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0033 UNCLE WILLIES WAY
� n w� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application #cX/66 S?6 Health Division Date Issued 7`M-Pg- PIC Conservation Division Application Fee •(56 Planning Dept. Permit Fee 16 Date Definitive Plan Approved by Planning Board Historic - OKH wo _ Preservation/ Hyannis Project Street Address \kYV-\ - Vil 11%c5 1Q!/ Village 5 Owner Ec-rb1 L t'bs r' Address 3 WJ e--\c I►oc S W Telephone Jr�g • a�D �$�a 4h n D R&P I Permit Request off' c i t 'n Est W4,q.n a ►� ��c G 1G c� � 5�t�• �� �V� 7V O Tc..nc� Square feet: 1 st floor: existing proposed 2nd floor: existing _ proposed — Total new Zoning District e Flood Plain Groundwater Overlay Project Valuation 0 \R WO Construction Type �3 Lot Size Grandfathered: ❑Yes lLNo If yes, attach supporting documentation. Dwelling Type: Single Family 1Q Two Family ❑ Multi-Family (# units) Age of Existing Structure 311) N r-5 Historic House: ❑Yes U No On Old King's Highway: ❑Yes J&No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing _ new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing _ new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other WA- Central Air: ❑Yes ❑ No Fireplaces: Existing New A(A _ Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new siz Pool: ❑ existing ❑ new sizeAO- Barn.'•-] existing;�0 new siz� ,Attached garage: ❑ existing ❑ new siz Shed: ❑ existing ❑ new size�Other`•' ` GO Cv Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# jv Current Use spa Proposed Use APPLICANT INFORMATION ((BUILDER OR HOMEOWNER) Name c�wS ur t'�- Telephone Number _ D !a yb --5,-3!J Address ��a Gr<•a �� Roc License # C5 Home Improvement Contractor# Email {"u�.� tol",Jzu Worker's Compensation # WCDI�901J -bQ ALL CON RUCTION DEBRIS RESULTING FR M THIS PROJECT WILL BE TAKEN TO SIGNATURE FOR OFFICIAL USE ONLY f 1 APPLICATION# DATE ISSUED MAP/PARCEL N0. ' ADDRESS VILLAGE OWNER . s DATE OF INSPECTION: r FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ; +` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING L_~I DATE CLOSED OUT ' ASSOCIATION PLAN NO. DocuSign Envelope ID:03FF3B16-4915-4EOC-B93C-482197814292 SolarClty I PPA AMENDMENT Customer Name and Address Installation Location Date Errol Foster 33 Uncle Willies Way 9/4/2015 33 Uncle Willies Way HYANNIS,MA 02601 HYANNIS,MA 02601 Congratulations! Your system design is complete and you are on your way to clean,more affordable energy. Based on the information in your System design,there are some amendments we need to make to your Power Purchase Agreement(the"PPA").The amendments are as follows: • We estimate thatyouur System's first year annual production will be 7,835 kWh and we estimate that your.average first year, monthly payments will be$81.62.Over the next 20 years we estimate that your System will,produce 149,478 kWh.We also confirm that your electricity rate will be$0.1250 per.kWh,(i.e electricity rate$0.1250 and'tax rate$0.0000). Your electricity rate,exclusive of taxes,will never increase more than 2.90%per year. By signing below,you are agreeing to amend your PPA and you are agreeing to all of the new terms above.: If you have any questions or concerns please contact your Sales Representative. Customer's Name:Errol Foster Power Purchase Agreement Amendment DmuSigned by: Signature: 7381CC521EDE4D9._ 'SolarCity ; Date: approved Customer's Name: .Signature: Signature: Lyndon RIVe, CEO Date: Date: 8/29/2015 3055 Clearview Way,San Mateo,CA 94402 ! 888.765.2489 solarcity.com Power Purchase Agreement Amendment,version 2.0.1,June 25,2015 Contractor License MA HIC 168572/EL-1136MR . Document generated on 8/29/2015 1076040 MAP �■ 1 OWNER AUTHORIZATION Job ED: Location:.� as Owner of the subject property ' ]hereby authorize_ Soll,mr Chy Comb.-INC II18572/ BU lLnc 1136MR to act on my behalf, in all smatters relative to work authorized by this building permit application and signed contract. Signature of Owner. Date: ' . . 1�:. .:i::i'1 r.' dl'tYlt. N!.{ ..F:t•.:4 rZt ue..i^G -T�'Go? .� r� 'F r:.t. ^'JO:.�IA V:T Tf v - L'ti". .44 T. XD*.W.. A--P:1.1v'fh%. v h...•.,i:+'.tiS: :6:.E.? rs ....n. Sn:::uN• �A��aanuatsr► 33�etia,'tmeRt of t►utl�'E�ltetp doom of Quitoep RMqutlto"a on#9tariilar s tan ti CS-108915 JASON PATRY y 82i smwART DRIVE " Abington MA OnSI " �.+a ....�. 02180/2019 r ate_ i•= .� Ortke of Coaeamer A/6En A Qoi Aaa Regd�Noo HOME DAPROVEMENT CONTRACTOR r Rog aft0on: IW572 TYR,ry Expiration: 3J8fl017 Supptemont C - SOLAR MY CORPORAMON 't I ` JASON PATRY 24 ST{MARTIN STREET OLD 2UMI . •.w j AAkZOROOGK MA 017S2. uo&rmreury ! i . .. I "A Office of Consumer Affairs 6nd.Business Regulation 10.Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement,Contractor Registration t Registration: 168572" 3t Type: Supplement Card SOLAR CITY CORPORATION i.'¢ ;Expiration: 3/8I2017 CHERYL GRUENSTERN -" - 24 ST MARTIN STREET BLD 2UNIT .11 -. - - -- MARLBOROUGH, MA 01752 Update Address and return card,Mark reason for change. SCA I G z -,,, Address Renewal i i Employment Lost Card ��r• �%a�iliar Jurrri�//Jt�l l�ii:>rfre�/%.fir . ( flice of Consumer Affairs&Business Regulation License or registration valid for individul use only OUR ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: of Consumer Affairsand Business Regulation egistration: 168572 Type: 10 Park Plaza-Suite.5170 Expiration: 3/8/2017 Supplement Card Boston,MA 02116 SOLAR CITY CORPORATION CHERYL GRUENSTERN �. 3055 CLEARVIEW WAY- J Ft SAN MATED,CA 94407 ' `" '- �� f . �1 _: 1.��•..,.st.e.,� �:�'� --- Undersecretary LNot valid without signature 7k0 ComraraMWed-th of massackusetts Department of Industrial Aceidenir I Congrtess Stree4 Suite 100 Boston,MA 02114--2017 www.mrrss gov/dia Wot'kers'Compeneation In mrsoce Aflirlavit:Builders/Centrae erslEtectrietats Piumbem TO BE FILED WITH THE PERMTITING AUTHQR1717Y. A999sant Infoarmation Please Print Let=Aly NaMe(BuzinosdOrbanizolioit/tndfvidual) SolarCity Corporatlon Address: 3055 Cieawiew Way City/State/Zip: Sate Mateo,CA W02. Phone M (888)766-2489 Are you so rmplDW.Check the xpproprhate box: Type of project(tt ealrrired): i.UJ i am aer*oya with 12,500 employers(€Wl aadlbrpart-time).'r .7. [1 Nevi construction 2.[J I tan a sole proprietor or partnership acid have no cmployrces working for ntc l 9. Remodeling a"capacity.(Pia wurlhivrs'camp.insurance required.] 3.[J1 ama bomeow.Mrg akl work Fnysdf.lNo Workers'comp,iasurancesequircd-1 t 4 Demolition 4.[]l am a hom an eowner d will be hiring contractors(0,conduct all work on my Property. l will", 10 Building addition' ertsum that all¢ntractors cidw have xrorf crs,'eolnponsation insurance or arc able 11.Q Electrical repairs or additions proildelors Willi IM rxtyrloyecs. 12.Q Plumbing repairs or additions 5.[31 am a genual,contractor and i have hired erne sins-crmbactors listed on the allRawd d" Thwe mb-0orFuar:►oz have cnployces and have workers'carp,hmmae.: I3.❑Roof repairs 6.JJ We are a corporation and its officers have:exemised their rleX of exempiion per Mtil,c. :_. I4•bother St71�r partets 152,§h(4),and we Lave no employees,[No wari:as'co V.insurance required.] +Any applicant that checks box if must also nil out the ioFdiou below sltotft their workers'commutim policy bnfonnatim. - I loftownets%too subrrdt this ailidavit indieening they are doing all work and then hire outside.contractors must submit a now n(ndwit indicating such. +Coatratlum that chock this box rttnd attarlted en stklitional sheet stowing the nem Mile sub-eonimolon and stale whellw tw etch those entities ltavc employees. If(hit aab-eontrnaWrs fmvc«nployns,they must provide their wdTkco'amp.policy mntber. 1 am art empkW that is provMng workers'campensalion U;snrunce for rtry emptayses. Edow is the paficy and job site lttfarmatian - . Insurance Company Name;American Zurich insurance Company Policy 0 or Self iris.Lim 4: WC0182015-00 Expiration Date: 9/1/2016 Job Site Address: 33 Uncle Willie's Way City/Staie/2ip: Hyannis,MA 02601 Attach a copy of the workers'compensation ORW declaration page(showing the policy uumber a ul expinition data). Failure to secure coverage as required under MGI,c.152,§25A is a crintinat violation punishable by a fine up to$1,500.00 and/at'one-year imprisonment,as well as civil penalties in the forin ofa STOP WORK ORDER and a Irma of tip to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of investigations o f the DIA for insurance coverage Verification. Cam' C I do hereby certi under the pains and penalties pf perjury that the beformadon provided above is true and correct. . (Jason Patr p September 8,2015 Phone - offichd use otrty. Do not write in this twee,fo be vempfeted by rarefy or town o,ffidaL City or Town: Permit/License 0 Issuing Apthority(circle cone): 1.board of Health 2.Building Department 3.City/Town Clerk 4.Sleetrical Inspector S.Plumbing Inspector 6.Other Contact Perm: Phone#: i Leo CERTIFICATE OF LIABILITY INSURANCE 2016 o:li17o16 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDEO BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the poticy(les)crust 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 Mu of such andorsem s. MMARSCER H IR SK&INSURANCE SERVICES AMEa _..._ 7 pq... —__—..._ 346 CALIFORNIA STREET,SUITE 1300 racoNao. Nn} CALIFORNIA LICENSE NO.0437163 EaVIA1L SAN FRANCISCO,CA 94104 AoOREsg. _ A11n:Shannon SWt4t5-743-8334 INSURER[6)•AFFORDINO COVERAGE_.... NAICq 998301•Sl ND GAwUE•1616 _ INsuier t a.;Zuddl American Insurance Company 116636 INSURED Corporation R N?A._.... N!A ...... _.. 3065 Clear view way INSURER c:NIA N•YA SarlMalsp,CA94492 --..._—..-----.....__....... ....,.. .. _..._.._.._. wsuRER D:Alneriran Zurich lrslaaltce Company 40142 n RdBUREj E — — --.`- INSURER F COVERAGES CERTIFICATE NUMBER: SEA-00271383&Ue 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. � TYPE OF INSURANCE TAbbLTsueie POUGVNU -.•_._.... . "POI.IGYEFF PMIRICYDLY XP MI LIMITS A X 'COMmetALGmmi.IJAmuTy GLOM820164DII 09A12015 091012016 EACH OCCURRENCE S 3.000�900 h r CLAIM DAMAGETO SAtADE n OCCUR PREp!!$E$..{Ea.Qlxurrenc0}... 5--....._._—._ 3,9UD,ODO F. .L. X I SIR:$250,000 1 MED ExP(Any one.person). .. :.. ; PERSONAL&ADV INJURY S . ....._...•.. _. GEN'L AGGREGATE LIMIT APPLIES PER. k, GENERAL AGGREGATE S 6,099,900 X PRO-f l dEGT ( LOG. PRODUCTS-GOMPIOP AGG S 6,000.000 POLICY L.....1 1..... _ 44 .. DU ... _. ..... _ ... .---- OTHER. I S A AuTomoa ELiAmury 1BAP0182017.00 091415 COMBINED SI—NG----M - S OD0,00 - 109101016 XAWAV70 900ILY tNJURY(Per Person) S X_. AUTOS OWNED X SCHEDULE ± , I BODILY INJURY(Per accident) S X HIRED AUT X... au°Nrr D 1 f ` eRo i OwaaGE $ �. ' COhiPlCOL D. S $5,990 UMBRELLA LHAB. OCCUR i EACH OCCURRENCE S EXCEeB LIAR CLAIMS AV1DE i i ' ' AGGREGATE S OE0 •RETENTIQtJS D 1NOMERs COMPENSATION twC0182wM(ADS) 091012015 10910112016 X P R o . ANDEMPLDYflRSLIA61LrfY _. .BTATUL€_ ---, L. A ANY PROPRIEfORIPARTHERIEXECUTIVE YIN wC0181015 00{AdA) 991012915 �09 01(1016 E.L.EACH ACCIDENT S 1,000,{IDO OFfIMUMEMSEREXCLUDED7 N1A1 4 —._ _.. (Mandatory In NHr) WC DEDUCTIBLE$500,000 E L.DISEASE•@A EMPLOYEES I.W01900 -- !N describe under i 1,Q9D,090 D SCRIPII NO OPERATIONS Wow I E.L.DISEASE-POLICY LIMIT 5 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES IACORD f0f,Additlonal Remarks Schedule;may ba wtt=hod If more space Is requrradl Evldenceoiinsurance. . CERTIFICATE HOLDER CANCELLATION SdarCAy Corporaffm SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3055ClearvitwWay THE EXPIRATION DATE THEREOF, NOTICE WILL 13E DELIVERED IN San Mateo.CA S9402 ACCORDANCE MOTH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIYk of Maroh Risk&Insurance Servkes CherlesMamiolejo ��" - .G .-•= 01989.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD f f Version*48.9 4 �ov;SolarCit FNOF July 31, 2015 N' G Project/Job#0261572 0 RE: CERTIFICATION LETTER - i L y 1 � Project: Foster Residence 33 Uncle Willies Way x• SS NAL�NG� Barnstable, MA 0260.1 07/31/2015 To Whom It May Concern, 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 - MPI: Roof DL= 10.5 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. Digitally signed�by Nick Gordon Date:2015 e07.31�09:23:15.