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HomeMy WebLinkAbout0007 SAINT CATHERINE AVE A ve- C^ �01 !\ Application number /, z Date Issued........?lz ]I.9... �AR"ySTABLE, ® w` _ MAM 9� x6 9. 10$' JUL 24 2099 Building Inspectors Initials....... Map/Parcel....................�....... .5c�........................ 8AHNS fABLF , �6 TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: 7 �-�,-f rAer;,1-e 4J e NUMBER STREET VILLAGE Owner's Name: nn�S � ( ,;( Phone Number S -7 79- 7 7�0 Email Address; s e y j (. M,.., Cell Phone Number 08-2-1 L_9'L(3 v Project cost S 3 3 4 99 — Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property,I hereby authorize to matte application for a building permit in accordance with 780 CMR Owner Signature: 5,e �-{{Q�� C'�.-{c�-�- Date: TYPE OF WORK SidingR ' W endows (no header change)#_L6 ❑ Insulation/Weatherization Doors (no header change)# Commercial Doors require an inspector's review J Roof(not applying more than 1 layer of shingles) Construction Debris will be going to W r s4e-Ir?a4a I CONTRACTOR'S INFORMATION Contractor's name I�r u n �Q n�t,'so✓� - So, .2�� p�J �r (rv,� r f'�d ow S Home Improvement Contractors Registration(if applicable)# !z3 2_q_5 (attach copy) Construction Supervisor's License# DI 5 7 G (attach copy) Email of Contractor Q$tjee- G ; . C 6M Phone number Vol— 2 2 R -`(900 ALL PROPERTIES THAT HAVE STRUCTURES VER 75 YEARS OLD OR IF THE SUBJECT PROPERTY/S IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATIONNUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hovers of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date PLICANT9 S SIGNATURE Signature Date '7- / 7 All permit applications are subject to a building official's approval prior to issuance. Renewal Agreement Document and Payment Terms Andersen. dba:Renewal B Andersen of Southern New En land y g Dennis&Dale Phillips Legal Name:Southern New England Windows,LLC 7 Saint Catherine Avenue RI #36070, MA#173245,CT#0634555,Lead Firm#1237 Hyannis,MA 026'0) WINDOW NE LACEMENr 10 Reservoir Rd I Smithfield,RI 02917 : - _ H:(508)778-7740 .. _ Phone:866-563-2235 I Fax:401-633-66021 sales®renew alsne.com C:5082928430 Buyer(s)Name: Dennis & Dale Phillips:. Contract Date: 07/01/19 Buyer(s)Street Address: 7 Saint Catherine Avenue;.Hyannis,.MA 02601 Primary Telephone Number: (508)778-7740 Secondary Telephone Number: 5082928430. Primary Email: PhillipSBusinessSeryices@gmail.coal Secondary Email: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal By Andersen of Southern New England("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this.Agreement Document, the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this "Agreement Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amount: $33,349 By signing this Agreement,.you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. . Deposit Received: $16,674 Balance Due: $16,675 Estimated Start: Estimated Completion: Amount Financed: $33,349 7-9 Wks .7-9 Wks Method of Payment; Financing We schedule.installations based on the date of the signed contract and secondarily on the dace m which we complete the technical measurements,The installation date that we are providing at this time is only an estimate.We will communicate an official date and time at a later"date. Rain and extreme weather are the most common causes for delay. Notes: 24 mo npni, 1/2 dep out of GS acct, 1/2 due at completion Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there'are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid.without the signed,written consent of boil:the Buyer(s) and.Contractor.Buyer(s)hereby acknowledges that,Buyer(s) 1)has read this Agreement, understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation;on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement NOTICE TO BUYER: Do not sign this contract if blank.You are eridded to a copy of the contract at the time you sign: YOU,THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 07/05/2019 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT Legal Name:Southern New England Windows,LLC dba:Renewal By Andersen of Southern New England Buyer(s) Signature of Sales Person Signature Signature Ryan Ahern Dennis Phillips Dale Phillips Print Name of Sales Person Print Name Print Name UPDATED: 07/01/19 Page 2 / 16 CG� if�2G��?GIt�CG�/�t? Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvern6 Contractor Registration Type: . Supplement Card SOUTHERN NEW ENGLAND WINDOWS LLC: - Registration: 173245 10 RESERVOIR ROAD Expiration: 09/18/2020 SMITHFIELD, RI 02917 sc i �, 2onn-osi�7 Update Address and Return Card. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: Realst6ti6n. Expiration Office of Consumer Affairs and Business Regulation 17324:5 09/18/2020 1000 Washington Street-Suite 710 SOUTHERN NEW ENGLAND WINDOWS,LLC Boston,MA 0211 BRIAN DENNISON 10 RESERVOIR ROAD u SMITHFIELD,RI 02917 Undersecretary without signature Y Commonwealth of Massachusetts Division of Professional Licensure Beard of Building Regulations and Standards COnstructT6 u pic,rvisor A o CS-095707 p i res: 09/08/20.20 r. BRIAIV ® DEIIIIVISO(V _ e BLACK1NEl." --DRIVE CHARLTON IVIr4=01607 _ Commissioner Tlae Coi<nttaonwealtA of Massachusetts Department ofIndustrialAccidents 1 Congress.Stree4 Suite 100 Boston,MA 02114--2017 www onass gov1&a Workers'Compensation insurance Affidavit.Builders/Contractors/ElectriciansMiLmbem TO BE FILED WITH THE PEP—'V 'LYG AUTHORITY. Applicant Information (* Please Print Levibly Name(Business/Ormanization/Individual): lie IJ t-n,2 ice n ) �r-)Lls Address:_/O City/State/Zip: M t �! OZ / L) S �-� < < � 7 Phone#: Are you as employer'Check the appropriate box: Type of project(required): 1. l am a employer with ;704- mployees(ftdl and/or part-time).* • 7. ❑New construction am a sale proprietor or partnership and have no employees working for me in g: Remodeling any capacity.(No workers'comp.iasumme required] ❑ 3.0I am a homeowner doing all work myselE(No workers'comp,insurance required.]T 9. ❑Demolition 4.❑1 am a homeowner and will be hiring contractors to conduct all work on ro 10❑Building addition �Y property. [will ensure that aft contractors either have workers'compensation insurance or are sole 1 L.❑Electrical repairs or additions proprietors with no employees. 12.Q Plumbing,repairs or additions 5.[3 I am a general contractor and 1 have hired the sub-contractors listed an the attached sheet These sub-contractors have employees and have workers'comp.instmce.t 13.E]hoof repairs 6. We are a ce ration and its officers have exercised their right 14.®Other � ,Phu of exemption per.MCL c. 132,§1(4).and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box Rl must also 1111 out the section below showing their wonkas'compensation policy information t Homeowners who submit this affidavit indicating they are doing all work and then hire outside camttactors must submit a new affidavit indicating such. tantractocs 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. Ifthe sub-contractors have employees,they must provide their workers'ummp,poficy.number. I am an employer that is proldding workers'compensaden insurance for my employees Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: U)(,A 31,5T I R y Expiration Date: —7 Job Site Address: 7 �i,:.� �'� �;►, ,e . City/Stateaip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and it fine of up to$250.00 a day against the violator".A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verirmadon. l do hereby ce under the p Aftdpewftla of perjury that the utformaden provided above is true and correct i Date: —/ 7 — N Phone 9 ) Official use only: Do not,write in dds 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 J.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• AC 40R& DATE(MNVMNYYY) �. CERTIFICATE OF LIABILITY INSURANCE 12/28/2018 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 CoBiz Insurance, Inc.-CO NAME: PH 1401 Lawrence St., Ste. 1200 CN o E • 303-988-0446 A/c No:303-988-0804 Denver CO 80202 ADDRESS: COMail@cobizinsurance.com INSURE S AFFORDING COVERAGE NAIC ti INSURER A:Acadia Insurance Company 31325 INSURED ESLERCO-01 INSURERB:Firemens Insurance Company of WA,D.C. 21784 Southem New England Windows, LLC. dba Renewal by Andersen of Southern New England INSURER c:Homeland Insurance Company of New York 34452 10 Reservior Rd INSURER 0: Smithfield RI 02917 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:787175890 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADOL SUBR . POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DOIYYYY MM/ODIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CPA3158728. 1/112019 1/1/2020 EACH OCCURRENCE $1,000.000 CLAIMS-MADE a OCCUR PREMISES Ea occurrence $300.000 MED EXP(Any one person) $10,000 PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,0m.000 X POLICY❑JEa LOC PRODUCTS-COMPIOP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY CPA3158728 1/1/2019 1/1/20213 C e acccidentSINGLE LIMIT $1 0 0 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident $ S A X UMBRELLA LIAB X OCCUR CPA3158728 1/1/2019 1/1/2020 EACH OCCURRENCE $15,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $15,W0,0D0 DED I X I RETENTION$ $ B WORKERS COMPENSATION WCA315872924 1I1/2019 11112020 X PER OTERH AND EMPLOYERS'LIABILITY YIN STATUTE ANY PROPRIETOR/PARTNER/EXECU nVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? NJ N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $1.000,000 If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY UMIT $1,000.000 C Pollution Liability 7930073340000• 1/1/2019 1/1/2020 Each Occurrence $2,000,0D0 Claims-Made Policy Aggregate $2,000.000 Retroactive Data 06/20/2013 Deductible $25,OD0 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FOR INFORMATIONAL PURPOSES ONLY AUTHORIZED REPRESENTATIVE N� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD S-y- 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Q mflI Map Parcel Application # Health Division ���Q✓ Date Issued Conservation Division Application Fe � - 10h Planning Dept. ij✓O� '� Permit Fee Date Definitive Plan Approved!by Planning Board Historic - OKH _ Preservation/ Hyannis �fF Project Street Address �� . Cco Lb,faJi�►� A At QZue j Village WA&11S l /� Owner ` I1 ,� Address ��03 ��f.�Z Telephone Permit Request ® A nAnico 1JA14) L) r- In ktv - , Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District ll Flood Plain Groundwater Overlay Project Valuation ��1� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: mily ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure '3 --dor5 Historic House: ❑Yes 2No On Old King's Highway: ❑Yes XNo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other \ Basement Finished Area (sq.ft.) 10A 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 Nmeat Type and Fuel:- ❑ Gas ❑ Oil ❑ Electric ❑ Other &entral Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No V)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 tt/ �► w -ottatin 5 .t Telephone Number Address Z vu C License# 7 1 ii!11 4S Home Improvement Contractor# Email 5 D Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJE T WILL BE TAKEN TO 1p e n s� lS a (00 SIGNATURE DATE � FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING I ~�� d DATE CLOSED OUT ASSOCIATION PLAN NO. ne ���rclna�f�r,� Office of Consumer Affairs and Business Regulation. '>✓ ' 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improveme`n#',Contractor Registration Type: Supplement.Card SOLAR CITY CORPORATION . 