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HomeMy WebLinkAbout0154 BISHOPS TERRACE -7 ,x TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map o2�� ( Parcel f—7 , ,�, TABLgApplication # Health Division ' Date Issued Z—/t'/y Conservation Division c, t ' . Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board f a, Historic - OKH _ Preservation/ Hyannis Project Street Address ���_I�I C S -1 �irw► i'�'1�- 00 0 Village Ie Owner ) Address 1)a 1.?1 Jhg? �We Telephone 2 21-- Permit Request cn�� ' 4 cal/ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation . cd Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family AK Two Family ❑ Multi-Family (# units) Age of Existing Structure Za^ Historic House: ❑Yes O PNb On Old King's Highway: ❑Yes &tTo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other `CA c- 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 Judbectric ❑ Other Central Air: ❑Yes AKo Fireplaces: Existing New Existing wood/coal stove: ❑Yes Ek<o 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 UX6 If yes, site plan review# Current Used C Proposed Use 06✓, APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Jaz/.mot Telephone Number �� Address �S�i 13narI4 License # Home Improvement Contractor# ' Email � ct,�.ti��t `��t/ C Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �ZZ/s' L FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED r MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: ` . FOUNDATION FRAME s� INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL € GAS: ROUGH FINAL FINAL BUILDING LY?tlAf �� ��``//� �� Ae t DATE CLOSED OUT ASSOCIATION PLAN NO. t. The Commonwealth of Massachusetts Deparhne7zt of fitdmstr Accidents - O&C ofinve-569adans s s 600 Washingfow Street Boston,,MA 02111 wmv.inass_gosstdia Workers' CompensafionInsaranceAffiidavit:Builders(ContractorsMectricians/numbers Applicant Information Please Print Leeobfy t� l Name(Basin-organizatimandi,idaao: ! �. ,cam d�1ti- Un dress: } /_V j GitylStateIZip: �: ���.�'.� �/"i:"�-. Phone Are you an employer:'Chekk the appropriate box: Type of project(required): L❑ I am a employer with 4. ❑ I am a general contractor and 1 6- ❑New constntctroa employees(full and/or part-time).* have hired the sub-contractors. 7_❑ I am a sole proprietor or partner- listed on the attached sheet: 7- ❑Remodeling ship and have no employees These sub-contractors have g_ ❑Demolition w for me in any Capacity_ employees and have workers' working y 9._ ❑Building addition [No wogs' comp_in�e comp-insurance-1 5-❑ .'%Te area corporation and its 10:.❑Electrical repairs or additions �]3V _ I am a homeau•ner doing all work officers have exercised their 11_.❑Plumbing repairs or additions mysel€ [No workmt s'comp- right of exemption per MGL 12_❑hoof repairs insurance required]l c.152,§1(4),and we have.no . 131&Other employees [No workers' comp_insurance requireri-] -Auy appliomt that checks bra*I'mast also fill out the section below showing their wodt eie compensation policy 6nfnmadiiii i Homeowners who submit this affidavu m cat ag they are doing an ironic and Sign hug outside contractors most submit anew affidavit int rahn�such =Coutnctors tbst rbeck this Esc must suached an additional sheet shooing the mmne o#-ffie sub-ems and state whether ornot those amities have omployees. If the sub-covtractors have employees,they must provide&eir workers'comp.policy uumbiT lam an employer iliac is pratddixg it•orkers'compere Ldon irisrrrartce for rrty enW[oyees Bel'otr is Stepoiicy and}ob site inforrma&m Insurance Company Name: Policy 9 or Self-ins-Ii•_a: Expiration Date: Job Site Address: r City1"StatelTip: r/ Attach a copy of the-workers'compensation policy declaration page(showing the policy number.and expiration date). Failure ba secure coverage as required.under Section 25A of MGL e_ 152 can lead to the imposition of'criminal penalties of a fine up to S 1,500.00 and/or one-year imprisonment,as well as ciZRl 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 maybe forwarded to the Office of Im-estigations of the DIA for rncatrance coverage verification- I do hereby c;erhfy' I A.1 thep ans all p enaloes ofpedwy that the informationprot*idedubmwe is&"and correct Signature: Z>-7. Bate: O iciaZ rase only. Da rtot write iri this area,to be completed by ciV or town officiaL City or Town- PermitiLicense Issuing Authority(circle one): 1.Board of Health 2.Buiilding Department 3.City/rown.Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#- t 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as"___every person in the service of another under any contract of hire, express or implied, oral or written_" An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more thah three apartments and who resides therein,or the occupant of the - dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct builduis in the commonwealth.,`.or a_uy 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 of public work until acceptable evidence of compliance rrhth the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please El I out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their cer%ificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. H an LLC or LLP does have employees, a policy is required_ Be advised that this affidavit 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. Sell insured companies should enter their sell insurancz license number on the appropriate line. City or Town Officials 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 permitfEcense applications in any given year,need only submit one aifida.vit indicating current policy uzformation(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be prodded to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice 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 number: 'The Commanwealth of Massachusetts Department of Industrial Accidents Offce ofjavest?gatiaus GOO Washingtan Street Boston,MA G2111 Tel,4 617-727-4900 ext 406 or 1-977 MAS E Revised 4-24-07 Fax# 617 727-7-149 ww ma.ss-gov/dia Town of Barnstable Regulatory Services �oFrne ray Richard V_Scali,Director P s Building Division t xaaxsx"LK x Tom Perry,Building Commissioner brass �� 200 Main Street, Hyannis,MA 02601 ArEO `� www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 HOMEOWNER LICENSE EXEMPTION f 2 Please Print DATE: / 7 JOB LOCATION: number street village ..HOMEOWNER": r' ame home phone# work phone fr 1, CURRENT MAILING ADDRESS: 7 ,4, ci /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"horn own "cerddfies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and r e 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. t - - 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 &ReguIations for Licensing Construction Supervisors,Section 2.155) 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:\WPFILBS\FORMS\building permit forms\EXPRESS.doC Revised 061313 4. THE Tqy� Town of Barnstable t Regulatory Services * awxxsrwats. + y MASS. g Richard V.Scali,Director pT�o �" 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 as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized bythis building permit application for: (Address of Job ' "'Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. SilfriatLVe of er gna e of Applicant Print Name Print Name /2klI Date Q:FORM&OWNTERPERMISSIONIPOOLS /'WIXrM or S - If. IL . ,j1,, � L n) � l9 r SMOKE DTECTORS REVIOIED BARNSTABLE BUILDING DEPT. GATE fi c� FIRE DEPARTMEM1'; DATE s BOTH SIGAMURESARr y �, R PERAl1/T/1AG i - ry - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map a S/ Parcel /� 76 Application #at)IqL) Health Division Date Issued Conservation Division Application Fee s� Planning Dept. Permit Fee zl� Date Definitive Plan Approved by Planning Board Historic OKH Preservation/ Hyannis Project Street Address 15/M4 S Xely 2Ce /�` arI/7/S /�'I q oa66/ y v Village W01 Owner /mI/'j'!a/Ye Rll/ 7`o e Address 1Tq 9/shaDs %e�'I"ace 1Tva_,7,7 S �Q Telephone 5'0 8 r 790 - 8877 Permit Requestb'I /a .sb ar elevrx an Iv &,Y^ eicIsAlng17OUS16� Al be WA home -e/epe,+IC4/ s s7c_ I 9 Sys-iNO 3? Pane/S Square feet: 1 st floor: existing ^ proposed 2nd floor: existing — proposed Total new Zoning District XC 77 Flood Plain Groundwater Overlay Project Valuation IeQ vOD Construction Type Q -,,-"SO/,2,,- loin eI5 Lot Size O a/? Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single. amity ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure 411 VeS. Historic House: ❑Yes R No On Old King's Highway: ❑Yes ❑ No If ------------------ 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: ❑ C�as�""O Oil ❑ Electric ❑ Other Central Air: ❑Yes P-No(P-F places: Existing New Existing wood/coal stover-UY�O Detached garage: ❑exi ew size_Pool: ❑ existing ❑ new size _ Barn: EL ex in4l&riow--size_ Attached garage: ❑ fingM re size _Shed: ❑ existing ❑ new size _ Other: �- Zoning Board of Appeals uthorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 7% If �es site plan review# Y Current Use s!q e Proposed Use no c/1a ro— APPLICANT INFORMATION (BUILDER OR HOMEOWNER) o arC ors 611 - Name 1. 0/� /�1! S Telephone Number 7�/ X1�o p Address al �rOIQ410 License # CS `O766 3 f 8mlolyAll-e , Home Improvement Contractor# Worker's Compensation # (, a7a6alo6626570A�l ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO dQ1W I t``�' Skr(2ti0 t e7 Pelg dz6n . / 74 SIGNATURE ��"� DATE o �� h FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED r MAP/PARCEL NO. ' ADDRESS - VILLAGE OWNER ' DATE OF INSPECTION: ,2 E :UNDATIO.NikJ !0JVJ`+G-A 'a"Wavd�w�.�.a�. FRAME % INSULATION FIREPLACE ` ELECTRICAL;, ROUGH .FINAL PLUMBING: ROUGH FINAL ` GAS: ROUGH FINAL f - FINAL BUILDING' _ DATE CLOSED OUT " ASSOCIATION PLAN NO. F Of olar C t late 6 .W6 CM So c fl.Sar# # 4 S Mal r." v r5 a IC v � t {«�l.�I-1:It,r t..1..SEf-C�tEA SC._:,.tf`. tih SUMMARY ,. De1t _5/21/2014 ,:.$,`d Aadras N!O ...kai,ii li�¢r#�d 8ifpll co (,Ii.,15y°• Ann Salvatore 154'Bishops`.Terrace MAMIC1685721MAtic-MIR- 154 Bishops Terrace :Barnstable,:MA 02601. 1136' Barnstable,.MA 02601 .k Estimated Solar Energy Production: First Year Annual Production: 9,495 kWh Initial Term Total Production: ` I'M1 kWh, Payment Terms. v . Amount Due at Contract Signing; $0 # Amount Due when Installation Begins:! Amount Due following B(dg.Inspection: $O.00 Estimated Price per kWh First Year, Annual Increase: 0 0.X° First Year Monthly SolarCityBill: E114:61 Lease Term 20 Years SolarCity's Promises to You: -Your Prepayment and Transfer Choices During the Term: SolarCity will insure,maintain,and repair the System(including' 6 g If you move,you may transfer this ag' e 1.to the purchaser of your inverter)at no additional cost to you as specified in the agreement. 'Home,as specified in the agreement. • .SolarCity will provide 24R web-enabled monitoring at no additional If you move,you may prepaythe'remaimng payments,(if any}of a. cost to you,as specified in the agreement discount: e SolarCity will provide a.money-back production guarantee,as Y specified in the.agreement. Your Choices of the End of the initial Term: • SolarCity will warranty-your roof against leaks and restore your roof -®.;SolarCity will remove the System at no additioriatcostto you; at the end of the agreement as specifiedn the agreement: You can upgrade to a new System with the latestsolar technology e The pricing in this Lease is valid for A days,.afters/:1/2014. lfyou under anew contract. don't sign this Lease and return it to us on or prior to 30 days after a".You mayrenew your agreement for up.to ten(10)years intwo 121 5/21/2014,SolarCity reserves the fight to reject this lease unless five f5)year increments. you agree to our then current pricing. Otherwise,the agreement will automatically renew for an additional one(1)year term at 10%less than the then-currenf average rate ;charged by your,local utility: �i,!i.�ti��s-�la�ti_:�,•t;ktals i ,7tlf=1 t a, n tt :n r.