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0017 BERNARD CIRCLE
h.;to itr �FY a t t r L x' k t i k zipy.a•� f 'All : ' t ,• tpL°.Fs 1St ry F ,.,i ,�• ;:�r ;t.. m �� n '� i{, 'a...+�.�,�tl '.:„c k 9 } t '� .�' i 1 .�. "n a•'°:!r: �. ir�{ fit tt �( .:. yr rud � y�.�.rr..y�h t' ��', t� .��si ,w,nF• ,:a.K:'rt:• ri° .a .4� v F�.,. .v, .-tr- - :w�Fea aF a..�„ rdi�. e :�, �'1��: �l 4 R� �•rr l' �'r�a r'�t 4�. � Svfr. 't� r,t.'a ��� r ,. 71 YA ' w f�`;'��'tE `"� •x� z rft�, {�k ,s���A r�� �t: � ►t'�,k ter��'a u �r " n" t � r : w R W f n �1 k 3, F x•. ,y ��r� ra aft%a 3 t ,P -'I o .t s , #br$ ;� R _ n .Ji�a�et�e�a•d..� _ lime Town of Barnstable *Permita t,5 6,�� Expires 6 months m issue date Regulatory Services Fee t BAartsTeata,NAM • e� Thomas F.Geiler,Director Building Division 13 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number IV702 Property Address 17 ✓AAA GR .'Residential Value of Work$ it)FO 67 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address JV30A Contractor's NameG /Yl iY/1 Q Telephone Number Home Improvement Contractor License#(if applicable) 16`Kl Email: 44 ai A7fti-e°R 5 Col Construction Supervisor's License#(if applicable) 96 M--C-hg-% IT gWorkman's Compensation Insurance Check one: SEP 2 0 2013 ❑ I am a sole proprietor I❑ am the Homeowner II have Worker's Compensation Insurance ToUVIV bF BARN STABLE Insurance Company Name ' � A S Workman's Comp.Policy#?11660f 9130 019— Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed) of stripping. Going over existing layers of roof) �Re-side S S& Cfoa Replacement Windows/doors/shders.U-Value o 2 (maximum.35)#of windows #of doors: _ ❑ Smoke/Carbon Monoxide detectors-4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. "where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. .***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is r quire . QAWFILESTORMS)building permit forms RESS.doc Revised 060513 r {J Tire Co78 mori11dea th ofVassacbuse S Department of lud u &W Accidents - f3iice of fin'►afigadons ' 600 Washington Street Boston,M,402111 1'VtL v.1,F azmgo1'/dia Workers' Compensafaon Insurance Affidavit:Builders/ContractorsJE ectricians!Plumbers ' ant Infarmation Please PrintLe?_ibIy N as1'`,O�ganization/Ladivic�al): � �_ cityfstate/Zip: On Phone 4: , — Are you an employer?Check dLe appropriate box: Type of project r - ,�., " 4. I arot a contractor and I � Pa' ] � e4trired}: F Lld'Iam a employer with . ___ ❑ 6- ❑New omsttuctiou employees(full and/orpart-time}* have hired the sub-contractoss❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑modeling + slip and have no employees These sub-contractors have S. ❑Demolition w for me in an capacity. employees and have workers' otdong Y � ty l 9_ ❑Building addition [No worms' comp.insurance comp.insax rx required-] 5..❑ We area corporaticnand its 10-❑Electrical repairs or additions 3_❑ I am a homeomer doing all work officers have exercised their 11-0 Plumbing repairs or additions mywI€ [No workers'gyp. right of exemption per MGL 12_❑Roof repairs insurance -]1 c_152,§1(4} and we hatim no , " empl -[No workers' 13_L�,�Qther 1� camp.insurance required-J. MIS b' ;A agptu2nt we tfiat checks burl west also EU out the section below showing then workers'rnarpevsadon paIiT Homeown�ess who submit this affdwit industing d ary ase doing all wink and&m hire outside contractors must sobatit a mw a$5dwk mdaicating inch_ (Contractors that check this box mint attacked an additional skeet showing the name of Ifie sub-cmift2Mn and state whether ornot those entities Fuse etnplayees. If the snb-cont moats have emplayw!s they nnut pmvide their warkee'Comp.policy number. I am an einplvyer that is prm idkg workers'compeatsation irmirance for my employee Below is dje policy and Job site zhfot madom ` / ec Insurance Company Name: a �'� �/ 6 0 [�o Policy d or Self-ins-Lid_4: Expiration Date: Job Site Address: I (�/2 ri r (YASM&� city/State/zip:(owq'Ir C../ L Attach a copy of the workers'compensation policy declaration page(shoving the policy number and expiration date). Failure to secure coverage as requireduuder Section 25A of MGL c. 152 can head to the imposition of criminal penalties of a fine up to$1,500.0a andlor one yearinrpcisonment,as well as civil penalties in the farm of a STOP WORK ORDER.and a fine of up to,o,$250-00 a day against the violator. Be advised that a copy of this statement maybe forwarded tau the Office of investigations of the DIA for insurance coverage verification_ I do h emby cetI6 under tlrepains and penufties o,f'petlury that the informidion pros idedi above is buts and correct -=Si ture: " Date: 4 Oficial use oniy. Do not twits in this area,to be completed by city or town officiaL ease If Lisping Authority(circle one): 1.Board of Health 2.Building Department 3.Oity1rown Qerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto 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 Iocal 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 in sumce 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 lime. 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 fmvestiptxans 600 Wash[Voa Stce-et Boston,IAA.G21 I I Tel.A 617 727-4900 W 406 or 1-9777-MASWE Revised 4-24-07 Fax it617-727-7749 www mass.Rov/dia „ uoES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 13Y THE POUCIES , r(Ai CERTIFICATE OF INSURANCE DOES NOT-CONS-1 I I U I A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED _,o-cSENTATIVE OR PRODUCER,AND THE CERTIFCATE HOLDER. RTANT: If the certificate holder is an ADDITIONAL INURED, the policypes) must be endorsed, IfSUBROGATION 15 WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement, A Statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen PRODUCER C United Insurance Agency, NAME• g cy, Inc. PNd E 508 759-6595 FAX ; (508) 759-3822 199 Main Street ,�y�/IIL P.O, Box 1013 ADDRESS: Buzzards Bay, MA 02532 INBUi�Rj�AFFORDINGCOVERAGE NAICB INSURE:A:AtlantaC Casualt IPBURW A to Z ,Roofing INSURER e:TraVAlera and Construction LLC INSURERc: 8x 204 INsuaatD: Corset, MP, 02558 �,NSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICES 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 CERTIFIGATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. AMLMMR L w TYPE OF INSURANCE INGR J= POLICY NUMORR N ipD'Y” LIMITS A GENERALLIA9ILITY L117001400 4/25/13 4/25/14 EACH OCCURRENCE 6 1 000.000 X COMMERCURL GENERAL LIABILITY ANI4GET0 NTED AISES1Eetconc. 3 100 000 clAmnS MADE oocuR NED W one Pena, s 5 000 PFRs0NAL&ADVINJURY 1 000 000 GENERAL AGGREGATE t8 Q,OOO,OOO GEN'L AGGREGATE LRJIIT APPLIES PER PRODUCTS-COMPIOPAGG S 2,000 OOO POLICY PRO' LOC a AUTOMOBILE LIASIUTY UNBINE (9LELIMI e aeeidnri � ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Per Deleon) $ AUT08 AUTOS BODILY INJURY(Per aexldont) Ij HIRED AUTOS NON-OWNED PROPS DAMAGE $ o1gr'1 em 8 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAS CLAIMS-MADE AGGREGATE $ OFA RETENTION B WORKERS COMPENSATION 6HUB6B107014 7/12/13 7/12/14 WCSTATU. OTH- AND EMPLOYERS'LIABILITY YINANY X OFFICHORMIEMDREXCLUDEEo7�� NIA E.L.E IJ•,ACCIDENT 100 000 If Go aeory l: k,,I)MEASE-F EMPLOY�_�3100'000 If ee tleurlba underD SCRIPTIONOPERATIgNB below E L,DISEASE•POLICY LIMI 0 00 DESCRIPTION OF OPERATIONS./LOCATIONS I VENICLES (Attach ACORD tot,AddlOonel Renudm Gchedit,If more eluea Is reQtdmd) Carpentry CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE HyaTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Mai TSt Hall ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main St Hyannis, Ma 02601 Au7KORiZEOR13PRESENTAMVE Tatum Buckley 0 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 'hone: Fax: (508) 790-6230 E-Mall: Office of Consumer Affairs&BrPsiness Regulation HOME IMPROVEMENT CONTRACTOR Registration: :js4951 Type: _`- Expiration: 12/2/2013 DBA ATE Z ROOFING Sf CQNSTRUCTION ZACHARY MAYNARD?. 34 PINEHURST DR WAR AGw"l Undersecretary F c C l voet3 vt Dcla 'fit t i bi,l: Safet: tssGVTt3 3 s1 3c rxt s^[ions 34;^Slan> •ici �,ft;.sfa.til.aa!!!�lS'fa::1'itaSC I i1=�:lai7l.l; - ;can e: CSFA-090176 ZACHARY AYAiARD 34 PMEIURST DK WAREHANiVL4 Q73 C�ttl�i�sl��e*. 02128/2014 Call COastak 4 6uit CA Contract for work to be done By: 0 0 A to Z 550 HSO Zach Maynard Founder700 Toll free 1-800-781-1816---Cell 1-508-322-8047 Email at: zach@azroofers.com---www.azroofers.com We Specialize in Roofing, Siding, Additions and Remodeling!!! Always Fully Licensed, Insured and certified!!! "Family in the construction trade for over 40 years" Customer name:Joseph Vintro Jobsite address: 17 Bernard Cr.Centerville �..�� ( • 7 LJ 1 -�� Job Description: Description of proposed work on the property listed above. o U • Window installation of triple wide model number AW3251 $1,300 0-6 • Window installation of 2 Anderson double unit windows $2,200 1 l QO • New cedar installation on the rear upper section of your home $1,500 • New cedar installation on the gable end at the bottom of the new (�U Y 40 ,5 �A window installation and all the way to the top $2,100j 360 ' �o U X 40, 71P Replacement of 2 rake trim boards:$200 (painting to be done by a . painting contractor) • New PVC trim under the porch slider $50 y Ci 4 1S +TIM 1/?6 `� g�° • Stamped concrete cleaning and sealing, including sealing the cracks 8 SOLO) $600 • Brick demo in the basement $9� ` 7 -E 30o Full cost of job: 8 qSO too Payment schedule: Half down for deposit,%of the remainder upon nis a ins a ation of the roof and the remainder upon completion. qsoo QS (J�eP�S For scheduling: Please sign,date and return contra opy,and call 1- *If special order items are be involved.This will dictate job start time. Jobs start date 9 0 V Product type: J -s6(, Xq 7 <51 011�U We employ our own dump trailers.So the nuisance of a full size dumpster is not applicable.We also offer referral incentives along with advertising incentives(before and after the job). x /\! Contrfiallr signature""' Pr erty own r sign re Please read all of the following information carefully! Contract Acceptance - Upon signing, this document becomes a binding contract under law. Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence. Review the following cautions and notices carefully before signing this contract. At the start of the project, please move any items in your yard/ landscaping, to assist A To Z Roofing in maintaining the aesthetics of your property! If there is a non-payment upon completion or during a project, and Contract has been fulfilled by A To Z Roofing, then necessary legal action will take place, via mechanics liens on Property. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION TOWN OF BARNS E Map Parcel Z Application # Znt Health Division 11 `j '*# j Date Issued Conservation Division Application FQ Planning Dept Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 1? i3ezedvrd C r. Village CZi�viIP Owner MA r_e_ Viy7L,-o Address 1 ? 13c.,&Aayd C_i&- Telephone Sa g 1q2_o j 7 S C Permit Request Y-atsinkj) 20 Sda*- elec ,L oce.1dr vita eoylo es'r— '.�-o �� �v�f�.P��.►yc�}-c� ly �-�•-c_ �+vv�..L`_s ticc��-�.-et«I c,.s�cw, ' Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation tl 9 uo6 Construction Type Lot Size Grandfathered: ❑Yes A No If yes, attach supporting documentation. Dwelling Type: Single Family 2' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes &fNo On Old King's Highway: ❑Yes No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other 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 Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ® No If yes, site plan review # Current Use R Proposed Use Sulu,. Pt/ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name J c5r ash iR Q'AA41u&l Telephone Number 07`0-2r5- ,23 S g Address 'Zy ',S-F. Dr. Bide. 2. mod- License # 69St t y 110I hombidthIV C(-7 s v Home Improvement Contractor# (C 57Z Worker's Compensation # WC 10 M7 a ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO -It � 2 SIGNATURE DATE 7�U�? I, ;A FOR OFFICIAL USE ONLY 3 APPLICATION# DATEISSUED ` '4 MAP/PARCEL NO. ADDRESS VILLAGE - i# OWNER DATE OF INSPECTION: FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL -- t PLUMBING: ROUGH FINAL ` GAS: ROUGH FINAL FINAL BUILDING I s ` _DATE CLOSED OUT ASSOCIATION PLAN NO. ' , • The Commonwealth of Massachusetts ' Department of Industrial Accidents . Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov%dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information r Please Print Legibly Name(Business/Organization/Individual): Iuy�C o 4 'CGr)2. " Address• Z V. S -. !!?t;kd/% 0n lzlck Z 14e,"f ,_-14 City/State/Zip• bo,,ts p l-7 S 2 Phone#: ''If-2 9-2 is- 2 3 5 51 A,ree,�°u an employer?Check the appropriate bog: Type of project(required): 1.L Y I am a employer with 3p60 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, [:]Demolition . workingfor me in an capacity. employees and have workers' Y P n'• �, 9. �Building addition • [No workers'comp.insurance comp.insurance. 10.E Electrical repairs or additions required.] 5. We are a corporation and its P i 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.❑ of repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13. Other �al�v �V - 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:;_ru,: Policy#or Self-ins.Lic.#:1.4V C C1 6 -2 3 9 6 7 0 Expiration Date: CfZIZ13, Job Site Address: �7 v17ap-:/ �✓�. City/State/Zip: 7 S Z 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 certi under t e pat and penalties of perjury that the information provided above is true and correct 9 Si afore: Date: 30 3 Phone 7k- 215- Z3S `I- Official use only. Do not write in this area,to be completed by city or town.offciaL 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-contractor(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 permittlicense 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 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia i ,4co�ieo� CERTIFICATE OF LIABILITY I DDe/1i1DDIY2 �- INSURANCE Da/16/2D12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and Conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsoment s. PRODUCER 0726293 1-415-546-9300 CONTACT Arthur J. Gallagher 4 Co. NAME:- Brendan Quinlan PHONE 415 536-4020 Insurance Brokers of California, Inc., License f10726293 WC.N0.Eiat):._15- No): One Market Plaza, Spear Tower EdAA1L Brendan_ _ - Suite ,200 A00RE6¢: __ quinlen®eig.coln San Pranciaco, CA 94105 �- INSURERS)AFFORDING COVERAGE NAICa -•--•- - _ INSURER A: ZURICH. AMBR INS CO 16S35 INSURED SolarCity Corporation INSURERS: LIBERTY INS CORP " 42404 - -- � _ INSURERC: UNDERWRITERS AT LLO_YDS _ 32727 3055 Clearview Nay INSURER O: `w I San Mateo , CA 94402 INSURERE: INSURERF: - - ••'" COVERAGES CERTIFICATE NUMBER: 28723200 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE,TERMS, EXC_LUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INBR - " . .- ..DOLidullIft _�-' -- Y EFF POUCYEXP AM TYPE OF INSURANCE I POLICY N NUMBER POLICY p LIMITS_ - - - - A GENERAL LIABILITY I OL0967364404 09/Ol/1 09/01/13 � I EACH OCCURRENCE_ f 1,000,000 X I COMMERCIAL GENERAL LIABILITY ( z - DAMAGE TO RENTED f 2,000,0 00. - ($E$.(Eaocourrence) _ CLAIMS-MADE j X I OCCUR i. t MEP EXP fA_Try one pN/sdn) S 30,000 X i Deductible: $25,000 20 i PERSONALS ADV INJURY f 110- .00,000_ - - f GENEkALAGGREGATF rf 2.000,000 GENT AGGREGATE LIMIT APPLIES PER. ( PRODUCTS"COMP/OP AGG I S 2,000,000 X POLICY l PRO. LOC :f .. A AurouoaaEUAetLm ' I iRAP962931702 1 09 Ol 13 COMOINEDSINGLELIMIT 1 (EA 3oaden11• (Per parson ;11000,000 , X ANY AUTO '" BODILY INJURY )- f _ ALL OWNED SCIIEDULED ? - -• - AUTOS - AUTOS ( BODILY INJURY(Per acridenl) f X I41RED AUTOS X NON•DWNED ( _ PROPERTY DAMAGE -' - AUTOS (Per accident) ......g i f B X UMBRELLA X OCCUR 'TR7661066265012 EXCESS 09/01/1 09/01/13 EACHOCCURRENDE $30,000,000 EXCESS LIAB_ CLAIMS•MADE' AGGREGATE DED I X RETENTIONS 10,000 f 20.000.000 A WORKERS COMPENSATION I IWC967346704. WCSTATU� OTH• f AND EMPLOYERTLIABILm } 09/01/1 09/Ol./13 X" ANY PROPRIETORIPARINERIEXECUTIVE�YIN I t TORY LIMIT OFFICERIMEMDER EXCt UDED? L"..I NIA. E.L.EACH ACCIDENT If 1.000,000 ' (MandatoryIn NMI E.L.DISEASE-EA EMPLOYEE'S 1,000.000 Dyes,desc.,be under ll d DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT S 1,000,000 C Errors and Omissions B0146LDUSA1204514 09/01/1 09/01/13 Limit of Liability 5.000,000 I A39rogate 51000,000 I Deductible 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Sdmdule•It more space Is rettuimd) - Certificate issued as proof of coverage. CERTIFICATE HOLDER CANCELLATION ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE tividenco.oE Insurance Only. THE EXPIRATION DATE THEREOF, NOTICE WILL RE DELIVERED 'IN a ACCORDANCE WITH THE POLICY PROVISIONS. • r ' AUTHORIZED REPRESENTATIVE ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) :The ACORO name and logo are registered marks of ACORD goksan 28723200 _ The Commonwealth of Massachusetts Print Form Department of Industrial Accidents Office of Investigations f I Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): SolarCity Corporation Address:3055 Clearview Way City/State/Zip:San Mateo, CA 94402 Phone #:650 963-5100 Are you an employer?Check the appropriate box: Type of project(required): 1.21 I am a employer with 1500 4. ❑ 1 am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition workingfor me in an capacity. employees and have workers' Y9. ❑ Building addition [No workers' comp. insurance comp. insurance.* required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I 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 Solar PV 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. Ifthe sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance fur my emplovees. Below is the policy and job site information. Insurance Company Name:Zurich American Insurance Company Policy#or Self-ins. Lic.4:WC96734670 Expiration Date:09/01/13 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 hereb cer ' u r t{re s n e !ties o er'ury that the in ormation provided above is trite and correct. Si nature: Date Phone#:978-215-2358 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#: i71 r?/1�, /�1'1lrof�✓✓/!C(_lGf%Ll?. f�!