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A' �` f F ka i1 f. t. i" y.'3 •s. 1 '� Y 4 .l. 3 .r 3. ,x e a ' v'.; p is p: a• " vy t' V, M,a.�#, " .f �lM1 ,�! 9 4I ,y .$i. [ , , # 1, ] � .0. '1. r l r .eP y�.! r' ', ,r i. t l o :�. y 1. � y. e':. e s, ,t s i'" i',i 1 1 s it 1 it:' il et e', a .r ,r f i.i .I. ;y 7 t - ,,, y ;i { t f 1 '� b tt '1F y t ,K' .I.3.. i, i11 , t t 1 '� , I N y' r5 f" 'Or Cf' v a. t. 't - "4 i ..A• n�� edl,°i, �'. ,. n` , 1, o n R WA 4Hl 1 '',k x - s •.d.. 'i 11. Y4 II,. Yi:it ;,�I a , rM / n n' ,vr' - trlpl� , M:I�A;:," ..s' ave 'dkr P. ,4. i,: i, o i " ,'y e _ 'Mel ,,' 1. �)l ' ,1 a a ., .El{` s'e. 1 v, f t, ^ g i 1 r, 1' a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map )70 Parcel AA7 Application # as Col y Health Division Date Issued ZV /y JAL Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH AtA _ Preservation/ Hyannis NA Project Street Address ;S7 dries V.. je Village��is�cru;/lam Owner X9 ew 0&xnell Addresso? �x+�� �o.�ttv-.da rf Am Do?64� Telephone -!#037 Permit Request 1A.#xrAg_ X&Ag ArL ed rRid PAN&1.S av ROo�Ar axrd77NG A t 4arL 'To-Of 14MMCoaMC4749 W.17W- ,s/o ue- &Jore7XIcAL %eSrrAJ S'3'�'3 �t�1�I Al pAnels Square feet: 1 st floor: existing -- proposed -• 2nd floor: existing proposed Total new -- Zoning District Re. Flood Plain - Groundwater Overlay Project Valuation _l3$VO.0O Construction Type WO r44,-i -Jro1gv �ArJdls Lot Size Ale Cy,gM G G Grandfathered: ❑-YoViq allo If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 36 Historic House: ❑Yes No On Old King's Highway: ❑Yes D<No Basement Type: ❑ Full--AtArawt ❑Walkout ❑ Other Basement Finished Area (sq.ft.) AIA Basement Unfinished Area (sq.ft) ,yA Number of Baths: Full: existing yA new "" Half: existing ON new -- Number of Bedrooms: .vR existing -new Total Room Count (not including baths): existing new '-- First Floor R-54 m COUPON -w Heat Type and Fuel. ❑ G2cW-Ad-Oil ❑ Electric ❑Other Central Air: ❑Yes/VAJ-No. Fireplaces: Existing=A/WMw Existing woddfcoal stove'" s"J No A @4Yr Detached garage: ❑ existing aToMstze_Pool: ❑ existing- -size _ Barn: ❑ xisti e ` 'size Attached garage: ❑ exis*r,d/A Mw size _Shed: ❑ exiei"TTew size _ Other: t_.. Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes �<No If yes, site plan review # Current Use A6,A L Proposed Use we 499V e- APPLICANT INFORMATION Ells (BUILDER OR HOMEOWNER) Name $o7.41f ��� �reor.Qa�o� Telephone Number ��l- �/6-7��� Address lea eert�arak& RR D License # CS 1407663 Akmkohe MR OX967 Home Improvement Contractor# /68.I'72 Email g2spAAd,W, coax, Worker's Compensation #4/,47"D"414XOR41 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO z � olA,7G'.'�a e�'iGF �r�6rak6 ,.N•� SIGNATURE DATE /����T FOR OFFICIAL USE ONLY APP a{'LIGATION# -DATE-ISSUED i "t MAP,/PARCEL NO. r f ADDRESS VILLAGEbg a , OWNER= ' 'x :_ .,j. r; . @' -• • �- . t- t DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE k :.A r ELECTRICAL: ROUGH = FINAL 4, t PLUMBING: ROUGH FINAL ID" GAS: ROUGH FINAL t FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN.NO. T a Commomwealth-of Massachusetts Department of Industitzal Accidents Lh Offke of Investigations 1 Congress Street,.Suite IN Boston,MA 2.114-2D17 www mass,goyldia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leidbly Name jBusmess/Organization/Indivtdual): Solat'City Corporabio'n Address.3055 Clearview Way: _ r City/Slat./Z p:San Mateo,CA 94402 one#:88&765-2489 , Are you an employer?Check the appropriate bog: 'Type of project(required): ]. I am a employer with 7000 4. 1 am a general contractor and 1 b. 0 New construction 5 employees(full and/or part-time).* have hired the sub-contractors 2'it 1 am a sole proprietor or partner- . listed on the,attached sheet. 7.. �Remodeling T f ship and have no employees These sub-contractors have 8. Q Demolition working for me in any capacity. employees and have-workers' 9. Buildingaddition i ;[No workers' comp.,insurance ui comp.incrance.� � � -required-] 5. E] We are.a corporation and its 10.[]Electrical repairs or additions 3.0 I am a Homeowner doing all work officers have exercised their 1I.�ni Plumbing repairs or additions right of exemption.per MGL myself jNo workers comp. 12EI Roof repairs insurance required.]t c. 152,§1(4),.and we have no Solar Panels employees. [No workers' 13[�]Other comp.insurance required. *Any applicant That checks box 41 must also fill outthe section below:shovvmgfheir workers'compensation policy information. Homeownes who submitthis affidavit indicating they are_doing:all work.and then hue outside contractors must submit a new affidavit indicating such { #Contraetors that check this box must attached an additional sheet.showing the name of the:sub-contractors and state wbether or not,those entities have E. ,employees. if the subcontractors have cmp oyees,they must provide their workers comp.:policy number. t 7 am.an employer that Ls providing workers'cotnpertsation sn suraRce fir m�employees Below as the policy, and joii site informatiom l urine Company Name.Liberty Mutual Insurance Company WA7-�66D 066265-=024 09101 .2015 Policy 1#or Self ins,Ide.;f#: Expiration Date: Job Site Address: 33 Ames Way City/Statdzip: Centerville,MA AAttacb a copy of the workers' compensation policy declaration page tsbowving the policy number and egpirat on,date Fah,h re to secure coverage as required under Section 25A of MGL-c.152 can lead to the imposition of criminal penalties iof a 3 fine up to$1,500.00 and/or one-year hnprusonment,as:weld 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. Ir do hereby.certify under the pains and penalties of perjury that the information provided.above is true and correcL S e%tatnrre ,� .%°�.� AIZAJ? A4J"&_ Date: 9/10/ 014 Phone#: 78183',67489 D, clad use only. Do not write an:this area,to be completed by,city or.town,offuiaL City or"lownn: Permit/License# _ Issuipg:Authority(circle one). L Board of Health-2.Building Department 3.City] Clerk 4.:Electrical Inspector 5.Plumbing Inspector 6.Other a - Contact Persom. Phone A :® DA A� CERTIFICATE OF LIABILITY I SURAN!CE OVM11 4DDff" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAMON ONLY AND CONFERS NO RIGHM(UPON THE CER7IFICAT!E HOLDER.THIS CERTIFICATE DOES :NOT AFFIRMATAViELY OR NEGATIVELY AMEND, EXTEND OR.ALTER THE COVERAGE AFFORDED BY TILE !POLICIES BELOW. THIS CERTIFICATTE Of M1SLIRA!NCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE MWING INSURERjSj,AUT ORiZED REPRESENTAT(YE,OR(PRODUCER,AND THE CERTIFICATE iHOLDER. IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(iss)must be endorsed. if SUBROGAMON IS WAIVED,'subject to the terms and conditions of the policy,certam Policies may:require an endorsement. A statement on this certificate does not,comer Frights to the Certificate!holder In lieu oisuch endomement(s), PRODUCER CONTACT MARSH(RISK&INSURANCESERYICE S �a 345,MFORNIA'STRBET.SUITE 113M W no Em (FAX NO). CALIFORNIA LICENSE INO.0437133 SAN FRANCISCO,CA 94104 AFFOROaNGCOVERAGE NAICS 9�308SD9D ti9W19E 74 73 INSURER A:L'Uerly IAIum Fne kammce Company 16586 INSURED twCums,lberlyilnsu mce'Ca poraWn 42904 Ph(650)963i 5100 SowQIYG0T0raion a1SUl�lrc_NIA ('NIA 30560ear wWay rNsuRER'D San Mateo,CA 94402 USURER E 1NSURERF- COVERAGES CERTIFICATE NUMBER: SI"024402694M REVISION NUMBER:4 THIS IS TO CERTIFY THAT THE!POUC1ES 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'OT.HER(DOCUMENT WITH!RESPECT TO WFIICH THIS I CERTIFICATE MAY BE ISSUE OR(MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED THEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDE(IONS OF SUCH POLICIES.LIMNS SHOWN:MAY HAVE BEEN REDUCED BY IPAID CLAIMS. INSR; 'BR !POLICYUF 1 iPOLICYIETP LTR! TYPE OF7NSURANCE I', POLICYNUMBER .. NUDD 'LIMITS A GENERAL!LU►enmr TB2-661-W;6265014 ;fl9/0112014 09101I2M5 L EAcHoccuRRENCE 3 1„00D,d00 COMMPRCUCL�GENERA'L 1AB1L77Y iPREMISESi o=merxp GLAIMS,MAA'DE II I(OCCUR MEDEXP((AMwRjpWw=) $ 10,000, -PERSONAL&ADVINJURY g 11000,0001 GENERAL:AGGREGATE S 2DO11,00D! I i i GEN'LAGGREGATELMA1Td9P.PlIESPER PRODUCTS-COMP/DPAGG I S 2;000;DD0�1 { ! i X :POLICY j X I,PR()-aCT I !LOC �Dedufto :$ 25,0001 A i AurOMOe1LEIIABIIUAY AS2.661 s 65M 09MI014 �0910172015 ,COMBevmSINGLEuIorr ; n.;00D000! acddent ANY:A'UTO SODILY! SURY,(PerPerson) $ 1 ALL OWNED 'SCNED1111 AUTOS I AUMI S )!BODILYIINDIIRY(Peracdiderg)IS X X I NO"WNED FROPERTYIDAMAGE HIRED AUTOS i ar acrJtlenl X !Phys.iDamage I I�CDMP,IGOLLDED: S $1,OD01I$Q;D00 'UMBRELLAUAB OCCUR I iEAGHIOCCURRENCE I'$ txoE$$aII1B C1AIM8 MADE AGGREGATE ,I I DED REmrnoNs H WORKE17S COrAPEN5A73DN I WA7M 4 0 0142014 W0112015 X N1C.STAi AND�W40YERWLIA UM I S :ANY.IPROPRIETORIPARUNMEXEGM1 E YBN WG�661�D66266034 tWI) D910972D1?1 �101'/20AS F-IL EACIRACCIDENiT 3 �:JODD,�DOi 1CiA OPFICER/NEMBEREXCUMED? N NIA B IMardut yinRM "WGDEDiICTii 35DIDDU F�DisEz,�E-IEA�MP> s t!000N00 �scR°i�Tio rc o ERA�IDNs I EJL DISEASE-PaucYILIMrr :$ aaDDo;DDo; I !DESCRIP71ONOFOPEMMONS91LOCAi7MNS#VEHICLES Vmaeh ACORD IDI„7lt dfflonin Re.:_iftSebedul%nmomspamilsmg dmd) !EvldencedInsur.m e. - I i i CERTIFICATE HOLDER CANCELLATION i SolarQyCorp itfian SHOULDANYtlFTilE.AB01Y:EDE5CR83EDIPOUOlESIBECANCELLEL)(BEFORE 3055ClearftwTWay THE !EXPJRAnoN DATE THEREOF, NOTICE CE 'WILL BE DELIVERED !IN ' San Matm CAA 94402 ACCORDANCE W1114THEIPOUCYPROWSIONS. � I u AUTHORMED REP!RESENTATME j orhramh P39k a humrwMe5ervices i CharlesIMattnolejo I 01988-.2010/ACORD CORPORAITii ON. M ifial s served. ACORD 25 f20111105) T4:1e iACORD mame and logo are+registered(marks Hof/A'CO'RD C� t T _ Off,ce;of�Cors er Affairs amd Business I egulation 0 Park, Plaza Svelte 5170 Boston, Massachusef 021,; 6 Home Improvement Contractor Registration Registtatio:n 188572 Type: Suppletnent Card SGLARCITY CORPORATION Expiration: 31J312ti15 CRAIG TELLS - - 24 ST_ MARTIN STREET $LID 2 UNIT 11 - -- - MARLS©ROUGH, MA 01752 Update Address and return card.Mark reason for change. sca n 0 MIFr j[J Address ,I- ft newal j1 E>rreployment Ell Lost Card ` rwift rrt s6rt'4nA!y a(r".elf I. 14 Dice of Consumer Affairs&Business iRegulation License or registration'valid for indioidut.use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to- ww Office of Consumer Affairs and Business Regutadon } Rogislfation: 1,68572 Typt 10 Park Plaza-Suite 5170 .. =` Expiration: 31812015 Sumplement :ard )Boston,MA 02,1 16 SOLA.RCITY CORPORATION CRA1G ELLS 24 ST MARTIN STREET BLtD 2UI'N1 �—•�- _ � —� L73OR(DIJGIi„M4 03752 �� '�_'�'�'•--- ---°� Undersecretazy Not v,''id without signature i "ll"sacliuset'ts -Pepartment 6f Public 3afet, Board of B„ilding Regul<rtlouts•and Stlndn ds License. CS-11)7663 . CRAIG ELM �.. r 206 BAKER STREET ]Keene NH W'431 GuIo"!atiS utl r 0812912017 ' cyclxje Wcomweviteveall.1i eirdlaieffi Office ofConsumer Affairs nth Business Regulation 10 Park Plaza- Suite 517 Boston l,assachusetts 102116 Ho�,.e Improwernemt Contractor Regis Et on Regiistrafion: 168572 'type: Supplement Card SOLARCITY CORPORATION 'Expiration_ .31812015 NILE MILLER 24 ST. MARTINSTREET BLD 2 UNIT 11 IMARLBORO'UGH,MA 017.52 -. Update Address and return-card.llark.reason for change sCw i G Ni [address f-I Renewal E] Employment , Lost Card ��C �.=8.