'x - 1 Registration: 168572 Expiration: 03/07/2019 24 ST MARTIN STREET BLD 2UNrr 11 MARLBOROUGH,MA 01752 r Update Address and return card. Mark reason for change. SCA T 0 20M•05hI ❑ Address ❑ Renewal ❑Employment 0 Lost Card .a '"%�.• �%r niqu rrn..vr�/�r/`����ii:.Nrr�ii.:ri�/• - f - office of Consumer Affairs&Business Regulatior. { i HOME IMPROVEMENT CONTRACTOR i §' Registration valid for individual use only TYPE:SUDDlement Card before the expiration date. If found return to: 1 Heolatration Egfttlon office of Consumer Affairs and Business Regulation F ?r, .1.68572 03/07/2019 10 Park Plus-Suite 5170 SZSLAR CITY CORPORATION Boston, DANIEL FOND ` 3055CLEARVIEW WAY SAN MATEO,CA 9aao2 � c - Not valid.Without signature Undersecretar Massachusetts Dc artmen!of Public Safety Board of Building Regulations and Standards a r ;,'License: Cs-101687 Gohstruct on supervisor DANIEL D FONZt ta, 390 ANDOVER STREET 4 WILMINGTON MA 01887 . � ,. ^^� _ Expiration:'. Commissioner 09/1312019 i J Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Type: Supplement Card Registration: 168572 SOLAR CrrY CORPORATION Expiration: 03/07/2019 24 ST MARTIN STREET BLD 2UNIT 11 MARLBOROUGH,MA 01752 l `" - Update Address and return card. Mark reason for change. SCA 1 0 20M.0501 n ,A 4 _ r"rzna n! Cl 1 !r"1nVMCknr n I nat Cares a�, `;%,��•��t��oiui�ur»nren�/f r��^ifrz;.;ric�u�c!/: Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only ' TYPE:Suoplement Card before the expiration date. If found return to: Registration Expiration ration Office of Consumer Affairs aSO-BO-syness Regulation 168572 . 03/07/2019 10 Park Plaza-Suit 170 SOLAR CITY CORPORATION Boston,MA 021 i 1 a Irf , NATHAN TISSOT �R CGIu 3055 CLEARVIEW WAY N V Ithout signature SAN MATEO,CA 94402 Undersecretary 9 o The Commonwealth of Massachusetts a Department oflndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia «'orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Auplicant Information Please Print Legibly Name (Business/Organization/Individual):SolarClty Corp , Address:3055 Clearview Way City/State/Zip:San Mateo CA 94402 Phone*:888-765-2489 Are you an employer?Check the appropriate box: Type Of project(required): 1. ✓ I am a employer with 12,000 employees(full and/or part-time).*, - ' ❑ 7. ❑New construction 2.M I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] v 9. ❑Demolition, 3.a I.a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 Q Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will. r ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical-repairs or additions proprietors with no employees. 12.❑Plumbing repairs Or additions 5.❑1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.QROOf repairs. These sub-contractors have employees and have workers'comp.insurance.: 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other solar,panels �✓ 152,§](4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. ' I am an employer that is providing workers'compensatign insurance for my employees. Below is the policy and job site information. Insurance Company Name:American Zurich Insurance Company , Policy#or Self-ins.Lie.#:WC0182015-01 Expiration Date:9/1/2017 Job Site Address: 5V Cc City/State/Zip: p/yi �� )/��2(p0i Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).. Failure to secure coverage as required under MGL c.152,§25A'is.a criminal'violation punishable by a fine up to$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.A copy of th' ment may be forwarded to the Office of Investigations of the.DIA for insurance-,= coverage verificat'On. I do hereby rtify der t nd penalties of perjury that the information provided above is true and correct. Si nature: Date: Z/ Phone#:508-640-53 9 Official use only. Do not_write in this area,to be completed by city or town official. v 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#c + CERTIFICATE OF LIABILITY INSURANCE Doangrao�ts ' 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(les)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 endorsements). PRODUCER COMACT MARSH RISK&INSURANCE SERMCES NAME;._._....._. .--...—. _..__._...T _....._......................_ 345 CALIFORNIA STREET,SUITE 130D PHOtJNe_Eif} —_-._......._........ ............1-F1lUh}V}' CALIFORNIA LICENSE NO.0437153 E MiuL SAN FRANCISCO,CA 94104 DOREss: ._... ...._ ........._ __..._...—.. Attn:Shannon Scolt 415-743.8334 INSURER(Si AFFORDING COVERAGE ,- ^_... NAIL N 998301-STND•GAWUEI6.17 INSURER A:Zurich American Insurance Company 16535 INSURED INSURER B:NIA NIA SolaiCity CorporaCprl _.- --.. ..._...__...._ 3055 CleaNew Way iysuRl a c q NIA ._._...._— NIA.....:. ............ San Mateo,CA 94402 INSURER D.American Zurich Insurance Company 40142 ........................—._._.._.._....-- —._...-................_............................................- 3NSURFJt.E:....... ... . .. INSURER F COVERAGES CERTIFICATE NUMBER: SEA-01I30M3276.03 REVISION NUMBER:6 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT 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. IIOSR TYPE OF INSURANCE I ff POLICY NUMB MMMIDI)EPF M oLICYOW R MMMD11YM LIMITS LT � A X COMMERCIAL GENERAL LIABILITY '131-0 01 8201 6.01 0910 cis `D910112017- EACH OCCURRENCE S 1,000.000 _...1 CLAIMS-MADE X OCCUR X ( DAMAGE O RENTER—— ....I PREMISESfEacccurrencol...T�...._........._..1,000,000 SIR 5250,000 = i MED EXP(Any one paison� S 5,1100 _. PERSONAL&ADVINJURY, S 1000 ODO rGENLAGGREGATE LIMIT APPLIES PER' ! GENERAL AGGREGATE... 9 2,000,000 PRO. ......._....._ ' X POLJCY[-._I JECT LOC 2,000,Do0 PRODUCTS-COMPIOP_AGG S ... i OTHER: I $ IT A AUTOMOBILE!LIABILITY tAP0182017-01 090112015 09101120V COMRf nq..............__. $ 1,000,000 X ANY AUTO BODILY INJURY(Per person} 5 XALL OWNED SCHEDULED ....-.__................... ..... AUTOS X 'AUTOS' - BOD0.Y INJURY(Par acradenl} ,5 K X t NOWOMED PROPFjiTY CtAMAGE S ....._....._...— HIREDAUTOS _...}AUTOS �p@Lsccidenl}„-,-,__ S --.........—..... UMBRELLA LIAR i OCCUR EACH OCCURRENCE $ _.._... ............ EXCESSLIAB CLAIMS•MADE AGGREGATE $ DED RETENTION 6 S D WORKERS COMPENSATION C0182014.01(ADS) 2016 0 1J'1017 X 1 PER OTH• AND EMPLOYERS'LIABILITY (STATUTE,. D ANY PROPRIETORIPARTNERIEXECUTIVE Y r N i C0182015-01(MA) 09K1112016 D9.'D111017 E L EACH ACCIDENT S 1.000,006 A OFFICER/MEMBER EXCLUDED? FL EWS0181018-0i GA �09KI112418 09t0112017 "_..._.._._......_.._._._..—._. —.... (Mandatory in NH) ( ) E.L.DISEASE-EA EMPLOYE S 1,000,006 tl yes,describe under (Limits apply excess Of$506K SIR-CA - 1,000,000 DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS J VERICLES(ACORD 1(f,Addlt}onal Remarks Schedule,may be alfaohed U more space is required} CERTIFICATE HOLDER CANCELLATION o Solw0lyCorporaton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3055000TViewWay THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN San Mateo,CA 84402 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATRIE of Marsh Risk&insurance Services Stephanie Gualumi 01988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD 4;, SolarQty. J OWNER AUTHORIZATION Job#: , Psi"io 2Zd ' 70 2.� GCS Property Address: S G�f I%/?s/Y Ar-F �J7`y131s /�/1, 0 -6 p jy LV�,' as Owner of the'subject b property hereby authorize SOLARCITY CORPORATION to act on my behalf,. . in all matters relative to work authorized by this building permit application. Sijnature of Own r: - te: SOLARCITY.COM AZ ROC 2431?b'ROO 24545WRO.C777496,CALIC4MI04.CO EGFIN I.CT WG 06. 77&1aC 012S3M,OC M7110148Cx'ECCgr(aS S,)*CT•29770,MA HtC IM72dAA EI I I36MR,MD MHIO12WS. 19 NJMCH73VH06160600;34CBM732700,OR C816049iLCb62lPBi 102,PAHICPA077343,T,<TEC1,27M VVA SOIAF C'J790vSMARC'905R O 2014 SOLARCRY CORPORATION.ALL RIGHTS RESCRVED. DocuSign Envelope ID:A297CCE5-C3CF-4EB4-8BDA-73130449ACFEs SolarCity I Purchase Customer Information Installation Location 1 Date , Dale Doyle 7 Sainkatherine Avenue' _ `7/13/2017• k»' -' _._.Barnstable,MA 02601 f 7 St Catherine Ave °« ;a s Barnstable,MA 02601 '� Name on utility Bill 5087787740 N Dennis Phillips -.7755 re are the terms of youriSolar,Home Improvement Agreement _ v -kW DC s System Size System stemWarranty b ¢.., , - The SolarCity Promise We provide a money-back energy performance ara'ntee. os^ •We warrant all of our roofing work. ` ; �.,,� •We warrant and repair the System . �:........................................................................................................................ ........ ......... .......... Initial,h e •We fix or pay for any damage we.mayca e toyour property., l •We provide 24/7 web-enable&monitonn at no additional cost.X ' \ g ) I - N. •The pricing in this Agreement is valid for 30 days after 7/13/2017. 0 Your SolarCity�Ptkfiaise Agreement,Details Contract Price $35,952.00 - � 7� REC Value(Estimate) ^_ „$7,896.00 ' URel' e Value(Estimate) `'$0.00 Amount Due $28,056.00 w / ; ` '' ,.,,,w, t psi Est first year production's 5,851 kWh 3055 Clea_rview Way,San Mateo,CAS 4402r1--,888.765.2489 1 solarcity.com 793180 Solar Home Improvement Agreement(Soli.oan),version'4.5.0,July11,2017 f °' F¢ SolarCity Corporation DBA Tesla Energy Contractors Lice se MA H M IC 168572/EL-1136R Document generated on 7/13/2017 _ •. ,. � Copyright 20o8-,2015 SolarCityn Corporation,All rights Reserved ' '" zn DocuSign Envelope ID:A297CCE5-C3CF-4EB4-8BDA-73130449ACFE tt r By signing below,I agree that SolarrCity can contact me for telemarketing and informational purposes via call or text using `. automated technology and/or.pree-recorded messages using the phone number(s) I provided that are listed on the first page of this contract.I understand that consent is not`condition of purchase. You may opt-out of this authorization at any tlme,by calling us at: 888-765-2489 or sending us wr-itten notice and mailing it to:SolarCity Corporation,Attention: Phone Authorization Opt-Out,�3055 Clearview Way,San,Mateo,CA 94402� �+ �+ N"P� I have read this Agreement(INCLIJDING THE AGREEMENT TO ARBITRATE)and the Exhibits in their entirety and I acknowledge that I have:received a complete copy of.this Agreement. I`Gust mer's Name:Dale Doyle Solar Ho a Improvemenri t Agreement DoCuSigned by: Signature:_,I- OD6i41575AM454SolarCity ... Date: 7/13/2017 approved Customers Name: Signature: , <. Cal Lankton Signature: Q. VP,Energy Sales and Operations \` Date: /-`'� �t. ! Date: 7/13/2017 a �r7 L Solar Home Improvement Agreement(SolarLoan.),version 4.5.0;July 11,2017 '' �'' �j 2793180 ] Ft F C 1__mot g. July 20,2017 Version#68.9-TBD RE: CERTIFICATION LETTER Project/Job#0263702 �H OF Project Address: Doyle Residence 7 St Catherine Ave Barnstable,MA 02601 USPAN �•�/� G AHJ Barnstable Town KAZAN SC Office Cape Cod NO. Design Criteria: '52S 1�': Applicable Co e II—MA Res.Code,8th Edition,ASCE 7-05,and 2005NDS -Risk -Wind Speed'--140 mph,Exposure Category C,Partially/Fully Enclosed Method -Ground Snow Load=30 psf - -MP1:2x8 @ 16"OC,Roof DL=13.5 psf,Roof LUSL=19.41 psf(Non-PV),Roof LUSL=10.59 psf(PV) -MP2:2x8 @ 16"OC,Roof DL=8 psf,Roof LUSL=21-psf(Non-PV),Roof LUSL=21 psf(PV) Note: Per IBC 1613.1; Seismic check is not required because Ss=0.18757<0.4g and Seismic.Design Category(SDC)=B<D To Whom It May Concern, A jobsite survey of the existing framing system of the address indicated above was performed by a site survey team from Tesla. Structural evaluation was based on site observations and the design criteria listed above. Based on this evaluation,I certify that the existing structure directly supporting the PV system is adequate to withstand all loading indicated in the design criteria above based on the requirements of the applicable existing building and/or new building provisions adopted/referenced above. i Additionally,I certify that the PV module assembly including all standoffs supporting it have been reviewed to be in accordance'vvith the manufacturer's specifications and to meet an exceed all requirements set forth by the referenced codes for loading. The PV assembly hardware specifications are contained in the plans/docs submitted for approval. • Digitally signed by Hussein A. Kazan, P.E. Hussein. AHussein kazan Professional Engineer T: 609.642.9016 kdZd n Date_:2017.07.20 email: 'hkazan@solardty.com �. f 21:20:15-04.'00' T N Tesla,Inc. 3055 1 .S 5 L P1 Cleaiew Way,San Mateo,CA 94402 p65Gf3Q 1023 th506'81029 Version#68.9-TBD HARDWARE.DESIGN AND STRUCTURAL ANALYSIS RESULTS SUMMARY TABLES . . .Landscape Hardware.