Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0476 OAKLAND ROAD
!� -- 1 ,, '� . J 1 i IIV � I { I r { i { I { ti k a t S S Town of Barnstable Building ae IPo"st This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept ST news& Inspection Been Posted Until final Has B Made. Permit 1a3o. Where a Certificate of Occupancy is Required,such Building shall Not be Occupieduntil a final Inspection has been made. Permit No. B-20-1805 Applicant Name: ROBERT HERRERA Approvals Date Issued: 07/16/2020 Current Use: Structure .Permit Type: Building-Deck Expiration Date: 01/16/2021 Foundation: Location: 476 OAKLAND ROAD, HYANNIS Map/Lot: 272-106 Zoning District: RC-1 Sheathing: Owner on Record: HERRERA, ROBERT O Contractor Name Framing: 1 Address: 476 OAKLAND RD Contractor License: 2 HYANNIS, MA 02601 Est. Project Cost: $5,000.00 Chimney: Permit Fee: $ 160.00 Description: DECK ; Insulation: I Fee Paid:;i $ 160.00 Project Review Req: Date: . 7/16/2020 Final: ,7 2.0 •` Plumbing/Gas l Rough Plumbing: Building Official m �a Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after�issuance. r which this permit has been ranted. of roved a licatiori and°the=a roved construction documents for p g All work authorized by this permit shall conform to the approved pp� pp Rough Gas: and changes of use of an building and structures shall be in compliance with the local zoning by-laws and codes. I� All construction alterationsy g g This permit shall be displayed in a location clearly visible from access treet or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. P -� ' Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:. �' Service: 1.Foundation or Footing r` 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed' 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: S 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION / Map a?. 702 Parcel / Q(D Application # Health Division Date Issued'3-13 /9- P� Conservation Division Application Fee 450 Planning Dept. Permit Fee 7 5 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 4AQ h '� Village NVO-Yln S Owner 4ecceco,_ Address 0to C.lakkc,_nc( e-A Telephones©8 - 3(Q'9- M&O Permit Request MAcUl 10-a KW 5061 /-Dvn IS on `he tbo� , (AY 1t nod e_YQ ,J 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 documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) _4 Number of Baths: Full: existing new Half: existing �s� new Number of Bedrooms: existing —new k1 Total Room Count (not including baths): existing new First Floor Ro m County} Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood coal stove: ❑OKs ❑ No CD 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 n �� C cxS Telephone Number 0'Z�-JV 000 Address ck _/�jCOoK 'E• License # 161 �31 wks , YvAyq 69SXQ Home Improvement Contractor# 1,70 3S,S- Email Worker's Compensation # EW&CCDaD6(PSCQ I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO `Tc:�n��! Sa wlart�,&_O_N. W"VA (-e SIGNATU DATE / Is- r FOR DFFICIAL USE ONLY N APPLICATION# DATEISSUED MAP/PARCEL NO. i 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. Barnstable Building Dept. 3/10/2015 Total cost of jobs for the following addresses: 476 Oakland Rd.: $35,000 total cost of job" 244 Boulder Road: $28,000 total cost of job. 10 Acorn Dr.! $18,,000 total cost of Job. I hope this is what you need. If you need anything else please feel free to call me S08-291-0046. Thank you for all your help In this matter. Tammy arot Trinity Solar Permit Dept. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): rh1'11�-j/ rjOt011( Address: 2211 ,aAlkenwood XQ A. City/State/Zip: VI(!1 I N T 0111 q 'Phone #: 731110-31_1 Ct Are you an employer?Check the appropriate-box: Type of project(required): LN I am a employer with 3C� 4..Q 1 am a general contractor and I 6. ;New construction employees(full and/or part-time).* have hired the sub-contractors^ ' listed on the attached sheet. 7. ❑ Remodeling 2.❑ I am a sole proprietor or partner- ,. ,.. • ship.and have no employees " These sub-contractors have g• Demolition workingfor me in an capacity. employees and have workers' Y p tY• � - 9. � Building addition No workers' comp. insurance comp•insurance.: required.] 5. We are a corporation and its 10.� Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11.El Plumbing repairs or additions - myself. [No workers' comp., - right of exemption per MGL 12.0.Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' - 13.0.0ther comp:insurance required.]. *Any applicant that checks box#l,must also fill out the section below showing their workers'.compensation policy information: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside:contractors must submit a new affidavit indicating such.. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have . employees. If the sub-contractors have employees;they must provide their workers'.comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site : information. Insurance Company Name':TIf1G LD1��rn c�����r1C1� v' Policy#or Self-ins.Lic:#: Expiration Date; Job Site Address: y1 )Q K I Q nG �U City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as.well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250.00_a day against the_violator. Be advised that a copy of this statement may forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the painsand penalties ofperjury that the information provided above,is true and correct Signature �C9w / D Date: Phone#: t Official use only. Do not write in this.area;to be completed by city or town official City or.Town: Permit/License# Issuing Authority(circle one): a I..Board of Health..2.Building Department_ 3.City/Town Clerk 4.Electrical Inspector y5.Plumbing Inspector 6.Other Contact Person: Phone#: DATE,MM/DDCETTIFIC4TE F LIABILITY INSURANCE 10/29/20Y1Y4Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must.be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on.this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NCONTAMEACT Barbara Hayden - - DITTMAR AGENCY PHONE. (732)462-2343 a No:I732ITao-&aia 78 Court Street E-MAILAESS.bahayden@dittmarinsurance.com P.O. Box 1180 INSURERS AFFORDING COVERAGE NAIC# Freehold NJ 07728 - INSURER A:HDI-Gerling America Insurance INSURED INSURER E.North River Insurance Company Trinity Heating & Air Inc. , DBA:Trinity Solar INSURER C:Llo d's, London BPTP Future Holdings LLC INsuRERD: 2211 Allenwood ,Road wsuRER E r Wall Twp NJ 07 719 INSURER F COVERAGES CERTIFICATE NUMBER:2014-15 Liab Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT,TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SIR - - LTR TYPE OF INSURANCE - POLICY NUMBER POLICY MM DDY EXP YYYI LIMITS- GENERAL LIABILITY - EACH OCCURRENCE $ 1 i 000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES a occurrence A CLAIMS-MADE a OCCUR GGCC000065614 1/1/2014 1/1/2015 MED EXP(Any one person) $ PERSONAL&ADV INJURY $ - 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/0P AGG $ 2,000,000 X POLICY[71 PRO- LOC $r3 AUTOMOBILE LIABILITY - - CO aBI ED SINGLE LIMIT $ 1,000,000 A X ANY AUTO BODILY INJURY(Per person) $ ALLOOWNED SSCOEDULED C000065614 1/1/2014 1/1/2015 BODILY INJURY(Per accident) $, . HIRED AUTOS NON-OWNED _ PROPERTY DAMAGEAUTOS $ (Per accident) Lease/Loan G $ UMBRELLALIAB OCCUR INDER11012014• 1/1/2014 1/1/2015 EACH OCCURRENCE $ 15,000,000 B �[ EXCESS LIAB CLAIMS-MADE - AGGREGATE $ - 15,000,000 DED RETENTION$ ZNDER11012014 1/1/2014 1/l/2015 . Umitxof$10,D00,000 $ $15,000,000 A WORKERS COMPENSATION - WC STATU- OTH- AND EMPLOYERS'LIABILITY Y 1 N T ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1 'OOO"OOO. 0 andatory In H)EXCLUDED? ❑ NIA_ (Mandatory in NH) OOD065614 l/l/2014 1/1/2015 E.L.DISEASE-E4 EMPLOYE $ 1 000 000 If yes,describe under - I I .. DESCRIPTION OF OPERATIONS below - - E.L.DISEASE-POLICY LIMIT $. 1,000,000 C Errors & Omissions lARK0201402 /36/2014 /30/2015 Per Occurrence $2,000,000 Pollution Liability - i Aggregate $2•,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) ~ NJ x CERTIFICATE HOLDER CANCELLATION' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE .THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Trinity Heating & Air, Inc. ACCORDANCE WITH THE POLICY PROVISIONS. T%A Trinity Solar ` I 2211 Allenwood Road AUTHORIZED REPRESENTATIVE Wall Twp, NJ 07719 Barbara Hayden/BAH ACORD 25(2010105) _©1988-2D10 ACORD CORPORATION. All rights reserved. INS025(201005).O1 The ACORD name and logo are registered marks of ACORID 4 y . ' w BARNSTABIE. * - '""QQ s6;y. 