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Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address I l�oz PreU�c�' �Oa� Village �ht2�V;( IQ Owner 1—i l i a 14o v\ra�a►, Address Pre-CI,VI C ' eo a A Telephone (77 4) 6 6 w a3 L Permit Request of en ;.Aerc o n vi ec4 e-J r o-Flo 0 5,01 a r PV Oamel S Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District d� Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing StralUt, r5. Historic House: ❑Yes No On Old King's Highway: ❑Yes A No PT Basement Type: ❑ FF O ❑ Crawl ❑Walkout ❑ Other Basement Finished Area O'02016 Basement Unfinished Area (sq.ft) _'OWN F Af Number of Baths: Ful�ex4t> _ 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 X No . If yes, site plan review# Current Use S,tn!�Ik -gw.Jy res;cL�,'a J Proposed Use <,n4l z 5;1,4;a APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name CrO,1'1 Orv, I5(Aviruy) Telephone Number 0 7�) 7 9 3 _ 6994 Address y �0�5�' ', S %�e License # CS — D Q Mar I �OrO uA k , 1"l A Q/ Home Improvement Contractor# 1 -7 99 3 7 Email Cra . D r h u h r u n\,�o o­e-, CN-i Worker's Compensation # WC O136 g 6 I Q i ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE L FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE I OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL .GAS: ROUGH FINAL FINAL BUILDING ) %ZI DATE CLOSED OUT ASSOCIATION PLAN NO. I DocuSign Envelope ID:64412F14-,AE10-4065-BD03-BD809529A8F9 OWNER'S AUTHORIZATION FORM For Permit Application(s) The sole purpose of this form is to provide Sunrun, Inc. with the necessary permission from the Owner to file permit application(s) for such project work as agreed upon between the Owner and the Owner's Authorized Company and its designated subcontractors. Owner's Name: 11 1 i a Hanrahan Solar Project .a&:by: Signature: Ufa Owner's Authorized Company: Sunrun, Inc. Company's Address: 595 Market St 29th Floor, San Francisco, CA 94105 Affiliation: Contractor Applicable License: State: MA 4� CSLB#969975,NJ#13VH07020300 Massachusetts -Department of Public Safety Board of Building Regulations and Standards . ciiiiSi:i iICiJOB SUPe1 iSrj- License: CS-080034 r ``� CRAIG ORN _, 73 WALNUT ST I ip ,^ ' OXFORD MA 01340 r ✓..L...�1l � �r i ai� • Expiration F Commissioner 01/22/2017 R O'Ex e or Consumer�� ywle� �%'C Affairs&Business Regulation MEIMPROV EM"T CONTRACTOR License or registration valid for individual use e9istraUo ..,7_ 937._ before the expiration date a only plra Type, Office of'Consumer If found return to: SUNRUN INC. � 4� ��8 mer Affairs and B Supplement Card 10 Park plaza-Suite 5170 Business Regulation Boston MA 0 CRAIG ORN 2116 595 MARKET ST 29TN-FL SAN FRANCI 94105 Undersecretary ' 'Not id without si gnature —' Aco® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 1 3/20/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT Arthur J. Gallagher&Co. Insurance Brokers of CA. NAME, FAx 1255 Battery Street#450 •415-546-9300 C. 415-536-8499 San Francisco CA 94111 E-MAIL INSURERS AFFORDING COVERAGE NAIC# INSURERA:Zurich American Insurance Company 16535 INSURED SUNRINC-01 INSURERB: Sunrun Installation Services Inc. INSURER c and REC Solar, Inc. 775 Fiero Lane, Suite 200 INSURER D: San Luis Obispo CA 93401 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:562836224 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I ADULSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $• CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED ST=LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ AUTOS SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS AUTOS NED DAMAGE A PROPERTY AUTOS $ Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE - $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ ' $ A WORKERS COMPENSATION WC013696001 10/1/2015 10/1/2016 STATUTE OERH A AND EMPLOYERS'LIABILITY X YIN WC013696101 10/1/2015 10/1/2016 ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACHACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? IMandatoryInund NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) WC013696001 -$25,000 Deductible;WC013696101.-FL, HI, MA, NJ, NY,OR,VA,WI only. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 367 Main St Hyannis MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD r The Commonwealth of Massachusetts = Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.gov/dia l orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Lezibly Name (Business/Organization/Individual):Sunrun Installation Services, Inc. Address:775 Fiero Lane, Suite 200 City/State/Zip:San Luis Obispo, CA 93401 Phone#:978-549-9438 Are you an employer?Check the appropriate box: Type of project(required): 1.❑✓ I am a employer with 35 employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in $, ❑Remodeling any capacity.[No workers'comp.insurance required.] 3.01 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 4.❑[am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 ❑Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.[:]Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑✓ Other Rooftop Solar 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. .:Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name:Zurich American Insurance Company Policy#or Self-ins.Lic.#:WC013696001 &WC013696101 Expiration Date: 10/01/2016 Job Site Address:34 N Precinct Rd City/State/Zip:Centerville, MA 02632 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains )andpena 'es ofperjury that the information provided above is true and correct. Si nature: / /. ...... Date: Phone#:978-549-9 8 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#: I�"1C June 20,2016 STRU(TURAL ENGINEERS Sunrun Inc. 133 Technology Dr, Suite 100 Irvine, CA 92618 Subject: Structural Certification for Installation of Solar Panels Job Number:201609149 Client: Lilia Hanrahan-221 R-034HANR Address:34 N Precinct Rd, Centerville, MA 02632 Attn.:To Whom It May Concern A field observation of the condition of the existing framing system was performed by an audit team from Sunrun Inc.. From the field observation of the property,the existing roof structure was observed as follows: The existing roof structure consists of: • Composition Shingle over Roof Plywood is supported by 2x10 @ 16"o.c. SPF#2 at ARRAY 1.The rafters are sloped at approximately 45 degree and have a maximum projected horizontal span of 11 ft 1 in between load bearing walls. • Composition Shingle over Roof Plywood is supported by 2x10 @ 16"o.c. SPF#2 at ARRAY 2.The rafters are sloped at approximately 25 degree and have a maximum projected horizontal span of 10 ft 0 in between load bearing walls. Design Criteria: • Applicable Codes=780 CMR,ASCE 7-05,and NDS-05 • Ground Snow Load=30 psf • Roof Snow Load= 13 psf ARRAY 1 ;20.8 psf ARRAY 2 • Roof Dead Load= 17 psf ARRAY 1 ; 11.5 psf ARRAY 2 • Basic Wind Speed= 110 mph Exposure Category C As a result of the completed field observation and design checks: • ARRAY 1: it is adequate to support the loading imposed by the installation of solar panels and modules.Therefore, no structural upgrades are required. • ARRAY 2: it is adequate to support the loading imposed by the installation of solar panels and modules.Therefore, no structural upgrades are required. I certify that the capacity of the structural roof framing that directly supports the additional gravity loading due to the solar panel supports and modules had been reviewed and determined to meet or exceed the requirements without structural u rade in accordance with the 780 CMR. P�IH OFA2gSs If you have any questions on the above, do not hesitate to call. 9� PAULK. tiG Prepared By: ZACHER PZSE, Inc.-Structural Engineers ° STRUCTURAL ti No.50100 Roseville, CA 6sozoi �� NAL-- 1 of 1 8150 Sierra Cdlepp Bou!8"od,Suft 115:0 9 Rose4e,CA.9S661; 916. 61.3960 P 916.961,3965 w:PMcaM Ir1C STRUCTURAL ENGINEERS June 20, 2016 Sunrun Inc. 133 Technology Dr, Suite 100 Irvine, CA 92618 Attn.: To Whom It May Concern re: Job 201609149 : Lilia Hanrahan -221 R-034HANR The following calculations are for the structural engineering design of the photovoltaic panels located at 34 N Precinct Rd, Centerville, MA 02632.After review, PZSE, Inc. certifies that the roof structure has sufficient structural capacity for the applied PV loads. If you have any questions on the above, do not hesitate to call. OF1wjS, 9 PAULK. cyG ZACHER Prepared By: o STRUCTURALco PZSE, Inc. -Structural Engineers o.50100 Roseville, CA ASS/ONAIrcNG\ 'f 1 1 of 6 + a 8150 Sieric,.C®1�i+ge.8�ul�+�.i� Site 150_* kseAe,C4 95661 * 916.961.396C1 P * 916:9613965 wwwpsaxom Gravity Loading Roof Snow Load Calculations pg=Ground Snow Load= 30 psf CB=Exposure Factor= 0.9 (ASCE7-Table 7-2) Ct=Thermal Factor= 1.1 (ASCE7-Table 7-3) I=Importance Factor= 1 pf=0.7 CB Ct I pg 21 psf (ASCE7-Eq 7-1) where pg<_20 psf,Pf min=I x pg= N/A min snow load(=fslope<15") where pg>20 psf,Pf min=20 x I= N/A min snow load(muf slope 1s°i Therefore,a=Flat Roof Snow Load= 21 psf ps=Cspf (ASCE7-Eq 7-2) Cs=Slope Factor= 0,625 ARRAY 1 Cs=Slope Factor= 1.000 ARRAY 2 Ps=Sloped Roof Snow Load= 13.0 psf ARRAY 1 Ps =Sloped Roof Snow Load= 20.8 psf ARRAY 2 PrV Dead Load=3 psf(Per Sunrun Inc.) — W---I Roof Live Load= 12.00 psf ARRAY 1; Roof Live Load= 18.40 psf ]ARRAY 2 Note:Roof live load is removed in area's covered by PV array. Roof Dead RAY 1'W` `� Composition Shingle 4.00 Roof Plywood 1.50 2x10 Rafters @ 16"o.c. _. 1.90 Vaulted Ceiling 4.00 Miscellaneous 0.60 Total Roof DL ARRAY 1 12.0 psf DL Adjusted to 45 Degree Slope 17.0 psf Roof Dead Load ARRAY 2 Composition Shingle 4.00 Roof Plywood 1.50 200 Rafters @ 16"o.c. i 1.90 Vaulted Ceiling 0.00 (Ceiling Not Vaulted) Foam Insullation 3.00 Total Roof DL ARRAY 2 10A psf DL Adjusted to 25 Degree Slope 11.5 psf i 2of6 Wind Calculations Per ASCE 7-05 Components and Cladding . Input Variables Wind Speed 110 mph Exposure Category C Roof Shape Gable/Hip Roof Slope 45 degrees , Mean Roof Height 18 ft Building Least Width 20 ft Effective Wind Area 10.8 sf Roof Zone Edge Distance,a 3.0 ft Design Wind Pressure Calculations Wind Pressure P=qh*(G*Cp) qh=0.00256*Kz*Kzt*Kd*V^2*1 (Eq_6-15) Kz(Exposure Coefficient)= 0.88 (Table 6-3) Kzt(topographic factor)= 1 (Fig.64) Kd(Wind Directionality Factor)= 0.85 (Table 6-4) , V(Design Wind Speed)= 110 mph Importance Factor= 1 (Table 6-1) qh= 23.17 Standoff Uplift Calculations Zone 1 Zone 2 Zone 3 Positive GCp= -00 -1.70 -2.60 0.50 Uplift Pressure= -23.13 psf -39.29 psf -60.13 psf 11.55 psf Max Rail Span Length= 4.0 ft 4.0 ft 4.0 ft Longitudinal Length= 2.7 ft 2.7 ft 2.7 ft Attachment Tributary Area= 10.8 sf 10.8 sf 10.8 sf Footing Uplift= -249 lb -422 lb -646 lb L , Standoff Uplift Check Maximum Design Uplift= -646 lb Standoff Uplift Capacity = 700 lb 700 lb capacity>646 lb demand Therefore,OK Fastener Capacity Check Fastener= 5/16 inch Number of Fasteners= 1 Minimum_Threaded Embedment Depth= 2.5 Pullout Capacity Per Inch= 205 lb f Fastener Capacity= 820 Ib 820 lb capacity>646 lb demand Therefore,OK 3of6 Framing Check ARRAY 1 PASS w=44 pif Dead Load 17.0 psf PV Load 3.0 psf Snow Load . 13.0 psf ® 2x10 Rafters @ 16"o.c. Q Member Span=1 V-1" Governing Load Comb. DL+SL Note:Attachments shall be Staggered. Total Load 33.0 psf Member Properties Member Size S(in^3) I(in^4) Lumber Sp/Gr Member Spacing 2x10 21.39 98.93 SPF#2 @ 16"o.c. Check Bending Stress Fb(psi)= fb x Cd x Cf x Cr (NDS Table U.1) 875 x 1.15 x 1.1 x 1.15 Allowed Bending Stress=1272.9 psi Maximum Moment = (wL^2)/8 = 675.622 ft# = 8107.46 in# Actual Bending Stress=(Maximum Moment)/S =379.1 psi Allowed>Actual—29.8%Stressed e Therefore,OK Check Deflection Allowed Deflection(Total Load) = U240 (E=1400000 psi Per NDS) = 0.554 in Deflection Criteria Based on = Simple Span Actual Deflection(Total Load) _ (5*w*04)/(384*E*1) = 0.105 in = U1267 < U240 Therefore OK Allowed Deflection(Live Load) _. U360 0.369 in Actual Deflection(Live Load) _ (5*w*L^4)/(384*E*1) 0.050 in U2660 < U360 Therefore OK Check Shear Member Area= 13.9 in^2 Fv(psi)= 135 psi (NDS Table 4A) Allowed Shear = Fv*A = 1873 lb Max Shear(V)=w*L/2 = 244 lb Allowed>Actual a 13.1%Stressed Therefore,OK 4of6 Framing Check ARRAY 2 PASS w=47 Dead Load 11.5 psf PV Load -3.0 psf Snow Load 20.8 psf. ® 2x10 Ratters @ 16"o.c. O Member Span=10'-.0" Governing Load Comb. DL+SL Note:Attachments shall be Staggered. Total Load 35.3 psf Member Properties Member Size S(in A3) 1(in^4) Lumber Sp/Gr Member Spacing 2x10 21.39 98.93 SPF#2 @ 16"o.c. Check Bending Stress Fb(psi)= fb x Cd x Cf x Cr (NDS Table 4.3.1) 875 x 1.15 x 1.1 x 1.15 Allowed Bending Stress=1272.9 psi Maximum Moment = (wL^2)/8 = 588.333 ft# = 7060 . in# Actual Bending Stress=(Maximum Moment)/S ` =330.1 psi Allowed>Actual-26%Stressed — Therefore,OK Check Deflection Allowed Deflection(Total Load_) = U120 (E=1400000 psi Per.NDS) = tin Deflection Criteria Based on = Simple Span Actual Deflection(Total toad) _ (5*w*L"4)/(384*E*I) 0.072 in U1667 < U120 Therefore OK Allowed Deflection(Live Load) _ U180 0.666 in Actual Deflection(Live Load) _ (5*w*L^4)/(384*E*I) 0.050 in U2400 < U180 Therefore OK - Check Shear Member Area= 13.9 m^2 Fv(psi)= 135 psi (NDS Table 4A) Allowed Shear = Fv*A = 1873 lb Max Shear(V)=w*L/2 = 235 lb Allowed>Actual a 12.6%Stressed e Therefore,OK 5 of 6 Lateral 780 CMR Existing Weight of Effected Building Level Area Weight sf) Weight(lb) Roof 842 sf 17.0 psf 14308 lb Ceiling 842 sf 0.0 psf 0 lb Vinyl Siding 124 ft 2.0 psf 4470 lb (18'Wall Height) Int.Walls 124 ft 6.4 psf 14304 lb Existing Weight of Effected Building 33082 lb Proposed Weight of PV System Weight of PV System(Per Sunrun Inc.) . 3.0 psf Approx.Area of Proposed PV System 469 sf Approximate Total Weight of PV System 1407 lb 10%Comparison 10%of Existing Building Weight(Allowed) 3308 lb Approximate Weight of PV System(Actual) 1407 lb Percentlncrease 4.3% 3308 lb>1407 lb,Therefore OK M 6 of 6 ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION , Map Parcel za c Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. , Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis F prZl� S F.