�:e�ea�;y'.ttl+�ir ' , -. • e 22. PUBLICITY 1 have read this Lease and the Exhibits in their entirety and 1 acknowledge that I have received a_complete copy of this SolarCity will not publicly use or display any images of the System Lease. unless you initial the space below. If you initial the space below,you give SolarCity permission to take pictures of the System at installed on'your Home to show to other customers or display on our website. Customer's Name:Ann Salvatore, Hpmeowner's InitialsOL ' t l Signatures ' �a—M— a,r v 23. NOTICE OF RIGHT TO CANCEL Date: /�'7 YOU MAY CANCEL THIS LEASE AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE YOU SIGN THIS.LEASE. SEE EXHIBIT 1, Customer's Name: THE ATTACHED NOTICE OF CANCELLATION FORM, FOR AN EXPLANATION OF THIS RIGHT. Signature: 24. ADDITIONAL RIGHTS TO CANCEL _ Date: IN ADDITION TO,ANY RIGHTS YOU MAY HAVE TO CANCEL THIS LEASE UNDER SECTIONS 6 AND 23, YOU MAY ALSO CAN THIS LEASE AT NO COST f. ' AT ANY TIME PRIOR TO 5 P.M.OF THE 14"' {' �ar � T CALENDAR.DAY AFTER YOU SIGN THIS LEASE. SolarLease 25. Pricing SOLAR.CITY APPROVED The pricing in this Lease is valid for 30 days after 5/21/2014. If you don't sign this Lease and return it to us on or prior to 30 days after 5/21/2014,SolarCity reserves the right to reject this Lease unless you agree to our then current pricing. Signature: IYiVI:C'N i21dF,,C:}U SolarLease 4: SnfarCity. Date: WI/2014 Gidl�P7tAtt i4aWa",r.1 Wi0v 141{71 J .per, ,. ' .. J. 9 ,• � .. _ , V Office of Consumer Affairs and Business Regulation 'V__ "t' 10 Park Plaza = Suite 5170 'L Boston; Massachusetts 02116 Home Improvement Contractor Registration ' Registration: 168572 ? Type: Supplement Card SOLARCITY CORPORATION i Expiration: 3H8/2015', " 4 CRAIG ELLS -- — -- 24 ST. MARTIN STREET BLD 2 UNIT'11, * --- --- — -` MARLBOROUGH, MA 01752 Update Address and return card..Mark reason for change. sCn, Co earn-aS'n 0 Address Renewal (-� Employment Lost Card /�r•'Y i arieir Diu•. ����r/�`'ffi�,,.art.In.r(/: , � : - Office of Consumer Affairs&Business Regulation Licensior registration`velid for individul use only ME IMPROVEMENT CONTRACTOR, before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration: 168572, Typu 10 Park Plaza-S.uite 5170 Expiration: 3/8/2015 Supplement':ard Boston,MA 02116 SOLARCITY CORPORATION t CRAIG ELLS 24 ST MARTIN STREET BLD 2UNI ��• "y � �. y IVIAALBOROUGH,MA 01752 Undersecretary Not v lid without signature .T Massachusetts •Deoartrxteni sat Public: Safety J Board of Building Requiot+oi _'snit %0110rcls ,, * C;r§3�iftirlt+,r� tirtlie•r�t•,p' +'tc6nse CS-107663 . CRAIG ELLS 206 BAKER STREET A,- Keene AYH 03431- 1 �}, 08/29/2017 Cut�t7uS V Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement.Contractor Registration Registration: 168572 Type: Supplement Card Expiration: 3/8/2015 SOLAR CITY CORPORATION WAYNE EUBANK -�--- - 24 ST. MARTIN STREET BLD 2 UNIT'14 -- MARLBOROUGH, MA 01752 Update Address and return card.Mark reason for change. sca, c, 20nn-0s11i F Address n Renewal Employment Lost Card OhehecitlP r7 v�rc'l'�rl (lice of Consumer Affairs&Business Regulation License or registration valid for individul use only IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 168572 Type: Office of Consumer Affairs and Business Regulation 7 t Registration: 'f Expiration: 3 Supplement Card 10 Park Plaza-Suite 5170 /8/2015 Su pp Boston,MA 02116 SOLAR CITY CORPORATION . WAYNE EUBANK 24 ST MARTIN STREET BLD 2UN1 'IANLBOROUGH,MA 01752 -- Undersecretary N valid without signature The Commonwealth oflMlassaehusetts Department of lndustrial Accidents Qffice of Invesdgations. " ' I Congress Street,Suite 100 i Boston,MA 02114-2017. 5 www mass gov/dia F - r rice Affidavit: Builders/Contractors/Ele ctricians/Plumbers Workers Compensation Insurance , Applicant Information Please Print Legibly . Name(Business/Organization/Individual): Solaf`City Corporation 1 Address:3055 Clearview Way r city/State/Zip:San Mateo, CA 94402 Phone#:888-765-2489 • - d Are you an employer?Check the appropriate box: Type of project(required); 1.X I am a employer with 7000 4. ❑ I am a general contractor, and I 6. ❑New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- r: listed on the attached sheet. 7. ❑Remodeling +' ship and have no employees These sub-contractors have g• Demolition workingfor me in an capacity._ employees and have workers' Yt 9:. ❑Building addition [No workers' comp.insurance' ' comp..insurance. required-] 5. We arc a corporation and its 10:❑Electrical repairs or'addlrions 3.❑ 1 am a homeowner doing all work officers have exercised their, 11.❑Plumbing repairs or additions right of exemption per MGL' myself. [No workers comp. 12.❑Roof repairs insurance required]t c..152,§1(4),and we have no Solar Panels employees.[No workers' 1IN Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. " 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 I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Liberty Mutual Insurance om an Insurance Company Name: � CP . Y Policy#or Self-ins.Lic.#:WA7-66D-066265-024 Expiration Date 09/01/2015 41 Job Site Address:LS 6l�j D .S �na 661 City/State/Zip: av Ar/Ct Attach a copy of the workers' com ensation•policy declaration page(showing the policy number and expiration date). 6 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 :Si afore: r, � t Date: l0 a'ZO� i Phone#: ' 7818167489 .: i Official use only. Do-not write in this area,to be completed by city or town offteial. r. City or Town: . ' Permit/License# j Issuing Authority(circle on I Board of Health 2.Building Department`3.City/Ttiwn Clerk 4.Electrical Inspector.5.Plumbing Inspector + 6.Other Contact Person: Phone#: I ,d►co® CERTIFICATE OF LIABILITY INSURANCE °A' 912014 ""YY' 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 policylies)must be endorsed If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A h3tab9ment on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: MARSH RISK&INSURANCE SERVICES PHONE FAX 345 CALIFORNIA STREET,SUITE 1300 IAIC.No.Ext. (AIC.No)-. CALIFORNIA LICENSE NO.0437153 SAN FRANCISCO,CA 94104 ADDRESS: iNSU S AFFORDING COVERAGE NAIC p ' 998301-STNMAWUE-14-15 INSURERA:Liberty Mutual Fire Insurance Company 16586 INSURED Ph(650)963-5100 DNSURER B:Liberty Insurance Corporation 42404 SolarCity Corporation INSURER C:N/A N/A 3055 Clearview 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 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 ADOL SU POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDD A GENERAL LIABILITY TB2-061-066265-014 09/01/2014 09/01/2015 EACH OCCURRENCE $ 1,000,000 -UMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea commence) $ 100'000 CLAIMS-MADE a OCCUR NED E(P(Arty me person) $ - 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGR EGATE LIM IT APPLIES PER: PRODUCTS-COMPIOPAGG $ 2,000.000 X POLICY X PRO LOC DeduCtilie $ 25,000 1 A AUTOMOBILE LIABILITY AS2-061-W65-00" 09/01/2014 OCAIFA15 COMBINED SINGLE LIMIT 1 X ANY AUTO - - BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X N NON-OWNED PRPERTY DAMAGEHIREDAUTOSAUTOSer accident) X PhyS.Damage COMPICOLL DED: $ $1,000/$1,000 UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ LIED 1 •RETENTION$ $ B WORKERS COMPENSATION WA7-06D-01i6265-024 09/01P1014 09101/2015 x I WC STATU- OTH- AND EMPLOYERS'LIABILITY B YIN WC7�61066265-034��I 09/01@014 09/01/2015 1,000,000 ANY PROPRIETOR/PARTNEfilEXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMB (Mandatory In NH)EXCLUDED? El N/A i'WC DEDUCTIBLE:MOW 1,000,000 EL DISEASE-F1I EMPLOYE $ ayyes describe under i 1,000,000 DESCRIPTION OF OPERATIONS below 1 ' EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarke Schedule,N more space Is required) Evidence of Insurance. CERTIFICATE HOLDER CANCELLATION SolarCity 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 Services I Charles Marmolejo 01918-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD i I l'' r • Version#36.1 � d �H OF 3056 CAearview Way,San Mateo, CA 94402 (888)-soL-CITY(765-2489) 1 www.solarcity.com Y00 JIN • K � October 2, 2014 Vf Project/Job#026343 N0.4 RE: CERTIFICATION LETTER AL Project: Salvatore Residence 154 Bishops Terrace DI ItaII ned b Yoo Jin Kim Barnstable, MA 02601 'Digitally S y Date:2014.10.02 08:41:42 07'00' 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: w p -Applicable Codes = MA Res. Code,,8th Edition,ASCE 7-05,and 2005 NDS -Risk Category=II f -Wind Speed = 110 mph, Exposure Category C -Ground Snow Load = 30 psf -MPI: Roof DL=7.5 psf,Roof LL/SL= 21 psf(Non-PV Areas), Roof LL/SL= 21 psf(PV Areas) -MP2&3: Roof DL= 13.5 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 structural roof framing has been reviewed for loading from the PV assembly on the roof.The structural review only applies to the section(s)of the roof that directly supports the PV system and its supporting elements:°After this' review it was determined that the existing structure is adequate to carry the PV.system loading. I certify that the structural roof framing and the new attachments that directly support the,gravity loading from PV modules have been _ reviewed and determined to meet or exceed requirements of the MA Res.Code,Sth Edition., Please contact me with any questions or concerns regarding this project. P Sincerely, f -Yoo Jin Kim, P.E.. Civil Engineer . . Main: 888.765.2489,x5743- - email: •ykim@solarcity.com ' 3055 Clearview Way San Mateo;CA 94402-T(650)638-1028 (888)SOL-CITY F(650)638-1029 solarcity.com, - AZK)C243771,0ACSLAW8104,.COEG8041,CTH{GgG32?78, 1•dt .TIf0YR88,DCk4S71i01406,'HIW-29770,MAHIC1"$'72,MDMHiC MOO.NJ13VH06160WO,. OR CC8 1804".PA 077'343,TX7OLA27W134 WA GCt:$W,AFiC"919Q7.:62013�aIntCity:AlI lighia rasoivad. 3 . f '10.02.2014 Version#36.1 mac;SolarCity SleekMount TM PV System Structural Design Software PROJECT INFORMATION &TABLE OF`CONTENTS , Project Name: ' 'Salvatore_Residence " '" AHJ Barnstable_ - Job Number: 026343 'Building Code: MA lies.Code,8th Edition Customer Name: •,- 7=- Salvatore Ann ,., Based_On: IRC 2009%IBC 2009 " _ , _ -. Address: 154 Bishops Terrace ASCE Code: ASCE 7-05 City,/State:_,_,,__Barnstable.,", - MA _Risk Category_ Zip Code 02601 Upgrades Req'd? No Latitude/Longitude:_ ' �41.668760_ -70 319288 Stamp.Re SC Office: South Shore PV Designer: Steven Frangos Calculations: K le Jackson - EOR: '" -Yoo]in 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(SDQ = B < D 1/2-MILE VICINITY MAP <ins Neck � f oeseberry A ' t v' e - . - . • �A Agency Farm Service 154 Bishops Terrace, Barnstable, MA 02601 Latitude:41.66876,Longitude:-70.319288,Exposure Category:C LOAD ITEMIZATION - MP1 PV System Load PV Module Weight(psf) 2.5 psf Hardware Assembl Wei ht�s K . .a p = t „; 7 0.5 .5T_ PV System Weight s 3.0 psf Roof Dead Load Material Load Roof Category Description MP1 Roofing Type -- p: .t ,a Comp Roof ;_; y. .( 1Layers j -2.5 psf Re-Roof to 1 Layer of Comp? No * Underlayment w = _. ;: .u" Roofing Pa per ------ ---- .._ � ,.�. Plywood Sheathing Yes 1.5 psf Board Sheathing 4 4 ,r None s _ Rafter Size and Spacing 2 x 6 @ 16 in. O.C. 1.7 psf Vaulted Ceiling Miscellaneous Miscellaneous Items 1.3 psf Total Roof Dead Load 7.5 psf MP3 7.5 psf Reduced Roof LL Non-PV Areas Value ASCE 7-05 Roof Live Load La 20.0 psf Table 4-1 Member Tributary Area At w ,_ ,, < 200 sf. • t Roof Slope 3/12 Tributary Area Reduction=_ R ' 1 Section Sloped Roof Reduction Rz 1 Section 4.9 Reduced Roof Live Load.A 4 " `Lr (Ri)(Ri) Euation 4-2 Reduced Roof Live Load Lr 20 psf MP3 20.0 psf i - Reduced Ground/Roof Live/Snow Loads Code Ground Snow Load p9 30.0 psf ASCE Table 7-1 Snow Load Reductions Allowed? = �` Yes . , ,a y Effective Roof Slope 140 I Roriz,�Distance from Eve to Ridgq� W 13.3 ft . �ax n �• _ � _�> - Snow Importance Factor IS 1.0 Table,1.5-2 Snow Exposure Factor ' Ce . : ,„ Partially Exposed . Table 7 2 Snow Thermal Factor Ct All structures except as indicated otherwise Table 7-3 - , (iW=e 1.0 Minimum Flat Roof Snow Load-(w/rge) 21�0'psf �.�7 3.4& 10,'.Ran-on-Snow Surcha . Flat Roof Snow Load Pfm x.pf_ 0.7(C,. (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-roof 1.0 Figure 7-2 Design Roof Snow Load Over Ps-roof= (Cs-.00f)Pr ASCE Eq:7.4-1 Surroundin Roof Ps-roof 21.0 psf 70% ASCE Design Sloped Roof Snow Load Over PV Modules Surface Condition of PV Modules CS Unobstructed Slippery Surfaces _P� 1.0 Figure 7-2 : Design Snow Load Over PV P.-P.= (Cs-pv)Pr ASCE Eq:7.4-1 Modules Ps p" 21.0 psf 70% COMPANY PROJECT WoodWorks® ,SO"W.401FON WOOD DESIGN Oct. 2, 2014 09:08 MP1.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 .7.50 (16.0) * psf SL Snow Full Area Yes 21.00 (16.0) * psf PDVL Dead Full Area No 3.00 (16.0) * psf *Tributary Width (in) Maximum Reactions (lbs), Bearing Capacities (lbs) and Bearing Lengths (in) : 0' 0'-8" 12'-11" Unfactored: Dead 98 88 Snow 191 172 Factored: Total 289 260 Bearing: F'theta 443 443 Capacity Joist 582 333 Supports 586 586 Anal/Des Joist 0.50 0.78 Support 0.49 0.44 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, S-P-F, No.1/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: 13'-5.4"; Pitch: 3/12; Lateral support: top=full, bottom=at supports; Repetitive factor: applied where permitted (refer to online help); f WOodWorkS® Slzer SOFTWARE FOR WOOD DESIGN MP1.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 = 42 Fv' = 155 fv/Fv' = _ 0.27 Bending(+) fb = 1258 Fb' = 1504 fb/Fb' = 0.•84 Bending(-) fb = 15 Fb' = 976 fb/Fb' = 0.02 - Deflection: Interior Live 0.52 = L/293 0.84 .= L/180 s- 0.61 Total 0.91 = L/165 1.26 = L/120 0.72 Cantil. Live -0.09 = L/92 0.09 = L/90 0.98 Total -0.16 = L/52 0.14 = L/60 1.15 Additional Data: FACTORS: F/E(psi)CD CM Ct CL CF ' Cfu Cr' Cfrt, Ci 'Cn LC# i Fv' 135 1.15 1.00' 1.00 - - 1.00 1.00 1.00 2 Y. Fb'+ 875 1.15 1.00. 1.00 1.000 1.300 1.00 ` 1.15 1.00 1.00 4 Fb' - 875 1.15 1.00 1.00 0.649 1:300 1.00. 1.15 1.00 1.00 2 Fcp' 425 - 1.00 1.00 - - - 1:00 1.00 .. - E' 1.4 million 1.'1 00 1.00 - - - 1.00 1.00 - 4 Emin' 0.51 million 1.00 1.00 - - .1.00 1.00 - 4- CRITICAL LOAD COMBINATIONS: « Shear : -LC #2 = D+S, V Z 253, V design _ '234 lbs Bending(+) LC #4 = D+S (pattern: sS) ; M = 793 lbs-ft Bending(-) LC #2 = D+S, M = 9 lbs-ft Deflection: LC #4 = (live).- LC #4 = (total) m , 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 = 29e06 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. e 41 . \ - _ - ... 'yam , ..? • ., .. r rLOAD ITEMIZATION -.MP293 PV System Load PV Module Weight(psf) 2.5 psf Hardware Assembl .Weight, s ., - b f . , ,,; .. s 0.5 psf, PV System Weight s 3.0 psf Roof Dead Load Material Load Roof Category Description MP2&3 ;,. Roofin T e }_� � " � °� � � - � �_ � � � 4Y Com Ro ( i Layers Re-Roof to 1 Layer of Comp? No Underlayment, Roof_ P_a_ er 0.5 sf Plywood Sheathing Yes 1.5 psf Board Sheathing . = ,. .• P v None ,, - Rafter Size and Spacing 2 x 10 @ 16 in.O.C. 2.9 psf Vaulted Ceiling 77 IT 7 7 Yes' Z � 4J psf __- _�— - s - - '� _ -_ Miscellaneous Miscellaneous Items 1.4 psf Total Roof Dead Load 13.5 psf MP2&3 13.5 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 -t = v < 200 sfr 3 Roof Slope 3/12 Tributary Area Reduction] _ �_ , � ___ __ _ R 1. �` Section 4.9 Sloped Roof Reduction R2 1 Section 4.9� � . Reduced'Roof Live Load oL :Lr ` y °1 .