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I :1 I I I "I , �, ,� � ,_�` "`�_�",*_ _.. ,��, �_ ", ,.- . ��, , ,'' '' ,-�, , �� , . , �', I , ,� I 11 11 � ,� ',,��_ ��_� , �_ , I . ,, I - �- � � �­ , � , , ,� . 11 I , , , . , I �,,� - ,�� , I I I I I ,� 1, - 1 !, , I:�:', . � - I I I . I � � I 1, I I I I- . 1. 1, ,­ - , I , , I� 1. I I I I 1_ . .-,� I I . 11 , I � I I I I �, � _ � � - I : I �� �, 1 . : . , '' �-,,1:1, - I . . , 1. -, , - -�L� ' '.-� , ;"�.1 , qw, , - " _,, ,, , . � , � " � __,� ��,, 'Aivy' ',��,�-!�,�,,,, ,,,�,�.,,�,,,� -,, .�,,,,--,� ,, 2.,_,:�_ if; ��, � ��,� ,�r', �,-,­ I� . , - - yL n" SAALLLL��_L��� ,,',-L'_,,�,,_ �� �'-L_ ?h 1 _� - - - � ,,, i0: 04, -r ",-Ll_.�, �. -,,, , ­�� ��_,_­,T,�.",,,,,,- _�,",,:,:,,-jr -,�!,:"',.�- .? TOWNrOF BARNSTABLE BUILDING PERMIT APPLICATION TOWN OF BARNSTABLE Map �`�� Parcel �" Application # Zt r!c Vnil t i'P c;: I ' Health Division � Date Issued, Conservation Division Application Fee S 0 Planning Dept. DI, ;Spu"@C,s Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address"1 i�� 11 l� � �SZJIS Village-� Cc ��e,ry•��� O`-w e r WU Wd_dr se �OC�`1\A 0f Y�QAS Telephone) � � ^�. "f�J y�•p - �_P_ermit.Request �90 1&A e GA1L i 1 SN 6e,.e irn-e y1 k- U A a N,oloL f�o�m Cc�r9. -�k1_V12,1\ row Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay i Project Valuatio: Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full 0 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 TL�bmrk__\Qa�k Telephone Number y`- �- -OSL llJ (Address C��—Il Mirw' ��` License # Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE [DATE-, FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE . r OWNER F 1 DATE OF INSPECTION: " FOUNDATION FRAME INSULATION t ; r FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL OAS: ROUGH FINAL a FINAL BUILDING ' • DATE CLOSED OUT c ASSOCIATION PLAN NO. ,k 1 Tire Commorrvveaj h o,f isssachusetts DBE iartwent qfIndustyid Accid erddts - - Offl-ce of lnvestrWens ` 600 Wash ngii on Street Boston,4"02111 wi 11.wasmgOV1drtr Workers' Campensaf en Insurance Affidavit.Buuilders/ContractarsJEIectt cianslPlumbers Applicant Information Please Print Legibly t>S�SSan�ionnal):�� Oa � 4A S - Are you an employer?Cliecicthe appropriate bay: ' Type of project{regnired}c 1_❑ I am a employer with 4. ❑ I amr a getreral confractor and I' �. ❑New cansizuetion etnployee�(full and(or part-time.* have hired.the sub-contrat�ois 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling 1 r slip and have no employees These sub-'contractors have g-•❑Demolition *oddng far me in any capacity. , employees and have wodcers i Building addition [No worbars'comp.insurance comp-ilmraflml "' �' 9..❑ F y i regutred_] s .5. ❑ We are a corporation and its 10-0 Electrical repairs or additions 3. I am.a homeauuer doing all work. officers have exercised their 11.❑Plumbing rep airs or additions. myself o workers' fight of exemption per MGL �' � �F- 121-1 Roof repairs . c.152, 14 and we have ir�c�rraf�re required..)� § { k � 13_❑'Other . employees.[No workers' , t; comp-insurance required.1 ` 'AayappBc=&stcheckshasfflmnztalsafilloutihesectioabelayshu iugthe'moo&eWcon3pevsatioupoUryinfonnirdon- F ameoarnerswho submit df�is af5dati�t indicaiiag that'asedais;alTwca3t sadthert]nae aatsidecont�acmrsamct suhmitanewaffidavit huhcaiiao sadi fCoa rKWrsthat chest This boat must attacked as additional sheet showing the nacre of the sub-camtscmo-is and state whether or notthose en itkshave employees.Ifthesub-c=tactorshave employees,theym=pmvide their worker;'comp.policy number. I a►ii an eutplL?jwr€liat is pr4nzding workers'coitgwtsadait invirance for airy*earplo,},ees $etow is rite porky anti jolt site iazfotwtatiarL Insurance Company name: F Expiration Date: olicy�or pelf--ins.Lio.4: - ' Job Site AAklres=: - City/State�: Arch a copy of the workers'compensation policy declaration page(showing the policy number and expiration,date). Failure to secure coverage as required under Section:25A of MGL c 152 can lead to the imposition of criminal penalties of a fine up to$1,500:00 andfor one-year imprisonment'as well as civil peaalties.im the form of a STOP WORK ORDER and a fime ' of up to$250-00 a day against the violator. Be advised that a.copy of this statement may be forwarded to the tflffice of ° In-Cstigatioms o e DFA for insurance coverage verification . I ri'a hereby . .d .0 'ris dp8n ofperjuty,thatAe informadan proud abmw is true atd carrect ILL fPh--a7r,-)06 .o Official use only. Do not write in this area,to be completed by city ortotrn of)Scut City or Town: PertmtUcense if Issuing Authority(circle one): 1.Board of Health 2.Budding Department 3.Citylrottrn Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Oither Contact Person: Phone#: bformatian and Instructions, Mkerachusetfs General Laws chapter 152 rmp rm all employers'to provide workers'compensation for their emplcYees- PnrSUZnf7tD this sfSmmie,au MnFZayee is defmed as."_.every person is the service of another under any contract of hire, express or implied, oral or wEittc� An employe is defined as-an individual,partnership,association,corporation or other legal eati y,or any two or more of the foregoing engaged in a joint enterpzr se,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwe.Iling house having not more than three apartments and who resides therein,or the occupant of the - dwPTTmg house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appi r� thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also sues that`,,`every state or local licensing agency shall withhold flie issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states-Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance._ requMemen s of this chapter have been presented to the contracting authority_" = Applicants Please fill out the.woiers'compensation affidavit completely,by checl the boxes that apply to your sitnation and,if necessary,supply smb-eontractor(s)name(s), address(es)and phone nmmmber(s) along with their certificate(s)of s mnce. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cagy workers' compensation insurance. If an LLC or LLP does have employees,a policy is regnire& Be advised that this affida-fit maybe submitt r-d to the Department of Industrial Accidents for confirmation of insui-an ce coverage. Also be sure to sign and date the affidavit The affidavit should beret=ed to the city or town that the application for the peratit or license is being mquested,not the Department of La-a strial Accidents. Should you have any questions regarding time law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below Self-insured companies should enter their self-inm=ce license number an the appropriate Ire. City or Town Officials t _ Please be sure that the affidavit is complete and priated legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant- Please be sure to fill in the pw itllicrose mnnber which will be used as a reference number. In addition, an applicant that must submit multiple pennWhcemse applications m any given year,need only submit one affidavit indicating current policy in�naation(if necessary)and under"Job Site Ad��ess"tie applicant shoT�Id write"all locations in (city or town) "A copy of the affidavit that has been officially stamiped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for fuhse permits or licenses A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial vent re (i.e. a dog license or permit to bum leaves etc.)said person is NOT rued to complete this affidavit The Of of Investigations would IBM to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call- The Department's address,telephone and fax number: The Co•=MmWealtbE of Massachus,-n s DtpaztmeatC&Iz CIM' dalAOCideDts Moe of Div atiw� �Q4�ashingtan S`i�t ' Bo tou MA G1 I II Tf,-L 4 617 727-49QO cot 4-06 or 1-. F, Fax 9 617-727-77V Revised 4-24-07 m2sgo�fdla AfVC Guide to Wood Construction M Higli Wnd Ames: 110 ncph Wind Zone Massachusetts Checklist for Compliance(780 CKR5301.2.1.r)r Loadbearing Wall Connections - Lateral(no.of 16d common nails).__..._......................(Tables 7).........._..... ..... ...__........ _ Non-Undbearing Wall Connections Lateral(no.of 16d common nails).._........._....._.:..._.(Table 8)....:....__..._.__........:.........»_......._. r Load Bearing Wall Openings(record largest opening but check all openings for conipgance to Table 9) Header Spans ....._.............._____._.....:........._.(Table 9)..__........._...... in.511' SidPlate Spans _......._..:........._........_._._._.._...-.(Table 9)....................._...........—ft. in.511' Full Height Studs (no.of studs)..........._........._.:..:.......(Table 9)..........._....._........ ..........._.........__ Non-Load Bearing Wall Openings(record largest opening blrt check all openings for compliance to Table 9) Header Spans............................ .=..:_...(Table g)...........:......_._..........._ft- in.s 12' Sill Plate Spans...._.___.....---::.._._._.:.....w._..:..___. able 9 . Full Height Studs(no.of studs)........_......._..___-- .(fable 9)......._..........._..._ __......... Exterior Wag Sheathing to Resist Uplift and Shear Slmultaneously4. Minimum Building"Dimension,W - Nominal Height of Tallest Opening• ............... ....._....._........ ......_...._.:....._ SheathingType........................................(note 4):,............................. ..... ........ • Edge Nail Spacing..... ` - .....(Table 10 or note 4 if less)... In. ' Field Nail Spacing,....... ......._.: -:_....(fable 10)......... in. Shear Connection no.of 16d common nails)(Table 10)... ....... .................................... _ Percent Full-Height Sheathing.__._:..........: .(Table 10). .. .................................... .. 5%Additional Sheathing for Wag with Opening>6'8'(Design Concepts)._.._....:........ Maximum Building Dimension,L Nominal Height of Tallest Opentng•...............:...................................................... S 6'8' SheathingType...__............................._...(note 4)._................_.__.....»....__..._...._ Edge Nail Spacing......... 11 or note 4 F less)........................ in._ Field Nag Spacing........._..__...........:..._....::.(fable 11)............_..,._.........__......n....... in. Shear Connection(no.of 16d common nags)(Table 11)......._..r_.....».._..._.___................_ Percent Fug-Height Sheathing_,_-_(Table 11).......... ...-........._......---_:.�:._.__9�0- 5%Additional Sheathing for Wall writh'Opening>6'8'(Design Concepts)-...............:.. Wall Cladding Rated for Wind Speed?. ..._._........._.._..:..__......._....................._.........__..... .._... -.._._ __»._ 5.1 ROOFS ` Roof framing member spans checked?...........:...__.....(For Rafters use AWC Span Tool,see BBRS Website) . Roof Overhang .................................................(Figure 19)............. ft s smaller of 2'-or L/3 Truss or Rafter Connections at Loadbearing Wags Proprietary Connectors Uplift...._..._._............... __»_-_..(fable 12). .... . ..._...........U= plf Lateral......... .................:..............