The URL can be used to link to this page

Home My WebLink About0297 BUCKSKIN PATH Iv -co- ... - - ,? t n . Town of Barnstable Buildin 1.1 st- rs:Card So,T_;at vis �srble: rom he:S rest roved Pla s".Mustibe Retained.on 10 and third IVIu'stlte ot. �, ":.as id ,. � .t�Y. "�� ..,�,.;� t _t ,�-, ,, y � „. � M.�...�p •ste �Unti1,Frnal�Insj�ection Has Been Mader �� T °� `� � �� +ga �` Where a Certrficateof ccu an:�;rs-Re ,wired"-suchJ.Buil en shall Not be§Ctccu red `'n#Il a Trial Ins ect%on hasfbeen made E � Permit Permit NO. 13-17-3235 Applicant Name: SOLAR RISING LLC. Approvals Date Issued: 09/28/2017 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 03/28/2018 foundation: Location: 297 BUCKSKIN PATH,CENTERVILLE Map/Lot 171-026 Zoning District: RC Sheathing: ... - ram:' h �� Owner on Record: WOLFE,RICHARD A&-HEATHER A Contractor Name� NEAL F HOLMGREN Framing: 1 E ��Ontractor License a 088921 Address: 297 BUCKSKIN PATH 2 CENTERVILLE,MA 02632 s.. Est ProiectCost: $21,976.00 Chimney: 01 Description: INSTALLATION OF 16 SUNPOWER 335.WATT'MODdJLES(LUSH Permit Fee: $162.08 . Insulation: MOUNTED.5.36 KW 240 SQ FT t fee Paid S1152.08 . Project Review Req: ' x flats 9/28/2017 Final: Plumbing/Gas Rough Plumbing: �- z Building Official final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonze&bythis permit is commenced within iik months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and stru, res' all in compliance with the local zoning b laws and codes. ' This permit shall be displayed in a.location clearly visible from access.st�ree�t oo -road and shall be maintained open for p cti,ubhc inspeon for the entire duration of the Final Gas: work until the completion of the same. �3 �' Electrical The Certificate of Occupancy will not be issued until all applicable sign b' he Bui ding an FireOf#iciaa a provided on thispermit. Minimum of Five Call Inspections Required for All Construction Work: Service: z 1.Foundation or Footing �; s 3 2.SheathingInspection _ Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed - .4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. .Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION -Map 1 Parcel cry Application # Health Division n Date Issued rl> h71%4_, Conservation Division , Application Fee Planning Dept. `n, �a T Permit Fee a� Date Definitive Plan Approved by Planning Board ' Historic - OKH _ Preservation/Hyannis Project Street Address -ALI7 D fn ck.S i vi IN Village C_,,-_A�rV ' Owner c�n�T car 4CPAeP' 1/Jd Address _ ��Gk'sku')Y, Telephone S — L13S / 16 u n Pis Wu VR ,... c Permit Request _�r S�g I��"�®"� b� �� "�� / y Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District C_ Flood Plain Groundwater Overlay Project Valuation l o g 74 Construction Type C� Lot Size ` 3 7 g c Y c5 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes No On Old King's Highway: ❑Yes J(No Basement Type: Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) - - Name Akor r 1161 (co b(s 45-VAqI'�CTelephone Number J�®� 2e-I o?g y Address �� 0 n � ) �J License # b�13 la� ger4 w 1 �'� M 0� Home Improvement Contractor# Email I so les r 15,11 h 14 Worker's Compensation # � Pr L4 6 Yf3 6 7765c —A ALL CONSTRUCTION DEBRIS RREALTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE a Z_/ l FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ..ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r Solar R i s i n Property Owner Consent Form Owner: Heather Wolfe .Address: 297 Buckskin Path Town: Centerville State: MA Zip: 02632 Phone: I hereby give permission to Solar Rising llc. and their representatives to pull the required permits for a solar installation on my property. a: /7 Property Owner Date Solar Rising Date a _ = Office of Consumer Affairs in Busines Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 175578 Type: Supplement Card M� f Expiration: 5/28/2018 SOLAR RISING LLC. 111 NEAL HOLMGREN 759 FALMOUTH RD UNIT 8 ^, MASHPEE, MA 02649 t' 5v� Update Address and return card.Mark reason for change. scAt 0 20M-05/11 Address Ej Renewal Employment n Lost Card Met of Consumer Affairs&Business Regulation- _ g License or registration valid for individul use only . OME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: Office of Consumer Affairs and Business Regulation Registration `175578 Type: 10 Park Plaza-Suite 5170 Expirati n 5-1 872018 Supplement Card Boston,MA 02116 SOLAR RISING LLCM---'- 91 '41 E=. ;: r NEAL HOLMGREN 759 FALMOUTH RD UNI7 MASHPEE,MA 02649 Undersecretary Not valid without signature s: Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Const��tcttt ti'p-!visor t CS-088921 Upires:0911812019 NEAL F HOLMGR-E 75 SPRING HILL RD ` EAST SANOWICf MA,.02637 i+� Commissioner i'• 1. * � - . 7 f .l f r +'µ "r,z,.f"-IfIiIIFr.I.T'., � .r 1 '.�, l vl 'f .' i 4 a «i y r i(� j �. S .-, k a x✓ r fi '8 � '1 Ii b` r., n The Co , „ . ' !� mmonwealth,of Massachusetts „ f f 1, Department of Iiid4sthd Ac'eidents l s hCongress Street,Suite 100 t r ,, # - = Boston;MA'021 I -2017 f fj '�e f 44_ ` lU1vw mass.,gov/dia a J k -II% kegs'Compensation Insurance Affidavit.Builders/Contractors/Electrtctans/Plumtiers 'TO,BE FILED WITH:THE PERMITTING AUTHORITY 4 s_ r� 1; Applicant Information Please Print Legibly * j' z, Name(Business/Organizahon/IndividuaO Solar R1sln�,LLC f r _r a ,..� ', N A t t f i. d *'I t fA 2. l i ;f Address 4759 Falmouth Rd Ste 8 p '� R �; :' �, .i x f f itfr a l Ctty/State/ZIp_ .1Vlashpee MA 02649-'- hone#; 508 744'=6284 s M P ;, 4re you an e6pi6yer4 Ctieok the appropriate box x } i Type of project(regwred) l[ I am a employer with.. employees(full and/or part(time)+ 7 New constnictton Y 1 s i` 2 [am p sole proprietor or portticrship and liavc no employces'working for iiie m $, Remodelin' `r,., s s f t r any capacity [No workers comp insurance required] ;,, g` � " >� s t, ❑Demolition � 3 QT am.a homeowner doing all work myself.(No workers comp.,insurance requred]?I 9' 'r 10 . Building addition ' ,- 4�I am a horiieowner aril will befiiring contractors to.conduct all;work on niy property::�I will a ensure that dll contractors eithee'have workers':compensanon insurance ora I sole'. d;l.l Q:Electrical repatrs or addition proprietors with no employees ` f .. r s �12 Plumbing repairs or additions J . ;{ 5❑'I am a general contractor and I Piave hired the sub contractors listed on the"attached sheet �� f �zs t l3 Q Roof repairs ,, r F �f �, (. These sub contractors have employees and,have workers comp,insurance:. ' �3 14 ®Other Solar< E h>� < {. a, 6 ,We aze a corporatiori and its officers have exercised'their right of exemption per M, c ,, r' fit , �` ,s r 152 §I(4),and we have no employees [No workers;comp insurance requred] i r. T x,y y , t' *Any applicant that checks box#1 must:'also fill out the section-below showing their workers%compensation polic' --formation $ d t n< r ` }:Homeowners who submit-this affidavit indicating they,are doing all.work and.then hiie'outside.contractdis,must-submit'.new affidavif'indieating"such �` 1. }Contractors that check this box must attached an;additiorialsheetsliowing the name of the sub contractors and state whether<or not those enhGes have ,, _ r� +- em91oy p I , 944-cqqtractorshave]employees,they'musbprovide,their'workefs comp:policy;number °`` ' , %. I am an employer that sprovidingworkers.'eompensrikon insurance or em.10 ees Be1ow u the'ohe and ob`site l . mY p Y P Y 1, r information °` rz�; t f :` b '.- Y; ♦ �r F K r G I.' F r Insurance Company Name. Travelers Indemnity Comriany ' ' t£ . . Polic #or Self ins Lie'# .l �� ( y 6HUB 'SB677050 16 Expiration Date 1 1 0 017 n ' ' pp r „ ' r 3 Y r Job S ite Address Y c' § ! � ` x t f vy" 1 City/State/Z`tp x„ Attach a copyA the workers'compensation policy declaration page(showing,th"e policy number and WK.'atton date)' ;` Fail to secure coverage as required under MGL c 152 §25A,is'a cnmi'nal violation punishable.by a fine i1p to$1 500 6 4 v l= , l., and/or one year imprisonment;:as Well'as civil penalties.in the form of a-:STOP WORK, ORDER and; fine of up to$2S0 QO of ,„ ": day against the violator A copy.of this Ake .. may be forwarded to.the Office'of Investigations of the DIA for insurance i' < r coverage verification _ ,r.try - ,,I .a: s F n Fk ph I do'hereb"'ce Kijy under the pains andpenalties bfperjury that the#formation provided`above is tnie and eorreci _, f r_ _ Y ///J� _ .r ' h 4 ,��NW:�/B ry f = P Tr t Signature T' E` 1 Date ll IU- 016 ;s ' J .�,�f f }— ., Y (. F` Phone.# 508'.'.7,44-6284 " _ �' �,,,,1}:' t: - , , . .. .,.. rs s ef s Official use only Do not write in this area;to be completed by,city or[own,'offcial u , r"a'J �!{ t r , f '{`., r r tf t4 Jr x I r d RR L ..r :n y r,£ t 3 F _ y` '.;' �°- As' h u't RYA,y } -".:',i -, d A , City or Town .6ihitl ease# � ` , V Issuing Authority(circle one) rr':.x rt sr ° 1 13oard of Health 2 Bwld rig Department'3 CityLfiown C[erl, 4.:lrlectrical Inspector S Plumbing:nspe, , '�y #fE r 6 other , .` -, x xr` 4 - Contact person Phone#. i ' r "' w f } a #6` " ', F fl , p[( !`-1 l F N', l U h - s 'k } r� - . . v SOLAR11 OP ID:JL ACORO" DATE(MMIDDNIIYY) CERTIFICATE IF LIABILITY INSURANCE 04103I2017 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(ies) must:be.endorsed. If.SUBROGATION IS WAIVED 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 ofsuch endorsement s PRODUCER. -CONTACT Paul Peters "Insurance Agency PHONE 680 Falmouth.Rd. A/C Exl a'No Mashpee,MA 02649- E-MAIL John J.Lynch,IV ADDRESS: INSURER S'AFFORDING'COVERAGE NAIC.