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0011 CARLOTTA AVENUE
LU77-A "\�4�= J48r- 1 V7 x �F it Town of Barnstable Building.. ,� t x Y. PostThis.Card So,Thaiitis Visible From the Street-A ` roved;IPlansMust beRetamed on J,ob and this'Card Must be Ke t, Poste UntlFlnalInspection�Has a6�a �-;a! s � `. •; � � a,. �� ,a.. �� . Permit ' a.<Cert�fisate of;Occu 'f' m .shall Not beOcca iei!until a Final Iris ectinn hasbeen made 1 �i jjjlt Where pancy is Required such Build g Permit NO. B-19-1581 Applicant Name: Stephen Dickinson Approvals Date Issued: 05/17/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 11/17/2019 Foundation: Location: 11 CARLOTTA AVENUE,HYANNIS Map/Lot 248-147 Zoning District: RB Sheathing: 11 F1 Owner on Record: BARSELOW,MICHAEL S �x ntractorNarne , STEPHEN T DICKINSON Framing: 1 Address: 11 CARLOTTA AVENUE Gontractor<License CS-,081843 2 �.; HYANNIS, MA 02601 Cost. $4,360.00 Chimney: Description: Same for same,replacing 1 double sliding door u factor�0 28 and 1 �Re mit Fee: $35.00 direct set fixed frame u factor 0.27 �,, Insulation: x FeesPaid" $35.00 Project Review Req: i Date 5/17/2019 Final r wry Plumbing/Gas VIK �l� _. ..... ... Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by thfficial is permit is commenced within six months afte i�suan Final Plumbing:. All work authorized by this permit shall conform to the approved appl cation and the approved construction documents=for which this permit has been granted. All construction,alterations and changes of'use of any building and structuresshall be in compliance with the local zon rig by laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access streetor o c inspe ad and shall be maintained open for publiction for the entire duration of the work until the completion of the same. . Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the uilding and Fire Officials are"proved on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue Inm is installed Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. ` Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (asset forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: f Mckechnie, Robert From: Mckechnie, Robert Sent: Monday,July 23, 2018 9:07 AM To: Anderson, Robin Subject: follow up- RFS- 11 Carlotta Avenue, Hyannis Stopped at subject property on Wednesday,July 18, 2018, and spoke to a woman that lived there. The following was observed: 1.) No evidence of an auto repair business observed. 2.) One small boat on a trailer covered with a tarp. 3.) One older Chev El Camino vehicle. I` 4.) One registered car. 5.) Woman stated that a neighbor has called the police about this property. She also stated that a Barnstable Police Detective had stopped by about unregistered vehicles a day before. Based on my observations,this RFS should be closed. Robert McKechnie Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4033 I y ` I l 1 I Date: July 17, 2018 To: Building File RE: Auto mechical work/unreg vehicles Address: 11 Carlotta Ave, Hyannis Originator: Alan Feltham feltham535@gmail.com Complaint: Operating auto repair shop Enforcement Process Steps ® 1. Initiate local investigation: RA ® 2. Document/enter into system Yes 3. Contact ® 4. Property Owner Barselow, Michael 5. World Tech Auto Repair, Hyannis 6. Seek access to subject property 7. Seek administrative warrant(if necessary) NA 8. Notify state authorities of findings NA 13 9. Document conclusion OPEN 13 10. Referred Building/Bob- Property 248-147 Property is developed (1963)with a 1 story SF ranch containing 3 bedrooms and 1 bath on 0.27 acre, located in the RB zoning district. Email from 6/25/18 : Concern that an auto repair business is operating from this site. - II 5 _0 -�� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION "0_4 Map Z Parcel /y7 Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Feel�� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address Village )�IfAyiflLS nn /l �I n Owner���G'�iu�C. did' , Address 1 Ca t lo/fir Telephone In 4b ��l Permit Request 0 be ah - ff S i ,e s 36 07 c� r�q�A �7 ko o Square feet: 1 st floor: existing _proposed 2nd floor: existing proposed -�'- 7_r Totiew ro Zoning District Flood Plain . Groundwater Overlay �m G) Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supp'afting documentation. Dwelling Type: ngle Fami ❑ Two Family ❑ Multi-Family(# units) ` Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name I ; Cerra f Telephone Number Address 44 SL 31 ds Z at, License# lob ✓ro,�x�. t911 Sz Home Improvement Contractor# ��5_ Email s 5� Worker's Compensation # ALL CONSTRUCTION DE RIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 12 6��k wjo S '**0 07 SIGNATURE DATE 177/ FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL W GAS: ROUGH FINAL q FINAL BUILDING d t. DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts' Department of Industrial Accidents Orice of Investigations* ' I Congress Street,Suite 100 Boston,MA 02114-2017 ` www massgov/dia Workers'Compensation Insurance Affidavit: Builders%Contractors/Electi icians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/individual): SOIarClty Corp. Address:3055 Clearview Way City/State/Zip:San Mateo CA 94402 Phone#:888-76.5-2489 Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 13,000 4. 1 am a general contractor and 1 . 6 ❑Mew construction' employees(full.and/or part-time).' have hired the sub-contractors , 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet, 7. Remodeling ship and have no employees These sub-contractors have 8. E] Demolition, working for me in any capacity. employees and have.workers' [No workers' comp.insurance comp. insurance.= 9. []Building addition required.] 5. We are a corporation and its 10.0 Electrical repairs or additions 3.`❑ 1 am a homeowner doing all work officers have exercised their I LE]Plumbing,repairs or additions myself. [No workers' comp. right of exemption per MGL c. 152, 4 ,an 12•E)Roof repairs I . , insurance required.] §1 O d we have no employees. [No workers' 13.Q Other solar panels comp.insurance required:] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they trust 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:American Zurich Insurance.Company Policy#or Self-ins.Lic.#:WC0182015-01 r'Expiration Date:9/1/2017 11 Cadotta Ave Barnstable MA D2601 Job Site Address: CitylState/Zip: . Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section'25A of MGL c. 152'can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-ye imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against t v' lator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the D for' su ce coverage verification. I do hereby cejZtt th ns d penalties of perjury'that the information provided above is true and correct Si nature: Date 3/27/2017 Phone#: 508-640-53 9 - Official use only. Do not write in this area,to be completed by city or town official City or Town;, . Permit/License# - _ Issuing Authority.(circle one): 1:Board of Health 2.Building Department 3.City/Town Clerk 4:Electrical Inspector 5.Plumbing Inspector 6:Other Contact Person: Phone#: - DATE WMIDD/r" CERTIFICATE OF LIABILITY INSURANCE W912016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND.OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENITATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED;the policyfms)must be endorsed. If.SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(a). PRODUCER?AARSH RISK&INSURANCE SERVICES PHONE ��....._...... _......_..........._........._ 345 CALIFORNIA STREET,SURE 1300 _._......._........ ....._•....1(IUG.MaI CALIFORNIA LICENSE NO.0437153 SAWL SAN FWXCISCO,CA 94I04 AtORM• .— AtIrL Shr$Iaon Scd141 5 743 8334 ...iNSussZ At wRDlao covEnncE.-- 998301-STND•GAWUE•16.17 INSURER A:Zurich American Insurance Company 16635 INSURED nINSURER e:NIA NIA 3055 Clearoiew Way tnsura> c:.NIA .—.._— _._._.. ..._................ .: .._. ....NIA.... ......... .San Malm CA 94402 RISURER D;Amel=Zurich Insurance Company 40f 42 RNSUR914 F: COVERAGES CERTIFICATE NUMBER: S9 A-WJo0827841 REVISION NUMBER:6 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 NTH 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. L� TYPE OF INSURANCE NUMBERPOLta ff"XV EXF POLICY EXP LIMIT'S A X COMMERCIAL GENERALLIA131UTY IGt00i8201601 00112016 090112017 EACH OCCURRENCE S 1,000.000 1 DAMAGE TO RENTED --�— --- ...._......_.__._...... ...I CLAIMS-MADE OCCUR X OCCUR PRENIMoccuaei!�1... 1,0D0.000 X SIR$250.00D . I �.T._ :........ . _ .. __... . .... .. .... .. ...-.--. ...._..._• � MEDEXP(Arryonoperson S I PERSONAL&ADV INJURY $ 11000,000 —� GENERAL AGGREGATE_. S 2.000,000 GENL AGGREGATE LIMIT APPLIES PER , ........ ... A1CYIPRO- JE ..-COMIP.AGGX ❑ L . ........... .. ._.Z,fl00,001 T 1 S OTHER: . A i AUTOMD AMIABILITY tAP0182017-01 OwliBIB OKWA17 d6RWRMMRW LIMIT $ 1,{100000 X ANY AUTO BODILY INJURY(Per person! S ALL OWAED !SCHECULED X _......_. ......__................... .._. AU �� TOS X ..l800a Y INJURY(Por acddent} S' K X NONOVOED PROP 4iYiiAh14�,E' S HIREDAUTOS 1 AUTOSI1..... _..—. ! S . UMBRELLA LIAR OCCUR EACH OCCURRENCE S _....... .......__. FXCESSLWe [ _ .CLAIMS•MADE AGGREGATE DED ONS S D 11VORI(6RS COMPENSATION C018 14-91(AOS) OW1,016 001=7 X 1II PER 0TH- . AND EMPLOYERS'LIABILITY ..�STATUr :... I-IZ YIN ... -- D ANY PROPRIETORIPARTNERMXECUTINH Cf1182015-01(NAA) 09A412016 09;0112017 E.L.EACH ACCIDENT S 1,000,000 OFFFCERIMEMBEREXCLUDED? N I NIA _.........__._..__ —.. A dyes �inNH) EWS019201B•01(CA) 09A4i2416 09�1fIJ117 E.L.DISEASE-EA EMPLOY sunder I _ 1 D00000 DE 1 Ir'fIS(R OPl OF OPERATIONS below 1Um!1S apply excw of$6WK SIR-CA E L.DISEASE•POLICY LIMri 5 1� DESCRIPTION OF OPOtATIONS I LOCATIONS I VEHICLES(AGORA 101,Ad"nat Remarks Schedule,may be aMaalmd If mom spate Is required) CERTIFICATE HOLDER CANCELLATION Solsroly Caryore5on SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3W5 pearvlew Way T14E EXPIRATION DATE THEREOF, NOTICE WILL Of DELIVERED IN San Malec,CA 94402 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk A Insumace Services StephanieGualuml _qfJFVCv,4Z 42.w4;A1A1' 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD y Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-101687 Construction"Supe.rvisor g DANIEL D FON21 390 ANDOVER STREET WILMINGTON MA 01887, " , i Expiration., Commissioner 09113/2018" Construction Supervisor ' Restricted to: Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet'(991 cubic meters)of enclosed space.: Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DIPS Licensing Information visif:WWW.MASS.GOWDPS • 'i • �11.0 �i rl'v-vi W� Office of Consumer Affairs and Business Regulation SN 10 Park k Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvem®nt:Contractor Registration Type: Corporation Registration: 168572 SOLAR CITY CORPORATION ; =i Expiration: 03/07/2019 24 St Martin Street Bld 2Unit 11 !- _ Marlborough, MA 01752r 4 -+ _ Update Address and return card. Mark reason for cha SC+t t wo 2t�M.�k�a+1 i r'I._net�+ress G7 Renewal 0 Employment :hi Lost _ = office of Consumer Attairs&Business Regulation ' HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:Corporation before the expiration date. M found return to: .r I stratlon Expiration Office of Consumer Affairs and Business Regulation Rigii.}� 10 Park Plaza-Suite 5170 168572. 03/07/2019 Boston,MA AT16 -� SOLAR CIT(CORpORATION DANIEL RUBIN f 3055 Clearview Way f San Mateo,CA 944024 _ Undersecretary of valid without signature V4,',.!,So1arCitY. OWNER AUTHORIZATION Job#: Property Address: G `vly` as Owner of the subject property hereby authorize SOLARCITY CORPORATION to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner: Date: s SOLARCITY.COM DocuSign Envelope ID:03l5lF6B-3D00-4E7D-BA48-CEB4C9F950ED { SolarCity I Solarlease Customer Information Installation Location' Date Michael Barselow 11 Carlotta Avenue 3/8/2017 11 Carlotta Avenue Barnstable,MA 02601 a Barnstable,MA 02601 5086812218 Here are the key terms of your Solarlease Agreement • i �0 r -, yrs ' � s Amount due at contract signing First en year mon 4aymt ?' "" Agree me m "` (Est.Price per kWh IFrst ft5$0.1450) A. (ul s, Sul I , Initial here Initial here 0 The SolarCity Promise DS •We provide a money-back energy performance guarantee. �(�j •We guarantee that if you sell your Home,the buyer will qualify to assume your Agreement. .........................................................................Initial here •We warrant all of our roofing work. os •We restore your roof at the end of the Agreement. �( •We warrant,insure and repair the System: .................................................................................................................................................................................................:................................................Initial here •We fix or pay for any damage we may cause to your.property. •We provide 24/7 web-enabled monitoring at no additional cost. •The rate you pay us will never increase by more than 2.90%per year. •The pricing in this Agreement is valid for 30 days after 3/2/2017. Your SolarCity Lease Agreement Details Your Choices at the End of the Initial Your Prepayment Choices During Amount due at contract signing Term: the Term: $0 <"' •SolarCity will remove the System at no. •If you move,you may prepay the Est amount due at installation additional cost to you. remaining payments(if any)at a ' discount. $o You can upgrade to a new System with the latest solar technology under a new Est.amount due at building inspection contract. " $0 _Y-_._ _ vm _` •You may renew your Agreement for up to Est.first year production ten(10)years in two(2)five(5)year 6,772 kWh increments. Otherwise,the Agreement will ' .automatically renew for an additional one (1)year term at 10%less than the then- current average rate charges,by your local r utility. 3055 Clearview Way,San Mateo,CA 94402 1888.765.2489 I solarcity.com 2567620 SolarLease Agreement,version 8.2.1, February 24,2017 SAPC/SEFA Compliant SolarCity Corporation DBA Tesla Energy Contractor License MA HIC 168572/EL-1136MR Document generated on 3/2/2017 Copyright 2008-2015 SolarCity Corporation,All Rights Reserved a DocuSign Envelope ID:03151 F66-3D00-4E7D-BA48-CEB4C9F950ED 24. NOTICE OF RIGHT TO CANCEL YOU MAY CANCEL THIS LEASE AT ANY TIME PRIOR TO By signing below, I agree that SolarCity can contact me for MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE telemarketing and informational purposes via call or text using YOU SIGN THIS LEASE.SEE EXHIBIT 1,THE ATTACHED automated technology and/or pre-recorded messages using NOTICE OF CANCELLATION FORM,FOR AN EXPLANATION the phone number(s) I provided that are listed on the first page OF THIS RIGHT. of this contract.I understand that consent is not a condition of 25. ADDITIONAL RIGHTS TO CANCEL purchase. You may opt-out of this authorization at any time by IN ADDITION TO ANY RIGHTS YOU MAY HAVE TO CANCEL calling us at:888-765-2489 or sending us written notice and THIS LEASE UNDER SECTIONS 6 AND 24,YOU MAY ALSO mailing it to:SolarCity Corporation,Attention: Phone CANCEL THIS LEASE(A)AT NO COST AT ANY TIME PRIOR Authorization Opt-Out,3055 Clearview Way,San Mateo,CA TO MIDNIGHT OF THE TENTH BUSINESS DAY AFTER THE 94402. DATE YOU SIGN THIS AGREEMENT AND(B)AT ANY TIME E PRIOR TO COMMENCEMENT OF CONSTRUCTION ON I have read this Lease and the Exhibits in their entirety and I YOUR HOME. acknowledge that I have received a complete copy of this Lease. 26. Pricing Customer's Name:Michael Barselow The pricing in this Lease is valid for 30 days after 3/2/2017. If you don't sign this Lease and return it to us on or prior to oueasigned cy: 30 days after 3/2/2017,SolarCity reserves the right to Signature: —N&Ad baV'd.-M � 7 reject this Lease unless you agree to our then current 18Fo5Fee0971489.:. pricing. Date: 3/8/2017 Customer's Name: Signature: Date: SolarLease Agreement SolarCity approved Signature: Lyndon Rive, CEO Date: 3/2/2017 SolarLease Agreement,version 8.2.1, February 24,2017 ~ Ir 2567620 ❑ " ���� Version#65.9-TBD op. S olarCit Y March 22, 2017 RE: CERTIFICATION LETTER ° .