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0004 SAINT FRANCIS CIRCLE
� , r �zanG►S C I yr. _ �Ir �I I i I� i I f - }7)2-71o'Z SIT-Tr- T .SeSC-T7o-10 - s-eEW&LE ;= t-Y bOyMFE 3 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel oZ aols l O t 9� Appl— ica�ion # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH 170 _ Preservation / Hyannis Project Street Address % 07. F/ IZ'lS C� Village I a// /S Owner z &--/ Address y 0 /9a/!G!5 Telephone �y��S"a DF3 Permit Request /?S*/ lt/ 0 A G17 (,moo/ s Ae, G—lead 6 voA ' , /r7,4�/rvn/7 horny /�crc/S�Si� 3 6�/,Cw y ,oa rye/S Square feet: 1 st floor: existing proposed — 2nd floor: existing proposed Total new Zoning District /Q6 Flood Plain —1 Groundwater Overlay Project Valuation Construction Type//7sA�� So%/ Lot Size Grandfathered: O-YepA-a No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) ; Age of Existing Structure u g g 3� rS• Historic House: ❑Yes O�No On Old King's Highway: Yew ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other w M 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 71 — 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 ?�aZ Proposed Use 170 MGc/1G)e APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name C 15 Z:2L46�� 60J Qof-</0r7 Telephone Number Address /600 ea62L& �Od,,e )r moo? D License # CS /07e63 Home Improvement Contractor# /�vfSS7o2 Email Worker's Compensation # Ola7. 66Gt 166a657c ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 315-lpalr f FOR OFFICIAL USE ONLY R - APPLICATION# ` DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ,. DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL "FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I ' ' DocuSign Envelope ID:B1D586EF-B4E3-4457-9F63-3007A34D6842 , ,So1arGty Power Purchase Agreement Here are the key terms of your SolarCity Power Purchase Agreement Date: 1120120i5 ® 12 �00 . ,, 2 0 t years,- , System installation cost Electricity rate per kWh Agreement term Our. Promises to YouY `* I • We insure, maintain,and fepair the System(including the inverter)aff no additional cost to ybd� s specified in the agreement. ' . We provide 24/7 web-enabled monitoring at no additional cost to you,as specified in the agreement. • We warranty your roof against leaks and restore your roof at the end of the agreement,as specified in the agreement. • The rate you pay for electricity,exclusive of taxes,will never increase by more than 2.900/ per year. The pricing in this PPA Is valid for 30 days after 1/20/2015. ' =ge confident that we deliver excellent value and customer service Asa suit you are free to cancel anytime at prior construction on your home 41. �' Estimated First Year Production K 5,178 kWh .. ~� Customer's Name & Service Address Exactly as it appears on the utility bill Customer Name and Address ,Custom+er.Na e', i ' ^F Installation Location Izabel Cristina Evangelista 4 St Francis Cir 4 St Francis Cir �'� `° Hyannis, MA 02601 Hyannis, MA 02601 Options for System purchase and transfer: Options at the end of the 20 year term: y y y g p ¢ :.,.se/r y SolarCity will remove the System at no cost to you. • If you move,you may transfer this agreement the urcha§er of our • Home,as specified in agreement. "- p g • You can upgrade to a new System with the latest solar • At certain times,as specified in the agreement,you may purchase the technology under a new contract. System. • You may purchase the System from SolarCity for its fair These options apply during the 20 year term of our agreement and not market value as specified in the agreement. beyond that term. You may renew this agreement for up to ten(10)years in two(2)five(5)year increments. 3055 CLEARVIEW WAY, SAN MATED; CA 94402 888.SOL.CITY 1888.765.2489 I SOLARCITY.COM MA HIC 1685721EL-1136MR Document Generated on 1/20/2015 ❑■ • �❑■ 516679 n DocuSign Envelope ID:B1D586EF-B4E3-4457-9F63-3007A34D6842 23. NOTICE OF RIGHT TO CANCEL. I have read this Power Purchase Agreement and the Exhibits in their YOU MAY CANCEL THIS CONTRACT AT ANY TIME PRIOR TO entirety and I acknowledge that I have received a complete copy of this MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE Power Purchase Agreement. YOU SIGN THIS CONTRACT. SEE EXHIBIT 1,THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN Customer's Name:Izabel Cristina Evangelista EXPLANATION OF THIS RIGHT. 24.ADDITIONAL RIGHTS TO CANCEL. DocuSigned by: IN ADDITION TO ANY RIGHTS YOU MAY HAVE TO CANCEL Signature: [- (, ��G,J, THIS PPA UNDER SECTION 22,YOU MAY ALSO CANCEL THIS PPA AT NO COST AT ANY TIME PRIOR TO Date: 1/20/2015 COMMENCEMENT OF CONSTRUCTION ON YOUR HOME. 25. Pricing The pricing in this PPA is valid for 30 days after 1/20/2015. If you don't sign this PPA and return it to us on or prior to 30 days after Customer's Name: 1/20/2015, SolarCity reserves the right to reject this PPA unless you agree to our then current pricing. Signature: i Date: 5olarCity. . Power Purchase Agreement SOLARCITY APPROVED Signature: UNDON RIVE, CEO r, (PPA) Power Purchase Agreement "SOhrCity. l Date: 1/20/2015 Solar Power Purchase Agreement version 8.3.0 516679 vilm2 PURIM FA SmOdy. OWNER AUTHORIZATION MID: Location: � /A. AlG r 4A VV 6 L I as Owner of the subject property hereby authorize&kd;f v Gore WC j6M/ MA Uc I13b 11 to act on my behalf,in all matters relative to work authorized by this building permit application and signed contract LN v 3 f Signature of Owner: late: �IA�tiT5_' T P���i S��L-GiTF F c�3}.ibo•v 318 SOI.AttCl;�i.Cota '�tJtsit I i i�i:trit��r^Iplr. + , s�:.,►xcr,-�r� fi`. tlt►tltiltt$u11�It1p� UYEAR•. �_ xR9X 41f�1 -"�:•C` CAi31B�hl1C�i.CJCi:.tli;t•� _ A � yStyRl�tC12a+�•i4tt)l::k.et:•..,, n We ti..-5 a. + # ' w Office of Consumer Affairs and Business Regulation ° 6 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home.Improvement Contractor Registration +` Registration: 168572 Type: Supplement Card Expiration: 3/8/2015 SOLARCITY CORPORATION - " CRAIG ELLS - 24 ST. MARTIN STREET BLD 2 UNIT 11�e ►' '� ' - --- -- - MARLBOROUGH, MA 01752 -- Update Address and return card.Mark reason for change. scA i 0 20W05 11 Address Renewal Employment [I,Lost Card q ���r"1*xrryilN4'il�{•Pf iflli�!'`'/t�t::.itli'�lrjt"Ir�:'3 _ - • -Office of Consumer Affairs&Business Regulation. License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR 1. before the expiration date. If found return to: i Office of Consumer Affairs and Business Regulation Registration: 168572' Type, ,- 10 Park Plaza-Suite 5170 i i Expraton: 3/8/2015 Su lement :aid PP � Boston,MA 02116 SOLARCITY CORPORATION t .. CRAIG ELLS 24 ST MARTIN STREET BLD 2UNF N1AAL BOROUGH,MA 01752 Undersecretary J Not v lid without signature , bAassachusetts -Deprtment of Public Saf6ly Board of Building Regulations aod'5tat5dards !aGense.CS•107663 a a, CRAIG ELLS 206 BAKER STREET' ` �w Keene NH 03431' ,r • Cs��lrti! slt:!ili r 08/29/2017 67'xetQty1'YU ?,Q'YGI,I,�GIXLfi�� (.z 11 C�'>CI?rGG'.lPi 1 Office of Consumer Affairs nd Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home ImprovementEontractor Registration - Registration: 168572 - Type: Supplement Card SOLAR CITY CORPORATION ! ; Expiration: 3/8/2015 PATRICK KILDUFF to _ - = --- 3055 CLEARVIEW'WAY SAN MATEO, CA 94402 e.Update Address and return card.Mark reason for change. g SCA1 CA 20M•0e111 Address ❑ Renewal ❑ Employment C Lost Card License be registration valid for individul� use only &4-Aoffice of Consumer Affairs&Business Regulation before the expiration date. 1f found return to: V} Office of consumer Affairs and Business Regulation tME IMPROVEMENT CONTRACTOR 10 Park Plaza-Suite 5170 Registration: 163572 TYF -3rd Boston,MA 02116 Expiration:31WM5I Supplemer SOLAR CITY CORPORATION' i r P-ATRICK KILDUFF 24 ST MARTIN STREET BLD 2UNI Not valid without signature &AkLBOROUGH,MA 01752 Undersecretary � - - .� The commonwealth of Massachusetts Department of Industrial Accidents s Office of Investigations i Congress Street,Suite 100 Boston,MA 02114-2017 www massgov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information. Please Print Legibly Name (Business/Organiiation/bidividual): SolarCity Corporation Address:3044 Clearview Way City/State/Zip:San Mateo, CA 94402 ..Phone 4.888-765-2489 Are you an employer?Check the appropriate box' Type of project(required): l.❑■ I am a employer with 7000 4. 0 1'am a general contractor and I employees(full and/or part-time). * . have hired the sub-contractors 6 El New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employee's and have workers' 0 ❑ B. uildin addtt., [No workers' comp. insurance comp. insurance,* '. required.] 5. ❑ We are a corporation and its 10.[1 Electrical repairs or additions 3.❑ 1 am a homeowner doing a]I work officers have exercised their I l [],Plumbing repairs or additions myself. [No workers' com right of exemption per MGL p 12.❑Roof repairs insurance required.]t ' c. 152,§1(4),and we have no employees. [No workers' 13.0 Other Install solar panels comp. insurance required.] 'Any applicant that checks box#I must also fill out the section below showing their workers'compensal ion policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew atidavit indicating such. {Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am'an employer that is providing workers'compensation insurance for my employees. Below is llte policy,4ndjob silo information; insurance Company Name:Liberty Mutual Insurance Company Policy J/of Selina Lic.4,WA7-66D-066265-024 Expiration Date;09/01/2015. Job Site Address: ! �%• f/ nClS C/� City/State/Zip: G1 1.,?/S a. O P-4 al . Attach a copy of the workers'compensation policy declaration.page(showing the policy nudiber and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of fine up to$1,500.00 and/or one-year imprisonment; as well as civil;penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to.the Office of Investigations of the DIA for insurance coverage verification. do hereby c/^e�rl�_�under the pains and penalties of perjury that the information provided above is true and correct. Sienature::, Cn" [�/'clrG ���� Date ��Sw20/.S Phone#: 7818167648 e)— 676 y8 Official use.only. Do not write in this area,to be completed by city or town off lcial. 1 City or Town:: ,. , - Permit/License#T Issuing Authority,(circle one): 1.0oard of Health 2.Building Department. 