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0069 CAP'N CROSBY ROAD
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Jr"' �, ::,, .f 1' �, 4', f fi �y X I'. ,5 y. ,�.'11 S „4 n v c I! r •`� ,b. '. i a A r a ,. k .4 .,,', t ,.}., „ , : 4 1 , ,_ /� , , ; { 5 - k ,r , .i ,1 N , .( .. d. X �� .,1 at,, .i. '{ 5 tu,u 4.: ii Town of Barnstable U1lding e Pa''st This Card So That it is V�sible.From"the.Street,,,A raced.Plans Must,beRetalned on,Job,and this Cartl Mustbe Kept WNW - n' ect on Has Been'Made= pp �., '' b '* "Po�ted Until Final 1 sp F -.+ R , mow Permit - Where a Certificate of Occupancy-is Required,"such Building shall Not be Occupied until a Final Inspection'has been made Permit NO. B-18-1256 Applicant Name: WINDOW WORLD OF BOSTON, LLC. Approvals Date Issued: 04/25/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/25/2018 Foundation: Location: 69 CAP'N CROSBY ROAD,CENTERVILLE :. Map/Lot 193 172 Zoning District: RC Sheathing: 77 1 _ - Contractor,Namef WINDOW WORLD OF BOSTON, Framing: 1 Owner on Record: LITCHMAN,DAVID G g LLC. Address: 69 CAP'N CROSBY ROAD 2 µ -� `Contractor Ucense: 166025 CENTERVILLE, MA 02632 s Chimney: Description: 4replacement windows(Uvalde.29) Est Pfo�ject Cost: $2,065.00 r Insulation: Per"mit Fee: $35.00 Project Review Req: W U, Fee Paid: $35.00 Final: ;s Da 4/25/2018 Plumbing/Gas Rough Plumbing: N ry ._. Final Plumbing: a Building Official Rough Gas: This permit shall be deemed abandoned and invalid unless the work authonzed by this permit is commenced within six onihs afterissuance. Final Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which"this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local�zoning by"laws and codes. This permit shall be displayed in a location clearly visible from access street or road,and�shall be maintamed�open for public<mspeetion for the entire duration of the Electrical work until the completion of the same. Service: The Certificate of Occupancy will not be issued until all applicable signatu es by the Buildmg and Fire Officials are providedon this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: - x 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: W Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT I �oFst+e r Town of Barnstable `Permit#��-� D � 6 Erpires 6 months frnAf issue date Regulatory Suess o� Fee BARNU�ns Om Diehard V.Scali,Director Z1'tals � /yam �pTFt)JM�P� A Tom Perry,CBO,Building Commissibj 1 200 Main Street,Hyannis,MA 02601 ' %>.ww.torvn.batnstable.ma.us U Office: 508-862=1038 � 08-790-6230 EXPRESS PERMIT aPPLICATION - RESIDENTIAL ONLY Not bidid mithout Red X-Press Imprint Mapipareel Number q�2jnn 17L 1 Property Address 0_6 X 6� ER-R-esidential Value of Work$ 2057— Minimum fee of$35.00 for work under$6000.00 Ownet•'s Name Address / t/66 elle Li �Gl�✓yIC/1 Contractor's Name UV10LU) WOJ l FF Ste!I;F�L. ' Telephone Number 7�/' Home Improvement Contractor License=(if applicable) Email: Construction Supervisor's License#(if applicable) 87 Z:'7 Z, YVorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [ I have Worker's Compensation Insurance Insurance Company Name A%j-FO j Z;l: 1 A)See2A-A,6,c (ngAAY Workman's Comp.Policy# 22 W Z,Gc--T 26 y,5 Copy of Insurance Compliance Certificate must accompany each permit. Pen-nit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side Q-Replacemeni Windows/doors/sliders.U-Value 1 (maximum.32)_#-of windows of doors: ❑ Smoke/Carbon Monoxide detectors d floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. "where required: issuance ortltis permit does not exempt compliance with other town department rc uulations.i.e.Historic.Conservation.ctc. ' pe 'Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is equired. SIGNATURE: �� 1 Ca.Uscn\Deco)in. ntat cal\\4icrosu mdutvs\Tcmporiry Internet FileslC6ntent.Outlook\?PIOl DHR\EXPRESS.doc I Revised 04021; ip L . _ I `Window World of Boston,LLC MA HIC Registration Offices&Showrooms Number: O 16A Cummings Park 0295 Old Oak Street 166025 Woburn,MA 01801 Pembroke,MA 02359 Federal ID# "Simply the Best for Less,, (781)932-4805 (781)826-6281 27-1481665 vppAv.WindOWIJ'/OTidoil3oston.com Customer. 1771C�.EttF Z/Trf//rr,Q,t/ Phone(hl,W 75 -4//Z °Install Address: Phone(v) .O`UZ� City, S(ate:MAZipj�� E-maB WINDOW WORLD GLASS OPTIONS 1000 Series Singla-hung Alf-Weld $189 SolarZone Elite $119 7�j ^2000 Series DH Mech/VJelded Sash $215 _Triple Glazed TG2" .$195 4000 Series DH All-Weld $225W ('Serios6000Onfy) _6000 Series DH All-Weld $260 WINDOW OPTIONS' _2 Lite Slider $354 lass Breakage Warranty $15 NCLUDED _3 LiteSllder pn.n.trA nj,u,.,fa $545 1/! .9 ns $9 OC U D Picture/Fated Lite $351 Foam Insulation on Jambs and Head 511 INClUDEO _Awning $280 DoubleStrengihGlass $151NCLUDED _Casement $310 _JDouble Locks(>267 $5111CLUDEO _2 Lite Casement $595 _Full Screens $22 _3 Lite Casement pn:"a,tn, pn,vnrn $880 —Colonial Grids(Contoured/Piat) $45 Basement Hopper =4 Prairie Grids $51 — ' Bay Window-Soffit Mount/INS Seat$2660 Diamond Gilds $69 Bow Winclow-Soffit Mount/INS Seat 52785 `Simulated Divided Lite $182 ^Garden Wirrdovw $2040 ---Tempered DH Sash(BSO)(rSO) $65 _Specialty Window S _Obscure Glass(BSO)(TSO) $35 _Beige/Alm ond _Orlel Style(40160or60140) $30 $40 ,Foam Enhanced Frame $35 _'Naod Grain Interior lkakl Chao 400e/ Wood ody)$106 PRE 1978 BUILT HOMES(EPA LEAD SAFE RENOVA7(ON) (tight Oakl Dark Oakl Cherry/fox Naod Rich Maple) —Lead Safe Practices Required $30 Broom Exterior(Arch.Bronze American Terra)$100 MY HOME WAS BUILT IN THE YEAR Initia `DegnerColorE rior $175 MISCELLANEOUS CustomExtertorAl mtnumCladding Window Color /_�=, 1 -,eV Q Textured$75 Srryooth mrida o Facing Color NO;CUSTOM DOORS —Metal Window Removal $gp `_Vinyl Rolling Patio Door 5f.or art. $1095 __„New Conslruclion Vinyl Removal $175 _Vinyl Rolling Pallo Door BR $1j95 _Specialty WiindowExterior Trim $ Add to base price(or Custom Rolling Palle Oocr$1250 Mull to Form Multi Unit $30 _French Rail Sliding Patio Door Sit.or bit: $1395 _Install Interior/Exterior Stops $50 __French Rad Sliding Patio Door an. 51495 Install Interior Casing Starts At $95 —French Rail Sliding Patio Door 91t. $1595 —Roof Weight:Boxes $20 _Custom Exterior Cladding $150 _Roof for Bay/Bow lMndows $500 _SatarZone Elite or ETC Glass $205 Existing New Const.Ext.Retro Fit $150 Grids Patio Door $149 Removal of Existing Bay/Bow $250 _5derio rate Ingo C .$295 _Repair S01,Jamb or replace sill nosing.$50 _Etaedor Designer Colors $395 Fug Sub-Sill(Single)replacement $150 _Interior Casing 21h37z $175 _Handieset Options S _Fug Removal '430 S ,Bay/Bow Conversion Ext.Retro Fit $350 (Net"Siding'Nill Not Match) Door Color / hsade ovfrde ..v 1�¢tlNlf9UpF QFiyVlf1q�111F..Yf[QRLO,9AAS1' .as +- .. . GO -te' 1: :gl•: .: r. .,r 9:........- .. -.-•i -�. Customer declines exterior wrap and undersl8 s painting and/or repair may be re u red Initial Customer declines grids o vdndowsldoors Initia OiSC AIMER,Customer is responsate for the folW,ng in connection-pith finis contract Palfft Slainht7,Alam System eiswnnectlfeoannect Buifdmg Pamnt fees in excess 02500,Hameovmer and ar Congo AssodabenApproval,Yshvic Dabict Approval.City of Boston pirldng&sidewalk Permit fees in connec&onvnlh installation. NO EXTRA WORK IF NOT IN WRITINGI Customer agrees to the terms of payment as fo 11 Extra Labor&Materials S Site Set Up,Permit,Disposal S Delivery Fees$ $389.00 Total Amount S-. 6 Custom Order Deposit50%. ${ r?Z Ck# Balance Paid to Installer upon Completion $ 0 Amount Financed $_i Nindovr t'Jadd of Boston anticipates Starting this work an and being subshntiany completed igldays.Security Interest yes Ns Any deposdrequlred in advance of the startat!h ••vark SHALL 0�I ,of Ne Iotel contract peso or the actual cost of any material or equipmer•!of a special ardu or custom mane nature,which mustbe ardeled in advance of tte sign of the work to assum that the pmjed VdI proceed an schedule.Uo(nal payment shad be demanded anal the Cantfacl is completed to the salisiaellon of both parties. Ali homeimplovement contractors and subcontractors shall be registered and that arn/Inquires about a contact or subcontractor relating to a registration should he dUacted fo:01U�al CansumerABalfs and Business Regulatlm,Ten Part Ptara,Salle 51T0 Boston MA 02116.Pbane:(617)973•8700 Ha wwk sha116egfn prtar to the signing oil the samracl and transmglal to the awaer N a sopy of sash wnlrad. ylfndaw Wand d•Bosmn wrier praviston of Chapter 142A oftAe general hws M requUed to apply for and chta r ell constmeaon-related permits.Wmdon word of eostan shag Aathe deemed resporsihle fordelays N the work desa®Bd in th s agreement caused by regulatory,perrret granting agenctes,auihorilles or individuals. Nollae:It the PURCHASERS}abls(ns hFs own consfrudtan relate0 permits for Ne work dessrihed under fhla agreement or deals with unregistered contractors, the PUBCHASER(S)(a trerehy advlaed tacit in ids¢veal al a dispute,judgement and donpaymenl,the PURCNASER(S)wig not be emitted to make a claim or callesiton Uam Die quaraaty land estaWlsAed by chap1ar14ZA,M.O.I. You 1 e buyer may cancel This transaction at any time prior ro mtdnight of he thin usiness day after the dale of Ibis IransactiaA. Nofirs of cancellation mustbe in writing postmarked no later Than midnight of the foilowieg third business day. t ThlsyYndont7odd'Fienchisefs lnrte;Trdenliy owned and e erated by P/indawt9oddatBoston,LLC.undsFcensa(mm aldotvwatld.fac. - - {✓J/ .1 *not sign itfioreare any blank spaces. b1his Sa mamoonots here are any Wank spec ow Owner oo not sign if lhereato any blank spaces. eats J aJMO"`�'1° _ - White Copy-Original 'rallew Copy-Flee Phik Copy-Cussomar Hr)m Pnrgnq aa6cam re Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards ConstruCtibri`Supervisor CS-072772 E:k p Tres: 04107/2020 3s , JEFF C STEELE r t � 24 SHERWOOD,AVE DANVERS MA 01923 - h ' Commissioner Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:LLC Regiistration '... .Expiration 1 ti6025 04/11/2020 WINDOW WORLDOFBOSTON,'LLC. JEFF C.STEELE 15A CUMMINGS PARK WOBURN,MA 01801 Undersecretary i The Commonwealth.of Massachusetts Department of Industrial Accidents 0 1 Congress Street,Suite 100 Boston, AM 02114-2017 www.mass.gov/dia s V lVorkers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers- TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):JAZndaL.J Address: /5'1-1 r K City/State/Zip: b I Phone#: -yg 1 —g 3 2- - HX 0 5 Are you an employer?Check the appropriate box: Type of project(required): a employer with 50 -employees(full and/or part-time)-* 7. .New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling ' any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.®1 am a homeowner doing all work myself.[No workers'comp.insurance required.]t ]0 Q Building addition 4. 1 am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.[]Plumbing repairs or additions 5.Q I am it general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.I 14.E/04er iN 1 e�) 6.❑We are a corporation and its officers have exercised their right of exemption per,MGL c. 152,§1(4),and we have no employees. [No workers comp.insurance required.] ei Ct°!►r ert'�5 *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 hue outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance far my employees. Below is the policy and job.site information. rr Insurance Company Name: 14 arl�-Ct)f'd FA j`P Tn S J RA 9 C�E CeD - Policy#or Self-ins.Lic..#: 2 Z 1l1/>£ C L—M_2 5 Expiration Date: 1— Z 7— 16 Job Site Address: �� �a City/State/Zip: Attach a copy of the workers' lompensation polio declaration page(showing the policy number and expi ation date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500M and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this s tement may be forwarded to the Office of Investigations of the DIA for insurance coverage verifi lion. I do hereby cer under a pain erjury that the information provided above is true and correct Si ature: Date: Phone#: -3 2--- 05- Myrrfa use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Phone#: Contact Person: ACC7►!xV CEIrTIFICATE OF LIABILITY INSURANCE DATE((4tjOD0P78YY) ' : • 3/29/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAT9 HOLDEFL THIS CERTIFICATE DOES NOT AFFIRIdATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CER17KCATE OF INSURANCE DOES NOT CONSTITUTE A CON'F'RACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTMcATE BOLDER, ' IMPORTANT. If the certificate holder is an ADDITIONAL INSURER,the policyfes)must have ADDITIONAL INSURED provisions or he endorsed, If SUBROGATION IS WAWM,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 1jeU of such endo!rsemEnt(s). PRonUCER Marsh&McLennan Agency LLC PHONECONTeCT CaHc U�itchar ClC,elsR,CBIA Fax 3625 N.Elm St. tAtc,No. 336-544-6850 Dta:212-607-6516 Greensboro NC 27465 nnnAIL Carii.VVitcher marshrrlma.com INSURERIS)AFFORDING COVERAGE NA100 INsuRazA:ARLnerica Firtanctai BenefitINSU l 31534 VWn o v54wooa vmuRER a;Hsfttord Fire Insurance Coma 19682 118 Shaver meet World o)Boston,I LC ►NsuRERcz Massachusetts B Insurance Corn 22306 11 Shaver " North Wilkesboro NC 28659 INsuRERns ; INSURERS•' i . COVERAGES CERTIFICATE NUMt3ER1016015772 REHISIO14 NUMBEP- THIS IS TO CERTIFY THAT THE POLICIES OF 1NSURANCE'LISTED'BI=LOVU HAVE BEEPt 1SSUM TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTMMSTANDING qNY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER.DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PieliTgIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRI13ED HErtm IS SUBJECT TO ALL THE TMM. EXCLUSIONS AND CONDITIONS OF SUCH POLICtEs.