-Landscape Modules',Standoff Specifications > Hardware X-X Spacing X-X Cantilever Y-Y Spacing Y-Y Cantilever Configuration Uplift DCR MP1 48" 18" 39" NA' Staggered 87.7% MP2 48" 20" 39" NA Staggered 79.7% Portrait Hardware-Portrait Modules'Standoff Specifications Hardware X-X Spacing X-X Cantilever Y-Y Spacing Y-Y Cantilever Configuration Uplift DCR MP1 32" 1 V 65" NA Staggered 97.4% M132 32" IT 65" NA Staggered 88.5% Structure Mounting Plane Framing Qualification Results Type Spacing Pitch Member Evaluation Results MP1 Finished Attic 16"O.C. 40' Member Impact Check OK MP2 Stick Frame 16"O.C. 18° Member Analysis OK Refer to the submitted drawings for details of information collected during a site survey. All member analysis and/or evaluation is based on framing information gathered on site.The existing gravity and lateral load carrying members were evaluated in accordance with the IBC and the IEBC. 1 STRUCTURE ANALYSIS - LOADING SUMMARY•AND MEMBER CHECK - MP1 Member Properties Summary MP1 Horizontal Member.Spans Rafter Properties Overhang 0.74 ft Actual W 1.50" Roof System Properties San I 'Tr "'13.69 ft #' 'T{" Y p p � Actual D 77 - Number of Spans w/o Overhang) 1 Span 2 Nominal Yes Roofing Material _•. , „_ Comp;Roof Span.3 .:. 2. -A A(in"2) _ �J0.88° :� _. IRe-Roof No San 4 Sx(in."3 13.14 PI ood Sheathing Yes San 5 Ix(in"4 47.63 Board Sheathing None Total Rake Span 18.84 ft TL Defl'n Limit 120 Vaulted Ceiling Yes' PVA.1?Start'W' '.142 ft - Wood Species SPFJ?,, Ceiling Finish 1/2"Gypsum Board PV 1 End 13.67 ft Wood Grade #2 Rafter Sloe 40° PV,2 Start _ Fb(psi) 875 RafterSpacing 16"O.C. PV 2 End Fv(psi) 135 Top Lat Bracing Full PV 3 Start` :' . £(psi) -1,400,000 Bot Lat BracingFull PV 3 End E-min(psi) 510,000 Member Loading Summary Roof Pitch 10/12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 13.5 psf x 1.31 17.6 psf 17.6 psf r, 4 3.0 psf `1" ,x 1.31 u�. "3.9 psf>. PV Dead Load PV-DL Roof Live Load RLL 20.0 psf x 0.70 14.0 psf Live/Snow Load pf", CS , , . 0.6 psf Total Load(Governing LC TL F 37.0psf 32.1 psf Notes: 1. ps=Cs'pf;Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf=0.7(CQ)(Cj(IS)p9; Ce 0.9,C,=1.1,IS=1.0 Member Analysis Results Summary Governing Analysis Pre-PV Load(psf) Post-PV Net Impact Result Gravity Loading Check 37.0 32.1 -13%Q Pass , i .i .- . . . ., - _ •'i. •..mac . ... �ZEP`HARDWARE DESIGN CALCULATIONS -MP1 _ Mounting Plane Information Roofing' 5 a ", » k Comp�Roof ai r* .• Material6�, . i? ':n '_ � Roof Slope 40° Rafter Spacing 16"0.C. Framing Type/Direction Y-Y Rafters PV System_Type"; P r ,. s SolarCity SleeliMountT"" Z_ep System Type ZS Comp - Standoff Attachment Hardware Comp Mount Si V Spanning Vents No --k- 7e Wind Design Criteria Design Code IBC 2009 ASCE 7-05 Wind Design Method Partially/Fully Enclosed MethodY~ N Basic Wind Speed V 140 mph Fig.6-1 C —Section 6 5 6 3 Exposure Category ;{ _ �,. --- -- _ Roof Style Gable Roof Fig.6-11 B/C/D-14A/B ... ,-. Mean Roof Hei ht �� h :` 25'ft;'. - •� `� Sector n 6.2� Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.95 Table 6-3 Topographic Factor Kn `" 1.00. _ _ Section 6.5.7 — — Wind Directionality Factor Kd 0.85 Table 6-4 Importance Factor I 1.0 =k Table 6-1 Velocity Pressure qh qh 0.00256(Kz)(Kzt)(Kd)(V^2)(1)40.3sf Equation 6-15 Wind Pressure Ext. Pressure Coefficient(Up). GCp(Up) -0.95 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down >GCp(Down)' 0.88W Fig.6-116/C/D-14A/B Design Wind Pressure p p=qh (GCp) Equation 6-22 Wind Pressure Up p„ -38.3 psf Wind Pressure Down down 35.3 psf eALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 48" 39" Max Allowable Cantilever Landscape,, 7 . 18 �� -u, DNA— Standoff Confi uration Landscape Staggered Max Standoff Tributary Area " Trib " 13 sf" PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff T-actual 480 lbs Uplift Capacity of Standoff T-allow 548 Ibs Standoff Demand/Ca acit DCR 87.7%' "' K X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 32" 65" Max Allowable Cantilever Portrait' ill, NA ----_ .-_-_ -i---tile._ Standoff Conf uration Portrait Staggered Max Standoff�Tributary Area".' Trib_ t; 14 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff T-actual 534 Ibs Uplift Capacity of Standoff T-allow 548 Ibs Standoff Demand/Ca acit ,r�_ -- DCR '_11 7 77 :.,, 97.46/o 7,,._�7, STRUCTURE ANALYSIS - LOADING.SUMMARY AND MEMBER CHECK - MP2 - Member Properties Summary MP2 Horizontal Member Spans Rafter Properties Overhang 0.74 ft Actual W 1.50" Roof System Properties Span 1r 13.05 ft '� ix Actual D JI&.7.26L,. „ Number of Spans w/o Overhang) 1 Span 2 Nominal Yes Roofing Material Comp Roof Span 31 m® . _, A(in A2) g- ,10.88 IRe-Roof No San 4 Sx(in.A3 13.14 Plywood Sheathing Yes San 5. Ix(in A4 47.63 Board Sheathing None Total Rake Span 14.50 ft TL Defl'n Limit 120 Vaulted Ceiling No"! PV 1 Start " 3.33 ft Wood Species SPF Ceiling Finish 1/2"Gypsum Board PV 1 End. 12.92 ft Wood Grade #2 Rafter Sloe 18° PV 2 Start - : ' fir. Fb si ,: 875 Rafter Spacing 16"O.C. PV 2 End Fv(psi) 135 Top Lat Bracing ";E - ,0; Full�' 0 PV.3 Start.:; ?` n12- kx;.., ...-o.E si Bot Lat Bracing At Supports PV 3 End E-min(psi) 510,000 Member Loading Summary Roof Pitch 4/12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 8.0 psf x 1.05 8.4 psf 8.4 psf PV Dead Load PV-DL 3.0_psf - x 1.05 3.2 psf Roof Live Load RLL 20.0 psf x 1.00 20.0 psf Live/Snow Load "' LL/SL''`z 30.0 psf'' x 0.7 I x 0.7 21.0 psf '- `21.0 psf iTotal Load(Governing LC TL 29.4 psf 32.6 psf Notes: 1. ps=Cs`pf;Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf=0.7(Ce)(CO(Is)pg; Ce 0.9,Ct=1.1,1s=1.0 Member Analysis Results Summary Governing Analysis Max Moment @ Location Capacity DCR Result + Bending Stress(psi) 831.9 7.3 ft 1,388.6 60% Pass f f r , �ZEP HARDWARE DESIGN CALCULATIONS�MP2 Mounting Plane Information Roofing 1 Material a- w Com `Roof Roof Slope 18° Rafter Spacing 16° Framing Type/Direction Y-Y Rafters PV System Type SolerCity SleekMount- Zep System Type ZS Comp Standoff AttachmentHardware "� Comp Mount SRV Spanning Vents No ........ Wind Design Criteria Design Code IBC 2009 ASCE 7-05 -. _. ti_ :-.--_-�..� W_ndOesign,Method_ g r Partially/Fully Enclosed Method. :n Basic Wind Speed V 140 mph Fig.6-1 Exposure Category C— Section 6.5.6.3 -- -- - - - Roof Style Gable Roof Fig.6-11B/C/D-14A/B Mean Roof Height �w--1 25 ft Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure _KZ 0.95 Table 6-3 To o ra hiafactor K 1 00 'Section 6 5.Z _Pr g®P__ F 1 n..-�. . � - _ Wind Directionality Factor �Kd _ 0.85 Table 6-4 Importance Factor 'I 1+0 Table 6-1 Velocity Pressure qh qh=0.00256(Kz)(Kzt)(Kd)(V^2)(1) Equation 6-15 40.3 psf Wind.Pressure Ext. Pressure Coefficient U GCp(Up) -0.88 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down GCp(Down) 0.45 _ Fig.6-11B/C/D-14A/B Design Wind Pressure p p=qh (GCp) Equation 6-22 Wind Pressure Up p„ -35.3 psf Wind Pressure Down down 18.2 psf ALLOWABLE STANDOFF SPACINGS . '_ �.� X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 48" 39" Max Allowable Canulev_e_r _ _ _ 'Landscape , _ 20" _ NA Standoff Configuration Landscape Staggered Max Standoff TributaryAqA Trib 13 sf PV Assseem^bly Dead Load W-PV 3.0 psf Net Wind Uphftat Standoff T-actual ' k =437 Ibs: at ��` , ; Uplift Capacity of Standoff T-allow _ 548 Ibs Standoff Demand/Ca acit DCR --A 79_7% X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 32" 65" Max Allowable Cantilever Portrait _ 12" NA Standoff Configuration Portrait Staggered Max Standoff Tributary Area Trib_ 14 sf PV Assembly Dead Load W-PV 3.0 psf NetNet Wind UU lift at Standoff T-actual . R. Ibs _ r r ro `+ + 1+; p - -._ Uplift Capacity of Standoff T-allow 548 Ibs _._De _ 88.5% Standoff Demand/Ca acit :. DCR ,ux �: _�_. I Model RSS-600 4-2 Connection Diagram: - I DELTA RAPID SHUTDOWN BOX - - Vt'OMPAI� ON ROOF WITHIN 10'OF PV �DNPP C US I I ---------- 1 _ . 1 lip nnr�a+y*aewn Wcond-it L ---------------------DCPv- GRID Ac f - - Technical Specifications sysroeAL 1 i Input Ratings 77r r • •• •600V DC l 600V DC • . . 1 4 20A 10AIS _ • N/A - 15A Output Ratings . • . 1 2 • • • 20A __ _ �t _ 20A • • -• • 25A 25A 1 ` • I� 10 AWG' r�!�12-6 AWG_ - _ • • _ - N/A 3/4"(two holes) •• y PLC Signal a 5V Signal Wire • •• • N/A _ 600V • ',k N/A _ _ _ _ 24-14AWG General Data 7.87x5.91x2.09(200x150X53) 12.44x10.04x2.16(316x255x55) • `,� 2.861bs(1.-4 6.61bs(3.0kg) • • • ,_MCA PV Connector orAmphenol H4 PV Connector MC 4 PV Connector orAmphenol H4 PV Connectorl. t t MC-4 PV Connector orAmphenol H4 PV Connector Screw Terminal Blocks •• • -40-158"F(-40-70"C) 40-158"F(740-70"C) • -40-185"F(40-85"C) 40-185°F(40-85"C). • 0-100% i 0 100%0 •• • ' • 2000m above sea level 2000m above sea level 10 Years i _ 10 Years Standard Compliance • • NEMA4X d NEMA4X ISM _ UL 1741.CSA 22.2 107-1 UL 1741.CSA 22.2 107-1 j NEC 2014 Article 690.12 NEC 2014 Article 690.12 - Pmdurr spec%6'pa(ions subjact to chan,.