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0034 ANSEL HOWLAND ROAD
fi 3 t c , IMP, Town of Barnstable Building r . � B ng ? rerA Post This Card So That it is Visible From the Street-Approved Plans Must be'Retained on Job and this Card Must be Kept "'"' d U t Posentil Final Inspection, Has Been Made. sasq. .4� P s _ Where a Certificate of Occupancy is Required,such'Building shall Not'be Occupied until a Final Inspection has'been"}made er 1t Permit NO. B-19-2959 Applicant Name: Elvis Verdezoto Approvals Date issued: 09/10/2019 Current Use: Structure Permit Type: Building-Insulation- Residential . Expiration Date: 03/10/2020 Foundation: Location: 34 ANSEL HOWLAND ROAD,CENTERVILLE Map/Lot172-227 Zoning District: RC Sheathing: .Owner on Record: CAVILL, RICHARD J JR&MARISTELA M Contractor Name:°',,SCOTT VEGGEBERG •Framing: 1 Address: 34 ANSEL HOWLAND ROAD "Contractor License: CSSL-103832 2 CENTERVILLE, MA 02632 "` . �. . : 2 � _Est. Project Cost: $4,628.00 Chimney: Description: Residential weatherization/air sealing. No structural changes. Permit<Fee: $85.00 i Insulation: Fee Paid:, $85.00 Project Review Req: Date. y .9/10/2019 Final: Plumbing/Gas " :Rough Plumbing: ,. g g K .F..�. Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afterssuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for p6blic.inspecti6n for the entire duration of the work until the completion of the same. „ Electrical The Certificate of Occupancy will not be issued until all applicable signatures by,the Building and Fire-Officials are provided on this,permit. Minimum of Five Call Inspections Required for All Construction Work: " Service: 1.Foundation or Footing 2.Sheathing Inspection _ „__ Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation ` 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. _ Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site / Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �6' Town of Barnstable Building _ Post.This Card So That it is Visible from the Street P+Approved'Plans.Must"be Retained on Job and this Card Must be-Kept Posted Until Final Inspection Has Been Made - eY'111i �bsa d. - Where aCertificate<of Occupancy is Required,such Bwldmg shall Not be Occupied until a°Final Inspection;has been made ` ` Permit No. B-18-3896 Applicant Name: CAVILL,RICHARDJ JR& MARISTELA M (BARR Approvals Date Issued: 12/12/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 06/12/2019 Foundation: Location: 34 ANSEL HOWLAND ROAD,CENTERVILLE Map/Lot 172-227 Zoning District: RC Sheathing: Owner on Record: CAVILL, RICHARD J JR&MARISTELA M Contractor'Name:" Framing: 1 Address: 34 ANSEL HOWLAND ROAD Contractor License': 2 CENTERVILLE, MA 02632 � " .. Est Project Cost: $ 20,000.00 Chimney: Description: REMODELING KITCHEN: Replacing cabinets,moving door from Permit Feb: $ 152.00 kitchen to garage over 24"o 26". Replacing counter to s,`sink and ( Insulation: g g p g p ` 'Fee Paid:( $ 152.00 dishwasher.Replacing electric stove with a gas stove;:Adding Final: 4: Date 12/12/2018 canned lights in ceiling,adding light switches and recepticales. a Replacing window. Replaceing flooring ` J� Plumbing/Gas Project Review Req: _ _ Rough Plumbing: Building Official Final Plumbing: Rough Gas: j„ Final Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit,is commenced within six months afterissuance. Electrical All work authorized by this permit shall conform to the approved application and the approved construction documents for whichAhis permit has-been granted.' All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Service: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. , r � r Rough: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Final' Minimum of Five Call Inspections Required for All Construction Work: Low Voltage Rough: 1.Foundation or Footing 2.Sheathing Inspection Low Voltage Final' 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Health 5.P-tior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Fire Department. Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund"(asset forth in MGL c.142A). tHE ~ Application Numberg iv .................. .... ....... MAS& Permit Feel.../5 .................Other Fee........................ 163 TotalFee Paid................................................................ ...... TOWN OF BARNSTABLE Permit Approval by..... .. .......................On...o.�/��l.�.... BUILDING PERMIT Map............ .... ...........Parcel........ ........................ APPLICATION 0, Section 1 — Owner's Information and Project Location F—oiect Address 34 gnse/ HOwlamd Rd. -3 Owners Name_ d &I M a L1,1k to la, cavill Owners Legal Address 3!,E &S&I Aw1czmd le,4, cl e P-r V/flp- MA, e—rs-cell-# Section 2—Use of Structure Use Group_ F-1 Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Single Two Family Dwelling Section 3—Type of Permit ❑ New Construction E] Move/Relocate [:] Accessory Structure EJ Change of use El Demo/(entire structure) 0 Finish Basement 0 Family/Amnesty D Fire Alarm Rebuild El Deck Apartment El Sprinkler System ❑Addition ❑ Retaining wall ❑ Solar 7 CRI�-eovation ❑ Pool El Insulation BUILDING OEP Other—Specify DEC 112018 TOWN 051- BARNaijAbLL IPP A A t'Y)Ato �e,. 44 P-i-s, le!11,6 V1 h !2 :70-n4l k-,7z!:k ;17 41) 0a rda id- tIlket A19n)1jC.'i'tJq rt) t4er- ink , and A e eDI auk I ne-kaz, �fz U'laq )e&�ZA41 , I V J Last updated: 11/15/2018 ._ Application Number.................................................... F_ Section 5—Detail rCo of Proposed�Construction 2d;0a'b..°O Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry, Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private i Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane C Yes ❑ No Section 7-Flood Zone Flood Zone Designation I Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ i Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage # of Dwelling Units(on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed, Side Yard Required Proposed` Has this property had relief from the Zoning Board in the past? ❑ 'Yes 0 No Last updated:11/15/2018 I " The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electrieians/Plumbers Applicant Information /s Please Print Legibly Name(Business/Organization/Individual): Rl , ' M riL 4e Gt CGtt/Bdl All Address: 35 ' &Sel 1*Uz1a2W.-- City/State/Zip: 4ee NA D Phone#:_ �d� 3loT-to'1-2 2 Are you an employer?Check the appropriate box: Type of project(required): LEI I am a employer with 4. ❑ I am a general contractor and I * have hired the sub-contractors 6. ❑New construction employees(full and/or part-time). 2.❑ I am a sole proprietor or partner- "listed on the attached sheet. 7. Vkemodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp. insurance comp. insurance. # .9. ❑Building addition �(required.] 5. ❑ We are a corporation and its [_ME]Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their` 1 LE]Plumbing repairs or additions myself, [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c: 152, §1(4);and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees, if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is 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 fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification, I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Sip-nature: Date: he Phone#: J 0B 3&Z__gV 2 Z Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum 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 0211.1 Tel. ##617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 4-24-07 www.mass.gov/dia I 137" _12'1// 50'1 9v�_ - - 3011 L 12"—' 24" 28 8 32 3 n �� 0' 76a 86's _ 511' 24" 38' _gig 3Q1 36" �Cn -- th CO \ m 33 W3012BUTf W123-WA2433R L � 0 � ' W M M c`i _ PP 'RANGE3.30- EZR3 0) N o �\ M OD_ OD J m W CA) V OD M CO 00 CO r- ml CO (n - �Ir N N N N Q _ = W M X C - 00 v _ . J � TIT OD n w 00 W w T m CO v C A (D mIw M W A N C - N X_ :. �-n W W � WN�� —+_ All dimensions_size designations This is an original design and must Designed:6/28/2018 given are subject to verification on not be released or copied unless Printed:6/28/2018 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. Lim 62807c02 All Drawing#c 1 No Scale. 9 • 38i1��� t19 156" 3/Y �3'I OEf 11 2018 10't 3/y sw'fch i-QWN 9F BARNSTABLE �12 m eon}rol . Len�eh ��Ile 02 32. The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street r Boston,NIA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers' Applicant Information I Please Print Legibly Name(Bu organization/Individual): i�,p c c A a rd ,� Ma r i s�C-/fit cct yi// Address: s 3!t A h 5e! Howland Rd. --City/State/Zip: Cenhrvi I Is MA o2G3 Z Phone#: 548- 30. 