��� �t�(;CCts!lG?C�lGl�ilfa �1 �+ Office of Consumer Affairs nd Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 168572 Type: Supplement Card SOLARCITY CORPORATION Expiration: 3/8/2015 JASON QUINLAN - 24 ST. MARTIN STREET BLD 2 UNIT 11 -- -- MARLBOROUGH, MA 01752 Update Address and return card.Mark reason for change. SCA I Co 20M-05/11 ❑ Address ❑ Renewal Q Employment ❑ Lost Card free of Consumer Affairs&Business Regulation License or registration valid for individul use only expiration date. If found return to: before the ex ME IMPROVEMENT CONTRACTOR P 0 Office of Consumer Affairs and Business Regulation' Registration: 168572 Type. 10 Park Plaza--Suite 5170 Expiration: 3BL2015 Supplement'Ard Boston,MA 02116 SOLARCITY CORPORATION JASON QUINLAN 24 ST MARTIN STREET BLD 2UNI ITIIAALBOROUGH,MA 01752 Undersecretary _ Not valid without signature t Massachusotts -bepartment of PutSjic Satoty Board of Building Regulations and Standefds I / timirueturn`lopcf,Ism Ucenso,CS-095884 JASON R QUINLAN r 190 WALL ST '�� s BRIDGEWATER;MAj() Expiration � tr11111Sx1►fl,C/ 12IO2I2014 . ' w C�] //Ec GINIERING , INC' . June 10,2013 Brad Taylor SolarCity,Inc. 3055 Clearview Way R San Mateo,CA 94402 M 0 Digitally signed by Rolf DN:cn=Rolf,o=Eclipse Re: Vintro Residence Solar—Project#026118 0 Engineering, m Inc:, � eail=rolfa@eeim[.com,c=<n 17 Bernard Clr ` SS��NALA Date:2013.06.181 S:21:51107'00' Barnstable,MA 02632 Brad, ` As requested, we have reviewed the solar array connection to the roof structure at the above noted residence. The purpose of our review is to determine the required spacing of the connection points to the existing roof structure and verify that the existing roof structure can support the required loads. The solar array will be located on the structure as shown on sheet PV 2 provided by SolarCity, Inc. A jobsite observation of the condition of the existing framing system was performed by an audit team from SolarCity. All attached structural calculations are based on these observations and the following design criteria: Desiqn Criteria: ■ Building Jurisdiction: Barnstable,MA ■ Applicable Codes: 2009 International Building Code,ASCE7-05 ■ Ground Snow Load: 30 psf ■ Roof Snow Load: 23.1 psf(reduced for slope) ■ Basic Wind Speed: 110 mph, Exposure C ' ■ Solar Modules: 2.8 psf As shown on the plans provided by SolarCity We find that the solar array connections and the roof framing members shown on the plans provided by SolarCity, Inc. are adequate to support the required loading of the above noted building jurisdiction area plus the additional dead weight of the solar panels. We have only reviewed the adequacy of the connection to the existing roof and the roof' structure to support the required vertical and lateral loads from the solar array system. We do not take responsibility for any other portion of the solar array support system,any other structural elements not contained within this letter, or the integrity of the structure as a whole. Sincerely, Eclipse Engineering,Inc. Lynri Gmeiner,EIT Project Manager Enclosed: Supporting Calculations 1.55 NE REVERE AVENUE,SUITE.A,BEND.OR 97701 PHONE:(541)M-9659 rAX:(541)312-8708 WWW.ECLIPSE-ENGINEEP lNG.COM r ECLIPSE ENGINEERING INC. Structural Calculations . --Roof Mount Solar PV Attachment PROJECT: Vintro Residence Solar - Project #026118 17 Bernard Cir Barnstable, MA 02632 Client: Janice Vintro, 508-420-1765 Eclipse Engineering, Inc. has reviewed only the adequacy of the solar panel attachment and roof framing at the solar panels to support the vertical and lateral loads of the above noted project. We neither take responsibility for any other element not contained within this package nor the integrity of the structure as a whole. Calculations Prepared For: Calculations Prepared By: SolarCity, Inc. Eclipse Engineering, Inc. 3055 Clearview Way 155 NE Revere Ave. San Mateo, California 94402 Bend, OR 97701 888-465-2489 541-389-9659 155 ENE REVERE AVENUE.SUITE A,BEND,OR 97701 Y . PHONE:(S41)389-9659 FAX:(S41)312-8708 WWW ECLI PSE-ENG I.N E E R1 NG.COM Eclipse Engineering, Inc Solar City 6/17/2013 Consulting Engineers Calculations LNG Project: Vintro Residence Client: Solar City EEI Proj.M 13-06-103 Solar City Proj.M 026118 Date: 6/17/2013 Roof Angle: 18 deg 110 Wind A: 1.29 Building Dept.: Barnstable Ground Snow: 30 psf Wind Speed: 110 mph-3 sec gust ROOF LOADING ESTIMATES DL Roof- DL so metal roof 2.0 2x8 @ 16 ox.• 4.8 Insulation 1.6 1/2"gyp.Ceiling 2.2 5/8"Plywood Shtg 1.8 Misc 2.0 Total• 14.4 psf f Use: 15.0 psf DL Solar Panel- Panel Length 65.6 in Panel Width 39.0 in Hardware Weight 6.668 lbs Panel Weight 43 lbs Panel DL 2.821378 psf Total 2.8 psf Use: 2.8 psf r 4 Eclipse Engineering, Inc 6/17/2013 Consulting Engineers Calculations LNG ROOF SNOW LOAD - Per 2009 IBC Section 1608&ASCE 7-05' Roof Design Criteria 25.2 Roof Pitch - a=, 18 deg Ground Snow Load- P9= 30 psf Existing Roof Snow Load-Per ASCE 7-05,Section 7.3 Exposure Factor- Ce= 1 Per ASCE Table 7-2 Thermal Factor- Cn= 1.1 Per.ASCE Table 7-3 Importance Factor- I= 1 Per ASCE Table 74 CAT II Slope Factor- CSC= 1 Per ASCE Figure 7-2 Non-Slippery Flat Roof Snow Load- Pfr= 23.1 psf Pfr = 0.7 *Ce *Cti *I*Pg Minimum Flat Roof Load- Pfr,,,;,,= 20 psf. Per ASCE 7.3 Pfrmtn = 20psf*I Flat Roof Design Snow Load- Pf 23.1 psf Sloped Roof Design Snow Load- Psi= 23.1 psf Psi = CSi *Pf New Roof Snow Load-Per ASCE 7-05,Section 7.4 New Thermal Factor- Ct2= 1.2 Per ASCE Table 7-3 New Slope Factor- Cs2= 0.95 Per ASCE Figure 7-2 Non-Slippery-7.2b Flat Roof Snow Load- Pf2= 25.2 psf Pfr2 = 0.7 *Ce *Ct2 *I*Pg Minimum Flat Roof Load- Pfrm;r,= 20 psf Pfrmin = 20psf*I Flat Roof Design Snow Load- Pf2= 25.2 psf, Sloped Roof Design Snow Load- Ps2= 23.8 psf P12 = CS2 *'Pf Estimated weight of Solar Panels Ws= 2.8 psf Net Increase in Load on Roof Wt= 26.6 psf Wt = PsZ +Ws %Increase in Load on Roof 15.4% wt—PS' * 100 Psi NOTE:The increase in load on the roof from the addition of the solar panels is greater than the 5% . allowed by the IEBC;therefore, reference the attached roof structure capacity calculation. il F Eclipse Engineering, Inc. 026118-Vintro.Residence 6/17/2013 Consulting Engineering Roof Framing LNG SIMPLE SPAN BEAM DESIGN - EXISTING Rafters: := lb-C 1 f lb•ft 2 . 2 Design criteria: Allowable Stresses for- Fb:= 875.1.15.1.15.1.2•psi Fb= 1388.6•psi E:= 1400000psi SPF#2 Fv:= 135.1.15•psi F,= 155.3•psi Total Roof Dead Load = wr:= (15+ 0.0)•psf wr= 15•psf Total Panel Load - wp:_'(2.8 + 23.1)•psf wp= 25.9•psf Span - 4.:= 14.75•ft Roof Tributary Width- W.r:= 1.333•ft Roof Distributed Load - E wf= W,.wr•+ W,.wp wf= 54.5•plf" Additional Dist. Load - wa:= o-plf Total Distributed Load - W:= wa+ wf w;`= 54.5 C IAb Total Point Load - P:= 0.0•lb P= 0 Dist From Point Load to End - a:=•0.tt Dist From Pt. Load to opp end - b, := L- a b, = 14.75ft w.L2 P•a•b, Maximum Design Moment- M:_ + M = 1482.7 ft•lb' 8 L Maximum Design Shear- w•L + P-b, v= 402.116 9 := a L TRY: (1) 1 .5" x 7.25" b: 1.5•in d:= 7.25•in - bd2_ bd3 b•d �:= 6 I:= 12 A= 10.9•in2 S= 13.1•in3 I—47.6•in4` Actual Shear Stress - fv 3 V.(L- 2•d) fv= 50.9•psi OK 2 A L Actual Bending Stress - fb:= M fb= 1353.98•psi OK S 5w.L4 P.a•bi y(a+ 2•bl) 3•a a+ 2•bl Total Load Deflection - o:_ + s 384•E•1 27•E•I•L 0= 0.871•in L = 203.3 OK 0 ' (1 ) 2 x 8 SPF #2 roof rafter @ 16 inches on center is adequate for the additional panel weight. Eclipse Engineering, Inc. 026118 Vintro Residence 6/17/2013 Consulting Engineers Solar Panel Attachement LNG SOLAR ARRAY�CONNECTION TO EXISTING ROOF - 15 deg Slope Wind Zone 2 & 3 sf:= 2 1 2 2 lb-ft := lb-ft s := lb-in cs := 1000•lb•in Uplift Wind Loading -ASCE STANDARD -ASCE 7-05 Section 6.4.2.2-Wind Loads on Components and Cladding-Simplified Method: 3-Second Wind Gust(Basic Wind Speed)- Y,:= 11(mph Fastest Mile Wind Speed- V fm:= (V- 10.5)•1.05-1 = 94 mph Importance Factor- Imo;:= 1.0 Net Design Wind Pressure Figure 6-3- Pnet30 34.7•psf 10•SQ•FT Velocity Pressure Exp. Coefficient Table 6-3- X:= 1.29 Up to 20 ft above grade-exp B Topographic Coefficients Figure 64- K1 := 0 K2 := 0 K3 := 0 Topographic Factor-6.5.7.2- Kzt:= (1 + Kl•K2•K3)2 Kzt= I Note: As per ASCE -6.5.7.1: = 1.0 6.5.7.1 -#3, the structure is not located in the upper one-half of the hill - #4, H/Lh = 0.155 and is less than 0.20 Velocity Pressure-6.5.10 PnetU:= X.Kzt Iw'pnet30 PnetU= 44.763•ps Uplift Downward Wind Loading -ASCE STANDARD -ASCE 7-05 Section 6.4.2.2-Wind Loads on Components and Cladding-Simplified Method: 3-Second Wind Gust (Basic Wind Speed)- Y:= 11(mph Fastest Mile Wind Speed- (V- 10.5)•1.05-1 = 94 mph. Importance Factor- �:= 1.0 Net Design Wind Pressure-Figure 6-3- �= 12.5 psf 10,SQ FT Velocity Pressure Exp. Coefficient Table-6-3- - 1.29 Up to 30 ft above grade=exp B Topographic Coefficients Figure 6-4- AJ,;= 0 = 0 Aa�= 0 Topographic Factor-6.5.7.2- C = (1 + KI•K2•K3)2 Kzt= 1 Note: As per,ASCE -6.5.7.1: = 1.0` 6.5.7.1 -#3, the structure is not located in the upper one-half of the hill - #4, H/Lh = 0.155 and is less than 0.20 Velocity.Pressure-6.5.10- PnetD >"Kzt•lw'Pnet30 PnetD- 16.13•ps Downward <, a t Eclipse Engineering, Inc. 026118 Vintro Residence 6/17/2013 Consulting Engineers Solar Panel Attachement LNG Sola r Array Atta ch ment to Roof - PV Solar Array Wind Uplift Pressure: WLu:= pnetU=44.763•psf Zone 2 ]? f;= lb-C 2 Wind Downward: WLd:= pnetD= p 16.125 sf Exposure B k�j.:= 1000•lb•in 2 Snow Load: SLd:= 25.2•psf , = lb•f1 1 Angle of Roof Panels: 0:= 30 Note: Z is uplift force, Y is force normal to the panels, X is force transverse to the panels Uplift Lifting Force: Wzu:= WLu•cos 0• WZU= 38.766•psf ( 180) Uplift Sliding Force: WYU.:= WLu•sin 0•.— W = 22.381•psf ( 180) yU Downward Wind Force : Wzd:= WLd•cos 0•� Wzd= 13.965•psf 180) Downward Sliding Force W y d:= WLd•sin 0 180) Wy d=8.063 psf ( Solar Panel Info: Width of Array: Wa: 39.41•in Width of(1)Panel Length of Array: Da.: 65.94•in Length of(1)Panel Height of Array Assembly: Ha:= 2•in Number of Rails: Np.:=*2 Per Panel Weight of Solar Panel: ws:= 40•lb Weight of Frame: wf:= 10•lb Rails and Posts Total Assembly Dead Weight wd:= ws+,wf wd='50•lb Downward Design Force On Solar Connection: Dead Load: DL-= wd DL= 50•lb Snow Load: SL:= Wa•Da•S" SL,= 454.77•lb Wind Load: . `WL:= Wa•Da•Wzd WL 252.01•16 Load Combo#1: LC1 := DL+ SL LC1 504.77•lb Load Combo#2: LC2 := DL+ WL LC2 = 302.01•lb Load Combo#3: - LC3•:= DL+ 0.75•SL+ 0.75•WL LC3 = 580.09•lb Downward Force: Wdz:= max(LC1,LC2,LC3). Wdz'=`580.09•lb Force per Rail per Panel Wdzc:= Wdz Wdzc- 290.04.1b Np ate, Eclipse Engineering, Inc. 026118 Vintro Residence 6/17/2013 Consulting Engineers Solar Panel Attachement LNG Upward Design Force on Solar Connection: Dead Load: DL= 50•lb Wind Load; WLu'= Wa'Da•(Wzu) . WLu= 699.59•lb Load Combo#4: LC4:= WLu—0.6•DL LC4= 669.59•lb Force per Rail per Panel: Wuzc:= LC4 Wuzc- 334.794•lb Np Lateral Design Force on Solar Connection: Wind Load per Panel Wye:= Wa'Ha'WLd+ Wyu•Wa-Da Wye = 412.734•lb r Height of Force off Roof: := 2-in Da Spacing of Rails: WW = 33•in N - P W .g Tension from Overturning: = ye T= 25.037•1b W Determine Connection Type- S-5-Mini to Metal Roof Ribs Rail Net Upward Force- Fu Wuzc+ T ° Fu= 109.565•plIf PER FOOT Wa Wdzc'sin�0 180) Rail Net Sliding Force- Fd:= Fd 44.158•plf PER FOOT Wa S-5-S Mini Uplift Capacity: Tc:= 189•lb For 26ga Metal Roof } Per S5! Cap. of Mini = Cap. of Standard S-S-S Lateral Capacity: Ve:= 583•lb • Tc _ • Min Uplift Spacing: Su:= = 20.7•in Fu v Min Shear Spacing: 5v:= c = 1.58.4•in F d Actual Spacing of S-5 Clips: Scu:= 16•in Force on Each Clip: Fcup Scu•Fu= 146.1 lb Vclip = Scu Fd= 58.9lb i Fcup + Vcllp < 1.0,"Clip is Adequate","UPGRADE CLIP" _ 'Clip is Adequate" . Tc Vc . USE: S-5-S MINI CLIPS @ 16" O.C.ALONG LENGTH OF EACH RAIL ACROSS THE SLOPE,WITH (2) RAILS PER PANEL UP THE SLOPE I _ y , n'i'SolarCity. SolarPPA 3055 Clearview Way, San Mateo; CA 94402 T(888) SOL-CITY F(650) 560-6460 SOLARCI ry.com SUMMARY Homeowner Name and Address Co-Owner Name(If Any) Installation Location Conlractur License Janice Vintro 17 Bernard Cir MA HIC 168572 17 Bernard Cir Centerville, MA 02632 Barnstable, MA 02632 Estimated Solar Energy Production First Year Annual Production: 5,466 kWh . Initial Term Total Production: 104,273 kWh Payment Terms ` Amount Due at Contract Signing: $0 Amount Due when Installation Begins: $1,628.19 Amount Due following Bldg. Inspection: $1,628.20 Average Cost per kWh: $0.1410 Price per kWh Annual Increase: 0.0% Estimated First Year Monthly SolarCity Bill: $50.00 SolarCity's Promises to You: Your Prepayment, Purchase and Transfer Choices • SolarCity will insure, maintain, and repair the System During the Term: (including the inverter) at no additional cost to you as • If you move, you may transfer this agreement to the specified in the agreement. purchases of your Home, as specified in the • SolarCity will provide 24/7 web-enabled monitoring at agreement. no additional cost to you, as specified in the agreement. . At any time during the Term when you sell your home • SolarCity will provide a money-back production you may prepay the remaining payments (if any) at a guarantee, as specified in the agreement. discount. • SolarCity will warranty your roof against leaks and restore your roof at the end of the agreement as • At certain times, as specified in the agreement, you specified in the agreement. may purchase the System. Your Choices at the End of the Initial Term: • SolarCity will remove the System at no additional cost to.you. . You can upgrade to a new System with the latest solar technology under a new contract. . You may purchase the System from SolarCity for its fair market value. • You may renew your agreement for up to ten (10) years in two (2) five (5) year increments. . Otherwise, the agreement will automatically renew for an additional one (1) year term at 10% less than the then-current average rate charged by your local utility Suim.I'lo"ver F'IImhase ACr� rnaitl V=isiUl1 5,0 c >C?il5}-1ftl:, iialnrt�tfC6i Rigills d 1. Introduction. (iii) SolarCity's estimate of the amount of power This Power Purchase Agreement (this "Power Purchase that is expected to be produced by the System in Agreement" or "PPA") is the agreement between you the first year of the Term; (iv) SolarCity's and SolarCity Corporation (together with its successors estimate of the amount of power that is expected and assigns, "SolarCity" or "we"), covering the sale to to be produced by the System over the entire you of the power produced by the solar panel system Initial Term; (v)your monthly payments for the (the "System") described below. SolarCity agrees to first year(or your prepayment); and (vi)your sell to you, and you agree to buy from SolarCity, all of guaranteed power production and repayment the power produced by the System on the terms and price for underproduction. Your estimated conditions described in this Power Purchase monthly payments are the product of(A) the Agreement. The System will be installed by SolarCity price per kWh multiplied by (B)the estimated at the address you listed above. This Power Purchase annual kWh output divided by(C) twelve (12)("Monthly.Payments"). You will pay no Monthly Agreement will refer to this address as the "Property" ("Monthly if you are full or your "Home." This Power Purchase Agreement is PaymentsY y prepaying this PPA. twelve (12) pages long and has up to three (3) Monthly Payments are due on the first of the Exhibits depending on the state where you live. month for the previous calendar month. SolarCity provides you with a Limited Warranty(the Because these are calendar Monthly Payments "Limited Warranty"). The Limited Warranty is (billed after the calendar month is over) based attached as Exhibit 2. This is a legally binding on estimated production,the amount you agreement with disclosures required by law, so please actually pay for each month may be more or less read everything carefully. If you have any questions than the estimated amount based on the regarding this Power Purchase Agreement, please ask System's actual production in each calendar month. Monthly Payments may change if your your SolarCity sales consultant. price per kWh changes over the Term of this PPA. Any such changes'are set forth in 2. Term. Schedule A. Within 45 days of the end of each SolarCity agrees to sell you the power generated by the calendar year, SolarCity will compare the System for 220years (240 months), plus, if the System's actual production and the estimated Interconnection Date is not on the first day of a production and either(i) send you a refund for calendar month, the number of days left'in that partial any overpayments you made; or(ii) invoice you calendar month. We refer to this period of time as the for the extra power the System produced. You "Term." The Term begins on the Interconnection will have regular access to the System's Date. The "Interconnection Date" is the date that the production via your SolarCity online account. System is turned on and generating power. SolarCity Actual production will vary from estimated will notify you by email when your System is ready to production due to weather and other conditions, be turned on. but SolarCity guarantees you will not pay for power the System does not actually produce. See Schedule A for details. Payments due upon installation are due immediately prior to commencement of installation. 