� 0F=Mq Project/Job#0263615 Project Address: Barselow Residence y 11 Carlotta Ave HUSSEIN AA" G� Barnstable MA 02601 ICAZAN AHJ Barnstable County SC Office Cape Cod No. 52612 Design Criteria: �,�9 �ISQ ` 4` -Applicable Codes = MA Res. Code,8th Edition,ASCE 7-05,and 2005 NDS - Risk Category = II Y-Wind Speed = 110 mph, Exposure Category C, Partially/Fully Enclosed Method -Ground Snow Load = 30 psf - MP1B: 2x8 @ 24"OC, Roof DL= 7.5 psf, Roof LL/SL= 21 psf(Non-PV), Roof LL/SL'= 21 psf(PV) - MP1C: 2x4 @ 24"OC, Roof DL= 7 psf, Roof LL/SL= 21 psf(Non-PV), Roof LL/SL= 21 psf(PV) Note: Per IBC 1613.1; Seismic check is not required because.Ss=0.18757 < 0.4g and Seismic Design Category(SDC) = B < D To Whom It May Concern, -a A jobsite survey of the existing framing system of the address indicated above Was performed by a site survey team from SolarCity. Structural evaluation was based on site observations and the design criteria listed above: ` Based on this evaluation, I certify that the existing structure directly supporting the PV system is adequate to withstand all loading indicated in the design criteria above based on the requirements of the applicable existing building and/or new building provisions. adopted/referenced above. , Additionally, I certify that the PV module assembly including all standoffs supporting it have been reviewed to be in accordance with the manufacturer's specifications and to meet and/or exceed all requirements set forth by the referenced codes for loading. The PV assembly hardware specifications are contained in the plans/docs submitted for.approval. Hussein A. Kazan, P.E. Digitally signed by Hussein Professional Engineer I--I I fl k Z n1kazan T: 609.642.9016 Hussein S a s � , email: hkazan@solarcity.com Date:2017.03.22 14:37:43-04'00' 3055 Clearview Way San Mateo,CA 94402 T(650)638-1028 (888)SOL-CITY i'(650)638-1029 solarcity.corn ., AL053OO.ARM-0737,A2 ROC 24377VPOC 2454W,CAL"LBBIIM,to CCBQat.Cr;HIC Ob$277mLC U125F06.DG 410'614000(M,JECtiI=BS:DE2071120sa6/7t-6O32,rL15C13006226,NI CT27770.IL t5.0U52:MANCUSM/ - EL-71�'674R,l4D tf7C 120'748/itB65.NC 3C801-U.tbi 0S4)C/i25Y3M.i4J NJ1iICk13VHOb1L4600/34FB477317W.tdM EE90-a79390.fN/NY2U127735112/{I--U978615/01.0D7^Tl9.OFtEl.47707.OR CF:YtUa98,rC562.PA 19CPA0T7343,P1 _ tyr'074774yReq SOS1S.TXTFCl2T00,,Ut 872695p-6601 VA ELF•2)05153270,Vf Fb05929;WA SOLMC•9190VS0lAP.C'9OSG7,Albany 43'7.G14v,eA-486.H4tuu H7•t497;0+)DGl puln4m PCODeL ROd4M H•ti064.40.OU-00.6uff,lk 62057-H,WnM.laescawR`i26U40-1113,N,YCg2O0Ui44-0CA SCFttIC:NY.0 tItaxCd E]ectrltfan.F12610:4004a65,766 V.:1er:L bthtt.•WaII U.BroOlfysa,(lf n2O1420'3966-OCA.Alt bona prardetl b,SOIarCItyFlnmca+Company,lLC CAFJnmteL.enOvaUcinato 6064796.War0iyrin—iI(COmjwry.LLC Is Bue 0ly.ht Delhi—e Slxle Barak COm is,1—t! ansaa to burin it in Delmar*-,la,11c *n Ioir D10422.MD 0-0mv Lam Llcx t422,11.IN 41a ta6mer:flean ltarn4ll.17J23/ilt1U24,Fl Ueenw<Itendv M20�3103L!TX R4Eis?-?rrl Gr4d trrr 14UpO50�63-2n24U4.Vf Lx•AV Llcdna Nb766 Version#65.9 TBD 5olarCi v� ty. HARDWARE DESIGN AND STRUCTURAL ANALYSIS RESULTS SUMMARY TABLES Landscape Hardware-Landscape Modules'Standoff Specifications 'Hardware X-X Spacing X-X Cantilever Y=Y Spacing Y-Y Cantilever Configuration , Uplift DCR . MP36 72" 24" 39" NA Staggered 63.8% MP1C 72" 24" 39" NA Staggered 63.8% Portrait Hardware-Portrait Modules'Standoff Specifications Hardware X-X Spacing X-X Cantiliever Y-Y Spacing Y-Y Cantilever Configuration Uplift DCR MPiB 48" 19" 65" NA Staggered 70.9% MP1C 48" 19" 65" NA Staggered 70.9% Structure Mounting Plane Framing Qualification Results. Type Spacing Pitch Member Evaluation Results MP3B Stick Frame 24"O.C. 240 Member Analysis OK MP1C Pre-Fab Truss 24"O.C. 240 Member Analysis OK Refer to the submitted drawings for details of information collected during a site survey. All member analysis and/or evaluation is based on framing information gathered on site.The existing gravity and lateral load carrying members were evaluated in accordance with the IBC and the IEBC. l 3055 Clearview Way San Mateo,CA 94402 T(650)638-1028 (888)SOL-CITY F(650)638-1024 solarcity.com AL O5600,Alt M•8937,A2 ROC24377VROC 246450,CA CSL£68M.CO EC8041,CT H1C G633776/El C G125305,D6 4p614000080fECC901:b5,CL.2011120386/T1,6032,n EG75006226.HI CT-29770,IL tS-00E2,MA.hC 1485721 EL-PUMR..MO HIC 118W48/118053NC XWD-U.tkl Q347C/125I3M.;tU tbJHK4i3YN0616p6G17r•1EBMT521 W.;IM EE48-379590..P4 tiV2012A35172/C2-Lr-78 6 4 6/82-00 79 719.OH EL 47700:OR C15180498/C:562,PA HCPA077343.RI AC0047 V/Rag 383G.TXTECi?7006.UT 87269'50 1501,VA ELE270.7rZZ78.VT EM-OW829,WA SOLABC-9W01/£OLAFC-0W7.A;b"430,Crsana A•486.Nassau H2409710000.Putnam PC6041,R.0!ind H•1186A.40.00-00.Suffolk SI057-H.Wesl atlrWC.26CA8-1,11A0IY.0 02001384-11C4.SCE!hC;;a.fC.Ligntw Et W.-im1112610,#00a485.t55V.atr St.Gth FiAWL1D,BrooHTn.HY 8201A20139Eb-0CA AAkans pwfdod Ly SOWCOYFIIW—F—F"JLC. (AflnancaLandaftLl C.wM1s6L 4796 So1PCIty FRnanea CcrpanY,LLCit 6;wtOd b/ytf d44%smS tilt Sv*C mitIGnKt'18h$age in buvn*it in QalS'wee todr 11CQnia mjnitigr 010422,M9 COMVIMr Loin Licorn a 2241,W kista8marc:Loan Li! %*ILID23/IL11024.RI.Lie—.d l end-M20153103LL,7XP,gW red Crs&tor 10 005074 4-20':'40C VT Lemd( U in!a#046 I STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK- MP1B:. Member Properties Summary MP16 Horizontal Member Spans Rafter Pro erties Overhang 1.16 ft Actual W 1.50" Roof System Properties —Span, 1 _ ; ,12.39 ft, �4 ,;tActual D, .7.25" 4�'.- Number of Spans(w/o Overhang) 1 San 2 Nominal Yes Roofing Material Com ?Roofs ;cif g S an 3 i X Aft 44 4, IiA(in A2 10.88 &K, Re-Roof No San 4 Sx in.A3 13.14 Plywood Sheathing' �� , _ Yes " San 5 :° �t' . ,'�Ix (inA4 '� """ _747.63 Board Sheathing None Total Rake Span 14.83 ft TL Defl'n Limit 120 Vaulted Ceiling No- T" PV i`Start V4 250 ft' Wood"Species'" SPF Ceiling Finish 1/2"Gypsum Board PV 1 End 9.25 ft Wood Grade #2 Rafter Sloe 240 PV 2 Start' " Fb(psi) 875 Rafter Spacing 24"O.C. PV 2 End Fv(psi) 135 Top Lat Bracing Full " PV 3 Start E(psi) 1,400,000 , Bot Lat Bracing At Supports PV 3 End E-min(psi) 510,000 Member Loading mary Roof Pitch 6 12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 7.5 psf x 1.09 8.2 psf 8.2 psf PV Dead Load PV-DL 3.0 psf xz �. s 1.09_F* At13.3 psf h; Roof Live Load RLL 20.0 psf x 0.93 18.5 psf Live/Snow Load LL SLl,2 30.0 psf ,. x 0.7 ,J x 0.7 a . 21 0 psf6 a21.0 psf j r Total Load(Governing LC I TL 1 29.2 psf 1 32.5 psf Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf=0.7(Ce)(Ct)(I0 pg; Ce=0.9,Ct=1.1,IS=1.0 Member Anal Summary Governing Analysis Max Moment FALSE Capacity DCR Result + Bending Stress(psi) 1,091.5 7.3 ft 1,388.6 79% Pass r }ZEI?HARDWARE�DESIGN CALCULATIONS,MP1B Mounting Plane Information Roofing Material Comp Roof Roof Slope 240 -. _._. _. Rafter,S acing 24"O.C. Framing_Type/Directions! Y-Y Rafters _ .._ PV System jype SolarCity SleekMountT" Zep System Type ZS Comp Standoff Attachment.Hardware)., Como Mount SRV Spanning Vents No Wind Design Criteria Wind Design Code IBC 2009 ASCE 7-05 _. Wind,Desig Partially/Fully Enclosed Method Basic Wind Speed V 110 mph Fig. 6-1 Exposure Category '�-C Section 6.5.6.3 :_ — - -- x , -- --- -- Roof Style Gable RoofFig.6-11s/C/D-14A/B Mean Roof Height h 15 ft = Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.85 Table 6-3 Topographic Factor Krt 1.00 __ Section 6.5.7 Wind Directionality Factor Kd 0.85 Table 6-4 Im ortance Factor I . 1.0 Table 6-1 Velocity Pressure qh qh = 0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15 22.4 psf Wind Pressure Ext. Pressure Coefficient U GC U -0.88 Fig.6-11B/C/D-14A/B Ext.,Pressure Coefficient Down GC Down ;., 0.45 - .r E •, Fig.6-11B/C/D-14A/B Design Wind Pressure P p = qh(GCp) Equation 6-22 Wind Pressure Up p„ -19.6 psf Wind Pressure Down 10.1 psf FALLOWABLE:S--00 F SPACINGS ° X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 72" Y 39" Max PAllovuable1.:Cantilever< y, Landscape= ,j.. vjo.. ..d, 24y mNA „ Standoff Configuration Landscape Staggered Max Standoff Tributary_Area . Trib„, ,".- , 20 sf — - - - - - PV Assembly Dead Load W PV 3.0 psf Net Wind`Uphft at Stando-ff ' Tactual 7' 1b`349 s x --- - - - - UpliftCapacity of Standoff T allow 548 Ibs Standoff Demand Ca aci �� DCR`x ��' 63.8%-, " � � �` �� X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 65" Max Allowable Cantilever. Portrait Standoff Confi uration Portrait Staggered Maz'Standoff Tributary_Area 7rib °,. A,- ------ PV Assembly Dead Load — W-PV 3.0 psf ...�. Net Wind'U lift et Standoff Tactual '=3881bs w -,-p--- - _ x J Uplift Capacity of Standoff T-allow 548 Ibs Standoff Demand Ca aci DCR. 70.9% ... _ z. I _ STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK- MPiC Member Properties Summary MPic Horizontal Member Spans Rafter Pro erties Overhang 1.16 ft Actual W 1.50" Roof System Pro erties San 1 7.04 ft £ Actual D % 3.50" Number of Spans(w/o Overhang) 2 San 2 7.16 ft Nominal Yes Roofing Material �Comp Roof San 3 - °A inA2 .A`.; 5.25 Re-Roof No San 4 Sx(in.A3 3.06 Plywood Sheathing Yes San 5 Ix in^4 5.36 Board Sheathing None Total Rake Span 16.81 ft TL DefPn Limit 120 Vaulted Ceiling �_No ` `` PV 1 Start `` " 2.50 ft Wood Species' "SPF Ceiling Finish 1/2"Gypsum Board PV 1 End 15.92 ft Wood Grade #2 Rafter Sloe 240 PV 2 Start , ., Fb(psi) 875 Rafter Spacing 24"O.C. PV 2 End Fv(psi) 135 Tootat Bracing` a,,. Full .,, PV,3 Start ' .+ „, 1z E(psi) " 1;400,000 - Bot Lat Bracing At Supports PV 3 End E-min(psi) 510,000 Member Loading mary Roof Pitch 6 12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 7.0 psf x 1.09 7.7 psf 7.7 psf PV Dead Load PV-DL 3.0 psf x 1.09 x 3.3 psf Roof Live Load RLL 20.0 psf x 0.93 18.5 psf Live/Snow Load` LL SLl Z'` a 30.0 psf '''x O.7 1 x 0.7 "I° 21.0 psf .._�w 21:0'psf Total Load(GoverningLC TL 28.7 sf 31.9 sf Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7[Figure'7-2] 2. pf=0.7(Ce)(C0(Is)pg; Ce=0.91 Ct=1.1,Is=1.0 Member Anal sis Results Summary Governing Analysis Max Moment FALSE Capacity DCR Result - Bending Stress(psi) -1 534.1 8.2 ft -1 615.1 95% Pass i f I I �ZEP HARDWAREDESIGNCAL'CULATIONSMP1_C Mounting Plane Information Roofing Material ,,. Comp Roof { Roof Slope 240 Rafter S pacing24,, c. Framing Type/Direction Y-Y Rafters _ SolarCity SleekMountT " PV.SystemyTy_pe '" �. E,a �� �._ � _ Zep System Type ZS Comp Standoff Attachment Hardware)-"- Como Mount SRV Spanning Vents No Wind Design Criteria Wind Design Code IBC 2009 ASCE 7-05 Wind"Design.Method -_ a__ Partially/Fully_Enclosed Method -- - Basic Wind Speed V 110 mph Fig. 6-1 Exposure Category _ _.. '"Section 6.5.6.3 ----- -_---- Roof Style Gable Roof Fig 6-11B/C/D-14A/B Mean Roof Height h 15:ft Section 6.2— Wind Pressure Calculation.Coefficients Wind Pressure Exposure KZ 0.85 Table 6-3 Topographic Factor Krt - 100 Section 6.5.7 _ Wind Directionality,Factor ICd 0.85 Table 6-4 Importance Factor I 1..0 Table 6-1 Velocity Pressure qh qh =0.00256(Kz)(Kzt)(Kd)(VA 2)(I) Equation 6-15 22.4 psf . Wind Pressure Ext. Pressure Coefficient U GC U ) -0.88 Fig.6-118/C/D-14A/B Ext.'.Pressure Coefficient Down :,. GCp Down _ 0.45: - E Fig.,6-11B/C/D714A/B Design Wind Pressure p p= qh(GCp) Equation 6-22 Wind Pressure Up p„ -19.6 psf Wind Pressure Down 10.1 psf ALLOWABLE_STANDOFFSPACINGS X-Direction. Y-Direction Max.Allowable Standoff Spacing Landscape 72" 39" Max Allowable Cantilever,w t a d pe' 24' _ ,�NA --- _ Standoff Configuration Landscape Staggered Max Standoff Tribu_ta_ry Area„. Trib - 20 sf PV Assembly Dead Load W PV 3.0 psf Net Wmd U"Iiftat Standoff• a AST actual " - w=, " 349`Ibs '.• ,:, ,," �fi Uplift Capacity of Standoff T-allow 548 Ibs Standoff Demand/Capacity DCR 63.8% X-Di i rect on Y-Direction Max Allowable Standoff Spacing Portrait 48 65 Max Allowable PCantilever�;:_ Portrait=f"" 19" Standoff Confi uration Portrait Staggered Max Standoff Tributary A_rea Trib 22 sf PV Assembly Dead Load W PV 3.0 psf _ Net#in0'lift_at Standoff � Tactual ° : 388�Ibs , a Uplift Capacity of Standoff T-allow 548 Ibs _-_� Standoff Demand/CapacitV DCR 70.9% l Solarco r t . Y Effective March 1,2017 w RE: Permit Authorization Dear Sir or Madam: This letter is to verify that NATHAN TISSOT is/are authorized representatives of SolarCity Corporation and are authorized to pull any.and all permits,business licenses,and any other project related documents as needed on my behalf. Please don't hesitate to call if you have'any questions. Sincerely, t Daniel Rubin 404-771-2116 , Responsible Managing Employee, MA Home Improvement Contractor Registration #168572 Regional Director,Operations. SolarCity Corporation a y,*'/r!/r/ltrr✓i/!v'r/lff Office of Consumer Atfairs and Business Regulation 10 Park Plaza-Suite 5170 Boston.Massachusetts 02116 Home Improvement Contractor Registration 1 Type Corporation ftistrSOLAR CITY CORPORATION, Eviratio. 03107lINIO 24 St Martin Street Bld 2UnR 17 "�± Marlborough,MA 01752 !` a .^ KELLY K.STRICKLAND ., _Notary Public = COMMONWEALTH OFMASSACHUSETTS ' 4 UpdateAddroae and return My Commission Expires On card Yors renonlor the - May23,2023 - :;`i1::•• - - n 6r�drpas n MgNevol❑Emoloymanr-Cl t.om ' _-.t•r. ..jai 'a..a - - ! _, .. Gnica or cma,ono Mab t Unbosa RrBontbn t t NOME WPWVEEIENT COMACTOR Riglmenon rsld for Individual use only _ r t - Y TYPE CoToraYm balm ten mrpiraRon dale.It found rearm to: + ft,rlstrmren l pp of9ce of Co.euma Alton ad B,nWsa Regulatbn 16d5r2 e3107i7O19 10 Perk Proxy•Sfdte 6170 Bo4kn.MA Ili SOLAR CITY CORPORATION I ,//• {.. i DANtEL RUBIN �r ' Sat Mateo.CA 84402 1 f f unders—etwy / vdW without signature 1 r } SolarCity Corporation DBA Tesla Energy.CA CSLB 888104,MA HIC 168572/EL-1136MR. Visit www.solarcity.com to vmw our complete list or license rnmtlers by state. Town of Barnstablec -� " 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-17-833 Date Recieved: 3/27/2017 Job Location: 11 CARLOTT'A AVENUE,HYANNIS Permit For: Building-Solar Panel-Residential Contractor's Name: DANIEL D FONZI State Lic, No: CS-032801 Address: Wilmington, MA 01887 Applicant Phone; (608)640-5397 (Home)Owner's Name: BARSELOW,MICHAEL S Phone: (Home)Owner's Address: 11 CARLOTTA AVENUE, HYANNIS,.MA 02601. - Work Description: install solar panels on roof of house 19 panels 5.9 kw Total Value Of Work To Be Performed: $8,000.00. Structure Size: 0.001. 0.00 0.00 Width Depth Total Area. I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted.plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: SOLAR CITY CORPORATION ` •3/27/2017 (508)640-5397 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost: $8,000.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $90.80 3/27/2017 $90.80 789180 Check ........ ...... ................... .. .. ....... .................... Total Permit Fee Paid: $90.80 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ' Map 2- 0 Parcel 0 Application it Health Division BUILDING DEpT Date Issued g- If-/G Conservation Division AP�? 0 Application Fee y� Planning Dept. 2016 Permit Fee V Oz Date Definitive Plan Approved by Planning Board_rOW��OF BARi�'STAP� r Historic - OKH _ Preservation/ Hyannis Project Street Address _ ) I C-A V' L.O TTA AU`c- Village VA rJ N Owner M i c h joi e I SOP r s e I ® (A) Address Telephone -�� Permit Request nZ!' X tt L C, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation" FO 0r00Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) c,7 .Name M t e ►i-C l S r f e i a w `-Telephone Number Address. License # Home Improvement Contractor# Email 8 j o w, G4 e e-ti4e�6"O p k cd po Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL "FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i The Cawn eakh gfMawarlrrtset& Depm7hWent af fnEd Acddkn& Face Gf LzVeM*afi0us ' 600 WaiUrioaRStreet Boston,MA 02111 rommma�gorldia Wmirers' Cumpeni7ff izInsm-mce Affidavit B Oder-JCuntrActaisM ` "-ns hers pplicaxdInfannation Please Prh f�e Iy �5- Addre=_Jj Lo City tel i �9 NE✓✓ Phone e5 Are YOU as emplayer eck the appropriate bom Tp�o 'ect(req�ed- I_❑ I artsa enxplayerveifh 4 ❑I am a general c�anh:aC1uz andI l�iew emploryew(fall ardfor past-fime * brVe lliredthe sins 2.