= Loa(Ri)(RZ)., ; <E nation 4-2 Reduced Roof Live Load Lr 20 psf MP2&3 20.0 psf Reduced Ground/Roof Live/Snow Loads Code Ground Snow Load p9 30.0 psf ASCE Table 7-1 Snow Load Reductions'Allowed?y, v t Y Effective Roof Slope 140 I Horiz.-Distance from Eve to Ridge , :. .; » .,.W "13.4 ft Snow Importance Factor IS 1.0 Table 1.5-2 7 7 7Partially Exposed Snow Exposure Factor, .. I W 'Ce At .' Z Table 7-2 ` Snow Thermal Factor Ct All structures except as indicated otherwise Table 7-3 w• 1.0 Minimum Flat Roof Snow Load(w/n 1 z - "i, a . % _�• _ �21.0 1 pt-min psf , -7.3.4&7.10 Rain-on-Show Surcharge) rv. .. . .. 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 Slo ed Roof Snow Load Over Surroundinq Roof Surface Condition of Surrounding Cs-roof All Other Surfaces Figure 7-2 Roof 1.0 Design Roof Snow Load Over Ps-roof= (Cs-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_PV Unobstructed Slippery Surfaces Figure 7-2 1.0 Design Snow Load Over PV P.-PV= (Cs_ „)Pf ASCE Eq: 7.4-1 Ps-Pv Modules 21.0 psf 70% COMPANY PROJECT WoodWor&,, ' SOinVAgf iOR"00 f"GN Oct. 2, 2014 o9:o9 MP2.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 13 .50 (16.0) * psf SL Snow Full 'Area Yes 21 00-. (16.0) * psf PDVL Dead Full Area No 3 .00 (16.0) * sf *Tributary Width (in) Maximum Reactions (lbs), Bearing Capacities (lbs) and Bearing Lengths (in) 13'-6.3" 0' 0'-8" 12'-11" Unfactored , Dead 154 139 Snow 191 172 Factored: Total 345 311 , Bearing: F'theta 443 443 Capacity Joist 581 332 Supports 586 ' 586 Anal/Des ; r Joist 0.59 0.94 Support 0.59 0.53 Load comb #2 a _ #4 Length 0.50* 0.50* Min req'd 0.30 0.50* Cb 1.75 t* 1.00 Cb min 1.75 ' 1.00 Cb support 1.25 T , .: 1.25 Fcp sup 625 r 625 *Minimum bearing length setting used: 1/2"for end supports and 1/2"for interior supports - MP2 Lumber-soft, S-P-F; No.1/No.2, 2x10 (1-1/2"x9-1/4") Supports:All -Timber-soft Beam, D.Fir-L No.2 Roof joist spaced at 16.0"c/c; Total length: 13'-6.3"; Pitch: 3/12; Lateral support:top=full, bottom=at supports; Repetitive factor: applied where permitted (referto online help); WOodWorkS® Slzer SOFTWARE FOR WOOD DESIGN Jr MP2.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 = 29 Fv' = 155 fv/Fv' = 0.18 Bending(+) fb = 530 Fb' = 1273 fb/Fb' = 0-.42 Bending(-) fb = 6 Fb' = 581 fb/Fb' = 0.01 Deflection: Interior Live 0.11 = <L/999 0.63 = L/240 - 0.17 Total 0.24 = L/632 •0.84 = L/180 0.28 Cantil. Live -0.02 = L/437 0.07 = L/120 0.27 Total -0.04 = L/198 0.09 = L/90 0.45 Additional Data: FACTORS: F/E(psi)CD CM Ct CL CF Cfu Cr Cfrt Ci Cn LC# Fv' 135 1.15 1.00 1.00 - - - - 1.00 1.00 1.00 2 Fb'+ 875 1.15 1.00 1.00 1.000 1.100 1.00 1:15 1.00 1.00 - 2 Fb' - 875 1.15 1.00 1.00 0.456 1.100 1.00 1.15 1.00 1.00 - 2 Fcp' 425 - 1.00 1.00 - - - - 1.00 1.00 - - E' 1.4 million 1.00 1.00 - - - - 1.00 1.00 - 4 Emin' 0.51 million 1.00 1.00 - - - - 1.00 1.00 - 4 CRITICAL LOAD COMBINATIONS: Shear : LC #2 = D+S, V = 302, V design = 264 lbs Bending(+) : LC #2 = D+S, M = 945 lbs-ft Bending(-) : LC #2 = D+S, M = 11 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 = 139e06 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. I COMPANY PROJECT WoodWorks® ' . y - SOF7tv.�vEsoR WOOD OfS,GN - -- ,: . . .. • - Oct. 2;2014 09:10 MP3.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 13.50 (16.0) * psf SL Snow; Full Area ' Yes 21.00 (16.0) *. psf PDVL Dead Full Area No 3.00 (16.0) * psf` ° *Tributary Width (in) Maximum Reactions (lbs), Bearing Capacities (lbs) and Bearing Lengths (in) , 0 0-8 12'-11 Unfactored: _ Dead 195 ."176 Snow 190 172 Factored: - Total 385 347 Bearing: - F'theta 589 > 589 Capacity Joist 773 442 Supports 586 ` ` 586 Anal/Des d Joist 0.50 t 0 79 Support 0.66 �•, 0.59 Load comb #2 ' Length 0.50* 0.50* E Min req'd 0.50* j 0.50* Cb 1.75 1.00 Cb min 1.75 ,., Ggs 1.00 Cb support 1.25 1.25 Fcp sup 1 625 625 *Minimum bearing length setting used: 1/2 for end supports and 1/2"for interior supports ; MP3 Lumber-soft,S-P-F, No.1/No.2, 2x10 (1-1/2"x9-1/4") x • - . Supports: All-Timber-soft Beam, D.Fir-L No.2 Roof joist spaced at 1&0"c/c; Total length: 17'-5.8"; Pitch: 10/12; Lateral support'. top=full,bottom='at supports;Repetitive factor: applied where permitted (refer to online help); WOodWorkS® Sizer SOFTWARE FOR WOOD DESIGN MP3.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 = 26 Fv' = 155 fv/Fv' = 0.17 Bending(+) fb = 592 Fb' = 1273 fb/Fb' = 0.47 Bending(-) fb = 7 Fb' = 477 fb/Fb' 0.01 Deflection: Interior Live 0.17 = <L/999 0.80 = L/240 0.22 Total 0.44 = L/437 1.06 = L/180 0.41 Cantil. Live -0603 = L/346 0.09 = L/120 0.35 Total -0.08 = L/137 1 0.12 = L/90 1 0.66 Additional Data: FACTORS: F/E(psi)CD CM Ct CL CF Cfu Cr Cfrt Ci Cn LC# Fv' 135 1.15 1.00 1.00 - - - - 1.00 1.00 1.00 2 Fb'+ 875 1.15 1.00 1.00 1.000 1.100 1.00 1.15 1.00 1.00 - 2 Fb' - 875 1.15 1.00 1.00 0.374 1.100 1.00 1.15 1.00 1.00 - 2 Fcp' 425 - 1.00 1.00 - - - - 1.00 1.00 - - E' 1.4 million 1.00 1.00 - - - 1.00 1.00 - 4 Emin' 0.51 million 1.00 1.00 - - - - 1.00 1.00 - 4 CRITICAL LOAD COMBINATIONS: Shear : LC #2 = D+S, V = 267, V design = 241 lbs Bending(+) : LC #2 = D+S, M = 1056 lbs-ft Bending(-) : LC #2 = D+S, M = 13 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 139e06 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. I -- CALCULATION OF DESIGN WIND_LOADB7MP1 Mounting Plane Information Roofing Material Comp Roof PV System_Type _ 9- s- SolarC ty SleekMountT" Spanning_Vents No Standoff Attachment Hardware , • T. 777 7 77,77 _ Com 'Mount T e C 7,77­7 77 - Roof Slope 140 Rafter Spacing Framin Type Direction Y-Y Rafters Purlin Spacing X-X_Purlins Only NA Tile Reveal Tile Roofs Only NA Tile Attac_hm_ent System ,_- __y Tile;Roofs_Only_ ,_ tk_ _. ,}. �_s NAB ti > - - -- _ st nding Seam Spacing SM Seam Only NA Wind Design Criteria Wind Design Code . ASCE 7-05 Wind D iesies gn,Method Partially/Fully_Enclosed Method Basic Wind Speed V 11_0 mnh_ Fig. 6-1 Exp_osure_Category -- -- - — — C, SectionA6 5_.6.3 Roof Style Gable Roof Fig.n Roof Height 6-11B/C/D-14A/B Mea _ h _ v , •1 :"�25.ft . Section 2"6 s- - r Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.95 Table 6-3 Topo ra hic Factor w K" - t 1:00__g__p_ rt° Section 6:5.7 Wind Directionality Factor Kd 0.85 k Table 6-4 Importance Factor I 1.0 t Table 6-1 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 v 4,GC- o Wn ,t ,� � t?v N.0.45 ` �: u� "� 4 Fi6!6-11B/C/D=14A/B Design Wind Pressure p p =qh (GC) Equation 6-22 Wind Pressure Up Nun) -21.8 psf Wind Pressure Down 11.3 psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 64'' 39" M Allowable Cantilever a Landsea e 24' 'Max _p •.� a �. . �� �:. DNA VT Standoff Configuration Landscape Staggered Max Standoff Tributary Area' "' Tribx "` ' ' 17"sf -- -- „ PV Assembly Dead Load W-PV 3 psf Net Wind Uplift at Standoff_- - T-actual= -345 Ibs plift Uapacity of Standoff T-allow 500 Ibs ° �.�C _ 68.9% t ._Standoff Demand Ca aci DCR . X-Direction Y-Direction Max Allowable Standoff Spacings Portrait 48 64" Max Allowable Cantilever Portraits . 19;: Standoff Configuration Portrait Staggered Max Standoff Tributary_-Area fi Tnb }_-. kr2l sf �� _ _ "_ PV Assembly Dead Load W-PV 3 psf Net Wind!U lift at Standoff T-a_ctu_alw <{ " r" 431 lbs _Y_ Uplift Capacity of Standoff T-allow 500 lbs. R Stand Demand Ca aci DCR 86.2% CALCULATION_OF_DESIGN WIND..LOADS - MP2&3 Mounting Plane Information Roofing Material Comp Roof PV SystemSolarC_ity SleekMount'" Spanning Vents No Standoff`Attachment Hardware Roof Slope 140 Rafter Spacing Framing Type Direction Y-Y Rafters Perlin Spacing X-X Purlins Only- NA Tile Reveal Tile Roofs Only NA Tile Attachment System .. Tile_Roofs,OnlOnly_, NA Standin Seam Spacing SM Seam Onl NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind Design Method "' -__ owl _ _Partially/Fully EnclosedMethod'° x "' Basic Wind Speed V 110 mph Fig. 6-1 Exposure,Category _ C - Section 6.5.6.3 Roof Style Gable Roof Fig.6-11B/C/D-14A/B Mean Roof Height= h 25 ft I Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.95 Table 6-3 Topographic Factor1 — _1.00 Section 6.5.7 Wind Directionality Factor Kd 0.85 Table 6-4 Importance Factory to, a m I- _. 1.0 Table 6-1 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)" 4 GC n ' " �' 0.45 ' "u V 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 11.3 psf ALLOWABLE_STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 64" 39" Max Allowable Cantilever 7 ,a1 2 A dsca e - 24" i N.A -- — __ __ .�, a Standoff Configuration Landscape Staggered M_az Standoff Tributary'Area w" Tri_b 4 '_ ;s _ ° '17 sfI rr PV Assembly Dead Load W-PV 3 psf Net Wind Uplift at Standoff j �_T-actual -345 Ibs Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand/Capacity DCR 68.9%" X-Direction Y-Direction Max Allowable Standoff Spacing Portrait . 48" 64" Max Allowable Cantilever Portrait '{ 19" NA_ Standoff Configuration Portrait Staggered Max Standoff Tributary_Area _,,Trib ___ - -_ __" 21 sf PV Assembly Dead Load W-PV 3 psf Net Wind,Uplift at Standoff.. _„- R TYactual -_431 1bs Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand Ca aci >s_ 4, :m. DCR' a 86.2% . :,. tv►rtrtsrnsM MAS& ��� Regulatory Services 16,39. Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION �` �,,/ Please Print DATE: `�' "'-y� JOB LOCATION: ( � / � OS A—` number street village "HOMEOWNER": ��J6 ��77 S�' ��"l S;/" l `'"� 7 name home phone# work phone# • CURRENT MAILING ADDRESS: 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 m nim m i pec on procedures and requirements and that he/she will comply with said pro�dur d re uir ignature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to compiv with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEIIYTION 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:FORMS:EXEMPTN STANDARD LEGEND I _ NOTE:not all symbols will appear on a map GOLF COURSE FAIRWAY ' mmo EDGE OF DECIDUOUS TREES ' -- EDGE OF BRUSH 51,. MA 2 51 _ ORCHARD OR NURSERY V—V—V—V EDGE OF CONIFEROUS TREES MARSH AREA EDGE OF WATER 142 I �� —•--_- q - DIRT ROAD 7 = t DRIVEWAY PARKING LOT PAVED ROAD DRAINAGE DITCH PATH/TRAIL All PARCEL LINE MAP no F---MAP# M 21 PARCEL NUMBER #1860 E--HOUSE NUMBER 2 FOOT CONTOUR LINE _ Eel 10 FOOT CONTOUR LINE • MAP251 �-- _ _ -+ Elevation based onNGVD29 >/4.9 SPOT ELEVATION STONE WALL 1 7 6 -X—X- FENCE RETAINING WAIL # 154 I I I RAIL ROAD TRACK STONE JETTY j SWIMMING POOL PORCH/DECK q BUILDING/STRUfTURE u� DOCK/PIER ' I MAP 5 t HYDRANT e VALVE O MANHOLE ----------- O POST pm FLAGPOLE T O W N O F. B A R N S T A B L E O E O O R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N 1 T p SIGN % STORM DRAIN N PRINTED SCALE:IN FEET *NOTE: This map is on enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James � 1"=100'scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE o TOWER WE 0 = ,= 20 40 Notional Map Accuracy Standards at this do not represent odual relationships to physical objects Corporation. Planimetrics,topography,and vegetation were mapped to meet National Mop Accuracy Standards �s ` 1 INCH=40 FEET* enlarged scale. on the map. at a scale of 1"=100'. Parcel lines were digitized from 2000 Town of Barnstable Assessoi s taz maps. ¢ LIGHT POLE 9 ELECTRIC BOX r. . GALLONAGE CHARTS I ROUND =diameter x diameter x average depth x 5.9 OVAL = length x width x average depth x 5.9 RECTANGULAR= length x width x average depth x 7.5 Following are the approximate gallons in each specified pool size: ROUND POOLS OVAL POOLS RECTANGULAR POOLS (AVG DEPTH =5.5') 12'x36" = 2,549 8'x 12'x48" = 2,266 12'x20' = 9,900 12'x48" = 3,398 10'xl5'x48" - 3,540 12'x24' = 11, 880 15'x36" = 3,983 12'x 18'x48" =5,098 16'x24' = 15, 480 15 x48 — 5,310 12 x20 x48 — 5,664 16 x32, =21,120 18'x48" = 7,646 15'x24'x48" = 8,496 18'x36' = 26,730 21'x48" = 10,408 15'x25'x48" = 8,850 20'x40' = 33,000 24'x48" = 13,594 15'x30'x48 10,620 24'x44'=43,560 27'x48" - 17,204 18'x33x48" = 14,018 30'x50' = 61,875 15'x52" = 5,708 15'x24'x52" = 9,133 9 18'x52" = 8,220 15'x25'x52".= 9,514 21'x52" = 11,188 15'x30'x52" = 11,417 C27'x52" 2" - 14 613 18'x33'x52" = 15,070 = 18,495 ; 30'x52" = 22,833 .' OUR POOL SIZE IS: - ` �`� APPROXIMATE GALLONAGE: __ i IMAGINE A little imagination goes a long way NAMCO knows the importance of using a little imagination, after all, with a NAMCO pool and your imagination, your family can truly experience the best in backyard fun and recreation. Just .think of the possibilities; enjoying a refreshing swim, watching the kids in a fun and healthy environment, or simply relaxing pool-side with friends and family. But that's just the beginning, with proper planning and a little creative know-how, your NAMCO pool can highlight a exciting, new backyard vacation. Having a pool in your own backyard is more than just a way of avoiding weekend traffic and crowded beaches. It also makes it possible for you to slip into cool, refreshing water after a long days work on a hot summer day. Remember last year! A NAMCO pool can be the action center for a whole new idea in your family's recreation. Using a NAMCO pool as this centerpiece, let your imagination go and create an exciting backyard vacation that is uniquely yours! a � k 1 • � ks { VISIT OUR WEB SITE @ www.namcopool.com -1- The Commonwealth of Massachusetts sue.: _ - Department of Industrial Accidents = Olflce of/HY859gat/ow 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name location: 1 ci +�Wt hone# All- am h meowner performing alf work myself. U 1 am a sole r rietor and have no one workin in, ca acity er ravidin workers' co ensation for my employees worlang on this job ......... ❑ I wa am an employ p mPX. g com an `name: - :. - address: hX. _. wx5555 one lnstuance co:. i r(circle one)and have hired the contractors listed below who Q.Yam a sole proprietor, general contractor,or homeowne have 0 rkers' compensation polices: w the following mP. coin an name:. - X. - ... - :: .... . :. .. .............. ........:::::>::;::a:; :::::...............::::.