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0346 OLD STAGE ROAD
a �� a ,- i d . � o a -� �_ a, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �Q(7 Parcel 1(�l-� Application # a® 1 5 1Y Health Division Date Issued - Conservation Division Application (Fee � Planning Dept. Permit Fee�3�'✓ '� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis wo Project Street Address )L Ua DId 5�, c �o Village ' Owner Jc.nn14-c C45,1 k-1— Address Telephone 568• Zb 0 Permit Request -1 rt .1� c.n c, 1 �� (r c �e_ �.(� P e Square feet: 1 st floor: existing proposed — 2nd floor: existing proposed Total new '— Zoning District Flood Plain Groundwater Overlay Project Valuation ODbo_ Construction Type_ Lot Size Grandfathered: ❑Yes ANo If yes, attach supporting documentation. Dwelling Type: Single Family ,� Two Family. ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes O-No On Old King's Highway: ❑Yes S-No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other r(4- Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing r new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count I�J 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 Apool: ❑ existing ❑ new siz Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing 0 new si Shed: ❑ existing ❑ new s4m7other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes Ao If yes, site plan review # n r Current Use s G�0 - Proposed Use '�1 s ...E APPLICANT INFORMATION -- (BUILDER OR HOMEOWNER) Name i��r / �SDn Telephone Number Address License # Home Improvement Contractor# Email L '_ n-if �<�A S Worker's Compensation # Vic d 300(S�bb ALL CONS RUCTION DEBRIS RESULTING FROM THIS PROJECT WILL B TAKEN TO Q- w 4 (\A.l 5 SIGNATURE \ ` DATE �J ' FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER i r, DATE OF INSPECTION: A FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r _ �4 rt et o r ,OWNER AUTHORIZATION Job #: / o),G32, Property Address: ✓��lQ � r as Owner of the'subject- property hereby authorize' SOLARCITY CORPORATION to act on my behalf, in all matters relative to work authorized by this building permitapplicaiion. F Si ture of Ow r: Date: A o�ns+rrnu.smr 4tc►�'+tr® .oE pau+�c.5att1 �atW pI�lWtd+rta Re�wil�4 +�+�U SlinetsrPs t*tlio CS-108616 JASON PATRY 821 STEWART DRWEVI + Abington MA 02351 Avi z OMec of Consumer Aifein&aosi um Rftalsdou HOME IMPROVEMENT CONTRACTOR t. RoglaUWC": 168572 Typo•ry Expiration: 3l8Yl017 SupptemoM C SOLAR CITY CORPORATION JASON PATRY , 24 ST MARTIN STREET 8LD 2UNI FiAk somwK' MA 01752 Ua*merenry Tire Commonwealth of Massachusetts Departownt of Industrirtl Act ldena+s I Congress Street,Sate 100 Bvsten,MA 0.2114--2017 www.mawgnv1ditac WerkeFs'Compensation Insurance Atlidatit:Builders/Contmetors/Eledridang/Plumbers. TO BE RILED WITH THE PERMMINC AUTROMV. A glicantInformation Please Print Lc�'6Iy_ NaMe(TiasincsstOriluWzagonitndividuxl): SolarCity Corparation Address: 3055 Ciearview Way City/State/Zip: Salt Mateo,CA 94402 Phone#: (8138)765-2489 Are yorram employer?Cheek the xppropehlte box: Type of project(required): I.©I am a employer whit 12,500 employees(full amdlorpari roc).+ .7. []New construction I[]I tun a sole proprietor or partnership end have no cmployros working for me in 8. Remodeling any capacity.[No walkers'commp.insumm reclaimed.] 9. ❑Demolition 3.[JI pin homeownerdoingell work tttysdr.[Naworkers'eoniv.iasuraneeroquimAl t 10 Buildingaddidon , 4.[]l am a hameowner and will be hiring contractors to conduct all stork on arty property. [will ' ensure that all contractors dither have uarkers•'compenution instrranee*raw sole I I.Q Electrical mpairs or additions proprietors with na arrployacm 12.Q Plumbing repairs or additions S 1 am a ai•comtaetor maid f have hired the sub-cant aetom listed on the attached sheet. �Q t I3.[]Aoaf repairs These smb�actom havecmploycesmW havewoik-co'comp.iaswene0 lq.❑r Other saiar paneiS' 6.E]We are a eorporatlon and its offims.have exercised their right of exemption per MGI.c. . 152,§1(41 and we have na employees.[No tvo*M'corm.Wuramce required.] +Any applicant!fiat checks box 9l most also fill oat the section bsdow showing their workout compensMion policy inbralallon. t I lormeownM alto Submit this affidavit indicating they are doing all work and then hire outside.contractors mast submit alien,uWadavit indicating suds. tCtmtraaom that check this box sm%l quaclml an additional sheet sbowing the mate of Cho sub-ooalm6loxs and slate whetber or not thole emilies havt mVloyca. If the Sub-contraators have anplopnes,they must provide their wdrkca'comp.policy numba. Joni an employe'that is providing workers'eompensation insurancefor nay eavtopees. Below is the policy and jab site issformatia►� . Insurance Company Name:American Zurich Insurance Company Policy 9 or Self ins.Lic.4: WC0182015-00 Expiration Date: 91112016 346 Old Stage Road Centerville,MA 02632 Job Site Address: City/5tateaip: I. Attsch s copy of the workers' eampensatioo polky declaration page(shoring the policy number and expiration date). Failure to secure coverage as required under MOL e.152,§25A is a criminal violation punishable by a fine up to S 1,500.00 and/ar one-year imprisonment,as'wetl as civil penalties its the fonts ofa STOOP'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 voritication. I do kereby certi uNOw the pains aml penalties of perlury that the lisformation provided above is True lard correct. (Jason Patr . October 13,2015 Phone Qfcfa/use on(v. Do nol write ist this smear fa be completer)bY city or town q,(feclaL City or Town: Permit/License g Lhority(circle ouc): Health 2.Building Department 3.0ty/TownClerk 4.Eleetricai Inspector'&Plumbing Inspector iMR. ii'IrOae 9: r . �®LJ .. DATE PA /4 &FfDDIYYY1f). CERTIFICATE OF LIABILITY INSURANCE 080712015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN'THE ISSUING iNSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate,holder in Ileu of such end'o►semerrt(s). PRODUCER CONTACT MARSH RISK&INSURANCE SERVICES Ate' —...T.._ 345 CALFORNIA STREET,SUITE 1300 PHONE ppX CALIFORNIA LICENSE NO.0437153 ,. __...... .119? � E.tiAAiL SAN FRANCiSCO,CA 94104 AaRREW............ :._....-_........:_-...---...—._. .._......... Afln:Shannon Scott 415-743-8334 insuseR�s)a�aRwnacovEw►�- _.:...• reAlcn 998301-STNLI-GAWUV E-15-16 __.-._...._...-... W tIR t A.:Zurich American lnsmza Company INSURED INSURERia NIA WA SdaraYCMPMUDn _...._..... .,._. .. .__._ 3055 Cleangew Way INSURER C:NIA !WA an Mateo,CA 94402 ) S ._._. ... ..._._ iNsuR�T D:American Zurich Insurance Company �40t42 INSURER E_ MiSURER F: COVERAGES CERTIFICATE NUMBER: SEA-DO271383" REVISION NUMBEW4 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVF 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. INsfTj - rADDLSUf1R POLICYEFF POLICY EXP LTR TYPE OF INSURANCE I POLICY NUMOER fJZdIDD DDIYYYY LIMITS A X 'COMMERCIAL GENERAL LIABILITY GLOD182016-00 090112015 0910112016 EACH OCCURRENCE S 3.(100,000 F...;l•.... J OLAIMfi•6tADE n OCCUR - _ PREMI,SE,DAMAGE TO fdNTED s........._—._•_3,000,000 X IISIR$250.000 I MED EXP(Anypne.persqn1.... 5.... ....:. ..._._— 5.W0 _. PERSONAL&ADV INJURY S GEN'L AGGREfGATIE LIMIT APPLIES PER: . 4 GENERALAGGREGATE S 6,000,000 q POLICY f......J J C 1..... L -- .. . - -- t P i YPTS:GOMPtgP AGG S 6A00,040 OTHER. I A AUTOMOBILE LIABILITY BAP01B2017.00 09/01/2015 0910112016 COMBkNEDSINGL£LIrd1T S 5,000,000 X ANY AUTO I BODILY INJURY(Per person) S ..X... ALL SHED X AUTOS LED I. BODILY INJURY(Per accident) S _ AUTOS -----...—.—..--.. ..............:..... NON0AINED 1 PROPERLY DAMAGE S X HIRED AUTOS .X... AIJCOS i - I t .. .L?ar. ! !It)........ .....:....... ..... .._....._....- COIAPICOLL DIED: S $5,000 UMBRELLA LIAB.. . OCCUR 1 1 f• 1 - E EACH OCCURRENCE 5 - ..... EXCESS LIAR HCLAIMS-MADE ! _ _ AGGREGATE .- .--.._........._. S OEDF t—RETENTION S —-- S D WORKERS COMPENSATION iWC0182014-00(AOS) 0910112015 10910112016 X.J;ERTUTE_ -_-.HRH ANDEVLOYERS'LIABILITY .._ _.._....