# INSURER A:PILGRIM INSURANCE;:CO. INSURED Solar Rising LLC INSURER B:Western World 759 Falmouth Rd Unit INSURER c':Lloyds of London Mashpee,MA 02649 INSURER D INSURER 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO N/NIGH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT`TO ALL THE TERMS; EXCLUSIONS AND CONDITIONS OF SUCH POLICIES-LIMITSSHOWN MAY HAVE BEEN REDUCED BY PAIDCLAIMS: IN$R TYPE OF INSURANCE POLICY EFF ROLICY-EXP rl INSRPOLICY NUMBER. MMIDD/YYYY MMlDDIYYYYI LIMITS GENERAL LU181UTY EACH,OCCURRENCE. $ 1,1100;000 B X COMMERCIAL GENERAL LIABILITY TED I PREMISES Ea oNcarrrence $ 100.000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $ 5,000 X ISO From CG0001 NPP8382853 03/0912017 03/09/2018 PERSONAL&ADV.INJURY $ 1100000 X Contractual Liab GENERAL AGGREGATE, $ 2,000,90 i GEMLAGGREGATE LIMIT APPLIES PER: PRODUCTS•:COMPIOP.AGG $ 1,600,OQ !! X POLICY PRO- LOC $, I AUTOMOBILE LIABILITY COMBINED SINGLE:LIMIT !I Ea accident $ 1,000;000 A ANYAUTO PGC00001'018498:. 10/30/2016 10/3012017 BODILY INJURY(Per;person) $. ALL OWNED SCHEDULED X .AUTOS ,X. AUTOS,. BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS PERACCIDENT $ I UMBRELLA LIAB. HOCCUR EACH OCCURRENCE $. 'EXCESS LIAB CLAIMS-MADE AGGREGATE $' OED I RETENTION$. $ ` WORKERS COMPENSATION STATU-. OTH- I AND EMPLOYERS'UABIUrY Y I:N WG Y LIMIT ANY PROPRIETORIPARTNER/EXECLiTIVE OFFICERIMEMBER EXCLUDED? .D N;I A - E:L:"EACH ACCIDENT "$ (Mandatory 16 NH), E.L.DISEASE- kEMPLOYEE $ If yes;desabe under - DESCRIPTION OF OPERATIONS below. E.L.DISEASE-POLICY LIMIT $ C. Inland XSZ76519 1l/0872016 11/0812017 50,00. Marine, DESCRIPTION OF OPERATIONS-1 LOCATIONS IVEHICLES (Attach'ACORD-101;Addltlonal,Remarks.Schedule,It more space Is required) CERTIFICATE HOLDER CANCELLATION 0000001 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE .EXPIRATION 'DATE 'THEREOF; NOTICE,'WILL BE 'DELIVERED "IN Solar Rising LLC ACCORDANCE WITH THEROLICY PROVISIONS. Fax:508-.744-6283 PO BOX,2623 AUTHORIZED REPRESENTATIVE Mashpee,MA 02649. - John J:,Lynch„IV I ©1988-20.1O ACORD CORPORATION..All rights resented. A,CORD 25(2010(05) The.ACORD name and,logo are.registered marks of AGORD I 2016/NOV/10/THU 09:49 FAX No. P- 002/002 A CERTIFICATE OF LIABILITY INSURANCE `�;�;o,M Dm18' THIS CERTIFICATE IS:ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON'YHE CERTIFICATE HOLDER. THIS CERTIFICATE: DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, FXT79ND 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: It thecerti IwtB holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED.subject to the temp and conditions of the policy,eertaln.pollclos may require an endorsement. A atatement on this certificate does not confer rights to the certificate holder In lieu.of such endorwment(4 PRODUCele 1 Tr+cr John L n&IV PAUL PETERS AGENCY INC. IM. 508 477-0021 F"x F-44ARIL. . lindag auE tens en ,com Goo MMOUTH RD. INSURMS)AFFORDINGCOVERAGE ICI MASHPEE MA 02649... INsuReaa:..TRAVELERS INDEMNITY CO OF AMERICA;.,: 25666 SOLAR RISING LLC PO BOX 2623 INSURER E: ASHPEE, MA 02649 INSURER F:- COVERAGES CERTIFICATE NUMBER; 102067 REVISION NUMBER; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH•THIS CERTIFICATE MAY BE'ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS; EXCLUSIONS AND CONDITIONS OF SUCH POLICIES—LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID.CLAIMS, INSR ._.-. - DOL BRY. POLICY TYMOFINSURANC1: PDLICY._UMBER LWI S COMMERCIAL GENERAL LIABILITY .. EACH OCCURRENCE ..$ RENTED CLAMS-MADE OCCUR _.M .MED'.EXP.An om eraon .. N/A 1 PERSOIQAL B ADV INJURY is OEN`-AGGREGATE pLIMIT APPLIESPER!, GENERALAGGREGA7k rx .POLICYOJECT �LOC 'PRODUCTS-COMP1OPAGG..i.. .. . _., OTHER' IAUTOMONAUABILIIY ... - o _ III p.. I I ANY AUTO BODILY INJURY(Par pe sm) t•'-" ALL OWNED SCHEDULED N/A BODILY INJURY(Per s. AUTOS AUTOS NNO* NED PROPER DAMAGE HIRED AUTOS AUTOS i UMBRELLAUAB R EACHO=RRFNOF. .. ;5.. EXCESS LIAB CLAIMS-MAOE N/A .AGGREGATE DEO I I R 3 WORKORN COMPENSATIONS __ _ I ANO EMPLOYFRV LIABILITY o ANYPROPRIETORIPARTNERIEXECUTIVE YIN N E.L.EACH ACCIDENT i. 1.000,OOD A (mod°am isciljexcl uoED1 NIA -NIA. IVA- 6HUB5B87705016 -11/02/2016 11/02/2017 E1.DISEASE-EAEMPLOYE S 1,000,000 . Nyyeea�d� Im urder 'I 000 000 ' DIdSCRIPTION OF OPERATIONS bebm E.L._DISEASE.POLICY LIMIT :,NIA DE=RwnoN of oPeRATIoms i LocAnoN3 i mKxEs(ACORD UK Aa6tlorul Rarwrks ash duLe,may:oeamcned Rmom aeace is regdlreeQ Won(ers`Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization Is given to pay claims for benefits to employees in states other then Massachusetts if the insured hires,or has hired those employees outside of Massachusetts: This certificate of Insurance shows the policy-in force on the date that this certificate was issued(unless the expiration date on the above paticy.precedes the Issue date of this certificate of insurance). The status of this.Coverage can be monitored daily by accessing the Proof of Coverage_ Coverage Verification Search toot at www:mass.govftAWwofkers-wmpensationAnvesUgations/. .,CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRI6PD POUC IES eE.CANCELLED BEFORE THE EXPIRATION DATE THEREOF; NOTICE WILL BE DELWERED IN ACCORDANCE WITH THE POUCY PROVISIONS,- AUTHOPaEDWRIE WATNE Daniel M.Cr CPCU,Vice President-Residual Market—WCRIBMA 0 1888-2014 ACORD CORPORATION.,All riohts-reserved:` ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Grid Tied Photovoltaic System DC Rating 5.36kW Heather Wolfe 297 Buckskin Path Centerville, Ma 02632 Site Details: All Work To be in Compliance with: Solar Rising shall install a 5.36 kW grid-tied 2014 National Electrical Code (NEC) Photovoltaic system comprised of (16) SunPower 335 2009 International Residentail Code (IRC) Modules with (16) Sunpower Micro-Inverters. The Modules 2009 International Building Code (IBC) will be flush mounted to the Asphalt roof. 2012 International Fire Code (IFC) MA 780 CMR 8"' Edition ASCE/ANSI 7-05 Minimum Design Loads for Buildings and other Structures Equipment Specifications: Modules: (16) SunPower 335 Inverters: (16) SunPower Micro-inventors Racking: Unirac Solar Mount A ate= Attachments: EcoFasten Flashing with 4 Stainless Steel Lag Bolts Roof Specifications: Roof Structure Asphalt 2X6 Rafters 16' O/C Pitch: 25" Azimuth: 206,296` Site Specifications: Occupancy: 11 Design Wind Speed: 110 MPH Mean Roof Height: 22ft Ground Snow Load: 35 PSF Solar Rising LLC Project: Heather V1 o l e Solar Rising Building Permit Plans Solar 508-744-6284 297 Buckskin Path Revision: 9/5/17 759 Falmouth Rd Unit 8 Scale: None MA 02632 Mashpee, Ma 02649 Centei-Ville' Drawn By: Neal Holmgren r. r _ y { y , ..,..,a,,x�..�u:a'r � �r*ar',:;�;'w,.-�:u•»:;nus<;.m...�'rnur+"nm,:ans�5� _.., . 5 F 1Y -Quantity of attachments = 80 @ 48" O.C. a -Maximum UniRac Rail span = 48"O.C. -Maximum Allowable Cantilever = 16" -Racking and Attachment: UniRac Solar Mount with -lag screw, Hex Head, 18-8-SS 5/16" x 4" Length -kray Installed According to the UniRac Solar Mount Code-Compliant Installation Manual Solar Rising LLC Project. Heather Wolfe Solar Rising Building Permit Plan S 9-E3� ar 508-744-6284 Revision: 9/5/17 297 Buckskin Path None 759 Falmouth Rd Unit 8 scale:i/_7 cJ Mashpee, Ma 02649 Centerville, MA 02632 Drawn By: Neal Holmgren . , �DMIKOOD ttiMA SpAcft wet Fitt COM&fiQtIms'I F 9NY^rve.•�+vr a��,ti;.��.��aaayyvis`�.e✓��V'v�ymr .✓.oaJ: The i<'w memo Horizontal Span fs. 2x l 0 11 fts3 M. with a rninimma bearing length of in. r a.each end of the member.equ�ce9t .. _ _ �y s Ali i.1�itIE G17F ....f ..........t.....,.;m, 4" . Solar Rising LLC Project Heather Wolfe Solar Rising Building Permit Plans Solar508-744-6284 Revision: 9/5/17 759 Falmouth Rd Unit 8 297 Buckskin Path Scale: None b` i S i/-' Centerville, MA 02632� Mashpee, Ma 02649 - Drawn By: Neal Holmgren i �•t�� 1 Greenfasteri'GFi—ProductGuide CutSheets:GF14— �9 3 y. T _ 111111 e� t v- e SECTION A-A ° �'r" ens-�saru�eormu,csww�ot��,w.e�skEcmacrosotranwrcRaoa«ma�„ddw+�+,q'aan��awmn} ae Solar Modules to be flush mounted to existing roof structure and set above shingles 4" Solar Rising LLC Project Heather Wolfe Solar Rising Building Permit Plans 508-744-6284 Revision: 9/5/17SOla 759 Falmouth Rd Unit 8 297 Buckskin Path scale: None S � '-' Mashpee, Ma 02649 Centerville, MA O2.C32 i Office of Consumer Affairs nd Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 lk Home Improvement;lContractor Registration Registration: 175578 M is Type: Supplement Card `- Expiration: 512812018 SOLAR RISING LLC. NEAL HOLMGREN .. = 1 759 FALMOUTH RD UNIT 8 MASHPEE, MA 02649 , Update Address and return card,Mark reason for change. sCA.1 Co 20M-05111 Address Renewal Employment Lost Card c-971,c anri�arsri.tur2�/�n/'�/f�rre uc�Ct�oGlL Rice of Consumer Affairs&Business Regulation _ __ g License or registration valid for individul use only _ — -OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: K Office of Consumer Affairs and Business Regulation Registration ,175578 Type 10 Park Plaza-Suite 5170 1� s Expiration T5,128720-W! Supplement Card Boston,MA 02116 SOLAR RISING LLC{ — t NEAL 'HOLMGREN 759 FALMOUTH RD -- MASHPEE,MA 02649 Undersecretary Not valid without signature s Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constrkj6i tl19— Mvisor t CS-088921 # 4pir es:09/18/2019 NEALF HOLMGREN;. 