%Ht)IdC�JSIf,YY"✓f���/�+��llliPvtffJBflSf"�� . ifire of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTORBefore the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Wegistration: 168572 Type.ll, 14'Park Plaza-Suite 5170 Expiration: 3187 m SupplementA,:ard Boston,MA4D2116 SOLARCM CORPORATION MILE MILLER 24 ST MARTIN'STREET BLD 2UNJ ITiAA LBOROUGH,MA 01152 Undersecretary Not valid without signature Doctpgn EnvehAJD:B3C57E7E-830E-419E-8F66-E863295B7D7C �o,solarCity. SolarLeas6 3055 Clear--iiew Shay, San Mateo, CA 94402 AMENDMENT T (€Is S) SOL-CITI (650) 638-1029 SOLA CIT•Y_COla1 Customer Name and Address Customer carlie Installation L�-cation Contractor License Karen O'Connell Beverly O'Connell 357 Ames Way MA BIC 168572/MA Lac. 357 Ames Way I R-11136 Barnstable, Barnstable, MA IA 02632 02632 , 1. The SolarLease Agreement between SolarCity and You, (the "Agreement ") including the Exhibits to that Agreement, are hereby amended as follows: . a. Section 3 of the Agreement, "System Description" is replaced in ,its entirety, with the following: 5.355 kW DC (STC) photovoltaic { ' system - r x Photovoltaic Modules ' f Inverter(s) Mounting, system Monitoring system Electric.meter number: Extras: None , b. Section 4 of the Agreement; "Lease Payments; Amounts " 'is• replaced'.in its entirety with the following:. i .h .. SolarLease Aneindment, August 8-, 2014 Capyr ght �Q 2W38E-201.4 Soi rCity Corporation_ Al Right! Reserved. DocuSign Envelope ID:B3C57E7E-830E-419E-8F6S-E863295B7D7C 4, I have read this Amendment in its entirety and I acknowledge that I have received a complete copy of this Amendment_ This amendment supersedes any prior amendments that are inconsistent with the subject matter contained herein. The pricing in this Lease Amendment is valid for 30 days after 8/25/2014_ If you don't sign this Lease Amendment and return it to us on or prior to 30 days after 8/26/2014, SolarCity reserves the right to reject this Lease Amendment unless you agree to our then current pricing. Customer's N �Y.O'Connell Signature: Date: 8/29/2014 Customer's -PAv,Vrly O'Connell Signature: L2E35A272EME54FA Date: 9/1/2014 ==;So1arGty, SolarLease SoLARCITY APPTIROVED. Signature: t'9INDO,RIVE,CEO SollarLrease Date: 8/26/2014 S®1arLease Amendment, August 8", 2Db4 Copyright Via) 2008-20.1.4 Sala City Ccrp rata®m_ All Rights Peeserued_ i i i tlf� Solartifty OWNER AUTHORIZATION i Job ID:10 Location: &�.r4rkl 0,:k 0 t Kwron, 6 C C Oy%r C( I as Owner ofthe subject property hereby authorize SolarCity Corn_ffiC 168572 I MA Lie If 36 M. R to act on my behalf, in all matters relative to work authorized bythis building permit appticati and signed contract. �/ ( �7 1�.I�tJ t7 Signature or O rner Date 3 1 i " r. Version#37.9 - OF .ILL MAMUMI MIA _ F CIVIL ' August 25,2014 NIO. as Project/Job#026455 RE: CERTMCATION LETTER r Project: O'Connell Residence Digitally signed by Amir. 357 Ames Way 11Aassoumi Barnstable,MA 02632 Date:2014.08..2515.05.02-07'00' To Whom It May Concern, A jobsite survey of the existing framing system was performed by a site survey beam from SolarCity, Structural review was based on site observations and the design criteria listed below: Design Criteria: -Applicable Codes='MA Res.Code,8th Edition,ASCE 7-05,and 2005 NDS -Risk Category=II -Wind Speed=110 mph,Exposure Category C , -Ground Snow Load=30 psf -MP1:Roof DC=7.5 psf,hoof LL/SL=21 psf(Non-PV Areas),Roof LL/SL=21 psf(PV Areas) -MP2:Roof DL=7.5 psf,Roof LL/SL=21 psf(Non-PV Areas),Roof LL/SL=21 psf(PV Areas) Note: Per IBC 1613,1; Seismic d xbck is not required because Ss=0.19069•<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 debermined that the existing structure is adequate to wiithstand 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 debeurnmed to meet or exceed structural strength requirements of the MA Res.Code,8th Edition. Please contact me with any questions or concerns regarding this project Sincerely, Amir Massoumi,P.E. Civil Engineer Direct: 650.963.5611 e email: amassourni@solartitycom - Y4:#, a ..- s Z �Y'ML Y..R't':[. b' .`s i '.. ♦`i !i - %�.. .. 1.a.. y � M.� �.. Sb;. .. 08.25.2014 SoLarrjty SleekMountTM PV System Version#37.9 Structural Design Software PROJECT INFORMATION &TABLE OF CONTENTS Project Name: O'Connell Residence AH]: Barnstable Job Number: 026455 Building Code: MA Res.Code,8th Edition Customer Name: O'Connell, Karen Based On: IRC 2009/IBC 2009 Address: 357 Ames Way ASCE Code: ASCE 7-05 City/State: Barnstable, MA Risk Category: II Zip Code 02632 Upgrades Req'd? No Latitude/ Longitude: 41.659424 -70.369114 Stamp Req'd?, Yes SC Office: South Shore PV Designer:i Blake Randolph Calculations:' Corvell Sparks EOR: Amir Massoumi P.E. Certification Letter 1 Project Information, Table Of Contents, &Vicinity Map 2 Structure Analysis (Loading Summary and Member Check) 3 Hardware Design (PV System Assembly) 4 Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.19069 <0.4g and Seismic Design Category(SDQ = B< D 1 2-MILE VICINITY MAP Aii4a�&MassGIS, Commonwealth of Massachusetts EOEA. USDA Farm Service Agency,' 357 Ames Way, Barnstable, MA 02632 Latitude:41.659424, Longitude: -70.369114, Exposure Category: C ;STRl9C'i�RE ANALYSIS- LOADING SUMMARY AND MEMBER CHECK-MP1 �} Member Properbes Summary MPI ;Horizontal'Member S ans 11 Rafter Pro ernes Overhang 0.66 ft Actual W 1.50" Roof System es Span 1 12.45 ft Actual D 5.50" Number of Soans(w/o Overhang) 1 Span 2 Nominal Yes Roofing Material Comp(Roof Span 3 A 8.25 in.^2 Number of La (Comp On 1 Layers Span 4 S. 7.56 in.A3 Re-Roof to 1 Layer of Comp? No Span 3 Ir. 20.80 in."4 P and Sheathing Yes Total Span 13.11 ft TL Defl'a Umit 1 120 Board Sheathing None 'PV.1 Start 1.25 ft I Wood Species SPF aubtad Coelling No PV 1 End 10.42 ft Wood Grade #2 Rafter Slope 200 PV 2 Start 875 Rafter Spacing 16"O.0 PV 2 End P. 135 psi Pop Lat Bracing I Full PV 3 Stars 11 E 1400000 psi Bot Lat Bracing At Supports PV 3 End E,- %0000 psi Member Loading mary Roof Pikh 5 :12 Initial Pitch Adjust .Non-PV Areas PV Areas Roof Dead Load DL 7.5 psf x 1.06 8.0 psf 8.0 psf PV Dead Load PV-DL 3.0 ipsf x 1.06 3.2 psf L of Live Load RLL 20.0 x 0.98 19.5e/Snow Load I LL SL', 3&0 psf x 0.7 x 03 21.0 psf. 21.0:psf ab Load TL 29.0 32.2 psf Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCT 7[Figure 7-21 2. pf=0.7(C')(Q W pg; C.�= =15=1.0; Member!Desi n SummaryNDS GoverningLoad Comb CD ; .• CL + CLF Cr D+S 1.15 1.00 0.58 1.3 1.15 Member Anal sis Results Summary Maximum I Max Demand j @'Location Capacitv DCR i Shear Stress 49 psi 0.7 ft. 155 psi 0.31 Bendin + Stress 1300 Ki 6.9 ft. 1504 psi 0.86 Governs Wending - Stress -13 psi 0.7 ft ,875 psi 0.02 [Total Load Deflection 0.78 in. 6.9 ft. 191 j 0.63 ( r -w Y CALCUILATION OF®LESIG- WIND LEA®S ��-A µ"me :Mounting!Plane information Roofing Material — - - ---- __ _ Comp Roof PV SysternaTYPe SolarGiy SleekMouro mm___ Spanining Vents ._� ' --- No Standoff Attachment Hardware Comp Mount Tyne C Rafter Spadn9 _ 16"O.G -- Framing T Direction Y-Y Rafters Purlin Spacing :.. __. k*Purlins-Only <.�n. �.w NA Tile Reveal Tile Roofs Onty NA _. ._ ._ - ile Attachment System ®___ . _Tiile_Roofs Only_ .._ -- __ _� e:. _�._ _ tandi Seam S.M Seam OnlyNA Wind Desi n Criteria Wind Design Code ASCE 7-05 - ___.- _ ___ -_ _ _.. -_.- _. , _ Wind Design—Method— Meth Method, Basic Wind Speed _ V 110 mph Fig.b-1 _ Exposure CategoTy .__ Sertiora 6,5.6.3 1 Roof Style Gable Roof ig.6-118/rfD-14A/iB Mean IRopf�9ei ht - -- -- -_ _ - 15 ft. _ -- Section t.2 Wind'Pressure Calculation Coefficients Wind Pressure E F re Kz 0.85 Table 6-3 opographic Factor _ _-._ _ __ _ -•- -- _ _ __ _._� _._ 100 _ ..._._ Section 6.5.7 _ Wind Direobonality Factor � 0.85 Table 6-4 Importance�actor_.�_... 1 ._._._ _._._ .._. .__..,._._.. _ _ _ .-. 1.0 Table 6-1 eloaaty Pressure qh qh=0.002.56(r�Kzt:)(Kd)(V-2)(1) Equation 6-15 psf Wind Pressure Ext.Pressure Coefficient -0.88 Fig.6-11e/CID-14q/t3 Ex,t Pressure Coefficient Down GCv(Dj 0.45 Fig.6-11B/rfD-14A/B Design Wind Pressure p [P=qh( ) Equation 6-22 Wind Pressure u -19.6 psf Wand Pressure Down pfdwml 1 10.1 psr ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape _ 64" 39" _ Max Allowable Cantilever Landsra;pe _ 24" r _ -- _ NA Standoff Cpnfi uration r _Landscape ~�._ Staggered_ Max Standoff�tributary Area -- - __. Tn_b _ _ 17 d._ PV Assembly Dead Loyd _ W-PV _ _- 3� Net Wind Up1"rft at Standoff _�__. T-a�a1 T . __. -307'lbs_ qj fq Capaaly of Standoff T-allow 500 lbs Standoff®ernand Ca - DOI2 61.5�Yo X-Direction. J Y-:Direction Flax Allowable Standoff Spaar�g _ _�Portrait 48" 64"' Max Allowable Cantilever Portrait_ _ 20" _ _ _ NA Standoff Confi uradon Portrait Staggered Max Standoff Tiributlary Area Trib - -211 . PV Assemlbty Dead)Load W-PV _ 3 psf Net Wind Up9rft at Standoff T actual -385 lb'; plift Cap"of Standoff T-allow Soo R)S Standoff Demand/Ca Dernand/Capacfty DCJR '� _-` _�—+ 7�6.9°,du !STRUCTURE ANALYSIS- LOADING SUMMARY AND MEMBER CHECK-_MP2 Member'P:ro erbes Summary MIP2 'Horizontal!Member Spans Rafter Pro es Overhang 0.66 ft Actual W 1.50" Roof tem Pro -es Span 1 11.55 fit Actual D 5.50" Number of SPans(w/o Overhang) 1 Span 2 Nominal Yes Roofing Material Comp Roof Span 3 A 8.25 in,A2 Number of Layers(Comp On 1 Span 4 S. 7.56 innA3 Re-Roof to 1 Layer of Camp? No Span 3 1 xx 20.80 in.^4 Rywood Sheathing Yes Total Svan 1 12.21 ft TL Defi'n Um ft 120 Board Sheathing None PV 1 Start 2.25 ft Wood Species SPF Vaulted Ceiling No PV 1 End 11.42 ft Wood Grade ##2 ; Rafter Slope 200 PV 2 Start I 875 Ki Rafter S ci 16"O.C. PV 2 End F. 135 psi Top Lat Bradng Full PV 3 Start I E 1400000, . Bot Lai Bradng At Supports PV 3 End Emi, 510000 psi Member Loading mary Roof Pitch 5 12 Initial Pitch Adjust iNon=PV Areas 11 PV Areas Roof Dead Lead -DL 7.5 psf x 1.06 8.0 psf 8.0 PV Dead Load I PV-'DL 3.0 psf x 1.06 3.2psf VILoad Load RLL 20.0 x 0.98 19.5Snow Load LL 30.0 psf x 0.7 9 x 0.7 21.0 21.0�psf TL 29.0 psf 32.2 nsf Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7 fyure 7-21 2. pf=0.7(w(w(�Py; =4= =1.0; Member Design SummaryP r RDS Governing Load Comb CD CL M CL Cl' Cr D+S 1.15 1.00 1 0.62 1.3 1 1.15 Member.AnM sisResu'ltsSumma Maximum Max Demand @ Location ! Capacity aci ;DCR hear Sys 45 Ki 0.7 ft. 155 psi 0.29 Bending + Stress 1123 Kj 6.5 ft 1504 i i 0.73 Governs � '•' Bending - Stnass -13 psi 0.7 ft. -934 psij 0.01 oral Load Deflection 0.58 in. 6.4 fL 238 0.50 . _ (CA,t A ATI0N OF!-GOWCKWIND_C#)ADS�=�P2 �Mounting Plane,Inforination � Roofing Material _ -_— . _--- _ _ _- -_-- Comp Roof PV Sy ype__ _ _ __ - SolarQty SleekMount mm Spanning Vents _._ _ No Standoff Aftachnaent Hardware) Comp Mount Svpe C - Roof Slope _ 200 - Rafter S, ara ._._ ....__ _-..,_._.. _..._ .._.. __...__ - Pa g-_ Framing Type Direction . _ Y Y Rafters Purlin_Spaan9_.._ _ .m �;� _ .X-XPuriinsOnh� . . ._. NA rile Reveal Tile Roofs Onty NA de Aftachrnent System Tile Roofs Oniy. NA Stan-d-inq Seam Spacing SM Seam On NA Wind iDesign Criteria Wind Design Code ASCE 7-05 Wind Design Methca-____ _ _��._ __.._-Parti41y/Fu11y Enclosed Method Basic Wind Speed V 11 Fig.6-1 - Exposure Category _ �..�_ _._ - _ --- - .- �. �. _Section 6.5.6.3 .I Roof Stjoe ~� Gable Roof Fg.6-11B/qD-14A/B Mean Roof Height h 15 ft Section 6.2 Wind(Pressure Calculation Coefficients Wind Pressure Exposure -- _ tCZ _._. w__- 0.85 _ Table Era opographic Fadbr __� _ __�._ �___�X _. r __ __1.00 __ _ _ _ _. _ Sermon 6.5.7 Wind Directionality Factor Ra 0.85 Table 6-4 _ -- -- .V_. ._ �. . _._ Importance Factor I 1.0 Table 6-1 elooity Pressure 9n qh=0.00256 KzQ(Kd)(V^2)(1) Equation 6-15 Wind Pressure Ext.Pressure Coefficient -0.88 Fig.6-118/C/D 14f� Ext.Pressure Coefficient Down 0.45 Rg.6-11iB/qiD-14q/B! Design Wind Pressure p P=qn( ) Equation 6-22 Wind Pressure u -19.6 psf Wind Pressure Down 10.1 psf ALLOWABLE STANDOFF SPAaNCS X-Direction i Y-,Direction Max Allowable Standoff Spadng _Landscape __ _ 64°' -- _. 39" flax Allowable Cantilever - �� �yLands�ape: . . .� ._ � ��24 �_ ,___ _ _ NA tandoff Confiiiuraiion Landscape Staggered Max Standoff TributaryArea __ Nb µ--Il7 sf PV Assembly Dead(Load W-PV 3 psf EWnd Up1'i t at Standoff T-actual Capadty of Standoff ._ . T`T-allow_ 500 lbs ndoff Dnand Ca TIDCR 61.5% X-Direction I Y-Direction Max Allowable Standoff Scan Portrait 48" a _ 64"' Max Allowable Cantilever __ .