__--. A ANY PROPRIFTORAPARTNERIEXECU IVE YIN NG0182015-QQ(MA) 09M1015 .09f0112016 R 1 A' E.L.EACH ACCIDENT S 1,000,000 OFFICERn,tEM9L�t t'xCLUf]ED? , —._. ........._ .............. (Mandatory In NH) WC DEDUCTIBLE=,GOD, E L.DISEASE-EA EMPLOYEE S 1,000,000 'IT yae,desclfbeunder - j E.L.DISEASE-POLICYLHHrT S ••_ 1,000,000 'DESCRIPTION OF OPERATIONS hetaw 1 I , DESCRIPTION OF OPERATIONS I LOCATIONS I VEMCLES tACORD fet,Additional Remarks Schedule,maybe aMachod Ir mow space Is requiredi Evidence of instuance. CERTIFICATE HOLDER CANCELLATION Sdarcay Corporation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL.LEO BEFORE 3055CIeawie©Way THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN San Mateo,CA 99402 ACCORDANCE WITH THE POLICY PROVISIDNS. AUTHORIZED REPRESENTATIVE of Mamh Risk&Insurance Services Charles Mannolejo 01980-2014 ACORD CORPORATION, All rights reserved. ACORD 25(2014101) The ACORD name and Logo are registered marks of ACORD i Version#46.4 41R; ®IarCit Y July 9, 2015 Project/Job #0261420 RE: CERTIFICATION LETTER Project: Cassista Residence 346 Old Stage Rd Centerville, MA 02632 To Whom It May Concern, A jobsite survey of the existing framing system was performed by a site survey team from SolarCity. Structural review was based on site observations and the design criteria listed below: Design Criteria: -Applicable Codes = MA Res.Code,8th Edition,ASCE 7-05, and 2005 NDS - Risk Category = II -Wind Speed = 110 mph, Exposure Category C -Ground Snow Load = 30 psf - MP1: Roof DL= 11 psf, Roof LL/SL= 21 psf(Non-PV Areas), Roof LL/SL= 11.7 psf(PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.19069 < 0.4g and Seismic Design Category(SDC) = B < D On the above referenced project,the components of the structural roof framing impacted.by the installation of the PV assembly have been reviewed. After this review it has been determined that the existing structure is adequate to withstand the applicable roof dead load, PV assembly load,and live/snow loads indicated in the design criteria above. I certify that the structural roof framing and the new attachments that directly support the gravity loading and wind uplift loading from PV modules have been reviewed and determined to meet or exceed structural strength requirements of the MA Res..Code, 8th Edition. Please contact me with any questions or concerns regarding this project. ,t F K. Digitally signed by Humphrey o wKt ST UCTURAL Kariuki. ° No.51933 Sincerely, Date:2015.07.0917:22:16-04'00' FcisTEa``o Humphrey.Kariuki, P.E. �10NAL _ Professional Engineer T: 443.451.3515 email: hkariuki@gmail.com 3055 Clearview Way San Mateo,CA 94402 T(650)638-1028 (888)SOL-CITY F(650)638-1029 solarcity.com AZ ROC 243771,CA CSLB 888104,CO EC 8041,CT WIC 0632778,M HIC 7110-148%DC HIS 71101488,Hl CT-29770.MA HIC:1 8572.MD MMIC 17.8948,NJ 13VFip6160600,. OR CCB 180498,PA 077343,TX MLR 27008;WA GCLi SOLARC'91907.0 2013 SWarCity.All r1ght4 reserved 07.09.2015 SolarCityPY S stem Structural Version #46.4 Y Design Software PROJECT INFORMATION &TABLE OF CONTENTS Project Name: Cassista Residence AHJ:, Barnstable Job Number: 0261420 Building Code: MA Res. Code, 8th Edition Customer Name: Cassista, Jennifer Based On: IRC 2009/ IBC 2009 Address: 346 Old Stage Rd ASCE Code: ASCE 7-05 City/State: Centerville, MA Risk Category: II Zip Code 02632 Upgrades Req'd? No Latitude/ Longitude: 41.659089 -70.351381 Stamp Req'd? Yes SC Office: Cape Cod PV Designer:I Shawn Corbley Certification Letter 1 Project Information, Table Of Contents, & Vicinity Map 2 Structure Analysis (Loading Summary and Member Check) 3 Hardware Design (PV System Assembly) 4 Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.19069 < 0.4g and Seismic Design Category (SDQ = B < D 1/2-MILE VICINITY MAP ilk ir a A S 1 f &Z- • • • 1 - - • • • - - • • - 346 Old Stage Rd, Centerville, MA 02632 Latitude: 41.659089, Longitude: -70.351381, Exposure Category: C F STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK MP1 Member Properties Summary MP1 Horizontal Member Spans Rafter Pro erties Overhang 0.41 ft Actual W 1.50" Roof System Properties San l ,x t",, 12.05 ft,41,• „� !o Actual Dv 7. '5.50" Number of Spans(w/o Overhang) 1 San 2 Nominal Yes Roofing Material "" Comp Roof " San 3 A -8.25 in.^2 Re-Roof No Span 4 S. 7.56 in.^3 Plywood Sheathing No x San 5 .80 20 u .7y I in.^4 Board Sheathing Solid-Sheathing Total Span 12.46 ft TL DefPn Limit 120 Vaulted Ceiling ` No PV 1 Start ' 4.58 ft Wood Species , SPF Ceiling Finish 1/2"Gypsum Board PV 1 End 14.58 ft Wood Grade #2 Rafter Sloe 370 PV 2 Start_ xw tm Fb;, 875 psi Rafter Spacing 16"O.C. PV 2 End F„ 135 psi Top Lat Bracing a Full "PV 3 Start 7 717 E,. 1400000' si Bot Lat Bracing At Supports PV 3 End Emi„ 510000 psi Member Loading Summa Roof Pitch 9 12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 11.0 psf x 1.25 13.8 psf 13.8 psf PV Dead Load PV-DL .a 3.0 psf v x 1.25 ,: - :4 h _ 3.8 psf Roof Live Load RLL 20.0 psf x 0.75 15.0 psf Live/Snow toad °' LL SLl,2 X' -' 30.0'psf 4" x 0.7£ I x 0.39 " "21.0 psf"�' 11.7 psf Total Load(Governing LC TL 1 34.8 psf 29.2 Dsf Notes: 1. ps=Cs*pf,Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf=0.7(Ce)(CO(Is)pg; Ce 0.91 Ct=1.1,IS=1.0 Member Design Summa (per NDS Governing Load Comb CD CL + CL - CF Cr D+S 1.15 1.00 1 0.49 1.3 1.15 Member Anal sis Results Summary Maximum Max Demand @ Location CaDacitv DCR Load Combo Shear Stress 39 psi 0.4 ft. 155 psi 0.25 D+S Bendin + Stress 1170i si ' 6.1ft. '4' ""` 1504 psi`" `' `0.78 "-" " D+ S :, ,Bending(-)Stress -10 psi 0.4 ft. -734 psi .0.01 D+ S Total Load Deflection 1.04 in. 174 6.4 ft. 1.51 in. 120 0.69 D+S 1 f ICALCULATIO_N 0 F DESIGN WIND LOADS=MP1 Mounting Plane Information Roofing Material Comp Roof PV7 System Type 14 �_X SolarCity S eekM6unt�" Spanning Vent No Standoff Attachment Hardware COD Mount TGFi Roof Slope 370 — Rafter,Spacing � t 16 O.C. _ Framin T e Direction Y-Y Rafters _ PurlimS.pacing ;, X-X Purlins Only ' u.. t NA„_.� Tile Reveal Tile Roofs Only NA Tile Attachment System. _Tile Roofs,Only__ handing Seam/Trap Seam/Trap Spacing SM Seam Only NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind Design Method.,_ — _ _ Partially-Fully Enclosed Method Basic Wind Speed V 110 moh Fig 6-1 Exposure,Catego_ry ,• — ,._= _. _ . C Section 6 5.6.3 Roof Style Gable Roof -_�_ Fig 6-11B/C/D_14A/B Mean Roo-f ei ht ' "h a -15 ft - Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.85 Table 6-3 To o ra ph Factor --�~ P 9 P_ ._ Kn_• 1.00 � Section 6.5.7 Wind Directionality Factor Kd 0.85 �-�- --y i Table 6-4 —1 - Importance Factor . ;. Table 6-1 a Velocity Pressure qh qh = 0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15 22.4 psF Wind Pressure Ext. Pressure Coefficient U GC -0.95 Fig.6-11B/C/D-14A/B Ext.'Pressure Coefficient Down °s 1 GC D6wh) jt s,0.87 A, :. Fig.6-11B/C/D-14A/B Design Wind Pressure p p= qh(GC) Equation 6-22 Wind Pressure U u 21.2psf Wind Pressure Down 19.5 psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff$pacing__ Landscape 64" 39" Max Allowable.Cantilever Landscape __ .__ __. 24" NA _� Standoff Confi uration Landscape Staggered . Max Standoff Tributary:Area t Tribex _ �;_17 sf . PV Assembly Dead Load W-PV 3 0 psf Net Wind.Upllft_at§tandoff Tactual -346,Ibs ' '' Uplift Capacity_of Standoff _ T-allow 500 Ibs _ Standoff=Demand Ca aci �� DCR 1 69.2% X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 66" Max Allowable Cantilever�, Portrait ;-. 19 ar vy,. -, _ NA„ _ Standoff Confi uration Portrait Staggered Max5tondoff TributaryArea ` Trib ° yP -f, 22`sf PV Assembly Dead Load W-PV 3.0 psf Net,Wind,Uplift at Standoff T-actual Uplift Capacity of Standoff T-allow 500 Ibs _. Standoff Demand Ca aci s :. tDCR x '-s 86.7%A. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel C G _I c Application # � � � Health Division ZEaltb te Isis ed' Conservation Division Application Fe&LL Planning Dept. Perrr�'rtgFee � Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address OVA Village. C L0, Q.11,Lt;d Owner C SS ` SAC, Address o Telephone 3066 Permit Request ����n� -� C_eK 65g h MR,_ O k akki r k(0��9 Cv� z r ;1.