'Town of Barnstable 9� 10� " Regulatory Services Richard V.Scali,Interim Director Building Division Thomas Perry,CBO Building Commissioner l 200 Main Street, Hyannis,MA 02601 , www.tbwn.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder T I, )CU e4 as Owner of the subject property ' hereby authorize to act on my behalf, Ui in all matters relative to work authorized by this building permit application for: ` 22 (Address of Job) t - Signature of Owner Date - Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. TAKEVIN D\Building Changes\EXPRESS PERMITEXPRESS.doc Revised 061313 � Office of Consumer Affairs nd Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement:Contractor Registration Registration: 170355 Type:. Supplement Card Expiration: 10112/2 015 TRINITY HEATING &AIR, INC. GREGG LACASSE 20 PATTERSON BROOK ROAD UN'IT,10 '' a WEST WAREHAM;MA 02576. ., w Update Address and return card:Mark reason for change. seq i Co 20ne-05n1 ❑ Address Renewal Employment ❑ Lost Card �fze l(JP�rrl/�iao�uueC�,/.L12.a�VVGa0�C7ClicUJeCld ' Y - .ffice of Consumer Affairs&Business Regulation License or registration valid for individul.use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation egistration: 170355 Type: 10 Park Plaza-Suite 5170 Expiration 40/12/2015., Supplement Card Boston,-MA 02116 TRINITY HEATING&A1R'INC GREGG LACASSE 20 PATTERSON BROOK,ROAD U '^ � 5��WAREHAM,MA 02576 Undersecretary o valid wi out nature f ifasfi oc? Fsctts Depart eri, Scare c kdd no s 5 cu t stars a-da.rds - �cnsta•uctirr. Su,len;scr � i, v _:cerise: CS-103631 GREGG LACASSr . 14 PM ISi.AN��Z �1 Mattapoisett MA=+0279` i Commissioner 08/30/2015 z ' Optimize Engineering Co., LLC P.O. Box 264•Farmville•VA 23901 Ph: 434.574.6138•E-mail: grichardpe@aol.com Richard B. Gordon, P.E. President November 25,2014 Hyannis Building Department Hyannis, MA Re: Solar Electric Panels Roof Structural Framing Support To Whom It May Concern: I hereby certify that I am a Licensed Professional Engineer in the State of Massachusetts. Please note the following conclusions regarding framing structure, roof loading,and photovoltaic system size and proposed site location of installation: 1. Existing roof framing: Truss wood framing'2x4 at 24"o.c.This existing structure is definitely capable to support all of the loads that are indicated below for this photovoltaic project. 2. Roof Loading • 4.33 psf dead load (modules plus all mounting hardware) • 21 psf snow live load (30 psf ground snow live load reference) • 4.5 psf roof materials(sheathing and shingles) • Exposure Category B, 115 mph wind uplift live load of 19.6 psf(wind resistance) 3. Address of proposed installation: Residence of Yuderka Herrera,476 Oakland Rd. Hyannis, MA 02601 This installation design will be in,general conformance to the manufacturer's specifications,and is in compliance with all applicable laws,codes,and ordinances, and specifically, International Residential Code/ IRC 2009,2011 NEC,and 2012 ICC Energy Code. The spacing and fastening of the Unirac mounting brackets is to have a maximum of 64" o.c.span along the rail between mounting brackets and secured using 5/16"x 3 V length lag bolts. In order to evenly distribute the load across the roof rafters,there shall be a minimum of 2 mounting brackets per rafter&min. 2" penetration of lag bolt per bracket,which is adequate to resist all 115 mph wind live loads including wind shear. The mounting brackets shall alternate between adjacent rafters between rail rows for better distribution of roof load. Double quantity of anchors for modules mounted within 18" of ridge and edges of roof. Rails may be attached to either of two mounting holes in the L-feet.Mounting in the lower hole for a low profile, more aesthetically pleasing installation or mount in the Lipper hole for a higher profile to maximize airflow under the modules to cool them more.Slide the 3,8-inch mounting bolts into the footing bolt slots.The rails will be attached to the footings with the flange nuts. Fiery my-yCus, (Optimize Engineering o:, L C O p Richard' n, P E. R'CHARO sG Massas- P.E. License No.49993 0 QOROON'pN chu m ' 0 ME -49MA� y � NO tq 49993 TEit�O OVAL E�G� ENGIN E� RING° ELECrRICAL ENGINEERING ° f 3 Engineer/License Holder. INSTALLATION OF NEW ROOF MOUNTED OAKLAND ROAD. 10.2 kW PV SYSTEM - 476 OAKLAND ROAD . HYANNIS, MA 02601 • - , s 1. Issued/Revisions n VICINITY MAP SITE- NO, DESCRIPTION DATE SCALE:NTS Project Title: ' - - HERRERA,ROBERT. - • TRINITY ACCT R:203E-43502 .. - Project Address: ` 476 OAKLAND ROAD HYANNIS,MA 02601 GENERAL NOTES GENERAL NOTES CONTINUED GENERAL NOTES CONTINUED ABBREVIATIONS CONTINUED ` SHEET INDEX 1.THE INSTALLATION R I STALLNG ALL B. THE DC VOLTSENT AT THE PANELS IS 14. - B)CURRENT PREVAILING UTILITY JB, THOUSAND CI - PV-1` COVER SHEET W/SITE INFO&NOTES Drawing Title: RESPONSIBLEFORINSTALLINGALL ALWAYS PRESENT AT THEM - COMPANY SPECIFICATIONS, kVA THOUSAND CIRCULAR MILS EOUIPMENTANDFOLLOWINGALL DISCONNECT ENCLOSURE AND THE OC STANDARDS,AND REQUIREMENTS kVA KILO-YDLT AMPERE PV-2 . ROOF PLAN W/MODULE LOCATIONS PRoroseD lo.zkw DIRECTIONS AND INSTRUCTIONS TERMINALS OF THE INVERTER DURING 15 THIS SET OF PLANS HAVE BEEN kW KILO-WATT SOLAR SYSTEM CONTAINEDINTHEORAWINGPACKAGEAND DAYLIGHT HOURS.ALL PERSONS PREPARED FOR THE PURPOSE OF -.LWH KILO-WATT HOUR. 'PV-3 ELECTRICAL 3 LINE DIAGRAM T __ INFORMATION RECEIVED FROM TRINITY. WORKING ON OR INVOLVED WITH THE. MUNICIPAL AND AGENCY RENEW AND 2.THE INSTALLATION CONTRACTOR IS PHOTOVOLTAIC SYSTEM ARE WARNED. APPROVAL.THIS SET OF PLANS SHALL CB MAIN CIRCUIT BREAKER . Drawing Infonrnatin 'RESPONSIBLE FOR INSTALLING ALL THAT THE SOLAR MODULES ARE NOT BE UTILIZED AS CONSTRUCTION MOP MAIN DISTRIBUTION PANEL • F_g ,,, , EQUIPMENT AND FOLLOWING ALL ENERGIZED WHENEVER THEY ARE DRAWINGS UNTIL REVISED TO INDICATE MLO MAIN LUG UG ONLY �' f•" DRWING DATE: 12/12/2014 DIRECTIONS AND INSTRUCTION CONTAINED EXPOSED TO LIGHT. ISSUED FOR CONSTRUCTION'. MTD MOUNTED • �. DRAWN BY MTG MOUNTING s�p IN THE COMPLETE MANUAL. 9. PHOTALL POPITONSVOLTAIC SYSTEF THIS SOLAR - 16, ALL ERTIFIEDPRI R OUSEFOSHOWN MUST BE [,UL ' Ev ED aY: 3.THE INSTALLATION CONTRACTOR IS PHOTOVOLTAIC SYSTEM SMALL BE CERTIFIED PRIOR TO USE FOR N NEUTRAL , tii k. � ". RESPONSIBLE FOR READING AND MARKED CLEARLY IN ACCORDANCE WITH CONSTRUCTION ACTIVITIES. .NEC NOTI IN NCONTRAAL EL TRICAL CODE NIC NOTIN CONTRACT UNDERSTANDING ALL DRAWINGS, THE NATIONAI.ELECTRIC CODE ARTICLE NO tl NUMBER � - • ' � System Infonnat on: sa COMPONENT No INVERTER MANUALS 690. ABBREVIATIONS ° NTS NOTTO SCALE --+4p TOTALSYSTEMS1ZE: 10.2kW r` PRIOR TO INSTALLATION.THE INSTALLATION 10. PRIOR TO THE INSTALLATION OF THIS -T OCP OVER CURRENT PROTECTION _ - �� TOTAL MODULE COUNT: 40 I�, + CONTRACTOR IS ALSO REQUIRED TO HAVE PHOTOVOLTAIC SYSTEM,THE AMP AMPERE P POLE - MODULESUSED: -�� CANAOIAN GEAR 25S ALL COMPONENT SWITCHES IN THE OFF INSTALLATION CONTRACTOR SHALL AC ALTERNATING CURRENT PE, PULL BOX < POSITION AND FUSES REMOVED PRIOR TO ATTEND A PRE-INSTALLTION MEETING AL ALUMINUM PH Q PHASE N. MODULES C56P255P�� THE INSTALLATION OF ALL FUSES BEARING FOR THE RENEW OF THE INSTALL ATIO AF ANIRFRAME PVC POLY-VINYL CHLORIDE CONDUIT LRILRYCOMPANY: N5TAR SYSTEM COMPONENTS. PROCEDURES SCHEDULES,SAFETY AND F AFF ABOVE FINISHED LOOR PWR i POWER UTILITY ACCT p. 346915R0 d.ONCETHE PHOTOVOLTAIC MODULES ARE COORDINATION. AFG ABOVE FINISHED GRADE GTY QUANTITY Nllf W METER R: 3293029 T THE YSTEM START UP THE MOUNTED,THE INSTALLATION 11. PRIOR O E 5 qW0 AMERICAN WIRE GAUGE ENDS -RIGID GALVANIZED STEEL OCONNE FACTOR H HAVE A SATTENIDED OF INSTALL ATIONG RMI GTORBHALL C RA EWT(GENERIC TERM OF SN SOLID NEUTRAL - DEAL TYPE: ...