�e rrrthout nMica. Delta Products Corporation,Inc. 46101 Fremont Blvd. - Fremont,CA 94538 Sales Email: Inverter.Sales@delta-corp.com '> Support Email: Inverter.Support@delta-corp.com Sales Hotline: +1-877-440-5851 or +1-626-369-8021 x Y Support Hotline: +1-877-442-4832 Support(Intl.): +1-626-369-8019 - Monday to Friday from lam to Spm PST(apart from Holidays) •-www.delta-americas.com/solarinverters �J 'j - Rev.011-2017-All infrninatio!i and specificafions area subjert to change vdf.t notice - - t ff SolarGty F SoKity , I G Solar Inverters Transformerless (TL): 3.0 M, 3.8 M, 5.2 M, 6.6 M, 7.6 kW Wide Operating Voltage Range: 85—550V Wide Operating Temperature Range:-13-• 158°F(-25 706C) High CEC Efficiency: 97.5% Integrated AFCI (Arc fault Circuit Interruption) NEMA 4X plus Salt Mist Corrosion Protection Natural Convection Cooling Dual MPPT(5.2kW/6.6kW/7.6kW) i Compact and Lightweight UL 1741 /IEEE 1547/IEEE 1547.1 /CEC d Listed/UL 1699E T e 1 /NEC 690.11 ! ( Yp ) c us J 4SObrCity I ®pSolar Next-Level PV Mounting Technology' ' Components b Mounting.Block•. Array Skirt Ainterlock r , Part No.8501633 Part No.850-1608or 500-0113 ~1 Part No.850-1388 or 850-1613 ' r Y . Listed to UL 2703 " Listed to UL 2703 Listed to UL 2703 o Flashing Insert _ Grip Ground Zep V2 q ,- Part No.850-1628. Part No.850-1606 or 850-1421 Part No.850-1511 Listed to UL 2703 Listed to UL 2703 Listed to UL 467.and UL 2703 Captured Washer Lag End Cap '.DC Wire Clip Part No.850-1631-001P Part No. Part No.850-1509 850-1631-002 (L)850-1586 or 850-1460"" Listed to UL'1565 850-1631-003 (R)850-1588 or850-1467 i Leveling Foot f Part No.850-1397 zepsolar.com „Listed to UL 2703 - This document does not create any express warranty by Zep Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for' each product The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely responsible for verifying the suitability of.ZepSolars products for each use.Specifications are subject to change without notice.Patents and Apps:zspats:com. Document#800-1839-001 Rev D Date last exported:April 29,2016 111:22 AM s - a ri powered by ,� ar } The new high-performance module Q.PEAK-G4.1/SC is the ideal solution for all applications thanks to its innovative cell technology .ANT M pp Q U gY ULTRA and a black Zep Compatible TM frame design for improved aesthetics, easy installation and increased safety.The world-record cell design was developed to achieve the best performance under real conditions—even with low radiation intensity and on clear, hot summer days. LOW ELECTRICITY GENERATION COSTS Higher yield per surface area and lower BOS costs thanks to higher power classes and an efficiency rate of up to 18.6%. INNOVATIVE ALL-WEATHER TECHNOLOGY Optimal yields,whatever the weather with excellent low-light _._. .. and temperature behavior. ENDURING HIGH PERFORMANCE Long-term yield security with Anti-PID Technology', r CICELLS Hot-Spot-Protect and Traceable Quality Tra.QTM. TOP-BRAND-ev 17 A RELIABLE INVESTMENT 2016 Inclusive 12 year product warranty and 25 year linear performance guarantee2. G04PAP a H — Beet p°Iywy 1.lim t-ww `• 4i solar m dule 2014 `•i� `QIv w:eP0.0.e2 n5 E APT test conditions:Cells at-1500V against grounded,with conductive me- tal foil covered module surface,25°C, THE IDEAL SOLUTION FOR: 168h Rooftop arrays on 2 See data sheet on rear for further ® residential buildings Information. Engineered in Germany Q CELLS } t 0 i Format 65.7 in x 39.4in x 1.57in (including frame) _ , (1670mm x 1000mm x 40mm) Weight 44.09lbs(20.Okg) _ ..°.....,»°•.or»..°m !' Front Cover 0.13 in(3.2mm)thermally pre stressed glass with anti-reflection technology Back Cover Composite film E Frame Black anodized aluminum Cell 6 x 10 monocrystalline Q.ANTUM ULTRA solar cells Junction box 2.60-3.03 in x 4.37-3.54 in x 0.59-0.75 in t (6l-77 mm x 111-90mm x 15-19mm),Protection class IP67,with bypass diodes {`{ Cable 4mm2 Solar cable;(+)47.24in 0200mm),I(-)47.24in(1200mm) f Connector -Multi-ContactMC4'IP68 POWER CLASS 295 300 305 MINIMUM PERFORMANCE AT STANDARD TEST CONDITIONS STC'(POWER TOLERANCE+5 W/-OW) - - Power at MPP' P Pp [W] 295 300 305 Short Circuit Current' Iu - [A]'�`-_ - --� 9.70 - 9.77^ _ _ 9.84 .. _. __ _._ - .�...._a E' Open Circuit Voltage` Vol [VI 39.48 39.76 40.05 `- i Current at MPP I_ [A] 9.17 9.26 T _ 9.35 I Voltage at MPP' VMPP IV] `` _ 32.19 32.41~ 32.62 L.Efficiency' q 1%1 a 17.7 z 18.0" ,a 18.3 I MINIMUM PERFORMANCE AT NORMAL OPERATING CONDITIONS,NOCa Power at MP P' _ PMPP [W] 218.1 221.8 _- 225.5 i r; Short Circuit Current* Is° [A] 7.82 7.88 7.94 e p Open Circuit Voltage` V. IV] 36.92 37.19 37.46 Current at MPP` - I_ [A] 7.20 7.27 7.35 Voltage at MPP• - VMPP IV] Y 30.30 T 30.49 Y - 30.67 '1000 W/m',25°C,spectrum AM 1.5G~ .'Measurement tolerances STC t3%;NOC 4 5% 3800 W/m'f NOCT,spectrum AM 1.56 *typical values,actual values may differ r Q CELLS PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE At least 98%of nominal power during first year. - '0 T--- r ---' n--- k Thereafter max.0.6%degradation per year. i --" ------ At least 92.6%of nominal power up to 10 years. 3 z< At least 83.6%of nominal power up to 25 years. - - i i All data within measurement tolerances. - r --�--- -i- _ - Full warranties in accordance with the warranty �.5 i - ' s terms of the Q CELLS sales organization of your •' " _ - I ° respective country. °0 zoo .m -oao mo ioao r � ( a .. • - IRRADIANCE IW/m') � a .Typical module performance under low irradiance conditions in yraas - comparison to STC conditions(25'C,1000W/m'). . -_...m.- .J. ^• '...�•, ,. - .....---ea.-�::.,.--.ram.- �,,.,,..,,,,.�• w-��........+#, TEMPERATURE COEFFICIENTS s" } Temperature Coefficient of Irc - a [%/KI +0.04 .Temperature Coefficient of Vaz p [%/KI -0.28 Temperature Ceefficient of PMPP_ y [/e/Kl - _-0.39 Normal Operating Cell Temperature NOCT �[°FI 1113 m5.4(45 m3°C) - Maximum System Voltage Vsn IV] 1000(IEC)/1000(UL) Safety Class II a Maximum Series Fuse Rating [A�DCI� w 20 Fire Rating C(I EC)/TYPE 1(UL) Design load,push(UL)T [Ibs/ft11 75(3600 Pa) Permitted module temperature- -40°F up to+185°F _ on continuous duty (-40°C up to+85°C) sign load,pull(UL)' [Ibs/ft'I 55.6(2666Pa) z see installation manual De a a W.lo j UL 1703;CE-compliant; Number of Modules per Pallet [ IEC 61211(Ed.2);IEC 61730(Ed.1)application class A: ---- -y--.« - ---.. ' Number of Pallets per 53'Container 32 - e Number of Pallets per 40'Conta ne - 26 l t c , us 7�aO Pallet Dimensions(L x W x H) 68.7 in x 45.31n x 46.1 n 0745mm x 1150mm x 1170mm) Pallet Weigh- _ 1254lbs(569 kg) - NOTE:Installation instructions must be followed.See the installation and operating manual or contact our technical service department for further information on approved installation and use - of this product. Hanwha Q CELLS America Inc. 300 Spectrum Center Drive,Suite 1250,Irvine,CA 92618,USA I TEL+1 949 748 59 96 1 EMAIL inquiry®us.q-celis.com I WEB www.q-celis.us k _� ',^SolarGty I ® , pSolar Next-Level PV Mounting Technology ZS Comp for composition shingle roofs s GeMPAP, Description PV mounting solution for composition shingle roofs Works with all Zep Compatible Modules °OMPps�e Auto bonding UL-listed hardware creates structural and electrical bond • ZS Comp has a UL 1703 Class"A"Fire Rating when installed using modules from any manufacturer certified as"Type 1"or"Type 2" UL LISTED Specifications • Designed for pitched roofs • Installs in portrait and landscape orientations • ZS Comp supports module wind uplift and snow load pressures to 50 psf per UL 2703 • Wind tunnel report to ASCE 7-05 and 7-10 standards • ZS Comp grounding products are UL listed to UL 2703 and UL 467 • ZS Comp bonding products are UL listed to UL 2703 • Engineered for spans up to 72"and cantilevers up to 24" • Zep wire management products listed to UL 1565 for wire positioning devices zepsolar.com J This document does not create any express warranty by Zep Solar or about its products or services.Zap Solar's sole warranty is contained in the written product warranty for each product.The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty:The customer is solely responsible for verifying the suitability of ZepSolars products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. Document#800-1839-001 Rev D Date last exported:April29,2016 11:22 AM Delta Solar Inverters Datasheet for SolarCity INPUT(DC) , Max.;iystem Voltage � 600 Nominal Voltage 380 V [Operating Voltage Range Full Pliwer MPPT Range I+� �- _ _ r 200-506 V Max.Usabte Current 18 0 A V Ir—20 0 4 20 0 A per MPP tracker a ax.:ihort Circuit Current @ STC -' � ~'�25.0 A'per MPP tracker Max.Allowable Imbalance Power '(` �4200 W 5000 W 5600 W _ lowed DC Loading Ratio Internal DC Disconnect - -Y a - mal - PP Tracker - 1 �--- _ ^' — • y otal input Strings ut Stri s 2_ OUTPUT(AC) - Ncminal Power 3000 W 3800 W -ir 6600 W ��7600 W ' 3000 W @ 208 V/' 3300 W @ 208 Vim% µ?r �5200 W O 208 V!.t�8600 W @ 208 V/ 6600 W @ 208 V/Max.Continuous Power 3000 -W 240 V�1�__3600W@ 240 V 5200W @ 24 0 6 600 W @ 0 Voltage Range _L: =jL J1 7600 W @ 240 V 183-228V@208V/211-z64V(M240V 14.4A@208V/ r 0158A@208V%'-� 240A@208V/ 11 317A@-208V1 ' 31.7A@208V/Nominal Current 12.5 A @ 240 V 1, _15 8 A @ 240 V_ 21.6 A @ 240 V t 27 5 A 240 V 31.7A@240V - -- _---- r��._-V .g - -� (Nominal frequency 0 Hz�' Frequency Rarge -y 59.3 60.5 Hz ustabte Frequency Range _ 57.0-63.0 Hz Night Consumption <1 5 VV T otal Harmonic Distortion @ Nominal Power r __ <3% Power Factor Nominal Power justable Power Factor Range O.BSi 0 85c - ` ouitic Noise Emission <50 db(A)@ Im GENERAL SPECIFICATION ..� _ � _ Max:.Efticiency . - .. _' -98% CEC Efficiency - — 97 5%@ 208V/97 5%@ 240V � - _ Openating Tem erature Range -13 158°F(25-70 C)I derahng above 122°F(50 C) Storage Temperature Range -40 185°F(-40 85 C)w [Humidity 4. _ - Max.Operating Altitude '2000m above sealevet MECHANICAL DESIGN Sizel_xWxDinches(LxWxDmm) 19.57158x8.51n(495x401x216mm) k 268x15.8x85in(680x401x216mm) eight t 43.0lbs(19.5 kg) y _ _65.0 Ibs(29.5 kg) Coding Natural Convection C Connectors Spring terminals in connection box Compatible Wiring Guage in AC AWG 12-AWG 6 Co - � ~�_- peer(According to NEC 310 15) I DC Connectors 2 pairs of spring terminals in connection box r 4 pairs of spring terminals in connection box Compatible Wiring Guage in DC AWG 12-AWG 6 Ca690.8 pper(According to NEC ) Communication Interface ZigBee - - LMsplay 3 LEDs,4-Line LCD Endosure Material Diecast Aluminum STANDARDS/DIRECTIVES Enclosure Protection Rating NEMA'4X,IEC 60068-2-11 Salt mist Safety UL 1741 Second Edition,CSA C22.2 No.107.1-01 SW Approval :.r. M__� - ..- -LIL I- -8 - �- _., Ground-Fault Protection NEC 690.35,UL 1741 CRD w V ti.1slanding Protection - IEEE 1547,IEEE 1547.1 EMC F FCC part 15 Class B FAFCI. UL 1699B(Type 1),NEC 640.11 PV Rapid Shutdown UL 1741 CRD PVRSS,NEC 69012(with SMART RSS) Integrated Meter ANSI C12.1(meet 2%Accuracy) [Regulation of Grid Support - Caldomia Rule 21,HECO Compliant,IEEE1547 _.. .._ . WARRANTY �• _-,..� Standard Warra 'u _ _ 10 years-,--.- Delta Products Corporation,Inc. 46101 Fremont Blvd, Fremont,CA 94538 Sales Email nverter.sales@deltaww.com Support Email:inverter.support@deitaww.com Sales Hotline:+1-877-440.5851 or +1-826.369-8021 Support Hotline:+1•B77-442.4832 Support to Fri:ay from a o 5 Pi E LTA T/'y Monday to Friday from 7 am to 5 pm PST(apart from Holidays) (,� Itl� Qi.'1Y1 i {ems I` n R_SS RAPID SHUTDOWN Abu" I Rapid Shutdown Device for Delta 3 .0N7.6 TL Inverters Delta's Rapid Shutdown Devices provide an automatic disconnect of 60OVDC residential or small commericial PV array system,fully compliant with the Rapid Shutdown requirements of NEC 2014 article 690.12. It is compatible with Delta's single-phase residential inverters. KEY FEATURES •NEMA 4X Protection •Compact and Lightweight •Rack Mount Installation •Fast Connect with PV Connectors •Compliant with NEC 2014 article 690.12 •PLC Communication(Model RSS-600 1-1 only) �cp C US r www.delta-americas.com r4` ` OFFA ' CAPE COD INSULATION c� EIBER 0EA55 31AMLL55 5PRATEOAM SOSPENDED BATT5 ('OTTERS 11,of,ION CENINOS 1-800-696-6611 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: loll d-l/ )-- Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village " ���'►�� Sn� (, u7 say �- C lK;n.a; va' Gins" , P Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes ( ) (X) J30 ) (,K) ( ) Floors Rn+tt ( ) (X ('ZL) (X) ( ) Walls ( ) ( ) ( ) ( ) ( ) Ar j8a GM, Sincerely , He yWsidysident Cape c. T TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �� Parcel Application # Health Division Date Issued' /D f' Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 7 l'ATzee>Z a Ave Village Z, y �/,t ff Owner `M e_,ZZ./ / .