�.: FAA- o z2 7 2_ Square feet: 1 st floor: existing proposed 2nd floor: eting proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuations c�� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family A/ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas, ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use SZ V1(�� Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name d- e r (V S Telephone Number Address 56 2 f dtGIM, License # � ( P.Q- r`54-e-r kA ot63( Home Improvement Contractor# i Email Cf\�Norker's Compensation #VW C-" 06 T66I�31 r-2i,!`(A ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# ,y ,,DATE'ISSUED 4 MAP/PARCEL NO. ADDRESS VILLAGE .r OWNER DATE OF INSPECTION: FOUNDATION FRAME C INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL ` FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. r 1lae Cohnrrronwealth ofMassach asetts Department of Irarltastrial Accidents Office of Inves.figadons 6�U�ashig#ont>S�Teet Boston,MA 02111 www.mass gov/dia Workers'Compensation Insurance:Affisa vit B dens/Con ctors/Electridan ' bers Analicaat 1n1bimation PleaPrint®Idbiv ®�A�itrlPail CfiY�i®�CYi®®AIY4�R PAW®6 ryeaqs • inti Jf�Fn& fY{i�i £T Name(13ttstues�tc3x�` �;,— d .r ,. �- �„� "r r Address-SO CityCStateCi &.re-WSL moue#: .�'` _ Are you an employer?Check the appropriate bang, ::.Type of projed(requftvd)- 1.M 1 am a Ioy with 4_[ 3 aa�a.a general.contutor.and. b New eonstruetioo a - have hired the silo employees(fiilI and/of -ate). - 2 Q i am a sole proprietor or partner- listed the attached sheet 7 U odelit�g ship and have no employees These:sals trac�as have.. ... 8::{�Denwlition working for me in any capacity. employees-and have works& 4. 0 Building addition (No workers'comp_ suraoce comp.insurance . i a Electrical r . or additions E �.� We are a co�oaatton and� epaits officeis li y exercised#heir. i 3. I am a homeowtaer all works. Plumbnig repairs or additions MGL . nrysel£[Nci workers c€irrip: n*t ofex�mptipn lies t2 ooff. insurance regtxtred.j f c 1S2,§1(41 and we have noregaixs 3a_Q 1 am a homeowner acting ss a eiciployees. workers' 13. titherA� i '., i - / genera cts€atractar(zefez to#4) comp:ucc sew i *Any appHcaat tba3 cb=b box#1 mast also fill a 3&e searun�ctaw sfiovving their wvrkets'car o jtn(icy mf n t Homeowners who submit thin a s t indicating*q am doing aft ovodt and then hue outside ecmtr oom must submit a aew atf3davit indicating such. +Conaactom that chc*thta box attached nit additional.sheet showing the nsmo of the sub-canMwcts.and statewhcthCr or not those entities have... I employe=.If€he.sab-contre�tars.Save�mpfcryets,3heg mnrst.pcavtde th�r w�s'.cangt potcsv.t :. MMM I am an vtsphi�w that is paoi°iriixrg fvorkers'ca�tperrsatiair iaas cafat ftry ef�,ploy+ees� Beleriv as tPac po0rcp i }�►b she insformiation - " 1 � insurance Company.Name Policy#or Self-ins.Lic..#. trf.t� � . Sob Site Address: L� CityfStatelT, r to C- v t /toZ43 2- Attach a copy of the wurkers'compensation policy declaration page(showing the poles number and expiration:date). . Failure to sure coverage as under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties.of a fine up to SI,500.00 and/or one-year imprisonment,as well as civil penalties in the fonn of a STOP WORK ORDER and a fine of up to$25 .114:a c3ay against the violator. Be advised:tllat:a copy of this statement may:be forward to`tlie C ie of Investigations of the DlA for insurance coverage verification. I do hereby cry aid perm of pedwy t Me infen it pmv a veis.fare and rims-t Lf Phone* 0fiWai ws ofzly. Do not w&e in this area,to be completed by city or town offaciaC ' MY or Town: PernaWlaiceose# .: Issuing Authority(circle one). I.Bowl!of Ilesith 2.Build Department 3..Cityfrown Clerk. 4.Electrical Inspector 5.Pitrmbing.liaspector b.Other Contact Person: Phone#: 3/18/2014 1 : 10: 10 P(M 8740 2 03/06 C WICATE OF LIABILITY INSURANCE ER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFEitS NO RIGHTS UPON THE CERTIFICATE HOLDEFt THIS CERTIFICATE DOES NOT.AFFdiWTIVE Y OR NEGATIVELY AiVEEND,EXTEND,OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 8E1_OW.. THIS CERTIFICATE OF INSURANCE DM NOT CONSTITUTE A'CONTRACT BE7WFEEN TIME ISSUSNG INSUREW)S AUMRIZED REPRESENTATIVE OR PRODUCER,AND THE CE RTIFICATE tlOLDEft 94PORTANT:If#w certWwale holder is an ADDITIONAL.INSURED,the'poWpas).roust.be endorsed. If SUBROGATION IS WAiVW subject to the terns and a andi ions of the policy,earlain pofsces may requite an endorsement.A statement on ftus certiftate does.not confer rWft to t1w certificate holder In lieu Qf 6[a h endorsssnsnt sb PRODUCER g45flg-+X}S ACT ���. R ers&GraylnsurarcAgency Pr+ Oa �-f�ia1 i ro .Ifi�$ s -�i2ae 4Route 134 SouUl Derail%MA 42WO ¢ I3ER9 A.I.K..filatual loswam:e Cerny 33768 1PISI RdID R Rranfier Etletgg Satuf�tls fnc 602 Harwich Road BrerrsW MA02631 P t COVERAGES CERTIFICATE:NU[WER- REVISION NUMBER! TKS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED SMON:HAVE BEEN ISSUED TO THE INSURED HAMM A801tE Fri TtIE POti4'Y PERIOD JNDICATED. N0TIMTMSTAtMG ANY REQUfflEMENT,TERM�CCr@DITION OF ANY CONTRACT OR'0 TER t ENT I TN RESPECT 70 v"C"THIS CERTIFICATE MAY BE 15SUED OR MAY PERTAIN.THE.INWRAN{:E AFFORDED BY THE POLtM DESCRIBED HERON IS SUWECT TO ALL THE TERMS, EXCLUSC WANSICCNDf t0N30FSUCHPOUCIES.UMI733HOWNfAAY HAVE.BEEN REDUCEDSY PAID CLAIM ' TYPEOFINMRANM POUO M03ER LINtts GENERAL UAINUTY EACH CCMRREUM S i ONWERMAL MERAL UABUTY I CLAIM MADE AXUR MSt�SPIAsyrane. svni $_ PE SONALAADVIUAM b ! GeJEFMAGGREGATE. $ WLACGREGAMLINUTARUESPM: ! PRODJ-:{S-CO PAGGs S ,. -,-y =T C AUTOT@OBILE UABIM $ a � _ ANYAUTO - BODIL.YIN�SM OY e;P iFwnl S .R.IiONdiSi SCtE1TJlILM "BOMLY9PIJURY(Pecaauff* $ I AIlFiZ3 AiSiOS t HFREI}AUT03 AUTODNS (pe�- Y $ . $ UL%RMAALIAB .QL'CUR - EAL9+3CCURR9WG $- EXCESSLIAB -CtAIMMADE AGGREGATE $ . DED R>:FE�tON-b $ X 140ROW IR E.L.EAGPIACC[CM $ 1,OUO OUQ DI! A. o �"`+F NIA WX-18046'15315-20*1A 311412814 31114=15 tNandntoryinN111 ) r-LDlStkSE-rAWPl0YEE,$ jMioee.od PERATH3tJStiebv ELDI4ER�-vciLtcYLreafT $ 1;004,#lIID�ID DBCRIPTIONYSf QPHtAiTOHSFitICA.7R3DESfVEMC1ES{Attad�fifAR444#,AdelNo�titeSChe�e.-$mOte'slraceisr,�uee� CER11FWAM HOLMR CANCELLATION Taws of Sanded:h 131i'Main Street MOUID ANYOft'ME ASO"MC"EDMUCIaSBE CANCELLMBEET SandNAM MA 02663 TOO: B(PIRATIOW DATE T"EIREW, NOTICE WILL BE BELMMEO IN ACCOI;DANMVMTXEPOL:ICYPR01ASION&. AUTHOWE D'RE TATNE . IM-n1O ACORD CORPORATIOI L All O#tds reserved.. ACORD 25 POW05y The ACORD name and fogo are mosteted marks of ACORD 3201 a �rasru zff a {rr=.�u wss�users-DqmtrneM of Pubjj ..(3lTxce:Ai erA S E ff 3aarr}bf Bumng Reguuffions and stir €s085 . t�G TOM FRC3tVttE# GYL3Ct _ . .._ '.. vi4'Ge- p' `. 'r -".• .' _. - j.. ;s42 kttRttE3Expiration - sp revuu-afi aTafi8 fir' mft R TV CSSWC-11MIMn fir. ;. i�fssr��` eaa�t�..�. rya•. -...r-.�. Vie:ofCaul oW AJ%ks.a a� .421 1.4 g g 1 1 1 - i i. i. 4 i 4 i, OWNER AUTHORIZATION FORM (Owner's Name) ' owner of the property looted at - 3 ad !� ((VPrpperty Address) 044*46 M� 32, l (Property Address) hereby authorize (Subcontractor) an authorized subcontractor for RISE Engineering,to act on my behalf tojobtaia building permit and to.perform work on my property. is 4ftnatuy6 Date r , y h Town'of Barnstable Final Inspection Affidavit Date: ' Thomas Perry, CBO Building Division 200 Main Street Hyannis, MA 02601 RE: Insulation Permits' Dear Mr. Perry, This affidavit is to certify that all work completed at. Street: '346 Oto� Village: has been inspected by a certified Building Performance Institute (BPI) Inspector. All work performed meets or exceeds federal and state requirements. Permit application number 10 N G 01 0 o Issue date: 52 52 Sincerely, 00 51-1 Francis Sheehan ' President o� Frontier Energy Solutions, Inc. 502 Harwich Road Brewster, MA 02631 Office: 774-237-0410 Email: fssfrontierenergy@gmail.com TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map I 'JO .Parcel CDC}' Permit# ,2,Z6 Health Division Date Issued Conservation Division S Application Feel Aw100 I Tax Collector I Permit Fee Treasurer co :I ca SEPTIC=1NOM E ST 8 .M Planning Dept. INSTALL LIANC Date Definitive Plan Approved by Planning Board VIA TITLE u ENVIRONMENTAL C DE Afd Historic-OKH Preservation/Hyannis TOWN REGULA ONS c Project Street Address 3¢6 OLo 5TAGF e2 ) Village Owner A AmAkP - _RA•e-rLZ_Ty Address �4�( � C° � �c AUcwz Telephone 50 779 44C-h Permit Request ' .tea�s��`i�l��� �� 4-14 'T> EC- Square feet: 1st floor: existing 93(o proposed II_ 2nd floor: existing proposed Total new Zoning District QQ Flood Plain Groundwater Overlay Project Valuation `�U�� Construction Type Wmo Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Id Two Family- ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 0 No On Old King's Highway: ❑Yes W No Basement Type: Wull ❑Crawl ❑Walkout ❑Other .Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 756 Number of Baths: Full: existing new, Half:existing new Number of Bedrooms: existing Z new _ Total Room Count(not including baths): existing new First Floor Room Count 4- Heat Type and Fuel: ❑Gas V Oil ❑Electric ❑Other Central Air: ❑Yes IXNo Fireplaces: Existing — 6 New _ Existing wood/coal stove: ❑Yes 0 No Detached garage:❑existing ❑new size_ Pool: ❑existing ❑new size_ Barn:❑existing ❑new size Attached garage:❑existing ❑new size r- Shed:❑existing•❑new size_Other: N14- Zoning Board of Appeals Authorization ❑ Appeal#- Recorded❑ Commercial ❑Yes t Ao If yes,site plan review# Current Use Proposed Use I BUILDER INFORMATION Name�iu.As 1'£-�f Telephone Number 5U8 7 29 46o7 Address 3440 0LQSrA&G OD License# l -fr4 4W_,.,,d& AlA Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO S NIJ s . icluc�S_ SIGNATURE DATE `4 Zl `0 = FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ' ADDRESS `I VILLAGE OWNER }V DATE OF INSPECTION: FOUNDATION ® q[34 1Uq FRAME INSULATION FIREPLACE -� ELECTRICAL: ROUGI rn FINAL PLUMBING: ROUGH ® FINAL GAS: ROUG FINAL FINAL BUILDING +11 1 ; 0 DATE CLOSED OUT M m ASSOCIATION PLAN NO. f '. TCommonwealth of Massachusetts he C .mmon ' Department of IndustriatAceidents' _ Jff6V IMMS l00M 600,Washington Street _ Boston,Mass. 02111 YSJ Workers'..Com ensation.Useance Mfidavit-General Businesses FMIII %/ 3r.P,,�,,,f, tl`g'yt'... •� '•�� .h`,p e.-+.tifA`.r a. �' r � f .�i . �:�: � �aS1 / ' address: • state: 2i hone ci work site location full address []Retail❑Restaurani/Bai/Eating Establishment I am•a soleproprietor and have no one ' $psiness�'Pe; Office[] 5 (mcludin al.Estate,Autos etc.)El ' worlszng in any capacity []I am an em to er with ,In to ees fu11 Bc' art time: [ Other ////Y,Vr%/// %////% ,%%%%///%%//%%%%// ///// ployyees worlan on this job.. , I am an employer,pro vitiin"g WkeTS comvensation for my employees g .J , ''?•.t�•r:a::'S�7::,•y.r;r'3,+.1' :^?;r•(r:r. r•7,1'n :I. .•:`+t '�'+:.r -t tf t�:(•. •i•'1•• ,Ls.�.t �i�. r..'::� 'I.{t;..a. ,. '•t'.' _' ;' •:'°•;%;''.: ;:.:'+• ..t • COnl ,t + _.eti :an:r' 7.`:`t, +!•• ., r1,,i.�{ '• ,}r p . ,:r r,. I:+:i�. •- :n�,.�:2 ;I' �i`y •§• 't ~i'1•' 't'� •-•.'r.,,tt::•'••?� �Y•'�'+( •,�•'• ,�+r; ' , r' 'r�. 1. ��' '.�t °. br r,:• a '- 'Sd•.L:{:r. Yx tt MM..:i+:.., +T•^ii-:.:.P��;t: i •l,` .i•' ..5.•pt: i,itt•ES.,� :+. ;4•r . Jy CH 3,+ii! •.'�.•i;%': ..i.'• - r....•:�4..5+ .t. 3:.' - ' $08re'ss:' 4. t . .rt.�, 5r -L. A':..ei�:�•\y,3 is+' - •:3.�r l��X•eti::+''.bv { •� ' ';. .•+;•i 4'_ •.J .. L. '�1 r ci ''. ' .; r`t.:,. :t_,' :, ,J '{ . ..a• •.a., ',� :, .• .}, '1, t.ry,:,' ,w . . } •+.r .i ,f^, 37 t.�,i.+•t.'s..: a'.,il'Ia>'S ' , •Ol1C,'. -' - .,r.•:•:1'd• s'••a' ", + I'I Srisiirarice.co5 Tam a sole proprietor and'have hired the independent contractors listed below'who have the following workers' compensation polices: • •ti '� '•f�,:.,. .< f. .4.•,. e�r:t.•.,..ay^' •.r�:�'t�4.,rta h,;;�+. •fi. •;, ,_:'.Fr•.!'t: t'•t:r "qn. ^.tr' .i; 'tt::tt:' .'j•'a+r:j{:.. .} ... rr: COIII 8II IIfiI17l�;: :<. +� •' •]..•'r•a' •'' •t 1:;:.:�,+';•:li+ ti+.'r°..r4p.•:r�.•,;•i., ''i.ly` .. .:,Piyt •, ri:�•°•{,' :ti;e `�k''�'Lii irl•:F i+.:%:,A•: ,ti, :;.'..1�r:j t .;{y' t t •• ,• •'::'•.-, :'' t•�r,:: .i• +. .:� :r A•..S'.��'Q'�:'•'ri::t:i L'.' r' •'; t• fit• •�� - r:'•,'�' t• .. 1 + r.- .i ., .i.' I .• i,y1;{I(.::: •:�'�.'••:r:::i :i.q,�; :S••t'r•��;• : ''t;• :L'"' Cl.:t:t:••+ :1+, •i,.n '�.�M1.i..:� .•. :a :�i'��i��ti,- +t`};�::• r�•,s T. .t: .'.�::• ..�••�, i:' ��r� r'•''• �:v'•' '•' •• l tr,.F.=•" •': d; ...�t•,' •a•' ''r:4r, : ;� t' �+•:aa 'Y..�q•i.,.�• r;: �'P',i•' '�r!'.r:i'wgi,y�}:>:!�'•y.;rY' r.?,:•.�,,,.,=ir?�, �.P 1=":': "r'• .,% " insurance co- :+sq:` �•. '�S.{•.:,:._X. •.,�• 3:r f.1 '•{:. i e:: •• '', ,1 t+ /•}.•''s•r+ r,ti t i + .4ir�.! :A. '' rt; r, tt{ r.r4, ,.+T- it••;•i :r''�*�•.:�..;i„+ •r,• .•� .•st(.,•,1•., Ja.: s}.�: rt:�•a`.•i l'.•_ .C• 'r:• •rY•fl�C'.sG�r •:1w�:r l'..+,�.•�,R' :�'. •(Y�';ti:,: .s,• . .i t:: .. ��• + ",)l:^''' coin'ari• a - r. ! • .Cl 5t .�•+ 'r• ..i. �•,.<•: •..1t•n, .{.• �.:'�a• .a•�•, .••r:It.•6'-�.,.�, :?':;�? ;�}';`+ •'f,•r.�• •' :.'i-i„•+ ..�:+ .` ,, ,:t"'• ,;�..+ r:..•.tt's.",• 4:'.:.•..Sa.tn•_�.�'. �O11C:�:tt'a'�••:r•, '.i�,ll' ft,.�.!. .+:*' .'iE e up to$1,500.00 and/or Failure to secure coverage as required undee S t e f M i-m of a STOP WORK OI2DEA and a Tina of 5101100 a day againatmme, I understand that it one years'imprisonment as well as civilpen penalties copy of this statement maybe forwarded to the Office of Investigations of the DlAfor coverage verification I do hereby certi under the pains and penalties ofperjury that the information provided above is Prue and cony t' Data _ 4 a� / Signature � Phone# � .. . Print name official we only do not write in this area to be completed by city or town official permitilicense# ❑Building Department city or town: []Licensing Board [selectmen's Office Q checkif immediate response is required ❑Health Department r contact person: phone#i (]Other (revised Sept 20 3) i Information`and Instructions. Massachusett$ .. ex. Laws'ch�pier 152 section 25 requires all employers to pro d workers' compensation far their. employees; As q ted-from.the `law", an employee is.defined as every person in a service o�another under any contract Of hire, express or ' lied; oral or written, , An employer is de 'ed as an individual,partnership, association, corporati or other legal entity, or any two or mare of the foregoing engage in a']oint enterprise,and including the legal iepres fives of a deceased,employer, or the-receiver or trustee of an individ partnership,,association or other legal entity, oying employees. 'Howevei•.the owner of a dwelling house !'mg of more than three apartments and-who resid * erein, or the,occupant bf the dwelling house bf- another who.emplbYs,p sons to do.maintenapce, construction or rep work on such dwelling house car on the grounds or building.appurtenant th eto shall not Because of such employn=t a deemed to be ari employer. MGL chapter 152 section 5 also'states that'every state'or lbe licensing-agency shall^withhold the issuance or renewal of a license or permit to o erate a business or to construct b ' dings in the.commonwealth for any applicant who has not produced acceptable a 'dence'of compliance with the' urance coverage regdii K Additionally;neither'the' coinmonwealth nor.any.of its olitical subdivisions shall ent into any contract for the performance of public work unto acceptable evidence of compli' 'ce with t�e insurance req ' ements of this chapter have been presented to the contracting authority. Applicants Please fM is the workers`comPensa a 't completely,by checking the box that applies to your situation., Please supply company name, address and ph 'e n ers along with a certificate of insurance as all affidavits may be submitted to the Depar rent of Tndustrial A ' Men r confumation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be return to the city or town that the application for the permit or license is being Yndus al ccideuts. Should you have any questions regardi i$the"law"or if you are requested, not the Department o required to obtain a:workers'.compens. 