75 SPRING HILtr. RD O k EAST SANOWICI f MA9.021i37 tif)t C" L Commissioner v • • • (SLG Life's Good NO i' f fi d - ` LG NeON"2. LG's new module,LG NeON111 2,adopts Cello technology. Cello technology replaces 3 busbars with 12 thin wires q)� APIIIVE1aeouurr pp to enhance power.output and reliability.LG NeON 2 _ pvE c us �� demonstrates LG's efforts to increase customer's values 60 CC �k1612tS beyond efficiency.It features enhanced warranty,durability, Intertek t I performance under real environment,and aesthetic design suitable for roofs. Enhanced Performance Warranty HiOKPower Output f.,FIN a LG NEON'2 has an enhanced performance warranty � ® Compared with previous models;the tG NeONTM 2 The annual degradation has fallen from-0.6%/yr to has been designed to significantly enhance its output -0.55%/yr Even after 25 years,the cell guarantees 1.2%p efficiency,thereby making it efficient even in limited space, more output than the previous LG NeONTM 2,modules. Aesthetic Roof GO Outstanding Durability' LG NeONI 2 has been designed with aesthetics in mind; With its newly reinforced frame design,LG.has extended thinnerwires that appear all black at adistance, the warranty of the LG NeONTM 2 for an additional L The product may help increase the value of 2 years.Additionally,LG NeONTAd 2 can endure a front a property with its modern design. load up to 6000,Pa,and a rear load up to'5400 Pa: Better Performlance on a;5unny Day Double,'$1dedL Cell Structure LG NeONTM 2 now performs better on sunny days thanks The rear of the cell used in LG NeONT"2 will contribute to L to its improved temperature coefficiency., generation,just like the front;the light beam reflected from the rear of the module is reabsorbed to generate a great amount of additional power + About LG Electronics 4G Electronics is global player who has been committed to expanding its capacity,based on solar energy business as its future growth engine.We embarked on a solar energy source research program in. 1985,supported by LG Group's rich experience in semi-conductor,LCD,chemistry,and materials industry.We successfully released the first Mono X®series to the market in'2010,which were exportedto 32 countries in the following years,thereafter In 2013;LG NeONT1q(previously known as Mono X®NeON)won"Intersolar Award';which proved LG is the leader of innovation in the industry. LG` NeON z 67echanical Properties Electrical Properties{STC ) Cells 6x10 Module LG335N1C-A5 LG330N1C-AS LG32SN1C-A5 Cell Vendor LG Maximum Power(Pmax) 335 330 325 Cell Type Monocrystalline/N-type MPP Voltage(Vmpp) 34.1 33.7 33.3 Cell Dimensions 161.7 x 161.7 mm/6 inches MPP Current(Impp) 9.83 9.8 9.77 a of Busbar 12(Multi Wire Busbar) Open Circuit Voltage(Voc) 41.0 40:9 40.8 Dimensions(L x W x H) 1686 x 1016 x 40 mm Short Circuit Current(Isc) 10.49 10.45 10.41 66.38 x 40 x 1.57 inch Module Efficiency 19.6 19.3 19.0 Front Load 5000Pa Operating Temperature -40-+90 Rear Load 540CPa Maximum System Voltage 1,000 Weight 18 kg Maximum Series Fuse Rating 20 Connector Type MC4 Power Tolerance(%) 0-+3 Junction Box IP68 with 3 Bypass Diodes *STC(Standard Test Condition):Irradiance 1,000 W/m',Ambient Temperature 25°C,AM 1.5 Cables 1000 ram x 2 ea *The nameplate power output is measured and determined by LG Electronics at its sole and absolute discretion. -The Typical change in modutr efficiencyat 20OW/m'in relation to 1000W/m2 is-2.0%. Glass High Transmission Tempered Glass Frame Anodized Aluminium Electrical Properties(NOCT*) Certiflcations and Warranty Module LG335N1C-A5 LG330N1C-A5 LG325N1C-AS Certifications IEC 61215,IEC 61730-1/-2 Maximum Power(Pmax) 247 243 240 UL 1703 MPP Voltage(Vmpp) 31.5 31.2 30.8 IEC 61701(Salt mist corrosion test) MPPCurrent(Impp) 7.83 7.81 7.78 IEC 62716(Ammonia corrosion test) Open Circuit Voltage(Voc) 38.2 38.1 38.0 ISO 9001 Short Circuit Current(Isc) 8.44 8.41 8.38 Module Fire Performance(USA) Type 1 NOCT(Nominal Operating Cell Temperature):Irradiance 80OW/m2,ambient temperature 20°C,wind speed 1 m/s Fire Rating(CANADA) Class C(ULC/ORDC1703) Product Warranty 12 years Output Warranty of Pmax Linear warranty" Dimensions(mm/in) 1)1st year:98%,2)After?no year:0.55%annual degradation,3)25 years:84.8% -03 Temperature Characteristics a NOCT 45±3°C Pmpp -0.379/./°C Voc 0.279,/°C Isc 0:03%/°C rM TF Characteristic Curves s ',aos pu vl�wus Afli - . 10 000W BOOW V 600W 400W200W ,,-- - 2 T.________-_ --._« vdr.g°M A 0 5 10 15 20 25 30 35 40 of "1 140 -------.....-----------:---.----....------...-------------------------................... E120 - - ----------------------- l^ e0 ........................................................... _... a 60 .......................................................`_._--.__.._..-.__.._............ e c ry 40 ................................_..__.-------..-.-----......-------..._.._-----_._.._.- 20 T°mp°...(°h -40 25 90 LG North America Solar Business Team Product specifications are subject to change without notice. LG Electronics U.S.A Inc Ufes Good 1000 Sylvan Ave,Englewood Cliffs,NJ 07632 y M Copyright®2017 LG Electronics.All rights reserved, Innovation for Better Life '� + Contact lg.solar@lge.com 01/01/2017 www.Igsolarusa.com Q a . UNIRA)C_ '_ �UNIRAE 8ofarttottnf.Mitt CIemP flr2fkiSA21feC.762M14 SCIfO]L.ffitti� i!lflatP.:tdttlMl - SofatMonaltTrechnicalOatasheet • 'tmoingrmaise,**WOtttsfbilb iYVa:dnWedAtora rm. ta.tloaldtmwm,�agarmrf sip,,` abys:808575,8164•T$.�8081-78, _ - . ;;. UtEtmtdt-eaaRa'98kaq :35M . '... f2nbtl:Cbarcrf39rkAaaW7md - Sotara�owt�Afodrlb�Coma@ioa7taNrrara .7 % .', }ttdeanprwigM:O.6§01b.5(23g1 , �edtorrfltyi'htbdulaalp .�.... _._..u..:._ -.._..,..: .,_.::..._ _..._._._._Y - ��. �:� - •. n»Wm9aAodestE;+auaa.,sawaa9ute�+aoa+Poner;esa!4 Memo................. *=&"*damordMWauAodatdUNIRACdcctitswu • 1Jalrsa rafreaad @re albvmlgo arW des>gntoad capaTYy ofa sitBle. - Eltd'G18n1P - .�__....__ .:...:2. o-. . - nddolallp asSernCTyttw9Aa SrfarMorW bean tn. SolarltaamY3eamCdnllrGioaHardvara.:.,... ._m .--5 <;.. Ems: :retabamadubdnNa&adbaivlimtfd AsmatisMWdaltp,wW.fone Mime W.20T-bo**M,a W-20; Se'tarNeunt�Bdarns._.__e.�. �e....,.e.........._.......____._::�_...vea:4_ .� AS1Mfdaormiedpaxtepad Use anf eetie srd UgltadSe T06"'Ol lzpm �.' _ •ReffiNanee tdofsandsatatyfaelon as detsmdned4comdkVIO ^.•�,.. Earltaeetbn9oftho2W5:I1W*1ufn-D43 M&ftp land01ii party aw 6amb(mm anus*mmoaa fal.WY ApOW Lead Awrags .Afl wX is 'Reelpance Oillftsm O WSMM hoed Wae1w.- Low Facwt, SolarMount Module Connection Hardwarer Is,N �, � �, � 3artiwr,Y+ 2021)(8M7) M(3983) 2:27 "aa(599e) ossr. Sakdtfouna,Maotit Up Aptdu(e trip T�•2s WD(2313) 2S,0017) 227 30(1Sas) SM f9rtNo SIISCOQC & - Sdig.xt 1190(59t2) 4ao121 7M 2at 741(3299) ORM itli5tur Boaom Up CqtmatwtW-OntofUm fdbang ednded.abmimn e�`X Eatbm 15 Auk.- afoys:'BODS•TS�B105-T5.8�1-7'6 o,klot�i�o - Up ( 1911Wt9t►tineM:98cd 381, tt fWtw cift" madred $dwuou*EOd • 'aft"W'CII)Ms10t-0.031 ff%(140 i'MO&S471•IGa11zOmG >MWC • A2 w*A9 am duAr balsam wfd%*no 3da!]S4�KG at>r.MO�a0ttM6 f229a� 80� eot assw*Wwuh Sah,Mogrtaedest>mms,acoor6)g toaudod"d Smoot 3tdlaa0:i�1l1Q 71iaMr<,sliamO. IAVdRACdoamentl. A9:4'alc.i6fta14t lgtlttx;aftatcr;ufltaCoYtmprnalMahl�tad C)a fddaaing e:arldedaig+VArat ®11oys:800tLT5.810S79,b081•T0 nosh*C&ar • A'asem6te iJlf,are 7G'.20-ASYM fSga bot.one.b'.20 A37afF59a �-v;'r^ 1Rtlrtslbi mrm(h:aBfmt.'Y�b:35 ks1 RadsukWa fadart aibaafey90faitaearrbsmmtiMetl A .andar DarRRntx�►zod . + -vartgllt a:ae:;tiasodcnhe4K:-0O6a bs:( ) Pan IseAbn9 oft*2iD05Atun),%m Osslpi Wnua fa m d nta 6Amv�NwlmnoorrporafHs are parylm fMfthoman Maoorad@tdfdwramiy 0MWnbW:n0aadi>g to Ad'oftd M1l Mr*c marts �--- eiodldo;odp anig be"ssPwW by tt,t bow y +sa•rf VaumT4xo=MMe akwbb and dM41 wad capa&y4 a stub •- NOTE ON WASWM'easb'i waVWan bofthtad aNe of.maemhbt aW dmP assw*whan used with a Sofa'18dmswis3lbtamto DO NOT hsW vwbar agm mazled tbiW au '. roWn a enoWe In Itm41mdian Weabd Assenth mft aw Uri&ac1440 Tdro6.and am W-20ASIMFW4 APOW Laid A"ragt Anarabie 'Safety ou>prr. Rat>naao �._- 8aa wnk�ngora fo Oft otoiQll9 oiacea) U78ant� Laaa ratW. Rmd - ifatlo;, "`"+, �""'T"•— Ibs pq M.00 F3 Ibe Oq m RasPsfamcef�ore and aatdyteCa'sar9 detattllretlamoMrgb part s sacdon,11 of tMa.2l= lnmintyn l)aaen Manial and divd b+ onY. tseateinn saatsoszt 228 tn2a(asi a.ast �. a 0ar0r test rasuss fran an CAS aeaod4ed labor2ryry t rrdrdvsm.Xt t128R (tas2j 819) 3t9 , 143 a97R o.at3> aas ' ahWUasmtrslbeinstaOWatte�lt:Sdn.ftomaahereMdabeam- .. R .. 1-►x Sse:o.zt sa yea z7g18). 2aa 41 gat) d.et9 _. _ AppOed�lcad Aarraga Af-mWe 3ate4' Osstgn *ssbbnoe b WRe9oP am-10 Joss If etar, dmape Facw., ohanb9 e:ba»lmuimlmlea E 1x�j ^�' Qspq thig Irmo M*;M 1321("M W90W) 2M SM.(&%7) o41105 63(279) id(81) AS8 21•(92) 0-MO t4+miae�tritfaYi .mod 9e9tSXt u2(830) 53(231) 222 79WSJ d555 Datasheets IFUNIRAC • • �UMIR IC sctarMotmtBeams Fwtfdo,SIOUX,afotatte.alar//ofs1o1/otw,a101M SIOU C,a112W.4,3102Ar-MUD".01 . 8otarMountBoom ConnWton I%rdwar* 4104aclr,s10tt0.a,s102ptM,alt�tslSa abhrNallttt t.#tiai. rr+Ne:7bCbdC;fof067a. F.mp.M1r. ufab Sd.M.uN awrlWumero .. L,pow+ow.>.eomaaelme.*s+�muaawm:�o�.�mams T3.07057q 00A4T0.. 1letm'1gt" In 2.5 34 IREmM.1Antl�3p},Sa.Yrq 4 W • .1N6u Owraa..ArtnOa.d ApL.mdnMte Yl.fyrt fpa�lnmffl) d! 0,011 101 • 4fawwMyid.MM bea9mnY7[L;,Q210h10Bp) • Ab.LI.'agQo.11n waeforastwnma.mautl.n Tots Gomswli7nLtAsea W OAM 140 wnmOrMstYlaq/pwdw oa.m..manpr a�nndlad 00 tR0F4100ognp+u. LFpw rwe"bomq twodcopn.nflml S.dw*bdlm%A>dL) M om Ono A.fa�El.-0—ARM.FM W-16nm.1..e aawwgw. AOT1f iSM1!'Mq'ab.Qery.W 9w9mlAo0lm lKAolj iP 0.113 0.221 Nwtf/lfplpb..nawgbgmam4lm�Mdsaffiryb w0 tAa0li.d*wt.txA*) to OA6t 1ASO l.M79n9d to 2P021WmrLa�l.fuYNNptOpltyr0 T rwW b_ot9 ma0ia im�oy t4=1.Ad*Mw A40 M OAW OZs7 N07EI."`e d"ftWW tw MW4MooaMlgiTVll�'la weibolw�l.NOMb.x wamrtty ww.wmw Wdr.d oftstal,Ptu.) in Oya2 9.R4--. .olasnirtmwme AMML d At.q .e.g�p O,.yM, ,{pprp,,,,, riWlwavmaon(YAm1 ;n 0.04 asOT a6.aon N91niIM Ar*w*.10.. I,=,, lo.e iacbc t.J 1 1M t lw is m. s sumo t7mtR7W T55(30) 294 11H td0T71 o0M T.n1.07. 