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Home My WebLink About0101 GROVE STREET -4.... �4�/ � i �� r i I�� L;� II; ��, i i _ � ;1 I i _ i { 1 i �, _ a ___-_- -- _r. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued 1.01 V-7 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis pLf-(t3 Project Street Address ,o Village ��, Owner Y,-a- Dt h� V 60111 Address Telephone Permit Request — ' Z0 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documeotation . Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ N ', •� g g o On Old Kin s,Hi Highway: ,.C�J Yes ❑ No,+ g a -�g y �. Basement Type: 0 Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) �= Number of Baths: Full: existing new Half: existing nevvP, 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 Zous Telephone Number rt5og Address �` ��L� �G� License # Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE G p' v FOR OFFICIAL USE ONLY APPLICATION# DATEISSUED MAP/PARCEL NO. s 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. T7w C'taaummopmM gfMassachuseft i Depart rqf�€wukFfti d.,4ccidents f�,�iz;et5f� tzgatiorrs . 600 Wmhk-ton Street Boston,,MA 02M ww w.7nass:gov1dia Workere CampensafirnInsurance davit Builders/Cantractnrs/EiectricianslPlumbers Ir>farmatian Please Print Legibly Name OlSiE eW6I��: ' Adiiress City/StateI : ant;g: FOR A2 — ZO-21/ r .. Axe you nit employer? et 1r th appr Ovate boz: T of project r 4: I mu a contractor and I 3'� �'. 3 {��red}: - - - ❑ �� 1.❑ I am a employer with 6_ ❑New employees{i`nlI a4dlorgart#ime}* have the mi� I El I am a sole proprietor orpartner- listed on the attached sheet 7. ❑Remodeling ship and have no employees Them mb-confractars have g- ❑Demoktioa T w� far me in any capacity. employees and have worlom' 4 ❑Building addition [No workmrs' coIDp.iasm-dnre camp.m� al 5. ❑ We area corporationand its 10..❑Electrical repairs or additions pecFair3.UZI am a hoomeown�er doing all work ofbcen hn-,e amercise�d their 1 f-❑Plumbing repairs or additions myself[No war1M'�p sight.of exemption Per MGI 12_❑ of repairs c-154§1(4},and we haw 13_ other GP employees.[No worieem' comp_insurance required.I Any slxpb that checks boa*l must also fM out the * section below sh»teiag their wo3sea'compeasafioa polir3 inibr�ctiun �oMev IL=vrho submit Cites sfflcL�v Md1csdtg dIZY a-e doing=II tsr_i:end&Mi hire Outside contract M Est submit a new sfdss t" ;add stub_ --TCoubmMrs that check this box mmrt attached an sdditinnA sheet azwk g the name of&a mb-rocs and state whether ornot thas-a entities fizve employees. If the sub-conttadms bare employees,dtey Muir giDuide Breit warps'COMP.policy number- lam arz empinyer fhrrtis prong it�orke.rs'conga nmn on uzsrtrazzce for nzy employees Below is She pa£icy and job site infornafialL Insm- Ice CiompanyName: ' Policy 9 or Self-ins_Inc Pxpi ationDate: Job Site Address Ctfy/StatelT_tp: �� Attach.;i c-opy of the vmrkers'compensation policy decIara ou page( •a g the policy number and expiration date}. Failure to secure:caverage as requiredimder Section25A of MGL c. 152 can head to the imposition ofcriminal Penalties of a fine up to$1,500.00 and/or one-year impzi o�as well as civil penalties in the firms of a STOP STORK ORDER-and a fine of up to$250.00 a day against the violator. Be advised that a soggy of this statement maybe fnrwarded to the Office of lu estigations of the DIA for instnmce coverage verfficatiorl_ I do hza by cerfi ender thepd7is and ena£ifes ofper.myy that the inforrairtivnpratider£abmw is hus and correct Z� Siena, r Date: phone# Q cial use anly. Da nit write in flies area,fa be cQuVAad by cif or town of icrat City or Town: PermidUcense# Issning Authuritg(circle one): 1.Board of Health 2.Building Department 3.Citylrown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone f#: 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees, Pursnautto this statute,an errrployee is defined as".._every person i a the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checl®g the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificaie(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees;a policy is required.. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation ofiasurance coverage. Also be sure to sign and date the affidavit The affidavit shoui_d be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or i f you are required to obLu-i a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which wM be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(ifne=ssary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the,affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for Riture permits or licenses. A new 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 venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a calL The Department's address,telephone and fax number. The Commaawean of M ssachusttt� Depazim-nt of Ind al Aocaidents 6GG Wasbingtan Street Gaston,Imo.02111 Tel,#617 727-4.900 wft 406 or I 977-hLASSAFE Fax#617-` 27-7749 Revised a-z4-o7 . www.masgov/dia Town of Barnstable u' Regulatory Services �oF roit,` Richard V.Scali,Director P ° Building Division sARNST" Tom Perry,Building Commissioner 1 �� 200 Main Street, Hyannis,MA 02601 prEo�t.�a www.town.barnstable.ma.us' Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: i/_�o JOB LOCATI N: ! / Cc f number t village "HOMEOWNER": Aaffya a name home phone# wo p ne CURRENT MAILING ADDRESS: AAA- rer6wwrt 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 constricts more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. _ The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection roce es and req • ements that he/she will comply with said procedures and requirements. gnature of Homeo Approval of Building Official M 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'. e exempt from the provisions of this section(Section 109.1.1--Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,RuIes&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor_ The homeowner acting as Supervisor is ultimately responsible: To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your,community. Q:\WPFILES\FORMS\building permit fomms\EXPRESS•doc Revised 061313 Town of Barnstable Regulatory Services • snxxsT�sre, • MASS. Richard V.Scali,Director z639. 1D�Ev 3 °' Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 -Property Owner Must Complete and Sign This Section If Using A Builder I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) ""Pool fences and alanns are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date QTORM&O WNERPERMIS SIONPOOLS TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION � l Map Parcel 4C ` ' "- lica©ri# Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee �v �Doq Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address /O / to v� Village Owner ✓ �/�-� �9 Address Telephone P-ermit-Request. Coe LAW i Y..'s. �0_, Square feet: 1 st floor: isting�L proposed 2nd floor: existing propo ed/�Tota w Zoning District Flood Plain _ Groundwater Overlay' Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family ((## units) Age of Existing Structure Historic House: ❑Yes a o On Old King's Highway: ❑Yes a o Basement Type: ®'Full ❑ Crawl ❑Walkout ��❑ Other Basement Finished Area (sq.ft.) j O 0/0 Basement Unfinished Area (sq.ft) Number of Baths: Full: existing Z/ ��ew .flo Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing A-new First Floor Room Count Heat Type and Fuel: ❑ Gas C1OiI ❑ Electric 77 ❑ Other Central Air: ❑Yes 21 �_o Fireplaces: ExistingAr-1/ New Existing wood/coal stove: ❑Yes 6<0 Detached garage: O existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new sizeCD Attached garage: ®'existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: LO =a Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ 0 Commercial ❑Yes ❑ No If yes, site plan review# ! Current Use Proposed Use "' - r— APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone S Address tyd, License# C?Y Z O -Z_ ' Home Improvement Contractor# Tf Email o c� +�- Worker's Compensation # 3 k4 2 I ALL CONSTRUCTION DEBRIS RES LTING FROM THIS PROJECT WILL BE TAKEN TO A' SIGNATURE DATE Abel . y FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE ' OWNER i DATE OF INSPECTION: - i FOUNDATION i FRAME ' INSULATION FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DAT&CLOSED OUT x A$-,5p.aWMON PLAN NO. r ' ti ne Crrmmanwealth r�,f MMaysackuse& OfJfwe of 1lnvestrgations 600 WaskingtoR Strwt -- $ostor4 MA 02111 ?vmLmamgovldra Workers'.Compensation Insurance Affidavit Blizilders/CDnh aie.Wrs/EIectricians/Phunbers Applicant Information Please Print Na= G ` Addrt fL Ceve_f Citw �6 E,� 00 Are you an employer?Cheek the appropriate box: . . Type of project(required): i.❑ I am a employer with 4_ ❑1 am a general contractDr and I P°� . 6_ ❑ ctanstitucEan layees(full audlarpart-tune).* have hired the sub-contractors 2. I aria sale proprietor arparEuer ship and have listed.on the attached sheet. 7_ Remodeling ve no employees These sub-contractors brae g_ ❑Demolition wcddn a for me � dY-in c employees and bn-e woikers' a - - [No wOrl='comp.is�saranre camp_msman e i 9_ ❑Building addition required.] 5. ❑ We are a corporation and its 10.0'Electrical repairs or additions 3.❑ I am a homeaumer doing all.work officers have exercised their 11_[Iurdbing repairs or additions myself [No workers'comp- riot of exemption per MGL 12.ElRoof repami instuartce re uimd]1 c_ 152, §1(4X and we have no employees.[No workers' 13_❑Other comp_insurance required_] `Any upplicaur dirt checks box III must also fill out the-section below,showing their vmrkere ca®pensatiog.policy iafornastiaa #Homeowners who submit this K fidmra mdwzbng they are doing all wmk aa,d then hoe oaw&contractors matt submit a new affidavit indicating sudL ICazrnctarsII=rheck this box attached anadditianalsheetshowingthenameofthesub-cumtraTtonaidstatewhetherornutthoseentitieshave . employees. Ifthe sub—=tractors have employees,they n=provide their workers'comp.policy number_ I am an emphp w that is prm idrng warkers'cor gwisrrtian irmirance for my enrplvyees. Below is tJte po8ry and jab site frtfotnzation. Insurance Company Name: � 7 /�/(��/Jl�+e� Policy#or Self-cgs.Inc.#: ll U� o S ./ d�'/1 Expiration Date: �✓l' Job Site Address: /o/ C-r-h B �/�° S� citylStatelzip• Attach.a copy of the workers'compensation policy declaration page(showing the polity, in .and respiration date.). Failure to secure coverage as required under Section 25A of MGL c 152 can lead to the imp sikion of criminal penalties of a fine up to$1,50G_OG andlor one-bear mapdsonrnenu as well as civil penalties in the form of.s STOP WORK ORDER and a fine of up to�250-00 a day against:tine-violator- Be.advised drat a copy of this statement sway be£x nlwded to the Office of Investigatitms ofthe DIA far issuranm coverage vetcation_ r Idio hereby , 5,under and s afpeduty that the info rsftatio n prmirFedtrbos�is l'rz/ca and.correct Si' - Date: Phone it: t) ciai usa only. Da!tart write in this area,irs be crrmpl`eted by city or fawn aciat City or'Town: PermitUcense.-9 Issuing Authority(circle one): 1.Board of Health.2.ceding Department 3.{�yffow n Clerk d.Electrical Inspector 5.Plumbing Enspector 6.Other Contact Person• Phone#: 6 ar{ment of Public Safety u usetts=Dep Standards Massach wilding Regulations and Board Of 8 SUP".",r Constru.ction License; CS O42027 CI 1,J Ayo NU 14 CYGNI T R� vv ®UT$ Expiration �ss . 08123 mm12015 Co e �s°f. 'y Bu�d� 0 C, ed 00 �t5st35, . 1e Space- . a55a�h�sett5 e� d;tr4n°f t t on of this i�c 10 os5es5a src use+O�rev Mass °vIops. e Fst`e B��ding n°�a to�ma��o�vs��'• ` , `\c� Q2en�inrrxaecclC�o�C�/l/laJ�crc�iccJe .,' Office of Consumer Affairs&Bu ness Regulation. ME egistrationOV EMENT CONTRAt,TOR lh20t; Type �. XPiration: 9/17/2016 I1Yi ividual MICHAE{:J..ARONNE MICHAEL ARONNE 14 CYGNrT RD W.YARMOUTH,MA 02673 Undersecretary . i, t C a Town of Barnstable. -Regulatory Services AB Thomas R.Geller,Director Building Division �ATEOIM�b . Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town,barnstable.ma.us Office: 508-862-4038 Fax, 508-790-62.30 Property Owner Must Complete and Sign. This Section If Using A Builder , I, , asIer of the subject property . hereby authorize ' E 9�&iV Z to act on my behalf, in all matters relative to work authorized by this biulding permit application for; o < - Gko0-p (Address of Job) 4atze of Owner D e ,�� hc� , rint Name QFOR►MO vTNERPEPIMSION _ 1 r ' s j - IA 22�1 T3. r C,,.. Devlin Desig � 77 H r. i 01,-�W. - � W t . 110 MPH EXPOSURE- S WIND, ZON4=-� ��t �lq✓� *�� Bracing Gable End Walls . WSP Attic Floor Length................................................. (Figure 11)................................_.ft >_W/3 Gypsum Ceiling Length.................................::.............. (Figure 11)............................._ft. >_0.9W Double Top Plate SpliceLength...............,.................... ........................... (Figure 13)......................................... —ft. Splice Connection (no. of 16d common nails) .............. (Table 6).................................................... Loadbearing Wall Connections Uplift. (proprietary connectors). .................................... (Table 7).....................................U = lb. Lateral_(no. of 16d common nails) ...................... .... (Table 7) ...... .................................. Non-Loadbearing Wall Connections Uplift. (proprietary connectors)...................................... (Table 8).....................................U = lb. Lateral (no. of 16d common nails) ................................ (Table 8)................................................ Wall Openings Header Spans............................................................... (Table 9).................:.......—ft._in.<_ 11' Sill Plate Spans............................................................. (Table 9) ....................... —ft._in.<_ 12' Full Height Studs (no. of studs)...........................:......... (Table 9)................................................. Connections at each end of header or sill Uplift. (proprietary connectors)................................(Table 9)............................... lb. Lateral (proprietary connectors)............................. (Table 9)............................................. lb. Wall Sheathing . Minimum Building Dimension, W SheathingType...................................................... (Table 10).......................................... Edge Nail Spacing.................................................. (Table 10) ...................................... in. FieldNail Spacing................................................... (Table 10)......................................... in. Shear`'6onnection (no. of 16d common nails) ....... (Table 10) ................... ...................... _ Hold Down Capacity...........:................................ (Table 10) ........................................ _lb. Percent Full-Height Seathing. . .... ................ (Table 10).............................................. ...... ..... _ Maximum Building Dimension, L . Sheathing.Type.::..............................................:.... (Table 11) .................. ........ Edge Nail Spacing.:................................................. (Table 11) ................. in. Field Nail Spacing...................................... (Table 11) ...................................... in. . Shear Connection (no. of-16d common nails)........ (Table 11)...:............................................ Hold Down Capacity... ........................................ (Table 11)'........................................ _lb. Percent Full-Height Sheathing................................ (Table 1 1).:.......................................... Wall Cladding Ratedfor Wind Speed?......................................................................................................................... 501- ROOFS Roof framing member spans checked?...............................(/RC or-WFCM).............:............................... Roof Overhang.......................... (Figure 19).......................... ft.<_2' or U Truss, I-Joist, or Rafter Connections at Loadbearing Walls Proprietary Connectors.r, ,l Uplift. ...... : ............. (Table 12)...................................U = lb. Lateral.............. .. ... (Table 1.2) _ Shear................................... ... (Table 12) Ridge Strap Connections—Tension ................................... (Table 13)....................................T= plf Gable Rafter Outlooker....................................................... (Figure 20)...................._ft. ft. <_2' or L/2 Outlooker Connections at Non-Loadbearing Walls Proprietary Connectors - Uplift. ..........................................:........................... (Table 14)...................................U = lb. Lateral....... ..................................................... (Table 14)....................................L= lb. Roof Sheathing Type............:............:................................(IRC or WFCM)............,.......... ... Roof Sheathing Thickness.............................................:..............................................._in.>_3/8"wsp Roof Sheathing Fastening................................::................. (Table 2).................................................. AMERICAN WOOD COUNCIL 4,•. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 5 BUILDING CREPT Application # p� Health Division Date Issued /Z--//J /� Conservation Division DEC 14 2016 Application Fee Planning Dept. TOWN OF BARNSTABLE Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 1Ql (roy& S L, ' P 01601 Village��IS Owner Lam. L�a4Sba Address 161 &ro V� S i, Telephone�� 13a, 3 Permit Request L 6 p c� ©i'r a Safes rx,nd �n � v�� ,� r(___ �LeA PIZ S01IT-C a _ U N 00.n e g 5 I n�—�e S 1 eQ� if ( r Do I 15 l 9 95 041 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District �a� e, Flood Plain Groundwater Overlay Project Valuation fPConstruction Type PUS ar SyS6 Lot Size I I Z / Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes JNo On Old King's Highway: ❑Yes t/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 V n n LAC, ��jl IQ,- Telephone Number ( 7 32) 35-4 —3 111 Address �i o �r sL r 3 License# CS C)11 ny-1 akl A6,m �M A (o Home Improvement Contractor# Email Pkksfmac, Ski [n, WO-r, nz Worker's Compensation # Al C ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO M S Q c, MA na]M SIGNATURE DATE �� / FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. 4 ADDRESS VILLAGE ' 4 OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDINGC&,-5WI-�7 DATE CLOSED OUT ASSOCIATION PLAN NO. f L. 1 2 3 4 5 SHEET INDEX PHOTOVOLTAIC SYSTEM PV0.0 COVER AND SITE PLAN PV1.0 GENERAL NOTES UTILITY INFORMATION: PV2.0 ARRAY LAYOUT METER NUMBER: 2295597 V ® PV3.0 LINE DIAGRAM ezi SYSTEM SIZE: _ - - � PV4.0 LABELS A AC/DC kW STC: 5.361 kW\5.985kW A 1 KEY: PROPERTY LINE EQUIPMENT: CONDUIT RUN INVERTER ��` /y� ®�(/ O Q PV MODULES: (21)Trina Solar TSM-285DD05A.05(I I) ""'� DRIVEWAY FENCE SUBPANEL. Q DC DISCONNECT INVERTER(S): (1)SolarEdge SE5000A-US FIRE CLEARANCE Q AC DISCONNECT ® wsI eExe STRUCTURAL UPGRADES GIBOJUNCTION BOX O SOLAR MODULE ❑° MONITORING UNIT SCOPE OF WORK: MAIN SERVICE PANEL ❑� COMBINER BOX INSTALLATION OF A SAFE AND CODE-COMPLIANT D/�)V ❑ UTILITY METER ❑ ROOF GRID-TIED SOLAR PV SYSTEM ON AN EXISTING EwAY ❑^" PV METER OBSTRUCTION .RESIDENTIAL ROOF TOP. j _ APPLICABLE CODES: O 2014 NEC CO 2009 INTERNATIONAL CODES WITH MA AMENDMENTS B _ CONTRACTOR INFORMATION: B SKYLINE SOLAR BRIDGEWATER 95 RYAN DR. RAYNHAM,MA 02767 ROOF MOUNTED CONDUIT JURISDICTIONAL INFORMATION: BARNSTABLE,TOWN OF 200 MAIN STREET, / HYANNIS,MA.02601 - NOTES TO INSTALLER: 2 a U R (E)MSP INSIDE CLOSET INSIDE BASEMENT FOR INSTALLER USE ONLY _ POST INSTALL SUNEVES REQUIRED? NO Q I CERTIFY THAT NO CHANGES HAVE C BEEN MADE TO THE ARRAY LAYOUT: CUSTOMER INFORMATION: LAURA RICHARDSON 101 GROVE ST HYANNIS,MA 02601 (508)292-6211/#3108531 SITE PLAN - N SCALE: N.T.S. DESIGNED BY: REV#:I DATE: PV-0.0 YAZAD.SU 1 0 12/2116 SUNGEVRY INC.66 FRANK IN ST SUITE 310 OMIAND,CA B 07 BYY DSUI 0.--Laombn RChON -3 ICBM ISVIS 1Str IIx17 THESE DNAYANW,SPECIFICPTONS,AND DESIGNS ARE THE PROPERTY OF SUNG-INC.10 PRFTSHALBE COPIED DRUSED FOR ORWMANYOTHERWOWt OMER THAN MESPECIFIC PROJECT FOR NMICHTHEY HAVE BEEN DEVELOPED WITHOUT OUR WRITTEN CONSENT 1 2 3 4 5 GENERAL NOTES. ELECTRICAL NOTES: GENERAL NOTES: El.MAXIMUM VOLTAGE DOES NOT EXCEED 600VDC,AND DC EQUIPMENT SHALL BE RATED FOR AT LEAST 600VDC. Nl.DRAWINGS ARE DIAGRAMMATIC ONLY.THE LOCATION AND ROUTING OF RACEWAYS - - SHALL BE DETERMINED BY THE CONTRACTOR UNLESS OTHERWISE NOTED OR E2.ANY EQUIPMENT OR ELECTRICAL MATERIALS USED FOR THIS INSTALLATION SHALL STANDARDIZED. BE NEW AND LISTED BY RECOGNIZED ELECTRICAL TESTING LABORATORY. _ - N2.IF A DISCREPANCY IN QUANTITY OR SIZE OF CONDUIT,WIRE,EQUIPMENT DEVICES, E3.AN INVERTER IN AN INTERACTIVE SOLAR PV SYSTEM SHALL AUTOMATICALLY - A OVERCURRENT PROTECTION,GROUNDING SYSTEMS,ETC.(ALL EQUIPMENT AND DE-ENERGIZE ITS OUTPUT TO THE CONNECTED ELECTRICAL PRODUCTION AND A MATERIALS)THE CONTRACTOR SHALL BE RESPONSIBLE FOR PROVIDING AND INSTALLING DISTRIBUTION NETWORK UPON LOSS OF VOLTAGE IN THAT SYSTEM AND SHALL ALL MATERIALS AND SERVICES REQUIRED BY THE STRICTEST CONDITIONS IN THE REMAIN IN THAT STATE UNTIL THE ELECTRICAL PRODUCTION AND DISTRIBUTION SPECIFICATIONS OR NOTED ON THE PLANS TO ENSURE COMPLETE COMPLIANCE WITH ALL NETWORK VOLTAGE HAS BEEN RESTORED. - CODES AND TO ENSURE THE LONGEVITY AND SAFETY OF THE OPERABLE SYSTEM. E4.ALL PV ARRAYS SHALL BE EQUIPPED WITH DC GROUND FAULT PROTECTION BY N3.ALL OUTDOOR EQUIPMENT SHALL BE MIN.NEMA 3R RATED. INVERTER)(S),AND ARC FAULT PROTECTION IS INVERTER-INTEGRATED. N4.METAL CONDUIT AND ENCLOSURES SHALL BE USED WHERE PV SOURCE OR OUTPUT E5.ANY AC COMPONENT SHALL MEET OR EXCEED THE AVAILABLE FAULT CURRENT CIRCUITS ARE RUN INSIDE A BUILDING. CALCULATED AT THAT COMPONENT. N5.MODULES SHALL NOT BE PLACED OVER ANY PLUMBING VENTS AND AT LEAST 6"ABOVE E6.ALL MODULES AND ANY RELATED ROOF MOUNTED METALLIC EQUIPMENT SHALL FLUSH VENTS. BE PROPERLY BONDED AND GROUNDED. N6.THE ELECTRICAL CONTRACTOR SHALL COMPLY WITH ANY AND ALL REQUIREMENTS E7.ALL WIRE,VOLTAGES,AMPERAGES AND EQUIPMENT 15 SIZED ACCORDING TO GIVEN BY UTILITY COMPANIES. TEMPERATURE DERATING AND LOCATION. N7.FOR ADDITIONAL EQUIPMENT SPECIFICATIONS,SEE PROVIDED CUT SHEETS. E8.ONLY COPPER(CU)CONDUCTORS SHALL BE USED FOR NEW WIRING.CONDUCTORS SHALL BE STRANDED OR SOLID WITH PROPERLY RATED CONNECTORS. N8.'ALL NEC REFERENCES SHALL BE DIRECTLY INTERCHANGEABLE WITH CEC REFERENCES. E9.ALL MODULES AND RACKING SHALL BE GROUNDED VIA UL2703-LISTED RACKING N9.IT IS ILLEGAL FOR ANYONE UNLESS ACTING UNDER THE DIRECTION OF A LICENSED SYSTEM'S INTEGRATED GROUNDING(PLEASE SEE DATA SHEET)OR WITH TIN PLATED PROFFESIONAL ENGINEER OR REGISTERED ARCHITECTTO ALTER ANY ITEMS ON THIS PLAN. DIRECT BURIAL RATED LAY IN LUGS USING STAINLESS STEEL HARDWARE,STAR B N10.THE ENGINEER HAS NOT BEEN RETAINED FOR JOB SUPERVISION. WASHERS,AND THREAD FORMING BOLTS. B N11.ALL OSHA REGULATIONS AND STANDARDS FOR SAFE AND HEALTHFUL WORKING CONDITIONS TO BE FOLLOWED. N12.ALL CONTRACTORS WORKING ON ROOFS TO BE INSURED AS SUCH. STRUCTURAL NOTES: Sl.MOUNTS ARE DIAGRAMMATIC AND EXACT LOCATION MAY CHANGE,BUT SHALL BE ACCURATELY SPACED. S2.MOUNTS SHALL BE STAGGERED WHEN NECESSARY TO EVENLY DISTRIBUTE LOAD AMONGST RAFTERS. S3.DO NOT SPLICE RAILS IN MIDDLE 50%OF SPAN BETWEEN TWO MOUNTS. C CUSTOMER INFORMATION: LAURA RICHARDSON 101 GROVE ST HYANNIS,MA 02601 (508)292-6211/#3108531 DESIGNED BY: IREV#: DATE: PV-1.0 YAZAD.SU 0 12/2/16 SUNGE—INC.66 FRANK IN ST SUITE 310 OMLAND,CAN607 - 9v YAiAD.SUI Dm I.--:Rickel—3108531 SVI B1.1 S4 I Rt 7 THESE DRAWINGS,SPECIFICATIONS.AND DESIGNS ARE THE PROPERTY OF SUNGEVITY INC.NO PART SHALL BE COPIED OR USED FOR ORWITH ANY OTHER WORK OTHER THAN THE SPECIFIC PROJECT FOR WHICH THEY HAVE BEEN DEVELOPED WITHOUT OUR WRITTEN CONSENT . .. 1 ... 2 :.. :.. :.. 3 .. :.. 4 .. .. ... 5.. - - - MODULE SPECIFICATIONS SYMBOL KEY: - - (21)Trina Solar TSM-28513005A.05(II) RAIL .. .. .. .. : .. .. -.. MODULE WEIGHT: - 41 ———'RAFTERS - MODULE LENGTH: 65 MODULEWIDTH: 39.1-'� ROOF ROOF SPECS ... -FIRE CLEARANCE ... .. RAFTER SIZE: :. 2X6 NOMINAL .. Q.......,..:.® STRING CONFIG. I- 'I i It I f f t� I f I I t f f.L I I . RAFTER SPACING, 1167^I I I STRUCTURAL - I I I.. I ' T.. ) ' "..I- I I I I ( ( I .i f ( I I t 11 1 - ROOF MATERIAL: I COMPOSITE SHINGLE .. UPGRADES III- ARRAY I SPECS_ NUMBER OF MODULES: 21 :O SOLAR MODULE TOTAL MOD.WEIGHT - A .. .:. ....... ... :. ..:. :. .: HT(Ibs): A ...® MOUNT...... I I I i 'I .I I ( ( I I I i I I I I I ( I } ( I I I I I I _RACKING WEIGHT(Ibs): .. 97.8 ®; SKYLIGHT t { I : ARRAY WEIGHT(Ibs): 958.8 ARRAY AREA(sgfl): - 370.6 _ ®; CHIMNEYARRAY DEAD LOAD(Ibs/sgfl): 2.6 NUMBER OF MOUNTS: 47 PLUMBING OR - I t i I - I ATTIC VENT LOAD PER MOUNT(Ibs): 20.4 . . . ... ... I ARRAY AZIMUTH(') 193 p ATTIC VENT ARRAY TILT(°) 26 NUMBER OF FLOORS 1. (D!�RRAY-LAYOUT .... _. 16„=1,_0" B NOTE: _ B - MODULES SHALL NOT BE GREATER THAN 8 INCHES ABOVE ROOF COVERING - - 5/16"NUT TORQUE: - - :.:..:. ._.135 IN.LBS.:.:._. .:..: ... .... .. .. PEGASUS CLAMP - - ASSEMBLY' : : - .. : .. SOLAR MODULE w. PEGASUS BASE - ASSEMBLY tNOFM9'W op ti..- ,,. p PA K. COMPOSITE SHINGLE ZA ER S TRUCTURAL y - .. '� ... : .. ... Nob soiOD 4.5" X 5/16"-LAG 2.5 MIN,EMBEDMENT PER SCREW /ONAL C ., .. 2X6.NOMINAL,16 O.C. :. .. :.. .... ' CUSTOMER INFORMATION: LAURA RICHARDSON ROVE ST MOUNTING DETAIL 101GNIS,MA ROOF SECTION H08)292,211/#31 3 (508)292-6211/#3108531 SCALE: 3/8"=V-0" DESIGNED BY: REV#: DATE: PV-2.0 YAZAD.SU 0 12/2/16 EVITYINC.U FRANKLIN ST SUITE 310 OAKIAND.CA B 0T E DRAWINGS.SPECIFICATIONS,AND DESIGNS ME THE PROPERTYOF SUNGI-TY INC.NO PART SHALL BE COPIED OR USED MROR WITH ANYOTHERWORKOTHERTHM THE SPECIFIC PROJECT FOR WHICH THEY HAVE BEEN DEVELOPED WITHOUT OURWRITTEN CONSENT 1 2' 3 4 5 MODULE ELECTRICAL SPECIFICATIONS INVERTER 1 SPECIFICATIONS ELECTRICAL KEY: ft BREAKER METER NUMBER: 2295597 SHOO CIRCUIT Solar CURRENT (tsc05(II) RATEDSOLAR AGE SESAUH):S SHORT CIRCUIT CURRENT(Isc): 9.45 RATED WATTS(EACH): 5000 �— SWITCH OPEN CIRCUIT VOLTAGE(VOC): 39.3 AC OPERATING VOLTAGE IV): 240 SCREW TERMINAL OPERATING CURRENT(IMP): 8.97 AC OPERATING CURRENT(A): 21 m FUSE OPERATING VOLTAGE(VMP): 31.8 NUMBER OF MPPT CHANNELS 0 • SPLICE MAX SERIES FUSE RATING: 15 INVERTER EFFICIENCY: 0.98 2. EARTH GROUND STC RATING: 285 INTEGRATED DC DISCONNECT /77 CHASSIS GROUND PTC RATING: 260.5 INVERTER 1 INPUT SPECIFICATIONS ——— GEC 1DESIGN CONDITIONS NOMINAL CURRENT PER STRING(Inom): g1.9 EGC HIGHEST 2%UB DESIGN TEMP("C): 28 NOMINAL VOLTAGE(Vnom): 350 MIN.MEAN EXTREME ANNUAL DB(°C): -16 MAX SYSTEM VOLTAGE(Vmax): 500 MAX CURRENT PER STRING(Imax): 15 A A - MAX INPUT CIRCUIT CURRENT(Imax): 30 100A MAIN BREAKER (3)#10 THWN-2 (3)#10 THWN-2 (3)#10 THWN-2 (3)#10 THWN-2 (4)#10 PV-Wire (4)#10 THWN-2 (1)#8 GEC (1)#8 GEC (1)#8 GEC (1)#8 GEC (1)#10 EGC (1)#10 EGC 3/4"EMT 3/4"EMT 3/4"EMT 3/4"EMT FREE AIR 3/4"EMT METER AC DISCONNECT, AC DISCONNECT, (E)LOADS (N)SE5000A-US 30AMP, 30AMP, INVERTER W/INTEGRATED NON-FUSIBLE,C-H NON-FUSIBLE,C-H (E)LOADS DC DISCONNECTS DFUSIBL , DFUSIBL B (E)150A Murray MSP 1 STRING OF + LOCUS 30A 2P 240V 2P 3-W 1m p 10 MODULES DC OUTPUT METER LOAD LINEI. LOAD LINE OPT.CURRENT=8.14A cEc_—_ --- —�_ -- ------- --------- — -------- B B -------- + ------- -- ------- ------- 1 STRING OF 11 MODULES �" I INVERTER OPT.CURRENT=8.96A — GEC IRREVERSIBLY SPLICED TO EXISTING GEC OR BONDED DIRECTLY TO EXISTING GROUNDING ELECTRODE (IF APPLICABLE) MIN.NEMA3R UL LISTED JUNCTION j BOX WITH 90'C TERMINAL RATINGS LOCATED ON ROOF C Inom=(11 x 285W)/350V=9A CONDUIT ELEVATION:1/2 TO 3-1/2"=22°C 21 MODULES TOTAL OPERATING VOLTAGE=35OVDC(REGULATED) HIGH AMBIENT TEMPERATURE:28°C 21 x 260.5(PTC WATTS)x 0.98=5361 CEC WATTS CUSTOMER INFORMATION: EXTREME LOW:-16°C LAURA RICHARDSON 150 x 1.2=180 ROOFTOP AMBIENT TEMP(Tcorr):50°C=0.82 SE5000A-US MAX OUTPUT CURRENT=21A 180-100(MCB)=80A CONDUIT FILL(Cfill):0.8 BREAKER SIZE=21A x 1.25=26.25A—»30A 101 GROVE ST MAX ALLOWABLE AC PV BREAKER=80A H 08)292, 21 02601 #31 CONTINUOUS USE=Imax'1.25=15A (508)292-6211/#3108531 CONDITIONS OF USE=Imax/Tcorr/Cfill =15A/0.82/0.8=22.87A CONDUCTOR SIZE FOR 22.87A DESIGNED BY: REV#: DATE: INSTALLATION SHALL USE MIN.#10 AWG PV-3.0 YAZAD.SU 0 12/2/16 9VNGEVRY NC.68 FRMItLIN Si SUFfE S100AxLMD.CP1H60) BYYA}ADRUI THESE DRAWINGS.SPECIFIC-S,AND DESIGNS ME THE PROPERTY OF 3UNGENTY INC.NO PART SHALL BE CONED OR USED FOR OR WITH MY OTHER WORN OTHER THM THE SPECIFIC PROJECT FOR WHICH THEY HAVE BEEN DEVEIOPED VATHOUT OUR WRITTEN CONSENT 1 2 3 4 5 NEC 690.5(c) NEC 690.31(E)3&4;2012 IFC 605.11.1 - INTERACTIVE PHOTOVOLTAIC POWER SOURCE PLACE THIS LABEL ON INVERTER(S)OR NEAR PLACE ON ALL JUNCTION BOXES,EXPOSED GROUND-FAULT INDICATOR(ON INVERTER(S)U.O.N.) RACEWAYS EVERY 10'AND V FROM BENDS RATED AC OUTPUT CURRENT(A): 21 AND PENETRATIONS,ADJACENT TO THE NOMINAL OPERATING AC VOLTAGE(V): 240 MAIN SERVICE DISCONNECT WARNING INVERTER 1 DC DISCONNECT PHOTOVOLTAIC SYSTEM DISCONNECT WARNING ELECTRIC SHOCK HAZARD RATED MAX POWER POINT CURRENT(Imp): 17.1 A IFAGROUND FAULT IS INDICATED, PHOTOVOLTAIC POWER RATED MAX POWER POINT VOLTAGE(Vmp): 350 A NORMALLY GROUNDED CONDUCTORS MAX SYSTEM VOLTAGE(Voc): 500 MAY BE UNGROUNDED AND ENERGIZED SOURCE SHORT CIRCUIT CURRENT(Isc): 11.8 NEC 690.35(F) NEC 690.17(E) PLACE THIS LABEL AT EACH JUNCTION BOX,COMBINER BOX, PLACE THIS LABEL ON ALL DISCONNECTING DISCONNECT AND DEVICE WHERE ENERGIZED,UNGROUNDED MEANS WHERE ENERGIZED IN AN OPEN POSITION CIRCUITS MAY BE EXPOSED DURING SERVICE: WARNING WARNING ELECTRIC SHOCK HAZARD ELECTRIC SHOCK HAZARD DO NOT TOUCH TERMINALS TERMINALS ON BOTH THE LINE AND LOAD THE DC CONDUCTORS OF THIS - SIDE MAY BE ENERGIZED IN THE OPEN PHOTOVOLTAIC SYSTEM ARE UNGROUNDED POSITION AND MAY BE ENERGIZED - NEC 705.12(D)(2)(b) B B PLACE THIS LABEL AT P.O.C.TO SERVICE DISTRIBUTION EQUIPMENT(I.E.MAIN PANEL(AND NEC 690.56(c) SUBPANEL IF APPLICABLE)) PLACE ON RAPID SHUT DOWN DISCONNECT WHEN RAPID SHUT DOWN IS INSTALLED WARNING PHOTOVOLTAIC SYSTEM EQUIPPED INVERTER OUTPUT CONNECTION WITH RAPID SHUTDOWN DO NOT RELOCATE THIS OVERCURRENT DEVICE NEC 705.12(D)(3) PLACE LABEL ON ALL EQUIPMENT CONTAINING OVERCURRENT DEVICES IN CIRCUITS SUPPLYING POWER TO A BUSBAR OR CONDUCTORS SUPPLIED FROM MULTIPLE SOURCES. CAUTION C CONTAINS MULTIPLE POWER • CUSTOMER INFORMATION: SOURCES LAURA RICHARDSON 101 GROVE ST NOTE: HYANNIS,MA 02601 BACKGROUND AND LETTERING COLORS FOR (508)'292-6211/#3108531 SIGNAGE/LABELS SHALL COMPLY WITH(IN ORDER OF PRIORITY)AHJ&FIRE DEPARTMENT AMENDMENTS, STATE CODE,AND ANSI GUIDELINES.THIS PAGE IS DESIGNED BY: REV#: DATE: INTENDED FOR SIGNAGE/LABEL VERBIAGE ONLY. PV-4.0 YAZAD.SU 0 12/2/16 SUNGEVITY INC.66 FRANKLIN ST SUITE 310 CAHtAND.CA SUUl BY.YAIAO.SUI Ome:--Lambn:RlN,obeOn-St08501 SVt Snan THESE DRAw1NGS.SPECIFICATIONS.AND DESIGNS ARE THE PROPERTY OF SUNGEVITV INC.NO PART SHALL BE CONED OR USED FOR OR WITH ANY OTHER WORK OTHER THAN THE SPECIFIC PROJECT FOR WHICH THEY HAVE BEEN DEVELOPED WITHOUT OUR WRITTEN CONSENT THE ALLMAX'OPLus MODULE Mono. Multi Solutions. .. .. .. .. .. .. PRODUCTS POWERRANGE ELECTRICAL DATA(SIC) ,,,f TSM:DD05A.0B(III 275 295W . P k P 1 W tI P IWpI 2'M 275 T 280 285 V 290 `295 .. _ .. -. - - TSM-D005A.051111 2)0-290W -- P O Ip t T P _IW 1 i 0 5 .. - .. ALLMAX P V It g I I 3I.231 31 I 31 8 32 2 325THE p L�J DIMENSIONS OF PV MODUIE Op C,cuit V ItC9 v';(vI IAI 1 38.4 j 3B 7 390 39.3 395_ unitmm/Inches 1 `Q. ^. '1`"' 1-8 Y,- d.r..551 .. .. ... .: e 1 JAI, 918 926� Sh iC {.0 i 9.