3. Intentionally Left Blank. (c) Payment Reconciliation. If (i) the System is off line for more than seven (7) full twenty-four(24) hour days cumulatively during the Term (for 4. Power Purchase Agreement Payments;Amounts. example, you remove the System to do renovations to your Home); or(ii) you take some (a) Power Price. You are purchasing the power the action that significantly reduces the output of System produces. The price of that power is set the System;or (iii)you don't trim your bushes or forth on the value statement attached as trees to their appearance when you signed this Schedule A'. PPA to avoid foliage growth from shading the System, then SolarCity will reasonably estimate (b) Payments. Schedule A details, among other the amount of power that would have been things, (i)the price per kWh you will be charged; delivered to you during such outages or reduced (ii) the annual percentage price increase (if any); production periods and shall consider that as Solar Power Purchase Agreernent version 5.0 C)2008 2013 SolarCity Corporation.All Rights Reserved. actual production for purposes of this paragraph. (xi) return any documents we send you for You will not be charged for the System being off signature (like incentive claim forms) line due to Solar 'Clty s fault, or if it's due to grid within seven (7) days of receiving them; failure or power outages caused by someone and other than you. (xii) maintain and make available, at your cost,a functioning indoor Internet 5. Power Purchase Agreement Obligations. connection with one available wired (a) System, Home and Property Ethernet port and standard AC power Maintenance outlet within eighty(80)feet of the You agree to: System's AC/DC inverter(s). See section (i) only have the System repaired pursuant 2(c)of the Limited Warranty for details. to the Limited Warranty and reasonably (b) System Construction, Repair, Insurance and cooperate when repairs are being made; SolarCity's obligations: (ii) keep trees, bushes and hedges trimmed so that the System receives as much sunlight as it did when SolarCity installed it; SolarCity agrees`to: (iii) not modify your Home in a way that (xiii) schedule the installation of the System at a mutually conve nient date and time; shades the System, Y , (iv) be responsible for any conditions at your (xiv) construct the System according to Home that affect the installation (e.g.,, written plans you review; blocking access to the roof, or removing a tree that is in the way); (xv) provide.you with a web-enabled meter to accurately measure the amount of power (v) not remove any markings or the System delivers to you; identification tags on the System; (xvi) notify you if the System design has to be (vi) permit SolarCity, after we give you materially changed so that you can reasonable notice, to inspect the System review any such changes; for proper operation as we reasonably determine necessary; (xvii) clean up after ourselves during the construction of the System; (vii) use the System primarily for personal, family or household purposes, but not to (xviii) insure the System against all damage or heat a swimming pool; . loss unless(A)that damage or loss is caused by your gross negligence; or(B) (viii) not do anything, permit or allow to exist you,intentionally damage the System; any condition or circumstance that would cause the Systern not to operate (xix) repair the System pursuant to the as intended at the Property; Limited Warranty and reasonably cooperate with you when scheduling (ix) notify SolarCity if you think the System repairs; is damaged or appears unsafe; if the System is stolen; and prior to changing (xx) create a priority stream of operation and your power supplier; maintenance payments to provide - enough cash flow in our financing (x) have anyonewho.has an ownership transactions to pay for 'the Limited interest in your Home sign this Power Warranty obligations and the repair and Purchase Agreement; maintenance of the System in Solar Power Purchase Agreement version 5.0 @ 2008-201.3 SolarCity Corpora(ion,All Rights Reserved. accordance with this PPA even if amount you will pay for taxes over the Term is SolarCity ceases to operate; and $0.00. (xxi) not put a lien on your Home or Property. (If) No Alterations (c) Home Renovations or Repairs You agree that you will not make any If you want to make any repairs or improvements modifications, improvements, revisions or to the Property that could interfere with the additions to the System or take any other action System (such as repairing the roof where the that could void the Limited Warranty on the System is located),you may only remove and System without SolarCity's prior written consent. replace the System pursuant to the Limited If you make any modifications, improvements, Warranty. revisions or additions to the System, they will become part of the System and shall be (d) Automatic Payment, Fees; Late Charges SolarCity's property. In addition to the other amounts you agree to (g). Access to the System pay in this Power Purchase Agreement, you agree to pay the following: (i) You grant to SolarCity and its employees, agents and contractors the (i) Automatic Payment Discount: All prices right to reasonably access all of the include a $15 monthly discount for Property as necessary for the purposes using automatic payment. You will not of(A) installing, constructing, operating, receive a $15 monthly discount.if you. owning, repairing, removing and do not make automatic Monthly replacing the System or making any Payments through your checking or additions to the System or installing savings account; complementary technologies on or about (ii) Returned Check Fee: $25 (or such lower the location of the System; (B) enforcing SolarCity's rights as to this Power amount as required by law) for any Purchase Agreement and the System; check or withdrawal right that is (C) installing, using and maintaining returned or refused by your bank; electric lines and inverters and meters, (iii) Late Payments: accrue interest at the necessary to interconnect the System toyour electric system at the Property lesser of twelve percent(12%) annually and/or to the utility's electric or the maximum allowable by applicable distribution system; or(D) taking any law; and other action reasonably necessary in connection with the construction, (iv) Product Change Fee: if after you sign installation,,operation, maintenance, this Power Purchase Agreement, but removal or repair of the System. This before we begin installation, you decide access right shall continue for up to you would prefer an alternative SolarCity ninety(90) days after this Power product(a SolarLease, or a prepaid PPA, Purchase Agreement expires to provide etc.)you will pay a $250 change fee. SolarCity with time to remove the (e) Estimated Taxes System at the end of the Power Purchase Agreement. SolarCity shall provide you with reasonable notice of its You agree to pay any applicable sales or use need to access the Property whenever taxes on the Monthly Payments (or prepayment, commercially reasonable. as applicable) due under this PPA If this PPA contains a purchase option at the end of the (ii) During the time that SolarCity has Term, you agree to pay any applicable tax on the access rights you shall ensure that its purchase price for the System. You also agree access rights are preserved and shall not to pay as invoiced any applicable personal interfere with or permit any third party property taxes on the System that your local to interfere with such rights or access. jurisdiction may levy: The total estimated You agree that the System is not a Solar Power Puichase Agreement version 5.0 2008-2013 SolaiCity Corporation.All Righls Reseived. fixture, but SolarCity has the right to file the following items having been completed to its any UCC-1 financing statement or reasonable satisfaction: fixture filing that confirms its interest in the System. (i) ' completion of(A) the engineering site audit(a (h) Indemnity the Property, including, g I dingc al inspection of if c ble, geotechnical work), (B) the final System To the fullest extent permitted bylaw, you shall - design, and (C) real estate due diligence indemnify, defend, protect,save and hold to confirm the suitability of the Property harmless SolarCity, its employees, officers, for the construction, installation and directors, agents, successors and assigns from operation of the System; any and all third party claims, actions, costs, expenses (including reasonable attorneys'fees (ii) approval-of this Power Purchase and expenses), damages, liabilities, penalties, Agreement by one of SolarCity's losses, obligations, injuries, demands and liens financing parties; of any kind or nature arising out of, connected with, relating to or resulting from your NO confirmation of rebate, tax credit and negligence or willful misconduct; provided, that- renewable energy credit payment nothing herein shall require you to indemnify availability in the amount used to SolarCity for its own negligence or willful calculate the Monthly Payments set misconduct. The provisions of this paragraph forth in this Power Purchase Agreement; shall survive termination or expiration of this Power Purchase Agreement. (iv) confirmation that SolarCity will obtain all applicable benefits referred to in (i) Payments Section 9; Schedule A describes your payment obligations (v) receipt of all necessary zoning, land use under this PPA. SUBJECT TO SECTION 4(b) and building permits; and ABOVE, YOU AGREE THAT THE OBLIGATION TO PAY ALL PAYMENTS AND ALL OTHER NO completion of any renovations, AMOUNTS DUE UNDER THIS PPA SHALL BE, improvements or changes reasonably ABSOLUTE AND UNCONDITIONAL UNDER ALL required at your Home or on the CIRCUMSTANCES AND SHALL NOT BE Property (e.g., removal of a tree or SUBJECT TO ANY ABATEMENT, DEFENSE, necessary roof repairs to enable us to COUNTERCLAIM, SETOFF, RECOUPMENT OR safely install the System). REDUCTION FOR ANY REASON WHATSOEVER, IT BEING THE EXPRESS INTENT OF THE SolarCity may terminate this Power Purchase PARTIES THAT ALL AMOUNTS PAYABLE'BY Agreement without liability if, in its reasonable YOU HEREUNDER SHALL BE, AND CONTINUE. judgment, any of the above listed conditions(i) TO BE, PAYABLE IN ALL EVENTS INCLUDING through NO will not be satisfied for reasons BY YOUR HEIRS AND ESTATE AND, EXCEPT beyond its reasonable control. Once SolarCity AS SET FORTH BELOW IN SECTIONS 6, 23 starts installation, however, it may not terminate AND 24, YOU HEREBY WAIVE ALL RIGHTS this Power Purchase Agreement for your failure YOU MAY HAVE TO REJECT OR CANCEL THIS to satisfy conditions (i)through (vi) above. PPA, TO REVOKE ACCEPTANCE OF THE SYSTEM, OR TO GRANT A SECURITY (b) Amendments, Your Right to Terminate for INTEREST IN THE SYSTEM. Material Changes. 6. Conditions Prior to Installation of the System:Change Both parties will have the right to terminate this PPA, without penalty or fee, if SolarCity Orders, determines after the engineering site audit of (a) SolarCity's obligation to install the System and your Home that it has misestimated by more than ten percent (10 sell you the power it produces is conditioned on %) the System's annual production. Such termination right will expire at Solar Power'Purchase Agreement version 5.0 C�2008-2013 SolarCity Corimralion.All Rights Resewetl. 4 the earlier of (i) one (1)week prior to the CREDITS, GREEN TAGS, CARBON OFFSET CREDITS, scheduled System installation date and (ii)one UTILITY REBATES OR ANY OTHER NON-POWER (1) month after we inform you in writing of the ATTRIBUTES OF THE SYSTEM ARE THE PROPERTY revised production estimate. If neither party OF AND FOR THE BENEFIT OF SOLARCITY, USABLE exercises their right to terminate this PPA AT ITS SOLE DISCRETION. SOLARCITY SHALL HAVE following a ten percent(10%)change in the THE EXCLUSIVE RIGHT TO ENJOY AND USE ALL System's production, then any changes to the SUCH BENEFITS, WHETHER SUCH BENEFITS EXIST System will be documented in an amendment to NOW OR IN THE FUTURE. YOU AGREE TO REFRAIN this PPA. You authorize SolarCity to make FROM ENTERING INTO ANY AGREEMENT WITH corrections to the utility paperwork to conform to YOUR UTILITY THAT WOULD ENTITLE YOUR UTILITY this PPA or any amendments to this PPA we TO CLAIM ANY SUCH BENEFITS. YOU AGREE TO both sign. REASONABLY COOPERATE WITH SOLARCITY SO THAT IT MAY CLAIM ANY TAX CREDITS, 7. Warranty: RENEWABLE ENERGY CREDITS., REBATES, CARBON YOU UNDERSTAND THAT THE SYSTEM IS OFFSET CREDITS OR ANY OTHER BENEFITS FROM WARRANTED SOLELY UNDER THE LIMITED THE SYSTEM. THIS MAY INCLUDE TO THE EXTENT WARRANTY ATTACHED AS EXHIBIT 2, AND THAT ALLOWABLE BY LAW, ENTERING INTO NET THERE ARE NO OTHER REPRESENTATIONS OR METERING AGREEMENTS, INTERCONNECTION WARRANTIES, EXPRESS OR IMPLIED, AS TO THE AGREEMENTS, AND FILING RENEWABLE MERCHANTABILITY, FITNESS FOR ANY PURPOSE, ENERGY/CARBON OFFSET CREDIT REGISTRATIONS CONDITION, DESIGN, CAPACITY, SUITABILITY OR AND/OR APPLICATIONS FOR REBATES FROM THE PERFORMANCE OF THE SYSTEM OR ITS FEDERAL, STATE OR LOCAL GOVERNMENT OR A INSTALLATION. LOCAL UTILITY AND GIVING THESE TAX CREDITS, RENEWABLE ENERGY/CARBON CREDITS, REBATES 8. Transfer. OR OTHER BENEFITS TO SOLARCITY. SolarCity works with banks, large companies.and other significant financing parties to finance your System. 10. Purchasing the System Prior to the End of the Term. As a result, SolarCity will assign this PPA to one of its In addition to purchasing the System at the end of the financing parties. Thus, to finance your System, you Term (see Schedule A),.you have the option to agree that SolarCity may assign, sell or transfer the purchase the System prior to the end of the Term. To System and this Power Purchase Agreement, or any exercise this option you must be in good standing part of this Power Purchase Agreement or the exhibits, under this Power Purchase Agreement and you need to without your consent. Assignment, sale or transfer give us at least one (1) month's, but not more than generally means that SolarCity would transfer certain three(3) months' prior written notice. You can of its rights and certain of its obligations under this purchase this System: Power Purchase Agreement to another party. This . assignment does not change SolarCity's obligation to (i) on the five (5) year anniversary of the. maintain and repair your System as set forth in the beginning of the Term and every annual Warranty. anniversary after the five (5)year 9. Ownership of the System:Tax Credits and Rebates. anniversary; and You agree that the System is SolarCity's personal (ii) at any-time after the five (5) year property under the Uniform Commercial Code. You anniversary,of the beginning of the understand and agree that this PPA is not a contract to Term, when you sell your Home; and sell or lease the System to you. SolarCity owns the System for all purposes, including any data generated (iii) if SolarCity ever ceases its operations. from the System. You shall at all times keep the System free and clear of all liens, claims, levies and In each of (i), (ii) and (iii) above, the price you will pay legal processes, not created by SolarCity, and shall at for the System will be the greater of the System's fair your expense protect and defend SolarCity against the market value ("FMV") and the amount shown on same. Schedule A. The interests of any financing party shall not be taken into account when determining the FMV; YOU UNDERSTAND AND AGREE THAT ANY AND ALL a third party independent appraiser will be retained to TAX CREDITS, INCENTIVES, RENEWABLE ENERGY compute the System's FMV. SolarCity's maintenance Solar Power Pl.n•chase Agreement version 5.0 (c)2008-20.13 SolarCity Corporation.All Rights Reserved. and repair obligations will end when you purchase the execute and provide the same access and System unless you enter into a new maintenance and ownership rights to SolarCity as provided repair agreement with SolarCity, provided that you will for in this PPA and provide any third party have no less than a ten (10)year warranty on the consents or releases required by SolarCity System beginning on the Interconnection Date that in connection with the substitute guarantees that the System will be free from defects in premises. workmanship or defects in, or breakdown of, materials or components. (iii) Prepay this Power Purchase Agreement and Transfer only the Use of the System 11. Renewal. At any time during the Term, you can You have the option to renew your PPA for up to ten prepay this Power Purchase Agreement (10)years in two (2) five (5)year renewal periods. We (see Schedule A)and add the cost of the will send you renewal forms three(3) months prior to PPA to the price of your Home.•The the expiration of the Term, which forms shall set forth Person buying your Home will only need to the new Monthly Payments due under the renewal PPA, sign a transfer agreement to assume your based on our assessment of the then current fair market rights and non-Monthly Payment value of the System. If you want to renew and you are obligations under this PPA. The System in compliance with this PPA, complete the renewal stays at your Home, the person buying forms and return them to us at least one (1) month prior your Home does not make any Monthly to the end of the PPA. In the event that you do not Payments.and has only to comply with the agree to the new Monthly Payments this PPA shall non-Monthly Payment portions of this expire by its terms on the termination date. If we don't PPA. The prepayment amount set forth in hear back from you after we send you the renewal forms, Schedule A reflects a five percent (5%) then this PPA shall renew for an additional one (1)year discount rate for early payment. term at ten percent(10%) less than the then-current average rate charged by your local utility and shall (b) You agree to give SolarCity at least fifteen (15) continue to renew for one(1)year terms at that same days but not more than three(3) months' prior rate until we hear from you at least thirty(30) days prior written notice if you want someone.to assume to a renewal term that you do not wish to renew. your PPA obligations. In connection with this assumption, you,your approved buyer and 12. Selling Your Home. SolarCity shall execute a written transfer of this PPA. Unless we have released you from your (a) If you sell your Home you can: obligations in writing, you are still responsible for performing under this PPA. If your buyer (i) Transfer this Power Purchase Agreement defaults on this PPA and we have not yet signed and the Monthly Payments the transfer agreement, you will be responsible for their default. We will release you from your If the person buying your Home meets obligations under this PPA in writing once we have a signed transfer agreement with the SolarCity's credit requirements, then person buying your Home (provided such person where permitted by the local utility, the has been approved as a transferee by SolarCity_ person buying your Home can sign a transfer agreement assuming all of your in writing). rights and obligations under this Power (c) If you sell your Home and can't comply with any Purchase Agreement. of the options in subsection (a) above, you will b (i e in default under this Power Purchasei) Move the System to Your New Home Agreement. Section 12(a) includes a Home sale If you are moving to a new home in the by your estate or heirs. same utility district, where permitted by (d) EXCEPT AS SET FORTH IN THIS SECTION, the local utility, the System can be moved YOU WILL NOT ASSIGN, SELL, PLEDGE OR IN to your new home pursuant to the Limited ANY OTHER WAY TRANSFER YOUR INTEREST Warranty. You will need to pay all costs IN THE SYSTEM. OR THIS PPA WITHOUT OUR associated with relocating the.System, Solar Power Purchase Agreement version 5.0 n 2008-20.13 SolarCity Corporal:ion.All Rights Res6ved. PRIOR WRITTEN CONSENT, WHICH SHALL (a) you fail to make any payment when it is due and NOT BE UNREASONABLY WITHHELD. such failure continues for a period of ten (10) days; 13. Loss or Damage. (b) you fail to perform any material obligation that you have undertaken in this PPA (which includes (a) Unless you are grossly negligent or you doing something you have agreed not to do, like intentionally damage the System,SolarCity will alter the System) and such failure continues for bear all of the risk of loss, damage, theft, a period of fourteen (14) day_s after written destruction or similar occurrence to any or all of. notice; the System. Except as expressly provided in this PPA, no loss, damage, theft or destruction will (c) you or your guarantor have provided any false or excuse you from your obligations under this PPA, misleading financial or other information to including Monthly Payments. obtain this Power Purchase Agreement; (b) If there is loss, damage,theft, destruction or a (d) you assign, transfer, encumber, sublet or sell similar occurrence affecting the System, and you this PPA or any part of the System without are not in default of this PPA, you shall continue SolarCity's prior written consent; or to timely make all Monthly Payments and pay all other amounts due under the PPA and, (e) you or any guarantor makes an assignment for cooperate with SolarCity, at SolarCity's sole cost the benefit of creditors, admits in writing its and expense, to have the System repaired insolvency, files or there is filed against you or it pursuant to the Limited Warranty. a voluntary petition in bankruptcy, is adjudicated bankrupt or insolvent or undertakes or 14. Limitation of Liability. experiences any substantially similar activity. (a) No Consequential Damages 16. Remedies in Case of Default. SOLARCITY'S LIABILITY TO YOU UNDER THIS If this Power Purchase Agreement is in default, we POWER PURCHASE AGREEMENT SHALL BE may take any one or more of the following actions. If LIMITED TO DIRECT, ACTUAL DAMAGES the law requires us to do so, we will give you notice ONLY. YOU AGREE THAT IN NO EVENT SHALL and wait any period of time required before taking any EITHER PARTY BE LIABLE TO THE OTHER of these actions. We may: FOR CONSEQUENTIAL, INCIDENTAL, PUNITIVE, EXEMPLARY, SPECIAL OR (a) terminate this PPA; INDIRECT DAMAGES. (b) take any reasonable action to correct your (b) Actual Damages default or to prevent our loss; any amount we pay will be added to the amount you owe us and EXCEPT FOR CLAIMS UNDER SECTION 50), will be immediately due; NEITHER PARTY'S LIABILITY TO THE OTHER WILL EXCEED AN AMOUNT EQUAL TO THE (c) require you, at your expense, to return the . MAXIMUM AMOUNT THAT COULD BE System or make it available to us in a reasonable PAYABLE BY YOU UNDER SECTION 16(H). manner; . DAMAGES TO YOUR HOME, BELONGINGS OR PROPERTY RESULTING FROM THE (d) proceed, by appropriate court action, to enforce INSTALLATION OR OPERATION OF THE performance of this PPA and to recover damages SYSTEM ARE COVERED IN SECTION 6(C) OF for your breach; THE LIMITED WARRANTY. (e) disconnect, turn off or take back the System by- 15. Default. �. legal process or self-help, but we may not disturb the peace or violate the law; You will.be in default under this Power Purchase s Agreement if any one of the following occurs: Solar Power Purchase Agreement,version 5.0 2008-2013 SolarCity Corporation;All Rights Reserved. . 