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID 6LAMS. INSLLTRR TYPEAPM URANCE AI7DL ttaR ' OUCYNUMB POD SPF � EXP LIMITS C X I COMMERCIAL GS MRAI.UABILnY OU87S02W a1w3is 0=9 EACHOCCURRENCe 'v1,00D008 I T—CLAll'4&trL�DE Q OUR j PRIGS ocT� 359�OD � _ i I .� MED F,(P(Arry 4rro tsnaa $S,OOD I � _--•- ; ! PERSONALS ABV P URY $1.0KOOD j GEN'LP•GGREGATELIMITAPPLIES PER ! GENicr;ALAGGRC-GATE $2.000,000 PRO- POLICY I PRO• JecT i—1 LOC ! i PRODUCTS-CON OPAGG $ZQ=DW i" OTHER: g A i AUT0MOerLEUAeJLXIY V ! AW88757G!8 C1'I69017 etI812D1E C.%?i 1.(EII NGLEUdUr $a t X ANYAUTO = 80S3llYtNldRY(Parparaan) $ ' OWNED SCHEDULED } AUTOS ONLY (+ AUTOS 1 6OMLY INJURY'Per acadent) 3 HIRED NON-OVVNEO i OPE�RTY D PdAGE $AUTOS ONLY AUTOS ONLY C I x UMBRELLAUAD x OCCUR OM7902527 � 4M f•---� { =7 4N2010 EACHOCCURRENCE d00,000 - ,EXCESSUAR CLAn!q!:4AD£ i AGGREGATE $ dOg000 ' E DED ON $ 3 19rORrCL°RSCOPJ!PENSATIOtt t ??-U4EG.r189'o I 112771ofa "27M9 !S�tR� (ET!t- APIUEMPLOYERS-VAtr1L1TY YtN I t T ANYPP..0PRIETOFJPARTNEf2/FXECUT►VE i {{ ! EL EACtSAOCIDFIJr 5500000 OFFICERIM6MeI?REXCLUDEM? AJA (Mandatory in NH) ( EL DISEASE-EAEb1PLOYE -pti0D000 If yyes,dasctiba under ' DESCRLPTtONOFO ERATIO 51Fdav E.L.DISEASE-POLICY LIIWT S5.70.00o . DESCAIPT(O90FOP°.RA7tON5rLOCA710NSlVlU3IC6fi5(ACOR)16f,Ad1 mmIRe6_0-_Sdtsttu%aWbeMchedWin—sRreisregUired) ^ CERTIFICATE HOLDER CANCELLATION ' SHOULD ANY OF THE ABOVE-DESCRIBEV POLICIES BE CANCELLED$EFORB THE EXPIRATION DATE THEREOF, NOTICE WELL BE t)ELlVER[D IN ACCORDANCE WITH THE POLICYPROVISIONS. AUTO REPRR.SENTATLUS { O 1988-2016ACORD CORPORATION. All rights reserled. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD .BILL PYBAS Permit Coordinator r Guaranteed Builders,Inc.t' MODULAR HOMES / Telephone:508-476-1500 GARAGES 14 West Street,Douglas MA 01516 ADDITIONS If Cell:508-284-1496 Fax:508-476-1392 l - ►-7 - � Town of BarnstablecEiP�r 41�. SA 200 Main Street,Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: B-17-85 Date Recieved: 1/12/2017 Job Location: 69 CAPIN CROSBY ROAD,CENTERVILLE Permit For: Building-Siding/Windows/Roo600rs Contractor's Name: WINDOW WORLD OF BOSTON, LLC. State Lic. No: 166025 Address: 24 CUMMINGS PARK, SUITE 15-A, Applicant Phone: (401) 714-6399. WOBURN, MA 01801 (Home)Owner's Name: LITCHMAN,DAVID G Phone: (508)255 0112— (Home)Owner's Address: 69 CAPIN CROSBY ROAD, CENTERVILLE,MA 02632 Work Description: INSTALL(1 )REPLACEMENT WINDOW r -n INSTALL( 1 )REPLACEMENT PATIO DOOR NO STRUCTURAL t� r— Total Value Of Work To Be Performed: $2,597.00 y 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: JEFF STEELE 1/12/2017 (401)714-6399 Applicant Date .Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $2,597:00 Date Paid Amount Paid Cheek#or CC# Pay Type Total,Permit Fee: . $35.00 1�t2/2017 } �35.00t-X7�X7c Credit Card 7716 . Total Permit Fee Paid: $35.00 I . Mn Ilk Fredline & Carter Adjustment, Inc. � " t 436 Main Street,P.O.Box 338 x �edltne} . . Hyannis,Massachusetts 02601 Tel. (508) 771-3232 FAX(508) 790-2344 cp . claims@friedlineandcarter.com DATE: 9/23/16 Town of Barnstable Building Dept. 200 Main Street Hyannis MA 02601 RECORDS REQUEST RE: Our File Number: L3370 Your File Number:409199 Insured: LITCHMAN, David Date of Loss: 8/19/2015 Claimant: GROSS, Francis Loss Location" . 69 Capt. Crosby Road Centerville, MA Please send information requested below in regards to the above referenced caption and proceed accordingly: Please forward complete medical and/or hospital records for the above claimant. Please forward all hospital/physician bills for the above claimant. : X Please forward Building Dept records regarding all inspections at the loss location. co Please forward Housing Assistance. Please forward Police Report. Please forward Fire Report. _r_ Attached please find medical authorization forms. Please sign so that we may obtain necessary medical records. Please forward Dog Officer's Report. Thanking'you in advance for your anticipated cooperation. Very truly yours, Pauline A. Skiver Liability Claims Manager TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �119 Map Parcel -C. Application # Health Division Date Issued Conservation Division z ®�6 Application Fee Planning Dept. ��YnSi �Ct � ' Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis EhAsL_ Project Street Address L_ S Cam- Village Owner �•� IIc �� �^�-� Address Telephoned Permit Request ^+11 c w 1 C.L d jo„ c-Llt-k-A ►. ��#.': Square feet: 1 st floor: existing. proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation I Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family U--" Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: 0 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 Mike McCarthy Construction Address PO Box 52 License # West Dennis, MA 02670 Cell (508) 280-6964 Home Improvement Contractor# CSL.-58633 HIC-169393 Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I FOR OFFICIAL USE ONLY S APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER µ i DATE OF INSPECTION: - -^ FOUNDATION FRAME w INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING:. ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT .r ASSOCIATION PLAN NO. r f Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston,.Massachusetts.02116 Home Improvement Cr§�tor Registration Registration: 169393 Type: Individual , Expiration: 6/16/2017 Trlt 264961 MICHAEL MCCARTHYf MICHAEL MCCARTHY ' - a =' t t # P.O. BOX 52 � — WEST DENNIS MA 02670 f " Update Address and return card.Mark reason for change. SCAT 0 20M-05m E] Address ❑ Renewal U Employment U Lost Card �e Lpo��e•��zaaauealt�z a�C�aaaclior Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: WRegistration: 9393 Type: Office of Consumer Affairs and Business Regulation Expiration;:_6)M617 Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 MICHAEL MCCAR`fk1Y ?�, `r MICHAEL MCCARTh4" ,---_._. t c, 6 RANGLEY LN. � SOUTH DENNIS,MA 02680 Undersecretary Not id with oft signature Massachusetts Department of Public Safety Board of Building Regulations and Standards- License: CS-058633 Construction.Supervisor MICHAEL J MCCARTHY '' P.O.BOX 52s WEST DENNIS MA 02670-ag '. Expiration: ' Commissioner 04/10/2018 The Commonwealth of Massachusetts Department offntlustrialAccidents 1 Congress Street,Suite 100 Boston,MA 02I14-2017 www mass gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. ''. TO BE FILED WITHTHETERMITI MG AUTHORITY:,ApplicantInformation Please Print Leeibly Name (Business/organizatiorandividual): Mike McCarthy Construction po ox 52 Address: west Dennis, MA 02670 City/State/Zip: Cell 08)#280-6964 IC- Are you an employer?Check the appropriate box: Type of project(required): l.Iqfam a employer with !r_ employees(full and/or part-lime).O 7. New construction 2. I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.(iJo workers'comp,insurance required.) 3.E]I am a homeowner doing all work myself,[No workers'comp.insurance required.)t 9. El Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Q Building addition ensure that all contractors either have workers'compensation insurance or are sole I L ]Electrical repairs or additions proprietors with no employees. 12.aPlumbing repairs or additions 50 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers',comp.insurance.$ 6.1%area corporation and its officers have exercised their right of exemption per MGL c. 14. Other �✓�.#(,e,,«{,.` 152,§1(4),and we have no employees.(No workers'comp.insurance required.) *Any applicant that checks box III must also fill out The section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they ace 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 slate whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. l ant an employer that is providing)porkers'coirtpensation.insitrance for my employees. Below is the policy and job site information. _ M Insurance Company Name: , / t .r�"� Z', >, o Policy#or Self-ins.Lie.#:_VVc— 7cQ -(,0 Expiration Date: )2 II( 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 MGL c:152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. l do hereby certify under t a' s enalties ofperjury that the information provided above is true and correct Sip-nature: Date: Phone#: Sb 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 Clerlc 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: DATE(MMIDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 12/07/2016 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:Ifahe 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 amendorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). �p�p CT PRODUCER 01962-001 NAME: Bryden&Sullivan Ins Agcy of Dennis Inc o Et; (508)398-6060 No,; (508)394-2267 PO Box 1497sS: So Dennis,MA 02660 INSURER AFFORDING COVERAGE NAIC# INSURERA• A.I.M.Mutual Insurance Company -33758 INSURED INSURER B: Michael McCarthy Construction Inc C: P O Box 52 INSURER West Dennis, MA 02670 INSURER 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE 1 yp POLICY NUMBER M Aw& LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITYPAMAGETO RENTEDe e $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ OLICY EST OC AUTOMOBILE LIABILITY C a accident) ccid DD SINGLE LIMIT $ i ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per acmident) UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS MADE AGGREGATE $ y�o I DDEERDg I I RETENTION $ yy�gTpT� TH $ AND EMPLOYERS LWBILITY X TORY LIMITS OER YIN E.L.EACH ACCIDENT $ 1,000,000.00 A &PROPRIETOR/PARTNSWECUTNE� N/A VWC-100-6017666-2015A 12/15/2015 12/15/2016 (Mandatory III�neMN�B�HE�)RerEXCLU EDP E.L.DISEASE-EA EMPLOYEE $ 1,000,000.00 ���sCRIR N OF OPERATiONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION Cape Light Compact PO Box 427 SHOULD ANY OF THE ABOVE DESCRIIED POLICIES BE CANCELLED BEFORE Barnstable,MA 02630 THE EXPIRATION DATE THEREOF,` NOTICE WILL. BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE f ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD /0" �, 7 5� -is �.�d` �r' � ,Q.-•�� Gra�a. jO�— Z8d ' 1 Z 4 2 1 Town.of Bumstable MASS.: E17tltSS.: Ric�iarc�`�I.Scaii?'Direcior �,. �bza •,� ll$u��i�z� �D�vasian Tomperry,I;*Wng Commissioner `2W Mara Sb itet,.Ifyannis;MA-0260.1 wiv Aoivmbaxnstable nla.as . .Office:, 508 862-4038 fax •508-?90 6230 Prpp�xty Caner lust Cozap. etie and Sgz ' [s Section WlRl k l ,as Qw er of tk e s )ect F;opercy liezeby.authoizeo act onpbellalf. T m all,natt mrclatz eto:Wbrk,autli0AM l�' liis build�n�;"permit�applicat on or., , 4'C,i'Y1 UZ �L {Aridres`s of�ol�. , �'''Poei'fenc :s M-d--alai ms-.are'1 e respons tyof, �d a, rcair i oo s orsnaifinalare mzo e z ea ' iu speaid s are p a oxmeel,an acc p ect Spattue of Owner, , S-ipature of.Applicant :Pzzz�t; lame PrintNa�. QlFORMS,,OWNIF: PERMISSl0NP00L,ti ' Town of Barnstable SINE, Regulatory Services �y> tio Richard V. Scali,Director �AB , ; Building Division BARNSTABLE OUINSiBIF•CHOOMUF•(9Mf•XY.1NN45 N.Ut510X5 XILLSOS1FRl'ILLE•XSST 61iN5L19tE 9� i6gp, `0V Thomas Perry, CBO 1639-2014 AIFD""Pr s Building Commissioner �Dg 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230. October 28, 2015 David G. Litchman 69 Cap'n Crosby Rd. Centerville, MA. 02632 RE: Exit Order for bedroom(s) in basement Dear Mr. Litchman, This letter shall serve.as notice that you are hereby ordered to discontinue the use of the lower level for sleeping purposes because of the following: 1) Improper emergency escape as required by 780 CMR(State Building Code). I Please do not hesitate to contact this office with any questions. I , By Order, y L.