� 9d5 50 9,55� r ---' '. I n 961 I I65' I68 I]I i] IJ) �-10.0, .. ... _. _._ MO'DU LE __... ( M of EfR Y I; ss _.�.� ,e,H ' � I ranra'.Js6 W/m<e le eT5 a Ar I.5 1: ELECTRICAL DATA(NOCT)m - r 201 20 zl�r 2�1216 mezzo[g{I] 60 CE Ll V II Ie VI 28.9N 242 29 296 299 30.2It S •' P P) SSS .. ....... .... ....... Ma ...Po C t 696 )02 110 ]1] 123 7.28 MONOCRYSTALLINE MODULE P c 1 n g v j)Inl 32 Sao 36.3 36a 3a) -.9 I I e 1. .. .. : - .. _ .• 1, h tC C t IA1- 3 )di t. ]8' 155 ]6316) ].II -- f S U. .� .. - .. - OCI. m.Amo D•C WeW Spaetl - ' 270-295 W - MECHANICAL DATA/ wg.olm T / mroU L J POWER OUTPUT RANGE k Maximize limited space with top•end efficiency `_ 5 1 c II M Plc ne 15Is I56mn,IS h 1' Up LJ 180.I po ie Jbo,ltY g .. Lbw Thermal CagifiC is for glen-af Gn:,rg/'PTOdu.clan al Yi gh ..... - - Coll O la 60 ti( 10), .. .. _ .. �/J opdraf r g tempo atures - a feo;>.I 18 �/0 „ :, _ ! M tl le Oim x16S0 992 35m 1650 39.ix138 hest. - MAXIMUM EFFICIENCY _ w en+ eakg(1oro1 _� l3 m 0.)3 inch N hionsm n ARCodledi m ered Glass r-� GI 2 I 1 g P Highiy reliable due to stringent qualify control + e k heel Wh le(DDOSA.OBIIIII BI kfDDO5A 05V111 � Over 30 house esis(UV,TC.HF:and many more)' � � - " • IL I F me (ODOSA OBIT 1 0005A.05(111) I- O'rr•}5W- ,. �'TJPJ Mus I tn99aeswell beyond.cerlficaior requVemenit ..... .. ; �--- I(10Y EL dquGle lnspecl on .nPa) IP 68,-+d _. .. POSITIVEPOWER TOLERANCE -- Pn f ualcreDnnPlDgv.cdcled.om w m• .00anbn eq4 u. t[ As 9! ..1' t j'1000 13901n n I .4 . 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"••,. _ _ li _ Modules Per aO iolna1840pieces .........__ ........... C . G USON READ SAFETY AND WSTII ON NSIRUCTO SUORE US NG INEPRODUGT. '�iAmasolar Twinasolar n d1, =Pb,NmLtl A tl nlh,tlala,n�Ima,e6�llar aa,A��al Elko F Smart Energy Together - Smart Energy Together - 1 olar Single Phase Inverters for North America solar SE3000A-US/SE3600A.US7.SE5000A-USISE6000A-US/. W SE760OA-US/SE10000A-US/SE11400A-US SE3000A-US SE3800A-U�SE5000A-US..SE6000A-U�SE7600A-US SEIOOOOA-US..SE11400A-UST _ OUTPUT - SolarEdge Single Phase Inverters o N.minzIACPo Output 3000 3800 5000 6000 7600 19080@28V, 11400 VA 5400 h b000 350 11D89050D @(d 22M10°R"V 1 D00' VAMa AC P Output 3300 8 4 "For North America R4150 AC Output V I[ MP N .. .. 183 208 229 V - ....... ..... S.E3000A-US/S.E3800A-US/.S.E5000A-US/.S.E6.000A-US/. . ..- AC Culp t VOILage M n,No M J J J •J .. .!.... J. ...-✓.... .... S.E760OA-US/S'E10000A-US/SE11400A-US' 211 znB 2.. .. .. ACf eq etryMn Nom;Ma 593 60 ... H Max.0 nbn 50[P[Current •• - 12 5 1G 2n @ 20 25' 32 8 @ 208 11.5 A ... .,�.... .....I..21 240V.I....... .. ..... ....I.;72,@,,2AOV...I.. ......... - ••GFDI Thresh Id .. •.• ...... 1 •..•A..... .......V....^ ..... ..... Me t,.,81.I d gP t'ti C unt�Conhgurabl.�1 holds Y ,,.. .. ... Yes 4 INPUT T ^rC M um DC P- tSTCI a050 5t00 G750 I R700 10250�— 13500 .,15350 W. ,. v . '„..:-: -Z I \Z�6,�, .. M IptV It♦r 00 .. .. .... Vd N9T.OC I pu[Voltage 325 @ 208v/350 @ 260V Vdc M. Input Currenl'1_ .... .,.. •...•9.5..... 13 16 5 @ 208V 1t3 I 23 33 @ 208V 34 5 Ad, v.."t...r.,... ............................. ..................I..............I,15 5 @ 2AOV.I... 1 .I..30 S(EJ 240V..I............ ... ... tv1 I P t5hort Crcut Current. ,••..,-..•..•• 45'....................................... .... ... ._.. R. P I LVP t b Yes. • # % G d fa It1 oft 0 t ti ... .••. 600ku5 t 'ty ..,•.. •.... w _ M' 1 t Effi cY 97J '982... .. 983 983 ..98..-........ 98 ..98,•• ,,.?b- .............................. ..:...... .. ......:.... 'I. 98�2;40V.I.... '.......�....... 9 @ 08V I... �. .« CEC W 8hted Efficiency 97 5 98 97 5 97 5 9775 2240V 97 5 ightdme Power Consumption • • - -•@ •• M1 W 2.5 4 } ADDITIONAL FEATURES - - Supported Comrnumcat on lntertaces RS48S,RS232,Ethernet.288ee�opnonal) ................. ...... .............. .... .. .... t Revenue Grade Data,AN51 C121 - op .. lur ......... ..... ... .... _Rapid Shutdown NEC 201469012 Y STANDARD COMPLIANCE ' >♦ - .........a... 47 .... ....... G d C cti-Stnd .......... •. FCC partl5 class BEmissions .. .....,.,._.,.. - INSTALLATION SPECIFICATIONS - 'AC -[P t ondu[sze/AWG g 3/n - /161 AWG 3/n /83AWG: - + 1; OC'p[ d f a/Nof Sl g/ 3/4 A /13 t 8/' AWG &. .. 3/4 .... /12 t'@/156AWG. .... .. Jl,6 AWG. .. ...... _ _ Dimensions with Safety Switch 305'x 12.5 x721775 315 184 305 x 12.5x 105/ in ........ ... .... ........................ ....775x315r 260 ..... mn + � W ghl with 5afety5lch.•, ,,, -, ,12/232 .••I•... 547/24.7 88 4%401 .•,,. Ib/rk8.-• C ve on Cooling '';'; "' ;'. Natural Convection and internal Pans fuser replaceable) The best choice for SolarEdge enabled systems fan fuser - Integrated arc fault protection for NEC 2011690.11 compliance - - Nose •• • • ••zs •• •• -- •<so. „.. -cfen, .. .. ...... ........ ... ........... ......... ........ .... .. ............... -'Rapid-shutdown for.NEC 2014690.12 -.-Max.Operadng Temperature aamano%-zs to+Go(ao to+bo version a„a lanle•Ij �'F/'C . .. RanB?.................. ............. ... .. ................:..._................ .�Superior efflciency(98%) - : - : P tecUon RatinB......... ............. - ...........................................NEMA3R.............................. .. .. .. .. - .. .. .. .... .. ........... ....... ........... .... ..... Small,lightweight and easy to install provided bracket •=mrm,P=a.=<^^ran so z�EEyiewPPn. usa Built-ih module-leve'lmonitorn tin nz aar>wow„°;ieaeica`u.;u�oi�iNnii" .. g - Ail, 1-P/N.SE—A U5000NN r^r r IA tlna0w mSE7600AU5aa2NNUA) �.- .,� Internet Connection through Ethernet or Wireless ' Outdoor-and indoor installation - Fixed voltage inverter,DC/AC conversion only + Pre-assembled Safety Switch for faster installation. Optional.-revenue grade data,ANSI C12.1 ... ... .... ... - ... sunsaEc • USA-CF.RMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NE1'HERLANDS-t3K-ISRAEL Www:s61aredge'.us _ AUTHORIZATION TO MARK AUTHORIZATION TO MARK -h- __._ _ / � - -Product: Utility,Interactive Inverter - :. I This authorizes the application of the Certification Mark(s)shown below to the models described in the Products Brand Name: SolarEdge - Covered section.when made.in accordance with the conditions set,forth in the.Certification Agreement and Listing, ... ..... _ ..7 Report. This authorization also:applies to multiple listee model(s).,identified on the correlation page of the Listing Models:. models:SE3000,SE3300,SE3800,SE5000;SE6000,SE7000;SE7600 -t Report. - - - _ $ .. .(Option:followed by A to indicate'Interface board,etc.) I This document is the property of Intertek Testing Services and is not transferable.The.certification mark(s)may be - applied only at the_location of the Party Authorized To Apply Mark. - 1[ Applicant SolarEdge Technologies Ltd:. :.Manufacturer Jabil Circuit:(Guangzhou)LTD -- - - - - - DEV EAST DISTRICT 6.Ha'Harash Street 45240 128 JUN CHENG RD ... Address: Hod Hasharon - Address': GUANGZHOU - - - - GUANGDONG 510530 CHINA - - Country: Israel Country: China' - .. .. .. ... ....... .. .. ... ....... ...... Mr.Oren Bechar or. .. Contact: Contact: Elaine:Ouyang Mr.Meir Adesf .. i +972 9 957 8620#293 or - Phone:' +972 9'957 6620#131 Phone: - '020-2805-4025/135-7023-5852 FAX: +972 9.957 6591 : FAX: NA Email:w OREN:B@SOLAREDGE.COM - Email: Elaine.ouyang@jabii.com - _ Party Authorized To Apply Mark: Same as Manufacturer Report Issuing Office:. :Cortland,NY 13045 - Control Number: 4004590 Authorized by: - .for Thomas J:Patterson,Certification Manager COOTUS - Intertek .- ... This document supersedes all previous Authorizations to Mark for the noted Report Number. ..... ... ....... .. .. .... ....... ..... ..... ...... This AUNwizalion W Mark is be theoxcluslw use of lnbrloKs G,ont Intl is pm WOE punt to tlel oMfica4on eW,,n.N between t-1,aM lb Giem.INeRoks re nsibily eMlobiliy limit ,it;e to .. naiwn;f-groe—.IrrtaMk..I-no lWGliyb.1 pally.other—W gw QtW in acco d—wiN Rio vgreenleN,/w eny loss.eaponse w Eanmpo wssioned -on - III-.eofNieAWhorinm to Mwk.Ony the Giant la eu6io dW'ponnp wpying w ftnibugon of this AUMoriza6 to Mar on k oM Nan only in ils' gmty.—of lnreRok's C Mficagon'nmrkis rosbbleE W iM wMItl IaW out In Ne easement and in Nis AUW ri d,n to Mark Any b 11—of Ne IwoRek name for Na wla or.&.��sem�nt of fire.,,tn1 mabMl,pomvl w service mar. _ ' first M oppro -v Wng by lr—W WWI F—Ir,Assess M aM FWbw up Services are for Na purpose of as ,apprapnate usapo of No C Mn mark in occorpance with the - ogreoment,Noy are not for lM purposes el W.—In quality wntroloM do'rot roli ,tM Client of Mw:.Wlgabons In om—pen. Intertek Testing Services:NA.lnc. �545 East Algonquin Road,Arlington:Heights,tL 60005 - Telephone 800-345-3851 or 847-439-5667 Fax 312-283m%6 2 UL 1741 Standard for Safety for Inverters,Converters,Controllers and Interconnection System - - - - Equipment for Use With Distributed Energy.Resources,Second Edition Dated:.January 28,2010 CSA.C22.2.107.1 Issue:2001/09/01 Ed:3.General Use Power Supplies -(R2011) - ..... ... ......- ...... ....... ....... : .. Standard(s): UL SUBJECT 1699B,Outline of Investigation:for Photovoltaic(PV)DC Arc-Fault Circuit Protection:-Issue - _ - .No.2,2013/01/14 CSA TIL M-07,Interim Certification Requirements for,Photovoltaic�(PV)DC Arc-Fault Protection-Issue. No..1,2013/03/11 ATM Issued:13-Nov-2014 - - ATM Issued:13-Nov72014 ATM for Report 3188027CRT-001 a Page 1 of 8 ATM for Report 3188027CRT-001 a Page 2 of 8 ED 16.3.15 r—n-13)wawa ED 16.3 15(1Jen 13)Ma r, .. .. 3933 US Route 11 ....... - ... ... ..... .... Cortland NV 13045 ' - Telephone (607)7536711 Facsimile. (607)756-9891 - tJw intertek.coIn SolarEdge Technologies Ltd � - _ Letter Report:,101703554CRT-001 _ .:. .. ... - ... ... :. ... 2 June 20,2014 . Letter Report No.101703554CRT-001 - :June Ot",2014 ..' .. .-. .. Project No:G101703554:..... .......- ....... ......_ .....' ...... . - : r 3;ph Inverters::.' Mr.Meir Adest Ph:+972.9.957.6626 _ o. SE9.KUS/SElOKUS/SE20KUS when the.SolarEdge.rapid.shutdown cable labeled"MCI-CB-xxxxx- SolarEdge Technologies Ltd email:rrieir.a@solaredge.com x"which is part of kit SE1000-RSD-xx is installed in.the inverter Safety Switch where xxxxx-xx is 6 Ha'Harash St. - HOD HASHARON;ISRAEL - - any number;inverter part number may be followed by a suffix Subject: ETL Evaluation of SolarEdge.Products to NEC Rapid Shutdown Requirements - - :. This:letter report completes this.portion of the evaluation covered by Intertek Project No.G10.1703554.: - Dear Mr.Meir.Adest, If there are any questi6ns regarding the,results contained in this report,or any of the other services offered,by This letter represents the testing results of the.below listed products,to the requirements contained in the following : : Intertek,please do not hesitate to contact the undersigned'. standards: Please note,this Letter.Report-does not represent authorization for the use of any Intertek certification marks. Completetl.by: RachePateL Reviewed by: Howard Liu — National Electric Code,2014,Section 690.12 require ment:for rapid shutdown., - - This investigation was authorized by signed Quote 500534459 dated 0 611 0/2 0 1 4.Rapid shutdown test were Title: , Engineering Team Lead Title: (Staff Engineer _ .perform at SolarEdge Technologies Ltd,6 Ha'Harash St HOD HASHARON,ISRAEL and witness by Intertek Ce� PM 1 personal on 06/17/2014; :. .:. ;Signature: Signature The evaluation covers installations consisting of optimizers and inverters with part numbers:listed below. '- "Date• , .June 20 ,2014:... ,Date:. June 20 201.4..-, . The testing done has verified that controlled conductors are limited to not more than 30 volts'and 240 volt- _ .. amperes within 10 seconds of rapid shutdown initiation. - Applicable products: _ • Power optimizers:, .. o PBxxx-yyy-zzzz;where xxx is any number,0-9,.up to a maximum value where xxx.=350;yyy could be'AOB or TFI;and zzzz is any combination of four letters and numbers. o OP-XXX-LV,OP-XXX-MV,OP-XXX-IV,OP-XXX-EV;where xxx is any number,0-9-. - o Paaa,Pbbb,Pccc,Pddd,Peee;where aaa,bbb,ccc,clod,eee is any number,0=9 to a maximum upto aaa=300,bbb=350 ccc=500,ddd-600;eee=700,. o Pxxx;Pyyy,Pzzz,Pmmm,Pnnn and P000;where xxx,yyy,zzz is any number;0-9 to a maximum - - up to xxx=300,yyy=350,zzz=500;where mmm,nnn,000 is any number,0-9 to a maximum up to mmm=405,nnn-300,000=350 - - - • 1-.ph Inverters: � -...... .. ....- ....... ....... ...... ...... .. o SE3000A-US/SE3800A-US/SE5000A-US/SE6000A-US/SE7600A-US/SE10000A-US/ SE11400A-US when the SolarEdge rapid shutdown cable labeled"MCI-CB-xxxxx-x" which is part - - - - of kit SE1000-RSD-xx'is installed in the'inverter Safety Switch where xxxxx-xx is any number; inverter part number may be followed by a suffix - :. Page 1 oft :. .. : .. .. .. .. .. Ttua repwl ro Iw tM oxGusive use of IraenoKe Giom aM is provMotl Wmuanl to mo egroompnl e•txoon Intsnuk sM Xa Gant:IMeRok's rospanvbillN aM IIatiIRY ero Ilmitotl ro IM tarrta : arxl wM n,W 0r a cii.1 I,Inbrtek assumes no ilad I ro ony d 11 I tbn to tl•Giant in eco y in 1.t-Ne ofi,, rR,for ony ross,axpons.1 tlariapo ottasioft'W No -1 _ of this mpon.Dory tro G�onr is amronmtl ro portent coavir�or alatnewon of cos repon end men Dory n la'enlirery.ony n:a m tla Inta�rok mmo w ono a Im mans ror pre sole pr - 1pe6bym Rdee,ct i,mptarial,protlua.asMco 1 first 11 1be, inwrXing M,n In 1,co0limt oneonotest resWb nMs spat are rerovant oNy Rro wmlNo tostotl,TMs .:. .:. ... .:. .:. : - report aY itseR tlooa not impty thottlw msterul.pmtluct or aervico is or nes over seen a//nJJEa��ra��n\\IntoRok cerdeotlon cnW.m. - \CIUI ® •Wier ® '. Page 2.of it e::ril k Intertek .Intertek. InRYtek tnlettek IntM'tek SL^' Intertek Testing Services NA,Inc. - Sp 12.1.2(11111/10)Informative, Intertek Testing Services NA,Inc. SD 12A.2(11/11110)Informative I n solar - 0 0 = solar=qq SolarEdge Power Optimizer ^n Module Add-On for North America. _- O P300./ P320 / P.400 J P405 SolarEdge Power Optimizer 60 Po oOdules) I . P320 .. P400 P405 , h gh Povmr (for72&9&<a0 (rmodule I) a Module Add-On For North America ,NPDT. d l .. - .. .., -Absolute dulneput .... ....... ..... .. ....... ...... .. 6, I d 1 DC Powerin 300 320 400 405 W P$.00. / P320 / P400 / P405 Maximum l put Vl ltage 8 0 12-1 Vdc ' (MPPT O .. .. .. 8448........... ...... 8880 .12.5-105 ... Vdc... - I west tempo afore peranns Ra iB4. ........ .. .... .. .... ' Maximum Short C rcu t Current(Isc) 30 11 - 10 1 Adc .......... .. .. ......... .... ...... ........ ........ .. .......... .... . Q Maximum DC Input Current 12.5 .�_. 13'75 1263 I Adc .................. - ..:.....-... ............... ...................... 99 5... ,.. '..... ... Weshied Efhc encX..................._................................. 98:8.... .......... .............._................ / .. Ove olta a Cate o II • � � ��. �': `- :.- ..OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO:OPERATING SOLAREOGEINVERTER{ Maximum Outpui Curren .....,._• 15 .......... O Maximum Output Voltage 6q 85 I Vdc . 0 sOUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM SOLARE0GE INVERTER OR SOLAREDGE INVERTER OFF) Safety Output Voltage per Power - 1 Vdc 0 Optimizer - ... ..... ... ... .. I STANDARD COMPLIANCE - - .. ^„ EMC FCC Part15 Class B,IEC61000 6 2 IEC61000 6 3 _ F 2B7 Safety ,, ,. IEC62309 1(class II s fety)UL1741 ..... ... ....... .... .. RoH5 -Yes i. • „INSTALLATION SPECIFICATIONS - ' Maximum Allowed S stem Volta a 1000 Vdc . CRn atible.inverters ,.:All SularEdQe Smsle Phasc and Three Phase inverters .......P. .. .:..... ............ . - , 128 x353x27.5/ 128x 152x35/ 128x 153x 50/ Dimensions(W xlx H) mm in - S.97x1. Sx597x 1. x5.97x 1.9 _ . We sht(ndudmg cables) 5 x760/1 708........... ...: . ...830 37. 5 1064./2 3 6.. Input Connector _,..,....MC4 Compatible •.....•. .. - .................................... ................................................ { ' 'P i' Output,Wire Type•(;Con.ector ..... •.,.•• ,.•...:......Double Insulated MC4 Compatble....••..:...........•,,,,.•. .. ... ...:.... r Output Wire 3:9. Length..... ..........................0.95/3.0 .... ..�.......... . ...1.... . .....................m.Jff.... .. - _ .. Operating Temperature Ranse....... ...:....40 t85/,40-+185.........:.... .............. C/'F•,.. . _• Protection Rann .•,.......IP68/NEMA6P - : Relative Humidity...........................:. :..:........... 300 ............................. _ - ree stc Pow o me�,mm.moa�eor�P io scPo rmi:.aaix nww.a _ - . ... yPV SYSTEM DESIGN USING" .:. SINGLE PHASE THREE PHASE 208V THREE PHASEAll A SOLARE_DGE INVERTERul _ .. ...... ... .. ... ... Minimum:5tnng Length -8 I 10 18 (Power Opnmrzers�, ..... ... - ' PVi optimization at the module-level Maximum String Length 25 25 50 p p PowerCI timizers —.Up to.25%more energy i Maximum Power pir5 rjng,.•....•,• ,,.,•,._.••,5250•..,..•_. _..,..•..6000 .. ,,, .12750,,.•_ W...... Superior efficiency(993%) -• PprallePStrings of Different Lengths : •• Yes .. y. , ................. .... ............ ...... ......... ........ ........ Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading .. ..... ' cakwe xPJOSwn iW/P4p0/v6U0/v)op none ufinB Flexible system design for maximum space utilization - -„_ - _ • ..- a•__ ,,,_..-..__._.., ,. _- —_.�..„.. ..._......-.��._ . Fast installation with.a single bolt, Next generation maintenance with module-level monitoring t _ — Module-level voltage shutdown for installer and firefighter safety - 90 t USA CANADA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THENETHERLANDS UK-ISRAEL www.solaredge.us- . INSTALLATION MANUAL PEGASUS SOLAR'" LightSpeedMountingSystemq ...- ..... . ' ' . Bonding Mom .m mmM? • • ; yw WEE xF F r• 8-LU6-8.0. 5/16-18 Stainless.Steel Serrated 4lJOUR • •• • •• I - : UL'467 and UL 2703 Tested&Certified .: - Flange'BOIL _ ..lJL 2703 Tes[ed.&Certlfied Tighten to 170 in-lbs �_ ^f Optional Parts _ _�"'"' 'y"-�-...,'.�.��.•"%!' 'i-�2:�. _ _ =e -...'rah'.. '' - •�- - Array Skirt Skirt Bonding Strap ' Double MountingAssembly ,lf ....... Roof pitch?2.1 :Not required Is o SBJ-516-X C X•'is length)" U 2703 Tested&Certified ....... I c L Reof pitch<2 12:.Required .. UL 2705 Tested&Certified. Tighten to 135 in-Ibs. .. `. UL 17C3 Fire:and UL 2703 Tested,& yam" Certified Class A - - ' �. Product Identification System identification can be made by looking at the embossment on the flashing that has the Pegasus logo,patent'pending,and web address.Additionally,the Single;Mounting Assembly has a label.showing the ETL-mark with the following information; .. Mounting Assembly Diagram - k ;r 1 * CamageSati Elegantly� Sim le Meticulous/ Crafted. Installation �.crarnp flange Nvl •—»•..;?s"� a a Divift9 Sward +: P Y Flexibility: - se�+aayc,aR.�'�,- """'"`Rail-less system system works with High quality aluminum components 'Portrait and/or landscape trEg ,r Clamp Assembly Bard fi traditional 35mm or40mm frames- and stainless steel fasteners - Adjustable north/south and east/west Atrn t�..-•a - --. ' • Uses standard 5116"bolts; assem-- Meets UL2703 load,grouriding/bond- - ;rafter attachment positioningRaw` bles with a 1/2"socket ing and Class A,Type 1&2 system Adjustable,height up to 2"for • Only two parts-flashing and fire requirements leveling array Lag Straw "*•rt„�„ - - universal mounting assembly Optimized supply chain to support Up to 6 foot rafter spacing :Flashing Complete installation kit ships in rapid global capacity expansion Integrated bonding and grounding boxes of Oty. 4,12 or 16 mounting Appearance skirt(not required for fire compliance assemblies including bolts&flashing code) - Easy to learn training programs - ', #' � _+ ' designed for installer productivity . .. .. .. Pu}ras I5 Solar Rn-r Poens.rs Sniar is- rlWhrr- !c eP, ,,. -✓,Jr::S .. • '' '' wtl wlo.t'v}P' ertten entice.>IIrr9�hru.etvetl„t'•.r'un,.- Vr)gr Vl>• v tV. '' Pages ©2015 Pegasus Solar Inc www.pegasussolar.com sales@pegasUssolar.com: PEGASUS SOLAR'" CLASSIFICATION:. . Lic�htSAeed Mounting sys(ems COI1St�UCtlOna�Data Report(CAR) 1.0Reference and Address - Figure 1.:.Overview. ... <10" � � Report Number;10199zie31az-pot Original Issued:28-Apr-2015 :.Revised:16-Jun-2016 .. .. .. :. : UL 2703 Issued:2 0 1 5/0112 8 Ed:1 Mounting Systems,Mounting Devices,Clamping/Retention- Standard(s) Devices,and Ground Lugs for Use with Flat-Plate Photovoltaic Modules and Panels oot: Comp p9A,on P. Applicant �- Pegasus Solar Inc: � Manufacturer-1 Address` 100 W Ohio Ave Address - Richmond,CA 94804 2 x 4 Rafters @ 24'OC Typ. Country USA : Country .. ..... ...... .. .... .. Contact. Co:. E.Kai Stephan - • ntact Phone 408)638-9655 Phone SCale::NTS FAX INA FAX -Email Ikai@pegasussolar.com Email Certifications and Code Compliance _.. Manufacturer 2 Figure 2 : Mount Detail View* UL SUB 2703,for electrical bonding and grounding . "Address - Pv Module Pegasus Clamp UL SUB 2703,Class A for Fire with Type'1 and Assembly Country Type 2 modules Contact - Pegasus Base ASCE 7-05 Minimum Design Loads for Buildings Phone Assembly and Other Structures FAX . .. .• .. ..... .. .... -Email ..... ASCE 7-10 Minimum Design Loads for Buildings: and Other Structures Flashing _ • AC286 fain Test standard with and without sealant 5116"X 3 112"SS Lag Bolt �� minimum 2 1/2"thread _ :. penetration sealed with Intertek ... - Chemlink Mi(or Equiv.) 5000983 - ..... _ ... ... Scale:'NTS SPECIFICATIONSSYSTEM CONTACT INFORMATION: Roof Type Composition Shingles(Asphalt) - Roof slope Range .2:12to12:12 Pegasus Solar Inc. system Height off roof W to too of module 100 West Ohio Avenue'' ' Attachment Type :5/16'SS lag boll to structural members - ' :. :. .. Flashing Type � .101/4'%12'Aluminum base Flashing Richmond,California 94804; - Maxlmum Mount Spacing Ium��1 72" .. .. .. .. .. .. .. Maximum Mount Spacing mo,4 46' (408)638-9655 Madmum Module Cantilever 19• System Weight(with modules) <9.5Ibs/sqn lrypicap sales@pegasuss6lar.eom - ... .:. Page 1 of 124 System Weight(with nxJtluels) varies<50Ib5/mount(ypicel) www; a a$u$SOIar:COm ... This report 11mte,the exmusin use of Inteimk's Client am is of-ided pursuant to the.agreement oml en Intenek aho its Client Imenek's responrbility.a�M.... ..... ebnding Integrated lionilhg up to 100 modules per array 'p 9 _ katullry are limited to me terms am cohmtions of me agreement Inlenek assumes he Iladl,ty to any phy,Omer than to me Chem In at—oanCe vmh the egn—hem,ror any toss a penm or damage oaaastaren by me use of mla reparl..only Me client le aumortred to permit copying or,dismmstion of mie repot and Warranty io Year Metedal then ony,n Ih entirety.My um of the Interbd,name or' t its marks for me sate or advMF ment of me tested m it",mm"t or mh`'a mwt It'st'be Check span tables in installation manual far extreme mnditiore such as high Mm m snow. Datasheet121715vl _ approved in wererg by Intertek.The observations ho test resuks in mis report are rmevanl omy to the sample 1651tid.This report by itself does not,mpy Nat the enet.p,,m—,or_e o 1S a has ever peen under an mtanm,wmlkation pragmm. L— Report No.101992783LAX-001 Page 2 of 124 Issued:28-Apr-2015 Report No.101992783LAX-001 Page 3 of 124 Issued:28-Apr-2015 Pegasus Solar Inc. Revised:16-Jun-2016 Pegasus Solar Inc. Revised:16-Jun-2016 2:0 Product Descri'"Eton ,r' `; .x . �. .,°i ,:,y a. 's � U o;'r. .l + ? 2.0 Riodikt Descrf tl`on `w k#"" AU Optronics(BenO) PM Series: Product - PV Racking System - Brand name Pegasus Solar Lights peed Mounting Systems AC-PM245PA2 a The product covered by this report is a rail-less mounting system produced by Pegasus Solar y AUO GT-PM060P00 ' - ,for PV solar modules.The product line comes in black anodized parts made from stainless ! ��„ F, GT-PM250MO l - steel and aluminum. �$'' f PM060M01 ET Solar ET series:(Monocrystalline) The PV racking system tested is a rail-less system that has a clamp assembly that bonds " _ ET BLACK MODULE: through the bottom of the module frames through stainless steel pins in the Bottom Clamp.The ET-M660XXXBB(XXX=250,255,260,or 265) r �z { -clamp assembly is bonded with an Arm and Base which attaches directly to roof.Corner hinges o yj+s.its* ? ET MODULE: - r are bonded to the PV frame using four stainless steel screws and a backplate.Each Corner y ET-M660XXXW W(XXX=255,260,265,or 270) Hinge is bonded together with serrated bolts and threaded into tapped holes in hinges.An open := ET MODULE: corner hinge at the end of a string of PV modules will have a UL 467 listed grounding devices to ET-M672XXXWW(XXX=305,310,315,or 320) ground system.Clamp assembly bonds with module frame that are bonded to ground through , �T Hyundai MG series: ` `corner hinges to grounding device.The clamps are bonded to the stainless steel hardware and ti`:, `4u Poly-crystalline Type - Description ,.to the Arm with a bonding ring that pierces anodized coating.Base is bonded to the Arm HiS-M230MG(BK) through their respective threaded connection. b. HiS-M235MG(BK) -�;, Other Ratngs HiS-M240MG(BK) s-The systems have only been tested for bonding,grounding,and electrical continuity,no a Mono-crystalline Type " 4.. +mechanical load was performed and no load rating has been given. ;�'� HiS-S250MG(BK) HiS-S255MG(BK) The Installer of the systems is responsible for following the installation manual for the HiS-S260MG(BK) installation of the grounding lug and shall provide an appropriate method of direct-to-earlh 1 Trina PA05 ,,grounding according to thelatest edition of the National 4 PD05 Electrical Code,including NEC 250:Grounding and Bonding,and NEC 690:Solar " " PD14 Photovoltaic Systems. Any local electrical codes must be adhered in addition to the Hanwha Solar One HSL 72 national electrical codes. HSL 60 Jinko JKM series: Models"-•' :,, Lightspeed Mount rt a1 ^a},.ra JKM315P-72 Model Sirrilarity NA JKM265P-60 Fuse Rating:20 A - JKM270PP-60 Grounding Conductor:10 AWG Cu. ;rf:> Suniva OPT 72 38 mm . , Fire Class Resistance Rating: U Solar UP-M series _ Rakngs "� u Class A for Steep Slope Applications when using Type 1 or 2,Listed Photovoltaic Modules. - *w.LG Mono X series Class A for low slope application when using a wind deflector with a maximum of 2 118"air Neon Series space between the wind deflector and roof and Type 1,Listed Photovoltaic Modules Modules added based on evaluation for bonding and grounding only with a maximum d h coating thickness of 26 microns Modu a manufacturer Model numbers ReneSola JC Series: Virtus II Module 255W,260W,265W,305W, - 310W,315W Other Ratings Yingli Solar YGE 60 YGEU 72 Canadian Solar CS6X-P � i;.,... CS6P-P CS6X-M CS6-M All Black SolarWodd EnModule nModule Plus nModule Pro Protect - Ef)1fi.3.15I1Ju4167 AUMatary ED 16.3.16(1Jul-16r MaMatOry L!�! :- DIAGRAM-TYPICAL CONFIGURATION OCUS Product Datasheet ENERGY .. - mmm - Z Ci.2 CB@® Shielded cars INTERNET :. Ems IN LGate 120 a ��M MONITORING e_a RESIDENTIAL SOLAR r •s LDas a: eo®®m��' 1E The I-Gate • • ELECTRICAL:for rernote monitoring of solar photovoltaic systerns.It .'. mme�.mo® SERVICE' communications • to • INVERTER(5) LGATE IN _ .... l . CV'ARRAV transmit rnetei data over cellular or Etheinet networks allowing system owners and operators to easily manage distribiLlited solar assets. DIMENSIONS: .. SOCKET METER LOCUS ENERGY - METER BASE COMM MODULE METER MODULE- a v t. } ... 6961n The LGate 120 combines a revenue-grade,solid-state power meter with an advanced Communications gateway: Q 0 z - -- � 6.31,in- These comporents work in conjunction to remotely monitor the performance of residential solar energy installation f�. o regardless of panel or inverter type.The LGate 120 is a one-piece completely under glass meter which installs easily using a standard socket:base.Performance data i5 uploaded in near real-time to the Locus Energy SolarOS a'` r is monitoring platform which provides a suite of tools and analytics for asset managers. 1 • 46 in . DATA COLLECTION .. .. .. ,�,_;.,,.___. ,._.._..._,.._. ._....:_. AC energy data is:collected by the meter and passed to the communications module.Additional system performance - data:can be collected directly from meteorological sensors and supported inverters via available IRS-485 or Zigbee - •' connections.All data is stored in non.-volatile memory and then automatically:uploaded to the SolarOS and: - SPECIFICATIONS..... ..,.... .... .... .. SgIarNOC platforms: .. Process ARM9 embedded CPU f ... .� Acculacy .ANSI 11220(Class 01%) OS of Lmu.26.OTA fin—leuPcIales V rag a Inpot, 120 480 VAC NETWORK CONNECTIVITY Memory 129MBRAM Mo..Coth,rrtLmpt 200ASavi,o ' -The Communications gateway,inside the LGate.120 supports plug and.play connectivity,through a ellular.or available, W... ... Display ' LCD aen aa s<w r TY e ssRI pnaae,eo Hz Ethernet network connection..0nce the unit is installed and powered on,it will immediately begin transmitting data ` "^""p.'--' y -without any configuration.For maximum reliability,the Communications gateway will acltomatically'route:uVloads � t E 1osure NEMA 3R Tpe weight 8:o: . s ANSI at zo class 0.251. between the wireless and wired connections if either of the Networks are unavailable. D mensh,hs G 96'z 3.5'�7 3 ). : FCC Part 156 -- - • f .. 'Env ronmen[ 20 to 60C all-weather ; PTCRB - f Warranty 5 Y ar t d Y .... AT&T carrier Compliahce FEATURES .. ...... ..... ...... ....... ...... .. " .._., ._.ant _ �,. ANSI C12.20 Rowel meter Easy.