-07'00' k 3055 Clearview.Way San.Mateo,CA 94402 T(650)638-1028 (888)SOL-CITY F:(650)638-1029 solarcity.com:.:' AZ ROC 243771,CA CSL8 8881Q4.CO E0`$041,CT HIC 0632778.DC HID 71101486,DO HIS 71101488,HI G'628770,MA HIC.168572,MO MHIC 128946.NJ"13VH06160600, OR COB 180498.PA 07734%T1TDLF127006.WA GC4;.SOIARC'919M 0 2013 SolarCity.A01.rights reserved, - r 07.31.2015 SolarCity PV System Structural Version #48.9 Design Software PROJECT INFORMATION &TABLE OF CONTENTS Project Name: Foster Residence AHJ: Barnstable Job Number: 0261572 Building Code: MA Res. Code, 8th Edition Customer Name: Foster, Errol Based On: IRC 2009/ IBC 2009 Address: 33 Uncle Willies Way ASCE Code: ASCE 7-05 City/State: Barnstable, MA Risk Category: II Zip Code 02601 Upgrades Req'd? No Latitude/ Longitude: 41.661268 -70.301547 Stamp Req'd? Yes SC Office: Cape Cod PV Designer: Tim Clark 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 � t 16 ks i '+ 28 • 33 Uncle Willies Way, Barnstable, MA 02601 Latitude: 41.661268, Longitude: -70.301547, Exposure Category:C STRUCTURE ANALYSIS LOADING_SUMMARY AND MEMBER CHECK- MP1 " Member Properties Summary °MP14. Horizontal Member Spans Rafter Pro erties Overhang1.16 ft Actual W 1.50" Roof System Pro erties '000114 Spa n 1100 1'i! , •12'611ft =Actual D t&Nl Number of Spans(w/o Overhang) 1 San 2 1Nominal Yes Roofing Material!WWWWRNIM NiA.Comp Roof.t " `WS an 3,_! Ks. l § u ? `' wfA`' _V; ,0410.88 in::o2 Re-Roof No San 4 S. 13.14 in.A3 Plywood Sheathin .mom .�.��_` Yes,z_,�R'VI'm ��°_ .S an 5 ' N . x„ 111% ". M ��, I .,,..47 63 m.^4 N2 Board Sheathing None Total Span 13.77 ft TL Defl'n Limit 120 Vaulted Ceilin ;D ,k: ..I I00 WIN N6 WWAIStaAW .5VffT83Ift-& Wood,Spec iesrg- $y ,FsPF� Ceiling Finish 1/2"Gypsum Board PV 1 End 13.08 ft Wood Grade #2 Rafter,Slope .. ' .; .:: �&f -,.. 23°g" i =PV,2 Start l " .•�a „ :� ��`�. � ... aw 5.775 FTitz k, FT f 875 psi av Rafter Spacing 16"O.C. PV 2 End F„ 135 psi Top Lat Bracing _"l k0W Full Z:., I PV,3 Start .;` E WISINKII . '1400000.-psi 441 Bot Lat Bracing At Supports PV 3 End Ewn 510000 psi Member Loading Summa Roof Pitch 5 12 Initial Pitch Adjust Non-PV Areas., PV Areas Roof Dead Load DL 10.5 psf x 1.09 11.4 psf 11.4 psf PV.Dead Load INm , ." ._ 'NPWDU 3.0' sf'�iu ii 1 x 1:09 � Roof Live Load RLL 20.0 psf x 0.95 19.0 psf ...�, u....w mx � w-nr, 1,7. �Yk., 3}x Live/Snow Load ,.',.n LG� SL::.. E,� 30:0 sf, 'x'0 7 1 x"0.7� 21 O;psf.; 0 210. sf_': Total Load(Governing LC TL 1 32.4 psf 1 35.7 sf Notes: 1. ps=Cs*pf,Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf=0.7(Ce)(Ct)(I,)pg Ce=O.,9,Ct=1.1,Is=1.0 Member-Design Summa` (per NDS Governing Load Comb CD CL + CL - CF, Cr D+S 1.15 1.00 0.45 1.2 1.15 Member Analysis Results Summary Maximum Max Demand @'Location CapacitV DCR Load Combo Shear Stress 41 psi 1.2 ft. 155 psi 0.27 D+S Bending(+)iStress4 AV,- ,_..v.30 °..!*!84T si ,11 7 7.5fLr*%'Wx Bending - Stress -31 psi 1.2 ft. -619 psi 0.05, D+ S Total Load D6fI6dIonW ft:` W ] -I'3T'iftN '120' x* `,f.0.34W r 5 N%W +.S%I' � z k w '. . . '..a ,.,, •. � .. .. j CALCULATION OF DESIGN WIND LOADS MP1 Mounting Plane Information Roofing Material Comp Roof PVPV System type SolarCity SleekMount�,�"�R}� .. M o a y Spanning Vents No Standoff.`Attach nt Hardware) Comp Mount,Tvoe C _ ..77 „ ,7. 7 7 7, ;77 ",7 UT7 Roof Slope 230 RaftermSpaCing w= w 16' O C .. .; ,, ,, `' 1"""� w_. Framing Type Direction Y-Y Rafters Purlin Spacing?"' • $- I IX-X Purlms Only NA' „ Tile Reveal Tile Roofs Only NA tems Ti � �� le"Ach ttament SY ; Tile fs Y Onl K NA __ �' -- Roo--_ am...._._ ;�'-� :7 �...�'" ,Standing Seam/Trap Seam/Trap Spacing GSM Seam OnlyNA And Design Criteria Wind Design Code ASCE 7-05 Wind Design�Method _ Partially/Fully Enclosed Method g Basic c�Wind Speed V 110 moh Fig. 6-1 Ex osuie CateC r . _Section 6 5 6 3 p -g-ry - ._w.- _ Roof Style Gable Roof Fig.6,11E/C/D-14A/B Mean Roof Hei ht h 15 ft` A Section 6.2 `^,. Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.85 Table 6-3 Topographic Factor �_Krty _ 1.00 Section 6.5.7 Wind Directionality Factor ICd 0.85 _ Table 6-4 Importance Factor 1 1.0 FTable 6-1 Velocity,Pressure qh qh =0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15 22.4 psf Wind Pressure Ext. Pressure Coefficient U GC u -0.87 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down GC Down 0.45 Fig.6-11B/C/D-14A/B Design Wind Pressure p p= qh(GC) Equation 6-22 Wind Pressure U -19.5 Psf Wind Pressure Down 10.0 PsIf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 64" 39" Max_Allowable Cantilever Landscape. - 24" NA__ Standoff Confi uration La-ndscape Staggered Max Standoff Tributary,Ar-a �_ Trib _ ---- 17sf _ PV Assembly Dead Load W-PV 3.0 psf __ L Net Wind;Uplift at_Standoff_ _ T=actual _ -313_Ibs Uplift Capacity of Standoff _ T-allow 500 Ibs Standoff Demand/Capacity DCR 62.6% - X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 66" Max Allowable•Cantilever ____Portrait W. R NA - °_r _° Standoff Configuration Portrait Staggered Max Standoff Tributa Area Trib -- 22 sf ., ry PV Assembly Dead Load W-PV 3.0 p sf Net Wind U lift at_St doff___ __ - _-T-actual 392 Ibs' ' P _l Uplift Capacity of Standoff T-allow 500 Ibs Standoff 6—emiind/Ca6acityDCR 78.40%,. Ss 4Z i r +�wr man ^-^.may �;.; �i j ��ts^°��,�s �� ,rVS.,, 6✓s^,,.,�,�.��h r �s�`�t�' ra�'A �;�"". IY 3 , ° €uyA 7�tt "a'* g'- �' ' �N r, 33 Uncle Willies Way, Hyannis 5/19/07 .- 4 a � 22 t 1- r S 33 Uncle Willies Way, Hyannis 5/19/07 �P�OFIMElpy,O Town of Barnstable Re gulatory Services + BARNSTABLE. + MASS. �a Thomas F. Geiler,Director �''°rEc,�•+"� Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXIT ORDER DATE: .� 0-7 LOCATION: 33 c ) Lit I I; PS � Under the provisions of 780 CMR, the State Building Code, Section 3400.5.1, you are hereby ordered to immediately discontinue the use of the cellar/basement area for sleeping purposes. IjYW *S-PEC&OR SIG F RECIPIENT FTME ram, Town of Barnstable Regulatory Services * BARN&rABLE. » v MASS. Thomas F.Geiler,Director �p 039. �0 rF�p„prA Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 June 5, 2007 Rafael Savinon 247 Arrowhead Dr. Hyannis, MA 02601 RE: EXIT ORDER 33 Uncle Willies Way Map : 292 Parcel : 309 Dear Property Owner/Occupant This letter shall serve as notice that the building department has become aware of a building code violation at the above address. In accordance with 780 CMR 121.0 and 780 CMR 3400.5 you are notified that the basement bedrooms are declared dangerous and unsafe and their use must cease immediately. The property must be brought into compliance or be subject to criminal prosecution as provided for by 780 CMR 118.4. A building permit is required to bring the property into compliance and must be applied for by June 19, 2007 to avoid further action by this office. You may call this office at(508) 862-4034 with any questions. Thank you for your anticipated cooperation in this matter. By Order, hJ ffr4ey L. Lauzon Local Inspector Q:zoning5 pFTHE Tp� Town of Barnstable Regulatory Services 9 MASAS. Thomas F.Geiler,Director Eo;p. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 June 5, 2007 Rafael Savinon 247 Arrowhead Dr. Hyannis, MA 02601 RE: EXIT ORDER 33 Uncle Willies Way Map : 292 Parcel : 309 Dear Property Owner/Occupant : This letter shall serve as notice that the building department has become aware of a building code violation at the above address. In accordance with 780 CMR 121.0 and 780 CMR 3400.5 you are notified that the basement bedrooms are declared dangerous and unsafe and their use must cease immediately. The property must be brought into compliance or be subject to criminal prosecution as provided for by 780 CMR 118.4. A building permit is required to bring the property into compliance and must be applied for by June 19, 2007 to avoid further action by this office. You may call this office at (508) 862-4034 with any questions. Thank you for your anticipated cooperation in this matter. By Order, Jeffrey L. Lauzon Local Inspector Q:zoning5 V Building Department 200 Main St. � Post Hyannis, Ma. 02601 z` a VRL -� PITNEV BOWES • 02 1A $ 00.410 0004606238 JUN 05 2007 _ MAILED FROM ZIPCODE 02601 Rafael Savinon 247 Arrowhead Dr. Hyannis, MA 02601 f RETURN TO SENDER I NO SUCH NUMBER ` UNABLE T9 FORWARD 02601400200 �Q�E3—QES�E9-05-3Q 1 1IIIIIl1111IIIIIIII fill 111111111 Hill IIIIII111111111111111 i _ z�a Y� . __ r `� - /� � �� _� ` `\` —"�^� . ,, - �y. `� . /�" ii� i2 i 1i }i iiii i # i! i} {=11 i 1#�' ° ki }i - s i�; ii i i! it ltit i 1 i4 �tt ttii �!! ttit i �l it , 2�, INE Tqy, Town of Barnstable Regulatory Services xr x * BARNSTABLE, " v MASS. g Thomas F.Geiler,Director Qjp 1639. lF Mai' Building Division Tom Perry,-Building Commissioner, 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 June 5, 2007 Rafael Savinon - 257 Arrowhead Dr. Hyannis, MA 02601 RE: EXIT ORDER 33 Uncle Willies Way Map : 292 Parcel : 309 Dear Property Owner/Occupant This letter shall serve as notice that the building department has become aware of a building code violation at the above address. In accordance with 780 CMR 121.0 and 780 CMR 3400.5 you are notified That the basement bedrooms are declared dangerous and unsafe and their use must cease immediately. The property must be brought into compliance or be subject to criminal prosecution as provided for by 780 CMR 118.4. A building permit is required to bring the property into compliance and must be applied for by June 19, 2007 to avoid further action by this office. You may call this office at(508) 862-4034 with any questions. Thank you for your anticipated cooperation in this matter. By Order, dr L. Lauzon Local Inspector £S --Z Wd C I NAr LODZ 318V"SN8VE :10, Ni't 01 Q:zoning5 Town of Barnstable °* Regulatory Services • BAMSrABLE, y MASS g Thomas F.Geiler,Director �p i6gy. 10 lE1639. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 June 13, 2007 Rafael Savinon 257 Arrowhead Dr. Hyannis, MA 02601 RE: EXIT ORDER 33 Uncle Willies Way Map : 292 Parcel : 309 Dear Property Owner/Occupant This letter shall serve as notice that the building department has become aware of a building code violation at the above address. In accordance with 780 CMR 121.0 and 780 CMR 3400.5 you are notified that the basement bedrooms are declared dangerous and unsafe and their use must cease immediately. The property must be brought into compliance or be subject to criminal prosecution as provided for by 780 CMR 118.4. A building permit is required to bring the property into compliance and must be applied for by June 27, 2007 to avoid further action by this office. You may call this office at(508) 862-4034 with any questions. Thank you for your anticipated cooperation in this matter. By Order, L. Lauzon Local Inspector Q:zoning5 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 0355`) Map Parcel Application# v 1 Health Division Conservation Division Permit# Tax Collector Date Issued l 6� Treasurer Application Fee -3V Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address :93 y yc�,� "11A<5 wA K Ley c�i►/it/��� A11A D1-6 dY Village Owner A9416664 9,4rl,471u - Address w4y Telephone <e,—0 � 3",f Permit Request S Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new i Zoning District Flood Plain Groundwater Overlay Project Valuation� Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. l Dwelling Type: Single Family M-' Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes Colo On Old King's Highway: ❑Yes ❑No Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing -f new Total Room Count(not including baths):existing ` new — First Floor Room Count 4� Heat Type and Fuel: ®'Gas ❑Oil ❑Electric ❑Other Central Air: Erles ❑No Fireplaces: Existing / New Existing wood/coal s ove: ❑Yes ❑No f9"e�is ❑Detached garage: ting new size Pool:❑existing ❑new size Barn:❑existi 1pg ❑n size Attached garage:3existing ❑new size Shed:9 existing ❑new size Other: a rr, 'Co Zoning Board of Appeals Authorization ❑ Appeal# " Recorded❑ Commercial ❑Yes a�No If yes, site plan review# r- co Current Use Proposed Use m BUILDER INFORMATION a \ Name Telephone Number � "�cF J 6 6d 6 _ Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1-7 SIGNATURE DATE r y FOR OFFICIAL USE ONLY a _ f PERMIT NO. s DATE ISSUED MAP/PARCEL NO. Y I ADDRESS VILLAGE OWNER f DATE OF INSPECTION: FOUNDATION FRAME r INSULATION r i FIREPLACE s s " ELECTRICAL: ROUGH FINAL b 1. PLUMBING: ROUGH FINAL 1 1 GAS: ROUGH FINAL r I � , FINAL BUILDING DATE CLOSED OUT r ' ASSOCIATION PLAN NO. - i z 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 Ise ibly Name(Business/Organization/Individual): XOA01�4 Address: ok 3 3 City/State/Zip: M d Phone.