(fable 12)..._........._....... ......_.._-...L= plf Shear._..._........._...... .(Table 12)..............................__.. -S= .p� Ridge Strap Connections,ff coil;;ties not 1 tsed per page 21... (fable 13).............................T= plf Gable Rake Outlooker......................................._.(Figure 20)....:........_ft s smaller of 2'or L12 ' Truss or Rafter Connectlons at Non-Loadbeartng Walls Proprietary Connectors Uplift__:..... ........ ......_..___.._-(Table 14)............._............_ _.......,U= lb. 4 Lateral(no.of 16d common nails)_.(fable 14)....................: - ...................L- lb. Roof Sheathing Type_ _._._...._.. .. ....____..(per 780 CMR Chapters 58 and 59) ........... Roof Sheathing Thickness................. _. .._..._............_._........................ _in.z 7/16'WSP Roof Sheathing Fastening_-. ................:........._-..........(fable 2)_............._._............... ,__...._............_.. Notes. .1. , This checklist shag be met in its entirety, excluding the specfic exception noted in 2,to comply with the requirements of 780 CMR-530121.1 Item 1.if the checklist is met in its entirely then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel straps per Figure 5 . b. 20 Gage Straps per Figure 11 c. Uprd Straps per Figure 14 ' d. All Straps per Figure 17 m Comer Stud Hold Downs per Figure I Sa and Figure 18b 2 F=Wtlon:Opening heights of up to 8 fL shag be permitted when 5%is added to the percent fuMeight sheathing requirer6wils shown in Tables 10 and 11. 3. The bottom sill plate in exterior wags shall be a minimum 2 in.nominal thickness pressure treated#2-grade. A FYC'Guide to Wood Construction hi High W2nd Areas:110,wph hrind Zone Massachusetts Checklist for Compliance(rso nrrz53oi•2.i.l)' Lf Check . Compliance 1.1 SCOPE WindSpeed(3-sec.gust)........._..._.......................__..._..___...............».._......_.............._,._.:.......110 mph WindExposure Category........_..............._.......»..._._.._._.»................_...._...._. ....................._....._......:._B Wind Exposure Category................Engineering Required For Entire Project.......................................0 • 1,2 APPIICABIUITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories 5 2 stories RoofPitch._._.._-.._..:._._...:__...._._..._...._.__.::...._..._(Fig 2) ......._................•---........_.... S M12 Mean Roof Height•_..............._._._.__.........._.........._....._(Fig 2)_._._............___..............._.... ft :9'33' Building Width,W_......_»..._..»..._._.......»..._.._..._....._:_(Fig 3)_.._.............:._._............__:._.._It s BO' BuildingLength,L .:........_.._......._......»._... 3).._._-._................:..... _ � ..... ..... ............... _ft _60 Buldh;g Aspect Ratio(l/W) ....................-_......_......_..._...(Fig 4)........._................----- - S 3:1 Nominal Height of Tallest Opening F 4 ' 1.3 FRAMING CONNECTIONS General compliance with framing kxinnections.....__... ....(Table 2)......................................................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Connete...........................:............................................................................_..................---- ConaeteMasonry....... _......_......_...._............:._.._..:........._..... 22 ANCHORAGE TO FOUNDATION1a 5/8'Anchor Boltsdmbedded or 5/8'Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general.................................._ . •.(Table 4)..........._.... ................... In. Bolt Spacing from endroint of plate..._......._.....___...(Fig 5)._._..._.__..:................. In.5 6'-12'. Bolt Embedment-concrete....... (FIg 5)........_.._...---»_.._..:._.._...._._._In.z r Bolt Embedment-masonry......................__._......_(Ffg 5).....:..._.i.......................__... In.a 15' Plate Washer..:.............. . . _ .._i 3'x Y x'/' 3.1 FLOORS Floorframing member spans checked .............»...._._...._.(per TBO CMR Chapter 55).........._......._.....:.._...� Maximum Floor Opening Qimension._:._........_......_._.:..._(Fig 6)............:_..........:_------- ----- *.»...._fts 12 Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)..:.............:...................... Mhx knrim Floor Joist Setbacks Supporting Loadbearing Walrs or Shearwall.....»......._(Fig 7).................. ft _<d Maximum Cantilevered Floor Joists Supporting Loadbearing Walis'or Shearwall_..».._....-(Fig 8)_.._.............................................._ft s d FloorBracing at Endwalls........._..........»__._...-._._-...._..(Fig 9)_..___.._............................_...._..........._. Floor Sheathing Type ........_............_..:.»..._...._._.._...._(per 780 CMR Chapter 55).................._:.._.._..... Floor Sheathing Thickness......._._._.......».._......_...._:.....(par 780 CMR Chapter 55)................ In. Floor Sheathing Fastening..._....................»......................(!"able 2)__d nails at in edge/_in field 4.1 WALLS Wall Height • Loadbeafing walls-_..---- ........._»...._---....._....._.-._.(Fig 10 and Table 5)_.......»_.._......_._ft 510' Non-Loadbmdng walls.._.._...:......_...._......»:............(Fig 10 and Table 5)......................._.. ft's 21r Wall Stud Spacing ....._»..__._........:............_.............»(Fig 10 and Table 5)..................._In.<_24'o.c. Wan Story Offsets -......_................(Figs 7&8)_.............._................__....._ft s d 42 OXTERIOR•WALLS Wood Studs Loadbearing walls.».»..............._......._........_..........._(Table )........_............. ...mac _ft in. Non-Loadbearing walls :(Table 5)­­---:------------ Gable End Wall Bracing' Full Height Endwall Studs..__...._.__.._......_._......_...(Fig 10)_....._._.................._......... ...._.._...._:....... WSP.Aft Floor Length.__»_._..::__.__-..-......-_.....(Fig 11)__...._._......._. .._ ft kW/3 Gypsum Calling Length(If WSP not used)....:._.-....._»(Fig 11).__.._..._.....;_......:........:..._ft z 0.9W _ and 2 x 4 Confinuous Lateral Brace Q 6 fL o.m_(Fig 11)..............................._...... __.._.».._,.._ or 1 x 3 aaling_furnng strips @ ISO spacing min.with 2 x 4 blocking @ 4 ft.spacing in end jolst or truss bays Double Top Plate Splice.Length .._.._....:..:......_....._._...._..__.._..(Fig 13 and Table 6)................._.........._...._ft Splice Connecfion(no.of 16d common nals)........_....(Table 6)..._.__._»......__..........._..:...».__.... . AWC Gristle to Wood Construction hi Ric,[ 1 Yind f{reas' 110 mplr l�rrd Zone Massachusetts Checklist for Compliance(780 CIIAR 5301.2J.-I)' 4. a From Tables 10 and 11 and location of wall sheathing and Buflding Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: L Panels shall be installed With strength axis parallel to studs. it. Ali horizontal joints shall occur over and be nailed to framing. III. On single story construction,panels shall be attached to bottom plates and top member of the double top plate- lv. On two story construction, upper panels shall be attached to the top•member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first fi6or framing. - v Horizontal nail spacing at double top plates,band jolsts,and girders shall be a double row of Bd staggered at 3 inches on center per figures betow:Vertical and Hormntal Nailing for Panel Attachment S. Glazing protection:a)new house or horizontal addition—required if project Is Ingle or closer to shore(generally,south of Rte.28 or north of Rts.6) b)vertical addition—not required unless there is extensive renovation to the first'fioor . c)replacement windows—needs energy conservation compliance only(chap 93) 6.Wood Frame-Construction Manual(WFCM)for 110 MPH,Exposure B may be obtained from the American Wood Council (AWC)website. Wt-Is MMEDGEMrsrn+ FWAMUSEMMA" ` 'ATebc 11 11 y9 . 1 I If it / 1 i ii it a t { �r It d d L I ,1I II 11 1� d 1`f`f/ It. - Lt 11 11 ! 1 .,II II L? i t { 1 1 1 RaAM1FlG MBA 1 1 is 11 1 ®6Ei1RT3*AEMCTE al L 1 IL u u°� ` r'II�I DOd�bLE E ,14 STAra'[;EFID 3'hdhl NAl4SPAGkVt3 P Al4L PA7T8iN PAWL _ f • , PAHLIDC roui3mm -mrgsPAcwmm3xL Sea Detall on Next Page Vertical and HDftntal Nailing Detail • Nailing Ve for Panel Attarhme�nt fical 0nd Hotizonial for Panel Attachment f I 00 � ��i�'.f3 - ♦ • ' p �� c 1 aa � J�q���l� Town of Barnstable Regulatory Services a dF'THE Richard V li,Director ILd gultd g bivision e BARN9r.43314 ` Tom Perry,,Bullding Commissioner MAM 1659. � _... 200 Mam Street, Hyannis,MA 02601 www.town.barnstable.ma.us- Office: 508-8624038 � Fax: .508-790-6230 t V1T,0:,? HOMEOWNER LICENSE EXEMPTION DATE: Please Print JOBLO ATION number street village c (`°i101�owNER�: \ &A&C UW 50� -r Q92i 0 O(o c9i - -Q�Q l name —�-' horde phone# work phone# C�URRENT-MAIL=ING ADDRESSt Ca Q�P ��>>� o� o2C••PL� '� city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwelling of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as su ervisor.. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- . family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersi om er'ce 'fies that he/she understands the Town of Barnstable Building Department minimum inspection pro d es re is d t he/she will comply with said procedures and requirements. Sign omeowner , Approval of Building Official , Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.12 Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that.he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXI'RESS.doc Revised 040215 y THE� Town of Barnstable Regulatory Services BMMSTMM Richard V.Scali,Director i6 � Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must ` Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) **Pool fences and alarms are the responsibility of the applicant."Pools 1 are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS Town of Barnstable CF THE Tpyy Regulatory Services ti Richard V. Scali Director • Building Division&UMS B BSTABLE « v '1639. �' Thomas Perry, CBO 1639-2014 ATFD N1°� Building Commissioner 200 Main Street, Hyannis, MA 02601 ` www.town.barnstable.ma.us Office: 508-862-4038 , Fax: 508-790-6230 December 30, 2015 Judith Oakley 100 Five Corners Rd. ` Centerville, Ma. 02632 RE: 100 Five Corners Rd., Centerville, Map 168 Parcel 036 Dear Property Owner; This letter is in response to application number 201507940 submitted to finish the basement at the above referenced address. Unfortunately the application can not be approved at this time because of the following: 1) The construction documents are contrary to permit request(new bedroom shown on construction documents but not on the permit request). 2) Construction documents incomplete(four sets of floor plans showing all levels with smoke detector locations in compliance with 780 CMR needed). 3) Maximum of three bedrooms allowed per Board of Health sign off. Respectfully, �ao Local Inspector j effrey.lauzonatown.ba'rnstable.ma.us (508) 862-4034 �,� . ,��1,4. �� Town of Barnstable �tHe,gy, Regulatory Services Richard V. Scali,Director BARNS,.ABM ; Building Division AMSTABI,E Mass � Thomas Perry, . � w• �1e3n 62014 , rED1i"°rp Building Commissioner 575 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs , Office: 508-862-4038 Fax: 508-790-6230 November 18, 2015 Judith Oakley 100 Five Corners-Rd. Centerville, Ma. 02632 RE: Exit Order for bedroom(s) in basement Dear Property Owner, 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). 