17 L (f) report such non-operational status of the System The laws of the state where your Home is located shall to your utility, informing them that you are no govern this PPA without giving effect to conflict of laws longer net metering; principles. We agree that any dispute, claim or (g) charge you a reasonable reconnection fee for disagreement between us(a "Dispute") shall be reconnecting the System to your utility or turning resolved exclusively by arbitration. your System back on after we disconnect or turn off the System due to your default; The arbitration, including the selecting of the arbitrator, will be administered by JAMS, under its (h) recover from you (i) a payment equal to the Streamlined Arbitration Rules(the "Rules") by a single higher of(A) the prepay price and (B)the neutral arbitrator agreed on by the parties within thirty purchase price set both as forth in Schedule A (30) days of the commencement of the arbitration. plus(ii) all taxes, late charges, penalties, T interest and all or any other sums then accrued he arbitration will be governed by the Federal or due and owing; or Arbitration Act (Title 9 of the U.S. Code). Either party may initiate the arbitration process by filing the (i) use any other remedy available tows in this PPA necessary forms'with JAMS. To learn more about or by law. - arbitration, you can call any JAM_ S office or review the We may submit to credit reporting agencies(credit materials at www.jamsadr.com. The arbitration shall be bureaus) negative credit reports that would be held in the location that is most convenient to your reflected on your credit record if you do not pay any Home. If a JAMS office does not exist in the county amounts due under this PPA as required. where you live, then we will use another accredited arbitration provider with offices close to your Home. You agree to repay us for any reasonable amounts we pay to correct or cover your default. You also agree to If you initiate the arbitration, you will be required to reimburse us for any costs and expenses we incur pay the first $125 of any filing fee. We will pay any relating to the System's return resulting from early filing fees in excess of$125 and.we will pay all of the termination. By choosing any one or more of these remedies, SolarCity does not give up its right to use arbitration fees and costs. If we initiate the arbitration, another remedy. By deciding not to use any remedy we will pay all of the filing fees and all of the should this Power Purchase Agreement be in default, arbitration fees and costs. We will each bear all of.our SolarCity does not give up our right to use that remedy own attorney's fees and costs except that you,are in case of a subsequent default. entitled to recover your attorney's fees and costs if you 17. System Removal: Return. prevail in the arbitration and the award you receive from the arbitrator is higher than SolarCity's last written At the end of the Term or the termination of this PPA, settlement offer. When determining whether your if you have not renewed this PPA or exercised your award is higher than SolarCity's last written settlement purchase option (if any) and you have not defaulted, then within ninety(90) days you agree to call SolarCity offer your attorney's fees and costs will not be at the telephone number listed in Section 7 of Exhibit included. 2 to schedule a convenient time for SolarCity to remove the System from your Home at no cost to you. ~ Only Disputes involving you and SolarCity may be addressed in the arbitration. Disputes must be brought 18.Applicable Law: Arbitration. in the name of an individual person or entity and must PLEASE READ THIS SECTION CAREFULLY. proceed on an individual (non-class, non- ARBITRATION REPLACES THE RIGHT TO GO TO representative) basis The arbitrator will not award relief COURT, INCLUDING THE RIGHT TO A.JURY AND THE for or against anyone who is not a party. If either of us RIGHT TO PARTICIPATE 1N A CLASS ACTION OR arbitrates a Dispute, neither of us, nor any,other SIMILAR PROCEEDING. IN ARBITRATION, A DISPUTE person, may pursue the Dispute in arbitration as a class IS RESOLVED BY AN ARBITRATOR INSTEAD OF A action, class arbitration, private attorney general action JUDGE OR JURY. ` or other representative action, nor may any such Solar Power Purchase Agreernent version 5.0 2008-2013 SolarCity Corporation.AII'Rigtrts Reserved. Dispute be pursued on your or our behalf in any shall not be construed to W be a waiver of such litigation in any court. Claims regarding any Dispute provisions or a party's right to enforce that provision; or and remedies sought as part'of a class action, class (ii)affect the validity of this PPA. arbitration, private attorney general or other 20. Notices. representative action are subject to arbitration on an All notices under this PPA shall be in writing and shall individual (non-class, non-representative) basis, and be by personal delivery, facsimile transmission, the arbitrator may award relief only on an individual electronic mail, overnight courier, or certified or (non-class, non-representative) basis. This means that registered mail, return receipt requested, and deemed the arbitration may not address disputes involving other received upon personal delivery, acknowledgment of persons with disputes similar to the Disputes between receipt of electronic transmission, the promiseddelivery date after deposit with overnight courier, or you and SolarCity. five (5)days after deposit in the mail. Notices shall be The arbitrator shall have the authority to award any sent to the person identified in this PPA at the addresses set forth in this PPA or such other address legal or equitable remedy or relief that a court could as either party may specify in writing. Each party shall order or grant under this agreement. The arbitrator, deem a document faxed to it as an original document. however, is not authorized to change or alter the terms 21. Entire Agreement: Changes. of this agreement or to make any award that would extend to any transaction other than yours. All statutes This PPA contains the parties' entire agreement of limitations that are applicable to any dispute shall regarding the sale and purchase of power generated bythe System. There are no other agreements regarding apply-to any arbitration between us. The Arbitrator will this PPA, either written or oral. Any change to this issue a decision or award in writing, briefly stating the PPA must be in writing and signed by both parties. If essential findings of fact and conclusions of law. any portion of this PPA is determined to be unenforceable, the remaining provisions shall be BECAUSE YOU AND WE HAVE AGREED TO enforced in accordance with their terms or shall be ARBITRATE ALL DISPUTES, NEITHER OF US WILL interpreted or re-written so as to make them HAVE THE RIGHT TO LITIGATE THAT DISPUTE IN enforceable. COURT, OR TO HAVE A JURY TRIAL ON THAT 22. Publicity. DISPUTE, OR ENGAGE IN DISCOVERY EXCEPT AS SolarCity will not PROVIDED FOR IN THE RULES. FURTHER, YOU WILL publicly y use or display any images of the System unless you initial the space below. If you NOT HAVE THE RIGHT TO PARTICIPATE AS A initial the space below, you give us permission to take REPRESENTATIVE OR MEMBER OF ANY CLASS pictures of the System as installed on your Home to PERTAINING TO ANY DISPUTE.THE ARBITRATOR'S show to other customers or display on our website. DECISION WILL BE FINAL AND BINDING ON THE PARTIES AND MAY BE ENTERED AND ENFORCED IN Customer InitialsM ANY COURT HAVING JURISDICTION, EXCEPT TO THE EXTENT IT IS SUBJECT TO REVIEW IN ACCORDANCE REST OF PAGE INTENTIONALLY LEFT BLANK WITH APPLICABLE LAW GOVERNING ARBITRATION AWARDS. OTHER RIGHTS THAT YOU OR WE WOULD HAVE IN COURT MAY ALSO NOT BE AVAILABLE IN ARBITRATION. 19. Waiver. Any delay or failure of a party to enforce any of the provisions of this PPA, including but not limited to any remedies listed in this PPA, or to require performance by the other party of any of the provisions of_this PPA, I Solar Power Purchase Agreement version 5.0 Cc)2008-201.3 solarcil.y Corporation.All Rights Reserved. i`-2// 23. NOTICE OF RIGHT TO CANCEL. I have read this Power Purchase Agreement and the Exhibits in their entirety and I acknowledge that I have YOU MAY CANCEL THIS CONTRACT AT ANY TIME received a complete copy of this Power Purchase PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY Agreement. AFTER THE DATE YOU SIGN THIS CONTRACT. SEE EXHIBIT 1,THE ATTACHED NOTICE OF Owner's Name:'Janice Vintco CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. 24.ADDITIONAL RIGHTS TO CANCEL. C"Signature: IN ADDITION TO ANY RIGHTS YOU MAY HAVE TO C'Date. CANCEL THIS PPA UNDER SECTIONS 6 AND 23, YOU MAY ALSO CANCEL THIS PPA AT NO COST AT ANY TIME PRIOR TO 5 P.M. OF THE 14TH CALENDAR DAY AFTER YOU SIGN THIS PPA. Co-Owner's Name(if any): Signature: Date: �Itf - a �SolaOty ,Power Purchase Agreement Signature:. Date: SOLARCITY APPROVED LYNDON RIVE,CEO (PPA)Power Purchase Agreement SotarCityt Solar Power Purchase Agreernent version 5.0 @ 2008-201.3 SotaiC4 borhoration.All Rights Reserved. SOLARCITY CORPORATION POWER PURCHASE AGREEMENT Schedule A Value Statement Amount Due at Contract Signing: $0 Amount Due When Installation Begins: $1,628.19 Amount Due Following Bldg Inspection: $1,628.20 Installation Fee: $0 Average Cost per kWh: $0.1410 Estimated First Year Annual Production: 5,466 kilowatt hours (kWh) Estimated Initial Term Total Production: 104,273 kilowatt hours (kWh) Estimated First Year Monthly Payments: $50.00 Price per kWh Annual Increase: 0.0 % Performance Guarantee Performance Prepay Purchase Option Guarantee `Option End of Annual Price per kWh Guaranteed kWh Output Refund Estimated Minimum Cash Year at Year End . Payment per Price to Purchase Price' kWh if Prepay the Guaranteed Remainder of Output Not Met the Initial Term' 1 $0.1098 5,466 $0.1410 $6.,951 N/A 2 $0.1098 10,904 $0.1410 $6,701 ..N/A 3 $0.1098 1.6,315 $0.1410 $6,442 N/A 4 $0.1098 21,699 $0.1410 $6,1 33 N/A 5 $0.1098 27,056 $0.1410 $5,893 N/A 6 $0.1098 32,386 $0.1410 $5,602 $5,602. 7 $0.1098 37,690 $0.1410 $5,301 $5,301 8 $0.1098 42,967 $0.1410 $4,986 $4,986 9 $0.1098 48,218 $0.1410 $4,659 $4,659 10 $0.1098 53,443 $0.1410 $4,319 $4,319 '1 11 $0.1098 58,641 $0.1410 $3,963 $3,963 I 12 $0.1098 63,813 $0.1410 $3,593 $3,593 13 $0.1098 68,960 $0.1410 $31208 $3,208 14 $0.1098 74,081 $01410 $2,806 $2,806 15 $0.1098 79,176 $0.1410 $2,387 $2,387 16 $0.1098 84,246 $0.1410 $1,950 $1,950 17 $0.1098 89,290 $0.1410 $1,493- $1,493 18 $0.1098. 94,309 $0.1410 $1,017 $1,017 19 $0.1098 99,303 $0.1410 $520 $520 20 $0.1098 104,272 $0.1410 $0 FMV 1) Per Section 10, the price you will pay to purchase the System wil_I be the greater of the System's fair market value("FMV") and the amount shown above on Schedule A. 2) Per Section 12,the prepayment amounts shown above reflect a 5% discount rate. Solar Power Purchase Atreernent.version 5.0 O 20o8-2013 SolarCity Corporation.All Rights Reserved. to 7h?dh3 Cf �D��d soy Town of Barnstable *Permit# Fapires 6 months from issue date Regulatory Services Fee + sAaxsTesM • MASS. Thomas F.Geiler,Director 0,39. X-PRESS PERMIT Building Division Tom Perry,CBO, Building Commissioner J U L 2 9 2013 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 TOWN. OF1!5f4 9 * EXPRESS PERMTT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number I L B Z1 Property Address 1Ger:0aJ Mal EY'Residential Value of Work$ 6 J o o W Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 43_axp� U ktro Contractor's Name zac�or,n Telephone Number JW-3 72—80 ti 7 Home Improvement Contractor License#(if applicableA T 4 Email: 7AC h QQ Z i oz)k . ro YV) Construc ' Supervisor's License#(if applicable) —1 o 1 7 6 orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ Ithe Homeowner have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# V VC. 615 g2801 201 Z Copy of Insurance Compliance Certificate must accompany each permit. Permit Rest(check box) n r � Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to IUetj I)�l�rbl bo s i, ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.,,U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town'department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission.. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:IWPFIL ESTORM uilding permit formslEXPRESS.doc Revised 061313 . N' Contract for work to be done BY: --------- ...... b \� Zach Maynard - Founder Toll free 1-800-781-1816---Cell 1-508-322-8047 Email at: zach@azroofers:com---www.azroofers.com We Specialize in Roofing, Siding, Additions and Remodeling[H Always fully.Licensed, Insured and certified!!! "Family in the construction trade for over 40 years". Customer name:Joseph Vintro Jobsite address: 17 Bernard Cr.Centerville Job Description: Description of proposed work on the property listed above. • nstallation of a standing seam metal roofing system $5,500 • Window installation of( ) win ows using Anderson 200 series windows at $567 each • Replacement of 2 rake trim boards $200 (painting to be done by a painting contractor) • New PVC trim under the porch slider 50 Soffit venting added along the eaves of the entire house $800 • Stamped concrete cleaning and sealing, including sealing the cracks . $600 • Brick demo in the basement$200 • Removal of the gable tvent and patching in with cedar shingles $250 Full cost of job: 6 3- `w as J Payment schedule: Half down for deposit,%of the remainder upon finished installation of the metal roof and the remainder upon completion. For scheduling: Please sign,date and return contractor copy,and call 1-800-781-1816. *If special order items are be involved.This will dictate job start time. Jobs start date: Product type: f"\fJ1UM c M N'Z We employ our own dump trailers.So the nuisance of a full size dumpster is not applicable.We also offer referral incentives along with advertising incentives(before and after the job). x Contractor signahrre Pr erty O,ron r signature Please read all of the following information carefully! Contract Acceptance - Upon signing, this document becomes a binding contract under law. Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence. Review the following cautions and notices carefully.before signing this contract. At the start of the project, please move any items in your yard/ landscaping, to assist A To Z Roofing in maintaining the aesthetics of your property! If there is a non-payment upon completion or during a project, and Contract has been fulfilled by A To Z Roofing, then necessary legal action will take place, via mechanics liens on Property. We always do our very best at fulfilling our part of contractual agreements. We expect the same in return. You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business, provided you notify the contractor in writing at his/her main office or branch office by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement. 4eCPRbP CERTIFICATE OF LIABILITY INSURANCE °"TE(MM/DWfYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS 9 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 13Y THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIACATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIM—AU INSURED, the policypes) must be endorsed. H SUBROGATION IS WAIVED,subject to the tons and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s. PRODUCER C um 1NAME: United Insurance Agency, Inc, PH6 E 199 Main Street 508 759-6595 FAX (50e1 759-3822 P.O, Box 1013 AORESS: Buzzards Bay, MA 02532 INSURE p)AFFORDINGCOVERAGE NAIC0 INSURER A;Atlanta G Casual t y InISUREO A to Z Roofing INSURER a:Travelern and Construction LLC INSURERC; Bx 204 INSURERD: Onset:, MA 02558 � SURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L TrPEOFINSURANtxADD POUCYNtIMet?R MP MloDrYvyY p, GENERALLIAeILITY LIMITS L117001400 d/25/13 4/25/14 EACH OCCURRENCE e 1 000,000 X COMMERCIAL GENERAL LIABILITY AMA GC TO NTED CLAIMS-MADE IAISES_(Ealfuttoo„ 100,000 oocuR NEDEXPA one person $ 5 000 n SONtLanDVINJURr 0 1 000 000 OENERALAGGREGATE tg ,2,000 000 GEN'L AGGREGATE LIMITAPPLIES PE R PRa PRODUCTS-COMPIOP AGG 2,000 000 11 POLICY LOC — S AUTOMOBILE LIABILITY COMBINE t9LELIMI Ea aaeldr+rl $ ANY AUTO aODILY INJURY(Par peteon) S AUTOALL S AUTOS BODILY 9ODILY INJURY(Per accldont) HIREDAUTOS NON-OWNED S AUTOS J'ROPF. DAMAGC cl awl ern R UMBRELLALIAO OCCUR EXCESS LIAR EACH OCCURRENCE $ CLAIMS-MADE OED RETt3JTION AGGREGATE S WORKERS COMPENSATION 6HUB6B107014 7/12/13 7/12/id y{ WC 3raTu. OTH- ANY AND EMPLOYERS'LIA61L11Y ECUTNE YIN _ _ OFFICEORMNEEINBERp(CLWDED? NIA E.L.E JACCIDENT 1OO OOO (Mandatory In NH) DEgCRIPoNOFat]PERAT10N9below 9QDI9EASE. 6EMPLOYCE 100 000 EL,DISEASE-POLICYLIMrr B 5 000 000 k DESCRIPTION oR OPERATIONS!LOCATIONS IVENCLES (Attach ACORD 101,Addltlonal Renorlar echedulo,If more apaaco is requred) Carpentry CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEDBEFOM THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Hyannis Town Hall ACCORDANCE WITH THE POLICY PROVISIONS, 200 Main St Hyannis, Ma 02601 AUTHORIZED R12PRESENTATiVE Tama Buckley ®1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD 'hone: Fax: (508) 790-6230 E-Mall: The Commonwealth of Massachuse& Department of lud strial Accidents Office of Investigations bill! Washington Street Boston,CIA 02111 wwns mas&govldia Workers' Compensation Insurance Affidavit;Builders/ContrachwslEkwtr ciam/Phunbers Applicant Information Please Print ably Na= - - v 8 Address: 7gIt vans �S� C1t11/Statel2i1: - © t9 P1 one#: 5b 8— 322 q? Are 331 an employer?Check the appropriate box: Type of project(regained): 1.TI am a employer with 2 4 ❑ I am.a genmral contractor and I employees(full andloz part-time)-* have hired the suixconlractors 6- ❑New construction 2.