�T Project Street Address Village_&-enie-I'''V1 Owner_, PLt� �/�fj, Q� Address /,11--T AIZ/ 'Telephone Square feet: 1 st floor: existing W-proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Pry- oject Valuation t ®a - 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 1 No On Old King's Highway: ❑Yes ❑ No Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.).R� Basement Unfinished Area (sq.ft) � Number of Baths: Full: existing new 1 Half: existing new Number of Bedrooms: existing Onew /l Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: )d Gas ❑ Oil ❑ Electric ❑ Other Central Air: �6 Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing 0 new size_ Attached garage: ❑ existing ❑ new size _Shed: X existing ❑ new size Z Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial 0 Yes ❑ No If yes, site plan review# Current Use Proposed Use 4 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �-n oanrcjoaur) Telephone Number -1-744 3 4 !J a� ppe c_`�nct-4 Address License # cee)- 'rv`� M Home Improvement Contractor# Email S%r',oS,P)amw,6 c-3•Carl Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE r DATE 2D1 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: , FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING h-7 'DATE CLOSED OUT ASSOCIATION PLAN NO. The Connhorrtver lth QfMassachusetts � • 4, Dep artirrerrt o,�'rrz&rstrza1 Accrde-7ag n __ f�► r-e ofln,.restr'gations . 600 Washiuglon S`treef Bastong M 02111 - " Workers' Campensaf en Insurance Affidavit.Builden/Contracturs,EIectricianslPlumbers �A,TppEcant.Inf6r ation , 1 Please Print Le ffily l�SUYBlLSiII2�.5� 3IIITdlanlfnr�" Address: CityfSfatcJ pc Are you an employer?Check the appropriate bon Type ofproject r . �: I am a general contractor and I YP . (required): I_ ❑I am a employer with Near construction (full andlor part-timed* h 6_ 'have hired.the sub-contractors ❑ 2.❑ I am a sole propnetcw orpartuer- listed on the attached sheet:. I.❑Remodeling slip and have:uo employees. These sub-contractors have $_ R Demolition: working forme in any capacit3r: - employees andhiave wodkers" [No wrodbers�' comp.insurance comp.insurance-19. ❑Building addition required-] S_ ❑ We area corporation and its 10:❑Electrical repairs,nor additions 3.;<I.am.a haomeommer doing all work offacen have exercised their ILL Plumbingrepairs or additions Myself[No workers'comp. right of exemption per MGL c.152 §1(4�and we have no 12.❑Roofrepairs in�,�rance regmired]i . employees.[No workers' 13.0'Other comp.insurance requited_] #Any apVH=rdwt cheftbax F1 mast alsa U cutthe sectionbeiawshrsing their wale&compensation poTicp informsaon. Homeowners who submit this af5davu indicating they am doing RUwal a 4d=him outside:contractors amst submit a newaffidayst indicating sacfi_ " tC'ontmctorst1mt checttlus box must attached an.additiansl shed showing the auneof the sub-cantmctna and state wheaher ornatihoss enfitieshave empkoyees.Ifthesa caatnutorshavemnpIogees,tfieynnstpmudds'theirnmrkers'•ramp.policynumber. lain an eurpfojvr tliatisprotrrineg it orkers'eanrperisatioii inmirarzce for my*¢nrpLayees ,Setow is the pVHd7 rued joh site iifornurfion , Insurance CompanyName: 'Policy i or Self-ins.Lic. RkpiratiionDate: Job Site Address: City/StaW2l p: Attach a copy of the workers'compensationpolicy declaration page(showing the polity number and expiration date). Failure to secure coverage as.required.under Section.25A of MGL c-1572 can lead to the imposition of criminal penalties of a fine up to$U00:00 and,'ar one-year imprisonmerd,as well as chil penalties.isi the form of a STOP WARS ORDERan<d.a fine of up to$250-00 a day against the violator_ Be adsrised that a copy of this statement may be forwarded to the Office of Imwest gations ofthe DI,A for insurance coverage veriftcation. Ida Lieraby carizf[r Qiarder tMe prise ndpellaffces n.fgFt�iuxy,fhaatflee ieafbt tct€zorr protzrled abme 1rwE aQirl correct Sitn,ature- Date: _r Phone g:- -1"1'-?St- 07-6'Ce Ofjf'ciaL use mdy. Do not alrrite in M6-area,to be campLeted by city artnnrn officiaL, City or Town: PermitUicense 4 Emuing Author'(curde one): L Board of$eakh 2.Bull ing Department 3.CtyjlTowa Cleric 4.Electrical Fuspector S.Plumbing Inspector ta.Other Contact Person: Phone�; K -ha..formatxon and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. P,rrsuaDttD this st&ft-,an anplopee is defined as.'-.every person in the service of another under any contract ofhire, express or finplied,oral or wlittm " An Mayer is defined as"an individual,partnership,accociafion,corporation or other legal entity,or any two or mare of the foregoing engaged in a Joint enturprzse,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 tbree apartments and who resides therein,or the odcapant of the- dwellivg house of another who employs persons to do mai:nEc an m,construction or repair wo n such dwelling house or on.the buildingor appuirten�tthereto shall not because ofsach employment be emedto bean employer." MGL chapter IS §25C(6)also sues that every state or local Iicensig agency sh withhold the issuance or renewal of a lace or permit to operate a business or to construct buRdiags' the commonwealth for any applic�.ntwhohas tproducedacceptableevidenceofcompHz-ar- en - msurance.coveragerequired." Additionally,MGL ter.152,§25C(7)states"Neither the commanwe or auy political subdivisions shall enter into any contract fo the performance ofpublia woik until acceptab e " ce of compliance with the insurance:. req�reinents of tbis chapte ave been presented fn the contracting Applicants Please till oil the worker' compens "on affidavit mple y,by checking the boxes that apply to your situation and,if n ecess supply sub-contractors)name(, ), ad s(es) phone numbers) along with their cert>ficafe(s)of Y �' u'pP _ thin the hisurmce. LhnitedLiability Companies(LIC or dLiabi7ity-Partaerhips(LLP)withno employees other o 'co ensatioa insorance. If an LLC or LLP does have ears are not r d to w mp members or pin egvae Be ad " that dayit maybe submitted to the Department of Industrial employees, a policy is regorited. vIs Y Accidents for coufamafion of insurance ove;ag e. AIS e sure to sign and date the affidavit:. The affidavit should b e retummed to$e city or town that the plication fur the p or license is being requested,not the Department of L -nAustrialAccidcats. Sliouldyon biro any questions regarding tit or ifyou are required to obtain a workers' compensation policy,please call thm par(mentatthenumberlistedb Self-insured companiessliovIden rtheir self-m SM7an ce license number on Ia pmwiate lime. ,r City or Town.Offa-dals Please be sore that the afti f is complete and printed legibly. The Department has provided a space at e o of the affidavit for you to out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fillm a P(--=#license number whichwM be used as areference number. Tn addition,an applicant that must submit m le pemiii'llicrose applications i a aay given year,need only submit one affidavit indicating cusent Policy in fo=oati r(if necessary)and under"Job Site Address"the applicant should write"all locations n (c?y or town)."A y of the affidavit that has been officially stamped or marked by the city or town may be provided to the ' applicant as proof that a valid affidavit is on file for frinre permits or licenses. A new affidavit must be filled out each year.glhere a home owner or citizen is obtaining a license or pennitaotrelated to any business or commercial venture (L5. a dog license orpecmittn bum leaves etc.)saidpersou is NOT re uiredto complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesRafeto give us a call The Dep tat mt's address,telephone and fax number. . 'I1�e C�).MManWean of Massachm At, IIepaxfinent Qf1adusfialAccidence =ce of lvest�gatto--� 604-Wotan St=t Boston,MA 02111 T(�-L*617 727-4gQO Cxt 4€6 or 1-8-77-MAS . Fax 9 617 727-7749 Revised4-24-07 w w v-m gerldi-a TOTM of Barnstable Regulatory Services F: r � Richard V.Sca%Dix r f Tom Petty,Etu'Idiag Camm iaainner YEAS• z6 M tea$ 200 Main Stmat $yes,MA.=01 Office: 508-962-4038 Fay 508-790-6230 r 2 20 1 JOB LOCH rOk 3� o AA,,, P('e_C-;1n C+ .mac C.n 4rVA, • nnmbrr• ,, ff stint , viIla� • b®cph0=A worlCpSonc#r` CU RFNTMAff NUTADDRESS: G _ ctiyltnwn sffiZ zip wdc The c:==t exemption for`h meowners"was extended to include owner-occupied dweIImes of sic emits or less and to allow homeowners to engage an is ividmal far hirewho does notpossrss a license,ptoyided tb tIhe owner acts as srmetvisor_ DIF'II`IMON OR HOMEOWNER. pcsOn(S)who owns a parcel of land onwhich he/she resides or intends to reside,on which.them is,or is intended to be,a one or tw - faml y clWellmg, at a chid or detached st mct a=accessory to such use and/or farm structims. A person who constincts more tban one ho=in-a two-year period shall notbe considcred.abamCowney CSTr-h�omwwaez",sliaIl svhm�to the Bmilding Official on a fD= acuptable to the Building Of Ei"tbatbe/sha shall be mMonsrble for all sack work pezfo�ed�dErtbe burZdm�permit (Section 109.L1) The tm&rtsigned`%DMaeownM-asmmcs rmponsl ity for compliance• the Stair;Big Coda and other applicable codes, bylaws,roles and reav-a bons- _ r • 'be signed`homtowner"ce[es tbathc/she ml nd�the Town ofBams[able Bmldmg Depm-tn m= mspu-t m procedures aadregair an nts dthathelshawiillcomplywilhsaidprocedmnd es aregaheme�- Si o cotencr • App=r4 ofBnUCrMgasad • Note_ n=-fanmaydwellingsmnb&iing35,000cmbicfeetorlargerwidberegukedtocomplywiththe.StamBm7dmgCode Section 127.0 Caushnclion ContmL HOhEOWNMIS EnInI'II'DN The Code states that'= 'Any homeowner performing workfor which a bur7diag permit is required shall be exempt from the provisions of this section(Section 109JU-Licensing of contraction.Supervisors);provided that if the homeowner engages a perso a(s)far hue to do such work,that such Homeowner shall art as sap erdsor." bEmy homeowners who use this exemption are m aware•that they are assam**+g the responsMT-mi of a supervisor (see Appendix Q,Rules&Regulations for licensing Conoxucfion Supervisors,Section 215) This lack of awareness oft= rwdts in serious problems,particularly Whm the bome crymet hoes uaticensed persons In tarts case,am Board cannot ,proceed against the:b=Hcensed person as it would with a licensed Supervisor_ The homeowner acting as Supeiwisor is ultimately responsible- To ensure brat the homeowner is fully aware of hislher responsibMdes,many coma =Mes requaq as part of ffie permit applicaiian,that the homeowner certify that h.e/she understands the responssEhrTtties of a Supervisor. On the Iast page of tbh i-me is a form currently used bg see ral towns. Yon may cart t amend and"adopt sack a fbrm1cerff5=fIoIL fmr use in your cammm ity � p�foaaslIIO?BFSS.doc gcvised 06U 13 11 ' - • ••C` • , Y • - • r Town of Barnstable : RegalatorrServices Rich=d P.S=74 Mredor 16 Buil •drag Division • TomPerry,B—Iffin CaT^T dssioner 200 Mom Strme Hyamris,MA 02601 www town:bzn sfable ma_us Offi=: 508-862-4038 Fa= 508-790-6230 Prope4 Owner Must Complete and.Sign This Sectzon If JJs ins A Builder Owner of the subject property hemby to act on mybebal� . in all matters relative to work a oozed by m7drng pe=it apP Ecation for( 5 Job) agar _ • '`001 fences and alatIn.S are esponsibEy of the a 'PP licaat:Pools are not to be fr7led or utilize be ore fence is installed and-L final ' I inspections are pe-dom d ac epted. Sim ire of Owner S' of Applicant Print Name t' Pri=Name f Bate . QFox�ss:owrmr��smr>Poors ' `T dvC.� ,Y� T INN OP BARNSTABLt `C+1 { ,y \\' ! r r 4� '+ < ,�a.am:>sw.rw.:aay..i? � .r`• .d .�.......�Y...wm,W:.w ^�._� .n!� r,,.�. �, i VIP, Commonwealth of Massachusetts (� 12� Sheet-Metal Permit Map "Parcel 3 X-PRESS PERMIT 1 Date: 3 " �� 1 Permit# ( 3 3 MAR 11 2013; Estimated Job Cost: $ 00:°a M Permit Fee: $ Plans Submitted: YES NOTOWN OF BARNST Reviewed: YES NO Business License# - Applicant License Business Information: Property Owner/Job Location Information: P Name: Sea.n t-�Gtn�a�na.n Name: 1_ i rl Gt yl(- � Street: o C rn Street: 34 /v o r_�, Pcecl-nC I City/Town: cc,,+!, r City/Town: (f 4n f e-r V `�F Telephone: Telephone: 11 -(0 Lf 4-3 2-30 Photo I.D. required/Copy of Photo I.D. attached: YES NO Staff Initial estricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential:.1-2 family Multi-family. Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept. Approval Institutional_ Other. Square Footage: under 10,000 sq. ft. over.10,000 sq. ft. Number of Stories: 7— Sheet metal work to be completed: New Work: Renovation: HVAC x Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: W NSURANCE COVERAGE: have a current liability insurance policy or its equivalenfwhich meets the requirements of M.G.L.Ch. 112 Yes No ❑ f you have checked Yam, indicate the type of coverage by checking the appropriate box below: k liability insurance policy Other type of indemnity ❑ Bbnd ❑ )WNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent 3y checking this box[:], I hereby certify that all of the details and information 1 have submitted(or entered)regarding this application are true and iccurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be n compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments Final Inspection Date Comments Type of License: y ❑ Master itle r`J ❑ Master-Restricted ._...__..._, ity/Town w(Joumeyperson Signature of Licensee ermit# 2 ❑Joumeyperson-Restricted License Number 317 Be$ ❑ Check at www.mass,gov/dpl Spector Signature of Permit Approval The Commonwealth of Massachusetts f Deparfinent o Industrial Accidents . Office o Inv ' ationrs .� ..f estzS' -600 Washington Sttreet` _ Boston,MA Uv. wwwanass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information '' ff Please Print LeLab� Name(Business/organizati=adivi&4:. a-An ��gss �e1 • a f A Ala.. �� Ems: � '. - City/Sta& ip: Ml porz Phone.#: 79 Gf=?.3�o 29-(, Are you an employer?Check the appropriate bow Type of pi-oject(required): 1.❑ I am a employer with 4. [] I am a general contractor and I employees(Rill and/or part iaoel. * have hired f3e sob c 6. ❑New constrncticm . 