�.......:s:. :::: .. .. ,: hone# ci _. - .: name:. __. c _. adsiress: ; x. ::.... jjr one. _. x. o VIIIIIIIIIIIIIIIIIIIIIIIIIIIIIAI iiuurance.co: 11/ Fafihae to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51AM-o0 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby c the airs d e allies of perjury that the information provided above is tarp and correct Si tore7UT ` Date �y`2 7 Icl Print name Phone# ?7 O �U�1 official use only do not write in this area to be completed by city or town official permittlicense# ❑Building Department city or town: ❑Licensing Board ❑Selectmen's Office ❑check if immediate response is required ❑Health Department contact pei'on: Y phone#; ❑Other (Devised 9/95 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 employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a 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, 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. 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 along with a certificate of insurance as all affidavits may be submitted to the Departzent 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. 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 perniitllicense number which will be used as a reference number. The affidavits may be retmmed 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. mxxx The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Offlce of Imlestlgatlons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 °F I KE r The Town of Barnstable : ., . : as . • xxsrnsi.E. 9 g Regulatory Services i659' �0 Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost Address of Work: Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MG c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name g1orms:Affidav TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ~ Map Parcel Permit# Health Division !` -r`� �Q f�l-�'a (\C Date Issued Conservation Division Application Fee SO- O Tax Collector 9— Z — 4 ' Permit Fee 16 ;Z.3 , Treasurer SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE -Date Definitive Plan Approved by Planning Board WITH TITLE 5 ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address L ti Village -f!'? n t Owner Address q_ow Telephone `� ��C� — C/O Permit Request r - - o Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation /G C,--d Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. � - Dwelling e g Type: Single Family CV/ Two Family ❑ Multi Family(#units) II Age of Existing Structure t7 IW7 Historic House: ❑Yes �No On Old King's Highway: Cl Yes No Basement Type: ❑Full ❑Crawl 4Walkout ❑Other `�'VV Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new s Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: las ❑Oil ❑ Electric ❑Other Central Air: iYes ❑No Fireplaces: Existing J New Existing wood/c al stovex❑Yes ❑No Detached garage:❑existing ❑new size Pool:4 existing ❑new size Barn:❑existing tiC)newp size Attached garage:0 existing dnew size Shed:0 existing ❑new size Other: rn Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION " Name j -Telephone Number I vs5 2yo C-61�� Address License# Home Improvement Contractor# Worker's Compensation# Y ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 9 tP. \ i L SIGNATURE ZZ DATE FOR OFFICIAL USE ONLY PERMIT NO. I DATE ISSUED t J MAP/PARCEL NO. ADDRESS. VILLAGE , OWNER DATE OF INSPECTION: r r FOUNDATION FRAME 1 rA Ai /l -ha INSULATION - FIREPLACE 5 , ELECTRICAL: ,ROUGH FINAL PLUMBING: ROUGH'i FINAL M .v GAS: ROUGH C �� FINAL FINAL BUILDING : ?, 5 c: c DATE CLOSED OUT L? �'ASSOCIATION PLAN NO. M i The Commonwealth of Massachusetts n Department of Industrial Accidents' 6dU Washington Street Y 1 Boston,Mass. 02111'. workers'. Com ensation.Insurance Affidavit-General Businesses •- //////� /r . �q]�!�'sr'.t:•• 6 't1`•C}1L.y i. ,ty�r�;•:e.aV.or• .rt'.er'a•1'�•r 'T•,,.. � .,,. +••• ..�+.�{�' � � „C�'.s'!1 / name /I Y .-S ,. address: G L i} J state: zi :Zs '" hone work site locatiosi full address): [] I am.a sole proprietor and have no one Business Type: []Retail EI'Restaurant%BaAating•Establishment working in any capacity. [ Office Ej Sales(including•Real Estate, Autos etc.)' I am an em toyer with on to ees(full& art timPff.Gther 11 ,1,/ �%/%G//%%/%/%/%%%%% %%%%////OG%/ I am ployer providing wprkers' compensation for my employees working on this job. . ..i' :t.•,�'3•� •:7'.} .:,i�sc'r •.S�•.. ,�:ti ry �.tt,•h?t„t:'••:•, •� ;•rr •1' tit ' ,c;:= ,.ti•.:.� .�.;.. ., t�';': -• ,s•{,i-:`.Z' :'�. .',• ,;•• ..�; ';r:.t•�: . com ari •Heine: .•,..4, .. r': ,•;: _ • '1. .r•- ..i s:_''.ws;hf'�S..a ;'4' :_:�:':5::•t:.d;:.r;+ �;+.. _ .s:�' f.. :f.:m :)i•' ,:,,:K't. sn.i. •'1. �- �'!•�h•.•.t• a sddrae'ss {; I ., .- .{• •`: .t:.:.., ,t.,t, �'?::,� '�, •''; •:;{: ;:{'.' '.t t .1 . zr •'1;• ''•a.•'iki ,��Sr'i' =t4�••' {• hon•ia' ..I' ,•••.fir�' •r' ;;t't:, •L y.: i ... � • -r' e.#.:._ _•` ;+• : :I, •1 .,r:.. O11C,.#'' .} :.K,:� '� •i:.t� '+ t :.•�•�'. �. :•'9:•..1 n„ •(,L..4 n. e:4•:}•..i.t l'lei}.: •:_ : I am a sole proprietor and have hired the independent contractors listed below who have t1�e following workers' .compensation polices: ..:eY;: iy`:!.• •.r ,�;i..•: ,t•..:y:,,,:.t. .i{�ifr :,I,:;ay a,..l��: ... . , :rt'?•t'ar �:t';j. , •:�'t::•r'"�•.�°i`l'T: .. • •,j., �. address: L a, T,r•. +f•i,. ':ti-• :l }7�..,,5�';•�;ey Y,_•+i:{:t hL: r': .1yi' .J. .}' .��,m•t:a Cr t •t: •• r. •,•• r�'• r'' %` ':r:'` `hoIIe' .'. •:{-., •,hJ'r':i"� Cl \ L. �,.{• r y si 1.: :;f�•:j,ti a';7r: -4' v,. l Y ':{: ' ;1, :',;• t.J.;4t•,• :.;: J:. r: �i1'• r';n,,S:: ti r.• C'',' •.L t• - '}'fi .'•• ` hys.,: '+•,:r"tr:'t'C. +;'.G.' 'it.•'r��':.;;,:,••;• t5`J'i}:' ^G' r0�1C :Tf,•'. 'ts. ::7:•.Z`•:•::..'', ..,:!: '•a•',:4L•ai.•'r•i +•: sur nce co. :x'•'rt:- - l/�%%�%//%//// •,�. ..:�:� �' :,i::.^• ,5.• :;i' '`..i;•.;, °••'�t;:J•7'; r}, ;i..,�:t'.:t`'y:? 'jr:� t t•.' �._: •(i:••'{Y. ,j:^ •i:P ':l•!'�f,';i.�;��: ':'' t'Y qv'=,'tr• ,J l• ,.a..ta','- t .C• . coin an. - %. 't i •�:•:BLit? L .4w ''e,•,Z :•:: Cl Iro-: rr i/'.!... tii.S .ay ••174. n. "}r•. '' '' •.!' :. .1.. •'t •,;; '., , tea, .:;�: ;d.• ,'' a7' •+^'^,•,•'L'i"J:•l°' OIiCv+ •l'1 •t.'• '•Y:.". •:i:r% :a�.;i; •?!'': :. :} �,uk'.f��. .. tti� insiireace 11 ��i Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminalpenaities of a fine up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me, I understand that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verit'ication. I do hereby certi n r the p 'n �a alties of perjury that the information provided above is true and eprrect tore Date !/" l _ . `Signs � . . Phone# D� ~ �"�d• ~� .l rint name official use only do not write in this area to be completed by city or town official perm city or town: it/license# []Building Department . ❑Licensing Board ❑-check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other 0evped Sept 2003) Inforniation and Instructions. Provide workers co„ ensation for their. 25 re wires all Io ers to p mP ..., /Iassachusetts G�era1 Laws chapter 152 section q . Y , mployees: As quoted from the i`law", an employee is.defined as every person in the service'of another finder any contract )f hire, express or unplied; oral or written, ; �n employ aye's , association, corporation or other legal entity, or any two or more of employer is defified as an individual,l} hip he foregoing engaged in a'joint enterprise, and including the legal representatives of a deceased,employer, or the receiver or association or other legal entity, employing employees. *However the owner of a iustee of an individual,partnership,. Swelling house havmg not'inore than three apartrnents and-who resides therein, or the.occupant of the dwelling house of another who employspersoris to do.maintenance, construction of repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such.employment.be deemed.to be:an employer. MGL chapter 152 section 25 also'states that every state*or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the.eornmonwealth for any applicant who has not produced aceeptable evidence of compliance with the insurance coverage required. Additionally;neithef the of its political subdivisions shall enter into any contract for the performance of public work until commonwealth nor.anY• complianee with t�e insurance requirements of this chapter have been presented to the contracting • acceptable evidence of authority. Applicants Please fill in .the workers' compensation affidavit completely,by checking the box that applies to your situation.:Please Supply comp any n"au�e, address and phone numbers along with a certificate of insurance as all affidavits may be subrimitted to the Departxnent•of Industrial Accidents.for confirmation of insurance coverage. Also'be sure r sign and date the affidavit. The affidavit should be returned to the city or town that.the application for the permit or license' 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 Deparment at the numbef listedbelow. City or Towns . Pleasebe sure that the affidavit is complete andprinted legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event fire Offic6 of Investigations has to contact you regarding the applicant. Please be sure to fill in the pe��cense number.which wd1 b'e used as a reference number. The.affidavits rnay.be.returned to the Departrnentby,�or FAX,uriless other arrangements have been made. ; The Office of Investigations would 111te to thank y'ou in advance for you cooperation and should you have any questions, ' Please do not hesitate to give us a-call.. _ _ The Departa=f s address,telephone and-fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents 6tfke o(�esti�tletls - 600 Washington Street_ Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext:406 Tow, a of Barnstable •' • yOptliE • . R.egolatory.S er,vzdes . f s� Thomas F.Geller,Director wilding Division Tom Perry,Building Commissioner' ' 200 Main Street, Hyanais,MA 02601 office: 508462-4038 Fax: 508-790-623 0 • Pemtit no. . Dad Ak'9JDAVTz` . HOME 1MPR0YTMENT CONTRACTOR LAW SUPPLEMENT TO PEPJYW APPLICATION MGL 0.142A requires that the"reconstruction,alterations,renovation,repair,modemi=tlon,conversion, •improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied b4ding containing at least one but not more than four dwelling units or to structures which are adj acent to such residence or buil*g be done by registered contractors,with certain exceptions,along with other requirements, . • ,Type,of Work: Estimated Cost Address of Work:_ Owner's Ni= AA ;Date of Application:, �( �-� O' ' I hereby certify that: Pz#stration is not requited for the following reason(s): []Work excluded bylaw ' []Job Under$1,000 ' ❑Build ng not owner-occupied Winer palling owa permit , Notice hereby given that: OWPIERS PULLING TERM OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICO.] E HOME IMPROVEMENT W ORX D 0 NOT XWE ACCESS TO TEE ARBITRATION PROGRAM OR GUARANTY YUND UNDER MGL a.142A. y SIGNEDUNDERPENALTIES OFPMUMY I hereby apply for apermit as the agent of the owner: Date Contractor Name Regi*?.gonNo. At Owner's Name TG A -Ri1A1 ti1/F Lpv Xxi t,.J 133 , 0W - I O-r 2c*3 LP-r2-7 _ D -P LCTF 23 Q s9- - 0 e i ISHOP;5 -F R/-\cE UXAMN04 WOF Y ONLY. �L' Rt. r NOF r ` su�r►ty. JOHN HEMY CUWUNAloan Scab: 1ti o P oFt T Town of Barnstable Regulatory Services LUMST.,B Thomas F.Geller,Director 9�A03 ,0� Building Division �fD MP't a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 70B LOCATION: n S village "HOMEOWNER!':. D� 3L4a� Vn2dne home phone# work phone# CURRENT MA LING ADDRESS: Q Ir ity/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 minim inspection procedures and requirements and that he/she will comply with said procedures and requir, ignatu 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 i09.1.1-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:forms:homeexempt RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 � Alterations/Renovations $ 50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) f GARAGES(attached&detached) n c ® . . square feet x$32/sq.R._ "I -x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00 (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee c 7 Projcost Rev:063004 Uniformly Loaded Floor Beam(AISC 9th Ed ASD J Ver. 6.00.5 By: , on: 09-02-2004 : 09:48:59 AM Project: SALVATOR RESIDENCE-Location: GARAGE BEAM This analysis was generated by an evaluation version of StruCalc 6.0 Summary: A36 W 10x26 x 22.0 FT Section Adequate By: 96.5% Controlling Factor: Moment of Inertia Deflections: Dead Load: DLD= 0.19 IN Live Load: LLD= 0.37 IN =U715 Total Load: TLD= 0.56 IN= U472 Reactions(Each End): Live Load: LL-Rxn= 3218 LB Dead Load: DL-Rxn= 1661 LB Total Load: TL-Rxn= 4878 LB Bearing Length Required (Beam only, support capacity not checked): BL= 0.74 IN Beam Data: Span: L= 22.0 FT Unbraced Lenqth-Top of Beam: Lu= 0.0 FT Live Load Deflect. Criteria: U 360 Total Load Deflect. Criteria: U 240 Floor Loading: Floor Live Load-Side One: LL1= 30.0 PSF Floor Dead Load-Side One: DL1= 10.0 PSF Tributary Width-Side One: TW1= 5.5 FT Floor Live Load-Side Two: LL2 30.0 PSF Floor Dead Load-Side Two: DL2= 10.0 PSF Tributary Width-Side Two: TW2= 7.0 FT Wall Load: WALL= 0 PLF Live Load Reduction: Average Uniform Live Load: LL Ave= 30.0 PSF Floor Loaded Area: FLA= 275.0 SF Reduction Based On Total Area R1= 0.22 Max. Red'n Based On DULL Ratio: R2= 0.31 Max. Red'n Based On Total Area: R3= 0.40 Controlling Reduction Factor: R= 0.22 Design Live Load With Reduction: LL= 23.4 PSF Beam Loading: Beam Total Live Load: wL= 293 PLF Beam Self Weight: BSW= 26 PLF Beam Total Dead Load: wD= 151 PLF Total Maximum Load: wT= 444 PLF Properties for: W10x26/A36 Yield Stress:. Fy= 36 KSI Modulus of Elasticity: E= 29000 KSI Depth: d= 10.33 IN Web Thickness: tw= 0.26 IN Flange Width: bf= 5.77 IN Flange Thickness: tf= 0.44 IN Distance to Web Toe of Fillet; k= 0.74 IN Moment of Inertia About X-X Axis: Ix= 144.00 IN4 Section Modulus About X-X Axis: Sx= 27.90 IN3 Radius of Gyration of Compression Flange+ 1/3 of Web: rt= 1.54 IN Design Properties per AISC Steel Construction Manual: Flange Buckling Ratio: FBR= 6.56 Allowable Flange Buckling Ratio: AFBR 10.83 Web Buckling Ratio: WBR= 39.73 Allowable Web Buckling Ratio: AWBR= 106.67 Controlling Unbraced Length: Lb= 0.0 FT Limiting Unbraced Length for Fb=.66*Fy: Lc= 6.09 FT Allowable Bending Stress: Fb= 23.76 KSI Web Height to Thickness Ratio: h/tw= 36.35 --Limmiting Web Height to Thickness Ratio-for F\�=.4*Fy: h/tw-Limit=__ 63.33 _ Allowable Shear Stress: Fv= 14.4 , KSI Design Requirements Comparison: Controlling Moment: M= 26832 FT-LB Nominal Moment Strength: Mr- 55242 FT-LB Controlling Shear: V= 4879 LB Nominal Shear Strength: Vr= 38676 LB Moment of Inertia(Deflection): Ireq= 73.27 IN4 1= 144.00 IN4 I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 5 Map Parc I ZS 1?