2) Basement fmished without the benefit of building, electric and plumbing permits. The basement work was done without the benefit of permits and the required inspections. Building, electric and plumbing permits are needed with successful completion of the required inspections. Please do not hesitate to contact this office with any questions. By Order, L. Lauzon Local Inspector f j effrey.lauzongtown.barnstable.ma.us (508) 862-4034 tl E , ___ �-----�-i - - 3---� Colt k -7—c a n CAL (�OVA IFD 201304428 07/05/2013 C 273122022 116 SETTLER; 201304871 07/22/2013 C 002002104 75 PHEASANT 201305151 07/31/2013 C 273204013 60 SCHOONEF 201305157 08/01/2013 C 325084 174 BAY SHOF 201305667 08/19/2013 C 002002001 22 PHEASANT 201306534 09/18/2013 A 136025 22 BURNING 7 201306790 09/26/2013 A 102199 10 HOLLIDGE 201306862 09/27/2013 C 307156 77 HIGHLAND 201307085 10/07/2013 A 317043 3611 MAIN STI 201307246 10/09/2013 C 273122035 8 SETTLERS 201307247 10/09/2013 C 273122026 86 SETTLERS 201307248 10/09/2013 A 273122023 110 SETTLER 201307262 10/15/2013 C 057010001 1336 OLD PO 201307420 10/17/2013 C 333003007 105 BRENTW 201307952 10/30/2013 C 273122018 / 121 SETTLE 201308218 11/08/2013 C 046004 190 SCHOO 201308278 11/12/2013 C 272093 87 BUCKWO 201308717 11/22/2013 C 002002055 277 PHEASA 201308912 12/02/2013 C 002002005 58 PHEASA 201308989 12/04/2013 C 273122013 75 SETTLER 201308990 12/04/2013 C 273122014 85 SETTLE 201309103 12/09/2013 C 002002075 207 PHEAS 201309104 12/09/2013 C 002002093 64 SPRING 201309105 12/09/2013 C 002002100 37 SPRING 201309398 12/18/2013 A 279088 111 HARRI September 26,2015 Owner of 100 Five Corners Road: Please be advised that signage that is in place consistently is not allowed in residential Signs from realtors, and signs from businesses doing work are allowed while the prope ty i su for sale or while work is being done, short term only and temporarily. Five Corners Road s m a . residential area. These rules were made r protect the integrity the value of all the homes. If one owner erects a sign it opens the doorresidential or others to think nk tect can also, any type of sign could appear, which would soon brio the propertythey area. . Home owners today are under extreme angst over the value of their vales down in the _ tremendous time and money to protect their investment. Your Property greatest asset, they put front lawn for quite some time, which althou h P Perty has had a sign on the frosimplyg you may feel verystrongly cannot be erected g y about this issue Please consider your neighbors investments and obey the rules for signs in residential areas. J MITH OAKLEY 100 Five Comers Road Centerville,'MA 02632 � t3' >>ii1,1tjllil.; .IIlIjI-rI1.1i-1ji,Ill 1.11]11 1Ili;i�1111J i:lhl:1il 11 5b�-zq Z D1�1 She av� AN901 y A OvAj,"i her .-w —I ke douu n u s� Ott s ,o her a� � 9 `� PP Vl`�� ; o� .1 tea �c Sore S� wa1 vlo� Ivil vjo l( t ioh 0� sI'yvl vrd�wdv�C t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel b Application # S U SO) Health Division Date Issued 9 / S- Conservation Division Application Fee Planning Dept. Permit Fee B Z- �D Date Definitive Plan Approved by Planning Board Historic - OKH Arn Preservation/ Hyannis /60 �Project Street Address 1 00 -��,cy1crSDc Village C�V�, Owner AuA�vkk -A 00-�Ve_ Address :ELTc- Cs t c,- s Ro4cj Telephone Sag. a9 • 65 Permit Request l( > n c a c t a� 2 c 5t�tv c L,)\*& Sl= Gl e 5 h' Square feet: 1 st floor: existing _ proposed 2nd floor: existing proposed —Total new — Zoning District RC Flood Plain Groundwater Overlay Project Valuation ,tuLr' Construction Type R-3 Lot Size Grandfathered: ❑Yes &No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes-ra No On Old King's Highway: ❑Yes 54 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 siz000l: ❑ existing ❑ new size Barn: ❑ existing ❑ new sizeA Attached garage: ❑ existing ❑ new sizShed: ❑ existing ❑ new size&6ther-.,Z:: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ ZZ 3 �` ;. Commercial ❑Yes 0,No If yes, site plan review# = - Current Use� Proposed Use O > a APPLICANT INFORMATION (BUI ER OR HOMEOWNER) Name CIVIL <- Telephone Number ���'• rs �3 7 Address License # CS— I Dg6 IS— r A cS�L&6 Home Improvement Contractor# Email C <_f 6^C • Le1w— Worker's Compensation # W�761. ALL CO RUCTION DEBRIS RESULTI G FR M THIS PROJECT WILL BE TA EN TO c duw L, SIGNATURE DATE C 6 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED 'MAP/PARCEL NO. x ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE s ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING z' DATE CLOSED OUT r - Y ASSOCIATION PLAN NO. S r OWNER AUTHORIZATION MID: Location: COA4try W-e,, as Owner of the subject property hereby authorize 5ollan•ckv Coate—IMC 169572/ IA]Lne 1136 MR to act on my behalf, in all matters relative to Work authorized by this building permit application and signed con . Sign ape of Owner: Daft: - ��:. ..a::�'1.:N.. �I t 1; ',l.i. . ..w: 4..ZI u•...i: .T.C.7 .�..�� �.� „ •. ..Cll7�li�.r:�i��.T.�ti. A 1 VI,.1; A•. l+I. 4: .? hlatsfe luswtu beptaftment qi puvlic SAtety Bea d of BwtBonp R.t.oWstronti 40d Standrtdlk :.,..f�tintlr C&108815 JASON PATRY 821 STEWART DRIVE Abington MIA 022SI r i +K+n€air:+tiRa� 020812019 al'. I/ctur+t�arsr(& *=: Office of Co®sumtr Affairs&Qosiness Regulation t HOME IMPROVEMENT CONTRACTOR I Registtatlon: 168572 Type w r Expird@On: 17 Supplement C"3/8f20 SOLAR CITY CORPORATION JASON PATRY 24 ST MARTIN STREET BLD 2UN1 IMALBOROUGH,MA 01752 UoOerseen Urq "t1,jelt1 1a - Office of Consumer Affairs d'Business Regulation `4 g . A 10 Park Plaza Suite 5170 Boston, Massachusetts 02116 Home ImprovementContractor Registration Registration: 168572 Type: Supplement Card SOLAR CITY CORPORATION k Expiration: 3/8/2017 CHERYL GRUENSTERN -_-- 24 ST MARTIN STREET BLD 2UNIT 11 - --- - _.-- MARLBOROUGH, MA 01752 Update Address and return card.Mark reason for change. SCA1 s apr.o 4 " Address Renewal ;,Employment `1 Lost Card :� ,%li... :1%r•tu lir r''/i//h ir�%1`7,- �1.,3diIP/i rr.,'(%; - - . ' fTice of Consumer Affairs&Business Regulation License or registration valid for individul use only at-- SOME IMPROVEMENT CONTRACTOR : before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation = Registration: 168572 rYPe 10 Park Plaza-Suite 5170 Expiration: 3/8/2017 Supplement Card Boston,MA 02116 SOLAR CITY CORPORATION CHERYL GRUENSTERN a - W 3055 CLEARVIEW WAY SAN MATEO.CA 94402 Undersecretary -Not valid without signature 77te Cor�mnweolelt of Md�saclurse�s Depe*wnt vfdndus# aiAccftlenLs 1 C0M8MV,*reASuiteJ00 Ron'ono Md 0114-2017 1V arkeis,Campa dou Iasaranea Allihavit::BalEtloWContmetars/Electiid2wiPhimbers, TO BE Elm wrrH THE P>i;ltbtn-mG AuTtiowy. rt► Ip a tl ..Flftm Print tgalbly Name f e-k siorganiaaigtJtstdiviChret): SolarCiq Co oration Address: 3055 Clearview Way City/staterzip: San MatVCA 94402 Phone#: 898.765.2489 s Are yna all tw0eyer?Check the approp4aee teas: Type of project(requited): i.�[aasaeraptoyeswah 12;500 c,Vj0 ees(fananrP_Fn )• 7_ nNowconshXtion. , 2.[]t am o We proprtm or put3c ihip and have no employees wonting-lam me in 8. ReStQ¢C!' 4W-PMAY.No wadcers comp inaaanae rcquhe'Ll ❑ Mg 3(ji ant a homcowmr domg aD walk myself rah wadsn' r 9. 0 Demal itiari amp ire[t:grticed.] d�I mn s hu"iBcrmiduffl be 10❑BW146*I addition hiring cbnaeeltrn to eanthoet ell vrortt on ray property I will cntutt thataft roautactnrsatt r love o tas'componsadon msur=aoromsole I L[]EWMical repairs or additions pmprietms wmr no eaptaycs 12. Pltffitbitr[� g repairs or additions 5[j t am a general egrtttt=and I have hued the sne.enaeraet n icsted en the attehed Awt 77axc waJ.,ortneors here eatptsyles out haev.warkas'somp.MUM [3.(7Roof repairs . &❑We area caqual rt and its affic rs have exercised their r4n of exrmptimr gwMGL a t 4.EROther Solar Panels 132.II(4l,and we have no employees.IN*%wkera'corny.insu+•arxa megrnred.] ;Any%*Meant that chairs box p t must"- fill trot the sefon betowshawdcg their nmlCds 4aatpetssutiett golicy in#brmmian. Homft%wwa who m6mit this aff+daritindwxjng they are doing ali*Ock and then hLv GHMI a eumroctma mast submit a new Wrdavrt xAcatrag=d 'Contractors tint cbak lttis box must MMChed an Wdittonat short 3howiag the same offie sub conu7rctocs sad state whether ar not"so cdjues bave employees wwkem' poiic)nvmbcr {ruts�er�p&+ycr�ins p�avitl}rtglyvrkrrs'rn�ersseu�n irrsururxe fbr trey engpltryee� ltrlow is rkepotiry mid jdb site issfoirnrrGf4rs. . ]rourance Company Natna. Liberty Mutual Policy#or Self ins Lic.#: WA766D066265024 'Expiration Date: � lob Site Addcesr. _100 dive Corners Road _ CnyJ8tata1Zig-_Lentervil1e MA 02632 Attach a copy of the workers'Compensation policy declaration page(sbowi8gthe policy number and expiration dotal- Failure to secure~coV=V as required under MGL c 152.§;SA is a csrirnittal violation pur ishab€e by a Brie up to$1.506.00 and/or one-year imprisonment,as wctl as civil Penaltiaa in the Win of a STOP WORD ORDER*A.g Gine of up to$250.0'0 a day against the violator.A Copy of ft simment may be forwarded to the Office of Investigations of tine DtA for insurance coverage verifitmdon. {do heRty CV20 Xn&rghe Agifis tmdpeaeaftiex ofPerjaary dtat dLa iiKfarnmrioa provided ttbave is fte earl coer eeL Dam: August 14 2015 O f d d use a*. Do nw write In A&I mm&be cAWWed by city ortmrcrr effidel City or Town: iPtrIt/i ise# Issuing Authority(circle ti sa): I.Hoard of i1dth',2.&tilding Department 3.:Chyfro►vn Clerk 4.t lectrital Inspector,S.Plumblag Inspector 6.Other k Contact Person: Phone 11 .4co CEFtMICATE OF LIABILITY INSURANCE` °^'�, THIS CE URCAM IS 19WIM AS A UAT'flrA dF IMFaORMiI=N c1L.Y AND h.QNPM NO W&M UPON THE C.RIlT =Tg MOB TM COMIMTE DOE$Il=AFFiIiBAATWMY OR NEOATN Y AMEHD,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE MUM QMJD AL T1 d Ci3[TfFMU OF AZSURAMM 000 tidr bom&MTo A CONTRACT murA W IM Moms jwKw lMr.AUtfi4 M . HEPRESEIMME ORPMUCER AND 7HECERMWAT'E HOLDER, 1AAPORTANP. R the offlUa s holder is an A1iDY{OML llt$IIA—M On (lea)tt W LIa onduMd If SUwWM WAWm swam to, the tame and cDnd lone of do 1301kYr o8lt W poNsfae wY mmWt o an 4Rdorsamsnt. A sta ftma t an ttdo cWtIfieab dons vied eonfar rtggta to Ow awd9aattt bddw In ltw ofwAh ndqTMEL �AASFt�51(B,IS�RM+IfaiflG� - 395CALIF�DfQ9AS�El',SIAI-EIBf& •. . ,,. j� . MCA 94101 A �*15 � .LC4eAyt Etolud Fie U61Rffiim Y SI1586 INBt>R Ph("DomF �16118lICB 4t9104 fig*t(fO"amiol Im unaRc.14A. tfA SM Maim.CA 9dd xro: COYERAM CERTIf"TyE NUMBER: SMX4402" ROMN .4 TINS IS TO CERMY THAT THE PottCM OF INBURANCS USM, RaJOW HAVE BEW MUED TO THO M1 MD NAMED ABOVE fW lifE POIdCY PERIOD MWATED. M07VN7HSTANOIHQ ANY REQUnW46M,TERN!OR COl4O1'ftON OF ANY CONMdT OR OTNER DOCl MUff VMM RESPECT TO w4lCH INS CERWXATE MAY BE ISSUED Oft MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES USCROED HBRFJN IS SUBJECT TO ALL ME TFPM% EXCLUMM AND CONW-10NS OF RUC"POL10 S.LIMITS SHOWN MAY HAVE BEEN REDEMED BY PAID WAS 'iWMOPUMORAMM . umm A 6mmrAL1UV8 m O fEbi4 U$ifif2QL5 si►CFtOGcxIRRp1Ce i 1�OD.000 " X GOh�l9Flt`rA�GE('&RA4LtAEl1LiTY ._ " . , 10'�,Q71� CL4trq'rum OCCU{t r�oraLanavnawRr � ..