- SUNNOVA� N MN ALL INITIAL - N ELECTRICIAN WHO HAS ATTENDED ASSISTI PERFOR I G ONE RACEWAY PROVIDE AS WBD ��•k JS SWITCHBOAtO SOU SEOSITE.PHOTOVOLTAIC INSTALLATION HARDWARE CHECKS AND DC WIRING SPECIFIED) UTYP.0 TYPICAL * W COURSE ON SITE. CONDUCTIVITY CHECKS. CB COMBINER BOX U.O.I. UNLESSOTHERWISEINOICATED - 5.FOR SAFETY,ITIS RECOMMENDED BYTHE 12. FOR THE PROPER MAINTENANCE AND CKi •CIRCUIT WP WEATHERPROOF MANUFACTURE THAT THE INSTALLATION ISOLATION OF THE INVERTS REFER TO CT CURRENT TRANSFORMER "CURREXFMR TRANSFORMER REV.NO.' F Sheet CREW ALWAYS HAVE A MINIMUM OF TWO THE ISOLATION PROCEDURES IN THE CU COPPER -72 T BOTTOM K M NT72IN ASH O OUn lWD THAT OPERATION MANUAL - 'PERSONS WORKING TOGETHERDC DIRECT CURRENT R IOF ABOVE FINISHED FLOOR O EACH OFT HE TRAINED IN AI 10. THE LOCATION OF PROPOSED ARELECTRIC DISC DISCONNECT SWITCH GRADE - 1 MEMBERS BE TRAINEOIN FIRST AID AND AND TELEPHONE UTILITIES ARE SUBJECT DWG DRAWING P1• PVi� 1 CPR. TO FINAL APPROVALOF THE EC ELECTRICAL SYSTEM INSTALLER - ,- 6.THIS SOLAR PHOTOVOLTAIC SYSTEM IS TO APPROPRIATE UTILITY COMPANIES AND EMT ELECTRICAL METALLIC TUBING - BEINSTALLEDFOLLOWINGTHE OWNERS. FS FUSIBLE SWITCH CONVENTIONS OF THE NATIONAL ELECTRIC 14. ALL MATERIALS,WORKMANSHIP AND FILL FUSE CODEANYLOCALCOOE WHICH MAY CONSTRUCTION FOR THE SITE GND GROUND SUPERSEDE THE NEC SHALL GOVERN. IMPROVEMENTS SHOWN HEREIN SHALL GET GROUND FAULT INTERRUPTER - - 7.ALL SYSTEM COMPONENTS TO BE BE IN ACCORDANCE WITH: HZ FREQUENCY(CYCLES PER ° n • ID INSTALLED WITH THIS SYSTEM ARE TO BE A)CURRENT PREVAILING MUNICIPAL SECOND) 'UL•LISTED.ALL EQUIPMENT WILL BE NEMn ANOIOR COUNTY SPECIFICATIONS, JR OUTDOOR RATED UNLESS INDOORS. STANDARDS-0 REQUIREMENTS ... c 1 A GENERAL NOTES " H —J O LA R IF ISSUED DRAWING IS MARKED WITH A REVISION CHARACTER OTHER THAN'A',PLEASE BE ADVISED THAT FINAL EQUIPMENT AND/OR SYSTEM CHARACTERISTICS ARE SUBJECT TO CHANGE DUE TO AVALABLITY OF EQUIPMENT. y2211Al1-..dRoad -B77-797-2978 vk1LN 1wl 07719 w.Yw.Td�dry-Sel4r.<om 1 UNIRAC CLAMP NEWPV SOLAR TO EQUIPMENT QUIPM NTSC EDlLL (' IgEESPEC SHEET FOR DFTML@ _ Engineer/LICRnSe HOlder: U.0.1. (REFERCSE AND SCHEDULE FOR SPECS AND OUAMfrIES) NEW MOUNTING FOOT/ATTACHMENT �' 'SOLAR MODULE SOLAR MODULE POINTS.TYPICAL (REFER TO - - ENGINEERING LETTER FOR SPACING P. —, —'---- — - AND DETAILS) !! UN IRAC SOLAR MOUNT BEAM _ Z= UNIRAC`L"FOOT ISEE SPEC SHEET FOR DEruLS NEW UNIRAC RAIL,TYPICAL IgEE SPEC SHEFi FOR PEiNL41 ONE LAVER LETTER FOR SHINGLES b (REFER TO THE UN RAC (SEE EncmEERS FOR SPECK CODECOMPLIANT INSTALLATION - '$UNMODO FLASHING gpOC SEALANT MANUAL FOR SPECS AND DE AILS) IseE SPT:c snEEr FOR DerNLsl DETNL9 NEW END CLIP,TYPICAL (REFER TO THE UNIRAC _ CODE-COMPLIANT INSTALLATION MANUAL 3.2.5 FOR SPECS AND - SOLAR MODULES SHALL NOT DETAILS! EXISTING RAFTER - = EXCEED PEAK HEIGHT. j NEW MID CLIP.TYPICAL (REFER TO EHGARFERS LETTER FOR (REFERTOTHEUNIRAC COD E-COMPUANTINSTALLATION - . • - - MANUAL 3.2.5 FOR SPECS AND ' ATTACHMENT&CLIP DETAIL DETAILS) PV MODULE ATTACHMENT ON ASPHALT SHINGLE ROOF a HEIGHT FROM GROUND LEVEL TO PEAK OF ROOF °- SCALE:NOT TO SCALE- - SCALE:No TO sCALE - SCALE:NOT TO SCALE -� Issued/Revisions FRONT - NO, DESCRIPTION DATE - Project Title: M EP.. .. - - - - HERRERA,ROBERT - - - TRINITYACCT p:201443502 ' UD D _ .. a Prolec_t Address: ' - " 476 OAKLAND ROAD - - DC - HYANNIS,MA 02601 Ac Drawing Title: PROPOSED 102kW . ,. SOLAR SYSTEM Mimi I'' E IIF��,J ; � DrawingInformation ORA l oATE: lx/12ao14 ORA flY IC {E F— FI REVISED BY 4 L � .`� IICF' FELp r het P System L-TEMSrmation. It, ... IL.l _ .�7 L TOTAL SYSTEM SIZE: 102kW / El"m MilEll- 1, �[� ' J�� Y� MODUIE SPEC p: - CS6DA]SSP SOLAR 255 TOTAL MODULE COUNT: AO IAN UTIIRY COMPANY: NTTAR BACK - urluTYACa a: 14591saom - - - "TILT METER p: 22111 DEALTYPE: SUNNOVA NOTES: . ' , t)ALL EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH THE ' MANUFACTURER'S INSTALLATION INSTRUCTIONS. 21 ALL OUTDOOR EQUIPMENT SHALL BE RAIN TIGHT WITH MINIMUM NEMA SR RATING. a Rev.No. Sheet 3.) 47ALL LOCATIONS ARE APPRO%IMATE AND REQUIRE FIELD VERIFICATION. ALL EOUIPMENT INSTALLED OUTDOORS SHALL HAVE A NEMA3 RATING 5) ROOFTOP SOLAR INSTALLATION ONLY PV ARRAY WILL NOT EXTEND BEYOND THE EXISTING BUILDING ENVELOPE n D� ARRAY SCHEDULE SYMBOL LEGEND PLUMBING SCHEDULE EQUIPMENT SCHEDULE r 1 V RI INDICATESROOF DESIG CODE -CO REFERTO INDICATES NEW UTILITY DISCONNECT TO BE NEW END CLIP,TYPICAL(REFER TO THE UNIRAC OTY SPECS CODCOMPLIANT INSTALLATION MANUAL ARRAY ORIENTATION=IU2' ARRAY SCHEDULE FOR MORE INFORMATION UD INSTALLEDOUTSIDE ® SECTION 3.2.5 FOR SPECS AND DETAILS) 40 CANADIAN SOLAR 255(CS6P 255P) AIDOULE PITCH•25' R2 INDICATES NEW PV SOLAR MODULE.RED MODULES NEW MID CLIP,TYPICAL(REFER TO THE UNIRAC 1 SEICDOOA-US ARRAY I INDICATES EXISTING METER LOCATION gill:., INDICATE PANELS THAT USE MICRO INVERTERS. ® CODE-COMPLIANT INSTALLATION MANUAL MODULEITCHORIENTATION29- IU2' n N REFER TO EQUIPMENT SCHEDULE FOR SPECS. SECTION 3.2S FOR SPECS AND DETAILS) ` MODULE DITCH•29' .+� OTHER OBSTRUCTIONS r EP INDICATES E STING LOCATION:IN BASEMENT STALLED PANEL I M I INSTALLED NESASPEMEryiCT10N METER TO BE -- (REFER NEW TO THE �i I I — (REFER THE URU AC OR SPECS S O LA R INSTALLATION MANUAL FOR SPECS ANO DETAILS) INDICATES NEW MAIN DISCONNECT TO BE INDICATESNEWINVERTERT09E NEWMOUNTINGFOOTI ATTACHMENTPOINTS, - P 2211 Allenwood Road 877-797-2978 GROUPED WNH MAIN PANEL INSTALLEDINBASEMENT. 0 TYPICAL (REFER TO ENGINEERING LETTER FOR Wlt.Ne I—e 07719 w YTdnlry-S.1.1Rm REFER TO EQUIPMENT SCHEDULE FORSPECS, SPACING AND DETAILS) . t { h , - Engineer/License Holder: Charles P Bonicker. Trinity Heating& Ir, MOUNTED TO ROOF Inc UNDER, - --_-_�--__-,1 - DBA Trinity Solar SOLAR MODULES MOUNTED TO HOOF ON 2 ARRAYS N 40.255W MODULES W/1 SOLAR EDGE P300 PER MODULE SOLAR MODULE - 1 2211 Allenwood Rd.WaII,NJ 0771 B 18.75 ADC MAX PER STRING NEC 690.34 25TRINGSOF20 MODULES IN SERIES-35CVmax F--- ---- ----- - --- exA'nETAI --��-------------- ----- --------- ---- -- -- STRINGS TO BE TERMINATED IN PARALLEL INSIDE INVERTER "'—'- 3urvci 80% Box ` I I I I ' _ • •� Issued/Revisions' EXISTING - 120/240v UTILITY - - - METER 1 240 0 1 1 00A MAIN BREAKER I NO. �I DESCRIPTION DATE BUSB IOOA AR - Project Title: HERRERA,ROBERT ARRAY CIRCUIT WIRING NOTES - )2p100A - -60A DISCONNECT FUSED • - I I TRINITY ACCT p:2014-03502 + W/60A FUSES' PRODUCTION �` 1 / METER BOA UNFUSED t Project Address:. COMPLIES WRM 2011 NEC _ GROUPED W MAIN - BREAKER LOAD CENTER �uu.xy UTILITY DISCONNECT -' - I - 1.)LOWEST EXPECTED AMBIENT TEMPERATURE BASED ON - _ - - u - INVERTER N1 1 ASHRAE MINIMUM MEAN EXTREME DRY BULB 240V To �3 L_ 2dOV 1R TEMPERATURE FOR ASHRAE LOCATION MOST SIMILAR TO ' _a+ 1 476 OAKLAND ROAD INSTALLATION LOCATION LOWEST EXPECTED AMBIENT _ .> o --- I HYANNIS,MA 02601 TEMP I ON HIGHEST CONTINUOUS AMBIENT TEMPERATURE BASED - JI� o + I ON ASHRAE HIGHEST MONTH 2%DRY BULB __ B B j_ E 1 N 1 1 D2WIng Tille: TEMPERATURE FOR ASHRAE LOCATION MOST SIMILAR TO n' 11 . L —- — r INSTALLATION LOCATION. HIGHEST CONTINUOUS TEMP oc,00 oo 1 1 u 000ao 1� - I 33'C - I _ I 'PROPOSED 10.2kW EXISTING MAIN BREAKER LOAD SQUARE 0 SQUARE D 11 J Lam-------J SOLAR SYSTEM 3.)2008 ASHRAE FUNDAMENTALS 22 DESIGN CENTER INSULATED LINE TAPS PN: D222N PN: DU222RB L -_-____J TEMPERATURES DO NOT EXCEED 47C IN THE UNITED INSTALLED ON MAIN FEEDERS STATES(PALM SPRINGS,CA IS 44.1'C). FOR LESS THAN NEC 690.64 - - Draw. Information 9 CURRENT-CARRYING CONDUCTORS IN A - - - ROOF-MOUNTED SUNLIT CONDUIT AT LEAST 0.5'ABOVE - • - DRAWING DATE: 12/12/2014 ROOF AND USING THE OUTDOOR DESIGN TEMPERATURE ` " T DRAWN BY: IC OF 47'C OR LESS(ALL OF UNITED STATES). REVISED BY: 4.)PHOTOVOLTAIC POWER SYSTEMS SHALL BE PERMITTED TO OPERATE WTH UNGROUNDED • - System Information: PHOTOVOLTAIC SOURCE AND OUTPUT CIRCUIT AS PER - ; -' - - TAISYSTEMSIIE: 10.21W - NEC 690.35 I - _ . TOTAL MODULE COUNT: 40 5.)ALL EQUIPMENT INSTALLED OUTDOORS SHALL HAVE - - MODULES USED: CANADIAN SOLAR 255 A MENA3 RATING. ., I MODULE SPEC p: C56P-255P LRILUYCOMPANY: NSTAR CALCULATIONS FOR CURRENT CARRYING LIT llm A<CT N: 1469358a121 , CONDUCTORS - • .11.METER N: 2293D29 REQUIRED CONDUCTOR AMPACITY PER STRING - [NEC 690.8(B)(3)]; (15.00.1.25)1 OEALTYPE: SUNNOVA 18.75A _ � I AWG 010.DERATED AMPACTY - AMBIENT TEMP: 55C,TEMP DERATNG FACTOR: .76 PV MODULE SPECIFICATIONS - RACEWAY DEBATING 2 4 CCC: 0.80 CANADIAN SOLAR 255(CS6P-255P) ' Rev.No. Sheet mp 8.43 P 1 PV - 3 24.32A'-18.75A,THEREFORE WIRE SIZE IS VALID VmP 30.2 p6 THWN-2 GEC TO EXISTING GROUND ROD TOTAL AC REQUIRED CONDUCTOR AMPACITY Voc 37.4 42.00A'1.25=52.50A Isc 9 r B 3/4"EMT W/2-46 THWN-31-N10T 14-2,1-1110 THWN-2 GROUND' AWG S6,DERATED AMPACTY AMBIENT TEMP: 30'C,TEMP DERATN G: 1.0 C 3/4"EMT W/4410 THwN-21-SR THWN-2 GROUND RACEWAY DEBATING-3 CCC: N/A INVERTER pI-SE10000A-US _ RACE 0=75A DC qC D 3/4"EMTW/4-NIOTHWN-2.1.NBTHWN-2GRDUND 75A-75A'52.50A THEREFORE AC WIRE S12E IS VALID ImP 29.14 Pout 100Go -0 C 3/4'EMTW/2L6THWN-2,1 10THWN-2,I-NIOTHWN-2 GROUND'. nTr 1 n it Vmp 350 10N1 42 '• F N12 PVWIRE W/NB BARE COPPER BONDTO MODULES AND RAILS DSO LA CALCULARON FOR PV OVERCURFI PROTECTION 51p Imax 525 TOTAL INVERTER CURRENT: 42.00A 42.00A•1.25- 52.50A Is,c 30 Vn9m 240 1 G 3/4"FMC W/34G THWN-L 1418 THWN.2 G ROUND - 60A OVERCURRENT PROTECTION IS VALID 2211 Allmwnod Road 877-797-2978 WaII.New1—y07719 www.T ySelaceem Optimize Engineering Co., LLC P.O. Box 264•Farmville•VA 23901 Ph: 434.574.6138.E-mail: grichardpe@aol.com Richard B. Gordon, P.E. President November 25,2014 Hyannis Building Department Hyannis,MA Re: Solar Electric Panels Roof Structural Framing Support To Whom It May Concern: I hereby certify that I am a Licensed Professional Engineer in the State of Massachusetts. Please note the following conclusions regarding framing structure, roof loading,and photovoltaic system size and proposed site location of installation: 1. Existing roof framing: Truss wood framing 2x4 at 24" o.c.This existing structure is definitely capable to support all of the loads that are indicated below for this photovoltaic project. 