8-q 2 2 rAre you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with [ am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. VRemodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance.: required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions . myself[No workers'comp. right of exemption per MGL 12.❑ repairs Roof r airs 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractor;have employees,they must provide their workers'comp.policy numbei. I am an employer that is providing workers'compensation insurance for my employeaL 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 fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct CSIzn —_Date _7 7. $�2L Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appntenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not'produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-cont-actor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials " Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: ,.'.,The Commonwealth of Mamchusetts ; Department of Industrial Aoddents Office of Investigations , 600 Washangton Street Boston,MA 02111 - Tel.#617-727-4900 ext 406 or 1-8 77-MASSAM Fax#617-727-7749 Revised 4-24-07 www.m god/dia Application Number........................................... Section 9- Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell # I understand my responsibilities under the rules and regulations for Licensed Constriction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date r, Section 10—Home Improvement Contractor y Name Telephone Number 'f Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and �K documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date 4 i Section ll`=Home-Owner-s_License Exemption Home Owners Name GAard. Z Marts vela. CavW P Telephone Number 508 - 3 V7 Z2 Cell or Work Number 508 • 47• 5'5'7� i I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. f CSgaturez, .� Date P APPLICANT SIGNATURE e Signature Date 1112.3118 . Print Name lfi Aa rd Ca vi/l Telephone Number 500- 347- 94 2 2 E-mail permit to: , (CGIV�' Iricl�ay► shod. co,� Last updated: 11/15 018 Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval Section 13 —Owner's Authorization I, - - , 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 j ob) Signature of Owner date Print Name , 1 Last updated. 11/15/2018 i 0 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map I r 2 Parcel 2 2 Application 400/on Health Division Date Issued Conservation Division Application Fee Xs� Planning Dept. Permit Fee I� ��P • 3� Date Definitive Plan Approved by Planning Board �lgbll3 Historic - OKH _ Preservation / Hyannis Project Street Address 37 �ej &2 Ja• Ce-d f tlil��• /y1/� 0Z&32 Village LdifA-11310 - *Ll�e. Owner A'A .►j µ-us�u. &41/ Address _374Se/ i 6&)1a tdtJ Ced.ZAd;��� Telephone JU 8 347 bZ12-2, Permit Request ci, 719V /ld 5010A Si457� OD Aa o = 2Z- f2ol327 an s Z-.Stnd 5 0oo7K-vs n Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family M-' Two Family ❑ Multi-Family (# units) ®1 w Age of Existing Structure Historic House: ❑Yes ❑ No On Old King' Highw : ❑ s ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq�ft) r Number of Baths: Full: existing new Half: existing n$w rn �s 9 Number of Bedrooms: existing _new 0'' 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 AP CANT INFORMATION CD I BUILDER R HOMEOWNER) �s(4 Name 11 AFL. L �I,Aw6,1 Telephone Number -508 633 'i S08 Address P-0.90)L b 3 License# C S -00.5 h /3 �o - A'A OZ451 Home Improvement Contractor# e e �� vG • CO Worker's Compensation #00-.31S'3l85q,_ 002- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO_BI� e 5..Q6& && _S01A &14AaAn M. Sa ..A,l 01-- AM 1 * (fAVO ssca, )_'Si dam . SIGNATURE DATE _ -5- 2013 r FOR OFFICIAL USE ONLY 4 APPLICATION# r DATE ISSUED y . • MAP/PARCEL NO. ' { 'r ADDRESS VILLAGE OWNER 1 . 3 • DATE OF INSPECTION: FRAME 4 4 -% INSULATION x FIREPLACE ELECTRICAL:.-.. ROUGH FINAL - - PLUMBING: ROUGH FINAL { GAS: ROUGH FINAL FINAL BUILDING DATE.CLOSED OUT ASSOCIATION PLAN NO. b The Commonwealth of Massachusetts CAM( Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 " www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly � Name (Business/Organization/Individual): D 1�� ( Se- c In A.; L LC Address: I I o Se�aA G_.O N. St,�.k IL City/State/Zip: Phone #: . 506 833 q 50 0 Are you an employer? Check the appropriate box: Type of project(required): 1.[]'I am a employer with 1 2- 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, 0 Demolition working for me in any capacity. employees and have workers' 9. � Building addition [No workers' comp. insurance comp. insurance.: required.] 5. We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs I I r insurance required.] t c. 152, §1(4),and we have no 13.[] Other QtA �V 1 e A•t employees. [No workers'. comp. insurance required.] `Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. , Insurance Company Name: Policy#or Self-ins.Lic.#: C,Z 2 I S - 37,8S q 7 - 0// Expiration Date: L15 IZ 013 Job Site Address: 37 AASel 4Q I G r d 1d., 1,eM f.I/I A 1&0 City/State/Zip: MA Q4&3 2-- Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or.one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c i under the ai s and naldes of perjury that the information provided above is true and correct` Si ature: Dater - - /.3 Phone#: Official use only. Do not write in this area,to be completed by city or town offwiaL City or Town: = Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person:, Phone#: - 1 G DATE(MMIDDIWYY) ACORN. CERTIFICATE OF LIABILITY INSURANCEr 812W2013 THIS CERT ICATE IS ISSUED'.A A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICA E DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. IS CERTIFICATE-*F- INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED \REPRESENTATIVE OR PRODUOER,AND THE.CERTIFICATE HOLDER. IMPORTA : If the certificaf holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms aed conditions of the_policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate hiolder in lieu of such;00dorsement s. PRODUCER C HOLLIS INSURANCE AGENCY INC CONTACT NAME: 27 GLEN ST PHONE - WC,Nu STOUGHTON, MA 02b72 E-MAIL ADDRESS: INSURERS)AFFORDING COVERAGE NAIC U INSURER A: INSURED NSURERB: BLUE SE ENIUM SOLAR{.L'C 17 JAN SBASTIAN DRIVE SUITE 12 INSURERC: SA.NDWI H MA 02563 INSURERD: INSURER E: MUKERF: COVERAGE CERTIFICATE NUMBER: i747Wl REVISION NUMBER: THIS IS TO tERTIFY THAT THE t$OLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED dR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS O*SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR —•...- TYPE OF INSURANCE ^^ D4S�SR POLICY NUMBER �dUCYEFF DIYYM rPOMCDrrEXPY LIMITS TR GENERALLWBLLtTY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PR MINES .e ocarreace $ CLAIMS-MACE CCCjIR MED EXP(Ary we person) $ PERSONAL&ADV INJURY S GENERAL AGGREGATE $ GEN1,AGGREGATE L;MT APPL FS PER. PRODUCTS-COMPlOPAOC $ POLICY PRO LOj 5 AUTOMOBILE LIABILITY a ac arilNGUE $ AN V.AUTO BOC1Y INJURY(Per pennon) $ ALL OWNED SCHEDt1LELt BCCILY'NJURY(Peraccidect) S AUTOS AUTOS HIREDAUTCSE q(Oj� � $ UMBRELLA LIAR OCCUR EACH OCCURRENCE _ $ EXCESS UAB CLA"SNAGE AGGREGATE $ DE RETENT{ON$ $ $ 5 A !WORKERS COMPENSATION !=6-31 S-378547.013 6/15/2013 16115/2014 / T�L M,TS AND EMPLOYERS'LIABILITY N I N ANY PROPRIETOMPARTTEWEXECUTUF E.L.EACH ACCIDENT $ 50000 OFFICERIMEMBEREXCLUDED? -1 NIA (Mandatory is NN) E.L.DISEASE-EA EMPLOYEE S 50000 If yea.des:rbe uraer E.L.DISEASE-POLICY WIT $ 500000 DESCRiPT;ON OF CPFRAT ONS — DESCRPTIDN OF OPERATIONS I LOCATiM(VEHICLES(Attach ACORD 101,Addltlon*I Rern*rk*Schedule,if more*pace le required) Worxers compensat.on:nsuranoe Cover-age apples only to the workers compensation laws of the state of MA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE RICHARD&MARISTELACAVILL THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 34 ANSEL HOWLAND RD: ACCORDANCE WITH THE POLICY PROVISIONS. CENTERVILLE MA 02632 AUTHORIZED REPRESENTATIVE Jeff Eldridge 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/00 The ACORD name and logo are registered marks of ACORD rrn 11C 4 Di1.i -ar.. s-p/39/2713 9::':30 AEI Ya • 1 0: 1 P R; YO.. •74? 461 CL:ENT .C� ida. L i >s cerr_L Lcate ca-.Pis ann �tpersedes�A1L frealously issl .d _es_�ficates. it Massachusetts-Department of Pubiic Safety Board of Building Regulations and Standards CCti4nraru�tinn�S,tih-ur�sisiir s License:CS-005813 WELL1AM M SbLLIVAN PO BOX 63 ., NO EASTHAM MA 02651 m rl ti P Commissioner ` r . 