----•-• ��� GB1'L�GGREGATEWrAPPLUSSPBR pRaOQK."lS.Ct1MP�DpgOG" s 2A00006 x Pamx L6C I a A MU'a91A OU LMolltY ItSR 661-0 Od¢ GftQ1l 4 IWWI$ .S E T 4 ADA lxxphm*mp ANWAMALLDVWCDAUTOS. AVM . . . - . . 9001�YKwftv(pw-dde4 iHIRMAtMN BrnoCORPICQI DISC i UWAMIA UAW i)G001 SUN ffiUN JKi[3H 41n7E Q � t omfml EMPUNBL LM01Rr�xe 4 sraTt� Ai MIA WC768i 904(OVq 0910i2014 0�01Jd}t5 F.L.EKC"Axld I . s & 1sn_ -9NCF18LE:6350,006'` FJ_Da�sF-E/1 s 1�W,aQO FL -p4tlLYlfklfr OF OPEIWTFWt6fLOQAtfdR/o61LS,Fl SAi6eh ApORO ttry A�llw�tRw�iWa Sd��edb/g q roM�s�re�lkc taq�edy , fvfdo�o11�akE.— CaR TE HQLDER - CANCEIATM �. OlaytugAN'Yt?FTI•ZEr4ttt#YN OFD fAt.IGINBt#E RMICF.Lf,Np BP.FORE SM Mo.CA 994<E TM EXMAUM ERTE TI EPEDF. ROM WILL M W kCCORMIIIG&WiTi4 THE POLY WtQVi$IDIALS. . Np4t3tU�ID1U3N6SEHtArille � . W 130-2{a ACM CORM7I0L All ri"roved. ACCRO 18(ML" no ACORp nwne,and logo arq N#G%ft ed i i p of ACOM Version#48.9 r- 7� SolarGty( l 7 N OF August 13, 2015 Hf N G Project/Job #0261659 c - RE CERTIFICATION LETTER n I L Project: Oakley Residence 100 Five-Corners Rd . Centervil;MA 02632.,., i.>. Sg NAL ENG 08/13/2015. 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: }'„ .. -Applicable Codes MA Res.Code,8th Edition,ASCE 7-05,and 2005 NDS ' - Risk Category = II -Wind Speed = 110 mph, Exposure Category C -Ground Snow Load = 30 psf - MP1: Roof DL= 11 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 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 roof framing,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 any questions or concerns regarding this project. ' a Digitally signedby Nick Gordon Date:2015.08 13-16:09:59.07'00' 3055 Clearview Way San Mateo,CA 94402 T(650)638-1028 (888)SOL-CITY F(650)638-1029 solarcity.com { AZ ROC 24377 t,GA CSLB 888104.CO EC 6041,Cl'H1G.0632778.oC HIC 71101486•DC HI,S 71101488.I11 OT-29770,.IvtA HIC 168672.MD NiHtC,'l2a848,NJ 73VH06160600. ' 7 A R - 7 i-iJR CCB 160498,PA 0 7343.TX,'iDL4 27008:W GCL'SOLA O 9190.9 RD 3§ 911r0ly.All ffg.Ms mse—id. 08.13.2015 PV System Structural Version#48.9 , SolarCity Design Software PROJECT INFORMATION &TABLE OF CONTENTS Project Name: Oakley Residence AHJ: Barnstable Job Number: 0261659 Building Code: MA Res. Code, 8th Edition Customer Name: Oakley, Judith Based On: IRC 2009/ IBC 2009 Address: 100 Five-Corners Rd ASCE Code: ASCE 7-05 City/State: Centervil, MA Risk Category: II Zip Code 02632 Upgrades Req'd? No Latitude/ Longitude: 41.649235 -70.369560 Stamp Req'd? Yes SC Office:I Cape Cod PV Designer: Rich Choza 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 Z-MILE VICINITY MAP 28 01 er .d Ji4993!�MassGIS, Commonwealthof - • • USD&Farm Service Agency, 100 Five-Corners Rd, Centervil, MA 02632 Latitude: 41.649235, Longitude: -70.36956, Exposure Category: C r STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK- MPi Member Properties Summary MP1 Horizontal Member Spans Rafter Pro erties Overhang 1.16 ft Actual W 1.50" Roof System Properties San 1 12.59 ft Actual D 5.50" Number of Spans(w/o Overhang) 1 San 2 Nominal Yes Roofing Material Comp Roof San 3 A 8.25 in.^2 Re-Roof No Span 4 S. 7.56 in:^3 PI wood Sheathingµ__ No` aS an 5 "' . °` I 20:80 in.^4 Board Sheathing Solid-Sheathing Total Span 13.75 ft TL Defl'n Limit 120 Vaulted Ceiling A ' T,No �k.'PV 1 Start .' 1.08 ft;Ma O Wood Species o _:x , .,"W'SPF_' Ceiling Finish 1/2"Gypsum Board PV 1 End 13.08 ft Wood Grade #2 Rafter Slope _ ,y_ 26° PV 2 Start Fb 875 psi Rafter Spacing 16"O.C. PV 2 End IF, 135 psi Top Lat Bracing Full PV 3 Start E 1400000 psi Sot Lat Bracing At Supports PV 3 End Em;e. 510000 psi Member Loading mary Roof Pitch 6 12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 11.0 psf z 1.11 12.2 psf 12.2 psf PV.Dead Load � tl ' PV-DL ';`3.0` sf x 1.11 :; 3.3'psf Roof Live Load RLL 20.0 psf x 0.90 18.0 psf Live/Snow Load LL SL1'Z 30.0 psf x 0.7 1 x 0.7 21.0 psf . -21.0 psf Total Load(Governing LC TL 1 33.2 psf 36.6 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=0.9,Ct=1.1, IS=1.0 Member Design Summary(per NDS Governing Load Comb CD CL + - CL - CIF Cr D+S 1.15 1.00 0.52 1.3 1.15 Member Analysis Results Summary Maximum Max Demand @ Location Capacitv DCR Load Combo Shear Stress 55 psi 1.2 ft. 155 psi 0.35 D+S Bending(+ Stress .1509 psi _7.5 ft. 1504 Psi _._° 1.00 : D+ S ,Bending - Stress -48 psi 1.2 ft. -786 psi 0.06 . ' D+S • Total Load Deflection .' ,0,,Z i 15 in. 146 4,;D7.5 ft.� °` 1.4'in: `L 120 0.82, 't. ND'.+S =3, N . j [CALCULATION OF DfS1119 W WIND L- A079 MPip Mounting Plane Information Roofing Material _ Comp Roof PV,System Type -- Solard ountll Sire _ --- _ _ Spanning Vents No Standoff Attachment Hardware tomir Mount Type C - Roof Slope 260 Rafter•S_pac_ing 16"O.C. Framing Type Direction Y-Y Rafters PurI n,Spacmg g` r ` X-X Purlins'Only NA'. - - Tile Reveal Tile Roofs Onl NA Tile ch Attament System Tile Roofs Only— LL NA r Standin Seam/Trap Seam/Tmp 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. 6-1w Exposure Category C _ _Section 6 5.63__ Roof Style Gable Roof Fig.6-11B/C/D-14A/B �.,----- .�-�. Mean Roof Hei ht'� � h..V,.`-.__..�- ft .Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.85 Table 6-3 Topographic Factory Krt-s� � 1.00 Section 6.5.7� Wind Directionality Factor Kd� -_ _ 0.85 ,T Table 6-4 + Importance Factor I 1.0 Table 6-1 Velocity Pressure qh qh =0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15 22.4 psF Wind Pressure Ext. Pressure Coefficient U GC u -0.87 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down GC (Down) .,., 0:45 "` Fig`6-11B/C/D-14A/B Design Wind Pressure p P= qh(GC ) Equation 6-22 Wind Pressure U -19.5 psf Wind Pressure Down 10.0 psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 64" 39" MxA'ow Wn Cteve c r ' Y�-ALd Y Standoff Configuration Landscape Staggered Max Standoff Tributa Area Trib ' ;w 17.sf PV Assembly Dead Load W-PV 3.0 psf NetWnd,Uplift at Standoff T-actual, __ •=314 Ibs __� UDlift Capacity.of Standoff T-allow �yT� 500 Ibs _ Standoff Demand Ca paci DCR 62.7% X-Direction Y-Direction Max Allowable Stand-off Spacing Portrait 48 66" Max Allowable Cantilever,� Portrait L` 20" _,NA Standoff Configuration Portrait Stagg, red Max Standoff Trt►utary'Area Trib) : - ,, ; .22 sfh.' PV Assembly Dead Load W-PV 3.0 psf Net WindWlift at_Standoff T-actual _ _w393 Ibs Uplift Capacity of Standoff T-allow 500 llbs Standoff Demand/Capacity DCR 78.6% Inspection Report — Building Department Date -7—d 6-'� Address ✓��� c ✓✓�� Referred By e e Purpose of Call/Inspection Reported to Site Observations & Notes MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston,Massachusetts 02108-1904 (617)723-3800 Ma Only(800)392-6108,FAX(800)851-8424 . 5/9/2008 Form of Notice of Casualty Loss to Building Under Mass.Gen.Laws,Ch.139,Sec.313 BARNSTABLE BUILDING COMMISSIONER 367 MAIN STREET 367 MAIN STREET HYANNIS MA 02601 Re: Insured: JUDITH OAKLEY Property Address: 100 FIVE CORNERS RD,CENTERVILLE, MA 02632 Policy Number: 0923358 Type Loss: Fire(including Fire caused by Lightning Date of Loss: 05/06/2008 Claim Number: 251696 Claim has been made involving loss,damage or destruction of the above captioned propert,which may either exceed$1000.00 or cause Massachusetts General Laws,Chapter 143,section 6 to be applicable. If any notice under Massachusetts General Laws,Chapter 139,Section 3B is appropriate,please direct it to the attention of the writer and include a reference to the captioned insured,location,policy number,date of loss and claim or file number. MPIUA Claims Division 0 f CMA00021 � � v'; .t {: i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map (18 Parcel., Application �U Health Division 2c�o old t �K. Date Issued Conservation Division Application Fe Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board / 1241ar Historic OKH Preservation/Hyannis Project Street Address ZC20 1"'/;y Cam -e is Village o �Owner -TUd 0.4 K Address !GiCo � Telephone Permit Request _h% mw 6vG/' S'Alake, d.494,6qe Square feet: 1 st floor: existing/G 20 proposed '°t1' 2nd floor: existing proposed Total new Zoning District _ Flood Plain Groundwater Overlay Project Valuation oo'o Construction Type p�i A44e Lot Size Grandfathered:- ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family .� Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: mull ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing j new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Y Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑'No Fireplaces: Existing-4_New ::J9-:! 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: 1 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ :a C f Commercial ❑Yes ❑ No If yes, site plan review# -� --Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 4111-le5 �_J?,44 ©S Telephone Number sG&- -271-f` O Address License# YJ C��I 7�C J`!i�/�P, � • ®�� Home Improvement Contractor# /H(0'9* Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO LA SIGNATU DATE FOR OFFICIAL USE ONLY APPLICATION# t DATE ISSUED ; y MRCP/PARCEL NO. ADDRESS VILLAGE • , I OWNER 4 DATE OF INSPECTION: FOUNDATION FRAME INSULATION 't FIREPLACE ELECTRICAL: ROUGH FINAL 4 PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT :_ ASSOCIATION PLAN NO. - The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors[Electricians/Plumbers Applicant Information r' Please Print Lezbly Name (Business/org�ization/Tndividuat): C . `249 7 St O 5 rgLi1 C�1 4 C �PyurA-e I o:C • r Address: 93 e4q±t 4,7ec -, an City/StatdZip: Phone.#: Are you ani employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. 0 I am a general contractor and I 6 New construction a sole proprietor or partner-loyees(full and/or part-time).* have hired the stib-contractors 2_ I am listed on the attached sheet 7. ❑Remodeling , ship and have no employees These sub-contractors have g. Demolitipn employees and have workers' workuig for mein any capacity. 9. ❑Building addition . [No workers' colop.•inaw:ancc comp.insurance.t requirDAJ 5. [] We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions mysclL[No workers' comp_ right of exemption per 1viGL 12.0 Roof repairs c. 152, §1(4), and n we have o rr incrance requaiYd]t e�Ioyees. [No workers' 13.