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Home My WebLink About0017 RUDDER ROAD TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Z �G Parcel: 1,13 A lication 6 .. pp Health Date n Issued Division Conservation Division ��`--- � . ;Application Fee Planning Dept. Permit Fee `�/ ► �9. Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address Village GL(1 lS r Owner J a A rlQ 66o n �� C Address' Telephone /3 e a ) ' Permit Request r k) 1A,C�ws 13ULpIGLC.t C 04 L12�"j C'o t ✓4o oS-' In J Square:feet: 1st floor: existin sed 2nd floor: existing proposed ew Zonings rict Flood Plain Groundwater Overlay Project Valuation`s.�60oD,OD Construction Type p Lot Size a3 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family pi Two Family ❑ Multi-Family (# units) Age of Existing Structure Q Historic House: ❑Yes Ct-k6 On Old King's H I ghway: 10 Yes230_P� Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinish sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing ew Total Room Count (not including baths fisting 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 0 No Detached gar e: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attach d 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- f Telephone Number �� Address License# 'M A6a<., Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO ^( aL SIGNATURE <r DATE w FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCELNO. � ADDRESS` VILLAGE OWNER DATE OF INSPECTION: FOUNDATION F FRAME INSULATION FIREPLACE i ELECTRICAL: ROUGH FINAL r } PLUMBING: ROUGH FINAL t GAS: ROUGH FINAL i FINAL BUILDING DATE CLOSED OUT r ' ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Departiiient of IndustrialAccidents Q,fftce of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibI Name(Business/Organization/Individual): . V t ZL( YD Vf L/1'l t I T- -Address: lV-��W ► n �(7°GL b� City/State/Zip: 6 /J'If 33� Phone.#: ,Are you an employer? Check the appropriate box- Type of project(required):, ;./ . . a employer with 4. Ej I am a general contractor and I employees(full and/or art-time). have hired the sub.-contractors 6. ❑New construction ❑ Tama'sole proprietor or partner- listed on the'attached sheet. 7. ❑Remodeling shipand have no employees = These sub-contractors have 1 8. ['71 Demolition working for me in any capacity. '. employees,and have workers' 9 Building addition [No workers' comp.insurance F comp.insur . u ance.$. ng required.] . 5. Fj We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.r_1 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 13.�CSther /t12�)cN1 nddwzs f- employees. [No workers' comp`.insurance required.) *Any applicant that checks box#1 must also fill out the section below showing.tiieir workers'compensation policy information. t Homeowners who submit this affidavit indicating.they are doing all work and then hire outside contractors must submit anew affi4avit indicating such. $Contractors that check this box must attached an additional shut 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. lam an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. t 3 'I l Insurance Company Name;_ Policy#or Self-ins. Lic.#: W Z/ 3 '.Expiration Date: Z� D Job Site Address: City/State/Zip: '' C WOO/ Attach a copy of the workers' compensation policy declaration page(showing the policy nu be expiration date P Y xp ) Failure_to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ' fine up to$1,500.00 and/or one-year imprisonment;as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for ' urance.covers e v6rification. ado her-cby c-crtifv u r sin and-panalfies at-that th944fo-xmatian pxauide abduct i tr-ue and car-rest Signature: Date: 'Phone#: A-0 Official use only. Do not.write in this area,'•to be completed by city or town official a r City or Town: Permit/License# Issuing Authority(circle one): I.Board of health•2.Building,Department 3 City/Town Clerk•.4..Electrical Inspector 5.Plumbing Inspector .6.Other = Contact Person: Phone#: Client#:47298 CAPIHOM ACORD. CERTIFICATE OF LIABILITY INSURANCE F D sroai2ulo 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 NAME:CONTACT- Karen A Walther,CISR Rogers&Gray Ins.moo.Dennis PA"rc°N o FA Ext:508-760-4630 (n/c,No): 508-258-2230 434 Route 134 ADDREss: waltherka@rogersgray.com P.O.Box 1601 South Dennis,MA 02660-1601 CUSTOMER ID#: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA:National Grange Insurance Co. - Capizzi Home Improvement,Inc. ACE Property 8r Casualty Ins.Co INSURER B: p � •7 Capizzi Enterprises,Inc. 1645 Newtown Road INSURER c: ' 9 INSURER D: Cotuit, MA 02635 INSURER E: INSURER F- COVERAGES CERTIFICATE NUMBER: 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 R-QUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS _ CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DL UBR POLICY EFF POLICY EXP LTR IN SR POLICY NUMBER --(MMIDDNYM MM/DD LIMITS A GENERAL LIABILITY - MPB1075H 06/08/2010 06/08/2011 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DA1T PREMISES Ea occurrence $500,000 CLAIMS-MADE �X OCCUR - MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PE O- LOC $ A AUTOMOBILE LIABILITY M1 M28044 06/08/2010 06/08/2011 COMBINED SINGLE LIMIT ANYAUTO (Ea accident) $500000 BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ X SCHEDULEDAUTOS - .PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X NON-OWNED AUTOS Uninsured $2500001500000 Underinsured $250000/500000 A X UMBRELLA LIAB X OCCUR - CUB1076H 06/08/2010 06/08/2011 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE - AGGREGATE $5,000,000 DEDUCTIBLE $ X RETENTION $ 10000 $ B WORKERS COMPENSATION NWCC45843208 12/25/2009 12/25/201 X WC sTATu- oTH- AND EMPLOYERS'LIABILITY �,/N T RY LIMIT ER ANY PROPRIETOR/PARTNER/EXECUTIVE�N N/A - E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under - DESCRIPTION OF OPERATIONS below - _ E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS'/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) - - Carpentry CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Pa' ment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA-02601 AUTHORIZED REPRESENTATIVE 0198 -2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009109) 1 of 1 'The ACORD name and logo are registered marks of ACORD #S52549/M52541 KW Page 7 of 7 CAPIZZI HOME IMPROVEMENT INC. SPECIFICATIONS AND ESTIMATES STATE OF MASSACHUSETTS ' LETTER OF AUTHORIZATION TO APPLY FORA BUILDING PERMIT I, JOANNE O'CONNELL, OWN THE PROPERTY LOCATED AT 17 RUDDER ROAD IN HYANNIS, MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR,THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: OWNER'S ADDRESS: 84 AR D HILL ROAD,N. HAMPTON, MA 01060 OWNER'S TELEPHONE: 508-775,7287 r LESSEE'S SIGNATURE: ; LESSEE'S ADDRESS: LESSEE'S TELEPHONE: ; APLLICANT'S SIGNATURE: s APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit, MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER :> RESPONSIBLE OFFICER-ADDRESS:': RESPONSIBLE OFFICER TELEPHONE: O9ffice of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration_�:00740 Type: 10 Park Plaza-Suite 5170 ExpirafiDn;=.fi123f Q12, Supplement Card Boston,MA 02116 CAPIZZI HOME`IMPROVEMENTANC. GARY GUSTAFSOIi=t €: 1645 Newton Rd. P. '�— Cotuit,MA 02635 Undersecretary No id without signature Massachusetts- Department of Public Safety Board of Building Regulations and Standards. , Construction Supervisor License License: CS 74640 _ GARY GUSTAFSON. 8 SHORT WAY v '; SANDWICH W 02563 Expiration: 11/29/2012 Commissioner Tr#: 7058 , 'V b- y A A` !k Ab ... { F �l : i IL r. IN � 4 It j I r yy 1 1 I. 1 d P F 1 I i i a 'r !d { u , f 6:.4All - v4 �a 4 I - f9= i 9 s < e S. �J TOWN OF BAR4TABLE BUILDING PERMIT APPLICATION Map , Parcel ` _ Application # ' Health Division Date Issued ✓ �� Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board oC Historic - OKH Preservation / Hyannis Project Street Address / R-,t1e1V__� 1 Village 4 V Ann, WI . Owner Mi c_ ao _e \ b'Co,1n4 l` Address Telephone Permit Request x 1, 12oo� ►4-clel 1104r,3 cLnc( Square feet: 1 st floor: existing Ywproposed ® 2nd floor: existing proposed Total new C7 Zoning District Flood Plain Groundwater Overlay Project Valuation '5�P 0C7XD Construction Type Lot Size Y j Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family)e , Two Family ❑ Multi-Family (# units) Age of Existing Structure 4 �" Historic House: ❑Yes 'Di�No On Old King's Highway: ❑Yes ,_4No Basement Type: Full ❑ Crawl ❑Walkout ❑ Other �1 Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) 7 Number of Baths: Full: existing new JO' Half: existing new Number of Bedrooms: existing new Total Room Count (not including bathe): 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 _ Othpr� Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑yxi' w r ° Commercial ❑Yes ❑ No If yes, site plan review# wr Current Use Proposed Use ,Y n0 P"i' ----- _APPLICANT INFORMATION �_ _ (BUILDER OR HOMEOWNER) Name -�-S K, s • Telephone Number Address S License # 7� S'91 5� iM 71 Home Improvement.Contractor# Worker's Compensation # 50D(�{7`��l0201 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 44 Z 115p' /Y r f, FOR OFFICIAL USE ONLY APPLICATION# _C DATE ISSUED MAP/PARCEL NO. s 4 ADDRESS VILLAGE OWNER r S _ . DATE OF INSPECTION: , .,,FOUNDATION m FRAME INSULATION w FIREPLACE I i ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 4 The Commonwealth of Massdchusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organi.zation/Fndividual): C.kpe 9 a:;U.^A Address: qA a-c l-c a& City/State/Zip: Phone##: �VV ME- (47(0�- Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with C 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition. working for me in any capacity. employees and have workers' 9. 0 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.❑Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insi=ce required.]t c. 152, §1(4),and we have no ] employees. [No workers' 13.❑ Other . comp.insurance required.] *Any applicant that checks box#1 must also fill oat 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. kContractors 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.. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 1 - / .Policy#or Self-ins.Lic.#: PIA 6Q 4-1 Expiration Date: Job Site Address: V-1- Qu ddtr ►,4-(),- V d C^t z .1(WCity/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$1,50.0.00 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 violatof. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby._cert�undert ns es of perjury that the information provided /above �is true and correct Si atur Date: 4 Phone#: Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: w Phone#: Information and .Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant-to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more ..' of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the ' receiver or trustee of an individual,partnership,association or other legal entity,employing-employees. However the' owner of a dwelling house having not more 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 local licensing agency shall withhold the issuance or renewal of a Iicense 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( )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 checking the boxes that apply to your-situation''and,if. necessary, supply sub-contractors)name(s), address(es)and phone number(s)along with their certificate(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 may be submitted to the Department of Industrial , Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please.call the Department at the number listed below. Self-insured.companies should enterthei.r 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 will 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(if necessary)and under"Job Site Address"the applicant should write"all locations in (city.or ' towti)."A copy of the-affidavit that has been officially stamped or marked by the city or town may be provided to the , applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a-license or permit not related to any business or commercial venture (i.e. a dog Iicense or permit to.burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions; please do.not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts - Depart rent of Industrial Accidents - Office of Investigations 600 Washington Street Boston,MA 02111 Tel,`#617-727-4900 ext 406 or 1-977-MASSAFE Fax# 617-727-7749 Zevised 4-24-07 www.mass.gov/dia Client#:18234 2CIKI ACORD. CERTIFICATE OF LIABILITY INSURANCE DAT 2112D/Y 12/21l2012 2 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 WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Dowling&aNeil PH E FAX Insurance Agency ,La Erit:508 775-1620 ac.No): 5087781218 E-MAADDRESS: 973 lyannough Rd., PO BOX 1990 INSURER(S)AFFORDING COVERAGE NAIC Hyannis,MA 02601 - INSURER A:Safety Insurance Company INSURED INSURER B:Associated Employers Insurance Cape&Island Kitchens,Inc. 99 State Road,Route 3A % INSURER C: ' Sagamore Beach,MA 02562 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 ADDL SUB POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MIDD MM/DD LIMITS A GENERAL LIABILITY BMA0014847' 1210312012 1210312013 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE T RENTED PREMISES Ea occurrence $100 000 CLAIMS-MADE F—R OCCUR MED EXP(Any one person) $10 000 PERSONAL&ADV INJURY $1,000,000 »• GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER., PRODUCTS-COMPIOPAGG $2,000,000 POLICY - PE O El LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO ' BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIREDAUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAO OCCUR . EACH OCCURRENCE $ . EXCESS LIAB HCLAIMS.MADE AGGREGATE $ DED RETENTION S $ B WORKERS COMPENSATION WCC5006472012012 9/07/2012 09/07/201 K we Sy ATU OTH- AND EMPLOYERS'LIABILITY —•- ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $5OO OOO OFFICER/MEMBER EXCLUDED? � NIA : (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500 000 If yes,describe under DESCRIPTION OF OPERATIONS below+ - E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN; ., 200'Main Street 2 ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE - 01988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) ` 1 of 1 The ACORD name and logo are registered marks of ACORD #S104717/M104689 F ,- LS1 °FEE r Town of Barnstable Regulatory Services f r , * STAi�T_,R t MAS& Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,I'Iyannis,MA 02601 www.town.barnstablema.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder � 0 /' I, �as�44f/ , as Owner of the subject property hereby authorize rc-.pC to act on my behalf, -••�Jle-l�� `T in all matters relative to work authorized by this building permit V7 IQ U CU r-r K0J-- s (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner e ' p cant /G ,E�za v►r t� Print Name Print Atne y�Id '--/3 Date QFORMS:OVngMPERMMSIONPOOLS 62012 sT Town of Barnstable Regulatory Services Thomas F. Geiler,Director MACS. 1639• 4 Budding Division lFD MA'I • Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "An homeowner performing work for which a building Y p g g permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, i 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. j Q:forms:homeexempt viaUl use ou' % e. iM�Yn?.M7.2 C'/ cia1ld��t cc3e17�. : ti•ori vaiidJor 111d1 tioa se o . :,t, . ate. If found return , �?