__ Portrrait_ - _ _. _ _:__ 2T _ _ ..QUA _ standoff Configuration Portrait Staggered Max Standoff TributaN �___ _ _v Trib_ _ � . .___..�____ � � 21 sf -- _� PV Assem'bly Dead(Load W-PV 3 Net Wind lJ at Standoff T-adbual -385 ibs Uplift Capadty of Standoff _ T-allow _ . 500 Ibs Standoff Deena Ca _ DCR �76.9D10 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map \!o Parcel Application # odd)U/?n S�� 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 _ems r�ro.._d} .y, Ts Village Owner o c c %3 L Address z.-A z- Telephone -sd%- z,�o- ��0 3 t,w o�w.c.�► ?0�1 , vim.a outer Permit Request w.w,av S Fs ti S Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation moo.�� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supp rting do`cmen motion. Dwelling Type: Single Family Ur Two Family ❑ Multi-Family (# units) C> A 4 Age of Existing Structure 10CvB Historic House: ❑Yes ❑ No On Old King's Hi way: L11, es No Basement Type: O')'ull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) co Number of Baths: Full: existing X new Half: existing l new Number of Bedrooms: l existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing 0 new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_U Attpched 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 c_��o-Z •r--`�N�_Q.►��M Telephone Number !&-o It - lu33 -I'S$a Address i-A License# bz..-AA $ Home Improvement Contractor# \L4 z.s Email w .s © c-buat,�Lv-row..v . c e, Worker's Compensation # w c%S ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 7�6► P L FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE - i l OWNER - DATE OF INSPECTION: FOUNDATION FRAME - INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - 2 GAS: ROUGH FINAL r FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. RISE ENGINEERING Completion � A division ofThielsch Engineering' Certificate 1341 Elmwood Avenue,Cranston,RI 02910 ' R I S E. PROGRAM kNGW£El1NL (401)784-3700 FAX(401)784-3710 CLC-RCS _CASE 148695 Page I CONTRACTOR 0049 ConserVision Energy CONTRACT DATE START DATE 1 ADDRESS 10/29/2013 CLIENT NAME Karen H O'Connell AUDITOR ADDRESS 357 Ames Way Patrick Golarz Centerville,MA 02632 CASE HOME (508)280-4637 WORK O X- 148695 CELL 508-280-9279 PROJECT NO FAX RIS-81-13-0035 Air Sealing Completed Start CFM50 End CFM5.0 70%OF BAS CFM50 Combustion Safety Testing Worst case depressurization number_pascalsCAZ limit pascals Spillage failure: Yes or NoDraft failure: Yes or NoCO levels: pass or fail The following areas were sealed,as directed by the RISE Engineering Energy Specialist: Basement-CrawlspaceAttics-Kneewall SpacesLiving Areas —Sill/Rim.Joist_Wall Top Plates_Plumbing Gaps —Plumbing Gaps_Plumbing Gaps Door Sweeps _Wiring Gaps_Wiring Gaps_Door Weather-strip —Chimney Chase!Chimney Chase_Fireplace/Wall seam , _Basement Door_Attic Hatch Duct Register Gaps _Crawlspace Ducts_Joist Transitions_Air Con.Cover _Kneewall Hatch_Attic Ducts Exterior Items Sealed: Other Items Sealed:. Comments: Perform(22)working-hours of air sealing to include all appropriate blower door tests;combustion safety a • .x re: RISE ENGINEERING Completion A division of Thielsch Engineering Certificate 1341 Elmwood o d Avenue,Cranston,RI 02910 PROGRAM eaeuveeuNc (401)784-3700 FAX(401)784-3710 CLC-RCS CASE 148695 Page 2 tests and procedures. ENTRY DOOR,GAR-KITCHEN DOOR, 15 HRS ATTIC FLAT,4 HRS BSMT NOTE: HOURS MAY NEED TO BE ADJUSTED DEPENDING ON BLOWER DOOR RESULTS- ALLOW I HR FOR EVERY 62.5-100 CFM50REDUCTION NEEDED TO REACH 1646 CFM50. Install 3 roof vent(s)as indicated on the sketch. ENERGY SPECIALIST must specify the COLOR:black,brown,gray or mill finish. Provide labor and materials to install(1)insulated exhaust hose to existing bathroom fan(s). Install [1] insulated hose(s)and roof mounted vent(s)toexhaust existing bathroom fan(s). Each hose must be securely fastened at both ends with zip ties and screws. The outer vapor barrier must be sealed at both ends with quality air barrier tape so the fiberglass is not exposed. NOT DUCT TAPE. Install ventilation chutes in(80)rafter bays to maintain air flow. Install 10 4"x 16"soffit vent(s)as indicated on the sketch. Due to the age of this home we anticipate the need to use lead-safe remodeling practices in the course of this work. Energy Specialist must specify the COLOR: White Install R-19 unfaced'.fberglass blockers to.the sills.(I60)linear feet. Fmeasures listed above have been completed to my satisfaction.I have received a copy of the Certificate of Completion rize the release of any final payments to the Contractor.I understand that this Authorization of Completed Work does r void any warranties provided to me by the Contractor. Inspector's Signature Customer Signature DATE DATE 12?/21013 5:22:09 PM Y OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at A . 3 Y 7 (Property Address) I (Property Address) hereby authorize C�'�1 �1�1� 3 (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. klom �i Owner's Signature ' q l9 l3 Date a - 009SENE-01 MVAUGHAN A %RLY CERTIFICATE 4F LIABILITY INSURANCE 3128/20i3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS: CERTIFICATE DOES r NOT AFFIRMATIVELY OR NEGATIVELY AMENDr'EXTEND,OR ALTER THE`COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE W98.NOT CONSTITUTE A CONTRACT BETYNEEN THE ISSUING INSURER(S)',AUTHGRIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER: IMPORTANT: N the ceiNflcate holder Is on ADDITIONAL INSURED,the pollcy(ies)must be endorsed. tf SUBROGATION IS WAIVED,subject to the"leans And wnQftlolla of the policy,ceAain;po0ctes lrrey,r@qulre an endorsement.A statement on this Certificate does not confarHghts to ttie: certifieate'holder In lieu of such sndorsemen a rRooucFR - •x ME _ Strafe ic.Business Unit RRpppp��m tG Gray Ins.-Dennis Branch vx a 608 398-7880... 877 816.2188 43IRte 134 oss South Dennis,MA W60 ..-.._.._ INe. AFFDRLiNOCOVERAGE - - Iwsui+sRli:Selective Ins.co:bt,theSoutheast INSURED ;INSIRRFJR'a.•' . Con-Serve Energy.•ind. ws�lEiec: dba ConseWlsbn;Energk' 807 Main 8L u+suRERo: Hyannla,MAJXIM IHSURERE: ......... ..J'INSURER F i_ COVERAGES -_. .—CERTIFICATE RTIFICATE NUMBER. REVISION NUMBER: THIS IS T+O'CERTIFY THAT-THE POLICIES OF iNSLIRANCE LISTED BELOW HAWBEEN ISSUED TO THE INSURED NAMED A80VE FOR THE POLICY PERIOD INDICATED. N07W1TtiSTANDING ANY REQUIREMENT.TERM OWCONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITHAESPECT TO WHICH THIS CERTIFICATE BE ISSUED OR MAY PERTAIN.THE'INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I-S.SUBJECT TOALL"THE TERMS;. MWLU81ONS 1MAYCONDITIONS OF SUCH POLICIES.LIMITS-SHOWN.MAY'HAVE BEEN REDUCED BY PAID CLAIMS.-- L - TYPE OF WSURlUIOE -__ . .- .._. .. POIJCYNUaet3F...bun" :EFF. 31MIT8 ' AfJEatALlMaL11Y ... ... A X COMMERCMLOEIERALLIABILITY. 2071291/ 3i1412013 .•3H412011. EACNaxy/RR s 1,000,0 _ s s 100.0. ! : MWEXPwoumperaNg S 10,00 PERSONAL S ADV INJLRRY s_ _ 1.000,0 `OENERALAGGREGAYE, 5:. ._. 3,000,00., OENLAGGROATELoffAPPlIESPW* PROOUC7S•COMPiDPADd S $,DOG, mmosagumiLm &O=D SINGLE LIMIT ANYAUTO- '. BOOILYINJRRRT .-::_.__........ U'alPafFcR) S AAUIO D 0 # .' .: :-eODILYMJURYP wamweno S - - = .. ... NDN01ANE0- - - HItRE0ALR03 AUMS P R IOE lltamsu a W16` H CC" - ' ECH OCCURRENCE? S- Y© A AW T E C71166630 311412013, '3M4121114 ELFACFIACCSIENT $ 600, i. OFR� MEER EkCIAWEDf -..,. . . NIA •, IIYes,IIYe�, M Wdel" - -': E.LDISEASE"EAEMPLOY S. 000,00 DE rIWOF:OPERA7IDIJStaRibrc •......._ ':_,__.. -i E.LDISEASE-POLICY LIMIT "S DESCAIPTIONQF OPERAIKMILOCATIOIYa/VBRMAEfOtwb ACOR6101,AddMmd RwwMllchaoj%frmae apa b�n***Q - - > CLUDED OFFICERS UNDER WORKERS COMPENRAT10M3 CONOR 8 COURTNEY MCINERNEY"NOTE THAT BLANKET ADDITIONAL INSURED OVERAGE APPLIES TO THE COMMERCIAL GENERALI ABILITY(IF A:WWMN CONTRACT IS'IN PLACE). CERTIFICATE HOLDER CANCELLATION SHOULD"ANY OF THE A80VEDESCRIBED'POLICIES BE CANCELLED BEFORE: RIBeEnglneerlrig, THE 'EXPIRATION DATE. THEREOF. NOTICE WLL BE"DELIVERED- IN ACCORDANCE WITH THE ROCKY PR0ITISIONS: `. 1341 EImwood Ave: . - ' Ciansidar-R102910: AUTNOWZED REPRESeNTATIVE.... 6W 0:1988.2010 ACORD CORPORATION: All flow raserded ACORD 26(2010105) TheACORD nerve and top-are"regbtered marks of ACORD Under Worst Case, after 60 seconds of operation is•there any spillage? PRE-WORK TEST - POST-WORK TEST Smal nce Larger appliance Smaller appliance Larger appliance Y No Yes No Yes No Yes No AIL FAILS' FAILS Y PASSES• r FAILS PASSES JP IF SPILLAGE TESTIS A FAILURE AT WORST CASE,REPEAT UNDER NATURAL CONDITIONS AND RECORD: After 60 seconds of operation under natural conditions Is there any spillage? Pre-Work Test Yes No Post Work Test Yes No 7 Draft Tests PRE POST - Record the approximate outside temperature: - PRE-WORK POST-WORK DRAFT Pass/F I DRAFT Pass/Fail Heating system f - 2nd Heating system Water Heater ..�� Other Acceptable Draft Test Ranges Outside Tem rature(degree F Minimum Draft Pressure Standard Pa <10 -2.5 outside tamp/40 -2.75TU �lv -0.5 8 Carbon Monoxide Tests Measure the undiluted flue gases and the ambient air in the zone(s). PRE-WORK POST-WORK Undiluted Flue Gas Ambient CO in Undiluted Flue Ambient CO in CO the zone Gas CO the zone Heating system 2nd system Waterr Heater Gas oven �j Q Gas stove top Other = — �`� '1ZT CO CONCERN: if ambient reaches 35 ppm cease tests,open windows,inform HO and evacuate unlit clear.if the CO in any appliance is measured greater than 100,or if ambient CO in the home exceeds 35 ppm then appliance clean and tune must be in the scope of work. Combustion Safety Test Action Levels CO Test And/Or Spillage and Draft Retrofit Action Result" Test Results 0-25 Proceed with w 6-100 ppm And Passes that the CO problem be fixed 26-100 ppm And Falls at worst case Recommend a service call for the appliance and/or repairs to the home to correct the problem onl 100-400 Or Falls under natural Stop Work:Work may not proceed until the system is serviced and the problem is corrected ppm conditions >400 Dom• And Passes Stop Work:Work may not proceed until the system Is serviced and the problem Is corrected >400 ppm And Falls under any Emeroencv:Shut off fuel to the appliance and have the homeowner call for service immediately I icondition 1 l "CO measurements for undiluted flue gases at steady state 9 Conclusions: Circle the appropriate results and retrofit actions on the Client Form. - Discuss health and safety problems,concerns,recommendations and resolutioris.' Obtain client signature and leave a copy with the client. IMPORTANT PRE POST Return hot water tank to normal settings *Turn fuel switch on. FORM 319/12 "Make sure heating system is on/operating. The Commonwealth ofMassachusetts Pnnt Form Department of Industriai Accidents Office of Investigations l Congress Street,Suite 100 Boston,MA;02114-2017 www.massgov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electric' ans/Plumbe'rs Apulicant Information Please Print'Ligibly - Con=Serve e Inc •-Aba.ConserVision Ener + ' Name(Business/Ofganizaton7.1_ndtvidual) Energy, gy ____...... Address:376 Route 130 City/State/Zip:'Sandwich, Ma 02563 -Phone#s Are:you an employer?Check k the appropriate box: m a eneral contracEor and 1` Type of project(required): , 1.21 1 am a,employer with ❑ g have hired,the suli-contractors 6. Q;New construction . employees(full and/or part-time). t ` listed on.the:attached sheet:; '7 Remodeling 2.Q I am a sole proprietor or,partner- n g ; r, t , ship andhave no employees, These sub-contractors have 8. Q Demolition working for me in-any capacity. - employees and have.:workers' Q Building addition [No workers':comp.insurance' - comp insurance 9.. . ; t l0. . . required.] _ y 5. ❑ We.are a corporation and its Q Electrical repairs or additions officers,have exercised their 3.