❑ I am a sole propdetar orpsrtaer- Iisted an&e attscUed sheet T ❑'Rf-jmadeliug s1zFp and have noe¢ �ese soh-camt;actam hateigla�ees !l ❑Demolaiou waddng for mein any capacity. exaployew and have wadmrs' 9. ❑Buildsng addifioa wadmrsl ODtQp.Z4d©xanr� CasnP-inertMnC(-: 1 5. ElWe are a=pon&an and its 10-❑Electrical repairs:or adc2d= o$cets have ctercised their 3: I<am.a bomeo�er doing all warlc 11-Q Plumbragrepaies or aadd=itians Myself raue�Sos' ' _ Tight fff a per MGL jr� d-]i C.M¢1(4�andwe have no 1 ❑Rooftepaus employees(No WD&E& 13.❑Other cam inm=nce required-) ;Amy appb fat chedgbos R mast also�c tt3e mrCm beime�g fii&x wares'a=pam la�pdycpinE maisam-_ #EEam owaeQvrimsalmidosaf5dautim pdwyamdafigau sad&=liMaot5idec0atm —St ammitanew sar7L ZCcrm2 iffnC ehedr tlgs boa nmst ark sm addi6mis2 sheet si=d=g thenaew cf the aad state vhet m armunhwe a esbzm fees.I€tise Snit umba�+x+�have empIazs,B2c9mnstPms�de&sir Pates lam an errcpIpy�sr Sirrtis pretui yorrrkars'conrp�rtst�re nra$caar earFfuy�ex S�Ioev it des pa1icy area jab site tr��orra�nn. " TnE,tranca Compaftyl�Fam� . r 'Poficg�or Self-�s.Iio_�- I�pi�tiauI�: Job Site Addre= C41StateEzp: Aftach a copy of the workere caampenszdaapolicy dectnradon page-(showing the policy,number and expiration date).. Failure to secure Coverage as requiredundes Sec ion 25A of MGL m 152 can lead to Sie imposition of aiasinal peualtbes of a fine up to$1,50a OD mWor om-yearimpdsoummd.ffi well as civil peaalge n&e fora of a STUP W0RX 01WER and a fine of up to$250 F)fl a day.gaainst the violator. Be advised that a copy of this statement maybe forwarded In the Office of IIIvest�pgass of the DIAL.far insummm coverage ve on- , .f dlra hCrAby csr*uudcr'$w pm' s and psnaWm aff' thatt fia n f`armadan provi&d abo w is ft=and carrect Phone i Official am Mry: Do teat mite in thb XWO,to be eorupfetad by city artown official City or Tawn: Permitf�cesese# Fssnng Auffiorky(drde one): L Board of Health M Bwlsfing Dgmtneat 3.My/rawn.C1erk 4.Electrical hnpector S.P robing bqwctor 6.Other Contact Person: Phone P: I 1 11 , , I . _ i i I I � u. n•1 �FlR ■ a.n tr �•w a.. .i :anu •• F a •, •• • • •1■{RF .mn•:a a■sia ul i!" a gun • •t■ •.t■f •■ ■■ L rn■la- ./t %i�� • •:ilBa ■ : - •a! •■ a1 is - • .O■l■� .I■■i :/• r•nit :r • ■1. 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Width,vv Building Aspect Ratio Nominal Height~ '""e="pe"g 1.3 FRAMING CONNECTIONS General compliance with framing connections (Table 2.1 FOUNDATION Foundation Wallsmeeting requirements_f 780_ -----. . Concrete Masonry --- - 2.2 ANCHORAGE TO FOUNDATION"5/8"Anchor Bolts imbedded or - Proprietary Mechanical Anchors-_ alternative i concrete only ^ - � ... Bolt Embedment concrete --_ Bolt Embedment KFiQ ---- Plate Washer (ngo) 3'1 FLOORS Floor hanningmember spans checked ............................... Maximum Floor Opening Dimension................................... Full Height Wall Studs,m Floor Openings less than 2'hnm �--' Ma�mumFko�Jok�S�hn�s ` -_- Supporting Loodboaring Walls o,Shaanwa|| ' -----.(� ----------------�__ft �d ma�mumConu�°emdRoo,Jna�s �� ---- Supporting Loaubeahng Walls o,Sxean°ao................ ......... '........................................... ft :5d Floor Bracing at Endva|ls................................................�. ................................................ ' FloorSheathing ............. �..........................................(per 78VCMR --- ' Floor Sheathing Thickness.................................................(per 78UCMR '�--, in. . ---- Floor Sheathing Fastening-__--_---__-.--.-.([oh�2)'__dn���� . in edge --- 4.1 WALLS . ` Wall Height ' and .......................... ~Loadbe-'~walls--'--_--.'_',-_--'_ -'-___-'__' wax ................................................ and Table 5)...........................___ft �27 Wall Stud ------_-_--___--V�gn0 and Teb�5q---_-..___iW�24^o�. Wonu��um�� ---'..--.'�--' ........'~r-_UFiQo7&��----'—~-.-_-.-.--ft �d ---' ' . . 4.2 [XTERIORWAILLS» Wood Studs � / Loadtemhngv�U -.-.--__--'----_'([ab�5).---_..._.'-'2x___' � in.Non-Loadbearing walls � It in Gable End ` � � �� --� ---�- . --- Full VV8P/u1�Fk�rLeng�--__'�--_.--�.--�' 1 --�- Gypsum CnU�gLen�h(nVYOP�u used).-`'_._. VF�l1L,_---__---' -- fteV,9VY ---- ` 2x4Continuous Brace @0G ft.u.c^-(Fig 11}--_.�----.--.,---_.---�_ """" ---- = ' ' ' | Splice Length .......................................................(Fig 13 and Table U).................. ............. -'___ft Splice Connection(nuor16d common nails)..............(Table s)........................ .............. .................. __ ---- . ' AWC Guide to Wood Constructiot:in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)1 Loadbearing Wall Connections Lateral(no.of endnalled 16d common nails)..............(Table T)........................................................ Non-Loadbearing Wall Connections Lateral(no,of endnaled 16d common nails)...............(Table 8)........................................ Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans ........................................................(Table 9).................................._ft_in.s 11' SillPlate Spans ...................................................,....(Table 9).................................. ft_in.511. Full Height Studs (no.of studs)...................................(Table 9)............................................... ..... — Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans..................................................r..........(Table 9).................................. ft_in.s 12' SillPlate Spans...........................................................(Table 9)................................... ft_in.5 12' Full Height Studs(no.of studs)....................................(Table 9)...................... — Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously" Minimum Building Dimension,W Nominal Height of Tallest Opening2 ............................................................................... s 6'8" Sheathing Type..............................................(note 4).......................... Edge Nail Spacing.........................................(fable 10 or note 4 if l ........................ in. _ Field Nall Spacing.......:..................................(Table 10)................................................. in. _ Shear Connection(no.of 16d common nails)(Table 10)........................................................ _ Percent Full-Height Sheathing.......................(Table 10)...................................................._% _ 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... Maximum Building Dimension,L Nominal Height of Tallest Opening2........................................................................._5 6'8" _ Sheathing Type.............................................(note 4)...................................................... _ Edge Nall Spacing........................................(Table 11 or note 4 If less).................... in. _ Feld Nail Spacing.................I........................(Table 11)................................... In. _ .............. Shear Connection(no.of 16d common nails)(Table 11)....................................................... Percent Full-Height Sheathing.......................(fable 11)....................r......................r........ 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... — Wall Cladding — Ratedfor Wind Speed?......................:........................................................................................................ 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ...................................................(Figure 19).............. ft s smaller of 2'or L/3 — Truss or Rafter Connections at Loadbearing Walls — Proprietary Connectors Uplift................................................(Table 12)........................................ U= plf Lateral.............................................(Table 12).............................................L= Of ...............................................(Table 12).............:............... - p — Ridge Strap Connections,If collar ties not used per page 21.....(Table 13)..............................T= plf _ Gable Rake Outlooker.........................................(Figure 20).............._ft s smaller of 2'or L/2 Truss or Rafter Connections at Non-Loadbearing Walls —' Proprietary Connectors Uplift.........................................:......(fable 14)............................................U= lb. Lateral(no.of 16d common nails)...(Table 14)...............................A......L=—lb. _ Roof Sheathing Type..............r....................................(per 780 CMR Chapters 58 and 59).................. RoofSheathing Thickness.........................................................................................._in.Z 7/16'WSP — Roof Sheathing Fastening...........................................(Table 2).................................. Notes: _ — 1. This checklist must be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1.If the checklist Is met In its entirety then the foilowing metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a 2. Exceptlon:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness,pressure treated#2-grade. AWC Guide to If Construction in High Wind Areas: I10 mph Wind Zone Massachusetts Checklist for Compliance(7go CYIR 5301.2.1.1)1 4. a. From Table 10 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing requirements b. Wood Structural Panels shall be minimum thickne ss of 7/16"and be installed as follows: 1. Panels shall be installed with strength axis parallel to studs. - R. All horizontal joints shall occur over and be nailed to framing. ` ni. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates,band joists,and girders shall be a double row of ad staggered at 3 inches on center per the Figure, Vertical and Horizontal Nailing for Panel Attachment t ti AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(7so CIMR 5301.2.1.1)' _WHEN THE EDGE REMS ON FPVth W USE Sd MAtLS AT bor. 11 . 1 11 11 1 1 11 11 l 11 11 1 N H i it IF � i • 11 11 O FF 1 Ld �fpo rl rt 1 112 17 i F 1 u + � Ir _j " Bf ii Il 1 1 /1 i� g d Ij 11.7r '9 1 11 14 11 1 11 11 1 1 11ATYTY �Ir 1 eyyx MMSPACNG d 1 • PAfilEi.— — w} See Detail on Text Page Vertical and Horizontal Nailing for Panel Attachment I Town of Barnstable Regulatory Services EARMIMBUNAM Richard V.Scali,Director ' ,�►+� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstablea3mus s Office: 508-862-4038 ,_Fax: 508-790-6230 Property.Owner Must . , Complete and Sign-This Section If Using ABuilder I, ,as Owner of the subject property hereby authorize t on my behalf, in all matters relative to work authorized by this bud ermit a lication for. P PP (Ad s's o ob) �► �� • - '1.'. xr� � i'� F mow. _.F,� ' '`Pool fences and are the resp tce tyof the applicant. Pools " are not to be filled r utized before is installed and all final in spections are pe imed and accepte Signature of Owner Signature of Applicant Print Name Print Name Date Q:F0RMS:0VR-UWERMISS102e00LS Town of Barnstable . Regulatory Services of roiryy Richard V.ScaI4 Director Buffding Division tiaF7Vr.PAE Tom Perry,Budding Commissioner I �� 200 Main Street Hyannis,MA 02601 wwty town.barnsiable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HONEOWNIE.R LIONISE EXEATTION � � l 6 •Please Print DATE:_ ' JOB LOCATION: C a Y`L.d V /Y�//3A?W IYS number ��11 f � �- "HOMEOWNER": �vt , v Li N G ) 5 13�N s P f D w O"b 8 663 y 9A 2O 6o 9r name . home phone# WDAC phone CURRENT MAILING `ADDRESS: J i4' ✓U cityRown state up code The current exemption for"homeowners"was extended to include owner-0ccMied dwellings of sic 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 OR 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 hIMingpermit_ (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 uadercta„ds the Town ofBamsfable Building Department mmmrmn inspection procedures and requir and that he/she will comply with said procedures and requirement. ignatu of Homeowner Approval of Building Ofcial 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. HONEOWNER'S E MIYEMON The Code states that: "guy homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.11-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 MS) 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:IWPFIIES\FORIAMuUdmg permitfD=\E3aTMS.doc Revised 061313 (JS� O1S T �4N�Ft t' ©4 71M do I Sl C r?Cbr 11 POS- Ts (ylJ X 71 ©,C, v �r 9-A 6A I',, 1000 psi E 1.,300,000 p'sl I )�l�tc�.rl VC11ULs I'Oc• S.cOUllIet'rl* Yclluw I'it�e #2 (I't�css�ttc; .�hreatec6) xtcriur Use (e.g. decks) Joist size * Joist spadflo i 2x6. 2x5 2xIU ` - 2x.1.2 12 14=3 17-4 dt� 7.-4 2 _ 1 4 l5U 20 13-5 8-2 Q j Ur.rr i47-LIt go0Ve- . P S �Cr!�JG � opt Za r� `� Gp14 r _1. .. ,. _ _ -------------- -`_ �_---- -- -----" ---`^----` -- - - MO H TG A G E INAS`PZC TIO N -PLAN APPLICANT: 43ARSELOW TOWN: HYANNIS } CARLOTTA AVENUE 143.55' PER PLAN 165-41 \ �� 137.79' CALL, _-__=_-- _______--__ LOT 87 ---------------------- ----------------------- ---------------------- ------------ ---------------- LOT 86 g - ___ �P G ❑ SHED �Q 65.00' N/F PERRY W " D ►' D 0 �° i sue^ •ai 1�LN �? iv ter' �,,Cj to t V b-vzdW p G y(� FLOOD PANEL: 250001 0008 D FLOOD ZONE: "C" DATE MAP REVISED: 7/2/1992 I HEREBY CERTIFY THAT THIS MORTGAGE INSPECTION PLAN HAS BEEN PREPARED FOR: DATE: 1/4/13 SCALE: 1" = 30' MERRIMACK MORTGAGE COMPANY DEED REF: 1219-394 PLAN REF. 165-41 & 193-17 THE LOCATION OF THE DWELLING SHOWN DOES NOTFALL WITHIN A SPE61AL FLOOD HAZARD ZONE, PER TAPED INSPECTION THE DWELLING APPEARS TO CONFORM TO THE LOCAL ZONING BYLAWS IN EFFECT THE STRUCTURES SHOWN ON THIS MORTGAGE INSPECTION PLAN ARE LOCATED BY TAPE SURVEY AT THE TIME OF CONSTRUCTION WITH RESPECT TO HORIZONTAL DIMENSIONAL SETBACK REQUIREMENTS ONLY. NO INSTRUMENT SURVEY WAS PERFORMED AND LOCATIONS SHOWN ARE APPROXIMATE. OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MA GENERAL LAWS CHAPTER 40A AN INSTRUMENT SURVEY IS NECESSARY FOR PRECISE DETERMINATION OF BUILDING LOCATIONS SECTION 7. REFERENCE DEED SUBJECT TO AND WITH THE BENEFIT OF ALL RIGHTS, RIGHTS OF WAY, AND ENCROACHMENTS, IF ANY EXIST, EITHER WAY ACROSS PROPERTY LINES, YANKEE LAND EASEMENTS, RESERVATIONS AND RESTRICTIONS OF RECORD, IF ANY THERE SHALL BE, AND INSOFAR SURVEY COMPANY INC. SHALL NOT BE HELD LIABLE FOR DAMAGES RESULTING FROM ANY USE AS THE SAME ARE OF LEGAL FORCE AND EFFECT. OF THIS PLAN FOR PURPOSES OTHER THAN MORTGAGE INSPECTION. TELEPHONE: 508-428-0055 YANKEE LAND SURVEY COMPANY, INC FAX: 508-420=5553 119: ROUTE 149, Marstons Mills, MA 02648 yonkeesurvey@comcost.net Iwww.yankeesurvey.net 1 82428 JM • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map- Parcel A licatio -- p pp Health Division Date Issued —� Conservation Division Application Feel'q, _ Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH — Preservation/ Hyannis Project Street Address I CA 0, t oTT A A-y t i/v t r✓ 10 Village 6 V a N N y S Owner j G !'l A e r J� [3 A P S e t" LA-� Address_ /I G Lo-rf Telephone .5� y S3 q" �d� O (',� �1 //��� �'t — �� 1 C7 k Permit Request F ! l /d✓ �i N O D C� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay oject Valuation �1�� Construction Type / Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting docu8entation. f Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes RNO Basement Type: ❑ Full ❑Crawl ❑Walkout ❑ OtherM IQ r CIO Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) 4, !�? C/) n Number of Baths: Full: existing new Half: existing new " Number of Bedrooms: existingnew — r— C== m � Total Room Count not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: 0 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 1 Name , 1 L �� 1r C 13 W P, 5 e /0 Ct) Telephone Number Address i ( C pl&Lr7 T 4 e4- y`e- License# Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1� SIG NATU ATE l ~ FOR OFFICIAL USE ONLY w Y , APPLICATION # DATE ISSUED ' MAP/ PARCEL NO. ADDRESS VILLAGE t. OWNER DATE OF INSPECTION: FOUNDATION FRAME 'f - INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL " PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING } t' F DATE CLOSED OUT t i ASSOCIATION PLAN NO. t t s -y 4ob 1 . u�IMmJO Oojo�7 ll�LYbA YAL Page 2 of 12 . rick Ftgs ar x ount insp Comments Date 2ND FLOOR DORMER EXTENSION ,000 + - 10 WITH r 27te ComrRamavealtjh of- assadiasetts Departinerzt o,f lnd.usttial Accideyzzts -- Of we of.