1d591t0au1 TWa w) awl Woo 117661 0076 12dMnYa..a.Ibtlk111O:19,MR1110Nw ^ .Y-Mfa 1 to(M)l 2AO MOl .1 Oatb TM_.A. 4012160 E (Mi 126 22 M. dew am FOR TAMLT 0R 40ff0R T;)OLTtlt X•.NEx wiO SMs EIww 9MFD Ta=CW f t%5lA7FttltMR 'Ourm Go LN 2500 'eaTtan l3ID 3A00 1316 .61OT:Fp1 °1E71&)LT 71 SlQTIMT "NE%601T all I'L T Y 6cleabW Orm SataR.bml NOamm O1na.Ma gw®MMrtMM..,.wawa. Data Sheet ' Enphase Microinverters The high-powered smart grid-ready Enphase Enphase IQ 6 MicroTM and Enphase IQ 6+Micro's IQ and �. 6+ dramatically simplify the installation process while achieving the highest efficiency for module-level Microinverters power electronics. Part of the Enphase IQ System,the IQ 6 and IQ 6+ Micro integrate seamlessly with the Enphase IQ Envoy', Enphase Q Aggregator TM Enphase IQ Battery'", and the Enphase Enlighten'" monitoring and analysis software. The IQ 6 and IQ 6+ Micro extend the reliability standards set forth by previous generations and undergo over a million hours of power-on testing. Enabling Enphase to provide an industry-leading warranty of up to 25 years. Easy to Install • Lightweight and simple Faster installation with improved two-wire cabling Built-in rapid shutdown compliant NEC 2014 Productive and Reliable 3 Optimized for high powered 60-cell and 72- cell*modules 0 More than a million hours of testing • Class II double-insulated enclosure Smart Grid Ready Complies with fixed power factor,voltage and frequency ride-through requirements • Remotely updates to respond to changing grid requirements • Configurable for varying grid profiles �L *The IQ 6+Micro is required to support 72-cell modules To learn more about Enphase offerings,visit enphase.com v EN PHAS E. Enphase IQ 6 and IQ 6+ Microinverters INPUT DATA(DC) IQ6-60-2-US AND IQ6-60-5-US IQ6PLUS-72-2-US AND IQ6PLUS-72-5-US Commonlytused n odule:pa rings'. " 145 tiN-330 W'+ <7 _235 VJ Module compatibility 60-cell PV modules only 60-cell and 72-cell PV modules Maz m m input DCwoltage 48V- :_ t 62 V +wsrmx :4 ,.�.as,�,w.- ,�;i�'v�.-,...».,..,..� ,,.-..,.....r.......,..,-.....w:w ..m..�•�..,.»..,.-.,.N.P,,.ca„x.�...u;.,w� ...,:�.. ``,s�....:.;.,w.,.,.�••.n..,. :.4a,.,.w,.,•�&;.....' Peak power tracking voltage 27 V-37 V 27 V-45 V. *M V-62 V Min/Max start voltage 22 V/48 V 22 V/62 V Max DC sh'orf circuit current.(modulelsc); 15.A.` All 715"i1 Overvoltage class DC port II II PV array configuration 1 x 1 ungrounded array;No additional DC side protection required; AC side protection requires max 20A per branch circuit OUTPUT DATA(AC) IQ6-60-2-US AND IQ6-60-5-US IQ6PLUS-72-2-US AND IQ6PLUS-72-5-US Peak ou�tpt power. "� 240 UA« 290 VA` Maximum continuous output power 230 VA 280 VA �'Nornrnal voltage/range?, .- � . ,. <. �' � 240 V/211=2"64 V: •-; 208 V(1�)/183=229 V ',240 V/.;211 264� 2Q8 V(1 N)/;183 229 U . Nominal output current 0.96 A 1.11 A 1.17 A 1.35 A Nominal frequency: 6U Hz � - _- 60 Hz• ' Extended frequency range 47-68 Hz 47-68 Hz .Pop w•faetorat� rated power, ° � 1'Q: •�-1.0 Maximum units per 20 A branch circuit 16(240 VAC) 13(240 VAC) 14(single-phase 208 VAC) 11 (single-phase 208 VAC) ervoltage class'AC port' - j � III �� 'III AC port backfeed under single fault 0 A 0 A� Po factor(adjustable) z. � 0:71eading :0.71aggng " 0 7"leadingO.Z lagging, EFFICIENCY @240 V @208 V(10) @240 V @208 V(10) QEC,weigl ted efficiency . _ .. 97 0% 96 5% 97.0°i°, x 4,.6. Y° I MECHANICAL DATA rnbient.t ern 0eratu�rerange` -406Cto+650C Relative humidity range 4°i to 100%(condensing) "1 Col n" nector-typ 7'_ 77MC4 or.Amph of H4'UTX Dimensions(WxHxD) 219 mm x 191 mm x 37.9 mm(without bracket) �Wetght�`~�� : ` � 1-.5 kg(3 3 Ibs)'.�.,.�••,.",w. r "'�� _: ��` ,�"r�_,` �' ;"' Cooling Natural convection-No fans y ..,....,.�-, rr .-M,...,�...rs»s_,-.-.sz _....,.,..m�±.-4_....,,..`h.,....nc.,.�...,•,..n.a,r:....... „v.,,.;�,.-, .� ..ems_.e.....«..a.�:,,.»«�+n.,:,.rv:,Pam..�i.'.:.-.,,.ti.M.�-„u.,.:::.. Pollution degree PD3 nvlronmental category%UV exposure rating; -Outdoor-NEMA 250;type 6(IP67) r` .•.'" � -:,.: ,,; , r .' . FEATURES rGommun cation Power tenet., a I Monitoring Enlighten Manager and MyEnlighten monitoring options Compatible with Enphase IQ Envoy s Compliance UL 62 1UL 1741/IEEE154 7 FGC Partrt.15 Class.B IC -0 Class B 104 b CAN/CSA-C22 2 NO.1071 01 This product is UL Listed as PV Rapid Shut Dowri Equipment and conforms with NEC 2014 NEC2017 seeUon 690.12 and C22:1-2015;Rule 64-218 Rapid Shdd6wn of PV;Systerns;for AC rand,DC conductors,when installed according manufacturer s instructions 1.No enforced DC/AC ratio.See the compatibility calculator at enphase.com/en-us/support/module-compatibility. 2.Nominal voltage range can be extended beyond nominal if required by the utility. To learn more about Enphase offerings,visit enphase.com ©2017 Enphase Energy.All rights reserved.All trademarks or brands used are the property of Enphase Energy,Inc. E N P H A S E. 2017-05-01 �� Tom Petersen Architects Planners Construction Official September 11,2017 Building Department for project at: 297 Buckskin.Path Centervil.k.MA 02632 Re Solar Panel Installation Wolfe Residence 297 Buckskin Path Centerville,MA 02632 Dear:Sirs, I've reviewed the proposed solar panel installation at this location to evaluate.the existing roof structure and the connection of the panels to the roof. Criteria: Applicable codes: 9.'h Edition Residential Code(2009 lntemational Residential Code with Massachusetts Amendments) 2001 Wood Frame Construction Manual Design roof load: 35 psf live load, 10 psf dead'load,45 psf total load Design wind load: 110 mph,35 psf,Exposure Category `B' My.findings are as follows. L The new solar panels will imply an additional dead load of 3 psf.- The existing roof structure (2x6 roof rafters @ 16'o.c.,with 2x8<ridge, span=+/- 11'-075)..is sufficient to bear this additional load. 2`. The solar panels.are attached to the roof with the SolarMount-1 rack system by IJNIRAC. The rack system,roof connections and connection spacing are rated for 110 mph. This project requires.the larger Solar Mount 1-2.5 beam(2.5"high)and spacing of flange foot connection to roof at 48"O.C.maximum. Flange footing connections to the rail are not required to be staggered. The flange foot connections.to the roof are 5/1.6"diameter x:4"long lag bolts:. I therefore certify that this installation complies with.the applicable codes and,design loads mentioned above and is acceptable for approval. Please:let me know if you have any questions on this information. Thanks! EaE D ARC Sin ely yours, ►r- No.31621 z HOWELL, y Tom Petersen 3o NJ j FgCTH of 0 DS�P4. Cc: Neal.Holmgren, Solar Rising LLC 6 Country Lane•Howell,New Jersey 07731 Telephone 732-730-1763,Fax 732-734-1783 s .. Spedo-s i« wail n t smty g x . ex S®69 Loyd t c fib- _,,,,,,��,:,;,,Gukutnta ltaxlnwrtt Nwtrtmrn;��rra, `+kids a Q iPialUXA t' "Mg tetipah sr.0.5fi in. r t{uixed a, each end a the:meneber: arty t{Vitac'� �. 1 RED AR. .vw.+wh.y.✓w...�... .. rM+' vry Wn N reMn * C` PF �:ou �'F1N IBi4m4', hl'W �Sse�aa+tai�3t5 � ;tasa o No.31621 z ._.._.. - 3 HOWELL, Soy. NJ 0 4'TH OF MPSyP Solar Rising LLC Project Heather Wolfe Solar Rising Building Permit Plans 508.744-6284 Revision: 9/5/17 Solar 29� Buckskin lath 759 Falmouth Rd Unit 8 scale: None Ma 02649 Centerville, 1 A 02632 Drawn By: Neal.Holmgren ,"j` S .w^ '4' F^ a "'+ *z, e w,'.y�"' .p'""°w'•,c Nam' .r ra' .'w > �� r 4 kt. + •' !f .N t 'y. $ f ,� y f r f �� .rf r ,p . t f t r: "'mr L 'x•^ t .- 4 # ! Y -:i 6 ¢ y, / ' t A . l+ ! C1 { . L 1..r fk Y3 - {z a.. ' ° .! a 3�' ' Yu y g r l�T :r /r r / N a „:Y p _ 1 The Commonwealth e.Maysachus 16 x k`r a� r � � 4 a> r , Depiirtment:oflntlustnalAcci+tte"'ntsr ' r `` , a ,, , —I Congress Street Suite 100� Y x £r F r �� Boston;MA 02114 2017 ' `" C R F:; t r x d r s 1 orr r r :e c iVwW Itms.a'o .,, ,r, .v # c is r z lr 1 of kegs'Compensat►on Insurance Aftidav►t Builders/Contractors/Electr►ciaiislPlumbers t TO BE FILED WITH THE PERMITTING AUTHORITY' ` } Y 4' F M .- r 7ft Y .f 1t, { APAlicant lnforman , Please Pr►nt Legibly • Name BUSlFle5S��r anlZatlOn/Individual K r r i',> ( g ? _Solar.Risiri(7 LLG:. r ' r'F Addtess 759,Falmouth Rd Sfe 8 U F s pa �� F ,- L ! i f ! f"i f , f �. E Clty/State/2tp Niashpee MA 02649 ••-a Phone# : 5 8 744=6284 .0 r r c ' a, Are you as employer'Check the approprtatrbox r kj Type Of pr."o]ect(required) 'g j,; -", c �r t -am a employer with:,,employees(full and/or part time)•' A x x t r j' ,1 sa❑New construction z n r1 ,> 2❑I am a sole proprietor or partnership and have no employees worhmg foi Me m y -g $ `' RernOd�hrig ' any capacity [No workers comp insurance required:] E ' Ply " f s ' u =9 ❑Demolition', ,r 3 O I am a homeowner doing all work myself[No workers comp insurance required]t F r' s.G Y �` '" 1Of Q Building addition '`'' ': " r'�i ', 4 3`" 4❑I am a homeowner and will be hi.nng contractors to conduct all work on my property.