-low cost installation • RS-485 and Zigbee inputs. Doesn't require entrance into the building Motle1Nonib"' "LGatmxoaG[ LGet020dGY [Gato103G[ _ - Ce.lular-3G GSM' ✓ ✓ -✓ • GSM:cellular or Ethernet connectivity Plug and play activation - RS-485 2 and 4 YIr. ✓'- I. - • Over the air firmware updates LCD display - -- - Modbus - ✓ - _. Ethernet RJ-13510/100.DHCP/Static' ✓ _ .. , Single Meter Sockets -Without Bypass: : " " Single Meter Sockets -Without Bypass 125&200 Amp 125&200 Amp . Application - - ^'�""' �7 '�+! • Single meter position' Receive ANSI C12.10 watthour meters _ Surface or flush mount chart) - - ® .. .... • .. .. -e.... Construction :. :. :. .. Mount 1A �4 + 0U)204 MS68-2"Conduit Hub 1 • > e Ring tYP? - (U)207 - MS6BA-MS73+MS68 2A �h c NEMA Type 3R U4F= er is `�' - 927 - MS73-AL Screw Type Ring - • •ANSI 61 gray E-coat finish _ r - a f D t •Aluminum snap ring included SS Stainless ... SF-Semi Flush Mount - �nless Steel - a 1 .. • .. .. -, - Standards.. Accessories - :. - ti Top Provis on See Chart .. }. - UL 414 Listed 5th Jaw Kit-50365 •ANSI C12.7 200A Triplex Ground-ETB200 Knockout Layouts Oillclosed)- U204(open) AW Hub - Paryupc Ceteloa -Amp Service connenlvns - Fig.1 Fig.:2 - Number Number Retire Jews Typo Access Lino Load Neutral 78ZU514Z000---O11 125 4 10 3W OH UG i14-2 0 i14.210 i14- 0 Top Provision Top Pro. 4 -"P is on 78205142040" Oil 125 4 10/3W OH/UG i14-2/0 i14-2/0 i14-210 �78205142045_ Oil MS73125 _;,• ;4� y10/3W- _OWUG_ _ _i14-Z/0 _ 114-2/0 i14n Z/0. 78205142050 Oil SIF 125 4 10/3W -OH/UG i14-2/0 i14-2/0 i14-210 - /76205144070- 927 r 100. r- -"7 30/4W 'OH/UG LL"%14_1/0 i14-t/O T 114-2/0 •,� 79205156000 204 _ 200 4^ 10/3W� OH 16 250MCM i6 250MCM i6-350MCM _ 176205156020-204F 200 -`" 4 10/3W.� - OH d5;_250MCM —06;250MCM _16:3501MCM 78205156030 204FM573 200 4 10/3W OH i6-250MCM 16.250MCM 16-350MCM _..•. t7B205156040 204MS68 _Y206 ,...-4•.... 10/3W" OH- �8-250MCM i6-250MCM'-e6-350MCM 78205156035 204 MS68A 200 4 10/3W OH 16.250MCM 16-250MCM 16.350MCM 79205108490 .204 MS73 4 = 10/3W - 'OHS i6.250MCM 16:250MCM ;r 16-350MCM - 4F 78205156005 U200 200 4 - 10/3W UG 16-250MCM 16 250MCM 16 350MCM - an 4F ..: 78205156045 _U204 F ,•, 200 4 ;. 10/3W W UG< R6 250MCM ifi-250MCM i6-350MCM - 4F - _ - .. mb 78205156960 , U204 F MS73 200 4 10/3W UG i6 250MCM 16 250MCM 16 350MCM - - 4F 178205156070`_U204 MS73_ 200 T, 4,. • 10/3W UG i6 250MCM i6 250MCM 16 350MCM r : - 4F'l- 7 78205156140 U207 - 200 -7 30/4W - OH/UG :i6-25OMCM ifi-250MCM i6-250MCM - A' _ 178205156170 U207F ^ _ 200 -7 30/4W, UG i6-250MCM 06.250MCM 16-250MCM` - 7820515fi180 U207 MS73 200 7 30/4 OH/UG -i6�-250MCM 16-250MCM i6.250MCM -- Perr/UPC Cemlop - —Overall Dimensions— - Top - Knockom - -• - - ii your - - Fig. - g. Number. Number —Height Wirth Depth Prov ten la g.3 "Fig.4 78205142000 011 - - 12' 8' 4 u" - AW Hub - R.1 - To Provision p - 78205142040 Oil F 12' B" 4/" 2"max KO Fig.1 '78205142045 011 MS73 _ 12"_ 8° �0/s' AW Hub - "Fig.1- " To`P Provision •- " - - -- .4'/x" 2"max KO Fig.1 78205142050 -Oil SIF :12" 8" .. .. ... :. ... ... :.- ' .:. .: '78205144030 ".927 .�.1T- 8" _„_4s% _. AWHub, ...� Fig.),,,"-� 78205156000 204 15" B" 45/u" AW Hub Fig.2 '78205156026 204 F .-_. 15 8",•, 6 : " 2 max KO 7 Fig. 0 . 1 78205156030 204 F MS73 . 15" 8 6 2 max KO Fig.2.78205156040 204 MS68 15" _ 8 4/ W AW/2 Hub_ --Fig.2aF O . 78205156035 204 MS68A 15" B" 4a/e" AW/2"Hub Fig.2 �' 71 78205108490 204 MS73•_�."„ l5" �8" 41/a' � None w '-'Fig.2 78205156005 0204 15" 12" 4s/e" None Fig.3 4G ' 78205156045 U204 F 15' 712' 6' 1212"max KO•Y - Fig.3_ - - ��l 4F 4G 78205156060 U2D4MS73 15" 12" 6° Nane Fig.3 4F n4e�ilr4G'7820515fi070 �U204 MS73 � 15" 12'� �4s/e- None fig.378205156140 U207 18" 12" 5" AW Hub Fig.4AIC Note'78205156170 ..U297F :18" 12" ...5" 21i max KO Fig.4. ' For short circuit current W 4G 2p 78205156180 U207 MS73 18" 12" 5° AW Hub Fig.40 ratings see page 131, B-Line Data subject to change without notice.Consult local utility for area acceptance All dimensions are in inches. Data subject to change without notice Consult cal utility for area acceptance.All dimensions are in inches B-Irf ne by -�• 5 Meter Mounting Equipment Meter Mounting Equipment 6 - b - v$tt•N_ d=CC S ENERGY October 22nd,,2013. - This letter is to certify that the LGate 120 and LGate 320 are communication boards built into the Vision Meter 2S CL200 and 16S'CL320 socket Meters;respectively: Each of these meters was certified:to the ANSI:C12.20(class 0.2%)standard by Underwriters Laboratory:on June 7,2013 as part of the Vision - Meter Family(Project Number 12CA71134,'Job Number.1001541515,and Report Number R12W.1134- ANSI). :ANSI C12.20 is currently recognized as the industry standard for electrical socket meters in both utilit y :. and PV monitoring applications:These tests cover both meter accuracy as well as several.safety standards including electrical and environmental safety,:as well,as resistance toyarious types of mechanical shock.As electrical socket meters.are generally installed and:maintained by trained and certified professionals,rather than consumers,they do not fit the typical criteria for additional types of .... UL or IEC'certification;..... .... ...... .-......' ..;... ... .. If you have any further questions regarding the:product certification of any Locus Energy LGate-branded device,please contact us at suoaort(@Iocusenerev.com. i i The Locus Energy Team i Locus Energy,*LLC .. w .Iocusenergy.com - .. ... .. .. .. .. .... L Pegasus SolarTM;lne. February 1,2016 Kai 1 SNLe sus Stephan Starling Madison Loftaulst, Inc.�nC: Pegasus Solarninc. LigMSpeed Rail-I:essPVPaniel Roofivtount System t m-<:ua4 g st.r<t n( pq.d a rr,.•rsr rpnitt-re s SML Job No.: l82-IS p age 2of25 5224 South'391h Street,Phoenix,Arizona.85040 The maximum allowable tension(,uplift);compression and lateral:shear"forces are 575,lb, 1583 tel:(602)438-2500"fax:(602)438-;2505 ROC#291316www.sm1eng.com Ib and'267 lb respectively. The maxinnun allow�able'nioment capacity of the 35 m1wand 40 mm . corner brackets is 348 ft-lb based on Western Technologies testing with a safety factor of 1.85, again based.on:ADM 2010: The 2.5 inch wide by 0.5 inch thick aluninum double mounting assembly:adds 257 ft-lb of moment capacity when used and can increase the allowable spacing :Pegasus Solar:111c. Febrtlaly 1,2016 as indicated in the attached tables. .100 West Ohio Avenue Richmond,CA 94$04 page)of25: Although;tfie downward and upward nominal pressures on the:.PV panels were limited to l I3 psf (5400 Pa)and 50.1 psf(2400 Pa)respectively for the landscape orientation the actual nnaximuun Attu: Mr.Kai Stephan,CEO downward pressure for the spacing shown in the attached tables never exeeed 51.0 psf(2441 Pa). due to the other limit states controlling the desitni.T.hese pressure.limits comply with UL 1703. .. Subject: Pegasus Solar-LightSpeed Rail-Less Solar Mounting System Structural Analysis For the.portrait orientation the downward aril upward.non nal pressures on the PV panels were.. limited to 50.1 psf(2400 Pa). SML Job No.:182-15 The attached tables below show the maximum allowable nouns spacing based on the interaction Dear Mr.Stephan: of the combined loading criteria of wind speed, roof slope, and snow loads which produce reaction loads below the combined interaction of the allowable loads listed above. The effect of ..We have analyzed'the Pegasus.Solar*MLightSpeed rail-less photovoltaic(PV)panel roof mount"... :seismic loads(for all design categories A-:F):has been determined to be less than the eflect:due to :system and determined that,for.the configuatiors and criteria described below,it is in wind or snow, loads in all load conditions and combinations. assumed.topography.is flat connpliance with the applicable sections ofthe following reference"documents: with a,K =1.0:,Therefore,the maximumn allowable mount spacing for common.load cases dine - to dead,wind and snow loads are the controlling Toad cases. Codes: international Building Code 2006,2009:&2012 Editions International Residential:Code 2006,2009&2012 Editions, The maximum allowable cantilever at the PV panel end is the smaller of 19 inches or%of the ASCE/SEC 7-05&7-10 Min.Design'Loads for Buildings:&Other Structures maximum mount spacing as shown in the tables below. The 2.5 inch wide by'O.S.inch thick " California Building Code 2010&20:13 Editions 1, aluminum double:mounting assembly may be used to increase the:end cantilever by as:much as 6 California Residential Building Code 2010&2013.Editions inches. Other: Aluminum. Design iNanual,2005&2010 Editions The Table 1. Roof An Pegasus,,Solar- LightSpeed rail-less..photovoltaic ,(PV).panel roof.mount system is -- -- Angle to Roof Slope Conversion g P " le(Degrees) Roof Slope(in/in) '" :comprised of a 6000 series alimiinunn clamp assembly and cornet connectors,:5/16-18 stainless Roof'An g steel bolts and nuts to fasten the:mounting system together,arid the system is attached to the"roof O 0:12 wood rafters or truss top chords with 5116"diameter 18-8 stainless steel wood lag screws'. 4.8: 1:12: 9.5: 2:12: We tested"the mounting system with flue 5/16" diameter 18-8 stainless steel wood lag screws 14.0 3:12 passing through metal:flashing, two "layers of composite asphaltyoof:shingles, 15/32" thick 18.4:' :": 4:12 plywood and tinally.peietrating 2.5"(see table note.4):into 2x SPF#2:in the center th'iid:ofthe 22.6 ' 5:12: 1.5"wide face to model either a l 5"wide roof trtl5$top chord or roof rafter. 26.6 6:12 The test report no: 2165XD163,dated Judy 24, 2015, by Western Technologies shows that the 33.7 .8:12 critical fail Lire occurs in one of three ways;pullout of the wood lag screws infersion from the 2x :39.8 10:12 wood framing;the bending failure,of the aluaiiinwn base artlie case flange in lateral loading,or.:. :45.0 12:12 the bending failure of the aliuiuniun arm at the arm flange in compression loading. Maxiniuiln allowable values for these failure conditions were derived using a safety factor of 3.0 for the wood lag screw pullout failure based on 1CC AC13 and safety factors between 1.8 and 22 for aluminum failure based on ADM 2010.on the yield and ultinnate loads provided by.the testing .. Starling Madison Lofquist,Ina -Consulting Structural and Forensic.Engineers Staling Madison.Lofquisy Inc. Consulting Structural and Forensic Engineers. :Pegasus Solar-:1 ic. February 1,2616: Pegasus Solar•°lnc. February 1,2016 Mr.Kai Stephan Mr.Kai Stephan Pegasus Solar Inc.LightSpeed Rail-Less PV Panel Rooflytotait System Pegasiis'Solar Inc,LightSpeed Rail-Less PV Panel Roof Mount Systeiii, SML Job No.:182 15- page 14 of 25 SML Job No 182-1.5 page.19 of 25 Portrait Orientation-ASCE 7-10 - 'Landscape Orientation-ASCE 7-10 '- - Oto] „„1 48/.64 48/•64, 48/!64 48/•64 48/64. 48/•64 .48 48 36 .. .1 64 64 .64 G4 G4 64 64.. 64 64 .„ .. 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Degrees 3 •.....36 0' 0• -0•„k .a..Q r. 0.,,. �0 >Q. ..O 8 to 2] 1 36 36 36 36 36 36 32 24 24 3 64 64 60 60 - 60. 48 AS 48 �36 ' D � Oegrees .wy2 �•36� 36 � �32.. 24 24 �0 0~ 0 0 : � � ,,. to 27 s.. .,,,.•-: .. ': D: 8 _� 2 �'.60 �60... r•._48�a36 p3fi•� 0 �`0��0 0� _• .. µw.o...... 0 .. O:,sr. Degrees .- - - .�to 48 1 48 48 -48 36 .36 32 _�24 24 _ 24 - "" : 7 64 64 64 64 y60 48 48- 36 -36 2 _ �48 �4836� 36� 32 « 24 24 - 0 -0 28 to 46 �. - - _ - .. • « 1 �64 64m 64� w60 48 4836•y�00� .. 'Degrees _..._3 "4g. 48 :."36 "w 36. 32' .24 21 - 0 .. 0. .. Degrees >... .. «m g.. .. 3 '64 64' 64 60 w>�K48 y48 is A D.• Starling:Madison Lofquist,Inc. Consulting Structural and Forensic Engineers Starling Madison Lofgitist,Inc. :. Consulting Stnictural and Forensic.Engineers -14 .. _19- III ... 25800 Comm6mtimlre Drive Pegasus Solt rnt Inc February 1,2016 Lake Forest,CA 92630 USA Mr.Kai Stephan raiaPaone 949.446.4100' . Pegasus Solar-Inc:.LightSpeed Rail-Less Poll Panel,Roof Mount System Facam le. 949,448.4111 SML Job No.:182-1 S page 25:of 25 www.lntedex.com Table Notes—Tabulated values are based on the following criteria:"""' Test Verification of Conformity. - 1. ASCE 7-05&7-1.0:Building mean roof height=30 It maximum&'Risk Category=ll. 2:. Solar panel maximurn'area=.21.9 square.feet(79.75 in.x 39.5 in.)Landscape&18.1 - square feet(66 in.x 39.5..in.).Portrait..`: In the basis of the tests undertaken,the sample(s)of the below product have been found to comply with the:requirements of 3. Solar panel dead load=approximately 3.0:psf. the referenced specifications at the time the tests were carried out: 4, 2.5"minimum penetration of lag screw:into 2x roof framing;excluding the tapered tip ' portion. 5. PV paneLttust comply witfi UL 1703. Applican Address: Pegasus t Name&Addre-:- Bern Co Inc. 6. The Mounting Assembly Extension tables maybe used when installing through concrete 911 Bern court, 'Suite 110 roof tiles where the lag screw passes through everything outlined,above with the exception San Jose;CA:95uz of the asphalt roof shingles. The"Coupler"used to increase the overall height of the product Description: Light Speed Mounting System. . %mounting system sliall be no more:than 7%2 inches:in height. All other tables apply to.a surface mounted asphalt roof shingle installatio 'a nly:without the"Coupler"installed: Ratings&Principle' Fire class Resistance Rating: 7. In the portrait tables°indicates that the double mounting assembly may be used to increase' Characteristics: Class A for Steep Slope Applications when using Type 1 or2 Listed Photovoltaic the spacing. The double mounting assembly shall only be used to increase the spacing: Modules.Tested with a S"gap(distance between the bottom the module frame and when located at the comet bracket or at the cantilever end:as described in the previous :the roof covering),per the standard,this system can be installed at any gap allowed by 7 paragraph.-Please see the LightSpeed Mount Installation Manual for more information: the manufacturers installation instructions. 