01/03/2014 l #. w Office of Consumer Affairs n Business Regulation_ 10 Park Plaza - Suite 5170 Boston Massachusetts 02116 Home Improverft ontractor Registration Registration: 166151 {, Type: Supplement Card BLUE SELENIUM SOLAR LLC `f3ys Expiration: 4/29/2014 WILLIAM SULLIVAN 17 JAN SEBASTIAN DRIVE SUITE 1,2 V SANDWICH, MA 02563 ag - { Update Address and return card.Mark reason for change. SCA 1 Q 2OM-05n t Address Renewal Employment Lost Card Cjjtieom�mzarecaeai o�� ac�iccael3 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 9'Expiratiomm" istratio Office of Consumer Affairs and Business Regulation 9 _:16611 Type, 10 Park Plaza-Suite 5170 u Supplement::.ard Boston,MA 02116 BLUE SELENIUM SO't.AR L L WILLIAM SULLIVAN 17 JAN SEBASTIAN DRtVE.S,UtTE �� ANDWICH,MA 02563 Undersecretary z Not valid without signature f ' r - ❑; Blue Selenium Solar, Inc° Go Green with BlueTm September 26, 2013 Town of Barnstable Building Division 200 Main St. Hyannis, MA 02601 Building Inspector: Jeffrey Lauzon Ph:508-862-4034 Fax: 508-790-6230 Dear Mr. Lauzon Attached is support documentation as a part of Blue Selenium Solar, LLC applying for a building permit to install solar panels at the residence of Richard &Maristela Cavill,34 Ansel Howland Rd.,Centerville, MA 02632 fi On the following page is a table of the contents of the attached literature. Hopefully,we have included all that you require. Please call me at 774-368-0019, if additional information is required: Thank you. Sincerely, Michael Tanghe Blue Selenium Solar, LLC 17 Jan Sebastian Drive,Suite 12 Tel:508-833-9500 Sandwich, MA 02563 Fax: 508-888-2966 E-mail: info@bluesel.com www.bluesel.com o Blue Selenium Solar, Inc o Go Green with Blue' c4 TABLE OF CONTENTS: Page 1,2 Copy of signature page of permit application Page 3 Builder Construction License Page 4 Home Improvement Contractor Registration Page 5 Workers Compensation Insurance Affidavit, Page 6 Certificate of Liability Insurance Page 7 Certificate of Workers Compensation Page 8—10 Town Assessors Record Page 11 Town of Barnstable Regulatory Services Property Owner Signs Page 12 Google Map;34 Ansel Howland Rd., Centerville, MA 02632 roof that the solar array will be mounted Page 13 P.E.Stamped Certification Letter Page 14 Layout drawings of solar array on roof Page 15 Solar Mount L Base, mfr:TRA-MAGE Page 16- 18 PE Stamped structural-review on rack system, mfr:SnapNrack,Series 100 PV Page 19-20 Screws-roof attachment, mfr:Simpson, model:SDS25412 (1/4"x 4-1/2" long) Note: 2 screws used per bracket Page 21&22 Solar panel manufacture's literature/brochure, Mfg'r: SunPower E20/327 Solar Panel 17 Jan Sebastian Drive,Suite 12 Tel:508-833-9500 Sandwich, MA 02563 Fax: 508-888-2966 'E-mail: info@bluesel.com r www.bluesel.com Town of Barnstable ` • � Regulatory Services uASS Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www1own.barnsta6le.ma.us Office: 508-862-4038 Fax: 508-790-6230 - Property Owner Must Complete and Sign This Section If Using A Builder I, mcb,c s f e L 661 d,II. ,as Owner of the subject properly hereby authorize G�ilb ru Sa 1 Wnu. of B'Oe Sew;Ja, &aa, to act on my behalf, in all matters relative to work authorized by this bmlding permit 3 &Se.l tI6(,))aLJ td- Oemlad 02(v32 (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. 01 Signature-of Owner: Signature of Appicant Mavis-,Lde. oa d:ll 0)1fI aK StA/Iioan Pont Name Print Name 6 � • Date, Q:F0RMS:0WNMPERMMSI0Ie00L•S EMU Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street; Hyannis,MA 02601 www.townbarnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER UCGNSE E3204=0N Please Print DATE: JOB LOCATION: number shEet village "HOMFAWNER": name bome phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or Iess and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DFYEgMON OF HOMEOWNER Person(s)who owns a parcel of land on which helshe 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 far all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes.responsibility for compliance with the State B ding Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that helshe understands the Town of B le Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures an requirements. Signati, of Homeowner Approval of Bwldmg Official Note: Three-family dwellings containing 35,000 cubic feet or r will be,required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWTUR'S ON The Code states that: "Any homeowner performing work fo which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of co ction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner all act as supervisor." Many homeowners who use this exemption are unaware th t they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction pervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner ' unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed S pervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is folly aware of his/her r onsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she ur ds the responsibilities of a Supervisor.'On the Iast page of this issue is a form currently used by several towns. You may e t amend and adopt such a form/certification for use in your community. C:\Users\decoUWAppDatali.ocaRMicrosoft\Wmdows\TempoiazyIntrsnetFileslCon tOut1ook1QRE6ZUBNIIITRESS.doc Revised 053012 .:M tps googl«om P i C 7-7 I da Anse Hawlmd Rd.Cerd... --- file Edit Vies ;—ila Tools H* ,,` d' 3'�.,..•,.,- 2 Mus.h—M MurA4ELP_ j3 nrd PVWdn•PV*.M Gr_. 4 rabr gdacwrne.Mon Srm_ P.—CWk Sign-in®Gongk(Z) a`M.s h-dt,pep d -.. a e.nk of Amax,Odin.6_. _ MttF---.s—tr de.com... 'W - P-P, Ssee/r- Tooh- +�- Go;jQle 34 Ansel Howland Rd Centerville,MA 02632 Map Y TrefFc o.. S' yp< R, r .r"o..p.ra.uan a,"r..ara 100% Richard &Maristela Cavill 34 Ansel Howland Rd., Centerville, MA 02632 508-367-8422 maristelacaviliayahoo.com 7.194 kW Solar PV Roof Mount System. Using: 22- SunPower Panels E20-327 & 2 SMA Inverters SB3000TL-US Main Roof Pitch—30 degrees Wind Speed— 110 mph Azimuth— 112 degrees Snow Load 30 psf Protruding Roof Pitch—26 degrees Azimuth—202 degrees J A M E S A CLANCY PROFESSIONAL ENGINEER 601 ASBURY AVENUE NATIONAL PARK , NEW JERSEY 08063 (856 ) 358 - 1125 FAX : 1856 ) 358 - 1511 Construction Code Office Date: September 25,2013 " Re: Blue Selenium Solar 17 Jan Sebastian Drive, Suite 12, Sandwich,MA 02563 Subj: Maristela Cavill residence,34 Ansel Howland Road,Centerville,MA 02632 We have provided an inspection and review of the residence roof construction of the above named property in regards to verifying the capacity of the existing roof for installation of a new _ ar Panels C7 Array. w f We have found the residence to be of wood frame construction bearing walls with a rafter fraiped roof system The roofs are of 2x6 @ 16"o.c. rafter framed construction with 2x4 collar ties @ 64""o.c. and J� is sheathed with 1/2" ext-ply sheathing and a single layer of composite shingles. The existjing roof structure bears directly upon the exterior stud framed wall system. The existing rafters as installed do T`� `--4 not meet the required load/span ratings and require the installation of 2x6 collar ties @ 16" o.o on the unbraced rafters to provide sufficient capacity to carry the additional load of 4 #/sf imposedby the proposed solar array per the details below. Installation of solar rack systems shall be as follows: Each panel row shall be supported upon 2 mounting rails. Rails shall be screw anchored through roof and directly to rafters below. - Rail attachment points to rafters shall be staggered each row with exception to the first fastener ` row from the gable end which is attached to two adjacent rafters. A 2" square of Bramec self adhering cork insulation tape shall be applied between the angle foot of the mounting system and the existing roof shingles at each foot location. Typical mounting detail sketch attached. When installed per the above specifications the system shall exceed 110 MPH wind & 30 PSF snow loads as required by the IRC-2009 Should you have any further question or comment please feel free to contact our office. Respectfully, � tN OF c dAMES A �FQtST c� ` James A. Clancy roNAL Professional Engineer MA License#46775 1 -Pmpeatwy and OwdkimNal mrmmelw". REVISIONS: prl-ew.