2.❑ I am a•sole pLogrietor or partner- listed on fm-attached sheet. 7. ❑Remodeling ship and have no employees TheSe sab-contractors have 8. [J Demolition for me c employees-anti have wogs' working any apa_ciiy, 9. addition . [Na workers' camp.ine,n•anCe comp:insnra•nc,e.t' [].�g required.J 5• 0--we are a corporation and its 10.0 Electrical repairs or additions 3 ] I am a homeowner doing,.a.work' officers have extrriced their ll.[]Plumbingrepairs or additions ' nrysel£ [No workers' comp. rigs of exemption per MGL mom_name required-]t c. 152, §1(4), and we have no 0 R°°frepairs employees. [No workem' 13.[]Other camp,insurance regdiredJ *Any appIicmt that checks box#1 most also fill out the section blow shoving thcs vA36 rs'compeosatim po&cy infmmatioa t Homcownas who submit this of davit ind'ieaimg they an doing all work and fnan hire mtm&conttaet=mast subrn t a new afndav tindicafmg such. $Cantrectars that check this box must atfanhed sir additional shcet showing the Warne of fb sub--antacbm and star:whaa=ornot those mtitm have --ploy— If the sub­tractnrs hav:eoPloyrrs,fl-7 tgtuvide thca workers'camp,poIicy er. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Incrrraz=CompanyNa=: . Policy#or Self-ins.Lic•# ExprationDate: - rob Sitr Address: may/ : Attach a copy of the workers' compensation policy dErlarafion page'(showing the policy number and expiration date). Failom.to.secure coverage as regmred.under Sectirm 25A of MGL c. 152 can lead to ibe imposition of cr hrd al penalties of a fine up to $1,500.00 and/or one-year imprison-wit as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised.$iat a copy of this st d=erit may be forwarded to the Office cif Investigations of the DIA for mmu-nce coverage yerificafinn I do hereby certify under thepI ' penahUy OfperjWy that the informadon provided above is true and correct: Side: Date Phone#k -7e74- 2 3S-- 02f`(Q official use only. Do notwrite in this area,tb be completed by city Or town official City or Town: Permit/hicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CifylTown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Cant Lat Person: Phone#: f IKE Torn of Barnstable .� Regulatory Services HAM �► Thomas F.Geiler,Director i639. �w Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.harnstable.mans Office: 508-862-4038 Fax 508-790-6230 d- Property Owner Must Complete and Sign Tbis Section If Using S Builder r, cL�n e arn� as Owner of e subject prppetty hereby authorize to act on my behalf, . i a all matters relative to work authorize y this building p (Address of Jo , Pool fences and alarms aie,.the resp' sibility`of the applicant.''Pools are not-to be-Hed.before fence is i.nst and pools are not to be utilized until all final inspections are erf rmed and accepted. Signature of Owner Signature o pplicant 1 Psint Naive Print Name Date Q:FORMS:OWNERPERM3SIORTPOOL3 Town of Barnstable I. Regulatory Services J Thomas F.Geiler,Director hIAS& Building Division �c Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnst,qb1e.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION s� Please Print DATE: J� III JOB LOCATION: 34 NO(4-(,� Prec-m6f PeA �j ✓i�� number street cc-- � village "HOMEOWNER": �.7_,-�l '7'71f 2_ —o'Z-f�e name home phone# work phone# CURRENT MAILING ADDRESS: t4•r" city/town state . zip code The current exemption for"homeowners"was extended to include own 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 supervisor. DEFINITION OF HOMEOWNER Q 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 log.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. ature o o eowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109,1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,'that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15)_This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:for ms:homeexempt Town"of Barnstable Regulatory.Services �IMME Thomas F.Geiler,Director Building Division snaxsrnaM Tom Perry,Building Commissioner MASS. 1639. `0�� .;200 Main.Street,`Hyannis,MA 02601 AtED MA'S s .. Office: 508-862-4038 w Fax.S 508-790-6230, January 10, 2012 4 Christopher Vincent, 17 Still Brook Rd. South Yarmouth, Ma. 02664' y , RE: 34 North Precint Rd:, Centerville, Map: .148 Parcel: 122 ` .t Dear Mr. Vincent: This letter shall serve.as notice that a sheathing inspection was done for permit - application number 201104333 at the above referenced address on January 6, 2011 and . the following deficiencies were noted; 1) Sheathing was not nailed in'accordance with the approved construction documents. and not in compliance with the wood frame.construction manual fort 10 mph, - exposure `B' construction. 4 2) Roof covering installed before sheathing inspection conducted. It is further noted that it is your responsibility as construction supervisor to:ensure all work is done incompliance with 780 CMR. This would include successful completion of all required inspections.Although you have since removed yourself as the construction supervisor, you remain responsible for the work done while you were the construction supervisor of record. Be advised.that violations of 780 CMR are subject to prosecution and may result in a complaint filed with he Building Board of Regulations and Standards. Please contactthis office with your plan to correct the deficiencies.-Thank you for your immediate attention in this matter.n Respectfully, z J L Lauzon Local Inspector (508) 862-4034 f PROJECTQ•� �-- �,�.t�� �p ► pJ ,/X�r�L{ ADDRESS: d C2 r PERMIT# cl 3�3 Y PERMIT DATE: 0�?5 M/P: I I CD- LARGE, ROLLED PEAKS ARE BOX SLOT Data entered in MAPS program on; B Y: . dK+ ll12zl�c NOTES Stake/tack JOB N0. B09-05 1. LOCUS IS A.M. 148, PARCEL 122. Set Honrahan.dwg 2. LOCUS IS IN FLOOD ZONE C ON FIRM DATED JULY 3, 1986. 3. OFFSETS SHOWN ARE TO THE CORNERBOARDS ON EXISTING BUILDINGS, OR TO FOUNDATION ON NEW CONSTRUCTION. COMM FIRE DIST. ,o°• N/F a ,001 P Conc. Bound Fnd & DASILVA N Held for rear lin Location from As—Built �i- m 6o�ti5s �g°5. Permit No. 81-190 0 �a take/tacky 3��' L 0 T 4 0. s. Set Q�o� s 20,080±S.F. <� A" Zry6 NEW FOUNDATION �Deow Conc. Bound Fnd & Held .... ,s Stake/tack :: N/F :: s Set 0�y9, JENSEN o. �9 OSECOND FLOOR IS UNDER O CONSTRUCTION IN EXISTING a BUILDING FOOTPRINT S62k _ `G Stake tack Sett �O I CERTIFY THAT THE LOCATIONS SHOWN ON THIS PLAN\ WERE MEASURED IN THE FIELD ON 12/10/09 & 11/14/11. PLOT PLAN FOR 0 D -- LILIA HANRAHAN LOT 4. 34 NORTH PRECINCT ROAD, CENTERVILLE, MA CAoIL v #357�9 y DECEMBER 10, 2009 SCALE: 1"=30' U RONALD J. CADILLAC, PLS, RS, P.C. I; PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN P.O. BOX 258 REV. 11/15/11--NEW FOUNDATION WEST YARMOUTH. MA 02673 REV. 8/05/11--ADDITION ©2011 BY R.J. CADILLAC (508) 775-9700 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 142 Parcel lo2v2- Application # 3� Health Division Date Issued3. Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan,Approved by Planning Board- 4 'vjl1 y Historic - OKH Preservation / Hyannis _ Project Street Address 34 A16HY7 I7c-1 Roan` Village CZM110,PU1'/[4e, Owner 1-1/X01 14A-P?h l� Address 24-:'M44 Prai 4Kot Telephone �- Permit Request /QP.0 "o1_ "IT/7" km t Agu 11G4A) SeezAl- A w. Square feet: 1 st floor: existing��Dproposed 2nd floor: existing proposed Total new Zoning District RF RC Flood Plain AM Groundwater Overlay _ Project Valuatior1/4at 06D Construction Type _7V Lot Size -20 C ?0 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single.Family 21""' Two Family ❑ Multi-Family(# units) Age of Existing Structure ) Historic House: ❑Yes M'No On Old King's Highway ❑Yes R'No Basement Type: 0'�'uII ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) ! S ►IF. Basement Unfinished Area (sq.ft) S•F Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: _ .3 existing , new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: W1 as ❑ Oil ❑ Electric ❑Other Central Air: Nr'�es ❑ No Fireplaces: Existing I New- Existing wood/coal stove: ❑Yes Whlo Detached garage: ❑ existing 0 w size--Pool: ❑ existing ❑ new size Barn: ❑existing ❑..new size_ Attached garage: sting new size _Shed: ❑ existing ❑ new size _ Other: = � ,#Zoning Board of Appeals Authorization ❑ Appeal # Recorded ? -- Commercial ❑Yes [g'IVo If yes, site plan review# . w Current Use-- Proposed Use kel i - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name C• . V�/hCn T_ lM C. Telephone Number _ F — 2-1. FT6 Address A 9 f/7/1 lA- License # 7 �3 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Ally C�isAoS'a� SIGNATURE . DATE LD FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED y , MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION,, a;ll�l�DB� ' FRAMES I U L .SRhEw� o Z /0 IL�w_ aX 7//ZJ/2-ll& INSULATION I141L lll���/// i FIREPLACE i ELECTRICAL: ROUGH FINAL t < PLUMBING: ROUGH FINAL ' GAS:,.- ROUGH FINAL FINAL BUILDING- Q6 DATE.CLOSED OUT Y K ASSOCIATION PLAN NO. NOTES Stake/tack JOB N0. B09-05 1. LOCUS IS A.M. 148, PARCEL 122. Set Hanrahan.dwg 2. LOCUS IS IN FLOOD ZONE C ON FIRM DATED JULY 3, 1986. 3. OFFSETS SHOWN ARE TO THE CORNERBOARDS ON EXISTING BUILDINGS, OR TO FOUNDATION ON NEW CONSTRUCTION. N/F 02 COMM FIRE DIST. No,'° °,,2 P N/F 00 Conc. Bound Fnd & DASILVA N Held for rear lin Location from As—Built �i� m 6°�tiy� Leo,. Permit No. 81-190 o d take/tackN ,ti�� LOT 4 °' s Set 011 s ti9 20,080±S.F. r° s. -� CP'� PROPOSED ADDITION \N Conc. Bound 0 SA� Fnd & Held 1 y E C��86'ys' 77s Stake/tack Set JEN SEN o. PROPOSED SECOND FLOOR O TO BE ADDED IN EXISTING ^ BUILDING FOOTPRINT . \L G Q� Stake/tack Set 0� I CERTIFY THAT THE LOCATIONS SHOWN ON THIS PLAN WERE MEASURED IN THE FIELD ON 12/10/09. PLOT PLAN FOR S LILIA HANRAHAN LOT 4, 34 NORTH PRECINCT ROAD, CENTERVILLE. MA v # 1 9 y DECEMBER 10, 2009 SCALE: 1"=30' sU RONALD J. CADILLAC. PLS, R% P.C. PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN I/ P.O. BOX 258 WEST YARMOUTH, MA 02673 REV. 8/05/11--ADDITION ©2009 BY R.J. CADILLAC (508) 775-9700 A TYC Guide to %Yood Consti•cictiort in High IYind Ai-eas:11 D Mph 1'Yirid Zone Massachusetts Checklist for Corizpliance (780 c 4115301:2.1.1)' T Check Compliance 1.1 SCOPE Wind Speed (3-sec.gust)........................ . .:_........... ..............................:................. 110 mph' v, . ......... . WindExposure Category................................................................... .......................:.....................................B Wind Exposure Category................Engineering Required For Entire Project .......................................C. 1.2 APPLICABILITY - Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) - stories _<2 stories Roof Pitch................................ .. .........-......... ..._.... I" .., ft I! . ) ............... Mean Roof Height ............................................................... Fi ( g 2(Fig 2).................................................f�' ft <33� Building Width, W. ...................................... .........................(Fig 3).......................................-........ a4ft 5 80' Building Length, L ...........................(Fig 3)..................................................2ft_580, t Building Aspect Ratio(L/W) .........2............:.......................(Fig 4)..............:..................................r <_3:1 �. Nominal Height of Tallest Opening ...................................(Fig 4)...:..:......................................:.. �.:5 6'8" 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)................................................................ 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete............. ConcreteMasonry......................_...::.:::...................................'............................:................................._ 2.2 ANCHORAGE TO FOUNDATION1.3 5/8"Anchor Bolts,imbedded or 5/8"'Proprietary Mechanical Anchors as an alternative in concrete onlyf. ; Bolt Spacing—general ............................................(Table 4)............................................... in. Bolt Spacing from endrjoint of plate ..............................(Fig 5)..................:................. :;:,in.s 6°—12 Bolt Embedment—concrete....... .................................(Fig 5)................... .......... in.>7" Bolt Embedment—masonry..:.......................:..............(Fig 5)... ................--....................... in.>_15" PlateWasher..:......................................::............:.......:(Fig 5).............................................. 3"x 3'x'/," ,..o 3.1 FLOORS t @. Floor-framing member spans checked ................:..............(per 780 CMR,Chapter 55)................................... Maximum Floor Opening Dimension....................................(Fig 6 ................................M ft:5 12' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall{Fig 6)....................... Maximum Floor Joist Setbacks Supporting Loadbearing Wails or Shearwall................(Fig 7)................. .. .. G=' ft _<d ' Maximum Cantilevered Floor Joists , Supporting Loadbearing Walls or Shearwall..........:.....(Fig 8).....::..:..............................._.......... 0 ft 5 d +t,- FloorBracing at Endwalls.......................7............................(Fig 9)................. Floor Sheathing Type ......:.................................................(per 780 CMR Chapter 55)................................. . Floor Sheathing Thickness ...................................................(per 780 CMR Cha ter 55 ...' . .. Floor Sheathing Fastening...................................................(Table 2).. d nails at '(,L. in edge/ l Un field 4.1 WALLS , Wall Height - Loadbearing walls.................... .............:.....................(Fig 10 and Table 5)........... ............._f ft _5 10' >x" Non-Loadbearing walls...........................:....................'(Fig 10 and Table 5).......................... ff s 20' • A . Wall Stud Spacing . .:.:...........................