8. SPF#2=Spruce-Pine-Fir#2 Grade. :Class A for Low Slope'Applications when using Type 1,Listed Photovoltaic Module. - Tested with a S"gap,low slope'system requires the use of the Pegasus wind deflector, - with a maximum of 2 1/8"air gap(wind deflector to roof covering).Our: analysis assumes that the connections and associated hardware are installed in a Models: tight Speed Mounting System workmanlike manner'in accordance with the LightSpeed Mount'Installation Manual and Brand Name: : N/A o generally accepted standards of construction.practice: It is the responsibility of the contractor to ': Relevant Standards: ': ::_UL 2703(Section:15.2 and 15.3):Standard for Safety Mounting Systems,-Mounting Devices,' 'verify that.the strength of the roof framing meets the minimum properdes.used-in the tests and - : Clamping/Retention Devices with Flat-Plate Photovoltaic Modules and Panels,First Edition can.'safety support the maximum imposed loads stated within this document. Starling Madison dated Jan.28,2015 Referencing ULf703 Third Edition revision date May;201S,(Section 31.2) Lofquist,Inc.and Pegasus Solar-assume no liability beyond what is specifically shown in this Standard for Safety for Flat-Plate Photovoltaic Modules and Panels. letter. Additional information: is available at the ' Pegasus Solar^•, web :site, http://pcgasussolar.com/ verification Issuing Office: Intertek'Testing Services NA,Inc. - � -' 8431 Murphy Drive . Middleton,VJI-53562 Please feel free to contact me at our convenience if you have an y y X questions'.:. - bate of Tests 02/25/2015 to 02/26/2015;08J28/2015. Test rt Respectfully yours, - ` +lea - This verification s . t partof the full tesstreport(s)and'should be read nconjunctionwith them.This report'does not automatically imply product certification. .... .. WARNERS o CIVIL m Completed by: Chris Zimbrich Reviewed by Gregory Allen. Title: Technician II,Fire Resistance Title: Engineering Team Lead,Fire Resistance 4909F(JISTEP�O WQ - _ rnr,,,,�i.,-,....._ '�� _ riit `rSIONAI ENS Signature:. `""�^'" "' Signature '.i`��l—`A' J; - OS/31/2015v � � ,Date: OS/31/20�5 EX p.4-:0-18 " Tres.J.Warner,P.L. Jesse Light,P.E. Design Division Manager Senior Structural Engineer ' - 71iis Verrfmnan it for:Nte exclusive use oflntertek. Jenrand rs prnwded yursuanl to lhe,agreemvnt betwcrn lnr•rtek and lrsClient.luterrek's responsibrhty and liability are 'limited to the terms and conditions ofthe agreement.rterwk assumes:no liability to any parry,:other than to the Client in accordance with the ogreemen4 forany loss:expense _ ordamage occasioned by the use of this Verifrcaion.Only the Client_is authorized to permit copying or distrami not this Venifcarion.Anyusgpfthelnterteknomeo oneofits marks for the sole o advertisement of the tested material,product or service must first be approved in writing by mtertek:The observations and test/mspectwnresults referenced in this verifcation am elevent only fo the sample tested/inspected.This Veificotion by itselfdoes not imply that the material,product,o service is or has ever been Starbng Madison Lofquisti lric. Consulting Structural and Forensic Engineers onderan Intermit certification program. -25- GFT-OP-118(24-MAR-2014) structural December 5, 2016 ENGINEERS Sungevity 66 Franklin Street Oakland, CA 94607 Attn.:To Whom It May Concern re:Job 16-16012 : Laura Richardson-3108531 The following calculations are for the structural engineering design of the photovoltaic panels located at .: 101 Grove St, Hyannis, MA 02601. After:review, PZSE, Inc, certifies that the roof structure has sufficient structural capacity for the applied PV loads... If you have any questions on the above,do not hesitate to call.* �jH OFM,1- PAULK.. SGN ZACHER m Prepared By: . . o` STRUCTURAL PZSE, Inc. Structural Engineers No 50100 Roseville, CA �FSS/pNA1.EN�' 8150 Sierra College Boulevard, Suite.150, Roseville; CA 95661 i Uaie: l Ll;)lLU`I o tngJneef: ur4 Gravity Loading Roof Snow Load`Calculations pg=Ground Snow Load 30 psf Ce=Exposure Factor- 0.9 (ASCE7-Table 7-2). Ct=Thermal Factor- 1.1. (ASCE7 Table 7-3) I=Importance Factor= 1 pf=0.7 Ce Ctp"l psf g .21 p � -' ASCE7-Eq 7-1) .. - where pg 520 psf,Pf min=I x pg N/A where pg>20.psf,Pf min=20 x I= : .. N/A Per ASCE 7-05,minimum values of Pf shall apply to hip and gable roofs with slopes less than the larger of 2.38o and(70/W)+0.5: - - - Therefore;pf=Flat Roof Snow Load 21 psf ps=C,pf (ASCE7-Eq 7 2) . Cs=Slope Factor= 1.000 ARRAY 1 Ps=Sloped Roof Snow Load_ 20.8 psf. 'ARRAY 1 PV Dead Load=3 psf,(Per Sungevity) Roof Live Load= 18.15 psf ARRAY 1 Note:Roof live load is removed in area's covered by PV array. Roof Dead Load ARRAY 1 Composition Shingle q 2.00 1x Decking 2.00 2x6 Rafters @ 16"6.c. 1.13 Vaulted Ceiling ,0.00 . (Ceiling Not Vaulted) Miscellaneous 0.00 _ Total Roof DC ARRAY l — 5.1 psf DL Adjusted to 26 Degree Slope q 5.7 psf ` : N uate: .iz(nizuio tngineer: uiv Wind Calculations Per ASCE 7-05 Components and Cladding Inp ut Variables Wind Speed 110 mph . Exposure Category C .Roof Shape Gable/Hip Roof Slope 26 degrees Mean Roof Height 15 ft .. :: - Building Least Width 35 ft Effective Wind Area 13.0 sf Roof Zone Edge Distance,a 3.5 ft. Design Wind Pressure Calculations Wind Pressure P=qh*(G*Cp) qh=0.00256* Kz* Kzt*Kd *VA * 1 (Eq_6-15). Kz(Exposure Coefficient = - Kzt hicfactor to o i`a = ( p g p )- 1 (Fig.6-4) Kd (Wind Directionality Factor)= 0.85 (Table 6-4).: .V(Design Wind Speed) 110 mph Importance.Factor= 1 (Table 6-1) - qh= 22.4 psf ` Standoff Uplift Calculations Zone 1 Zone 2 Zone 3 Positive GCp= -0.90 -1.68 -2.58 0.49 . Uplift Pressure= -20.07 psf -37.67 psf -57.74 psf 11.04 psf Attachment Dead Load 3.00 psf 3.00 psf 3.00 psf . Max Rail Span Length.= 4.00 ft 4.00 ft 4.00 ft Longitudinal:Length= 3.25 ft 3.25 ft 3.25 ft - Attachment Tributary Area= 13.00 sf 13.00 sf 13.00 sf Footing Uplift -237 Ib -466Jb -727 Ib Fastener Capacity Check Fastener= 5/16. inch Number of Fasteners= 1 Minimum Threaded Embedment Depth= 2.5 Pullout Capacity Per Inch= 205 Ib Fastener Capacity= 8201b 820 lb capacity>727 lb demand Therefore,OK uate:. i uerzu i n tngineer: uiv Framing Check ARRAY I PASS w=39 plf Dead Load 5.7 psf PV Load 3.0 psf Snow Load 20.8 psf. 2x6 Rafters @ 16"o.c. Member Spari=13'-7" Governing Load Comb. DL+SL Note:Attachments shall-be Staggered. Total Load 29.5 psf Member Properties _ Member Size S(in^3) 1 (in^4) Lumber Sp/Gr Member Spacing ... 2x6 7.56 20.80 SPF#2 @ 16"o.c. : Check Bending Stress Fb(psi) f'b x Cd x Cf x Cr `. (NDS Table 4.3.1) 875. x 1.15 x 1.3 x 1.15 Allowed Bending Stress'=1504.3 psi Maximum Moment = (wL^2)/8 = 907.159 ft# 10885.9 in# Actual Bending Stress=(Maximum Moment)/S _. 1439.5 psi Allowed.>Actual==95.7%Stressed -= Therefore,OK Check Deflection Allowed Deflection(Total Load) _ L/120 (E=1400000 psi Per NDS) _ . = 1.358 in Deflection Criteria Based,on _ Simple Spari Actual Deflection(Total Load) _ (5*w*L^4)/(384*E*I) 0.942 in = L/174 < L/120 Therefore OK Allowed Deflection(Live Load) 0.905 in Actual Deflection(Live Load) _ (5*w*L^4)/(384*E*I) 0.730 in L/224 < L/180 Therefore OK Check Shear Member Area= 8.3 in^2 Fv(psi)= 135 psi : (NDS Table 4A) Allowed Shear = Fv*A 1114 lb Max Shear(V)=w* L/2 = 267 lb Allowed>Actual--24%Stressed -- Therefore,OK uate: i zio/zw o tngineer: uiv Jr Lateral 780 CMR Existing Weight•of Effected Building Level Area Weight(psf) Weight(lb) Roof 19.25 sf 5.7 psf 10973 lb . Ceiling 1925 sf . . 6.0 psf 11550 lb Wood Siding 900 sf 5.0 psf 4500 Ib (10'Wall Height) Int.Walls 450 sf 6.0 psf : 2700 lb i Existing Weight of Effected Building 29723 lb I . Proposed Weight of PV System Weight of PV System(Per Sungevity) 3.0 psf Approx.Area of Proposed PV.System 373 sf A roxi PP g System Total Weight of PV S stem 1119 lb � 10%Comparison 10%of Existing Building Weight(Allowed) 2972 lb Approximate Weight of PV System(Actual) 1119 Lb Percent Increase 3.8% ( 2972 lb>.1119 lb,Therefore OK '" ACORV CERTIFICATE OF LIABILITY INSURANCE [21412016 DATE(MM/DDNYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE:ISSUING"INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. of 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 endorsements. PRODUCER NAME: The Hamilton Group, LLC PHONE FAX 3 Wing Drive - E A Lo Ext: 7 -292-2292 A/C No Cedar Knolls NJ 07927 ADDRESS: :INSURERS AFFORDING COVERAGE NAIC# INSURER A:Selec ive Way Ins 26301 INSURED SKYLI-3 INSURER B:Selective Ins Co of the S.East 9926 Skyline Solar LLC INSURERC:A.I.M, Mutual Insurance Company 33758 124 Turnpike Street, Suites 5& 10 INSURERD: West Bridgewater MA 02379 INSURER E: .. .:. ... INSURER F: - COVERAGES CERTIFICATE NUMBER:1644296191 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED.BELOW HAVE BEEN ISSUED:TO:THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT.WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSR WVD POLICY NUMBER MM/DDNYYY MM/DDNYYY LIMITS B GENERAL LIABILITY S 2106548 2/6/2016: : 2/6/2017 EACH OCCURRENCE $1,000,000DAM X PREMISES $100 00 COMMERCIAL GENERAL LIABILITY AGE TO RENTED MI ES Ea occurrence � 0 CLAIMS-MADE OCCUR MED EXP(Any one person) "$10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $3,000,000 JECT POLICY X PRO- X LOC $ B AUTOMOBILE LIABILITY A 9093015 2/24/2016 2/24/2017 T $1 000 000Eaaccdent ANY AUTO BODILY INJURY(Per person) $ ALL OWNED Ix SCHEDULED BODILY INJURY(Peraccdent) $ AUTOS AUTOSNON-OWNED pe�acEcidentDAMAGEX HIRED AUTOS AUTOS $ A X UMBRELLA LIAB X OCCUR S 2000480 10/11/2015 10/11/2016 EACH OCCURRENCE $5,000,000 4EXCESS LIAB CLAIMS-MADE "- - -AGGREGATE $5,0001000 DED X I RETENTION$10,000 $� C WORKERS COMPENSATION VWC-100-6018336-20.16A 3/8/2016 3/8/2017 X WC STAY LIM OTH= AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000.00 OFFICER/MEMBER EXCLUDED? N/A :. (Mandatory in NH)- E.L.DISEASE-EA EMPLOYEE $1-,000,000.00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1 000 000.00 B Installation Floater S 2106548 2/6/2016 2/6/2017 Any One Occurrence $100,000 Property Contents $104,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) This Certificate does not afford coverage,for Additional"Insureds.. The Certificate is only evidence of insurance coverage for the Named. Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Evidence Of Insurance a ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION: All rights reserved. ACORD 25(2010/05) The ACORD.name and logo are registered marks of ACORD structural - ENGINEERS December 5,2016 Sungevity 66 Franklin Street Oakland,CA,94607 Subject:Structural Certification for Installation of Solar.Panels.. Job Number: 16-16012 Client: Laura Richardson-3108531 Address: 101 Grove St,Hyannis, MA 02601 Attn.:To Whom It May Concern -' A field observation of the condition of the existing framing system was performed by an audit tearh from Sungevity: From the field observation of the property,the existing roof structure.was observed as follows: The existing roof structure consists of: • Composition Shingle over ix Decking is supported by 2x6 @ 16"o.c.SPF#2 at ARRAY 1.The rafters are sloped at approximately 26 degree and have a maximum projected horizontal span of 13 ft7 in between load bearing:walls. Design Criteria: • Applicable Codes=780 CMR,ASCE 7-05,and NDS-05 • Ground Snow Load=30 psf • Roof Snow Load=20.8 psf ARRAY 1 • Roof Dead Load=5.7 psf ARRAY 1 • Basic Wind Speed=110 mph Exposure Category C As a result of the completed field observation and design checks: • ARRAY 1:it is adequate to support the loading imposed by the installation of solar panels and.modules.Therefore,no structural upgrades are required. I certify that the capacity of the structural roof framing that directly supports the additional gravity loading due to the solar panel supports and modules had been reviewed and determined.to meet or exceed the requirements in accordance with the780 CM. R. 'CH OFMgSS If you have any questions on the above,;do not hesitate to call. q�y PAULK G ZACHER Prepared B PZSE,Inc. Structural Engineers ,STRUCTURAL g No.50100 Roseville,CA FSS/ONAL�NC' 8150 Sierra College Boulevard, Suite 150, Roseville, CA 95661 j Office of Consumer Affairs and_Business Regulation. 1 Park Plaza - Suite 5174 - _. _. . Boston, Massachusetts 02116 . Home ImprovementContc actor_Registration .. T pe: LLG . .. R�+ X Registration: 172284 z iration: 06106/201$ Skyline Solar; Llc. 4 Crossroads Drive Suite 116 , a Hamilton; NJ 08691 = �e ...Update Address and return card. .Mark reason for change. SGA1 ('i 26M-05/11 R l� vmapt C,i:1 Est add: .: .-....- .a CI.A�+dres Ci.Rgna �s! �.Ero!o, r)rritr,ita jeeil/�n� 'llru�ic�u�eff� <� Office of- onsumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only - - expiration date.:if.found ratum to: Type: LLC beforethe •• �, Office of Consumer Affairs and Business Regulation Rkistration oiration ! 10 Park Plaza-Suite 5170 ! 72284 06/0612018 Boston,MA 02116 .. .. l SWiine Solar, Lb. W MA Ryan Lane = V - f 4 Crossroads Dnve`S Q. 1;16r O Hamilton,J+:J i "'`�` ` undersecretary Not valid without signature Massachusetts Oepastmsnt of Public Safety f board.of 9ulicil6g:Regulations and Standards Lictmse:tS4)27047 .- ConstruCtion Supervisor.. $ :.t Up J CHOUINARD: 79OAKST.UNRq# "° r ASHLANUMA 017Z1 t ..M Co" Expiration. Commissioner TIfOl1R017 f r dq?�/irls' o e oonsumer A ad�nes1ste u ation . g 10 Park Plaza= Suite 5170 Boston; Massachusetts 02116 Home Improvement Contractor Registration Registration: 172284 - Type: Supplemenl.Card SKYLINE SOLAR- LLC: . zW Expiration: 6I712018 ti PHILIP CHOUINARD 4 CROSSROADS.DRIVE SUITE 1 W 1 HAMILTON, Ni 08691 a Update Address and return card.A1ark reason for change. SCA 1 0 20N457I I .. Address .: Renewal Employment : Lost Card Z LJ/r Th nNilri/G4vr�/�i`e�rj.!l r,tllrc�ytr•//J y tYcc of Consumer Atr:irs 6 livstness ttegutaoon License or registration valid for individual use only befora lh ME IMPROVEMENT CONTRACTOR' .. a expiration date. If found return to: Registration:z17�gq Type: Office of Consumer Affairs:and Business Regulatiaq 10 Park Plaza-Suite 5176 Expiration:-'WT1201B Supptement.Cald Boston,MA 02116 SKYLINE SOLAR,LLC' PHILIP CHOUINARO r d CROSSROADS DRIVE SUITE 11 �ti.:._J•.1• -_ Q AAMILTON,NJ 081391 Undersecretary Not voi without signature 7 a... The Commonwealth of Massachusetts Department of IndustrialAccidents > 1 Congress Street,Suite 100 Boston, AM 02114-2017 . ' .4 4ve° www..mass.gov/ilia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Pluitibers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information. Please Print Legibly. Name (Business/Organization/Individual): Skyline.Solar LLC Address: 95 Ryan Dr. Suite 3 City/State/Zip: Raynham, MA 02767 Phone.0 732-354-3111 w Are you an employer?Check the appropriate box: Type of project(required): l.gfl am a employer with 60 employees(full and/or part-time).* 7. New construction 2.a I am a sole proprietor or partnership and:have no.employees working:for mein $,: D Remodehrig any capacity.[No workers'comp.insurance required.] 9. 0 Demolition 3.Q I am a homeowner doing all work myself.No workers'comp:insurance required.l. 4.a I am a homeowner and will be hiring contractors to conduct all work on my property..I will 10 13uildirlg:addltion ensure that all contractors either have workers'compensation insurance or are sole 1 1:❑Electrical repairs Or.addltions proprietors with no employees. Plumbing repairs Or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attachedsheet. _ ]3. Roof repairs These sub-contractors have employees and have workers'comp.-insurance.: p 14:QjOther PV SOLAR6.❑we are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employees,No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.. I am.an employer that is providing workers'compensa on insurance for my employees. Below is the policy and job site information Insurance Company Name: A.I.M. Mutual Insurance Company . VWC:-100-6018336-2016A 3/8%2017 Policy#or Self-ins.Lic.#. Expiration Date: . 101 Grove St Hyannis- Massachusetts 02601 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 MGL c. 152,§25A is a.criminal violation punishable by a fine up to$1500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance. coverage verification. I do hereby cet n er theffl4ns rytil penalti perjury that a information provided above is true and correct 12/9%2016 Si nature: Date: Phone#: 732-354-311.1 . .. :. 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 ong): 1.Board of Health 2.Building Department 3.City/Town Clerk 4,Electrical Inspector 5.Plumbing Inspector 6.Other . Contact Person: Phone#: DEBRIS DISPOSAL AFFIDAVIT In accordance with the provisions of M.G.L. c. 40, s. 54, Building Permit # was issued with the condition that all debris resulting from this work shall be disposed of in a properly licensed -solid waste disposal facility as defined by M.G.L c. 111, s. 150A. The debris will be disposed of in: E.O.M.S Name of Waste Facility 318 Manley Street West Bridgewater, MA 02720 Address of Waste Facility 111.5 Debris: As a condition of issuing a permit for the demolition, renovation; rehabilitation or other alteration of a building or structure, M.G.L. c. 40 s. 54 requires that the debris resulting therefrom shall be disposed of in a properly licensed solid waste disposal facility as defined by M.G.L.c. I I I s. 150 A.Signature of the permit applicant, date and number of the building permit to be issued shall be indicated on a form provided by the Building Department and attached to the office copy of the building permit retained by the Building Department. If the debris will not be disposed of as indicated, the holder of the permit shall notify the building official, in writing, as to the location where the debris will be disposed. 