�L/auzon� Local Inspector j effrey.lauzongtown.barnstable.ma.us (508) 862-4034 Town of Barnstable Regulatory Services • BMWSTABLE. MASS. Richard V. Scali, Director i639. ♦0 ATFDNa+" Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 October 2, 2015 David G. Litchman 69 Cap'n Crosby Road Centerville, MA 02632 Y Re: Basement Apartment p Dear Mr. Litchman, This letter is to inform you that you may currently be in violation of Barnstable Zoning Ordinance 240-11; any use other than a Single-Family home is prohibited. You must contact this office by October 23, 2015 to arrange to bring the above address into compliance or be subject to fines of$100.00 per violation, per day. Sincerely, ' It Robin C. Anderson Zoning Enforcement Officer /blc r Official Website of The Town of Barnstable - Property Lookup Page 1 of 4 Select Language Assessing Division Property Lookup Results - 2015 367 Main Street,Hyannis,MA.02601 - <<BACK TO SEARCH<< Print Ffl2ndlY Owner Information - Map/Block/Lot: 193 / 1 72/ - Use Code: 1010 Owner Owner Name as of 1/1/1 5 LITCHMAN,DAVID G Map/Block/Lot C15 MAPS �. -�— Is 69 CAP'N CROSBY ROAD 193/1 72/ Property Address (✓V' ' ' CENTERVILLE,MA.02632 69 CAP'N CROSBY ROAD Co-Owner Name Village:Centerville Town Sewer At Address:No ( l� GIs Zoning Value:RC / Assessed Values 2015 -.Map/Block/Lot: 193 / 172/ - Use Code: 1010- cn 2015 Appraised Value 2015 Assessed Value Past Comparisons an Of C\✓ Building Value: $122,900 $122,900 Year Total Assessed Value t . Extra Features: $40,900 . q, $40,900 2014-$273,700 ' 2013-$273,800 Outbuildings: $4,000 $4,000 2012-$275,600 ` p ,J Land Value: $105,700 $105,700 2011 -$291,300 ��.0 �]2010-$291,100 ' 2009-$372,200 v �1 2015 Totals $273,500 $273,500 2008-$,357,400 �e � (�" VVV 2007-$356,500 �(((J�JJ�111 Residential Exemption Received=$87,192 Tax Information 2015 - Map/Block/Lot: 193 / 1 72/ - Use Code: 1010 V' ,Taxes C.O.M.M.FD Tax(Residential) $423.93 ( Community Preservation Act $51.98 Fiscal Year 2015 TAX RATES HERE J �� Tax Town Tax(Residential) $1,732.66 2,208.57 CI Sales History- Map/Block/Lot: 193 / 172/ - Use Code: 1010 History: , Owner: Sale Date Book/Page: Sale Price: LITCHMAN,DAVID G 1.998-08-14 " 11638/165 $178250 j,_ 7 /✓\ DAY,RONALD A&JOAN 5 1985-03-15 4437/83 $95000 S'f STANLEY,CHARLES F&JOAN C 1976-04-08 2321/1 59 $0, Photos 193 / 1 72/ - Use Code: 1010 Sketches - Map/Block/Lot: 193 / 172 - Use Code: 1010 http://www.townofbamstable.us/Assessing/propertydisplayscreen 15.asp?ap=0&searchparc... 10/2/2015 Official Website of The Town of Barnstable - Property Lookup Page 2 of 4 t M 'I V 4 L+ �6 " „� [ d I AS Built Card S:Click card#to view:Card #1 i Constructions Details- Map/Block/Lot: 193 / 172/ - Use Code: 1010 Building Details Land Building value S 122,900 Bedrooms 3 Bedrooms USE CODE 1010 Replacement Cost $139,674 Bathrooms 3 Full Lot Size(Acres) 0.36 Model Residential Total Rooms 6 Rooms Appraised Value $105,700 Style Raised Ranch Heat Fuel Oil Assessed Value $ 105,700 Grade Average Heat Type Hot Water Year Built 1984 AC Type None Effective depreciation 12 Interior Floors CarpetHardwood Stories 1 Story Interior Walls Drywall Living Area sq/ft . 1,762 Exterior Walls Wood Shingle Gross Area sq/ft 3,274 Roof Structure Gable/Hip Roof Cover Asph/F GIs/Cmp Outbuildings& Extra Features - Map/Block/Lot: 193 / 172/ - Use Code: 1010 Code Description Units/SQft Appraised Value Assessed Value FPLt Fireplace 1 story 1 $3,600 $3,600 BGAR Bsmt Garage 1 $1,800 $ 1,800 BFA Bsmt Fin-Avg 740 $11,700 $ 11,700 WDCK Wood Decking 280 $4,000 $4,000 w/railings BMT Basement-Unfinished 1232 $23,800 $23,800 Sketch Legend Property Sketch Legend B2N Barn-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor,Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished)FUS Second Story Living Area SPE Pool Enclosure (Finished) BRN, Barn GAR Garage TQS Three Quarters Story(Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLIP Loading Platform GRIN Greenhouse UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) " FCP Carport KEN Kennel UTQ Three Quarters Story (Unfinished) FEP Enclosed Porch MZ1 Mezzanine,Unfinished UUA Unfinished Utility Attic FHS "Half Story(Finished) PRG Pergola UUS . http://www.townofbamstable.us/Assessing/Propertydisplaysereenl 5.asp?ap=0&searchparc... 10/2/2015 1 TOWN OF BARNSTABLE =- a Permit No. _----- ------------------ Building Inspector sau�ran Cash _�_-------__---- __--- � "Yl d .ego• �� OCCUPANCY PERMIT Bond -.--_-- Issued to an.e Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ....................................................... n............ .....................: .........:..................w...w..........u.....w............�...................r Building, Inspector I. - • FROM TOWN OF BARNSTABLE 6 BUILDING DEPARTMENT Mr. Francis Lihtea ne 367 MAIN STREET , liYANNl3, MA 02Wl TOMClezk Phone: 775-1120 SUBJECT: FOLD HERE DATE , March 4 1985 MESSAGE ..Work has bl @eciple d-under-Permit,426831 (aaarles F. Stanley i Please release Band. 'k`.'cyyw"bh" /+rss'a..a.#-u+..aa's+ro.Y.�•il9rF:+.�p.►,qp S4 xp'i''tl�'9..T#9M'R+! .. I ` SIGNED DATE n REPLY .. ... ._ • .. SIGNED Ne7-RMI - ° - - RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY .,PRINTED IN U.S.A. . SENDER: SNAP OUT YELLOW COPY ONLY.SEND.WHITE AND PINK COPIES WITHCARBON-INTACT ti 'a rr p ,`' • • ���I ems+. . ' WABWMW l Ew CERTI FI Eb.. PLOT PLAN, t ' . LACATION o' .4.0 4Nctsl� o� � ... DATE' ; o suR� PLAN REFERENCE..... ..,' ; LaY3+11�]Bl�t$ ^• YL dFYOK 345{�iAyty�pG{} '(CrF���7��D A�V� � Y sou yq GGp Q I CERTIFY THAT TH E " , Ifs ` L SHOWN ON THtS PLAN:1'S LA_ CATEO OH THE O UND AS SHOWN HEREON j PETITIONER lio 1' R fliSTEREO'U►ND SU RVE ,ORS ' .. A7' s ,� K, <t. As ssor's map and lot number d `... . Sewage Permit number ... .�.A1�.i.... ........"........ , ofTHETO o TOWN . OF BARNSSTJUI B�L juSTBE INSTALLED IN COINTL!A�"Sr- BAUSTULE, ? WIT TITLE '` "6 9 BUILDING INS PE, T)a N'AL CC-: °YPV aW�� APPLICATION. FOR PERMIT TO ......... ............................. .................:.................................. �-TYPE OF CONSTRUCTION .........:...:..�a`?�..✓........ .......................................:.........,........................ .. ....... ..................19 TO THE INSPECTOR OF BUILDINGS: �} , The undersigned hereby applies for a permit according to the following i formation: Location r �� .. .... ../.��......................`... ........................ .. .................. ProposedUse .................. • ....................................................................................................................................... ,. r V ZoningDistrict ....................:..�...'... ..... .............................Fire• District .......... ............:....D.. .................................. 9 (��72Q4 `V�..'. r Address Nameof Owner ....,,.••.......... ' V. ............ ................. • '� .. (/ . Nameof Builder ....................................................................Address .................................................................................... ------------- Nameof Architect ...........:......................................................Address ............................................•..........................•............ Numberof Rooms ............4..................... r/............................Foundation .....,,.•��......•........•,,.•,....,,��........................:.................. Exterior /"":• �..................................Roofing ...... .............................................................. w ..d.... ....... CGt Genf'y OYrt' ..`............Interior �.!... Floors ....... /............ / ............ Heatin `� �. ..Plumbing ........................og fce'. ...................................... g ......... ... . ...............Get-�............ ...... Fireplace ................... ............................................................Approximate Cost .............../............................... ................. nn Definitive Plan Approved by Planning Board --------------------------------19._--_-___. Area ....4SL ....................... Diagram of'Lot and Building with Dimensions Fee / ....... SUBJECT TO APPROVAL OF BOARD OF HEALTH -� I hereby agree to conform to all the Rules 'and Regulations of the Town of Barnstable regarding the above construction. ' Namedam .. .................................. c ' ^' . . . ' . ` . . . . . . . ' ^ � . ' . . . ' .. . .~ . . 26831 Centerville � Permit Granted — .I3^ ..___.lA 84 ' Date of Inspection —.—.-----..---.lV ^ ' �r Date. , . . . . ' ' PERMIT REnUSEw ` .'�.'�--'-- --. . lV ' ' � ^ . . --..�-------. ' ..—.-----.~~~----.---,—.-----. ' � . . —.~.—~--..,.---------....—.-----. ^ . .----..--..--..-------..—.—..—.—. ~ . ---...---.—.-----.---..—.----.. . . . ' . Approved ''--------------- lQ , � ------------------.—.--.---.. . � - ---.. -- . . � ' ' -------------^—r—^^''' , Assessor's maA and lot number ............. ......:............ i Sewage Permit number ........................................... ............. a b�Q�OFTHET��y� TOWN OF BARNSTABLE 1 8AHH9T&IBLE, i "6 e0� °'., BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ............................................................................................................................. TYPEOF CONSTRUCTION ..................................................................................................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....................................................................................................................................................................................... ProposedUse ............................................................................................................................................................................. ....................................Fire District .............................................................................. Zoning District ................................... i Nameof Owner ......................................................................Address .................................................................................... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating Plumbing Fireplace ..................................................................................Approximate Cost ................................................. . ................. Definitive Plan Approved by Planning Board _______________________________19________ . Area s Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I / I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .................................... ................................... STANLEY, aiARLES F. VA--193-172 No ..... Permit for .............. Single FanAly Dwellin ....................................................9..................... colp'n Location ... ..pead.. '***'-centexVille..................................... Owner ....0.AM1jaa..F....StaajAay...................... Frame Type of Construction .......................................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .....August...13...............19 84 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED ....:� -;� S- .5 '� ........ 19 ..................................... ......................................... ..................................... .................................... .......................................... .............................. ................................................ ... ................... ...................../................................... Approved ................................................ 19 ............................................................................... .............................................................................. w , a , 10/7/2015 . 69 CAPN'CROSBY ROAD, CENTERVILLE CAME INTO THE BUILDING DEPT. RESPONSE TO LETTER THAT WAS SENT TO HIM REGARDING AN ILLEGAL" BASEMENT APARTMENT. MR. LITCHMAN IS GOING TO APPLY FOR AN FAMILY APARTMENT.ROBIN ANDERSON SPOKE WITH MR. LITCHMAN AND HE AGREED TO APPLY: BRENDA COYLE ASSISTED MR. LITCHMAN IN FILLING OUT BUILDING APPLICATION. MR. LITCHMAN IS GOING TO DRAW UP'PLANS OF HIS HOUSE AND BRING IN- APP: BRENDA COYLE l „ a qtt t f _ y n a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 93 Parcel__ l�la• Application # 30 ) Health.Division —' Date Issued 5 Zi &5S Conservation Division — Application Fee Planning Dept.. — Permit Feeq Date Definitive Plan Approved by Planning Board Historic - OKH �D _ Preservation/ Hyannis Project Street Address (09 ca-01 n GCOS\OZR" Village c-v; �I Owner Address (,9 �',,,o C'asbu__Rb Telephone Al", (0 Czn�er V► ll� V kvf- LF16-,�ZL Permit Request j 056ajl 5b\a.t- nr- sobs a-� eX1Si-ina hn��e w� n a+w ►� a L 1 q4 b -•E in IcG Ls t �lorr.r- Qlr��,-��w 1 SUS•4-��►.. � '�,'1R K1nl s 3 �wn�\s Square feet: 1 st floor: existing _ proposed — 2nd floor: existing proposed Total new _ Zoning District Flood Plain — Groundwater Overlay Project Valuation 6��,bb — Construction Type—_R 6 Lot Size Grandfathered: ]—Yes--a-No If yes, attach supporting documentation. Dwelling Type: Single Family \;ff, Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ®-No On Old King's Highway: ❑Yes NIL% Basement Type: n/'/f 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: 0-6as-9-QL'❑ Electric Central Air: ❑ xist' Existing wood/coal stove: Detached garage: ❑ eYistinc�0 ne r�(l9Pool: ❑-existing—a-n� size'�Barn: w sizeM9- Attached garage: ❑•Existing-9-�evu sizeAShed: ❑Bxis�� size -6A-Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ �= - Commercial ❑Yes 6No If yes, site plan review# Current Uses SN.