'onp 'cy,please call the Department at the number list below. Pleasebe sure that the affidavit ' complete andprinted egibly. The Department has provided a space at the bottom of the affidavit for you to fill out in th event the Office of Inves ' ations has to contact you regarding the applicant Please be sure to fill in the permit/h a number which will be us as a reference number. The.affidavits may.bo retuzned to the Departmentby. n or F unless other'arrangements ha been made. The Office of Investigatio' would lice to thank you in advance fo ou cooperation and sliould you have any 4uestions, please do not hesitat 'to ve us a call... The Department's address,telephone and fax number: . ° The Commonwealth Of Massachusetts ,,� Department.of Industrial Accidents ,•� gftfce of ft ti esffgWens 600 Washington Street °\ ' Boston,Ma. 02111 } fax#: (617)727-7749 r - Town of Barnstable °FTME r R,egul.atory Services -.� Thomas F.Geller,Director va s6g9• ,� Building Division �ArFD n�p�R Tom Perry,Building Commissioner • 200 Main Street, Hyannis,MA 02601 , Fax: 508-790-6230 Off ce: 508-862.¢038 permit no. Data VF MMNT A�AVIT_ LTOR Stipp MNT TO ERMIT APP CATZONW . ction of an addition to any pre-existing owner-occupied MGL c.142A requires that the"rec ons onstru alterations,renovation,repair,modernization,conversion, improvement,removal,demolition, four dwenkg units or to stluctures which are Rai nt to bg containing at least one but not mor e �contract zs with certain ex pti ns,along other such residence or building be done by registered. requirements. •- Estimated Cost � ODD Type of Wo& LID Address of Work: A,G owner's Name•_ Date of Application: 4—7 L—d - Y hereby certify that' Registration is not required for the following reason(s): ❑Work excluded by law ' ❑lob Under S 13000 []Building not owner-occupied (Owner pulling own permit Notice is hereby given that. OyMRS PULLING THEIR OWN PERMIT IMTROYEMENT UNPXRE SNTFIP- H -YE CONT CT0R8 FORAPPLICABLE HOME OR GUARANTY yQND UNDER MGL c,142A. ACCESS TO THE AItBITR ATTON PROGRAM SIGNED UNDER PENALTIES OF FERMY Ihereby apply for apermit as the ageAt of the owner: Contractor Name RegistrationhTo. Date OR c f 0 ame oFt�T� Town of Barnstable Regulatory Services BAMSTABLE, « Thomas F.Geiler,Director tKass. 16g9. .�� Building Division RFD MA't p Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstabl6.ma.us a Office: 508-862-4038 Fax:.508-790-6230 HOMEOWNER LICENSE EXEMPTION A Please Print DATE: Q t - JOB LOCATION:77 3 Li(e l 0 ti p A skj ' � number street village "HOMEOWNER': '\ Q -sd � - l *Y Sod yip-5aoU name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF 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 requirements. 'tignature 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 N � , �. t mQ T , IV Fr Vy ,. y 3 oi-D ,. 11 ' F 13 8.9 1 t �f 1 G r Orr Existing Proposed Bulkhead . 8'-�" 12x 14 deck 14'-Orr OR I 2'-0"x 4'-0" 2'-0'x 4'-0" 2'-0"x 3'-0 4 2'-0"x 3'-O" c r x Bathroom s cV O M x Kitchen _ o N Bedroom#2 ......... 7,-0,r CO 12"6Tx 6'-8" 2'-6"x 6'-8' k k ................ 2'-6"x 6'-8 '6" -8 6"x 6'- " o Living Room. b x Bedroom #1 s o k b cV ,_6"�6-8 ..� - - 3'-0"x 4'-0'3'-0"x 4'-0" "x 6'- 3'-O"z 4'-O" 3'-0"x 4'-0" double 2x10 ext.box 12' 0' 2x10 PT 16"OC { 00 O w p 5'0" rn o - 1`--0" T 0" 10"s6natube 48" rriin:'below grade 4A post - _ 36"minimum height w/raii 3/4"P.T Decking 1/1'x6"!ag screws Simpson post base connection W OC stagered 2x10P.T 16"0.C. grade grade LUS 210 hanger 200 rim board 94 reinforcing bar 48`below grade mm. \10"comet&tubes 'r " ., ABBREVIATIONS -ELECTRICAL NOTESJURISDICTION NOTES A AMPERE 1. THIS SYSTEM IS GRID-INTERTIED VIA A AC ALTERNATING CURRENT UL-LISTED POWER-CONDITIONING INVERTER. BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. CONIC CONCRETE 3. A NATIONALLY-RECOGNIZED TESTING DC DIRECT CURRENT LABORATORY SHALL LIST ALL EQUIPMENT IN EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3. (E) EXISTING 4. , WHERE ALL TERMINALS OF THE DISCONNECTING EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED IN THE OPEN POSITION, FSB FIRE SET-BACK A SIGN WILL BE PROVIDED WARNING OF THE GALV GALVANIZED HAZARDS PER ART. 690.17. - GEC GROUNDING ELECTRODE CONDUCTOR 5. EACH UNGROUNDED CONDUCTOR OF THE - GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5. CURRENT 6. CIRCUITS OVER 250V TO-GROUND SHALL y Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(B). . Isc SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DO NOT ENTER kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC . LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). a, MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED .WITH STRAIN - (N) NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY NEUT NEUTRAL UL LISTING. NTS NOT TO SCALE - 9. MODULE FRAMES SHALL BE GROUNDED AT THE OC ON CENTER UL-LISTED LOCATION PROVIDED BY THE - PL' PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING POI POINT OF INTERCONNECTION HARDWARE. PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE - SCH SCHEDULE BONDED WITH EQUIPMENT GROUND_ 'CONDUCTORS. S STAINLESS STEEL r STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY A V VOLT , Vmp VOLTAGE AT MAX POWER VICINITY MAP INDEX Voc VOLTAGE AT .OPEN CIRCUIT W WATT 3R NEMA 3R, RAINTIGHT P1 COVER SHEET jPV2 PROPERTY PLAN PV3 SITE PLAN . PV4 STRUCTURAL VIEWS . PV5 UPLIFT CALCULATIONS LICENSE GENERAL NOTES PV6 THREE LINE DIAGRAM GEN #168572 1. ALL WORK TO BE DONE TO THE 8TH EDITION Cutsheets Attached- ELEC 1136 MR OF THE MA STATE BUILDING CODE. 2. ALL ELECTRICAL WORK SHALT_ COMPLY WITH . THE 2014 NATIONAL ELECTRIC CODE INCLUDING MASSACHUSETTS AMENDMENTS. ,i MODULE GROUNDING METHOD: ZEP SOLAR 4 ,. - REV BY DATE COMMENTS AHJ: Barnstable REV A NAME DATE. COMMENTS , UTILITY: NSTAR Electric (Boston Edison) i • „B;y CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER J B-0261420 OO PREMISE OWNER: DESCRIPTION: DESIGN: \\`? CONTAINED SHALL NOT E USED FOR THE CASSISTA, JENNIFER CASSISTA RESIDENCE Shawn Corbley SOlaCCitj/ BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: NOR SHALL IT BE DISCLOSED IN WHOLE oR.IN Com Mount T e C 346 OLD STAGE RD 3.64 KW PV, ARRAY r PART IZ OTHERS EXCEPT IN THE RECIPIENTS MODULES CENTERVILLE MA 02632 ORGANIZATION, EXCEPT IN CONNECTION WITH � � _ 24 St Martin Drive, Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (14) Hanwho Q-Cells # Q.PRO G4/SC 260, PAGE NAME: SHEET: REV DATE: Marlborough,MA 01752 SOLARCIIY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: T. (650)638-1028 F: (650)638-1029 ' PERMISSION of soLARaTY INC. SOLAREDGE SE3000A-USOOOSNR2 5082803000 COVER SHEET PV 1 7/9/2015 (888)—SOL—CITY(765-2489) .e�arciir.c«n I C (E) DRIVEWAY 346 Old Stage Rd PROPERTY PLAN Scale: 1/8" = 1' 01' 8' 16' CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: J B-0 2 614 2 0 00 , PREMISE OWNER: DESCRIPTION: DESIGN: \�` CONTAINED SHALL NOT BE USED FOR THE CASSISTA, JENNIFER CASSISTA RESIDENCE Shawn Corbley �,"'A�Olar�'�" BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: •.� r NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 346 OLD STAGE RD 3.64 KW PV ARRAY o' PART TO OTHERS OUTSIDE THE RECIPIENT'S MoouLE CENTERVILLE MA 02632 ORGANIZATION, EXCEPT IN CONNECTION WITH , 24 St. Martin Drive, Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (14) Hanwha Q—Cells # UK G4/SC 260 PAGE NAME SHEET: REV.. DATE Madborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: T. (650)638-1028 F. (650)638-1029 PERMISSION of SOLARCITY INC. SOLAREDGE sE3000A—us000sNR2 5082803000 PROPERTY PLAN PV 2 7/9/2015 (BB8)—SOL-CITY(765-2489) www.edarcity.COM PITCH: 37 ARRAY PITCH:37 MP1 AZIMUTH:236 ARRAY AZIMUTH: 236 w MATERIAL: Comp Shingle STORY: 1 Story - AC © LEGEND M D \' I MP1 (E) UTILITY METER & WARNING LABEL INVERTER W/ INTEGRATED DC DISCO lnv & WARNING LABELS © DC DISCONNECT & WARNING LABELS f RIUKI ST UCTURAL u u+ _ © AC DISCONNECT & WARNING LABELS No 51993 ,. GIST6�� _ Q DC JUNCTION/COMBINER BOX & LABELS ss� a- Front Of House J D DISTRIBUTION PANEL & LABELS STAMPED & SIGNED FOR STRUCTURAL ONLY Lc LOAD CENTER &WARNING LABELS - O DEDICATED PV SYSTEM METER Digitally signed by Humphrey E DRIVEWAY Kariuki 0 STANDOFF LOCATIONS CONDUIT RUN ON EXTE RIOR RIOR Date:2015.07.09 17:22:38-04 00 --- CONDUIT RUN ON INTERIOR _ GATE/FENCE 346 Old Stage Rd O HEAT PRODUCING VENTS ARE RED 1! INTERIOR EQUIPMENT IS DASHED L_J SITE PLAN. Scale: 1/8" = V 0 11 8' 16' h PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: J B-0261420 00 ��� ■ CONTAINED SHALL NOT BE USED FOR THE CASSISTA, JENNIFER CASSISTA RESIDENCE Shown Corbley =;;;SO�arCrty BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: �.