❑ Lain a homeowner doing all work 11:Q Plumbing_ repairs of additions myself.[No workers'comp. right of exemption;per MGL 12.Q Roof-repe r J7 insurance required.]t " ` c. 152,§1(4),and we have-no ° employees.[No workers' 13.❑✓ Other.Weatherizatlon 2013 + comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation p9lic informanon ` t Homeowners who submit this affidavit indicating they are doing all work and-then hire outside contractors must'submit.a new affidavit 46tattng'such. 1Cobtractots that check.this"box•must auached,an-additional sheet showing'the'name of the sub-contractors and state whether or not those entities have_ :employees. tf the sub-contractors have empioyees,'they"must provide•their•"workers'comp;policy:number: I am an employer thatis providing workers'compensation insurance for my employees Below is the policy,and job site informatiom j insurance,Company Name:Selective,Insurance:Co of the SouthEasi - p 3%14/.2014, tr a Policy#:or Self-ins.Lc.#WC7956539 Ex iration Date: . �+s :Job Site,Address: ' ' City/State/Zip:..__ Attach a copy of the workers'.coropensatton policydedarat o..n page(showing the;po6eynumber,and expiration date), Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the impositton of criminal,penalt es of a fine up to$1,500.00 and/or_one-year:imprisonment-as well.as--civil:-penaltiesin.the fonn of a STOP-WORK ORDER and a.fine of up to$250.00 a day against the violator. .13e`advised-that a copy of this statement may be forwarded to the:Offtce of Investigations of the DIA for insurance coverage verification.: I do hereby certi 'under the sins and a naldes o er'u that.the in ormation ps ovided above is true:and correct Si tune. 2U13 Phone M 508-833-8384 - k'•, ",', F" Of cial use only". Do not write in thus area,to be completed:by city or town:o ciaL 'City or Town:, Pertmit/License:#` � Issuing Authority-(circle one): 1.Board of Health 2.Building Department 3:-CityIT6wn Clerk 4:Electr..ical Inspector. 5.Plumbing Inspector 6.,Other Contact'Persont Phone# Account Number: - Date: Name:- , _. Address: Man Hrs• Material: Used Comments Cellulose Weather-Strips Door Sweeps ' 2" Rigid board' 1 5"Rigid-board ` 1"Rigid board Caulking Hi-Temp Roof Vent Sealant = ` Two-Part foam Single Part Foam 16 lbs -Touch&Seal Foam Can F Insulated Fan Hose ' R-38 Fiberglass Faced - - - R-3.8 Fiber-glass Un Faced R-30 Fiberglass Faced , R-30 Fiberglass Un Faced R-19 Fiberglass Faced R-19 Fiberglass Un Faced -R-13 Fiberglass Face - Ro6f Vents 8x8 Mushroom Vents,, Bath Vent Soffit Vents 4x16 Soffit Vents 6 x1-6 - Soffit Vents 8x16 Proper Vents'`' 6 mil poly Other Other Other. Comments: ' f t y _CSSL 102778. . CONOR D MCINERNEY 34 SIASCONSET::DRIVE- - -- •�-- -_-.. _ .-�_. .. M.-._ __ SAGAMORE BEACH MA 02562 gu_ v 08119/2014. V Office of C`w4bihir Affairs&13u`sioess Regulahort' HOME IMPROVEMENT CONTRACTOR Registration; 171251; TYRe :Eipirationi 3/112014- Partnership. er CON-.SERVE ENERGY' CONOR MCINERNEY' 376`'ROUTE 130 SUITE:C' � �— "i.� #. - p' ` '•� :a SANDWICH.:MA 02563 _ _ Under'seeretan• ,., ,. '�' t ----- —- License or'reg�strafiob valid for mdividul use only before.the expiration date, If found return to: ++Office ofConsumer'.AMOTs and-B.usinessRegulation _ r lO.Park Plaza-Suite;5t70 6F, 3b ` ?,' f•C.,�, Boston,MA02116 _ IN - --- - — - Netvattd wrtbout signature Account Number: a a __- __ _ Date: Name.- Address: Man Hrs: Material: Used Comments Cellulose Weather-Strips j Door Sweeps . T'Rigid board 1.5"Rigid.board - 1"Rigid board ' Caulking Hi-Temp Roof Vent Sealant Two Part foam Single Part Foam 16 lbs Touch&Seal Foam Can. Insulated Fan Hose R 38 Fiberglass Faced R-38.Fiberglass Un.Faced. R-30 Fiberglass Faced ' R-30 Fiberglass Un Faced R 19 Fiberglass Faced R-19 Fiberglass Un Faced R-13 Fiberglass Face Roof Vents 8x8 Mushroom Vents Bath Vent Soffit Vents 4x16 Soffit Vents 6 x16 Soft Vents 8x16 Proper Vents 6 mil poly Other Other Other Comments: � I V -41%o Aw A # 4P 11/14/14 Thomas Perry, CBO Town of Barnstable Building Division 200 Main St Hyannis, MA 02601 RE: Insulation Permits Dear Mr.Perry, This affidavit is to certify that all work completed for insulation work at 357 Ames Way (application#201400566) has been inspected by a certified Building Performance Institute(BPI) Inspector. All work performed meets or-exceeds Federal and State requirements. Sincerely, Conor McInerney ConserVision Energy C:) co 7iC SO co 376 ROUTE 130,SUITE C SANDWICH,MA 02563 508-833-8384 WWW.CONSERVTODAY.COM TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map o ; Parcel Application # (J ► Zc� Health Division Date Issued caZ Conservation Division Free Planning,Dept; Permit Fee: a Date Definitive Plan Approved by Planning Board Historic = OKH Preservation/ Hyannis Project Street Address 3 �� Anws Village, Owner r � � S6'!� Address ✓-' 7S' t Telephone 5p�—_2146'—M53 Permit Request Square feet: 1§t floor: existingproposed 2nd floor: existing proposed Total new Zoning District' es Flood Plain No Groundwater Overlay Project Valuation ��� Construction Type- Lot Size I St 2-y Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure ,Historic House: ❑Yes M<o On Old King's Highway: ❑Yes 2<o Basement Type: gull ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.)' Basement Unfinished Area (sq.ft) ' .3#or Number of Baths: Full: existing new Half: existing new Number of Bedrooms: 1 existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ®'Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes Nlo Fireplaces: Existing l New Existing wood/coal stove: ❑Yes M No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: Gi(existing 0 new size _Shed: eXexisting ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use - o APPLICANT INFORMATION C_n (BUILDER OR HOMEOWNER) Name ear6'1 i,®17i2��l ���/ Telephone Number il�� 71411-3 —3 Address es=P.S Wa,4 License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ' �� DATE 7 0 r FOR OFFICIAL USE ONLY r, APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE _ F OWNER DATE OF INSPECTION: t FOUNDATION FRAME r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ;J. PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. t - "x t i The Commonwealth of Massachusetts. 0. 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 na Please Print Le ibl Name(Business/Organization/Individual): (�At,l ,V Address: S57 AM6 W*4 City/State/Zip: QA Vt'l Phone.#: 50'^ Zq6 315 Are you an employer?Check the appropriate box: Type of project(required): L❑ I am a employer with emp to 4. ❑ I am a general contractor and I * have hired the sub-contractors 6. ❑New construction employees(full and/or part-tim.e). 2.❑ I am a soleproprietor or partner-- listed on the-attached sheet. 7.. ❑Remodeling ship and have no employees These sub-contractors have g. '❑Demolition and Have workers' working for me in any capacity. employee's9. ❑Building addition [No workers'.comp.-insurance comp. insurance.$ ,�/required.] 5. F] We are a corporation and its 10.❑Electrical repairs or additions 3.h I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑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. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: 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$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fire 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 Ido hereby ce fy under the a[ns andpenalties ofperjury that the information provided above is true and correct. Si afore: Date: L7Le Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): J.Board of Health •2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Insttiuctions 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 dwelli ag 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 Iicensing 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 vzth 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-coniractor(s)name(s),-addresses)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 io any business or commercial venture (i.e. a dog license or permit to btim 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 Office of Investigations. 600 Washington street Boston,MA 02111 Tel. #617-727-49-00 ext 406 or 1-877-MASSAFE Fax# 617-727-774 9 Revised 11-22-06 www.mass.gov/dia f Town of Barnstable THE Tp� o Regulatory Services s 1&MMBLE Thomas F.Geiler,Director 9 MASS. qp 1639. ,�� Building Division rfD �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: _1_ 2_7 LO!7 JOB LOCATION: 3 7 WS' Wa eQn*e—r yi I' /nuumber d� /� street p village "HOMEOWNER": YCs_r�I1 V'lydgAell Sop"2`16— �/ES name' f ,home phone# work phone# CURRENT MAILING ADDRESS: 3S 7 41Me� VV aw Oen-f rvo )e_ MA e)2-10,32 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. t Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFlLESTORMS\homeexenipt.DOC Y s• Imo, � ��►,E,, � Town of Barnstable Regulatory Services MAM Thomas F.Geiler,Director Maas. p,19. 0.��' Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the . Homeowners License Exemption Form on the reverse side. Q:FORMS:O W N ERP ERM IS S I ON R W . �1 l' e� �lqq y I t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 1VIap 120 Parcel Permit# Health Division 10 12ndo 1 Date Is ed Conservation Division Zoo Fee Tax Collector Ape / Treasurer ;'�'��-,�— 1 ���4D SEPTIC SVSTEft 1 UST E Planning Dept. 41 11�: INSTALLED IN COMIPLIANCE (VY, �MTH TIITLE a Date Definitive Plan Approved by Planning Board E ' , C Q, rTL , iav '.d Historic-OKH Preservation/Hyannis N L'd Project Street Address 3 5 / 0 ol .5-7 S w Village C �'_ A)f, (Z— U r ( (ti�, Owner, ���1 S AddressS� f��S lcJ(��—► h� Telephone Z O 1 Z-5 f Permit Request Ai C_A/2 ai U nkn F_ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation �`� Zoning District _Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. v Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes )(No On Old King's Highway: ❑Yes No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Easement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 2 Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn: ❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION �. r Name 0, i'S -�:g7s-Tcxz ti-T. Telephone Number,.. C)®2 2< �{ Address��� �_t' ��'<z � �� _ License#10 IGe�c k (4, � A Jam, (�2 3 7 (�, Home Improvement Contractor# 109031 Worker's Compensation# We-231 5 31 7 y,& ©1 o ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO CtL&,t,n (Ala s—f '1 e-1 —3 3 °) 7 SIGNATUR DATE �J . r - l .� FOR OFFICIAL USE ONLY PERMIT NO. 6 DATE'ISSUED r MAP/PARCEL NO. _ ' ADDRESS VILLAGE OWNER . . r DATE OF INSPECTION: FOUNDATION Ask ol - 5 ' FRAME t INSULATION - FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH-. '- FINAL FINAL BUILDING *-- DATE CLOSED OUT ' ASSOCIATION AN NO. R The Commonweafth of Massacnusg= Department of Industrial Accidents ,, �-; ;,�� . 