@« Mm Selerhm Sobr.UC ie prohMOAd INO,j DATE ISYJ ECN# 4'-8" 14' 22'-3" 22'-3" RESIDENTIAL SOLAR PHOTOVOLTAIC INSTALLATION: . MARISTELA CAVILL 21'_Z' 19, 34 ANSEL HOWLAND ROAD CENTERVILLE, MA 02632 MODULES: SUNPOWER SPR-327NE+WHT 8'-7" MAIN ROOF: ROOF PITCH =30 DEG AZIMUTH=112 DEG Q (� 18x327W=5.886KW C ESTIMATED PRODUCTION: 11'-7" 4,811 KWH/YR " PV SIM (22%SHADE) PROTRUDING ROOF: e " L rB J:67 ROOF PITCH=26 DEG AZIMUTH =202 DEG 25'-3" 24'-2" 4 x 327W= 1.308 KW ESTIMATED PRODUCTION: - 1-484 KWH/YR 18'-6" PV SIM (15%SHADE) -TOTAL ESTIMATED PRODUCTION: 6;295 KWH/YR PV SIM WIND SPEED=110 MPH 6' O BLUE SELENIUM SOLAR, LLC SNOW LOAD=30 PSF © 17 JAN SEBASTIAN DRIVE,SUrrr 12,SANDWICH,MA 02563 PHONE(508)833-9500,W W W.BLUESEL.COM RECORD LOW=-22 DEG C 15'-3" =26 DEG C DRAWN BY:AK DATE:082813 SCALE:WA SHEET:tOP1 BORDER:C AVE HIGH NAME; DWG NUMBE. CAVILL-34 ANSEL HOWLAND ROAD 01171-02 ROOF ACCESSORY SYSTEMS U SOLAR MOUNTING SYSTEMS 5/16" 21/2" 3" 1.57" " 314" - O - O Wp ` 'Dimensions shown are in inches unless otherwise noted Material 6063 T66 Aluminium Finishes Mill finish Allowable Load(Ibs) Uplift:400 Downforce:400 Shear:180 Companion Parts Simpson SDS 1/4"Fastener;L=3.5",4.5",6"(SDS25312-SS,SDS25412,SDS25600) Standard Roof Mount Flashing(77000501) Socket Head Cap Screw M8 x VAR(15100018,19,20,21,22,23,38,58) Clamping Plate(72201701) Clamping Plate Adjustable(74022601) Compatible Mounting Rails All TRA-MAGE SunFIXINGS rails(22x65,40x40,40x60)as well as other major brands Warranty 10 Years(See warranty documentation for conditions) CQ 1 �� TRA-MAGE, INC. 1657 SOUTH 580 EAST,AMERICAN FORK, UT, 84003 ©TRA-MAGE,inc.,2011 PH: (800)606-8980 sun.tra-mage.com III •, n - .. r ` — Friday,June 01, 2012 Sna Nrack- orman SnapNrack PV Mquhling System 775 Fiero Lane, Suite 200 San Luis Obispo, CA 93401 c 6 e e 1 Series 100 Roof Mount Summary Letter To Whom It May Concem, Structural This letter is to clarify that we have performed calculations for the.100 series roof mount PV system based on the information provided by SnapNrack. Included with this letter is the report and calculations. The calculations were ' done in accordance with the 2009 IBC, ASCE 7-05, 2005 NDS, and guidelines ]E n g i n e e r stated in the Solar America Board for Codes and.Standards. - For some of the components the SnapNrack test data was used to determine Fair Sunrise C Blvd. capacity and section properties of materials. The test data.was collected using Fair oaks,CA 95628. p � p p g (916)536-9585 the procedures outlined in the 2009 IBC Chapter.17. (916)536-0260(fax) r 1989-2012 The calculations were performed for the following wind, seismic,and snow load 23 years of excellence combinations and building parameters. a ASCE 7-05 wind speeds from 85 mph to 150 for B and C'exposure categories a ASCE 7-05 Seismic Design Category E a ASCE 7-05 Snow Loads up to 120 psf ground snow Norman Scheel,SX. a Buildings with mean roof heights up to 60 foot tilt angles / roof pitches LEED AP eD+C from 0 degrees,to 60 degrees. LEED AP Homes FcUow—SEAOC Fellow-ASCE In our opinion the mounting system as outlined in the SnapNrack Series 100 PV cr E-mail:nnrni nssc:.com , Mounting System Code Compliant Installation Manual 2012 is acceptable and Rob Coon meets the loading requirements as stated above.,See report,and.calculations E-mail:accManager included with this letter E-ml:m6cnnn(a�nsse;c:om - Steve Smith P.E. If thereare any further questions,please contact Norm Scheel._ Project Manager E-mail:stevecmid gonsse.cmn Steven Cooksey CAD Supervisor E-mail:ggwt ncst.cnon Jackie Kaufman Office Manager Norman Scheel PE, SE o or a a�s'cyG E-mail:jacki&aMsse.com LEER-AP BD+C;LEED-AP Homes Fellow SEAOC TRU1",TURAI. Follow A-S.C.E. No.36044 to SOL . r1 Series 100 ra Structural Report and Calculations ons SnapN' P Mof Systerm Introduction This summary letter is in reference to the Structural Calculation Packet for the SnapNrack Series 100 Mounting System, dated 4/12/2012. The calculations have been performed in accordance with the 2009 International.Building Code (IBC). The racking system has been designed to withstand code-prescribed forces due to the racking system's own weight, the weight of the solar panels, snow loads, and wind forces and seismic forces. Rail Spans The main Rail (standard rails) support the PV panels. They are supported by standoff hardware which attaches them to the roof structure at the following center spacing's; 81- 0", 6'-0",4'-0"or 2'-0". .. The rail spans are determined based on. wind exposure,.building height, tilt angle, and snow loading. See tables IA, 1B, 1C, and 1D for rail spans based on mean roof heights up to 30 ft. For mean roof heights between 31 ft and 60 ft see tables lE, 1F, 1G, and 1H in this summary report. Table IA Rail Spans for Roof Slopes and Tilt Angles 0°to.19°(Mean Roof Height Oft to 3011) P Wind Load s 85 90 95 100 105 110 115 120 125 130 135 140 145 150 0 8 8 8 6 6 6 6 6 6 4 4 4 4 4 y 10 8 8 8 6 6 6 6 6 6 4 4 4 4 .4 rr b 20 6 6 6 6 6 6 6 6 6 4 4 4 4 4 30 6 6 6 6 6 6 6 6 6 4 4 4` 4 4 3 40 4 4 4 4 4 4 4 1 4 4 4 4 4 4 4 0 c v 50 4 4 4 4 4 4 4, 4 4 4 4 4 4- 4 c 60 4 4 4 4 4 4 4 4 4 4 4 4 4 4 L7 70 4 4, 4 4 4 4 4 4 4 4 4 4 4 4 80 4 4 4 4. 4 4 4' 4 4 4 4 4 4 4 100 2 2 2 2 2 2 2 2 2 2 2 2 2 2 120 2 2 2 2 2 2 2 2 2 2 2 2 2 1 2 NSSE 5022 Sunrise Boulevard Fair Oaks CA 95628(916)536-9585 Page 4 Table I B Rail Spans for Roof Slopes and Tilt Angles 2W to 30°(Mean Roof Height Oft to 30ft) Wind Load PB 85 90 95 100 105 110 115 120 125 130 135 140 145 150 0 8 8 8 8 8 8 8 8 6 6 6 6 6 6 10 8 8 8 8 8 8 8 8 6 6. 6 6 6 6 29T.._., 6 6 6 6 6 6 6 6 6 6 6 6 6 6 30 1 6 6 6 6 6 6 6 6 6 6 6 6 6 6 c �40 4 4 4 4 4 4 4 4 4 4 4 4 4 4 50 4 4 4 4 4 4 4 4, 4 4 4 4 4 4 `a 60 1 4 4 4 4 4 4 4, 1 4 4 4 4 4 4 4 t7 70 4 4 4 4 4 4 4. 4 4 4 4 4 4 4 80 4 4 4 4 4 4 4 4 `4 4 4 4 4 4 100 2 2 2 2 2 2 2 2 2 2 2 2 2 2 120 2 2 2 2 2 2 2 2 2 2 2 2 2 2 Table 1 C Rail Spans for Roof Slopes and Tilt Angles 310 to 450(Mean Roof Height Oft to 30ft) Wind Load Pg 85 90 95 ]00 105 110 115 120 125 130 135 140 145 150 0 8 8 8 8 8 8 8 8 8 6 6 6 6 6 N 10 8 8 8 8 8 8 8 8 8 6 6 6 6 6 20 6 6 6 6 61 6 1 6 6 6 6 6 6 6 6 30 6 6 6 6 6 1 6 6 6 6 6 6 6 6 6 3 40 1 4 4 4 4 4 4 4 -4 4- 4' 4 4 4 4 0 V) 50 1 4 4 1 4 4 4 4 4 4 4` 4 1 4 4 4 4 60 1 4 4 1 4 4 4 4 4 1 4 4 4 4 4 4 4 c7 70 4 4 4 4 4 4 4 4 4 4 4 4 4 4 80 4 4 4 4 4 4 4 4 4' 4 4 4 4 4' 100 2 2 2 2 2 2 2 2 2 2 2 2 2 2 120 2 2 2 2 2 2 2 2 2 2: 2 2. 2 2 MSE 5022 Sunrise Boulevard Fair Oaks CA 05628(916)536-9585 Page 5 3/18/2011 SDS&SD Wood Screws www.strongtie.com , SDS & SD Wood Screws The Simpson Strong-Tie®Strong-Drive® screw(SDS) is a 1/4" diameter structural wood screw ideal for various connector installations as well as wood-to-wood applications. It installs with no predrilling and has been extensively tested in various applications. The new SDS is improved with a patented easy driving 4CUTTM tip and a corrosion resistant double-barrier coating. I 1 . The SD8#8x1 1/4" wafer head screw is ideal for miscellaneous fastening applications. The needle point ensures fast starts and deep#2 Phillips drive reduces . cam-out and stripping. Load Tables Gallery of images Also see: Code Reports Draw ings . Strong-Drive®SD Structural-Connector Screw Catalog Page . SDW Strong-Drive®Structural Wood Screw Related Categories . Trten® Concrete and Masonry Screw Technical Bulletins Fliers SDS Features: Featured Literature Help for dow nloads . The patented 4CUT tip has a square core and serrated threads to reduce installation torque and make driving easier with no predrilling and minimal wood splitting. . A double-barrier coating finish provides corrosion resistance equivalent to hot-dip galvanization. Now one screw can handle interior, exterior and certain pressure-treated wood applications. See Corrosion Inibrmation. . 3/8" hex washer head is stamped with the No-Equal sign and fastener length for easy indentification after installation. Suitable for ledgers:The SDS is suitable for installing ledgers to meet the requirements of the building codes. Please contact Simpson Strong-Tie for spacing and other information. Material: Heat-treated carton steel; Type-316 stainless steel STAINLESS STEEL:The SDS Strong-Drive 1/4"wood screw line has expanded to include stainless-steel SDS screws in 1 1/2"to 3 112"lengths,suitable for fastening Simpson Strong-Tie stainless-steel products.Offering the same easy-driving,split- reducing installation of the standard SDS screw,these screw s are made from type 316 stainless steel.The new stainless-steel SDS screws are appropriate for higher- exposure environments w here maximum corrosion-resistance is required. Finish: SDS - New double-barrier coating. SDS screws may also be available yellow zinc dichromate or HDG (Not all sizes are available in all coatings -Contact Simpson Strong-Tie for product availability and ordering information). SD8x1.25-Electro Galvanized. WARNING:Industry studies show that hardened fasteners can experience performance problems in wet or corrosive environments.Accordingly,the SD8 should be used in dry, interior,and noncorrosive environments only. Installation: . Strong-Drive Screw Installation for LVL, PSL and LSL . Multi-Ply Wood Trusses Applications: Two-Ply 4X2 Floor Trusses Multi-Ply Wood Trusses Applications: Girder Trusses strongtie.com/products/.../screws.asp 1/4 3/18/2011 SDS&SD Wood Screws Y Also see Simpson Strong-Tie Connector Selector®software. Gallery: Atop roll over images below to see larger image '; S3 � • SDS1/4"x3" Identification The 4CUTtip SD8x1.25 US Patents on all SDS reduces (Not for 6,109,850; screw heads installation structural 5,897,280; (SDS1/4"x3" torque and applications- t 7,101,133 show n) makes driving see note 8) easier. SDS 1/4"x8"Screw The SIDS is suitable for installing ledgers and meets the requirements of the building codes.Rease contact Simpson Strong-Tie for spacing and other information. Load Table: See code report listings below Atop DThese products are available with additional corrosion protection.Additional products on this page may also be available w ith this option,check w ith Simpson Strong-Tie for details. SDS and SD Wood Screws OF/SP Allowable loads'._ SPF/HF Allowable Loads' Model Thread fasteners �w ^ Shear(100), Withdrawal' Shear(100) Withdrawal' Site size No. Length per Wood Side Plate' Steel Side Plate (100) Wood Side Plate' Steel Side Plate (100) pnJ Carton° °1�'' a 14 ga&,10 ga or Wood or Steel 1 16 a 1%" 14 ga& 10 ga or Wood or Steel 1 K' 16 .4" SCL 9 12 go Greater Side Plate SPF LVL g 12 ga Greater Side Plate 'h:x t Y<E SD80.254 — t — 50 1 50 ! 