�° Permit# Health Division � � Date Issued C� JU1, z 2001 - C Conservation Division S'. -� Fee ��eAWeA �A 4.141M lirmt, Tax Collector S gY ____- - 7 PC SAISTE rE i Treasurer e:sw ��21LED IN COMPLIANCE WITH TITLE 5 Planning Dept. ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN REdULATIOlvS Historic-OKH Preservation/Hyannis Proje dr s 0 Vil g �� e Owner -- w 'Address � Telephone qU 11�av?i I Permit Request F 'a vti0/ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation 1,0 A CC, Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family [l Two Family ❑ Multi'Family(#units) Age of Existing Structure Z Y_ Historic House: ❑Yes 81—oo On Old King's Highway: ❑Yes L046 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: 0-61as ❑Oil ❑Electric ❑Other Central Air: ❑Yes tlo 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 � /1/ BUILDER INFORMATION `� c MName �(�� Telephone Number Address �3�1--"�'c� n �Y�. License# )tic,/421 Home Improvement Contractor# 4 S Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE ( Z , IF FOR OFFICIAL USE ONLY PEItMIT NO. d ° 4 DATE ISSUED m ' MAP/PARCEL NO. ADDRESS VILLAGE ,,,•. OWNER - - s DATE OF INSPECTION FOUNDATION FRAME +" INSULATION FIREPLACE ` ELECTRICAL: -ROUGH FINAL i PLUMBING:_ ROUGH FINAL GAS: ROUGH - FINAL FINAL BUILDING DATE CLOSED OUT • 7 ASSOCIATION PLAN NO. 4 x • , 4 S p F / )JQQ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Divisidn Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 1iShoas 1 eYr�.e-e- Village��1/ariY1IS Owner > Qvl e I SaIVa�Dr-- Address �SCln�i,e, Telephone Permit Request 01-r S Q-GJ I1 lq ors -f14- NQ� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family. ❑ Two Family ❑ Multi-Family(# units) Ij Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count ? Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other c) Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: 0 Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing :0 new size_ Attached garage: ❑ existing ❑ new' size _Shed: ❑ existing ❑ new size _ Other: _ .rnr pw (.la 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 RISC e-ri Q4 Telephone Number Address 13Y] EI vy1wL) h-e-in�ql License# I`oh Y ' l ,ra kis f nA ' R 1 0211 b Home Improvement Contractor Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE - DATE �� l K N krK lume'K foy, �S FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCELNO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT µ ASSOCIATION PLAN NO. i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Mass. 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builde'rs/Contra'ctors/Electricians/Plumbers Applicant Information _ Please Print Legibly Name(Business/Organizationdn•dividual): RISE Engineering a division of Thielsch Engineering_ Address: 1341 Elmwood Avenue City/State/Zip: Cranston, RI 02910 Phone#:.(401)784-3700 or 1-800-422-5365 Are you an employer? Check the appropriate box: Type of project(required): 1. M I am an employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees (full and/or part time).* have hired the sub-contractors 7 ❑Remodeling 2. 0 I am a sole proprietor or partner listed on the attached sheet. ship and have no employees, These sub-contractors have 8. ❑Demolition_ ! working for me in any capacity. employees and have workers' [No workers' comp.insurance comp. insurance. I . , ' 9:❑Building addition required] 5.0 We are a corporation and its 10, ❑Electrical repairs or additions 3. ❑ I am a homeowner doing all work' officers have exercised their 11. 0"Plumbing repairs or additions myself [No workers' comp. right of exemption perm MGL insurance required] t c. 152, § 1(4), and we have no 12. ❑Roof repairs employees. [no workers"' 13. N Other Insulate comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t13omeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contactors that check this box must attach an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees.Below is the policy and job site information, Insurance Company Name:_The Preston Agency Policy#or Self-ins.Lic.#: 3730961-00h Expiration-Date: 1 soh Site Address: ' SY�,bY�S � r�City/State/Zip: Ci ry /Zi P ---F771 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration (date). Failure to secure coverage as required under Section 25a of MGL 152 can lead to the imp' osition 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 I,VORK OIRDEiR and a fine of $250.00 a-day against violator. Be advised that a copy of this statement maybe forivarded to the Office of:hiv t- atio).s of the D!A.for coves e verification. lido her certi undo `the i 'ins enalties ofperjury that the information provided above is true and.co),rect.�� Signature: Date: Print Name., Erik Ners.theimer Phone#:(401)784-3700 6 1--80Q=/�?_2 Official use only Do not write in this area to be completed by city or town official City or Town:_� — 1?eriitiR/license:;Y:° Issuing Authority•(circle one):: ° r..Board of Heath. " 2 Building Department 3. City?l'own�it;rl as Elecbtcar 1aspe ��s 5. Plumbing luspector ti.Other Contact person: f A'CPR®. CERTIFICATE OF LIABILITY" INSURANCE OP ID- 47 DATE(himmoryyry) THIEL-1 09/13/10 PR oOucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Preston Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1350 Division Rd Suite 303- HOLDER-.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO Box 810 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, East Greenwich RI 02818-0810 Phone: 401-886-8000 Fax:401-885-1700 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: 7,ur1Ch—American Ins Co. Thielsch Engineering, Inc INSURERS:. Aaar.lann cuatant.o s .b1.b11Yty —�— H iiTech Droop Inc. INSURER North American Capacity Hi Tech Realty Inc. �"--- Cra19S Frances Avenue INSURER D: Hartford Insurance Company Cranston RI' 02910 INSURER E: ' COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY RECUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT`NITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR w�Y PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE— IFTSR"J{OD . LTR INSRC TYPE OF INSURANCE POLICY NUMBER DATE(MmmofyY) DATE( M LIMITS _ TGENERAL LIABILITYEACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY 3730962-00 04/01/10.'� Ol,/O1/11 pREhnsEs(Ed ocurecat $300,000 CLAIMS MADE OCCUR' - MED EXP(Any,one person) $10,000 - PERSONAL&ADV INJURY $1,000,000 GENERA.-AGGREGAIE $ 2.,0 0 0,000 GEN'L AGGREGATE UMIi APPLIES?ER: PRODUCTS-COMP/OP AGG $2,0 0 0,0 0 0 POLICY X — -- JET LOC Emp Ben. 1,000,000 AUTOMOBILE UA8ILTTY - X ANY AUTO - 37309'63-00 04-/01/10 01/0i/11 COMBIN.EDSINGLELIMIT $ 2,000,000 (Ea accident) ALL OWNED AUTOS - SCHEDULED AUTOS BODILYIN.NRY _ (Per person) '$ , HI.REO AUTOS _ _ IJON•OYJNED AUTOS BODILY INJURY(Par ecc,derd) PROPERTY OA)vtA0,E $ ?Per accident) - GARAGE LIn81l_ITy AUTO ONLY-EA ACCIDEI47 ANY AUTO ` OTHER TI,-,N _..- EA:.ACC' $ ... _._ .e.UTO.QNLY: AGG $ - — EXCESSIUMdRELLA.LlABILIT'y ' EACH OCCURRENCE . $ 10,000;000 RX OCCUR I�CLAIMS MADE LIM 9263637--00 04/01/10 01:/01/11 AGGREGATE $ 10 000,000 CEOLJCTIBLE IX RETEWION _d:L ,0 0 U WORKERS COMPENSATION AN DX D - TORY - EMPLOYERS'LIABILITY I.1MI7> F.R - A I:v:YPROF'RIETo:-TJPARirtFR;EYECUfIVE 13730961-00 04/0.1/10 0l./01/11. E.L.EACH ACCIOD,r s_1,000,000 1 EFSV(ibe under EXCLUDED? E L.DISEASE EA EMPLOYEE {1,000,000 +I IYye aasntiheunder _ SPECIAL PROVISIONS Wm _ E.L.DISEASE.-FOWC�'CIh11T .{ 1,0 0 0,0 0 0 OTHER —• - C iProfessxoaal Liab - DVLOD0026.800 04/01/10 04/O1/11 Prof Liab 2,.009,000 D Leased/Rented Eqp 02UUNTD5678 04/01/10 04/01/11 Fqu.ipment 100,060 CESCRiPTION OF OPERATIONS!LOCATIONS I VEHICLES.IEXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS - I CERTIFICATE HOLDER CANCELLATION + �� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAUCEII-ED BEFORE THE CSPIRA110N ^ - - DATE THEREGF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10__ D,1•S'NRITTEN ° NOTICE TO THE CERTIFICATE HOLDER NAMED TO THL..LEFT,BUT FAILURE TO 00 SO SHALL IMPOSE NO 091 IGATtOIv OR LIABILITY OF ANY{<IND UPON THE INSURER,ITS A.G'_nTS GR .. d. _ - ._ .. REPRFSENtATIVES. e c' _ V II /CORD 25(2001/09) ;`� -_ . .•a --- (,-)ACORU CORFORATION 1988 alri ry. ,F d S°:, Yrr ,• .Tw-+..^�+.,+{II*- T:* ,Tr,:,:�, I ' 1�®:1 �I�T���rl tS Itd�UREDRSrSdAPAE � k1i�I�acjlt`��1��4ne,Y�i>n�JyF.�al4t�rtFtl;iP�(r q �t 731 r s I �,{ ,` , ' J '..,.7,..rfl .,..e117.re,, i ...,. {oa. .�Ctirti�.�... c :..• Also for RISE Engineering, a division of Thielsch Engineering, Inc. Gaskell Associates, a division of Thielsch Engineering, Inc. BAL Laboratory, .a division of Thielsch Engineering, Inc'. ESS Laboratory, a division of. Thielsch Engineering, Inc. ALCO Engineering, a division of Thielsch Engineering;° Inc. Water Management Services, a division of .Thielsch Engineering, Inc. f i - I �' l ��1Ce ® =ns .1J11er �� a11� 9��z USl?1eSS e U "at1011 - 10 Park Plaza - Suite 51.70Boston # w a � Horne Improve. �. (c;ontraetor Registration21 S W Registration: 120979 _ Type: Supplement Clard � u Expiration: 3;25i2012 T x THIELSCH ENGINEERING ERIK NERSTHEIMER ( T -, � ----- - --- - �` = 1341 ELMWOOD AVE. � .. CRANSTON, RI 02910 '' '� ✓w Update Address and return card.hurl:reason for change. (j Address RcnewaA 1, Employment Lest Card. DPS-CA1 0 5OM-04/04-G101216 ,per ✓�ie Ur am�maruireczll� �./�aaaaefu�aet�a Office of Consumer Affairs&Bu iness Regulation License or registration valid for individul use only.:.. _ ... OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration 979 Type: 10 Park Plaza-Suite 5170 Expira" FTft12 Supplement Card Boston,MA 02116 THIELSCH ENC. [ � ' a jA ___ ERIK NERSTHE 1 1341 ELMWOOD CRANSTON; RI 0 Undersecretary Not valid without signature i F r ale i 0I 1 The Official Website of the EXecAive Office of Public Safety and Security (FOPS) Mass,Gov Home Public Safety Department of Public Safety Licensee Complaints License Type Construction Supervisor License#/ 100454 Restriction WS,IC Name Erik Nerstheimer City, State, Zip North Scituate, RI, 02857 Expiration Date 3/28/2012 Status Current No complaints found for this Licensee. a Back To Search .�JZP �G✓.7��Yn��'Z��GC/L O�✓U(4dGGL�2LGlp�d. _ -. - . I . Board of Buildin-Regulations and standariE's License or registration var d'for individl,l❑se(I HOME IMPROVEMENT CONTRACTOR I. before the expiration date. If found :eturu to: Registration:. 120979 - ¥ Board of Building Regulations and Staa?d.ar is E 'OeAshbuz iratian 125/2010 rtan Place R 1301 o&iqu,Nh. 021.08 ype. Supplemerii Card ELSCH c NGI�JEERI.NG I< N E R S T I EI1JER 1 ELMWOOD - -�. _ Administi::uor Not valid without sign fr•e'- - -" r rK http://db.state.raa.us/,�ps/11cdetails.asr,)?'C-x I __ 9 _ .,.. vi » -'ELF �• -�' *�ti '�` J i �°1„4�'`� r� �t t u } ,MN Wl Urn NT-24531 - 1 e , _F f t : t r RISE ENGEVEERING Federal ID#05 0405629 Iontractor Registration No 8186 B A division of'1'hielsch Engineering /;:::�, Fc 11 (�/% � Contractor Registration No 120979 tt �V (� flj V Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,Rl ® CT a. -V (401)784-3700 FAX(401)781 u 1 E 2010 a *; TH CONTRACT IS ENTERED INTO BETWEEN RISE EN INEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DE RISED BELOW CUSTOMER PHONE DATE Client# Daniel J Salvatore (508)790-0077 06/01/2010 ". 