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Ftflme to seems eoverate as rcgaind ceder Seedon 23A of MQ.IS2 to Irad to the impoaillaa of erfodnal p®aitles of•Sae u p to 51.quo and/or one yeas'imprbomnmt as vmd as dvd penalties in the form of a SMP WORE OItDI+.R mad a Qma of S100A0 a day epimst me. I rmderstsnd that a Copy of thls statement may be forwarded to the Ocoee of fumdpdtons of the DIA for Coveraie•fin• hr coal of peri►us'MORkr="j°s"° pvvi�above is afY cord concct I do hereby eats P P Date Si�iature Ph=# Print name otticial use only do not mite in this area to be completed by city or town omdd � ❑Bodldtn;Pepacta'r� dty or tome - P�� CILkeuin;Bow ❑wecamm's Office ❑chg&if immediate response is regnurod (:JHealth Dep>MIA9d contact person: (teruen 9195 PIA) 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 coairart of hire, express or implied, oral or written. An employer is defined as an individual partnership,association,coreoration or other legal entity,or any two or more Of to or the receiver c: the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, partnership,association or other legal entity,employing employees. However the owner of a trustee of an individual,P P, or the occupant of the dwelling house of dwelling house having not more than three apartments and who resides*crci4house or b or another who employs persons to do maintenance,camstsucti m or repair work on such dwelling building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 75 also states that every state or local licensing agency shall withhold the issuance or renewa of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has ei not produced acceptable evidence of compliance with the insurance coverage required. AdditionaIly,nther the red' blci work until commonwealth nor any of its political subdivisions shall eater into any contract for the performance of pu acceptable evidence of compliance with the msar==requires of this ebapter have been presented to the comaacting authority. Applicants Please fill in the workers' cam�peasatYon affidavit comp ,by,+wlemg the.bom that applies to your situation and address and phone numbers along with a certificate of insurance as all affidavits maybe suPPlYmg company names, cf insum=coverage. Also be sure to sign and submitted to the Department of Industrial Accidents for n for the permit or license is date the affidavit The aff davit should be retumed to the CkY or town that the app' in thelaw„or if you being requested,not the Department of Industrial Accidents•.Sbould you huc�' , are required to obtain a workers'compensation pokey,Please call the Department at the number listed below City or Towns _ .___....._. . Please be sure that the affidavit is comtplete and printed legibly. The Departtacut has provided a space at the bottom of the applicant. please affidavit for you to fill out in the event the Office of Investigations"bas to ramrod you regarding the emutlIicease member which a be used as a referencx mimber. The affidavits may be rct®R t" be sure to fill in the p bave been made. the Department by mail or FAX unless other ar aage� The Office of Investigate ens would ldce to thank you is advance fin you cooperattan and should you have anv questions• please do not hesitate to give us a call. The Department's address,telephone and fam number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Invemoadons 60o Washington street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext. 406,409 or 375. THE The Town of Barnstable • anxrasrwate MASS g Regulatory Services �p t639. •. Thomas F. Geiler, Director, TED MP'f Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. `" -b ` Date 1� n�O �1 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. Gc.c.c.�s1 Type of Work: Q PT/L J2Y. J� w Estimated Cost Address of Work: 3 S7 ZZn £J GE/IAy C9 Owner's Name: 2 S Tu s K Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME I UR GUARANTY FUND UNDER MGL cPROVEMENT WORK DO NOT E.142A. ACCESS TO THE ARBITRATION PROGRAM SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: ,/ / T,6 f- S�Lc�f ��2 37Z %�`!�`v/ �/u"/D• v�J ' S�'�'�r�O"J Registration No. Date Contractor Name OR Date Owner's Name q:forms:A ffidav:rev-070601 - /' f • -' � ✓/ee�omv�na�uuea���/uaaaac/tuae!!a - MOME INPROVEMENT CONTRACTOR ? Re i 4031< Expiration: 1/13/02 ROBERT L JACOBSON Robert Jacobson 292 Main Street. ADMINISTRATOR Plypton H 02367 . . . / wsr.iw.aa.wa�sittq�.x#-a;/'c�G�.a:.':..w.l�w--:il L.:..�a`u.�281.c�.„ • . �`�,° ;�~�" �;"° �/e �om�nx�y� ✓�aaaac�cuaetta f BOARD OF BUILDING REGULATIONS f License: CONSTRUCTION SUPERVISOR Number..CS 020213 " ices: 11/26l2001 Tr.no: 9479 • I1 . 00 ROBERT W JACOBSON 292 MAIN ST ""�'. : PLYMPTON, MA 02367 Administrator ;< • - c 10'-4" m c MASIM BEDROOM . ' ro a 1 I I BATH I in O ® 6 Q o BATH 12'_0„ 0 Va �• WW ROOM 0 h So OsIItIG R001�1 b � � c 5o ro n m h , c i-4 t o 5'-0" n PROPOSED PLAN I r=r-0" x Dll 1-12 N , 5,0^ STIMGWFAMFPM SIDE RALS REAR ELEVATION } o x . 23'-0" 2, 0„ 4'_0" SIDE ELEVATION TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION t �'1 Map 1`y0 Parcel � 7 Permit# c Health Division r. �. Date Issued 1 � s Conservation Division L' ho J 6� �. SEPTIC SIFSTE 1 N Can aet a ✓� O `� I Tax Collector / NSTALLE �� c `�c 41INNUNOUTAN3 Treasurer 1 C-� ��1� a0 ENVIR® MFhN 3 on E Planning,Dept. TO Q9rIY a !b3--i1VLS?q1 Date Definitive Plan Approved by Planning Board /4' 1Sib1 W�1SAS `f ' " Historic-OKH Preservation/Hyannis s . Project Street Address Village yam . ✓r L1 F :.y ,Owner �` �(1 s Address S r At'Als U . Telephone -Permit Request t — 1 �' -?� 15 — 1 3 55 S � c�_ Square feet: 1st floor:existing . a. proposed 11 a 2nd floor:existing proposed Total new Estimated Project Cost 1��(5c3ZZ>, Zoning District Flood Plain Groundwater Overlay Construction Type I� Lot Size 5, a Grandfathered ❑Yes �f No If yes,attach supporting documentation. Dwelling Type: Single Family)9 Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: "O Yes ❑No On-Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ' ❑Other Basement,Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing :new =First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other L Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:0 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 _ �`C�'�-� Proposed Use BUILDER INFORMATION Name �!_' Telephone Number Address cam-N S 'License# Q�D O Z> Home Improvement Contractor# Worker's Compensation# S Coe C,-�7:1 3� ` ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 0 QY S � l SIGNATURE DATE _ ' 1 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED r MAP/PARCEL NO.' - to 7 � •. ` '� "!±. . . .f• .� '� Y ° {, ` ^ ; / ' ADDRESS _ "VILL`AGE - y` _, • Est J' OWNER , .. i - ✓ DATE OF INSPECTIONS r ; bF' �_ _ ,!•�: {� �A D` (� _s- D•L `i • .. ' ' - '_ a - _ _ . • ". . • . ' ' ° , • ' i FOUNDATION S lot, - f v%`�S: '/ - FRAME INSULATION •. N= .► • . FIREPLACE . •ma 's ELECTRICAL: ROUGI;�� '-C t FINAL r PLUMBING: ROUGH FINAL'' q >..'< } GAS: ROUGH' 4` — FINAL '� • _ c { - FINAL BUILDING '.: � •, t �, .:. ! .• # � + -.�,,, � � } i DATE CLOSED OUT ASSOCIATION PLAN NO. 4 f The Town of Barnstable • B�s�vsrAstc, s Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 ` Office: 508-862-4038 Ralph Cressen Fax: 508-790-6230 ' Building Commissioner Permit no. Date 1` 9 — a l 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: Owner's Name: Date of Application: I l I hereby certify that: i • � Registration is not required for the following reason(s): Work excluded by law C]Job Under S1,000 Building not owner-occupied [30wner pulling own permit Notice is hereby given that: .' 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I j jjE�jjjjjjj/M: 1 / • rll .+•1 • •l • 1 •11 .11 1 Y••' 11 1/1 •:i 1 I I I 11 1 1 1 1 I I a A' ' 11 111611 MOM 1 1 I III I I I 1 1 1 • 1 1 ' 1 1 . -•J 1 1 1 I 1 . 1 PIN T I- APPUcanz' -5tuls y --- ---- ioc -- aerty: aicterville, TO (p, a -6v\ 2-7 I K; ti� 1:Zo. ao ` Y ref. 9553 /163 flood,patWX L` (,\001 .__OL)15 i -�046�� sa)I � `--�-� - jt� QF J hereby cent%fy s Mortga e tnspezt7ort wc,,a tr, za�• r r Tr1f aft ,,y Costa P.C: 1Cx'ton i e orali .5cwxl�s j Z �`` GROVER 'T No 31311 CJhe dwe.U.tng&Iwwt'i herecm.. at,-F U, in c>✓ S C:cxl �i ,(��� �o Y f ST R{Q@ ftawr& area wed ,am effective dutz of 8 -19-8--, anal du locahort/ 03c• I su E the duvet Ong d o es('icor orYn cro the local eoru rtg Fy-.maws ire e Attht t?'feOFcrostruchOri wilt respe0tto hOr' -zcntcd dIn1. ry ottaC i Sude: 1" - 50 setback mquirenuiits or its ex mprt ,orn vtolaht n enforce ""ertt' Date: 12 M-.yt3...--- c tLon, under er 4>ass. General.l.,rau)s ChctpC- 4� -�ectL'on, 7. File No. PLEASE NOTE' The structures as shown on this plot 'plan are approximate only. An actual survey is necessary for a precise determination of the building location and encroachments, if any exist, either way.across property lines. This plan must not be used for recording purposes or for use in preparing deed' descriptions and must not be used for variance or building plan purposes. This plan must not be used to locate property lines. Verification of building:locations, property line dimensions, fences or lot configuration can only be accomplished by an accurate instrument survey which may reflect different information than what is shown hereon. Please note that this is "NOT A BOUNDARY SURVEY:' and is "FOR MORTGAGE PURPOSES ONLY". COLONIAL LAND SU. VEYING COMPANY, 'INC. F 269 Hanover Street Hanover, Mass. 02339 Phone: 781-826-7186 Fax: 781-826-4823 a STULSKY 4'357 AME 5 WAS', CENTK ILL6 _ MA OZG 3 Z. r 6'� PyopzS . N6W De--GK PLAN 11'-I1 Y i5_I' t3ar YCo._ Lr �RopaSEQ 5TU DI Wo LAYOUT FLANS WALL 5ECTION5 cliNul o v �r Qva �H"J u oL ji cow' x 0 C9 aW 69l Tl - D D r r r r STUDIO ROOM-51DE-WALL(A) STUDIO ROOM .FRONT-WALL(B) STUDIO ROOM -51DE-WALL(G) 6 x r~1=• " a� ` � ASSEMBLY DETAILS ALUM.PANEL HANGER ' 5 CONNECTS TO WALL STUDS 69 x'60'W DM 69'x CO.W OR ROOF RAFTERS �_11qta +J` 5EE ALLOWABLE LOAD CA B WALL CABLE FOR PANEL SIZES o -� J � P MINIMUM 5LOPE 1:12 3 �r STUDION SCAL OR PLAN GUTTER FASGIA - o p - :, HEADEK 51 OPT BEAM ALLOWABLE LIVE LOAD TABLE FOR 13 FT. PANEL(WITH 12 FT. OR LE55 SPAN), ALUM.SLIDING TKAN50M(OPTIONAL) "., 20 PSF 25 PSF 30 PSF 35 P5F,- 40 P5F 45 P5F 1 50 PSF 1 55 P5F 1 60 PSF DOOR OR WINDOWi 3"EPS+H '$"EPS+H 3.EP5+M3�'EPS+H 4.5"EP5+H 4.5"EP5+H 4.5"EP5+H 4.5"EPS+H 6"EPS+H. TEMPERED GLA55 - 5 F; SLIDING DOOR ON 51LL Cf y SECTION WITH DOOR { N ES FOR STURIO ROOM CONSTRUCTION c> FLooRCHANNEL Q 1.5TRUGTURAL.MEMB RSA SHALL COMPRISE 4.WIND LOAD5=20 P5F 10.ABBREVIATIONS — +� � ` FOR 80 MPH EXP05URE A,B,C DECK/SLABS; ry 6063 T6 ALUMINUM EXTRU510N5 PROVIDED � rx.`"'`'� 5.DEAD LOADS=5 P5F DM._=D00 MULLION r BY KAAUIVT MANUFACTURING COMPANY. W W1NDOl�Y TYPICAL 5TUDIQ-P C-," SEGTION 6.DOOR AND WINDOW LOCATIONS v NO i7b 5G L"Eq T 2 ALLOWABLE L�OAD5 ARE BA5ED UPON WM WINDOW MULLION ^ THE E54"' ARE INTERCHANGEABLE. y ` 50R OF THE ULTIMATE LOAD/2.5 U=U,CHzk ANNEL : OR THEmLOAD AT 5PAN/120. 7.GLASS KNEE WALLS ARE EPS=POLYSTYRENE PAIJELS CCRAIG OF iigNPROJECT: CONTRACTOR: 3.EP5 REFERS TO CRAFT-GILT POLYSTYRENE INTERCHANGEABLE WITH PANELS. H=THERMALLY-BROKEN MAKYLOU COKSON BETTEKLIVING BO5TON 8.WIDTH OF B WALL MAY VARY PER J jo3 DIRLAM CIRCLE 100 OTI5 5T12 X�22 5TUDIO ROOM PANELS WITH COATED ALUMINUM 5KINS H-5TIFFENER jamv'BONDED TO POLY5TYRENE CORE MATEkIAL DOOR/WINDOW LAYOUT UPTO 24FT. O/H=OVERHANG G EWK5BUKY MA 01876 NORTHB0R0 MA 01532 RAL9.AUTHORIZED FOR BETTEKLIVING (5EE 5PAN TABLE5) 4&CONNECTED TO ADJACENT PANELSWIT, PSF=POUNDS/50.FOOT s GENERAL LAYOUTrv: aE�a�r�DRAWN BY:CJJ DWG NO.:Em50-12xl2-e s sd �DEALER U5E ONLY. G Irk VINYL CLEATS OR Hs.(PANELS AVAILABLE P=PANEL c sT ° °� k5si0�A tq�= SCALE:1"=50" DATE:10/13/00 �k1 IN 3",4/2"AND 6"THICKNE55E5j =a FT=FEET �� ALUM.=ALUMINUM 0 - @S" ul 1 i. � NsSwT.._�A..1ns :' _1�r+.