#:�r� ) (�t) Are You ari em to er. heck the appropriate box: P YType of project(required):, 4. I am a general contractor and I 1.❑ I am a employer with ❑ � 6. New construction . . employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, [ Demolition workingfor me in an capacity. employees and have workers' Y P tY 9. ❑Building addition [No workers' comp.insurance comp. insurance.$ � �ired.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.L� I am a homeowner doing all work officers have exercised their l l.�umbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp, insurance required.] . *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $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.1hepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: 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 criminal penalties of a fine up to$1,500.0. 0 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 he ins-andpenalties ofperjury that the information provided above is true and correct Si afore: Date: �61a d Phone#: Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: / S Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 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 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-contiactor(s)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:. The Commonwealth of Massachusetts Department of Industrial Accidents Offtee of Investigations ns 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised I1-22-06 Fax*617-727-7749 www.mass.govldia I °FTME, Town-of BArnstable yP °^ Regulatory Services snRNSTOM Thomas F.Geiler,Director y MAss. 'b'9 •� Building Division b Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax: 508-790-6230 Permit no. Date . AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c.142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost Address of Work: )CA, u�v�L � c>✓s�`j Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 QBuilding not owner-occupied er pulling own permit Notice is hereby given that: OWNED PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM!OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES.OF PERJURY- I hereby apply for a permit as the.agent of the owner: Date Contractor Name Registration No. Le_,.rl'_Of� Date Own is Name Q:f0 ms:homeaffldav �'J:5 I 'I , i 'i : d r : PC l i i , I I i I j I I I I I I I 1 1 — i _—_. --- — if I I 41 i- j -�- _ i i i i i 54 I r( j t " I i L' , « T-1 - 311 v Z i�-r _29._f- :1- mod 6 P\, �—I- i � t ! j ! - i 1 - I J- 1_ i OF THE Tp� Town of Barnstable Regulatory Services BAMSTABLE, : Thomas F. Geiler,Director 9� 6 9 .�� Building Division AlFO MAC A 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: D JOB LOCATION: 33 ���5 W,4'� number /street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: �✓T�/� lYs tir* ci /town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and re� re en . . S gn ture of omeowner 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/certification for use in your community. Q:forms:homeexempt Building Department 200 Main St. 5�Q-,%*-S Pos�, Hyannis.,Ma 02604 _ n Z fie . "PITNEV BOWES 02 1A $ 00.410 0004606238 JUN14 2007 MAILED FROM ZIP CODE 02601 Rafael Savinon .257 Arrowhead-Dr. Hyannis,"MA 02601 UNAMLE TO FOFRWARDYF"OR REVIEW I *xC0:I_e ti ! NO FORWARDING 'ORDER ON FILE RETURN TO POSTMASTER I!! OF ORIGINAL ADDRESSEE FOR REVIEW DC: 02601245OS'7. PM *,3022-20SS7-14-42 02ro _ _ __ _ _ __ . . .,, .�:,; Y ,y/ ll\ .. ', }T. d .. / .. ~1 ,� \\ �/// _� � _� '��.� . .., f a^�%' � `� �'�`� '�E. t��+tE€{ i it Ett€ f €1-- lltRt f( �►t�€� � � t # [ � �� \��� ,�• °pTHE 1py, Town of Barnstable ti Regulatory Services snxivsTng[.s. MASS. g Thomas F.Geiler,Director �A 1639. ♦0 lFo M & Building Division Tom Perry,Building Commissioner 206 Mairi'Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 June 13, 2007 Rafael Savinon 257 Arrowhead Dr. - - Hyannis, MA 02601 RE: EXIT ORDER33'Uncle Willies Way1 Map : 292 Parcel : 309 Dear Property Owner/Occupant This letter shall serve as notice that the building department has become aware of a building code violation at the above address. In accordance with 780 CMR 121.0 and 780 CMR 3400.5 you are notified that the basement bedrooms are declared dangerous and unsafe and their use must cease immediately. The property must be brought into compliance or be subject to.criminal prosecution as provided for by 780 CMR 118.4. A building permit is required to bring the property into compliance and must be applied for by June 27, 2007 to avoid further action by this office. You may call this office at (508) 862-4034 with any questions. Thank you for your anticipated cooperation in this matter. By Order, J frey L. Lauzon a i � Local Inspector ua_ _ N Ln r Q:zoning5 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map a T Parcel_ 0 Q cation #,pl�' Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 33 Unclei ► S Village j KAA t' - Owner T f r o Address S CL MP, Telephone 1J1 B - V 0 - 4 Permit Request RAA R' m Dcns� sack wars w� R.' 13 ce�l��esE i( S l �w e Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation d 0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure t Historic House: ❑Yes ❑ No On Old King H"g way: ❑11 s 4No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other f � k.~"� C3 p Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new -� i Number of Bedrooms: existing _new v, Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes �-No If yes, site plan review# Current Use Proposed Use _APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name W11111160A &CILS6,11ribo, Telephone Number 5�Z Address D �-�il n'SLA License # � 5 ',\+h l a rrn p �h 1 ' f oa 6 6 q Home Improvement Contractor# l 3 a Worker's Compensation # 7W C 3 3 539 68 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO, )raM'A�-�� SIGNATURE DATE � FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED x r, MAP/PARCEL NO. ADDRESS VILLAGE r, OWNER DATE OF INSPECTION: ,;,FOUNDATIONi,4, , -mt - FRAME ,A INSULATION; t FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL i FINAL BUILDING' r- DATE CLOSED OUT C - e ASSOCIATION PLAN NO. The Commonwealth of Massachusetts T-= Department of Industrial Accidents i,„3311-12 Office of Investigations �, 1 Congress Street, Suite 100 Boston,MA 02114-2017 f' ^AYF www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly i;;bly Name (Business/Organization/Individual): Cape Save Inc. Address: 7D Huntington Ave City/State/Zip: South Yarmouth, MA 02664 Phone #: 508-398-0398- Are you an employer?Check the appropriate box: Type of project(required): 1. ✓❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. 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 workingfor me in an capacity. employees and have workers' Y � 9. ❑ Building addition [No workers' comp. insurance comp. insurance.* required.] 5. We are a corporation and its 10.❑ Electrical repairs or additions ❑ officers have exercised their I L Plumbing repairs or additions �. I am a homeowner doing all work ❑ g P myself. [No workers' comp. right of exemption per MGL I2.❑ Roof repairs insurance required.] ; c. 152, 1(4), and we have no employees. [No workers' 13.❑✓ Other Insulation comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 1 am an employer that is providing workers'compensation insurance for nzy employees. Below is the policy and job site information. Insurance Company Name: Technology Insurance Company Policy#or Self-ins. Lic. #: TWC3353968 Expiration Date: 04/09/2014 Job Site Address: 3 v n�' '+ `^ W City/State/Zip:_ Attach a copy of the workers'compensation policy declaration page(showing the policy number hnd 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 S 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of. Investigations of the DIA for insurance coverage verification. I do hereby cert&under the pains and penalties of er' that the information provided above is true and correct. Si nature:L Phone#: 508-398-0398 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: ACCOREO® CERTIFICATE OF LIABILITY INSURANCE ° , 10/22/22/2013' 013 ,,THIS E"L'l2TIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements). PROWLER CONTACT NAME, Colleen Crowley Risk Strategies Company PHONE (781)986-4400 FWC. 0 No:(781)963-9420 15 Pacella Park Drive Suite 240 INSURERS AFFORDING COVERAGE NAIC# Randolph lei 02368 INSURERA Selective Ins. of America INSURED INSURERB:Safety Insurance Company 3618 Cape Save, Inc iNsuRERc:Ter-hnology Insurance Company 7 D Huntington Ave INSURE-RD: INSURER E South Yarmouth MA 02664 iNSURERF: COVERAGES CERTIFICATE NUMBER:CL13102268490 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SUBNPOLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIOD MMIDO LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ 100,000 A CLAIMS-MADE a OCCUR 91994480 0/16/2013 0/16/2014 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X JECTPRO X LOC $ AUTOMOBILE LIABILITY COMBINED BINEDt SINGLE LIMI 1 000,000 B ANY AUTO BODILY INJURY(Per person) $ OSNEDX SCHEDULED 208200 1/6/2013 1/6/2014AUT �O BODILY INJURY(Per accident) $ X HIRED AUTOS X AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESSUAS CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTION$ Nit S1994480 0/16/2013 0/16/2014 $ C WORKERS COMPENSATION Officers Included for X V�CSTATU- OTH AND EMPLOYERS'LIABILITY YIN T TS R ANY PROPRIETORIPARTNERIEXECUTIVE overage E.L.EACH ACCIDE OFFICER/MEMBER EXCLUDED? � NIA NT $ 500,000 (Mandatory In NH) 3353968 /9/2013 /9/2014 E.L.DISEASE-EA EMPLOYE $ 500 000 If s,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) Weatherization Specialists GL: Blnkt AI, Blnkt PNC, Blnkt WOS, Per Proj Agg, Per Loc Agg / GL Exclusions: Snow & Ice Removal/OCIP/Wrap Ups CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE chael Christian/CLC � - ACORD 25(2010105) 0 1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD i Y Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen•isor Specialty License: CSSL-102776 �. WILLIAM J MC C-LUSKEY;Y 37 NAUSET ROAD ` West Yarmouth MA 02673 d` t.Y tZ Commissioner 06/28/2015 Office of Consumer Affairs and eusness Re ulation _ 10 Park Plaza - Suite 5170 g Boston, Massachusetts 02116 Home Improvement Contractor Registration - Registration: 171380 Type: Corporation Expiration: 3/14/2014 Tr# 222184 CAPE SAVE INC. WILLIAM McCLUSKEY = = 7-D HUNTINGTON AVENUE SOUTH YARMOUTH, MA 02664 Update Address and return card.Mark reason for change. - n Address � Renewal ❑ Employment �II Lost Card ?S•CAt 10 SOPd-04104-G701216 — �e �o��unzaiuuP,al�c�✓l"!.¢�.racfir _ _._,.__.___.. _ ,. . __ ._ _, Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ,te HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: la '-' Registration: ;;-171380 Type: Office of Consumer Affairs and Business Regulation :.' ram ' Expiration: 4/1412014 Corporation 10 Park Plaza-Suite 5170 > _ Boston MA 02116 CAp€SAVE INC. _ ' WILLIAM McCLUSKEY '- 7-D HUNTINGTONAVENUE SOUTH YARMOUTH-MA 02664" Undersecretary Not val\wita Housing e4 ,i wi Assistance Corporation Cape Cod i i HOME OWNER W EATHERIZATION WORK PERMIT'& FUEL RELEASE: PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE THE APPLICANT HOME OWNER. } hereby consent to and agree that weatherization work may be done by the Weathedzation Program of Housing Assistance Corporation (herein after referred as"Agency") on the property located at: The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather-stripping &caulking of windows and doors, insulation of attics, sidewalls& basements, attic and other ventilation measures and possibly replacement of badly deteriorated windows. In consideration of the weatherization work to be done at my home 1 agree to the following: 1. 