&r_0.6-_\ Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ` ' rn Name CAA. . &I 5 C Telephone Number 7$ I • 1 �•'7�p�s Address a -� e-s (1---k0alk License # CS 1 br) 6, 3 1-kA- U4-6 Q Home Improvement Contractor# l�`��5 V Z Email Worker's Compensation # kjt ')G6 �4(6 GSba� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WSLLBE TAKEN TO a_ SIGNATURE DATE�[ C,-X0 I S 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 065 lie- DATE CLOSED OUT ` ASSOCIATION PLAN NO. DocuSign Envelope ID:EC013025-1 E7F-446F-9F13-2C7FC2B75EA1 ,15olafCity. Power Purchase Agreement Here are the key terms of your SolarCity Power Purchase Agreement Date: 2/18/2015 m-�-- a. tip_ �•^— �.� µ $0 , Years . ." ., ..fir a, *`�, :, `'; -�P ; f „r a • *>.- .? s . ..*m'•`� ,r System installation cost Electricity rate per kWh Agreement term Our.Promises..to You VT • We insure,maintain,and repair the System(including the inverter)at no additional cost to you,as specified in the agreement. I . • We provide 24/7kweb-enabled monitoring at no additional cost to you,as specified inthe agreement. • We warranty your roof against leaks and restore your roof at the end of the agreement,as specified in the agreement. • The rate you pay for electridty,,exclusive of takes,will never,increase by more than,2.90%per y #ear. r e, ;; ,, s .,- • The pricing in this PPA is valid"for 30 days after 2/18/2015. �� ; • We.are confident that we deliver excellent.value and customer,.service.,,As a resuitlyou areifree to.cancel anytime at,�s . no charge prior to construction on your home. . � Estimated First Y on`ear Producti 11;365 kWh Customer's Name & Service Address �- Exactly as it appears on the utility bill Customer Name and Address Custom er Name Installation Location , Michelle D Litchman m John B nard-0 69 Cap-Crosby Rd 69 Cap-Crosby Rd Centervil, MA 02632 Centervil MA 02632 " Options for System purchaseland transfer: Options at the end of the 20 year term-, • If you move,you may transfer this agreement to the,p haser of your • SolarCity will remove the System at no cost to you. Home,as specified in the agreement; • You can upgrade to a new System with the latest solar • At certain times,as specified in the agreement,you may purchase the technology under a new contract. System. 4 You may purchase the System from SolarCity for its fair " • These options apply during the 20 year term of our agreement and not market value as specified in the agreement. beyond that term. You may renew this agreement for up to ten(10)years in two(2)five(5)year increments. 3055 CLEARVIEW WAY,'SAN,MATEO;,CA 94402 888.SOL.CITY 888.765.2489 SOLARCiTY.COM MA HIC 1685721EL-1136MR Document Generated on 2/18/2015 �■ ' 572091 _ Doc:uSign Envelope ID:ECO13025-1 E7F-446F-9F13-2C7FC2B75EA1 23. NOTICE OF RIGHT TO CANCEL. I have read this Power Purchase Agreement and the Exhibits in their YOU MAY CANCEL THIS CONTRACT AT ANY TIME PRIOR TO entirety and I acknowledge that I have received a complete copy of this MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE Power Purchase Agreement.YOU SIGN THIS CONTRACT. SEE EXHIBIT 1,THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN Customer's Name:Michelle D Litchman EXPLANATION OF THIS RIGHT. br. 24.ADDITIONAL RIGHTS TO CANCEL. R IN ADDITION TO ANY RIGHTS YOU MAY HAVE TO CANCEL Signature: y THIS PPA UNDER SECTION 23,YOU MAY ALSO CANCEL THIS PPA AT NO COST AT ANY TIME PRIOR TO Date: L 2/18/2015 COMMENCEMENT OF CONSTRUCTION ON YOUR HOME. 25. Pricin The pricing in this PPA is valid for 30 days after 2/18/2015. If you don't sign this PPA and return it to us on or prior to 30 days after Customer's Name: John Bernardo 2/18/2015,SolarCity reserves the right to reject this PPA unless you agree to our then current.pricing. Signature: Date: L 2/18/2015 r \fi77 t+ ° _� ,SO�af City: Power Purchase Agreement � � -SOLARCITY APPROVED Signature: LYNDON RIVE, CEO (PPA) Power Purchase Agreement SotarCrty. _ . Date: 2/18/2015 ❑o �■ Solar Power Purchase Agreement version 8.3.1 572091 V ®" r tk OWC v' 1 OWNER AUTHORIZATION Job ID: 79 6 zCg-7 f- 00 a Location: 9 CA,P N C lZ6,50,Y as Owner'of the subject property ` hereby authorize SolarCity Corp—HIC 168572/ MA Lic.1136 MR to act on my behalf, in all matters relative to work authorized by this building permit application and signed contract. Signature of Owner: Date: • 24 at Martin Drive,Building 2 Unit. Marlborough,MA 01752. T.(888)$6L.CITY F(5Q8i 46M3,18 WLARCt:TYXOM Ai:ROC 243-771,.CA'CSL9 S 1K..:00 CC 5041,CT HIC,0632778.DC HIC:71101486,CC HIS 711014R8,Ht CT?377r,,, ... Mk HIC 168672,MD MH10 128N8;NJ 13VH£h6150600,NY V10.24624-H1.1.,OR COO 180438.WA 077343,TX TD R 27006,WA-5Ot.AW91901 -- - • f t f s,..:_ ��I(� 6.�4�'{JII�•/�kftT lf.�l'T's�.�%f;+ .r� �d`�l.•n !i` :f'��Vv�!\r7CC.�V�;�VEnff' Office of Consumer n#fait, and Business Regulation t t l0 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration • Registration: 168572 Type: Supplement Card Expiration: 302017 SOLAR CITY CORPORATION CRAIG ELLS 3055 CLEARVIEW WAY - SAN MATEO, CA 94402 v `Ilp4ntc Address and return card.;Mark reason for change. z Address Renewal Employment Lost Card 15F"3�� ♦•f it A4A iii� 11ttlASi. r � t.'�i'/3t�M afh r1 F!'f/#r� Ili/�.MFi pN7d•��' Office of Consumer Affairs&Hu0ness Regulation License or registration valid for individul use only { HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to t�, = Office of Consumer Affairs and Business Regulation +y Registration: 168572 Type: 10 Park Plaza-Suite SI to Expiration: 31812017 Supplement Cana Boston.PIA 0211E SOLAR CITY CORPORATION CRAIG ELLS r'� [� 24 ST MARTIN STREET BLD 2UNI 70. , ' WALBOROUGH;MA 01752 r " Undersecretary'"' - Not valid without signature' is "1I,�f,a;it fRtFst�tte' 1t�a1 art+�an+'n i'+*�d„ o ite•+. _ a�., F����ln,�!(1,r��t;u,.ai=tnv�tuatel!nz.s-•xr �<�n,Ft��Itr i Yr:+aq�cr CS-107663 Y CRAIG ELLs,Y - 206 BAKER STREF'I Keene Nil 03433 !%2-- ataGw« nre• 08/29/2017 I =//{�, C�'l1�1 %Gt'?�%'lrclr��cll � «JJcccc � r� Office of Consumer,Affairs d Business Regulation 10 Park Plaza .. Suite 5170 ` Boston, Massachusetts 02116 Home Improvement.,Contractors Registration Registration: 168572 Type`.- Supplement Card SOLAR CITY CORPORATION k 1# Expiratlon: 3i8/2017 CHERYL GRUENSTERN '' ., - - --- - - �. 24 ST MARTIN STREET BLD 2UNIT,11 "h :: ,•' -__ _;; MARLBOROUGH, MA 01752 . Update Address and return card.Mark reason for change. . sca i Ca. era t>s1 Address ^y Renewal Employment F'• Cost Card. f�r 7`%;Ht err w1f' 111, Office of Consumer Affairs&Business Regulation License or registration valid for individul use only EMENT CONTRACTOR before the expiration date. If found return to: IMPROV r:. Y.,,��Registration: T P e: Office of Consumer Affair s and Business Regulation 16857 . 10 Park Plaza-Suite 5170 ' r3' Expiration: 31812017 Su lement Card pp Boston,MA 02116 SOLAR CITY CORPORATION CHERYL GRUENSTERN , 3055 CLEARVIEW WAY SAN MATEO,CA 94402 Undersecretary' -Not viilid without signature w - 4 The Commonwealth'of Massachusetts_ Department of IndustrialAccid mis' I Congress Street,Suite 106. W- ilf Boston,MA 02I14-2017 wwm4masLgov/d& Worker's'Compensation Insurance Affidavit:Buitdetrs/Contractors!Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORM. ARRUMI InEOU1112111011 Please Prig t Legibly Navic(Business/Organixation/Individual): SolarCit Corporation Address: 3055 Clearview Wa City/State/Zip: San Mateo, CA 94402 Phone M 888-765-2489 Are you an emptayert Check the appropriate box: Type aY project{required}: ' I.�[atn a employer with 9000 employees(Poll artdlor pail I+me),• 7. ❑New construction 2.[]l am a sole proprietor or partnership and have no cmptoyocs working for me in 8, ❑Remodeling any capacity.(No workers'eorrp.insurance rcquimd.l ' "—" Deriolition3. t am a homeowner dot all work myself',[No workers'comp.insurance required.] 4, l mn n homeowner and will he Kirin contractor,to conduct all work on ir; 10❑Building addition ❑ g- �p�pert;. I will ensure that all eontracton tither have workers'coaTensmien insurance or are sole I Q]Electrical repairs or additions proprietors with no employees. 5.❑10111 a general contractor and I have hired the salt-contractors listed on the ntmclxtl sheet. 12.[]Plumbing repairs or additions These sub-contractors have employed and have workers'comp.inmtance.t 13.❑Roof repairs G.❑We we a corporation and its officers have exercised choir ri hl of exemption 14• Other=solar' Zans$ TaprionlrerMGLe. 152,$1(4),and we have no employees,[No workers'cornp.insurance rcquirti.l 'Any applicant that cheeks box d l must also fill cut the section below showing their warkers'compensation policy information. +Nosta:awnens who submit thin aflfdavk indicating tlwy nrts diming all wurk amid then him outside cantracloss ruins,submit anew affidavit indicating such tCortractors that check this box must attached an additional sheet showing the name of the sub.cartracross and state whether or not those entities have erTpkoyees. tf the sub-contrsctars have employees,they must provide their workers'wmp.policy number. I tine an employer that fs providing workers compensation insararrce for r►ey employees. Becoty is the policy and job site informadmL Insurance Company Name:. Libedy Mutual Insurance Company Policy 4 or Self-ins.Lie,*, WA766D066265024 Expiration Oates 910.1/2015 , .top Site Address: l�0 n. f t`oj��?it�aG .... Citylwtate/'!ip: Lsus k Attach a copy of the workers compensation 10icy dectaration page(showing the policy number and expiration date). Failure to secure covtxage as required under MGL a 152,§25A is a criminal violation punishable by 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.A copy of this statement maybe forwarded t6 the Office of Investigations of the DIA for insurance coverage verification. I do hereby ceriely under flip earns and oeaaMes of perjury that the information provlded above is frue and correct, Signatuyc: '� � G� C/ —s Date tr i ! ag ao ,'— h n - 781-816-7489 tffWal use only. Do not write it this area,to be can»pieced by city or toms of daL City or.Town: PermidLicense# Issuing Authority(circle one): - L Board of Health 2.Building Deportment 3.City/Town Clerk '4.Electrical Inspector S.Plumbing Inspector ti Uther a Contact Person: Memo* f oATE(rS�roorrvYry CERTIFICATE OF LIABILITY INSURANCE 08/29=4 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO MG14TS 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 REPRENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMIORTANT: If the cartWumte holder Is as ADDITIONAL INSURED,the poliry(Ies)must he endorsed If SUBRaGAATION IS WAIVED,ad0d to the berms and conditions of the policy,cartaln policies may require an endorsement. A statement an this ceMcafe does riot confer rights to the cerillimte holder in Itau of such endowement(s). a GONTACT MARSH RISK&iNSURINCE SERVICES P NGN 345 CALIFORNIA STREET,SUITE iMO CAU'FORNIA LICENSE N0.04371S3 fi g. SAN FRANCISCO,CA 94104 WUM S AMMING COVERAGE NAICS 99Ei301-6TND-GAWUE-14-15 MuhiaiFielnwance n 166% WsuAErtq: Cofnpa r INSURE0Ph(MO)SM-5100 fOSURLR a: )OSUt&=CAl17DrAm 42404 E darCRy Cwpw*A OSUM C:NIA NIA 3055 CWn w Way vjgu;u R 0: San Mateo.CA 94402 twsuRl:R Iat COVERAGES CERTIFICATE NUMBER: SFA.002440MM REVISION NUMBERA 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 AFFORDFD BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPEOFINSURANCE POUCYIfirAR [ P UIiVTS A aammmuwurY TB2-6614MG265-014 ,OS(O014 09A412p15 _EACH OCCURRENCE S 1. X COMMERCIALGENERALLIABHJTY PREMISES rW_- 5^ f00,000 CLAWS-MADE x OCCUR AiED FXP(Ivry nne{Mteosl) 1a P61MRAL B ADV INJURY 5 1,0000 GENERAL AGGREGATE S 2,000,000 GENE AGGREGATE I.9Afr APPLIES PER' PRODUCTS-COMPIOP AGG S J 2,00Q000 X POLICY X PRO LOC DedUaft E 25,000 A AUTOMOBILELIAINLRY AS2.661.06626ri044 O9@fM4 (IN1015 COMBINED rANGLEUNIT X ANYAUTO R LLLYYiW RV(PerF_ro ) s 3AODAQQ AUTOS S M=UR SMILY INJURY i�9WQtd) S X HtREDA1fT0$ PROPER Y AMgt s �X Phys.oM,Ir� IMM—COUPICOLLDED: s s1,�orSl,00a ULLA LIAR EACH OCcIIfiRkNCE i:. 1=GE�If UABpE AGGREGATE 8 B wamms cowplBATR)N OMMO14 MUM— 9STATU- OTH- B ANY AND�PRIRIETOWPARTHER"ECUn1rt YIN WC7661-066265034(WI) OkRi/tW4 020V20% E-LEACHACCIOENT B ((Ma C EXCLUDCO? a MIA loy in NH) .VC OFDUCTMLP S35O.OW f 006,Ofyi xyw doaumetmaer E L DISEASE-EA EMPLOY S 06SLIRIPrIO ERAT049-Wm - � E.L.DISEASE-POUCYLtMfT i INW100D DESCRIPTION OF OPEMIIDMS I LOCAYIONS IVigMCIErs(AfticR ACORD 101.Add10oxN Rmqft$die",rMwe"ae9b regtdrad) CVId=of tnalrame. CERTIFICATE HOLDER CANCELLATION SWULD ANY OF THE ABOVE DESCRBED FOLICI1:S 13E CAN mwm wwoRE 9l)S5 CiaatvieW Wsy THE:EMRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SM Malec,GA 94402 ACCORDANCE WITH THE POLICY PBDMSIM AUTHO110 D MRMNTAMn w tlleeeh Rrek 4 meurende Sarvkee . Chanel Marmols}o ..�. 