£mwtigade= ---- - - — -- 600-Washington Street Boston 4M 02111 - n,#vlu maxLg dia Workers' Camipensatian Insurance Affidavit:Bnilders/C,ontractars/EIectr ians/Pluumhers j� eR,P F(] aniza4ion ndicidnaY) w� c.�, -r ( 5 (�14 -e lo L-V >C Address: / CA �City/ tp d Are you an ernployerf Check the appropriate box: Type of project(required):I.El am a employer veith . ❑I am a general contractor and I . 6. ❑New cenituctiun employees(full anWor part-time}* have hired the sub-coiatractoas 2.❑ I am a sole proprietor orpartaer- listed on the attached sheet 7 ❑Remodeling ship and have no employees. These sob-cuntradors have g. ❑Demolition 1 waai�.ng mei n e in any capacity. �°yees and have,wodcers' }- [:]Building addition [NaSw rs� . orke 'comp.insurance comp.insuranc 1 required-] 5. ❑ We are a corporation and its M❑Electrical repairs or additions 3. I am.a homeowner doing all work oThm have exercised their I L E]Plumbing repairs or additions myself[No workers'camp- right of exemption per MGL 12.❑hoof repairs i c.1.52'§I(4),andwehavenoinsurance ieLlIItred E 13.0 Ogler' employees.[No twork=' comp.insurance required.] *Any app5=tdart checksboat#1—st s1w fill outthe swfionb2Taw:shuw ag their workers'compmsafion paHU infnrmadon- #Hameomnm who submit this of ulnit=d catmg fbey am daiag all wal anal dLm him outside con=ctms roost submit a new affidavit indicsmag,sacb. fCbntmctm that check this boat mast attached an adduiamal sheet shoring the name of the sub-cantcwAm and state whether ar not those eeaities have employees. I€thesub-tonftctocshave employees,they motstprovide then warkers'romp.policy number. . lam an eutplo}•vr float is pm ding markers'cot gwisatiora inmirance for a9 y omplayeem Below is thepoUcy akd job ate information , Insurance Company Name: Policy;9 or self--ins.Lic.49: : Expiration Date: Job Site A,ddtess: City/Statetz4r: - Attach a copy of the workers'coanpensationpolicy declaration page(showing the policy number and fiSpii-ation date). Failure to secure coverage as required under Section 25A of MOL c- 157 can lead to the imposition of criminal penalties of a fine up to$1,50D 00 anaallor one-year imprisonmentas well as civil peualties.in the form of a STOP WORK ORDERand a fine of up to$250-00 a day against the vioLdar. Be advised that a copy of this statement may be forwarded to the Office of Investigations.ofthe DIA for mi sura*+ce-coverage verification.. I d'o hereby caWfjr netder th pains andpen a er jujy that1h 'forwiaiffbn prm�d abm a is ba2re/and correct x Date: Phone 9- b g/ , (lfj'acial SUM only. Do not write in this.area,to be cantpleted by city artotrn of`idat City or Town: Peraaitfl icense# Issuing Authority(tdrde one): 1.Board of Health 2.Bolding Department 3.Citplrown Clerk d.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone it: Information and Instructions .� M c huse#ts Gc e-Z Laws chapter 152 regoaes all employers in provide worker'compensation for filets empIoyees. pursrrantto this statute,an employee is&-fined as-"-.every person in the service of another under any cordract ofhire, . express or implied,oral or wrhm-- An employer is defined as."an individual,pazlnership,association,corporation or other Iegal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased e nplayer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees_ However the owner of a dweIling house having not more than three apartments and who resides therein,or file 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 appn�thcmto shall not because of such employment be deemed to be an employer." MGL chaptez- 152,§25C(6)also states that"every state or local Ticensing agency shall withhold fh a 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 cotapfianm with the insurance.coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor airy of its political subdivisions shall enter into auy contact for the performance ofpublic work-until acceptable evidence of compliance vrith the in cm-an ce._ requirements of this chapter bave been prresentud to the contracting aufhozity." - Applicants 4 Please fill.out the workers'compensation affidavit completely,by checkiag the boxes that apply to your situation and,if necessary,supply snb-coniractnr(s)name(s), addresses)and phone numbers)along with their certificates)of insr=ce. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not rbqui ed to carry workers'compensation i as•urmce If an LLC or LLP does have employees,a policy is regnirreci $e advised that this affidayit maybe submitted to the Department of Industrial ! Accidents for mnfirmatioa of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be retrrmed toe city or town that the application for the permit or license is being requester not the Department of ,shial Accidents. Should you have any questions regarding the law or ifyou are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license giber an the appropriate lime. City or Town OfFacials t Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fM out in the event the Office of Investigation has to contact you regarding the applicant 4 Please be sure to fill in the pen�aitllicense number which will be used as a reference number. In addition,`su applicant that must submit multiple pennitllicrose applications in any given year,need only submit one affidavit indicating current p olicy in brnation(if necessary)and under"lob Site Address"the applicant should write"all locations is (city or town)-"A copy of the affidavit that has been officially stamped or marked by the city or town may be,provided to the applicant as proof that a valid affidavit is on file for future permits or licenses Anew affidavit must be filled out each year.Where a homeowner or citizen is obtaining a license or permit not related to any business or commercial ventrse (Le. a dog license or permit to bum leaves etc-)said person is NOT rcqaked to complete this affidavit Tlie Office of Investigations would at to thank you is 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_ 'Ihe C�annjWWatt]j of Massac32uw--tts , Depait.enf of llidustial Accidenta Office of lvegtigatio= Goo Washington.st=t Britons MA,Gil I I I T(,-L 4 617-727-4g00�t 4€6 or 1-9 MAtSSAFE Fax 9 617` 27-7749 Revised 424-07 golf riia I .. Town of Barnstable ' Regulatory Services oFTim Richard V.Scali,Director Building Division Tom Per Building Commissioner Mnss �► �'+ g aesq. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 50&862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION /LJ x DATE: Please Print , SC JOB LOCATION: number / /`' street village k "HOMEOWNER": 44 I c /�l a�//�✓�1 e !p t-,y name home phone# work phone# ,"-CURRENT MAILING ADDRESS: Pf- 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. S The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signatwe of Homeowner Approval of Building Official - Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control: HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 Licensing of construction Supervisors), provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed personas 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 to amend and adopt-such a form/certification for use in your community. J _ . Q:\WPFILES\FORMS\building permit fonms\EXPRESS.doC Revised 040215 Town of Barnstable --------------- D-M - - ----- --— ---- — .--- -— ...------ —-_ — ' 12egulatory Services -----"~------ ar it ec -- Building Division Thomas PeM� O Building Commissioner 200 Main Street, Hyannis,MA 02601 1 - www.town.barnstable.ma.uss r'' '+� ~• 4� Office: 508-862-4038 ` ; r= �� ,, Fax:,508-790-6230 Property Owner M t Complete and Sign T 's Section If Using A B ' der I as Owner of the subject property hereby authorize to act on nay behalf, ; in all matters relative to work authorized by building.permit applicationfor •. (Addre s of Job) Signature of Owner Date Print Name If Property Owner is plying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPFILESTORWbuilding permit formsTYPRESS.doo Revised 040215 r a *�P •��v' h�!@ �'�' � r � °f'''ir ) �I rNpp' t. i� � f�$ 'l - F�f1 ry'+ �T'� �• y, � y " `�l� �;r !� �. 4 ` ; '� �°�'�"Ir ,�Atrf��b 'p7� �GJ� a �� n'f���i ter jPi�/� .�( 14! , rC✓ ;, '� .: .. _ ' w f wt• a q ! yti Pf�j'p�jy��9r Ali N9� . � ^ h, ''t ► 44"' lv 1 "s 1 y'P!r i Y! Y.fNIP, �( F ``. '".''�.. Yyj4" 4.�f Yft t i ltPIN � 1 � riYjP, /'�• "+e: r, qy �Y�' . . ., �• =�•*i�t r .�'f.1r !��.. ��+�yat' � P.,' r+.i r,,if�� MrH .Y f�Yr���� �t'���F7 ���%M .'�. "r ,"► ' .� ��.'.�.r '�� �� - '' • �;.. � � � �!'��Y �Itl Yn��p�!1 h,Y '��,j'p 1-n r '�+'J^y� � 1 � 1V I 7 Al Ypx d I� V tl $ a - � k e. v v r .Ire .. „^, min...✓ I I • I ' , << a7 ry. u ,L. a 3 f a •sm k 0 a r+ 9 11 Carlotta Ave. , Hyannis 5/15/2014 [ 1� • a a r 'S # � r .y . ... •.mom....,.-...- e _ 'z.+J , .. - d 11 Carlotta Ave. , Hyannis 5/15/2014 ;7 - - �- Ir a %4AIPV Y _ � :..,,,• ems,,,.� JJ'' ,� -.. w, y y K t i3 4 00 M 6 V dGG C *Tot, n ' 11 Carlotta Ave. , Hyannis 5/15/2014 J 1 a - _ ate, � q � _ .�.� "" ;?, • � �F r z d ! w +y 9 r r - � i INJ 16, jp ALI r 11 Carlotta Ave. , Hyannis 5/15/2014 1 Official Website of The Town of Barnstable - Property Lookup Page 1 of 3 To all customers of the Cotuit Water Department Located in Coluit,Massachusetts-BOIL YOUR WATER BEFORE USING .Select Language Assessing Division Property Lookup Results - 2013 367 Main Street,Hyannis,MA.02601 -BACK TO SEARCH c< C Print Friendly Owner Information-Map/Block/Lot:248/147/-Use Code 1010 .._........... ----- -- j Owner Owner Name as of 1/1/12 KARRAS,GUDRUN R Map/Block/Lot G/S MAPS P 0 BOX 128 248/147/ CENTERVILLE,MA.02632 Property Address Co-Owner Name %BARSELOW,MICHAEL S 11 CARLOTTA AVENUE Village:.Hyannis Town Sewer At Address:No GIS Zoning Value:RB I Assessed Values 2013-Map/Block/Lot 248/147/ Use Code:1010 j 2013 Appraised Value 2013 Assessed Value Past Comparisons j Building Value:. $91,300 $91,300 Year Total Assessed Value Extra Features: $39,000 $39,000 2012-$297,600 'Outbuildings: $10,700 $10,700 2011-$293.700 Land Value: $167,500 $167,500 2010-$292,700 2009-$281,500 2008-$315,700 2013 Totals $308,600 $308,500 2007-$315,100 Residential Exemption Received=$87,244 Tax Information 2013-Map/Block/Lot:248/147/-Use Code:1010 ...................... -- -- — -......_............ I Taxes i Hyannis FD Tax(Residential) $617 Community Preservation Act Tax $58.15 Fiscal Year 2013 TAX RATES HERE Town Tax(Residential) $1,938.20 $2,613.35 Sales History-Map/Block/Lot:248/147/-Use Code:1010 History: Owner: Sale Date Book/Page: Sale Price: KARRAS,GUDRUN R 4/15/1994 9151/054 $1 KARRAS,PETER K&GUDRUN R 10/1/1963 1219/394 $0 BARSELOW,MICHAEL S 1/18/2013 27054/299 $215000 GRUENWALD,THOMAS,EXECUTOR 1/18/2013 27054/297 $0 Photos 248/1471-Use Code:1010 .-..__.. —-- ---- --- ....... .. i °0 ....... ......... - --- .......... ... ..................... ----- - Sketches-Map/Block/Lot:248 1 1471-Use Code.1010 i j http://www.town.barnstable.ma.us/Assessing/propertydisplayscreenl3.asp?ap=0&searchpar... ' 9/9/2013 Official Website of The Town of Barnstable - Property Lookup Page 2 of 3 S u --Cal rckca ar #91 $ C card#to view. I — -- ...... . ......... ..... ---- --- ........... . .................. Constructions Details Map/Block/Lot:248/1471-Use Code:1010 ...-.._.. ............................... ................. ....._.......... ............. _._ -.... Building Details Land E Building value $91,300 Bedrooms 2 Bedrooms USE CODE 1010 Replacement Cost $110,038 Bathrooms 1 Full Lot Size(Acres) 0.27 Model Residential Total Rooms 4 Rooms Appraised Value $167,500 Style Ranch Heat Fuel Gas Assessed Value $167,500 Grade Average Heat Type Hot Air Year Built 1963 AC Type None Effective depreciation .17 Interior Floors CarpetVnyl/Asphalt Stories 1 Story Interior Walls Knotty Pine Living Area sq/ft 1,256 Exterior Wails Vinyl Siding Gross Area sq/ft 2,760 Roof Structure Gable/Hip I! Roof Cover Asph/F Gls/Cmp ----- ...... ...... ..................... ------- ----- ................................... ....................._.._. Outbuildings&Extra Features Map/Block/Lot:248/147/-Use Code:1010 ------ ..._ .. ............. .........................------ - — ------.. I Code Description Units/SQ ft Appraised Value Assessed Value GAR Attached Garage 400 $10,000 $10,000 FEP Enclosed porch- 168 $8,200 $8,200 roof,ceiling BMT Basement-Unfinished 936 $18,600 $18,600 SPL3 Pool Gunite 288 $10,700 $10,700 BRR Bsmt Rec Rm-Average 360 $2200 $2,200 i Sketch Legend Property Sketch Legend B2N Barra-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor,Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished)FUS Second Story Living Area TQS Three Quarters Story(Finished) (Finished) BRN Barn GAR Garage UAT Attic Area(Unfinished) CAN Canopy GAZ Gazebo UHS Half Story(Unfinished) CLP Loading Platform GRN Greenhouse UST Utility Area(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UTQ Three Quarters Story (Unfinished) FCP Carport KEN Kennel UUA Unfinished Utility Attic j FEP Enclosed Porch - MZ1 Mezzanine,Unfinished UUS Full Upper 2nd Story (Unfinished) FHS Half Story(Finished) PRG Pergola WDK Wood Deck FOP Open or Screened in Porch PTO Patio Print Friendly ......... .... -., Contact Director of Assessing Jeffrey Rudziak P 508-862-4022 F 508-8624722 8:30a.m.to 4:30p.m. H le pful Links to Downloads Abatements FY 2013 SALES LISTINGS Barnstable FD Residential I C.O.M.M FD Residential Commercial-Industrial-Mixedl Use Cotuit FD Residential I Hyannis FD Residential Townwide Condominium http://www.town.bamstable.ma.us/Assessing/propertydisplayscreen 13.asp?ap=0&searchpar... 9/9/2013 Official Website of The Town of Barnstable - Property Lookup Page 3 of 3 +, W.Barnstable FD Residential Department of Revenue Exemptions Parcel Consolidation Questions about values Town Tax Rates-FY13 Town Land Use Codes Helpful Maps All Town Maps Flood Insurance Maps i Property Maps i I _....... .. .. ._. Contact 1 Director of Assessing Jeffrey Rudziak P 508-862-4022 F 508-862-4722 �8:30a.m.to 4:30p.m. :Related Boards Board of Assessors � & Itly' DATABASE S Owned and Operated by The Town of Barnstable-Information Technology Home Departmems&Services I Boards&Committees I Residents&Visitors I Doing Business I Town Calendar Phone Directory Employment I Email Town Hall http://www.town.bamstable.ma.us/Assessing/propertydisplayscreen 13.asp?ap=0&searchpar... 9/9/2013 Town of Barnstable Permit# a 0613 3 Expires 6 montks from issue date ttAsIA ; Regulatory Services Fee Co 19 PERMITARM Thomas F.Geiler,Director Building Division MAR 0 9 2007 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 TOWN OF BARNSTABLE www.townbamstable.ma.us Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number l 7 1 Q, � Property Address 1� l.a r l d�+C�. Avenue- '1'7 y h n 'lS , M A C 0960 1 (Residential Value of Work$ / 0 j 0 �1 v0_ Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Gua ran Ka r r a s 1/ r-lolkL Ave, nnis Ally . D060 1 vI •Ste) Contractor's Name rS UVh� �!.Vi�/J i'DVC-p�^^l°/Yl y Telephone Number-/d7..G-G 0 a. Home Improvement Contractor License#(if applicable) 149 C�0 / X I�LJ I I a 00 7 Construction Supervisor's License#(if applicable) — ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner aI have Worker's Compensation Insurance Insurance Company Name Ace- A M er-i Ca ve nSu r`alyi C e co vr,joa4,1 Workman's Comp.Policy# W 1- RC 11--q,34 0 8b e) �07 e�UV Copy of Insurance Compliance Certificate must be on file. // 1 Permit Request(check box) - (�1 V G 1^5 1 T Ave— Re-roof(stripping old shingles) All construction debris will be taken to W es ( . M 8 , 0.101 O. ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side XReplacement Windows. U-Value.0-33 (maximum.44) CIO)7&n Rep fac Lo w?e-vt� +Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 1 "*"Note: Property Owner must sign Property Owner Letter of Permission. e Impro ent Contractors License is required. SIGNATURE: CSea rs ALA ' L,!+) Q:Forms:expmtrg Revise071405 �s Town of Barnstable BA MABM Regulatory Services Thomas F.Geller,Director Building Division Tom Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I. (;ire Y 1 k cl rl'aS ,as Owner of the subject property hereby authorize Scai-s to ct on- ehalf, LL us Sic.