2. Roof Loading 4.33 psf dead load (modules plus all mounting hardware) • 21 psf snow live load (30 psf ground snow live load reference) • 4.5 psf roof materials(sheathing and shingles) • Exposure Category B, 115 mph wind uplift live load of-19.6.psf(wind resistance) 3. Address of proposed installation: Residence of Yuderka Herrera,476 Oakland Rd. Hyannis,MA 02601 This installation design will be in general conformance to the manufacturer's specifications,and is in compliance with all applicable laws,codes,and ordinances,and specifically, International Residential Code/ IRC 2009,2011 NEC, and 2012 ICC Energy Code. The spacing and fastening of the Unirac mounting brackets is to have a maximum of 64" o.c.span along the rail between mounting brackets and secured using 5/16"x 3%" length lag bolts. In order to evenly distribute the load across the roof rafters,there shall be a minimum of 2 mounting brackets per rafter&min.2" penetration of lag bolt per bracket,which is adequate to resist all 115 mph wind live loads including wind shear. The mounting brackets shall alternate between adjacent rafters between rail rows for better distribution of roof load. Double quantity of anchors for modules mounted within 18"of ridge and edges of roof. Rails may be attached to either of two mounting holes in the L-feet. Mounting in the lower hole for a low profile, more aesthetically pleasing installation or mount in the upper hole for a higher profile to maximize airflow under the modules to cool them more.Slide the 3,8-inch mounting bolts into the footing bolt slots.The rails will be attached to the footings with the flange nuts. Very truly yours, Optimize ngineering Co., ., LLC 4 Richard-B , P. o� Massa.' E Li ense No.49993 RICHARDBRW4 i• V GORDON M NIECHANICAL y NO,49993 'YsGISTEF��G\ S�pNAL Eta ENGs,NrOR LNG ELECTRICAL ENGINEERING r Y qw Y MUM It The SnapNrack line of solar mounting solutions is designed to reduce total ' " '�•;� f ` installation costs. The system'= technical innovations have been proven to drive # down costs and improve installation f ; quality on more than 350 MW.of solar installations. Pitched Roof Arrays Simplified The SnapNrack Series 100 UL Roof Mount System ' is an efficient,visually appealing, photovoltaic(PV) - �- .module installation system.Series 100UL is listed to , A the UL 2703 Standard for Bonding, meaning that all �� • , �� `� c° „' ,,' xz _ system components have been certified by UL for A.'y;Roo f•SystdMJh`4 Simpie Steps i e3te r r electrical continuity,eliminating the need for additional Y '� s �1)Go to,the onlxine'Series 100 Con igu.ration4,., grounding hardware.The System's components provide "+ .fi ,y�Tooli(configure snapnrack com)and`select«~ an adequate bonding path which has eliminated the ?r r,,Yes for UL*2703}Listed need for grounding lugs and washers at each module, and bonding jumpers between splices.The UL 2703 '2)�Idenhfy SituConditions;(Array�Tilt;Building , •. Height Roof;Type Wind and Snow Loads)`, Certification ensures that SnapNrack partners can ? F »)"G c < provide the best in class installations in quality,safety, y�3)BwIMd`array�in the online Configuration, per k and-efficiency. < Tool.'and automatically generate a Bill off ti �t a�=Materials f� g'r� �. , ,W ,q- • All bonding hardware.is fully integrated into the components ¢) Place order with your distributor.Purchase rmaterial fora single,project or order in bulk r c-. • No grounding lugs required for modules foradditional savings • Rail splices bond rails together,no�rail jumpers ' required • Proprietary SnapNrack grounding lug snaps in the rail channel.no drilling of rail or reaching for other tools required(One Lug per individual row of modules) Patent Pending LISTED PV Mounting System 2703 ' e ••Jtin� P' Stainless Bolt with -- Stainless Steel -,SnapNrack Bonding —SnapNrack Standard Rail Bolt with Spl(t- Splice Insert Split-Lock Washer Lock Washer s $napNrack Bonding , SnapNrack Adjustable End - SnapNrack Splice Clamp Tots -� Bonding Base ' � W'. SnapNrack Mid Clamp - •01 :s6 r Sna P I SnapNrack Banding r� Bonding --SnapNrack Stainless — Channel Adjustable Eiid' r annul Nut Bonding G Bolt with Clamp.l3ottgm Channel Nut Stainless Hardware with Split-Lock Washers Split Lock SnapNrack Bonding Washer l Adjustable End Clamp SnapNrack Bonding SnapNrack Bonding Mid Clamp Standard Rail Splice SnapNrack --' Ground Lug 10-6 AWG- ,F �.,. ._,.. Copper Wire ��� �a�e�t 5✓ •' •+r *`r"" t `• s' ... � ` SnapNrack Ground Lug Assembly f "=• .fi>., (ONE REQUIRED PER ROW OF MODULES) �..----SnapNrack Bonding Universal *. End Clamp(UEC)Wave —UEC Pull Strap ,i; ` ZUECWedge �-Stainless Steel Bolt *i 'r t :� }• f. with Flat Washer ^IF V SnapNrack Bonding Universal End Clamp SnapNrack - 'Bonding '}� Standoff Clamp Assembly SnapNrack-- Serrated Stainless- ^—SnapNrack SnapNrack Bonding Rubber Steel Flange,Nut. Bonding Channel Nut Channel Stainless Rain Collar Serrated Stainless Flange Nut Steel Flange Nut Boll —SnapNrack 4.�'-Stainless SnapNrack 92 Degree . Flange Mill Finish Bolt Standoff L Foot ;r -^SnapNrack SnapNrack All Purpose Mill Finish L Foot Standoff Base(1-Hole SnapNrack SnapNrack Base Shown) " '`" SnapNrack— --L Foot Metal Roof Mill Finish ' Flashing Base Assembly L Foot Base Vie"''' SnapNrack Bonding SnapNrack Bonding SnapNrack Metal Standoff Assembly L Foot Base with Flashing Root Babe with Bonding L Foot Materials • 6000 Series aluminum • Stainless steel • Galvanized Steel Flashing Material Finish •Clear and black anodized aluminum •Mill Finish on select components Installation •Quick and efficient mounting •Adjustable hardware to ensure clean and level finish •All components bonded to ground with integrated bonding features Calcs. & Certifications • UL 2703 Certification • Stamped Structural Engineering Reports for all 50 States Grounding • SnapNrack Grounding Lug (One Lug per individual row of modules) Warranty • 10 Year material and worksmanship (download full details at snapnrack.com) Snap\ rack- (877) 732-2860 www.SnapNrack.com 0 Printed cn iecyzled pace!using spy baled inks. 2014 by 5nap,',,r=.ck?\' ^rnmi+n System,411 n9his reserved. J r ' k �» Rf s o ar SolarEdge Single Phase Inverters s For North America SE3000A-US/SE380OA-US / SE5000A-US 7 SE6000A-US { SE760OA-US/SE1000OA-US / SE11400A-US .r r �t3 y �r4'SALI� FRS y iS .`> Y88�'inii tF` '# cgi �Slt` ,- ji, ��da�'.. "f •i � � ` '8*•� +=rt +. a#fir,{� •'� ��x t i' 1pi t i �f h�rSa� 14M�5� 4Y fi•1�i'�^f..i R.i e �*•�, t r, � L +�° •.4 -,, 4 "tgy$,"`'s+y, i �� � fit; i c -t O O` The best choice for SolarEdge enabled systems` = — Integrated arc fault protection(Type 1)for NEC 2011 690,11 compliance(part numbers ending in"•U") Superior Fffidency(99%) — Small.lightweight and easy to install on arovided bracket 6uil-in module-level monitoring 10ternet connection'th otigh•Flhernet or Wireless ' — Outdoor and indoor installation — Fixed voitage inverter,DC/AC conversion only - Pre-assembled AC/DC Safet, Switch for faster installation t..1;,,al..;. www.solaredge.us � � Single Phase Inverters for North America ;:L:'G(.'I/ U`t I t:`etah' '; ;.ifE,C, !J.r Sr(GOGA.-UL/ i iE('201—US/E:pt(';;Ci--iJ°, SI'14f'C/t•u t SE3000A-US SE38CCO-US SES000A-US SE60001-US S(7600F,US SE10000A-US SE3140oA-US OUTPUT f - 91,10 19,20FV fig€t Cl Nominal AC Powe!Output. ,l .1300 84 0 iC7;: ;;r„+ n0120 ��s'+ :it; t?ti ays �"1 4r 11520 VT. 4 0,0 I'L 20`:'1 Ok 00 01)Zn"Sir Wax.AC Power Output ; 2650 ,°C ECO;i _ . AC Output Voltage Min:Ncrn:M<x.' 1 y 383-208-229 Vac I AC Output Vultage Mm:Nom;Max' f �, ✓ ! A 213-240-264 Vac AC Frecuency M!n.-Nom,-Max.' " 3 6G 60 5 ivirth NI country O(I 6 a7•c(r c U S) 1J.7 i 45{a 2 0 5 V 48¢+-v ruS> Max.Continuous Output Current f 14 It ( ; 9 4d leir A- �2 1 GV .r�^V Utility Monitoring,l<_landing Protection,Country ConfiBurahle E Yes. Thresholds INPtlT - — Recommended Max CC Power" t 4700 - 48C0 b500` i 7500 96C0 r 124GL 1440C W Transformer-less,Un4rounded Yes 1 Max.Input VoltaS? 