(Fig 10 and Table 5 .. �?-?.V�,in. s 24°o.c: Wall Story Offsets ....._. ...(Figs 7&8 ........................... �-: ft s d { 4.2 EXTERIOR WAL'LS3 ' Wood Studs �:. Loadbearing walls..................................:..............:......(Table 5).................: ft in...........:.2x��_- ... _ Non-Loadbearing walls .................................................(Table 5)..............................2x i`--. - `r ft in. Gable End Wall Bracing' Full Height Endwall Studs............................................(Fig 10 4 WSP Attic Floor Length.................:..............................(Fig 11)............................................. ft z0/3 'Gypsum Ceiling Length (if WSP not used)....:...............(Fig 11)............................................_ft>_0.9W 1` -• " and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. .. (Fig 11)............:................................................ or 1 x 3 ceilingfurrin strips 16'spacing min.with 2 x 4 blocking g p @ p g g @ 4 ft. spacing in end joist or truss bays ' Double Top Plate Splice Length' ..... ........(Fig13 and Table 6 1- u' ' Snlira f:nnnartinn (nn of lfiri rnmmnn nallSl i AH,C Guide to 1•Vood Corrsti-uctiorr hi High FVifid Areas: 110 rwph !-Virid Zone Massachusetts Cheddist for COmpliatice (780 C\'tR 5301.2.1.1)' Loadbearing Wall Connections Lateral (no.of 16d common nails)................................(Tables 7)...................................................... Non-Loadbearing Wall Connections ,, Lateral (no.of 16d common nails)................................(Table 8):...................................................... Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ....................:...................................(Table 9).............................. A ft 0, in..:5 SillPlate Spans ..--•...................................................(Table 9).................:................it>ft O in.s 11' ,! Full Height Studs (no.of studs)....................................(Table 9)......................................................... . Non-Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) HeaderSpans...........: .r.................................................(Table 9).................................. ft r? in._< 12, 4s. Sill Plate Spans............................... ...........(Table 9)...................................0 ft 0�in.s 12 1-_ Full Height Studs (no.of studs)..................... ........(Table 9)..-:................. ....... . . .............................. 4 Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously Minimum Building Dimension,W Nominal Height of Tallest Opening ................................................................................5 s 6V -,• Sheathing Type.....................:...... ..:...............(note 4).......r.........:..:.......................:......... t L,as ti Edge Nail S acin Table 10 or note 4 if less ...........:..........:. ""� in. Field Nail Spacing..........................................(Table 10)................................................. 12 -in. Shear Connection(no.of 16d common nails)(fable 10)........................................................ Percent Full-Height Sheathing..' ...:...:...... ...( p 9 ( .. Concepts) • � 5%Additional Sheathingfor Wall with Opening> 6V(Design Conce is ........... ... Maximum Building Dimension, L '- Nominal Height of Tallest O enin Z <_6'8' SheathingType.............................................(note 4)..................................................... Edge Nail Spacing.........................................(Table 11 or`note 4 if less)........................ W in. `- Field Nait Spacing.......................................:..(Table 11)................,...i............................ ''min. Shear Connection(no.of 16d common nails)(Table 11).......................................................... Percent Full-Height Sheathing......:...........:....(Table 11).,•.....:...................................:......�-° s-•% 5%Additional Sheathing for Wall with*Opening> 6V(Design Concepts)..................... Wall Cladding ¢ f Ratedfor Wind Speed?.............................................................. ............................................... A, 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use.AWC Span Tool,see BBRS Website) ' Roof Overhang ...................................................(Figure 19)............. I -ft s smaller of 2'or.U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift...............................................(Table 12).. ........... .....:......:.............U=' pif ..................(Table 12)•:••-----•.................. L (y��plf• Lateral........................... ............... =. + Shear............................:.....:............(fable 12).................. ............ ...............S= ��-plf Ridge Strap Connections, if collar ties not used per page 21... (Table 13)....I............................T= plf ' Gable Rake Outlooker.....:...........: i........:..............(Figure 20) ..::...;..... �4=ft 5 smaller of 2'or U2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors # Uplift.....:..........:.....::.......:................(Table 14).........:................. U=. . lb. t'jl f a` Lateral(no.of 16d common nails)...(Table 14).......................................L a lb. E-11`le' Roof Sheathing Type................:..............................:...(per 780 CMR Chapters 58 air d�59) .. ¢ .. r Roof Sheathing Thickness.... ..... ..... :..... ............................................. n. >7/16'WSP Roof Sheathing Fastening...... .....(Table 2)....r`�� ,.... Notes: 1. - This checklist shall be met in its entirety, excluding the specific exception noted in 2,to comply with the requirements of 780 CMR.5301.2.1.1 Item 1. If the checklist is met in its entirety 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. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5% is added to the percent full-height sheathing requirements shown in Tables 10 and 11 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade. t I Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 34 North Precinct Road Centerville,MA Owner: Ms. Nancy Bassett Date of Inspection: 5/17/03 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. North Precinct Road a t e r ' L 1 . n Swing Ties: e A- Tank In—43' B- Tank In—23' Exist House (3 Bedroom) A- -Leach Pit-35' B—Leach Pit—46' B Deck 0 0 1000 gal septic tank 0 Leach Pit I 10 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION (� ( Uct Map l ( C� Parcel Application # Health'Division Date Issued �-- Conservation Division Application 44 Planning Dept. Permit Fee - Date Definitive Plan Approved by Planning Board Historic - OKH_ — Preservation / Hyannis Project Street Address 3 404V, vreGnc_-' a Village Ce;n+erv, k c_ Owner L.`;1 i� t-� �n s�ln0-n --Address f1J=4h �r�c�r,c� tz{ Telephone -7 74-Y-144- 2 Permit Request s G r �LAJPe Square feet: 1 st floor: existing_ proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 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 ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.i4 Number of Baths: Full: existing new Half: existing - new' Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Roo Count '*0 2 Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other 9P n Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/cgal stover❑YEW❑ 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) TName �- IC�.rl�c,�n�-, 1 --Telephone Number `7`74-&,qq -323 r Wddress 04k �r�e �-�' (�q License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE O f- r h� f FOR OFFICIAL USE ONLY APPLICATION# r ,DATE ISSUED- ! _ MAP/PARCEL NO. . 3 ADDRESS VILLAGE OWNER i y DATE OF INSPECTION: R x ft�FOUNDATION' " FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL t PLUMBING: ROUGH FINAL E . >GAS: u ROUGHr-, FINAL ,FINAL BUILDING DATE CLOSED OUT } ASSOCIATION PLAN NO. Ir�v213C I The Commonwealth of Massachusetts Department oflndustrial Accidents Office of Investigations . 600 Washington Street Boston;AM 02111 s� www.mass.gov/dia - Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers . Applicant Information Please Print Legibly [,. Name(Business/Organization/Individual): t s i(� �a n rcti ,a t Address: 34 06t-• k ACA qzk City/State/Zip: Cen+erv;U e . M& 021052-YPhone.#: ?7q-6 q4 "5Z.2>4, Are you an employer?Check the appropriate bog: I Type of project(required):; 1.❑ I am a employer with -4• ❑ I am a general contractor and I * have the sub-contractors 6. ❑New construction _ employees(full and/or part-time). _ 2.❑ I am a sole proprietor or partner- listed on.the-attached sheet. 7. Remodeling s and have no employees - These sub-contractors have mP8. 0`Demolition working for me in any capacity. employees and have workers' co insurance. 9. 0 Building addition [No workers' comp.insurance, mp• required.] 5. ❑ We are a corporation and its 10. Electrical repairs or,additions 3.0 I am a homeowner doing all work officers have exercised their 1 L❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12,�Roof repairs insurance required.]t c. 152; §1(4), and we have no employees. [No workers'. 13.❑ Other comp.insurance required:] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such: $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have a employees. 1f the sub-contractors have employees,they must provide their workers'comp.policy number.. I am an employer that is providing workers'compensation insurance for my employees.n Below is the policy and job site information Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby certify�under the pains-and penalties of perjury that the information provided above,is true and correct:. �Si afore: Date: Phone#: 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 N.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." r MGL chapter 152, §25C(6)also states tliat '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." AdditionaIly,MdL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please,be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related io any business or commercial venture (i.e. a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number:. .the Commonwealth of Massachusetts Department of Industrial Aeeldents Office of Investigations 600 Washington Street Boston,IOTA 02111 Tel.##617-727-4900 ext 446 ar 1-$77-MASS.AFE Revised 11-22-06 Fax 4 6.17-7`7-7749 www.mass.gov/dia T�Wn of Barnstable Regulatory Services BAM� � Tbomas F. Geiler,Director �p 163q. 10 TEo,r,Nr0. 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 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY ` ` �2o�-e/�T 6w vt- tZ Constructs upervisor License # , hereby,certify that I have assumed responsibility for the project under construction, as authorized by building permit# iR6 �t t/3.;� issued to (property address) , ;161 ec l 77CII Gh -( ew6w%�� on , 201�. The following documents are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form (if applicable) copy of my Home Improvement Contractor registration (if applicable) Commonwealth of Massachusetts.Wor'kers' Compensation Insurance Affidavit. Road Bond(if applicable) LICENSE4ittDER DATE I q/forms/newcontrb rev:110410 Town of Barnstable P�oFt�T°wti o„ Regulatory Services Thomas F.Geiler,Director BMWSTABLE, MASS. 1639• .0� Building Division rEn �a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: ,_7�� � number f / street /village "HOMEOWNER!':�/�/Ct l /7 (rJ �C�I7 �7L/— Z��/C 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 su ep rvisor. . DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A . person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and re uir ments. l S' re of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results.in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt IHET Town of Barnstable Regulatory Services 9 snx1639. E Thomas F.Geiler,Director rFo �a Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 t Property Owner M s t mplete and Sign Thi Section If Using A Buil r I, Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized b b ding permit application for. (Address of Job) Signature of Owner ate Print Name If Property Owner is applying for ermit please 'co lete the Homeowners License Exemption orm on the reve side. 4 Q TO RM&O W NERPERM IS S ION To Regulatory Services snMASSB Thomas F. Geiler,Director rFa,wp�0. Building Division, Tom Perry-, Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508490-6230 . Y NOTICE TO THE BUILDING DIVISION OF CHANGE OF LICENSED CONSTRUCTION SUPERVISOR owner of property located at � [I nci C._&n_�erl////6 P_ , hereby certify that Ciq y1n('��f is no longer Construction Supervisor listed on the application for the project under construction as authorized by building permit# S�jl b 11 64 3 K3• , issued on 201 1 . I understand thatr the project under construction must cease until a successor licensed Construction Supervisor, is.submitted on the records of the.Building Division.' PROPERT OWNER DATE q/forms/newcontr reference R-5 780 CMR rev:110410' Town of Barnstable Regulatory Services OF BARNSTABIE Thomas F.Geiler,Director qq, t639. . ZOIZ JAN -6 Af il: Building Division 2 Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL OF LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT I, UYI 'SkDAe -A . VlhCeiV , Construction Supervisor License # ! S6o 3 3 , hereby certify that I am no longer the Construction Supervisor listed on the application for the project under construction as authorized by building permit # .2t91104.?33 , issued to (property address) ,34"A)6 i4 P?eCjkVJ )Q. Holz I also certify that on JG2A. S ,I notified the property owner, that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. LICENSE HOLDER DA E q/forms/newcontr reference R-5 780 CMR rev:080102 f _J 31 t3o(zx-m p>Rf_C�T 2b e ICC-ES Evaluation Report ESR-2478 Reissued June 1, 2012 This report is subject to renewal June 1, 2013. www.icc-es.org 1 (800)423-6587 ( (562)699-0543 A Subsidiary of the International Code Council® DIVISION:07 00 00—THERMAL AND MOISTURE insulations are produced in the field by combining a PROTECTION polymeric isocyanate (Part A) and a polymeric resin Section:07 21 00—Thermal Insulation (Part B). The insulation components are supplied in 55-gallon (208 L) drums and have a shelf life of three REPORT HOLDER: months when stored at temperatures between 50°F (10°C) and 80°F(27°C). GACO WESTERN,LLC 3.2 Surface-burning Characteristics: 1245 CHAPMAN DRIVE WAUKESHA,WISCONSIN 53186 At a maximum thickness of 6 inches (152 mm) and a (262)542-8072 nominal density of 0.5 pcf(8 kg/m3), the insulations have a www.aaco.com flame-spread index of 25 or less and a smoke-developed index of 450 or less when tested in accordance with ASTM EVALUATION SUBJECT: E84. Thicknesses of up to 111/4 inches (286 mm) for wall cavities and 16 inches (406 mm) for ceiling cavities are GACOGREEN 052 AND 052N SPRAY-APPLIED recognized based on room corner fire testing in POLYURETHANE INSULATIONS accordance with NFPA 286. 