- Sehr-s e & in all matters relative to work authorized by this building permit application or: 11 lo / "7C. Avey?LA e (Address of Job) A#� LO/ c .1113 f-r.h 9. 900 Signature of Owner Date g7ud re Y-1 a rrca Print Name Q-Tomwexpmtrg Revise071405 r IMM®M11 Sears Home Improvement Products,Inc. Location: �� 1riK 1024 Florida Central Parkway♦Longwood,FL 32750 Phone#. FEIN 25-1698591 License Numbers: AL 5481;FL CGCO12538;LA 84194; �. S MA 148607;MS 5022Z NC 47330:RI 27281;SC 105836; Home Improvement Products Job#: TN 2319'GA G18089;CT�HIc.o 669:0YarA 6841 Replacement Win ows• - Name: -NAr \k k 1 - �Z___Phone:R f6 41S Wt`'Bus. Address: (J�r,t'1 � .� city:1�v�C►r,A aj St.I)M. 7ip: 0,:=12bJ I/We,the owners of the premises described below,hereinafter referred to as"Purchaser"offer to contract with Sears Home Improvement Products hereinafter referred to as"_C.,o�n{trractor",to furnish,deliver,and arrange for installation of all materials necessary to improve the premises located at: (Street) y� (City) - (State) (Zip) According to the following specifications: 1. Remove existing units to be replaced. (NOTE:Removed units are likely to be damaged.) 2. Prepare openings as necessary to receive replacement units. (No finish work other than normal I Ilatlon IS to be done unless otherwise noted below.) , 3. Install Sears Weatherbeater Windows in openings described below to the following specifications: Color: VNhite ❑Tan ❑White/Light Woodgrain Interior CJ White/Dark Woodgrain Interior ❑Beige/Dark Woodgrain Interior Type: ❑SH ❑1-LR ❑2-LR ❑3-LR NvrW ❑Other Oty Oty_ ay— CRY— Oty— Oty Oty— e B E E] HOp ❑Other oty— Glass: ❑Clear ❑Bronze ❑CBS S rny_ Screens:CHECK IF OTHER THAN FIBERGLASS, '11,31ow E2/Argon ❑Gray ❑OBS Full Oty— (On Sashes Only) ❑ Alum ❑Tempered Oty— ❑Keepsafe Oty_ NOTE:Tempered glass will be installed to meet building codes. Grids: Col Sculp Col FI Diamond Top Yes ❑ White ❑ No 14< Tan Full Wd Grain Bottom . Brass ❑ Warranty: Manufacturer's Warranty sent upon completion. 4. Existing units NOT to be replaced: 1 X 5. If applicable,after dlfmpletion of project,the application and removal(storage)of shutter panels shall be the responsibility of the purcha*er..IA the event the project requires the ins)allati n of storm shutters,or egress windows, ontrac r will not re-instal any effected security bars. 6. Special instructions. �D 1 1W* �1J(���T i AC MA 7. Clean up job related debfis and provide necessary permits and insurance. 8. If applicable,in the event that Contractor is unable for whatever reason to obtain the proper permits prior to the commencement of any work, Contractor shall refund any previous payment and this transaction shall be automatically cancelled. 9. Allow approximately 3-6 weeks for installation. TIME FOR COMPLETION OF WORK.Contractor shall commence work within approximately twenty(20)days from the date shown herein and will be substantially completed within forty-five(45)days thereafter vniess a ifferent estimated completion date is shown herein. Approximate starting date is:A�Z Approximate completion date is: k6l _ NOTE:THE WARRANTY PROVISIONS AS STATED ON THE REVERSE HAVE BEEN EXPLAINED AND VWE UNDERSTAND THEM FULLY ADDITIONAL PROVISIONS AND WARRANTIES ARE STATED ON THE REVERSE SIDE AND ARE A PART OF THIS CONTRACT. Please read the following bold type and initial corresponding line. Verbal understandings and agreements with representative shall not be binding.All understandings and igreexen1sonst be set forth In writing In this Contract.Due to climatic conditions,interior condensation may occur. Purchaser Initials: Contract Price 00 To be financedV- Cash upon completion❑ Contract Price $ C3 E Down Pa ment 1 .00 In witness whereof the Buyer has entered into this transaction ) $ State Sales Tex L2/e Balance Due .00 this_day of 20_ (Ifapplicable) All traneaft m are sutled to renew and approval by ere I stdawn and credit departments and ents who may cancel rahm any dwnpaymenl. Total Contract Price S w 10%Preferred Customer Discount(PCD)awarded for any future Sears.Home Improvement Products purchases.Current pricing available for one(1)year. If this is a credit transaction,the agreement for credit is contained in a separate document which is incorporated herein by reference and made a part hereof.UWe the undersigned are hereby authorizing Sears Home Improvement Products,Inc.to verify and review my/our credit record with an independent credit reporting agency and release them from all liability incurred from inadvert nt omissions or errorsY\. IN WITNESS WHEREOF Purchaser(s)have hereunto signed their name(s)this day of ,20and acknowledge receipt of a true copy of this Contract and unless otherwise specified,it is understood that the owner is ready for work to begin. THIS MESSAGE APPLIES TO DOOR-TO-DOOR SALES ONLY:You the Purchaser(S)may can this transaction any time prior to midnight of the third day after the date of this transaction.See accompanying notice of cancellation form for an explanation of this right. Licenses held by or on behalf of Sears Home Improvement Products.Some services and installation performed by SHIP associates.Other services and installation performed by SHIP-Authorized licensed contractors;additional SHIP license information available upon request. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Signature affixed below s as t that P ser(s)received separate cancellation forms. ' FPTE. pr ants[a " y` ale Puro ,r/ter e Home trnprmement Protlrn•Is.Irc. to Purchaser Date E2.50(AL,AR,CT,FL,GA,KY,LA,MA,ME,MS,NC,NH,RI.SC.TN,VF)08/06 - - `7 The Commonwealth of.Massachusetts k Department of Industrial accidents Office of Investigations 600 Washington.Street g` Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant.Information Please Print Legibly Name(Business/Organization/individual):�eQ� .Howie Address: 10 0-4 F- J 0 i" f' d oL ce n f i"GL I P �<W / II 4 0 7. 5-S 1 " C) City/State/Zip:�Oy) U oC F—L 3 a7 JQ Phone#: Pg o - "7°!d,' g 1 6 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ 1 am a employer with 4. ❑ l am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1.am a sole proprietor or partner- listed on the attached sheet. 7 Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity workers' comp. insurance. 9, ❑ Building addition [No workers' comp. insurance 5. We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ Jam a homeowner doing all work right of exemption per MGL 1 LE].Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no l 2.❑Roof repairs insurance required.] T employees. [No workers' 13.4 Othetfl0 t' ►vf comp. insurance required.] .*Any applicant that checks box#1 must also til l out the-section below showing their workers'compensation policy information. `1 Homeowners who submit this aflidavit indicating they are doing alt work and then trice outside-contractors must-submit a-new affidavit-indicating suckr- - '.Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below Is file policy raid job site information. Insurance Company Name: A C C' cov" Wr) \/ Policy#or Self-ins.Lic. #: WL RC 4 43 4-0 9(-, Q Expiration:Date: -7 Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce fy under the ins and penalties of perjury that the information provided above is true and correct. e Sign . J CsE'C�t` 0A. �1 e Date: C Phone 4: 1tUIYIC O00 9v2,> 0,G reo Chi 6C) ' rxt 3 " 045i2 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r ,i I - ', Board o Bui.lding ' egu:lations and Standards One Ashburton Place -- Room 1.301 Boston. Massachusetts 021.08 Home I,nprovement Contractor Registration Registration: 148607 Type: Supplement ward Expiration: 10/11/2007 SEARS HOME IMPROVEMENT PRODUCT LUBOS SVEC 1024 FLORIDA CENTRAL PKWY L.ONGWOOD, FL 32750 Update Address and return curd.fWar►c reason for.Change. I Address Renewal .I i l rnploynient 0a1,11 w Am. l cinz varllditNltf�l d,�'a !C:<Jdttt'ttrCJlfimi L it Board of Building Regulations and Stnudnrds License or registration r"afid for iudividul use onfr r t� HOME IMPROVEMENT CONTRACTOR before the expiration dale. if found riaur-u to: Roarit of Buildiug Regulations and Standards 0 Registration: 148607 One Ashhurton Place liur tall l Expiration: 10/11/2007 Boston,Ma.0..2 1OR t Type: Suppletne6t Card SEARS HOME IMPROVEMENT PR` Ay I_UBOS SVEC 1024 FLORIDA CENTRAL.PKWY �~���{�o•, .� /�/6� LONGWOOD,FL 32750 Administrator Not '.t ld witha It sigir�ttur en D �. r• 0413 n r 2m Restr a °ar&,,WNE ' lil t�t'E-dI2 cy�-•F'lk2 ta�aatis Q&26-2ttf}� e�....' SVEC W , ` 7 THOMPSVTiiV •3HOMPSON CT Lt-77 -_.- - //®n-7e- 011� o 0 7U ?-, JOG 7 ri• ' .i 1�� lr.(a,t�'7 +IL�, ,�l..f/ 4:tTId,�f! r• r _ j,t.�1..JJr., c�tllu'F.�f;l Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR l r may, Registration, 148607 d:Apo a long 10/11/2007 Type: Public Corporation SFA,RS HOME IMPROVEMENT PRODUCTS INC. ALFRED NYMAN JR. --•----1- 24- :C11-DA CEN-T-f R"AL1 ®� - ' LONG WOOD, FL 327.50 Administrator a J 11/17/2006 13:42 407-767-8536 LICENCE PERMITS SUBS PAGE 01 ACORD. CERTIFICATE OF LIABILITY INSURANCE o4minoo7 I 03/o><z tooucER LOCKTON COMPANIES NL l ANDFCONFERS NOERIGH TAM UPON THEE C RTIFIC TE 525 W Monroe,Suite 900 HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR CHICAGO IL 60651 !CQ10E$ASr pFFOBp�p F3Y THE POJ ICES (312)869.6900 INSURERS AFFORDING COVERAGE surED Sears Holdings Corporation IN A• Agg American gwxWS&mp@M 062183 We Sears Home Improvement Produgs,Inc. INSURER LJAdemnity Ins.Co,of ojd Brice Attn:Risk Management BS-1778 s11 3333 BeMerly Rd. IN§U PR Holtman Estates,IL 60170 .OVERAGES SEAH004 C7 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED•NOTwrrHSTANDING ANY REQUIREMENT,TERN OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 11418 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS Of SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. FL TYPE OF INSVRANCE POLICY NUMBER 2MIURTNE PMjGY EXPIRATION LIIAIT9 GENERAL f IABIUri EACH OCCURrt£NC +' S 000.000 A X COMMERCIAL 66N@R,�._L,IABn,rTY HM G21729383 04101/2006 04/01/2007 FIRE DAMAGE Ono}hotided CLAIMS MADE [Ai OCCUR EXP One $ Excluded PERSONAL a ADV INJURY 55.000-000 O@NERAt AQl�REGATE 0 5.000 000 GEN•L AGMtWATE LIMIT APPLIES PER; PRODUgrS^COMPtOP AGG S 5,000.000 POLICY Fj d LOC AUT0100011.E LIABILITY COMBINED SINGLE LIMIT 9 5,000,000 A X ANY AUTO ISAH08219953 04()WM6 04/0l/2007 (ftIIO tdam" ALL OWNED AUTOS BODILY INJURY a XX=XX SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON•ONMD ALJT'OS (Pgr aceMord) P XXXXXXX PROPERTY DAMAiMr. 6. XXXXXXX II'w etslderrt) IOARAGSUABILRY AUTO ONLY-EAACCIDENT B XXXXXXX A ANY AUTO Sd.R.$5,000,000 04/01/2006 "10112007 OTHERTHAN &6ACC * XXXXXXX AUTO ONLY; AGG XXXXXXX EXCESS LIAMLITY EACMOCCUIiRENCe s xxxxXXX 6CCUR ❑CWhIO MADE NOT APPLICABLE AGMEGATE 8 XXXXXXX X D�mmuA 8 XXXX DEDUCTIBLE Mill 8 XXX RETENTION T >i X X A WORKBRO COMPBNBATION Aft WL.RC44340860(CA)(DEn.) 1 04/01/2006 04/01/2007 X asTAM TO QTFI. A EMPLOYERS*LIAMUTY SCFC44340972(WI)(REPRO) 04/01/2006 04/01/2007 8L.EACH ACCIDENT a LOGO= 13 WLRC44340919 .04101/2006 (W0112007 ex,DISEASE_-E4jENEi,9y—EE 0 1,000,000 B AI.L OTHER STATES) E.L DISEASE-POLIOY LIMIT S 1 000 000 A OT ER S.I.R.$5.000.000 04/01/2006 04/01/2007 S,r,R.$S,OO NO Golagoh epirmLiability DESCRIPTION OF ADDED By ENCOMRMENTMMCIAL PROVISIONS Alfred W.Nyman,Jr.,Lice=OCt:JC412538 located( 1024 Florida Central Parkway,Longwood,PI, 32750 and Alfred W.Nyman,.Jr..License#CMC1249510 located @ 1024 Fkmda Central Parkway,Longwood,FL 32750 2268082 SROULD ANY OF TIE ABOVE DESCRIBED POLICIES BE CANCELLED 13EMRE THE EXPIRATION Sears Home Improvement Products OATS THERBMP,THE I3GUINM INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRrTrM 1024 Flaida Central Parkway Longwood FL 32760 NOTICE TO THE CERTIFICATE III DER NAKED TO THE LEFT.BUT FAILURE TO DO 30 SHALL IMPOSE NO OBLMTION OR LIABILITY OP ANY[ONO UPON THE INSURER,ITS AGENTS OR REPROENTATIV03, . AUT►IORgED REPRE6BiITAT1VE �^" ACORD 25-S(7197) Far aomaonsmosrdloo110wftt conVattheau o-Wpwtlanwtwssid6vMffrd*4*nt op*%KAMM. &ACORD CORPORATION 1299 Received on 11/17/2006 1:37:25. PM Vp9-•A^1.J94 u r-UN Ai[ -_... vi"71 I V1fl910 tVFRC :aura gRifltiae, Uoubt•r-Auxin I VantA"a do dobAe guiIIut irla f Argoey':Cov�-& I Arit+�n/Lob-£ tdatSortelFenosbetlOn fg» 1„9&:+a 1 7.18 pw Vlclrio Mating Coemdie No Zaidnat@e. S.tass I 8}.n vidrio lmnjnado Ght•h roci'30 I von raiill" RES 9' N11r® -ENERGY P ERFORMANCE•RATINGS 0 rshU=K W W-REMNNgM"OMMOMW U-Factor Solar Heat Gain Coefficient Factar� COOCI ft(Sananda de Eneigia Solar 0 . 33 1 . 9 0 . 26 ,.���s . ADDMI;;AL PERFORMANCE RATINGS EVAI JA400M SUPLEMENTARIA DE REMMIEM+A Visible Transmitta rice Transmisioh de tutVl dole Mmuta ,rerstiputatcs W tim reMq a rAnb n t r applimW NFFZ plocedkxes Pot 69MMMg whole pr0A peftWoo.NtRC rw4nip era Qat MIFM tern fired wit 01 r,rrvltormeans a comilUm and a wodk pMduet atre.N MC does not rocommeed any pow end does not vranant the teellebillty Men 1,roduel to airy vK*t m,Conan inerwWamN uasrean fer other ptidud pedomrmm krMnrrallon.wwvarrAr;,orp Este fabOMM ntpum que oft v IWI i dlnipian a n im proc:BQmlanms A;ilk6t1ae do NFRC Dana daramArmr d miridimWila b41 del producfe,l oe ved w umdls por WRC wo detertltl eft pa un eonhmm tqo do=dkJow embiaMalera y un temw o de peodudo eapeetfloo.M no r9a0ntiartda nkgm I r adue*yn rig 3 w t8 quo of pmdueln sea adaaa,do Dena un use eepodmoo,ooroib con d folloto dd h il,ftwft pp a el-uw apmptado de ado p vikii D.wwn tt oM ule®■ ruit wialifica for ENFF.r7 9TAP ten,. y(w; �;nr`l.o�..• V���et� A�.�� s,.-w+.w:�s �w��V-R� •S�.u•.•.•w.. •VSi:I.MV Pe•. t"Y"' ti � • reeene?eyT -eg15T11PR) JK_%tF.t:C -TAN.I Norte, `b N.rc:e Central. S%lr 'DM: Rsin 00/h%4,,* 1/9"/A-1112S Wsttpd 543e: 48- x 80- PIA: Refutren on/Vifirio i.ia nan/m-pn FZ>- / 7( T.mn,?10 C•"Vh Zdr+- 121 11 ? - fi481Y6.1/11 g03?1 re phillipa 19 5727059AtW►. Reap Ihit Wwl for I it ssible ENE GY STAR®rebft to loam inwe vW www.emerpy tmpv Uuptde este aligoem poro 941v a it Klib m E IERSY STW Petro adlecar*rAm do et,vblto www anftstotgn qRl� • Town of Barnstable *Permit# �p S- S �S O,e Expires 6 months from issue date swstrtsrwe,t, ` Regulatory Services Fee �5 00 KAM �� Thomas F.Geiler,Director �ED1AP`p Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 4 ER41 11� Office: 5087 90 6 3038 l0yVN OF S Z004. EXPRESS PERMI�TtAPP APPLICATION I X-PressREIDENTIAL ONLYe�R/VST�e� '/ Imprint �F 4ap/parcel Number � `1 7 'roperty Address . if ( Ct 6'jD ll�� Residential Value of Work r�i Bdd ma Minimum fee of$25.00 for work under$6000.00 , owner's Name&Address contractor's Name S 6al cN— Telephone Numb,&a 77G'"5�C.;D , , Home Improvement Contractor License#(if applicable) / a(0 as- Construction Supervisor's License#(if applicable) ❑Workman's mpensation Insurance Che one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name f/ l C�0 {�/t�b� „g ,�l�l S �lln l 5��J Sr<7— Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request heck box) Re-roof(stripping old shingles) All construction debris will be taken to�� ❑Re-roof, (not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement C�pgactors License is required. Signature VC Q:Fotms:expmtrg Board of Banding Regulations and Standards License or registration valid for individul use only HOME IMPjtOVEMENT CONTRACTOR before the expiration date. If found return to: ReglstYOE 126252 Board of Building Regulations and Standards One Ashburton Place RQt 1301 lra on �p�2006 f' "Ig" Boston,Ma.02108 iF i M.A.SLIWA HOI�I �M � T MICHAEL SLLIWA,F 94 REDBROOK MASHPEE,MA 02649 `"-'`` Administrator Not valid wit out signature �K�r Town of B ar3nstable F o� Regdatory Services Thomas F.Geller,Director Building Division rED � Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 . www.town.barnstablema.us _. Fax: 508-790-6230 office: 508462-4038 Property Owner Must Complete and Sign This Section If using ABuilder as Owner of the subject property to act on my behalf,* . hereby authorize /� I in an matters relative to work authorized by this building permit application for. �-� A (Address of Job) C s of Owner at Print Name Assessor's Office(1st floor) Mai) Lot `T Permit# Cons efy. ":office 4th floor Date Issued /el oV Board o (3rd floor) Engineering Dept. Ord floor) House# °R � Planning Dept. (1st floor/School Admin. Bldg.): NAM Definitive Plan Approved by Planning Board 19 �o Md (Applications processed 8:30-9:30 a.m.