�_._.w ... y a S ill nod -,GM24peu I he Massachusetts State Building Code (780 CMR) includes provisions to ensure that houses and house additions meet energy efriciency standards. This supplemental CONSUMER INrTFORMAITON 1M FOT is to be filed as part of the building permit application when a builder/conuactor or homeowner, constiucting/installing a house addition witli very large percentage of glass to opaque wall, seeks to utilize a special energy conservation' exemption option for "sunroorn" additions to an existing house (780 CMJZ, Appendix J, Section Jl.1.2.3.1). This FORM is not intended to prevent a homeowner from selecting a "sunroom" of any size, configuration, orientatiOIi, Form of construction or percent glazing, but rather is only Intended to assist homeo-wners in becoming aware of some of the important energy cOASerJation and year= 'Ound cOmtOri consider atiOr)s involved ins�10C`iii)g and utilizing 3"SlII1rO0m" addition. The Connection of "sunroom" structures to residential buildings may create COrnfoi t and energy consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In the selection and constructioii/instaIlatioa of"suI1rOOIris", included below is a non-required,.open-ended list Of product and design considerations that a homeowner may wish to consider before actually cons+ructing/instalIing a "sunroom"_ It is recommended That consumers"carefully review these options wi'tii their designer, builder, or contractor, iii order to minimize potential erieray consumption and/or house discomfort issues. In addition, the qualifications and reputation of the company or individuals.to be hired are important Considerations_ PRODUCT 4 -D DESIGN.CONSIDERATIONS RELATED TO "SU1N7RQ0MS" • Solar Orientation Puid Natural Sinidin— , • Type of Glazurg _ - • Insulating value • Solar heat gain • .Frame materials ® GIaz_inp to fcarne scaling and oasketinb materials/seat durability and/or WCati!Cr tigiltnecc ni HIC cttnrnnm • Adequate ventilation - Operable windows and fans • Applied Shading'Systenis . • Insulation level in floors, wRlls, and ceilings OPossible Sunroon)'isolation from the main house via a wall andior door or slider Alleating atiu L.V V1I tip 1tAt_ti1VLLJ. 1.:,1111.1Call;�', LTV lliris �1 r1U I.V Ll Il V1� - Homeowner Acknowledgment 1-he Massachusetts State Building Code, Section JI.1.2.3.1, requires that the actual DroDerty owner..(not the owner's agent or representative) acknowledge receipt Of this CONSUMER INFORMATION FORI4 prior to issuance of a Building Permit for a project that includes "sunroom" additions to an existing residential building. In accordance v,,ith this requirement, the undersigned hereby acknowledges that she/he has read the nifor-Tiatioii iii this docuj�ieiii C01)C-tMir;g sU;i -001n COrnfol t and energy conservation. ' _nature of Aci al Building Own r Date 3� AAo PrintNarie Address ofPerinitted ProjeaV OwmerA.ddress (if different than project location) Owncr's telephone number Property Owner Must Complete and Sign This Section If Using A Builder I �,� �� , as Owner o`t Lh'v subject prope��y 7'�r�b�r aitthori?e t_�,a rarity -a �fir� Rooms (d b.a. —Palo Rooiils of�n1ei!Ca) Lo aCL o f m��ehalf 'n 311 iilattns re�atlVe t0 iz70r1C a'1=honzed �y this b�?ilding�'v1:11ZIt appliCat�o fo- raddres's of job) GLG3 �7 L Date Sim a re Of 0i�' er - - ^weer. ��r ti<<_�?i � , ,� erzt U1 Owner) !FltiSL VVL1Iy)1GLe and .,n i llZs SEC�iort t I �- as Owner/Authorized Agent hereby declq that the statements and inf nna, on on the forego-Ing application for (address of job) 3 S� M-� �' � are true and r. acc�ire,e, to the best of my kno,�rledge and oeliei. Signed under fhe pains and penalties oi.per jury. Print Name Signature.of 0.-wner/Agent Date OF A,M i RI C= - A GTemt7.ze llb7YwSovl. 100 Otis Street•Northboro,MIA 01532•Phone(508)393-0400•Fax(508)393-0340 visit us at:www.potios.com HOME.MPROVEM- ENT CONTRACTOR LICENSE - .. /�yF '. �"..✓frC IOI%'%//y)209LWuQJ{L Cj���L(4i�f/>tG .�/.. '. ��, s - ��,. r.�. _. f �l'nME IMP ROUEMEIl iOMT"Rr OR R Q stration; , ) r �;pra ,on: i_0;21:12uG� yp�: 7ri gate Gorpo t o �,. N9iIO RDOMS Or BDS10tl TMr 11ll MH t7US $i ADMINISTRATOR 1JOR I.fBOFDUG . CONS T Ri QN STJPERVISOR LICE SL' W :/A S?aq -RIPERVIl Of ruRi, 0 .. , ems ,n_ EF, •r'� a:.,. .'`-`':'..-E��?.�'c..+F; a..^C �k_:':' �' :.::U't•v. ....•. � •S � ..Lc;:37�J 11W. 00 00 10. 000 Jvocp+il rlt.ifca.rrlc 704 -to? o0cc ORC A — TIFIAE OF LIABILITY INSURANCE - D�t�:(MNIJCIDIYY) — CERTIFICATE W/o i2000 PRODUC;A - , THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION .In-.aph fU��F( "r12 ONLY AND CONFERS NO RIGHTS UPON TI•IC ,CERTIFICATE r HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR JP McKe4Jie Insurance agency, fnC. ALTER THE COVERAGE AFFORDED BY THIE POL@CIF:S J;EL.OW. P.O, Box 333 ---.._....-- Ann Arhor, vll 481 U0-0333 INSURFRS APPORDINr coVE>tii c;i= INSURED Patio Rooms of Beaton Inc ;1FJ5URER A. f e of jJJjdwe . Hartford Insuranc., st . John Eslar 11NSUPaR e: _...__.. 100 Otis St !INSURER�.[.._.. Nomhboro MA 01532 j INsuzs D i IF, it ER _ — CPVa.R=.::r--5 - — THE POI.ICi=:3 INSURANCL`LISTED BELOWHAVE BEEN ISSUED TO THE INSURED NAME-DASOVE FOR THE-POLICY PERIOD INDI(;ATED.Ni)1LJ11 H:;IANDING ANY R'QUJJ;E-WEN 1, =Pjtfj Clr.OtiDITPD! OF ANY QNTR-^,C I OR OTHER ^1 - -SPEC "' . .7 :i t i tJ1T;l n TO v lil Iril� =r11'ICr\I_is 1 I:ic'::c:)OR j h/AY PE:';'M NI T= $ E A= .Y P,O ! BE s r AI AtiJ - %i IN UF'..4NC FORDcD THE LCIES DISC RLc^HEREIN IS$U JECT ) L•r-iE TER:d.o EyCLJ`310NS D '('i I,A 1 I. `!S(Jr F LJC' is-T_UM.17S SHCYVVPI MAY�'.i`JC u=_,.RLD 7C�� 5Y PMD CLicPO& TYI+!:_Cr INSURANCE I I -.--'POLICY NU:'v_R f p Li }(b1F DDIYIY)• I POLT YrcXPnku )N i .. _I:�IT. A`�A1.LIA 1311.1 TY 35 UUC 35019 11/0112000 1 11/01/2001 (- ""f'< <��-nc .�..`-_�•�-3i,o0Q,con. CeEr:F2:L Lrn7;LIT'i 2.i (A'q nr we., I I QQ QQQ it A r. ti9AZ_ .-X Any one Oe. gin) I - -,Q00 - a - R'.'UtaaL DJlrnt t'' I i.070,QQQ �hJ'I AG:31<1IMIIT APPLIES'_R I - .j I _ PF?00 :Ot•.+ck7. A<.••:; 6 '(GtJ n'Uou 2, I I c j 1 A I AVTOMOI3ILr:-InD1LITY 35 Mt> C-302713 � i 1/01/2070 i 11/01/2001 0 61RIN_0 8 INGLc_LIMrr i `AN•r:.uT;> l -.Inert/ i3O:)0,060 it nL}I , INJURY j I RED i HI J.UT•D; _ 1 5ODILY IN W.RY ix NON t)NA•IE D ALITOR j (Pcr a. Ic nt) lPn arddcnt) ----'— t:A?:iE Liil31L1'S? r AUTO ONLY.._A ACCID=:NT !- + 'c A.A,..'(.'• Q"!H.H THAN - j AU i0014LY: n:Eo:Li.aiii:7TY I aAcii �A N+ORK--R:.CUa1PEN5ATION AND O _ I .I✓' `TATU- ER ,•.�� _` O5 V1BC F13935 103/01/2000 03/01/2001 ` I ROPY LIMIis I .I E.I. A(;i ACC1DEt.i s 1(r)Q.QQQ EWLC 1rllF E ❑Io_• A. YL.i. wI IQQ QQQ ' I El D'S E•POLICYLvAH 1 1;ll_000,000 j 1 OTHER 1 � UUC 35D19 -) i 1 !20/01/2001 11/010 I �.�:onieris Value 5?S 3 ,CIgo . J Prop,l-y DESCRIpr7 Of OP i:,%c TIONS/Li)CATION5JVEHICLEa XCLUSIGNS ADDED BY ENDDR3 NT:SP_CIAL PROV51ONS CrCR l if-1CATE:-IDI.DER I I ADDITIONAL IF'UR=D;INSURER LETTER: CANCELLATION -- - u 3HOULD ANY Or Tnc ADOV D RIBEO U I HE"EXPIRATION _ DATE THEREOF,TH_ISSUING INSURERWILL-NDc_AVOR TO MAIL F SAYS cdR!TT,N • - NOTICE TO TH-CERTI•It•!T_HOLD R raAnnt- TO THc LEFT.-DU 1)all )!- n On aD StiA_L l' • _ ! • IMP=NO OBLIGATION Or',LIA71L1 Y Or ANY KIND VKjN Itit'I+•!)ll._I. 1:S AM-NT$OR �1~ .,r_• _ r +f. .,," �' wl. REPRES=lvTATIVES. .• - / -{} �. .t AU-. JRIZED REPRZS=N AT)y¢ ACOr•2C)25•`S(7197)- - J J mACOF2I7"CUr J'tJ_. .TJI>NI 19IID . ..` -.- •. • • • - .` - • 4 .. - ,- .. III In accordance with the provisions of MUL c 40, S 54, a condition of building permit Number is that debris resulting from this project will be disposed of in a properly licensed solid waste disposal facility as defined by MUL e 111,8150 A The debris will be disposed of in : Patio Rooms of Boston, 100 Otis Street Northboro (Name and location of facility) (Signature of permit applicant) Date: En'gilieerin j Dept. (3rd floor) Map I Parcel / Permit# ' House# 3S7 Date Issued Board of Health(3rd floor)(8:15 -9:30 0:00-4:30 Conservation Office(4th floor)(8:30-9:30/1:00-_2:00) Planning Dept.(19t floor/School Admin. Bldg.) T DE SE;V`'a'u SY' Definitive Plan Approved by Planning Board 19 INSTALLED. NCE ' E AND TOWN OYBARNSTABEEEMON a� 7;% Building Permit Application Project Street Address - 3 S7 AM Village Lew f-e e J J I t V Owner n,D SI—ikis Address Telephone q2-o - n '-Permit Request �h P.�� �,�ytP First Floor square feet Second Floor n/©ivy square feet Construction Type Woo 0 Estimated Project Cost $ �I DO• o O Zoning District Flood Plain /✓ Water Protection Lot Size 0 . 3 Grandfathered ❑Yes ❑No Dwelling Type: Single Family U' Two Family ❑ Multi-Family(#units) Age of Existing Structure tT 25 Historic House ❑Yes U'lqo On Old King's Highway ❑Yes allo Basement Type: (Full ❑Crawl` ❑Walkout ❑Other Basement Finished Area(sq.ft.) IV f1- Basement Unfinished Area(sq.ft) yV14 Number of Baths: Full: Existing - New p Half: Existing New No.of Bedrooms: Existing New Q Total Room Count(not including baths): Existing S New 0 First Floor Room Count Heat Type and Fuel: ❑Gas fit ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing I_New Existing wood/coal stove ❑Yes allo Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ('Attached(size) '39-0 P] ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes fr'No If yes, site plan review# Current Use 5/Wa Proposed Use 1�gyp Builder Information Name 'R I. "/ C0r✓5fiaaeiVN Telephone Number 77l l 0/3.�-9 . Address 1 /3 eTf/ L,g„i License# Home Improvement Contractor# /p 14 6 Worker's Compensation# W G NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Tf/ � O SIGNATURE DATE BUI DING PERMIT DEN�ED E OLLOWING REASONS) FOR OFFICIAL USE ONLY f Kit � � � - � •• `• i � j � •* �� PERMIT;NO. -, `: ,. . .., , _ ,• • t:'� ' DATE ISSUED MAP/PARCEL NO. ADDRESS ` VILLAGE - ^ OWNER F 1 DATE OF INSPECTION: FOUNDATION FRAME INSULATION t — FIREPLACE e ELECTRICAL: ROUGH FINAL,, t g PLUMBING: ROUGH : `' t ! FINAL t ;4 *• z ` _ t GAS: ROUGH FINAL FINAL BUILDING t 7 6 0` ) I 'r—m Or4 t " DATE CLOSED OUT.i a .► ASSOCIATION PLAN= O. i ' THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) Ic:JM ^ C DATA ��' �� �� a r 1 -.. � 1 � �� R 1 ������, . r � 1 I�� �I 1® 1 '. �� r � 1 � �� �� � ��� . �,,� •.�;� ,.erg IJ o .��i � � � 1��� � � � � ��� n �~� �- _ F�: { `••� � i � � � � ��� ,,� .r y . 1 � � �; LL1 , ,A�. �tI '�, per`, ��—. �.��� � � .�:►�� \Y'f. ®ram �I , IJ •� : • � • � • ��. : r r �,� •' a� • • � •� r i � ' � ` ' : '. The Town of Barnstable snaxsre M • 9eb ` Department of Health Safety and Environmental Services ATEDtd1A'�a Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Wheel 8rn,2 Estimated Cost 3y00. 00 Address of Work: 35"7 1tm -s WAU P e ry T;?_gV,'1!a MA Owner's Name: Rt) P"y S �,� 4kU Date of Application: /S� I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 9-i�-4� ►�tJ� _ )POW Cow,51 10419sa Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav __ The Commonwealth of Massachusetts Department of Industrial Accidents K. � OIfiee 01IOYestiffa fOOS `, 600 Washington Street >+ Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name Rl, &V NStgUOrO N location: 7 Q &T Y LAND city 6T u 14 N^t� 5 M P, phone# 7-21-6 32 ❑ I am a omeowner performing all work myself. I am a sole pro rietor and have no one working in anv ca acity ❑ I am an emplover providing w®rkecompensation for my employees working on this job. company name: I1/ 5` 211 N - - ... address: city: hone: insurance co. d 5 Co olicv# ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name address city phone#. insurance co. olicv# company:name* address: phone#: Insurance-*co. olicd# �/ Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a One of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Oflace of Investigations of the DIA for coverage verification. 1 do hereby certify der the pains an enalties ojperjury that the information provided abo:�t d correct Ou. Date � 9 U Signature - Print name Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Bufiding Deparbnent ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised 9/95 P1A) 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 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. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be rewmed 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 Office of Investlgallons 600 Washington Street Boston; Ma. 02111 fax#: (617) 727-7749 x" phone#: (617) 727-4900 ext. 406, 409 or 375 -. � ..@Zx ''- � . liep b�^T'f :N"l �+',��.t� �:' +� HOME IMPROVEMENT CONTRACTORS REGISTRATION , : Board of Buzlding RegulatzorsandStandards' One Ashburton ;Placetf �Room ,1301 4� ` Boston, Massachusetts 02108 t #E$ J Tc Sill ' 'HOME IMPROVEMENT CONTRACTOR { � �,` ti ,_ k f ,,�g .:Registration 104952 � y ,rx� Expzrati,ofl�Q7/16/00 Type PARTNERSHIP �� � t � ,s .,,P Ao � a RYAN CONSTRUCTIONf ' ��sg t 0 . r ry r aF�N t x William 7 Ryan . ` r � 199 Beth_ 'L_ane� f :a; a s Hyannis MA 02601 ��� ��e '}�" ;/fte (oomvm4nu�� ��/up,�.ge/tuaeltd • ` DEPARINENT OF PUBLIC SAFETY, CONSTRtlCTION_SUPERVISOR LICENSE er Expires: Restricted to WIllIR1F.J,,RY`AN vt 199 BETN LANE NYANNIS, NA 12611 Rolamd . StuIsk-<y ' 357 fames May Sca l e 1 /4 CemEer- v i 1 1 e , Ma . Door Li Li Li Li P l atf orm Ramp - 12 ' x 52 " P l otf orm Ramp 12 .' x 60 "' 96 .. x 60 " 52 " x 60 " Roland Stulsky Scale 1 / 4 " = 1 357 Ames Way Cemterry i 1 1 e Ma . 2 x 10 JoisEs 4 x 6 PosLs 2 " handrail 19 + 35 " 4 Poured Concrete Foot. i ngs All wood is pressure treated . TOWN OF BARNSTABLE Permit No. __---- I VA"STn K Building Inspector ■... Cash -------------------- OO''ra vat�\ OCCUPANCY PERMIT Bond ---—----_� "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, P, Breen Co. , Inc. Address Marst.ors "airs of #28 3557 Ames Way, Centf-- Wiring Inspector C-� ' Inspection dated �•- Plumbing Inspector - Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. 7 7 � ..............................`...................... ......................................................................................................... Building Inspector n Assessor';;map and lot number ........ D /C • / i© �- !�� 7� SEPT lC SYSTEM �!t�S �SHETp�1 OrAT1 ,r p 1 N Sewage Pe it number ... TALLE • o _ �.. ���� A TICLE It S LB. i House number. .............. .. �.......................... �h ,t APy CODE Ai s a OF TOWN OF,:,eBAfRNSTABLE RUILDINGr� INpSPECTOR APPLICATION FOR PERMIT TO 4 l ....Y ........................ ................... 4 TYPEOF CONSTRUCTION .................. ......................................................................................... c ..........................l... � .....1921 TO THE INSPECTOR OF BUILDINGS: The undersigned ereby applies for rmit according to the fall o g information: �' Location ......... .. ..........' ................................'.4 ...... ........... ............... ProposedUse .. .. . .!,! ?.. :............ ................................................................................................................ Zoning District ...A ...................... .......Fire District ...........// ... .....`... ................. . Name of OwnerP .�4.rG.i.... ..'�...rAddress ..................................................... ..'.�s .............. . ... ......... ....... . Name of Builder ........................Address .............. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .................- 5.... ..............................................Foundation ....... r.......... ..... Exterior .. ............. .......................................Roofing ......... ..... . ..... . .....fi............................................... r, .......................Interior ........... ...F loors .. ...I...... .... .............................................. Heating 1'. Wi N ..Plumbing ........ ` Fireplace ............l .. 1: . ................................................Approximate Cost ....:7� /.. :v©..=............................. 1 Definitive Plan Approved by Planning Board -----------_______-----------19__----. Area ........17�.................... ... Diagram of Lot and Building with Dimensions Fee a� SUBJECT TO APPROVAL OF BOARD OF HEALTH wj'o �b 1� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam . ... ...... ....... ................ . � J. P. Breen Co. , Inc. � . . / r ��0l � one�N8 ------ Permit for ---.---..�.��..�—. single�. family dwelling ' .4............... ........................................................... . ' Location ..........357...Amea..Woy,__,______ . . . Centerville --------------------------. ~, - J � Breeo Co Zuc Owner ----..�—'�-------�.�---�--- . - `�~~ of [bno�ucHn ..........................................�ro�a `. ` ....................:............................................................. - ' p #28 Plot --.-----.�—. Lot ----------.. :% . . January 24 ?0 Permit Granted � ` lV - . ' °"'� "' Inspection^ ," . ` Date Completed 2.71�,.7.............19 PERMIT REFUSED ` . ................................................................ 19 � .............................................. . ' ~ . ----.. ~-- � ����� —.. .. ................. ................................ '~ ' ^ . ~ - . . . ~- ` ' '~ , - ' ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE 1. THIS SYSTEM IS GRID—INTERTIED VIA A AC ALTERNATING CURRENT UL—LISTED POWER—CONDITIONING INVERTER. BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. CONC CONCRETE 3. A NATIONALLY—RECOGNIZED TESTING DC DIRECT CURRENT LABORATORY SHALL LIST ALL EQUIPMENT IN EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3. (E) EXISTING 4. WHERE ALL TERMINALS OF THE DISCONNECTING EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED IN THE OPEN POSITION, FSB FIRE SET—BACK A SIGN WILL BE PROVIDED WARNING OF THE GALV GALVANIZED HAZARDS PER ART. 690.17. GEC GROUNDING ELECTRODE CONDUCTOR 5. EACH UNGROUNDED CONDUCTOR OF THE GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5. _ a-e 1 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 P01 POINT OF INTERCONNECTION HARDWARE. PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. S STAINLESS STEEL STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V VOLT Vmp VOLTAGE AT MAX POWER VICINITY MAP INDEX Voc VOLTAGE AT OPEN CIRCUIT W WATT 3R NEMA 3R, RAINTIGHT PV1 COVER SHEET PV2 SITE PLAN PV3 STRUCTURAL VIEWS PV4 THREE LINE DIAGRAM LICENSE GENERAL NOTES Cutsheets Attached GEN #168572 1. ALL WORK TO BE DONE TO THE 8TH EDITION X ELEC 1136 MR OF THE MA STATE BUILDING CODE. 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2014 NATIONAL ELECTRIC CODE INCLUDING MASSACHUSETTS AMENDMENTS. Y MODULE GROUNDING METHOD: ZEP SOLAR AHJ: Barnstable REV BY DATE COMMENTS REV A NAME DATE COMMENTS UTILITY: NSTAR Electric (Cambridge Electric Light) • r'`+ +t b - Avj Ln-70Z0.4 - CONFIDENTIAL - THE INFORMATION HEREIN -m N maR JB-026455 00 'PREIdISE OWER DESCR�iM Broke Randolph \\_`�• CONTAINED SHALL NOT BE USED FOR THE 0 CONNELL, KAREN 0 CONNELL RESIDENCE p ' 'SolarC�ty. rBENEFIT EN�ITAOF ANYONE NYOT BE ascXCEPTLOSED S ARRCITMOLE OR IN �'�S 357 AMES WAY �i�� PART TO OTHERS OUTSIDE THE RECIPIENTS CompMount Type C 5.355 KW PV ARRAY ORGANIZATION, EXCEPT IN CONNECTION KITH MODULES: B A R N S TA B LE, MA 02632 THE SALE AND USE OF THE RESPECTIVE (21) CANADIAN SOLAR # CS6P-255PX 24 SC Marts Drrvq Budding 2 Unit it SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PACE NAIL: SHEET: REV: DATE Marlborouo.MA 01752 PERMISSION OF SOLARCITY INC. INVERTER: T. (650) 638-1028 F: (650)638-1029 SOLAREDGE SE5000A—US—ZB—U 5082804037 COVER SHEET PV 1 8/25/2014 (bee)-SOL-CITY(765-2489) "w9olarcity.corn OTIIf(CBiF 20 ANY PIITCH:2,0 Mpl MA\TFA TIERIAL: � STGIY:2 Stacie' AKIR G I'IIICGI:20 ANY PITCH:20 357./ Ames Way OKD2 AZII'A>11lIIi'c 195 ARMY AIMUTH-igs [ MlATiERML-� Slumg S1fGIR1G 2 Stories Q 55 t (p DIRB/RVAY( Dlcgiita' -bra y Massaenmu Front Of House Date:2014:0€ 2515:GI5:16-070W Ile N It AnI AC LEGEND F&I (E) UTILITY METER & WARNING LABEL INVERTER W/ gNTi GRATO DC: DISCO `NARNING LABELS ® t DC DIISG<Q}OfG�IEGT WARNING 06ELS AC DISCONNECT & WARNING LABELS _ M a MIP D C: JG1NCTION/COu[B[NER BOX & LABELS o DISTRIBUTION PANEL & LABELS . W. RN LOAD CENTER & WARNING LABELS z - DEDICATED PV SYSTEM MEIER - STANDOFF LGIGit�TICNS OL CONDUIT RUN ON EXTERIOR N� CONDUIT RUN ON INTERIOR G ATE"IM O HEAT PRODUCING VENTS ARE-RED INTERIOR EQUIPMENT IS DASHED CL SITE PLAN Scale: Iff= r ® r 81wmemAL IlGie � oe�MM WrEE �,� ®CO026455 00NNELL, KAREN �CONNE" RESIDENCE IT BI�e� R�ecDatl Iti. Beason OF av� [(221) uW UM SHRL rf BE Ire WR�OR� amp �aa��nii �: Gy357 ACMES WAY 5.355 KW PV A6�E2A ���� ��� ity > OF BECANADIIAN SOLAR CS6P-255P�C FIAM WeWE RM ME Mwb VA kl M SOLARIMW Rem ,�D S L G E O0G A-DES ZB-0� ��2 ® SITE.PLAN P� � ������G�� G��-��-7+w) .� (E) LBW ' (E) ;W SIDE Mpl X SPACING X-CANTILEVER Y SPAaNG Y-CANTILEVER. NOTES MP2 X SPACING X-GMTI VE Y-SPACING Y-CANTILEVER. NOTES LANDSCAPE 64`° 2,C STAGGERED LANDSCAPE CA.ty 2,V STAGGERED PORTRAIT 48" 2W PORTRAIT 4€n! 20P RAFTER 2x6 @ 16" Oc ROOF AZI 195 PITCH 20 STORIES: 2 R.A>� �6 � ]l6`° Q� R OOF AZI 195 PrITCH 20 STORIES: � ARRAY AM 195 1v1TQ:&i1 20AR RAY AZI 1i 9V5 P>T R 20 C�. 2x6 @16"OC Camp Shingle CJ. 2X6 @160 QC Comp Shingle Rz�d MODULEOF�' 5/16" BOLT WITH (LOCK INSTAL ORDER & FENDER WASHERS ck� AMIIR � (LOCATE RAFTER, MARK HOLE t' lltAtSS4I JNA 11 ZEP REVILING ROOT LOCATION, AND DRILL PLOT � t;6VRRr. Fig S ZERn AMP SKIRT (6) HOLE- - L 55 �¢p �Zj SEAL PILOT HOLE WITH ZEP COMP MOUNT POLY-URETHANE SEAR ANb ZEp FLASHING C (3) 1(3) INSERT FLASHING. (E) COMP_ SHINGLE PLACE MOUNT. (1� (E) ROOF DECfQD,G (2) (5) INSTALL RAG BOLT WITH 511C DRA STAINLESS (5) STEEL P SEALING�ASIHEI LOWEST MODULE SWRI5EQR1ENTi.MODULES K j INSTALLRlVEIL(NG FOOT r1f(RTiRR WITH 6 BOLT & WASHERS. Q2-1/Z" EMBED, MINI (E) RAFTER a raua®s�r�ua WM m waneer pffiff a� Make FZ�eodmR 6a �# �B-�2��5� �® CQNINELL° KAREN O C®NNELL RESIDENCE p eo WOW OF aRWE Dc�Sam M MOMM SMM .•„� NOR ff BE oat IN m" Comp Mount Type C 357 ,k�MES WAY ► 5.355 K PV ARRAY ►��, alar it WW M ass M o ummm BARNSTAB LE Ip A 02632. aR6111V121C1[aNl ffXCffPT�h @U QFkUVffNpOEU WplEll s - _ F4 5�Guhtm�t14�,WOO�Uldlt Till SALE AND UM OF M R�� 211 CANADIAN SOLARCS6P-255PX SOLARtEDCE 5000A—US-ZB—Ul 5082604037 STRUCTURAL MEWS IPA 3 8/25/2014 � , GROUND SPPEUCS MIAM PANEL SPA GENERAL NOTES RWERTM SPECS KOD.f�SPEC LICENSE I � �� DG Ufru °uiuded I � GEN PnE'ET�7r2 BU4NID (ru�� � GM � TWO((NI) GRQWNID ��� �,�,� � � >Z�>< Q11�SGILAREPI( - I I �-� —(�U�Ci�NADrAN �LAR .��� I PV M:ledbl 255NC 2M.3W I Brack Ewe. WiCt. � EnabW EEG 11136 MR E+rer:�Nhu�Ez�43N44.Q11ll fnlrc�fer- QYY+ ��� QSyN ���,�� � :� Disco and �, AIF® � . E'yT� :�A1T PANES WITEEI IRRE�IERS[BLE . . � � � _ Gvwftiesdi SNWce Edrarms 1X 0 2 V= 37¢ vom� M 0 3 rz RIBA Cmp ARE SHOWN IN THE DC S'MGS mOIZ M ( 1125A MAlNI SERVLCE PANEL IGGAV/2P MAIN CIRCUIT BREAKER soLARGIDARD I,nvert,er I (E) WIRING CUB EIR,-4EAMMER METER T,GGA/2P ¢ SGILAREDGE I ,WAGS � SOCarC fyg I&,-- F uv J fillI ! I � D� MPI 11 NJ 3UPA��P ! _ a'm _ ( __I arum --- ---------------- . ° 6E DID, A e — avm o -- ---------------------------- --i ---- --- -- ---------- �— u yA ° o A o ° TO 112(4//Z4QV/ u ti SINGE PHASEu A ' WJMJ111Y(SER,�If�CE A n A u � 0 A A A A II 0 A PHOTO VOLTACG SYSrE IIA EQUIPPED WUTEE RAPH) SHUTDOWN! MAX `OG AT M[N TEMP 0)(MULER ER23D PV BA BREAKER Qn c a R-rA R n uc (n) 4 sr mo armonoN Bose (1�� I 0JL Btea$eIv 2 .2 Spaces Dmsca- 30Ao 2WV. Na�r6u�Br%Nm 3RAC _ _ �S W RISEU6 E,�.tO19N0'ED" D�/� —(2)�R 4 5/8r Y 8r 0*per (npoumtaet (2n)S0LAREDGE 3:2NAS c a=m odyr(DG) PaWNBox tmmt 3ooWi W.Be tD K 2E ��SofddL-d RCa Awing Sys6ean (n)AWG 06 sofid Base C:appw u��IIII —(ny Gt=d Rat 5/8r:r r oqVer (N) ARRAY GROUND PER 69QA47(D). NOTE PER EXCEPTION NO. Z ADDUTGGNAL EL!EGTRODE WAY NOT BE REQUIRED DEPENDING ON LGGA-RON GE(E) EU EG1C OD. E: ( )AWG foe TRW-Z BEG& (n)AWC A BW—Z stack Vve Sam Vm Ds =30 � (2)AWG ono,PV WE:Bb* V =yam V� rs vS AIDC n - vmtn 3w VDC brp=t5 A ADC C II (n)AWG�Sard Bane Gapw Eft Vm,p =MG BLOC Emms 5-75 ADC tJ III���III n�AWG�m 04 tEmYl2�t�R'� Il_� y�(nj�AWG�:�LNRm-Z:R� (n)AWG#to.THW, Z Mts N I AL.