✓�/�i���u� Address Telephone (S D f :2 2 4E;2,7 Permit Request ,/2 j'o? G`/���cS Z d 24a Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Jul��, D Construction Type /,U Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes a<o On Old King's Highway: ❑Yes 2-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 st4�g:r❑11 s ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: 0 existing neyv, size_ c;w/ - � Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:�a ';' Zoning�Board of Appeals Authorization ❑ Appeal # Recorded ❑ , Commercial ❑Yes ❑ No If yes, site plan review# d Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address �iloJ License# Home Improvement Contractor# /�'��"'� Worker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 5'�h�7_ S ` FOR OFFICIAL USE ONLY APPLICATION# DATEISSUED MAP/PARCEL NO. ' i ADDRESS VILLAGE r OWNER t i DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE S ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL } GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT; ASSOCIATION PLAN NO. f OWNER AUTHORIZATION FORM - (Owner's Name) owner of the property located at . C'a-if'�ter-rr►e.. ve- t (Property Address) A . (Property Address) " CGL -1d v, hereby authorizee (Subco actor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to per orm work on my.property. Owner's Signature s Z �--- Date VE CIO o-st/ i A1JG 8 72012. . 9 " == (-" t:.. - tic 1 644d 10 Park Plaza - Suite 5170, Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: -153567 s Type: Private Corporation Expiration: 12/15/2012 Trr# 206433 CAPE COD INSULATION, INC HENRY CASSIDY 16 455 YARMOUTH RD. " - HYANNIS, MA 02601 f A. Update Address and return carol. Mark reason for change. ` + L,_I Address I Kenewal` l...I Employment L I Lost Card S-CA1 ii 5i)64-U4iU4-GtU121B *' B Aff R 1 Li cense or reg istration valid for individu! en!y UI'f7cc� of s'umcr air• us nc_ og° •,tiui, HOME I1NPf�b� �17Nf�aCF "`0 � helurc the expiration date. if found return to: Registration: 153567 Type: Office of Consumer Affairs and Business Regulation WXY Expiration: 12/15/2012 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 OD INSULATION;INC HENRY CASSIDY t 455 YARMOUTH RD, Lr HYANNIS,MA 02601 --� — Pture Undersecretary t alid ith t r ' Ma.."acruisctts-Department of Public Safer) Bo;,rd 6f Builtlinlo Rogulations antl Stanflurds" �. Construction Supervisor License v "�. License GCS '100988 - HENRY CASSIDY ` - 8.SHED ROW y WEST IARMOUTH, MA 02673 Expiration: 11/11/2013 (uinnii,a„n,•r Tr##: 7620 . L. LV I L NO. ICU) P. ► s client#:4597 CCINSUL ° ACORN,., CERTIFICATE OF,UABILITY INSURANCE UATE,MMllID1YY1^!,� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER?THIIS2 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMFND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONS ITI-LITE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the card lcate holder ie an ADDITIONAL INSURED•the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,Subject to the terms and conditions of the policy,certaln policies Inay reyulra an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu Of such endorsement(s). vkooucER CONTACY Rollers&Gray Ins.-So.Dennis NAME: Margaret Youn PHONE 508-760-0602 434 Route 134 ac NO ExI: aC No 877-816.2-156 �' South Dennis, MA 02660-1b01 508 398-7980 F _INBURER(B)AFFORDING COVERAGE _ NAIC H " WSURrRA;Peerless Insurance 18333 INSURED Cape Cod Insulation Inc INSURER):Evanston Insurance Company 455 Yarmouth Road INSURERC:Atlantic Charter Insurance Hyannis,MA 02601 INSURERD.Commerce Insurance Company 34754 INSURER E: - ___ V INSURER F: `- COVERAGES CERTIFICATE NUMBER: _ REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED . _0W 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 )EEN REDUCED BY PAID CLAIMS. - R TYPE OF INSURANCE ADDLSUBR POLICYEFF POLICYEX POLIcY NUmocR MMIDD/YYYY MMlOD1YYYY M LIMITS- A GENERAL LIABILITY CBP8263063 - 4/01/2012 04/011201 EACH OCCURRENCE $1 00U 000 X COMMERCIAL GENERAL LIABILITY IS�s EI•ITu Drence $1 OO 000 a occ CLAIMS-MADE aOCCUR .MEOEXP(Any onepatw) $5000 PRR80NAL&ADV INJURY $1 000 000 #' GErVERALA04RQ(nATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIE8 PER: PRODUCTS•GOMPIOP AGG s21000,000 POLICY PR6 LOC {) AUTOMOdILEUABWTY 12MMBCKVMK 4/01/2012 04101/201' COMBINED SINGL LLIMIT Ea 30cuienij 1000000 AIJY AUTO ,t BODILY INJURY(Per Pcr-.on) $ AAUTOSAUTOB SCHEDULED TOSBODILY INJURY(Per ar�idenl)X ON-OWNED' `� PROPERTY p�MTOS - • '13 X OCCUR - XONJ453512 4/01/2012 04/01/201 EACH OCCURRENCE $1 00O 000 CLAIMS-MADE - _ AGGREGATE $� 000 000 0Eu X RETENrIOrI 10000 e WOk KER5 COMPEN8ATION , $ C AND EMPLOYERS'LIABILITY WCAOp529902 6130/2012 06/30/201 }( WG STATD• OTH• ANY PROPRIE7O{ Pq� NE t OFfICER)MEM9ER E7(OTUO / 1 ECUTIV�a N i A E.L.'EACH ACCIDENT' 1000000 (Mandatory in NH) 7 N If yae,deacAhe under E.L.DISEASE-EA EMPLOYEE $1 000 000 DESCRIPTION OF OPERATIONS Unlow - E.L.DISEASE.POLICY LIMIT $1 000 000 T DESCRIPTION OF OPERATIONS!LOCATIONS 1 VF141CLFS(Atlaah ACORD 101,AddIllonal Renmrlra Sph@aulq,I(more epgCe 1$(0011:80) - "Workers Comp Information t ' Included Officers or Proprietors Certlficate Holder is included as an additional insured undw-t oneral Lia0ility wlieli required by written >* Contract or agreement. CERTIFICATE HOLDER CANCELLATION Cape Cod Ills ulation;Inc I SHOULD ANY OF THE ABOVE,DESCRIBED POLICIES 06 CANCELLED SEFORG THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVIsIoNS. AUTHORIZED REPRESENTATIVE - - 4 ' ®loa -2D10 ACORD CORPORATION,All rights reserved;' ACORD 25(201 U/0S) 1 of 1 h The ACORD name and logo iru registered marks of ACORD NS83849IMS3848 MAY :.Y _ .... --. The CommooiI , !th of Massachusetts ' DepartnOu iq r;JustricilAccidents -_ - — Ofjicf• :i lll`vestiga[ions _= 6UU 41 .. ,rriltgton Street' ci u„ �.., WIVII ,:, ,.;s.gov/dia Worker's co,11I)eusatton LnsurimceAflut;.,..;;: Builders/Coiijractors/E''leetritia tqs/.k'luruhers `,pplicant 111fol-11111tioll plelkse 1-'rint l...egibly N:una I,litt.�ilt�.tis/Or ;ztt►iz, teii.ati/I.nClividuttl): c J 'Q ..Phone#: I C you an ewplilyCf? Check flat; appropriate box: `1'yhe of liruje('f(trtluircd): I I .nu a r•nit)loye:c witll- - y ❑ `t ❑ 1 am 1 r n,,: l onlractor'all i tlilve 6. New construction cua,loyc:cs (fill) and/or part-tilne_).* hired thl .rii! ,cmu`aetors listed on , _ 7. 1.� emocleliuQ. the au i, -,-.I II c[. --� I :nu :t wic [)ropricator or lk:lartnerstlip Tttwe,rli utraCtors have 8. ❑ Demolition. ,lull have:no c;inployees working for eniployc; .:,ti,i have workers' colulp. 9. ❑ Bililtling addition nic-In any capacity. [No workers' insuaaut:,. 10, Electrical 1'ep)lll's or addilln115, lOMI) IntiUranlCe, f0clU,re(.) 5, El We cUC:I iA i l,orution and Its it. Plurribua g rc1` 5 j airs of additions officers il:n \eicised their ueh t of'- ❑ a llolurowuer doing all work exempt ton I I NIGL e. 152§(4),and 12. Roof repairs nt scat I Nn workcrs' comp. we have ii -mployees.[No workers' : 1 13. 001:1 ��ee�l'tlt'f f?Ct�iG' In>tiraucc requited. .[ comp. ur,tn a 'c reciuirecl.] lnp.g,pllc'aul that checks box µl roust also fill out the section below showin..jk(H workers'compensation policy information. sulxnit this affidavit indicating they auc doing all wo,l,.11ai i lrn hire outside oonuactOls Inuit submit a now affidavit indieatiug iu ll. :uu,l,a n.that check lliis bi)x Hoist attach an additional sheet showing rl„ :,:,10I of the sub-Contractors and state whether or not those entities have:enytlnyce;,u it,)kill 01111dCLkll"5 II41VC olllployccs, they IrllAst provide their workers'call, p.-I,,) dumber. - 1 ion an erriplo yer that is providing workers'cornpensnhou i)ra'„o ice for my entployees.-Belo ty is:the policy rind job site. nyorntuliun. . .. ' , = �h r a Il�ulraliki`.l:'outllany Nara.: I'IIh,vltol .�ell-tits 1.ic. It: �!S ��_, .[ �� :._._ Expiration Date: tali>ur Addrr,sS: . f City/State/Gip: } utach a copy of the worlters' compensation policy declaration pag, i..Lowing the policy number and expiration date). l�Udly it,,cc:ulc covc1a6c as required under Section 25A of MGL c. l' ,.n I,+acl to the imposition of criminal penalties of a fine up tv$1,500,00 ancVvl ntr-year uttllrlsuniten(, as well as civil penalties in the form of a STM)twill I:ORDER and a fine of up to$250 00 a day against the violator. He advised. Ihal:�ropy uI'Utis stute,rlent u'icl e Porwarded to the Office of lnv"ui,,.lu„w..of the DIA for insurance covaruge verification. - l do here c if under the r ins and penalties of poi po v that the inf'arinalion provided above is true and correct. 1r',u tturr: _ Date; l)hlutt�+l: J ' UJ(u iul use only. Do riut write in this area, to be completed bl ;rl,or•totvil official 4 City of Town: - Permit/License# a 5 ' Lolling rl,uthority (circle Otte): I.lklard of Ilealth 2. Building;Depar ineut 3.Cit;v/'i ouu Clerk 4,Electrical luspector. S.111urubiug inspector o.1.)fhct l:orltact Person: _._..._ Phone#: A t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �.Map ZG1 Parcel �Sk Permit# �. ,,� Date Issued_ c:� Health Division _ 02 U,� S" Conservation Divi nJ o5 b�l� FEBA 9; i Fee , O CS Tax Collector Treasurer U -`_O r EXISTING SEPTIC SYSTEM Planning Dept. � LIMITED TO _3,0 OF BEDROOMS Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address s�• �O(�R P� �V-0 Village U<,rao Owner n ri 1 S Q�'1 �1�, Address _'Sa«_ Telephone :2 O Permit Request 1��, ,'--L J DUary Dan=C-L ten, SE.l s 8 k�. &L� �i / nn Pt 6�. Y s Square feet: 1st floor: existing 1 0 proposed 2nd floor: existing proposed Total new �---- Valuation �� Zoning District Flood Plain Groundwater Overlay Construction TypeWmdz1� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing St;�Ull re (� Historic House: ❑Yes o On Old King's Highway: ❑Yes VK Basement Type: ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) ( �� Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn: ❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name tfi. Telephone Number Address 54 bC' License# T� Home Improvement Contractor# Worker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE ,s FOR OFFICIAL USE ONLY PERMIT,NO. t DATE ISSUED MAP/PARCEL NO. ' 7 • ADDRESS VILLAGE OWNER + ; • t DATE OF INSPECTION: _ f FOUNDATION . "� S y� /C) FRAME + INSULATION FIREPLACE a ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH C FINAL zr1 p } GAS: ROUGH FINAL FINAL BUILDING• `3 fir r DATE CLOSED OUT >- yp rn ASSOCIATION PLAN NO.ro n c� s OFZHE roe E Town of Barnstable Regulatory Services " BAMSTABLE, ; Thomas F.Geiler,Director Mnss. _ EI 33ig. 61`0� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION Mq GL 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 morethari four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with.other requirements. Type of Work: �� Estimated Cast Address of Work: t Owner's Name n n 'S Date of Application: I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law ❑lob Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contracto aige Registration No. OR Date Owner's Name QIorrmhomeaffidav I ACORATM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YY) PRODUCER5/12/9004 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Mc Shea Insurance Agency, Inc. HOLDER. CERTIFICATE DOES NbT AMEND, EXTEND OR 320 West Main Street ALTER THEHIS COVERAGE AFFORDED 11Yt THE POLICIES BELOW. Hyannis, MA 02601 508-790-IMID INSURERS AFFORDINGCOVERAGE INSURED Roy Brown Home Repair INSURERA: NATIQUAL GRANGE MUTUAL 34 Horatio Lane INSURERB: A Insuranoe comp4nies Centerville, MA 02632 INSURERC: — 508-775-6582 INSURERD: — — INSURER E: 3 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,EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE MM/DD/YY DATE(MM/DDfYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $500,000 CLAIMS MADE �OCCUR MED EXP(Any of e person) $1 A - — MPK34477 05/05/04 05/05/05 PERSONAL&A©VINJURY $ 000 GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I I PRO- PRODUCTS-COMP/OP AGG $ JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SIN�LE LIMIT $ — (Ea accident) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS i NON-OWNED AUTOS BODILY INJURY* $ (Per accident) 3 I PROPERTY DAMAGE $ (Per accident) ' GARAGE LIABILITY " AUTO ONLY-EA ACCIDENT $ ANY AUTO I OTHER THAN .r EA ACC $ EXCESS LIABILITY AUTO ONLY: AGG $ EACH OCCURRENCE $ OCCUR CI CLAIMS MADE AGGREGATE $ 7 DEDUCTIBLE $ RI=i"ENTION $ ' WORKERS COMPENSATION AND $ EMPLOYERS'LIABILITY TWO STATU.