3.City/Town'Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other. Contact Person: Phone ) ACC> EP CERTIFICATE OF LIABILITY INSURANCE °��`08)292014/ �Y' 2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS i 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. i 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 CONTACr NAME: MARSH RISK 8 INSURANCE SERVICES PHONE FAX 345 CALIFORNIA STREET,SUITE 1300 o A/ No):' CALIFORNIA LICENSE NO:0437153 EMAIL SAN FRANCISCO,CA 94104 ADDRESS: INSUR S AFFORDING COVERAGE NAIC# 996301-STND-GAWUE-14-15 INSURER A:Liberty Mutual Fire Insurance Company 16566 INSURED INSURER B:LIbBity Insurance Corporation 42404 Ph(650)963-5100 SolarCity Corporation INSURERC:N/A NIA 3055 Clearview Way INSURER D: San Mateo,CA 94402 INSURER E INSURER F. COVERAGES CERTIFICATE NUMBER: SEA-002440269-02 REVISION NUMBER:4 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. ILTR TYPE OF INSURANCE ADD L SUBR POLICY NUMBER MM/DD YYCY MID Y El(P LIMITS A GENERAL LIABILITY T82-661-066265-014 09101QO14 09/01/2015 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTEIT X COMMERCIAL GENERAL LIHBILrrY PREMISES Ea occurrence $ 100,000 I CLAIMS-MADE M OCCUR MED D(P(Any one person) $ 10,000 I PERSONAL 6 ADV INJURY $ 1,000,000 1 GENERAL AGGREGATE $ 2,000,000 i GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-comp/op AGG $ 2,000.000 X I POLICY X PRO- LOC Deductible $ 25,000 A AUTOMOBILE LIABILITY AS2-661-01%265-044 09/W014 09/01=5 CE.OMBINED SINGLE LIMB 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per aoddent) $ AUTOS AUTOS X FX NON-OWNED PROPERTY DAMAGE $ HIRED AUTOSAUTOS - (Per accident) X Phys.Damage COMP/COLL DED: $ $1,0001$1,000 UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WA7-66D-066265-024 09101/2014 09101/2015 X I WC STATU- I OTH- AND EMPLOYERS'LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WC7-061-066265-034(WI) 09/01/2014 09/01/2015 1,000,000 OFFICER/MEMBER EXCLUDED? a NIA E.L.EACH ACCIDENT $ B. (Mandatory In NH) }` 'WC DEDUCTIBLE:$350,000 �,.y EL`DISEASE,'EA EMPLOYEE $ 1,000,000 rr yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT $. DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,N more space Is required) Evidence of Insurance. CERTIFICATE HOLDER CANCELLATION SolarCity,Corporation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3055 Clearview Way THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN San Mateo,CA 94402 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORQED REPRESENTATIVE of Marsh Risk S Insurance Services ` Charles Marmolejo 10�------ 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010105) The ACORD name and logo are registered marks of ACORD i Version#42.2 moo; S®IarCity. March 3, 2015 �H OF Project/Job #026802 0�� N �'yG RE: CERTIFICATION LETTER g Project: Evangelista Residence MIL co _ 4 St Francis Cir Hyannis, MA 02601 - SS ENG To Whom It May Concern, NAL03/04/2015 y A jobsite survey of the existing framing system was performed by a site survey team from SolarCity. Structural review was based on site observations and the design criteria listed below: Design Criteria: -Applicable Codes= MA Res. Code, 8th Edition,ASCE 7-05,and 2005 NDS - Risk Category = II -Wind Speed = 110 mph, Exposure Category C -Ground Snow Load = 30 psf - MP1: Roof DL= 7 psf, Roof LL/SL= 21 psf(Non-PV Areas), Roof LL/SL= 21 psf(PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.18757 < 0.4g and Seismic Design Category(SDC) = B < D On the above referenced project,the components of the structural roof framing impacted by the installation of the PV assembly have been reviewed. After this review it has been determined that the existing structure is adequate to withstand the applicable roof dead load, PV assembly load,and live/snow loads indicated in the design criteria above. I certify that the structural roof framing and the new attachments that directly support the gravity loading and wind uplift loading from PV modules have been reviewed and determined to meet or exceed structural strength requirements of the MA Res. Code,8th Edition. Please contact me with any questions or concerns regarding this project. Sincerely, Nick Gordon, P.E. Professional Engineer 'Digitally signed by;Nick Gordon . Main: 888.765.2489 Date:2015.03.04 0744:37-08'00' email:. ngordon@solarcity.com 3055 Clearview Way San Mateo,CA 94402 T(650)638-1028 (886)SOL-CITY F(650)638-1029 solarcity.com AZ RM 243771,CA C81B 388104,C(.1 EC 3041,:CT HIC 0632778,0C MIQ 7170148i3.t7r"i.k IIS7i901c88,it1 CT49770.MA HIC I$85/2,MDMH10.{gg948,NJ't$VHO@t80600. 0FJ 008 100496.RA 077343,TX,]'01,R 27006.VIA GCL'.80L AFiVMSCg 7.0 20',i3 Sotaraty.All rights res*r d. h 03.03.2015 o�",��� y. PV System Structural `s Version#42.2 olarCit Design Software PROJECT INFORMATION &TABLE OF CONTENTS ProjectLLName: _- Evangelista Residence AHJBarnstable °. _ _ Job Number: 026802 Building Code: MA Res. Code,Rh Edition Customer Name_ Evangelista, IiabelBased On: IRC 2009:/IBC 2009 Address: 4 St Francis Cir ASCE Code: ASCE 7-05 City/State_ Hyannis, MA Risk Category -._ Zip Code 02601 _ Upgrades Req'd? No _ _ _ �. _. . Latitude/ Longitude _ 41 656978____70.30386-.—='Stamp Reg d�, SC Office: Cape Cod _ PV Designer: Patty Green Calculations: —El 1i6t La4v EOR: �c;�, Nick Gordon, P.E.— Certification Letter 1 Project Information,Table Of Contents, &Vicinity Map 2 Structure Analysis (Loading Summary and Member Check) 3 Hardware Design (PV System Assembly) 4 Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.18757 < 0.4g and Seismic Design Category(SDQ = B < D 1 2-MILE VICINITY MAP A ,I • I I� 4 St Francis Cir, Hyannis, MA 02601 Latitude:41.656978,Longitude:-70.303869,Exposure Category:C STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK- MP1 Member Properties Summary MP1 Horizontal Member Spans Rafter Pro erties Overhang 0.99 ft Actual W 1.50" Roof System Properties San 1 5.57 ft Actual D .3.50" Number of Spans(w/o Overhang) 2 San 2 5.93 ft Nominal Yes Roofing Material Comp Roof San 3 A 5.25 in.A2 Re-Roof No Span 4 S. 3.06 in.A3 P( ood Sheathin € � :x,. I `� ' F; 5.36 in.^4= : .Yes„- San 5 �;�. , .�, Board Sheathing None Total Span 12.49 ft . TL Defl'n Limit 120 Vaulted Ceiling 'No PV 1 Start 2.25 ft Wood Species SPF' Ceiling Finish 1/2"Gypsum Board PV 1 End 11.50 ft Wood Grade #2 Rafter Sloe 200 PV 2 Start Fb 875 psi Rafter Spacing 24"O.C. PV 2 End F„ 135 psi Top Lat Bracing ;;;Full PV 3 Start w E »,` 1400000 psi Bot Lat Bracing I At Supports PV 3 End Emig 510000 psi Member Loading mary Roof Pitch 5 12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 7.0 psf x 1.06 7.4 psf 7.4 psf PV Dead Load PV-DL 3.0 psf x 1.06 3.2 psf Roof Live Load RLL 20.0 psf x 0.98 19.5 psf Live/Snow Load 'sm30.0'psf; x 0.7 ffx 0.7 21.O.pSf_ -. 21.0 psf.',.' Total toad(Governing LC TL 1 1 28.4 psf 1 31.6 psf Notes: 1. ps=Cs*pf; Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf=0.7(Ce)(Ct)(IS)pg; Ce=Ct=I,=1.0; Member Design Summary(per NDS Governing Load Comb CD CL + CL - CIF Cr D+ S. 1.15 1.00 1 0.94 1.5 1.15 Member Anal sis Results Summary Maximum Max Demand @ Location Capacity DCR Shear Stress 54 psi 1.0 ft. 155 psi 0.35 Bending + Stress .r`= 644 psi 9.9 ft. 1736 psi 0.37, _.wry Bending - Stress -990 psi 6.6 ft. -1636 psi 0.61 (Governs) Total`Coad Deflection ` °0.12'in:` 61996'ft."`' 0.63°ins 120 0:19 ,•' '>,.. r ri LOAD ITEMIZATION - MP1 PV System Load PV Module Weight(psf) 2.5 psf Hardware Asserritil Weight(psf) . PV System Weight 3.0 psf Roof Dead Load Material Load Roof Category Description MPi Existing RoofmgTMeterialComp Roof & • A"`; ( 1 Layers) 2.5 psf Re-Roof No Underlayment _ Roofing Paper 0.5 psf_ Plywood Sheathing Yes 1.5 psf Board Sheathing 4t None _ t - -- Rafter Size and Spacing x 4 @ 24 in O.C. 0.7 psf Vaulted Ceiling' ,` +mom-r- - § No ;;�. s � g ---- Miscellaneous Miscellaneous Items _w- 1.3 psf Total Roof Dead Load 7 pslf MPi 7.0 psf Reduced Roof LL Non-PV Areas Value ASCE 7-05 Roof Live Load Lo 20.0 psf Table 4-1 Member Tributary°Area At', < 200 Roof Slope 5/12 Tributary_Area,Reduction Rl. 1_ Section_4.9�_ _._ _ �.._ Sloped Roof Reduction R2 0.975 Section 4.9 Reduced Roof Live Load Lrf L.(RI) (R2) Equation 4-2. Reduced Roof Live Load Lr 19.5 Psf MP1 19.5 psf Reduced Ground/Roof Live/Snow Loads Code Ground Snow Load p9 30.0 psf ASCE Table 7-1 Snow Load Reductions Allowed? :,: -Ye `: k• Effective Roof Slope 200 r„I Honz.,Distance_from Eye,to,Ridge ._,�,.m.-.__�u W 13 4 ft _ _ Snow Importance Factor IS 1.0 Table 1.5-2 ,e Partially Exposed Snow Exposure Factory". - C. ,. Table 7 2 10 Snow Thermal Factor All structures except 1 as indicated otherwise Table 7-3 Minimum Flat Roof Snow Load(w% _Rain on,-Snow,Surcharge) Pf-min 21.0 psf 7.3.4&7.10 Flat Roof Snow Load Pf pf= 0.7(Ce) (Cf)(I) pg; pf>_ pf-min Eq: 7.3-1 21.0 psf 70% ASCE Desi n Sloped Roo Snow Load Over Surroun in Roo Surface Condition of Surrounding Roof CS-roof All Other Surfaces 1 0 Figure 7-2 Design Roof Snow Load Over PS-roof= (CS-roof)Pf ASCE Eq: 7.4-1 SurroundingRoof PS-roof 21.0 psf 70% ASCE Design Sloped Roof Snow Load Over PV Modules Surface Condition of PV Modules CS_Pv Unobstructed Slippery Surfaces 1.0 Figure 7-2 Design Snow Load Over PV PS-Pv_ (CS-Pv)Pf ASCE Eq:7.4-1 Modules PS P" 21.0 psf 70% o a , CALCULATION__ DESIGN WIND LOADS MP1 Mounting Plane Information Roofing Material Comp Roof System,Type� a „ -: s� ° s'" SolarCitySleekMountT" ° i7 Spanning Vents No Roof Slope 200 w Rafter,S r _ Framing Type Direction Y-Y Rafters Purlin Spacing. '1 M .v '_ X-X;Purlins,Only `, ,; }. ,r° g NAB �R. � _ u ._ Tile Reveal Tile Roofs Only NA Til6Att6chment S stem:kl ' '.. gar'y Tile Roofs Only ,44 r, NA ,. Standin Seam ra S acin SM Seam Onl "' NALi Wind Design Criteria Wind Design Code ASCE 7-05 Wnd,Design Method, ;Y F; x-gm yin'°. . Partial) Full' Enclosed Method . <._ ' Basic Wind Speed V y/ 110 moh . 6 gposure,Category. s S Fig. 5 , F _action, .6.3; Roof Style Gable Roof Fig.6-11B/C/D 1'4A/B Mean Roof,Hei ht ,. , T rm.m. 1406..: 325 nn ®°.. Section 6.2 ' Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.95 - Topographic Factor , � ,- ri K'' 4 �� �= 100 Sectol 6.5.7:: Wind Directionality Factor Xd 0 85 Table 6 4 Im ortance .... m:aa, RNw. : �ur 7-'Table 6 1 VelocityPressure , qh = 0.00256(Kz)(Kzt)(Kd)(V^2)(I)x Equation 6-15 qn 24.9 psf Wind Pressure Ext. Pressure Coefficient U GC u -0.87 Fig.6-11B/C/D-14A/B Ext�Pressde6 Coefficient Down), ., U GC` mow'"' m l ttzg, ., 0 45 , f �r,t Fig"6 116/C/D=14A/B° Design Wind Pressure p p= qh(GC) Equation 6-22 Wind Pressure U ° -21.8 psf Wind Pressure Downown) 11.2 psf ALLOWABLE;STANDOFF,SPACINGS X-Direction Y-Direction' Max Allowable Standoff Spacing s Landscape 72" 39 - Max Allowable=Cantilever ;Landscape 24 ,-;, Standoff Confi uration Landscape Staggered A . Max,StandoffTributary20 sf f <; PV Assembly Dead Load W PV. 3 psf Net.Wind Upllft at_Standoff - vT actual -r395 lbs� _� k Uplift Capacity of Standoff T allow 500 Ibs StandoffrDeniand Ca aci , . 1M, Z 0- I ,n �,, ��_ 791%� ,may: �:�m. ,..,,$u m r_:n,.w-- 77 . o X-Directin _ Y-Direction..: Max Allowable Standoff Spacing 'Portrait 48 66" Max Allowable Cantilever Portraits -_ Stardok Confi uration . . .` ' Portrait Staggered Max StandoffJribut4_ Area .� Trib r. 22 sf f ~ PV'Assembly Dead Load W-PV 3 psf Net Wind Uplift at.Standoff Uplift Capacity of Standoff T allow „ -.� �„ 500Ibs � , Standoff=Demand Ca aca ,s rY y s_,;=!DC Pr� . :. ..° . 87 9%a s f y , ,F SOIafClty ZepSolar Next-Level PV Mounting Technology Components "`-,Up-roof ORO r' I Comp Mount Interlock Leveling Foot Part No.850-1345 Part No.850-1388 Part No.850-1397 Listed to UL 2582, Listed to UL 2703 Listed to UL 2703 Mounting Block to UL 2703 Ground Zep Array Skirt,Grip,End Caps DC Wire Clip Part No.850-1172 Part Nos.500-0113, Part No.850-1448 Listed to UL 2703 and 850-1421,850-1460, Listed UL 1565 _. ETL listed to UL 467 850-1467 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 Zep Solar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. 12 22 14 ZS for Comp Shingle Cutsheet Rev 02.pdf Page: 2 of 2 solar=co • c SolarEdge Power Optimizer Module Add-On For North America P300 / P350 / P400 °a PV power optimization at.the module-level ) 9 — Up to 25%more energy —Superior efficiency(99.5%) - - - Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading yyy� — Flexible system design for maximum space utilization — Fast installation with a single bolt — Next generation maintenance with module-level monitoring Module-level voltage shutdown for installer and firefighter safety 4USA - GERMANY - ITALY - FRANCE - JAPAN - CHINA - ISRAEL - AUSTRALIA www.solaredge.us i a J , J J i i 3 I " � v Single Phase Inverters for North America solar=co SE3000A-US/SE3800A-US/SE5000A-US/SE6000A=US/ SE7600A-US/SE10000A-US/SE1140OA-US SE30DOA-US SE380OA-US I SESOOOA-US SE6000A-US SE7600A-U5 SE10000A-US SE31400A-6S F OUTPUT Nominal AC Power Output 3000 3800 5000 6000 7600 9980 @ 208V 11400 t VA .......................................... ................ ............... ................. ... 10000 @240V - ............ ................ . 0 0............................. ........... Max.AC Power Output 3300 4150 5400 @ 208V 10800 @ 208V 6000 8350 -12000 VA - 5450 @240V 10950 @240V AC Output Voltage Min:Nom:Max.' ✓ ✓ 183-208-229 Vac - ✓ ✓ ✓ ......✓ ................✓ ✓ ✓...._.. ....... ....... ........ ................ ....... ...... AC Output Voltage Min.-Nom.-Max.* 211-140-264 Vac AC Frequency Min.Nom.-Max.` . 59.3-60-60.5(with HI country setting 57-60-60.S) Hz ........ .... ..._............... ................ ................ .......,......... f Y, Max.Continuous Output Current 12.5 16 24 @ 208V L.....25 I 3Z L 48 @ 240V' 47 5 A ... 21 @.240V.. ............ ... ......... ...... 42 GFDI 1 A Utility Monitoring,Islanding ' Protection,Country Configurable Yes Thresholds INPUT j +r - ....,�:.,. ..,.r:v .0 s=^"-, *..„•, ,.... . - Recommended Max.DC Power" 3750 4750 6250 7500 9500 12400 14250 W (.STCL...........:.......:.............. ................ ............... ................. ................ ................ .................................... ........... — " Transformer-less,Ungrounded Yes Max.Input Voltage• - Vdc Nom.DC Input Voltage 325 @ 208V/350 @ 240V Vdc 16.5 @ 208V 33 @ 208V " Max.Input Current"' � 9.5 13 � 18 23 34.5 Adt 15:5 @ 240V 30.5 @ 240V .......................................... ................ ............... ............,... ................ .................................... ........... Max.Input Short.Circuit Current 30 45 Adc Reverse-Polarity'Protection Yes ........................................,. .......................................................................................................................... ........... Ground-Fault.lsolation Detection 600kn Sensitivity Maximum Inverter Efficiency..... ,....'•., ".....97�......I .....98'2"" I.97. @ 2 OV. .... 98.3,... ....98.. . . ..97?5 @2240V.........98..... ..%..... . GEC Weighted Efficiency 97.5 98 97.1 • . . 97.1 97.5 % ....g.......... ...... .P... .. .................................... ........... Nighttime Power Consumption - <2.5 <4 W ADDITIONAL FEATURES p Supported Communication Interfaces R5485,RS232,Ethernet,ZigBee(optional) - .......................................... ............................................ ..............P...............................................................I............ Revenue Grade Data,ANSI C12.1 Optional STANDARD COMPLIANCE Safety.................................. - UL1741,UL16998,UL1998,CSA 22.2 ............................. .....-...... - .......................................... .......:........................................... Grid Connection Standards IEEE1547 l'issi.s ............................ ....................................................:. part15cl.................. ...................................... ::......... Emissions � - FCC part15 class B INSTALLATION ..� SPECIFICATIONS - ACoutput conduit size/AWG range 3/4"minimum/24-6 AWG 3/4"minimum/8,3,AWG, . ................ .......... .......... ......... ........... . DC input conduit size/#of strings/ AWG ran a 3/4"minimum/1-2 strings/24 6 AWG 3/4"minimum/1-2 strings/14-6 AWG ........�.............................. .....................:.......... ...........:...................... :!.................................................... ........... Dimensions with AC/DC Safety 30.5 x 12.5 x 7/ 30.5 x 12.5 x 7.5/ " 30.5x12.5x10.5/775x315x260 Switch(HxWxD) 775 x 315x 172 - 775 x 315 x 191 mm Weight with AC/DC Safety Switch..... ..........51.2/23.2.......... ...........54.7/,24:7........... ......:.............88:4/40:1...................... .Ib/.kg. - .,..... ........ . Cooking Natural Convection Fans(user replaceable)-..... ............................................................. ...................................................... ........... Noise ............................. 25 ........................<50 - dBA .......................................... ................................. ......................... ........... Min:Max.Operating Temperature - •• Ran e -13to+140/-25to+60(CAN version 40to+60) - 'F/'C . ..,....&......"....... `.... ...::._..............................:..........................................................................._.:....... .................. Protection Rating - NEMA.3R - - .......................................... .......................................................................:.......................................... ...........• •For other regional settings please contact SolarEdge support ••Limited to 125%for locations where the yearly average high temperature is above 77'F/25'C and to 135%for locations where it is below 77'F/25'C. For detailed information,refer to htta,11—solaredne-A les/odft/inverter dc mers zing cculde.oulf _ '••A higher current source may be used;the inverter will limit its input current to the values stated. "••CAN P/Ns are eligible for the Ontario FIT and microFIT(micruFIT exc.SE11400A-US-CAN): - ) 1(7�/11 �SUUii7,eaEC � 0 a. { r I 1 a ti • 1, � l 'M � The new Q.PRO-G4/SC is the reliable evergreen for all applications,with a black Zep. Compatible"' frame design for improved.aesthetics, opti- mized material usage and increased safety.The 411 solar module genera- tion from Q CELLS has been optimised across the board: improved output yield, higher operating reliability and durability, quicker installation and more intelligent design, INNOVATIVE ALL-WEATHER TECHNOLOGY PROFIT-INCREASING GLASS TECHNOLOGY •Maximum yields with excellent low-light •Reduction of light reflection by 50%, and temperature behaviour. plus long-term corrosion resistance due •Certified fully resistant to level 5 salt fog to high-quality •Sol-Gel roller coating processing. ENDURING HIGH PERFORMANCE •Long-term Yield Security due to Anti EXTENDED WARRANTIES PID Technology',Hot-Spot Protect, •Investment security due to 12-year and Traceable Quality Tra.Q`1. product warranty and 25-year linear •Long-term stability due to VDE Quality performance warranty?. Tested—the strictest test program. QCELLS SAFE ELECTRONICS TOP BRAND w. •Protection against short circuits and 11.� thermally induced power losses due to 2014 breathable junction box and welded cables. p �hnt�n • Quanty Tealod ��- .. r,o+m.aa1 FNst pol�llim . �e �rmoAW�.7D11 THE IDEAL SOLUTION FOR: ID.a0f1.12beZ Rooftop arrays on residential buildings .OMPgTj;P . APT test conditions:Cells at•10ol against grounded,with conductive metal foil covered module surface, COMPPr 25-C,168h t. See data sheet on rear for further information. ' Engineered in Germany . OCELLS i ti I - K a t i Format 65.7 in x 39.4 in x 1.57 in(including frame) ' ' (1670 mm x 1000 mm x 40 mm) 1' Weight 44.09 lb(20.0 kg)_ .. ._..-» .r.^.ww,a.,,.o.,»•,.:.a Front Cover 0.13 in(3.2 mm)thermally pre-stressed glass l with anti-reflection technology �. Back Cover Composite film i �� 'r•. .aoo m„, . Frame Rlack anodized ZEP compatible frame Cell 6 x 10 polycrystalline solar cells - Junction box Protection class IP67,with bypass diodes - Cable 4 mmr Solar cable;(+)a47.24 m(1200 mm),(-)a47.24in(1200 mm)Connector -MC4(IF 68)or H4(IP68)� PERFORMANCE AT STANDARD TEST CONDITIONS(STC:1000 W/ni 25°C,AM 1.5G SPECTRU_MP POWER CLASS(+5 W/-O W)- [Wl 255 260 .265 • Nbminal Po Wei , Pa„ (Wl - 255 266 �N 265•i ' Short Circuit Current - Ise --[A] 9.07 9.15 - 9.23~ Open.Circ nwhage «. V. - IV] 37.54 37,77 - 38.01 - Current at PM,e IRm [A]• 8.45 8.53 8.62 Voltage at Pmo; - - V im- [V1 30.18 30.46 - 30.75 - Efficiency(Nominal Power) ry - [%1 - a 15.3 a 15.6 - a 15.9 PERFORMANCE AT NORMAL OPERATING CELL TEMPERATURE(NOCT:8O0 W/ma 45 a3`C.AM 1.5 G SPECTRUM)'. - POWER CLASS(+5W/•OW) - [W1 T 255 - 260 265 Nominal Power Sh Pam, IWl~ ..., -r�- _- 188.3 ,• 192.0 195.7 ort Circuit Current _ - m.,.lsr IA] 7.31 7.38 7.44 Y Open Circui(Vahage - - Var : LVJ - .34.95 35.16 35.38 current at PR I_ [AI 6.61 6.68 6.75 . . Voltage at P1We . Vme: IV] 28.48 28.75 r .29.01 r Measurement tolerances STC:--3%(P_ );x 10%fl V b ,V ) .'Measurement tolerances li s /o(P_); �. �o � m 0 CELLS PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE At least 97%of nominal power during - •g:^ --_ first year.Thereafter rafter max.0.6%Aegra- -__ -_Imo. N w - ----_- dationyer year.At least 92%of nominal power after a --- - - a s 10 years. -: At least 83%of nominal power after' F 90---�--�--r--,-- ---;-- --�-- i 2 25 years. a All data within measurement tolerances. - - Full warranties in accordance with the 'm mo om sm em mn mo em rmo 1 warranty terms of the Q CELLS sales _ - IRRAWNCE viii organ sat an of your respective runntry. - - The typical change in module efficiency at an irradiance of 200 W/m'in relation Ysms to JCOo W/m'(both at 25°C and AM 1.5C spectrum)is-2%(relative). TEMPERATURE COEFFICIENTS(AT 1000W/i 25 C,AM 1.50 SPECTRUM)- .J Temperature Coefficient of Isc a. [%/Kl +0.04 Temperature Coefficient of Vm P [%/K] - -030 4 - - Temperature Ceeflicient of P� V' I%/KI -0.41 NOCT [°rI 113 t 5.4(45'f 3'C)' - •p• t• f I Maximum System Voltage Vrs [Vl - 1000(IEC)/600(UL) Safety Class II - Maximum Series Fuse Rating- [A OCl - 20• Fire Rating C/TYPE 1 Max Laad NLP jlbs/ft'1 50(2400 Pa) Permitted module temperature - A0°F up to+185°F y - on continuous duty (-40`C up to+85°C) ' Load Rating(UL)' [Ihs/fN} 50(2400 Pa) _z see installation manual • 1 1I iii If i I I1 ILL 1703;VDE Quality Tested;CE-compliant; - Number of Modules per Pallet 4 25 F -IEC 61215(Ed.2);IEC G1730.(Ed.1)application class A Number of Pallets per 53'Container 32 - eNPA C I h° B� Number of Pallets per 40 Container 26 E m (s� Pallet Dimensions(L x W x H) 68.5 in x 44.5 in x 46.0 in wE. C'S s :` /�� - •w..,. _.� (1740 x 1139 x 1170 mm) - Pallet Weigh 1254 lb(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.Warranty void if non-ZEP-certified hardware is attached to groove in module frame. - Hanwha O CELLS USA Corp. - - - 8001 Irvine Center Drive,suite 1250,Irvine CA 92618,USA I TEL+1 949 748 59 96 1 EMAIL q{ells-usa®q-cells.com I WEB www.q-cells.us Engineered in Germany OCELLS �r solar eoo � SolarEdge Single Phase Inverters For North America SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ SE760OA-US/SE10000A-US/SE11400A-US The best choice for SolarEdge enabled systems - Integrated arc fault protection(Type 1)for NEC 2011690.11 compliance — Superior efficiency(98%) — Small,lightweight and easy to install on provided bracket — Built-in module-level monitoring — Internet connection through Ethernet or Wireless — Outdoor and indoor installation +� — Fixed voltage inverter,DC/AC conversion only I Pre-assembled AC/DC Safety Switch for faster installation — Optional—revenue grade data,ANSI C12.1 USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-ISRAEL www.solaredge.us a i 6 • I y SolarEdge Power Optimizer solar=oo r Module Add-On for North America P300 / P350/ P400 ` . [ - P300 P3S0 P400 - .3 for 60<ell PV (for 72-cell PV (for 96-cell PV- - - d tr modules) modules) modules) - ANPUT Rated Input DC ............................................ - 300 350 400 W ............................................ .......................... .......'............................................... ............. _ 'e Absolute Maximum Input Voltage(Voc at lowest temperature) 48 60 80 Vdc - . ...............................".............................................. .......................... ..................................................................... .. MPPTOperatfng.Range - 8-48 8-60 8-80 Vdc .......:....................................................................... .......................... ...........................:..:...................... ...... _ Maximum Short Circuit Current Qsc) 10 Adc - ................ p ....:................. .......:..... .... ...............:....,............................ ..... ........ - Maximum DC In ut Current f 12.5 Adc - Maximum Efficiency 99 5 % - - Wei hted Efficiency - 98.8 % ..............._ ....._ . .........:..........>.........................:... ........................................ ............................__ _ _..........._. ..... Overvoltag a Category .11 ,OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER)... MaximumOutputCurrent - 15 .......................:....... ._..:................................ ... ....... .. ...... ........ ............................... - Maximum Output Voltage 60 - Vdc r - - OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF) Safety Output Voltage per Power Optimizer 1 Vdc STANDARD COMPLIANCE EMC FCC Part15 Class 8,IEC61000 6 2,IEC61000 6 3 - .. ... ... ... .......:. .... .... `.. Safety . IEC62109.1(class II safety),UL1741 - : RoHS Yes (INSTALLATION SPECIFICATIONS Maximum Allowed System Voltage 1009 Vdc Dimensions L x.H) 141 x 212 x 40.5/5.55 x 8.34 x 1.59 TT in. - ....... __...... .. ..... ..:... ..........:................................. :.. ........n.. Weight(ihcludmg cables) 950/2.1 gr/Ib ............................................................................... ........................................................".:...................................... ' Input Connector - MC4/Amphenol/Tyco Output Wire Type/Connector Double Insulated;Amphenol - .............................................'.................................. ....:............................................................................. ............. .Output Wire Length.... ........ :......�:95/3:�.......I. '......l:Z/3:9:.......:........................................... .......'.:.....:m ft..... Operating Temperature Range - 40 +85/-40-+185 , •C/•F- ........ ........ ......I........................ ..,.:....... ... ........ - •ProtectionRabng - IP65/NEMA4 Relative Humidity .0-100 % - ['�ga[edSfC power of Ne module.Motlule of up[o.5%power[olenrce allowed.-� PV SYSTEM DESIGN USING A SOLAREDGE G ,v. THREE-PHASE -THREE PHASE INVERTER SINGLE PHASE 208V 480V 1, Minimum String Length(Power Optimizers) 8 10 ' 18 ...............:............................................................... ............_..... Maximum String Length(Power Optimizers) 2S 25 50 - Maximum`Power per String 5250 6000 12750 W Parallel Strin s of Different Len hs or Orientations Yes , aw 4 e . - - i ,10 "�^$OlafClty ZepSolar Next-Level PV Mounting Technology Zep System for composition shingle roofs Ground Zep Interlock (r y sib�h-rl Zep Compatible PV Module a ZeP Groove Raof Attachment Array Sldrt I 1 `aMPgT, Description r m PV mounting solution for composition shingle roofs �ACGMPpt�Ov • Works with all Zep Compatible Modules • Zep System UL 1703 Class A Fire Rating for Type 1 and Type 2 modules Auto bonding UL-listed hardware creates structual and electrical bond UL USTED Specifications Designed for pitched roofs Installs in portrait and landscape orientations • Zep System supports module wind uplift and snow load pressures to 50 psf per UL 1703 • Wind tunnel report to ASCE 7-05 and 7-10 standards • Zep System grounding products are UL listed to UL 2703 and ETL listed to UL 467 • Zep System 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 • Attachment method UL listed to UL 2582 for Wind Driven Rain zepsolaccom 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 Zep Solar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. 12 22 14 ZS for Comp Shingle Cutsheet Rev 02.pdf Page: 1 of 2 Town of Ban *Permit t C S �fTt�r Barnstable Permit pExpires 6 in itiisPram issue date Regulatory Services Fee • EARNSrABLE �-/ 'cb b 9. ��� Thomas F. Geil.er,Director \ pTED MAC a . // Building Division - Tom Perry; CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601' www.town.barnstab le.ma.us Office: .508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not.Yalu!without Red X-Press Imprint Map/parcel Number f N y ,,� , �/1 Ga✓t^t C-�o� �..�� �/6� �l�.1r;mac- Pro-e�� Address d Residential Value of Work '91 o0o o o Minimum fee,of$35.00 for work under$6000.00 Owner's Name&Address r Contractor's Name` Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor' License#(if applicable) K '. xu a k ;yRi ❑Workman s Compensation Insurance Check one: El 1 am a sole proprietor P P I am the Homeowner ❑ I have Worker's Compensation Insurance �,�,VN {r- S;�.NS f BL" Insurance Company Name: - Workman's Comp"PoIicy# Copy of Insurance Compliance Certificate must•accompany each permit Permit Request(check box) n❑ Re-roof{stripping old shingles) Alhconstruction debris will be taken to ❑ Re-roof(not stripping. Going,over existing layers of roof) Re-side r #of doors .Replacement Windows/doors/sliders.`,U-Value (maximum .44)#of windows. *Where required; Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property.Owner Letter of Permission. A'cop ofthe Home Improvement Contractors License & Construction Supervisors.License is. qu red: SIGNATURE:. Q:IWPFILESIFORMSIbuilding permit formslEXPRESS.doe Revised 070110 The Commonwealth of Massachusetts Department of Industrial Accidents L'i ,L. 1' Office of Investigations 600 Washington Street a j Boston, AM 02111 r www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information LPlease Print Legibly N�_&Ille(Business/_organization/Individual): - ddress; 'l]� City/State/-Z-a )_ I , /1 0 Phone #:�C� Are you an employer?Check the appropriate box: Type of project(required): - I. ❑ I am a employer with 4.-❑ I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub=contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working forme in any capacity. workers'.comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5.,0 We are a corporation and its requ"tied.]' officers have exercised their 10.❑ Electrical repairs or additions �3. 1 am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions' myself. [No workers' comp. c. 152, §](4), and we have no 12.❑ Roof repairs insurance required.]t' employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. .. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer thal is providing workers'compensation insurance for my employees. Below is the policy and job site + information. Insurance Company Name: Policy#or Self-ins..Lic.#: Expiration Date: Job Site Address: City/State/Zip: " Attach.2 copy'of the workere compensation"policy declaration.page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a_ fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification.. ` I do hereby.ce fy n r the pains nand ppenalties of perjury that the information provided above is true and correct, cSi`ature:' L `v"�L Date: .40 fP.hone=#_ is O �G ,Official use only. Do,not.write in this area;to be completed by city or town official " City or Town: Perm it/License# Issuing Authority(circle one); 1. Board of Health Z,Building Department 3: City7own Clerk 4.Electrical Inspector 5 Plumbing Inspector 6.Other` Contact Person: Phone#: J ,• Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on.such'dwelling house,, or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or.to construct buildings in the commonwealth for any c applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority,", Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or-licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: �, • - ,R,, The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations' 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax # 617-727-7749 www.mass.gov/dia P�o�z�ray Town of Barnstable Rulator e Services g Y ;3.txrisust.F, Thomas F. Geiler,Director ' Building Division PrEO µA{ Tom Perry,Building Commissioner 200 Mairi.Sireet,_Hyannis,MA.02601 ..,. .'.. Ww w.town.b arnstabl e.ma.us Office: 508-962-403 8 Fax: 508-790-6230 HOh�OWNER LICENSE EXEMPTION ` Please Print DATE•--— ��oB-LocAnox.� number street villa "HOME_OWTIEIt" —�_. 6,1� (�� `.e) name h phone# work phone# _URRETff MAII I& DDRFSS: �:� -,,� p ( !W I/ t.(�( C�(J UJ l! e O A6o� eityhown state zip code ne: current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire,who does not possess a license,provided that the owner acts as supervisor. , DEFIS=ON'OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides,or intends to reside, on which.thcre is, or is intended to- be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constrgcts more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on'a form acceptable to the Budding Official, that he/she shall be responsible for all such work performed undcT thhee building permit (Section 109.1.1) The undersigned"homeowner"assumes respronsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersign "homeowner"certifies that•he/she"understands the Town of Barnstable Building Department minimum insp ti pr cedures.and m iremcnts and that he/she will comply with said procedures and requirements. ` Me S'ignaticrc,of-H.o Approval of Bwlding.Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with.the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION .The Code state that: "Any homeowner perfbn-ni rg work for which a building permit is rcquin�shall be exempt from the provisions of this section.