`�� -240 VAC PmIP=2DMAAC _....../... P��'! �A t rues-?:cr__EGG _. ..,(u? ..3/� s . .._ �.i-(2)aWG#I%PV u Blwk .. _..__..V =5W "is 15 ADC I1- n A are CeppeQ Me Vm,P =35D VOC Errp=9.35 ADC —�L�`t PREYM OWOt ulEsa�IIaN DES oaNFmEtnri�e— uTto�me aD®NDm •�,.R ON aeon NOti BE�MR M � OONNEILL, KAREN � CONNED. RESIDENCE Blake Randolph 6 I I OF AFLYW DOW SOURMY INS. YUUN�St W - SolarCit y. NOR SHAln mr BE DS .o�IN VEM OR IN Comp Mount T D 357 AMIES WAY 5.355 K EV ARRAY PAIfL TmS au.GTWE TIM RE BARNSTI ABLE, MA 02632 Y ORGANFFAIML EXIOW N OONNEF�mmON VM 24 S€Wmth Dd,SAR9 zo&IR U Tt1E SALE AND 19 E OF 1E E RESPEt:M (TI) DANADFA N SOLAR # CS6P-255PX PAGE NAYS am REN DAI mmorl6acaa¢V KAt,atm 11, I.W°l61 UTi TEE WFUTEN Tti (6 �638�low F(6W)63B ta2W PERYIS90NI OE S©aARc 11S9 mN�. �'a AEt®G�'E r�a1oA—��—�—� 50�2 (� ®3� THREE LI!NE DIAGRAMEV 4 8/25/2d1!4 (esa�-anx�z�) Labell Location: Labell Location-, LabeE Location: I mo'► ►]� 0 0 0 o o ((c)((cB)) � ((A,G),((P 0E), o ((DC))(IINV)l Per Code:' Per Code. _ Per Cods:_ NIEC 690..3�11_G_3' D 0 0 • o ° •-n NEC 690.117.E o 0 0 0 0- �o•-o NEC 690.35((E) Labell Location: o :o o - 0 0 0 TO BE USED) `,'!H!EN ((DC)((IINV)) °'° ° e -o s o • s ENVERTER IIS o- •-° ° 0 D p Per Code- UNGROUNDED NEC:69.0L114_C.2 Labell Location: Labell Location:: a ((POI]) P o ((DC))(IINV) Per Code:: ° Per Code: o ° e• NEC 690.64:..B�..T ,e -o o- NEC 690.53 0 0 0 0 Labell Location. CP (PO'II)' Label Location- - ° ° Per Code �((DC)(CEO) •-o e e o o NEC 690.117.4';,NEC 690.54 P'er Codle: o o o e e MID NEC 690.117(4) :o 0 0•o 0 • o o• o•0 e " U. ® o III o o �0 1m o n o• oo Q ;tNiLq0j o 0. ° n Labell Location:: I D INV'C i is n.L b t Locat o i Per Code:: (D)(POE) • ° ® • •." NEC 690.5(P,) o 0 0 Per Code •o e - o- .0 0 0 ®:. a NEC 690 64..B_4. -o 0 0 • o � Label Location: Labels Location: . p (POE) (AC)(POE) e .o - o - Per Code. (AC)-AC Disconnect I D O Per Code: - e o e NEC 690.64.B..4 (C):Conduit � NEC 690.114_C2' - (CB):Combiner Box (D): Distribution PaneE (DC): DC Disconnect (IIC): [interior Run]Gondui4 Label!Locat%onl:: (ENV):. Inverter With Entegratedl DC Disconnect �r Gl (AC)(POE) (LC) Load Center' Per Code:: (M) Utility Meter �r NEC 690.54 ° h1 (POI):Point of Interconnection CONRDENTIAL-THE INFORMATION HEREWI CONTAINED SHALL NOT BE.USED,FORbalm,MEaMIUM THE BENEFIT OF ANYONE EXCEPT SOLARCITY INC NOR SHALL IT BE DISCLOSED' samrA ', O; OR:IN PART TO OTHERS OUTSIDE THE RECIP ORGANIZATION', �A,i►: IN'WHOLE IENT'S�0 ANI7ATION„ i� I Ti SC LabeF' Set. EXCEPT M',CONNECTION WTIH 111E SALE AND,USE.0E THE.RESPECTIVE Oita C SOLARCITY EQUIPMENT, WnHOUT THE WRITTEN]PERMISSION]OF SOLARCR INC lar, b SoiarCity Sleek ountTm - Comp SoiarCity S1eekMoun#Tm - Comp The Soterity SteekUount hardware sotution •Wizes Zep Suter h-wdwam and UL 1703 fisted `% ; Installation Instructions is optim-edl to,ackdeve superior strength and Zeta Coma 7'neodules � u t 4 Dri n Post n of Porte m Darnater for aesthetics white nnininnazi:ng roof esn:rption and ;, `\� .(refe 6w&e mid groundRng devices in systercu iYt $ Fastener Ste Per WADS Sect,=1i-t_3.2 labar_The elimrnabon of visible raft ends and fisted to UL 2 83 mounting clamps,comb ned with the addition: � and Eft fisted&®UL U Cori 'ra s.f 0 Sean pRat h&a with rocang nt rray/of a trim and a lower profile aft contribute Zap to a more:visuaft - -eal'in tout_Sfeelc[ufourit and Systemrem v Q nnsa t Comp Mmin�t ffnas6eing ur der upper, app gl � _ � nab aztisitgfe ut@f'iizes Zep Connpaft.6fen modules with .Ground Zap UL and EfL fisted to tft�a as strengthened frames that attach directly,to grounding device fin Comp�lmint aamte,ed -.mow--- � Zep Solar standoffs,etffecfimely eliminating the . upon f�hirtg Pain -at need for taco and reducing the number of _ standoffs required.ti addition,composition osition Grod for coaosroa ntarce ' ®s onstai scant to MCS Swfien 111 A-3 shin;9s te are not required to,be out far this . . - with meaning wash�- system,allowing for minimal roof disturbance •Apples for vent spanning functions �'`' � Q Secure Leroel!'sng Foot to the Comp Mount using mrrachcne Screw Pace module Components 4 Q Sn67 Machine Levefing Foot Lag Screw Comma Mount Q0 Comp Mount HasErirg `�t;�yj Qaanvnr .`,n�i ' 9-solarcity 2€13 �O�' � DUSTER 94 Soy Otff Januw-y 2®13 Nil 0 CS6P-235/240/245/250/255PX `�e4��nvetiF` �r CanadlanSOlar Electrical Data Black-framed Temperature Characteristics STiC � CS6F 235P CS6R-24.OP•.CS6P-24.5P.tS6P-250R.CSfiPh25SR.'� P N:aminal.Maxiinum:%wer(,Prrrax): 235W., 240W 24:5WF- 250.W' 255.W' I - QptimumQperatirtg..Voltage(,Y,rnp)I 29:15V 29.9V 30.OV' 30.tw 30..2V Pmax :-0.431YWC Optimum Operating Curcent(lmpp 7.90A S-03A EON &30A 843A Temperature coefficient Vac, -0_,34%'/°C ' • ' Qpan:CiicudValtage.(wac); 36.gw' 3ri.QVl 3RiV 37/2w 3r4U' Isc. Q_Q65%m_ u StiortO cui.t Curren!(Isx:), 9.46A &.59A. 8714A &&riA 9_Q0A Normal;CWatingCellirempeiatur, : 45t2°C; _ • • L7W t/�JVV NloduleEffidency/ 14.61%i 1I4.92% 15•;21% t5.54946 15 wi QperetingTemperature - -4WC,-sS,'C Performance at Low Irradiance . I . • M.aximum:Systemivoltage. tQoo;ViSEC,/6.00:w/'t1L. rndustr••y/leading performance;at low,Irradiation, . Maximum,Senes Fuse.Ratir.T.q 15A anvfronment,,+95.5°lamoduleefficiency/fi'oman Application Classification C1assA irradianceof f:0,g0,w/,'mto,2QQ•wfmz Power Talerance + (AM:ti-5,g5.'C) Next Generation Solar Module °' Sw' UldwStandard'Test.Conditions(S,TC)jofiiradianceofl000WIm:',spectrum AM l.Sand.Coil lemparatureof2T•C - - N'ewEd.ge„the n.extgenerati:camod:uled:esi:gnedf¢rm.ultipl:e NQcr c Engineering Drawings S.6F 235P C,S61? 4ZUR.CS6R-245F.CSSP-250P.X CS6R-2.5SP. - typesofrnounting;systerits„afferscustnmersth.eadd:ed N.nminaLMexmum:Rmxerl;Pmac 1zo•W 114w' 17.W 1e,1W b 165w value.ofmininlal system costs,aestheti:Cseamless. I Opsmum.Q.peratingwnitage(,t4inp),, 27.zw 2r,..3w 27i.aV 27c5V' 275,V — appearance,auto gro..undingand'tt eftreslstance. Optimum Operating Current(Imp)) UTA 638A 6.49A 660A. 6.r1A II II II II Open Circu it Vol tage(Vba) 33.TV/ 34.QV' 341V 34.2V 34.4V7 I IIII The blackframedDS6P-PXisarabust60,cellisol:armodul:e st,artgiicuiteuc.enc(Isc>, 6.16A 691A r.Q6A rasa 7.29A IIII IIII fncorpotating;the groundbreakingZep compatible frame. Under Normaroperalinq,GailT�paratu :lrradiarroaetaa¢wrn%SpeWumAM1.samiuenuempersture2¢c.. ( I)III III The speclallydeslgned'frame.allbwsforrail-free:fasa �i d��dlml. in.stal.l:ation with!the ind:ustry's most reliablegroundta9'n.e McChantCal Data b I IIII sy,,stem._Th.e modu.l'e uses tugh efficiency poly-cry Celli ype Poly:ctystall.ine 156 x 1:5fimm„z nra:Huslzars - IIII II II Key Features silicon cells lamfnated with a white back sheetandframed Cellarrangement 60(6x10,) IIII IIII with black anodized aluminum.The.black-framedC'S6P PX Dimensions 1639x9.82x40mm(64.5.x3a_rx1.57in); • Quick and easyto install - dramatically is the perfect,choice for customers who are looking:-fora high' weskit 20,.51cg(45;2ms), IIII IIII II reduces installation time. quality/aestheti:cmadul:ewlthlawestsystemcost Froatcover 3.2mmTemperedglass Frame Matenall - Anodizedalurninium,al.l:ay, • Lower system costs - cancutroaftop t-e:nx IP6s:3diades i JW_IL JL� installation costs in half Best Quality • 235qualltycontroilpolntsin module productio.n: came amm'(IEC.)[12AwG(ut),.1.000mm Connectors MC4 or M04 Comparable • Aestheticseamlessappearance - lowprofile, • EL screening,to eliminate productdefects, Standard L Packafng(Modules per Pal et) 24pes with auto.leveling and alignment Currentbinnirtgtoimprovesystemperformance . _ M.adultePiecesperram.tainer(aatt_cnntainer).: 672pcs(407RCL) ` • Accredited.Sala mist resistant Butlt-isnhyper-bondedgrau:ndin.gsystem: - ifit`s I-V Curves(CS6P-255PX) t mounted,it's grounded Best Warranty Insurance • Theft resistanthardware. • 25 years worldwide coverage 11 �' 1 •r �' • 100%a warranty term coverage 4 a searamA A i' • Ulara-I:ow'Parts count - 3:parts for the mounting • Provide rig;th.ird party'bankruptcy rights and grounding system, Non-cancellable • ,e Industryfirstcomprehensive warranty i'ns:urance Immediate,coverage, AM Best ratedleading;insurancecompanies.inthe insured by/3warl.d top,insuran.Ge.com.panies world Comprehensive Certificates • Industry I:ead[niq plus only power tolerance:0:- 511K' • LEG61215„LEG•61730', IEG61701 ED2„UL1i703,. a •_T \ -�� • Backward compatibility with,all!standardlrooftop and CEGListed,•GEand MGS t _ :.31 s S s ,,• - "` ground'mounting systems • ISf22(lQ1:200.a.Quality/Management System, '•`°`' "`°°"" . - - • I.S•Q(',TS11694.9:2009.The autamatiweq,ual.Ity' 'Specifioa[iorts included inthlsdatasheet aresuhlect.tactTango:withmt prior,notice..' • Backed By Our New 10125'Linear Power Warranty management system: ' Plus our added 25 year Insurance coverage • lSQ140011:2a04:Standards for Environmental About Canadian.Solar management system Canadian Solar Lnc-is one of the wand`s lar gest solar Canadian Solar was. founded in Canada in 200t and was tnaw,. p g y- g y 9 ( y ) in gays. ILdded Value Fr • QC080000FiSPM:The.Certificationfoc manufacturer of ingots,wafers„cells,tsolarmodulesand Novembersuccessfully listed Canadian SSo.larEhas amodulemmanufactu'ng. From Hazardous Substances Regul:ations so•% Warranty solar systems,. Canadian Solar delivers solar power capacity,ofB.OSGW'and cell manufacturing,capacftyoff_3GWt QRSAS t80.04:200T ln.temati.onal standards for products. of uncompromising; quality to worldwide 89% 'i- oc cupati'ona[health and safety customers_ Canadian Solar„s world class team at aw. professionals works closely with our customers to s rn• Is 20. zS • REAG4Co.mpliance provide them with solutions fo.rall their solar needs. _ • •10 year productwarran.ty'on.materials and.workmanship q.cSPYe�E C`� s ,• s v W' • •25 year line.ar power output warranty www.canadiansolar.corn . 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NEMA 3R regan�lsetbh,_,__..mmaaesolarE -•_..' •- _ - _.._ �� dge .eaort. — SmaIII Giglitweigiit andi easy to insEaIG an prauid;edI hracket l�.vz ,��� r>.T 35%rw =f �����ra�iasZ: Rardaw lbdmfmanatlmn„rerertnnhllN// l3red�m 451' odfs/' erterr dt — Built-in m:adlule-levell rnanitiori . � .. _ .,i �""acwe/,tJxmteNigtile•IErCfi�Olttaraa mna�m w�lmlwr+r�c.saxta�uscaWl .. t I.ntermet can neebanthroughEthelmetarWrdess l Outd'oora.ndl indoarinstaltatian — Fxedl vdlitage inverter;,DC[IAC mm.versiom and j — Prie-assem Tedl AC//DCSafety Witch for faster instal:llatian — OptionaU 'revenue grade data ANSllCl2_4. _ _: ►l�tp{ ces 0 USA- IA-THE NETHER LANDS-(ISRAEL ww1c -solaredge-u's { THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) IM ^ACC DATA 9x, /-�V' ;7-7•_.- i+f --s 7 v< 7- ; car/ ,3 3 a -/ h 1,30 10 � /Y- Co d+. @ 7 7-1- 6— ( ID 're " �� / - „/ioS"TP'e46,,4 ;�tcA-t 90 70 !f ..� �- 1h • v5/E vE 4 Ns4y�^�y y ° clq 3 / C'� . r• ?�+'�.✓1,: �. i 14, OF i •� s r 1 � �, 1 � -------R••- oaf' ,��N ` x• 0�3�'� ��ry� PRANK y FRANK `n f CONERY CONCHY Q ' No. 62320 c No. 6573 O�. C/STEM�p� �FG/sYE�6 / sulm oNnl.E• • .O ; � ' Q PLAN OF LAND C�lv 7-t,k errl� MASS. @ CERTIFY THAT THIS PLAN SN01MS OWNED By ?HE ACTUAL LOCATION OF THE ~ ..._ �TVRE ON TN>� LAND AND � . !T CO,NFORMS WIT11 T q � 'y, FRANK��� OF THE TOWN \ ''} `. K CONERY 5 TRENTON ST. HYANNIS, MASS. 02601 REGISTERED ENGINEER & LAND SURVE.`IC•R SCALE 1 1N 20F . I� • f