�fiee df Consumer Affairs&B�isiness Ed�egufa j'' - ^� a rati �� a ,.. before the P_ �.-r.. Regulation IMI't:OVEMEW CONTRACTOR Offi of Consumer- fairs and Business f egistration: 160266 Type; ` �,. Suite 5170 c 10 Pal Plaza T xpiratien:: 7/7%2014' Private Corporafi Boston, MA 02116 C) CapeMslands Kitchen&Bath`Remodeling Inc ! m 1 � ,Joseph Cheney i ___ . 99 State St. /� ' — i — - ! Sagamore Beach, MA 02562 UnderseereZary. . Not lid withou s�gnat m 0 .w w w - w N i r `... ,. , • s � �rrrl�acuecrl//:o�'C��l��rd�crc/u.ir//i`i re ��rr (7s€fi�eV' �onsusner Affairs&Business.Reguiation p ` d'FtOVEMENNT CONTRACTOR y 'e EM Type CO y ation 160266 9str xpiraUop 7l7/2014 e'rivate Corpora4ie:� Cape&I'slands Kitchen&Bath>Remodeing Inc 4 Joseph Cheney ... 99 State St. Sagamore Beach,MA 025ii2 Undersecrefia.y Massachusetts Depat zment of Public Sutcti Board of Buildin!:Re,�ilations�l " St,intl. rtls I Construction Supervisor License: CS 92897 jk h JOSEPH'M CHEN'EY 99 STATE ROAD _ SAGAMORE BEACH MA 02562 — y ExpiratioW 9/4/2013 C umm�Gfi�gne� Tr#: 1802 r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map C;2 T Parcel 193 Application # (9 0 Health Division Date Issued �;_ 4f- Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Z4ga�k2 /? . Village #YA n 4J_S Owner d i fe n�2�� Address ~ 5/►' Z Telephone Sd - -9L ?"S 7Za } .;off (0'-'l Permit Request Zf-w ordy,l �x�'t�i�Y1A � t�o,� C s42 cJ4,,6 Or— �-1/ R S 4 4>A-11 bo4Q� i n �,g!/ -�r,� Jam" 6 9 _" G)p,f!t, v s o�4rt o„3 /__5xL)C4"'C Y0a 4 hthcl A�"Rd N4tp- y A'k Gka+as a b")" No /b-,g-1 cic s3 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 Kings Highway:'D Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft Number of Baths: Full: existing new Half: existing _ new Number.of Bedrooms: existing new 3 ' 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 �► : 1 L w �M,T-Z Telephone Number � � -yA,a Address �� C��r=H1/ / �J�c License # C 5 &,5-�;Z/ �• t�� VAot'*4 k%t 4 • Lo 6 Home Improvement Contractor# Email l�: �6,iyi Worker's Compensation # 0CS�-3/S -3&2m/-ay ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# .DATE ISSUED MAP/PARCEL NO. • r ADDRESS VILLAGE OWNER r DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE M ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING F ` DATE CLOSED OUT , r ASSOCIATION PLAN NO. s 10 d xa3aa ss IEaT��ala-v al-o va,)jA#?-F�:`Ipuqaffuaa `ti 11TP1- ilJo P-moa`I aS7l37IrjxJ?T� 'IIA1a�-10 ' .Ivza�t�u�r�.rrr��'q �trr��q�dam sn�r�c;a�tit�a�r� ��3T.tn asp 7�°: � • 117. �a.��na,p s3cq ss•,saga��i.a_tdu�uz.ra�zzx a�7a�l dxzr�arl�n sa: nad�ttrt ��.rzz d��}ra�,��3�.°�� -aoTpMB=A ad aa?Juat =Xg VIC[-91B Jo-9=plF23 -13q ;o 7i$O taU c4 Pep am i cg:zq-k-m pgmapp srcR;a ddO�E 4VD pas�ag Qlp e XNP e CG_OS -a})Cl-Io 5 a P-L--3Ha7a0 xaoA ms a.4o=ud ar.P-ai sm a' mn'd. Uaa Ya _mN ap flQ$`I c4 du amg a f jzar aSuax�a = mp sag u � } a -2A LI q {a spuoi}E po--q-n-z f ad.-,V cam)g7—Xlua,.qsi-paper DduaRksaad=—Z) juAdaa•1�1pxnv w.. / v cl - v�Z1'25'^ . ztr�s q"CPUD St a,o a s�a�rfa xua �i�z r� aa�zra�rarr uatjtisae b�7, a�jra,�a ffs uz.rd q q,- w fajdscrs.Im m I ' r - -iq—�Ad'&31— aP? n rd 3�faip spa nt¢�a a�=q�A Dxi°s 13I s�fnI� • �--`T! as�rcgiurc�o�qt��'F��3p�u� I��,I�PPi�P�P�lsn��4��4��R"'T,�' ZCnrs ire s r siau s D�csgas]sum �uo� gan a-q r—= t Tiqu� ,L�F xc?^='F� � xi saumcr�ug Cod�xo? asa�a�� asolaRIISG�,gj=IL4-s74s—I#-R-�p-pi=9 pr-q&-krT+ - ��2T�S 33iIE3i1S'aI-d�OJ 'r •. . flu agar!a-),.PUE�&M BSI-0 �.I F g�usAls¢t oI `I;�3�i�dot}dui ors" drao�•s�Isaa3°hI] 3T saos43pp$is ssdai 2=quiuTa❑-II I. �Pasra�aIM aA"q spa te T!� atop r�rrnrK, gas p suazPppz m srsdai Ia ❑4I s}i px odzaa-e=9,M Q Ipan°Iraa `3�-dUoa . ac dma�,spa m M'9rppa 'i`n-S:❑ d �s�a�om 4�Fas szuidm:4 qua ut a� ual3?Taa��I g 9ALq N30 °9-im Z saa�ojdx=ua aAizgp—dzqs u_ff-v�❑ -L P agl uo FBI ra�}zea w_Mpaduzd alas E M-R I -Z 3aa *� 3-1a)p-us�}saadaj� I+I q I P -mPR4=Tam it I El. 1jassar3mseds Gminral Laws chapter 152 m (q all employees to provide workers'compensation for their employee P, saa,-rf-to this s -,a ever mpLcyce is&Snead as C__ y person in fie seavice of aaoth r under a'ay cantrs�t of7� , , egress or implied, oral or wdt-em" Yv. An anp&yer is defined as aaa mdividual,partnershm,association,corporation or other legal enti or any two or more of the foregoing engaged is a job enterpasa,and inclarlfog the legal r-,presmtdives of a deceased employer,-or the receiver or trastee of an iadmdinl,part IM31 p,association or other legal entity,employing employee;. However the owner of a dweFlmg house having not more than three apartments and who resides therein,ar the occupant of the dwelling horse of another who employs persons to do mamtr:nance,construction,or repair work on such dweliiag house or on the grounds or bulEag appurtenant thereto shall not because of such employment be deemed to bean employer." MGL daaptnr 152, §25C(6)also states that'every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to couctract buildings in the corn non,�calth for any applicant who has not produced accepfable 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 coiact for tine peritn anee of public work until acceptable evidence of compliance with the iarmt ce requirements of this chapter have been presented to the contracting antbority.- A-pplica nfs Please:Ell out the woikers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary, supply sub-contractors)name(s), addresses)and phone numbers)along with their certiEcaic-(s) of in�rrrance. Limited Liability Companies(LLC)or Lin i Liability Partnerships(LLP)withno employees other ihan the memo ers or partners,are not required to cant'workers' compensation insau ce_ If an LLC or LLP does have employees;a policy is required Be advised that this afIIdavitmaybe submitt�ti to flee Department of Industrial Accidents for confirmation ofinsnce 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 regm-dihg the lavr or if you are required to obtain a workers' compensation policy,please call the Department at the number ILted below. Self i asnred companies shoWd eater their self-m Wince license number on the appropriahe line, City or Town Officials Please be s tliat`tJie affidavit.is complete and printed Iegbly. The Departm as vid ent)h pro a sTace of the ure boo m. o f the affidavit for you to fill out in the event the Office of Investigations has to confazt you regarding the applicant Please be sure.to fill in the pea it/lieense number which-will be used as a reference number. In addition-an applicant that must submit multiple per�itllimnse applications in any given year,need only sobnuf one affidlvit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for Rtare permits or licenses. Anew affidavit must be,-filled out each year.Where a homeowner or citizen.is obtaining a license or permit not related to any business or commercial venture (i e.a dog license or permit to bum leaves etc.)said person is NOT requited to complete this affida,-Zt The Office of Investigations would hike to thank you in advance for your cooperation and should you have any questions, pi ease do not hesitate In give nis a cal The Deparlrneat's address,telephone and fax number: ` a Commaawceth ofMassar,hu=tts D � �f InclftialAoDid�fs + of kvex tza•ni I�WtDiD,MA G2III TeL f4 6I7` 7-49- 5 at 4-66 ar I-R hL4-S B- - R.4 6I7-727- 4-c� Beviscd 4-24-D7 ggg _may •s.x -- - DATE(IdMlOD1YY`M eACORl3 ' CE{RTIFICATE OF LI�IBIL.ITY�INSURANCE N` sri�rzo14 .. THIS�CER7IFlCATE#1SPISSUED�AsA itlIAT�TER OF�INFORMATIOONLY,APID CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER Tti1S I ER 1F7CATE DOESd'NOT AFFIRMi17NELY 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), AbTHORIZEO .. ry RE�PREgENT�Al1NEgOR PRODUCER,AND"THE CERTIFICATE HOLDER r IAl1PORT- T subject to.':- if the�affi, Tiicate holder i c rt ^�po��es may an endors the ement. A statement onust be this his If SUBROGATION do0es not conferrights to the .the termscand ohdltions`ofthe policy, y 5't'T eA4'S, �,�,'�certifl�ca e�holder in Iieu�oF such endorsement(s): _ ' PRornlcERDOVVLING&O'NEIL INSURANCE AGENCY INC NAME. x ::. ''-�.. {,.973.IYANNOUGH RD: •. - PHO N m E • F No_ - a E-MAIL r - - -PO BOX 1990� . -?: ADDRESS: HYANN.IS MA0260fi.< . - r . . INSURER(S)AFFORDING COVERAGE, NAIC* iNsuRERA: LM Insurance Corporation 33600 INSURED :..• - INSURERS: CAPE& ISLANDS KITCHEN&BATH REMODELI.NG.INC - . INS.URERC: : 99 STATE ROAD ROUTE 3A SAGAMORE BEACH MA 02562 INSURERD: ` - INSURER E: 1 INSURER F COVERAGES CERTIFICATE NUMBER: 21723685 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 CONDITIOWOF 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. rL� POLICY EFF POLICY EXP LIMITS INSURANCE POLICY NUMBER MIDD M)D ENER �7 AL LIABILITY S, ? EACH OCCURRENCE-' $ I)AvAGE TO RENTED DE D OCCUR PREMISES(Ea occurrence $ MED EXP(Anyone person) $ PERSONAL&ADV IN URY $ LIMITAPPLESPER: GENERAL AGGREGATERO- LOC r PRODUCTS-COMP/OP AGG $ -7,JECT $ COMBI E4 WGLE LIMIT $ AUTOMOBILE LIABILnY ` ' m Ee accident)- . BODILY INJURY(Per person)' $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OIAN " PerPERTY DAMAC t $ HIREDAUTOS AUTOS $ tDE RELLA LIAB. OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS-MADE . . OTH- cOMPENSATIori WC5-31S-369904-024 7/312014 7/3/2015 ,/ STATUTELOYERS'LIAwLrtY PRIETORIPARTNERIDIECUTIVEY!N NIAE.L_EACHACCIDENT $ s 500000 MEMBERExcLUDED� 500000 ry InUH) EL.DISEASE-EAEMPLO aibe underEL.DISEASE-ROLICY LIMIT .$ _ 500000 TION OF OPERATIONS below DESCRIPTION OF opera-nONS)LOCATIONS)VEI.11CL iS(ACORO 101,Additional Remarks Sehedrde,may be attached H more Space Is required). Workers compensation insurance coverage applies only to the workers compensation laws of the state Of MA This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF BARNSTABLE THE EXPIRATION DATE THEREOF, NOTICE-WILL BE DELIVERED IN 200 MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS. HYANNIS MA 02601 AUTHORIZED REPRESENTATIVE LM Insurance Corporation 0 1988 2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD CERT ND.! 21723605 CLIENT CODE: 1788572 Anne Chandler 9/25/2C19 9:15:16 AM (EDT): Page l of i i U/LG' l(JO%/7t7YZP-7ICPHC(.�C�Li��/�LIXJJCGC'�LGJG'�C �i 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 e istration 160266 = Type: 9 10 Park Plaza-Suite 5170 Expiration 7/7/2016 Supplement(lard Boston,MA 02116 Cape&Islands Kitchen&Bath Remodeling Inc l WILLIAM SCHMITZ 4i 99 State St. Sagamore Beach,MA 02562 i Undersecretary i Not valid without signature Massachusetts -Department of Public Safety .Board of Building Regulations and Standards Construction Super yisor License: CS-076571. W ILLIAM L SCHIT� 66 CARAVELZIC-. i HATCHVELLES MA Expiration I Commissioner 09/09/2015 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �y 7 Parcel I9 3 Application Health Division Date Issued 12--2 1! 6 Conservation Division Application`Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address �� C`2 f �G n Y1 C�) Village "rein k�) , U ► - 02-IoO l Owner ((k l kLL d'C(3 A Y' W Address l—( R P O el Telephone LIIS) (5-1-9ctSo Permit Request 1"S+(A I I(a�W8 C I�Qt � _bV10VQ V( r c_ Soy,r : Lazy -Vs� 1 -I , 'sZ . v� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation :T ,°Construction Type cxr kS Lot Size Cl 5�� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family kS;L_ Two Family ❑ Multi-Family (# units) Age of Existing Structure -1 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 Z- new Half: existing new Number of Bedrooms: L/ 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 ❑ I Commercial ❑Yes ❑ No If yes, site plan review # CD Current Use Proposed Use '� €v � APPLICANT INFORMATION �0 (BUILDER OR HOMEOWNER) m � rr� Name �AVT,wko 1 0 Ely-- Telephone Number M nw )\\ !d� •-10-1 Address 8O KeVI d l I-Q 24 , License # CS" 0 ,)-PP,ftcS(JA , LJ'a Home Improvement Contractor# r)O $CIF Email 'n WAAJ-�0 t Cc r.C&P-Worker's Compensation # W CS-0 9 Co bi Li 0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS ROJECT WILL BETAKEN TO SIGNATURE DATE o } FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. • S .c aim ADDRESS VILLAGE DJVNER DATE OF INSPECTION: FOUNDATION r FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING Q. DATE CLOSED OUT ASSOCIATION PLAN NO. �MDll �o0 � RESIDENTIAL SOLAR POWER PURCHASE AGREEMENT Customer Name and Contact Information: Transaction Date 2016-03-23 Name(s) Mike O'Connell Sevice No. Installation Location Address 17 Rudder Rd Approximate Start and Completion Date 17 Rudder Rd Hyannis MA 02672 2016-09-19 Hyannis MA 02672 Home Phone 4136579930 Cell Phone 4132184892 E-Mail oconne1149@yahoo.com ON /1�19 Our Promises + We will design,install,maintain,repair, + We will not place a lien on Your Property. monitor,and insure the System at no additional cost to You. + You are free to cancel any time prior to Our commencement of installation work at Your + We warranty all of Our work for the Property. initial 20-year term. + The Energy Price includes a $5 monthly + Your Energy Price will not increase by discount for paying by automatic debit from more than 2.9%per year. Your bank account. + We will fix or pay for any damage We + You will not be responsible for any property may cause to Your Property or belongings. tax assessed on the System. Your Commitment Pay for the Energy produced by the System. • Maintain a broadband internet connection. • Keep Your roof in good condition throughout • Continue service with Your Utility for any the Term. energy used above and beyond the System's production. Respond to Our sales and support teams when scheduling and completing paperwork. At the End of Your Initial Term r You can renew the Agreement for a You can request that We remove the subsequent term; System at no additional cost. •.You can purchase the System;or If You Move • We guarantee You can transfer the Agreement • You can relocate the System to Your to the new owner,regardless of credit rating; new home;or . You can prepay the Agreement; • After the sixth anniversary,You can purchase the System. WE MAY HAVE PRESCREENED YOUR CREDIT. PRESCREENING OF CREDIT'DOES NOT IMPACT YOUR CREDIT SCORE. YOU CAN CHOOSE TO STOP RECEIVING"PRESCREENED"OFFERS OF CREDIT FROM US AND OTHER COMPANIES BY CALLING TOLL-FREE 888.567.8688. SEE PRESCREEN &OPT-OUT NOTICE BELOW FOR MORE INFORMATION ABOUT - PRESCREENED OFFERS. The Notice of Cancellation may be sent to this address support@vivintsolar.com ( vivintsolar.com 3301 Thanksgiving Way, Suite 500 Lehi, UT 84043 Phone 877.404.4129 1 Fax 801.765.5758 Copyright @ 2011-2015 Vivint Solar Developer,LLC All Rights Reserved PPA(11/2015,v3.2)I Page 1 r NOTICE TO CUSTOMERS A. LIST OF DOCUMENTS TO BE INCORPORATED INTO Agreement, signed by both You and Us, before any THE CONTRACT: work may be started. a. Residential Solar Power Purchase Agreement, G. CUSTOMER'S RIGHT TO CANCEL. YOU MAY CANCEL b. Exhibit A—Notice of Cancellation, THIS CONTRACT AT ANY TIME BEFORE THE LATER OF: c. Exhibit B—State Notices and Disclosures, (1) MIDNIGHT OF THE THIRD (3RD) BUSINESS DAY d. Exhibit C—Certificates of Insurance, and AFTER THE TRANSACTION DATE, OR (II) THE START OF e. Customer Packet. INSTALLATION OF THE SYSTEM OR ANY OTHER These documents are expressly incorporated into this INSTALLATION WORK WE PERFORM ON YOUR Agreement and apply to the relationship between You PROPERTY. IF YOU WISH TO CANCEL THIS CONTRACT, and Us. YOU MUST EITHER: (1) SEND A SIGNED AND DATED B. WE HAVE NOT GUARANTEED, PROMISED OR WRITTEN NOTICE OF CANCELLATION BY REGISTERED OTHERWISE REPRESENTED ANY REDUCTION IN OR CERTIFIED MAIL, RETURN RECEIPT REQUESTED; OR ELECTRICITY COSTS IN RELATION TO THE SYSTEM THAT (2) PERSONALLY DELIVER A SIGNED AND DATED WILL BE INSTALLED ON YOUR PROPERTY. WRITTEN NOTICE OF CANCELLATION TO: VIVINT C. IT IS NOT LEGAL FOR US TO ENTER YOUR PREMISES SOLAR DEVELOPER, LLC, 3301 N THANKSGIVING WAY, UNLAWFULLY OR COMMIT ANY BREACH OF THE SUITE 500, LEHI, UT 84043, ATTN: PROCESSING PEACE TO REMOVE GOODS INSTALLED UNDER THIS DEPARTMENT. IF YOU CANCEL THIS CONTRACT AGREEMENT. WITHIN SUCH PERIOD, YOU ARE ENTITLED TO A FULL D. DO NOT SIGN THIS AGREEMENT BEFORE YOU REFUND OF YOUR MONEY. REFUNDS MUST BE MADE HAVE READ ALL OF ITS PAGES. You acknowledge that WITHIN 30 DAYS OF OUR RECEIPT OF THE You have read and received a legible copy of this CANCELLATION NOTICE. SEE THE ATTACHED NOTICE Agreement, that We have signed the Agreement, and OF CANCELLATION FOR AN EXPLANATION OF THIS that You have read and received a legible copy of every RIGHT. DO NOT SIGN BELOW UNLESS WE HAVE GIVEN document that We have signed during the YOU THE "NOTICE OF CANCELLATION." WE ARE negotiation. PROHIBITED FROM HAVING AN INDEPENDENT E. YOU RISK THE LOSS OF ANY PAYMENTS MADE TO COURIER SERVICE OR OTHER THIRD PARTY PICK UP A SALES REPRESENTATIVE. YOUR PAYMENT AT YOUR RESIDENCE BEFORE THE END F. DO NOT SIGN THIS AGREEMENT IF THIS OF THE CANCELLATION PERIOD. AGREEMENT CONTAINS ANY BLANK SPACES. You are H. You have the right to require Us to have a entitled to a completely filled in copy of this performance and payment bond. BY CHECKING THIS BOX, YOU AGREE TO RECEIVE ELECTRONIC RECORDS AS FURTHER DESCRIBED IN SECTION 7(m),AND AGREE THIS CHECKBOX CONSTITUTES YOUR ELECTRONIC SIGNATURE. BY CHECKING THIS BOX,YOU AGREE AND OPT-IN TO RECEIVING TEXT MESSAGES AS FURTHER DESCRIBED IN SECTION 7(n),AND AGREE THIS CHECKBOX CONSTITUTES YOUR ELECTRONIC SIGNATURE. ✓ BY CHECKING THIS BOX,YOU AGREE TO ARBITRATION AND WAIVE THE RIGHTTO AJURYTRIALAS DESCRIBED IN SECTION 6(e),AND AGREE THIS CHECKBOX CONSTITUTES YOUR ELECTRONIC SIGNATURE. VIVINT SOLAR DEVELOPER;LLC CUSTOMER(S): Signature Signature: Printed Nome: Bradley Hof hines Printed Name: Mike O'Connell Salesperson No.: 94506 Signature: Printed Name: Copyright© 2011-2015 Vivint Solar Developer, LLC. All Rights Reserved. PPA(1112015, v3.2) I Page 17 r'4coR�® CERTIFICATE OF LIABILITY IN DATE(MM/DD/YYYY) SURANCE F0112712016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH USA INC. 122517TH STREET,SUITE 1300 PHONE -----—----- — FAX A/C No Ext: A/C No DENVER,CO 80202-5534 E-MAa Altn.Denver.CedRequesl@marsh.com I Fax:212-948-4381 ADDRESS: INSURERS AFFORDING COVERAGE NAIC p INSURER A:Axis Specialty Europe INSURED 7urlch American Insurance Company Vivint Solar,Inc: INSURER B: - pony 16535 Vivint Solar Developer LLC INSURER C:American Zurich Insurance Company 40142 Vivint Solar Provider LLC INSURER D:N/A N/A 3301 North Thanksgiving Way,Suite 500 Lehi,UT 84043 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-002920G68-04 REVISION NUMBER:2 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 AODLSUBR ------------------ --- ------- - LTR TYPE OF INSURANCE FF POLICY NUMBER MM/DDIYEYYY MMIDEV EXP LIMITS A X COMMERCIAL GENERAL LIABILITY 3776500116EN 01/29/2016 01/29/2017 _ EACH OCCURRENCE $ 25,000,000 CLAIMS-MADE l !OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 -- MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 25,000,000 X POLICY C PRO- ❑ LOC JECT PRODUCTS-COMP/OP AGG $ 25,000,000 OTHER: -- B AUTOMOBILE LIABILITY 13AP509601501 11/01/2015 11101/2016 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X" ANY AUTO ALL OWNED SCHEDULEDBODILY INJURY(Per person) $ AUTOS AUTOS _ BODILY INJURY(Per acddent) $ X HIRED AUTOS X AUTOS PROPERTY PROPERTY DAMAGE Per accident) $ Comp/Coll Ded $ 1,000 UMBRELLA LIABF4CLAIMS-MADE EACH OCCURRENCE __$ EXCESS LIAR AGGREGATE DED RETENTIONS C WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITYWC509601301 11/01/2015 11/01/2016 X PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXEAZ,CA,CT,HI,MD,NJ,NY,NV,NM,OFFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT $ 1.000,000 (Mandatory b NH) OR,PA,UT E.L.DISEASE-EA EMPLOYE S 1,000,000 B byes,R,, ON OPERATIONS WC509601401(MA) 11/01/2015 1110112016 DESCRIPdeSTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000M DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Town of Barnstable 200 Main St SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Hyannis,MA 02601.4002 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Kathleen M.ParsloeeLula,�xllt � @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD i , 'Off-�ce a 1 C ns�u s irs;C�3I/r' ft c trlf ton 10 Park Plaza- Suite 5170 B'escvn; MawwAtsetts 02 1161 Registration: 170648 Tjw 5'0jpg*ne6t.Czird,i` Expira*n. 115f2o1 e { ��PiNT SOLAR DEVELOPERLLO, 1 i EMMANUEL MELLO 01 Tif•FAI t6tS:GtVO 4 A,Y�tJ9F�SI�a� LEHI, UT 84043 Vie-ItdtX4ietx and>eelurn cards'M6irk Ircvvo(a t,'te e5vliigt � SCAT vo? Uj Address lteeew�al ❑ li;tflploymeat � Lest Card I �.��«��'first...iawtii,�acfltfs,a�t,Yuta7r�i,�,arl4s Rrc OrConuuuver A frairs&Susiom Regulation License or registration valid for individul use only d E RAPROVEMIENT CONTRACTOR before tho expirstien date. if found return te: 1 I wd"Ce of ComumerAf airs and Business egtttution sgistsatfo►, t7g. Type: {,Y *` Expiration. 14r, Su iement Gard I0 far[[f{Inza-3uite5t70 PP Boston,M.A.02116 - VNINT SOLAR DFNlEi_(3PER[_u::. EMMANUEL MELLO r6,/`/ 3301 N THANKSGIVING WAY SUI •.:� 't•;• _ + �f`—-�� '`" �'•'"' L€WZJT 84043 Uaderseerefary —'� N,:"valid Without signature I 12 Thompson Rd Webster MA 01570 ! u www.RRPEPA,wm 508 826 5757 Massachusetts •Department of Public Safety 1 t niLlCedificate of Attendance and Completion -wlRefresher Renovator per 40 CFR part 145.22 Board of Building Regulations and Standards i :�': Lead-safe Renovator-supervisor ipraStiUeYiiri$i5 ilcr'v is"Rr � Emmanuel Mello III License: CS4)65607 80 Kendelle Rd. Jefferson MA 01522 EMMANUEL T MjrL ' ' y Course&Exam Date:04/1715 PO Box 326 10411 Expiration Date:04/l7/20 Jefferson MA 019L2 ' C'crlifwate It•I2.18367-I,5-00228 Dense# r).'c �tr t !1 111 t °,�,,�,,,,. .�''�_� '. Expiration Commissioner 05/03/2017 The Commonwealth of ffassachusetts Department of Industrial Accidents Office of Investigations _ 600 Washington Street Boston, MA 02111 www.mass,gov/dla Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lelsibly Name (BwinessKhganizatioo/tndividtial);— V r el I a It I ��l Y►� _ Address: -3 301 lU . e ,+� �s q �:�9 .r y 5r.{ � boa ! City/State/Zip: Let" 1.,4r- q Y0q', Phone#: �'.�'f _ �� '_ � Le Y I Are you Om employer?Check the appropriate box; , 7'j4p�-o!f project fregat�e� l...� t�am a empttbyer with �, � C a ma merit co,tmactor-,*d i � T --of w ject(required),, : I EmOfbwen(fieuh andlor,part lm� .* have Nine the sub-ceitrae 2. 6 a 10.a$tile prop- ship rietot ou`p eit- liste�`on a�ta�[t 's ell ' � El KeatodOkng ship and,6Ave no a Theme�6a-�ctt�eti�u�.f�aicre Ii. 0 tTwai4t working ,for we irn amy eweity. weikers"cosi q.iiitza ate, 9i. �B'tRs.tdri2�ad�itiop, (Na wo erst"".ijiAwalace 5. we aw-al C*Wralloo ago i% tteq)ttirr.,afia. crffiicers eve e c isr li'FL �tei aria atQ re"at:s or aft +aras 3. 1 am afltmzu+aer ctoaint A,wouk [3 rklir - ,ius at itaition's "UFM=wquz -]r emp&yeees-. a warkens' I3. Qr{ees Solar eon. iri.�a> c►egt .�,"'Amy 20*atrt tbaa;Sze 6�v b'auiu i t a 6,10 era bdowAaa Iag tketr Vil etr�' . paicy trel=otasra5%mte rtvum awneas whO Whom this affi#vit utr6ru iag dwy ace:dbiqg idl camrk—d 1,1=1 nu��od O oaiu tr�t�+� �uawme�ters ��-mk�iit�avi t��`� "C ct4n¢srftsrFcljac ki"stj�rm a¢ Y mha9s4}c t` r tip s} sl r- sf�awrtg� u i " tisfipureitaa(int I 1 axrA erase cft*.el ¢is Pnw4jVkg wookm compensagw n hisgwnwfor my eavapres, is elee d"F3 mo sr� imfvtrrruiieaiie " , . Insurance Company Naane: to A &4 e-q Policy it or Self=iaas.Lac.Y: Vr C `l E ation Date: 1 l 01 Job Site Aiddress: 17 Rudder Rd CwrtSrl�t�ar �: Hyannis Ma, 02601 Attach a cragiX Of 4hd tixockecs'ceimlientshti©ta prrxiicy declaration page(s ing;ttte ply atiM er and expiration Ate). Failure to stet tare coverage as required under Section 25A of MG .c. 152 can,lead to the imposition of criminal penalties of a fine up-to$1,500.OQ and/or tine-year atf przscnment,as well as,ebralp penalties in t6ie fi�t-tra crfa SCOA WORK ORDER and a 6nz of tip to-9250.00 a day against the violator. Be advised that a copy of this statement may�e i'orwarded to the Office of Investigations of the DID for insurance coverage verification. I do hereby cettfyfy aander the pains and penalties of perjuq that the information provident above is true unit correct. Si,nature;natur -' �� /�` -- � Bate: r- 0 Official use only. Do not write in this area, to be completed by city or town official t City or Town: Permit/License# .Issuing Authority (circle one): I. Board of health 2. Building Department 3.City/Town Cleric 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person.- Phone:#: Town of Barnstable ,oFTME' ,� Regulatory Services Richard V. Scali,Interim Director 1-V MAM ` Building Division ' F ' 16.39. .� Tom Perry,Building Commissioner " r 200 Main Street, Hyannis,MA 02601 =} . www.town.barnstable.ma.us Office: 508-862-4038 �� 4508 79;0 6230 j PERAUT# L FEE: $ 3 S , SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less Location of shed(address) Vi age Property owner's name Telephone number Size of Shed Map/Parcel# Ll/ d Si ature 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&3:30-4:30 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:110413 1 ' CENSUS TRACT # CL I ENT':- 'R chaid P. Morse DEED BOOK 4241. PAGE 87 . OWNER : .Phili J. &. Doroth DiPaolo et al PLAN BOOK 232 PAGE12 LOT APPLICANT: 'SAME -: ASSESSORS PLAN PLOT 0 R T G A G E •I 'N :S T :E C T t ,0 N P L A N of LAN D J N B. A R . N S T A B L E �r i SCALE: 1"= 40 ' AUGUST 14,. 1985 fG . `fit' ��,MC�► 100, 0. LOT .30 10,023s , F , ± _ s 0 CD DE K O o #17 0 LOT 29 w 1� STORY 261+ 0 o +i w Q N - G. 100. 00' RUDDER , ROAD I C.ERT I,FY ..TO ATTORNEY .R I CHARD•. P.i MORSE*, BANK OF. B4OSTO.N-CAPE COD REGION : AND ITS TITLE`" I NSURANCE:. ..COMPANY, .'THAT ' .THERE. ARE NQ 'V I S I.B.LE.. ENCROACHMENTS;. OR EASEMENTS EXCEPT AS SHOWN AND. THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIATE SUPERVISION $ THE LOCATION OF THE DWELLING AS SHOWN HEREON IS IN COMPLIANCE WITH THE, LOCAL APPLICABLE ZONING BY—LAWS WITH RESPECT �� UFAq �j� TO HORIZONTAL .. DIMENSIONAL REQUIREMENTS .. o . NETH EERREIRA. THE DWELL-ING . SHOWN HERE DOES. NOT FALL WITHIN. A . SPECIAL FLOOD HAZARD ZONE. AS No.2s/1G j DELINEATED ON A MAP OF COMMUNITY #250001 . e r DATED 10/1/83 BY THE F I A , (/ Su Land Surveyors Civil Engineers (�Iae �r1r�t>Tn �1tttc� �4urbe� fQn:, ��r. z6l �nian �4}. Ptfu �tbfora, 1 02740 GENERAL NOTES: (1) The declarations.made. above-are on the basis of my knowledge, information, and belief as the result of a mortgage plot plan. tape survey inspection made to the normal standard of care of registered land surveyors practicing in. Massachusetts. (2) Declarations are made to the above named .client only as of this date. (3) Thi.s plan was not .wade for recording purposes, for use in preparing deed descriptions or for con structions. (4) Verifications of property line dimensions, .building offsets, fences, or lot configuration may be accomplished only by an accurate instrument survey. + TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map I Parcel Application # Health Division Date Issued 3 v ( a Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address _ jXJU� �s Village1�11 � �� 1 p Owner l v t r�vllil`� d CL20 0 e_1 I Address Telephone d �--�-� �- ��,c7 l /M- o�8 Permit Request a "__) s i _✓ 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) 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 DDetached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: cm . Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Q Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use cas ra APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name b O Telephone Number �� 9�, /C Address License # � � 11 (D &eJAJbZ"n ��J ' Home Improvement Contractor# f�� C r�tl 2►1 n �p��S Worker's Compensation # y5F, 7-�a Z) 0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE #- I I { FOR OFFICIAL USE ONLY {APPLICATION# DATE ISSUED k MAP/PARCEL NO. ADDRESS VILLAGE OWNER Y DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL . PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ti. } The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' d 600 Washington Street Boston,MA 02111, www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name(Business/Organization/Individual): . Address: nt� CctZl2 �[-� City/State/Zip: Are ou an employer? Chwrt-time).* priate box: Type of project(required):_ 4. I am a general contractor and I 1. a employer vc�th ❑ g 6. ❑New construction employees(full and/o have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. .7. ❑Remodeling shipand have no employees :`These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' # 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 1 l.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4), and we have no 13�ther employees.[No workers' / '"' do La- 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'compensation insurance for my employees. Below is the policy and job site information. t) /� Insurance Company Name: l `�j'� ��1 j�: Afe-hal �� Y1� 66 ' Policy#or Self-ins. Lic.#: - q ��;,®� Expiration Dater � 1! Job Site Address: �) 0`�lO(�. City/State/Zip: [P6 Attach a copy of the workers'compensation policy declaration page(showing the policy numbe and expiration date). Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ' fine up to$1,500.00 and/or one-year imprisonment,:as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of —Investigations of the DIA for'Mgirance coverage verification. I do-her-eb certi- der,.-der ins-and Bnalties af-perjury-that-the-information-provided-above-is true-and-correct. — - y-- jy . Si ature: Date: _ Phone#: Official use only. Do not write in t is area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3..City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector= 6.Other Contact Person: Phone#: r Client#:47298 CAPIHOM '-ACORD- CERTIFICATE OF LIABILITY INSURANCE -FATE 1/05/10° Y) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins.-So.Dennis ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.O.Box 1601 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. South Dennis,MA 02660-1601 INSURERS AFFORDING COVERAGE' NAIC# INSURED - - INSURERA: Nat'l Grange Mutual Insurance Co. Capizzi Home Improvement,Inc. INSURERB: ACE Property&Casualty Ins.Co. Capizzi Enterprises,lnC.1645 Newtown Road INSURERC: INSURER D: COtUIt,MA 02635 INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. S POLICY EFFECTNE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY DATE MMIDD DATE MM/DD LIMITS A GENERAL LIABILITY MPB1075H 06/08/09 06/08/10 EACH OCCURRENCE $1,000,000 X .COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISESE u n $500 000 CLAIMS MADE OCCUR MED EXP(Any one person) $1 O O00 PERSONAL&ADV INJURY $1 000 OQO GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY JEo- LOC A AUTOMOBILE LIABILITY M1 M28044 06/08/09 06/08/10 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $500,000 ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY. $ X NON-OWNED AUTOS (Per accident) X Drive Other Car PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESSIUMBRELLA LIABILITY CUB1076H 06/08/09 06/08/1 O EACH OCCURRENCE $5 000 000 X OCCUR CLAIMS MADE AGGREGATE s5,000,000 $ HDEDUCTIBLE X RETENTION $1 O 000 $ B WORKERS COMPENSATION AND NWCC45843208 12/25/09 12/25/10 X OF�y WC SL OTH- EMPLOYERS'LIABILITY - LIMIT T- E - ANY PROPRIETOR/PARTNER/EXECUTIVE _ E.L.EACH ACCIDENT $1,000,000 _ - OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under SPECIAL PROVISIONS below - E.L.DISEASE-POLICY LIMIT $1 000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Carpentry CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION :Town of,Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis,MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 2 #S48108/M48107 KW © ACORD CORPORATION 1988 • ��ie "(Oom��a�ut�ea�z o�✓!�C¢addc�rusell`a Board of Building Regulations and Standards License or registration valid for individ.ul use only HOME IMPROVEMENT CONTRACTOR. before the expiration date. If found return to: r1�A\ Board of Building regulations and Standards Reglstr,�JP'Z1 100740 One Ashburton Place Rm 1301 t=n xplra `5 23/2010 �_- — 7) Boston,Ma.02108 r —_—T pplement Card - :. ---. y CAPIZZI HOME.. R , ful` Ill�� NARY GUST AFS 1645 Newton Rd. »Kc � Cotuit,MA 02635 - _._Administrator. . Novali4th _.. .._ ._... .__ . nature »a+s:tt#:ixi. ctts-'llil):;r'ta7Y�at of!'.talk sill'et� - -- - f3u:.rcl tit"Btdi{ing Regut:tt'ion ;111d Sean' itrds u r:�iscr Litens ..Cn'Str!lCiiGr# rJe 1� . License: CS 74640 Restricted to: 00 _ GARY GUSTAFSON 8 SHORT WAY t SANDWICH,,MA 02563 11/29/2010 7755 4 , 0 Page 7 ot7 CAPIZZI HOME IMPROVEMENT INC. SPECIFICATIONS AND ESTIMATES STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I,JOANNE O CONNELL;OWN THE PROPERTY LOCATED AT 17 RUDDER ROAD 1N HYANNIS, MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR,THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE TH.780:CMR,THE MASSACHUSETTS STATE BUILDING CODE. - SIGNATURE OF OWNER: OWNER'S`ADDRESS: , oyo OWNER'S TELEPHONE:_ 508-775-7287 LESSEE'S SIGNATURE: l� LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE:. APPLICANT'S ADDRESS:, 1645 Newtown Rd., Cotuit,MA 02635. APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: ` •, ! �. qS J U o voa2 z oF'THE I; Town of Barnstable *Permit# Expires 6 mo rom iwer�ateMN , Regulatory Services vMAPIN�g ,r cb Thomas F.Geiler,Director A A + TOWN ® ,2010 Building Division ��BAR/Vs TABLE Tom PerrY�CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X Press Imprint Map/parcel Number Property Address a / $esidential Value of Work;` I r��0 > Minimum fee of$25.00 for work under$6000.00 � 1 e. Owner's Name&Address d d D` Contractor's Name Telephone Number Home Improvement Contractor icense#(if applicable)_ Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner J I have Worker's Compensation Insurance Insurance Company Name 164 J �_[�� AZ �vC t�l/l,_,��v l� Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany,each-permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to _ ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors XL_Rep laceme t Windows/ oors/sliders.U-Value ' Z (maximum.44)#of windows _ *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: 4peOwnign Property Owner Letter of Permission. mprovement Contractors License&Construction Supervisors License is - SIGNATURE: Q:\WPFILES\FO1tMS\building penni fo \EXP1tESS.doc Revised 090809 Client#:47298 CAPI HOM ACORD- CERTIFICATE OF LIABILITY INSURANCE 0DATE 1/05/10D Y) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers$Gray Ins.-So.Dennis ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.O.Box 1601 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. South Dennis,MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Nat'l Grange Mutual Insurance Co. Capizzi Home Improvement,Inc. INSURERB: ACE Property&Casualty Ins.Co. Capizzi Enterprises,Inc. INSURERC: 1645 Newtown Road wsuREriD: COtUIt,MA 02635 INSURERE: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. S OLICY EFFE1W POLICY EXPIRATION LTR NSR P TYPE OF INSURANCE POLICY NUMBER DATE MM/DD DATE MM/DD LIMITS A GENERAL LIABILITY MPB1075H 06/08/09 06/08/10 EACH OCCURRENCE $1 00O 000 X COMMERCIAL GENERAL LIABILITY - DAMAGE TO RENTED PREMISES E u n $500 000 CLAIMS MADE 7 OCCUR MED EXP(Anyone person) $10 000 PERSONAL&ADV INJURY $1 000 000 - _ - GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2 000 000 POLICY F PRO- JECT LOC A AUTOMOBILE LIABILITY M1 M28044 06/08/09 06/08/10 ANY AUTO (Ea acINED cident)SINGLE LIMIT $500,000 ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) X Drive Other Car PROPERTY DAMAGE $- (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ A EXCESSIUMBRELLA LIABILITY CUB1076H 06/08/09 - 06/08/1 O EACH OCCURRENCE s5,000,000 X OCCUR CLAIMS MADE - - - AGGREGATE $5 OOO OOO HX DEDUCTIBLE $ RETENTION $10 000 $ B WORKERS COMPENSATION AND NWCC45843208 12/25/09 12/25/10 X OR,LIT OTH- - EMPLOYERS'LIABILITY - LIMITS R ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000 000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 10.000.000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Carpentry CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF.THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_ DAYS WRITTEN 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis,MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 2 #S48108/M48107 KW © ACORD CORPORATION 1988 I The Commonwealth of Massachusetts Department of Industrial.Accidents Office of Investigations ' d 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name(Business/Organization/Individual): . Address: Y,5. 1002 City/State/Zip: -� Phone.#: .Cj(�(� Are on an employer? Check the ap r priate box: Type of project(required):. 1. a employer with 4. ❑ I am a general contractor and I 6 employees(full and/or p rt-time). * have hired the sub-contractors New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling shipand have no employees These sub-contractors have 8. ❑.Demolition working for me in any capacity. employees and have workers' 9 Buildingaddition [No workers' comp.insurance comp. insurance.$. ❑ 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 ME]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing-their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and..then hire outside contractors must submit a new affidavit indicating such. lContractors 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:_ 1_l Policy#or Self-ins. Lic.#: D Expiration Dater 2 Job Site Address:__T�' u ('er ca, City/State/Zip: ! QL I Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,:as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for ins ante covera a verification. yerti I-do her-ebfy ins and enalties-o,-perjux}-that-the-information-pravided-abou- is-true-and-correct. Signature: Date: Phone#: �— Official use only. Do not write in t is.area,to be completed by city or town officiat City or Town:. Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 1.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r . ✓�ze �o�n�y:�i>cu�ea� a�,�aaaczc�wdeCtb Board of Building Regulations and Standards License or registration validfor inciividul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registr?.t1:Q,D 100740 One Ashburton Place Rm 1301 JSp�; 1STt1lz 23/2010 Boston,Ma. 03103 =4TyR Splement Card CAPIZZI HOME�,• py 4_ J IiARY GUSTAFS'6t�`4�;�=-� 1645 Newton Rd- ,Y•,F .:v , , Cotuit, MA 02635 Administrator No vali itho,Y nature pia.• .SClltl.+iit �)i jlias'tjlwmt +;f 1-'.ublic Sato) -- — — ' Board oit' Bu4lda,ag Re ulatit ns and S11111d:ards ., Construction Supervisor License License: CS 74640 Restricted to:, 00 GARY :GUSTAFSON 8 SHORT WAY SANDWICH, MA 02563 ��i� 7755 • o page 7 of 7 CAPIZZI HOME DVROVEMENT INC. SPECIFICATIONS AND ESTIMATES STATE OF MASSACHiTSETTS , . i LETTER OF AUTHORIZATI ONTO APPLY FOR A BUILDING PERWT LOCATED AT 17 RUDDER ROAD IN Hy�TNI5; ROPERTY [, 'CONNELL;OWN THE P JOANNE O 1 MASSACHUSETTS. IMPROVEMENT TO ACT AS MY AGE STATE PPLY FOR BDG I HAVE AUTHORIZED CAPIZZI HOME THE MASSACHUSETTS A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, CODE. LESSEE ACCORDANCE TH 780 CMR,THE MASSACHUSETTS I GIVE MY PERMISSION TO TO APPLY FOR A BUILDING PERMIT IN STATE BUILDING CODE. SIGN ATURE OF OWNER: OWNER'S ADDRESS: t 775-7287 08 5 - bCoC R'S TELEPHONE: l� l�(h 1,iS.; c lA�l vT OWNS LESSEE'S SIGNATURE ------------ LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE APPLICANT'S ADDRESS: 1645 Newtown Rd.,Cotuit,MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION I Map Parcel I Permit# Health Division I0/r,J5 per ,4S1-401W- Date Issued to- Iw-OE Conservation Division O Application I I J1 a Tax Collector' r Permit Fee . C)B Treasurer 3;�S — Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address ` Vvaml- r0a. Village V1 r) Owner f✓ c ( Address Wolff Telephone Permit RequestNlvi 1/ 1! d Square feet: 1 st floor: existing proposed 2nd floor:existing proposed ji Total:new Zoning District Flood Plain Groundwater Overlayrr Project Valuation Construction Type . 0� �. Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. ) r-4 Dwelling Type: Single Family U Two Family ❑ Multi-Family(#unitss)) Age of Existing Structure Historic House: ❑Yes UN 0 On Old King's Highway: ❑Yes 0 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 Ud No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address�OP ;1i ImPFevement IRs. License# 1645 Newtown Road Home Improvement Contractor# V lJ oui , MA 2635 Tel. 428-95 18 1 1-800-262-5060 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1ALDMIOL\ )e Ao �. SIGNATURE DATE FOR OFFICIAL USE ONLY s PERMIT NO. _., DATE ISSUED - MAP/PARCEL NO. ADDRESS VILLAGE OWNER .. DATE OF INSPECTION: ,•r - FOUNDATION 4: ' FRAME INSULATION e FIREPLACE ELECTRICAL: ROUGH FINAL ". x PLUMBING: ROUGH FINAL f: '.; GAS: ROUGH FINAL ` FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. A t� FILE # _'D1833 CENSUS TRACT # CLIENT: hard P. Morse DEED BOOK 4241: PAGE . OWNER : Phili J. &. Doroth DiPaolo et al LAN BOOK 232 P GE12 2 0 APPLICANT: s?J4E ASSESSORS PLAN PLOT MO R T G A G E IA STE CT 10 `N P L A N of LAND I N B A R N S T A B L E it SCALE 1 qp � AUGUST 14, 1985 0CbNNFlu 3 l 2' E r NS►on1 (F00r►N45 ro RE►?76.A) fir 1z .9s 100 , 00 ' '`M SHE L 0 T 45 10,023 , I:.,_ CD ,. DECK 121 00 CDCD CD 20 " CD _ #17 0 o LOT 29 ,,, lls STORY 261± 0 o +1 w d N ' � I 100 , 00, RUDDER ROAD I " CERTIFY .TO ATTORNEY RICHARD P . MORSE , BANK OF B:OSTON-CAPE COD .REGION.. AND ITS TITLE"INSURANCE COMPANY , ' THAT .THERE ARE NO VISIBLE ENCROACHMENTS. OR EASEMENTS EXCEPT AS SHOWN AND . THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIATE SUPERVISION THE LOCATION OF THE DWELLING AS SHOWN HEREON IS IN COMPLIANCE WITH THE LOCAL APPLICABLE ZONING BY-LAWS WITH RESPECT TO HORIZONTAL DIMENSIONAL REOU ! REMENTS , o JNETH z R. ^ H . DWELL I NG SHOWN HERE DOES NOT FALL FER.RR>R� _l1 T E WITHIN A SPECIAL FLOOD HAZARD ZONE. AS °'28/1B DELINEATED ON A .MAP OF COMMUNITY #250001 DATED 10/1/83 BY THE F , I,, A , Land Surveyors Civil Engineers pr - - (®lae �astall �1MII�1 �urll¢� tQa., �ttG - 261 �Inion �t I �$ Ntfu �tbfora, 1 02740 GENERAL NOTES: (1) The declarations made above are on the basis of my knowledge, information, and belief as the result of a mortgage plot plan tape survey inspection made to the normal standard of care of registered land surveyors practicing in Massachusetts. (2) Declarations are made to the above named client only as of this date. (3) This plan was not made for recording purposes, for use in preparing deed descriptions or for con— structions. (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may be accomplished only by an accurate instrument survey. of t Town of Barnstable regulatory Services Thomas F.Geiler,Director �°rfQ. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508=790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal;demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. c Type of Work: �� J Estimated Cost Address of Work: r %Aaoims Owner's Name: Date of Application: 10 I hereby certify that: Registration is not required for the following reason(s): []Work excluded by la ❑Job Under$1,0 ❑Buildin owner-occupied ❑0 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 age, f the owner: 4 Date ' Co tract; ` e I ReW' trtion No. OR Date Owner's Name Q:forms:homeaffidav • hl 0� n O � N ® o � � � }•c � � � I R vj ; kk Z, l o h ! I ! ! >Z> 1 W , I 1 , Iv ILI ' h i ' __ -._....._.._..__-.._._._.-_. ....... �. " I 1 i i I i of f -f- -f OIL CAPIZZI HOME IMPROVEMENT INC. �0�7 SPECIFICATIONS AND ESTIMATES PAGE 6 OF. 6 STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, OWN THE PROPERTY LOCATED AT IN MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE. WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE SACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: Capizzi Home Improvement Inc. 1645 Newtown Road Cotuit, MA 02635 APLLICANT'S SIGNATURE: tin 1.800.262.5060 APPLICANT'S ADDRESS: 1645 NEWTOWN RD. , COTUIT. MA 02635 APPLICANT'S TELEPHONE: 508/428-9518 I RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: M RESPONSIBLE OFFICER TELEPHONE: I ACCEPTED BY DATE THIS PAGE IS PART OF AND IN CONFORMANCE WITH PROPOSAL # L 1: 1, 1.1 1 ,1, C- 02.1 0, 1-111 p-1,0V CT13 ltra(-1(,.)I- e"(2jmJ-a1j(M Ref)istizlfinn: 100740 Type: FIriv,ale Corporation Expiration: 6123/2DDG CAPIZZI HOME IMPROVEMENT, INC- Thomas Capizzi,jr. 1645 Nevvion Rd. CDII-Jit, 1AA 026135 Updmic Address end return c2rd..M;irh reason for change. E] Address F-1 Rtnicwn) F-1 Employment Lost Car 0 License or registration valid for individn) use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 7 Board of Building Regulations and Standards Expiration: 6/2312006 One Ashburton Place Rru 1301 Type: Private Corporation Boston,M2.02108 CAP]=)HOME IMPROVEMENT,I %CM2S C2piZZi,jr. 1645 NeMon Rd. CIDWit, IVIA 02635 Administrator loot valid without 0()'35 000 ci ellclosecl si-lace (MG1 f0,)sc (: I J;. C ('(II) BOARD OF BUILDING REGULATIONSIA jfY only License: CONS-1 RUC-1 f0N SUPERVISOR I allulc 1()possess a cull 074640 ell,cdlfof NumI)ej: cS nly Slate (:()(jI e Birthdate: 11/29/1975 Is cause to leVo(111101)of 1111,i lwense Expires: 1112912006 Ti.no: 9431 0 Restricted: 00 (,,'AHY GUSIAFSON 8 SI fOR I WAY IVIA DIG SAFE CALL CENTER: (888) 344-7233 C011111lissim-iet X9 Y . f �oFttte ro�ti Town of Barnstable *Permit#-2 ,9 ? 