500 1 Vdc Nom DC Input Voltage ... ( 325 C 208V 1350 @ 740V Vdr Max "Input Current I1 jj. 13 17 @ 2D8v 18 2d:5 33 @ 20SV i •,. 35 Adc; 30.5.@ 240V Max.in ut Short Circuit Current 30 45 „ Aiic Reverse-Polarity Protection Yes ... ... ..... Ground fault Isolation Detection bWku Sensitivity Maximum Inverter Efficiency 97.7 98 2 98 3 98 3 98 { 98 96a I 1 CEC Weighted Efficiency 97.5 98 97,5 @ 208V i 97.5 975 .@ 2 V 97.5 ;o i .,. 9s�t�4ov,.1 . I ` 97.S 7 5 r?,2aAv Nighttime Power Consu n t+on <2.5 <4 ADDITtONAI�;f£ATURES Supported communication Interfaces RS485 RS232,Ethernet ZIRBee(optional).— -„ -- ^��Y _ _STANDARD COMPLIANC 11 E _ Safely U11741 ULt6996(Par(numbers ending in"U"),U1.1998 CSA 22.2 Grid Connecton Standards IEEE1547 . . . ... . .. .... ... - . Y ) Emissions FCC p3rt15 lass B INSTALLATION SPECIFICATIONS A output ondutt sze J AWG ran&e 3/4 minmum/24 6 AWG 3/4 minimum J 8 3 AWG ..,., , ,,,.,WGr,.. DC input conduit size/tI of strings/ AWG ran � 3/4"minimum/1-2 shings/2a-6 4WG 3J4"minimum!1 2 strings/14-6 AWG � Dimensions with AC/DC Safety ; 30.5 K 12.5 K 7/ 30.5 K 12.5 K 7.5 J 1 30.5 x 12,5 x 10.5/775 x 315 K 250 Switch(HzWxDI 775 x AS K 17Z i 775 x 315 x 191 Wei�n[with ACJDC Safety.Switch SS 2 123,2 -54 7/247 88 4/40 1 Cooling Natural Convection Fans(user r placeahlel ... r 1 <.SO .... 1 d13A Noise .. ... . . `�. .. , . . ? ... ..,. . .,. .. _ Min:Max.Oparatlng Temperature 13 to*t40/ 25 to f69[CAN version'—-40 to+601 F Range i Protection Rating N"EMA 3.R ' 'ry r:�e•:eg'•�,;I s=.,y ink,pl,3sf coda-;4,is,iA„e:upv:,i ' ,. :•a o V.i'.S Fr io:;[ws so',r.±I:.e�axrrt aeerage x�!,km»:atoa d_. .,�;11;'.:.and la 1sS:'or h:�roas w+rere°i a bciox 1)°(%:5 r,. •••,�ama::.d„r,,,,;,.o�.,„rE :�,htu.(rbnsusl�c_^.us!ikslair..!;+s:�4�;1�i;:u�_z:.asl_,a�f• >, - .. - Fez. -.':tie e,w vJl4 - -^•s atne:•ii�!s..r..v KY ~�i�Y.r b � •yf. PAGE 51 r ru�3 F.AV 9E IS POWER DISTRIBUTION CAL BUG•BITES' u 90'C Insulation Piercing Connectors Eliminates need for conductor insulation stripping LISTED i No taping required after installation f _ r For copper to copper,copper to aluminum,or aluminum to aluminum applications For use on insulated conductor only c'{t IPC SERIES NAED CATALOG WIREJR&NGEL, _ TORQUE CTN EST.SHIPPING NUMBER NUMBER ' MAIN TAP VOLTS BOLTS FT-LBS QTY WEIGHT(Its) UNIT # 13110 IPC 1002 1/0-8 2-8 300 f " 16 12 2.63 CTN ; 13107 4PC 4006 410-4 6-14 600 1" 13 12 1.90 CTN 13108 'IPC 4020 4/0:-2 210�-6 600 f 25 12 4.08 CTN tit* 13109 •1PC 2640 250-1 4/0-6 600 1 30 6 4.17 CTN 13113 IPC 3340 350-4/0 410-10 Wo 1 25 -6 4.17 CTN ` g 13114 IPC 3535 350-410 350-410 300 2 25 6 7.63 CTN 13116 tIPC 5012 500.250 10-12 300 1 25 4 2.65 CTN x. 13104 •IPC 5025 500-250 250-4 600 =1' 55 ` 4 4.06 CTN _ 13105 'IPC 5050 500-300 500-250 600 '1' 75 1 2.64 EA CAUTION 13105 •IPC 7550 750-500 500-350 600 `1' 75 ` 1 s-2.62 EA, Use Bug-Bites on '600 Volts,balance 300 Volts(for 480V grounded Y systems) Insulated cable Only! t Not CSA certified DO not install On bare Gable. y r e ,Dual-Rated GUTTER TAP CONNECTORS CU9AL High strength aluminum alloy 6061-T6,tin-plated LISTED 600V 90°C Lay-in designed main conductor,remains continuous Tap parallel or perpendicular to main m. GP SERIES irb NAED CATALOG CONDUCTOR RANGE APPROX.DIMENSIONS ON)_ CTN EST SHIPPING ��fl/ NUMBER NUMBER MAIN - TAP H ' W L CITY WEIGHT(lbs) UNIT t`f(rr(. 13117 GP 2' 2-12 4-12 SOL 7/6 -`518 111e. 24 1.43 CTN 13118 GP 10 ' 110-2 110-12 SOL 1 314 1'/. 12- 1.19 CTN 13119 GP 250 250-1/0 250-6 1%, '1'/,e 21a 12 2.54 CTN 13121 GP 350 35D-410 350-6 Vh, 17. '2'1., 6 2.75 6TN For copper-to-copper, 13122= GP Soo 500-350 500-2 1% 1'/. 31/. 6 3.10 CTN 13123 GP 750 750-SOO 500-2 2 111, 311. 3' 25CTN copper-to-aluminum, T alurnmum-to-aluminum 'GP2 has slotted screws. Oxide-inhibitor is recommended for added corrosion protectlon. ' 600V 90°C Snap-on insulating covers for-use with GP connectors For indoor use only GPC SERIES_, NAED CATALOG FOR USE WITH APPROX.DIMENSIONS(IN) CTN EST SHIPPING x, >�t NUMBER NUMBER CONNECTOR COLOR H W „L CITY WEIGHT(Ibs) UNIT 13137 GPC 2 GP2 YELLOW TI t fu 1'/Y 12 0.46 CTN :,/irTjrrrrf �>»>>}✓ \1� >t >` 13138 GPc 10 GPt/O GRAY 11!. 2': 231, 6 0.36 CTN rry 13140 00C250, GP250 RED PA - 27, . 3'h;' 6: 0.40 CTN" 1 ^ �F�,U Y> II I;, a / 13141 GPC 350 GP350 YELLOW' 1' 1, 37, 3 0.42 CTN ,w 13142 GPC S00 GP500 - BLUE 2' 311, 4'1! 3 0.46 CTN " rr 13134 GPC 710 GPT50 ORANGE 2.'h, 37, 4'1: 3` O.55 CTN w! www.greaves-usa.com r 11 Heritage Park,Clinton,CT 06413•Phone 860-664-4505-Fax 860-664-4546 TOLL FREE 1-800.243-1130(Outside CT) NOTES: j REVISION: -5/16"LAG BOLTS MUST EMBED - 2.5"INTO ROOF STRUCTURAL MEMBERS/RAFTERS STEP 3: PLACE L FOOT [[[ -TORQUE ALL 5/16"HARDWARE TO 1 ON TOP OF FLASHING - -_ SNAPNRACK THE sFOLLOWING: S.S. 10-16 FT-LBS CAN MOUNTED f AND TIGHTEN NUT — - COMPOSITION BOINN �'Y -BLACK S.S.7-9 FT-LBS # —STEP 2: SLIP FLASHING OVER ANY ORIENTATION S.S. FLANGE NUT _RAILS CAN MOUNT TO EITHER SIDE F L FOOT BASE AND UNDER ROW }4 ,X 1"(OR 1.25") OF L FOOT(UPSLOPE VS DOWNSLOPE) rt OF SHINGLES ABOVE SNAPNRACK,, + S.S. BOLT AND y CHANNEL NUT '; SPLIT WASHERt ^ 1 4��.•.. `+�- / /��'/�// rr S.S.LAG SCREW WITH FLAT WASHER 'y ' SNAPNRACK 2.5"MINIMUM EMBEDMENT ' .� STANDARD RAIL IS STANDARD SNAPNRACK COMPOSITION /. ROOF FLASHING , -STEP 1: BOLT L FOOT BASE TO ROOF WITH �y 't LAG BOLT SNAPNRACK L FOOT BASE �4 ROOF DECKING TYP. t � ROOF DECKING TYP. _ s FLASHED L FOOT MOUNTING POINT FOR - _ USE ON COMPOSITION ROOF SURFACES i WITH LOW TO MODER ATE TILT .-- i �t\ RAILS CAN BE LEVELED UP TO 3"USING `,• —`� UP TO TWO LEVELING SPACERS AS r SHOWN IN"SERIES 100 RAIL LEVELING" — COMPLETED INSTALLATION t i i RAFTER TYP. 'Y MAINSTREAM ENERGY CORP_ DESIGNER: G McPheeM 1 SCALE: DNS PART NUMBER: I DESCRIPTION: _V^ REV Q�" "'"""'"`"�"°°`""`"'°`�°"""" DRAFTER RYe ;DATE. S1oo PEN DOI PEN DETAIL 01 FLRAFTEASHED L FOOT TO i C oa e, r"w wre H o D 11 r ���RpPptiDno SOA014 I r - APPROVED BY: 1ZO113 l -1X SNAPNRACK -2X SNAPNRACK LEVELING REVISION: USE CARE DURING LEVELING SPACER r i SPACER INSTALLATION TO ENSURE THAT THE SET SCREW IS - 1X•&"-18 X 1"LONG -2XJ"-18 X 1"LONG ROUGHLY CENTERED BETWEEN sEr SCREWSETSCREW t _^N r f THE TWO PIECES BEING JOINED _ r STANDARD SERIES 100 E A r ATTACHMENTS FEATURE 3"OF '( -� f L 1 :•r' VERTICAL ADJUSTABILITY ON ALL MOUNTING POINTS WITH- -"}�Z . '���� . � THE USE OF 1"LEVELING I•C 1 �5�. 10.5 SPACERS.9.5 THE FIRST INCH OF 7I'S 1,f ADJUSTABILTTY IS ' i 1 ACCOMPLISHED WITH SLIDING DETAIL A FEATURES BUILT INTO BOTH L FOOT AND STANDOFF CLAMP SCALE 5:$ _ I COMPONENTS _ � . RAIL HEIGHT=7.5" RAIL HEIGHT=8.5" RAIL HEIGHT=9.5" RAIL HEIGHT=10.5" FOR AN ADDITIONAL INCH OF ` ABOVE ROOF SURFACE ABOVE ROOF SURFACE ABOVE ROOF SURFACE - ABOVE ROOF SURFACE HEIGHT ADJUSTMENT,ADD 7"STANDOFF 7"STANDOFF 7"STANDOFF 7"STANDOFF ONE LEVELING SPACER. USE PLUS ONE SPACER PLUS TWO SPACERS_ OF SINGLE LEVELING SPACER ON TOP OF STANDOFF ON TOP OF STANDOFF NOT TO EXCEED 30%OF ATTACHMENT POINTS ON L-FEET OR 10"STANDOFFS. I j W® ""—� FOR A SECOND ADDITIONAL i j � INCH OF HEIGHT i ADJUSTMENT,ADD ANOTHER N t LEVELING SPACER. USE OF ® TWO LEVELING SPACERS NOT a s 1 9-. I 441 5 4 6.4 TO EXCEED 10%OF A 4.4 9 ATTACHMENT POINTS ON I� 14 L-FEET OR 10 STANDOFFS. �f 1 .., F'�-�r ..v.:.T�.. .C'��...T''"`°"".'....'y'�._Z �:— i �._._T_ ,_�":.e.. ..._.::7:—_....I.a • � c t , RAIL HEIGHT=3.4" RAIL HEIGHT=4.4" RAIL HEIGHT=5.4" RAIL HEIGHT=6.4" ABOVE ROOF SURFACE ABOVE ROOF SURFACE ABOVE ROOF SURFACE. ABOVE ROOF SURFACE f ONE L FOOT ONE L FOOT ONE L FOOT ONE L FOOT PLUS ONE SPACER PLUS TWO SPACERS v ( UNDER L FOOT UNDER L FOOT - § MAINSTREAM ENERGY CORD DESIGNER• G N1cPheefeis! SCALEz DNS, PART NUMBER DESCRIP.T70Ni: __ REV n� �pt Q� ^°�r r DRA R o,Ryan DATE $100 DO6 SERIES 100 RAIL LEVELING r F PM'i@u DDT �. APPROVED BY:; .,,,.. 120113 I REVISION: SNAPNRACK SERIES 100 ON FLASHED L-FEET _ j FLASHED L-FEET ARE OPTIMIZED FOR QUICK I AND ROBUST INSTALLATION ON STANDARD -�-- -�--- - COMPOSITION SHINGLE ROOF SURFACES FOR OTHER ROOF TYPES STANDOFFS ARE RECOMMENDED I fi {. I I I i I i SNAPNRACK MODULE i ATTACHMENT HARDWARE ! 1 i ^SNAPNRACK STANDARD RAIL 4" I ' j ROOF RAFTER TYP(ROOF ATTACHMENTS SHOULD ALWAYS BE EMBEDDED INTO ROOF RAFTERS OR STRUCTURAL MEMBERS SUCH AS STEEL PURLINS) ROOF SHEATHING, UNDERLAYMENT,=' AND ROOFING MATERIAL,TYP. I SNAPNRACK FLASHED L-FOOT- { I i I { ��� n n���n MAINSTREAM ENERGY CORP. DESIGNER: G MCPheeters SC' DNS PART NUMBER: DESCRIPTION: —� REV �1^�YJIIII�\VII IWVP '+o`�opa " .'m fu w��row o'uu y DR �R: D�- S100 D01 SERIES 100 OVERVIEW,ON FLASHED 1 C PV m®ODP9�n I'" � m.