110260 SERVICE STREET BILLING STREET _ 154 Bishops Terace ti 154 Bishops Te SERVICE CITY,STATE,LP BILLING crm STATE,LP Hyannis,MA 02601 Hyannis,MA 02601 JOB DESCRIPTION RISE Engineering will provide labor and materials to seal areas of your home against wasteful,excess air leakage. This work will be performed in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of air exchange and indoor air quality.Materials to be used to seal your home can include caulks,foams,weatherstripping and other products. Primary areas for sealing include air leakage to attics,basements and other unheated areas(windows are not generally addressed.) This work will be performed at the rate of$66 per man per.hour,which includes materials and testing. 21 man hours. j .f i $1,386.00 RISE Engineering will provide labor and materials to install a—7"layer of R-23 Class 1 Cellulose added to 220 square feet of floored attic space. $242.00 RISE Engineering will provide labor and materials to install 3.5"R-13 faced fiberglass batt insulation to 176 square feet of kneewall area. $193.60 RISE Engineering will provide labor and materials to install a I V layer of R-38 Class I Cellulose added to 748 square feet of open attic space. $897.60 RISE Engineering will provide labor and materials to insulate the back of 2 existing kneewall access hatch(es)with 2.5"rigid fiberglass board insulation,and seal the edge of the hatch with weatherstripping. $170.00 RISE Engineering will provide labor and materials to install a new,finished plywood,attic space access hatch.The hatch will be insulated,„ weatherstripped and held closed by eye hooks. (Wood surfaces will be unfinished. Prime coat and/or paint is not included. F , RISE ENGINEERING I ID#06-0405629,+ tractor Registration No 8186 A division of Thielseh Engineering tractor Registration No 120979 T ntractor Registration No 620120 vt 1341 Elmwood Avenue,Cranston,R1029 _ 13 , F s (401)784-370t1 )FAX(40fl)784- 0 �'i� g f Q T T • THIS NTRACT IS ENTERED INTO BETWEEN RISE i - - ENGIN RING AND THE CUSTOMER FOR WORN AS ENCGINEE RING „BED BELOW CUSTOMER - PHONE 'DATE CIie�t#. Daniel J Salvatore (508)790-0077x,. "; .,` 06/O1/2010 110260 SERVICE STREET ..; ... BILLING STREET - ,x , 154 Bishops Terace A54 Bishops'Te SERVICE CITY,STATE,ZIP 5 " +BILLING CITY,STATE,ZIP Hyannis,MA 02601 ,;,'Hyannis;ILL 02601 �- • JOB DESCRIPTION g tq $100.00 RISE Engineering will provide labor and materials to install.5• 4 X 16"rectangular aluminum soffit vents to increase ventilation in attic areas: T r s a $85.00 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount:,Currently,for eligible measures,the Cape Light Compact offers 75%incentive,not to exceed$2,000 per calander year., ,¢ —$21652.10 U. 5, - WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS,'FOR THE SUM OF ;- = ,V ***Four Hundred Twenty-TW0 4101100 Dollars -= $422.10 Y e f e: s- UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL INTEREST OF 146 WILL BE CHARGED MONTHLY ON ANY - w' + -UNPAID BALANCE AFTER 80 DAYS.SEE REVERSE FOR,IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGIST TION.. T DO NOT SIGN THIS CONTRACT IF THERM ARE ANY SUNK V r Moll AUT¢i5 tTED SlG U -RISE CNGINEER.NG �' a Cil�tYOM!€R ACCEPTANCE a fs� Toil CC RACT MAY BE WliHDRAWN M US IF NOT %..CUTFtI WIT'a¢.fli <� DATE OF A..CCCr,TANCE r x ,iv e:iTANCE GF CONTRACT-THE ABOVE-PR, ES,SPECIFICAr1ONS ANL CONDrnOlaS AN.E s `#' A[WACTOR TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DtJ TI+§,4VS1S8K AS tpF IEfi fi r'M£NT WIG:i:H£MAUc 1rS.0U Zl'JErI ABOVE^, .,�?'•�, ' �b^r' •W K .�T Us�:�s'y+y m.+ •> l+b ^.^;T Y i,..�.,•-.�.- a' R R I S E . Division of Thielsch Engineering,Inc. 1341 Elmwood Avenue ENGINEERING Cranston,Rhode Island 02910 -April 21, 2011 Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 RISE Engineering is requesting the cancellation of the following building permit (Contract cancelled by RISE Engineering): Buildin Permit Number. Location B 20100171 9 Windshore Drive B 20110027 90 Wilton Drive B 20102463 64 Bent Tree Drive B 20101431 1005 Old Stage Road B 20101479 154 Bishops Terrace If you have any questions, please contact Melissa Pratt at 1-800-422-5365 ext:161 Thank You Residential Department RISE Engineering 401-784-3700 .'800-422.5365 : Fax 401-784-3710 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel VI Health Division Date Issued l Z Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board U— Historic - OKH _ Preservation/ Hyannis Project Street Address Village lm l­�? Owner VbM� ZG I VO_ "_ Address mod, Telephone d 7 //__ Permit Request d � r!� 0 � l 1 ✓G� C�D� c kov I&��s ba-W 0 mil. 4D Zoo 9 4t l/ftGL f( x IW50 10 A/ - 315- 7b,00 o � acel Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation A011. O'� Construction Type [06W6 t w Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family O� Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new C) Total Room Count (not including baths): existing new First Floor Room' ;ount Q �•, Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other C_ 7' Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: CKYes,C) 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 �fia� ��� ,/bi4���T�� Telephone Number &-OF _22_5`20 a Address 440/— License #� ©ep y'9 Home Improvement Contractor#/� Worker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Du SIGNATURE DATE i FOR OFFICIAL USE ONLY ` APPLICATION# ` DATE ISSUED MAP/PARCEL NO. 1 I � 1 i' ADDRESS VILLAGE I � OWNER DATE OF INSPECTION: 17 s FOUNDATION ti FRAME '1 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING r. : i I ; DATE CLOSED OUT ASSOCIATION PLAN NO. , 1 is ep C� � f'�'�lli' rct'SC1 . 10 Park Pla��i Suite 5170 Boston, Masskllusetts 02,116' Home Improvement Contractor Registration a '� ° Registration: 153567 _ Type: Private Corporation, Expiration:, 12/15/2012,°. TO 206433 CAPE COD INSULATION, INC - ' HENRY CASSIDY 455 YARMOUTH RD, HYANNIS, MA 02601 -- 1 Update Address and return card. Mark reason fur cl,augc. L"-I Address [ I-13enewaL I I iU11111luymcnt L L.I:ust('ard ° 01liec,,G�'u, umcr:\I'l:u "/l3us�uc}s Kegid t(iu„ I.irulac or registration valid fui i liv�dGl HOME 11�1IPf�dQt&ff`NT�Y7N1`�AC�fJ�lccJew�Cla 6cture the expiration date. ii totrnd rclut n to Registration: 153567 Type: Office of Consumer Affairs and Business Regul ttion + K 10 I'.u-l:Plaza-Suite 5170 r � ( Expiration: 12/15/2012 Private Corporation , Roston,MA 02116:' 1P 'OD INSULATION, INC ; HENR2 ' CASSIDY 455 YARMOUTH RD. r l HYANNIS,MA 02601 — - - Undersecretary -- t a lid' jitl t Si Cure y X . -Dclrartn►(•nt of, f uhlic tiaf(h- 'Bu.0 11 ul f3tiifdin�� Rc��ulaliunx and St:ut(Lu d�:'-.,` ^: on�truction Supervisor License P Licerl, �'CS 100988 a t ry z HENRY CASSIDY g SHED ROW WEST�ARMOUTH,'MA 02673 _ I •' ` Expiration: 11/11/2013 TIFF: 7620' <. ^ - t • r _ n I m v i I ; I lvi No, 160'15 N. I Client#:4597 CCINSUL ACOR1"1,,, CERTIFICATE OF LABILITY INSURANCE DAT/02/2012 THIS CERTfFICAI E IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDEIR?THQSZ 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 tSSU)NG INSURER(S),AUTf1ORILGLI REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPQRTANT:I—f the cartjf(iate holder ie an ADDITIONAL INSURt:U_the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,sUb)urt to the terms and Conditlons of the policy,certaln policles may rwyulld an endor6ement.A statement On this certificate doee not center rights to(tic holder in lieu of such endoraemengs). I'RODUCER Ropers&Gray his. -So. Dennis NAME:� Mar aret Young ---- PHONE 50e-]60-4602 FA 434 Route'134 uc No E l: Arc�. �E-MAIL — --...--__—_-- South DBnnis; MA 02660-1601 508 398-7980 _ INBURFR(0)AFFORDING COVERAGE — I NAIL H - ------ WSUR@RA;Peerless Insurance --1D333 IN&UREU ----- Cape Cod Insulation Inc INSURERS:Evanston IIISUI'anCA Company 45S Yarmouth Road INSURERC:Atlantic Charter Insurance - —"- Hyamiis, MA 02601 1� INJURERD:.ComRlerce Insurance Company ^- 34754 INSURER E: 11,10RER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMuER: THIS IS TO CERTIFY THAT' THE 1-0LICIES OF INSURANCE I.I$TffD Ii-cl )VV HAVE BEEN ISSUED TO THE INSU TO NAMED ABOVE FOR THE POLICY PERIOD INDICAI'LD. 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. @T;;R A ADDL 71UBRPOLICY EFF POLICY EXP — LTR TYPk OF IN9URANGE OER MMIDDIYYYY MM/DDIYYYY LIMJ7s A GENERALLIAdILITY 4(0112012 04/01I201 EACH OCCURRENCE w1 UUU U110 X_ COMMERCIAL GENERAL LIABILITY erlreo ����5 � accu,renu Y10D U00 CLAIMS-MADE OCCUR MEDE)(P(AnYonapeluonl s5,000 — — PER$ONAI 6 ADV INJURY b 1 000,000 — GENERALA00REGATF. $2,000,000 GEN'L AGGHEGAI E LIMIT APPLICB PER: - PRODUCTS•COMPIOP AGG 2 UOUUUU PRwT o- LOC _ ._AUTUMOkiILkuABILrrY 4/01/2012 04/01/2W COMBINED SINGLE LIMIT — Ea accident 1 000 UUU AIJY AUTO BODILY INJURY(Pcr Ncrun) J; ALL OWNED X SCHEDULCD —_. AUTOS AUTOS BODILY INJURY(Par aacwd,riq S X HIRED AUTOS x NON-OWNED PROPERTYDp�M 0 ` '—"--""-- AUTOS lFdrnccldant�__w-- s ----- � ( 9 H _)( UMURkLLA E3 -- I OCCUR XONJ453512 4101/201�2 04/01/201 EACH OCCURRENCE $1 000 000 El(GESy LIgB CLAIMS-MADE —�`— AGGREGATE 0,000 UUU _ Dtu X ne7eNTION 10000 _ `---- C WORKERtt CUhIPENOATION $ AND EMPLOYryERSS''PL,IIA�BTI�L(ITY WCA00525902 6/30/2012 06/30/201 X WCSTATU. 0TI1. �- OFFICERrM FR MBOER E.(CI U4 /(���COTIY�Y r N NIA E.L.EACN AC0I0kN1' 1 0Q0 00U (M (I6 yin NH) It y$d, - E.L.DISEASE-CA EN4PLOYEE $1 000 000 nn,pencnOn undar DESCRIPTION OF OPERATIONS halo. E.L.DISEASE.POLICY LIMIT a1 00U UUU UESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Allanh ACORD It1,Addhlonal Re -169 SrhodulQ,I(m9fo&pgco I$rBNlIff9Q) "Workers Comp Information Included Officers or Proprietors Certificate Holder is included as an additional insured under General Liability whoa required by written contract or agreement. CERT(F[CATE HOLDER CANCELLATION Cape Cod Insulationjuic SHOULD ANY OF THE ABOVE DESCRIBED POLICIE$13E CANCkI,LF,P 0EFORL THE EXPIRATION DATE THEREOF, NOTICE WILL 13E DELIVEIRED IN ACCORDANCE WITH THE POLICY PROVI31ON3. AUTHORIZED REPRESENTATIVE «. t 198 -2010 ACORD CORPORATION,All r(ghto rasnryed. ACQRD zti(2U1UIU5) 1 of 1 The ACORD name and logo aru rDplstered marks of ACORD ffS93940/M83840 MAY a l`M19"t "It , ` .... The Common i 1,.l r/1h of Massachuseits Depctrtaterll rj/ 01dustrialAccidents - w office e i 1jlvestigations 600 14 t i i.i igton Street Boss,!t:. AIA 0211.1 W0►11cr's c:orrlPelisation Insurance Afti,i.,. ;: Builders/Conti-actors/Electrici-.u]s/.PltltlAbCt'S 11i1>licuut l.nfortrtxtit►n -".. Please Print Legibly �;uut (Littsute�s/Orani.z�ttiott/'[tidividuttl): c a - Phone#: .;C� '7. 7,�5 1­4Z 1�._.._ IC 5'uU an c111ployel'Y Cl►eck the uppropriate box: Type of project (retluired): I [,llll a rulployrr with 4. ❑ _1 am a,_ i,,:I:,i contractor and 1 hii.ve 6. ❑ New t;onstruction cuI[,Ioycx;S (lull and/or hzut-tirne).* hired illc ,rig ,,m ractors listed on 7. kelikodeliug the 01M'Ic t,d .Ir;ct.$ pcupri.etor oa paitnership These sui� ,.-.;awctotsiiave 8. ❑ llernolitiorl and have nu canl:lloyees working for entployL.,,, I,I have workers' comp. 9. ❑ Building adt itiun me in ,any capacity. [No workers' iusuraur. I 10, ❑ Electrical [eltairs or additions c01111) rttsurant:C rriluircd.] 5. ❑ we arc.I,.i poiation and its n 11. PlurnUiu� rC irs ur additions I I ofhcels u. , xmised their right 6f ❑ 1 ►a L_l I ant , h<nurowuer doing all work exempuon 1, r lv[GL c. 152§(4),and 12. Roof repairs ntyaclf [Ni, wurkrrs' comp. w hasc l,.,ny,lpy ees:[No wolhers', / 13. oaaCr IIISIIa,ItICC t'l;C1llIrCCt..I I- . 1;p111p ulsur:u.,c tequu'ad.] y,phr;lnt that checks box 01 roust also fill out the section below slIwx,,,li;;vr workers'compensaliOil policy information. bnu.u,vnele .vh,I,uhutit this ul'ticluvit indicating they aaro doing all wo,l,.I ;J ih,n hire outside conuactors must submit allow affidavit indicalml;such. ttlmtl:rctou that check thls box must ZIMIch an additional sheet showing h,. I,:,,I:of the sub-contactors and state whether or not those etltities have eulploy,.r., 11 ,i,�50h ,nllacton have cmpluycas, they rlaus:provide their workeas'cony, ,i,a number. I run an employer that is providing workers'compensation m.NIi; ntc'e for my employees.Below is the_policy avid job site uilurrruUiun. , i Ar�1 � ' lu;uriiitr C'ontp.uty Nartte: r7 __.. --.,_— Policy it m Sell-ties, f..ic. lt: ))� 0�. 1�1 5 Expiration Date: S� ALL. 1�- �� _ rr ' c-, /I lob stir Address: ..__1 l/'vt/ �W City/Slate/Zip: -atta(h a copy ol'the workers' compensation oliey declaration pago t.;I,uwing the policy number and expiration ate). l'alilllC to]CCllle CUvorkiiso as rcyuiL'Cd under 5oction 25A of MOL c.-1 '-III Icad to the imposition of Criminal penalties of a fine up to$1,500.00 wow nnryCar 11upnsuIMICAa, as well as civil penalties in the form of a STOP'' i II(I:UNDER and a fine of up to$250.00 a day against the violator, I3C advised ILII ,:ol7y of this stuterncnt mu C forwarded to the Office of Ihvesti;,,.,i, s„f the DIA for insurance coverage verification. I do he c h if ureter fire t ins arts penalties'oJ pc lark,that the information provided above is true anti eort'ect. v 1 'U C1, U//icial u.re wily. Du nut,write its this area, to be completed or,vrr or town official Cily Ul-Town: 1`cl'llllt/L1Cense k lssuiug Autlwrity (circle otre): 1.Board of health 2. .Builcling`Departinertt 3.City/'i u,rn Berk 4.Electrical luspector 'S.1'lumbiitg Insltect+or n.Other v l'unhict l'irsun: ___�Phone#" _— i OWNER AUTHORIZATION FORM �R � �lI I, � gc� l U (Owner's Name) owner of the property located at �S S ann s (Property Address) (Property Address) hereby authorize � R 7'";fr� (Subcontractor GCj an authorized subcontractor for RISE ngineering,to act on my behalf to obtain a building permit and to perform work on my property. ' O er's Signature Date CAPE COD 5\y ty(1 INSULATION 2l2 N£ 2ll ItM 8: 2)3 147kor F N HUR OLASS 51AMll55 SPRAT IOAM SUSPlNplD � F.nt• _,.T. ,.,1 UT OUTTIRS INSUUMN C11LIN05 "y f t 1-800-696-6611 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: a,- Dear Building(Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit , application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village , t v� ''� Insulation Installed: Fiberglass Cellulose 'R-Value Restricted Unrestricted Ceilings Slopes Floors Walls au, V Sincerely He y E C sidy , President Cape Cod nsulation, Inc. - dc- a CAPEdIdly F BARNSTABLE N S U L ATjNq Nj M 13AM 110, 40 [�7 Fq E® • I-R GLASS SEAMLISS SPRAY FOAM SUSPINDID RATTS OUTTSRS INSULATION GIR'INO' C4.TT" t� 1-8 0 0 6 9 6 6561MITS 1 N x Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 rw Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute- *(BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) ( ) ( ) ( ) ( ) Slopes Floors ( ) ( $) ) ( ) ( ) Walls Div e r� (vor r)ror ole, / Sincerely 2pe E ssi r, President Ins ation, Inc. - -T yr y ul t 2442 2442 1: Ul pp� ®�� �MM® 2A42 EXISTING ADDITION ADDITION EXISTING oz FROW ELEVATION ELElA''fiON V4:=T-Q SCALE V4=T-C7 Flul uj Z Lu 3 �24Y2 - ul a Q !. w 2442 SHEET I OF 3 S�E E• F v -nON Al SCALE V4=T-Or ,1 JOB: 0416 DRAWN BY: KW DATE: 8124/0A 7A.