= OTH- X TORY LIMITS ER 886X262-2-02 05/31/04 05/31/05 E.L.EACHACCI©ENT .$100,000 B E.L.DISEASE-FA EMPLOYFE S 1 OTHER E.L.DISEASE-POLICY LIMIT I$ f i 1 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS A - A CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER; ' CANCELLATION i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town Of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL J_O_ DAYS WRITTEN Building Department NOTICETO THE CERTIFICATE HOLDER NAMEDTOTHEiEFT,BUTFAILURETODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE ACORD 25-5(7/97) 0 AC IRD CORPORATION 1988 z LOT 15 ;. 1�0 00' o LOT 16 � r A H sal I -36p ZOQ, pp' 00 , r 190, -ROAD T s�: DUNE' "14��' --— This MORTGAGE Plan is For INSPECTION Dank Use Only FLOOD ZONE: "'C" THE G arcs AND M -U LE Far•rs ON TFN r.aH sHOULP 5 v'.RMED � 4v INsrRuMENI�71 SUFVFY. DE-), N: -- i- REGISTRY OWNER: L DA_�� llr�1�K_.�RI.�a�1 _ -------- DE1?D P,Efi: _G I�T:1.2 —54 BUYER: -MVYLS�-p5LILp12� bi E_..� DQ--E7,r;__ D TE: _29 ��?000-_- --_ - PLAN REF: 4_C_14054H H: 2 SCALE:1"= 30 FT. HEREB`i, CERTIFY '1'0 ! c_CA_�_c� ___� L+�1` _ i,17A"G.> PiAJVA -___ w y I�TK E SURVEY -----------------------_____TH:'�T THE BUILDING �, -�. , CONSUIJT�INTS OFF SHO`vN ON THIS Pr aN IS LOCATED ON THE GROUND AS �� r SHOWN A\U 'THAT ITS POSITION DOES _ — CONFORM TO THE ZONING LAW SETBACK REQUIREMENTS OF THE �'A�r° m 40H (SUIT); 1� `I'O'WN OF r�,�?���TAB_L_F ___ __ ___ r MESS-H15lt �•. INDUSTRY ROAD IT DCi"C_ NO1= ,IE Sti7THIN—THE SPECIAL FLOOD HAZARD 98 r M.k)l STONS MILLS, MA, 02648 A):j3,4: AS 'S I0AlN ON THE H.U.D. MAP DATED—QL/-j19/Z — �p��` r TEL: 428-0055 ,x t tlntfi —Pal�e1 t �'50001 0005 C �,n�` FAX: 420-5553 THIS PLAN NOT MADE FROM . . WT SURVEY r USED FOR FENCES, PERMITS, ETC �'9519 JF L` C i , f a • ROY r _ _{ ��1,�� l <���-�„ ( ��: Estimate -[)illy Rctpai , N/I` 1`li+•1�'F Izenovatiolls 61. c_11Gt Residential �md Commercial rcial � ! Date j 11/16/2004 A i i Name/Address j Intro Dennis Phillips ---- `Seven St.. Catherine Avenue Hyannis, IAA 02604 i , a — 3 I F— — Project Pdreh Item Description Total j Porch, 0... Labor allowance to construct an open ground level porch with j 6,150.00 1 railings and roof, psf 1 I s i I i materials :Material allowance for porch assembly, psf 13,740.00 _ I ' I Deposit of$4,500.00 requested at time of signing contract, and balance upon satisfactory completion. j I i i } I I i j ! I ! ! Thank you for choosing the Home Repair Company ---I — - --- ! Total ---- ---.--- W,89 0.001 Signature A li� ra(io L,aue.. Centerville, NIA 02632 Phone: 508-775-658)i Fax: 508-775-1836 == Department of Industrial Accidents. :-= a1ffce oflnyeStigZ9905 . .:_. ., .- - s 600 Washington Street Boston,Mass. 02111 ' s Workers' Compensation Insurance Affidavit ���� lsci�i���ift��ii�titb�i�✓�%%��j'!%%,//�%��������c��8;�� � .�� �� �������������/�� 1��������������%�r�%%% name: � location: city ho L#=' ❑ I am a Vmeowner performing all work myself. I am a sole n lietor and have no one worki>s in alty capacity I am an employer pravldtng workers' compensation for my employees working on this job ; r compnnv name_ : : .:: adclre35. citv,. e#.ion': ... insurance co. Dniicv# ' I am a e proprietor,reral contractor, or homeowner(circle one) and have hired the toutractors listed below whc have i the following workers' compensation polices., ' comnanv name' p.:::. .. ... -. city: .::.:..... _... ..... ..... ::.. .. a... m9 rt n ce ca. . ... ,.. .., . ..::.. . .:... . .:::.....:: ..:..:..:: :.:::.' : :: oltcv#...... .... .:.. :;.;,..: .::..::. i carnnanv name. .• •:'::':: <;;; x �. address CL tone:# . in�urnnce co. ; .;.; '^ <. ;. olicv#• Fallure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a IIne up to S1,500.00 and/or one years'improorrnrent to well as civil penaltim in the form of a STOP WORK ORDER and a Hue of S100.00 a day apatnst me, I understand that s copy of this statement may be forwarded to the Ofnce of Investigations of the DIA for coverage verification I do hereby certify under the pains curd penalties of perjury that the information provided above is tru-'and correct Siguiture Date I f3-0 t-( Piiut 1=1C PhoneIV # oittci:tl use only do not write in this area to he completed by city or town ofncW cihv or town: permitiNcense# ❑Building Department ❑Licensing Board F ❑/:ltc.kih'itTunedlate response is required (]Selectmen's Office ❑Health Departrnent contact person: phone#; — ❑Other h 3 r , r r; 3, F 4 - _ LOT 1 5 58136 30, i 0 51� 0 ••! /Il J///r/ O CIS Q) 0 LOT 16 100 p 0/77 Plan is ZNc RE. ZONE.- RB / This MORTGAGE INSPECTION sank Useoonly FLOOD ZONE.' "C" THE C FS AND ME SU .NTS ON JeLq gLAN SHOULD BE WRIFIED AX k'LJ INSTRUI:E RVFY. TOWN: _____ REGISTRY OWNER: -LYJLA_91fd�K�RI� ------------- DEED REF: _=JdZ45�!------ BUYER; .U�cVcVIS� P�t1LIP,� Il 1?QY�c-------- DATE: _0.91 312000_----__-- PLAN REF: L_C_14034H SH_2 __-SCALE:1"= 30 ___FT, I HEREBY CERTIFY TO YANKEE SURVEY SAV.TjVGS BANK---------------THAT THE BUILDING �� � CONSULTANTS SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN AND THAT ITS POSITION DOES ____ CONFORM PAULA � 40B (SUITE 1) TO THE ZONING LAW SETBACK REQUIREMENTS OF THE MERff HEW INDUSTRY ROAD TOWN OF ___aA8NtSTA&Z-------------AND THAT Na 98 .M-4RSTONS MILLS, MA. 02649 _'IT DOES_ L01- LIE IITHIN THE SPECIAL FLOOD HAZARD TEL: 428-0055 AREA AS SHOWN ON THE H.U.D. MAP DATED_0_/_iS«'5_ FAY, 420-5553 o unit -Panel 250001 0005 C Q` _______ THIS PLAN NOT MADE FROM .- SURVEY 29519 JF CAUL A. h hl'II�E�ti' PLS NOT TO BE USED FOR FENCES PERMITS. ETC • �/+��om�noouuea�c a�✓�creoaclu�ae� ' NOW)Q:F BNAIL[7ING F PORN Lioe�se �G fSTRlfCTION Si1P1 It 166R Numbe 865,525 o _ r 6 Tr.no: 14425 Rie Wit. ALRFi2T R B620 344 HQ'fR LN CENTERVILLE, MA 02. Adrrnffistr or � 'ioard.offuil in gu]atimSs an Standards' HOME IMPROVEMENT CONTRACTOR Registr 126560 E Q 1/2006 r ALBERT ROY B p XCftRT BROW 34 HORATIO LN CENTERVILLE,MA OK �`` Administrator I' Assessor's map and lot number ................. ................� f Qyo�THE ropy Sewage Permit number ... .....:?.. House number .... .... ....... .............. ...... ./C...���.... FT Os,1639•'Ea MAY ale TOWN OF BARNSTABLE BUILDING . INSPECTOR Al h/ DES APPLICATION FOR PERMIT TO ........................... > ......................................... ......... ........................................ TYPE OF CONSTRUCTION ....I!%.. :0 .. ................................................. ................ ............... ...4.Ll,:fw/ �.. I�:..........19:..C�. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...G��.,�,I.....f4'....T4-c t��:7�! "^-� -�,�'�—�l•?�`r-- ��'...�k�.1..�i�� ` �...,�.... . . �J Proposed Use ?.fit '` �.` ...:... :. .C. ..Y....... .W.��..:�.01.U.�.........:.............................................: . .............. Zoning District ........9.8.................................. ..............Fire District H-1.Alvjw.-� ...... .. .................. Narne of Owner .... :....I.�''. .T l Ic'Il I Address .......... . ....... �.��. )y,aQ:P. ..I..Y? EE... ... Na,-ne of Builder . ` .1Z :. �d! � x.� � Address ..:.. ...... 1 z �1 ( (r,t): ... .. ^. ............ ........ ... ....... Name of Architect a: .... : Address .... .................. A.y.�,.n Number of Rooms ::... ,....................................................Foundation ......... Exterior ...........................................Roofing ✓. ! L..F.......................................... Floors C fiX I-- .. ........... . . .... �.. ........ .. � ... `. .. - t Heating - .. ..Plumbing ...:....I:. � j - ....� ...'. `.: ...... !I. .......... ... .. .... :.. . .. ... ... . ... Fireplace ............................ ....... ......... ................Approximate Cost ..:.....: .�r..� ...... .. ...... ................ Definitive Plan Approved by Planning Board,�C"14(_ -[-/-----------19"------- . Area Diagram of"Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH F OCCUPANCY( PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the; Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ..'�`!`.�'�.. --:... . Construction Supervisor's License .... 7........ J C. S REALTY TRUST 2=A 11 -05-9 I No ...ZEE... Permit for .... 7'...S.t-Q. y.. ........... Single Family Dwelling ............................................ 1i­gnLocation Lot 16, 1 n iOo ................................................ ad Hyannis .. .............. ........................................... Owner .......J.....C......S....... Realty. 1 t y...Trust s.t.............. .. . ........ ...... . . Type of Construction ...Frame............................ ................................................................................ Plot ............................ Lot ................................ Permit Granted ............................... ..December 17,.....19 85 Date of Inspection ....................................19 Date Completed :.....................................19 .. R_'x' •' '.-Y a163�N�.., fr�,. .Y �.r` It+?* fes+>t' ta ��i+� f ,wr,4'rs�R� n .3,w.4 3��- �°` 'k t� .f�'. � '.">�+w='.� o.Y"A'°+a:r. ' o•'?k:, !a'�"'��, su VNI All s �+ MASS rCHUSETTS ER 02 1 3-, TOWN OF BARNSTABLE�- �, � � -4 . MIT WEATHER CAF 4 cis @9.T} C�CBr�fillt'} �swaxfsyi19 �. �ERMIT NO F a APPLICANT •" ac ter•-x.,:r %o si mGreet>:waod,"`Ave #. O :s° 9 _ DRESS AO �Y • .�T tiYti ..6: A L ®..•.N.. w '� `.;,,-- "Q('_ s � ,. 'r•i INO.),e+� -. (STR EETI..�. .s 'a"""''rs ..,7y ....€ ,-s.'':.,.:, ,.r-i. ..r�' C'g .:TRE:.+....., , (_C ONTR*S��LICENS,._E . PER MO �uId rrwdY2xfA j ;NUMBER OF ' .� .a Y ( )`STORY $�12F;� # mf�� �4I@Il�t� " .. DWELLING UNITS �` (TYPE OF IMPROVEMENT) NO. _ _ n::y,; (PROPOSED USE) - M4, _ „a,t.: ,.(�„ � � � +�.0 �,ay ,ZONING Lot 16 M AT (LOCATION) s " "anni8�''ww "` Pai ec. pit. _ •n n +� . t� e!i rek (NO ) + s+••r+ y (STREETI_ et.ss*�T 4 w�. . +r vSTRICT - :� z..�E`��..a+.�.s'Srt�=.,rxu:�di�. -� a-....r+- I .;+c•' y€" b..+e�W :t-z" y., .� :,.y � .BETWEEN- +..�r.x-�ssy+,uvR ''"'.va` '�.��.�.,�..• Q//I T C/�FT�rl�/u'/A� �YE'r.ar, •a°wxiseerA e�+a > t �`•-s' t •'(CROSS STREET) ... .f._..._, -.�...Y, ,....:. ,.. ..,,,.,,.yv,X,. ,.; v( gTREET) `'n"a'e'-„a_ s ^"' CROS � `"" _ 5 ca`'_' ��='at"'' .w` u"Eiros`t.--.'--"Ra eza`�.--.i+:Cr:a.�. �,.:, s +sw_ t„+K..�.raa:rt•'...roav�4-n�� -.,.•w x-�..-:rtr..,.w•.4:+_ .w S -T AvaapS ., M"'ng"" �`_ W,mriaeree+.sAm-isF .y LOiw�...•..• - �"e - _• `-.._ -.ir.._._.� _ Ear-':t; "-�•^:- :_-•- - _ BUILDING IS TO BE AFT;WIDE BY ` FT:LONG 8Y' "' AFT:IN•HEIGHF AND-SHAL CONFORM IN CONSTRUCTIC +wB iiE 'WA* .fi.#Cai.va} w v r ti .TO TYPE + z Ne rs, TMnUSGROUPas t �« r ar4drC ABASE NT WALLS-09•FOUND N"� TYPEI • �^° '• REMARKS `�` �. ��. @r�'�gs-7a3. ,..dx:->b.�: �'J ���:,�.�s�P'�.'t.,:,^'� ATIO s"z"'�"a^'Z' � .t". _�r :�e�Yr^�^"_'..xr�ss�'z r ,r3 a+ .,+. - .�;� r .xP.�a�.•,w* _.; =...r.=,:" � - � - k,M•F�••k��w�'-E'$k�+ .,•.Y..�$tirtM �'rna+��' �"'�� �, R ��S�ie r '7Gn�"»��3��F� ""�, •.' ° R_»ao�i.�"'gr_za, 44 ��yrF; 4.pFsl,+Lr.M.-M+N Ratl{y'S -*? AnGtr "^':cr;....�s.,." k�re�•=d.._~'^ l `�.,..'IK;.',��•'",t( zc'�--.. <.: '',d "" .-..�"'r'=r'`��''-• _. ..w¢ �.aP �': ,t '",• ' sl's',a,+. ,y�- +. VOLUME — b_ ,•-- " ESTIMATED COSTF.EEMIT'Q� '=xMz .