& 1:00-2:00 p.m.) { TOWN OF BARNSTABLE' Building Permit Application Proiect Street Address ay- z62±Ti 1 Village C— a 4A Fire District � Owner 1) x V� t;�fy Address ��G�-r2!± G/ (✓ Telc hone / e Permit Request: la 14 1 t Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Tvce Existing Information Dwelling Type: Single Family Two family Multi-family Age of structure Basement type Historic House Finished Old King's Highway Unfinished Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Telephone number Address 's- License# 7 Home Improvement Contractor# M�,F-o Worker's Compensation # WC-0 oc l NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. AL CONS U T N DEBRIS RESULTING FROM THIS PROJECT WI L BE TAKEN TO �� eie p p; —, VAL22L,I C. c Proiect Cost 7, z Fee SIGNA d" DATE_—A2-- BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T F FOR OFFICE USE ONLY ADORES 149 Carlotta Avenue ..✓ VILLAGEHyannis s {` OWNER Gudrun Karras DATE OF INSPECTION: FOUNDATION -FRANE NJ INSULATION ' `�f 7 t FIREPLACE ;_,ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t GAS: ROUGH FINAL FINAL BUILDING: d c DATE CLOSED OUT: ASSOCIATE PLAN NO. In accordance with the, provisions of NCL c 40. S 54o a condition of Uulldlnd Permit Number is. that L11e debrid rusulclnig Aram this work s1taLL be disposad of in a property Licenaed solid waste dispoual facility as defiowd by NCI. c Alto S 15OA- brie will be ad of in which City or Town The do P STREET AUUMESS B0",3 Gd' C'v-w� (x•.�s v•Y TYNM. Of "TAINKU VON TRANSPORTATION u-A a uC 114trwlt App.LLcaut Datu Suggested Affidavit for Home Improvement Contractor Permit Application For oaks t1W only NAM F CITWO(WN Fer=U No. Dale AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MOLc 14ZAroquinas that the'remnstrunion.alteration,renovation reps prDwment.removal.demolition. oroonstruction of an addil Ion to any nre-aiding owner-occunied building conlainine al least one but not morn than four dwelling units....or to structures which are adjacent to such residence or huihline be done by rcgWcral contracton,with certain esccptiotts,along with other rkgyitetaepla. a Type of Work: Est. Cost Address of Work C , Owner Name: AA lr h Date of Permit 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 _Other (specify) Notice is hereby given that: c5 VYNERS FULLING T1- E R OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c 142A. Signed under penalties of perjury: let%'V`ol ydz I hereby apply for a permit as the agent of the owner: �_� C, 0 -( I nn:s-G�L Date Contractor Name I Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: Date Owner Name Le E LV COMMO TH- OF MASSACHUSETTS DEI`A ,'ZviEN'T OF LNDUSTRIAL ACCIDENT'S .. 600 WASHINGTON STREET games.: Camvicei BOSTON, MASSACHUSEM 02111 comm:ss,oner WORKERS' COMPENSATION INSURANCE AFFIDAVIT �ptitnD E 1 (licensee/perminee) with a principal place of business/residence ar. (Ci Statcaip) do hereby,certify, under the pains and penalties of perjury, that: [ ) I am an'employer rovidin the following workers' compensation coverage form employees workin on this providing >; P g Yg job. Insurance CImpany Policy Number [J 1 am a sole proprietor and have no one working for me. [J I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors'listed below who have the following workers' compensation insurance policies: Name of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number 0 I am a homeowner performing all the work myself. NOTE: Please be aware that while homeowners who employ persons to do maintenance,construction or repair work on a dwelling of not more than three units in which the homeowner also resides or on the grounds appurtenant thereto are not generally considered to be employers under the Workeri Compensation Act(GL C. 152,secs. 1(5)),application by a homeowner for a license or permit may evidence the legal status of an employer under the Workers' Compensation Act. l undrrstand that a copy of=saris statement will be forwarded to the Department of Industrial Accidents'Office of Insurance for coverage verinc=*on and rat failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties consisting of a fine of up to $1500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a fine of S100.00 a day against me. SintLL day of 19 24 his y T70 ( Licensee/Perm et: Licensor/Permittor - E'CZ� � I HOME IMPROVEMENT CONTRACTORS REGISTRATION i I Board of Building Regulations and Standards' One Ashburton Place - Room 1301 Boston , Massachus6tts 02108 HOME IMPROVEMENT CONTRACTOR Registration 100502 Expiration 06/18/96 T -------------------- ---------- -- - -- Type - PRIVATE CORPORATION cl7k I HOME IMPROVEMENT CONTRACTOR AMERICAN REMODELING INC I ° ' Registration 100502 Type - PRIVATE CORPORATION Charles Cook Expiration 06/18/96 • 8585 NORTH STEMMONS #S102 i DALLAS TX 75247 I AMERICAN REMODELING INC I� Charles Cook 'CwEt6585 NORTH STEMMONS OS102 ADMINISTRATOR DALLAS TX 75247 F . Assessors map and lot number ...... ti C, SEPTIC SYSTEMMMT, BE INSTALLED tf u Sewage Permit number ..... . l/'•�G... � ••�" ...... Wl b ll A T i'`„E 84� � � STPJE SAXTARY C;mx 7 ��QyofTNET,�♦� TOWN OF BARNSTAJBlIE S • i BAIMSTADLE, i ° "b 9 p" BUILDING INSPECTOR O�G YPY 1 APPLICATION FOR PERMIT TO ............:..............................i 1 ni r1......¢moo a..L.............................................................. TYPE OF CONSTRUCTION ............................ALum i.4,V'-M V.yu 4.�....................................... .......................... t' 1 ..... ... ........19. �/ ... ... TO THE INSPECTOR OF BUILDINGS: � I The undersigned hereby applies for a permit according to the following information: Location f ProposedUse ............Slv�v!!!. U�.......... .....�.................................................................................................................. ZoningDistrict .......... .....................................................Fire District .............................................................................. Name of Owner .. j�1 G►� ....[1 �4 v�("/ ........................Address ....Cnt- ;7tA......4.v.e..................................... Name of Builder ....Ra1. ..... .............Address .....I.9.9..... .! J.......P.... .. .......................... Nameof Architect ........:c..- ........................................Address ..................................................................................... Numberof Rooms .:............. -.....................................Foundation ..........................®............................................... Exierior ....................................................................................Roofing .................................................................................... Floors �^......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing ................... ......................................................... Fireplace ..................................................................................Approximate Cost .......S o,„ CS Definitive Plan Approved by Planning Board --------------------------------19--------. Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH !4 U S C' _awl j_,e a C_ x n f the Town of Barnstable regarding the above - I hereby agree to conform to all the Rules and Regulations o e g g construction. Name ` Karras, Peter L/nq- 'p c ---------,�----------~----- � �~ Location ---. ---.. \\.qgX��qt�A..Aven.ue ` ................................. ............................... ^ . ' Owner ------. Typo of Construction .......PQ.0.1--------.. f . � --------------------------. i�� y Plot ............................. Lot ----------' ^ ^ � - = � � Parn`h Granted �a� 28 lg 75 .� -----'.------- ` . � � Date of Inspection 19 ' Dote Completed � w PERMIT REFUSED . � ' ---''-- -'. ---. ` . . ----.-----' 1p � . / .-------------------------- . � ^ � � ^-------------------,.------.. ^ � -------.--------.--..—.---.—.. ' � . -----------------~---.--`�.— \ . / ' Approved ---------------' lg ' � -------------------.-----.— ^ ^ ----.-------~------.—.---..... _ � V l L I Assessor's map and lot number .. / �� " v b--7 Sewage Permit number .....,..�!yt -?/ ?'.r!Cf G! ....... e�QyoFTxETo�yo� TOWN OF BARNSTABLE li BA"STAULE, K 9 BUILDING I SP TO t�r '�} 1 N G, T`o L APPLICATIONFOR PERMIT TO .....................1........................:............................................................................... TYPE OF CONSTRUCTION L.�« ' �'�wL1 `>< V Aj r3 t ..................................................................................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �� `� N�' I....................................................................................................................................................................................... ProposedUse '?.! ... ...a.!..............d............................................................................................I......................... ZoningDistrict ..........e.kA...................................................Fire District .............................................................................. Name of Owner ...�i'........... ,k'"... r...... .......................Address �. - ��r � /- � _ .................rl. :..................................,........................................ Y, CI Name of Builder ....t -:�[ '_�0 E_r� �C r` V �P.............Address �q......�.� Iq. -�-/i l .t ....... .i. . ......................... ................................................. . .... ...... ..... Name of Architect 7.. ................Address ..�..�.. Number of Rooms ................'.":.......'.....................................Foundation ............................................................. r Exierior ....................................................................................Roofing .................................................................................... Floors ................................................................:.....................Interior .................................................................................... Heating ........................... Plumbing .................................................................................. Fireplace pp � ' 60..................................................................................Approximate Cost .......:............................................................ Definitive Plan Approved by Planning Board ________________________________19________. Area .......................................... Diagram of Lot and Building with Dimensions Fee. ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH j T p I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. 7- Name ......... .... --...............................................................'vC Karras, Peter A=248-147 No „17712 Permit for ......private swimming ...... ....................... pool ............................................................................... Location ..........XXXX$MMX " Carlotta Avenue .................................................... Hyannis Owner Peter Karaa -j.... ................................................................... r�vate ool Type of Construction ......?. .............�................. .......................................... ..................................... Plot ........................ Lot ................................ Permit Granted ........................................ay 28 75 Date of Inspec lio ........... ...................19 Date Completed .............. ......................19 PERM REFUSED ................ ......................... 19 ...... .................................................... f. J. ..... .�I�... Approved . .............................................. 19 ............................................................................... ............................................................................... ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES _ 'A AMPERE 1. THIS SYSTEM IS GRID-INTERTIED VIA A ( AC ALTERNATING CURRENT UL-LISTED POWER-CONDITIONING INVERTER. } �''� BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. Digitally signed by CONC CONCRETE 3. A NATIONALLY-RECOGNIZED TESTING HusseinDC DIRECT CURRENT LABORATORY SHALL LIST ALL EQUIPMENT IN '` H ussel n ,kaza n EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3.(E) EXISTING 4. TER THE EMT ELECTRICAL METALLIC TUBING MEANSW MAY EBELEN RGI EDLNOTHE OPEN POST0NING # /,,,Date-.,,i 2017.03.22 FSB FIRE SET-BACK A SIGN WILL BE PROVIDED WARNING OF THEr i~ //�� GALV GALVANIZED - HAZARDS PER ART. 690.17. kazan � 14.3 8.2 2 -0` '0.01 GEC GROUNDING ELECTRODE CONDUCTOR 5. EACH UNGROUNDED CONDUCTOR OF THE `.. GND . GROUND MULTINRE BRANCH CIRCUIT WILL BE IDENTIFIED BY HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5° CURRENT 6. CIRCUITS OVER 250V TO GROUND SHALL I Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(B). � 0 � 4 Isc SHORT CIRCUIT CURRENT 7° DC CONDUCTORS EITHER DO NOT ENTER li kVA. KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC �yS 'E! LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). �` pC%�O 'AN MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN (N) ' NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY No. 52612 NEUT NEUTRAL UL LISTING. NTS NOT TO SCALE ;" 9. MODULE FRAMES SHALL BE GROUNDED AT THE �'`� ��� ' � OC ON CENTER UL-LISTED LOCATION PROVIDED BY THE PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING POI POINT OF INTERCONNECTION HARDWARE. PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE. SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. S STAINLESS STEEL STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY ;, V VOLT Vmp VOLTAGE AT MAX POWER VICINITY MAP Voc VOLTAGE AT OPEN CIRCUIT INDEX W WATT �. - � � PV1 COVER SHEET 3R NEMA 3R, RAINTIGHT • PV2 'SITE PLAN , PV3 STRUCTURAL VIEWS {'t PV4, UPLIFT CALCULATIONS LICENSE GENERAL NOTES. • t, " PV5 THREE LINE DIAGRAM Cutsheets Attached GEN #168572 1. ALL WORK TO BE DONE TO THE 8TH EDITION x d ELEC 1136 MR OF THE MA STATE BUILDING CODE. 2. ALL ELECTRICAL-WORK SHALL COMPLY WITH THE 2017 NATIONAL ELECTRIC CODE INCLUDING' MASSACHUSETTS AMENDMENTS: ` MODULE GROUNDING METHOD: ZEP SOLAR '� REV BY DATE COMMENTS AHJ: Barnstable County I REV A NAME DATE COMMENTS UTILITY: NSTAR Electric Commonwealth Electric PREMISE OWNER: DESCRIPTION: DESIGN: ,. CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: J B-0 2 6 3 615 00 � - MICHAEL BARSELOW Michael Barselow RESIDENCE IHSAN conkaya SO�a�C�ty. CONTAINED SHALL NOT BE USED FOR THE �wtr ■ BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: '- NOR SHALL IT BE DISCLOSED IN WHOLE OR IN ZS Comp V4 wFlashing-Insert 11 CARLOTTA AVE 5.7 KW PV ARRAY �Wl PART TO OTHERS OUTSIDE THE RECIPIENTS - ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES: BARNSTABLE, MA 02601 ; THE SALE AND USE OF THE RESPECTIVE (19) Hanwha Q—Cells # Q.PEAK—G4.1/SC300 24 St. Marten Drive, Building 2,Unit 11,- SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME: SHEET. REV: DATE Marlborough, MA 01752 PERMISSION OF SOLARCITY INC. INVERTER: T. (650)638-1028..F: (650)638-1029 ABB AURORA PVI-6000-OUTD-US-Z-A-RGM s COVER SHEET PV . 1 3/10/2017 (886)-SOL-CITY(765-2489) wwwadarcitycoin PITCH: 24 ARRAY PITCH:24 MPi AZIMUTH:190 ARRAY AZIMUTH: 190 MATERIAL: Comp Shingle STORY: 1 Story 11 Carlotta Ave HUSSEIN G KAZAN .