-0. �.� G.-Oa ig'_Dr b._Or ii➢ lu 2442. .. _ 6 ��Y LIT£ 0 v 2 A nnp m uta I lu L m'RATED _ 8 _ nou2u sTEEL s , . . -— - - -—- - —- END,OF EWAF.A"9UPPOF4TED . ABOVE -—- BY A) 2zA d BLOCKING q c wirnN To wau EXISTING o n . 2442 RESIDENCE n NE W � GARLIGE r<— 41 CONC. SLAG o ' 0 ILI Z Z U Q 2 � Z 9'XT O.H. DOOR 9'x T O.H.DOOR LINE B o — LU I Lu U _ba yt._Or 12• W-O' 3.._{n`r" b,_Oa V 30'-01 30'-Or IA'—Or Lu L LOL z f/ SGAL�VA'a 1-4. NOTE, 'WINDOW DESIGNATIONS ARE ANDERSEN WINDOWS. CONTRACTOR&HALL VERIFY . - .. LOCATION&8 DIMENSIONS PRIOR - TO WINDOW ORDER 8'INSTALLATION WEFT 2 OF 3 NEW WALL REMOVED WALLC---- --I . . EXISTING WALL:® - d JOB 0Al( DRAWN 5Y= KW DATE, 8/2A/04 I 3o'-oa --- -- -- -- -- -- --- --- �g cl !SrAoa CONCRETE WALL . .. i IOaxtiCONTINUOUS'FOOTING I MATCW EXSIrJNG TOP OF WALL ' - aEXISTING i 1 BASEMENT ppp`�pp�yyy { r , I i jl GARAGE = O I d°GONG SLAB 3WELDA. STM 40 i ' I Sr12a C)WCR a W/M4 RB3AR WO.C.E COI-LIMN E W. . _ .T I I i I: DROP WALL UNDER ° SLAB AT DOORS t Y L _ z _ _ - CONCRETE APPA24 ———————— qi_0 . to b.i/2a p asp G MATCW EXISTING PITGW SC.aAt E 7/4 a T-G RIDGE VENT - z 2c12 RIDGE BOARD 2r6's,P 16 O.G ASPWALT SHINGLES Z - - SM' COX SNEATWING .. UNIFINWED v' STORAGE 3/A"PLYIN037D S14ZTHING!1/2a ROOFING UNDERLAY 12 (� L. COMPOSITE Lu DECKING/3h. GOURD RA1�/ � MATCH EXISTING PITCH � � F HEI'�RANE/ FLOATING P.T. p ... 41 •c' Lu Q 3/4a PLYWOOD 11.4 —CONT. VE7JTING DRIP EDGE rune+®nsnwc eara>m pwaa '� -2dols v 16°O.C. Ix4 FASSECCIA MEHBEfi - - 2r10'o'0.10C.C. IL ; N Z STEEL BEAM ALUMINUM GUTTERS AND DOMIPI SPOUTS WELDED CMA OS.TION'` MATCH EXISTING TRIPS : 1v-oa ta'-p Q FIRE RATED' GYP. BOARD tq BETWEEN GARAGE 2r4'EXT.STUDS 0 16a O.C: o AND LIVING SPACE.' i 4IN TYVEK WRAF(OR EQUAL) e°II GARAGE V CEDAR CLAPBOARDS IN W'RONT V ;;GARAGLID E V !- N.C. SHINGLES R. SIDE ,REAR t- H s 1 ZO LALLY COLUMN _ L — — — — -p—ITON TO DOORS — --- --r — -- i--- —r — -- =--- — -- °— SHEET 3 OF 3 u -71 Mr - _ - 300 COMPACT FW l Ill 11 I B fI -On COMPACT FI LL 25'--oar r'II-I� Sc r/b�13 v4.T-O u4 ®r-O SOB: QAI& DRAWN BY. KW DATE: 6/2A/p4 ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE 1. WHERE ALL TERMINALS OF THE DISCONNECTING AC ALTERNATING CURRENT MEANS MAY BE ENERGIZED IN THE OPEN POSITION, BLDG BUILDING A SIGN WILL BE PROVIDED WARNING OF THE CONC CONCRETE HAZARDS PER ART. 690.17. DC DIRECT CURRENT 2. EACH UNGROUNDED CONDUCTOR OF THE EGC EQUIPMENT GROUNDING CONDUCTOR MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY (E) EXISTING PHASE AND SYSTEM PER ART. 210.5. EMT ELECTRICAL METALLIC TUBING 3. A NATIONALLY—RECOGNIZED TESTING GALV GALVANIZED LABORATORY SHALL LIST ALL EQUIPMENT IN GEC GROUNDING ELECTRODE CONDUCTOR COMPLIANCE WITH ART. 110.3. GND GROUND 4. CIRCUITS OVER 250V TO GROUND SHALL HDG HOT DIPPED GALVANIZED COMPLY WITH ART. 250.97, 250.92(B) CURRENT 5. DC CONDUCTORS EITHER DO NOT ENTER Imp CURRENT AT MAX POWER BUILDING OR ARE RUN IN METALLIC RACEWAYS OR Isc SHORT CIRCUIT CURRENT ENCLOSURES TO THE FIRST ACCESSIBLE DC kVA KILOVOLT AMPERE` DISCONNECTING MEANS PER ART. 690.31(E). kW KILOWATT 6. ALL WIRES SHALL BE PROVIDED WITH STRAIN LBW LOAD BEARING WALL RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY MIN MINIMUM UL LISTING. (N) NEW 7. MODULE FRAMES SHALL BE GROUNDED AT THE NEUT NEUTRAL UL—LISTED.LOCATION PROVIDED BY THE NTS NOT TO SCALE MANUFACTURER USING UL LISTED GROUNDING OC ON CENTER HARDWARE. PL PROPERTY-LINE 8. MODULE FRAMES, RAIL, AND POSTS SHALL BE POI POINT OF INTERCONNECTION. BONDED WITH EQUIPMENT GROUND CONDUCTORS AND PV PHOTOVOLTAIC GROUNDED AT THE MAIN ELECTRIC PANEL. ' SCH SCHEDULE 9. THE DC GROUNDING ELECTRODE CONDUCTOR SS STAINLESS STEEL SHALL BE SIZED ACCORDING TO ART. 250.166(B) & ` STC STANDARD TESTING CONDITIONS 690.47. TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY - V VOLT Vmp VOLTAGE AT MAX POWER W c WATT GE AT OPEN CIRCUIT VICINITY MAP INDEX 3R NEMA 3R, RAINTIGHT PV1 COVER SHEET PV2 SLTE PLAN PV3 STRUCTURAL VIEWS PV4 THREE LINE DIAGRAM LICENSE GENERAL NOTES Cutsheets Attached GEN #168572 1. THIS SYSTEM IS GRID-INTERTIED VIA A ELEC 1136 MR UL—LISTED POWER—CONDITIONING INVERTER. 2. THIS SYSTEM HAS NO BATTERIES, .NO UPS. 3. SOLAR MOUNTING.FRAMES ARE TO BE GROUNDED. 4. ALL WORK TO BE DONE TO THE 8TH EDITION MODULE GROUNDING METHOD: ZEP SOLAR OF THE MA STATE BUILDING CODE. AHJ: Barnstable 5. ALL ELECTRICAL WORK SHALL COMPLY WITH REV BY DATE COMMENTS THE 2014 NATIONAL ELECTRIC CODE INCLUDING MASSACHUSETTS AMENDMENTS. ► REV A SFRAN 8/1/2014 ADDED MODS TO MP3,UPSIZE INV TO SE7600 * * * UTILITY: NSTAR Electric (Cambridge Electric Light) CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER J B-0 2 6 3 4 3 O O PREMISE OWNER. DESCRIPTION: DESIGN: CONTAINED SHALL NOT USED FOR THE SALVATORE ANN SALVATORE RESIDENCE Steven Frangos BENEFIT OF ANYONE EXCEE PT SOLARCITY INC., MOUNTING ,NIING SYSTEM: ' SolarCit r NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 154 BISHOPS TERRACE 9.945 KW PV ARRAY r,. y PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES: B A R N S TA B LE, MA 02601 THE SALE AND USE OF THE RESPECTIVE (39) CANADIAN SOLAR # CS6P-255PX 24 St. Martin Drive,Building 2,Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME: SHEET: REV: DATE Marlborough, MA 01752 PERMISSION OF SOLARCITY INC. ISO AREDGE SE7600A—USOOOSNR2 5087908877 NVERTER: ` COVER SHEET PV 1 a 10 1 2014 T. (650)638-1028 F. (650)638-1029 (888)—SOL—CITY(765-2489) www.solarcity.com PITCH: 14 ARRAY PITCH:14 MPi AZIMUTH:282 ARRAY AZIMUTH:282 , MATERIAL:Comp Shingle STORY: 2 Stories PITCH: 14 ARRAY PITCH:14 MP2 AZIMUTH:282 ARRAY AZIMUTH:282 MATERIAL: Comp Shingle STORY: 2 Stories a A �SN CF Nr YOO JIN K 1 � IV No.4 PRch 3/12 A a Digital Yoo Jin µ Kim Date:2014.10.02 08:42:13 -07'00' LEGEND (E) UTILITY METER & WARNING LABEL Front Of House INVERTER W/ INTEGRATED DC DISCO lm & WARNING LABELS IEEsi DC DISCONNECT & WARNING LABELS © AC DISCONNECT & WARNING LABELS DC JUNCTION/COMBINER BOX & LABELS � l �--=j DISTRIBUTION PANEL & LABELS C Lc LOAD CENTER & WARNING LABELS 3n ma m N � (n O DEDICATED PV SYSTEM METER t 0 a (E)DRIVEWAY � Q STANDOFF LOCATIONS CONDUIT RUN ON EXTERIOR o ---" CONDUIT RUN ON INTERIOR B o GATE/FENCE Q HEAT PRODUCING VENTS ARE RED AC Lam_J INTERIOR EQUIPMENT IS DASHED Inv © O Y SITE PLAN N Scale: 3/32" = 1' E Loda?d sated W 01' 10' 21' S PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: JB=026343 OO Steven Fran os ='lSolarCit o CONTAINED SHALL NOT BE USED FOR THE SALVATORE ANN SALVATORE RESIDENCE 9 �/ BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: 154.BISHOPS TERRACE 9.945 KW.PV ARRAY ��` 1 NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C PART TO OTHERS OUTSIDE THE RECIPIENTS BARNSTABLE, MA 02601 24 St.Martin Drive Building 2,Unit 11 ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES . THE SALE AND USE OF THE RESPECTIVE 39 CANADIAN SOLAR CS6P-255PX SHEET: REV: DATE: Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN ( ) PAGE NAME PERMISSION OF SOLARCITY INC. INVERTER. 5087908877 / / T: SOLO)838-105— F: (65 w 638-1029 SOLAREDGE sE760oA—us000sNR2 SITE PLAN PV 2 (7 10 1 2014 (BBe)-soL-CITY -24e9) rn�saaraltr.aan, PV MODULE S 1 5/16" BOLT WITH LOCK INSTALLATION ORDER & FENDER WASHERS LOCATE RAFTER, MARK HOLE ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT „ ZEP ARRAY SKIRT (6) HOLE. (4) (2) SEAL PILOT HOLE WITH ZEP COMP MOUNT C POLYURETHANE SEALANT. 12'-3" ZEP FLASHING C (3) (3) INSERT FLASHING. (E) LBW (E) COMP. SHINGLE (1) (4) PLACE MOUNT. SIDE VIEW OF MP1 NTS (E) ROOF DECKING (2) INSTALL LAG BOLT WITH (5) A 5/16" DIA LAG BOLT (5) SEALING WASHER. WITH SEALING WASHER LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH MP1 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES (2-1/2" EMBED, MIN) (6) BOLT & WASHERS. » LANDSCAPE 64 24 STAGGERED (E) RAFTER STANDOFF n' CC PORTRAIT 48" 19" J I ~'V DOFF RAFTER 2X6 @ 16" OC ROOF AZI 282 PITCH 14 STORIES: 2 S 1 ARRAY AZI 282 PITCH 14 Scale: 1 1/2" = i' C.J. 2x6 @16" OC Comp Shingle K OF S 1 o� YCO AN No.4 » AL „ S1 Digitally ooJin Kim Date:2 4.10.02 08:42:22 07'00' (E) LBW 4" SIDE VIEW OF M P2 NTS - (E) LBW v C SIDE VIEW OF MP3 NTS MP2 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES LANDSCAPE 64" 24" STAGGERED MP3 X-SPACING X-CANTILEVER Y-SPACINGIY-CANTILEVERI NOTES PORTRAIT 48" 19" LANDSCAPE 1 64" 1 24" STAGGERED ROOF AZI 282 PITCH 14 PORTRAIT 48" 17" RAFTER 2X10 @ 16" OC STORIES: 2 ROOF AZI 102 PITCH 40 ARRAY AZI 282 PITCH 14 RAFTER 2x6 1 " OC ARRAY AZI 102 PITCH 40 STORIES: 2 C.]. 2x10 @16" OC Comp Shingle C.J. 2x6 @16"OC Comp Shingle CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: J B-0 2 6 3 4 3 . 00 PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT E USED FOR THE SALVATORE, ANN SALVATORE RESIDENCE Steven Frongos �\`a'•SolarCity. BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: 154 BISHOPS TERRACE �'"� .NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C PART O OTHERS OUTSIDEN CONNECTION WITH MODULES:- 9.9 45 K W P V ARRAY h� BARNSTABLE, MA 02601 THE SALE AND USE OF THE RESPECTIVE (39) CANADIAN SOLAR # CS6P-255PX 24 St. Martin Drive,Building 2,Unit 11 t) SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN Q Qp PAGE NAME: SHEET- REV: DATE: T: (650)Marl Marlborough, 01752 638-1029 PERMISSION OF SOLARCITY INC. INVERTER' S087908877 SOLAREDGE SE760OA—USOOOSNR2 STRUCTURAL VIEWS PV. 3 0 10/1/2014 (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:Cutler Hammer Inv 1: DC Ungrounded MIN ! )SOLAREDGE # SE760OA-USOOOSNR LABEL: A -(39)CANADIAN SOLAR # CS6P-255PX GEN #168�72 RODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:2298408 Inverter; 71 0OW, 240V, 97.5%q w/Unifed Disco and ZB, RGM, AFCI PV Module; 255W' 234.3W PTC, Black Frame, MC4, ZEP Enabled ELEC 1136 MR Overhead Service Entrance Voc: 37.4 Vpmax: 30.2 I S �E 200A MAIN SERVICE PANEL E) 20OA/2P MAIN CIRCUIT BREAKER Inverter 1 (E) WIRING CUTLER-HAMMER 2P Disconnect 4 SOLAREDGE 200A / SE760OA-USOOOSNR2 SolarCity (E) LOADS aB :::�: �� zaov 1 2 - - � A DC+ N g Dc MP 2-3: 1x20 i 40A/2P - Ecc Dc+ Dc. - MP 1-2: 1x19 ---- ----- --- ' ------------- GEC ---TN DC DC A 9 ---------- - J ---------- -- --- ---EGC --GND _- EGC----------------- ,- N I - ~' o EGC/GEC - - - Z GEC - TO 120/240V SINGLE PHASE UTILITY SERVICE I 1 Voc* MAX VOC AT MIN TEMP POI (1)CUTLER-HAMM #BR240 PV BACKFEED BREAKER B (1)CUTLER-HAMMER #DG222URB /� A (1)S2x2 SY g 4 STRING JUNCTION BOX DC Breaker, 4OA/2P, 2 Spaces Disconnect; 60A 24OVac, Non-Fusible, NEMA 3R /-I, 2x2 STRINGS, UNFUSED; GROUNDED -(2)Ground Rod; 5/8 x 8', Copper -(1)CUTLER-�IAMMER #DG10ON6 PV (39)SOLAREDGEJP300-2NA4AZS Ground/Neutral Kit; 60-100A, General Duty(DG) PowerBox Optimizer, 300W, H4, DC to DC,ZEP 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 4. 1 AWG#8, THWN-2, Black 1 AWG#8, THWN-2, Black Voc* =500 VDC Isc =30 ADC (2)AWG #10, PV WARE, Black Voc* =500 VDC Isc =15 ADC ®�(1)AWG#8. THWN-2. Red O ( ) lh 1 AWG , THWN-2, Red Vmp =350 VDC Imp=28.04 ADC O�(1)AWG#6, Solid Bare Copper EGC Vmp 350 VDC Imp=14.38 ADC (1)AWG #10. THWN-2, White NEUTRAL VmP =240 VAC Imp=32' AAC . . . . . . . . (1)AWG#10, THWN-2,Green. , ECC-. . . .-(I)Conduit.Kit;.3/4".EMT. . . . . . . .. : .. . . . . . ., . .. . . . . . . . . .. )AWG#8,.1HWN-2.,Green . EGC/GEC_—(1)Conduit.Kit;.3.47.EMT. . .. . . . . . . . (2)AWG#10,PV WIRE, Black Voc* =500 VDC .Isc -15 ADC (1 4)i (1)AWG#6, Solid Bare Copper EGC Vmp =350 VDC Imp=13.66 ADC PREMISE OWNER DESCRIPTION: DESIGN: CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: J B—.O 2 6 3 43 00 Steven Fran OS �\,aSolarCity, CONTAINED SHALL NOT BE USED FOR THE SALVATORE, ANN SALVATORE RESIDENCE 9 BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: 154 BISHOPS TERRACE 9.945 KW PV ARRAY �r NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C PART TO OTHERS OUTSIDE THE RECIPIENTS MooD BARNSTABLE, MA 02601 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St.Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE 39 CANADIAN SOLAR # CS6P-255PX SHEET: REV: DATE Marlborough,MA 01752 PAGE NAME:- T: (650)638-1028 F. (650)638-1029 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PERMISSION OF SOLARCITY INC. '""�� 5087908877 THREE LINE DIAGRAM PV 4 a 10/1/2014 (e66)—saL-CITY(765-2a69) wwwsolar�"x�«n SOLAREDGE SE760OA—USOOOSNR2 •ft e e e •e - e Label Location: Label Location: Label Location: (C)(CB) o (AC)(POI) o ( � (DC) (INV) Per Code: _ _ Per Code: _ w� _ Per Code: NEC 690.31.G.3 00 0 0 0 ° NEC 690.17.E ° o o ° o- •o• • NEC 690.35(F) • • Label Location: o TO BE USED WHEN (DC) (INV) MR11,° ° ° -e o o • o • INVERTER IS D O Per Code: o- - UNGROUNDED NEC 690.14.C..2 Label Location: Label Location: o (POI) r -o - (DC)(INV) Per Code: -O awmar Per Code: OWN °- NEC 690.64.6.7 tFULM"a �I -° NEC 690.53 0 0 0 0 ,O ° e o 0 ... . Label Location: (POI) Label Location: _ Per Code: c (DC)(CB) •-o 0 0 0 0 • NEC 690.17.4; NEC 690;54 4 Per Code: - o e e o o NEC 690.17(4) :o • o•o 0 o e- so- e•e Label Location: o M� (DC) (INV) Label Location: LuNV Per Code: l.Yi=►`l�J 0 UL`-'JLIV (D) (POI) • _e -° e • °•-o ° NEC 690.5(C) o Per Code: e- -o 0 0 0 -e ®:•e o NEC690.64.B.4 0 o e- • -e o ° • o 0 Label Location: Label Location: O (POI) O O O (AC) (POI) . -o - o - Per Code: _ (AC):AC Disconnect D 0 Per Code: ° ° ° - NEC 690.64.B.4 . (C): Conduit NEC 690.14.C.2 e o o (CB): Combiner Box (D): Distribution Panel (DC):DC Disconnect (IC): Interior Run Conduit (AC)(POI) Label Location: (INV): Inverter With Integrated DC Disconnect •' - 01009 L% Per Code: (LC): Load Center WRIMENIM (M): Utility Meter •' r n NEC 690.54 (POI): Point of Interconnection j CONFIDENTIAL- THE INFORMATION HEREIN CONTAINED SHALL NOT BE USED FOR THE BENEFIT OF ANYONE EXCEPT SOLARCITY INC., NOR SHALL IT BE DISCLOSED ��•"�� sa®C®�® IN WHOLE OR IN PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, SC Label Set •'-...= m T®®�IENE�8 CA134038m02❑ EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE ®Sa TEO EDE63 me®as®® SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PERMISSION OF SOLARCITY INC. SOlarClt o SolarCity SleekMounff - Comp SolarCity SleekMountT"" - Comp The SolarCity SleekMount hardware solution •Utilizes Zep Solar hardware and UL 1703 listed �^ Installation Instructions is optimized to achieve superior strength and Zep CompatibleTM modules Drill Pilot Hole of Proper Diameter for aesthetics while minimizing roof disruption and � O •Interlock and grounding devices in system UL * Fastener Size Per NDS Section 1.1.3.2 labor.The elimination of visible rail ends and listed to UL 2703 I mounting clamps,combined with the addition l 02 Seal pilot hole with roofing sealant f array trim and a lower profile all contribute •Interlock and Ground Zep ETL listed to UL 1703 o a y as"Grounding apd Bonding System" o O3 Insert Comp Mount flashing under upper to a more visually appealing system.SleekMount utilizes Zep Compatible TM modules with •Ground Zep UL and ETL listed to UL 467 as � _�� layer of shingle strengthened frames that attach directly to grounding device ® Place Comp Mount centered Zep Solar standoffs,effectively eliminating the upon flashing need for rail and reducing the number of Painted galvanized waterproof flashing standoffs required. In addition,composition .Anodized components for corrosion resistance O5 Install lag pursuant to NDS Section 11.1.3 shingles are not required to be cut for this with sealing washer. system,allowing for minimal roof disturbance. •Applicable for vent spanning functions © Secure Leveling Foot to the Comp Mount � x , using machine Screw 0 Place module Components A© 5/16"Machine Screw © Leveling Foot © Lag Screw , ©D Comp Mount ~ Q Comp Mount Flashing D o`i E 0 % sola rCity® January 2013LISTED iSola�ity® January 2013 Offi. V e�Ed�eoe5,g� ��� CS6P-235/240/245/250/255PX O F<a� �� CanadianSolar . B�Qak<r�O Electrical Data Black-framed '�• STC CS6P-235P CS6P-240PX CS6P-245P CS6P-250Px CS6P-255PX Temperature Characteristics Nominal Maximum Power(Pmax) 235W 240W 245W 250W 255W 0 Optimum Operating Voltage(Vmp) 29.8V 29.9V 30.OV 30AV 30.2V Pmax .0.43%rC Optimum Operating Current(Imp) 7.90A 8.03A 8.17A 8.30A 8.43A Temperature Coefficient Voc -0.34%/°C Open Circuit Voltage(Voc) 36.9V 37.OV 37.1V 37.2V 37AV Isc 0.065%/°C �'a•�.* ' 4��" - Short Circuit Current(Isc) 8.46A 8.59A 8.74A 8.87A 9.00A Normal Operating Cell Temperature 45 C o- 0 • r;1 Module Efficiency 14.61% 14.92% 15.23% 15.54°/, 15.85% 77 Operating Temperature _qp^C-+g5°C Performance at Low Irradiance Maximum System Voltage 1000V IEC /600V UL Industry leading performance at low irradiation Maximum Series Fuse Rating 15A environment,+95.5%module efficiency from an Application Classification ClassA Irradiance of 1000w/m'to 200w/m' Power Tolerance 0_+SVJ (AM 1.5,25'C) Next Generation Solar Module Under Standard Test Conditions(STC)ofirradiancoof 1000W/m2,spectrum AM 1.5and cell temperature of25•C t . NewEdge,the next generation module designed for multiple Engineering Drawings types,of mounting systems,offers customers the added NOCT CS6P-235PX CS6P-240PX CS6P-245PX CS6P-250PX CS6P-255PX Nominal Maximum Power(Pmax) 170W 174W 178W 181W 185W ' value of minimal system costs,aesthetic seamless Optimum Operating Voltage(Vmp) 27.2V 27.3V 27AV 27.5V 27.5V appearance,auto groundingand theft resistance. Optimum Operating Current(Imp) 6.27A 6.38A 6.49A 6.60A 6.11A Open Circuit Voltage(Voc) 33.9V 34.OV 34.1V 34.2V 34AV I t The black-framed CS6P-PX is a robust 60 cell solar module 1 Short Circuit Current(Isc) 6.86A 6.96A 7.08A 7.19A' 7.29A 1 incorporating the groundbreaking Ze compatible frame. Under Normal Operating Cell Temperature,Irradlanceof80OW/m',s spectrum AM 1.5,ambient temperature 20•C, o P 9 9 9 P P p s P P P The specially designed frame allows for rail-free fast wind speed 1 m/s installation with the industry's most reliable grounding Mechanical Data system.The module uses high efficiency poly-crystalline Cell Type Poly-crystalline 156 x 156mm,2 or 3 Busbars - Key Features silicon cells laminated with a white back sheet and framed Cell Arrangement 60(6 x 10) with black anodized aluminum.The black-framed CS6P-PX Dimensions 1638 x 982 x 40mm(64.5 x 38.7 x 1.57in) • Quick and easy to install - dramatically is the perfect choice for customers who are looking for a high ( Weight 20.5kg(45.2 lbs) reduces installation time quality aesthetic module with lowest system cost. Front Cover 3.2mm Tempered glass •t Frame Material Anodized aluminium alloy • Lower system costs - can cut rooftop Best Quality J-Box IPsS,3 diodes installation costs in half • 235 quality control points in module production ' Cable 4mm'(IEC)/12AWG(UL),1000mm - Aesthetic seamless appearance - low profile Connectors MC4 or MC4 Comparable EL screening to eliminate product defects � Standard Packaging(Modules per Pallet) 24 with auto leveling and alignment Current binning to improve system performance pos e • Accredited Salt mist resistant --( Module Pieces per container(40 ft.Container) 672pcs(40'HO) • Built-in hyper-bonded grounding system - if it's 1-V Curves CS6P-255PX i mounted,it's grounded _�_. Best Warranty Insurance ld • Theft resistant hardware • 25 years worldwide coverage • 100%warranty term coverage •.I , SectionA-A • Ultra-low parts count - 3 parts for the mounting Providing third party bankruptcy rights a ' and grounding system t • Non-cancellable -e' e 3 I t di• Immediate coverage s s • Industry first comprehensive warranty insurance by I t � � AM Best rated leading insurance companies in the • Insured by 3 world top insurance companies world s X1Do.*-i a o Comprehensive Certificates 2 —�'l-a =n� • Industry leading plus only power tolerance:0-+5W —Gal: —•�� • .IEC 61215,IEC 61730, IEC61701 ED2,UL1703, 4 40 _ —tee t5 • Backward compatibility with all standard rooftop and CEC Listed,CE and MCS 0 e b. ,s w zur ss 20 31 40 "a F 0Is 17e round mounting systems 9 9 Y IS09001:2008:Quality Management System _ _ _ �,. . •_, _ ; - - ,- • ISO/TS16949:2009:The automotive quality •specdlcations et are subject to change without prior notice.included in this datashe • Backed By Our New 10/25 Linear Power Warranty management system Plus our added 25 year insurance coverage • IS014001:2004:Standards for Environmental 6 About Canadian Solar management system Canadian Solar Inc. is one of the world's largest solar Canadian Solar was founded in Canada in 2001 and was 1000 AddedV • QC080000 HSPM:The Certification for -" companies. As a leading vertically-integrated successfully listed on NASDAQ Exchange (symbol: CSIQ) in 9R Value From 1Varr Hazardous Substances Regulations manufacturer of Ingots,wafers,cells,solar modules and November 2006. Canadian Solar has module manufacturing anty solar systems, Canadian Solar delivers solar power capacity of 2.OSGW and cell manufacturing capacity of 1.3GW. • OHSAS 18001:2007 International standards for products of uncompromising quality to worldwide a°% occupational health and safety customers. Canadian Solar's world class team of o% professionals works closely with our customers to s 10 1s 20 2s REACH Compliance provide them with solutions for all their solar needs. ,y •10 year product warranty on materials and workmanship = YE ;'c1 v •25 year linear power output warranty ��°'� C � •s r r ��l F www.canadiansoIar.com , m• i )' {� -w � ads EN•Rev 10.1]Copyright 0 2012 Canadian Solar Inc.. F' A;' � �F� n, �'Y,^� &�"�r..bv � C Y '�'� i -£ S ®' fir` 0 0 SolarEdge Power Optimizer solar=oo (k y solar � ( � - � Module Add-on for North America x J P300 / P350 / P400 SolarEdge Power Optimizer ` P300 P350 _ - P400 ;r� 5^le �,uz kv£.v, y •q J (for 6D-cell PV (for 72<el l PV (for 9G-cell PV Module Add-On For North America p modules) modules) modules) P300 / P350 / P400 ' �t o ��'nt :INPUT `` ................ d�„ -i, q t ` z •r' Rated Input DC Power"I•,...•,....•. , 300 350 400 W Absolute Maximum Input Voltage(Voc at lowest temperature) 48 80 Vdc MP Operating Range .... ........ ... 8.48..... .........8 60........ .. 8 80 .... ...Vdc ... i§'. .. ........ ................................... .. Maximum Short Circuit Current(Isc) ... h .............. e3' O a z Maximum DC Input Curren[ ....... ................................. ................................ Adc . ..... .... ... ... ................... 12.5 "r�= .. z .'.' Maximum Efficiency 99.5 .. % ... R k .................................... ........... ........... ........... Weighted Efficency.. .. ......... ........... ........ ..... ..... . ........................ . .... Overvoltage Category OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATINGJNVERTER) N r 3 we Maximum Output Current ...... . .....15... ........ ....... ..... ........................................................... Maximum Output Voltage 60 Vdc n d 1 OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF) 13 Safety Output Voltage per Power Optimizer 1 Vdc STANDARD COMPLIANCE EMC...• ......................... .......„,,,„„ ..,.,, FCC Part15 Class B IEC61000 6.2.IEC61000 63 .., .... Safety. ....... ......... ........... .......... ...... ................IEC6210911dass 1l safe[Yh,UL1741 ....... ......... RoHS - Yes — d SHstem VolltageN........................... ..... 1000 Vdc - . s �,n.*.� Dimension IIWNLx 1 m ..... .... ... .... .... ..................... ..... .. ......._ 0.5/555 m {p IC S tl x .; Weight lmcluding cablesl..v..................................... .. .... 212 x4950/2•iz834 ................... Lr/Ib... 0 Input Connector .... .x.MC4/Amphenol/Tycox.3 .......... .......... ... ......... ....... .... ......... .- - ,:Y - n! .r. :, • ... ........... .......... ............. 41Double Insulated Amphenol •„ .Output Wire Type/,Connector... ..... ............ ....... ....... ... ...... ..... ... . Output Wire Length .. ........... ........................ 0.95/30 .....L..... ...1.2/3:9........ m/ft. -•.. - _. '+k;. ,.,-r, „.. �. @ ............ .. 40 +85/40 +185 ....0/..F.. { Operating Temperature Range .. ........ ......... ...... - + k n, i % t '* ;'" rI* rd'.x§§v Prot.. ...... IP65 NEMA4 '� t '�,•�.�"�a Is•.+� 4 .•I ......ection Rating......................................... .... ... ...... � .. .... ........... ... ......... ...... ....... ...... ....... ........... .... ......... ... ...... .. .. n Relativ 100 % s narea eeo am. oem Moa ico+. up m,o moow sznow.. ea s',�t• 'Sa m � ax ��e t„i,t tf, �+ ❑S x 4"J` �""r+.c^tz. - � v 'PV SYSTEM DESIGN USING A SOLAREDGE -•.THREE PHASE '°,THREE PHASE °INVERTER SINGLE PHASE - 208V '480V it PV power optimization at the module-level nni�mum strmgLength tPoweropnmizersl s 10 la Maximum string Length(Power Optimizers) ............................................................................................25............ ............25............ ............................ ............. Up to 25%more energy Maximum Power per String 5250 6000 12750 W Superior efficiency(99.5%) - Parallel Strings of Different Lengths or Orientations Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading - - - Flexible system design for maximum space utilization Fast installation with a single bolt - - - Next generation maintenance with module-level monitoring ` Module-level voltage shutdown for installer and firefighter safety j`y(�Sq USA - GERMANY - ITALY - FRANCE— JAPAN - CHINA - ISRAEL - AUSTRALIA www.solaredge.us g Ul - - -—77— Ul �C F .: 2442 L.tTE 22 S $ . a v UP ` , e ED pIU�5T BE FIRE RATED k�� EN EAM 911PPQIZTED n �i Y _ 81D'Oj H .2xA a ai oci iraG pC15TING �a u 110926 STEELs ----- � TO a�IDF a— AeOVE r .. 24n2 UOtAr— SLAB Q W' it � U 21k4L q' 9`xT O.H. COOKuTS lu� � 119 W'oC1 O,H. D004t , { O ARZ - - -. . liOrMDOi�:DESK . F9 vANDERS �T.I�OId� � AI.L,A.T1aOPd TO wINDa� IEI3 6 INST 5HEE1�'2 of 3 r. wAu-�=-- .-__- wAu � Ex�sT1� wau-�. JOB, ogle DraAwN sr: Kw DATE+: S/2A/04 0 y M1 `. ��. f" ..�,���: �4,j1�,I��� ti