(Section 109.1.1 -Licensing of canstruction Supervisors);provided tha t if the homeowner engages a persons)for biro to do such work,that such Homeowner Shall act as supervisor.,• Many homeowners who use this rxemption are unaware that they arc assuming the responsibilities of a supervisor(set Appendix Q, Rules&Regulations for Liccru-ing Construction Supavison,Section 9.15) This lack of awareness often results in serious problems,particularly when the homcowncr hires unlicensed persons. In this east,our Board cannot proceed against the nmlicensed person as it would with a licensed Supervisor. The horreown err acting as Supervisor is ultimately responsible. To ensure that the homcnwner is fully awarc of his/her responnbilitics,many communities require,as part of the permit application, that the homeowner certify that hchbe understands the responsibilitics of a Supervisor. On the last page of this issue is a_farm currently used by several towns. You may care t amend and adopt such a formleatifieation for use in your community. J. pry Town of Barn-stable P A Regulatory Services BAJWSIAB i p MAB& Thomas F. Geiler,Director µ JL6�� Building Division ..,Tom Perry, Building Commissioner 200 Main Street,Hyannis;MA 02601 wfvaown.barnstabte.ma.us w Office: 508-862-4-038 Fax: 508-790-6230 s., property Owner M` st Complete and,Sign TM Section If UsingA�Buil er u as Owner of the subject property hereby authorize 9,, _ to act on rriy behalf, in all Matteis relative to work authorized by building permit application for.. (Addres of Job) e Signature of Owner Date Priat Name If Pro pea r is applying,forpemzitplease complete the Homeowners L�`cense Exemption Form on :the reverse,side. p Town of Barnstable OFTME Tp�, Regulatory Services Thomas F.Geiler,Director BAM STAB il Buding Division M^gq. $ Tom Perry,Building Commissioner a6 �� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: _ Fee: Permit#: HOME OCCUPATION REGISTRATION Date: QL.Ua f DPI " Name: Rh o l7 Address: 1t(l+ -�Q(n 5 ( Village: (11en- Name ofBusiness:9U` (p Cr*)acor) TCOYl5dD06+ GLr—? C115M Type of Business:—kSL(15 0- -ce Map/Lot: a q I-( A INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be oyed in the Customary Home Occupation who is not a permanent resident of the dwe g unit. I,the undersi ed, ave read d ee with the above restrictions for my home occupation I am registering. Applicant, Date: O1.1Q,.5 Homeoc.doe Rev.T5/3103 TO ALL NEW BUSINESS OWNERS . DATE: .oII t „ Fill in please: APPLICANT'S YOUR NAME: Rw BUSINESS LIN P _ YOUR HOME ADDRESS: Oq 5DiF MP, 02-eQk . — TELEPHONE " 3 Teler hone Number Home NAME:OF NEW BUSINESS Lo VVaW TtRaMS�FOR Tt�s TYPE OF BUSINESS i Nt IS THIS A HOME OCCUPATION? YES F N Have you been given approval from the building divisi n? YES NO= ADDRESS OF BUSINESS 4 �aAttJi" �RAn�c.tS GQ NQS W © 1 MAP/PARCEL NUMBER_ C4 I I When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable: This form is intended to assist you in obtaining the information.you may need. Once you have obtained the required signatures, listed below,you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall). You MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) and you will find the following offices: 1. BUILDING COMMISSIONER'S OFFICE This individual ha en inf r ed of any permit requirements that pertain to this type of business. Authorized Si rfafure* COMMENTS. 2. BOAR OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. -it does not give you permission to operate-you must get that through completion of the processes from the various departments involved. **S/GN/F/ESAPPROVAL FORA BUS/MESS CERTIF/CA. TEONLY. • , The Tow n of Barnstable Z5� Department of Health, Safety and Environmental Services _ Building Division 367 Main Street,Hyannis MA 02601 Office: 508 790-6227 Ralph M.Cmssen Fax: 508-790-6230 Building Commissioner Home Occupation Registiarion Dare: Name: :� Phone#• �1� Address: T `� �'`�%� G'� ��; �r-✓f//S Type of Business: Al!�/ / �1�"' Map/L,ot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning aaduaaace,provided that the activity shall not be discernible finaa outside the dwelling: there shall be no increase innate or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in*or groundwater'polhroon. After registration with the Budding Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried an by the permanent resident of a single family residential dwelling unit,located within that dwelliagumt. • Such use occupies no snore than 400 square feet of space. • There are no external alterations to the dweMugwbich are not customary in residential buildings,and there is no outside evidence of such use. No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular maser,odors,electrical disturbance,heat,glare,humidity or otherobjectionable effects. • There is no storage or use of toxic or hazardous material%or flammable or explosive materials,in excess of normal household quantities; • Any need for parking generated by such use shall be met an the same lot containing the Customary Home Occupation,and not within the required fiiont yard. • There is no exterior storage or display of materials or equk m wL • There is no commercial vehicles related to the Custo®ary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and are trailer not to exceed 20 feet in length and not to exceed 4 tires,panted on the same lot eontainiagthe Customary Home Oaupanon. • No sign shall be displayed indicating the Cttomary Home Occ potion. If the Customary Home Occupation is fisted or advertised as a business,the street address shall not be included. No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwr I,the tundersigned, the above restrictions for say home occupation I am registeruu& Applicant: `� Homeoc.doc O ALL NEW BUSINESS OWNERS ill in please: YOUR NAME: . PPLICANT'S ® ® ® �® YOUR HOME ADDRESS: USINESS TELEPHONE �;.. ,. Telephone Number (Home) l NAME OF NEW BUSINESS '"� �' �'` TYPE OF BUSINESS 'IS THIS A HOME OCCUPATION? MAP/PARCEL NUMBER 29/ V,2 5 ADDRESS OF BUSINESS anew business there are several things you must do in order to be in compliance with the rules and-regula ned therteou red signatures, Barnstable.When starting , Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained q listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall). 1. GO TO BUILDING INSPECTOR'S OFFICE (4TH FLOOR TOWN HALL) This individual has bee rmed o permit requirements that pertain to this type of business. this individual; Signature COMMJNTS: 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) This individual has been informed of the permit requirements.that pertain to this type of business. Authorized Signature COMMENTS: 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) - (3RD FLOOR SCHOOL ADMI ISTRATION BUILDING) ss This individual has been informed of the licensing requirements that pertain to this type of bus . Authorized Signature COMMENTS: the wired signatures you must return to th00 e Town Clerk's Office to obtain gour ust do b business M G L certificate Iit does not give You After obtaining h q ^ ^ekil V [�Gr1gTFRq vniiR �i AnnF in the town (which you m Y 1 / - TOWN OF BARNSTABLE _ permit No. 26939 Building Inspector cash 1 ew - ------ °ug,"' OCCUPANCY PERMIT: Bond ^_= __—__-_-- Issued to South tia1 bob ASst`ziates, Tnc Address Lilt 11r 4 su_ 'i?v�r►n?s s ,.r Wiring Inspector E' L-�'� t ,v , 'Inspection date Plumbing Inspector l� -- .- Inspection dater Gas Inspector Inspection date Engineering Department, ' r{ ,;J", Inspection date ! »� Board of Health U.0 e ,.nl� y v^• � X' i� Inspection date j { •9-- 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. .......................................................s i'.,,,, ✓ Build in_,- Ins ector ��,,� �•.ew TOWN OF BARNSTABLE BUILDING DEPARTMENT t sesaSr : TOWN OFFICE BUILDING 9' i639. HYANNIS,-MASS. 02601 e MEMO TO: Town Clerk, FROM.: Building Department n DATE: GY/� An Occupancy Permit has been issued for the building authorized by Building Permit $�, ;?f. ?. .2� ................................................. ........ ... issued,to ......... : ...... a [-dl) Please release the performance bond. A7essar's,malz and lot number ./...�':.. '? �:..kg�zED °tv i'." - THE°F r° Swage Permit: number ..p.••-':"-�/ .:/1).Zt/.yt..... a t. d� y� + + . :J Ia��J4/ 5� x. BASB9TADLE, i f House' number '......... .. ..................................... .... . 4 ..� „ a ro rb a 39- DMA TOWN. OF BARNSTABLE BUILDING INSPECTOR APPLICATIONy�FOR PERMIT TO tt. . ..` . TYPE OF CONSTRUCTION ......................Pj..(:ya..0....:... . ,............................. ..............................................:.19........ TO THE INSPECTOR OF BUILDINGS: The undersigned her pplie for a permit accor g to, the following information: - Location ................... ....... d../...... ....... .. !f j ProposedUse '.............................1.• .G-...-.... . . ..... . 4 `�'J .... . ��. �.......... .. Zoning District ..... Fire District ..................................... / 'f Name of Owner T. PV&. / .. ddress .. .q ....................................................ji— n ' Name of Builder ......: + ....: ...:......... ......Address .. �:R ..� '. d`" �.1.(!•:.....6/7.�7J/JL �.. Nameof Architect ....................................................... .............Address ...............:.................................................................... ' Number .of Rooms'..........:...... ....:.......:..................................Foundation ,......... f...P:v.. . Exterior :..::......�,,,� . :.........Roofing .......... ,Q '� G...... 1 ... .... Floors `......... .Interior ..................... .....r �............................ Heating ..............��. . ... - c..CC.............................—Plumbing ........ ...�...��. 4L ............................ i`�j. ....Approximate. Cost .4�Fireplace 1............. . :..................... Definitive Plan Approved by Planning Board -----------------------_`_ --- ________. Area - '.... ._.�,..Foo 9� Diagram of Lot and. Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS-REQUIRED FOR NEW DWELLINGS.. I hereby agree to conform to all the Rules and Regulafions o e Town of Ba tab e r a ding t e above , construction. Name ...... . ............. ......... ... .......... ... ............. Construction Supervisor's License �� . .�.(..... ..... SOUTH HARBOR--1SSOCIATES, INC. 2,693.9 `"' One Story T Nd ....._.:_,.,�. Permit for Single�Family Dwelling - Location Lot;ll, 4„St, Francis:Circle R; - Hyannis;Uq................................ Owner South Harbor Associates, Inc. - . ......... .......... .... . ame Type 'of, Construction ............................................y � /t=•'' { �' `? ..................................... .... .............................. • /' �. I - Plot ............................ Lot ................................. 84 Permit Granted ,,,, September 6, , ,9 7 ry Date of Inspection.............................�'''•....19 Date Completed ..... � ...I9pz dQU • 1 d 1 CERTIFIED PLO T PLAN FOR . � _ �.1 - y i LOT : 1 T0WN OF : SCALE : l ''= �.o' DATE 8- i�aQ, .. �$ JOHN r-. 8� i CERTIFY THAT: WHAT C;FS ; SHOWN ON ; THIS A1,AN IS AS IT EXISTS ON TH OUNO A N 0 CONF0RmS �ycQ TO THE T0WN REGULATIONS I oF1HE rw,, Town of Barnstable Regulatory Services * BARNSI'ABLE, y MASS., g Thomas F.Geiler,Director 039. �ArFOMp21a10 Building Division R Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 July 31, 2007 Eileen Bagley 418.Highbank Rd. South Yarmouth, MA 02664 RE: 4 Saint Francis Circle, Hyannis Map : 291 Parcel : 225 Dear Ms. Bagley: This letter shall serve as notice that an unsafe condition exists at the above referenced property. Upon a recent inspection of the premise it was observed that one of the required exit doors had been blocked off and the outside stairs removed. That exit must be restored as required by 780 CMR. A building permit is required to make the necessary changes. You must obtain a building permit and restore the exit including all the required inspections by August 31, 2007 or be subject to criminal prosecution in accordance with 780 CMR. Thank you for your attention in this matter. By Order, r L. Lauzon . Local Inspector Q:zoning5 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION y S Map /.