1.0 EVALUATION SCOPE 3.3 ,Thermal Resistance(R-values): Compliance with the following codes: At a mean temperature of 75°F (24°C), the insulation has thermal resistance(R-values)as shown in Table 1. ■ 2012 and 2009 International Building Code®(IBC) 3.4 Air Permeability: ■ 2012 and 2009 Intemational Residential Code®(IRC) The insulations, at a minimum thickness of 3.5 inches (89 ■ 2012and 2009 Intemational Energy Conservation mm), are considered air-impermeable insulations in Code®(IECC) accordance with IRC Section R202, based on testing in Properties evaluated: accordance with ASTM E283. ■ Physical properties 3.5 DC 316 Fireproof Paint: ■ Surface-burning characteristics DC 315 Fireproof Paint is manufactured by International ■ Attic and crawl spaces Fireproof Technology, Inc:, and is a water-based intumescent coating supplied in 5-gallon (19L) pails and ■ Thermal resistance 55.-gallon (208L) drums. The coating material has a shelf ■ Air permeability life of. 24 months when stored in factory containers at 2.0 USES temperatures between 50°F(10°C)and 90°F(32°C). - GacoGreen 052 and 052N spray-applied polyurethane 3.6 TPRZ FIRESHELLO F10E and IB-4 Coatings: foam plastic insulations are used as nonstructural thermal TPR2 FIRESHELL® F10E and IB-4 intumescent coatings insulating materials in Type V construction under the IBC are proprietary, water-based, intumescent coatings and in dwellings under the IRC.The insulations are for use manufactured by TPR2 Corporation. The coatings are in wall cavities, floor/ceiling assemblies, attics and crawl supplied in 5-gallon (19 L) pails and 55-gallon (208 L) spaces, sill plates, band joists and headers when installed drums and have a shelf life of one year when stored in in accordance with this report. Under the IRC, the factory containers at temperatures between 45°F (7°C) insulations may be used as air-impermeable insulation and 95°F(35°C). when installed in accordance with Section 3.4. Use in attics 4.0 INSTALLATION and crawl spaces is described in Section 4.4. 3.0 DESCRIPTION 4.1 General: The insulation must be installed in accordance with the 3.1 General: manufacturer's published installation instructions, the GacoGreen 052 and GacoGreen 052N insulations are two- applicable code and this report. A copy of the component, open-cell, semirigid foam plastic insulation manufacturer's published installation instructions must be systems having a nominal density of 0.5 pcf(8 kg/m3).The available at all times on the jobsite during installation. lCC-ES Evaluation Reports are not lobe construed as representing aesthetics or any other attributes not specifically addressed,nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use.There is no warranty by/CC Evaluation Service,LLC,express or implied,as rem, to any finding or other matter in this report,or as to any product covered by the report mrc Copyright©2012 Page 1 of 3 I I - ESR-2478 I Most Widely Accepted and Trusted Page 2 of 3 4.2 Application: 4.4 Attics and Crawl Spaces (Note: The insulation The GacoGreen 052 and GacoGreen 052N insulations are may be applied as described in either Section spray-applied on the jobsite using a proportioning pump to 4.4.1 or Section 4.4.2): combine Part A and Part B components at a one-to-one 4.4.1 Application with a Prescriptive Ignition Barrier: ratio, as specified in the manufacturer's published When the spray-applied insulations are installed within installation instructions. The insulation must not be applied attics or crawl spaces where entry is made only for service in areas that will be exposed to a maximum ambient of utilities, an ignition barrier must be installed in temperature greater than 200°F (93°C). The substrates to accordance with IBC Section 2603.4.1.6 or IRC Sections which the insulation is applied must be clean, dry and free R316.5.3 and R316.5.4, as applicable. The ignition barrier of frost, ice, loose debris or contaminants that will interfere must be consistent with the requirements for the type of with adhesion of the spray foam insulation.The spray foam construction required by the applicable code, and must be insulation must not be applied in electrical outlet or junction installed in a manner so that the foam_ plastic insulation is boxes or in direct contact with water or soil. The spray- not exposed. applied foam insulation must be protected from the 4.4.2 Application without a Prescriptive Ignition weather during and after application. Barrier: Where the spray-applied insulation is installed in 4.3 Thermal Barrier: accordance with Section 4.4.2.1 or 4.4.2.2, the following 4.3.1 Application with a Prescriptive Thermal Barrier: conditions apply: . - The spray-applied insulations must be separated from the a) Entry to the attic or crawl space is to service utilities, interior of the building by an approved thermal barrier of and no storage is permitted. 0.5-inch-thick (12.7 mm) gypsum board or an equivalent b) There are no interconnected attic or crawl space 15-minute thermal barrier complying with, and installed in areas. accordance with, the applicable code, except where c) Air in the attic or crawl space is not circulated to other installation is in accordance with Section 4.3.2 or 4.3.3 or parts of the building. in attics or crawl spaces as described in Section 4.4: d) Attic ventilation is provided when required by IBC 4.3.2 Application without a Prescriptive Thermal Section 1203.2 or IRC Section R806, except when Barrier with DC 316 Fireproof Paint:The prescriptive 15- air-impermeable insulation is permitted in unvented minute thermal barrier may be omitted when installation is attics in accordance with 2012 IRC Section R806.5 or in accordance with this section (Section 4.3.2). The 2009 IRC Section R806.4. Under-floor (crawl space) insulation and coating may be spray-applied to the interior ventilation is provided when required by IBC Section facing of wall sheathing and the underside of roof 1203.3 or IRC Section R408.1,as applicable. sheathing or roof rafters, and in crawl spaces, and may be left exposed as an interior finish without a prescribed e) Combustion air is provided in®accordance with IMC 15-minute thermal barrier. The thickness of the foam (International Mechanical Code )Section 701. plastic applied to the underside of the roof sheathing or 4.4.2.1 Application with DC 316 Intumescent Coating: walls must not exceed 111/4 inches (286 mm). The foam In attics, the insulation may be spray-applied to the plastic must be covered on all exposed surfaces with DC underside of roof sheathing or rafters and/or vertical 315 Fireproof Paint at a minimum film thickness of 20 wet surfaces; and in crawl spaces,the insulation may be spray- mils (0.5 mm) (13 dry mils (0.33 mm) at a rate of 1 gallon applied to the underside of floors and/or vertical surfaces (3.38 L) per 80 ft2 (7.4 m2)]. The coating must be applied as described in this section. The thickness of the foam over the insulation in accordance with the coating plastic applied to the underside of the top of the space or manufacturer's instructions and this report. Surfaces to be vertical surfaces must not exceed 11114 inches (286 mm). coated must be dry, clean and free of dirt, loose debris and The foam plastic exposed surfaces must be covered with other substances that could interfere with adhesion of the a minimum nominally 3 dry mils (0.08 mm) [4 wet mils coating. The coating is applied in one coat with brush, (0.1 mm), at a rate of 0.25 gallon (0.85 L) per 100 square roller or low-pressure airless equipment. feet (9.3 m2)] of DC 315 Fireproof Paint intumescent 4.3.3 Application without a Prescriptive Thermal coating.The intumescent coating must be applied over the Barrier with TPRZ FIRESHELL® F10E Coating: The insulation in accordance with the coating manufacturer's prescriptive- 15-minute thermal barrier may be omitted instructions and this report. Surfaces to be coated must be when installation is in accordance with this section(Section dry, clean, and free of dirt, loose debris and any other 4.3.3). The insulation and coating may be spray-applied to substances that could interfere with adhesion of the the interior facing of wall sheathing and the underside of coating. The coating is applied in one coat with low- roof sheathing or roof rafters, and in crawl spaces, and pressure spray equipment. may be left exposed as an .interior finish without a 4.4.2.2 Application with TPRZ FIRESHELL® IB-4 prescribed 15-minute thermal barrier. The thickness of the Coating: In attics, the insulation may be spray-applied to foam plastic applied to the underside of the roof sheathing the underside of roof sheathing or rafters and/or vertical must not exceed 91/4 inches (235 mm). The thickness of surfaces;and in crawl spaces,the insulation may be spray- foam plastic applied to the,.walls and/or vertical surfaces applied to the underside of floors and/or vertical surfaces must not exceed 51/4 inches (133 mm). The foam plastic as described in this section. The thickness of the foam must be covered on all :exposed surfaces with TPRZ plastic applied to the underside of the top of the space FIRESHELL®F10E intumescent coating at a minimum film must not exceed 111/2 inches (292 mm). The thickness of thickness of 26 wet mils(0.66 mm).[14 dry mils (0.36 mm) the foam plastic applied to vertical surfaces must. not at a rate of 1..6 gallon (6 L) per 100 ft (9.3 m2)]. The exceed 71/2 inches (191 mm). The foam plastic exposed coating must be applied over the insulation in accordance surfaces must be covered with a minimum nominally 7 dry with the coating manufacturer's instructions and this report. mils (0.18 mm) [14 wet mils(0.36 mm), at a rate of 0.88 Surfaces to be coated must be dry, clean and free of dirt, gallon (3.3 L) per 100 square feet (9.3 m2)] of TPRZ loose debris and other substances that could interfere with FIRESHELL® I134 intumescent coating. The intumescent adhesion of the coating. The coating is applied in one coat coating must be applied over the insulation in accordance with brush, roller or low-pressure airless equipment. with the coating manufacturer's instructions and this report. ESR-2478 I Most Widely Accepted and Trusted Page 3 of 3 Surfaces to be coated must be dry, clean, and free of dirt, 5.3 The spray-applied insulations must not exceed the loose debris and any other substances that could interfere thicknesses noted in Sections 3.2,4.3 and 4.4. with adhesion of the coating. The coating is applied in one 5.4 The spray-applied insulation must be applied by coat with low-pressure spray equipment. contractors certified by Gaco Western, LLC. 4.4.2.3 Use on Attic Floors: The insulations may be 6.5 Use of the insulations in areas where the probability installed without the code-prescribed ignition barrier, of termite infestation is "very heavy" must be in subject to the following conditions: accordance with 2012 IBC Section 2603.9, 2009 IBC a) All exposed surfaces of the insulation must be Section 2603.8 or IRC Section R318.4,as applicable. covered with DC 315 Fireproof Paint intumescent 6.6 Jobsite certification and labeling of the insulation must coating or TPR 2 FIRESHELL IB-4 intumescent comply with IRC Sections N1101.4 and N1101.4.1 coating as follows: and IECC Sections 102.1.1 and 102.1.11, as • DC 315 Fireproof Paint intumescent coating: applicable. minimum application rate of 3 dry mils (0.08 mm) 6.7 GacoGreen 052 and GacoGreen 052N insulations are [4 wet mils (0.1 mm) at a rate of 0.25 gallon produced in Waukesha, Wisconsin, under a quality (0.85 L)per 100 square feet(9.29 m )] control program, with inspections by Intertek Testing • TPR2 FIRESHELL® I134 intumescent coating: Services NA Inc. (AA-647). minimum application rate of 7 dry mils (0.18 mm) 6.0 EVIDENCE SUBMITTED [14 wet mils(0.36 mm)] - 6.1 Data in accordance with the ICC-ES Acceptance b) When covered with the intumescent coatings Criteria for Spray-applied Foam Plastic Insulation described in this section, the insulation must have a (AC377), dated June 2011, including reports of tests maximum installed thickness as follows: in accordance with Appendix X of AC377. • With DC 315 Fireproof Paint intumescent coating: 6.2 Reports of room corner fire tests in accordance with 111/4 inches(286 mm) NFPA 286. • With TPR2 FIRESHELL®IB-4 intumescent coating: 6.3 Reports of air leakage tests in accordance with ASTM 71/2 inches(191 mm) E283. 