❑ I am a sole proprietor or partner- listed can the attached sheet 7- ❑Remodeling ship and have no employees. These sub-contractors have $_ ❑Demolition working for mein any capacity. employees and have wolke sI [No workers' comp.insurance comp.i*,s..ynce I 9- El Building addition 1 . required-] 5- ❑ We.axe a Corporation and its 10-0 Electrical repairs or additions officers have esercased their 3_❑ I am a homeowner doing all work 1 LEI Plumbing repairs or addi#iams myself[No workers'comp. right of exemption mption per MGL 12_❑Roof repairs insurance required.]i c..152, §1(41 acid we have no employees.[No workers' 13.❑Other camp.insurance nur ired-] 'Any applicant that checks boas#1 must also fill out the section below shmugth&wdcl<es'ca mpearsaSou policy kf mffdm l homeowners who submit this affidat+ir indicating they are doing all wool and duen hue outside contactors m=submit anew affidavit mdiccatmg m h_ IContra ctors thst check dos boat must attached an addmansl sheet showing the name of the sub-camuacbm sad state whether oruw those tetmes bav emphryees_If the sobtantractors hale employees,they must pmvide tttir workers'coanp.policy uumber. I am an employer that isproui' ng workers I.conTen.sation insurance for my emplayem Brow is tha policy and job site information Insurance Company Name: Uavelm Tr1 S. d Policy#to serf-iffi.Iic. : lJ C-,6©15'-9 280 12013 Expa Dare: 7 12 l Job Site Address: L 7 Oernard U , city/Statetzir. vCl(t Attach a,copy of the workers'compensation policy declaration page(showing the polity number.and expiration date:). Failure to secure coverage as required under Section 25A of M(M c- 152 can lead to the imposition of criminal penalties of a fine up to$1,50000 and/or nine-year imp iso�,as well as civil penalties in 1he form of a STOP WOKS ORDER and a fine of up to$230-00 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 hiutrance coverage ver on- I do hereby cerh;5,under the pains andpenalti,es oifpeduty that the informafion,providrd above is true and corrmt $ Date: -7- Zq-t Phone#: 5-8 2-3?Z— RO 7 +CI, W&l use only.. Do not wrrte in this area,to be completed by c*or Imm o foul City or Town: Permiti'Ikeuse# Issuing Authority(tarcle one): 1.Board of Health 2.Bung Department 3.City /awn Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone$: 'ME Town of Barnstable ble . } Regulatory Services R43 tN6MIL3 ME, 4 aASS Thomas F. Geiler,Director 1639. 16Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit (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. Signature of Owner Signature of Applicant Print Name Print Name Date Q:F0RM3:0WNERPERIvMI0NP00LS 62012 Town of Barnstable Regulatory Services Thomas F.Geiler,Director - .``� Building Division Tom Perry,-Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: cityttown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage,an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINTITON 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 hermit. (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. Signatum of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fuily aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities-of a Supervisor._ On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Users\decoflk\AppDaffi\Local\Microsoft\Vrmdows\Temporary Iatemet Files\ContentOudook\QRE6ZUBN\FXPRFSS.doc Revised 053012 „s:,. .JiLE c:•C=)JYJl7fi•JLUtO,ILC!!t rt•_'�LLIi �tll��i3 . ,., Office of Consumer Affairs&B>fsiness Regu�IC lation HOME IMPROVEMENT CONTRACTOR Registration_ 164951 Type: ? _fv: Expiration !2/2/2013 DBA L A TO Z ROOFINGA., STRUCTION ZACHARY MAYNARD 34 PINEHURST DR � c WAREHAM,MA 02571. 0 d cretary Boar'd ?# Sa a3 Y”'xijf'[3`3L#s" an— ('+aar..tr�;.t?yat#S�t�zs,-id�rr !�b=�:aaatil� • _ cen S,(-: CSFA-090176 .tee �4 ZACHARY A.BA NAkD ;max _ 34 PINEHUqW DR> T 9 . W A u Y ; .•Yr�van _ Y +v..=s e, a�i7m#ems# �,:?r 02128/2014 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# ( 0 (0 ��) Health Division W":P`f 5/7/03 Date Issued S— _ 3 Conservation Division 5 �(�I 03 Application Fee 2.1 Tax Collector (� Ia3 Permit Fee Treasurer C �� 7 v3 SEPTIC SYSTEM MIDST E INSTALLED IN COMPLIANCE Planning Dept. VATH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AhIL TUVI 4 REGULATIMS Historic-OKH Preservation/Hyannis Project Street Address / 2 6oci2A2 D Villager� v i �s Owner_, J44 /n�d ,�/� Address J/!h!t.P/ Telephone �m�,f V-?� /11 S—& Permit Request o d v,> Wean. Pgggf�A,, ��z_—a _&.0 Square feet: 1 st floor: existing (L proposed ZD 2nd floor: existing k-� proposed Total new 51—a Zoning District !i Flood Plain Gi Groundwater Overlay Project Valuation_ ' Construction Type r Lot Size Grandfathered: ❑Yes [k'IGo If yes, attach supporting documentation. Dwelling Type: Single Family Q Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 3'No On Old King's Highway: O Yes t1lo Basement Type: O Full ❑Crawl Cl Walkout ❑Other fA Basement Finished Area(sq.ft.) —In Basement Unfinished Area(sq.ft) 0 1 Iq Number of Baths: Full: existing new h Half:existing FF new Number of Bedrooms: existing new _ Total Room Count(not including baths): existing new in f A_ First Floor Room Count y�i f} Heat Type and Fuel: U Gas ❑Oil ❑Electric Q'Other 2�[e S Central Air: ❑Yes CIYNo Fireplaces: Existing V�, I p New A- Existing wood/coal stove: ❑Yes -11Vo Detached garage:❑existing ❑new size jKip Pool:❑existing ❑new size VIIA- Barn:O existing ❑new size — Attached garage:❑existing O new size -�j Shed:❑existing ❑new size &Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes �'No If yes,site plan review# Current Use Proposed Use 52 BUILDER INFORMATION Name G �i/ �Li �y -11 Telephone Number g2�f— 4/,2 0�171 Address /Z_ License# `(' ,a ju. 1 C Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE <72/03 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/'PARCEL NO. ADDRESS VILLAGE } OWNER DAT ,OF INSPECTION: - Y FOUNDATION FRAME ` INSULATION -� FIREPLACE ELECTRICAL: ROUGH FINAL " PLUMBING: ROUGH, FINAL GAS: ROUGH _ FINAL ' FINAL BUILDING DATE CLOSED OUT - - pf ASSOCIATION PLAN NO. J 5 P F i The Commonwealth of Massachusetts Department of Industrial Accidents Office 911=850SIONS _ 600 Washington Street Boston,Mass. 02111 Workers' Cam ensation Insurance Affidavit name 1,/ location 7 t�O�h A�✓)� Lam/d'' ��/ ci hone# I am a homeowner performing all work myself. ❑ 1 am a sole proprietor and have no one workii in ca acity % /G%///////%/G/...... /%%%%%% %//////%%O/%%/%%%//G%%/G%%%%%/%%/%%%/%%%%/%%///%%%�%%%%/%%%%O///%�%%%/�i,. em to rovidin workers'compensation I am an P y�P "n nt :eom sn .. }k -••sS�i':,`:;(:i+ j��•«;:y;,,,;i}�{:>; }�?:;::{'Y::::;:;:j;:;. ... �f. ;i:?y�vi:'??Y;:,>.;:;:{:�:ii::?'+'i:'}i`''�Y:�ii:?i::C;:}:i::ij::::::::y::::j:.:::::::::::i::i ii::;:;:}:n j:;:i:<v{::�i:;i:^:;:;:ti;i:;:ii::jv;f;$:;::i�:v;i:t.�..•.-..•.•...4•^•i•::vvrv�};h`;.•...;.'..;.:;':.; `h n�.'b }'reran cv ❑ I am a sole proprietor,general contractor, or homeowner(circle one) and have hired the contractors listed below who have win workers' co ensation polices; olio :r..K:•.r...a.,.•:::..,.:::. the f ..................................... ..........................:::::::.::::::::::.:::::::::::.::::::::{:::.;:.};>:.;:{{.}::.}:{{.;;:-;:-;;:.};:.;:{.>:.::{.;::;{.;:.;;<.}}:.:;{.:.:{;;{.:{.}:•}}:{.}:.>:.:>}:.::.>;::>:.;:. `rtaim ail` n :<. :- :>> •"eSS S `'i y >€#>2 i::%i`: ;i%?; i i.;.i..... ::: ??i`#<isi;:+•si'ia;ii i i;:?iii ;2;-�;;;;; ';ii r' i;i:::??i:i;::a;?i::,.::::..:,.....:: ''`# ir :;:;i}:.j:{:;::.:i$i:•.•:iL.•'.:i;{?:•:ti:•v:::^Y::•{?'{'iiii:}:{w:>:?ii+:•i:ii:Y .... .:.:.:...:w::.{•::::::•;}:::v-:}:iL,{•}}::{:;.;{:;.:;{:.%;;}::::;:}`:::::......:i >::ii:<4i:.�ii:'{.j :iiii:i{'.}ii::ii'.ii{;}?{:jiii:.:ii�i::}:iii:}:•:C'i:•}}:•:'::..f{jj.'ti::::j:::;:;.;?:ti:.ti:::•:iii::`.;••..................:-:::::::. ::::.................::....................:....:............................ hone :::... . .................................................:.. \''i�':.!-•::{�iii:.v::}ii:.}::}:i}ii:�::r{i:i}}}:iii$i..•i:':-'}:�i:{}::::'!� wv}.4. ..:::.; v:..;•.,:•..:.:{.;{.}•..{..:.;:..:•:.};.:.::..r v.�i.�i::.::::.•:n.•.:::.v:i.i�.}•:�$i:•}.:•:{jw::::iiii:<S.}i:{{vi:{•:•}:'::•:'ii:.�jy:•:.{•i:••:•}:{v::4:4:{{4:;}•:'fi;:.} ...............::n...........,v::n.::....n........:•:•.�:........................... n..:..v:.:::.... .. 2.::::::.�::.r.•:r::::.:.,,•:.�::::,:f...v..:.•.,i?�4':•::., ,�f[;};i.4ii;}:;} :.....�..............:.:::.:...............:f::•:................::.:::.�:. . .. bra:�.#::::::::,:.:,,.,,,:,.:::•:,:•::.�..:::::,.:::::,.::.::{,.:.:.::.:.;:.::.:...:.,...,,<.:::::::::::::.�::: .t�i�ra#teecoa:z:<:::>:.::<:::;<::::;;;:;;.}::<:>::>:<:::::s<:::::s:;::,<:-:::;:, :;::<{::::<.<::,:;:;:;;;::><::::>::>::«�::.,,,.:.:,. .;:.;•.�:,.;;::<{:,;:<. <.:,.,..: :: :•: ,'�//I////I%/ Xx '-"s . xx es`"dilr a .cl.. ono X. ti;Q :.. :.'. :::{!{�:<�i� :;.';i:Y:':'Sam :•:iv'v:.�:.;{iiy:L.::.;:::.:;.;v.:,:•:.;; .::YI]IITitiiC Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a sae up to 51,500.00 and/or one years'imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a fine of 3100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is inv and correct signature ` Date b - Print a �`r� ��h �/7 , . Phone# omcial use only do not write in this area to be completed by city or town official city or town: perardt/license# ❑Building Department ❑Licensing Board check if immediate response is required ❑Selechnen's Office ❑Health Department contact person: phone#; ❑Other Ommsed 9/95 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. j An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct.buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and A. date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the Permrtllncease number which will be used as a reference number. The affidavits may be reta riiR to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. �Deparrnient's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Invest1gatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 °FIRE 1pk'y Town of Barnstable Regulatory Services BARNSIMLE, ' Thomas F.Geiler,Director MASS `bAT039. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type.of Work: 0 OY1 d Estimated Cost Address of Work: Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 Q] g not owner-occupied LVOwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME EYIPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. . Da e Owner's N I The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: _ �/7 �9rl�_(��✓�Pi / P�1� /��.� number str�eet� village �7 "�i0ME0wNER": /' ��LP, "Z 7�& i)� ��� /7� name home phone# •work phone# CURRENT MAILING ADDRESS: P city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more.than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and - other applicable_codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of B arnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. gnature Hom owner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed-Sup ervisor. 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 fnrm currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. N The Town of Barnstable o� IAPASM E.M Department of Health Safety and Environmental Services A55. o ' Building Division Prf D M>�► 367 Main Street,Hyannis,MA 02601 508-862-4038 508-790-6230 PLAN REVIEW Owner: V . V nT Y' Map/Parcel: — 2 9 Project Address: �� J JAY G r �,i Y^C�e-Builder: V�-U V1 e The following items were noted on reviewing: Z may, it4- v Reviewed by: Date: 7 '? f 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS ONE AND TWO FAMILY DWELLINGS-FOUNDATIONS FIGURE 36043.1a CRETE AND MASONRY F DATION DETAILS 3 1/2-MIN BEARING WALL fJ ► • r ONOLRMIC SUB INTERIOR INTEGRAL FOOTING . 3 UP'MIN. INTERIOR i • M GROUND SUPP0RTSUB Wfnl MASONRY BASEMENT OR CRAWL SPACE WITH WALL AND SPREAD FOOTING MASONRY WALL AND SPREAD FOOTN G - NiERIDA. EXTEiiOR / P ► P r ► ► ► P SASEMENTOR CRAWL SPACE BASEMENT OR CRAWL SPACE WITH. WITH CONCRETE WALL AND SPREAD FOUPDATDN WALL BEARING 1 FOOTING DIRECTLY ON SM For SI I inch=25.4 mm,1 foot=304.8 mm. NOTES: 1. Exterior footings shall extend to below the frost line unless otherwise protected against frost heave. In no case shall exterior footings be less than 12 inches below grade. 2. Footing widths(go shall be based on the load-bearing value of the soil in accordance with Table 3604.1.4 or shall be designed in accordance with accepted engineering practice. 3. Spread footings shall be a minimum of six inches thick,and footing projections(P)shall be a minimum two inches and shall not exceed the footing thickness. 4. Footings shall be supported on undisturbed natural soil or engineered fill. 5. The sill plate or floor system shall be anchored to the foundation with %-inch-diameter bolts placed six feet on center and not more than 12 inches from corners. Bolts shall extend a minimum of 15 inches into masonry or eight inches into concrete. Sill plates shall be protected_against decay where required by 780 CMR 3603.22. See also 780 CMR 3604.10 6. Pier and column footing sizes shall be based on the tributary load and allowable soil pressure in accordance with Table 3605.2.3.3b. 2/20/98 (Effective 3/1/98) 780 CMR-Sixth Edition 491 f ' MORTGAGE MISPECTIOX PLAN APPLICANT.' JOSE'PH VINTRO JR. TO WN. CENTER VILLE LOT 51 150 00 WIRE FE �_ LOT 52 AS/LOT 29 0 r AREA = 15,OOOf S F. NO'00 C o 72.3 21VD ------ w �, STOCKADE ,STORY 1xw HSE - �} FENCE DECK iaz --= 9' SHED ------- o PROPOSE o ADDITION � -'60 e . LOT 53 10. 0 0 L o, 13.7' LOT 55 OQ oe9�9oiaoa�eaaAe OF c .44 PAUL, you A. 3 NIERITHEW NO.-32098 •.• !®HAL LNN®S FLOOD PANEL- 250001—0015C FLOOD ZONE C" DATED 8119185 e'��O�ae�eoab�9°e I hereby certify that this mortgage inspection plan was prepared for- Plan is For CAPE COD BANK & TRUST Bank Use Only The location of the building shown does N0T__ fall within a special flood hazard zone. PLAN REF. _ __252_13_2_ The location of the dwelling does conform to the local zoning by-laws in effect Scale 1 = 30 FT at the time of construction with respect to horizontal dimensional setback requirements ------ or is exempt from violation enforcement action under Mass. General Laws Ch. 40A -Sec. 7. Da te. PLEASE NOTE., The structures on this inspection were located by tape not instrument and are approximate only. An actual survey is necessary for a precise determination of the building location and encroachments, if any exist, either way across property lines. This inspection must not be used for recording purposes or for use in preparing deed descriptions and must not be used for variance or building plan purposes. This inspection must not be used to locate property lines. Verification of building locations, property line dimensions, fences or lot configuration can only be accomplished by an accurate instrument survey which may reflect different information than what is shown hereon. This inspection is not to be used for any purposes other than mortgage. Yankee Survey accepts no responsibility for damages resulting from said reliance. Y NKEE SURVEY CONS Q J l l TA NTS FAX 508-400-5553 0 BOX 265, 40 INDUSTRY RD, MARSTONS MILLS, MA 02648 PHONE508-428-0055 53362 GM Town of Barnstable . Approved Regulatory_Services Fee a.S . Thomas F.Geiler,Director Building Division Peter F.DiMatteo,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Home Occupation Registration Date: Name: ��� L � !✓ /iI�O Phone#: y o iI'' ZD /�•1`b Address: village: Name of Business: Type of Business:_����r Map/Lot: /117-O A 7 INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • . The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or.one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed-indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be ' included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have fead and agree with above restrictions for my home occupation I am registering. Applicant: Date. Homeoc.doc TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION' ~ Map LF7 - Parcel -� Z � Permit# -AL7 G Health Division Date Issued Conservation Division co MF 0 ' Fee_ �(� Tax Collector • 4,: �- r Treasurer a �' SEPTIC SYSTElir7'MUST BE , Planning De INSTALLED IN COMPLIANCE WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL COPE AN = Historic-OKH Preservation/Hyannis _�, .'+ TOWN REGULATIO S Project Street Address �� _ Cv b Village0_b��O'ce Owner r�O Address ���i�1� Telephone Permit Request 6+ tal_ W:&A&rid,-V— /goo CJ `, j!):: 12-oop? Square feet: 1 st floor: existing' proposed 2nd floor:existing proposed Total new Estimated Project Cost 11YI Zoning District Flood,Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family a-`Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic Houser ❑Yes O'N'o On Old King's Highway: ❑Yes (So Basement Type: ❑Full awl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) • F Number of Baths:• Full:existing new Half: existing new Number of Bedrooms: existing ' 3 new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel -&as ❑Oil ❑Electric c ❑Other Central Air: ❑Yes 4'No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Detached garage:C ting ❑new size Pool:❑existing ❑new size' ' Barn:❑existing O new size Attached garage: sting ❑new size Shed:❑existing'❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# ' Recorded❑ ' Commercial ❑Yes If yes,site plan review# Current Use Proposed Use N, BUILDER INFORMATION NamefiN / �� /f/ � Telephone Number ��d6?—Xc" �'-o��W Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE - - FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ,MAP/PARCEL NO: - .F. � w ,. "� at °1 •„;,,� ~`.r ... - < �r C`• t •' r a. r � t... _„i mot. .•. , '� ti• - •' - -t , ADDRESS VILLAGE " < { x}� t t•`�'�• `� t : i.,^ i • �' ' '"'� v i r a:y }H•. t r t: !r"- � j°.. � y- • .. ' s � r•s- s . OWNER, , �. .: •, •rat �, • • �' ��^ ,y ' _ . .� r f , _ DATE OF IN_SPECTIO FOUNDATION' FRAME • M' p k'' •�' :..�j /� rf'• "it .� . t' f. � xyt i � ? w * }+ f INSULATION �'1' S ' !Vv M c , 3 k FIREPLACE ELECTRICAL: ROUGH FINAL .x PLUMBING: ROUGH i- h FINAL ;-3 F, GAS: - ROUGH '® 'FINAL FINAL BUILDING - s •. !~ y`,R � �_ �� : ' * , ' .. � • _ 4 . C ! 1_ a �.y F DATE CLOSED OUT ASSOCIATION PLAN NO. -�' --�__ The Commonwealth of Massachusetts .�.. -- . , ; - Department of Industrial Accidents ` -= = fiffee of/oresaffadens 600 Washington Street - -. -.--�� Boston,Mass. 02111 -- Workers' Compensation Insurance Affidavit name: NIVAL0 a. I S location: 1-7 6-Y NV l�(� . city C s N% &V,L l�. phone# � ''"1 �''d�b ❑ I am a homeowner performing all work myself. . . . a ❑ I am a sole prc,Trietor and have no one workin in cing %/%%/%%%%%%%%��%��%%%%%//%% %///%%%D/%/%%%%%%//////%//////%/%%//%////%/%%////%%%%%/%/%%///%%/%%%%%/%//////!ci%%////////l, ❑ I am an employer providing workers' compensation for my employees working on this job. :::::::::::::::.:: :::::?:<8Q�.10 ....