•-••.. APPROVED BY: DATE: 120113 L-FEET r _..__.. ,_,..__ _._.r... l �y�Wr� Make The Difference - v�s f 1 ":"'" +; a s,. p ,",.°" v ,,��++ { a e r^s' M., Sc f' � Z�,3 x•t >s�;f'^*'4't 3sS AJ THE BEST IN CLASS ' Canadian Solar's modules are the best in class in terms of power output and long term reliability. Our meticulous product design'and stringent quality control ensure our modules deliver a higher PV energy yield in live PV system aswell as in PVsyst's system simulation.Our in-house PV testing facilities guarantee all module component materials meet the highest quality standards possible. -alasa h...p.dud an b.prodded up.. 1. PRODUCT WARRANTY&INSURANCE PRODUCT KEY FEATURES, sock— Added Value From Excellent module efficiency �- Warrant} up to 15.85% .i 10 2 25 14 Outstanding performance at low Irradiance above 96.5% 25 Year Industry leading linear power output warranty 10 Year Product warranty on materials and workmanship Positive power tolerance up to SW Canadian Solar provides 100%non-cancellable,immediate warranty r ffi insurance amHigh PTC'rating up to91.88Y PROD UCT&MANAGEMENT SYSTEM I CERTIFICATES* p IEC 61215/IEC 6173D:VDE/CE/MCS/JET/KEMCO/SII/CEC AU/INMETRO/CQC/CGC. UL 1703/IEC 61215 performance:CEC listed(US)/FSEC(US Florida) Rai Self-cleaning&anti-glaring UL 1703:CSA I IEC 61701 ED2:VDE I IEC 62716:TUV I IEC60068-2-68:SGS module surface available PV CYCLE(EU)I UN19177 Reaction to Fire:Class i IS09001:2008 1 Quality management system ISOTS16949:20D9 I The automotive industry quality management system. IP67 junction box available IS014001:204 I Standards for environmental management system long-term weather endurance QCOBOODD:2012' I The certificate for hazardous substances process management DNSAS1BOD1:2007 I International standards for occupational health and safety 'Plrau watad your styes representahw for lbe e ntire list of reM1yicabes oppliab!e tD your products Heavy snow load � NFrE C up to 5400pa CANADIAN SOLAR INC. Founded in 2001 in Canada, Canadian'Solar Inc., (NASDAQ:CSIQ) is one of the Salt mist,ammonia and blowing sand world's largest and foremost solar power companies.As a leading manufacturer of resistance,apply to seaside,farm and solar modules and PV project developer with about 6 GW of premium quality desert environment modules deployed around the world in the past 12 years,Canadian Solar is one of the most bankable solar companies in Europe,USA,Japan and China.Canadian - Solar operates in six continents with customers in over 70 countries and regions,, Canadian Solar is committed to providing high quality solar products,solar system solutions and services to customers around the world. 0. p � o Make The Difference NEC I,I CAI. DATA I STC fOCAMR.1 1 ENGINEERING DRAWING F 16 It I ic 21 DZI F. Nominal maximum power(Pmax) 25OW 255W fie r1'icr "La-C 1055-SeC00, Optimum Operating Voltage(Vmp) 30 IV 30.2V Optimum Operating Current(imp) 8.30A 6 43A Open Circuit Voltage(Voc) 57.2V 37.4v Short Circuit Current(Ise) 8.87A 9.00A Module Efficiency 35.5495 15.859E r Operating Temperature .40,C-+8S*C Maximum System Voltage 1000V(JEC)/1000V(1.11.)/600V(UL) Maximum Series Fuse Rating 35A Application Classification Class A Power Tolerance 0-+SW 1 -Under standard 7en Condillons 157CI c f irradiance of 1000W/m',3P.Calum Arm I S..dt.11 temperstuleol 251C ELECTRICAL DATA I NOCT Electrical Data NornInal Maximum Power(Pmu) 391W Issw Optimum Operating Voltage(Vmp) 27.5V 27.SV Optimum Operating Current(imp) 6.60A 6.71A Open Circuit Voltage(Voc) 34.2V 34.4V Short Circuit Current(Ise) 7.19A 7.29A CS6P-2SSP I-V CURVES 'Under Nominal operating CallTemperature(NOCTI,Iradlwce M1100 W/en',spectrumAm 15, is to ambient temperature 20'C.wind j;,*e4 1.1, MODULE I MECHANICAL DATA o a I Specificalior, Data Cell Type Poly-c.Watillne,Witch a Cell Arrangement 6016 x 10) DImenslons 1630 082 K 40mm(64.5 x 3 9,7 x 1.571n) Weight 18.SkC(40.8 lbs) ,Fr6ittCover 3.2rhmtiitiperid Blois 3 Frame Material Anodized aluminfurn alloy, —sic I 7 --so ..2 251C I-Box 1*57,_36ides 11"0: 45-C Cable 4mm'(IECl/4mm'&I2AWG 1000V(ULI000V)/ 12AWS(UL600V),1000mm Cii)iMt4ictionitiliable r,onnectors M 0 5 10 15 20 25 so 35 40 D S 10 15 20 ZS 30 U 40 45 Standard Packaging 24pcs,SO4ks(quantity and weight per pallet) V-U-PIVI VoxepeM Moduli Places Pei Coniiiner .572pci140rHQ) TEMPERATURE CHARACTERISTICS Specification Data Fanner Se:fion Temperature Coefficient(Pirmuc) -0.43%M Temperature Coefficient(Voc) -0.34%/-C Temperature Coefficient 11scl 0.065%I-c Nominal Operating Cell Temperature 45:I:2'C PERFORMANCE AT LOW IRRADIANCE Industry leading performance at low irradiation environment, +96.5% module efficiency from an Irradla nce of 1000w/m'to 2DOw/rn'(AM 1.5,25 mk YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates COST $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO BY M.G.L. - it does not give you permission to operate). You must first obtain-.the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town.Clerk's Office, 151 Fl., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. us DATE: Fill in please: APPLICANT'S YOUR NAME: `-�C lc J 9 //7 / L�/�✓C�%G� < BUSIN SS YOUR H ME ADDRESS: y7�7zy1� 1Q> �87 Q✓� ' � /�c /I/?I/1 S 2 ,' rr� TELEPHONE # Home Telephone Number: NAME OF NEW BUSINESS-_ /��/3?� 'ED, ; 1G TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES NO Have you been given approvafrom the building,division? YES NO- ADDRESS,OF BUSINESS y // j,,�;-, 7r q MAP/PARCEL NUMBER When starting a new business there are several things you must do in order to- 'be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. --(corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business ih this town. 1. BUILDING COMM*7- 2. CE � N This individual d of any permit requirements that pertain to this type of business. ature** COMMENTS: U U BOARD OF HEALTH This individual has been ' rmed of t4pmi, quireme t that pertain to this type of business. uthorized Signature* H�4RDOUS MATERIALS REGULATIONS 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual h e n inform d of the lic ng q i�� nts that pertain to this type of business. Authorized Signature** COMMENTS: avf,k Le AJ o J — v JI�I. o�IKE Town of Barnstable Regulatory Services BARNSTABLF. ` Thomas F. Geiler,Director 1639. ♦� iOlE Mnr A Building D iv is-io n Thomas Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ina.us Office: 508-862-4038 Fax: 508-790-6230 April 22,2008 Mr.Robert Herrera 554 W.Yarmouth Rd. W.Yarmouth,MA 02673 Re:476 Oakland Rd. EXIT ORDER Dear Mr.Herrera, Under the provisions of 780 CMR,the State Building Code,sections 3400.5.1,and 5310.1,you are hereby ordered to immediately discontinue the use of the former garage area and of the basement for sleeping purposes. Your cooperation in this matter is appreciated. Sincerely aul Roma Local Inspector i i To Whom It May Concern, Please check on the following houses on Oakland Road in Hyannis. 399 and 470. These houses are three bedroom single family houses and are being used as rooming houses. The septic systems are not made for the number of people that are staying in the houses. On any given night there are between six to ten cars at these houses.. The areas on the yard can attest to that fact. It seems to be different people every couple of months. Please look into this for the safety of the neighborhood. Thank you. es� ro _ r � rn S r .. _ - , .cam. a .L� a g;•� }'>�. i C.::AkrF o �` -A a14-5,-0:" F P1 41 USA z, l o� CEO �,41 fy� jj ri At +r'---)�= 1,�1!!ll.t�i•t,i11!l�1;s`.ili?!1�l 11►1191d'1�l1llt illi.!!i'1: Ill.i1 .. �;: . .. { i{{{ }{ i �{ t4f { tfti+ {. {{( {it{} { {{{} t: e{ {{ e �l. i }ii} ! i i i:f i i? }� f : ?i ?Fi�; ? ii?i 13 }} � �. ' ., /�� / . J'' j .� �� -,� � . � �" � � , _ �`!� , i � ...� a-.