❑Other comp.insurance requ xed.] J. *Any appliamt that chmkt box#1 must also rM out the section below sbowing their workers'eoropmsation policy information_ t Hamcowncrs who submit this affidavit indicating they arm:doing all work and then hire outside contractors must submit a new a15davit iodimtimg such. XContractors that cbcck this box must atfacbcd an additional sbmt abowing the name of the sub-cmftm ton and state wba ha or not those entities have carployces. If tbo sub-tontractata have employees,thry nruA provi db th6r woTk='comp.pobcy nranba. I am an employer that is providing workers'compensation insurance for my employees Belaw is the policy and jab site information. Insurance Company Name: Policy#or Self-ins.Lic:#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to sccurr coverage as required tmcicr Section 25A of MGL c. 152 can lead to the imposition of crirrr?r;al penalties of a fine tip to $1,500.00 and/or one-year imprisonment, as well as civil penaltits in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statrnimit may be forwarded to the Office of Investi g&tiOM of the,1)IA for insurance coV Mag e verification. I do hereby certify under d p of perjury that the information provided above is true and correct Si store: Datr: — Phone • �G� ?'7/ /•L/� Ofj7cial use only. Do not write in this area, tb 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/Towu Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone#: *� 11110 luaLlUn UHU 1"N Lg Lj_UU1V.UL3 Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees: pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hiiC, express or implied, oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee ofanindividual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work an such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall witlrbold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL ohaptcr 152, §25C(7) states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract form the performance of public work until acceptable evidence of compliance with the ffizur nae requirements of this chapter have been presented to the contracting authority." Applicants please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if accessary,supply sub-eontractor(s)name(s), address(cs) and phone numbers) along with their certificate(s)of insurance. Limited Liability Companies'(LLC) or Limited Liability Partnerships(LLP)with no�employees other than the narbers or parincrs: are not required to carry workers' compensation insurance. If an LLC or LLP does have :mployecs, a policy is required Be advised that this affidavit may be submitted to the Department of Industrial &,ccidcnts for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should >e returned to the city or town that the application for the pcmlit or license is being requested,not the Department of ndusftW Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' .ompensation policy,please call the Department at the nurnber listed below. Self insured companies should enter their ;clf insurance license number on the appropriate line. My or Towti Officials 'lease be sure that the affidavit is complete and printed legibly. The Department has provided a space at th- ottom ,f the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant 'laasc be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant rat must submit multiple permit/license applications in any given year,need only submit cap affidavit indicating euircat o4cy information(if necessary) and under"Job Site Address" the applicant should write"all locations in (city or )wn)."A copy of the af5davit that has been officially stamped or marked by the city or town may be provided to the pplimul as proof that a valid affidavit is on file for future permits or licenses. A new affidavit.moist be filled out each ear.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture _e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit he Office of Investigations would hke to thank you in advance for your cooperation and should you have any questions, lease do not hesitate to give us a call. is Department's address, telephone-and fax number. The Cbmmonw_,dth of Massarhuse u Dq)ei Dnt of Industrial Accidents Office of Investigaticas 6.00 Wasbi gran Street Boston, MA 02111 ' Tel. # 617-727-4900 ext 4-06 ar 1-S77-MASSAFF :d 11-22-06 Fax# 617-727-7749 www.mass.gov/dia ENERGY,CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE- AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61,00) Applicant Name: Site Address: prim/ Town: Applicant Phone: Applicant Signature: Date of Application: _ NEW CONSTRUCTION: choose ONE of the following two options) 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE AND-TWO-FAMILY BUILDINGS MAXIMUM MINIMUM Ceiling or Slab ❑ -Option 1: Fenestration exposed Wall Floor Basement perimeter U-factor floors, R-Value R-Value Wall R-Value AFUE IISPF SBER R-Value R-Value and De th National Appliwice Energy 35 R-3 8 R-19 R-19 R-10 R-10, Conservation Act(NAECA)of 4 ft. 1987 as amended,minimums or greater as a licab)c Note: This form is not required if you choose e-ither of the two versions of REScheck.as,listed below. ❑ Option 2: �. r(780 EScheck Version 4,1.2 or liter variant software analysis must-be completed CMR.6107.3.2 REScheck—Web which can be accessed at http://www,cnergycodcs.goy/resrheold AA 0!TIO1VS'&.--ALTERATIOlYS:TO'EXI�TING..BU7��DI GS:':0 iR5: Al2S OLIO* *Buildings under 5 years old must use option#1,or#2 in New Construction section above: . Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula:(100 x b_ a) . r SF 100 x — _ % of glazing (b) Glazing area equals. SF a f lazing is'5,40' use..the below. If.,glaziri is�:40'.% proceed to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM MINIMUM Ceiling and Slab Perimeter Fenestration Exposed floors Wal] Floor Basement Wall R-Value U-factor R-Value R-value R-Value and De of P.-Value . ,39 R-37 a R-13 R-19 R-IO R-10, 4 feet R-30 ceiling insulation may be used in place of R-37 ifthe insulation achieves the full R-value over the entire ceiling area(i.e.not com ressed over exterior/Yells, and inc]udin an access openings).' SUNROOM-An addition or alteration to an existing building/dwelling unit where-the total glazing area of said addition exceeds 40% of the combined gross wall anti ceiling area of the addition, Note:. Owner to fill out Consumer Information Farm (found in Appendix 120.P) �of 'Er�,ti To`cvn of Barnstable ` Regulatory Services viusq& Thomas F. Geiler,Director. as¢ a.� g . TE6yq. - Building Division ' Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 + www.town.barnstable-ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This'Section If Using A. Builder V (.f CJ V �C e�/ , as Owner of the subject property hereby authorize/ �V1,4N(�S �}�L%tSIO to act on my behalf,. in all matters relative to work authorized by this building permit application for: /�� iyt� Cc e s Rd (�W -e✓�li (Address of Job) 7/7 18 . S tore of Owner Date TudG�I�- Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Town of Barnstable YHE Regulatory Services • Thomas F. Geiler,Director • swxxsrwsM 1dA.�1639- g Buildin g Division Y� ♦� . PIED �A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Tice: 508-962-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE JOB LOCATION: number sheet village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNTR Persons)who owns a parcel of land on'which he/she resides or intends to reside, on which there is, or is intended to- be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a iwo-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with"said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner perfomring work for which a building permit is required shall be exempt from the provisions f this section(Section I om,]-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such /ork,that such Homeowner shall act as supervisor:" Many homeowners who use this exemption are unaware that they are assuming the responsibilities of it supervisor(sec Appendix Q, .ules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly ,hen the homeowner hires unlicensed persons. In this ease,our Board cannot proceed against the unlicensed person as it would with a licensed upervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, at the homeowner certify that hc/she tmderstands the responsibilities of a Supervisor. On the lastpagc of this issue is a form currently used by yeral towns. You may care t amend and adopt such a fonn/certification for use in your community. I i , ------------ Told T PDX - . '_ . w elecT c c .L ---Aco---Ok9- Awe I F, 7 S _ - - - -17 cam/' - - ve�,ti, I i , i i i i ' � �ie -�ominwmusea,�C✓z a���caaaac�ucae� _-' --- _ _ __ _ Board of Building Regulations and Standards -i License or registration valid for individul u HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return Registration,t 114644 E Board of,Building Regulations and Standai xpiration 1p/g/2009 Tr# 260168 One Ashburton Place Rm 1301 v' Type DBA i _ Boston,Ma.02108 lr/� � �•�� 3Iw� � - C.PALTSIOS BLDG&REMODELING + CHARLES PALTSIOS=', 183 LONGVIEW CENTERVILLE, MA 02-02- " Administrator. Not valid - signs re — ---- l '�l�eT-�om�rwo�ciea,Crl ���aaaaclauae�a is ' k Board:of Building Regulations and Standards F Construction Supervisor License License'. CS 6653 ; 1 Bkthdate 9/22/1944 ; i7T IEzpjration 9/22/2009 Tr# 2482 I i ! ( on Restricti 00� CHARLESG PALTSIOS, t;J - I � 183 LONOVIEW CENTERVILLE,MA 02632�.. Commissioner 1. ' 1 4 ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 22 .� Map Parcel Application # �V .� Health-Division Date Issued �5 12-> -06 �z Conservation'Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village Owner Address rS Telephone 5Z — `' 5.1 Permit Request .Ln S kLa e9_ /2 'k ® 4e=. k2lbk ZA_ lr j JSe_ ,/ Q S ,tivi�1�, ate <k a Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 111W Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Wr"_ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other 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) � f ;1 Name eu'r boat _ s t�ex C Telephone Number 1331 Address 5 e- MIT, License# Home Improvement Contractor# '16lo._ Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO I I /J SIGNATURE —Inlet C'a-A� DATE �► FOR OFFICIAL USE ONLY APPLICATION# ' bATE ISSUED MAP/PARCEL NO. t ADDRESS i VILLAGE OWNER ri i p , i :a DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH 'FINAL ` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r FINAL BUILDING i k DATE CLOSED OUT ASSOCIATION PLAN NO. f i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A licant Information Please Print Le 'bl Name(Business/Organization/Individual): t/ � ��[^ ✓! e, Address: • City/State/Zip: Phone.#: Are an employer? Chec the appropriate bog: Type of project(required): 1: I am a employer with D 4. ❑ 1 am a general contractor and I �_ 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the attached sheet. 7. ElRemodeling ship and have no employees 'These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers' comp.-insurance comp'insurance$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.❑Plumbing repairs or additions myself-[No workers' comp. right of exemption per MGL 12.❑Roof repairs c. 152, 1//4 ,and we have no 13.❑ Other insurance regnired.]t l employees. [No workers' comp.insurance required], *Any applicant that checlo:box#1 roust also fill out the section below showing their workers'compensation poticy infmTmtim- t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contmaDrs have employees,they must provide their workers'comp.policy number. . I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site • information. P - Insurance Company Name: a�L( � Policy#or Self-ins.Lic.