^-.. Parcel Z -� Application# ®0������ Health Divisibn Conservation Division Permit# Tax.Collector Date Issued l d� Treasurer Application Fee o Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board D' r Historic-OKH Preservation/Hyannis Project Street Address Village Owner d s� Le, r ZZ, h i,d(-c. s Address y S' �2,a ,, C,) C Ct r Telephone 5_4`d - 7 Permit Request h S�i 14 G �� � 10t c Tt �P{p 1� c c 0 t 0f )Q6Glc Square feet: 1 st floor:existing �1 U 0 proposed�� 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation j Construction Type Lot Size Grandfathered: ❑Yes AkNo If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes kro On Old King's Highway: ❑Yes 10 Basement Type: ❑Full ❑Crawl 4 Walkout ❑Other l Basement Finished Area(sq.ft.) 7 SPd Basement Unfinished Area(sq.ft) 60 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: 4Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes (, No Fireplaces: Existing Nev;.,'/ Existing wood/coal stove: ❑Yes No Detached garage:❑eg ❑new size Pool: ' ing ❑new size Barn:❑ mg ❑:n:ew size Attached garage:❑e ' ng ❑new size Shed: existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ --, Commercial ❑Yes 0 If yes, site plan review# y Current Use Proposed Use BUILDER INFORMATION Name Telephone Number 6 6 2 Address License# Home Improvement Contractor# �- Worker's Compensation# 1 // ALL OONSTRU 17 B IS RESULTING FROM THIS PROJECT WILL BE TAKEN TO DATE SIGNATURE t / v ;i _ FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE t OWNER DATE OF INSPECTION: j FOUNDATION ' FRAME INSULATION i c FIREPLACE d ELECTRICAL: ROUGH FINAL 3 PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 1 FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. r i i i Eileen Bagley 418 Highbank Road South Yarmouth, MA 02664 508-760-0571 10 August 2007 Jeffrey L. Lauzon, Local Inspector , Town of Barnstable Regulatory Services— Building.Division 200 Main Street _Hyannis, MA 02601 RE: 4 Saint Francis Circle, Hyannis. Map 291 - Parcel 225 Dear Mr. Lauzon: I am in the process of selling the property at 4 Saint Francis Circle to Izabel Marrero, the current tenant. For.this reason, Izabel would like to apply for the building permit, in her name, required to replace the outside stairs from the second floor and unblock the exit door from the kitchen. We apologize for the delay in getting this situation corrected, and appreciate your understanding and patience. Once Izabel has the building permit, she has a builder lined-up to take care of the job. Thank you. Sincer Eileen Bagley 77 The Commonwealth ofylassachusetts Department.oflndustriaZAccidents Office oflrivestigations ' 600 Washington Street . Boston mww.mass gov/dia ' Workers'Compensation Insurance Affiddvit: Builders/Coiitractoxs/Electxicians/Plumbers' AIPplicani Information Please Priiat Name(Business/Organiiation/Individual); — _ Address: -s City/State/Zip: �� 6"L 6 O'I Phone.#: S� 0 Are 13- you an employer7•Cheekthe appropriate bog: 1;❑ I am a employer with 4, ❑ I a m a general contractor and T :Type of pi*ct(required): "employees(full and/or Part-time),*• have hired.the Vab-contractars 0, ❑New construction . 2.❑ I am a'sole proprietor or' artner= listed on the'. shee ' Remodeling p t �. , ❑ . ship andhave no.employees These sub-contractors have g, ❑Demolition. ivorlang for me in any capacity, employees and have workers' 9, B . [No workers' comp,insuuance comp, insuranee,t' ❑ g addition . regttiied] 5. ❑ We are a:porporation and its '10.❑'tlectricalrepairs of additions — '3 I a�a homeowner•doing -,work ; officers-have exercised their 11:❑Plumbing repairs or additions - myself,jNo workers'comb, right df exemption per MGL 12, . Roof r ance,req=ed.]t c.152, §1(4),and we have no. ❑ epaus employees. [No workers' . 13.0 Other ' comp,insurance required,] *Any applicant thatchecks box#1 must also Ell out the section below showing their workers'compensation poEcy infom�ation. t Homeowners,who submit this affidavit indicating they are doing all work and then hire outside contractors mutt submit anew effidayit indicating such, $Conhaators that check this box must attached as additianal'sheet•showing the name of the sub-contractors and state whether arnotthose entities have employees, Iftbe sub-contractors bare employees,they must proyidb their workers'comp,polio number. Iam an employer,that isproviding workers'compensatian in for my employees. Below is.thepulicy and job—sit—a—' tn,formation. . , Insurance Company Name: Polity#or Self-ins.Lic,A. Expiration Date: - Job Site Address: ; city/State/Zip; Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date),- Failure,to-secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of canal penaltie's of a fine up tt$1,500.00 and/or one-year imprisonment; as well as civilpenaltces in the form of a STOP WORK.ORDER and a fine of up to$250.00 a day agautstthgviolator, Be advised that a•copy of this statemei tmaybeforwardedto the•Office of' Investigations of the bIA Lbr insma ee coves e verification. I do hereb ' rh der the ains•and enalties o y fY P P f perjury that the information provided abo a is true an correct. Signature: C Date; Phone#; Official use only. Do not write in this area,tb be completed by,city or town official City or Town: 'ermit(License# . Issuing Autliority(circle one).-' 1.Board of Health 2,Building Department a, City/Town Clerk 4,Ele Oth ctrical Inspector S..Plumbing Inspector , 6, er Contact Person, Phone A. IELIU rill UUU.0 U.i.aUAlAIM Pik;€ calla ' Massachusetts General'Laws chapter 152 requires all employers to provide workers' compensation for thej=employees- Pursuant to this statute, an employee is defined as"...every personin.the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a-deceased employo=, or the receiver or trustee-of an individual,partnership,association or other legal entity,employing employees, However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do mai&aOnce,construction or repair work on such dwelling house or on the.grounds or building appurtenant thereto shall not because of such employment be,deed to be an employer." IvIGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construgt buildings in the commonwealth for any applicant who has not produced•acceptable evidence of compliance with the insurance coverage required.". Additionally,MGL chapter-152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for,thb perfmmxkce of public•.work utitii aceeptab}e evidenee•of•comp&-* inEllia=e' requirements of this chapter have been preseated'to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-conti:actor(s)name(s),address(es)and phone number(s)along with their certificates) of • insurance. Limited•Liability,Companies(LLC) or Limited Liability Partnerships(LLP)with no-employees other than the members'or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Deparb=nt of Industrial '- Accidents for confirmation ofinsurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pemrit.or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law-or if you are required.to obtain a workers' compensation'policy,please call the Department at the number listed.below. Self-insured companies should enter their . self-insurance license number on the appropriate'lind. City or Towli Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a spacq at the bottom of the•affidavit for you.to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a refererfce number: In addition,an applicant that must submit multiple permit/licensa applications in any given year,need only submit onp affidavit indicating canent policy information(if necessary)and under"Sob Site Address"the applicant should write"all-locations in�_(cityror town)."A copy of the aft davit that.has been officially stamped or marked by the city or town may be provided to the applicant as proof-that a valid affidavit is on file for future permits or licenses. A new affidavit must be{r]1ed out each year.Where a home owner or citizen is obtaining a license or permit not related f o any business or commercial venture (La. a dog license or permit to brimleaves•etc.)saidpersbn is-NOT required to complete this affidavit The Office of Investigations would like to thank you in advance.for.your cooperation and should you hav"UY questions, please do not hesitate tri give us a call. TheDeparlment's address,telephone-and fax numben. • Q �of��1;�����klf<S ..• sa Ek�st=,MA 02111 TO.0 617-7274 Mt 40 a 1-877-MASSAFE Fax#617- 7-77-49 Revised 31-22.06. www-M MOOV/din /TME •1V Yr11 V1 JJLLlalal.cir✓av h ~°� Regulatory Services a�,u�srsa Thomas F.Geiler,Director ass. ��''°lec► `�• Building Division Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.tovrn,.b arnstabl e.ma.us 08-862-4038 Fax: 508-790-6230 ace : 5 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW -SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requites that the"reconstruction,alterations,renovation,repair,arodernization, conversion, improvement;removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling limits.or to structures which'are adjacent to \ such residence or building be done by registered contractors,with certain exczptions,along with other requirements. Type of Worts: Nr.G i Estimated Cost 3 �o Address of Work: y 01 )1 r , a r. s c l Owner's Name:- �.S a y Date of Application I hereby certify that Registratign is not required for the following reason(s); 0Work excluded by law D7ob Under$1,000 OBuilding not owner-occupied Ewner pulling own permit Notice is hereby given that: OWNERS PTJLLING 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 PER= I hereby apply for a permit as the agent of the owner; Date Contractor Signature RegistrationNo. QR Date Owner's Signature Q;vrpfiles.farms,homeaffidav Rev: 060W6 �oFTHEI Town of Barnstable Regulatory Services BAMSTAgLM i Thomas F. Geiler,Director MAss �pr 039. mp a Building Division Epp Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 ------------ HOMEOWNER LICENSE EXEMPTION Please Print DATE: /f / l � q JOB LOCATION: � y,C Ir. C,r c tt number / street village "HOMEOWNER": he s!�A .►�Lvj S® —79 0 q l name // home phone# work phone# CURRENT MAILING ADDRESS: �T �i B. ►, c t s C c+ I 07,10 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The,undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes; bylaws,rules and regulations. The and rsigned`.`homeowner"certifies that he/she understands the Town of Barnstable.Building Department. mitu ins ection procedures and requirements and'that he/she will comply with said procedures and e nts. Si a ure o Homeowner Approval of Building Official .Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required.shall be exempt from the provisions of this section(Section.109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certi5cation for use in your community. M s • s � � n C. F ;l _ N � I ; t I s t • i D - � 9 j - r i 1� p �( = 4 f to _ qjy i y, I {`41✓ � S N ( \ LOT 12:� r� o 2 LOT _11A -30 00- � 1 N LOT 204 CA RES. ZONE- 'RB`• This MORTGAGE INSPECTION ��"fie°flay FLOOD Z01vE. "C" "fi£ XES MAN BY ANi 3LR v_ 1 — — — - .REGISTRY O W',N'ER: "L A-EMER _ _ DEED REF - - - - - BUYER: SffRA.TQO.��AQRCIf_ F' LAL�A - - - - - F: �1 - DATE: _IQrr�Q� ;� — — —— — — _ FLAN REF: 8=96 Z_ —SCALE':I"= 20_ __FT.— I HEREEBY C�� Y To ,sec' its- YA'�TKEE. StTR�'E;Y do TRLST CO AA+Y iriAT THE BUILDING �,-'' �`�; p SHOWN 044 THIS PL IS iDCATED CNT THE GROUND AS �" �`��'y <.�-. C'O�ISULTA�tiTS AN SHOWN AND THAT ITS POSITION DOE: __ CONFORM �� THE ZONING LAN SETBACK REQLIREMENITS OF THE �� � 'f-'=' SOB (SUITE 1) iVN OF ____� �1181 __ AND THAT 'DUSTRY ROAD :--��!.vim` r .`- IT DOES- LIE WITHIN TIC SPECIAL FLOOD HAZARD _ ' _" '-_' .s MA:�.STONS Ml!,l . MA. 02648 AREA AS SHOWN ON THE ILU.D. MAP DATED�f �,(8 TEL 28-QQ55 Co m nit -Panel " 250001 000" C FAX 420-5553 THIS PLi�i NOT MODE FROM AN INSTRUMENT SURVEY z?'?'