>�`_ i � � � � � Parcel Detail Pagel of 3 IT' 1 ,'�t► a r rwM 'MASS, �4� � # � �� Y «. ,�, ,re,.ta�.,n Logged In As: Friday, Ma Parcel Detail Parcel Lookup Parcel Info Parcel ID 1272-106 I Developer FL707T 17 Lot Location 1476 OAK'LAND ROAD I Pri Frontage 15 35 Sec Road I Sec Frontage Village�HYANNISI Fire District I�HYANNIS Sewer Acct _ I Road Index j 1115 Interactive p I � s 3' r Owner Info Owner[HERRERA, ROBERT O Co-Owner f_--T - Streets 476 OAKLAND RD I Street2 City RYANNIs State MA zip 02601 Country Land Info Acres 0.36 I use jSing le Fam MDL-01 I zoning [RC-1 Nghbd[0105� Topography Level I Road Paved Utilities I PI P b c Water,Gas,Septic I Location j Construction Info Building 1 of 1 Year--- '^ Roof Ext Built 11970 Struct 1Gable/Hip wan l Wood Shingle Effect '^' Roof AC 1447 I Asph/F GIs/Cmp I None Area - --- 'Cover Type Int Style RRanch" wail,Drywall I Bed 3 Bedrooms I Rooms Model�)R sidential :Hardwood I 11 Full + 1 H Int i Bath --- ----- - Floor 1 Rooms >-' Grade Average Mlnus Type j Hot Ar—��it-'— I Rooms Rooms http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=20773 ^ 3/7/2008 Parcel Detail Page 2 of 3 P . Heat Found- AM Stories 1 Story Fuel Gas ation Poured Conc. t 17 Permit History - Issue Date Purpose Permit# Amount Insp Date Comrr 11/24/1999 Finish Basement 42659 $3,000 10/15/1996 Remodel 18589 $3,000 7/23/1997 12:00:00 AM Rerooi 7 Visit Date Who Purpose 6/3/2002 12:00:00 AM Paul Talbot Meas/Listed 7/23/1997 12:00:00 AM Lloyd Kurtz Meas/Est 10/15/1990 12:00:00 AM ML Sales History ----- ---- - - Line Sale Date . Owner Book/Page Sale P 1 4/29/2002 HERRERA, ROBERT O 15102/134 2 8/31/2000 HERRERA, ROBERT O& MARGARITA 13213/113 3 10/31/1997 FRAZEL, SCOTT A 11039/344 4 CHASE, NATHAN.E JR&JOYCE 1511/358 Assessment History Save# Year . Building Value XF Value OB Value Land Value Total Parcf 1 2008 $123,300 $5,400 $800 $148,400 3 2007 $122,700 $5,400 $800 $148,400 4 2006 $109,600 $5,400 $800 $150,500 5 . 2005 $102,400 $5,300 $800 $136,400 ; 6 2004 $82,900 $5,300 $800 $102,300 7. 2003 $68,900 $5,300 .$900 $41,600 8 2002 $68,900 $5,300 $900 $41,600 ; 9 2001 $68,900 $5,300 $900 $41,600 10 2000 $55,700 $2,900 $0 $27,200 11 1999 $55,700 $2,900 $0 $27,200 12 1998 $55,700 $2,900 $0 $27,200 http://issgl2/intranet/prbpdata/ParcelDetail.aspx?ID=20773 3/7/2008 iParcel Detail Page 3 of 3 13 1997 $52,100 $0 $0 $27,200 14 1996 $52,100 $0 $0 $27,200 15 1995 $52,100 $0 $0 $27,200 16 1994 $51,800 $0 $0 $30,600 17 1993 $51,800 $0 $0 $30,600 18 1992 $59,000 $0 $0 $34,000 19 1991 $68,600 $0 $0 $47,600 20 1990 $68,600 $0 $0 $47,600 21 1989 $68,600 $0 $0 $47,600 22 1988 $44,300 $0 $0 $21,000 23 1987 $44,300 $0 $0 $21,000 24 1986 $44,300 $0 $0 $21,000 Photos . 4 { http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=20773 3/7/2008 CF tHE Tp� Town of Barnstable AB . Regulatory Services MASS.9 ��� � Thomas F. Geiler,Director TFD MA'S A Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 March 9, 2008 Mr. Robert Herrera 476 Oakland Road Hyannis MA 02601 Illegal Apartmenst: 476 Oakland Road Hyannis, MA 02601 Map: 272 Parcel: 106 Our records indicate that your house at the above-referenced location is currently being used as a multi-family home, which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. Linda Edson Amnesty Apartment Investigator Building Department gfonns:zoning3 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �L Permit# a � Health Division ���,a� � �'� �� Date Issued d� o Conservation Division vAie; Fee �� Tax Collectot� i fS um �� e _Z I STALLS® IN COMPL1 Treasurer, n . �G� WITH TITLE 5 Planning Dept. ENVIRONMENTAL CODE ?A"s�- TOWN REGULAT Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis .Project Street Address- ri a Village Hy e r► n r i �. Owner r e/If • a 2-e(r Address .0�1, n2 Telephone Permit Request � `e r" _ y21 �c� C�r�' � c Square feet: 1 st floor:existin6g 141410 proposed 2nd floor: existing proposed Total new Estimated Project Cost w— , Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No Basement Type: *Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 1 ��o� new JrJ Half:existing new Number of Bedrooms: existing 3 new -� Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: kGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes No Fireplaces: Existing vZ 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 BUILDER INFORMATION Name ye,/-, Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO (SIGNATURE F DATE - 111441, /Clci FOR OFFICIAL USE ONLY } PERMIT NO. ' DATE ISSUEDr PARCEL NO. — J MAP/ • ADDRESS VIL;LACE 711. _I OWNER �. -- T itn - _ � 4) • DATE OF INSPECTIO.' ; o_ . FOUNDATION FRAME y , f INSULATION ; FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH � FINAL p GAS: ROUGH * FINAL k FINAL BUILDING I-= DATE CLOSED OUT { ASSOCIATION PLAN NO. i S ESTIMATED PROJECT COST WORKSHEET ` f ' e Value LIVING SPACE square feet X$55/sq. foot= GARAGE (UNFINISHED) square-feet X$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot OTHER square feet X $??/sq. foot= Total Estimated Project Cost S o 0 r g990915b .... The Commonwealth of Massachusetts ,_.r-, -- Department of Industrial Accidents office 8110859989985 600 Washington Street Boston,Mass 02111 Workers' Com ensation Insurance Affidavit name SC®'� CPA location, OA k ) A r K6 ci ,iS hone — lg3b I am a homeowner performing all work myself. ❑ I am a sole pro n*etor and have no one working in anyacity � � %% I am an em loyer providing workers' compensation for my employees.working on this,job.:. :::::: ::::::::: :. coat aav name.. ......;.:::;.:;:....::.:::.::.;._; address, :::::.::..:.:......:.:: `lion e#s:: Q A insurance co.: _::.: . : . ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have e following workers' compensation polices: e "'i;>2 ii_ siii;2ii?,• ji%i:i::i nv n am coma ... ...... : : ::.-... ::::. :............:.:.:.. ::. .:....:..:......:..... ... rest.�.:� �i:;i;ii;:;::;:�:;;, <::>:;a:o-;:�>;;r:::�:;:;;;•:-•>;::::<:•>::c;>::;•.:;•:;:�::::.::::<.:.:::.:�-:::;- - .- add .: :.:::..:.:...:;::::.:::................. ..:.......................................:..................... .............. :Tone •i.:#::::::ii:: di ..................................................................................................................................... osarancecam; ,.:.:::.,;::.:::•;:.;,,<:;:,•:.::.;.,.:.::::.:.: ,:::.:.�::. .•. :,:: c anv name*.:.::::;::> :::�::>:;:;:.:::.:;;::>:•<.:;::;;;;,;:;;;:;.;;;•.�::>:;.>-;,_..... ... address: :....::.. .....................:... . :::::::•::.::.. >> hon ......................... ......................:::::::.:.. ......................... aturanceTco:. ::.;:<;.;>:..;:<.;::::;.;:,;.:..,..::::.:.:.:::.:::.:,-:::;.:.:....:...::.. . .... ...._ .. ... ..... _. olicv >.. Fafinre to secure coverage as required nder Section 2sA of MGL 1s2 can lead to the imposition of criminal penalties of a time up to s1,500.00 and/or one yeas'imprisonment as well as dvii penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I�detstamd that a copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verification I do hereby certify a pains and penalties of perjury that the information provided above is trw and coned Sig<iature Date AAL 2 3. Print ine Phone# n official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department Mcensing Board ❑check if immediate response is required pselectmm's Office _ (3Heslth Department contact person. phone#; ❑emu 0avued 9/95 PIA) . �F tKE tom, . .�°� The Town of Barnstable • anaxsTnai.E • 9�A 1639. `0�' Department of Health Safety and Environmental Services ren�„ors Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of:Work: Estimated Cost Address of Work: I 7� '/N /A IN Owner's Name: Date of Application: �✓ 1 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied rgOwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. C1` OR - Date Owner's Name , q:forms:Affidav l^n I / ' u Y � f ` � U I � � C� �� ■ NOON®NOON■■ ■■■■��■ _ ■ NOON■■■ � ■ �� ■I� � �'■ _..., ■ ■ NOON■■ ■ . ■1;, ,,I + .■ ■ ■■■■■■■■■ �' _ �� ■®NOON■■■ ■■■■NINE ■ � '``�� � - -�- - `-�-�. : �■ NEW ON ■ ' '' ■■ ■■ M■■MMM■■ ! NONE■■ ■■ ��.w , Mau ■ ■■�_ 4 sNN ■ NE ,■Bi, ■■ MEMO ■ ?� _ a■■ � ■I�■ � EEO■ � ■ ■ ■ ■EOIN MIN MEN M N � , ■■ ,. ■ � ■ NOON ■ IN MM MEN IN ■ N■■�■ ONO NOOIN IN ON N ■ y ■ IN ■ MOO ME ON ■ IN ONE ■� x, ■ ■ ` ■■ ■■ EEO■ IN MEN SOME MEN OEM d r {EME E■ r i � t I � - t - � I t i i II I } I -- -� - -J Fl- --r - -- -- - i -EEt pp Ja7 y7,iY � y. T.Ts r+v� Z w .q *�• -�wm w� L r �uT`� a "4� "R4.re� ,.c.F i� I: Y+JS�w�;`8 3 siy ,4 x ,�"� �i'iAruY+�6Sa� :. cy �^�! �„� �^r i.• a7�i:�N •�.� �`R Ya'Y.ukect s iu �� YCk �'�'1."'.'a�2 ,�. .}.V13$7 C�.u•.:e'$''��...uS�au:.dr, ��}4�idlrl'..$eb.c•.,�.a y- v.ea:ri5. As �• '�.n.r..rv. .tS�.,�.:uh. uz{a.� Y d7 Eli It ! • � iT l f {�SS { t.. ■■ ■ ..�� J� �����■ ■ �► a k�N: ■ ® , n W1, MMM ■so MEN M M ■ ■ _ MI f.