#: 4iration Date: Job Site Address:� � /4 �!lE/'S tystate/zip Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to sects a coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the.Office of Investigations of the MA for insurance coverage verification. I do hereby certify under the p in - d pe ' s of perjury that the information provided above is true and correct Si ature: Date: ,v _ Phone# /- 331— Official.use only. Do not write in this area,to be completed by city or"town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector. 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to,construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,i.f address(es)and hone numb s along with their certificate(s)s of necessary,supply sub-contractors)name(s), p number(s) g te( ) insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the-affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in . (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit.must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related io any business or commercial venture (Le.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone-and fax number: le C6mmonweaM of Massachusetts Degarbnent of Industrial Accidents Office of Investigations 600 Washin n Street Boston,MA 02111 Tel..#617-727-4900 ext 4-06 or 1-977-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia 51 Moore Road Weymouth Industrial Park East.Weymouth,MA 02189 (781)33 1-0333 American lWobile Homes,Inc. 1-800-232-9991 The Temporct ry Housing Specialists Fax(781)335-0707 ESt. 1972 PROPOSAL Date Name Oct Est. delivery date Address America in Mobile Homes,Inc.hereby propose to furnish the mat rials and perform the labor necessary for the completion of installing - leased mobile home containing: Refrigerator,stove,dining set,living room set,curtains,bedding 1 ,2nd ,3rd_ L^ ,washer and dryer, air conditioning. W T "porary Plumbing installation to mobile home lying for building permit for mobile home Temporary Electric installation to mobile home :-RR ove necessary trees,tree limbs or shrubber y ❑ Temporary LP gas installation to mobile home L�]'Remove any necessary fencing ❑ Other: Any resulting damage to said property as a result of the installation,removal and existence,of mobile home and its its utility connections shall not be the responsibility of American Mobile Homes,Inc.,specifically driveway,fence, stonewall, septic system,trees,lawn or any other type of landscape items and/or: American Mobile Homes,Inc.,is not responsible for the re-installation of any of these items. Costs: The monthly rental of the mobile home�e16 mos. The delivery and pick up charge of Air conditioning Pet fees -3 other There will be additional charges for utility connections,permits,fees,site preparation. There will be a profit and overhead charge of 10& 10 for all sub contractors and fees paid out. Any applicable sales tax.A 5%carrying cost will be billed and payable on all invoices not paid within.454ys of billing. ,/A$1,000.00 security dDosit is due on delivery of mobile home.Uwe agree to sign a lease for the mobile home rental at delivery. f Projected job cost. S /l/17�� ►✓+r �5 V _U' j Sat11�cr�i a-- /��9ll�tr� s Payment Method : 'Billed directly to insurance company with a signed assignment of payment. ❑ Other: Any alteration or deviation from above specifications involving extra costs, will become an extra charge over and above the estimate. All agreements Respectfully submitted contingent upon strikes,accidents or delays beyond our control. ACCEPTANCE OF PROPOSAL The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. If insurance company is not willing to honor assignment of payment,I/we understand Uwe will be responsible for full payment of. all services. NOTICE OF RIGHTS TO CANCELLATION You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the Seller,which may be his. main office or branch thereof,provided you notify the Seller in writing at his main office or branch by ordin mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the si ing agreement. See attached notice of cancellation form for an explanation of this right. Signature Date Signatur • .�' � B��o: .. i i egu a `ohs�an-..... �an ar_s !Constructiori supervisor License scr� License CS 57291 3. c Birthda.W 9/17/1'963 , r � Expi on ll�712009 Tr# 2882 Y E a l estridt 0.0;1 t FRANCIS V WAR TIII 51 MOORE RD �� WEYMOUTH,MA 02189 % f - ComQlissioner ''✓fie -�o�.wrnauasa,CCl o�•.,/�aadac�ucaetla~°•�� _11 _,.._' —_ ._ - _ Board of Building Regulations and Standards 9 License or registration valid for:mdividul use only = HOME IMPROVEMENT CONTRACTOR i. before the expiration date: If found return.fo: Registratiori 1�06386 i' Board of BuildingRegulations and Standards g E.xp,�ration 7/23/2008 `: One Ashburton Place Rm 1301: 'r I' `efi Boston,Ma 02.108 Type Pnuat Corporation AMERICAN MOBILE HOME'S INC' 3i FRANCIS WARD III `, 3!'"t� j 51 MOORE RD y� lr� Y. .- E.WEYMOUTH, MA 02189. Deputy Administrator Not valid withGut signature ACOR® CERTIFICATE OF LIABILITY INSUR�4�10E DA5/20DD/YYYTI 04/25/2008 ON PRODUCER MM CERTIFI IS I AS A OF 1 ORMATI D ODUCER MacKallar Inai.Agcy.. Iao. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 835 Broad Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. X. Weymouth, MA 02189 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: EElsexTadl. - Amerioan Dsobile HOmee, Iac. INSURERS: IaBusa?1ve CO1Apan]r OLD State of PA. 51 Moore Road INBURERC:Arbella Protection E.Weymouth, MA.0218 9 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW RAVE 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LILY EFFEC POLICYRp71PN LIMIT'S LTR INBRD TYPE OP INSURANCE _ POLICY NUMBER DATE IMIDDIYY) DATE(MMIDD ja, GENERALLIABILITY 3CY9285 02/04/2008 02/04/2009 tPR8MISEG t 91,000,000 X COMMERCIAL GENERAL LIABILITY oe ECLAIMS MADE OCCURon)RY 51 OENERALAGGRECATE $1,000,000 PRODUCTS•COMP)OPA00 E GEN-L AGGREGATE LIMIT APPLIES PER: POLICY jE - LOC AUTOMOBILELIABILITY 23984400000 02/26/08 02/26/09 COMBINED SINGLE LIMIT $1,000,000 (E0 ecddent) ANY AUTO ALL OWNED AUTOS - BODILY INJURY g (Per pemoc) - - C X SCHEDULED AUTOS HIRED AUTOS - BODILY INJURY S (Per pcgltlenl) i NON-OWNED AUTOS PROPERTY DACE g (Per ecrJdant) GARAGE LIABILITY 36174400000 01/01/2008 O1/Ol/2009 AUTO ONLY.EAACCIDENT ANY AUTO _ OTHER THAN EA ACC E X BChedulad Autos AUT°ONLY: AOG $1,000,000 EACH OCCURRENCE 9 ExcESSIUMBRELIA LIABILITY ' OCCUR CLAIMS MADE AGOREGATE S 3 E DEOUCTIBLE b RETENTION g WORKERS COMPlNOAT10N AND WC687-81-02 08/12/2007 oe/12/2ooe X TORY LIMITS ER B EMPLOYE"'UABLUTY - - E.L EACH ACCIDENT 5 100,000 ANYPROPRIETOR/PARYNPR/EXECUTIVE E,L,DISEASE-EA EMPLOYEE g 100,000 OFFICERIMEMBER EXCLUDED? 11 y9s,describe under - - E.L.DIBEABE•POLICY LIMIT E 500,000 SPECIAL PROVISIONS below OTH®R DESCRIPTION OF OPERATIONS I LOCATION01 VEHICLES I BXOLUMONS ADDED BY BNOORBEMENT I OPECIAL PROVISIONS Rental of Mobile Homes CANCELLATION CCRTiFICATE HOLDER Tow= of Barn@table SHOULD ANY OF THE ABOVE D&OCRIBeD POIJCILO BE CANCELL60 BEFORE THE EXPIRATION DATE THEREOF, THE 188UIN9 INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Bldg. Dept. NOTICE TO THE ORATIPICATE HOLDiR NAMED TO YNE LEFT, BUT FAILURi TO DO SO SHALL ZDO DSain,street IMPOSE NO OBLIOATIAN OR LIABILITY OF ANY KIND UPON THE INSURER, IT$ AGENTS OR HyaSinid, 1>6A. 02601 REP SNTATNES. =11ar Ine. Agcy.InC. OACACORD 25 7b8) ORD R ON 188�. T n IR ATV%T1-IC`GTT %TV'T'T-n1T NVT1T nTV'W1-kf7 I AnO TeO TO I VVs CT,'nT 0nn7 iOn/cf) , W ,I I ol I rol'k -.Room . I SMOKE 'DETECTORS REVIEWED I � I • A �SUILOINDEPT. DATE : FIRE DEPARTMENT t�Pau G nra� Qpo� _-._..... . _. _.. . 60TH'SIGNATURES ARE REQWRED FOR FERA9ITTIN Al, } BEd(0on� ® arc BUILDING DEPT. JAN 04 2016 �. o ( l l TOWWOF ARNSTABLE — jp-� 1 r 1LLdi Al\F— r cu FwE corue { e � L\/ 1 :1 tom® GN CD SI � e e F' Y. G-6 3" U-00 STUDS- rA, c rl 1pts I DCO i �s.6ers SI-leet ROCK A- 6 Z PU0�Ag �q 1l9.7� Ti 6 t� ABBREVIATIONS ELECTRICAL NOTES 'JU RISDICTION NOTE A AMPERE 1. THIS SYSTEM 1S GRID—INTERTIED VIA A AC ALTERNATING CURRENT UL=LISTED POWER—CONDITIONING INVERTER. BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. CONC CONCRETE 3. A NATIONALLY—RECOGNIZED TESTING DC DIRECT CURRENT LABORATORY SHALL LIST ALL'EQUIPMENT IN EGC .EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE,WITH ART. 110.3: (E) EXISTING 4. WHERE ALL TERMINALS OF THE DISCONNECTING EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED IN THE, OPEN POSITION, FSB FIRE SET—BACK A SIGN WILL BE PROVIDED WARNING OF THE GALV GROUNDING ELECTRODE C GALVANIZED HAZARDS PER ART. 690.17. CONDUCTOR 5. EACH UNGROUNDED*CONDUCTOR OF THE GND GROUND MULTIORE BRANCH CIRCUIT WILL.BE IDENTIFIED, BY HDG HOT 'DIPPED GALVANIZED PHASE AND SYSTEM 'PER ART. 210.5: I 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 POI POINT'OF INTERCONNECTION HARDWARE. PV . PHOTOVOLTAIC 10. MODULE.FRAMES, RAIL, AND POSTS SHALL.BE . SCH SCHEDULE BONDED,WITH EQUIPMENT GROUND .CONDUCTORS. a 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 PV1 COVER SHEET: 3R NEMA 3R, RAINTIGHT . PV2 SITE PLAN PV3 STRUCTURAL VIEWS _ • PV4 THREE LINE'DIAGRAM LICENSE GENERAL NOTES cutsneets 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) �. ' ; J B-0 2 616 5 9 O O PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL— THE INFORMATION HEREIN [IN MBER. \� coNrAINED SHALL NOT BE usEo FOR THE OAKLEY, JUDITH OAKLEY RESIDENCE Justin Smith BENEFIT OF ANYONE EXCEPT SOLARCITY INC., NG SYSTEM: q I,`SolarCityNOR SHALL IT BE DISCLOSED IN WHOLE OR IN 1 00 FIVE—CORNERS RD 7.95 KW PV ARRAYp Mount. Type C.PART TO OTHERS OUTSIDE THE REgPIENTS ' ORGANIZATION, EXCEPT IN CONNECTION WITH S: CENTERVIL, MA 02632 THE SALE AND USE OF THE RESPECTIVE Hanwha Q-Cells Q.PRO G4 SC 265 *. . Martin Drive,Building 2, Unit 11 . SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: : DATE. ( T?(50)638-1028h'F:j650)638-1029 PAGE NAME:- SHEET REV MA 01752, PERMISSION of SOLARCITY INC. AREDGE SE7600A—US002SNR2 50K42'0546 COVER SHEET PV 8/13/2015 1388�SOL—CITY(765-2489 www.sdarcity.com PITCH: 26 ARRAY PITCH:26 MP1 AZIMUTH:259 ARRAY AZIMUTH:259 MATERIAL: Comp Shingle STORY: 1 Story Fence • _ LEGEND Front Of House '. 0 (E) UTILITY METER & WARNING LABEL Inv INVERTER. W/ INTEGRATED DC DISCO & W L WARNING LABELS . � DC D SCONNE CT & WARNING LABELS ,r S AC DISCONNECT & WARNING. LABELS 3 0� N Ss v G O C BOX & LABELS � D JUNCTION/COMBINER o l L I 1 DO DISTRIBUTION PANEL & LABELSCD I .��DRIVEWAY o LL NAL G Lc - 8/13/2015 LOAD CENTER & WARNING LABELS N --\ Digitally signed by Nick v '' D Gordon DEDICATED PV SYSTEM METER Ir O. r Date. STANDOFF LOCATIONS © O o 'oo' � CONDUIT RUN ON EXTERIOR - --- I ERIOR " CONDUIT RUN ON NT • GATE/FENCE _ Q HEAT PRODUCING .VENTS ARE RED • INTERIOR EQUIPMENT IS DASHED. Fence SITE PLAN N Scale: 3/32" 1' w E 01, 10, 21' g J B-O 2 6.16 5 9 O O PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: \��f CONTAINED SHALL NOT BE USED FOR THE OAKLEY, JUDITH OAKLEY RESIDENCE Justin Smith ,,` cityBENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 100 FIVE-CORNERS RD 7.95 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MODULE CENTERVIL MA 02632 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (30) HanWhcl Q—Cells # Q.PRO G4/SC 265 SHEET: REV: DATE Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME T: (650)638-1028 F. (650)638-1029 PERMISSION OF SOLARCITY INC. INVERTER: SOLAREDGE SE7600A—US002SNR2 5O$2920546 SITE PLAN PV 2 8/13/2015 (m)=sDL-CITY(765-2489) www.solarcitycom .OF a } g N 4sG v I L cn NA L�N 8/13/2015 PV MODULE •./16" BOLT 5. - 5 LT WITH LOCK - INSTALLATION ORDER'. FOOT LOCATION, AND DRTERARKPHOLE & FENDER WASHERS - LOC RA S1 . ZEP LEVELING 0 (1) LO ATE 'N, F LOT ZEP ARRAY SKIRT (6) HOLE. ' . - .