheet Rev 02.pdf Page: 2 of 2 % Mono Multi Solutions f THE -amount MODULE TSM-PA05.18 J .. .. DIMENSIONS OF PV MODULEELECTRICAL DA DATA @ STC volt m m , 45 250 255 260Peak Power Wa}ts-PMA Wpl 2 , J4 I f " - 941 O ^ - Power Output Tolerance-PMAx(%) 0- 3 TH �� O1 oGO Maximum Power Voltage VMP(V) 8.2 I 8.27 ( 8.37 ( 8.50 Ir UNRpN 30.6 sox �Maximum Power Current IMPP(A) 8.20 8.27 8.37 8.50 a LATE 111 Open Circuit Voltage-V c iV) 37.8 II 38.0 (( 38.1 38.2 NAMfP y t.' ^-oP*I� Short"Circuit Curren-Isc(A) 8.715 8.79 8.88 9.00 - INSTALL..HOLE c i • - :. _ $ Module Efficiency nm(%) 15.0 ! 15.3 15.6 15.9 r . O D U E.. •-j.. -STC:Irradiance I000 W/m',Cell Temper alu e 25 C Air Mass AMI.5 according to EN 60904-3. - Typical efficiency reduction of 4.5%at 200 W/m'according to EN 60904-I. - - ELECTRICAL DATA®NOCT - �: Maximum Power-PMAx(Wp) 182 1 186 - _ - '� L 4, CELL 1 C : Maximum Power Voltage VMP(V) 27.6 28.0 -28.1 28.3 - z 60 - - - - r. �* -T 190 193 i ° Maximum Power Current-IMPP(A) ) 6.59 6.65 6.74 6.84 MULTICRYSTALLINE MODULE p°°N°.. .NOLE - A A Open Circuit Voltage(V)-Voc(V) 35.1 35.2 35.3 35.4 t WITH TRINAMOUNT FRAME - t c t I - Short Circuit anent(A)-Isc(A) � 7.07 j 7.10 }� 7.17 � 7.27 � _ NOCT:Irradiance of 800 W/m';Ambient Temperature 20 C Wind Speed I m/s. 180 245 ��0� - Back view H AL PA05 18 MEC ANIC DATA POWER.OUTPUT RANGESolar SolarceIls MulticrystalIine 156%156 min(binches) Cell orientation 60 cells(6 x 10)II 11 •. _ `y{. 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) ' Weight_ 21.3 kg(47.0 lbs) 3.2 min 0.13 inches,Hi h Transmission,AR Coated Tempered Glass •"� Glass ( ) 9 P Backsheet ,White LL MAXIMUM EFFICIENCY e 1. - A-A Frame lack Anodized Aluminium Alloy y�` Good aesthetics for residential applications J-Box IP 65 or IF 67 rated - i Technology cable 4. min inches- Cables Photovoltaic0 0006 Fsv I 1• .. -V RV F PV MODULE LE 24 W CURVES O O U 5 - � 1200 min 47.2 inches - ti ti 1 ) ® �� - - pm Connector 1 H4Amphenol I • POWER OUTPUT GUARANTEE 9� 000w/m, U_ d r >i e. Fire 3Type City Fl L 170 2 for Solar Highly reliable due to stringent quality control -7.ba • Over 30 in-house tests(UV,TIC,HF,and many.more) 5- 6°0W/" t As a leading global manufacturer w In-house.testing goes well beyond certification requirements' 4.P 4pow/m' TEMPERATURE RATINGS MAXIMUM RATINGS r of next generation photovoltaic , • P.ID resistant - - -2oow/m° Nominal Operating Cell Operational Temperature .-40-+85°C _ r L products,we believe close 2° p g 44 C(±2 C) _ i P -:e' , - - - _ _ Temperature NOCT . - p (NOCT)' .,. � - � 1 _ _ �..a Maximum S stem b00V DC(UL) cooperation with our partners I o� { � v is critical to success. With local - o.� o.� 2o.m' 3pm quo + Temperature Coefficient of PMAx -0.41%/°C t Voltage - 1 presence around the globe,Trina is t - - - i voltage(v) Temperature Coefficient of Voc -0.32%/°C f Max Series Fuse Rating 15A able to provide exceptional service T . - to each customer in each market 4 1A \, ; Certified to withstand chaalenging environmental Temperature Coefficient oflsc 0.05%/°C and supplement our innovative, Conditions _ reliable products with the backing 4 • 2400 Pa wind load _ of Trina as a strong,bankable - WARRANTY partner. We are mmitted • 5400 Pa snow load ) , -. p I � _ � - 1 - � - 10 year Product Workmanship Warranty. to building strategic,mutually J beneficial collaboration with la year Linear Power warranty i installers,developers,distributors " (Please refer to product warranty for details) y and other partners as the backbone of our shared success in - - - CERTIFICATIONS - o - drivingSmartEnergyTogether. LINEAR PERFORMANCE WARRANTY PACKAGING CONFIGURATION o SA�A ®BB a s , 10 Year Product Warranty•25 Year Linear Power Warranty, Lim Modules per box:26 pieces w Trina Solar Limited - www:trinasolar.com I Ex' ,�Modules per 40'container:728 pieces Addittio s w 90% not value darn TljAa SotofS j(neOr Wait, * �1 c°MPLI•Nr CAUTION:READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT. poMPAfj an'r 0 02014 Trina Solar Limited.All reserved.Specifications included this datasheet are subject.to B(° - ' - Ogw 4Po�o�solar 9 80% Po�n�solar ehongaWithoutnotiae p 0� sk Smart Energy Together Years s to 15 20 25 Smart Energy Together a ceMPpr 113 Trina standard © Ind;i try standard - - - ' - i. - � � SolarEdge Power Optimizer solar, e� solar=qq fly Module Add-On for North America 1 V P300 / P350 / P400 SolarEdge Power Optimizer Module Add-On For North America (for P388 P35o P4Do 60-cell PV (for 72-cell PV (for 96-cell PV modules) modules) modules) P300 /. P350 / P400 KIM INPUT - Rated '� 300 350 400 W Absolute Maximum Input Voltage(Voc at lowest temperature) 48 60 80 Vdc ........ .. .. .. ..... ... t - MPPT Operating Range 8 48 8-60 .8...80 Vdc ................ Ma%Imllm Short Grcuit Curren[(Isc) 30 Adc ......................P.... ............ ............................ .... ......... ........................... .......... ...-.... nnn nnn��111 Maximum DC Input Curren[ 12.5 Adc ./'ti. Maximum Efficiencg.................................................. ......_.._.......... ..._.........99.5 .............._._._............ % ... Weighted Efficiency. 98.8........... ........... ...off....... - .. .. ........ ........ ... ....................... ........... .... Overvoltage Category II OUTPUT DURING.OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER) O Maximum Output Current 15 ............................... Adc - Maximum Output Voltage 60 --- Vdc all OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF) - _ -- Safety Output Voltage per Power Optimizer 1 Vdc -•C.. - STANDARD COMPLIANCE ,• ! �:!"� t� EMC FCC Part15 Class 8,IEC61000-6-2,IEC61000 6 3 ` 6Wa ° • Safety.. ............... ..., .IEC62109.1(doss II safety),.UL1741 .,....... RoHS Yes , - � INSTALLATION SPECIFICATIONS - Maximum Allowed System Voltage 3000 Vdc Dimensons(W.x.L.x.H).........._.._............_................... ....................141 x 212 x 40 S/,S SS z 8.34 z 159......................min/in.. Weight(including cables)........................... 950/2 1 ........ gr/Ib..• - ........ ........... ...... ...... ... ... .... . ... ... .. ..... Input Connector................................. ......... .. ... ... .._. .......MC4/Amphenol/Tyco......................................... O tput W1.e Type/Connector Double Insulated;Amphenol - ......... .. ........ .. .. Output Wue Length 095/30 1.2/3.9 m/ft Operating Temperature Range -40 +85/-40-+185 .. Protection Rating IP65/NEMA4. .......... Relative Humidity 0 100 % ..... .......................... ... ..... .... ...... .. Ra sie po 0tM1e motlue-du fup 1osx power mlerance a owed a - PV SYSTEM DESIGN USING A SOLAREDGE THREE PHASE THREE PHASE INVERTER SINGLE PHASE 208V 480V PV power optimization at the module-level _ Minimum String Length(Power Optimizers) 8 10 18 ......................... .......... .. ......... ....... Up to 25%more energy - - Maximum String Length(Power Optimizers) 25 25 SO .Superior efficiency(99.5%) - - Maximum Power per String 5250 .. 6000 12750, W Parallel Stnngs 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 - _ I — 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.s O)aredge.us F� �Z i =cc So ar' - 0 0 Single Phase Inverters for North America SOIa^ SE3000A-US/SE380OA-US/SH000A-US/SE6000A-US/ SE7600A-US/SE10000A-US/SE11400A-US SE3000A-US SE380OA-US I SES000A-US SE6000A-US. SE760OA-US I SE1000OA-US I SE11400A-6S '.OUTPUT - . . ,,, 4 C C �} V0IarEdge Singe Phase ( Nominal AC Power Output 3000 3800 5000 6000 7600 900@24V 11400 VA VVa,� v I u L I .......................................... .. ... ...... ... ... ........I ................ ............ 30000 @240V.................... ........ + n'unu�7' Max AC Power Output 3300 - 4150 6000 8350 12000 VA For North America - ,'. u _ 5400@206V .108D0@2DSV ....... .... . ..... . u 5450 @240V 10950 @240V AC Output Voltage Min:Nom:Max.* 183-208-229 Vac SE3000A-US/SE3800A-US/SE5000A-US/SE6000A-US/ AC Output Voltage Min:Nom:Max.= SE7600A-US/SE10000A-US/SE11400A-US 211-2a0-264Va .•-- - - --- -- ---- --- ---- -- _ . .11-2...-264... ..... .............. . ........... ............ . . . .... ... AC Frequency Min.Nom.Max* 59.3'60-60.5.(with HI country setting-57-60.60.5) .Hz ..... .,.......... .:' C 24 @ 208V 48'@ 208V . - Max Continuous Output Current..... .....1.........I......16...... ............... I• ...Z........ ......32 475 .. 21@240V _,•,.,.. ,42@240V GFDI.... ..... ................... ........................ .....1.............. ......... ..... ...A.,... ` ! # Utllity Monitoring,Islanding - Protection,Country Configurable Yes r, �werte, Thresholds INPUT -� - 4-. Recommended Max.DC Power** q_> •feaan� - (STC) - 3750 4750 6250 7S00 95001. 12... ......1.4..2.5. 4250 W r� ... .. ....... ................. ... ....... ........ Wa Transformer-less,Ungrounded ................ ......Yes ................ ...... ..... ..... ... +a yen ............ .. ..... . ....... .. .... - Max:Input Voltage.................. 500 Vdc Nom DC Input Voltage......--........... ..•.....-- .. ....„ 325 @ 208V/350 @ 240V Vdc _.. 16 5 @ 208V 33 @ 208V Max Input Current ....... ....... .....9.5......I.......13......I.15:5-@.240V.I.. .::18....... ......23....... ..30.5.@.240V... ....34.5....... ...Adc.... ' Max.Input Short Circuit Current 30 45 Adc Reverse.Polant Protection Yes Ground-Fault Isolation Detection 600ka Sensitivity . ......................................... ................ ............... ................. ...... ..... .................................... ..,......... ' Maximum Inverter Efficiency 97.7 ,•.98.2 ...._.98.3,••--- . 98.3 98 98 - ........98_ ....% - _ ... ......... ... ............ ......... .. ..... 97.5 @ 208V 97 @ 208V - ` CEC Weighted Efficiency _ 9... 98 97.5 .- .. 5 --- 97.5-• - tl t .98 97.5 @ 240V ,l Nighttime Power Consumption <2.5 - <4 W _ ( . ADDITIONAL FEATURES SupportedCommunication Interf ......................... ......... ........ ....... ........ ........ .._.............Y........... ......... Revenue Grade Data ANSI C12.1 Optional g i � STANDARD COMPLIANCE UL1741 U1-169913 1_11_1998 CSA 22 2 ......... ...... ......._. s Grid Connection Standards IEEE1547 E I _ Emissions FCC part15 class B '.INSTALLATION SPECIFICATIONS - "AC output conduit size/AWG range 3/4"minimum/24 6 AWG 3/4 minimum/8 3 AWG ,. .... ... .. ......... 1 DC input conduit size,/#of strings/ •6 3/4"minimum/1-2 strings/24 6 AWG 3/4"minimum/1 2 slangs/14-6 AWG AWGrange............................ .....................--..... ... ' -Dimensions with AC/DC Safety 30.5 x 12.5 x 7/ - 30.5 x 12.5 x 7.5/ in F 30.5x12.5x10.5/-775x315x260 Switch( WxDI.......... ..... ......775;x 315 z 172....... .775,z 315 x 191........ - ..... .............................:.:........... mm ...,... ... Weight with AC/DC Safety Switch... . . 512/232 ,...547/•247-• ........ ..................:..58..4/401----...--.,.•. .Ib/.kg... Cooling :Natural Convection Fans(user replaceable) - .......................................... . The best choice for SolarEd a enabled systems Noise ... .... ...<zs........................... ...... .. . ._. .<s9................. .... .d%A.... g y Min.-Max.Operating Temperature -13 to+140/-25 to+60(CAN version•**`-40 to+60). •F •C - Integrated arc fault protection(Type 1)for•NEC 2011 690.11 compliance , Renpe ....... ...... ... ..............................................................._...... ................................. ....... — Superior efficiency(98%) - - _ Protection Raring ........•.-.NE,MA 3.11 .......... •For other regional settings please contact SolarEdge support. Small,lightweight and easy to install on provided bracket - ••Limited to 125%for locationswhere the yearly average high temperature is sabove77-F/25-Candto135%forlocationswhereitisbelow77'F/25-C. ww , For detailed information,refer to htto-//w olar d /gl /odf/'nvrter d o r lA id odf Built-in module-level monitoring A higher curreht source may be used;the inverter wngmitIts m put current to the vvalues stated . ••CAN P/Ns are eligible for the Ontario FIT and microFIT(micraFIT exc.SE 1140OA-US-CAN) — Internet connection through Ethernet or Wireless — Outdoor and indoor installation Fixed voltage inverter,DC/AC conversion only — Pre-assembled AC/DC Safety Switch for faster installation - - Optional—revenue grade data,ANSI C12.1 # n StJf SPEC 0 * USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THENETHERLANDS-ISRAEL WWW,SOIaredge.US - t