�i PCB &,`�� A�"'M�I; . `-- OT TO BE USED-FOR FENCES BL'II.IiING P RaII'i ETC TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division el- Date Issued Conservation Division Application Fee Planning Dept Permit Fee Date Definitive Plan,Approved by Planning Board ®; Historic OKH Preservation/ Hyannis Project Street Address Fr AMC-,s E , e r I e Village J OwneK� L a, R R Address J CG C4* �. y ,rTelephone So -f'qo ! � Z-/ Permit Request C®„x u L l liA ✓ e ,����� ()/� ,) Square feet: 1 st floor: existing ' 96'®proposed 2nd floor: existing_proposed-,,,""' Total new 7� Zoning District Flood Plain Groundwater Overlay Project Valuation 3 50 0 Construction Type Lot Size Z 5 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure -L d Historic House: ❑Yes j'No On Old King's Highway: ❑Yes 11 No Basement Type: Full ❑ Crawl #Walkout ❑ Other 1 Basement Finished Area(sq.ft.) ?do Basement Unfinished Area (sq.ft) Number of Baths: Full: existing "U new Half: existing new Number of Bedrooms: existing new Total Room Count (not including baths): existing knew First Floor Room Count Heat Type and Fuel: 'Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes o Fireplaces: Existing New Existing wood/coal stove: ❑Yes 1200 De d garage: ❑existing ❑ new size ❑ existing ❑ new size 0 existing ❑ new size_ Attache : ❑existing ❑ new size _ShedL*existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes /Q'No If yes, site plan review# Current Use vI Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ir.,� ��n �a�� Telephone Number IO F-~ 272 - 9`77� Address 1 c License # (15'9 7 7 /'�v-f n h, s /�71_1 Home Improvement Contractor# A< Worker's Compensation # 4/c Z ti-�)l = 3/7,7,>> -0 3 ALL CONSTRUCTION DEBRIS RESULTING /FRn.O)M THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /Z- ® A $' FOR OFFICIAL USE ONLY .APPLICATION# } DATE ISSUED i MAP/PARCEL N0. ADDRESS VILLAGE OWNER I� DATE OF INSPECTION: I 4 FOUNDATION , FRAME I.x ; INSULATION FIREPLACE : ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING " s, DATE CLOSED OUT n ASSOCIATION PLAN NO. i 4 L� The Commonwealth-of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information / Please Print Legibly Name (Business]OrganisaEon/Individual): �J� s S �L����1�"wP ✓�' ��"t j Address: Z- C/ S �et r c r f ' City/State/Zip:,�l �n�, s �'�� Phone-#: 5'07 7V-.3 7 7 Are you an employer? Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I 6. El New construction employees(full and/or part-time).* have hired the sub-contractors listed on the attached sheet. 7. ❑Remodeling 2.0 I am a sole.proprietor or partner- ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp. insurance comp. msura-nce.t 5. We are a corporation and its 10.[] Electrical repairs or additions required.] 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4) and we have no 7 employees. [No workers' 13Other comp,insurance required.] J. 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tcontractors that check this box must attached an additional sheet showing the name of the sub-contr�and state whether or not those entiti-es have employees. if the sub-contractors have employees,they must pravidt their workers'comp.policy number. I am an employer that is providing workers'compensation insurance far my employees. Below is the policy dnd job site information. j Insurance Company Name: Policy#or Self ins.L'i#c 3 e1' 3 l Expiration Date: /0 3 e Job Site Address: 7� �,� /l c� N e�> S G 1 yr City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to-the imposition of crimirial penalties of a fine tip to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy,of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification: _ I do hereby certify under t e pains-and penalties bf perjury that the information provided above is true and correct: Si mature: Date: Z C ® Phone# S'0 771 Official use only. Do not write in this area, to be completed by city or town officiaL City or Town: Pertrdnicense# 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#: Information and histr° .ctions J Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual.,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed.to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." AdditionaIly,MGL chapter 152, §25C(7) states 'Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill compensation P out the workers' co ensation affidavit com letel Y,by checking the boxes that apply to your situation and,,if necessary, supply sub-contractors)name(s), address(es) and phone number(s) along with their certificates) of insurance. Limited Liability Companies'(LLC) or Limited Liability Partnerships (LL.P)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the nurgber listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a refcrcnce number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a homeowner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone-and fax number: Thtr Cbrnnlonweal of Massachusetts Depar (-,nt of Iudustxial AdeidQzU Office of layestigati.ons 600 Washington Street Boston, MA 02111 Tel. # 617-727-49,0.0 ext 4.06 ar 1-$77-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www-.mas5..gov/dia o'*Ver, , Town of Barnstable ~` Regulatory Services EAMMBLE'� Thomas F. Geiler, Director Building Division Torn Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: SOS-862-4038 Fax: 508-79076230 Property Owner Must Complete and Sign. This Section If Using A Builder , as Owner of the subject property hereby authorize r a � � to act on my behalf, in all matters relative to work authorized by this building permit application for: 13 r�, (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption'Form on the reverse side. i Town.of Barnstable op THe R.egulat®ry Services aAxxsrAxt Thomas F. Geiler,Director p MASS. $ - 1639. Building Division ArED p Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print` DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures, A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building pem7it, (Section 109.1,1) The undersigned"homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.,1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the.permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fom✓certification for use in your community. my a ;. r J IN f 1 a 7 U L�. A 1, f S t LJ ; ,; ,T� t I fi w r C - { Cl !r F s f �^� f 31 S e f = 1 LOT 1?4 �T;v% -LOT 11A � �--Q�� �_ _ _ 'i�j• ,� „ � 'ter . V�> ram. �j e LOT 20-4 RES ZONE RB" This MORTGAGE INSPECTION sanx'Ue°Qnjy FLOOD ZONE 'C" ''HE D \C P! V " Lb 2 ! DEED REF: _9�Q 1J5t_ ——— -- — BUYER: � O - R — — — —-_ DATE: _I 9 —— — — _ _ PLAN REF: 3824 —SCALE:1 I HEREBY c RTIFv ., <� '''ir- YA't�KEE SURVEY aYc TRUST �OAdPANY _ _THAT THE BUILDING -''� ; . SHOlIiIN ON THIS PL41N IS WCATED CN THE GROUND AS �wx� �`,A'y 'Y. -_ CONSULTA�;TS SHOWN AND THAT ITS.POSITION DOES ___-- CONFORM A , " THE ZONING LAW SETBACK REQLIREMEti-IS OF THE `IOB (SUITE 1) '=s- INDUSTRY ROAD ON OF , $l _--- • AND THAT f T DOES_jVOT_ LIE WITHIN TILT SPECIAL FLOOD HAZARDL- _ompampitz— . 02648 .AREA AS SHOW, ON THE H.U.D. AP DATED8/ay/m .. : - TEL 425 Panel 1 ?50001 0005 C FAX: �23 THIS PLAN -RIOT MADE FROM A?4 ItiSTRUME�T S:"Pi EY w PA AW��E . _-- NOT.TO BE USED FOR FENCES, BUll-r-ING PERMITS ETC. ,277E DCB Board of Buildin g Regulations and Sta` — RM E IMPROVEMENT ,. rc - gistratlo CONTRACTOR License or registration valid for individul use only e n before the expiration date.Explratlon 2 158588 Board of B If found return to- _ y P/ n201 OneAshburfonlPlaRegulationsandStandardsz} JTYpe a , ershi Tr# 264154 MASS BUIL ston,Ma. 021 DING,SYSTEMS p m13 BO o P OS STEPHEN gp� 24 ST. FARNCIS CIRCLE HYAN NIS, MA 0 2 Administrator Not va id'without signature a"". ✓/t� /�7NftdiLL(l6CLGLfL'' __ I a1 Board of Building Regulatio�ts a d Shan ardu s 7 Supervisor.License 4 r Construction CS -. Lic a 87 ens ; 589 aa . Explr�atiQn 2/4/2010.. Tr# 16188 y i' Restncti 21 Y, t e y }} STEPHEN E.BOBC�L� /. RANCIS C4111 I. _ je 4STF HYANNIS, MA{02601 mmissioner , 2. ,m Assessor's map and lot number ................../... :.. FI ET Sewage Permit number LE BAHB3TOD• �� ;)5 House' number .... 1 ......................................................... rb a a 39• \0� TOWN OF BAR'NSTABLE T ; BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....!................. ...��.\\ .....�.........TYPE OF CONSTRUCTION .............:....... 4 .. ��...:Y.......................... . ......................... 1. ' .............`.................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit occord+•ng to the following information: Location ................ .... ./...... ..... .%, �.>: .z.4—�s.......-. � G: ._` • . .!......j ProposedUse ......................................... a:..... •`.�r .... � .���:c ..: .......................... 4 i. Zoning District ...Fire District - a� `k �, .� . -` 'eAddress �i!.. � v`.. Name of Owner _ �„ �.. ... ... ... .... ..................................... � -- Name of Builder .......a:. ? .....�-..tip,?''.....................Address .. ..��!.R. ... ..;... a`^�. �.�`......� Name of Architect ......Address ............................................................ .................................................................................... Number of Rooms .................7-:......................................r....Foundation+,..........moo v.. ....... b� Exlerior ...........�!��.�� 6.�.ya Vim..............:..............:.Roofing ................... �`�1"5.. ...?............. Floors /�-f(......,....`....................................Interior .................,. . .............. ................. . ...............�. Heating_ .. ...... �. �...�.:.................. ............Plumbing ...:... ...... j�. ., .. `� ........................ .. _I Fireplace` ........................^11...%)...!..........................................Approximate. Cost ..........(��.�. .............. Definitive Plan Approved by Planning Board --------------------------------19,.--------r Area - :....li.......,.C�. i�S'�• Diagram of Lot and Building with Dimensions Fee ....., .::.:......................... i v a-;e:�2 SUBJECT TO APPROVAL OF BOARD OF HEALTH r � 4 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 < n- J -----. Construction Supervisor's•L"i'ense .../� . SOUTH HARBOR ASSOCIATES, INC. A=291-225 c'?q Z Srr 26939 "On No ..... Permit for ....... ............. Single:Family Dwelling ........................ Location 4 St- Francis Circle ........................................... annis ..................H..y.......................................................... Owner ....South H ou��... arb.or..As.s.ociates,....Inc. .. ........ ........ .... .... . ..............I.. ...... Type of Construction ............................ ................................................................................ Plot ............................ Lot ................................ Permit Granted ......$P-PteMber..(a..........19 84 Date of Inspection ....................................19 Date Completed ......................................1.9 A ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE 1. THIS SYSTEM IS GRID-INTERTIED VIA A - AC ALTERNATING CURRENT UL-LISTED POWER-CONDITIONING INVERTER. BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. CONC CONCRETE 3. A NATIONALLY-RECOGNIZED TESTING ,l 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 ` J 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 CONDUCTOROF THE - GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY _ HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5. T " I CURRENT 6. CIRCUITS OVER 250V TO GROUND SHALL �--.- Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(8). ' _ = �e Isc SHORT CIRCUIT CURRENT. 7. , DC CONDUCTORS EITHER DO NOT ENTER , kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC LBW LOADBEARING WALL-BE NG W L . DISCONNECTING MEANS PER ART. 690.31E . MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAINzll (N) NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY sH NEUT NEUTRAL UL LISTING. " NTS NOT TO SCALE 9. MODULE FRAMES SHALL BE GROUNDED AT THE OC ON CENTER UL-LISTED LOCATION PROVIDED BY THE PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING POI POINT OF INTERCONNECTION HARDWARE. PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BEf SCH SCHEDULE BONDED WITH EQUIPMENT GROUND 'CONDUCTORS. - - S STAINLESS STEEL r STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V VOLT Vmp VOLTAGE AT MAX POWER 5 VICINITY MAP INDEX Voc VOLTAGE AT OPEN CIRCUIT W WATT 3R NEMA 3R, RAINTIGHT PV1 COVER SHEET I PV2 PROPERTY PLAN PV3 SITE PLAN PV4 STRUCTURAL VIEWS LICENSE GENERAL NOTES PV5 UPLIFT CALCULATIONS }+ PV6 THREE LINE DIAGRAM GEN #168572 1. ALL WORK TO BE DONE TO THE 8TH EDITION Cutsheets Attached ELEC 1136 MR OF THE MA STATE BUILDING CODE. 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2014 NATIONAL ELECTRIC CODE INCLUDING MASSACHUSETTS AMENDMENTS. MODULE GROUNDING METHOD: AHJ: Barnstable REV BY DATE COMMENTS REV A NAME DATE COMMENTS UTILITY: NSTAR Electric (Cambridge Electric Light) its on PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL— THE INFORMATION HEREIN FMOWUNTING NUMBER: J B-0 2 6 8 0 2 00 Pa{{ Green ```�a CONTAINED SHALL NOT EXCEPT USED FOR THE EVANGELISTA, IZABEL EVANGELISTA RESIDENCE y ,,,Soia�Clty rN RBENEFIT OF SHALL ITNYONE BE DISCLOSED IN WHOLE ORCIN sYSTEM: 4 ST FRANCIS CIR 3.64 KW PV ARRAY, .PART TO OTHERS OUTSIDE THE RECIPIENTS p Mount Type C ORGANIZATION, EXCEPT IN CONNECTION WITH S: HYANNIS, MA- 02601 THE.SALE AND USE OF THE RESPECTIVE Hanwha Q-Cells #Q.PRO G4/SC 260 24 St Martin Drive,Building 2,Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME SHEET: REV: DATE Marlborough,MA 01752 INVERTER: L (650)638-1028 F: (650)638-1029 PERMIssION of soLARaTY INC. SOLAREDGE SE3000A-USOOOSNR2 7742.082483 COVER SHEET PV 1 3�3/2015 (888)—SOL—CITY(765-2489) www.solarcity.com a, f PROPERTY PLAN Scale:1" = 20'-0' 0 20' 40' 4k C G u ) PREMISE OWNER. DESCRIPflON. DESIGN: CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: J B—U L b U U L 00 • CONTAINED SHALL NOT BE USED FOR THE EVANGELISTA, IZABEL EVANGELISTA RESIDENCE Patty Green �: So�arCity� BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: �'�� NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 4 ST FRANCIS CIR 3.64 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS. MODULES H YAN N I S M A 026 01 ORGANIZATION, EXCEPT IN CONNECTION WITH , 24 St.Martin Drive.Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (14) Hanwha Q—Cells #Q.PRO G4/SC 260 PAGE NAME: [�V REV: DATE: Marlborough,MA 01752SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: T: (650)638-1028F: (650)638-1029PERMISSION of SOLARCITY INC. SOLAREDGE sE3000A—us000sNR2 7742082483 PROPERTY PLAN 2 3/3/2015 (888)—SOL—CITY(765-2489) www.solarcity.com PITCH: 20 ARRAY PITCH:20 t' MP1 AZIMUTH:209 ARRAY AZIMUTH:209 MATERIAL:Comp Shingle STORY: 2 Stories �H OF NG 1 L SS NAL Inv 3/04/2015 Digitally signed?by Nick Gordon AC -- Date:2015.03.04;07:44:56 `i f 08'00' _ 0 p I � ' LEGEND 0 .(E)'UTILITY METER & WARNING LABEL B INVERTER W/ INTEGRATED DC DISCO Inv MP1 & WARNING LABELS DC DC DISCONNECT & WARNING LABELS ` © AC DISCONNECT & WARNING LABELS + DC JUNC11ON/COMBINER BOX & LABELS f \ A rt,: w _ , Q - DISTRIBUTION PANEL &.LABELS Front Of Lc LOAD CENTER & WARNING LABELS a IC SYSTEM MET. O• DED ATED.PV SYST ER Q STANDOFF LOCATIONS CONDUIT RUN ON EXTERIOR .. --- CONDUIT RUN ON INTERIOR - _ - GATE FENCE Q HEAT PRODUCING VENTS ARE RED i-_-i INTERIOR EQUIPMENT IS DASHED y SITE PLAN N Scale: 118" _ 1' 01' 8' 16' s PREMISE OWNER: DESCRIP110N: DESIGN: CONFIDENTIAL- THE INFORMATION HEREIN [MODULES: NUMBER: J B-0 2 6 8 0 2 0 0 CONTAINED SHALL NOT BE USED FOR THE _ EVANGELISTA, IZABEL EVANGELISTA RESIDENCE Patty Green BENEFIT OF ANYONE EXCEPT SOLARCITY INC., NTING SYSTEM: "P SolarC�ty NOR SHALL IT BE DISCLOSED IN WHOLE OR INom Mount Type C 14� ST FRANCIS CIR 3.64 KW PV ARRAY ," PART TO OTHERS OUTSIDE THE REgPIENT S I IYANNIS MA O26O1 ORGANIZATION, EXCEPT IN CONNECTION WITH ,THE SALE AND USE OF THE RESPECTIVE 4) Hanwha Q-Cells #Q.PRO G4/SC 260 24 st:Martin Drlve,Building 2,Unit 11 _ SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME SHEET: REV: DATE Marlborough,MA 01752 PERMISSION OF SOLARCITYINC. INVERTER. T: (650)638-1028 F: (650)638-1029 SOLAREDGE SE3000A-USOOOSNR2 7742082483 SITE PLAN PV 3 3/3/2015 (886)-soL—CITY(765-2489) wwwsdarcity.com r s Si ilia of NG 5'-11" ol I L (E) LBW 9°.� F is SS NAL ECG 03/04/2015 A SIDE VIEW OF MP1 NTS , MPJ X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES LANDSCAPE 72" 24" STAGGERED PORTRAIT 48" 19" RAFTER 2X4 @ 24" OC ROOF AZI 209 PITCH 20 STORIES: 2 ARRAY AZI 209 PITCH 20 r C.J. 2X4 @24" OC Comp Shingle PV MODULE 5/16" BOLT WITH LOCK INSTALLATION ORDER & FENDER WASHERS LOCATE RAFTER, MARK HOLE ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT (6) HOLE. (4) (2) SEAL PILOT HOLE WITH POLYURETHANE SEALANT. ZEP COMP MOUNT C — ZEP FLASHING C (3) (3) INSERT FLASHING. (E) COMP. SHINGLE _ (4) PLACE MOUNT. (E) ROOF DECKING u (2) V INSTALL LAG BOLT WITH 5/16" DIA STAINLESS (5) F(5) SEALING WASHER. STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH WITH SEALING WASHER (6) BOLT & WASHERS. (2-1/2" EMBED, MIN) (E) RAFTER 1 STANDOFF .� PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: J B-0 2 6 8 0 2 00 CONTAINED SHALL NOT BE USED FOR THE EVANGELISTA, IZABEL EVANGELISTA RESIDENCE y .,SolarCity Patty GreenNORBENEFIT OF SHALL ITN BENDISCLOSPEDSN WHCITY OLE ORCIN Moon SYSTEM: 4 ST FRANCIS CIR 3.64 KW PV ARRAY ���" Comp Mount Type C PART TO OTHERS OUTSIDE THE RECIPIENT'S MODULES H YAN N I S MA 02601 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St Martin Drive, Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (14) Hanwha Q—Cells #Q.PRO G4/SC 260 sitEEET: REV DATE; Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN Q PAGE NAME T: (650)638-1028 F: (650)638-1029 PERMISSION OF SOLARCITY INC. INVERTER. 7742082483 PV 4 3 3 2015 (888)—SOL—CITY(765-2489) www.solarcity.com SOLAREDGE SE3000A—USOOOSNR2 STRUCTURAL VIEWS / / - GROUND SPECS MAIN PANEL.SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO TWO (N) GROUND Panel Number: Inv 1: DC Ungrounded INV 1 —(1)SOLAREDGE ## SE3000A—US000SNR2 LABEL: A —(14)Hanwha Q—Cells PRO G4/SC 260 GEN #168572 ODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:44013386 Inverter; 3000W, 240V, 97.5%; w/Unifed Disco and ZB,RGM,AFCI PV Module; 260W, 236.5W PTC, 40mm, Blk Frame, MC4, ZEP, 600V ELEC 1136 MR Underground Service Entrance INV 2 Voc: 37.77 Vpmax: 30.46. INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER �E 200A MAIN:SERVICE PANEL E; 20OA/2P MAIN CIRCUIT BREAKER r Inverter 1 (E) WIRING CUTLER—HAMMER 20OA/2P Disconnect 3 SOLAREDGE SE3000A—USOOOSNR2 (E) LOADS B zaov I $OlarClty Li LL L2 N A 20A/2P -------- EGC/ DCr 2 TOG. - BI _.: cec T N oc x DC_ MP1: 1x14 . GND -- EGC-—-— -----------—----------- EGC —�---- -- -------------------t� .r. N EECTGE `— GEC l - - -r TO 120/240V SINGLE PHASE I I l s UTILITY SERVICE PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN Voc* = MAX VOC AT MIN TEMP - O1 (1)GE #THOP220 PV BACKFEED BREAKER *- 6 (1)CUTLER—HAMMER #DG221UR8 /r♦ A (1)SolarCityy pp 4 STRING JUNCTION BOX D Breaker, 20A/2P, 1 Space Disconnect; 30A, 24OVac, Non—Fusible, NEMA 3R /"� 2x2 STRMGS, UNFUSED, GROUNDED —(2)Ground Rod; 5/8" x 8', Copper —(1)CUTLER NMMER DGO3ON8 Ground//NNeutral Kit; 30A, General Duty(DG) ; PV (14)SOLAREDGE 1P300-2NA4AZS PowerBox Optimizer, 30OW,'H4, DC to DC, ZEP nd (1)AWG#6, Solid Bare Copper —(1)Ground Rod; 5/8' x 8', Capper (N) ARRAY GROUND PER 690.4-7(D). NOTE: PER EXCEPTION NO. 2, ADDITIONAL ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCATION OF (E) ELECTRODE 1 AWG #10, THWN-2, Black 1 AWG#10, THWN-2, Black Voc* =500 VDC Isc 15 ADC (2)AWG#10, PV WIRE, Black Voc* =500 VDC Isc =15 ADC O (1)AWG #10, THWN-2, Red O (1)AWG#10, THWN-2, Red Vmp =350 VDC Imp=10.26 ADC O (1)AWG#6, Solid Bare Copper EGC Vmp =350 VDC Imp=10.26 ADC (1)AWG #10, THWN-2, White NEUTRAL Vmp =240VAC Imp=12.5 AAC (1)AWG#10, THWN-2, Green,_ EGC —(1)Conduit,Kit;.3/47 EMT. . . . .. . . .. . . . . .. . . .. . . .. . . . . . . . . . . .. . . . . . . .. .. . . . . . . . . . ... .. . . .. . . . . . . . . .. #8,.THWN-?,.Green . . EGC/GEC.-(1)Canduit.Kit;.3/4'.EMT.. . . .. . . . . ti PREMISE OWNER: .. DESCRIPTION: DESIGN: CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: J B—O 2 6 H O 2 O O CONTAINED SHALL NOT BE USED FOR THE _ EVANGELISTA, IZABEL EVANGELISTA RESIDENCE Patty Green �_`�'•., BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: ��°SolarCity NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount T h e C 4 ST FRANCIS CIR 3.64 KW PV ARRAY , PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES HYANNIS MA 02601 ORGANIZATION, EXCEPT IN CONNECTION WITH , THE SALE AND USE OF THE RESPECTIVE (14) Hanwha Q—Cells #Q.PRO G4/SC 260 24 St.Martin Drive,Building 2,Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME SHEET: REV: DATE Marlborough,MA 01752 PERMISSION OF SOLARCITY INC. INVERTER: L (650)638-1028 F: (650)638-1029 SOLAREDGE SE3000A—USOOOSNR2 7742082483 THREE LINE DIAGRAM PV 6 3/3/2015 1 (888)-SOL-CITY(765-2489) www.solarcltycom J Label Location: Label Location: Label Location: ou'Ulm• • 0 o •o o (C)(CB) o (AC)(POI) o (DC) (INV) Per Code: _ Per Code: _ Per Code: _. NEC 690.31.G.3 °o 0 0 0 •. ° NEC 690.17.E ° -o o ° e- •o• ° NEC 690.35(F) Label Location: o :o • ° - o 0 0 TO BE USED WHEN o•° ° - ° -o ° ° • • INVERTER IS o D O 00 • M (DC)(INV) aul o -o o e Per UNGROUNDED NEC 690.14.C.2 Label Location: Label Location: (POI) .o (DC)(INV) l�l�J Per Code: 'O Per Code: o ° o NEC690.64.B.7 e (• o ; ° NEC 690.53 °o 0 0 0 IMA• ° Mill ° Label Location: • e o o -o (POI) Label Location: ° ° Per Code: (DC)(CB) •-° °o 0 0 o NEC 690.17.4; NEC 690.54 uV Per Code: e • ° '° NEC 690.17(4) :e ° o•° ° o- o•o o ° o ILYAMew Label Location: (DC)(INV) Label Location: uV Per Code: �rn1(�fl (D) (POI) Ip, _ ° •-° NEC 690.5(C) l"JLI�J Per Code: Swarr:MIA o- -o o °• ®., ° NEC 690.64.B.4 Label Location: Label Location: . p (POI) (AC)(POI) . -o - o - Per Code: (AC): AC Disconnect rc�r�r�r Per Code`. ° ° ° NEC D 690.64.B.4 (C): Conduit u NEC 690.14.C.2 e e o (CB): Combiner Box (D): Distribution Panel (DC): DC Disconnect (IC): Interior Run Conduit Label Location: (INV): Inverter With Integrated DC Disconnect �r A (AC)(POI) (LC): Load Center •- - Per Code: (M): Utility Meter 0 NEC 690.54 (POI): Point of Interconnection CONFIDENTIAL- THE INFORMATION HEREIN CONTAINED SHALL NOT BE USED FOR -�� •�j ®C®O® THE BENEFIT OF ANYONE EXCEPT SOLARCITY INC., NOR SHALL IT BE DISCLOSED �- S��LA IN WHOLE OR IN PART TO OTHERS THE RECIPIENTS ORGANIZATION, SC Label Set •;;� SolarCit o �°L EXCEPT IN CONNECTION WITH THE SALEALE AND USE OF THE RESPECTIVE SOLARCITY EQUIPMENT, WITHOUT THE.WRITTEN PERMISSION OF SOLARCITY INC.