6.0 CONDITIONS OF USE 7.0 IDENTIFICATION The GacoGreen 052 and GacoGreen 052N spray-applied Components of the GacoGreen 052.and 052N insulations insulations described in this report comply with, or are are identified2 with the manufacturer's name (taco suitable alternatives to what is specified in, those codes Western, LLC)and address;the date of manufacture or the listed in Section 1.0 of this report, subject to the following lot number; the product trade name (GacoGreen 052 or conditions: 052N); the product type (Part A or Part B); the installation 5.1 The insulations must be installed in accordance with instructions; the density; the flame-spread and smoke- the manufacturer's published installation instructions; developed indices; the name of the inspection agency this evaluation report and the applicable code. If there (Intertek Testing Services NA Ltd.); and the evaluation are any conflicts between the manufacturer's report number(ESR-2478). published installation instructions and this report, this Intumescent coatings are identified with the report governs. manufacturer's name and address, the product name and 5.2 The spray-applied insulations must be separated from use instructions. the interior of the building by an approved 15-minute thermal barrier as described in Section 4.3.1, except when installed as described in Sections 4.3.2 and 4.3.3. Installation in an attic or crawl space is as described in Section 4.4.2. TABLE 1-GACOGREEN 052 AND 062N THERMAL RESISTANCE(R-VALUES) THICKNESS(inches) R-VALUE1'2(°F.ft2.h/Btu) 1 4.2 3 12 3'/2 14 4 16 5 20 5'/2 22 6 23 7'/2 29 8 i 31 36 10 39 104 44 11'/2 45 For SI: 1 inch=25.4 mm;1°F.ft2.h/Btu=0.176 110K.m2/W. 'Calculated R-values are based on tested K values at 1-and 4-inch thicknesses. 2R-values greater than 10 are rounded to the nearest whole number. EVALUATION REPORT 000, a Report Number: 0233 QD Issued: 08/2011 Expires: 08/2012 Revised: 09/07/2012 rrREPORTHOLDER: THERMAL AND MOISTURE The insulation material is for use in wall cavities, floor/ceiling assemblies, or attics and crawl spaces 00 Thermal Insulation when installed in accordance with Section 4.0. Under the IRC, the product may be used as air-impermeable material when installed in accordance with Section 3.4 Gaco Western,LLC 1245 Chapman drive PO Box 646 The products comply with the above-mentioned Waukesha,WI 63186 codes as described in this report. This report is 262-542-8072 based on the 2009 ICC Codes listed above except as www.gacowallfoam.com noted below: EVALUATION SUBJECT: Application with a Prescriptive Thermal Barrier: See Section 4.3.1, except the GacoFireStop 5500 approved thermal barrier must be installed in accordance with Section R314.4 of the 1.0 EVALUATION SCOPE - 2006 IRC. 1.1 Compliance with the following codes Application with a Prescriptive Ignition Barrier: See Section 4.4.1, except attics • 2009 International Building Code®(IBC) must be vented in accordance with Section 1203.2 of the 2006 IBC and crawl space • 2009 International Residential Code® (IRC) ventilation must be in accordance with IBC • 2009 International Energy Conservation Code Section 1203.3 of the 2006 or IRC R408, as • 2006 International Residential Code® (IRC) applicable. Additionally, an ignition barrier • 2006 International Building Code® (IBC) must be installed in accordance with Sections • 2006 International Energy Conservation Code ` R314.5.3 or R314.5.4 of the 2006 IRC, as (IECC) applicable. • 2003 International Building Code®(IBC) 2003 International Residential Code®(IRC) Application without a Prescriptive Ignition • 2003 International Energy Conservation Code Barrier: See Section 4.4.2, except attics (IECC) must be vented in accordance with Section 1203.2 of the 2006 or Section R806 of the 1.2 Evaluated in accordance with. IRC, and crawl space ventilation must be in accordance with Section 1203.3 of 2006 IBC • ICC-ES AC377 -Acceptance Criteria for or IRC Section R408, as"applicable. Spray-Applied Foam Plastic Insulation (approved October 2010) • Protection Against Termites: See Section 5.6, except use of the insulation in areas 1.3 Property evaluated where the probability of termite infestation is "very heavy" must be in accordance with • Surface-burning characteristics Physical Section R320.5 of the 2006 IRC. properties • Thermal Resistance Jobsite Certification and Labeling: See • Attic and crawl space installation Section 5.7, except jobsite certification and • Air permeability labeling must comply with Sections 102.1.1 and 102.1.11, as applicable, of the 200.6 2.0 USES IECC Page 1 of 5 Copyright ©2011 by International Association of Plumbing and Mechanical Officials.All rights reserved.Printed in the United States of America.No part of this publication may be reproduced,stored in an electronic retrieval system,or transmitted,in any form or by any means,electronic,mechanical,photocopying,recording,or otherwise,without the prior written permission of the publisher. Ph:1-877-41ESRPT-Fax:909.472.4171•Web:www.iapmoes.org• 5001 East Philadelphia Street•Ontario,California 91761-2816—USA i EVALUATION REPORT ESJ Report Number: 0233 OD Issued: 08/2011 Expires: 08/2012 Revised: 09/07/2012 3.0 DESCRIPTION DC 315 intumescent coating is a water-based coating manufactured by IFTI, Paint to Protect, and is supplied 3.1 Materials in 5-gallon (19L) pails and 55-gallon (208L) drums. The coating material has a shelf life of 24 months GacoFireStop 5500 spray-applied foam insulation is when stored in factory-sealed containers at semi-rigid, low-density, polyurethane foam plastic that temperatures between 41 OF (5°C)to 95°F (35°C). is installed as a component of floor/ceiling and wall assemblies. The insulation is a two-component spray 4.0 DESIGN AND INSTALLATION foam plastic with a nominal in-place density of 0.55 pcf (9 kg/m3). The insulation is produced in the field by 4.1 General combining a polymeric isocyanate (A component) with a polymeric resin (B component). The insulation liquid GacoFireStop 5500 spray-applied foam insulation components are supplied in 55-gallon (208 L) drums must be installed in accordance with the and must be stored at temperatures between 50OF manufacturer's published installation instructions and (10°C) and 90°F (32°C). GacoFireStop 5500 has a this report. A copy of the manufacturer's published shelf life of six months.when stored in factory-sealed installation instructions must be available at all times containers at these temperatures. on the jobsite during installation. 3.2 Surface-burning Characteristics 4.2 Application The insulation, at a maximum thickness of 4.0 inches The GacoFireStop 5500 insulation is spray-applied on (101.6 mm) and a nominal density of 0.55 pcf (9 the jobsite using a volumetric positive displacement kg/m3), has a flame-spread index of 25 or less and a pumps as identified in the Gaco Western application smoke-developed index of 450 or less when tested in manual. The insulation must be applied when the accordance with ASTM E 84. Thicknesses of up to ambient temperature is greater than 32°F (0°C). The 11%4 inches (286 mm) for wall cavities and 16 inches insulation must not be used in areas that have a (406 mm) for ceiling cavities are recognized based on maximum in-service temperature greater than 200°F room corner fire testing in accordance with NFPA (93°C). The foam plastic must not be used inside 286, when covered with a minimum '/ inch thick (12.7 electrical outlet or junction boxes. The foam plastic mm) gypsum board or equivalent thermal barrier must not be sprayed onto a substrate that is wet, or complying with and installed in accordance with the covered with frost or ice, loose scales, rust, oil, or applicable code. grease. The insulation must be protected from the weather during and after application. The insulation 3.3 Thermal Resistance,R=values may be applied to the maximum thickness in a single pass. Where insulation is used as an air-impermeable The foam insulation has- a thermal resistance (R- insulation, such as in unvented attic assemblies under value) at a mean temperature of 75OF (24°C) as IRC Section R806.4, the insulation must be installed shown in Table 1, based on testing in accordance with at a minimum thickness of.3.5 inches(89 mm). ASTM C 518. 4.3 Thermal Barrier 3.4 Air Permeability 4.3.1 Application with a Prescriptive Thermal GacoFireStop 5500 spray applied polyurethane foam Barrier: GacoFireStop 5500 spray foam insulation insulation, at a minimum thickness of 3.5 inches (89 separated from the interior of the building by an mm), is considered air-impermeable insulation in approved thermal barrier of '/ inch-thick (12.7 mm) accordance with Section R806.4 of the IRC, based on gypsum wallboard or an equivalent 15-minute thermal testing in accordance with ASTM E 283. barrier complying with IBC Section 2603.4 or IRC Section R316.4 except where insulation is in an attic 3.5 DC 315 Intumescent Coating or crawl space as described in Section 4.4. Page 2 of 5 EVALUATION REPORT ,C"" Report Number: 0233 Issued: 08/2011 Expires: 08/2012 Revised: 09/07/2012 CC.2application without a Prescriptive Thermal b. There are no interconnected attic or crawl GacoFireStop 5500 spray foam insulation may space areas. -applied to the underside of the roof sheathing c. Air in the attic or crawl space is not fters, floor members and walls as described in circulated to other parts of the building. ion. The thickness of the foam plastic applied to d. Under-floor (crawl space) ventilation is rside of the roof sheathing and rafters, or floors provided when required by IBC Section 1203.3 t exceed 11%inches (292 mm).The thickness of or IRC Section R408.1, as applicable. ay foam insulation applied to vertical wall e.Attic ventilation is provided when required by surfaces and between and over the attic joists must not IBC Section 1203.2 or IRC Section R806, exceed 7% inches (190 mm). except when air-impermeable insulation is permitted in unvented attics in accordance with The exposed surfaces of the foam plastic must be Section R806.4 of the IRC. covered with DC 315 coating at a total minimum film f. Combustion air is provided in accordance thickness of 22 wet mils. The coating must be applied with IMC (International Mechanical Code®) over the GacoFireStop 5500 spray foam insulation in Section 701. accordance with the coating manufacturer's instructions and this report. Surfaces to be coated must be dry, GacoFireStop 5500 applied as described above, can clean, and free of dirt, loose debris and other be shaven or trimmed to stud or rafter depth, or left fully substances that could interfere with adhesion of the untrimmed or unshaven. coating. The coating is applied with low-pressure airless spray equipment. 4.4.2.2 Application without an Intumescent Coating: The ignition barrier required by IBC Section 4.4 Attics and Crawl Spaces 2603.4.1.6 or IRC Section R316.5.3 and R316.5.4 may be omitted for the following applications. 4.4.1 Application with a Prescriptive Ignition Barrier: GacoFireStop 5500 can be shaven or trimmed to stud When GacoFireStop 5500 spray foam insulation is or rafter depth, or left fully untrimmed or unshaven. The installed within attics or crawl spaces where entry is insulation must be separated from the interior of the made only for service of utilities, an ignition barrier building by an approved thermal barrier. must be installed in accordance with IBC Section 2603.4.1.6 or IRC Section R316.5.3 or R316.5.4, as In attics, GacoFireStop 5500 foam insulation may be applicable. The ignition barrier must be consistent with spray-applied to the underside of the roof sheathing the requirements for the type of construction required and rafters, between and over the joists on attic by the applicable code. GacoFireStop 5500 spray- floors, and to walls. The thickness of the foam plastic applied foam insulation as described in this section applied to roof sheeting and rafters surfaces must not may be installed in unvented attics in accordance with exceed 11% inches (286 mm) and applied to walls IRC Section R806.4 and may be shaved or trimmed to (vertical surfaces) and between and over the joists in any degree or left unshaven or untrimmed. attic floors must not exceed 9%< inches (235 mm). The foam plastic insulation described in this Section may 4.4.2 Application without a Prescriptive Ignition be installed in unvented conditioned attics in Barrier: accordance with IRC Section R806.4 when foam plastic is applied at a thickness of 3.5 inches (88.9 4.4.2.1 General: Gaco FireStop 5500 spray-applied mm) or greater. foam insulation may be installed in attics and crawl spaces, without a prescriptive ignition barrier as In crawlspaces, GacoFireStop 5500 foam insulation described in IBC Section 2603.4.1.6 and . IRC may be spray-applied to the underside of floors above Sections R316.5.3 and R316.5.4, in accordance with crawlspaces and walls. The thickness of the foam Section 4.4.2.2 when all of the following conditions plastic applied to in floors over crawlspaces must-not apply: exceed 11% inches (286 mm) and applied to walls a. Entry to the attic or crawl space is only to (vertical surfaces) must not exceed 9'/4 inches (235 service utilities, and no storage is permitted. mm). Page 3 of 5 EVALUATION REPORT Report Number: 0233 Issued: 08/2011 Expires: 08/2012 Revised: 09/07/2012 5.0 CONDITIONS OF USE 6.0 EVIDENCE SUBMITTED GacoFireStop 5500 spray foam insulation.described 6.1 Data in accordance with the ICC-ES Acceptance in this report complies with, or is a suitable alternative Criteria for Spray-applied Foam Plastic Insulation to what is specified in, those codes listed in Section (AC377), dated Feb 2011, including reports of tests in 1.0 of this report, subject to the . following accordance with Appendix X. conditions: 6.2 Reports of air leakage testing in accordance with 5.1 The products must be installed in accordance with ASTM E 283. the manufacturers published installations instructions, this evaluation report and the applicable code. If 7.0IDENTIFICATION there are any conflicts between the manufacturer's published installation instructions Components of the spray foam insulation are and this report, this report governs. identified with the manufacturer's name Gaco Western, LLC, address and telephone number; the 5.2 The insulation must be separated from the product name (GacoFireStop 5500) use instructions; interior of the building by a approved 15-minute the flame-spread and smoke-developed indices; the thermal barrier, except when installation is as lot number; the evaluation report number (0233); and described in Sections 4.4.1 through 4.4.2.4. the name of the inspection agency (Intertek Testing Services NA, Inc.). 