- :;:::: 21 2 -,: ?; :: �` r ` 2> 2 a' ''? ' 'Y ? ' 2 ` : .:::: Ama v ..y:,..:;;:Y::Y:::;:!;�L,v:: t: :;i:_:�:.::':4i:'.'�`:ii::ii }} :Y:? 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III III lTafim�e to secs-,coverage as required under Section 25A of MGL 152 can had to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as dvfi penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby c ' under Jthe ' and penalties of perjury that the information provided above&&wan/d coneec Signature / t' Date 6-, —,? / _ Print name Q d l1011 D ?- Pt X E-S Phone# S`d 5—ycg E i J7-�, official use only do not write in this area to be completed by city or town official " city or town: . penmit4icense# QBuilding Department Micendng Board O checkff fnunediate response Is required . OSelechmen's Office • ❑B:.ealth Department contact person• phone#, _ OOther (awned 9/95 PJtu Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the penmit/license number which will be used as a reference number. The affidavits may be retumied ie the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. /%% ////////%%//////%%%%%%%%%%%%/%%%%%%O/%/%%///%%/ ���%%/%%%%%%/%%%%%/%�//%%�%%i%%%%'% �%%%/ The Department's address,telephone and fax number: - l The Commonwealth Of Massachusetts Department of Industrial Accidents Imce of Invesugations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 r C- 2,X ol Fla r yavS� IONS �` I(n ©.C, � Qli e-T r , Pr V _ Y 2�Po�'fc.0 ���Ov�9�-Tiaiv fo�C �os��� � ��9i✓ie� �i� i�o oFTMe �.�.snatvsrnM The Town of Barnstable • 1659. Department of Health Safety and Environmental Services " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW . SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. , Type of Work: R��o��/ � �S76;t `-X IfO Estimated Cost --"o ereer Address of Work: /--7 &,rz/vayt S (2 , Owner's.Name.�To 1, 'C! J reE- U fnl(-7zo Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law C]Job Under$1,000 Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Co or Name Registration No. OR Dater Owner's Name q:forms:Affidav �i��- ..✓fie iilorivrreoowrea� o��,�/aa6ac«uc� OEPRRIHENT Of PUBLIC A,ETY + CONSTRUCTIOX SUPERVISOR LICENSE NDaber _ �- Expire . -- Rest,ricted ro' 00 DONAID J is CAMERON LN NARSTONS HILLS, f!A 02648 i`{� �51s HOME IMPROVEMENT CONTRACTOR a` Registrati:on �105741 g ;aK L b7/20/00 `� 'Expiration - <'� . .DONALD J =RIRES BUILDIt�6t 6 RE Donald J Pires � , ameron Roadk ADMINISTRATOR Mars tons Mills 9�MA 02648i 1 / �`14sess&'s map and lot nu Er Sewage Permit_ number .. ................ .............................. SEPTIC SYSTEM MUST INSTALLED IN COMPLIANC Q Z 33AUSTADLE, • House number ....I.T:......:......................... ro "b e i;WITH TITLE 5 .. ` 9. ENVIRONIsAFNTA1. CODE AND TOWN OF B.ARN'S TA�B�L�' ,ONS, BUILDING 11SPECTOR APPLICATION FOR 'PERMIT TO ., X TYPE OF CONSTRUCTIONU ........ .......................:... ........1.... .. TO THE INSPECTOR OF BUILDINGS: �. The undersigned hereby applies for a permit according to the following information: Location ...: S...Z:.......b. . ... �/f............................... .. ...... 1< �/lLl ............. ProposedUse .... �^.�/�....... ............. ..... .................................................................................................................. ZoningDistrict ........................................................................Fire District ....... ..................................................... t Name of Owner V .6"?v!.. ........Address c............... ................ Name of Builder .�>."SSL I!, '! � !�L! /0�—S� Address .......................................... ............. Nameof Architect .................................................................`Address ................................................................I.................... C Number of Rooms '. ......................Foundation �`� ..................... .............................................................................. Exterior .... .C......C.. . ........................................................Roofing ..........`.!. Floors G~ ... ...... ...............................a= ............:..Interior ........� Heating .. ... .....lN..........................................................Plumbing ..... .1 J.......... ... 4�.. .:........................ Fireplace ......®k.r..................................................................Approximate Cost ......�4©(OD........................................... � . Definitive Plan Approved by Planning Board ________________________________19________. Area .. ....................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH (��� go O Oil t l . I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. - � Name ..........:S�.L�.............................................. ................. } DAVIS, KEVIN . . . 22678 One Story 'No -----.. Permit for .................................... . ' ' . Siogle Famill' Dwelling --------------'---^^-------- Lot #52 17 Bernard * Cirole Location .................................................... ' CeotervilIe —'--.-------^---'^----------- Kevin Davis Owner ................................................................... ~ � r'-�- o ]7�a�e '/, —� Construction ------_------- -------------------------- . . plot..-`-------- Lot ................................. . . , ' . . . ' DJovember I4r 80 ' Permit Granted ----------' .--lP ~ ' . , ' � �~_ o�~ ' Date of Inspection ,t��—.��-------]A uo/e Completed /.� 10 ' . . . . REFUSED .z...�� ./------------- lA wn �� . .. ---------. ...-. . -------..,... ~' . ' '�... .�%--_--........--.—.—....--... . . W ;� . ' --_—.--.-----..,—....—.—.. r ~ ^ "Approved ................................................ lq _ - . . . ` � ' �� ' !� Assessor's. ma and lot number .7...... 1.... ... .....:•..... f J 1' � c, b�Q�pi TN E'TDi`O� Sewage Permit number ' ��. = BiaasT4DLE, House number .... 900 39. 0� �FQ YPY a� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......f�•....:�::..�..`:�. .c.`::......./..�.....�'{"Z`.".:. .��........................................ TYPE OF CONSTRUCTION ...........'�..�....0��... ........ t< Q "�`. ............................. ' U ........ld. ...lQ.> .......................19.. .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........................................ .... ........fir ProposedUse ....�!! ,�//, .......��`........4�q............................................................................................................... ' � I ZoningDistrict ........................................................................Fire District ....... -- . ..................................................... Name of Owner ..' /f.U.�`►...... Ui-S ........................Address ................................................................ ..... .. �9v���L / ,� �' L` 0if �QJ �`G/5 �4`�rc' f�r�tS�.C� 1� Nameof Builder ....................................... ..Address ............................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms � f�� , - .. ....).........�..........................................Foundation .............................................................................. �14 Exterior ............................................................! 5 Roofing ................................/................................................... 6 Floors i� ........................................Interior ff� . t ........... ... re „ z � 4 Heating ..............:...................................................................Plumbing .............:.....................................�.............................. Fireplace ...... t..�.......:........... ........................................Approximate Coso..`.�. �,,Q ,Oeof'................... ...... Definitive Pla.nlApproved by Planning Board ________________________________19________. j Area Diagram of Lot and Building with Dimensions Fee v! r'F ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH lr ' ,/1 f I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. f, Name ...........:5:..f............................................................ DAVIS, KEVIN ,`=147-29, No .22.67.8... Permit for ..,,One Story .................. Single Fami1X Dwelling Location ...Lot.. #52 17 Bernard Circle ............................................... Centerville ............................................................................... Owner Kevin Davis .................................................................. l Type of Construction ...Frame....................................... ................................................................................ Plot ......................... . Lot ................................ November 14 , 80 Permit Granted ........................................19 Date of Inspection ......../.......................19 Date Completed .....A...............................19 PERMIT EFUSED ................ ....... �.................. 19 I .................. ............................................... ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... x a• � � P � I t e, Il`WWN` qb,FZI i 1 `4Zk! OF VCH'\RijAMES Ai 27971 7 ~ w N SURJ S' 7 CERTIFIED PLOT ' PLAN,` , ` zi+ Y I CERTIFY THAT° .,THE - Un Ar:y),q R. i OWHEARN., /NC.., RLS }RS SHOWN ON;''-THIS =PLAN HAS BEEN 1348 ROUTE 134 4 EAST DENNIS, MASS LOCATED ON:.THE ,_ .GROUND.- AS INDICATED.-- , DATE`: SCA LE s f�4/ -•-" ..�'' / -✓'. GD IV V..� x•7.— I<_..:� VLIEIrT; i t1..4f. i1 ('� �J DATE ytft Gib R�D� LAND, SURVEYOR OR 'BYr � :., . ' ,.. ; , SHEET__�__,:0F :� THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M AC(, �� C DATA 1 ' TOWN OF BARNSTABLE Permit No. -------------------- Building Inspector sauxast Cash ''tO YPY L\ OCCUPANCY PERMIT Bond ------------ - No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ...................................................................... .......».......».»......»..»._.» Building Inspector Engineering Dept.(3rd-floor) Map /-/,Z Parcel-6 o2 Permit# 1 I ) - House# w Issued j 2 "9 Board of Health(3rd floor)(8:15 -'9:30/1:00-4:30) . d 111 Conservation Office(4th floor)(8:30-9:30/1:00-2:00) - vkol PI%NROMONfiWool Admin. Bldg.) d tME Definite by Planni� 19 'SEPTIC SYST E 1�-".51 INSTALLED IN CE p FEB 2 ?, 1998 s OF BARNSTAR WITH ONMENTAL E AND r' Building Nirmitt Application TOWN REGULATIONS Project Street Address / / /llwgo % L� Village � fJ �1 Gam = Owner Address Telephone - 7/ 7 f�Jr✓�i Permit Request G'= S Pi t r-✓1t ./eJ.S':y.�-z.G �illy� s��,G��/V� %��r1�'1 �- $�/ �✓�r'�/r7��yS ..ss,�rjz ��' z.E' First Floor square feet Second Floor ' square feet Construction Type Estimated Project Cost $ ; (12 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family JK_ Two Family ❑ Multi-Family((#units) Age of Existing Structure Historic House ❑Yes 2 o On Old King's Highway ❑Yes ,Ro Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First.Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces:Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial Q Yes arfqo If yes, site plan review# Current Use Proposed Use Builder Information Name �j' Telephone Number �29-/d I Address � �s 1s�U 0 C 1'VI-1 License# cZ-9©-3 2 .%2 _ Home Improvement Contractor# led 7�1-0. Worker's Compensation# U V W 8132 c.2-93 2- 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 SIGNATURE - ✓ DATE 2- BUILDING PERMIT DENIED FOR.THE FOLLOWING REASON(S) t FOR OFFICIAL USE ONLY PERMIT NO. ! DATE ISSUED MAP/PARCEL NO.— ADDRESS t ~' VILLAGE- OWNER DATE OF INSPECTION: J o FOUNDATION' FRAME INSULATION + FIREPLACE t - ELECTRICAL:' ROUGH #,., ' FINAL!' rN t PLUMBING: ROUQlp i—• FINAL' GAS: ROUE FINAL' 5� FINAL BUILDING -DATE CLOSED OUT t co er Cu • , ASSOCIATION PLAN"NO. = - I �i AL - \ ..• _... � j;,e _I :`PLOT AAN FOR LOT Iadicatd-location of garage or acceaory building ` Aaditioms with dashed lium _ S�iverige disposalwit (c=sspool) i (Lot......:.............ft.rear) I ter'= Abuttor's Name Rear Y `` tot • s� c !U Ls is a „ n if this is a lot' IU ecsne lot, iII Zs WTitz in Ef • L2SIIe O< Sideyard HOUSE Sideyard other=cet. It. Set Bads . ..............:.:ft. ( ..:.:.:.....:::..:::fz. hostage) (Nlme of street) Laforiisasioa Mark North Point r - t� 1(Z 33*tusTael L Sat '•' �xG PT post . if "fit oc :. �' •� n,L •nftie�rtas� .2 x�!J O7 ' o es-.T�S T • L�,WC pars L „ r4 .4 17e Z,- . • t_. =.. M :_ `'w`� : � ' ��� ice-% .w.r..�-•ar•'r!C'1S..r�L7�.y`�•��....;- j.. r,• .� � •ram.- �1 •�• � -�.nt -�y?v-�.•-.-. ��• � _ ��� .. � t 0051 / i- ,. ✓' lz� CJ .I F�CsTr� T - -c c� Su=..c:r`: Fest, atLC.= anti =ate. �,;e �,SL•.CLi tc r. F?ace -�ccc [ . t-• tts G�08 - [ . pacstcn, -` 104?40 Egg=c'at:a-,• Cc�_!'z� [ �..$--r--�f 1 �- .ra_sc� [ ��_V�t c CaF=Gr L►IQi� I � �=�?��CiTs'-Liar •r RQras Cap � ✓�ie �a�rr�xaxeuealt� �:�iaa.¢rJru:ellj DEPARTMENT OF PUBLIC SAFETY CONSTP.UCTION SUPEP.VISOP. LICENSE Mucber: Expires: Restricted To: 14 THOMAS I CAPIZZI JP. 6' BARNSTABLE, MA 12668 • The Commonwealth of Massachus-i Department of Industrial Accidents Q Oflles Samstlatfais 600 Washing on Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit :7 narn al onc Q l am a homeowner pertormin=all work m}•se!f. - II am a sale proprietor have no one working in any capacity I am an eriplo-ver pro%idinQ workers' conrensation for my employees working on this jco. om any' name: address: ;�.. 1��� /�� oofiCv it e�ul L� Z7 c- 2 insurnnc� Co .+ l w ho have Cj I Cntr3ctor.Cr home-owner(circle orre) and have hiredr,`— �.ht c0 ::C S: aC": a sale prCCrietCr. general C l,Ste_C-,C tt the followin Worker_- :0mcenSzt;Cn ;once.: m anv name: address: , OIICti= in<urince CO. m ante name: imunincr Co. czi a Failure to secure coren;e as required under Se--aoa SA of MG ls2 as lead to the inapoaaoa of cztta�aai peaalsfes of nst fine I�a� �t: ane years'imprisonment as well as ciril penalties is the focss of a STOP WORK ORDIIt and a litre of S100d0 a dal t copy of this statement may be ror�►arded to the airier of turesti�atiaas of the DU for corers;e reriticatioa- 1 do hereby erred ultder t ains and pea es of perJarl that the inforasatfaa pravidtd share is age and Gorr:G �- 71- - Signatur— � � Q • — Print name_ Ccheck do act rite is this Brea to be completed Dy city or town of lci" I pezmitR'icrase# rTBnildin;Deparsmeat - Qilcznsiut Board a5deesmea's Other ediate respaase is requiredQSeaith Department phone#-. fn+�s.d;,aa P1A� °F THE 1p� The Town of Barnstable 9� �0�' Department of Health Safety and Environmental Services A,Eo " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along wit other requirecpents. Type of Work: �i¢�l dt/�r✓, f � Est.Cost Address of Work: 17 "fly Owner's Name �/$✓✓f � ( � �i/ Date of Permit Application: 2-2-0 - 7 I hereby certify that: _ Registration is not required for the following reason(s): Work excluOd by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply fora permit as the agent of t e owner: Date �n o tractor Name Registration No. OR -f Date Owner's Name ' Y t?+t t a g 147 �osas t,fid l ' M t GEOGRAPHIC INF 0 MA . 4i\51.3j-21i� •9 28 7-23 16 14, 7-21 5315 � I_ 6 f; ,{ 51.E 7-5 �:;•, + %r t Engiheering Dept. (3rd floor) Map Parcel (� ��( Permit# House# ' Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Conservation Office(4th floor)(8:30- 9:30/ 1:00-2:00) 12, Planning Dept. (1st floor/School Admin. Bldg.) VIE►q ` Definitive Plan Approved by Planning Board 19 SEPTIC SY T BE INSTALLED iIIP ' ANCE TOWN 6YBARN5TABTT�__u V6IITH ►; r "EMIRONMENTA ODE AND j Building-Permit Application TOWN REGULATIONS ' Project Street Address Z-7 /LC�Lo_ F i /� ,, � Village -n,4v�CJI" (/I I-A ' s Owner U I N74Zp v dress /7_ 13?,rx 1+Lo r, ✓L-.' _ . , Telephone Permit Request 67C1`y_"t/ A*__� First Floor 4to� square feet Second Floor square feet Construction Type /6�S C Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No }Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Md/y-0 11 M I C 5f i4 B Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None `Shed(size) ;Z0X ?_Q ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use / Builder Information Name el A G C1",*C,6<_ W 6-u-r.,7 �i%Pue,?S Telephone Number Z-�-0- ? Address 2-541 QUPe_N Pr",v--- K--,O License# IW1,/- 62 QP qS" Home Improvement Contractor# 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 ta/ti OK SIGNATURE DATE 16` �— BUILDING PERMIT DENIED FOR THE LLOWING REA N(S) c��J r � y - FOR OFFICIAL USE ONLY lb r PERMIT NO. DATE ISSUED J MAP/PARCEL NO. ADDRESS VILLAGEIle— OWNER olf DATE OF INSPECTION: ' , FOUNDATION FRAME-' INSULATION = FIREPLACE ELECTRICAL:- ROUGH FINAL : PLUMBING: ROUGH FINAL ` GAS: ROUGH FINAL y FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLA NrR rn.z rn C) "� \`. 6 .z (} N2 m D c: z...D VS Z © �o o z D cDnrn 6�✓ 0 m. _ \� CN rn m C) A L'i+• '• /' �/jam OD o mo - N cn m r m ..� m D � The Cununainrcalth gf,ltassac•hucetts =ryil , ';.- -:j s Department of Industrial Accidents Office 010=69211017s }-` .•'` `''� 600 if'asltin tt n Street Boston,A1ass. 02111 ` Workers'Compensation Insurance Affidavit A�nlicant ofo'rmation ,.- Plc-ase i'R'TN`I'leg '�=.._„•_,�;. _ n•-ti -F- •-r r�- _--. Y � name: location: Cily Phone# I am a homeowner performing all work myself.. I am a sole,proprietor and have no one working in any capacity - L. . ZRMT atn an employer providing workers'compensation for my°employees working'on this job. ~ Minna:.:nv:: Vl�h 06A•• HQ�r6r L0006 PQ address: it CV). h n No I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: address: city: phone#• insurance co. Policy# Gj. _ - '•_• ....R`:::i �►rotes? "ti�:.�'_inrvcr;,`?�.C�'�`--.Tea't, -.,yam--`�_.�"}s 33'��_ + i$'try �+'cTy�:�•�c'; tea_.. �. .._..ism.-•.rls/cT�aa.� L'S� -�� -y' %•'Y.'."��4''.. _ fib`}riCx-..lEr:!.+x+. ft �L�r1::L :_ company name: address: cite: Phone# insurance co. policy# MM ;Africkidditionat-stieet.itoecessary Failurelo secure coverage as required under Section 25A of MGL 152 can lead io the imposition of criminal penalties of a fine up to S1.500.00 and/or one Ceats'imprisonment as Nell as coil penalties in ilac form of a STOP AVORK ORDER and a fine of S100.00 a dayagainst me. 1 understand that a copy of this statement may be foncardcd to the Ofiicc of Imestigatinns of the DIA for coy erase verification. do herebr certify u4tcit ties of perjun•that the information provided above is true and ForrecL Signature Datc Print name C 6� Phone# official use onh do not irrite in this area to be completed by city or town official "' - "city or town: permitAicense tr OBuilding Department O check if immediate response is required oSelectmen`s Officc 011calth Department contact person: phone M. nOther R Suggested Affidavit for Home Improvement Contractor Permit Application For Office Use only NAME OF CITY/I'OWN Permit No Date - AFFIDAVIT Horne Improvement Contractor I.aw Supplement to Permit Application MGLc.14ZArequires that the"reconstruction.alteration.renovation,repair,modernization,conversion,inpiovement,removal,demolition, or construction of an addition to any precdsting owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adiacent to such residence or building"be done by registered contractors,with certain exceptions,along with other requirements. /� ,� Type of Work: C-c ISfivGfiOo of PMJ t Be-em, ��Est. Cost% - r r Address of Work` / Owner Name-:,/ Date of Permit Application: �Ut/ 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 _Other (specify) Notice is hereby given that: OWNERS''PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A Signed under penalties of perjury: I herebv ap Fly for a permit as age t �t n r: a7V Date . tractor Na a OR: Registration No. Notwithstanding the above notice, I hereby apply for a permit as the owner of tthe above property: Date Owner Name DEPARTMENT OF PUBLIC SAFETY 174662 ONE ASHBURTON PLACE, RM 1301. EO STON, MA 02108-1.615 CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Restricted To: 1G JAM(-S D MCGRATH PO BOX 708 DD S DENNIS, MA 02660 3i � ` Keep top for recei, qj of address not : ;ic_ e 7a�'r�3.