780 CMR—6`h Edition 1 Oi'��re Permit Applicant 12/9/16 Date Skyline Solar HOMEOWNERS AUTHORIZATION FORM Addendum to Contract I, Laura Richardson (print name) am the owner of the property located at address: 101 Grove St Hyannis Massachusetts 02601 (print address) I hereby authorize Skyline Solar to act as my Agent for the limited purpose of applying for and obtaining local building and other permits from the Authority Having Jurisdiction as required for the installation of a Photovoltaic System located on my Property. Customer Signature: Electronic Signature Accepted/Addendum to Contract Date: 12/9/2016 Sign Nam Skyline Solar LLC 4 Crossroads Drive Suite 116 Hamilton,NJ 08691 HIC - 13VH0613060 Connecticut Office 121 E North Plains Industrial Rd. Wallingford, CT 06457 HIC.0632594 ` Massachusetts Offices 95 Ryan Drive Suite 3 35 Mill Street Central I Raynham, MA 02767 Marlborough, MA 01752 HIC -172284 CS-02747 Skylin6 Solar LLC � xn �.. 124 Turnpike St.#10• W. Bridgewater, MA 02379; Phone:7327354- 11 Fax .32 .54-3071 SKYLIN SOLAtt www.skylinesoiar.net o roi. 3e iirui .c„ a tc'>u r w-J 1 10/2-112015 Town of Barnstable 200 Main St. ? a Hyannis, MA 02601 '. To Whom It May Concern; :This letter is to authorize Feliciano Hernandez of Skyline.S:olar LLC to obtain building permits on behalf of Phil: Chouinard, Construction Supervisor of Skyline Solar LLC and electrical permits on behalf of James Leavitt, .. Skyline Solar's Master Electrician. The project is Iodated on 1,01 Grove St ,The homeowner's name is Laura Richardson. The proposed project is a roof top solar system'for purposed of net metering. s Phil Chouinard ` CSL# CS-027047 o, James Leavitt License4-21667;q Skyline Solar LLC I Edison, NJ I West Bridgewater,MA I Wallingford, CT I Providence; .RI _______ Town of Barnstable Q Regulatory Services Richard V. Scali,Director B"x"'S`''B MWABuilding Division Eoj°t ►��9. Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT® FEE: $35.00 ' i.. SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less Grove Location of shed(address) Village ? cam' C�) t Property owner's name Telephone number f to clu 1bvM : 3 Size of Shed Map/Parcel# _ rr 0ign e Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway Conservation Commission(signature is required) .Sign off hours,for Conservation 8:00-9:30&330-4.30 ' 1 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:040914 f ' I Town of Barnstable ZME 1 Regulatory Services, ';v f 411 � S Thomas F.Geiler,Directoi,^? • anaNSTA M • j 9� 1KAM 6 �m�' Building Division '` 29 P�; jO�EQr° Tom Perry,Building Commissioner 2 200 Main Street, Hyannis,MA 0260-1- www.town.barnstable.ma.us Office: 508-862-4038 j—"p-o" 4 Fax: 508-790-6230 PERAUT# 2 9 FEE: $ellJ' SHED REGISTRATION 120 square feet or less o oe A9Gt /� Location of shed(address) Village x4aao v lliffa- �o6 �,P,�P- Property owner's name Telephone munber C L Size of Shed Map/Parcel# Signature Date ., Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? _ Conservation Commission(signature is required) ate/ d PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 ^ SENDER: m wish to receive the Complete items 1 and/or 2 for additional services. I also; H • Complete items 3,and 4a&b. following services (for an extra m H • Print your name and address on the reverse of this form so that we can v_ m return this card to you. fee): • Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address rCD does not permit. +, t • Write"Return Receipt Requested"on the mailpiece below the article number. 2. ❑ R2StrlCted DeIlVery t3. .� • The Return Receipt will show to whom the article was delivered and the date 4) c delivered. Consult postmaster for fee. m I - 3. Article Addressed to: 4a. Article Number P 375 771 514 a Mr. Russell B. Dow 4b. Service Type ova 10 Kelly Road ElRegistered NI J❑ Insured °C 0 c y Nantucket, MA 02554 ❑ Certified ❑ COD W ❑ Express Mail ❑ Return Receipt for o c Merchandise p 7. Date of Delivery w Q � �.Z b a M 5. S' n t e (Address 1 8. Addressee' Addre s (Only if requested Y H - I and fee is paid) W L 6. Sign ture (Agent) 0 H PS Form 3811, December 1991 st U.S.G.P.O.:1992-307-530 DOMESTIC RETURN RECEIPT UNITED STATES POSTAL SERVICE{f P[vJ ��CS� _'? ,•�:r. ti� �.—•--r.�..-°-- ,. .III Official Business PENALTY FOR PRIVATE - .� USE TO AVOID PAYMENT OF POSTAGE,$300 r � r Print your name, address and ZIP Code here • • SMr. Joseph' D. DaLuz, Bldg. Commissioner TOWN OF BARNSTABLE 367 Main Street Hyannis, MA 02601 isii::iiii:,:i:::i::i:ii P 375 771 514 Receipt for Certified Mail e No Insurance Coverage Provided u»REos..,ES Do not use for International.Mail vosru seeace (See Reverse) Sent to Mr. Russell B. Dow Street and No. 10 Kelly Road P.O.,State and ZIP Code 02554 Nantucket, MA Postage Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to Whom&Date Delivered N Return Receipt Showing to Whom, e Date,and Addressee's Address 7 TOTAL Postage C &Fees 000 Postmark or Date M E 0 u- N a STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front). a� 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of the article,date,detach and retain the receipt,and mail the article. ; rn 3. If you want a return receipt,write the certified mail number and your name and address on a 2 return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 0 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee, Im endorse RESTRICTED DELIVERY on the front of the article. E `o 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt.If LL return receipt is requested,check the applicable blacks in item_1 of Form 3811., a 6. Save this receipt and present it if you make inquiry. 1 os6o3-s2-B-o226 The Town of Barnstable NAM ' Inspection Department 1619 367 Main Street, Hyannis, MA 02601 �a r►r►• ,508-790-6227 Joseph D. DaLuz Building Commissioner August 18, 1992 Mr. Russell B. Dow 10 Kelly Road Nantucket, MA 02554 d RE: A=310 165 101 Grove Street, Hyannis t Dear Mr. Dow: This office is in receipt of. a complaint alleging that a business is being operated from the dwelling owned by you and located at 101 Grove Street, Hyannis. Please contact this office immediately re the above matter. Very truly yours, 4Jeph D Luz lding Commissioner r JDD/gr cc: Town Manager r Certified mail: P 375 771 514 R.R.R. 1 , i TOWN OF BARNSTABLE' BUILDING DEPARTMENT �I COMPLAINT/INQUIRY REPORT Date 7 Z- Rec'd B Assessor's No. Last Name First Name ORIGINATOR Street Village State Zi hone: Home Work Descr' tion: e1. — COMPLAINT Tr- tj INQUIRYjLZ s �� ' 6 Requ stor's Signature COMPLAINT Street Address Q LOCATION A_ OFFICE USE ONLY INSPECTOR'S Date Ins ector ACTION/ COMMENTS c-� \f FOLLOW-UP V>,I- L ?" ACTION JZA D�N1 ` ADDITIONAL INFO. ATTACHED a,.n COPY DISTRIBUTION: WHITE - DEPARTMENT FILE YELLOW -;INSPECTOR PINK - INSPECTOR (RETURN Tf .OFFICE MGR. ) MISC1 GROVE STREET CTYJ07 TDSJ 400 NY YEYJ 227338 ----MAILING ADDRESS------- PCAjl0ll FCSJ0(.) YRJ00 PARENT] DON, RUSSELL B MAPl AREAJ636C 1VJ4.20556 MTGJOOOO 10 KELLY ED SPIJ SP3 UTIJ u T,4-J .26 SQ FT 1360 NANTUCKET MA 02554 AYE- 11953 EYB11970 OB-3.1 CONSTJ 0000 LAND 25200 IMP 67700 OTHER ----LEGAL DESCRIPTION---- TRUE MYT 92900 PEA CLASSIFIED #LAND 1 25,200 ASD LND 25200 ASD IMP 67700 ASD {_NTH#BLOGIS.)-CARD-1 .1 67,700 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE -,#FL .101 GROVE ST HYANNIS TAX EXEMPT #DL LOT 19 & 20 11C.10504 RESIDENT'L 92900 92900 #RR 0639 0133 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE JOI/90 PRICE] .104000 ORE JC119504 AFDJ LAST ACTIVITY.JO5130,191 PCR]Y Assessor's map and lot number .. .�.Q.....-. 4 ��— �/ T - 2 -7 SEPTIC SYSTEM MUST, EI@ Sewage Permit number .......... ...�..... ...................... WISH ARTITALLEDCLE IN 11 STATE ��• ARIICI.E II STATE t SANI'fA,Ry COD Qya�tNETp�4 TOWN OF BARNSTWR'� AND T°w� W HA"ST"LE ou A, BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... ... .�.. ..... n l i TYPEOF CONSTRUCTION .............................. iroe .-............................//.. ........................................ ...........19..�� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....................................................... ........ �Q�` -... .�Q..(. ........;I................................................ ProposedUse .........1 ................................................................................................................................... Zoning District ..............J.�-.. ........................................Fire District ......... V'XK..*?..... ............................... Name of Owner .14l:1!Ylk...1r....�Q...Y..'..l.��f!�'''!Address .............,�itf../......,7...... .. ..................... Nameof Builder ........................................................'...........Address .................................................................................... Nameof Architect ..................................................................Address ....................................................................................... Number of Rooms .................� ...r —............................Foundation ......4. . !- ..e . Exterior ................"`'. ....................................................Roofing ........: 4.X . .. ............................................. Floors .........�idt .C/..UN..".._........................................Interior .................................................................................... Heating Plumbing ...................... ...... . ...................�..................................... Fireplace .................... ........................................................Approximate Cost ..........V d ........................................ Definitive Plan Approved by Planning Board ---------------____-----------19________ . Area ....i?..!?..�?..... . ................ of D /,ll Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..� BMW DeMar, vino, Alma J. 19058 add gara e No ................. Permit for .......................... .... .... ....tc... welling............................................... Location ......LOL Grove Street . . . ......................................... H annis Owner ........Alma J. DeMartino Type of Construction .......frame ......................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ........March 31 19 77 Date of Inspection ....................... ............19 i Date Completed ..................... �` .19 PERMIT REFUSED ................................................................ 19 ............................................................................... ............................................................................... ............................................................................... ............................................................................... L .q Approved ................................................ 19 ............................................................................... ............................................................................... Assessor's map and lot number .............. ...,. `; , SYSTEM-MUSTS '&STALLED N E q�aa oFtHero� Sewage Permit number Q,a 4o-.. �..� ..� .. VVITH TITLE d °� .t; p� L. 0.E �� 4Je�.� E��P�'1A CODE � A"STADLE, i House number / E I,, r Gk t 60 rnea ....,.......<..al................ _ j _ TOWN OF B'ARNSTABLE BUILDING INSPECTOR APPLICATION, FOR PERMIT TO ........Ad...aba tkxQri..t.0..dwel1ink....................................................... TYPEOF CONSTRUCTION ..............�rood.............................................................................................................. ....February....3....................12.... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ss.R..Q ............................................................... .................. . ..... drove"S'tree t..................... ProposedUse ............................................................................................................................................................................. ZoningDistrict ...RB...................................................... . .......Fire District .............H,Vannis............................................................ Name of Owner Anthony DeMart .................................ino...............................Address ...................Same................................................................. Name of Builder .....I. Stanley E. St. Peter Address .....3.6.9.1...Ma,in...Stree.t....Barn.stab I&y-44a•,•• Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .....................................Foundation „•....,Concrete blocks J32e. ................ ................................................................. Exterior White cedar shingles.......................Roofing .......Azphal.t..shin,S1e.%....................................... Floors ......... . .. .lrinc l-e= .................. ......................Interior .........Drywall...................... . ................................ Heating .... .. ..................................Plumbing .................................................................................. Fireplace ....... ............. . . ............................................ ....Approximate Cost .....` ..... ............. Definitive Plan Approved by Planning Board ________________________________19________. Area ....� q.............. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH We iL� . , r 4 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam ... . ... ................. ............................. .......... 1 DEMARTINO, ANTHONY No „23792 Permit for ,ADDITION Single Fa.mily. . . .....D.welli. . . ......ng ............. r .... .. . .. .. .... .. .. . r Location 101 Grove Street ........ ............ .............. ... ..... ........ _ • t 1 f = Hyannis .................... ....................................................... .. E Owner' Anthony DeMartino . y Frame Type of, Construction . .......................................................... _ ....... Plot .......................: Lot ................................ +� t Permit Granted .... ruary S, 19 82 Date of Inspection Date Completed 513 . .. ...... ......19D t 5 i PERMIT REFUSED f • ..... ......................................................... 19 4 ............................................................ ... ...... ` •'- •- _h - y a, • ............................................................ .............................................. ..................... ... Approved ..................... 19 1 ............................................................................... r--„�..t•�.-*-s�.. rf- � ,. ;-^.�� .,. .. ;.:.:.—.: .P �,, er..r. 'tri^.i�:�.ryc.«'.,,;;.t::._..c. rwrro- � } "rv>`s�..vv, h..: �,}C�q,'1.i`°. ji`,`M.