�[will' � ,'r :y `f .pruure that ilhcontraciors either'have workers compensation insurance ocare sole 11'❑Electrical repairs or additions t' proprietors with no employees ` 1 ©Plum b n r airs or additions 1 'r 0) g r p "3 e 5❑n[am a general contractor and 1 have hued the sub contractors listed on the attached sheet ty ' yt L3 QRoofre airs" - << These sub contractors have employees and,have workers comp a:`msurancc? p �I r. r-. - 14 ®Other Solar` ` 3rf T ii-r 6 3,We aze a corporation and its off cars have;gxercised their right;of exemption per MGL`c s 152 §t(4)'and we have no employees 1No workers:comp'insurance required] lr > r V_ " ;An a ,leant that checks box#1 must'also fill out the section below showin their workers coin ensation olic 'mformaUon �, r t Y,PP g. ,e P Y F „ ` ,4 s Homeowners who submit this affidavit indicating'they are(doing all work and then"hire outside contractors must'submit a new affidavitindieating such ', " tContractors that check this box must attached an,additional'sheet stiow rig the name of the sub contractors and like whether or not those entities haves r a a"# employees If thexub contractors have employees,whey must;;providetheir,workers comp.policy number h fi ';f I am an employer that is prov►dns workers'co»ipensahon rnsurance for my employees !Below is the pokey andtob site r / gg. r»formation. , a y , Insurance Company Naive `Travelers Indemnity Company -, p` p {' , , r ' ' r _ a ; /t i �ofi r Policy;#or Self rns''Lic'# (HIJR :SR677050 16 Expiration Dater I 1 0 - 01 yy „ s ` 7p, x� -, Y { y I Job Safe Address '""A City%Stale/Zip x' X 4 r Y {i.z Attach a copy of the workers'compensation pol►cy deciarat►oo;'page(sltowmg the policy number and ezptrattop date) f ' � z " Failure to secure coverage as required under MGL c 152 §25A is71a criminal violation punishable by.a fine tip to$1 500 00 '" a „ and/or;one year-imprisonment as well as civil'peitaities in the form of a STOP WORK ORDER and'.a fine of-p to$2�0 00 a r R' day against the violator'A copy of this statemerit'rnay be forwaided to.the Office'of tnves'tigations of the DIA for insurance , �; coverage"verification f i "a_l; I do hereby certify under the pans and penalties:of penury that the rnformation provided'ibove is true anal correci; '" ,? S - ,. X F SLQriaElire. E�Z721?.P.JS%:. + / ^`.�/ ..,, ,r' c - ri r ; ram! �" ` - g Date I1' 10 016 t' F 50R 744 6284 Phone;# t. � _ r r Offrcud use only Do not write in t w area,to be completed by city or town off ciat '' : r -T , E P, ,, S r r" { l ^" t ..+y t 'C i b" , f,�? S ,+: j z i:. 4 City or Town 2 Perm►t/Licease# x r"'Y a tf r-s Issuing Atittiority(circle'one) `"' f � f ; ,, � _` - t 1 Board of Health 2 .-U)l . pg Department 3 C►ty/'L own Clerk 4 Electr►cal Inspector 5 Plumbing Inspector � 1 4.-, G t�.ther' t� �, td h 'i w^ ,, ��' r 4 r . .i ,.,.., .. } v a ,r` f '�r r. '�f �j, E Contact Person = Phone# .� r �,; :9 < 9 A C ,, P .✓f >'f c y'' �+ �'a '"sue k:r r , '` a LI r. II ;. .,,tea ... . n .- J - ..+may Y . r ' t 3^� Ii /f�' ,r .i._. ,:' - - . :E+ . SOLAR11 OP ID:JL ,d►�oRox CERTIFICATE OF LIABILITY INSURANCE D 04103/00lY/20177 04I03 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(ies) mustbe:endorsed. If SUBROGATION IS WAIVED,;subject to m the terms and conditions of the policy,certain,policies:may require an endorsement: A:stateent;on this-certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT Paul Peters Insurance.Agency NAME` 680 Falmouth Rd. aCONE Exl a No): Mashpee,MA 02649- EMAIL John J.Lynch,IV ADDRESS: INSURERS AFFORDING COVERAGE -NAIC# INSURERA:PILGRIM INSURANCE.CO. !f INSURED Solar Rising LLC" INSURER a:Western World 759 Falmouth Rd Unit:8 Mashpee,MA 02649 INSURER C:Lloyds of London INSURER 0: INSURER 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 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 THETERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVEBEEN REDUCED BY PAID CLAIMS: INSR TYPE OF INSURANCE P LI Y EFF POLICY-EXP LTR POLICY NUMBER MMIDOJYYYY MMIDDIYYYY 'LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,00. 000 B X. COMMERCIAL GENERAL LIABILITY RENTED PREMISES'Ea occurrence $ 100,000 CLAIMS-MADE a OCCUR MED EXP(Any one person). $ 5,000 X 180 From CG0001 NPPS382853 03/09/201T 0310912018 pERsoNAL&ADV.INJURY $ 1,000,000 X Contractual Llab GENERAL AGGREGATE, $ 2,000100 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS'-COMP/OP AGG $ 1,000100, X POLICYF_j PRO- AUTOMOBILE $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Eaeccidenl $ 1,000,000 A ANY AUTO PGC00001018498 10130/2016 10/3012017 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED" t X :AUTOS X, AUTOS.. BODILY INJURY`(Per accident) S X HIRED,AWTOS X NON-OWNED ' PROPERTY DAMAGE: AUTOS PERACCIDENT'" $' UMBRELLA LIAR OCCUR EACH OCCURRENCE $. EXCESS LIAR -- HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$- $ WORKERS COMPENSATION W1STATU OTH- AND EMPLOYERS,LIABILITY LIMIT, ANY PROPRIETOR/PARTNERIEXECVTIVE YI N E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? D NIA $ (Mandatory In NH) E.L.OISEASE-EA EMPLOYEE $ If.yes;describe under DESCRIPTION OF OPERATIONS below, E.L.DISEASE-'POLICY LIMIT' $ C Inland XS27.6519 11/08/2016 11/08/2011 50;00, Marine DESCRIPTION OF OPERATIONS I LOCATIONS")VEHICLES;(Attach+ACORD:101,Additional.RemaAcs:Schedulojl more space is inquired) - - CERTIFICATE HOLDER CANCELLATION 0000001 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE`CANCELLED BEFORE Solar RISI11 LLC THE EXPIRATION DATE THEREOF, NOTICE. WILL BE DELIVERED IN 9 ACCORDANCE WITH,THE POLICY PROVISIONS. Fax:508-744-6283 PO..BOX 2623 AUTHORIZED REPRESENTATIVE Mashpee,MA,02649 John J. Lynch,..IV ©1,988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The,ACORD name and:logo are registered marks.of ACORD 2016/NOV/10/THU 09`:49 FAX. No. P, 002/002 ;.. rOGNyyyl - Ac v� CERTIFICATE OF LIABILITY INSURANCE llAfU(MM 11ADQ018 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,tsXYEND:OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, YMS CERTIFICATE OF INSURANCE DOES.NOT CONSTITUTE A CONTRACT BETWEEN THE'ISSUING INSURER(8),AUTHORIZED REPRESENTATIVE OR:PRODUCER,AND THE.CERTIFICAT'E:HOLDER. IMPORTANT: If tha tart Io tehoider is an ADDITIONAL INSURED,the policy(ies)must bwendorsed. If SUBROGATION IS WAIVED,"subject tA. the terms and conditions of the policy,certain polleles:may require an endoraemenC A statement on this certificate does not confer rlghtTs-fo the certificate holder In Lieu of such endorsemenUal ,.-.PRODUCPR TACT John Lynch N PAUL PETERSAGENCY INC. .. �,- soa 477=0021 FAx N 'E-MAILOCR . linda aul rsa eR ,corm .080 FALMOUTH RD. INSURERISIAPPORDING60VEPAGE MASHPEE MA 02648 WSURERA TRAVELERS INDEMNITY CO-OF AMERICA 25868 INSURFO. :_ . INISURIM 13: SOLAR RISING LLC iNs INSURER 0 PO BOX 2823 INSURER E-:, ASHPEE MA 02649 INsuRERF:- COVERAGES CERTIFICATE NUMBER: 102087 _REVISIOM'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 BEISSUED 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 INSR. . ._TVPE OF ".._ A nOL SUER _.... 'ro CY POLICY INSURANCE- PDUCVNUMBE.R LIMITS... COMMcrAPALOFNERAL LIABILITY EACNNRRENCE RENTED:' CLAIMS-MADE OCCUR. MED EXP.AM One perWn ±WA �PERSOIAAI&,ADVINIYIRY i OEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGRFGATE 3. POUCy El O LCC PRODUCTS.-:COMPIOPAW 3 THERE.._ .._. _ .. -. _ ' AUTOMOBILEUABIIJYV - - tI �M.yy AUTO - BODILY INJURY(PW P.I%M) E" AAUUT OS EO sC�Mf I1160 WA BODILY INJURY iPer aWWW%r ,S.. NWµNQ$ PROPER DAMAGE-" �'.�..HIRED'AUTOS. " µlT i1MBRFILALIA6. OCCUR .,. OCCURRENOF. '.EXCESS LIAR Ci:AIM9=MADE WA .AGGREGATE - DEG R i WORK15MG COMPHNSATIDN . .. - r. AND EMPLOYERS uAniLITy Y I N ANYPROPMETONTARTNERfEXECUTIVE - ELE.ACHACCIDENT - �i '1,000,OOD. A OFFICMMEMSEREXCLUDED? NIA �kIA NIA 6HUB5887705016 II/02/2016 11/021201Y --- - - , (MandatcrylnNN) E,L-DISEASE-EAEMIRLOYEE 8 1,000,D01 Nyyeea,'daarnbe order _ DLSCRIPTIONOFOPfiRATIONSadaw_. ,. - ... .EL..DISFl16E.POLICY.LIMn' ::...,a 000Ot11) NIA. DESCRIPTWN OFrQPRRATIONS I LOCATIONS I VEHICLES(ACORD 1101,Ad6darw Remarks Schedule,maybe aCaclred f"on/pace is re"ired) WorXerS'Compensation benefits will"be°paid to Massachusetts employees only-Pursuant to Endorsement WC 20 03 06 B,no authorization Is givanto pay chalms or benefits to amployees.in States other then Massachusetts if the insured hires,or hired those employees outside of Massachusetts. This certificate of Insurance shows the policy inforce on the date that this cerificate was issued(unless the expitation date on the above pollcy;prel-des the issue date of thus certificate of insurance): The status of this.coverage can be monitored daily accessing the Proof of Coverage-Coverage Vedoation Search tool atwww.mass:govfto%Wwoftrs�ompensaiionAnve8tgabond. CERTIFICATE HOLDER CANCELLATION' SHOULD ANY OF THE ABOVE DESCRI LED POLICIES BE,CANCEI t ED BEFORE rL _ THE EXPIRATION DATE THEREOF, NOTICE: WILL BE OELMEREP IN ACCORDANCE WITH THE Pou CY PROVISIONS.. ` Au7HOpOTEoRiEFRS6ENTATIVE a rI Daniel M.Cri v W,CPCU,vice President—Residual Market—WCRIBMA 01888-2014 ACORD CORPORATION.-All'rigfits°raserveii:` ACORD"25(20W61) The ACORD name and logo are registered marks of ACORD' o Town of BarnstableE� EfPT 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: B-16-2863 Date Recieved:. 9/30/2016 Job Location: 297 BUCKSKIN PATH,CENTERVILLE Permit For: Building-Siding/Windows/Roof/Doors Contractor's Name: PAUL J. CAZEAULT &SONS, INC. State Lic. No: 103714 ' Address: 1031 MAIN ST, OSTERVILLE, MA 02658 Applicant Phone: (508)428-1177 (Home)Owner's Name: WOLFE,RICHARD A&HEATHER A Phone: (508)771-4354 (Home)Owner's Address: 297 BUCKSKIN PATH, CENTERVILLE,MA 02632 3 Work Description: Remove existing asphalt roof on the entire house and install new asphalt HD architectural shingle t:a 10 • � imp � Total Value Of Work To Be Performed: $11,975.00 Y= Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.;officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Russell Cazeault 9/30/2016 (508)428-1177 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $11,975.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit rFee: $61.07 9/30/2016 $61.07 X}00{7C-X300t-.,. Credit card ... ° t .:..:.... 