�" t 'gamy V �,is�`: _ '+z i ^� c'i{'C Tyv ji" "� r .� i ram„} i- rt �SaFi ,•k r -�i `i s 'OEM " HOME y SMPRQUMENT CQN RAC#70R� G E t �,.�� x 1¢ � �RO tS QQ}}���'y SbJ'a}}Y.Y J�''((77 y,C'�+' 414 k! yt � 'Y#f ♦ 1S f3 k'{��daJ��rn 1M1 yY '� R�®�U> al.�.YQ �tr `�, t r F is tL,�✓dtu fa�5 hk 1 a 1 5 v� x"' t { a r5t"�t rHOME EM—RVQV bNR at M'C. mg- ~ 5�3 Y �? f fir; �G�SFrJ SVATE COS�IP� +"� '� 1`7 � 3Xa YSR I k'r �r�-u.. f _c '. - 6 SIT ,a to �,.�Is'�� l7fa a"- �e � 4d�y " Hti,�Y.. >• f' a a �+' b'Gt F•.1t y. 1 rr l , )3' itAFp�F�H': _ F h 4 T #1� _ •-•--- - _ '-_ �p5 p NG I l0 1e, i 70 L 2X(0 2AFTEF v i rA c ti s n L- j ALL S H E Ds 4A V6 6 4t EN o Lou as a'x ram_ ceLiAa: n s I CNOT- swc)w N, X TU P PLRTES! qx►1'. I i C'��✓ ixy'. P�.eL. us fadSTS CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: DATE JOB LOCATION PROPERTY OWNER CONSTRUCTION SUPERVISOR eS U.. (9Y LICENSE NUMBER q I PHONE ADDRESS ea t5 S.. cnn vs LICENSED DESIGNEE (IF ANY) 2 . 15 Reszonsibility of each license holder: 2 . 15 . 1 The license holder- shall be fullv and comnletely reszons-ble for all words for which. he is supervising. He shall be responsible for seei ng' that all work is cone pursuant to the State Building Code and the drawings as ar-iroved by the Building Official. 2 . 15 . 2 The license holder shall be reszonsible to sunervi se t e Construction, -reconstruct-ion, alteration, repa ._,. re. oval Or de-;ol i tion involving the structural elements of buildings and s`ruczures only pursuant to the State Bu_ldinc Code and all other acol_cabie Laws of the . Commonwealth even though he, the license holder, is not the permit holder but only a subcontractor or Contractor to the permit holder .- 2 . 15 . 3 The license holder shall immediately notify y the build- a o==-cial in writing of the discovery of any violations which are covered by the building perniit. 2 . 15 . 4 Any licensee who shall will=u lly violate Subsec�1ons 2 . 15 . 1, 2 . 15 . 2 or 2'. 15 . 3 or anv other sections of theses rules and ra:slations and any procedures - as amended, shall be subjec-:� to revocation or suspension of the license by the Board. 2 . 16 All building ,permit an-ol:ications shall contain the name, S_cnature and license number Of the Construction suTJerV1SOr. WriO 1S to sunervlse those engaged in construction, reconStruct_O n,. alteration, repair, removal or demolition as regulated by Secr_on 109 . 1 . 1 of the Code an these rules and regulations In the event t at such licensee is no longer super-.rising said persons , the work. shall immediately cease until a. : successor license holder is substituted on the records of .the building department. I have read and understand my responsibilities under the rules and regulations for licensing construction supervisors in accorcance with Section 109 ,1 . 1 of the State Building Code . J 'understand t e y const::uction inspection procedures and e SDeoif.iC`, lIlsze-=ior_s as ' called for by the building official.. LICENSED CONSTRUCTION SUPERVISOR SHEDS (greater than 120 sq. ft.) ❑ If located in OKH or Hyannis Historic District- Certificate of Appropriateness is needed ❑ Map/parpel number Sign-offs o Health Conservation Tax Collector Treasurer O er's name & address Shed Dimensions ❑ Estimated Cost .f Complete dwelling information for the Assessor's dept. pplicant's telephone number Plot Plan , []]__1 Two.sets pf.plans_with cros§section, Q____�_Workman's Comp. form Home Improvement Contractor's Affidavit L7_ Construction Super's License AND Home Improvement Specialist's License O Homeowner's License Exemption form. Check expiration date on license(s) Check expiration date on license Fee S: NOTE SHEDS 120 sq.ft. or less - (RESIDENTIAL AND COMMERCIAL), do not require a Building Permit BUT Registration form and Plot Plan are required ❑ If located in OKH or Hyannis Historic District- Certificate of Appropriateness is needed PLASTIC,FREE-STANDING GREENHOUSES DO NOT REQUIRE BUILDING PERMITS. q-forms-PERMITS I Rev 6/2/98 J - (o 0 3 9,4 F= GDrp �0 -�� 1 1 � , t . k It f F�C)V�.1 `� 3L11 Gp NC.2£'t'E MA;!7'G4} SXf S'f Iris i— A z o� T GDL' G�AJNJFGiA� ABBREVIATIONS ELECTRICAL NOTES INDEX LICENSE JURISDICTION NOTES' 1. WHERE ALL TERMINALS OF THE DISCONNECTING PV1 COVER SHEET ALL WORK SHALL COMPLY WITH THE A AMPERE MEANS MAY BE ENERGIZED IN THE OPEN PV2 SITE. PLAN MASSACHUSETTS STATE BUILDING CODE. AC ALTERNATING CURRENT POSITION, A SIGN WILL BE PROVIDED WARNING PV3 STRUCTURAL VIEWS BLDG BUILDING CONIC CONCRETE OF THE HAZARDS PER ART. 690.17. PV4 THREE LINE DIAGRAM ALL ELECTRICAL WORK SHALL COMPLY WITH 2O11 C COMBINER BOX 2. EACH UNGROUNDED CONDUCTOR OF THE PV5 ELECTRICAL CALCULATIONS NEC. AND MASS.AMENDMENTS D DISTRIBUTION PANEL MULTINRE BRANCH CIRCUIT WILL BE IDENTIFIED Cutsheets Attached . DC DIRECT CURRENT BY PHASE AND SYSTEM PER ART. 210.5. EGC EQUIPMENT GROUNDING CONDUCTOR 3. A NATIONALLY—RECOGNIZED TESTING (E) EXISTING LABORATORY SHALL LIST ALL EQUIPMENT IN EMT ELECTRICAL METALLIC TUBING COMPLIANCE WITH ART. 110.3. G SOLAR GUARD METER 4. CIRCUITS OVER 250V TO GROUND SHALL GALV GALVANIZED COMPLY WITH ART. 250.97, 250.92(8) GEC GROUNDING ELECTRODE CONDUCTOR 5. DC CONDUCTORS EITHER DO NOT ENTER GND GROUND BUILDING OR ARE RUN IN METALLIC RACEWAYS HDG HOT DIPPED GALVANIZED ' OR ENCLOSURES TO THE FIRST ACCESSIBLE DC GENERAL NOTES CURRENT DISCONNECTING MEANS PER ART. 690.31(E). 1 THIS SYSTEM IS GRID-INTERTIED VIA' A Imp CURRENT AT MAX POWER 6. ALL WIRES SHALL BE PROVIDED WITH STRAIN UL—LISTED POWER—CONDITIONING INVERTER. INVS INVERTERS RELIEF AT ALL ENTRY INTO.BOXES AS Isc SHORT CIRCUIT CURRENT REQUIRED BY UL LISTING. 2• THIS SYSTEM HAS NO BATTERIES, NO UPS. kVA KILOVOLT AMPERE 7. MODULE FRAMES SHALL BE GROUNDED AT THE 3. PHOTOVOLTAIC SOURCE AND INPUT CIRCUITS AND kW KILOWATT UL—LISTED LOCATION PROVIDED BY THE INVERTER INPUT CIRCUIT ARE UNGROUNDED. LBW LOAD BEARING WALL MANUFACTURER USING_UL LISTED GROUNDING 4. SOLAR MOUNTING FRAMES ARE TO BE GROUNDED MIN MINIMUM HARDWARE. 5. ALL ELECTRICAL WORK SHALL COMPLY WITH THE MIN MIRROR 8. MODULE FRAMES, RAIL, AND POSTS SHALL BE 2011 NATIONAL ELECTRIC CODE. . BONDED WITH EQUIPMENT GROUND CONDUCTORS 6. ALL WORK TO BE DONE TO THE.8TH EDITION OF EC NEW AND GROUNDED AT THE MAIN ELECTRIC PANEL. MA STATE BUILDING CODE; NEC' NATIONAL ELECTRIC CODE NIC NOT IN CONTRACT 9. THE DC GROUNDING ELECTRODE. CONDUCTOR NTS NOT TO SCALE, SHALL BE SIZED ACCORDING TO ART. OC ON CENTER 250.166(B) & 690.47: P PANEL BOARD PROPERTY LINES PL , POI POINT OF INTERCONNECTION J PV PHOTOVOLTAIC VICINITY MAP PVC POLYVINYL CHLORIDE S SUBPANEL SCH SCHEDULE SS STAINLESS STEEL SSD SEE STRUCTURAL DRAWINGS STC STANDARD TESTING CONDITIONS ► w • p . SWH. SOLAR WATER HEATER TYP TYPICAL LION _UNLESS OTHERWISE NOTED - r • , r ' UPS UNINTERRUPTIBLE POWER SUPPLY V VOLT .• • , Vmp VOLTAGE AT MAX POWER Voc VOLTAGE AT OPEN CIRCUIT a W WATT 3R NEMA 3R, RAINTIGHT , K • ♦ REV BY DATE COMMENTS 0 ♦ REV A NAME 6/6/2013 COMMENTS MODULE GROUNDING METHOD: WEEB • • _ .� • CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER J B-0 2 6118 0 O P{ma OWNER aHJ DESCRIPnoN DESIGN: CONTAINED SHALL NOT BE USED FOR THE Anthony Ramirez VINTRO JANI E.C R E VLNT 0 RESIDENCE BENEFIT OF ANYONE EXCEPT IN WHOLE INC., MARKEL MODULES ! ��' �Of� '�� NOR SHALL IT BE DISCLOSED IN WHOLE OR IN REST 20 YINGLI YL245P-29b YGE—Z 60 1 $ERNARD CIR 4.9 KW. PV Array' o PART IZ OTHERS OUTSIDE THE RECIPIENTS PROJECT MANAGER, MOUNTING SYSTEM: BARNSTABLE, MA 02632i ORGANIZATION, EXCEPT IN CONNECTION WITH 3055 CleaMew Way 1H THE REJECTIVE THE i SALE AND USE of 5 Clam SC RailSon SOLARCITY EQUIPMENT.WITHOUT THE WRITTEN PAYMENT TYPE: INVERTER , PAGE NAME: SHEET: REV DATE- T:(650)638-1028'CA 94402 F:(650 638-1029 PERMISSION of SOLARCITY INC. PPA SOLAREDGE # SE5000A—US 5084201756 COVER SHEET 6 6 2013 PV 1 � � (866)—SOL—aTY(765-2489)www.solarcilyaan PITCH: 15 ARRAY PITCH:15 MP1 AZIMUTH:242 ARRAY AZIMUTH:242 - MATERIAL: Comp,Shingle STORY: 2 Stories I I • I _ I O I I• M R 17 Bernard Cir ; M Q ' 'rs�ONAL Front Of House Digitally signed by Rolf DN:cn=Rolf,o=Eclipse :Engineering,Inc.,ou, 30'to PL i i email=rolfa@eeimt.com,r<n y Date:2013.06.19 07:47:05 07'00' LEGEND D 11 AC OM (E) UTILITY METER & WARNING LABEL kq35'toPL - Ins INVERTER W/ INTEGRATED DC DISCO & WARNING LABELS 25'toPL © DC DISCONNECT & WARNING LABELS AC AC DISCONNECT & WARNING LABELS " O - InV ; JUNCTION BOX 0 DC COMBINER BOX & WARNING • - _ TION N WARNING 0° DISTRIBUTION PANEL & W NG LC LOAD CENTER & WARNING LABELS MP1 O DEDICATED PV SYSTEM METER A CONDUIT RUN ON EXTERIOR PV3 40'toPL CONDUIT RUN ON INTERIOR GATE/FENCE ——— INTERIOR EQUIPMENT SITE PLAN Scale: 1/8 = 1' 01' 8' 16' y 3 CONFIDENTIAL— THE INFORMATION HEREIN ,ROB NUMBER J B-0 2 6118 00 PftEl65E OWNER aH r DEsaIIPTIOM: DESIGN: ����r�I CONTAINED SHALL NOT BE USED FOR THE VINTRO RESIDENCE Anthony Ramirez �� BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MARKET: MODULES VINTRO, JANICE " . NOR RTSHALL IT BE DISCLOSED E RWHH E OR IN17 BERNARD CIR ' solalcity.oTHERS'OUrs REST 20 YINGLI YL245P-29b YGE—Z 60 4.9 KW PU AI fay ORGANIZATION; EXCEPT IN CONNECTION WITH PROJECT MANAGER: MOUNTING SYSTEM: BARNSTABLE, MA 02632 3oss aearNew Way THE SALE AND USE OF THE RESPECTIVE S5 Clamp, SC Rail San Mateo,CA 94402 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME: SHEET. REV: DAIS 6 6 2D13 T-(650)638-1028 F:(650)638-1029 PERMISSION of SOLARaTY INC. PAYMENT TYPE. wSOL 5084201.756 SITE PLAN -PV 2 / / (BBB)—SOL—CITY(765-2489)www.sotarcity.eorn ` PPA SOLAREDGE # SE5000A—US " S-5 CLAMP (E) .2x8 RAFTER RESIDENTIAL & SETSCREW SOLAR. RAIL ® 16" O.C. POST TO RAIL S 1 (E) 2x8 M8-1.25 X 16MM BRACKET RIDGE BOARD BOLT (E) STANDING S-5 CLAMP - SEAM ROOF & SET SCREW (E) ROOF DECKING � D S-5 DETAIL SHOWING SEAM PROFLLE ` , . 1.5 _1 , (E) 2x8 CEILING scale. 3 = 1 JOIST © 16" O.C. INSTALL INSTRUCTIONS: (E) LBW CLAMPS ARE MADE FOR TYP. STANDING SEAM PROFILES. WHEN ATTACHING THE MACHINE FOLDED SEAMS i CLAMPS ARE DESIGNED TO ENGAGE THE`SEAM..FOR,HORIZON_TAL SEAM APPLICATIONS THE SETSCREW MUST BE SIDE VIEW OF M P 1 RAFTER: (E) 2x8 @ 16" O.C. ACCESSIBLE FROM THE TOP FOR TIGHTENING. CEILING JOIST: (E) 2x8 16" O.C. ON MANY SNAP—TOGETHER TYPE SEAMS, THE, SETSCREWS ARE. OPPOSITE THE OPEN. OR OVERLAP SIDE OF THE NTS SEAM. ON SOME SEAMS THIS ASPECT OF THE CLAMP ORIENTATION IS NOT CRITICAL RIDGE: .(E) 2x8 RIDGE BOARD MAX SPAN: 15'-1" INSTALL WITH A SCREW GUN AND INCLUDED SCREW GUN BIT TIP. FOR OPTIMAL HOLDING STRENGTH, SCREW TENSION SHOULD BE 160 TO 180 POUNDS ON 22 GA STEEL AND 130 TO 150 IN. LBS FOR ALL OTHER METALS MAX STANDOFF DISTANCE: 16 O.C. AND THINNER GA. OF STEEL. THE S-5-1) HAS FOUR SETSCREWS LOCATIONS TO MAKE THE CLAMP MORE VERSATILE, HOWEVER ONLY TWO SETSCREWS ARE USED PER CLAMP. THE SETSCREWS SHOULD ALWAYS BE PLACED ON THE SAME SIDE OF THE CLAMP. SOLAR PANEL ATTACHED WITH MODULE M 0 CLAMPS, �'-16 BOLTS, AND J" NUT SOLARCITY SOLAR.RAIL & BOLT INSTALLATION ORDER SStONAL _ LOCATE SEAM, MARK PENETRATE AND GROUND STANDING (E) STANDING SEAM METAL (1) .LOCATION, AND PLACE SEAM METAL PANELS AT LOWEST BARE COPPER CANOPY-T POST TO RAIL BRACKET —;(3) S-5! ON SEAM. POINT ON ROOF NEXT TO GUTTER. DO NOT PENETRATE INTO INDOOR S-5! CLAMP & SET SCREW (2) TIGHTEN SET SCREW ON AREA. GROUND METAL ROOF TOILSCO GROUND LUGS-5! CLAMP. EQUIPMENT EVERY 4 SEAMS AND SET SCREW (E) STANDING. SEAM ROOF INSTALL RAIL ONTO S-5! (E) ROOF DECKING (3) CLAMP WITH POST TO RAIL BRACKET. #10-32 SS SCREW (E) RAFTER SS NUT AND STAR WASHER r � E GROUNDING DETAIL FOR STANDING SEAM METAL STANDOFF NTS . Scale:1 1/2 1' CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: J B-0 2 6118 00 PREMISE OWNER: AHD DESCRIPTION: DESIGN: `., CONTAINED SHALL NOT BE USED FOR THE Anthonyamirez BENEFIT of ANYONE EXCEPT SOLARCITY INC., MARKET: MODULES VINTRO, JANICE VINTRO RESIDENCE y NOR SHALL IT BE DISCLOSED IN WHOLE OR IN 17 BERNARD CIR ��� walcity. PART TO OTHERS OUTSIDE THE RECIPIENTS RESI 20 YINGLI YL245P-29b YGE—Z 60 4.9 KW PV Array ORGANIZATION, EXCEPT IN CONNECTION WITH PROJECT MMAGFR: MOUNTING SYSTEM: BARNSTABLE, MA 02632 THE SALE AND USE OF THE RESPECTIVE S5 Clump, SC Rail Y SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAYMENT TYPE INVERIIR: PAGE NAME SHEET: REV: DATE i:(650)Son Mateo. CA650)638-1029 PERMISSION OF SOLARCITY INC. Son Mateo F: 94402 PPA SOLAREDGE # SE5000A—Us 5084201756 STRUCTURAL VIEWS PV 3 s/s/2ot3 (8N)—SOL—CITY(765-2489)www.scIoratycom GROUND SPECS. MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS 'LICENSE BOND N 8'GEC TO TWO N GROUND Inv 1: DC Ungrounded (I)SOLA 5E 00SES000A—US �pg�, —aO)YINGU YL245P-29b YGE—Z 60 O # O (E 225A MAIN SERVICE PANEL INV 1 — Inverter 5 OW, 24oV/208?_R-X 973q w/ZB; SE1000—ZBO2—SLV— A PV Module; 245W, 221.6W PTC,-H4, 46mm, Black Frame, ZEP Enabled RODS AT PANEL WITH IRREVERSIBLE CRIMP (E; 200/2P MAIN CIRCUIT BREAKER Panel Number:Cutler Hammer INV 2 Meter.Number:2244193 Voc:37.8 Vpmax: 30.2 Underground Service Entrance INV 3 ISC AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER MAIN SERVICE PANEL Inverter 1 (E) WIRING SOLARGUARD CUTLER—HAMMER METER 20OA/2P Disconnect z SOLAREDGE SE5000A-US (E) LOADS zaov L1 L2 GFP/GFCI - N I 30A/2P EGC_/ __ DC+ DC+ JAI ———— GND — —— GND —— —GEC Q DC_ - - DC_ 1 5tring(s)Of 20 0n MP 1 _ B I ` GND EGC ——————————- —-- —-————————— EGC- ———————I— � EGC/GEC I .. .. ... . y .. " .. - ..+ - .. •. .. ..�. Z z — ----J --- GEC�— + TO 120/240V I I . SINGLE PHASE r r i I - UTILITY SERVICE I I. I I I I •. I I , Ol (I CUTLER—HAMM7 CH230 PV BACKFEED BREAKER A (1)CU)LER—HAMMER DG221UR8 Pv (Q)SOLAREDGE A OP250—LV—AH4SM-2NA Breaker, 30A 2P, 2 Spaces, Tan Handle * Dlsconnectt 30A, 240Vac,Non—Fusible, NEMA 3R AC a PowerBon 5OW, H4, DC to DC Converter, Ell Listed DC —(2)Ground Rod; 5/8* x V. Copper —(1)CUTLER-11AMMER N DG030N8 ;' `k -(20)SolarMe/SE-Zep—OP Ground/ eutral Kit; 30A. General Duty(DG) .` SolarEdge Zep ddapter bracket; (rounding, fasteners BSolorGuard Monitoring System 1 AWG#8, THWN-2,Black (2)AWG#10, PV WIRE, Black . Voc =500 VDC Isc =15 ADC O Igo(1)AWG a8, THWN-2,Red O (1)AWG #10, Solid Bare Copper EGC Vmp =350 VDC Imp=13.82 ADC (1)AWG$8, THWN-2,White NEUTRAL VmP =240VAC Imp=21 AAC ���LLL . . . . . . . . . �i)Conduit.Kit:.3/4�.a!T. .. . . .. .. .. . . . . .. . . .. .. . . .. . . . . .-(1)AWG#8,,7H•WN-2..Aeen . . EGC/GEC•-(1)Canduit•Kit;.3/4".EMT. . . CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: J B-0 2 6118 00 PMESE OWNM All'k DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE VINTRO JANICE Anthony Ramirez BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MARKET: MODULES VI N TR 0 RESIDENCE NOR SHALL IT BE DISCLOSED IN WHOLE OR IN REST 20 YINGLI YL245P-29b YGE—Z 60 17 BERNARD CIR 4.9 KW PV Array �� S�'a�j�t PART IZ OTHERS OUTSIDE THE RECIPIENTS PROJECT MANAGER: MOUNTING SYSTEM: BARNSTABLE, MA 02632 ORGANIZATION, USE IN CONNECTION WITH o 3055 gearview Wa THE SALE AND USE OF THE RESPECTIVE SS Clam SC R011 y SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME SHEEL RLY DATE Mateo,CA 94402 PERMISSION OF SOLARCITY INC. PAYMENT TYPE INVERTER " T:(650)638-1028 F:650 638-1029 PPA SOLAREDGE # SE5000A-US 5084201.756 THREE LINE DIAGRAM PV 4 6/s/2o13 (886)—S0L.