50 - - "( 45 35 45 Di V.x 1% SOS25112 1 1500 — 250 250 250 770 — — 180 780 780 i20 ® '/,x 2 SDS25200 1 1 1300� — 2$0 1 290 ` 290 2t5'. — - 180' 210 'T210 150 0 %x2'h SDS25212 i!s 1100 190 — 25fl 390 :420 255 135 1,180 280 300 180 (SDS253001 2 I 950 280 — 2501 420 420 345 200 - 180 300 300 240 D}y.x 3'h SDS25312 2°! 900 340 a 340 2501420 1 420 _ 3855 245 245 180..- 300 300 270 1 � '/ax4'h SDS25412 2� 800 350 3a0 2$0' a20 j 420 475 250 2a5 ) 190 300 300 � 330 F. ® V,x 5 St7S25500 _ `3i 50i� 350 340 2v0 420 420 475 250 24f+ #80 300 300 ) 330' (� v.x 6 SDS25ti00 _.3'/. ti00 350 340 250 .420 420 560 250 245 . :. 80 300 300 395 �. «y.�.."....,.�. � .W ... , ... . DL Y x 8 SDS23800 3`!e 1 $00 350 340 2�O :420 420. 5 i0 250 2a5 1fi0 3410 . 300 395 . ,; Stainless-Steel SDS Wood Screws strongtie.com/products/.../screws.asp 2/4 S U N POWE R E20/327 SOLAR PANEL 20% EFFICIENCY - SunPower E20 panels are the highest E O efficiency panels on the market today, SERIES providing more power in the same amount of space MAXIMUM SYSTEM OUTPUT Comprehensive inverter compatibility ensures that customers can pair the highest- efficiency panels with the highest-efficiency inverters, maximizing system output REDUCED INSTALLATION COST More power per panel means fewer panels per install. This saves both time and money. + a RELIABLE AND ROBUST DESIGN SunPower's unique MaxeonT'cell THE WORLD'S STANDARD FOR SOLAR TM technology and advanced module design ensure industry leading reliability SunPowerTm E20 Solar Panels provide today's highest efficiency and performance. Powered by SunPower Maxeon'cell technology, the E20 series provides panel conversion efficiencies of up to 20.1%. The E20's low voltage temperature coefficient, anti-reflective glass and exceptional low light performance attributes provide outstanding energy delivery per peak power watt. SUNPOWER'S HIGH EFFICIENCY ADVANTAGE 20% 15% 5/ "W" yam THIN FILM CONVENTIONAL E �E J/d0)` I -- MNAEQ1`ITnn CELL. SERI=S SERIES SERIES TECHNOLOGY sunpowercorp.com Patented all-back-contact solar cell; ,.providing the industry's highest O t efficiency and reliability., C U` US S U N ' ' • SOLAR ., MODEL: SPR-327NE-WHT-D ELECTRICAL DATA.. V-CURVE t Measured at Standard Test conditions ISTC):inodionce of 1006W/m=,AM 1.5,and cell temperature 25°C — _ Peak Power(+5/-30/.) Pmax 327 W 6 ,- 1000W/m= _.-. -4 . . ..�- Cell Efficiency 0 22.5% I 5 f Panel Efficiency 0 20.1 % ttoow/m= I Rated Voltage ~T Vmpp 54.7 V 3 s 500 w/i ' Rated Current Impp 5.98 A 2 Open Circuit Voltage V« 64.9 V 1 Short Circuit Current lc 6.46 A 0 --- L- Maximum System Voltage UL 600 V . { 0 10 20 30 40, 50 60 70 •Temperature Coefficients Power(P) 0.38%/K Voltage(V)' Current/voltage characteristics with dependence on irradiance and module temperature. Voltage(VOC) —176.6mV/K Current(Isc) 3.5mA/K TESTED OPERATING CONDITIONS NOCT 45°C+/-2°C _ Temperature -40°F to+185°F(-40°C to+85°C) Series Fuse Rating 20 A war--.--._—•-...,_�. F Grounding Positive grounding not required Max load 1 13 psf 550 kg/m2(5400 Pa),front(e.g.snow) jT w/specified mounting configurations �T 50 psf 245 kg/m2(2400 Pa)front and back ____ MECHANICAL DATA (e.g.wind) Solar Cells 96 SunPower MaxeonTm cells - Front Glass High-transmission tempered glass with 'Impact Resistance Hail: (25 mm)at 51 mph(23 m/s) _ anti-reflective(AR)coating - , Junction Box IP-65 rated with 3 bypass diodes Dimensions:32 x 155 x 128 mm` WARRANTIES AND CERTIFICATIONS Output Cables 1000 trim cables/Multi-Contact(MCA)connectors Warranties - 25•year limited power warranty Frame �p Anodized aluminum alloy type 6063(black) 10-year limited product warranty Weight 41.0 Ibs(18.6 kg) Certifications Tested to UL 1703.Class C Fire Rating DIMENSIONS 2X 11.0[.431 i MM (A)-MOUNTING HOLES (B)-GROUNDING HOLES 2X577[22.701 180[7.071 (IN) 12X 06.6[.26]. LOX 04.2(.17) 30[1.18] +I [12.691�— 4X 230.8[9.091� 1. II P 1 I M^ V 4 O o 1381111 0 END • � i Imo_ l it 5• � i l �-- 1559[61.39] ►I 46[1.81] (A) I 1�--915(36.021 1200[47.241 12[.471 1535[60.451 Please read safety and installation instructions before using this product, visit sunpowercorp.com for more details. ©2011 SunPower Corporation.SUNPOWER,the SunPower Logo,and THE WORUYS STANDARD FOR SOLAR,and MAXEON are trademarks or registered tr°demarks s u n p owe re b r p.c o m . of SunPower Corporation in the US and other countries as well.All Rights Reserved.Specifications included in this dotasheel are subject to change without notice. Document#00165484 Rev-B/LTR_EN' CS 11 316 f .R p.g<- Srtety. toot- �- 34 Ansel Howland Rd Centerville MA 02632 jr _ LaIRc I 1W r k_ ^``. A 100% Richard & Maristela Cavill 34 Ansel Howland Rd., Centerville, MA 02632 508-367-8422 m maristelacaviII(-)yahoo.com 7.194 kW Solar PV Roof Mount System. Using: 22- SunPower Panels E20-327 & 2 SMA Inverters SB3000TL-US Main Roof Pitch—30 degrees Wind Speed— 110 mph Azimuth— 112 degrees Snow Load 30 psf Protruding Roof Pitch—26 degrees Azimuth—202 degrees i, JlAM 1ES A . CLAN COY PROFESSIONAL ENGINEER k _ /� �7 601 ASBUR JL�7 A V EN UE NATIONAL ]BARK , NEW JERSEY 08063 (856 ) 358 - 1125 ]FA;X : 4856D 3.58 - 1511 Construction Code Office Date: September 25,2013 Re: Blue Selenium Solar , 17 Jan Sebastian Drive, Suite 12, Sandwich,MA 02563 Subj: Maristela Cavill residence,34 Ansel Howland Road, Centerville,MA 02632 We have provided an inspection and review of the residence roof construction of the above named property in regards to verifying the capacity of the existing roof for installation of a new Solar Panel Array. We have found the residence to be of wood frame construction bearing walls with a rafter framed roof system. The roofs are of 2x6 @ 16"o.c. rafter framed construction with 2x4 collar ties @ 64"o.c. and is sheathed with 1/2" ext-ply sheathing and a single layer of composite shingles. The existing roof structure bears directly upon the exterior stud framed wall system. The existing rafters as installed do not meet the required load/span ratings and require the installation of 2x6 collar ties @ 16" o.c. on the unbraced rafters to provide sufficient capacity to carry the additional load of 4 #/sf imposed by the proposed solar array per the details below. Installation of solar rack systems shall be as follows: Each panel row shall be supported upon 2 mounting rails. Rails shall be screw anchored through roof and directly to rafters below. Rail attachment points to rafters shall be staggered each row with exception to the first fastener row from the gable end which is attached to two adjacent rafters. A 2" square of Bramec self adhering cork insulation tape shall be applied between the angle foot of the mounting system and the existing roof shingles at each foot location. Typical mounting detail sketch attached. When installed per the above specifications the system shall exceed 110 MPH wind & 30 PSF snow loads as required by the IRC-2009 Should you have any further question or comment please feel free to contact our office. Respectfully, � twaF�q � 9 JAMES A y�cn O C: w STD James A. Clancy AL Professional Engineer MA License#46775 and ConfAmIld on. RE ISIONS: BWe sdw m Solar.Luc is poAib w- INO.1 DATE JBYJ ECN# 4'-8" 14' 22'-3" 22'4" RESIDENTIAL SOLAR PHOTOVOLTAIC INSTALLATION: MARISTELA CAVILL 21'-2" 19, 34 ANSEL HOWLAND ROAD CENTERVILLE, MA 02632 — MODULES: SUNPOWER SPR-327NE+WHT 8'-7" MAIN ROOF: ROOF PITCH =30 DEG AZIMUTH =112 DEG 18 x 327W=5.886 KW ESTIMATED PRODUCTION: 4,811 KWHNR PV SIM (22%SHADE) PROTRUDING ROOF: ROOF PITCH =26 DEG AZIMUTH =202 DEG 25'-3" 24'-2" 4 x 327W= 1.308 KW - ESTIMATED PRODUCTION' 18'-6" 1,484 KWHNR PV SIM (15%SHADE) TOTAL ESTIMATED PRODUCTION: 6,295 KWHNR PV SIM WIND SPEED= 110 MPH 6 O BLUE SELENIUM SOLAR, LLC SNOW LOAD=30 PSF �' 17 JAN SEBASTIAN DRIVE,SUITE 12,SANDWICH,MA 02563 RECORD LOW=-22 DEG C PHONE(508)833.9500,WWW.BLUESEL.COM AVE HIGH =26 DEG C 15'-3" DRAWN BY:AK DATE:08-2E-13 SCALE:WA SHEET:1 OF 1 BORDER:C NAME: DWG NUMBERa2EV CAVILL-34 ANSEL HOWLAND ROAD 01171-02 Commonwealth of Massachusetts y/2.611 z'//�Ay/,/'� SheetMetal Permit Map ) a Parcel of Date: 4 �1%� l 2- Permit# Estimated Job Cost: $ d 07 Permit Fee: $ Plans Submitted: YES NO Plans Reviewed: YES NO Business License# 00 og 0�f,, Applicant License# ' 3 Business Information: Property Owner/Job Location Information: Y1u►j2-n 7.3 �9 Name:'R,ecJtv)g �CONI I" CvV,c Name: grd . • C�� R Street: Z�. /� x a Ln Street: L Pfn S-e.I o k-Ag City/Town: v1� M A 02��3 City/Town: C`p y��v,�� lM R Telephone: 190 4499 Telephone: is Photo I.D. required/Copy of Photo I.D. attached: YES NO Staff Initial J-1 - unred licen stricte J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family" Multi-family Condo Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept. Approval Ilistitutio al_ Other a w Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stories: p • � Sheet metal work to be completed: New Work: ✓ Renovation a " ' HVAC !' Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents y Air Balancing Provide detailed description of work to be done: f F IV%s1511 �� [p O O,�l>O C� 'l. �'1 co►I 1 V1 �I ► c L1 fie�"u r►� s' - � `�z i��, �®r� �s.� ✓' i7�s i x` R-Plu in 4 INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes /No ❑ If you have checked Y_V�j,indicate th type of coverage by checking the appropriate box below: A liability insurance policy , Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: lam aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement.. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent x y By checking this box❑,I hereby certify that all of the details and information 1 have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Progress Insuections Date Comments Final Inspection Date Comments Type of License: 3y Ermaster i'itle ❑ Master-Restricted �ity/Town J ❑Journeyperson Signature of Licensee permit# ❑Journeyperson-Restricted License Number: =ee$ ❑ Check at www.mass.govldol nspector Signature of Permit Approval The Commonwealth of Massachusetts t. Department of Industrial Accidents Office of Investigations. ' 600 Washington Street Boston,MA 02111 www.mass.gov/din Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please]Print Legibly Narae(Business/Organization/Individual):_. N%ni,r, L_ Mo,poiJOID, Address: b 8o�cLl City/State/Zip: �,.�..y<rw►�, �, Phonet: Are you an employer? Check the appropriate box: Type of project(required):., 1.❑ I am a employer with -4. I am a general contractor and I Qloyees(full and/or part-time).*. have hired the sub-contractors 6. El New construction . 2. I am a'sole proprietor or partner-. listed on the-attached sheet. 7: ❑Remodeling These sub-contractors have ship and have no employees 8.' ❑Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp.insurance comp..insurance.$' required.] 5. ❑ We are a corporation and its 10.[]-Electrical repairs or additions .3.❑ I am a homeowner doing aIl work officers have exercised their li.❑Plumbing repairs or additions mYs el£ [N c o workers' o° right of exemption per MGL �• 12.❑.Roof repairs • insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13. Other b �►o U So,_ Pomp.insurance required.] *Any applicant that checks box#1 Est 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 anew affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins,Lic.M. 'Expiration Date:__ lob 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 imprisonrn= as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy-of this statement may be forwarded to the Office of lavestigatiQns of the DIA for' ce coverage verification. I do her ertify under a ains nd penalties of perjury that the information provided above is true and correct. Si e:. Date: Phone#: Official use only. Do not write in this area,to be completed by city or town offtciaL City or Town: PermitUcense# -Issuing Authority(circle one): .1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: � —K MAS.SACHUSETTS 'c GOMMON� TH OFF G . . - � SHEET METAL WORKERS Y AS A MASTER UN"RESTRICTED ISSUES:THE ABOVE LICENSE TO 1 I t' i NUNZIO .L NAPOLITANO -AMP ST.. is W =YARMauT 02673; MA '; -3207 06%28/12. 94119 4132 c= s �tHE, Town of Barnstable Regulatory Services `* n�txsr�ts. f names �, 'Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner ; 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: - - -- Fax;508-790-6230- t I Property Owner-Must Complete and Sign This Section -- If Usirig`A Builder as Owner of the subject pro rt7 � _. p`"``J hereby authorize I 1 w 121� I���i to act on m be Y hal�.. in all*matters relative to work authorized by this building permit A, j (Address of job) Pool fences and alarms are the responsibility of the applicant.. Pools ` are not to be filled before fence is installed and pools are not to be, ` utilized until all final inspections are performed and accepted. igna _e_o f et S' tur of Applicant Print Name .x} Pont Name Date QTORMS:OWNERPERMISSIONPOOLS FF. VE Town of Barnstable rgwti Regulatory Services F )AxrrMBLE, • Thomas F.Geiler,Director y MASS. 1639• .m�A Building Division 101Fp�.I Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION 1 Please Print DATE: I , JOB LOCATION: All se� �L w la ti i� t� /� CC V I�p ��number I street village "HOMEOWNER": Jl K In G ••:,/ J . C r��,I I J bZ 3�) %y 2_Z name home phone# work phone# CURRENT MAILING ADDRESS: city/town stater - !" - 'zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six.iits 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. i Signature of Homeowner Approval of Building Official J, ' r 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 .; �� r ,�(� k j•, 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 a.. , 5. 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 fora✓certification for use in your community. Q:forms:homeexempt I� Home Energy RaterS LLC BTorrey @EnergyCodeHelp.com Box 989,E.Sandwich,Ma 02537 888-503-2233 Duct Leakage Test Address: LZi —nse KdvdA.ad. Rda Date — April 27, 2012 Test Type — Post Construction Leakage to outside. Conditioned floor area =1200 Sq FT. , To comply with Section 403.2.2 Of the 2009 IECC Code in this home the Maximum duct leakage CFM = 96 CFM (1200 MOO x 8 96) Duct leakage tested = 43 CFM Post Construction Test — Combined Duct Blaster and Blower door This Home complies with Section 403.2.2 Of the 2009 IECC Code Date of Test: April 27 2012 Technician: C Mazzola Test File: Nunzio ansel howland Customer: Nunzio Napolitano Building Address: .34 Ansel Howland Road Heating and Cooling Concepts Centerville,Ma 02632 Phone: 508-775-1985 Fax: ry G� Test Results 1. Measured Duct Leakage: 43.0 CFM 18.1 sq.in.(+1-0.0%) 2. Duct Leakage as a Percent of System Airflow: 3. Duct Leakage as a Percent of Building Floor Area: 3.6% 4. Leakage Split: Supply Side: co Return Side: �. c " 5. Duct Leakage Curve: Flow Coefficient(C): 6.2 ...- Exponent(n): 0.600(Assumed) 6 Test Settings: Test Mode: Pressurization Test Pressure: 25.0 Pa Equipment: Series B Minneapolis Duct Blaster Test Type: Outside Leakage (Combined Duct Blaster and Blower Door Test) Building and System Parameters: Floor Area: 1200 sq.ft. Average Supply Operating Pressure: Pa System Airflow: Average Return Operating Pressure: Pa Contact our office with any questions, Bruce Torrey, Certified HERS Rater Home Energy Raters LLC Assess%s Officeµ(1st floor) Map z Lot ermit# &nervation Office 4th floor Date_ Issued 2v (-.Jaoard of Health(3rd floor)(8:30-9:30/1:00- 2:00) v7q g Fee A .0,6 Engineering Dept.(3rd floor) House#1 BARNBTABIE. ` k Qa-iming Board 19 e a TOWN OF BARNSTABLE Building Permit Application Prol treet Address Village Owner 0e/2C e 9' �� d'p� Address 1 //66,eL/ //4 ekj;l,�,o 1C� .'Telephone =Permit Request 's //I/- c Total 1 Story Area(include 1 story garages&decks) square feet Total 2 Story Area(total of 1st&2nd stories) square feet Estimated Project Cost $ _ zoo ao Zoning District IPC Flood Plain Water Protection Lot Size Grandfathered? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family >� Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached. Other Detached Structures: Pool ace Barn ne Sheds Other ` Builder Information , 9 Name d � � ,OlY fo �� C/ 4 Telephone Number / / Y6 Address �(f�1" � -*'U License# /Home Improvement Contractor# /® 3 /v Worker's Compensation# 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 SIGNATU DATE BUILD G PERMIT ENIED FOR THE FO LOWING REASON(S) � FOR OFFICIAL USE ONLY — i� _ PERMIT NO. DATE'ISSUED MAP/PARCEL NO: ADDRESS VILLAGE OWNER � — ~�`► f ` ~`i^ � �' ,a� • _ f # '� � -• '• i• i - DATE OF INSPECTION: FOUNDATION - r V FRAME' INSULATION FIREPLACE ♦r } ELECTRICAL: ROUGH ��� — FINAL ; PLUMBING:, ROUGH YFINAL �A - GAS: ROUGH ,FINAL s ' FINAL BUILDING t DATE CLOSED OUT , ASSOCIATION PLAN NO. r ' t The Town of Barnstable KAKAM ,$ Department of Health Safety and Environmental Services 1 BuiIding Division 367 Main Street,Hyannis MA 02601 RalphCms Office: 508 790-6227 Building Commmissioner Fax: 508 775-3344 Bu For office use only Permit no. Date AFFIDAVIT HOME IWROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICAITON MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,.mnoval, demolition, or construction of an addition to any pm-o sting owner occupied building containing at least one but not more than four dwelling units or to stractums which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Q Type of Work:Uv 1 �� ty t (1 D4 - Cost y / Address of Work: 3Y S-P� TT©(,Q1 C Owner.Name: Z / Date of Permit Application: a I hereby certify that: Registration is not required for the following reason(s): Work excluded by law -_Job under S1,000 Building not owner-occupied Owner pulling own permit Notice is hereby green that: CONTRACTORS OWNERS PULLING THEIR OWN PERMIT OR DEALING WTIII DNItEGTSTItED 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 hercby apply.for'a as th gen aer �93 Date Contractor name Registration No. OR nntp Owner's name w +` The Commonwealth of Atassachusettt Department of Industrial Accidents Y :i . , --•�! Ol/Iceo/%Yest/gat/ons w ►�i; =r; 600 11'aslziitl;ton Street Boston.Muss. (12111 Workers' Compensation Insurance Affidavit _ A,�-- � Please P1RilVT le b� 7 ,....`.'... -- nitcant mrormation- . . • name -3OHN -T, AL-ANL- ✓P i location, g U E 1/F Ly el l'F giy 7 gel//l' Cit, Mwli tT-, ,VS nhone#� ri I am a homeowner performing all work,myself. 1 am a sole proprietor and have no one working in any capacity lam an employer providing workers' compensation for my employees working on this job. n name- a(Wresse city phone#• - incurince co policy# .... .,,,.....,....«r...:r..,....:i::. .,'►.r--•• ,•,fin,..-_�.�;w�"^ - - �' I am sole proprieto general contractor,or homeowner(circle one)and have hired the contractors listed below who have the follows workers' compensation polices: compam name b R D P4 C l/ / R C; address: /V 9 A L 6 IM e A� c e`/V%��(// L L G" phone#: �� S—_-S S te/ insurance co /V IfC61,d1Y7-S Z'/VS C6 0# /�f�• nelicv#�CMI�I-02 — ��r�8 a 03 j- > ...,..,_,;��:-- irerrarr.+.:.:7a�os-=-rrr•=•—�.rtort-+ e.s,•'--mot•--r.. '�7RFPJ*,�e .'77M4fi�R ^_• :t '•-^?i3' c6mliany name-_ address: ci phone#• insurance nolicv# .Attach addi_tionai'sheet iftiecess�yr F'uilure to secure coverage as required under Section 25A of NIGL 152 can lad to the imposition of criminal penalties of a fine up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement mad•be forwarded to the Office of lavestigations of the DIA for coverage verification. 1 do hereby certify under the pains and penalties of perjun•that the infornwtion provided above is true and correct./ Signature Date /`e/�Z Print name �TbI/.t/ d 2/G/)L6/12", D� Phone# r okTicial use only do not write in this area to be completed by city or town official cih or town: permitflicense# nBuilding Department OLiceasing Board check:if immediate response is required (3Seleetmen's Office C311alth Department contact person• phone M. nOther (revesed 3.4)5 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for thci; employees. As quoted from the "law", an emp/ni�ee is defined as every person in the service ofanother under any contract of(tire, express or implied. oral or written. An emp/orer is defined as an individual. partnership, association. corporation or other legal entity, or any two or more 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 d%vclliitg house of another who employs persons to do maintenance, construction or repair work on such dwelling hou or on the -rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that even,state or local licensing agency shall withhold the issuance or rencival 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 in 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 lt,- been presented to the contracting authority. _-•'--•• .. .. _ „ .. �L•.f��'`'�.•^��','.7 tit.J i 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 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. cr 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. Plea! be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned tc the Department by mail or FAX unless other arrangements have been made. The Office of investi_ations would like to thank you in advance for you cooperation and should you have any question! 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 �4 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 i w I-Xises,or's Office(1st floor) Map Lote�4Hermit# 16,U oL- conservation Office(4th floor) S_ a e Issued r/Board of Health(3rd floor)(8:30-9:30/1:00-2:00) s.r, Q 'ee Engineering Dept.(3rd floor) House#1 1 Dept. or/S ool min. dg.) 7. . a ppr d la Bo rd F81" �L K A�SCE TOWN OF BARNSTABL a �� � �����®���� TOWN REGULATIONS Building Permit Application , {, Project Str ress W9EA f ot-J 1+lV6 Jj r Village ( �/°r"�/� V l 4.f► Owner aRUe A-,t P/0 1)i+A> Address j14WE— 'Telephone *a2 ql Permit Request Total 1 Story Area(include 1 story garages&decks) square feet Total 2 Story Area(total of 1st&2nd stories) square feet Estimated Project Cost $ 1.5-p0 Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached. Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name r-r /N6$ C Ora. Al o 40o ob Telephone Number 766 — �-00 Address / p g /�/ License# Q 3 3 —3 2— ---A Ux 7 V Home Improvement Contractor# /®� °7T v i°f'1 K f S lklt� 6 2-64. 0 Worker's Compensation# C 2162 YG 01" 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 �!�/lV 9FPlCt- v . �r—vin �- SIGNATURE ge4,. DATE BUILDING PERMIT DEN FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. 10202 4 ; DATE ISSUED 9,/7/9 5- ; MAP/PARCEL NO. 172 227 +r• fit _ , ADDRESS 34 Ansel Howland Road: VILLAGE Centerville OWNER) Bruce. & Erma Jordan,-,- ' r P I ~ DATE OF INSPECTION: w} FOUNDATION FRAME v INSULATION FIREPLACE , ELECTRICAL: ROUGH FINAL,-- PLUMBING: ROUGH !- ':FINAL GAS: ROUGH FINAL •" ' J FINAL BUILDING DATE CLOSED OUT - "w ASSOCIATION PLAN NO. e :r-,MMONWEALTH DEPARTMENT OF PUBLIC SAFETY - OF ONE ASHBORTON PLACE AASSACHUSETTS BOST— MA 0210a1 L t CEll- = EXPIRP = EFFECTIVE OATS LIC-NO. RESTP" 03/31/19Y4 . 045 t 95 c 'Ames D MCGRATf! I ,� - p0 80x 706 n 1F.� FEE:. ,.- 7+orvAUo s7DNED ev UGE7dEEAw af7lCu+lr srA.wE°•o -S�v7�T OF TIMEm•+ R HEIGHT: ! tt T TMS OOO'WENT MUST BE 37O14ATUFE OF UCE►SEE { :� �"••i.''.r CARREOCN ENE PERSON OF - •. THE HOLDER WREN EN, M6SIONER - . 17I MFpE1�'iE �.uNrl CaACa®W:WS0001RAT1pN. HOME IMPROVEMENT CONTRACTOR ; p Registration 109374 Type - INDIVIDUAL Elpiration 09/11/96 I PINE HARBOR BUILDING CO.,IHC:' JAMES D. McGRATH }oP0 BOX 708/110 6T 4IESTERN:RO AD"NG -6EAAI3?SiI 02660' - f i i�+Ks, � �s� �i COMMONWEALTH OF MASSACHUSETTS `W DEMa MFNT OF INDUSTRIAL ACCIDENTS 600 WASHINGTON STREET Jan+es.: Ganooer BOSTON,MASSACHUSETIS 02111 �o ssione WORKERS' COM ENSATION INSURANCE AFFIDAVIT : �u Y �4- 1, (licensee/Perm irtee) , with a principal place of business/resid nce ar. (Gry/Statemp) do hereby certify, under the pains and penalties of perjury,that: 1 am an employer providing the following workers'compensation coverage for my employees working on this jo HN061� Insurance Company Policy Number [J I am a sole proprietor and have no one working for me. [J lam a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation insurance policies: Name of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number Name of Contactor Insurance Company/Policy Number 1 am a homeowner performing all the work myself. NOTE Please be aware that while homeowners who employ persons to do maintenance,construction or repair work on a dwelling of not more than three units in which the homeowner also resides or on the grounds appurtenant thereto are not generally considered to be employers under the Workeri Compensation Act(GL C 152,sect. 1(5)),application by a homeowner for a license or permit may evidence the legal status of an employer under the Workers'Compensation Act I understand that a copy of this'statement will be forwarded to the Department of Industrial Accidents'Office of Insurance for coverage verification and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties consisting of a fine of up to S 1500!!!A—`mar imnrison_ment of up to one year and civil penalties in the form of a Stop Work Order and a fine of S 100.00 a day against au. Signed thi „r__ day o. IQ t 19 A a W, Licensee P rmsrt c Licensor/Pornittoi The Town of BarnstabF X"L 1�t Department of Health Safety and Environmental Services Building Division f f 367 Main Sir=.Hya®s MA 02601 Ralph C OM= 508-790.6M H F= 508-775-33" For afce use only .