6.3 The insulation must not exceed the thicknesses noted in Sections 3.2, 4.2, 4.3, and 4.4. 5.4 The insulation must be protected from exposure to weather during and after application. A P 0 5.5 The insulation must be applied by .contractors ES certified by Gaco Western, LLC. TM 5.6 Use of the insulation in areas where the IAPMO #0233 probability of termite infestation is "very heavy", must be in accordance with IRC Section R318.4 or IBC Section 2603.8. E , 5.7 The insulation is produced in Waukesha, Wisconsin, under a quality control program with Director of Evaluation Services inspections- by Intertek Testing Services NA, Inc. (AA-690). Page 4 of 5 EVALUATION REPORT Report Number: 0233 Issued:08/2011 Expires: 08/2012 Revised: 09/07/2012 TABLE 1-THERMAL RESISTANCE (R-VALUES) Thickness (inches) R-value NftZ hr/btu) 1.00 3.7 3.50 13 5.50 20 7.25 -27 8.00 30 9.25 34 10.00 37 11.00 41 11.25 42 12.00 45 13.00 48 14.00 52 15.00 56 16.00 59 For SI: 1 inch=25.4 mm; 1 OF.ftz.h/Btu=0.176 1100K.m2/W.. 'R-values are calculated based on tested K-values at 1- and 3.5-inch thicknesses all other thickness' are calculated. Page 5 of 5 B BASER Bayer MaterialScience R BAYSEALTM CC X Product Information Spray-Applied Polyurethane Foam Insulation Division 7-Thermal and Moisture Protection Product Description Bayseal CC X foam-forming system is available Bayseal closed-cell X(CC X)spray-applied poly- in two grades for warm and cold weather applica- urethane foam insulation is a two component,HFC- tions;suggested ambient substrate temperatures are 245fa blown,medium density, structural system specified below: designed for commercial,industrial and residential insulation applications. System Substrate Ambient Temperature Bayseal CC X 50°F to 120T Closed-cell polyurethane foam yields a high.R.-value Bayseal CC XP 30T to 80T and may help minimize air and moisture infiltration. This product may also help to control problems as- sociated with moisture vapor drive.The fluid applied, expanding nature of Bayseal CC X foam-forming Recommended Uses system during application may also contribute to Walls • Unvented Attics increased performance value by helping to seal the Ceilings Floors building envelope. Vented Attics Piping Unvented Crawl Spaces Vented Crawl Spaces The Bayseal CC X foam-forming system is com- Foundations Concrete Slabs prised of an"A"component or aromatic diisocyanate Ducts Tanks manufactured by Bayer MaterialScience LLC and a Cold Storage Freezers blended"B"component which includes polyols,fire Coolers retarding materials, and additives. As with any product,use of Bayseal CC X foam- forming system must be tested(including,but not Bayseal CC X.system has passed the International limited to,field testing)in advance by the user to Code Council Acceptance Criteria 377, for spray- determine suitability. applied polyurethane foam insulation,Appendix X for use without the use of the prescribed ignition bar- rier and without the need for additional fire resistant coating. Page 1 of 4—Document contains important information and must be read in its entirety. Typical Physical Properties* Properties Test Method Value Fungi Resistance: ASTM G-21 Zero Rating R Value(aged): ASTM C-518 6.9 at 1 inch 24 at 3.5 inches 38 at 5.5 inches, 54 at 7.9 inches, Compressive Strength: ASTM D-1621 25 psi nominal Core Density: ASTM D-1622 2.0 lbs./W nominal Closed Cell Content: ASTM D-2856 >90% Tensile Strength: ASTM D-1623 60 psi nominal Moisture Vapor Transmission (Permeance): ASTM E-96 0.80 Perms at 1" 0.23 Perms at 3.5" 0.14 Perms at 5.5 0.10 Perms at 7.9" Water Absorption ASTM D-2842 <2% Dimensional Stability: ASTM D-2126 <10% 158°F&97%R.H. %Change in Volume Air Leakage Rate: ASTM E-2178 <0.02 L s-1 m-1 Surface Burning Characteristics** ASTM E-84 Flame Spread Index <25 4-inches Smoke Developed Index<450 *These items are provided as general information only. They are approximate values and are not part of the product specifications. **These numerical flame spread values are not a true reflection on how this or any material will perform in actual fire conditions. Values extrapolated from 3.5-inch thick sample testing. Environmental Consideration and Wind velocities in excess of 12 miles per hour may Substrate Temperatures result in excessive loss of exotherm and interfere Applicators must recognize and anticipate environ- with the mixing efficiency,affecting foam surface, mental conditions prior to application to ensure the cure,and physical properties and will cause over- highest quality foam and to maximize yield.Ambient spray.Precautions must be taken to prevent damage air and substrate temperature, moisture, and wind to adjacent areas from overspray. velocity are all critical determinants of foam quality and selection of the appropriate reactivity formula- tion.Variations in ambient air and substrate tempera- ture will influence the chemical reaction.of the two Storage Conditions components,directly affecting the expansion rate, Store at 70OF to 80OF in a dry and well,ventilated amount of rise,yield,adhesion and the resultant area,a minimum of 48 hours prior to application of physical properties of the foam insulation. material. Materials in containers should be main- tained at 65T to 85T while in use. Conditioned To obtain optimum results,the Bayseal CC X sys- trailers or tanks may be necessary.Material tempera- tem should only be spray-applied to substrates when ture should be confirmed with a thermometer or an ambient air and surface temperatures fall within the infrared gun. Do not configure equipment to recircu- range of 30T and 120T.All substrates to be sprayed late Bayseal CC X system components from propor- must be free of dirt,soil,grease,oil and moisture tioner back into drum.Do not recirculate or mix other prior to application. Moisture in any form: exces- suppliers'"A"or`B"component into Bayseal CC X sive humidity (>85%R.H.),rain, fog,or ice will system containers. react chemically and will adversely affect system performance and corresponding physical properties. Application should not take place when the ambient CAUTION; If components are below suggested temperature is within 5°F of the dew point. Primers temperatures,the increased viscosity of the com- may be necessary depending upon conditions;consult ponents may cause pump cavitation resulting in a Bayer MaterialScience LLC technical service rep- unacceptable SPF application. If components are resentative. above suggested temperatures,there may be loss of blowing agent resulting in diminished yield. Page 2 of 4—Document contains important information and must be read in its entirety. F Processing Equipment Thermal Barrier 2:1 transfer pumps are recommended for material The International Building Code and International transfer from container to the proportioner.The plural Residential Code require that SPF be separated from component proportioner must be capable of supply- the interior of a building by an approved fifteen ing each component within t 2%of the desired 1:1 (15)minute thermal barrier, such as 1/2"gypsum mixing ratio by volume. Hose heaters should be wall board or equivalent,installed per manufacturer's set to deliver 120°F to 135°F materials to the spray instructions and corresponding code requirements. gun. These settings will ensure thorough mixing in The International Building Code allows for omission the spray gun mix chamber in typical applications. of the prescribed thermal barrier in certain instance, Optimum hose pressure and temperature will vary such as: with equipment type and condition,ambient and sub- strate conditions, and the specific application. It is the • attics and crawlspaces with limited access responsibility of the applicator to properly interpret •approval by way of diversified testing,such equipment technical literature,particularly informa- as room corner protocols tion that relates to the acceptable combinations of gun chamber size,proportioner output,and material Local building codes may vary and must be consulted pressures.The relationship between proper chamber for applicability of thermal barrier exceptions. size and the capacity of the proportioner's pre-heater is critical.Mechanical purge spray guns(specifically direct impingement or DI type)are recommended for Handling Information highest foam quality. Applicators should ensure the safety of the jobsite and construction personnel by posting appropriate CAUTION: Extreme care must be taken when signs warning that all"hot work"such as welding, removing and reinstalling drum transfer pumps so soldering,and cutting with torches should not take as NOT to reverse the"A"and`B"components.' place until a thermal barrier or approved equivalent is installed over any exposed polyurethane foam. Processing Parameters and Vapor Retarder Physical Characteristics Pre heater Temperature: "Ai and"B"120 135°F Bayseal CC X system qualifies as a vapor retarder "A"and"B" 120 135°F as defined by the International Code Council and Hose Temperature: Pressures: 1"A"an " psi(dynamic)* ASHRAE(Class 1I)at a minimum thickness of one Mix Ratio Parts: 1 to 1 by volume"A"to"B" inch.Building construction types with a persistent, Viscosityat 75°F 400-500 cps°B"Component high moisture drive require additional moisture re- Shelf Life 3 months @ 65°F to s0°F mediation.The contractor should consult local build- ing codes to establish the vapor retarder requirement. *Dependent upon hose length. Page 3 of 4—Document contains important information and must be read in its entirety. Per Lift Application Applicators should apply a maximum pass thickness of 2 inches,with a minimum of 30 minutes between passes. Health and Safety Information Appropriate literature has been assembled which pro- vides information concerning the health and safety precautions that must be observed when handling materials used to produce foam made with the Bayseal CC X system. Before working with this product,you must read and become familiar with the available information on its risks,proper use and handling. This cannot be overemphasized.Informa- tion is available in several forms,e.g.,material safety data sheets,product labels,and safe use and handling guidelines. More resources are available at spray- polyurethane.com,polyurethane.org, sprayfoam.org, baycareonline.com,or by contacting the Bayer Ma- terialScience Product Safety and Regulatory Affairs Department in Pittsburgh,PA. P Note: The information contained in this bulletin is current as of October 2011, please contact Bayer MateriatScience to determine whether this publication has been revised. Bayer MateriatScience LLC 100 Bayer Road • Pittsburgh, PA 15205-9741 Phone: 1-800-662-2927 www.spf.bayermaterialscience.com The manner in which you use and the purpose to which you put and utilize our products,technical assistance and information(whether verbal,written or by way of production evaluations),including any suggested formulations and recommendations,are beyond our control.Therefore,it is imperative that you test our products,technical assistance and information to determine to your own satisfaction whether our products,technical assistance and information are suitable for your intended uses and applications.This application-specific analysis must at least include testing to determine suitability from a technical as well as health, safety,and environmental standpoint.Such testing has not necessarily been done by us.Unless we otherwise agree in writing,all products are sold strictly pursuant to the terms of our standard conditions of sale which are available upon request.All information and technical assistance is given without warranty or guarantee and is subject to change without notice.It is expressly understood and agreed that you assume and hereby expressly release us from all liability, in tort,contract or otherwise,incurred in connection with the use of our products,technical assistance,and information.Any statement or recommendation not contained herein is unauthorized and shall not bind us.Nothing herein shall be construed as a recommendation to use any product in conflict with any claim of any patent relative to any material or its use.No license is implied or in fact granted under the claims of any patent. Sales Offices 2400 Spring Steubner Road West,Spring,TX 77389 • 1-800-221-3626 Fax:1-281-288-6450 Bayseal CC X 10/11 Page 4 of 4—Document contains important information and must be read in its entirety. 0 E ZGARAGE C E „ za,rr r.r I I I I I I I I c LL reve•�c+„n,r�e��„v,r �ee� ,ne i2 VI First Floor Plan °1 E o 0 a w L N _ m --_e-,-,e .aims re n.- s L ----- - a w o � m - -- ------- _ m -------------- .r E I I I I = I I I I V ATE LL——---— 1 11 1"14----------- ---_=--J -- --s------------------------ o/v/Zou f f ,r —c.,,. Second Floor Plan SHEET: A-1 24 A/ J � 61f1. 11 IN t +4 -- ���'�`��ti �.`ti ijrmi -IMF- Front Elevation Right Elevation o m y w t - - _ _.. _ ------------ - - v -- - ® ® ® a L C --- ---- _ Rear Elevation Left Elevation 5 $€ DATE: N - 11/17/2011 p SCALE: SHEET: Stair Cross Section A-2 TOt4l J OF t � 7 F � a i m � A o I I I I I I I I I I - I h = OI , w C v -- --------------- ---------- .— m — ———————-- ----- -------- ----ems.---- LL Second Floor Ceiling Framing ILI 0 a r c r _ I _ a DATE:~ __ � 11/17/2011 SHEET: Roof Framing A-3 TOE IN O Wl 2 i Assessor's map and lot numb r /./.... ......./ a D / q *THE Swage Permit number .. .. �.....1.(�Gl.........I................... ' SEEP71C SYSTEM MUST / A INSTALLED IN CQIIAPLIA STADLE, i ` House numberT.! ................................................... WITH TITLE 5 '°c 1639. ems ENVIRONMENTAL CODE A amp"'a` TOWN OF BARNS7APDfiFATIONS BUILDING . I,NSPECTOR APPLICATION FOR PERMIT TO .......... ....... ........... ............................... 01 TYPE OF CONSTRUCTION ............U4l .. ................................................................................................ 