0793 1 ............. .......... Total Permit Fee Paid:` $61.07 y ` H OT'HI ISNt� A�PEt. I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma Parcel 0 Z� T� V'! 4F B RNSTABl E p pplication # Health Division ?! ._' `'_ ?? ' 1 Dale Issued Conservation Division Application Fee G nn Planning Dept. 67— — Kermit Fee . ;: Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis E rs'1 PrzCr S rt�T Project Street Address Village -`f�wzi; i..Z�/� Owner ,ZP11 zL4�92 Ayoo 4e e Address Telephone 025 e 2 7/yt"� Permit Request ,/, ,� �� ,—<0r Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation -1'4 gA Gs Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes t No On Old King's Highway: ❑Yes %No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use — - — — — APPLICANT INFORMATION - (BUILDER OR HOMEOWNER) Name Telephone Number 5-7✓Y Address Lip /z"I'2 era 51yp, License # /�� 62 C-141g O—A z�--/-t Home Improvement Contractor# Email4U414260 4�2 Worker's Compensation #Ay&' s, fG I ZA' l ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE L�� FOR OFFICIAL USEE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. �,ky 'Town of Barnstable r Regulatory Services WAMRichard V.Scali,Director, 2639. �0�1 & wilding Division Tom Perry,Building Commissioner 200 Main Sheet,l.i}snnis,_MA 02601 www.town.barnstable.ma.us Office: 508-862-4018 `f;ax: 508-i 90-62-10 Property Owner Must Complete anti Sign This Section ILUsngA.Bu lcler I# 2Q iWkILD �dL�C= a ac{7�s-ner of die s c,F,my hcrebv authon*7e Eft C� TN Sc car on1 to act on mar l+ei alf, in all matur rs relative to NVOrk authorized by this buldi_nn peinvt apphcalion for: (Address of John Tool fences and alas ns- are the responsib lity of the applic-.1 . fools <...,are not to.be filled or utiLed before fence is installed and all final inspcetiojLs.=r peiformed and accepted. Si;nature of Chmner Sinaturc:o[A}�plii quit Pii it Mum C'rint.Name~ `X6/6 X f�ac, `C�:FC�r�l�'iS'l��t`.FFiP}�h11SSlC:�ri'PCsC)i ti. The Commonlve<altlt of Mosachuse tts Department Of Industrial Accidents 1 Congress street, Suite 100 f Boston, MA 02114-2017 ° www,mass,go vIdia lYurkers' Compensation Insurance Affidavit; Builders/Contractors/Electricians/Plumbers, A licant Informat TO BE FILED WITH THE PERMITTING AUTHORITY, ion Please Print Le ibl Name (Business/Organization/Individual): City/State/zip: Phone #; Arc you an employer? C e�i ck the approprlate box; � _ am a employer with " employees(full and/or part time), Type of project (required):' 2.p lam a sole proprietor or partnership and have no employees working for me in 7 ❑ New construction any capacity. (No workers'comp, insurance required,) 8• [] Remodeling l.�1 am a homeowner doing all work myself. (No workers'comp. insurance required.)t 9. ❑ Demolition 4.0 1 am a homeowner and will be.hiring contractors to conduct all work on m )0 [] Building addition ensure that all contractors either have workers'compensation insurance mar sol Property. I will proprietors with no employees. ) 1•�] Electrical repairs or additions S.Q 1 am a general contractor and I have hired the sub•contraclors listed on the attached sheet. 12• Plumbing repairs or additions These subcontractors have employees and have workers'comp, inswance.t 13.❑Roof repairs I 6.❑We are a corporation and its officers have exercised their right of exemption per MGL o. I(A),and we have no employees.(No workers'comp.insurance required.) 14' Other Any applicant That check box NI must also till out the section below showing their workers'compensation 'J r Homeowners who submi('7his affidavit indicating they are doing all work and than hire outside contractors policy informati �'— must submit a now affidavit indicating such. (Contractors Ilia(check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I rem an employer that is provirlitIg workers' corrrpensadon Insurance for rrry employees', Below is fife policy an information — = p y rliob site Insurance Company Name: Policy # or Self ins. Lic. #: Expiration Date: Job Site Address:a v L't J /,� Attach a copy of the workers' compensation policy declaration page w)ng�h� pool cy number and expiration Failure to secure coverage as required under MGL c, 152, §25A is a criminal violation punishable by a fine UP date). and/or o.ne�year imprisonment, as well as civil penalties in the form of a STOP WOand p o S50 00 day against the violator. A copy af.,this statement may be forwarded to the Office of InvestigationsIn of thene of up to insurance a coverage verification. DIA for insurance 1 rlo hereby certify under fire pains anti penalties of pert ury lhnt the tnfor�ruction provided nbov --- Signature i' .' e is true and correct, Phone Date: 7 2 G Official use only, Do,..1iaot write In this area, to be completed by cloy or,tOw{t offlclal T City or Town; Permit[Licease 9 Issuing Authority (circle one), ------ I, Board of Health 2, Building Department r , Plumbing Insector. 3, City/Towa Clerk 4, Electrical Inspector S 6, Other p Contact Person; Phone#; i. .• Massachusetts Department of Public Safety, �i.,�j Board of Building Regulations and Standards License: CS•100988 Construction Supervisor HENRY E CASSIDY ' 8 SHED ROW WEST YARMOUYH S ^^� Expiration; Commissioner 11/1112017 &Xe �� cr�ear�� ty Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration; 153567 Type. Private Corporation Expiration; 12/15/2015 Tr# 259168 CAPE COD INSULATION, INC HENRY CASSIDY --.-- 18 REARDON CIRCLE SO. YARMOUTH, MA 02664 Update,Address and return card,Mark reason for change, scAi -.', 20M05111 El Address (� Renewal Employment Lost Card , �ce anc��aazcven,l/z� o�C��cWa�-ec/ude GZa a \ Ofkc oCConsumer Affnirs& Buslncss Re ulntlon License or registration valid for ind(vidul use only WE IMPROVEMENT'CONTRACTOR before the expiratlon date, If found return to, egistration; 11,53567 Type; Office of Consumer Affairs and Business Regulation J190 xpiratlon; 1.:.1:2h1:5/20,1.6 Private Corporation 10 Park Plaza -Suite 5170 I. Roston, MA 02116 CAPE COD INSULATION INC HENRY CASSIDY 18 REARDON CIRCLE` SO..YARMOUTH, MA 02664 Undersecretary. N valid wi utsign e . a CAPECOD-27 CLEDDUKE ACORO° CERTIFICATE OF LIABILITY INSURANCE FDAT 7/1/2 DIYYYY) 71112016 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 pollcy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: DeLawrence Rogers&Gray Insurance Agency,Inc. PHONE Fax 434 Rte 134 A/c No Ext: A/C No): South Dennis,MA 02660 E-MAILRESS:bdelawrence@rogersgray.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Peerless Insurance Company INSURED • INSURER B:Safety Insurance Company 39464 Cape Cod lnsulatlofn,Inc INSURER C:Endurance American Specialty Insurance Company 41718 18 Reardo!i .![ INSURER D:Atlantic Charter Insurance Company 44326 South Yarmouth,MA 02664! '? INSURER E ":<d'., ''1`-•i;ii` INSURERF: COVERAGES CRTIFICATE: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 MAX. I?ERTAIN, THE'INSURAN; AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH I',OUCIES.LIMITS SHOWN, AY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD-WVD 4 a POLICV.'NWMBER MM/DD/YYYY MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY +, EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE a OCCUR CBPH26t3003 04/01/2016 04/01/2017 PREMISES Ea occurrence $ 100,000 r MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMLS gPPLIES`PER GENERAL AGGREGATE $ 2,000,000 X POLICY JET LOC C .' PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: ,!`:;. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accide 0 $ 1,000,000 B ANY AUTO 6232707 COM 01 04/01/2016 04/01/2017 BODILY INJURY(Per person) $ ALL OWNED ;X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS q: X ( NON-OWNED t HIRED AUTOS AUTOS a PROPERTY DAMAGE Per accident $ X UMBRELLALIAB X OCCURt•' t' EACH.Q000RRENCE $ 2,000,000 C EXCESS CLAIMS-MADE EXC10006635001 04/01`12g16 04/01/2017 AGGREGATE $ DED X RETENTION$ 10,000 gg g t' A re a'e $ 2,000,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY r'^ STATUTE ER D ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N� •`. CE00431902 06/3012016 06/30/2017 `,.-4.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N 1 A �,, i�„ (Mandatory In NH) ,; ¢, E.LDISEASE EgEMPLOYE $ 1,000,000 f yes,describe under 1 DESCRIPTION OF OPERATIONS below E.L.DISEq$,EE pQt ICY LIMIT,t$.: 1,000,000 r 4 >' DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLE6 (ACORD 101,Additional Remarks Schedule may beattached1f;more space Is required) Workers Compensation includes Officers or Proprietors. >` Additional Insured status is provided under the General Liability and Auto Llabihty when required by written contract or agreementwith the Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE "Val ig iu lders THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 94A Co erce Park Sout1t�h ACCORDANCE WITH THE POLICY PROVISIONS. Sou hatham,MA 021MS"" AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD eel", *THE ro TOWN OF BARNSTABLE "NSTAEL 1639. 101 14, BUILDING INSPECTOR APPLICATION FOR PERMIT ,TO ....... .............................................................................................. .................................................... .............................. TYPE OF CONSTRUCTION ................ . .... . . ..........................19;2. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies I mi, acco din to, the 4ollo, in loma.tion: ' Location ....... .... ............ ....... . ...... . ......... . .... . ................ ProposedUse ...... . ............................................................................. Zoning District ............................ y ..............Fire District ........................... Name of Owner ................... ........................... ......Address ....... Nameof Builder ............:. Y.................... ........................Address ....................................... ............................................. Name of Architect ....................... Address ........ Number of Rooms . .. ...... .................... ............................Foundation .....1. ................................. Exierior .......... ......................................Roofing .......... ......................................... Floors .......................................................................................Interior .............. .. . . . ..... .. .............................................. Heating ..................................................................................Plumbing .......................... ... ................ ................................ Fireplace ............. ....................................... ...........................Approximate C .....:;�n .......................................... Cost ......... Definitive Plan Approved by Planning a rd ------------------------------- Diagram of Lot and Building with Dimension's SUBJECT TO APPROVAL OF BOARD OF HEALTH W W (-) M Z 0 er W L- th =) 2 z 0 < W WZW 0 z L) 0 0 , >(nW1 _j W z: F- Z,CD < W I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above -construction. Name ............ ................................. . ' Smallv Alan | ' No _1n�153_ Permit ....................................mrom story / ---.. -- _ ] � single family dwelling / --------------------------. t ati - � , oackokin—� I�u�b— ---__ -------^. -- --------.. � Centerville `~ ...........................'^�� .......................................... Alan ��°�� vvner -------��—.---------'' ' Type ofConstruction ........��-------.. � � -----^-------------------'' . ` Plot ............................. Loi ---W.+ ................. ` | ' � . � ' | � Permit Granted.......... z.4.............lg 73 Date of Inspection ..... ----------lA ' � Dote Completed ' 9 ' | ' � | � PERMIT REFUSED . � . ' lA � --~--~-----^---------'' } --------------------------. ' | —'-------------------------' --'---~--^-----------^—'----^' \� ----.----------------~--.~. � \ Approved ................................................. lg ^ --------------_.—..--.--..--. � / ----------------------'^—'—^' / . \ | . _ / �FTNEr� �. 'TOWN OF �ARNS'TA�LE SS • i 11 9TABLE i BUILDING INSPECTOR. 9� 8m G�39 e� x ti APPLICATION FOR PERMIT TO ...................,..................................................................................................:....;. . � o TYPEOF CONSTRUCTION '.!.......... ......................................................................................................................... .................... .19.1 r TO THE INSPECTOR OF BUILDINGS: The ;undersigned hereby applies for a permit,-,according to the following i ormation: �� Location . ..... ........... ....... 1� . ...... . . ProposedUse ........ � r �.... ....................... .......................... ..................... ZoningDistrict, ...... /....................... ..-7................................Fire District .... . .,............................................................ Name of Owner c'``.... ......... ......... ........Address � .... Name of B` / vilder ..Address ' Nameof Architect ..................................................................Address ...................... .................. Number of ROOT,s ............�...............................................Foundation' :.. .......................... ...._............. ....... Exterior ...... ........................ ...................Roofing ..4.. :t�A.................. Floors .... .r................... ......... ........ ..................Interior ...... ................Z....c.................................. Heating ........ ......... ......._....:............... ............. / L ( ................. Fireplace .....:.......................................... ...............................Approximate Cost .:,..,?...`�+..1 .! ............................... Definitive Plan Approved by Planning Board ---------------—---------------19________. Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH ZK t, AAA ¢ ina '. ' 8 0 — 0 -7 Uj 3S I hereby agree to conform to .all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name , .. ............................. Small, Alan 15968 ' one story � No ...--.-.-.Permit for ------------ , � o | - ............................................. -/ / z ��Buckskin � ----'—' -~_'..-.---'r------------ � _ Centerville -------------------~------- . Alan Small � Owner ----.----.,____________ � frame Type of Construction ........................................... � _ } ` .......................... . #13 / Plot ............. Lot ......... . ' 8&�z�� I� �� ' Parnnk Granted-. ^ ~ ' ° ' - Dota of Inspection ..............................lV ' . , Date Completed �A. .� ~ - � °J PERMIT REFUSED | ` ' {\ �- �� A -------� -^-- `-------' i � � � ~___. __.''____.�_.._____-------. ' `......................................................................... ---^~''~`-'r''`.--''~------------'- l -~ ----.. .. - `^................................................... - ... . . � . ` � ' lg -------.-.----,..�--,--------.. � � ______-__----_-----___,,_..,. � - ~ | , i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# 3 0 Health Division Date Issued 6 f® Q' Conservation Division Fee ;" Tax Collecto , ° Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis ^ { Project Street Address �-�cr—:5 Village Owner �4 t" w 5 cy�O�P—D Addr ss S �—f l- Telephone Permit Request t P t� r Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Estimated Project Cost +, OD Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. eDwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#uni s) Age of Existing Structure Historic House: ❑Yes )��o On Old King's Highway: ❑Yes ❑No AQ Basement Type: ❑Full Cl Crawl ❑Walkout .❑Other LJ Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) g 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 7:2- 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:0 existing ❑new size Attached garage:❑existing ❑new size Shed:El existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use O T�V BUILDER INFORMATION Name_ d9' IrK)� [Lot?� �� Telephone Number Address 3� �2 t l � -p License# t Cp b Z,-- 051-e i-Ut. LL-e Home Improvement Contractor# Worker's Compensation# I cp rX ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE F - FOR OFFICIAL USE ONLY , PERMIT NO. t DATE ISSUED ; Y MAP/PARCEL NO. -. i ADDRESS VILLAGE - • ' + OWNER DATE OF INSPECTION. - FOUNDATION - r FRAME INSULATION I FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL _ FINAL BUILDING- DATE CLOSED OUT ASSOCIATION-PLAN NO. + r The Commonwealth of Massachusetts - ( Department of Industrial Accidents � _ � _= o//Icee1/osestlgat/ens . 600 Washington Street Boston,Mass 02111 Workers' Compensation Insurance Affidavit name. y� location:ation• �� be 1 A�e- �t�C I PLV i L-t-- t— (4- phone# 4 `T I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. company name: address. rim. Q one:#, i su e I am ole proprie ,general contractor,or homeowner(circle on an e hired the contracto liste below o a the fo mmg workers' compensation polices: D .07 , M F va F/ l o wmpat�,�name• � address• J ' �] c a insurance co �.� lf� company name• address: city- phone# insurance co nolicv# Ixt-i20,aatmiional s eet ,ueCe9sa Failure to secure coverage as required under Section 25A of MGL 152 can lead to the Wmposition of criminal penalties of a fine up to$1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DU for coverage verification. I do hereby certify under the pains and pen ies of perju that t e information provided above is true and correct Signature_C�� Date J , Print name t1101 o Phone# �® 7 of"'official use only do not write in this area to be completed by city or town official city or town: permit/license# -Building Department pLicensing Board '{ a check if immediate response is required []Selectmen's Office OHealth Department contact person: phone#; -Other (revised 3/95 P3A) II r 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 fo 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 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 'c lease call the Department at the number listed below. to obtain a workers compensation policy,p p City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned 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. :>„r - xa"t4 s,.s•#�°..d& 4Y"p '. # �,i; ✓� /y� !> sr3',�,'F. ' ff'2e' h' The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Immestfgatioos 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 °FtF1E Tom,_ . "�. The Town of Barnstable • snstvsznBi.E, • MAM �0� Department of Health Safety and Environmental Services ,eriro one" 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. i Type of Work- 2 , �� Estimated Cost `7 0 t9 i Address of Work: (� �, K 10 PeA-71+ (I C N1 P.01 C LE 1 m Owner's Name: �� _ I t'f�- L O�� Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME 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: L,( - 1 C)--`�q I ( tev� Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav In accordance with the provisions of MGL c. 40, s. 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c. 111, s. 150A. This debris will be disposed of in: (Location of Facility) Signature of Permit Applicant 79 Date ********* IF A DUMPSTER IS USED IN EXCESS OF 7 CUBIC YARDS ***********' A PERMIT FROM THE FIRE DEPARTMENT IS REQUIRED._ ��Q�\`�k�"'Y�.