- . pwait no. Date AFFIDAVIT HOME nuROVEMENT CONT ACMRIAW SUPPLEbMTTO PEBMITAFMCAUON MQ.c. 147 requires that the"racnstruction,eft adm renovation,rt modan�Oa►cam1° Wit, remo%-4 demolitim or aoratrnca. of an addition to arty owner a= building containing at least ane but not more than four dwelling twits or to whir.!am 24 to such reside=or banding be done by nmistucci cm=ct= with ae:tainczccpdom along with mq�rczaeats Type of wont: Ert.�G,as/t �l Sid r- Andras of warlc 2 6 0C Oaner.NaatE rL) Y Date of Permit Application: I hereby certify that: Registration is not required for the following rc=n(s): Work aodudodby law Jab under SLOG -- nilding not ownct-ao cd —7P-A0*=puft own pear t Notice is hereby Stria that: OWNERS PULLING?'11EiR OWN �1D ECG DO NOT SAMM GI�CiSS T� FOR APPLICABLE HOUE IIuIPRO ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c 142A SIGM UNDER PENALTIES OF PEPJURY I hcreby apply for a permit as the agent of the Owner Date ,Tame won No. • TOWN OF BARNSTABLE ', 4 s BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION ��-ate=M-== -_�--_�____--_ --�--------------------------�---_- Please DATE JOB LOCATION 'Number Street address Section of town °HOMEOWNER° 'U� Name Home phone Work phone 777 PRESENT MAILING ADDRESS 3 NS k )�40 k) Nif/6 City/town State Zip code The current exemption for "homeowners" was extended to include owner-occupies dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sj who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six 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 no be t considered a homeowner. Such "homeowner". shall submit to the Building 0ffici on a form acceptable to the Building Official, that he/she shall be responsih for all such work performed under the building permit.. (Section 109.1.1) The undersigned "homeowner" assumes :responsibility for compliance with the St Building. Code -and other applicable codes, by-laws,. ,rules and regulations. The undersigned "homeowner"certifies that he/she understands the Town of Barnstable Building Department min' um inspection procedures and requirements and that he/she will comply with ai procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with. State Building Code Section 127.0, Construction Control. v . HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which-.a'*---Wuilding permit is required shall be exempt from the provisions of this section (Section 109. 1.1 - Licensing of Construction Supervisors) ; provided that..i. Home Owner engages a person(s) for hire to do such work, that such Home Ow: shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q. Rules and Regulation! for .licensing Construction* Supervisors, Section 2.15) . This lack of aware, often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Hoard cannot proceed against the inlicensed person as it would with licensed. Supervisor. The Home"Owner: aci as supervisor is ultimately responsible. To ensure that the Home Owner' is fully aware of his/her responsibilities,. n communities require, as part of the permit application, that the Home..Ownez certify that he/she understands the responsibilities of a supervisor. On t last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community c:-,Ai_1GLv-- PAM%L--e - 3134E:Di-DUNS. LUO UrZ AUA4 r�B rcl Qv�lZ r kal L`1 FAW L s •t I +� .� • SS G-RID. uSE- t o00 6AL-. 7_. I2Pos'LL PIT usE loco Gam.. r t ZWALL A¢EA = l 50 s.F. ON ISo SF 2.S + 3-75 G.P.L . TOTAL GSfLGDL&.TIO►.l I?ATE t l ItJ to z 2� r�PC;NA4 il3 � Or ALAN ti. -Z A. tlAX 1[.R ( ' lL�.Y'Ii4H O 'o.� N'If r No )71 !�$`?I STf T Lo t),y L ` Tor Vuo,,,tvl TEST P- 4 F6, Go r [oAwl .. Pie Loses I►N' `� � �q'y,P� �• Iw. GAL. 5�.8' S Jg501 L.► 51 -Sox ,biv. r �-oNK loon �Nv. �►N. GAL.. Z. ,¢ rtA�K l8 d+veer t A AL LAN rtt o ba ihvaurr, A PIT /a�il�I�IZ WAS+JED srONe- E_C 2'I"t F I EC7 P LC)'T PL A.1J_ I F�ROF-1 L� LOCATIO" `- (�=�1TF� 11I�' uo s�aa.�- 5cnl_r ("- c�Cv �ATC= Call-l3z i{L- d-b No l.11QT6YL Ptn.►J �►.Icc I C_t,l<YI1= �r TgA7- TI-1C.. POUQCATIOI� '5"a.Ju � t-If.l'- [_pl�l Cc��PL�(S W ITt� TI-1�.: �jl D� LI►-��� �• 2"� n►�L� �,C7-�-:n�1< I:CLJv.I�EM�►-1T� of rNc� 1 'ro-od" (1IJTLv- L.Lc� I-Wrl-; tc-I� P'L. a �r A��M. �`� ����•, ��.� g�XTGtZ uYL I2CGlS f'C-IZi_D LAI-1G '�U2VcYU►�`� YI {IS l7l_A►-I I t-JOT QA-,CO Ut-4 AaJ J ;I i':J.�11:1�1 i /�UI_�/I-`t' T►a(a UFO=i�=r�, i14GWW_ i ASPNHLi �17"G14 SH I N6-LES G1 rraN I I i 1 I i j '2J No i;E PLL bvooO 2sc4'� QPrFT�RS 2y"0.1. ALL 6N EDS AhvE C�t3LE � i � 11 Roo F i i I `ENU I LorJ.VEf2S ' j y X y (TACK ! j yXy I j Pasrs 2z`4' PukLI SY '�� ' I n - ; I i j j 2.xy Td�STS I/4 O.G W��IAGKIN4 4 � \1 „o•'"` TOWN OF BAANSTABLE permit eNo. 24183 i e r t u� Building Inspector t 1 ssuruar i ! Cash ; ,OCCUPANCY" PERMIT Bond "No buildingfnor,structure shall be erected, and no land, building or structure shall be used for a new,,tdifferent,,changed, or:'enlarged use without a Building Permit therefor first having been obtained',from the Building Inspector. No building shall be occupied 4until a certificate of, occupancy has beef Yjissued by the Building Inspector." Issued to Alan Srsl l I 1 Address lot #'27 0' 34 t=el Eculand Pw d, Centerville Wiring Inspector M .= Inspection date Plumbing Inspector F Inspection date 1 Gas Inspector Inspection date I o" f �- X Engineering Departments 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. �� p.. Building Inspector b, "a GArrsac_S c:�.rc1 -27 rant Lsr vr L.ovi s t to K '3�0 •P•�. ,l\,asEt.- ��AIJD I �EPTIG -rt-"V_ = 33a,r ISO % - AXIS 6.PD. , use- t ooc, r=A -. �l3 3Co p�5RO5AL P1T L-)Sr- l Ooo GAS... t t�u/A LL Ae ISo SF 4 2.S v 3'75 $Urr o,tA - i�:o 50 S.P.P. TOTAL -PC.SIG►l C 425 6-•pn• ToTat_ mat��( FLl�W s 3w &Fm. lso� 17� �oVND, i t�EfZG�I.A,TIOt.I LATE✓ t (��tt.l 2M1►J• �21�55. 2` � /o -_ ,� rA �44 r )PAW- Qy SN OF M 11 fi r A. ALAN No 2•'048 JO 41 4 No. 5 ro•n 5l;ry>ry� T •��• ON l F. � .I �,.G�Go Top >'ya�to l.. 10 lotilM �.�Pe I o00 ��' i + �,t IW. GAL. 5�.8 4 L Sox S'l,c. SeQric 1 C7::� ToNK1DOO IUV• , GQAUSL I GA t_. SG,Z. ,� :A R T WASHED i 0wZ ST t'1D. ICJ I Ee~Q�tFt�t� PL C)7- P2.oi= _ea LaU�TIo>J I � Uo SGa,`�- SCAL �tL.�� bAT� Co-1l-s2 LC- 41 6 ..�0 WkTWL �'' I GGiZTt t=�{ TE.-(AT T14Cam. t'UUQL-->ATID0 5u01-'/►J �1--A RL--1== c►.1Gl� 1 DE LI1�l� 14 6.t't_o i_l Gc�,rti�PL. (S W I*rk T I-tj', 5 ,. �- 271 Auo ';CTI_'�nCIG �.'GQUI�E��uT� Of TµC "Tow w C, tsAAR 1t 17 A.TSLS CeoTwe-t)I t-Ls GA-TG RCGIS [tRi`D LAwc) SUevcYot=S I'S 6-1 UT 05Tev-vu-tL o I�tAS�i� 11J;1'�JM�=tJT Vt=`t' kY1{U. UFO=S�Y-e. 6140uJLD APPLICA.I�1T_ 1•(,l' C:;G_ uI'Xtc� T�, Or::1VCt:'.M1►,1L: LU"(" t_Ihl�S - L/1l� �✓Y�AtI. �!�C� TOWN OF BA-11 MF CODE AND LATIONS BUILDING I-NSPECT-011 APPLICATION FOR PERMIT TO .... 0 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: � Name of Builder -- —�^� ------------------.A66rex .--�_--------.--..—.--_---.---. .. ' Name of Architect ----------------------A66res ----''—.-..-------__—____,____.. � . � Number of Rooms ----------------------Foundation ,.........................-----__,_______.__. Diagram of Lot 'and Building with Dimensions Fee ... - _________ SUB B3.TO APPROVAL OF BOARD OF HEALTH . ' . � . ~ ` | ^ ^ � ' . ` . . . ' . — - ' � | ' ' | ^ ^ ` | � | hereby agree to conform to all the Rube and Regulations of the Town ofBarnstable r gar ng the above ` construction. ` � � ����... \ � � SMALL, ALAN .. ; ._�.- . . , ...r..._ _N-�.. _: ..�._. ,_.�.�F• ..... . a _ , r..: .< r _ . . .. - , ....,.,.. «;.`No z4I8"3� Permit for ..One...S tor y.......... - ' Single Family Dwelling ff ....................................................................... I° ` Lot #27 34 Ansel Howland Rd. Location ........................ ..................................... Centerville Owner Alan Small ' .................................................................. Frame TV"a of Construction t ........................... ............................... Plot ............................ Lot ................................ i ,y Jul 1 r 82 c Permit Granted ........................................19 Date of Inspection .......19 Date Completed ....�g.../?..................19 PERMIT REFUSED .... . .. .. ....... 19 ' ................ �• .... ......................................... ...................... ...... .................................................. ................. .......... .......................................... • - . ....'... ........................................... ....................... • _ Approved ......................:......................... 19 . ............................................................................... ..................... ............................................ ......... s