918if6-2010 ACORD CORPORATION. All lights reserved. ACORD 25(Mi$106) The ACORD dame and logo am reqlstereet marks of ACORD I , y Version#42.8 SolarCItm o� JASON WIL [AM � m April 21,2015 9 TOMAN .a STRUCTURAL v� Project/Job# 026871 No.51554 O � RE: CERTIFICATION LETTER Project: Litchman Residence Dig �S► ason Toman , 69 Cap'n Crosby Rd Barnstable, MA 02632 Dater 201 22 23:57:16-07'00' To Whom It May Concern, A jobsite survey of the existing framing system was performed by a site survey team from SolarCity. Structural review was based on site observations and the design criteria listed below: Design Criteria: M ' -Applicable Codes = MA Res. Code,8th Edition,ASCE7-05;and 2005 NDS s - Risk Category= II -Wind Speed = 110 mph, Exposure Category C -Ground Snow Load = 30 psf -MPl: Roof DL= 10.5 psf, Roof LL/SL= 23.1 psf(Non-PV Areas), Roof LL/SL= 23.1 psf(PV Areas) -MP2 Roof DL= 10.5 psf, Roof LL/SL= 23.1 psf(Non-PV Areas), Roof LL/SL= 23.1 psf(PV Areas) - -MP3: Roof DL= 13.5 psf, Roof LL/SL= 21 psf(Non-PV Areas), Roof LL/SL= 21 psf(PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss=0.19069 <°0.4g and Seismic Design Category(SDC) = B < D i On the above referenced project,the components of the structural roof framing impacted by the installation of the PV assembly have been reviewed. After this review it has been determined that the existing structure is adequate to withstand the applicable'roof dead load,PV assembly load,and live/snow•loads indicated in the design criteria above. I certify that the structural roofframing and the new attachments that directly support the gravity loading and wind uplift loading from PV modules have been reviewed and determined to meet or exceed structural strength requirements of the MA Res.Code,8th Edition. Please contact me with an • 'r y questions or concerns regarding this project. Sincerely, - Jason W.Toman, P.E. Professional Engineer Main: 888.765.2489 . - email:.jtoman@solarcity.com } c 3055 Clearview Way,"San Mateo,CA 94402 f(650)638-1028 (888)SOL-CITY'F(650)638-1029 solarcity.com' " AZ FIOC2a377'1,CA'CSLB 088104,CO EC O041,&J 11C 000778,t C 1•,iIC 7i16tAQ0 QC!71R Tt 1.01488 MI C'f 29M MA H10 1606112JADMH10'128948,NJ'135'HatilB 9S , OR 18040$,PA0773 i3,7'Y'I C4R 7.7g0$,tMA CCl SQl AriC'p1007,.0 20 15 SolnrClty,All riphie rase Ved: S. 04.21.2015 j SolarCitv PV System Structural Version#42.8 Design Software PROJECT INFORMATION &TABLE OF CONTENTS Project Name: Litchman Residence AHJ: Barnstable Job Number: 026871 Building Code: MA Res. Code, 8th Edition Customer Name: Litchman, David Based On: IRC 2009/ IBC 2009 Address: 69 Cap'n Crosby Rd ASCE Code: ASCE 7-05 City/State: Barnstable, MA Risk Category:I II Zip Code 02632 Upgrades Req'd? No Latitude/ Longitude: 41.680361 -70.356846 Stamp Req'd? Yes SC Office: Cape Cod PV Designer: Tom Conlon Calculations: Kyle Jackson EOR: Jason W. Toman P.E. Certification Letter 1 Project Information, Table Of Contents, &Vicinity Map 2 Structure Analysis (Loading Summary and Member Check) 3 Hardware Design (PV System Assembly) 4 Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.19069 < 0.4g and Seismic Design Category(SDQ = B < D 1 2-MILE VICINITY MAP 6 Mid-Cape Hwy Oki 41 skl . • le cr- *CidA292e, MassGIS, Cbmnnonwealthof - • ` USDA Farm Service • •- 69 Cap'n Crosby Rd, Barnstable, MA 02632 Latitude: 41.680361, Longitude: -70.356846, Exposure Category: C • r r ,. STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK- MP1 Member Properties Summary MPl Horizontal Member Spans Rafter Pro erties Overhang 0.57 ft Actual W 1.50" Roof System Properties San`1 = 14.37 ft.. . Actual D 7.25" Number of Spans(w/o Overhang) 1 San 2 Nominal Yes Roofing Material 9 µ' Comp Roof San 3 "'"7 1038 in.A2 Re-Roof No San 4 S. 13.14 in.A3 Plywood Sheathing ,<)� Yes _ Span' 5 <. Ix 47,63 in.A4 Board Sheathing None Total Span 14.94 ft TL Defl'n Limit 120 Vaulted Ceiling % _ A ' No PV 1 Start W,; "�'2.50 ft Wood Species SPF Ceiling Finish 1 2"Gypsum Board PV 1 End 14.08 ft Wood Grade #2 Rafter Sloe 300 PV 2 Start Fb 875 psi Rafter Spacing 16"O.C. PV 2 End F 135 psi Top Lat 13racin '. a E.. vtu Fuller ` ,. PVr3 Start , ,E a,, 1400000 sib Bot Lat Bracing At Supports PV 3 End Emin 510000 psi Member Loadinq mary Roof Pitch 7 12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 10.5 psf x 1.15 12.1 psf 12.1 psf PV Dead Load PV-DL'^_ 3:0 sf x 1.15 .4 3.5 psf Roof Live Load RLL 20.0 psf x 0.85 17.0 psf Live/Snow Load ,. . LL SL1,- 30.0 psf x 0.77 1 x 0:77 23.1,`sf 'AA,k 23.1 psf Total Load(Governing LC TL I 35.2 psf u38.7 psf Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf=0.7(Ce)(Ct)(IS)p9; Ce=Ct=Is=1.0 Member Design Summary(per NDS Governing Load Comb CD CL + CL - CF Cr D+ S 1.15 1.00 1 0.37 1 1.2 1.15 Member Anal sis Results Summary - Maximum Max Demand @ Location -CapacityDCR Shear Stress 44 psi 0.6 ft. 155 psi 0.28 Bending + Stress 1206 psi 7.8 ft. 1389 psi 0.87 Governs Bending - Stress -9 psi 0.6 ft. -514 psi 0.02 Total Load'Deflection .g`' "' 0:98 in. '203 7;8 ft. 1 66 in. ' 120h ,�0.59 OW#`" J STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK - MP2 Member Properties Summary MP2 Horizontal Member Spans Rafter Pro erties Overhang 0.66 ft Actual W 1.50" Roof System Pro erties San 1 rZ14.09 ft ' ` '`:'Actual D',�OV. ,7 7 25"�11 Number of Spans(w/o Overhang) 1 San 2 Nominal Yes Roofing Material Comp Roof San 3 A 10.88 in.A2 Re-Roof No San 4 S 13.14 in.A3 PI ood Sheathing Yes:._ San 5 "w ` =m ;� '. Wk• I 1 47.63 in.^4':b. Board Sheathing None Total.S an 14.75 ft TL Def1'n Limit 120 Vaulted Ceiling No PV:1 Start -1.92 ft :Wood Species r SPF Ceiling Finish 1 2"Gypsum Board PV 1 End 10.67 ft Wood Grade #2 Rafter Sloe 300 PV 2 Start Fb 875 psi Rafter S acin 16"O.C. PV 2 End F 135 psi Top Lat Bracli �-_ -. ti J�6;11 _ .'Full, - W 3 Start ., - •:.` ; „ E s.�_4*'GL11400000i si W� Bot Lat Bracing At Supports PV 3 End Em;n 510000 psi Member Loadinq mary Roof Pitch 7 12 Initial Pitch Ad'ust Non-PV Areas PV Areas Roof Dead Load DL 10.5 psf x 1.15 12.1 sf 12.1 sf PV Dead Load>:` :, Z'V _ PV-DL- -,410 sf 3:_'z#1.15 a ., ti C!.' 3.5 sfr' .. Roof Live Load RLL 20.0 psf x 0.85 17.0 psf Live/Snow Load LL SL1,2 30.0 psf x 0.77 1 x 0.77 . 23.1 psf 23.1 psf Total Load(Governing LC TL 1 35.2 psf 38.7 psf Notes: 1. ps=Cs*pf,Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf=0.7(Ce)(Ct)(Is)pg; Ce=Ct=Is=1.0 Member Design Summary(per NDS Governing Load Comb_ CD CL + CL - CF Cr D+ S 1.15 1.00 0.38 1.2 1.15 Member Anal sis Results Summary Maximum Max Demand @Location Capacity DCR Shear Stress 43 psi 0.7 ft. 155 psi 0.28 Bending + .Stress -.' _rt 1143 si 7.7 ft. 1389 psi M ytr', 0.82 Governs " Bending - Stress -12 psi 0.7 ft. -524 psi 0.02 Total Load Deflection • -' 0.89 in 1 "219 "'�7.7 ft. 1 63`in: 120< WWA.55 '' ': STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK - MP3 Member Properties Summary MP3 . Horizontal Member Spans Rafter Pro erties Overhang 0.57 ft Actual W 1.50" Roof System Pro erties r S,an It, 4,12:81:ft_, Ot4 , Actual D o .&7.25'.' Number of Spans(w/o Overhang) 1 San 2 Nominal Yes Roofing Material Com Roof "'S an 3 'P K"v ' -A-0 `'IT" 10:88 in.^2' .' Re-Roof No San 4 S. 13.14 in.A3 PI ood Sheathing Yes S' an S. I "` 47.63 in.^4' Board Sheathing None Total Span 13.38 ft TL Defl'n Limit 180 Vaulted Ceiling m �w Yes ,tb <PV 1 Start _ 3.33,ft n,„. Wood Species .. t SPF Ceiling Finish 1 2"Gypsum Board PV 1 End 12.00 ft Wood Grade #2 Rafter Slope" N h = 300 Mh PV2Start <4 1P, Af, V - t,% %Alh r M, ,;875 siAs Rafter Spacing 16"O.C.. PV 2 End F 135 psi To Lat Bracing ` Full PV 3 Start ' E`er ""� ' 1400000 si'°' Bot Lat Bracing • Full PV 3 End Em;,, - 510000 psi Member Loading mary Roof Pitch 7 12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 13.5 psf x 1.15 15.6 sf 15.6 sf .. PV Dead Load PV-DL 3.0 sf x 1.15 . ,_. F t '3.5 sf `w Roof Live Load RLL 20:0 psf x 0.85 17.0 psf Live/Snow Load ;„. n_ r, , ,LL SL1,2, 30.0 psf x 0.7 1 x 0.7r 21.0 •sf _. 21.0 sf v Total Load(GoverningLC TL 36.6 psf 40.1 psf Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf= 0.7(Ce)(Cj(IS)p9; Ce=Cr=I5=1.0 Member Design Summary(per NDS Governing Load Comb CD CL + CL - CF Cr D+ S 1.15 1.00 1 1.00 1.2 1.15 Member Anal sis Results Summary Maximum Max Demand @ Location Capacity DCR Shear Stress 40 psi 0.6 ft. 155 psi 0.26 Bending + Stress_ ` 985 psi' 7.0 ft � `y 1389 psi -0.71 ,O# "" Governs Bending - Stress -10psi 0.6 ft. -1389 psi 0.01 Total Load Deflection . >. kma 0.64 in. 279r 7.0 ft. 0.99 in. I L1180 0.64 4 CALCULATION_OF DESIGN WIND LOADS - MIPf— Mounting Plane Information Roofing Material Comp Roof PV.System�Type` SolarCity-SleekMount m - Spanning Vents i No Sta d Attachment Hard-+are Comp Mount Type C ,. 3 Roof Slope 300 Rafter Spacn9 _. :. f . 16' O Framing Type Direction Y-Y Rafters Purlin,Spacing v X-X Purliris Only d- _,• v ww NA ` a., -f— Tile Reveal Tile Roofs Only NA le A Tittachment System ' Tile Roofs Only NA Standin Seam/Trap Seam/Trap Spacing SM Seam Only NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind Design Method' Partially/Fully Enclosed Method Basic Wind Speed V i 110 mph Fig. 6-1 Ex osure Cat o ___ _ _ C h, , Section 6 5:6.3_�_ eg ry Roof Style Gable Roof Fig_.6-11B/C/D-14A/B Mean Roof-Height .; h G. �` 7, 7 25,ftY m Section 62 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.95 Table 6-3 Topographic Factor ° Krt -°- 100 Section 6.5_7 Wind Directionality Factor Kd 0.85 Table 6-4 Importance Factor I _ 1.0 .. .., K g; Jable 6-1 Velocity Pressure qh qh = 0.00256(Kz)(Kzt)(Kd)(VA 2)(I) Equation 6-15 24.9 psf Wind Pressure Ext. Pressure Coefficient U GC -0.95 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down GC (Down) 0.87 .:r m; ,-. _ Fig.6-11B/C/D-14A/B Design Wind Pressure p p =qh(GC) Equation 6-22 Wind Pressure U -23.6 psf Wind Pressure Down 21.8 psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 64" 39" Max Allowable Cantilever. Landscape Standoff Configuration Landscape Staggered Maz'Standoff Tributary,Area Trib 18 sf'.I. PV Assembly Dead Load W-PV 3.0 psf t NetNet Wind Uplift at Standoff Tactual -386 lbs. Uplift Capacity of Standoff T-allow 500 lbs Standoff Demand/Capacity 4 DCR 77.3% �- 7 ? '' X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 66" :: - Portrait y 17��. D NA. Max_Allowable Cantilever Standoff configuration Portrait Staggered Maz Standoff Tributary Area - Trib 22 sf ' PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoffs Tactual -483 Ibs_: a 4., Ay Aq Uplift Capacity. of Standoff T-allow 500 Ibs Standoff.Demand Ca aci . 4- DCR 7 I Y CALC_UL.ATLO_N_OF_DESIGN WIND LOADS_MP2_ - � °Mounting Plane Plane Information Roofing Material Comp Roof PV System Type -- - _- --SolarCity_SleekMountT'" Spanning Vents No Standoff Attachment Hardware Comp Mount jyQe C Roof Slope 300 Rafter S acin 16"O.C. Framin T e Direction Y-Y Rafters Purim Sacin �La� X-x,ppriinsoply NA Tile Reveal Tile Roof s Only NA Tile Attachment Tile Roofs Only r NA -- —--. . - -- Y-- Standin Seam/Trap Seam/Trap Spacing SM Seam Only NA Wind Design Criteria Wind Design Code ASCE 7-05 T Wind_Design Method Partially/Fully Enclosed Method Basic Wind Speed. V 110_m_ph Fig.6-1\ Exposure_Category C _Section 6.5_6.3 Roof Style Gable Roof Fig.6-11B%C/D-14A/B Mean Roof Height =` > -_ ' h 25 ft Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.95 Table 6-3 To o ra hic Factor _ —P_g- p V ,8;f yKrt Orr• 1:00t fi .'S Wind Directionality_ Factor Kd 0.85 Table 6-4 `: _Importance factor _ I :- •n k' 1.0 s .r Table 6-1 Velocity Pressure qh qh = 0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15 24.9 psf Wind Pressure Ext. Pressure Coefficient U GC -0.95 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down GC D 0.87 Fig.6-11B/C/D-14A/B Design Wind Pressure p =qh(GC ) Equation 6-22 Wind Pressure U -23.6 psf Wind Pressure Down 21.8 psf ALLOWABLE STANDOFF SPACINGS 7 X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 64" 39" Max Allowable Cantilever Landscape,i 24" NA Standoff Configuration Landscape aggered p Max Standoff Tribu_t_ary Area_ Trib 18 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind,Uplift_at Standoff_ T=actual_ 386.lbs Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand Ca aci7 DCR 7 s,_:� ,_-•.1 77.3% . `t, ,.r__. _,r_a X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 66" Max Allowable Cantilever -, - Portrait, Standoff Configuration Portrait Staggered Max Standoff_Tributary Area F Trib "' 22 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoffs - T-actual. -483 Ibs Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand Ca aci DCR _ 96.6% n CALCULATION_OF DESIGN WIND_LOADS Mounting Plane Information Roofing Material Comp Roof PV System_ Type SolarCity4SleekMoun,tWI Spanning Vents No Standoff Attachment Hardware Com Mount T e G.',,. a.:3 Roof Slope 300 Rafter S acin ;. :• 16"O C ° ,� P - -g ., M Framing Type Direction Y-Y Rafters Purlln Spacing a° -�X-X Purlins Only DNA " - Tile Reveal Tile Roofs Only NA Tile Attachment System Tile.Roofs-On-ly —-tta _----- —-----y - Standin Seam/Trap Seam/Trap Spacing SM Seam Only NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind Design,Method_ Partially/Fully Enclosed_Method Basic Wind Speed V - 110 mph Fig. 6-1 Exposure Category C' —Section 6.5.6.3_ Roof Style Gable Roof Fig.6-11B/C/D-14A/B Mean Roof Height " h 25 ft'__ : ., - _ Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.95 Table 6-3 Topographic Factor =t # , Krt. ,. _ 100' Section 6.5.7 Wind Directionality Factor Kd 0.85 Table 6-4 Importance Factor•� 7. k;..��E�,,:�. ��=� "I .,� �7�:_ 1.0 ��.�_.�� � �,..a.:.''