�r NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 346 OLD STAGE RD 3.64 KW. PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MooDtE� CENTERVILLE MA 02632 ORGANIZATION, EXCEPT IN CONNECTION WITH , 24 St. Martin Drive, Building 2, Unit 11 THE SALE AND USE OF THE RESPECTIVE (14) Honwha Q—Cells # Q.PRO G4/SC 260 SHEET: REV. DATE Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN - PAGE NAME PERMISSION OF SOLARCITY INC.' INVERTER' 5082803000 PV 3 7 9 2015 T. SOLO)ITY(765- F: SOLO)638-1029 SOLAREDGE SE3000A—USOOOSNR2 p SITE PLAN / / (BBB)-soL-CITY -24es) r+w�solareit.carn PV MODULE 5/16" BOLT WITH LOCK INSTALLATION ORDER & FENDER WASHERS LOCATE RAFTER, MARK HOLE S1 ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT (6) HOLE. SEAL PILOT PI (4) TH (2) POLYURETHANEOSE ANT. ZEP COMP MOUNT C ZEP FLASHING C (3) (3) INSERT FLASHING. 12'-6" (E) COMP. SHINGLE (4)(1) PLACE MOUNT. (E) LBW (E) ROOF DECKING U (2) U INSTALL LAG BOLT WITH SIDE VIEW OF MP1 NTS 5/16" DIA STAINLESS (5) (5) SEALING WASHER. STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES INSTALL- LEVELING FOOT WITH A WITH SEALING WASHER (6) BOLT & WASHERS. 2-1 2 EMBED, MIN MP1 X SPACING X CANTILEVER Y SPACING Y-CANTILEVER NOTES ( / ) LANDSCAPE 64" 24" STAGGERED (E) RAFTER PORTRAIT 48" 19" : STAN DO F F RAFTER 2x6 @ 16"OG ROOF AZI 236 PITCH 37 STORIES: 1 ARRAY AZI 236 PITCH 37 C.J. 2x6 @16"OC Comp Shingle K. z RIUKI v ST UCTURAL N0.51933 O �FGIST6�� _ CCCCCCSS�ONAL STAMPED & SIGNED FOR STRUCTURAL ONLY - J B-0 2 614 2 0 0 0 PREMIX oNNER: DESCRIPTION: DESIGN: CONAL— THE INFORMATION HEREIN JOB NUMBER: . SOIarCIt CONTAINEDTAINED SHALL NOT BE USED FOR THE CASSISTA, JENNIFER CASSISTA RESIDENCE Shawn Corbley BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: i as NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 346 OLD STAGE RD 3.64 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENT'S MODULES- CENTERVILLE MA 02632 ORGANIZATION, EXCEPT IN CONNECTION WITH , 24 St. Martin Drive, Building 2, Unit 11 THE SALE AND USE OF THE RESPECTIVE (14) Hanwha Q—Cells # Q.PRO G4/SC 260 PAGE NAME. SHEET: REV DATE Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: T: (650)638-1028 F: (65D)638-1029 PERMISSION OF SOLARCITY INC. SOLAREDGE # SE3000A—USOOOSNR2 5082803000 STRUCTURAL VIEWS PV 4 7/9/2015 (888)—SOL—CITY(765-2489) www.solaraity.com r GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO TWO (N) GROUND Panel Number:Cutler Hammer Inv 1: DC Ungrounded INV 1 —(1)SOLAREDGE ## SE3000A—USOOOSNR2 LABEL: A —(14)Hanwha Q—Cells # Q.PRO G4/SC 260 GEN #168572 RODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:43949040 Inverter; 3000W, 240V, 97.59q w/Unifed Disco and ZB,RGM,AFCI PV Module; 260W, 236.7W PTC, 40mm, Blk Frame, H4, ZEP, 1000V ELEC 113.6 MR , Overhead Service Entrance INV 2 Voc: 37.77 Vpmox: 30.46 INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER E 150A MAIN SERVICE PANEL i 150A/2P MAIN CIRCUIT BREAKER Inverter 1 (E) WIRING CUTLER—HAMMER 150A/2P Disconnect 2 SOLAREDGE SE3000A—US000SNR2 , (E) LOADS A zaov - ~ L2 •— N 1 20A/2P - .. EGC/ 0c. - _ DC. - --- GND —————————————————————--———— -- A ——————— ——— ——— - cec N IC- DC- MP 1: 1x14 6 _I - - - - .. - .. . GND EGC------ ----=---- EGC c EGC/GEC - z - - I. GEC - - - —1 -- TO 120/240V r SINGLE PHASE UTILITY SERVICE PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN Voc* MAX VOC AT MIN TEMP POI (1)CUTLER—HAMM�R #B 2 0 PV BACKFEED BREAKER A (1)CUTLER—HAMMER 0 DG221URB /fj PV (14)SOLAREDGE 1�30D-2NA4AZS D Breaker, 20A 2P, 2 aces Disconnect; 30A, 24OVac, Non-Fusible, NEMA 3R A PowerBox 0•timizer, 300W, H4, DC to DC, ZEP (2)Ground Rod; 5/8'x 8', Copper (1)CUTLER—�IAMMERg DG03ON8 Ground eutral Kt; 30A, General Duty(DG) nd (1)AWG#6, Solid Bare Copper —(1)Ground Rod; 5/8' x 8', Copper (N) ARRAY GROUND PER 690.47(D). NOTE: PER EXCEPTION NO. 2, ADDITIONAL ELECTRODE MAY NOT,BE REQUIRED DEPENDING ON LOCATION OF (E) ELECTRODE 1 AWG#10, THWN-2, Black (2)AWG#10, PV Wire, 60OV, Black Voc* =500 VDC Isc =15 ADC O (1)AWG#10, THWN-2, Red O hF(1)AWG¢6, Solid Bare Copper EGC Vmp =350 VDC Imp=10.26 ADC (1)AWG#10, THWN-2, White NEUTRAL Vmp =240 VAC Imp=12.5 AAC (1)Conduit Kit;, Sch.,80. . . . . . . . . . -0 AWG#8,.THWN-2,.Green . . EGC/GEC-0)Conduit.Kit;.3/4".PVC,,Sch; 80. CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: PREMISE OWNER: DESCRIPTION: DESIGN: J B-0261420 00 � CONTAINED SHALL NOT BE USED FOR THE . a BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: CASSISTA, JENNIFER CASSISTA RESIDENCE Shawn Corbley So�arCity. NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 346 OLD STAGE RD N"` 3.64 KW PV ARRAY ►V. ® . PART TO OTHERS OUTSIDE THE RECIPIENTS Mooul� CENTERVILLE, MA 02632 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St Martin Drive,Building 2, Unit 11 THE SALE AND USE OF THE RESPECTIVE (14) Hanwha Q—Cells # Q.PRO G4/SC 260 SHEET: REV DATE Marlborough,MA Building 2. SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PAGE NAME L (650)636 Marlborough, F. (617 636-1029 PERMISSION OF soLARarr INC. SOLAREDGE SE3000A—USOOOSNR2 - 5082803000 THREE LINE DIAGRAM PV 6 7/s/2o15 (888)—SOL-CITY(765-2489) www.solarcitycom a - o 0 0 •o - Label Location: Label Location: Label Location: Imam (C)(CB) (AC)(POI) ♦ io (DC) (INV) Per Code: Per Code: _ Per Code: NEC 690.31.G.3 ° n •-D NEC 690.17.E �" NEC 690.35(F) Do o - o �D o D o- �1�� Label Location: =o ` D - o 0 0 • •- TO BE USED WHEN (DC) (INV) o•D D - D -o D D • D INVERTER IS �r -o o D Per Code: UNGROUNDED NEC 690.14.C.2 Label Location: Label Location: ° ° _° ° (POI) • -o - (DC) (INV) ° ° e Per Code: ° Per Code: •- -D D oo a NEC 690.17.4; NEC 690.54 mom=-o o NEC 690.53 e - :o D o•D D D i Oe' - rl Label Location:o ♦ M M (DC) (INV) _ Per Code: NEC 690.5(C) • o- -® e D• D Label Location: o D o- ♦ O (POI) -o D D • D D Per Code: NEC 690.64.B.4 Dgwuwyjjo-q mlwawawy Label Location: ♦ �� (DC) (CB) rduarcurzirl M- ftawnazRm Per Code: Label Location: NEC 690.17(4) (D) (POI) D o o• o o D c o o Per Code: NEC 690.64.B.4 D O O OD •- . Label Location: ' ♦ io (POI) Per Code: Label Location: o ° e NEC 690.64.B.7 - O O O ((AC) (POI) (AC): AC Disconnect D O Per Code: °D (C): Conduit NEC 690.14.C.2 (CB): Combiner Box (D): Distribution Panel (DC): DC Disconnect (IC):.Interior Run Conduit Label Location: (INV): Inverter With Integrated DC Disconnect • A (AC) (POI) (LC): Load Center ►� Per Code: (M): Utility Meter NEC 690.54 (POI): Point of Interconnection CONFIDENTIAL— THE INFORMATION HEREIN CONTAINED SHALL NOT BE USED FOR ����r�j 3055 Clearview Way THE BENEFIT OF ANYONE EXCEPT SOLARCITY INC., NOR SHALL IT BE DISCLOSED �— ■ San Mateo,CA 94402 IN WHOLE OR IN PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, Label Set T:(650)638-1028 F:(650)638-1029 EXCEPT IN CONNECTION MATH THE SALE AND USE OF THE RESPECTIVE �� O f 't (888}SQL-CIfY(765-2489)wwwsalarcity.com SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PERMISSION OF SOLARCITY INC. f �•- Z Next-Level PV Mounting Technology, '��'` Next-Level PV Mounting Technology SOIafClt Ze Solar 9 9Y. ;;SolarCity ZepSolar _ s Y p _ _ _ _ -_, - • Ze S Ystem Components P for composition shingle roofs y - • roof: , - - Interlock 'Me siCe stiardl _ 9 r • rr . , - .y r s - _ . r •. - .ice, �, � , • ,. .. .. - ' r ..- x Roof Atnrerimmt - • ..• _ ,.'