�4a:.s._�,s,�iw�c Assessor's map and lot' number .. �: .. "` a � . jV SewagehPermit number ' ' ` M T"ET TOWN OF }BARNSTABLE Z EA NSTAI1LE, i 1NAM639 � BUILDING ' INSPECTOR G MpY fr• tv c APPLICATION FOR PERMIT TO ... ........../ii..I;........ .--''................................................ TYPEOF CONSTRUCTION .......................... s .� , .:........................................................................ !?./.......... 19.7? TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............................................................. �....... c`!., �'� �... .........../74................................................ �` 'Sf711 ��,� Proposed Use ..............:...:.............. ........................................................................................................................................ Zoning District ...........r..`-.... ........................................Fire District ..........:........ L......( ................................................. Name of Owner f"'k t✓vw.�� J ' u t,1 4//!t!ftAddress /?..fj.. l� ..................... .... 717 ........... r � • Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address ................,................................................................... Number of Rooms ........................:;:. :.:.................................Foundation ........ ........ W .. .................................................Roofing ......................... !7 i............................................. Exterior r : Floors ..............................................Interior ...............................................................................:.... Heating ..................................................................................Plumbing .................................................................................. Fireplace ...........................................................Approximate Cost . /l .�, .............. .....:........................................... .................. Definitive Plan Approved by Planning Board __________________________ .............(�..�............... -----19--------.. Area ..... Diagram of Lot and Building with Dimensions k r Fee 'a:0.1. SUBJECT TO APPROVAL OF BOARD OF HEALTH r Y q, I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. .� ► Name ....................... DeHartino, Alma J. A=310-165 No ...PPP 8 Permit for ...,,add garage to single family dwelling .. Location G ............101...................rove.................Street................. ..........................HY.annis................ Owner Alma J. DeMartino Type of Construction ......,frame Plot ........................... L�.................................. . Marq�h 31 77 Permit Granted ................ r......................19 Date of Inspection ............. .....................19 Date Completed ...... .... ....................19 -PERMIT REFUSED .......................... . . .. ........ 1,9 ..............(............. ........................ ......................... ............................................................................... ...............................................................:............... Approved 19 ........................................... ............................................................................... ............................................................................... d j Assessor's map and lot number��..........:........................ CF THE Sewage Permit numberC.?< :..• r� 2"NSTAM E, i House number � � 9� MA86 O �Mpy.a`��' TO_WN OF BARNSTABLE BUILDING INSPECTOR APPLICATION-FOR PERMIT TO ........ !lc ..a..ba;!�rn m••tPry..dT;e;l,Ij.n.g....................................................... TYPEOF CONSTRUCTION ..............Fz,7. .�............................................................................................................. .........Qba�uary �....................I9�2.... .......... . .... I TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ................... Yannis N ..... ?... :... ProposedUse ......................................................................................................................................................................... ZoningDistrict ...RB................................................................Fire District .............Hyannis................................................ Anthony Del``artino Same Nameof Owner .....................................................................Address .................................................................................... Stanle E a, r �+ � Name of Builder Y . .t. Pe...... ..........Address ...... �...Tt1 a.n.... + rti ....a �• Nameof Architect ..................................................................Address .................................................................................... Number of Rooms Foundation Concrete blocks .. .: iri. .......... ... ...................................... .............................................................................. Exterior ...............'ihite...ceda.r.Ahineles.......................Roofing ........a,--nb.. !.f ... h. . ,. ...................................... Floors ................... y. ................................................Interior ..........Drywall.......................................................... rx; c ui7i Heating ............................... ................ ..........................Plumbing ........ ...................................................0..................... Fireplace ........................ .....................................................Approximate Cost ... 5nQn..00................................................ Definitive Plan Approved by Planning Board ________________________________19_______. Area 1:;.- ...... -7.. . . .............. Diagram of Lot and Building with Dimensions Fee _.. _" .._ SUBJECT TO APPROVAL OF BOARD OF HEALTH Z:� -- �.... . i 1 A R6 i I hereby agree to conform to all the Rules and Regulations.of the Town of Barnstable regarding the above construction. �� ? Name.. .. ............... DEMARTINO, ANTHONY A=310-165 . � . No .23792_ Permit for _,�I)DITZO0___.. ' .�'�..SinoI��..]�anzilv_qvvell ' ____. � ' � Locotion —lbI_ .. ______. . ...----{{� ---------`-----.. . ' � �� Cx�DY��tig�� vner . ��— ,=�-----.. � Type of Construction .IrXAJDQ........................... ----------'---------^—'^---' � Plot —.-----..�—.. Lot ................................ ' � . 8 Permit Granted -------.�Febroaz�,—'x—..lA 82 � Dote of Inspection ..... ..............................lA Dote Completed ...................................... ' . . PERMIT REFUSED ' ----.---.... ---.--.------ 19 �. --------.-----------------. � .—_----.----- ...... -----------'-----^--^—^----- � ` - --------~-----------.—.----. � / �c�, ��' 3�urc? � / �� °�~ ~ - l�, �/2~0 �� r,� Approved .................. ---- lV -----------------^---'—~—'~— - ----------'-------'---^^^^^—''' ^ / | 'Fa t-xi IARY 745.00 0.00 0.00 0.00 0.00 23,624.32 0.00 0.00 0.00 0.00 200.00 0.00 0.00 0.00 0.00 1,584.00 0.00 0.00 0.00 0.00 1,372.00 0.00 0.00 0.00 0.00 2,645.00 0.00 0.00 0.00 0.00 30,'0: 32 , 30 170 32 a p„00�— ""0'"00 0 002 .,.. 0 190: .301170.32 0.00 1 00 0.00 1 11 //b /by // �Ol x two Q 7s _779' 1;2zS IL F The Town of Barnstable sARwsrnsIZ Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner November 25, 1994 Mr. Russell Dow 10 Kelly Road Nantucket, MA 02554 Re: 101 Grove Street, Hyannis, MA Map/parcel 310.165 Dear Mr. Dow: This office is in receipt of a complaint alleging that there is a business located at l 01 Grove Street, Hyannis, MA. The area is zoned Residential and only residences are permitted. I have found no record of a Special Permit from the Zoning Board of Appeals. Please contact this office immediately regarding the above matter. Respectfully, Gloria M. Urenas Zoning Enforcement Officer GMU/km Q941125B The Town of Barnstable aAPJ' � Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner November 25, 1994 Mr. Russell Dow 10 Kelly Road Nantucket, MA 02554 Re: 101 Grove Street, Hyannis, MA Map/parcel 310.165 Dear Mr. Dow: This office is in receipt of a complaint nlleging that there is a business located at 101 Grove Street, Hyannis, MA. The area is zoned Residential and only residences are permitted. I have found no record of a Special Permit from the Zoning Board of Appeals. Please contact this office immediately regarding the above matter. Respectfully, Gloria M. Urenas Zoning Enforcement Officer GMU/km Q941125B • �� r� o asses �z �' o TO DAT T s /1// M FROM 4A Cf3Nt)M1dBEA ; OF s . IAJI ui Q 0 cn d j w J SIGNE i� gRNtiO s l(�L Y7ILE 4ALL Pk10xtJ WANT5 I�RGEN CALL : BACK 1 AGYAttt: S69: Iµ ° AMPAD NO.23-176-400 SETS NO.23-376-200 SETS TO DA�� TIM ,. FROM` l5R CO ElifA 113ER sw OF O✓ E?ClNS�py,.,z vr, a ..-a .zr.... W= • 0 N CWC SIGNED *a�rwsy. wow . gk'T11RtiED sCAEE WlEF:CAEL t+.�ONEp ..IKANT$�'0 � AS iGEftt� cau;; eacrc t�gaut ❑ s �rou AMPAD NO.23-176-400 SETS NO.23-376-200 SETS TO t" DATE�f O TIME *✓'FROM AWER CC3D T119Ei; y C :' dna,16Uj OF lacy f-ICA r-L 6'-1 ui lJ(JY o D04i 'N fZb z 6-1-oue S ... <6 SIGNED =UAGENt( R�tuR�Eo �nr.�. unu.�ac� rtlot�ep v�na is cat[ await Again: s You ? AMPAD NO.23-176-400 SETS NO.23-376-200 SETS a �' 7Z5 Ali r S YI [ ] [R310 165. ] LOC]0101 GROVE STREET CTY]07 TDS] 400 HY KEY] 227338 - --MAILING ADDRESS------- PCA] 1011 PCS]00 YR]00 PARENT] 0 DOW, RUSSELL B MAP] AREA163BC JV]420556 MTG]0000 10 KELLY RD SP1] SP21 SP3] UT1] UT2] .26 SQ FT] 1360 NANTUCKET MA 02554 AYB] 1953 EYB] 1970 OBS] CONST] 0000 LAND 22700 IMP 59300 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 82000 REA CLASSIFIED #LAND 1 22,700 ASD LND 22700 ASD IMP 59300 ASD OTH #BLDG(S)-CARD-1 1 59,300 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 101 GROVE ST HYANNIS TAX EXEMPT #DL LOT 19 & 20 LC10504 RESIDENT'L 82000 82000 82000 #RR 0639 0138 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE]01/90 PRICE] 104000 ORBIC119504 AFD] I LAST ACTIVITY]05/30/91 PCR]Y r f [ ] [R310 165. ] LOC]0101 GROVE STREET CTY]07 TDS] 400 HY KEY] 227338 -=--MAILING ADDRESS------- PCA] 1011 PCS]00 YR]00 PARENT] 0 DOW, RUSSELL B MAP] AREA163BC JV1420556 MTG]0000 10 KELLY RD SP1] SP2] SP3] UT1] UT2] .26 SQ FT] 1360 NANTUCKET MA 02554 AYB] 1953 EYB] 1970 OBS] CONST] 0000 LAND 22700 IMP 59300 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 82000 REA CLASSIFIED #LAND 1 22,700 ASD LND 22700 ASD IMP 59300 ASD OTH #BLDG(S) -CARD-1 1 59,300 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 101 GROVE ST HYANNIS TAX EXEMPT #DL LOT 19 & 20 LC10504 RESIDENT'L 82000 82000 82000 #RR 0639 0138 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE]01/90 PRICE] 104000 ORBIC119504 AFD] I LAST ACTIVITY]05/30/91 PCR]Y �j10 TEST HOLI ASSESSORS MAP : _ - � PARCEL : L�oS SOIL EVALUATOR: u cs� d i d FLOOD ZONE : �Drl �Z,�r�a-Q WITNESS : REFERENCE:G�j�j(o 'Z y DATE 0 , o a PERCOLATION RA1 ®� -h CL.A4515 x 5C � TH- w►+�a r Q "� �b e I cy- ' LOCATION MAP 'I MEDI uM SAD c 2s b No G yav„d Watt• 01.5 - SEPTI FLOW I 13K .v 47..z lid 4atZ RI E _ trVSnW,. tocn GM. 71'-/ SEPT I a p • USE EX1ST1rJ SOIL y z -� --- 40,r ot= _-E.c, � E1Usn LEncH G; • Y4 P,rli074 7) 4� i W V_ I SEPT 4Z r j / ' u� i —�-$ v - - L I EL 43.!a r m �ytN OF MqS D aM.R 140 G137s gym, �� •� ;>�r�G>✓ - Pt,�r1 -.mob Cf«sE Er►� . -�- DA'ET• b ' V ID; c`� 31 _ J - ' a u 1 �§�p Ape i +�.�s .A✓� �:Y_ \\ELF c s .. M r Pal, Io Air I assEssoRs MAP : 31U' - TEST.... H r I�b g PARCEL MANI SOIL EVALUA' ao FLOOD ZONE : �or51 REFERENCE : _ WITNESS: C-J 52. DATE: My l' H PERCOLATION CLASS 'A TH- I g, l },ail .S �, o W M. _,Q• n 11 A. WAMY SoWP LOCAT I ON MAP Mr U UM SAtJfl � d �D dVJclGr L. ` SEPI FLO1 - E x1STlnY. IOcxD �Er'7A-NIL f S E P USE 3 SOIL lb To F, ,.4,5 6 coG � T \ 4 .I i I SEPT NI i .`. 43 �N.OF MAs p R 1 : _ s 0-1140 0 SgNITAR l� I ' I PI,Ak-� O F L D} M0R CAI S� D H�1 10 r 3 I - y ..„s !€.uwa;ifiia;q"' - - _ .:el;�a<�7;a�.k[q�i��4�1V^?.,3iu�"f7a ��••� 4 • x p I" ASSESSORS MAP ?j10 A q �`i TEST HO L ro Air l(�S PARCEL : a ` SOIL EVALUATOR : d sb FLOOD ZONE : NDIJ H}1Z/CR-0, WITNESS : POT �E REFERENCE:_cj;; +2, DATE: /I/lfl 10 � pe PERCOLATION RAl TH if LOCATION MAP 4 : y MEOUM SAtJO g. a C S b lqo 6foo0jak" Ob5 E ` t SEPT 1 � FLOW 3; EpS SEPT I.. � USE iL " 19: I. • a t_ r w , �' a �_To F -EC..Q+3,'�v j T __" �' "LL �4 _ - js °.�. �•, Iz M l:Y►ISnAXE Y P,r�iw x 7 n A, E I r - SEPT ve f o . , •x LLam. - e f OF#A4S p R 40 F SANITA�IP it ep Mok5e, Cf sa r j NOTES: 1) THE INSTALLATION MUST BE IN SUBSTANTIAL COMPLIANCE WITH NISI PLAN, 1995 MASSACHUSETTS TITLE V & TOWN . OF PGA BOARD OF HEALTH REGULATIONS. 2) THE INSTALLER SHALL VERIFY THE LOCATION OF UTILITIES, SEWER INVERTS AND SEPTIC COMPONENTS PRIOR TO INSTALLATION. TH-2 3) THIS PLAN SHALL BE USED FOR SEPTIC SYSTEM INSTALLATION ONLY, AND SHALL NOT BE USED FOR PROPERTY LINE DETERMINATION. 4) ALL PIPING TO BE 4" SCHEDULE 40 @ 1/8 "/ FOOT. (UNLESS SPECIFIED OTHERWISE) nI I fl 5) THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF A I" GARBAGE DISPOSAL.. 6) SEPTIC TANKS AND DISTRIBUTION BOXES (WHEN INSTALLED) MUST BE PLACED ON A MECHANICALLY COMPACTED BASE OR ON A BASE OF 6"OF CRUSHED STONE. - x , II DESIGN OP-TU_►v t�._0,c.�__.... y , GAL/DAY/BEDROOM -77U GAL/DAY iAYS GAL . a, C TANK.: EX� - u�vil 115vo 6AV �e-P 4 E P T i I F- PA"L-�—;>) DAB Air S D &k „ (STEM f, u►J'O�rz-SIZED• - - � ' A-0f4 pR-rG 1 iT CNI �N ft M?>�le s 3.5�STUnIt �N ErJOS. �`L,5 Li,1,5 Wx �- . y 13 *7, M SECTION .,y �r� (p a� •�nr$!7 � Min / . o 14 39'32 3A oU6(C WaStied mq- •,�, D-BOX 3?,v3 1Qyj GAL 3`t.Zo` *� ELFy SEPTIC TANK �✓ �t v��he� 3 i� _1 36,e0 t t✓X/ST1VS ._3 3/4'= SITE AND ,' SEWAGE PLAN ' LO,CAT I ON . lU ( LP PREPARED FOR • viEfZ� r •: SCALE.,. /� = 'DARREN M. MEYER, R.S. DATE• m o 43 VINE STREET' DUX13URY, VlA 02332- IV ' HEALTH AGENT (781) 585-0293 M1 s i . - • T R L r...—l�/,.(A?E..:C`Y1S i 1 NS�.. ',. ,,.,, _ ik ti SMOKE DETE 9R5 REVIEWED -,n.�h N O BARNSTABLE Q BAFINSfiABLE BUI`lDl DEPT` DATE FIRE DEPARTMENT DATE BOTH SlGIVATURESARE REQUIRED FOR PERMITING 1 , :d�a.O- l.q,.`4.g .-. : ,�. . 'e-:.3 -. :, + 1 — i �. � Y��IST� � . 9 ch �PrfiI:�ST r bus' � 1 „r. I O „ T,ia,fit J _ 1 y; u r- r I. , ' t .. : --..._- - •. - �... :. a .. t c _ r , r F. 7 ' ,y • _._ : i.c.. ,I I I, r. 1.f' F E rcC 4 JN Ir V, TT elz - - f , .. ,. ":r ..._...,, •:; -._ .;.;, .,: i,,;:1: ... :., 1. ._,. ... . fi..... 1,M.. .1,. .. , - . s • r � —_ _ I _,. 21-'�Ei E:C�tl,/CZL`c)Y.I 1• a.:, 1 >7 r. .. .E„ - 3' .i., j ,ir". .... ,. Desi 4�c+ov.E 5T c Nti7 >, Bruce ihcvi�n 5, 774-223"773 .,..1 a 1:. ti - r 1 0 .. N - �� i ' �� . �. � � 1 �:. _..r'"."ar'�4... ({�l'1 �� t y ,� ' �g t.Y 4 � �� '. rs" `'�..__�..�' n �� . j�`�( 4 i i, k r, .� i �. � i F ' ca f uiCIA- Q _ I • I C Ls J cn J QV 474\1 U-cn 1 � Ad•. -�61" Iu I °o�... '� Air s ASSESSORS MAP : .510 AP : .510 ° g TEST H( q�. N BdRIE �E 40 PARCEL MAN[VA a FLOOD, ZONE : 14C) A-7- -D SO I L. .EVALUAT' Av SEE. a WITNESS :. REFERENCE:GCj DATE: MAA(,H V ' G �� f4 PERCOLAT.I.ON ° E IIA " LOCATION MAP MtU UM SA-OD t, 2-Sy _ : F l( �traundNluf�� G D SE - PT FLb EPS' w', locz.GRe qr SEpTz4a�06. � SEPT c � - USE E)r 5T1 eJ 3 I Z �p- m SOIL VINE LCI lJ( al CO SEPT i — I V I � Tv i I EL 43.E Wr _ � : OF 4S o D R 0-1140 0 FGrsT�� SANITARIP� i 10 r9 3 •