•-s .q.,rv�n...�s i..:av-i:,I C U816/S O UAR E F E ET "e OWNLR `t ->"-lrll9t`-.>,}., ♦ea...ti,d Au Yr R., 15R d. BUILDING�DEPT'^:ax. (� •€s -+fLw�.s+els`��-a.w smaurrrrsas.c _ ..r.,.�.r _ a..n.w ,•ewr+.w.�w.aua�: . w.` i` OFFY 1CSrNO AGH OCCUPY ANY STREET ALLEY OR SIDEWALK OR ANY PART TH OF �F.THERzTEMP RARILYO R OACHI�W 'QFJ PUBLIC PROPERTY; NOT=SPECIFICALLYvPERMIT.TEO'-UNDERnT' BUILD?!}G CODE` US.T BE"Ai PR q - F$DICT l JI ET..OR ALLEYYGRADES.AS;WEL'LmAS DEPTH-AND LOCATION OFyP(JBFC,-'SEWEdtS`MA�cBFtl3'DT"ATN6 FROM' HE DEPXRTM,ENT OF.P BL C WORKS._THE'ISS�IANCE`OFSTHIS PERMIT DOES'NOT,RELEASE THE'APPILGANTxFRb�l' 6''G ND4T"IOF ANY /hP P,j AfB LE.;S BDtry1�1grq N-RESTRICTIONS. _ ._. ;"S'"<.'"'�i"'._._ 'W`E'=?-a.. .W,-,���M:,"� '�•"�S. "art'•,�G'Pi �ALNIMUbt OFF-�;`THREEeCA�LI-.;g,.�. -� ., APPROVED P �ANS;MUST BE,.RETALNE"N'JOB'AND_THIS. WHERE #RFLICAB�LE SE'WRI' TE 'LySPE'.CT10N5`�lEQU•iRE'D'-FOR? �-.ri. 44 -,PE•RMITS�AREyzRE,QUIRE, - „.FORa?A6,L'eotFSLRV.G[tON',WORKs� .CARD.KEPT P.pSTEb`UNTIL FINAL I.NSPECTLON MAS'BEEN _E:LECTRtGAL APL'•EfQthR1 D 41' OUND7fsT.IONS%oa=FCOr1�iGs 3 ��r. MRDE .;�WHEI?E�t°CERT_IF.ICATE:rOF.�OCCUPANC.Y i SERE •.ME.CHAN4CRCsINSTAIlATfONS ,:,�z-.,PRroR�To covERING STRUCTURAL QUIRED SUCH BUfL'DING,SHALLNOTBE OCCUPIED UNTIL A _ " �p.MEMBERSIREADY'T0 LATH) r 3 FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE " < ,.� h d ..... ,'1'��se.+rSie.'i„"r"P� �2" T - POST THISaCARD-SO IT (ISVISIBLE FROM=STREET =.. r - BUILDING.INSPECTION'APPROVALS :, :. .PLUMBING"INSPECT ION-APPROVALS'`;-"'¢' �� EC.'[RI.CAL INSPEC-TIO[1=RR'PRO.VALS- y�- L "t `.«.',�t".`Q-�At... t, ,wi,,�... .;. ""c...,rs-a'.a.+«, sc,»mq + � •_ '. ` 77 W .i��4 .'Yf FM h�RVY.= }:, _� � �V die _,f1.•�� ..... � yya t�� =`�'; J i '�•-' ,..+yj+� .-.�� [�!4 ",ems t �,:q {`� CS�.tn. 24. ".�,,..=.,,r�. ///I�j�A � s- s,•�`,F' a� 2 �.i', 1y.»'"w= 2 ,. e« ,. F'"'° 'S•Sar. .' s 7 WE •=�",�=,�r:-: -,..»�,.+*.-.�_,.-...a-c.. -^tx:.,,�c�-�-�,.: -� v'"�.ae'-�-. �„;...sR..,r � � 7 'e'er-�1"S r,. -•sc..C. a��. ..re.. �c..� ;-.c a :�:: �..,. 1. "' �a �._ ".Sa. r t ,. 4.c, .,. •`fir -ra, 'wv .* {,- "�sy}, rb5^T:+Ter �s-�� tt�. .,I,,. t,;;�.` :�C.,.k.�..-. '`r?wT+,;tk' ;,C... IM x:I3lk�'•�a�+�' a. 9. x EpC��.s..«m. '► '.u.+.+.. .d' "•x`'MEATiNG3(NSPECT'ING PP OVALS s' .+....e.,HE REF.RtGERATION INSPECTION APPROVALS-; � �' '� �e'°r r? T'.p�•Frx-"�rs`� a��r ,� �� �,yrs �� _ ,_,&�b - .�r.� -,a -�r�, r ' �m v ems,' h� _ 4. O HER E Z Za M r ,� •: .r , 'X W •�- .r a x:rt+wrx yr» .�t7�F�.9•� m.+�� �, et_rr�s" s., ':',�st'a-��►'1/�t.... �oa-1-8. `. a+-+A. �� '- " e`��-_ ��'^ , : ..«K `-ar� ""!_'1 .�.� •.rqa -r+:e�' S i4A 4 4;+ >]� '� .w. ' aFM1�'i� -a i..ei. a K.. Md�,'Si-M1b.•. .M4/,'AYF °" S.IT_L. . ✓" X ;r.Sr ,..b eas s NIGRK('$nAL4,:NGT, ?ROCEED UNTIL7�TyE. �" °PE-RMIT"wltL;BECOME..NUIL�AND.V01D IF;CONS:TRUC.TION.. INS:PELT.IONS•INOICA�TED`ONa:THISCARI + *kCTAGES'7E GONST4UNSPECT R.T,1'ON"O�EW3 HE vAR�r � wORK�61-N0:TySTAR.TEDzWITHIN_SI_X'MONTW0 -DATA THE CtN'BE .ARRANGED,"fOR,BY„TECEPHQNE +��,.���, •r � � ••} ", � �PERMI-T�15_ISSUED'A_SNOTE�'ABOVE,,"�.�. � �40R4wRITTEN:•=gN,OTIFI44C�A�rtON -.r i o�TM� TOWN OF BARNSTABLE Permit No. ----------28780 i Building Inspector cash wa -------------- OCCUPANCY PERMIT Bond ---__-----�___ Issued to J. e..S. Realty Trust Address lot #16 7 St. CAtherine Ave. Hyannis Wiring Ins Rae'ri_ Inspection date Plumbing Inspector -�i—"_`; Inspection date Gas Inspector Inspection date Engineering Department �Inspectio, nn date Board of health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE' OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. p �� .. ...��9a . m& ...' ��'� ..... ......... ..............._....................�..._.._._......._..._._._._ ._ Building Inspector I �bo '°•°e TOWN OF BARNSTABLE , �. BUILDING DEPARTMENT. InANXr�T TOWN OFFICE BUILDING �°� t6�9• `� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department)— DATE: An Occupancy Permit has been issued'for the building authorized by 0 Building Permit ........................................................................................................................................................._..... issued to�C:.5 ....&76v-7-;....... TY • Please release. the performance bond. y 7; Assessor's map: and lot number_��.... -Vic ve` a 6 .G � MI�� �'® _ � � FTNET COMPLIANCE; o 0 aNSTALLED IIV Q.K �f • Sewage Permit. number ``.7y3 WITH TITLE 5 House number ...... ......�..f ./.�. ....�../..N.. .... ''.ENVIRONMENTAL CODE AN BAU9TADLE, �/ �/� /�. 'v y MAB6 • TOWN REGULATIONS o, 1639. ,per a MAY Or TOWN OF BARNSTABLE BUILDING ' INSPECTOR .APPLICATION FOR PERMIT TO ........A!..f. ® { ............ ............................................. TYPEOF CONSTRUCTION ............WAO.,O mP....................................................................................................... U��. ..... .... ...19...A.%:� TO ,THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit,Qccording to the following information: Location ....L.6.7..... ProposedUse ........ ...... .�.!�.Y........P.w G1_1A ......................................................................... Zoning District .........2/3.....................................................Fire District ....... . Name of Owner ..... ..L1:��.:... ��?'�. �Tl�(1S I �6 � ��/l .. ... V. ..: ^�- j N.�Address ..........................................................yp .... Name of Builder 2L.`� ..._....(�A'F)5A. .IA//Address � �4' �r !1.p.7...'!.1. .............. ........... . ....... Name of Architect .1.- t �J...7.:..n.): 44. ..t Address ..... ........1c.........,�` . ..w.t�.�....?��.:.y.��..!:............ ..........................Foundation .........C..Qf''. .l Number of Rooms .............. ........................ ..... .. ...................................... Exieriorff .......................................Roofing ............. J / .� ........................................ Floors ................(.... .t.. ..�.1110.�.�.�r.U. ............Interior ............ ��.kVA .......................................... �`:�.../� - Heating ...r. ...... ✓.I........1.1).(.w..............................Plumbing .......:(........... �"! /� Fireplace ...................................................................................Approximate Cost ........ Ib/..J..!>,?.c�.!N.�:... ............ . ...... Definitive Plan Approved by Planning Board/ ----------190--- . Area .,Y�..�� .z. ....L.t..... Diagram of Lot and Building with Dimensions Fee ���. SUBJECT TO APPROVAL OF BOARD OF HEALTH 51 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. . ... C ..'.......:........ Construction Supervisor's License .....0.a114.`7......... j. C. S. REALTY TRUST s VNo .... Permit for ................ I .............. .. r1 r�: Location L 't 16:._ ?� i ;�,. R„ad ....... Hy2nns............................................. l Owner .A J: .C. S. Realty, Trust Type of Construction .,Frame............................. ......................................................::........................ t Plot ............................ Lot ................................ _ } Permit Granted December 17., 19 S5 December Date of Inspection ....................................19 1 Date Complete �. ..... ...... . 2..... .r.......1 r � CC o 6 _ 1 i + r 2 7.4 90 undatt,o � +ri I M 3-P3 150 ��. 4� . 32,5 �'eu, 12-10-85. ^ VT wl T a M 27.9 3 ' �! tor, T� " 10 N CB f : t „a:"e Ii2(.�.. , Sr' iCH i L;P � , L' ITU' �;- I T{� !ttlJ for Cht. r1 301D 1. >t, : 16. au. l�:i<. ,.o;,r �, 2<=^1 block 2, ale - V�ti�:�Tlf � a , :•� : s., shy �, se i - ----- -- - -------- ------- D. :.t.e -Agent : )or: ra the as shown �heon and nseet.�. �tice .__._. . _..... _ opt tfi cooh�.s Carl I_ 1 , t-hack aecyci vteprQnt s of thp- own. of 6a Ad tab.Ce: J i.:'nl_.Q.li C e 1COLi.1;tCrP'(� 30•Z 2$•2 r CiiirS ��saaf �a i; ATION L'o-,- �L� $giti� ��ria�_,7��.�,= Z� NO. -CAGE v/i/✓ `z DATE !,ICANT FEE__ :ESS TELEPHONE NO; (Non-refundabl TNEER TELEPHONE NO.��$'_��,��' SCIIEDULER _Z..` > 9.5 Z:Pl-f (Applicant' s signature) _ . . . . . . . .,. . . . . . . ... . , .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . . . � . ... . . . SOIL LOG - -DIVISION NAME DATE_ �. Za . ��� TIME, -�NSIbN AREA: ' YES VINO, _ _L�j1 /�, /-�,c�Jii� ENGINEER ' N ,WATER ✓ PRIVATE WELL-, C=:o.ttdt9n/ BOARD OF HEAL) EXCAVATOR =ti: (Street name,etc. ,dimensions . of lot,. exact location'. of- testboles and percolation tests, locate wetlands- in - proximity-.to- test-holes).-.- NOTES:, .. �J !,o; it ti 0 j fA Ida ')LATION RATE: HOLE NO: ELEVATION: TEST HOLE NO: ELEVATION: _. _ a 2 6 _ 6 7 - 7 8 g 9 —-- o.✓� g w.... 10 10 . 11 11 12 12 - 13 13 _ 14 _ A/ Z o 14 15 -- 15 16 1 16 .BLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD ✓LEACHING PITS LEACHING TRENCHES ✓; '-TABLE FOR SU13-SURFACE. S,.EWAGE. REASONS: ENGTNEEIZING PLnNS RUST SIIOW NUJ iBER ASSZGNFT) ON PERC• TFST APPT.Tr7A,1 Tr''' ro I A PJ t}T P�Arr r441,v_10'43 I 4 i ��J 4 T7ttxT A�q:U Y.. d y i 12z�m Ut11�^Din s io rrt_.00 l2 91�r1 CoNG PlrzS. 1 " }� 4 �..�.'yiiF�.r�a,!�2. c�Gc.. � 9 g�• �_4_`� ,�Ra�r sly �L a0rzZnra� l✓-14M f uj ;. CD_SI J?L�_ttieua�:_ tl��Tu oit G 4; 0 I n o.(=GE, •' __�,_��5f'f'�A(�c.-[=� �,w;::%r�'R -��; I�. �j III' Ic ` # I " I i- T= . ,. . *• �. � fix.^1�TRSk"1�..1�_'SZ?5A%G $YQC,-= _ ?-2F-,fi£P . � . 4 ' < v f 1L D1AM �'J1( • I 1 , f I ' 1 i I 1 � I � I l I 11 t { I : a —44 SCALE: %f I 1� APPROVED BY: 0 DRAWN BY I ' DATE: de8t* n Hyannis,MA DRAWING NUMBER BARRYJONES=HENRY ARTIST/DESIGNER ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE 1. THIS SYSTEM IS GRID—INTER11ED VIA A AC ALTERNATING CURRENT UL—LISTED POWER—CONDITIONING INVERTER. j BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. ` CONIC CONCRETE 3. A NATIONALLY—RECOGNIZED TESTING . DC DIRECT CURRENT LABORATORY SHALL LIST ALL EQUIPMENT IN EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3. (E) EXISTING 4. WHERE ALL TERMINALS OF THE DISCONNECTING EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED IN THE OPEN POSITION, _ FSB FIRE SET—BACK A SIGN WILL BE PROVIDED WARNING OF THE GALV GALVANIZED HAZARDS PER ART. 690.17. GEC 'GROUNDING ELECTRODE CONDUCTOR 5. EACH UNGROUNDED CONDUCTOR OF THE GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY ' HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5. ' CURRENT 6. CIRCUITS OVER 250V TO GROUND SHALL ` Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(B). Isc SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DO NOT ENTER x _ kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC F .' LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). MIN MINIMUM. 8. ALL WIRES SHALL BE PROVIDED WITH. STRAIN (N) NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY r .NEUT NEUTRAL UL LISTING. NTS ..NOT TO SCALE 9. MODULE FRAMES SHALL BE GROUNDED AT THE R " OC ON CENTER UL—LISTED LOCATION PROVIDED BY THE - PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING POI POINT OF INTERCONNECTION HARDWARE. - PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE I" SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. S STAINLESS STEEL _ STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY _ V VOLT Vmp VOLTAGE AT MAX POWER VICINITY MAP INDEX Voc VOLTAGE AT OPEN CIRCUIT W WATT PV1 COVER SHEET 3R NEMA 3R, RAINTIGHT + PV2 SITE PLAN r • r PV3 STRUCTURAL VIEWS PV4 THREE LINE DIAGRAM Cutsheets Attached LICENSE GENERAL NOTES GEN #168572 1. ALL WORK TO BE DONE TO THE 8TH EDITION ' ELEC 1136 MR OF THE MA STATE BUILDING CODE. 