-T No.5261 (E) DRIVEWAY �F137 �a �r�Q Front Of House LEGEND (E) UTILITY METER & WARNING LABEL AC INVERTER W/ INTEGRATED DC DISCO �LC Im & WARNING LABELS L` r - © DC DISCONNECT & WARNING LABELS STRUCTU E ' O © AC DISCONNECT & WARNING LABELS GHANGE MP113 DC JUNCTION/COMBINER BOX & LABELS 0° DISTRIBUTION PANEL & LABELS I I Lc LOAD CENTER & WARNING LABELS MP1A I I M I I O DEDICATED PV SYSTEM METER I RSD _ RSD Inv ❑ lb RSD RAPID SHUTDOWN MP1C Q STANDOFF LOCATIONS CONDUIT RUN ON EXTERIOR B STRUCTURE C CONDUIT N ON INTERIOR GATE/FENCE CE INC CHANGE Q HEAT PRODUCING VENTS ARE RED r-, ` INTERIOR EQUIPMENT IS DASHED Q L_J ICU Gl a SITE PLAN N Scale: 1/8" = 1' W E 0 1' 8' 16' S PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: �g-0263615 00 IHSAN Canka a SO�a���t CONTAINED SHALL NOT BE USED FOR THE MICHAEL BARSELOW Michael Barselow RESIDENCE v 11 CARLOTTA AVE 5.7 KW PV ARRAY BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: ��% y. NOR SHALL IT BE DISCLOSED IN WHOLE OR IN ZS Camp V4 wFlashing-Insert PART TO OTHERS OUTSIDE THE RECIPIENTS BARNSTABLE MA 02601 ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES 7 ' 24 St Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE 1 (19) Hanwha Q-Cells # Q.PEAK-G4.1/SC300 PAGE NAME ��V REV: DATE: Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INyERTER: T: (650)638-1028 F: (650)638-1029 PERMISSION OF SOLARCITY INC. ABB AURORA PVT-6000-OUTD-US-Z-A-RGMSITE PLAN 2 3/10/2017 (688)-SOL-CITY(765-2489) www.sclarci►y.com I PV MODULE 5/16"x1.5" BOLT WITH 5/16" FLAT WASHER INSTALLATION ORDER S1 ZEP LEVELING FOOT r LOCATE RAFTER, MARK HOLE ZEP ARRAY SKIRT (1) LOCATION, AND DRILL PILOT HOLE. --———————— --- ———————— " ZEP MOUNTING BLOCK (4) ATTACH FLASHING INSERT TO ` (2) ZEP FLASHING MOUNTING BLOCK AND ATTACH INSERT (3) TO RAFTER USING LAG SCREW. (E) LBW (E) COMP. -SHINGLE (1) INJECT SEALANT INTO FLASHING SIDE VIEW OF MP1C NTS (E) ROOF DECKING .: (2) (3) INSERT PORT, WHICH SPREADS SEALANT EVENLY OVER THE C 5/16" DIA STAINLESS ROOF, PENETRATION.LOWEST MODULE SUBSEQUENT MODULES MP1C X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES STEEL`LAG SCREW INSTALL LEVELING FOOT ON TOP 2 1 2' EMBED, MIN) - LANDSCAPE 72" 24" 39" oil STAGGERED ( — / ' E4) OF MOUNTING BLOCK & , 48" 19" 65" 0" SECURELY FASTEN WITH BOLT. PORTRAIT � r(E) RAFTER TOP CHORD 2X4 @ 24" OC ROOF AZI 190 PITCH_ 24 STORIES: 1 S I /`11 V DOFF ARRAY AZI 190 PITCH 24 1 BOT CHORD 2x4 @24" OC Comp Shingle X AND Y ARE ALWAYS RELATIVE TO THE STRUCTURE FRAMING THAT-SUPPORTS THE PV. X IS ACROSS RAFTERS AND Y IS ALONG RAFTERS. - Si i�u 44 ..CIF HUSS 12'-5" - No. 526 12, O � 1'— (E) LBW '9��i 'G�` w�' - . - SIDE VIEW OF MP1B NTs 4 . _ • - _ �a�A�� MP113 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES LANDSCAPE 72" 1 24" 39" O" STAGGERED - PORTRAIT 48" 19" 65" O" RAFTER 2X8 @ 24" OC ROOF AZI 190 PITCH 24 STORIES: 1 - ~ ARRAY AZI 190 PITCH 24 a C:J. 2x4 @24" OC Comp Shingle rAX: ND Y ARE ALWAYS RELATIVE TO THE STRUCTURE FRAMING THAT SUPPORTS THE PV. ACROSS RAFTERS AND Y IS ALONG RAFTERS. CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: J B-0 2 6 3 61 5 O O PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT USED FOR THE MICHAEL BARSELOW Michael Barselow RESIDENCE IHSAN Cankaya �:'SolaeC. �t BENEFIT OF ANYONE EXCECE PT SOLARgTY INC., MOUNTING SYSTEM: NOR MALL IT BE DISCLOSED IN WHOLE OR IN ZS Comp V4 wFlashing—Insert 11 CARLOTTA AVE 5.7 KW PV ARRAY.. a ��� y PART TO 011AERS OUTSIDE THE RECIPIENTS MODutEs ORGANIZATION, EXCEPT IN CONNECTION NA1H BARNSTABLE r MA 02601 THE SALE AND USE OF THE RESPECTIVE (19) Hanwho Q—Cells # Q.PEAK—G4.1/SC300 24 St Martin Drive,Building 2, Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PAGE NAME SHEET: REV DATE: Marlborough,MA 01752 ' PERMISSION OF SOLARCITY INC. PV Z 3 1O 2017. T. (650)638-1028 F:,650)638-10Y9 ABB AURORA PVI-6000=OUTD—US—Z—A—RGM STRUCTURAL VIEWS / / (688>-soL-CITY 765-2489 : v.ealarcR.aam P UPLIFT CALCULATIONS SEE S 1dT PA OK NIXT4R: 41T�J R6L 'C i l>,, L, IT[ I :, r IH PREMISE OWNER:. � DESCRIPTION: DESIGN: CONTAINED L— THE INFORMATION HEREIN JOB NUMBER �g-0263615 OO 1HSAN Canka a SO�a�C�ty. CONTAINED SHALL NOT BE USED FOR THE MICHAEL BARSELOW Michael Barselow RESIDENCE y w,s BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: I /�\ NOR SHALL IT BE DISCLOSED IN WHOLE OR IN ZS Comp V4 wFlashing—Insert 11 CARLOTTA AVE 5.7 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS M� BARNSTABLE, MA 02601 24 5> Martin Dom,Building 2 Unit 11 ORGANIZATION, EXCEPT IN CONNECTION WITH 1752 THE SALE AND USE OF THE RESPECTIVE (19) Hanwho Q—Cells # Q.PEAK—G4.1/SC300 PAGE NAME: SHEET; Ift DATE: Marlborough,MA 50) SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN �� T: SOLO)638-1028 F: SOLO) sdarci29 PERMISSION OF SOLARCITY INC. ABB AURORA PVT-6000—OUTD—US—Z—A—RGM UPLIFT CALCULATIONS PV 4 3/10/2017 (BaB�soL-an(�s�24es) ..s.sdoroitycan GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE, +BOND (N) #8 GEC TO TWO (N) GROUND Panel Number:B20-20SM Inv 1: DC Ungrounded _ '" _ GEN #168572 RODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:2303321 Tie—In: Supply Side Connection INV 1 —(1)Invverter; Zigbee 6 OOW 0240V 96 5% Z-A-RGM LABEL: A -(19)Hanwha Q-Cells Q•PEAK-G4^1//SC300 PV Module; 300t,274.5PTC, 40MM, Black Frame, MC4, ZEP, 1000V ELEC 1136 MR Overhead Service Entrance INV 2 O Voc: 39,76 Vpmax: 32.41 INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER �E 100A MAIN SERVICE PANEL ABB E� 10OA/2P MAIN CIRCUIT BREAKER ADJUST MIN. ACTIVATION VOLTAGES! RSD Kit (E) WIRING BRYANT CUTLER-HAMMER Inverter 1 IND 4 1 Load Center � >• 10OA/2P 6 Disconnect 5 ABB' DC+ VS'tart = 200V B RORA PM-6000—OUTD—US—Z—A—RG DC_ MP 1: 1X9 / C ----35A 2P a z.e� r------------—----.------ - EGc------------------1 I N DC- I 3 - 2 v5tdrt = 200V (E) LOADS --------------- - EGG DC- DC+ •-- i- ---- GND ---------- .GEC TN LV_ DG G MP 1: 1X10 ♦- r— _ EGG- -------�----—----------- ---- -----___— GC----------------t� r N I (1)CQrIDUIT KIT — _ 1 x 10' EMT Conduit a EGCIGEC I , GEC - to,120/240V I i SINGLE PHASE UTILITY SERVICE I I t I I , ' PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN Voc* = MAX VOC AT MIN TEMP [:SA (2)Groygd Rod R (1)BRYANT#BR24L70RP e (2)ABB #RS1-1PN6—MC43P029960000A (1)AWG �6, Solid Bare Coppery5 8x6, C per ✓ Load Center, 70A, 120/24OV, NEMA 3R QC ^ RSD K'it; ZEP, MC4,NO Power Supply nd DC (2)ILSCO44 IPC 4�0—�6 —(1)CUTLER—HAMM BR235 InsulaEion Piercing Connector, Main 4/0-4, Tap 6-14 Breaker, 35AP, 2 Spaces UPPLY SIDE CONNECTION. DISCONNECTING MEANS SHALL BE SUITABLE (1)CUTLER-HAMMER g DG222URB (N) ARRAY GROUND PER 690.47(D). NOTE: PER EXCEPTION NO. 2, ADDITIONAL S SERVICE EQUIPMENT AND SHALL BE RATED PER NEC. Disconnect; 60A, 24OVac, Non—Fusible, NEMA 3R ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCATION OF (E) ELECTRODE i —(1)CUTLER— AMMER y DG10ON6 , Ground�leutral Kit; 60-100A, General Duty(DG) 1 AWG#6, THWN-2, Black (1)AWG#8, THWN-2, Black 2 AWG #10, PV Wire; 600V. Black Voc*'=443.24VDC Isc =9.77 _ADC 2 AWG#10, PV Wire, 60OV, Black Voc*.=398.92VDC Isc =9.77 ADC © (1)AWG g6, THWN-2, Red O (1)AWG#8, THWN-2, Red O (1)AWG /6, Solid Bare Copper EGC Vmp =324.1 VDC Imp=9^26 ADC O (1)AWG#6, Solid Bare Capper EGC Vmp =291.69 VDC Imp=9.26 ADC (1)AWG/6, THWN-2, White NEUTRAL Vmp =240 VAC Imp=28 AAC (1)AWG#10, THWN-2, White NEUTRAL Vmp =240 VAC Imp=28 AAC (1 AWG f18, 2.conductor. . _ , SIGNAL. .—(1)Conduit.Kit;.3/4'.EMT. . . . . . . . . . . . . . . . . . (1 Conduit Kit;,3/4'.EMT, , , , , . . . . . . .-(1)AWG#6,.Sglid Bare,Copper. GEC, . , (1)Conduit,Kit;.3/4'.EMT, , , ,, , , , , , , , , , , , ,-;(1)AWG$B,.TNWN-2,.Green , . EGC/GEC,-0)Conduit.Kit;.3/4'.EMT. . . . . . . . , , (2)AWG #10, PV Wire,600V, Black Voc* =398.92VDC Isc =9.77 ADC (2)AWG#10, PV Wire, 60OV, Black Voc* 443.24VDC Isc =9.77 ADC ® (1)AWG 16, Solid Bare Copper EGC Vmp =201.69 VDC Imp=9.26 ADC O (1)AWG#6,.Solid Bare Copper EGC Vmp =324.1 VDC Imp=9.26^ ADC • , , , (1)Conduit Kit;.3/4'EMT. , • , , ; , , , , (1)Conduit Kit; 3/4�.EMT. _ CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE JB-0263615 00 MICHAEL BARSELOW IHSAN Canka a • Michael Barselow RESIDENCE y ,SOlar � y. BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: �.��c NOR SHALL IT BE DISCLOSED IN WHOLE OR IN ZS Comp V4 w Flashing-Insert 11 CARLOTTA AVE 5.7 KW PV ARRAY h, . PART TO OTHERS OUTSIDE THE RECIPIENTS MooulEs BARNSTABLE MA 02601 - ORGANIZATION, EXCEPT IN CONNECTION WITH , 24 Si.Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (19) Hanwha Q—Cells # Q.PEAK-G4.1/SC300 SHEET: REV DATE Matin*Di MA ing SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME 9h, 01752 PERMISSION OF SOLARCITY INC. INVERTER: T. (650)638-1028 F: (650)638-1029 ABB # AURORA PM-6000-0UT0-US-Z-A-RGM THREE LINE DIAGRAM. PV 5 3/10/2017 1 (8e8)-SOL-CITY(765-2489). www.solarcity.aa,,. CAUTION POWER TO THIS BUILDING IS ALSO SUPPLIED FROM THE FOLLOWING SOURCES WITH DISCONNECTS LOCATED AS SHOWN: - Address: 11 Carlotta Ave UTILITY SERVICE L----------- INVERTER AND DC DISCONNECT SOLAR PHOTOVOLTAIC ARRAYS) L--------------------- — J PHOTOVOLTAIC BACK-FED aRCUIT BREAKER IN MAIN ELECTRICAL PANEL IS AN A/C DISCONNECT PER NEC 690.17 OPERATING VOLTAGE = 240V JB-0263615-00 PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL THE INFORMATION HEREIN FmABIB R: J B-0263615 00 IHSAN Canka a `\`f j SolarCit CONTAINED SHALL NOT BE USED FOR THE MICHAEL BARSELOW Michael Barselow RESIDENCE y BENEFIT OF ANYONE EXCEPT SOLARCITY INC., SYSTEM: ,��\ Y NOR SHALL IT BE DISCLOSED IN WHOLE OR INmp V4 w Flashing—Insert 11 CARLOTTA AVE 5.7 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS BARNSTABLE, MA 02601 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE anwha Q—Cells # Q.PEAK—G4.1/SC300 SHEET: RM DATE; Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME T: (650)638-1028 F. (650)638-1029 PERMISSION OF SOLARCITY INC AURORA PVT-6000-OUTD—US-Z-A-RGM SITE PLAN PLACARD PV 6 3/10/2017 (eesrsoL-cm(765-2489) ....solarcityaam t� • o 0 0 -o - o - Label Location: Label Location: Label Location: " (C)(CB) io (AC)(POI) l' 1 io (DC) (INV) Per Code: _ •_ Per Code: _ a_• Per Code: NEC 690.31.G.3 eo 0 0 0 . • NEC 690.17.E •e o e e o- o NEC 690.35(F) Label Location: o o e - o 0 0 •- TO BE USED WHEN (DC) INV o•o o I - a -o e • • a INVERTER IS D O Per Code: UNGROUNDED NEC 690.14.C.2 - Label Location: Label Location: - o 0 0 (INV) (DC)(INV) a -- e -•- e Per Code: YS Per Code: .o CEC 690.56(C) IFJOI •° NEC 690.53 Label Location: e �(� (POI) Per Code: _'° 0 NEC 690.64.B.7 0 Label Location: s o 0 0 o (DC)(INV) e Per Code: -o •e e e NEC 690.5(C) o •• o- ' -e io . • e` o Label Location: C� �"Jl1V (D)(POI) 0 0 o Per Code: NEC 690.64.B.4 Label Location: o (DC) ( ) e e Per Code: NEC 690.17(4) o Label Location: c•• o Cp-o e O (POI) Q�I eQl-o 0 Per Code: ' • ° ;,; o • o NEC 690.64.6.4 0 0 0 - Label Location: - (POI) Label Location: Per Code: O O O (AC) (POI) •- _ ° (AC): AC Disconnect NEC 690.17.4; NEC 690.54 : Conduit p O Per Code: O NEC 690.14.C.2 :o e o•o • (CB): Combiner Box = e m e• (D): Distribution Panel (DC): DC Disconnect e - (IC): Interior Run Conduit Label Location: xv/.e e - (INV): Inverter With Integrated DC Disconnect (AC)(POI) ` (LC): Load Center Per Code: "., (M): Utility Meter NEC 690.54 e- - • 1ri: e; e ':. I QrD. rr (POI): Point of Interconnection CONFIDENTIAL— THE INFORMATION HEREIN CONTAINED SHALL NOT BE USED FOR THE BENEFIT OF ANYONE EXCEPT SOLARCITY INC., NOR SHALL IT BE DISCLOSED 3055 Clearview Way IN WHOLE OR IN PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, '0�i�►` ��� 'CA 94402 Label Set � T:(650)638-1028 F:(650)638-1029 EXCEPT IN CONNECTION NTH THE SALE AND USE OF THE RESPECTIVE /� S01��I� (888)-SOL-CIIY(765-2489)www.sclarcicy.com SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PERMISSION OF SOLARCITY INC. o Additional highlights: • — RS-485 communication interface . = = string (for connection to laptop or data inverters logger). P ••, •„• • . — Integrated Arc Fault Detection and Interruption(-A Version). to 6kW ' �• t Technical data and types Type code PVI-5000-OUTD-US PVI-6000-OUTD-US • � AEG - - ilnput side._._.. .......-. ... .. ( -Yp'• •-,. I Nominal output power - 5000W ........... .... ..... .. 6000W .. ... ... ..... ......... ... ... ... ......... ... .. .. .......... ... t r g ..Maximum output power....................... i 5000W.... .... ... ... ... ...600i)W .. .... ........ .. .... .0 ... ...... 77 ... .. -j Rated grid AC voltage 208V 240V 277V 208V 240V 277V e • I Input side(DC) Number of independent MPPT channels .. ....... .. ... .. ... .. .. .. ....... .. ...... Maximum usable p ower for each channel 4000W t Absolute maximum voltage(Vmax1................................._................................... .....................................................................................................................600V ...................................... .......................................................- ............ a Start up voltage(Vstart) 200V ad 120 350 ........ .......... . (.....1. Full power MPPT voltage range..................................... 200 530V ...........................I.............................. OperatingMPPT voltage range....................... ........ ..............................................................................0,7 x Vstart..580V.................................................................................... ivlaxlrnurn wrrenl(luuniax)fui Uutn Mf PT in parallel . ... �fiA ... ................... ... :! Maximum usable current per channel 22A .. .. ,... .... .. .. ... .. ......... .:^^ fVumber of wire landir terminals per channel 2 Pairs ..-.. . •: Array wiring termination Terminal block pressure clamp,AWG16-AWG6 • ' ' I Output side(AC) o• Grid connection type 1012W Split 0/3W 10/2W 10/2W Spld 0/3W 10/2W Adjustable voltage range(Vmin.Vmax) 183V 228V 221 V 264V 244V 304V 183V 228V 211 V 264V 244V 304V., ... .... 60Hz.. .. .. .. .... .. Gridfrequency.................... .......... ... .... ... ..... .. .. ........ .. ..... ......... Adjustable grid frequency..ran..9e...................................................................... ........ ........ .. 57;60.5Hz ........ ........ ............. Maximum current.(I. .m�).Aa�s......................................................................s........_27 s................._23A .,s...................20�s. ..0.99530Pyws................._28Aws.........:.........24 s.......... The wide input voltage range Highlights. Power factor Designed for residential and small Total harmonic distortion at rated ower <2% yy ................................................................................P.................................................................................................................................3............................. .36..5..A..�...........31.75.A...�..... makes the inverter suitable to to _ commercial PV installations,this Single phase and Spilt phase output contributory fault current' 3s.25 A°k/ 36.5 A°k/ 31.75 A k/ 36.25 A°k/ € p pk . . installations with reduced - -......._............................ 25.63Aams..........25,81Aa ..........22.4.... ....i.....25.63AnM..........2581A� 22,45A M inverter fills a specific niche in the. Power installs o grid connection. - RN6 "e... p Grid wiring termination type Terminal block pressure clamp AV�G14 AWG4 string size. ABB product line to cater for those g - Wide input range for increased )Input i Reverse polarity protection ..... ........ .........-. ... Yes installations producing between The transformerless operation offers stringing flexibility. high performance efficiencies of up to _ The hi h speed and precise MPPT Over-voltage protection type Varistor,2 for each channel 5kW and 20kW. 9 P 97 1% PV array ground fault detection Pre start-up Riso and Dynamic GFDI(requires floating arrays) algorithm offers real time power joutput i This inverter includes dual input Free remote monitoring capability tracking and improved energy Anti-islanding.protection Meets UL 1741/IEEE1547 requirements Meets UL 1741/IEEE1547 regy rements .. section to process two strings with available with every Installation.This harvesting. Over voltage protection type Varistor,2(L,:Lz/L,-G) Varistor 2(L,-Lz/L,-G) Maximum AC OCPD Rating 35A 30A 25A 40A 35A 30A independent MPPT. enables homeowners to view their - Outdoor NEMA 4X rated enclosure _ l )Efficiency energy production and offers installers f r unrestricted use under an Maximum efficiency ..:,-.........................._..... ......................... 97.1 The high speed and precise MPPT o Y a proactive and economic way Of environmental conditions. CEC efficiency ..,,,... .. 96/ 96.5% 96.5% 9ti% 965% 965%. algorithm offers real-time power user interface .. .. .. Graphic display Graphic display maintaining and troubleshooting the Inte rated DC disconnect switch tracking and energy harvesting. - 9 )operating performance system. Stand-b consum lion <8Wams ........ <SWams Flat efficiency curves ensure high y n compliance with international .by..... ... P.... ....... efficiency at all output levels ensuring Standards(-S Version). Night time consumption <0.6W°„ <6:6W )Communication consistent and stable performance User-interface 16 characters x 2 lines LCD dis Ia .. .. ... across the entire input voltage and Remote monitoring(1 xRS485 ncl) ... .. ............. _. VSN700 Data Logger(opt)p y p g PVI USB-RS485 232(opt.) output power range. Wired local monitoring(1xRS485 incl) - EEnvironmental This outdoor Inverter has been Ambient air operating temperature range -13 to+140°F(-25°C to+60°C) 13°F to+140°F(-25°C to+60°C)with °F It t0 .....:......................................................... i i derat n .......... designed as a completely sealed unit ....... .............................................................................................................................................................................................!... a .. .. .l......... ..... Ambient air storage temperature range............................................................-40°F to_+176°F„(-40°C to+80°C)............ 40°F to+176_°F(;40°C to+80°C) withstand the harshest environmental Relative humidd 0 100%RH condensin 0 100% RH condensing Y.. .... ... .... . ....... ... .. conditions. Acoustic noise emission level..................................................................'................................<50 db..(A).®.m..................................................................<50 db..(A)..®?.m.................................. 560 ft 2000 m Maximum...... ing..altitutde without der in ................................................................6560 ft(2000!n)..............................._i................................s..............(................_).................................. L.iLI OD OD .... ... p ..... ............ ... Power and productivity 2.Inverter can apply that much current-Breaker vrill open for a better world'" PR,0)01) - � 2 ABS Solar Inverters I Product flyer for PVI-5000/6000-TL-OUTD- - - Tom'` ® p' ® Next-Level PV Mounting Technology =�SOlafCity ZepSolar Next-Level PV Mounting Technology ' SOlafClty ZepSolar 9 gy Components ZS Comp � . for composition shingle roofs tea" o o R r • r rMounting Block Array Skirt Interlock Part No.850-1633 Part No.850-1608 or 500-0113 Part No.850-1388 or 850-1613 Listed to UL 2703 Listed to UL 2703 Listed to UL 2703 s Flashing Insert Grip Ground Zep V2 Part No.850-1628 Part No.850-1606 or 850-1421 Part No.850-1511 Listed to UL 2703 Listed to UL 2703 Listed to UL 467 and UL 2703 QpeMVATjDu` - - Descri tionPV mounting solution for composition shingle roofs A � Works with all Zap Compatible Modules . OP Auto bonding UL-listed hardware creates structural and electrical bond • ZS Comp has a UL 1703 Class"A"Fire Rating when installed using modules from any manufacturer certified as"Type 1"or"Type 2" " Captured WaS er Lag End DC Wit Clip U` LISTED f ' * Part No.856-1631-001 r Part No Part No.850-1509 - Specifications t 850-1631-002 (L)850-1586 o�850-1460 . Listed to UL 1565 850-1631-003 (R)850-1588 or850-1467 • Designed for pitched roofs 850-1631-004 • Installs in portrait and landscape orientations �, r • ZS Comp supports module wind uplift and snow load pressures to 50 psf per UL 2703 f e • Wind tunnel report to ASCE 7-05 and 7-10 standards • ZS Comp grounding products are UL listed to UL 2703 and UL 467 I. - • ZS Comp bonding products are UL listed to UL 2703 • Engineered for spans up to 72"and cantilevers up to 24". • Zap wire management products listed to UL 1565 for wire positioning devices Leveling Foot ,. Part No.850-1397 zepsolar.com r zepsolar.com Listed to UL 2703 This document does not create any express warranty by Zap Solar or about its products or services.Zap Solar's sole warranty is contained in the written product warranty for This document does not create any express warranty by Zap Solar or about its products or services.Zap Solar's sole warranty is contained in the written product warranty for each product.The end-user documentation shipped with Zap Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely each product.The end-user documentation shipped with Zap Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely - responsible for verifying the suitability of ZepSolaes products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. r. responsible for verifying the suitability of ZepSolar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. Document#800-1839-001 Rev D Date,last exported:April 29,2016 11:22 AM i, Document#800-1839-001 Rev D Date last exported:April 29,2016 11:22 AM . i k Rapid shutdown wiring diagram:2-RSD system Solar inverters 4NooA I o ABB solar system accessor es rapid o sfiutdcwn Rapid •• '• • • applications -�— wouqu�itrr�ll W ` J�_.VString2 E � - -------------i m a: Udky ON J_ r — --- --- ABB rapid i +tavxWDPwiiiiw-- PW F shutdown i ,, dictwrisl< Pvstring.3 x 1lJ-------- The inputs of both rapid shutdown boxes are rated for 25A which allows for single or paralleled string to be connected to one input.On a 2 rooftop system either version of the Rapid Shutdown box,or both,may be.used. Technical data and types Type code Single input Double input )PV source conductor input ..Max input.current.(per input)..................................................i..........._............................................................................................22,5A p/25A, ..m.......... ....................................................................................................... Maxinput volts.�8....................................................................................................... 600V Numberof PV source/output..pairs.......................................................................................................................................................... ..........................................2 N .................................................... Conductor size 14-8 AWG WV output conductors output Numberof PV output circuit pairs................................. ..................._..............................:_1..._........................................ ..' ......_................................?._........................ .. ........................................ Conductor size 14-8 AWG ItAntrol power - ( Power consumption <3sW/24V/0 15A <7 2W/24V/0.3A ...................... ....... ....... ... .... ... ... p Power conductor size 18-16 AWG Number of RSD boxes allowed per power supply i 4 i Environmental I Mounting angle — Dimensions L x W x D. 7.t x6.7"x2.0^ - 9.990,,,,,, .. TBD offers a low-profile behind Two models are available to cover Highlights: ...... .................. ............._....................................._...................,.............. ........_..............................2.2iti.....................................................,.......................................................TBD ABBnow o P Wei 9.............................................................................................i..............................................................................................................e......... ..... ..................................... .................................. all system configurations;including — Meets NEC 690.12 while avoiding Operatin temperature ran a -4o C to+75'C the module rapid shutdown solutionY g 9 0......................................._9...................................................;........................................, for 600V systems.This product a single Input/output version and a the cost of additional conduct making „ Enclosure ratin.9..................................................................................................................................................................... NEMA 4X provides a fail-safe solution for two-input/two-output version. this solution the most cost-effective Certifications Uu741:2010,FCC Part 15 Class B )Warranty emergency responders to eliminate. The unique features of each box rapid shutdown product available Standard warranty 5 Years voltage at the PV array in compliance can be used to maintain the specific — NEMA 4X enclosure provides added Wallable models I with NEC 2014 Rapid Shutdown code configuration of the PV system. protection from the harshest rooftop Ra �d shutdown kit ... 1PN6 Ha zkit Rs2 2PN6 Ha kd p 9 y Rapid shutdown(box onl..�..... 2...... ... ....... .. RS2-2PN6 Fi4...... y................................................ ........ requirements. Dual outputs in the box maintain the conditions Rapid shutdown power supply kit i PSK1.3 benefits of ABB's dual MPPT inverter — The 25A rated inputs allow for Information in this document is subject to change without notice The ABB Rapid Shutdown system channels,while the single output box is paralleled strings to provide requires no extra conduit;minimizing perfect for small PV arrays utilizing one additional savings by reducing the additional material cost and MPPT channelor systems requiring two number of DC conductors to the Support and service For more information please contact ©Copyright 2016 ABB.All rights y q g associated labor. rapid shutdown boxes. inverter ABB supports its customers with a your local ABB representative or visit. reserved.Specifications subject to Shutdown occurs at the rooftop box To further reduce system cost,the input — New low-profile,behind the module dedicated,global service organization change without notice. when utility power is lost or when the channels are rated up to 25A allowing design improves the look of the in more than 60 countries,with strong www•abb.com/solarinverters PV system's AC disconnect switch is paralleled strings on one input. overall system by keeping wire regional and national technical partner opened. management behind the array networks providing a complete range of www.abb.com The Rapid Shutdown box can mount life cycle services. directly to the PV mounting rail or PV module and lay parallel to the roofing titvw.roaeu surface.The NEMA 4X design permits e us installation angles from 0-900 while maintaining its water-tight seal from This device is shipped with the mounted snow and driven rain. AM ���� certification mark shown here. Power and productivity for a better world`" 2 ABB solar inverters I Product flyer for RSD with Zap bracket for 600V applications ,-�I: __ �.. . : _ _ ._ _ ..... . -9- • �. Lam• E powered by } • - • ® • The new high-performance module Q_PEAK-G4-1 /'SC is the ideal solution for all applications thanks to its innovative cell technology Q_ANTUM ULTRA and a black Zep CompatibleTM frame design for improved aesthetics, ® ® ® easy installation and increased safety_ The world-record cell design was ®®� developed to achieve the best performance under real conditions — even ®®� with low: radiation intensity and o_ n clear, hot sum Imer days_ a LOW ELECTRICITY GENERATION COTS Higher yield per surface area and lower BOS costs thanks to higher power classes and an efficiency. rate of up, to 18.6 %. INNOVATIVE ALL-WEATHER TECHNOLOGY Optimal yields, whatever the weather with excellent low-light - and temperature behavior., + ' ENDURING HIGH PERFORMANCE p00 Long-term yield security with Anti-PIS Technology' , - QCELLS l � k .+ YIELD SECURITY - Hot-Spot-Protect and Traceable Quality Tra.Q-rm. TOP.BR.euvo•Pv. he A RELIABLE INVESTMENT GIs - i ` Inclusive 12-year product warranty and 25-year 2 linear performance guarantee2_ �t v Q�,OMPATj�I PA�st�sss _. r � � QCEllS a. Y. Bast polycrystalline solar modulo 2014 Q.PRO-Q2 235 f 1 APT test conditions: Cells at -1500V y against grounded, with conductive me— tal foil covered module surface, 25"C, THE IDEAL SOLUTION FOR: 168 h I 2 see data sheet on rear for further Rooftop arrays on residential buildings a information_ Engineered in Germany ' CE LLS Format x x 65.7 in 39.4 in 1,57 in (including frame) <„g 1 37.40 (950 mm> (1670mm x 1000mm x 40mm) - s o.i�r<4.s Weight 44.09Ibs (20.0 kg) 6.mo m^Epo, s. mm, Front Cover 0.13 in (3.2 mil thermally pre-stressed glass with anti_reflection technology �P,od „oee' t 37.24 (946 mm) Back Cover Composite film ^J 4�.24-(i2oomm> ^^e Frame- _ v_ Slack anodized aluminum Sea-<n000mnv y Ilyy Cell^ 6 x 10 m o n oc rysta I I i n e Q,ANTUM ULTRAs lar cells Junction box 2.60-3.03in x 4.37-3.54in x 0.59-0.75in 4 exom,^nEatio,a, - _(66 77mm x_ 111-90mm x 15-1<;)rl Protection class IP67, with bypass diodes { Cable 4mmz Solar cable; (+) 47.24in~(1200mm), (-) 47.24in (1200mm) I _(4o ^ , oerA,�A Connector Multi-Contact MC4, IP68 I ,-062-`2"^^' - 0- �o.3s4-•(s ^, i POWER CLASS 295 300 _,.« _. _ _ 305 -+ - _ MINIMUM PERFORMANCE AT STANDARD TEST CONDITIONS, STC' (POWER TOLERANCE 5 W/-0 W) _ Power at MPPz - -- - P,,PP - CW] 295 300 305 I Short Circuit Current" Isc [A] 9.70 9 77 9 84 - - Open Circuit Voltage- - Voc _ CV] 39.48 __• 39.76 c Current at MPP- Impp - CA] 9.17 L 9.26 9,35 - - _ _ - - --32 ,41 1 oltage at MPP VmPP Vl _ v _. ltag i C Efficiency2 n �%] ._ _ _ 32,19 _ z 17.7 z 18.0 z 18 3 MINIMUM PERFORMANCE AT NORMAL OPERATING CONDITIONS, NOC' - _Power at MPPZ P-PP -[W] .218_1 _ -. _ 221.8 225.5 l= Short Circuit Current Isc -- (Al _ 7.S2 --- 7.88 --7,94 345.92 37,19 37.46 Open Circuit Voltage- Voc CV] � Current at MPP'x IMPP [A] 7.20 7,27 7.35 Voltage at MPP- VmPP CV] 30.30 30.49P f _ 30.67 11000 W/m2, 25 'C, spectrum AM 1.5G Measurement tolerances STC 3 %; NOC 5 % 3800 W/mz, NOCT, spectrum AM 1.50 "'typical values actual values may differ Q CELLS PERFORMANCE WARRANTY - PERFORMANCE AT LOW IRRADIANCE i z ' s At least 9a, of nominal power during first year_ o i e Thereafter max. i % degradation per year. s e -- ------------------ ------ At least 92.6% of nominal power up to 10 years. W ,00 -- ------- aAt least 83.6/ of nominal power up to 25 years. •- s eo ------------------ s z I _ All data within measurement tolerances_ S eo --- ------'------'------ J . o II li i' Full warranties in accordance with the warranty terms of the Q CELLS sales organization of your so respective country. zoo 40o 60o sao ,000 ` o a - IRRADIANCE[W/m2] zi ' 20 Typical module performance under low irradiance conditions in o YEARS - comparison to STC conditions(25�C, 1000 W/mom), ...,n cna a gc P a,. co^ ^ago r ^zoia a ac.saN mea.zoia, - � •s,^.,ao.a cams oc e ^rn., or me io oa^gas �..,..__... ..�_.'. ... --..,-._ .,�:,���..- _.,.- �. •. �..._..- �-.,.-..- ^ -_"_--...ram.....--,_.�..m.., .._.-......,._.__ __.��_Y _.. - �. ,_-v_ �... ,. .., _- .. - �..�_ .....,. -.. ... .r.. - ... .... --.'__..�, _ . TEMPERATURE COEFFICIENTS - I Temperature Coefficient of Isc cl C%/K] +0.04 Temperature Coefficient of Vac _ -- R - /K._ --, ___ �,� 28- o Temperature Coefficient of PmPP Y C%/K] -0.39 Normal Operating Cell Temperature y NOCT� C CIF] l- _ 1 13 t 5.4 (45 t 3_C) ■ , :1=9=11111 Maximum System Voltage Vsrs CV] 1000 (1 EC) / 1000 (U L) Safety Class - - __ _ _ _ _, T _ -- 11 Maximum Series Fuse Rating CA OCl 20 Fire Rating C (I EC) / TYPE 1 (U L) Design load, push (UL)2 Clbs/ft2l 75 .(3600 Pa) Permitted module temperature -40'F up to +185'F W on continuous duty (-40'C up to +85'C) e - _ Clbs/ft=] `55.6 (2666 Pa) z see installation manual Design load, pull (UL)2 - E � UL 1703; CE•compliant;• - Number of Modules per Pallet - 26 5 IEC G1215 (Ed.2); IEC 61730 (Ed-1) application class A - Number of Pallets per 53' Container � _ -~ 32 LpMPN) Number of Pallets per 40' Container _ 26 0 c us Pallet Dimensions ( L x W x H ) 68.7 in x x 45.3 in x 46.1 in FA �'wn,vc�0 (1745 mm 1150 mm x mil 170 m Pallet Weight _ _... _..-_ 12541bs (569 kg) o NOTE= Installation instructions must be followed_ See the installation and operating manual or contact our technical service department for further information on approved installation and use of this product. Hal Q CELLS America Inc_ - .. 300 Spectrum Center Drive, Suite 1250, Irvine, CA 92618, USA I TEL +1 949 74S 59 96 1 EMAIL inquiry(95Dus_q-cells.com 1 WEB www.q-cells.us