1 give permission to the'Agency' its agents and employees to travel onto or across said property with such equipment and materials as may be_necessaryto perform weatherization work on said property. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized"unit on an ongoing basis for no more than five(5)years after the weatherization work is completed. I have read the provisions of this reement as lis d ano freel give my consent. Home Owner. (Signature) " Date: Agent: (signature) Date: HAC approved Weatherization Company: ✓ G All Cape Energy Cape Cod Insulatio Cape Sav Efficient Buildings,LLC Frontier Energy Solutions, L-ohr.& Sons, Fle-solut!Qp Energy Cape Save Inc. 'TOWN 7-D Huntington Avenue OF 9ARVTAPttE South Yarmouth, MA 02664 201a . 17 'F 11 . �, Tel: 508-398-0398 Fax: 508-398-0399 1-16-14 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main St. Hyannis,MA 02601 RE: Building Permits Dear Mr. Perry, This affidavit is to certify that all work completed for 33 Uncle Willies Way,Hyannis has been inspected by a certified Building Performance Institute(BPI) Inspector. Ceiling: R-30 Cellulose where open,and R-19 cellulose under attic decking. Walls: R-13 dense pack cellulose exterior walls of remodeled garage only. Basement: R-19 fiberglass in box sill area All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey Assessor's office Ost floor): _ Q • G o�TNe TOE�47 Assessor's map and lot number ....rt�. o�....... . .... ......_..... r I f Board of Health (3rd floor): .U..�.(S/61..:......f . V.fl... � Sewage Permit, number .. . .QQ�....... t BAUSTAMLE, Engineering Department Ord floor): 3 .......... INSTALLEDHouse number ' ............... NGO Definitive Plan Approved by Planning Board _ ______: ______________19 ______, t :,'FU$ TITLE 5 APPLICATIONS PROCESSED 8:30-9:30 AM, and 1 00-2 00 P.M.•only EN Vea(,�,M ENTAL CODE AND TOWN OF BARNSTAIMPEG"AmNs B UILDING INSPECTOR y i�lG�a s T"'f I'N �J2 S • oZ C�1 '*• APPLICATION FOR PERMIT TO ..........................................T.;......................�.................,.............................. TYPE OF CONSTRUCTION .... `r' / rM• 1.. ....................... 19 � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies �f�orf a permit according to the following 4in/frorrrrtion: Location.. ....Lrf.N.�..4. '...F 1/.l.Il. .4".:s...W.A.�'�....rIl�f U ... ProposedUse .... .... .. . ..................................... ................: ....................................... Zoning District ....... .... ....��....................... ...............Fire District . .. ............... ................. �. Uu�t b11 --� °Lf1 Name of Owner ..../n..A.R. ..................... ............ ........Address .. lllJ ..Address C�.7:Name of Builder'.r�.f'.'..�1.1�.�<.... ...{ .. .����f". •� / 1r •�� . . ...1�.�:,?.�..�...... .... .:�... Name of Architect .......Address ' Number of Rooms ................................................................`..Foundation Exierior ................................................................. ..........Roofing Floors ......................................................................................Interior Heating ...........................................:.........:....Plumbing ....:.........,.. ......................................... Fireplace ....................................................................................Approximate Cost .... .. ...... 4.................. .. .....//... .............. ... . a• • '•Area .. .�...`�i�K...�ii.,.:..... Diagram of Lot and Building with Dimensions Fe ,qP OCCUPANCY PERMITS REQUIRED FOR NEW DWELSNGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. N � ..... ..... .... ... ... .......... .. Construction Supervisor's License ` ` FAILLA, MICHAELi& MARY No 31788 Enclose Porch ` Permit for ' W Sncrle, Family..Dwelling ! Location .... .3. .Ux� .�e..[n7ll .e'' S...way...... ................... .. ..... ............. ..... ......... _ Owner M,ihael &...Mary„Failla •, �•{ t+i( Type of�Coristruction . .F.XdITIe............... .: - _ Plot. ........ Lot Aprvl"lh1. .. ... 9 88 - , �' �_w• �$ s.` V" x c Permit Gran ed ! "" -- On i Date of Inspection x19 i Date Completed ........� ......... .....19 • !� 3 vr'{ 1`,./ � � � �, - �t ,fir t � j. � ` i 4 i + V1-1 m l/' 3". r 0 IS �9 70 Assessor's office Ust floor}: goo 0 To L C7 Assessor's map and,lot number .... *THE —Board of Health (3rd iloor)N- fl,' _Nwage Permit number ......L 9..... .. ........ 11AUSTLUE. Engineerirlg Department (3rd floor): NIAS& House number .............................. 1639. uxt . ....94..g9 Definitive Plan Approved by Planning Board ___________________-------------19-------- - APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Ed.af.0-S.0.....rA.Tz.1"-AM.��..... ......... ..... .. ... .... ....... ....✓..... ...... ................................................... TYPE OF CONSTRUCTION .... .".7'.jj"/.. ....C).. .. ..IV(A 77C.H.. . ... ......... ....A!.:.................................... ........... ........................19.(J.. TO THE INSPECTOR OF BUILDINGS: The under'signed hereby applies for a permit according to the following informption: Location ...14 ........................................................ ProposedUse ..............................................d'�.................. Zoning District ........... ............... .. ........ ......I/ .............../...............Fire District _'.14K", ............................................ Name of Owner ........ .........Aciclress,3�....Lhq..................... ... ..... ..... ..... Name of Builder Address Nameof Architect ............................ .....................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing .................................................................................... Floors .......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing ......................I............................................................... Fireplace ..................................................................................*Approximate Cost 4��e.a 0........... ..... ..I................. Area .. Diagram of Lot and Building with Dimensions Fee . ................................. 0 43 /001 /60 0-PH H F-A R M F R'S -ro ' ar OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. regarding '14 ................ . ....... ...... ..... ...... Construction Supervisor's License 0 0_ .................................. FALLIA, MICH.AEL & MARY A=292-309 �1 / ,2 ^ d No3.1.7.b. ... Permit for ....Enclose Porch ................................ Single Family Dwelling ................. ........................................................ Location ....33 :Uncle Willie ' s Way ..........................H 'anni s................................... Owner M.ichael. . . .... ... & Mary. ...Fal1ia. . . . ..... .... .. .... .. . ..... ..... .. . .. .... .. Type of Construction ......,Frame ................................ .......................................................................... Plot ...:>....................... Lot ................................ Permit Granted .......April 11 r .19 88 Date of Inspection ....................................19 Date Completed ......................................19 r � , .T"`'�pw TOWN OF BARNSTABLE19984 PermitNo. --------------------------------- I Building Inspector �� cash ----------------------- �, f.39• P X OCCUPANCY PERMIT Bond --------_---------_- F "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to J. A. Basssttt, Jr. Address 8 Skylino Dr. , Horst Yarmouth, HA lot #b 33 uncle Willies Hay, Hyannis Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector ^ �J Inspection date- n, ,s-y.9T 7,9 Engineering Department ` Heed eZ! Inspection date g` 7V 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. C .... ...... Building Iuspeeto"r �� •,q�' rt x C 13co ' :add P Q�,A\ Nor,., 7 IB. - 4 i- q � 9 . to I moo. p r } t' 4 � .S—7 S-•2p_2'S t=r. �.. 3 :. .. to o° s-rs 20 oo 0,10 LD _ — N dl N a N Q o,2 0o sF. _ t as-10 s m 0 IYl - --- 0 oo. 7 �. _a3 �5y;,�-n cjG _ j G YN 8 o o -, Id o0o s� j pQ ri d p \9 `� r+a PT C.1=2T i" Cpr1F lO5.38 "' t oo.o rIle Pv e�r� Sy2o j-0 00 o z > a to 3 61Z ra'w"aL �uP§�3u"ur>�hw��-_�J bryden&sullivan insurance agency, inc, 88 Falmouth Rd. - P.O. Box P • Hyannis, MA 02601 • 775-0476 Professional Heights • P.O. Box 267 • North Truro, MA 02652 • 487-3610 February 17, 1978 Mr. J. Albert Bassett, Jr. 8 Skyline Drive West armouth, MA Re: Bond for Dwelling at Uncle Willie's Drive, Hyannis Dear MR. Bassett: This is to verify that the Peerless Insurance Company has agreed to issue a permit bond to the Town of Barnstable for a dwelling to be constructed at Uncle Willie's Drive, Hyannis. The bond number will be S-86-05-33. A copy of this bond will be forwarded to you within a few days. Sincerely yours, Vivian Souza, C.P:I.W. 1 landmark of service ,��nre/ndepen0enl �i4GENT r-. 77 3�r� y x ',1�4•r. ..rr ts. k .„ * tSF r` +sue" k .c, �'� ' ,,^'d�� -t: ,r .a ,,,',• _;� r yt yS f x y ... 'n `y�,�' _ aa' Y -S •lAll, '.k.. 'k al' --•y i'y��'' s - '4 .Fmc. s°'- �` S- ..t•.r^.fi;+ �, r, > ,' ;�, 'i.,-us.. ,i,xra5� "Y {'z',y,•n36k�. ya' ' �yd "t "+ '3 "?: `ti. aim ^ 'r ,1a`a''. .ic., - ;Y` 3.i°.. '. •r L'r t;? 'a�' i"'a. fz. � x�' ,t�S "' is vai• "T:2 LIE -M I / cD - NOUF. OFFICE r AN QIdF Ne w,En e[&Nd com AA . KEENE. NEW HAMPSHIRE. "3i + Bond No. SN-86-05-33 LICENSE OR PERMIT BOND �a KNOW ALL MEN BY THESE PRESENTS, That we, J. Albert Bassett, Jr. of 8 Skyline Drive, West Yarmouth, Massachusetts as Principal., �x. and PEERLESS INSURANCE COMPANY, A New Hampshire Corporation, and having its principal office in the City of Keene, New Hampshire, as Surety, are held and firmly bound unto 3. Town of Barnstable, Massachusetts hereinafter called the Obligee, in the penal sum of ------------ ------------------- -- .--Four hundred and 00/100-------------- ----------DOLLARS ($ 400.00 y lawful money of the United States of America to be paid to said Obligee, for which we u� payment ll and truly to be made, we bind ourselves, our heirs, executors, admin 'g� ;istrators, successors and assigns, jointl and severally, firmly b these Y Y� Y Y presents. Signed with our hands and sealed with our seals this, the 17th day of �.. ti February A.D. 19 78 . rg. WHEREAS, a LICENSE or PERMIT has. been granted by the Obligee to the above bounden Principal authorizing him to construct a dwelling at Uncle: Willie's Drive, Hyannis, Massachusetts Now, therefore, the Condition of this Obligation is such, that if the said Principal shall faithfully observe the provisions of the Laws, Ordinances, and. ' Resolutions, governing the issuance of this License or Permit, then this Obligation shall be null and void, otherwise to remain in full force and effect. Liability under this bond shall terminate as of the 17th , day of 'February -19 79 The Surety may cancel this bond at any time by filing with the Obligee thirty (30) days written notice of its desire to be. relieved of liability. The Surety shall not be discharged from any liability already accrued under this. bond, or which shall . . accrue hereunder before the expiration�of the thirty .day._period...: W. 20� F ( Albert Bassett, Jr. - ) Principal PEERLESS INSURANCE COMPANY I3 Barbara J. ichard _s, Attorney, in-fact , .- PSB-226 '."�'y�i?�_,,ZZ��f,, •. ..tit Z' ,s - iti't'" �*_ fi,,. >��aa'�,��c l`A 1' ��' rr-'..� ?.'*'� . z'b`„x..�"''�M�,4` "`"'ss""""•' :. .r°t:<.,.•..+'� :.u•P.:.: .:;� ,'-*,'� � .� ' sue....,.. •*:„_..`,+'�` *`:'`�ts,_ �... � '�. .3,""�t'x... �`'. }�s" ,r'.? .+t F`:.fi£ S�;?;,a. ..,'�• v /"V �Assessor's map and lot number ..�........ ..... ............. �l cl SEPTIC SYSTEM MUST BE :ts INSTALLED IN COMPLIANCE, c WITH Sewage'.:Perm ............. it number �® ........................... ARTICLE II STATE ............... . . SANITARY CODE AND TOWN �QyoFTNEro��o TOWN OF :.BARNSrA"BLE_ HAH:B9TA31L$, i z `2, � ` L BUILDIHG,i INSPECTOR O x639• `e� n' r3 ra f o: APPLICATION, FOR!PERMIT TO ....