6 Expires 6 neonths front Issue date Regulatory Services Pee snxxseABM �S v� MASS. Thomas F.Geiler,Director s6g9• ATEo �a Building Division Tom Perry, Building Commissioner X.®® PERMITESS 200 Main Street, Hyannis,MA 02601 P""A`� Office: 508-862-4038 OCT 5 - 2004 Fax: 508-790-6230 45-� EXPRESS PEPMT APPLICATION - RESIDEWA OWAR NSTABLE Not Valid without Red X-Press Imprint Map/parcel Number Property Address `S Residential Value of Work Owner's Name&Address /T l !_I4G e F co kP-C r Contractor's Name Telephone Number6Dt_-q),a Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) __�� 9 5 �Torjanan,s Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner �"I have Worker's Compensation Insurance '~ Insurance Company Name_ I7A.,InX.(,( Workman Comp.Policy# r Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) V-Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. o e Improvement C -actors License is required. Signatu e Q:Forms: mtrg Revise053003 � Y c r, Property Owner Must Complete & Sign This Form If Using a Roofer / Builder. (Please return this form with your signed contract, thank you) 1 (print) Aick&-dF O ' Co i4 m*-,A I , as Owner of the subject property hereby authorizes Paul J. Cazeault & Sons Roofing Inc. To act on my behalf, in all matters relative to work authorized by this building permit application for: r.-� —R uA-6�r k(--, (Address of Job) )C y&L K V1 S wL A o Ito o i Signature of Owne F. Date �. R. (� �- Tel# `� - _7-7�_ '7a$ ! ! ca f L� r 3 SIL —r`I I C h ww•e) ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE O PROD THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION McShea Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE g Y� HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 749 Main Street, Suite#H ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Osterville, Ma. 02655 INSURERS AFFORDING COVERAGE INSURED Paul J Cazeault & .Sons INSURER A: Lloyd's Roofing Inc. INSURERS: Traveler's 1031 Main Street INSURERC: Osterville, Ma 02655 INSURERD: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MMIDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ CLAIMS MADE ®OCCUR MED EXP(Any one person) $ A LGLO34776 04/30/04 04/30/05 PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1 ,0001,000 POLICY PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS NON-OWNED AUTOS BODILY INJURY $(Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR L_ 1 CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND X I DRY L M TS ER EMPLOYERS'LIABILITY 7PJUB-0095864AO4 08/13/04 08/10/05 E.L.EACH ACCIDENT $ B E.L.DISEASE-EA EMPLOYEE $100 ,000. OTHER E.L.DISEASE-POLICY LIMIT $500 ,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1n DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REIPP,jqN� I -N f/ ACORD 25-S(7/97) 0 ACORD CORPORATION 1988 ze -Colm 0 Board of Building Regulat4nts' an tan�ar One Ashburton Place - Room 1301 Boston. Massachusetts 02109 Home Improvement-Contractor Registration Registration: 103714 Type: Private Corporation Expiration: 7/9/2006 PAUL J. CAZEAULT & SONS, Paul Cazeault 1031 MAIN ST OSTERVILLE, MA 02658 ` Update Address and return card.Mark reason for Chang Address Renewal Employment Lost Card DP9-CAA 0 50M-04104-G101216 6 L/MJNJtOOtf!/CCKUL 0�✓[�GQddCLGKl6P.�6 Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR License or registration valid fur individoil use only Rogistration:103 10714 befora e the expiration date. If found rcluru to: Bom ul,ul ilding Regulatiuus anti Slantlanls Expiration:: 714 Unc \sliburton Place Rn1 1301 PriyateCorporation Buslun, Ala.02I08 PAUL J.CAZEAU,LT,&..SONS,.INC' Paul Cazeault 1031 MAIN ST OSTERVILLE,MA 02658 ✓�++ aoaJroi�o>uuer /�;l� ur�ude�4 Administrator i BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 026325 m!aBi rthdate: 10/20/1959 Expires: 10/20/2005 Tr.no: 8603.0 Restricted: 00 PAUL J CAZEAULT 1031 MAIN ST OSTERVILLE, MA 02655 Administrator 677-7 -_- _ Board of Buildin e ulations - e One Ashburton g g ��--"-, rton Place, Rm 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 10/20/1959 Number: CS 026325 Expires: 10/20/2005 Restricted To: 00 PA UL J CAZEAULT 1031 MAIN ST OSTERVILLE, MA 02655 Tr.no: 8603.0 Keep top for receipt and change of address notification. t FILE # D1833 CENSUS TRACT # CL I ENT: Attorney It'chard P. Morse DEED BOOK 4241 . PAGE 87 . OWNER : .Phili J. &. Dorothy, DiPaolo et al PLAN BOOK 232 PAGE125 . LOT ' APPLICANT: s ASSESSORS PLAN PLOT MORTGAGE 11 N :ST :E .CTl0It PLAN OF LAND :I N BARN. STABLE SCALE: IN= 40 AUGUST. 14, 1985 100 ; 00� SHE LOT 30 10,023s , F , +- 0 DrV#11 p0 o CDr ' LOT 29 ,., RY 2611 0 o + w Q N d 100 , 00, RUDDER , ROAD I '. CERTI,FY .TO ATTORNEY RICHARD. P ,~. MORSE., BANK OF, BOSTO.N-CAPE COD REGION AND ITS TITLE`" 'INSURANCE... -COMPANY, THAT ' .THERE ARE NO VISLBLE.. ENCROACHMENTS:. OR EASEMENTS EXCEPT AS SHOWN AND . THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIATE SUPERVISION THE LOCATION OF THE DWELLING AS SHOWN HEREON IS IN COMPLIANCE WITH THE,. LOCAL APPLICABLE ZONING BY-LAWS WITH RESPECT GF/4"�?.^� TO HORIZONTAL DIMENSIONAL REQUIREMENTS . AM ��'�°�' o� NETHy'; THE DWELLING SHOWN HERE DOES NOT FALL NE EEiIRlriRs WITHIN A. SPECIAL FLOOD HAZARD ZONE. AS ivo.28ItF• i ' DELINEATED ON A MAP OF COMMUNITY #250001 DATED 10/1/83 BY THE F . I , A , S U - Land Surveyors Civil Engineers I Ira (91ae �vston �ttna �*urbPq (go., �nc. 261 Xnion �*L �Gfu �tbfora, 02740 GENERAL NOTES: (1) The declarations made above are on the basis of my knowledge, information, and belief as the result of a mortgage plot plan tape survey inspection made to the normal standard of care of registered land surveyors practicing in Massachusetts. (2) Declarations are made to the above named client only as of this date. (1) This plan was not made for recording purposes, for use in preparing deed descriptions or for con- structions. (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may be accomplished only by an accurate .instrument survey. PROJECT NAME: C,ZY- ADDRESS: 117-\j a 1� V1 I a PERMIT# c� PERMIT DATE: M/P: Ll LARGE PLANS ARE FILED IN: BANKERS BOX Y, V -14s- FILED ALPHABETICALY BY STREET INFORMATION SHEET FILED IN STREET FILE q/wpfiles/forms/archive/BANKERS B OX PROJE NAME:CT AMECT L ADDRESS: S PERMIT# d 5 d 02 PERMIT DATE: �r Ll M/P: �? LARGE PLANS ARE FILED IN:BANKER BOX S Ug S FILED ALPHABETICALY BY STREET INFORMATION SHEET FILED IN STREET FILE q/wpfiles/forms/archive/BANKERSB OX PROJE NAME:CT AMECT � ns � `J ADDRESS: f f l teede p 1 y- t�0�Yt e PERMIT# o� C7 13 D �`J j Q PERMIT DATE: 13 J 13 M/P: LARGE PLANS ARE FILED IN: BANKERS BOX � \/ FILED ALPHABETICALY BY STREET INFORMATION SHEET FILED IN STREET FILE q/wpfiles/forms/archive/BANKERSB OX Customer AR s-4879420 Utility Company Name NationalGrid Customer Address 17 Rudder Rd Utility Account Number 1473 290 0031 Hyannis, MA Electrical Meter Number 2296017 Estimated Annual CONSUMPTION 5379 Estimated Annual PRODUCTION 3873.9 Offset: 72% Number of Panels 16 Total System Size/DC Source Rating/Total Array Output(DC Watts) 4160 Inverter Ampere Rating(Amps AC) 0.9 - Number of Phases 1 Inverter Voltage Rating 240 Nominal DC Volts 31.1 Inverter Power Factor(%) 0.95 Module Manufacturer and Model Number Jinko Solar JKM260P-60 Power Rating per Module(DC Watts) 260 y , Inverter Manufacturer and Model Number Enphase M215-60-2LL-S22 Inverter Continuous AC Rating(AC Watts),- 215 Inverter Peak Efficiency(%) 96.3% Totals Number of Modules/Inverters 16 System Size/DC Source Rating/Array Output(DC Watts) 4160 Total Inverter Rating.(kW AC) 0.215 Total Inverter Output(AC Watts) 215 Estimated Production 3873.9 Building Permit Valuation $ 1,830.40 Electrical Permit Valuation $ 7,321.60 Total Valuation $ 9,152.00 @ $2.2/Watt: $ 2.20 $ 9,152.00 Building Permit Valuation per watt $ 0.44 Electrical Permit Valuation per watt $ 1.76 Constraint: Solar Access Customer Estimated Monthly Usage: (Total annual usage: 5379 kWh) January February March April 493 388 361 342 May June July August 403 456 439 683 t r^ � September October November December 577 443 381 413 �/ 0 n/J V O V OMo s o l a r 3301 North Thanksgiving Way, Suite 500 Structural Group Lehi, UT 84043 P: (801)234-7050 Scott E. Wyssling, PE Senior Manager of Engineering scott.wyssling@vivintsolar.com March 31, 2016 Mr. Dan Rock, Project Manager Vivint Solar 3301 North Thanksgiving Way, Suite 500 Lehi, UT 84043 Re: Structural Engineering Services O'connell Residence 17 Rudder Rd, Hyannis MA S-4879420 2.6 kW Dear Mr. Rock: Pursuant to your request, we have reviewed the following information regarding solar panel installation on the roof of the above referenced home: 1. Site Visit/Verification Form prepared by a Vivint Solar representative identifying specific site information including size and spacing of members for the existing roof structure. 2. Design drawings of the proposed system including a site plan, roof plan and connection details for the solar panels. This information was prepared by the Design Group and will be utilized for approval and construction of the proposed system. 3. Photovoltaic Rooftop Solar System Permit Submittal identifying design parameters for the solar system. 4. Photographs of the interior and exterior of the roof system identifying existing structural members and their conditions. Based on the above information we have evaluated the structural capacity of the existing roof system to support the additional loads imposed by the solar panels and have the following comments related to our review and evaluation: Description of Residence: The existing residence is typical wood framing construction with the roof system consisting of the following: • Roof Section 1: Roof section is composed of 2x6 dimensional lumber at 16" on center with knee wall supports 5.15' from the exterior wall and a single layer of roofing. The attic space is partially finished and photos indicate that there was free access to visually inspect the size and condition of the roof members. All wood material utilized for the roof system is assumed to be Spruce-Pine-Fir #2 or better with standard construction components. The existing roofing material consists of composite shingle. Stability Evaluation: A. Wind Uplift,Loading 1. . Calculations for uplift are based on ASCE/SEI 7-10 Minimum Design Loads for Buildings and other Structures, a wind speed of 110 mph based on Exposure Category B and 14 degree roof slopes on the dwelling areas. Ground snow load is 30 PSF for Exposure B, Zone 2 per(ASCE/SEI 7-10)., 2. Total area subject to wind uplift is calculated for the Interior, Edge and Corner Zones of the dwelling. 0 dodoM. sol ar Page 2 of 2 B. Loading Criteria 10 PSF = Dead Load (roofing/framing) 30 PSF = Live Load (ground snow load) 3 PSF = Dead Load (solar panels/mounting hardware) Total Dead Load= 13 PSF The above values are within acceptable limits of recognized industry standards for similar structures and in accordance with the 2009 International Residential Code with Massachusetts Amendments..Analysis performed on the existing roof structure utilizing the above loading criteria indicates that the existing members will support the additional panel loading without damage, if installed correctly. C. Roof Structure Capacity 1. The photographs provided of the attic space and roof rafters show that the framing is in good condition with no visible signs of damage caused by prior overstressing. D. Solar Panel Anchorage 1. The solar panels shall be mounted in accordance with the most recent "Ecolibrium Solar Installation Manual", which can be found on the Ecolibrium Solar website (ecolibriumsolar.com). If during solar panel installation, the roof framing members appear unstable or deflect non-uniformly, our office should be notified before proceeding with the installation. 2. The solar panels are 1 '/2'thick and mounted 4 '/2' off the roof for a total height off the existing roof of 6". At no time will the panels be mounted higher than 6"above the existing plane of the roof. 3. Maximum allowable pullout per lag screw is 205 Ibs/inch of penetration as identified in the Nation Design Standards (NDS) of timber construction specifications for Spruce-Pine-Fir assumed. Based on our evaluation, the pullout value, utilizing a penetration depth of 2 '/z", is less than the maximum allowable per connection and therefore is adequate. 