^ ■ ■ • I' t� 367 Main Street,HyannisMA02601 tee. tee$ Office: 508-862-4033 Ralph Crossen Fax: 508-790-6230 Building Commissi HOMEOWNER LICENSE F.7C hWnON Please Print JOB LOCATION: -41- 76,�, OA le a ,/ Lzz,I iil1 number / street vd e "HOMEOWNER": -// �7-r / �����f G r e722 5 (Soj snare home phone h work phone 0 CURRENT MAILING ADDRESS: eitynow n Anse sip code The current exemption for was extended to include own_ied dwellings of six units or less and to allow homeowners.to engage an individual for hire who does not possess a license,nmvided that the Owner acts as=emso - DEFIN11ION OFHOMEOWNER person(s)who owns a parcel of land on which he/she resides or intends to reside,on which thew is,or is intended to be,a one or two-family dwelling,'attached or detached structures accessory to such use and/or farm structures. A person who constructs mare thaw one home in a two-year period shall not be considered a homeowner. Such"homeownee'shall submit to the Building Official on a form acceptable to the Building Official,that he/she Shall be responsible for ail such wotk*+mformed under the building getmit. . (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,roles and regulations. The undersigned"homeowner"certifies tha he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said proc d requirements. Signature of Homeowner Approvai of Building 0!$ciai 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. HOMEOWNMIS EX'E11'MON 'the Code states that: "Any homeowner performing work for which a building permit is required shah be exempt from the provisions of this section(Section 109.1.1-U=nsing of cotmuction Supervisors),p�1.ded that if the homeowner engages a persons)for hire to do such work.that such,Homeowner shall act as supervisor." Many hotireowners who use this a ctription are uns wrane that they are av=mg the responsibilities of a supervisor(sce Appendix Q.Roies&Regulations for Lice sing Construction Supervisors.Section 2.15) 'ihh lack of awareness often resuits in serious problems.prrrd=Wriy whey the homeowner hires uulicaaed persons In this case.our Board cannot proceed against the uniicased person as itwould with a licensed Supervisor. The homwwmer stung as Supervisor is Wdmateiy responsible. To ensure that the homeowner is fully aware of his/her responsibilities.many coma 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 cu:tendy used by reveal towns. You may care to amend and adopt such a formlccrtiftcation for use in your community. Q:FORIIIS:E.YEMPTN , ' ; n c Engineering Dept. (3rd floor) Map 91/ Parcel o ek Permit# House# ��7���� Date Issued - /0 oorj(8:-i5--9:30"t:00-4:30) Fee 42_S_,c0 �THE BARNSTABLE. MAS& 163q TOWN OF BARNSTABLE Building Permit Application Project Street Address Z/7/ Village ,,V2-Jr h n v J" Owner %dl L--L-< @_ Address /Z 4 Telephone c Permit Request ` (.e { First Floor square feet Second Floor square feet Construction Type ?;C Estimated Project Cost $ Je e 9 Zoning District Flood Plain Water Protection Lot Size ZaQ k %/62 Grandfathered ❑Yes ❑No Dwelling Type: Single Family ,� Two Family ❑ Multi-Family(#units) Age of Existing Structure �z k- Historic House ❑Yes No On Old King's Highway ❑Yes . Q No Basement Type: Ef Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) IfV44�401 Number of Baths: Full: Existing &I le New Half. Existing dia 1C New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing .4"— New First Floor Room Count Heat Type and Fuel: JQ Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes &No Fireplaces: Existing W New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ®Attached(size) 14v ,(' / f ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name Q:2 // Telephone Number ?7 S Address YgG / . License# 19 g / Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO IGNATURI /Z L -s- �� �DATE� BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) r M FOR OFFICIAL USE ONLY To PERMIT N.b. DATE-ISSED Q MAP/PAR'CEL NO. - J ADDRESS VILLAGE, t OWNER u DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. • - TOWN OF BARNSTABLE r BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB. LOCATIONS - Number Street address Section of town ►HOMEOWNER"_ f � Name Home phone Work phone PRESENT MAILING ADDRESS 9 City town State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor DEFINITION OF HOMEOWNER: Person(sY who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"- shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. _ (Section 109. 1. 1) The undersigned "homeowner" assumes responsibility for compliance with the Stat Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will compl with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION _a, The code state that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person(s) for hire to do such work, that such Home Owner shall act as supervisor. Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for ,licensing Construction' Supervisors, Section 2. 15) . This lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed. Supervisor. The Home " wner actin as supervisor is ultimately responsible. To ensure that the, Home Owner is fully aware of his/her responsibilities,. man communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. °Fir+e The Town of Barnstable snnxsTn M �'�` �0� Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that. the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than P g g four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. c � Type of Work: 1(e f(e W®O Est.Cost Address of Work: Y7(,v C,9Gi l�l Owner's Name A/eM,4-t 7 C IL� Date of Permit Application: eg" lI l e,—, I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR .4 / , /,l Date Owner's Name +' The Commonwealth of Afassachusetts •+.i� _ --__�=Ja; - Department of Industrial Accidents • A , 1 ,} l Office ofINNSM9211ons �'' 11�'';li•. y'; 600 {1•ashin-ton Street �`. • '' Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Ans)_icant information• Please PRINT le�tbly ""` '�" name 121-4 Igo XF locition• Yz?111 xel, city ,[.� � Y7 f l 1 am a homeowner performing all work myself. I am a sole proprietor and have no one working to any capacity ^r :..-�t«,�-.'°�'0"!�F —�4'^-a� a z�'e^r"z^mare,-x ,r•^�a•, �,..xTe!r�^T,�d=^" #9-:�""«�•370'�'^a'aE+3pn'sr+g•..ez,,.. �.+qri+*- �. a"„�_ t-......v:•s.....:...».m�..�.s:�._._..t.«a+Lus..�r•rrw a:a.,.:.a,c.��;'li�,y �:;.�c:.:s`vs•���ia::.. i m_�.: .•�;•-• '.r•.:i:.?itaL�tr:.ty't��.',.•i....rii::s..o....� _�:�..:r. I am an employer providing workers' compensation for my employees working on this job. Company name: address: city: phone#• __ insur•tnce co policy777 # ,., .. �.. ....,, ..,r-.."K:"�+C'4.^ !^ .;v,,:. a..y.+•r+u•,•vra•{.•cx•,. 'emu-arty.0+i.+.Fs �!°,^ ^h'..:: s ,... . ....-.-.. I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name- address: city: phone#• - incurince co policy# ._s R .�..r.J.i.. - •+A:Ff•«:.;.....?;�wT-s••rti•:.:'_S+"'�' �,.T•- J•�•c.^-'mrT-.T's1r'Y'^' 3!.�1�`•1' Ai°."ytq T� i'�Rk`SG':x r�rf••. ._.. _......_...__. ...___. ,.....ssn:.�a....._r.A...i+:ti..:wtsr r7"� -r- •-:tiii►.r23F13:—� _ 'y� �".a:•.�:�..irii.ai�i.r.:-►:s.i::z company name: address: cih phone#: insurance co policy# Atiach additional shct t if tiecessarX�— t: z sr""'=F�r`""' .:< r : t"•^, _''All a` `+.. •..w.�" :.. w ?�""^�„�w" Failure to secure coverage as required under Section 25A of l%IGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do herefiy certify wider the pains and penalties of perjury that the information provided above is true and correct. �� Sianature�,� � �� Date Print name IVG qta L rX�e-.S e- Phone# 2 2,4-- ' �offtcial use only do not write in this area to be completed by city or town official 7�Bo�ar�dll city or town: permitAicense# MBuilding DOLicensing 0 check if immediate response is requiredOSdcctmcn 01lcalth Ucpartmcnt contact person: phone#; Mother I re%iscd 3,95 r)A) a Information and Instructions - Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an emploree is defined as every person in the service of another under any contract of hire, express or implied. oral or written. An en►pinrer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoin , enLaged 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 -rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. 7777-- P IV. ` f JZ: Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation olicy, lease call the Department at the number listed below. P P �� P P 77 City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. Tile affidavits may be returned to the Department by mail or FAX unless other arran-ements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to (Tiye us a call. 77 t-,u..wi*... .,..._ ..,.,,- -...�,a..�m..,-r., -;• . =-cc.. �.,•��.,,cu-)t.��-�.9•,�"t w .n.,,x. .cn..w..cv..x..a.,wps.tR'�'.'�r-v,.,�ct.w.r.�^�, G. The Department's address, telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 4 7 hone #: 617 727-4900 ext. 406 09 or 3 S