� SEAL PILOT HOLE,WITH _ . (4) (2) POLYURETHANE SEALANT. ZEP COMP MOUNT.C, 12�-,7„ ZEP FLASHING C (3) -INSERT FLASHING. G(3) 1'— (E) LBW , (E) COMP. SHINGLE (1) (4) PLACE MOUNT. T i SIDE VIEW O F M P 1 NTS (E) ROOF DECKING (2) A 5/16 IA G(5) INSTALL. LAG BOLT WITH ut D STAINLESS .(5) . SEALING-WASHER. MPl x-SPACING x CANTILEVER v-SPACING v.-cgNTILEveR NOTES STEEL LAG BOLT ' .l. LOWEST MODULE SUBSEQUENT'MODULES WITH SEALING_ WASHER INSTALL LEVELING FOOT LANDSCAPE' 64" 24" ' STAGGERED $TABOLT & WASHERS. WITH . TH PORTRALT 48 20 (2-1/2„ EMBED, MIN) RAFTER 2X6 @ 16"OC "ROOF AZI 259 PITCH 26: STORIES: 1 (E) RAFTER ARRAY AZI 259 PITCH 26 _ _ C.J. `2x6 @16" OC Comp Shingle DOFF• 1 STAN CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: PREMISE OWNER: DESCRIPTION: DESIGN:_ JB-026.1659 00 OAKLEY, CONTAINED SHALL NOT BE usED FOR THE JU.DITH OAKLEY RESIDENCE ,Tustin Smith t, BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: NOR SHALL IT BE DISCLOSED IN WHOLE OR IN COm Mount Type C 100 FIVE—CORNERS RD 7.95 KW' PV ARRAY - SolarCity. PART TO OTHERS OUTSIDE THE RECIPIENTS T ORGANIZATION, EXCEPT IN CONNECTION WTH MODULES CEN.TERVIL, MA 02632 a1 THE SALE AND USE OF THE RESPECTIVE 30 Hanwha Q—Cells Q.PRO G4 SC 265 24'St Martin Drive,Building2,Unit 11' SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN ( ) / PAGE NAME SHEETS REV. DATE Marlborough, MA 0152. - PERMISSION OF SOLARCITY INC. INVERTER: T:,'(650)638-1028 F. (650)638-1629 SOLAREDGE SE�60OA—US002SNR2 5082920546 STRUCTURAL VIEWS PV 3 8/13/2015 ce88)- CITY-aTY��65-2489) "msolaroityconn GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO ONE (E) GROUND Panel Number:TBB10(20-20)C Inv 1: DC Ungrounded INV 1 -(1)SOLAREDGE ## SE760OA-US002SNR LABEL: A -(30)Hanwha Q-Cells # Q.PRO G4/SC.265 GEN #168572 ROD AND ONE (N) GROUND ROD AT Meter Number:2225938 Inverter; 76"0OW, 240V, 97.5%a w/Unifed Disco and ZB, RGM, AFCI PV Module;.265W, 241.3W PIC, 40mm, Blk Frame, H4, ZEP, 1000V ELEC 1136 MR PANEL WITH IRREVERSIBLE CRIMP Underground Service Entrance INV 2 Voc: 38.01 Vpmax: 30.75 INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER �E 125A MAIN SERVICE PANEL E; 10OA/2P MAIN CIRCUIT BREAKER Inverter 1 (E) WIRING CUTLER-HAMMER JD,CM- A 10OA/2P Disconnect 3 SOLAREDGE 52 SE7600A-US002SNR2 MP,1: 1x15 (E) LOADS A � ---------------- ----- ----- --------------L, 240V �-----NDC- 12 40A/2P Eccl Dc+ - ----- GND --------.— .------.—.---------------- — GEC —.--�N - DC- . . - . . MP-1: 1x15 I B i _ - GND —_ EGC—__ G —*J N (1)Conduit Kit; 3/4" EMT o EGC/GEC -- 1 GEC - .. . ' - --�-4 TO 120/240V SINGLE PHASE UTILITY SERVICE i 1 PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN Voc* = MAX.VOC AT MIN TEMP POI (1)CUTLER-HAMM BQC 20220 PV BACKFEED.BREAKER A (1)CUTLER—HAMMER �DG222URB, ^ D\/ 00)SPLARrEBDGE l�3ao-2N30AZS C " Breaker, 20A P-20A�2P, Z Spaces,, Disconnect; 60A, 24OVac, Non_Fusble, NEMA 3R AC r 1 • owe ox-0U'pttim Optimizer, OW H4,'D to DC ZEP DC -.(1)Ground Rod; 5/8" x B', Copper -(1)CUTLER- AMMER #OG10ONB Ground reutral Kit; 60-100A, General Duty(DG) ;'. n� 1 Bare . (1)AWG�6, Solid B e Copper -('1)Ground Rod; 5/8"x 8', Copper (N) ARRAY GROUND PER 690.47(D). NOTE: PER EXCEPTION NO. 2; ADDITIONAL. _ ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCATION OF (E) ELECTRODE � 1 AWG #8, THWN-2, Black (2)AWG#10, PV Wire, 60OV, Black Voc* =500 VDC Isc=15 ADC O14F (I AWG (f8, THWN-2, Red O (1)AWG #6 Solid Bare Copper EGC Vmp 350 VDC Imp=11.21 ADC (1)AWG 0, THWN-2, White NEUTRAL Vm .=240 VAC Im =32 AAC (1 Condwt Kd,3 4 EMT . . . . . . . 70 P .-(. . . . . ./. . . . . .. �. .( _ (1)AWG�/8, TI{WN 2, Green EGC/GEC 1)Conduit Kit; 3 4"EMT (2)AWG �10 r p =35 AD O� 2 A PV Wire, 600V Black Voc* 500 VDC Isc 15 ADC (1)AWG y6 Solid Bare Copper' EGC Vm 0 VDC Imp 11.21 G . . . . . �. (1)Condwt Kit;.3/4".EMT. .. , 1 PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: J B—O 2 6 1 6 5 9 00.1 CONTAINED SHALL NOT BE USED FOR THE OAKLEY, JUDLTH OAKLEY RESIDENCE Justin Smith .�', BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: SOlarCity. NOR SHALL IT BE DISCLOSED IN WHOLE.OR IN Comp Mount Type c 100 FIVE-CORNERS .RD 7.95 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENT'S MODULES CENTERVIL, MA 02632 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St.Martin Drive Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (30) HC1nWha Q-Cells # Q.PRO G4/SC' 265 Marlborough,Drive, MA ing 2, f PAGE NAME SHEET• REV: DATE SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: T: (650)6,18-1028 F. (650)638-1029 PERMISSION OF SOLARCITY INC. SOLAREDGE SE760OA—US002SNR2 5082920546 THREE LINE DIAGRAM PV 4 8/13/2015 (866)—SOL—CITY(765-2489) www.sdarcitycom • o 0 0 •o - o - Label Location: Label Location: Label Location; (C)(CB) (AC)(POI) 1 (DC) (INV) Per Code: Per Code: Per Code: ago W. _ _ NEC 690.31.G.3 0 0 0 0 - NEC 690.17.E o o e ° o- •o NEC 690.35(F) Label Location: - o :o o - o o e TO BE USED WHEN 10 O O� D f (DC)(INV) o•® o o-• -0 0 0 :o a e • : INVERTER IS. 4 p O Per Code: UNGROUNDED NEC 690.14.C.2 Label Location: Label Location: :. - 0 0 0 e. •0 e (POI) 11 WAR .e (DC)(INV) Per Code: ° -� Per Code: -e o 0 0 o NEC 690.17.4;NEC 690.54 -e aV NEC 690.53 o ' O- Label Location: °' r e (DC)(INV) _ Per Code:, Q -0 0 o ® • o•-0 0 NEC 690.5(C) Label Location: (POI) -e � e • � - 0 , , a • -e - e - Per Code: <. NEC 690.64.B.4 Label Location: o l�l (DC).(CB) o •.0 Per Code: �� Label Location_: NEC 690.17(4) v�=►X�J U ULJII�J (D)(POI). . .. t: - o� n o 0 0 Per Code: p NEC 69b.64.B.4 0 00 , Label Location: NJ� (POI) Per Code: Label Location:j 0 0 NEC 690-64.B.7. AC POI (AC): AC Disconnect r ( ) (POI) � wlu Per Code: r O� (C): Conduit , NEC 690.14.C:2 (CB): Combiner Box _ (D): Distribution Panel (DC): DC Disconnect (IC): Interior Run Conduit Label Location: (INV):Inverter With Integrated DC Disconnect p (AC)(POI) Y (LC): Load Center: ° Per Code` . M : Utility Meter. °• p NEC 690.54. (POI): Point of Interconnection CONFIDENTIAL- THE INFORMATION HEREIN CONTAINED SHALL 7R -sn ED FOR ������j 3055 gearview Way THE BENEFIT OF ANYONE.EXCEPT SOLARCITY INC., NOR SHALL CLOSED :- San Mateo,CA 94402 1r IN WHOLE OR IN PART TO OTHERS OUTSIDE THE RECIPIENTS O0N; Label Set ���� T:(650)638-1028.F:(650)638-1029 EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RES I� I (988)-SOi rrry(765-2489)wwwsolarciry.com - SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PERMISSION OF INC. - SO ��•t o SOIarCity I ®pSolar Next-Level PV Mounting Technology tSOlarGty I ®pSolar Next-Level PV Mounting Technology Components -Zep System for composition shingle roofs . - Ground Zep Intedoe _� Ix Zep Compenble Pv Modutc Zep Grove - .. .Roof Attmhment ' Array Sktrl _ .. Description I rF = PV mounting solution for composition shingle roofs pCGMP1111 Works with all Zep Compatible Modules p 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 t •UL „LISTED - Comp Mount Interlock Leveling Foot - - Part No.850-1345 Part No.850 1388 Part No.85 1$97 ' Listed to UL 2582, Listed to UL 2703 Listed to UL 2703 - Specifications Mounting Block to UL 2703 • Designed for pitched roofs , w „r Installs in portrait and landscape orientations Zep System supports module wind uplift and snow load pressures to 50 psf per UL.1703 ' n to re AS - - Wind tunnel port to CE 7 05 and 7 10 standards Zep System grounding products are UL listed to UL 2703 and ETL listed to UL 467 R , 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 zepsolaCcom zepsolar.com ' 2 Listed to UL 2703 3 This document does not create any express warranty by Zep 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 f,. solar oo � Solar d Add -On WarEdge Power Optimizer Module Ad -On for mer^� a North ica - o P300 / P350 / P400 r SolarEdge Power Optimizer . . F (for 60 cell PV f (for 72-cell PV Module Add On For North America _' � modules) modules � modulesp P300 / P350 / P400 o INPUT Input e!t' - 350 -'400 f W Rated DC Pow 300 Absolute Maximum Input Voltage(Vac at lowest temperature) 48 60 80 - Vdc - +' MPPT Operating Range 8 48. ...... 8 60- 8 80 Vdc - ,.. f�`r� - - ' • Maximum Short Circuit Current(Isc) ..-. ... . 10 Adc L,a� - :.. .,.� ....... ............ .. .. .... Maximum 12.5 Adt -. 99-5 im .. c �,_ We ghted Efficiency .. ... ... 988`.. %:. ..... ... .... .. .... .. ..... .... .. - ' Overvoltage Category - III !• + �� � .OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING(NVERTER) - '_v • _ k _ ►�I _ , Output ... ...... .._ _ .... ........ .. - Maximum Cutrent _ 15 Adc .Maximum Output Voltage 60 Vdc. • - - - f n OUTPUT DURING STANDBY(POWER R FF) - - - - - -OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER O � ,..•:+-,,r t Safety Output Voltage per Power Optimizer 1 Vdc - c. STANDARD COMPLIANCE - "- EMC FCC Part15 Class R IEC61000 6 2 IEC61000 6 3 - ° Safety IEC62109 1(class 11 safety)UL1741 - - R. .... _. RoHS .... Yes - - ,INSTALLATION SPECIFICATIONS - - - Maximum Allowed System Voltage 1000 Vdc - - <' - ` •' Dimensions(WxLx H) - -141 x 212 x 40.5/5.55 x 8.34 x 1.59 mm/in , r Weight(mdudmgpables) • 950/2.1 gr/Ib - - .. ... .... _. .. ..... ..... .9........................................... .... ..... .. - + Input Connector ...... ....... .. MC4/Amphenol/Tyco - - • ` ° _ - - Output a Type/Connector ... -.. Double Insulated;Amphenol. ...... - ..Wir ........ .... :. _.. _ ..... • - :.. Output Wire Length 0.95/3 0- 1.2/... ... ..... m/. _ ........... .... - .... ... I.... .. -. - Operating Temperature Range 40 +85/40 185 C/ F_.. - . •., _ v: " f• ".• '.Protection Rating... ...IP65/NEMA4 - - - . . Relative Humidity ... ... 0 100. ..... %.. . r - .. , ` v Sj PV NVER SYSTEM DESIGN USING A SER THREE PHASE 480V OLAREDGE SINGLE PHASE T E '� THREE PHASE PV power optimization at the module-level ... . ... Minimum Stung Length(Power Optimizers) 8 18 Up to 25%more energy - - ' - um ring Length(Power Optimizersl........ -.. 25 .. 25 50 ,.Maxim - . - .. - -..t. Maximum Power per String ..... 5250 .:.6000... 12750 W Superior efficiency(99.5%) � t - .., , .. ... .. .... .. ....... - ' ..a Parallel -..6 ... � ... ..... .. .... .. " Parallel S[rin s of Different Len hs or Orientations Yes - - Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading - "" ."" "" '" "" " ''.r.Orl : "".. "' ""' "" "'"' ""' ....... — Flexible system design for maximum space utilization - _ _ • - - ? — Fast installation with a single bolt `� ... �`�'"�`•`" '> - '* - - Next generation maintenance with module-level monitoring — Module-level voltage shutdown for installer and firefighter safety. • USA GERMANY - ITALY -�FRANCE - JAPAN - CHINA.''ISRAEL AUSTRALIA WWw.SOIaredge.uS Format -65.7 in x 39.4 in x 1.57in(including frame) .