4. Roof Section 1: Considering the roof slopes, the size, spacing, condition of the roof, the panel supports shall be placed at and attached no greater than every fourth roof member as panels are installed perpendicular across members and no greater than the panel length when installed parallel to the members (portrait). No panel supports spacing shall be greater,than four(4) spaces or 64"o/c, whichever is less. 5. Panel support connections shall be staggered to distribute load to adjacent members. Based on the above evaluation, with appropriate panel anchors being utilized the roof system will adequately support the additional loading imposed by the solar panels. This evaluation is in conformance with the 2009 International Residential Code with Massachusetts Amendments, current industry standards and practice, and the information supplied to us at the time of this report. Should you have any questions regarding the above or. if you require further information do not hesitate to contact me. V truly yours, ��OF + SLIN VIA Scott E. Wyssling,k2 P No fisa7 MA License No. 5 7 A9o��FcrsTEPe \a��Q 0NAL ENV wavo ua solar " 17. Rudder Rd , Hyannis MA 02601 U C PV SYSTEM SIZE: N N 4.24 kW DC IY- Now �N Z ^'�cZ =0 2'OF 1"PVC CONDUIT - - Q FROM JUNCTION BOX TO ELEC PANEL O PV INTERCONNECTION POINT, JUNCTION BOX ATTACHED TO INVERTER,ANSI METER LOCATION, ARRAY USING ECO HARDWARE TO LOCKABLE DISCONNECT SWITCH, I I KEEP JUNCTION BOX OFF ROOF &UTILITY METER LOCATION I I 9 � I I o0 0 9� J N Q � o o � 5 ° a f cl) I I Z m a L�- - Z> > zm > — - - - - --— w w z m J J lL ZZ (16)JKM265P-60 MODULE - z z SHEET NAME: H J a_ SHEET NUMBER: PV SYSTEM SITE PLAN T SCALE: 1/8"= 1'-0" > N U o � o o N n V NW�OW �mZ �r C Z :T, o TIE INTO METER# C: ¢ - 2296017 0 OMP.SHINGLE O D 01 O VE V STRING#1: m 16 MODULESrd N 09 00 0 9 N � C O N Roof Section 1 ROOF VENTS a m Roof Azimuth:177 Roof Tilt:14 _LLUMBING VENT(S w of • F- w z m ¢ t > D Q. Z 6i .. dmrn > w w Z in U j J >A co (n a SHEET NAME: OQ O a SHEET NUMBER: PV SYSTEM ROOF PLAN N SCALE: 3/16"= 1'-0" a CLAMP C o MOUNTING SEALING " PV3.0 DETAIL WASHER N �aaW LOWER d a' SUPPORT Z n cZ : mo U PV MODULES, TYP. MOUNT -� A OF COMP SHINGLE ROOF, FLASHING PARALLEL TO ROOF PLANE / 0 5/16"0 x 4 1/2" MINIMUM PV ARRAY TYP. ELEVATION STEEL LAG SCREWS NOT TO SCALE TORQUE=1312 ft-Ibs CLAMP ATTACHMENT ul 0 NOT TO SCALE OG M CLAMP+ 9 d ATTACHMENT CANTELEVER U4 OR LESS O�Oj o COUPLING L=PERMITTED CLAMP V ECO SPACING SEE CODE COMPLIANT COMPATIBLE LETTER FOR MAX ALLOWABLE MODULE CLAMP SPACING. ? o � N PERMITTED COUPLING 7 CLAMP+ CLAMP CLAMP g ATTACHMENT SPACING c U a COUPLING PHOTOVOLTAIC MODULE z m = Z z w .. K Lu Y - w w z m J J U z< < J a SHEET L=PORTRAIT NAME: CLAMP SPACING Z lJ ECO Z) o COMPATIBLE Ld L=LANDSCAPE MODULE PV SYSTEM MOUNTING DETAIL CLAMP SPACING SHEET MODULES IN PORTRAIT/LANDSCAPE NOT TO SCALE 1] NUMBER: NOT TO SCALE CO Q Conduit and Conductor Schedule(ALL COPPER CONDUCTORS) DC Safety Switch Notes: Solar PV System AC Point of Connection TagDescription Wire Gauge #of Conductors Conduit Type Conduit Size AC wdingOutput Current p g yp Rated for max operating condition of inverter Accoding to Nec 1 Amps 1 Solar Edge Cable 10 AWG 2(V+,V-) N/A-Free Air N/A-Free Air 690.8(B)(1) U S NEC 690.35 compliant Nominal AC Voltage zao volts 1 Bare Copper Ground(EGC/GEC) 6 AWG 1 N/A-Free Air N/A-Free Air *opens all ungrounded conductors THIS PANEL FED BY MULTIPLE SOURCES 2 THWN-2 10 AWG 2(V+,V-) PVC 1" (UTILITY AND SOLAR) v � 2 THWN-2-Ground BAWL 1 Pvc 1 � c Notes: SE380OA-US-U Inverter Specs- ��aw 3 THWN-2 10 AWG 3(1-L1,1-1-2,1-N) PVC 1" m 3 THWN-2-Ground 8 AWG 1 PVC 1" Wire size and breaker calculations dependent upon CEC Efficiency 98% v inverter Continuous Maximum Output. _ "z Example:SE38000A-US-U Max Output=16A AC Operating Voltage 240 V E z <20A. Therefore a 20A solar breaker will be needed for Continuous Max Output 16 A rZ C: x0 each SE380OA-US-U inverter. Wire Gauge should also DC Maximum Input Current 13 A be determined with 16A Max for each inverter. a ALL CONDUCTORS Solar Edge Optimizer Specs: U P300 DC Input Power 30OW SHALL BE COPPER DC Max Input Voltage 8-48V O Design Conditions: DC Max Input Current 12.5A g DC Max Output Current 15A ASHRAE 2013 Max String Rating 5250W t� Highest Monthly 2%DB Design Temp 35.6°C. Module Specs: Lowest Min.Mean Extreme DB -17°C 16 PV MODULES PER INVERTER=4160 WATTS STC VOC Temp coefficient V/°C JKM260P-60 1 STRING OF 16 PV MODULES Short Circuit Current(Isc) 9.00A y� System Specs: Open Circuit Voltage(Voc) 37.8V y p Operating Current(Imp) 8.47A Q Max DC Voltage 500V Operating Voltage(Vmp) 30.7V JUNCTION BOX Nominal DC Operating Voltage 350V Max Series Fuse Rating 15A O l� o 0 0 15Fl-6-1 WITH IRREVERSIBLE n GROUND SPLICE Nominal AC Current r String ax) 2 0 TF Current 16A Power Tolerance -0/+3% 0 0 0 *CONFORMS TO ANSI C12.1-2008 - J - — - - L1 UNSOLA N (\\P300 OPR MIZERS SOLAREDGE M EDGE $ 1 SE3800A-US-R a a INVERTER, 0 or 12.A 0Sq...D ODU22IRBZSOLAREDGE 30N240V UNFUSEDDC SAFETY NEMA3 > Z M* SWITCH ORE UIVALENT Wa. W YWWZ mW ZJ- Z Z EXISTING sHEET 240V/125A AC NAME: -----------------------------------—--------------------- c LOAD-CENTER Lu VISIBLE WITH 1-2 POLE 20A J (� LOCKABLE IFE'AJC LE SOLAR BREAKER 3 DSCONNECT _ SHEET NUMBER: t) Lli N Cn o O o r nD C X cn D --1 n K m m cn n CnO DZ O Cp m � O - z m C z2 3�0 - ' m0 00„T a..:y,... A c:. -4 0 C amp > Or r rn s 0 0 'a m o� m rn C z� z 2 0 O o_ x C C Z—4 2 Om ^t O 3 m 2 n .. r m z rn z m INSTALLER:VIVINT SOLAR O O Yt Y1p p jp p g m DESIGN m INSTALLER NUMBER:1.877.404.4129 M O Connell Residence PV 4.0 V LJ LJ� solar l � 17 Rudder Rd m m MA LICENSE:MAHIC 170648 O LOGIC Hyannis,MA 02601 DRAWN BY:AD I AR 4879420 Last Modified:3/31/2016 UTILITY ACCOUNT NUMBER:1473 290 0031 EcolibriumSolar Customer Info Name: Email: Phone: Project Info Identifier: 4879420 Street Address Line 1: Street Address Line 2: City: State: Zip: Country: System Info Module Manufacturer: Jinko Solar Module Model: JKM260P-60 Module Quantity: 16 Array Size (DC watts): 4160.0 Mounting System Manufacturer: Ecolibrium Solar Mounting System Product: EcoX Inverter Manufacturer: SolarEdge Technologies Inverter Model: v.SE3800A-US (240V) Project Design Variables Module Weight: 41.88778 Ibs Module Length: 64.960665 in Module Width: 39.0551392 in Basic Wind Speed: 100.0 mph Ground Snow Load:40.0 psf Seismic: 1.5 Exposure Category: B Importance Factor: I Exposure on Roof: Partially Exposed Topographic Factor: 1.0 Wind Directionality Factor: 0.85 .Thermal Factor for Snow Load: 1.2 Lag Bolt Design Load- Upward: 820 Ibf Lag Bolt Design Load- Lateral: 288 Ibf Module Design Moment—Upward: 3655 in-lb Module Design Moment—Downward: 3655 in-lb Effective Wind Area: 20 ft2 Min Nominal Framing Depth: 2.5 in Min Top Chord Specific Gravity: 0.42 EcolibriumSolar Plane Calculations (ASCE 7-10): South Roof 3 Roof Shape: Edge and Corner Dimension: 3.531184381983671 ft Attachment Type: Stagger Attachments: Yes Average Roof Height: 20.0 ft Include Snow Guards: No Least Horizontal Dimension: 35.3118438198367 ft Include North Row Extensions: No Roof Slope: 14.0 deg Truss Spacing: 16.0 in Snow Load Calculations Description Interior Edge Corner Unit Flat Roof Snow Load 26.9 26.9 26.9 psf Slope Factor 1.02 1.02 1.02 Roof Snow Load 27.4 27.4 27.4 psf Wind Pressure Calculations Description Interior Edge Corner Unit Net Design Wind Pressure Uplift -19.4 -31.9 -47.9 psf Net Design Wind Pressure Downforce 11.4 11.4 11.4 psf Adjustment Factor for Height and Exposure Category 1.0 1.0 1.0 Design Wind Pressure Uplift -19.4 -31.9 47.9 psf Design Wind Pressure Downforce 16.0 16.0 16.0 psf ASD Load Combinations Description Interior Edge Corner Unit Dead Load 2.4 2.4 2.4 psf Snow Load 27.4 27.4 27.4 psf Downslope: Load Combination 3 7.0 7.0 7.0 psf Down: Load Combination 3 28.1 28.1 28.1 psf Down: Load Combination 5 11.9 11.9 11.9 psf Down: Load Combination 6a 28.9 28.9 28.9 psf Up: Load Combination 7 -10.3 -17.8 -27.4 psf Down Max 28.9 28.9 28.9 psf Spacing Results(Landscape) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 61.1 61.1 61.1 in Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 48.0 48.0 48.0 in Max Cantilever from Attachment to Perimeter of PV Array 20.4 20.4 20.4 in Spacing Results(Portrait) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 47.4 47.4 47.4 in Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 32.0 32.0 32.0 in Max Cantilever from Attachment to Perimeter of PV Array 15.8 15.8 15.8 in 4 EcolibriumSolar Layout T' T ! i f yt Skirt o Coupling o End Coupling c; Clamp O End Clamp Note: If the total width of a continuous array exceeds 35 ft, break array to allow for thermal expansion and contraction. See Installation Guide for details. North Row Extension Warning: PV Modules may need to be shifted with respect to roof trusses to comply with 0 Bonding Jumper maximum allowable overhang. EcolibriumSolar Roof Weights In Conformance with Solar ABC's Expedited Permit Process Module Quantity: 16 Weight of Modules: 670 Ibs Weight of Mounting System: 72 Ibs Total Plane Weight: 742 Ibs Total Plane Array Area: 282 ft2 Distributed Weight: 2.63 psf Number of Attachments: 36 Weight per Attachment Point: 21 Ibs Roof Design Variables Design Load - Downward: 918 Ibf Design Load - Upward: 720 Ibf Design Load - Downslope: 460 Ibf Design Load - Lateral: 252 Ibf EcolibriumSolar ,.BRI Of Materials Part Name Quantity ES10260 EcoX Row-to-Row Bonding Clip 2 ES10121 EcoX Coupling Assembly 12 ES10146 EcoX End Coupling 6 ES10103 EcoX Clamp Assembly 24 ES10136 EcoX End Clamp Assembly 12 ES10144 EcoX Junction Box Bracket 1 (Optional) ES10132 EcoX Power Accessory Bracket 16 ES10184 PV Cable Clip 80 ES10195 EcoX Base, Comp Shingle 36 ES10197 EcoX Flashing, Comp Shingle 36 s " Hyannis MA 02601 y � 17 Rudder Rd , H � PV SYSTEM SIZE: N N 4.24kWDC N0ow �mZ !✓ x oo C UQ 2'OF 1"PVC CONDUIT FROM JUNCTION BOX TO ELEC PANEL O — — — — — O PV INTERCONNECTION POINT, JUNCTION BOX ATTACHED TO INVERTER,ANSI METER LOCATION, ARRAY USING ECO HARDWARE TO .LOCKABLE DISCONNECT SWITCH, I I KEEP JUNCTION BOX OFF ROOF - &UTILITY METER LOCATION I I I o I I i I 9 � J C O � � � O 3 0pe a c ~ w x z m > 2 z w L—————— ———— ———— ——— Q itcrui > w w z m w z (16)JKM265P-60 MODULE - Lo z z 12 SHEET NAME: H J a SHEET NUMBER: PV SYSTEM SITE PLAN o° SCALE: 1/8"= 1'-0 a U o C Nirow m ;,ate vi Z W.,H r�Z W�i7 C =O TIE INTO METER# C 2296017 - - O v i= OMP.SHINGLE O 7TO V STRING#1: 16 MODULES O 0 co 9 w Oo 0 m N V O Roof Section 1 ROOF VENT(s ^ `° Roof Azimuth:177 - < o Roof Tilt:14 LLUMBINGVENT(S, - 0 LU Z m Q Q Z W of Z W W Z m Lu F F Q Z Z 121 Q _ SHEET NAME: LL Z a I SHEET NUMBER: PV SYSTEM ROOF PLAN fV j SCALE: 3/161, = 1.'-0" (D CLAMP o MOUNTING SEALING PV3.0 DETAIL WASHER N LOWER cr o w dam SUPPORT H z =�'E r C mo _ PV MODULES,TYP. MOUNT "' "''"`'" a OF COMP SHINGLE ROOF, FLASHING V PARALLEL TO ROOF PLANE O 5/16"0 x 4 1/2" MINIMUM STAINLESS PV ARRAY TYP. ELEVATION STEEL LAG SCREW NOT TO SCALE TORQUE=13±2 ft-Ibs CLAMP ATTACHMENT too) 0 NOT TO SCALE oO CLAMP+ 9 d ATTACHMENT CANTELEVER L/4 OR LESS oO o COUPLING L=PERMITTED CLAMP ECO SPACING SEE CODE COMPLIANT COMPATIBLE LETTER FOR MAX ALLOWABLE N MODULE CLAMP SPACING. � o o v CLAMP+ PERMITTED COUPLING M ATTACHMENT CLAMP CLAMP g 0 SPACING w U COUPLING PHOTOVOLTAIC MODULE z Lu m = > D a z ui .. � � rn > w w z >m J J U > H F J L=PORTRAIT SHEET NAME: CLAMP SPACING � J z ECO Z) < COMPATIBLE W L=LANDSCAPE MODULE PV SYSTEM MOUNTING DETAIL CLAMP SPACING SHEET MODULES IN PORTRAIT/LANDSCAPE NOT TO SCALE 1 NUMBER: NOT TO SCALE CM 0 . Conduit and Conductor Schedule(ALL COPPER CONDUCTORS) DC Safety Switch Notes: Solar PV system AC Point of connection Tag Description Wire Gauge #of Conductors Conduit Type Conduit Size AC Out Current Rated for max operating condition of inverter Accoding to Nec 1s.�s Amps 1 Solar Edge Cable 10 AWG 2(V+,V-) N/A-Free Air N/A-Free Air 690.8(B)(1) U o NEC 690.35 compliant Nominal AC Voltage 2ao volts 1 Bare Copper Ground(EGC/GEC) 6 AWG 1 N/A-Free Air N/A-Free Air g 2 THWN-2 10 AWG 2(V+,V-) PVC 1" `opens all ungrounded conductors THIS PANEL FED BY MULTIPLE SOURCES %W m n (UTILITY AND SOLAR) 2 THWN-2-Ground 8 AWG 1 PVC 1" o Notes: SE380OA-US-U Inverter Specs- 3 THWN-2 lOAWG 3(1-Ll,1-L2,1-N) PVC 1" (1)aowm 3 THWN-2-Ground 8 AWG 1 PVC 1" Wire size and breaker calculations dependent upon CEC Efficiency 98% a<,M inverter Continuous Maximum Output. AC Operating Voltage 240 V "Z Example:SE38000A-US-U Max Output=16A <20A. Therefore a 20A solar breaker will be needed for - Continuous Max Output 16.A C�=Z o each SE380OA-US-U inverter. Wire Gauge should also DC Maximum Input Current 13 A L) be determined with 16A Max for each inverter. - a Solar Edge Optimizer Specs: O ALL CONDUCTORS P300 DC Input Power 30ow U SHALL BE COPPER DC Max Input Voltage 8-48V O DC Max Input Current 12.5A Design Conditions: DC Max Output Current 15A ASHRAE 2013 Max String Rating 5250W Highest Monthly 2%DB Design Temp 35.6°C. Module Specs: 16 PV MODULES PER INVERTER=4160 WATTS STC Lowest Min.Mean Extreme DB -17.0 1 STRING OF 16 PV MODULES VOC Temp coefficient V/°C JKM260P-60 0 Short Circuit Current(Isc) 9.00A System Specs: Open Circuit Voltage(Voc) 37.8V Operating Current(Imp) 8.47A Max DC Voltage 500V Operating Voltage(Vmp) 30.7V o 0 0 JUNCTION BOX Nominal DC Operating Voltage 350V Max Series Fuse Rating 15A 1 2 ] 15 16 WITH IRREVERSIBLE p 9 9 9 a GROUND SPLICE Max.DC Current per String 15A STC Rating(Pmax) 260W TF Nominal AC Current 16A Power Tolerance -0/+3% *CONFORMS TO ANSI C12.1-2008 - - - - - L1 L2 NSOLA � t N `P300 OPTIMIZERS SOLAREDGE 1 SE3800A-US-R o v INVERTER' _ Square D#DU221 IRS - Z WS I, SOLAREDGE 30N240V UNFUSED j DC SAFETY NEMA3 loOA > Z 6 M. SWITCH OREQUIVALENT W K rn M J J Z W Z - 20A W W p EXISTING SHEET 240V/125A AC NAME: ---------------------- ----------------—— LOAD-CENTER w c Z 2 VISIBLE WITH 1-2 POLE 20A n 0 LOCKABLE Q 3 KNIFE'AIC SOLAR BREAKER L 2 DISCONNECT SHEET NUMBER: . O LLI I v U) ry 0 o r n D C: ;o --in 00 mU) 0 D Z G) Cn m � O -n Z m a P $ . r �y 9F P ZS m D to 3 ry 00 .. R .. 0 cn m �� map �.. ' ,fit: #= "� 0 0 @ Z ., _ 0 O nZ m(D Z Z 0 o C o _. C C Z--I 2= OC ou > ;Um Al 3 m 2 Z m m z cn z cn INSTALLER:VIVINT SOLAR O O ne p p p 3 m DESIGN>K m INSTALLER NUMBER:1.877.404.4129 M M ��+(��Cln7r @�^s@r O COI11 IGII RGSI�GIICG PV 4.0 m m m� MA LICENSE:MAHIC 170848 V n V o LI LI LJ O S O 17 Rudder Rd LOGIC Hyannis,MA 02601 DRAWN BY:AD I AR 4879420 Last Modified:3/3 112 0 1 6 UTILITY ACCOUNT NUMBER:1473 290 0031 EcolibriumSolar Customer Info Name: Email• Phone: Project Info Identifier:4879420 Street Address Line 1: Street Address Line 2: City: State: Zip: Country: System Info Module Manufacturer: Jinko Solar Module Model: JKM260P-60 Module Quantity: 16 Array Size (DC watts): 4160.0 Mounting System Manufacturer: Ecolibrium Solar Mounting System Product: EcoX Inverter Manufacturer: SolarEdge Technologies Inverter Model: v.SE3800A-US (240V) Project Design Variables Module Weight: 41.88778 Ibs Module Length: 64.960665 in Module Width: 39.0551392 in Basic Wind Speed: 100.0 mph Ground Snow Load: 40.0 psf Seismic: 1.5 Exposure Category: B Importance Factor: Exposure on Roof: Partially Exposed Topographic Factor: 1.0 Wind Directionality Factor: 0.85 Thermal Factor for Snow Load: 1.2 Lag Bolt Design Load- Upward: 820 Ibf Lag Bolt Design Load- Lateral: 288 Ibf Module Design Moment—Upward: 3655 in-lb Module Design Moment—Downward: 3655 in-lb Effective Wind Area: 20 ft2 Min Nominal Framing Depth: 2.5 in Min Top Chord Specific Gravity: 0.42 EcolibriumSolar Plane Calculations (ASCE 7-1,0): South Roof 3 Roof Shape: Edge and Corner Dimension: 3.531184381983671 ft Attachment Type: Stagger Attachments: Yes Average Roof Height: 20.0 ft Include Snow Guards: No Least Horizontal Dimension: 35.3118438198367 ft Include North Row Extensions: No Roof Slope: 14.0 deg Truss Spacing: 16.0 in Snow Load Calculations Description Interior Edge Corner Unit Flat Roof Snow Load 26.9 26.9 26.9 psf Slope Factor 1.02 1.02 1.02 Roof Snow Load 27.4 27.4 27.4 psf Wind Pressure Calculations Description Interior Edge Corner Unit Net Design Wind Pressure Uplift -19.4 -31.9 -47.9 psf Net Design Wind Pressure Downforce 11.4 11.4 11.4 psf Adjustment Factor for Height and Exposure Category 1.0 1.0 1.0 Design Wind Pressure Uplift -19.4 -31.9 -47.9 psf Design Wind Pressure Downforce 16.0 16.0 16.0 psf ASD Load Combinations Description Interior Edge Corner Unit Dead Load 2.4 2.4 2.4 psf Snow Load 27.4 27.4 27.4 psf Downslope: Load Combination 3 7.0 7.0 7.0 psf Down: Load Combination 3 28.1 28.1 28.1 psf Down: Load Combination 5 11.9 11.9 11.9 psf Down: Load Combination 6a 28.9 28.9 28.9 psf Up: Load Combination 7 -10.3 -17.8 -27.4 psf Down Max 28.9 28.9 28.9 psf Spacing Results(Landscape) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 61.1 61.1 61.1 in Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 48.0 48.0 48.0 in Max Cantilever from Attachment to Perimeter of PV Array 20.4 .20.4 20.4 in Spacing Results(Portrait) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 47.4 47.4 47.4 in Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 32.0 32.0 32.0 in Max Cantilever from Attachment to Perimeter of PV Array 15.8 15.8 15.8 in EcolibriumSolar Layout el { - { i 1 IP } � r i i+ } 1 Skirt io Coupling o End Coupling Clamp O End Clamp Note: If the total width of a continuous array exceeds 35 ft, break array to allow for thermal expansion and contraction. See Installation Guide for details. North Row Extension Warning: PV Modules may need to be shifted with respect to roof trusses to comply with Bonding Jumper maximum allowable overhang. IEcolibriumSolar Roof Weights ' In Conformance with Solar ABC's Expedited Permit Process Module Quantity: 16 Weight of Modules: 670 Ibs Weight of Mounting System: 72 Ibs Total Plane Weight: 742 Ibs Total Plane Array Area: 282 ft2 Distributed Weight: 2.63 psf Number of Attachments: 36 Weight per Attachment Point: 21 Ibs Roof Design Variables Design Load - Downward: 918 Ibf Design Load - Upward: 720 Ibf Design Load - Downslope:460 Ibf Design Load - Lateral: 252 IV EcolibriumSolar Bill Of Materials Part Name Quantity ES10260 EcoX Row-to-Row Bonding Clip 2 ES10121 EcoX Coupling Assembly 12 ES10146 EcoX End Coupling 6 ES10103 EcoX Clamp Assembly 24 ES10136 EcoX End Clamp Assembly 12 ES10144 EcoX Junction Box Bracket 1 (Optional) ES10132 EcoX Power Accessory Bracket 16 ES10184 PV Cable Clip 80 ES10195 EcoX Base, Comp Shingle 36 ES10197 EcoX Flashing, Comp Shingle 36 I Rpr 18 2013 3: 54PM HINGHAM LUMBER 761-741 -1283 p, 1 ' yoO8 Cascade Double 1-3/, ,x 11-718" VERSA-LAND 1.7 2650 SP Designs1111301 Dry 1 span. No,cantilevers J 0/12 sk pe Tuesday,April 16.2013 BC CALL®Design Report-US 16-00-00 OCS Build 2258 File Name:' B'CALC Project Job Name: O'CONNELL HOUSE ADDITION Descriptlon:'C asigns1RB01' Address: 17 RUDDER RD Specifier: . N IKE L H City, State,Zip:HYANNIS, MA Designer: . F AROLD CAPONE Customer: CAPE&ISLAND Company:.