� .....��` / ... f/�JY!7f.�.�....1 ' ................. TYPE OF CONSTRUCTION ............ 7e1�" ....................................................................... ,V � !£?. ;, ............... .. ..... ..........19. `—� TO -THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... .. ..(�... ........Q).kjc ., .�rVINI.l4.rt..... �sS�114 ............/4!,/�tV. � . .......... .��.............. ProposedUse ......—� .r..... y....... ,.......................................................................................... Zoning District ........................................................................Fire District ....)6(/ .............. .............. . ... ...... Name of Owner 7....:.LZ.........Address .....I?..... ' L/ ...... ......W. / Name of Builder ............�5&.lV..................................Address .................................................................................�.....Name of Architect ........�� 1'?. --...................................Address .........,..p...........:................... ......................................... Number of Rooms ................�.........................................Foundation .. cJ. �...... �r! z ..................... Exterior ... 411: 4....C�� A.....�...... ./N��...........Roofing .......��fjj�e C7 .................................................. Floors ........ 1:f' ......1O .Interior ...... ...�t�. ,............................................... Heating Q C� ...... g [ // ..."4P!.12w. ......r� s � ..................Plumbin ...... Fireplace 1AJ........4.1/.11 .�. �� .......................Approximate Cost ��.... .......... ..... Definitive Plan Approved by Planning Board ________________________________19________ . Area ...../5.®U.....V.. .... Diagram of Lot and Building with Dimensions Fee ...... .......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH '�3aND I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. .. .... ................. ... .. .......................... ' Bammett° J° A. Jr. r ^ . ' ��l�9 ' one story No .................. Permit for .................................... � - /minglm foauily dwellinm ' � -------------.-------.-..-.-.. �� ����� �����am ��� ~ ' Location ----------_----.-..' .......... ^ ` ` ~~ . Hyannis . .---.-.---......--.-.....,-------- � �° ��mme�� �r Owner ----..�-_-_____.�__.................. 'u^ ' - Type of Construction ----..fraum�-----. ' - ` _ .-----..------..------,.~---.. Plot ............................ Lot --�� --------.. February . . , 24 78 °~ . PermitGranted ^ ., ' . . . Date of | ,W� _ �7 _ . . ' - - ~ PERMIT REFUSED . ' . 19 . - �_- --.------... , . '. -^ -~^. '''^-~-^^-'-'-'r----- �� ' ' ~ - -. ..-- ............................................... ~. . . �7--- . . .-.-----..._^..........~.,....--.--.. . Approved - . -------------..-- lg - � . . -------.--------..----.---..-. . . � *--------------------^---r"' . ' f Assessor's map and lot number ............................. ....... .. r' Sewage`Permit number ..... ..� °VT"E.r°�y TOWN OF BARNSTABLE 33ASH9TeDLE, i M6 9 A'' BUILDING INSPECTOR �'0 NPY APPLICATION FOR PERMIT TO ... �C;GIf:.I�.....1� :,C........................ TYPE OF CONSTRUCTION ............. ub( ........! a` a ....................................................................... + ......... .....G?...........19.� w TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Locationr `~...r-�"...............!..........................:....................................................................................................... ProposedUse ......-Sl/yid/<........ /.......:Ot. l;;....................................................................I......................... 'r Zoning District ......................Fire District I/.�`4"7"�AII' Name of Owner ............. ............................,...... ....:..............Address Nameof Builder Address............................................................ .................................................................................... Nameof Architect —�� �t�. '.:.....................................Address............:.......... .................................................................................... Number of Rooms A . .. .........................................Foundation ... ..........�.......a..�.(...�.c.�..s....T....�......................... F Exierior L�3!►� ?'�y r rt .. '1= C..........Roofing ...... Cr ....i�l[ ter" Floors {- �`+.t1.1� t .�r�v IN t�s�.%.../;L.��-1L.1'_ ............`................ .........................................Interior ..../............ Heating ....,`c f yf , .�?.... ��.: .9 g :.............Plumbing ......:.......... ... ..... ....... :....... ,:....... Fireplace ....!.......... ' ...rC:.dl�"...............................................a Approximate Cost ........................................?d .................. ....... Definitive Plan Approved by Planning Board ________________________________19________. , _`. Area .................................. Diagram of Lot and Building with Dimensions �� Fee ..........34- .................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..................................................................................... 5 Bammet '^ J. A. Jr. A=292~309 ' No ......'.--�l�984. Permit for --one----mtory—----- � ' single family dwelling -----^---^—'--------'^----'-- ' 33 0ncleY�ll�i ea— —�ay— Location -- ——— ..-----^ — -----.. Hyannis --'_--.—.—.....—...—.—.-----.---. J. A. Bassett, Jr. _ ^'='= —'---'----'~------`—`^--- | Type of'Construction ----�.�� —.----.. � . —'-----------' ''"' me � . Date of Inspection � ^ uo/e Completed ` ~ PERM ' lg . ev �..... .. ....q ----. ` � -----'---'-----'— ~~`~''' ` --.---- .--.—.. / \ � —.~.—_—. . .—. . . . .. .~..—. � Approved ---------- ............... 19 ---------------......------~ | — - � ' — -------------------'—^^'^^— � � --- P-9- --- -- - --Aka vi_ J-1s�r - �ti. � � i s , , � � ------- - ►� 4 — ' i I -- — i --- { � ' _�— --' � ---- � � -- ---- i TOWN OF BARNSTABLE BUILDING.PERMIT APPLICATION Map Parcel � V Permit# Health Division OL9 �� '� '71���3 Date Issued 7/9/4 7 Conservation Division ZTlv3 'S4k_�, 20011 JUN 27 PIN 12: 22 Application Fee Tax Collector 7;R Dn:�k c2 Q)L 7 03 Permit Fee i 00 .�.- " 4�I�J 1�1'° Treasurer �-- f�4 jo'? 3 SEPTTI0 SYSTEM MUST BE Planning Dept. INSTiALiD TICOMPLIANCE Date Definitive Plan Approved by Planning Board TLE 5 ENVIRONMENTAL COOE A,NL Historic-OKH Preservation/Hyannis TOVM REGULATIONS Project Street Address Village 'fir \5 Owner \�� St� �S Address <0s 0 _ Telephone S O W" y Permit Request S twq I-L + M av (I'r c �Q1 n �-� � �I)Z l U M ,#,<-4- 'Square feet: 1st floor: existing 1 proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation '7" 50(1-00 Construction Type Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑. Multi-Family(#units) Age of Existing Structure \\(-S Historic House: ❑Yes )(No On Old King's Highway: ❑Yes *No Basement Type: Full ❑Crawl ❑Walkout ❑Other f Basement Finished Area(sq.ft.) 1/0 0 Basement Unfinished Area(sq.ft) Number of Baths: Full: existing .� new Half: existing new Number of Bedrooms: existing new r Total Room Count(not including baths): existing new First Floor Room Count 7 Heat Type and Fuel: 'was ❑Oil ❑ Electric ❑Other Central Air: °Wes ❑ No Fireplaces: Existing New Existing wood/coal stove: ®Yes Vlo Detached garage:❑existing ❑new size Pool: ❑existing 0 new size Barn:❑existing 0 new size Attached garage:Kexisting ❑new size Shed:existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 0 No If yes,site planreview#_. Current Use ��S o a�� ti�L Proposed Usecp j c BUILDER INFORMATION Name `Q \ �, J� ---Z,C S Telephone Number J 4 Address 3 � ���'� w� License# w Home Improvement Contractor# N' r Worker's Compensation# 4 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TOb�tiI�S'T'e- n�T° SIGNATURE ATE 7 O FOR OFFICIAL USE ONLY -a L PERMIT NO. t I DATE ISSUED MAP/PARCEL NO. ,•` ADDRESS_ VILLAGE ` 1 OWNER 1 , DATE OF INSPECTION:' _ i FOUNDATION c - • 4 FRAME F INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL , PLUMBING: ROUGH FINAL- • r GAS: ROUGH: "r FINAL s FINAL BUILDING i DATE CLOSED OUT _1� 7Z j ASSOCIATION PLAN,NO. +y i HE OF 1 Town of Barnstable t 0{y Regulatory Services L BAnN Thomas F.Geller,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 • Fax: 508-790-6230 Permit no Date AFFIDAVIT HOME IlYIPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, tion of an addition to any pre-existing owner-occupied improvement,removal,demolition,or construc building containing at least one but not more than four dwelling units or to structures which.are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. CZ r�l� Type.of Work: "LS Y` ` Estimated Cost ` Address of Work: � � �N�`�" � `'�\•��S ��' , Owner's Name' �^ ` Date of AP plication: b 2� I hereby certify that: Registration is not required for the following reason(s): rWork excluded by law ' ❑lob Under$1,000 []Building not owner-occupied ,0*wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME MROVENiENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c, 142A. ' SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date' zo or Name Registration No. 6 Al • T,.,+e V me f The Commonwealth of Massachusetts - ^- — Department of Industrial Accidents Office offoyesmadoos _ 600 Washington Street s Boston,Mass. 02111 �'� ' + insurance davit • Workers Compensation name, location � v�CA"� V V\ C l \ZS v � ' q � �S ��� �1I�� 1-6�, ® p ci B7J am a homeowner performmg all work myself. ❑ I am a sole netor and have no one worku in ca achy am a s%/ l� %%%/%%/%/%/O/%%% din rs' co ensation for mp employees workin :on:vg this job. $,,. 4.,.... roVr ...............:..:::::•n:•:.�::,}:.}:..�:::.:}:::.<:;:}:>»<::>:: >?:F ;::::::>::::<::>:<:%::>x:>%::::>.:;<..�:::}i::;}:{.::;:.:•.�::n.:..av,.:rt:{•: em to er g .:�..::::::......::�•::::.::.:....:::::..�:. . an . .............:.::v.r... .. .,......... -........ .:::.:.::::::n::.:::::.!::�:::::::::}..,J...::....:.v.::.::...,.:::.L,.::.�.�::r::.....t;.,a::::�.:.a.}..;t:.:.}.,-,}::•:. 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Hired under Section 25A of MGL 152 can lead to the imposition of erimbaal penal--of a fine up to s1,500.00 and/or Fs�e to secure coverage su req one yam'imprisonment as well as civII penalties in the STOP WORK ORDER and a Pine of 5100.00 a day against ma I under>taad fhaa copy of this statement may be forwarded to the Office f Investiga ns of the DIA for coverage verification I do hereby certify_ the p ' and penalties erjury th the information provided above ' t and co ed Date Signature 5' Phone# S67-77 s �3 Print name Ri official use only do not write in this area to be completed by city or town official perndtllicense# ❑Building Department city or town: ❑Licensing Board oSdectmen'a Office ❑check if immediate response is required ❑Health Department phone#; ❑Other contact person: oemed 9195 PJ?) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers compensation for their employees. As quoted from the "law", an 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 section 25 also states that every state or local licensing agency shall withhold the issuance or'renewal of a license or permit to operate a business or to construct.buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Department of Industrial Accidents for confirmation of ui mu ice 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 not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you being requested, are required to obtain a workers' compensation policy,please call the Department at the number listed below. 24 City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the Permrtllicense number which will be used as a reference number. The affidavits maybe retumeA'to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Once of Investigations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 nhone #: (617) 727-4900 ext. 406, 409 or 375 - LL RESIDENTIAL: SHEDS - POOLS -DECKS-OPEN PORCHES- GAZEBOS FEE VALUE WORKSHEET ACCESSORY STRUCTURES >120 sq.ft.