(1670 mm x 1000 mm x 40 mm) _ - - _ I. - Weight.. 44.09 lb(20.0 kg) - M - - - From Cover 0.13 in(3.2 mm)thermally pre-stressed glass - ­ra I - with anti-reflection technology, - - Back Cover Composite film •.2.,r Frame, Black anodized ZEP compatible frame --�- _�._..�•" "` Cell 6 x 10 polycrystalline solar cells - r )unction box Protection class IP67,with bypass diodes - b - M -u �". --"'"•�� _ Cable 4 mina Solar cable;(+)z47.24 in(1200 min),(-)z4J.24 in(1200 min) •+.o m.r *µ�° Connector Amphenol,Helios H4(IP68) - •^•*��Tom© 77 j PERFORMANCE AT STANDARD TEST CONDITIONS(STC:1000 WAn2,25`C,AM 1.513 SPE_CTRUMY POWER CLASS(+5W/-OW) _ IW]_ 255. 260 - 265 - . , Nominal Power Pare_y IW] - .255 r F 260: .. -�-~265 • ' • F , L • ' ' - .Short Circuit Current Is, [A] _ . . .4.07 .. .. .9.15 - .. �9.23 - F Open Circuit Voltage VOe IV] 37.54 37.77 38.01 Current at Pa law [A] 8.45 "" 8.53 -8.62 , Voltage at Pam _.^ Vmr IV] 30.18 - 30.46 .: 30.75.$. . The new Q.PRO-G4/SC is the reliable evergreen for all applications,With Efficiency(Nominal Power) £" n 1%] 1 15.3 a15.6 a15.9 a black Ze Compatible frame desi m for im roved aesthEtics' o th PERFORMANCE AT NORMAL OPERATING CELLTEMPERATURE(NOCT 800 WAn2,45 t3'C.AM SPECTRUM) ~ p p g p , p - - - _ . . th POWER CLASS(+5W/-OW) [Wl' 255.�, . . 260 " mm-.. 265 mizeid material usage and increased safety.The 4 solar module genera- _. .. .. .- _. _ _ ._ _ . tion from Q CELLS has been optimised across the board: Improved Output Nominal Power Pan ' [W] 188.3 V 192.0 195.7 . _ - y Short Circuit Current Isc [A1 .7.31. 7.38 7.44 r yield, higher operating reliability and durability, quicker installation and Open circuit Voltage V. IV] 34.95 35.16 35.3E more intelligent design._ - Current at Pan.'.- - Ivpr. [A] 6.61 _ 6.68 _ 6.75'.° Voltage at P_; V [V] - - 28.48 28.75 - y. 29.01 t . . . . , !Measurement tolerances STC:x3%(P_);x 10%U,,,Vs,Impp,V-) 'Measurement tolerances NOCT•.t 5%(P_);t 10Y(1.,V.,Imp°,V_) INNOVATIVE ALL-WEATHER TECHNOLOGY PROFIT-INCREASING GLASS TECHNOLOGY QCELLS PERFORMANCE WARRANTY -. PERFORMANCE AT LOW IRRADIANCE _ - •Maximum yields with excellent low-light •Reduction of light reflection by 50%, At lent 97%of nominal power during ,�+• - k and temperature behaviour. plus long-term corrosion resistance due sa n _ first year.Thereafter max.0.6%degra- -_ -_ - N __ dation per year. •Certified fully resistant to level 5 salt fog to high-quality a '; At least 92%of nominal power after E a;m 10 years. •Sol-Gel roller coating processing. - N s: --- At least 83%of nominal power after ENDURING HIGH PERFORMANCE 25 years. a •Long-term Yield Security due to Anti EXTENDED WARRANTIES An data within measurement tolerances.Ful • _ 1 - • security duet012 ear " ar warlranty terms of the Q CELLS sa warranties in accordance les IRRADIANCE IRRAotANCE(WAng r - PIDTechnology , Hot Spot Protect,., Investment e y y W _-- satin P country. , organisation of your respective ntry. , and Traceable Quality Tra.QTM. product warranty and 25-year linear ° The typical change in module efficiency at an irradiance of 200 W/m2 in relation vEAas .to lop W/m2(both at 25°C and AM 1.5G spectrum)is-2%(relative).. •Long-term stability due to VDE Quality performance warranty2. "° y g Tested-the strictest test program. _ - - ------ TEMPERATURE COEFFICIENT /M2, ,AM 1 5 SPECTRUM) - .. - .' I .WELLS a y Temperature Coefficient t 1#(A W a 2 °C IY/KI G •+0.04 Temperature Coefficient of V. [%/K] 0.30` N T 1000 5 SAFE ELECTRONICS - - - ITOP-BRAND-PV �Temperature Coefficient of P,,,, V [%/K)- .-0 41 NOCT [F] 113 t 5.4(45.i 3 C), •Protection against short circuits and Boa Maximum system Voltage V_ IV] F 1000IIEC) 1000(UL) safety Class thermally induced power losses due to. 2015 j II a breathable junction box and welded - . . Maximum series Fuse Rating [ADC] 20 Fire Rating C/TYPE 1 - ` ' cables. - - Max IDLY [ ] on continuous duty m' - (-40 Cuuptto+85°C) - - Load Ibs/ft2 50(2400 Pa) temperature - W Plfnfnn Load Rating(ULY [Ibs/119 50(2400 Pa) 'see installation manual aCfLlS... 6 • .. . ♦royrePoesry Best potyerystlllne solar module 2013 Number of Modules per Pallet - - 26 - x�v UL 1703;VDE Quality Tested;CE-compliant; p IEC 61215(Ed.2);IEC 61730(Ed.1)application class A.THE IDEAL SOLUTION FOR 1D.40032587 NnmberofPtlatBpers3 container 3z . win xpq ig Rooftop arrays on - pMPq . pVE ��® Wa = um er residential buildings rib C E j Pallet Dimensions(L x W xoH to 68.7 in x 45.0 in x 46.0 n _ 00 c°bus g ' . . g AcO- (1745 x 1145 x 1170 mm) . Pallet Weigh - 1254 Ito(569 kg) o reAOv 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 3 '-APT test conditions:Cells at-1000V against grounded,With conductive metal foil Covered module Surface, COMPP'tI this product.Warranty void if non-ZEPcunified hardware is attached to groove in module frame. 25°C,168h - 2 See data sheet on rear for further information. - ' - Hanwha O CELLS USA Corp. - - - 300 Spectrum Center Drive,Suite 1250,-Irvine,CA 92618,,USA I TEL.+1 949 748 59 96 1 EMAIL q�elle-usa@gcells.com I WEB www.q<ells.us Engineered.in.Germany Q CELLS Engineered in Germany G CE,LLS t Single Phase In veiters.for North.America sola o 9 •.. S E3000A-US/SE3 800A'US/SE5000A-US y SE6000A-USsolar � � SE7600A-US/SE1000DA US / - /SE11400A US '" '` •" " " `4�T^' .' �• ,SE3006A-US'j SE380OA-US'• SE5600A-US^. SE6000A-US 5E7606A-,US I SE10000A-USA SE11400A - -' Z OUTPUT NommalAC Power-0utput - 3000 '3800 - 5000 6000. 7600 9980 @ 208V 11400 VA - SolarEdge Single Phase Inverters I �0000.@zo8� :. Max AC Output 3300 .4150 5400@208V� 6000 8350 - 308 @ 12000 VA Far North America ...... ...... ........ ...... ...... .. .. ......... . .. ......... •, saso@2aov. •• io9so,@zaov. . - AC Output Voltage Min:Nom.Maz ul 183 208 :229 Vac.,.. :. : . .... ............. - ..,. .,. ............... ✓ SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ 'AC Output Voltage M)n Nom Max.ltl - - - A - 211 240 264 Vac .. ..... .............. .... SE760OA US/SEIOOOOA US/SE1.1 OOA US .... : . .. ....... .. - AC Frequency Min,:Nom:Max n 59.3:60 ,60.5.(with HI country setting 57 66 60 5).. •..:. .••• Hz ..... r 24 @ 208V 48 @ 208V - Output e.. - M...Continuous OutPutC..................12.... .(........6......L:21�°.240V. ......25 ... I ....32.......L-42.@240V. I .....47.5........ :A..... A'.. ...:. 1 .. ....... ................ .................. ...' ......... .....: .... ._....... :.:... '.........- '• + - Utility Monitoring,Island ing Protection,Country Configurable Thresholds Yes - Yes " IINPUT - . - yi, �� e� ,, ,;,, Maximum DC.... $TC) 4050 5100 6750 5100 10250 13500 1 5350 W - . . a ti Transformer-less,Ungrounded - - Yes f° 't5 ........................................... ........ ......... ... .............................. ...... .....-... . - .. rf t 1 i ;E - - Max.Input Voltage................... 500 Vdc . : .. E 1. Ve tth1 'Ff ................. B .. . ......... Nom.DC Input Volta.e............... ..... ........ 325@208V./350@240V ...... _-Vdc... ........... .. ... - .. . -.r-:,.`..:.-.--.. \ •. - _..... .... 16 5 @ 208V 33 @ 208V Max Input CurrenN I -9 5 13 18 - 23 34.5 Adc :. .......I................L 15.5.(,1°.240y. ................(....... .....L.30S 240V..I.......... ....... . a. <. Max:'Input Short Circuit Current-. . ..... ... 45 ... ....... - .... .. Adc... - ............. .. ..... I Reverse-Polarity Protection ........ ... .......Yes- _ - - .......... .. .............. ...... ....................................... r Ground Fault Isolation Detection - 600kD Sensitivity - .. ... .. Maximum Inverter EffiaencV.....: ..9... ..... .....98:Z..... -...98:3...... - -98.3 98 .6 ;. .. ....... 97.5 @ 208V .. 5 ....97 @ 208V CEC Weighted Efficiency 97 5 98- 97 5 97.5. .98_@-.240V _...:: .. .. ....... ...... 97.5 240V ... . . Ni httime Power Co nsumption on 12.5 <.4 W . ADDITIONAL FEATURES •'.--. .....,._" •t.._. t Supported Communication.lnterfaces RS485 RS232,Ethernet ZigB,ee(optional) ' ........................................ Revenue Grade Data,ANSI C12.1_ .... ..... ....Optional' - .... ......... _. .. ............... .... ......... ... .... ....- - Rapid Shutdown-NEC 7014 690.12 Functionality enabled when SolarEdge rapid shutdown kit is installed[") STANDARD COMPLIANCE Safe UL1741,UL1699B,UL3998,CSA 22.2 .. 'a ........ ........... ... .. . ................. ................. Grid Connection.Standards - .•. .- IEEE1547 - -: ............................... ...:. .... ..... .... .. ..... .. Emissions FCC Part15 class B' ' ' INSTALLATION SPECIFICATIONS' � _ AC output conduit size/AWG range. ... .• 3/4 minimum/16 6 AWG ............. 3/4 minimum/8 3 AWG ........... 1 ........... .......... ... ..... .... ..' :... . ..... DC input conduit size/#of strings/ •• --3/4 um/1 2 strings/ - .- { § 3 4-minimum./1 2 strings/16 6 AWG minimum ............. ....../. - ....,.,... ...,........... ...... ... .. Dimensions with Safety Switch .. . . •30.5 x 12.5`x 10.5/ .. m:%..... 30.5 x.12.5 x 7.2/775 x 315 x 184. - `. .a .. .... ......... ....... - ....... ... ...... .. .. ... :.775.x 315 x 260. .... rim • .. ..... _�* - - - - - -, - Weight with Safety Switch- ._. - - 51.2/23.2 ..:.I::.:. 547/24:7.. ... - --. .88 4%401 -Ib/.kg. 6# .. ............. .... . .. . ...... .. ... . ... .. .. i . .,�.� .� �Natu�l convec. . . ..' . . �' on Cooling' � ' ':-Natural Convection ' ' �.',� and internal � Fans(user replaceable) - - - - - fan(user The best choice for SolarEdge enabled systems . Noise ... <25 <50.... ._..... .dBA. .. ., ....0i ........................... ... . ..... ..... .. .... _ - � ... \ replaceable) Integrated arc.fault protection(Type l)for NEC 2011690ai compliance Min Max.'Operating Temperature ,,, � � - 13'io+140/ 25 to+60(40 Lu*60 version available ) F/'C Rang?........-. Superior efficiency(98%) ..... an.R ........ ...._....... .....................Protection Rating NEMA 3R Small,lightweight and easy to Install on provided bracket Fo reglpnal settings please contact SolarEdge support. I A higher current source may be used;the nyerter will limit its input current to the s stated. Built-in module-level monitoring - - - 0IR venue grade inverter P/N.SE—A-USOOONNR2(for 760OW Inverter.SE7600A.U5002NNR2).' _ . 0i Rapid shutdown kit P/N:SE1000 RSD.S1. Internet Connection through.Ethernet.Or Wireless s - - oi.40vemion P/N:SEx—A-U5000NNU41for760OW myerter:SE7600A-US002NNU4). Outdoor and indoor installation ` - - Fixed voltage inverter,DC/AC conversion only Pre-assembled Safety Switch for faster installation Optional—revenue grade data,ANSI C12.1 ®sunsaEc USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-ISRAEL WWW.s.olared e.Us. SMOKE DETECTORS REV� wED _ -1 zalor BA S L UILDING DEPT. DATE DATE FIRE DEPARTMENT BOTH SIGNATURES ARE REQUIRED FOR PERMITTING MUST BE INST&O P9 �A •�gl11LDINGCODE { i f - ' �� __� ��` � �/`� �._._.___�.�. ..—__...»�. w;:,mac •-......_._�..�----�- �� - -----_...___..------ RE 4 � f /L l s 0 o- 183 LONGVIEW DRIVECPALTSIOS E SONCENTERVILLE, MA. 02632 SCALE: �, ' APPROVED BY: DRAWN 8Y / • DATE: ` REVISED 7 71 - 1410BUILDING REMOD LING LICENSE # 006653 DRAWING NUMBER a NEW ENGLAND REPROGRAPHICS,&SUPPLY CO.