�.riS-" 'il�PDllt41f07t1116rsL(Ii O� �delld it .. VAME IMPROVEMENT CONTRACTORS ` , .Registrationa116064 rVN as : F Type 'ADBA, �� 4 t b Sri = x�W y { Expiration, a054/15/0,0� . �+;TYNDALI ` ROOF INfi a�F� { R08ER1'F, '�TYNDALL� 4 4 RIARPATCHRDm� , ` TOWN OF BARNSTABLE BUILDING DEPARTMENT COMPLAINT/INQUIRY REPORT Date 6 �Z 6 S S Rec'd B Assessor's No. 2Z-6 Last Name 1'��rsy� �,�� First Name ORIGINATOR Street Villaae State Zip Telephone Home Work Description: S L_�COMPLAINT 1r INQUIRY Requestor's Signature COMPLAINT Street Address -�72520-1114 LOCATION ME 4 [ A= P74 v 26 OFFICE USE ONLY INSPECTOR'S Date Inspector ACTION/ COMMENTS FOLLOW-Up ACTION ADDITIONAL - INFO. ATTACHED COPY DISTRIBUTION: WHITE - DEPARTMENT FILE YELLOW - INSPECTOR PI NK INSPECTOR (RETURN TO OFFICE MGR. ) MISC1 i kr R171 02%. A P„P R A I S A L D A T A KEY 98762 WOL`FE, RICHARD A LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RC 26,800 900 94,400 1 A—COST 122, 100 B—MKT 91,300 BY 00/ BY ME 12/89 C—INCOME PCA=1011 PCS=00 SIZE= 1752 JUST—VAL 122, 100 LEV=300 CONST—C 0 - ----COMPARISON TO CONTROL AREA 37AC ----------------------------- NEIGHBORHOOD 37AC CENTERVILLE PARCEL CONTROL AREA TREND STANDARD 10] 10 LAND—TYPE 26800] LAND—MEAN +0% 1221001 96618 IMPROVED—MEAN —2% 25% ] FRONT—FT ] 100 DEPTH/ACRES TABLE 02 100%] LOCATION—ADJ _APPLY-VAL—STAT 1 LNR]LAND LFT/IMP]ADJS/SB/FEAT STR]STRUCTURE ARR]AREA—MEASUREMENTS NOR]NOTES COM]MARKET INC]INCOME PMR]PERMITS GRR]GRAPHIC FUNCTION—[ ] STRUCTURE—CARD NO—[000] DATA—[ ] XMT[?] �r k s R171 0*26. P E R M I T [PMT] ACTION[R] CARD[000] KEY 98762 00000000] PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT ?l N .. . [ ] [R371 026. LOC]0297 BUCKSKIN PATH CTY110 TDS] 300 CO KEY] 98762 ----MAILING ADDRESS------- PCA] 1011 PCS]00 YR]00 PARENT] 0 WOLFE, RICHARD A MAP] AREA]37AC , JV] MTG]0000 HEATHER A WOLFE SP1] SP21 SP31 297 BUCKSKIN PATH UT1] UT2] .34 SQ FT] 1752 CENTERVILLE MA 02632 AYB] 1973 EYB] 1975 OBS] CONST] 0000 LAND 26800 IMP 94400 OTHER 900 ----LEGAL DESCRIPTION---- TRUE MKT 122100 REA CLASSIFIED #LAND 1 26,800 ASD LND 26800 ASD IMP 94400 ASD OTH 900 #BLDG(S) -CARD-1 1 94,400 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 900 TAX EXEMPT #PL 297 BUCKSKIN PATH RESIDENT'L 122100 122100 122100 #DL LOT 13 OPEN SPACE #RR 0192 0106 COMMERCIAL INDUSTRIAL EXEMPTIONS SALE]00/00 PRICE] ORB] 1873/340 AFD] LAST ACTIVITY]00/00/00 PCR]Y N Assessor's- map and lot'number -............ �OF THE T0� Sewage Permit number .......��i.(�!G.c,.. . . .':V.: i EEC SYSTEM M INS �,► ' ° D IN COMP s llHo'use number ... . WITH TITLE E^^9 MARL ABLE. ...............................................:....... .............. . ENVIRONMENTAL Col..°° i63q: \0� TOWN 'OF BARNSTA`��Lal' ��'��" BUILDING ]rNSPECTOR , ' APPLICATION FOR PERMIT TO :.................................................................................................. ...............?/Z.. ram— r TYPEOF CONSTRUCTION ..... ..................................................................................:............................................ ................................................19........ z - TO THE",INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Qn Location / 7....................... ...: ...................................�........................ .......................................................... ProposedUse ....... M�.............................. .......................................................... ............................................... ZoningDistrict ..........................................................................Fire District ...........................................// QQ Name of Owner ..Address / 7 �lK!/r.........................................2ncv- 1. 11l O I....... ...... r rv1N rckwee y !� Name of Builder ..��.................................Address ... ..�� /s�tc.. I� rrC Nameof Architect ..................................................................Address ......:............................................................................. Number of Rooms Foundation .... 0 d?.!iL...................................... Exierior ....... ......Roofing 2 Floors /�'.�`� ....°�..e0knc-& .191C.......................Interior ..... rN ............................................................. Heating /`�'.G..T..4V41 .�... ... ........................Plumbing ..... ..........................................................!' ` ^ v Fireplace ...................414.............I....................... .............Approximate Cost ,��OGD GG ..... ......... Definitive Plan Approved by Planning Board ________________________________19________ Area ....... Diagram of Lot and Building with Dimensions Fee pk:...'`J...... SUBJECT TO APPROVAL OF BOARD OF HEALTHZ G 20 _ �v 2 I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name........../.::: ..................... WOLFE, RICHARD 22514 ADDITION g No ................. Permit for .................................... Single Family Dwelling ` 297 B ;� � �� • Location ..............uCkskin..Path.................. Centerville.. Owner ...............................................Richard Wle F �, '.� �� `�"+ �y • :: : r ; - - }• Type-of Construction ..Frame............::... .......... ...................................................................... Plot Lot .................................. ; y. c' ; '• ,1 7� Septembe"r 17,19 80 Permit,Granted .......... Date of'lnspection ............ � .;..19 Date Completed .L�.`. ... .................19IA I E 1 PERMIT REFUSED rn .:.. . ..... . .............. .`.. ...... ... 19 �� ' ✓ a �. 2....................................................... ![.w�f ... ............ i ............................ ......... „/✓4; ,L J .' i ."1 � _ _ - Appr` �, .......................................... .............................^....... 19 ... .............................................. :......... i4 ................•............................................................ �'� Assessor's map and lot number ..!........... y0STHET0� .Sewage Permit number ��✓f +�?G, g r ` BASB9TADLE, � rHouse number NA66 90O i639. `e00 �0 MA-f a. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO '- - �- TYPEOF CONSTRUCTION ..... .::..:.....:............................................................................................................. .......... .................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..................... .................. ..... .. ................ '.................. .. ........... .......... ........................ ................................... ProposedUse .......::......... ........ ............................................................................................................................................. ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner ... ........ J..............`.......... ... ........................Address ........r'..!..� ........................................... Name of Builder ... .............!.....:...':::.....�'......:`.................Address ..''.�.:.... ....1... .: ... �:.}..:.........��:........'.............:..:.. Nameof Architect ......................:...........................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ..... ..::.::.......:C..:...:......:::............:......................... Exterior ........................................... '� :�.:..:.........................................Roofing Floors .Interior ...... ::::.:. -.I 1 Heating / , r ! _ .........................Plumbing .- .......... ::.:............. ........................................ ............. .......... ....................................... Fireplace ...................."fr........................................................A . .....pproximate Cost ..........'�. ..`......................................... : . Definitive Plan Approved by Planning Board ________________________________19________. Area .............::............... f � ? Diagram of Lot and Building with Dimensions Fee...................... . SUBJECT TO APPROVAL OF BOARD OF HEALTH '- ' . I t F Fk I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name6�f�` c c.......:{.:.........:"................................................................... WOLFE, RICHARD A=171-26 No 2251 .... Permit for ...ADDITIOIQ Single„Family Dwelling,,,,,,,,,,,,,, ,Y . Location 2,97 Buckskin Path ........................................ Centerville ............................................................................... Owner .Richard Wolfe ................................................................ Type of Constructiori .............Frame...................... .................................... ....................................... Plot ........................... Lot ................................ Permit Granted 19gp.tgMbgtK,_ ,,l8.,...19 8 0 i Date of Inspection ....................................19 Date Completed ..........::..........................19 PERMIT REFUSED / i ..................................... /.......... .... .! 19 ... .. .i �. . ....... J......... .......................................... ............................................. ............................/.... Approved ................................................ 19 ................................................................................ ...................I........................................................... 6,