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2017 NATIONAL ELECTRIC CODE INCLUDING t MASSACHUSETTS AMENDMENTS: MODULE GROUNDING METHOD: ZEP SOLAR AHJ: Barnstable Town ` REV BY DATE COMMENTS IF NAME DATE COMMENTS Eversource Energy South Shore UTILITY: 9Y — µ (NSTAR—Commonwealth Electric) • ! • i ,� y _ CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: J B-0 2 6 3 7 0 2 00 PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE DALE DOYLE Dale Doyle RESIDENCE Dylan Garcia T SHNEFIT OF ANYONE ALL IT BE DISCLOSED INN WHOLE OR T TESLA INC.,N ZS NOR MOUNTING SYSTEM: 7 S T C A TH E R I N E AVE e rn PART TO OTHERS OUTSIDE THE RECIPIENTS Comp V4 wFlashing—Insert 7.5 KW PV ARRAY G` ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES: BARNSTABLE, MA. 02601 , ' THE SALE AND USE OF THE RESPECTIVE (25) Hanwha Q—Cells # Q.Peak—G4.1/SC300 SHEET: REV: DATE TESLA EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PAGE NAME: n PERMISSION OF TESLA INC. Delta # Solivia 6.6 TL COVER SHEET PV 1 7/15/2017 E PITCH: 40 ARRAY PITCH:40 MP1 AZIMUTH:92 ARRAY AZIMUTH:92 MATERIAL:Comp Shingle STORY: 2 Stories PITCH: 18 ARRAY PITCH:18 MP2 AZIMUTH:272 ARRAY AZIMUTH:272 MATERIAL: Comp Shingle STORY: 2 Stories B �J Digitally signed by Hussein Hussein kazan ZdW ; T .Ir,Date: 2017.07.20 21 :19:24 �T� kaza n - 04'00' LCR ;D ® E(R)D LEGEND el . r 9 OF At Inv (E) UTILITY METER & WARNING LABEL INVERTER W/ INTEGRATED DC DISCO G & WARNING LABELS HUSSEIN A.`, an r---- KAZAN � © DC DISCONNECT & WARNING LABELS AC AC Ac No. '5-2612 AC DISCONNECT & WARNING LABELS O DC JUNCTION/COMBINER BOX & LABELS a�o M P 1 p M $rallot _ O DISTRIBUTION PANEL & LABELS A Lc LOAD CENTER & WARNING LABELS O DEDICATED PV SYSTEM METER Front Of House R RAPID SHUTDOWN Q STANDOFF LOCATIONS CONDUIT RUN ON EXTERIOR --- CONDUIT RUN ON INTERIOR — GATE/FENCE Q HEAT PRODUCING VENTS ARE RED ;� INTERIOR EQUIPMENT IS DASHED L_J SITE PLAN Scale: 1/8". = 1' N Z. 0 1' 8' 16' m J B—0 2 6 3 7 0 2 O O PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED z CONFIDENTIAL AL SHALL NOT BE USED FOR THE- THE INFORMATION HEREIN doe NUMBER: DALE DOYLE Dale Doyle RESIDENCE Dylan Garcia T = 5 L n � � BENEFIT OF ANYONE EXCEPT TESLA INC., NOR MOUNTING SYSTEM: SHALL IT BE DISCLOSED IN WHOLE OR IN ZS Comp V4 w Flashing—Insert 7 ST CATHERINE AVE 7.5 KW PV ARRAY PART OTHERS OUTSIDE THE RECIPIENT'S MODULES: BARNSTABLE, MA' 02601 ORGANIZATION, EXCEPT IN CONNECTION MATH THE SALE AND USE OF THE RESPECTIVE (25) Hanwha Q—Cells # 0.Peak-G4.1/SC300 TESLA EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME SHEET: REV. DATE PERMISSION OF TESLA INC. INVERTER: Delta # Solivia 6.6 TL SITE PLAN PV 2 7/15/2017 TIE S 1 (E) KNEEAWALL ZH 0p q, S 1 HUS EIPB A . (E) LBW 1C1ZAN 64 R SIDE VIEW OF MP2 NTS _ v " �QJSP�� �r�Q 13'-8" - _ MP2 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES S��Ei{AL-��G (E) LBW _ LANDSCAPE 48" 20" _ 39" 011 STAGGERED A SIDE VIEW OF MP1 NTS PORTRAIT 32" 12" 65 0"' RAFTER 2X8 @ 16" OC ROOF AZI 272 PITCH 18 ,STORIES: 2 I -• �. MPI IX-SPACING IX-CANTILEVER Y-SPACING Y-CANTILEVER NOTES ARRAY AZI 272 PITCH 18 .LANDSCAPE 48° 18° 39" 0" STAGGERED. . - C.J. 2X6 @16"OC Comp Shingle PORTRAIT 32" 1 11" 65" 1 0" X AND Y ARE ALWAYS RELATIVE TO THE STRUCTURE FRAMING THAT SUPPORTS THE PV. RAFTER 2x8 @ 16"OC ROOF AZI 92. PITCH 40 STORIES:2 _ ARRAY AZI 92 PITCH 40 X IS ACROSS RAFTERS AND Y IS ALONG RAFTERS. C.). 2x8 @16"OC Comp Shingle _ - X AND Y ARE ALWAYS RELATIVE TO THE STRUCTURE FRAMING THAT SUPPORTS THE PV. X IS ACROSS RAFTERS AND Y IS ALONG RAFTERS. ' _ PV MODULE - r 5/16"x1.5" BOLT WITH - 5/16" FLAT WASHER a INSTALLATION ORDER ZEP LEVELING FOOT LOCATE RAFTER, MARK HOLE ZEP ARRAY SKIRT (1) LOCATION, AND DRILL PILOT " HOLE. _ --------- --- ------- - ZEP MOUNTING BLOCK ATTACH FLASHING INSERT TO OUNTINGAND ATTACH ZEP FLASHING INSERT (3) (2) MO RAFTER BUOS NG LAG SCREW. (E) COMP. SHINGLE _ (1) INJECT SEALANT INTO FLASHING (E) ROOF DECKING (2) (3) INSERT PORT, WHICH SPREADS SEALANT EVENLY OVER THE ROOF PENETRATION. 5/16" DIA STAINLESS I STEEL LAG SCREW LOWEST MODULE SUBSEQUENT MODULES (2-1/2" EMBED, MIN) INSTALL LEVELING FOOT ON TOP [4) OF MOUNTING BLOCK & (E) RAFTER SECURELY FASTEN WITH BOLT. 51 STANDOFF - Scale: 1 1/2" _ 1' r PREMISE OWNER: DESCRIPTION: DESIGN: coNnDENTIAL- THE INFORMATION HEREIN JOB NUMBER: J B-0263702 00 DALE DOYLE CONTAINED SHALL NOT BE USED FOR THE DQIe Doyle RESIDENCE Dylan Garcia BENEFIT OF ANYONE EXCEPT TESLA INC., NOR [MODULES, MOUNTING SYSTEM: SHALL IT BE DISCLOSED IN WHOLE OR IN ZS Comp V4 w Flashing-Insert 7 ST CATHERINE AVE 7.5 KW PV ARRAY C- PART TO OTHERS OUTSIDE THE RECIPIENTS BARNSTABLE MA 02601 ORGANIZATION, EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE (25) Hanwha Q-Cells # Q.Peak-G4.1/SC300 TESLA EQUIPMENT, WITHOUT THE WRITTEN INVERTER: # PAGE NAME SHEET: REV: DATE PERMISSION OF TESLA INC. Delta # Solivia 6.6 TL 'STRUCTURAL VIEWS PV 3 7/15/2017 GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO TWO (N) GROUND Panel Number: G2020MB1100 Inv 1: DC Ungrounded INV 1 —(1)Delta # Solivia 6.6 TL LABEL: A —( 5)Hanwha Q—Cells f Q.Peak—G4.1/SC300 RODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:2303552 Tie—In: Supply Side Connection Inverter;6600W, 240V, 97.5%a Zigbee, PLC, RGM PV Module; 300 ,274.5PTC, 40MM, Black Frame, MC4, ZEP, 1000V Overhead Service Entrance INV 2 Voc: 39.76 Vpmax: 32.41 INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER E 100A MAIN SERVICE PANEL MULTI—CONTACT E 100A/2P MAIN CIRCUIT BREAKER Branch Socket Delta (E) WIRING CUTLER—HAMMER 111V21'tt'I 1 IND Disconnect CUTLER—HAMMER �A 5 � 1 100A/2P n - Disconnect 6 Delta DC, C 35A Solivia 6.6 TL DC- MP 1: 1x13 EGC zaov ---- ----------- ——————————— Z------------------ A D L1 F-------- _ B L2 DC- I DC+ N DC- I 4 C- (E) LOADS GND ____ GND ---------------............ _ EGC/ DC+ r C+ MP2: 2x6 GEC �~ _J NGND -- Ems- ----------- -----------— I �— r-- ----------- -----------------t� i I N I , (1)Conduit Kit; 3/4' EMT — -J � o EGC/GEC_ I _ GEC-r— 1 TO 120/240V SINGLE PHASE I I I I UTILITY SERVICE I I I I I I _ I I I I PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN Voc* = MAX VOC AT MIN TEMP POI (2)Groygd Ro# C (1)CUTLER—HAMMER #DG222NRB /t► B (3)Delta Solil A (1)MUL71—CONTACT#PV—AZB4 D� 5 6 z B, per Disconnect; 60A, 24OVoc, Fusible, NEMA 3R /y Smar RSS Rapid Shutdown, 60OV, 20A, NEMA 4X, MC4 Branch Socket;'MC4 U—Joint Connector, Female Female Male —(2)ILSCO II IPC 470—#6 —(1)CUTLER—HAMMER.#DG100NB —(1)MULTI—CONTACT B PV—AZS4 Insulation Piercing Connector; Main 4/0-4, Tap 6-14 Ground eutral Kit; 60-100A, General Duty(DG) Branch Plug; MC4 U—Joint Connector, Male Male Female Ssc�SUPPLY SIDE CONNECTION. DISCONNECTING MEANS SHALL BE SUITABLE Class R Fuse Kit—(,)CUTLER—HAMMER #DS16FK nd (1)AWG#6, Solid Bare Copper AS SERVICE EQUIPMENT AND SHALL BE RATED PER NEC. —(2)FERRAZ SHAWMUT#TR35R PV BACKFEED OCP Fuse; 35A, 25OV, Class RKS D (I)CUTLER—HAMMER #DG222URB J (N) ARRAY GROUND PER 690.47(D). NOTE: PER EXCEPTION NO. 2, ADDITIONAL Disconnect; 60A, 24OVac, Non—Fusible, NEMA 3R ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCATION OF (E) ELECTRODE —(1)CUTLER—HAMMER !!DG10ONB Ground eutral Kit; 60-100A, General Duty(DG) (1)AWG#6, THWN-2, Black 1 AWG#B. THWN-2, Black 4 AWG 110, PV Wire, 60OV, Black Voc* =265.95VDC Isc =19.54 ADC (2 AWG #10, PV wire, 60OV; Black Voc* =576.22VDC Isc =9.77 ADC (2 (1)AWG#6, THWN-2, Red ©L*L(1)AWG#B, THWN-2, Red O (1)AWG 16, Solid Bare Copper EGC Vmp =194.46 VDC Imp=18.52 ADC 44(1)AWG #6, Solid Bare Copper EGC Vmp =421.33 VDC Imp=9.26 ADC (1)AWG#6, THWN-2, White NEUTRAL Vmp =240 VAC Imp=27:5 AAC (,)AWG#10, THWN-2, White NEUTRAL Vmp =240 VAC Imp=27.5 AAC (j)gclnduit Kit; 3/4'EMT (1)Conduit Kit; 3/4' EMT (2)AWG 10, PV wire, 6DOV, Black Voc* =265.95VDC Isc =19.54 ADC (4)AWG 0, PV Wire, 60OV, Block Voc* —265.95VDC Isc -9.77 ADC -(,)AWG #6,,Solid Bare_Copper. GEC , . (1)Conduit_Kit;.3/4'.EMT. . . . . . . . . -(1)AWG#B,.TF{WN-2,,Green , , EGC/GEC (1)Conduit,Kit..3/4',EMT. . , , . , , , , . # #1 ®�(1)AWG#6, Solid Bare Copper EGC Vmp =194.46 VDC Imp=18.52 ADC O L�L(1)AWG #6, Solid Bare Copper EGC Vmp =194.46 VDC Imp=9.26 ADC (1)Conduit Kit.3/4` EMT (,)Conduit Kit; 3/- EMT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . .. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . OC (2)AWG 110, PV Wire, 600V, Black Voc* =576.22 VDC Isc =9.77 ADC (1)AWG#6, Solid Bare Copper EGC Vmp =421.33 VDC Imp=9.26 ADC . . . . . . . . (,)Conduit Kit; 3/1r EMT CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: J B-0 2 6 3 7 0 2 00 PREMISE OWNER: DESCRIPTION: DESIGN: t CONTAINED SHALL NOT BE USED FOR THE DALE DOYLE Dale Doyle RESIDENCE Dylan Garcia T = 5 L n BENEFIT OF ANYONE EXCEPT TESLA INC., NOR MOUNTING SYSTEM: SHALL IT BE DISCLOSED IN WHOLE OR IN ZS Comp V4 w Flashing—Insert 7 ST CATHERINE AVE 7.5 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES BARNSTABLE, MA 02601 THE SALE AND USE OF THE RESPECTIVE (25) Hanwha Q—Cells # Q.Peak—G4.1/SC300 TESLA EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PAGE NAME SHEET: REV DATE PERMISSION OF TESLA INC. Delta Solivia 6.6 TL THREE LINE DIAGRAM PV 4 7/15/2017 CAUTION. ... . . POWER TO THIS BUILDING IS ALSO SUPPLIED FROM THE " FOLLOWING SOURCES WITH DISCONNECTS LOCATED AS SHOWN: - 4 - Address: 7 St Catherine Ave 1 INVERTER AND UTILITY DC DISCONNECT ; - SERVICE - --------------=-------- SOLAR PHOTOVOLTAIC ARRAYS) ' L--------------------- — J PHOTOVOLTAIC BACK-FED CIRCUIT BREAKER IN MAIN ELECTRICAL PANEL a IS AN A/C DISCONNECT PER NEC 690.17 r OPERATING VOLTAGE = 240V JB-0263702-00 CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: J B-0 2 6 3 7 0 2 00 PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE DALE DOYLE Dale Doyle RESIDENCE Dylan Garcia BENEFIT OF ANYONE EXCEPT TESLA INC., NOR MOUNTING SYSTEM: T o " SHALL IT BE DISCLOSED IN WHOLE OR IN ZS Comp V4 w Flashing—Insert 7 ST CATHERINE AVE 7.5 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES: BARNSTABLE, MA, 02601 THE SALE AND USE OF THE RESPECTIVE (25) Hanwha Q—Cells # Q.Peak—G4.1/SC300 TESLA EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PAGE NAME: SHEET: REV: .DATE PERMISSION OF TESLA INC. Delta Solivia s.s TL SITE PLAN PLACARD. PV 5 7/15/2017 11 ; o 0 0 •o - p - Label Location: MM Label Location: Label Location: (C)(CB) (AC)(POI) `o (DC) (INV) Per Code: _ Per Code: _ Per Code: NEC 690.31.G.3 °o 0 0 0 -n ° NEC 690.17.E o o.-°� oho •o•n NEC 690.35(F) Label Location: :o ° o 0 0 - TO BE USED WHEN (DC) (INV) -o o p INVERTER IS C Per Code: UNGROUNDED NEC 690.14.C.2 Label Location: Label Location: - o 0 0 • (INV) -o (DC) (INV) o op�,�- ° Per Code: Per Code: 00 CEC 690.56(C) . ° NEC 690.53 Label Location: o (POI) Per Code: - ° NEC 690.64.6.7 0 0 Label Location: o 0 0 - o o (DC)(INV) _ Per Code: ° Q�• -o e 0 o NEC 690.5(C) 0 0 0- -0 0 0 • 0 0 Label Location: \JUV (D) (POI) 0 0 0 Per Code: ®:• ° NEC690.64.B.4 Label Location: o (DC) (CB) Per Code: NEC 690.17(4) Label Location: - o :o 0 o•° ° o 0 (POI) -o o Per Code: NEC 690.64.B.4 Label Location: ' (POI) Label Location: - o 0 Per Code: (AC) (POI) • e NEC 690.17.4; NEC 690.54 (AC):AC Disconnect D O Per Code: ° (C): Conduit NEC 690.14.C.2 c o - • o o•0 0 (CB): Combiner Box • - 0 0• (D): Distribution Panel (DC): DC Disconnect ° - • - (IC): Interior Run Conduit Label Location: - (INV): Inverter With Integrated DC Disconnect Gl (AC)(POI) ^ • (LC): Load Center Per Code: NEC 690.54 ` emu •' (M): Utility Meter Nl WGUaRikD �d (POI): Point of Interconnection Label Set