. Array Skirl. . ! ,. t } e�F Descriptions - a . • - .rF ., PV.mounting solution for composition shingle roofs F AooMPI*t`e Works with all Zep Compatible Modules � O • Zep System UL 1703 Class A Fire Rating for Type 1 and Type 2 modules ' g .. • Auto bonding UL-listed hardware creates structual and electrical bond - Comp Mount `.Interlock ` leveling Foot UL LISTED " Part No.850-1345 .': Part .850-13 No 88 Part No.850-1397 , a Y: A` :. Listed to UL 2582, Listed to UL 2703 . . Listed to UL 2703 i Specifications Mounting Block-to UL 2703 e� Designed for pitched roofs , \D� Installs in portrait-and landscape orientations ` , • Zep System supports module wind uplift and snow load pressures to 50 psf per UL.1703 I > _ t r • Wind tunnel report to ASCE 7-05 and 7-10 standards • Zep System grounding products are UL listed to UL 2703 and ETL listed to UL 467 Zep System bonding products are UL listed to UL 2703 r, Engineered for spans up to 72"and cantilevers up to 24" - Zep wire management products listed to UL 1565 for wire positioning devices Ground Zep Array Skirt,Grip,End Caps DC Wire Clip • Attachment method UL listed to UL 2582 for Wind Driven Rain Part No.850-1172 Part Nos:500-0113, Part No.850-1448 Listed to UL 2703 and- 850-1421,850-1460, Listed UL 1565 . ETL listed to UL 467 850-1467 zepsolaccom zepsolaccom y, Listed to UL 2703 This document does not create any express warranty by Zep Solar or about its products or services.Zap Solar's sole warranty is contained in the written product warranty for This document does not create any express warranty by ZepSolar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for ' each product.The end-user documentation shipped with Zep Solar's products constitutes the sole.specifications referred to in the product warranty.The customer is solely f each product.The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely . . responsible for verifying the suitability of Zep Solar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. �. - - responsible for verifying the suitability of Zep Solar's products for each use.Specifications are subject to changewithout notice.Patents and Apps:zspats.com." 12 22 14 ZS for Comp Shingle Cutsheet Rev 02.pdf Page: 1 of 2 -. - -•,12 22 14 ZS for Comp Shingle Cutsheet Rev 02.pdf - - Page: 2 of 2 C so I a r ' 0 0 solar=oo SolarEdge Power Optimizer 11f1 Module Add-On for North America P.300 / P350 / P400 SolarEdge Power Optimizer P300 ,P350 P400 (for 60-cell PV (for 72-cell PV (for 96-cell Pv Module Add-On for North America modules) modules) modules) «INPUT ,.,.. ,a, P300 / P350 / P400 Rat 30D s 39D 4D0` W - Absolute Maximum Input Voltage(Voc at lowest temperature) 48 60 80 Vdc MPPT Operating Range 8 48 8 60 8 80 Vdc _ ..Maximum Short Cvwit Current............ ....... . ... .. ... .. ...........30............. ............. ...Adc.............. .. ................ .. ..... .. ... .... ....I..... ... .... Maximum DC Input Current 12.5 Adc Maximum Efficiency ........99r5.......... ........... ...%... ... .. .... ................... .................... ...... ......... .... .. . ... .:. Weighted Efhuency .. ........98:8............. ...%. t Overvoltage Category ' II ;OUTPUT DURING.OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER) - ' Maximum Output Current .15 - Adc Maximum Output Voltage 60 Vdc OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR OFF)' rp Safety Output Voltage per Power Optimizer 1 Vdc 1 STANDARD COMPLIANCE ... _ • WMt� EMC FCC Part15 Class B IEC61000 6 2 IEC61000 6 3 6' z" Safety .......... IEC62109 1(lass 11 safety)UL3741 oH5 .. .. .. ...... .. Yes .... .. ... R 4 )INSTALLATION SPECIFICATIONS._ Maximum Allowed System Voltage 3000 Vdc .. ... .. ... .......... .... ............. ..... ....... .. .......... .. .... Dimensions(Wx Ex H) 141 x 212x40.5/5.55x8.34x 1.59 mm/in r — Weight(including cables) 950/2.1 gr/Ib - t. ........... ..... .. .. ........... ... ... ... .. ... .. ..... .............. .......... ... ... ...... Connector MC4/Amphenol/.Tyco - - ", « - Output Wire Type/Connector Double Insulated;Amphenol• a - ....... ............. .. .................... ..... .... Leng[h .....................:... ...... ...........0:95/3:0.....I.............. .1.?./_3 9 ............I.... ... ./ft.... Operating Temperature Range . 40 . - Protection Rating ......... ..................................... ......IP65/.NEMA4 .... • 4 `- .Relative Humidly 0 300 ..... . ... s.. .. ... ......... ................. ............. ...................................:............... .............. ................. - _ 1i1 Ra[ed STC po-0tM1e module Mod.1—f up to!5%power to...n sowed. 4 JPV.SYSTEM DESIGN USING A SOLAREDGE 'r ' SINGLE PHASE'„ ,r THREE PHASE�, --THREE PHASE ;. • - ., tINVERTER..' ,:„,"`^d ,.,..'d. r' =ha=r]208V >-480V.. 'e ,� '- PV power optimization at the module-level Min.im.[.m.st. . . ringLength .(Powerop. .t.;mize..r=..) 8 10 18 ...... .. .. ..... .... .. - - Up to 25%more energy, .. :. Max ...... ............................. ... .... ..... .... ...... .... ......... - imum String Length(Power Optimizers) 25 25 50 .. ......... ..... ........... .................. ..... .......... ...... - - Maximum Power per String 5250 6000 12750 W _ Superior efficiency(99.5%) ......_.. ..g .fD.i ... ..�.. ...... ...... ........... .. .. .... ........ .. .. ...... ....... ...... Mitigates all types.of module mismatch dosses;from manufacturing tolerance to partial shading Parallel 5t... s of Different Len hs.. Orientations Yes -- Flexible system design for maximum space utilization - i s - Fast installation with a single bolt t i --t P'°`" r T '" an�.,�`. .�...n+ma,�.��...'.. �;.5,*-, r.�:�1. `aW.'.a :�Fl.i�wi.:.�sfifi , .:x �e `'LL3��*:t — Nextgeneration'maintenancewithmodule-Ievelmonitoring t Module-level voltage shutdown for installer and firefighter safety. m r , ' USA - GERMANY - ITALY - FRANCE - JAPAN - CHINA - ISRAEL - AUSTRALIA www.solaredge.us " a . a SD�a rro — Single Phase Inverters for North America O Q _ - s o I a r U SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ SE760OA-US/SE1000OA-US/SE1140OA-US SE3000A-US SE380OA_-US I SESOOOA-US I SE6000A-US I SE760OA-US_I SE1000OA-US I SE1140OA-US OUTPUT Q n p Q p Q p /-� 9980 @ 208V SolarEdge Single Phase Inverters I[�r Nominal AC Power Output 3000 3800 5000 6000 7600 10000@240V 11400 VA ........... .. .......................... ..................999...,?.qy.............................. - • Max.AC Power Output 3300 4150 5400 @ 208V 6000 83SO 10800 @ 208V 12000 VA For North America ......... ....... ..... ................ ................5450@240V.................. .................1,0950@240V.. - - AC Output Voltage Min:Nom.Max.* ✓ ✓ SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US% 'ACOutpu Vo9vac ............ ......... ........ ' AC Output Voltage Min:Nom'Max.* ✓ ✓ ✓. ✓ ✓ ✓ ✓ 211 240-264 Vac l - E1 OOA-US SE11400A-US .. ............ .. ... . ........ .. i SE7600A US/S 00 / .....0-6.5(with...:. ..... setting....-60- ...5) ;..... ..... --� AC Frequency Min,.Nom..Max 'S9.3-60 60.5(with HI country setting 57-60:60.5) Hz _ .• •••• 24@208V •• 48@208V Max:ContinuousOu[putCurrent...:.. ......12.5•...•, .,••...16..•••,L•_.•@240V...I,,,•••,25••••. ......32.....•I,,,42@240V ....475 A _ . .................. ... ....... .... ................................ . •.................. .. ..... ,w Utility Monitoring,Islanding - 1,..„.•••••••••••••••••...• .. •••, A Protection,Country Configurable - - Yes - _ - r_wert0 4 Thresholds - - 5•� ` :INPUT A.Z.f 2 '=e -f € Recommended Max.DC Power** 37 5_. a 50 -4750 6250 700 9500 12400 14250 IN e Nlartanfil. Mo.................................... ................................................................. .................................. ...................... .. ....... Transformer less,Un rounded Yes ` ., .......... .................. .............................................................. .......... ..... Max.Input Voltage - - 500 Vdc - ........................................... ...................................................................................................................................... ' Nom.DC In Lit Volta a 325 @ 208V/350 @ 240V Vdc r .. ....,,. 35 0 ....... .... ....... ' 16.5 @ 208V 33 @ 208V *, Max.Input Current*** 9.5 13 18 23 34.5 . .Adc 15.5 240V .... 240V ." b Max.Input Short Circuit Current 30 45 Ad - ^_ i Reverse-Polarit Protection - .••••.•Yes••••• - - _.._ y........................ .................................................... -...........'.... .. ......... i t Hon 600kn Sensitivit.Ground-Fault Isolation De ec Y ,,,,,,,,,,,,;,,,,, ,,,,,,,••„•••,,,•,•„•„•,,, ' i - Maximum Inverter Efficiency 97:7 98.2 98.3 98.3 98 98 98 -.. ................................ .. ............................................................. .......... ................... .. .. . ..... .. (: 95 @ 208V 97 @ 2240 i CEC Weighted Efficiency 97.5 98 97.5 97.5 97.5 ............................. 