1...........19r. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the follllo,,wing information: ff Location ............Z-61..... ..... ............../V,d..n.. �....... . ivy- .....� Y......... ..... Proposed Use . .. . . ........TFi'-N't.,..... ...... '{ & ':..ce.............. ZoningDistrict ........................................................................Fire District ......... .... .................................................. Name of Owner ..... ✓ rf ....... r s ............,1(�.� w: .. :......... ...... ............. ........ e s Name of Builder `s �C�`�.Y` � d s ..............f�v............. ....�!'.�. (!!/1................. 6 Name of Architect .. . .............................Address ........... ... ID Number of Rooms ..........................6........................ .... .....Foundation_ .......... 6.!�!. .......clha. ............. Exierior .... ... .. ...'!. .A'.. ....(...... W ►tt� .`... .'�!'`'Roofin �/V �.............. �............. g ... . ....... ` ,,'' •I1 �.. n ve1v��n �Floors W /..... ........Interior ........../•F:............... .... .. .. ........................... .. .�l!�....... .. ... ...........� o . ,. rieating .11V �. C�4�1 ...............Plumbing � v�1... ....o ..!�GG.I ................. Fireplace ..........1.V P.,—Q................... ...................................Approximate Cost ........��?..A . Definitive Plan Approved by Planning Board ____----------------------------19________. Area ... ........ ....................... .Diagram of Lot and Building with Dimensions Fee ............................... . ........ SUBJECT TO APPROVAL OF BOARD OF HEALTH / a� I hereby agree to conform to all the Rules and Regulations of the To n of ea j' g the above construction. Name ............ .. .... .... ....�.,.f .................... OCEAN BLUE BUILDERS, INC. ea 2 3Y, 71-' One Story �,No ................. Permit for .................................... Single Family Dwelling ............................................................................ Lot 4, 34 North Precinct ,Rd. Location ................................................................ e7 Centerville . ............................................................................... Owner Ocean....Blue...Builders. ....Inc c .... .. .... .... .. .. .. .... ....... .. . Type of Construction ....Frame.......................... -;t .......................................................................... V Plot ......................... Lot ................................ May 5, 81 Permit Granted ................................ ......1,9 Date of Inspection ..................4/"'f7.—rTq Date Co leted/....... .......... 4� tfERM11T REFUSED ......... .......it..................................... 19 .......... z;................................................... 7, ........... ................................................. 5, .................. ..................W M. ............................. .................. Approved .............................................. 19. . ............................................................................... ................................................................. ............. 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RL:A l,t��q J -- I e/ -�l/c ir'l I ��i�' �'tl ,�& Pj g{F E�J T + Z�O� ROBERTrp+ G ' e yt£ t u( ' NEW -CONSTRUCTION ONLY = r. ?�/7"�: ie L� ' " 1 ,).. rf f}. P. w is '.�, r 8S1fl11=S!$ TOP OF FOUNDATION IS T 8 3 x ` . r'�; " }: FEEII_ roo:6420 IN • � � p � � = I�,,*,;_1 I'"�L,I I�"1,:'L t".,''I,.�.I,�:.�"_��,,.":,�'�_.�,�.,_'��.,,4,'.I,,�:i,�� ABOVE . LOW POINT OF ADJACENT' �� 9 � ��►, ���,� ' ROAD �,� '�1sT�w�� 641�t .r�., f a`i.:, t M.SCALE: /'"` mac) j DATES ` ^ ,Y _ '� tiF i0 E EN INEERING C®.IN f u , ca%►.� Y° I��CERTIFY THAT THE HG.19TE REGISTERED CLIENT .;.______, SHOIIIN >0 ' .TH19 PLA�1 :18 4f . 1A 7�� r _ : CIVIL LAND JOB N0: _,�,_: ON THE GROUND AS 1IfulICATE0`> ENGINEER SURVEYOR DR.®Y= _ CONFORM9,I TO THE ZONING tow ,tx k 0 BARN$ AS E ABS. , { CH BY ' :r '—I +­. .. .712 MAIN..ST . ' l'� ��Aj1 xQ-4 U -i HYANNIS, MASS. SHEET f!OF /' `DATE ;., RES. LAtr{0. Si# .. -4 . tr: 1 �� • }�'.e TOWN OF BARNSTABLE Permit No. _-___-_____-------- 1 »>:,tt Building Inspector rua Cash ------------ 9. �e..I�\ OCCUPANCY PERMIT sons No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to nrro-r, TI ms -4uil ders. Address N-,y'Mt T, orth P. . Wiring Inspector f f-` ,?� r �, Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ...................................................... B 19... .w .............................. .u il.i.I.di n... ...........................:_._....... . .. _w_ B g Inspector SCOPE OF WORK _� GENERAL NOTES LEGEND AND ABBREVIATIONS TABLE of CONTENTS PAGE# DESCRIPTION • SYSTEM SIZE: 7155W DC, 6480W AC • ALL WORK SHALL COMPLY WITH 2O14 NEC,2009 IBC, MUNICIPAL CODE,AND SE SERVICE ENTRANCE SOLAR MODULES PV-1.0 COVER SHEET • DIAN N INSTRUCTIONS. ® RAIL MODULES: (27) CANA SOLAR: CS6P-265P ALL MANUFACTURERS LISTINGS AND INSTALLATION PV-2.0 SITE PLAN • INVERTER(S): • PHOTOVOLTAIC SYSTEM WILL COMPLY WITH 2O14 NEC. A-` (27) ENPHASE ENERGY: M250-60-2LL-S2X • ELECTRICAL SYSTEM GROUNDING WILL COMPLY WITH 2014 NEC, Mp MAIN PANEL PV-3.0 LAYOUT • RACKING: SNAPNRACK SERIES 100 UL; FLASHED L FOOT. • PHOTOVOLTAIC SYSTEM IS UNGROUNDED. NO CONDUCTORS ARE SOLIDLY PV-4.0 ELECTRICAL SEE PEN D01. _ GROUNDED IN THE INVERTER. SYSTEM.COMPLIES WITH 690.35. • PV-5.0 SIGNAGE MODULES CONFORM TO AND ARE LISTED UNDER UL 1703. - SP SUB-PANEL STANDOFFS& • INVERTER CONFORMS TO AND IS LISTED UNDER UL 1741; ❑ FOOTINGS • RACKING CONFORMS TO AND IS LISTED UNDER UL 2703.., • CONSTRUCTION FOREMAN TO PLACE CONDUIT RUN PER 690.31(E)AND 2012 LC PV LOAD CENTER CHIMNEY '. IFC 605.11.2. • ARRAY DC CONDUCTORS ARE SIZED FOR DERATED CURRENT. • 9.23 AMPS MODULE SHORT CIRCUIT CURRENT. SM SUNRUN METER Q ATTIC VENT • • 14.42 AMPS DERATED SHORT CIRCUIT CURRENT(690 8,(a)'&690.8,(b)). ti DEDICATED PV METER LUSH F ATTIC VENT ` PM o PVC PIPE VENT• INVERTER(S)WITH OFMA q INTEGRATED DC ® METAL PIPE VENT Sy DISCONNECT'AND AFCI PAUL K. N ® T-VENT ZACHER m1 ` AC o STRUCTURAL AC DISCONNECT(S) 0 CD • SATELLITE DISH No. 50100 06/30/2�YA c G_ ODC DISCONNECT(S) FIRE SETBACKS ASS/ONA1�0'\ CB COMBINER BOX HARDSCAPE For Structural Only INTERIOR EQUIPMENT —PL— PROPERTY LINE sunrun LE jj SHOWN AS DASHED SCALE: NTS A AMPERE AC ALTERNATING CURRENT #180120 AFCI ARC FAULT CIRCUIT INTERRUPTER nn _ - - - - AZIM AZIMUTH VICINITYMAP t COMP COMPOSITION 734 FOREST STREET#400,MARLBOROUGH,MA 01752 DC DIRECT CURRENT PHONE X805.5e.557.2es7o1 FAx aoss1 I 6527 (E) EXISTING l EXT EXTERIOR CUSTOMER RESIDENCE: FIRM FRAMING LILIA HANRAHAN f INT INTERIOR 34 N PRECINCT RD, LBW LOAD BEARING WALL CENTERVILLE, MA 02632 DING ® y MAG MAGNETIC EPT MSP MAIN SERVICE PANEL TEL.(774)644-3236 APN#:14e_122 'JUN 2 2g1 NT)S NOT SCALE PROJECT221 R 034HANRER: f!= NPc, TOWN I - OC ON CENTER OFBARNSTABQE - - _ PSF PRE-FAB PRE-FABRPOUNDS PICATED ER SQUARE FOOT DESIGNER: oie �a. PV PHOTOVOLTAIC JEFF MILLER 303-942-2596 TL TRANSFORMERLESS DRAFTER: TYP TYPICAL I V VOLTS DIMENSION { . - r W WATTS SHEET s34N Precinct Ra REV NAME DATE COMMENTS COVER SHEET fi �1A A REV:A 6/20/2016 Ol=+F,b , 'x � M. PAGE PV-1 .0 S TRUE MAG PV AREA PITC SITE PLAN -SCALE= 3/64"=1'0" _ Y H AZIM AZIM (SQFT) 45° 177° 1910 346.7 a A r AR-02 250 317° 331° 121.3 r 1 � � ,' ... - Qv Y . .. . A��. a � - • (E) RESIDENCE a A� (N)ARRAY AR-01 IH OFAtq . a 2, a � A PAUL K . '. ZACHER w STRUCTURALco No.50100 06/30/ NAV NAL r J .e sunrun _ d - #180120 C- �*� - � �� � � � •� - �' - - . �•�• - - _ 734 FOREST STREET#400,MARLBOROUGH,MA 01752 ::+ x-: -- - . - .- :+ - • PHONE 888.657.6527 as FAX 805.528.9701 CUSTOMER EN LILIA HANRAHAN F, 34 N PRECINCT RD, k , . ERVILL A 0 263 2 ' �• . ., .N y . . _ -� �e CENT E M � � 1zz TEL. 774 644 3236 APN#�148 - �MT Ac PROJECT NUMBER: '(N)"ARRAY AR-02 - 221 R-034HANR e . a . AC DESIGNER: JEFF MILLER .f `r - .. . . ,. .. - • ,.. , 303-942-2596 DRAFTER: DIMENSION A� SHEET SITE PLAN REV:A 6/20/2016 • � � � PAGE PV 2.0 . ROOF , FRAME FRAME MAX FRAME OC ROOF EDGE MAX RAIL MAX RAIL DESIGN CRITERIA ROOF TYPE ATTACHMENT ROOF HEIGHT FRAME�TYPE EXPOSURE MATERIAL SIZE SPAN SPACING ZONE SPAN OVERHANG MODULES: AR-01 COMP SHINGLE FLASHED L FOOT. SEE PEN D01. ONE STORY, VAULTED WOOD RAFTER 2 X 10 11'- 1" 16" YES 4'-0" 2'- 1" CANADIAN SOLAR: CS6P-265P «.e. LE DIMS: AR-02 COMP SHINGLE, FLASHED L FOOT. SEE PEN D01. TWO STORY ATTIC WOOD RAFTER 2 X 10 15'-2" 16 YES 4'-0" 2'- 1" MODULE 64.5"x 38.7"x 1.57" D1 -AR-01 -SCALE: 3/16" 1'-0 1 1 CLAMPS: f - r r MODULE A 1 1 L Portrait: 13.39 - 16.14 PITCH: 45° . 26'-1" 1 _9.84" Landscape: 7.87" AZIM: 177y MAX DISTRIBUTED LOAD: 3 PSF 6" SNOW LOAD: 30 PSF ® 0— 0-- OIL-. WIND SPEED: 3-SEC GUST. 110 MPH - .- - LAG SCREWS: 6" 3 " "MIN EMBEDMENT — 001 0 NOTE: INSTALLERS TO VERIFY RAFTER SIZE, SPACING AND SLOPED "-A—k o-- Q-4'. fYP — r . . ; .. = » r •. ., 4. .. . , .- ., , . SPANS,AND NOTIFY E.O.R. OF • ANY DISCREPANCIES BEFORE - • PROCEEDING. p—_ » . > „ , PENETRATION SPACING: .n — 1,_ a rp— 4— S GGE ,. 2 7" N�9 y - • , , i -0 s ZACHER , - 0 STRUCTURAL , t N 500 ob/30/2 r fi rNAI 0 '�S G D2 -AR-02 -SCALE: 1/4" = V-0" W• s . PITCH: 25° sunrun - _ - AZIM: 317° ® 13' 30;-7, a - , - • - 61 #180120 - 6 » AR 5 734 FOREST STREET#400,M LBOROUGH,MA 017 2 PHONE 888.657.6527 ,. .. ., FAX 805.528.9701 • �4'TYP _ CUSTOMER RESIDENCE: LILIA HANRAHAN » _ 34 N PRECINCT RD, E MA 026 CENTERVI L 32 L 10'-9"• _ #:148_122 q 0 TEL.(774)644 3236 APN - '. PROJECT NUMBER: — 221R-034HANR DESIGNER: Y JEFF MILLER 303-942-2596 : 4.. DRAFTER: DIMENSION SHEET LAYOUT v REV: A 6/20/2016 k. PAGE PV-3.0 120/240 VAC SINGLE PHASE k SERVICE •MAX 16 MICRO-INVERTERS PER BRANCH CIRCUIT " •MULTIPLE BRANCH CIRCUITS IN PARALLEL METER#: •ENPHASE MULTI-PIN CONNECTORS--1ST AC CONNECTOR AT OM EVERSOURCE 2226094 1 EACH BRANCH CIRCUIT IS A SUITABLE DISCONNECTING MEANS. (N)60A ENPHASE •DO NOT DISCONNECT/CONNECT UNDER LOAD UTILITY. AC COMBINER'BOX` GRID [WITH (3)PRE-INSTALLED ; f f f CANADIAN SOLAR: CS6P-265P SUPPLY SIDE TAP 20A PV BREAKERS AND + ff + fr ENPHASE ENERGY: + ff MODULES ENVOY COMMUNICATION _[ M250-60-2LL-S2X 4 GATEWAY] - (27)CANADIAN SOLAR: CS6P-265P AND EXISTING 150A (N)LOCKABLE . _ _ MICRO-INVERTER PAIRS _ (1)BRANCH OF MAIN BREAKER (N)LOCKABLE BLADE TYPE (N)SUN RUN ��•—. --- --- - (14)MICRO-INVERTERS FUSED BLADE TYPE CENTRON 4G (1)BRANCH OF ` r 1 AC DISCONNECT AC DISCONNECT METER JUNCTION BOX s �/` �/` ( ) OR EQUIVALENT 13 MICRO-INVERTERS �1 EXISTING 3 3 3 2 - _ 1 150A �- �� MAIN FACILITY PANEL LOADS FACILITY 35A FUSE r GROUND - SQUARED 250V METER SQUARE D SQUARE B SOCKET 20A BREAKER(A) 2 D222NR6 3R,60A,2P a 125A CONTINUOUS 20A BREAKER(B) 3R,60A 120/240VAC & 120/240VAC 240V METER f ¢. 200A, FORM 2S r - CONDUIT SCHEDULE NOTES TO INSTALLER: 1. INSTALL NEW 60 AMP ENPHASE AC COMBINER BOX WITH (3) PRE-INSTALLED # CONDUIT CONDUCTOR NEUTRAL GROUND 20A BREAKERS. sunrun 2 (2) 12 AWG ENGAGE CABLE (1) 12 AWG ENGAGE CABLE (1) 12 AWG ENGAGE CABLE 2. CONNECT SYSTEM VIA INSULATION PIERCING ON SUPPLY SIDE OF MAIN 1 NONE 1 BRANCH CIRCUIT PER BRANCH.CIRCUIT PER BRANCH CIRCUIT. BREAKER IN MAIN PANEL ENCLOSURE. CONDUCTORS ARE FIELD INSTALLED. PER 2 3/4"EMT OR EQUIV. (4) 10 AWG THHN/THWN-2 (2) 10 AWG THHN/THWN-2 (1)8 AWG THHN/THWN-2 _ #180120 3 3/4"EMT OR EQUIV. (2) 8 AWG THHN/THWN-2 (1) 10 AWG THHN/THWN-2 (1) 8 AWG THHN/THWN-2 4'° 3/4" EMT OR EQUIV. (2)6 AWG THHN/THWN-2 (1)6 AWG THHN/THWN-2 (1) 8 AWG THHN/THW PHONE N-2 ESTSTREET#aoo,MARLBOROucH,mno,75z PHONE 888.657.6527 _ FAX 805.528.9701 MODULE CHARACTERISTICS r - CUSTOMER RESIDENCE: II CANADIAN SOLAR:. LILIA H ANRAHAN CS6P-265P 265 W 34 N PRECINCT RD, - - CENTERVILLE, MA 02632 OPEN CIRCUIT VOLTAGE 37.7 V MAX POWER VOLTAGE 30.6 V - TES.(774)644-3236 APN#:148_122 SHORT CIRCUIT CURRENT 9.23 A PROJECT NUMBER: 221 R-034HAN R DESIGNER: JEFF MILLER 303-942-2596 DRAFTER: DIMENSION I SHEET ELECTRICAL REV: A 6/20/2016 PAGE PV-4.0 { , 0 0 O LABEL LOCATION: we y� - A WARNING PER CCODE:NEC690.13.G.3&NEC ® go !J LABEL LOCATION: . 690.13.G.4 (AC)(POI) I THIS EQUIPMENT FED BY MULTIPLE SOURCE PER CODE:NEC690.13.B a PER CODE:705.12(D)(2)R) TOTAL RATING OF OVER CURRENT ,p DEVICES,EXCLUDING MAIN SUPPLY ' 4 D 0 OVER R SHALL NOT EXCEED 0 0 0 C OF BUSBAR O ' ' ® O PER CODE:NEC690.56(C) D 0 �! O O O LABEL LOCATION: �} ' 0 O (UNDER ROOFING MATERIAL) PER CODE:NEC690.13.G.1, j LABEL LOCATION: O D O ON POWERONE INVERTER PER CODE:NEC 690.15AND NEC 690.13(B) CAUTION: SOLAR ELECTRIC LABEL LOCATION: SYSTEM CONNECTED A WARN I N G (AC)(POI) PER CODE:NEC690.13.B. LABEL LOCATION: } D O TURN OFF PHOTOVOLTAIC (D)(AC)(CB) • O O O ' L:JKJ.:� O • LABEL LOCATION: PER CODE:NEC110.27(C) z (AC)(POI) AC DISCONNECT PRIOR TO PER CODE:NEC690.16.B y WORKING INSIDE PANEL • • • • • C O 0 0 O o LABEL LOCATION: p LABEL LOCATION: (AC) 27 ' O)(POI) PER CODE:NEC690.33.E.2 (AC PER CODE:NEC690.54 z ACAUTION LABEL LOCATION: sunrun (INDIVIDUAL BREAKERS) PHOTOVOLTAIC SYSTEM CIRCUIT IS BACKED PER CODE:NEC705.12.D.3.4 1!\�J U�7►'�� N #180120 734 FOREST STREET#400,MARLBOROUGH,.MA 01752 PHONE 888.657.6527 LABEL LOCATION: A WARNING FAx605.526.97°' LOAD CENTER [Only use when applicable for PV load center] INVERTER OUTPUT CONNECTION LABEL LOCATION: CUSTOMER RESIDENCE: (POI) DO NOT RELOCATE THIS PER CODE:NEC 705.12.D.2 LILIA HANRAHAN ' OVERCURRENT DEVICE 34 N PRECINCT RD, CENTERVILLE, MA 02632 r- $, TEL.(774)644-3236 APN#:148_122 - F9 Un O O O TM LABEL LOCATION: A WARNING PROJECT NUMBER: LEGEND. (AC) PER CODE:690.13.E r 221 R-034HANR (AC):AC Disconnect G ELECTRIC SHOCK HAZARD LABEL LOCATION: (C):Conduit DO NOT TOUCH TERMINALS (POI)PER DESIGNER: (CB)Combiner Box PER CODE:NEC 690.17.E (D)Distribution Panel + OAD SIDES MAY BE ENERGIZED JEFF MILLER 303-942-2596 (DC):DC Disconnect p O i, IN THE OPEN POSITION (IC):Interior Run Conduit DRAFTER: (INV):Inverter with integrated DC disconnect DIMENSION (LC):Load Center (M):Utility Meter '. SHEET (POI):Point of interconnection' • �. SIGNAGE REV: A 6/20/2016 ? PAGE PV-5.0