„F LC Code reports: ESR-1040 We: "7►4-20842382 12 14-00-00 80 B1 Total Horizontal Product Length=1"04 i0 Reaction Summary(Down!Uplift) I ibs Bearing Live Dead- Snow Wind Roof Live BO,3-112" 869/0- x: 1,838/0 81,3-1/2" 86910 , 1,836/0 ,- Lire Dead I Snow Wind,Roof Live ocs Load Summary Tea Desaslptlon Load Type Ref. Start End 1004E 90% 115%. 160% 125% 1 Standard Load Unf.Area pb/f A2) L 00-00-00 14-00-00 . . 15 35 -. 07-06-00 Controls Summary value %Allowable Duration # case -ooation Disclosure Pos. Moment 8,864 Q-lbs.. 42.4% .115% 4 07-00-00., Completeness and accuracy of,input must End Shear 2,211 Ibs 24.4% 1:15ak 4 01-03-06 be verified by anyone who would rely on Total Load Dell. U461 (0.352-) 39% n/a 4 07-00-00 output as evidence of suitability for Live Load Defl. U679(0:239") . 35.3% --'-n/a 5 07-00-OD Particular sppllcadon.Output here based on building code-accepted design Max Del. 0.352" 35.2% n/a 4` 07-00-00 °f properties and analysts methods. Span/Depth 13.7 n/a n/a 0 00-00-0D Installation of BOISE engineered wood u products must be In accordance with %Allow'E %Allow current Installation Guide and applicable Bearing Supports. Dim.(L x Wl Value Support Member tMa:erlal building codes.To obtain Installation Guide BO Post 3-1/2".x 3-1/Z' 2,707 bo n/a 29.6% L ns cifled or ask questions,plesse,call- Pe- (600)232-078s before Installation. B1 Post 3-1/2"x`3-1/2" '2,707 Ibs n/a :29.50% L nspecified eC mce,SC FRAMER®,AJSTM+, Cautions ALLJOISTS,BC RIM BOARDTM,BCI6, For roof members with sloe 1/4112 or less final desi n must ensure that ndi In:tabil' `BOISE GLULAM"M SIMPLE FRAMING p ( ) g pc n9 dY SYSTEM®,VERSA4 AM®,VERSA-RIM will not occur. PLUS®,VERSA-RIMO, For roof members with slope(1/2)112 or less final design must-account for.Rain-on-Sr ow.. VERSA-STWWD®,VERSA-STUDS are surcharge lead, trademarks of Boise Cascade Wood Products L.L.C. Notes Design meets Code minimum(U180)Total load deflection criteria.•° Design meets Code minimum(U240)Live load deflection criteria., Design meets arbitrary(1") Maximum total bad deflection criteria. Calculations assume member.is fully laterally braced. Design based on Qry Service Condition. Page 1 of 2 , Rpr 18 2013 3: 54PM HINGHAM LUMBER 781-741-1283 p. 2 BolseCascede Double 1-3/4".x 11-7J6"VERSA-LAM(D 1.7 2660.SP4 DesignsiR1301 Dry.1 1 span(No cantilevers l 0/12 slc pe Tuesday,April 16, 2013 BC CALC®Design Report--US 16-00-00 OCS Build 2258 File Name: B CALC Project Job Name: O'CON NELL HOUSE ADDITION Description: D:signs1RB01 Address: 17 RUDDER RD 'Specifier: IV IKE H City,State,Zip:HYANNIS, MA Designer: H VOLD CAPONE Customer. CAPE 8 ISLAND Company: H-C Code reports: E8RA040 Misc: 714-208.2362 Connection Diagram Disclosure Completeness and accuracy of input must L� be verified by anyone who would rely on a output as evidence of suitability,for e Te e 11 particular application.Output tore based on building code-accepted design c properties and analysis methods. Installation of BOISE engineered wood •A products must be in accordance with • current Installation Guide and applicable building codes.To obtain Installation Guide a minimum=2" c=7-7/8" or ask questions,please call (800)232-0788 before installation. b minimum=271/Z'd=24" BC CALC®,BC FRAMER®,AJSTu Bolts are assumed to be Grade A307 or Grade 2 or higher. ALLJOIST®,BC RIM BOARD-,SCI®, Member has no side loads. BOISE GLULAM"',SIMPLE FRAMING Connectors are: 1/2 in.Staggered Through Bolt SYSTEM®,VERSA-LAMS,VERSA-RIM PLUS®,VERSA-RIM®, VERSA-STRAND®,VERSA-STUDS are trademarks of Boise Cascade Wood Products L.L.C. Page 2 of 2 w a q j yoFxt°7 Yl m f I .. . ,.. 1147 It t Owl31 _. t� y�g .nth ♦ 4� 6~- t J. 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't' +r 1 3i1 �,�}.3P •3.f MAUMF +}�� l r 4,w f'+w.w' dyt 4X rSi ".F A Jl.iy�fi,w.P-T f il .b ,.t { a:..?� i x REScheck Software Version 4.4.3, Compliance Certificate Project Title: CAPE ISLAND KITCHEN 13da� Energy Code: 2009 IECC Location: Hyannis,Massachusetts Construction Type: Single Family Glazing Area Percentage: 24% Heating Degree Days: 6137 Climate Zone: 5 ' Construction Site: Owner/Agent: Designer/Contractor: 17 RUDDER RD HYANNIS,MA e a Compliance: 12.9%Better Than Code Maximum UA:70 Your UA:61 The%Better or Worse Than Code index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. a fy Q c Ceiling 1:Cathedral Ceiling 280 30.0 0.0 9 Skylight 1:Metal Frame:Double Pane with Low-E 18 0.300 - 5 Wall 1:Wood Frame, 16"o.c. 340 2i.0 '0.0 ' 15 Window 1:Metal Frame:Double Pane with Low-E 40 0.300 12 Door 1:Glass 42 0.300 13' Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 210 30.0 0.0 7 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application:The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.4.3 and to comply.with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date -.,7 " } ' Project Title: CAPE ISLAND KITCHEN Report date: 04/30/18 Data filename: Untitled.rck Page 1,of 4 r RE check Software Version 4.4. Inspection Checklist Energy Code: 2009 IECC Location: Hyannis, Massachusetts. Construction Type: Single Family Glazing Area Percentage: 24% - Heating Degree Days: 6137 Climate Zone: 5 Ceilings: ❑ Ceiling 1:Cathedral Ceiling,R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame, 16"o.c.,R-21.0 cavity insulation a Comments: Windows: ❑ Window 1:Metal Frame:Double Pane with Low-E, U-factor:0.300 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Skylights: ❑ Skylight 1:Metal Frame:Double Pane with.Low-E,U-factor:0.300 For skylights without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes NoY Comments: Doors: ❑ Door 1:Glass,U-factor:0.300 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space, R=30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the•underside of the subfloor decking. Air Leakage: ❑ Joints(including rim joist junctions),attic access openings,penetrations,and.all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/doorjambs and.framing. ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. ❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air. 0 Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Air Sealing and Insulation: Project Title: CAPE ISLAND KITCHEN � M 4M .•._ 4 � Report date: 04/30/13 Data filename: Untitled.rck Page 2 of 4 'Building envelope airtightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7 ACH at 50 pascals OR 2)the following items have been satisfied: A. (a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation'and breaks or joints in the air barrier are filled or repaired. (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls. Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. (e)Plumbing and wiring: Insulation is placed between outside and pipes. Batt insulation is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. (f) Corners,headers,narrow framing cavities,and rim joists are insulated., (9)Shower/tub on exterior wall: Insulation exists between showers/tubs and exterior wall. Sunrooms: Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: Materials and equipment are installed in accordance with the manufacturer's installation instructions. Materials and equipment are identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction and Testing: Building framing cavities are not used as supply ducts. Lj All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A or. UL 181 B and are labeled according to the duct construction. Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection;exists,mechanical fasteners can be equally spaced on the exposed portion of the. joint so as to prevent a hinge effect, Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). Duct tightness test has been performed and meets one of the following test criteria: (1)Postconstruction leakage to outdoors test:Less than or equal to 16.8 cfm(8 cfm per 100 ft2 of conditioned floor area). (2)Postconstruction total leakage test"(including air handler enclosure): Less than or equal to 25.2 cfm(12 cfm per 100 ft2 of conditioned floor area). (3)Rough-in total leakage test with air handler installed:Less than or equal to 12.6 cfm(6 cfm per 100 ft2 of conditioned floor area). (4)Rough-in total leakage test without air handler installed.',Less than or equal to 8.4 cfm'(4 cfm per 100 ft2 of conditioned floor area). Temperature Controls: ❑ Where the primary heating system is a forced air-furnace,at least one programmable thermostat is installed to control the primary heating system and has set-points initialized at 70 degree F for the heating cycle and 78 degree F for the cooling cycle. ❑ Heat pumps having supplementary electric-resistance heat have controls that prevent supplemental heat operation when the compressor can meet the heating load. ' Heating and Cooling Equipment Sizing: ❑ Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. ❑ For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: " F Circulating service hot water pipes are insulated to R-2. Project Title: CAPE ISLAND KITCHEN _ � M V .�.... � Report date: 04/30/13 Data filename: Untitled.rck Page 3 of 4 i 'Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. L Heating and Cooling Piping Insulation: Ll HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: Heated swimming pools have an on/off heater switch. ❑ Pool heaters operating on natural gas or LPG have an electronic pilot light. ❑ Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Lighting Requirements: A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent , (c)40 lumens per watt for lamp wattage—15 (d)50 lumens per watt for lamp wattage> 15 and<=40 + (e)60 lumens per watt for lamp wattage>40 Other Requirements: Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement'c'). Certificate: A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type.and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) Project Title: CAPE ISLAND KITCHEN Report date: 04/30/13 Data filename: Untitled.rck Page 4 of 4 Efficiency f Ceiling/Roof 30.00 Wall 21.00 Floor/Foundation 30.00 Ductwork(unconditioned spaces): I Window 0.30 0.27 Skylight 0.30 0.27 Door 0.30 0.27 i Heating System: Cooling System: Water Heater: Name- Date: Comments: i xT ft i V 14 CAPE&ISLAND KITCHEN AND BATH REMODELING INC` :. ` 99 State Road, Route 3A° Sagamore.Beach, lVlA 02562 k Phone: - '°Fax: } . . . a 1C6ntr8ct ;a bate: 4-2-15 . To: Joanne O'Connell. , r 17Rudder Rd. ;. pa Hyannis, Ma. h t d L 508-775-7287 , Cape & Island Kitchen & Bath Remodeling;inc willremodel existing'2"d floor bathroom as peir-plans provided: Included are as follows with respective.allowances: ;s .' Plumbing: m F.�, r - -.'" �• • Disconnect all existing plumbind in bathroom Toilet, sink, shower valve and tub'.^., • Supply and install new comfort height toilet with soft close seat:°Allowance: $450.00 • Supply and install new vanity faucet.° Allowance 9$250.00 K • Supply and install new shower valve;#rim and shower head,Allowance. $300 00 •, Supply'and installhew tub with integral tile cove. $55000 •` Replace section of baseboard`heat: • Repair any previous leaks. ., Electrical: : 0 • Provide all electrical,as required in,bathroom • Supply and install [1] Panasonic fan/light'combo over tub if possible. Otherwise outside of tub: • Provide GFl receptacle by vanity. ' ' 3 • Install'owner supplied sconce-light over vanity: ro" b Tile: #, • Supply and install tale on'3walls1n,tub area up to ceiling ~•• Install a`ny sdeco file selected.Cost'of deco'tile not included at this time Must be-priced. - •m • Supply and`install_recessed shower niche. • Provide blocking-in wall for grab barw'if requested: n. All wall tile`installed onDurock • Grout Once Sealer provided. ;' F" ' Wall tile allowance::$8 00 per.'sq �. • Supply and install=new floor tileR a- R • Tile installed do Hardi Backer underlayment. R • Tate pattern. To be determined. Z. 1; • Floor tile allowance: $6.00 General• . • Provide all necessary permits. • Provide small dumpster on site. r • Provide all necessary floor and home protection. -F • Complete gut of existing bathroom. • Insulate exterior wall. '. • Vent fan to exterior. • Supply and install SunTube through attic and roof. • Blueboard and plaster walls and ceiling. • Provide all new interior trim. • Leave closet as is. No replacement. No new door'at this time. ' • Supply and.install wood panel bead board throughout bathroom. - • Provide chair rail molding. • Install all owner supplied fixtures such as paper holder and towel bars. • Install owner supplied curtain rod. No'shower door. Supply and install flat mirror over vanity. No-trim.' • Provide threshold at door if necessary? • Provide proper'clean up each day. • Remove all debri from home. ' Not included in this proposal: • No painting. • No vanity or top. n, _ • No toilet topper or medicine cabinet. • See other contract for these,upon completion of selections: Total job: $19,785.00=2"d floor bathroom. 1st. floor bath: i. q The same as all above with the exception of the following allowances: First floor includes the following items to include on top of base price of above bathroom.." • Custom.tile floor in shower floor: Optional,acrylic.floor if selected. • Increased plumbing allowance for shower,valve w/ hand held. Plus$450.00 Shower door allowance:.