98 @ 240V .................97;5 @ 240V.. ................ .. ... - Nighttime Power Consumption......... .........:...... .............<2.5 <4 ....I. ADDITIONAL FEATURES ! i - --• -- - Supported Communication Interfaces RS485,RS232,Ethernet, g (optional) - .... .................................. . .... ......... Zi ..Ol. ..B.ee... . ................._.................. —........ Revenue Grade Data,ANSI C12.1 ptiona _ STANDARD COMPLIANCE SafetY..........• UL1741,.UL1699B,UL3998 f C5A 22.2 - s Grid Connection Standards IEEE1547 ' .................... .... ......................... .... ' ,..�....••..—+ t Emissions . FCC partlS class B •• •••• •• i INSTALLATION SPECIFICATIONS 1 AC output conduit size/AWG ran a 3/4"minimum/24 6 AWG 3/4 minimum/8 3 AWG ) .. ......................... ......... .... DC input conduit size/#of strings .. _ I `kR,,;.,-•- 3/4"minimum/1-2 strings/24 6 AWG 3/4"minimum/1-2 strings/14 6 AWG ran&e.......... E - - - Dimensions with AC/DC Safety - 30.5x12.5x7/ 30.5x12.5x7.5/ 305x125x105/775x315x260 in/ - Ij�.. �. ,_�_ /� ;�y Switch(HxWxD) •• - 775 x 315 x 172 775 x 315 x 191 mm ...,...�.-� .......... ..... . . ....... ..... ............... ... .......... .......... ................................................................... ' --•^:�••-,.. .. - 1 Weight with AC/DC Safety Switch....... 51.2./23.2 I 54.7/24.7 ...•........... 88.4/40.1 .....•.. I.b Cooling Natural Convection - Fans(user replaceable) - ,, ........................................... . -................. ................. ..................... Noise .......... ........ ..<25 <50 The best choice for SolarEdge,enabled systems. Ran.e....Oper..ngTemper Temperature 0/-2..to+6..(CANversio,,,,,--40to+ ..'C - + Min:Max.Operating Temperature 13to+140/-25to+60(CANversion****-40to+60) 'F/'C Integrated arc fault protection(Type 1)for NEC 2011 690.11 compliance .................................... ....................................................:................................................................................ — .............Superior efficiency(98%) Protection Rating NEMA 3R ............... •For other regional settings please contact SolarEdge support. Small,lightweight and easy to install on provided bracket :!or to 125%for locationswhere the yearly average high temperature isabcv 77•F/25'C and to 135%for locations where it is below 77'.F/25•C. For detailed information,refer to Built-in module-level monitoring -A high maybe ITute ••••CA P/Ns are eligible fort a Ontario FIT and mec FIT hnicroFl ezc.SE11400A US CAN)st I stated. Internet connection through Ethernet,or Wireless a �_ Outdoor and Indoor installation I — Fixed voltage Inverter,DC/AC conversion only — Pre-assembled AC/DC Safety Switch for faster installation ' S ohm c� — Optional—revenue grade data,ANSI C12.1 f,e sunspsc 0 USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-ISRAEL WWW.SOlaredge.u5 f ] ` } t r ° r Format 65.7 in x 39.4 in x 1.57 in(including frame) (1670 mm x 1000 mm x 40 mm) Weight 44.09 lb(20.0 kg) Front Cover 0.13 in(3.2 mm)thermally pre-stressed glass with anti-reflection technology Back Cover Composite film � ram Black anodized ZEP compatible frame Frame it zl - Cell 6 x 10 polycrystalline solar cells " 1 Junction box Protection class IP67,with bypass diodesit d Cable 4 mm2 Solar cable;(+)a47.24in(1200 mm),W a47.24in(1200 mm) c- - Connector Amphenol,Helios H4(IP68) '{ PERFORMANCE AT STANDARD TEST_CONDITIONS(STC:1000 W/ma,25°C,AM 1.5G SPECTRUM)' . POWER CLASS(+5 W/-O W) [WI 255 260 265 Nominal Power - - PIP, IWI 255 260 - 265 • ' • 1 ' / • ' , Short Circuit Curren lie [A] 9.07 9.15 9.23 Open Circuit Voltage V. IV] 37.54 37.77 38.01 a Current at P_ IwP [A] 8.45 8.53 8.62 Voltage at PI„ VIPP IV] 30.18 30.46 30.75 The new Q.PR0-G4/SC is the reliable evergreen for all applications,with - _ I Efficiency(Nominal Power) Q [%] >_15.3 e15.6 a15.9 _ - _ a black Zep.CompatibleTM frame design for improved aesthetics, optl- PERFORMANCE AT NORMAL OPERATING CELL TEMPERATURE(NOCT:BOO W/m2,45 t3'C.AM 1.5G SPECTRUM)i th i POWER CLASS IW1 255 260 265 mized material usage and increased safety.The 4 solar module genera- _ tion from Q CELLS has.been optimised across the board: improved output Nominal Power PIP, [W] 1 1920 1 Short Circuit Current �I6C [A] 7.31 7.44_ 7.31 - 7.38 7.44 yield, higher operating reliability and durability,quicker installation and Open Circuit Voltage V.0 IV] 34.95 35.16 35.38 more intelligent design. Current at Pl„ IIPP [A] 6.61 6.68 6.75 Voltage at PwP VIP, IV] 28.48 28J5 29.01 'Measurement tolerances STC:m3%(P,);x 10%0I ,V., PP,V_) 2 Measurement tolerances NOCT:f 5%(Pm„);t 10%(lam,Vs,I-V-) INNOVATIVE ALL-WEATHER TECHNOLOGY PROFIT-INCREASING GLASS TECHNOLOGY QCELLS PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE •Maximum yields with excellent low-light •Reduction of light reflection by 50%, power during im r--At least 97%of nominal p . ----- r- -r-r--r--r- --r--° � and temperature behaviour. plus long-term corrosion resistance due sW° b� b'�� first year.Thereafter max.0.6%degra- _ ---- year. �,00 ____- dation per � - -------------- •Certified fully resistant to level 5 salt fog to high-quality At least 92%of nominal power after • - OR a 10 years. f=,, •Sol-Gel roller coating processing. �= At least 83%of nominal power after r - `' ENDURING HIGH PERFORMANCE F • J - • ____ 25 Years. � o _ r__r__r__r •Long-term Yield Security due to Anti EXTENDED WARRANTIES All data within measurement tolerances. t0 00 sm em .m ow y Full warranties in accordance with the PID Technology', Hot-Spot Protect, •Investment security due to 12-year �� ' warranty terms of the Q CELLS sales mnFDIAPICE(wan'l organisation of your respective country. and Traceable Quality Tra.QTM. product warranty and 25-year linear - a me typical mange in module efficiency at an irradiance of zoo w/m2 in relation YELLS to 1000 W/m2(both at 25°C and AM 1.5 G spectrum)is-2%(relative). •Long-term stability due to VDE Quality performance warranty2. ""'"e y" 2 Tested-the strictest test program. ' TEMPERATURE COEFFICIENTS(AT,1000 W/M2 25°C,AM 1.5G SPECTRUM)., V T9 ..zz.. QCEIIS -- _ � -,-w..<M ..__ _, _ o Tem erature Coefficient of lie a [%/K] +0.04 Temperature Coefficient of V0C '" mueaPxmn I P P '(i [%/KI - -030 SAFE ELECTRONICS TOP BRAND PV Temperature Coefficient of P_ Y [%/K7 -0.41 NOCT [°F] 113 t 5.4(45 t 3'C) •Protection against short circuits and thermally induced power losses due to 2015 Maximum system Voltage Vim _ IV] 1000(1EC)/1000(UL) Safety Class II breathable junction box and welded Maximum series Fuse Rating [A DCi 20 Fire Racing C i TYPE 1 E ' Max Load(ULY [Ibshel 50(2400 Pa) Permitted module temperature -40°F up to+185°F Cables. _ _ on continuous duty (-40°C up to+85°C) p Phntnn Load Rating(UL)a [Ibs/ff21 50(2400 Pa) x see installation manual `s Quality Tested GOEUS i uV en Bert polRryste ine solar module 2013 UL 1703;VDE Quality Tested;CE<omplianq Number of Modules per Pallet 26 IEC 61215(Ed.2);IEC 61730(Ed.1)application class A - -- - ID.40032587 '-"00°"°'- Number of Pallets per 53'Container - 32 THE IDEAL SOLUTION FOR: ,°°_°^'8� Number of Pallets per 40'Container 26 - Rooftop arrays on V G." `/SSA_®residential buildings gpg GOMPAr/ D E C E G�+Ds % Pallet Dimensions(L x W x H) 68.7 in x 45.0 in x 46.0 in _ - rvi" e `coO.W, (1745 x 1145 x 1170 mm) - Pallet Weight 1254 lb(569 kg) NOTE:Installation instructions must be followed.See the installation and operating manual or contact our technical service department for further information on approved installation and use ofAPT test conditions:Cells at-1000V against grounded,with conductive.metal foil covered module surface, CpMPpS _- this product.Warranty void if non-ZEPcertified hardware is attached to groove in module frame. y - 25°C,168h - a See data sheet on rear for further information. Hanwha Q CELLS USA Corp. - 300 Spectrum Center.Drive,Suite 1250,Irvine,CA 92618,USA I TEL+1 949 748 59 96 I EMAIL gcells-usaWq-cells.com I WEB www.q-cells.us - Engineered in Germany (M CELLS Engineered in Germany Q CELLS