(Sheds,gazebos,etc.) >120 sf-500 sf $35.00 $ >500 sf-750 sf 50.00 $ >750 sf- 1000 sf 75.00 $ >1000 sf- 1500 sf 100.00 $ >1500 sf—USE NEW BUILDING PERMIT APPLICATION 1�7 �%t wo es —C� All DECKS �—x$30.00= $ �o `"� (Number) ' PORCHES x$30.00= $ (Number) IN GROUND SWIMMING POOL $60.00 $ r ABOVE GROUND SWIMMING POOL $25.00 $ RELOCATION/MOVING $150.00 $ (Plus above fee if applicable) PERMIT FEE $ Q:forms:dkcost eff:082301 �FTHE Town of Barnstable Regulatory Services * snxxsznB�e, Thomas F.Geiler,Director * t .0� Building Division rEo �s Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION t� � Please Print DATE: 6 G JOB LOCATION:. 33 U rjC\ L l�l\ � CS , M O2 b0 num er _ `street c village (�/� HOMEOWNER": 1 \ ` S�c�B�cS 5©S-7 7> —S9 3q � C�^7 l b "��a name home phone# work phone# CURRENT MAILING ADDRESS: city/town state 1 zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeo stifles that he/she understands the Town of Barnstable Building Department minimum inspection proce ores n e uirements and that he/she will comply with said procedures and require ts. Si ature 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 form/certification for use in your community. Q:forms:homeexempt LOC TION OF P E Y iiiroEs MAY N.OT 13E CCU ,&I- - STANDARD LEGEND NOTE:not all symbols will appear on a map a GOLF COURSE FAIRWAY Ma 2 92 EDGE OF DECIDUOUS TREES EDGE OF BRUSH ORCHARD OR NURSERY # 24 --� # 23 v V v v EDGE OF CONIFEROUS TREES 1 MARSH AREA ! — EDGE OF WATER �"'"� DIRT ROAD ! E DRIVEWAY PARKING LOT V::p�PAVED ROAD ��•// DRAINAGE DITCH Ma ----- PATH/TRAIL PARCEL LINE** !' ... mom *—MAP# ! # 3 21 EPARCEL NUMBER !! a 29 l # #leso le HOUSE NUMBER — � 2 FOOT CONTOUR LINE 'I —}tom 10 FOOT CONTOUR LINE � Elevation based on NGVD29# �I 4.9 SPOT ELEVATION t STONE WALL b � Ma 2 92 -��- FENCE e RETAINING WALL 26 RAIL ROAD TRACK r 29 STONE JETTY ! !r I f # 2 1 ! SWIMMING POOL 2 ti PORCH/DECK # 44 2 X " "•••.,,, 0 BUILDING/STRUCTURE 1 ' \ DOCK/PIER HYDRANT # 4 Ma 2 E) VALVE ® MANHOLE O POST 0'` FLAG POLE T O W N O F B A R N S T A B L E G E O G R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N 1 T 0 SIGN ® STORM DRAIN N PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representation DATA SOURCES:Planimetria(man-made features)were interpreted from 1995 aerial photographs by The James hM*=kM4Q1 1 1"=I00'scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE 13 TOWER " ° 0 20 40 National Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation.Planimetria,topography,and vegetation were mapped to meet National Map Accuracy Standards s I INCH=40 FEET* enlarged scale. on the map. at a scale of 1"=100'. Parcel lines were digifized from FY2003 Town of Barnstable Assessor's tax maps. 4 LIGHT POLE O ELECTRIC BOX F:\dgn\conservationAgn 06/27/03 12:02:21 PM ?c Ci TOWN OF BARNSTABLE BAR-W 4097 s" Ordinance or Regulation WARNING NOTICE Name of Offender/Manager AL°J / 7'17' 4, S19AIP Address of Offender 33 Qxle 1 t' ter// t �r ._f 4. 1A -V MV/MB Reg.# Village/State/Zip /k+'V n/A-'l S , 1"A, 4 V if tl f g a Business Name .!EGG a'/pm, on OoAf 20 e-= Business Address Signature .of Enforcing Officer Village/State/Zip Location of Offense SZ, V Al e e l" I.-I.,e e, 11, X t l,,y ,t x i/ �`^' ,✓ ,�'' ' /nf s-S Enforcing Dept/Division Offense .4- i CW;llf X 1 lfe g? e 7,cam°` I`c p Facts /416 Ae 1, -C/t.7f" r;/IV 4'li e' ll This will serve only as a. warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town g g ry P Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. Barnstable Assessing Search Results Page 1 of 2 rl 49 — low, ,YAK y QMV-01 Home: Departments:Assessors Division: Property Assessment Search Results 33 UNCLE WILLIES WAY Owner: Property Sketch Legend SANDERS, KEITH D Map/Parcel/Parcel Extension 292 /309/ 13 3 Mailing Address SANDERS, KEITH Da� 'n 33 UNCLE WILLIES WAY HYANNIS, MA.02601 W Assessed Values: Appraised Value Assessed Value 3 Building Value: $87,000 $87,000 Extra Features: $2,600 $2,600 Outbuildings: $700 $700 Land Value: $29,000 $29,000 Interactive Property Map: ap requires Plug in: Totals:$ 119,300 $ 119,300 1 have visited the maps before / Show Me The Map April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: RUSSOTTO,AMERICO 9/15/1993 P1013EP1 $ 1 FAILLA, MARY J 4/15/1993 8520/001 $ 1 FAILLA, MICHAEL J&MARY 11/15/1985 4817/097 $ 100,000 DIBENEDETTO, HORATIA 2787/349 $0 FAILLA, MARY J M-792 9156/063 $ 1 FAILLA, MICHAEL J M-792 9156/064 $ 1 SANDERS, KEITH D 7/24/2001 14066/199 $ 169,900 Tax Information: Tax Rates: (per$1,000 of valuation) Town Tax $ 1,121.42 Town Fire District Rates Other Rates 9.40 Barnstable 2.88 Land Bank 3%of Town Tax Hyannis FD Tax $344.78 C.O.M.M., 1.54 \� http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing/... 6/18/2003 Barns.jable Assessing Search Results Page 2 of 2 Cotuit 1.88 Land Bank Tax $33.64 Hyannis 2.89 West Barnstable 1.96 Total: $ 1,499.84 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size(Acres) 0.23 Year Built 1978 Appraised Value $29,000 Living Area 1196 Assessed Value $29,000 Replacement Cost$99,986 Depreciation 13 Building Value 87,000 Construction Details Style Ranch Interior Floors Carpet Model Residential Interior Walls Drywall Grade Average Grade Heat Fuel Gas Stories 1 Story Heat Type Hot Water Exterior Walls Wood Shingle AC Type None Roof Structure Gable/Hip Bedrooms 3 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 1 1/2 Bathrms Total Rooms 5 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL1 Fireplace 1 $2,600 $2,600 SHED Shed 96 $700 $700 Property Sketch Legend BAS First Floor,Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing/`... 6/18/2003 • '- ' w' ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES - 4 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 DC DIRECT CURRENT LABORATORY SHALL LIST ALL EQUIPMENT IN EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3. (E) EXISTING 4. WHERE ALL TERMINALS OF THE DISCONNECTING EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED IN THE OPEN POSITION, FSB FIRE SET—BACK A SIGN WILL BE PROVIDED WARNING OF THE GALV GALVANIZED HAZARDS PER ART. 690.17. GEC GROUNDING ELECTRODE CONDUCTOR 5. EACH UNGROUNDED CONDUCTOR OF THE GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY HDG HOT DI PPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5. CURRENT 6. CIRCUITS OVER 250V TO GROUND SHALL ' Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(B). Isc SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DO NOT ENTER kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN (N) NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY 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 BE SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. p' S STAINLESS STEEL STC STANDARD TESTING CONDITIONS TYP ' TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY r { V VOLT Vmp VOLTAGE AT MAX,POWER VICINITY MAP INDEX Voc VOLTAGE AT OPEN CIRCUIT W WATT SHEET 3R NEMA 3R, RAINTIGHT 2 PROPERTY PLAN PV3 , SITE PLAN PV4 STRUCTURAL VIEWS - PVS UPLIFT CALCULATIONS - LICENSE GENERAL NOTES. . _ a r. ,, PV6 THREE LINE DIAGRAM GEN #168572 1. ALL WORK TO BE DONE TO THE 8TH EDITION j,i- t 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: - REV BY DATE COMMENTS AHJ: Barnstable REV A NAME DATE COMMENTS _ UTILITY: NSTAR Electric (Commonwealth Electric) _ CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: I R �j �j PREMISE OVINER: DESCRIPTION: DESIGN: \` CONTAINED SHALL NOT BE USED FOR THE —O 2"1 "7 2 O O Tim Clark FOSTER ERROL FOSTER RESIDENCE SolarCity. BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: � , NOR SHALL IT 8E DISCLOSED IN WHOLE OR IN Comp Mount Type C 33 UNCLE WILLIES WAY 7.8 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, EXCEPT IN CONNECTION NTH MODULES BARNSTABLE, MA 02.601 TMK OWNER: THE SALE AND USE OF THE RESPECTIVE 30 Hanwha Q—Cells Q.PRO G4 SC 260 * 24 sL'Martin Drive,Building 2,Unit 11 ( ) # / N SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN : PAGE NAME SHEET: REV: DAIS Marlborough,MA 01752 PERMISSION OF SOLARCITY INC. INVERTER' T. (650)638-1028 F: (650)638-1029 SOLAREDGE SE6000A—USOOOSNR2 -5182107842 COVER SHEET I PV 1 7/30/2015 (888)—SOL—CITY(765-2489) .www.sdarcity.com FM PROPERTY PLAN Scale:l" = 20'-0' a 0 20' 40' 11 —( J B-0261 572 0 0 PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER:CONTAINED SHALL NOT BE USED FOR THE FOSTER, ERROL FOSTER RESIDENCE Tim Clark ;SO�a�Ci�., ty BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: ••; r® NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 33 UNCLE WILLIES WAY 7.8 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES:- BARNSTABLE MA 02601 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St Martin Drive,Building 2,Unit 11 4 THE SALE AND USE OF THE RESPECTIVE (30) Hanwho Q—Cells # Q.PRQ G4/SC 260 SHEET: �µ DATE: Madborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN ,1 PAGE NAME T. (650)638-1028 F: (650)638-1029. PERMISSION OF SOLARCITY INC. INVERTER: 51 821 07842 PV 2 7 30 2015 (888)—SOL—CITY(765-2489) www.solarcitycom SOLAREDGE sEs000A-us000slvR2 PROPERTY PLAN PITCH: 23 ARRAY PITCH:23 MP1 AZIMUTH: 106 ARRAY AZIMUTH: 106 MATERIAL: Comp Shingle STORY: 1 Story OF A N ' Q f S N Front Of HODS@ NAL� 7/31/2015 Digitally signed by Nick Gordon Date:2015�07 31 09:23:24 a s -07'00' LEGEND Q (E) UTILITY METER & WARNING LABEL inv INVERTER W/ INTEGRATED DC DISCO J & WARNING LABELS OC DC DISCONNECT & WARNING LABELS AC DISCONNECT & WARNING:LABELS 0 DC JUNCTION/COMBINER BOX & LABELS ® DISTRIBUTION PANEL & LABELS 9 9 9 9 L L LOAD CENTER & WARNING LABELS s. MP1 i �._�� / O DEDICATED PV SYSTEM METER q M AC Inv O STANDOFF LOCATIONS O © O CONDUIT,RUN ON EXTERIOR CONDUIT RUN ON INTERIOR GATE/FENCE Q HEAT PRODUCING VENTS ARE RED r�--I t� INTERIOR EQUIPMENT IS DASHED SITE PLAN Scale: 1/8" = V 01' 8' 16' CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: J B-0261572 00 PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE FOSTER, ERROL FOSTER RESIDENCE Tim Clark �\`f s SolarCit BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: ., NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 33 UNCLE WILLIES .WAY 7.8 KW PV ARRAY 'A y. PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, EXCEPT IN CONNECTION WITH MODuuM. BARNSTABLE, MA 02601 THE SALE AND USE OF THE RESPECTIVE (30) Hanwha Q-Cells # Q.PRO G4/SC 260 24 St. Martin Drive,Bullding.2,Unit 11 SOLARCITY EQUIPMENT. WITHOUT THE WRITTEN PAGE NAME SHEET: REV: DATE Marlborough,MA 01752 PERMISSION OF SOLARCITY INC. INVERTER- 51821 07842 PV 3 7 30 2015 r: (sso)sae-1o5- F: (65 w 636-1029 SOLAREDGE SE6000A—USOOOSNR2 SITE PLAN / / (eea�SOL—qTY(765-2489) �r.salarcRrcon OF �{ y S 1 g NG o � 1 L y . 