$1,500.00- Total for 1 st floor bath: $22,435.O Total for both bathrooms without other contract for vanities and tops` $42,220.00 Savings may apply to following: . • Tile allowances. • Acrylic tub and shower for 2"d floor.bath. • Acrylic shower base for 1st floor bath. .. • Plumbing allowances. fotal: $42,220.00 a luceived deposit 4-1-15 on credit card for$5,000.00, Applied $2,233.18 towards vanities and tops contract. Applied $2,176.82 towards remodel contract. Payment schedule: _ - G 21 2 •1 8 Deposit received 4 1 5 $ , � P . F . • Payment required upon completion of demolition of both'baths: $10,000.00 • Payment required upon completion of rough inspections: $10,000.00 • Payment required upon completion of plaster: $10,000.00 - • Payment,required upon completion of vanity installation: $7,000.00`. • Final payment due upon completion of work: $3,043.18. _ n ., ,. cif. , • We propose to furnish material and labor in accordance with the above specifications for the sum of ; TOTAL OF$42,220.00 In the event that it is necessary to pursue any legal action to collect any outstanding balance the customer shall be responsible for the total balance plus all legal costs. ACCEPTANCE OF PROPOSAL: SIGNATURE /� C _ DATE - —/ Michael Heinrichs Project Manager 4-2-15 - C#774-208-2362 r ' ----- wn `L 511 -- 16 00 00 > .MIS V `� . 0 TOILET-1 a KYD aF N - SIN VWASTB243311 0j ��. - _ - _ v µ 51. e ` 11 r - -542 -2111 1920, _ - - 95 ,�- Zd' ,So V ' .•• '. (J All dimensions_size designations Z® This is an original design and must Designed:2/6/2015 given are subject to verification on TECHNOLOGIES not be released or copied unless Printed:2/6/2015 job site and adjustment to fit job applicable fee has been paid or job conditions_ order placed_ [D7e ignl floor plan Drawing#: 1 No Scale. Stu;w o C 1 7 Note:This drawing is an artistic a Designed:2/6/2015 interpretation of the general TECHNOLOGIES 20 o Es Printed:2/6/2015 O I n appearance of the design.It is not meant to be an exact rendition. Designt floor plan Drawing#: 1 f .� ad_ • � 35" 2" Soaking tub. O 295„ v 1 , co� 16 j � 60R-BATH-2 Extend wall 1 1 . 'next to casing. To QG c61J�r-6,CuA,tA;,'00 i 00 W r 1� i:�O-,z- J", w . 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MIA qt W 4;3 !fN"t- il" vo w +sll fir IM tv" RI nf� O�i Al 41- q't Vo vk li 4L x y5, �t-w JX 0i rr "AR NUT r,.4' t I� 1PERAUT- 1. 4�� 1-c A RE- 47. "'AR GMPLANSAM- ' ED, W MIL N BA R-S",-.10, .P FALEDALPHABETICALY 'ST EE'I' INFORMATION SHEET.FILED IN,STREET FILE-.` RSBOX q/wbf �fbrm/wchiveAIAWE i ABBREVIATIONS . N11 AM PC PM CODE COMPLIANCE DRAWING INDEX - ' pwdm.ode P�tbm A= -tWd4' RwT Oaed.Y�(.mERmEL„m ,. wu bod.ade.e fli° •b,°ilm BUILDING COMPONENTS: AO COVER SHEET NC •mom , Ywdwatltenapep �g wd� - Al FLOOR PLAN FW °"t""' s W�erad 1. Window and Patio Doors=U.35 ors somas N f o 2. Ceiling R-Value=R38 A2 EXTERIOR ELEVATIONS an sO1 "° 9m � 3. Wood Frame Wall= R21 g aMr b .r "B 10O'� �e.`w. 4. Floor over Basement= R30 BUILDING SECTION � 5 s �, bs,tt.p,e, n twrbdbl S. Basement Slab= R10,where applicable T 6. Basement Wall=R10/13 where applicable A3 FOUNDATION AND FRAMING E eBa a; ar 7. Exterior Wall Headers shall have a 1"thick Extruded A4 MASS CHECKLIST FOR COMPLIANCE e bdite v®orr� � Polystyrene Insulation board filler. b b -p pow s.e... _ THE CONTRACTOR SHALL: NAILING SCHEDULES AND DIAGRAMS ftkuone bra xs1 ww.rd T ti.a ., ar mispt �s+me , or C.Pe .�. ..nt. .,;;. 1. Provide the REScheck Certificate of Compliance ' a" Am� i J" 2. Demonstrate Code acceptable envelope air tightness a tie m m- : -daedltd levels either by Visual Inspection or with a Blower Door• �,[ - a m.+�a u bgbt +ws..aers.teroax Decompression y C/I a" d.,a a I r b.yet[ - „ft.A , p ession Test as determined b the Falmouth ar d� -k- Building Inspector. m. w`.:4 eods :;- .~°,,, 3. Provide the Mechanical System Design Criteria. CUK ®" ""` i°"° "°� ^� 4. Provide HVAC and DHW Sizes and Efficiencies.eemmaoe�, - . M- � -.� * .er S. Provide a Programmable Type furnace thermostat. Cam m.bawetmoe. 6. Provide sealed ductwork with mastic or UL-180/181 Rated tape and Code Acceptable duct leakage levels from Duct Leakage Test or provide a system completely within a conditioned space. 7. Provide high efficiency lamps at all permanently installed , cw. abe.m wrt w.tea lighting fixtures. wr de... na a-d - • . a , Pm. NOTE: All blowe Z E Lnr tests shall be performed by a Certified a o o n d--ftm w�o HERS Technician. QQ L a5 eo. .evo. w - n eWdpu wo vM-eei - "tl' 13.THE CONTRACTOR SHALL ENSURE THAT ALL WORK IS.PERFORMED c o WITHIN LOCAL, STATE, AND-FEDERAL SAFETY REGULATIONS TO Q y N - GENERAL NOTES PROTECT THE SAFETY OF ALL PERSONS WORKING OR VISITING THE _a:Ln SITE FOR THE DURATION OF THE PROJECT. SYMBOLS' 1. THIS ONE FAMILY RESIDENCE IS LOCATED IN WIND EXPOSURE B. 14.THE CONTRACTOR SHALL PROVIDE TEMPORARY ELECTRICITY, NOTE: SEE DRAWING A4 FOR MASS. CHECKLIST FOR COMPLIANCE WATER,TOILETS,WEATHER PROTECTION AND SAFETY-DEVICES AS �.� AND NAILING SCHEDULE&DIAGRAMS. REQUIRED. - ..r.: min, 2. ALL WORK SHALL COMPLY WITH THE EIGHTH EDITION OF THE 1S.THE CONTRACTOR SHALL PROTECT ALL MATERIALS AND WORK MASSACHUSETTS STATE BUILDING CODE (ONE AND TWO FAMILY BEFORE,DURING AND AFTER INSTALLATION FOR THE DURATION OF DWELLING CODE),THE TOWN OF BARNSTABLE BY-LAWS,AND ALL THE CONSTRUCTION WORK. OTHER APPLICABLE CODES AND REGULATIONS. O "- - 16.ALL PRODUCTS AND MATERIALS SHALL BE NEW AND AS INDICATED ® 3. PRIOR TO PROCEEDING WITH CONSTRUCTION,CONTRACTOR SHALL ON THE DRAWINGS EXCEPT WHERE INDICATED OTHERWISE. " �e COORDINATE ALL MECHANICAL AND ELECTRICAL TRADE WORK CONTRACTOR SHALL COORDINATE WITH THE OWNER ON ALL w.e. WITH STRUCTURAL WORK AND SHALL REVIEW ANY DISCREPANCIES PRODUCTS TO BE SELECTED BY THE OWNER. WITH HAROLD CAPONE RESIDENTIAL DESIGN(HCRD). 17.THE CONTRACTOR SHALL KEEP THE PROJECT SITE AND BUILDING ` Q 4. LOCATION OF ALL SITE UTILITIES MUST BE VERIFIED IN THE FIELD- CLEAR OF TRASH AND DEBRIS AND FINAL CLEAN ENTIRE PROJECT PRIOR TO EXCAVATION. TO OWNERS APPROVAL. CONTRACTOR SHALL PROVIDE OWNER Q , WITH ALL OPERATING AND MAINTENANCE MANUALS OF PRODUCTS e. 5. CONTRACTOR SHALL NOT DEVIATE FROM CONTENT OF THESE WITH SAME AT PROJECT COMPLETION. Q RAWINGS WITHOUT CONSENT OF HCRD. ORK TO BE FREE 18 E 6. CONTRACTOR SHALL SHORE, BRACE OR OTHERWISE SUPPORT ALL F DEFICIENCIES CONTRACTOR SFOR L CERTTFY L ONE YEAR FROM E WCERTIFICATE OF Uj W � '. FRAMING DURING CONSTRUCTION AS REQUIRED TO MAINTAIN OCCUPANCY DATE AND REPAIR OR REPLACE DEFECTIVE PRODUCTS _ V] a• STRUCTURAL INTEGRITY OF STRUCTURE AT ALL TIMES. OR CONDITIONS PROMPTLY AT NO COST TO THE OWNER. 7. DIMENSIONS INDICATED ON THE DRAWINGS ARE GENERALLY - 19.THE FOLLOWING TERMS SHALL HAVE THE FOLLOWING MEANING: O TAKEN TO/FROM THE CENTERLINE OR EDGE OF MATERIALS,UNLESS PROVIDE= FURNISH AND INSTALL FOR INTENDED USE; PROPER = Q .......` OBVIOUSLY INDICATED OTHERWISE. VERIFY FIELD DIMENSIONS IN COMPLIANCE WITH APPLICABLE CODES AND TRADITIONALLY PRIOR TO CARRYING OUT WORK AND NOTIFY ARCHITECT OF ANY ACCEPTED TRADE STANDARDS. ....�. DISCREPANCIES WITH DRAWINGS; ANY ADJUSTMENTS BETWEEN j O -a FIELD DIMENSIONS OR BETWEEN FIELD AND DRAWING 20.SEE'SEPARATE DRAWING(S) BY OTHERS FOR EXISTING BUILDING, i DIMENSIONS SHALL BE MADE BY HCRD. DO NOT SCALE PROPERTY LINE, ON-SITE SEWAGE DISPOSAL SYSTEM, WATER, .. n,-.�o„ DIMENSIONS FROM THE DRAWINGS. GAS,AND ELECTRIC LINES AND OTHER EXISTING SITE CONDITIONS W CK Q ••. �� tea. r AND INFORMATION, AND ALL NEW;BUILDING LOCATION AND NEW Z 8. SEE ALL NOTES ON ALL DRAWINGS. SITE WORK., Q 9. THE CONTRACTOR'S 'RESPONSIBILITY SHALL BE TO PROVIDE 21.THE CONTRACTOR SHALL HAVE A LICENSED LAND SURVEYOR LAY Q H ADMINISTRATION, SUPERVISION, LABOR, MATERIALS, TOOLS, - OUT THE PROJECT "ON THE GROUND" IN CONFORMANCE WITH C Z MATERIALS EQUIPMENT, INSURANCES, PERMITS, INSPECTIONS AND THESE DRAWINGS AND A FOUNDATION"AS-BUILT."DRAWING THAT U Z APPROVALS TO PROPERLY COMPLETE THE CONSTRUCTION WORK CERTIFIES CONFORMANCE WITH THE BARNSTABLE ZONING BY-LAW ` Q INDICATED ON THESE DRAWINGS. YARD SETBACK AND OTHER REQUIREMENTS r 10,THE CONTRACTOR SHALL HAVE INSURANCE COVERAGE TO PROTECT 22.PRIOR TO PROCEEDING WITH ANY WORK THE CONTRACTOR SHALL THE OWNER FROM ANY CLAIMS FROM ALL WORK.ON THE PROJECT. NOTIFY DIG SAFE. .o.;w. THE CONTRACTOR SHALL PROVIDE OWNER WITH CERTIFICATES OF LIABILl-fY INSURANCE AND WORKERS COMPENSATION INSURANCE 23.PRIOR TO PROCEEDING WITH ANY NEW CONSTRUCTION THE PRIOR TO ANY WORK. CONTRACTOR SHALL CONFIRM ALL EXISTING DIMENSIONS AND SHALL REVIEW ANY DISCREPANCIES WITH THE HCRD- - ® ` 11.ALL WORK SHALL BE PROPERLY COMPLETED IN A TIMELY MANNER AND MUST CONFORM TO ACCEPTED INDUSTRY AND TRADE 24.PRIOR TO PROCEEDING WITH ANY NEW CONSTRUCTION THE PRACTICES AND STANDARDS. CONTRACTOR SHALL INSPECT AND VERIFY THAT ALL EXISTING FRAMING AND STRUCTURAL MEMBERS WILL PROPERLY BEAR NEW ewz� 12.ALL WORK SHALL BE DONE BY SKILLED TRADESMAN AND WORK INDICATED. THE CONTRACTOR SHALL REVIEW THESE �I MECHANICS AND WHERE REQUIRED, BY LICENSED DEFICENCIES WITH THE HCRD. TRADESPERSONS. 25.THE PROJECT WORK INCLUDES THE DEMOLITION AND REMOVAL OF THOSE PORTIONS OF THE EXISTING HOUSE AS INDICATED ON THE DRAWINGS. I L mp Ozzm �m t zG)6) v ;0 011 O z p aZ=Fcc:cl TO p Z Cm m Zz Rs x 2D O .. s �.�. p m 00 m 0 A �r` }tt z t r p.D m� z 0 !/ A II II It F N C / X f. � A OOO. m N � q v m xLn G -a 0 0 a O z L M14a3w 1W1c3t? i t /1 c a• x 7- A m o it r! g O'CONNELL HOUSE ADDITION "AR°`°°AP°"E Th� �M Residential Design hem nctaweand me or use ed,almLaN wartmnsmllte� S Spinnaker Street ohuwdmeM, frar Harold CaponALI e 17 RUDDER ROAD Sandwich,MA 02563 ode ma ovmer.Thew drawM9.for Haas Gam HYANNIS, MA "° 1—b. :0. • R .t I I I /l 1'• a\ a I i -4 G i nWv�nn Do Dvm..� ---C{{{ m = ppv vpxOpM �yM pcAz9 ppOAONO ' OXOZ m I I i mvZZ�A ��VZivOSCD ADA�1vOX{1 CO�OWm~ AZA�f1 v O N L i� `.I DnOOo'- A�O�wZr (llpD,. za��r Or-OIDvD� OOpr m e T�1 J�1�' I �mO�NAZ m`2NDrn�m �z�m � arm .ornmm tn�zp2 Z X mn 'aw0 'z F�Z� �xWWni o g o �� c ono ✓ z�-oys Q �x pig zxz;'Oom oDO v0m Dpn -Zl� ui �z�vz� ;o0 S'�;tn! DpO mA8 ppzQ cr�r v �m3 �m fnrvr V) rMi O��O5m co-;IG F) mp^ D D�yAr Hm0 G) p M Aa'm G) ptnFcu�� 11 Dz T ) �mr0 mD mr�r�30 20� WDvm�T ZO..mc� AXnII mv°a� ZF Z�OZA ZOm� �. �pczz� mzOCo Opm ��OD c_rtxt vmn�g 0T,�Z --- N v p m�tn Zr �O 2n7Q D, H p•- OD MDm () - �v3Om vA tmntn ..1 Wv Gf Sm �v a0 zrr- �Dlnx m �nCD�O �cD�\mA A � Nm 'gym O .tl mA� f1 C rn vlm3 �c ��<D =o [cA� vc v�-z1 p zi�n Ong DzCo (Gn '� ` �OAAmm mpzN�XW V,v�v Z�D Izl WOD 3Z X00 p 0Zpp -I 3�p �OInA 2 lnH A N D Otnd+vv Z rnfn •^ - .�.m3vo �ADOOrZ Z0 vvN��' pF AC rW M1p�. O II C v W D�OT u)v OT r cn D A NXp a D .1�. VI n n - _ rz)DA(n �m0 c1 F C.m-1�.r v<' D z x7,, :S O xZmzAx �o ao�" S�, p ��'$c+ nm Fz °po� mG� r m vg a z C- m rn Vl�m �. _ - it lr Oz4) Dmm32? ZOmA Otn93 s XD SN ctAZv (ll.� 3�xz rn. w W�� ujfl 3 zm p - � mr�a. o �oMm Z �ztD11 zm D D6N Z r zAD mn: �Dvc ' '-1Dy0 M- : .I.. D LA m f+D m,.7o >OZ D pT` `dvDZ� •. O�xg 0 D Nm Dc X -G rSOF rn�n'Ov = m z I N r X D m �• v.D a+.Op A D m m z 4 v a m o G D a 'x O �.. `. - - A D rd m' Z m SoD * O 3 Z vm mFm z $ — =i I ( t I ? " mm mo Q 'i I I u --.Ir�� I i I I i i I . v O A -ij � p p � z R1 Xm z °zm Vf x p W S _ - �— II � F = gym z z 3 (.../ �-m(I 3 v O 04 z 7 1f� v oJbv p -1- C _. - . Iy P IIt I, , O'CONNELLIMUSE ADDITION HAROLDCAPONE e Residential Design na mWaa, mpmm me, moaaea 5 Spinnaker Street .r_ .. 17 RUDDER ROAD sandwich,MA ozsss virmn p,I,w„I � „„ awe , a �E HYANNIS, MA ) �,� �pn 00,1 F5 15 T�kNc�<T- a- `I co' ct oLGILo ��$y e v. - r., 2 Ea C1A�G PI�P�N6 a all I . �� mi, -tie. rim _ FT. IFACT, Lmv To M, T - 4$" O.C. 0 Toll fA 9ImF5a.1 I-iveiR TyP �►P p a�i c 3 S��A11vID i l Q u to c m AV $fro {LSp cWT, ?T 2x12 lsfcu.Ek w/ 2 RDb>s . /z' au tolTy h RED Mv 9'o.L. 1147o SOLID U7 TIZ. ? • FLOOR �?A►mNcf MNN 1 10N PLAN Y4.11. l-b s-z><a Poyr as To .. � A ..''� _ ¢,uG doer+!• Z - - _ ` e Vat, - FOUNDATION and FRAMING NOTES,AIR I' Tly 1. SEE DRAWING A4 FOR MASS.CHECKLIST FOR COMPLAINCE and NAILING Q - {? 51NCoG RAC T-JQ• SCHEDULE AND DIAGRAM. 4V D.c. 2. ALL FOOTINGS SHALL REST ON FIRM,NATURAL OCCURING MEDIUM '51%M A�2 COARSE SAND HAVING A BEARING CAPACITY OF Y'hTONS PER SQUARE .. W TII✓S ca— W., FOOT.MECHANICALLY COMPACT BOTTOM OF ALL EXCAVATIONS BEFORE D%b dLkS T'lP FORMING FOOTINGS. �p aPG 3. ALL CONCRETE SHALL BE-READY MIX^TYPE,COMPLYING WITH ACI 301 AND 318 REFERENCES AND WITH A-STRENGTH OF 3,000 PSI AT 28 DAYS. T _ O . 4. ALL FLOOR SHEATHING SHALL BE-Y.-TONGUE AND GROOVE"ADVANTECH 9>nUdE VIP"SHEATHING PANELS,GLUE AND NAIL TO FLOOR JOISTS. QO P�h `fin 0•G• 5: ALL BUILT-UP FRAMING SHALL BE GLUED AND NAILED. N4to 0 6. ALL ENGINEERED.LVL CONSTRUCTION MEMBERS SHALL BE REVIEWED AND W Q -" -- APPROVED BY THE MANUFACTURER and LVL CONSTRUCTION DETAILS �i16f SHALL CONFORM TO MANUFACTURER'S INSTALLATION INSTRUCTIONS- ?106TN ttVP 4ouD WD Ff- I 7. EXTEND ALL WOOD POSTS TO BUILT-UP FLOOR JOISTS,SOLID,WOOD BLOCKING,WOOD GIRDER,STEEL BEAM LVL BEAM OR WOOD SILL/FOUNDATION BELOW AND PROVIDE FULL AND PROPER BEARING. s 8. _ ALL SIMPSON STRONG-TIE PRODUCTS SHALL CONFORM TO MANUFACTURER'S INSTALLATION INSTRUCTIONS.ALL SIMPSON 1 PRODUCTS IN CONTACT WITH PRESSURE-TREATED-WOOD SHALL BE ZMAX/HDG OR 90 CONNECTORS. G J i C 9. SEE ALL NOTES ON ALL DRAWINGS. fJ fi MI NG. .-PLAN _ y41t�I`•�It BL epgF � tSI¢g9 ogP� ' �'' a' ( ��.�` .i• ' f� �� gIT-. IL P��z NR00�� .. �II� Q,_I�I� �H� �A $ d� � � g�� x �9a aR � 6 ,�� '� R �'��' � �' R � �a' R �• g �• Ir �% g i �• � �� •�' � �' � � a � g�p@g� �j$j >ja;�$�f8�}sJ� sifatg"sgsa a eaaas�"saaeaaaaa>i �. E .�qT'(gt�Q33@p(t.• �e ��• AE� 't( iL� S'S�P B'- Y� A I i P P I A I P �^�B �, , i .99.,I � � � � �C � � � ��9 � R��O O � � � d C B � � � O tlgpq tQppj �gpgt � 9gpQ �tlyQt rygpy t9yy� � �ppyj �ryypj epgt 1�O 'Ja' `• C m^i iCL •-• WW�� 08 �—yd a0 CCRGII 999 I �' ..� � � C B 9 � �B O B q �� B �� B �0 �.9 icy11 aaI y 'IL � �� F NM-N.tl m m tb g unraweaed tTtroa 8 3 i i d 3. °� g - ' 96 xs t ........... -•--•--•-•-- e �9 9 CP 1nj•A9M I� - ATt1'aa T' }' S: 9: ' i Zc• I— f rye . _.W. : VO .'D�: k�� N i'� li. � �.( �: H� N . rJQ •hN Ur MAi.- y�tygi§�t o�W-o8 iN td8 L� try � � I` II1I 11 1hII IIIII I III IIIII II � IIIII � � I t ....... ---'....:Z P 7S{p' yy ,y v q 2H[,1 p! aH O E. Z S•- gZ .r--r g •fi c r P. . w (a@'7If e31• _ �¢q{(��q/T7� ii' •�• L "' $rS°,9 ,n —a4 �9J E @gym@3 '�g9t1 p9. s �R•�p• fHfnnyrM1 �jy , wW. a0a � • � eB E. tl NH NPI pg O.�d O t • 9:. �: Sir g H H 6 5 Js ! � aaa T1) ja aa� aaaa� yaaa aaa a il N g. �•' ^ EVES a'ir > r-t tt'r S W �.8•�' g•�•��.�'PT � A otlp 'yJ N ...•••�� _ • - tlP Qj'I'•�YT 9A•� bSyy �_a.`=$ g991R� �:4'��5;°3`'O.,° •y �• �: ICI'►' M1T� it ,N sQ� � NujLLLr�F Ni ; ; Ly:. : � ' : ICI° : �1C, -Ek Ie f„NN N-gig• t ,� 'O r Il•]• ir IIIII II;III II i I I I I I I I IIIiIIi iIIIII �I w HOOLD CAPONE Thom dmw m.p�oe<ota cr mdvatmprdpht tewa a,M mer rot / O'CONNELL DOUSE ADDITION Residential Design d : 1 �- $Spinnaker Street or umd.m mry^tlmr way wunaut the Sandwidl,MA 02563 ""W,M�f met 17 RUDDER ROAD. . or,= Thma:--, hire e�pp prepared Mr tlN prylat Ipetbn. HYANNIS, MA Iwo A. 2��3 4