. Table 6-i,F�,,:r, Velocity Pressure qh qh = 0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15 24.9 psf Wind Pressure Ext. Pressure Coefficient U GC -0.95 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient(Down). GC (Down) 0.87 '"` Fig.6-11B/C/D-14A/B Design Wind Pressure p p = qh(GC) Equation 6-22 Wind Pressure U „ -23.6 psf Wind Pressure Down 21.8 psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 64" 39" Max Allowable Cantilever�= Landscape 24'ti„ - _ : $'U NA, } Standoff Configuration Landscape Staggered Max Standoff Tributary Area '*; Trib_ ` '18 sfs ". PV Assembly Dead Load W-PV 3.0 psf Net Wind.Uplift at-Standoff_: T-actual Uplift Capacity of Standoff T-allow 500 lbs _ Standoff Demand Ca aci "_ °" DCR 77.30/o X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 66" Max Allowable Cantilever Portrait 17 NA - Standoff Configuration Portrait Staggered Max_Standoff Tributary Area Trib 22 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff T=actual _ 483�Ibs Uplift Capacity of Standoff T-allow 500 Ibs _. � Standoff Demand Ca aci ` . DCR 96.6%... 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P['� F, 1 a y .P./ ^'..���'_y a � }� �i. � * ,<'�"; 6CV xEi 1UARMOLTTti. /:A ��� [�� �, �, I s x t Y p ri.r Sti ts1 �`2 "; -I Ih•`3 9 l* , IH ^ L /h� LL``LL p 5 '. t. 4 iP� s[ tdt..�y ({'y+t`Tf_Jgy�,k�17 lclrs r T, G. _.a • r '1 t '"J a 'Y. 1., �,Pe,�n i j� 1''t. i !.a 1.y 7. : S i. , s R y `:y IG.�i t fw 7,:x,3 pit�, S r �}t*' 34 4t. ,��� 1 CERTIFY THAT THE 1r ; /�J' fi/1fi: °X to ',� ° SHOWN ON THIS PLAN ($ lA(ATEO pid 7MfOUNQ w K," '•� '" - J. c'• ', AS SHOWN 1jEREON ; r' s ys;�,+� ���"k'�_;��l";alp 1 Y> G o: t_1a e 1 5Lf yFl f5sr <<'t is, g�4,0 }"�7 s. i" "�, }t ''S K`' - J—�� r _ _ r[w `'rra '' L\ ^'clisii�pi" 4 ''�ttJt#Ac� . t�a r }�,. 1 .. +_ 'n ('sf ,\ �{ a P.1 f�. f, ro,#rx y" lea f }t .,1�,�:� K ;�a r .ur. 0 1,.tia..Sx 1. r.ri ly:usf _ 1�'�1 G �t/ V. .':.r��'EFi� J,.' t'yi . 1 .d r i +r S �`�`r }.a ♦I fi'.F r T N a " 4 r i s s4 t T I a t fa �,a4u v�aaLa,'�,2'��.tAz' ..y, .. .f '>,``rd !' �I 'J + '>t7 Jt Y 'j1 d E L' i i1 L\:K g.. ...t(.d 3 1. I, r. .n — ,t, s, . ,,r,., _ z r3s A'IQTcsCh=.r�euh '.�►l Ibt - nbfi. Assessor' offic (lst floor): 9� '1 2` � ����� N Assessor's map and lot nu ber .............................. ....... ..... CM CO 9 ' Board of Health (3rd floor): r TH TIT Sewage Permit number :... .. .:.. DZ d r NENTAL Engineering Department (3rd floor):--, / Y7W�yA2 House number :......................... h.��......�. q a�0 Definitive Plan Approved by Planning Board,----------------------_---------19________ APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only . R 'l. TOWN . - OF BARNSTABLE. - BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....��o�>. .(7/V...:.:�r�....:. X.«% -t/6-.....K1IE5 Le���!�{. TYPE OF.CONSTRUCTION` .......... ....:. �'y�(1v .' ..•,•• ............. ./. ...........'..........19.c�� TO THE INSPECTOR OF BUILDINGS: r The undersigned= hereby applies fora permit according, to the-,following information: Location ........ .......5,. �.�..,.... P......>�� .�........ V..l!ram .. -...:........�. ....... Proposed Use .:.....e..... ��N� —.....:.14.4.5.c.., .....................:..:.....:...... Zoning District ::............ . :. Fire .District ....: .(/1.." 121/ICZ �S�ZaZ(1��L .... f. .............. /_ Name of Owner ::!`.......:�.............d ........................Address ...Cl� :...... ...... ! Name of Builder. /. .r':"/ . .... I, L�Z!4�.........AddressLCI .. ...:.... .. Name of Architect;. .......... .. ................. ............................Address ......L•:... 1 /7 Q ....... ..............M ................. Number o���*0.. ...... .................Founda��tion ..... /'... �5./. �/t/9 }� / Exlerior ....... ....... : .. . .... .......................'..Roofing ........./ .. T............. Floors ......� E!J t�.......::................................Interior ...�. 1 1J�.:.. 2Q...: 0... .... Heating ......... G �.��......... ....:.:.:................ . Plumbing ......:...../U� U ..:.... ........... Fireplace p X� IN 7� f/.. .J21, .............. .Approximate.Cost 4?4P/.�.0........0.� . Diagram of Lot and Building with Dimensions Fee OCCUPANCY= PERMITS REQUIRED FOR NEW DWELLINGS I hereby,fagree to conform to all the-Rules and .Regulations of the.To of Barnstable regarding the .above construction. 1 Name . ....... T Construction Supervisor's License ..... DAY, RONALD ' No ' 32093 .,.permit for ..Build 1 '....Singl .:...k'.aMil .Dwell in l&&pation ....6.9... ......Cro.slay..:Ro.ad....... , µ - Center.ville ...................................................................... ......... - !7 - ♦ - . . .. Owner~ Ronald:Day .. . , r �, ^Y...�.. . ..Frame f t.-........ Type of Construction - K". ................ ..... Plot ...... lot ................................ H July ulY 21, ' 88.. ... .........'....................19 Date•of Ins ection . ... .... ..... ......19 Date Completed ................... .. ... ... f�...............19o( .. �,4 all 14' Assessor's officqsist floor): T E Assessor's map and lot number .......:................. f / Board of Health (3rd floor): Me Sewage Permit number _49 ........ EAUST&BLE. AB& Engineering Department (3rd floor): 4- N1639- House number .1.. . a MM Definitive Pl�nf) ,***...* I 14pproved by Planning Board ____________--------- ----------19-------- - APPLICATION.$-PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..... 01"J.......7_6........Ek. ......K ... ....... .. .... ...... . TYPE OF CONSTRUCTION .......... ........ ...... ........................................................ ........... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ........ Location ........6� .......014e�...... ...41�njry ....... /I ............................. ProposedUse ................................................. ...E��...................................................................................................... Zoning District .............. ..............................................Fire District .......... ...... • Name of Owner ...... ........................Address ... 'T ......................................... Name of Builder .... 4Y ........Address Ya.#:7re U4)&4_CA1 _ !Cc....... Nameof Architect ..... ...... ....................Address ......... ... .. .. .... .. ... ... .. . ..... ..................... ............................................ U, Number of,Rooms ................... .............. Foundation ..... ...... . .... ....et,4 ................S .... e_- Exlej-ior ....... ....... .....Roofing .......... ........... ..................... Floors ........ 'e.o.to.00.0..........................................Interior .......62-Y 6PA..ep.......p ... .... .... ....... ..... ...... ....... .... ...... ..... Heating .......... Plumbing ..................................................... ........................................................ /V Lr "fv 0 Fireplace ................... )Approximate Cost ....... .2.. Area Diagram of Lot and Building with Dimensions Fee -................................ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town-of Barnstable regarding the above construction. Name ......t� Construction Supervisor's License .................................... DAY,4RONALD t A=193-172 N o ..32093 ..2.0.9.3... Permit for Addition ............................. .................Single Family Dwelliqg........... ............T..... ................... Cap'V1 Ld%ction ... . . ........ Centerville ..................................................................... ......... Owner .....R.on.a.l.d.,,.D.F�y........ .. .... .. . .. ........................ Type of Construction ....... ...................... .................................. ........................... ................ of ............................. Lot ................................ , Permit Granted ,...,.July... ...........21..................19 88 Date of Inspection ....................................19 Date Completed ......................................19 /en le ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE 1. THIS SYSTEM IS GRID—INTERTIED VIA A AC ALTERNATING CURRENT UL—LISTED POWER—CONDITIONING INVERTER. BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. / ! CONC CONCRETE 3. A NATIONALLY—RECOGNIZED TESTING . DC DIRECT CURRENT LABORATORY SHALL LIST ALL EQUIPMENT.IN i EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3: 0. (E) EXISTING 4. WHERE ALL TERMINALS OF THE DISCONNECTING EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED' IN THE OPEN POSITION,` FSB FIRE SET—BACK A SIGN WILL BE PROVIDED WARNING'OF THE GALV GALVANIZED HAZARDS PER ART. 690.17. GEC GROUNDING ELECTRODE CONDUCTOR 5. EACH UNGROUNDED CONDUCTOR OF THE GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE 'IDENTIFIED BY - HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5. CURRENT 6. CIRCUITS OVER 250V TO GROUND SHALL Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(B). - Isc SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DO NOT ENTER kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN - (N) ` NEW RELIEF AT ALL ENTRY INTO BOXES:AS REQUIRED BY NEUT NEUTRAL UL LISTING. NTS NOT TO SCALE 9. MODULE FRAMES SHALL BE GROUNDED AT THE OC ON CENTER UL-LISTED LOCATION PROVIDED BY THE PL PROPERTY LINE . MANUFACTURER USING UL LISTED GROUNDING z POI POINT OF INTERCONNECTION HARDWARE. PV • PHOTOVOLTAIC 10. MODULE FRAMES,-RAIL, AND POSTS SHALL BE SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. S STAINLESS STEEL - STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V VOLT Vmp VOLTAGE AT MAX POWER VICINITY MAP INDEX Voc VOLTAGE AT OPEN CIRCUIT W WATT , 3R NEMA .3R, RAINTIGHT PV1 COVER SHEET PV2 SITE:PLAN _x PV3' STRUCTURAL VIEWS PV4 STRUCTURAL VIEWS PV5 THREE LINE DIAGRAM LICENSE GENERAL NOTES Cutsheets Attached GEN #168572 1. ALL WORK. TO BE DONE TO THE 8TH EDITION ELEC 1136 MR OF THE MA STATE BUILDING CODE. 2. . ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2014 NATIONAL ELECTRIC CODE INCLUDING MASSACHUSETTS AMENDMENTS. MODULE GROUNDING METHOD: ZEP SOLAR AHJ: Barnstable ` REV BY DATE COMMENTS REV A NAME DATE COMMENTS UTILITY: NSTAR Electric (Boston Edison) + s CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: J B-026871 00 PREMISE OWNER; DESCRIPTION: _ DESIGN: CONTAINED SHALL NOT BE USED FOR THE LITCHMAN, DAVID LITCHMAN .RESIDENCE Tom Conlon ,solarCity., BENEFIT OF ANYONE EXCEPT IN WHOLE INC., Comp Mount T e C 69 CAP=CROSBY RD 13.78 KW PV ARRAY • NOR SHALL IT BE DISCLOSED IN WHOLE OR IN PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES: CENTERVIL MA 02632 ORGANIZATION, EXCEPT IN CONNECTION WITHr 24 St.Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (53) Hanwha Q—Cells #Q.PRO G4/SC 260 # SHEET: REV: DATE Marlborough, MA 01752 t SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PAGE NAME PERMISSION of soLARGTY INC. SOLAREDGE SE11400A—USOOOSNR2 (508) 246-7886 COVER SHEET PV 1 a4 21 2015 T. (650)sae-lots F.- (650)638-1029 (M)—SOL—CITY(765-2489) www.solarcity.com • 4 PITCH: 30 ARRAY PITCH:30 STAMPED & SIGNED MP1 AZIMUTH: 110 ARRAY AZIMUTH: 110 FOR STRUCTURAL ONLY MATERIAL: Comp Shingle STORY: 2 Stories PITCH: 30 ARRAY PITCH:30 C MP2 AZIMUTH:290 ARRAY AZIMUTH:290 MATERIAL: Comp Shingle STORY: 2 Stories PITCH: 30 ARRAY PITCH:30 Q� JAS014 WIL [Aid G MP3 AZIMUTH: 110 ARRAY AZIMUTH: 110 T,OMAN __ _ MATERIAL: Comp Shingle STORY: 2 Stories 0 STRUCTURAL cn No.51554 STRUCTURE Di son Toman Date:20 23:58:00-07'00' dW ; � s I 9ZdW - LEGEND e e R R A L (E) UTILITY METER & WARNING LABEL INVERTER W/ INTEGRATED DC DISCO gL� 9 9 F & WARNING LABELS © DC DISCONNECT & WARNING LABELS AC DISCONNECT & WARNING LABELS -1 a�� MP3 Inv DC JUNCTION/COMBINER BOX & LABELS aj MP1 ; D i AC O° DISTRIBUTION PANEL & LABELS Mol p 0 Lc LOAD CENTER & WARNING LABELS2 - A Front Of House O DEDICATED PV SYSTEM METER Q STANDOFF LOCATIONS CONDUIT RUN ON EXTERIOR (E) DRIVEWAY --- CONDUIT RUN ON INTERIOR — GATE/FENCE Q HEAT PRODUCING VENTS ARE RED INTERIOR EQUIPMENT IS DASHED SITE PLAN Scale: 1/8" = 1' ,( r 01' 8' 16' `� J B-0 2 6 8 71 0 0 PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL A THE INFORMATION HEREIN JOB NUMBER: �\\!A CONTAINED SHALL NOT BE USED FOR THE LITCHMAN, DAVID LITCHMAN RESIDENCE Tom Conlon '���SolarC�ty BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: 0 0,, NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 69 CAP—CROSBY RD 13.78 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES CENTERVIL MA 02632 ORGANIZATION, EXCEPT IN CONNECTION WITH , 24 St_Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (53) Hanwha Q—Cells #Q.PRO G4/SC 260 PAGE NAME: SHEET: REV: DATE Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: T: (650)638-1028 F. (650)638 1029 PERMISSION of SotARCITY INC. SOLAREDGE SE11400A—USOOOSNR2 (508) 246-7886 SITE PLAN PV 2 0 4/21/2015 (888)—SOL-CITY(765-2489) www.solarcity.com 4" 14'-4 Ile (E) LBW (E) LBW A SIDE VIEW' OF MPI NTS SIDE VIEW OF MP2A NITS 6 MP1 I X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES '- LANDSCAPE 64" 24" STAGGERED MP2A X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER I NOTES