1 Q SS NAL�N6 12'-7" 7/31/2015 1'— (E) LBW SIDE VIEW OF MP1 NTS A MP1 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES LANDSCAPE 64" 24" STAGGERED PORTRAIT 48" 20" RAFTER 2X8 @ 16" OC ARRAY AZI 106 PITCH .23 STORIES: 1 C.J. 2X6 @16" OC Comp Shingle PV MODULE 5/16" BOLT WITH LOCK F INSTALLATION ORDER & FENDER WASHERS LOCATE RAFTER, MARK HOLE ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT (6) HOLE. (4) @27) pEAL PILOT HOLE WITH ZEP COMP MOUNT C LYURETHANE SEALANT. ZEP FLASHING C (3) (3) INSERT FLASHING. (E) COMP. SHINGLE (4) PLACE MOUNT. (1) (E) ROOF DECKING (2) J(5 INSTALL LAG BOLT WITH 5/16" DIA STAINLESS (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 STANDOFF S1 Scale: 1 1/2" = 1' C J B-0 2615 7 2 00 PREMISE OWNER: DESCRIPTION: DESIGN: ONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: \\ifs CONTAINED SHALL NOT BE USED FOR THE FOSTER, ERROL FOSTER RESIDENCE Tim Clark � ty BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: �,�SolarCi, NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 33 UNCLE WILLIES WAY 7.8 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, EXCEPT IN CONNECTION WITH JMODULES: BARNSTABLE, MA 02601 2a sL Marty Odwi,Baneing z u"H 11 THE SALE AND USE OF THE RESPECTIVE (30) Hanwho Q—Cells # Q.PRO G4/SC 260 PA( NAME SHEET: REV.: DATE- Madborough,MA 01752 SOLARCITY EQUIPMENT. WITHOUT THE WRITTEN INVERTER: T: (650)638-1028 F. (650)638-1029 PERMISSION OF SOLARCITY INC. SOLAREDGE SE6000A—USOOOSNR2 5182107842 STRUCTURAL VIEWS PV 4 7/30/2015 (888)—SOL-aTY(765-2489) www.solarcity.com { UPLIFT CALCULATIONS SEE SEPARATE PACKET FOR STRUCTURAL CALCULATIONS. CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: J B—0 2 6 1 5 7 2 0 0 °"I OWNER: DESCRIPTION: DESIGN: BENEFIED SHALL NOT FOR THE FOSTER ERROL FOSTER RESIDENCE Tim Clark ,BENEFITTOF ANYONE EXCEE PTT SO SOLARCITY INC., MOUNTING SYSTEM: ' �Solarcity.NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 33 UNCLE WILLIES WAY 7.8 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENT'S ORGANIZATION, R A IZAATILE D EXCEPTUSE OF IN CONNECTION NNECTIONRESPECTIV NTH (30)Hanwha Q—Cells # Q.PRo c4/Sc 2so BARNSTABLE, MA 02601 24 St Martin Drive, Budding 2, Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME SHEET: REV DATE Marlborough,MA 01752 PERMISSION OF SOLARCITY INC. INVERTER' S1$2107$42 PV 5 7 30 2015 T: (650)630-1028 F. (650)638-1029 SOLAREDGE SE6000A—us000SNR2 UPLIFT CALCULATIONS / / (8BB)-SOL-ciTY(765-2489) „ww•sela►city.com 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 GEN #168572 RODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number: 4011958 Tie-In: Supply Side Connection INV 1 -(1)SOerter; E #SE6000 V, 97.5.; w/ LABEL: A -(30)HaV Module; Q-Cells W 236 PTC, 260 ELEC 1136 MR 4 PP Y Inverter; 60 OW, 240V, 97.5%d w Unifed Disco and ZB,RGM,AFCI PV Module; 260 236.7W TC, 40mm, Blk Frame, H4, ZEP, 1000V Underground Service Entrance INV 2 Voc: 37,77 Vpmax: 30.46 INV 3 Isc AND Imp ARE SHOWN IN THE OC STRINGS IDENTIFIER �E 125A MAIN SERVICE PANEL E; 10OA/2P MAIN CIRCUIT BREAKER (E) WIRING BRYANT Inverter 1 Load Center CUTLER-HAMMER JDC+ 100A/2P 4Disconnect 3 SOLAREDGE SE6000A-USOOOSNR2 G ------ MP1:-1x15 35A/2P g -------- ------- --- EGG ----- I1I zaov ---- l A L1 --------- B L2 F DC+ N DG I 2 (E) LOADS _EGC/ DC+ . r- ---- GND ------------------------- . GEC ---TN_ DG MP1: 1x15 GND EGC--- ---------------------t)Conduit ------------- G ------------- ----* N Kit; 3/4' EMT - hi c EGCLEC z � � I _ GECTO 120/240V SINGLE PHASE I I UTILITY SERVICE I I I I I I I I I I I 1 PHOTO VOLTAIC SYSTEM EQUIPPED WITH,RAPID SHUTDOWN Voc* = MAX VOC AT MIN TEMP Ol -(2 Ground Rod; 5/8' x 8'. Capper A (1)BRYA #BR2 OA0,FG20/240V, NEMA 1, Main Lug, 1.e, 2 Spaces, 4 Circ/�GEM �Y 00)SOLAREBDoxEOptlm�Iz� 3o0WSH4, DC to DC, ZEP 2 ILSCO IPC 4 0- A DC Insulaf!on Piercing Connector, Main 4/0-4, Tap 6-14 -(1)CUTLER-HAMM #BR235 S SUPPLY SIDE CONNECTION. DISCONNECTING MEANS SHALL BE SUITABLE Breaker, 35A2P, 2 Spaces nd (1)AWG#6, Solid Bare Copper AS SERVICE EQUIPMENT AND SHALL BE RATED PER NEC. B (1)CUTDisLER-HAMMER ER60A#DDGG222UNon-Fusble, NEMA 3R -(1)Ground Rod; 5/8" x 8', Copper g N ARRAY GROUND PER 690.47(D). NOTE: PER EXCEPTION NO. 2 ADDITIONAL CUTLER- AMMER DG100NB ( ) _(1) Ground�leutrol ICt 60-100A, General Duty(DG) ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCATION OF (E) ELECTRODE 1 AWG /6, THWN-2, Black I AWG#8, THWN-2, Black 2 AWG#10, PV Wire, 60OV, Black Voc* =500 VDC Isc =15 ADC ® (1)AWG /6, THWN-2, Red O (1)AWG �8, THWN-2, Red O (1)AWG#6, Solid Bare Copper EGC Vmp =350 VDC Imp=11 ADC (1)AWG #6, THWN-2, White NEUTRAL Vmp =240 VAC Imp=25 AAC (i)AWG#10, THWN-2, White NEUTRAL Vmp =240 VAC Imp=25 AAC . , .. . , .. 0 Conduit Kit; 3 4'.EMT .. . . . -(1)AWG /6,_Solid Bare.Copper. GEC. _ . -(1)Conduit.Kit;.3/4'.EMT. .. . . .. . . . . . . . .. .-(1)AWG 8,.TFiWN-2,_Green _ EGC/GEC. (1)Conduit.Kit;.3/4'.EMT_ . . . . . . . . . (2 AWG#10, PV Wire, 60OV, Black Voc* -500 VDC ISC =15 ADC O (1)AWG g6, Solid Bare Copper EGC Vmp =350 VDC Imp=11 ADC 1)Conduit Kit,.3/4•.EMT. .. .. .. ... . . . .. . . . . . . . . . . .. .. . . .. . . .. .. J B-0 2 615 7 2 00 PREMISE owNER: DESCRIPTION: DESIGN. CONFIDENTIAL THE INFORMATION HEREIN JOB NUMBER: CONTAINED SHALL NOT BE USED FOR THE FOSTER, ERROL FOSTER RESIDENCE Tim Clark BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: CIsolarCity. NOR MALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 33 UNCLE WILLIES WAY 7.8 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES B A R N S TAB LE, M A 026 01 24 St. Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (30) Hanwha Q-Cells # Q.PRO G4/SC 260 PAGE NAME SHEET: REV: DATE Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: T: (650)638-1028 F. (650)638-1029 PERMISSION OF SOLARCITY INC. SOLAREDGE SE6000A-USOOOSNR2 5182107842 THREE LINE DIAGRAM PV 6 7/30/2015 (888)-sOL-CITY(765-2489) www.solarcltY�an, WARNING PHOTOVOLTAIC POWER SOURCE,_ N I N G �_ •__ ,WARNING •• ELCTRI EC SHOCK HAZARD ••• ELECTRIC SHOCK HAZARD •• '•1 DO NOT TOUCH TERMINALS • 1 THE DC CONDUCTORS OF THIS •1 •- • • TERMINALS ON BOTH LINE AND PHOTOVOLTAIC SYSTEM ARE PHOTOVOLTAIC DC LOAD SIDES MAY BE ENERGIZED UNGROUNDED AND IN iE OPEN POSITION MAY BE ENERGIZED DISCONNECT ,F .. , , �.., ,. -• . . .•1 •_ • • PHOTOVOLTAIC POINT OF ' INTERCONNECTION MAXIMUM POWER- ®A WARNING ELECTRIC SHOCK •• POINT CURRENT(Imp) ••_ .•1 .•1 HAZARD. DO NOT TOUCH MAXIMUM POWER-_V ••1 TERMINALS.TERMINALS ON POINT VOLTAGE (Vmp) BOTH THE LINE AND LOAD SIDE MAXIMUM SYSTEM_V MAY BE ENERGIZED IN THE OPEN VOLTAGE(Voc) POSITION.FOR SERVICE A SHORT-CIRCUIT_ DE-ENERGIZE BOTH SOURCE CURRENT(Isc) AND MAIN BREAKER. PV POWER SOURCE MAXIMUMAC A OPERATING CURRENT MAXIMUM AC OPERATING VOLTAGE V WARNING ' ELECTRIC SHOCK HAZARD •1 IF AGROUND FAULT IS INDICATED NORMALLY GROUNDED -•' • • CONDUCTORS MAY BE CAUTION UNGROUNDEDAND ENERGIZED DUAL POWER SOURCE ••- SECOND SOURCE IS ••1 , PHOTOVOLTAIC SYSTEM WARNING ' ELECTRICAL SHOCK HAZARD _ DO NOT TOUCH TERMINALS ' 1 CAUTION • TERMINALS ON BOTH LINE AND ••- -LOAD SIDES MAY BE ENERGIZED PHOTOVOLTAIC SYSTEM • 1 IN THE OPEN POSITION -CIRCUIT IS:BACKFED _ DC-VOLTAGE-IS-- -- ALWAYS PRESENT WHEN SOLAR MODULES ARE EXPOSED TO SUNLIGHT WARNING '• INVERTER OUTPUT • .•- • • CONNECTION ••1 PHOTOVOLTAIC AC • DO NOT RELOCATE • THIS OVERCURRENT • • DISCONNECT ••- DEVICE • • :• MAXIMUM AC A ' •.• OPERATING CURRENT ••_ MAXIMUM AC • 1 •• • • • OPERATING VOLTAGE '�$olarCity ®pSolar Next-Level PV Mounting Technology o-solarCity I ®pSolar Next-Level PV Mounting Technology Zep System Components for composition shingle roofs s• . Intedock mi 5„ .A ' Ground Zep (�1 II� - ' Zep CumpaHbte PV Madulc Zep Groove Raol AltaoMnent - Description r W PV mounting solution for composition shingle roofs `�°cGMpPOOv 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 V� LISTED 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 Specifications Mounting Block to UL 2703 C'V 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 Ground Zep Array Skirt,Grip,End Caps DC Wire Clip • Attachment method_UL listed to UL 2582 for Wind Driven Rain 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 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 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 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. 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 12 22 14 ZS for Comp Shingle Cutsheet Rev 02.pdf Page: 2 of 2 So a r - ® ® � solar=ooSolarEdge Power Optimizer Module Add On for North America P300 / P350 / P400 SolarEdge Power Optimizer Module Add-On For North America (for 60<ell PV s P300 P350 P4001` S (for 72-cell PV (for 96-ce11 PV - modules) modules) modules)IIINPI,T - P300 / P350 / P400 ® m: t Rated Input DC Powee l 300 350- 400 W .. .............................P.........g.........................P.........;............................................................................................... .. Absolute Maximum Input Volta a(Voc at lowest Lein erature 48 60 80. Vdc ............................................................................................................................................................................. r MPPT ODeradng Range 8-48 8-60 8-80- Vdc ................... ................ .... .... .. .. ........ .... .... - ... ....... .. . - Maximum Short Circuit Current(Isc) - 10 - Adc.. - .. Maximum DC Input Curren[ 12.5 Adc Maximum Efficency .._................_.......99:5................................ % . - .x^•,. Weighted Efficiency ...............................'9.8:8.... % ' ....... ........ .... ....._........ .......... ...._...... ...... .. ...... - Overvoltage Category tl [OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER)' (. - ® Maximum Output Curren[ 15 Adc . axl:m*.. ..Output Voltage ....... .... ...... ............................. .. ........ .... ......... .dc - Maximum Output Voltage 60 Vdc. •. Y 1OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF) ° °' - `z - - - Safety Out Voltage per Power Optimizer 1 Vdc STANDARD COMPLIANCE „�. (..+•'� _ EMC.................... ................................ T.. FCC Part15 Class B,IEC63000 6 2,IECC.3000 6 3 IEC62109-1(class II safety),UL1741 - _ RoHS Yes - - - ' [INSTALLATION SPECIFICATIONS Maximum Allowed System Voltage 5000. Vdc - Dimensions x 21 xH) 141 2 x40.5/SSS .34 x1S min/in - - .. .... .. ......... .... ....... . ... .. .. ...... ..8.. 9 ..... ..... Weight(including cables) ....... .. .. ....................... .... .950/2.1...... .... .. gr/lb ............. MC4 /T Am henol co „. Input Connector / P Y '•. _, -� Output Wue Type Connector ........... ... .. Double Insulated;Amphenol ......... ....... .. , - �,.• n " Output Wire Length 0.95/3.0......I..... 1.2/3.9 m/ft...... .... ............... _' Operabng Temperature Range -40-+85/40 +185 •C/'F 4 .r Protection Rating IP65/NEMA4 - .... ...... ...... ....... ............ ............ ........ ......... .... .. .... ......... ............. ,. - Relative Hum:dity.......................... 0-100 % .. -..........._........................................................................._.................................... m n;me src ooWe.arm.moeak.rnoaaeaacro szoore.°ae.an<e mowed. - PV SYSTEM DESIGN USING A SOLAREDGE'"' 'r THREE PHASE "THREE PHASE • - .INVERTER SINGLE PHASE - 208V 480V 1 PV POVVer optimization at the module-(eve( Minimum String Length(Power Optimizers) 8 10 18 - - - • ............................ ..... ...... ........... .. ..... .... ...... r Up to 25%more energy - Maximum String Length(Power Opnmuers) 25 25 50 -Maximum Power per String 5250 6000 12750 W - - - Superior efficiency(99.5%) - ...... ......... ....................... ... .. Parallel Strings of Different Lengths or Orientations Yes — Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading - - ` - '" "' ..""''"""""..' ..'..'............. "'' "'''"' """"' ''" '""' '. "• — 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 t i ' USA - GERMANY - ITALY - FRANCE - JAPAN - CHINA - ISRAEL - AUSTRALIA WWW.SOIaredge.u5 solar — Single Phase Inverters for North America s O I a r _ . ! . ® ® r SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ SE760OA-US/SE1000OA-US/SE1140OA-US SE3000A-US I SE380OA-US I SESOOOA-Us SE6000A-US SE760OA-US I SE1000OA-US SE1140OA-US .OUTPUT 'SolarEdge Single Phase Inverters � '9980 @ 208V Nominal AC 3000 3800 5000 6000 7600 990208V 11400 VA ........................................... ................ ...... .. . 5400 @ 208V 10800 @ 208V For North America Max.ACPoweroutput 3300 4150 6000 8350 : 12 V.. 5450 @240V 10950 @240V . .. AC Output Voltage Min:Nom:Max.* � ' SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ ACOutp8 Voltagc -•AC Output Voltage Min:Nom.-Max.. . .......✓..... ...... .... ......✓..... .....✓...... .....✓..... .....✓...... ...... ....... ......... SE760OA-US/SE1000OA-US/SE1140OA-US 211-240-264Vac AC Frequenty Min.-Nom:Max:`•,-,_-. ,--••• •-- ............... 59.3-60-60.5(with HI country.setting:57-60,:60.5)•••.-.-.,,-•- --_-------------- ----Hz---.. - 21 @ 208V 48 @ 208V A Max.Continuous Output Current 12.5 16 25 32 47.5 A ....................................... . ............... @ 240V 42 @ 240V... ................ . .. ... -................. ................ ................ . GFDI................................ ........ .............................................1............................................................. ..... Utility Monitoring,Islanding Protection,Country Configurable Yes -". - " -"-"•� verte, Thresholds 25 '� 'INPUT All Recommended Max.DC Power" { Veaa (�C) 3750 4750 6250 7500 9500 12400 14250 W WaR ........... ................ ............. .. ................ ......... • - ,,. ���. Transformer-less Ungrounded - Yes ° ......................... ..........'.... ..................................................... .................. .............. .. ... .. . Max.In ut Volta p•.-- .-.ge..................... ...........................................................500............................................................. ...Vdc... _ , : -.. Nom DClnputVoltage,...-.,,••••,-... .,, 325@208V/,350@240V•,..- ............... . . Vdc,,,, 16.5 @ 208V 33 @ 208V -- ---..--. 2 34.5 Adc d. Max.Input Current 9.5 13 18 3 I.. -. 15.5 @ 240V 30.5 @ 240V T .................. ....................... ................ .-............... ... ......... .... ........... .................. .................. ...-.-c Max.Input Short Circuit Current ..............................30- .....--......,-........-45- .••Adc "' Reverse-Polari Protection ....................... ...............Yes............................................ .................... . ... ........................................................... ......... - Ground-Fault Isolation Detection - 600kQ Sensitivity F Maximum Inverter Efficiency 977 98.2 9 % rt .-- ---- ..--- . 9 -CEC Weighted EfficiencyEfficiency97.5 @ 208V 97.5 98 97.5 97.5 97 @ 208V 9 . % ................ ........ .......1".9'.75 @ 240V.. .................. ........... ..-..h-t-ti ...-.-..-...rs .-.--o-n ...... ................ ...... . Nighttime Power Consumption <2.5 <4 W I� ) ADDITIONAL FEATURES F- --- Supported Communication Interfaces RS485,RS232,Ethernet,ZigBee(optional) 3, ................ .. ...... ............................. ......... . "• y, ,fit v + - Revenue Grade Data,ANSI C12.1 Optional STANDARD COMPLIANCE ........................ . . . . ..... ..... UL3741,-UL1699B,UL1998,CSA22.2.. . . ? Grid Connection Standards...._ Emissions - FCC partly class B f i INSTALLATION SPECIFICATIONS AC put put conduit size/AWG ran a 3/4"minimum 24-6 AWG 3/4"minimum/8 3 AWG ....................................... ........................ - DC input conduit size/p of strings/ .-•fir,;,.-` / 3/4"minimum/1-2 stririgs/24-6 AWG 3/4"minimum/1-2 strings/14-6 AWG � AWG range.......... . ............................_.. .......... ..... ... .. Dimensions with AC/DC Safety 30.5 x 12.5 x 7/ 30.5 x 12.5 x 7.5/ in/ 30.5x12.5x10.5/775x315x260 77 x 1 x 172 775 x 31 x 191 min f� Switch HxWxD 5 3 5 5 ^ .-:• - „.... �, ,� Weight with AC/DC Safety5witch 51.2/23.2 54.7/24.7 -- - -- - - --- 88.4/40.1••- ••••-• - ••• -Ib/kg _. . . ....................................... ................................ .:.............. ................ .......................8. /40....................... ..b/ .... Cooling Natural Convection Fans(user replaceable) The best choice for SolarEdge enabled systems Noise <2s ... . ...-- ...•-<so ..---....•... .--•• dBA.. _ .b. Y Rin.eMax.Operating Temperature- - --• --•• - - •• - -13 to+140/-25 to+60(CAN version"•'-40to+60) F/.C - Integrated arc fault protection(Type 1)for NEC 2011690.11 compliance g................................... Superior efficiency(98%) Protection Rating NEMA 3R For other regional etting..easec .. ......................................................................................................... •For other regional settings please contact SolarEdge support. � . Small,lightweight and easy to install on provided bracket Limited to 125%for locations where the yearly average high temperature is above 77'F/25•C and to las%for locations where It is below 77•F/25•C. _ - - - For detailed information,refer to htto://wwwsolaredee.us/files/odfslnverter do oversaine euide.odf - Built-in module-level monitoring .••A higher current source maybe used;the inverter will limit its input current to the values stated. -CAN P/Ns are eligible for the Ontario FIT and mlcroFrf(micmFIT exc.SE11400A-US-CAN). Internet connection through Ethernet or Wireless ' — Outdoor and indoor installation Fixed voltage inverter,DC/AC conversion onlyJ., 1 t Pre-assembled AC/DC Safety Switch for faster installation Optional—revenue grade data,ANSI C12.1 , 4vtrnsaEc USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-ISRAEL www.sOlaredge.us ki VV SPECIFICATIONMECHANICAL Format 65.7m x 39.4in x 1.57 in(including frame) I,,,•-�,,, es*u°ro_, (1670 mm x 1000 mm x 40 mm) . 47 ht.._.- ..44091b(20.0 kg) ...-_.. ��Mw�..°u>•L.e mm, 1 Front Cover 0.13 in(3.2 mm)thermally pre-stressed glass o- ,eev with anti:reflection_technology •� - - Back Cover Composite film ,f a 14pd gym„ frame Black anodized ZEP compatible frame ', - �-✓err' r Cell - 6 x 10 polycrystalline solar cells " - f lunctlon box -Protection class IP67 with bypass diodes ma "4n Cable",. 4 mm Solar cable (+)a47.24 in(1200 mm),(')a47.24 m(1200 min) - m•�•Dm °�,u,°°., .,, - f - Connector Amphenol,Helios H4 OP68) __ r �` _-_�. �._.._��^•^�I'� I+"'•"'"°" ,__ _ •__� PERFORMANCE AT STANDARD TEST CONDITIONS(STC:1000 W/m2,251 AM 1.5G SPECTRUM)' 1 POWER CLASS(+SW/-OW) [WI 255 260 265 7 Nominal Power -^ - �T PxM [W] �255 260 - - Y 2655-i B I • I t • I I } Short Circuit Currant_ -�- T+ lar _IA] J ._ 9.07 _��•__ - 9.15 ,^ Y 9.23 , ♦ `�Open Circuit Voltage. Vs _ IV] 37.54 r �37.77 38.01 ` Current at P_ - .,.. -.. _ - I„% `-[A] - 8.45� _.- 8.53 - i Voltage at P - �V IV] _- 30.18 - � _ 30.46 - - 36.55 _ The new Q.PRO-G4/SC is the reliable evergreen for all applications,with --r� i Efficiency(Nominal Power) T - n I%1 ` _ -- a15.3 --z156 _w w� ?159 a black Ze Compatible frame desl n for im roved aesthetics, O tl- l POWERWAKrE+SW/.0yy)OPERATING CELL TEMPERATURE(N CT:800 WAn2,45x3C AM 1.S GSP2ESCSTRUM)2 260 265x P p TM •g. p q mized material usage and Increased safety.The 4 solar module genera .. _ _ _- - _ _ tion from Q CELLS has been,optimised across the board: improved output ShortCrcuitCr -P w [w] _ i7.31 �{ � 192A _ _ _ 195.4_1 4 _ _ _ _ Short Circuit Current Is [AI 7.31 7.38 7.44 yield, higher operating reliability and durability, quicker installation and Open Circuit Voltage V. [Vl - 3495 - 35.16 3538 (I more intelligent design.' ® Current at P,•, _ I- [A] �- 661- 6.68 T " -` 6.75 [ t Voltage at P,�� _ __- V w- IV] - __- - 28.48 _ _^, 28.75 - _ 29.01 'Measurement tolerances STG x3%(P ),x 10Y 0 Vs,Im V ) Y�r Measurement tolerances NOCT.t5%(P )x10%(I V I ,Vim°) INNOVATIVE ALL-WEATHER TECHNOLOGY PROFIT-INCREASING GLASS TECHNOLOGY r"- �.w l f OCELLS-PERFORMANCE WARRANTY •'PERFORMANCE AT LOW IRRADIANCE , Y -„ - •Maximum yields with excellent low-light •Reduction of light reflection by 50%, At leas[97%of nominal Dower during and temperature behaviour. plus long-term corrosion resistance due ! ,n -P first year.Thereafter max.0.6%degra { s wN°iu�e°°w uti,_.° ' i4 5 �IMWn.+b°°bu°ef®annm u Im ____________ ______ dalion per year. a r {>. At least 92%of nominal power after - i. i •Certified fully resistant to level 5 salt fog to high-quality W E p ------ ,' j m • ___ ________ 10 ears. '- . ' •Sol-Gel roller coating processing. F - �• At least 83%of nominal power after °0' - - - "- -� ' ENDURING HIGH PERFORMANCE k e 25years. •Long-term Yield Securitydue to Anti EXTENDED WARRANTIES All data within measurement tolerances.. • oo am n� Full warranties In accordance with the nee PID Technology',Hot-Spot Protect, •Investment security due to12-year warranty terms of the Q CELLS sales" IRRADIRN6E[WWI _- n and Traceable Quality Tra.QT".". product warranty and 25-year linear -- '- .-. _ . I. >o m organisation of your respective country. The typical change in mod ule efficiency at an irradiance of 200 W/m2 in relation - wA0.5 to 1000 W/m2(both at 250C and AM 1.5G spectrum)is-2%(relative). -- •Long-term stability due to VDE Quality performance warranty2. V g Tested-the strictest test program. - ___i ` TEMPERATURE COEFFICIENTS(AT IODOW/M2,25°C,AM 1.SG SPECTRUM) .µ-- - •� ,!•{ - -•. QCELLS r Temperature Coefficient of Iu a - [%/Kl W+0.04 Temperature Coefficient of Vo S [%/K] - - 0.30 k - LTQP-BRAND-0µ .. .-.-, _ ___III SAFE ELECTRONICS Temperature Coefficient of P_ ~� y [%/Kl -0.41 NOCT [°Fl 113 x 5.4(45 t 3°C) •Protection against short circuits and "OP L DESIGN .nff thermally induced power losses due t0 - ` ,2015 - Maximum System Voltage Vs. IV] 1000(IEC)/1000(UL) Safety Class - II- ,. o - -!p - �_�_ _ _.___ _ _.. _ _- -- _ Maximum Series Fuse Rating [A OC] - 20 -Fire Rating C/TYPE 1 breathable junction box and welded u ._.._. _ _ _ Max Load(ULY Dbs/Wl 50(2400 Pa) Permitted module temperature .-� -40°F up to+1857_ - cables. ,. _ - - -` on continuous duty (-40°C up to+85°C) m - - Y Phnlnn I Load Rating(11102 [Ibs/ft2] 50(2400 Pa) 2 see installation manual - - - Quality Tested ` Cactus QUALIFICATIONS I CERTIFICATES PACKAGING INFORMATION 9 - - �rgnrmeW Best polyerysblline - �°^•�°^ ; netar module Zola 'f 1 UL 1703;VDE Quality Tested;CE-compliant; - Number of Modules per Pallet 26 - n.a„-° - w°°'�'•""°m,<° IEC 61215(Ed.2);IEC 61730(Ed.1)application class A "."'...'. _.. '-''-_" -_"'"' -'.^-' ^•'"."' " ____ _THE IDEAL SOLUTION FOR: 0.40032587 { o Number of Pallets per 53'Container 32 _ oMPAl � Ns �m Number of Pallets per 40'Container _ 26 . Rooftop arrays on ; �/ paT4PAT7 i E C E c m,„„us Pallet Dimensions I x W x H) ry 68.7 m x 45.0 m x 46.0 m residential buildin s O - g <eD%e�` (1745 x 1145 x 1170 mm� r• .__ _. ur ___- . _-- --•-_. Pallet Weight 1254 lb(569 kg) o FA 0v 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 ' APT test conditions:Cells at-1000V against grounded,With Conductive metal foil Covered module surface, COMpi4, ,{ this product.Warranty vmd if non-ZEPcerufied hardware Is attached to groove in module frame. 25°C,168h f Han2 See data sheet on rear for further information. - f 300 Sp Otrum USA Corp. 300 Spectrum Center Drive,Suite 1250,Irvine,CA 92618,USA I TEL+1 949 748 59 96 I EMAIL gcells-usa®geells.com I WEB www.gcells.us Q CELLS (MCElLS Engineered in Germany Engineered in Germany , t _ , x � , soli Los > - \xk►�1,�U><1'A\ilh ✓A[lY�i/�ti!i l4-ti d./x. 2".PEAS TONE LOAM a FILLS 12"MAX. J— L .yam • , � � Sb " BOX lei.° e• °o p,I � /F 9t• G /a,MIN. 1000 •� 24°MIN. I ° Tcs T° 1000— GAL. o o GAL. °i PRECAST OR SEPTIC 6' to�•� BLOCK ° TANK , I�',I, • I SEEPAGE PIT ° °o o ° o �" 90• 4 r , 20' MINIMUM p•o °° o p vl a,{,T FOUNDATION I f I 89. 4 WASHED STONE ELEVATION SKETCH lo' P1140. ,RATt >, z...�e..,�,,Ax.�c SCALE I = 4' TEST BY: G.. irin�,c,� Hi/N�a, cheS++4 TOWN INSPECTOR: �-er�L .�r9eiwCdpY : , BACKHOE OPERATOR., J-10-41—*MP7' c3,wss,lrrr J12 .5:,�/eara.�r� /�G'74°t`.:`C3�-i ls.+A"� �d�.•sT�+1s Q� •s�'.✓ ` TEST MADE ON :-- -v*iV Z7_ /9.7 a;7 /9 7 g .•>.•,.� �oM',G"o�.s+ S 'ram �^.�,��' �-c�+vi�/� �Y-L,4tti.�S + C3 tea'' "7"•,,�,1� jz,G,;.�i�•/ to is !S/•�i2�/�S'?"r���.�� i't 9 r4'S„'.� M4sr4 C7 wQ • e RocE o DAF. YLOR No,. lz a 1 !%/'�/�L L[:� La..�i GAG.�v, ',•s �„a,;,>r'�'� . � .. } :..a_nr.�a,d..rw-'.._.Ewa+,_n.. �.wa+.rrriaw-,+w�ww..MwrR.nw+..rnwaw._w, ....�.....e..:r+./.:.r•r,_.+.r..� r—:�.,...rr..ww•Y;. ' rc ����• Ohl I~•m-r*YJ _ r"'_�.'' {bZ..�T �. .'�-•--.. - - ,..�--- ._ ,__.� _ __� __ _. __ _.�. �-r` c��r, �.t�..i�./�; a", 1 CJ x)c S;I� r '?$•5 _ Wf�T�'E� 1 (u £'!✓!: ta,r�A s _'J.t�XIC7XGr ae 1�t^,4 Ia2.a \ a1. lei ,D`✓ Ce.s/G. �O• Nd3. ® (\� lD� .r III . �o/ 0 3 r3 .cc°o�s�► >ae 7N X. _ _ti000 GAt SEY"TtG TAN!Giy/!� 1OG I.N6, �E./—EXF�rNStjs�} • .�Aw. G S?-�X Wit _ /°p 2 is C V ELEVATION SCHEDULE • PROPOSED SITE PLAN I. INV. AT FOUNDATION SEWAGE SYSTEM DESIGN 2. 1NV. INTO SEPTIC TANK /c�PaO IN 3. I NV. OUT OF SEPTIC TANK = i �/�`•'L�� �'�'L'�� �''�� ` 4. INV INTO DtSTRI8UTI0N -BOX - SCALE I"=2ta• Q 19: UFO'' 5. I NV. OUT OF DISTRIBUTION BOX � ' C-639 •3 9C•, ROBERT �G! InaT, _ 6. INV INTO SEEPAGE PIT CAPE COD SURVEY CONSULTANTS .eta FDAYLOR . ROUTE 132 r o ,, 7BOTTOM OF PIT = a3,' fit a, p Nd. +1 d _ HYANNIS,MASS.` \,���0 - A Di VISION SOSTON SURVEY_CONSULTANTS, INC. B. BOTTOM OF STONE LAYER II .