-aTY(765-2489)wrw.scareltyeom 1. Conductor sizing per Art 629.8(A deg ) ELECTRICAL CALCULATIONS a. Conductor must have 30 deg. C ampacity >= 125% of continuous current. b. Conductor must have (after corrections for conditions of use) >_ continuous current per Table 310.16. Hardware city Model Voltage Drop Calculations, VER_# Module: 20 Yin li YL245-29b YGE-Z Vdrop= (Imp) (2*Length) (Resistance)' /'(Vmp) c. Evaluate Conductor temperature at terminations per 110.14(C). DC Converter: 20 SolarEd a OP250-LV Inv Power DC W PTC DC W STC Inverter A Imp(A) Max.Length(ft) Wire Ampacity of-wire derated for conditions of termination must be >= Inverter A: 1 SE5000A-US 240V -w Zi Bee 5000 14321.2 4900 Input: 8.11 100 AWG_10 continuous current*1.25. All string terminations are rated at 90* C. Inverter B: Vdrop= (8.11 1 200 • 1 0.00124 Ohms) 552.358 0.62 ------------------------------------------ 5000 4321.2 4900 Inverter A.Imp(A) Max.Length(ft) Wire 2. OCP Sizing per Art 690.8(B)(1) Output: 13.82 1 0 1 AWG_10 a. Round up to next size per Art 240.4(B) Vdrop= (13.82 1 0 *0.00124 Ohms) 552.358 0 Inverter Stringing Inverter B Stringing Comb.Drop Imp(A) Max.Length(ft) Wire String 1: 20 Modules String 1: Modules 13.82 20 AWG_8 3. Conductor Sizingper Art 690.8(A) P String 2: Modules String 2: Modules Vdrop= (13.82 *40 *0.00078, Ohms) 0.17966 0 a. Conductor must.have 30 deg. C ampacity >= 125% of continuous current. Photovoltaic Module Electrical Specifications: Photovoltaic Source Circuit Modules to PowerBox Voltage Drop Calculations °F °C Yin li YL245-29b YGE-Z ± Voc at Min Temp= 42.91 V Record Low Temp: 3 -16 b. Conductor must have (after corrections for conditions Of. use) >=. Power(STC)= 245 W Voc= 37.8 V Max Average High Temp: 80 27 continuous current per' Table 310.15(B)(16). Power(PTC)= 221.6 W Vmp= 37.8 v Voc= 37.8 V Vmp at Max Temp= 27.62 V C. Evaluate conductor temperature at terminations per Art 110.14(C). vmp .63 A Imp= 8.V Isc= 8.63 A A. Isc= 863 Am acit of wire derated for conditions of termination must be >= - :- • P Y continuous current*1.25. All branch terminations are rated at 75* C Imp= 8.11 A Icont= 10.79 A • - Tvoc= -0.12474 V/deg C min. • Tvmp= 0:1359 V/deg C AWG 12 Table 310.15(B)(16) -------------------------------- Tisc= 5.178 mA/deg C Ampacity= 30 > 13.48 A 4. OCP Sizing Corrected Ampacity= 17.40 A > 10.79 A a. Round up to next size per Art 240.4(B) Temperature Derate= 0.58 ---------=-------------------------------- Conduit Fill Derate= 1 5. Conductor Sizing per Art 690.8(A) a. Conductor must have 30 deg..C ampacity >= 125% of Continuous DC Converter Electrical Specifications: Inverter A Input Circuit(PowerBox to Inverter) Unused Current. SolarEd a OP250 LV String 1 PB2A Power-- 250 W Vmax= 500 V Wire Length 100 Vmaz= Soo V Wire Length 0 b. Conductor must have (after corrections for conditions of use) >= Efficiency Factor= 0.987 Vmp= 350 V Vmp= 350 V current.per Table 310:15 B 16 . Vmin_input= 5 V Imax= 15 A - Imax= 15.00 A continuous p ( )( ) Vmax input= 60 V Imp= 6.77 A Imp= 6.77 A Imax_input= 10 A C. Evaluate conductor temperature at terminations per Art 110.14(C). Vmax output= Soo V AWG 10 90*C:Tab1e 310.15(0)(16) PBB_WIRE_SZ NECBB_REF Ampacity of wire derated for conditions of termination must be >= Imax-output= 15 A Ampacity= 40 > 15 A Ampacity= PBB_AMP �PB B_IMAX A continuous current*1.25. All inverter output terminations are rated at Corrected Ampacity= 23.20 A > 15 A Corrected Ampa(SW COR_AMP A R82 _IMAX2 A 75' C. Temperature Derate= 0.58 Temperature Derate= BB_T_DR ------------------------------------------- Conduit Fill Derate= 1 Conduit Fill DeraROECON DR 6. OCP Sizing OCP= 20 A OCP= PBB OCP A a. Round up to next size per Art 240.4(B) - DC Converter Electrical Specifications: Inverter A Output Circuit INVB_TITLE 7. Conductor Sizing per Art 690.8(A) SE5000A-US(240V)-w ZigBee Service Voltage= 240 V. Service Voltage 1 240 IV a. Conductor must have 30 deg. C ampacity >= 125% of continuous Power-- 5000 W Icon t= 15. A Wire Length 20 Icont= IN B_ICONT A WirE[IUVO IRE_LNG Vmp_input= 350 V current. Vmax-input= 500 V AWG_8 90 aC:Table 310.15(B)(16) INVB_WIRE_SZ NECB_REF Imax_input= 16.8 A Ampacity= 55 > 18.75 A Ampacity= NVB_AMP INV®I ONT125 A b. Conductor must have (after corrections for conditions of use) >= Vmax-output= 240 V =Service Voltage Corrected Ampacity= 50.05 A > 15 A Corrected AmpdNW COR_AMP A INVB ICONT2 A continuous current per Table 310.15(B)(16). Imax-output= 15 A =lcont Temperature Derate= 0.91 Temperature DerateVIVE1_T_DR Conduit Fill Derate= 1 Conduit Fill DerRM_CON DR C. Evaluate conductor temperature at terminations per Art 110.14(C). OCP=I 30 A OCP= NVB_OCP A Ampacity of wire derated for conditions of termination must be >_ continuous current*1.25. All inverter output terminations are rated at 75' C min. CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: J B-0 2 6118 00 OWNER: ma ' DESCRIPTION: fin: CONTAINED SHALL NOT BE USED FOR THE VINTRO, JANICE Anthony Ramirez �- BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MARKET: MODUUES VINTRO RESIDENCE NOR SHALL IT BE.DISCLOSED IN WNO.E OR IN 17 BERNARD CIR /��� SolarCity. PART TO OTHERS OUTSIDE THE RECIPIENTS REST 20 YINGLI YL245P-29b YGE-Z 60 4.9 "KW PV Array ORGANIZATION, EXCEPT IN CONNECTION WITH PROECT MANAGER: MOUNTING STEM: BARNSTABLE, MA 026.32 THE SALE AND USE OF THE RESPECTIVE S5 Clamp, SC Rail 3u55 Cleorvler way SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME SHEET- REV. DATE San Mateo,CA 94402 PERMISSION OF SOLARCITY INC. PAYMENT TYPE: INVERTER: T:(650)6W-1028 F:(650)638-1029 PPA SOLAREDGE # SE5000A-US 5084201756 ELECTRICAL CALCULATIONS PV 5 6/6/2013 (888)-SOL-CITY(765-2489)www.sclarcity.com S-5! Attachment Hardware against the seam material(this is usually done with an industrial grade screwgun).The set screws compress the seam material against the opposite wall of the clamp.They will"dimple"the seam material,but will not penetrate it:Threaded holes in the clamp(and stainless hardware provided)enable the easy attachment of Modern standing seam roofing systems boast that by design,fastening through the weathering membrane is various ancillary items to the clamps. greatly reduced or eliminated.Unfortunately,when it becomes necessary to attach something to the roof, there has never been a way to do it without compromising roof integrity and voiding system warranties. Such attachments have in the past been the source of leaks,panel corrosion and repeated maintenance problems. 11 Look at A the things you don't get with S-5! •no holes •no panel damage •no maintenance ti i •no leaks •no wood blocking •no hassles •no corrosion •no violation of thermal movement •no callbacks * ' •no caulking •no warranty violation •NO PROBLEMS The S-5!clamp systems now offer a complete solution to the attachment of a wide variety of ancillary ' rooftop accessories,including HVAC equipment,si na e,solar panels,snow retention hardware,gas piping and conduit,rooftop lighting,fascias,equipment screens,parapet bracing,condensate lines,stack S-S-U on a vertical seam S-S-U on a horizontal seam and flue bracing,antennae,roof walkways and more. A variety of S-5!clamp styles are available: ® l y A ^t s J>vrieht OC 2000,Metal Roof Innovations,Ltd - &•113 "1E S151U S-512 The S-S-U will fit most"structural"and"architectural"panel seam styles. The S-S-Z is specially designed to fit ZipRib,Kal-Zip and similar profiles. The S-S-B is a brass clamp,designed for use on double-folded standing seam or traditional batten seam copper. . The S-S-E is an aluminum clamp designed to fit traditional double-folded standing seam profiles.. , Metal Roof Innovations,Ltd.,also develops custom clamps.We invite you to Contact Us with inquiries about special requirements. Aluminum clamps are metallurgically compatible with bare or painted galvanized,Galvalume,Aluminized and Galfan coated steel,as well as bare or painted aluminum,stainless and zinc sheet products.In most applications,the clamp should be installed at a location on the seam that avoids the panel's attachment clip location.S-5!clamps may also be used at a clip location,provided the clip is an expansion(dual- component)clip.All aluminum clamps are furnished with a stainless steel bolt and washer(3/8"diameter x 5/8"length;bolt head size is 9/16"). For more detailed installation instructions,see the Installation section. S-5!clamps attach to the panel seam by the tightening of two"bullet-nosed",stainless steel set screws a • solar - o © = off 4 All our inverters are part of SolarEdge's innovative system - over 97% efficiency and best-inclass reliability. Our fixed- designed to provide superior performance at a competitive voltage technology ensures the inverter is always working at its JtJ41fl� price. The SolarEdge inverter combines a sophisticated, optimal input voltage,regardless of the number of modules or Q Q digital control technology and a one stage,ultra-efficient power environmental conditions. conversion architecture to achieve superior performance �Vl:.lt`JV �UU1al�ll 17� TECHNICAL DATA ►i"`'"�"""' / . ^ SE3000A-US SE380OA-US SE5000A-US SE6000A-US SE7000XUS . - - 5200@208V 5200@2O8V ,., Rated AC Power Output 3000 3800 5000 60000240V 60009240V IN 60000277V 70000277V 4 •",_,•�''v� 11y �� ;. - ,-, � ` ' e r ,w Max.AC Power Output 3000 . 3800 _ 5000 60006240V 6000@240V - W ' 6000@277V 70009277V ` • w»"` F ''�:D �,.. �� t , '' "�.• F r� ; - f. - _ AC Output Voltage Min:Nom:Max'. 183-208-229/211-240-264 183-208-229/211-240-264 /244-277-294 Vac - - 'w AC Frequency Min:Nom.-Max. - 59.3 60-60.5 - Hz ` itj, +,yam" ° ,�..` - .t. ''' t,�,• Max.Continuous Output Current @208V 14.5 18.5 24 25 •25 A - ` Max.Continuous Output Current @240V 12.5 16 21 25 25 A _ - . .• • . ,;•� k. ,� "a,. ��"� , _ y �'�' Max.Continuous Output Current @277V - 18.5 22 25 A ,-• {d;z. g ...GFDI .1 - A Oat* k - F,,, .. !M� y-..,„.w•• ,:, - .,, ° - Utility Monitoring,Islanding Protection,Country Configurable Thresholds Yes 17 Recommended Max.DC Power* STC 3750 4750 6250 7500 8750 W Transformer-less,Ungrounded Yes - �'' Max.Input Voltage 500 - - -Vdc .. . • . . - 7 `'�y ¢" h '°� a_ _ •` Nom.DC Input Voltage 325 @ 2O8V/350 @ 24OV/400 @ 277V Vdc kY ! y7 Max.Input Current 10 12.5 16 18 18.5 Ado Reverse-Polarity Protection Yes r} , 1;:. ,�, .. ~ .• Ground-Fault Isolation Detection 600k52 Sensitivity- ' # '.'t `' rt°.)aE. .•ai"' "" Maximum Inverter Efficiency 97.8 97.7 98.3 - - 98.3 98.3 %- .. • - 97 @ 208V/ 97.5@ 208V, 24OV 97 @ 2O8V/97.5@ 240V/ - '* CEC Weighted Efficiency 97.5 97.5@ 240V /98 @ 277V - 98 @ 277V % . - 44`6Nighttime Power Consumption <2.5 W -- Supported Communication Interfaces RS485,RS232,Ethernet,Zigbee(optional) - Safety UL1741,IEC-621O3(EN50178),IEC-62109 Grid Connection Standards .Utility-Interactive,VDE 0126-1-1,AS-4777,RD-1663,DK 5940,IEEE1547 Emissions FCC part15 class B,IEC6100O-6-2,IEC61O00-&3,IEC6100O.311,IEC61000-3-12 RoHS Yes The only inverters specially designed for distributed DC architecture AC Output • 3/4•conduit to Superior efficiency(97.5%) - DC Input 3/4"Conduit - � � y - 21x12.5x7/ -. - - •., ,. - -Dimensions(HxWxD) 21 x 12.5 x7.5/,540x 315 x 191 in/mm to Small,lightweight and easy to install on provided bracket .r,;.; 540 x 315 x 172 25•s Ii �Q- 30.5x12.5x7/ O Built-in module-level monitoring WotY t - Dimensions with AC/DC Switch(HxWxD) 775 x 315 x 172 30.5 x.12.5 x.7.5/775 x 315 x 191 in/mm i O Communication t0 Internet via Ethernet or Wireless °".°" - _ -Weight - 42/19 45/20.5 - lb/kg �r Weight with AC/DC Switch 48.5/22. 52/23.5 - Ib/kg o Outdoor and indoor installation I Cooling Natural convection l e Integral AC/DC Switch -Min.-Max.Operating Temperature Range -4/-20(CAN version-40/40)to+140/+60 - - Protection Rating - NEMA 3R - •Higher neat DC de-may be Instblled,analyze yearly AC Parforman... `"�'. ••.The following Part Numbers are available(CAN PNs am eligible for the Ontario FIT and micronT): St.lLS�cC oO,. C E „ 208/240V,min,oeemling temp AF/.20C SE3000"S,SEMOO"S.SESOOO"S SE6000"S,SE7000"S 277V,min.opemting temp 4F/-20C:SE6000A-US.SE6000A4JS.SE7000"S 206/240V,min,operating temp-0 F/-0OC:SE3000"W AN,SE3800"SCAN.SESOOO"L N.SE6000"L AN 277V,min operating temp 4OF/40C:SESOOOAUSCAN,SE6000AUSCAN.SE7000"U AN e USA w Germany a Italy le France a Japan a China a Israel:, solar-.._ archiarchitects of energyTM www.solaredge.com architects Tachorene energy- tects SolarEtlge Technologies,Inc.20042012.All rights reserved.SOIAREOGE Ne SolarEtlga logo.ARCHITECTS OF ENERGY and OPTIMIZED BY SOLNREDGE ere trademarks or regstemtl trademarks o/SolerEtlge Technologies.Inc.All I - - other tmdemarks mentioned herein am trademarks of U,ir msMcllve ownem.Date:O6/2012.V.03.Sub)ect to change without netk,. " solar=oo � , . 11 • - 0P250-LV OP300-MV . . ;, .4'. r" r r 0 OP400-EV ,OP400-MV Ilk HIGHLIGHTS e Module level MPPT-optimizes each module independently a Lower installation costs with faster design, less wiring, DC ■ Dynamically tracks the global maximum operating point for both disconnects and fuses modules and PV inverter a Easy and flexible installation-use the same installation methods a Module-level monitoring for automatic module and string level as exist today a ' I rYJ fault detection allowing easy maintenance ■ Allows parallel uneven length strings and rnulti-faceted �J a Electric arc detection-reduces fire hazards installations is.Unprecedented installer and firefighter safety mode-safe module a Allows connection of different module types simplifying inventory voltage when inverter is disconnected or off considerations Is Connection of one or more modules to each power optimi4e a Immediate installation feedback for quick commissioning , ti ry Y i y i. TECHNICAL DATA Ar OP250-12V OP300 MV/OP400 MV OP404EV(Q4 2011) Rated Input DC power 250 300/400 400 W ` x Absolute Maximum Input Voltage(Voc) 55 75 125 Vdc MPPT Operating Range 5-55 5-75 60-125 Vdc, Maximum input Current 10 10 5.5 Adc m- ' Reverse-Polarity Protection Yes ..'h , '�k K s • Maximum Efficiency ' 99.5 % _ }L•� . Y_, ,+, .� � ",�k4 F«.. � t «, '.y" a� �,3�,,�^ �,. tiG'� �� w •�•� � European Weighted Efficiency 98.8 % - - s�'• ". CEC Weighted Efficiency - 98.7 % ,. _ - `�' r ` Inductive Lightning Protection 1 In/ft Overvoltage Category II Maximum Output Current 15 Adc � i � � �f' ��, „ '' . ��; ,-,• Operating Output Voltage 5-60 Vdc j, 4* 3 Total"Maximum String Voltage(Controlled by 500 Vdc Inverter)-US and EU 1-ph . , Total Maximum String Voltage(Controlled by: h `f, ` a ey wt, k"•; ti J Inverter)-EU 3-ph 950 Vdc OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF) Safety Output Voltage per Power Optimizer 1 Vdc Minimum Number of Power Optimizers per String(1 or More Modules per power optimizer) 8(1-ph system)/16(3 ph system) A superior approach to maximizing the throughput of photovoltaic Maximum Number of Power Optimizers per Module power dependent;typically 20-25(1-ph system) / String(1 or More Modules per power optimizer) 45-50(3-ph system) systems using module embedded electronics Parallel Strings of Different Lengths or • Yes Orientations a Up to 25%increase in power output STANDARD COMPLIANCE EMC FCC Part15 Class B,IEC61000-6-2,IEC61000-6-3" a Superior efficiency(99.5%)-peak performance in both mismatched and unshaded conditions Safety IEC-62103(class II safety),UL1744 a Flexible system design for maximum space utilization Material UL-94(5-VA),UV Resistant ROHS Yes a Next generation maintenance with module level monitoring and smart alerts INSTALLATION SPECIFICATIONS . a Unprecedented installer and firefighter safe Dimensions(WxLxH) 120x130x37/4.72x5.11x1:45 mm/m p g safety. xy `' Weight 450/1.0 gr/lb rFp'._ sw nG Yeats 4 • E iWa�ynty E Output PV Wire 0.95 m/3 ft length;6 mm2;MC4 • Input Connector MC4/Tyco/H+S/Amphenol—H4 L: Operating Temperature Range -40-+65/40-+150 C/°F a The most cost effective solution for residential,commercial and Protection Rating IP65/NEMA 4 E large field Installations - Relative Humidity 0-100 % USA 900 Golden Gate Terrace,Suite E,Grass Valley CA 95945,USA c®� C _ solar-••- m Germany Bretonischer Ring 18,85630 Gsbrunn(Munich),Germany IE . .Japan .B-9 Ariake Frontier Building,3-7.26 Ariake,Koto-Ku,Tokyo 135-0063,Japan architects of energy ` Israel 6 HeHarash St.P.O.Box 7349,Neve Neeman,Hod Hasharon 45240,Israel www.solaredge.com O SolarEdge Technologies,Inc.2009.2011.All rights reserved.SOLAREDGE,the SolarEdge logo.ARCHITECTS OF ENERGY and OPTIMIZED BY SOLAREDGE are trademarks or registered trademarks of architectsof en ergyTM SolarEcige Technologies,Inc.All other trademarks mentioned herein are trademarks of their respective owners.Date:09/2011.Subject to change without notice. YGEZ 60 YL2 YGIE- Z 60- CELL SERIES� YL24SP-29bP-29b Powered by VINGLI YL240P-29b YIN LI -OLAR CELL SERIES YL23SP-29b ELECTRICAL PERFORMANCE YL230P-29b U.S.Soccer Powered by Yingli Solar 111911 Fill I R1111 agog= GENERAL CHARACTERISTICS - Module type ,,.I!_•VL250P-296 YL245P-29b YL240P-29b YL23SP-29b_YL230P-29b Dimensions(L/W/H) 64.96 in(1650 mm)/38.98 in(990 mm)/. - Power output Pm..I W 250 245 240 235 230 1.81 in(46 mm) Power output tolerances AP„,..I W -0/+5 Weight 45.2 lbs(20.5 kg) - • Ideal for residential Module efficiency n" % 15.3- - 15.0 14.7 14.4 14.1 and commercial applications where cost savings, Voltage at Pm.. V_ V 30.4 30.2 29.5 29.5 29.5 Current atP,,,.. I-PP A 8.24 8.11 8.14 z97 7.9U PACKAGING SPECIFICATIONS installation time, and aesthetics matter most. Open-circwtvoltage V_ v 38.4 37.8 37.5 37.0 37.0 Number of modules per pallet I- 22 Short-circuit current I.•i A ' '8.79 8.63 8.65 8.54 8.40 Number of pallets per 53'container G 36 - STC:1000W/m•rrad'ance,25°C cell temperature,AMt 5g spectrum according to EN 60904-3 Average relative efficiency reduaion of 5.0%at 200W/m'according to EN 60904-1 Packaging box dimensions(L/W/H) 67 in(1700 mm)/45 in(1150 mm)/ 47 in(1190 mm) ►Lower balance-of-system costs with Zep ., • Box weight 1076lbs(489 kg) Compatible—frame. - -- - - - p.. Power - -� P".. W 881.1_, 177.9_ 174.3 170.17 J 167.0- _ ►Reduce on-roof labor costs by more than 25%. Voltage at P V Pp V 27.6 27.2 11 26.6 26.6 26.6 Units:Inch(mm) Current at Pm.° I— A 6.56 a 6.54 6.56 6.42 6.29 ►Leverage the built-in grounding system- � 39.9a 990 , Open-circuit voltage V_ V 35.4 I 34.5. 34.2 33.8 33.8 if it's mounted,it's grounded. \ 36.as 936 1.a1(46) Sh rt-circu t current L. A 7.12 6.99 7.01 6.92 6.81 ►Lower your parts count-eliminate rails,screws, mounting clips,and grounding`hardware. NOCT:epencrcutmodleepemti,,temperatureataoow/m rmdi,nce,z0°Cambienttemperature,1m/dwindspeed THERMAL CHARACTERISTICS ►Design and permit projects easily with access Nominal operating cell temperature NOCT °C 46+/-2 to layout calculator and stamped drawings. Temperature coefficient of P. y %/°C -0.45 - .. • 0 O _ Temperature coefficient of V_ Bv, %rC -0.33 - ►Lower installation costs with savings across Temperature oeffi ient of 1 ax %✓°C 0.06 G unding holese 6-0.23616) equipment and labor. ---- ----- - Temperature coefficient of Vmpp BvmPP. %/°C -0.45 - ►Minimize roof penetrations while maintaining the system's structural integrity. OPERATING CONDITIONS ►Invest in an attractive solar array that includes ® Max.system voltage 60ovoe Mounting holes Mounting olS(6.Sx8) a black frame,low mounting profile,and Max.COMP series fuse rating 15A aesthetic array skirt. Limiting reverse ent 15A G3 Drainage holes 1 Increase energy output with flexible module Operating temperature range 40te194°F(40te900c) a-012xo315(3xa) layouts(portrait or landscape). " ZEP • - Max.static load,front(e.g.,snow and wind) 50 psf(2400 Pa) 3.94(100) 1 Trust in the reliability and theft-resistance of Max.static load,back(e.g.,wind) 50psf(2400Pal theZe Compatible'"sstem. Leading limited power warranty- o.47nzI ' , .•' p Y ) g P Y � Hailstone impact � : � 1 in(25 mm)at 51 mph(23 m/s) 91.2%of rated power for 10 years;and 80.7% -of rated power for 25 years. ; Q AC SOLUTION OPTION CONSTRUCTION MATERIALS [e] Front cover(mat rial/type/thickness) Low iron glass/tempered/3 2 mm i SECTION C-C The YGE-Z Series is now available as 10-year limited product warranty. Glass may have anti-reflective coating i an Enphase Energized'"AC Solution. Cell(quantity/material/type/dimensions/ 60/polys Icon/multicrystalline enphase -�_S This solution delivers optimum - - ----- --- -' _ ar9a/aofbusban) 156mmx156mmi243.3cm=/2or3 • •In compliance with our warranty terms and conditions. ,is - performance and Integrated intelligence. P �' Encapsulant(material) Ethylene vinyl acetate(EVA) 138(35) -The Enphase M215-Z Zep Compatible Microinverter Frame(material/color) Anodized aluminum alloy/black Warning:Read the Installation and User Manual in its entirety is designed to conned directly into the Z Series module • • Junction box(protection degree) aIP65 A before handling,installing,and operating Yingli modules.. groove,eliminating the need for tools or fasteners- cable(type/length/gauge/outside diameter) PV Wire/43.31 in(1100 mm)/12 AWG/0.244 in(6.2 mm) all with one easy step. UL 1703 and ULC 1703,CEC,FSEC,ISO 9001:2008, _ 1 Plug connector AmphenolV H4/IP68 Our Partners - - ISO 14001:2004,BS OHSAS 18001:2007,SA8000- (manufacturer/type/protection degree) - - UL DS - ,may *_,` , The specifications in this datasheet are not guaranteed and are subject to change without prior notice. . 'I LISTED Imo` CERT 6� ':aa� This datasheet complies with EN 50380:2003 requirements. - Intelligent real-time .lnwrovouuc Moan.cl e�euu - ._ monitoring at the system 4400 and module level with -T---- - .-- ---- - - . . x Enlighten. Yingli Green Energy Americas,Inc. info@yingliamericas.com Tel:+1 (888)686-8820 YIN LI BAR YINGLISOLAR.COM/US I NYSENGE YINGLISOLAR.COM/US LYingli Americas ' ®Yngli Green Energy Holding Co.Ltd. I YGEZ60CeII5eries2012 EN 201206_VO7 U.S.Softer Powered by Yingli solar