LANDSCAPE 64" 24" STAGGERED PORTRAIT, 48": 17" � _ ROOF AZI 110 PITCH 30 PORTRAIT 48" 17" RAFTER 2X8 @ 16"OC ARRAY AZI 110 PITCH 30 STORIES: 2 STAMPED & SIGNED C.I. 2x8 @16"OC Comp Shingle FOR. STRUCTURAL ONLY RAFTER 2X8 @ 16" OC ROOF AZI 290 PITCH 30 STORIES: 2 ARRAY AZI 290 PITCH 30 s. - _. ,• Comp Shingle 9� JASON WIL [AM TOMAN 0 STRUCTURAL < cn i Flo.a1554 S1 Dig son Toman Date:201 23:57:51 -07'00' " 13'-5" (E) LBW (E) LBW SIDE VIEW OF MP2B NTS SIDE VIEW O`F MP3 NTS MP2113 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES MP3 X-SPACING X-CANTILEVER 7ARRAY Y-CANTILEVER NOTES. LANDSCAPE 64" 24" STAGGERED LANDSCAPE 64 24." STAGGERED PORTRAIT 48" 17" PORTRAIT 48" 17" ROOF AZI 290 PITCH 30 RAFTER 2X8 @ 16" OC 110 PITCH 30STORIES: 2 RAFTER 2x8 @ 16"OC ARRAYAZI 290 PITCH 30STORIES: 2 110 PITCH 30 C.I. 2X8 @16"OC Comp Shingle - Comp Shingle CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: J B—O 2 6 8 71' 00 PREMISE OWNER: DESCRIPTION: % DESIGN: CONTAINED SHALL NOT BE USED FOR THE LITCHMAN; DAVID 'LITCHMAN RESIDENCE Tom Conlon solarC BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM:NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount-Type C 69 CAP—CROSBY. RD 13.78 KW PV ARRAY �� PART OTHERS OUTSIDE THE RECIPIENTS MODULES CENTERVILr MA 02632 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St. Martin Drive,Building 2, Unit 11 THE SALE AND USE OF THE RESPECTIVE (53) Hanwha Q—Cells #Q.PRO G4/SC 260 SHEET: REV DATE: Marlborough,MA Building 2, r SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PAGE NAME T. (650)638-1028'F:'(650)638-1029 PERMISSION OF SOLARCITY INC. SERTER: GE sE11400A—us000slvR2 (508) 246-7886 STRUCTURAL VIEWS PV 3 0 4/21/2015 (888)-sOL-aTY(765-2489) www.solarcity.com PV MODULE i 5/16" BOLT WITH LOCK INSTALLATION ORDER & FENDER WASHERS LOCATE RAFTER, MARK HOLE ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT - , ZEP ARRAY SKIRT (6) HOLE, (4) @7SEAL PILOT HOLE WITH YURETHANE SEALANT. ZEP COMP MOUNT C — ZEP FLASHING C (3) (3) INSERT FLASHING. (E) COMP. SHINGLE (4) PLACE MOUNT. (1) (E) ROOF DECKING (2) V G(5)FFTNSTALL LAG BOLT WITH 5/16" DIA STAINLESS (5) SEALING WASHER. STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES " WITH SEALING WASHER C(6) INSTALL LEVELING FOOT WITH BOLT & WASHERS. STAMPED & SIGNED (2 EMBED, MIN) FOR STRUCTURAL ONLY (E) RAFTER 1 STANDOFF- S JASON WIL [Ate TOMAN 0 STRUCTURAL c _ N�,51554 v � Di anon Toman Date: 23:57:43-07'00' J B-0 6 p 7 1 O O PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: L Q \\\ CONTAINED SHALL NOT BE USED FOR THE LITCHMAN, DAVID LITCHMAN RESIDENCE Tom Conlon �_`•��SO�a�C�t BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: ,; NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 69 CAP—CROSBY RD 13.78 KW PV ARRAY // PART TO OTHERS OUTSIDE THE RECIPIENTS [MODULES: CENTERVIL, MA 02632ORGANIZATION, EXCEPT IN CONNECTION WITH24 St. Martin Drive,Building 2, Unit 11 THE SALE AND USE OF THE RESPECTIVE (53) HonWha Q—Cells #Q.PRO G4/SC 260 PAGE NAME SHEET: REV: DATE. Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: T: (650)638-1028 F: (650)638-1029 PERMISSION OF SOLARCITY INC. SOLAREDGE # SE1140OA—USOOOSNR2 (508) 246-7886 STRUCTURAL VIEWS PV 4 0 4/21/2015 (888)—SOL—CITY(765-2489) www.solarcity.com GROUND SPECS MAIN PANEL SPECS, GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO TWO (N) GROUND Panel Number:Bryant Inv 1: DC Ungrounded INV 1 -(1)SOLAREDGE # SE1140OA-USOOOSNR LABEL: A -(53)Hanwha Q-Cells q.PRO G4/SC 260 GEN #168572 ODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:2280794 Tie-In: Supply Side Connection Inverter;_ 110OW, 240V, 97.5%; wUrrifed Disco and ZB;RGM, AFCI PV Module; 260W, 236.5W PTC, 40mm, Blk Frame, MC4, ZEP, 600V ELEC 1136 MR . Underground Service Entrance INV 2 max: 30.46 V Voc: 37.77 p INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER �E 100A MAIN SERVICE PANEL SolarCity E; 10OA/2P MAIN CIRCUIT BREAKER Inverter 1 (E) WIRING CUTLER-HAMMER Disconnect CUTLER-HAMMER 10OA/2P 7 Disconnect 6 SOLAREDGE 5 A kN2 B 60A SE1140OA-USOOOSNR2 MP 2: 1x20 .. ._ ------------- --♦----- - ------ -� A C �l za_71 --------- _ L2 DC+ 1 B _ I N oc I 4 MP 1: 1x16 '_� (E) LOADS - .GND - ---- GND -------- ------=.--. ._EGG -- _DC+ - P1/2/3: 1X171 [3) - . . GEC N DC- M------ - +---- -_ - N (1)Conduit Kit; 3/4" EMT o EGC/GEC - - - _ ., GEC - - - - - - TO 120/240V I I SINGLE PHASE UTILITY SERVICE I 1 I. I, I I I 1 ' PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN * _ Voc MAX VOC AT MIN:TEMP. O1 (2)Ground Rod; 5/8* x 8% Copper B (1)CUTLER-HAMMER DG222NRB /t, A (1)SolarSKI 4 STRING JUNCTION BOX D� -(2)ILSCO IPC 4/0-/6 Disconnect; 60A, 240Vac, Fusible, NEMA 3R /y 2x2 STR GS, UNFUSED, GROUNDED. Insula ion Piercing Connector, Main 4/0-4. Tap 6-14 (1)CUTLER-{iAMMER#DG100NB S Ground eutral It; 60-100A, General Duty(DG) PV �3)SOLAREDGE�3 Optimizer, 34AZS SUPPLY SIDE CONNECTION. DISCONNECTING MEANS SHALL BE SUITABLE 0)CUTLER-HAMMER #DS16FK PowerBox ptimizer, 300W, H4, DC to DC, ZEP AS SERVICE EQUIPMENT AND SHALL BE RATED PER NEC. Class R Fuse Kit (1)AWG #6, Solid Bare Copper -(2)FERRAZ SHAWMUT#TR60R PV BACKFEED OCP n Fuse; 60A, 250V, Class RK5 -(1)Ground Rod; 5/8" x.8', Copper C (1)CUTLER-HAMMER #DG222URe (N) ARRAY GROUND PER 690.47(D). NOTE: PER EXCEPTION N0. 2, ADDITIONAL Disconnect; 60A, 24OVac, Non-Fusible, NEMA 3R (1)CUTLER-{1AMMER#-DGIDONB ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCATION OF (E) ELECTRODE Ground eutral It; 60-100k General Duty(DG) (1)AWG#6, THWN-2, Black �T"(1 AWG #6, THWN-2, Black (1)AWG #8;THWN-2, Black Voc* =500 VDC Isc =30 ADC (2)AWG#10, PV Wire, 60OV, Black Voc* =500 VDC Isc =15 ADC O (I)AWG#6, THWN-2, Red ©Isr(1)AWG #6, THWN-2, Red ® (1)AWG II8,THWN-2, Red Vmp =350 VDC Imp=24.19 ADC O (1)AWG#6 Solid Bare Copper EGC Vmp =350 VDC Imp=14.66 ADC (1)AWG#6, THWN-2, White NEUTRAL Vmp =240 VAC Imp=47.5' AAC (1)AWG #10, THWN-2, White NEUTRAL Vmp. =240 VAC Imp=47.5 AAC (1)AWG 1.0, TIiWN-2,.Green. . fGC. . _ .. . . . . . . . . . . �6,.Solid Byre.Copper. GEC. . . -(1)Conduit.Kit;.3/4'.EMT. . , •(1)AWG #8,_TFIWN-2,,c,reen , , EGC/GEC,-(1)Conduit_Kit;,3/4".EMT: _ (1)AWG#10, THWN-2, Black Voc* =500 VDC -Isc =15 ADC (2)AWG#10, PV Wire, 6004, Black Voc* =500 VDC Isc =15 ADC O (1)AWG#10, THWN-2, Red Vmp 350 VDC Imp=14.66 ADC O (1)AWG g6, Solid Bare Capper EGC Vmp =350 VDC Imp=11.73 ADC (J)AWG10,JHWN-2..Green, . EGC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (2)AWG p10, PV Wire, 60OV,Black Voc* =500 VDC Isc 15. ADC O.. (1)AWG#6, Solid Bare Copper,..EGC Vmp =350 VDC Imp=12.46 .ADC . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: J B-0 2 6 8 71 00 PREMISE OWNER: DESCRIPTION:• DESIGN: CONTAINED SHALL NOT BE USED FOR THE LITCHMAN, DAVID LITCHMAN RESIDENCE- Tom Conlon -SolarCity BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: •.: NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 69 CAP-CROSBY RD 13.78 KW PV ARRAY, ��� PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, EXCEPT IN CONNECTION WITH NODDLES CENTERVIL, MA 02632 THE SALE AND USE OF THE RESPECTIVE (53) Hanwha Q-Cells #Q.PRO G4/SC 260 24 St. Martin Dride, Building 2, Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME SHEET: REV: BATE: Marlborough, MA 01752 ? PERMISSION OF SOLARCITY INC. INVERTER. 5O8 246-.7886 PV 5 Q 4 21 2015 T: (650)638-1028 F: (650)638-1029 SOLAREDGE SE1140OA-USOOOSNR2 ( ) THREE LINE DIAGRAM . / / (W8)-SOL-CITY(765-2489) www.solarcitycam Label Location: Label Location: Label Location: - lA1GLJ o 0 0 'o._ , . ° ( )( ) ( )( ) (DC) (INV) C CB to AC POI Per Code: _ o •_° Per Code: o °P Per Code: NEC 690.31.G.3 °o 0 0 NEC 690.17.E ARM 0 0- o NEC 690.35(F) Label Location: - TO BE USED WHEN o•° ° - ° -o ° ° n ° ; INVERTER IS (DC) (INV) o-• --o o °. • ® ® Per Code: UNGROUNDED NEC 690.14.C.2 . . .. w Label Location: �t Label Location: 2 0 0 0 • -o ' (POI) oo 0 0 • e� ., (DC) (INV) - Per Code: 6 o NEC 690.17.4; NEC 690.54 ° Per Code: NEC 690.53 - o • o ° e•o ° 0 7w IM012' ° o- -e ° Label Location: .. (DC) (INV) man_ Per Code: • -o ° • ® ° °. NEC 690.5(C) Label Location: 0 (POI) Per Code: ° MCC-NEW-NEW NEC 690.64.B.4 - Label Location: o (DC) (CB) o • •_° Per Code: Label Location: t NEC 690.17(4) (D) (POI) Per Code: FEW Sam NEC690.64.B.4 o ° o Label Location: 1 0 ( (POI) _ Per Code: Label L NEC 690.64.B.7 ocation: o 0 O O O (C� (AC) (POI) 00 0 - o (AC): AC Disconnect p 0 Per Code: °° - -. _, (C Conduit Combiner Box NEC 690.14.C.2 (CB): (D): Distribution Panel (DC): DC Disconnect (IC): Interior Run Conduit Label Location: (INV): Inverter With Integrated DC Disconnect K (AC) (POI) (LC): Load Center Per Code: } NEC 690.54 (M): Utility Meter e e r,• (POI): Point of Interconnection >4 CONFIDENTIAL- THE INFORMATION HEREIN CONTAINED SHALL NOT BE USED FOR 3055 Clearview Way THE BENEFIT OF ANYONE EXCEPT SOLARCITY INC., NOR SHALL IT BE DISCLOSED �— ■ San Mateo,CA 94402 IN WHOLE OR IN PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, Label Set a•n�• Ti(650)638-1028 F:(650)638-1029 EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE /�'S��al' t (888)-SOL-CAY(765-2489)wwwsolarcity.com SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PERMISSION OF SOLARCITY INC. r y ''^$OlafClty ®pSolar Next-Level PV Mounting Technology " , ®pSolar Next-Level PV Mounting Technology Components ,.. Zep System for composition shingle roofs -' i - � •. Up-.roof tR �-.- Ground Zep Interlock IKy sate st nl_.. Zep Compatmte PV Module Zep Groove Roof Attachment - Array Skirt tAP _ — - ti `�'Z"�� Description v PV mounting solution for composition shingle roofs . F°cGMPPt�Ov Works with all Zep Compatible Modules o • Zep System UL 1703 Class A Fire Rating for Type 1 and Type 2 modules Auto bonding UL-listed hardware creates structual and electrical bond a V� Comp Mount Interlock Leveling:Foot LISTED Part No.850-1345 Part No.850-1388 Part No.850-1397 Listed to UL 2582, Listed to UL 2703 Listed to UL 2703 Specifications Mounting Block to UL 2703 • Designed for pitched roofs Installs in portrait and landscape orientations • Zep System supports module wind uplift and snow load pressures to 50 psf per UL 1703' • Wind tunnel report to ASCE 7-05 and 7-10 standards • Zep System grounding products are UL listed to UL 2703 and ETL listed to UL 467 Zep System bonding products are UL listed to UL 2703, • Engineered for spans up to 72"and cantilevers up to 24" Zep wire management products listed to UL 1565 for wire positioning devices Ground Zep Array Skirt,Grip,End Caps DC Wire Clip • Attachment method UL listed to UL'2582 for Wind Driven Rain, Part No.850-1172 Part Nos.500-0113, Part No.850-1448 Listed to UL 2703 and 850-1421,850-1460, Listed UL 1565 ETL listed to UL 467 850-1467 zepsolar.com zepsolarcom Listed to UL 2703 This document does not create any express warranty by Zap Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for - This document does not create any express warranty by Zep Solar or about its products or services.Zap Solar's sole warranty is contained in the written product warranty for each product.The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the:product warranty.The customer is solely each product.The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely responsible for verifying the suitability of Zep Solar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. responsible for verifying the suitability of Zep Solar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. 12 22 14 ZS for Comp Shingle Cutsheet Rev 02.pdf Page: 1 of 2 _ - 12 22 14 ZS for Comp Shingle Cutsheet Rev 02.pdf Page: 2 of 2 . / solar=oo w so I a r �oo SolarEdge Power Optimizer Module Add-On for North America r P300 / P350 / P400 SolarEdge Power Optimizer O ... ._ P300_.... P350 P400 Module Add-On For North America (for 604ell PV (for 72cell PV (for 96-cell PV modules) modules) modules) pq IINPUT { PJUU / PJSU / P400 Rated Input DC Powe ° 3D� 350 400 W ' �. Absolute Maximum Input Voltage(Voc at lowest temperature) 48- 60 ..... ..80.. .... Vdc...... MPPT Operating Range ........8..48...................8..60. .......8..80 Vdc.... Iu� Maximum Short Grcu t Curren[Qsc) - 30 Adc _ Maximum DC Input Current ....... .,.. .........................................12.5 ..................... .......... Adc ximum Efficiency 9.9:5 % ................. MaWeighted Efficiency ... ..... .................98 8 ....... _. ......... .. ...%. ...... . Category ...g ry .... ................... ............... . .. Overvolta a Cate o II 'OUTPUT DURI NG OPERATION(POWER OPTIMIZER CONNECTED TOOPERATINGINVERTER) F Maximu Output Current 15 Adc - m ........... l 'r�p-�� Maximum Output Voltage 60 _ Vdc , fi} 'pL" :OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF) Safety Output Voltage per Power Optimizer 1 Vdc dP•• STANDARD COMPLIANCE P s (sue •t* - EMC FCC Part15 Class 8 IEC61000 6 2 IEC61000 6-3 IEC62109 1(class II safety)UL1741 - ..... ........ ... ...................... .. ...... .. ..................... ... .. .. _ RoHS Yes d` 1INSTALLATION SPECIFICATIONS ' .Maximum Allowed System Voltage 1000 Vdc. .. ............ .. ..................... ........................ ...... .. Dimensions(WxLx H) 141x212x40.5/5.55x8.34x1.59 mm/m - _. Weight(including cables)..................................................................................950/?:1.................................... ..Br/,Ib.... .. ,: Input Connector ... ....... ......... .... ........... Output Wire Type/Connector Double Insulated Amphenol Output Wve Length 0.96/3.0 ( 12/39 m/k . ^s ... ........ .. .. ........ ........................ ... Operating Temperature Range 40 +85/40 185 C/F Protection Rating...................... . ,,..,,IP65/,NEMA4 - y ........................ .... ............................ Relafive Humidit ..........._........................ ...%..... ' - ^�nm�asrzcm�onn�moe�m.Moe�ia or yam sxoo.<noi:aMe,nw<a. � � .. - PV SYSTEM DESIGN USING A SOLAREDGE THREE PHASE THREE PHASE INVERTER - ' SINGLE PHASE ' - 208V 480V - - PV power optimization at the module-(eve( Minimum StringLength(PowerOptimizers) 8 10 18 ................................................................................................................................. ....................... Up to 25%more energy _ Maximum String Length(Power Optimizers).................... .... .25.. ..., ,..... 25,. .,„ .... .50. ... .. .............. .................. .. . .... .. ... ... Superior efficiency(99.5%) Maximum Power per String., .. ..... ... .. ...5250. .. ...... ...... .... ............... ...... .W .. Parallel Strings of Different Lengths or Orientations Ves. Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading - Flexible system design for maximum space utilization - ..� Fast installation with a single;bolt. 171 Next generation maintenance with module-level monitoring s — Module-level voltage shutdown for installer and firefighter safety `'' USA - GERMANY - ITALY - FRANCE - JAPAN - CHINA - ISRAEL - AUSTRALIA www.solaredge.us 4 ( r , ar=oo 5 0 a r, �o — Single Phase Inverters for North America SOI �r,1 F o SE3000A-US/SE3800A-US/SE5000A-US/SE6000A-US/ "�~ SE7600A-US/SE10000A-US/SE11400A-US µ I - I SE -us I SE3800A US,o- SESOOOA-US I SE6000A-US I SE760GA,US.I SE10000A-US: SE31400A-US - 9OUTPUT: Cn t< 1 SolarEdge Single Phase Inverters a Nominal AC Power Output 3000 3800 5000 6000 7600 100 0@240V 11400 VA VV a� I W 5400 @ 208V ... 10800 @ 208V • - I Max.AC Power Output 3300 4150 -6000 83SO 12000 VA - - : <. I - 5450@240V. 10950 @240V• .,..For North America I ` r AC Outpui Voltage IV1in:Nom laez: ..... .. T 183:208:229 Vac - SE3000A-US/SE380OA-US/SE5000A-US/SE6000A=US/ a: h ..`._ .; , .., (, - Voltage m.Nom:Max. '✓ .: ✓ -✓. ...✓ - i ..✓.. .✓- '..J AC Output Volta M' SE7600A-US/SE10000A-US/SE11400A-US zit-24o-z6avat .. ., .... . ..... .... !. AC Frequency Min.-Nom:Max......... :,.. .. t - - - - ° ..._.. "'I" Hz '. 59 3 60 60.5(with HI country setbnp 57 60 60 S) :. F .. ... 8V Max.•Continuous output Current•.•••• 12.5 I. .•16 ') ..21 @ 240V.. .. 25 32 42 @,•40V .!.I., 47 5 A _ .................................... .............................................................. _ ............... ........ .. Protection,CountryConfigurable . . es . r .. k,_ ._ -'werte�,.,.F` • , . - Thresholds I _ g _ ring Islanding - :ra t� C nfi ur SINPUT- •^" -` Recommended Max.DC Power ` veal " :. Recom d M �aRanfil .... .... .. .. ... .... .. .. ..... ....... ...... .. ................ ... -..-..- ',. •. -. „ : 1.,. ,-;`:.. ��,:, _.:...Transformer less,Ungrounded.... 7500 . . ... ....................... ... - •,.w,;..•- �a�iah��," ................ ........ ............... ...... .......... . . W. 3750 4750 6250 -9500 12400 14250 ....: .. Max.ln utVolta e - 500 ..-• Vdcr Pg .. ........................I...... - _ ............................:............... ........................ - .....................:.......... . ... .. .- ,, Nom.DClnputVoltage -_ - - - 325@208V/350@240V...-.-.,.,•'•.............. ... Vdc- _ .... ..... _ ........I. 116.5 5 5 @ 208V 33 @ 208V Max.Input Current.... '. ....:.9.5......I..f.....13......L...:...°�..240V.. ......18...... .......23.......I..30.5...... ........ 34... ....Adc.... •Max.InputShort.CircuitCurrent 30 45.. ................ _Adc_.-- - h ..................._.................,..... ................................... .................'.......... ................. - ... ... . .. .... F Reverse-Polarity Protection Yes ,.•,.,,.. ................. .,..,•,., - ,....,............ .. .......... ............................................... ..................,............... Ground-Fault Isolation Detection "600ku Sensitivity '.............................. .... ..... ................ .................. .. .. .. .. ... ... - - Maximum inverter Efficiency ...•,97.7 98 2-.. 98 3 - -...98.3•... ....98..... 98 .. .k - a. ................. -........ .. .. ...... ...... ... ........... CEC Weighted Efficiency 97.5 98 97.5 @ 208V 97.5 97.S' 97 @ 208V 97 5 % - I.. - - -( 98-@ 240V .........:......975 @ 240V -- -- ° httime Power Consumption...... ........ .. ...........<2.5... ....................... <4 .. ... .... ... .. _ _ Nig ' 1 ADDITIONAL FEATURES - -- - Supported Communication Interfaces RS485,RS232,Ethernet,_ZLgBee(optional) ., ...................................... .......... Revenue Grade Data,ANSI 1 STANDARD COMPLIANCE C12.1 Optional t _ ..a -'•. - :Safety........ ............. ...1..... ......'...:..... ... UL1741 UL1699B UL1998<CSA22.2 a -»:.ra.•....i.�, �.:. i-. ....... .. ..... ...... ..:...... .. .. t - Grid Connection Standards - IEEE1547 . .............................. ...._.... ......... ......... ....... .. ... ...... ...... ._....... ....... ...... - �. Emissions - FCC part15 class B�` 1INSTALLATION SPECIFICATIONS t� ! AC output conduit size 4 .. .. ..............................._...... .... 6 AWG 3 AW/AWGr 3/4"minimum/24 3/ mu / .. ........... ................ ........ ... ...... .. ... .. .... ...... . ...1.G. ....... ......... DC input conduit size/fi of strings/ -minimum/ -- - I .Y.. 3/4 minimum/1-2 strings/24-6 AWG 3/4 1-2 strings/14-6 AWG AWG ran&?_............. - - ¢. - -''Dimensions with AC/DC Safety 30.5 z 12.5 x 7/ 30.5 x 12.5 x 7.5/ - in/~ -{ 30.5x12.5x10.5/775x315x260 191. ................. min ,.•�•+-� ,, _ _ Wei�htwithAC/DC Safety Switch....... .......'....512/.232•_....,. ....:,,.,.;547/247...,,.,••. •,,,. -88:4/40.1...,.'.... Ib/,kg,.. _ ....... ... ` Cooling Natural Convection Fans(userreplaceable) The best choice for SolarEd a enabled systems + Noise <25 ..... ................ .. <50. .._.... ..dgA... g y - Min.-Max.Operating Temperature - -13to+140/ 25to+60(CANversion****-40to+60) FJ C Integrated arc fault protection(Type 1)for NEC 2011 690.11 compliance .Range,.,.,. . ............. ........... . ..„_, ...-...•-.,.- Superior efficiency(98%) - 'i. _ - Protection Rating NE...A 311 MA 3R ........... ........ . ...................... ........ . .f - - •For other regional settings please contact Solar Edge support. , Small,lightweight and easy to install on provided bracket Limitedto 125%for locations where the yeart average high temperature is abme 77°F/25°C and to 135%for locations where itisbelow77'F/25'C. y For deta'led information,refer to luide,cif _ — Built-in module-level monitoring - 4 Ahgher current source maybe used;the inverter will limit its input current to the values stated. - ••CAN P/Ns are eligible for the Ontario FIT and m cmF1T(microFlT exc.SE314GOA-US-CAN). Internet connection through Ethernet or Wireless Outdoor and indoor installation Fixed voltage inverter,DC/AC conversion only — Pre-assembled AC/DC Safety Switch for faster installation — Optional-revenue grade data,ANSI C12.1 f — USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THENETHERLANDS-ISRAEL www.solaredge.us 411 gta�43 • r y SPECIFICATIONMECHANICAC I Format 65.7 in x 39.4 in x 1.57 in(including frame) - (1670 min x 1000 mm x 40 mm) '® r Weight 44.09 lb(20.0 kg) ,.mow"°,a'.*'+••^' , `` fro�irt Cover 0.13 in.(3.2 min)thermally pre-stressed glass with anti-reflection technology ' I Back Cover Composite film ��•.,�;r Frame Black anodized ZEP compatible frame ' y....-- ''•'tea+"' _ _ - cell 6 x 10 polycrystalline solar cells I ' Junction box Protection class IP67,with bypass diodes •` �, = Cable 4 mina Solarcable;(+)>_47.2_4in(1200 min),(-)>_47.24in(1200 min) Connector MC4 OP 68)or H4(IP68) �L '^�'a`•�I ©I0""""" ELECTRICAC CHARACTERISTICS PERFORMANCE AT STANDARD TEST CONDIIIONS(STC:1000 W/m',25•C,AM 1.SG SPECTRUM)' POWER CLASS(+5W/-OW) IW1 255 260 265 FNbmhlal Power _ - - P., IVIII _ - _255 - - - 260 -- - - ^- _ 265 Short Circuit Current Iso [A] 9.07 _ 9.15 - •• - -9.23.l, _- - -_- • , • + ' L • ' ' ' Open Circuit Voltage _ - _ -Vol IV] 37.54 37.77 l Current at Pso, I„w [Al 8.45 8.53 8.62 I „--_ voltage at P_ V.,, [V] 30.18 30.46 - 30.75 The new Q.PRO-G4/SC is the reliable evergreen for all applications,with --- Efficiency(Nomino.IPower) n 1%] z15.3 - a15.6 a15.9 a black Zep Compatible TM frame design for improved aesthetics, opt)- PERFORMANCE AT NORMAL OPERATING CELL TEMPERATURE(NOCT:800 W/m1,,453:3`C.AM f.5G SPECTRUM), [h POWER CLASS(+5W/-OW) fwl 255 260 265 I mized material usage and increased safety. The 4 solar module genera- _ - 95.7 tion from Q CELLS has been optimised across the board: improved output I Nominal Power - Pll [A] 17.31 �17.38 _ 17.44 - Short Circuit Current � Ill [Al 7.31 7.38 7.44 field, higher operating reliability and durability, quicker installation and - - " - `- 81 Y $ P g •1 Open Circuit Voltage VolV [V] 34,95 35.16 35.38 more intelligent design. current at P_ I,- - [A] - 6.61 6.68 - 6.75 Voltage at P_ V,,,, Iv] 28.48 28.75 29.01 ] 'Measurement Iolemnces STQ x 3%(P•„);x 10%(I,°,Vim,Imo,,,Vm„) 'Measurement tolerances NOCT.x 5%(P_):z 10%(I,,,Vim,Imp,Vm) R - INNOVATIVE ALL-WEATHER TECHNOLOGY PROFIT-INCREASING GLASS TECHNOLOGY 0 CELLS PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE 1 •Maximum yields with excellent low-light •Reduction of light reflection by 50%, !9-'m � At least 97%of nominal power during r and temperature behaviour. plus long-term corrosion resistance due ;_° ` ""•'"""'""" first year.Thereafter max.0.6%degra- 0 ffi dation per year. >: r •Certified fully resistant to level 5.salt fog to high-quality At least 92%of nominal power after u , _ ____ 10 years. •Sol-Gel roller coating processing. f W At least 83%of nominal power after �' 10 '-'-� --'- - - F LL E 25 ears. F t ENDURING NIGH PERFORMANCE I y •Long-term Yield Security due to Anti EXTENDED WARRANTIES i All data within measurement tolerances. am m o Full warranties in accordance with the m I ® M° PID Technology', Hot-Spot Protect, •Investment security due to 12-year - { w.n.elylerne-fthe OCELLSsales 111"ou Nct fW/roq I } n organisation of your respive c ecto,"try, and Traceable Quality Tra.Q7hl. product warranty and 25-year linear ° ° o ri The typical change in module efficiency at an irradiance of 200 W/m2 in relation to 1000 W/mr(both a[25°C and AM 1.5G spectrum)is-2%(relative). •Long-term stability due to VDE Quality performance.warranty2. " ' """ " Tested-the strictest test program- TEMPERATURE COEFFICIENTS(AT 1000W/M2,25'C.AM 1.5G SPECTRUM) - •' QCELLS Temperature Coefficient of Is, a [%/K] +0.04 Temperature Coefficient of V. 0 [%/Kl 0 30. SAFE ELECTRONICS `TOE BRAku Pv we�amr Temperature Coefficient of P_ y [%/K] -0.41 NOCT [°F] 113 t 5,4(45 t 3 C)i u •Protection against short circuits and N� r r DESIGN I Maximum System Voltage Vs. IV] 1000(1EC)/600(UL) Safety Class thermally induced power losses due to 2014 u o breathable junction box and welded I Maximum Series fuse Rating - [A OC] "20 Fire Rating C/TYPE 1 Max load(Uus [Ibs/A 50(2400 Pa) Permitted module temperature 40"F up to+185°F cables. on continuous duty (40°C up to+85°C) C Phnf_e Load Rating(UL)2 e y r- - [Ibs/f 2l - -50(2400 Pa) 3 see installation manual - QuatttyTestoa GCHLS QUALIFICATIONS ! . _ _ •M..r,ert+ Mtt INFORMATION° min _ s°br°r°OWr 1013 UL 1703;VDE Quality Tested;CE-compliant Number of Modules per Pallet 25 IEC 61215(Ed.2);IEC 61730(Ed.l)application class A - - - THE IDEAL SOLUTION FOR: ID.40092587 um� Number of Pallets per 53'Container 32 = .MPAI ti° Number of Palets per 40'Container - 26 Rooftop arrays on ons �oMPary D E C E ICO Pallet Dimensions(L x W x H) 68.5 i n x 44.5 ni x 46.0 m residential buildings Q B C� us - (1740 x 1130 x 1170 mm) • . / . rI Pallet Weigh _ ,. 1254 lb(569 kg) e+� v t NOTE:Installation instructions must be followed.See the installation and operating manual or contact our technical service department for further information on approved installation and use of t APT test conditions:Cells at•1000V against grounQed,with conductive metal foil coveredmadule surface, ACOMPPrO this product.Warranty void if non-ZEPterldied hardware is attached to groove in module frame. 25°C,168h = See data sheet on rear for further information, Nanwha 0 CELLS USA Corp. 8001 Irvine Center Drive,suite 1250,Irvine CA 92618,USA I TEL+1 949 748 59 961 EMAIL q-cells-usa@gtells.com I WEB www.gtells.us Engineered in Germany �� CELLS Engineered in Germany )CELLS